Rhus Toxicodendron.
POISON OAK. N. O. Anacardiaceć. Tincture of fresh leaves gathered
at sunset just before flowering time.and
Rhus Radicans.
POISON IVY. N. O. Anacardiaceć. Tincture of fresh leaves gathered
at sunset just before flowering time.[Under the name Rhus Hahnemann published his proving of “R. radicans, also called Toxicodendron.”
Botanists agree in recognising no distinction other than that of habit between the two.
Millspaugh (American Medicinal Plants) tells in his
masterly account of the plant that he has seen the two varieties springing from the same
root-stock. He advises that the tincture should be made from specimens of both. Rhus tox. is a shrub with erect stem from two to four feet high.
The stem is devoid of rootlets. Rhus r. has more or less
tortuous stems, four to thirty feet high, profusely studded with dark-coloured rootlets, by
which it clings to its support.─Our own Ivy (Hedera
helix) in the same way may run along the ground, rooting at intervals if it
cannot find a support, and growing to a great height if it can; and it may be an erect shrub
with no rootlets and no tendency to climb.─The two forms have been
proved independently, and when necessary to distinguish them I shall name them Rh. r. and Rh. t. When
reference is made to both or either in this work I use the term Rhus
without distinction. All other varieties of Rhus will be distinguished.]
Clinical.─
Abortion. Acne
rosacea. After-pains. Amenorrhśa. Anus, fissure of. Appendicitis. Appetite, lost. Beri-beri. Bones, pains in. Cćcum, inflammation
of. Chilblains. Circulation, feeble. Cyanosis. Dengue fever.
Diarrhśa; chronic. Diphtheria. Dysentery.
Dysmenorrhśa. Dyspepsia. Ear, eczema of. Ecthyma. Enteric fever.
Erysipelas. Erythema nodosum. Exostosis. Eyes,
inflammation of; choroiditis; sight, weak. Feet, pains in. Gastro-enteritis.
Glands, inflammation of. Gout. Hćmorrhages.
Hćmorrhoids. Hands, pains in. Hernia. Herpes. Herpes zoster. Housemaid’s knee. Hydrocele. Influenza.
Intermittents. Jaw, cracking in. Liver, abscess of. Lumbago. Measles. Menorrhagia. Metrorrhagia. Neuralgia. Ovary,
tumour of. Paralysis. Paraphimosis. Pemphigus. Periosteum, pains in. Pleurisy. Pleurodynia.
Pneumonia; typhoid. Ptosis. Pyćmia. Redgum. Relapsing fever.
Rheumatism. Scarlatina. Sciatica. Sleep, restless. Small-pox. Spine, diseases of.
Sprain. Strictures. Tongue,
affections of. Typhus fever. Urticaria. Warts. Wens. Yawning.
Characteristics.─
The Poison Ivy grows in thickets
and low grounds in North America, flowering in June. It was introduced into England as a
plant in 1640. In 1798 Dufresnoy of Valenciennes first used it as a medicine. It was brought
to his notice by the cure of a young man of an herpetic eruption (dartre)
of six years’ duration, through his being accidentally poisoned with the plant. Dufresnoy
used it successfully in eruptive diseases, paralysis, rheumatism, and amaurosis. The milky
juice, which turns black on exposure, is used as a marking ink (like Anacard.) and as an ingredient of varnishes for finishing boots.
The tincture contains Rhoitannic acid (C18H28O13) and Toxicodendric acid, a poisonous, volatile principle. A peculiarity
of the plant is that it is more poisonous during the night,
and when bursting into leaf, or at any time in June or July when
the sun is not shining upon it. Absence of sunlight, together
with dampness, seems to favour the exhalation of Toxicodendric acid. “An
acrimonious vapour, combined with carburetted hydrogen, exhales from a growing plant of the
Poison Oak during the night. It can be collected in a jar, and is capable of inflaming and
blistering the skin of persons of excitable constitution who plunge their arms into it”
(Porcher, quoted by Millspaugh, from whose work I take the above facts). Those who care for
Signatures will not fail to connect the cardinal aggravations of Rhus─at
night and from damp─with the increased virulence of the plant at night
and in damp atmosphere. (One prover of Rh. ven. was not
influenced by contact with the leaves when his skin was dry,
but only when perspiring; and the worst poisonings with Rh. divers.
happened to persons when moist and heated.) Millspaugh relates instances of Rhus poisoning: Out of ten men employed to clear a piece of land
of shrubs among which the Poison Vine greatly predominated only four escaped: “Most of
the men soon began to show signs of being tired, and at the end of the fourth day six of
them were flat on their backs too sick for anything.” Actual contact with the plant is
not necessary in order to produce its effect. One sultry day in June a young lady drove a
croquet ball across a lawn to a clump of Poison Ivy that grew beside it. Knowing her
susceptibility she reached under the plant and drew out the ball without touching a leaf.
During the evening of the same day her face began to itch and burn, and in the night it
swelled so that the eyes were not merely closed, the lashes even disappeared in the
swelling. It took nearly two weeks for her to recover. Millspaugh summarises the effects of Rhus (the majority of poisonings have been caused by Rh. rad.) as follows: First redness and swelling of the affected
part, with intolerable itching and burning, followed by vertigo, weariness, and a sort of
intoxication. Infiltration of face and eyes, and agglutination of the lids after sleep;
great restlessness, pain, thirst, and fever. The surface of the skin becomes after a time
studded with confluent bullć where the cellular tissue is loose, then a dermatitis follows
resembling erysipelas; this may spread rapidly and finally be communicated to the mucous
membranes. This is followed by swelling of the mouth and throat, cough, nausea, and
vomiting. Rheumatoid pains develop about the joints, and a painful stiffness asserts itself
in the lumbar region, while the legs and arms become numb. Confusion of mind and delirium
may then set in, during which the patient may become so ill-humoured, restless, and anxious
that he will jump out of bed. Concomitants are: Inflammation of eyes, dilation of pupils,
weak vision, sometimes diplopia; epistaxis; brown-coated tongue with triangular red tip;
swelling of parotids; difficult swallowing; griping; diarrhśa; profuse urination;
oppression; rapid pulse; prostration; soreness of muscles, <
by rest; > by exercise; sleepiness; chilliness
followed by fever and copious sweat.─The American provings were made
with Rh. rad., and the majority of the poisonings have
occurred from this plant. Though it is not certain that Hahnemann used Rh. tox. at all, or exclusively, Jahr gave a separate
presentation of the Rh. rad. symptoms. H. C. Allen
(quoted Critique, vi. 409) notes in Rh. rad. a periodicity which marks it as a great antipsoric. It
is, he says, on deeply psoric or tubercular constitutions that its toxic effects are most
felt and longest lasting, and these constitutional effects “seem ineradicable without
the antipsoric.” One case of his showed a return of symptoms at 12.45 a.m. on July 5th,
each year during sixteen years, except the year 1898, when the previous use of Tuberculinum, a dose once each month, prevented an attack; and
modified the 1899 attack. Guernsey considers Rh. rad.
