Spigelia

Pinkroot. Loganiacese.

An annual, growing in the West Indies and South America.

The alcoholic tincture is prepared from tlie dried herb.

Provings by Hahnemann, Becher, Franz, Gross, Gutmann, Hartmann, Herr- mann, Hornburg, Kummer, Langhammer, Meyer, Stapf, Walther, Wislicenus and others, Hahnemann's Mat. Med., vol. 5.

Clinical Authorities Headache, Tietze, Nehrer, Hrg., Eiick. Kl. Erf., vol. 1, p. 203 ;

Meyer, B. J. H., vol. 24, p. 353 ; Stens, B.

J. H., vol. 33, p. 318 ; Cephal- algia, Lehmann, A. J.

H. M. M., vol. 1, p. 171 ; Iritis, Woodyatt, U.

S. M. and S. Jour., vol. 8, p. 201 ; Ophthalmia, Angell, A.

H. Z., vol. 108, p. 23 ; Conjunctivitis, Eummel, Lobethal, Lorbacher, Eiick. Kl.

Erf., vol. 1, pp. 294, 302 ; Lippe, Tulff, Euck. Kl. Erf., vol. 5, pp. 138, 140 ;

Supraorbital neuralgia. Pitcher, A. J. H.

M. M., vol. 1, p. 77 ; Dinsmore, Hah. Mo., vol. 14, p. 748 ;

Ciliary neuralgia, Norton, N. Y. S. T., 1877, p. 68 ;

Allen, A. J. H. M.

M., vol. 1, p. 211 ; Stapf, A. H. Z., vol. 89 ; p. 94 ;

Norton, Org., vol. 2, p. 119 ; Nasal catarrh, Eosenberg, Eiick. Kl. Erf., vol. 5, p. 168 ;

Korndcerfer, T. H. M. S.

Pa., 1879 ; Eruption on nose, Eosen- berg, Eiick. Kl. Erf., vol. 5, p. 174;

Facial neuralgia, Gross, Bonningh., Hrg., Eiick. Kl. Erf., vol. 1, p. 432 ; Schron, B.

J. H., vol. 11, p. 297 ; Hah. Mo., vol. 24, p. 254 ;

Small, U. S. M. and S. Jour., vol. 7, p. 158;

Greenleaf, A. H. O., vol. 10, p. 257 ; Payr, Hom.

Kl., 1869, p. 4; Stens, Hendrichs, A. H. Z., vol. 83, p. 136;

Hinks, Mass. Trans., vol. 4, p. 366 ; Berridge, Hom. Phys., vol. 9, p. 148 ;

Birdsall, Hom. Phys:, vol. 9, p. 190; Prosopalgia, Hirsch, A. H.

Z., vol. 95, p. 108; Heyberger, H. K., vol. 12, p. 126 ; Hughes, B.

J. H., vol. 22, p. 235 ; Smith, M. I., vol. 4, p. 267 ;

Toothache, Hirzel, Knorr, Hrg., Eiick. Kl. Erf., vol 1, p. 478 ; Kunkel, A.

H. Z., vol. 110, p. 29 ; Stens, A. H.

Z., vol. 83, p. 136; Stens, B. J. H., vol. 33, p. 318;

Morgan, H. W., vol. 12, p. 70; Neuralgia of tongue, Leboucher, Eiick. Kl.

Erf., vol. 1, p. 502; Stuttering speech, Hirsch, Eiick. Kl. Erf., vol 5, p. 18 ;

Gastric disorder, E. W., Eiick. Kl. Erf., vol. 5, p. 391 ;

Worm affections, Hartm., Maly, Eiick. Kl. Erf., vol. 1, p. 808 ; Rheumatic pain in chest, Lehmann, A.

J. H. M, M., vol. 3, p. 106 ; Palpitation of heart, A.

H, Z., vol. 94, p. 36 ; Angina pectoris, Jousset, A. H. Z., vol. 107, p. 127 ;

Kendall, B. J. H., vol. 26, p. 157 ; Pericar- ditis, Hansen, A.

H. Z., vol. 113, p. 4; Rheumatic pericarditis, Hansen, Horn. World, Feb., 1889;

Endocarditis, Weber, A. H. Z., vol. 85, p. 181 ; Rheumatic car- ditis, Wesselhceft, N.

E. M. G., vol. 1, p. 257 ; Carditis (probably peri or endo) 56 cases reported cured, Fleischmann, B.

J. H., vol. 14, p. 28 ; Insufficiency of mitral valve, Schneider, N. A.

J. H., vol. 22, p. 83 ; Cardiac disorder, Bethmann, Weber, Eiick. Kl.

Erf., vol. 3, p. 456 ; Use in aneurism, Nichol, N. E. M.

G., vol. 8, p. 106.

^ Mind. ■ Weak memory. I Disinclined to work. iRestless and anxious; solicitude about the future.

SPIGELIA. 438

■ Gloomy suicidal mood.

I Afraid of pointed things, pins, etc.

■ Easily irritated or offended.

^ Sensorium. i Vertigo: as if he would fall, < in morning on rising, with headache, depriving him of his senses ; when looking down or turning e3^es ; with nausea ; with heart disease. Vertigo while sitting, standing or walking (most tolerable while lying) ; head sinks backward with nausea at pal- ate and discomfort in abdomen and thorax ; in abdo- men a pinching pain, with a sensation as if he would be obliged to go to stool, whereupon he loses all conscious- ness. I I Stumbling and falling as if intoxicated ; pressing pain in top of head, < from stooping, walking and talking; > when lying; feeling of fainting. ^Hypertrophy of heart.

^ Inner Head. iNervous headache, < from thinking, from noise or jarring; face pale; anxious palpitation; nau- sea and vomiting.

■ Boring from within outward, in forehead, vertex or cere-

bellum.

■ Pulsating stitches in frontal protuberances.

■ Stitches in 1. side of head and out of 1. eye.

■ Pressing headache, mostly in r. temple; < from stoop-

ing, least motion or noise ; > at rest and h'ing with head high.

■ Headache beginning at cerebellum (in morning), spread-

ing over 1. side of head, causing violent and pulsating pain in 1. temple and over 1. eye, periodical.

■ Dull stitches from within outward, on top of head; <

from touch and after washing, but > while washing.

■ Feels as if head would burst.

■ Painfulness of cerebellum, with stiff neck.

■ Headache when stooping, as from a band around head. Sensation in brain as if head were tightly bound. Headache like a heaviness ; on drawing facial muscles it

seems as if skull would burst, upward and asunder.

Does not dare to shake head ; it hurts in brain and he be- comes dizzy.

Swashing in brain when walking; he feels every step.

Fine burning, tearing pain in brain ; violent pain in 1. pari- etal bone on motion or walking, or making a misstep ; toward evening.

Violent pressure and pressing outward in forehead ; < on stooping; < by pressure with hand.

