Murex Purpurea

A Mollusc. . Muricidse.

A sea snail found on the coasts of the Mediterranean and Adriatic. The coloring matter, from which is obtained a fine red, is contained in a sac situated between the heart and liver.

Provings by Petroz (Eev. de la Mat. Med. Horn., 3, 9, 1841) ; Hering, effects of 200th dil. (Am. Horn. Rev., vol. 4, p. 406).

Clinicax, Authorities. — Polyuria, Hendricks, Allg. Horn. Ztg., vol. 111, p, 62- Moore, Hom. Eev., vol. 12, p. 305; Ovarian cyst, Dunham, Lectures, vol. 2, p. 163; Prolapsus uteri and -dysmenorrhea, Martin, Allg. Hom. Ztg., vol. 101, p, 174 ; Dysmenorrhcea, Berridge, Eaue's Eec, 1875, p. 181 ; Uterine affection (2 cases), Hering, Am. Hom. Eev., vol. 4, p. 399 ; Dunham, Am. Hom. Eev., vol. 4, p. 407 ; Carcinoma uteri, Guernsey's Obstetrics, p. 702 ; Effects of an abortion, E. E. S., Hom. Clin., vol. 1, p. 205.

^ Mind. > B Great depression of spirits, a sort of deep hypo- chondria. ^Carcinoma nteri. BDeep sadness at approach of menses, all her symptoms gave her great concern; seemed to her she was hope- lessly ill; she gave up everything. ^Climaxis. iShe is happier when leucorrhoea is worse and vice versa.

^Prolapsus uteri. Weakness of memory and difficulty of connecting words. ^ Sensorium. ' l Inexpressible anguish and frequent syncope

until menses appeared. ^ Inner Head. Headache in morning on waking, going off after rising. Heaviness of head; confusion. ' Hearing and Ears. Cramp pains behind ears. ' Smell and Nose. Coldness of nose all day. ^ Upper Face. Burning of r. cheek towards evening, and of

1. cheek early in morning. '' Scrobiculum and Stomach. n Sinking of stomach;

stomach seemed to be gone. " Hypochondria. Sensation as of creeping of a snake over

entire region of short ribs, 1. side. ^^ Abdomen. 1 1 Painful weariness of loins. /^Uterine disease. I Sensation of weight in hypogastrium. ^Climaxis. B Painful aching in whole hypogastrium; bearing down.

^Uterine disease. I I Enlargement and great sensitiveness of bowels, with sharp pain running from groin to socket of r. hip.

501 MUREX PURPUREA.

^" Stool and Rectum. I Sensation of weight, more particu- larly in rectum. ^Climaxis. B Heavy weight pressing upon rectum; swelling of hemor- rhoids. 6* Uterine disease. During stool: bloody leucorrhoea; discharge of pure blood by vulva. ^^ Urinary Organs. Ii Urine smelling like valerian, with white sediment and discharge of mucus after urinating.

■ Constant urging to urinate, with profuse light, clear dis-

charges, like water; specific gravity 1002; containing neither sugar nor albumen; no pain while urinating; patient pale, thin, delicate. ^Polyuria. I Constant desire to pass water; must rise often at night

to urinate. Discharge of some blood in urinating. ^^ Female Sexual Organs, s Violent excitement in sexual organs, and excessive desire for an embrace; excited by least contact of parts.

■ Large cyst, supposed to be connected with 1. ovary, oc-

cupied space between rectum, uterus and vagina, so as to obliterate posterior cul de sac and almost occlude vagina; abdomen somewhat distended; confined to her room and bed for more than a year. I A distinct feeling of the womb.

■ Feeling as if internal genitals were being pushed out,

with great nausea and faintness. I I Sore pain as if wounded by cutting instruments in uterus.

■ Leucorrhoea, accompanied by improvement of mental

depression.

■ ■Sore pain of uterus.

■ ■Acute pain in r. side of uterus, which crossed entire

body and extended upwards to 1. breast.

I I Violent stitches in 1. side of uterus, from below up- wards, in evening.

I I Beating in uterus.

I I Feeling of dryness and constriction of uterus.

I I Tumefaction of cervix, with several deep fissures.

■ After unusually violent exercise was suddenly subjected

to terrible mental excitement; bearing down sensations; feeling as if internal organs were being pushed out, with great nausea and faintness, a peculiarly distressed sinking sensation in epigastrium ; prolapsus of uterus with elongation of cervix. ^Uterine affection.

