Homeopathy LibraryChelidonium Majus
Hale - Materia Medica and Special Therapeutics of the New Remedies · Edwin Moses Hale · 34,853 chars
General
{G-reat Celandine.)
Dbsoription. — Root cylindrical, reddish-brown, with many fibres; stem upright, hairy, branched, one to three feet high. Leavea soft, pionate, netted, bright green above, glaucous beneath, with large trifld terminal lobea; tip oval, sinnate, or crenafe; petioles winged, hairy. Flowers of four petals, yellow, in four-to-ninc-flowered axillary cymes, each flower with a peduncle and bract; petals nearly round; calys of two convex, green, deciduous, nearly smooth sepals; stamens twenty; divergent, equal.
Fruit a siliquose, n'. any .seeded, knotty capsule, with two carpels.
Seeds shining, blackish-brown, with little pits. Duration, perennial.
There are, besides, but two species known as yet — one of which grows in Japan {Ch. Japanicum, Thumberg), and one in North America (Ch. di- phyllum, Mich.)
In the whole of Europe no other plant grows wliich, when injured, gives out golden-yellow milk; and from this peculiarity, no plant is so well known to every village child. The milk of the root has a redder tinge than elsewhere.
This fluid is contained in special canals which reticulate over the leaves and open into main vessels along the ribs. Schnltz first made known the movement of the juice, called by him Cyclosis.
If a recently gathered tender leaf be placed nnder a good microscope, one can see the reticulated canals colored by the yellow juice, and plainly disUnguish the slow movement of the fluid, whilst crowds of globules pass tJiroTigh tlie petioles
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CHELIDONIUM MAJUS. 179
If a leaf he torn across, the yellow juice issues in drops out of the larger veins on both sides of the ribs.
On the akin the juice makes yellow spofs, which oa drying turn hrown- iah-biack, and also colors the dried root black.
The smell of the recent plant is disagreeable; tlie ta«te sharp and bit- terish, especially of the root.
On drying, it almost entirely loses the smell.
The milk, when dry, tastes more hitter than sharp.
After chewing the plant, the taste remains for several hours, and gives a sensation of heat in the mouth, tiiroat, and stomach. Eight pouuds of the fresh plant lose one pound eight ounces by drying in the shade.
OFFictNAL Prefakation, — Tincture of the whole plant; dilutions.
Abaumjcbb. — Agm-imis, jSJeetdut, Bryonia, China, OardvMS, Dioicorea, J/yecpodium, LtjttaaidTit, Mevawrma, Sux vomioa. Podophyllum, Phosphorus, Bnlphmr, Sanguinaria, Myrica.
Mental Sphere. DepreasioQ of spirits; extraordinary dejection. Incapacity for thoiight. Cross, quarrelsome disposition, {p.) Great calmness of spirits and cheerfulness, (s.) ° liestlessness and tineasy conscience, as if she had committed
a great crime and could find rest nowhere. " She thinks she must die.
" Thinking becomes difficult to her, and she easily forgets what she wants to do or has done.
Head
* Tearing in left side of the occiput, over the ear and toward
the front.
* Repeated attacks of violent throbhing pains from nape to
occiput.
* frontal headache and itching of the skin.
Shooting in the forehead under the skin.
Aching pains in both temples.
Tensive, heavy feeling in the top of the head extending to the occipital protuberance, and the head feels as if surrounded by a band; inwardly a pressing heaviness.
* Great weight in the occiput, and drawing in the nape from
above downwards.
Giddiness, with weight in the upper part of the head.
On moving the head the neck is stiff on both 'sides, and pain- ful on taking a deep breath.
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180 CHELIDONrUM MAJUS.
Feeling of undnlation and weight of the whole head. Sliooting in the frontal bone over the left eye; thereafter on
left side of the oeeipnt. Violent throbbing in the temporal arteries with headaehe;
achii)g pain in right temple, then in right parietal bone,
lastly close over the right eye. ° Throbbing headache. ° Twitching here and there in the head. Congestion of blood to the head. ° Feeling of a cord about the forehead and temples, close over
the eyebrows, as if the head were compressed. ° Pain in the head, increased by fresh air, cough, blowing tho
nose, and stooping. Twitching here and there in the head. ° Vertigo on sitting up in bed.
