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Leptandra Virginica

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General

(Black Boot— " Culver's Phasic") Debcriptiob This is the Veronica virginica of Linnwns. It is an iodigenous, perennial plant, with a simple, straigiit, smootli, lierbaceous gtem, from two to flye feet liigh. Tlie leanet are wliorled in fours to sevens ; short putiolcil, lanceolate, acuminate, finely serrate.

Theflvjeers are white, numerous, nearly sessile, in long, terminal, and verticillat*. sub-terminal spikes. It grows in rich, moist places, thickets, and flowers in July. The root la perennial, horizontal, woody, about as thick as the finger, six to twelve inches long; black exWrually,. brownish internally, with many long, slender, black flbi-es. It should be gathered in tlie fall of the second year.

It has a bitter, nauseous taste. The active principle, Leptimdrin, !s a jet-biack, resinous substance, resembling pure asphaltum ; or, of a grey, ish-brown color, with a peculiar, faint cyanic smell and taste; somewhat bitter, nauaeous and disagreeable. When powdered, it has a black, glis- tening, soot-like appearance, and coalesces in a warm and moist air- It is soluble in water and alcohol.

Officinal Preparations, — Tincture of the root; dilutions; tritura- tions of tlie dry root; L^tanArin, and its triturations.

Analogues. — Areenimim, BapUeia, Oarbo ■neyetabiUs, GMna, Iris verai- eolor, Mereuriua, Myriea eeri/Bra, MitHe acid. Podophyllum

Sensor ium. " Gloomy; desponding; drowsiness, attending hepatic derange- ments.

Head

"Constant, dull, frontal headache, worse in the temples, with

aching sensation in the umbilicus. *Dull, frontal headache, with neuralgic pains in the right

temple. ° Bilious headache, with constipation, bitter taste, indiges- tion, etc.

Eyes

* Smarting and aching with or without secretion of tears.

Mouth And Throat

* Tongue coated yellow along the centre, with pain in the sub-

maxillary glands.

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LEPTANDRA VIKGINIOA, 393

Gtastric Symptoms.

Nansea, with deathly faintnees on rising in the night.

Nausea followed by vomiting and diarrhcea.

" Dyspepsia from disorder of the liver and stomach.

Stomach

* Constant distress in lower part of the epigastrium. Constant, burning, aching sensation in the stomach and liver^

worse after drinking water.

* Great distress ir: the stomach and small intestines, with

immediate desire for stool.

* Weak, sinking sensation at the pit of the stomach. - -

Liver.

* Dull aching in the whole of the liver, pain worse near the

gall bladder.

* Constant, dull burning distress in the epigastric and hypo-

chondriac regions.

* Great distress in the region of the liver following profuse,

black, undigested stool,

* Great burning distress in the back part of the liver and in

the spine.

* Pain in the right shoulder and arm, " Jaundice, with cla/y-col-ored stools.

° Functional derangement of tlie liver,

* Yellow coated tongue, with vomiting of bile, shooting or

aching pains in the region of the liver, and black evacua- tions. "Chronic congestion and other chronic disorders of the liver, muses black, tarry, bilious stools {primar)/), fol- lowed by clay-colored stools with jaundice (secondary)

Abdomen

* Constant, dull, aching distress in the umbilical region.

* Great distress in the whole of the bowels, with rumbling and

desire for stool.

* Humbling and distress in the hypogastric region, with a pro-

fuse, l}lack,fcBtid stool, with pains in the bowels.

Pains aggravated by drinking cold water.

Pain in the letl: inguinal region.

" Bihons coiic, or a tendency to it.

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894 LEPTANDRA VIKGINIOA.

"Ohronie abdominal complaints caused by derangeiLents of the portal system.

StooL Rard, black, and lumpy evacuations.

* Stool soft and mushy, with weak feeling in the bowels.

* Distress in the hypogaetrium, with profuse, black, fcetid stool.

* Watery stool with mucus, followed by severe cuttiug paind

in the smaller intestines. ** Copious tar-like evacuations.

* Diarrhcea from chronic irritation of the mucous membranei " Diarrhcea dependent on hepatic derangement, Diarrhcea, with great debility, sallow skin, and emaciation,

" Oamp-diarrhcea in soldiers, from exposm-e, improper diet, etc,

" Chronic ulceration of the intestines, with hepatic disorder.

