Hand Book of Materia Medica and
Homśopathic Therapeutics.By T. F. Allen.
Presented by .
Physostigma.
A tincture is made of the “Calabar bean,”
Physostigma venenosum, Balfour.
General Action :- ►
This ordeal
poison produces muscular tremors and tetaniform spasms of voluntary and
involuntary muscles, as well as vasomotor spasms, followed by diminished
reflex and paralysis. ► It also produces violent vomiting and
purging. ► Death occurs usually from failure of the respiration.
► One of its most marked effects is the contraction of the pupil,
which is supposed to be due to a paralysis of the sympathetic fibres.
► Its most marked ally is Muscarine.
Allies :- ►
Agaricus
mus., (Opium), Nux vom., Tabac.
Generalities :- ►
Tremblings in
front of body, with wavelike motions up and down in it, but in back of
body paralysis, numbness and pain as when the nerve of a tooth is being
killed ; T. in paroxysms, first in legs, sometimes general, at the
least thing that startles, once in hands, then soreness in pit of
stomach ; T. and shuddering, beginning in head, running down through
pit of stomach, womb and whole body, the chief sensation in the head was
the one in the middle of forehead, and in left eye a pain with muscć
volitantes. ► Nervous motions down through body and through arms at
3 P.M., with palpitation, next day with weakness at
pit of stomach. ► Convulsions and twitchings (agg. back). ►
Twitching of mouth, eyebrows and between brows at 8 P.M.,
with throbbing between brows and numbness from between eyes down through
nose. ► Hinders voluntary motions as well as causes involuntary
motions.►
Lancinations in left hypochondrium, left
thigh, left index, at 9.50 A.M., then sharp pain in
region of liver, passing towards sternum. ► Darting pains wandering
from one place to another. ► Occasional sharp pains in different
parts. ► Twinging pain in various parts. ► Strange
indescribable sensation through system. ► Feeling as if he had taken
cold ; and soreness and stiffness, all over body. ► Discomfort
in morning. ► Floating sensation on raising my foot when walking,
and when the foot touched the ground an unpleasant sensation that caused
shuddering. ► Pulsation through whole body when sitting still, agg.
chest, each beat of heart was distinctly perceptible in chest and temples.
► Soreness around waist at 6 P.M. sudden
access of vigor at 6.30 P.M., and the symptoms that
followed came like a reaction. ► Restless ; at 10 P.M.,
in bed. ► Constant desire to change from side to side. ►
Disinclination to move. ► Aversion to the usual cold bath ; to
the usual bath, and discomfort after bathing.►
Weakness ; of right side ; in
forepart of day (which was sultry), with uncommon mental activity ;
in forenoon ; at 8 A.M. ; 9 A.M. ;
at 9 A.M., agg. groins ; at noon, amel. 10 P.M.,
with headache ; at 1 P.M. ; in afternoon,
with fulness on forehead and tendency to ache, agg. right side ; at 4
P.M., with leucorrhśa ; at 8 P.M. ;
9 P.M. ; 10 P.M. ;
after stool ; on ascending stairs ; on walking ; when
walking in the street, with stupidity and vertigo ; and whole frame
seemed loosened ; with stupidity and feeling as after
carousing ; with torpor ; with necessity to lie down and desire
to have the doors shut ; at 6.30 P.M., as if
every nerve were unstrung, even to eyes, which felt as if all power to see
were going from them ; extending from head through back and legs,
with thrilling in legs, slight exertion caused lameness and weakness in
small of back ; muscular, with fibrillar twitchings ; nervous,
tremulous, at 7 P.M., agg. left arm.►
Faintness. ► Collapse after the
vomiting. ► Shock of nervous system, amounting to collapse in the
worst cases. ► Paralyzed feeling in whole left side. ► State
like the effects of an overdose of Aconite.
► (Old ailments return with renewed force). ► Aggravation from
motion ; from mental activity and exercise ; on left side.
► Amelioration in open air ; and from walking ; of pain,
by walking, but I had not the strength to walk far ; from closing
eyes and quiet ; in warm room, from not moving ; from odor of
camphor ; from Arnica (selected
because the pain was caused by hard pressure on lower end of sternum).
Clinical :- ►
Traumatic tetanus. ► Chorea. ► General emaciation. ►
Numerous cases of tetanus in horses. ► Paralysis agitans. ►
Congestion of the spinal cord, with tetanic spasms.
Mind :- ►
Foolish actions, said
it made him crazy. ► Exhilarated in morning, gloomy towards noon.
► Nothing was right, too many things in the room, continually
counting them. ► Irritable. ► Nervous, cannot endure pain,
sensitive during the filling of a tooth. ► Anxiety about friends at
home. ► Not the usual flow of spirits, and it was an extra effort to
speak. ► Disinclined to speak to some of his friends. ► Dull
and sluggish all day ; at 8 A.M., and confused
feeling, stupid. ► Felt no alarm where some of my friends saw some
reason for it. ► Uncommon activity.
► Exhaustion, cannot remember anything. ► Difficult to
concentrate thought ; D. to work.
