Cinchona Boliviana

A variety of Cinchona Calisaya, discovered by Weddell in Bolivia, growing somewhat further northward than Calisaya.

Clinical Authority.— M. M. Modiedo, Bogota, La Homceopatia, vol. 1, p. 333.

^ Mind. Painful sense of humiliation.

Excessive gloominess with alternations of serenity ; hilari- ous in evening.

Great lack of moral courage ; disposed to feel cowardly.

Feels sad, like shedding tears; thinks much about the future.

Feels abandoned and deserted.

Fits of rage, breaks out in blasphemous language.

Alternate bad and good humor.

Calm, feels repentant, resigned.

Absent-minded while conversing. ^ Sensorium. Vertigo as after a drunken fit, voracious appetite.

Head feels heavy, stupid. ^ Inner Head. Dull headache in morning on awaking, leaves during day.

Violent headache on awaking in morning, continuing all day and night and following day, leaving during sleep on next night.

Headache after eating.

Pulsations in 1. side of head.

Headache with pulsations over r. eye.

Head heavy. * Outer Head. Sweat on forehead.

Pain in roots of hair on crown of head.

Some of the hair falls off in a spot where pain was felt. ^ Sight and Eyes. Turning to right, eyes closed, seems to see a bright flame horizontally from r. to 1. terminating in a point ; feels as if caused by pressure on lids.

Desires to close eyes at night during fever.

Burning pain in eyes, wants to rub them.

Veins in inner angle of 1. eye injected; morning.

Cramp-like pain in inner angle of r. eye.

Violent pains like a stab in 1. eye, followed by itching and tears.

Lids weak, drooping. ^ Hearing and Ears. Sudden sounds as of a far-off land- slide; detonation of a cannon in r. ear.

157 CINCHONA BOLIVIANA.

Sounds in 1. ear as of ringing of bells.

Sounds like humming of bees in 1. ear, and as of blowing

of a trumpet, at night. Whistling sound in r. ear at night. Deafness in 1. ear; took large ball of cerumen from it. '' Smell and Nose. Much sneezing on awaking in morning, with smell as of fresh pus. I I Sensation as of incipient cold, with tight feeling and

pain in throat. i I Violent cold in head ; coryza. Nostrils dry, stopped up. Mucus from posterior nares. ^ Upper Face. Face : hot ; pale ; sweating.

Pulsation in 1. side of face extending to ear. Painful pustule on prominence of r. cheek bone. ^ Lower Face. Aphthae on inner surface of lips. I I Ulceration of commissures of mouth.

Slight eruption on lower lip, much itching; pustules leave before fully forming, ^^ Teeth and Gums. Teeth on edge sore on chewing, espe- cially 1. side. Pulsating in decayed teeth, 1. side. Gums feel excoriated, 1. side.

" Taste and Tongue. Saltish taste; acid taste as of iron. Tip of tongue as if burnt. Epithelium peels off base of tongue.

Sensation on tongue as of violent bites, seemingly extend- ing towards 1., also to right, ^^ Inner Mouth. Mouth bitter; morning on awaking.

I I Aphthae. ^^ Throat. Feeling of constriction and burning in throat.

Tonsils painful. " Appetite, Thirst. Desires, Aversions. Hunger, or lack of appetite ; repugnance to meat. Thirst during day ; also in morning. ^^ Eating and Drinking. At night, after preserves, mouth fills with a sour liquid. After food, feeling of weight in stomach. After eating: cold; sneezing; sleepy, and desire to sleep in evening. ^^ Belching, Nausea, l l Much gas arises from stomach.

Nausea while eating at night. ^'^ Scrobiculum and Stomach. Heat in skin in region of stomach. Unpleasant sensation in stomach on lying down, ^^ Hypochondria. Pain in hepatic region.

Pains in both hypochondria and under short ribs on awaking in morning.

CINCHONA BOLIVIANA. 158

Pain in splenic region. ^^ Abdomen. Cramp-like pain in. lower part of abdomen, r.

side. Great heat as from a poultice. Pricking as from pins in pubis. ^ Stool and Rectum. Hard, then soft stools, without diar- rhoea. Expulsion of gases from intestines. Impulse to stool at night; stools hard, scanty. I I Biting in anus as from worms ; excoriated sensation. Viscous sweat on anus. ^^ Urinary Organs. Pain in 1. kidney on sitting down, in

morning. Heavy pressure in bladder ; cramp in sphincter ; tenesmus

on urinating. Flow of urine bifurcated ; or small stream curving to left. Flow of urine frequent and clear.

Urine in nebulous flocks, smelling strong in a few hours. ^^ Male Sexual Organs. Morning erections, no sexual desire. Pollutions exceedingly debilitating. Pricking, crawling in urethra up to sphincter. I I Excoriation on inner and lower part of prepuce. I I Gleet and ulceration of prepuce. ^ Cough. Cough dry, then loose ; sputum saline or tasting of

blood ; sputum of milk-white globules of mucus. I I Cough with pain in r. lung as from a dagger buried

there; at times makes breathing laborious; burning in

eyes; extremities cold. ^Pneumonia. ^ Inner Chest and Lungs. Pain in chest as if it was one

great sore. I I Unbearable pain in r. lung, extends to region of liver ;

sensitive to touch. Dull cramp in thoracic cavity. I I Violent attack of pneumonia. ^ Heart, Pulse and Circulation. Palpitation ; heartache.

Pulse feeble and quick during nocturnal fever. ^' Neck and Back, l l Nape of neck rigid, cannot turn head

to right; any sudden movement causes a snap or crack. Sudden cramp in anterior lower part of neck causing

fright. Rheumatic pains in 1. shoulder. Pain in 1. buttock, also in r. hip bone on sitting up in bed

in morning. I I Wry neck. ^^ Upper Limbs. Rheumatic pains in 1. arm from shoulder to

hand, also in both arms. Dull pains alternate from arm to arm. Pains in r. arm on moving it.

159 CINCHONA BOLIVIANA.

Left hand and arm lose sensation; cramp about thumb- nail.

Rheumatic pains from 1. wrist to elbow.

Pains in joints of both hands.

Pricking pains in hands.

Lack of strength in arms and hands.

I I Hands red; vessels distended.

Hands hot even in cold and rainy weather.

Hands cold, sticky.

Prolonged hemorrhage from a small wound on joint of first phalanx, second finger of r. hand. ^ Lower Limbs. Convulsive pains in muscles of 1. thigh.

Pricking pains in legs.

Pains in 1. knee.

I i Legs and feet icy cold as if blown on by a wintry wind.

Sudden, violent pulsating in joint of r. big toe; cramp in it at night, on lying down.

Rheumatic pains in r. foot.

I I Painful corns. ^^ Rest. Position. Motion. After lying down: no disposi tion to sleep.

On lying down : unpleasant sensation in stomach ; sudden violent pulsating in joint of r. big toe; sudden and pro- found sleep.

On sitting down: pain in 1. kidney.

On sitting up in bed: pain in 1. buttock, and in r. hip bone.

Cannot turn head to right, nape rigid, any sudden move- ment causes a snap or crack.

Turning to right, eyes closed, seems to see a bright flame horizontally from r. to 1. terminating in a point.

Pains in r. arm on moving it. ^^ Nerves. Feels lazy in bed in morning, but cannot go to sleep again.

Inclination to oscillation of body after writing.

Nervous susceptibility, cannot bear noise.

Whole body uneasy. ^^ Sleep. No disposition to sleep after lying down.

Sudden and profound sleep on lying down.

Dreams of the sea; of fishes; of swimming; of bathing; of journeys; of journeys by water; of death; of vulgar scenes ; of vomiting worms.

Drools from mouth in sleep. ^^ Time. In morning : dull headache on awaking ; violent headache on awaking; veins in inner angle of 1. eye in- jected; much sneezing on awakiug; mouth bitter on awaking ; thirst ; pain in both hypochondria and under short ribs on awaking; pain in 1. kidney on sitting down;

CINCHONA BOLTVIANA. 160

erections; pain in 1. buttock and r. hip bone on sitting up in bed; in bed feels lazy but cannot go to sleep again ; feels cold in bed.

Evening : hilarious ; desire to sleep ; fever.

At night: desire to close eyes during fever; sounds in 1. ear as of a trumpet; whistling in r. ear; mouth fills with a sour liquid after preserves; nausea while eating; im- pulse to stool; fever; sudden, violent pulsating in joints of r. big toe ; feels cold in bed ; heat of body. ^ Temperature and Weather. Disinclination for the bath.

In cold rainy weather: hands hot. ^ Fever. Feels cold in bed all night; also in morning.

General excessive cold during day; heat of body at night.

Fever, p.m., head heavy, burning in eyes, frequent sneez- ing; cold feet.

Sweat excessive on face and head; burning in eyes; veins swollen; pulse 96 to 104.

I I Intermittent fever. *^ Attacks, Periodicity. Sudden: sounds in ears; pulsating in joints of r. big toe.

Frequent : flow of urine ; sneezing.

At times: laborious breathing.

During day: thirst; general excessive cold.

All night: feet cold in bed.

Alternate : dull pains from arm to arm.

Intermittent fever. ^ Locality and Direction. Right: headache, with pulsations over eye; cramp-like pain in inner angle of eye; deto- nation of cannon in ear; whistling in ear; painful pus- tule on prominence of cheek bone; cramp-like pain in lower part of abdomen on side; pain in r. hip bone; rheumatic pains in arm; sudden, violent pulsating on joints of big toe; rheumatic pains in foot.

Left: pulsations in side of head; veins in inner angle of eye injected ; violent pain like a stab followed by itch- ing and tears in eye; sounds like ringing of bells in ear; sounds like humming of bees in ear, as of blowing of a trumpet; deafness in ear; pulsations in side of face, ex- tending to ear; soreness of teeth on chewing; pulsating in decayed teeth on side; gums feel excoriated; pain in kidney; rheumatic pains in shoulder; pain in buttock; rheumatic pains in arm, front shoulder to hand ; hand and arm lose sensation; convulsive pains in muscles of thigh ; pains in knee.

From 1. to r.: seems to see a bright flame terminating in a point. *^ Sensations. As of a stab in 1. eye; as of a far-ofl" land-slide sounding in ears; as of incipient cold; as of teeth being

161 CINCHONA BOLIVIANA.

on edge; as if tip of tongue was burnt; as of violent bites on tongue; as of a dagger buried in r. lung; as if there was one great sore in chest; as if legs were blown on by a wintry wind.

Pain : in roots of hair on crown of head ; in throat ; in ton- sils; in hepatic region; in both hypochondria, and under short ribs; in splenic region; in 1. kidney; in r. lung, with cough; in chest; in 1. buttock; in r. arm on moving it; in joints of both hands; in 1. knee; in corns.

Unbearable pain in r. lung, extending to region of liver.

