Ustilago Maydis

Corn-smut Fungi.

A fungus found growing on Indian corn. The tincture is prepared from the fresh ripe fungus.

Introduced and proved by Burt, see Monograph ; proved by Hoyne, Trans. Am. I. Horn., 1872, p. 493.

Clinicai, Ai'THORiTiES Spermatorrhcea, Burt, Monog.; Ovarian imiation, Burt, Monog. ; Ovaritis, Burt, Monog. ;

Ovarian tumor, Jones, Burt, Monog. ; Metritis, ovarian irritation, Wesselhoeft, T. A. I.

H., 1871, p. 177 ; Tumor of uterus. Hale, T. A.

I. H., 1870, p. 475; Suppression of menses, ovaritis (13 cases), Slough, MSS.; Amenorrhoea, with headache, Slough, MSS. ;

Uterine hemorrhage, Woodbury, N. E. M. a, Sept., 1873, p. 408 ; Whittier, N.

E. M. G., vol. 4, p. 215 ; Burt, Monog. ;

Metrorrhagia, Wood, Hah. Mo., vol. 4, p. 369 ; Frost, Hah. Mo., vol, 10, p. 148 ;

Bennett, N. E. M. G., vol. 8, p. 413 ;

Wood, A. H. O., vol. 6, p. 328 ; Menorrhagia, Backmeister, T.

A. I. H., 1872, p. 498 ; Bowie, T.

H. M. S. Pa., 1884, p. 137 ;

Chamberlain, Mass. Trans., vol. 4, pp. 5, 121 ; Whittier, T. H.

M. S. N. Y., 1870, p. 172;

Hoyt, Hah. Mo., vol. 5, p. 819; Burt, Monog.; Bysmenorrhoea, Hunt, N.

E. M. G., vol. 6, p. 12 ; Schley, A.

O. H., vol. 7, p. 412 ; Burt, Monog. ; Scanty menses, Burt, Monog ;

Amenorrhoea, Slough, T. H. M. S.

Pa., 1884, p. 74; Sup' pression of menses, Burt, Monog. ; Leucorrhcea, Burt, Monog. ; Abortion, Burt, Monog ;

After-pains, Farrington, Org., vol. 3, p. 272 ; Post-partum hemorrhage. Swan, A. J.

H. M. M., vol. 5, p. 449 ; Agalactia, Burt, Monog. ;

Urticaria, Burt, Monog.

^ Mind. Great depression of spirits ; irritable.

I I Very sad, cries frequently ; excessively prostrated from sexual abuse and loss of semen ; sleep restless.

USTILAGO. 366

^ Sensorium. Frequent attacks of vertigo.

■ Vertigo during cliniaxis, with too frequent and profuse menstruation. ' Inner Head. Feeling of fulness in head, with dull, pressive frontal headache. Frontal headache, < by walking.

Violent frontal headache as if forehead would burst open. Sharp flying pains in forehead, congestion of brain. Pain on top and side of head ; climaxis. I Nervous headache from menstrual irregularities in atonic women. * Outer Head.

Scalp dry, hot and congested, with loss of hair. Scald-head ; two-thirds of scalp one filthy mass of inflam- mation, with loss of most of hair; a watery serum con- stantly oozing from scalp. ' Sight and Eyes. Things whirl before eyes, appear double; white specks come into view and blot all else. Twitching of eyes, they seem to revolve in circles and

dart from object to object. Eyes feel hot on closing lids. Aching and smarting in eyeballs, with profuse secretion of

tears ; in open air. Dull aching pain in r. eyeball. ® Hearing and Ears. Constant dull pain in 1. ear, caused by

extension from inflamed tonsil. ^ Smell and Nose. Dryness of nostrils as if he had taken cold. Rhinitis, bitter taste, offensive odor noticeable to patient himself. ^ Upper Face. Sudden pallor; evening while sitting.