Head :- ►
Drooping listlessly.
► Darting pain ; in various parts, agg. motion. ►
Aching ; in morning, with epistaxis, left side ; in morning,
agg. over left eye, agg. afternoon and till 10 P.M.,
with warm sweat on head ; at noon, could not put my mind on anything
nor remember anything, a mental exhaustion ; in afternoon, agg.
towards evening, amel. 10 P.M., with a strange and
confused feeling ; in evening and next morning ; at 8 P.M. ;
in brain on waking, agg. left side ; after drinking new milk ;
agg. motion, with confusion of head ; agg. walking ; amel.
mental application, agg. walking in open air ; preventing
study ; congestive, all the forenoon ; tensive, and brain and
scalp feel tight ; burning, at 7 P.M. ;
bruised, in brain all day, agg. a heavy step or misstep ; heavy,
bruised, in brain all day till evening, agg. left temple, with general
fatigue and sensitiveness to cold or change of temperature.►
Pressure encircling it, with sleepiness.
► Constriction as from a bandage about it ; C. as if a tight
cap were pressed down as far as temples, with pressure along sagittal
suture as from fulness in longitudinal sinus, and aching in temples.
► Fulness at times, almost to faintness. ► Heaviness at 8 A.M. ;
at 2 P.M., with pain in eyes and heat in head and
face ; agg. motion, with darting through temples ; with dullness
and fulness ; with confused, feverish feeling alternately in forehead
and vertex. ► Brain confused on waking from midday nap. ►
Stupid feeling ; at 7 P.M. ► Solid
feeling ; brain feels tired. ► Constant desire to move it from
side to side. ► Sensation as if brain rolled about in skull. ►
He felt as if he had drunk a glass of liquor, confusion of head, vertigo,
legs weak, staggering, at night frequent waking, with terrible thoughts,
fear that he was becoming crazy, that he might get up and do some
mischief. ► Vertigo ; at 3 A.M. ; at
1 P.M. on moving, with faintness and muscć
volitantes ; at 4.30 P.M., with nausea ;
in evening, if people stepped in front of her in the doorway ; at
night ; when reading ; on getting up after dinner ; when
walking ; on descending stairs, with dim vision and unsteady
gait ; with weakness and faintness ; with wavering sensation in
brain when walking ; with feeling as if head fell forward, and
stumbling on going up and down stairs ; with the peculiar torpidity
of Opium and Indian
hemp.
Forehead :- ►
Darting pain, agg.
motion, and in temples. ► Sharp pain in supraorbital region, running
off towards nose. ► Pain ; over right eye ; in morning on
waking, by noon pain in whole cerebrum, fulness of bloodvessels of brain
and contracted feeling in skin of forehead, which extended to eyelids,
causing an effort to open or close them ; on left side at 10 A.M.,
with heat in abdomen and nausea, the pain is heavy at 11, pain over whole
head from 4 till 10 P.M. with nausea and general
sweat, headache next day with lame, bruised feeling in region of
kidneys ; at 2 P.M. ; in evening ;
over right eye all the evening ; at 8 P.M. with
chills and fever, next day at 10 A.M. hot and dry
skin, at times in afternoon extending to vertex ; across top at 5
o’clock, agg. till going to bed and sleep ; on waking ; in
sinciput and over left eye, waking me at 3 A.M. ;
deep-seated, with desire to rub it ; sudden, over right eye at 2 P.M.,
with pulsation in occiput ; as if something hard were tightly bound
on it, all the forenoon, with dizziness when walking ; weary, over
right eye ; stupefying, agg. over left eye. ► Burning pain from
9 A.M. till going to bed at night ; at 1 P.M.,
and pain a 4 P.M. on eating, exercise or mental
exertion. ► Heavy pain over eyes
in morning on waking, amel. rising ; H. pain before rising ; in
left side on waking, afterwards extending over head, agg. left side of
forehead at 1 P.M., next day headache preventing
study, amel. 10 P.M., third day H. pain in left
frontal eminence, extending deep into brain, preventing study ; over
eyes at 5 P.M. ; over eyes at 8 P.M. ;
agg. motion ; H. oppressive pain at 10 A.M.,
with inability to express my thoughts clearly. ► Constriction around
F. and temples, changing to oppressive pain over left orbit and extending
to forehead and temples, agg. reading. ► Fulness, with tendency to
ache and with fatigue, afterwards heavy aching, agg. right side. ►
Sensation of rush of blood in F. and temples.
Temples :- ►
Shooting from right
to second bicuspid. ► Darting pains, agg. motion. ►
Pain ; amel. supper ; in T. and forehead at 11 A.M.,
in church, with intermittent tension in skin of forehead and nose, making
it difficult to close eye, in evening the sound of the organ caused
headache, agg. forehead and temples, same headache on following days,
sometimes agg. warm room, especially after being in open air, with such
sleepiness that efforts to keep awake caused nausea ; with pressure
outward in forehead ; through T., as from rush of blood to head, at 4
P.M., with throbbing of arteries on side of
neck ; heavy, in right, becoming pulsative and occasionally darting
and quivering. ► Throbbing in arteries and in carotids. ►
Numbness at 4 P.M., with crawling over head.