Burning: in eyes; in throat; constriction in throat.

Excoriated feeling: of gums on 1. side; in anus; on inner and lower part of prepuce.

Biting: in anus, as from worms.

Pricking: in pubis, as from pins; in urethra up to sphinc- ter; in hands; in legs.

Convulsive pains: in muscles of 1. thigh.

Soreness: of teeth on chewing.

Dull pains: alternate from arm to arm.

Dull cramp: in thoracic cavity.

Sudden cramp : in anterior lower part of neck.

Cramp-like pain: in inner angle of r. eye; in i ower part of abdomen, r. side.

Cramp: in sphincter; about thumb-nail; in r. big toe at night.

Rheumatic pains: in 1. shoulder; in 1. arm from shoulder to hand; in both arms; from 1. wrist to elbow; in r. foot.

Pulsations : in 1. side of head ; over r. eye ; in 1. side of face, extending to ear; in decayed teeth on 1. side; sudden and violent in joint of r. big toe.

Tight feeling : in throat.

Heavy pressure: in bladder. • Pressure: on lids.

Heaviness : of head.

Weight: in stomach.

Uneasiness : in whole body.

Crawling : in urethra up to sphincter.

Unpleasant sensation in stomach on lying down.

Itching: in 1. eye; of eruption on lower lip.

Heat: in skin; in region of stomach; in abdomen; as from a poultice ; of body at night.

Coldness: after eating; of hands; of feet; ic}^ coldness of legs.

Dryness: of nostrils.

Hands sticky. *^ Touch. Touch: unbearable; pain in r. lung, extending lo region of liver, sensitive to.

Rubbing: wants to rub eyes.

VOL. IV. — 11.

CINCHONA OFFICINALIS. 162

CINCHONA OFFICINALIS (<'hma).

Peruvian Bark. Rubiacese.

Unknown previous to middle of seventeenth century. Named from Countess El-Cinchon, wife of the vice king of Peru. It was distributed by the Jesuits among the poor as a febrifuge. Grows on eastern range of Andes, and is being naturalized in India,

It was first proved by Hahnemann in 1790.

The yellow bark was mainly used in the provings. Those chiefly used in pharmacy are: 1. Cinchona Calisaya, also called Cinchona Eegia or Cinchona Flava, Koyal or genuine* yellow bark. 2. Cinchona de Huanuco, grey or silver Cinchona ; and, 3. Cinchona Rubra, or Ked Cinchona.

Hahnemann mentions that in 1790, when proving Cortex China, the first idea of the homoeopathic law of cure dawned upon his mind.

For provings, see Allen's Encyclopedia, v. 3.

CiiiNiCAL AuTHOBiTiES Coma, D. Wilson, Organon, v. 2, p. 340 ; Neuralgic headache, Hirschel, Riick.

Kl. Erf., v. 5, p. 82 ; Hemicrania, C. Hartlaub, Eiick.

Kl. Erf., V. 1, p. 171 ; Biirkner, Eiick. Kl.

Erf., v. 5, p. 82 ; Rheumatic ophthalmia (two cases), Arnold, Eiick. Kl. Erf., v. 5, p. 129;

Bamberg, A. H. Z., v. 37, p. 357 ; Scrofulous ophthalmia, Caspari, Allen and Norton;

B. J. H., v. 6, p. 343; Amblyopia, Caspari, Allen and Norton, Ophth.

Therap., p. 45; N. A. J.

H., v. 24, p. 345 ; Amaurosis from sexual excesses and alcoholism, Caspari, Eiick. Kl. Erf., v. 1, p. 337;

Amaurosis with spinal irritatiov, Stens, A. H. Z., v. 79, p. 132; Oonorrhoeal iritis, Eiick.

Kl. Erf., v. 1, p. 314 ; Intermittent ciliary neuralgia, Eaue, Allen and Norton, Ophthal. Therap., p. 45 ;

St. Martin, Allen and Norton, Opthal. Therap., p. 45; Supraorbital neuralgia (two cases), Escallier, N.

A. J. H., v. 13, p. 385; Epis- taxis, Erg., Eiick.

Kl. Erf, v. 1, p. 410; J. A.

Terry, N. A. J. H., v. 25, p. 317 ;

Faceache, K. Eochlitz, B. J. H., v. 30, p. 698 ;

Prosopalgia, L. Schron, Eiick. Kl. Erf., V. 5, p. 183; after massive doses of Quinine in cholera, Eiick.

Kl. Erf., v. 1, p. 422; Tempero-facial neuralgia, Escallier, N. A.

J. H., v. 13, p. 386; Erysipelas of face and scalp (two cases), Allg. Horn.

Ztg., 1882, p. 166; Toothache, Boenning- hausen, Eiick. Kl. Erf., v. 1, p. 460 ;

Neuralgia of inferior dental nerve. Buck, Trans. Hom. Med.

Soc, Penna., 1882, p. 159; Hasmatemesis (two cases), Eiick. Kl. Erf., V. 5, p, 263;

Obstructions in gall bladder, D. Thayer, Eaue's Path., p. 615; Biliary calculi, S. J.

Bumstead, U. S. M. and S. J., 1869, p.

Ill ; Gall stones, Smith, Or- ganon, V. 3, p. 366 ; Biliary colic, D. Thayer, N.

E. M. G., v. 9, p. 453 ; Ascites, Hirsch, Eiick.

Kl. Erf., v. 4, p. 341 ; Painless diarrhcea with prostration, Wood, Euck. Kl.

Erf., v. 5, p. 410; A. Capen, Mass. Trans., v. 4, p. 376;

Stapf, Eiick. Kl. Erf., V. 1, p. 888 ; Diarrhoea, Wood, Hom.

Times, 1854; J. C. Morgan, A.

J. H. M. M., V. 4, p. 122 ;

Eiick. Kl. Erf, v. 1, p. 830 ; Chronic diarrhcea, F.

L. Gage, Am. Horn., v. 1, p. 232 ; Dysentery in marshy districts, A.

E. Small, U. S. M. and S.

J., V. 7, p. 426 ; Cholera infantum, 0. P. Baer, Med.

Inv., v. 9, p. 374 ; Morbid appetite and sexual desire, Bethmann, Eiick. Kl. Erf., v. 2, p. 57 ;

Bloody leucor- rhoea, D. Hunt, N. E. M.

G., v. 6, p. 12 ; Menorrhagia, A. C. Cowperthwaite, A.

J. H. M. M., V. 8, p. 11;

Eiick. Kl. Erf., v. 2, p. 305; Miscarriage, T.

F. Smith,

163 CINCHONA OFFICINALIS.

Trans. N. Y. Soc, 1873, v. 4, p. 360 ;

Asthma after frequent venesection, Hartund, Eiick. Kl. Erf., v. 3, p. 187; Asthmatic cough, L.

Whiting, N. E. M. G., 1872, p. 24;

Phthisical symptoms, with pain in chei-t and affected spleen, Stens, B. J. H., v. 34, p. 725; Htzmoptysis, Heichelheim, Riick.

Kl. Erf., v. 3, p. 215; Hemorrhage from lunrjn, Vanderveer, H. M., v. 10, p. 419;

Pneumonia, Hartman, Arnold and Argenti, Riick. Kl. Erf., V. 3, p. 295; PI euro-pneumonia after parturition, Kafka, Eiick.

Kl. Erf., V. 5, p. 818 ; Fever and congestive headache, W. H.

Burt, U. S. M. and S. J., 1871 ;

In- termittent fever, C. Pearson, U. S. M. and S.

J., v. 1, p. 207 ; Sarcliet. U. S.

M. and vS. J., V. 7, p. 365; Schab, Homoeop. Clinique;

J. C. Robert, A. J.

H. M. M., v. 2, p. 218 ; Skinner, Med.

Inv., v. 8, p. 301 ; Griesselich, Riick. Kl. Erf., v. 1, p. 20 ;

Riick. Kl. Erf, V. 4 (27 cases) ; O.

J. Lyons, Med. Adv., v. 4, p. 236 ; Typhoidfever (two cases), Riickert, Riick.

Kl. Erf, v. 4, p. 729 (one case) ; Riick. Kl.

Erf., v. 5, p. 890; Night sweat in diphtheritic laryngitis, Van Peine, Raue's R., 1875, p. 98 ; Great debility with dropsy, A. C.

Pope, B. J. H., v. 12, p. 486 ; Acute dropsy following parturition, J.

C Robert, Organon, v. 3, p. 37 ; Rheumatism (two cases), Kopp, Riick. Kl. Erf., v p. 508 ;

Frank, Riick. Kl. Erf., v. 3, p. 509 ; Profuse suppuration in hip disease Raiie, A.

J. H. M. M., v. 2, p. 171;

After operation for strangulated hernia, M McFarland, Raue's Rec, 1870, p. 338 ; Jaundice (two cases), Riick. Kl. Erf., v. 5, p. 339;

After abuse of Mercury, Exostosis tibice,Fr. Hartman, Raue's Rec, 1875, p 204 ; Chronic arsenical poisoning, W. C.

Doane, Trans. Horn. Med. Soc, Penna., 1871 p. 132 ;

Quinine poisoning, W. M. Williamson, Trans. Hom, Med.

Soc, Penna. 1872, p. 151.

^ Mind. I Quite unconscious to pinching; loudly calling into ears arouses some momentary consciousness; answers to questions unintelligible. ^Coma. 1 1 Chooses wrong expressions, or misplaces them. llDelirium after depletion; on closing eyes, sees persons.

■ Head very much confused in morning, as after intoxica-

tion, with dryness of mouth.

I He makes many plans and reflects upon their execution.

I I Full of projects and ideas, especially in evening and at night.

■ Excessive vividness of mind and fancy, wdth headache. Slow train of ideas, as though there was a difficulty in

thinking. Mind constantly changing from one thing to another. I Fixed idea that he is unhappy, persecuted by enemies. iShe thinks she is very unfortunate and constantly har-

rassed by enemies. 6'Pregnancy. I Disposition to be alone.

I An excessively anxious solicitude about trifles. ■Maniacal condition, says and does foolish things and

runs about. ^Intermittent.

■ During a cheerful mood, sudden transient screaming

and tossing about bed, without any apparent cause.

■ ■Compelled to jump out of bed; wants to destroy him-

self, but lacks courage.

■ ■ Dislike to all mental or physical exertion.

CINCHONA OFFICINALIS. 164

I Disinclination to think; alternating condition of cheer-

fulness and gloominess.

I I Indifference, apathy, taciturnity.

I Indifference to his pains, great lassitude and weakness.

^Typhoid. iWhat usually appears to him bright and joyous seems

now unattractive, unworthy and shallow. Fitful mood ; cheerfulness alternating with sadness.

I I Low-spirited, gloomy, has no desire to live.

■ Excessive nervousness with lowness of sjDirits and intol-

erance of noise. Hypochondriacal mood and inability to work, especially after a meal.

