THE GUIDING SYMPTOMS OF OUR MATERIA MEDICA
Tarentula hispanica
The male and female Tarentulµ used in the provings were collected by Dr. Mariano de la Paz Grµlls, at the royal residence of Pardo, Spain, in the month of July, during which time the poison is strongerá; dilutions used 3, 6, 12 and 200á; the medicine was prepared from the live spider, all its parts triturated in sugar of milk to complete dryness, and from this the alcoholic dilution.
The Mygale Cubanensis, which may be called the Cuban Tarantula, also found in South Carolina and Texas, is a larger spider of a dark-brown color, not so poisonous, and covered with more hairs than the Tarantula Hispanica. Dr. Howard had some specimens sent from Cuba, and the medicine he uses is prepared by macerating the whole spider in alcohol. We have not had a good proving of it. In the Hah. M., vol. 5, p. 8, something has been done in that direction, and some interesting facts were collected by Dr. Howard.
Provings made by Monge, del Rio, Tejero, Fejedor, Cuesta, Dubost, Perry, Ros, Iturralde, Gonzales and Chategnier, were reported by Nunez, translated by Terry, see Am. Jour. of Hom., N. S., vol. 2, p. 387.
– Insanity, Foote, N. E. M. G., vol. 11, p. 9á; Foote, Org., vol. 2, p. 227á; A. H. O., vol. 13, p. 525á; Pricking in eye, Berridge, Org., vol. 2, p. 320á; Diphtheria (16 cases), Martin, T. H. M. S. Pa., 1884, p. 64á; Diarrh£a, Pearson, M. I., vol. 5, p. 430á; Weakness of sphincter ani, Pearson, M. I., vol. 5, p. 430á; Urinary difficulty, Pearson, M. I., vol. 5, p. 430á; Gonorrh£a, Gonzales, N. A. J. H., vol. 21, p. 81á; —, Raue’s Rec., 1874, p. 221á; Nymphomania, Nunez, N. A. J. H., vol. 20, p. 486á; Uterine neuralgia, Firmat, N. A. J. H., vol. 21, p. 77á; Uterine disorder, Swan, N. Y. J. H., vol. 2, p. 406á; Uterine disorders, Cramoisy, M. I., vol. 4, p. 421á; Uterine disorder, Nunez, N. A. J. H., vol. 20, p. 488á; Use in dysmenorrh£a, Bender, Hah. Mo., vol. 7, p. 503á; Pruritus vulvµ, Swan, Raue’s Rec., 1874, p. 237á; (2 cases), Swan, Org., vol. 2, p. 446á; Swan, N. A. J. H., vol. 21, p. 282á; Catarrh of chest, Valdes, N. A. J. H., vol. 21, p. 79á; Affection of heart, Sherbino, Hom. Phys. vol. 7, p. 339á; Burning sensation in a mole on neck, Young, Med. Adv., April, 1889, p. 246á; Irritable spine, Farrington, N. A. J. H., vol. 21, p. 87á; Coccygodynia, Gonzales, Raue’s Rec., 1874, p. 251á; Gonzales, N. A. J. H., vol. 21, p. 79á; Intermittent nervous affection, Brunn, N. A. J. H., vol. 20, p. 491á; Spasms, Holcombe, Org., vol. 3, p. 91á; Nunez, N. A. J. H., vol. 20, p. 488á; Hystero-mania, Hendrichs, A. H. Z., vol. 106, p. 46á; Hysteria, —, M. I., vol. 5, p. 419á; Epilepsy, and hysteria, Lopez, N. A. J. H., vol. 21, p. 75á; Lopez, Raue’s Rec., 1874, p. 269á; Epileptoid, Bartlett, Hah. Mo., vol. 15, p. 167á; Chorea (7 cases), Dewilde, Lopez, Gandy, N. A. J. H., vol. 20, pp. 486–494á; Dewilde, N. A. J. H., vol. 20, p. 489á; Firmat, N. A. J. H., vol. 21, p. 76á; Valdes, N. A. J. H., vol. 21, p. 79á; Gandy, N. A. J. H., vol. 21, p. 82á; Terry, N. A. J. H., vol. 25, p. 309á; Chacon, Raue’s Rec., 1875, p. 251, from El. Crit. Med., Aug., 1874á; —, A. H. Z., vol. 78, p. 88á; Hendrichs, A. H. Z., vol. 106, p. 46á; Hofmann, T. H. M. S. Pa., 1880, p. 211á; Firmat, Valdez, Gandy, Raue’s Rec., 1874, p. 262á; Gandy, Hom. Cl., vol. 3, p. 68á; Paralysis agitans, Cramoisy, M. I., vol. 4, p. 421á; Cramoisy, Raue’s Rec., 1874, p. 270á; Ague, Nunez, N. A. J. H., vol. 20, p. 489á; Intermittent fever with choreic convulsions, Firmat, B. J. H., vol. 21, p. 85á; Carbuncle, Martin, T. H. M. S. Pa., 1886, p. 94á; Pruritus, Kent, Hom. Phys., vol. 6, p. 316.
Great taciturnity and irritabilityá; desire to strike himself and others.
Consciousness of unnatural state of mind, hence despondency, sadness, moral depression, disgust for everything.
