Plumbum Metallicum plb.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

CORD AND NERVES: MUSCLES. ABDOMEN. Kidneys. Navel. Blood-vessels. Blood.

Worse

Clear weather. Open air. Exertion. Motion. Company. Grasping smooth objects. Touch.

Better

Hard pressure. Rubbing.

General

Slow, insidious processes, having violent side symptoms; often of very changeable or incoherent character; coming in single parts, etc. Paralysis. Atrophied limbs with plump body; paralysed parts < touch. Sensitive to open air. Impulse to stretch. Exaggerates her condition. Retraction; anus, testes, navel, etc. Increasing slowness and apathy. Deep, bluish red sclerotic. Abdomen is drawn into uneven lumps (Ars. Ign.). Abdominal distress that impels her to stretch. Urination slow, yet profuse. VIOLENT CONTRACTION. Retraction. Lightning pains that extort cries. Boring. Cramps (periodical), convulsions or (flaccid) paralysis; with hæmorrhage or hyperæsthesia. Chronic epilepsy, with marked aura. Wasting of single (upper) parts, or of paralysed parts. Sclerosis. Gout.

Particulars

Taciturn. Timid, restless and anxious. Fears assassins. Physical labor exhausts the mind. Stupidity. Melancholy. Delirium; nocturnal; alternating with colic or pains in limbs. Twitching of r. face. Yellow sclerotic and inside of mouth. Trembling tongue. Sticky saliva. Sweet taste. Aphthæ. Dysphagia. Foul or fecal eructations. NAVEL FEELS RETRACTED. Colic; accompanies many symptoms. Radiating abdominal pains, or boring, or as if forced through a narrow place. Tense abdomen. Hernia at navel. Anus feels drawn up, or painfully contracted. Stool, granular; of hard, black balls, like sheep dung; passed with an urging cramp. Stubborn constipation or colics of infants. Retracted testes. Pollutions. Bluish, red spots. Dry oversensitive skin. Dry, burning ulcers. Takes odd positions during sleep. Wiry pulse. Coldness from exertion. General cold sweat during stool. Feet cold, when walking only.

Related

Complementary: Rhus-t. Thallium. Related: Op.

Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica

H. C. Allen · Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica · homeoint.org / Medi-T HTML text; edition not stated by the mirror (first edition 1898, Allen d. 1909)

Keynote

Adapted to diseases from spinal origin (Phos., Pic. ac., Zinc.). Excessive and rapid emaciation; general or partial paralysis; extreme, with anaemia and great weakness. Muscular atrophy from scelorisis of spinal system. Lassitude; faints on going into a room full of company. Slow of perception; intellectual topor, gradually increasing apathy (in fevers, Phos. ac.). Weakness or loss of memory; unable to find the proper word (Anac., Lac c.). Delirium alternating with colic. Assumes strangest attitudes and positions in bed. Complexion: pale, ash-colored, yellow, corpse-like cheeks sunken; expressive of great anxiety and suffering. Skin of face, greasy, shiny (Nat. m., Sanic.). Distinct blue line along margin of gums; gums swollen, pale, show a lead-colored line. Excessive pain in abdomen, radiating to all parts of body. Sensation in abdomen at night, which causes patient to stretch violently for hours; must stretch in every direction (Amyl. n.). Violent colic, sensation as if abdominal wall was drawn as if by a string to the spine. Intussusception, with colic and faecal vomiting; strangulated hernia, femoral, inguinal or umbilical. Constipation: stools hard, lumpy, black like sheep-dung (Chel., Op.); with urging and terrible pain from spasm of anus; obstructed evacuation from indurated faeces, dryness of the excretions, paralysis or muscular atony; during pregnancy; from impaction of faeces; when Platina fails. Bright's disease: colic pain; abdomen retracted; rapid emaciation; excessive debility; contracted kidney. Feels a lack of room for foetus in uterus; inability of uterus to expand; threatening abortion. Spasm: clonic; tonic; from cerebral sclerosis or tumor; epilepsy or epileptiform convulsions. Yellow skin: dark brown "liver spots" in climacteric years; jaundice, the eyes, skin and urine yellow.

Relations

Compare: Alum., Plat., Op., in colic; Pod. in retraction of navel; Nux in strangulated hernia; Pod. the vegetable analogue. The bad effects of Plumbum are antidoted by Alum., Petr., Plat., Sulph. ac., Zinc.

Aggravation

At night (pains in limbs).

Amelioration

Rubbing; hard pressure.

Key-Notes to the Materia Medica

Henry N. Guernsey · Key-Notes to the Materia Medica · homeoint.org / Médi-T HTML text (Guernsey d. 1885; public domain)

Stomach and Abdomen

Drawing pain from before backward, as though the abdomen were drawn in and through towards the back-bone, sometimes making the abdomen concave; sensation as though a string were inside the abdomen drawing it in; generally there is great despondency with this pain. Painters' colic with this sensation as though the abdomen were drawn in and was touching the spine; pulse may be down very low, 50 or even 40; gastralgia with sensation as though the abdomen and backbone met. Great liver remedy; inner belly in general: inner region of the navel: sometimes umbilical hernia, and is an excellent remedy for this. Left side of the abdomen generally.

Stool

Constipation with stools like sheep dung; balls in conglomerate masses, discharged with difficulty; obstructed evacuation by the induration of feces.

Generalities

Jaundice, where the sclerotica of the eye is yellow, face is yellow; urine is yellow; vomiting in bed after retiring for the night, restless, sleepless, etc. Loss of smell; reddish-yellow face. Affections in the lower teeth; tongue; sweetish taste, as in expectoration of cough with sweetish taste. Obstructed flatus with terrible colic. Retraction of soft parts in general; convulsions with jerking; epilepsy without consciousness; pinching pain with sensation of tearing; sphacelus; gray ulcers; paralysis of the limbs of those who work in lead.

Worse

In the night; from rubbing.

Remedies following

Bellad., Lycop., Mercur., Phosphor., Pulsat., Silic., Sulphur (sometimes Arsen.).

Antidote

Platina.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Distinct blue line along margins of gums. Violent colic; abdomen retracted to the spine, as if drawn in by a string. Excruciating pains in the umbilical region, to other portions of the abdomen and body, somewhat relieved by pressure. Constipation; stools scanty, hard, in lumps, or balls like sheep's dung, black or green colour, passed with difficulty. Sharp, lightning-like neuralgic pains in lower limbs, mostly from hips to knees, occurring in paroxysms, more from movement.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Lead

General

The great drug for general sclerotic conditions. Lead paralysis is chiefly of extensors, forearm or upper limb, from center to periphery with partial anæsthesia or excessive hyperasthesia, preceded by pain. Localized neuralgic pains, neuritis. The blood, alimentary and nervous systems are the special seats of action of Plumbum. Hematosis is interfered with, rapid reduction in number of red corpuscles; hence pallor, icterus, anæmia. Constrictive sensation in internal organs.

Delirium, coma and convulsions. Hypertension and arteriosclerosis. Progressive muscular atrophy. Infantile paralysis. Locomotor ataxia. Excessive and rapid emaciation. Bulbar paralysis. Important in peripheral affections. The points of attack for Plumbum are the neuraxons and the anterior horns. Symptoms of multiple sclerosis, posterior spinal sclerosis. Contractions and boring pain. All the symptoms of acute. Nephritis with amaurosis and cerebral symptoms. Gout (Chronic).

Mind

Mental depression. Fear of being assassinated. Quiet melancholy. Slow perception; loss of memory; amnesic aphasia. Hallucinations and delusions. Intellectual apathy. Memory impaired (Anac; Baryta). Paretic dementia.

Head

Delirium alternating with colic. Pain as if a ball rose from throat to brain. Hair very dry. Tinnitus (Chin; Nat salic; Carbon sulph).

Eyes

Pupils contracted. Yellow. Optic nerve inflamed. Intraocular, suppurative inflammation. Glaucoma, especially if secondary to spinal lesion. Optic neuritis, central scotoma. Sudden loss of sight after fainting.

Face

Pale and cachetic. Yellow, corpse-like; cheeks sunken. Skin of face greasy, shiny. Tremor of naso-labial muscles.

Mouth

Gums swollen, pale; distinct blue lines along margins of gums. Tongue tremulous, red on margin. Cannot put it out, seems paralyzed.

Stomach

Contraction in œsophagus and stomach; pressure and tightness. Gastralgia. Constant vomiting. Solids cannot be swallowed.

Abdomen

Excessive colic, radiating to all parts of body. Abdominal wall feels drawn by a string to spine. Pain causes desire to stretch. Intussusception; strangulated hernia. Abdomen retracted. Obstructed flatus, with intense colic. Colic alternates with delirium and pain in atrophied limbs.

Rectum

Constipation; stools hard, lumpy, black with urging and spasm of anus. Obstructed evacuation from impaction of feces (Plat). Neuralgia of rectum. Anus drawn up with constriction.

Urinary

Frequent, ineffectual tenesmus. Albuminous; low specific gravity. Chronic interstitial nephritis, with great pain in abdomen. Urine scanty. Tenesmus of bladder. Emission drop by drop.

Male

Loss of sexual power. Testicles drawn up, feel constricted.

Female

Vaginismus, with emaciation and constipation. Induration of mammary glands. Vulva and vagina hypersensitive. Stitches and burning pains in breasts (Apis; Con; Carb an; Sil). Tendency to abortion. Menorrhagia with sensation of string pulling from abdomen to back. Disposition to yawn and stretch.

Heart

Cardiac weakness. Pulse soft and small, dichrotic. Wiry pulse, camp-like constriction of peripheral arteries.

Back

Spinal cord sclerosed. Lightning-like pains; temporarily better by pressure. Paralysis of lower extremities.

Skin

Yellow, dark-brown liver spots. Jaundice. Dry. Dilated veins of forearms and legs.

Extremities

Paralysis of single muscles. Cannot raise or lift anything with the hand. Extension is difficult. Paralysis from overexertion of the extensor muscles in piano players (Curare). Pains in muscles of thighs; come in paroxysms. Wrist-drop. Cramps in calves. Stinging and tearing in limbs, also twitching and tingling, numbness, pain or tremor. Paralysis. Feet swollen. Pain in atrophied limbs alternates with colic. Loss of patellar reflex. Hands and feet cold. Pain in right big toe at night, very sensitive to touch.

Modalities

Worse, at night, motion. Better, rubbing, hard pressure, physical exertion (Alumen).

Relationship

Compare: Plumb acet (painful cramps in paralyzed limbs; severe pain and muscular cramps in gastric ulcer; locally, as an application (non-homeopathic) in moist eczema, and to dry up secretions from mucous surfaces. Care must be used, as sufficient lead can be absorbed to produce lead poison, one to two drams of the liquor plumbi subacetatis to the ounce of water; also in pruritus pudendi, equal parts of the liquor plumbi and glycerin). Plumb iodat (Has been used empirically in various forms of paralysis, sclerotic degenerations, especially of spinal cord, atrophies, arterio-sclerosis, pellagra. Indurations of mammary glands, especially when a tendency to become inflamed appears; sore and painful. Indurations of great hardness and associated with a very dry skin. Lancinating pains of Tabes). Compare: Alumina; Plat; Opium; Podoph; Merc; Thall. Plectranthus (paralysis, spastic, spinal form); Plumb chromicum (convulsions, with terrible pains; pupils greatly dilated; retracted abdomen;); Plumb phosph (loss of sexual power; locomotor ataxia).

Antidotes: Plat; Alum; Petrol.

Dose

Third to thirtieth potency.

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

Quiet and melancholy mood. Anxiety, with restlessness and yawning. Wild delirium, with distorted countenance.

Head

Vertigo, especially on stooping and on turning the eyes upwards. Stupefaction of the head, he falls down unconscious. Heaviness of the head, especially in the cerebellum. Congestions of blood to the head, with heat and beating in it. Headache as if a ball were rising from the throat into the brain. Great dryness of the hair, it falls off even in the beard.

Eyes

Inflammation of the eyes, with congestion of blood to them. Pressing in the eyes, as if the balls were too large. Pupils contracted. Paralysis of the upper eyelids. Spasmodic contraction of the eyelids. Yellow color of the white of the eye. Cloudiness before the eyes, inducing one to rub them.

Ears

Stitches and tearing in the ears. Hardness of hearing ; often sudden deafness.

Nose

Erysipelatous inflammation of the nose. Fetid odor before the nose. Much tough mucus in the nose, which can only be discharged through the posterior nares. The nose is cold.

Face

Face pale, yellowish, like a corpse. Bloated face. Swelling of one side of the face. The skin of the face is greasy, shining. Painless pealing off of the lips. Lock-jaw. Tearing in the jaws, relieved by rubbing them.