Burning of face and scalp from congestion. '"Teeth and Gums. Constant dull aching pain in first and second upper molars, which are decayed and have ached before. Shedding of teeth (in animals). " Taste and Tongue. Slimy, coppery taste.

Pricking sensation in tongue, with a feeling as if some- thing were under its root pressing it upward. '^ Inner Mouth. Saliva profuse ; bitter.

"'Throat. Dryness of fauces, with difficult deglutition; with burning distress in stomach. Tonsils congested, inflamed, 1. very large dark-colored,

with dull pain, < from swallowing. Feeling as of a lump behind larynx ; producing constant

desire to swallow. Sharp lancinating pain in r. tonsil. Burning in oesophagus at cardiac orifice. '* Appetite, Thirst. Desires, Aversions. Loss of appetite followed by canine hunger.

867 USTILAGO.

"'Hiccough, Belching, Nausea and Vomiting. Eructa- tions of food, strongly acid. '^ Scrobiculum and Stomach. Goneness in epigastrium. 6'Cliinaxis.

Faint feeling in epigastrium, with pain in region of liver and bowels.

Repeated fine sharp cutting pains in epigastrium.

Constant distress in region of stomach.

Burning distress in sternum and stomach, accompanied by fine neuralgic pains in same region, lasting about three minutes at a time; come on every ten or fifteen minutes for several hours ; sharp cutting pain in stomach.

iHsematemesis of a passive nature, profuse, blood venous, accompanied by nausea, which improves after hemor- rhage. ^^ Hypochondria. Pain in region of r. lobe of liver.

Dull pains in r. hypochondrium, with distress in small intestines. '^Abdomen. Grumbling pains in abdomen all afternoon, fol- lowed by dry, hard stool, fine, cutting colicky pains every few minutes all day, > by hard constipated stool, followed by dull distress in bowels.

Pain in 1. inguinal region, while walking. ^'^ Stool and Rectum. Black, dry, lumpy stools, costive. ^' Urinary Organs. Urine first increased and light, with

great desire; later scanty and dark. ^^ Male Sexual Organs. > Erotic fancies; emissions.

I Seminal emissions and irresistible tendency to mastur- bation.

Great depression of sexual system, with relaxed scrotum.

I I One to four emissions with sexual dreams every week, followed next day by great prostration, dull pain in lumbar region, with great despondency and irritability.

1 I Spermatorrhoea after onanism; emissions every night, talking about women causes an emission ; very sad; cries frequently; says he cannot break ofi' habit, has no con- trol of hitnself when passion is aroused ; knows it is fast killing him, cannot work, is so prostrated.

Chronicorchitis; neuralgia and irritabletesticle; indurated testicle. ^ Female Sexual Organs. Burning distress in ovaries.

Acute pain, < in 1. ovary, with swelling; pains intermit- tent ; shoot rapidly down legs.

Ovaritis, constant pains in ovary, sharp pains passing down legs rapidly; ovary much swollen and. tender, with scanty menstruation.

I 'Intermittent neuralgia of 1. ovary, which is as large as a hen's egg and very tender to touch.

USTILAGO. 368

1 I Ovaritis ; took cold after menstruation ; constant dull pain in r groin and back, three or four times an hour; sharp neuralgic pains in ovary ; walking painful ; bowels torpid ; very languid.

I 1 Vicarious menstruation from lungs and bowels.

I I Ovarian irritation, constant pain in 1. ovary passing down hip, has to limp when walking; pains sharp and at times pass down leg with great rapidity ; every few days has quite a swelling in 1. groin ; cannot bear press- ure over ovary.

I I Every day from about 12 m. to about 4 p.m., constant pain from 1. ovary to uterus ; every few minutes, pain in ovary is intensely severe, cutting like a knife ; pain in r. ovary and hj^pogastric region, but all starting from 1. ovary ; ovary can be distinctly felt in groin about as large as a hen's egg and very hard ; when pressed upon gives intense pain ; every day thinks she has fever with paroxysms of pain but no chill ; slight leucorrhoea ; loss of appetite ; constipated.