Mental choreaá; hyperemia and hyperesthesia of female sexual organs.
Hysteria, with bitter belching and repeated yawning, > by lying down and by musicá; restlessness of hands and legsá; constant motion, cannot remain in one placeá; heat in epigastrium.
Desire to joke, to play and to laughá; extreme gayety.
Great excitement caused by musicá; one hour after it, copious and general perspiration.
Singing until hoarse and exhausted.
Nervous excitementá; hysteria and maniaá; restlessness and dreaming.
Sudden foxlike destructive efforts, requiring utmost vigilance to prevent damageá; followed by laughter and apologies.
Cross, tendency to get angry and to speak abruptlyá; is obliged to move limbs.
Paroxysms of insanityá; restlessness of legsá; threatening words of destruction and death.
Suddenly sprang away from her attendants and swept ornaments from mantelpieceá; said she was sorry, but could not help itá; very mischievous and destructive, amusing and cheerfulá; at times pain in left ovary.
Attacks of hystero-mania appearing daily about same hour, beginning with great nervous irritability, despondency and quarrelsome moodá; sudden transition from this state to one of great exaltation, hits and abuses every one, destroys whatever she can lay hold of, tears her clothing, sings and laughsá; mocks aged people with their old age, if restrained becomes violentá; attacks end in a comatose sleep, during which she answers questions correctlyá; after waking remembers but little of what has occurredá; during first part of attack pulse is slow, artery greatly contractedá; during second stage pulse frequent and fullá; thirstlessness and loss of appetiteá; pressure and confusion of head.
While in a highly nervous state from too close application to musical studies, was operated upon to remove lens of eye by absorptioná; this was followed by great nervous depression and prostration, with occasional symptoms of mental aberrationá; was then treated several months for a retroverted and inflamed uterus, without mental improvementá; severe pain through right eye extending to occiput and noseá; restlessnessá; cold feetá; mahogany-colored and large papular eruption upon face, particularly large in region of malar boneá; sleepless and nervous and very troublesomeá; retroversion, with swollen uterusá; finally violent, soils bed with feces and urineá; furiousá; sings loud and continuously, with laughterá; no sleep for five daysá; thirstá; suddenly springs from bed destroying whatever she could get hold of, this was done so quickly that she could not be prevented. ?áInsanity.
Vertigoá: falls to ground without losing consciousnessá; malaise, belching, nausea, bloating of stomach, gagging and efforts to vomit, with vomiting of foodá; after breakfast, with a bad taste in mouthá; when fixing sight on any object, with headache, severe pain in cerebellum, accompanied by incomplete erection of penis, and formication in soft palate.
Headache, as if a large quantity of cold water were poured on head, and body, > by pressure and rubbing head against pillowá; great distress in cardiac region.
Migraineá; cannot open eyesá; tendency of head to incline backward.
Frontal headache, pain in vertex and parietal bonesá; > by pressure and fresh air.
Compressive headache, with lachrymation and heaviness of upper lids.
Intense headache with restlessness, compelling to move from place to place.
Pain flies to forehead and occiput, with photophobia.
When waking in morning, headache as if head were knocked, < to 9 A. M., affecting throat and necká; stiffness of neck.
Intense headache, as if thousands of needles were pricking into brain.
Pain in occiput as if struck with a hammer, extending to temples.
Burning, scorching heat in occiputá; pricking and itching over whole bodyá; convulsive trembling of bodyá; convulsions, paralysis, complete retention of urine and feces. ?áMeningitis cerebro-spinalis.
Feeling of a hair in left eye, which pricked itá; pricking made her rub itá; < on waking. ?áChronic opacity of cornea.
Pain in angles of inferior maxilla, so severe as to think he is going crazy.
Pain in inferior maxilla, as if all teeth were going to fall outá; neither cold nor heat relieves.
Pain in direction of right inferior maxillary nerve, with a tickling sensation in stomach.
TEETH AND GUMS. [10] [Tarent.]
Great dryness of mouth and teeth.
PALATE AND THROAT. [13] [Tarent.]
Tonsillitisá; high fever, delirium, red face, tonsils so swollen, suffocation was feared.
Tonsils greatly swollen, membrane covering both, also uvulaá; neck much swollen, excessive fetor oris, high fever and cerebral congestion. ?áDiphtheria.
High fever, delirium, vomiting, great prostrationá; throat swollen externally on both sides, internally entire fauces red, both tonsils covered by a firm membrane, color of pearlá; both sides equally affectedá; offensive odor from mouth. ?áDiphtheria.
Hot, fiery-red face, pungent heat of surface of body, drowsy with starting in sleep, throat swollen internally, both tonsils slightly covered with membrane, distinct odor of diphtheria.
Tonsils much swollen and well covered with membraneá; violent onset of diseaseá; high feverá; tendency to vomit. ?áDiphtheria.
High fever and delirium for two nightsá; throat swollen externally and both tonsils covered by a yellowish membraneá; fetor oris. ?áDiphtheria.
APPETITE, THIRST. DESIRES, AVERSIONS. [14] [Tarent.]
Loss of appetite, intense thirstá; general prostrationá; vomiting after eating and getting out of bedá; craving for raw food. ?áDisorders of pregnancy.
