Pulsatilla.
Pulsatilla nigricans. Anemone pratensis. Pulsatilla pratensis. Pasque
Flower. (Sunny, sandy pastures in Central and Northern Europe and parts of South of
England.) N. O. Ranunculaceć. Tincture of entire fresh plant when in flower (it flowers in
spring and again in autumn).Clinical.─
Acne. Amaurosis. Amenorrhśa. Anćmia. Appetite, depraved. Bladder, catarrh of. Blepharospasm. Breasts,
pain behind. Bronchitis. Cataract. Catarrh.
Chaps. Chest, pains in. Chilblains. Clavus. Cold. Cough. Diarrhśa;
of phthisis. Distension. Dysmenia. Dyspepsia. Earache. Epilepsy. Epistaxis. Eyes,
lachrymal sac, inflammation of; granular ophthalmia. Fear. Feet, soles painful.
Fśtus, mal-position of. Freckles. Gonorrhśa. Gout. Hćmorrhoids.
Hands, pains in. Heart, palpitation of. Heartburn. Hydrocele; congenital.
Hysteria. Intermittent fever. Joints, synovitis of. Labour,
spurious pains of. Lactation, disorders of. Leucorrhśa. Measles. Menstruation, abnormal;
vicarious. Moles. Mumps. Neuralgia. Nymphomania. Ovaries, Pain in; inflammation of. Phlegmasis alba dolens. Pregnancy;
bladder trouble of; sickness of; heartburn of; diarrhśa of. Priapism. Prostate, inflammation of. Prostatorrhśa. Puerperal convulsions.
Puerperal fever. Puerperal mania. Retained placenta. Rheumatism;
gonorrhśal. Side, pain in. Smell, illusions of. Spine,
curvature of. Stye. Synovitis. Tape-worm. Taste: depraved; lost. Tongue, coated. Toothache. Urine, incontinence of.
Uterus; inflammation of; prolapse of. Veins, inflammation of;
varicose. Whitlow.
Characteristics.─
As some confusion has arisen as
to the Pulsatilla of homśopathic use, I will give
Jahr’s description of the plant: “Stems simple, erect, rounded, 3 to 5 inches high;
leaves radical bipennatifid, oblong; flowers solitary, terminal, having folioles of calyx
campanulate, bent at the point, the odour of the herb but slightly evident, taste acrid and
pungent. The fresh plant contains an acrid and, vesicating principle, and furnishes a
corrosive oil, as well as a kind of tannin, which colours iron green; in the dry state it is
entirely deprived of this acrid quality. Grows in sandy pasture grounds, on hills and
declivities exposed to the sun.” He further distinguishes this Black
Pulsatilla from the Common Pulsatilla (Pulsatilla vulgaris, Anemone Pulsatilla) which “grows only
on dry and sterile hills and flowers in spring only, whilst the black-coloured Pulsatilla flowers a second time in August and September.” P. vulg. is much less downy than P. nig.:
“Its flowers clear violet or pale red, straight and not hanging; seeds surmounted by a
long silky tail.” It is called Pasque Flower because it is in bloom at Easter, and its
flowers are used for colouring Easter eggs. The Anemone is a medicine of ancient date, and
its affinity for the eyes seems to have been noted from the first. Perhaps its tearful
propensities gave rise to the legend that it sprang from the tears of Venus. Dioscorides
mentions it as a remedy for headache and ophthalmia.
Stśrck was the forerunner of Hahnemann in the modern use of Pulsatilla,
which he employed especially in chronic affections of the eyes (catarrh, amaurosis, spots on
cornea). A young girl who had had amaurosis of both eyes since infancy he cured in two
months, administering an extract internally, and insufflating a dry powder. The latter
“caused at first an acute pain and profuse flow of tears; after
which the pains, which had existed previous go the lachrymation, diminished as soon as it
commenced, and finally disappeared with it” (Teste). Other cures by Stśrck
are: (1) Foul ulcers on foot with serpiginous tetters on
neck and shoulder. (2) Paralysis of right arm of five
years’ standing. (3) Paralysis of thighs. (4) White swelling of knees. (5)
Melancholia. Hahnemann quotes Stśrck’s experiences in the proving of Puls. in M. M. P. “Of
the numerous provings left us by Hahnemann,” says Teste, “that of Puls. seems to be the one to which he has contributed himself
more than any other; it is one of the most interesting and most characteristic provings of
his materia medica.” Teste himself has given a very luminous account of the remedy. He
puts it at the head of a group with Silic., Calc., Hep.
as its chief members (Graph., Phos. in less degree, with
Fer., Cham., and Gadus
as analogues). These drugs act principally, says Teste, on the vascular apparatus. All the
symptoms which they have in common depend upon a small number of primordial symptoms (e.g., impeded respiration, engorgement of air passages, irregular
beating of heart), indicating vascular disturbance. Hence arise─(1) Throbbings here and there synchronous with the pulse. (2) Blackness and diminished fluidity of the blood. (3) Swelling of veins, capillary engorgement, a sort of
ill-conditioned plethora. (4) Diminished vital heat and
action. (5) Congestion of blood to head and engorgement
of the sinuses. (6). Sensation of heaviness and fulness
of brain; and (7) the same kind of pain sometimes with
apoplectic shocks, in centre or (more usually) on right side of brain. (8) Vertigo and cloudiness as in complete apoplexy, especially when atmospheric pressure is low, as at the approach of storms,
and on heights. [Others follow from which I make a selection.─J. H. C.]
Soft stools, and a passive diarrhśa without colic, which seems to
ease the patient rather than weaken him, and continues for an indefinite period,
e.g., in phthisical patients. Sort of numbness, torpor of the genital organs, with absence
of erections and pleasurable sensation (especially among women) during an embrace; or else
permanent sexual excitement, “probably from compression of the cerebellum by the blood
which flows to it in excessive quantity and remains there, as is the case in certain forms
of asphyxia; this is the cause of the sexual excitement with which phthisicy persons are so
often troubled.” Delay of menses in spite of evident symptoms of a flow of blood
towards the uterus; the menstrual blood is black, coagulated, impoverished if menses either
too early or too late. One is obliged to lie with the head much higher than the rest of the
body. Pains which manifest themselves principally in the parts on which one is not lying,
but on changing position aggravated breaking out of those pains on the parts on which one
has just been lying.─This idea of vascular engorgement usefully strings
together many of the leading characteristics of Puls.,
which will serve to indicate its use in a great variety of disorders. The leaves of the
recent herb have an acrid, burning, and nauseous taste. Its juice draws blisters “to
the extent, it is said, of causing gangrene, if allowed to remain in contact with the part
for a sufficient length of time; but these properties are, in a great measure, lost by
dessication; and ruminating animals, such as sheep and goats, eat the dry Pulsatilla, if
mixed with other herbs, without aversion or inconvenience.” An active principle, Anemonin, has been isolated; it is inflammable and crystallises
in colourless, odourless neutral needles. Hahnemann says of Puls.:
“This powerful plant produces many symptoms on the healthy human body which often
correspond to the marked symptoms commonly met with; hence, also, they admit of frequent
homśopathic employment, and often do good. We can therefore unquestionably reckon it as a
remedy of many uses (polychrest). It is useful in acute as well as in chronic diseases, as
its action, even in small doses, lasts from ten to twelve days. . . The homśopathic
employment of this, as of all other medicines, is most suitable when not only the corporeal
affections of the medicine correspond in similarity to the corporeal symptoms of the
disease, but also when the mental and emotional alterations peculiar to the drug encounter
similar states in the disease to be cured, or at least in the temperament of the subject of
treatment.” Hahnemann now gives in masterly fashion the picture of the Puls. disposition and temperament: “A timid, lachrymose disposition, with a tendency to inward grief and
silent peevishness, or at all events a mild and yielding disposition, especially when the
patient in his normal health was good-tempered and mild (or even frivolous and
good-humouredly waggish). It is therefore especially adapted for slow, phlegmatic
temperaments; on the other hand, it is but little suitable for persons who form their
resolutions with rapidity and are quick in their movements, even though they may appear to
be good-tempered. It acts best where there is a disposition to chilliness and adipsia. It is
particularly suitable for females when their menses come on some days after the proper time;
and especially when the patient must lie long in bed at night before he can get to sleep,
and when the patient is worse in the evening. It is useful for the ill effects caused by
eating pork.” Hering gives these additional touches to the Puls.