"Diarrhcea; stools of greenish, muddy or dirty water; pro- fuse, " like water running from a spout;

" coming on in morning as soon as he moves; aggravated by meat, veget- ables, and walking; before stool, rumbling, after stool, weak, faint, purging feeling at stomach; dull aching across umbilical region all the time; canine hunger, no thirst.

(Cured in four days.) {J?r.

B.

B.

Williams.) TTrine.

Urine very red (neutral), with dull, aching pain in lumbar

" Dropsy from hepatic derangement.

Generative Organs, ° Suppressed or retarded menses from disease of the liver.

Thorax. Soreness in the cardiac region.

Bact. Sore and lame feeling in the small of the back.

Fever

Pidse diminished in frequency. Pulse slow and full.

° Infantile remittents, with black and tarry, or white ftetid stools.

Skin

* Hot and dry skin in bilious fevers.

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ULIUM TIQEINUM.

Upper Extremities.

Both wriBts are lame and ache severely.

" Pain in the left shoulder and arm.

Chilly eeneation at the ehonlder and down the arm.

Lower Extremities. Feet and legs cold and numb.

General Symptoms.

Languid, tired feeling, with great prostration.

Physical and mental depression, with vertigo and

LILIUM TIGRINUM.*

(Tiger-Spotted Lily.) Description

Tlie Tiger Lily is a well-known, showy, ora oarse-fldwered garden plant, very abundant in cultivation, and i3 a natiye of China and Japan.

Tlie stem is from four to six feet high, unbranched and woolly.

Leaves scattered, sessile, three-veined, the upper cordate- ovate.

The axils bulbiferoua.

Flowert large, in a pyramid, at the summit of the stem, dark orange-colored, with bla«k, or vei7 deep crimson, some, what raised spots, which give the flower the appearance of the skin of the tiger.

It blooms in July and August.

Ofpicina,!.

Preparations

Tincture of tlie flowers and pollen; dilu-

Analogoes.— jiffon'ous, Belladonna, Cimicifuga, Cactus, ffdonias, Murex,

Podophyllwn, Plaiina, S^ia.

Female

Great depression of spirits, with fearfulness and apprehension of an impending fatal internal disease, or that it was already preying upon her; constant inclination to weep (very marked); blurred vision, all objects appear- ing very indistinct.

Despondent and gloomy, with loss of memory and great diffi- culty in expressing her thoughts, often selecting wrong words, bnt in making the correction would as often take other words quite as inappropriate; great fear and dread of insanity.

Does not want to be pleased, and don't want to talk, but wants to sleep, and, during sleep, very unpleasant dreams.

*From the exhaustive resume of Dr.

Paine, in Amerimn Obterver and N".

Y.

Ti-ansactions for 1873. {Rale.)

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396 LILITTM TIGErNUM.

"Wild feeling in the head, with confusion of ideas; i

and a crazy feehug on the top of the head, rendering her incapable of recording her own eymptoms; fear of in- sanity, and that, should she become insane, there would be no one to take cai-e of her; worse at night, but better in the morning.

Opposite mental states; she feels nervous and irritable, and yet she feels jolly.

Cannot think; acts without thought; keeps walking fast, as if by instinct; feels hurried, does not know why; is for- getful; cannot decide for herself; must depend upon others.

Both the social and moral conditions were profoundly affected ; dislikes to be alone, tiiough formerly siie preferred it, but has no dread of being alone; sexual desires strong, though formerly weak; can repress the desire by keeping very busy, but as soon as occupation ceases the desire returns in full force.

Male

Irritable in the evening, with disagreeable dreams at night, and unrefreshing sleep.

Obtuseness of intellect, with inability to find the i-igbt words with which to express his thoughts; forgets what he is about to say; vertigo, especially when walking; a feeling as if intoxicated ; staggering forward.

JUakes mistakes when speaking, using wrong words, with full- ness and heaviness in the forehead, especially the left side; dim sight and weakness of the lower limbs, as if unable to support the body.

In half-waking dreams, occurrences which took place in quick succession seemed to be at very long intervals; for ex- ample, when his son got up to urinate, the intervals between getting up, urinating and going to bed again seemed very long.

Great apprehensiveness of the prover that he had mistaken the nature of his heart symptoms, and that instead of medicinal symptoms he was suffering from organic dis- ease of the heart.

