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Ambra Grisea

Hahnemann - Materia Medica Pura · Samuel Hahnemann · 103,215 chars

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General

Tins drug is sold at a very high price ; it is, therefore, to be found genuine only in the best drug-stores. Genuine Ambra is found in the intestines of the pot-fish, as had been demon- strated already by Schwedjaur ; it is, probably, a tallow-like substance formed in the gall-bladder of that fish, and is found of an especial purity in the sea, on the coasts of Madagascar and Sumatra, especially after a gale. This" substance is com- posed of small, rough, opaque masses*,' -"which are spongy, lighter than water, and may be easily broken into rough, uneven pieces ; externally they have a brown grayish color ; internally they are pervaded with yellowish, reddish, and blackish veins ; they are moreover interspersed with whitish, odorous dots, which are a little greasy to the touch, and omit a faint, but highly pleasing and comforting fragrance.

When held with warm fingers, that substance becomes as soft as wax ; when exposed to the heat of boiling water, it flows like oil, emitting at the same time a strong, delicious fragrance, and, when laid upona piece of red-hot tin, burning up entirely.

1 She had been dangerously ill heretofore ; but this day enjoying for the first time excellent health, she had been taken to a concert, and°had there sang the passage from Beethoven, "Ah ! perfido," five hours before her betrothed, who was especially susceptible of mesmeric influences.

AMBRA GRISEA, OR AMBROSIACA. 23

Ambra ignites easily. Only very little of it dissolves in spirits of wine ; naphtha of sulphur dissolves it entirely ; from this solu- tion a white, wax-like substance may be precipitated by means of alcohol. Tbe weak smell of Ambra is increased a good deal by this solution, and also by triturating it with other substances.

Take one grain of this genuine Ambra, and prepare it for homoeopathic use by means of the processes of trituration and succussion which have been taught in the first volume of the chronic diseases. A small part of a grain of the millionth tri- turation is sufficient for homoeopathic use.

Antidotes of Ambra are Camp. Nux. v. and Puis.

In chronic diseases, such a dose acts three weeks. The following symptoms have been furnished by Baron Gersdorff and myself.

According to Noack and Trinks, Ambra may be used in the following affections : Hysteria and hypochondriasis Fainting fits Apoplectic fits Paralytic conditions of the limbs

Great nervous weakness Melancholia Paralysis of the in- tellectual organs Weakness of the understanding and memo- ry

Nervous vertigo, especially in old people Nervous head- ache Amblyopia amaurotica Nervous hard hearing

Epistaxis Aching in the liver ? — Complaints from flat- ulence Excitement of the sexual instinct Excessive fre- quency of nightly pollutions

Leucorrhoea Bad effects of a suppressed cold Dry convulsive cough, paroxysm Tesembling hooping-cough Asthmatic complaints, especially in scrofu- lous children

Morbid conditions of old people, and of indi- viduals with a dry, thin, bilious constitution Rheumatic and arthritic complaints ?

Analogous Remedies : Nux. v. Puis. Staph. — 2. Calc. Cham. Grap. Lye. Phosp. Sabad. Sep. Verat. Verb. Viol. odor. — 3. Canth. Mezer. Ipec. Rut. Selen. Sil. Spig.

Head

Violent vertigo.

Uncommon, even dangerous ver- tigo.

Vertigo, when walking in the open air, in the fore and afternoon.

She had to lie down on account of vertigo, and feeling of weakness in the stomach, (in the forenoon, after 72 h.) — 5.

He is always as if he were in a dream.

He was not able to reflect upon any thing properly; he feels stupid (the first 24 h.) Bad memory ; his thoughts are weak ; he has to read every thing three or four times, and, after all, he does not seize the meaning of what he reads.

Great weakness in his head, with vertigo, (a 48 h.) Weakness in the head, with a sort of chilliness of the head. — 10.

Headache every morning ; the head feels empty and desolate, as if she had been revelling the whole night.

Obtusion of the occiput.

24 AMBRA GRISEA, OR AMBROSIACA.

Tension in the head, which makes one feel stupid.

Clawing headache, starting from both temples.

Clawing obtusion of the head. — 15.

Oppressive obtusion of the head, immediately after dinner, especially during motion.

Pressure in the forehead, (with apprehension of becoming crazy.) (a. 48 h.) Oppressive headache in the forehead.

Aching in the occiput and nape of the neck.

Downward-pressing pain in the forehead and the top of the head, every other day, accompanied by heat in the head and burning in the eyes, paleness of the face, beginning early in the morning — increasing only in the afternoon. — 20.

Congestion of blood to the head for two days.

(Painless) feeling of pressure on the top of the head, and heaviness of the head, in the even- ing, (a. 36 h.) Pressure and stitches in the head.

Aching in a small place of the occiput.

Aching in the left frontal eminence. — 25.

Pressive traction ascending from the nape of the neck, and extending through the head towards the forehead, considerable pressure remaining behind in the lower part of the occiput.

Tearing pressure in the whole occiput, extending as far as the top and the forehead.

Shootings through the head.

Traction or tearing in the head, to and fro.

Tearing on the left side of the occiput, towards the nape of the neck, and behind the ear. — 30.

Tearing in the left temple, as high up as the vertex, also, in the right frontal eminence, and behind the left ear.

Tearing headache in the forehead as far as the upper part of the face.

Extremely painful tearing on the top of the head and apparently, in the whole upper half of the brain, with paleness of the face and coldness of the left hand.

(Twitchings in the head.) Stitch in the head over the left temple, (a. 3 h.) — 35.

Jn the evening, several very severe stitches ascending towards the occiput.

When making an ex- ertion, he experiences a lancinating and cutting headache ; he feels it at every step ; he feels easier when lying down.

Ex- ternal headache : also, in the nape of the neck and in the neck, pain as from straining the parts in lifting, painful to the touch, the whole day.

(a. 12 d.) Headache as if a cold would come on, at times increasing, at times decreasing, and continual. — 40.

On the right side of the head there is a place where the hairs cannot be touched without, suffering pain.

Painful spot in the occiput.

Humming around the temples. * Falling off of the hair.

(a. 24 h.) Oppressive and tearing headache, especially- over and on the top of the head.

Pressure on the left eyebrow.

Pressure upon the eyes, as if they were deep in the orbits (with tearing headache extending downwards from the fore- head, or from the ear through the occiput.) (a. 3 h.) Short vio- lent pressure close over the nose, in the forehead, in frequent

AMBRA GRISEA, OR AMBROSIACA. 25

paroxysms ; the headache becomes tearing, and leaves behind it a certain obtusion of the head.

Painful pimple on the fore- head.

Red pimple on the middle of the forehead, close to the hair ; it feels sore when touched, but does not suppurate.

Eyes

50.

Pressure and biting in the eye, as from dust which had got in.

Tearing and lachrymation of the eyes.

Pres- sure upon the eyes, which can only be opened with difficulty ; pain of the eyes, as if they had been closed too firmly, especially early in the morning. *Distended veins of the white of the eyes.

Tearing, or short tearings in and around the right eye. — 55.

Burning pain in the right eye.

(a. 10 h.) Burning in the eyelids.

Itching of the eyelid, as if a stye would form there.

Intolerably itching titillation around the eyes. *Turbid sight, as through a mist.

(a. some h.) — 60.

Great obscuration of sight, (a. 3 d.)

Face

Spasmodic trembling of the muscles of the face.

Spasmodic twitchings of the face, in the evening, when in bed.

Flying heat in the face.

Jaundice-colored face. — 65.

Pim- ples in the face, having no sensation.

Gnawing and tingling itching in the face.

Tearing in the upper part of the face, especially near the right wing of the nose.

Red spot on the cheek, without any sensation.

Pimples and itching in the whiskers. — 70.

Tension of the cheek, as from swelling.

(Pain- ful swelling of the cheek on the upper jaw, with throbbing in the gums.

(a. a few hours.)

Ears

Tearing in the right ear early in the morning, and frequently at other places. — 75. * Roaring and * whistling in the ear, in the afternoon, (after 4 d.) (Snapping, as of a spark from the electric machine, and noise as when winding up a watch.) Deafness of one ear. Hearing decreases every day, five days in succession, (a. 6 d.) Violent tearing pain in the lobule and behind it.

Nose

80.

Cramp of the right wing of the nose, towards the malar bone.

(Great dryness of the inside of the nose, although air passes through easily.) Dried blood gathers in the nose.

(a. 16 h.) Bleeding at the nose early in the morning.

Hot lips.

Jaws and Teeth : 85.

Spasm of the lower lip, and sen- sation as if it were being pressed against the gums and torn away.

(Pain in the corners of the mouth, as from excoria- tion.) Stitching aching in the jaws.

Pain in the jaws, as if they were being screwed together or asunder.

Drawing pain, at times in one, at times in another tooth ; the pain increased by warmth, was suppressed by cold for a few moments, did not become worse by chewing, and went off after a meal ; the

26 AMBRA GRISEA, OR AMBROSIACA.

gums, on the inner side, were swollen. — 90.

Considerably swollen and painful gums.

Pain in the hollow tooth, in the evening.

Pain in the hollow tooth, especially in the open air, as if the nerve were being touched.

After dinner, pain in a hollow tooth, more lancinating than tearing, for half an hour.

(a. 5 h.) Clawing traction in the upper right molar teeth. — 95.

Grinding ache, apparently under the left lower molar teeth ; in the evening, when in bed.

Drawing pain, some- times in the teeth of the right, sometimes in those of the left side.

Traction in the incisor tooth, as if a current of air rushed into the tooth, causing a stitch there.

Bleeding of the teeth.

Unusually copious bleeding from the lower teeth of the right side. — 100.

Pain of a submaxillary gland, which looked swollen, (a. 3 d.)

Mouth

Fetid odor from the mouth.

Tongue, mouth and lips feel quite numb and dry, early on waking up.

Great dry- ness of the mouth, early on waking up, accompanied by a total want of thirst, for several days.

Smarting, and sensation of excoriation in the interior of the mouth ; pain prevented her from eating any thing acrid. — 105.

Blisters in the mouth, which pain one as if the place were burnt.

The tongue is coated gray- yellow.

Tuberculous growths under the tongue, which feel sore.

Feeling of contraction in the salivary glands, during a meal, especially when swallowing the first mouthfuls.

Throat

Rheumatic pain in the back part of the tongue and fauces, between the acts of swallowing. — 110.

Tearing pain of the palate, as far as into the left ear.

Sensation of rawness in the region of the velum pendulum palati.

Rawness of the throat.

Rawness of the throat, as in a cold, for some days. — 115.

Sensation in the throat, as if she had something lodged in it.

Tearing in the interior of the throat, and in the back part of the fauces.

Sense as of biting in the back part of the fauces, between the acts of swallowing.

Pressive, biting pain in the back part of the fauces, from time to time.

Sore throat, as if something impeded deglutition, (a. 8 d.). — 120.

(Sore throat, not when swallowing food, but during an empty deglutition and when there is pressure from without, accompa- nied by tension of the cervical glands, as if they were swol- len.) (a. 4 d.) (Sore throat, produced by a draft of air ■ there are stitches shooting from the neck into the right ear ; the parts are especially painful when moving the tongue.) Secre- tion of mucus in the throat, with roughness and rawness.

Hawking up of mucus early in the morning.

Choking and vomiting can hardly be avoided when hawking up phlegm from the fauces.

AMBRA GRISEA, OR AMBROSIACA. 27

Gastric Symptoms : 125.

Although he is used to smok- ing, yet smoking, although he smokes with pleasure, induces hiccough.

Pretty insipid eructations, frequently in the after- noon.

Frequent, empty eructations, (a. 3-J- h.) Violent eruc- tations after dinner. * Frequently sour eructations, (a. 48, 72b.)_ 130.

Audible eructations, tasting bitter.

Heartburn, with suppressed eructations, when walking in the open air.

Every evening, sense as of a spoiled stomach, and regurgita- tion of acrid substances as high up as the larynx, like heart- burn.