Mouth and Throat

The teeth become black. Yellow mucus on the teeth. Teeth hollow, decayed, crumbling off, and smelling offensively. Pale, swollen gums ; purple-colored thin border on the gums nearest the teeth. Hard, painful tubercles in the gums. Grinding of the teeth. Dryness in the mouth. Aphthæ and dirty-looking ulcers and purple blotches in the mouth and on the tip of the tongue. Sensation in the throat as from a plug or foreign body. It rises in the throat like a ball (globus hystericus). Constriction in the throat, as soon as the least effort is made to swallow, with great urging to do so. Inflammation of the tonsils, -formation of consecutive, small, exceedingly painful abscesses in the tonsils. Paralysis of the throat, with inability to swallow. Accumulation of sweetish saliva in the mouth. Froth in the mouth. Inflammation, swelling, and heaviness of the tongue. Tongue dry, brown, cracked, or coated yellowish or green. Paralysis of the tongue preventing speech.

Stomach and Abdomen

Violent thirst, especially for cold water. Sweetish taste. Sweetish eructations ; gulping up of sweetish water. Violent vomiting ; of food and of discolored substances, with violent colic ; or of greenish and blackish substances. Vomiting of feces, with constipation. Painful pressure in the stomach. Violent colic ; the abdomen drawn in, especially the nave which seems to be drawn back by a string to the spina column. Constriction of the intestines ; navel and anus are violently drawn in. Colic and paralysis of the lower extremities. Hard lump in the abdomen, as from internal indurations. Rumbling in the abdomen. Inflammation, ulceration and gangrene of the bowels.

Stool and Anus

Constipation ; stools hard, lumpy, difficult to expel. Painful, fetid diarrhœa of yellow feces. Bloody diarrhœa ; watery diarrhœa, with vomiting and violent colic, especially pain in the umbilicus. Painful contraction and constriction of the anus. Prolapsus ani.

Urinary Organs

Difficult emission of urine ; only by drops. Strangury. Hæmaturia.

Sexual Organs

Men. Genitals swollen and inflamed. Constriction of the testicles. The testicles are drawn up. Increased sexual desire with violent erections. Women. Miscarriage.

Respiratory Organs

Spasmodic dyspnœa. Constriction of the larynx. Cough with expectoration of blood, or of pus (after hæmorrhages from the lungs). Dry, spasmodic cough. Breathing heavy, difficult. Stitches in the chest and sides. Anxiety about the heart and violent palpitation.

Back and Neck

Stitches in the back and small of the back and between the shoulder-blades. Tension in the neck, extending to the ears when moving the head.

Extremities

Upper. Convulsive motions of the arms and hands, with pain in the joints. Weakness and painful lameness of the arms. Wens on the hand. Lower. Paralytic sensation in the hip, knee and foot joints. Paralysis of the lower limbs and feet. Swelling of the feet. Fetid foot-sweat.

Generalities

Twitching in the limbs. Paralysis of the limbs. Sensation of constriction, with pain and spasms, in internal organs. Epileptic attacks ; convulsions. Dropsical swellings. Emaciation, especially of the paralyzed parts, followed by swelling of those parts.

Sleep

Somnolency. Great sleepiness during the day. Sleeplessness at night from colic.

Fever

Pulse very variable, generally contracted, small and slow ; at times hard and slow, occasionally small and quick. Chill predominates, increasing towards evening, with violent thirst and redness of the face. Coldness in the open air and when exercising. Heat with thirst, anxiety, redness of the face, and sleepiness. Internal heat in the evening and at night, with yellowness of the buccal cavity. Perspiration, anxious, cold and clammy.

Skin

Sensitiveness of the skin to the open air. The color of the skin is yellow or pale-bluish. Dark-brown spots on the body. Decubitus. Burning in the ulcers ; small wounds become easily inflamed and suppurate. Gangrene.

Conditions

The ailments develop themselves slowly and intermit for a time, -intermission every third day. The pains in the limbs are worse at night and are relieved by rubbing.

A Dictionary of Practical Materia Medica

John Henry Clarke · A Dictionary of Practical Materia Medica · 1st edition (1900-02, three volumes); homeoint.org / Médi-T HTML digitization

General

PLUMBUM METALLICUM. The Element. Pb (A. W. 206.39). Trituration.

PLUMBUM ACETICUM. Acetate of Lead. Sugar of Lead. Pb (C 2 H 3 O 2 ) 2 3 H 2 O. Trituration.

PLUMBUM CARBONICUM. Carbonate of Lead. Pure White Lead. Plumbic Carbonate. Pb CO 3 , Trituration.

Clinical

Amaurosis. Anæmia . Anæsthesia. Aneurism. Anidrosis . Appendicitis. Asthma. Atrophy. Bone, exostoses on . Brain, softening of; tumour of. Bright's disease. Colic. Constipation . Cystitis. Depression of spirits . Diplopia. Dropsy. Dysmenorrhœa. Dysuria. Emaciation. Epilepsy. Epulis. Eyes, inflammation of . Ganglion. Gout. Hæmoptysis. Hæmorrhoids. Headache . Hernia, strangulated. Hyperæsthesia. Hypopion. Ichthyosis . Intermittent fever. Intestines, obstruction of . Intussusception. Jaundice. Jaw, tumour of. Kidneys, affections of ; granular. Liver, affections of. Lockjaw. Locomotor ataxy. Melancholia . Metrorrhagia. Myelitis . Nephritis. Numbness . Œsophagus, stricture of. Paralysis ; diphtheritic; agitans. Perichondritis . Proctalgia. Progressive muscular atrophy . Prolapsus ani. Sciatica. Spine, diseases of; sclerosis of; tumour of. Spleen, affections of. Stricture. Tabes mesenterica. Tobacco habit . Tongue; paralysis; of. Typhlitis. Umbilicus, abscess of; hernia of. Uric-acidæmia. Vagina, spasm of. Vaginismus. Veins, varicose .

Characteristics

Plumbum , the Saturn of the Alchemists, has been proved by Hartlaub, Trinks, Hering, and Nenning. To their symptoms have been added those of numberless cases of poisoning among workers with lead and painters, symptoms from drinking lead-contaminated waters, from the use of lead in cosmetics, and from cases of suicide. In the old school metallic lead was seldom used, being considered inert; but Bœrhaave gave it internally reduced to an impalpable powder for leucorrhœa, dysentery, syphilis, and gout (Teste). In the form of plaisters and "Goulard water" the salts of lead have been largely used as external applications in skin diseases, vaginal and urethral injections, and much injury has not infrequently resulted, especially from repelled eruptions. The effect of the three preparations of lead enumerated above have all been included in the Schema, as no attempt has ever been made to keep them separate; nor has any specific difference been noted. Among painters and lead manufacturers the best-known symptoms are the colic and drop-wrist. In addition there are set up conditions of kidney irritation with albuminuria, ending in granular degeneration with attendant heart hypertrophy, optic neuritis, and blindness. There is an excess of uric acid in the blood of persons under the influence of lead, and actual gouty deposits and gouty attacks have been observed. In one case of lead poisoning I saw there was chronic enlargement of the knees and contraction of the lower limbs, completely crippling the patient. In another case there were small aneurisms almost all over the body. In those who have drunk lead-contaminated water the effects vary in intensity according to the amount of contamination and duration of exposure. When the poisoning has been going on insidiously for years a state of anæmia is set up, with dry, inactive, scaly skin, and inveterate constipation. Tunzelmann ( B. J. H ., xxxii. 17 ─ quoted C. D. P ., where a full collection of cases may be found) reports a number of cases of acute poisoning from drinking water containing lead: ( 1 ) A cook, ill three weeks. Unable to retain any food on stomach; constant nausea, and even when no food was taken frequent vomiting of greenish watery fluid, < night. Skin yellowish; conjunctivæ decidedly yellow. Tongue furred, coat at back very yellow; horrible taste, fœtor of breath; bowels confined. Extreme debility. Hydrast . 3 gave great relief, but three months later the hands became paralysed, which led to the testing of the drinking-water and the discovery of lead. ( 2 ) Youth, æt. 12, had bronchial catarrh with loose cough and consolidation of left apex. As soon as the poisoned water was stopped he rapidly got quite well. ( 3 ) An elder brother had hæmoptysis, coughing up half a pint of blood. Nothing was found wrong with the lungs beyond slight feebleness of respiration at apices. Three months later, after a day's rowing, the hæmatemesis returned with epistaxis. Now distinct dulness was found at right apex. Rapid recovery followed stopping the water. Caspar ( C. D. P .) relates the case of a pregnant young woman who swallowed three ounces of white lead on October 8th. The first symptoms set in some hours later with vomiting. Next morning she was found suffering from inflammatory pain and jaundice. The evening of the 10th she gave birth to a seven-months' child, and died the following morning. The autopsy revealed: Features relaxed; skin dirty yellow. Bloody, frothy ichor escaped from nostrils in large quantities, and from genitals, saturating the bed; the mouth also, from which the tongue point protruded, was full of it. Abdomen distended and of stony hardness, genitals swollen and discoloured; brain markedly bloodless; pleura contained 8 ozs. of bloody fluid, lungs distended, filled with frothy, decomposed blood; heart empty, very soft, dirty brown; trachea dark cherry-colour. Pectoral muscles very soft, brown, the blood exuding from them being greasy. Liver dirty brown, very soft; spleen filled with black, tar-like blood; both kidneys very soft and full of blood. Blood in vena cava black, tar-like. Women who work with lead frequently abort; women who do not work with lead but whose husbands do, abort in even greater proportion. Children born under these conditions are frequently idiotic or epileptic. According to Teste, Plumb . is particularly adapted to adults, males rather than females; particularly to persons of a dry, bilious constitution, with somewhat jaundiced complexion, irascible, hypochondriac, or disposed to religious monomania. (But children are by no means excluded. I have seen apparently hopeless cases of marasmus in infants with large, hard abdomens and extreme constipation cured with Plumb ., usually in 3rd trituration of the metal or the acetate.) Teste mentions the following cases as having been successfully treated by him with Plumb . ( 1 ) Chronic cystitis. ( 2 ) Stricture after gonorrhœa. ( 3 ) Tenacious salivation (mercurial), < in damp weather, saturating pillow in sleep. ( 4 ) Excessively painful retraction of testes and penis, which seemed to re-enter hypogastrium (consequence of sexual excesses and repelled tetters). ( 5 ) Nightly bone pains (after failure of Merc , &c.). ( 6 ) Pulling and pressive chronic headache in forehead, < by mental labour; intolerable in company. ( 7 ) Mental derangement from syphilis with obscure paralysis of right arm, paroxysms of religious monomania, erotism without erection, periodic fever without sweat, cramp-like retraction of abdomen from time to time. ( 8 ) Nervous disease characterised chiefly by wandering pains in limbs, spasms of facial muscles, paroxysms of screaming, fright without cause, sudden fainting in passing from one room to another or entering a room full of company. ( 9 ) Marsh intermittent with quotidian or double tertian type, especially when splenic region is painful to touch. In such cases, says Teste, neither Ars . nor Chi . can be compared to Plumb . These cases bring out some of the keynotes of Plumb ., and chief among them is: Retraction and sense of retraction . "Violent colic, sensation as if abdominal wall were drawn back by a string to the spine." Actual drawing in of abdomen is frequently present and is characteristic. The cheeks are retracted, sunken. Excessive and rapid emaciation. In the same category with colic are: Cramps, spasms, convulsions, paralyses, tremors. Fröhling ( A. H. Z ., cxxxii. 68 ─ Amer. Hom ., xxii. 422) relates the case of N., farmer, 46, who was taken ill in November, 1893, with attacks of colic with vomiting and extreme constipation; action only obtained by large enemata. Had been constipated in former years but without illness. Opium had given only temporary relief. After December, 1893, vomiting was rarer, but colic increased in intensity up to February, 1894, when Fröhling saw him first, and found him wasted to a skeleton, abdomen drawn in ; appetite bad, felt ill, mind somewhat affected, unable to give sensible answers to questions. Constant urgent call to stool, only small, hard, black balls passed. Liver dulness only heard from upper border of sixth to upper border of seventh rib. Lead poisoning was suspected, but as no evidence of it could be found Plumb . 6 three times a day was prescribed. In six days colic attacks were less frequent, and less severe; two stools passed without enema; mind clearer. Improvement continued in all respects, and in fourteen days N. was able to leave his bed, to which he had been confined since November. By the middle of March he made an hour's journey to see Fröhling, and was hardly recognisable, he had gained so much flesh, and his liver was found of normal size. Wingfield ( M. H. R ., quoted Amer. Hom ., xxi. 426) reported two characteristic cases: ( 1 ) Mrs. D., 50, no children, sparely built, very nervous, constipated fifteen years, takes a teaspoonful of Cascara extract every other night. Tongue coated with yellowish white fur. Has constant headaches, and after each motion is thoroughly exhausted, and has to lie down the rest of the day. Plumb . 6x gr. iii. twice a day. In two days bowels commenced acting naturally. In three weeks headaches gone, tongue clean, much less nervous. ( 2 ) Miss M., 25, florid; has boils appear on face and arms, and chronic constipation. The constipation had been a trouble since she was twelve years old. Slight spinal curvature. Tongue furred, occasionally has headaches. Suffers much at menstrual periods. Plumb . 6x twice daily at once relieved the constipation, and soon the boils disappeared. Patient soon felt quite well. Arriaga ( La Homœopatia , No. 9) 1893; H. M ., xxix. 190), of Mexico city, reports the case of a woman, 73, seized with symptoms of intestinal occlusion, violent colic, nausea, obstinate constipation, meteorism, complete anorexia, and no fever. Nux relieved the colic, and then Plumb . 12, and later 13, gradually brought about recovery in four days. Nash cured a severe case of post-diphtheritic paralysis in a middle-aged man. The leading symptom was excessive hyperæsthesia ─ could not bear to be touched anywhere, it hurt so. Plumb . 40m (Fincke), a single dose, cured. Nash tells of a man, 70, attacked with severe pain in abdomen, and finally a large, hard swelling developed in ileo-cæcal region, very sensitive to contact or least motion. It began to assume a bluish tint, and on account of his age and weakness the man's life was despaired of. But his daughter, the wife of a medical man, found the symptoms in Raue under Plumb ., in the chapter on Typhilitis, and Plumb . 200 cured. Anæsthesia is as strongly marked as the hyperæsthesia of Plumb . The excessive emaciation of Plumb . and the action on the spine make it a remedy of the first importance in progressive muscular atrophy. Among the spasms are: Vaginismus; spasm of uterus and expulsion of its contents; sensation as if there was not room enough for fœtus; spasm of bladder; of œsophagus; strangulated hernia. Clonic or tonic convulsive movements of limbs from cerebral sclerosis or tumour. Epilepsy preceded by vertigo, sometimes sighing, followed by stupid feeling. (In a case cured by Skinner, after a fit the head turned to the right. There was < 8 to 9 a.m.) Paralysed parts lose flesh. Progressive locomotor ataxia. Restlessness; lassitude; faintness. Sensation in abdomen at night which causes patient to stretch violently for hours; must stretch in every direction. Assumes strangest attitudes in bed at night. Peculiar sensations are: As if something were working at top of head, with a sense of screwing from behind forward. Eyelids as if paralysed. As of a ball rising from throat into brain. As if a wheat-hull in throat. Cornea as if breathed upon. Eyes as if too large. As of a plug in throat. As if everything were weighted down. As if abdomen and back were too close together; abdomen drawn to spine with a string. Bowels as if twisted; constricted; distended with gas. As if abscess forming near umbilicus. Sphincter ani as if drawn in. As if a bag not quite filled with fluid lay in bowels. As if fluid rolled from one side to other of abdomen. As if thighs pierced with needles. As if feet made of wood. ─ Pains are wandering or radiating, vague, paroxysmal. Ailments develop slowly and intermit for a time. Alternations are common: Delirium with colic; diarrhœa and constipation; jerks of flexors and extensors; paralysis and colic. Right side is most affected, symptoms go from left to right (throat). In ladies poisoned by cosmetics the vaginismus which resulted increased pari passu with paralytic symptoms. With Plumb . 6 Theuerkauf cured in six weeks a case of hypopion with great pain ( B. J. H ., xxxvii. 303). W. H. Woodyatt ( Ibid ., 205) reports a case of "vaso-motor neurosis" affecting left eye. Mrs. D., 29, had been ill two weeks, and supposed she had caught cold in the eye. The symptoms were: Drooping upper lid, intense photophobia, very profuse lachrymation of hot tears, pericorneal injection, deep bluish redness of sclerotica , most marked at corneal margin. Cornea very faintly hazy. Pupil contracted. Sight misty. Ars . 6x and Plant . 6x failed to relieve. Plumb . 6x was then given with immediate improvement, which went on to cure in seven days. The italicised symptoms were the leading indications for Plumb . In a case of right-sided sciatica which had been greatly benefited by Gnaph . 1, but which had returned, the symptoms being: Stiffness; soreness from great trochanter and point of exit of nerve to knee; weakness in thigh; < by stooping; walking = sensation as if pushing a knife in thigh, Plumb . 6 was given four times a day. Up to the twelfth day there was no change; on that day the pain suddenly went. The case had lasted nine months. The symptoms are < by touch. > By hard pressure and by rubbing. > At rest. < By motion. Mental exertion < . > Lying down. < Lying right side (swelling in abdomen; cough). Lying on left side < violent palpitation. Bending back > pressure in stomach,:; pain in epigastrium; pain in back. Bending forward = pressure in stomach; > pain in back. Bending double > colic. Back sensitive when leaning on it. > Stretching limbs. < At night, < In rough, foggy weather. Open air, coldness in; sensitive to; > vertigo. Damp weather = profuse salivation. < In room full of company.