I In morning on waking, anxious thoughts and ideas.

I I Inconsolable anxiety, even to suicide.

1 1 Dread of dogs and other animals at night.

nil humor; cheerful persons become cross and irritable.

Bill humor increased by petting and caressing.

1 1 Inclined to reproach and vex others.

I Stubborn, disobedient, longing for dainties; face pale, or at times red; restless all night; children.

I Dreadful feeling of excitement.

I General excitation during attacks, followed by depression. ^Ciliary neuralgia.

• Nervous irritation, wdth slowness of ideas.

I Intolerance of sensual impressions.

i Worse after exerting the mind. ' Sensorium. Great sensation of emptiness in head in morn- ing, as after drunkenness, with dry mouth.

I Vertigo: after loss of animal fluids; anaemia; head feels

weak, can hardly hold it erect; with the chill; on rais- ing head; with nervous erethism, excitable, hysterical; ■ with fainting; on rising as if he would fall backwards; with faintness; she staggered and could not walk straight; head inclined to sink backward; < on motion and when walking; > when lying; in occiput when seated; on waking at night he does not dare to rise; dizziness and heat in head, < when lying.

■ Stupefaction of head, with pressure in forehead. llDulness of head: giddiness, as from sitting up at night,

sleeplessness; as from coryza or intoxication and lan- guor in limbs in morning on awaking.

I I Heaviness of head, fainting, loss of sight, ringing in ears, cold surface; after hemorrhage.

Weight on head, with tendency to fall backwards, while

seated.

^ Inner Head. Rush of blood to head, wdth heat and fulness.

Fuhiess in head, sensation as if brain were rolled around,

with great excitement, nervous susceptibility increased.

165 CINCHONA OFFICINALIS.

Sensation as if brain were balancing to and fro, and were striking against the sknll, occasioning great pain.

1 1 Headache, so sensitive that it seems as though tlie skull would burst; brain beats in waves against skulL

■ Congestion to head, pain in temples, noise and tingling

in ears, frequently deafness and confused vision, heat ,and redness of face and head, while rest of body is cold and chilly.

■ Severe headache, flushed face, full, throbbing pulse, re-

sembling one whose brain is congested. ^Intermittent.

■ ■Sensation as if head would burst, with sleeplessness; <"

from motion or any jar; > in room and when opening- eyes.

■ ■Intense throbbing headache; carotids throb; after loss

of blood. Painful pressure towards forehead, as if something would

fall out ; < by firm pressure of hand. Pressive frontal headache; on leaning back pain < in

temples and again in forehead when sitting.

■ Pain in head as if brain were pressed into a ball, with

excessive vividness of mind.

■ Headache, as if brain were pressed together from both

sides and out at forehead, very much < by walking in open air. Sensation of constriction as if bound with a cord, espe- cially on r. side of forehead and occiput; < by walking, when there are violent throbbings and head feels as if it would burst.

■ Headache like a heaviness and heat in it; < on turning

eyes, together with jerking pain in temples.

■ Jerking headache in temple, iextending to upper jaw. Constant, dull, cutting pain from temples to orbits and

occiput; < by stooping and motion.

■ ■Stitches in head, with pulsation in temples, which can

be felt by finger; > by hard pressure, but < by move- ment of head.

■ ■ Stitches from temple to temple.

■ Headache, first like a cramp in vertex, followed by

bruised sensation in side of head; < by slightest motion. Tractive headache, from occiput to forehead, as if latter were compressed, which terminates in throbbing at temples ; > after walking, and < on sitting still.

■ I Headache from occiput over whole head from morning

until afternoon; < lying, must stand or walk; drives to madness.

■ ■Headache in occiput after sexual excesses or onanism. Severe pressure in occiput as if cerebellum would be

forced out.

CINCHONA OFFICINALIS. 166

■ Soreness of brain as if bruised, particularly when walk-

ing in wind or making any mental effort. 1 1 Whole head feels bruised; < from exerting mind, i I Brain feels bruised; < on moving, even opening his

eyes ; scalp sensitive ; < at night.

■ Violent jerking-tearing in several places in head; < on

motion and when walking; relieved when lying. Violent tearing, darting pains in various parts of head;

< by walking; > when sitting still; weight and dart- ing pains in forehead, especially on moving eyes; dart- ing j)ain in parietals, which descend along neck ; darting pains disappear by evening.

■ Throbbing, hammering, tearing, pressing headache, ex-

tending to neck and teeth ; < at night, with great rest- I lessness and sleeplessness ; nodes on head as large as a

filbert; profuse sweat without relief; scalp painful to touch.

■ Periodical cephalalgia of 1. side, occurring each morning;

attacks commence at 1 o'clock in morning, lasting until 10, 12 and sometimes 1 o'clock p.m.; pain confined to 1. side of head and is of a boring and pulsating character.

■ Hemicrania, 1. side, affecting eye and neck.

■ Headache on alternate mornings, 1. side into 1. cervical

region. ^Asthmatic cough.

■ Neuralgic headache, first on 1., subsequently on r. side,

beginning in teeth and jaw, extending to ear, temples and vertex ; < from a current of air, or taking anything cold or hot into the mouth; > by external warmth;

< at night, during and after lactation.

■ Headache, changing from side to side. Headache, with yawning and great weakness.

■ ■Tearing, drawing, oppressive pains, as from a load on

Jerking-tearing in head, or tearing with pressure.

region.

■ ■Headache irhproved by moving head up and down.

■ ■Headache: < from draught of air; in the open air;

from the sun ; slightest touch ; > from hard pressure.

■ Headache from suppressed coryza; < in open air, or

from exerting mind.

■ Headache, particularly at night, with sleeplessness. Inflammation of the brain and hydrocephaloid.

* Outer Head. ■ ■ Burning in forehead, with hot sweat on it. Distended veins on temples and forehead.

■ Pain externally on occiput; > from drinking coffee.

167 CINCHONA OFFICINALIS.

I Contractive pain of scalp, as if scalp were clutched and

drawn together to one point of a circle.

I I Scalp feels as if hair was grasped roughly.

1 1 Profuse sweat on head, especially when walking in open air. ^ Sight and Eyes. ■ Illusion in morning of bright gold chain dangling before eyes whether eyes are open or closed, with headache. 6* Asthmatic cough.

I I Flame of candle seems to be of a dazzling sulphur color,

after a few minutes all surrounding objects appear en- veloped in dazzling rosy light.

I I Sensitiveness of eyes to bright sunlight.

■ Letters pale, surrounded by white borders. ^Amblyopia.

I iScintillations, or black motes before eyes.

I I Dimness and weakness of sight; she can only distin- guish the outlines of distant objects.

■ Shortsightedness after typhus, with diarrhoea.

■ Amblyopia, consequent upon venereal excesses and in-

toxication; only large objects could be distinguished at six paces ; letters run together and look like black spots on a white ground ; pupils dilated and sluggish ; fundus of eye hazy; cornea dim; vision > in morning; with loss of strength, trembling of limbs, weak digestion and uneasy sleep; in drunkards; after masturbation; after loss of fluids, tendency of blood to head.

■Amaurosis, first r. then 1. eye, with spinal irritation.

I I Sudden blindness with violent pain in occiput, extend- ing into eyes.

■ ■Nocturnal blindness, hemeralopia.

Dimness of cornea, as if eyes were filled with smoke.

■ Ulcers in course of pannus, with much pain in morning.

■ Ulceration of cornea, particularly if iris becomes involved,

dependent upon malarious causes or antemia.

■ Iritis from loss of blood, after confinement.

■ Iritis from inoculation with gonorrhoeal virus, intense

photophobia, with pain in forehead.

■ ■Dilated, not very sensitive pupils. /? Amblyopia.

■ ■Yellow color of eyes. ^Fever and ague.

■ Focal distance of eyes unequal. /^Muscular asthenopia. ■Motion of eyes painful and difficult, with sensation of

mechanical hindrance. ^Ophthalmia. Distortion of eyeballs, one eye being open and the other half closed.

■ I Pressure in eyes, as from drowsiness.

CINCHONA OFFICINALIS. 168

Pressive pain in outer canthus; tearing in 1. outer canthus.

■ Excessive pain as if a knife were thrust between orbit

and ball and moved about in orbital cavity as if to scoop out eye, from 8 a.m. to 2 or 3 p.m. ^Ciliary neu- ralgia.

■ Every other day between 8 and 9 a.m. an attack of violent

pain in eye which becomes inflamed ; at noon all symp- toms disappeared. ^Ophthalmia rheumatica.

1 1 Smarting, first in one, then in other eye, with lachry- mation.

I I Pressive smarting pain in eyes as from salt ; she must constantly rub them.

I 1 Eyes red, with pressive burning pains in them, much

heat.

I I Pressure, as from sand in eyes ; photophobia ; eyes hot, red, or dim, as if filled with smoke.

I I Dry feeling betwixt lids and balls, rubbing pain on moving the lids, without perceptible alteration in eye.

Formicating pains in eyes and on inner surface of lids, with lachrymation.

■ Inflammation and itching of the eyes and eyelids in

■ ■Worse from light; > in dark.

■ Ciliary neuralgia dependent upon iritis, following ma-

larial disease.

■ Pressing pain in one spot at inner and upper border of

orbit, extending to nose and sometimes into lid, closing it, and of an intermittent type, coming on every evening about 11 o'clock. ^Scrofulous ophthalmia. ■Supraorbital neuralgia of r. side, with morning perio- dicity; the pains are lancinating and tearing, the parts intolerant to pressure, with redness of eyes and lachry- mation.

■ Intermittent ciliary neuralgia with painful pressure and

■ ■ Ringing in ears, with headache in temples ; debility.

■ Ticking sound in ear, as from a distant watch.

■ Something seems to be constantly before the ear.

■ ■Hardness of hearing; humming or roaring in ears.

■ ■Tearing pains in ears, < from the least touch, ears red.

■ ■Stitches in ears.

169 CINCHONA OFFICINALIS.

I External ear hurts when lying on it and is hot. iHemorrhage from ear, offensive, bloody, purulent dis- charges.

■ Hemorrhage from ears after prolonged suj^puration. ^ Smell and Nose, b i Smell too acute.

llDr}^ coryza, toothache, lachrymation, much sneezing.

■ Suppressed coryza, headache from it.

I I Nosebleed: anaemia; ringing in ears ; face pale; fainting; with tendency of blood to head ; after blowing it, espe- cially morning, on arising.

1 1 Frequent bleeding from nose; hemorrhage from nose and mouth.

■ Tearing in dorsum of nose.

■ Pressive pain in root of nose, which extended to side.

■ ■Redness and heat of nose.

■ ■ Cold sweat around nose and mouth.

^ Upper Face. ■Hippocratic countenance, with listlessness and apathy.