Vertex :- ►
►
Pain extending to occiput, with pain in temples, obliging him to lie down,
with pain over orbits, cannot bear to raise eyelids, feeling as
if something heavy were pressing out the brain ; pain in V. and
forehead, obliging him to lie down, amel. sitting up in bed and by strong
pressure ; stupid, extending down through head, in evening. ►
Bearing down on V. ; agg. left lobe of brain. ► Expansive
sensation. ► Pressure outward, and in temples.
Sides :- ►
Shooting through
right, extending into nape, at 11 A.M., agg. rising
or walking ; paroxysmal, in right eminence, leaving a bruised
feeling, the pain amel. evening by close attention to a sermon, renewed by
going into open air. ► Sharp pain in right ; in left, then
right. ► Lateral headache, deep in brain ; lateral, in morning,
with fear of opening his eyes lest it should increase the pain ;
beginning when riding in a carriage ; caused by the crying of a
child ; deep in brain, amel. eating. ► Pain in right
side ; indefinable, in right, all day, with feeling as if it would
increase, but it did not.
Occiput :- ►
Pain in left.
► Stimulus in O. and neck, extending through head to eyes, in
afternoon an evening. ► Weak feeling as if paralyzed, passing
through back to lower limbs, the feeling in legs was as if asleep. ►
Creeping numbness in O. and down spine, between 8 and 9 P.M.,
agg. between hips.
Eyes :- ►
Bloodshot all the
forenoon, with burning in them. ► Left red and swollen. ►
Inflammation of right, then left, sclerotic red, dry and swollen, eyes
feel best when closed. ► Sleepy-like, “Were working.” ►
Shooting in right at 1 P.M.,
with drawing in it. ► Drawing, twisting sensation ; at 3 P.M. ;
from 11 A.M. till 8 P.M. ►
Drawing at 6 P.M.
► Smarting, with sore feeling in lids. ► Pain in
left ; in left, with muscć volitantes ; P. on attempting to use
binocular vision, as in reading, with burning and straining, so that one
eye must be closed, amel. a weak concave glass. ► Pressure, with
muscć volitantes, dark and light long worms or snakes, also tremulous
vision. ► Heaviness ; at 2 P.M., with
dullness. ► Sensitive. ► Weak feeling.►
Lachrymation. ► Pupils
contracted ; in morning ; by small and rapid jerks, with
sensitiveness to light ; then mydriasis, agg. morning, seeming to
depend on fatigue of sphincter, which was relieved during the day by the
reflex stimulus of light ; dilated.
Ball :- ►
Intermittent darting
outward in right, amel. pressure on eyes, lasting from 6.30 till 10 P.M.,
then shifting to supraorbital ridge and lasting till 12, next day on
rising at 7 A.M., darting outward in eyes, amel.
breakfast, on sitting down to study at 7 P.M. same
pain in left eye and superciliary ridge, amel. pressure and moving about.
► Drawn, twisted sensation at 8 P.M., agg.
right, next day at 7 P.M. ►
Pain ; in right ball and frontal bone in evening, with
stitches and with pain running obliquely into temporal bone, next day pain
deep in over top of ball, ran up from inner canthus to right frontal
eminence, then down obliquely outward into temple, the same returned in
eye and forehead but was more general in forehead, amel. motion
out of doors ; nervous, extending along supraorbital nerves and over
half of head. ► Painful tension, partly in equator of ball, partly
in ciliary region. ► Burning all the morning.►
Twitching of lids ; upper ;
upper, agg. left ; upper at 4 P.M. ►
Contracted sensation in lids, with difficulty in opening them and
lachrymation when wide open, difficulty in keeping left open. ► Lids
heavy. ► Lids immovable. ► Tight feeling in ciliary region, as
if something were creeping about in it, with sharp pain, agg. reading,
vision confused, spasm of accommodation in left and diminished power in
right eye, type looked smaller with right than with left eye, afterwards
type now clear, now in distinct, coinciding with sensation as if ciliary
muscle were irregularly contracted, with sudden contraction of left pupil
and sudden gloom, as of an eclipse of the sun, agg. when left eye only was
open, astigmatism. ► Pain in posterior part of orbit, extending back
into brain, preventing reading and causing nausea.
Vision :- ►
►
Blurred, then dull pain over and between eyes. ►
Dim ; when walking ; for objects more than a foot distant, all
objects seem nearer and larger, afterwards with contracted pupils and on
reading heaviness and fatigue of eyes. ► Double. ►
Accommodation recovers before the pupil ; recovers before
the myosis, the approximation of the near point lasts longer than that of
the far point. ► Jerklike approximation of far point, then of near
point. ► Letters seem in constant motion, and can only been seen at
a large visual angle. ► Muscć volitantes ; black and
white ; bright marks when looking at an object, and when reading
dark, yellowish spots covering one or two letters.