type: Sandy hair, blue eyes, pale face, easily moved to laughter or tears; affectionate,
mild, timid, gentle, yielding disposition; women and children; women inclined to be fleshy;
the pregnant state. The behaviour of the “Wind Flower,” the sport of every gust,
has been said to typify the action of the remedy. Changeableness
is one of its most important keynotes: Erratic temperatures in fevers. Wandering pains shift
rapidly from one part to another, also with swelling and redness of the joints. Hćmorrhages
apparently stop and in a few hours return. Stools constantly changing colour; no two stools
alike. Alternate pallor and redness of face. When one set of symptoms comes on another
vanishes. A patient of mine, after a mental strain and fright, had severe occipital pain. I
gave Puls. 30. Each dose caused the pain to fly from the
occiput to the left leg; the mental balance was soon restored. Metastasis of mumps to testes
or mammć. Nash says Puls. will often clear up those
cases which have no “head or tail” to them; in which the symptoms are always
changing and contradicting, pains run here and there. The Puls.
patient is chilly, but at the same time there is extreme aversion to heat. The chief of all
the keynotes of Puls. is <
by warmth; in warm, close room; by warm coverings; warm applications; and > in open air; cold air or cool room; eating or drinking cold
things; cold applications. Another keynote of Puls. is
thirstlessness, and Teste gives a useful clue to that in suggesting that it depends on the
congestive action of the remedy. The loss of thirst and even aversion to liquid food is
“as if one had an instinctive dread of increasing the excessive fulness of the
vessels.” The wandering pains of Puls. are
generally distensive, again suggesting congested
vessels; and the headaches are congestive < on
stooping forward; > by tightly bandaging; as if the
brain would burst and the eyes would fall out of the head. The three characters,
“chilly; < by warmth; thirstless,” serve to
define the fever of Puls. in whatever form it may be met─measles,
mumps, typhoid, bilious, catarrhal, intermittent, rheumatic, &c. The chilliness may be
one-sided, and associated with numbness; it may be flitting,
in spots now here, now there. With the heat there are distended veins and burring hands that
seek cool places, and still there is no thirst. In the rheumatic the pains shift from joint
to joint. The sweat is profuse, may be one-sided, sour, sweetish sour, or musty in odour.
The last completes the similarity of Puls. to the “mousey” odour of measles; the cough, catarrhal symptoms, and
rash giving other strong points of correspondence. The ear trouble which is a common sequela
and complication of measles or other fever is frequently met by Puls.,
which also meets the consequences of suppressed exanthemata and metastases, as of mumps to
testes or mamma. As a prophylactic against measles Puls.
has a reputation almost equal to that of Bell. against
scarlatina: I generally give Puls. 3 three times a day.
The generative organs of both sexes are strongly acted on by Puls.,
which may almost be regarded as an organ-remedy in relation to them. Gonorrhśa, with thick,
purulent secretion; and the effects of suppressed gonorrhśa, orchitis, and cystitis;
prostatitis; sarcocele, varicocele, hydrocele─all come within the sphere
of Puls. In the female Puls.
ranges over the whole sexual period, from puberty to the climacteric, including disorders of
menstruation, pregnancy, the puerperium and lactation─all of which
present many points of correspondence with the symptoms of Puls.
Epilepsy with absence or irregularity of menses has been cured with Puls.
Bojanus (B. J. H., xxxix. 218) relates two cases: (1) Girl, 18, of good constitution, with no hereditary
predisposition, had amenorrhśa for six months, and a fit occurred at the time each period
was due. Aura: sad, pale as death; chewing movements. Puls.
6 one dose a day. Next month menses returned and there were no more fits. (2) Robust girl, 14, with no hereditary predisposition. Fits
twelve months. Exciting cause: non-appearance of menses. One great fit per month, small fits
daily. Aura: self-willed, angry, stands on one spot, stares into vacancy, stamps her foot.
In fit: cries, deathly paleness, biting tongue, flow of urine, continuing the occupation she
was engaged with at commencement of fit. Puls. 30 one
dose a day. Some weeks after a slight fit. Month later menses came on for first time, no
great fits, small ones rare. Puls. 30 one dose a week.
Month later a great fit. Puls. once a day. No more great
fits, only a few small ones. Cure permanent. A patient to whom I was giving Puls. 3 for some heart affection complained that she could not
take it because it caused her to wake up in the night with a dry cough, and she was
compelled to sit up in bed to get relief. That is a characteristic cough of Puls., and I have frequently cured it in other patients. Puls. has a cough with copious expectoration, and this is the
more usual; but they may be alternating conditions. The congesting action of Puls. is well shown in the respiratory symptoms. Remarking on
this symptom, “Pressure upon the chest and soreness,” Hahnemann says that in the
catarrhal condition they refer to, “the glands of the air passages appear to be swollen
and inflamed, and unable to secrete the mucus necessary to moisten them; hence the sensation of dryness, rawness, painfulness, and the illusory
sensation as if the air passages were internally constricted by an excessive amount of
tenacious and firm mucus which could not be loosened.” Commenting on another
symptom of Puls. (“dyspnśa or vertigo, with
weakness of the head on lying outstretched upon the back, wholly disappearing on sitting
upright”), Hahnemann elucidates some of its Conditions: “The symptoms of Puls. caused by lying down, sitting up, rising from sitting, by
walking and by standing, consist of varying alternate conditions, all of which belong to the
primary action of the drug, but which vary in their character. Usually the symptoms of Puls. which occur while lying still upon the back are > by sitting upright, seldom the reverse; frequently the
symptoms that appear while sitting still are > or
removed by gradual motion and by walking, seldom the reverse. Yet the act of rising, before one begins to walk, = symptoms more numerous and more severe the longer the sitting
has continued; so also longer continued and more violent motion =
aggravation no less long than sitting still, which, however, are only really felt and
noticed after one has sat down and become quiet.” Other leading indications of Puls. are: First serious impairment of health is referred to age
of puberty, “never been well since”─anćmia, bronchitis,
phthisis. Secretions (of eye, ear, nose, vagina, &c.) are generally thick, bland, and
yellowish green. The pains appear suddenly and leave gradually; or tension much increases
till very acute, then “lets up with a snap.” Great dryness of mouth without
thirst. All-gone sensation in stomach, especially in tea-drinkers. <
At twilight; in evening (the wide-awakeness on first going to bed comes within this
modality). Suffering parts emaciate. Peculiar Sensations
are: As if beside himself. As if in a hot atmosphere. As if death were near. As if looking
through a sieve. Limbs as if bruised; as if asleep. As if one had turned in a circle a long
time; as if he would fall; as if he were dancing. As if brain would burst and eyes fall out
of head. As if skull of forehead too thin. As if skull were lifted up. As if one had eaten
too much. As if a nail driven into occiput. As if head between screws. As if gimlet piercing
skull. As if eyes tightly bound by cloth. As if foreign body pressing in eye; sand in eye;
thick body forcibly driven into ear; something crawling out of ear; worm creeping into
throat. As if nose would be forced asunder. As if face being drawn tighter and tighter, then
suddenly let loose as if a string cut. As if a nerve in tooth put on stretch and then let
loose. As if he had to swallow over a lump. As of stone in stomach. As if bladder too full;
as if it would fall to side on which he is lying; as of a stone in bladder or in abdomen or
chest. As if joints would be easily dislocated. Small of back as if sprained. As if a hand
passed through back and everything were constricted. Chill as if drenched with cold water.