Tensive, tearing pain in forehead, especially beneath frontal eminence extending toward orbits.

439 SPIGELIA.

Thrustlike tearing pain in forehead, < in r. frontal emi- nence, causes an involuntary fixing of eyes on object on which he is looking, while standing and sitting.

■ Very violent tearing in forehead, occiput and temple.

■ Shooting pain through forehead.

■ Sharp sticking just behind and above frontal eminence.

I Burning pain in r. side of forehead, extending to eye, could not move it without pain.

Burning paiij in 1. side of frontal bone.

Violent pressure from without inward, in both temples, especially in right.

Jerking tearing in r. zygoma.

Violent, fine stitches, as from electric sparks, in 1. temple.

Pressive drawing in r. side of vertex and occiput.

Pressive pain in r. side of head, involving r. eye, in morn- ing in bed, but still more after rising ; pain deeply seated, unaffected by pressure, very acute on motion ; on sud- denly turning head brain seemed to be loose; < from every jar, step or straining at stool.

Burrowing and tearing pain in occiput, in 1. side of ver- tex and in forehead, < on motion, from loud noise and when he speaks loudly or even on opening mouth slightly ; > when lying down.

Pain darting from behind forward through eyeball, caus- ing violent pulsating pain in 1. temple and over 1. eye.

Pulsating headache, miostly in r. temple; < from least motion or noise; > at rest and lying with head high.

Painfulness of cerebellum with stiff neck.

Headache every morning at sunrise, at its height at noon, gradually declines till sun sets, appearing even in cloudy weather.

■ When moving muscles of face, sensation as if skull would

burst.

■ Sensation as of a band around head.

■ Severe stitches in 1. temple.

I I Supraorbital neuralgia, especially on 1. side; pain recurs at regular intervals, tends to spread to face or neck and to involve eyes ; < from least concussion or motion, but especially by stooping ; pale face ; restlessness ; palpi- tation.

■ ■Neuralgia, pain centres in, above or below eye, from

cold, in damp rainy weather ; hypersesthesia of filaments

of fifth pair. I I Violent throbbing shooting pains over 1. eye; moderate

fever ; attack followed by general perspiration ; urine

dark but without sediment ; after confinement. I I Excruciating, burning, stitching pains, that seemed to

come from deep in head, affecting 1. eye, and seemed to

SPIGELIA. 440

follow supraorbital nerve of same side ; attacks every morning at 4 o'clock, growing < each succeeding morning ; at time of attack eye slightly congested with profuse acrid lachrymation ; nausea, vomiting and no thirst, tongue clean ; > by being bolstered up in bed. ^Suppressed intermittent.

I I Headache several times a week, begins soon after rising, generally lasts whole day; tearing, rooting up pain, < from motion, especially walking in open air, when every step is attended by a violent jerk in head, but especially severe when lying down ; > sitting still, or walking about room a long time ; head confused, often a feeling of emptiness, almost destroying power of thought; any concussion, even loud speaking, aggravates headache; feeling as if brain were shaking in skull on quickly moving head. ^Chlorosis.

I Migraine, affecting either supraorbital region during cold rainy weather ; severe throbbing or tearing stitching pains, with redness and lachrymation of eye of affected side ; attacks last twenty-four hours.

I I Severe uninterrupted twitching, tearing, at times saw- ing pains, as if nerves were being torn out by a fine in- strument, in r. side of forehead and temple, extending over eye and into malar bone ; r. eye inflamed, profuse lachrymation, sensation as if eye would be pushed out of head, photophobia ; burning heat in affected parts of face ; distension and violent pulsation of temporal arte- ries; coryza; disturbed sleep.

1 I Frequent headaches, sometimes on r., sometimes on 1. side, then in forehead, vertex or occiput, often spreading to face and shoulder ; throbbing, shooting, drawing, pressing; weak digestion and catarrh of stomach after eating fat food ; after catamenial period, attacks of pain in upper and lower jaw, tearing lightning-like twitches, with palpitation and fluttering of heart ; < from cold water, cold air, and chewing.

I Any quick movement converts the dull aching pains into acute stabbing.

I Headache < : from thinking ; by a bright light ; by noise ; by sneezing; by motion of eyes or facial muscles; by opening mouth ; by speaking aloud ; by cough ; from stooping ; shaking or jarring head ; making a misstep ; from least motion ; by touch ; by warmth.

■ Headache > : when lying with head high ; from pressure, and laying hand on it; from washing head with cold water ; while at rest. * Outer Head. I Shaking in brain, < when moving head or stepping hard.

441 SPIGELIA.

I Tension of scalp; feels sore externally and is sore to touch.

I Head feels as if too large. * Sight and Eyes. Illusion as if hairs or feathers were on lashes ; < on wiping them.

lAVeakness and dimness of vision; sparks before eyes.

Farsighted.

I Photophobia : oversensitive retina.

I Accommodative asthenopia with slight retinitis, neu- ralgia, antemia of optic nerve from excessive tea- drinking.

Sparks before eyes.

On shutting eyes a sea of fire appears.

Vanishing of sight ; all things appear as if through a mist ; dimness of lens.

I I Rheumatic cataract of 1. eye.

• Dilated pupils. ^Helminthiasis.

lEyes look dim and faint; upper lid hangs down as if paralyzed.

llSharp, stabbing, sticking pains through eyeball back into head, or radiating; < from moving eyes and at night.

■ Eyeballs feel too large.

Violent burrowing stitch in middle of eye and in inner canthus, does not prevent vision but presses upper lid downward.

■ Intolerable pressive pain in eyeball, < on turning eyes,

dizzy on attempting to move eyes, is obliged to turn

whole head to see. Pressive pain in eyeballs. Contractive burning pain in r. eyeball. Tensive pain in 1. eyeball. Constant sticking pain in r. eyeball. Itching stitch in r. eyeball, returns after rubbing.

■ Eyes hurt on motion, as if too large for their orbits. Pain as if sand were in eyes.

I I Shooting pain through r. eye going back into head, causing eye to fill with hot water.

■ Pains as if needles were thrust into r. eyeball.

■ Stabbing pains through eye and around it, often com-

mencing at one point and then seeming to radiate in every direction. ^Choroiditis.

■ Dry heat and burning in eyes ; is compelled to close them .

■ Excruciating pains as if eye would be pressed out of

socket. I I Eyeball sensitive to touch. ^Iritis.

■ Eyes < when thinking about them. I I Pain in eye < at night.

SPIGELIA. 442

Ej^es pain in open air.

1 1 Pain spreads from eye to frontal sinuses and head.

Eyeball painful when moved, feels tense.

1 1 Sensation as if eyes were too large for their orbits.

1 I Muscles of eyeball stiff on movement. ^Iritis.

I 1 Squinting ; convergent strabismus. ^Helminthiasis.