Clinical :- ►
Physiologically this drug has been used to tear adhesions of the iris,
especially when complicated with ulceration of the cornea at the margin,
on account of its extraordinary power to contract the pupil. ►
Curatively it has been used in myopia for spasm of the ciliary muscle,
especially with symptoms of irritability, pain after using the eyes,
flashes of light, black specks, etc. ► Torpor of the retina.
► Near-sightedness from a blow, a rigidity of the muscles of
accommodation so that the patient can only see very near objects.
► Increasing myopia.
Ears :- ►
Shooting in left at 3 P.M. ;
in right at 6.45 P.M. ► Sharp pain in right,
with stiffness of neck, next day a little soreness. ► Pain in right
when writing. ► Hammering in right in evening, with feeling in
external ear as from a hot wind. ► Painful pressure on tympani.
► Discomfort in right, with inclination to bore in with finger, and
after removal of wax and with eructation, a sudden pain from throat along.
► Eustachian tube to middle ear, leaving stabbing pain in middle
ear, the desire to bore in occurred repeatedly every evening. ►
Crawling in left. ► Fulness. ► Stopped feeling. ►
Partial deafness of right. ► Sensitive to every sound. ►
Singing or tuning like escaping steam, at night after lying down. ►
Buzzing in right at 7 P.M., with ringing.
Nose :- ►
Twitching, with
involuntary expansion of nostrils. ► Fever-blisters in and around
left nostril. ► Boil inside of right nostril, with pain extending to
eye and right side of head, scanty discharge after breaking. ►
Feeling as if a cold were coming on, smarting, tingling and sneezing.
► Contracted feeling in wings and in upper lip, amel. rubbing.
► Itching in left nostril in morning, with tingling and moisture,
return of the itching in afternoon with dryness,
again in evening with moisture.
► Stuffed and hot. ► Sensation as if it would bleed at 4 P.M.,
with heat in it ; sensation as if it would bleed at 2 and 8 P.M.,
and the peculiar taste that goes with it. ► Sneezing. ► Fluent
coryza. ► Bleeding from right side in evening, next day from left
side in morning and at supper, with headache.
Face :- ►
Red ; on rising
from a seat, with pain. ► Pale. ► Tired look in morning.
► Occasional darting pain in right malar-bone and ramus of jaw.
► Neuralgia in right side. ►
Contracted sensation in left side, with numbness. ►
Feeling as in spasms, amel. opening mouth, at times extending into neck,
when it was the worst the left hand became numb and it bothered me to hold
on to anything, noticed most when looking at my watch. ► Pain in
mastoid processes ; in right lower jaw ; in side of jaw where
there were teeth ; like toothache in right supper jaw (from which all
the teeth had been extracted).
Mouth :- ►
Teeth feel rough in
morning, not amel. brushing. ► Quivering sensation in teeth, as if
resting on the sounding-board of a piano. ► Tongue rough to
touch ; T. coated, agg. towards root ; coated white, with oily
feeling in it and bad taste ; scalded feeling, next day only on left
side, two days afterwards on right side ; raw feeling, agg.
swallowing ; felt sore on tip at
4 P.M., and rough ; sore, rough and dry ;
sore on left side, with difficult motion of it as if still ; smarting
at end ; dryness in tip and in lips, with smarting ;
numbness and tingling smarting in T. and lips, with constant desire to
moisten them. ► Felt a sluggishness of articulation, and to avoid
any show of this made a strong effort to speak slowly and firmly.►
Roof of yellowish copper color at 9 P.M.,
with feeling as if covered with patches of loose skin. ► Running out
of mucus. ► Thick, lathery saliva. ► Salivation. ► Taste
bad all day ; bad in morning on rising, as if I had been in a close
room all night ; bad, with salivation ; brassy, with
salivation ; metallic at 9 P.M. ; like
creosote in morning on waking.
Throat :- ►
Submaxillary gland
tender and tumefied. ► Clear mucus at 6 P.M. ►
Feeling as if a ball ascended. ► Pain extending to left
ear at 3 P.M. on swallowing. ► Soreness at 2 P.M.,
with constricted feeling on swallowing, S. next day at 5 P.M. ;
S. at 8 P.M., agg. swallowing ; in back part in
evening ; in evening, tonsils and soft palate inflamed, dark red,
with stinging ; at 9 P.M., with feeling of a
fish-bone in it, swallowing of saliva painful ; in a spot on right
side, agg. swallowing ; on swallowing. ► Raw, scrappy burning
at 9 P.M., on swallowing. ► Burning scraping
rawness, with constriction on swallowing. ► Smarting of left tonsil.
► Fulness.►
Constriction in evening when
swallowing ; at 7 P.M., with soreness
posteriorly in pharynx and painful swallowing of saliva, throat dry at 10 P.M.,
next day the pain and constriction of pharynx continued, with ulcers with
yellow centres on right side of pharynx, behind tonsil, and redness of
posterior nares, afterwards swallowing difficult, ulcers agg. right side,
pain agg. right side, afterwards with elongation of uvula ; C. in
upper part, with difficulty in eating, amel. before breakfast is eaten,
injection of posterior superior part of mouth ; C., with difficult
swallowing, tonsils enlarged, uvula elongated, speaking painful, posterior
part of tongue painful to touch. ► Gone feeling in śsophagus.