As if head would burst on coughing. Tongue as if burnt. Pain as from subcutaneous
ulceration. As of a hot coal above ulcer. The symptoms are <
by touch; > by hard rubbing and pressure (but
stomach, bladder, uterus, very sensitive to pressure). >
Uncovering. Aversion to and < from meat, butter, fat
food, pork, bread, milk, buckwheat, ice cream, smoking. Desire for: sour, refreshing things;
herring; lemonade. > From cold, < from warm foods. Rest <
(> pain in testes; labour-like pains; weakness in
joints). Cannot rest though motion <. The longer he
lies in the morning the longer he wishes to lie. >
Lying with head high. < Lying on l. side; on sound
side. Pains which come on when lying on back are > by
turning to either side (also vice versâ); must sit up
and turn. When rising up the red face turns deathly pale. Great inclination to stretch feet.
Gentle motion >, slow walking >. Violent motion <.
Mis-step < stitching pains in stomach. Intellectual
labour, or watching will = headache; meditation will
sometimes >. Most symptoms <
evening and night. < Twilight: “As evening comes
on begins to fear ghosts”; all symptoms <
alternate evenings. < Before thunderstorm. Sun <. < Hot food; is
vomited immediately; < toothache. < Changes of weather. <
Getting wet. Wind <. Draught of air > toothache.
Relations.─
Antidoted by:
Cham. (Cham. and Puls. antidote each other and follow each other well. If either one has
over-acted the other will probably neutralise the ill effect and carry on the good), Coff.,
Ign., Nux (Teste adds Sul., and says when the improper use of Puls. has affected the air
passages Calc. ph. has proved his best antidote). Antidote to:
Chi., Chi. sul., Fer. (in chlorotic girls who have been damaged by Iron, Puls. has excellent
effect), Mag. c., Sul., Sul. ac., vapours of Mercury and Copper, Bell., Cham., Coff.,
Colch., Lyc., Plat., Gels., Strm., Saba., Ant. t., Whisky, Toad-stool poisoning. Compatible: Ars., Bry., Bell., Ign., K. bi., Lyc., Nux, Pho.,
Rhus, Sep., Sul. Complementary: Lyc., Sul. ac., Arg. n.
(if Arg. n. flags, give Puls.; Arg. n. follows Puls. in ophthalmia); Stn. (Stn. has menses
too early and too profuse). Compare: Tearfulness, Sep.
(Puls. cries when telling her symptoms, Sep. weeps when questioned about her symptoms; Sep.
irritability and anger, indifference to household affairs), Nat. m. (Nat. m. is < by consolation), Ign. (Ign. hides her grief). Varicose
veins, varicocele, orchitis, phlegmasia alba dolens, Ham. (Ham. has soreness of affected
part). Ophthalmia, Arg. n. Cold, Cycl. (Cycl. has spasmodic sneezing), Cep. (both have < in room, > open air,
but Cep. discharge is thin and excoriating, Puls. thick and bland), Pen. sed. (Pen. sed. has
rawness in nose and throat; and “constant wet feeling without coryza,” later thick
and purulent like Puls.). Stinging pains in throat <
swallowing saliva and after eating, Apis. Feeling as if food lying in śsophagus, Chi.,
Abies n. Effect of fat food, Ip., Thuj., Carb. v. Effect of ice-cream, Ars., Carb. v., Ip.,
Bels. Mixed diet, Nux, Ip., Chi. Desire for lemonade, Cyc., Sabi., Bell. Gastric ailments
from pork, Ant. c. (tongue as if whitewashed, vomiting predominates; Puls. stool greenish
and slimy), Ip. (tongue clean, nausea predominates). Spasmodic, irregular pains = faintness, Nux. Retained placenta, Canth. After-pains, Cham.,
Xan., Cup. (in women who have borne many children). Non-appearance of milk, Urt. u., Ric.
com., Agn. c. Uterine affections, Caul., Helon., Senec., Alet. f., Cycl., Hydras., Lil.
Measles, Morbillin, K. bi. Backache < sitting, Zn.,
Cobalt., Sep., Can. i. Earache, Borax. Knee-joint affections, Anac. (Anac. chronic). < From wine, Zn. (Puls. from sulphurated wines,) Rho., Glo.,
Nux, Sel., Lach., Fl. ac., Ant. c., Bov., Sil. Thick, yellowish, green nasal discharge,
Merc. (Puls. bland; Merc. has moist mouth and intense thirst, and Puls. and Nux m. dry mouth
without thirst). Sudden vanishing of sight with scanty menses, Sep., Cycl. Diarrhśa from
fright, Gels. (Puls. stools greenish, yellow, or slimy, or very changeable). Hypertrophy of
heart; > from slow motion, Rhus. Menstrual colic,
Coccul. (Coccul. as if sharp stones rubbed together with every movement). Vicarious
menstruation, Bry., Pho. Ozćna with thick greenish discharge, gleet, gonorrhśal
rheumatism, effects of tea, Thuj. (the gleet of Puls. is thicker than that of Thuj.). Scanty
menses, Graph. > Open air, Sul. (Lyc. desires open
air, but is < in cold, damp air). Climacteric state,
Lach. > Uncovering, Lyc., Camph., Aco., Sec. < From heat, Apis, Iod. Nausea in upper chest and in
hypogastrium, Puls. (nausea in hypogastrium, generally with uterine bearing down, Rhus).
Nausea when fasting, Calc., Lyc., Silic.; when beginning to eat, Nux, Sul. Nausea in chest,
Ant. t. Acid stomach, Chi., Calc., Sul., Sil., Robin. Menstrual pain begins with the flow
(opp. Lach., pain subsides as flow begins). Acquisitiveness, Ars., Lyc. Dread of disease,
Calc., Lach., Nux. < Lying on left side; > cold food and drink, Pho. Ribbon-like stools (Pho. like
dog’s). Fears darkness, Am. m., Ars., Bar. c., Berb., Calc., Carb. a., Carb. v., Caus.,
Lyc., Pho., Rhus, Stro., Val., Stram. Fear of ghosts, Aco., Ars., Bro., Lyc., Ran. b., Sep.,
Sul., Zn. Piles during menses, Am. c., Ars., Carb. v., Coccul., Collins., Graph., Ign.,
Lach., Mur. ac., Pho., Sul. Faintness connected with stools, Ap., Nux m., Spi., Ver. (with
scanty stools, Crot. t., Dulc., Ox. ac., Pet. Sars., Sul.) Stoppage of menses from wet feet,
Rhus., Lob. i. Chilblains, Agar. Vertigo on looking up (Calc. on turning head; Sul. on
looking down). < In bed at night, Sul., Merc., Cham.
Taste bitter with biliousness of a morning, the taste felt chiefly in upper chest, Sul. One
hand cold the other hot, Chi., Dig., Ip., Mosch. Metastasis of mumps to testes, Bell., K.
ca., Rhus (to brain, Bell., Hyo.). Effect of taking cold, fever, Aco. (Aco. has great thirst
and anguish). Inter-menstrual hćmorrhage, Bov., Ham. <
Hair-cutting, Bell. > Lying on painful side, Bry.
Erratic temperatures (Zn. nervous high temperatures). Puls. is a close analogue of Cycl. in
many respects, but Cycl. has profuse menses, the flow being <
sitting and > walking (Puls. <
during day; Kre. < lying down); and Cycl. has < in open air. Puls. and Nux are in most respects antipodal,
though they follow each other well; Puls. has > lying
on back, < turning to either side; Nux has < lying on back, >
turning to either side. Silica is the chronic of Puls.;
and Sul. also in many respects.
Causation.─
Chill. Wetting feet. Eating: Pork;
Fats; Pastry; Ice-cream; Mixed diet. Thunderstorm. Tea.
SYMPTOMS.
1. Mind.─
[This remedy is particularly applicable
for complaints which are found to occur in patients of a mild, yielding, or good-natured
disposition; also in those who by, their sickness, or naturally, are very easily excited to
tears─they are very apt to burst into tears whenever spoken to, or when
they attempt to speak, as in giving their symptoms, &c.─Affections
of the mind in general; covetous; mistrustful; absent-minded; low-spirited (H. N. G.)]
