Lac Vaccinum Defloratum

General

To Dr. Samuel Swan is due the credit of first recog^nizing the possibilities of this substance when potentized, from read- ing the reported successful use of it in the crude form by Donkin, in the treatment of diabetes, albuminuria and other affections of the kidneys. He potentized it and began the proving on himself and a lady patient whom he had cured of a chronic ailment with the m. and cm. potencies. Subse- quently he induced Dr. Laura Morgan to undertake it, who with her friends made extensive provings, and what is remarkable is that the genuine character of the original work has not only verified many of the claims of Donkin, but nearly every symptom in the pathogenesis has been clinically veri- fied, especially the peculiar headaches, obstinate constipation and the unusual and irregular menses.

It is well known that the chemical constituents of milk con- tain an epitome of the salts and tissues of the animal which secretes it, hence we may conclude that its range of action is co-extensive with these tissue salts. Here we find the ** men- tal depression and weeping," the ''thirst for large quantities and often," the ''periodical headache increasing and decreas- ing with the sun," the "obstinate constipation and fissure pain " of Natrum muriaticum. And so of other salts.

Grauvogl suggests that hydrogenoid and cold children should not be given milk, and Burnett maintains that a milk diet, even skimmed milk, after the first year renders them susceptible to colds. There is no doubt it prevents nutrition in many persons, both children and adults, developing ema- ciation in some and obesity in others; in other words, a con- stitutional diathesis akin to, or that tends toward, the tu- bercular.

The deep-seated vein of nervous phenomena manifested in its pathogenesis and verified in the care of many obstinate chronic ailments warrants a more careful study of this little known and less used remedy.

Mind

Loss of memory; listlessness, disinclination for bodily or mental exertion.

96 LAC VACCINUM DELFORATUM.

Depression of spirits; don't care to live; question as to quietest and most certain way of hastening one's death.

During conversation, headache and depression of spirits >.

I Depression and weeping with palpitation.

I Imagines that all her friends will die and that she must go to a convent.

Profound melancholy.

Does not want to see or talk to any one.

Can remember what has been read only by a strong effort of will.

Vacillation of mind.

Great despondency on account of the disease, is sure he is going to die in 24 hours.

Has no fear of death but is sure he is going to die.

Great depression of spirits, with a strong inclination to weep.

Depression of spirits which is not dissipated by conversa- tion.

Loss of memory, could not remember from one paragraph to another what she had read.

I Head light, with throbbing in temples.

Head

I Vertigo : on moving head from pillow; < lying down and esp. turning while lying, obliging to sit up.

Headache preceded by dimness of sight.

Intense vertigo when opening eyes while lying, < when rising up; objects appeared to move swiftly from 1. to r. , at other times moving as if tossed up from below in every direc- tion (cured).

I Faintness and nausea when stepping upon floor in morn- ing.

I Pain first in forehead, then extending to occiput, very in- tense, distracting and unbearable; great photophobia, even to light of candle; deathly sickness all over, with nausea and vomiting, < by movement or sitting up: very chilly, and ex- ternal heat does not >; frequent and profuse urination of very pale urine.

I After injury subject to distress in head; severe pain in fore- head just above eyes; breath very offensive; appetite poor, nausea; at times sleeps for hours during attack; great distress across back; urine dark and thick.

LAC VACCINUM DEFLORATUM. 97

Nausea and sometimes vomiting, which > ; pain in fore- head as if head would burst, with blindness; pain is > by bandaging head tightly; < by light and noise; constipation, stools large; hands and feet cold.

Headache

< during menses; < by speaking; alternating with tonsilitis.

1 1 Throbbing frontal headache (over eyes), nausea, vomit- ing and obstinate constipation; esp. in ansemic women.

Headache, with pains in eyes; as if full of little stones; < closing eyes; profuse urination.

I Dim vision, as of cloud before eyes; profuse urination; full feeling in head ; slight nausea at pit of stomach ; face pale; feet cold; coldness in back.

I I Intense pain at point of exit of supra-orbital nerve, dif- fused thence over forehead; attack commences with chill, quickened pulse, flushed face and belching of wind from stom- ach (cured).

I Severe headache, with a sensation as if top of head was lifted off, raised about five inches and brains were coming out; head feels hot, motion < pain; face felt as if flesh was off bones and their edges were separated and sticking out; better in five minutes after taking Lac Defloratum, and next morn- ing was entirely relieved.

I Pain first in forehead, extending through occiput, making her nearly frantic.

I Intense headache in forehead and through head, < in ver- tex, afterward head felt bruised (cured).

I In morning nausea and sensation of a round ball full of pain in centre of forehead (cured).

II General sore pain of head produced by coughing.

I At first a sharp pain at apex of heart, as though a knife was cutting up and down; this lasts a few seconds and is fol- lowed by a strange feeling in head; forehead feels extremely heavy, with dull sensation over eyes, and considerable throb- bing, most marked on each side of head; rest of head feels very light, dimness of vision; can only distinguish light, not objects; at same time great loss of strength; cannot stand, but falls backwards, and remains entirely unconscious for two or three minutes; weakness passes off gradually and is followed

98 LAC VACCINUM DEFLORATUM.

by crying, palpitation of heart and great depression of spirits; imagines that all her friends will soon die and that she must go to a convent; she can produce an attack at any time by ex- tending arms high above head, or by pressure around waist; spells come on at 7:30 p. m.

I After light breakfast, pain in forehead, with nausea; very pale face, even lips looked white; vomiting of ingesta and afterwards of mucus and bitter water; deathly sick feeling in pit of stomach, < rising up in bed; profuse urination every half hour; urine colorless as water; great thirst; intense throb- bing pain in vertex.

I Periodical pain in forehead, as if head would burst, accom- panied by violent effort to vomit, and more rarely vomiting; hands and feet cold; diarrhea alternating with constipation, the latter predominating; loss of appetite; smell or thought of food causes nausea; tongue moist, coated white; thirstlessness; always < at menstrual period; menses scanty and accom- panied with colic.

I Attacks come every eight days; during attack can neither eat nor drink, nor endure light or noise; does not even like to speak; great prostration, < during menstruation; when pains subside inflammation of tonsils appears; tongue white and no relish for food.

I Severe frontal headache; nausea and sometimes vomiting upon rising in morning, or from recumbent position at any time, or upon moving; great constipation; constant chilliness even when near fire; urine profuse and watery, or scanty and high colored; intense pain throughout whole spinal column; excessive thirst for large quantities; great depression of spirits; sudden prostration of strength at 5 p. M. ; skin color of red rose, with swelling of face, neck, arms and body, generally in morning and during day and evening.

I Severe pain over eyes, with intense throbbing in both temples, eyes feel as if full of little stones; eyeballs intensely painful, and on shutting eyes, pressure of lids increases pain; edges of lids feel contracted, and convey sensation as of a nar- row band drawn tightly across eyeball; pain over 1. hip; con- stipation and profuse urination during paroxysm.

I Pain commencing in and above inner end of r. eyebrow

LAC VACCINUM DEFLORATUM. 99

before rising in morning; soon after rising pain passed into eyeball; < until afternoon, at which time it became unbear- able; < by walking and particularly by sitting down, though done carefully, also by heat radiated from fire or stooping, > on pressure; pressure on temples disclosed strong pulsa- tion of artery; pain ceased entirely at sunset and did not re- turn till next day. Light did not < it. The eye had no un- usual appearance. Lac Fel. had no effect. Partial relief by Sol. and Oxygen (cured by Lac Defloratum cm.).

I Pains so severe that she would bury her eyes in her hands and press them into pillow.

. I Severe headache for years; severe pain over eyes; intense throbbing in temples.

General sore pain of head produced by coughing.

Throbbing in temples.

American sick headache, with gastric symptoms.

Hurting or pressing headache, in different places at different times; generally worse in occiput.

Pain in forehead.

Severe frontal headache, with intense throbbing in the temples, during nausea, passing away with the nausea and heat, leaving a bruised feeling in the head.

Severe frontal headache in the afternoon, passing off during conversation — pain was just above the eyes.

Severe frontal headache above the eyes < by suddenly mov- ing or stooping, with depression of spirits, and strong inclina- tion to weep; passed away during conversation.

Headache all day, worse in the afternoon.

Headache and depression of spirits, head feels heavy with marked tendency to fall to the right.

In the morning the head felt very heavy, and fell to the right side, the muscles of the neck being unable to hold it erect.

Headache in the afternoon and heaviness in the evening.

Constant dull pain just above the eyes.

Pain in the head most marked over the left eye, and in the temples, occasionally extending into the eyes, and causing profuse lachrymation.

Head feels large as if growing externally (cured).

100 LAC VACCINUM DEFLORATUM.

Flashes of heat in head and face.

Pain in left forehead, over left eye.

Severe headache for years, severe pain over eyes, intense throbbing in temples (cured).

Forehead feels extremely heavy.

Heavy feeling in forehead and eyes.

Headache with pressure on vertex; pain over eyes.

Dull, heavy pain all over temples and forehead and extend- ing to occiput.

Burning in the top of the head.

Sensation in base of brain as if pressure would relieve her.

During the headache, feet and hands cold.

Bruised sensation in head caused by coughing.

Intense, awful, mixed-up, aching, drawing, pulling, stabbing pains, with delirium after the Im.

Vertigo with nausea and vomiting.

Intense aching pain with soreness and heaviness of the whole head; face deathly pale and dreadful weakness and prostration. After 10m. in water, repeated at short intervals, a singular sensation of relief commenced at the head and sen- sibly passed all through her body, as it were in her nerves, and out through her feet. The next morning, after a good night's sleep, she felt perfectly well, but lazy.

NOSE* — ° During headache, coryza and an apparent tonsil- litis. ^ Sick headache. 6.

Catarrh in r. nostril in afternoon, coming on very suddenly, gone before morning. 3 (11).

Catarrh in afternoon in both nostrils. 3 (12).

Catarrh of both nostrils lasted till 19th day. 3.

° Painful pressure and tightness at root of nose, with ca- tarrh; the tightness was cured, but not the catarrh.

Painful dryness of nostrils.

Face

°Face very pale and bluish, with dark depressed circle around eyes. ^ Sick headache. 7.

° Face very pale, and eyes look heavy. ^ Headache from suppressed menses. 8.

During the whole proving, but especially in morning, or when the headache or nausea prevailed, she was extremely pale, a deathly pallor of face. 2.

• •: ••! • •

• • "•_•••

LAC VACCINUM DEFLORATUM. 101

Flushes of heat in head and face, especially 1. cheek. 3 (7).

During proving, deathly pallor of face, in morning, so marked as to cause inquiry as to the reason of it. 8.

°Very pale, even lips looked white. ^ Sick headache. 9.

° Face pale. ^ Sick headache. 9.

° Deathly paleness of face on rising in morning. ^ Sick headache. 9.

° Very pale, with vertigo. ^ Quininism. 9.

^ Flushed face. ^ Suppressed menses from putting hands in cold water. 9.

°Pale face in morning; lips and tips of fingers white. ^ Constipation. 9.

° Face feels as if the flesh were off the bones, and the edges separated and sticking out. ^ Headache. 9.

° Pimples on face and forehead. ^ Intermittent fever. 9.

° Painful dragging sensation in face, or as if something were, dragging down his cheeks. ^ Diabetes. A. A.

° Yellow pasty look of face. ^ Diabetes. A. A.

° His extreme nervousness, sleepless nights, and general ap- pearance and expression pointed to some deeply-rooted cere- bral trouble. ^ Incipient softening of brain. 20.

° Twitching of muscles of face. A. A.

° Eczematous eruption in a dyspeptic sallow woman. A. A.

Wasted, thin and excessively sallow, with dark stains be- neath the eyes.

Face, neck, arms and body generally flushed, color of a red rose, with swelhng, but no itching or burning.

Lips dry and parched.

Face looked blue during the cold sensation.

Flashes of heat in head and face.

Face flushed, color of a red rose, with swelling (cured).

Mouth

Tongue dry and cleaves to the roof of the mouth.

White coating all over tongue. 1 (4).

Tongue thickly coated at first.

°Tongue coated white, moist, no thirst. ^Sick head- ache. 6.

^Tongue coated white; feels tasteless. ^ Sick headache. 6.

Tongue red and devoid of epithelium.

° Bitter disagreeable taste in mouth. ^Sick headache. 10.

102 LAC VACCINUM DEFLORATUM.

Sweet sickening taste in mouth. 3 (4).

° Mouth very dry. 3.

Breath exhales a sweetish odor.

° Breath very offensive. ^ Headache. 9.

° Tongue coated whitish-yellow. ^Incipient softening of brain. 20.

Tongue and lining membrane have a dusky red hue, and covered with aphthae at a later period.

Tongue furred white and rough sometimes. A. A.

Dryness of mouth without thirst.

Dryness of mouth, pharynx and nostrils, with insatiable thirst.

Sweet taste in mouth lasted all day.

Nausea rising from the mouth to the stomach.

Mouth clammy and frothy, especially during conversation (cured).

Teeth

°Gums spongy and teeth loose. ^Diabetes. A. A.

° Grinding of teeth when asleep, with pain in stomach, head- ache and vomiting.

Spongy bleeding condition of the gums and teeth.

Looseness of the teeth, especially of the incisors.

Throat

Painful dryness of nostrils, pharynx, and mouth; with insatiable thirst for cold water, a second goblet-ful being required as soon as the first had been drunk. 2 (after 9 hours, 1st day).

^Globus hystericus; sensation of a large ball rising from a point about lower end of sternum to upper end of esophagus, causing very distressing sense of suffocation. 3.

°Sore throat all around, worse when swallowing, with slight hacking cough.

Painful dryness of the pharynx, nostrils and mouth, >yith in- satiable thirst.

Eyes

Some photophobia. ^ Sick headache. 10.

Pain, with twitching in 1. inner canthus, worse by reading or sewing. 2(1).

Pain in eyes on first going into the light, soon passing off. 3(3).

Objects appeared to move swiftly from left to right, at other times moving as if tossed up from below in every direction (cured).

LAC VACCINUM DEFLORATUM. 108

Pain in eyes on first going into the light. 8 (4).

Great pain in eyes on first going into the light; soon pass- ing off; on ""closing lids on account of the light, pain *was felt in eyeballs as if from pressure of lids. 8 (15).

° Dim vision, as of a cloud before eyes. ^ Sick headache. 9.

° Great photophobia, even to light of candle. ^Sick head- ache. 9.

° Upper lids feel very heavy; sleepy all day.

°Dim vision; can only distinguish light, not objects. ^ Faint spells. 3.

^Eyes feel as if full of little stones. ^ Headache. 3.

° Eyeballs intensely painful; and on shutting the eyes, the pressure of the lids increases the pain, causing a painful pres- sure, and the edges of lids feel contracted laterally and con- vey the sensation of a narrow band drawn tightly across eye- ball. ^ Headache. 3.

Photophobia for * sunlight, in both eyes; eyes red, lachry- mation; 1. eye more sore than r. 16.

° Great dimness of sight. ^Diabetes. 20. ^Bright's dis- ease. A. A.

° Cannot endure light. ^ Incipient softening of brain. 20.

Profuse lachrymation, caused by a pain in the temples ex- tending into the eyes (cured).

Pain in and above the eyes.

Eyeballs sore.

Blurr before sight preceding an attack of headache (cured).

Ears

^ Noise very annoying. ^ Sick headache. 10.

° Cannot endure noise or talking of others. ^^ Incipient softening of brain. 20.

Slight deafness in both ears, 2 or 3 evenings.

Great paleness of ears, face, and lips, principally in morn- ing.

Stomach

Appetite not so good as formerly, everything tastes alike. 1 (8).

Was unable to go down stairs or eat a particle when brought to her. 1 (4).

Felt hungry and faint, but could not eat from loss of appe- tite; the thought of food nauseated her. 1 (5).

Nausea and gagging after rising, the nausea returning several times during day. 1 (3).

104 LAC VACCINUM DEFLORATUM.

Violent retching and straining to vomit; but cannot succeed; indescribable nausea returning every 6 hours. 1 (4).

Empty retching. 1 (5).

For a long time the nausea and empty retching returned every morning after rising. 1.

° Nausea, with occasional vomiting which relieves. ^ Sick headache. 6.

° Violent retching, seldom vomiting; in last attack could only vomit by putting finger far down throat. ^ Sick head- ache. 6.

° Loss of appetite, the smell or thought of food nauseates. ^ Sick headache. 6.

^ Can neither eat nor drink during attacks. ^ Sick head- ache. 6.

° Deathly nausea and vomiting, the nausea usually lasting 3 or 4 days. ^ Sick headache. 7.

° Sense of deathly sickness, and frequent vomiting of green watery bitter fluid and slime. ^ Sick headache. 7.

° Deathly sickness at stomach. ^ Diabetes mellitus. 9.

° Vomits some, but retches more; nausea all the time. ^ Sick headache. 10.

° Great thirst. ^ Sick headache. 9.

° Slight nausea at stomach-pit. ^ Sick headache. 9.

° Deathly sickness all over, with nausea and vomiting, worse by movement or rising up in bed. ^ Sick headache. 9.

° Nausea in morning. ^ Sick headache. 9.

° Great thirst; wants to drink all the time, and takes a glass- ful at a drink. 3.

° Appetite entirely gone. 0 Headache. 9.

° Nausea. ^ Headache. 9. ^ Threatened premature la- bor. 9.

° Nausea and sometimes vomiting upon rising in morning, or from a recumbent position at any time during day or even- ing, or upon moving. ^ Sick headache. 11.

° Excessive thirst for large quantities and often. ^ Sick headache. 11.

° Deathly sickness, with or without vomiting. ^ Constipa- tion. 9.

° Inability to drink milk without sick headache. 9.

LAC VACCINUM DEFLORATUM. 105

° Voluminous tasteless eructations soon after the dose (10

m.). 19.

° intense thirst. ^ Diabetes. A. A.

° Voracious appetite. ^ Diabetes. A. A.

^ Much dyspepsia, and a feeling as though he would burst after taking food. ^ Bright's disease. A. A.

° Indigestion, with distressing flatulency, severe palpitation, difiicult breathing, and great giddiness, so that she could with difficulty walk across the room. ^ Bright's disease. A. A.

^ Invaluable in functional derangements and diseases of the gastric and intestinal organs, especially in certain forms of diarrhea, hypochondriasis and diarrhea; also in cases of ca- tarrh, and ulceration of the stomach. A. A.

° Little or no appetite, but not much thirst. ^ Incipient softening of the brain. 20.

° Sour eructations.

^ Violent pain in epigastric region and left side below ribs. A. A.

° Incessant vomiting, which had no relation to her meals. A. A.

° Cramps in epigastric region. A. A.

° Violent pain in stomach-pit; seldom lower, brought on by fatigue. A. A.

^Much wind and acidity of stomach, without tenderness. A. A,

^ Vomiting, first of ingesta, undigested, intensely acid, then of bitter water, and lastly of a brownish clot; which in water separated and looked like coffee-grounds, without odor, but of bitter taste.

° Deathly nausea, cannot vomit, with groans and cries and great distress; great restlessness with sensation of coldness, although the skin was hot; pulse normal.

^Morning sickness during pregnancy, deathly sickness at stomach on waking, vertigo and waterbrash on rising, consti- pation.

^ Chronic gastro-enteritis with chronic diarrhea and vomit- ing. A. A.

^ During headache, nausea some, retching more;

** Nausea and frequent vomiting of greenish watery bitter fluid, during the headache. 7.

106 LAC VACCINUM DEFLORATUM.

^ Bloating in epigastric region, with asthma, so that he could scarcely breathe, followed by hard pressive pain about the 4th cervical vertebra — had only been temporarily relieved by a movement of the bowels. 9.

Great thirst, wants to drink all the time, wants a goblet full at a time; dryness of the mouth (cured).

Insatiable thirst for cold water, a second goblet being re- quired as soon as the first has been drunk.

Sweet taste in mouth.

Nausea, or a deathly feeling of sickness at stomach, recur- ring every six hours, and continuing about one hour; the nau- sea rose from stomach to mouth, occasioning belching of bit- ter flatus which momentarily relieved it; eating did not pro- duce or affect the nausea, the periodical recurrence having apparently no reference to anything else; the periodical re- currence continued for three days; she described the nausea as a deathly sickness throughout whole body; she did not vomit, it being extremely difficult to cause it in her even with an emetic; during the nausea there was great internal heat, also severe frontal headache with intense throbbing in tem- ples; the nausea, heat, and headache passed away simulta- neously, leaving a bruised feeling in head. 2(1).

Nausea was so unbearable that she discontinued the medi- cine. 2 (2).

Faintness with the nausea. 2 (3).

Great thirst, wants to drink continually, but little at a time. 3(2).

Great thirst, drinking followed by a chill. 3 (5).

Very little appetite. 3 (3).

Nausea during evening. 3 (5).

In morning, faint hollow sensation in stomach, attended with slight nausea; passing off on going into open air. 3 (14).

° Soon after being put to bed, vomited ingesta, and after- wards mucus and bitter water. ^ Sick headache. 9.

° Awful deathly sick feeling in stomach-pit, without retchmg or vomiting, worse by rising in bed. ^ Sick headache. 9.

Great internal heat during the nausea.

During the nausea severe frontal headache, with intense throbbing.

LAC VACCINUM DEFLORATUM. 107

Deathly sickness, without retching or vomiting, so dreadful and unbearable that the proving had to be discontinued.

Nausea momentarily relieved by belching of bitter flatus.

Nausea and vomiting, and a sensation of deathly sickness, < by movement or rising in bed.

Nausea and vomiting, followed by a deathly sick feeling, without either nausea or vomiting, intensified by sitting up in bed. Sickness described as awful.

Dyspepsia (cured).

Indigestion, and a feeling as if he would burst after taking food.

Faintness and nausea when stepping upon the floor in the morning (cured).

Abdomen

° Bearing down pain in abdomen and back. ^ After suppressed menses. 8.

Sensation of weight and dragging in 1. side of pelvis; worse next day. 3 (9).

Weight and dragging in 1. side of pelvis, with a burning sensation of pain, relieved somewhat by leaning to r. side, in- creased by pressure of the clothes, or even the hand or arm resting on it. 3 (11).

° Drawing pains, with heat, across lower abdomen and bear- ing down. ^ Sick headache. 9.

° Cannot bear pressure of arm or hand on abdomen. ^ Sick headache. 9.

° Great fatigue from walking, on account of heaviness as of a stone in abdomen. ^ Sick headache. 9.

° Abdomen very sore and sensitive to touch. 8.

° Pain over 1. hip. ^ Headache. 3.

^ Sensation as if abdomen were full of water, catching the breath like a spasm. 5.

° Drawing pains across uterine region, with heat and pres- sive bearing-down in both ovarian regions; cannot bear pres- sure of hand or arm on abdomen; intense distress in lower part of abdomen during menses, not relieved by any position; violent inflammation in ilio-cecal region, with intense pain, swelling, tenderness, fecal accumulation, and violent vomit- ing.

° Chronic gastritis and enteritis. Symptoms, chronic diar- rhea and vomiting.

108 LAC VACCINUM DEFLORATUM.

° Severe pain across the umbilicus with headache.

Flatulence

Constant pain in frontal region; nausea in morning; deathly paleness of face on rising in morning; aching pains in wrists and ankles; puffy swelling under malleoli; drawing pains, with heat across lower abdomen and bearing down; frequent scanty pale urine; pressing bearing down in both ovarian regions; can- not bear pressure of hand or arm on abdomen; slight yellowish leucorrhea; great lassitude and disinclination to exertion; de- pression of spirits, does not care to live; questions as to quick- est and most certain mode of hastening one's death. For years has been subject to attacks of bloating in the epigastric region, attended with asthma, so that he could scarcely breathe (cured).

STOOL AND RECTUM.— * No stool for first four days. 1 (1 to 4).

* Rectum feels impacted with feces, but is unable to eject them. 1 (4).

Bowels partly moved, but with much straining and some laceration of anus * stool being very large and hard. 1 (5).

Bowels again moved, but with the same laceration as anus, stool * being very large and hard; the pain while passing stool extorted cries; passed considerable blood with stool. The constipation was so intense that she took one dose of Nux vom, 15m. (Fincke) with immense relief in 24 hours. 1 (6).

° Habitually costive; stools large. ^ Sick headache. 6.

° Alternate diarrhea and constipation, the latter predomi- nating. ^ Sick headache. 6.

Constipation for 4 days; stool * dry, * hard, and passed in small lumps with much pain ; * smarting of anus after stool. 2 (2).

° Constipation. 2 ^ Headache. 8 ^ Threatened premature labor. 9.

° Great constipation. ^ Sick headache. 11.

°Very severe constipation for 15 years; has been in the habit of taking 10 or 12 enemas every day, and often passed 4 or 5 weeks without stool. 14.

In higher potencies it has a very powerful action on the liver, as evinced by the white feces. (Swan's observation).

LAC VACCINUM DEFLORATUM. 109

Causes constipation in most cases of diabetes, rarely diar- rhea. A. A.

Constipation set in and lasted a week. Stool dry, hard, and passed in small lumps, with much pain and smarting in anus after stool.

During the constipation was constantly cold, so that she looked blue, hands and chest felt cold as if dead, additional clothing or sitting by a stove failed to warm her. Was awak- ened in the night by the cold.

Constipation (cured).

Is generally constipated, and when it is most persistent is very chilly and cannot get warm (cured).

Frequent but ineffectual urging to stool, had one natural stool daily without urging.

Constipation with chronic headache.

Constipation with extremely tough salmon colored stools.

Constipation simply unconquerable by any constant treat- ment.

Constipation so utterably invincible that neither enemas nor the most powerful purgatives were of any avail.

Stools yellowish or salmon hue after 48 hours.

Violent rectal and sciatic pains following every effort at defecation.

Constipation, feces dry and hard.

Occasional diarrhea.

Diarrhea and borborygmi caused by the treatment.

Stool large and hard, passed with great straining, lacerating the anus, extorting cries and passing considerable blood.

Frequent but ineffectual urging to stool.

Constipation, with chronic headache, most powerful purga- tives were of no avail; feces dry and hard, passed with great straining, lacerating anus, extorting cries and passing con- siderable blood; chronic.

Continual, persistent constipation, > only by cathartics and enemas, with violent attacks of sick headache, pain first in forehead, then extending to occiput, intense, unbearable; great photophobia, even to light of candle; deathly sickness all over, with nausea and vomiting < by movement or sitting up; chilly, not > by external heat; frequent and profuse uri- nation of very pale urine.

110 LAC VACCINUM DEFLORATUM.

Frontal headache; deathly sickness, with or without vomit- ing; pale face in morning, also lips and tips of fingers white; coldness over whole body.

Is generally constipated, and when it is most persistent very chilly; cannot get warm.

Urine

° Excessive flow of urine, either of high specific gravity, or colorless, watery, low specific gravity, but in both cases strongly impregnated with sugar. 9.

° Urinates profusely every half hour, uritie perfectly color- less, specific gravity 1005; Trommer's test showed sugar. 9.

° Frequent and profuse urination (nearly a quart every half hour), colorless as water, odor natural, taste slightly salt, slight acid reaction; Trommer's test showed large quantities of sugar; specific gravity 1010. 9.

Frequent urination, urine scanty and very pale. 3 (5 to 7; more marked 10, 11).

° Urinates profusely every half hour, urine colorless as wa- ter; after Im. during the night the urine became high-colored and scanty but without sediment; in the morning normal. ^ Sick headache. 9 (Mrs. P. aet 71).

° Profuse urination. ^ Sick headache. 9. ^ Headache. 3.

° Frequent and profuse urination of very pale urine. ^ Sick headache. 9.

° Frequent scanty pale urine. ^ Sick headache. 9.

° Urine very light-colored; has no control over the organs; urine comes away in drops, or gushes out with a sensation of very hot water passing over the parts; involuntary urination, wets the bed every night. 3.

° Urine very dark and thick. ^ Headache. 9.

° Urine profuse and watery, or scanty and high-colored. ^ Sick headache. 11.

° Frequent scanty urination. ^ Threatened premature la- bor. 9.

° Urine scanty; lowsp.gr. and containing yi of albumen; small and large casts of urine, pus cells, epithelium, and oil globules. ^ Bright's disease. A. A.

° Sugar in urine; sp. gr. from 1035 to 1040; 8 to 10 pints daily. ^ Diabetes. A. A.

Produces profuse flow of urine in Bright's disease. A. A.

LAC VACCINUM DEFLORATUM. Ill

° Urine intermits in flow, has to strain. 9.

^ Urine brown and muddy, quantity neariy normal. ^ In- cipient softening of brain. 20.

Frequent urination. A. A.

° Albumen in urine; sp. gr. of 2 cases, 1014, 1016. A. A.

° Frequent and profuse urination, urine colorless, odor nat- ural, no headache but intense vertigo, worse on opening the eyes or raising up in bed. 9.

° Urine pale straw color with no sediment on cooling. 9.

^ Urine very dark and thick. 9.

MALE SEXUAL ORGANS.— ° Power and function of reproduc- tion suspended. 9.

Frequent and profuse urination of very pale urine.

Albuminuria.

Urine very pale; cannot retain it.

Urine comes away drop by drop, or else gushes out, with a sensation of very hot water passing over the parts; wetting bed at night (cured).

Constant desire to urinate; urine scanty and very pale.

Profuse, very pale urine.

Urinates profusely every half hour, perfectly colorless; specific gravity 1005 (six hours after Deflor. Im. urine became natural in color and quantity).

Profuse urination during headache.

Frequent urination.

Albumen in urine, several cases cured. Specific gravity of two cases, 1014, 1016.

Frequent and profuse urination ; urine colorless, odor nat- ural; no headache accompanied it, but intense vertigo, worse on opening the eyes or rising up in bed. (Specific gravity 1010, taste saltish, slight acid reaction; Trommer's test showed sugar. )

Constant pain in the region of the kidneys, passing round each side above the hips to the region of the bladder, also downward from the sacral region to the gluteal, and from thence down the back part of the thighs. Pain was burning and was not relieved in any position; lying down intensified it.

FEMALE SEXUAL ORGANS.— Menses, which are naturally scanty and postponed, came nearer the usual time, and the quantity of the flux was increased for many months. 1.

112 LAC VACCINUM DEFLORATUM.

° Menses always scanty, and attended with colic. ^Sick headache. 6.

° Menses which had just commenced were stopped by wet- ting from rain. The medicine restored them with some grip- ing pain for a short time; they had previously been pain- less. 8.

Menses, which had commenced, ceased suddenly and en- tirely, though they usually last four days. 8 (2).

Menses two days too soon, scanty, and attended with a feeling of intense distress in lower part of abdomen, not relieved by any position or by removing the clothes. 3 (27).

Slight yellowish leucorrhea, with slight itching of vulva. 3 (5).

* Slight yellowish leucorrhea. 3 (6, 7). ^ Sick headache. 9.

Leucorrhea more marked. 3 (10).

Leucorrhea nearly ceased. 3 (12).

°Pressive bearing-down in both ovarian regions. ^Sick headache. 9.

° Menses irregular, too frequent, scanty. ^ Faint spells. 3.

After leaving off proving for three or four months, her hus- band (physician) said she was pregnant; she became very large, full bosom, later on milk ran out, she felt fetal move- ment; went a week over what she thought was full time. Examined and found os uteri hard, pointed, strawberry- shaped. Gave one dose of 10m.; she gradually decreased, and the symptoms all disappeared. 2.

° Threatened premature labor; parts tumefied, profuse glairy mucous discharge, os soft and dilated, vertex presentation, occasional irregular bearing-down pains; fetal pulse 158. 9.

11° Menses suddenly suppressed by putting hands into cold water to rinse out clothes, with great pain in uterine region, intense headache, aching pains all over, fever, flushed face. 9.

° Irregular menses, sometimes very dark and scanty, some- times colorless water. ^ Intermittent fever. 9.

Abortion at second month; three cases. 17.

** Menses delayed a week, with congestion of blood to head, coldness of hands, nausea and vertigo; after taking Lac vacci-- nunt defloratum^ in high potency, flow commenced next morn- ing, scanty, with pain in back, sensation of weight and drag- ging in 1. ovarian region. 9.

LAC VACCINUM DEFLORATUM. 118

°Sore pain in 1. ovarian region. 9 (cm. cured J.

Slight exaltation of sexual instincts. 8.

^ Menses five days too soon.

Flow bright red.

Morning sickness during pregnancy; deathly sickness at stomach on waking; vertigo and waterbrash on rising; consti- pation.

Decrease in size of breasts.

Breasts feel sore, worse hanging loose.

II (Has never failed to bring back milk in from 12 to 24 hours. )

Diminished secretion of milk.

Drinking a glass of milk during menstruation will promptly check the flow until next menstrual period (Mrs. B., a medi- cal student, brunette, 88 years of age).

Menses suddenly and entirely cease on the second day, the usual time being four days.

Itching of the vulva.

II Decrease in the size of the breasts, which after the proving resumed their original size and firmness.

Weight and dragging in the left side of pelvis (ovarian re- gion) with a burning sensation relieved somewhat by leaning to the right, increased by the pressure of the clothes, or even the hand or arm resting upon it.

Drawing pain across the uterine region, with heat, and pres- sive bearing down in both ovarian regions. Cannot bear the pressure of the hand or arm on the abdomen. Intense distress in lower part of abdomen during menstruation, not relieved by any position. Violent inflammation in the ileo-cecal region, with intense pain, swelling, tenderness, fecal accumulation, and violent vomiting (cured).

Power and function of reproduction are suspended.

II Menses suppressed by putting hands in cold water, with great pain in the uterine region, intense headache, aching pains all over, fever and flushed face. After Im. in water, one spoonful at night, headache left and she slept all night. Next morning slight flow; took another spoonful, and by 10 o'clock flow all right and she was free from pain.

II Diminution of the breasts, and diminished secretion of

114 LAC VACCINUM DEFLORATUM.

milk in nursing women, never has failed to bring back the milk in from 12 to 24 hours.

Mrs. Y , aged 42, blonde, sometimes before, at other times

just after, this time at about the close of her menses, she has a ** hurting headache," involving the whole head at diflFerent times. It does not hurt all over the head at once, but in dif- ferent places at diflFerent times. Generally the pressure or hurting is worse when in the occiput, at which time she gets sick at the stomach and feels sick all over. More frequently the pain is in the forehead, but it is only unbearable when in the occiput. She cannot describe the pain; it seems like a severe "hurting" or pressure. It leaves the eyelids sore. Lasts about 24 hours. She knew yesterday that she would have it today, but cannot tell why. She had it this time for four or five hours. Flow bright red. Breasts feel sore, worse hanging loose. Constipation marked. No other pains and not sick in any other way.

Lac vaccinum defloratum dmm., one dose, dry on tongue.

Within a very short time, just a few moments, she **felt big all over," the veins filled up and felt full. Became quite chilly (very characteristic of the remedy). Head very much relieved during the first few minutes, when she arose the head was worse, with immediate relief on lying down. The whole trouble was entirely gone in one and one-half hours. Bowels moved normally about one hour after the single dose. Ring- ing in her left (deaf) ear. No trouble at her next period.

MAMM/E. — Breasts decreased in size two-thirds, and became flabby, with loss of flesh. 4.

° Diminution of breasts and diminished secretion of milk in nursing women.

Brought milk in the breasts of a full breasted girl.

LARYNX AND TRACHEA. — Constricted feeling in throat, caus- ing constant desire to cough. 3 (7).

Constricted sensation in throat, causing constant hacking cough, no expectoration. 3 (11).

° During day, short dry cough with difficult expectoration of a small lump of mucus which relieves the cough.

^Apyrexia of intermittent fever. 9.

® Cough caused a bruised sensation in the head. 11.

LAC VACCINUM DEFLORATUM. 115

Chest

Respiration affected on lying down; prolonged in- spirations, and short quick expirations. 3 (3).

On lying down, inspirations long, expirations short. 3 (4).

Sudden and violent palpitation of heart, with flushes of heat, caused by the least unusual sight or sound; feels some- times extremely nervous. 3 (19).

^Palpitation of heart, and flushes of heat, especially in 1. face and cheek. 3.

^ Sharp pain at apex of heart, as if a knife were cutting up and down; lasting a few seconds. ^ Faint spells. 3.

° Subject to attacks of bloating in epigastric region, and with them always an attack of asthma so that he can scarcely breathe; then would have hard pressive pain at about 4th cervical vertebra; pressure round the breast (but not like the grasping of Cactus) with the dyspnea; always constipated; their symptoms were all relieved by purgative medicines. 9.

Some palpitation of heart, with flashes of heat in head and face. 3 (5, 6).

° Soreness of chest with great pressure.

° In a case of hypertrophied left ventricle, with palpitation of heart, it lowered the pulse and quieted the heart. A. A.

® Tubercular deposit in apices of both lungs. A. A.

Short dry cough, with difficult expectoration of a small lump of mucus, which > cough.

Pressure around heart (not like grasping of Cactus), with dyspnea and a feeling of certainty that he is going to die in twenty-four hours.

Sharp pain in apex of heart, as if a knife were cutting up and down; this preceded by a heaviness of head, dulness of eyes, throbbing in temples and palpitation of heart.

Palpitation of heart and flushes of heat, especially in left side of face and neck.

II Sensible decrease in the breasts which after the proving returned to their original size and firmness.

Pulse rapid and feeble.

Back

^Chills running up and down between shoulders. ^ Sick headache. 7.

° Chills creeping along back and between shoulders. ^ Sick headache. 7.

116 LAC VACCINUM DEFLORATUM.

^Considerable pain in back, a little below a line drawn across it from crest of ilium. 10.

Painful aching in small of back; extending up to and between scapulae, worse while sitting, slightly relieved while walking; continued for two days. 2 (12 hours after last dose on third day).

° Coldness in back. ^ Sick headache. 9.

^ Constant pain in small of back, commencing in region of kidneys, passing round each side above hips to region of blad- der; also downward from renal region to gluteal, and thence down back to thighs; this pain is intense burning, relieved by no position, lying down intensified it. 8.

^ A symmetrical patch of herpetic eruption on each side of neck, itching and burning after scratching. 8.

^ Great distress across back. ^ Headache. 9.

Great weakness of the muscles of the neck left side, allow- ing the head to fall to the right.

° Intense pain throughout the whole spinal column. ^ Sick headache. 11.

Pain in small of back. ^Threatened premature labor. 9.

^ Boring pain, sore as if bruised, and throbbing in r. kidney, extending as a dull aching to r. hip, to spine, up to r. scapula, and across r. side of abdomen to bladder; afterwards the bor- ing affected the 1. kidney also, with a little aching there; back- ache across sacral region, much worse in the centre, a break- ing pain; all the worse from movement. 5.

Hard pressive pain at fourth cervical vertebra; chills creep- ing along back between scapulae.

Intense burning pain in small of back and sacrum, com- mencing in region of kidneys, passing around on both sides above hips into groin, also downward from renal region through gluteal region, down back part of thighs; pain, burn- ing, and > by no position.

Dull aching pain in lumbar region of frequent occurrence, with indefinable indisposition.

^ During day, back usually feels cold. ^ Apyrexia of inter- mittent fever. 9.

^ Dull heavy aching pain over loins. ^ Diabetes. A. A.

Constant pain in small of back (cured).

LAC VACCINUM DEFLORATUM. 117

DPPER EXTREMITIES.—* During the proving, ends of fingers icy cold and look white, rest of hands warm. 3.

^ Aching pains in wrists and ankles. ^ Sick headache. 9.

^ Ends of fingers icy cold, rest of hand warm. 3.

Sweat on palms, especially r. (no name).

Cold hand and feet during headache.

Coldness and numbness of the limbs.

Aching pains in the wrists.

Hands cold as if dead.

LOWER EXTREMITIES.— Itching of knees at night. 3 (8).

After the weak sick feeling suddenly left, both heels com- menced to ache. 3 (13).

Corn on r. little toe became very painful and sore when put- ting on the shoe in morning; soon passed of!. 3 (19).

° Feet cold. ^ Sick headache. 9.

^ PuSy swelling under malleoli. ^ Sick headache. 9.

^ Pains passing down under side of thighs to heels; pains in top of feet as if the bones were broken across instep; these pains in legs and feet come on as soon as she steps on them in the morning; when she becomes faint and nauseated and has to he down; has to lie down three or four times before she can get dressed. 9.

^ Loss of sensation on anterior surface of things. ^ Diabetes. A. A.

Aching pains in wrists and ankles.

^ Cramps in legs at night. ^ Bright's disease. A. A.

* Legs much swollen. ^ Bright's disease. A. A.

After the attack of debility had passed off, both heels com- menced to ache.

Weakness and aching in ankles, puffiness under the malleoli (cured).

Skin thickened at the edges of the feet (cured).

Numbness and loss of sensation over the outer and anterior surface of the thighs (cured).

Edema of lower extremities (cured).

Anesthesia of the limbs (cured).

Coldness and numbness of the limbs.

Numbness and loss of sensation over outer and anterior sur- faces of thighs.

118 LAC VACCINUM DEFLORATUM.

Cold hands or feet during headache.

Fever

Felt cold all day; sat near the fire, but with no permanent relief. 1 (3).

General coldness of body, and finger nails looked blue as if from ague; a heavy shawl did not prevent her from shivering.

1 (4).

Was cold, and had forebodings all day. 1 (5).

Had a restless night, feet did not get warm the whole night. 1(6).

The natural warmth returned after several weeks.

° Hands and feet generally cold. ^ Sick headache. 6.

® Cold hands and feet. ^ Sick headache. 6, 7.

® Coldness and pallor of whole surface of body. ^ Sick headache. 7.

°Now and then chilly sensations; hands cold. ^ Headache from suppressed menses. 8.

^ Hands and feet very cold. ^ Sick headache. 10.

During last three days of the constipation is constantly * cold, so that she looked blue, hands and cheeks felt cold as if dead; during day, she wore a shawl and sat near a fire, which failed to warm her; was awakened in night by feeling cold.

2 (3 to 5).

Chill following drinking.

Two chills during evening; no fever. 3 (4).

During evening felt very chilly, and cold inside body as though it were filled with ice. 3 (14).

° Very chilly, and external heat does not relieve her. ^ Sick headache. 9.

^ Constant chilliness even when near the fire. ^ Sick head« ache. 11.

Constantly cold during the constipation, so that she looked blue; hands and cheeks felt cold as if dead; could not get warm with extra clothing, or by sitting near a hot stove; was awak- ened at night by the coldness.

^Extremely cold, but no shaking or shivering; could not get warm by extra clothing, nor by sitting near a hot stove. ^ Quininism. 9.

° Fever. ^ Suppressed menses from putting hands in cold water. 9.