deeper acting than Rh. tox., being indicated in
phlegmonous erysipelas, especially where it begins in ankles and moves gradually up the leg,
moving in the deeper tissues, no fever; and for axillary glands when the swelling is very
deep and hard. Farrington gives as distinctive indications for Rh.
rad.; Occipital headache with rheumatic stiffness of nape. Drawing tearing pains
in legs. Pleurodynia when the pains shoot into the shoulders. Mahony (M. A., xxvi. 109) reports a case of eczema on perineum and
scrotum with sweat in cleft of nates, both relieved in a
week with Rh. rad. 12, twice daily.─Hahnemann
quickly perceived the keynote of the Rhus symptoms:
“We observe,” he says, in his preface to the proving, “this curious action
(which is found in few other medicines, and in these never to such a great degree), viz., the severest symptoms and sufferings are excited when the body or the limb
is at rest, and kept as much as possible without movement. The opposite of this,
namely, an increase of the symptoms by movement, is much more rarely, observed.” He
contrasts Rhus with Bry.,
which has almost identical rheumatic pains with the opposite Conditions. Neidhard adds a
note in Hempel’s Jahr which brings out a modification of
this “< by rest” which is of the greatest
practical importance, as I can testify. Neidhard says that the disease in which he has made
most use of Rhus is a form of rheumatism common in North
America, and characterised by the following symptoms: “Rigidity, paralytic weakness of
the joints, with stinging pain along the tendons and muscles. Swelling and redness on or
near the joints. Rheumatism of the hip-joint and wrist seem to be most effectually
controlled by its action. The greatest rigidity and pain is
experienced on first moving the joints after rest, and on waking up in the morning.
After the joints are moved for a while the pain is lessened.” Contrasted with Bry., Rhus has: “The more he moves the > he is”; whereas Bry.
has “The more he moves the < he is.” It is
necessary to bear in mind this distinction or a wrong prescription will often be made. Rhus has not only < during rest, but < after resting also. However, Rhus
and Bry. complement each other: it is not unusual for
the Conditions of a case to change under one of these remedies, and then the other will be
required. Hahnemann says “these two antagonistic sister remedies “─each
in its place─successfully met the typhus which prevailed in the
countries desolated by the war which raged from the summer of 1813 and onwards. Of 183 cases
treated by Hahnemann in Leipzig not one died. This restlessness
of Rhus will be found to qualify the symptoms in a large
proportion of the cases in which it will be called for. It is as restless as Acon. and Ars., but in a
different way from either. With Rhus it is due to the
pain and soreness temporarily > by movement; or a
nervous internal uneasiness which makes the patient want to be on the move when there is no
particular pain present (Nash). The presence of restlessness is a leading indication for Rhus in fevers, typhoid and other. Other indications are─clouded
sensorium, stupefaction, muttering delirium, dry tongue. The characteristic tongue of Rhus is dry or dark coated, with triangular red tip. In
intermittents a characteristic is “Cough during the chill.” Hahnemann pointed out
another keynote of Rhus: “Multiplied experience has
taught me that Rhus is the most efficacious and the
specific remedy for the frequently fatal effects of over-lifting, inordinate exertions of
the muscles, and contusions.” He was, of course, led to this inference by the
“bruised and sprain-like pains” and “stiffness” of the provings. Rhus is in the front rank of vulneraries. It meets threatened
abortion from a sprain; and also prolonged after-pains and other effects of the strain of a
severe labour; axillary abscess from this cause has been cured with Rhus.
Straining, rheumatic coughs. Ailments from straining a single part, muscle, or tendon;
over-lifting, particularly from stretching high up to reach things. There is an analogy to
this in the dreams─dreams of great exertion: rowing, swimming, working
hard at his daily occupation. Rhus has cured many forms
of paralysis: Rheumatic paraplegia from getting wet, lying on damp ground; sleeping in damp
sheets; after exertion; after parturition, sexual excess, or fevers. Ptosis. Paralysis of
single limbs. Numbness of parts paralysed. Facial neuralgia, lumbago, and sciatica (esp. of
left side), with restlessness; coming on after a wetting or after a bath are cured by Rhus. The neuralgic pains and eruptions make Rhus a perfect simillimum in many cases of herpes zoster.
Fever-blisters round mouth. Howard Crutcher relates (M. A.,
xxii. 38) how after standing on a wharf with his right side exposed to a cold wind from the
river he began to have severe pains shooting up the ulnar nerve, a steady ache uniform
throughout arm and forearm, but extremely severe in structures beneath deltoid. The pain was
much < in a warm place; it did not interfere with
movement. At 8 p.m. Crutcher took Rhus 30 dry on the
tongue, and almost immediately he was called into the open air again. In thirty minutes the
pain was decidedly better; in ninety minutes it was gone. A case of Rhus
poisoning reported by Morey (Med. Cent., February, 1898;
H. W., xxxiii. 309), showed an effect on the menstrual
period, and was remedied by Crocus. Miss M. was severely
poisoned by Rh. rad. (it is called “Ivy”) in
July, 1895, during her menstrual period. She was treated with Bell.
and Rhus internally, and an Oxide
of Zinc ointment externally, and appeared to make a rapid recovery. On September
1, 1897, without further known poisoning, another similar attack developed during the
menstrual period, and frequent minor attacks had occurred in the two years, always at the
time of the menses. Later on she had another attack which developed rapidly and greatly
alarmed her. The menstrual flow commenced a week before she came to Morey, was very scanty, dark, and clotted, as had been the case for sometime. The flow
had scarcely well begun when it ceased suddenly and the eruption appeared. Croc. was given, and the first dose re-established the flow,
which was normal in appearance and quantity, and the eruption at once disappeared. Peculiar Sensations are: As if intoxicated. As if asleep. As of a
weight behind right orbit. As of a band strapped across forehead. As if head were swelling
out. Brain, as if loaded; as if torn; as if loose; as if fluctuating; as if a quantity of
blood shot into it when stooping. As if muscles of back of head screwed together. As if a
hundredweight on nape of neck. As if a veil before eyes. As of sand in eyes. As if lids
difficult to move. As if jaw would break. Teeth as if being torn out; too long; loose. As if
tongue had been skinned. As if a hernia about to protrude. As if pharynx inactive or
paralysed. Stomach, as if overloaded; as if a stone in; as if pit of stomach swollen or
drawn together. Hypochondria and abdomen as if beaten. Digging as if caused by a worm. As if
a knife in right abdomen. As if something torn loose in abdomen, chest, and inner parts
generally. As if a lump lay like a pressing heavy weight in abdomen. As if one side of
rectum grown up. As if everything would come out of rectum. As if breath were stopped at pit
of stomach. As if sternum were pressed inward. As if sprained or dislocated: back, jaw,
arms, wrist, hip, knee, ankle. As if one had been lying in an uncomfortable position. As if
bruised in right side of lumbar vertebrć and in small of back. As if flesh of small of back
had been beaten. As if back were broken. As if some one were pressing on left shoulder. As
if hand were held in hot water. Hand, as if withered; as if lame; as if pins pricking points
and palmar surfaces of first phalanges of fingers. Rectus cruris muscle as if bruised. As if
hamstrings and tendons of limbs too short. As if knee too-short. Legs (and right foot) as if
made of wood. Feet and ankles as if asleep. Heels as if stepping on pins. As if running
nails under skin of heels. As if walking on needles. Joints as if bruised. As if bones
ached. As if sinking through bed. As if something forced him out of bed. Bones, as if being
scraped; as if flesh being torn loose from them. As if whole body was burning. As if cold
water poured over him. As if blood ran cold through veins. As of subcutaneous ulceration. As
if inner parts grown together. Peculiar Symptoms are:
Craving for cold drink and laborious dreams. Herpes alternating with asthma and dysentery.