■ Severe neuralgic pains, particularly in rheumatic arthri-

tic inflammations, i lPter3''gium, from inner canthus of r. eye some distance over cornea, beginning after a severe pain two years ago; pain in 1. eye as if it would fly into pieces, < on stoop- ing and in morning, continuing till noon, then suddenly disappearing.

I Pains of glaucoma and sclero-choroiditis.

1 I Rheumatic iritis in 1. eye with excessive ciliary neural- gia, for three weeks ; much redness, deep ciliary injection and posterior synechias, with violent pain from 3 a.m.,^ for two or three hours, continuing more or less until 3 P.M. {Atropine was used externally and Sulphur in- ternally), the adhesions were torn and pain relieved the first night; on second night, although pupil was widely dilated, pain returned more severely than ever; pain as if eye were being pulled forward and backward, with numb pain through head, which woke him at 2 a.m., and continued the remainder of the night and all the fore- noon ; it seemed as if it would drive him crazy ; each attack of pain was accompanied by a chill.

Redness of conjunctiva ; vessels strongl}^ injected.

Inflammation of cornea.

I i Inflammation of 1. eye of four weeks' standing ; lachry- mation ; photophobia ; high degree of injection ; severe stitching pains in eye, and 1. temple ; sleeplessness.

■ Scrofulous conjunctivitis and keratitis, if accompanied by

sharp pains.

I Rheumatic ophthalmia, profuse lachrymation with or without pain ; ptosis.

iGonorrhoeal Ophthalmia, nocturnal pains in eye ex- tremely severe and extend to bones of cavity of eye.

Bluish ring around cornea ; iris discolored.

I I Ten years ago was struck over 1. eye with a brick, leav- ing a large scar and considerable depression over supra- orbital nerve ; at irregular intervals extreme pain over site of wound, at times so severe that he feared he would lose his mind ; pain came about 10 a.m. and reached its height about 3 p.m., sharp and cutting, extending over temple and forehead, with profuse flow of water from eyes; > in a dark room, when quiet, and almost entirely relieved at night.

443 SPIGELIA.

I Upper lids feel hard and immovable.

I Lids inflamed and ulcerated.

I Great inclination to wink.

I Lids lax and paralyzed, they hang low down and must be raised.

iLachrymation ; tears acrid.

a Pricking in lids.

Agglutination of eyelids by a viscous gum.

I I Everted eyelids. ^Hearing and Ears. lOv^ersensitive hearing, in neuralgia and headache.

1 I Sensation of distant ringing in both ears, with a sensa- tion as if ear were loosely stopped or a thick mist were in front of it.

I Periodical deafness ; ears feel as if stuffed.

I Otalgia, pressing pain as from a plug.

« Neuralgia of ear, sudden stitch extending to eye, zygoma, jaw, teeth, throat.

■ Pinching, drawing, itching pain in external ear; loud

noises painful, when speaking the sound of one's voice

resounds like a bell through brain. I I Itching in r. concha. ^ Smell and Nose, l Tickling and itching in nose.

I 1 Tickling on back of nose, as if lightly touched by hairs,

or as if a gentle wind were blowing across it, lasting a

long time. I I Smarting in nose. ^Helminthiasis. I I Violent nosebleed. ^Endocarditis. iCoryza: fluent or dry; with dry heat, no thirst; eyes

water ; headache, with hoarseness ; anxiety about heart ;

discharge so profuse that it causes coughing and suffo- cating fits as soon as patient lies down. Stoppage of anterior part of nose, with profuse discharge

of mucus through posterior nares. I I Flow of water from nose. ^Prosopalgia. I I Discharge of large quantities of mucus through choanse,

nose being dry. ^Nasal catarrh. I I Mucus from choanse tastes and smells badly. ^Nasal

catarrh.

■ Copious offensive mucus flows through posterior nares,

causing choking at night.

■ Chronic nasal catarrh.

■ Herpetic eruption on nose.

^ Upper Face. ■Face: bloated, distorted, < morning on awaking ; pale, sickly ; yellow around eyes ; red ; sweaty ; anxious, in rheumatism.

■ ■Prosopalgia: mostly 1. sided, with tearing, shooting,

burning into eye, malar bone and teeth ; periodical ;

SPIGELIA. 444

from morning till sunset, < at noon; < from motion or noise ; with lachr3aiiation, ciliary neuralgia, palpita- tion ; cheek dark red.

• Neuralgia affecting infraorbital and maxillary branches of fifth pair of nerves.

■ Periodical faceache; pains burning and tensive, espe- cially in cheek bones, above eyebrows, in 1. side, spreads out over face ; frequent nosebleed ; red face.

I I For fourteen days neuralgia, comes on between 11.15 and 11.30 p.m., about fifteen or twenty minutes after lying down in bed ; beginning in 1. malar bone, extend- ing down face sometimes to neck and only on 1. side ; pain shooting downward, with burning and throbbing, parts feel swollen ; continues till about 3.15 or 3.30 a.m., when she gets to sleep; < lying, > directly she stands up ; > by hard pressure, and either cold or warm ap- plications ; during day 1. side of face feels as if it had been scorched, no actual pain, only a throbbing ; pain

> after eating.

I I A heavy cold in head developed into severe neuralgia of 1. side of head and face, involving eye ; pains seemed to start from 1. occipital region and extend forward, sharp and tearing, especially in and around eye ; much lachrymation, constant nausea and occasional vomiting of bile; least noise, even talking, < pain; light is intolerable.

I I Feeling as if all muscles of 1. side of face from forehead to neck and 1. axilla were pierced with red-hot needles ; muscles of cheek and around eye spasmodically affected, muscles of eye contracted, making eye look smaller; dreadful banging, throbbing, burning, tearing pains ;

> when lying quietly on her face ; < from coffee ; after the pains affected side of face almost paralyzed ; very weak, inclined to weeping; pain preceded by violent beating of heart ; attacks renewed by eating.

I I Stinging, darting pains on 1. half of face, commencing under 1. eye, going downward to cheek bone, where they were severest, and toward 1. side of nose and farther, radiating not so painful down to teeth of upper jaw ;

> from heat.

I I Facial neuralgia, 1. side ; zygomatic region and eyelids slightly reddened and swollen ; conjunctiva injected, slight dacryorrhoea ; pain commences near infraorbital foramen and extends into eye, temple, ear, nose and teeth, jerking and tearing; increased flow of saliva and increased temperature of parts, which are very sensitive to touch ; usually commences in afternoon, rages until midnight, drives out of bed, and remits toward morn-

445 SPIGELIA.

ing, when patient falls asleep from sheer exhaustion ; during spell acceleration of pulse; prsecordial anxiety; palpitation and great nervous agitation, with trembling of limbs ; at first pain > by application of water, later this could not be borne; < in open, damp cold air; from lying upon affected side, and chewing; > from rest and wrapping up head.