LAC VACCINUM DEFLORATUM. 119

® Coldness over whole body. ^ Constipation. 9.

° About 7 or 8 p. m. becomes so sleepy that she cannot re- sist, and has to lie down; about 9 p. m. a very hot fever conies on; during which she sleeps; the fever continues till near morning, when she awakes in a profuse sweat which stains the linen yellow, and is very difficult to wash out. 9.

Fell asleep after each dose in ten minutes, and woke in an hour in a profuse perspiration. 18.

^ Is generally constipated, and when it is most persistent is very chilly and cannot get warm. 9.

° Temperature 100. ^ Incipient softening of brain. 20.

Alternate Hashes of heat and cold (no name).

Feverishness and thirst (no name).

®In malignant typhoid. A. A.

*^Rhazes recommended it in all hectic fevers. A. A.

Hot fever 9 p. m., continues until near morning, wakes in profuse sweat, which stains linen yellow, difficult to wash out.

Hectic fever; malignant typhoid.

Sensation as if the sheets were damp.

Flushes of heat in the head and face, especially the left cheek.

Burning sensation in pelvis with sensation of weight.

Great internal heat during the nausea.

Sweat in the palms of the hands, especially the right.

Pulse rapid and feeble.

Chilliness.

Extreme coldness of the tips of the fingers which looked white.

Sleep

^ Feels sleepy all the time, but is much disturbed by unpleasant dreams. ^ After suppressed menses. 8.

° Sleeps but little. ^ Sick headache. 10.

Falls asleep while going upstairs or standing up. 4.

^Sleepy all day long. 3.

^ At times sleeps for hours during attacks of headache. 9.

Most absurd dreams. 12 (1st week).

"^ Dreamed that he had to go on a journey and was in danger of losing the train. 5 (4th and 5th night).

^ Dreamed that herself and daughter started for the Grand Union Depot, a mile and a half distant^ and were told they

120 LAC VACCINUM DEFLORATUM.

had only ten minutes to get there; that they ran most of the way, and arrived in time to see the train moving off, and awakened as much fatigued as if it had been a real experience. 9 (This, based upon above symptom, was the keynote of a case cured).

° Sleepless, restless at night, from incessant intolerable thirst. ^Diabetes. A. A.

^ Sleepless at night, and drowsy by day. ^ Diabetes. A. A.

° No sleep at night, but occasionally slept towards morning. ^Diabetes. A. A.

*^ Almost complete loss of sleep. ^ Diabetes. A. A.

° Quite nervous and sleepless. ^ Incipient softening of brain. 20.

Intense sleepiness. A. A.

Sleepiness well marked for two weeks. A. A.

Sudden waking, wide awake without cause, soon went to sleep again. (No name.)

Sleeplessness in the first part of the night, little sleep near morning.

* Very sleepy all the time, can with difficulty keep awake. (No name.)

Great somnolency. (No name.)

Wakened by a sensation of coldness.

At times will sleep for hours (cured).

Great restlessness and extreme and protracted suffering from loss of sleep at night (cured).

Skin

° Skin the color of a red rose, with swelling of face, neck, arms, and body generally, in the morning, and during day and evening, no itching or burning. ^ Sick headache. 11.

° Sensation as if the sheets were damp. 9.

Sensation as if cold air was blowing on her, even when cov- ered up warm. 9.

° Parched skin. ^ Diabetes. A. A.

° Sallow complexion, with eczematous eruption disappeared, leaving a perfectly pure clean spotless skin; she was dyspep>- tic, but was well after eruption left. A. A.

° Wasted, thin, and excessively sallow, with dark stains be- neath eyes. A. A.

Skin became beautifully clear after use of skim milk.

LAC VACCINUM DEFLORATUM. 121

Itching of both knees at night.

Itching of the vulva.

Corn on the right h'ttle toe was very painful and sore every morning during the proving.

A symmetrical patch of herpetic eruption on each side of the neck, itching and burning after scratching, disappeared during the proving (cured).

Dry, parched skin.

Numbness and loss of sensation over the outer and anterior surfaces of the thighs.

Nerves

II Great lassitude and disinclination to exertion.

I Great restlessness and extreme and protracted suffering from loss of sleep at night.

I Feels completely tired out and exhausted, whether she does anything or not; great fatigue from walking.

I Great Ipss of strength, commencing with a sharp cutting pain in apex of heart; forehead feels heavy, with a dull sensa- tion over eyes and throbbing, principally in temples, rest of head feels light.

Generalities

Some of the symptoms lasted upwards of six weeks after the cessation of the medicine.* 1.

® Formerly slender, became stout after the medicine. ^ Sick headache. 6.

° Feels so tired and languid that she is hardly able to turn over in bed; limbs almost tremble on trying to use them. ^ Headache from suppressed menses. 8.

Inclination to lean continually to r. side. 3 (10).

In evening, suddenly felt very sick, could not sit up, no par- ticular pain, but felt very weary. 3 (12).

In evening at 8 p. M. , the same weak sick feeling came on as on 12th day, but did not last so long, and ceased suddenly. a (13).

At 8 p. ^., the same symptoms of weakness appeared as on 12th and 13th days. 3 (15).

About 7:30 p. m., feels a tired weary sensation creeping over her, gradually increasing till it results in complete exhaustion, so that it is impossible to stand or sit up; at the same time, head feels very heavy, and falls to r. side; she also wants to lie on r. side with the body straight; when it commences to

122 LAC VACCINUM DEFLORATUM.

pass off, it does so very rapidly in an hour, leaving^ no disa-^ greeable sensation whatever, but she feels perfectly well and strong. 3 (17 to 26).

During the proving, loss of flesh, most marked in the * shrinkage of the breasts, which have since resumed their natural size and firmness. 3.

° Cannot lie on 1. side. 8.

** Feels completely tired out and exhausted, whether she does anything or not. 3.

° Faint spells from one to three times a week, at first irregu- lar'as to time of day, now coming on at 7:30 p. m. ; can pro- duce an attack any time by extending her arms high above head, or by pressure round waist. 3.

^ Great loss of strength; cannot stand, but falls backwards, and remains entirely unconscious for two or three minutes; the weakness gradually passes off in half an hour. ^ Faint spells. 3.

° Sudden prostration of strength at 5 p. m. ^Sick head- ache. 11.

^Aching pains all over. ^ Suppressed menses from putting hands in cold water. 9.

^ Cannot walk more than one-fourth mile without resting. ^ Diabetes. A. A.

^ As soon as she steps on feet in morning, she becomes faint and nauseated, and has to lie down; must lie down three or four times before she can get dressed. 9.

^ Languor, lassitude, impaired sensibility. ^ Diabetes. A. A.

°Loss of energy, and fatigue on exertion; always feeling dull, heavy, and languid. ^ Diabetes. A. A.

^ Coldness and numbness of limbs. ^ Diabetes. A. A.

° Flabby and inclined to obesity. ^ Diabetes. A. A.

® Great fatigue on the slightest exertion. ^ Diabetes. A. A.

° Very stout, with much difficulty in breathing. ^ Bright's disease. A. A.

° Very anemic. ^ Bright's disease. A. A.

Great lassitude and disinclination to exertion.

Great fatigue from walking.

Felt cold and chilly inside of the body, as though it was filled with ice.

LAG VACCINUM DEFLORATUM. 128

Loss of flesh during the proving, particularly of the breasts, but they resumed their natural size after the proving.

Great depression of spirits, with strong inclination to cry.

Twitching of the muscles of the body.

Occasionally felt extremely nervous.

Loss of weight in various cases.

Great loss of strength, commencing with a sharp cutting pain in the apex of the heart, followed by a strange feeling in the head; the forehead feels heavy with a dull sensation over the eyes, and throbbing, principally in the temples — rest of the head feels light — dimness of vision; can only see light, not objects. Loss of strength, falls backward and is unconscious. Attack soon passes off, followed by weeping, palpitation of the heart and great depression of spirits. Attack can be brought on at any time by raising the hands above the head, or by pressure around the waist. In a young girl of 17 whose menses were irregular (cured).

Indefinable indisposition, not usually associated with local suffering, except a dull aching pain in the lumbar region.

Great debility or prostration of muscular power, as well as of nervous energy.

Fatigued and exhausted after moderate exertion, unable to walk even a short distance without being obliged to take a rest.

Listlessness and disinclination for either bodily or mental exertion.

Great restlessness and extreme and protracted suffering from loss of sleep at night.

Increased emaciation which ultimately becomes extreme.

Perverse and deficient nutrition.

Loss of energy.

Enormous obesity in a lady (cured).

Ability to walk a long distance without rest or fatigue.

A woman who could not drink milk without its causing sick headache (cured).

Recommended by Hippocrates in phthisis, in gouty affec- tions, particularly where the articulations are involved, also in sciatica and leucorrhea.

Considered the best and surest remedy in all dropsies, in

124 LAC VACCINUM DEFLORATUM.

asthma when the result of emphysema and pulmonary catarrh, in obstinate neuralgia, when its cause lies in the intestinal canal, in diseases of the liver, simple hypertrophy and fatty degeneration, and generally in diseases when there is faulty nutrition, often a consequence of obscure subacute inflamma- tion of the stomach or intestines, followed by affections of the nervous centers.

Found to be a sovereign remedy in dropsical cases, with hypertrophied liver and following intermittent fever.

Marked improvement had been seen in dises where the dropsy is the result of organic heart disease, or of old standing liver complaint, or of far advanced Bright's disease.

Noise very annoying.

II Pain commencing across the upper sacral region, passing around either side over the hips down to groins and down thighs inside, sometimes to the feet — cured several cases.

Bell Barnum, age IS, dark hair: For the last year has had severe headache at times, and great pain across the umbilicus; also pains passing down the under side of thighs to the heels. Pains in the top of feet as if the bones were broken across the instep.

These pains in the legs and feet would come on as soon as she stepped upon them in the morning, upon which she would be faint and nauseated and have to lie down. Would have to lie down three or four times before she could get dressed (cured). Three or four months after the headache returned, and was again cured by Deiloratum.'

Judge Martin for years has had a bloating, at times in the epigastric region, and with it he would always have an attack of asthma, so that he could scarcely breathe; then he would have a hard pressive pain at about the fourth cervical vertebra. These symptoms were only relieved by taking pills, which would cause a free evacuation of the bowels. Was always constipated (cured).

Caroline Betz, German, aged 18: About 7 or 8 p. m. be- comes so sleepy that she cannot resist and has to lie down about 9 p. M. A very hot fever comes on during which she sleeps; the fever continues till near morning, when she wakes in a profuse sweat which stains the linen yellow and is very difficult to wash out.

LAC VACCINUM DEFLORATUM. 125

During the day her back usually feels cold; short dry cough with difficult expectoration of a small lump of mucus, which relieves the cough. Irregular menstruation, sometimes very dark and scanty, and sometimes colorless water. Pimples on face and forehead. Nov. 8, gave Deflor. Im. Was entirely relieved of all the symptoms after the first dose. Nov. 14^ The menstrual period is not yet due.

''Sore aching/' with some throbbing in the outer side, and partly along the sole of r. foot, very excruciating pains coming and going by spells; walking did not seem to affect it The pain would come quite often, per- haps every half hour, last a few moments, then pass away. It gave her a good deal of trouble and caused her to suddenly drop to the floor to hold the foot; she could not stand on the foot during the pain. The pain would come on suddenly and go away rather suddenly, but leave the part sore for a short time. I^ac caninum cmm. in water, a spoonful every three hours, relieved.

After the first dose a decided aggravation, pains going more to the sole of the foot, and much more severe. Shortly after the second dose there was entire relief. She took but two doses and continues entirely free from the trouble.

Skin

Sensation as if an insect was crawling on shoulders and neck, occasionally on both hands.

I Herpetic eruption in both axillae, with light brownish scab, extremely painful when washing; eruption most in r. axilla, and in both instances appeared previous to pain in labia, which was followed by a discharge of blood from vagina.

Every scratch gets sore.

Ichthyosis, with branlike desquamation of skin.

I Shining, glazed, and red appearance of ulcers on shin and wrist.

Crusts on skin, under which greyish yellow matter formed and was squeezed out.

Slight roughness of skin of forehead, as of numerous pim- ples.

II On face, hands, neck and chest, bright scarlet eruption exactly like scarlatina.

[Throat full of large foul, grey yellow patches; deglutition especially painful after sleep and from swallowing fruits (acid); lumpy sensation felt in the middle of the throat; un- rest, delirium with undefined fears; considerable bright red, fine eruption on face and chest; itching with dry skin.

126 LAC VACCINUM DEFLORATUM.

Bright scarlet redness on chest and around neck; next day all over body except legs, which were, however, covered that night; skin in large patches assumed dark red color bordering on purple, as seen in malignant cases, while body seemed swollen.

Diphtheria with or following scarlatina.

Ichthyosis, with branlike desquamation of skin. I Very small blotches like flea-bites.

I Small blotches on chest, wrists and r. knee.

II Several boils on 1. side.

II Crusts on skin, under which greyish yellow matter formed and was squeezed out.

Sleep

II Great desire to sleep. 1 1 Cried out and talked in sleep.

I Cannot find any comfortable position in bed; there is no way that she can put her hands that they do not bother her; falls asleep at last on her face.

I I Dreamed a large snake was in bed.

II Got to sleep late; profuse sweat during sleep; felt fever- ish all night; in morning > in every way.

II At night lies with leg flexed on thigh, and thigh on pelvis; restless; < after sleep.

Symptoms < after sleep.

1 1 Sleeplessness from emotional strain, with entire nervous debility.

Very restless at night; very difficult to get into a comfort- able position; generally goes to sleep lying on back with hands over head.

I Sleep disturbed, very wakeful; limbs cold all night.

II Sleep prevented by being very cold for one hour after re- tiring, with great nervousness.

Very restless all night, could not keep clothes over her. Sleepless and crying continually. Restless sleep at night, bad dreams. Got to sleep late; profuse sweat during sleep; felt feverish all night; in morning > in every way.

I Dreams frequently that she is urinating, and wakes to find herself on point of doing so, requiring immediate relief.

Dreams of going on a journey, and was separated from

LAC VACCINUM DEFLORATUM. 127

party, and had to walk a long distance, and arrived at station just in time to see train start off.

II Aggravation of symptoms after sleep.

Fever

Chilly feeling lasting all day.

Internal chilliness with external warmth.

Cold chills run down back, hands as cold as ice (on enter- ing house 4 p. M. ; 6:30 entire > after a good dinner).

II Fever and chills for a few days, and up and down every few hours.

I Intense fever on waking in morning, with perspiration.

Dry, hot skin.

I Exhausting sweats; after sleep.

Wakes at night in cold perspiration, with fearful foreboding. Perspired considerably through night, sweat having a rank smell.

I I Severe chills.

I Feels feverish.

I I Fever and bathed in warm perspiration, especially about face, neck and hands.

Intense heat. Moderate fever.

Fever

High fever.

II Dry, hot skin.

1 1 Fever returning every afternoon.

II Temperature, 102, 102^, 108, 103^.

II Sweat all over.

1 1 Skin clammy.

II Wakes in night in cold perspiration, with fearful fore- boding.

II Perspired considerably through night, sweat having a rank smell.

Feverish in evening.

Flashes of heat, commencing in chest and extending up over face and head, when she would break out in sweat, which would dry up in a short time; face would become moist first, and become dry first.

Sensation over whole chest as if dripping with sweat when only slightly moist.

128 LAC VACCINUM DEFLORATUM.

Nerves

I Restlessness.

I No inclination for least exertion, would like to do nothing but sleep; much lassitude.

II Heaviness, weakness, general languor. Profound depression of vitality. General weakness and prostration very marked.

II Great exhaustion, with *' poisoned" feeling.

II Profound prostration, to extent of refusing to make effort to take a dose of medicine.

II In morning so much prostrated that she could not turn in bed; so tired.

II Very weak.

II Sinking spells every morning, attended with great nervous- ness.

II Often feels as if she would lose use of limbs.

II Child partially paralyzed after diphtheria; could not walk; pain all over, cough, aphonia, loss of appetite, emaciation.

II When walking seems to be walking on air; when lying does not seem to touch bed.

I Suffering from very unpleasant nervous symptoms; not in low spirits, but weak, and nerves so thoroughly out of order that she cannot bear one finger to touch the other, and often feels as though she should lose use of her limbs; sensation as if throat were closing, sensation is between throat and nose; feels as if something in throat was either enlarged or relaxed, and has a desire to keep mouth open; talking difficult; dispo- sition to talk through nose; sometimes cannot swallow, be- cause there seems to be a kind of muscular contraction in throat; sleep restless, frequently wakes with sick headache, which seems to commence at nape; wakes with severe pain at lower part of back; pain leaves when about work a short time, does not return until next morning; nerves very much over- wrought, afraid of being unable to perform duties.

The prejudice held by many honorable men against the use of this remedy, like that meted to Lachesis — because they could not obtain the tincture — would soon yield to gratitude for its excellent work if given bedside test in some terrible 1. sided headaches. Two remedies in the materia medica excel its eye pathogenesis in symptoms of eye strain, in asthenopia

LAC FELINUM. 129

and ciliary neuritis. It vies with Onosmodium in affections of eye strain in children and with Spigelia in neuralgias of the 1. orbit.

It was introduced and proved by Swan with the 17th, 30th and 200th potencies. Its complete pathogenesis was pub- lished in the Medical Visitor in Aug. , 1893, and in the Homeo- t>athic World, Vol. 18, p. 151, from which this record is taken.

LAC FELINUM (Cat's Milk).

Mind

Great depression of spirits.

Very cross to every one.

Fear of falling down stairs, but without vertigo.

Morbid concientiousness; every little fault appeared a crime.

Mental illusion that the corners of furniture, or any pointed object near her, were about to run into eyes; the symptom is purely mental; the objects do not appear to her sight to be too close (asthenopia).

Head

Dull pain in forehead in region of eyebrows.

Heaviness in forehead.

Heavy pressure in sides of head and vertex.

Pulsations in head, with sensation of heat in forehead, and constriction across bridge of nose.

Acute pains on vertex.

Acute pains in frontal region.

Intense pain early in morning on vertex, and 1. side of head; it commences just in front of vertex, with a flush of heat which extends front about an inch, and is followed by the intense pain; the heat and pain then spread, never crossing median line, down 1. side as a veil, taking half the nose and jaws, and entering ear, causing her to close the eyes from its intensity; during the pain, head drawn down so that chin pressed heavily on chest, and her agony was so great that she had to hold the head firmly in her hands, and rush through the house from room to room screaming (from the 17th potency).

Acute pain over 1. eye and temple.

Pain in head < from reading.

lO

130 LAC FELINUM.

Sharp lancinating pains passing zig-zag down 1. side of head about every ten minutes from vertex toward 1. ear.

Pain commencing with a chilly sensation at root of nose; also a cold pain passing up median line to vertex, and passing up to ear (like the previous symptom).

Headache over eyes (1).

Pain in forehead, occiput, and 1. side of head, with rigidity of cords of neck (splenius and trapezius), and heat in vertex; the pain in forehead is heavy pressing down over eyes (head- ache).

Intense pain from head along lower jaw, causing mouth to Bll with saliva.

Crawling on top of brain (asthenopia).

Weight on vertex (asthenopia).

Terrible headache penetrating 1. eyeball to centre of brain, with pain in 1. supra-orbital region extending through brain to vertex (headache).

Burning in 1. temple near eye, < at night (keratitis).

Eyes

Sharp lancinating pain through centre of 1. eyeball, leaving it very sore internally, and causing profuse lachryma- tion (from the Im. ).

Heavy pressure downwards of eyebrows and eyelids, as if the parts were lead.

Inclination to keep eyes shut.

Eyes feel as if sunken in head, and left eye occasionally waters.

Twitching of outer end of 1. upper lid, inside.

(Twitching of eyelids r. and 1.)

(Ciliary neuralgia.)

Sharp lancinating pain in centre of r. eyeball extending ex- ternally to temple and frontal region over eye, with intense photophobia, redness of conjunctiva, and lachrymation; < by reading or writing; the pain appears to be in interior of eye- ball, and extends thence to posterior wall of orbit, and then to the temples with throbbing; dim sight when reading; also constipation, loss of appetite, lassitude in legs (choroiditis).

(Have had great success with it in eye cases, esp. where there is severe pain in back of orbit, indicating choroiditis. — Swan.)

LAC FELINUM. 181

On looking: fixedly, reading, or writing, darting pain from eyes nearly to occiput; much < in r. eye (asthenopia).

When reading letters run together, with dull aching pain behind eyes, or shooting in eyes, the confused sight and shoot- ing being < in r. eye; symptoms excited by catching cold or by over-fatigue (asthenopia).

Pain in eyes, back into head, extremely sharp, with a sensa- tion as if eyes extended back; great photophobia to natural or artificial light; any continued glare results in this pain (im- proved).

Darting pain going backwards in centre of r. eye, < at night (keratitis).

If she lies on 1, side, r. eye feels as if it were moving about and too heavy, with great pain.

(Ulceration of cornea).

Photophobia.

[L. eye feels hot and adheres in morning.

White spot on outer edge of 1. cornea, with red vessels run- ning up to it from conjunctiva, and shooting pains from the spot to occiput.

Pain in r. lower orbital border as if sore, with tenderness there on touch, and shooting in r. eye.

R. eye inflamed with shooting backward where the white spot is; 1. eye also inflamed, but without shooting.

Stye on 1. upper lid.

Two styes on r. lower lid.

Eyes get bad every September.

Eyes ache by gaslight.

(Cured in various cases of ulceration of cornea.)]

Whitish ulcer in r. cornea over pupil; r. eyelids red and swollen; lachrymation of r. eye. Darting pain going back- ward in centre of r. eye, < at night. If she lies on 1. side, r. eye feels as if it were moving about and were too heavy, with severe pain. With the r. eye everything seems in a white fog. Photophobia of r. eye. Always feels weary.

Mr. E., aged 28, chronic iritis; in the last three years had six attacks alternating in either eye. First attack lasted five weeks; intervals between attacks from five to eight months. Had been told he was incurable.

132 LAC FELINUM.

March 26, '88. Right eye much inflamed; dull aching pain at night; shooting from right eye to temple and eye-brow; worse between 3 and 5 A. M. Sight very hazy. Iris looks red. A black spot before right eye, moving with the eye when in sunlight. Lac felinum cm. Gradual and certain improve- ment, sight less hazy, eye looks clear; sensation of sand in right eye on waking; black specks have disappeared; can read print now. — Berridge.

Right eye inflamed; dull aching pain at night.

Shooting from r. eye to temple and eyebrow, < between 3 and 5 a. m.

Sight very hazy.

Iris, red.

A black spot before r. eye, moving with the eye when in sunlight.

Sensation of sand in r. eye on waking.

Nose

Cannot bear the smell of clams, of which she is nat- urally very fond, and cannot eat them.

Teeth

Pains in all the teeth as the hot pain from head touched them.

Mouth

Sensation as if tongue were scalded by a hot drink.

Redness under tongue, on gums, and whole buccal cavity.

Soreness and sensation of ulcers on tongue and roof of mouth.

The parts of mouth seem to stick together, requiring an in- jection of air or saliva to separate them.

Loss of taste.

Brassy taste in mouth.

Salivation, tongue enlarged and serrated at edges by teeth.

Small white ulcers covering tongue and whole buccal cavity.

Elongation of palate.

Very sore mouth.

(Dryness of mouth.)

Throat

Tough mucus in pharynx.

Stringy, tough mucus in pharynx, cannot hawk it up and has to swallow it; when it can be expectorated it is yellow.

Mucus in pharynx between head and throat is thick, yellow, tough, stringy, expectorated with difficulty, and has a sickish sweet taste.

LAC FELINUM. 133

Posterior wall of pharynx slightly inflamed, with sensation of soreness.

Stomach

No appetite.

After eating feels swollen; has to take off her dress and loosen clothes.

Great desire to eat paper.

Stomach sore all around just below the belt, < 1. side.

Occasionally very slight nausea.

Heat in epigastrium.

Great soreness and sensitiveness of epigastric region.

Abdomen

Pain in abdomen and back, as if menses about commencing.

Pain in bowels.

At midnight, sensation of a cold bandage over lower part of abdomen.

Great weight and bearing down in pelvis, like falling of the womb, as if she could not walk; < when standing.

Pain in pelvis through hips on pressure, as when placing arms akimbo.

STOOL AND RECTUM.— Natural stool, but very slow in pass- ing, at 2 A. M.

Stool long, tenacious, slipping back when ceasing to strain ; seeming inability of rectum to expel its contents.

Urinary Organs

Frequent desire to urinate, urine very pale.

(Obstruction in urinating, has to wait.)

FEMALE SEXUAL ORGANS.— Leucorrhea ceased on third and reappeared on fourth day.

Furious itching of vulva, inside and out; yellow leucorrhea.

(Dragging pain in 1. ovary.)

RESPIRATORT ORGANS.— Dryness of rim of glottis.

Chest

Very much oppressed for breath, continuing for several days; it is a difficulty in drawing a long breath, or rather that requires the drawing of a long inspiration, for it seems as if the breathing was done by upper part of lungs alone.

UPPER LIMBS. — Pain in r. side of 1. wrist when using index finger.

LOWER LIMBS.— L. foot feels cold when touched by r. foot.

184 LAC VACCINUM.

Legs ache.

Sleep

Dulness, sleepiness, gaping.

Heavy, profound sleep, not easily awakened.

Dreamed of earthquakes.

Fever

Cold and heat alternately, each continuing but a short time.

Generalities

Entire r. side from crown to sole felt ter- ribly weak, heavy, and distressed, so that it was difficult to walk.

(Constant nervous trembling, esp. of hands, as in drunk- ards. )

LAC VACCINUM (Cow's Milk).

Introduced and proved by Dr. J. C. Boardman, of Trenton, New Jersey, who used Swan's 200th. Many persons are very intolerant of milk, in whom it produces headache, ** bilious- ness," intestinal flatulence and obstinate constipation. These effects of milk were developed in the proving, especially the characteristic headache and constipation, and have been clin- ically verified. It is also well to remember that it develops or aggravates the uric acid diathesis, thus increasing the rheu- matic tendency, while the thirst and polyuria should call our attention to it as a remedy to study in diabetes.

In some highly sensitive women the effect on the function of the sexual organs is pronounced; the menstrual Bow being suppressed by putting the hands in cold water; drinking a glass of milk will promptly suppress flow until the next period, mark the idiosyncrasy. Burnett remarks as a clinical fact that children who drink much milk after their teeth are fully grown become very liable to colds.

Like Natrum muriaticum, the potentized remedy will pro- duce its characteristic symptoms, even when the prover is using it in the crude form at the same time.

Mind

General nervousness, with depression of spirits, feel- ing as though about to hear bad news.

Mental confusion, lasting a long time after proving. . Mental prostration, came on so suddenly, was unable to collect her thoughts or write her symptoms.

LAC VACCINUM. 135

Mental confusion, could not express her thoughts.

Dull, weak, confused, with trembling of whole body.

Head

Vertigo: falls backwards if she closes her eyes.

A creeping sensation, or screw-like or vertical motion, be- gan over 1. eye, and continued upwards to vertex, next the same motion or feeling began two inches behind 1. ear« and likewise went upwards to vertex; also a pressure on vertex, with a sensation of heat when hand was applied (1 h.).

Sensation like a fire-ball in each temple simultaneously (20 m.).

All these symptoms passed away except pain on top of head, which feels as though something heavy were laid there^ and occasionally a sharp pain simultaneously (8)^ h.).

Woke in morning with an aching pain all over head, most severe in occiput.

Fullness of head as if too large and heavy.

Eyes

Dull pain over r. eye, and very slight dull feeling over 1. eye.

Eyes have a blur, or dimness, or obscurity of sight, off and on for a few moments at a time.

Blindness of both eyes, which came on three or four times in succession, lasting only a second at a time, then passing entirely away, leaving a pain in each temple, on top of head, 1. ear, and below 1. ear in the neck {2j4 h.).

Ears

Ears felt stopped up; felt deaf in both ears, although she could hear as before.

Mouth

Had a dirty, yellow-coated tongue, which felt parched.

Sour taste.

Acid saliva staining handkerchief yellow.

Ulcers on tongue, flat, white, sunken; tongue swollen, ex- ceedingly sensitive, covered with white, slimy mucus on the parts not ulcerated; breath extremely fetid; sores extend to inside of cheeks and tonsils; deglutition painful.

Throat

Sensation of plug in throat or larynx.

Appetite

Thirst for cold water in quantities; drank three tumblerfuls during evening.

Stomach

Had a swelling or bloating of stomach (3d d. ).

136 LAC VACCINUM.

At 10:30 A. M. sour taste; nausea, but no rising or vomiting

(Ih.). ...

Contractive, pressing pain in stomach-pit, > by external pressure.

Eructations.

Abdomen

Pain proceeding from sternum, extending across abdomen about an inch below umbilicus.

Constant intolerable flatulence, begins an hour after drink- ing milk for lunch and lasts all the afternoon.

Borborygmus, with loud, noisy rumbling (200).

Stool

II Obstinate constipation; stool hard, dry; in im- pacted balls; can be passed only with great straining.

Passage of stinking flatus, in large quantity, which relieves.

Urinary Organs

Urine was not increased in morning, but was dark red, without sediment.

Filled a large iron spoon with the urine and boiled it for twenty minutes; it left quite a mass of albumin, about a quar- ter of the whole; specific gravity 1030.

Yesterday the urine turned blue paper red; to-day it turns the red paper blue (13th d. ).

In afternoon was obliged to urinate every fifteen minutes, in large quantity each time; was afraid to go across the street to a store for fear it would overtake me before I could return; it all passed off the same night.

The density of urine varied during a few days from 1,018 to 1,028, color clear, odorless, acid reaction.

Frequent discharge of clear urine, nearly colorless, no sedi- ment.

FEMALE SEXUAL ORGANS.— White watery leucorrhea; pain in sacrum.

White, watery leucorrhea: pains in sacrum.

Drinking a glass of milk will promptly suppress the flow until next menstrual period.

Menses, suppressed, delayed by putting hands in cold water.

"Nausea of pregnancy with desire for food > by drinking milk."

RESPIRATORY ORGANS.— Sensation of plug in throat or larynx.

Chest

A sharp pain appeared in a spot the size of a shil-

LAC VACCINUM. 187

ling on each side of sternum and about middle of chest, with a sense of suffocation.

Later a burning sensation in same region.

Same pain extends across abdomen about five inches lower down (about an inch below umbilicus) ; it did not seem to in- volve the bladder; no rumbling or passing of flatus.

Sharp pains in 1. lower chest, or in region of lower lobe of 1. lung; the pain was momentary and did not return (5th d.).

Sharp pain began in r. chest, about three inches below clav- icle; it passed upward to top of r. shoulder, then down arm and forearm to thumb, and then passed ofi.

Back

Pains in sacrum.

Severe, dull, aching pains in lumbar region; prover often -exclaims, **Oh, how my back aches!"

UPPER LIMBS. — Fingers of both hands, esp. when stretched out, tremble and quiver as from extreme weakness.

A clammy sticky coldness in both hands and both feet simul- taneously.

Sharp pain under 1. scapula, about three inches down from top; it then passed upwards to top of 1. shoulder, then down arm and forearm and hand to the four fingers of the 1. hand, and then passed off.

Soon afterwards an aching pain was felt in 1. hip-joint, which soon passed off.

LOWER UMBS. — Piercing or lancinating pain in each hip- joint, not severe.

Aching pain along both thighs on outer side and terminat- ing in both knees.

Aching pains in both knees like a rheumatic pain; they be- gan simultaneously in both knees, but the r. was most severe (5th d.).

On going up stairs the knees trembled or quivered or were •extremely weak, so as to be unable to take a step forwards.

Aching pains in bones from both hip-joints to both feet -simultaneously; also burning sensation in both feet.

All the joints of the body, esp. knees, feel weak and power- less, as when half drunk.

Short rheumatic pains in knee and tarsal joints when walk- ing.

188 LAC VACCINUM.

Sleep

Slept well all night, and woke in morning free from pain (8:30 a. m.).

Head feels all over heavy, dull, aching, drowsy, wants to go to sleep.

Gait is unsteady.

Must force herself to keep awake.

Must force herself to keep her eyes open, for if she shuts them she cannot avoid falling backwards and down to the floor.

In seven hours said she still felt sleepy, and could have fal* len asleep in a minute at any time during the whole day.

General restlessness and bad dreams.

Dreams of trying to lay out a corpse, etc.

Fever

Hands became hot and dry, a decided fever heat of hands.

Also pain on 1. side of head, extending from neck to top of head, and a chilling sensation with it.

A slight fever over the entire body with a moisture in both hands, and aching in legs from thighs to knees, both sides simultaneously.

Fever at night, followed by profuse sweat all over; the fever was preceded by chilly feeling, commencing at shoulders, and then running up from feet to head; headache.

Skin

Brown crusts, having a greasy appearance, especially in corners of mouth, similar to what are called ** butter-sores.'^

Miss H. took one dose Im (Fincke). It caused frequent profuse discharge of clear urine, no sediment, and nearly col- orless. White, watery leucorrhea; pains in sacrum; sensa- tion of plug in throat or larynx; sour taste in mouth; acid saliva staining handkerchief yellow; contractive pressing pain in stomach-pit, relieved by external pressure.

Generalities

The pains in chest, abdomen, hips, thighs,, and knees were all felt on r. and 1. sides simultaneously.

She was so suddenly prostrated mentally and bodily that she was unable to collect her thoughts or use a pencil to write her symptoms; I was therefore compelled to witness and ask questions and record them ; after the proving was nearly over she said she had so much mental confusion that she could not get mentally clear enough to feel her thoughts or express

LYSSIN. 139

them; she could only give direct short answers to questions; as for writing her symptoms, she had no physical power to do it. In two hours all symptoms subsided gradually, but still there was a general trembling or quivering of whole body as well as the fingers. In six and a half hours nearly relieved, except great physical prostration; mind is again normal.

LYSSIN (Hydrophobinum ; saliva of a rabid dog).

Introduced and proved by Hering in 1833, fifty years before the crude experiments of Pasteur with the serum.

The toxic or non-toxic property of animal saliva has long been a question of scientific discussion. Trevinarus found that the human saliva became red by the addition of tincture of iron; and Gmelin discovered that this color was caused by Sulpho-cyanate. The question in dispute appeared to be that Cyanic acid being a poison, Sulpho-cyanate also must be one, and of course its combination with alkalies, and being poisons, they could not be in the saliva./ Years before this discovery, Oken had declared that ** saliva is poison." But the discov- eries of Liebig and other chemists have demonstrated that Sulpho-cyanic acid is to be found in sheep, dogs and many other animals.

The experiments of Bernard and others, in Virckov/s Archives^ 1858, have decided that Sulpho-cyanate of Potash found in saliva of animals, acts as a poison under certain con- ditions. Bernard considered that it acted only by application to cellular tissue. In this he was, no doubt, in error, being misled by the analogy of the snake poison. But, Weir Mitchell in his. ** Researches on the Venom of the Rattle- snake," page 34, says, he ** could not discover any in the rat- tlesnake poison, notwithstanding repeated experiments."

Livingston, the African explorer, has reported the bite of the lion as poisonous; and the same claim is made in the East Indies regarding the bite of the tiger. From time immemorial it has been known in every country village that the bite of an angry cat is poisonous, and the effects often severe, even fatal. This is also true with the bite of all other animals, human beings included, when in a fit of passion.

140 LYSSIN.

Hering reports a case taken from a French journal in which a healthy farmer, aet. 19, while holding a duck in his lap was bitten on the lip by the angry drake. The same day he felt sick, grew rapidly worse, and a few weeks after died. He also says, that "after the bite of a dog not rabid difficult heal- ing ulcers will follow." It is further known, that after the bite of a rabid dog not only the wounds made by the teeth heal in an unusually short time, but several physicians have observed that even the usual cauterizations are not inclined to inflame, rather more inclined to heal quickly. We may take this for a pathognomonic symptom of the slumbering poison of Lyssin; the same thing is true of leprosy before it breaks out.

Now comes the work of Pasteur, in 1878, 1879 and 1880:

His experiments furnished evidence that the malignant dis- ease, splenic fever, was caused by bacteria.

An animal inoculated with a few drops of a liquid contain- ing this bacteria, develops the disease with astonishing rapid- ity and dies within one or two days. But, he claims that chickens are an exception to this rule, because when similarly inoculated they remain in perfect health. Pasteur's explana- tion of this strange fact is based on a higher bodily tempera- ture of birds than any other warm blooded animals. The temperature of animals most readily affected by splenic fever ranges from 33 to 35C., while the blood temperature of chick- ens is from 42 to 43C. degrees. Now, by reducing the tem- perature of the chicken after inoculation, Pasteur found it had died of splenic fever, the same as any other animal. Further experiments by Pasteur convinced him that propagation of bacteria is arrested by a temperature of 44 or more degrees* These facts called Pasteur's attention to radiate heat as the best local application to prevent the generation of bacteria. And the same principle has been applied in domestic practice for the cure of a snakebite by killing a chicken, cutting it open and applying the warm surface to the bitten limb, re- placing it as soon as it became cold by another, and in this way it is claimed that on the plains of the West, where the bite of the rattlesnake is so common, that nearly every case has been cured; the 10 degrees of greater heat seemed to be sufficient in the bite of the rattlesnake as well as of the bac- teria of splenic fever.

LYSSIN. 141

In June, 1831, Hering published a letter in St^Lpi's Arc/lives^ Vol. 10, which was dated June 18th, 1830, in which he says: **The proving of snake poison might pave the way to the pre- vention of hydrophobia and variola by the proving of their respective morbific poisons.*' And on page 30, of the same volume, he says: ** Same is said of psora."

It will be remembered that Hering's immortal proving of Lachesis was begun in 1828, and experimented with for three years, when it was finally published; hence the experience which Hering obtained in the proving of the serpent poison was evidently the inspiration for his suggestion that the prov- ing on the healthy of Lyssin, Variolinum, Psorinum and other nosodes would form valuable remedies in the treatment of many of our obstinate diseases. Hering no sooner became firmly convinced of the truth of his suggestion than he at once set to work to put it into execution.

But, the first thing to do was to find a mad dog. The op- portunity occurred on the 27th of August, 1833, when a Ger- man baker invited him to come to his house to examine a dog. The following description of his capture of a rabid dog and obtaining the saliva for a proving is taken from a paper by Hering in the North American Journal oi 1878:

It was a middle-sized, chestnut-brown terrier, not more than two or three years old, a female, with puppies of two or three months old. It had been bitten ten days before (17th August) in the street by a running dog, which was biting all around, and had been killed soon afterwards as mad. The owner, in trying to save his terrier, had beaten the strange dog with a stick after it had killed one of the puppies, and had already taken hold of an- other. The mother, in defending her young ones, had received three bloody wounds. She carried the dead one in her mouth from the street home into the yard. Since that she was somewhat clianged, but continued to nurse the remaining puppies, one of which had received a bite. She had been otherwise true to her nature until the previous day (Aug. 26th), when she had commenced snapping and biting her young. The master had then suspected her, and kept her in the yard, tied by a rope; and sev- eral times she had been biting and trying to loosen herself. She soon grew worse and commenced to bite at everything. Her voice was entirely altered. On the 26th of August, in the evening, she had commenced to howl in a peculiar way and to run against the doors. She shook her head a great deal, and scraped the ground with her fore feet; and afterwards turned her head in a strange way. She put her mouth into the water placed before her, as if she was trying to swallow but could not.

142 LYSSIN.

When seen on August 27th she was furious; snapping and biting, had a wild look, injected red eyes, frothy saliva around the mouth, and seemed evidently to be in the last stage of the disease. An empty flour-barrel was, from behind, put over her; and, in order to make it possible to secure some of the saliva, the barrel was lifted on one side until the dog, in trying to escape, put out her head, between the edge of the barrel and the ground. She seemed to be in convulsive motions, as from auger or fury; but while a quill was used to get as much of the saliva as possible out of her mouth and from her teeth (part to be put into milk sugar and part into alcohol), the motions lessened and the dog lay quiet and exhausted, breathing quick and short, with eyes closed. While the quill was still held in her mouth, and while the baker had hold of the barrel, the dog suddenly sprang up, snapping and trying to get on to its feet; but the owner prevented its escape. After enough had been collected, the dog was allowed to with- draw its head; and by a heavy weight was secured under the barrel. After a box had been prepared, the dog was brought into it by means of the rope, and thus transported, with both puppies, to my house.

Next morning the mother was dead, and no permission given by the in- mates to make a post mortem. Both the young ones were returned to the master; and even tiie bitten one remained well. They were given to in- hale in the evening some of the 6th centesimal potency, just prepared. Of course, a true Hahnemannian never draws his conclusions, as the slanderers have said: post hoc er^o propter hoc y nor even the equally foolish; it fol- lowed, but could not have been caused by it

The saliva obtained in the aforesaid way was on the same day triturated; one drop with one hundred grains of milk sugar, and, exactly according to Hahnemann's method, carried to the 3d centesimal; and, by the aid of some water and alcohol, further by alcohol alone, up to the 6th centesimal, and later to tlie 30th.

Prom the tincture of the saliva put in alcohol, some weeks after, one drop was also potentized in the usual way for the purpose of comparative experiments. All the rest, collected on split pieces of quill for inocula- tion, was one night clandestinely taken by the lady of the house and thrown into the fire.

All this has been related in its particulars as an advice to others who may have a chance to get saliva from another dog. It might be of some use to get it from a male for comparison.

Symptoms were observed during the hours of trituration, as there had been triturating the Lachesis poison, and they were afterwards corrobor- ated by provings with the lower; the very peculiar feelings of apprehen- sion became so intolerable that the higher were preferred in further prov- ings. Nothing was written for publication in the Archives until May, 1834. This was printed in the beginning of 1836, Archives^ 15, 1., p. 33.

To the provings of Schmid and Behlert* were added those

* An enthusiastic student in Allentown, a Mr. Schmid, made a very good proving; and one of our nearest friends (an experienced prover, a former

LYSSIN. 148

of John Redmond Cox, in 1853, when a suggestion was made that, in order to remove the stigma of cowardice in the pro- fession, their shrinking from their first duty of proving reme- dies on themselves was made in a public meeting. Dr. Cox not only offered to prove it on himself, but on his entire family and his friends besides, and furnished us perhaps the best provings that have ever been made of Lyssin; he also furnished the day-books in which the symptoms were re- corded.

Many of the most valuable symptoms were from provings by Hering, on himself, but he was prevented from continuing by the most terrible feelings of apprehension.