Vertigo, with shivering over the upper part of the body. Vertigo on closing the eyes, as if everything were turning in a
circle.
" Vertigo, with tendency to fall forwards.
Oreat pain in the head, passing from within outwards, espe-
oiallg towa/rd the forehead, all day. Fressive, tearing pain between the eyebrows and over the right
eye, tending to close the eyes. ° Neuralgic pain over the right eyebrow, periodically, every
morning.
Yiolent throhhimg i/rt the temples, with great anxiety.
Periodical stupefying pains in the crown and left temple, so
that her ideas are lost. " Yiolent drawing pain from, the crown to the nape, so that
she ia forced to draw up her shoulders, close her eyes, and
tread lightly. " Splitting pressure, and painful throbbing, in the occiput,
worse on lying down.
Sensation of cold mounting up from the nape to the occiput.
When she wants to sit up in bed she has to raise her head
with her hand, because the occiput seems to be fastened to
the pillow and broken off from the rest of the skull.
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CHELIDONICM MAJUB. 181
Creeping on the whole of the han^ scalp, and also on indi- vidual spots, passing off more or less when scratched.
Scalp on tiie crown painful; hot to the touch.
° Great falling off of the hair on the occiput when combed.
Pain in the roots of the hair when combed, as if there was ulceration beneath,
" Pressive headache, and heat in the head with the pains.
" Pressure as if from a band around the forehead and temples
° Weight in forehead, as if it were falling outwards.
° Pressing pain in left parietal region.
" Drawing pain in the occiput, with feeling as if the head were drawn backwards.
Eyes
* Lids of both eyes are closed with dry mucus in the morning. ^Tearing, pressure and shootingin right eye, soon aftenwards
in left.
Pressure in the orbits.
Shooting ill left eyelid;
" burning in lower eyelids.
* Tearing pain in the left eye and close above it. " Photophobia, with pain in forehead.
" Violent pressive pain in left eye, in the middle of the ball, as if it was so large that the upper lid could not be let down over it.
* On moving the eye, pain in the eyeballs and feeling of sand
in the eyes.
[ncrease of the pain by lamplight, relief on closing the eyes.
Pricking between the eyebrows toward the right eye.
' Stupefying pressure in the right orbit, as it were from with- out inwards.
* Pressure and pain in the upper part of the eyeballs, as if
they were squeezed in, inore in the left tha-n therigkt eye. Sudden jerk in the let\ eye, in the middle of the ball, as if it
was so large that the upper lid could not be let down
over it. Continual pricking and burning, as if from a grain of sand, in
the inner cauthus of the lett eye.
Redness and swelling of the lower tarsal edges.
Twitching and burning in the eyelids.
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182 OHELIDONnrM MAJBS.
° In the moniing the lids are swollen and agglntinated.
Flickering avid dassUng and hrtlUant "pecJcs iefore the eyet, Siie sees blackish-graj speebs before the eyes.
Wlien reading or writing the letters run into each other.
Blackness before the eyes, with a sensation i£ faintnesB.
Yellow, jaundiced color of the ejes.
Ears
Ringing, bussing and rushing in the ears.
Burning in the left ear, while the right is cold.
Shooting in the ears.
Tearing in the meatus auditorius and temporal bone.
Frequent tearings from right ear into right teeth.
Ifoarse roaring in the ears like a distant storm of wmd, A tearing pain behind the right ear, downwards,
Nose
" Dryness and itching in left nostril.
Fluent coryza, with frequent sneezing.
On blowing the nose in the morning, thick blood appeared
among the mucus. (Was subject to epistaxis.) Prolonged pressing pain from the root of the nose to the nasal
bone.
Itching and burning in the tip of the nose.
Tearing in the nostrils, most severe in the left.
J of soreness in the nostrils.
* Sunken countenance, with grayish -yellow face.
* Complexion strikingly yellow, as if from jaundice.
* Redness of the left cheek, passing gradually from bright red
to dark red. A small, defined, burning, dark red, circular, somewhat ele
vatcd spot on the left cheek.