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ULICM TIGEINUH. 397

Head

Intense, blinding headache in the forehead, commencing be- tween tive and six o'clock p. m., continued two hours, then changed to the back part of the head and extended down the neck, leaving a strange muddled feeling about the head, with general weakness and desire to lie down.

Heavy feeling in the head, with morning diarrhoea, griping in the bowels, nausea and abundant saliva.

Pain all over, the head, with a heavy sensation as if too full of blood; congested feeling aa if blood would issue when blowing the nose; must support the head with the hands; worso when walking in the open air; better at sunset.

Pressing sensation of fullness in the temporal region, with a bursting sensation; a feeling as if the contents of the skull would issue through the ears and surrounding parts, relieved by pressure with the hands.

Frontal, stinging, burning headache, with a sensation as if a rubber band were stretched over the head ; the head feel- ing so muddled that he could not lecture, could not con- centrate liie thoughts, but self-possession was regained as he went on.

Headache in the morning on waking, which gradually in- creased, when at noon it became very severe, passing from the forehead and temple to tlie protuberances of the occi- put, dull, pressive and heavy, continuing tlirough the afternoon, evening and night, with irritability of temper.

Dull headache; the pain moved continually from the sinciput to tlie occiput of the left side, but seemed at last to con- centrate in tife left temple, with frequent unnation.

Headaches gradually diminish, though they maintain usual character of evening aggravation; at the end of ten days only slight tenderness on the left side of the head, fore- head and temple remained.

" Suspended the recurrence of sick headaches (to which the prover had been accustomed) during the whole course of the proving, and for some time longer.

* Headaches^ especially those depending on uterine disorders.

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898 UIJTOl TIGEINUM,

Sealf

Fine, rasli-Iike ei'uption about the forehead, anfl around tlie border of the hair, with much itching.

Eyes and Sight.

Mye%. — Intense pain in both eyes, extending backward into the head, with great dimness of sight.

liight eye very sensitive to gaslight, with intolerable burning pain subsequently extending to the left eye, and continu- ing for several days.

Burning in the eyes after reading or writing, and feeling of great general weakness.

Sight. — Blur before the eyes after a night made restless by lascivious dreams and seminal emissions toward morning, attended by difficulty in keeping the mind fixed upon the subject under consideration, selecting wrong words with which to express his ideas.

Blurred vision, cannot see objects distinctly, with loss of appe- tite, aversion to coffee, nausea when thinking about it; frequent desire to pass urine, but in small quantities; faint in a warm room and when standing, with cold per- spiration on the back of the hands and feet; tearfulness and apprehension of some impending evil.

Dimness of sight, with intense pain in both eyes, extending into the head; shooting pain in the right temple, passing over to the left; crampy pains in the left iiiammse and fingers, and pressing pain in the right arm and wrist, beginning at seven o'clock v. m., and continuing through the night.

MiiSc<B volitantes at various times.

Eyesight, which was always weak, hypermetropic, wearing 1-14 glasses, is now much worse; this aggravation con- tinued for more than four weeks, when the eyes had returned to their natural condition with this improve- ment: whereas formerly she had a habit of turaing the head toward the left when reading, in order to see the whole of a letter, for example, s p d and f u, when look- ing straight forward, could see only the straight part of the letter and not the curve; now can see the whole letter distinctly without looking sideways.

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LILIDM TtGKninM. oHv

Ears

Rushing sound in both ears.

Frequent sneezing at ten o'clock p. m., relieving a severe, burn- ing headache, and pain in the eyes.

Sensation as if blood would issue from the nose when blowing it, with feeling of fullness and heaviness of the head.

Heat and fullness of the face and head.

The left cheek bright and red hot in the morning on awakening.

Mouth And Throat

Hawking mucus from the throat, with constant disposition to vomit.

* Hawking of mucus, with constant nausea. Taste and Appetite.

Taste

Taste of blood in the mouth, with severe congestion of the chest; weak beating of the heart.

Great craving for meat, and the more pronounced the symp- toms the greater the desire.

Voracious hunger, seemingly in the back, extending along the vertebral column, and up to the occiput, not appeased by eating.

Loss of appetite, and aversion to bread particularly, continuing for three weeks atl;er the last dose of the drag, with depression of spirits; disposition to weep; pressing in tlie rectum (from prolapsus uterif); cold chilis in the back, particularly after going to bed, with hot flushes toward morning,

° Loss of appetite cured.