■ Constant aching distress referred to mouth of womb. Displaced uterus with menorrhagia; cervix tumefied;

bleeds when touched.

■ Hypertrophy of uterus with a soft and spongy os and

cervix ; sufficiently dilated to easily admit fingers. I I Uterus hypertrophied, sensitive; blood bright, fresh,

without coagula. I I Subserous or interstitial fibroid of uterus (two cases),

fibroid much diminished. • Prolapsus with menorrhagia. I Cervix tumefied, bleeds when touched.

■ Menses: too scanty, with ovarian irritation; too profuse

and too early ; blood clotted ; as if everything would

come through. Between menstrual periods, constant suffering under 1.

breast, at margin of ribs. I I For days oozing of dark blo,od with small coagula ; uterus

enlarged, cervix tumefied or dilated.

■ Metrorrhagia after confinement and after miscarriage.

■ ■Oozing of dark blood, highly coagulated, forming occa-

sionally long, black stringy clots.

■ Chronic uterine hemorrhages, and passive congestions.

■ Blood dark, but so thin as to scarcely color fingers.

■ Metrorrhagia after miscarriage.

I I Extreme pain during menstrual period; fiow very pro- fuse and did not cease entirely until next period ; most of time confined to bed. ^Metrorrhagia.

■ Menorrhagia at climacteric period; active and constant

flowing with frequent clots.

369 USTILAGO.

I I Profuse menstruation, flow lasting from ten days to two weeks, at first very abundant, gradually wearing off; always < from motion ; discharge dark and quite painless.

I I Menses every three weeks, with dark coagulum ; profuse, with gushes of bright-red blood when rising from a seat, or after having been startled or frightened ; two days before menses, a heavy backache with sharp pain across abdomen from hip to hip, followed by expulsive pains; pains diminish after flow commences and stop with it; between menstrual periods heavy dragging backache on exertion ; pain shooting up back from hips to shoulder ; abdomen tender to touch; excessive bearing down; pressure in head ; sensation of contraction in vertex, and feeling as if head were lifting off; vertigo; excori- ating, albuminous leucorrhoea, < before menses ; rav- enous appetite; excessive tired feeling; pulse 80 and '. weak; mental depression.

I I Subject to profuse menstruation ; childless ; large, fleshy, flabby, bloated-looking, with a very sallow complexion, inclined to be (and formerly had been) dropsical from excessive loss of blood ; profuse menstruation, which seems to her to be be principally water and clots; says there is no outward flow when she lies still, but clots and water pass out of uterus when she gets up ; feels so full in uterus that she must rise to get rid of clots ; flowed fearfully during night ; very low, scarcely able to speak aloud.

I I Severe menorrhagia for past twelve years at every men- strual period, lasting a week or ten days, sometimes longer ; pale, thin, weak, very nervous.

I I Profuse discharge of dark, clotted blood of fetid odor, with pain and tenderness in one or both ovaries. ^Men- orrhagia.

■ Menorrhagia at change of life.

iDysmenorrhoea of a congestive character, with much ova- rian irritation; severe pain in ovaries, uterus and back every few minutes; scanty, pale flow accompanied by false membranes; poor appetite, thickly-coated tongue.

I I Subject to headaches ever since menstruation appeared at age of flfteen ; headache mostly on top of head ; appe- tite poor ; pain in 1. che-t with some cough ; total sup- pression of menses for last eight months ; severe pain in back, is unable to ride in carriage ; pain in uterine re- gion, especially over ovarian region, < 1. side; vomit- ing of mucus and blood daily ; no sleep ; some leucor- rhoea; hysterical; no uterine displacement, but great congestion in pelvic region.

vol. X. — 24,

USTILAGO. 370

iSuppression of menses without apparent cause; trouble- some cough ; considerable expectoration; sometimes also dry cougli ; stitching pains in chest, especially 1. side; night sweats ; loss of appetite ; pain in ovaries, espe- cially 1. ; general debility ; headache; leucorrhoea; chlo- rotic; anaemic, as if in first stage of consumption.