Dr. Knerr made some valuable provings, in 1869, on a woman bitten by a dog in the fleshy part of right arm.

Dr. Lippe cured an important case in which he was guided by a symptom produced only from bites, but never observed any provings. But Lippe's observation was confirmed by many other good observers. Some symptoms from bites of rabid dogs have been added:

Pastenr^s method of administration is very different from that employed by homeopaths, but he is working on homeopathic lines in seeking to neu- tralize a vims in the system by introducing a modification of the same vims. His experiments led him to produce the rabic poison in a highly intensified form in the spinal cords of rabbits. He then modified its in- tensity in different degrees by exposure to air for a longer or shorter period. Patients who come to the Institute are inoculated first with the least potent, and later with the most potent '* vaccin/' after which they are pronounced "cured." The **cure*' is, however, extremely uncertain, as the degree of susceptibility to the poison is unknown in any case, and many hundreds of the patients subjected to the inoculations have died of the disease. Pasteur's first method was admitted to be too strong, and was soon modified; a number of patients having died from the inoculations. One of these cases I investigated, and the symptoms were sufficiently strik- ing to deserve recording.

The patient was Arthur Wilde, of Rotherham, aged 29, and I received the account from his mother, who nursed him through his illness. He had been bitten severely by a man suffering from hydrophobia, and was per-

engraver, Behlert, by name, at that time a paralyzed man) persuaded all his acquaintances, a dozen of women and girls, and some boys, to prove the higher preparations. None of his provers knew anything of the origin of the drug, and they were examined every day with great care, according to the advice of Hahnemann.

V

144 LYSSIN.

snaded, much against his wish, to go to Pasteur; This he did a few days after the bite, returning on October 19, 1886, after undergoing tlie course. On Saturday, October 30th, he complained of a pricking sensation below the ribs in the right side, in the part where the injections had been made. Pressure relieved the pain somewhat. That evening he vomited, and the vomiting continued, and he became very prostrate. On Monday the pros- tration was intense, vomiting continued; restless; skin cool, perspiring; quite conscious. The spots where the inoculations were made were dark and livid. Twitching occurred every few hours, sometimes more violently than others; most marked on the abdomen. Prom Monday through Tues- day he was making a peculiar loud noise, something like a waggoner driv- ing horses, **bis,*' *'whoo,'* though he liad never had to do with horses. He seemed completely helpless. On Tuesday night vomiting ceased and he began to froth a great deal. Early on Wednesday morning he began to talk thick. His breathing, which had been peculiar all through — he would hold his breath for a long time when making the noise, and then breathe rapidly for a few breaths — became very bad at 3 a. m. on Wednes- day. He died shortly after 12, having been apparently conscious to the end, though unable to speak for the last hour. The frothing had increased up to the time of his death and he seemed to choke with it

This case was paralleled by that of Goffi, an attendant at St Thomas^ Hospital, who was bitten by a cat and sent to Pasteur. On his return he was taken ill, and his case was at first diagnosed as Landry's paralysis, but finally proved (by experiments made with his spinal cord) to be "paralytic rabies," the result of inoculation. It was after the occur- rence of these and similar "accidents'* that the intensity of the ** vaccins'* was reduced. — Clarke.

Thus, nearly fifty years after the experiments of Hering with the virus of hydrophobia, Pasteur's work began. But, on account of the crude preparation, like Koch's experiments with Tuberculin, many of Pasteur's cases were fatal. No bet- ter illustration can be found in medicine of the scientific ac- curacy and its successful clinical demonstration than is to be had in the results of the labors of these two men. The homeo- pathic methods have been demonstrated to be not only accu- rate and scientific, but safe and efficacious.

The following case is from El Sigio Medico:

Finally swallowing was impossible, restraint had to be used to prevent him biting his nurses in the hospital, when, as a last resource, a piece of Agave was offered to the boy by the doctor in attendance, cut from a hedge of the plant with which the hospital grounds were fenced. To the aston- ishment of all, the boy reached for it and ate it greedily, almost without chewing. By evening a decrease in the violence of the nervous attacks was manifest, though they remained as frequent as before. The improve-

LYSSIN. 145

ment was slow but continued. On the fourth day he took some nourish* ment, but also continued chewing Agave and swallowing the juice. On the fifth day he recovered consciousness, but still demanded Agave. On the eighth day he said he did not want any more, as '* it tasted too bitter and caused a burning in the mouth."

Fagnis: Dread of liquids; profuse salivation; swelling of the mouth; intense frontal headache; trembling; convulsions with periodic spasms; stiffness and coldness; pointing to the same kind of nerve irritation as caused by the poison of rabies.

Lachesis is closely allied « from sun; bluish discoloration of wounds and ulcers; initability; < from warm, damp air; from touch and a pressure; < after sleep; and Clarke adds, ''though the late evolution of Lyssin is in striking contrast with the lightning like rapidity of the effects of snake venom ").

Relations

Compare: Agave, Bell., Canth., Fagus, Hyos., Lach., Stram., in hydrophobia.

Antidote

For overaction of potencies. Agave, Coc, Nux.

Lyssin antidotes effects of bite of non-rabid animals.

Agg. stooping; heat of sun; slight touch; draft of air or electric fan; warmth, damp air.

Lyssin is an analogue of many animal and nearly all the serpent poisons, especially Lachesis and Vipera.

Compare

Apis, Bell., Gels., Glon., Nat. c, Lach.; heat of sun or summer, Lach.; bluish color of wounds or ulcers; sen- sitive to pressure or touch; rapid, lightning-like action, Coc, Con., Gels. ; symptoms of ascending paralysis; Adren., Bell., Gels., Sol. n. m., paralysis of respiration; Coc, Sanic, bad effects of car, carriage-riding and sea-sickness; Canth., Sulph., desire to urinate on seeing running water; Stram., convul- sions from dazzling light; Helon., consciousness of a womb; Hell., Hep., Hyos., hurried speech and drinking; Gels., mor- tifying news; Agar., Arg. n., Lil., Sep., prolapsus uteri; in- ternal coldness. Camp., Helod., Ver.

It follows well: Arg. n.. Con., Gels., Hyos., Stram., Lach.

Is followed by: Gels., Nat. c, Nat. m. and serpent poisons.

Mind

Loses consciousness for a moment.

Loss of consciousness sometimes at an early stage, but not generally until a short time before death.

Does not see nor hear persons around him.

I Memory for. single words much improved.

Strange sensation in head, with loss of memory.

Does not converse as well as usual, but plays chess better; more inclined to reflect than talk; not at all lively.

Thoughts of something terrible going to happen come into his mind against his will; feels impelled to do reckless things, such as throwing child, which he carries in his arms, through the window, and the like.

LYSSIN. 147

Could not get rid of the indescribable tormenting feeling that something terrible was going to happen to him.

Fits of abstraction, takes hold of wrong things, often does not know what he wants, says wrong words which have but a remote similarity of sound.

They appreciate the formidable character of the disease and speak frequently with a remarkable quick and sharp articula- tion of the impending fatal results.

During the tranquil intervals responded correctly to ques- tions put to him, recognized those around him, and with a presentiment of impending death begged them to pray for him and not to leave him alone.

The majority of patients have no adequate conception of real origin of their malady, and affirm in decided terms that the scar is of no significance whatever and causes them no pain.

Most commonly the mental faculties are in a superior state of excitement, shown by quick perception, amazing acuteness of understanding and rapidity with which they answer ques- tions.

Is astonished in his dream at the readiness with which he can express himself in elegant Latin.

It seems to her as if two entirely different trains of thought influenced her at the same time.

A certain confusion, unsteadiness, weakness of mind.

It is very difficult for him to think, sometimes impossible.

Weary and incapable of mental exertion; school tasks, which before had been a pleasure to her, had to be laid aside.

Range of ideas extremely limited, if left to himself is occu- pied continuously with the same thing, bringing frequently forward same ideas within a short space of time and always in same manner.

Dulness and stupidity; at night restlessness.

During convulsions, mental illusions and hallucinations; in intervals of consciousness mental faculties are retained.

Believe that they are reduced to their present wretched condition by the instrumentality of those about them.

Imagine that they are being abused, and energetically de- fend themselves against attacks and insults, which in reality are products of their own fancy.

148 LYSSIN.

Fancies he is being blown at by several persons, some of whom are not present.

Raved about the dog that had bitten her; imagined it to be near her and fought as if to drive it away.

Thinks he is a dog or a bird, and runs up and down chirp- ing and twittering, until he falls down fainting.

They fancy that they see objects, animals and men that are not present.

Complains bitterly that a fire has been lighted and that the stove is smoking, although there is no iire; another continu- ally directed a window to be closed, which was not opened.

I Strange notions and apprehensions during pregnancy.

Slight fits of delirium occur (in advanced state); patients frequently forget their friends and relatives; delirium attended with constant talking.

Some delirium and illusions; fancied doctors were two young girls who had come in to see her.

During night delirium <.

Makes speeches in his delirium; thinks he is a man of great authority.

Insane ideas enter his head; for instance, to throw a glass of water, which he is carrying in his hand, into some one's face, or to stab his flesh with the knife he is holding, and the like.

His mania takes a gloomy character.

I Mania spermatica; stallions.

Inclined to use insulting language, scold his friends, beat and abuse those near him.

I Inclination to be rude and abusive, to bite and strike.

A kind of savageness in his temper.

A strong and uncontrollable impulse to do certain acts; to spring at and bite any moving object that came within reach;, dog.

Is continually tempted to bite her pillow at night.

Deny, with great obstinacy, that they have ever been bit- ten.

Incessant talking during night.

Speech, labored, short and pathetic.

Wrote to doctor: I am waiting with impatience that you give me and my young ones something to eat.

LYSSIN. 149

After fainting spell he wrote on paper: I am forsaken by all; even the birds of heaven, they do not look at me, do not feed me if hungry; I hunger with the young ones and am thirsty with their she ones; my nest is made out of dirt, not gotten by my own exertions, but by driving them out of their nests and sitting there with the females and the young.

Sang more than usual, but involuntarily; she did not feel at all happy or cheerful.

Goes about house all day singing; moves with greater alac- rity and precision than ordinary.

Sighing: with oppressive breathing; with pain in heart.

Declares amid violent sobs that she is suffering the torments of hell.

Lament with greatest anxiety their inability to relieve thirst which afHicts them, and by various contrivances endeavor eagerly to drink.

Had a good cry before going to bed.

Weeps bitterly on account of headache.

Before and after as well as during paroxysms, shrieks or in- articulate sounds expressive of utmost despair.

During fits, snapping motions of the jaws, of an involuntary and spasmodic character.

Quiet patients spit into provided vessels, more excited ones discharge saliva upon all sides.

Biting, snapping, with convulsions.

Ordered her husband to go away, as she wanted to bite him, and joining act to threat, she bit herself in arm.

Pieces of carpet put into kennel for dog to lie upon were torn up until they became heaps of loose wool.

Desperate efforts were made to break chain; dog.

I Break out of their stables furiously and run and jump over ditches and fences. Lyssa of sheep.

He cautioned people around him not to inhale his exhaled air, it was spoiled, stinking like rotten eggs, worse than cholera, and could injure.

Does not answer questions.

Disinclination to change position of head; two distinct trains of thought existing at one time in her mind, the idea that she was unable to move her head (when lying down).

150 LYSSIN.

with the positive conviction that she has only to make up her mind that she will do it to achieve it.

I Not afraid of dogs, but dislikes to see them because their sight renews her fear. (Lissophobia, after bite by non-rabid dog.)

Cannot bear to hear others sing, or eat apples.

I Exhilarated, felt as if he had received joyful intelligence. Occasionally exhilarated, then again morose, both feelings

going off very readily upon conversing.

Pain in head makes him very uneasy.

Feels depressed and very weak all day.

Depressed, as if something would happen.

An attack of mental depression and indifference quite strange to him; feels as if he could do nothing; if he forces himself he lacks mental power.

To such as had continual apprehension respecting their safety it appeared a shorter time since bite.

Feels as if something disagreeable would happen; when thinking the matter over, the feeling passes off.

He feels as if he had heard unpleasant news, or would soon hear it; until 4 p. m.

Felt as if she was going to get a fit; at 11 p. M.

II Lyssophobia; fear of becoming mad.

I Feels as if he cannot physically endure his fears much longer, and shall be compelled to go into an insane asylum. Lyssophobia.

I Mary M., aet. 17, had been bitten several years previously by a dog, and reading of several cases of hydrophobia as re- ported in papers, was found in following condition; crouched in corner of sofa, dark red bloated face, expression of terror in face, eyes glistening, conjunctiva injected red; was brought into this condition by endeavoring to take a drink of water,, and could not hear water mentioned without a shudder of fear^ could not swallow, pulse very high, tongue dry and coated red; Lyssin 200 one dose; she was better next day, but had several slight attacks afterwards, always induced by running of water, but always yielding to remedy; has not had an attack in nearly a year.

Felt as if she was going to die; as if she was going to sink away.

LYSSIN. 151

She has been unable to sleep a wink for several nights; is driven from bed by indescribable anxiety; can but sit and walk, or find momentary peace in prayer.

Anxiety of mind; restlessness, with great prostration; with pain in heart; with headache; fear of being alone.

I A musician received a bite from a small pet dog in calf of 1. leg while walking through a dark entry; the bite was very slight, scarcely wounding skin; the animal was in a healthy condition and remained so; a pain in bitten place kept return- ing from time to time independently of mind dwelling on it, until it finally grew to a burning which extended through en- tire body, causing an indescribably strange sensation; in night trembling, and a tormenting fear that he would have hydro- phobia; was thirsty and drank water freely; it was two years after the bite when these and the following symptoms ap- peared; frequent spitting of saliva all through day, only ceas- ing awhile after taking strong tea in evening; disturbed dreams at night; finally could not partake of food or drink, and complained of pricking stitches under tongue; mental ex- citement now as all his life, affects him badly; hot vapor re- lieved burning pain in bite, and Lyssin 2C. (Jenichen) im- proved all symptoms rapidly; in three weeks he considered himself cured, and started on a journey.

Indecision even in small matters.

I 111 humor.

Fretful, hypochondriac mood in evening.

Feels nervous and irritable.

Very cross, so much so that his children expressed great surprise; he took offense at veriest trifles, scolding his wife and children, felt wretched, could not concentrate his atten- tion on anything; sullen, does not wish to see or speak to any one.

After attacks of fury, evinces great regret at his behavior, making earnest apologies, warning those about him not to allow him to bite them.

Implacable hatred against owners of dog that bit her, with inclination to utter maledictions which, by reason of her care- ful bringing up and sobriety of her parents, shock her dread- fully.

152 LYSSIN.

Hit oeser piyesnvessnfall the senses.

Exalted state of smell, taste and touch, with a feeling of anxiety and a fear of being alone.

Everything affects him more powerfully; also tobacco.

He knew exactly where his nurses, his doctors and acquaint- ances were, if at any distance from him.

On a watch held to scorbiculum he sees the hour and min- ute hands.

He says he can see hands on dial plate of church clock.

He could hear what was spoken in next room, and counting coppers in a room below him.

He knows every one, and answers questions, also is in mes- meric rapport with his physicians. Linen dipped in sugar water, put on pit of stomach, gives a sweet taste in mouth.

Copper, if in his room, makes him restless and full of pain.

I Felt same rheumatic pain his brother complained of. Lyssophobia.

Before every spell of somnambulism he crowed like a cock.

Very uneasy; mental disquietude, with headache.

Driven incessantly about without any definite aim.

Restlessness, driving him hither and thither, although weak enough to lie down.

Restlessness and anxiety at precordia, frequent change of posture and sighing.

I Restless, constant bleating in a hoarse voice. Lyssa of sheep.

I Sometimes he could control inclination to stool by a strong effort of will, but effort caused much nervous irritation.

Showing him a bird, he got frightened and thought it was a mouse.

Was much frightened during attack, and began to pray; her husband had to sit up with her and hold her hand; did not get entirely over attack until 3 a. m.

She feels as after night watching and great anxiety.

Unusually exhausted.

While reading and thinking, headache.

Worse while reading or writing; headache; aching in lower jaw.

Severe headache and noseache upon going to bed, after writing all her symptoms.

LYSSIN. 158

I Attacks of nervous headache become awful and insupport- able if he hears water run out of a hydrant.

Pressing headache, < while reading and thinking.

II When he hears water poured out, or if he hears it run, or if he sees it, he becomes very irritable, nervous; it causes de- sire for stool and other ailments.

The mere sight of a drinking vessel containing water is in- tolerable; they turn away their faces, shriek out loud, beckon anxiously, with hands to have the water removed, for voice and breath fail.

I Mental emotion always makes him worse.

Mortifying news affects him very much.

A certain wildness of humor.

Disposed to get angry; flying into a passion.

Every offense she feels very much.

Excitability prevents sleep.

I Frequent gaping without being sleepy, most when he has to listen to others.

Thinking of fluids of any kind, even of blood, brings on con- vulsions.

The mere idea of drink, fluids, pouring out fluids, may cause a paroxysm.

Hyperesthesia, current of air, bright light, sight of any shin- ing object, slightest touch, even conversation in vicinity of patient, may throw him into a most violent agitation and bring on severe convulsions.

The mere thought of fluids, of drinking, of swallowing, or offer of anything to drink, is sufficient to bring on severe con- vulsions; the same effect is produced by other sources of irri- tation, such as a simple breath of air, the attempt to touch the sick, every hurried approach towards him, the light of shining objects.

Even the sight of water, or other fluid, or of anything hav- ing the least resemblance to it, such as a looking glass or white substance, whereby an occasion will be given for re- newal of idea of their former pain, occasions greatest distress and a return of convulsions.

Such as were afflicted with grief from any cause were much sooner affected with the disease.

154 LYSSIN.

A sudden fright starts convulsions.

Nose pains from thinking.

Had no symptoms of disease for four months until after re- ceiving ill usage.

Head

II Peculiar lightness in head; lightness after nausea.

Singular sensation in vertex, as if he momentarily lost con- sciousness, but only in that place; or as if a habitual feeling had disappeared from there; it is no fulness, no motion, but it causes a vacillating motion of head; in evening.

II Dizziness: as if something was drawing around in a circle,, and as if she could not hold her head straight; after lying down, like a shock in upper part of brain; with inclination to fall to r. when stooping; towards evening in upper part of head, as if she would fall, while walking; frequent and tran- sient; with dim sight while walking and sitting; and nausea; with cramps in abdomen; temporarily > by return of diar- rhea; < by teaching, spelling, or being obliged to notice let- ters; after lying down in bed, shock in upper part of brain; dimness of vision on rising from stooping; on rising from chair, staggers; while sitting; on rising, cannot walk straight.

A slow vacillation or wavering of head, from something be- ing loose in upper part of head.

Surging towards head is felt inwardly, deep in brain.

Dulness: of head; in forehead, more to r. side; in middle of brain, where it surges; and stupidity at night, with restless- ness; amounting to pain in occiput.

Violent vertigo during morning, accompanied by a chill and an intolerable snappish headache.

Headache: with dizziness, lasting all day; in morning, vio- lent, with vertigo (> by Tabac); over eyes; in temples; very severe in afternoon; < from writing; > by cold air; from noon until evening; from 3 to 9 p. m., < from writing; > by cold air; alternating with hot flushes in face; with shooting pain in upper face; toward noon, with increase of saliva; and sore throat all day; < on seeing water or hearing it run.

Sensation as if a small leaden ball was rolling about in brain.

I Rush of blood to head: while lying down; from chest up- ward, with toothache; during pregnancy; when rising.

LYSSIN. 155

Throbbing headache in forehead, vertex and occiput, down to neck.

Burning, surging towards head.

Pain above 1. eye before going to bed.

Pain in a small spot above r. eyebrow < while writing.

Pressing inward, throbbing or drawing above r. eye.

Sharp pain above eyebrows, followed by burning in lids.

Sharp pain above eyebrows and up nose five minutes after walking, with headache.

Severe shooting pains in head, above eyes and temples.

Headache extending into r. eye.

Aching in bones above eyes, particularly r. ; < by stooping.

A sensation in forehead as of something moving.

Dull pain in forehead, with a stupid feeling afternoon and evening.

Pressing or burning pain in forehead.

Tearing from middle of forehead towards 1. side.

Two p. M., intense pain in head, extefiding back of forehead to organ of firmness; soon after to whole top of head and to eyes, lasting all day.

Dull heavy pain in forehead and sharp pricking in 1. temple, alternating at times with throbbing and jerking.

Pressing in vertex and in forehead, particularly when stoop- ing or moving head; afternoon.

Slight frontal headache in morning on waking. < after rising.

Passes hand across forehead.

I Maddening outward pressing pain in forehead; he presses his head against the wall.

Pressing pain in forehead and top of head, returns 4 p. m., seventh day, with uneasiness of mind when reading or think- 'ing.

Continual dull pain in forehead, principally on 1. side, with stupefaction, in afternoon and evening.

Throbbing pain in forehead, vertex and occiput, extending into nape of neck.

Pressing in forehead, with slight sensation of heat, 6 p. m.

Headache at times very severe in r. temple.

Severe headache in both temples and above eyes, beginning

158 LYSSIN.

at 9 a. m., so unbearable that he cries bitterly; violent jerking in limbs.

Violent headache from temple to temple.

Tearing pain: in r. temple; from jaw to temple.

Occasional stitches in r. temple.

Sharp pricking pain in 1. temple, alternated with throbbing and punching.

Boring in r. temple very short, 5 p. m. ; repeats every other day; but on fourth day in 1. temple, and in morning .when getting awake.

II Beating, throbbing headache; most severe in r. temple and above r. eye; each bone feels shattered and sore; from temple to temple.

I Violent headache, most in temples and forehead, < during day and from stooping and stirring about. Uterine disease.

Severe pressing pain in 1. side of head, occasionally boring stitches from without in, later pressing extends to 1. side of forehead and 1. orbit; 10 p. m.

Dull weight, first on 1. side of head, then on vertex.

Pressing weight on r. parietal bone.

Dull pricking pain in 1. side, from head to waist.

Left side of head is now, and has always been, most severely affected.

Headache most severe one and a half inches above 1. ear, in evening.

Piercing pain in r. side of head, with sensation of stiffness, or as if part would become insensible.

Woke in morning with a burning, aching headache in 1. side of head and down neck.

In vertex: dulness and tensive sensation; stupefied feeling; vertiginous shocks; a peculiar sensation; pressing weight; pressing stinging; r. side: pressing shooting; pressing beat- ing; pressing heaviness, r. side; strange pulsation; burning surging; throbbing.

Pressure in upper part of head and forehead; < stooping or moving head; at 4 p. m., while reading and reflecting, with mental restlessness.

II Frequent pressure on vertex, as if a cast, which fitted top of head, was pressing it down.

LYSSIN. 157

Severe headache, extending from behind forehead to organ of firmness, soon after spreading over vertex and to eyes, at 2 p. M., lasting all day.

Pressing from forehead to vertex and jaws.

Pain on top of head and in teeth running into each other.

Painful pressure, most on upper part of head, < when mov- ing head; later also in forehead, with considerable heat and prostration.

In occiput: painful dulness; pressure in 1. side; tearing and stinging as if in bones; < after rising; aching; burning; pain in 1. side, < during wet weather; dreadful pains running up neck and down spine, < when lying down.

Sharp pain across eyebrows and up nose, while walking out doors; exceedingly fatigued and weary after a short walk.

Intolerable headache extending to ends of nose and into teeth; some pressure on head, and for a moment a feeling as of an invisible hammer striking upon back of head (relieved by Tabac. ).

Frequent attacks of headache, in which head, nose and teeth appeared to be soldered together.

Feeling of tension in head; much pressing pain in head.

Head feels as if it would split with severe pressure on ver- tex.

I Pain as if head would burst.

At 8 p. M.; headache very severe; dull heavy pain in head.

I Afternoon, pain in head; sick headache.

II Headaches from bite of dogs, rabid or not.

In rare cases serous effusion in opaque subarachnoid tissue and lateral ventricle, and also increased adherence of mem- branes of brain to convolutions.

All morning severe headache which makes him impatient.

I At noon slight headache, lasting all day.

Dull heavy pain in afternoon in head.

Painful rush of blood to head after moving, turning around, or stooping.

Unbearable headache for three days making her snappish^ harsh and irritable; trifles annoy her; lower jaw feels stiff and aching, hands numb.

Crying bitterly during headache.

158 LYSSIN.

A peculiar sensation in head all day, as if something drew the head towards shoulders.

Headache with nausea and sore pain in heart, in afternoon; > in cold air.

Pain from mouth up through head and down back of neck.

II Burning aching from 1. side of occiput down neck.

I Violent headache and backache.

Painful pressure on top on moving head, with fever and prostration.

Horrible headache, accompanied by general weariness.

Headache in bones of skull.

On top of head, pressing heaviness, same in r. parietal bone.

Tearing and stinging in occiput, as if in bones» < after rising.

Beating pain in forehead, parietal bone, occiput and nape of neck; > in neck when bending head backwards.

Irritable headache, touching head makes it ache; very sen- sitive scalp.

Right side of head feels stiff, as if it would become numb.

Numbness of 1. side of head.

Very annoying headache, more outside, near vertex, > by gentle scratching, or by rubbing, but it must be done by hands of others, thus by a kind of mesmerizing.

A darting from within outward to scalp, on r. side of vertex, followed by itching.

Itching in locality of acquisitiveness.

Small pustule, painful when touched, on 1. frontal eminence, later same on right.

Hair which is usually dry has become very oily.

Scalp feels contracted and pinched.

EYES AND SIGHT.— Sensitive to light.

Left eye exceedingly sensitive to light and water.

I Sight of water: agitation; renews idea of pain; causes con- vulsions (pregnancy).

Sparks before eyes.

Something moves to and fro before eyes while sewing, but always a little farther off the point at which she is looking.

False vision, dulness of sight, together with dilatation of pupils, sometimes actual blindness.

LYSSIN. 159

Great weakness in eyes, without pain.

I Since five years could not read longer than a few minutes at a time, when she would see letters double and would read something else than the right words; had tried all sorts of spectacles without benefit, was often ashamed because she could not sign her name properly.

On looking up eyes are very weak.

Dimness of vision with vertigo; dizziness when walking and sitting.

Vision much impaired or absent; lasts twelve hours.

Vanishing of sight.

I Could not see or hear.

Drawing, beating pain over r. eye, extending into eyes.

Aching over eyes, as if in bone, < r. side and stooping.

Pain over r. eye, pressing inward.

Pressing sensation in upper part of r. orbit.

Drawing, beating pain over eyes and into balls.

Throbbing over r. eye.

At 9 p. M. : severe shooting pains in head, over eyes and in temples; also very violent aching pain inside of and all over chest.

Pain over 1. eye previous to retiring.

Sharp pain across eyebrows, afterwards burning in eyelids.

Pain in small spot over r. eyebrow, < writing.

Soreness in eyes and above them, pain in forehead.

Pressing sensation in orbits.

Headache extends into r. eye.

At 9 p. M. felt a curious stinging pain in 1. eye, extending to forehead, over r. eye, painful.

Eyes feel very bad, severe pain in them and in all his joints.

Eyes ached intensely; feeling of soreness.

Burning of eyeballs.

Eye draws heat from nape of neck.

Itching heat in eyes.

If mental anxiety is great, pupils are in some cases dilated, while face and conjunctiva are injected.

During period of tranquility, in last stage, pupils are con- tracted or of unequal size, eye fixed, strabismus.

Pupils were a little dilated and eye had a somewhat wild and restless appearance.

160 LYSSIN.

Eyes are wild, rolling, staring and livid. Disturbed look, or eyes firm and penetrating. Lachrymal glands evince increased activity. Eyes red and cornea somewhat inflamed. Eyes congested and painful. I Sore eyes and some fever after a bite in nose. Dulness and inflammation of eyes; dogs. I Inflamed, dim, watery, staring eyes, with very much dilated pupils, upper lid drawn up, and diminished sight. Eyes somewhat red and inflamed (cornea). Eyes bloodshot and painful. Eyes slightly red, and occasional stitches in r. temple.

I Great inflammation in an eye from which gushes foamy pus; pustules around eye; in morning lid puffed up like an eggshell, small pustules on one finger. Dog-bite.

Eyelids fly open involuntarily. Pressure in 1. side, shooting to eyes in evening. Burning in lids.

Eyelids feel paralyzed on awaking in morning, and appear to be more firmly closed, as if glued together.

II Swelling of eyelids after bite of dogs. In sheep.

I Extreme ulceration of eye, lids closed and puffed up by pus. In sheep.

EARS AND HEARING. — Conversation in vicinity of patient may throw him into a most violent agitation.

Ringing of church bells makes him anxious, and causes a sharp, salty taste, with stitches in heart.

Water poured into a basin, with splashing noise, caused paroxysm to be reproduced, with convulsion and agitation.

Sudden noise causes involuntary startings.

II Hearing water poured out in next room makes him very irritable and nervous.

On crossing ferry, soon after eating, noise which water made caused unspeakable torture in her back.

Convulsions excited by barking of dog, from great sensi- bility; any other sudden noise, shutting a door or a blast of wind, produce the same.

I During his attacks of chronic headache, which come after mental emotion or excessive mental exertion and last a day or

LYSSIN. 161

two, he cannot bear to hear running water; if hydrant is allowed to run in an adjoining room, or even if water is poured into a basin, his headache increases to an insupportable de- gree.

I After the pain following an evacuation had lessened, and he was sitting at open window, the large street waterplug was opened to cleanse the streets, and as soon as he noticed water running down gutter in front of his house, he was seized with violent pains and had to go at once to the watercloset. Dys- entery.

I If, during night, or in morning before rising, he heard pouring out of water in next room, he was immediately obliged to rise and have an evacuation. Chronic camp diarrhea.

I Hearing water poured out brought on convulsions.

Sensation as if blood rushed to r. ear, then a pressure as from a dull knife, interiorly and superiorly.

Sound as of rushing water in 1. ear.

Buzzing in r. ear.

Hears various noises in night.

Temporary stoppage of r. ear; about two hours afterward while thinking upon it, ear commenced aching; pain extends into teeth and through head.

Tearing pain from lower jaw into ear.

Bending pain in r. ear.

Shooting stitches in r. ear, from without in.

In morning, pressing in forehead and drowsiness, with stitches passing inward in both ears.

Stinging pressure behind ears; afternoon.

Rush of blood to r. ear; after pressure like from a dull point.

Pressive burning in r. external ear.

Burning and heat in ear.

Earache extends into teeth.

Tearing pain a few inches from r. ear.

Pressing from nape of neck into ear.

Above 1. ear, headache most severe.

Pressing burning in r. concha, in evening.

The ears feel stiff.

Ear tickles, after rubbing pain.

Itching in a small spot in upper part of both ears, disap>- pears after scratching.

162 LYSSIN.

NOSE AND SMELL — Strong odors may start spasms.

During three days her sense of smell, which is always ex- tremely acute, became painfully so, particularly in reference to unpleasant effluvia; action of nostrils extremely painful.

The greatest sensibility to smell of tobacco; taste of snuff while box is one foot distant.

Frequent bleeding from nose; repeatedly some clotted blood in nose.

Tickling in nasal cavity causes sneezing.

Itching in nose all day.

Repeated sneezing, which stops on being interrupted.

Frequent sneezing, mostly early in morning or late in even- ing, as if a coryza would begin; also when looking at some- thing bright, and from every little dust.

Fluid discharge from nose.

Coryza, with tickling in roof of mouth and in front of nose (relieved by Phosphorus).

Thick green mucus runs out of nose (horse).

Pain in nose.

Sensation of stiffness in nose, in r. side of neck, and princi- pally in jaws.

Nose feels bruised.

Nose, r. neck and side feel very stiff, more about jaws.

Nose extremely sensitive to touch.

Headache extends into nose.

Nose itches all day.

Face

Jawbones feel quite sore.

Both jaws feel stiff; tingling in cheek bones.

Gnawing and crawling sensation in r. zygoma.

Transitory drawing in 1. side of face, from cheek bone toward nose, as if in muscles, in evening.

Tearing in r. upper jaw extending into ear, same in temple.

Shooting pains in upper jaw and violent headache.

Darting pains in r. side of face.

Burning neuralgic pain down 1. side of face.

A sensation moves about in r. side of face and goes across forehead.

Slight twitchings in face and hands.

Quivering in face.

LYSSIN. 163

Facial muscles become variously contorted, countenance changes its aspects frequently.

Spasmodic affections take place in muscles of face, occasion- ing violent contortions and most horrid assemblage of features; in muscles moving lower jaw, inducing involuntary gnashing and a grinding of teeth, which some have construed into a desire of biting; during convulsive attack expression of face indicates great anxiety and alarm.

Disturbed look with dyspnea.

Expression of face quite variable; reddening countenance often exhibits reflections of utmost mental and physical misery, of most horrible agony.

Face flushed; complained of his head, said they were run- ning needles into his brain.

Heat in r. side of face and r. ear, followed by headache in vertex and forehead; as soon as headache gets'>, heat returns; heat comes from within and spreads from back of neck to ear and into eyes and face, accompanied by constant pain in nape of neck, which increases after heat and headache disappear.

A feeling of heat and sorenessMn middle of 1. cheek.

Heat in face, with soreness of 1. cheek, from thinking.

Heat in r. side of face, and particularly in eye, where it causes a tickling; returns after drinking coffee.

Face sweat; with sensation of heat; with flushes.

In morning (6 a. m.), tickling in 1. cheek.

Heat and redness of face.

First heat in r. side of face and in ear, then a quiet aching in front of upper part of head; this headache lessens, the heat increases.

Heat in face in morning, with redness; at times very deep.

Complexion pallid and cyanotic, and expression stupid.

Flushes and headache alternately.

Pale face with squeamishness and nausea.

Face pale and yellowish, almost brownish.

I Appearance peculiar; skin sallow, pale or anemic; bloated all over, but no ** pitting.*' Chronic camp diarrhea.

Sensation as if she had been bitten in 1. side of face near mouth.

Tickling on 1. cheek, at 6 a. m.

164 LYSSIN.

The scratches on cheek became red, thirty-three days after bite, and on following day looked quite fresh, as if they had been made only a few hours before, but were a little darker in color than newly made abrasions.

Pimple on eminence of forehead, painful to touch; later one on right cheek.

On 1. cheek near nose, towards eye, a pain, < when touched; a pimple with soreness around.

Painless hard nodules on cheek, where a pimple seemed to have appeared; on ninth day a little scurf on it and redness; if picked or prickved, a very disagreeable kind of pain, but not violent, is felt in cheek even a distance from nodule, and here and there deep in upper part of jaw; cheeks bluish red and soft; discharges after the scurf is scratched off, lymph and blood.

Slow maturing bluish pimples on face.

I Pain in 1. cheek near nose, from fifth to seventh day; fol- lowed by a hard, painless swelling of size of a pea, turned red- der on thirtieth day, and became covered with a small scab; on thirty-second day it grew soft and turned bluish red, par- ticularly around edges; on puncturing, a disagreeable yet not severe pain at some distance from swelling and more inside of cheek; a small quantity of blood and matter was discharged; on fortieth day the place ceased to discharge and healed.

The jawbones feel sore; aching in lower jaw. Violent jerking pains in lower jaw. Tearing in r. lower and upper jaw up into ear. When reading or writing, felt a pain in lower jaw; the longer she read the < it got.

I I Masseter muscles not affected by spasms.

During phrensical fits, snapping motions are made with jaw of an involuntary or spasmodic character, bearing some re- semblance to motions of biting.

Attempted to bite her fingers before death.

Biting snapping with convulsions.

Jaws feel stiff; crawling in zygomatic arch.

Lower jaw stiff and painful; with inclination to yawn; with headache; imagines he cannot open mouth.

Jaws feel sore and stiff; a great disposition to press hand against lower jaw.

LYSSIN. 166

Sensation as if she would have mumps.

A chilling, biting, burning sensation on inner side of r. upper lip, as if a corroding acid had touched spot; sensation passes up and back, in a lesser degree, to r. nasal cavity, where it produces tickling and sneezing; subsequently increase of saliva; after several hours.

Lips cracked on inside of middle line.

Spasms with froth before mouth.

It seldom happens that froth is observed around outside of mouth.

TEETH AND GUMS.—! Grinding of teeth.

Painful sensation of coldness shoots into teeth, it passes from lower posterior part upward and into jaw.

Teeth hurt more on r. side, it is a kind of aching dulness.

Sensation in r. lower jaw, in bone as it were, it shoots into root of a decayed tooth.

Shooting pain in r. eyetooth, preceded by burning, passing down esophagus.

Frequent shooting pain in teeth; all the teeth ache.

Aching in carious root of a molar.

I Toothache and other complaints during pregnancy, with internal ebullition of blood from chest to head; head feels as if filled with air to bursting.

Teeth very sensitive; feel as if on edge.

Headache and earache extend into teeth.

Chilling painfulness starts in teeth of r. side behind and be- low in bone of lower maxilla and passes upwards.

Neuralgic pain in gums, principally in front.

I Aching in swollen gums on r. side. Drawing in gums, most in front.

TASTE AND TONGUE.— Food does not have right taste. Scrapy taste, with much saliva. Bitter taste in morning, on awaking.

Salt victuals tasted too strongly of salt, other food seemed to lack salt. Speech is labored, short and pathetic.

II Difficult, incorrect speech.

I Impediment in his speech, would begin a sentence with difficulty after several fruitless attempts; some palatal vowels he could not pronounce, others but incorrectly.

166 LYSSIN.

A cool feeling on tongue like after peppermint.

Pain in root of tongue and 1. side of throat.

Peculiar pain at root of tongue as if it was swollen.

Tickling, queer feeling in throat and root of tongue.

Tongue usually moist and clean; frequently slightly coated » more seldom dry and thickly coated.

Tongue coated with thin layer of yellowish white fur.

Tongue coated with foam.

Tongue dark red on sides, coated in centre. Tongue large, pale and flabby. Pricking sensation under tongue.

Ranula returns periodically, with dryness of mouth, < in afternoon, soreness when chewing; with hemorrhoids and constipation.

Mouth

Feeling of coldness, like essence of peppermint.

Severe pain passing from mouth upward through head and down into neck.

I Constant sensation of intense dryness of mouth and throat.

Dryness in mouth: in afternoon; with thirst.

Sore mouth, feels as if there were lumps in it.

Much tenacious mucus in mouth and throat.

I Tough, short frothy phlegm in mouth (horse).

Frothed at mouth, attempted to spit out with much diffi- culty (before death).

Saliva more viscid, constant spitting, feeling of general malaise.

Saliva runs together in mouth, without occasion; flows back and is swallowed.

Saliva in back part of mouth like after sugar, or when liquorice is swallowed.

Mouth full of saliva, total disinclination to drink.

Great flow of saliva and difficulty in swallowing liquids.

Accumulation of foaming saliva, with inflammation of throat.

Saliva more plentiful, but thin and of yellow color.

Secretion of a thick and frothy saliva, but without any mor- bid repulsion toward drinks.

Ejected saliva is frothy, slimy and ropy.

Much tenacious saliva, with sore throat.

LYSSIN. 167

I Large quantities of tough saliva in mouth, with constant spitting.

Saliva is not ejected, but runs from open mouth.

Quantities of saliva are collected in and about mouth; pre- sents a frothy appearance; patient is constantly endeavoring to get rid of it by wiping it with a handkerchief, or spitting it out with great force.

I Spits all the time small quantities of a frothy saliva; with pain in limbs.

II Frequent spitting.

I At 10 A. M. began to spit a great deal, continuing all day till supper.

Dark, coSee colored fluid oozed from mouth (before death).

Much mucus in throat and nose; hanging in posterior nares.

Scraping sensation on palate where cool sensation had been, slight coughing does not reach spot, hemming and hawking does occasionally.

Fauces and pharynx pervaded by an equally diffused purp- lish scarlet blush, no pain in throat, except when patient attempts to swallow.

Follicular enlargement is common, involves also pharyngeal follicles and lymphatic glands in neighborhood of jaw; similar swelling upon inner side of epiglottis, pretty firm and charac- terized by abundance of lymph corpuscles found in gland sub- stance.

Hyperplasia and recent swelling of tonsils and follicular glands of tongue; flat, roundish swellings at root of tongue, in middle of each one of which was seen dilated opening of a follicle.

Sensation as if uvula was too long; it is slightly inflamed but not elongated.

Mucous membrane of pharynx and epiglottis of a deep red color and injected; soft palate frequently reddened and swol- len.

Entire mucous membrane of mouth and pharynx was of an equally distributed pink without any swelling.

Throat

I Slight redness of palate and throat, with spasm of esophagus and difficult speech.

I Sore throat, as after swallowing red pepper.

168 LYSSIN.

Quite a sore throat, constrictive sensation much < when attempting to swallow liquids, which he could not do without pain; solids not painful.

At 11 A. M.: soreness in throat till noon.

Sore throat: very severe; all day; in forenoon; > at 6 p. m. ; after supper (7 p. m.); not able to swallow without great pain; as if swelled; as if raw; aches; on r. side; with headache; with soreness in eyes; with increased tenacious saliva.

Cooling sensation in esophagus.

Throat quite sore, headache in both temples, numbness in both arms, slight pain in lumbar region all day.

Fauces and pharynx as far as one can see are slightly in- flamed, there is inclination to swallow, and increase of saliva.

Painful sore throat, throat much inflamed, headache <, tenacious mucus in mouth and throat; great weakness with aversion to move.

Inflammation of throat with foamy saliva.

Violent spasm in throat as if he would suffocate, from 2 p. M. to 9:30 p. M.

Great heat in throat and about heart.

Sudden jerks going from esophagus to heart.

II Sore throat, constant desire to swallow; much saliva and feeling as if beaten.

I Periodical spasm of esophagus, continual painful inclina- tion to swallow without being able to swallow anything; con- striction is most severe when taking water into mouth, if he tried to swallow it forcibly, he had burning and stinging pain in throat, cough and retching which forced fluid from his mouth; difficult speech.

I Difficulty in swallowing; particularly fluids.

Dryness in throat and difficult swallowing, with slight ery- sipelatous redness in pharynx.

Stinging sensation when swallowing.

Sore throat at 2 o'clock; with difficulty in swallowing fluids; felt as if epiglottis was paralyzed.

Sore throat with great inflammation, could only swallow with difficulty, fluids returned through nose.

A peculiar sense of constriction in back of throat at 3 p. m., < at 4 p. M., could not swallow without pain; disappeared at 6 P. M., but returned at 7 and lasted until bedtime.

LYSSIN. 169

Sore throat with constriction, particularly when attempting to swallow fluids, which is painful.

Terrible pain in throat, particularly when swallowing.