Chokes easily on swallowing. Swallowing = pain in middle
of back. Anorexia in palate and throat. Nausea in chest. Taste of blood with cough (no blood
being raised). Coldness in left tibia. Scalp sensitive, <
turning hair back. Hour-glass contraction of abdomen. The symptoms are: < By touch; > by
rubbing. < From riding; blows; jars; sprains. < By rest; and commencing motion; >
continued motion. (Lying down > colic and diarrhśa.)
Lying on hard floor with pillow under back > pain in
back. Must hold head to > weight in it. Bending head
back > pain in occiput; =
pain in head and down spine. Limbs lain on fall asleep; no sweat on them. < Side lain on. Lying on left side =
palpitation and pain in heart. Swallowing = pain in
back. Inclination to stretch. Stretching = cracking in
knees; soreness in abdomen. Unwonted exercise =
paralysis. Over-exertion = palpitation; < coxalgia. < Evening;
night; morning after sleep. Sensitive to cold open air; raw north-east winds. Effects of
drinking cold water; getting wet, especially after being heated, cold bathing; sea bathing. > By warmth and hot applications. <
Warmth of bed. Sciatica is > by warmth from exercise.
< Change of weather; damp, stormy weather; before a
storm; snowstorm; in autumn; in winter. Nausea <
after eating. Craves cold water, which is vomited immediately.
Relations.─
Antidoted by:
Bry., Bell., Camph., Coff., Crot. t., Grind., Merc., Sang., Sul., Verb. h. Antidote to: Bry., Ranunc., Rhod., Ant. t., Sapon. (Ars.). Complementary: Bry. Inimical:
Apis, before or after, especially in skin affections. Compatible:
Arn., Ars., Bry., Calc., Calc. ph., Cham., Con., Lach., Ph. ac., Puls., Sul. Followed well by: Calc., Bell., Graph., Nux, Pho., Pul., Merc.,
Sep., Sul., Ars., Bry. Compare: The other Rhoes and
Anacardia. Eye symptoms, > by motion, Comoc. (Rhus > by warmth; Comoc. <).
Rheumatic paralysis from exposure to damp and cold, Caust. (Rhus restless, > by motion day and night; Caust. restless only at night).
Parotid gland, Am. c. (Rhus left; Am. c. right). Result of working in water, Calc. Granular
ophthalmia, Arg. n. (Rhus has more spasm; if lids are forced open scalding tears gush out
and cause pimples round the eye). Cough excited by cold drink, Sil. (> Caust.). Sweat of body, head dry (Sil. sweat of head, body
dry). Nose-bleed at beginning of typhoid, Ph. ac. (with Rhus it >,
not with Ph. ac.). Enables persons to withstand muscular fatigue, Fl. ac., Ars., Coca.
Hypertrophy of heart from over-exertion, Bro., Arn., Aco. Ulcers on legs in dropsy, Ars.,
Lyc. (Lyc. in dropsy from liver disease). Fear of being poisoned, Glo., K. bro., Hyo., Bap.
Profuse gushing tears excoriating cheek, Euphr. (Rhus <
right eye; pus thinner). Ptosis or any ocular paralysis, Gels. (Rhus rheumatic patient, from
wetting; Gels. with sluggish thought and suffused face). Scarlatina, erysipelas, &c.,
with drowsiness and śdema, Apis (Rhus dusky red, bodily restlessness; Ap. rosy red,
fidgetiness. Rhus itching preponderates; Ap. less tendency to form pus). Enteritis,
peritonitis, typhlitis, Lach. Heart affections with numbness of left arm, Aco. (tingling in
fingers), Kalm., Puls. (numbness, especially about elbow), Act. r. (as though arm tightly
bound to body), Phyt. (right arm). Dreams of business of day, Bry. (Rhus and Bry. have
opposite Conditions; and Rhus menta. state is hopeless and despondent, Bry. fretful,
peevish, irritable.) Typhoid, Pho. (follows Rhus well; pneumonia; stools yellow and
blood-streaked, at times like “flesh water”), Ars. (irritable and anxious in spite
of prostration), Bapt. (face dark red, besotted; stool dark, fluid, very offensive; drowsy,
stupor; tossing about with delusion that limbs are scattered about bed feels hard), Arn.
(complete apathy; involuntary stool and urine bloody sputa if lungs affected). Empyema and
induration of axillary glands, Bell. (Bell. at climaxis, Rhus after labour). Eczema, Mez.,
jug. r. (favus). Cough < from evening to midnight,
Mez. (Rhus also from uncovering). Colic > bending
double, Coloc. (Rhus also > moving about).
Conjunctivitis from getting wet, Calc. Glaucoma, Caust. Cracking and breaking pain in jaw,
Ign., Petr. Paralysis from rheumatic meningitis (from rheumatic myelitis, Dulc). Acute
spinal paralysis of infants, Sul. (complementary). Averse to be uncovered, Ars., Hep.
Bearing down in hypogastrium, Puls. Flesh feels beaten off the bones, Thuj. Aversion to
darkness, Am. m., Bar. c., Calc., Carb. a., Stro., Val., Stram. Averse to be washed, Ant.
c., Clem., Hep., Sep., Spi., Sul. Effects of raising arms high to lift things, Pho. Bloody
urine discharged in drops, Pul. Phimosis, Cann., Merc., Sul., Nit. ac., Sep., Thuj., Sabi.
Hunger in early morning, Aga., Ant. c., Asar., Calc., Carb. a., Lyc., Ran. b., Saba., Zn.
Semilateral coat of tongue, Daph., Lob. (Rhus white). Hot breath, Calc., Carb. s., Sul.