Relations

Antidoted by: Sulphuric acid, diluted, taken as a lemonade, is one of the best antidotes to the chronic effects of lead; Alcohol is a preventive; Alumen, Alumina, Ars., Ant. c., Ben., Coccul., Hep., Kreos., Nux, Op., Petrol., Plat., Piperaz., Zn. (Teste, who classes Plumb. with Merc. and Ars., says Æthus cyn. is the best antidote in his experience; he names also Hyo., Plect., Strm., and Electric.) It antidotes: Bad effects of long abuse of vinegar. Compatible: Ars., Bell., Lyc., Merc., Phos., Pul., Sil., Sul. Compare: Constipation, inertia, hard black balls, Op. (Plumb. has also some spasmodic constriction at anus). Delirium, bites and strikes, Bell. (Plumb. has tremors of head and hands; yellow mucus about teeth; colic alternating with delirium). Head and abdominal symptoms alternating, Pod. Brain softening, Zn. (Plumb. has pain in atrophied limbs alternating with colic), Vanad. Constipation from inertia, vaginismus, Plat. (Plat. > these conditions of Plumb.). Irritable piles with drawn-up sensation at anus, Lach. Peritonitis with retracted abdomen, Euphb. Head turns to right, Stram. (to left, Lyc.; to either, Bufo, Camph.). ─ Globus, Ign., Lach., Lyc. Diseases originating in spine, Pho., Pic. ac., Zn. Weak memory, unable to find right word, Anac., Lac c. Face greasy, shiny, Nat. m., Sanic. Desire to stretch, Amyl. n. Illusion of smell, Anac.

Causation

Repelled eruptions. Sexual excess.

Mind

Silent melancholy and dejection. ─ Great anguish and uneasiness, with sighs. ─ Anxiety, with restlessness and yawning. ─ Weariness and dislike to conversation and labour. ─ Discouragement. ─ Weariness of life. ─ Weakness or loss of memory. ─ Slow of perception; increasing apathy. ─ Unable to find proper word while talking. ─ Coma. ─ Imbecility. ─ Dementia. ─ Mania. ─ Delirium; alternating with colic. ─ Fury. ─ Frantic delirium (bites, strikes), sometimes with demented aspect. ─ Dread of assassination, poisoning; thinks every one about him a murderer.

Head

Head confused and heavy, as from apathy and melancholy. ─ Dizziness to the extent of failing senseless. ─ Intoxication. ─ Vertigo, esp. on stooping, or looking up into the air. ─ Headache, as if caused by a ball rising from throat into brain. ─ Heaviness of head, esp. in (cerebellum) occiput and forehead. ─ Tearing in forehead and temples. ─ Lancinating headache. ─ Congestion of blood to head, with pulsation and heat. ─ Violent pains in integuments of skull from occiput to forehead. ─ Great dryness of hair. ─ Hair becomes very greasy. ─ Falling off of hair of scalp, also of eyebrows and whiskers (moustaches).

Eyes

Pressive and very acute pain, as if eyeballs were too large. ─ Heaviness of eyes when moving them. ─ Paralysis of upper eyelids. ─ Contraction in eyes and eyelids. ─ Tearing in eyelids, with sleep. ─ Sanguineous congestion in eyes. ─ Inflammation of eyes and of iris. ─ Nocturnal agglutination of eyes. ─ Swelling of eyes. ─ Yellowish colour of sclerotica. ─ Spasmodic closing of eyelids. ─ Eyes convulsed. ─ Pupils contracted. ─ Sight confused, as if directed through a mist, which forces the patient to rub eyes. ─ Hypopion. ─ Myopia. ─ Diplopia. ─ Blindness, as from amaurosis. ─ Optic neuritis.

Ears

Tearing in ears. ─ Boring and shooting in ears. ─ Sensibility to noise. ─ Occasional sudden diminution of hearing. ─ Deafness; sudden. ─ Buzzing in ears. ─ Hears music, with frightful delirium.

Nose

Coldness of nose. ─ Erysipelatous inflammation of nose. ─ Red, purulent vesicles in nasal angles. ─ Fetid smell in nose. ─ Loss of smell. ─ Obstruction of nose. ─ Accumulation of tenacious mucus in nostrils, which can only be expelled by way of the nasal fossæ. ─ Fluent coryza, with discharge of serous mucus.

Face

Face pale, yellow, hippocratic. ─ Bewildered air; distorted countenance. ─ Bloatedness of face. ─ Semilateral swelling of face. ─ Paralysis of lower two branches of r. facial nerve. ─ Skin shining and greasy to sight and touch. ─ Tearing in maxillary bones, which is removed by friction, or made to appear in another place. ─ Boring in lower jaw. ─ Exfoliation (painless) of lips. ─ Cramps in jaw. ─ Lockjaw. ─ Swelling of submaxillary glands.

Teeth

Tearing, jerking pains in teeth, < by cold things. ─ Teeth coated with yellow slime. ─ The teeth become black. ─ Fetid, hollow, carious teeth, which break off in notches. ─ Looseness and falling out of teeth. ─ Grinding of teeth. ─ Gums pale and swollen; purple-coloured thin border on gums nearest teeth. ─ Painful and hard nodosities on gums.

Mouth

Dryness of mouth. ─ Copious accumulation of sweetish saliva in mouth, with dryness of gullet. ─ Salivation; tenacious; mercurial; < during sleep. ─ Froth in mouth. ─ Viscid mucus in mouth on waking in morning. ─ Hæmoptysis. ─ Aphthæ and fetid ulcers in mouth, and purple blotches in mouth and on tip of tongue. ─ Breath fetid. ─ Inflammation, swelling, and heaviness of tongue. ─ Tongue brown and dry, with rhagades. ─ Tongue green, slate-coloured, or coated yellow. ─ Paralysis of tongue, preventing speech; cannot put tongue out.

Throat

Sore throat, as if caused by a swelling (plug) or foreign body in gullet. ─ Sensation as if a ball were rising in throat (globus hystericus). ─ Sensation of constriction in throat (as soon as the least effort is made to swallow, with great urging to do so). ─ Paralysis of gullet, with inability to swallow. ─ Drawing in throat when eating, as if œsophagus were being torn out. ─ Sensation as if an insect were crawling in œsophagus. ─ Inflammation and induration of tonsils; granular sore throat, going from l. to r. ─ Formation of consecutive, small, exceedingly painful abscesses in tonsils.

Appetite

Sweetish, bitter, metallic, or horribly offensive taste. ─ Sulphurous, acid taste in bottom of throat. ─ Violent thirst, esp. for cold water. ─ Anorexia. ─ Violent hunger, even shortly after a meal. ─ Great desire for bread and fried things, cakes, rye bread, tobacco.

Stomach

Risings, with a taste of food. ─ Empty risings, sometimes very violent and painful. ─ Sweetish risings. ─ Hiccough. ─ Regurgitation of sweetish or sour water. ─ Disgust and frequent nausea, with disposition to vomit, sometimes with retching. ─ Continued and violent vomiting of food, or of greenish and blackish matter, or yellowish, with violent pains in stomach and abdomen. ─ Vomiting of bile or of blood. ─ Vomiting of fæcal matter, with colic and constipation. ─ Very violent pains in stomach. ─ Sensation of heaviness and aching in stomach, sometimes after a meal. ─ Dull and anxious pressure in scrobiculus. ─ Constrictive cramps in stomach. ─ Shootings from pit of stomach into back. ─ Cuttings and burning pain in stomach. ─ Inflammation of stomach.