Constant inclination to swallow, or remove phlegm which seems to stick between nose and throat.

I Constant desire to swallow, painful and ineffectual.

Some will drink water without difficulty.

Activity to drink is restored before sudden death.

Warm drinks, milk, soups and wine are often more easily taken than water.

Imagines that he cannot swallow anything.

Difficulty in swallowing can, at first, be overcome by firm resolution.

Declared he could not swallow for something in throat that interrupted the passage.

Swallowing more difficult at 5 p. m. than in the morning (after Bellad.).

Solid food sometimes consumed with great difficulty.

Absolute impossibility to swallow anything; whenever at- tempt is made, attacks of suffocation and spasms of respiratory muscles as well as of muscles of face, neck and rest of body, with great mental disturbance.

After some days patient equally abhorred solids as well as fluids; when importuned to eat, he was thrown into convulsions.

Any attempt to swallow bread occasioned greatest agony.

Often happens that they succeed in drinking after those who were around them have retired, or when attempt is made with closed eyes and with aid of a straw.

No disgust for fluids until difliculty in swallowing came on; when fluid touched fauces it seemed at the peril of his life.

At 8 p. M. felt a strange constrictive sensation in back part of throat, never experienced before, < at 4 p. m., could not swallow without great pain; went of! at 6 p. m. ; returned in an hour, lasting until 10 p. M.

I When taking water into mouth, constriction was greatest.

I Periodical spasms of esophagus.

Attempt to drink water starts convulsions.

I Had difficulty in speaking; a connected sentence could only be uttered after making several fruitless attempts; palatic let-

170 LYSSIN.

ters could not be pronounced at all, all were pronounced wrong.

At 10 A. M. felt a soreness and suffocation in back of throat.

Violent spasms of throat at 2 p. m., feeling as if he was about to be suffocated; went off at 9 p. m.

A ball, as it were, rises from stomach up to throat, seems to threaten suffocation.

Sensation of a lump in throat with desire to swallow.

A terrible pain in throat all day, and great pain on swallow* ing.

Pain extended upwards from wounded arm toward throat.

Stitching sensation when swallowing.

Burning stinging in 1. side of chest, with palpitation in after- noon.

Burning stinging in throat.

Trying to swallow water forcibly, it caused burning and stinging in throat, besides cough and gagging, which forced out contents of mouth. Spasm of throat.

Burning down esophagus.

Great heat in throat and around heart.

I A slight redness of affected parts.

Intense and deep seated inflammation of mucous membrane of mouth, gums, throat and larynx, with smarting pains on swallowing.

Feels as if he had swallowed a small quantity of red pepper.

Appetite

THIRST, DESIRES. AVERSIONS —| Appetite good, but digestion deficient; a portion of nearly everything he ate passing bowels in an undigested state. Chronic camp diar- rhea.

Voracious appetite; swallowed wheat without chewing.

Little appetite in morning; want of appetite, headache, de- pression.

I Want of appetite. Hydrophobia of sheep.

I Could take no nourishment (with spitting), could not re- main at table.

Symptoms of digestive organs extremely variable; excessive thirst, vomiting, constipation.

Thirst and disinclination for food.

I Felt very thirsty and had no aversion to drink, on contrary drank large quantities of water.

LYSSIN. 171

Thirst much increased, complains of burning pains in throat.

Thirst and desire to drink, but is prevented from doing so by spasmodic constriction of throat, attempts excite most dis- agreeable sensations, even spasms.

I Had not been drinking any water for some time, only some hot tea.

I Drank some strong tea at supper, after which salivation discontinued until 8 p. m., then commenced again.

No appetite, except for sour things.

Called for burnt brandy and drank it; next day a strong rising in his stomach and an impossibility to drink.

I Excessive desire for salt.

First days, smoking unpleasant; after first week, a crazy, insatiable desire to smoke, he does not allow pipe to cool.

Picked up bits of cotton and shreds of cloth; bits of chips and coal were devoured whenever getting near; anything that was within reach and could be grasped by the jaws was gnawed away very quickly; a dog.

Urine and feces were frequently devoured as soon as they were voided; a dog.

I Abnormal cravings during pregnancy.

Aversion to water; imagines he cannot swallow; says he is thirsty, but cannot look at water or hear it poured out. Aversion to water of place he arrived at. Aversion to drinking water, but can take small quantities of chocolate.

Aversion to fluids; great sensitiveness to every breath of air and reflection of light.

Since bite she has a frightful aversion to water; at first she could wash herself by dint of great self-control, but later not at all.

Wine tasted poorly and affected him more than usual. •Aversion to fat food and drink; there remains a long greasy aftertaste, < after mutton.

EATING AND DRINKING.— Before dinner a very strange sen- sation, a strangeness of whole body.

Warm drinks, such as milk, soups and wine, are more easily taken than water.

Inability to take solid food, or else it is consumed with greatest difficulty.

172 LYSSIN.

At times ability to drink is restored before death.

After supper, 7 p. m., feels >, less sore throat, no difficulty in swallowing.

After eating: all cooling, burning, wavelike sensations dis- appear, also congestion; pressing inward in epigastrium; las- civiousness with sexual excitement; lewdness with a sensation of weakness in parts, but inclined to an emission of semen; increased lassitude and drowsiness, slept an hour without making it any better.

After meals very ill disposed, every noise irritates him; if others eat apples, or hawk, or blow their noses, it brings him beside himself; passes away after siesta and coffee.

After dinner and in evening disinclined to think.

After supperl pressing in spleen.

Nausea after eating eggs or fat food.

After coffee: more frequent beating of pulse; heat in face.

Tobacco affected him more than usual.

mCCOUGH, BELCHING. NAUSEA AND VOMITING —Squeamish sensation; a want of appetite in evening, followed by great lightness of head.

Nausea: with giddiness, headache and pale face; with pale face after diarrhea; food does not taste right; and loss of ap- petite in evening; at 10 to 11 p. M.

Hiccoughing.

Continual belching of wind; convulsive eructations.

Belching in afternoon; sour, in afternoon.

I Gagging when he forcibly attempts to swallow water, forces it out of his mouth.

Rising of bile into throat during day, at same time an un- usual quantity of tenacious saliva in mouth and throat.

Nausea and vomiting, after diarrhea.

Vomiting: of food; of fluid while drinking, followed by faintness; of what was eaten at supper, at night in sleep.

Nausea and vomiting of a foamy, mucous, dark colored sub- stance resembling coffee grounds.

SCROBICULUM AND STOMACH.— Pressure in epigastrium after eating.

Suffocating pain at pit of stomach.

Distress in epigastrium and precordial region with dyspnea.

LYSSIN. 173

In epigastric region sensation half coldish, half burning.

Pain in epigastric region, deep in, as if in or behind duo- denum.

Aching, with coldness in stomach.

A cooling pain in stomach, with here and there a sharp and pointed pressure.

A sensation of motion in stomach.

Loud gurgling in 1. side of stomach, becomes more continu- ous, like water from a bottle.

A loud cooing noise in stomach, to 1. , and after a while re- peated as a quick croaking.

Great oppression in stomach, has to open her clothes.

A slightly hot, quiet, aching sensation below chest, some- times lower down, often in entire abdomen, as if in intestines.

Stomach empty, or may contain a dark, opaque substance, frequently resembling coffee grounds; in mucous membrane of stomach and intestines, decided injection of blood-vessels; upon former frequently hemorrhagic erosions.

Hypochondria

A pressing pain: in r. side, near last ribs, with breathing; in hypochondria, after quick walking.

Shooting in r. side of abdomen.

Pain in region of liver and r. kidney.

Pain from within outward in r. side.

Fatty degeneration of liver.

In upper part of abdomen, 1. side (region of stomach and spleen), a continued gnawing pressure in forenoon.

Aching from below waist to feet.

Pain in 1. side at 8 A. M.

Pressing pain in region of spleen when walking fast.

I Painful throbbing as if an abscess was forming in region of spleen, but very deep in, exact locality is half way between median line and outline of 1. side; it lasted eight days; with it departed remnant of a similar affection in this locality, against which eleven years of allopathic treatment had proved of no avail.

Under mamma hot sensation, quietly aching, sometimes same lower down or in whole of abdomen, as if in intestine.

Tearing from 1. hypochondriac region to right.

Abdomen

A rending pain across abdomen from 1. to r., in evening when in bed.

174 LYSSIN.

Pain in r. side of abdomen proceeding from uterus.

Pain down 1. side of abdomen.

Pressing in abdomen.

A drawing in abdomen below navel.

Cramp in lower part of abdomen.

Painful sensation deep in upper portion of abdomen, as if behind duodenum; in forenoon.

Colicky pain in abdomen; when it subsides, stinging in small of back.

Severe bellyache, lasting an hour, awoke from sleep at 11:30.

Violent bellyache.

Sticking: in r. side of abdomen, when taking a breath; in abdomen above hip; with feeling of motion in lower part of abdomen.

Stitches: in r. side of abdomen; in belly, an inch from crista ilea.

Shooting in abdomen.

A sense of motion, with slight stinging in middle of ab- domen.

A burning, waving and surging, proceeding from abdomen, spreads through entire chest to head.

After cooling sensation and scratching in esophagus had subsided, there appeared a half cooling, half burning sensa- tion in entire upper part of abdomen.

I General soreness in whole of lower abdomen.

Distension of abdomen; every evening.

Rigidity of muscles of abdomen.

From both loins a drawing downward, followed by cramps in lower abdomen.

Aching: in loins; into back; down to feet.

Dull pressing pain above r. inguinal region on a defined place.

Pain in r.. groin, with some swelling.

Drawing, dragging pain in groins; heavy, bruised feeling in thighs.

Drawing from groins downward, then cramps in abdomen, accompanied by dizziness.

Aching from groins to feet, in evening.

LYSSIN. 175

Pain in both groins; in r., two small kernels under skin, very painful.

Inguinal glands very much swollen, they pain for two hours.

STOOL AND RECTUM.— I Tenesmus during and after stool.

II Dysenteric stools with tenesmus; renewed as soon as he hears or sees water run.

I When in morning some water was poured out from pitcher into basin, pain and desire to stool returned. Dysentery.

I When he sees or hears running water, violent pain and tenesmus return; in a case of dysentery in Summer, of six weeks* standing, in which stools were most frequent in night, consisted of bloody mucus and were followed by pains in rec- tum and small of back, which forced patient to walk about in spite of great weakness; could neither stand nor lie down; had drank no water whole time, only hot tea occasionally.

I Stools watery and profuse, with severe pains in lower bowels; frequency of stools not uniform, some days five or six, others fifteen or twenty, usually more frequent in morn- ing. Chronic camp diarrhea.

Diarrhea: with much pain, most during day, eighteen hours after dose, lasting twenty-four hours, with pain in lower part of bowels; < in morning; followed by nausea as if she would have to vomit; attended with violent pains early in morning; after stitches in side.

I Chronic diarrhea contracted in Southern camps. Difficult passage of flatus as if anus resisted expulsion.

II Stools of bloody mucus. Involuntary stools.

I Straining to evacuate, causing a violent pain in small of

back and in rectum, afterwards compelling him to walk about,

although weak.

Bowels constipated;* stool very dark in color.

Stool became dark and thickish in appearance, mingled

with shreds of wool or cotton, bits of wood and coal that had

been swallowed; a dog- Passage of bright red blood from anus, with terrible burning

and pricking in it as from thorns. Difficult stool, piles protrude. Hemorrhoidal troubles, passes blood from anus during cata-

menia.

176 LYSSIN.

Throbbing in anus externally;

Darting into anus causes contraction.

Urinary Organs

Dull pressure in region of 1. kidney.

Flying pains increase, seize urinary organs; create a diffi- culty and heat in discharging urine.

Some pain about neck of bladder in evening.

A cooling, burning, congested feeling in region of bladder, in evening.

Profuse watery urine, in evening.

In morning and evening urine is yellowish brown, turbid and diminished in quantity; reddish sediment.

Urine dark, brownish, with whitish sediment, visible when urinating upon snow.

Brighter colored urine and in larger quantities, but not more frequent.

Urine scanty or muddy, often of a dull, greenish yellow color; dog.

A whitish yellow sediment in urine.

Urine scanty, no albumin; dark, cloudy, frequently contains sugar, evidently the result of lesions in medulla oblongata.

I Urine too scanty and high colored.

Urging to urinate after a slight accumulation.

I Constant desire to urinate on seeing running water; uri- nates a little at a time.

Tickling burning in urethra near orifice after urinating.

After passing feces and urine there is an urging to urinate again, it moves slowly several times from above downward without succeeding in passing a drop.

Prostatic juice passes after urinating.

Since fourteenth day after bite says she has passed no ^ater; passes daily from time to time a little dark blood from uterus, differing in quantity and quality from menstrual flow.

If he passes but a small quantity of urine his sense of weak- ness is increased; weakness after urinating as if he passed his strength away.

MALE SEXUAL ORGANS.— Inclined to lascivious ideas, although there is not much sexual desire.

Lasciviousness: after eating, with feeling of weakness in parts; with erections in afternoon.

LYSSIN. 177

Erections with but little desire.

I Strong erections, without sexual excitement or thoughts, in evening while undressing in cold room.

Sexual indifference with erections, even during act of coi- tion, which is perfectly performed.

I Increased sexual desire. (Dropsy of spine with sheep. Hydrophobia of sheep. )

Priapism, with frequent seminal emissions.

I Satyriasis in a stallion; hot breath streamed from nostrils.

Insufficient seminal discharge.

I Semen is discharged too late or not at all during coition.

During a very strong and warm embrace excitement dimin- ished at its height, and there followed no emission.

No emission during coition, but afterwards semen escaped unconsciously in sleep.

A seminal emission with dreams, quite unusual.

Without being preceded by an erection there is a discharge of prostatic fluid, smelling salty and musty; the glans penis is dry.

Feeling of weakness around and in sexual parts.

After coition, with difficult and tardy emission, there is a sensation of emptiness and discomfort in parts, lasting all of next day.

Painful urging in penis, as after excessive coition, accom- panied by lasciviousness.

Itching and burning on cosona glandis, with tickling and discharge of greenish pus, in afternoon.

Glans is dry and sticks to foreskin.

Burning and tenesmus as if in prostatic gland and in ure- thra; in afternoon.

Itching on os pubis, 1. side, extending to root of penis.

Increased peristaltic motion of scrotum, all afternoon and evening; motion of testicles also increased.

Scrotum tightly drawn up for two or three weeks.

Hanging down of scrotum on eighth day, while before and after it was contracted.

Painful sensation in testicles.

Pain in testicles on day after an embrace, particularly felt towards noon and first afternoon hours. Hydrocele.

178 LYSSIN.

I Atrophy of testicles; testicles diminish in size, first 1., then right.

II Complaints resulting from abnormal sexual desire. FEMALE SEXUAL ORGANS.— Aphrodisiac sense deficient. Pain extending from uterus into breast and r. side of abdo- men.

I Insatiable heat; with cows.

Pain in 1. ovarian region, uneasiness there.

Bearing down in uterine region.

Sharp pain in uterus, shooting down to labia.

Occasional acute pain in and below uterus; at times a vio- lent shooting pain in 1. of vagina, extending upward, so severe as almost to cause her to scream.

Increase of uterine sensitiveness, conscious of having a womb.

I With a painful sensitiveness of womb, slight degree of pro- lapsus, so that after any considerable effort there would be a strong conviction that it was prolapsed.

I Considerable pain in lower part of back, with a soreness felt through pubic region, which was clearly proved to be in neck of womb by an increase of pain from pressing finger on neck; principally at point where finger came in contact with womb.

I Womb high up in abdomen, enlarged in fundus.

I Abrasion about os tincae (treated with caustic) some tume- faction of cervix and walls of vagina remained, showing a low degree of inflammation.

I Speculum showed os tincae of size of a small goose quill, smooth and normal, except that there was a string of bloody mucus of size of os hanging from it, so tough and viscid that it was difficult to wipe it away with a sponge.

I Swelling of womb in all its parts, extending somewhat into vagina. Prolapsus.

I Bright redness of vaginal portion of womb.

I After menses found that prolapsus uterus, a case considered incurable, was in its proper position, and continued so after an interval of two months, though she has done much to test the cure, lifting a heavy child in and out of bed at night, when she was necessarily without her supporter. Prolapsus uteri of seven years* standing.

LYSSIN. 179

Metritis, prolapsus or induration of uterus; in cows.

A girl, aet. 14, and another aet. 21 took the 30th after their catamenia had ceased for three days, next day it reappeared.

Catamenia appeared (after a few globules of 30th) two weeks before time, and very copious.

I Menstruation, with hemorrhoids, pulsations in anus and weakness of back.

I Menses rather frequent, protracted, dark, and at times fetid.

I During interval of menses '*a show** that seemed quite obstinate.

I Anemia in consequence of disturbed sexual function.

Continual discharge of offensive mucus from uterus for sev- eral months.

White discharge like leucorrhea, which weakened her; never had leucorrhea.

Slimy leucorrhea.

I Severe leucorrhea, with pains in back and lower part of bowels; sore vagina.

II Sensitiveness of vagina rendering coition quite painful. I Menses too profuse, at times a little too frequent. Discharge of blood from rectum during menses.

I Weakness in back, with copious catamenia.

I Tearing, followed by pressing downward, could not make a hard step during catamenia.

Pregnancy

PARTURITION. LACTATION.— 1| During preg- nancy: strange notions, desires or cravings; rush of blood from chest upward; toothache, backache and other complaints; great sense of bearing down; intense pain from inflammation of OS and cervix (formerly treated with Caustic. ); great sore- ness in lower part of back and bowels.

I All changes of position that tilt or rotate to a moderate ex- tent the OS uteri cause much pain.

I Spasms excited whenever she attempts to drink water, or if she hears it poured from one vessel into another; sight or sound of water affects unpleasantly, even though desiring water.

I Since childbirth more pain with coition and a dislike to it.

I Since cessation of lochia a severe leucorrhea; pain in back and lower part of bowels; soreness of vagina.

180 LYSSIN.

Both breasts swollen when waking in morning, she can hardly get up; three mornings in succession; same swelling of breasts at night when opening her dress.

VOICE AND LARYNX. TRACHEA AND BRONCHIA. -Voice al- tered in tone; tones much suppressed; hoarse; rough; harsh and weak (last stage); shrill, inarticulate sounds; shrill sounds of utmost despair, or occasioned by violent expirations: very shrill and piercing bark, changing near its termination into a distressing, continuous howl (dogs).

Epiglottis crisp and dry.

Inflammation or redness in superior part of trachea.

I Pain next to larynx, on r. side, felt on turning neck and on pressure.

RESPIRATION.— The breath is hot; sulphurous.

Hot breath streams from nostrils. Satyriasis in a stallion.

On inspiring: a cooling sensation; stinging on 1. side.

Can scarcely speak from weakness.

Weakness of chest; tired from talking or reading.

When breathing, stitches in r. side of abdomen.

Breathing accelerated or rattling in last stage.

Asthmatic sensation, air going through larynx makes a kind of wheezing.

Sighing and groaning respiration, may be occasioned by violent expiration.

Frequent sighing and sobbing.

A general feeling of discomfort in chest forces him to deep breathing or to emit sighs, which alleviate.

I I Sighing with pain in heart.

Now and then he has to take a deep breath, with coldish feeling far back and deep in throat, followed by great relief.

At 9 A. M. suffocating feeling in chest, had to sigh several times, lasting till 10:30 p. m., when he fell asleep.

Breathing laborious and difficult, quickly repeated, and at- tended with a constant and peculiar kind of hawking, in orcjer to expel breath, which has been taken for an imitation of bark of a dog.

I Dyspnea: with flatulency, cough and rattling in chest; with sighing, groaning respiration; from cardiac pain; < lying down.

LYSSIN* 181

Constriction about breast and difficulty in breathing become so extreme, that on a blast of air blowing on them they are seized with greatest distress, cover their mouths, seem ready to expire, as if struggling for breath.

On attempting, at request, to drink a little water; a violent spasm of muscles of neck and throat came on, preceded by a deep sigh or gasp, as if she might just have plunged into cold water.

Difficult breathing and spasmodic sensation in trachea.

Suffocative spasm in throat.

Convulsive breathing and spasm in muscles of throat, either come together or breathing precedes throat spasms.

The convulsive breathings during paroxysms are very similar to those produced by a sudden cold water bath, and are always combined with spasms in throat muscles.

Oppression in breathing before a severe suffocative attack occurs, induced by spasmodic contractions of respiratory muscles, combined with spasmodic, alarming constriction of pharynx.

Breathing during paroxysm gasping, irregular and usually quite rapid, often with decided dyspnea.

Cough

Barking like a dog, with a sort of noisy cough;

Headache

I Coughing when attempting to swallow water forcibly, forces it out of mouth.

I Cough and gagging.

INNER CHEST AND LUNGS.— Chest and abdomen feel ex- panded; expanding chest seems to invigorate him, though usually it fatigues.

Pressing in chest; between tenth and eleventh ribs, r. side.

Rheumatic pain across chest when drawing her breath.

Pain as if in nerves, from side of chest up to throat.

Cramplike pain and stitches in 1. side, followed by diarrhea and afterwards nausea and inclination to vomit.

Pinching pain: at fourth rib on r. side.

Stinging in lower part of chest.

Stitches under 1. mamma, going towards left.

Shooting between 1. mamma and last ribs.

Shooting, flying pains through 1. chest.

182 LYSSIN.

Burning, surging through chest.

Burning stinging in 1. side of chest when taking a deep breath.

Burning like heartburn in r. side of back, in region where ribs end.

Blood mounts from chest to head.

Extending to chest, pain in uterus.

Great weakness in chest, particularly when walking and reading aloud, chest feels fatigued; some deep pain in 1. side.

Upon pleura is often seen a soaplike deposit, as in case of cholera.

I Gangrene of lungs, caused by pneumonia and sexual excite- ment. Satyriasis in stallion.

HEARTp PULSE AND CIRCnLATION.— Pain in 1. chest on a small spot in region of heart; more backward and to 1. in chest.

Dull pain in heart all day, with a pinching pain about fourth rib, r. side.

Constant pain in lower part of heart.

A very strange and unusual feeling in heart, something like bands compressing it, in middle of chest, and as if needles were sticking in it, a dull kind of stitching pain, very painful, alarming and disagreeable.

Pain in heart entirely gone, but every two or three hours has a twitch there.

Painful shock or jerk from lower or hind part of esophagus to heart and front chest.

7 P. M., slight, dull shooting pain in heart, lasting till he went to sleep at 10:30 p. m.

Considerable pain in heart, and a corresponding pain in r. side; a severe sticking and shooting pain, producing shortness of breath and sighing.

At 11 A. M. two or three stitches of a shooting kind in heart, lasting a few minutes.

Stitches in and around heart.

Pricking sticking pain in heart.

Stinging, sharp pain in heart.

Sticking pains at intervals in heart.

Sharp, shooting pains in region of heart, lasting four hours.

At 9 p. M., violent pain of a sticking character in heart and to 1. of it.

LYSSIN. 188

Stitches in heart from ringing of church bells.

I Stitches in heart, more while walking; they would kill him if they continued.

I Heart had for three months not been free from a sticking, drawing, squeezing pain, result of an attack of rheumatism and cold, together with a palpitation and difficulty of breath- ing.

Violent pain in heart, as if it would burst or had needles running into it.

Heat and burning in heart.

Burning pain around heart and in forehead.

Pain in heart: with headache; with sore throat and heavi- ness in legs.

Sensation going from heart through to back, with sinking.

I Pain in cardiac region, to which he is subject, is < half an hour after, but much > in several days.

While writing, a burning ebullition and gurgling from upper part of abdomen through chest and head, at first followed by a pain in ear; now a pressing stinging in inner upper vertex to r. ; as if a hot, wavelike stream was moving on and spread- ing outward, but not extending to spine or limbs.

Heart palpitated violently and felt as if it was coming up into throat; drank several mouthfuls of water, which relieved.

Palpitation causes anxiety.

Feels beating of pulse through whole body, and from time to time like a slow rising wave through throat into head, fol- lowed by a sensation of a momentary rush of blood.

Pulse: steady, but rather full and hard, about ten beats above normal standard (80); slightly accelerated and hard, being more frequently small than full; quick and irritable; 160; becomes gradually weaker and quicker, especially after paroxysm, 120 to 180; frequently irregular, becoming variable in its rate, and this variation takes place with great rapidity; unequal, some beats stronger, some quickened; weak, quick, intermitting; very small, irregular and very rapid (last stage); weak* quick and intermittent (latter period); becomes con- stantly more rapid and smaller, until at length it is threadlike, and finally no longer can be felt.

OUTER CHEST. — The clavicles feel as if they would slip from their sockets; has to place arms akimbo.

184 LYSSIN.

Quivering about sternum.

Spasmodic tearing under 1. ribs; at same time it runs to anus, where it causes a constriction; also at same time a tear- ing between skin and flesh down thigh to knee.

Pressure: on sternum between mammae; between last ribs on r. side.

Stinging in 1. breast (between mamma and last ribs).

Chest as if beaten, in evening.

Soreness across chest, both breasts swollen; when waking in morning can hardly get up; three mornings in succession.

NECK AND BACK. — Constant pain in neck.

Going to neck: pain from head and from back.

Pressing in neck and up back of head.

From neck heat passes to ear and face.

Pressure and drawing pain in neck.

A stitch in nape of neck.

Muscles of neck and breast, frequently entire muscular sys- tem, contract spasmodically.

With inward heat, pains in neck, < if headache is >, or heat in r. side of face.

Burning pain in neck.

Throbbing pain extending into neck.

Neck feels stiff; r. side of neck stiff; muscles felt stiff in morning.

Tearing, stinging and stiffness in neck.

Stiff neck with rending and shooting.

Pain in cicatrix and also some stiffness in muscles of neck and throat.

Pain in muscles of neck and along cervical portion of spinal column.

From nape of neck a heat draws over r. ear into r, eye and face, seems to pass from within outward.

Neck feels stiff, held himself more erect than usual.

All day difficulty in moving head.

Stiffness in joints of neck; if she allows her head to hang awhile, it is difficult to raise.

Neck feels more comfortable when, in sneezing, she throws head back.

Emphysematous swelling of subcutaneous cellular tissue of

LYSSIN. 185

lower part of neck; may extend along upper portion of breast and into mediastinum.

Stemo-cleido mastoid muscle on each side stands out like a thick cord; a look of mingled anxiety and terror on counte- nance.

Head feels lopsided and as if something was drawing it to- ward shoulder.

At 2 p. M. laid down, found his head twisted to 1. side; un- der ordinary circumstances would very soon have changed position, but to his surprise found it quite comfortable and fell asleep; woke at 4 p. M., felt a numbness in 1. side of head, and flesh of lower part of body looked like goose-flesh.

As if head was being drawn to shoulders.

Cramplike pressure under r. shoulder-blade and between scapulae.

In back, near r. shoulder-blade, a pressing with heat, draws into nape of neck, thence into muscles of 1. upper arm.

At 2 p. M., severe pain across back between shoulders and waist.

A pain or ache in and between both shoulders, as if a heavy weight was there, lasting two hours.

Pressing, running from between shoulders to occiput and across r. ear, in morning.

Below r. shoulder-blade a pressure; not pressing from out inward or > by bending backward.

Pressure in back, five inches below point of r. shoulder, one inch from spine; had same sensation during each of her preg- nancies, always on r. side, inward from lowest rib to breast bone.

Stinging: below r. shoulder-blade; in cervical vertebra.

Severe backache all day, and numbness of hands.

Spine aches; r. side of throat sore.

I Backache and headache.

Pain in back across hips, lasting all day.

Pain in back and both groins.

Burning in back near last ribs, r. side, like heartburn.

Pressing in region of kidneys; dull pressure in region of left.

At 4 p. M. violent pain in r. kidney, lasting an hour.

Pain from 4 a. m. till evening in both kidneys and across hips, severe and a little burning, > at 9 p. M.

186 LYSSIN.

Back extremely sore; as if beaten, in evening.

Pains with cutaneous hyperesthesia along vertebral column.

Could not bear least touch along whole vertebrae; slightest touch produced an irritability akin to convulsions.

I Sheep turn and wriggle their backs because they cannot bear heat of sun; increased sexual excitement; symptoms pointing to madness; scratching their backs appears to be agreeable to them, as they remain quiet and make a peculiar motion with their mouths, which does not express pain.

Going to back from heart, sensation with sinking.

Want of strength in back, must lean against back of chair in sitting.

Weakness in region of kidneys, loins and sacrum. Great weakness in back, as if it would split and fall apart, A sore lameness in back, with some degree of soreness in lower abdomen.

Pain in lower part of spine severe.

I Considerable pain in lower part of back, with a soreness felt through the pubic region; pressing finger on neck in- creased it.

Pressing pain in sacrum, r. side; later it moves to middle of back (repeated eight times).

Shooting through small of back.

I Disease peculiar to sheep, termed the **gid;" dropsy of spine.

UPPER LIMBS.— Pain on top of r. shoulder joint.

Pain in 1. shoulder joint, as if beaten and paralyzed; lame- ness in 1. axilla.

All day a tearing, then a stinging in 1. shoulder joint, as if in middle of bone, down arm and into finger; and after getting up from bed, for one hour in r. arm, then all day in left.

1 p. M., slight pain in r. shoulder joint; also in head.

Has a lump in r. axilla.

Rheumatic pain, first in r. then in 1. shoulder.

Feeling of great weight on shoulders all day.

Stinging tearing pain in shoulders, passing down through bones of arm to fingers.

Sudden sharp, darting pain, in bitten hand, extending up arm to shoulder and base of brain.

LYSSIN. 187

Pain down wounded 1. arm; generally in afternoon and even- ing, < 10 o'clock.

Arm aches and is swollen.

Aching in r. arm (the L is bitten); feeling as if weather was going to change.

Slight twitching in r. arm.

A sting in sore arm once in a while, which makes her start all over (dogbite).

Felt two shocks down wounded arm as from a galvanic bat- tery, clear to finger ends.

Cramp in arms.

The pain up arm was followed by cramps and drawing in back and limbs of bitten side.

Numbness in r. arm at 4 p. m., lasting till bedtime.

At 10:80 p. M., soon after taking last dose, numbness in r. arm.

Weakness in arms.

Right arm becomes so heavy and inactive that writing is too great an exertion, and he allows arm to drop.

After some pain in arm (finger had a small wound exposed during dissection of a mad dog, forty days ago), feeling of malaise and fatigue, followed by death.

In 1. upper arm, about axilla, pain as if beaten and lame; the same near elbow, several minutes after in wrist; in even- ing.

Her arm has felt very sore, although wound is almost healed.

A cold flush goes down arm as if ice water was being poured upon it.

Feels a chill strike her r. arm when she goes into open air.

Burning pain down wounded arm.

Felt as if fleas were running over r. arm.

Arm itches all over; itching on arms appearing suddenly.

Pain in r. elbow as if paralyzed, at noon; same at 2 p. M. in 1., > in a horizontal position and when allowing forearm to hang; soon after in 1. knee.

To right of r. elbow a black and blue spot.

Throbbing pain in r. forearm on flexor side.

Muscles of forearm, as far as hand, painful when pressed, or taking hold of anything.

188 LYSSIN.

Blueness in streaks down r. forearm.

Wrists have felt some time as if strained; < in morning. Lame feeling in wrist.

At 10 P. M., straining pain in r. hand.

Soreness in r. hand.

Quivering in hands.

Hand trembles so much he can scarcely write.

Trembling of 1. hand when taking hold of anything or press- ing it; muscles hurt most on upper side of forearm down to hand.

Trembling of 1. hand.

Right hand numb for a long time, clumsy, stiff.

Hands numb with headache.

Right hand swollen.

The ball of r. hand hard, cramped and swollen.

After counting copper coin, violent pain in r. hand, between third and fourth metacarpal phalanx* in some motions and on pressure.

Smarting in palm of r. hand.

Intense pain in forefinger of 1. hand.

Pain in first joint of r. ring finger, as if it was going to gather.

Stiffness of fingers and hand.

Woke at 5 p. M. with stinging in forepart of r. index finger, nail turned quite blue.

LOWER LIMBS. — 1| A pressive pain in r. hip bone, goes from there to middle of sacral bone.

Left hip aches in bone.

Felt as if hip bones would slip out of their sockets; had to rest with hands on hips to > the feeling.

Something runs round and round several times in flesh, in region of hip, then down leg to knee.

Pain in thighs, particularly in anterior portion; as if fatigued, after going up stairs; < after sitting down.

Along 1. sciatic nerve a dull pain, returning periodically; < when rising from sitting.

Pain in anterior part of r. thigh, as from a bruise.

Twitching in r. femur, as if some one was pulling from be- low; not painful, comes and goes.

Cramps in thighs.

LYSSIN. 189

«

Biting and itching on thighs.

Laming pain inside of 1. thigh above knee joint, and extend- ing into it.

Tearing pain from middle of anterior portion of r. thigh to knee.

Tearing in 1. thigh to knee.

Knees ache; tearing, drawing pain.

Stinging in r. knee.

Knees tremble at every step.

Laming pain in r. knee joint when getting awake in night; next morning same in 1. knee.

Aching and heaviness in legs below knee.

All day a feeling of weight in legs below knee, seemed as if there were several pounds of lead in tibia of each leg.

Numbness in r. leg below knee.

Pain in all joints of feet, like pressure with a dull point, now here, now there.

Pain in legs very troublesome, not able to walk.

Legs feel as if he had rheumatism.

Pain going down 1. leg.

Twitching in legs.

Legs tired and aching; feel as if beaten, in evening, feel sore and very heavy.

A pain in legs, as if thighs were too heavy, went off at night.

Right leg falls asleep; after seven hours.

After sitting awhile, lower limbs go to sleep; prickling sen- sation.

Weakness in legs when going up stairs.

II Ulcers on legs, with emaciation and coldness, 1. side; con- traction of hamstrings and relaxation of ligaments of ankle joint and flexors of toes.

A curious feeling in legs, as if calf was heavier than usual.

Cramp in r. calf.

Cramp in calves of legs at night in bed; < from stretching out limbs.

Calf of 1. leg ached as if it had been cramped, after waking.

I The pain in calf came even when he was not thinking of bite at all; lately much < and quite severe.

Sharp, biting pain in 1. ankle.

190 LYSSIN.

«

Painful lameness in 1. ankle joint in night while lying in bed.

Heavy feeling in lower limbs, as if a weight was attached to ankles.

Pain from heel into thigh.

After going to bed, intense pain in back of r. heel.

Pain in r. heel and in toes of 1. foot.

Balls of heels so sore that it is painful to walk.

I Great swelling in heel of a cow from dogbite; very restless.

Pain in sole of right foot extending to ankle. Lyssophobia.

Severe pain in r. instep; < after being in bed during cata- menia; at times extremely painful to move foot; does not pain much when walking upon side of foot; 1. slightly troubling at times.

Extending to feet, pain from groins.

Pain extends from ankle bone to great toe.

Shooting from fourth toe to foot.

Some pain in toe next to little toe of 1. foot; shooting into foot.

Tearing in first joint of 1. little toe.

Toes of both feet troublesome, as if nails were too long and broken; pain in small of back and r. temple.

Each dose he has taken has made him feel as if he was getting corns on every toe, his real corns felt remarkably well and did not pain him at all.

Her corns have troubled her but on one occasion since the proving; where she felt as having corns, she had twinges.

Pain like rheumatism; shooting and stinging from knees down; stinging in palm of r. hand to finger ends, as though she had fallen on it.

Aching in knees and shoulders.

Shortly after pain in shoulder joint, afternoon third day; pain goes into knee joint of same side.

Feeling of pressure on shoulders and weight in legs.

Pains or aches in all his limbs; feeling of languor and ex- treme fatigue.

Weight and heaviness of legs and shoulders.

Heaviness of limbs.

A convulsive trembling of limbs during attacks.

When lying in bed, an unusual morbid contraction and toss- ing about of limbs.

LYSSIN. 191

Severe twitches in arms and legs, much resembling chorea.

Shaking or convulsive trembling of limbs.

He felt a severe, bruiselike pain in shoulders, chest, back, arms and legs.

All muscles feel bruised in morning, can neither sit nor lie down.

Loss of power in limbs; gait unsteady, at times some stiff- ness of hind legs; dog.

REST-— POSITION.— MOTION.— Moved quite briskly, though feeling fatigued.

After moving, turning, or stooping, feels as if head would burst.

Very little exertion wearies him, and he feels quite languid.

All day had a disposition to straighten herself up.

Had to rest with hands on hips to > feeling as if hip bones would slip out of their sockets.

Horizontal position: pain in elbows >, also when allowing forearm to hang.

Lying down: thinks she is unable to move head; like a shock in upper part of brain; rush of blood to head; pains up neck and down spine; impossible, pain in rectum and small of back; dyspnea; impossible in dysentery; could not sleep.

Lying in bed: contraction and tossing about of limbs.

Parts on which he lies: burning heat.

Does not wish to rise.

Can neither sit nor lie; all muscles feel bruised.

Sitting: dizziness; must lean back, want of strength in back; pain in thighs <.

After sitting awhile: lower limbs go to sleep.

On rising from a chair: staggers; cannot walk straight; dull pain along sciatic nerve.

When rising: rush of blood to head; tearing stinging in occiput <.

Stooping: inclination to fall to r. ; aching in bones above eyes <; pressing in vertex and forehead; violent headache <; painful rush of blood to head; aching over eyes <; dizzy on r. side of head.

On rising from stooping: dizziness and dimness of vision.

Turning neck: pain in larynx.

192 LYSSIN.

Bending: head backwards: pain in neck >.

If she allows her head to hang awhile it is difficult to raise.

Throws head back: when sneezing.

Bending backwards: does not > pressure below shoulder blade.

Standing: pain in rectum and small of back; impossible, dysentery.

Standing still: on waking, head fixed.

Change of position: disinclination to change position of head; continual change (dog); that would tilt or rotate os uteri would cause much pain.

Stretching limbs: cramps in calves.

Can hardly bend fingers; stiffness.

Turning around: painful rush of blood to head.

Taking hold of anything: muscles of forearm painful; trem- bling of 1. hand.

Least motion: all joints cracked.

Moving: head < pressing in vertex and forehead.

Aversion to move: great weakness.

At every step: knees tremble.

Could not make a hard step: during catamenia.

Walking: as if she would fall; dizziness, with dim sight; five minutes after, sharp pain above eyebrows and up nose; quickly, causes pressing pain in hypochondria; pain in region of spleen; enforced by terrible pain in rectum and small of back; great weakness in chest; stitches in heart ; impossible on account of pain in legs; painful on account of soreness of heel; on side of foot, instep not so painful.

Going up stairs: pain in thighs; weakness of legs; very weak.

After a short walk: exceedingly fatigued and weary.

Stirring about: violent headache <; painful rush of blood to head.

Swallowing: difficult, particularly fluids; stinging sensation; causes constriction of throat; causes terrible pain; bread causes greatest agony; stitching sensation.

NERVES* — Until dinner time he felt so strangely in his whole body as never before, without being able to define the feeling.

In all motions of her body and in her looks is expressed a peculiar erethism.

LYSSIN. 198

All things afiect him more, tobacco included. Irritability; violent agitations.

I He could neither lie down nor stand up for any length of time.

Great restlessness, anxiousness, distress; tossing alj^out.

In afternoon whole body trembles, she can scarcely speak; stinging in one of cervical vertebra; when stooping feels dizzy on r. side.

Afternoon tremulous in whole body and very weak, can hardly talk.

Continual trembling sensation through whole body. The strange feeling changed during night into a trembling^ and he is full of fear.

Twitching of muscles throughout entire body (last stage).

Twitching of tendons, with tendency to general convulsions.

Severe nervous twitches in whole body all day.

Felt quivery all over.

If during great restlessness she attempts to sit down and work, she has alternately twitching in arms and legs.

Nervous twitching, with trembling of r. hand.

Starts now and then.

Muscular contractions appear with various degrees of in- tensity, from slightest convulsion to those of most severe and clonic form; frequently tetanic convulsions.

Spasms of individual muscles, as well as of muscular system in general, clonic, rarely tetanic.

The spasms have the character of reflexed spasms; their proximate causes are: attempts to swallow; speaking; a cur* rent of air; sight or idea of fluids; sight or sound of running water; coming in contact with another person; a bright light; sight of shining objects or of some strange person; a loud noise or strong odors.

Sensation of convulsive actions in different parts; distress of epigastrium; heaviness of limbs and general prostration.

Exertion is frequently succeeded by convulsions.

II Attacks returned every few minutes, for five hours, until they were arrested; pain passing down spine to loins and hips, and from thence to knees.

Convulsions conjoined with an exalted state of sense of smell, taste and touch.

194 LYSSIN.

Spasms of legs and arms, occasionally very severe.

Clonic convulsions; decided tetanus or trismus not observed; opisthotonos in rare cases.

In quick succession violent epileptic attacks.

Spasms so violent that four strong men could hardly hold him and prevent him from hurting himself.

Every day at 9 P. m., convulsive startings.

She struck, snapped and bit at everything and every person.

Pain commencing in cicatrix of bitten thumb, producing slight spasm, and still greater disposition to snap and bite and to grind teeth, which were entirely beyond his control, caus- ing him to fall on floor.

Suddenly a severe pain in bitten thumb, after nine days, instantly passing up spine and thence into brain, producing a violent, nervous convulsion for a few moments, with a disposi- tion to snap and bite; passed off in two or three minutes.

Convulsions came on and lasted for a short time, then per- fectly placid for some time before death.

II Convulsions daily; rolls head from side to side; winking and rolling eyes; attempts to bite others; pelvis and legs are turned to one side as far as possible. Child, aet. 2. after scarlatina.

Feels as she did when she got up from a nine day's illness; feels so heavy and sore.

Great debility and disinclination to move about, lasting till 2 p. M., gradually diminishing.

Feeling of malaise and debility at 3 P. M., great disinclina- tion to move.

Does not wish to rise.

Very soon a sensation of weakness, a kind of flabby lassi- tude, like days after great exertion, or after a fever or other disease.

Great weakness and restlessness, does not know where to turn, would prefer to lie down, but it affects his breathing.

Such weakness that knees tremble at every step, and she feels as if she would fall.

Weakness: with sore throat; after urinating; of sexual organs.

During exhaustion more nimble and active.

LYSSIN. 195

Fatigue and heaviness in legs.

Great physical relaxation; whole body feels fatigued; tired all over.

Felt irritable, tired and nervous.

With numbness of paralytic symptoms the violence of all others increases.