SCROBICULUM AND STOMACH. [17] [Tarent.]
Gastric disturbanceá; mouth dryá; gums bleedá; tongue ulceratedá; throat sore, swollen, inflamed, constrictedá; great thirstá; flat, bad tasteá; appetite lost, with anguish, nausea and vomiting.
Hepatic region painful to touch.
Severe burning pain in cancer of liver (relieved).
ABDOMEN AND LOINS. [19] [Tarent.]
Sharp pain in umbilical regioná; violent burning in abdomen and rectumá; stools profuse, dark, fetid, bloody, with violent urgingá; constipation.
STOOLS AND RECTUM. [20] [Tarent.]
Stools three or four times daily, very dark, fetid, partly formed, containing much mucus, expelled with difficulty and followed by smarting and burning in anus, but no tenesmusá; stools occur immediately on having head washed.
Nausea and vomitingá; diarrh£aá; pain and tenderness in bowelsá; constant thirstá; tongue redá; pulse 140á; position on back, limbs flexedá; sleepless and restlessá; inflammation of bowels, probably caused by eating baked beans.
Fainting, sinking, chillá; great nervousnessá; vomitingá; purgingá; severe cramps in bowels and pain in bladderá; pulse weak, 100á; no thirstá; tongue dark as if stained with nitrate of silverá; excruciating pain in bowels, < at nightá; evacuations frequent, eight to ten every night, and four or five by dayá; frequent and painful micturition, patient seemed unable to locate pain or to distinguish whether it was < in bladder or bowelsá; stools thin and brown, with very little odorá; great restlessnessá; desire to change position or to get out of bed and walk floorá; face pale and haggard, with perceptible diminution of flesh and strength from day to day. ?áAfter injecting nitrate of silver for gonorrh£a.
Headache, pain in back and limbsá; tenderness in region of liver and bowelsá; pulse 96á; tongue brownish and dryá; bilious diarrh£aá; fifteen evacuations, not painful, in twenty-four hours, over half of these at nightá; stools dark-brown and thin, with some lumps of feces of same colorá; abdomen soreá; no nausea, but disgust of food.
Weakness of sphincter ani, feces appeared to be natural but passed as fast as accumulated.
URINARY ORGANS. [21] [Tarent.]
Diabetesá; profound grief and anxietyá; great prostration and pain as if whole body were bruisedá; loss of memory and dimness of sightá; constant craving for raw articlesá; intense thirstá; disgust for meat and general wasting awayá; constipationá; polyuria, with violent pains in lumbar region and paralysis of lower extremitiesá; miliary eruptions and furuncles.
Involuntary emission of urine when coughing, laughing, or making any effort whatever.
Pain in region of bladderá; urination frequent, very painfulá; extremely nervousá; could get no relief in any positioná; pulse somewhat quickened from painá; tongue only slightly coatedá; all symptoms < at nightá; sleep disturbed.
Cystitis, with high fever, gastric derangement, excruciating pains, and impossibility to pass a drop of urineá; bladder seems swollen and hardá; great tenesmus from spasmodic action, debilitating patient, who passes only by drops a dark-red, brown, fetid urine, with gravel-like sediment.
Urine hot, thick, much sedimentá; difficult micturition, incontinence, and pain in kidneys. ?áSeptic diseases.
MALE SEXUAL ORGANS. [22] [Tarent.]
Extreme sexual excitement, lasciviousness, almost to insanity.
Onanism, followed by prostatic ailments and hypochondriasis.
Seminal emissions after onanismá; imbecility, stupid laughter, progressive wasting.
Gonorrh£aá; five different injections, producing great irritation in urethra, particularly when urinating, with smarting, unbearable painsá; redness on tip and edges of tongue, anorexia, dyspepsia and pyrosis, flatulence and stubborn constipationá; emaciation in face, eyes sunken and without expressioná; dizziness when moving, dyspn£a, and alarming palpitationá; loss of memory so great, he failed to recognize persons with whom he was intimately acquaintedá; little perception, inertia and weakness for any mental laborá; full of deep sadness, shy, shuns his friendsá; nervous agitation, restlessness, inability to find a comfortable positioná; if sleep was obtained, it only lasted for three or four hoursá; painsá; getting weakerá; felt a general burning, more in palms and soles, with shaking, twitching and incessant movement of lower extremities, especially when quietá; gonorrh£a, though not so profuse, stains shirt a light yellowá; seminal emissions two or three times a weeká; want of appetite.
FEMALE SEXUAL ORGANS. [23] [Tarent.]
Extreme sexual excitementá; menses too early and profuseá; pains and spasms of uterusá; pruritus vulvµá; leucorrh£a.
Violent nymphomaniaá; could not suppress lascivious inclinationá; < from sexual intercourseá; has suffered since her twentieth yeará; woman, µt. 45.
Nymphomaniaá; reflex choreaá; hyperemia and hyperesthesia of sexual organs.
Fibrous tumors of uterus, with bearing-down pains.
Displacement of uterus, with retention of urine and difficult defecation.
Sensation of great weight, with burning in hypogastrium and uterus, as if there were not sufficient space, with upward pressure.