► Inability to swallow.
Stomach :- ►
Appetite
increased ; morbid ; diminished ; lost ; lost for
breakfast ; hunger, but can find nothing to satisfy it, disposed to
try one thing after another, food has a flat taste. ► Disgust for
food. ► Thirst ; in afternoon ; for cold water in evening,
agg. drinking ; lacking. ► Eructations ; at 4 P.M. ;
tasteless ; empty ; empty at 7 P.M. ;
of warm air. ► Hiccough ; from 9 till 11 P.M.,
amel. going to bed ; violent, from 5 till 8 P.M. ;
violent, at 8.30 P.M., amel. sleep, with distress
for breath, violent H. on waking at 2 A.M.►
Nausea ; in morning and at noon, so
that he could not eat much dinner at 1 P.M., amel.
lying down, then he could eat a little more, after resting again all
symptoms passed off ; in morning on waking ; at 10 A.M. ;
2 P.M., with chilly creeping up back ; 3 P.M. ;
4.30 P.M., with vertigo ; 7 P.M. ;
10 P.M. ; on lying down ; caused by
breakfast ; caused by sound of the organ ; caused by pain in
orbit ; with the headache ; with sinking feeling in
stomach ; in attacks. ► Vomiting ; of acrid fluid ;
with great retching, then collapse and cold sweat in drops over whole
body ; in attacks, with diarrhśa ; copious, with such weakness
that he could not completely eject the vomited water ; later I could
not vomit, the abdominal muscles acted too feebly.►
Trembling of nerves at pit, with nausea
and faintness. ► Pricking in S. and abdomen, then rumbling and pain
in region of transverse colon, next day P. in stomach and abdomen at 9.30 A.M.
sharp pain shooting upward at 9.30 A.M. ►
Darting pain in epigastric region, except during sleep. ► Griping
and oppression ; G. in pit ; in pit, with soreness on pressure.
► Crampy pain, with desire for stool. ► Pain ; in
epigastric region ; on going out of doors after dinner, causing
nausea, then crampy feeling in fundus of bladder ; in epigastrium,
just under ensiform cartilage, extending into chest and down arms, waking
at 2 A.M., pain in epigastrium produced by hard
pressure on lower end of sternum, extended along lower edge of ribs, at
attachment of diaphragm, and through to about third dorsal vertebra,
sensation as if the pain were squeezed out into arms, the pain alternated
between an ache and an acute quick pain, but was occasionally pulsative.►
Sensitiveness to pressure in
region ; in epigastric region ; in pit at 10.30 P.M.
► Nervousness, agg. front of body.
► Oppression in epigastric region. ► Contraction in region,
afterwards with dull pain in left side and forepart of head. ►
Feeling as if mucous coat (?) swelled. ► Burning, with hot
eructations. ► Peculiar sensation in epigastrium, afterwards
increased to an intermittent sensation as from suddenly swallowing large
pieces of food, first near upper part of sternum, becoming more intense
till it reaches the epigastrium, when it is almost painful and eructations
usually occur, escape of gas, then reversal of pain from lower sternum to
throat. ► Sensation in pit as if undigested food oppressed it ;
at intervals, and intermittent breathless sensation and disposition to
inspire deeply. ► Digestion slow. ► Unsettled. ►
Weakness in pit, with the nervous symptoms. ► Food lay hard all day.
► Heaviness ; as from undigested food. ► Emptiness at 3 P.M.,
with weakness of it, without hunger ; E. in stomach and abdomen.
Abdomen :- ►
Bloated
feeling ; in morning, with soreness ; B. by gas, with pain,
compelling me to lie down, agg. standing erect. ► Rumbling at 10 P.M. ;
at 8.40 P.M., with gurgling, heat and colic, all but
the colic lasting till 11 P.M. ; with full
feeling and heat. ► Emission of flatus ; noisy ;
odorless ; four-smelling, smelling like carrion. ► Pinching
crampy pain at 3 P.M. ► Clutching pain at 4.30
P.M. ; at 7.30 A.M.,
before stool. ► Pain ; during stool ; with feeling of
looseness ; waking at 3 A.M., amel. 11 A.M.
by stool. ► Heat with the headache. ► Uneasiness as if bowels
would move soon.►
Stitches in left side. ► Sore spot
in left side, with pain on pressure and moving about, agg. riding. ►
Pain in left side ; in transverse colon ; in transverse and
descending colon, with full sensation ; in transverse and descending
colon during diarrhśa, with tenesmus ; in region of arch of colon,
agg. right side, agg. night, often waking me, with stitches through to
back.►
Darting pain in right hypochondrium.
► Griping in right hypochondrium. ► Pain in hepatic region at
10.20 A.M. ; stiff pain posteriorly in hepatic
region in morning on waking, with tenderness on pressure and first moving,
amel. moving. ► Sore pain in spleen ; descending to groin, agg.
motion, so severe in evening as to cause me to extend my legs. ►
Pain in umbilical region ; drawing ; sharp. ► Soreness of
umbilicus, with sensation as if corset had pinched it, with blood red
color.