I At times a singular sensation, a kind of "die away'' feel- ing, quite instantaneous, cannot describe it; seems to extend through heart to back; accompanied with quivering around breast bones and pain in nerves, from L side of chest to throat and 1. jaw; fluttering about heart.

Felt stiff and tired; required an effort to draw his breath.

After singing, suddenly falls down as if dead, with eyes shut, face red, quick breathing, pulse 100.

A stage of general paralysis; an abatement of most distress- ing symptoms; a freer respiration; a diminution of reflex ex- citability; less impediment to deglutition; a rapidly increasing debility and prostration before death.

Sleep

Inclination to yawn, with stiffness of lower jaw.

Felt inclination to gape and stretch.

Felt drowsy; in afternoon; irresistable drowsiness, 9 p. m.

Sleepy after a meal, slept one hour without relief.

Frequent yawning, without sleepiness, particularly when hearing others yawn.

Did not sleep more than thirty minutes until after 2 a. m.

Insomnia; sleepless in spite of narcotics.

Passed most of his nights sleeplessly, walking up and down in despair. Lyssophobia.

Restless night, with stupefaction in head.

Sleep fitful, position continually changed; dog.

Excited, cannot sleep.

Felt as he did some years since, when sitting up with a sick relative three nights out of five, unable to sleep during day from nervous anxiety.

When lying down could not sleep, eyes open, unless he pur- posely closed them, when they reopened involuntarily.

Went to bed at 10:30 p. m. (as usual), could not sleep (a very unusual circumstance); dozed and heard various noises till 3 A. M., which caused him to get out of bed to ascertain

196 LYSSIN.

what they were; started frequently; slept soundly from 7 to 8:30 A. M.

Went to bed at 10 p. M. in great pain all over; woke up at 11:30 p. M. with very severe pain in stomach, lasting one hour.

After 10 P. M., while in bed, all symptoms more severe.

Had a restless night, woke repeatedly and felt tired.

Woke several times at night with pain in wounded arm.

Starting in sleep, afternoon.

Has to scratch whole body, and has no sleep for it all night.

Became more restless night before death.

Dreams: of influential persons to whom he occupies posi- tion of servant or subordinate; of a Latin debate with students of law, astonished at facility and fluency with which he spoke Latin, it being far greater than he was capable of in a waking state; of dogs all the time, but they are different dogs from the one thati bit her; of fighting, of high places, of insane asylum, of churches; disagreeable, when she falls asleep, night or day; only in first half hour.

Jumped up in bed.

I During night slept but little; was disturbed by disagree- able, disconnected dreams; felt strangely. Lyssophobia.

On waking stands perfectly still for a time; head fixed as if gazing at some distant object; a dog.

Sleepiness when unable to sleep, and sleeplessness when she might otherwise have slept; generally restless at night.

On waking is morose, inclined to be angry.

Late getting awake, and difficult to recover from sleep.

Slept from 4 to 6 P. m., woke up and felt dreadfully nervous; had a great fear as if something was going to happen.

In morning, after exciting dreams, much fatigued, feels tired in sacrum and back.

If inclined to sleep, it is short, disturbed, with frightful dreams, and on awaking is apt to fall into slight convulsions.

On awaking from siesta, numbness in head.

TIME* — 2 A. M. : did not sleep more than thirty minutes until after.

3 a. m. : became cold in bed for one hour.

Morning: violent vertigo, with chill and headache; after rising, slight frontal headache < ; when getting awake, boring

LYSSIN. 197

in temples; woke with burning, aching headache; severe head- ache; lid puffed up like an eggshell; on awaking lids feel para- lyzed before rising; on hearing water poured, obliged to have an evacuation; pressing in forehead early; frequent sneezing; (6 A. M.) tickling in 1. cheek; heat in face; bitter taste; swal- lowing less difficult; little appetite; stools more frequent, diarrhea, with violent pains; urine yellowish brown; both breasts swollen; muscles stiff; pressing across r. ear; wrists as if strained < ; pain in 1. knee; all muscles feel bruised; much fatigued.

8 A. M. : pain in 1. side.

9 a. m. : severe headache begins; suffocating feeling in chest lasting till 10:80 p. M.

At 10 a. m.: began to spit a great deal; soreness and con- striction in throat.

At 11 A. M.: soreness in throat till noon; stitches in heart for a few minutes.

In forenoon: sore throat; belching; gnawing pressure in 1. side; painful sensation in upper part of abdomen.

Towards noon: headache with increase of saliva; pain in testicles < .

At noon: slight headache, lasting rest of day; pain in r. elbow.

Until dinner time: felt strangely in his whole body.

After dinner: disinclined to think; headache very severe; pressing in epigastrium; sexual excitement.

Afternoon: very severe headache; dull pain in forehead, with stupid feeling; pressing in vertex and forehead; dull pain in forehead; sick headache; dull heavy pain in head; headache, with nausea and sore pain around heart; stinging pressure be* hind ears; ranula, with dryness of mouth < ; stinging in chest, with palpitation; sour belching; erections; itching and burning on corona glandis; burning and tenesmus as if in prostatic gland and in urethra; increased peristaltic motion of scrotum; first hours pain in testicles < ; pain in wounded 1. arm; pain in shoulder joint; whole body trembles; drowsy; starting in sleep;

Fever

1 p. M. : slight pain in r. shoulder joint.

2 p. M.: intense pain in head; sore throat; violent spasm of

198 LYSSIN.

throat; laid down and found head twisted to 1. side, found it quite comfortable; felt numbness in 1. side; severe pain across back; pain in 1. elbow.

8 p. M.: headache very severe; peculiar constriction in back of throat; feeling of malaise and debility.

Until 4 p. M.: feels as if he had heard or would hear un- pleasant news; pressure on upper part of head.

4 p. M. : constriction in throat < ; violent pain in r. kidney lasting one hour.

5 p. M. : swallowing more difficult; woke with stinging in forepart of index iinger.

During day: rising of bile in throat; diarrhea, with pain < ; unable to sleep from nervous anxiety; disagreeable dreams when falling asleep, only first half hour. . All day: felt depressed and weak; spitting of saliva; headache with dizziness; sore throat; intense pain in head; violent head- ache < ; a peculiar sensation of head; itching in nose; spitting; very severe sore throat; slight pain in lumbar region; terrible pain in throat; sensation of emptiness and discomfort in sexual parts after coition; dull pain in heart; difficulty in moving head; severe backache and numbness of hands; pain in back across hips; a tearing and stinging in 1. shoulder joint; weight on shoulders; feeling of weight in legs; severe nervous twitches in whole body; had to lie in bed, with severe pain in all bones.

Evening: fretful, hypochondriac mood; vacillating motion of head; dull pain in forehead; pain above 1. ear; shooting in eyes; pressive burning in r. concha; late, frequent sneezing; drawing in side of face; disinclined to think; want of appetite, followed by great lightness of head; when in bed, rending across abdomen; aching from groins to feet; pain about neck of bladder; cooling, burning, congested feeling in region of bladder; profuse watery urine; urine yellowish brown; strong erections without sexual excitement or thoughts; increased peristaltic motion of scrotum; chest as if beaten; back ex- tremely sore; pain in wounded 1. arm; pain in 1. arm and wrist; legs tired and aching; late, less inclined to chilliness.

After supper: pressing in spleen; lewdness, with weakness of parts, but inclined to an emission.

6 p. M. : sore throat >.

I

LYSSIN. 199

7 P. M.: sore throat; slight, dull shooting pain in heart till 10:30 p. M.

8 p. M. : salivation recommended.

9 p. M.: severe shooting pain in head; carious stinging pain in 1. eye; spasm of throat > ; violent pain in heart; irresistible drowsiness; a dripping, warm perspiration from wrist to nails of r. hand.

10 p. M.: pressing pain in head; pain in wounded 1. arm < ; stinging pain in r. hand; pains severe until that time.

After 10 p. M. : while in bed all symptoms more severe.

10:80 P. M.: numbness in r. arm; went to bed, could not sleep; dozed and heard various noises till 8 a. m., started fre- quently.

11 p. M. : as if she was going to have a fit.

11:80 p. M.: awakes from sleep with severe bellyache.

After going to bed: intense pain in back of r. heel; pain in heel.

Night: delirium < ; tempted to bite her pillow; incessant talking; disturbed dreams; stupidity with restlessness; on hear- ing water poured, obliged to have an evacuation; hears various noises; vomiting in sleep; stools most frequent; swelling of breasts; laming pain in r. knee joint when getting awake; pain in legs goes off; cramp in calves of legs; while lying in bed, laming pain in joint of 1. foot; painful lameness in 1. ankle joint; strange feeling changed into a trembling, generally sleepless; walking up and down in despair; stupefaction in head; woke several times with pain in wounded arm; sleepless on account of scratching of whole body; more restless; dis- agreeable dreams; itching quite severe; intolerable itching in lower part of body to feet; stitches in heart; pain in back; itching on lower half of abdomen.

TEMPERATURE AND WEATHER.— | Burning sensation in bit- ten place > by hot steam striking against it. Lyssophobia.

I Unbearableness of heat of sun. Dropsy of spine with sheep.

The damp, warm weather oppressed him.

Expressed a desire to go into bath; after warm bath more irritable to external air, the most distressing symptom that occurs.

200 LYSSIN.

Great sensitiveness to every breath of air.

A very gentle stream of air projected from lips on to pa- tient's forehead, and continued only for a few seconds, brought on a violent spasm.

Asked her mother to beg him not to breath upon her face again, as it distressed her so much (after Bellad.).

Air, of agreeable temperature, feels cold and disagreeable.

Continually directs a window to be closed which is not open.

Draft of air, or opening or closing door, brings on spasms.

Extreme sensibility to cold or least variation in temperature of air.

Heat of sun: cannot bear it.

Warm drinks: more easily taken than water.

As soon as he gets warm in bed: itching in inner sides of thighs and knees; compelled to scratch.

Open air: headache > ; feels a chill strike r. arm.

Breath of air: sensitive to.

Blast of air: causes greatest distress.

Wet weather: aching in 1. side of head <.

In cold room, while uiidressing: strong erections.

Cold air: > headache; headache, with nausea and sore pain in heart >.

Fever

Paroxysms of intense coldness with pain in spine.

During paroxysm, limbs cool and livid.

Attacks of vertigo, chilliness, sometimes chills; at least one a day for several days, not always accompanied by vertigo, though always accompanying it.

Late in evening less inclined to chilliness.

Chilly feeling, more down r. (bitten) arm.

Felt chilly and cold all over; shaking.

" Desire for heat " marked.

Became cold in bed at 3 a. m., although covered with four blankets; lasted about one hour.

Chills intermixed and followed by cold sweat.

A fever, sometimes preceded by slight shiverings, generally very mild.

Face sweats, with flushes.

Temperature of body 100 to 104** Fahrenheit, seldom rises to 105 or 106.

LYSSIN. 201

Cannot bear heat of sun.

Fever in afternoon.

Slight fever, with flushes of heat.

Fever every evening, commencing at dusk and lasting until bedtime (midnight).

Sensation of burning heat in parts on which he lies.

He feels the pulse's beat through body; from time to time there is a surging through throat into head, like a slow wave.

Great fever, no chill; pulse 160; no appetite; thirst, drinks cold water very often; stupid and sleepy.

Feverish heat, with headache.

Sensation as if a hot wave, iine, like vapor, surged through body, taking an outward course, yet not reaching surface or extending into limbs.

Heat, with pressure in forehead and back.

After drinking some coffee, a strong heat in r. side of face, followed by aching in front of upper part of head; after this again heat from nape of neck up head over ears and r. side of face; with heat in eye from within outward and tickling in ear.

Sensation of heat felt internally and externally through en- tire body, no external warmth, it forces perspiration out on face as from weakness, and is accompanied by lassitude and aching in legs.

At 9 p. M., a dripping, warm perspiration from whole r. hand, from wrist to nails; afterwards hands and fingers stiff, she can hardly bend them.

Skin covered with clammy sweat (last stage).

Skin moist, even covered with sweat; during spells, limbs cold and livid.

Much better after perspiring.

I Intermittent fever.

ATTACKS, PERIODiaTT.— ''Other diseases, when poison is absorbed, have their periods: the canine poison depends on climate and constitution and different periods, from first day till nineteen months.'*

Took several drops of 300, after having been bitten in nose; symptoms next day and the following, and well the third day, first symptoms returned on the twelfth day.

I First day >; next day <; on third day salivation returned. Lyssophobia.

202 LYSSIN.

Irregular fits of backache and chills, increasing steadily.

Paroxysm, combined with a feeling of suffocation, almost produces strangulation.

Sudden convulsions of a paroxysmal character.

I Periodically since two weeks. Spasms of throat.

Attacks every few minutes, for five hours: pain down spine to loins and knees.

Periodical: ranula; spasm of esophagus; dull pain along 1. sciatic nerve.

Alternating: of heat and headache; twitches in arms and legs.

Repeated eight times: pain from sacrum to middle of back.

For one hour: pain in r. arm.

For two hours: pain in and between both shoulders; pain in inguinal glands.

Every two or three hours: has a twitch in heart.

For four hours: sharp shooting pains in region of heart.

After seven hours: r. leg falls asleep.

From noon till evening: headache.

From 2 p. m. to 9:30 p. m.: violent spasm in throat.

From 3 to 4 p. M. : headache.

From 4 A. m. till evening: pain in kidneys and across hips.

From 4 p. m. till bedtime: feeling of numbness in r. arm.

Daily: passes from time to time a little dark blood from uterus.

Every evening: distension of abdomen; fever commencing at dusk and lasting until midnight.

Three successive mornings: soreness across chest, both breasts swollen.

First days: smoking unpleasant, after first week a crazy, in- satiable desire to smoke.

Day after embrace: pain in testicles.

Every other day at 5 p. m. : boring in temples.

During three days: her sense of smell painfully acute.

Lasted eight days: painful throbbing in region of spleen.

After nine days: severe pain in bitten thumb, thence to brain, nervous convulsion for a few moments, passes off in two or three minutes.

Forty days ago: small wound exposed during dissection of mad dog, feeling of malaise and fatigue, followed by death.

LYSSIN. 203

Two weeks before time: catamenia.

For two or three weeks: scrotum tightly drawn up.

In Summer, of six weeks* standing: pain and tenesmus on hearing or seeing running water.

For several months: offensive mucus from uterus.

For three months: sticking, drawing, squeezing pain in heart.

For seven years: prolapsus uteri.

Tissues

Affects principally the nervous system.

Great blueness of veins and redness of arteries on wounded arm.

Tearing and shooting as if in bone.

Supraorbital bones feel shattered.

Aching in bones; every bone seems bruised and sore; as if every bone had been broken or violently beaten; never had such pains, had to return to bed and lie there all day.

All his joints cracked on least motion, and pain was quite severe till 10 p. m.

Lost flesh, getting thinner all over.

Quick tendency of body to putrefaction.

I Chlorosis.

TOUCH. PASSIVE MOTION. INJURIES.— He cannot bear to ride in a carriage, feels generally unwell during or after it.

When water (in bath) was least ruffled, so as to touch a fresh surface, convulsions were excited.

Faceache after puncturing a pimple on cheek.

A lacerated wound on r. cheek, behind ramus of jaw, one and a half inches, and three lines of abrasion in front of same cheek.

Local sensations of pain in wound or scar continue often after prodromic stage, in an increased degree in higher stage, but are in last scarcely heeded.

Peculiar sensations are frequently experienced at seat of bite, or in adjacent parts; like a sensation of pricking, boring or burning, always proceeding from wound.

Complained of a pain in r. arm (bitten part); no inflamma- tion or enlargement of glands of axilla could be discovered.

Tearing pains often proceed from wounded parts, frequently attributed by patients to effects of a cold and to rheumatism thereby induced.

204 LYSSIN.

Shooting out from bitten part towards trunk, less frequently extending outward from sensorium, or in some locality other than part injured.

Wound in exceptional cases appears inflamed and swollen; of a reddish or bluish hue.

Sensation of creeping and pain in scar.

Next morning wound red around edges.

Great redness of small bloodvessels around wound.

Soreness in muscles around wound, which is now almost healed.

The wound healed without irritation kindly in course of twelve or fourteen days.

Some are without pain in bitten part.

No pain, swelling or inflammation in lymphatic glands, be- tween bite and thorax.

The wounds heal kindly and are characterized by a striking absence of inflammatory reaction.

The subsequent inflammatory reaction (after caustics) is generally slight, while pain thereby produced is moderated.

Even after application of strong caustics, wounds manifest a strong tendency to skin over without granulating.

Never saw a wound more disposed to heal; he was abroad in five weeks, yet afterwards affected by hydrophobia.

The ready healing of the wound made by the bite of a rabid animal is similar to the rapid healing of wounds in those af- fected with leprosy.

Touching scar is said to produce peculiar sensations, a shuddering, feeling of anxiety, and sighing.

Sensation of creeping and pain in scar.

I A bite of an angry dog into r. thigh had not healed, turned into malignant ulcers; surrounding bluish red edges, raised and hard, bases badly suppurating and ichorous, with redness and hardness.

I Scars from a bite in nose swollen and red for fifteen months.

Ulcers remaining after bite of evil disposed dogs. Pain on spot bitten became burning, and extended over whole body, and he felt very strangely. Lyssophobia.

I Felt a continued pain in spot on r. calf where he was bit- ten, but without a lesion. Lyssophobia.

LYSSIN. 205

Wounds from bite of dogs, in sheep.

A cow bitten by a dog in foot had a large swelling of part, and animal got very, restless.

I Two puppies, bitten by their rabid mother, did not get mad after taking Lyssin.

It may be a prophylactic to hydrophobia, but never without at the same time applying radiate heat to the part bitten, and frequent sessions in hot room of Turkish bath; during the at- tack remedies are to be applied according to symptoms.

Slightest touch: brings on convulsions; along whole verte- brae causes irritability akin to convulsions.

Touch: on head makes it ache; small pustules on frontal eminence; nose very sensitive; pimple on eminence of forehead painful; pain on cheek <.

Pressure: on neck of bladder; causes < pain in neck; causes pain in larynx; muscles of forearm painful; violent pain in r. hand.

Disposition to press hand against lower jaw.

Presses head against wall; headache.

Rubbing: headache >; causes ear to pain.

Gentle scratching: headache >.

Scratching: itching in both ears disappears; scurf off pim- ple, discharge of lymph and blood; sheep's back makes them quiet; < biting and itching in various parts of body; causes small red spots in a circle on inner side of thighs.

Skin

Quick tendency of the wound to heal (the same in leprosy).

Many underwent smallpox subsequent to reception of bite, and after their recovery died of hydrophobia.

Biting, itching in various parts of body, < by scratching.

Very slight headache and biting itching all over body and legs.

Itching quite severe during night.

Had to scratch frequently, or rather rub.

Through night intolerable itching in lower part of body down to feet.

Itching in r. hand, 1. foot, and in various parts of body.

I Bluish discoloration of bitten place (after Laches.).

Itching as soon as he begins to get warm in bed, particu-

206 MAGNETIS POLI AMBO.

larly on inner side of thighs and knees; after scratching there appeared small, red spots in a circle.

When in bed he is compelled to scratch; cannot sleep all night.

I Pustules: on forehead; around inflamed eye; on finger (after bite).

Malignant ulcers from bite of a dog. Red scar from bite of a dog.

I Cancerous sores.

Herpes circinatus appeared on 1. leg, below knee and livid yellow complexion gave way to a healthy color.

MAGNETIS POLI AMBO (The Magnet).

Symptoms produced by touching either pole of the magnet, indiscriminately, or by laying the whole of the magnetic sur- face upon the body. The potencies have been prepared by triturating milk sugar which had been saturated when ex- posed to the emanations of the magnet, a method Hahne- mann does not appear to have practiced.

The pathogenesis of the magnet as a whole, and of each pole separately, is from Hahnemann's Materia Medica Pura. It is to the original provings and observations of Hahnemann that we owe these valuable remedies, and no better or more logical introduction perhaps can be given than he has fur- nished in the Materia Medica Pura:

To the ordinary mechanical, materialistic, and atomistic heads — and there is a vast number of such — it seemed not only paradoxical, but child- ish and incredible, that, according to the homeopathic medical doctrine, the administration of doses of only very minute fractions of a grain of the more powerful medicines could be of use.

I grant that it may certainly be tnore convenient to regard all diseases as accumulations of gross impurities, and active drugs as rough levers and brooms, or as chemical reagents, consequently as ]>alpable things. This may, I repeat, be more convenient than to regard those alterations of the being of living creatures (disease) as pure dynamical affections of the vital force, and medicines as pure, virtual, tone-altering powers, as they are in reality, and to set about curing according to these views.

If we do not adopt these true views, but adhere to those ordinary mate-

MAGNETIS POLI AMBO. 207

rial ones, the cnrative powers of medicine must be estimated according to their balk and the weight ^f their dose; and hence the scales must deter- mine the efficacy of the dose. But in that case we must first ascertain the weight of the disease, in order to be able to reckon whether a disease weighing so many pounds (it has, indeed, been hitherto not unusual to employ the phrase ^^ grave illness"; could be pried out, as with a lever, by such a weight of medicine.

I willingly abandon to those colleagues of mine such atomistic views, by which the business of treatment can be carried on very comfortably, even when half asleep; for, as we all know, to us poor mortals nothing is more easy of comprehension than the material, ponderable, palpable, and sensi- ble, because much thinking (and observing), as an Israelitish teacher says, is a weariness to the body. I cannot suppose them capable of regarding disease as immaterial alterations of the vitality, as pure dynamic derange- ments of our state of health, and medicinal powers as mere virtual, almost spiritual, forces. It is impossible to disabuse them of the idea that for such and such a grave disease a dose of medicine of such and such a weight is required, seeing that they could point to the traditional practice of thou- sands of years, when palpable quantities of medicine must always be poured into the patient from large bottles, pots, and boxes, in order that any effect should be produced in- serious diseases, and yet even this did not usually succeed. I can readily believe this; the effect of the ordinary treatment of all times fully corroborates it But how can they reconcile it with the atomistic, materialii(tic notions they entertain respecting the action of medicines and their curative powers, that a single imponderable spark from a Ircyden jar gives a shock to the strongest man, and yet no ascertainable ponderable substance is communicated to his body ? How can they recon- cile with their atomistic, materialistic notions the enormous power of mesmerism, when a powerful man with a strong will to do good approaches the point of his thumb to the pit of the stomach of a nervous patient? How can they, finally, reconcile with their atomistic, materialistic notions respecting the actions of medicines the fact that a carefully -constructed magnetic steel rod can effect such a powerful derangement of our health, even when it is not in actual contact with the body, but may even be cov- ered with some thick material (such as cloth, bladder, glass, etc. ) , so that we suffer therefrom violent morbid affections; or what is equally remark- able, that a magnetic rod can quickly and permanently cure the most severe disease for which it is a suitable medicine, when it is brought near the body, for but a short time, even though covered as above described? Atomistl you narrow-minded wiseacre I tell me what ponderable quantity of the magnet entered the body in order to effect these often enormous clianges in its state of health? Is not the centillionth of a grain (a frac- tion of a grain that has 600 ciphers for its denominator) still infinitely too heavy to represent this absolutely imponderable quantity, the kind of spirit that emanated from the magnetic rod into this living body ? Will you now continue to express your amazement at the homeopathic doses of powerful medicines of the sextillionth, octillionth, the decillionth of a

208 MAGNETIS POLI AMBO.

grain, which are gross weights compared with this invisible magnetic power?

The subjoined symptoms occurred from various powerful magnets brought in contact with various sensitive individuals, without distinction of the poles. They were observed in experiments conducted for half a year for the purpose of ascertaining the. proper and most efficacious mode of stroking the steel with magnets, in which a horse-shoe magnet capable of lifting twelve pounds was held in the hands, which were in contact with both poles for an hour at a time.

Mind And Disposition

II While attending to his business in the daytime, he talks aloud to himself, without being aware of it.

He is faint, but excessively solicitous to do his work properly.

Excessive exhaustion of the body, with feeling of heat, and cool sweat in the face with unceasing, and, as it were, hurried and overstraitied activity.

Hurried zeal; afterwards a gnawing pain in the arm and in the head of the humerus.

II Hurried heedlessness and forgetfulness; he says and does something different from what he intends, omitting letters, syllables, and words.

I He endeavors to do things, and actually does things con- trary to his own intentions.

Wavering irresoluteness, hurriedness.

He is unable to fix his attention on one object.

The things around him strike him like one who is half dreaming.

Print seems to him very bright, but he has a difficulty to comprehend what he reads.

I He inclines to be angry and vehement; and after he has become angry, his head aches as if sore.

He is disposed to feel vexed; this gives him pain, especially a headache, as if a nail were forced into his head.

SENSORIUM. — Vertigo in the evening after lying down, as if he would fall, or resembling a sudden jerk through the head.

When walking he staggers from time to time, without feel- ing giddy.

The objects of sight seem to be wavering, this makes him stagger when walking.

Head

Whizzing in the whole head, occasioned by the im- position of magnetic surfaces on the thighs, legs and chest.

MAGNETIS POLI AMBO. 209

The head feels confused as when one takes opium.

The head feels as if some one were trying to pull it off the trunk.

When endeavoring: to think of something and fatiguing his memory, he is attacked with headache.

Transitory headache, one single jerk, composed of darting and tearing sharp pain in the middle of one of the two hemi- spheres, like the pain that is felt at the moment when one re- ceives a blow.

In the morning on waking, he feels a horrid, digging-up» stupefying headache, going ofi immediately after flatulence begins to move about in the abdomen.

Headache, as is felt after catching cold.

II Headache occasioned by the least chagrin, as if a sharp pressure were made on a small spot in the brain.

I Pain in the region of the vertex, at a small spot in the brain, as if a blunt nail were pressed into the brain; the spot feels sore to the touch.

Sensation on top of the head, as if the head and the whole ' body were pressed down.

Face

Cold hands, with heat in the face and smarting sen- sation in the skin of the face.

Intolerable burning prickings in the muscles of the face, in the evening.

II Sweat in the face without heat, early in the morning.

Eyes

I Dilated pupils with cheerfulness of the mind and

body.

There was no dilatation of the pupils during the spasmodic attacks and the loss of consciousness.

Burning, tearing, and sparkling in the eye.

Burning, drawing, and constant sparks in the affected eye.

I Fiery sparks before the eyes, like shooting stars.

Intensely painful stitches through the right eye, disappear- ing in the jaw, followed by a drawing through the same eye, down the neck, through the chest, abdomen and hips toward the right lower limb.

Sensation in the eye as if the pendulum of a clock were moving in it.

White, luminous, sudden vibrations, like reflections of light, at twilight, on one side of the visual ray, all around.

210 MAGNETIS POLI AMBO.

Smarting: in the eyes in the evening after lying down, as from acrid tears.

I Itching of the eyelids and eyeballs in the inner canthus.

Dryness of the eyelids and the inner mouth, in the morning, after waking.

Sensation as if the eyelids were dry.

Twitching of the lower eyelid.

Ears

The external ear feels hot to him, but is not hot.

Itching or itching burning in the meatus auditorius, early in the morning when in bed.

Fine whistling in the ear, coming and going like the pulse.

Loud strong whizzing in one of the ears, accompanied with headache of the same side, as if a foreign body had lodged in the brain; the pupil of this side is very much enlarged.

Whizzing before the ears.

Noise as of seething water in the ear.

Electric shocks in the ear.

Hard hearing without noise in the ear.

Nose

Burning pain at a small spot under the wing of the nose.

Illusion of smell: smell of manure before the nose, from time to time he imagines he has a smell before the nose such as usually comes out of a chest full of clothes which had been closed for a long while.

TEETH AND JAWS. — Near the vermilion border of the upper lip, not far from the corner, a white pimple, or a red inflamed little tubercle, painful like a sore, in a state of rest, but most painful when moving or touchmg the parts.

Little ulcer in the centre of the inner surface of the lower lip, painful to the touch.

Painful sensitiveness around the margin of the lips.

Metallic taste on one side of the tongue.

Tearing pain in the periosteum of the upper jaw, coming with a jerk and extending as far as the orbit; the pain con- sists in a tearmg, boring, pricking aud burning.

Darting-tearing pain in the facial bones, especially the an- trum Highmorianum, in the evening.

When taking a cold drink, the coldness rushes into the teeth.

MAGNETIS POLI AMBO. 211

Drawing pain in the jaws extending as far as the temple^ with a crampy sensation in the muscles of mastication.

Looseness of the teeth.

Toothache, excited by stooping.

Beating or jerking pressure, only in single jerks.

Violent grumbling in the teeth, even without any apparent cause.

The gums of a hollow tooth are swollen and painful to the touch.

Aching pain of the hollow, carious teeth.

I Uniform pain in the roots of the lower incisors, as if the teeth were bruised, sore or corroded.

MOUTH AND PHARYNX.— Shocks in the jaws.

Shock in the teeth with burning.

Pain in the velum pendulum palati, as when a large mouth- ful has been forced down the throat.

Pain of the submaxillary gland as if swollen, early in the morning, in the open air.

Tensive pain in the submaxillary gland.

Single dull prickings in the submaxillary glands, in the evening.

Frequent accumulation of saliva in the mouth, almost like ptyalism, with pain of the submaxillary glands.

II Ptyalism every evening with swollen lips.

I Bad smell from the mouth which he does not perceive him- self, also with much mucus in the throat.

Swelling of the throat, redness of the face and increased palpitation of the heart.

I Continual fetid odor from the mouth, without himself per- ceiving it, as in incipient mercurial ptyalism.

Burning of the tongue, and pain of the same when eating.

TASTE AND APPETITE. — 1| Hunger, especially in the evening.

I He has an appetite, but the food has no taste.

He has a desire for tobacco, milk, beer, and he relishes those things; but he feels satisfied immediately after com- mencing eating.

I Aversion to tobacco, although he relished it.

Want of appetite without any loathing, repletion or bad smell.

212 MAGNETIS POLI AMBO.

Beer tastes like water.

Stomach

Eructations, tasting and smelling like the dust of sawed or turned horn.

The eructations taste of the ingesta, but as if spoiled.

Frequent attacks of unsuccessful or imperfect eructations.

When stooping, an acid substance rises from the stomach into his mouth.

Pain as from a bandage over the stomach, in both sides.

A sort of rushing through the stomach and the intestines, mingled with stitches.

Pressure in the stomach with cramps in the direction of the upper parts; restlessness which did not permit her to remain at any one place; heaviness of the tongue, paleness of the face, and coldness of the body, the pulse being very small, tight, unequal.

This series of symptoms appeared every day at the same hour, for ten days in succession, in three females, decreasing progressively.

Crackling and cracking in the pit of the stomach, as when a clock is wound up.

Sensation of an agreeable distention in the region of the diaphragm.

Pressure in the epigastrium, as from a stone, especially when reflecting much.

Tensive aching and anxious repletion in the epigastrium.

•ABDOMEN. — ^The flatulence moves about in the abdomen, with loud rumbling, painless incarceration of flatulence in various small places of the abdomen, causing a sharp aching pain and an audible grunting.

Loud, although painless rumbling, especially in the lesser intestines, extending under the pubic bones and into the groin, as if diarrhea would come on.

Emission of short and broken flatulence, with loud noise and pains in the anus.

II Loud rumbling in the abdomen, early in the morning when in bed; afterwards colic as if from incarceration of flatulence.

Putrid fermentation in the bowels, the flatulence has a fetid smell and is very hot.

II Qualmish sensation and painfulness in the intestines, as if

MAGNETIS POLI AMBO. 213

one had taken a resinous cathartic or rhubarb, with painful emission of hot, putrid flatulence.

Every emission of flatulence is preceded by pinching in the abdomen.

Tensive and burning pain in the epigastrium and hypogas- trium, followed by a drawing and tensive pain in the calves.

Burning and digging-up in the abdomen like a heaving.

Itching of the umbilicus.

STOOL — Frequent but almost unsuccessful urging to diar- rhea in the morning, alternating with rumbling of flatulence in the abdomen.

Diarrhea without colic.

Constipation with headache for several days, as if there were something wrong in the brain; the head is uniformly afiected, the mind feeling vexed and impatient.

II Constipation as if the rectum were constricted and con- tracted.

II Violent hemorrhoidal pain in the anus after stool, erosive as if sore, and as if the rectum were constricted.

I Burning at the anus when sitting, as in hemorrhoids.

II Itching hemorrhoids.

II Blind hemorrhoids after soft stool, as if the varices on the margin of the anus felt sore, both when sitting and walking.

II Prolapsus recti when going to stool.

Pain on either side of the anus, consisting of itching and soreness, when walking in the open air.

DROiARY ORGANS.— Burning in the bladder, especially in the region of the neck of the bladder, a few minutes after urinat- ing.

MALE GENITAL ORGANS.— Burning in the urethra, in the re- gion of the caput gallinaginis, during an emission of semen.

II Early in the morning he feels a burning in the region of the vesiculse seminales.

II Nightly emissions of semen.

{Violent continuous erections, early in the morning when in bed, without any sexual desire.

II Want of sexual desire, aversion to an embrace.

I The penis remains in a relaxed condition, in spite of all sexual excitement.

214 MAGNETIS POLI AMBO.

The prepuce retreats entirely behind the glans.

Swelling of the epididymis, with simple pain when feeling it or during motion.

Itching smarting of the inner surface of the prepuce.

Burning smarting under the prepuce.

Increased metrorrhagia in a woman advanced in age.

II Menses had ceased a few days before, returned next day after imposing the magnetic surface and continued ten days.

Larynx

Frequent fits of nightly cough which does not wake him.

In the evening, after lying down, he has a violent fit of dry cough, sometimes during sleep.

Violent but short-lasting attack of dry cough in the night and at other periods, followed by slight discharge of ordinary mucus from the trachea.

I Convulsive cough.

II Mucus in the trachea which is easily hawked up, evening and morning.

II Violent fit of cough, with profuse expectoration of blood,

CHEST AND LUNGS. — Asthma after midnight when waking and reflecting, occasioned by mucus in the chest, diminished by coughing.

Intolerable burning stitches in the muscles of the side of the chest, toward the back.

I Spasmodic cough, with shocks in the chest and anxious breathing, and visible oppression of the chest.

Pricking in the chest, and a cold shuddering burning through the whole body.

A shock in the upper part of the sternum, causing cough and lachrymation.

Violent oppression of the chest, tearing in the stomach and bowels, and beating in the shoulders.

Tearing extending from the right side into the inner parts of the abdomen, mingled with prickings and shocks, as if small pieces of flesh were being torn out, or as if fiery sparks were flying about.

Four burning emanations from the middle of the chest to- ward either shoulder and side, back, and small of the back, with anxiety, and sensation as if the parts were being dis- sected.

MAGNETIS POLI AMBO. 215

Burning emanation from the left shoulder through the chest toward the right side, as if the parts would be severed.

Back

Painful stiffness of the cervical vertebra in the morn- ing, during motion.

Crackling in the cervical vertebra in the morning during motion.

Pain in the omo-hyoid muscle, as if it would be attacked with cramp.

Pain in the back when standing or sitting quiet.

Burning in the dorsal spine.

Twitching of the muscles of the back, and sensation as if something were alive in them.

II Pain in sacro-lumbar articulation, in the morning when in bed lying on the side, and in daytime when stooping a long time.

Burning emanation from the stomach through the abdomen and back, separating in the small of the back and extending into the lower limbs.

I Shock or jerk in the small of the back, almost arresting the breathing.

UPPER LIMBS. — Pain in the humeral articulation, or in the ligaments, as if the head of the bone were dislocated, not only as if bruised, or sprained and twisted.

Tearing jerkings in the muscles of the arm when staying in a cold place.

Uneasiness in the sound arm.

Drawing pain in the upper part of the lower arm.

In the evening, between the sixth and seventh hours, he feels a tearing and bruised pain in the joints of the arm, more during rest than when bending the arm; the pain returns in twenty-four hours.

Beating in the top of the shoulder with sensation as if torn.

Shocks in the top of the shoulder which caused the arms to recede from the body with a jerk.

Shocks in the arm-joints and head, as if those parts were beaten with a light and small hammer.

Drawing pain in either shoulder, and down the nape of neck, with beating in either arm.

Pulling in the joints and muscles of the arm.

216 MAGNETIS POLI AMBO.

Digging-up around the wrist, elbow, and shoulder-joints.

Pain in the muscles of the arm, as if they would be divided into fine parts.

Burning and cutting in the arms and chest, with cold shud- dering.

Burning in the right arm, as from fiery sparks.

Burning pain in the surface of the arm in various parts.

I Prickings in the arm.

The arms are gently elevated, or even crossed as if by spasm; one of the arms is spasmodically tossed, either hori- zontally or vertically.

I Beating and throbbing in all the joints of the arms and fingers.

I Deep-seated pain in the arm, extending as far as the elbow, the arm going to sleep and trembling spasmodically.

Painless shocks in the elbow.

Burning in the elbow joint, as if torn by hot pincers, with violent burning and sparkling of the eyes.

While removing the magnets from the arms, the fingers, hands and arms become curved and even entirely contracted, in a state of unconsciousness.

II Drawing from the head down to the tip of the fingers. The hands are icy cold the whole day, for several days,

from touching the centre of the bar.

Pain in the wrist-joint, as if a tendon had become strained, or as if an electric shock were passing through the parts.

Arthritic digging up, and boring pain in a spot of the lower joint of the thumb during rest.

Tearing in the joints of the thumb in the evening when in bed.

Pain as if sprained and bruised, in the morning when in bed, in the lower joint of the thumb, when moving or bending it.

Sudden bending, and sensation as if dislocated in the first and second joints of the thumb.

Prickhng and digging-up pain in the tip of the thumb, in the evening after lying down.

Twitching jerking in the muscles of the thumb and in those of the chin.

Continuous burning stitch, accompanied with sore feeling

MAGNETIS POLI AMBO. 217

in the thickest part of the muscles of the palm of hand and calf of the leg; afterwards in the lower part of the tibia.

The fingers are liable to be bent and strained.

In the evening the legs and thighs go to sleep.

LOWER LIMBS. — Sensation in the upper part of the calf, when rising from a seat, as if it were too short.

Attacks of cramp in the calves and toes after waking.

Pain as if bruised in the fleshy part of the leg, on the outer side of the tibia, in the evening when walking.

Pain from the hip down the limb, as if the parts were being divided by a fine instrument.

Drawing from the hips to the feet, leaving a burning along that tract.

Violent shocks of the right lower limb, occasioned by a burning emanation from the chin and neck through the right side.

Fiery burning in the upper and lower limbs; when the right limb touched the left one, it seemed as if the latter were set on fire by the former.

Painful going to sleep of the thighs and legs when sitting, disappearing when walking.

Burning tearing in the left leg, mingled with creeping.

Pricking from the knee to the feet.

Stitches in the leg.

Shocks in the knee, causing the leg to be stretched spas- modically.

Throbbing in the left knee.

In the morning after rising and when attempting to walk, he feels a pain in the tarsal-joint and beyond it, as if sprained.

Stitches in the ball of the heel.

Tearing pain in the heel, setting in with a jerk, passing off immediately, but returning from time to time.

In the evening, prickings with burning in the soft parts on the side of the heel.

Painful sensitiveness and soreness in the region of the root of the nail of the big toe, and in the skin over the root, even when merely touching it.

Sore pain under the nail of the big toe of either foot, as if the shoe had pinched him, and as if the nail would come off by suppuration.

218 MAGNETIS POLI AMBO.

Burning and sore pain of the corn, which is generally pain- less when commencing to walk.

Pain in the upper part of the tarsal joints, as if the shoe had pinched him, and as if a corn were there.

Sleep

Coma vigil early in the morning for several hours; after sunrise, sopor or deep sleep set in, full of heavy, passion- ate dreams, for instance, vexing dreams; the sopor terminates in a headache as if the brain were sore all over, disappearing after rising.

Sleep disturbed by dreams full of oppression and anxiety, resembling nightmare.

I Vivid dreams, as if he saw the thing taking place in his waking state.

I Dreams full of feasting, boasting, and bragging.

II He wakes at three o'clock in the night; in a few hours he falls into a sopor full of dreams; afterwards, feeling of heat in the limbs without thirst, the limbs requiring to be uncovered at first, but afterwards covered carefully.

He wakes at three o'clock in the morning; at sunrise his eyelids close again, and he lies in a sort of stupor full of heavy dreams.

II Early in the morning he sleeps on his back, one of his hands lying under the occiput, the other over the region of the stomach, the knees being apart, with moaning inspira- tions, half-opened mouth, and low muttering, dreaming of amorous things and emissions, although no emission takes place; headache in the occiput after waking, as after an in- voluntary emission of semen, with asthma, and bruised pain in all the joints, going off after rising and during motion, with copious expulsion of catarrhal mucus.

I Lascivious dreams, even during the siesta, with discharge of the prostatic fluid.

Wakeful drowsiness in the night, toward morning, he hears every noise and has some power of thinking; after sunrise the drowsiness increases to a stupor, during which he hears or feels nothing, except violent pain as after a long journey on foot, and a bruised feeling in all the joints, obliging him to change the position of the limbs constantly, accompanied with loud grumbling in the abdomen, which is interrupted from

MAGNETIS POLI AMBO. 219

time to time by emission of flatulence, and a disagreeable feel- ing of warmth in the body; during which time he generally lies on his baek with the mouth open.

The pains in the limbs soon decrease after waking; but in exchange for those pains he is attacked with as painful a head- ache, increased after rising to a headache such as is felt when a dry coryza is setting in, but disappearing again by sudden sneezing and discharge of mucus from one nostril.

Sweat without heat, early in the morning while asleep, or mild copious exhalation of the whole body, which is not ex- hausting, and disappears after waking.

When asleep he snores during an inspiration, and wheezes through the nose during an expiration.

Tossing about in bed during sleep.

In the evening before lying down, he is attacked with symp- toms of a catarrhal fever; the long bones are painful as if bruised in the middle; accompanied with dull headache caus- ing a cloudiness; he is hoarse, and the chest is lined with tenacious mucus.

In the morning, after waking, the flatulence increases in the abdomen, with loud grumbling; there is emission of flatu- lence, violent sneezing, copious discharge of mucus from the nose and yawning; all this soon goes off again.

Early in the morning when waking, the mouth is covered with thick, almost dry mucus, and the eyelids are dry; both these symptoms disappear after sneezing and after a discharge of mucus from the nose.

Fever

Shuddering over the whole body, partly cold, partly burning, and causing an intense pain.

Hot and creeping sensation in the affected part.

Profuse sweat with shuddering.

Slight sweat in the night, especially where the magnet lay.

Sweat in the region of the stomach.

Fever after midnight, no shuddering; disagreeable sensation of heat in the whole body, especially in the palms of the hands and soles of the feet, with dryness in the throat and sweat in the face, nape of the neck or over the whole body.