■ Face and eyes sunken and jaundiced. ^Biliary colic.

■ Face quite yellow. ^Fever and ague.

■ ■Face: red, during fever; hollow, pale, or livid, with

atrophy; pale, blue around eyes; yellow; earthy; grey, yellow, or black ; hippocratic.

■ ■Face hot, when entering room from open air.

Cheeks are red, feel hot to the patient although they are not warm, while other parts are chilly and cold.

■ Bloated, red face; face intensely flushed. ^Coma. Frequent change of color in face.

■ Neuralgia: periodical attacks ; pains excessive, skin sen-

sitive to least touch; part feels weak; face alternately red and pale; pains from 1. to r.; mostly in infraorbital and maxillary branches. Prosopalgia < by touch or movement.

■ Supraorbital periodical neuralgia; lancinating and tear-

ing pains, with swelling and persj)iration of face; she cannot work, speak or swallow.

■ Facial neuralgia of 1. side, with morning periodicity;

darting, constrictive pressure which extends from temple and eyes to whole side of face ; lachrymation ; pains < by noise, movement and touch.

■ Violent, tearing, laming, burning pain in r. side of face,

■ Needle-like pains in 1. face, 1. chest and 1. hand..

■ Right-sided faceache.

■ Faceache; nervous or rheumatic. ,

CINCHONA OFFICINALIS. 170

I Erysipelas of face and hairy portion of scalp, with much

fever and dyspnoea; somnolence alternating with de- lirium, constantly present; excessive weakness.

■ Enormous swelling of face, particularly of eyelids ; several

large vesicles filled with fluid upon the cheeks ; pulse 120; temperature 39°; constant but quiet delirium. ^Erysipelas of face and scaljD.

I I Veins of face distended.

^ Lower Face. Lips: burning; swollen; dry, hard, cracked, blackish ; shrivelled.

I Lips deep blue. ^Coma.

I iSubmaxillary glands swollen, painful during swallowing.

^° Teeth and Gums. H Toothache, veins in forehead and

hands distended; throbbing pain.

Tearing, drawing, jerking, boring in teeth ; from every cold.

Twitching, tearing in upper molar teeth, from taking cold

in a draft of air.

■ Throbbing toothache > by external warmth.

I I Toothache < from least contact, moving body, tea, open air, or current of air ; > from pressing teeth together.

1 1 Toothache while nursing infant at the breast.

1 1 Toothache during sweat.

I Pressure in teeth as if blood were forced into teeth.

Distressing, dull pain in hollow teeth.

Painful numbness in decayed teeth.

■ Teeth are loose and painful only when chewing.

■ Black coating of teeth ; covered with dark sordes.

■ ■Swelling of gums; mouth dry.

^^ Taste and Tongue. ■ Taste : too acute ; putrid, morning ; bitter in back part of throat; flat, watery.

■ ■Bitter taste in mouth, even tobacco tastes bitter while

smoking.

■ Shmy taste in mouth, which disgusts him with butter.

■ Taste at first sweetish, then sour; profuse saliva.

■ ■Food tastes bitter or too salt.

■ Although he had no bitter taste in his mouth by itself,

yet everything tasted bitter; after swallowing food there was no bitter taste.

■ Burning stitches on tongue.

■ ■Burning as from pepper on tip of tongue, followed by

ptyalism.

■ Cracked, black, or yellow coated tongue.

■ ■Tongue black, parched; or raw as if burned.

■ ■Tongue white, mornings; child restless all night; no

appetite for breakfast.

■ ■Tongue coated white, or yellow; thick, dirty coating.

■ Mouth very moist from an unusual flow of saliva; tongue

dotted here and there with yellowish vesicles, some of

171 CINCHONA OFFICINALIS.

them broken and looking sore; fauces very red; child in bad humor, hungry but could not take the breast. ^Nursing sore mouth. ^^ Inner Mouth. ■ Dryness of mouth, with thirst.

Painful, sensitive swelling of uvula. ' I Much saliva in mouth, with nausea.

I Gangrene of throat.

^* Appetite, Thirst. Desires, Aversions, ii Voracious ap- petite; atrophy.

I I Canine hunger ; worse at night.

Longs: for spirits; sweets; sour, cooling things; roasted

coffee. llChilden dainty, desire various things without knowing

what.

I Morbid craving for dainties, accompanied by sexual de-

sire and lascivious fancies.

I I Wants highly seasoned food.

lITungerand yet want of appetite; food tastes natural, yet

seems disagreeable in mouth. 1 1 Indifference to eating and drinking; only while eating'

some appetite and natural taste of food return. 1 1 Loss of appetite, nausea, desire to vomit. 1 1 Loss of appetite in foggy weather. 1 1 Loathing of food as if he had overeaten; continual

sense of satiety. 1 1 Aversion to all food, even when thinking of it; dread

of labor; drowsy by day; yellow eyes. 1 1 Averse to bread; to beer; to butter; to meat; to fat

things ; to warm food ; to coffee, although food has a

natural taste.

I Thirst and hunger, in evening, an hour after fever, then,

after he had eaten, coldness and rumbling in bowels.

I I Violent thirst for cold water; drinks little and often. I Thirst after chill, without subsequent heat.

CINCHONA OFFICINALIS. 172

drowsiness, oppressive fulness of stomacli and abdomen,

general malaise and languor. I After a meal, fulness as if stomach and oesophagus were

■ During and after dinner, the pain is relieved. ^Proso-

palgia.

■ Gastric sjanptoms from : eating fish ; excessive use of tea ;

sour wine; new beer; impure water; fruit; eating bad meat. or fish. Shuddering and chilliness, with gooseflesh after every swallow he takes.

■ Drinking < the chill.

■ ■Worse from drinking wine and other liquors; suitable

for inveterate drunkards. ■Sour eructations after milk; milk disagrees. Beer intoxicates easily.

■ Warm drinks impede digestion.

■ Worse from smoking.

^^ Hiccough, Belching, Nausea and Vomiting. ■ Hiccough. ^Biliary colic. Nausea felt in throat pit after a meal.

■ ■Belching, sour rising.

■ Child belches after eating and does not care to nurse.

■ Empty eructations of air only.

■ Frequent eructation, which affords no relief. I ■Eructations taste of food; or are bitter.

■ Sour eructations, > a while after swallowing milk. ■Gagging.

■ ■Frequent vomiting.

■ ■Vomiting of food, in debilitated persons, after eating. ■Vomit: sour; mucus, water, food, blood and bile; black- ish ; bloody ; < at night.

■ Vomiting bile. ^Biliary colic.

■ ■Spitting or vomiting of biood.

^^ Scrobiculum and Stomach. ■Heartburn: after milk and after every meal, with flatulency.

■ Pyrosis and heartburn; most in the afternoon.

■ ■ Pulsations in pit of stomach.

■ ■ Rumbling, especially in epigastrium.

■ ■Cold feeling in stomach; constant satiated feeling, yet

can eat, but feels < afterwards.

■ Sensation of emptiness and qualmishness in stomach.

■ Sensation of fulness in stomach takes his appetite away.

■ ■Fulness in stomach and bowels; flatulence; belching

does not relieve.

■ ■Heavy pressure in stomach, after small quantity of food.

173 CINCHONA OFFICINALIS.

iSensation as if food pressed upon and hurt the stomach.

■ Violent oppression in pit of stomach; < at night in the

recumbent position. 1 1 Stomach feels sore, as if ulcerated, cannot bear slight

touch. Spasmodic pains in stomach. 1 1 Fermentation after eating fruit ; acidity. ■Milk easily disorders stomach. 1 1 Slow digestion, food remains long in stomach, especially

if eaten too late in day. 1 1 Dyspepsia from loss of animal fluids or noxious

miasmata. llHsematemesis, great loss of blood, weak, pale, cold

hands and feet; stomach very sensitive to touch. 1 1 Gastralgia : after dej)letion ; from acidity ; with bloating

when touching the part.

I Sensitiveness in region of liver to least pressure.

I I Swollen, hard liver.

■ Obstruction in gall bladder with colic, periodic recur-

rence, yellow skin and conjunctiva, constipation, with

dark greenish scybala. 1 1 Biliary calculi. I iGastro-duodenal catarrh after loss of fluids or severe

illness.

I i Aching, stitching pains in spleen when walking slowly;

pains extend in direction of long axis of spleen.

I I Swelling and hard ness of spleen ; region of spleen painful and tender. ^Intermittent.

1 1 Enlarged spleen. ^^ Abdomen. iSensation of internal coldness in upper abdo- men after every swallow of drink, and renewed at every inspiration.

1 1 Abdomen distended, wants to belch; eructations afl'ord no relief.

I In connection with the tightness about the abdomen, she

often feels as if her garters were too tight and loosens them ; she must loosen waistbands also.

■ Great rumbling and moving of much flatus in abdomen,

with a pressive sensation in evening between 6 and 10, followed by passage of much off'ensive flatus.

CINCHONA OFFICINALIS. 174

1 1 Flatulence from excessive tea drinking.

1 1 Fermentation in abdomen from eating fruit.

I Heat in abdomen as of hot water running down.

I Pinching in abdomen, bending double aSbrds relief.

I I Cutting pain in bowels.

I Pressing-aching below navel.

I Griping, with violent pains in abdomen on passing flatus.

■ Doughy, dropsical swelling of abdomen.

■Swelling of abdomen, legs and feet; oppression in chest as if from a lump ; appetite very poor ; on lying down, feet become less swelled but she has more oppression of chest; face puffed; albumen in urine. ^Acute dropsy following parturition.

I I Worm troubles, < at night, fulness in abdomen, with heartburn and water brash.

■ Strangulated hernia; gut black; after operation.

^° Stool and Rectum. ■ Accumulation of much flatus, which will pass neither up nor down.

■ ■Emission of a quantity of flatulence, frequently very

fetid, without relief.

■ Flatulent discharges.

Stools: profuse; frec{uent; putrid; corrosive, loose, brown- ish, j)ainless, with feeling of debility; frothy, painless diarrhoeic, with fermentation in bowels ; painless, black ; thin, large, with passage of wind, mornings; off'ensive, undigested, or white, papescent, at night; yellow, watery, involuntary; cadaverous smelling, chocolate colored, < at night; bilious; greenish; bloody; yellow mucous.

■Very copious stool; < every other da3^

■ Stool loose and green in childen, with much flatulence.

■ Dark, greenish, scybalous stools. ^Biliary colic.

■ In swarthy persons: thin, large stools, digested or not,

usually with passage of wind and sometimes colic; but always < in morning; sleep < after 3 a.m.

■ Soft stools, with biting, burning pain in anus and colic

before and after every stool.

■ ■Diarrhoea comes on gradually, stools more and more

watery, pale, pinkish, with rapid emaciation.