Feeling of great cold in the face; cheeks pale and feeling cold.
Glowing heat in the face, with dark, obscure red complexion.
Vesicles on the lip and aim nasi, forming scabs.
Burning, as if from nettles, here and there on the face. isolated stitches in the face, worse in the evening in bed;
warmth aggravates, cold water relieves, the pain.
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OHELnwNruM MAJ0a. 183
° Paine in the teeth, lasting several weeks, chiefly in the whole of the left cheek, especially at night.
Toothache eveiy night (for eight days).
Drawing pain in the molars of the right side.
Sndden jerk in the teeth, as if torn out.
Violent pains in the molars of the left side, which extend to the left ear and draw into the left eye, with. swelling and redness of the left side of the face, whereupon an abscess formed on the hard palate (after rubbing the tincture into the eyelids).
" Jerking pain in right zygoma, as if torn to pieces.
Mouth
Dry, chapped, and scabby lips.
Vesicle full of serum, as clear as water, on the mucous mem- brane of the lower lip.
Bleeding of the gums.
Dryness, so that the tongue almost clave to the palate.
Abscess on the left side of the hard palate, near the furthest molar, of the size of a bean (after rubbing the tincture on the eyelids).
Tongue in the morning covered with gray, shaggy, tliick coat, which can be partly rubbed off.
Pricking on the end of the tongue; stitch in end of the tongue, left side.
Collection of water in the mouth, with nausea and giddiness.
" Dryness in the mouth and lips, with thirst.
" Redness and swelling of the uvula and tonsils. Appetite and Taste.
" Bitter taste, whilst food and drink taste naturally.
Bitter in the mouth and burning in the stomach.
Loss of appetite, especially in the evenings (for six days).
Increased appetite, such as occurs in bilious affections.
* Great thirst, with dryness in the mouth and throat.
Much thirst for milk, (it previously pi-oduced flatus).
Longing for wine, whicli relieves the abdominal pain.
Whilst taking the medicine, inclination for warm drinkB; after the proving, continual thirst for cold water.
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184 CHELIDOUI [JM MAJU8.
Great dislike to cteese, boiled food, especially flesli, and cold drinks.
Fauces and CEsophagus.
Slight irritation in the (esophagus, imperceptible when swal- lowing.
Slight shooting in the tonsils on empty swaliowing.
Contractive spasm in the gullet, forcing him to swallow.
Scraping and pricking in the throat; roughness.
Smoking causes burning pain and acidity from the cardia up into the throat.
Heat and burning from the mouth down to the stomach.
A feeling ae if some foreign body was mounting up in the throat, obliging him to swallow, and then going down again.
Hawking up of lumps of mucus,
° Peeling of diyness in the throat, with difficulty of swallowing, GaBtrio Symptoms.
Bitter eructations, and bitter taste in the mouth.
Great nausea, with increased temperature of the body.
Nausea, with inclination to vomit; (from the external applica- tion).
° Nausea and retching during a fit of anxiety.
" Vomiting of tough mucus after severe nausea.
" Eructation, with heartburn.
Stomach
" Pressure and oppression of the stomach, drawing up toward tiie chest.
Pinching, pressing pain in and below the scrobieulus cordis, increased by the touch.
Stomach pain for one hour, with eructation of wind, relieved by lying on the left side with the legs drawn up.
Spasmodic pain in scrohiculus cordis, toward the right.
" Violent pain in the scrobieulus cordis, as if the stomach was constricted.
" t)igging ])ain in the epigastric region.
Feeling of heat in the stomach, with pressure and pricking.
Stitches in tlie pit of the stomach.
Cutting in tiie stomach, increased by pressure.
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CHET-IDOmmt MAJTJ8. 185
Peculiar feeling of gnawing and clawing in the Btoniaoli, whicli passes off after eating. {See Aniicaa/nd Lachesis.)
' Pressure on the stomach, with eructation of wind.
" Pressure in the pit of the stomach, with oppression of the chest and difficult breathing.
" Distension of the stomach.
Hypochondria and Ziiver.
Stitches in the liver.
Dull throbbing and preseing pain in the region of the liver.