TAirsf'.—Grea.t thirst, drinking often and much, Qastric Symptoms.

Freqnent eructations, with great distention of the stomach, and escape of flatus from the rectum [constant during the proving].

Constant nausea, with.the sensation as of a lump in the stom- ach, which moved down at every attempt to swallow, bul immediately returned,

Nausea, with pain in the back; aversion to food; depression of spirits, and disposition to weep.

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400 LILIUM TIGEINUM.

Sweetish nausea, no desire to vomit, with feeling of fnllnees of the abdomen after eating very little; eating does not increase the nansea; nausea and full feeling in the abdo- men snbside after discontinning medicine two days, Stomaoh.

Hollow, empty sensation in the stomach and bowels.

Great distention of the stomach and abdomen, with flatulent

movements, relieved by passing wind up and down.

Abdomen

Bloated feeling of the bowels after a meal, continuing after a diarrhceic discharge.

Griping pain in the abdomen, commencing at from three to fivo o'clock p. M., increasing till late in the evening, and end. ing with a free bilious evacuation, which evacuation was followed by Smarting in the rectum.

Griping pain in the abdomen after each morning diarriiceic discharge, with nausea, abundant saliva and heavy feeling in the head.

Weak, tremnlous sensation of the bowels, extending to the rectum, continuing through the night.

Dragging down sensation of the whole abdominal contents, extending to the organs of the chest, greatly feeling the need of support.

Sensation as if the bowels were greatly bloated, but they are not so.

Constant burning pain across the lower part of the abdomen from groin to groin.

Pressure downward and backward against the rectum, aggra- vated by standing; relieved by walking in the open air oi riding.

Stool

Dark colored and very offensive stools in the fnorning ott rising, followed by smarting and burning sensation, extending yrom the reotv/m high up into the abdomen, continuing for several hours.

Dnring the day time a stool every half hour, lumpy, small and diarrhteic. with escape of flatas; constant tenesmus and a

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LILIUM TIORINCM. 401

feeling as thongh she eonld sit on tlic stool forever, with burning in tlie urethra. Abdominal mnseles unbearably aore just before stool, but less

so during stool. Tenesnins and great desire to go to stool, but every effort resulted in the voidina: of a little urine only. TJrmary Organs. Frequent desire to urinate in the latter part of the night and early morning, with acrid smarting sensation after every discharge.

(The acrid, smarting sensation always occurs after, and not during the flow.) Urine milky in appearance when lirst discharged, but on cool- ing, deposits a thick, reddish sediment. Urine scanty, milky, thick and roily in appearance when cool, with frequent desire to pass it, every passage is tbilowed by smarting and burning in the iirethra, Tlie urinary tenesmus and smarting after every passage, together with the morning diarrhcea, and acrid smarting in the rectum, continued to recur for more than six weeks after the last dose of the drug was taken, A feeling of irritation in the bladder, with inclination to urinate, but can control the desire by an effort of the will.

Frequent desire to urinate through the day, with smarting in the urethra; if the d^ire is not immediately attended to,. a feeling of congestion of the chest ensues (male). Keproductive Organs. yagina.~ltch.ing and smarting of the labia, with great

uneasiness of tlie parts.

Smarting and feeling of irritation of the labia, with great heat,, as though the parts were inflamed, and sharp, incisive pains extending upward into the vagina.

Great tenderness to touch, of the whole sexual organs.

Pressure and weight low down in the vagina.

Pressure in the vagina and pain at the top of the sacrum

extending to the hips.

TTterus

Pain in the sacrum, with a sensation of weight and downward pressure in the lower part of the abdomen

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402. ULIUM TIQEINUM.

(pelvis?), which continued for six days, very severe; worse when standing. Bearing down in the lower part of the abdomen for more than twenty days, with constant nausea; a sensation as of a lamp in tlie centre of the chest which moved downward by empty swallowing, but immediately returned; severe pressure in the rectum and at the anus, and a constant desire to go to stool, but with every effort to evacuate the bowels, a' little urine only was discharged; sensation as if a hard body were pressing backward and downward against the rectum and anus (in the provers), standing aggravated and increased the desire to go to stool.