Abdomen

[Drawing pain from before backward, as though abdomen were drawn in and through towards backbone, sometimes making abdomen concave; sensation as though a string were inside abdomen drawing it in; generally there is great despondency with this pain. ─ Painters' colic with this sensation, as though abdomen were drawn in and touching the spine; pulse may be down very low, 50, or even 40. ─ Gastralgia with sensation as though abdomen and backbone met. ─ Great liver remedy; inner belly in general; inner region of navel; sometimes umbilical hernia, and is an excellent remedy for this; l. side of abdomen generally (H. N. G.).]. ─ Pain in liver, with lancinating pressure. ─ Hepatic region sensitive to pressure. ─ Heat and burning in liver and spine. ─ Sticking and darting in liver, first anteriorly, then posteriorly. ─ Jaundice. ─ Cirrhosis; first enlarged, then contracted. ─ Affections of spleen. ─ Very violent pains in abdomen, with retraction of navel. ─ Inflation and induration of abdomen. ─ Violent colics, with constrictive pain, esp. in umbilical region, with violent contraction of abdomen (navel and anus are violently drawn in), sometimes forming elevations and depressions, < by slightest touch, and sometimes increased at night to the highest degree. ─ Large, hard swelling in ileo-cæcal region, very sensitive to contact or least motion; sneezing or coughing. ─ Colic and paralysis of lower extremities. ─ Pinchings and cuttings in abdomen. ─ Shootings round navel. ─ Sensation in upper part and in sides of abdomen as if something detached itself and fell down. ─ Pulsation in abdomen. ─ Burning sensation or coldness in abdomen. ─ Inflammation, ulceration and gangrene of intestines. ─ Hard nodosities in abdomen, as if caused by internal induration. ─ Soreness of abdominal muscles, < by movement and by touch. ─ Continued production and incarceration of flatus, with, grumbling and borborygmi in abdomen. ─ Abundant expulsion of very offensive and hot, burning flatus. ─ In rectum very urgent effort to expel flatus without any result.

Stool and Anus

Most obstinate constipation; stools blackish. ─ Continued and ineffectual want to evacuate. ─ Fæces difficult to evacuate, hard, sometimes in round pieces, like sheep dung, and tenacious. ─ Balls in conglomerate masses, discharged with difficulty. ─ Loose evacuations. ─ Long-continued diarrhœa, generally of yellow excrement, or else painful, and often very offensive. ─ Sanguineous diarrhœa. ─ Watery diarrhœa, with vomiting and violent colic, esp. pain in umbilicus. ─ Painful retraction and constriction of anus. ─ Intolerable pain from spasms of rectum, with every evacuation lasting an hour or two; horrible constriction, much < if stool solid. ─ (Constipation from anal spasm in children. ─ R. T. C.). ─ Prolapsus ani, with paralysis. ─ Fissures of anus.

Urinary Organs

Retention of urine. ─ Difficult emission of urine, only drop by drop, dark coloured, scanty, albuminous. ─ Tenesmus of bladder. ─ More frequent and more copious emission of urine. ─ Watery, or reddish, fiery, turbid, and sometimes thick urine; sediment consisting of red blood-corpuscles and cylinders; all the symptoms of acute nephritis; with amaurosis and cerebral symptoms. ─ Discharge of blood from urethra. ─ Diabetes.

Male Sexual Organs

Swelling and inflammation of genital organs (of penis and scrotum). ─ Contraction and constriction in testes, with jerking in spermatic cord. ─ Retraction of testes. ─ Excoriation of scrotum. ─ Sexual desire excessively increased, with frequent erections and pollutions. ─ Loss of sexual desire. ─ Insufficient emission of semen during coition. ─ (Impotence.)

Female Sexual Organs

Retarded menstruation. ─ Amenorrhœa, chloro-anæmia. ─ Nymphomania. ─ Wants to stretch limbs during ovarian pains. ─ Spasmodic dysmenorrhœa. ─ Cessation of menses on invasion of colic; may reappear after paroxysm, or not again until next period. ─ Metrorrhagia with sensation of strong pulling from abdomen to back; during climacteric, dark clots alternating with fluid blood or bloody serum. ─ Strangulation of prolapsed portion of vagina, intense pain. ─ Mucous discharge per vaginam. ─ Feels a lack of room for fœtus in uterus; inability of uterus to expand; threatened abortion. ─ During pregnancy cannot pass urine, from lack of sensation; or from paralysis. ─ Puerperal eclampsia; albuminuria. ─ Pulling, tearing, contractive pains in breasts, uterus, and vagina, with or without colic; the breasts become momentarily harder, or with the colic they become smaller. ─ Induration and inflammation of breasts. ─ Leucorrhœa. ─ Miscarriage. ─ Vaginismus. ─ Hyperæsthesia of genitals. ─ Obstructed bowels during pregnancy. ─ Milk scanty and watery.

Respiratory Organs

Hoarseness and roughness in throat. ─ Aphonia. ─ Constriction of the larynx. ─ Copious expectoration of mucus from larynx, which is viscid, transparent, or yellowish green, and in lumps. ─ Dry, convulsive cough. ─ Expectoration of pus with the cough. ─ Cough, with expectoration of blood, hæmorrhages from lungs.

Chest

Difficult, anxious, oppressed, and panting respiration. ─ Shortness of breath. ─ Spasmodic asthma. ─ Oppression of chest, appearing periodically. ─ Fits of suffocation. ─ Pressure on chest, esp. when breathing deeply or laughing. ─ Shootings in chest and sides, sometimes with obstructed respiration. ─ Apices of lungs affected. ─ Small red papules on chest, which desquamate.

Heart

Ebullition in chest, with anxietas præcordium, and perceptible palpitation. ─ Change in muscular structure without coincident disease of valves, with or without atheromatous degeneration of vessels, usually hypertrophy and dilatation of l. ventricle, sometimes with parenchymatous nephritis. ─ Bruit de souffle. ─ Palpitation, < on ascending stairs or running. ─ Pulse rapid, jerky, weak. ─ Tachycardia.

Neck and Back

Tension in nape of neck, extending into ear on moving head. ─ Tearings and shootings in loins, in back, and between shoulder-blades. ─ Distortion of spine. ─ Itching on coccyx above anus, going off when scratched.

Upper Limbs

Convulsive movements of arms and hands, with pain in joints. ─ Drawing and tearing in arms and fingers. ─ Wrist-drop. ─ Weakness and painful paralysis of arms and hands. ─ Dilatation of veins on back of hands, arms, and calves. ─ Ganglion on back of hands. ─ Wens on hands. ─ Difficulty in moving fingers. ─ Red and swollen spots on fingers.

Lower Limbs

Drawing in hip-joints when lying down. ─ Painful sensation of paralysis in hip-joints, and in those of hands and feet, esp. on going up stairs. ─ Violent pains in limbs, esp. in muscular parts of thighs; < evening and night. ─ Sciatica; walking causes great exhaustion; with consecutive atrophy. ─ Cramp in calves, < at night. ─ Paralysis of thighs and feet. ─ Numbness outer side r. thigh from hip to knee. ─ Numbness of legs and feet. ─ Tearings and shootings in thighs and knees. ─ Sensation of numbness in feet, with difficulty in putting them to the ground. ─ Cramps in soles of feet. ─ Swelling of feet. ─ Fetid sweat on feet. ─ Distortion of toes. ─ Pain in great toe at night. ─ Ingrowing toenails.

Generalities

[Jaundice, where the sclerotica is yellow, face yellow, urine yellow; vomiting in bed after retiring for the night, restless, sleepless, &c. ─ Loss of smell; reddish-yellow face. ─ Affections in lower teeth; tongue; sweetish taste, as in expectoration of cough with sweetish taste. ─ Obstructed flatus with terrible colic. ─ Retraction of soft parts in general; pinching pain with sensation of tearing; sphacelus; grey ulcers. ─ H. N. G.]. ─ Drawing and tearings in limbs, < at night, sometimes shifting their position on the parts being scratched. ─ Burning sensation in various parts of body. ─ Violent tingling pains in bones, coming on fitfully. ─ Cramps and constrictive pains in internal organs. ─ Numbness, stiffness, pain as from fatigue, and contraction of some of the limbs. ─ Paralysis; of the limbs of those who work in lead. ─ Convulsive trembling and jerking of limbs, convulsions and cramps, sometimes followed by paralysis. ─ Epileptic fits (without consciousness). ─ Swooning, esp. in a large company. ─ Heaviness and torpor of limbs. ─ Great weakness, with trembling of limbs. ─ Depression, with want to lie down, and throbbing of arteries in whole body after slight exercise. ─ Muscles flaccid. ─ General emaciation, esp. in paralysed parts, followed by swelling of those parts. ─ Excess of uric acid in the blood. ─ Anæmia. ─ Anæsthesia. ─ Hyperæsthesia. ─ Arthralgic and neuralgic pains in trunk and limbs. ─ Dropsical swellings, sometimes of whole body. ─ Sensitiveness in open air. ─ The symptoms develop themselves slowly, and sometimes disappear for a time and reappear subsequently. ─ < In the night; from rubbing.

Skin

Sensitiveness of skin to open air. ─ Lead coloured, dry, rough, bluish, or yellow skin. ─ Dark brown spots over whole body. ─ Tendency to inflammation and suppuration of slight wounds. ─ Burning pain in ulcers. ─ Excoriations. ─ Decubitus. ─ Sphacelus.

Sleep

Great drowsiness during day; tendency to fall asleep, even while speaking. ─ Coma and lethargy, sometimes with dizziness. ─ Retarded sleep. ─ Nocturnal sleeplessness, with abdominal spasms. ─ Jerks during sleep. ─ Must stretch in every direction. ─ Assumes strangest attitudes in bed at night. ─ Many dreams, sometimes lascivious, with erections. ─ Talking during sleep.

Fever

Pulse very variable, generally contracted, small and slow; at times hard and slow, occasionally small and quick. ─ Predominance of shiverings and coldness, esp. in the limbs and in open air. ─ Chill predominates, increasing towards evening, with violent thirst and redness of face. ─ Coldness in open air and when exercising. ─ Cold or clammy sweat. ─ Transient, anxious heat (with thirst, redness of face, and sleepiness). ─ Internal heat in evening and at night, with yellowness of buccal cavity. ─ Entire lack of perspiration.

The Guiding Symptoms of Our Materia Medica

Constantine Hering · The Guiding Symptoms of Our Materia Medica · 1879–91

Mind

Weakness or loss of memory ; unable to find the proper word.
Slow of perception ; intellectual torpor ; gradually increasing apathy.
Anxiety, with restlessness and yawning.
Gloom alternates with excitement.
Much depression of spirits, especially with colic.
Quiet and melancholic mood.
Indifference and somnolence, with lamentations about difficulty of breathing and headache.
Deep melancholy, with timidity and restlessness ; anxiety at heart, with sighing and trembling ; dislikes to talk or work ; maniacal rage, with cries and convulsions ; absence of mind ; stupidity ; pale, miserable, cachectic
appearance ; somnolency ; colic.
Wild delirium with distorted countenance.
Delirium, alternating with colic ; bites and strikes at those near him ; tremor of head and hands ; yellow mucus collects about mouth and teeth.
Delirium furious at night, milder by day, with hallucinations and sleeplessness at night and sopor by day ; tremulousness mostly in head and hands ; face red or straw-colored, with mucus in mouth, black teeth, fetid odor ; grinds
teeth ; eyes swollen, or look is suddenly changed, as if frightened ; throws off bedclothes ; loss of all senses ; delirium increases as senses diminish ; puffing of cheeks, especially if paralysis is a sequel or is caused by suppressed colic, with bloated abdomen.
Sudden fainting on going from one room to another full of company, with screams, fright without cause, spasms in muscles of face, but mind remains sound.
Thought his life was in danger from assassination or poison and that every one about him was a murderer.
Insomnia, severe headache, occipital or frontal, with or without vertigo ; noises in ears ; disordered vision ; diplopia ; amaurosis ; contraction of pharynx, though liquids are swallowed in gulps and greedily ; mind weak, morose and sad ;
preceded by albuminous urine.
Great depression of spirits ; though habitually very temperate had recourse to various stimulants, at first in moderation and openly, but soon immoderately and by stealth ; sleeplessness ; gloom ; despair of her salvation ; moody taciturnity ; fixed
idea that she could only obtain peace and safety through absolution from a priest of the Papal Church, although she had been a zealous Protestant ; face nearly of a leaden hue ; perpetual movement of lips, as of one smoking, accompanied by a slight sound ; very silent, but
when spoken to answered rationally ; severe pain, starting up from back into head, as if something were working at top of head, with a sense of screwing from behind forward ; some flatulence ; frequent drowsiness by day, sleeplessness by night ; profound melancholy and
frequent sighs ; brooded over any forbidden thing ; would steal from house in servant's cloak and bonnet to obtain stimulants, but from the moment their prohibition was withdrawn ceased to have any desire for them ; after being permitted to visit a priest and converse with him
ceased to talk and think of the Church.
Mental disturbance of eight or ten years' duration in a man addicted to masturbation ; has several times attempted suicide ; has been in seclusion ; greatest dejection and despair ; fixed, moody look, with a constant scowl ; believes himself lost ; has the
sounds of hell constantly in his ears ; hears voices and sees shadows of demons ; great disposition to make away with himself, or do himself some bodily injury ; gloom and taciturnity alternate with frantic delirium ; drowsy sometimes in day, sleepless at night ;
constant pain and weight in upper part of neck and back of head ; complexion dark ; violent palpitation of heart, < after eating and lying on left side ; pulse weak ; bowels regular but evacuations very dark ; seminal emissions very frequent, often occurring
during stool ; testes wasted ; spasmodic stricture ; goose-skin.
Affections more of the emotions than the intellect.