I I Facial neuralgia of r. side ; pain distributed about and within r. orbit, darted through from frontal to occipital region (> by Oimicif., cured by Spigel.).

I I Facial neuralgia, 1. side, suddenly coming and suddenly going, with palpitation of heart and sleeplessness.

1 I Facial neuralgia, r. side ; pain began in lower jaw, ex- tending upward to ear and temple ; hot feeling around eye ; teeth feel too long ; pain occurs whenever she lies down. /^Prosopalgia.

I I Severe tearing, burning pain shooting from 1. side of forehead to temple, especially in-1. supraorbital ridge with ptosis of 1. upper lid.

■ Prosopalgia from drinking tea.

I When moving muscles of face sensation as if skull would

burst. Stitches from upper maxilla to vertex. Burning or tearing pressive pains in 1. zygomatic region,

leaving a dull sensation of swelling.

■ Facial pains : < from stooping, slightest motion, concus-

sion, noise and during stool. Sweat on face. ^ Lower Face. Lips dry, pale, cracked.

Burning tension in upper lip during rest.

Burning in r. side of upper lip even on touch.

Tearing in lower jaw extending to ear and about it, as far

as into nape of neck, so that he could not move head

without pain. Pain as if r. side of lower jaw would be torn out of its

joint.

■ Neuralgia radiating to nose, face, temples and neck.

'^ Teeth and Gums. Painful jerks in nerve of a hollow tooth ; tobacco smoke seemed to relieve.

■ Toothache: throbbing, tearing in decayed teeth; press-

ing outward, teeth feel cold; > while eating and lying down ; < after eating, from cold air and water, from stooping, at night, driving out of bed; from tobacco smoking. I I Burning, twitching pains in carious teeth; they feel loose and too long; cold sensation when touched; pain < from pressure and stooping, extending into neck and toward r. ear and temple, so that she could not locate the pain ; had hot, pale face, feet cold.

SPIGELIA. 446

I I Sudden twitching pain in several teeth, r side, > from warmth of bed, < from shghtest draft of air; > sitting quiet with eyes closed.

I 1 Toothache, r. side ; free from pain all day, but when laying head upon pillow at night pain comes on, must sit up or walk about, pain then leaves but returns when she places head upon pillow.

■ Throbbing toothache attended by a rending, burning pain in malar bone, paleness and swelling of face, with yellow rings under eyes ; pain in eyes, frequent urging to urinate, with copious discharges, palpitation of heart, a sensation in chest resembling purring of a cat, chilli- ness and great uneasiness.

Digging pain in carious teeth.

iToothache returns when thinking about' it. " Taste and Tongue. Taste foul like putrid water.

Stammering, with abdominal ailments.

I I Repeats first syllable of a word three or four times. ^Hel-

minthiasis.

I I Tongue: coated yellow or white; burning, with blis- ters ; cracked.

Fine stitches in r. side of tongue.

I I Stitches in r. side of tongue, < from least motion of tongue; formication in tongue extending into head; pain prevents her turning head to r. side ; swelling be- low chin as large as a hazelnut, < mornings. ^Neu- ralgia of tongue. " Inner Mouth. Breath fetid, putrid.

Mouth dry on awaking mornings, with stinging.

Mouth feels dry and pricks as from pins, yet filled with tenacious and nauseous saliva.

White or yellow mucus in mouth and throat.

I I Much spitting of frothy saliva, or slimy mucus. ^Rheu- matic dyspepsia. i3 Throat. Sensation as of a worm rising in throat, > after eating. ^Helminthiasis.

Tingling in oesophagus.

Sensation as if a half-fluid body were ascending in throat.

I I Neuralgic affection of pharynx. ^Sclerotitis.

I I Phlegm from choanse drops down into throat.

^* Appetite, Thirst. Desires, Aversions. Ravenous hun- ger, with nausea and thirst. Loss of appetite, with violent thirst. Desire for alcoholic drinks. ^^ Eating and Drinking. Better during, and generally after

eating, excepting toothache. ^*^ Hiccough, Belching, Nausea and Vomiting, i Nausea: before breakfast, with sensation of a worm rising in throat ; > after eating ; sickly, pale face.

447 SPIGELIA.

Vomits food, with sour rising like vinegar. ^" Scrobiculum and Stomach, i Pit of stomach sensitive to

touch. Dull stitches in pit of stomach and oppression of chest <

on inspiration. I Pressure on stomach as from a hard lump.

■ Neuralgic pains in stomach.

I I Acrid, sour regurgitation after eating, followed by vom- iting of food taken ; constant severe pressing, corrosive pain in stomach ; pressure in head and vertigo ; stom- ach not sensitive to pressure ; four years ago discharged a segment of tapeworm. ^^ Hypochondria. Stitches in region of diaphragm, 1. side, arresting breathing.

Heavy pressure in prsecordial region, causing constriction and anxiety ; with cutting and griping in bowels as from wind. '^ Abdomen, i Cutting colic at navel.

Pressure in umbilical region, as from a hard lump.

Stitches in abdomen.

Painful pressure in lower abdomen, as if it would burst, especially in evening before a soft stool, after which it was somewhat ]-elieved.

Griping in abdomen as if all the intestines would be constricted, caused great anxiet}^ and made respiration difficult.

Sharp stitches, like spleen stitches, in abdomen in region of OS innominatum, only when walking, and disappear- ing after thirty or forty steps.

Lancinating pain in abdomen, with falling back of head and loss of senses.

I I Pinching and cutting pain in abdomen.

I Intestinal irritation. ^Strabismus. ^Helminthiasis.

Noisy, sometimes painful borborygmus.

■ Swelling of abdomen. Tension in groin.

I Hernia inguinalis. "" Stool and Rectum. Emission of fetid flatus.

I Stools: of mucus, with tenesmus; large lumps of mucus, without feces; of feces, with masses of worms ; hard, like sheep's dung, and enveloped in mucus ; thin, mushy.

Frequent inefficient urging to stool.

Iltching and tickling in anus and rectum ; ascarides and lumbricoides.

Itching in anus and on coccyx.

llPIelminthiasis : dilated pupils; strabismus; putrid smell from mouth, itching of nose, griping pain in belly; throat inflamed, swallows often, pale redness in throat and swelling of mucous membrane; palpitation.

SPIGELIA. 448

Boring stitch in perineum.

Urinary Organs, i Diabetes insipidus.

I Urine: copious; with frequent urging, mostl}^ at night;

drips involuntarily, with burning in orifice of urethra ;

whitish sediment ; water}^, frequent, nervous.

"^ Male Sexual Organs. Erections with voluptuous fancies,

but without sexual desire.

Itching stitch in r. testicle and penis, from behind

forward. I I Prostatic fluid presses out of urethra. Swelling of one-half of corona glandis. Tingling around corona glandis. 2* Pregnancy. Parturition. Lactation. Stitches under either nipple.

I I Puerperal peritonitis.