I I Menses suppressed for last fourteen months; very irri- table and depressed ; uneasiness in region of stomach ; pain in ovarian region, especially 1.; skin hot and dry; constipation, stools dry and hard; no appetite; stitch- ing pains in chest, < 1. side ; constant hacking cough ; considerable expectoration ; night sweats ; general pros- tration ; great uneasiness in lower extremities.

iClimaxis: vertigo; frequent flushing ; metrorrhagia.

1 I Mild leucorrhosa. 2* Pregnancy. Parturition. Lactation, i Abortion: bear- ing-down pains, as if everything would come from her; in flabby constitutions; from general atony of uterus; with or without hemorrhage.

I I Has aborted a number of times at third month ; is now about three months pregnant ; for last ten days has had more or less hemorrhage every day, some days quite bad ; not so much at night ; blood passes a number of times through day, in dark-colored clots.

I Labor pains deficient; os soft, pliable, dilatable.

iPpst-partum hemorrhages from a flabby, atonic condition of uterus.

■ Constant flooding; every few minutes, expulsion of a

large clot of bright-red blood, with bearing-down pains.

^Post-partum hemorrhage. I Persistent hemorrhage of brownish blood, with want of

uterine contraction. I I One and a half hours after delivery commenced to flow

violently.

■ Passive hemorrhage after miscarriage, blood in lumps,

flooding for days and weeks.

I I Severe flooding two weeks after labor; large bright- red

clots ; no pain ; very weak.

I I Lochia too profuse, partly fluid, partly clotted; pro- longed bearing-down pains; uterus feels as if drawn into a knot.

Very profuse lochial discharge, very dark in color, almost

black. I I Agalactia; chronic inflammation, and induration of

mammas. Galactorrhoea.

■ Puerperal peritonitis, with constant flooding; high fever;

secretion putrid ; abdomen excessively tender and tym- panitic. ^Abortion.

371 USTILAGO.

I I Puerperal peritonitis; aborted about two da^'s since, at about three months; constant fever; pulse 120; cannot bear least pressure on any portion of bowels; about six times to-day has had sharp, cutting pains in 1. ovary; has flowed constantly for two days; blood dark, not copi- ous, nor attended with bearing-down pains; cannot move in bed; is compelled to lie upon her back; con- stant dull, frontal headache; loss of appetite, tongue net furred.

I I For last year vertigo every day, some days so bad she has to go to bed ; menses every thyee weeks for last year, last about ten days and profuse; flows as much again as she did when in health ; constant aching dis- tress under 1. mamma; rheumatic pains in shoulders and back ; very weak, not able to work. ^Climaxis.

■ Hypertrophy and subinvolution of uterus with great

atony.

■ Fibroids and induration of os.

I 1 Discharge of blood from uterus, bright-red, partly fluid, partly clotted; passive congestion of uterus, so that there is a slight oozing of blood after each examination ; tis- sues of uterus feel soft and spongy ; os patulous. ^Sub- involution of uterus. ^^ Voice and Larynx. Trachea and Bronchia. Feeling as if there were a lump behind larynx, which produces constant inclination to swallow. " Inner Chest and Lungs. Sharp tearing in 1. side from top

of chest down to sixth or seventh rib, < by breathing. ^^ Heart, Pulse and Circulation. Burning pain in cardiac

region. '"Outer Chest. Sudden flying pains from heart to stomach, that arrested breathing, lasted but a moment, probably myalgic. ^' Heck and Back. Severe rheumatic pains in lumbar region,

< by walking; aching distress in small of back. ^^ Upper Limbs. Dull aching pains in slioulder joints.

Severe rheumatic pains in muscles of r. shoulder, all night. Rheumatic pains in arms, hands and fingers. Dull rheumatic pains in r. elbow joint, < on motion. Rheumatic drawing pains in finger joints, more especially

in second joint of r. forefinger. Severe drawing pains in joints of all fingers. Fine, sticking pains along metacarpal bone of r. forefinger,

every few seconds. Sharp, cutting pains along metacarpal bones of r. hand.

