Rhus Toxicodendron rhus-t.

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

SKIN: Face. Scalp. Genitals. Blood. Tissues: Cellular. Ligaments. Fibrous. Joints. Mucous membranes. GLANDS: Pyer's. Parotid. NERVES: CORD. Sciatic. Left side or left to right.

Worse

EXPOSURE TO: WET; cold. Air. WASHING. Chill or draft. When hot or sweaty. Uncovering; hands, etc. BEGINNING MOTION. REST. Before storms. SPRAINS. Overexertion. AFTER MIDNIGHT.

Better

Continued motion. HEAT: Wraps. Bath. If heated. Rubbing. Nose-bleed. Holding abdomen.

General

An infectious irritant, exciting TYPHOID, RHEUMATIC OR PARETIC EFFECTS. NIGHTLY SHOOTING, STITCHING, TEARING PAINS; CAN'T REST IN ANY POSITION. Grippe. Variola. Sore, bruised or STIFF. Flesh feels beaten or torn loose. Dislocative sensation. Twitching muscles. Crawling. Numbness. Trembling. Burning, swelling and lividity. Cellulitis. Acrid, rusty - red, meat water or musty secretions; causing eruptions. Scraping, gnawing or tearing loose in periosteum.

Copyright © Médi-T 1999

Particulars

Sad, anxious, depressed or beclouded. Slow answers. Low delirium. Whirling vertigo; then headache. Shattering or loose feeling in brain; < jar. Board-like pressure in forehead. Painfully stiff scalp, > lying on it. Pain behind eyes; < motion. Eyelids, stiff; adherent; dry; firmly closed. Profuse, hot, gushing tears. Photophobia. Vertical diplopia. Saccular conjunctivitis. Red, sensitive tip of nose; it drips water. Roseola. Nose-bleed; at night. Violent aching in bones of nose. Face-ache. Maxillæ crack; easily dislocated; pains in. Red spot on l. cheek. Swelled, stiff face. Dry, cracked, crusty lips; herpes on. Sordes. Bloody saliva runs during sleep. Teeth feel loose. TONGUE; RED TRIANGLE AT TIP; coated diagonally or on one side only; dry red center; cracked, stiff, sore. Coppery or straw-like taste. Red, puffy, itching fauces. As of chamois skin stuck on tonsils. Sorethroat (l) in A.M.; with swelled glands. Craves cold drinks, although they < cough, chill, etc. Vomits from coughing, lying on back, etc.; fecal. Abdomen sore; swashing in; as of a lump in. Ileocæcal symptoms. Stools watery, frothy or bloody; foul; brick red; slimy; gelatinous; involuntary or with tenesmus, < drinking. Piles, < lifting. Genitals, œdema, < prepuce; itching; swelled. Nephritis. Metritis; septic. Chest pains on using arms. Dry, hoarse, tearing, tormenting cough, from tickling behind upper sternum; with bloody taste. Sudden hypostasis or œdema of lungs. Palpitation; > motion. Heart; feels tired; hyper-trophy; pains going down l. arm. Shingles. Stiff neck. Inter - scapular pain, < swallowing. Contractive or breaking backache, > hard pressure, walking about or bending backward. Lumbago. Coccyx aches into thighs. Numb, prickling limbs. Arms nervous and shaky, (l). Paralytic pain in elbows. Rhagades on backs of hands. Palms, dry, hot, cracked and sore; washing causes burning. Pains down back of thighs; < stool. Sciatica. Legs feel dead, wooden; cramp in calves; gangrenous ulcer, runs bloody water; itching. SKIN; stiff; thick; dry; hot; itching; burning; < warmth; painful to cold air. Fine VESICULAR, crusty, eczematous, moist or ERYSIPELATOUS ERUPTIONS, < genitals; alternating with dysentery. Pus erodes the hair. Rhus poisoning. Milk-crust. Baker's itch. Vesicles over abscess. Weeping ulcers. Dreams, laborious; of blood; awakes tired or nervous. Weak, rapid, sharp, tremulous or irregular pulse. Easily chilled; < least uncovering; with pains in limbs; < cough, etc. Chill as if dashed with cold water or cold water in veins; preceded by cough; alternating with heat; in single parts. Heat with busy delirium. Sweat, < during pain; with sleepiness.

Related

Complementary: Bry. Calc-c. Mag - c. Med. Phyt. Related: Arn. Bry. Dul.

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 persons of a rheumatic diathesis; bad effects of getting wet, especially after being overheated. Ailments: from spraining or straining a single part, muscle or tendon (Cal., Nux); overlifting, particularly from stretching high up to reach things; lying on damp ground; too much summer bathing in lake or river. Affects the fibrous tissue, especially (Rhod. - serous, Bry.); the right side more than the left. Pains: as if sprained; as if a muscle or tendon was torn from its attachment; as if bones were scrapped with a knife; worse after midnight and in wet, rainy weather; affected parts sore to touch. Lameness, stiffness and pain on first moving after rest, or on getting up in the morning, > by walking or continued motion. Great restlessness, anxiety, apprehension (Acon., Ars.); cannot remain in bed; must change position often to obtain relief from pain (from mental anxiety, Ars.). Restless, cannot stay long in one position. Back: pain between the shoulders on swallowing; pain and stiffness in small of back < sitting or lying, > by motion or lying on something hard. Great sensitiveness to open air; putting the hand from under the bed-cover brings on cough (Bar., Hep.). Muscular rheumatism, sciatica, left side (Col.); aching in left arm, with heart disease. Great apprehension at night; fears he will die of being poisoned; cannot remain in bed. Vertigo, when standing or walking; worse when lying down (better when lying down, Apis); < rising from lying, or stooping (Bry.). Headache: brain feels loose when stepping or shaking the head; sensation of swashing in brain; stupefying; as if torn; from beer; returns from least chagrin; < from sitting, lying, in cold, > warmth and motion. Dreams of great exertion; rowing, swimming, working hard at his daily occupation (Bry.). Corners of mouth ulcerated, fever blisters around mouth and on chin (Nat. m.). Tongue: dry; sore, red, cracked; triangular red tip; takes imprint of teeth (Chel., Pod.). Great thirst, with dry tongue, mouth and throat. External genitals inflamed, erisiplatous, oedematous. A dry, teasing cough, before and during chill, in intermittent fever; cough, with taste of blood. When acute diseases assume a typhoid form. Diarrhoea: with beginning typhoid; involuntary, with great exhaustion; tearing pain down the posterior part of limbs during stool. Paralysis: with numbness of affected parts; from getting wet on lying on damp ground; after exertion, parturition, sexual excesses, ague or typhoid; paresis of limbs; ptosis. Erysipelas, from left to right; vesicular, yellow vesicles; much swelling, inflammation; burning, itching, stinging.

Relations

Complementary: to, Bryonia. Inimical: to, Apis, must not be used before or after. Compare: Arn., Bry., Rhod., Nat. s, Sulph.

Aggravation

Before a storm; cold, wet rainy weather; at night, especially after midnight; from getting wet while perspiring; during rest.

Amelioration

Warm, dry weather, wrapping up; warm or hot things; motion; change of position; moving affected parts. The great characteristic or Rhus is that with few exceptions the pains occur and are < during repose and are > by motion. Sepia, often quickly > itching and burning of Rhus, the vesciles drying up in a few days. Rhus is best antidoted by the simillimum; the potentized remedy given internally. The dermatitis should never be treated by topical medicated applications; they only suppress, never cure.

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)

General

We are led to think of this remedy where we find an irresistible desire to move, or change the position every little while, followed by great relief for a short time, when they must again move, and again experience the same relief for a short time; this condition is usually worse at night. After resting for a time, or on getting up from sleep, when first moving about, a painful stiffness is felt which wears off from continued motion; the patient is made worse generally when beginning to move, but relief is experienced from continued motion--e.g., a nursing mother may have sore nipples, and when the child begins to nurse, the nipple hurts exceedingly, but on continued nursing it becomes much easier.

Eyes

Affections of the internal surface of the eyelids; strong aversion to light; blue color about the eyes. Rheumatic ophthalmia, particularly of the right eye.

Skin

Vesicular erysipelas where the vesicles are large. Exanthema on the face in general--on the chin, face, cheeks, mouth, nose, forehead, and causes much burning itching. Pustulous chilblains. Exanthema in general; burning; burning itching; pustulous; with swelling; blotches; like milk crust; moist; like nettle-rash; blue with erysipelas, scurfy; tensive or tight feeling in; pock-shaped; black; purulent; zona or shingles; petechiæ; prickling; tickling; blisters which will sometimes spread up the limb, and are sometimes in a circular form, spreading with a red edge in the advance which gradually turns to a blister, the red border still keeping in advance (if the edges be black, Arsen); itching worse after scratching. Tetters in general. Ulcers burning; with corroding pus; with ichorous pus. Rash itches a great deal, in scarlet fever, small-pox, etc., with the peculiar restlessness. Phlegmonous erysipelas, especially where the erysipelas begins in the ankle, and moves gradually up the leg, running up in the deeper tissues, no fever.

Sleep

Yawning in general; with violent stretching of the limbs: falling asleep late; unquiet sleep; sleeplessness before midnight; lying on the back during sleep.