Dry heat, early in the morning when in bed.

Heat without thirst in the night, requiring one to lie un- covered.

220 MAGNETIS POLI AMBO.

Disagreeable, troublesome warmth in the whole body, with sweat in the face, without thirst.

Imperceptible exhalation of the whole body, having a strong, pungent, though not disagreeable smell, resembling the exha- lation which is perceived from a healthy man while sweating.

General sweat after midnight.

Sweat over the whole body, especially in the back, early in the morning while asleep.

Skin

The recent wound commences to bleed again.

The wound, which is almost healed, commences to pain again like a recent wound.

Boils break out on various parts of the body, passing ofi soon.

Corrosive pains in various parts, for example, below the ankle.

Itching of the affected parts, the pain is increased by scratching; it is like a sort of burning in a sore place.

Simple, continuous itching of the soft parts, remaining un- changed after scratching.

Burning itching below the joints, after lying down, even for the mere purpose of taking a nap; it cannot be appeased by scratching.

A continuous itching-pricking, here and there, terminating in a burning.

Burning stinging pain in various soft parts of the body, not in the joints; it is more or less continuous.

Single stitches in soft parts, here and there, for instance in the ball of the thumb.

In the evening, after having got warm in bed, he feels single burning stitches here and there, terminating in a smarting sensation.

Pricking, moaning, fluttering sort of a pain at a small place, for instance, in the sole of the feet, as is felt in a limb previous to going to sleep.

Creeping, and sensation as if all the fluids were accumulat- ing in the region where the magnet is applied.

Small pimples on the chest.

Extremely itching eruption where the magnet lay.

The skin under the magnet is painful and corroded, and is surrounded by itch-like pustules.

MAGNETIS POLI AMBO. 221

Red eruption, red spots.

Red eruption in the palms of the hands resembling watery vesicles.

Burning itching where the magnet lay, obliging one to scratch until blood came out; the skin is red, and round about small pimples are visible, passing oil soon.

Large pimples around the place where the magnet lay.

Deep, lentil-sized ulcers at the place where the magnet lay.

Wide-spread eruption of pimples and blisters, with drawing and pricking pain; also, red spots here and there.

Secretion of a reddish humor from the wound.

GENERAL SYMPTOMS.— Early in the morning, when lying on the side, he feels a continuous, intolerable, simple or bruised pain in all the joints, where the cartilages of the two bones touch one another; the pain abates as soon as one turns on the back, with the head bent backward, and the knees bent and at a distance from one another.

Bruised pain in the joints of that side on which one rests, in the evening when in bed.

Bruised pain of all the joints, or rheumatic pain of the liga- ments of the arms and of all the joints of the chest, back, and nape of the neck, during motion and during an expiration.

Paralytic pain in all the joints, especially those of the small of the back, loins and chest, or pain as if the joints were crushed, broken and bruised; worse during motion and when standing, accompanied with a drawing and tearing sensation, especially in the ligaments and tendons, where they are in- serted in the bones, particularly early in the morning after rising, and in the evening before lying down; the parts are painless when touched; the pains are relieved by emission of flatulence; an increase of pain obliges one to close the eyes.

The joints are painful when moving the limbs, as if they had been sprained.

Sensation in the limbs during motion, as is felt in the arm when knocking the ulnar nerve in the region of the elbow against anything hard.

The limbs go to sleep, especially when standing or walking, after rising from a seat.

In the morning, when lying in. bed, and resisting a desire

222 MAGNETIS POLI AMBO.

for an embrace, he is attacked with a kind of arthritic pain in the small of the back, knees and all the joints; the pains are bruised or weary pains.

Burning emanation from the head, down the right side; im- mediately after, the whole body is covered with sweat.

Burning emanations through every part of the body in every direction.

Intolerable burning from the head to the feet, with pain as if the limbs were being torn and divided.

Burning and pricking pains.

During the burning pains there was neither external heat, nor redness of the parts.

Sensation as of flying sparks over the body.

Sensation in every part as if cut up.

Heaviness in all the limbs, and palpitation of the heart from omitting the usual imposition of the magnets.

I Dull, numb pain.

Drawing and pricking pain, mingled with itching.

II Shuddering movement through whole body. I The joints are painful when touched.

The places on which the magnets lie. burn as if hot coal were lying near them.

I The place where the magnet had been imposed goes to sleep, becomes numb and insensible.

I Jerking shock, causing the trunk to bend violently upward and forward as low down as the hips, with cries.

I I The trunk, while in a recumbent position, is jerked up spasmodically as it were, the head being jerked forward upon the bed, and then again backward upon the cushion.

I The upper part of the body is spasmodically lifted and jerked forward, and then again backward on one side.

Violent shocks causing a general tremor of the body, burn- ing in the chest and through either arm, and sweat all over.

None of the convulsions excited by the magnet after the pulse.

A sort of starting through the body, afterwards sweat on either hand.

Paralysis for ten days, with loss of sensation, the limb hav- ing its natural temperature and being moist.

MAGNETIS POLUS ARCTICUS. 223

Shocks deprive him of consciousness.

The spasmodic risings and jerkings of the body forward, are followed by a long-lasting loss of consciousness, followed by blowing with the mouth as when one experiences a great heat; after which consciousness and cheerfulness return.

Loss of consciousness with staring .eyes, open mouth, almost imperceptible inspirations, and a movement in the chest which is almost like palpitation of the heart, the pulse re- maining unchanged and having its ordinary quality.

During the loss of consciousness the fingers are moved one after the other; after the return of consciousness a profuse sweat breaks out.

Languor in all the limbs, accompanied with a swoon, which lasts but a short while and returns several times.

Fits of fainting, palpitation of the heart, and suffocation.

Long-lasting swoons, in which she retained her conscious- ness.

Swoon, during which she feels her pain, but is unable to complain on account of an inability to speak or move.

Insensibility and deadly sopor.

MAGNETIS POLUS ARCTICUS (North-pole of the magnet).

MMD AND DISPOSITION.— Out of humor and weary.

Weeping mood, with chilliness and a disposition to feel chilly.

I Sadness, in the evening; he had to weep, contrary to his will, after which his eyes felt sore.

He felt in the evening as if it were difficult for him to com- mence the execution of his designs, and it was long before he made a beginning; but as soon as he had commenced, he car- ried out his designs with great promptness.

I Indolent fancy; he sometimes felt as if he had no fancy at all.

When sitting, he felt as if he had lost all powers of motion, and had grown fast to the chair. Indolent mind.

224 MAGNETIS POLUS ARCTICUS.

Anxious, desponding, inconsolable, self-reproaching mood.

Sleep ceased at three o'clock in the morning, and he be- came anxious; he became solicitous about his health, as if he were dangerously sick; he became gloomy; he grudged every word he was obliged to utter.

Exaggerated, over-scrupulous solicitude.

Irritated and vexed mood; he does not like to be inter- rupted in his work, and, nevertheless, he does not accomplish anything.

While attending to his business, he talks aloud to himself. He makes mistakes easily in writing.

He would like to work a great deal, and does not satisfy himself; he thinks he does things slowly.

He is alternately sad and cheerful.

Acts as if he were frightened and timid (immediately).

Despondency.

Anxious scrupulousness (immediately).

I Hasty, bold, quick, iirm.

II Calm, composed mood, devoid of care. Alternately cheerful and sad, the whole day. Cheerfulness and feeling of great strength, alternate with

want of courage and weakness.

SENSORIUM. — (Vertigo, sensation as if she would fall in every direction. )

Vertiginous motion in one side of the head.

After having gone up stairs, she feels a motion from the centre of the brain towards either ear like the pendulum of a clock.

Sensation as if his understanding were arrested, and as if something were pressing his brain down, and the eyes out, a sort of fainting turn.

Sensation of intoxication, like a humming in the head.

Dulness of the head with desire for open air.

Weak memory, but he feels cheerful.

Head

Two days in succession he wakes from his siesta with a violent headache, as if the brain were bruised and ob- tuse; the headache decreases after he is fully awake, and dis- appears gradually after rising.

Headache, consisting in a sore and bruised pain in the sur- face of the brain, in the sinciput and in one of the temples.

MAGNETIS POLUS ARCTICUS. 225

The head feels bruised and as if dashed to pieces in one of the hemispheres.

A shock in one side of the head in the morning in bed.

1 1 Sensation as if the head were pressed down by a load.

Pressure as from something hard in several parts of the brain.

(A good deal of heat in the head.)

I Disagreeable, compressive sensation in the head, and as if one part of the brain were pressed in.

The head is concussed by the sound of a hammer.

Headache, especially when raising or moving the eyes.

Tensive sensation in the brain behind the forehead, extend- ing down to the root of the nose.

Stitches in the upper part of the forehead, in the morning after rising, until afternoon.

I Headache, as if the temples were pressed asunder.

I Violent headache the whole afternoon, as if the brain were pressed asunder.

I I Rush of blood to the head, and suffusion of heat in the cheeks.

I Drawing-boring pain in the right temple, accompanied with a spasmodic pain below the right malar bone.

Pressure in the right temple, when walking in the open air, causing a dulness of the head.

I Aching pain over the left temporal region, externally. Tearing in the head behind the right ear, with sensation as

of a shock, gradually moving to the front of the head, when walking in the open air.

II Pushing tearing in the head behind the left ear when sit- ting.

Tension of the scalp as if firmly adhering to the skull, caus- ing a dulness of the head (for several hours).

Pressure in the articulation of the condyles of the occiput with the atlas from within outward, obHging him to bend the head forward constantly.

Aching pain in the left side of the forehead.

Aching pain in the outer parts over the right eyebrow.

Tubercles on the hairy scalp, painful when touched.

Smarting itching of the hairy scalp. i6

226 MAGNETIS POLUS ARCTICUS.

Eyes

Cold movement as of a cold breath in the eyes,

I The eyes protrude.

I I Staring look.

Fine prickings in the left eye.

Burning, continuous stitch in the upper eyelid.

Vesicle on the margin of the upper eyelid, pressing on the eye.

Painful sensitiveness of the eyelids when reading.

II Itching in the inner canthus and in the margin of the eye- lids.

1 1 Painful feeling of dryness in the eyelids in the morning on waking.

Jerking and drawing in the eyelids. Drawing in the eyelids with lachrymation.

1 1 Pricking in the eyelids.

Agglutination of the eyelids in the morning.

I Lachrymation early in the' morning.

II Excessive lachrymation; the light of the sun is intolerable. Dilatation of the pupils; they contract but little in the light

(immediately).

Contraction of the pupils during the first hours.

Stinging in the canthus and the left cheek.

Sensation as of sand in the eye.

Itching in the eye.

1 1 Burning in the weak right eye; it became red and filled with water (the magnet being held m contact with the weak right eye for a quarter of an hour).

1 1 Coldness in the weak eye for three or four minutes (the magnet being held in contact with that eye for two minutes).

Coldness of the weak eye, as if the eye were a piece of ice; as the coldness passed off a long-continued pricking was felt in the eye.

Pricking sensation in the eye, resembling the tick of a watch.

I Uneasy motion of the eye, with a good deal of water accu- mulating in either eye.

I I Sensation as of a cobweb in front of the eyes. Glare in the eye as of a shooting star.

I Formication between the two eyes.

MAGNETIS POLUS ARCTICUS, 227

Strong drawing over the eye, in the surface of the cheek, ear, extending into the upper maxillary bone (the magnet be- ing in contact with the eye).

Ears

Stitch darting from the Eustachian tube to the in- terior of the ear (when stooping).

I Fine ringing in the opposite ear (immediately).

A few tearings in the interior of the right ear, resembling otalgia.

II Whizzing and a drawing sensation in the ear. Tightness of the tympanum.

Crackling in the ear as of burning, dry wood (when holding thie magnet in the ear).

Warmth and roaring in the ear, as when water is boiling and bubbling (holding the magnet in the ear).

I Ringing in the ear of the same side.

Heat and pecking sensation in the ear (holding the magnet in the ear).

I A kind of deafness, as if a pellicle had been drawn over the right ear, after which heat is felt in the ear.

Nose

II Illusion of smell: he imagined the room smelled of fresh whitewash and dust, he imagines the room smells of rotten eggs, or of the contents of a privy.

II Violent bleeding at the nose, for three afternoons in suc- cession, increasing every afternoon, and preceded by an ach- ing pain in the forehead.

Sore pain in the nostrils, even without touching or moving them.

II Redness and heat of the tip of the nose, followed by hot, red, circumscribed spots on the cheeks.

Pimples on the right wing of the nose, with a stinging-itch- ing sensation.

Face

Intensely-painful tightness in the face, extending as far as the tonsils.

Drawing in the left cheek.

Innumerable prickings in the cheek, with feeling of heat^ without any heat being perceptible to others.

Suffusion of heat in the cheeks, with rush of blood to the head.

Tubercle in the face, near the nose, feeling sore when

228 MAGNETIS POLUS ARCTICUS.

touched; when not touched, a few rare slow stitches are felt in it.

JAWS AND TEETH.— Crampy-aching pain in the left submax- illary gland.

Crushing-aching, or pinching pain in the submaxillary glands, without the glands being either touched or moved, as is felt in acute swelling of the throat.

Tearing pain in the cervical muscles, as if too weary.

Painful cramp in the cervical muscles, from one ear to the other.

Drawing in the left jaw and the left cheek.

Tensive pain in the left upper jaw, early in the morning on waking.

Painful drawing in the articulation of the lower jaw when moving it, as if it would be dislocated by force.

I Drawing-aching pain coming from the temple, below the mastoid process, between the sterno-cleido-mastoideus muscle and the ramus of the lower jaw.

Tensive pain in the left submaxillary gland.

Cramp-like toothache in the right lower jaw.

I Toothache as if the tooth would be torn out, worse after a meal, and when sitting or lying down, improving when walk- ing.

I I Toothache in the- direction of the eye, a very quick suc- cession of peckings in the hollow tooth, with swollen inflamed gums and a red and burning cheek; the toothache increased very much immediately after a meal, improved when walking in the open air, but aggravated in a smoky room.

I Throbbing in the hollow tooth (immediately), followed by a pressure in the tooth as if something had got into the tooth, with drawing in the temples.

I I Throbbing in the tooth, with burning in the gums, and swollen, red, hot cheeks, with burning pain and heating in the cheeks, in the afternoon.

f 1 1 The toothache ceases when walking in the open air, and returns in the room.

Aching in the hollow teeth, with swelling of one side of the face.

Toothache with jerks through the periosteum of the jaw,

MAGNETIS POLUS ARCTICUS. 229

the pain being a darting-aching, digging-tearing, or burning- stinging pain.

I The toothache is worse after eating and in the warm room. Numbness and insensibility of the gums of the painful tooth. Drawing pain in the hollow tooth and fore teeth, increased

by anything warm; with redness of the cheek during the pain.

I I Swelling of the gums of a hollow tooth, painful when touched with the tongue.

Toothache, as if the gums were sore or cut, increased by the air entering the mouth.

MODTH. — Sore pain in the left corner of the mouth, when moving it, as if an ulcer would form.

Slow, extremely sharp and painful prickings in the lower lip.

Small pimples on the inner surface of the upper lip.

Itching in the forepart of the tongue, obliging one to rub and scratch.

Accumulation of saliva in the mouth (immediately).

Pain in the left upper incisors, as if something hard were pressing upon them, breaking them.

Pain of the incisors on inspiring air.

Toothache when eating, the teeth feel loose, and as if they would bend over.

I Painful humming in the hollow teeth of the lower jaw, worse on the right side, the toothache ceases during eating.

APPETITE AND TASTE.— Long-continued rancid heart-burn.

He does not even relish the most palatable kind of food, at supper.

When smoking, he feels a scraping sensation in the throat as if he would have heartburn, or had had it.

Sourish taste in the morning, as if one were fasting.

When smoking, he has a bitter taste on the posterior part of the tongue.

Tobacco is disagreeable to him.

She felt so replete at dinner that she was unable to eat.

Greedy appetite at supper.

Chocolate had a flat, disagreeable taste, as if impure water had been added to it.

He relishes his supper, but soon after he has a flat taste in the mouth, and feels a heat in the lobules of the ears.

230 MAGNETIS POLUS ARCTICUS.

Stomach

Eructation, with a sort of painful jerk.

1 1 Frequent eructations of mere air.

The magnet seems to favor acidity of the stomach.

The tongue is very much coated and covered with mucus; aversion to milk.

Stomach feels as if deranged; food weighs heavily in his stomach.

Sudden griping in the pit of the stomach.

Throbbing in the pit of the stomach (immediately).

Sensation in the epigastric region and in the stomach, as if the walls of the stomach were sensitive to pain.

Drawing in the pit of the stomach, extending into the right chest.

Abdomen

I She is waked in the night by a pressure in the abdomen as from a stone.

Drawing pain in the abdomen.

Warmth in the umbilical region, causing an anxiety; fol- lowed by a sensation as if vomiting would come on.

Coldness in the abdomen (immediately after touching the magnet).

Shocks and jerks proceeding from the abdomen and extend- ing through the chest into the throat (immediately).

A few jerks in the abdomen, like a sort of rumbling, as if something were falling down in the abdomen at intervals (im- mediately).

A few stitches in the side of the abdomen, and movement in the abdomen as if diarrhea would come on.

I Spasmodic contractive sensation in the hypogastrium, ex- ternally and internally, early in the morning.

Pinching, especially in the epigastrium, directly after sup- per.

Violent, continuous pinching, as from incarcerated flatu- lence, at a small place in the left side of the abdomen.

I Flatulent colic immediately after supper; sharp pressure in every part of the abdomen from within outward, as if the abdomen would burst; relieved when sitting perfectly still.

Flatulent colic early in the morning, immediately after waking; the flatulence was pressed upward toward the hypo- chondriac region, with tensive pains in the whole abdomen,

. MAGNETIS POLUS ARCTICUS. 231

causing a bard pressure here and there, accompanied with a qualmishness and nausea which proceeded from the abdomen, and was felt both in motion and when at rest.

Continuous aching-pinching pain in the whole hypogastric region, like a sort of colic, but without any perceptible flatu- lence; it disappears neither by motion nor rest, or eating and drinking, but is excessively increased by reflection and mental exertions, and is in that case accompanied with nausea; the colic is somewhat diminished by strict rest, but it disappears entirely in the space of an hour by touching the zinc.

In the evening and morning he feels a pressure as from flat- ulence in various parts of the bowels, resembling a pressure on a bruised spot, accompanied with a similar pressure in various parts of the brain; both the headache and colic disap- pear immediately after the emission of flatulence; the head- ache and colic return with the return of flatulence, which makes one moreover feel ill-humored; the flatulence has a fetid smell.

(The south pole removed the painful uneasiness in the ab- domen, and the headache, within the space of an hour. )

He wakes in the night with a violent colic; it is a sort of continuous, intolerably hard pressure in the pit of the stomach and the hypochondria, continuing to rise in the chest, and in- creasing in violence up to the pit of the throat, where the breathing threatens to be arrested (this condition was soon relieved by the hands being imposed on the chest with a strong will — a sort of self-mesmerism), the spasm abated, and rest and sleep were restored by a strong but easily emitted flatulence.

II Gurgling in the abdomen as if a quantity of flatulence were incarcerated, causing a writhing sensation, which rises up to the pit of the stomach, and causes eructations.

Severe cutting stitches, when walking in the open air, in the middle of the hypogastrium, from below upward.

Stitches in the right lumbar region.

Stitches in the left groin from within outward, in the region of the superior spinous process of the ilium (immediately).

Cutting pain in the left groin, in the region of the abdom- inal ring, with a feeling of weakness in that region.

232 MAGNETIS POLUS ARCTICUS.

I Relaxed condition of the abdominal ring, increasing from day to day; hernia threatens to protrude, especially when coughing.

Sore pain in the abdominal ring, when walking. Boring pain above the left abdominal ring, from within outward, as if hernia would protrude.

II Inguinal hernia.

STOOL — I Drawing, almost dysenteric pain in the hypogas- trium, early in the morning, followed by difficult expulsion of the very thick feces.

Blood comes away with stool twice a day.

Sharp pressure in the rectum.

I Stinging-pinching in the rectum.

Aching-pressing pain in the rectum (not in the anus) after midnight, while slumbering, lasting for hours and disappear- ing after being wide awake.

DRINARY ORGANS.— Dark urine.

The secretion of urine decreases in the first hours, but in- creases after the lapse of twenty-four hours.

Copious emissions of urine.

(Relaxed condition of the neck of the bladder from one o'clock at noon until eight o'clock in the evening; the urine dropped out involuntarily. )

GENITAL ORGANS. — Continuous smarting pain in the raph6 of the prepuce, after urinating.

Itching smarting of the inner surface of the prepuce, oblig- ing one to rub at night when in bed.

Sharp stitches in the left testicle when laying the thighs across one another.

II Nightly involuntary emission.

Excessive erection, with excessive desire for an embrace and an emission of semen.

Relaxation of the penis and diminished desire for an em- brace.

Strangulating pain in the right testicle.

Sharp drawing and cutting in the testicles.

The menses, which ought to have appeared immediately, appeared after the lapse of twenty hours, increased within twenty-four hours beyond the quantity in which they usually

MAGNETIS POLUS ARCTICUS. 233

appeared, and which was less than ought to have been, until the quantity became normal, without any secondary symp- toms (curative effect).

RESPIRATORY ORGANS.— Dry cou^h causing a painful raw- ness in the chest, especially in the night after getting warm in bed, having been chilly first.

Racking and spasmodic cough while falling asleep, hinder- ing sleep.

Suffocative, spasmodic cough about midnight.

The desire to cough is seated in the finest and most remote bronchial ramifications, where nothing can be got loose by the cough; the mucus which is thrown off is secreted in a higher region, the titilation remaining the same, inasmuch as it has its seat lower down; hence the cough is very fatiguing and racking; even the head is concussed, and the whole body becomes warm, after which a general exhalation sets in until morning, when the cough abates.

Unceasing (not titillating) irritation, inducing coughing, in the evening, in bed, immediately after lying down, the cough being short and dry; the irritation is not momentarily dimin- ished by the cough, as is the case in other kinds of cough; this unceasing irritation can only be removed by suppressing the cough, even by a firm, determined will.

He was obliged to breathe spasmodically with deep and in- termittent inspirations, as if his breathing became arrested, at the same time he felt a desire to inspire as much air as possi- ble, and was covered with sweat all over.

Momentary violent turns of cough; three or four.

When walking in the open air the cough becomes much worse, and assumes a suffocative character.

Chest

I Sudden oppression of the chest, with anxiety.

Itching of the nipples.

A few violent beats of the heart.

Burning or sharp stitches in the region of the heart.

Burning stitches, first in the region of the dorsal muscles, afterwards in the side of the chest, and lastly in the fore part of the right chest.

II Pressure in the region of the heart (immediately).

Sharp stitches in the left muscles of the chest, on moving the arm.

284 MACNETIS POLUS ARCTICUS.

Stitches in the left side of the chest.

Crampy contractive pain through the chest, causing a trem- ulous anxious breathing, especially the inspirations, when leaning over upon the arms and looking out at the window.

Anxiety and qualmishness about the chest.

When walking in the open air he imagines that heat is en- tering the chest, passing through the pharynx.

When walking in the open air, he feels a pricking in the left side of the chest.

Continuous stitch in the left side of the chest in the evening.

Back

Crackling or cracking in the cervical vertebrae, espe- cially in the atlas, during motion.

Pain as if bruised in the middle of the spine, when bending the spine backward.

I Gurgling and creeping sensation between the scapulae.

Twitching in the posterior lumbar muscles.

I Pain as if bruised in the left shoulder-joint both during motion and rest, painless when touching it.

UPPER EXTREMITIES.— Trembling of the arm, the hand whereof is touched by the magnet.

I Cramp-like sensation in the arm, and as if it had gone to sleep.

The left arm is much heavier than the right.

The upper arm which is not touched by the magnet is very heavy.

Itching above the elbow, consisting in a fine stinging and smarting, not diminished by scratching, as if a mosquito had bit him there; the scratching causes a burning.

Jerking in the affected upper arm (the arm and foot seemed to him dead).

Sensation of stiffness in the elbow-joint.

Audible cracking in the elbow-joint during motion (immedi- ately).

Pleasant feeling in the arm-joint, as if it enjoyed rest after great weariness.

Heaviness in the upper limbs, as if the veins contained lead (immediately).

Feeling of heaviness in the arm which touches the magnet.

I Violent coldness in the arm over which the magnet had

MAGNETIS POLUS ARCTICUS. 235

been moved (in a female in magnetic sleep, after being touched with the north pole magnet).

I Prickling pain in the arm as far as the shoulder, especially in the long bones of the forearm.

I Sore pain in the right shoulder when walking in the open air.

Sensation in the arm and hand as if they had gone to sleep (immediately).

Stitches in the forearm near the wrist-joint.

Pressure in the left radius, in the evening, as after a blow.

Pressure and drawing in the wrist-joint, with uneasiness in the forearm, obliging him to bend the arm continually.

I Stiffness and rigidity in the right tarsal and carpal joints, at night when in bed.

Trembling of the hand which touches the magnet, and of the foot of the opposite side.

I Painful and almost burning itching in the dorsum of the middle phalanx of the little finger, as if the part had been frozen; the place was painful to the touch.

Fine, frequent prickings in the affected spot, and the tip of every finger; worst in the evening after lying down.

Drawing in the fingers from below upwards, with creeping in the fingers immediately; directly after he felt somewhat desponding.

Pain in the finger joints, as if they had been strained by bending them over.

Buzzing in the finger which is in contact with the magnet*

Twitchings in the finger in contact with the magnet, after- wards extending into the arm, with a kind of heaviness in the arm.

Stitches in the muscles of the hollow of the left hand, when walking in the open air.

The fingers go to sleep.

Creeping in the tip of the left index-finger.

Jerking in the thumb which is touched by the magnet, as if there were pulsations in the thumb.

LOWER EXTREMITIES.— Bruised pain in the hip-joints, aggra- vated by contact.

Tearing, with pressure and a sensation of strangulation in

236 MAGNETIS POLUS ARCTICUS.

some parts of the muscles of the thigh when walking or sit- ting.

I Tearing with pressure in the outer side of the knee down to the outer ankle.

Painful sensation in the skin of the calf when walking.

I Burning pulsative stitches in the calf.

Great languor of the lower limbs.

The left leg goes to sleep after sitting, when rising, and especially when standing.

Weariness and numbness of the lower limbs as if they had gone to sleep, without tingling.

I Excessive weakness of the lower limbs, when walking, as if they would break.

Drawing in either knee and in the right lower limb.

Stitch in the anterior muscles of the right thigh, from above downwards.

I Voluptuous itching of the left thigh, on the anterior and internal surface, but more on the former.

Stitches in the tendons of the left thigh, toward the bend of the knee.

I Rigid tension in the hamstrings, when rising from a seat, as if too short.

Painless buzzing in the left leg, with sensation of heaviness, as if the leg had gone to sleep.

Pain in the upper part of the toes, as if they had become sore by walking.

I Sore pressure in the corns, which had been painless here- tofore, when pressing the feet ever so little.

Sore pain in the heel.

Occasional pain in the heel, like pressure.

Violent pressing around the ankle of the ulcerated foot.

I Sudden lancinations in the heels, big toe and calf when sitting.

I Painful crawling in the toes of the right foot.

Voluptuous itching under the toes of the left foot.

Sleep

I Excessive spasmodic yawning with pain in the articulation of the left jaw, as if it were on the point of being dislocated.

Sopor: several times he was attacked with a sudden sensa-

MAGNETIS POLUS ARCTICUS. 237

tion as if he ought to shut his eyes, and as if he were going to fall into a pleasant sleep; an irresistible sensation which threatened to deprive him suddenly of consciousness.

In the evening he fell into a deep sleep; all his limbs felt paralyzed or bruised.

I Constant drowsiness in the day-time.

Deep sleep toward morning.

Slept on his back in the night.

She sings in the evening during sleep, wakes by her singing, recollects that she ought not to sing, falls to sleep again, sings a second time and is again waked by her singing.

Vivid, but innocent and impassionate dreams about events; he is unable to recollect them on waking.

I Lascivious dreams the whole night.

She dreams about midnight that she is falling from a height; this startled her and caused her to tremble all over.

About midnight she dreams of murder, which causes her to weep and cry.

I She saw a person in a dream, and next day she saw that person in reality for the first time.

He has vivid dreams the whole night about objects which are not disagreeable but have no connection with one another; on waking he is unable to recollect any of them.

He is unable {o go to sleep before a couple of hours in the night.

I At two o'clock in the morning he is half awake, his internal consciousness being very intense, his memory very vivid and his mind filled with ideas; he composes in the very best style in a foreign language which he neither spoke nor wrote flu- ently, as if he had been in a magnetic sleep; but is unable, when waking, to recollect distinctly what he had thought.

He suddenly wakes in the evening after going to sleep, with a violent jerk in the muscles of the head and neck, as if the head had been pushed back.

He wakes about midnight from a violent pressure across the abdomen, directly over the umbilicus, and remaining un- changed either by motion, or rest, or by changing one's posi- tion.

Violent pain in the pharynx in the evening when in bed, as

288 MAGNETIS POLUS ARCTICUS.

when one has swallowed too large a morsel; the pain went off when turning to the left side.

He tosses about in his bed in the night, half waking.

He wakes in the night with a good deal of troublesome heat of the whole body, and has to uncover himself from time to time; his mouth being dry, without any thirst.

1 1 Restless sleep; he tosses about and his bed feels too warm.

Warmth in the night as if sweat would break out.

Very vapory night-sweat, without heat.

He waked in the night, feeling very warm; he felt still warmer after drinking a glass of cold water.

Frequent shudderings in the night while in bed, and jerks in the arms causing them to start.

Frequent waking as if in affright.

He frequently wakes in the night with a burning heat of the whole body, and is sometimes obliged to uncover himself.

Fever

Chilliness with yawning, early in the morning.

(Chilliness the whole day, over the whole body, but espe- cially along the back. )

J Sensation of coldness or coolness over the whole body, as if she were dressed too lightly, or as if she had taken cold, without shuddering; immediately after she had a small loose stool which was succeeded by pressing.

I Shuddering all over at the moment when the north pole was touched by the tip of the tongue.

Sensation of coldness in the tip of the finger which was in contact with the magnet, accompanied with drops of sweat on the fingers of this hand and the dorsum of the hand (immedi- ately).

Sweat in the palms of the hands, the hands being cool.

I Cool sweat all over.

Towards morning he is covered all over with a strongly, but not disagreeably smelling, vapory, slight sweat.

Sweat about two o'clock in the morning, all over, even in the face, mostly on the chest, except the hair on the head and those parts of the hairy scalp on which he was resting; only while asleep; the sweat disappeared entirely on waking, and was not accompanied with thirst.

MAGNETIS POLUS ARCTICUS. 239 .

Heat in the face.

In the evening the blood rushes to the head and the face feels hot, accompanied with chilliness of the lower limbs, especially the feet.

I Heat in one of the cheeks, accompanied with a feeling of internal heat, irritable disposition and talkativeness.

Sensation of warmth in the feet.

Feeling of heat over the whole body, with quick and strong pulse, without any external warmth; even the hands are cold, although they feel hot to him, without thirst.

Fiery redness of the face, oppression, stronger pulse.

Heat over the whole body in the evening, with anxiety driv- ing him to and fro.

Heat, especially down the back and over the whole body, with an anxious, unsteady appearance.

(Fever: chilliness in the small of the back, along the back, from noon till evening without any perceptible coldness and great thirst; at nine o'clock in the evening, he has a good deal of heat in the face, without thirst; after midnight she is covered with a profuse fetid sweat, lasting until morning and disappearing on waking. )

Fever: frequent flushes of heat in the afternoon, only in the head, with a red, hot face (for two or three minutes); accom- panied with some drawing in the head.

Fever: at three o'clock in the afternoon there came on a small burning spot on the foot for one minute, disappearing suddenly, and succeeded by a sudden heat in the head, with redness of the cheeks and sweat in the face, for some minutes.

Fever: frequent shudderings in the back lasting a few minutes, followed by an equally short heat spreading from the back over the head, the veins of the hands becoming dis- tended, without sweat.

Flush of humid warmth over the whole body (immediately).

Skin

Stitching in a steatoma.

I Crawling over the skin.

Burning pain in the existing herpes.

Crawling itching, as of a fly or flea, terminating in a sensa- tion of soreness, first in the inner, then in the outer side of the limbs, in the evening when in bed, and in the morning after waking.

,240 MAGNETIS POLUS ARCTICUS.

GENERAL SYMPTOMS.—] Continuous digging-up stitches m various parts, becoming sharper and more painful, in propor- tion as they penetrate more deeply into the flesh.

Darting jerks in the part touched by the magnet (immedi- ately).

Tremulous, vibrating, numb sensation.

Sensation as if the blood were rushing to the place touched by the magnet, as if the blood would come out there.

Twitching in the adjoining parts.

Twitching and beating near the part touched by the mag- net.

Tensive sensation in the adjoining parts. Bruised pain in the adjoining parts, and as if one had car- ried a heavy burden.

Creeping in the adjoining parts as if they were going to sleep.

1 1 Tremulousness through the whole body, especially in the feet.

II Tremor in the part touched by the magnet (immediately).

Nervousness with trembling, uneasiness in the limbs, great distension of the abdomen, anxiety, solicitude, and great nerv- ous weakness.

1 1 Sensation of coldness in the part which was touched by the magnet.

Warm sensation in the adjoining parts.

Drawing in the periosteum of all the bones, as is felt at the commencement of an intermittent fever (but without chilli- ness or heat).

. In the right side of the tongue, in the neck and across the foot he feels a sudden drawing, or a movement to and fro, and jerks resembling stitches.

Heaviness in single limbs (with a sensation as if their strength had increased).

Sensation of dryness and tightness in the body, with want of strength.

He is very faint, had to rest himself while walking in the open air, and was melancholy and desponding.

The faintness, the bruised and painful sensation in the limbs were worse in the open air.

MAGNETIS POLUS AUSTRALIS. 241

•

In the morning there was a general faintness with a sweat as of anguish; want of appetite at dinner; he had to lie down; afterwards diarrhea.

In the morning she felt so languid that she was scarcely able to drag herself along, as if oppressed by a sultry atmos- phere.

MAGNETIS POLUS AUSTRALIS (South Pole of the

Magnet).

Mind And Disposition

After walking in the open air he feels quarrelsome and peevish.

After an evening nap he feels exceedingly peevish and ill- humored.

He is liable to start when touched.

Want of cheerfulness; he is low-spirited, as if he were alone, or as if he had experienced some sad event, for three hours.

Weeping immediately.

Despondency (the first hours).

Great discouragement, dissatisfaction with himself.

Want of disposition to work, and vexed mood.

Taciturn, he is not disposed to talk.

He wants to be alone, company is disagreeable to him.

Cheerful faces are disagreeable to him.

Violent anger excited by a slight cause; he becomes trem- bling and hurried, and used violent language.

Wild, vehement, rude, both in language and action (he does not perceive it himself) ; he asserts with violence, revil- ing others, with distorted countenance.

Feeling of warmth, gradually increasing to heat (in a woman in the magnetic sleep, after touching the south pole of the magnet).

Great quickness of fancy.

SENSORIUM. — Unsteadiness of the mind; he is unable to fix his ideas; things seem to flit to and fro before his senses; his opinions and resolutions are wavering, which occasions a kind of anxious and uneasy condition of the mind.

This mental disturbance is removed by touching the metal- lic zinc.

242 MAGNETIS POLUS AUSTRALIS.

I Vertigo as if intoxicated, as if he were obliged to stagger, some vertigo even while sitting.

Head

I Rush of blood to the head, without heat.

I Heaviness of the head, with a sort of creeping or fine dig- ging in the head.

I Fine crawling in the brain as of a number of insects, ac- companied with heaviness of the head.

Creeping in the vertex, as if something were running about there, and a sort of tearing.

Shocks in either temple.

Pain in the right side of the forehead, composed of tearing and beating.

A few beatings over the forehead, accompanied with a tear- ing pain.

Tearing at a small spot on the left temple.

I Drawing-tearing pain in the left brain, resembling a slow, burning stitch.

I Pressure in the occiput, in alternate places.

Headache, pressure on the top of the head, or in either tem- ple, an intense violent pain, as is felt in a catarrh, being vio- lent when sitting straight, more so when shaking the head or when reflecting, diminishing when walking, and disappearing almost entirely when bending the head forward or backward (in the first hours).

Headache in the occiput, most violent in the room, but dis- appearing in the open air (in the first hours).

Creeping, mixed with prickings, in the anterior and middle part of the forehead, in the evening.

Sharp, pointed, aching pain in the left side* of the head, with pressure from within outward; continuous stitch accom- panied with pressure (relieved by the north pole).

Simple and tensive pain over the whole brain, commencing while walking in the open air, and speedily going off in the room.

Pulsative beating in the right side of the head, when lying down.

Jerkings in the head.

Spasmodic contractive headache in the region between the eyebrows.

MAGNETIS POLUS AUSTRALIS. 248

A certain spot in the hairy scalp is painful as if bruised, still more so when touched.

A glandular tubercle in the nape of the neck becomes sud* denly inflamed, the skin all around was painful as if sore, and the least touch was unpleasant to it.

The skin on the forehead feels as if dried fast to the skull.

Face

Sensation in the face (and in the rest of the body) as if cold air were blowing upon it.

Blunt stitches in the cheek.

Eyes

Slow, burning stitch in the margin of the eyelid.

1 1 Watery eyes from time to time.

Erosive pain, morning and evening, especially in the outer canthus, and when touching the eyelids, as if a hair had lodged in the eye, a sort of inflammation of the margin of the eyelids.

1 1 Painful, smarting dryness of the eyelids, especially per- ceptible when moving them, mostly in the evening and morn- ing.

Swelling of the Meibomian glands of the lower eyelid, in the morning, as if a stye would form, but the pain was merely aching.

Smarting in the inner canthus (in the morning).

Pressure and dull sticking in the left eye.

Spasmodic contraction of one of the eyes, in the morning.

The skin around the eyes is sore.

When holding the magnet to the eye, he feels a little cold- . ness in the eye for a short time, but a severe itching in the eyelids.

The eyes feel agglutinated in the morning.

Beating and itching in the eye.

I Deficient sight: things looked dim, also double, when touching the nape of the neck.

Faintish sort of cloudiness, with disposition to sit down; the objects seem veiled; afterwards they become much more distinct and much brighter than before, accompanied with an ecstatic mood.

In the commencement the dilatation of the pupils is easier, and their contraction more difficult.

Ears

An almost painless drawing behind the ear from be- low upwards, and extending into the head, almost continuous.

244 MAGNETIS POLUS AUSTRALIS.

Tearing pains in the cartilages of the outer and inner ear, extending very nearly as far as the inner cavities.

I Roaring in the ears, which he felt more in the upper part of the head.

I Noise in the ears, like the motion of a wing.

I Sensation as of the whizzing of the wind in the ears, early in the morning; he feels it as far as the forehead.

I Inflammation of the outer ear, the grooves of that portion of the ear assuming the appearance of sore rhagades.

I Occasional stitches and ringing in the ear.

Painful jerk in the ear as if its parts would be pressed asun- der: a sort of otalgia.

Sensation as if a cold wind were blowing upon the ears.

Sensation as of warm breathing upon the outer ear.

Two painful vesicles on the right side of the neck below the ear.

JAWS AND TEETH.— Pain of the submaxillary gland, as if swollen.

The skin under the chin is painful, as if sore.

Toothache, aggravated by warm drink.

I Tearing jerking in the upper jaw towards the eye, in the evening.

Dull pain with intensely painful stitches in hollow teeth.

Mouth

Single stitches in the left margin of the tongue.

Sensation of swelling in the tongue, and heat in the organs of speech.

Throat

Sore feeling in the throat during and between the acts of deglutition.

Putrid smell from the throat, early in the morning (the mouth being clean), not perceptible to himself.

I Burning in the pharynx, a sort of strangulation from below upwards, with a feeling of heat.

Heat in the organs of speech, with difiiculty of speech; sen- sation as if the tongue were swollen.

Accumulation of a quantity of watery saliva from the mouth, flowing out of the mouth when stooping.

APPETITE AND TASTE.— Slight appetite, without loathing or abnormal taste, the general health being good.

Indifference to eating, drinking or smoking; he relishes the

MAGNETIS POLUS AUSTRALIS. 245

food, but he has no desire for it, and is satiated before begin- ning to eat.

I Indifference to milk, bordering on aversion, early in the morning.

Food and coffee taste bitter to him.

Food has no bad, but too little taste.

Metallic taste, partly sweetish, partly sourish, now in the upper, then in the lower part of the tongue, with a feeling of coldness, as from saltpetre.

He loses his taste while eating warm food; the taste returns after eating.

White wine has an acrid taste to him; after taking a swal- low he feels a violent aversion to it.

Canine hunger, in the midst of his feverish chilliness.

Canine hunger, noon and evening.

Want of hunger, immediately.

NADSEA AND VOMITING,— Inclination to vomit, early in the morning after waking.

Inclination to vomit, shortly after dinner.

Fits of nausea when stooping forward, apparently in the stomach.

Eructations of mere air.

Emission of flatulence after dinner.

Stomach

Pain in the stomach, as when one presses upon a bruised spot; after eating, this pain gradually passes into the intestines.

A kind of violent aching pain in the pit of the stomach, oc- casioned by a continued exertion of the mind.

Abdomen

A kind of griping, directly over the umbilicus.

I Loud rumbling in the abdomen.

Flatulent colic> early in the morning when in bed.

Pinching in the abdomen, brought on by a draft of air.

The flatulence is pressed upwards, below the short ribs; flatulent colic in the hypochondria, in the evening.

Colic after supper: sharp pressure here and there through- out the bowels; during motion the colic becomes intolerable, and passes off suddenly while at rest without emission of flatu- lence.

I Flatulent colic at night: portions of flatulence seem to

246 MAGNETIS POLUS AUSTRALIS.

spring from one place to another, which is painful, and causes a disagreeable grumbling sensation, or a sore pinching pres- sure from within outward in many places, depriving him of sleep; short flatus goes off now and then with pain, but affords no relief.

Flatulent colic early in the morning after rising; the flatu- lence is pressed toward the diaphragm, causing intensely pain- ful dull stitches.

I Drawing pain in the right side of the abdomen, scarcely permitting him to walk.

I Tearing colic occasioned by (reading?) and walking, and appeased by sitting, especially in the epigastrium (early in the morning).

I Distended abdomen in the evening immediately before going to bed, with colicky pains.