Nocturnal salivation, Cham., Nux, Pho. Difficult swallowing of solids, Atrop., Bell., Bar.
c., Calc., Chi., Dro., Lyc., Plb., Sil. Parotitis, Aur., Merc., Pilo.; metastasis to testes,
Rhus, Pal., Bell., K. ca. Yearly returns, Ars. Cold from wetting head (Bell. from
hair-cutting). Sensation of subcutaneous ulceration, Ran. b., Pul. Chokes easily when
swallowing, K. ca. > Warm food, Lyc. Epistaxis at
night, (Bry. morning). Punctured wounds as if stepping on nails, Hyper., Led. Backache > lying on hard floor, Nat. m. Hydroa, Nat. m. Acne from
getting wet, or ice-cold drinks, when heated, Bellis. Desires cold drink and vomits it
immediately, Ars. Ailments from spraining a single part,
muscle, or tendon, Calc., Nux. Vertigo < lying down
(Apis >); <
rising from lying or stooping, Bry. Jelly-like stools, Colch., K. bi.
Causation.─
Slightest anger. Cold. From wetting
head. Damp sheets. Bathing, in fresh or salt water. Getting wet when heated. Strains.
Over-exertion. Over-lifting. Raising arms high to lift things. Drinking ice-water. Beer
(headache).
SYMPTOMS.
1. Mind.─
Anxious sadness and excessive anguish,
esp. (at twilight) in evening and at night, with wish for solitude and inclination to weep.─Restlessness
which will not suffer the patient to remain seated.; and compels him to throw himself about
in bed.─Anguish with fear of death and sighs.─Fear
of being poisoned.─Suicidal mania (desire to throw himself into the
water).─Irritability and ill-humour, with repugnance to labour.─Moral
dejection with anthropophobia.─Helplessness and profound despondency.─Uneasiness
respecting one’s children, affairs, and the future, with want of self-confidence.─Weakness
of memory and forgetfulness (cannot remember the most recent events).─Want
of ideas and of mental energy.─Difficult comprehension.─Slowness
of conception and mental dulness.─Delusions of the imagination and
visions.─Mild delirium; with insensibility.
2. Head.─
Head bewildered as from intoxication.─Stupefaction;
with tingling in head and pain in limbs, > on motion.─Staggering
gait without vertigo.─Staggers to r. when walking.─Vertigo
and staggering as if about to fall; esp. when getting out of bed (chilliness and pressure
behind eyes).─Vertigo as if he were held up high, while sitting.─Emptiness
in head.─Vertigo, with fear of death, on lying down in evening.─Headache
(< in the morning, while lying; from cold)
immediately after a meal or after drinking beer, and also on moving the arms (> by heat and when moving about).─Headache
< morning, r. side, with vertigo as if she would fall
back on getting out of bed, acute darting pains in both temples, can hardly hold up, and a
mist comes before sight when doing anything quickly or getting up in a hurry (produced.─R.
T. C.).─(Incito-motor function defective).─Attacks
of headache with need to lie down; every vexation and exercise in the open air renews the
attacks.─Periodical headache.─Pain in head as if
brain were bruised, esp. in morning, < by moving and
lifting up head.─Passive congestion of head >
by repose.─Heaviness and pressive fulness of head (esp. in forehead; as
if a weight were falling forward, with heat in face), with sensation, on stooping, as if the
brain were about to burst.─Head so heavy obliged to hold it upright to > the weight pressing forward into forehead.─Sensation
of compression or expansion in head.─Drawings and tearings in head, and
esp. in temples, principally in evening and at night.─Lancinating
headache day and night, extending as far as ears, root of nose, and the cheek-bones, with
the teeth set on edge.─Beating and pulsations in head, esp. in occiput.─Pains,
esp. in occipital protuberances.─Sanguineous congestion in head.─Burning
sensation, esp. in forehead (when walking) and occiput.─Occipital
headache with rheumatic stiffness in nape (R. rad.).─Painful
tingling in head.─Sensation as if a quantity of blood shot into brain
when stooping.─Rush of blood to head with burning-tingling and beating
in brain, bright redness of face, great restlessness of body in morning when at rest, < after eating.─Liability to take cold
from having head wetted.─Buzzing and noise in head.─Balancing
and sensation of fluctuation in head at every step, as if brain loose, also when shaking
head.─Painful sensibility of exterior of head, as from subcutaneous
ulceration, esp. on turning up hair and on touching it; <
on side on which he does not lie, and from becoming warm in bed.─Contraction
of the scalp as if the hair were pulled.─Drawing and tearing in scalp.─Swelling
of head.─Erysipelatous swelling of head and face with vesicles drying up
and forming itching scabs.─Gnawing tingling in scalp.─Dry
herpes on scalp.─Periodical scald-head, reappearing every year.─Scald-head
with thick scabs, which destroy the hair, with greenish pus (offensive smell), and violent
itching at night.─(Eczema of entire hairy scalp, causing loss of hair.─R.
T. C.).─Small, soft tubercles on the scalp.─Wen of
many years’ duration cured with Rh. t. Ř, which caused
erysipelas at same time (H. W., xxxi. 199).
3. Eyes.─
Pains in eyes on moving ball of eye.─Pressure
and burning sensation in eyes.─Eyes fixed, dull, and downcast.─Smarting
in eyes and lids.─Affections of internal surface of eyelids.─Inflammation
of the eyes and lids, with redness and nocturnal agglutination.─Profuse
lachrymation (eyes full of water, blear-eyedness) with śdematous swelling round eyes.─Meibomian
glands enlarged, cilia fall out.─Photophobia.─Bladder-like
swelling of the lids, closing the eyes.─Swelling (erysipelatous) of
whole eye and of surrounding parts.─Rheumatic ophthalmia, particularly
of r. eye.─Gouty keratitis, < in
damp, rainy weather, sight dim.─Paralytic rigidity of the eyelids.─Jerking
and quivering of eyes and eyelids.─Blue colour about the eyes.─Heaviness
of the eyelids.─Styes; on the lower eyelids.─Veil
before eyes and weak sight; all objects appear pale.
4. Ears.─
Otalgia.─Painful
throbbing in ear at night.─Swelling of ears.─Discharge
of sanguineous pus from ears, with deafness.─Whistling, squeaking, or
ringing in ears when walking, changes to low resonance when lying down, as if membrana
tympani were burst.─Swelling and inflammation of parotids with fever.─Suppuration
of parotids.
5. Nose.─
Redness of point of nose, with pain as
from excoriation on touching the part.─Hot swelling of the nose.─Breath
seems so hot it burns the nostrils.─Dryness of the nose.─Discharge
of greenish fetid pus from nose.─Epistaxis also at night and on stooping
or hawking; blood dark; scabs about nares.─Frequent violent and almost
spasmodic sneezing.─Abundant discharge of mucus from nose, without
coryza.