Fever

External coldness along the skin; coldness but does not mind cold air; chilliness and coldness in general; coldness of single parts; of one side only. Heat in general: internal; external; with thirst; of one side only. Perspiration in general; with heat; offensive.

Stool

Diarrhœa, with tearing pains running down the posterior part of the leg with every stool; painful tenesmus without stool.

Gastric

Want of appetite; hunger without appetite; metallic taste.

Urine

Discharge of urine too copious; too frequent; involuntary.

Sexual

Female: After-pains, especially where they come on one after another, lasting all night, accompanied by the characteristic restlessness. Menstrual blood coagulated.

Sensations

Pain in the chest (often rheumatic), made worse by using the arms--as in making a bed, sweeping, etc., stiffness of the nape of the neck; sensation as if the flesh were beaten off the bones, or as if a dog were gnawing it off; as if any part contracted; as if a part were increased in size; as if certain parts were grown together; of heaviness in outer or inner parts; jerking pains in outer parts; darting and rending pains; of tension of tightness in outer or inner parts; arthritic pain in the joints; trembling sensation in inner parts; dyspeptics often complain of trembling in the stomach; of scraping along the periosteum.

Generalities

For any troubles, or complaints, whether acute or chronic, resulting from a sudden and a thorough drenching by a shower of rain; by getting wet in any way; there may be troubles of very long standing, which were so caused. Troubles in general affecting the right abdominal ring; left chest; left arm; left lower extremity; left side of the body; of the scalp, as in erysipelas when it runs up to the scalp; glands about the neck, particularly if they are swollen or inflamed with red streaks, as often are in scarlet fever; joints of the jaws, particularly when they are worse on the beginning of motion, and get better from continued motion; of the abdominal cavity in general; mons veneris, there may be a great deal of itching, sometimes a hard blue boil is found there; shoulder-blades; small of the back, as e.g., when one stoops, his back hurts so that he cannot straighten up without help--this may result from an old sprain, or from a sudden "crick" in the back; sacrum; buttocks; forearm; shoulder; back of the hand; fingers; joints in general; shoulder-joint; elbow, wrist; bones of the arm; calves; joint of the leg; hip-joint, knee and ankle; weakness of the joints.

Coagulated blood from the nose; cough bloody, blood being coagulated; face covered like erysipelas; increase of saliva; difficulty in swallowing, as it hurts so in the back; fluent catarrh of the nose. Inability at first to move the parts affected. One is very easily sprained by lifting; palsy of the limbs; staggering when walking. Strictures after inflammation, and hence may sometimes be used for strictures resulting after gonorrhœa; swelling in general, with inflammation and without; debility; aversion to washing; wounds, with sprained muscles. Axillary glands where the swelling is very deep and hard.

Worse

Before a storm of rain; after midnight; in the morning; before falling asleep; froth bathing; can't bear cold water; complaints coming on in autumn; on taking a deep breath; on inspiration; from cold in general; in cold air; in cold and wet weather; from coughing; while chewing; from drawing up the limbs; from exertion of the body; after drinking: after fatigue; on uncovering the head; from surgical injuries; from sprains; while lying down; from lifting; from cold food, cold water; anything cold; during perspiration; from wet poultices; while resting; on first rising; while sitting; while talking; after undressing; in foggy, or foggy and wet weather; from getting wet; in winter; FROM GETTING WET WHILE PERSPIRING; women in confinement; small-pox; after effects of syphilis.

Better

While exhaling; after evacuation; from wrapping up the head or parts; from moving; from moving affected parts (i.e., gets better after continued motion, or a change of position while at rest, ameliorates for a short time); from warm or hot things; while walking; in dry weather; in clear weather; from stretching out the limbs.

Remedies following

Bellad., Graphit., Nux vom., Phosphor., Pulsat., Mercur., Sepia, Sulphur, Arsen., Bryon.

Antidotes

Bryon., Bellad., Camphor., Sulphur.

Rhus tox. affections appear more on the surface of the body, skin, etc., and are more superficial; Rhus rad. affects the deeper tissues of the body, and has a deeper-seated action.

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

Aching in left arm with disease of the heart. Vesicular and pustular eruptions, with burning and itching. Putting hands out of bed covers brings on a cough. Restless at night, has to change position frequently. Corners of mouth ulcerated and sore, or chafed around the genitals. Menstrual flow causes biting pain in the vulva. Swollen around the ankles, after sitting too long, particularly in travelling. Soreness as if beaten in the hypochondriac region, and still more in abdomen, worse on the side on which he lies, worse when turning and most when beginning to Move. Lameness, stillness and pain on first moving after rest, or on getting up in the morning, relieved by continued motion. Pains as if strained, ailments from spraining and straining, lifting, particularly from stretching the arms high up to reach things. Complaints after getting wet in a rain while overheated. Typhoid, low, mild delirium, stupefaction, insensibility restlessness, tongue red, dry and cracked, abdomen distended, loose, dark-brown stools.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Poison-ivy

General

The effects on the skin, rheumatic pains, mucous membrane affections, and a typhoid type of fever, make this remedy frequently indicated. Rhus affects fibrous tissue markedly-joints, tendons, sheaths-aponeurosis, etc, producing pains and stiffness. Post-operative complications. Tearing asunder pains. Motion always "limbers up" the Rhus patient, and hence he feels better for a time from a change of position. Ailments from strains, overlifting, getting wet while perspiring. Septic conditions. Cellulitis and infections, carbuncles in early stages (Echinac). Rheumatism in the cold season. Septicæmia.

Mind

Listless, sad. Thoughts of suicide. Extreme restlessness, with continued change of position. Delirium, with fear of being poisoned (Hyos). Sensorium becomes cloudy. Great apprehension at night, cannot remain in bed.

Head

Feels as if a board were strapped on the forehead. Vertigo when rising. Heavy head. Brain feels loose and as if struck against skull on walking or rising. Scalp sensitive; worse on side lain on. Headache in occiput (Rhus rad); painful to touch. Pain in forehead and proceeds thence backward. Humid eruptions on scalp; itching greatly.

Eyes

Swollen, red, œdematous; orbital cellulitis. Pustular inflammations. Photophobia; profuse flow of yellow pus. Œdema of lids, suppurative iritis. Lids inflamed, agglutinated swollen. Old injured eyes. Circumscribed corneal injection. Intensive ulceration of the cornea. Iritis, after exposure to cold and dampness, and of rheumatic origin. Eye painful on turning it or pressing, can hardly move it, as in acute retrobulbar neuritis. Profuse gush of hot, scalding tears upon opening lids.

Ears

Pain in ears, with sensation as if something were in them. Lobules swollen. Discharge of bloody pus.

Nose

Sneezing; coryza from getting wet. Tip of nose red, sore, ulcerated. Swelling of nose. Nosebleed on stooping.

Face

Jaws crack when chewing. Easy dislocation of jaw (Ign; Petrol). Swollen face, erysipelas. Cheek bones sensitive to touch. Parotitis. Facial neuralgia, with chilliness; worse, evening. Crusta lactea (Calc; Viol tric).

Mouth

Teeth feel loose and long; gums sore. Tongue red and cracked; coated, except red triangular space at the tip; dry and red at edges. Corners of mouth ulcerated; fever-blisters around mouth and chin (Nat mur). Pain in maxillary joint.

Throat

Sore, with swollen glands. Sticking pain on swallowing. Parotitis; left side.

Stomach

Want of appetite for any kind of food, with unquenchable thirst. Bitter taste (Cupr). Nausea, vertigo, and bloated abdomen after eating. Desire for milk. Great thirst, with dry mouth and throat. Pressure as from a stone. (Bry; Ars) Drowsy after eating.

Abdomen

Violent pains, relieved by lying on abdomen. Swelling of inguinal glands. Pain in region of ascending colon. Colic, compelling to walk bent. Excessive distention after eating. Rumbling of flatus on first rising, but disappears with continued motion.

Rectum

Diarrhœa of blood, slime, and reddish mucus. Dysentery, with tearing pains down thighs. Stools of cadaverous odor. Frothy, painless stools. Will often abort a beginning suppurative process near the rectum. Dysentery.

Urinary

Dark, turbid, high-colored, scanty urine, with white sediment. Dysuria, with loss of blood.

Male

Swelling of glands and prepuce-dark-red erysipelatous; scrotum thick, swollen, œdematous. Itching intense.

Female

Swelling, with intense itching of vulva. Pelvic articulations stiff when beginning to move. Menses early, profuse, and prolonged, acrid. Lochia thin, protracted, offensive diminished (Puls; Secale), with shooting upwards in vagina (Sep).

Respiratory

Tickling behind upper sternum. Dry, teasing cough from midnight until morning, during a chill, or when putting hands out of bed. Hæmoptysis from overexertion; blood bright red. Influenza, with aching in all bones (Eup perf). Hoarseness from overtraining voice (Arn). Oppression of the chest, cannot get breath with sticking pains. Bronchial coughs in old people, worse on awaking and with expectoration of small plugs of mucus.

Heart

Hypertrophy from overexertion. Pulse quick, weak, irregular, intermittent, with numbness of left arm. Trembling and palpitation when sitting still.

Back

Pain between shoulders on swallowing. Pain and stiffness in small of back; better, motion, or lying on something hard; worse, while sitting. Stiffness of the nape of the neck.