Bitter taste in the mouth, early when waking up.

Sourish taste in the mouth, after drinking milk.— 135.

(Nausea after breakfast.) (a. 72 h.) (Nausea revulsing the stomach.) (a. 24 h.)

Stomach

Qualmishness about the stomach.

Burning in the stomach, (a. 3 h ) Burning in the region of the stomach, and higher up.— 140.

Pressure and burning below the scrobi- culus cordis ; this symptom goes off by an eructation.

General Symptoms: Anguish after dinner.

After dinner, pressure in the pit of the neck, as if food were lodged there which will not go down.

Tearing in the back part of the throat, and on the left side of the palate, during dinner.

After a meal, shootings, first around the left, then around the right eye. — 145.

Oppressive obtusion of the head immediately after dinner, especially during motion.

She had to lie down, in the afternoon, on account of a feeling of weakness in the stomach and vertigo, (a. 72 h.) Tension and pressure in the region of the stomach.

Spasm of the stomach.

Stitches and pressure in the region of the stomach.

Abdomen

150.

Pressure below the scrobiculus cordis and in the hypogastrium, from time to time, also at night.

Pressure in the epigastrium, hands and feet being cold.

Pres- sure in the abdomen, which assumes the form of a clawing pain.

Pressure in the umbilical region, with heartburn ; this goes off by an eructation.

Pressure in the side of the abdo- men, over the right hip. — 155.

Violent spasms in the belly.

Continual pressure in the epigastrium, diminishing by walking in the open air, returning when sitting down.

Pressure in the hypogastrium, several hours, remaining unaltered either when walking or sitting, (a. 6 d.) Aching in a small place in the right side of the abdomen, in the region of the liver ; the pain is not felt when touching the parts.

Aching in the region of the liver.— 160.

Tension and inflation of the abdo- men after every meal, even every time he swallows a drink.

Distended abdomen, (after a few h.) Distended abdomen, (a. 5 h.) Compressive weight in the abdomen, early in the

28 AMBRA GRISEA, OR AMBROSIACA.

morning.

The abdomen feels compressed. — 165.

Weight in the abdomen, and sensation as if the parts had been sprained and were suffering a pressure, coming from the spinal mar- row.

Pressure in the abdomen is followed by the emission of inodorous flatus.

Clawing pain in the right iliac region.

First, clawing pain in the belly, then, a little cutting in the epigastrium, which goes offby an eructation. * Trouble caused by incarcerated flatulence, occasioning a pain, especially in the left side of the abdomen. — 17©.

After midnight he wakes up with a considerably distended abdomen, especially a distended hypogastrium, owing to incarcerated flatulence exciting a colic, or, at any rate, a violent pressure downwards ; this accumulation of flatulence disappears during the subsequent sleep, without any emission of flatus, the abdomen becoming easy.

Fermentation, and audible rumbling in the abdomen, which, however, is not felt.

Sense as of clawing in the hypo- gastrium, with violent fermentation and gurgling in the epigastrium, when lying in the bed early in the morning, diminished by rising, renewed by lying down again, especially when lying upon the back.

Violent colic, in the evening.

Colic, when in bed, after midnight, even during a general sweat. — 175.

Colic, with a soft stool, early in the morning, two mornings in succession, (a. 5 d.) Violent colic, with diarrhea occurring three times ; three days in succession, (a 5 d.) (Burning in the abdomen.) Sense of coldness on the abdomen.

Coldness of one side of the abdomen, for two days, (a. 48 h.) — 180. * Twitchings in the abdominal muscles, in the evening.

Stitches over the hips, for two days.

(a. 5 d.) Sharp pressure, or dull stitch over the right hip.

When draw- ing the abdomen in, one experiences violent prickings in the hypogastrium, which may also be excited by pressing the parts from without.

Stitching pain around the navel, when moving the abdomen, especially when drawing the abdomen in.

Stool

Frequent tenesmus, no stool ; this gives her a good deal of anxiety ; during this time the neighborhood of other people is intolerable to her.

Tenesmus is followed by a claw- ing pain in the hypogastrium, especially of the right side.

(a. some days.) Tenesmus of the rectum.

Scanty stools, (a. 24 h.) * Constipation, (a. 4 d.) — 190.

(Traction in the rectum.) Itching of the anus.

Itching of the anus.

(a. some h.) Itching of the rectum.

Itching and biting of the rectum which go off by rubbing. — 195.

Stitches of the rectum.

Four ordinary evacuations within the space of a few hours, (a. a few h.) Copious, soft, light-brown stools, (a. 8 d.) (Ambra appears to improve stool which had been delaying heretofore

AMBRA GRISEA, OR AMBROSIACA. 29

a. 10, 15 d.) A quantity of blood is passed with the soft stool.

( a . 7 d.) — 200.

Pressure deep in the hypogastrium, after the evacuation.

(After every evacuation, one experiences a weak- ness about the pit of the stomach.) Tenesmus in the abdo- men remaining after the stool, (he feels as if he had not yet done,) upwards of a minute.

Urinary Organs

Pain in the rectum, and simultane- ously in the bladder, (a. 5 d.) Sensation as if a few drops passed out of the urethra.— 205.

The urine is of a lemon- yellow color, almost inodorous, a little flocculent.

Brown urine.

Whitish flocculent urine.

A little urine, with a reddish cloud, without any thirst.

The urine is dark-brown, and a little turbid, already so while being emitted, (a 20 h.) — 210.

The urine is turbid already ivhile being emitted, yellow- brown ; it formed a brown sediment, while the urine above it was yellow.

Urine, with a reddish cloud.

The urine obtains an acrid smell, after having stood awhile.

Bloody urine, (a. 7 d.) Diminished secretion of urine (the first three days.)— 215.

Little urine, which deposits a reddish sediment, in a few hours.

Frequent micturition, at night.

Urgent desire to uri- nate, early after rising, he often cannot retain his urine.

The urine he emits is three times the quantity of what he drinks, es- pecially early in the morning, afterwards a dull pain in the region of the kidneys.

Copious, bright-colored, cloudless urine, (a. 4 d.) — 220.

Burning in the orifice of the urethra and the rectum.

Burning in the orifice of the urethra, (a. 6 d.) (Twitchings in the urethra) (a. 12 d.) (Twitchings in the testicles.) (a. 14 d.) Tearing in the glans.

Genital Organs :— 225.

Pain in the glans, as from ulceration.

An itching pimple on the male parts of generation.

Internal burning in the region of the seminal vesicles.

Burning, biting, tickling and itching of the pudendum and the urethra, during micturition.

Burning in the genital organs, with a few drops of blood being emitted, especially after a walk and hard stool.— 230.

Violent itching of the pudendum (less frequently of the anus) ; she has to rub the parts.

Soreness and itching of the pudendum, even when she does not urinate.

Swelling, soreness, and • itching of the labia pudendi.

Itching of the glans, which continues when sitting, lying, standing, or walk- ing.

Vehement, voluptuously-delightful feeling in the interior of the genital organs, without any considerable erection or irritation of the external organs ; that feeling continues for hours, (a. 4 d.)— 235.

Violent erection, early, on waking up, without any voluptuous desire, the parts being externally numb ; when the erection subsides, there is a tingling tearing

30 AMBRA GRISEA, OR AMBROSIACA.

in the forepart of the urethra.

The erections subside, (re- action.) The menses occur three days before the time.

(a. 4 d.) The menses appear four days before the time.

(a. 20 d.) Sensation in the abdomen as if the menses would come on, although they had appeared twenty-one days ago.

(a. 2 h.) —210.

Haemorrhage from the uterus, (a. 2 h.) During the menses, the left leg becomes blue from distended veins, and experiences a pressive pain.

(Profuse leucorrhoea, at night.) (Discharge of bluish-white clots of mucus from the vagina.) Leucorrhoea consisting of thick mucus, increasing from day to day, each discharge being preceded by a stitch in the vagina.

Cold, catarrh : — 245.

Sensation in the forehead and eyes, as when a cold is about breaking out.

Headache when blow- ing the nose. # Obstruction of the nose, which feels sore inter- nally.

Great dryness of the nose, which continues a long time, accompanied by a good deal of biting in the nose, as if one would sneeze.

Occasional sneezing, the nose being dry. — 250.

Tingling in the nose, as if one would sneeze.

Frequently precursory indications of sneezing.

She sneezes almost every day ; this never happened be- fore.

Dry coryza.

Rawness of the throat, as in a cold. — 255.

Roughness and hoarseness of the voice ; tenacious mucus collects in the throat.

Hoarseness ; rough, deep voice, alter- nating with thick phlegm in the larynx ; he easily throws it up when clearing the throat, or by a slight cough, (a. 10, 24 h.) Badly-smelling breath, early after waking up.

Cough and coryza, accompanied by the expectoration of white mucus.

Tickling in the throat, which induces coughing.

Chest

260.

Cough only at night, produced by an exces- sive irritation in the throat — there is no cough by day.

Cough excited by rawness of the throat.

Accumulation of grayish phlegm in the throat, which it is difficult to hawk up ; accom- panied by rawness of the throat.

Tickling in the throat and the thyroid body, during the act of coughing.

Burning and itching titillation, extending from the larynx down to the abdo- men. — 265.

Pain in the side below the scrobiculus cordis, dur- ing a cough.

Cough, every evening, with pain under the left ribs, as if something were dashed loose there.

Nightly cough owing to an excessive irritation in the throat.

Occasionally, considerable paroxysms of cough. * Violent convulsive cough, accompanied by frequent eructations and hoarseness. — 270.

A kind of whooping-cough, (a. 48 h.) Deep, dry cough, with accumulation of water in the mouth, and subsequent rawness in the throat.

Sensation during the act of coughing, as of a sore place in the throat.

Saltish expectoration, when cough-

AMBRA GRISEA, OR AMBROSIACA. 31

ing.

"When coughing, there is a pressure in the umbilical region.— 275.

Sense of rawness in the chest.

Burning in the chest.

Burning in the external parts of the chest.

Burning ache near one of the ribs of the right side ; it is aggra- vated by external pressure ; afterwards, a similar pain in the left mamma.

Stitch in the chest, extending to the back, (after a few h.)— 280.

Violent, dull stitch in the right mamma, inter- cepting the respiration.

Wheezing in the chest.

Oppression at the chest.

Oppression in the back, across the chest.

Op- pression of the chest and back, between the scapulae ; it subsides for sometime in consequence of eating. — 285.

Oppres- sion at the chest, with much uneasiness the whole day.

(a. 3 d.) Tightness of the chest ; she cannot breathe deeply, and the yawning cannot reach its natural termination.

Anguish about the heart, increasing even to the extent of arresting the breath, with flying heat.

Palpitation of the heart, when walk- ing in the open air, with paleness of the face.

Violent palpi- tation of the heart, with pressure in the chest, as if a lump were lodged there, or as if the chest were obstructed.— 290.

Feeling of pressure deep in the right half of the chest during a strong expiration ; the pressure is most painful at a small place.

Pressure in the superior part of the chest, in paroxysms for three minutes.

Pressure on the top of the chest.

Pressure below (in?) the left half of the chest.

Pressure in the praecordial region.— 295.

Aching in the chest, over the scrobic- ulus cordis, as if the parts had been bruised by blows ; relieved by eructations.

Pain of the right, lowermost, true ribs, as if the parts had been bruised by blows, more towards the back.

Rheumatic pain on the right side of the chest, below the arm.

Tearing pressure in the left side of the chest.

Back

Violent pressure in the lower part of the small of the back.— 300.

Stitches in the small of the back, when sitting, (a. 8, 9 h.) Single, violent, sharp stitches in the small of the back, increased by the slightest motion.

Painful tension in the muscles of the loins.

Rheumatic pain in the back, on the right side.

Pain in the back, as if the intestines were being com- pressed, with a heaviness in the back, # as if he were not able to right himself.— 305.

Burning in the left scapula.

Stitches in the left scapula (the first days).

Rheumatic pain in the right scapula.