* Pressing pain in the region of the liver, on the edge of the
ribs; the pressure of the clothes increases the pain,
* Pain in the region of the liver, which extends quickly-down-
wards across the navel into the intestines.
" Spasmodic pain in the region of the liver.
" Congestion of the Uver, also chronic disease of the liver. ° Ja/undice, even the most obstinate functional binds; also
when caused by obstruction of the gall ducts from calculi,
or biliary concretions. . {Hale,') " Sili(wy oaloulij specific in niany cases. {Ilale^
Abdomen
Spasmodic contraction of the navel, with transient nausea. Constricted feeling over the navel, as if the abdomen was tied
round with a string.
* Violent pressing, periodically returning, and also continued
spasmodic pain in the umbiiieal region.
* Painful distension,
* Pinching about the umbUieal region as if stool were coming on. Pain over the left hip, as if there was something thick and
bulging there.
Spasmodic drawing pains in the inguinal regions, with pres- sure on the bladder.
Tensive, spasmodic pain on each side, extending from above down and inwardly, followed by a discharge of turbid lemon-colored urine.
Labor-like pain, drawing from the lumbar vertebra over the hips toward the hypogastrium.
" Abdomen distended and bard, without pain on being touched.
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186 CHELIDONTDM MAJUB.
When coughing, the whole ahdomen is painfully contracted.
Cutting in the intestines, as if from knives.
" Accumulation of flatus, with a full, bloated feeling in the abdomen.
Burning in the bowels.
Cold feeling and pressure in the abdomen, especially below the umbilical region, with cold of the whole body.
Pinching, extending toward the uhest and back, relieved by passing flatus.
Constant pinching and commotion here and there in the in- testines,
Feeling as if the intestines were torn out of the abdomen.
Sensation of turning and moving about the navel, as if an animal was wriggling through the bowels.
Rumbling, with diarrhcea following.
Stool And Anus
Stool very hard and diiiicnlt, with pains in the anus in conse- quence.
Coetiveness; stool like sheep-dung for two days.
Repeated thin fluid stools daily, from four to eight days duration.
" Mucous diarrhcea; " painless diarrhcea.
Brown watery stools.
'^ At night, once, severe watery, whitish diarrhoea, with nausea after severe chill in the evening,
* Small, thin, bright yellow stools (characteristic of its pri- mary action).
Soft, greenish stool, with cutting pain in rectum and higher up.
Pressure in the rectum, with urging to stool.
Periodic straining and pressure on the rectum, as if before stool, without result.
Sensation as if the rectum wm forced out, with spasmodic constriction of the anus, lasting all day.
Cutting pains in the anus and rectum during a hard stool.
Burning and cutting in the rectum, with alternation of itching in the anus; vertigo; fainting sensation and failure of appetite.
Painful nodule on the margin of the anus.
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OHELinONIOM MAJU8. 187
Crawling, pricking, and itching in the reetuni, and on the
perineum. "Soft bright jellow stool, with straining and moderate pain
in the anus afterwards. ° White, clay-colored stool, destitute of bile, {Hale.)
Urinary Organs
Pressing pain in the left renal region. Stitch in the left kidney on deep inspiration.
* Fain in region of both kidneys, which are very sensitive to
pressure, even the bands of the underclothing give pain
there- in tJie morning on rising, violent stitches in renal region,
making her cry out and then fall down. She cannot He on her back owing to pain in tlie renal region,
and must also often change from side to side. Gets most
relief by lying on her face. Spasmodic pain in right kidney, with sweat on forehead and
hands. Spasmodic pain close above the oa pubis, with frec[uent urging
to pass urine.
Bnruing in the nretlira when passing urine.
Shooting and cutting in the urethra on passing urine, and on
moving the body.
" Shooting pains in the region of the bladder.
Frequent call to pass urine/ pale, watery.
Call to make water every qunrter-liour, passing some five
times within one and one-half hours. Had to make water ten to twelve times a day, and two or
three times a niglit, and a gi-eat deal each time.
" Urine reddish and turbid immediately after being passed.
" Napkins reddish-brown from the nrine; after drying still
more darkly colored. " Urine dark brawn, turbid, forming bubbles on the edge like
brown beer. Urine has an excess of uric acid salts.