Melancholy with sadness, tears, great uneasiness respecting one’s affairs or about the
health; fear of death (tremulous anguish, as if death were near), care and grief.─Involuntary
laughter and weeping.─Great anguish and inquietude, mostly in precordial
region, sometimes with inclination to commit suicide, palpitation of heart, heat, and
necessity to loosen the dress, trembling of hands, and inclination to vomit.─Fits
of anxiety, with fear of death, or of an apoplectic attack, with buzzing in ears,
shiverings, and convulsive movements of fingers.─Apprehension,
anthropophobia, fear of ghosts at night or in evening, with an impulse to hide or to run
away, mistrust and suspicion.─Covetousness.─Taciturn
madness; with sullen, cold, and wandering air, sighs, often seated with the hands joined,
but without uttering any complaint.─Despair of eternal happiness, with
continual praying.─Discouragement, indecision, dread of occupation, and
obstructed respiration.─Disposition envious, discontented, and covetous,
exhibiting itself in a wish to appropriate everything.─Caprice, with
desire at one time for one thing, at another time for something else, either being rejected
as soon as obtained.─Hysterical laughter after meals.─Hypochondriacal
humour and moroseness, < evening, often with
repugnance to conversation, great sensitiveness, choleric disposition, cries, and weeping.─Ill-humour,
sometimes with a dread of labour, and disgust or contempt for everything.─Inadvertence,
precipitation, and absence of mind.─Difficulty in expressing thoughts
correctly when speaking, and tendency to omit letters when writing.─Giddiness;
patient neither knows where he is nor what he does.─Great flow of very
changeful ideas.─Nocturnal raving; violent delirium and loss of
consciousness.─Frightful visions.─Weakness of
memory.─Fixed ideas.─Stupidity.
2. Head.─
Fatigue of head from intellectual
labour.─Sensation of emptiness and confusion in head, as after long
watching or after a debauch, and sometimes with great indifference.─Stupefaction
in evening, in warm room, with chilliness.─Stupefying headache, with
humming in head, < when lying or sitting quiet, or in
the cold.─Vertigo as during intoxication, or vertigo to such an extent
as to fall, and staggering, < evening, or morning
when rising up, when getting up after lying down, when sitting, when stooping, when walking
in open air, or after a meal, as well as on raising eyes, and often with great heaviness and
heat in head, paleness of face, inclination to vomit, sleep, cloudiness of eyes, and buzzing
in ears.─Meditation and conversation <
the vertigo.─Fits of dizziness and loss of consciousness, with bluish
redness and bloatedness of face, loss of motive power, violent palpitation of heart, pulse
almost extinct, and respiration rattling.─Pain as from a bruise in brain
(as if brain were lacerated, on or soon after waking), as in typhus fever or after
intoxication with brandy.─Headache as from indigestion, caused by eating
fat food (or from the abuse of Mercury).─Pain in head as if forehead
would split, or as if brain were tight, compressed, or contracted.─Headache
on moving eyes deep in orbits as if forehead would fall out; and frontal bones were too
thin, with dulness of head, evening.─Semilateral headache as if brain
would burst and eyes fall out of head.─Soreness as from subcutaneous
ulceration in one or both temples, < in evening, when
at rest, and in warm room; > by walking in open air.─Twitching-tearing
in temple on which one lies, and going to the other side when turning on it; < in evening and on raising eyes upwards.─Congestion
of blood to head, with stinging pulsation in brain, esp. when stooping.─Shootings,
or sharp drawing and jerking pains, or tingling pulsation, and boring in head.─Headache
across eyes like a drawing-up and letting go again.─Roaring, buzzing,
and crackling in head; or painful sensation, as if a current of air were crossing brain.─The
headache is often only semilateral, extending as far as ear and teeth, where it affects
forehead (generally in one temple) above eyes, penetrating into sockets, or it is
experienced in occiput, with painful contraction in nape of neck (with vertigo, ringing in
ears, and vanishing of sight).─Appearance or <
of headache in evening, after lying down, or at night, or in bed in morning, as well as on
stooping, on moving eyes or head, when walking in open air, and during intellectual labour;
compression sometimes >.─Headache
> by meditation.─Headache with
nausea and vomiting, or with congestion and heat in head, or else with shuddering and
syncope, vertigo, cloudiness of eyes, loss of sight, and buzzing in ears, photophobia, and
weeping.─Pain in scalp on turning up hair (or on brushing hair
backwards).─Tickling and itching in head.─Purulent
pustules and small tumours, with pain in scalp as from ulceration (suppurating and affecting
the skull, more painful when lying on the opposite well side).─Tingling,
biting-itching on scalp, mostly on temples and behind ears, followed by swelling and
eruptions; sore pain; < in evening when undressing
and on getting warm in bed.─Fetid, frequently cold perspiration, at
times only on one side of head and face, with great anxiety and stupor; < at night and towards morning, >
after waking and rising.─Disposition to take cold in head, < when it gets wet; sweat of scalp and face.
3. Eyes.─
Affections in general appearing on the
cornea; margins of the eyelids; dim-sightedness, with a sensation as though there were
something over the eye which the patient wishes to rub away; amaurosis; cataract.─Pain
in eyes as if scratched with a knife.─Burning sensation, pressive pain
as if caused by sand; or sharp or shooting pain in eyes, or else boring and incisive pain.─Burning
itching in eyes, chiefly in evening (inducing rubbing and scratching).─Inflammation
in eyes and margins of lids (and meibomian glands), with redness of the sclerotica and
conjunctiva, and copious secretion of (thick) mucus (and nightly agglutination).─Swelling
and redness of eyelids.─Trichiasis in eyelid.─Styes,
esp. on upper lid.─Crystalline lens clouded and of a greyish colour.─Stye
with inflammation of sclerotica, and tensive drawing pains on moving the muscles of the
face.─Dryness of eyes and lids, esp. during sleep.─Profuse
lachrymation, principally in the wind, as well as in open air, in the cold, and in clear,
bright daylight.─Acrid and corrosive tears.─Abscess
near angle of eye, like a lachrymal fistula (discharging pus on pressing it).─Nocturnal
agglutination of lids.─Pupils contracted or dilated.─Amaurosis;
paralysis of optic nerve.─Look fixed and stupid.─Dimness
of sight, esp. or, getting warm from exercise.─Cloudiness of eyes and
loss of sight, sometimes with paleness of face and inclination to vomit; (all objects
present a sickly hue).─Loss of sight in twilight, with sensation as if
eyes were covered with a band.─Sight confused, as if directed through a
mist, or as if caused by something removable by rubbing, principally in open air, in
evening, in morning, or on waking.─Incipient cataract.─Diplopia.─Luminous
circles before eyes, and diffusion of light of candles.─Great
sensibility of eyes to light, which causes lancinating pains (and in sunshine).
4. Ears.─
Pain in ears, as if something were about
to protrude from them.─Shootings with itching, or sharp, jerking pain,
and contraction in and round ears; the pains sometimes come on by fits, affect whole head,
appear insupportable, and almost cause loss of reason (may be accompanied by high fever,
&c.).─Earache with shooting down to teeth of lower jaw, < when warm in bed.─Earache in both ears
with violent headache, frontal and occipital, < at
night.─Inflammatory swelling, heat, and erysipelatous redness of ear and
auditory duct, as well as of surrounding external parts.─Painful
swelling of bones behind ears.─The cerumen is hard and black.─Bland,
nearly inoffensive discharge of mucus and pus from ear.─Discharge of
pus, of blood, or of a thick yellowish humour from l. ear.─Discharge
from one or both ears, which may come on after measles or any other disease, or may occur
spontaneously.─Otorrhśa with throbbing tinnitus.─Warbling,
pulsative murmurs, tinkling, roaring, and humming in ears.─Hardness of
hearing, as from an obstruction (esp. from cold, from having hair cut, or after suppressed
measles).─(Deafness after washing head.─R. T. C.).─Burning,
gnawing scabs at the tragus (with swelling of glands of neck).─Shootings
in parotids.