Hypogastrium :- ►
Shooting in
left iliac region ; occasionally in groin, extending into right
testicle. ► Cutting, more in muscles than in organs. ► Pain in
groin ; in groin at 7 P.M. ; in groin at 8
P.M., with swelling ; alternately in right and
left groin at 6 P.M. ; low down in abdomen,
then copious, loose stool ; return of a pain in right that had been
absent two years ; drawing, in right iliac region, amel. lying on
right side, pressure, walking in open air and eating, agg. lying on back
and left side. ► Soreness, hurting me to stand, and in left side.
Rectum and Anus :- ►
Return of
piles which had not troubled him for years. ► Anus sore, inclined to
protrude (as from relaxed sphincter). ► Tenesmus before and after
stool ; after stool ; with diarrhśa ; as if he had been to
stool, then a thin stool. ► Feeling for half an hour before stool as
if I had been to stool. ► Frequent ineffectual desire. ►
Desire, stool hard, scanty, three hours later watery stool, with flatus,
on following days loose stools.
Stool :- ►
Diarrhśa ; and
vomiting ; weakening ; copious, with burning at anus. ►
Loose and irregular. ► Soft and light-colored, next morning thin and
light-colored, then tenesmus, thin stool at noon, soft at 9 P.M.
with tenesmus. ► Soft, brownish, fetid, frequent, with tenesmus and
pain in transverse and descending colon, and tenesmus on bladder, next day
two mushy stools after breakfast with same kind of pain, same kind of
stool and pain after dinner and supper, with tenesmus, afterwards
constipation on the days when I did not take the drug, and when I
recommenced had four stools in one day, but not loose. ► Soft,
large, brown, at 7 A.M., small, thin, yellow,
sour-smelling at 2 P.M., small, watery, mixed with
undigested food, sour-smelling at 7 P.M., small,
watery at 10 P.M., next day (third day) watery, then
tenesmus, fourth day no stool, fifth day a large stool, a part black like
tar, sixth day natural-looking stool mixed with black lumps, then slight
discharge of mucus, seventh day thin, small, lumpy, tenesmus before and
after it, ninth day small, hard stools covered with jelly-like slime at 7
and 7.30 A.M.►
Constipation. ► Hard and in balls,
but easy. ► Lumpy, mingled with a watery discharge, at night, next
day constipated. ► Yellow, at 5.10 A.M., with
pain below umbilical region. ► Twice in one day, once with much
straining to pass a small amount. ► Natural looking at 3.45 A.M.,
a small, sour-smelling one at 8 A.M., then none for
sixty-nine hours. ► Copious at 11 A.M., a soft
yellowish one at 3.30 P.M., an offensive one at
6.30, another stool at 10.30 P.M. and at 6.30 A.M.
next day, afterwards two or three stools a day, at irregular times, not
large, yellowish. ► Omitted second day, third day ineffectual desire
several times, fourth day small, hard stool, fifth day copious,
light-colored, twice, with crampy pain in hypogastrium, seventh day stool
almost impossible on account of contraction of sphincter, eighth day
desire in morning in bed, with cramp in stomach, but the desire left me
after rising, ninth day constipation, tenth day hard, dark at 9 A.M.,
with urging and pain in abdomen, urging at 9.05 A.M.,
with light stool, copious, yellow diarrhśa at 9.15 A.M.,
with burning smarting, eleventh day constipation.
Urinary Organs :- ►
Full feeling
in bladder, as from retention of urine. ► Frequent ineffectual
desire. ► Frequent micturition. ► Pain in urethra after
micturition. ► Urine muddy. ► Urine high-colored and smelling
strong. ► Urine scanty. ► Urine copious ; in
morning ; in morning on rising, and clear, slightly yellow ; in
forenoon, with difficult retention of it ; at night, and frequent
micturition ; and colorless ; during the pain, and pale,
odorless, and frequent micturition ; containing mucus ; and
clear, urates diminished, phosphates increased.
Sexual Organs :- ►
Strong-smelling sweat, prepuce tender and swollen, with eruption on glans,
which was easily excited, with burning itching. ► Frequent erections
in forenoon, with slight desire. ► Emissions without dreams or
excitement. ► Pain in womb as if menses were coming on. ►
Leucorrhśa ; at 4 P.M., with weakness. ►
Condition like that induced by profuse flooding after delivery.
Clinical :- ►
Irregular menstruation, with palpitation, congestion of the eyes, with
occasional tonic spasms, rigidity of every muscle, but without loss of
consciousness, sighing respiration.
Respiratory Organs :- ►
Cough
from tickling in throat ; in evening ; C. till expectoration of
a plug of white mucus, with irritation of right bronchus ; constant
inclination to C. from filling lungs. ► Dyspnśa ; at 10 P.M.
► Sighing ; and yawning.
