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Lobelia Inflata

Hale - Materia Medica and Special Therapeutics of the New Remedies · Edwin Moses Hale · 28,774 chars

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General

(Indian Tobaeeo.)

Botanical Desckiptiom This plant is generally known aa wild oc Indian Tobaeco, and is aa annual or biennial indigenous plaut, more com- monly the latter, with a flbrous, yellowish white root, and an erect, angular, Tery liairy «i«»,' in the full-sized plant, much branched, and from six inches to three feet in heiglit. Tlie leave* are alternate, scattered, sessile, ovate-lanceolate, serrate, veiny, hairy. The flowert are small, numerouB, pale-blue, on short peduncles, each originating from the axil of a small leaf.

The ealyx consisia of five sutiuHte segments. The corolla is tubular, small, slil on the upper aide and ventrlcose at the base; the limbs bilabiate; tube prismatic ; segments spreading and acute, two upper ones lanceolate, two lower ones oval; antliera united into an oblong, curved body, purple; filamenU white; atj/le filiform; ttigma curved, Iwo-lobed, and enclosed by the anthers; capsule, two celled, ovoid, inflated, sWated, t«n -angled and crowned, with the persistent calyx.

Seeds, numerous, small, oblong, brown.

Officinal Pbepabations. — Tincture of the whole plant or seeds; triturations of the seeds; dilutions.

Anai/xides. — Aivnile, Euphorbia, Ipeeaeuart/ta, Laeheeia (?) Squilla, Tabacum, Tartar ematieus, Yeratrum atbuw,, Yeratrwm. viride.

Sensorium. Great dejection with exhaustion, and sobbing. " Fear of death, with difficulty of respiration. * Great mental depression.

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LOBELIA INFLATA. 423

In sen Bib ill ty and loss of consciousness.

Head

Vertigo, with nauaea; pain in the head and trembling; agita- tion of body.

* Pressive pain in the occiput, with dull heavy pain around

forehead, from one temple to the other.

Sudden shocks through the head.

Chilliness of the left side of the head, with feeling as if the

hair would rise on end.

* Pressive headache at the occiput, left side; worse at night

and on motion.

Continual, periodic headache in the afternoon ; and in the evening till midnight.

Eyes

Pressing pain in the eyeballs, with intense itching.

Intense smarting of the inside of the lids.

He miopia.

° Conjunctivitis (used as a collyrium).

-■Weakness of eyes, as if from weariness (1)

Ears

Shooting pain extending into the left ear, from a painful spot in the throat.

Face

Heat of the face accompanying the nausea.

Chilly feeling in the left cheek extending to the ear.

Circumscribed redness on one cheek.

Mouth

Taste as of corrosive sublimate.

Profuse iiow of clammy saliva; a tenacious mucus.

Mouth dry with white coated tongue, etc.

Throat

Earning dryness of the throat.

Frequent hawking, from tough mucus in the throat.

Prickling in the throat, with eructations and burning sensa- tion rising up from the stomach.

* Sensation as if the ceeophagus contracted itself from beljw

upwards. Feeling of pressure in the whole course of the cesophagus, with

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431 LOBELIA INFLATA.

a vermicular motion, most strongly felt below the larj'iix

and in tlie epigastrium. Epigaetrium and a spot below the larynx are most sensitive

points. Prickling in the throat, with desire to vomit.

* Sensation as of a lump in the pit of the throat. {Zachesis.)

Appetite and Stomaoh.

* Lose of appetite, with acrid, burning taste in the month,

* Acidity of the stomach, with a constrictive feeling in the pit

of the stomach.

* Flatulent ernctatione, with acidity and heat of the stomach

* Incessant and violent nausea, with pain, heat and oppression

accompanying the affection of the respiratoi-y organs.

Nausea and vomiting, with prostration of strength.

Vomiting of food after eating it warm.

" Dyspepsia, heartburn and running of water from the mouth.

Paroxysms of a feeling of pressure on the pit of the stomach,

Violent, painful constriction in the cardiac region.

° Gastralgia biliosa; paroxysms of excruciating pain, and feel- ing as of a heavy load in stomach.