Sensorium

Sopor after spasms ; coma ; stertorous breathing, with jaws fixed ; motion with mouth as if smoking ; puffing of cheeks.
Apoplexy ; consciousness blunted ; memory deficient ; speech impeded, single syllables are omitted or cannot be combined into words ; mimic spasms of face while speaking ; trembling of tongue when put out ; semi-paralysis of
buccinator muscles and of velum palatinum manifested by violent snoring ; sleeplessness ; fear of death ; organs of sense torpid and insensible ; eyes principally affected ; eyelids droop as if paralyzed ; pupils constantly dilated ; all objects seem
smaller and farther removed from focus of vision, they may be seen as through a gauze ; diplopia ; pulse always slow, 50 to 60, sometimes hard and tense like wire ; all the muscles may be paralyzed, especially of left side ; paralysis affects equally motor and sentient
nerves, is often attended with violent pains in paralyzed parts and considerable contractions, especially of extensor muscles, which feel as hard as wood ; in other cases spasms are tonic, and in they reach their full development run into complete epileptic convulsions ; muscles of
affected parts become atrophied ; if paralysis is not complete gait is unsteady, with particular tendency to fall forward ; paralyzed respiratory muscles often occasion a high degree of dyspnœa ; sphincters scarcely ever paralyzed.
Stupefaction of head ; he falls down unconscious.
Stupefaction with somnolence.
Vertigo : on stooping ; when looking upward ; > in open air ; epileptic.

Inner head

Heaviness in head, especially in cerebellum.
Headache : violent ; frontal ; pulling and pressive, chronic in forehead, < from mental labor and intolerable in large company ; in temples, < in right ; as if a ball were rising from throat into brain ; with vomiting and violent pains in umbilical
region.
Sick-headache, with pain in occiput, umbilical colic and bilious vomiting ; yellow skin, especially of face.
Chronic dull headaches, with depressed spirits and constipation.
Congestion of blood to head, with heat and beating in it.
Paralysis occurring early ; cerebro-spinal meningitis.
Meningitis, chronic, when paralyzed parts soon fall away in flesh ; limbs become painfully contracted ; frequent spells of colic with retraction of abdomen.
Cerebro-spinal meningitis, with early paralysis.
Chronic encephalitis and myelitis.
Sclerosis of brain, or progressive muscular atrophy, alternating with colic and constipation.

Outer head

Violent pains in integuments of skull, from occiput to forehead.
Great dryness of hair, it falls off even in beard and eyebrows.

Sight and eyes

Diplopia.
Cloudiness before eyes, inducing one to rest them.
Dimness of vision, especially on right side ; sudden loss of sight or transient amaurosis and deafness complicating motor palsy in some cases.
Neuritis optici ; papillæ swollen (examination after death showed interstitial hyperplasia of connective tissue ; sheaths of optic nerves were distended by fluid ; cerebro-spinal fluid was greatly increased ; brain substance anemic and the gray portion yellowish).
Ophthalmoscopic examination between the paroxysms showed that the disk was prominent, its outline hazy, its color an opaque bluish-white.
Left eye affected for two weeks, badly for five or six days ; drooping upper lid ; intense photophobia ; very profuse, hot lachrymation, pericorneal injection, deep bluish-red, marked at corneal margin and fading off towards reflexial fold of
conjunctiva ; slight redness of conjunctiva of lid, cornea very delicately hazy through-out its entire extent, as if breathed upon so as to dim its lustre ; and at lower inner quadrant opacity was a little denser and seemed as if it might develop into na ulcer ; cornea not
normally sensitive to touch ; pupil contracted ; vision impaired ; tension of eyeball diminished ; neuralgic pains in and around eye, < at night ; atropine only partially dilated iris.
Pupils contracted or dilated.
Hypopion after iritis, extending up nearly to centre of cornea ; nightly tearing pains in eye and forehead ; could hardly distinguish day from night.
Eyeball feels too large.
Ophthalmia, lachrymation, photophobia, redness of whole ball.
Inflammation, varicose distension of vessels of cornea, obscuring light.
Passive congestion, with soft large granulations.
Yellowness of whites of eyes.
Lids spasmodically contracted.
Paralysis of upper lids.

Hearing and ears

Hardness of hearing ; often sudden deafness.
Buzzing in ears.
Hears music ; with frightful delirium.
Stitches and tearing in ears.

Smell and nose

Smell too sensitive or too feeble ; even total loss of smell.
Loss of smell with epilepsy.
Fetid odor before nose.
Much tough mucus in nose, which can only be discharged through posterior nares.
Cold nose.
Puffiness of nose.
Erysipelatous inflammation of nose, mostly in alæ nasi, with redness and vesicles discharging a thick pus when slightly pressed.

Upper face

Face expressive of extreme anxiety and suffering ; pale, ash-colored ; yellow, corpse-like ; bloated ; cheeks sunken.
Sallow complexion ; discolored sclerotic.
Swelling of one side of face.
Skin of face greasy, shining.
Vesicles on face and nose.

Lower face

Violent loud motion of lower jaw and frightful grinding of teeth.
Lockjaw.
Tearing in jaws relieved by rubbing them.
Lips peel off without pain or dryness.
Swelling of submaxillary and sublingual glands.

Teeth and gums

Grinding of teeth.
Teeth become black.
Yellow mucus on teeth.
Teeth hollow, decayed, crumbling, smelling offensively.
Distinct blue line along margin of gums.
Gums : pale ; swollen ; show a lead-colored line ; blue, purple, or brown ; painful, with hard tubercles.

Taste, speech, tongue

Taste : sweetish ; metallic ; bitter.
Cannot put out his tongue.
Tongue : dry, brown, cracked ; coated yellow or green ; dry, red, glazed, in chronic gastritis ; dry and white (colic) ; red at edge ; brown far down centre ; inflamed, swollen ; heavy, paralyzed ; hurts as if bitten.

Inner mouth

Saturnine breath.
Breath fetid.
Dryness of mouth.
Accumulation of sweetish saliva in mouth.
Froth in mouth.
A yellowish mucus in mouth and on teeth.
Saliva increased ; of a bluish color.
Salivation, with painful tongue and lips ; fetid smell and languor (after abuse of mercury), with yellow purple ulcers on tip of tongue and mouth.
Salivation (mercurial) so profuse in damp weather as to saturate pillow.
Aphthæ : dirty looking ulcers and purple blotches in mouth and on tip of tongue.
Ulcers in mouth, with fetid smell ; they turn yellow.

Palate and throat

Constriction in throat when trying to swallow, with great urging to do so.
Sensation of a plug in throat ; globus hystericus.
Difficult swallowing.
Fluids can be swallowed, but solids come back into mouth ; burning in œsophagus and stomach some hours after eating. θ Stricture from spasm.
Paralysis of throat with inability to swallow.
Tonsils : swollen ; inflamed, covered with small, painful abscesses.
Tonsillitis : going from left to right, with yellow granulous or follicular ulcers ; small and very painful, with burning, stinging pains.
Tough mucus in fauces and posterior nares.
Angina granulosa, going from left to right.
Angina on left side, with copious flow of purplish saliva and spasms.
Diphtheria, with tendency to sloughing and implication of larynx (also Plumb. iod.).

Appetite, thirst. desires, aversions

Great hunger or complete loss of appetite.
Violent thirst, especially for cold water.
Desire : for cakes ; rye bread ; tobacco.

Hiccough, belching, nausea and vomiting

Nausea and Vomiting.
Eructations : empty ; sweetish ; of offensive odor ; sour.
Gulping up of sweetish water.
Nausea : frequent ; constant ; occasional, sometimes followed by vomiting of food.
Vomiting : most distressing ; stomach rejecting almost everything ; of food ; constant, of everything taken ; in the night, especially early morning ; spasmodic ; with violent cardialgia ; violent of sweetish, sour, or bitter substance, like white
of egg, in chronic gastritis ; of grass green substance, afterwards changing to retching ; of a brownish liquid, streaked with blood ; of food and of discolored substances, with violent colic ; of food, in morning, with great weakness ; of greenish and blackish
substances ; of a blackish substance ; stercoraceous.
Vomited matter has a fecal odor.

Scrobiculum and stomach

Feeling as if a ball ascend from epigastrium along thorax to throat, where it causes a kind of suffocation ; at such times can neither speak nor swallow, and suffers the greatest anxiety.
Contraction in œsophagus and stomach ; fluids can be swallowed, but solids return ; some hours after eating a burning in stomach and œsophagus ; constipation ; prostration ; emaciation.
Heaviness as from a load in stomach, with heaviness in occiput.
Pressure and tightness about stomach.
Severe pain in stomach, radiating to both groins, down both legs, particularly left.
Violent pressure in stomach and pain in back ; at times > bending backward, at others bending forward ; > from hard pressure.
Pressure in stomach, as from a heavy weight, increasing to a strangling sensation during the severe colicky paroxysms and followed by sour and bilious vomiting ; loss of appetite ; excessive thirst ; pains in back > sometimes bending forward, sometimes backward ;
constipation, hard, knobby stool once a week ; taste always sweetish ; abdomen compressed hard, like a board ; constriction of throat ; paralytic weakness in extremities, especially on right side ; hands and feet cold ; total and striking want of
perspiration ; paroxysms increase in severity and duration and she is already atrophied and anemic. θ Cardialgia.
Constant pressure in epigastrium ; severe constricting pain after eating heavy food ; rolls about the floor in extremity of pain ; attack lasts from ten to twelve hours, at times longer ; slight relief when lying down ; at
times has terrible pains when rising in morning and when stomach is empty ; epigastrium hard and swollen during paroxysm ; < belching and at night ; feces scanty, knotty, hard as a stone, evacuated with difficulty ; at times sweetish taste.
Periodical pressing, burning and sensation of heaviness in epigastrium, as if everything were weighted down, with general indisposition ; whole abdomen felt tense and rough to touch ; stool hard, knotty ; frequent attacks of shortness of breath without cause ;
offensive foot sweat since childhood ; debility ; emaciation ; profuse night sweats.
Sudden severe pains in epigastrium, compelling her to bend backward and press something hard against abdomen for relief ; < from motion ; > from belching ; after every attack eyes are deeply jaundiced. θ Gastralgia.

Hypochondria

Hepatic region sensitive to pressure.
Sensation of heat and burning in liver and spine.
Persistent sticking pain in hepatic region, first anteriorly, then posteriorly.
Continued darting pain in region of liver.
Weak and exhausted ; skin and white of eyes yellow ; urine very yellow ; stools light in color ; much nausea, particularly in evening or at night, when she vomits her food ; restless, sleep broken at night ; not able to leave her
bed. θ Plumbum.
Icterus : skin and sclerotica yellow ; yellow ulcers in mouth ; sweetish risings ; abdomen bloated ; colic ; stinging in region of liver, > from rubbing.
Cirrhosis of liver ; first enlarged then contracted.
Spleen enlarged.