■ Hypertrophy or loss of nails.

^^ Lower Limbs. Rheumatic pains in legs.

Flying rheumatic pains in metatarsal bones of r. foot.

USTILAGO. 372

'' Limbs in General. Rheumatic pain in legs, arms and

fingers. ^^Rest. Position. Motion. Rising: menorrhagia <.

Motion: menorrhagia <.

Walking : frontal headache < ; pain in 1. inguinal region ; pain in lumbar region <. ^" Sleep. Sleep: troubled, tosses about, troublesome dreams;

heat over body. ^^ Time. 12 to 4 p.m. : pain from 1. ovary to uterus and r. ovary.

All afternoon : grumbling in abdomen.

Evening: sudden pallor.

All night: rheumatism in r. shoulder; general heat.

Night : itching urticaria. ^^ Temperature and Weather. In a warm room : felt op- pressed, faint.

Open air: aching in eyes and lachrymation, ^^ Fever. Internal heat through body, but < in eyes, which are sensitive to light and sore to touch ; pulse normal.

General heat at night during sleep.

Relapsing agues ; very profuse sweat ; slight nausea; op- pression of chest ; cerebral disturbance, and great irri- tability. *^ Attacks, Periodicity. Lasting three minutes : neuralgic pains in sternum and stomach.

Every few minutes: colicky pains.

Every ten or fifteen minutes : neuralgic pains in sternum and stomach.

Every night: emissions.

For two days : constant flooding.

Every week : one to four emissions.

Every three weeks : menses.

Third month : abortion.

For eight months: suppression of menses.

For fourteen months: suppression of menses.

For twelve years : menorrhagia, lasting ten days.

Climacteric period : vertigo; frequent flushing; pain on top and side of head; menorrhagia; metrorrhagia. ^^ Locality and Direction. Left: dull pain in ear; tonsil inflamed; pain in inguinal region; pain in ovary; neuralgia of ovary ; ovary enlarged ; ovarian irritation ; pain from ovary down hip ; sufi'ering under breast; pain in chest with cough; stitches in chest; aching distress under mamma; tearing from top of chest to sixth or seventh rib.

Right: aching in eyeball; lancinating in tonsil; pain in region of liver; dull pains in hypochondrium; dull pain in groin and back; neuralgia of ovary ; rheumatism in shoulder, elbow joint and second joint of forefinger;

373 USTILAGO.

cutting pains along metacarpal bones ; rheumatic pains

in metatarsal bones. " Sensations. As if forehead would burst open ; as if some- thing were under root of tongue, pressing upward ; as of

a lump behind larynx; as if head were being lifted off;

excessively tired feeling; as if everything would come

from her, bearing down ; uterus as if drawn into a

knot. Pain: on top and side of head; in region of liver and

bowels; in region of liver; in 1. inguinal region; in r.

ovary. Acute pain : in 1. ovar}'. Lancinating: in r. tonsil. Cutting: in epigastrium ; in stomach; in abdomen; in 1.

ovary ; along metacarpal bones of r. hand. Sharp pain: across abdomen from hip to hip; in ovaries,

uterus and back Stitches: in chest, < 1. side. Shooting: down legs.

Sticking: along metacarpal bone of r. forefinger. Pricking: in tongue. Tearing: in 1. chest. Drawing: in finger joints. Pressure: in frontal region ; in head. Aching: in eyeballs; dull, in r. eyeball ; dull, in decayed

molars; in mouth of womb; under 1. mamma; in small

of back ; in shoulder joints. Burning: of scalp; efface; in stomach ; in oesophagus ;

in sternum; in ovaries; in cardiac region. Smarting: in eyeballs.