^' Voice and Larynx. Trachea and Bronchia. Chronic hoarseness. Catarrh with hoarseness ; continuous coryza ; dry heat without thirst ; protruded eyes ; violent headache ; lachrymation. Tickling in windpipe.

■ Influenza accompanied by facial neuralgia. ^"Respiration. iShort breath, < when talking, with red cheeks and lips.

I I Dyspnoea and suffocating attacks when moving in bed or raising arms ; must lie on r. side or with head high. ^Heart disease. ^Hydrothorax.

I ! Hardly speaks or takes a deep breath for fear of aggra- vating the pain. ^Cardiac rheumatism or neuralgia.

I Oppression of chest with palpitation when walking fast or from other bodily exertion. ^Insufficiency of valves.

I Suffocating spell from least motion. ^Carditis. "'^ Cough. I Cough: at night, with catarrh; dry, hard; with worm affections ; with dyspnoea, < when bending forward ; suffocating, as if from a quantity of water flowing into windpipe; dry, violent, hollow, from an irritation in trachea.

I Catarrh of air passages with fever, hot skin, but no thirst or sweat. ^^ Inner Chest and Lungs, i Constriction in chest, with anxiety and difficult breathing.

Violent pressure upon chest beneath 1. clavicle, and on middle of chest.

Cutting constriction in chest, with anxiety.

Dull stitches in r. side of chest, only during inspiration.

> I Stitches in chest, < from least movement or when breathing.

Violent stitch in 1. side, just beneath heart.

449 SPIGELIA.

Dull sticking at point where beat of heart is felt. Recurrent dull stitches, rhythmical with pulse, at point

where impulse of heart is felt or rather more externally. I Sensation of tearing in chest. Tearing boring pain, extending from within outward,

beneath r. nipple, pain always extends to sternum and

becomes a sharp pressive tearing pain. Dull sticking pinching pain beneath r. nipple, in thorax,

from within outward, violent only on inspiration. I I Stitching needlelike pains in chest. I I Cutting piercing pain through 1. chest, near sternum to

back; heart not beating, but an uninterrupted rush

of blood through it; pulse not beating, but appeared

to finger like a thread quickly pulled through artery ;

hands icy cold with cold sweat; great anguish expressed

in face. ^Cardiac rheumatism. iTrembling feeling in chest on moving arms, or from any

movement.

I Can lie only on r. side, with head high. ^Hydrothorax.

I I Rheumatic troubles, especially in 1. side of chest.

^^ Heart, Pulse and Circulation, n Stitches about heart: synchronous with pulse ; with anxiety and oppression ; with commencing valvular disease, endocarditis, etc. ; can only lie on r. side, or with head very high, least motion aggravates. I Stitches in heart, and violent throbbing motion of heart

may be seen through clothing. 1 I Drawing sensation in region of heart. Aneurism. _ I Violent stitch in 1. side, just under heart, returns period- ically.

I Stitches between heart and epigastrium.

• Feeling as if heart were compressed or squeezed with a hand.

iPurring feeling over heart; wavelike motion, not syn- chronous with pulse.

I I Palpitation : violent, < bending forward; high fever; when he sits down, after rising in morning ; from deep inspiration or holding breath ; from worms; from least motion ; with anxious oppression of chest.

I I Violent palpitation of heart and frequent attacks of fainting; blowing murmur with first sound of heart. 6'Chlorosis.

I Waving palpitation, not synchronous with pulse; purr- ing feeling over heart; trembling of carotids. ^

I I In morning, as soon as he sat down, after rising from bed, heart began to beat violently, with great oppression and cutting pains in lower abdomen as from incarcerated flatulence.

VOL. IX.— 29.

SPIGELIA. 450

■ Unusually violent palpitation, could hear pulsation, and beats could be seen through clothes.

I Tremulous action of heart in nervous and hysterical disorders.

I I Sudden severe pain in 1. side of chest, about region of heart, so violent it " almost knocks her down ; " it then passes rapidly around body, from 1. to r., seemingly on inside to scrobiculum cordis, where it remains about twelve hours; pain spasmodic, often induces vomiting; attacks every four weeks, but with no distinct regularity, for fifteen years. ^Angina pectoris.

I I Severe pains in all the limbs; hands stiff, cannot move them, particularly fingers ; pressing cutting pain in abdomen, beneath floating ribs ; terrible palpitation; audible beating of heart, causing pains in back ; period- ical cutting pains extending to shoulders, head and arms ; constriction of chest ; great dyspnoea, cannot get enough air, with great oppression of chest and anxious face ; extreme emaciation ; must be careful while eating lest pain be < to an intolerable degree. ^Arthritic rheumatism.

I I Attacks of cramplike, grinding pain across chest ; body convulsed ; face pale ; dyspnoea, nausea, anxiety and faintness accompanied attack, which lasted uninter- ruptedly for half an hour ; rapid and strong beating of heart ; bellows' sound during diastole, and friction sound during systole ; < by slightest motion ; pulse very feeble ; extremely sensitive to cold. ^Rheumatic carditis.

I I Severe stitching pains in cardiac region ; violent palpi- >tation, perceptible to eye ; dyspnoea on moving in bed ; -oppression of chest; anxiety; slight cyanosis of upper lip ; heartbeat weak ; increased area of dulness on per- cussion ; friction sounds ; pulse weak, 120 ; had swelling of joints of r. thumb, knee, foot and elbow ; dark brown sediment in urine ; loss of appetite ; sleeplessness. ^Pericarditis.

5l I Acute pericarditis with anxiety and weight in prae- cordia.

tl Neurotic form of suffocative breast pang with cardiac hyperthophy.

il I ^Hlndocarditis with insufficiency of mitral valve, after ;acute articular rheumatism, in a girl set. 14; purring over region of heart, noise with first tick ; throbbing of carotids and subclavian ; violent nosebleed.

1 I Strong systolic blowing sound at apex of 1. ventricle. ^Insufficiency of mitral valves.

) 1 Constant pressing, burning and ulcerative pain in

451 SPIGELIA.

thorax; dyspnoea, with fear of suffocation on motion, so that she is afraid to get out of bed; tremulous sensation in chest and in temples, < from least motion of arms, particularly when raising them toward head, when there is a sensation as of something tearing in chest, with great dyspnoea and anxiety ; flushing with sweat on face on touching epigastrium, she cannot bear pressure of clothing ; at times cramping sensation, be- ginning in abdomen and extending into chest, causing dyspnoea ; at times violent palpitation with sensation as if heart were being crushed, or with stitches and trem- bling sensation ; at other times as if everything in chest were too short, loose and wabbling about; is very careful when moving and is filled with anxiety on seeing any one move quickly ; frequent wabbling sensa- tion in abdomen ; head rests upon chest when lying and sitting, if she raises it she becomes anxious, feels as if something were tearing in chest and is seized with nervous spasmodic respiration, with violent and con- vulsive efforts at distension of chest, face becomes bluish- red and heart beats tumultuously, also violent pulsation in all the arteries ; pulse 80 when lying, 93 sitting, and not synchronous with beat of heart ; heartbeat weak, indistinct, one running into the other ; change from systole to diastole indicated rather by a wavelike motion than by any distinct sound or impulse.

i I Systolic blowing at apex.