■ ■Diarrhoea: particularly after meals, at night, painless

early in morning; in hot weather; from eating fruit; from drinking sour beer; after measles; during small-

175 CINCHONA OFFICINALIS.

pox; after severe acute disease; after loss of fluids; on alternate days; with much flatulence; with trembling and debility.

■ After long lasting attack of cholera infantum, child be-

comes drowsy, pupils dilated, rapid and superficial breathing, nose and tips of ears cold. ^Impending hydrocephaloid. I Dysentery in marshy districts, with intermittent symp- toms.

■ Bowels frequently constipated. ^Dropsy and debility. Difficult passage of the feces, even when soft or papescent,

as from inactivity of the bowels; sluggish peristalsis. Accumulation of feces in intestines, with dizziness and

heat in head. " Constipation: large accumulation; stool difficult, even if

soft ; after long purging. Hard, intermitting stool, with sensation of tightness and

■ Burning at orifice of urethra, especially painful from rub-

bing of clothes.

■ Urine: turbid, dark, scanty; white, turbid, with white

sediment; pale, becoming cloudy or depositing a dingy, yellow, loose sediment; dark colored, with brick red sediment.

■ Scanty, greenish -yellow, brick-dust or pinkish sediment.

■ Enuresis of weakly children. ■ ■Albuminuria.

■ Diabetes.

^^ Male Sexual Organs. Sexual desire too strong or too con- tinuous.

■ Morbid sexual desire; lascivious fancies.

■ Impotence, with lascivious fancies.

■ ■Impotence from overindulgence.

■ ■ Nocturnal emissions too frequent and debilitating ; par-

ticularly after onanism.

■ ■Consequences of excessive or long continued seminal

losses. ■Painful swelling of spermatic cord and testicle, especially the epididymis; tearing in 1. testicle and 1. side of pre- puce ; cramp-like, contractive pain in testicles, evenings ; after gonorrhoea.

CINCHONA OFFICINALIS. 176

■Stitches or contractive pain in urethra.

■ Burning at orifice of urethra, especially painful if clothes

rub against the parts. ^ Female Sexual Organs. ■Ovaritis from sexual excess or hemorrhage, parts very sensitive to slight touch.

■ Dropsy: of ovaries; of uterus.

■ Congestion to uterus, fulness, pressing and heaviness, <

when walking.

■ Metritis after great loss of blood, or excessive coitus.

■ Prolapsus and attendant symptoms superinduced by loss

of fluids, particularly blood.

■ Menses: too early, profuse, black clots, with spasm in

chest and abdomen ; painful ; profuse, with sensation of great distension of abdomen.

■ Menstrual colic.

■ During menses: spasms in chest and abdomen; conges-

tion of blood to head.

■ After menses: great weakness, trembling debility, with

singing in ears and fainting.

■ Suppression of menses from chagrin; secretion of milk

in breasts.

■ I Metrorrhagia, blood dark; fainting; convulsions.

■ Discharge of bloody serum, alternating with pus. Leucorrhoea: acrid; instead of menses, with itching; with

spasmodic uterine contractions, painful bearing down to vulva and anus; menses increased.

■ One week after menses bloody leucorrhoea with clots;

lame, sore feeling through lower bowels, dull headache, weakness and dej)ression.

■ Painful induration in vagina; slightest contact causes

darting, tearing .pain, or tearing with pressure.

■ Suitable to women after climacteric period.

■ Threatening miscarriage.

■ Abortion; abdomen distended, belching does not relieve;

■ Labor pains cease from hemorrhage; cannot have the

hands touched.

■ Uterine hemorrhages, ringing in ears, fainting, imper-

ceptible pulse, cold; loss of sight; discharge of dark clots; uterine spasms; twitches, jerks; wants to be fanned.

■ Hemorrhage from atony of uterus.

■ Uterine hemorrhage, after expulsion of immature foetus;

unconsciousness.

177 CINCHONA OFFICINALIS.

I Hemorrhage from abuse of chamomile.

■ Lochia last too long; drawing pain about ovaries; dis-

charge fetid or cheesy, purulent.

I Asphyxia of the newborn, after great loss of blood by the

mother.

■ Eclampsia, from loss of blood.

I I Deterioration of health from protracted lactation.

■ Nursing children jaundiced; bloated or tympanitic abdo-

men, and enlarged spleen or liver.

■ Toothache of nursing mothers.

■ Haemoptysis during lactation.

^^ Voice and Larynx. Trachea and Bronchia. ■Hoarse; voice rough ; deep from adhering mucus.

■ Deep, husky voice when talking or singing.

■ Sore sensation in larynx and trachea.

■ Chronic catarrh with mucous rales, coarse and loud.

■ Bronchorrhoea wdth general malaise, simulating last stage

of phthisis.

■ Influenza, with debility, loss of appetite, heat without

thirst. ^ Respiration. ■Asthma, looks as if dying; < Autumn, w^et weather, or after depletion.

■ Cannot breathe with head low.

■ Wheezing, whistling inspiration, crowdng, rattling, op-

pressed and painful.

■ Inspiration slow, difficult; expiration quick, blowing,

short. ^CEdema glottidis.

■ Respiration labored, loud and stertorous, with puffing,

blowing out of cheeks at each inspiration. ^Coma.

■ Inclination to take a deep breath.

The breathing is tight, oppressed and painful, or short and hurried.

■ Oppression of chest: evenings, lying down; as from ful-

ness in stomach ; from continued talking.

■ Constant choking; every day between 6 and 7 p.m., short

breath and loud wheezing, making the choking worse; must sit up and sip water; tight, stuffy cough, with very little sputa; pain in spine, like a weight there, worse by lifting; sensation of fulness in abdomen wdiile eating; all her clothes feel tight; constant tiredness, must lie down, else she has such palpitation that she cannot breathe; head dragged backwards.

■ Rattling in chest; loud sounds through nose.

■ i Suffocative catarrh and paralysis of lungs of old j)eople.

■ Nightly suffocative fits; spasmodic cough. ■Suffocative fits, as from mucus in larynx.

■ Breath cold.

■ Wants to be fanned, but not hard, for it takes her breath.

VOL. IV. — 12.

CINCHONA OFFICINALIS. 178

^ Cough. I Continual irritation to hacking cough, in morning after rising, as from sulphur vapor, whereby nothing could be loosened, for several mornings.

I Cough: with pain in larynx and sternum; with pain

throughout whole cavity of chest; with stitches in chest; immediately after eating; spasmodic with retching; caused by a tickling in chest; first hollow, dry and pain- ful, later bloody expectoration ; dry, with a taste of blood ; hacking, with blood spitting and great prostration ; lac- tation with expectoration of blood-streaked mucus, or with difficult expectoration of clear, tenacious mucus; with granular sputa during day or evening, none night or morning; causing cutting in 1. lower abdomen ; caused by laughing; during or after measles.

I I Dry, spasmodic, or suffocative night cough, as from va- por of sulphur, with bilious vomit.

I Constant cough, with expectoration of blood and fetid pus, loss of appetite, thickly furred tongue, constant pain in chest, and especially in gastric region, which is pain- ful to pressure; spleen affected, splenic region painful, and peculiar irritation in chest, proceeding from 1. side.

■ Asthmatic cough at 3 a.m., followed by frothy, badly

tasting expectoration; sharp stitches in r. pneumo- hepatic region.

I Sputa: slimy, whitish; black and difficult; striped with blood ; taste like old cheese.

Cough worse : lying with head low, or on 1. side ; moving ; deep breath, talking, laughing; eating, drinking; even- ing or after 12 p.m.; lightly touching larynx; least draught; loss of fluids ; after being awakened.

■Whooping cough. ^^ Inner Chest and Lungs. iPressive, drawing pain across lower portion of chest while sitting, causing anxiety; disappeared while standing and walking.

Stitches: in r. chest up to axilla, prevents bending for- ward and breathing; in 1. chest; under sternum; < during deep breathing and sudden movements; in car- tilages of third and fourth 1. false ribs, without affecting inspiration or expiration.

■ Continuous pain in 1. chest, and in stomach, on touch-

ing stomach he shrinks.

■ Pain in side, as if beaten, or as from a blow.

■ Small spot below last r. ribs, in which even slightest

pressure or walking causes a sticking pain. Pressing, stinging pain in chest and windpipe.

■ ■Pressure in chest, as from violent rush of blood, violent

palpitation; bloody sputa; sudden prostration.

■ ■ Cannot bear percussion or even auscultation, chest so

sensitive.

179 CINCHONA OFFICINALIS.

IlLoud, coarse rales, great debility, anaemia; oedema of legs.

I Pneumonia after hemorrhages, with bleeding or with bilious symptoms, or incipient gangrene of lungs.

iHsemoptysis: with subsequent suppuration of lungs; stitches in chest < from slight touch; cough with dizzi- ness in head and eyes feel enlarged ; clotted blood mixed with pus; in females exhausted by nursing; after bullet wound through lung and collapse; with saltish expec- toration; pleurodynia.

I Hemorrhage from lungs with coughing spells ; dizziness in head; eyes feel big; feels full after eating a mouthful.

■ Phthisis from loss of fluids and loss of vitality; copious

night sweats ; phthisis of drunkards.

• Pleurisy in persons who have lost much blood.

iPleuro-pneumonia with profuse exudation, prostration, emaciation and pallor during confinement.

I Pneumonia, and other affections of chest, symptoms being < every other day.

I Chest affections in hysterical, weakly, and fidgety females. ^^ Heart, Pulse and Circulation. Melancholy feeling about heart, with desire to take a deep breath.

Palpitation : with rush of blood to face, heat and redness of face, with cold hands; after loss of fluids; with dis- tension of veins; strong, violent, with feeble pulse and cold skin.

Pulse: frequent, small, hard; more quiet after meals; feeble, rapid; unequal, intermitting; quick, hard and irregular during chill and heat; slow and feeble in ap}^- rexia; full, throbbing. ^' Outer Chest, Tearing pain in sternum with cough.

Boils on chest. ^^ Neck and Back. I Shooting pains in nape of neck, which becomes, in a measure, stiff, with constrictive pain in skin over 1. occiiDut.

■ Drawing pain at nape of neck and each side of spine, and

pains in small of back as if bruised.

■ Pressure as from a stone between scapulae.

■ Sensitiveness of spine. ^Amaurosis.

■ Stitches in spine and shoulders.

■ Stitches in 1. side of back.

■ Tensive pain in small of back, as from a heavy load, or

after long stooping.

■ Insupportable pain in small of back, like a cramp, <

from least movement.

■ Pain in small of back, at night, lying on it.

■ Laming, drawing, tearing pains in back and thighs. ■Aching pain across the loins. ^Dropsy.

CINCHONA OFFICINALIS. 180

iSpinal affections with diminished sexual desire. 1 1 Perspiration on back and neck from least motion. ^^ Upper Limbs. ■ Aching in shoulder-blades and limbs, < from least pressure; restless, wants to change position.