Flying pains: in forehead ; from heart to stomach. Neuralgic pains: in sternum and stomach; in testicles;

in 1. ovary. Rheumatic pain : in shoulders and back ; in lumbar region ;

in muscles of r. shoulder; in r. elbow joint; in arms,

hands and fingers ; in legs ; in metatarsal bones of r. foot. Bearing down : in abdomen. Contraction : in vertex. Dull pain: in 1. ear; in tonsils; in r hypochondrium ; in

lumbar region; in r. groin and back. Grumbling: in abdomen. Fulness: in head; in uterus.

Uneasiness : in region of stomach ; in lower extremities. Goneness: in epigastrium. Faintness: in epigastrium. Heat : of scalp ; in eyes ; through body. Dryness: of nostril; of fauces. Itching: urticaria.

USTILAGO. 374

■** Tissues. Vascular system of ovaries is most powerfully- affected, producing congestion, enlargement, and great irritation, with ovaralgia, dysmenorrboea, and especially menorrhagia. ^^Toucli. Passive Motion. Injuries. Touch: abdomen tender; eyes sore.

Pressure : ovaries <.

Riding in a carriage : unable from backache. ^^Skin. Whole skin is dry, hot, and congested.

I I Negro, urticaria of six years' standing, troubled more or less all time; every night itching, scratching parts pro- duces large pale welts on body, arms and legs.

Copper-colored spots on skin ; secondary syphilis ; maculse.

Pustular ulceration of skin, scald-head, and various forms of eczema.

Painful destructive diseases of nails.

Alopecia ; complete loss of hair from long-lasting con- gestion of scalp ; tendency to small boils ; skin dry and hot. ^^ Stages of Life, Constitution. Very lymphatic women, with clear, white skin.

Tall, slim, fair complexion, ''consumptive persons."

Miss E., set. 19, nervous temperament; menorrhagia.

Miss M., set. 19, nervous temperament; dysmenorrboea.

Miss 0., set. 20, light hair, very pale and ansemic, slim, delicate from childhood, history of consumption on father's side; amenorrhoea, cough, etc.

Mrs. B., set. 23, nervous temperament, two weeks after third labor; metrorrhagia.

Mrs. W., set. 26, nervo-bilious temperament ; suppression of menses.

Mrs. B., set. 27, nervous temperament; dysmenorrboea.

Lady, set. 27, nervous temperament; scanty menses.

Man, set. 28, nervo-sanguine temperament, suffering seve- ral years ; spermatorrhoea.

Mrs. F., set 28, blonde, scrofulous bemorrhagic diathesis, married five years, never pregnant; menorrhagia.

Mrs. H., set. 28, large, lymphatic, weight about 200, after third labor; uterine hemorrhage.

Mrs. S., set. 29, nervous temperament; dysmenorrboea.

Mrs. W., set. 30, nervo-bilious; ovarian irritation.

Irishman, set. 30, bilious temperament; spermatorrhoea.

Mrs. H., set. 30, nervous temperament, two months ago miscarried between third and fourth month ; metror- rhagia.

Lady, set. 30, tall, slim, nervous; menorrhagia.

Mrs. D, set. 31, nervo-bilious; ovaritis.

Mrs. H., set. 32, sanguine temperament, nursing a babe 14 months old, suffering six weeks; metrorrhagia.

375 USTILAGO— UVA URSI.

Mrs. B., set. 34, two cliildren, youngest set. 10, subject to

headaches since puberty ; suppression of menses. Mrs. H., set. 34, bilious temperament; hemorrhage after

abortion. Lady, set. 35, suffering six years ; tumor of uterus. Mrs. H., set. 38, two months ago miscarried when three

months gone; metrorrhagia. Mrs. F., set. 39, nervous temperament, married nine years,

never pregnant ; metrorrhagia. Mrs. B., set. 40, large, fleshy, flabby, bloated- looking, no

children ; metrorrhagia. Mrs. F,, set. 50, nervo-bilious; menorrhagia. Mrs. N., set. 54, nervous temperament; ovarian irritation. Lady, tall, slim, bilious; suppression of menses. ^® Relations. Compare: Secale and Sabina.