Extremities

Hot, painful swelling of joints. Pains tearing in tendons, ligaments, and fasciæ. Rheumatic pains spread over a large surface at nape of neck, loins, and extremities; better motion (Agaric). Soreness of condyles of bones. Limbs stiff paralyzed. The cold fresh air is not tolerated; it makes the skin painful. Pain along ulnar nerve. Tearing down thighs. Sciatica; worse, cold, damp weather, at night. Numbness and formication, after overwork and exposure. Paralysis; trembling after exertion. Tenderness about knee-joint. Loss of power in forearm and fingers; crawling sensation in the tips of fingers. Tingling in feet.

Fever

Adynamic; restless, trembling. Typhoid; tongue dry and brown; sordes; bowels loose; great restlessness. Intermittent; chill, with dry cough and restlessness. During heat, urticaria. Hydroa. Chilly, as if cold water were poured over him, followed by heat and inclination to stretch the limbs.

Skin

Red, swollen; itching intense. Vesicles, herpes; urticaria; pemphigus; erysipelas; vesicular suppurative forms. Glands swollen. Cellulitis. Burning eczematous eruptions with tendency to scale formation.

Sleep

Dreams of great exertion. Heavy sleep, as from stupor. Sleepless before midnight.

Modalities

Worse, during sleep, cold, wet rainy weather and after rain; at night, during rest, drenching, when lying on back or right side. Better, warm, dry weather, motion; walking, change of position, rubbing, warm applications, from stretching out limbs.

Relationship

Complementary: Bry; Calc fluor. Phytol (Rheumatism). In urticaria follow with Bovista.

Inimical: Apis.

Antidotes: Bathing with milk and Grindelia lotion very effective. Ampelopsis Trifolia-Three-leaf Woodbine--(Toxic dermatitis due to vegetable poisons-30 and 200. Very similar to Rhus poisoning). Desensitizing against Ivy poisoning by the use of descending doses of the tincture by mouth or by hypodermic injections is recommended by old school authorities, but is not as effective as the homeopathic remedies especially Rhus 30 and 200 and Anacard, etc. Anacard; Croton; Grindelia; Mezer; Cyprip; Plumbago (eczema of vulva); Graph.

Compare: Rhus radicans (almost identical action); characteristics are, burning in tongue, tip feels sore, pains are often semilateral and in various parts, often remote and successive. Many symptoms are better after a storm has thoroughly set in, especially after an electric storm. Has pronounced yearly aggravation (Laches). Rhus radicans has headache in occiput even pain in nape of neck and from there pains draw over the head forwards. Rhus diversiloba-California Poison-oak (antidote to Rhus; violent skin symptoms, with frightful itching; much swelling of face, hands and genitals; skin very sensitive; eczema and erysipelas, great nervous weakness, tired from least effort; goes to sleep from sheer exhaustion); Xerophyllum (dysmenorrhœa and skin symptoms). Compare, also; Arn; Bapt; Lach; Ars; Hyos; Op (stupefaction more profound). Mimosa-Sensitive Plant--(rheumatism, knee stiff, lancinating pains in back and limbs. Swelling of ankles Legs tremble).

Dose

Sixth to thirtieth potency. The 200th and higher are antidotal to poisoning with the plant and tincture.

Leaders in Homoeopathic Therapeutics

E. B. Nash · Leaders in Homoeopathic Therapeutics · homeoint.org / Médi-T HTML text (Nash d. 1917; public domain)

Leaders

Dry or coated tongue with a triangular red tip.

Great restlessness, cannot lie long in one position, changes often with temporary relief, tosses about continually.

Lameness and stiffness on beginning to move after rest; on getting up in the A. M. > by continued motion.

Erysipelas or scarlatina with vesicular eruption and characteristic restlessness.

All diseases that put on the typhoid form with the characteristic, triangular red tip tongue and restlessness.

Stupor and mild, persistent delirium; continually tossing about, with laborious dreams.

Muscular rheumatism, sciatica; left side (Col.); aching in left arm, with heart disease.

Great sensitiveness to open air; putting the hand from under the bed cover brings on the cough (Bar., Hep.).

Back; pain between the shoulders on swallowing.

Cough during chill; dry, teasing, fatiguing, but urticaria over body during heat.

This is the third remedy of our so-called restless trio. This restlessness of Rhus is on account of the aching pain and soreness which is temporarily relieved by movement. There is also an internal uneasiness which is purely nervous, which causes the patient to want to be on the move, even when there is no particular pain present; but not nearly to the degree that we find it under Aconite and Arsenicum.

As in Bryonia, so in Rhus, the leading characteristic is found in its modality. The aggravation on movement, in the former, is no less marked than the aggravation when quiet of the latter. The patient tosses and turns from side to side with Rhus the same as with Aconite and Arsenicum. With Rhus the change relieves, while with the other two it does not. In Bryonia, the more the patient moves the more he suffers, while with Rhus, the more and longer he moves the better he feels, until he is exhausted. In acute affections, like scarlatina and typhoid fevers, and even in the hot stage of intermittent fever, constant movement seems to be the patient's only relief. With chronic diseases like chronic rheumatism the patient must move, suffers on first beginning to move, but as he continues to move, or as he expresses it, "gets limbered up," he feels better. But he cannot long lie comfortably in either the acute or chronic trouble, for the aching comes on and he must move even if it does hurt him at first. The pains causing the restlessness of Rhus are not so agonizing as they are under Aconite and Arsenicum, nor is the prostration so great as under Arsenicum nor the excitement so great as under Aconite. Rhus and Arsenicum are often indicated in typhoids, Aconite seldom or never, but all three are equally restless remedies.

If in genuine typhoid Arsenicum, as some think, heads the list, because oftenest indicated, Rhus will put in equally strong claims in all other diseases that take on typhoid symptoms. The literal meaning of the term or word typhus is smoke, stupefaction. Now in all forms of typhus, known as cerebral, abdominal and pneumo-typhus, taking all together, Rhus will be as often indicated as any other remedy. Whenever in fevers or even inflammatory diseases the sensorium becomes cloudy (smoky) or stupefaction sets in, with low grade of muttering delirium, dry tongue, etc., we think of Rhus. Dry or dark coated tongue, with triangular red tip, is especial indication for this remedy. This condition of sensorium and tongue may appear in dysentery, peritonitis, pneumonia, scarlatina, rheumatism, diphtheria; bilious, remittent, typhoid fevers, etc. It makes no difference what the name or locality of the disease is if the symptoms are there. The stupefaction calling for Rhus in these diseases is not so profound as that calling for Hyoscyamus or opium, but is more on a parallel with such remedies as Baptisia, Nux moschata, Lachesis or Phosphoric acid. Nor is the delirium so violent as that calling for such remedies as Belladonna, Hyoscyamus and Stramonium. Both stupefaction and delirium are mild in form, but regular and persistent. Of course the Rhus restlessness is present and the patient tosses or turns from side to side, even without knowing of it, or of anything going on around her. She will answer questions and perhaps answer correctly, but afterwards does not know anything that transpired while she was sick, may be for days or weeks.

Rhus, Baptisia and Arnica closely resemble each other; and choice is sometimes difficult; but we will try to differentiate them when we come to write upon the two latter.

Cough during chill in intermittents is a characteristic given us by Carroll Dunham, and is very reliable, as I have had occasion to prove.

Rhus acts particularly on fibrous, muscular and cellular tissues. The muscles are stiff and sore. This may be of a rheumatic character, or may have been induced by straining, by heavy lifting or severe muscular exercise of any kind, or it may have been brought on by exposure to cold, especially wet cold.

This strained condition may not be confined to the muscles alone, but may involve the tendons, ligaments and membranes of the joints. Several affections of the muscles of the back and even the spinal membranes (myelitis) may come on from sprain, or by exposure, by sleeping on damp ground, or in bed with damp sheets, or getting wet in a rain storm, especially while perspiring. Indeed Rhus is one of our best remedies in lumbago. But it makes no particular difference what muscles are strained or exposed so as to bring on this lameness and soreness the remedy is the same, and if the great characteristic -"Lameness and stiffness and pain on first moving after rest, or on getting up in the morning, relieved by continued motion," is present, Rhus is the first remedy to think of.

Rhus is also often a remedy for glandular swelling of parotid or submaxillary glands during scarlatina, cellulitis in diphtheria, or orbital cellulitis.

This is also one of our best remedies in skin diseases. No one who has been poisoned by it will doubt that Rhus has power to produce skin disease, and of course in accordance with our law of cure we would expect cures by it. We have not been disappointed. The eruption of Rhus poisoning is vesicular. Erysipelas of the vesicular variety, accompanied by the restlessness and sensorium of this remedy, is quickly cured by it. So, also, is scarlatina. If we find the skin red, smooth and shiny, with high grade of fever and delirium Rhus would not do any good, but Belladonna or some remedy having that kind of skin, etc.

Apis, Cantharis, Lachesis, Ailanthus and others have each their peculiar appearance of the skin in these acute exanthemata. Yet, notwithstanding this, it must be remembered that in many cases the leading indication for a remedy will not lie in the skin symptoms, but outside of them.