■ Paralytic grinding-tearing in bones of upper limbs, <

by touch.

■ Spasmodic stretching of arms, with clenched fingers. I Hands tremble (when writing).

■ Numbness in r. arm. ^Prosopalgia.

■ Paleness and coldness of hands and feet, like marble,

even in a warm room. I One hand icy cold, the other warm. ■Veins of hands distended; swelling of back of 1. hand; nails blue. ^ Lower Limbs. ■ ■ Hip disease, with profuse suppuration, sweat and diarrhoea.

■ Legs feel as after a long walk; uneasiness, must move

them or draw them up. Darting and tearing pain in lower limbs, < by contact.

■ Drawing pain in bones of thighs, as if periosteum had

been scraped with a dull knife.

■ Pain in r. knee, up to thigh or down towards leg; pains

< from contact than from motion.

■ Hot swelling of r. knee, painful to slight touch.

■ Knees weak, especially when walking.

■ Legs and feet swollen, can hardly walk, when she walks

calves of legs smart and sting. ^Acute dropsy following parturition.

■ ■Sensation in lower leg as if garters were tied too tightly,

and as if leg would go to sleep and become stiff.

Hard, dark red swelling on calf of leg terminating by sup- puration.

■Weakness of feet, as if they were bruised.

Rheumatic pains in metatarsal bones and phalanges of toes, < from contact, not from motion.

■ Swelling of feet; hot, arthritic; dropsical; soft swelling

of soles. Pain with swelling of big toe, < by touch and motion,

especially during evening and night. Red swelling of toe-tips. ^^ Limbs in GeneraL ■A sensible though invisible trembling

of all the limbs, combined with a cooling sensation.

■ Sensation as of a band tightly tied around different parts

of leg or arm.

■ Numbness and deadness of limbs, they go to sleep when

lying on them.

■ Laxity of all the limbs and trembling of hands.

181 CINCHONA OFFICINALIS.

■ Heaviness in limbs, especially the thighs.

Painful weariness of joints with pressure as of a load, par- ticularl}^ in morning, in bed or when sitting.

I Pains in limbs, as if clothing was too tight, after a walk in open air.

I Pains in limbs < from slight touch, graduallj^ increased.

I Darting, tearing, < from contact, especially in hands and

feet.

I I Limbs pain, especially joints, as if bruised, < in rest, > moving.

I Parts around swollen joints very sensitive to least touch; < at night, parts feel weak.

I Parts about the joints are swollen and excessively sensi- tive to touch ; jmins < at night.

I Tensive, extremely sensitive drawing pain in almost all the bones, now in one, now in another, which is for the moment relieved while lying, but soon returns more violent than ever.

■Stiffness of limbs.

Arthritic and rheumatic, hard, red swellings.

Cold hands and feet, < by walking, with vertigo and pale face.

Standing: headache compels; > pressive, drawing pain across lower portion of chest.

While seated: vertigo in occiput; weight on head, with tendency of head to fall backward; pain in forehead; throbbing at temples < ; tearing, darting in A^arious parts of head > ; pressive, drawing pain across lower portion of chest; weariness and pressure in joints <; tensive pains about swollen joints; weakness <•

Lying: vertigo >; dizziness and heat in head <; head- ache <; jerking, tearing in several places in head >; pains in r. side of face < ; oppression in pit of stomach < ; swelling of feet less but oppression of chest < ; ten- sive pains in parts about swollen joints; bone pains momentarily >.

Lying on back: pain in small of back.

■ She lies upon her back, sliding down in bed. ^Coma. Ljang on back with head bent backwards with arms

CINCHONA OFFICINALIS. 182

■ On rising from sitting: sensation of weakness; is much inclined to sit down, even sinks back upon a chair if he does not exert the muscles.

On rising: as if he would fall backwards.

Motion: vertigo <; headache <; cutting pains from tem- ples to orbits and occiput <; bruised feeling of brain <; jerking, tearing in several places in head <; tractive pains in various parts of head <; ciliary neuralgia <; prosopalgia <; neuralgic pains of 1. side of face <; toothache <; gastralgia >; cough <; stitches in chest < from sudden; cramping pain in small of back < from least; perspiration on back and neck from least; pain with swelling of big toe <; pain in limbs and joints >; disposition to perspire during.

Walking: cannot walk straight; staggering; vertigo <; headache <; constriction in head <; throbbing at tem- ples >; headache compels; soreness of brains <; jerk- ing, tearing in head < ; darting in various parts of head <; sensitiveness of scalp < in open air; profuse sweat on head in open air; aching, stitching pains in spleeii; fulness, pressing and heaviness in uterus <; pressive, drawing pain across lower portion of chest > ; sticking pain in small spot below last r. ribs; weakness of knees <; calves of legs smart and sting; cold hands and feet <; weakness <; general heat <; sweats easily in open air; sensation of lightness in body; oppression in all parts of body.

Stooping: cutting pains from temples to orbits and occi- put <,

Moving head: stitches in head, pulsation in temples <; headache >.

On raising head : vertigo.

Opening e^^es: bruised feeling of brain <.

Moving eyes: headache <; weight and darting pains in forehead. ^^ Nerves, ll Excessive sensitiveness of nervous system; spe- cial senses, sight, smell, hearing and taste, seem too acute; his internal sensibility is offended, and his mind is unpleasantly affected ; a morbid sensation of general weakness; mental and physical languor.

iSensation of weakness; especially on rising from sitting; is much inclined to sit down, and even sinks back upon a chair if he does not exert the muscles; whereupon a comfortable sensation of rest follows.

1 1 Weakness from loss of animal fluids (blood, etc.), or after severe and exhausting illness.

llAVeakness: with coldness of the skin; with inability to undergo the least fatigue; even < while sitting, still more

183 CINCHONA OFFICINALIS.

while walking; with excessive irritability and sensi- bility.

Great debility ; trembling ; averse to all exercise ; nervous ; sensitive to j)ain, to draughts of air; sleepless; dispo- sition to sweat during exercise or sleep; from over- study; from loss of blood.

I Torpor and paralytic weakness of affected parts.

■ After continued or repeated hemorrhage (subacute),

occur prostration, nervous agitation, anxious manner; can hardly respire at all; very pale and ghastly; pulse failing; hemorrhage of dark blood; sensation as if it flowed warm from the heart.

■ Twitching of limbs, and jerking of single muscles.

■ Stretching, drawing, or jerking and tearing, mostly in

extremities, with lameness and weakness of affected parts.

.■Fainting after loss of blood or other animal fluids, with

ringing. in ears, cold skin, loss of pulse, cold perspiration.

■ Convulsions: rush of blood to head, throbbing carotids; • from great loss of blood, and debilitating causes.

■ Epileptic spasms far apart: deathly pallor; relaxation of

muscles.

■ Chorea from great loss of arterial blood or from mastur-

bation.

■ Paralysis: from loss of fluids; after arsenical poisoning;

after onanism.

^^ Sleep. ■Irresistible sleepiness during day and after eating.

■ Constant sopor or unrefreshing sleep; worst sleep after 3

A.M. ; awakens too early. ■Sleepless, aching in head (until 12 p.m.), anxiety on wak- ing from frightful dreams.

■ Restless sleep, night before paroxysm. ^Intermittent.

■ Sleeplessness with headache or great hunger.

■ Sleepless from crowding of ideas, making plans, one can't

stop thinking.

Durnig sleep: snoring, blowing expiration; moaning whining.

On awaking: cannot collect one's senses; vertigo; hunger; sweat; languor; unrefreshed; head hot; oppression of chest.

Pains wake her at night ; < from noise and when feet get cold.

Dreams : confused, as soon as he goes to sleep.

Frightful, heavy, anxious, confused, absurd dreams; wak- ing only half conscious; make him anxious after awak- ing; confused and senseless after midnight.

CINCHONA OFFICINALIS. 184

1 1 Sweating during sleep. ^ Time. In morning : confusion of head ; on awaking, anx- ious thoughts and ideas; emptiness in head as after drunkenness; languor in limbs on awaking; periodical cephalalgia of 1. side; illusion of bright gold chain dangling before eyes ; vision better; great pain in ulcers in course of pannus; violent pain in eye; supraorbital neuralgia of r. side; intermittent ciliary neuralgia with painful pressure and drawing in forehead and temples; facial neuralgia of 1. side; putrid taste; tongue white; pains in abdomen <; thin, large stool with passage of wind; painless diarrhoea early; after rising, continual irritation to hacking cough, as from sulphur vapor; weariness and pressure in joints <; debilitating sweat. Between 8 and 9 a.m. : violent pain in eye, which becomes

In afternoon: pyrosis and heartburn; colic in region of umbilicus; pain in big toe <; sensitive swollen joints <; chill; chill and heat alternating. During day: drowsiness; granular sputa; irresistible

sleep ; debilitating sweat. In evening: full of projects and ideas; darting pains in parietals disappear; crawling inside of lids <; pressing pain in one spot at inner and upper border of orbit; thirst and hunger; pressive sensation in abdomen, fol- lowed by passage of much offensive flatus; contractive pain in testicles; oppression of chest; granular sputa; cough <; pain in big toe <; in bed he cannot get warm; chill; heat for several hours. At night: full of projects and ideas; dread of dogs and other animals; restlessness; on awaking he does not dare to rise; colic <; worm troubles <; off'ensive, un- digested, or white, papescent stool; diarrhoea <; fre- quent nocturnal emissions ; dry, spasmodic or suffocative cough, as from vapor of sulphur, with bilious vomit; copious sweats; bruised feeling of brain <; headache extending to neck and teeth <; restless and sleepless; blindness; inflammation of eyes <; pain in r. side of face <; restlessness; canine hunger; oppression in pit of stomach; pains in abdomen <; suffocative fits; pain in small of back; pains awake her. Between 6 and 10 p.m.: pressive sensation in abdomen. 11 P.M. : pressing pain at inner and upper border of orbit, extending; to nose and sometimes to lid.

185 CINCHONA OFFICINALIS.

At 12 o'clock at night: coldness, followed by light fever and sweat.

After midnight: confused and senseless dreams.

At 3 A.M. : asthmatic cough, followed by frothy, badly tasting expectoration; sharp stitches in r. pneumo- hepatic region.

Open air: headache < by walking in; headache <; sen- sitiveness of scalp < when walking in; toothache < from; sweats easily when walking in; oppression of all parts of body after walking in.

Entering room from open air : face hot.

In room: headache >.

External warmth: neuralgic headache >; throbbing toothache >.

Heat: anything hot in mouth, < neuralgic headache.

Heat of stove: wants to be near; chill < by.

Hot weather : diarrhoea.

In the sun: headache <.

Cold : neuralgic headache < from anything cold in mouth ; violent thirst for cold water.

Cold air : sneezing when exposed to.

Cold water: great thirst for.