Feeling of repletion in the abdomen, while affected with shortness of breathing.

I I Emission of a quantity of flatulence.

A few stitches in the left side of the abdomen.

Continuous stitch in the abdomen, toward the cecum, not going off till one turns to the opposite side.

Sensation as if the left abdominal ring were enlarged, and as if hernia protruded; every turn of the cough causes a pain- ful dilation of the ring.

Stool

Frequent desire for stool, causing nausea; but she is unable to accomplish anything.

Sudden desire for stool, which nevertheless is expelled with difficulty.

Cutting in the abdomen, with chilliness, followed by diar- rhea.

Involuntary discharge of thin stool.

Continual contraction and constriction of the rectum and anus, permitting scarcely the least flatulence to be emitted.

The tough stool is mixed with mucous filaments.

Itching of a hemorrhoidal tumor at the anus.

Itching creeping at the anus, while walking.

A few long stitches in the region of the right kidney (im- mediately).

URMART ORGANS.— Stitch in the fold near the genital organs.

Aching pain in the fold near the genital organs.

ggg'^F'". . -,,-^J^i^L. . .^rFTTI

MAGNETIS POLUS AUSTRALIS. 247

Relaxation of the sphincter vesicae (immediately).

1 1 Incontinence of urine.

I Smarting pain in the forepart of the urethra, during the emission of urine, as if the urine were acrid or sour.

MALE SEXUAL ORGANS. — | Drawing in the spermatic cord, early in the morning when the testicle is hanging down, as if pulled or distended; the testicle is even painful to the touch.

I Jerking in the spermatic cord.

I Slow, fine, painful drawing in the spermatic cord.

Tearing in the spermatic cord.

I Spasmodic drawing up of the testicles, in the night.

Tearing, strangulating jerks in the testicles; they swell.

Fine itching in the scrotum.

Pain in the penis, as if several fleshy fibres were torn or pulled backwards.

I Red spot, like a pimple, on the corona glandis and on the internal surface of the prepuce, without sensation.

I The glans is red and inflamed, with itching and tension.

Blood dropped from the sycotic condyloma.

The temperature of the genital organs increases in the night.

Creeping and tickling of the glans; semen seemed to be emitted without the person being aware of it.

I Nocturnal emission (in a person affected with hemiplegia) ; it had not taken place for years past. (Note by Hahnemann. — After this emission the paralysis became worse; the sick limb seemed dead to him.)

Emissions two nights in succession, with much talking dur- ing sleep.

During the first two days, the genital organs were greatly excited.

Violent excitement of the sexual desire after dinner.

I Impotence: embrace with the proper sensations and erec- tion; but at the moment when the semen is about to be emitted, the voluptuous sensation is suddenly arrested, the semen is not emitted, and the penis becomes relaxed.

FEMALE SEXUAL ORGANS —| The menses, which had already lasted the usual time, continue to flow for six days longer, only during motion, not when at rest; every discharge of blood is accompanied with a cutting pain in the abdomen. (Note

248 MAGNETIS POLUS AUSTRALIS.

by Hahnemann. — This woman held the south pole, touching at the same time the middle of the bar. The south pole ap- pears to excite hemorrhage, and especially from the uterus, as its primary effect; the north pole seems to act in the contrary manner.)

The menses, which were to appear in a few days, appeared four hours after the south pole had been touched, but the blood was light-colored and watery.

Heat and burning in the pudendum, with fine stitches.

RESPIRATORY ORGANS.— Coryza, and cough with expector- ation of green mucus, and short breath.

Several turns of fetid cough, at night when asleep, not occasioning a complete waking.

Oppression of breathing, along the lower rib.

Deep inspiration, resembling a kind of sobbing, and accom- panied with involuntary deglutition (as is generally the case when sobbing).

I Shortness of breath in the pit of the stomach.

In the evening after getting into bed, he is scarcely able to recover from the shortness of breathing.

Oppression of the chest, as if the breathing were tremulous, and as if the breath which he inspires were cooling (im- mediately).

Pain in both sides of the sternum, consisting in pressure and drawing, accompanied with an anguish which does not per- mit him to remain anywhere, as if he had done something wrong.

Chest

Pressure in the lower region of the lower end of the sternum, with anxiousness and arrest of thought (immedi- ately).

II Palpitation of the heart.

Sharp stitches in the right chest, arresting the breathing. Pressure in the left chest, making her feel nauseated. Aching pain in the chest, afternoon and evening. Dull pressure in the left chest, during motion and rest. Itching stinging in both nipples at the same time. A few sudden stitches in the surface of the scapula. Below the scapula shfe feels a fine, not entirely pointed stitch (immediately).

MAGNETIS POLUS AUSTRALIS. 249

Back

Heat commencing in the cervical vertebrae and ex- tending through the whole of the spinal column.

Pinching in the muscles of the back.

I Gnawing and smarting in the back.

Shuddering from the nape of the neck down the back.

Aching, and at the same time burning pain in the small of the back, during rest and motion.

Dull stitches in the small of the back.

Pain, as if sprained, in the sacro-iliac articulation, after- wards pain as if bruised in that part.

After rising from his seat he feels stiff in the small of the back, hips and knees.

Violent smarting and stinging over the os sacrum and be- tween the lumbar vertebrae, arresting the breathing when stooping.

UPPER EXTREMITIES.- Intolerable pain, as if bruised, at night when in bed, in the biceps muscle of the upper arm, upon which he does not rest, especially when lifting the arm upward and backward, going off immediately when turning on the affected side.

I Crawling in the left arm, from above downward, resembling small snakes.

I Sense, as of rumbling and gurgling, down the left arm (immediately).

Rumbling up and down in the veins of both arms, for several hours.

II Quick, painful jerking, in the arms, from above down- ward.

Stinging itching in the upper arm (between the joints), in the evening before and after lying down.

Sense of fullness and pufiiness in the arm, as if the arteries in the arm were beating.

Painful stiffness in the elbow-joint of the arm which is touched by the magnet.

Feeling of coldness in the left arm, as if ice were lying upon it, the arm had its natural temperature.

Drawing-paralytic pain, early in the morning; first in the left arm when lifting it, then in the small of the back when bend- ing forward, afterwards in the left hip, and in the muscles of he left thigh and leg when stretching the knee.

250 MAGNETIS POLUS AUSTRALIS

Great languor in the right arm in the evening.

Sense of heaviness in the forearm, or as if one had worked too much.

Pain in the arms, as if the blood in the arms had been arrested; now in one, then in another place.

Stiffness of the elbow-joints (immediately).

The left arm is much heavier than the right, accompanied with creeping in the tips of the fingers.

Sensation in the arm as if it had been asleep.

Sensation as if the hand had gone to sleep, with swelling of the veins and quicker pulse (immediately).

Sensation as of a cold breath touching the hands.

Sensation of coldness in the hands, which, nevertheless, felt warm to others.

Painful drawing in the fingers and finger-joints.

I Jerking in the fingers which are touched by the magnet.

Pain of the lower joint of the thumb, as if sprained.

Jerk in the right index-finger, occasioning a visible twitch- ing.

The tip of the finger which touched the magnet, became numb and insensible.

Creeping in the tips of fingers.

I Sense of heat and jerking in the finger touching the magnet.

I Beating in the finger in contact with the magnet.

Beating in the tip of the thumb (immediately).

Ulcerative, beating stinging pain in the root of the nails.

LOWER EXTREMITIES.— Paralytic and bruised pain in the hip- joints, when lying on the affected side.

The thigh and leg go to sleep easily in the morning, when sitting, not soon going off when rising.

I Drawing, with pressure, in the muscles of the thighs, worse during motion.

Paralytic drawing in the evening, from the middle of the thighs down to the feet.

Stinging itching in the thigh, in the evening, also when in bed.

Stinging jerking in the muscles of the thigh next the perineum.

I Sense of coldness in the right thigh.

MAGNETIS POLUS AUSTRALIS. 251

I Drawing: pain in the outer side of the bend of the knee.

Dull, bruised pain in the tendons of the bend of knee; beat- ing and jerking, the limbs being convulsively contracted; most violent during motion.

Violent drawing jerking in the hamstrings, accompanied with a bruised pain; the legs were evidently contracted by the pain, especially during motion.

When walking she felt a sticking in the knee.

I Tearing with pressure in the patella (worse during motion), and aggravated by feeling the part.

The knees gave way in walking.

I Cracking of the knee-joint during motion.

Very painful drawing in the hamstrings, sometimes ac- companied with painful jerkings in the calves.

Dull pain in the knee after dinner, aching and tearing, ag- gravated by touching the part.

Cramp- pain, extending from the left tarsal joint to beyond the knee; stretching did not relieve the pain.

Beating in the muscles of the legs on sitting down after walking.

Drawing or tearing with pressure, in the tibia.

Cramp-like drawing pain in the calves.

Intolerably-painful jerking in the calves, accompanied with painful drawing in the hamstrings.

His legs ache when hanging down while sitting; beating in the legs all over.

I Itching-burning, slow stitch in the side of the calf.

Drawing or tearing with pressure, in both tarsal joints and ankles.

Sticking below the ankles, followed by drawing in the ham- strings and painful jerkings in the calves.

The tarsal joint is liable to become strained on making a wrong step.

Pain as if sprained in the tarsal joint, when making a wrong step.

Cramp of the sole of the foot, when bending the foot back- wards.

Stitches in the soles of the feet, especially during motion.

Stinging in the dorsa of the toes, and in the sides of the feet (in the evening), as if they had been frozen.

252 MAGNETIS POLUS AUSTRALIS.

Soreness of the inner side of the nail of the big toe in the flesh, as if the nail had grown into the flesh on one side; very painful, even when slightly touched.

1 1 Pinching occasioned by the shoes on top and on the sides of the toes, and near the nail of the big toe when walking, as from corns.

Drawing from before backwards, in the middle three toes, only when walking (in the open air).

Miss , Nov. 8th, 1878. For three weeks, aching jn

middle front of left lower leg (where she had varicose veins for eight months), when standing, or when leg is hanging down, removed by placing it horizontally; frequent feeling of hot water running down affected part, but only when leg is down, at times throbbing there, when leg hangs down, Mag- netis Australis, c. m., one dose.

1879, June 11th. Reports that the hot water feeling never returned, and the pain quite ceased in two days. — Berridge,

Mr. C. suffered two years from 'an inverted toe-nail; had tried three of the best physicians and an endless variety of remedies without any relief. About a year ago he submitted to the painful operation of having his nail pulled out by the root, but in three months it grew in and troubled him more than before. He took Magnetis Australis Im, and in about five weeks was entirely cured. — Swan,

Mrs. D., nervo-sanguine temperament, has suffered for five years from an ingrowing toe-nail, outer side of left great toe. During most of this time she has not been able to wear a shoe on this foot — and never without greatly increasing the pain — or even bear the weight of the body on it. Any misstep would be followed by a discharge of blood and pus. The outer side of toe was very much inflamed and swollen, so that nearly half the nail was hidden. No treatment, even cutting out half the nail, gave more than temporary relief. One drop of Magnetis Australis Im was given. Relief soon followed. The toe looked better, was less sensitive to pressure, and she could wear her boot without causing much pain. The swell- ing had nearly disappeared at the root of the nail, giving the appearance of a piece having been cut out. Gave three doses of the same remedy, one every night, and in a few days the toe was perfectly well. — Ballard.

MAGNETIS POLUS AUSTRALIS. 253

Mrs. C. S., aged 31, blonde, complains of a pain in left lower jaw as if out of joint; worse in morning and on moving it, sen- sation as if the head of the bone were squeezed and crowded into the socket. Magnetis Arcticus Im, three doses, one every night, removed all the symptoms. — Conaut,

A young married lady rapidly gained flesh and weight after her confinement; this, with the unnatural pressure on the ball of the foot, induced by high-heeled shoes, caused the flesh on inner side of left great toe to grow over the corner of nail. Through neglect and injudicious local medication, ulceration and large unhealthy granulations followed. The attendant pain was so great as to prevent the use of the foot. Magnetis Aus traits Im every night for a week. In ten days the toe was well, and has remained so. — Ostront.

Sleep

Frequent yawning (with chilliness).

I Sleepless and wakeful. before midnight, and no disposition to go to sleep.

Great desire to sleep at day-break, without feeling able to sleep.

I Restless, frequently turns from side to side, in the night when in bed.

Frequent loud talking during sleep, with a number of con- fused dreams.

He starts in a dream; this wakes him.

I I Dreams about fires.

He dreams that a horse is biting him in the upper arm, and is giving him a kick on the chest; on waking he felt a pain on the outer side of the chest.

I He quarrels and fights in a dream.

He dreams about the same subject for a long time uninter- ruptedly, exerting his mind.

Vexed dreams.

Slow, whizzing expiration during sleep, before midnight.

Slow, loud whizzing inspirations after midnight.

Quick shaking of the arms and hands during the siesta.

I Unusual beating in the region of the heart.

Fever

Disagreeable feeling in the periosteum of the long bones as is felt at the commencement of an attack of fever and ague.

254 MAGNETIS POLUS AUSTRALIS.

Seems to predispose one for colds.

Short shuddering in the afternoon.

In the afternoon he is frequently attacked with a short shud- dering: all over; when walking in the open air, her sight was obscured, and when standing still, she had a shaking and toss- ing of the muscles of the limbs, being unable to hold them still, for several minutes, without feeling chilly; on sitting down he was attacked with heat in the head and face.

I Chills in the room the whole day, especially after an even- ing nap.

I Chilliness of the legs up to the knee, with ascension of heat and blood to the head.

Shaking chilliness, with feeling of coldness, for two hours, without being either thirsty or cold; followed by great warmth, even while walking in the open air, with thirst, and sweat on the forehead and chest, especially in the pit of the stomach (immediately).

Feeling of coldness on the left arm, as if ice were lying on it.

Feeling of coldness in the region of the knees (immedi- ately).

Shuddering in the calves when drinking.

Sensation of coldness in both arms and the left side.

A good deal of itching of the back, during chilliness.

Sensation as of a breeze blowing into the ear, during the chilliness.

I Feeling of coldness Vll over, in the evening (without shud- dering), without thirst (except at the commencement of the chilliness), and without being actually cold; at the same time he feels out of humor, everything was disagreeable tQ him, even the meal; two hours after he was covered with heat and sweat all over, without thirst.

Internal coldness in the affected part.

The left hand seems to him much colder, but has the same temperature as usual, or it is even increased (immediately).

Internal dry warmth, a few hours after the sensation of coldness, during a walk.

Increase of coldness of the thighs, with feeling of coldness to the prover, and heat of the genital organs.

MAGNETIS POLUS AUSTRALIS. 255

II During the chilliness, or the {eeling of coldness, he was quite warm, but he was obliged to lie down, and to cover him- self well; his mouth was very dry; afterwards he was covered with a profuse sweat all over, without feeling hot; on the con- trary, he felt a constant shuddering over the perspiring parts, as if they were covered with goose-skin; accompanied with a sensation as of a breeze blowing into the ears.

Wakes in the morning with a violent headache, heat and alternate chilliness, and was unable to leave the bed.

Increase of internal warmth, without thirst.

Heat in the face after a meal.

Warm sensation in the region where the magnet was ap- plied.

Hot hands after midnight, while in bed.

I Warmth all over, especially in the back.

Sweat during sleep, two mornings in succession.

General sweat in the night.

Thirst for two days, without heat.

Great aversion to the open air; even when not cold, it pene- trates bone and marrow, accompanied with a weeping mood and ill-humor.

Sensation as if cool water were poured over the heid as far as the chest (immediately).

Small, scarcely perceptible pulse.

Uncomfortable, unusual warmth, accompanied with a pee- vish mood.

Flush of heat from one part of the body to the other, at different times, for instance, from the thigh down to the tibia.

Sensation as if the blood were jumping in the veins, when lying down, in the evening when in bed.

Skin

I Corrosive itching in the evening, when in bed, on the back and other parts of the body.

I Itching-stinging, tearing, here or there, in the evening, when in bed.

Fine itching, here and there, in the evening, when in bed, and on waking, easily going off by scratching.

Itching here and there (also in the nates), in the evening, when in bed, and soreness after slight scratching.

During slight coldness of the air, his nose, ears, hands and

256 MAGNETIS POLUS AUSTRALIS.

feet feel chilly and benumbed; in a warm room they feel hot, with creeping and itching in the parts (with pricking).

GENERAL SYMPTOMS.— Creeping sensation in the left side and the left arm (immediately).

A sort of anxiety in the limbs (immediately).

Pinching in the flesh here and there.

Pinching in many outer parts of the body, in the afternoon.

Pinching and squeezing in various parts of the body in the afternoon.

Pain in the limbs, as is felt when growing too rapidly.

I Darting pains here and there, disappearing again immedi- ately.

Jerking sensation in every part of the body, as when one has been running fast, and feels moreover anxious and fidgety.

Stinging-burning pains here and there, in the body, espe- cially in the tips of the fingers.

I Bruised pain in all the limbs, so that he imagined he was lying on stones, on whatsoever side of the body he lay.

Bruised pain in all the joints early in the morning, when in bed, and on rising, even in the articulations of the pelvis, with a feeling of weakness in both abdominal rings, as if hernia would protrude.

I Stiffness of the joints.

I Cracking of the joints during motion.

Speedy increase of mobility of all the muscles, and quick- ness in all the movements; the mind being calm.

I Lightness of the whole body.

Weakness of the feet, on going up stairs.

When walking in the open air the legs feel bruised, and he is suddenly attacked with sleep.

He becomes faint while taking a walk, and the faintness in- creased while sitting.

I Laziness and heaviness of the whole body, accompanied with a feeling of anxiety, as if he were threatened with paraly- sis, and as if he would fall, accompanied with a feeling of heat in the face and the whole body, mingled with shuddering.

He was unable to lie still in any position.

Great rush of blood to the brain, early in the morning, in bed.

MALANDRINUM. 257

MALANDRINIJM (The Grease of Horses).

The crusts vary in form and character, and the appearance differs as much in animals as many skin diseases of the same family do in the human. Dr. W. P. Wesselhoeft reports a case in which: **The crust assumed a conical form; a thick layer of crusts, if allowed to remain without removal, heaped up one-half an inch. They were fragile, moist, yellow, about the consistency of honey-comb. When removed a raw sur- face remained with deep fissures and thick crusts reformed into their original size in 48 hours. There was evidently no itching, but some soreness after removal of the scabs."

These crusts resemble some forms of eczema and rupia.

From Jenner we have it that the origin of cowpox is infec- tion of the udders of cows by contact with grass, on which a horse infected with grease has trodden; while the other his- torical origin from a similar source of infection, also from Jenner, is that it was from the unwashed hands of the stable neys who milked the cows after grooming the horses infected with grease. These assertions are to some extent confirmed by the clinical experience of many homeopaths, who have successfully used Malandrinum against infection with small- pox, and for the bad effects of vaccination.

John H. Clarke says: **It has been used on inferential grounds with great success in bad effects of vaccination. I have cured with it cases of unhealthy dry, rough skin remain- ing for years after vaccination; in small-pox, measles and im- petigo."

Burnett cured with it a case of knock-knee in a child who was constantly handling his penis. His indications are: "Lower half of body affected, greasy skin and greasy erup- tion. Slow pustulation never ending, as one heals another appears."

For the bad effects from vaccination: The late Dr. Fellger, of Philadelphia, probably had a more extensive experience in treating variola and the effects of vaccination than any other man of his time. He had given much thought and many years of study to the subject and came to rely almost wholly upon i8

258 MALANDRINUM.

Malandrinum as a prophylactic for variola, and as the thera- peutic remedy in acute cases. He used Malandrinum for con- fluent small-pox with great success. Where the skin has an unnatural color between the pustules, and small-pox takes on the confluent form, it is always serious and often dangerous. When the eyeball becomes congested and red, it enables the physician to prognose danger.

D.r. Boskowitz, of Brooklyn, was the first to introduce and use Malandrinum. He made the first potencies up to the 30th from the crusts of the ** grease of the horse." To the obser- vations of Dr. Boskowitz in the use of this remedy, both as a prophylactic and therapeutic remedy against small-pox and the bad effects of vaccination, are added those of Drs. Raue, Carleton Smith, Wm. Jefferson Guernsey, Selfridge, Wessel- hoeft, Burnett and Clarke. The potencies of Boericke & Tafel were obtained from Dr. Raue; those of Fincke, Swan and Smith, of New York, came direct from Dr. Boskowitz. It is needless to add that these original preparations were hand-made, but we believe all are reliable. The remedy has had an extensive proving by W. P. Wesselhoeft, H. C. Allen, Steere, Holcombe and students of Hering College, in 1900 and 1901. The provings were made with potencies ranging from the 30th and 35th to the 200th. No prover knew what was being taken.

We consider it a deep long acting remedy, to be repeated not oftener than once a fortnight.

Impetigo, ecthyma; fat, greasy looking pustular eruptions are especially affected by this remedy. A. L. Marcy, H. R. Vol. XIV, p. 530, relates a singular experience with Malandri- num 30. During a small-pox epidemic he vaccinated himself, taking at the same time Malandrinum 30 night and morning. The vaccination did not take. It was twice repeated and still did not take; nor was small-pox contracted. Called to vac- cinate four children in a family whose parents had small-pox, he vaccinated all and gave Malandrinum 30 to three of them at the same time; the remaining child was the only one whose vaccination **took." This was so severe that Malandrinum had to be given to modify its intensity, which it did effectually. The other three were re-vaccinated but none ** took." Of five

MALANDRINUM. 259

children from six to seventeen years of age, only the eldest had been vaccinated, and he had a good scar. All except the eldest were given Malandrinum, and were vaccinated and none of the four **took." The eldest took small-pox. Malandri- num was Jthen g^iven, and in a few days he was convalescent. In another case of small-pox Malandrinum was given, and the disease only lasted a few days, the eruption drying up.

The only previous attempt at proving was made by Straube with the 30th potency, published in the H. R. Vol. XV, p. 145, and the H. W. Vol. XXXV, p. 504. These symptoms are included.

Mind

Confusion and lassitude of the mental faculties with a dread of any mental exertion and a lack of concentration, an entirely new and unusual experience which continued sev- eral weeks after stopping the remedy.

II Comprehension difficult.

II Memory weakened and impaired; great difficulty in remem- bering what was read.

Confused feeling in head with severe pain in left temporal region, finally located in left eye and felt as if a saw was being drawn up and down vertically through globe, < by light and reading.

Sharp darting pain first in left temple then in right. Con- fusion and lassitude of mental faculties; lack of concentration and a dread of any mental exertion.

Melancholy with general fatigue.

HEAD EXTERNAL. — Pustular eruption on scalp. Sensation of weariness at junction of atlas with craniumi every morning on rising.

Itching on scalp, especially in the evening.

Excessive oily dandruff (an entirely new experience) the fourth week after pustules dried up.

Prover contracted a digital chancre, from surgical infection in May, 1891; was treated homeopathically. Ever since a tendency to crusty pimples on the scalp, chiefly on vertex; discrete, scattered^ entirely free from itching, neither painful nor sore, small at the base but considerably elevated in form of a dry crust. Condition had existed eleven years. Malan- drinum 30, three times a day, caused the eruption to disappear entirely for three months, after which it gradually re-appeared.

260 MALANDRINUM.

Impetigo covering head from crown to neck and extending behind ears.

Thick, greenish crusts with pale, reddish scabs, itching < in the evening.

Impetigo, covering back of head, extending over, back to buttocks, labia and even into vagina.

Head

Frontal and occipital headache, backache, weari- ness and chilliness, lasting one day.

Frontal headache, no appetite, bilious vomiting and weari- ness.

Dizziness.

Terrible headache and backache.

Splitting headache in the forehead, chilliness, salty taste in mouth.

Frontal headache, backache and weariness.

Temporal headache, dizziness, backache.

Terrible headache, bone pains, vomiting (bilious), chilliness, diarrhea, malaise.

Pain in forehead, left after Malandrinum.

Heaviness in the head.

Pains all over head.

Pain in back of head, no appetite, inability to sleep.

Headache and backache, stiffness of neck, loss of appetite, constipation, and great weakness (following vaccination).

Headache, worse in forehead, with pain in back and ab- domen, attended with general debility (following varioloid).

Eruption on forehead, crusty with intense itching.

Eyes

Red stripes under eyes. Severe pain in left eye as if a saw was drawn up and down vertically through eye ball.

Nose

Dry rawness in floor of left nares, more marked on left side.

Face

Skin of face and neck chaps and smarts after shav- ing; must shave on warm moist days.

Eczema facialis; intense burning, much edema, oozing vis- cid fluid.

A yellowish honey-comb crust on upper lip.

Ears

Profuse purulent, greenish yellow discharge, mixed with blood.

Left ear painful on waking.

MALANDRINUM. 261

Mouth

^Tongue, coated yellow; with red streak through middle, cracked and ulcerating down middle; swollen.

Horribly offensive breath.

Canker on left border of tongue, which spreads in all direc- tions; tongue sore, unable to speak.

In one case in which I was using Malandrinum 30 as a prophylactic of variola, it cured a very stubborn case of aphthae. — H, 5. Taylor,

Throat

Sore and swollen < left side. Left tonsil swol- len; yellow ulcer with clear cut, well defined edges persistent for several days; rough scraping sensation like a com husk or a foreign body, which must be removed mechanically; pain- less swallowing.

January 24 commenced taking Malandrinum 200.

Thursday, Feb. 6th, awakened with first sore throat of my life.

Left tonsil swollen and inflamed.

Left ear ached and gums on left side of mouth inflamed and swollen; marked salivation.

These symptoms continued and severely < until March 5th, when they became so severe that he was compelled to seek antidote (Mer. s. cm.).

Throat symptoms and pains in throat begin on left side, and extend to right.

Ulcerative patches, grayish in color, on tonsils and fauces, with a tickling sensation on swallowing.

Ulcerated sore throat had tendency to extend downward, invading the larynx.

Severe ulcerated sore throat beginning on third day, worse on left side.

APPETITE; THROAT.— Thirstless; water nauseates.

Entire absence of thirst.

TEETH AND GUMS. — Teeth covered with viscid mucus; must clean them with cotton several times daily.

Gums swollen, ulcerated, receding from teeth; bleed easily when touched; unable to brush the teeth from sore and bleed- ing gums.

A dark, brown, tenacious mucus mixed with blood and pus exudes from ulcerated gums.

262 MALANDRINUM.

Sordes on the teeth.

Stomach

Nausea after eating; vomiting of bilious matter.

Very hungry.

Empty, faint, **all gone*' sensation, with faintness and trembUng, not > by eating, though desire for food is very marked.

Abdomen

Pains around umbilicus.

Stool

II Diarrhea: yellow, bloody, slimy; very change- able, worse in the morning; acrid, excoriating; child had a dried-up mummyiied appearance; sleepless and has not nursed for 24 hours.

I Dark, thin, cadaverous-smelling stool.

II Diarrhea: acrid, yellow, offensive, followed by burning in anus and rectum.

II Dark brown, foul-smelling, almost involuntary diarrhea; pains in abdomen.

II Dark brown, painless diarrhea.

I Black, foul-smelling diarrhea; weariness, nausea, dizzi- ness.

I Yellow, foul-smelling, almost involuntary diarrhea, and great weariness.

II Black, foul-smelling diarrhea, malaise and weariness. Bowels inactive, no desire; move after enema, but leave

sore bruised sensation in rectum for hours; dreads stool.

Urine

Great sensitiveness of bladder on walking; bladder irritable, frequent desire to urinate.

MALE SEXUAL ORGANS.— (Child constantly handles the penis. )

Violent erections the seventh and eighth nights.

Painful erections the seventh and eighth nights.

Painful erections second night with great sensitiveness of bladder.

FEMALE SEXUAL ORGANS.— Vagina closed with thick impeti- ginous crusts; yellowish, greenish, brown in color.

Back

II Intense pain across small of back. Pain along back as if beaten.

Backache was intense in the sacral region; in the dorsal region, under the shoulder blades, chiefly the left side; it was almost unbearable. (Dr. B. from three doses of the 200th,)

MALANDRINUM. 263

UPPER LIMBS. — Impetiginous crusts on extensor sides of forearms. Rhagades in palms and fingers.

Had a case of varioloid to treat; I took four doses of Malan- drinum 30, one dose a day, and had a sharp proving in the form of a severe backache for several days.

LOWER LIMBS. — Pains especially in left tibia, with petechia- like patches on anterior aspect of left leg from knee to ankle.

Petechia on both thighs < on left.

Knock-knee.

Weak ankles, easily turn on making a false step.

A sore spot in r. quadriceps extensor femoris as eruption disappeared, later it changed to muscles of left leg with in- creased pain and tenderness.

Dull pain in crest of left tibia for several days before sore throat and headache began.

Left foot drenched with sweat; right foot dry. Four days later (after dancing 2% hours) both feet drenched with per- spiration.

Toes felt as if scalded and itched terribly underneath ; was compelled to change hose twice a day, and bathed with cold water morning, noon and night, which gave relief.

Intense itching < by rubbing or scratching.

Skin underneath toes cracked and bled.

Profuse foot-sweat with carrion-like odor; toes so sore un- able to walk; only > was when feet were bared and elevated.

The itching or sweating would return on covering or letting the feet hang down.

II Soles of feet bathed in sweat, scald and burn when cov- ered or warm.

I Large blisters on soles of both feet — no change of shoes — skin exfoliated on both feet.

I Feet **go to sleep" upon least provocation, a sensation never before observed.

Cold perspiration on soles of feet; sensation of a draft of air blowing on feet at night, must get up and tuck in the bed clothes which relieves.

II Deep rhagades, sore and bleeding, on soles of feet > in cold weather and after bathing.

Aching in the limbs for several weeks, much worse when weary (during small-pox epidemic).

264 MALANDRINUM.

Sore in all limbs and joints.

** Run arounds" on all nails of hands and feet.

On Oct. 22, 1901, a man, 56, had three doses of Malandri- num 30, to be taken 24 hours apart.

On Nov. 11 complained of burning, stinging itching of face and scalp < at night. In a few days there was a well devel- oped eczema which continued four or five weeks despite anti- dotal treatment.

Skin

On the 6th day a pustular eruption covering chest and shoulders with hard nodules and intense itching; erup- tion began to crust with little or no discharge from pustules.

Two ladies had taken the 200th, one dose, daily; on the third day with one and on the fourth day with the other, a slight pustular eruption appeared on the face and chest. The eruptions were similar in character and ran their course in a week.

A few small pustules appeared on the left arm near the site of infantile vaccination, some days after a dose of Malandri- num 200. — Geo. H. Clark,

A sensation of rawness of the skin over chest and shoulders, after bathing, as if the skin had been scraped with burning acid, smarting by covering parts.

A nodular eruption over chest and shoulders, extended down the arm to elbows, with slight vesication, disappeared, leaving thin crusts.

A burning itching sensation beneath the skin in the palm of the hand, appeared upon contact; after the eruption had dis- appeared, continued for several weeks.

Eczema of face and scalp, with burning, stinging itching.

Impetigo on extensors of forearms.

Small dusky red spots on legs, not disappearing on pressure.

Dry, rough, unhealthy skin remaining for years after vac- cination.

Skin rough, dry, harsh.

Palms and soles thick; deep rhagades < in cold weather, < from washing with any kind of soap.

Skin greasy; oily eruption, and hair excessively oily.

Pustules slow to develop but never ending; as one healed another appeared.

MALANDRINUM. 265

Eruption in hollow of arms and knees, red, scaly with in- tense itching < when becoming warm.

Sleep

Restless sleep; dreams of trouble, of quarrels.

Malandrinum 30, while being used as a prophylactic of vari- ola, cured a stubborn case of aphthae, which had resisted many well selected remedies.

Malandrinum 30, one dose daily for four days, produced a severe backache for a week or more.

For the bad effects of vaccination has been used with best results.

Bach member, in a family of six, had been vaccinated; three receiving Malandrinum, and their arms were only slightly affected by the vaccina- tion and ran a short coarse of a few days; the other three, who did not re- ceive Malandrinum, were very ill, arms sore for weeks and required treat- ment.

Bad effects of vaccination: A lady, with an ulcer as large as a silver dol- lar and three-fourths of an inch deep, which continued to suppurate and would not heal; but under the curative effect of Malandrinum, recovered promptly.

When used as a prophylactic for variola has proved protect- ive in many cases, and also prevented vaccination from **tak- ing.

Skin Symptoms produced in nearly all who took Malandri- num as a prophylactic; itching rash on various parts of body and face, plainly visible under cuticle, with a few scattered eruptions on surface.

Malandrinum was given to nearly 600 persons, many of whom had been exposed by personal contact with various pa- tients, before and after taking the medicine; only one case of so-called varioloid occurred, and this may have been a proving of Malandrinum.

Malandrinum 30 given to many persons during small-pox epidemic as a prophylactic produced in a number of cases marked premonitory symptoms; headache, backache, general soreness, malaise, thickly coated tongue, loss of appetite, and more or less fever.

Blood boils. Malignant pustules. Vaccinal ulcers.

*' The crust assumed a conical form; a thick layer of crusts, if allowed to remain without removal, heaped up one-half inch. They were fragile, moist, yellow, about the^ consistency of honey-comb. When removed a

266 MALANDRINUM.

raw surface remained with deep fissures and thick crusts reformed into their original size in 48 hours. There was evidently no itching, but sore- ness after removal of the scabs." — WesselhoefL

Malandrinum 30: produced burning, stinging, itching of the face scalp, worse in the night; a few days later a well developed eczema.

Malandrinum 200: produced a number of small pustules on the left arm, near the site of infantile vaccination.

Mr. H , aged 42, American, youngest of ten children; father died at

45, of pneumonia; a brother died at 20, of pneumonia; mother died in old age. Two sisters complain of rheumatism.

Brunette, black hair, dark blue eyes, healthy and athletic, until 21 years old. Never used tea, coffee, alcoholics or tobacco; lived a chaste life; father and brothers the same.

Prom birth his skin has been rough, dry, harsh; one brother has the same. Skin of palms and soles thick, cracks in cold weather; deep rhagades, sore at bottom; <[ dry cold weather; < when using soap or any alkali; skin of face and neck chaps and smarts after shaving. Must choose moist warm days for shaving.

At 21 had malaria, and was given very large doses of Quinine. Never had another chill; but has been constipated ever since, and sciatic rheuma- tism then set in, <[ in cold weather, <[ before storms.

Was nearly crippled from it for ten years.

Had sphincter dilated; papillae removed at two different times, but with no permanent benefit.

Bowels inactive, no desire for stool. Move after an enema, but leave a sore bruised feeling in rectum; dread of stool.

Thirstless; water nauseates.

Was vaccinated Feb. 1901. A slight "take."

Lower half of body affected; greasy skin; greasy eruption. Slow pustulation, never ending, as one healed another ap- peared. — Burnett.

Bad effects of vaccination ; has cured cases of unhealthy, dry, rough skin, remaining for years after vaccination in small- pox, measles and impetigo. — Clarke.

Eczema facialis; oozing of a viscid fluid; intense burning; much edema; small scales, exfoliated < from bathing at night; > in cold air. — Thompson,

In a family of eight persons, none of whom had been vaccinated, the oldest boy took small-pox. One of his brothers slept with him and broke out all over; the mother expecting to be confined in a few days, we sent him away, and I at once put the rest of the family on Malandrinum 200, with the result that none of them took small-pox. The boy that slept with

MALANDRINUM. 267

his brother had a light fever the twelfth day, but that passed off without any further trouble. — Bryant.

A yellowish honey -comb crust on upper lip; would crumble off, leaving moist surface, which would soon reform.

Sharp, stabbing^ pain through upper lip with occasional burning.

Small pimples on chest and back, with intense itching ex- tending to other parts of body and limbs < by cold air, when undressing.

A large crust of a light yellowish-gray color on right side of forehead extending to the temple and borders of the hair.

Eruption in the popliteal space and hollow of elbows; scaly, crusty, moisture under the crusts and intense itching.

'*Malandrinum in small-pox:" The following symptoms are reported cured with Malandrinum:

Aching in limbs; headache; pains in 1. side of head with great debility; pains in back, head and abdomen; pain in head and back, fatigue, chilli- ness and vomiting; stiff neck; constipation; inability to go up stairs from weakness; lazy, weak feeling; terrible itching after an attack of small-poz; foul smelling diarrhea, chiUiness, weak, tired feeling; great pain around the navel, sore aching in bones, sleeplessness during an attack of small' pox. Crying and ill temper of children during small-pox; pain in back extending to heels, soreness of abdomen, every bone in body aches. There was no smell from the eruption after Malandrinum was g^ven. — Straube,

"Malandrinum has been given to numbers of unvaccinated children who were directly exposed to the contagion of variola, and they have invariably escaped the disease. I have given it to many persons (one dose each), directly after vaccination and been unable to make that or a re-vaccination ''take'' with virus which had proven effectual with others who had not had the medicine. One girl who suffered terribly from pain and an enor- mously swollen and inflamed arm and forearm, following vaccination, I entirely relieved of the pain in a few hours by two doses of Malandrinum, and with an almost complete disappearance of the objective symptoms in twelve hours." — Guernsey. As therein stated, one or two doses are given, 24 hours apart, and not repeated until a succeeding epidemic or '* scare" — at all events it is believed to be sufficient for at least a year.

Impetigo covering back of head, extending over whole back to buttocks and even into vagina, covering labia and extensors of forearms.

Boils.

Malignant pustules.

Bad effects of vaccination.

268 MALANDRINUM.

Small dusky red spots on legs, not disappearing on pres- sure.

PROVING.

Miss A. W. C. ; a large brunette; unusually well and strong; aged 50, a nurse.

Wednesday, Dec. 6. Took twenty pellets of Malandrinum, the 35th, at 5:30 p. m.

Thursday evening, Dec. 7. Toothache in right upper eye- tooth beginning about 8 P. m. and lasting for two hours until bed time.

Friday evening, Dec. 8. Peculiar feeling of snuffles in the nose without discharge, with an unusual feeling of apprehen- sion.

Saturday, Dec. 9., 9 a. m. A peculiar dull ache in my left chest near the heart lasting about two hours.

In the afternoon about 2 p. m. a severe dull pain in ball of foot, under big toe; worse when stepping on it. This lasted all the rest of the afternoon.

Sunday, Dec. 10. Felt very well today and with the excep- tion of the above sensations have felt an unusual exhilaration and have had an especially good appetite during the last four days.

No more symptoms until December 19th, when I took ten pellets of the two hundredth in the morning before breakfast.

Had a dull, uncomfortable headache which passed off after sundown.

December 21. Back of head aches from early morning all day, after a sleepless night with a patient.

December 22. Have had unusually vivid dreams and very unpleasant ones.

December 23. Dreams again vivid, but not as unpleasant (I very rarely dream).

Felt very well otherwise except an unusual apprehension about patient, for no reason that I can account for.

December 25, Unusually vivid dreams.

December 26. All night quarrelsome dreams. Woke in the morning with left arm very lame and a peculiar restless- ness in the arm, which was exceedingly uncomfortable.

MALANDRINUM. 269

Sudden pains in my right hand which come and go quickly and have continued during the whole afternoon.

Mrs. G. F. S., widow, aged 58. Blonde, well developed, inclined to obesity. Remarkably healthy woman, whose ap- pearance and vivacity would place her at the age of 40.

Dec. 6, 1905. Took fifteen pellets of the 35th potency at 10 p. M.

Before eleven o'clock began to feel a creepy sensation in my skin, particularly in the face, like the crawling of ants over it, accompanied by itching.

It was red, and I had to resist a desire to jerk my fingers and twist my hands; this continued and increased even after I had taken my warm bath.

Went to bed about twelve very sleepy, but could not get to sleep because I could not lie still on account of creepy sensa- tion which spread over my arms, shoulders and upper part of my body, with jerking of the limbs.

I turned from one side to the other, but could not be quiet long enough to get to sleep. Accompanying this was a ring- ing in my head, as it once had when years ago I had taken quinine^ but it was not of long duration.

At half-past one I got up and wrote this. My lower limbs did not seem to be affected by any of these sensations, but I kept scratching my arms and face, head and shoulders, and my hands and fingers felt particularly restless and nervous. Had no internal disturbance other than my head. Finally fell asleep at half-past two and slept soundly until six.

Dec. 7. Awoke with all the symptoms of the night before gone, but had a sharp headache, and a bad taste in my mouth. By seven o'clock these too were gone, and I arose feeling all right.

While I was out walking I was taken with a severe pain in the back, or, rather, at the left side of the sacrum low down, with stitching pains in rectum. It lasted about an hour.

At two o'clock began to have a bad headache over eyes, and with a sense of fulness in my head.

My feet were somewhat swollen when I put on my boots in the early morning, but by twelve o'clock after walking (not without some pain) the swelling left. By half-past three in

270 MALANDRINUM.

the afternoon my headache was entirely gone (it lasted only one and a-half hours), also the sense of fulness in the head: Have felt perfectly well ever since until Friday morning.

Dec. 8. About eleven o'clock when I suddenly had another attack of headache, and I find that I am liable to a return of these attacks, with the sense of fulness, at odd times, appar- ently without any reason.

Friday had three attacks, but they did not last long; from half an hour to an hour and a-half, not longer, also since Wednesday evening, when I took the pills, until Friday night, Dec. 8th, I have not had any discharge from my bowels.

Dec. 9. When I went to bed last night, after lying down, my head had a sharp pain for perhaps ten minutes. This morning when I woke I had that disagreeable taste in my mouth, but felt all right until about 9 o'clock, when I went out, and I did not have any vitality, and found it hard work to lift my legs. I thought it might come from not taking coffee (which you have asked me not to do during the proving), as I have done for so long a time, so I went and had some rolls and omelet and drank a cup of weak tea, but did not feel any bet- ter. My movements seemed to be uncertain. I was afraid of falling, or tripping. It was difficult work getting in and out of the cars. I had occasion to go up two flights of stairs, very old, narrow and rickety, and was afraid that I should fall on my way down.

I have had all day, not a headache, but a feeling that made me scowl, and keep closing my eyes. I felt as if I must get home as soon as possible.

For two days, several times, I have been troubled by feeling very hot in the face; never cold. Sometimes when the face felt burning hot I would perspire on the face and head.

This morning I had a movement of the bowels, the first since Wednesday, Dec. 6th.

I have been troubled a great deal with rheumatism in my hand, the right one, and thigh and hip, although the pain was not constant, but since taking the pellets on Wednesday last, I have not had any pain of this kind anywhere. I have had a slight eruption on my cheeks and sometimes a place larger than a dollar would be burning red and shining on my right cheek at the side of my nose.