If in variola the eruption turns livid and typhoid symptoms supervene we may rely on Rhus for a good effect. Probably no remedy is oftener found useful in herpes zoster than this.

Rhus is no less valuable in chronic skin troubles than in acute. Eczemas of the vesicular type are often cured by it; there is much itching which is not greatly relieved by scratching. In all such cases of course the constitutional symptoms weigh as much as the local. So far as dose is concerned, I have used it both high and low, and find it useful all along the scale, but I have an M. M. potency made upon my own potentizer which has served me so well, and so many times, that I cannot refrain from speaking of it.

Modalities

Modalities: < when quietly sitting or lying and on beginning to move; wet, cold weather; lifting or straining; getting wet when perspiring. > by continued motion, by warmth, dry air or weather; lying on hard floor (backache).

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

Restlessness which does not permit one to sit quiet, and compels him to throw himself about in bed. Anxiety and apprehensiveness (at twilight). Fear ; that he will die ; of being poisoned. Desire to commit suicide (to throw himself into the water). Disgust for life. Absence of mind. Inclination to weep, especially in the evening, with desire for solitude. Illusions of the fancy ; visions. Mild delirium, with insensibility.

Head

Stupefaction, with tingling in the head and pain in the limbs, ameliorated on motion. Giddiness, as if intoxicated ; when rising from the bed, with chilliness and pressure behind the eyes. Fulness and heaviness in the head, especially in the forehead ; as if a weight were falling forward, on stooping, with heat in the face. Rush of blood to the head with burning-tingling and beating in the brain, bright redness of the face, great restlessness of the body, in the morning, when at rest, worse after eating. Stinging headache, extending to the ears. Stinging pain at the root of the nose, extending to the malar bones, with painfulness of the teeth. Painful tingling in the head, especially of the occiput. Burning in the forehead when walking. When stepping, sensation as if the brain were loose, also when shaking the head. Liability to take cold from having the head wetted. Humid, suppurating eruption on the head, forming heavy crusts, eating off the hair, offensive smell and itching, worse at night. Great sensitiveness of the scalp, worse on the side on which he does not lie, worse from combing the hair back, from becoming warm in bed and from the touch. Erysipelatous swelling of the head and face, with vesicles drying up and forming burning itching scabs. The hair falls off from suppurating eruptions. The headache is worse in the morning, while lying ; from cold, from drinking beer, relieved by heat, and when moving about.

Eyes

Inflammation of the eyes and lids, with redness, and agglutination of the lids at night. Erysipelatous swelling of the eyes and around them. Swelling of the eyelids. Eyes full of water (bleareyedness). Styes on the lower eyelids. Heaviness of the eyelids. Aversion to light.

Ears

Discharge of bloody pus from the ears. Otalgia with pulsation in the ear at night. Inflammatory swelling of the parotid gland (left side). Suppuration of the parotid glands (with scarlet fever).

Nose

Redness of the tip of the nose, with soreness when touched. Inflammation of the nose. The nose feels sore internally. Bleeding of the nose at night, or when stooping (coagulated blood). Discharge of green offensive pus from the nose. Puffiness of the nose. Spasmodic sneezing. Discharge of mucus from the nose without coryza. Dryness of the nose.

Face

Face pale, sunken, with blue rings under the eyes, and pointed nose. Erysipelatous swelling of the face, with burning, tingling, and stinging. Erysipelas, with vesicles containing yellow water. Milk crust ; acnea rosacea ; Impetigo on the face or on the forehead. Exanthema on the cheeks, on the chin, around the mouth. Stiffness in the articulation of the jaws. Cracking in the articulation of the jaw.

Mouth and Throat

Looseness of the teeth. Toothache, tearing, stinging, often at night, worm in the open air, better from external heat and in the warm room. Dryness of the mouth, with much thirst. Accumulation of much saliva in the mouth (saliva bloody). Putrid taste in the mouth. Offensive smell from the mouth. Tongue dry, red, and cracked. Much tough mucus accumulates in the mouth and throat. Sore throat, as from an internal swelling, with bruised pain ; also when talking, with pressure and stinging when swallowing. Difficult deglutition of solid food, as from contraction.

Stomach and Abdomen

Want of appetite, with unquenchable thirst. Food tastes bitter ; especially the bread. Putrid taste, especially in the morning and after eating. Metallic taste. Thirst, especially in the night, from dryness in the mouth, and mostly for cold water or cold milk. Hunger without appetite. When eating sudden vomiting. Longing for oysters. After eating great sleepiness, fulness in the stomach or giddiness. Heaviness in the stomach as from a stone, after eating. Stinging or pulsation in the pit of the stomach. Nausea, with inordinate appetite and inclination to vomit, worse after eating and drinking and at night. Eructations, with tingling in the stomach, worse when rising up while lying. Colic, compelling one to walk bent. Visible contraction in the abdomen above the navel. Sensation as if something were torn off in the abdomen. Pains in the abdomen at night. Sensation of soreness in the walls of the abdomen, especially in the morning, when stretching. Bloated abdomen, especially after eating. From drinking ice-water pain in the stomach and nausea.

Stool and Anus

Diarrhœa, stools watery or consisting of mucus or bloody, or frothy, or white. Tenesmus, with nausea, tearing and pinching in the abdomen. Dysentery. Nightly diarrhœa, with violent pain in the abdomen, which is relieved after an evacuation, or when lying on the abdomen. Involuntary stools, especially at night while asleep. During stool shortness of breath.

Urinary Organs

Frequent urging to urinate day and night, with increased accretion. Involuntary discharge of urine at night, or while sitting, or when at rest. Diminished secretion of urine, although he drinks much. Urine hot, white and muddy, or pale with white sediment. Urine dark, which soon becomes turbid. Tenesmus vesicæ, with discharges of only a few drops of blood-red urine. The urine is emitted in a divided stream.

Genital Organs

Men. Eruption on the genitals, closing the urethra by swelling. Swelling of the glans and of the prepuce ; prepuce dark-red. Paraphymosis. Humid vesicles on the glans. Red blotches on the inner surface of the prepuce. Stinging-itching on the inner surface of the prepuce. Humid eruptions on the scrotum. The scrotum becomes thicker and harder, with intolerable itching. Erysipelas of the scrotum. Violent erections at night, with urging to urinate. Women. Bearing down pain (when standing). Prolapsus uteri from overstraining, overlifting. Catamenia too early, too profuse, and too protracted. Discharge of blood during pregnancy. Hæmorrhage, blood clotted, with labor-like pains. Soreness and stitches in the vagina. The menstrual blood is acrid. The lochia become bloody again and smell offensively. After-pains of too long duration, after severe labor, with much and excessive straining. Galactorrhœa, or suppression of the milk, with burning over the body.

Respiratory Organs

Sensation of coldness in the larynx when breathing. Hoarseness, with roughness in the larynx, and roughness and soreness in the chest. Hot air rises from the trachea. Cough, from tickling in the bronchia ; short, dry, especially in the evening and before midnight. Cough in the evening, with vomiting of the ingesta. Cough in the morning soon after awaking. Cough, with expectoration of (pale or clotted) blood, or with pains in the abdomen. Cough, with stitches in the chest, profuse general perspiration, and pain in the stomach. Hooping-cough ; spasmodic violent cough, caused by tickling in the larynx and chest, with expectoration (except in the evening) of acrid pus or grayish-green cold mucus, of putrid smell, or of pale, clotted, at times brown blood. Dyspnœa from pressure and painfulness in the pit of the stomach. Hot breath. Stitches in the chest and sides of the chest, worse when at rest, and while sneezing and breathing. Inflammation of the lungs, also pneumonia nervosa. Tingling in the chest, with tension in the intercostal muscles, worse when at rest. Sensation of weakness and trembling of the heart. Violent palpitation of the heart on sitting still. Stitches in the heart, with painful lameness and numbness of the left arm.

Back and Neck

Painful tension between the shoulder-blades. Pain in the shoulders and back, as from a sprain. Rheumatic stiffness of the neck, with painful tension when moving. Curvature of the dorsal vertebræ. Pain in the small of the back, when sitting still or when lying ; relieved when lying on something hard, or from exercise.

Extremities

Upper. Tearing and burning in the shoulder, with lameness of the arm. Paralysis of the arm, with coldness and insensibility. Erysipelatous swelling of the arm. Tension in the elbow-joint. Painful swelling of the axillary glands. Rhagades on the back of the hands. Swelling of the fingers ; hot swelling of the hands in the evening. Warts on the hands, -hangnails. Swollen veins on the hands. Lower. Pain in the hip when rising from a seat, or after over-exercise ; involuntary limping. Pain as if sprained in the, hip, knee and foot-joint. Spasmodic twitching in the limbs when stepping out. Painful swelling above the knee. Swelling of the feet (in the evening). Corns, with soreness and burning.

Generalities

Great debility, weakness and soreness, especially when sitting, and when at rest. Rheumatic tension, drawing and tearing in the limbs, mostly with sensation of numbness, especially when at rest. Tension, stiffness and stitches in the joints ; worse when rising from a seat. Tearing and weakness of the joints. In inner parts sensation of fulness ; or as if they were grown together (adhesion), or as if something in them were torn loose. Numbness in the extremities, with previous twitching and tingling in them. Painless paralysis of the limbs. Burning and stinging pains in external parts. Inflammatory swellings. The parts on which one lies go to sleep. Restlessness of the body ; inclination to move the affected parts. Pain as if sprained in outer parts ; disposition to sprain a part by lifting heavy weights.