"Gastralgia simplex; the pain extends up into the chest and causes dyspliagia.

* Sense of weakness and oppression at tlie epigastrium, with

oppression in the chest.

Inflammation of the stomach and bowels.

Burning pain in the stomach, towai'd the back, as if the part

nearest the spine was inflamed.

* Dyspepsia, with a sensation of excessive weakness at the

stomach, extending up into the chest and down to the umbilicus, always attended with oppression at the cliest. {Dr. Jmnes^ (also Baptisia — Sale.)

Abdomen

Pain in the right hypochondrium, with distension of the ab- domen and shortness of breath.

Flatulent rumbling in the abdomen, with pain, worse after eating.

Sensation as If diarrhea would occur.

Griping and drawing pain in the abdomen.

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' IiituesTiseeptioii of the towels. {Ma/rey c6 Munt,) ° Incarcerated hernia, {Eherle.')

Stool

Papescent stools; whitish, soft stools.

Scraping sensation during etool, with discharge of black blood. " Copions hemorrhage from the hemorrhoidal vessels.

Increased seca'Ction of urine, or urine diminished.

Sticking pain in the region of the ri^ht kidney.

Urine easily decomposed, depositing a pink sediment and

small brown crystals. (Woac.)

Male

Aching pain in the urethra, witli smarting of the •pre-

puce.

Pressure and feeling of weight on the genital organs.

J'^em.ale.^VleTiaei hemorrhage.

Violent pain in the sacrum, with fever.

Supervening snppression of the menses during fever. ° ilenses suppressed, with pain in the right shoulder.

" Suppressed menses in consumptive persons.

" Rigidity of the os and perinteum during labor.

Laryns. Frequent, short, dry cough, from tickling in the larynx, and

sensations of a foreign body in the throat, impeding

breathing and swallowing. Violent, racking cough in paroxysms, with expectoration of

ropy mucus. " Croup — spasmodic — a very efficient remedy, "Whooping cough; bronchitis; spasmodic coughs.

Chest

* Tightness of the chest, with laborious breatl:ing and a sense

of oppression causing a deep breath to be taken.

* Deep inspiration relieves thepressive pain in the epigastrium.

* Short and slow inspiration, with desire to cough,

" Chronic dyspepsia, with sensation of a lump in the pit of the

throat and oppression of the chest. ° Paroxysmal asthma, with pain in the chest. Pain in the chest from deep inspiration.

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-426 -LOBELIA INFLATA.

Feeling of drawing in the left breast from the nipple to the axilla.

* Angina pectoris, with pain extending to the shoulder and arnie, " CoTistwnt dyspn<Ba, aggravated by the slightest exertion and

increased by the shortest exposure to cold.

* Sensation of weakness and pressure on the epigastrium,

rising from thence to the heart, with or without heart- burn.

•Feeling as of a lump or quantity of mucus, and also a sense of pressure in the larynx.

WeaJiness and oppression in the epigastrium, with oppression of the heart.

° Paroxysmal asth/ma, cki'omc, very distressing, often cured by Lobelia, and nearly always palliated. (Dose 5 to 10 drops every hour or two.)

" Sfasmodic asthma ; the most aggravated attacts sometimes

yield quickly to small doses of the tincture. {Jeanes^

Back

Burning and cutting in the lower part of the spine.

Rheumatic pains between the scapula.

Painfulness of nape of the neck and dorsal region.

Violent spasmodic pain in the posterior iliac regions. Upper Extremities.

Eheumatic feeling in the right shoulder joint.

Pain only when touched, in the muscles of the right arm.

Paralytic feeling in the left arm.

Severe rheumatic pain in the right elbow joint. Lower Extremities.

Pressing pain in the middle part of the thigh, witii constric- tive feeling of the head.

* Inflammatory rheumatism of the right knee, with tearing

pains in the fibula.

Weariness of the limbs, with cramp-like feelings in the gas- trocnemius.

Prickling sensations through the whole body.

Cramps in the calves.

* Fever and ague, with chill in the middle of the day, followed

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LTOOFUS VJEGINICUB.

by heat and sweat, ■which lasts until next morning- Sensation, of heat and shuddering in the daytime. " Intermittent fevers (cjuotidian).