* Urine turbid as soon as passed, lemon yellow after previous
pains in the inguinal region. In four hours a grayish yellow, mucus, cloudy aedimeut, without the urine being
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188 CHELIDOmUM MAJUB.
cleared.
The iniier surface of the utensil is covered with reddish crystals of uric acid as far as the urine reaches.
The urine is turbid from an excess of acid uric salts, is deficient in chlorides, contains erj'stals of hippuric acid, mucous epithelium, and compact urinary cylinders.
" Urine bright red, wiih a sharp add smell.
Urine with a strong ammoniacal smell. Generative Organs.
Male
Pressure and forcing toward the root of the penis.
Shooting and creeping on the glans.
Frequent erections even in the day time.
Pressure and tensive pain in the testicles downwards, with pressive pain in the occiput.
Drawing and stitching pain in the testicles.
Redness, heat and swelling of the scrotum.
On the following day, on both sides there is here and there a raising of the epidermis from yellowish senim in flat vesicles the size of a pin's head, and from that to a small lentil, painful to the touch.
In the evening the vesicles burst and the red and swollen skin, stripped of the epidermis, discharges a little fluid.
On the morning of the third day the scrotum is covered with dry, thin, cracked, red scales.
.P'emale. — Daily for 14 days constant burning in the vagina at precisely tlie same hour, forenoon and afternoon.
Menstruation set in two days earlier than usual, but more copious.
Menstruation four days too early, and rather in excess, after vertigo, staggering, pricking, itching pains in the head and limbs.
Menses very copious the ninth day, going on increasing for three days; about four days too late, with pains, lasting seven days.
A mucus discharge from the vagina for some days, coloring the linen yellow.
Menstruation passing gradually into leiicorrhosa (suffered from this previously.)
Larynx and Trachea.
Setsation as if the larynx were pressed from without on the
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CHELICOKIUM MAJU8. 189
cesopliagns, wlierebj 6wallowing, not breathing, is ren- dered difficult.
Severe shooting in the larynx, with a constrictive sensation.
Choking sensation in the throat, aggravated hy breathing.
Pressure, with sense of constritition in the trachea, mounting
from the sternum towards the larynx. " Sense of constriction in the trachea, with deadly anguish,
and a wish for enictatioh without success (at night on
aw ailing.) Eapidly following stitches in the larynx toward the outside
and inside of the throat.
Scraping in the larynx, exciting a cough.
Prequent hoarseness, with dry cough.
Heat mounting from the chest to the throat, quite into the
Larynx
Congestion of blood toward t!ie larynx, with dull throbbing
there. Sensation of dust in the trachea, and throat, and behind the
sternum, which could not be removed by cough.
Cough
* Infrequent, slight fits of coughing, with spasms of the glottis
on expectoration.
* Dry, hollow cough; violent spasmodic cough.
Cough, with severe tickling in tlie larynx in the evening.
" Wliooping-cough.
(Specific in certain epidemics.)
" Short cough, with short breathing.
° Frequent fits of short cough, with stitches iu right side and
difficulty of breathing. ° Much exhausting cough, especially in the morning, with
much expectoration deep out of the lungs.
Strong fit of coughing, without expectoration.
Dry cough, lumps of phlegm being sometimes thrown out.
" Pain in the laiynx when coughing, with pains in chest and
sacmm, ° Shooting pain in the throat and region of the larynx.
Chest
* Tightness of the chest, with oppression.
Shortness and difiicnlty of breathing, with tightness and anxiety of the chest.
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190 CHELIDONmH MAJUa.
Difficulty of breatliing, with shooting in the left tTiora«ic re- gion backwards,
*IIe can only breathe short, and with difficulty and anxiety, 38 if he must choke,
" Respiration impeded in the evening in bed,
"Short breathing and oppression, as if the breast were con- stricted and the breath could not pass.
Her clothes cause tightness of the chest, so that she has to loosen them.
Longing for fresh air to breathe more easily.
He cannot at each breath inspire as much air as he wishes, therefore expires quickly in order to be able to inspire again soon.
° Difficult respiration, with short fits of coughing, preceded by pain first in the right then in the left side of the thorax.