Sleep

Spasmodic yawning, without inclination to sleep, and with stretching of the limbs, and pain as from dislocation of the articulation of the jaw. He falls asleep late ; sleeplessness before midnight. At night he can only he on his back. Vivid dreams.

Fever

Pulse irregular ; generally accelerated but weak, soft ; sometimes it cannot be felt, or is intermittent. Constant chilliness, as if cold water were poured over him, or as if the blood were running cold through the veins. Sensation of coldness when he moves. Chills running over the back. Chills with increased pains, especially in the limbs. Chilliness, worse in the evening. Coldness, with paleness of the face, alternating with heat and redness of the face. Heat after the chill, often with perspiration and amelioration of the concomitant symptoms. General heat, as if hot water were thrown over him, or as if the blood were flowing hot through the veins. Heat with nettle-rash. Evening fever, with diarrhœa. Perspiration ; with the pains ; when sitting ; often accompanied with violent trembling. General perspiration, frequently already during the heat, and then often not in the face. Perspiration, with violent itching of the eruption. Night-sweat, with miliary itching eruption. Intermittent fever. First drowsy, weariness and yawning, afterwards (at 10 A.M.) excessive heat in the body, without thirst. Chilliness 7 P.M., as if he had cold water poured over him ; after going to bed, heat with inclination to stretch the limbs ; sweat towards morning. Quotidian fever about midnight, with pressure and swelling at the pit of the stomach, and anxious palpitation of the heart during the day. First headache (throbbing in the temples) ; afterwards chilliness, with thirst and tearing pains in the limbs as from fatigue ; afterwards general warmth, with slight chills during motion, and livid face ; finally profuse, sour-smelling perspiration. Tertian fever with nettle-rash, which disappears after the attack ; during the apyrexia, burning and redness in the sclerotica.

Skin

Itching over the whole body, especially on the hairy parts. Stinging and tingling on the skin, burning after scratching. Erysipelas ; vesicular ; Zona. Humidity of the skin. Rhagades. Hardness of the skin, with thickening. Swelling (hard) of the affected parts. Sensation of coldness in the skin. Exanthema, burning, erysipelatous, itching, with swelling, pox-shaped, black, purulent ; nettle-rash with burning-itching. Milk crust. Pustulous eruptions. Warts. Herpes, alternating with pains in the chest and dysenteric stools. Inflammation, swelling induration and suppuration of the glands. Inflammation and swelling of the long bones. Pain as if the flesh were torn loose from the bones, or as if the bones were being scraped. Burning in the ulcers.

Conditions

Bad consequences from getting wet, especially after being heated ; from excessive bodily exercise ; from bruises and sprains ; from heavy falls ; concussion of the body. Great sensitiveness to the open air. From cold bathing, convulsive twitches. Aggravation in the morning ; after midnight ; during the winter ; while at rest, reposing, lying down ; on rising from a seat or after rising from the bed ; from stepping heavily on the ground ; on change of the weather ; in wet weather ; from getting wet ; in cold air, and from cold in general ; from cold water ; from uncovering the head ; from drawing up the limbs ; from drinking beer. Amelioration, when continuing to walk ; from moving the affected parts ; from stretching out the limbs ; from warmth, warm air, wrapping oneself up warmly (the head) in dry (warm) weather. Rhus follows well after Bryonia, or vice versa ; but causes bad results when given after Apis, and vice versa.

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

Rhus Toxicodendron.

POISON OAK. N. O. Anacardiaceæ. Tincture of fresh leaves gathered at sunset just before flowering time.

and

Rhus Radicans.

POISON IVY. N. O. Anacardiaceæ. Tincture of fresh leaves gathered at sunset just before flowering time.

[Under the name Rhus Hahnemann published his proving of " R. radicans , also called Toxicodendron ." Botanists agree in recognising no distinction other than that of habit between the two. Millspaugh ( American Medicinal Plants ) tells in his masterly account of the plant that he has seen the two varieties springing from the same root-stock. He advises that the tincture should be made from specimens of both. Rhus tox . is a shrub with erect stem from two to four feet high. The stem is devoid of rootlets. Rhus r . has more or less tortuous stems, four to thirty feet high, profusely studded with dark-coloured rootlets, by which it clings to its support. ─ Our own Ivy ( Hedera helix ) in the same way may run along the ground, rooting at intervals if it cannot find a support, and growing to a great height if it can; and it may be an erect shrub with no rootlets and no tendency to climb. ─ The two forms have been proved independently, and when necessary to distinguish them I shall name them Rh. r . and Rh. t . When reference is made to both or either in this work I use the term Rhus without distinction. All other varieties of Rhus will be distinguished.]

Clinical

Abortion. Acne rosacea . After-pains. Amenorrhœa. Anus, fissure of. Appendicitis. Appetite, lost . Beri-beri. Bones, pains in. Cæcum, inflammation of. Chilblains. Circulation, feeble. Cyanosis. Dengue fever . Diarrhœa; chronic. Diphtheria. Dysentery . Dysmenorrhœa. Dyspepsia. Ear, eczema of. Ecthyma. Enteric fever. Erysipelas. Erythema nodosum . Exostosis. Eyes, inflammation of; choroiditis; sight, weak. Feet, pains in . Gastro-enteritis. Glands, inflammation of. Gout . Hæmorrhages. Hæmorrhoids. Hands, pains in . Hernia. Herpes. Herpes zoster. Housemaid's knee . Hydrocele. Influenza. Intermittents. Jaw, cracking in . Liver, abscess of. Lumbago. Measles . Menorrhagia. Metrorrhagia. Neuralgia. Ovary, tumour of. Paralysis . Paraphimosis. Pemphigus . Periosteum, pains in. Pleurisy. Pleurodynia. Pneumonia; typhoid. Ptosis. Pyæmia. Redgum. Relapsing fever. Rheumatism. Scarlatina. Sciatica. Sleep, restless . Small-pox. Spine, diseases of. Sprain . Strictures. Tongue, affections of. Typhus fever . Urticaria. Warts. Wens. Yawning .