Skin

Eruptions between the fingers, on the dorsa of the hands and on the fore arms of small vesicles, with tingling itching. {Teste) Prickling itching of the skin all over the body.

Sleep

sleep, witli anxious and sad dreams.

LYCopus vmaiNicns.

(Bugle Weed.)

Botanical Desokiption This plant, also known as Paul'e Water Horehound, is an indigenous, perennial herb, with a fl and ft smooth, straight, obtusely four-angled stem, with the sides & producing siender runners from tlie base, ancl from ten to twenty inches in lieigliL The leaces are opposite, oblong, or ovate-lanceolate, toothed, enlire toward tlie base, with glandular dots underneath. The fiowers aie very small, purplish, in dense, axillary whorla; at the base of each flower are two small subulate brads.

Corolla campanulate, four-cleft, the tube as long as the calyx, upper segment broadest, emarginate. Galyx tubulart four.cleft, longer than the achenia; gtamens two, distant, diverging, simple; anthers erect, bilobed ; ovary superior, four-angled ; style straight, slender ; ttigma bilobate; achenia four, smooth, abovate, obliquely truncate at apex, compressed, margins thickened.

" Bugle weed is found growing in almost all parts of the United States, in moist and shady situations, flowering in June and August. It has a peculiar, balsamic, terebin thin ate odor, and a disagreeable, slightly bitter taste; it imparts its properties to boiling water in infusions. The whole herb is officinal. It has not been analyzed, but probably its virtues depend upon a volatile oil and tannic acid." An analysis of tliis plant made by Tilden & Co., gives 40 parts of Tannin to 7,000 organic and inor. ganic matters, also "a bitter principle, soluble in ether, 24 parts," and a "peculiar principle, insoluble in ether, '696 parts."

In the following pathogenesis, the symptoms noted only in proving mother tincture are marked (1); those belonging only to the 300th (3); those common to both are unmarked.

Doubtful symptoms are marked with a note of interrogation.

Of the SOS symptoms recorded, 133 belong lo the mother tincture, 41 to the 300th dilution, and 2fl are common to both {Dr.

MorrUon, of England.)

The symptoms thus marked with numerals are from the provings of Ur.

Morrison, of England.

All the rest are from my own provings and clinical experience

Hale.

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^8 LYCOPCa T1KQIKI0TT8.

OppicmAL Preparations

Tincture of the whole plaut; dilutions.

ANALOeOES

Ds^rtaKs, Tberis, Aeid hydrocyanic, Prunm mrsmiana-,

Lauroceraaus, Spigelia, Sanguiitaria, Cactus.

Mental Sphere.

° Stupid, with lacii of expression during menstrual flow.

° Mind wanders from one tiling to another.

One of the mildest and best narcotics. i^RaJinesq'ue.)

° General wakefulness and morbid vigilance.

Obtusion of intellect (1).

Increased mental and physical activity (1).

DiiEenltj in concentrating attention and thought (2) s activity, ready for any amount of work (1).

Head

^-out sensation in the frontal and temporal regions.

Pains in frontal eminences, passing from left to right, and

back to left- Oppressed feeling in brain (1),

Dull aching through the sinciput.

Pressive frontal headache.

Oppressed feeling in cerebellum (1).

Giddiness, witli tendencies to right and forw-ard.

Persistent giddiness, while sitting.

Acute pain in left temple, passing to right.

Acliing in left maxillary articulation and left wrist (1).

Acute pain in left frontal eminence, with sensation of compres- sion of brain (1).

Severe aching through occiput (1).

Dull, oppressive general headache.

SevM^, general headache, with giddiness.

Acute darting from left temporal to malar bone, with sensa- tion as if brain were compressed, followed by irritation of scalp over the line of pain (1).

Persistent giddiness, commencing in open air, continuing while sitting.

Giddiness, while sitting, with constriction of larj'iix.

Aching in one spot, changing from left to right of occipital protuberance (1).

Fron to-occipital headache, from tliree to seven i", m. (1).