5. Nose.─
Pressure and pain as from an abscess in
root of nose (near inner canthus, as if a lachrymal fistula would form).─The
nose feels sore internally and externally.─Ulceration of nostrils and of
the alć nasi (emitting a watery humour).─Discharge of fetid and
greenish or yellowish pus from nose (like old catarrh).─Old catarrh,
frequently a profuse discharge every morning, in mild and pleasant persons.─Nasal
catarrh accompanied by special discomfort in the house, cannot breathe well in a warm room,
and great > by going out into the open air.─Blowing,
of blood from nose and nasal hćmorrhage (blood coagulated; with dry coryza; with suppressed
menses), sometimes with obstruction of nose.─Obstruction of nose and dry
coryza, principally in evening and in the heat of a room.─Coryza with
loss of taste and smell, or with discharge of thick (yellowish green) and fetid mucus.─Tickling
in nose and frequent sneezing, principally in morning and evening.─Constant
shivering during coryza.─Imaginary smells.─Constant
smell before nose, as from a coryza of long standing, or as of a mixture of coffee and
tobacco.─Swelling of nose.─Nasal bones pain as if
they would be forced asunder.
6. Face.─
Face pale (or yellowish, with sunken
eyes) and sometimes with an expression of suffering.─Painful
sensitiveness of skin in face.─Boring in l. malar bone.─(Neuralgia
of r. face, < and then >
by warmth, tightness across forehead as from a tight-string, keeps her awake at night.─R.
T. C.).─Pallor of face, alternating with heat and redness of cheeks.─Heat
and redness of r. cheek only.─Sweat on face and scalp; shuddering or
one- (r.-) sided sweat of face.─Face (and nose) puffed and of a bluish
red colour.─Convulsive movements and muscular palpitations in face.─Tension
and sensation of swelling in face, or painful sensibility of skin, as if it were excoriated.─Erysipelas
in face, with shooting pain and desquamation of skin.─Red nodosities in
region of cheek-bones.─Lower lip swelled and cracked in middle.─Swelling,
tension, and cracks in lips, with desquamation of skin.─Gnawing and
smarting around mouth.─Sharp and contractive pain in jaws.─Swelling
of submaxillary and cervical glands.
7. Teeth.─
Sharp, shooting pains in teeth, or
drawing, jerking pains, as if the nerve were tightened, then suddenly relaxed; or pulsative,
digging, and gnawing pains, often with pricking in gums.─Jerking and
stinging in teeth, extending to ears and eyes.─Toothache which affects
the sound as well as the carious teeth, often only semilateral, and frequently extending to
face, side of head, ear, and eye, on the side affected, being sometimes accompanied by
paleness in face, shivering, and dyspnśa.─Toothache < or appears principally in evening or afternoon or at night,
as well as in heat of bed or of a room; renewed by eating, as also by partaking of anything
hot, and by irritation with the toothpick: > by cold
water or fresh air.─Toothache from cold (in the first warm spring days),
with otalgia, paleness of the face, and chilliness.─The toothache is
also sometimes < by cold water as well as by fresh
air or by wind; but these cases are rare.─Sensation of burning or
swelling, pain as from excoriation, and pulsation in gums (<
by the heat of the stove).─Looseness of teeth.
8. Mouth.─
Dryness of mouth in morning (without
thirst).─Offensive smell, and even putrid fetor from mouth, principally
in morning or at night, and in bed in evening.─Flow of sweetish and
watery saliva from mouth, sometimes with inclination to vomit.─Sensation
as if tongue were too large.─Tongue feels dry, and clammy.─Painful
blister on r. side of tip of tongue.─Sensation in middle of tongue, even
when it is moistened, as if it had been burned and were insensible; at night and in morning.─Edges
of tongue feel sore as if scalded.─Tongue greatly swollen, dorsum bright
red and covered with network of dilated and congested veins; varicose swelling on l. side of
tongue.─Tongue loaded with a thick coating of a greyish, whitish, or
yellowish colour (and covered with tough mucus).─Accumulation of
tenacious mucus in mouth and on tongue; these parts are, as it were, coated with a white
skin.─Cracks and painful vesicles on tongue.─Sensation
as if the palate were swollen, or covered with tenacious mucus.─Constant
spitting of frothy, cotton-like mucus.
9. Throat.─
Pain as from excoriation in throat, as
if it were all raw, with scraping, burning sensation and smarting.─Redness
of throat, tonsils, and uvula, with sensation as if those parts were swollen, < swallowing.─Difficult deglutition, as
from paralysis, or from contraction of throat.─Shootings in throat, with
pressure and tension during empty deglutition.─Inflammation of throat,
with varicose swelling of veins.─Dryness in throat (in morning) or
accumulation of tenacious mucus, which covers the part affected (esp. night and morning).─The
sore throat is generally < in evening or afternoon.─Sensation
of a worm creeping up into throat.
10. Appetite.─
Insipid mucus, putrid taste in
mouth, empyreumatic, earthy, or pus-like taste.─Taste: fatty; lost; in
colds where there is an entire loss of taste.─Sweetish, acid, or bitter
taste in mouth, and of food, principally meat, bread, butter, beer, and milk, substances
which also often appear insipid or cause disgust.─Bitter or sour taste
in mouth immediately after eating, as well as in morning and evening.─Wine
has a bitter (beer a sweet or bitter) and meat a putrid taste.─Food
appears either too salt or insipid.─Want of appetite and dislike to
food.─Hunger and desire to eat, without knowing what.─Ravenous
hunger, with gnawing pain in stomach.─Complete adipsia, or excessive
thirst, with moisture on tongue, and desire for beer, or spirituous, tart, and acid drinks.─Thirstlessness
with all complaints.─Sensation of derangement in stomach, similar to
that caused by fat pork or rich pastry.─Repugnance to tobacco smoke.─After
eating, nausea and eructations, regurgitation and vomiting, inflation, and aching in pit of
stomach, colic and flatulence, headache, obstructed respiration, ill-humour and melancholy
or involuntary laughter and weeping, and many other sufferings.─Bread,
esp., lies heavy on stomach.
11. Stomach.─
Frequent eructations, sometimes
abortive, or with taste of food, or acid, or bitter, and principally after a meal; like bile
in evening.─Regurgitation of food.─Waterbrash.─Frequent
hiccough, principally on smoking tobacco, after drinking, or at night, and sometimes with
fit of suffocation.─(Constant hiccough with jaundiced look and burning
pains about shoulders.─R. T. C.).─Insupportable
nausea and inclination to vomit, sometimes extending to throat and into mouth, with
distressing sensation as of a worm crawling up śsophagus.─Morning
sickness (during pregnancy).─Attacks of constriction and choking in
śsophagus.─Scraping sensation in stomach and śsophagus, like a
heartburn.─Vomitings, sometimes violent, of greenish mucus, or bilious
and bitter, or acid matter (esp. in evening and at night).─Vomiting of
food.─Hćmatemesis.─The nausea and vomiting take
place principally in evening or at night, or after eating or drinking, as well as during a
meal, and they often manifest themselves with shivering, paleness of face, colic, pains in
ears or back, burning sensation in throat, and borborygmi.─(Persistent
indigestion in fits, with great weight on chest and sickish feeling, from mental and
physical upset.─R. T. C.).─Cold in stomach from
ice-cream and fruit.─Colic, with nausea, ceasing after vomiting.─Painful
sensibility of region of stomach to least pressure.─Disordered stomach
(digestion) from eating fat food (pork).─Pressive, spasmodic,
contractive, and compressive pains in stomach and prćcordial region, principally after a
meal or in evening or in morning, and often with vomiting or nausea and obstructed
respiration.─Tingling or pulsations in pit of stomach, or shooting pain
on making a false step, or on uneven pavement.─Pain in epigastrium,
which is greatly < when sitting (during pregnancy).