Characteristics

The Poison Ivy grows in thickets and low grounds in North America, flowering in June. It was introduced into England as a plant in 1640. In 1798 Dufresnoy of Valenciennes first used it as a medicine. It was brought to his notice by the cure of a young man of an herpetic eruption ( dartre ) of six years' duration, through his being accidentally poisoned with the plant. Dufresnoy used it successfully in eruptive diseases, paralysis, rheumatism, and amaurosis. The milky juice, which turns black on exposure, is used as a marking ink (like Anacard .) and as an ingredient of varnishes for finishing boots. The tincture contains Rhoitannic acid (C 18 H 28 O 13 ) and Toxicodendric acid, a poisonous, volatile principle. A peculiarity of the plant is that it is more poisonous during the night , and when bursting into leaf, or at any time in June or July when the sun is not shining upon it . Absence of sunlight, together with dampness , seems to favour the exhalation of Toxicodendric acid. "An acrimonious vapour, combined with carburetted hydrogen, exhales from a growing plant of the Poison Oak during the night. It can be collected in a jar, and is capable of inflaming and blistering the skin of persons of excitable constitution who plunge their arms into it" (Porcher, quoted by Millspaugh, from whose work I take the above facts). Those who care for Signatures will not fail to connect the cardinal aggravations of Rhus ─ at night and from damp ─ with the increased virulence of the plant at night and in damp atmosphere. (One prover of Rh. ven . was not influenced by contact with the leaves when his skin was dry , but only when perspiring; and the worst poisonings with Rh. divers . happened to persons when moist and heated.) Millspaugh relates instances of Rhus poisoning: Out of ten men employed to clear a piece of land of shrubs among which the Poison Vine greatly predominated only four escaped: "Most of the men soon began to show signs of being tired, and at the end of the fourth day six of them were flat on their backs too sick for anything." Actual contact with the plant is not necessary in order to produce its effect. One sultry day in June a young lady drove a croquet ball across a lawn to a clump of Poison Ivy that grew beside it. Knowing her susceptibility she reached under the plant and drew out the ball without touching a leaf. During the evening of the same day her face began to itch and burn, and in the night it swelled so that the eyes were not merely closed, the lashes even disappeared in the swelling. It took nearly two weeks for her to recover. Millspaugh summarises the effects of Rhus (the majority of poisonings have been caused by Rh. rad .) as follows: First redness and swelling of the affected part, with intolerable itching and burning, followed by vertigo, weariness, and a sort of intoxication. Infiltration of face and eyes, and agglutination of the lids after sleep; great restlessness, pain, thirst, and fever. The surface of the skin becomes after a time studded with confluent bullæ where the cellular tissue is loose, then a dermatitis follows resembling erysipelas; this may spread rapidly and finally be communicated to the mucous membranes. This is followed by swelling of the mouth and throat, cough, nausea, and vomiting. Rheumatoid pains develop about the joints, and a painful stiffness asserts itself in the lumbar region, while the legs and arms become numb. Confusion of mind and delirium may then set in, during which the patient may become so ill-humoured, restless, and anxious that he will jump out of bed. Concomitants are: Inflammation of eyes, dilation of pupils, weak vision, sometimes diplopia; epistaxis; brown-coated tongue with triangular red tip; swelling of parotids; difficult swallowing; griping; diarrhœa; profuse urination; oppression; rapid pulse; prostration; soreness of muscles, < by rest; > by exercise; sleepiness; chilliness followed by fever and copious sweat. ─ The American provings were made with Rh. rad ., and the majority of the poisonings have occurred from this plant. Though it is not certain that Hahnemann used Rh. tox . at all, or exclusively, Jahr gave a separate presentation of the Rh. rad . symptoms. H. C. Allen (quoted Critique , vi. 409) notes in Rh. rad . a periodicity which marks it as a great antipsoric. It is, he says, on deeply psoric or tubercular constitutions that its toxic effects are most felt and longest lasting, and these constitutional effects "seem ineradicable without the antipsoric." One case of his showed a return of symptoms at 12.45 a.m. on July 5th, each year during sixteen years, except the year 1898, when the previous use of Tuberculinum , a dose once each month, prevented an attack; and modified the 1899 attack. Guernsey considers Rh. rad . deeper acting than Rh. tox ., being indicated in phlegmonous erysipelas, especially where it begins in ankles and moves gradually up the leg, moving in the deeper tissues, no fever; and for axillary glands when the swelling is very deep and hard. Farrington gives as distinctive indications for Rh. rad .; Occipital headache with rheumatic stiffness of nape. Drawing tearing pains in legs. Pleurodynia when the pains shoot into the shoulders. Mahony ( M. A ., xxvi. 109) reports a case of eczema on perineum and scrotum with sweat in cleft of nates , both relieved in a week with Rh. rad . 12, twice daily. ─ Hahnemann quickly perceived the keynote of the Rhus symptoms: "We observe," he says, in his preface to the proving, "this curious action (which is found in few other medicines, and in these never to such a great degree), viz., the severest symptoms and sufferings are excited when the body or the limb is at rest, and kept as much as possible without movement . The opposite of this, namely, an increase of the symptoms by movement, is much more rarely, observed." He contrasts Rhus with Bry ., which has almost identical rheumatic pains with the opposite Conditions. Neidhard adds a note in Hempel's Jahr which brings out a modification of this " < by rest" which is of the greatest practical importance, as I can testify. Neidhard says that the disease in which he has made most use of Rhus is a form of rheumatism common in North America, and characterised by the following symptoms: "Rigidity, paralytic weakness of the joints, with stinging pain along the tendons and muscles. Swelling and redness on or near the joints. Rheumatism of the hip-joint and wrist seem to be most effectually controlled by its action. The greatest rigidity and pain is experienced on first moving the joints after rest, and on waking up in the morning . After the joints are moved for a while the pain is lessened." Contrasted with Bry., Rhus has: "The more he moves the > he is"; whereas Bry . has "The more he moves the < he is." It is necessary to bear in mind this distinction or a wrong prescription will often be made. Rhus has not only < during rest, but < after resting also. However, Rhus and Bry . complement each other: it is not unusual for the Conditions of a case to change under one of these remedies, and then the other will be required. Hahnemann says "these two antagonistic sister remedies " ─ each in its place ─ successfully met the typhus which prevailed in the countries desolated by the war which raged from the summer of 1813 and onwards. Of 183 cases treated by Hahnemann in Leipzig not one died. This restlessness of Rhus will be found to qualify the symptoms in a large proportion of the cases in which it will be called for. It is as restless as Acon . and Ars ., but in a different way from either. With Rhus it is due to the pain and soreness temporarily > by movement; or a nervous internal uneasiness which makes the patient want to be on the move when there is no particular pain present (Nash). The presence of restlessness is a leading indication for Rhus in fevers, typhoid and other. Other indications are ─ clouded sensorium, stupefaction, muttering delirium, dry tongue. The characteristic tongue of Rhus is dry or dark coated, with triangular red tip. In intermittents a characteristic is "Cough during the chill." Hahnemann pointed out another keynote of Rhus : "Multiplied experience has taught me that Rhus is the most efficacious and the specific remedy for the frequently fatal effects of over-lifting, inordinate exertions of the muscles, and contusions." He was, of course, led to this inference by the "bruised and sprain-like pains" and "stiffness" of the provings. Rhus is in the front rank of vulneraries. It meets threatened abortion from a sprain; and also prolonged after-pains and other effects of the strain of a severe labour; axillary abscess from this cause has been cured with Rhus . Straining, rheumatic coughs. Ailments from straining a single part, muscle, or tendon; over-lifting, particularly from stretching high up to reach things. There is an analogy to this in the dreams ─ dreams of great exertion: rowing, swimming, working hard at his daily occupation. Rhus has cured many forms of paralysis: Rheumatic paraplegia from getting wet, lying on damp ground; sleeping in damp sheets; after exertion; after parturition, sexual excess, or fevers. Ptosis. Paralysis of single limbs. Numbness of parts paralysed. Facial neuralgia, lumbago, and sciatica (esp. of left side), with restlessness; coming on after a wetting or after a bath are cured by Rhus . The neuralgic pains and eruptions make Rhus a perfect simillimum in many cases of herpes zoster. Fever-blisters round mouth. Howard Crutcher relates ( M. A ., xxii. 38) how after standing on a wharf with his right side exposed to a cold wind from the river he began to have severe pains shooting up the ulnar nerve, a steady ache uniform throughout arm and forearm, but extremely severe in structures beneath deltoid. The pain was much < in a warm place; it did not interfere with movement. At 8 p.m. Crutcher took Rhus 30 dry on the tongue, and almost immediately he was called into the open air again. In thirty minutes the pain was decidedly better; in ninety minutes it was gone. A case of Rhus poisoning reported by Morey ( Med. Cent ., February, 1898; H. W ., xxxiii. 309), showed an effect on the menstrual period, and was remedied by Crocus . Miss M. was severely poisoned by Rh. rad . (it is called "Ivy") in July, 1895, during her menstrual period. She was treated with Bell . and Rhus internally, and an Oxide of Zinc ointment externally, and appeared to make a rapid recovery. On September 1, 1897, without further known poisoning, another similar attack developed during the menstrual period, and frequent minor attacks had occurred in the two years, always at the time of the menses. Later on she had another attack which developed rapidly and greatly alarmed her. The menstrual flow commenced a week before she came to Morey, was very scanty, dark, and clotted , as had been the case for sometime. The flow had scarcely well begun when it ceased suddenly and the eruption appeared. Croc . was given, and the first dose re-established the flow, which was normal in appearance and quantity, and the eruption at once disappeared. Peculiar Sensations are: As if intoxicated. As if asleep. As of a weight behind right orbit. As of a band strapped across forehead. As if head were swelling out. Brain, as if loaded; as if torn; as if loose; as if fluctuating; as if a quantity of blood shot into it when stooping. As if muscles of back of head screwed together. As if a hundredweight on nape of neck. As if a veil before eyes. As of sand in eyes. As if lids difficult to move. As if jaw would break. Teeth as if being torn out; too long; loose. As if tongue had been skinned. As if a hernia about to protrude. As if pharynx inactive or paralysed. Stomach, as if overloaded; as if a stone in; as if pit of stomach swollen or drawn together. Hypochondria and abdomen as if beaten. Digging as if caused by a worm. As if a knife in right abdomen. As if something torn loose in abdomen, chest, and inner parts generally. As if a lump lay like a pressing heavy weight in abdomen. As if one side of rectum grown up. As if everything would come out of rectum. As if breath were stopped at pit of stomach. As if sternum were pressed inward. As if sprained or dislocated: back, jaw, arms, wrist, hip, knee, ankle. As if one had been lying in an uncomfortable position. As if bruised in right side of lumbar vertebræ and in small of back. As if flesh of small of back had been beaten. As if back were broken. As if some one were pressing on left shoulder. As if hand were held in hot water. Hand, as if withered; as if lame; as if pins pricking points and palmar surfaces of first phalanges of fingers. Rectus cruris muscle as if bruised. As if hamstrings and tendons of limbs too short. As if knee too-short. Legs (and right foot) as if made of wood. Feet and ankles as if asleep. Heels as if stepping on pins. As if running nails under skin of heels. As if walking on needles. Joints as if bruised. As if bones ached. As if sinking through bed. As if something forced him out of bed. Bones, as if being scraped; as if flesh being torn loose from them. As if whole body was burning. As if cold water poured over him. As if blood ran cold through veins. As of subcutaneous ulceration. As if inner parts grown together. Peculiar Symptoms are: Craving for cold drink and laborious dreams. Herpes alternating with asthma and dysentery. Chokes easily on swallowing. Swallowing = pain in middle of back. Anorexia in palate and throat. Nausea in chest. Taste of blood with cough (no blood being raised). Coldness in left tibia. Scalp sensitive, < turning hair back. Hour-glass contraction of abdomen. The symptoms are: < By touch; > by rubbing. < From riding; blows; jars; sprains. < By rest; and commencing motion; > continued motion. (Lying down > colic and diarrhœa.) Lying on hard floor with pillow under back > pain in back. Must hold head to > weight in it. Bending head back > pain in occiput; = pain in head and down spine. Limbs lain on fall asleep; no sweat on them. < Side lain on. Lying on left side = palpitation and pain in heart. Swallowing = pain in back. Inclination to stretch. Stretching = cracking in knees; soreness in abdomen. Unwonted exercise = paralysis. Over-exertion = palpitation; < coxalgia. < Evening; night; morning after sleep. Sensitive to cold open air; raw north-east winds. Effects of drinking cold water; getting wet, especially after being heated, cold bathing; sea bathing. > By warmth and hot applications. < Warmth of bed. Sciatica is > by warmth from exercise. < Change of weather; damp, stormy weather; before a storm; snowstorm; in autumn; in winter. Nausea < after eating. Craves cold water, which is vomited immediately.