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VIKGINICUS. 429

Frontal ieadache, subsequently passing to occiput, tliree to

six P.M.

(1).

Giddiness, with strong tendency to the right.

Nenraloid pain in the right supra-orbital region (1), Pressing-out sensation above right frontal eminence (3).

Acute pain in right temple, passing to left frontal eminence,

and returning to right temple (3). Neuraioid pain in both temples, worse during evening (2) Sensation of heavy pressure on parietal protuberances, moving

upward to middle line (2), Darting pains in lower half of forehead (2). Subacute pain above left frontal eminence, passing to right

lower molars (2).

Darting pain in left temple, succeeded by steady aching (2).

Acute pain at seventh cervical vertebra (1).

Nearly all symptoms shortly return with considerable severity

Eyes

"Protnision of the eyes, with tumultuous action of the heart.

" Pain in the forehead and temples relieved by nausea.

Painful pressure in the eyebalfs.

"ExophthalmuB from cai'diac disease.

Month and Teeth.

Parched feeling in upper lip (1), Aching in lower molars; passing from right to left.

Acute pain iu the right lower molars, passing to right temple,

left lower molars, left temple, and returning to right lower

molars, Continnous aching in left lo'wer molars (1). Pain passes from lower molars to lumbar and mid-dorsal

regions, returning "to left lower molars (1). Pain in left lower molars, passing to left upper bicuspides (1) Slight aehings in left lower, left upper, and then in right upper

molars (decayed) (2). Pains in left lower molars, transferred to right.

Throat

Sensation of rawness at back and right of palate.

Slight burning in palate (l).

Subacute pain in pharynx, increased by deglutition (1).

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430 LYCOPUS VIKGINTCIJB.

Sensation of rawness, with swelling (which subsequently dia-

appeared) like ahardenedgland, to back of right palate, (2.) Irritation in fauces, inciting to cough (2). Stomach and Bowels. ° Indigestion, with pain and distress in epigaetric region. ° Gastritis; enteritis; dysentery and diarrhcea. *Cirenmacribed pain and compression in the region of the

Stomach

° Constipation for six or seven days, stools dry and clog-like, *Diarrh(ea — (in phthisis,) with griping and rnmbling. Strong bearing down in left inguinal canal, as if hernia would

protrude, while sitting ; with acute pain on walking ;

relieved by upward pressure on external ring (1). Bearing down in right inguinal canal; with subacute pain

when walking; relieved by continued pressure on exter-

temal ring; with severe loin pain, especially to right of

spine (1). Aching in both inguinal canals, on rising from bed, increased

bv walking ; relieved by upward pressure on external

rings (1). Continuous aching along both inguinal canals, most marked

on right side, increased by walking (1).

Acute pain down right inguinal canal, while sitting (1).

Tenderness down right inguinal canal (1), Aching down right inguinal canal, while sitting (1), Pressive aching down left inguinal canal, relieved by upward

pressure (1). Severe aching down spine, somewhat relieved by friction,

passing off after rising (1). ^Excessive flatulence, which aggravates the palpitations.

Faintness, with slight nausea, while walking in open air.

Agreeable sensation of warmth to left of epigastrium (2).

Eructations, with distinct flavor of the drug (2).

Fieces papescent or watery, with succeeding constipation (1).

Bowels act more freely; relaxed; f^ces light colored (1).

Fffices slimy, of a peculiarly shining dark-brown (1).

FiCces slimy, of a peculiar greyish-brown, as if mixed with

ashes (1).

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LTcorus vmcfiNictis. 433

" Diarrhoea in jaundice, from weakened heart. (Male.)

Faeces of a davk shining brown; odor strong (1).

Fiecea offensive, slimy, dark shining brown, gushing ont (1)

Excessive flatulent rumblings, on awaking (1).

Faeces half solid, with straining; half slimy, gnsliing out (1).

Fffices slimy, of a shining yellow; offensive (1).

Fseces partly solid and natural, partly slimy, dark-brown,

offensive (1), Constipation; fseces hard, scanty, dark, passed with straining

and consequent bleeding (2). Constipation succreeded by softer and freer motions, of the

peculiar shining yellowish-brown previously noted (2).