Wind : soreness of brain < when walking in.

Foggy weather: loss of appetite.

Wet weather: asthma <.

I After getting wet. ^Neuralgic headache. ■ Autumn: asthma <. ^ Fever, l Shivering or chilliness, with gooseflesh, after every swallow of drink.

■ Coldness over whole body as if dashed wdth cold water.

■ In evening in bed, he cannot get warm.

■ Coldness every night at 12 o'clock, followed by light fever

and sweat. ^Intermittent.

■ ■Chill preceded by palpitation, anxiety, hunger, thirst,

nausea, headache, debility, sneezing when exposed to cold air, oppressive colic.

■ ■Internal violent chill, with icy cold hands and feet, and

congestion of blood to head.

■ Rigors, cold perspiration and great prostration of strength.

^Biliary colic.

■ ■Chill over whole body, increased by drinking, thirst

before or after, but not during chill.

CINCHONA OFFICINALIS. 186

I Chill, beginning in legs below knees.

I Chills on alternate days, little fever, profuse sweat; rest- less sleep, abdomen bloated.

I I Chill postpones or anticipates ; pain in liver, which is often greatly swollen ; hunger in fever, and sleepy after having eaten.

I Chill most afternoon or evening; less forenoon; never at night ; paroxysms return every fourteen days.

■ Wants to be near the stove, but it increases the chill. During chilly stage, headache, congestion of head, pale- ness of the face; pain in liver.

■ Fugitive chills in back, tendency to sweat on covering up. I Chill and heat alternating in afternoon.

I Heat of face, with cold body.

Heat for several hours in evening, without previous chilli- ness, with burning thirst, and succeeded by sweat.

■ General heat, < ■ by walking; long lasting heat with

During heat: thirst, with dry mouth, burning lips; red face, delirium ; distended veins ; congested head ; desire to uncover, but chilly when uncovered; canine hunger or aversion to food ; pain in liver, back, chest and limbs.

■ Heat of whole body, externally and internally, with

swollen veins of arms and hands, without sweat or thirst.

■ Heat over whole body, with fine, needle-like stitches in

skin, especially of throat, together with great thirst for cold water. Fever with thirst during chill, and vomiting after the at- tack.

■ Marsh intermittent, with pains in region of liver, vomit-

ing of bile and great anguish.

■ Long lasting heat, which frequently sets in late after the

chill.

■ ■Hectic fever, frequent night sweats, diarrhoea, pallor;

skin dry, flaccid; sleepless; nervous; hunger; after ex- hausting disease, loss of fluids, etc. Thirst follows an hour after the heat.

■ ■Typhoid or putrid fever in patients much reduced by

loss of blood, or by malarious poisons.

■ Acute fevers, with profuse sweats.

■ She is bathed in profuse, hot perspiration. ^Coma.

During apyrexia : exhausting sweats, anaemic and cachec- tic appearance, sensitiveness in hypochondria; scanty urine; loss of appetite; bloated abdomen.

Sweat: debilitating night or morning; profuse; partial, cold or profuse, with thirst; greasy or oily on side on which one lies ; less after meals.

Cold and clammy sweat with hemorrhage; sweats easily,

187 CINCHONA OFFICINALIS.

especially at night in sleep; or when walking in open air.

■ Copious, exhausting night sweats, especially on forehead,

neck and chest, slightly staining the linen, not offensive, occurring the moment patient drops into sound sleep. ^Phthisis pulmonalis.

■ Great disposition to perspire during motion and sleep.

1 1 On being covered he sweats profusely all over; this is very troublesome, yet he is so sleepy with it that he cannot collect himself and get up.

■ During the sweat; increased thirst.

■ Revulsion of sweaty and therefrom want of sweat, sup-

pressed sweat. *^ Attacks, Periodicity. Sudden : blindness.

Spasmodic: pains in abdomen; uterine contractions;

Alternate weakness and feeling of great strength, especially in joints.

Pains in organs alternate with wandering rheumatic pains.

Frequent: bleeding from nose; nocturnal emissions.

From morning until afternoon: headache from occiput over whole head.

From 1 o'clock a.m. until 10, 12 or 1 p.m.: periodical cephalalgia.

From 8 a.m. to 2 or 3 p.m. : excessive pain in eye.

Periodical: cephalalgia of 1. side each morning; pressing pain in one spot at inner and upper border of orbit, every evening about 11 o'clock; supraorbital neuralgia of r. side; ciliary neuralgia every day at 10 a.m.; neu- ralgia; supraorbital neuralgia; facial neuralgia of 1. side; obstruction of gall bladder with colic; colic in umbilical region at certain hour each afternoon ; dis- eases of malarial origin.

Every night: suffocative fits; at 12 o'clock, coldness, fol- lowed by light fever and sweat.

Every other day: between 8 and 9 a.m., violent pain in eye, which becomes inflamed; copious stool <; diar- rhoea; symptoms of pneumonia and other chest affec- tions <; chills, little fever, profuse sweat; congestions; neuralgia.

On alternate mornings: headache.

Every fourteen days : paroxysms of chill and fever return.

Worse during increase of moon.

Three months colic.

Asthma < in Autumn.

Day and night for years : salivation after mercury. ;

^ Locality and Direction. Right: constriction on side of forehead; amaurosis in eye; uncontrollable twitching

CINCHONA OFFICINALIS. 188

of upper eyelid; supraorbital neuralgia; tearing, lam- ing, burning pain in face ; numbness of arm ; faceache ; stitches in pneumo-hepatic region; stitches in chest up to axilla ; numbness in arm ; pain in knee, up to thigh or down towards leg; hot swelling of knee.

Left: periodical cephalalgia each morning; boring, pul- sating pain in head ; hemicrania affecting eye and neck ; headache in side of head into cervical region; amauro- sis in eye ; tearing in outer canthus ; pain over orbit ; facial neuralgia; needle-like pains in face, chest and hand ; tearing in testicle and side of prepuce ; irritation in chest; cutting in lower abdomen; stitches in chest; stitches in cartilages of third and fourth false ribs ; con- tinuous pain in chest; constrictive pain in skin over occiput; stitches in back and side; swelling of back of hand.

From 1. to r. : neuralgic headache; neuralgic pains of face.

Backward : head inclined to sink ; on rising as if he would fall; tendency of head to fall; pain in temples < on leaning. *^ Sensations. Melancholy feeling about heart.

As if unhampered by a material body, causing a light and airy sensation and ease of movement; as from coryza or intoxication ; as if brain were rolled round ; as if brain were balancing to and fro, and were striking against skull; as if skull would burst; as if brain were pressed into a ball ; as if brain were pressed together from both sides and out at forehead; as if r. side of temple and occiput were bound with a cord ; as if forehead were compressed; as if cerebellum would be pressed out; as from a load on head; as if scalp were clutched and drawn together to one point of a circle; as if hair were grasped roughly; as if eyes w^ere filled with smoke; as of mechanical hindrance in eyes on motion; as if a knife were thrust between orbit and ball and moved about in orbital cavity, as if to scoop out eye ; as of salt in eyes; as of sand in eyes; as if something was con- stantly before ear ; as if blood were forced into teeth ; as from pepper on tip of tongue; as if beaten, or as if from a blow, in side ; as if eyes were enlarged ; as if a stone were between scapulse ; legs feel as after a long walk; as if periosteum of bones of thighs had been scraped with a dull knife ; as if garters were tied too tightly, and as if leg would go to sleep and become stiff; as if feet were bruised ; as of a band tightly tied around different parts of leg or arm ; as if clothing were too tight about limbs, after a walk in open air; as if blood flowed warm from heart during hemorrhage; as

189 CINCHONA OFFICINALIS.

if whole body was clashed with cold water; as if clothes were too tight; as if tongue was burnt; as if oesophagus was contracted; as if oesophagus were filled up to throat; as if food pressed upon and hurt stomach; as if stomach was ulcerated ; as from subcutaneous ulcera- tion in hepatic region; as if her garters were too tight; as if her waist were too tight; as of water run- ning down abdomen; as of a lump in chest; as of great distension of abdomen; as if periosteum was strained.

Pain: in hepatic region ; in region of spleen; in abdomen on passing flatus ; in larynx and sternum ; throughout whole cavity of chest; in splenic region ; continuous in 1. chest and stomach; in limbs; in liver; in glands; in every joint; in bones; in temples; in head; externally in occiput; in occiput; in forehead; in eye; over 1. orbit; in external ear; in submaxillary glands when swallowing; in teeth; in uvula; spasmodic, in stomach.

Boring : in 1. side of head ; in teeth.

Jerking: in temples; in temple extending to upper jaw; in several places in head; in head; in teeth; in ex- tremities.

Cutting: from temples to orbits and occiput; in abdomen; in 1. lower abdomen.

Lancinating: in various parts, especially in frontal region ; supraorbital neuralgia of r. side.

Darting: in various parts of head; in forehead; in parie- tals which descend along neck; from 1. temple and eyes to whole side of face; in vagina; in lower limbs; in hands and feet.

Fine, needle-like stitches in skin, especially of throat.

Stitches: in head; from temple to temple; in ears; on tongue; in spleen; in rectum, also during stool; in ure- thra; in chest; in spine and shoulders; in 1. side of back; in r. pneumo-hepatic region; in r. chest up to axilla; in 1. chest; under sternum; in 1. side.

Stinging: in chest and windpipe; in calves of legs when walking; in wounds.

Paralytic grinding-tearing in bones of upper limbs.

Tearing: in various parts of head; headache extending to neck and teeth; _ in 1. outer canthus; supraorbital neu- ralgia of r. side; in ears; in dorsum of nose; in r. side of face extending up to parietal bone and down to clavi- cle; in_ teeth; in upper molar teeth ; in vagina; in ster- num; in back and thighs; in lower limbs; in hands and feet; in extremities.

Drawing: in head; in forehead and temples; in teeth; about ovaries; across lower portion of chest; at nape of neck and each side of spine; in back and thighs; in

CINCHONA OFFICINALIS. 190

bones of thighs; in joints; in almost all the bones; in extremities.

Twitching: in upper molar teeth.

Tensive pain: in small of back as from a heavy load, or after long stooping; in almost all the bones; in joints.

Tractive pain: from occiput to forehead; in various parts of head.

Stretching: in extremities.

Cramping: in testicles; in small of back.

Cramp : in vertex.

Griping: in abdomen on passing flatus.

Pinching: in abdomen.

Constriction : on r. side of forehead and occiput ; from 1. side of temple and eyes to whole side of face; in abdomen.

Constrictive pain : in skin over 1. occiput.

Contractive pain: in scalp; in testicles; in urethra; in uterus ; spasmodic, in inner parts.

Shooting: in region of liver; in nape of neck.

Burning : . in forehead ; in head ; in eyes ; of lips ; on tongue ; on tip of tongue : in anus ; bleeding piles with ; at orifice of urethra.