Relations

Antidoted by: Bry., Bell., Camph., Coff., Crot. t., Grind., Merc., Sang., Sul., Verb. h. Antidote to: Bry., Ranunc., Rhod., Ant. t., Sapon. (Ars.). Complementary: Bry. Inimical: Apis, before or after, especially in skin affections. Compatible: Arn., Ars., Bry., Calc., Calc. ph., Cham., Con., Lach., Ph. ac., Puls., Sul. Followed well by: Calc., Bell., Graph., Nux, Pho., Pul., Merc., Sep., Sul., Ars., Bry. Compare: The other Rhoes and Anacardia. Eye symptoms, > by motion, Comoc. (Rhus > by warmth; Comoc. < ). Rheumatic paralysis from exposure to damp and cold, Caust. (Rhus restless, > by motion day and night; Caust. restless only at night). Parotid gland, Am. c. (Rhus left; Am. c. right). Result of working in water, Calc. Granular ophthalmia, Arg. n. (Rhus has more spasm; if lids are forced open scalding tears gush out and cause pimples round the eye). Cough excited by cold drink, Sil. ( > Caust.). Sweat of body, head dry (Sil. sweat of head, body dry). Nose-bleed at beginning of typhoid, Ph. ac. (with Rhus it > , not with Ph. ac.). Enables persons to withstand muscular fatigue, Fl. ac., Ars., Coca. Hypertrophy of heart from over-exertion, Bro., Arn., Aco. Ulcers on legs in dropsy, Ars., Lyc. (Lyc. in dropsy from liver disease). Fear of being poisoned, Glo., K. bro., Hyo., Bap. Profuse gushing tears excoriating cheek, Euphr. (Rhus < right eye; pus thinner). Ptosis or any ocular paralysis, Gels. (Rhus rheumatic patient, from wetting; Gels. with sluggish thought and suffused face). Scarlatina, erysipelas, &c., with drowsiness and œdema, Apis (Rhus dusky red, bodily restlessness; Ap. rosy red, fidgetiness. Rhus itching preponderates; Ap. less tendency to form pus). Enteritis, peritonitis, typhlitis, Lach. Heart affections with numbness of left arm, Aco. (tingling in fingers), Kalm., Puls. (numbness, especially about elbow), Act. r. (as though arm tightly bound to body), Phyt. (right arm). Dreams of business of day, Bry. (Rhus and Bry. have opposite Conditions; and Rhus menta. state is hopeless and despondent, Bry. fretful, peevish, irritable.) Typhoid, Pho. (follows Rhus well; pneumonia; stools yellow and blood-streaked, at times like "flesh water"), Ars. (irritable and anxious in spite of prostration), Bapt. (face dark red, besotted; stool dark, fluid, very offensive; drowsy, stupor; tossing about with delusion that limbs are scattered about bed feels hard), Arn. (complete apathy; involuntary stool and urine bloody sputa if lungs affected). Empyema and induration of axillary glands, Bell. (Bell. at climaxis, Rhus after labour). Eczema, Mez., jug. r. (favus). Cough < from evening to midnight, Mez. (Rhus also from uncovering). Colic > bending double, Coloc. (Rhus also > moving about). Conjunctivitis from getting wet, Calc. Glaucoma, Caust. Cracking and breaking pain in jaw, Ign., Petr. Paralysis from rheumatic meningitis (from rheumatic myelitis, Dulc). Acute spinal paralysis of infants, Sul. (complementary). Averse to be uncovered, Ars., Hep. Bearing down in hypogastrium, Puls. Flesh feels beaten off the bones, Thuj. Aversion to darkness, Am. m., Bar. c., Calc., Carb. a., Stro., Val., Stram. Averse to be washed, Ant. c., Clem., Hep., Sep., Spi., Sul. Effects of raising arms high to lift things, Pho. Bloody urine discharged in drops, Pul. Phimosis, Cann., Merc., Sul., Nit. ac., Sep., Thuj., Sabi. Hunger in early morning, Aga., Ant. c., Asar., Calc., Carb. a., Lyc., Ran. b., Saba., Zn. Semilateral coat of tongue, Daph., Lob. (Rhus white). Hot breath, Calc., Carb. s., Sul. Nocturnal salivation, Cham., Nux, Pho. Difficult swallowing of solids, Atrop., Bell., Bar. c., Calc., Chi., Dro., Lyc., Plb., Sil. Parotitis, Aur., Merc., Pilo.; metastasis to testes, Rhus, Pal., Bell., K. ca. Yearly returns, Ars. Cold from wetting head (Bell. from hair-cutting). Sensation of subcutaneous ulceration, Ran. b., Pul. Chokes easily when swallowing, K. ca. > Warm food, Lyc. Epistaxis at night, (Bry. morning). Punctured wounds as if stepping on nails, Hyper., Led. Backache > lying on hard floor, Nat. m. Hydroa, Nat. m. Acne from getting wet, or ice-cold drinks, when heated, Bellis. Desires cold drink and vomits it immediately, Ars. Ailments from spraining a single part , muscle, or tendon, Calc., Nux. Vertigo < lying down (Apis > ); < rising from lying or stooping, Bry. Jelly-like stools, Colch., K. bi.

Causation

Slightest anger. Cold. From wetting head. Damp sheets. Bathing, in fresh or salt water. Getting wet when heated. Strains. Over-exertion. Over-lifting. Raising arms high to lift things. Drinking ice-water. Beer (headache).

Mind

Anxious sadness and excessive anguish, esp. (at twilight) in evening and at night, with wish for solitude and inclination to weep. ─ Restlessness which will not suffer the patient to remain seated.; and compels him to throw himself about in bed. ─ Anguish with fear of death and sighs. ─ Fear of being poisoned. ─ Suicidal mania (desire to throw himself into the water). ─ Irritability and ill-humour, with repugnance to labour. ─ Moral dejection with anthropophobia. ─ Helplessness and profound despondency. ─ Uneasiness respecting one's children, affairs, and the future, with want of self-confidence. ─ Weakness of memory and forgetfulness (cannot remember the most recent events). ─ Want of ideas and of mental energy. ─ Difficult comprehension. ─ Slowness of conception and mental dulness. ─ Delusions of the imagination and visions. ─ Mild delirium; with insensibility.

Head

Head bewildered as from intoxication. ─ Stupefaction; with tingling in head and pain in limbs, > on motion. ─ Staggering gait without vertigo. ─ Staggers to r. when walking. ─ Vertigo and staggering as if about to fall; esp. when getting out of bed (chilliness and pressure behind eyes). ─ Vertigo as if he were held up high, while sitting. ─ Emptiness in head. ─ Vertigo, with fear of death, on lying down in evening. ─ Headache ( < in the morning, while lying; from cold) immediately after a meal or after drinking beer, and also on moving the arms ( > by heat and when moving about). ─ Headache < morning, r. side, with vertigo as if she would fall back on getting out of bed, acute darting pains in both temples, can hardly hold up, and a mist comes before sight when doing anything quickly or getting up in a hurry (produced. ─ R. T. C.). ─ (Incito-motor function defective). ─ Attacks of headache with need to lie down; every vexation and exercise in the open air renews the attacks. ─ Periodical headache. ─ Pain in head as if brain were bruised, esp. in morning, < by moving and lifting up head. ─ Passive congestion of head > by repose. ─ Heaviness and pressive fulness of head (esp. in forehead; as if a weight were falling forward, with heat in face), with sensation, on stooping, as if the brain were about to burst. ─ Head so heavy obliged to hold it upright to > the weight pressing forward into forehead. ─ Sensation of compression or expansion in head. ─ Drawings and tearings in head, and esp. in temples, principally in evening and at night. ─ Lancinating headache day and night, extending as far as ears, root of nose, and the cheek-bones, with the teeth set on edge. ─ Beating and pulsations in head, esp. in occiput. ─ Pains, esp. in occipital protuberances. ─ Sanguineous congestion in head. ─ Burning sensation, esp. in forehead (when walking) and occiput. ─ Occipital headache with rheumatic stiffness in nape ( R. rad .). ─ Painful tingling in head. ─ Sensation as if a quantity of blood shot into brain when stooping. ─ Rush of blood to head with burning-tingling and beating in brain, bright redness of face, great restlessness of body in morning when at rest, < after eating. ─ Liability to take cold from having head wetted. ─ Buzzing and noise in head. ─ Balancing and sensation of fluctuation in head at every step, as if brain loose, also when shaking head. ─ Painful sensibility of exterior of head, as from subcutaneous ulceration, esp. on turning up hair and on touching it; < on side on which he does not lie, and from becoming warm in bed. ─ Contraction of the scalp as if the hair were pulled. ─ Drawing and tearing in scalp. ─ Swelling of head. ─ Erysipelatous swelling of head and face with vesicles drying up and forming itching scabs. ─ Gnawing tingling in scalp. ─ Dry herpes on scalp. ─ Periodical scald-head, reappearing every year. ─ Scald-head with thick scabs, which destroy the hair, with greenish pus (offensive smell), and violent itching at night. ─ (Eczema of entire hairy scalp, causing loss of hair. ─ R. T. C.). ─ Small, soft tubercles on the scalp. ─ Wen of many years' duration cured with Rh. t . Ø, which caused erysipelas at same time ( H. W ., xxxi. 199).