Pruritus vulvµá; frequent hemorrhagesá; pale face, constant fatigue.
Profuse menstruation accompanied by frequent erotic spasmsá; crossness, ennui, and deep dissatisfactioná; catamenia too early, pain in lumbar region as soon as menses commence and ceasing with itá; great pruritus in vulva after mensesá; hysteria.
After a fall down stairs complains of pain in lower part of abdomen and hipsá; very sensitive to manipulation, some hardness and swelling in hypogastric region and in uterus, which was seat of burning, crampy pains, < by every movementá; sanguineous leucorrh£a, constant desire to pass water, which was clear but difficult to void, falling drop by drop, with burning painá; precordial anguish, sadness, weeping and fear of death (Conium improved, Tarentula cured). ?áUterine neuralgia.
Strong bearing-down pelvic pains for nearly a week previous to catameniaá; severe backache extending to hypogastric regioná; wearying fidgetiness of legs, pains felt more from knees to feet, compelling patient to move about, > by riding horsebacká; pains < as menses approach, severest at greatest flow, violent enough to produce convulsive movementsá; chorealike restlessness, twitching and trembling of muscles, which worked painfully from side to sideá; draws herself together, legs close to abdomen and head bent forward, hands clutching at bedclothes, immediately afterward seizing something elseá; motion of inferior extremities almost incessantá; hands and feet cold and moistá; pains and spasms kept pace with menstrual flow, increasing or decreasing with itá; menses usually regular except for last four months, when they were delayed, owing to a slight sanguineous intermenstrual discharge, lasting two days and generally appearing at fifteenth day, which was painlessá; flow nearly right in quantity, light-colored and with small dark clots when patient was recumbent, darker and more profuse when rising to chamberá; on first day usually a slight frontal headache, increasing second day to a violent, throbbing pain, < from light and motioná; during headache exacerbation, a remission of pelvic pains, latter reappearing soon with original force, but not remaining so longá; on third day a brief relief, followed by a return of old pains, lasting a shorter timeá; meantime urinary tenesmus, nausea, and bad taste in mouthá; occasionally globus hystericus and dry hacking coughá; with convalescence great weakness and shooting, grasping pains at heart with occasional interruption of its rhythm, and with increased actioná; preceding and following menses, yellowish leucorrh£aá; in morning, hawking up brown mucus, often tinged with bloodá; breathing short, painfulá; occasionally, at long intervals, a sudden waking from dreamless sleep, under a feeling of suffocationá; violent palpitation and acute pains through heart, compelling upright positioná; pulse regular, quick, irritableá; right heart-ventricle slightly dilatedá; infraclavicular pain in right side of chest, penetrating to back, so as to catch breathá; since childhood has wanted sand, cuttlefish, ashes, etc., highly spiced food, cigarettesá; > during warm weather, when outdoorsá; < during cold. ?áDysmenorrh£a.
Engorgement of cervix uteri, with granulations, extending to vagina, whose mucous membrane was highly injectedá; violent convulsions of whole body during rest.
Chronic vaginitis, granulations and excrescences in vagina and neck of uterusá; cancerous ulcer on os destroyed its left lateral partá; induration of neck and body of uterusá; flushes of heat to face, perspiration, congestion to head, menorrhagiaá; severe pains in region of sacrum, extending to hips and terminating in uterusá; menstruation lasted twelve to fifteen days, followed by pressive, shooting pains in uterus and a fetid, bloody dischargeá; nausea, anorexia, great thirst, slow and difficult digestion, obstinate constipation, general malaiseá; at 2 A. M., some days after, severe, violent, tearing pains in uterus, extending to sacrum, and along vertebral column, with rigidity of trunk and convulsive movements in head and legsá; icy coldness, chattering teeth, trembling, anxiety and uneasinessá; small contracted pulse, oppression of chest, dryness of mouth without thirst, and pale face.
Burning smarting leucorrh£a and painful uneasiness in coccyx, > by standing, < by slightest movement, sitting or lying on bed, or by least pressure.
Leucorrh£aá: alternating with bloody dischargeá; following hemorrhage, with great weakness.
Sensation of motion in uterus, like a fetusá; singing, like a tea-kettle in left eará; obstinate constipationá; stoppage of urine, which is high-colored, with red sediment, pain in region of kidneysá; palpitationá; sensation of something crawling up legs, under skin, from feet till it reaches uterus, causing great sexual desire, intense pruritus and rubbing, which it is impossible to resist, makes her almost crazy. ?áPruritus vulvµ.
Intense, unbearable pruritus vulvµ, extending into vagina, < at night, with dryness and heat of partsá; white, thin leucorrh£aá; thick white sediment in urineá; pain in right side of abdomená; nauseaá; accumulation of mucus in throatá; mouth parched and dryá; thirst often and for large quantitiesá; very restless at night. ?áPruritus vulvµ.
PREGNANCY. PARTURITION. LACTATION. [24] [Tarent.]
Loss of appetiteá; intense thirstá; general prostrationá; vomiting after eating, and getting out of bedá; craving raw food. ?áDisorders of pregnancy.
INNER CHEST AND LUNGS. [28] [Tarent.]
Great oppressioná; panting perspiration.