6. Face.─
Face pale, sickly, wan, with eyes
surrounded by a blue circle and nose pointed.─Drawing and burning in
superciliary region and in cheek-bones.─Face disfigured and convulsed.─Face
red, with burning heat.─Erysipelatous inflammation and swelling of face,
with pressive and tensive shootings and burning tingling.─Vesicular
erysipelas, with yellow serum in the vesicles.─Humid eruption and thick
scabs on face, with running of fetid and sanguineous serum.─Acne.─(Acne
rosacea; impetigo on the face or on forehead.).─Commissures of lips sore
and ulcerated.─Herpetic, crusty eruption round mouth and nose, with
itching, jerking, and burning sensation.─Exanthema on cheeks, chin, and
around mouth.─Desquamation of skin of face.─Incisive
contractions and burning spasmodic pains in cheeks (which are red and hot).─Cold
sweat on face.─Eruptions of burning pimples round lips and chin.─Cramp-like
pain in jaw-joint when at rest and when moving the jaw, with cracking on least movement, > by strong pressure from without and by taking warm things.─Spasms
in the jaw.─Constant desire to yawn until it seems as though the jaw
would break.─Hard and painful swelling (pressive digging) of the parotid
and submaxillary glands (with sticking on swallowing).─Lips dry and
brownish.
7. Teeth.─
Toothache as from excoriation, or with
tearings, shootings, jerkings, digging, and tingling, frequently at night, or < in open air and > by
external heat (and in warm room), sometimes also in consequence of a chill.─Looseness
of teeth.─Teeth feel elongated.─Looseness of lower
incisors, cannot bite with them.─Fetid exhalation, from carious teeth.─Burning
pain in gums as from excoriation, also at night.
8. Mouth.─
Dryness of mouth with violent thirst.─Copious
accumulation of saliva in mouth.─A yellow, and sometimes also a
sanguineous, saliva flows from mouth at night.─While sitting asleep in
afternoon saliva runs from mouth.─In morning in bed mouth full of salt
water.─In morning mucus and tongue are salt.─Copious
accumulation of viscid mucus in mouth and throat, with frequent expectoration.─Offensive
smell from mouth.─Tongue: dry, red or brownish, and cracked; triangular
red tip; yellowish-white at root.─Tongue white; often on one side.─Sensation
as if tongue covered with a skin.
9. Throat.─
Sensation of dryness of throat.─Sore
throat, as if caused by internal swelling, with pain as from a bruise even when speaking,
and with pressure and shootings during deglutition.─Sensation in throat
as if something were torn out of it.─(Sore throat after exertion in
speaking.).─Difficulty in deglutition and pain in swallowing solid food
as from contraction of throat and śsophagus; difficult swallowing of liquids as from
paralysis.─Brandy causes an extraordinary burning sensation in throat.─Copious
accumulation of mucus in throat, with frequent hawking in morning.─Pulsative
pain in bottom of gullet.
10. Appetite.─
Putrid taste, esp. in morning and
after a meal.─Insipid, clammy, acrid, bitter, sour, or metallic taste.─Greasy
taste in mouth but food tastes all right.─Taste as if stomach had been
deranged with putrid meat, but food tastes right.─Sweetish taste in
mouth.─Bitter taste of food, esp. of bread, which appears rough and dry.─Anorexia
with repugnance to all food, esp. bread, meat, coffee, and wine.─Anorexia
in palate and throat with empty feeling at stomach, and at same time ravenous hunger, which
goes off after sitting for some time.─Sensation of fulness and satiety
in stomach, which takes away all appetite.─After a meal strong
disposition to sleep, pressure and fulness in stomach and abdomen, nausea with inclination
to vomit, lassitude, vertigo, and shuddering.─When eating sudden
vomiting.─Bread lies heavy on stomach.─Want of
appetite with unquenchable thirst.─Hunger without appetite.─Pain
and heat of head after drinking beer.─Thirst most frequently from a
sensation of dryness in mouth, also at night or in morning, with desire chiefly for cold
water and cold milk.─Craving for dainties; for oysters.
11. Stomach.─
Risings with taste of food.─Empty
risings after a meal or after drinking.─Eructations from stomach, which
seems to be transferred to r. side of chest, as if it settled there.─Violent
risings with tingling in stomach, > by lying down, < on getting up.─Pituita in the stomach.─Pain
in stomach and nausea from drinking ice-water.─Nausea and disposition to
vomit, principally after a meal and after drinking, as also in night or morning after
rising, > by lying down.─Vomiting
immediately after eating.─Pains in stomach as if there were a stone in
it, esp. after a meal; and when standing.─Pressure at stomach and
scrobiculus, often with obstructed respiration.─Beating and shooting in
epigastric region.─Squeezing, sensation of swelling, and pain as from
ulceration in pit of stomach.─Sensation of coldness in stomach.─Sensation
in pit of stomach as if something were torn away from it, esp. on stooping or making a false
step.
12. Abdomen.─
Distension of abdomen, esp. after a
meal.─Pressive drawing from below upward, in l. hypochondrium.─Soreness,
as if beaten, in hypochondria, and still more in abdomen; <
on side lain on when turning and when beginning to move.─Pressive
heaviness in abdomen, from a weight.─Contractive spasms in abdomen,
which force patient to remain bent double.─Hard and visible contraction
of abdomen across navel; abdomen distended above and below this stripe.─(Pain
in abdomen with tightness across forehead and sleeplessness.─Violent and
continuous pain round navel, caused by retching.─R. T. C.).─Digging
turning in abdomen, as if caused by a worm.─Incisive tearings, jerks,
and pinchings in the abdomen (esp. after eating; >
after stool).─Pain in region of ascending colon.─Burning
sensation in the abdomen.─Relaxation of the abdomen, with internal
shaking at every step.─Violent colic, often at night, or < by all kinds of food or drink, sometimes with sanguineous
evacuations.─Sensation in abdomen as if something were torn away.─Scarlet
colour of abdomen.─Soreness in integuments of abdomen, as if they were
ulcerated, esp. on stretching in morning.─Swelling of inguinal glands.─Pressure
in groins towards exterior as if a hernia were about to protrude.─Bloated
abdomen, esp. after eating.─Great flatulence, with grumbling,
fermentation, and pinching movements in abdomen.─Exceedingly offensive
flatus.