Abdomen and loins

A sensation in abdomen at night in bed, which causes her to stretch violently for hours together ; feels that she must stretch in every direction ; the will to do so alone cannot accomplish it ; as if from paralysis ; irritation of sentient nerves.
Borborygmi ; rumbling in abdomen.
Drawing pain from abdomen to back.
Severe colic, contracted abdomen ; bends backward ; motor nerves most affected.
Abdomen retracted ; hard, painful ; pain commenced at umbilicus and radiated to lumbar region and to iliac fossa ; rolled upon ground and pressed abdomen with violence.
Navel seems to adhere to spine and the pain also involves pectoral region.
Sensation as if abdominal walls were pulled inward ; as if abdomen and back were too close together.
Severe pains in abdomen, especially around navel, as if bowels were twisted.
Excruciating tearing pains in all the bowels, but < at navel.
Lacerating pains at umbilicus and epigastrium.
Intense retraction of the integuments of abdomen towards spine, and a hard, knotty feeling of the muscles in various places over its surface.
Extremely violent pains in umbilical region, shooting to other portions of abdomen, somewhat > by pressure ; at times they became so violent that he was almost wild, tossed about, pressed fists into abdomen and declared he must go to stool immediately.
Pain often extended to other regions, to chest, threatening suffocation, to small of back, kidneys, bladder and lower extremities.
Excessive pain in abdomen, radiating thence to all parts of body.
Violent colic ; abdomen drawn in, as if by a string, to spine ; cutting, contractive pains with restless tossing ; > from rubbing or hard pressure ; abdomen hard as a stone ; knots in recti muscles ; anxious, with cold sweat
and deathly faintness.
Constriction of intestines ; navel and anus violently retracted.
Pain above umbilicus, coming on every forenoon, accompanied by vomiting. θ Enteralgia.
Severe paroxysmal pains in right side of abdomen, compelling him to bend double, > from pressure of hand, < at night, causing sleeplessness ; abdomen slightly bloated ; whole right side sensitive to pressure ; stool every second or third day.
Extremely severe pains in abdomen, recurring periodically, with spasmodic contraction of abdomen and obstinate constipation ; hard, knotty elevations here and there over abdomen ; intestines as if constricted ; pains and cramping of limbs.
Colic, with hard abdomen, great sensitiveness, relief only obtained by bending body forward and drawing up knees ; obstinate constipation ; abdominal walls retracted.
Abdomen hard as a stone ; not very tympanitic ; recti muscles drawn into knots nearly as large as a fist ; no alvine evacuation for two days, and no urine for eighteen hours ; countenance expressive of greatest anxiety ; face and forehead bedewed with cold,
clammy perspiration ; pulse feeble, not very quick ; during spasms (every three minutes) vomiting of a blackish, grumous fluid ; deathly faintness ; body bending backward, so as to form a semicircle, and so sudden as to throw him from bed ; pressure from flat hand
gave some relief.
Colicky pains proceeding from spinal cord, with sensation as of drawing in of abdomen to back, with great depression of spirits.
Suffering expression of face ; pulse small and frequent ; forehead and limbs cold, covered with clammy sweat ; constant belching of offensive odor and at times vomiting of fecal-like masses ; tearing, burning pains in abdomen, which seem to concentrate around
umbilicus ; < from touch, motion, and particularly vomiting, which is caused by drinking slightest quantity of water ; abdomen bloated ; intestines distended with gas, so that they could be traced by finger ; extremely sensitive swelling as large as fist, on left side
of umbilicus ; great thirst ; stool absent.
Colic, accompanied on third day by vomiting of ascarides ; next day continuous hiccough and offensive belching, with retching, followed at once by vomiting on drinking water ; tongue coated ; foul taste in mouth ; dryness of mouth without thirst ; anorexia ;
no fever ; pressing, burning and tearing in abdomen, which was distended ; around umbilicus spot as large as fist, sensitive to pressure, from whence the pains, mostly periodical, originated ; intestines as if distended with wind, so that course of each could be felt ;
constant borborygmus ; constipation of four days' duration, with frequent ineffectual urging to stool ; two days later fecal vomiting ; belching of wind of fecal odor. θ Intussusception.
Distension and hardness of cecum and ascending colon, whole region swollen, painful to touch, on motion ; tongue dry ; brown in centre ; skin hot and dry ; much thirst ; nervousness ; headache ; general depression ; expression anxious ;
feeling of lameness in lower extremities ; sour eructations ; nausea ; inclination to vomit ; umbilicus retracted. θ Tumor cecum.
Large, hard swelling in ileo-cecal region ; painful to touch and motion. θ Typhlitis.
Sensation as if an abscess were forming near umbilicus ; abdominal walls hard and contracted, knotted in certain points. θ Rheumatism of bowels.
Excruciating colic from poisoning with carbonate of lead.
Colic, with paralysis of lower extremities.
Inflammation, ulceration and gangrene of bowels.
Incarcerated hernia.
Intussusception, with colic and fecal vomiting.
Strangulated femoral hernia, left side ; severe pain ; continual vomiting of feculent matter.
Strangulated scrotal hernia, right side.

Stools and rectum

Diarrhœa : violent ; painful ; fetid ; yellow ; bloody, watery, with vomiting and violent colic.
Dysentery : with violent colic ; in violent cases with bloody masses of exudation ; violent fever, cutting in stomach and bowels, burning in anus during discharge and long-lasting tenesmus ; spasm of sphincter ani as if drawn
in ; burning in rectum and perineum.
Cholera, severe cases, particularly with spasms of abdominal muscles.
Stools : dark, offensive, watery ; yellow ; mucous and bloody ; bloody ; profuse, watery ; involuntary ; fetid, yellow and fecal ; watery, with vomiting and violent colic ; bloody masses.
Stool only once in eight or ten days, of scanty, blackish feces ; expulsion of which caused acute suffering.
Constipated stools : hard, lumpy, like sheep's dung ; with urging and terrible pain from constriction or spasm of anus ; knotty, feces in form or balls, often hard, black or green ; nearly always of a dark color ; ball-shaped,
hard as a stone ; small, hard balls covered with greasy pellicle ; large and hard and covered with glairy mucus ; dark-colored.
Before stool : ineffectual urging with or without tenesmus ; complete atony of rectum ; severe colic-like pains with constriction or spasm of anus.
During stool : great effort ; violent colic pains.
After stool : colic and at times diarrheic discharges.
Attacks of constipation ; enemas of little or no service ; stool attended with terrible agony, as bad almost as labor ; stools were in hard balls ; during worst pain felt a drawing from navel backward to spine.
For last three weeks stools which were always rather costive became more scanty and difficult, injections and purges brought away small lumps of healthy-looking feces ; abdomen began to swell and increased daily in size until it was as large as that of a woman seven months
pregnant ; swelling greater on left side, and completely filled up space between spine and navel ; convolutions of bowels filled with hard feces could be distinctly seen and felt ; on right side it felt as if a bag not quite filled with fluid lay there ; swelling not very
tender to pressure, but prevented her lying upon side ; at times very violent, spasmodically contractive, cutting pains with great restlessness, anxiety and cold sweat, whereupon lumps size of fist appeared on left side ; after eating, violent retching and vomiting sometimes of
food sometimes of mucus ; loss of appetite ; tolerably clean tongue ; great thirst ; flow of urine slightly diminished ; skin somewhat shrivelled ; weak, pale, emaciated, hollow-eyed.
Gradual loss of strength ; constant sickness ; acid eructations ; vomiting of every article of food taken ; constant dull pain in hepatic region ; violent attacks of enteralgia ; constipation, bowels will not act without a purgative, motions hard and
dark ; numbness of upper and lower extremities ; a sort of semi-paralytic condition of arms so that knife would frequently drop from hand ; expulsive power of bladder weakened, urine expelled with difficulty and in a dribbling manner ; urine high-colored and fetid ;
sexual functions much weakened ; pulse weak and quick ; extremely weak and emaciated.
Constipation interrupted by an attack of diarrhœa every week or ten days ; latter always came on between midnight and morning with great urgency for stool and violent pains in abdomen, > by passage of copious liquid discharge ; several discharges would occur during morning,
sometimes continuing through day, and then she would be costive again ; with diarrhœa, sensation as of something pulling at umbilicus with actual retraction of navel.
Obstinate habitual constipation : when the stools are dry and lumpy and the intestines half paralytic and half crampy ; in pregnant women and in persons of a paralytic diathesis, or when due to paralysis of intestines ; especially when
there are present dryness of the excretions and a muscular atony ; often there is an absence of intestinal mucus and bile ; when Platina fails.
Alternation of constipation and diarrhœa.
Light-colored stools. θ Jaundice.
Impaction of feces.
Intolerable pain, from spasms of rectum, with every evacuation lasting an hour or two ; suffering described as that of horrible constriction and spasmodic contraction, very much increased if feculent matter is solid ; for last ten years has taken aperients ; if
evacuation were not liquid his torture was extreme ; if he passed a day without an evacuation the suffering lasted several days.
Spasmodic condition of rectum and anus.
Anus violently constricted and drawn up ; contraction of sphincter.
Prolapsus ani with paralysis.
Fissures of anus.

Urinary organs

Must get up two or three times at night to urinate ; urine profuse, acid, albuminous, containing fine granular and hyaline casts of small diameter and no renal epithelium ; much oppression for breath, making locomotion almost
impossible ; when walking is seized with severe cramplike pain in region of umbilicus, > standing still ; perspires all over as soon as he gets into bed, perspiration comes and goes all through night ; cough on first waking, as he gets out of bed continues till after
breakfast ; is caused by a sensation as if a "wheat-hull" were in throat just behind manubrium sterni ; lying on back or right side brings on cough ; when lying on back feels as if fluid rolled from one side of chest to other (subjective) ; in morning mouth and
lips dry and lips swollen ; tongue dry ; lips crack open when coughing ; drinks at night on account of dry mouth ; marked weakness ; pasty, yellow look ; lungs are hepatized and heart diseased. θ Cirrhotic
kidney.
General indisposition, loss of appetite, frontal headache, made < by mental application ; difficulty of breathing at all tires, but especially noticed when lying down at night, causing discomfort and loss of sleep ; both ankles highly œdematous ; skin dry, does not
perspire, even when taking active exercise on a hot day ; a slight, dark cloud in urine, settles on standing ; urine acid, specific gravity 1016 ; albumen, 1/11 ; finely granular casts and some blood corpuscles.
Urine decreased in quantity, red, albuminous, containing blood corpuscles and epithelial cells, crystals of oxalate of lime and hyaline casts ; headache in occiput extending to forehead ; heavy, œdematous eyelids ; sunken eyes, staring look ; pains in limbs ;
emaciation ; small, slow pulse ; hoarse voice ; catarrh of air passages with discharge of tough mucus ; dry, short cough ; cough with expectoration of blood ; constriction and oppression of chest ; coated tongue ; complete loss of appetite ;
vomiting ; nausea for food ; belching ; vomiting of mucus ; constipation ; retention of urine ; cramps of bladder ; painful urination ; urine fiery-red, bloody, albuminous ; restless sleep ; obstinate sleeplessness ; great despondency
and indifference. θ Desquamative nephritis.
Granular degeneration or cirrhosis of kidneys ; little dropsy or albuminuria, but a marked tendency to uremic convulsions.
Morbus Brightii : colicky pains ; retracted abdomen ; cutaneous anesthesia ; albuminuria ; rapid emaciation and excessive debility.
Morbus Brightii, contracted kidney.
Diabetes : lowness of spirits, anguish and melancholy ; diminution of sight ; dryness of mouth ; dry, cracked tongue ; suppuration of lungs ; hectic fever ; impotence ; dryness and brittleness of skin ;
emaciation ; gangrene.
Urine dark-colored, brownish-red, turbid, with flocculent sediment, sp. gr. 1017, acid, albuminous ; sediment consisting of a number of red blood corpuscles and a large number of short, rather thick turbid cylinders studded with red blood
corpuscles.
Albumen gradually diminished in quantity as less lead was found in urine ; later, albumen rapidly increased, and there was not an atom of urea in urine, sp. gr. being 1002.
Amaurosis and cerebral symptoms appeared and ceased coincidentally with the appearance and cessation of albuminuria.
Hæmaturia.
Complete suppression of urine.
Frequent vesical tenesmus : ineffectual urging to urinate ; sometimes after much effort, which increases the pains, urine passes in drops.
Urine : scanty, high-colored ; passed in drops ; strangury ; will not pass as from atony of bladder ; dribbles, is high-colored and fetid ; albuminous.
Complete paralysis of urinary organs from spinal degeneration.
Much trouble with urine in not being able to pass it, apparently from want of sensation to do so ; the will to do so cannot affect it, as if from paralysis.
Chronic paralysis of sphincter vesical.
Necrotic inflammation of bladder, caused by a decomposition of urea and formation of carbonate of ammonia, brought' on by catheterization and introduction of bacteride germs.
Urging to urinate every ten minutes ; urine discharged in drops, with extreme pain ; burning during and after urination ; sensation of constriction behind glans penis after urination ; urine at times containing blood ; < from motion ; > from absolute
rest ; uses salt to excess. θ Strangury.

Male sexual organs

Increased sexual desire and violent erections.
Slight provocations produce erections and emissions.
Loss of sexual desire ; impotence ; chronic degeneration of cord.
Emissions, with relaxed organs, after wine.
Prolonged, painful, spasmodic stricture.
Testicles : drawn up ; feel constricted ; swollen, inflamed and painful.
Genitals swollen and inflamed.
Prostatorrhœa.
Chronic gonorrhœa.

Female sexual organs

Nymphomania.
Wants to stretch limbs during ovarian pains ; ovarian dropsy.
Cessation of menses on invasion of colic ; may reappear after paroxysm, or not again until next period.
Spasmodic dysmenorrhœa.
Menorrhagia, with a sensation of a string pulling from abdomen to back ; during climacteric period dark clots, alternating with fluid blood or bloody serum, with a sensation of fulness in pelvis and bearing-down pains in small of back ; skin dry, pale, yellowish ;
"liver spots" here and there ; short of breath on going up stairs ; debility ; depressed spirits.
Vaginismus.
Strangulation of prolapsed portion of vagina ; intense pain.
Leucorrhœa, with inclination to miscarriage.
Mucous discharge from vagina.

Pregnancy. parturition. lactation

Feeling as if there were not room enough in abdomen, at night in bed ; must stretch violently.
Pain drawing from abdomen to backbone, as if abdomen were drawn upward by a string ; depression of spirits ; constipation. θ Abortion.
She feels a lack of room for fetus in uterus ; inability of uterus to expand ; threatening abortion.
Abortion from lead poisoning ; or, if born, the child lives but a year or two.
Can scarcely pass urine ; apparently from want of sensation to do so ; the will to do so cannot effect it, as if from paralysis.
Puerperal eclampsia, especially with history of epilepsy ; albuminuria.
Milk scanty and watery, with great emaciation.
Pulling, tearing, contractive pains in mamma, uterus, and vagina, with or without colic ; the breasts become momentarily harder, or with the colic they seem smaller.
Induration and inflammation of mamma.