HEART, PULSE AND CIRCULATION. [29] [Tarent.]
Precordial anxiety, tumultuous beating of heart.
Murmurs and palpitationá; alternate acceleration and suspension of movements of heart.
Trembling and thumping of heart as from fright.
Precordial anguishá; movements of heart not feltá; suffocation.
Constant want of airá; heart suddenly ceases to beat and patient fears to die.
Sensation as if heart turned and twisted around, with pain in chest and general perspiration.
Pain in heart as if squeezed or compressedá; also in aorta, under left clavicle and in carotids, with violent throbbing of heart and arteriesá; rheumatic pains in chest extending to umbilical region.
Nervous spells with pain in left ovary, pain seems to affect her heart and she becomes unconscious, seems to stop breathingá; as spell comes on again she begins to breathe short and to call for more airá; pulls her dress away from her heartá; gasping for airá; pulse intermits, weak and slowá; many times she is reported dying.
Brown-colored mole about the size of a grain of wheat on back of necká; burning, no inflammationá; when touching it complains of needles sticking in it.
Carbuncle as large around at its base as a silver dollar, apex studded with small openings on side of chestá; no pus dischargingá; intense burning and stinging extending to mamma and down armá; had not slept for fortyeight hours.
Abscess in back of neck, burning, excruciating pain, completely banished sleep for six or seven nightsá; fever, with great thirst and prostration. ?áAnthrax.
Anthrax in interscapular region, with severe burning painá; unable to sleep from excessive pain.
Anthrax in back of necká; local applications, first emollient, then caustic, at last knife was resorted to with stimulants internally, and hydrate of chloral and morphine to relieve burning, agonizing pain, all to no effectá; muscular and cellular tissues destroyed from neck to waist, and from shoulder to shoulder, leaving a cavity about six inches long and four wide, at bottom of which several dorsal vertebrµ were plainly visibleá; infiltration of surrounding tissuesá; quotidian fever and diarrh£aá; on third day after Tarantula Cub. line of demarcation was formed, and two days afterward surrounding mortified tissues came offá; with continuance of this remedy and an occasional dose of Sulphur, patient was entirely cured in seven weeks.
Irritable spineá; excessive hyperesthesia, a slight touch along spine provokes spasmodic pain in chest and indescribable distress in cardiac region, at times heart feels as if twisted (spiral fibres)á; intense headache, as if thousands of needles were pricking into brainá; body burned all overá; trembled so she could hardly talká; headache > by rubbing head against pillow, termini of nerves become so irritated that some kind of friction is resorted to in order to obtain relief.
Multiple sclerosis in consequence of fright and rheumatismá; trembling commenced in left hand, always < by mental troubleá; after fright it affected all limbsá; intense pain during night prevents her rest and sleep, and an itching and crawling of left leg make her rise and walk aboutá; bathing < pain, but fresh air >, even at nightá; intelligence and memory considerably diminishedá; trembling and pricking prevent from doing any fine worká; motility and sensibility unalteredá; neither paralysis, anesthesia nor hyperesthesiaá; head trembles as much as left hand and foot, and a slight tremor could be observed on tongue when opening mouthá; no appetite, chronic constipationá; since menopause acne in faceá; slight hyperemia of retina.
Difficulty of moving legs, they do not obey willá; weakness of legs. ?áTabes dorsalis.
Burning, smarting leucorrh£a, and painful uneasiness in coccyx, > by standing, < by slightest movement, sitting or lying on bed or by least pressure. ?áCoccygodynia after confinement.
Uneasiness in legs with necessity of constantly moving them.
Weakness of legs not allowing feet when walking to be placed squarely on groundá; difficult walkingá; inability to kneel downá; difficulty of moving legs, they do not obey will.
Large hard abscess in right thigh, exceedingly painful and inflamed, no fever, glands in groin swollen, indurated and painful.
LIMBS IN GENERAL. [34] [Tarent.]
Rheumatism checked by putting extremities in cold water, panting respiration, anxiety, cramps in heart or twisting painsá; pulse full, hard, frequentá; aorta feels full, tense, stretched, with stitching painsá; morning and night cold extremities.
REST. POSITION. MOTION. [35] [Tarent.]
Cannot keep quiet in any position.
Lyingá: hysteria > ; on back limbs flexed.
Sitting or lyingá: uneasiness in coccyx <.
Standingá: > uneasiness in coccyx.
Motioná: > headacheá; dizzinessá; < crampy pains in uterusá; < frontal headacheá; < uneasiness in coccyxá; constant, of hands, feet and headá; can better run than walk.
Walkingá: difficult from weakness of legs.
Riding horsebacká: > pains in legs.
Great restlessness and agitation, particularly of inferior extremitiesá; has to change positioná; need of constantly moving hands, feet and head.
Trembling of bodyá; limbs agitated.
Great restlessness, could not keep quiet anywhere or in any positioná; felt that he must keep in motion though walking aggravated all symptoms.
Somnambulismá; frequent desire to urinateá; clear urineá; quantity lessened until secretion ceasedá; much excited at nightá; convulsions, a kind of St. Vitus’ dance, with inclination to bite and tear everything that comes near himá; when fit ceases, falls asleep, on awaking is unconscious of what has happenedá; has not voided urine since fifteen daysá; exalted state of mindá; could not speak, but could writeá; falls every day into a somnambulistic kind of sleep, the exact time of which he states every morningá; this state continued several months.