12. Abdomen.─
Inflammation of abdomen, with great
sensitiveness of integuments to pressure.─Drawing tension in
hypochondria, or pulsative shootings, as in an abscess.─Hard distension
of abdomen, principally in epigastrium, with tension, and sensation as if all were full,
hard, and impassable, as if no stool or flatus could be expelled, though a stool does pass
slowly but not hard, and yet the flatus is passed with difficulty and in small amounts.─Chilliness
extending from abdomen to lower part of back.─Pressure in abdomen and
small of back as from a stone; limbs go to sleep while sitting; ineffectual desire to stool.─Spasmodic
and compressive pains, sometimes at bottom of hypogastrium, with pressure on rectum or
cuttings, principally round navel (low down in abdomen, penetrating into pelvis), or sharp
and shooting pains in abdomen.─Colic and labour-like pains in pregnant
women.─Colic with chilliness, while the menstruation is suppressed.─Sensitiveness
and inflammation of abdominal walls.─The colics are often accompanied by
vomiting or diarrhśa; they manifest themselves mostly in evening or after eating or
drinking; and are sometimes > by squeezing the
abdomen or by repose, while movement < them.─Annular
swelling round navel, painful when walking.─Retraction and soreness of
abdomen, with great sensibility of integuments of abdomen, which appear swollen, with pain
as from a bruise on touching them, or on yawning, singing, coughing, and at every movement
of the abdominal muscles.─Stitches and cutting in abdomen in evening; < on sitting still.─Flatulent colic,
principally in evening, after a meal, or after midnight, or in morning, with pressive pains,
produced by incarcerated flatus, tumult, borborygmi, and grumbling in abdomen and escape of
fetid flatus.─Painless rumbling of flatulence in upper abdomen.─Constriction
as from a stone extending to bladder.─Purulent pustules in groins.
13. Stool and Anus.─
Constipation and difficult
evacuations, sometimes with painful pressure on rectum and pains in back.─Constipation,
esp. if fćces are hard and large, after intermittent fever suppressed by Chininum sulph.─Frequent want to evacuate,
even at night.─Involuntary and unperceived evacuations during sleep.─Stools
frequent soft, diarrhśic, consisting of yellow mucus or mixed with blood, preceded by
cutting in abdomen, or with pains in small of back.─Nightly diarrhśa,
discharges watery or green like bile, after previous rumbling in abdomen.─Stools
consisting only of mucus, or acrid, or bloody, or very offensive, or white.─(Diarrhśa,
white, cream-coloured stools, involuntary.─R. T. C).─(White,
clayey liverish stools resume their normal colour.─R. T. C.).─Dysentery,
with pain in back.─Loose evacuations, even at night, and sometimes with
colic and cuttings, shiverings and shudderings, and pains in anus.─Diarrhśa,
particularly when it is very changeable and no two stools are alike; flatus very fetid,
sometimes obstructed, causing much pain.─Diarrhśa during menses,
particularly if it comes on at night.─Frequent evacuations of whitish,
yellowish, sanguineous mucus, or of greenish, minced, bilious, or watery, and sometimes
corrosive matter (may contain tape worm).─Before and after evacuations,
burning, smarting, and pains as from excoriation in anus and rectum.─During
stool congestions of blood to anus.─Discharge of blood from anus even
when not at stool.─Blind and bleeding hćmorrhoids, with itching,
smarting, and pain as from excoriation.─Protrusion of hćmorrhoids.─Hćmorrhoidal
tumours with great soreness.
14. Urinary Organs.─
Urine very scanty; bloody;
with mucus; reddish; complaints before making water and during; when going to urinate there
is a sensation as if it would gush away, and patients can scarcely wait.─Retention
of urine, with redness and heat in region of bladder, anxiety, and troublesome pains in
abdomen.─Tenesmus of bladder and frequent want to urinate, with painful
pressure on bladder and drawing pain in abdomen.─Involuntary
micturition; at night in bed, esp. in little girls.─Involuntary emission
of some drops of urine when coughing, walking, sitting down, expelling flatus (or during
sleep).─Wetting the bed (at night, esp. in mild-tempered, tearful
people, and in children).─Enuresis of old people with distended colon
(R. T. C.).─Profuse emission of watery urine, with weakness in loins and
diarrhśa, or scanty red or brown urine, sometimes with a violet-coloured froth.─Urine,
with sediment, red, or of the colour of brick-dust, or violet, or mucous, or gelatinous.─Sanguineous
urine with purulent deposit and pains in loins.─Hćmaturia with burning
at orifice of urethra, and with constriction in region of navel.─Hćmaturia
in cows and in human beings (R. T. C.).─Discharge (thick) from urethra
as in gonorrhśa.─Contraction of urethra with a very small stream of
water.─During micturition burning in urethra.─Burning
during and after emission of urine.─Pulling and pressure in urethra,
neck of bladder, and also in the bladder.─Pressure and constriction in
bladder, with soreness (sensitiveness) in that region.─Swelling near
neck of bladder, with soreness when touched, intermittent stream of urine, and spasmodic
pain in pelvis and thighs after urinating.─Urine watery, colourless;
brown; bloody.
15. Male Sexual Organs.─
Itching and tickling in
prepuce and scrotum, < morning and evening.─Itching-burning
on the inner and upper side of the prepuce.─Inflammatory swelling of
testes and spermatic cords (sometimes only on one side), with pressive and drawing pains,
extending into abdomen and loins, redness and heat of scrotum (from a contusion or after
suppressed gonorrhśa), nausea and inclination to vomit.─Burning in
testicles, without swelling.─Testicles hang low down.─Dropsical
swelling of scrotum of a whitish blue colour.─Excessive increase of
sexual passion, almost like priapismus, with frequent and prolonged erections, ardent desire
for coition, and frequent pollutions.─Flow of prostatic fluid.─Inflammation
of prostate gland.
16. Female Sexual Organs.─
Affections in general
of the female genital organs; of the uterus.─Nymphomania.─Drawing,
pressive pain extending towards uterus with qualmishness, towards morning.─Contractive
pain in l. side of uterus, like labour pains, obliging her to bend double.─Spasmodic
pains, or drawing tension in uterus, and pains like those of labour.─A
burning (sticking) pain in vagina and pudenda.─Metrorrhagia (discharge
now stopping, and then stronger again, of coagulated, clotted blood, or with false
labour-pains).─Menstrual blood black, with clots of mucus, or pale and
serous.─Catamenia irregular, tardy, or premature, of too short or too
long duration, or entirely suppressed (esp. if produced by getting the feet wet), with
colic, hysterical spasms in abdomen, hepatic pains, gastralgia, pain in loins, nausea and
vomiting, shivering and paleness of face, megrim, vertigo, moral affections, tenesmus of
anus and bladder, stitches in side, and many other sufferings before, during, or after
period.─Suppression of menses (esp. in elderly women in whom they
usually occur at full moon).─Delay of first menses in mild, gentle
girls, low-spirited, &c.; diarrhśa during menses.─Leucorrhśa,
thick, like cream (esp. frequent in lochial discharges where the flow looks like milk), or
corrosive and burning, principally at period of catamenia before, during or after), and
sometimes with cuttings (< when lying down; with
swollen vulva).─After-pains in females of a mild disposition.─False
pregnancy.─During pregnancy: nausea, morning sickness; varicose veins,
bluish, < towards evening.─Lame
pelvis, < warm in bed, must change position
frequently threatened abortion, flow now ceasing, now returning.─During
labour intense inertia; weeps because she is not delivered; malpositions of fetus;
post-partum hćmorrhage; convulsions, following sluggish or irregular pains; lochia scanty,
milky, or suppressed; puerperal fever; phlegmasia dolens.─Labour-pains
too weak, spasmodic, or ceasing.─Swelling of breasts, with tensive pain
as if the milk rushed into them and caused pressure, while nursing.─Lumps
on breasts of girls, before puberty; or escape of thin, milk-like fluid.─Scanty
supply of milk.─Affections of nipples.─Weeps every
time child is put to breast; pain extends into chest, neck, or down back, changes from place
to place.─Milk suddenly suppressed, lochia becomes milky white.─Galactorrhśa
esp. in women who do not nurse their children.─After weaning, breasts
swell.