Drawing ache in the nape of the neck.

Tear- ing in both shoulders.

Superior Extremities :— 310.

Tearing in the left shoulder-joint.

In the evening there is traction in the shoulder ; it feels sprained and paralyzed.

Violent, dull stitch in the top of the right axilla, (a. 2 h.) The arms easily go to sleep, *when

32 AMBRA GRISEA, OR AMBROSIACA.

lying upon them.

At night, the right arm frequently feels *numb ; and goes to sleep. — 315.

The left arm often goes to sleep during the day, when at rest.

Tearing in the right arm, early, for five minutes.

Sense as of gurgling in the arm.

Twitch- ings in the arm.

(Paralysis of the right upper arm.) — 320.

Tear- ing in the right elbow.

Tearing about the right elbow.

Tearing in the right elbow and fore-arm.

Drawing ache in the right fore-arm, as far as the elbow.

The hands go to sleep at night. — 325. *Cramp in the hands, (a. some h.) In the even- ing, the fingers are drawn crooked, (a. 7 d.) Paralysis of the hand, for a few minutes, (a. 6 d.) Weakness of the fingers, at night, so that he had to make an effort in order to press them against the palm of the hand, or to move them rapidly.

Icy cold hands for a long time. — 330.

Painful coldness of the hands for a long time.

Icy coldness of the hands, in the evening ; the hands feel chilly.

Tearing in the interior of the middle portion of the right hand.

Stingings in the hands and fingers, as of flies.

Stitches, at times, in the right index ; at times, in the right thumb. — 335.

Itching in the palms of the hands.

Rheu- matic, pain extending from the posterior joint of the thumb through the metacarpal bone as far as the wrist-joint.

Tearing in the muscles of the thumb.

Tremor in the thumb, in the evening, in repeated short paroxysms.

Tearing in the posterior joint of the left index-finger. — 340.

(The posterior joints of the fingers become stiff in the evening, and the posterior joint of the thumb becomes swollen, and is, then, painful on being bent ; this symptom is worse when she did not exercise her fingers during the day.) Tearing in the right index-finger.

Tearing in the last two fingers, in the evening, before falling asleep.

Traction in the fingers and the thumb.

Tearing in the point of the little finger of the right side. — 345.

Tearing under the nail of the middle finger of the right hand.

The skin of the points of the fingers becomes wrinkled, early in the morning.

The wart on the finger feels sore.

Itching of the tips of the fingers.

There arises an itching little tetter between the thumb and the index finger.— 350.

Lancinating pain in the tip of the left thumb ; when touched only slightly, the part feels as if a splinter had been thrust under the nail ; this feeling decreases when the part is pressed upon.

Tingling in the tip of the thumb, as if it had gone to sleep ; this symptom passes off for some time by pressing upon the parts.

Inferior Extremities : Tearing in the left, and after- wards in the right hip.

Tearing ache in front, close below the left hip.

Sense as of a gurgling tearing behind, under the left half of the nates. — 355.

Tearing in the right half of

AMBRA GRISEA, OR AMBROSIACA. 33

the nates.

Tearing in the left leg, early in the morning.

Rheumatic tearing in the right leg.

Heaviness of the legs.

Tension in the thigh, as if the tendons were too short, especially when walking. — 360.

Straining and relaxa- tion in the lower extremities.

Feeling in the lower extremities, as if they had gone to sleep ; he has no firm step.

(a. 8 d.) Tearing in the right knee.

Traction in the knees and the malleoli.

Paralysis of the knee for a few minutes, (a. 6 d.) — 365.

Pain as from a sprain, above the knee, especially after having been seated, (a. 5. d.) Itching of the knees.

Stiff- ness of the bend of the knee, early in the morning, (the first days.) Soreness in the bends of the knees, which is most painful in the evening.

Tearing under the left knee, in the upper part of the tibia. — 370.

There is more coldness in the legs, than on the legs.

The right leg, especially the knee, is very cold.

Cold feet.

Very cold feet.

Painful spots on both shins, (a. 28 d.)— 375.

(The legs, especially the feet, are very much swollen.) (a. 3 d.) Swelling of the internal malleolus of the left foot ; walking causes pain there, which, however, disappears by continued walking, (a.. 7 d.) Itching of the legs, over the malleoli, in the evening, when lying down ; after rubbing the parts, they feel sore and as if bruised by blows.

Intermittent tearing in the left calf.

Tearing in the lower part of the left leg. — 380.

Cramp in the legs, and almost every night, cramp in the calves.

Sense as of grumbling in the calves and feet.

Tingling in the feet, they feel numb ; after rising, he felt like fainting, his eyes saw dark; he could not remain up, he had to vomit and lie down again.

Itching of the malleoli.

Tearing of the malleoli. — 385.

Arthritic pain in the articulations of the foot. *When walking, pain in the articulation of the left foot.

Tearing and stitches in the left foot.

(a. 26 d.) Occasional stitches in the left foot.

Ten- sion in the left foot (at noon.)— 390.

Stiffness of the feet ; they feel weary and exhausted, (a. 6 d.) Arthritic pain in the ball of the big toe.

Stitch in the ball of the big toe.

Itching of the toes.

Intolerable tickling of the point of the big toe.— 305.

Tearing in the middle toes of the left foot.

Tearing in the external border of the left foot. *Pain in the heel when walk- ing.

Stitches in the heel.

Itching of the inside of the soles of the feet, Avhich cannot be removed by scratching. — 400. 'Violent burning of the soles of the feet.

Pain of the corns, they feel sore.

General Symptoms : The symptoms decrease by walking a little in the open air, but they return when sitting. Profuse sweat, when walking, mostly on the abdomen and the thighs.

34 AMBRA GRISEA, OR AMBROSIACA.

Sweat, the whole day.

(a. 24 h.)— 405.

Itching, almost all over, even on the abdomen.

The itch is reproduced upon the skin, with a good deal of itching.

The tetters are reproduced.

Burning in several places of the skin of the body.

Early, on waking up, the skin feels numb and is insensible as far as the knees, without being cold ; the hands have but an indistinct sensation; the skin seems to have gone to sleep, but there is no tingling. — 410.

We can perceive the pulse in the body ; it feels like the tick of a watch. * Twitchings in the limbs.

Uncommon twitching in all the limbs, and coldness of the body at night, (a. 5 d.) When walking in the open air, one feels an agitation in the blood ; the rapidity of the circulation increases, accompanied by greater weakness of the body.

Uneasiness in all the limbs, like a tingling, accompanied by a sort of anguish, only by day.

Weakness and Fainting Fits : — 415.

Early in the morning (in a room which was extremely heated) he suddenly felt so weak that he was not able to walk alone, hands and forehead being covered with a cold sweat.

A good deal offaint- ishness.

(a. 8, 24 h.) * Faintishness, early in the morning, when in bed.

Great lassitude in the legs, early in the morning.

Weariness, all the limbs feeling sore. — 420.

Lassitude, which disappears by walking, (a. 5 d.) Heaviness in the body ; he feels weary and exhausted, (a. 7 d.) Failing of strength, the knees give way.

(a. 3 h.) Weakness of the feet, they feel insensible, (a. 48 h.) She had to lie down on account of vertigo and a feeling of weakness in the stomach, (a. 72 h.)

Sleep

Disposition to stretch and to extend one's self. '(Sleepiness by day.) Sleeplessness before midnight.

He cannot sleep at night, he knows not why.

Sleeplessness for several nights ; slumber early in the morning, which is full of fanciful ravings. — 430.

Frequent waking up during the night.

Frequent waking up ; at two o'clock in the night, one is seized with a long uneasiness in the whole body, especially in the occiput.

Falling asleep late ; afterwards * uneasy sleep — owing to a pressure in the epigastrium, especially on the right side.

Pain over the eyes, with nausea, for several nights in succession ; the pain always comes on after midnight and lasts until seven or eight o'clock.

Rending ache in the fore- head, coming from the occiput, in the evening, when in bed after having fallen asleep. — 435.

Heat in the head, the first half hour.

Uneasiness in the occiput after midnight.

He wakes up at night with a headache ; this goes off by rising from the bed.

When waking up he feels faint, his mouth is dry, there is a good deal of pressure in the epigastrium which

AMfiRA GRISEA, OR AMBROSIACA. 35

increases when lying upon the abdomen ; when the pressure has disappeared, he feels a tearing in the small of the back, which disappears in its turn, by lying upon the back. On waking up, about midnight, there are the following symptoms : weakness, nausea, violent pressure in the pit of the stomach and in the abdomen, violent erections without any voluptuous sensation, dryness in the mouth, and insensibility of the sur- face of the body.— 440. Waking up early ; this is followed by a frequently interrupted, but very deep sleep, the eyes being tightly closed.

Early in the morning, after waking up, when in bed, he feels very weary, especially in the upper part of the body ; there is obtusion in the head, and a sensation as if the eyes had been tightly closed, accompanied by a little nausea in the pit of the stomach ; he can scarcely prevail upon himself to rise. Weariness early in the morning, when in bed, with a sensation in the eyes as if they had been closed too tightly. At night, when asleep, he lies upon his back, with bent knees, the occiput being supported by both his hands ; these symptoms are accompanied by vivid dreams.

Startings as with fright, in the evening, when falling asleep ; he imag- ines that there is too much light in the room ; he jumps out of his bed with a sort of anguish, (a. some h.) — 445. Uneasiness for three nights in succession, with many dreams, (a. 5 d.) Vivid, uneasy dreams come on the moment he falls asleep ; they almost prevent him from sleeping, (a. 8 d.) The child's sleep is uneasy ; it talks while asleep, and desires to drink. * Uneasy sleep with anxious dreams, (a. 5 d.) Uneasy dreams at night ; they fill him with anguish. — 450.

He falls asleep late ; afterwards he has anxious dreams as if he were abused and too weak to defend himself; on waking up he feels a great weakness in the upper part of the body, accom- panied by a clawing pressure under the pit of the stomach, nausea ; these symptoms appear when lying down and falling asleep again, and are then accompanied by pressure in the left side of the abdomen ; the symptoms, however, disappear when one is wide awake, sits up, and moves about ; they ter- minate with the emission of flatulence, fermentation in the abdomen, and eructation.

Vexing, anxious dreams and talking while asleep, for eight days, (immediately.) Dreams full of stir. Uneasy sleep at night, owing to coldness of the body, and twitchings in all the limbs. Internal chilliness at night, which prevents him from falling asleep, or which rouses him from sleep at night : he did not get warm. — 455. Chilliness and weariness, which gives him an inclination to go to sleep, four forenoons in succession ; this symptom went off by taking

36 AMBRA GRISEA, OR AMBROSIACA.

some dinner, (a. 72 h.) Chilliness, sleepiness, weariness, and dull headache ever since the morning ; the headache disappeared when walking in the open air.

Chilliness, weari- ness and headache, after two diarrhoea-like evacuations.

Slight chills before dinner (the first days.) (Cold skin over the whole body, except face, neck, and genital organs.) — 460.

Heat two evenings in succession, from seven to eight o'clock, (a. 12 d.) Heat in the face and over the whole body, every quarter of an hour.

(a. 5, 6 d.) Night-sweat, two nights in succession, (a. 6, 7 d.) Profuse night-sweat, two nights in succession, (a. 5 d.) General perspiration, after midnight, for many nights. — 465.

Good deal of moisture every night, almost like sweat.

Moderate night-sweat over and over, the whole body being veiy warm.

Sweat every morning, worst on the sick side.

Very uneasy by day.

Moral Symptoms : Uneasiness the whole day, the chest feeling oppressed. — 470.

The mind feels uneasy and agitated.

Huniedncss in performing some mental labor.

Irritated mood, as if one had weak nerves and were impatient.

She is irri- tated, loquacious ; talking fatigued her, she was unable to sleep at night, got a headache, as if she carried a large load upon her head ; she felt oppressed at the chest, had to sit up in bed, and was attacked with anguish and sweat all over.

Uncom- monly long agitation of mind.— 475.