Chest :- ►
Twitches across
pectoral muscles. ► Sticking near apex of right lung at 5 P.M.,
in left breast all day, preventing a long breath. ► Pain in lungs,
agg. left ; P. in right side, in region of sixth and seventh ribs, at 7 P.M. ;
muscular, beneath clavicles, extending down inside of arms, at 3.45 P.M.
► Left lung cannot be filled, at the attempt causes pain in upper
part, amel. pressure.
Heart :- ►
Pain in region. ►
Palpitation, with the nervous motions. ► Action regular
after strong coffee ; tumultuous when lying on left side, amel. lying
on back ; heart and pulse feeble and tumultuously irregular.
Clinical :- ►
Spasmodic action of the heart, with feeling of pulsation through the
whole body, especially in the chest, the beats of the heart distinctly
perceptible in the chest and head.
Pulse :- ►
Rapid ; and full,
strong ; and small ; then slow, feeble and thready ; then
slow, small and wiry, then slow, thready and difficult to count, then
slow, thready, intermittent. ► Slow ; and feeble ; and
feeble, afterwards could not be counted ; and soft, compressible,
with occasional intermissions. ► Full. ► Right side nearly
double in strength to that of left. ► Could count it in carotid and
hear two sounds of heart as my head lay upon the pillow. ►
Variable ; and full, strong. ► Feeble.
Neck :- ►
Pain across nape at
base of brain as if it were cutting the body off from the head, extending
to back of throat, which was stiff and sore, in afternoon, with loss of
power and sensation in occiput as if head would fall forward, then pain
down nape, agg. the most prominent bone there and on each side of it, drawing
whenever the head was turned. ► Pain in nape reaching to first
dorsal vertebra ; rheumatic, in left side and left shoulder ;
rheumatic, in left side, with soreness. ► Inclination to “run
the head out” from uneasiness in nape. ► Stiffness of left
side ; of right side, inability to move head, with drawing and
tension ; sudden, in right side when taking the usual cold morning
bath, extending during the day to right shoulder and also to clavicle,
which felt sore and was swollen over sterno-mastoid, amel. leaning head
towards right side, extending towards evening through right lung, the pain
in neck and shoulder at times caused nausea, sharp pain in right ear,
afterwards soreness of neck.
Back :- ►
Cramplike stitches up
and down spine. ► Pain at 2 P.M. ; down
spine at 1 P.M., with stiffness and inclination to
bend forward ; with downward pressure and appearance of menses ;
with almost constant desire to urinate and copious reddish urine. ►
Weakness, inability to stand erect. ► Sticking under inferior angles
of scapulć during expiration. ► Pain in region of right scapula and
below it ; deep under right in afternoon when sitting ; heavy,
under left after dinner.
Lumbar Region :- ►
Pain ; in
left side of sacrum in afternoon and next morning ; between hips at
6.30 P.M., with numbness in region of womb ; in
kidney region, causing restlessness all night ; dragging, over left
hip in sleep the rest of the night at 3 A.M. ;
drawing, low down in back and in abdomen, with bearing down as if menses
would appear, a week later the menses came on at the right time without
the usual unpleasant premonitory symptoms ; heavy, over left hip,
extending to back, in afternoon and evening, with bearing down as before
menses. ► Bruised feeling in kidney region. ► Soreness ;
with heavy pains.
Extremities :- ►
Neuralgic
stitches in muscles of knees and arms. ► Darting pains in joints,
more in legs than in arms. ► Darting pains in joints, more in legs
than in arms, extending up into body, pains in knees, agg. flexion.
► Pain ; in joints of wrists, hands and knees. ► Bruised
feeling in joints. ► Weariness, with constant desire to move
them ; W., with heaviness ; W., or numbness. ► Pleasant
numbness, as before the sleep of Opium
or Morphia, at night when awake.
► Stiffness of joints at 9 P.M.
Upper Extremities :- ►
Shooting
in left shoulder at 7 A.M. ► Rheumatic pain in
left shoulder at 8 P.M. ; drawing, through
left. ► Arm, uneasy pain in right ; uneasy pain in right
deltoid, preventing sleep the forepart of the night, amel. violent
motion ; sharp pain in left, then in right, involving
shoulders ; pains extending downward, with weakness of them ;
burning throbbing in left arm and hand as if it had been out in the cold
at 11 A.M., with the sensation felt on coming to the
fire, also a nervous, tremulous, weak feeling in arm ; sudden
constriction around left, above elbow ; weakness ; tired feeling
and difficulty in lifting them ; numbness of left, also at 7 P.M.
and down ring finger.
Elbow :- ►
Darting pain in right,
extending down outside of arm to the two middle fingers. ► Acute
pain in left and darts of pain thence to fourth and fifth fingers (these
pain began in left side of neck and elbow, extended thence to left leg,
locating in left knee). ► Tingling pain (as from hitting the nerve)
in right, extending down ulnar surface of forearm and into third finger.►
Numbness of left forearm at 5 P.M.,
with sticking down arm. ► Pain in wrists, with weakness ; P.
deep in muscles of right forearm and wrist at 8 P.M.,
next day pain moving, gnawing deep in inner aspect of wrist, thence it ran
up ulnar side of forearm to elbow, with desire to move the arm, which did
not relieve ; sharp, in left wrist at 11 A.M.,
recurring frequently at 8 P.M. ; in bone of
right wrist, as if squeezed and gradually let go, in afternoon. ►
Stinging in right knuckle from 2 till 4 P.M. ►
Hands, trembling sensation ; pain in dorsum of right ;
weakness ; numbness of left ; numbness at 11.30 A.M.,
feeling pulse. ► Twingling in left fingers. ► Darts of pain
through right thumb, at root of nail, at 3 A.M.,
less severe through right finger-joints. ► Sharp pain in left index.