13. Stool and Anus.─
Constipation, sometimes
alternating with diarrhśa.─Hard and slow evacuations.─Tenesmus,
sometimes with nausea, and tearing or pinchings in abdomen.─Painful
tenesmus without stool.─Evacuations loose, bloody, watery, or mucous,
frothy, gelatinous, red, or streaked with white and yellow.─Dysentery;
jelly-like, odourless stools, more frequent after midnight, preceded and followed by much
pain with great restlessness.─Obstinate or dysenteric diarrhśa.─Fćces
perfectly white.─Nocturnal diarrhśa, with violent colic, headache, and
pains in all limbs (> after an evacuation or when
lying on abdomen).─Chronic painless diarrhśa, only in morning preceded
by marked commotion in the bowels.─Diarrhśa with tearing pains running
down back of the leg with every stool.─Involuntary stools when asleep at
night.─Short respiration during stool.─Tingling and
itching in anus and rectum.─Sense of constriction in rectum, as though
one side had grown up.─Protrusion of hćmorrhoids from anus after a soft
evacuation, with pain as of excoriation.
14. Urinary Organs.─
Retention of urine.─Frequent
and urgent want to urinate, day and night, with profuse emission.─Incontinence
of urine, esp. during repose (at night or when sitting).─Urine emitted
in a divided stream.─Emission, drop by drop, of blood-red urine, with
tenesmus.─Diminished emission of urine, although much drink may be
taken.─Deep-coloured, irritating urine, which soon becomes turbid.─White,
turbid urine.─Urine clear as water with a snow-white sediment.─Swelling
of urethra.
15. Male Sexual Organs.─
Profuse eruption on
genital organs (closing the urethra by swelling).─Inflammation of the
glans.─Running vesicles on the glans.─Swelling of
the glans and prepuce; prepuce dark red.─Paraphimosis.─Red
spots (blotches) on the interior of prepuce.─Swelling and thickening of
scrotum (with intolerable itching).─Erysipelas of scrotum.─(Hydrocele;
from over-lifting).─Scrotum flaccid and hanging low.─Moist
eruption on scrotum.─Frequent erections at night, with want to urinate.─Strong
sexual desire in morning.
16. Female Sexual Organs.─
Catamenia premature and
too profuse.─Menstrual flow light-coloured and acrid, causing biting
pain in the vulva.─Erysipelatous inflammation of the external genitals.─Soreness
of vagina soon after (or hindering) coitus.─Catamenia of too long
duration.─Menstrual discharge =
violent pain in vulva.─Membranous dysmenorrhśa.─Menorrhagia
from strains; from wetting.─Discharge of blood during pregnancy.─Pain
as from excoriation and shootings in vagina.─(Uterine polypus with
metrorrhagia.─Relieves shooting pains of cancer uteri.─R.
T. C.).─Bearing-down pain; when standing.─After-pains
of too long duration, after severe labour, with much and excessive straining.─Discharge
of blood and clots of blood from uterus, with labour-pains.─After
labour, vitiated discharge from vagina, with shootings upward in the parts and a bursting
sensation in the head.─For weeks after delivery pain in r. limbs with
numbness from hips to feet (varicose veins).─Abortion from strain.─Axillary
abscess after delivery.─Breasts painfully distended, red in streaks,
rheumatic state.─Amenorrhśa from getting wet; with milk in breasts.─Milk-leg,
typhoid metritis after delivery.─Diminished secretion (or suppression)
of milk; with burning over body.
17. Respiratory Organs.─
Hoarseness and roughness
of throat, with a sensation of rawness in chest.─Sensation of coldness
in throat on taking an inspiration.─Tendency to be choked when
swallowing.─Burning exhalation from larynx.─Sensation
of constriction in throat-pit after a short walk.─Cough excited by a
tickling in air-passages; generally short and dry, with anguish and shortness of breath, and
principally in evening before midnight.─Dry, fatiguing cough.─Dry,
teasing cough coming on just before the chill and continuing during the chill.─Cough
with vomiting of food, esp. in evening, and when lying on back.─Cough
after waking in morning.─During the cough gets a taste of blood in the
mouth but does not cough up blood.─Short cough with bitter taste in
mouth, in evening after lying down and in morning after waking.─Cough
with stitches in chest and profuse general perspiration.─Whooping-cough;
spasmodic, violent cough, caused by tickling in larynx and chest, with expectoration (except
in evening) of acrid pus or greyish-green cold mucus of putrid smell; or of pale, clotted,
at times brown blood.─Putting hand out of bed brings on a cough.─Pneumonia
with typhoid symptoms, often after re-absorption of pus.─Cough with pain
in stomach, or with shaking in chest and head.─Terrible cough which
seems as if it would tear something out of chest.─Cough with
expectoration of, a bright-red blood and sensation of faintness in chest.
18. Chest.─
Difficult respiration after a moderate
walk.─Anxious oppression of chest, even at night.─Nausea
in chest; < stooping.─Respiration
impeded by a pressure and squeezing in pit of stomach.─Shortness of
breath in evening with tension in chest.─Frequent want to take a full
inspiration.─Weakness in chest, which renders speech difficult after a
walk in open air.─Sensation of constriction in chest.─Shootings
and lancinations in chest and sides of chest; esp. when sitting with body bent forwards,
when speaking, when breathing deeply, when sneezing, seldom when walking or when using
vigorous exertion.─Inflammation of lungs, also pneumonia nervosa.─Pleurodynia,
chest pains shoot into shoulders (Rh. rad.).─Tingling
in chest, with tension of muscles of chest, < by
repose.─Rush of blood to chest.
19. Heart.─
Weakness and sensation of trembling in
heart.─Violent palpitation of heart while sitting quietly.─Shootings
in region of heart, with painful sensation of paralysis and numbness of l. arm.─Pulse
rapid, small, compressible.
20. Neck and Back.─
Rheumatic stiffness of nape
and neck, with painful tension during movement.─Painful swelling of
axillary glands.─Rheumatic tearing between scapulć, not affected by
movement, < by cold, >
by heat.─Tearing between shoulders, drawing together from both sides.─Transient
coldness in back.─Contusive pain in loins, esp. on touching the parts,
and during repose.─Pain in small of back when sitting still or when
lying; > when lying on something hard or from
exercise.─Bruised pain in sacrum when he lies still on it or sits still;
feels nothing of it when moving.─Painful rigidity in loins.─Painful
exostosis on sacrum.─Distortion of the vertebral column.─Pains
in loins, in back, and nape, as from lifting too great a weight.─Drawing
and stitches in back, esp. when seated and on stooping.─Opisthotonos.
21. Limbs.─
Swelling, stiffness, and paralysed
sensations in joints, from sprains, over-lifting, or over-stretching.─Lameness,
stiffness, and pain on first moving after rest, or on getting up in morning; > by constant motion.─Trembling or
sensation of trembling in limbs.─The limbs on which he lies, esp. arms,
go to sleep.─Rheumatic tension, drawing, tearing in limbs, during rest.─Excessively
cold hands and feet all day.