Great weight and pressnre in the region of the uterus, with downward pressure, as though the whole contents of the abdomen would pass out through the vagina. Great hearing down in the uterine region, with a sensation when on the feet as though the whole pelvic contents would issne from the vagina if not prevented by hard pressure with the hand against the vulva, which there was a constant and uncontrollable inchnatiop to do. Severe dragging down sensation in the whole sexual organs, with a feeling as though the whole internal parts were being pulled downward from the breasts and umbilical regions, through the vagina, and an uncontrollable desire to press the hands against the vulva to prevent the parts from escaping, with irritability of temper, anxiety and dread of impending evil (constant throughout the proving).

Severe neuralgic paina in the uterus, couM not bear to be touched or moved, nor even the weight of the bed clothes ; the slightest jar of tlie bed was torture. This condition continued an hour and a half, and suddenly passed off without leaving any lameness of the parts. On examina^ tion the uterus was found to be in an anteverted position. Anteversion of the ut&rus was found to he present in three provers, and reefing a diagnosis upon well proved suh- ^ecfme symptoms, there can he little doubt that this condi- Uon of the uterus existed in a

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LILITIM TIGEIHTJM. 403

to extreme sendtweness of the prover, it was not verified hy touch.

* Prolapsis uteri; ant^ersion; retroversion; uterine i/ivflam- motion, s^-acute; endo-cerviciiis.

heucorvhiEa. — ^Thin, aeiid leueorrhcea, which from leaving a brown stain upon the linen was mistaken for a return of menstruation, though the menses had ceased but a week before; the leueorrhcea) discharge attended and followed severe bearing down pains in the uterine region; the bearing down pains, four days later, culminated in severe labor-like pains simulating those of an imminent miscar- riage, worse in the afternoon till midnight, then better till the next afternoon, when all the symptoms of the previous day returned; tlie lencorrhtea becoming more acrid and excoriating, producing a rash-like eruption and swelling of the labia.

Bright yellow leueorrhcea, excoriating the whole perinffium, with scanty menstruation, not one-fourth |)art as much as usual.

Profuse acrid leueorrhcea following immediately the cessation of the menstrual flow.

Ovariss. — .Dull, drawing pain in the left ovarian region, relieved by gentle pressure on the part with the hand.

Great tenderness from pressure over the left ovarian region, with darting pains extending to the groin of that side, and the pubes in front, and frequent desire to pass urine, which was small in quantity, and followed by an acrid, smarting sensation in the urethra, continuing for several minutes.

Continued stinging sensation in the left ovarian region, with a sensation of fullness and voluptuous itching in the vagina.

Pains mostly in the right ovary, but some days later it was most severe in the left, extended down the anterior and internal side of the left thigh, with aggravation by walk- ing, seeming, when one step was made, that another could not be taken; nevertheless, a feeling of restlessness com- pelled her to extend and flex the limb as in walking; this

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404 LILIUM TIGKINTJM.

disposition she couM not resist, tlioTigh slie knew the effort ■would be followed hy greater pain ; the effort, ratlier than the«ciof moving the limbs, seemed to aggravate the paine. She conld not decide which pelvic pain was worse, that in the back or that in the front.

"Burning fain in both ovaries in the morning, with bnm in g higher in the abdomen, and four loose, dark stools before eleven o'clock a. m. ; stools very urgent, could scarcely wait.

Gnawing pain in the right ovarian region, with a dragging sensation, aggravated by walking, and a sensation as if something were shaking loose in that region whenever the right foot was planted heavily upon the floor or ground as in walking; also gnawing pain in the back, worse in bed, and continuing all night.

* Snb-aeute and chronic ovaritis, and neuralgia of the ovaries. {IIal6>,

Gatamenia. — Menstruation came on at the usual time, normal in quantity, and continued to flow as long as she kept moving about, but ceased to flow whenever she ceased walking.

Menstruation returned [hemorrhage?] after having been ab- sent two years in the case of a pereon who had p^sed her climacteric.

Menstruation returned in two weeks, slight in quantity, dark in color, tliick, with odor like that of the lochial diecharge.

Menstruation too scanty, not one-fourth part as much as usual, followed by profuse brigiit yellow leucorrhcea, so acrid as to excoriate the perina:nm.

Sexual Instinct.

F&male. — Voluptuous itching in the vagina, with feeling of fullness of the parts.

Sexual desire strong, though formerly not so; can repress it by keeping very busy, but as soon aa occupation ceases the desire returns in full force.