Talking irritates her, she is attacked with trembling through the whole body, especially in the lower extremities, and has to be alone for some time in order to rest herself.

Music causes the blood to rush to his head.

Lewd fancies, even when dreaming : the mind, and the sexual organs, however, do not feel excited by them, (first 24 h.) Distorted images, grimaces, diabolical faces crowd upon his fancy ; he cannot get rid of them.

Anxious thoughts arise in his mind.— 480.

In the evening one feels a sort of anguish.

Anguish and tremor, (a. 8 d.) Great depression of spirits, (a 6 d.) He is overwhelmed with sad thoughts, and feels a sort of qualmishness about the heart ; he feels sad for a long time.

Great sadness, (a. 72 h.)— 485.

Despair, (a. 48 h.) Whining mood, followed by peevishness and quarrelsomeness, for two hours, he feels easily roused to indignation.

Constant alternation of depression of spirits and vehemence of temper ■ this prevents him from having a calm mood.

One is indiffer- ent to joy or grief, more depressed, however, than composed.

490. Great equanimity. 1

£

1 Note: Reaction of the organism.

ANGUSTURA. 37

ANGUSTURA (CORTEX ANGUSTURiE, OR AUGUS-

TURM).

This is the bark of the tree from South America, called Bonplandia trifoliata. The pieces which are chosen for medi- cinal purposes ought to be one line in thickness, little curved ; their external convex surface being covered with a coating, which is grayish-white, and may be easily scraped off, and being, moreover, intersected by fine transverse furrows ; the internal, concave surface is of a light-brownish yellow color ; these pieces may be easily broken, and when broken, look like cinnamon, and are porous ; they have an offensively aromatic smell, a piercing, somewhat pungent, aromatic, bitter taste ; the powder looks like a powder of rhubarb.

It is said that a decoc- tion of this bark cannot be precipitated by sulphate of iron in solution. The tincture is obtained by procuring, without any heat, the extract of 50 grains of this powder by means of 1000 drops of alcohol. The dilutions are used for homoeopathic purposes.

For many years, a false, very poisonous bark has been sold in the place of the real Angustura, without any one knowing the tree from which that bark came.

This tree is now supposed to be the Brucea ferruginea.

The bark of this tree is said to furnish the same alkaloid as Nux vomica, Ignatia, etc.

The real Angustura possesses, likewise, great medicinal powers.

Although we, obtain that bark from the tree called Bonplandia trifoliata, which is found on St.Thomas del Angus- tura, in South America, nevertheless, this drug, when impro- perly administered, may do great injury.

In a document fur- nished by F.

A.

G.

Emmert (see Hufeland's Jour. 1815, Aug. p. 75), we find the following case of poisoning, where three spoonfuls of five ounces of the bark of the spurious Angustura, having been reduced by inspissation to a mass of five ounces in weight, were given to a boy of five years and a half, and produced his death under the following horrible symptoms :

Trembling, which was soon changed to violent spasms, (a. half an h.)

On feeling the pulse, tetanus ensued suddenly.

The eyelids were wide open.

The eyes were staring, immovable, and protruded from their sockets.

38 ANGUSTURA.

Lockjaw ; the lips being wide open, so that the anterior teeth were quite exposed.

Tension of the different muscles of the face.

The extremities were stretched to the highest degree ; they were stiff and rigid.

Violent opisthotonos.

The trunk experienced from time to time violent convul- sions, extending along the back, and resembling electric shocks ; it was somewhat raised by those shocks.

Cheeks and lips became blue.

Breathing became intermittent.

At the termination of the paroxysm, which lasted six min- utes, the boy breathed with great difficulty, snorting, cheeks and lips being blue.

Great and frequent desire for coffee.

Tetanus was brought on by merely swallowing tepid water.

The pulse was at 102, spasmodic, irregular.

Tetanus either returned of itself, or was brought on by a noise, or by touching some part of the body ; the boy screamed constantly for fear lest some one should touch him.

After the tetanic fit, the eyes were closed ; forehead and face were covered with sweat — cheeks and lips being blue — groaning, without any distinctly indicated pain.

All the muscles lost their tonicity ; the eye lost its lustre ; breathing was convulsive and interrupted by great pauses.

Death ensued after an hour.

Half an hour after death, the body was stiff and rigid.

Twenty-four hours after death, the smell of corruption set in, internally and externally ; the veins contained liquid blood of the color of brown cherries.

The right lung was pale externally, and bloated ; it was full of blood internally ; the left lung was blue externally; it looked blackish when cut, and was filled with blood.

(Angustura vera, if given in the same dose, would probably produce similar symptoms.)

Other observers confirm the fact, that large doses of Angus- tura produce spasmodic convulsions, vertigo, anguish, immo- bility, owing to rigidity of the muscles.

Dr.

Wurzner, of Eilenburg, has reported to me that four persons, each of whom had taken ten to twelve grains of the extract in the shape of pills, were attacked with

Rigidity of all the muscles of the body, as in tetanus ; one of them suddenly fell to the ground, with consciousness.

Lockjaw.

ANGUSTURA. 39

The following series exhibits similar symptoms in a much inferior degree.

I have generally used the smallest part of a drop of the billionth potency; I have also used the higher degrees.

Black coffee is an antidote against its too powerful effects.

According to Noack and Trinks, Angustura has a great action upon the motor and spinal nerves.

It has been employed with success in rheumatism with paralytic conditions ; in lock- jaw with convulsions of the muscles of the back ; in irritation of the spine, and in affections of the mucous membrane.

It is also -proposed against ischias postica.

Analogous Remedies : Ang. spur.

Bruc.

Cocc.

Colch.

Nux vom.

Plat. — 2 Canth.

Carb. an.

Head

Vertigo in the open air.

(a. 20 h.) Obtusion of the head ; slight pullings in the forehead.

In the open air she was attacked with a little headache and heat, (towards evening.) Cramp-like headache. — 5.

Headache ; pressure in the forehead, over both eyes, as if the contents would issue forth, both when at rest and in motion.

Headache : Pressure in the occiput, in the afternoon.

The brain in the forehead feels as if it were bruised ; this symptom is increased by stooping, and diminished in the open air, (immediately.) Boring headache in the temples.

A stitch as from electricity, starting from the temples upwards and downwards.— 10.

He is attacked with a feeling of vertigo, when crossing a running water, or walking by the side of a ditch full of water ; he fears lest he should sink down.

Gloominess and dullness of the head, as after a previous intoxication.

Obtusion and sense of contraction of the head, when walking rapidly.

Suddenly, great obtusion of the head, as of a skin drawn over the brain, half an hour.

(a.

J- h.) — 15.

Great absence of mind ; when occupied with something serious, his attention is constantly arrested by other things, (a. 45 h.) Sometimes he is lost in revery, and even complete absence of thought ; he easily falls asleep when reading.

For the first three afternoons, the body feels warm ; on the third afternoon, he experiences moreover an extreme liveliness, and has a quick memory ; however, he is not able to think of any thing with attention, being prevented by the intrusion upon his mind, of a rather agreeable project which he almost believes to be real and feasible, and which exclusively absorbs all his attention ; it is a sort of vivid, waking dream, (a. 4 d.) In the afternoon, great animation and facility of intellect ; he compre- hends every thing much more easily than on the first day, and more easily than formerly ; but he feels unable to dwell upon his subject, owing to some internal uneasiness, such as is experienced by those who anticipate some great pleasure, or

40 ANGUSTURA.

also owing to all sorts of plans crowding: upon his mind, (a. 35 h.) Early, after rising, great heaviness in the forehead, without any confusion in the head.

(a. 3 d.) — 15.

Pressure in the left hemisphere when stooping ; this pressure abates when raising the head again, (immediately.) Pressure in the tem- ples, (a. 1 h.) Headache in the forehead, towards evening, with great heat in the face.

Headache only occurred when there was heat in the face.

Headache always occurs towards evening, and continues until the moment one falls asleep. — 20.

Headache, as if every thing in the brain were moving about, with oppressive and boring pain, especially in the temples ; when lay- ing the forehead upon the table, he feels in the first moments no- thing except some tension ; soon, however, the pains return less, violent, and assume their original violence as soon as the head is raised, (a. 12 h.) Pressure in the forehead.

Drawing and oppressive pain in the temporal region.

In the evening, drawing and oppressive headache on the right side of the head, with pressure on the lower jaw.

(a. 1(3 h.) Tearing headache, rather externally, extending from the vertex over the temples, (a. 24 h.) — 25.

Intermittent prickings in the right temporal region, more externally, (a. 4 h.) Continual itching stitches in the forehead and temple, externally, which do not go off by rubbing.

Twitchings at a small place, under the skin of the left parietal bone ; when pressing upon the place, it pains as if it were bruised, (a. 1 h.)

Eyes

Slight twitchings in the eyebrows while reading.

A few stitches over the eyes. — 30.

Violent burning in the inner half of the eyes themselves, and in the internal corner of the same.

Tension, first in one, then in the other eye ; it seems to be directed from behind forwards, early in the morning, (a. 48 h.) There seems to be a feeble vapor before the eyes, which soon passes off.

Soreness of the eyelids.

Feeling of dryness under the upper eyelids. — 35.

Pressure in both eyes as if a bright light were irritating them, and as if they became weary.

The eyes are red, and burn ; in the morning they seem to be agglutinated.

Contraction of the pupils, (a.

"3 | h.) Dilatation of the pupils, (a. 13 h.) Pressure on the right eye and the orbit, in the evening, (a. 14 h.) — 40.

Itching stitches in the upper eyelid, which cannot be removed by rubbing.

(a. 1 h.) Early, on rising, dimness before the eyes, as if tire cornea were obscured, (a. 24 h.) He sees much farther and more sharply than usual. 1 Far-sightedness ; he saw dis- tinctly objects at a distance, whereas he generally was short- sighted, (a. 2 i h.) 2

1 Note: Reaction of the organism. 2 Reaction of the organism.

ANGUSTURA. 41

Ears

Stitches in the meatus auditorius externus. — 45.

Burning in the internal ear, in the region of the tympanum.

Sensation as if something had got before the ear, and as if something were inserted in it.

Cramp in the external ear.

Heat in the lobules.

Throbbing pain behind the ears, on the side of the neck, as if the carotid were beating. — 50.

Heat of the ears and both cheeks.

Cramp-like pain at the jugum.

(a. -J- h.) Hearing is much more acute than usual.

(a. 5 \ h.) (Curative reaction of the organism.) Tingling in the ear.

(a. 33 h.) Tearing twitchings before the left ear.

(a. 1 h.) — 55.

Several alternate drawings in both ears, which soon go off.

Very painful, tearing twitchings in the internal ear of the right side ; they gradually assume the form of stitches, (a. 1 h.) Tearing in a tumor over the right mastoid process.

(a- i h.)

Face

The temporal muscles feel pithy, numb, as if something were pressing out there.

Tensive pain in the tem- poral muscles, when opening the jaws. — 60.

Pain in the masseter muscles, as if one had fatigued them by masticating too much.

Cramp-like pain near the articulation of the jaw. in the muscles performing the office of mastication, especially when at rest ; the pain is diminished by opening or closing the jaws.

Feeling of heat in both cheeks, without any warmth being felt externally.

Sensation of a corrosive soreness deep in the nose, (immediately.) (Grinding pain in the lower jaw.) (a. 18 h.) — 65.

In the evening, hot feeling in the cheeks, which, however, do not feel warm when touched, (a. 12 h.)

Jaws and Teeth : Great dryness of mouth and lips, without any thirst, (a. 3 h.) Slight traction in some of the upper molar teeth, which, however, cannot be pointed out with pre- cision.

Drawing pain in the two upper incisores of the right side.

Drawing pain, which, to judge according to the feeling - . is between the crowns of the middle, upper, right molar teeth. and may be palliated by touching the teeth with the cold finger, (a. 1 h.) — 70.

Throbbing toothache in a hollow tooth, in the evening, after lying down.