Lower Extremities :- ►
Staggering. ► Walking difficult. ► Could neither stand nor
walk. ► Pain at 9 A.M. ; twinging pain.
► Weakness at 6.30 P.M., coming from a spot in
back between hip.
Thigh :- ►
Twitchings in lower
third of vastus externus every time I sat down. ► Intermittent
shooting in or near left popliteal space. ► Thrusts in left, with
aching down it. ► Cramplike pain in left popliteal space, agg.
walking, amel. rest, returned on motion, amel. continued motion. ►
Aching in right gluteals ; in left thigh and both knees about noon,
after a few steps ; in left hip extending into groin, at 2 P.M.
► Stiffness in rectifemoris muscles in afternoon when walking ;
S. in hip and knee-joints ; in left hip at 2 P.M.,
next day at 9 A.M. ; left hip and right knee at
6 and 9 P.M. ; left hip at 7 P.M.
Knee :- ►
Pain in outside, in
patellć on descending stairs ; numb, in knees and ankles when
sitting, with desire to move frequently. ► Drawing in posterior
cords of leg and knee at 6.30 P.M., agg. walking,
especially up stairs. ► Weakness of right at 9 A.M.
► Unsteady feeling from knees downward when walking, agg.
shutting eyes, amel. exertion of the will, with weakness about
ankles. ► (Better in morning.).►
Cramp in left calf at night in bed.
► Gnawing in left tibia. ► Intermittent constriction around
left leg above ankle. ► Weight in legs. ► Twinges of pain in
ankle ; in right instep. ► Cramp in left foot in evening in a
warm bath. ► Numbness of left foot. ► Pain around right great
toe.
Skin :- ►
Eruption about the size
of flea-bites on back and arms. ► Itching of left palm. ►
Numbness (from local application), with pricking.
Sleep :- ►
Yawning. ►
Sleepiness ; all day, with yawning ; mornings when riding, such
sudden falling asleep after dinner that he was surprised on waking to find
that he had slept, the sleepiness amel. a few hours of hard exercise, he
slept at night as well as if he had not slept in afternoon ; at 8 A.M.
when driving, with pressure encircling head ; at 3 P.M.,
amel. sleep ; agg. from morning till 2 P.M. ;
and sleep for two hours, but the mind was so active that I was not
conscious of having been asleep. ► Sleep early in evening and
prolonged next morning. ► Difficulty in arousing myself in morning.
► Heavy sleep, with tired feeling before rising. ► Frequent
falling asleep and sudden waking next night eyes scarcely closed in sleep,
thoughts active, an idea started kept on with unusual persistence.►
Sleepless before midnight, then
disturbed sleep. ► Awake for some time in a dreamy state. ►
(Wakeful in evening, instead of drowsy as usual.). ► Restlessness at
night ; restless sleep towards morning. ► Sleep disturbed,
awake from 2 till 5 A.M., then deep sleep for an
hour, on waking discomfort as if I had slept too sound, with pain on right
side of head and neck and stiff neck, cannot bear my pillow high. ►
Dreams vivid, pleasant ; horrid all night ; that he was a
lion ; in afternoon, that my head was full and as if brain were
revolving upward from frontal sinus to occiput and that I was almost
blind, next day sleepiness at 9 A.M.
Fever :- ►
Chilliness ; at 8
P.M., with fever and frontal headache, next day at
10 A.M. hot and dry skin, agg. noon ; in
paroxysms ; in back, with yawning and bruised feeling in joints,
every draught of air caused shuddering, and the same bad feeling every
time I moved ; on right side of back at noon. ► Chills creeping
up back at 7 P.M. ; at 2 P.M.,
with nausea ; with feverishness. ► Chilliness in limbs, with
vague discomfort ; C. of hands, then heat and redness of them ;
of lower limbs in evening, with heat in face and down back, as when the
sun shines directly upon you on a cold day. ► Cold and clammy skin.►
Heat ; at 2 P.M. ;
dry, over whole body, with uneasiness and distress about heart. ►
Hot head at 2 P.M., with throbbing in temples ;
head and face at 2 P.M., with heavy headache and
pain in eyes ; forehead at 2 P.M. ; in a
spot in the centre of forehead ; cheeks ; face in afternoon,
with redness of it and feeling as if a lower temperature would cause
chill ; lower limbs ; palms by paroxysms.►
Sweat ; in morning on waking and
caused by any excitement during the day ; at 8 P.M. ;
at least exertion ; on forehead, from suffering ; cold, in
drops, after vomiting.
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