1 1 Rheumatic affections of heart.

I Pulse : irregular ; strong, but slow ; trembling ; weak and irregular, at one time rapid, at another slow; quicker than beating of heart; like a thread quickly pulled through artery ; intermitting, every other beat drops out.

I I Aneurism ; a girl set. 15, light complexion ; a few itch- ing pustules on forehead and chin ; for two years, visible and felt by hand, a throbbing lump in second intercostal space; feels lump when stretching either arm back- ward ; from stooping or lifting throbbing in chest, with vertigo; drawing in region of heart; stethescope over tumor reveals continuous rushing sound, more marked during heart's systole ; first sound somewhat confused ; second sound usually prolonged, and of increased in- tensity ; a murmur upward from each side of sternum ; frightened when examined; headache like band around head when stooping ; nausea {Spigel. cured, assisted by Carb. veg. and later Bryon.). ^^ Outer Chest. I Violent shootings in walls of chest, mostly on 1., under clavicle or on a line with heart.

SPIGELIA. 452

I Painful contraction of muscles of chest. '^ Neck and Back, i Rheumatism of nape of neck with pain- ful numbness; < lying on back.

Stitches in back ; also when breathing.

Bruised feeling in spine, even during rest.

I Throbbing of carotids and subclavian. ^Endocarditis. '^ Upper Limbs. iTrembling of arms.

iStitches in bends of elbows and joints of hands and fingers.

Twitching in muscles of 1. forearm just above wrist, only during rest.

Pressive pain above r. wrist, during rest.

Painful drawing on first joint of thumb where it unites with the metacarpal bone.

Tearing pain in phalanges of r. thumb.

Burning itching in palms.

I I. Hands ic}^ cold with cold sweat. ^Rheumatism.

I Cold viscous sweat in hands.

Subcutaneous tubercles in palms of hands.

Hard, burning itching nodosities in hands.

Contraction of flexor of fingers. *' Lower Limbs. Drawing tearing in r. thigh, while sitting.

Persistent tensive stitch in 1. thigh, while walking, ceases on standing, returns on sitting.

Persistent itching stitch in 1. thigh.

Tearing pain, like a sprain, in 1. knee, only when walk- ing, at times he limped because he could not bend knee as usual.

Stitching in calves, with jerking and pulsating, in both patellae, if knees are held stiffly stretched out.

Stitches in joints of legs and feet, and in thigh.

Pulling in legs from below upward, with heat, or from above downward with coldness of feet.

Contusive pain in knee.

Sprain of foot (after Arnica).

Burning pain in instep, without redness.

Deep-seated and lancinating pain in sole of foot when resting body upon it.

Wartlike excrescences on toes. '* Limbs in General. Constant restlessness during night.

Pressive, pulling or cutting pain in limbs, running lengthwise.

Stinging pain in limbs, principally in joints.

Trembling of limbs, lassitude and heaviness.

iStinging pain in limbs.

■ Stinging or stitching in joints.

Tearing pains in limbs, with great weakness of body; tearing in joints ; rheumatism.

453 SPIGELIA.

Acute inflammatory rheumatism ; very sensitive to cold air and to touch ; slightest jar or knock causes intense pain.

■ Twitching of limbs. ^Fracture of bones.

Hard nodosities on hands and toes. "Rest. Position. Motion. Rest: headache > ; facial neu- ralgia > ; burning tension of upper lip ; bruised feel- ing in spine; twitching in muscles of forearm; pressive pain above r. wrist.

Lying: vertigo > ; pressing pain in head >; headache very severe ; causes suffocating fits ; neuralgia in face < ; on face, pains > ; upon affected side facial neural- gia <; toothache >; head rests upon chest; pulse 80.

Lying on back : rlieumatism of nape of neck <.

Laying head upon pillow at night: toothache comes on.

Lying with head high: pressing headache >.

Bolstered up in bed: suppressed intermittent >.

Must lie on r. side or with head high : heart disease; hydro- thorax.

Sitting: vertigo; pain in forehead; headache > ; toothache > ; palpitation ; head rests upon chest ; pulse 93 ; tear- ing in thigh ; stitch in thigh returns.

Standing: vertigo; pain in forehead ; facial neuralgia <; stitch in thigh ceases.

Must sit up or walk about: toothache.

Knees stiffl}^ stretched out: stitches in calves.

Rising: vertigo < ; headache < ; from a seat, body feels sore and heavy.

Bending forward : cough <;. palpitation <.

Stooping : pressing pain in head < ; headache as of a band; neuralgia <; pterygium <; toothache <; throb- bing in chest.

Raising arms toward head : sensation of something tear- ing in chest.

Stretching arms backward: feels lump in intercostal space.

Motion: of eyes < vertigo; pressing headache <; vio- lent pain in parietal bone ; headache very acute ; neuralgia < ; rooting pain in head < ; quick, as if brain were shaking in skull ; quick, converts dull pain into acute ; shaking in brain < ; of eyes < pains ; of eyes, dizzy; eyeball stiff; prosopalgia <; of muscles of face sensation as if skull would burst; of tongue pain < ; in bed suffocating attacks ; least, suffocating spells; stitches in chest < ; of arms, trembling feeling in chest; palpitation; pain in chest <; in bed, dysp- noea; fear of suffocation; of arms, trembling sensation in chest and temples < ; least, chill.

Very careful when moving.

SPIGELIA. 454

Opening mouth : headache <.

Exertion : oppression and palpitation.

Walking: vertigo; pressing pain in head <; swashing in brain ; pain in parietal bone ; in open air, headache < ; about room a long time, headache > ; sharp stitches in abdomen disappeared after thirty or forty steps ; fast, oppression of chest and palpitation ; stitches in thigh ; pain in knee; sensation of lightness in body; after, weakness.

Making misstep: violent pain in parietal bone.

Every step attended by violent jerks in head.

Resting body upon foot : pain in sole.

Lifting: throbbing in chest. ^* Nerves. Exaltation of special senses.

Great agitation of nerves.

Restlessness ; cannot keep limbs still at night.

Body painfully sensitive to touch, it sends a shudder through whole frame; part touched feels chilly; tin- gling through body ; if he knocks against any part there is a sudden painful crawling through whole body to head.

Body feels heavy and sore when rising from a seat.

Sensation of lightness in body when w^alking.

Weakness : in morning on waking ; after walking.

Sense of weariness all over, with sensation of or real cold- ness of body. ^^ Sleep. Sleepy by day, even mornings ; goes to sleep late.