Generative Organs.

Female

" Menses last from half an hour to six hours, inter-

mitting for ten or twelve days. "Puffing of the parts on and around the pubes and vulva,

dilated condition of the vagina. ° Vagina very hot, os uteri engorged and swollen. " When the heart's action was tumultuous the puffing (cedema)

of the pubis was gone, " Menorrhagia and metrorrhagia, ifale. — Sharp darting pains through left testicle (epididymis);

passing to right testicle; leaving dull achings (1). Acute aching in left testicle, with occasional darting pains,

changing to right, and again to left testicle (1).

Acute pain, from left Iddney down lett inguinal canal (1).

Tlie pains in left testicle cause an aching along left inguinal

canal, extend to right testicle, and at times very severe (1), Pain first in left, then in right, then in both testicles; recur- ring tlie whole evening (1).

TTrinary Organs. * Urine scanty, thick and muddy, with cedema of the feet. Dull pain in left lumbar region — the bladder yeels distended

when empty. Urine exhibits excess of mucus, with epithelium scales and

minute crystals (1). Urine shows less deposit, with di. sp, gr, (1007-1010.) Urine contains scattered mucus and epithelial scales, abttn-

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iSa iTcopns tirginicus.

dance of spermatozoa, and oxalate of lime crystals; sp.

gr. 1004—1006 (normal 1016—1018 (1). Urine exhibits slight deposits of mnciis; sp. gr. 1015 (2). ° Diabetes mellitus^' several cases of great severity. {See

Therapeutics . )

Larynx and Cough.

" It quiets cough and irritation of the, lungs.

" It lessens arterial action in fevers and plethora. * An excellent remedy for ligemoptysis in phthisis. ° It is an excellent substitute for Digitalis or bleeding.

(7J.) Sense of constriction in larynx.

Dyspntea, as if from bronchial catarrh (2).

Oongh, with sligiit pale expectoration, wheezing, and hot

achinga beneath right scapula (2).

Increased bronchial, with increased taucial irritation, and in- creased congh (3).

Unpleasant, sweetish expectoration, at times difficult (2).

Slight nasal catarrh, with sneezing (2). ° Congh and expectoration checked by repetition of niedieine(2).

Cheat. Suhaente pain below and to outer side of left nipple (apex

region).

Hheumatoid aching in right scapular muscles.

Pleurodynia (?) from third to seventh left interspace, with

spasmodic contraction of intercostal muscles, increased by

lying on right side (1). Suhacute superlicial pain at third left interspace, becoming

acute on moving (1).

Spasms of right intercostal muscles (?) on awaking (1).

Pleurodynia (?) below fifth right costal cartilage, passing to

left and then i-etuming to right side, on awaking (1). Sense of constriction across lower half of thorax, impeding

respiration, with subacute pain, increased by lying on

right side, on awaking (1).

Intercostal pains, worse from lying on right side, with re- peated darting pains at apex (1).

Acute pain in left axilla, extending down edges of pectoral s to thorax, passing to base and apex of heart (1).

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LTC0PU8 YIKGIICICU8. 433

Acute pain in intercostal muscles, over base of Iieart (1). Severe pain at insertion of right pectoral muscles, becoming

more acute on inspiring deeply (1). Pain on right side of thorax, passing to apex region, then to

right axilla, and down pectoral muscles to former spot,

again to apex region, aud returning to right side (1);

Oppression of respiration (1).

Kheumatoid aching over apex, then above right nipjile, then

from third to sixth left interspaces inclusive, with pain

in apex (2).

Achings in cheet increase toward sunset (2).

Subacute achings over apex and above right nipple, with dull

temporal headaches (2).

Achings generally increase in severity toward snnset (2).

Sensations of heat, first under right scapula, then in centre of

left lung, and again beneath right scapula (?) (2), Agreeable sensation of warmth, first to left of epigastrium,.

tlien in apex region, then at base of heart (2). Occasional pains in chest.

Hot sensations recur, especially beneath right scapula Oppressed respiration, with sighing (2).

Subscapular aching (2).

Shifting rhenmatoid achings (2).

Heart and Pulse.