She must breathe quick and short in order to make somewhat tolerable the pains in the cheat and hack.
She cannot take a deep breath for violent stitches in the right side.
° Anxiety in the chest and oppression.
Congestion in the apices of the lungs, with dull throbbing in tliem.
"At each breath pain inside the chest, with short drycongh, which increasea the pains and returns after short pausea, (Pulse 90.)
On stooping low, pain deep in the chest, especially toward the bodies of the vertebrse, so that the stooping could not be continued; also after walking fast, blowing the nose, and sneezing; at the same time more externally along the spinous processes.
Inward burning between the chest and shoulder-blades, with internal heat and want of breath.
On deep inspiration, painful tension around the inside of the base of thorax.
Stitch in the chest, with interruption of the breathing.
Stitches in the right aide behind tlie ribs.
Stitches in the lower part of the left lobe of the lunge.
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OHEUDOKIUM MAJtJS. 191
In the left lobe soreness Uke a wownd, aggravated by deep hreathing, coughing and sneezing.
High up behind the sternum a spot which Bmarta like a wound.
Spasmodic pi-eseui-e behind the sternum, in the middle, on a surface about two inches in diameter, on awaking in the night.
High up behind the sternum a feeling of dust, not to be re- moved by coughing.
Tensive pain in the whole thorax.
Constrictive pressure under each arm, as if the chest was tight-laced.
Drawing pressure from the right shoulder-blade, through the chest towards sternum.
On inspiration fine stitches like needles in the chest, passing from the left to the right side.
The seventh and eighth rib of each side are painful to the touch, and on drawing the breath, as if they were wounded, worse on the right side; a cold sensation steals from the spine to those ribs on the way to the sternum, worse on the right side.
Pains and jerking in the left clavicle.
Oppressive pain ii/ndeT tfte left olaviole up the neck.
Shooti?ig in the right side, close under the TnaTnmary gland.
Tensive pain from the left pectoral miiscle up toward the neck.
Xancinating pai/ns in pectoral muscles,
" Violent pains in the sternum at each respiration.
° Shooting, ierkina pain a little to the right from the lower part of the sternum right through toward the back, aggra- vated by breathing. By laying the trunk forwards the pain is worse in the chest; by laying it backwards, worse in the back.
* She mupt sit upright, and dare not move; otherwise the pains in the chest are intolerable.
Deep, pressive pain on the right side without cough, which does not allow deep inspinition.
Pain as if from a deep seated abscess,
Pain in the lower part of the wall of the chest on the right,
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quite to the right side, for the breadth of a hand, a^gra vated by each inspiration.
*" Sudden, violent pain of the right side in tlie region of the seventh and eighth ribs, increased by respiration and movement for two hours, preceded and followed by burn- ing headache.
Drawing pains from lower part of the sternum toward the right, quite round to the spine, with sore pain there, so that even the touch of the clothes increases the pain.
Eepeated stitches, lasting some minutes, compelling shorl breathing; on attempting deeper breathing, intolerable stitches.
Stitches in right side for two liours, with chill, heat, and red cheeks.
" Violent stitdies in the under part of throat, right side, aggra- vated by breathing, movement, and cough.
" Violent stitches for three hours, in right side, obliging her to inspire slowly and carefully, and also to speak softly; sometimes not to move or speak at all.
Tearing pressure in letl; axilla and thence toward the nippla
Pain in left side as if bruised, aggravated hy movement.
Awaking with stitches, confined chest, and anxiety; she cannot take a deep inspiration for the stitches.
Heart
Stitches in the cardiac region on conghing.
Oppresfaivo pressure in cardiac mgion.
Stitches in the region of the heart through the left side of tlie chest, so that she has to bi-eathe short and quick.
Lancinating pains in the heart; and stitches under the heart.
Palpitation toward evening, after sitting down somewhat tired ; and in the evening directly after lying down,
° Violent stitches in the cardiac region, followed by strong palpitations, with anxiety and agitation all day.
" Sudden great anxiety, with palpitation. (Tlie beating of the heart is not accelerated nor irregular, but so strong tiiat tlie clothes are lif1;ed by the movement communicated to the thoracic parietes, and she hears it so plain that she fiincies others must hear it too.)