Sleep restless, unrefreshing.

Confused dreams, in which he seemed so busy that he felt weary in morning; could either indistinctly, or not at all, remember his dream, '^Time. • Morning: vertigo <; headache beginning; ptery- gium < ; face bloated < ; neuralgia of tongue < ; mouth dry on waking ; palpitation ; weakness ; sleepy ; feels w^eary after dreaming.

Day : side of face as if it had been scorched ; free from toothache ; sleepy.

Noon : headache at height ; headache suddenly disappears; prosopalgia <.

Afternoon : neuralgia commences, raging until midnight.

Toward evening : violent pain in parietal bone.

Evening: painful pressure in abdomen.

Night: pains through eyeballs <; choking; toothache commences ; frequent urging ; cough ; constant restless- ness ; heat in flushes ; sweat. ^^Temperature and Weather. Heat: pains in face >.

Warmth: headache <; toothache >.

Warm applications : > neuralgia.

455 SPIGELIA.

Wrapping head up : facial neuralgia.

Open air: walking, headache < ; eyes pain.

Slightest draft of air : toothache <.

Damp, rainy weather : neuralgia ; migraine affecting supraorbital region; facial neuralgia <.

Water : applied in facial neuralgia > at first, afterward could not be borne.

Washing: stitches in head < ; during, stitches >.

Cold water : pain in jaws < ; head >.

Cold: neuralgia; air, < pain in jaws; applications > neuralgia; air, facial neuralgia <; rheumatic carditis, extremely sensitive. *° Fever. Chill: often recurs at same hour each morning; alternating with heat or sweat, on some parts, others being hot; from least movement; spreads from chest.

I Heat: especially in back; flushes, at night, with thirst for beer ; on face and hands, with chill in back ; with desire to uncover.

I Sweat: chiefly on upper part of body ; night sweats ; offen- sive smelling, with heat at same time; clammy, on hands; cold. *^ Attacks, Periodicity. Alternate: chill and heat or sweat.

Periodical : pain in head ; supraorbital neuralgia ; deaf- ness ; prosopalgia ; cutting pains to shoulders, head and arms.

3 A.M. for two or three hours : violent pain in eyes, con- tinuing until 3 P.M.

From 10 a.m. to 3 p.m. pain increases.

Every morning : at sunrise, headache ; attacks of excru- ciating pain in head at 4 o'clock; each succeeding morning attack < ; chill at same hour.

From morning until sunset : prosopalgia.

Sunset : headache declines.

For half an hour : attacks of pain in chest.

For twelve hours: pain in scrobiculum.

For twenty-four hours : migraine.

For fourteen days: neuralgia comes on between 11.15 and 11.30 P.M., about fifteen minutes after lying down in bed.

Several times a week : headache.

For three weeks: rheumatic iritis.

For four weeks : inflammation of eye.

For four weeks : attacks of angina pectoris for fifteen years.

For two years : a throbbing lump in second intercostal space.

Ten years ago : struck over eye with a brick, extreme pain at irregular intervals. "Locality and Direction. Right : pressing pain in temple ; tearing in frontal eminence; jerking tearing in zygoma;

SPIGELIA. 456

pressive drawing in side of vertex and occiput; cutting pain in forehead and temple, extending over eye; eye inflamed; contractive burning pain in eyeball; stick- ing pain in eyeball ; itching stitch in eyeball ; shooting pain through eye; as if needles were thrust into eye- ball; itching in concha; facial neuralgia; burning in side of upper lip ; pain as if side of lower jaw would be torn out of its joint ; pain from teeth into temple and ear ; pain in teeth ; stitches in side of tongue ; cannot turn head to side on account of pain ; itching stitch in testicle; dull stitches in side of chest; tearing boring pain beneath nipple ; pinching pain beneath nipple ; swelling of joints of thumb, knee, foot and elbow ; press- ive pain above wrist; tearing pain in phalanges of thumb ; tearing in thigh.

Left : stitches in head and out of eye ; headache spreading to side of head, temple and eye ; violent pain in parietal bone ; burning pain in side of frontal bone ; violent stitches in temple ; burrowing pain in vertex and fore- head ; violent pulsating pain in temple and over eye ; neuralgia ; violent throbbing shooting over eye ; ex- cruciating pain from deep in head affecting eye ; cataract of eye ; tensive pain in eyeball ; rheumatic iritis ; pro- sopalgia < ; neuralgia, beginning in malar bone ; side of face as if it had been scorched ; as if muscles of side of face from forehead to neck and axilla were pierced with red-hot needles ; stinging darting in half of face; facial neuralgia coming and going suddenly ; tearing, shooting from side of forehead to temple < in supraorbital ridge,

■ with ptosis of upper lid; tearing pain in zygomatic region ; stitches in region of diaphragm ; pressure upon chest beneath clavicle ; violent stitch just beneath heart ; piercing pain through chest; rheumatic troubles < on side of chest; severe pain in side of chest; systolic blowing sound at apex of ventricle.

Shooting in walls of chest, under clavicle or on a line with heart; twitching in muscles of forearm; stitch in thigh ; itching stitch in thigh ; tearing pain in knee.

From 1. to r.: pain passes around body.

From within outward: boring in head; dull stitches on top of head ; tearing, boring pain beneath nipple ; pinching pain beneath nipple.

From without inward : pressure in temples.

From behind forward : pain through eyeball ; stitch in testicle and penis.

From below upward : pulling in legs. "Sensations. As if he would fall ; as if he would be obliged to go to stool ; as if intoxicated ; as if head would burst ;

457 SPIGELIA.

as of a band around head ; as if head were tightly bound ; as of electric sparks in temples ; brain seemed to be loose ; as if brain were shaking in skull ; as if nerves were being cut by a fine instrument in forehead and temple ; as if eye would be pushed out of head ; head as if too large; as if hairs or feathers were on lashes ; upper lids hang as if paralyzed ; eyeballs as if too large ; as if sand were in eyes ; as if needles were thrust into eyeball ; as if eye w^ould be pressed out of socket ; as if eye would fly into pieces ; as if eye were being pulled forward and backward ; pain in eye as if it would drive him crazy ; as if ear were loosely stopped or a thick mist were in front of it ; ears as if stuffed ; as if back of nose were lightly touched by hairs, or as if a gentle wind were blowing across it; face feels as if it had been scorched ; as if all muscles of 1. side of face from head to neck and 1. axilla were pierced with red-hot needles ; teeth as if too long ; as if 1. side of lower jaw would be torn out off its joint; sensation resembling purring of cat; as of a worm rising in throat ; as if a half fluid body were ascend- ing in throat ; as of a hard lump in stomach ; as if abdo- men would burst ; as if all the intestines would be con- stricted ; suffocating as if from a quantity of water flow- ing into windpipe ; pulse as if a thread pulled through arteries; as if heart were compressed or squeezed with a hand ; as if heart were being crushed ; as if everything in chest w^ere too short, loose and wabbling about; as if something were tearing in chest.