Oonairicti'kff pain and tenderness around the heart.

"Action of the heart, tumultuous and forcible, (when eyee-

seemed protruded) it could be heard several feet from the

bed. (In a case of esophthalmus.) First sound of the heart displaced by a blowing sound of mitrali

regurgitations.

Stitch-like pain in tlie cardia — also a throbbi/ng pain.

Pulse

.^8 — -irregular. " Cough with hmmoptysis, feeble, quick, irregular action of the

heart; (if it does not cure consumption it is a very val- uable palliative.) (Hale.) " It renders the beat of the heart slower, fuller and more-

i-egular. Beats of the lieart more distinct on right side of sternum,

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434 LTCOPua vieginious.

° Palpitation in cardiac hypertrophy, with dilatation. {Hale.)

" Palpitation from nervous irritation, with plethora. (/5.)

" Aneurism of the large vessels near the heart, (75.)

° It lessens the irritation, anxiety and suffering, and palhates organic disease of the heart. (TS.)

A sensation of pressing outward in the cardiac region — not painful.

Subacute pain at apex of heart (1).

Cardiac oppression, lasting an hour (1).

Marked cardiac opprossion (1).

Quickened pulse, with distinct intermissions (1),

Sighing and yawning (1),

Cardiac depression, with dull heavy beating.

"On waking, frequent intermissions (1).

Cardiac action first steadied by drug, then rendered intermit- tent (1).

Pulse irregular and intermittent, especially when lying, quick- ened at each inspiration.

Cardiac distress, most marked at apex (1).

Pulse about 72, lying, sitting, and standing, quickened at each inspiration (1).

" Cardiac pulsation scarcely perceptible to toncli,"

Subacute pain, extending from apex to third lower inter- space (1).

Acute pain at apex, with contraction of intercostal mascles, increased by lying on right side, from 6:30 to 10 a.m.{1).

Pulse 68, with oppressed cardiac action (1).

Palpitation on E'ight exertion (1).

On awaking, labored cardiac action (1).

]Jieft-8ided pains predominate.

Subacute pain at apex of heart, moving to fourth left inter- space (1).

Pulse immediately steadied by a full dose of the dnig, sub- sequently becoming jerking (1),

Pulse subsequently becomes quickened, feebie, irregular (1).

" Heart sounds indistinct, systolic running into diastoUc " (1).

" Heart-sicknefis," not relieved by food (1).

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LTCOPUS TIEGIOTCUS.' 435

Cardiac pains, with genera! debility (1).

Acute darting pains, at apex of heart (1).

Acute pain at apex, not reheved by pressure, driven by fric- tion to left subscapular region, then passing to mid-doreai region (1).

Acute pain at apex, with cardiac distress (1).

Pulse scarcely perceptible, irregular (1).

" Pulse extremely variable, both as to time and volume, at first almost impei-eeptible, not intermittent" (1),

" Cardiac pulsation much stronger tlian the puise indications would lead one to expect " (1).

" Impulse feeble, heart sounds very weak, action irregular in force and rhythm" (1).

"Pulse feeble, compressible, irregular in force and rhythm"

(i>

Marked cardiac depression, causing slight faintness on quickly ascending a few stairs (1),

Faint feeling returns later on quietly ascending (1).

Cardiac action barely perceptible, with moderately strong and less compressible pulse (1).

Pulse compressible, irritable, varying greatly in force and rhythm, with frequent intermissions (1),

Pulse less compressible, irregular and intermittent (1).

Cardiac depression, causing faintneas (1).

Cardiac depression, succeeded by cardiac oppression, with quickened pulse (1).

Subacute pains both at apex and base of heart (l),

Pulse irregular in rhythm, extremely compreeeible.

On lying down, palpitation, with shortened systole and length- ened interval (3).

Cardiac depression, with intermittent pulse (2).

Pulse irregular and intermittent (2).

Acute darting pains in heart, with complete intermissions (2). Week.

Acute pain in nape of neck (cervical muscles) (1).

Temporal pain, transferred to cerebellum, and again to tem- pies (1).

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436 LTCOPUS TIRGINICUS.