(a. 14 h.) Lancinating traction in the gums of the right upper row.

(a. 3h.) Gastric symptoms.

(Taste in the mouth as of peach-stonest.) (Bread tastes sour to her.) He has no desire for drink ; nevertheless, he craves warm drinks more than cold ones ; he did not feel any chilliness after the cold drinks. — 75.

Nausea during a walk, as if he would faint, accompanied by great lassitude all over, which did not abate by sitting down ; afterwards he felt as if the nausea rose into his head, and he felt hungry.

A great many empty eructations after a meal.

Bilious eructations.

Pinching stitches in the tip of

42 ANGUSTURA.

the tongue, which are extremely painful even when the tongue is not moved, (a. 6 h.) — 80. Burning as of pepper on the left side of the tongue, almost on its border, (a. 3 h.) White tongue with a feeling of roughness, (a. 12 h.) Roughness and dryness in the back part of the palate and fauces, without any thirst, worse when swallowing, (a 25 h.) The voice is louder and firmer. (Curative reaction of the organism.) (a. 5-^-h.) Bit- ter taste in the mouth produced by smoking, (to which he is otherwise accustomed.) — 85.

Putrid, flat taste in the mouth, for a short time. (a. 2 h.) Bitter taste in the mouth, and several slight eructations after dinner, which he ate with a good appetite, (a. 30 h.) Great desire for cold drink, (a. 15 h.) Frequent hiccough, (a. 3 h.) Nausea, especially during a meal. — 90. Sense of nausea in the stomach, (a. 1 h.) In the evening, during a slumber, his mouth had become filled with a viscid, insipid and putrid phlegm, he could not drink enough. Although his appetite is very great, yet he does not relish his nourishment ; he feels as if it were offensive to him ; at the same time he experiences a fulness in the chest, owing to sup- pressed eructations ; he feels unable to satisfy his appetite by eating a copious dinner, (a. 6h.)

Stomach

In the beginning of the meal, cutting pain in the stomach, like soreness ; it went off during the meal.

(a. 3 d.) Cramp-like pinching pain below the pit of the stomach, in the evening, when sitting, (a. 13 h.)— 95.

Cutting tearing in the pit, increased by moving the trunk, after dinner.

Abdomen

Loud rumbling in the abdomen.

Stitches in the abdomen, followed by a sense as of drawing.

Early in the morning, diarrhoea comes on after previous colic, and nausea ; the last evacuation was mere slime.

Colic and diarrhoea ; the last evacuation was mere slime, (a. 12, 84 h.) — 100.

(Tingling itching of the rectum, as of ascarides.) Cut- ting under the short ribs, in the right side of the abdomen, when moving the trunk, (a. 48 h.) Dull, shaking, erratic shootings in the left side of the abdomen.

Dull stitches in the abdomen, on the left side, near the navel, (a. 24 h.) Cutting pain in the left lumbar region from within outwards, (a. 3 h.) — 105.

Cut- ting in the hypogastrium, transversely over the ossa pubis, accompanied by pressure towards the rectum, (a. -J- h.) Cramp- like colic when walking.

Pinching in the right lumbar region when at rest.

Drawing pain as from a bruise, in the light side of the abdomen, when walking in the open air.

(a. 1 h.) Pressure in the hypogastrium from within outward, accompa- nied by anguish, (a. 16 h.) — 120.

Cramp-like pressure over the ossa pubis, when sitting, as if something were boring out there.

ANGUSTURA. 43

(a. 12 h.) Audible rumbling in the abdomen, with eructations.

Fermenting and rumbling in the abdomen, as if diarrhoea would come on, accompanied by incarceration of flatulence, (a. 3 h.) Cutting and gurgling in the hypogastrium, transversely over the ossa pubis, when taking warm milk.

(a. fh.) Painless motions, grumbling and gurgling in the intestines, continuing almost unceasingly for three hours.

Stool

125.

Indications of diarrhoea, with dragging through all the intestines, (a. 2 h.) Several times a sensation in the intestines as if diarrhoea would come on.

Frequent desire in the rectum, as if diarrhoea would come on immedi- ately, with shiverings over the face.

Every evacuation is fol- lowed by shiverings over the face, and goose-skin.

The stool was not as thin as might have been expected, according to the existing indications of diarrhoea. — 130.

Sensation as if stool had not been passed sufficiently, and as if more would come.

Sen- sation in the rectum as if it would protrude ; this symptom is followed by a yellow, soft, very profuse evacuation, (a. 1 ± h.) Three very thin stools in the space of four hours.

Thin, copi- ous stool without any pain.

(a. 2 h.) Emission of stinking flatulence. — 135.

During a soft stool, there was painful tenes- mus of the rectum, as if it had been contracted, with distention of the haemorrhoidal veins, and a burning pain as if the rectum were being corroded, (a. 2d.) Moderate eostiveness.

Fre- quently, slight desire for stool ; he felt as if stool would not take place ; upon straining, a few hard clots came out.

(a. 12 h.)

Urinary Organs

Frequent desire to urinate, with but little urine being emitted, (a. 2 h.) Tenesmus of the bladder, followed by the emission of a quantity of white urine ; tenes- mus after micturition, (a. 36 h.) — 140. Orange-colored urine, which becomes easily turbid, (a. 24 h.) Burning after mic- turition ; one is frequently obliged to urinate, although but a few drops are emitted each time ; they cause a burning at every flow.)

Genital Organs : Itching of the scrotum.

Stiches, sometimes itching of the prepuce.

Voluptuous itching of the tip of the glans, which forces one to rub ; it occurs when walking in the open air.

(a. 6} h. — 145.) Traction in the left spermatic cord alternating with twitches, accompanied by a sensation of shivering in the neighboring parts of the scro- tum and thigh.

Throat

Stitch in the epiglottis.- Hoarseness, which is occasioned by much phlegm in the throat, (a. 10 h.) Titilla- tion in the larynx, inducing a dry, short, and hacking cough, and continuing for a long time. (a. 2f h.) A short and hack-

44 ANGUSTURA.

ing cough the whole day, owing to a titillation in the la- rynx accompanied by a rattling in the chest, when walking in the open air, and by the expectoration of much yellow mucus. — 160. Violent cough, deep from the trachea, early in the morn- ing, accompanied by the expectoration of yellow mucus, (a. 24 h.) Roughness in the throat ; he has retching without being able to throw up anything, (a. 6 h.) Tenacious phlegm in the trachea, which is difficult to hawk up. (a. 10, 11 h.)

Chest

Cutting -pressure in both sides of the chest, first only during an expiration ; afterwards the pressure is changed to cutting thrusts, continuing even when the breath- ing is arrested, (a. 1 h.) Tightness of the chest, and pres- sure in the left side of the chest, when walking fast. (a. 12 h.) — 165. Spasm in the chest, as is experienced when one is suddenly assailed by a violent coldness. Pressure across the whole right side of the chest and abdomen, as if these parts were being compressed in front and behind, ac- companied by incisive cutting, downwards, in the sternum, and in the dorsal spine, increased by inspiration and every movement of the trunk, (a. 5. h.) Great oppression of, and pressure upon the chest, accompanied by pressure on the ' sides of the frontal bone, and violent palpitation of the heart, (towards evening, when ascending the stairs.) (a. 2 h.) Cutting thrusts in the sternum, and the dorsal spine, from witnout inwards, (a. 36 h.) Violent palpitation of the heart, when sit- ing or stooping, accompanied by a painful sensation, as if the heart were contracted. — 170.

Violent palpitation of the heart, in the evening, when lying in bed ; it decreases when sitting up. Painful thrust in the region of the heart. When making as deep an inspiration as possible, it seems to be arrested under the upper portion of the sternum ; he there feels a pain like a dull still stitch or pressure, (a. 72 h.) Sense as of trembling, internally, resembling hiccough, during an inspiration ; the inspiration seems to be divided into two jerks from within outwards, (a. 8. h.) Cutting pressure through the thoracic cavity from within outwards, accompa- nied by a sense of anguish, (a. \ h.) — 175.

Single stitches in the sternum, when sitting, (a. 28 h.) Painful sensitiveness of the chest, even when he touches it only feebly, (a. 24 h.) Pres- sure on the chest, towards the axilla, and on the tendon of the pectoralis major, (a. 3 d.) Itching stitches, in front, in the last true rib of the right side, which, in the beginning, do not pass off by scratching, but afterwards disappear of themselves, (a. 24 h.) Frecpient, short cough, followed by one hiccough, like eructation. — 180.

Quickly passing tightness of the chest, (immediately.) When moving about in the bed, she feels a

AXGUSTURA. 45

pain in the muscles of the chest, early in the morning ; the arms, when laid near each other, are painful, by day ; she may touch the parts without feeling any pain, not even when breathing. Sharply pressing, almost pinching pain, at a small place, in the upper portion of the chest, (a. 15 h.) Cutting stitches in the last rib, during an inspiration, and moreover be- fore going to bed, and after having laid down.

Back

Early in the morning, when in bed, pain in the small of the back, as if every thing were broken ; after having risen from the bed, she was unable to pick up any thing from the floor, before several hours had elapsed ; this symptom was followed by hunger, afterwards cutting pains in the abdomen, and loose stools, which, finally, became slimy. — 185. Squeez- ing pressure in the small of the back, as if the parts had been bruised by blows ; this pain often roused her from sleep ; the pain was worst at four o'clock in the morning, but it had dis- appeared when she rose.

Stitches below, and by the side of the small of the back, when sitting. Sense as of a dull gur- gling in the small of the os sacrum, (a. 1 h.) Pain in the small of the back, rather on one side, as if the parts had been bruised ; the pain was drawing and pressive, and was expe- rienced when sitting, (a. 35 h.) At night, when in bed, he frequently feels a stitch on the right side near the dorsal spine, between the scapulae ; the stitch is felt during motion, and ap- pears to penetrate deep into the chest — 190.

Tension in the muscles of the back, near the axilla ; he finds it difficult to lift up his arm, (immediately.)

Neck

Pretty, violent tremulations in the muscles of the neck, on the left side.

(a. 2 h.( Tension, in front, on the right side of the neck, accompanied by sharp stitches ; this symptom is felt even when at rest.

(a. 3 h.) Dull stitches between the top of the left shoulder and the neck.

Painful stiffness, like traction, between the scapulae and in the nape of the neck, early in the morning, when in bed ; when rising, she was unable to move her arms on account of the pain, nor was she able to turn her neck, the whole forenoon ; this symptom occurred several mornings in succession, lasting until noon, accompanied by faintishness of the whole body — 195.

Pain as from bruises, in the muscles of the neck, on the left side, towards the shoulder ; the parts felt as if they had been . strained too much ; this symptom only occurred during motion, and abated in the open air.

Cutting stitches in the scapula.

Drawing stitch in the nape of the neck.

• Superior Extremities : Painful twitchings in the top of the shoulder. Upon extending the arm for a long time,

46 ANGUSTURA.

the arm feels as if one had held a heavy weight in one's hand for a long time ; it is a sort of paralysis.

Stiffness in the joints of the elbows, accompanied by lassitude of the fore-arms.

Pain in the elbow-joint, apparently in the tendons of the muscles, as if he had knocked them against something ; this pain increases by moving the arm or leaning upon it (after walking in the open air.) (a. 24 h.) — 200.

Traction in. the fore-arm and in the hand, like a cramp.

Traction in one of the fingers of the left hand.

Pain in the middle finger of the right hand, as if it were torn out.

Pain in the posterior joints of the fingers, such as is felt when moving an ulcerated part.

The ring-finger feels insensible, numb, pithy, and as if it had died off. — 205.

Pressive cutting in the axilla, (a. f h.) Ach- ing of the humerus, as from a bruise, (a.

If h.) The left arm feels heavy, when one is walking, with pressure on the outside, in the region of the elbow-joint, as if the arm were being pulled down when left hanging, (a. 4 h.) Fine itching of the arms, which passes off by rubbing, (a. 1 h.) Fine tear- ing in the arms, apparently more in the bones, and worse when at rest than in motion, (a. 2 h.) — 210.