17. Respiratory Organs.─
Hoarseness, which does
not permit one to speak a loud word.─Breathing, groaning, or rattling.─Catarrh,
with hoarseness, roughness, dryness, scraping, and pain as from excoriation, in larynx and
chest.─Attacks of constriction in larynx, principally at night, when
lying in a horizontal posture.─Dyspnśa, esp. when lying on back at
night, with giddiness and weakness in head.─Difficulty of breathing when
walking.─Short, dry cough as soon as he gets warm.─Dry
cough whenever he wakens from sleep, disappearing while sitting up in bed, and returning as
soon as lying down again.─Dry, severe cough, mostly in morning, with
retching and desire to vomit, and sensation as if stomach were turned inside out.─Violent
spasmodic whooping-cough, in two consecutive coughs, caused by itching, scraping, with
dryness as from vapours of sulphur in larynx and chest.─Shaking cough,
principally in evening, at night, or in morning, excited by a sensation of dryness or a
scraping and tickling in throat, < when lying down,
and often accompanied by an inclination to vomit, with retching and vomiting, or by a
choking, as from the vapour of sulphur, with bleeding of nose and rattling respiration.─Cough,
with shootings in chest or sides, and palpitation of heart.─Moist cough,
with expectoration of white, green, tenacious mucus, or of thick, yellowish matter of a
bitter, greasy, salty, or putrid taste (loose cough; with expectoration in morning, without
expectoration in evening; with expectoration in day, without expectoration at night).─Expectoration
of black and clotted blood during cough (during suppression of menstruation).─Shootings
in r. shoulder or in back when coughing.
18. Chest.─
Respiration accelerated, short, and
superficial (during the fever), or rattling and anxious.─Dyspnśa, as
from spasmodic tension in lower part of chest, below false ribs.─Tickling
on sternum.─Attacks of burning in chest.─Respiration
impeded, shortness of breath, choking as from vapour of sulphur, and fits of dyspnśa and of
suffocation, with anxiety, spasmodic constriction of chest or larynx, violent hiccough,
cough, headache, and vertigo; principally in evening, after a meal, or at night when
reclining horizontally.─Movement, quick walking, the open air, and cold < the asthmatic symptoms.─Cramp-like and
constrictive tension in chest, principally on breathing (on drawing a long breath), and
sometimes with internal heat and ebullition of blood.─Pain as from
(subcutaneous) ulceration, or sharp and incisive pain in chest.─Acute
suppuration of the lungs.─Shootings in chest and in sides, principally
at night and when lying down, and sometimes with difficulty in drawing a full inspiration,
inability to remain lying on the side affected, short cough, and paroxysm of suffocation.─(Pain
in l. side under heart as if a string were pulling there.─R. T. C.)
19. Heart.─
Congestion of blood to chest and
heart, esp. at night, with anxious dreams (e.g., of
being immured), with starting up and anxious cries.─Catching pain in
cardiac region; > for a time by pressure of hand.─Stitches
in prćcordial region, > while walking, with pressure
and anxiety, impeding respiration.─Burning in region of heart.─Frequent
and violent fits of palpitation, principally after dinner and after moral emotions, or
provoked by conversation, and often with anguish, clouded sight (vanishing of sight), and
impeded respiration, esp. when lying on the l. side.─(With menstrual
irregularities, chlorosis, &c.; the beat of the heart is felt in the pit of the
stomach.).─Anxiety, heaviness, pressure, and burning sensation in heart.
20. Neck and Back.─
Rheumatic, tensive, and
drawing pains in nape of neck and in neck, sometimes semilateral, and often with swelling of
the parts, and pains as from subcutaneous ulceration when they are touched.─Cracking
in cervical vertebrć and shoulder-blades on moving those parts.─Itching
pimples on neck.─Swelling of glands of neck.─Pains
in sacrum and in back, as from having remained some time in a bent posture, or with
rigidity, as from the pressure of a belt.─Sacral pains like those of
labour.─Pains in back and chilliness from suppressed menstruation.─Shootings
in back, in loins, and between shoulder-blades.─Curvature of spine
(upper part).
21. Limbs.─
Redness and swelling of joints, with
stinging pains.─Anxious, tremulous sensation in limbs.─Drawing,
sticking, < in joints, which are painful to touch.─Weakness
in limbs morning after rising, with relaxation without feeling weary.─Drawing,
tearing pains in limbs, shifting rapidly from place to place; <
at night, from warmth; > from uncovering.─Pain
in limbs in morning in bed, < in joints, forcing him
to stretch, with general heat.─On waking the parts on which he has lain
are asleep, with crawling and tingling.─Coldness of hands and feet; they
seem dead.
22. Upper Limbs.─
Sharp, jerking, and drawing
pains in shoulder-joint, as well as in the arms, hands, and fingers.─Paralytic
pains in scapular joint when lifting and moving arms.─Burning sensation
in arm in evening or at night, with sensation of dryness in fingers.─Burning
heat in hands and arms and in trunk with perspiration down spine (agg.─R.
T. C.).─Pressive heaviness in arms, with sensation of numbness, esp. in
hands.─Sensation of tension and swelling and wrenching pain in joints of
elbows, hands, and fingers, with rigidity.─Swelling of elbow after a
contusion.─Swelling of veins on forearm and hands.─Easy
numbness of fingers, principally in morning and at night.─Vesicles
between fingers, with pricking pain.─Pain as if caused by panaritium in
index.─Itching chilblains on hands.
23. Lower Limbs.─
Pain as from a bruise or from
ulceration in the psoas.─Wrenching pain in coxo-femoral articulation,
with painful jerks, as in a wound, extending as far as knee, <
during repose.─Pulling and tension in thighs and legs, < in calves of legs, as if tendons were too short.─Pain
as from a bruise, with sensation of paralytic weakness in bones and muscles of thighs and
legs.─Pain as from subcutaneous ulceration in legs and soles of feet.─Cracking
in knees.─Swelling of knees, sometimes chiefly above patella, and often
with heat, inflammation, sharp drawing and shooting pains.─Enlargement
of knee with local varicosis (relieved.─R. T. C.).─Weakness
and yielding of knee, with tottering gait.─Pulling and great fatigue in
legs, esp. knees, with trembling.─Swelling of veins and varices in legs.─Numbness
in legs when remaining long standing.─Pain in tibia as from a bruise.─Tension
and drawing in calves of legs.─Hot swelling of legs, or only of the back
or of soles of feet, sometimes with shooting pains when the parts are touched, and during
movement.─Painful sensation of numbness in soles of feet and in balls of
the toes.─Red-hot swelling of feet, extending up to calf, with stinging
pain.─Swelling of top of foot.─Śdematous swelling
of feet, < in evening.─Piercing
shootings and incisive pains in heels (towards evening).─Shootings in
soles of feet and extremities of toes.─Chilblains.─The
complaints are < when one allows the feet to hang
down.
24. Generalities.─
[Affections in general, and of
any kind, appearing in r. abdominal ring r. chest; r. upper and lower extremity; tongue;
increase of saliva; larynx trachea; nape of neck; heart and region of heart; palpitation of
heart, also with anguish: small of back; shoulder-joints; fingers; legs; shin-bones; calves,
particularly when they are swollen, red, and hot; heel sole of foot; ball or under part of
toes; knee-joint; bones of lower extremities; inflammation of bones in general.─Strong
desire for open air, which makes patient feel better in every way, headache, toothache,
earache, cold in head, &c., are all > in open
air, can breathe better, &c.─Bleeding from inner parts; congestion
of blood to single parts; apparent deficiency of blood.─Chlorosis (in
persons of mild, quiet, &c., dispositions).─Secretion of mucus
increased; nervous debility.─Varicose veins, even when inflamed, esp.
when blue, particularly in pregnant females; feel more comfortable when walking about.─(Phlebitis
of single veins.─R. T. C.).─Symptoms <: in afternoon; from mental affections; on waking; when
blowing nose (produces pain in chest, nose, head, or somewhere else, or a cracking in ears);
before falling asleep; during expiration; after taking cold; from coughing from change of
position (particularly applicable to the female organism) from loss of fluids; from being
frostbitten; lying on l. side; on painless side; lying with head low; having measles, after
measles; before and during menstruation; on beginning to move from taking bread; butter;
buckwheat; fat food; fruits; ice; pancakes warm food; abuse of Peruvian bark; can’t bear
pressure on the well side if it be made towards the diseased side; from derangement of
stomach; during stool, particularly in dysentery if it gives great pain in small of back;
while suckling child; in the sun; in the twilight; before, during, or after urinating; women
in confinement from having a tapeworm; from surgical injuries in general; from tobacco
during pregnancy.─Symptoms >: in
open air; in a cold place; from cold air; by lying on r. side; with head high; from cold
things; from washing; on wetting the affected parts; after discharge of flatus.─H.