Congestive pain in nape of neck (1).

Stiffness of left cervical imiscles, interfering with movement

of head.

Back

Acute ikying pains to right of mid-dorsal region (1), Continnons lumbar pain, not increased by stooping, increased

by waiting (1).

Aching across lower dorsal region (1).

Aching (like lumbago) across loins.

Ehenmatoid pains in Inmbar region (1).

Acate rheumatoid loin pain, extending to lower dorsal region

(i>

Continuoas Inmbar and dorsal pain, most severe towaixi left side (1).

tfpper Limbs.

Unsteadiness of hands, rendering writing somewhat diffiexilt.

Keturn of tremulous feeling in hands, while writing, lasting several minutes (1).

Rheumatoid pains, especially left (1).

Acute pains, especially in left wrist (1)

Darting pains through right wrist (1).

Prickliiigs (urticaria?) in lower forearm, hypogastrium, etc., returning to left forearm (1),

Troublesome urticaria, specially affecting left forearm and right leg (?)(!)■

Frequent rheumatoid pains in left forearm, left wri3t,left hand, and right forearm and wrist (1).

Flying rheumatoid pains (2).

Erratic rheumatoid pains in left wrist, right calf, right sub- clavicular region, and retnraing to left wrist (2).

Darting pains in left thumb (1).

Lower Xiim.b8.

Acute rheumatoid pain from left knee to ankle; quickly set- tling in loins (1),

Ehenmatoid pain in calves of legs, especially left (1).

Eetum of acute pains in left leg, extending up thigh, on exer- tion (1).

Pains ai-e transferred from left calf and leg to right (1).

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LTCopce viKGiBioua. 437

Oceaeional pains in legs, especially left (1),

Eheuniatoid pains, especially left leg and forearm (1).

Sharp a<!hing in right leg, not relieved by friction (1).

Sharp aching down right tihia, Causing lameness; not relieved

by fi-ietion (1), ■Acute pain in inner muscles. of left calf, with straining and lameness (1).

Aching down flexor mneeles of right thigh, extending to knee and calf of leg; then to left knee and calf ; then returning to right thigli and knee; with slight lameness (1),

Achings down both thighs, with weakness in walking (1),

Irritation (urticaria?) in right leg, right forearm, back, etc. (1).

Subacute pain down muscles of left calf (1).

Acnte pain down anterior muscles of right thigh, causing lameness; subsequently, down both thighs (1).

Achings, passing from left wrist to right knee, left tibia an- teriorly, lower dorsal region, left knee, and right forearm.

Ehenmatoid pains pass from left wrist to right calf (2).

Erratic rheumatoid pains, affecting lower limbs (2).

Sleep

On waking, labored cardiac action.

Dreamy sleep, with early waking.

Sneezing, on awaking from sleep (2).

Generalities

[t seems to cause abnormal action of the heart, and has cured some of the symptoms of Exophthalmus.

The left leg feels half an inch sliorter, and sounds on the pavement as if it really were.

Rheiimatoid pains, passing from left to right; returning to leftside; chiefly affecting muscles and articulations; in- creased by movement, by cold air, and by concentrating the thought upon them. Dental pains, chiefly in decayed teeth, and usually passing from right to left, not relieved by aeoti.^ mere, nor by direct warmth. Sneezing, c ncea, cough, expectoration, wheezing, and faucial irrita- tion, as if from bronchial catarrh. Cardiac distress, pal pitation, and rheumatoid pains, increased as above irregular and intermittent pulse; quickened, feeble, com-

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Pulse

Constipation, . followed ' by ' full, soft motions, of a shining yellow-brown, offensive; gushing out., Taint perspiration on covered parte, while waiting.

Dreamy sleep and early waking.

Rheumatoid achings, relieved by electrical current, not relieved by galvanic.

Neuraloid pains, affecting testicles.

Pains, as if hernise would protrade, relieved by upward pressure on crural rings.

Eructations, tasting of the dnig, Nausea and faintness.

Times of aggravation, early morning ; after- noon (3 to 6 o'clock); sunset; and during evening.

Pains increase in severity toward sunset.

Sighing and yawning (1).