22. Upper Limbs.─
Burning shooting under l.
axilla, on the arm.─Tearing and burning sensation in shoulder, with
paralysis of arm, esp. during the cold season, during repose, and in heat of bed.─Coldness,
paralysis, and insensibility of arm.─R. arm weak; rheumatic paralysis.─Exostosis
in arm, with burning sensation and ulcers, which discharge a sanious pus.─Erysipelatous
swelling and pustules, with burning itching in arms, hands, and fingers.─Red
spots on arms.─Violent stitches in r. upper arm from without.─Jerks,
shootings, and tearing in arms.─Tension in elbow-joint.─Jerking
tearing in elbows, wrists, and joints of fingers.─Digging in bones of
the forearm.─Weakness and rigidity of forearm and fingers during
movement, and trembling of those parts after the least exertion.─Hot
swelling of the hands in evening.─Swollen veins on hands.─Vesicular
eruption in clusters on wrist.─Rhagades; smarting of back of hands.─Back
of hand covered with chaps and hot; skin hard, rough, and stiff.─Tearing
in all the finger-joints.─Warts on hands and fingers.─Hangnails.─Swelling
of fingers.─Jerking in thumbs.─Contraction of
fingers.
23. Lower Limbs.─
(Eruption with sweat in cleft of
nates.).─Aching pains in legs; must change position every moment.─(Pains
in l. lower limb, thigh chiefly, from septic absorption in old abdominal disease, with
vesical irritation.─R. T. C.).─Shootings and
tearings in hip-joint, extending to ham, esp. when resting on foot; or with dull drawings
and burning sensation during repose, and painful sensibility of joints on rising from a seat
or on going up stairs (or other over-exercise; involuntary limping).─Tension
and stiffness of the muscles and joints of hips, thighs, legs, knees, and feet.─Paralysis
of the lower extremities.─Cramp in calf after midnight, when lying in
bed, and when seated after walking; it goes off on bending the knee.─Cramps
in buttocks, thighs, and calves, esp. at night, in bed, or when seated after walking.─Spasmodic
twitching of the limbs when stepping out.─Tension in the knee as if the
tendons were too short.─Painful swelling above knee.─Drawing
and jerking tearing in the thighs and legs.─Lancinations in the thighs,
legs, knees, feet, and toes.─Heaviness in legs, esp. in hams and calves.─Tingling
pain in shafts of tibić at night when the legs are crossed, with constant necessity to
move, preventing sleep.─Coldness in l. tibia.─Paralysis
of legs and feet.─Shootings and wrenching pain in anklebones when
resting on foot.─Inflammatory swelling of instep, sometimes with
pustules and miliary pimples on part affected.─Swollen round ankles
after sitting too long, particularly in travelling.─Erysipelatous
swelling of feet.─Swelling of feet in evening.─Numbness
and paleness of feet (feet dead).─Distortion of toes.─Corns
on feet, with burning sensation and pain as from excoriation.
24. Generalities.─
[We are led to think of this
remedy where we find an irresistible desire to move or change the position every little
while, followed by great relief for a short time, when they must again move, and experience
the same relief for a short time; this condition is usually <
at night.─After resting for a time, or on getting up from sleep, when
first moving about, a painful stiffness is felt, which wears off from continual motion; but
relief is experienced from continual motion─e.g.,
a nursing mother may have sore nipples, and when the child begins to nurse, the nipple hurts
exceedingly, but on continued nursing it becomes much easier.─Pain in
chest (often rheumatic), < by using arms─as
in making a bed, sweeping, &c., stiffness of nape of neck; sensation as if flesh were
beaten off the bones, or as if a dog were gnawing it off; as if any part were contracted; as
if a part were increased in size; as if certain parts were grown together; of heaviness in
outer or inner parts; jerking pains in outer parts; darting and rending pains; of tension or
tightness in outer or inner parts; arthritic pain in the joints; trembling sensation in
inner parts; dyspeptics often complain of trembling in the stomach; of scraping along the
periosteum.─For any troubles or complaints, whether acute or chronic,
resulting from a sudden and a thorough drenching by a shower of rain; by getting wet in any
way; there may be troubles of very long standing, which were so caused.─Troubles
in general affecting the r. abdominal ring; l. chest; l. arm; l. lower extremity; l. side of
body; of scalp, as in erysipelas when it runs up to the scalp; glands about the neck,
particularly if they are swollen or inflamed with red streaks, as often are in scarlet
fever; joints of the jaws, particularly when they are <
on beginning of motion, and get > from continued
motion; of the abdominal cavity in general; mons veneris, there may be a great deal of
itching, sometimes a hard blue boil is found there; shoulder-blades; small of the back, as, e.g., when one stoops his back hurts so that he cannot straighten
up without help─this may result from an old sprain, or from a sudden
“crick” in the back; sacrum; buttocks; forearm; shoulder, back of hand; fingers
joints in general shoulder-joint; elbow, wrist, bones of the arm; calves; joints of the leg
hip-joint, knee, and ankle; weakness of joints.─Coagulated blood from
the nose; cough bloody, blood being coagulated; face covered like erysipelas; increase of
saliva; difficulty in swallowing, it hurts so in the back; fluent catarrh of the nose.─Inability
at first to move the parts affected.─One is very easily sprained by
lifting; palsy of the limbs; staggering when walking.─Strictures after
inflammation, and hence may sometimes be used for strictures resulting after gonorrhśa;
swelling in general, with inflammation and without; debility; aversion to washing; wounds,
with sprained muscles.─Axillary glands where the swelling is very deep
and hard.─Symptoms < before a
storm of rain; after midnight; in the morning; before falling asleep; from bathing; can’t
bear cold water; complaints coming on in autumn; on taking a deep breath; on inspiration;
from cold in general; in cold air; in cold and wet weather; from coughing; while chewing;
from drawing up the limbs; from exertion of the body; after drinking; after fatigue; on
uncovering the head; from surgical injuries; from sprains; from lying down; from lifting;
from cold food; cold water; anything cold; during perspiration; from wet poultices; while
resting; on first rising; while sitting; while talking; after undressing; in foggy, or foggy
and wet weather; from getting wet; in winter; from getting wet while perspiring; women in
confinement; small-pox; after-effects of syphilis.─H. N. G.].─Epidemic
diseases with śdema of fauces threatening śdema glottidis, vesicles stud pharynx and voice
is hoarse; rawness and roughness of pharynx (Dunham).─Rheumatic and
arthritic drawings, tension, and tearings in limbs, increased to the highest degree during
repose, as well as in bad weather, at night, and in the heat of the bed, often with
sensation of torpor and numbness in the part affected after moving it.─Cramp
and tension in different parts as from contraction of tendons.─Contraction
of some of the limbs.─Tensive shootings and stiffness in the joints, < on rising from a seat, and in open air.─Paralytic
rigidity in limbs, esp. on beginning to move the part after repose.─Ready
benumbing of parts on which patient reclines.─Torpor of some parts with
tingling and insensibility.─Tingling in parts affected.─Wrenching
pain in limbs.─Paralysis, sometimes semilateral.─Red
and shining swellings, with shooting pain as from excoriation when touched.─Contusive,
or else a sensation in some places as if the flesh were detached from the bones.─Pressive
drawing in periosteum as if the bones were scraped.─Sensation in
internal organs as if something were torn away.─Swelling and induration
of glands.─Icterus.─Jerking in muscles and limbs.─Convulsive
movements and other sufferings, resulting from a cold bath.─Semilateral
affections.─< And appearance of pains
and symptoms during repose or at night, as also on entering a room from the open air; > obtained by movement and walking.─The
cold, fresh air is not tolerated; it seems to make the skin painful; (a keynote on
rheumatism.─Dunham).─Reproduction or < of many sufferings in unfavourable weather.─General
excitability of nervous system, < by slightest
indulgence of anger.─Drawings in all the limbs when lying down.─Trembling
of limbs after the least fatigue.─Unsteady gait.─Great
lassitude and weakness with want to lie down.─Syncope.─Inability
to bear the open air whether it is hot or cold; it makes a painful impression on the skin.