Trembling of bodyá; all limbs agitatedá; convulsive hysteria and chorea, with excessive hyperesthesia.
Excessive hyperesthesiaá; least excitement irritates.
Hysteria of two months’ standing in a girl µt. 11, particularly characterized by attacks of spasmus glottidis, occurring about every five minutes, and accompanied by a whistling tone.
Spasmodic, hysterical symptoms from uterine irritation.
Great disorder of motion, convulsive formá; necessity for continual motioná; fright, terror, fear of speedy death, with vertigo and precordial anguish, with intolerance of pressure and touch, and periodicity. ?áHysteria.
Choreic restlessness of limbsá; music has a soothing influence.
Suffers on account of deep griefá; severe convulsions at 8.30, exactly, lasting about two hoursá; they are preceded by an intense chill all over, beginning with short chills on back and extremities, lasting about half an hour, and followed immediately by convulsions, with severe involuntary muscular contractions, beginning in upper or lower extremities and extending to whole bodyá; consciousness retained during paroxysms, but lost power of co-ordination. ?áIntermittent nervous affection.
For several months spasms of an extraordinary character, increasing in intensity and frequencyá; attacks preceded by spells of gaping and irregular breathing, then muscular contortions of all kinds, fixed looká; followed by wild shrieks, long-continued coma, occasionally hysterical outbursts of laughing or cryingá; paroxysms most severe at menses.
A few days after getting out of bed after fourth confinement, violent convulsions of whole body during rest, necessity of moving and walking up and down roomá; on attempting to sit or lie down, violent shaking of head and limbs, with bruised pains all over and dizziness, compelling her to get up again and walk roomá; was unable to sleep for nine days, dreading convulsions every time she attempted to sit downá; want of appetite, great anxiety and malaiseá; fear of deathá; cervix uteri engorged, with granulations extending to vagina, mucous membrane of which was highly injected.
A boy, µt. 14, looks thoughtful and melancholy, shuns his companions and stays most of the time in most retired part of houseá; lost his appetite, in a few days was taken with choreaá; head drawn downward, afraid to look at strangers, idiotic expression of face, great loss of flesh, dirty and ashy color of skin, impetigo around lips, choreic movements of head, movements of right arm alternating with those of headá; all movements ceased in bedá; involuntary micturition.
Inordinate and irresistible movements, with alternate relaxation and contraction of muscles of left hand and foot. ?áChorea.
In constant motioná; can better run than walká; speech impededá; feels best in bed. ?áChorea.
Constant irregular movements of right arm and legá; is unable to walk or feed herselfá; speech difficult, tongue heavyá; frequent epistaxisá; starting during sleep which is lightá; great thirstá; constipationá; good appetiteá; changeable moodá; any observation or steady look was enough to make her cryá; dragged leg when trying to walk, steadily getting worse. ?áChorea.
Child can retain its seat with difficulty, arms tossed from side to side, legs cannot be controlledá; walking impossibleá; head turned violently from side to sideá; eyes rotated and eyelids almost in constant motioná; frequent hideous grimacesá; violent contortions of trunká; every effort to take food causes involuntary movements of tongue, causing her to drop from mouth two-thirds of what she has takená; movements not so violent at night, but cannot sleep more than a few movements at a time. ?áChorea.
Chorea of superior extremities without any appreciable causeá; head thrown with violence in different directionsá; nervous contractions in muscles of faceá; right leg thrown about with such violence, could hardly keep from falling.
Disorderly and irregular muscular movementsá; limited to left arm or leg or to one of these partsá; very seldom left arm and right legá; with grimaces of mouth.
Inordinate, irregular movements of hands and feet, which subside almost entirely on hearing notes of hornpipe.
Chronic irregular movements of superior extremities, also headá; was thrown with violence in different directionsá; contraction of muscles of faceá; legs somewhat affected.
Head, right arm and hand affected, head drawn downwardá; involuntary micturition.
Falling down unconsciously without any warning, general rigidity, grinding of teeth, bites her tongue, squinting of eyes which remain open during attack, fit lasting two or three minutes, followed by dejection and dizziness for twenty-four hoursá; attacks occuring every eight, fifteen or twenty days. ?áEpilepsy.
Dizziness before fitá; great precordial anguish.
For five years peculiar fits, which begin with a sensation as of a cloud before left eye, gradually increasing to complete blindness on that sideá; then follows a numbness of left arm and right leg, gradually increasing Until former becomes powerlessá; after this, drowsiness, followed by a deep sleep, from which he awakes with a throbbing frontal headache and blindness in left eye, these two symptoms gradually disappear togetherá; urine normalá; fundus oculi normalá; longest interval between attacks was five monthsá; of late, attacks have been coming every week. ?áEpileptoid.
During attack squinting of eyes which remain opená; after dizziness and dejection for twenty-four hours. ?áEpilepsy.
Paralysis agitans caused by great mental distress, commencing with pain in arms and a continual itching and trembling in left leg, with inability to remain in bedá; had to walk floorá; trembling extended to head and tongueá; appetite lostá; sleepless nights.