Voice and larynx. trachea and bronchia

Aphonia from paralysis of vocal cords.
Voice diminished both in power and vibration ; during paroxysms rough and stuttering speech or voice entirely gone ; pants in talking as if out of breath.
Spasmodic closure of rima glottidis ; mucus rattling in throat, with sudden difficulty of breathing and asphyxia.
Laryngismus stridulus.
Constriction of larynx.
Bronchitis, with copious muco-serous or purulent expectoration ; periodical asthmatic paroxysms.

Respiration

Respiration anxious and sighing with lamentations and moaning.
Want of breath ; oppression from motion ; short breath on going up stairs.
Heavy difficult breathing.
Spasmodic dyspnœa ; sudden paroxysms force him up at night to the open window, with paralytic symptoms of laryngeal muscles.

Cough

Cough : short, dry, nervous, fatiguing ; dry, spasmodic ; < during inspiration ; with purulent expectoration ; frequent, with bloody expectoration ; after hemorrhage from lungs, < lying on back and after getting out of bed
in morning ; dry, hacking, with tuberculous diathesis ; in chlorosis.
Expectoration : copious, muco-purulent or purulent ; tasting sweetish ; bloody.

Inner chest and lungs

Pressure upon chest, with difficulty in breathing and short, dry, nervous cough.
Stitches in chest and sides.
Great emaciation : fever with evening exacerbation ; night sweats ; diarrhœa ; good appetite ; hectic flush ; constant cough, day and night, with profuse greenish, purulent, lumpy, blood-streaked expectoration ; dulness on
percussion in apex of right lung, with rales. θ Phthisis.
Hæmoptysis : phthisical disposition, when bloody or purulent sputa alternate.
Hæmoptysis, with pus and blood and stitch pains in chest.
Phthisis ; suppuration of lungs ; large vomica in lungs ; chronic cough, with bloody expectoration ; palpitation.
Suppuration of lungs.
Circumscribed pulmonary mortification ; also cheesy pneumonia.

Heart, pulse and circulation

Palpitation : violent ; spasmodic, with anxiety about heart.
Beats of heart very tumultuous, rapid and resonant.
Stitch in region of heart during an inspiration, with anxiety, heat and redness of face ; rushing of blood in region of heart, during a rapid walk ; anguish about heart, cold sweat ; violent palpitation and a sort of angina pectoris.
Hypertrophy and dilatation of heart.
Change in muscular structure of heart without coincident disease of valves and with or without atheromatous degeneration of vessels ; usually hypertrophy and dilatation of left ventricle ; ten cases out of twenty-five were associated with parenchymatous nephritis in stage of
atrophy.
Bruit de souffle at base of heart ; cat's fremitus at apex.
Pulse : rapid ; weak and slow, about 40 ; variable, generally small and slow, contracted ; at times hard and slow ; at others small and accelerated ; dicrotic or undulating.

Outer chest

Chronic myalgia.

Neck and back

Tension in neck extending to ears when moving head.
Pains in back sometimes > by bending forward, at others when bending backward.
Stitches in back and small of back and between shoulder blades.
Pain in back, with sensitiveness of affected spot, by leaning on it ; in afternoon > after rubbing.
Chronic spinal meningitis, with sudden loss of flesh ; painful contraction of limbs ; colic with retracted abdomen.
Wasting palsy : local paralysis, chiefly of forearm, with atrophy of muscles and absence of anesthesia.
Multiple sclerosis : tremor of right arm during voluntary motion ; arms are "shaky" when he attempts to use them ; tremor of arms preceded by weakness and numbness ; tongue trembles when being protruded or when he tries to articulate ; speech
dragging and slow ; diplopia ; dimness of sight ; neuritis of optic nerve.
Paralysis : anesthesia and hyper-anesthesia in spinal diseases.

Upper limbs

Convulsive motion of arms and hands, with pains in joints.
Debility of arms, with atrophy, loss of sensation and trembling.
Weakness and painful lameness of arms.
Numbness and want of power in extensor muscles of right forearm, those of thumb and index finger being almost paralyzed ; attack commenced eighteen months ago and was attributed to continuous knitting.
Very numerous dilatations of cutaneous veins of forearm, and under surface of lower third of upper arm.
Very numerous moniliform dilatations of veins on forearm, upper arm and back of hand, chiefly corresponding to the points of union of veins.
Wrist-drop.
Right hand, wrist and forearm mostly affected by paralysis (parts chiefly exposed to contact with paint).
Trembling of hands.
Knife drops from his hands. θ Constipation.
Paralysis of extensor muscles of fingers of right hand ; severe pains in abdomen ; constipation ; extraordinary tendency to sweat. θ Lead
poisoning.
Wens on hands.
Paronychia ; onychia maligna and ingrowing toe nails.
Swollen red spots on fingers.

Lower limbs

Lacerating pain without redness or swelling in forepart of thighs and knees ; < at intervals ; decidedly < by movement and scarcely alleviated by pressure.
Violent pains in lower extremities, chiefly in anterior portion of thighs and calves.
Most violent pains, extending from hips to knees, as if pierced with needles.
Feeling of numbness outside of right leg, from hip to knees, always coming on at night and continuing for an uncertain time, also felt in morning ; of late it had increased to actual insensibility, so that he could run a pin into skin without pain ;
skin and parts below felt hard ; frequently came on after walking about room in morning.
Paralytic sensation in hip, knee and foot joints, especially the latter two, the feet are pressed to the floor with difficulty, as if they were made of wood.
Drawing pressing pain n posterior part of thigh along course of sciatic nerve, extending to knee ; gait limping, difficult ; very tired after walking ; after Sulph., pains became periodic, appearing with great severity every other evening and
lasting several hours, followed by great weakness of thigh ; headache.
Sciatica : drawing pressive pain in course of nerve from posterior part of thigh of knee, especially when the painful space is wider than the nerve track ; walking is difficult and exhausting ; colic.
Sciatica, when there is marked consecutive muscular atrophy ; or earlier, then walking causes great exhaustion.
Painfulness of loins, nates, posterior portion of thigh, knee, sole of foot and toes ; pain is equally severe on both sides and is felt somewhat on inner surface of lower limb ; usually consisting of prickings or lancinations, with occasional attacks of cramps.
From time to time very sharp neuralgic pains, always seated in lower limbs, though not limited to the joints or to any particular spot.
Extremely acute and paroxysmal pains, as well as cramps, in lower limbs.
Pains in lower limbs < in paroxysms.
Lightning-like pains in lower limbs.
Lame feeling in legs.
Paralysis with atrophy of legs after parturition ; loss of motion and sensation ; coldness of affected parts ; impossible to stand ; involuntary stool and urination.
Pains in legs, especially at night.
Enlarged veins on calves, with numerous varicose dilatations.
Cramps in calves.
Swelling of feet.
Fetid foot sweat ; fetid sweat on soles ; sweat smelling like old cheese.
Intense pain in great toe at night, which nothing relieves.
Ingrowing toe nails.

Limbs in general

Violent pains in extremities, beginning in fingers, extending through elbows and upper arms ; then beginning in feet and finally affecting whole body.
Pains in extremities, especially in evening and night.
Neuralgic pains in limbs.
Pains in limbs < in paroxysms, so severe that he cries out ; somewhat > by pressure ; < from motion.
Vague wandering pains in limbs.
Lancinating pains all along inner surface of upper and lower limbs ; sometimes cramps ; at times these neuralgic pains cause as great suffering as the colicky paroxysms.
The pains in limbs are < at night and are > by rubbing ; < from pressure but > from friction ; during pain desires to extend upper and lower extremities.
The left side twitches, tingles and then "goes to sleep."
Alternate jerks of flexors and extensors.
Jerking, trembling or numbness of limbs.
Not a loss of power, but uncertain, irregular motions of limbs during height of pains, ceasing when pains stop.
Paralysis of limbs.
Paralytic weakness of extremities, especially on right side ; hands and feet cold ; total want of sweat.
Paralysis of extensor muscles of fingers and toes, both sides, after injections of morphine for rheumatic pains.
Paralysis : of wrist or arms ; first cramp, then loss of sensation and sudden emaciation, with coldness of parts ; feet are shortened ; extensors most affected ; preceded by trembling colic, apoplexy or spasms ; the paralyzed parts may swell after the
emaciation.
Paroxysms of paralysis.

Rest. position. motion

Rest : constriction behind glans penis >.
Lying down : pressure in epigastrium > ; difficulty of breathing ; all symptoms better.
Lying on right ride : impossible, swelling in abdomen ; brings on cough.
Lying on left side : violent palpitation worse.
Lying on back : brings on cough ; feels as if fluid rolled from one side of chest to the other ; cough worse.
Stooping : vertigo.
Bending forward : pressure in stomach ; pains in back better.
Bending backward : pressure in stomach > ; pain in epigastrium > ; pains in back better.
Bending double : > colic.
Leaning on back : sensitiveness.
Inclination to take strange attitudes and positions in bed.
Wants to stretch limbs : during ovarian pains.
Rising in morning : terrible pains in stomach.
Motion : pain in epigastrium < ; pain in abdomen < ; cecum and ascending colon < ; constriction behind glans penis < ; of head, tension in neck and ears ; pain in thighs >.
Walking about room : numbness of leg ; very tired.
Going up stairs : shortness of breath.
Rapid walk : rushing of blood in region of heart.
Active exercise : does not perspire ; coldness.

Nerves

Anesthesia or excessive hyperesthesia.
Diminished sensibility on whole right side of body.
Lassitude ; faintness ; faints on going into a room full of company.
General debility ; great prostration.
Restlessness and uneasiness.
Spasms : colic ; tonic ; convulsive movements of limbs ; from cerebral sclerosis or tumor ; epileptic ; epileptiform.
Immobility of affected part.
Epileptic fits, at first seldom and irregular, but soon regularly and coincident with menses ; attacks very severe, lasting for hours, followed by great drowsiness and lassitude, compelling her to pass following day in bed ; menstruation exceedingly
painful, so that its approach fills her with great fear ; severe frontal cephalalgia ; constant sleepiness ; for several years severe colic and obstinate constipation ; face dirty pale ; very poor memory ; low-spirited, frequently sits in abject despair ;
strabismus, jerking with head, dragging speech, with slight frothing at mouth while talking.
Epilepsy, chronic form ; before spell vertigo ; legs heavy and numb, tongue swollen ; afterwards long-lasting stupid feeling in head and prolonged snoring sleep ; no aura, but sighing may precede the attack.
Epilepsy ; after fit consciousness returns slowly and symptoms of paralysis remain ; chronic cases, with earthy color of face, stupor and debility after fit ; periodicity.
Epilepsy, proceeding from splanchnic system ; swelling of tongue, which hangs from mouth and gets bitten.
Chorea of three years' standing ; left arm partially paralyzed.
Globus hystericus ; hysterical paralysis.
Hemi-and paraplegic anesthesia ; hemiplegia which is often accompanied by hyperesthesia of opposite side ; hysteria.
Arthralgic and neuralgic pains in trunk and limbs.
Tremor ; tremor followed by paralysis.
General paresis ; wrist-drop very prominent and pronounced ; wasting away of muscles ; humerus seems covered only by integument ; can walk only with assistance ; urine scanty and high-colored ; icteroid appearance ; no appetite ;
thirsty ; paroxysms of intense colic, with retraction of abdominal walls and often vomiting ; obstinate constipation ; has desire but not power to evacuate bowels ; injections sometimes enable him to pass small hard balls. θ Paraplegia.
Paralysis : preceded by mental derangement, trembling, spasms or by shooting, darting, intense, tearing pains in tracks of larger nerves ; the parts emaciate ; wrist-drop, caused by apoplexy, sclerosis of brain or muscular atrophy,
alternating with colic ; after apoplexy rapid emaciation, atrophy and loss of sensation of affected part ; of arms, with pain, dryness, deathly paleness and coldness of hands.
Paralyzed parts soon fall away in flesh and the limbs are painfully contracted : complete palsy, with excessive waste of tissue ; lowness of spirits and indifference ; loss of memory ; sleeplessness, or sleep disturbed with dreams or
hallucinations ; ringing in ears ; weakness of sight ; diplopia ; vertigo ; sunken features ; weakness of sexual powers ; oppression of chest ; incomplete, difficult, noisy, moaning respiration ; constriction in precordial region ; paralysis
of upper and lower limbs ; pulse small, soft, easily compressible ; deep-seated anesthesia of limbs and trunk.
Progressive locomotor ataxia.

Sleep

Drowsiness ; somnolency.
Great disposition to yawn and stretch, with restlessness.
Great sleepiness during day ; sleepless at night ; sleepless from colic.
Inclination to take strangest attitudes and positions in bed.
All symptoms < at night and by lying in bed.