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OHEUDONIUM MAJUS. 193
Neck
* Drawing pain, tearing and stiiFness in the muscles of the aape. "Weight in the nape of the neck and occiput.
Sensation of constriction in the muscles of the nape, as if the
head were drawn back. ° Sensation as it' the neck was broken. Cracking and creaking in the cervical vertebra on moving the
Neck
Pains in the first cervical vertebra for seven hours, increased
by moving the head and by pressure. Feeling as if the vertebra in the nape were torn out of their
place.
* Drawing pains in the niuselea of the back, with stitches and:
* Drawing pain between the shoulder-blades down to> tile
eaerum.
* Burning in the back. Shudder rnnning down the hack.
Tensive and pressive pain in the whole of the back,, extending: around toward the chest.
° Pain in the back, as if after excessive rauscular straining.
" Wound-like pain in the lower dorsal vertebra, the five lowest ribs on the right, and the lumbar vertebra,, aggravated, by pressure and movement.
Violent pain at every breath, around the lewer angles of the' shonlder-blades.
Tearing presstire on the lower lunibar v&fiehra forward towardi the haunch bones, as if the vertebra were Vrohen asunder,. only on bending forward and when he bends back; per- ceptible for many days even when walking. Wound-like pain m the lowest lumbar ■eertehrm, as if it were, dislocated or smashed.
Upper Extremities.
* Pinching, spasmodic pain on the inner edge of the right
shoulder-blade, which hinders him from moving the arm..
* Stitches under right shoulder blade.
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194 CHELIDONICM MAJU8.
* Yioleni jxtins on the lower angle of the left Hade; from
tlieiice violent stitches right tlirough the cheat forwards. The hands hot tip to the middle of the forearm, and swollen,
with distension of the anperficial veins. " Paralysis and weight of the arms, as if weights were hung
upon them. Drawing pain from the. right shonlderdown to the wrist, with
cold and stiffness of the arm.
" Paralytic pains in the left shoulder and the whole arm.
Drawing pain from the left shoulder to the fourth finger.
In the evening in bed, violent pains in the right shoulder, with
a feeling on moving the arm as if it was smashed; the
arm is cold and stiff. °Pain in left shoulder, as if broken or dislocated, with cold
feeling in the upper arm, " Pain in the right shoulder.
Tearing in the muscles of the right upper arm. ° Pain in the deltoid and biceps on moving the arm, all day.
Eheuraatie pains from left shoulder to the elbow.
Paralytic drawing in the wrist joints.
Distension of the superficial veins of both hands.
Tearing, shooting pain in right metacarpals, much increased
by pressure.
Burning in the ball and scalpel joint of the right thumb.
Tips of the fingers coid.
Stitch in the second and third joint of the right forefinger.
Fine tearing in the tips of the fingers.
Itching in the fingers (constant symptom).
Iio^por Bxtremetiea.
" Lancinating pains.
" Bruised pain from the thighs to the calves, worse on walking
and wben touched. From the hip bone to the toes of the right foot paralytic draw- ing pain, continuing the same whether walking, lying, or
sitting, disappearing suddenly.
Legs feel as if bruised.
Tensive paina and sense of swelling in the thigha, for tlie
breadth of two hands, midway between the hip and knee.
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CHELIDOHIOM MAJUS. 19S
" Shotting in the right hip.
Pain as if from a blow in the middle of the right thigh.
E'lming, itching, and sJiooting pain in left hip joint.
Fain like dislocation in the left hip, preventing walking.
" Pain in right hip when on rising from a seat.
Giving way of the knees when standing and walking.
Weight and stiffness, and jerking and trembling in the knee joints.
Boring, drawing pain in the right knee.
" Pain in right knee, aggravated hy movement.
Violent pain in the left knee.
° Feeling of stiffness in left knee joint, with hiirning.
She cannot extend the left leg without violent pains in the knee.
" In walking she is obliged to advance the left leg at full stretch, and can only extend it slowly for pain hke a wound in the knee joint, when it is once bent.
Feeling of icy coldness in the legs, especially the calves and sides.
The right foot up to the knee actually cold while the other is warm.