Single, deeply penetrating stitches over the left wrist-joint, (a. 7 h.) Feeling of heat on the dorsum of the left hand.

(a. 6 h.) Rheumatic drawing pressure upon the dorsum of the right hand, in the evening.

Dull stitches in the dorsum of the right hand, in front of the wrist-joint, (a. £ h.) The fingers of the right hand are cold to the touch, and they feel cold inwardly, (a. 3 h.) — 215.

Aching, internally, in the flesh of the ball of the left thumb, (a. -J- h.) Traction around the joint of the thumb, as if it were sprained, especially when bending the thumb.

Loaver Extremities : The whole right side of the ab- domen, and of the thigh and leg, feels bruised as if by blows, and, when walking, threatens to fall in on account of a rheu- matic drawing pain.

(a. 1-^ h.) Sudden heaviness and las- situde in the lower extremities, (a. | h.) Cramp-like pain at the upper border of the ilia, extending as far as the dorsal spine, (a. 12 h.)— 220.

Dull stitches in the left os innomina- tum, close behind the hip-joint ; the stitches occur in short pa- roxyms, and are increased by every motion.

The upper part of the hip-joint feels painful, as if it were luxated ; it is almost unfit for walking.

Boring, paralytic pain in the region of the ischiatic nerve, on the back part of the thigh.

Pressive, draw- ing pain in the tendons of the hip-joints, upon rising from a seat.

(a. 7 h.) Fine shootings in the skin of the glutei mus- cles, accompanied by tingling, externally.— 225.

Sharp stitches in the anterior muscles of the right thigh.

Tremulous stitches

ANGUSTUIU. 47

in the left thigh, and in the upper border of the ilium, ex- tremely painful, and felt only when sitting, (a. \ h.) When bending the knee, one feels a tensive pain in the anterior mus- cles of the right thigh. The anterior muscles of the right thigh feel paralyzed ; he feels a painful tension when moving the muscles. Fine tearing in the thighs, apparently more in the bones ; it is worse when at rest, than in motion, (a. 2 h.) — 230. Drawing aching on the external side of the thighs when walking.

Cramp-like pain in the middle of the posterior sur- face of the thigh, only when walking, (a. 21 h.) Tensive ache in the upper and anterior portion of the rectus muscle of the thigh, when stretching the part. (a. 2-*- h.) Fine itching of the thigh, which goes off by rubbing, (a. 1 h.) He cannot walk fast ; his legs feel too stiff. — 235. Ascending stitches in the external tendons of the knee, when walking in the open air. (a. 13 h.) Intermittent prickings in the left pa- tella, when walking in the open air.

(a. 6 h.) Cramp-like, straining traction from below upwards, in the calf, and also in the thighs, extending upwards from the bend of the knee. Tense paralysis, as if produced by a contraction of the liga- ments, from the middle of the bend of the knee, as far as the calf, both when at rest and in motion, (a. \ h.) When cross- ing the legs, he feels a cramp-like tearing traction in the heel of the left foot, which is standing still, and a pressive drawing in the knee of the other leg, which is laid across, (a. 10 h.) — 240.

When walking, he feels a drawing, superficial, softly pressive pain at the tibia, and around the joint of the foot, ac- companied by a sensation as if the tibia would break, which prevents him from walking. Dull stitches in the left tibia, (a. 1 h.) Burning at the tibiae, when walking. Pressure and traction in the tibia, in the evening, when sitting, (a. 12 h.) Early in the morning, when walking about, she feels a draw- ing and aching in the joints of the feet, with heat in the joints, and a sensation as if they were luxated ; this symptom is felt in the parts near the malleolus externus.

(a. 3 d.)-*-245. Aching as from a sprain, in the right foot, when walking in the open air. (a. 2± h.) Paralysis of the joints of the feet. Dull drawing stitches in the joint of the right foot, when sit- ting, (a. 11 h.) Feeling as of burning, around the external malleolus of the right foot, when walking or sitting, (a. 26 h.) Almost lancinating tearing on the dorsum of the left foot, mostly when moving the parts. — 250.

Cramp- like, pressive traction on the border of the left foot, on the pro- minence of the fifth metatarsal bone, as if he had sprained the joint by stepping wrong, (a. 5 h.) The external border of the

48 ANGUSTURA.

loot, and the part below the external malleolus go to sleep, when walking.

Stitches in the heel, when sitting, in the even ing.

Sudden tearing in the sole of the foot, when sitting.

Sweat of the feet — 255.

Sense as of drawing and clawing in the pelvis, when walking.

During exercise, one frequently feels a pain in the hip, as if it were stiff or luxated, almost like cramp.

Faintishness of the lower extremities, which is espe- cially felt above the knee-joint, as after a distant journey.

Sense as of drawing and clawing in the right knee-joint when walking or when standing upon the foot stretched forward.

Sense as of stiffness in the feet (lower extremities) almost as if the contact with a consumptive individual had deprived him of all strength. — 260.

Traction in the tibia and the neighbor- ing muscles.

The feet feel numb and pithy, as far as the knees, but without any tingling.

Momentary cramps in the feet.

Cramp-like pain in the anterior part of the foot, without any real contraction of muscles, more when sitting or at rest.

(a. ., h.) Pain of the foot, when standing upon it. — 265.

Cramp-like pain in the foot, followed by an aching on the day following, and a feeling, when standing upon the foot, as if it had been bruised by blows.

General Symptoms : Cracking in almost all the joints, but it is not audible. Itching, in the evening, when in bed ; after rubbing the parts, flat, very painful ulcers make their appearance.

Fainting Fits, Weakness, Paralysis : Sensation in the whole body as if he had lost his strength, and as if the marrow of the bones had become stiffer and coagulated, (immediately.) One feels excessively tired after walking in the open air, espe- cially in the thighs. — 275. Lassitude and weariness of all the limbs, without any sleepiness. When walking, he feels a painful straining in the muscles, here and there. In the even- ing, after having sat for an hour, he feels quite stiff and con- tracted ; after rising from his seat he is unable to right himself, (a. 13 h.) Paralytic weakness in the hands and elbow-joints ; he wa% scarcely able to move them, without, however, feel- ing any stiffness, and without, otherwise, any obstacle, accom- panied by chilliness and want of animal heat, (a 1 h.) Crack- ing in all the joints, (a. 26 h.) — 280.

Greatly excited and ex- travagant mirth, accompanied by traction in the limbs, as if the tendons were strained, in the afternoon, (a. 2 d.)

Sleep

He feels pretty cheerful and lively, when he per- forms no intellectual labor ; but he becomes dizzy when read- ing something ; he then falls asleep immediately.

Uneasiness, early in the morning, frequent yawning and want of disposi- tion for any kind of work.

(a. 4 d.) When sitting and read-

ANGUSTURA. 49

ing, he falls asleep, but is roused up by the slightest noise, and starts up with a great chill which thrills through and through his body.

Frequent yawning, with extension and stretching of the limbs, (a. 24 h.) — 285.

In the evening, great physical depression, and irresistible inclination to sleep while sitting ; he sleeps one hour, with snoring, but afterwards, on lying down, he cannot fall asleep under an hour.

Great sleejmiess in the evening, until nine o'clock, afterwards one is wide awake until after midnight.

His sleep is interrupted by dreams until six o'clock in the morning ; then he became wide awake, afterwards fell asleep again, and then remained sleepy until noon.

Sleep, towards morning, with dreams.

Vivid dreams, which were partly disagreeable, partly causing anxiety ; he frequently woke up ; when he had fallen asleep again, he always dreamed of something else. — 290.

Uneasy sleep ; un- easy sleep at night, which came on only towards morning ; full of dreams.

Uneasy sleep, full of dreams ; he did not wake up, however, and had pollutions two nights in succession.

Con- fused dreams, partly of a terrific nature.

Frequent attacks of yawning, without any sleepiness, with a cramp-like pain in the jaws. — 295.

Inclination to constant stretching.

Uneasy sleep ; she often wakes up, without any cause.

Fever

Early in the morning, chilliness in the bed, with- out any subsequent heat.

Internal shivering at three o'clock in the afternoon, with violent thirst, without any subsequent heat, several days in succession.

At three o'clock in. the afternoon, one feels a shivering, with goose-skin, abating in the open air, without any thirst, for several days in succession. — 300.

Slight heat after the chill.

Increasing warmth over the whole body, towards evening.

Heat around the head, with sweat upon the forehead, early, when in bed.

Heat, in the night, especially around the forehead, so (hat she is unable to sleep again after three o'clock in the morning ; at nine o'clock in the forenoon, she experiences a chill.

Violent chills over the back, when walking in the room, in the forenoon, (a. 25 h.)— 305.

A good deal of thirst, in the forenoon ; in an hour afterwards, chills, over the back.

Increased warmth of the cheeks and the body, accompanied by aching in the temples and the sides of the forehead.

Internal and ex- ternal heat of the face, immediately after supper.

In the afternoon, feeling of warmth in the whole body, espe- cially the cheeks, not without thirst, (a. 2 d.) Warmth of the whole body, towards evening, with pressive traction in the side of the forehead, and accompanied by thirst, (a. 4 d.)— 310.

.50

ARGENTUM.

Warmth of the body, except the head ; the cheeks were cold. ' Upon entering the room, in the evening, he feels a great heat : he knows not what to do with himself, but he experiences no thirst, (a. 2d.)

Moral Symptoms : Discouragement and peevishness, (a. 24 h.) Discouragement, dissatisfaction with his situation, he does not bear a joke ; slight offences fill him with bitterness, (a. 12 h.) He gets easily frightened, and starts. — 315. Bright mood, when walking in the open air, (immediately.) 2 Bright mood ; he is confident that he can achieve every thing with vigor, (a. 48 h.) 3 Liveliness and activity of the mind. 4 He has not confidence enough in himself to undertake and to achieve voluntary motions. Pusillanimity.

ARGENTUM.

The gastric juice being unable to dissolve this metal in its genuine form, the manufacturers of our systems of Materia Medica have, speculatively, inferred that Argentum has no more medical properties than gold.

Having been deterred, by the bold assertions of allceopathic physicians, from ascertaining the medicinal properties of silver, I contented myself, at first, with using the nitrate of silver in drop-doses of the quintillionth degree, which gave me an oppor- tunity of observing the few subjoined symptoms.

In spite of the assertions of our speculative theoretician. s, who consider the stomach as a cooking or digesting machine, filled with gastric juice which cannot, possibly, dissolve in the stomach what it has not been able to dissolve in the crucible — the dissolved substances being, from the stomach, sent forth, by a process of absorption, into the circulation — I could not resist the temptation of trying the pure metallic silver, after having triturated one grain of it with ninety-nine grains of sugar of milk. The interesting symptoms which have been produced by this trituration, will be found pointed out a little farther on.

1 Note: The latter pari of this symptom was owing to the reaction of the vital principle; since the person, before taking the Angustura had been affected with heat of the cheeks for several days.

2 Note: This appeared to be a curative reaction.

3 Note: Reaction of the vital principle.

4 Note : Reaction of the vital principle.

ARGENTUM. 51

I have, afterwards, found that one ten-thousandth part of a grain is a sufficient, and even too strong a dose, for homoeopa- thic use.

The empiric reputation, which the nitrate of silver enjoys, in common epilepsy, appears to have originated in the fact, that several varieties of convulsions, which indicate copper, have been cured by a salt of silver containing copper ; the symptoms which I have discovered do, by no means, indicate pure silver as a remedy against epilepsy.

R. Boyle's so called Diuretic Pills, containing nitrate of silver, are wholly inadequate to the object for which they are intended, not only on account of the dangerous size of the dose, but also on account of a profuse secretion of urine being a pri- mary effect of silver, (the antagonistic effect of a diminished secretion of urine in certain swellings of the urinary organs,) which must invariably be followed by a diminished secretion of urine, as soon as the vital principle shall have regained its control. If exhibited in ischuria, the remedy would act as an antipathic, and prove pernicious.