Male

— Sexual desire, which has been dormant for years, roused into activity.

Laseivjons dreams, with seminal emissions toward morning.

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LUIDM TIGKINDM. 405

followed ty weakness and a feeling of irritability, and

,t difficulty ject under conei to express his

in keeping his mind fixed upon the enb- sideration, frequently selecting wrong words idea,

Jf(zmm«.— Severe cutting pains in the left mammary gland, extending through to the left shoulder-blade, aggravated by lying on the left side (constant throughout the prov- ing).

Sharp, cutting pains in both mammary glands, extending from the left mamma through to the left shoulder-blade and to the spine,

° CUihioal. — In several cases of delayed post-partcin recoveries, the LiUvm, has accomplished all that could be desired. "When the uterus is alow in returning to its normal con- dition; tlie lochial discharge continues too long, is profuse and excoriating; pain in the back and hips, bearing down and dragging from high up, when in an upright position or at stool, as if the whole pelvic organs would escape through the vagina if not prevented by firm pressure with the hand against the vulva ; painful smarting in the urethra after passing urine ; constipation, with itching, painful hemorrhoids, or morning diarrhcea ; fears the presence of an internal disease from which she never will recover, and dreads insanity. lAUum tigrmumi 30 eifected f, prompt change for the better, (Paine.) Bespiratory Organs.

Larynx <ind ironchia. — Cough dry and hard, coming in sin gle coughs.

Respiration. — Oppressed breathing, with oppression in the lower part of the chest, aggravated about four o'clock in the morning.

Desire to take a long bi'eath frequently, and sighing, which appeared to come from the lower part of the abdomen.

Out of breath when ascending, obliging her to stop; seemed as if it proceeded from the heart.

Oppressive heat and congestive feeling of the chest; a kind of ebullition, worse in the evening, must go into the fresh

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406 LILIUM TIGKINtlM.

air for relief, but going into the fi'csli air increases tlie headache.

Feeling of eoinpreaaion of the chest and great weiglit; a feel- ing as if the chest had too much hlood in it, producing a choked, suffocated sensation, that might be i-elieved by letting out tlie blood; slight relief from sighing. Chest and Heart.

t*^^.— -Sharp twinges, followed by a dull, drawing sensation in the left side of the chest, extending upward to the clavicle.

Hot, congested feeling in tlie chest; generally chilly feeling, and chills, especially in the face.

Seart. — ^Thirteenth day after commencing the proving, heart symptoms appeared; sudden fluttering of the heart, after walking, felt less when very busy.

Hurried, forcing feeling about the apex of the heart, with fluttering and general faint feeling; conld do nothing, obliged to put aside her wort; relieved by sitting still.

Sharp and quick pain in the left side of the chest, with flut- tering of the heart.

Sensation as if the heart were sq^ieezed in a vise, as if the hlood liad all gone to the heart, producing afeeUngas if the prover must hend douhle^ inahUity to walk straigM.

Heavy feeling, as if the blood were shut up in the heart; pulse small and weak; a sensation as if blood did not reach the radial artery in suiiicient quantity.

Weak beating of the heart, with severe congestion of the chest; bloody taste in the mouth; severe left-sided headache; dizziness; feeling of faintnese; blur before the eyes, and fear of falling.

Awakened from sleep at night with a distressing, pressive pain in the region of the heart and palpitation.

Constant pain in the region of the heart, increased by bending forward, stooping, or on lying down.

Heaviness and pressure in the region of the heart, almost un- bearable after eating.

Fluttering or palpitation of the heart; cold hands and feet, covered with cold perspiration.

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LILIDM TIGKINTJM. 407

Yiolent beating of the heart, and throbbing of the carotids, preventing sleep when lying on either side.

Heaviness in the region of the heart, and palpitation when lying on the left side; worse at night and when lying down.

The heart symptoms were all worse at night, and there was great fearfulness that he had mistaken his case, and that he was really suffering from an organic disease of the heart instead of medicinal symptoms, though he had never had such symptoms before.

Arteries. — Conscious pulsations over tlie whole body, and oat- pressing sensation in the hand and arms, as though the blood would burst through the vessels Back.

Cervical. — Drawing sensation in the muscles of the neck, left shoulder, and stitching pains in the left mammary gland, increasing after two o'clock p. m.