Time

Morning : several discharges ; mouth and lips dry and lips swollen ; cough < getting out of bed ; after walking about room numbness of leg.
Day : sopor ; great sleepiness.
Afternoon : pain in back.
Evening : weak and exhausted ; vomiting ; exacerbation ; pains in extremities < ; chill increases ; internal chill and external heat ; heat.
Night : delirium furious ; sleeplessness ; neuralgic pains in and around eye < ; vomiting especially early morning ; weak and exhausted ; sensation in abdomen causing her to stretch ; pain in abdomen < ; must get up several times to urinate ;
drinks on account of dry mouth ; difficulty of breathing when lying down, must stretch violently ; sweats ; numbness of leg ; intense pain in great toe ; pain in extremities < ; sleepless ; all symptoms < ; heat ; violent pains in bones.

Temperature and weather

Effects most marked in rough and foggy weather.
Open air : vertigo > ; coldness ; sensitive.
Damp weather : salivation profuse.
Cold water : violent thirst.

Fever

Coldness : in open air and when exercising ; of hands and feet.
Chill predominates, increasing towards evening, with violent thirst and redness of face.
Internal chill and external heat, in evening.
Chilliness in all the limbs.
Heat : with thirst, anxiety, redness of face and sleepiness, in evening and at night, with yellowness of buccal cavity.
Sweat : anxious, cold, clammy, as soon as he gets into bed ; cold, viscid, with anxiety.
Absolute want of sweat.

Attacks, periodicity

The ailments develop slowly and intermit for a time ; intermission every third day.
Periodical : pains in abdomen ; asthmatic paroxysms ; epilepsy.
Paroxysmal pains : in right side of abdomen ; in lower limbs.
Alternating : delirium with colic ; gloom and taciturnity and frantic delirium, colic and constipation ; diarrhœa and constipation ; dark clots and fluid blood during menses ; jerks of flexors and extensors ; paralysis and colic.
Every three minutes : spasms.
Every forenoon : pain above umbilicus.
Nightly : tearing pains in eyes.
Every other evening : pains in thigh.
Every second or third day : stool.
Every week or ten days : constipation interrupted by an attack of diarrhœa.
Every ten days : urging to urinate.
For three years : chorea.

Locality and direction

Right : pain in temple ; dimness of vision ; paralytic weakness of side ; pain in side of abdomen ; side sensitive to pressure ; strangulated hernia ; as if a bag filled with fluid lay in abdomen ; tremor of arm ; numbness and want
of power in extensor muscle of forearm ; wrist and forearm most affected by paralysis ; numbness in outside of leg ; paralytic weakness of extremities ; diminished sensibility of side of body.
Left : muscles of side paralyzed ; eye affected ; angina ; severe pain in leg ; sensitive swelling on side of umbilicus ; strangulated hernia ; lumps size of fist appear on side ; hypertrophy and dilatation of ventricle ; side twitches,
tingles and then "goes to sleep ;" arm partially paralyzed.
From left to right : tonsillitis ; angina granulosa.

Sensations

As if something were working at top of head, with a sense of screwing from behind forward ; eyelids as if paralyzed ; as if a ball were rising from throat into brain ; cornea as if breathed upon ; eyes as if too large ; as of a plug in throat ; as
if everything were weighted down, with general indisposition ; as if abdominal walls were pulled inward ; as if abdomen and back were too close together ; as if bowels were twisted ; as if abdomen were drawn to spine by a string ; intestines as if constricted ;
as if drawing in from abdomen to back ; intestines as if distended with gas ; as if abscess were forming near umbilicus ; sphincter ani as if drawn in ; as if a bag not quite filled with fluid lay in bowels ; as if a wheat-hull were in throat ; as if fluid
rolled from one side to other in abdomen ; as if there were not room enough for fetus in uterus ; as if thighs were pierced with needles ; as if feet were made of wood.
Pain : in upper part of neck and back of head ; in occiput ; in back ; at umbilicus radiating to lumbar region and extending to chest, to small of back, kidney, bladder and lower extremities ; in limbs ; in joints ; in lower limbs.
Extremely acute pains : in lower limbs.
Excessive pain : in abdomen.
Terrible pains : in epigastrium.
Intolerable pains : with every evacuation.
Intense pain : in vagina ; in great toe.
Excruciating, tearing pains : in all the bowels.
Excruciating colic.
Violent pains : in paralyzed parts ; in integuments of skull ; in umbilical region ; in abdomen ; in lower extremities ; from hips to knees ; in extremities.
Severe pain : in stomach ; in abdomen.
Severe shooting pains : through body.
Tearing pains : in eyes and forehead ; in ears ; in jaws ; in abdomen ; in mamma.
Lancinations : in lower limbs.
Lacerating pains : at umbilicus and epigastrium ; in forepart of thighs and knees.
Cutting, contractive pains : in bowels.
Cutting : in stomach and bowels.
Lightning-like pains : in lower limbs.
Darting pain : in region of liver.
Stitches in ears ; in chest and sides ; in region of heart ; in back and small of back and between shoulder-blades.
Pulling pain : in mamma.
Pulling, pressive pain : in head.
Drawing pain : from abdomen to back ; in posterior part of thigh ; in course of sciatic nerve.
Neuralgic pains : in and around eye ; in lower limbs ; in trunk.
Vague, wandering pains : in limbs.
Paroxysmal pains : in right side of abdomen.
Contractive pain : in mamma.
Bearing-down pains ; in small of back.
Cramping : of limbs ; of bladder ; in calves.
Sticking pain : in hepatic region.
Prickings : in lower limbs.
Stinging : in region of liver.
Burning : in œsophagus and stomach ; in tonsils ; in epigastrium ; in liver and spine ; in abdomen ; in anus ; in perineum and rectum ; in ulcers.
Heat : in liver and spine.
Dull pain : in hepatic region.
Pressure : about stomach ; upon chest.
Constriction : in throat ; of intestines ; of navel ; of anus ; of chest ; behind glans penis ; of testicles ; of larynx.
Painful lameness : of arms.
Painfulness : of loins, nates, posterior portion of thigh, knee, sole of foot and toes.
Tightness : about stomach.
Tension : in neck to ears.
Weight : in back part of head.
Heaviness : in head ; in stomach ; in occiput.
Fulness : in pelvis.
Oppression : of breath.
Hard, knotty feeling of the muscles in various places.
Weakness : of thigh.
Lame feeling : in legs.
Trembling : of tongue ; of hands.
Numbness ; of upper and lower extremities ; of extensor muscles of right forearm.
Paralytic sensation : in hip, knee and foot joint.
Dryness : of hair ; of lips ; of mouth ; of hands ; of skin.
Chilliness : of all the limbs.
Coldness : of legs ; of hands and feet.

Tissues

Anemia.
Chlorosis : orthopnea ; obstinate constipation ; œdema of feet and anasarca ; unusual muscular debility ; scanty or suppressed catamenia.
The number of red blood corpuscles is very largely diminished, but their size becomes greatly increased, being relatively to the size of healthy blood corpuscles as nine to seven, true macrocythemia.
Blood under microscope shows an abnormal number of white globules.
Emaciation : extreme, with anemia and great weakness ; of paralyzed parts followed by swelling.
Great muscular weakness.
Constriction of muscular fibre, both voluntary and involuntary.
Muscular atrophy from sclerosis of cerebro-spinal system.
Arthralgia.
Wandering pains ; severe shooting pains through body.
Pains in joints as if being paralyzed.
Suddenly violent tearing, jerking, cracking in bones, occurring at night and depriving one of sleep.
Gout is more frequent in persons suffering from lead-poisoning.
Dropsical swellings ; anasarca.
Small wounds inflame and suppurate easily.
Stab wounds inflame, suppurate and heal rapidly.
Indurations after inflammation.

Touch. passive motion. injuries

Touch : pain in abdomen < ; cecum and ascending colon sensitive ; ileo-cecal region painful ; sensitive especially on arms and eyelids.
Pressure : hepatic region sensitive ; > pain in abdomen ; whole right side sensitive ; spot around umbilicus sensitive ; pain in thighs scarcely alleviated ; pains in limbs <.
Hard pressure : pressure in stomach > ; colic >.
Rubbing : stinging in liver > ; colic > ; pain in back > ; pains in limbs >.

Skin

Sensitive to open air ; to touch, especially on arms and eyelids.
Skin : rough, dry ; scaly ; feels dry and cool ; yellow, or pale bluish ; pale clay-colored, dingy ; withered yellow ; surface pale.
Yellow skin ; jaundice.
Dark brown spots on skin ; "liver spots" in climacteric years.
Burning and smarting as from fire.
Erysipelas of nose.
Serous infiltration and puffy appearance of skin.
Serous infiltration of mamma.
Excoriations ; decubitus.
Burning in ulcers ; small wounds become easily inflamed and suppurate.
Gangrene.
Burns when there are yellow ichorous vesicles, burning, itching, threatening gangrene.

Stage of life, constitution

Girl, æt. 10, suffering three years ; chorea.
Woman, æt. 25, single well built, suffering five days ; colic.
Man, æt. 26, suffering since childhood, mother similarly afflicted ; cardialgia.
Woman, æt. 26, poor, of delicate frame, after hard work and a fit of anger ; miserere.
Mrs. C., æt. 28, small frame, quick, nervous temperament, dark hair and eyes, had typhoid fever, since then suffering ; diarrhœa.
Man, æt. 30, strong, after catching cold five months ago ; affection of stomach.
Woman, æt. 30 ; intussusception.
Man, æt. 30, suffering since childhood ; offensive foot sweat.
Lady, single, about 30, middle height, thin and wiry, dark brown hair, parents are cousins, suffering thirteen years ; epilepsy.
Engineer, æt. 30, has had three similar attacks ; paralysis of extensors of fingers and toes.
Man, æt. 30, for fifteen years has followed the sea, handling much paint and painting ; lead paralysis.
Woman, æt. 32, married, weakly, slender, tuberculous, suffering with chronic cough ; sciatica.
Man, æt. 33, cheese-monger, suffering nine or ten weeks ; constipation.
Lady, æt. 36, subject to bilious attacks ; jaundice.
Lady, æt. 36, sanguine nervous temperament ; tumor cecum.
Woman, æt. 36, mother of four children ; phthisis.
Man, æt. 39, during youth addicted to masturbation, married at 23, but soon after was separated from wife, when he resumed the habit and continued it for seven or eight years ; suffering eight or ten years ; mental disorder.
Mrs. E., æt. 40, suffering one year ; cardialgia.
Man, æt. 40, brewer, corpulent, accustomed to drink considerable quantities of beer and wine, was seized with an attack of ague which was suppressed by quinine, after which he suffered from great prostration accompanied by gastric disturbance and icterus, on return of paroxysm of ague,
a nephritis and right sided lobular pneumonia developed, latter yielding to Tart. stibiat. ; desquamative nephritis.
Lady, æt. 44, eighteen months ago confined to house, when she knit continuously, since then suffering ; weakness and paralysis of extensor muscles of fingers.
Man, æt. 46, florid complexion, stout, active habits, temperate in diet, suffering fifteen months ; nervous affection of leg.
Man, æt. 50 ; stricture of œsophagus.
Mrs. R., æt. 50 ; constipation.
Man, æt. 50, suffering ten years ; spasms of rectum.
Man, æt. 50, good habits, well nourished, has always enjoyed good health ; cirrhotic kidney.
Man, æt. 50, after severe abdominal affection, accompanied by constipation, was subject to profuse bleeding piles ; anemia.
Man, æt. 52, lawyer, good stature, robust frame, family history good, ailing three years, disease said to be fatty degeneration of heart, had severe double pneumonia, is prone to attacks of bronchitis ; cirrhotic kidney.
Man, æt. 53 ; constipation.
Mrs. ---, æt. 54, subject to severe attacks of hysteria, from puberty till cessation of menstruation nine years ago, after being excited by religious disputes and receiving a sudden shock from seeing a lady on her death-bed ; mental disturbance.
Mrs. Kuchler, æt. 58, laborer's wife, passed through climaxis without any particular ailments, tendency to constipation ; impaction of feces.
Widow, æt. 60 ; intussusception.
Man, æt. 60, teacher, uses salt to excess and drinks much beer, suffering three months ; strangury.
Girl, suffering several years ; gastralgia.
Man, baker ; enteralgia.
Mrs. R., suffering many years from large femoral hernia ; strangulated hernia.
Teamster ; paraplegia.

Relations

Antidoted by : Alumen, Arsen ., Alum ., Ant. crud., Bellad., Coccul., Hepar, Kreos., Nux vom., Opium , Petrol ., Platin .,
Sulph. ac ., Zincum . Alcohol is a preventive.
Compatible : Arsen., Bellad., Lycop., Mercur., Phosphor., Pulsat., Silica. Sulphur .
Compare : Lycop., Phos. ac ., in mental conditions ; Pulsat . in venous circulation ; Alumina, Platin., Opium , in colic and enteralgia ; Bellad.,
Nux vom ., in strangulated hernia ; Natr. nitr., Podoph ., in retraction of navel ; Arsen . in skin symptoms, especially burns ; Thallium in sciatica.