■ Soreness in region of cervix, or a feeling as if something-

was pressing on a sore spot in pelvis, with pain in r. side of uterus going into abdomen or thorax, with watery, greenish, irritating leucorrhoeal discharge;

MUREX PURPUREA. 502

dragging and relaxation in perineum; pains in hips, loins and down thighs and great suffering from ex- ertion. ^Ulceration of os uteri.

■ A soft violet colored enlargement of neck of uterus.

I A large excoriation on anterior aspect of neck of uterus, was caused to bleed by a slight touch. ^Climaxis.

■ Dysmenorrhoea and symptoms of prolapsus uteri; pain

and weakness in back ; downward pressure in uterine region ; after being a long time on leet must sit down and cross legs in order to > pressure; yellowish leu- corrhoea; menses every two weeks, very scanty and lasting but two days, preceded by severe laborlike pains, and accompanied by severe headache and great painfulness of breasts; weakness in stomach; impaired appetite; constipation; occasionally hemorrhoids ; sleep disturbed, many dreams; great weakness; slightest exertion tires her; poor complexion; very irritable, during pain impatient at herself and others; cries at times for hours; no hysteria.

■ Sensation of pressure towards genitals; heavy weight

pressingupon rectum ; swelling of hemorrhoids; greenish yellow leucorrhoea, sometimes bloody, and discharges of pure blood by vulva at stool ; thrilling pains in lower extremities ; painful weariness in loins and in nates; very great debility, rendering walking very difficult, often impossible, at period of menses ; painful aching in whole hypogastrium, causing an inexpres- sible anguish and frequent sjmcope, which ceased when menses began to appear; menses excessive, accompanied by spasms in abdomen, with sharp lancinations in uterus; several deep fissures in tumefied cervix; body of uterus enlarged and much inclined forward, cervix resting upon posterior wall of pelvis. ^Uterine affection.

■ Carcinoma uteri; very great depression of spirits, a sort

of deep hypochondria.

■ Flow lasting ten to twelve days, became russet colored,

finally serous. ^Climaxis.

■ Interval of periods ten days. ^Climaxis.

■ ■Menstruation too profuse; hemorrhages.

■ Frequent profuse menstruation; strong sexual desire. 1 Profuse and too early menses.

■ Menses irregular, at the approach sadness; very abun-

dant for several days and with great pain.

■ During menses intense abdominal pain, like something

pressing on a sore place, this continues first part of per- iod and sometimes returns; wants to die. B Watery, greenish, or thick bloody discharge. ^Leucorrhoea.

■ Greenish yellow leucorrhoea, sometimes bloody.

503 MUREX PURPUREA.

■ Debility at time of menses.

Leucorrhoea: scanty, greenish, or mixed with blood; scanty, thick, 3^ellow; < during day; none during night; re- lieves depression. 1 1 Expelling large coagula. ^Climaxis. I I Feeling of heaviness in vagina during colic. I I Feeling of heaviness and enlargement of labia majora.

I Itching with leucorrhoea. ^Climaxis. 2* Pregnancy. Parturition. Lactation. "In the begin- ning of pregnancy sensation as if bones of pelvis were getting loose.

I Leucorrhoea in pregnancy. I I Violent pains, acute stitches in mammse. ^ Voice and Larynx. Trachea and Bronchia. Altered

voice, hoarseness. ^^ Respiration. Wheezing in chest when breathing, in evening. ^'' Cough. I Cough during and after measles. ^ Inner Chest and Lungs. Pain in chest as if bruised. Stinging and burning under 1. short ribs towards spine. Violent pain in breast, with acute stitches ; r. side chiefly affected, < at night. ^^ Heart, Pulse and Circulation. Palpitation of heart and throbbing of carotids. I I Pulse small and frequent during periods. ^Climaxis. ^^ Upper Limbs. Pain in forearm below elbow.

Heat in hands. ^^ Lower Limbs, l i Weakness in hip joints. ^Pregnancy. Pain (burning as if sore) in loins. Pains in hips and loins when lying in bed. Great weakness and weariness in lower limbs. Weariness and contused sensation in thighs. I i Thrilling pains in lower limbs ; weariness in nates. 1 I Intolerable creeping pain in r. hip, kept him from get- ting ease in any position. ^ Rest. Position. Motion. lA kind of uncertainty in walk- ing, all joints weak. ^Pregnancy.