Intelligence and memory diminishedá; tremblingá; pricking, and peculiar sensation in phalanges of hands and feet, unable to perform any fine worká; motility and sensibility unaltered, neither paralysis, anesthesia nor hyperesthesiaá; head trembled just as left foot and arm, and a slight tremor could be perceived on tongue when she opened her mouthá; could only sleep for a few minutes, pains woke her in spite of her sleepinessá; no appetiteá; chronic constipation, since menopause acne in faceá; a slight hyperemia of retina, excess of uric acid in urine. ?áParalysis agitans.
Paralysisá; general formication beginning with a severe pain in occiput, followed by numbness of trunk and limbs, and complete loss of motory power.
Morningá: to 9 A. M. headache < ; hawking of brown mucusá; cold extremities.
Nightá: pain in bladder < ; pruritus vulvµ < ; restlessnessá; cold extremitiesá; somnambulismá; sleeplessness.
TEMPERATURE AND WEATHER. [39] [Tarent.]
Fresh airá: > headacheá; > pains of tabes dorsalis.
Warm weatherá: dysmenorrh£a >.
Constant chill and coldness during four days.
Scorching heat in whole body alternating with icy coldness.
Scorching heat of skin which is of a scarlet color.
Intermittent febrile attacksá; during heat continued coldness of feet. ?áHysteria.
Intermittent fever of nervous hysterical women.
General emaciation particularly of face, icteric colorá; tongue coated yellowish, want of appetite, no thirst, dryness of mouthá; constant pain in hepatic region, < before paroxysms, with nausea and vomitingá; severe headache, precordial anxiety, sadness, taciturnity, despair of recoveryá; cold stage intense, with shakingá; blue color of nails, lasting about two hoursá; gastric symptoms < at onset of heatá; fever scorching, no thirstá; great dryness of mouthá; hot stage lasted five to six hours, during which time eyes were shut and she lay in a comatose conditioná; sweat lasted three to four hours, followed by great debility and prostration. ?áAgue.
Chills and fever with choreic convulsionsá; shakes almost continuously with involuntary movements in limbs, abdomen, chest, trunk and face, < in left sideá; could not speak a word, tongue and pharynx being implicatedá; after a severe scolding, or punishment.
Toxemic fevers of a typhoid or intermittent formá; chilliness or burning heat, chilliness predominating.
ATTACKS, PERIODICITY. [41] [Tarent.]
Daily at same hourá: attacks of hystero-mania.
LOCALITY AND DIRECTION. [42] [Tarent.]
Leftá: pain in ovaryá; feeling of a hair in eyeá; singing in eará; pain under clavicleá; trembling begins in handá; itching and drawing in legá; alternate relaxation and contraction of muscles of hand and footá; chorea of arm and legá; as of a cloud before eye, blindnessá; numbness of armá; trembling in leg.
Rightá: pain through eye to occiput and noseá; pupil dilatedá; pain in maxillary nerveá; heart ventricle dilatedá; infraclavicular painá; pain in abdomená; abscess in thighá; glands in groin swollená; choreic movements of arm alternate with those of headá; irregular movements of arm and legá; leg thrown about with violenceá; numbness of leg.
As if head were knocked in morningá; as if thousands of needles were pricking into brainá; as if occiput were struck with a hammerá; as of a hair in left eyeá; as if lower teeth were going to fall outá; as if body were bruisedá; as if there were not sufficient space in hypogastriumá; painful uneasiness in coccyxá; motion in uterus as of a fetusá; singing like a tea-kettle in left eará; as of something crawling up legs under skin from feet to uterusá; as if heart turned and twisted aroundá; heart as if squeezed or compressedá; as of needles sticking into mole on neck when touchedá; as of a cloud before left eyeá; as of insects creeping and crawling.
Painá: in vertex and parietal bonesá; in angles of inferior maxillaá; in right inferior maxillary nerveá; in bladderá; in back and limbsá; in uterusá; under right clavicle to backá; in right side of abdomen.
Excruciating painá: in bowelsá; in bladderá; in abscess on back of neck.
Neuralgic painá: in templesá; in left ovary affecting heart.
Severe painá: through right eye to occiputá; in cerebellum.
Sharp painá: in umbilical region.
Tearingá: in uterusá; to sacrum.
Shooting painsá: at heartá; in uterus after menses.
Stingingá: in carbuncle on side of chest.
Burningá: in occiputá; in cancer of liverá; in abdomen and rectumá; in palms and solesá; in hypogastrium and uterusá; leucorrh£aá; in carbuncle on side of chestá; in abscess on back of necká; in anthrax between shoulder bladesá; all over body, irritable spineá; of skin.
Smartingá: in anusá; urethraá; leucorrh£a.
Crampsá: in bowelsá; in heart.
Rheumatic painsá: in chest, extending to umbilical region.
Pressive painsá: in uterus after menses.
Bearing-down painsá: in uterus.
Heavinessá: in lidsá; in hypogastrium and uterus.
Numbnessá: of trunk and limbs.
Formicationá: in soft palateá; with paralysis.
Heatá: in occiputá; in vaginaá; of skiná; scorching.