Dorsal. — Pain in the dorsal vertebrte, as if the back would break,

I/umhar. — Sharp pain in the lumbar region, extending over the right hip to the umbilical region, ameliorated by rub- bing.

Steady pain in the small of the back, spreading from the spine both ways toward the kidneys, continuing all day after a restless night.

Sacral, — Pain in the sacrum.

Coccygeal. — Sensation of pulling upward from the tip of the OS coccygis.

Upper Extremities.

Fore a/rms. — Pressing pain in the right arm and wrist, with cramps in the fingers.

Hands. — Burning heat in the palms of the hands ai]d soles of the feet, extending up the limbs, with constant seardi- ing for a cool place, aggravated at night.

Cold hands and feet, with profuse, cold and clammy perspira- tion, keeping the hands and feet constantly wet.

Stiffness of the fingers, almost like paralysis; great difficulty in holding and guiding the pencil to write.

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408 LILIUM TIGEIHUM.

Iiower Extremities. Boring pain in the right hip joint; stiff feeling of the mnselea

of the thigh, and pain in the ankle, going down to the

toes. Stitches coming and going throughout the daj' in the right hip

joint; with chiliinesB and headache, increased as the even

ing advanced. Severe drawing pain in the right hip, extending down the

outside of the thigh, relieved by moving the limb from

place to place. Pain in the left thigh, aggravated by walking, yet the pain

was so muidi worse after having ceased to walk, she was

impelled again, though she knew after doing so she would

be worse again. Aching of the legs; with inability to beep them still in bed;

worse when giving up control of herself, as when trying

to sleep. Severe pain in the ankle joints and second joint of the fingers,

making the motion of a carriage very painful; bruised

feeling in the soles of the feet, and great muscular sore

ness, making pressure of the clothes painful.

Fever

Chills in face, extending downward, with a more genej'al chilly

feeling than in cold weather, at the chest. Chills riinning from the face downward, with constriction of

the chest, as if too narrow or too much crowded with

blood, and burning heat over the body the whole night,'

with queer, half-waking dreams. Great heat and general lassitude in the afternoon, with throb- bing pulsations over the whole body, and out-pressing

sensation in the hands and arms, as though the blood

would burst through the veins.

Sleep

Inability to sleep, with wild feeling in the head, as if she would

be crazy. Inability to sleep for a long time, eyes wide open; at length

went to sleep lying on the back with the knees drawn up.

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LILIUM TIQEINTJM. 409

Sleep unrefr^hing, broken hy disagreeable dreams, with groat irritability in the evening.

General Symptoms.

Some of the pains are ameliorated by change of position, while others are aggravated.

Symptome return every day from five to six o'clock i'. m., gradually increase through the nigJit, and abate at about eight o'clock A. m. [Constant throughout the proving.]

In some cases the uterine eyinptoms are better after riding, and exercise in the open air.

With some of the provers, the symptoms of the reproductive organs were more clearly defined on the left side, while with others more on the right, but generally/ more on the left.

The pains occupy small spots, as if produced by hand pressure ■with the ends of the fingers. (Compare Oxalic add.)

After the symptoms have entirely disappeared, tliey return again very suddenly in the same order, without any ap- parent provocation.

The muscles of the whole body feel sore and bruised, rendering stepping, the motion of a carriage, and even the pressure of the clothes very painful.

Convulsive contractions of almost all the muscles of the body, and a feeling as if she would be crazy if she did not hold tightly upon herself.

Most of the symptoms better when walking out of doors in the open air, when the cool air strikes the uncovered head and face, and worse in a close, hot room. Characteristios.

All the symptoms return again and again, after having dis- appeared, but diminished in degree at each successive return.

The social and moral conditions are profoundly affected, gen- erally changed to their opposites, though in some instances they seem very contradictory.

The symptoms connected with the female reproductive organs, and the consecutive moral conditions, are very pronounced and peculiar; the ovaries are the seat and origin of pecn-

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) LITHItJM CARBONIOtJM.

liar sharp and burning pains; backaclie; dragging, bear- ing down sensation in the uterine region, seeming to drag even from the thorax and shoalders, and, at the same time, pressure on the rectum and bladder producing a constant desire to evacuate these viscera, as in cases oi prolapsns uteri, were very marked and persistent, and physical exploration showed that the uterus was actually prolapsed and anteverted.