Pain : at cerebellum ; in upper and lower jaw.

Excruciating pains : in eye.

Extreme pain : over eye.

Molent pain : in 1. parietal bone.

Sudden severe pain : in 1. side of chest ; about region of heart.

Severe pains : in all the limbs.

Excruciating, burning, stitching pains : from deep in head to eye.

Dreadful banging, throbbing, burning, tearing pains : in face and neck.

Sharp, stabbing, sticking pains : through eyeball back into head.

Stabbing pain : through eye.

Lancinating pain: in abdomen ; in sole of foot.

Violent throbbing, shooting pains : over 1. eye.

Cutting, piercing pain : through 1. chest, near sternum to back.

Cutting : in bowels ; at navel ; in abdomen ; extending to shoulders, head and arms.

SPIGELIA. 458

Pressing cutting pain : in abdomen.

Shooting pain : through forehead.

Shooting pain : through e3'e, back into head ; in walls of

Violent burrowing stitch : in middle of eye and in inner

of head; in 1. temple; from upper maxilla to vertex;

in region of diaphragm ; in abdomen ; under either

nipple ; in chest ; about heart ; in heart ; between heart

and epigastrium ; in back ; in bends of elbows and

joints of fingers and hands ; in joints of legs and feet and

heartbeat is felt. A violent jerk: in head.

Very violent tearing : in occiput, forehead and temple. Tearing pains : in occiput, in vertex and in forehead ; in

lower jaw to ear and nape of neck ; in chest ; in

459 SPIGELIA.

Drawing, tearing : in r. thigh.

Rending, burning pain : in malar bone.

Digging pain : in carious teeth.

Burrowing pain : in occiput.

Pinching pain : in abdomen.

Griping : in bowels.

Cramplike grinding pain : across chest.

Boring: in forehead, vertex, cerebellum.

Pinching, drawing, itching pain : in external ear.

Pulsating pain: in 1. temple, and over 1. eye.

Neuralgic pain : in and about eye ; in face ; radiating to- nose, face, temple and neck.

Cutting constriction : in chest.

Constant pressing burning and ulcerative pain : in thorax.

Contractive, burning pain : in r. eyeball.

Burning pain : in r. side of forehead to eyes ; in 1. side of frontal bone ; in face ; in instep.

Pressive, corrosve pain: in stomach.

Contusive pain : in knee.

Sharp sticking : just behind and above frontal eminence.

Constant sticking pain : in r. eyeball.

Dull sticking : at point where beat of heart is felt ; beneath r. nipple ; in thorax.

Rheumatic pain : at nape of neck.

Tensive pain : in 1. eyeball ; in face.

Intolerable pressive pain : in eyeball.

Pressing pain : in top of head ; in r. temple ; in r. side of head and eye ; in eyeballs ; in ears ; above r. wrist.

Numb pain : through head.

Stinging : in mouth ; in limbs.

Smarting: in nose.

Burning : in r. side of upper lip ; in orifice of urethra.

Burning tension : in upper lip.

Burning itching : in palms.

Soreness : of body.

Painfulness : of cerebellum.

Bruised feeling : in spine.

Soreness : of scalp.

Painful numbness : of nape of neck.

Cramping sensation : from abdomen into chest.

Violent pressure : in forehead ; in both temples.

Painful drawing : on first joint of thumb.

Pressive drawing : in r. side of vertex and occiput.

Drawing sensation : in region of heart.

Jerking : in both patellae. • Pulling: in legs.

Throbbing : in face ; in teeth ; in lump in second inter- costal space ; in chest ; of carotids and subclavian.

SPIGELIA. 460

Pulsating: in both patellae.

Heat: in back; on lace, and hands.

Dry heat and burning : in eyes.

Tingling: in oesophagus; through body.

Tension : of scalp ; of groin.

Pressure: in stomach; in head ; in prsecordial region; in

in windpipe. Pricking : in lids.

in head < ; headache <; scalp sore; eyeball sensitive;

face during neuralgia sensitive; burning in upper lip ;

cold sensation in teeth ; pit of stomach sensitive ; on

epigastrium, flushing with sweat on face ; acute inflam- matory rheuriiatism ; sends a shudder through whole

> by hard ; toothache < ; stomach not sensitive ; of

crawling through whole body to head.

461 SPIGELIA.

1 1 Worse from every shaking, commotion, or concussion.

Adapted to ansemic, debilitated subjects, of rheumatic dia- thesis ; scrofulous children afflicted with ascarides and lumbrici.

Boy, set. 5; stuttering speech.

Boy, set. 10, three years ago had an attack of rheumatism, a year thereafter another attack, followed by dropsy, six weeks ago a third attack; cardiac disorder.

Girl, set. 14, after acute articular rheumatism; endocarditis.

Girl, set. 15, suffering seven years ; headache.

Boy, set. 17, well developed, natarally vigorous and active, dark hair, blue eyes, fair complexion; rheumatic car- ditis.

Girl, set. 19, suffering from chlorosis ; headache.

Young man, set. 19; iritis.

Miss R., set. 23, complexion fair, hair dark, lymphatic tem- perament, after suppression of ague ; supraorbital neu- ralgia.

Alice T., set. 23, suffering a month ; prosopalgia.

Miss W., set. 23, suffering two years ; mitral insufficiency.

Man, set. 25, choleric-sanguine temperament, strong con- stitution ; neuralgic headache.

Woman, set. 26, ill since birth of last child, which was her fourth ; cardiac disorder.

Woman, set. 27, nervous, ill seven years; gastric disorder.

Woman, set. 28, single, suffering four years; neuralgia of tongue.

Woman, set. 35, suffering one month ; conjunctivitis.

Woman, set. 36, cook ; toothache.

Laborer, set. 36, after rheumatism pericarditis.

Man, set. 38, German, ten years ago was struck over 1. eye with a brick, since then suffering; supraorbital neu- ralgia.

A lady, set. 38, a brunette, of robust habit, mother of sev- eral children, had always a tendency to nervous affec- tions, especially when under external influences; neu- ralgia of face.

Miss H., set. 44, suffering fourteen days ; facial neuralgia.

Man, set. 51, suffering from rheumatic iritis; ciliary neu- ralgia.

Shoemaker, set. 52 ; toothache.

Lady, ast. 54 ; ciliary neuralgia.

Man, set. 56 ; facial neuralgia.

Watchmaker, nervo-bilious temperament, always suffered when compelled to use persistently the eye-glass ; facial neuralgia.

SPIGELTA— SPONGIA TOSTA. 462

''^Relations. Antidoted by: Aurum, restlessness in limbs;

heart symptoms; Jm, prosopalgia ; ^rmc, carbuncle ;

Zincum, heart disease.