25. Skin.─
Vesicular erysipelas where the vesicles
are large.─Exanthema on face in general-on chin, face, cheeks, mouth,
nose, forehead, causing much burning itching.─Pustulous chilblains.─Exanthema
in general; burning; burning itching; pustulous; with swelling; blotches; like milk-crust;
moist; like nettle-rash; blue with erysipelas; scurfy; tensive or tight feeling in;
pock-shaped; black; purulent; zona or shingles; petechić; prickling; tickling; blisters
which will sometimes spread up the limb, and are sometimes circular in form, spreading with
a red edge in the advance, which gradually turns to a blister, the red border still keeping
in advance (if the edges be black, Arsen.); itching < after scratching.─Tetters in general.─Ulcers
burning; with corroding pus; with ichorous pus.─Rash itches a great
deal, in scarlet fever, small-pox, &c., with the peculiar restlessness.─Phlegmonous
erysipelas, esp. where the erysipelas begins in the ankle, and moves gradually up the leg,
running up in the deeper tissues, no fever.─Itching over whole body,
chiefly in hairy parts.─Stinging and tingling on skin, burning after
scratching.─Humidity of skin.─Hardness of skin with
thickening.─Swelling (hard) of affected parts.─Erysipelatous
inflammations.─Nettle-rash.─Eruptions, generally
vesicular, scabby, with burning itching, appearing esp. in spring and autumn.─Eruption
of small pustules on a red bottom, like zona.─Gangrenous ulcers
resulting from small vesicles, with violent fever.─Petechić, with great
weakness, amounting to entire prostration.─Black pustules.─Herpes,
sometimes alternately with asthmatic sufferings and dysenteric looseness.─Warts,
esp. on hands and fingers; large jagged, often pedunculated, exuding moisture and bleeding
readily.─Rhagades on hands.─Panaritium.─Tingling
or shooting or else burning smarting in ulcers, esp. at night.─Chilblains.─Corns
on feet, with burning sensation, and pain as of excoriation.
26. Sleep.─
Frequent, violent, and spasmodic
yawnings.─Spasmodic yawning without inclination to sleep, and with
stretching of limbs and pain as from dislocation of articulation of the jaw.─Yawning
in general; with violent stretching of the limbs; falling asleep late; lying on the back
during sleep.─Strong disposition to sleep during day, and also in
morning in bed.─Somnolency, full of distressing and broken dreams.─Sleeplessness,
esp. before midnight, generally caused by a sensation of heat, ebullition of blood, and
uneasiness which does not permit patient to remain lying down.─Disturbed
sleep, with anxious and frightful dreams.─Coma somnolentum, with
snoring, murmurs, and carphology.─Sleep hindered by gloomy ideas.─Waking
caused by bitterness and sensation of dryness in mouth.─Sleep at night
hindered by a pressure at stomach, digging pinchings in abdomen, and nausea, with
inclination to vomit.─Inability to remain lying on side at night.─Starts
with fright and jerking of body during sleep.─Incomplete and agitated
sleep, with tossing and many troublesome thoughts.─Vivid dreams of the
business of the day, with talking during sleep.─Weeping while asleep.─Dreams
of fire.─Sleep, with open mouth and short breathing.
27. Fever.─
Pulse irregular; generally accelerated
but weak, soft; sometimes it cannot be felt or is intermittent.─Shivering
and coldness, generally in evening, and accompanied by paroxysms of pain, and other
accessory symptoms.─External coldness along skin; coldness, but does not
mind cold air.─Shivering and shaking in open air, with violent thirst.─Continual
transient shiverings, as if cold water had been thrown over body.─Sensation
of coldness on moving even but a little.─Chill in back and heat in
anterior portion of body.─Coldness and paleness of face, alternately
with heat and redness.─Shiverings and heat intermixed, either general
and simultaneous (internal shivering with external heat, and vice
versâ), or in different parts.─General heat, as if hot water
were thrown over him, or as if the blood were flowing hot through the veins.─General
perspiration, frequently already during the heat, and then often not in the face.─Fever
in evening, first shivering, then heat and thirst, (and perspiration) accompanied or
followed by cuttings and diarrhśa.─First headache (throbbing in
temples); afterwards chilliness, with thirst and tearing pains in limbs as from fatigue;
afterwards general warmth, with slight chills during motion and livid face; finally profuse,
sour-smelling perspiration.─Tertian or quotidian fever.─Tertian
fever with nettlerash, which disappears after the attack; during the apyrexia burning and
redness in sclerotica.─Double tertian fever; first shivering and thirst,
then general heat, with shivering on least movement, lastly perspiration.─During
the shivering pain in limbs, headache, vertigo, pulsative toothache, accumulation of saliva
in mouth, and inclination to vomit.─During nocturnal heat drawing in all
limbs.─Transient heat with perspiration, commencing from umbilical
region, and rapidly alternating with shiverings.─During or after the
fever, jerks, tingling in ears, deafness, dry coryza, sleeplessness, with restless tossing,
jaundice, and nettle-rash, pressure in pit of stomach, palpitation of heart with anxiety,
colic, diarrhśa, and other gastric affections, and nocturnal thirst.─Malignant
fever with loquacious delirium, violent pains in all limbs, excessive weakness, dry or black
tongue, dry, brownish, or blackish lips, heat and redness in cheeks, carphologia, pulse
quick and small, coma somnolentum, with snoring and moans.─Sweat during
the pains.─Perspiration in general; with heat; offensive.─Perspiration
when seated, often with violent trembling.─Nocturnal sweat, sometimes
with miliary and itching eruption.─Sweat in morning, sometimes of an
acid smell.─Sweats from warm drinks.─Constant
perspiration.® 2000
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