Physicians could not help administering remedies as anti- pathies, because they never investigated their primary effects ; they did not even know that the permanent effect, in the animal organism, of medicinal drugs, is always the opposite of their primary action, and that, therefore, no certain and per- manent cure can be effected, except by remedies which are capable of producing, in a healthy organism, morbid symp- toms analogous to those of the disease.

Some forms of diabetes can be permanently cured by silver, provided the other concomitant symptoms are also indicated.

According to Noack and Trinks, the nitrate of silver may be exhibited in epilepsy

Diabetes

Typhus abdominalis

Dy- sentery, erysipelatous inflammations of the skin

Asthenic, su- perficial ulcers

Congestions to the head, with vertigo

Oph- thalmia • Ophthalmia neonatorum

Amaurosis

Spongy, readily-bleeding gums

Chronic affection of the stomach of a nervous and inflammatory kind; periodic gastrodynia

Blennorrhea of the genital organs.

Asthma ;

Angina pectoris.

Analogous remedies : Argentum

Aln.

Alum.

Natr. mur.

Phosp

Antidotes : Merc. corr.

Natr. mur.

Nitr. ac.

Hahnemann gives the following symptoms of this drug :

(The head became affected as if the epileptic fit would come on.) (Presentiment of the approaching fit.) Obscura- tion of sight, accompanied by anguish, heat of the face and lachrymation. Sensation as if the velum palatis were swol-

ARGEXTUM.

len, only when moving the tongue, or when'swallowing. — 5.

Sensation in all the limbs as if they would go to sleep and be- come rigid.

Faintishness, in the afternoon.

Profuse night- sweat.

Anguish, which forces one to walk fast.

OBSERVATIONS OF OTHERS.

Vertigo ; accompanied by total but passing blindness.

Loose, easily bleeding gums, which, however, were neither painful nor swollen.

Nausea, heaviness and pressure in the stomach.

Burning heat in the stomach. — 5.

Burning heat in the stomach and chest.

Considerable irritation of the urinary organs.

Disagreeable obstruction in the upper part of the nose, three days.

Discharge from the nose like white pus, mixed with clots of blood.

Teeth

Black teeth. — Blue tongue (also in animals).

Sleep

Comatose sleep.

According to Noack and Trinks, Argentum is useful in Dia- betes, mercurial cachexia, chronic laryngitis.

It seems pro- bable that it will be of some use in diseases of the heart, in coxalgia, but especially in certain affections of the elbow and knee, which require a close investigation ; rheumatic and arthritic affections of the joints

Itching of the skin

Hypo- chondria

Chronic, inflammatory conditions of the stomach and mouth ;

Syphilitic ulcers of the fauces

Pollutions.

Antidotes

Aeon.?

Merc.

Puis.?

Analogous remedies : 1.

Aur.

Plat.

Zinc. 2.

Asafoet.

Chin.

Merc.

Nitr. ac.

Nux v.

Puis.

Stann.

Head

He felt suddenly giddy, and as if a mist had been before his eyes.

Vertiginous drowsiness ; his eyes closed.

He began to feel a tingling and turning in his head, as if he were tipsy.

The head feels dull and hollow, his whole brain aches, accompanied by chilliness. — 5.

Aching in the forehead, with stupor, and drawing pressure in the occiput.

Stinging and burning pain in the head.

Violent lancinating and tearing pain in the head.

(Early in the morning, stitching headache, with redness of one of the eyes.) When standing or reading, he suddenly felt a burning sensation in the scro- biculus cordis, a sense as of a dull compression of the brain from all sides, and an approaching vertigo, with nausea and inclination to vomit in the region of the sternum, such as is experienced after turning quickly round in a circle • at the same time there is a sudden heat in the whole of the body but

ARGENTUM. 53

mere in the face, and momentary sweat on the chest and in the face. — 10.

The nape of the neck feels stiff, there seems to be something foreign in the occiput, a kind of drawing and piessing seems to be felt in it.

Spasmodic quivering and sub- snltus of the right temporal muscle, the occipito-frontalis muscle of the right side, the muscle on the side of the neck near the cricoid cartilage and towards the nape of the neck ; this subsultus repelled the hand, and was accompanied by a quivering pain.

Pimple on the left temple, which is painful when touched.

Attacks of vertigo ; he cannot well control his senses ; this symptom also occurs when sitting or reflecting, (a. £ h.) A little dullness in the head. — 15.

He is all the time in a kind of intoxication ; he knows not how to define his state.

Sense of darkness in the head, as if there were smoke in the brain.

Sensation in the head, both as of pressure and trembling, over the right ear, towards the occiput, (a. 4. h.) Excessive pain in the left temple, being both pressive and tear- ing, (a. 5 h.) Tearing in the left temple. — 20.

Tearing, ap- parently in the left temporal bone and over the left mastoid process.

Drawing pain extending from the occipital bone as far as the middle of the frontal bone, obliquely across the right temporal bone, externally.

Pressive and tearing pain in the region of the right and left temporal bone, increased by con- tact.

Clawing pressure in the right temple, with sharp stitches occurring at short and regular intervals from without inwards, (a. 5. d.) Cutting stitches, apparently in the skull or on the surface of the brain, close in front of the left ear towards the anterior part of the face. — 25.

Aching in the region of the temporal bones, externally.

Aching in the region of the left parietal bone, externally.

A slight pressure in the head causes a feeling of soreness.

Slight thrill of shivering over the hairy scalp.

Aching in the forehead over the eyebrows, (a. 2 h.) Tearing ache in the left frontal eminence, (a. 6 h.) — 30.

Tearing ache under the left frontal eminence ; the globe of the eye feeling, at. the same time, compressed.

Intermittent boring the whole day ; the pain increases in the evening, after lying down.

(a. 7. h.)

Eyes

(The upper and lower eyelids are very red and thick ; however, the eyes do not suppurate.) Violent itching in the corners of the eyes.

Nose

When blowing the nose, there is violent bleeding at the nose (immediately after dinner) and again in three hours. — 35. Tingling and itching in the nose was followed by bleeding.

Face

Painful, gnawing pressure on the bones of the face

54 ARGENTOI.

of the risht side ; the pressure is strongest on the jugum.

(a. 1 h.) Tearing at the left zygoma.

Fine, drawing pain in the muscles of the face, especially in the region of the cheek-hones.

Fine, painful stitches in the right molar bone.

Ears

40

Violent itching of the external ear ; he scratches until the parts bleed.

Cutting stitches from the internal ear of the left side as far as the brain.

Sensation in the right ear, as if it were stopped up.

A sort of pressive tearing over the left ear, at a small place, (a. 12 h.) Corrosive itching of the lobules of both ears early in the morning, after rising, (a. 12 h.)

Jaws and teeth : — 45.

A drawing pain from under the fossa behind the right lobule as far as the skin of the cheek, extending even down to the lower jaw, as if the pain were in the periosteum.

When masticating, sense as of cutting, in the direction of the parotid gland, as if one had taken something very acid ; the pain seems to be felt in the Eustachian tube.

(An incisor tooth, when being pressed forward, was painful.) a. 5 h.) Swelling of the upper lip, close under the nose.

The gums are painful, especially when touched.

Mouth And Throat

50.

A little blister on the tongue feeling sore and burning.

His throat feels raw and sore.

Bor- ing and grinding pain in the throat.

Pressure on the outer and left side of the neck, when walking in the open air.

Cut- ting stitches under the right half of the lower jaw, apparently in the submaxillary gland, from without inwards.— 55.

The region of the submaxillary glands is swollen ; this makes the neck stiff, and produces a tension in the parts when being moved ; deglutition is, at the same time, made difficult, as if there were internal sicelling of the neck ; he is obliged to force every mouthful of food down his throat, (a. 48 h.) Feeling of dryness of the tongue, which, however, is moist.

Soreness and rawness in the throat, during an expiration and during deglutition.

Roughness and rawness of the throat, con- tinuing the whole day.

Sense as of scraping in the velum pen- dulum palati, as if a rough body were glued to it ; it was not a painful, but a disagreeble sensation, and was more felt during an empty deglutition than when swallowing a morsel, but the sensation was felt constantly, and forcing one to swallow the saliva ; in a few hours this feeling descends deeper into the throat.— 60.

When yawning, one feels a painful tension in the fauces as of a swelling.

Taste and appetite : His speech is impeded on account of much viscid saliva accumulating in his mouth. The saliva accumulates in his mouth ; this symptom is accompanied by a

ARGENTUM. 55

chill.

Viscid, gray, jelly-like mucus in the throat, which may be easily hawked up, early in the morning.

Indifference to food ; he is satiated immediately. — 65.

One has no longer any appetite early in the morning.

Violent appetite, (a. 40 h.) Violent appetite continues even when the stomach feels replete.

Excessive gnawing hunger the whole day ; which cannot be satisfied by eating.

Afterwards, during several days, this hun- ger could only be alleviated for a short time by eating. — 70.

Sensation like that of heart-burn.

(a. l-£ h.) Hiccough when smoking tobacco as usual, (a. 1-J- h.) Almost continual qualmishness and nausea.

Feeling of nausea in the throat, followed immediately by heat over and over, mostly about the head, accompanied by redness of the face, without any thirst, (a. \ h.) Retching, by means of which a bitter, acrid, badly-smelling liquid is brought up from the stomach into the mouth, which leaves behind it a continual sense of rawness, roughness and burning in the throat, (heart-burn.) (a. 8 h.) — 75.

(Great desire for wine.) His appetite is en- tirely gone ; he loathes food even when merely thinking of it.

Abdomen

Early in the morning, sense as of burning, like heart-burn, in the abdomen, stomach, and as far as the chest.

At night, a painful distention of the abdomen, with a sense as of pressure ; it passed off without the emission of flatulence.

Rumbling in the abdomen during the night, and emission of flatulence. — 80.

Contractive pain in the belly, after the morn- ing-stool ; it seems owing to a cold, when sitting.

Painful sensation in the hypogastrium during a soft evacuation.

Two vomitings in the afternoon, during stool.

Pressure at the pit of the stomach.

Pinching, transversely across the stomach and in the left hypochondrium. — 85.

After he has begun to eat, he feels an excessive pressure extending from the hypogastrium downwards towards the region of the ossa pubis ; the pressure becomes worse during an inspiration, and is alleviated by rising from one's seat.

Loud rumbling in the abdomen, like the croaking of frogs, (a. f h.) Belly-ache as in diarrhoea.

Cut- ting, internally, transversely across the abdomen.

Contraction and straining of the abdominal muscles when walking, so that he has to walk stooping. — 90.

Sharp stitches, from within out- wards, in the abdominal muscles, near the last true rib ; they terminate in a fine pinching, and abate a little by rubbing, (a. 60 h.) Boring pain on the right side of the hypogastrium, im- mediately over the groin, (a. 34 h.) Cutting stitches on both sides in the region of the abdominal ring.

(a. 3^ h.) Sensa- tion, in the bend of the left groin, as if the tendon of the psoas muscle were strained ; when pressing upon this tendon,

56 ARGENTUM.

it feels painful as if it had been bruised. Straining in the hy- pogastrium during a pretty soft evacuation, and even after- wards, (a. 72 h.)

Stool

95

Frequent and always successful desire for stool in the lower part of the rectum, with expulsion of a small quantity of soft stool, continuing for several days.

(a. 2± h.) Stool after dinner, which is very dry and sandy, but which passes off without any trouble, (a. 8 h.)

Urinary Organs

Frequent micturition, (a. 6 h.) Fre- quent desire to urinate, and copious emission of urine, for several hours, (a. 2 h.)

Generative functions : Pollutions, at night, without any lewd dreams. — 100. Pain in the left testicle, as after a contusion (a. 49 h.) Effusion of semen almost every night.

Cold, catarrh : Irritation in the nose, as if a cold would come on.

(a. 1 h.) The nose is obstructed, in the forepart of both nostrils ; a sensation as of biting in the left nostril.