Great weight in the legs.
Shooting, boring sensation in the bones of the left leg.
Drawing pains in the calves, aggravated by pressure.
Some burning, painful spots, with stitches in the middle above the tendo- Achilles; the pain is increased by scratching.
" Painful pressure on the outside of the ankle.
"Ankle joints painful, especially the right; worse when walk- ing.
* Pressive pain in right ankle joint when sitting.
° Pain in left ankle joint, especially when walking.
Feet iirst cold then burning hot.
" Feet as if dead, and cold.
Tensive, burning pain in tlie bones of the right foot, on the joints of the toes.
Continued dryness of the feet, which usually perspire.
Stitches in the right heel; violent pain, hindering walking.
Cramp in the sole of the right foot, which near the toes was
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196 CHELIDOHIUM MAJUS.
bent nn^r; th« cramp eeaped &n compression with the
hand.
Burning; itching in soles of the feet.
Shooting in the right great toe.
Pain as if from a blow in the toee in bed.
" "Weight in the legs, asif she could not step out, and as if she
l)ad to drag a great hurden. " (EdematoHS swelling about the malleoli.
Skin
On the upper part of the right eheek many red, elevated pim-
plee, raised in t!ie centre and feeling pointed.
" Elevated exanthema on the face.
Red, inflamed, elevated spot, with a pimple in the middle; in
the centre of the forehead itching and pricking, which
disappeared again in a few hours.
Large pustules on the forehead.
The whole face, except the foEehead^ is covered on awaking in
the morning with bright red,,lentil sized, round spots,
with pointed pimples in, the centre..
Tesicles on the lip and also nose forming scabs.
Papular exanthema on a red base on the upper lip and right
cheek, ° Ked, round, burning spots on the forearmi. Pimples like pocks on the back of the right nates, with red
areola.
Ernption of the face like miliary rash and measles.
Eeticalated, red, itching, eoroding spots, with swelling on the
back of the hand. * Skin yellow all over, as injmmdice. ' All the skin feels cool in spite of a very warm room.
Fever
Chilliness and sliuddering all over toward evening.
Cold all over, especially in the hands and feet.
" Chill, with cold feet, in the morning on awaking..
Chill, internal and external, with weight in the oocipnt, and
drawing in the nape, " Seai
Ji.&&t withont thirst,,after lying down in the evening.
" Glowing heat in the head,. with sharply defined,, darkish red-
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CHIElLIDOKiroH MAJPS. 197
Hess of tJie cheeks^ pulsation in the arta-ies; full pulse (at 90); f'aijitness; diffioulty of speech; nausea; short breatli; and <x)ld feet.
Much di'y heat all over, especially in the face, with full pulse, and tliirst.
Increased temperature all over, fespeciallj in the hollow of the hands, from whence the heat -eeems to proceed.
° Rigor in the evening, with chattering teeth and rigor; there- after great h«at, especially all over the head.
" Perspiration at iiigiit tm awaking, especially in the palms of tliie hands.
" Wlieu lying in bed at night, a rigor comes over him, lasting nearly an hour, with «xt€imal warmth all over, yet with goose skin; then foUowe perspiration for the whole night.
" Heat inside and out, with warm perspiration on the face.
Pulse 63, full and liard.
Pnlae 60; after ^>revio«s palpitation of the heart, with with- ered looking, pale f*ee.
Sleep
* Sleepy condition; elie falls asleep as she sits; lethargy in
the daytime in Jaundice and hepatic congestion.
Sleepiness, with yawning, and stretching, and languor.
When awakened she falls asleep again directly.
"From 10 till midnight, phantasies in a half-waking state, without meaning or connection, and images of death and soldiering.
" Eestless sleep, full of dreams.
" She cannot get to sleep for a long time, then sleeps well.
" Frequently in tlie evening, in bed, restlessness and excite- ment till towaj-d midnight, preventing sleep.
° Sleep prevented by a sensation of nuinbnese and coldness in lower extremities.
On awaking he cannot remember what he has dreamed.
Dream of a journey, remembering most minute particulars.
Dreams of corpses and burials.
Generalities
* Periodical neuralgia of the facial nervee.
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