■ Walking or standing for a long time became almost im-

possible. ^Climaxis. She was obliged to go to bed and lie there; had no

strength left. Lying in bed : pain in hips and loins. Cannot get ease in any position : pain in r. hip. After violent exercise : bearing down sensation. After being a long time on feet must sit down and cross

legs to > pressure in uterine region. Exertion : causes great suffering. Walking : very difficult from great debility. ^® Nerves. Debility of entire muscular system.

MUREX PURPUREA. 504

38 Time. In morning : on waking, headache > after rising ; early burning of 1. cheek.

All day : coldness of nose.

Day: leucorrhoea <.

Towards evening: burning of r. cheek.

Evening: stitches in uterus; wheezing in chest when breathing.

Night: must rise often to urinate; no leucorrhoea; pain in breast <. *" Fever, i l A copious sweat covered body during suffering

at menstrual period. ^Climaxis. ^^ Attacks, Periodicity. For hours: cries at times.

Ten days : interval of periods.

Ten to twelve days : flow lasts.

Every two weeks : menses, lasting two days.

Until menses appear: anguish and frequent syncope.

At approach of menses : deep sadness.

During menses: great debility ; pulse small and frequent; a copious sweat covered body.

Beginning of pregnancy : sensation as if bones of pelvis were loose.

During pregnancj'^: leucorrhoea.

During and after measles: cough.

For more than a year : confined to her bed and room. *^ Locality and Direction. Right: burningof cheek; sharp pain from groin to socket of hip; acute pain in side of uterus ; pain < in breast ; intolerable creeping pain in hip.

Left: burning of cheek; sensation as of creeping of a • snake on side; large cyst connected with ovary; pain from uterus to breast; violent stitches in side of uterus; stinging and burning under short ribs.

From below upwards : stitches in uterus. ^^ Sensations. Stomach as if gone; as of creeping of a snake over entire region of short ribs ; as if internal genitals were being pushed out; as if wounded by cutting instru- ments in uterus; as if something was pressing on a sore spot in pelvis; as if bones of pelvis were getting loose ; pain in chest as if bruised; burning as if sore in loins.

Pain : in r. side of uterus going into abdomen or thorax ; in hips, loins and down thighs; in back; in chest; in forearm below elbow; in loins; in hips and loins.

Intolerable creeping pain: in r. hip.

Severe pain: in head.

Intense abdominal pain : during menses.

Violent pains : in mammse.

Sharp pain : running from groin to socket of r. hip.

Acute pain: in r. side of uterus.

505 MUREX PURPUREA.

Great pain : during menses.

Sharp lancinations : in uterus.

Acute stitches: in mammae.

Severe laborlike pains : before menses.

Thrilling pain : in lower extremities.

Cramp pains : behind ears.

Sore pain : in uterus.

Stinging: under 1. short ribs; towards spine.

Soreness : in region of cervix.

Contused sensation: in chest; in thighs.

Burning: of r. cheek; of 1. cheek; under 1. short ribs

towards spine. Heat : in hands. Beating: in uterus.

Painful aching: in hypogastrium, bearing down. Painful weariness : of loins ; in nates. Throbbing : in carotids. Constriction : in uterus.

Pressure: in uterine region; towards genital organs. Weight: in h3'pogastrium ; in rectum. Heaviness: of head ; in vagina; of labia majora. Distressed sinking: in epigastrium; of stomach. Dryness : in uterus. Confusion : of head. Weakness: in back; in stomach; in hip joints; in lower

parts : causes violent sexual excitement. Slightest touch : causes bleeding of excoriation on neck of

bladder. *^ Stages of Life, Constitution. Melancholic or sanguine

lymphatic temperament. ■ Sufferings during climacteric years. Girl, Eet. 13, pale faced, thin and delicate, suffering one

subsequently prolapsus uteri and ulceration of cervix;

uterine affection. Woman, set. 30, mother of two children, suffering seven

years; prolapsus uteri and dysmenorrhoea. Woman, set. 30, sanguine lymphatic temperament, mother

of tw^o children, was subject in infancy to violent attacks

of cough, caused by congestion to lungs, the result of a

psoric taint (retrocession of itch), these attacks ceased

MUREX PURPUREA— MURIATICUM ACIDUM. 506

to appear about the time of her first pregnancy, since when she lias been suffering; uterine affection.

Woman, set. 30, suffering eight days; polyuria.

Woman confined to room and bed for more than a year; ovarian cyst.