Fluent coryza ; the nose is constantly full of mucus. — 105.

Excessive fluent coryza with frequent sneezing, for two days.

Violent fluent coryza without any sneezing, (a. 10 h.)

Larynx and trachea : Laughing produces mucus in the larynx and excites cough. Mucus in the chest, and cough with discharge of phlegm, (a. 26 h.) When ascending the stairs or stooping, mucus gets into the trachea, which is expelled by one single fit of cough. — 110. When stooping, mucus gets into the trachea, which is expelled by one single fit of cough. Irritating, short, hacking cough, without any expectoration ; early in the morning after rising from the bed.

(a. 48 h.) A dull cutting, which takes the form of a stitch, is felt in the trachea from below upwards, occasioning two or three fits of cough ; that pain continues even after the cough ; the cough produces a kind of watery expectoration, which, how- ever, does not relieve the cough, (a. 24 h.) *Rawness and soreness of the larynx, especially when swallowing (Jahr) — when coughing, not when swallowing. Several attacks of a short, rattling cough by day, not in the night, nor in the open air, accompanied by white, thickish, loose expectoration, looking like'boiled starch, but not transparent, without any taste or smell. — 115.

Cough early in the morning.

Chest

Cutting stitch, transversely across the last rib of the left side, when stooping sideways and leaning on the arm. Pressure in the side of the back, opposite the belly ; afterwards fearfully violent, oppressive stitches, occurring at the least mo- tion or when breathing, so that he had to walk crooked ; when lying still it seemed as if there were a griping in those parts

ARGENTUM. 57

as in a malignant ulcer ; there was oppression of the chest, as if a large load had been lying upon the chest, which almost prevented breathing. Spasmodic aching and tension in the region of some of the ribs. In the right side of the chest occurs, for a minute, such a violent stitch from within outwards, that he is neither able to expire or inspire (when sitting,) (a. 28 h.) — 120. Fine stitches inside of the upper part of the sternum, from within outwards, (a. 48 h.) Sharp stitches on the right side, near the nipple.

Stitches under the right nipple ; inspiration or expiration does not mod- ify the symptoms. Tearing below the right nipple. Gnaw- ing irritation on the left side of the chest, when at rest. — 125. Cramp-like pain on the left side of the chest ; after the pain has subsided, the place is yet painful to the touch, (a. 9 h.) (Oppression and burning in the region of the heart.) Sensa- tion of oppression in the left side of the chest, over the heart, (a. 78 h.) A lancinating and clawing pain in the left side of the sternum ; the pain is the most violent when one stoops, and is not influenced either by expiration or inspiration, (a. 8 h.) Pressing stitches on the right side of the chest and in the sternum, increased only by deep inspirations, (a. a few min- utes.) — 130.

During a deep inspiration, there is, under the second or third rib of the right side, a place of the size of half a dollar, which is affected with a pain pressing from within outwards. On the right side of the chest there is a place af- fected with a pain, as jf something hard were pressing upon the ribs. Violent pressure on the sternum, internally, which is increased by every motion, especially by stooping and then raising one's self again. Aching of the sternum, externally.

Prickings under the xiphoid cartilage of the ster- num. — 135. Sharp stitches, on the right side, near the handle of the sternum, (a. 8 h.) Sharp stitches between the sixth and seventh true ribs of the right side, which was increased during an inspiration. Dull stitches on the left side, under the last false ribs. Dull stitches under the third true rib of the left side, re- maining the same both during an expiration or inspiration.

Slowly intermittent, dull stitches under the cartilages of the last true ribs, on the left side, over the pit of the stomach, (in the evening when in bed.) (a. 31 h.) — 140. Violent cutting, in both sides, in the region of the lowest ribs, from within out- wards, the pain is severe only during a deep inspiration ; when moving the trunk without taking an inspiration, he feels no ag- gravation of the pain, but he does feel it as soon as he inspires, (a. 10 h.) Cutting stitches at the termination of the ribs, on the

53 ARGENTUM.

right side near the vertebral column, especially when curbing the back.

Back

Burning stitches on the right side, in the small of the back, when sitting ; when rising, or when pressing upon the part, the pain is simply burning ; but there are then no stitches.

Traction on the right side of the posterior brim of the pelvis, and in the small of the back.

(a. -J- h.) Sensation as if the small of the back had been knocked away.

(a. 24 h). — 145.

Dull stitches in the second lumbar vertebra.

Superior Extremities : Titillating, and itching stitches between the scapula, resembling violent flea or musqueto-bites ; he could hardly obtain any relief by scratching.

Tensive traction of different places of the arms ; it was like stitches.

Spasmo- dic aching and drawing pain in the bend of the right elbow, as if the arm had been violently sprained by motion ; the pain was only felt dining motion, more when extending than when bending the arm.

Aching, drawing and tensive pain in the bends of both elbows ;

(it is felt in every position of the arms ;) when pressing upon the parts, the pain disap- pears for a moment, but then returns again immediately. — 150.

Spasmodic aching and drawing pain at the internal side of the left fore-arm.

Sharp pressure under the scapulae.

Excessive tearing in the upper portion of the left scapula ; the pain is felt when sitting, and abates when rising from the seat.

Tingling of the left scapula, as if the parts had gone to sleep.

Tearing on the top of the shoulder, and in the region of the head of the humerus. — 155.

Tearing in the glenoid cavity of the scapula, which extends as far as the clavicle.

Boring stitches in the right axilla, which did not go off when the parts were touched, (a. 30 h.) Tearing ache below the shoulder- joint.

Continued pinching in the right upper arm.

(a. 1 h.) Tearing in the left upper arm. — 160.

Burning, quickly passing stitch, in front, in the middle of the left upper arm.

Aching in the flesh of the upper arm, which increases by contact.

Cramp in the middle of the upper arm, when lifting it up ; otherwise the cramp is scarcely felt.

(a. 10 h.) Paralytic feeling in the arms, during motion, especially in the elbow-joint, (a. 32 h.) A sort of paralysis of the right arm and hand ; it drops, and he has to make a great effort for the purpose of writing, (a. 3 h.) — 165.

When bending the arm, there is a tension, externally, at the upper extremity of the ulna.

(a. 6 h.) Violent, tearing ache in the muscles situated between the olecranon process of the ulna. and the trochlea of the humerus, (a. 31 h.) Not long continuing, jerking tearings, apparently in the bony processes forming the

ARGENTUM. 59

trochlea, first of the right, then of the left fore-arm, finally in the posterior joint of the right middle finger, returning from time to time.

Intermittent prickings in the trochlea of the right side, especially in the muscles.

Sharp, continued stitch behind the wrist-joint, at the beginning of the trochlea, (a. 6 h.) — 105.

Stinging and itching burning under the skin, at the internal side of the wrist-joint, (a. 32 h.) Titillation in the palm of the right hand, which forced one to scratch, (a. 33 h.) Cramp-like traction in the back of the right hand and foot.

Tearing ache in the bones composing the wrist joints of either hand.

Tearing and aching of the metacarpal bone of the thumb, and in the two posterior joints of the big toes of the feet ; the pain becomes worse by contact — 170.

Tearing in the posterior joint, and the metacarpal bone of the fourth finger of the left hand, accompanied by spasmodic clenching of the fingers, especially when seizing something.

Traction in the joints of the three midmost fingers of the left hand, both when in motion and at rest.

Inferior Extremities : Tension and traction in the groin below the abdominal ring, extending as far as the left thigh. Violent pain at a place behind the left hip, as if he had had a violent fall upon that place ; the pain is only felt during motion ; it was not excited by standing, (a. 32 h.) When running and setting down the left foot which is stretched forward, he feels a painful, pricking sort of a pressure in the right hip-joint. — 175. Paralytic weakness in the right hip-joint, when walking, especially when moving the leg forward ; moreover, stitches when setting down the foot ; this caused him to limp, but soon went off.

Sense as of a tingling hum- ming (this is the literal meaning ; the idea is " a sort of vibra- tion,'") in the left thigh, and traction in the anterior muscles. Jactitation of several muscles, especially of the right thigh. Slight twitchings of the external side of the left knee, accom- panied by a sensation as of gurgling (the literal translation ; another peculiar sort of vibration,) when sitting, (immediately.) A cramp-like incisive pain over the left knee, on both sides, when he does not move the body.

(a. 8 h.) — 180. Tearing dull stitches over the left patella, in any position. Tearing in the left knee-joint when sitting, (a. 72 h.) The knee is pain- ful, as if it had been bruised ; the pain is worse when sitting than when walking, (a. 1| h.) The knees often bend when walking. Aching in the knee-joint, and from within out- wards, in the muscles of the left extremity, when sitting. — 185.

In the evening, when in bed, he experiences burning, corrosive stitches in the left tibia, not far from the knee, which

60 ARGENTUM.

caused an involuntary jactitation of the foot. (a. 17 h.) Cramp in the left calf, which is worst when at rest. (a. 4 h.) When going down stairs, the gastrocnemii muscles are painful, as if they were too short. Pain as from bruises and throbbing, in the joints of the feet, worst when sitting, (a. 3 h.) In the joints of the feet, and in the lower parts of the legs, there is a considerable turmoil and dull beating, as from great fatigue, accompanied by tingling and stinging of the skin of the tibiae, worst when at rest, but less during motion, (a. 14 h.) — 190.

Sensation in the joint of the left foot, as if the foot had become detached, and as if the cartilage of the joints had become severed, when walking. Cutting stitches in the external malleoli from within outwards, when sitting, almost not felt when walking ; the cutting is worst when the foot is supported upon a narrow lath. (a. some h.) Tearing in the feet, at times in the soles, at times in the dorsa, or in the heels, toes, (espe- cially in their posterior joints,) in the tarsal or metatarsal bones ; the pain does not extend beyond ,the malleoli ; very seldom a shooting pain was experienced beyond the malleoli.

A some- what burning sensation in the right heel and the tendo Achil- lis ; the parts felt as if they had gone to sleep. Violent burning in the corn, in paroxysms, even without any pressure, for twenty-four hours.— 195. Paralytic weakness in the hip and the thigh. (Several pimples on the tibia, with a burning pain.) Pain in the heel when stepping upon the foot, feeling as if it were pithy, (continued.)

General Symptoms : Lassitude and heat all over, when walking in the open air ; he has no sweat, and feels a sort of anguish, as if his clothes were too tight.

The symp- toms reappear every day about noon. — 200.

Intolerable itching, as from a flea walking over the head, and the whole body.

Burning itching, here and there, on the skin ; for instance, upon the skin of the face, the hands, etc. ; this did not, how- ever, make scratching necessary.

A sort of tearing ache at the extremities of the long bones, over or below their joints in different parts of the body.

(a. 48 h.)

Weakness, Paralysis : Great weakness of the body, especially of the thighs, when sitting or walking, with somno- lence, (a. 4 h.) Uneasiness, laziness in all the limbs.

Sleep

205.

Dreams about the events of the day.

Anx- ious dreams ; on waking up, he felt yet so anxious, that he imagined he had suffered the accident he had dreamed about.

Fever

In the afternoon, chilliness until he went to bed ■ even, when in bed, he could not get warm ; sweat after mid- night. Chills over the upper portion of the body, at night

ARNICA MONTANA. 61

when lifting the cover ever so little ; when properly covered, he felt comfortably warm.

(a. 4 h.) In the forenoon, heat, and feeling of heat over the whole body, less, however, about the head, without any thirst, with a little sweat on the abdomen and some on the chest.

Chilliness on the back, and on the feet as far as beyond the malleoli ; it continued for two hours, and was very painful ; walking availed him nothing, (a. 6* h.) — 210.

Shivering through the whole body.

(a. 1;, h.) In the evening, when in bed, quick pulse with thirst, (a. 11 h.)

Moral Symptoms : Increased cheerfulness and disposi- tion to talk the whole day. (a. 3 h.) (Reaction.) (When pleased, she is excessively merry ; but she cries when the least thing contrary happens.) Discouraged.