Congestive pains : with carbonaceous caries.

Painful bearing down to vulva and anus.

Laming pain : in r. side of face, extending up to parietal bone and down to clavicle; through lower bowels; in back and thighs.

Sticking: in small spot below last r. ribs.

Formicating pains in eyes and inner surface of lids.

Biting: in anus.

Pressive: frontal headache; headache extending to neck and teeth ; headache in side leant upon ; pain in outer canthus; in eyes; pain in one spot at inner and upper border of orbit, extending to nose and sometimes into lid; in root of nose, which extended to side; from 1. temple and eyes to whole side of face; in abdomen; across lower portion of chest; in chest and windpipe; in joints as of a load.

Pressure: in forehead; towards forehead, as if something would fall out; in occiput; in head; in eyes as from drowsiness; in eyes as from sand; in forehead and tem- ples; in teeth; in stomach; in abdomen as from a hard body; below navel; in uterus < when walking; in vagina; in chest, as from a violent rush of blood; be- tween scapulae.

Oppression : in head ; of stomach and abdomen after eat- ing; in pit of stomach; in chest as if from a lump; of chest, as from fulness in stomach ; of all parts of body.

191 CINCHONA OFFICINALIS.

to neck and teeth ; toothache ; pains, with carbonaceous

Aching: in spleen; below navel; across loins; in shoul- der-blades and limbs; in head. Bruised sensation: in side of head; of whole head; in

small of back; in limbs and especially in joints. Soreness: of brain as if bruised; in throat on swallowing;

in stomach as if ulcerated; through lower bowels; in

larynx and trachea. Smarting: first in one, then in other eye; in eyes; in

calves of legs when walking. Rheumatic pains : in metatarsal bones and phalanges of

arm; of limbs; of parts on which he lies; of single

in the inner parts ; in wounds. Fulness : of head ; of stomach and abdomen after eating ;

in bowels; in abdomen; in uterus; after eating a

mouthful. Weight : on head ; in forehead.

Heaviness : in head ; in stomach ; in uterus < when walk- ing; in limbs, especially in thighs.

\ .

CINCHONA OFFICINALIS. 192

Dulness: of head.

Lightness in body when walking.

Emptiness: in head; in stomach.

Languor: in limbs.

Heat: in head; of face; of external ear; of nose; in abdomen.

Coldness: in bowels; in stomach; in upper abdomen after every swallow of drink, and renewed at every inspira- tion; in limbs; over whole body.

Dryness: of mouth; between lids and balls; of lips; of skin. ** Tissues. 1 1 Sufferings caused by loss of fluids, such as hem- orrhage, seminal emissions, diarrhoea, diuresis, excessive sweating, overlactation, etc.

Excessive sensitiveness of nervous system.

Acts upon ganglionic nervous system, producing gen- eral depression and exhaustion.

Asthenia; exhaustion of vital powers of whole organism, or of single parts, organs, systems, accompanied by ex- cessive sensitiveness, and irritability of the nerves, or with relaxation of the solids, deficiency of animal heat, disposition to passive hemorrhage from every orifice of body, and decomposition of organic matter.

I Muscles lax; great emaciation.

Blood thin and watery, circulation lacks energy.

In cases threatening to become anaemic ; with diarrhoea or

lienteria. Chlorosis with tendency to oedematous swellings and to

dropsical effusions, from loss of vital fluids.

I I Disposition to hemorrhage from every orifice of body; useful after long continued hemorrhage.

Enlarged veins.

■ Anasarca, ascites in the aged; also from liver and spleen

diseases, and in drunkards, after excessive depletion.

Diseased periosteum.

Carbonaceous caries, commencing with a black spot, scrof- ulous or tuberculous subjects; the pain is throbbing, of a congestive nature, or caused by abuse of mercury.

■ Caries with profuse sweat, or excessive suppuration. Rheumatic, hard, red, inflammatory swellings; painful to

touch, not to pressure. Has a special afiinity for liver and spleen, producing hy-

suitable on account of loss of liquids and feebleness of

digestion. Flat ulcers with copious discharge.

193 • CINCHONA OFFICINALIS.

I Wounds become black and gangrenous ; humid gangrene. Collapsed states, with waxy paleness and coldness of skin.

I I Jaundice.

1 1 Diseases of malarial origin with marked periodicity. ^' Touch. Passive Motion. Injuries. Touch: scalp pain- ful to; headache < by slightest; ciliary neuralgia <; tearing in ears < from least; neuralgia, skin sensitive to least; prosopalgia <; neuralgic pains of 1. side of face <; toothache < from least; stomach very sensitive to; pain in hepatic region <; tenderness and pain in region of liver; ovaritis, parts very sensitive to slight; painful induration in vagina < from slightest; stomach sensitive to ; cannot bear percussion or auscultation ; stitches in chest <; pains in upper limbs <; pains in lower limbs <; r. knee swollen and painful to slight; rheumatic pains in metatarsal bones and phalanges of toes <; pain in big toe <; pain in limbs < from slight; darting, tearing, especially in hands and feet, <; parts about swollen joints very sensitive to least; rheumatic swellings painful to; affected parts sensitive to least; during the pains she is sensitive to.

Light touch on larynx aggravates cough.

Cannot have the hands touched.

Pressure: pressure in forehead < from iirm; stitches in head and pulsation in temples < by hard ; headache > from hard; sensitiveness of scalp > by strong; parts affected by supraorbital neuralgia intolerant to; region of liver sensitive to least; gastric region painful to; sticking pain in small spot below last r. ribs from slightest; aching in shoulder-blades and limbs < from least.

Desire to uncover, but chilly wdien uncovered.

Numbness of parts uj)on which he lies.

Itching of parts upon which one is lying, > by lying on another j^art.

Pain in external ear w^hen lying on it.

Rubbing of clothes : burning at orifice of urethra < from.

Rubbing: pain in eyes compel constant.

Scratching: sensitiveness of scalp > by; bleeding of skin after; nettle rash after.

Pinching: unconsciousness to.

Pressing teeth together > toothache.

Petting, caressing, etc. : < ill humor.

Jarring: headache < from. **' Skin. I i Excessive, almost painful sensitiveness of skin of whole body, even of palms of hands.

Skin: dry, flaccid; waxy pale or yellow; itching, bleeding after scratching; cold and blue.

VOL. IV. — 13.

CINCHONA OFFICINALIS. ' 194

The sweat parboils the skin.

1 1 Yellow color of skin. ^Jaundice.

Boils on chest; pimples on loins, arms and chest.

I Ulcers ichorous, sensitive; ichor has a putrid sniell.

■ Ulcers flat, shallow, coj^ious discharge. Erysii3elatous swelling of whole body; nettle rash coming

out after scratching.

■ Smallpox, pustules black; variola hemorrhagica, with

great exhaustion from copious painful stools.

■ Psoriasis and ichthyosis. Pemphigus.

Humid gangrene. ^'^ Stages of Life, Constitution. Persons who are highly sen- sitive to pain, of querulous or discontented disposition.

Suitable to persons of swarthy complexion.

Old women after menopause ; pleurisy, dropsy.

Useful for weakly persons, who have lost much blood or other vital fluids.

Useful for faceaches of chlorotic, anaemic, leucophlegmatic, scrofulous subjects, and sometimes also in those of arth- ritic patients.

Child, set. 2 weeks, prematurely born; jaundice.

Girl, set. 2, good constitution, lymphatic temperament; dijjhtheritic laryngitis with night sweat.

Boy with hip disease; profuse suppuration.

Boy, set. 12; intermittent fever.

Female, set. 12, suffering some years ; chills and fever.

Young girl, set. 15, has not m"enstruated ; hemicrania.

M. T., set. 17, weaver, after severe illness four years ago, during which he was frequently bled; debility and dropsy.

Mrs. M., set. 20, recently married; intermittent fever.

A blooming girl, now pale and thin ; toothache.

M., strong, slender, blonde; neuralgic headache after get- ting wet.

Robust young man ; mania in intermittent.

Young man, pale, cachectic appearance, suffered for ten weeks from quartan ague; enlarged spleen.

Woman, set. 23, married one year; bloody leucorrhoea of five years standing.

Woman, set. 23, eight days after second confinement; pleuro-pneumonia.

Woman, set. 25, slender build, mother of two children; prosopalgia.

Man, set. 30, strictly moral ; morbid sexual desire, with morbid craving for dainties.

M. A., set. 30, periodical cephalalgia.

Hysterical woman; jaundice.

195 CINCHONA OFFICINALIS.

A thin, weakly woman; rheumatic ophthahnia during confinement.

A woman in fourth month of pregnancy ; miscarriage.

Woman, after confinement; ascites.

Lymphatic, scrofulous woman; rheumatic ophthalmia during lactation.

Woman, set. 34, phthisical habit; pneumonia after vene- section.

Hannah P., set. about 35, complexion dark, medium height, had a child five weeks ago, and had for some months past pain in loins ; never had ■ rheumatism ; heart normal ; acute dropsy following parturition.

Woman, set. 36, blonde, delicate, hysterical; prosopalgia after massive doses of quinine in cholera.

Woman, set. 37, small, thin, delicately formed, of a highly nervous organization, mother of several children, opera- tion for strangulated hernia and formation of artificial anus.

Man, set. 40; gonorrhoeal iritis.

Man, get. 40, subject to»hemorrhoids ; rheumatism of thigh.

Weakly woman, set. 40; hsematemesis after carcinomatous . ulcer in stomach.

Woman, set. 40, nursing the tenth child; hsemoptysis.

Man, set. 43, blacksmith, tall, dark hair, had phthisis ten years; hemorrhage from lungs of four weeks duration.

Woman, set. 45, large, weighing 180 pounds, leuco- phlegmatic temperament; intermittent fever.

Woman, set. 48; typhoid fever.

Man, set. 50; amaurosis from sexual excess and alcoholism.

■ A wiry, intense, active, planning, business man, set. 50

morning diarrhoea. Two men, one set. 50, the other, 55, both full blooded

erysipelas of face and hairy portion of head. Woman, set. 50, weakly constitution, lively temperament

hsematemesis.

■ Married woman, set. 64; biliary calculi.

An old woman, reduced by care and poverty; pneumonia

following intermittent. Man, set. 70, retired farmer; diarrhcea of twenty years

veg., Eiip. per/., Ferrum, Ipec, Laches., Mercur., Natr. mur.,

Nax-vom., Pulsat., Rhus tox., Sepia, Sidphur and Vei^atr.

It antidotes: Arsen., Calcar., Chamom., Coffea, Ferrum, Helleb., lodvm, Mercur., Sulphur and Veratr.

Is useful in bad effects from excessive tea drinking, and after abuse of Chamomile tea when hemorrhage from uterus results.

Incompatible: after Digit, (increases anxiety); after Selen.

Ferrum.