Itchingá: on left legá; of skin.
Termini of nerves become so irritated that some kind of friction is necessary in order to obtain reliefá; must move hands or legsá; must rub head against somethingá; must roll something between fingersá; must put fingers in mouth.
Weakness of all limbsá; rheumatic painsá; restlessnessá; formicationá; paralysisá; spasmodic paralytic affectionsá; neuralgiaá; rheumatismá; nervous diseases where functions of vagi are more or less disturbed.
Anthraxá; carbunclesá; atrocious pains.
Syphilitic buboes, painful boils, all kinds of abscesses where pain or inflammation predominates.
TOUCH. PASSIVE MOTION. INJURIES. [45] [Tarent.]
Musicá: hysteria > ; causes excitement.
Touchá: headache < ; hepatic region painfulá; pain in mole on neck, as of needlesá; along spine provokes spasmodic pain in chest and distress in cardiac region.
Rubbingá: head against pillow > headache.
Pressureá: headache > ; uneasiness in coccyx.
After a fall down stairsá: uterine neuralgia.
Terrible pruritus, a sensation as of insects creeping and crawling.
Outer parts feel as if worms or insects were boring and crawling, no relief from cold or heatá; continual irritation and titillation.
Malignant ulcers and unhealthy skiná; anthrax and gangrene.
Itchingá: burningá; formicationá; ecchymosed spotsá; painless vesicular and especially pustular eruptions.
STAGE OF LIFE, CONSTITUTION. [47] [Tarent.]
Nervous, hysterical patients, subject to choreic affections.
Foxy, mischievous and destructive tendency.
Boy, µt. 5, light complexion, nervous temperamentá; diphtheria.
Girl, µt. 6, stoutá; diphtheria.
Girl, µt. 6, delicateá; diphtheria.
Girl, µt. 7, nervo-lymphatic temperamentá; chorea.
Girl, µt. 8, bright, healthy, intelligent lookingá; weakness of sphincter ani.
Boy, µt. 8, delicate, scrofulous, two children in same family died of the diseaseá; diphtheria.
Boy, µt. 9, suffering a yeará; chorea.
Girl, µt. 9, nervous temperamentá; chorea.
Girl, µt. 9, fleshy, lymphatic temperament, anemia, suffering four monthsá; chorea.
Boy, µt. 11, suffering five yearsá; epileptoid.
Girl, µt. 11, suffering two monthsá; chorea.
Girl, µt. 11á; severe burning in mole on neck.
Girl, µt. 11, thin, delicate, nervousá; intermittent fever and choreic convulsions.
Girl, µt. 12, weak constitution, belongs to poor classá; chorea.
Girl, µt. 14, suffering four monthsá; hystero-mania.
Young lady, µt. 18, dark complexion, slender, delicate, consumptiveá; diarrh£a, etc.
Miss B., µt. 19, nervo-lymphatic temperament, after a frightá; chorea.
Man, µt. 21, dark complexion, large, strongá; diarrh£a, etc.
Girl, µt. 24, tall, slender, lymphatic, nervous temperament, with scanty menstruation, irritable moodá; epilepsy and hysteria.
Negro, µt. 26á; abscess in thigh.
Miss M., µt. 27, confirmed dyspeptic for years, a musical amateur, suffering with myopia, amblyopia and incipient cataract, while in a highly nervous condition from overstudy, was operated on to remove opacity of lens of right eye by absorptioná; insanity.
Mrs. —, µt. 30, affected two yearsá; insanity.
Woman, µt. 32, single, blonde, blue eyes, cheerful, weak and emaciated frame, suffering ten yearsá; dysmenorrh£a.
Lady, µt. 32, widow, blonde, lymphatic temperamentá; uterine neuralgia.
Man, µt. 32, nervous temperament, gastro-hepatic diathesis, after great griefá; intermittent nervous affections.
Man, µt. 34, nervo-sanguineous temperament, gonorrh£a.
Madam B., µt. 36, lymphatic temperament, after fourth confinementá; spasms.
Unmarried lady, µt. 36, slim, bilious, nervous, of irritable character, and scanty menstruation, suffering since 18 years of ageá; attacks of chorea.
Lady, µt. 40, blondeá; urinary difficulty.
Mrs. C., µt. 40á; irritable spine.
Mrs. —, µt. 40á; affection of heart.
Mrs. R., sanguine temperament, full habit, suffering since last confinement, four years agoá; coccygodynia.
Lady, µt. 45, good constitution, profuse menstruation, suffering since 20 years of ageá; nymphomania.
Widow, µt. about 45, suffering sixteen yearsá; pruritus vulvµ.
Mrs. F., µt. 48, sanguineous constitution, mother of seven childrená; uterine affection.
Man, µt. 50, dark complexioná; diarrh£a.
Woman, µt. 51, past climacteric, thin, spare body, delicate constitutioná; anthrax.
Mrs. K., µt. 61, strong constitution, menstruation ceased at age of 52á; paralysis agitans.
Mrs. S., µt. 68, strong constitution, suffering eighteen monthsá; ague.
Man, µt. 72, good constitutioná; abscess back of neck.
Woman, µt. 84, delicate constitutioná; anthrax back of neck.