MALANDRINUM. 271

Sunday, Dec. 10. No symptoms today until now, 7 p. m. , both cheeks are burning and have the inflamed shiny look. Perhaps it is also another symptom that I have been very irri- table all day.

Dec. 11. The rheumatism has returned in right hand and hip. After I have been walking a very short distance, my legs pain me and get so heavy and my back and hips drag so that I have to sit down, and when I sit down, all these feelings go away. Two or three times today my right eyelid has kept twitching.

Tuesday, Dec. 12. Twitching in left eye only. Same trouble in my hips and legs and back, when walking. My stomach and abdomen have been much swollen for two days.

Wednesday, Dec. 13. Nothing more.

Thursday, Dec. 14. Nothing.

Dec. 17. Took two hundredth potency in solution at eleven o'clock p. M. A. tablespoonful of twenty pellets dissolved in four tablespoonfuls of water.

At 12:30 A. M., my skin began to itch and my legs were very fidgety, also all my body was very restless. Arms and shoul- ders were not affected as before, however, with itching and restlessness. It seemed to be the lower part of my body this time, although my face felt some of the irritation, but in a much less degree.

Monday, Dec. 18, 7:30 A. m. Slept soundly from 12:30 to 7:30 this morning, with all the symptoms of the night before one gon awaking.

At 4 p. M. began to have excruciating pain in my forehead over the left eye, which continued until about midnight. Once it ran down behind my left ear for a short while. It left me as suddenly as it came. Took the last tablespoonful that night. Slept well without disturbance.

Dec. 19. That day was without pain or other disturbances, except I felt in a state of collapse nearly all ,day. Had no strength in my arms or legs, and every little while was obliged to lie down wherever I happened to be. Would almost fall asleep and my breathing was very deep and heavy, like puff- ing. My body felt heavy, and I had difficulty in lifting my legs and walking. Frequently low sighs would come. This was all much better by 6 p. m.

272 MALANDRINUM.

While taking the medicine this time, I have had no opera- tion of the bowels, and the last day there was more or less of an eruption on my cheeks and at the side of the nose, but not the red shiny look I had when taking the remedy the first time in pills (the 35th).

Each time I took the medicine (the first time in pellets and this time in solution) I had a slight return of the breaking out round my waist which I had when afflicted with shingles years ago. I was not rheumatically affected this time as I seemed to be when I first took the pills. Ever since I began taking the pills, from the first day until now, I have found that when I started out walking, however well I felt, after a short time I gave out all over, and especially in my bowels, thighs and legs, also the toes of my left foot, except the bigtoe, were affected in a way I never before felt, not like cramp or gout; and whereas I am always light on my feet and move quickly and easily, during these days it has been hard for me to get about and I have felt heavy and moved heavily, also a great deal of headache, a thing unusual for me; also often a short- ness of breath with an inclination to wheeze.

Dec. 20th, 7 a. m. Woke with a bad headache (the bad taste which I had in my mouth when waking while I was taking the medicine in pellets (35th) I have not had at all this time). Since December 20th I have had no more symptoms.

Mrs. J. F. C, aged 62; a large well developed woman, gray hair, former blonde, born in England, and has lived for twenty years in Munich, Germany.

May 8, 1900. Has always been remarkably well until eight years ago when an eruption appeared on the upper lip, which formed a yellowish, honeycombed crust. Portions would crumble off and leave a moist surface, which again would form a similar crust; occasionally a burning and, at long intervals, sharp stabbing pains through the upper lip.

Had received all kinds of external treatments by German specialists, without effect. Once after cautery, it remained absent for six months. Then Dr. Jochner, of Munich, advised surgical interference, which was not acceded to. On her re- turn to America, further local experiments were tried with- out success.

MALANDRINUM. 273

I could not elicit any symptoms of a constitutional charac- ter. Neither could I establish any connection with vaccina- tion, or revaccination, as she told me she had never been re- vaccinated since childhood, which is a remarkable record for a life in Germany of twenty years.

The appearance was so unsightly that she had excluded herself largely from contact with society and was consequently mentally much depressed and anxious. From May 8th until February, 1901, she received at long intervals of at least three weeks single doses of Sulphur, Arsenic and Kali carb. The latter remedy was given June 20th, 1900, and some improve- ment was noticed until February, 1901, during which time she was under placebo, when she reappeared with the condition as bad as ever.

The character of the eruption reminding me so strongly in appearance of the ** scratches" of horses, led me to give her one dose of Malandrinum 24m., on February 5th, 1901.

April 1st. There was on the whole a decided change in the diameter and elevation of the crust, but still there existed the sticky moisture under it. Repeated Malandrinum 24m., and placebo, with slight improvement. On April 27 she received Malandrinum cm., with gradual improvement during May and June.

July 15. The crust had decreased one-half, but still mois, tare underneath it, Malandrinum cm.

October 26th. She reappeared with an entirely clear lip- which has remained so to this date, Dec. 11, 1906.

Miss M. N. H., aged 19, medium brunette. Student.

Dec. 27, 1904. Eruptions first appeared three years ago on chest and back. Small pimples with intense itching, extend- ing to other parts of the body and limbs; < when exposed to air and on undressing.

For the last two months a different form of eruption has appeared on face, a very unsightly crust of a light yellowish gray color, on right side of forehead extending to the temple and under the hair on that side. Has used external medicinal applications more or less for the last three years without bene- fit. There is some irritation and itching of the eruption on the forehead, but less intense than that on the body.

274 MALANDRINUM.

Complains of faint, gone sensations in stomach without real hunger. This is especially evident since the previous July, and is not > by eating. All functions normal.

Was vaccinated repeatedly before her twelfth year. In that year the vaccination ** took,*' followed by a tedious suppuration at the point of vaccination.

Sulphur cm. in water to be taken during forty-eight hours, a tablespoonful morning and evening.

Jan. 21, 1905. Has more eruption and more intense itching. No faintness. Appetite rather abnormal, craves hearty food.

Psorinum cm. in water, morning and evening for two days.

Feb. 18. Itching continues intense. Eruption has appeared in popliteal space and hollow of elbows. Thinks there is less moisture after scratching. Placebo.

March 15. No improvement whatever. All symptoms re- main the same, except the faintness at the stomach disap- peared. Malandrinum 24m. , one dose dry.

April 15. Eruption on forehead appears to be less thick, but itching remains intense. Malandrinum 24m., one dose dry.

May 13. Decidedly less itching; less moisture, both on face and body. Chief discomfort on forehead. Crust less thick. Malandrinum 24m., one dose dry.

June 12. Decidedly better. Placebo.

July 10. Most marked improvement. Forehead entirely free from the crust, and all eruption. Skin normal, where the large crust was located. Eruption on body also much im- proved; no itching. Hollows of elbows and knees clear of eruption.

Dec. 9. Has been free from eruption all summer. Since the cold weather slight reappearance on forehead and neck, but no crust. Small pimples with some itching. Says her hair is falling out. Malandrinum 24m., one dose dry.

March 10. No eruption anywhere. Skin of body normal. No itching. No falling of hair.

In November, 1906, received letter from a relative, who re- ports her as perfectly well, and the happiest girl in her town.

Miss G. W., aged 40, light blonde, full habit, very healthy.

Dec. 6th. Ten pellets, 38th potency, at 12 M. Wednesday.

While sitting at lunch at 2 o'clock momentary light-headed- ness lasting perhaps two minutes.

MALANDRINUM. 275

Friday, 8th. Woke at 4 a. m., attack of sinking weakness; rose and walked about the room a few minutes; was chilly for half an hour after returning to bed.

Monday, 11th. All day nausea, > after eating, uncertain, shaky feeling in stomach.

Tuesday, 12th. Same nausea continued < afternoon, with dull headache in forehead.

After dinner at 7 o'clock nausea with eructations tasting of food.

Wednesday, 13th^ Slept from 11 till 4 a. m., then an attack of eructation of gas tasting of food; no nausea to-day; took cup of coffee this morning, which relieved nausea.

Feels week and exhausted all over.

Has felt so ill that she declines to take more of the medi- cine, and begged me, with tears in her eyes, not to give her any more, as she knew she would have ** nervous exhaustion," which she had during a whole year, four years ago.

Sleep

Restless sleep; dreams of trouble, of quarrels.

DAY BOOKS OF PROVING. By W. P. Wesselhoeft, M. D.

Miss E. M. B., a strong brunette inclined to obesity, age 50, no menses for 18 months.

Dec. 6th. Took ten pellets at 1 p. m., 35th potency.

Wednesday night, Dec. 6th. Did not sleep well, woke fre- quently, mind unpleasantly active, darting from one idea to another.

Thursday, 7th, A. m. Feeling of fulness in head, ache in back of neck (joint at top of. spine, running down into arms and up behind ears).

Friday evening, 8th. Slight soreness and swelled feeling around palate and between nose and throat.

Saturday, 9th. Little blisters with crust at left angle of lips; larger one on lower lip came two days before.

Saturday night wakeful.

Sunday, 10th, A. m. Soreness and rawness between throat and nose continue, more prominent on left side.

Seven p. m. Shifting pains in lower abdomen. Sudden urgent movement of bowels gives relief (twice during the

276 MALANDRINUM.

evening), fulness and heaviness in lower abdomen with dull ache, but not very marked.

Monday, 11th, a. m. Mouth dry on waking, very thirsty all day. Sensation of large tongue, dryness succeeds soreness between nose and throat (left).

7 P. M. Return of sensations in abdomen described yes- terday.

Tuesday, 12th. Dry mouth in morning. Thirst and large tongue continue.

Wednesday, 13th. Dry mouth, large tongue continue. Feeling of soreness and lameness under jaw and chin when mouth is opened very wide. Soreness under jaw (almost half way back from point of chin) felt when pressed deeply on out- side, both sides.

Dec. 18, 1906, 8 a. m. Took first dose of remedy in water. 10 p. M., took second dose.

Dec. 19th, 9 A. m. Third dose. Four or five small red pimples on left forearm. No itching about them.

10 P. M. Fourth dose. Itching on back, neck and shoul- ders, more marked on left side. Very troublesome for more than an hour on undressing, and after going to bed.

Dec. 20th, 10 A. m. More than an hour after breakfast. Intense discomfort in head, hard to describe.

Feeling of lightness, yet of pressure on top of head; sensa- tions confined to region above ears.

Sensation of motion in the eyes. Vision not clear or steady.

Quick pulse, conscious of its beat in ears and neck; quick, short breathing.

Feeling of weakness in hands and wrists.

Tingling sensation in arms and hands.

Throbbing in top of head; hissing sound in ears, with rhythm of pulse.

Exhausted feeling was present all day,

Dec. 21st, 11 A. M. Return of yesterday's symptoms, not quite so severe.

10 P. M. Great discomfort on lying down in bed, from heart beating very quickly with occasional skipping of a beat; hiss- ing in ears, weak feeling in arms.

MALARIA OFF. 277

More comfortable with head propped high.

Heartbeat quickened by slightest movement.

Foregoing symptoms continued for an hour or more.

Waked suddenly at 12 (by noise); first sensation a quiver- ing or vibration inside of or back of eyes.

Sensation of great heaviness of body^ bed seemed insufficient support.

Dec. 22d. Did not sleep after 4 A. m.

11 A. M. Slight return of symptoms of previous days at same hour.

Depressed, worried, anxious.

Slept somewhat better.

Dec. 28d. Depression continued through forenoon, began to wear off towards evening.

Dec. 28, 10-11 A. M. Itching or prickling on back, arms and legs; less marked elsewhere on body; relieved by warmth rather than by scratching.

This has recurred at irregular intervals of one to four days up to to-day (Jan. 10).

Dec. 81st. Feeling of swelling and soreness in throat or between nose and throat, back of palate; pain running up into ears, left side. Thirst.

Chilly feeling on changing clothes at night (the same on dressing next morning) ; headache.

Jan. 1st. Symptoms return at evening with sneezing, dry- ness in throat, left side.

Jan. 2d. Some mucus cleaned from nose and throat afforded relief, and the trouble gradually disappeared, though the dry- ness of nose and throat on left side continues (Jan. 10).

MALARIA OFF.

We are indebted to the late G. W. Bowen, Fort Wayne, Ind., for this valuable remedy.

Hahnemann had an extensive experience in Malarial Fevers in the valleys of the Danube, and the fevers of the Pontine marshes on the Tiber are historical.

278 MALARIA OFF.

Dr. Bowen lived on the Wabash River at that time, a noted malarial region, and for many years he was called upon to treat hundreds of patients suffering from all forms of malarial affections.

Malarial affections have been attributed to marsh exhala- tions in summer and autumn when the water has been evapo- rated by heat. These poison vapors of decaying vegetation Dr. Bowen had to contend with, Malarial fevers and their re- sultant diseases, intermittent, remittent, continued, typhoid, etc., for years, not only in their acute, but in their suppressed forms, in which he found all forms of chronic diseases, very frequently, could be traced to maltreatment of the acute man- ifestation. He conceived the practicability of testing the effects of artificial toxin prepared from peat, or decayed vege- table matter, taken from a marsh during the dry season, when the malaria toxin was most active. This vegetable matter was placed in glass jars, filled with water and allowed to de- compose, which were numbered I, II, *and III, according to the time, one, two or three weeks* of decomposition.

At the end of each period, or stage, provings were made by inhaling the gases given off, just as the patient would naturally inhale the marsh miasm. Provers were paid so much per day to inhale the gas in its different stages of decomposition, and a careful record of its effects was made. This constituted the provings of the crude gases.

For medicinal purposes a tincture was prepared by putting ten drops of No. II, in which the matter had been decomposed for two weeks, into 90 drops of alcohol; this formed the 1st dec. potency, and all Bowen's reported cures were treated with this.

Boericke & Tafel made a 30th from this tincture, which Ying- ling inhaled, and resulted in his involuntary proving. Later Boericke & Tafel made a 30th potency of No. Ill, which was run up into the higher potencies by Gorton, and used by Ying- ling in his clinical experiences.

The paid provers of No. I, which was not very offensive, obtained the following uniform results in from one to three hours after inhalation: ** Headache, nausea, distressed stom- ach, white-coated tongue." These symptoms passed off in two or three days.

MALARIA OFF. 279

Provers of No. II obtained results in from twelve to twenty- four hours, which were much more severe and long lasting. They were: ** Fearful headache, nausea, vomiting in some cases, aversion to food, distress in stomach, hypochondria, first in the spleen, then the liver and stomach, and on the third day pronounced chills, which were so severe that they ' had to be antidoted."

No. Ill, which was ** fetid to a fearful degree," produced little result except nausea within three or four days, but then symptoms began to appear; first, extreme lassitude, chills and fever, pains and aches, impeding locomotion.

When taken internally the results were much more severe:

No. I caused bilious colic, nausea, cramps, headache.

No. II, the stomach, liver, spleen and kidneys became in volved, with quartan or tertian intermittent fevers.

No. Ill setting up a more profound type even, a genuine typhoid or semi-paralytic state, which compelled the provers to take to bed.

On the day I received from Boericke & Tafel Malaria off. 30 I was foolishly led to try Hahnemann's inhalation. The thought just occurred to me on the spur of the moment, and without stopping to think I took three strong inhalations, with both sorrow and a proving resulting. None of the symptoms were distressing, yet marked and clear cut. The remedy commenced its work promptly and in the order following:

Aching in both elbows.

A ki^d of slight concentration of feeling in root of nose, and just above, as though I have a severe cold, similar to that com- plained of by hay-fever patients.

Aching in wrists.

A tired ache in hands.

A tired ache in knees, and for a distance above and below.

A feeling as though I should become dizzy.

Pain in top of left instep.

A tired feeling in wrists.

Aching in an old (cured) bunion on left foot.

Sensation on point of tongue as though a few specks of spice or pepper were there.

Itching on right cheek over malar bone; > by slight rub- bing or scratching.

280 MALARIA OFF.

When leaning face on left hand, elbow on the table, per- ceptible feeling of the heart beats through upper body and neck.

Slight itching on various parts of the face and extremities; > by slight rubbing.

Sense of heat in abdomen.

Chilly sensation in left forearm. Soon followed by chilly feeling in hands and fingers; feet are cold with sensation as if chilliness was about to creep up the legs. A few moments later knees feel cold. A sense of coldness ascending over body from the legs.

Arms feel tired.

Belching several times, easy; no taste.

A drawing pain in right external ear.

Lumbar back feels tired as though it would ache.

Neck feels tired, with slight cracking in upper part on mov- ing the head.

Shallow breathing which seems from languor, with a desire to take a deep inspiration occasionally.

A kind of tired feeling through abdomen and chest.

A general sense of weariness.

A feeling about head as though I would become dizzy.

Pain in upper left teeth.

A sensation as though I would have a very loose stool (passed away without stool).

Feeling rather stupid and sleepy.

A sensation in the spleen as though it would ache.

Saliva more profuse than usual; keeps me swallowing often.

Pain in abdomen to right of navel.

Dull aching through forehead.

Face feels warm, as if flushed, also head; becomes general over body, as if feverish.

Aching across upper sacral region.

Legs very weary from short walk.

Pain at upper part of right ilium.

General sense of weariness from a very short walk, espe- cially through pelvis, sacral region and upper thighs. I feel strongly inclined to lie down and rest.

Qualmishness of stomach, as though I should become nau- seated.

MALARIA OFF. 281

General sense of malaise and weariness becoming quite marked.

Aching above inner angle of right eye.

A kind of simmering all through the body.

Felt impelled to lie down, and on falling to sleep a sense of waving dizziness passes all over me, preventing sleep.

At times I feel as though I should become cold or have a chill, then I feel as though I should become feverish or hot, though neither is very marked.

Eyes feel heavy and sleepy.

Uneasiness in lower abdomen.

Gaping, yawning and desire to stretch.

Legs are restless; feel like stretching and moving them.

I feel very much as I did one time before having the ague, twenty-five years ago.

Odor from cooking is pleasing, but I have no desire for din- ner. Yet when I sit down I eat a good dinner with relish.

Dizziness on rising from a reclining position.

Feel generally better after eating dinner.

Aching in occiput.

During the afternoon leg weary.

Unusual hearty appetite for supper (the good appetite keeps with me for some days).

A good night's rest following, and have felt much brighter and generally better ever since the first day. (Healing.)

**I know several localities in South America, Africa and Spain where the marsh miasma has unquestionably arrested and cured that fatal scourge of the human race, phthisis pul- monalis, without any other treatment or restriction in food or drink. And why should not the climate of the fen lands of Lincolnshire, in the neighborhood of Spalding, prove as curative an agent for this disease as the climate of so many foreign regions where patients go and die, deprived of all the comforts of home? Penzance, among the British localities, is reported to be superior to nine-tenths of the places to which patients are sent. Penzance, then, and Spalding should be particularly studied by medical men and recommended to con- sumptive individuals who wish to enjoy the benefits and ad- vantages of a national place of relief, if not of cure.''

282 MALARIA OFF.

C. F., aet. 28, a Kansas volunteer, after a week or ten days of rainy and chilling weather in camp, came home sick. Had a chill, followed by fever. Aching all over body; nausea con- tinuous, vomiting bile and retching. Wants cold drinks. Can't eat anything; vomits everything, except once he could eat raw tomatoes. Craves sour. Tongue white and thickly coated. Lips parched dry. Urine highly colored, like strong tea. Retching and gagging from hawking mucus. Ipecac cm.

Nausea some better. Vomited twice since yesterday. Thirsty, would like much cold water, but is fearful to drink, yet it does not sicken. Slight dizziness, especially on rising up or on raising head. No appetite; aversion to food, thoughts of it sicken. Costive. Feels very weak and languid. Mouth very dry; saliva pasty. Skin dry all over; no sweat at all. Bry., 9m.

No nausea; sight of food does not nauseate now, but the thought of his army life gags him. Mouth very dry, subjec- tively, but really moist. Thirsty, but desires less quantity.

Very weak and tottering. Great uneasiness through abdo- men, a sense of heaviness. Has eaten nothing, but drinks some cherry juice. Throat dry and sense of slight drawing. Face, eyes and skin very yellow. Constipation; vomited bile; skin very dry. Aside from nausea seems better. Malaria off., Im.

Feeling better generally. No nausea. Has eaten twice for the first time. Bowels sluggish; no sweat; skin dry and yel- low; feels weak; mouth less dry. Sac. lac.

Much better. Less thirst. Has eaten with relish. Mouth less dry. Slept all night. No sweat, but skin some better in color. Sac. lac.

Generally improving. Had a good dinner yesterday and breakfast this morning with much relish. Feels like getting up. No nausea. Less yellow.

Doing well. Weak and totters yet. Appetite improved; eats with relish. Tongue cleaner. Bowels moved normally. Mouth dry, at times with plenty of saliva. Skin yellow and dry; no sweat. Malaria off., Im.

Doing finely. Walked a mile to the office. Yellowness of eyes and skin fading. Rapid restoration to better than usual health.

MALARIA OFF. 283

R. A., aet. 22, another soldier boy, with similar symptoms to the above, was promptly cured by Malaria off. ; no other remedy given.

Mrs. S. A. H., aet. 68, sick for some days. Shooting pains all over in the muscles; bones ache. High fever during the night. Restless tossing about. Thirsty for lemonade; not so much for water. Diarrhea; five or six stools this morning; no pain; weakness in bowels; tenderness in right iliac region; stools watery, thin, yellowish, somewhat foul. Bitter taste; mouth parched; tongue white. Ravenous appetite for some days past; none now. Dizziness on rising. Head feels badly, as though it would ache. Pulse 98. Skin hot and dry. Rest- lessness most marked in the arms, tossing them about. Very stretchy and gaping. Malaria off., Im. Relieved and up and about next day.

M. H., aet. 16. ** Dumb ague" a year ago. Last four days has been very tired and languid. Backache in lumbar region, shoots up the back; worse when first lying down, then gets better; worse after walking; better lying on the abdomen. Bowels loose yesterday, but no stool to-day. Aching through forehead and temples. Feels well on rising in the morning, < after being about for awhile; < towards evening. Last fall had slight chills and fever; no sweat. Yawning. ** Ma- larious feeling." Poor appetite. Thirsty all the time. Malaria oft., 6m. Improvement at once, and in a few days said she felt no further need of medicine.

M. H., aet. 12, sister of above. Peevish for a few days. Last night had severe frontal headache. Restless, tossing all night. Pain in chest and upper abdomen; worse breathing; may be from indigestion. Fever during the night and also this morning. Pulse 112, soft and yielding. Tongue white, with brown streak down the middle. Malaria off. , 6m. Prompt cure.

M. B., aet. 13, each evening, about dark, getting earlier each day, he will be chilly with flushes of heat, great desire for fresh air and cannot breathe on account of pain in the liver; worse lying down, must jump up; better from hard pressure on region of liver; during the day has no trouble and no tenderness. Seems entirely well, except that he is getting

284 MALARIA OFF.

weaker. Slight fever for a couple of hours in the evening; raves, sings and talks all night; restless. Appetite variable; craves potatoes, apples and beefsteak. Tongue about clean. Malaria oft., Im. The next morning ate breakfast with the family, the first time in several weeks; much better in every way, and had no trouble with the liver the next evening fol- lowing the remedy. Cure rapid and remains.

G. C, aet. 28, ague every other day, icy cold from hips down, chilly all over; < about the trunk, and general sweat, but slight. Begins about noon. Used to have ague often and long at a time when living in Missouri, and had it very hard on the Pacific coast, and is now run down. Feels languid, weak and drowsy between attacks; unable to be up. Pulse weak. Very poor appetite. Foul breath. Flashes of heat all the time. Very thirsty. Has taken much quinine. Dizzy when up, with nausea. Has taken salts for constipation. Stool hard, bleeding after stool, at times. Intense headache, as though it would burst. Malaria off., Im.

No chill next day, except the soles of feet felt cold, almost numb. No fever, except very slight on back for a few mo- ments. Sweat over body. Dizzy when up, with some nausea. ** Feels wonderfully better; did not think one could feel so much better so soon." Head is heavy and aches some. Thinks it is from the quinine he took. Bowels have moved twice, thin, watery, foul odor. Urine smells very strong and is very red some days. Short, hacking cough for some days; better today; not so languid and weak. Is sitting up, which he could not do before. Missed two or three chill days, and made general improvement, so as to be able to go home, hence went from under my supervision.

F. B., aet. 80, very active. Three times, one week apart, has had **dumb ague," feeling bad all over, head feels thick and mean, bones ache some, no chill but profuse sweating. Sweats very easily and profusely on least exertion. Right knee weak and painful, worse when bending down to work and raising up; must help himself up. Dizzy when getting up in the morning and on rising up. ** Thirst like a horse." Sleepy, falls asleep reading. Has had chills and fever several times. Malaria off., 6m. Prompt relief.

MALARIA OFF. 285

Three months after he came for help. ** Feels bilious," as though he was** going to pieces." Feels tired, uncomfort- able. No pain, but very languid; don't want to move, listless. ** Feels malarious." No chill, no fever. Dizzy when getting up, must steady himself before starting to walk. Sleepy and drowsy when reading or sitting quietly. Malaria off., 6m. Prompt relief and no return in eight months.

L. H., aet. 50, for three weeks has had pain in the right side of back, about the floating ribs (posterior aspect of liver), hurting through the right side; aching, worse sitting, lying a long time, possibly in the evening; better from walking a little. Had something similar four years ago, and was sick for a long time. Feels weak and languid. Good appetite; eats a good deal without inconvenience. No trouble with the urine or bladder. Constipation. Drawing or puckering feeling in the region of the liver, a kind of cramping. Tongue coated slightly yellowish-white. Had malaria and ague badly years ago; took lots of quinine. Had **dumb ague" badly; took ironwood tea. Has used much Mercury and physic. Malaria off., 6m. Reports himself a great deal better, **The drawing feeling let go within three hours and has not returned." Pain in posterior aspect of liver much better.

Could hardly walk to office before, but now ** feels as if he could walk all over town." A month later, after hard work and picking up potatoes, he felt some trouble in the liver, which was relieved by the same remedy.

Mrs. H. H., aet. 36, is feeling ** malarious," feels depressed and languid. Is sleepy all the time; can go to sleep standing. Had a **dumb chill" eight days ago, and again in one week. Occasionally has a sudden cold spell at night. Back seems as though it would break; pain goes into the hips. Limbs get numb and cold. Frequent spells of headache, forepart of head. Malaria off., 6m. Soon feeling much better and over the trouble.

Mrs. J. E. G., aet. 25, for four days, about 11:30 a. m., she has great aching all over, commencing in small of back; then hot fever, short of breath; headache all the time, day and night; each day the trouble gets later. During the morning feels weak, head whirls, sense as if the head made the stomach

286 MALARIA OFF.

sick; eyes feel heavy. When in the open air she feels cold and ** shakes inside" till she ** fairly cramps.*' Dull and stu- pid. Aching under right scapula; cramping, and very sore and sensitive in the region of the liver; worse from pressure, and at times has sharp pains; sleepy and drowsy, but sleep does not rest her; wakes up tired and feeling bad all over. No ap- petite; no thirst; breath seems very short; eyes bum like coals of fire. Must urinate often; urine high colored, very strong odor, scanty; feels like a burden, she wants to urinate, but cannot. In the morning feels as if getting over a long spell of sickness. Dizziness; feels that she does not have any sense; worse walking or turning around, rising up, stooping. Cannot have the house closed up, for it aggravates the head and stomach, but fresh, cool air chills her. Very bad taste, bitter, nasty. Tongue about clean; headache in forehead and down cheek bones. Malaria off., 6m. Reported a very prompt re- lief.

H. F., aet. 35, a farmer; rumbling and burning in stomach and abdomen; burning of stomach, feels very weak and nerv- ous; frontal headache, going all over the head; face feels stiff; dryness at root of tongue; draws up like from green persim- mons; feels drowsy and sleepy; aching all over body, in arms and legs; chilly feeling, then breaks out in a slight sweat for a while, both come and go. Sighing, takes a deep breath; restless and nervous. Hands seem to be useless, but can use them by force of will. Malaria off., 6m. Reports every symp- tom markedly and promptly relieved.

G. E., aet. 15, chill every second day at 6 p. m. Thirst variable. Slight hot stage after chill. Sweats during the night, profuse; wakes up chilly and gets cold from the sweat drying up. Feels pretty well between times. Sleepy during day of the chill. Lips dry and parched. A constant hacking cough, half minute guns, when talking and when turning over in bed. Malaria off., 6m. Reports a prompt- cure.

E. W. E., aet. 56, pain in right side in region of liver; steady, dull ache, better after urinating. Throbbing in scro- biculum, lower part of stomach, worse lying down. Very cold hands during the day, and both hands and feet are cold at night. Skin yellowish. Piles for many years, external*

MALARIA OFF. 287

bleeding some, not painful, but unpleasant. Worse using tobacco. Bowels inactive. Malaria off., 30m. Reports all symptoms greatly better, with continuous improvement.

Dr. B. reports that he has been feeling tired and weak for several days. No time of aggravation. Weakness as though he had been sick with loss of appetite. No other symptoms. Malaria off., 6m. Improvement set in in less than an hour after the one dose. At the end of four days he was in usual health.

Mrs. B., wife of the above, chilliness, followed by fever. Pain in upper left chest through to scapula. Burning in left chest. Bodily aching. Malaria off., 6m. Better two months. For the past six days has burning of external chest. Darting in left chest during fever. Burning begins about 10 a. m., lasting during the heat of the day. Occipital pain begins with fever, worse at night, lying on back, lying on left side. Throb- bing all over. Malaria off., 50m. All symptoms > for nearly five months, when she received a dose of the 5cm., with amelioration. Soon after this the patient had la grippe.

STOOLS. —For the past four days cramping in lower abdo- men, with urging, which comes on after rising in the morning. Four or five actions daily of thin mucus with bloody spots, a teaspoonful; no fecal matter. Urging and tenesmus each half hour until bedtime. Muscular stinging over body while strain- ing at stool when mucus passes. Desire for stool returns as soon as he sits down. Walking > pain and the desire for stool. Stinging sensation all over at times, if he gets too warm from exercise. Desire to be near the fire.

Stomach

Faint, empty feeling in stomach at times, day and night; sensation as though he had not had food.

Abdomen

Pains are > from walking about.

Back

Pain in small of back, as though strained; > when sitting; < walking or lifting.

Neck

Pain in back of neck, as though head was being pulled forward.

Limbs

Pain in legs, better from motion. Feet go to sleep while sitting.

Mouth

Bitter taste. Dryness.

Appetite

None. Thirst for a little every hour, caused by dryness in the mouth.

288 MALARIA OFF.

GENERAL. — Weakness as though from a spell of sickness. No desire to lie down during day. Desire to walk about. Rhus tox., 50m., was given two days ago, with no >, except- ing pains in legs. All other symptoms unchanged. Malaria off., 6m.

In less than a half hour after taking the dose the bad taste in mouth, urging to stool and weak sensation were better. Improvement uninterrupted, no more trouble with stool until the fourth day; he had some urging to stool while moving about, but the stool was normal. Another dose of same cleared up the case fully.

Mrs. R., aged 45, weighing 245 pounds, could scarcely walk or get into a buggy for two years from the effects of rheuma- tism in her back and limbs. Malaria Ix three or four times a day. In one week she could walk as well as ever and has no rheumatism or lameness since.

Mr. S., foreman of a large saw mill, has been afflicted with rheumatism for years, stiff neck and right arm and shoulder helpless and painful. He wished to keep it from his chest and heart. Malaria Ix every two hours, when better every three hours. In three days he was better and could turn his neck and use his arm fairly well. One week later gave him two drams more of Malaria, to be taken six hours apart. He has not had any rheumatic troubles since that time.

Mr. C. , proprietor of two large saw mills, one in Arkansas, where he passes part of his time (and frequently gets wet), has been afflicted with so-called gout. I found it was of a rheumatic nature (caused by malaria) and made < by Qui- nine and external applications, I gave him Malaria Ix. In three days he was better and did not have half as many pains or aches. He took only four drachms, from three to six hours apart, and has not had any rheumatic or gouty pains since.

Mr. I. S., aged 55, a veteran and pensioner of the civil war, emaciated, bronzed in color; had not been able to walk for years. After repairing his heart, chest, stomach, curing his piles and regulating his bowels he was content, yet he could not walk. His back had been injured in the army, and his limbs would not move at will and he could not walk alone or get out of a chair. I gave him for a week Ruta graveolens and

MALARIA OFF. 289

Rhus, tox,, of each the first cent., three hours apart. This > for a time. Concluding his trouble was due to rheumatism, caused by malaria, gave him Ix three or four times a day. In one week he rode to my house and came up and down steps alone. I gave him two drachms more and in five days he came to my office, having walked nearly three miles that morning alone. I need not say I was surprised, could hardly believe it was all due to Malaria. But it certainly was, as nothing else was taken or applied; has gained fiesh and seems at least ten years younger.

Mind

Feels stupid and sleepy.

(Very thoughtful.)

Head

Feeling as though he would become dizzy.

Waving dizziness on falling asleep.

Dizziness on rising from reclining position.

Dull aching through forehead and temples.

(Dull headache, dizzy and drowsy.)

Intense headache, as though head would burst.

Vertigo on rising in the morning and on rising from stoop- ing; must steady himself before starting to walk.

Frequent attacks of headache, especially in the forehead.

Pain in occiput, begins with fever, worse at night, < lying on back or on left side.

Throbbing pain all over head.

Vertigo; confused sensation; worse by walking, turning around, rising or stooping.

Headache in forehead and down cheek bones.

Headache beginning in forehead, extending all over head.

Eyes

Aching above inner angle of r. eye.

Eyes feel heavy and sleepy.

(Eyes weak, blurring, reading difficult.)

Eyes bum like coals of fire.

Ears

Drawing pain in r. external ear.

Nose

A kind of concentration of feeling at root of nose and just above, as though I should have a severe cold like hay- fever.

Catarrh; hard, yellow lumps from posterior nares; nose stopped up at times; bloody discharge from nose mornings.

Face

Itching on r. cheek over malar bone (and various parts of face and limbs) ; > by slight rubbing or scratching.

290 MALARIA OFF.

Face becomes warm as if flushed; and spreads over body.

Mouth

Pain in upper 1. teeth.

Sensation on point of tongue as if a few specks of pepper were there.

Saliva more profuse than usual, keeps him swallowing often.

Had a good night's rest and felt better and brighter from that time (curative).

Tongue coated slightly yellowish-white.

(Bitter taste, parched mouth; tongue white.)

Tongue white, with brown streak down the middle.

Tongue white and thickly coated.

Throat dry and sense of slight drawing.

Lips parched and dry.

Mouth very dry, subjectively, but really moist.

Mouth very dry; saliva pasty.

Appetite

Wants cold drinks.

Can't eat anything; vomits everything.

Craves sour.

Thirsty; craves cold water.

No appetite; aversion to food, thoughts of it sicken.

Thirsty for lemonade; not so much for water.

Variable; craves potatoes, apples, beefsteak.

Bitter, nauseating, bad taste in the mouth.

Dryness at root of tongue; buccal cavity seems constricted and contracted.

Stomach

Unusually hearty appetite (for supper).

Odor from cooking is pleasing, but no desire for dinner; on sitting down eats a good dinner with relish.

Feels better after eating dinner.

Easy belching, several times, no taste.

Qualmish. • Nausea.

Retching and gagging from hawking mucus.

Nausea continuous, vomiting bil^ and retching.

Throbbing in scrobiculum.

Rumbling and burning in stomach and abdomen.

Abdomen

Sense of heat in abdomen.

Tired feeling through abdomen and chest.

MALARIA OFF. 291

Sensation as though he would have a very loose stool (it passed off without).

Sensation in spleen as though it would ache.

Pain in abdomen to r. of navel.

Uneasiness in lower abdomen.

Liver, spleen and kidneys affected.

(Cannot breathe on account of pain in liver, < lying down, > hard pressure.)

(Drawing or pricking in liver.)

(Cramping in liver; pain under r. scapula.)

Great uneasiness through abdomen, a sense of heaviness.

Constipation.

Diarrhea; no pain; weakness in bowels.

Pain in upper abdomen and chest; worse breathing. .

Drawing or contracting feeling in liver, a kind of cramp.

Steady, dull pains in region of liver > after urinating.

Aching under right scapula; cramp with soreness and sensi- tiveness in region of liver; from pressure < by lying down.

Stool And Anus

Diarrhea.

Diarrhea in morning, stools thin, yellow, foul.

Urinary Organs

Urine highly colored, like strong tea.

Urine high colored, with strong urinal odor; ammoniacal.

Frequent urination; urine high color, scanty, very strong odor; feels oppressed; desires to urinate but cannot.

RESPIRATORY ORGANS.— Shallow breathing, which seems from languor, desire to breathe deep, occasionally.

Residence in malarial districts is said to cure phthisis.

A consumptive constitution is protected against malaria.

(Singing causes some irritation in the throat. )

Chest

Tired feeling through chest and abdomen.

Constant hacking cough, half minute guns, when talking and turning over in bed.

Pain in upper left chest through to scapula; burning in left chest.

Burning in chest begins about 10 A. M., continuing through the heat of the day.

Frequent sighing, takes a deep inspiration; restless and nervous.

Heart

When leaning face on 1. hand, elbow on table, per- ceptible feeling of heart-beats through upper body and neck.

292 MALARIA OFF.

NECK AND BACK.— Neck feels tired, with slight aching in upper part on moving the head.

Lumbar region tired as though it would ache.

(Rheumatism of back and limbs, with lameness.)

(Stiff neck, and r. arm and shoulders painful and helpless.)

(Aching under r. scapula; cramping in liver.)

Backache in lumbar region, shoots up back; worse when first lying down; worse after walking; better lying on the ab- domen.

Pain in right side of back, over the region of the posterior aspect of the liver and through the right hypochondrium; the aching is worse while sitting, > from walking slowly.

Back seems as though it would break. Pain goes into the hips. .

Backache commencing in small of back about 11:30 A. m. for four days; then fever with shortness of breath; headache all the time day and night; paroxysm postponing every day.

UPPER LIMBS. — Chilly sensation in 1. forearm ; soon followed by chilly feeling in hands and fingers; feet are cold with sen- sation as if chilliness were about to creep up the legs; a few moments later knees feel cold.

A sense of coldness ascending from body from the legs. Gout.

Limbs get numb and cold.

Aching in both elbows.

Aching and tired feeling in wrists; tired ache in the hands.

Arms tired.

Hands seem to be semi-paralyzed, useless, but can use them by force of will.

Very cold hands during the day; hands and feet very cold at night.

LOWER LIMBS.— Pain, upper part of r. ilium.

Tired ache in knees and for some distance above and below.

Pain top of 1. instep.

Aching in an old (cured) bunion on 1. foot.

Legs weary from a short walk.

Legs restless, feel like stretching and moving them.

Soles of the feet cold, almost numb.

Right knee weak and painful worse when bending, and raising up.

MALARIA OFF. 293

Generalities

General sense of weariness; from a very short walk; esp. throug^h pelvis, sacral region, and upper thighs; strong desire to lie down.

A kind of simmering all through the body.

Typhoidal, semi-paralytic condition (No. III).

Rheumatism.

Rheumatic paralysis and emaciation.

Feels very weak and languid; restless; does not want to move.

Great weakness as though he had had a long illness, with loss of appetite.

Great exhaustion.

Must have doors and windows open; a close room < head and stomach, and fresh, cool air chills her.

Skin

(Skin, eyes, and face very yellow.)

Skin dry all over; no sweat at all.

Sleep

Impelled to lie down, and on falling asleep a sense of waving dizziness passes all over, preventing sleep.

Gaping, yawning, and desire to stretch.

Sleepy, falls asleep while reading.

Sleep all the time; can go to sleep while standing.

Sleepy and drowsy, but sleep does not relieve; wakes up weary and unrefreshed.

Fever

(When in open air seems cold and shakes inside till she fairly cramps. )

Coldness ascending over body from legs.

Face feels warm as if flushed, also head; spreads over body as if feverish.

A feeling as if he would have a chill, then as if he would be- come feverish, though neither is very marked.

Intermittent: quotidian; tertian (No. II).

Chills for one hour followed by fever for six hours (No. II given to a consumptive patient, whom it cured).

(Ague every other day, weak and drowsy between attacks. )

(Dumb chills.)

Shooting pains all over in the muscles; bones ache.

High fever during night; also in the morning.

Pulse 98; skin hot and dry; restlessness most marked in arms, tossing them about. Very stretchy and yawning.

294 MALARIA OFF.

Chilly, with flushes of heat, and great desire for fresh air; unable to breathe on account of pain in liver < lying down; > from hard pressure over region of liver.

Slight fever for several hours in the evening; raves, sings, and talks all night; restless.

Chill begins about noon, every other day. Icy cold from hips down; chilly all over; fever worse about the trunk, and slight general sweat.

Feels languid, weak and drowsy during apyrexia; unable to be up.

Flashes of heat all the time; offensive breath.

Sweats very easily and profuse on least exertion.

Feels malarious, depressed and languid.

Dumb ague, chills every week.

Weakness in the morning, vertigo and nausea. Eyes feel heavy.

Coldness and internal chilliness in the open air.

Aching all over body, especially in arms and legs; chilly sensation, then breaks out in slight perspiration; frequent re- curring attacks.

Chilly every second day followed by heat; profuse sweat during the night; wakes up chilly and takes cold as perspira- tion ceases.

Stool

Hemorrhoids for many years; external bleeding; no pain but very unpleasant.

For past four years cramping in lower abdomen < after riding in the morning.

Diarrhea; four or five motions daily of thin, bloody, streaked mucus; no fecal matter.

LIMBS IN GENERAL. — Sensation of fatigue in upper extremi- ties first; later extending to lower extremities and entire sys- tem.

Dull pain in the muscles of the back, lumbar region; uneasy; tired.

Burning sensation, apparently' nervous, which is associated with intense fatigue in the extremities.

Dull, aching pain in left sciatic nerve, and on outer surface of left hip.

Sensation of burning flush, rising from knees to throat, but without sweat; relieved by lying down.

MEDORRHINUM. 295

Dull pain in right hip with soreness and tenderness on pres- sure in the sheaths of the muscles about the hip and tendons of muscles of the thigh.

Waking at midnight, feet extremely hot with burning palms and soles; this was followed by profuse sweat on lower part of body, more marked on flexor surfaces and on the back.

Drawing, shooting pain on left hypochondrium, extending down left leg.

Arms feel heavy.

Burning of hands and feet; aching of hands and arms.

Nerves

Great restlessness all night, worse towards mom- ing. Could not find a position in which he could rest.

Hypochondria

Dull, throbbing pain in hepatic region for three days, relieved by pressure of corset and by lying on the painful side.