N. G.].─Sharp drawing and jerking pains in muscles, < at night, or in bed in evening, as well as by heat of a
room, > in the open air, and often accompanied by
numbness, paralytic weakness, or hard swelling of parts affected.─Shootings
and sensation of coldness in parts affected on a change of weather.─Tension
in some of the limbs as if tendons were too short.─Shifting pains which
pass rapidly from one part to the other, often with swelling and redness in joints.─Sensation
of hollowness; of pulsations, knocking, or throbbing in inner parts; of extension in size,
as if one part, or every part, were growing too large; of a band around the parts; of
buzzing or humming in any part of the body.─Shocks in tendons.─Fitful
pains with shivering, labouring respiration, paleness of face, and trembling of legs.─The
shiverings increase as the pains become <.─Pain
as from a bruise or subcutaneous ulceration on touching parts affected.─Semilateral
pains and affections.─Symptoms are <
and renewed when seated after long-continued exercise; or on rising after having been seated
a long time, as well as during repose, esp. when lying on side or back.─The
symptoms which appear when lying on back are > by
turning on side or by rising up, and vice versâ.─Movement,
walking, pressure, external heat, and the open air, equally >
many of the symptoms, while they < others.─Symptoms
generally most violent in evening or at night before midnight, sometimes also in morning and
after a meal.─The symptoms are <
every second day in evening.─Agitation and uneasiness throughout body,
with inability to sleep or to enjoy repose, and constant inclination to stretch limbs.─Frequent
and troublesome pulsations over whole body, < during
movement.─Great tendency of limbs to go to sleep.─Frequent
trembling of limbs with anxiety.─Sluggishness and heaviness of limbs,
with paralytic weakness, painful sensibility of joints, and tottering gait.─Weariness
in morning, which is < by a recumbent position.─Fainting
fits with deadly paleness of face.─Epileptic convulsions, with violent
movements of limbs, followed by weakness, eructations, and inclination to vomit (after
suppression of catamenia).─Great sensibility and repugnance to open air.─Great
desire to remain lying down or sitting.─Pain as from a bruise in bones
of Emaciation.
25. Skin.─
Pale skin.─Itching,
mostly burning or pricking (as if caused by stings of ants), principally in evening, and at
night in heat of bed, < by scratching.─Red
spots, like morbilli, or nettle-rash.─Frequent redness, even when the
parts are cold.─Eruptions from eating pork, itching violently in bed.─Eruptions
like measles.─Rhagades.─Suppurating wounds, pus
thick and too profuse.─Pus copious and yellow.─Moles
or freckles in young girls.─Eruptions similar to varicella coniformis,
with violent itching in bed.─Chilblains, particularly when they turn
blue.─Exanthema, chapped.─Blue-black swellings.─Chilblains
with bluish-red swelling, heat, and burning, or pulsative pains.─Phlegmonous
erysipelas, with hardness, burning heat, and shooting pain on touching or moving parts
affected.─Furunculi.─Shining redness, hardness, and
itching round ulcers, with ready bleeding, and shooting, burning, and gnawing pains.─Deep
or fistulous ulcers; where there is much swelling around.─Inflamed or
putrid ulcers.─Varices.
26. Sleep.─
Constant sleepiness and comatose
sleep, with agitation and disquieting fancies, day or night.─Great
tendency to sleep during day, principally in evening or afternoon.─Irregular
sleep, too early in evening or too late in morning, and sometimes with nocturnal
sleeplessness.─Sleep retarded, sometimes until two hours after midnight,
and often followed by early waking.─A great flow of ideas hinders sleep
in evening and at night.─Agitated sleep, with frequent waking; and
general numbness on waking.─Inability to sleep except when seated with
head inclined forwards or to one side.─During sleep, chattering,
talking, delirium, convulsive movements of mouth, eyes, and limbs; tears, cries, and moans,
nightmare; starts from fright; shocks in body and jerking in limbs.─Wakes
up frightened and confused, knows not where he is, cannot collect himself.─At
night great agitation and tossing, inquietude and anguish of heart, ebullition of blood, dry
heat, itching, incoherent talking, with fixed ideas.─When sleeping
patient lies on back with knees raised and arms placed over head or crossed over abdomen.─Fearful,
frightful, anxious, confused, vivid, disgusting, voluptuous dreams, of quarrels and of
business of the day, of spectres, and of the dead.─Frequent yawning.
27. Fever.─
Chilliness of one side only;
chilliness without thirst, often followed by fever without thirst (accompanied by vertigo
and stupor); heat on one side; perspiration on one side only; want of thirst; febrile
symptoms r. side.─Continuous internal chilliness even in warm room.─Thirst
before chill or heat, seldom during hot stage.─Chilliness (4 p.m.)
without thirst, accompanied by anxiety and dyspnśa; this is followed by a drawing pain
extending from back into head, three hours later heat of whole body without any thirst, with
sweat on face, drowsiness without any sleep and unconsciousness; in morning perspiration
over whole body.─Coldness, shiverings, and shudderings, principally in
evening or afternoon, and sometimes with paleness of face, vertigo, and dizziness, pain and
heaviness in head; anxiety and oppression of chest, vomiting of mucus (when the cold stage
comes on), desire to lie down, and flushes of heat.─Partial coldness and
shivering, principally in back, aims, legs, hands, and feet, often with heat in head or face
and redness of cheeks.─Semilateral coldness with numbness of the side
affected.─Dry heat (internal), principally at night, in evening in bed
or in morning, and often with fits of anguish, headache, face red and bloated, or
perspiration on face, shivering on being uncovered, burning in hands, with swelling of
veins, lamentations, sighs, and moans, profound or agitated sleep, anxious and quick
respiration, fainting fits, with cloudiness of eyes, inclination to vomit, and loose
evacuations.─Partial heat, principally on face, with redness of cheeks,
hands, face, &c., often semilateral, with coldness and shivering in the opposite parts.─Heat
of face or heat of one hand, with coldness of the other.─Febrile
paroxysms composed of heat, which are preceded by shiverings, with adipsia, and mixed with,
or followed by, perspiration; quotidian, tertian, or quartan type; <
in evening or afternoon; remission in morning during apyrexia, nausea and loss of appetite,
headache, painful oppression at chest, moist cough, bitterness in mouth, constipation or
(mucous) diarrhśa.─Febrile symptoms with loss of consciousness,
delirium, tears, and despair, or with gastrico-mucous or bilious symptoms or with comatose
sleep (or consequent upon the abuse of Quinine, with
bitter taste of food and constipation).─Repugnance to external heat.─Pulse
weak and small, but accelerated.─Pulse quick and small; or full and
slow; or feeble and almost suppressed.─Perspiration, principally at
night or towards morning; profuse and fetid sweat; semilateral or partial sweat (on head and
face), and sweat with cramps on arms and hands, weariness, comatose sleep, dreamy reveries,
and redness of face.─Perspiration during sleep, soon ceasing when
waking.─Perspires easily during the day.─Night-sweat
with stupor.─Smell of perspiration, sour, musty, like musk.─Perspiration
at times cold.® 2000
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