Eyes

Pains in eyes on moving ball of eye. ─ Pressure and burning sensation in eyes. ─ Eyes fixed, dull, and downcast. ─ Smarting in eyes and lids. ─ Affections of internal surface of eyelids. ─ Inflammation of the eyes and lids, with redness and nocturnal agglutination. ─ Profuse lachrymation (eyes full of water, blear-eyedness) with œdematous swelling round eyes. ─ Meibomian glands enlarged, cilia fall out. ─ Photophobia. ─ Bladder-like swelling of the lids, closing the eyes. ─ Swelling (erysipelatous) of whole eye and of surrounding parts. ─ Rheumatic ophthalmia, particularly of r. eye. ─ Gouty keratitis, < in damp, rainy weather, sight dim. ─ Paralytic rigidity of the eyelids. ─ Jerking and quivering of eyes and eyelids. ─ Blue colour about the eyes. ─ Heaviness of the eyelids. ─ Styes; on the lower eyelids. ─ Veil before eyes and weak sight; all objects appear pale.

Ears

Otalgia. ─ Painful throbbing in ear at night. ─ Swelling of ears. ─ Discharge of sanguineous pus from ears, with deafness. ─ Whistling, squeaking, or ringing in ears when walking, changes to low resonance when lying down, as if membrana tympani were burst. ─ Swelling and inflammation of parotids with fever. ─ Suppuration of parotids.

Nose

Redness of point of nose, with pain as from excoriation on touching the part. ─ Hot swelling of the nose. ─ Breath seems so hot it burns the nostrils. ─ Dryness of the nose. ─ Discharge of greenish fetid pus from nose. ─ Epistaxis also at night and on stooping or hawking; blood dark; scabs about nares. ─ Frequent violent and almost spasmodic sneezing. ─ Abundant discharge of mucus from nose, without coryza.

Face

Face pale, sickly, wan, with eyes surrounded by a blue circle and nose pointed. ─ Drawing and burning in superciliary region and in cheek-bones. ─ Face disfigured and convulsed. ─ Face red, with burning heat. ─ Erysipelatous inflammation and swelling of face, with pressive and tensive shootings and burning tingling. ─ Vesicular erysipelas, with yellow serum in the vesicles. ─ Humid eruption and thick scabs on face, with running of fetid and sanguineous serum. ─ Acne. ─ (Acne rosacea; impetigo on the face or on forehead.). ─ Commissures of lips sore and ulcerated. ─ Herpetic, crusty eruption round mouth and nose, with itching, jerking, and burning sensation. ─ Exanthema on cheeks, chin, and around mouth. ─ Desquamation of skin of face. ─ Incisive contractions and burning spasmodic pains in cheeks (which are red and hot). ─ Cold sweat on face. ─ Eruptions of burning pimples round lips and chin. ─ Cramp-like pain in jaw-joint when at rest and when moving the jaw, with cracking on least movement, > by strong pressure from without and by taking warm things. ─ Spasms in the jaw. ─ Constant desire to yawn until it seems as though the jaw would break. ─ Hard and painful swelling (pressive digging) of the parotid and submaxillary glands (with sticking on swallowing). ─ Lips dry and brownish.

Teeth

Toothache as from excoriation, or with tearings, shootings, jerkings, digging, and tingling, frequently at night, or < in open air and > by external heat (and in warm room), sometimes also in consequence of a chill. ─ Looseness of teeth. ─ Teeth feel elongated. ─ Looseness of lower incisors, cannot bite with them. ─ Fetid exhalation, from carious teeth. ─ Burning pain in gums as from excoriation, also at night.

Mouth

Dryness of mouth with violent thirst. ─ Copious accumulation of saliva in mouth. ─ A yellow, and sometimes also a sanguineous, saliva flows from mouth at night. ─ While sitting asleep in afternoon saliva runs from mouth. ─ In morning in bed mouth full of salt water. ─ In morning mucus and tongue are salt. ─ Copious accumulation of viscid mucus in mouth and throat, with frequent expectoration. ─ Offensive smell from mouth. ─ Tongue: dry, red or brownish, and cracked; triangular red tip; yellowish-white at root. ─ Tongue white; often on one side. ─ Sensation as if tongue covered with a skin.

Throat

Sensation of dryness of throat. ─ Sore throat, as if caused by internal swelling, with pain as from a bruise even when speaking, and with pressure and shootings during deglutition. ─ Sensation in throat as if something were torn out of it. ─ (Sore throat after exertion in speaking.). ─ Difficulty in deglutition and pain in swallowing solid food as from contraction of throat and œsophagus; difficult swallowing of liquids as from paralysis. ─ Brandy causes an extraordinary burning sensation in throat. ─ Copious accumulation of mucus in throat, with frequent hawking in morning. ─ Pulsative pain in bottom of gullet.

Appetite

Putrid taste, esp. in morning and after a meal. ─ Insipid, clammy, acrid, bitter, sour, or metallic taste. ─ Greasy taste in mouth but food tastes all right. ─ Taste as if stomach had been deranged with putrid meat, but food tastes right. ─ Sweetish taste in mouth. ─ Bitter taste of food, esp. of bread, which appears rough and dry. ─ Anorexia with repugnance to all food, esp. bread, meat, coffee, and wine. ─ Anorexia in palate and throat with empty feeling at stomach, and at same time ravenous hunger, which goes off after sitting for some time. ─ Sensation of fulness and satiety in stomach, which takes away all appetite. ─ After a meal strong disposition to sleep, pressure and fulness in stomach and abdomen, nausea with inclination to vomit, lassitude, vertigo, and shuddering. ─ When eating sudden vomiting. ─ Bread lies heavy on stomach. ─ Want of appetite with unquenchable thirst. ─ Hunger without appetite. ─ Pain and heat of head after drinking beer. ─ Thirst most frequently from a sensation of dryness in mouth, also at night or in morning, with desire chiefly for cold water and cold milk. ─ Craving for dainties; for oysters.

Stomach

Risings with taste of food. ─ Empty risings after a meal or after drinking. ─ Eructations from stomach, which seems to be transferred to r. side of chest, as if it settled there. ─ Violent risings with tingling in stomach, > by lying down, < on getting up. ─ Pituita in the stomach. ─ Pain in stomach and nausea from drinking ice-water. ─ Nausea and disposition to vomit, principally after a meal and after drinking, as also in night or morning after rising, > by lying down. ─ Vomiting immediately after eating. ─ Pains in stomach as if there were a stone in it, esp. after a meal; and when standing. ─ Pressure at stomach and scrobiculus, often with obstructed respiration. ─ Beating and shooting in epigastric region. ─ Squeezing, sensation of swelling, and pain as from ulceration in pit of stomach. ─ Sensation of coldness in stomach. ─ Sensation in pit of stomach as if something were torn away from it, esp. on stooping or making a false step.

Abdomen

Distension of abdomen, esp. after a meal. ─ Pressive drawing from below upward, in l. hypochondrium. ─ Soreness, as if beaten, in hypochondria, and still more in abdomen; < on side lain on when turning and when beginning to move. ─ Pressive heaviness in abdomen, from a weight. ─ Contractive spasms in abdomen, which force patient to remain bent double. ─ Hard and visible contraction of abdomen across navel; abdomen distended above and below this stripe. ─ (Pain in abdomen with tightness across forehead and sleeplessness. ─ Violent and continuous pain round navel, caused by retching. ─ R. T. C.). ─ Digging turning in abdomen, as if caused by a worm. ─ Incisive tearings, jerks, and pinchings in the abdomen (esp. after eating; > after stool). ─ Pain in region of ascending colon. ─ Burning sensation in the abdomen. ─ Relaxation of the abdomen, with internal shaking at every step. ─ Violent colic, often at night, or < by all kinds of food or drink, sometimes with sanguineous evacuations. ─ Sensation in abdomen as if something were torn away. ─ Scarlet colour of abdomen. ─ Soreness in integuments of abdomen, as if they were ulcerated, esp. on stretching in morning. ─ Swelling of inguinal glands. ─ Pressure in groins towards exterior as if a hernia were about to protrude. ─ Bloated abdomen, esp. after eating. ─ Great flatulence, with grumbling, fermentation, and pinching movements in abdomen. ─ Exceedingly offensive flatus.

Stool and Anus

Constipation, sometimes alternating with diarrhœa. ─ Hard and slow evacuations. ─ Tenesmus, sometimes with nausea, and tearing or pinchings in abdomen. ─ Painful tenesmus without stool. ─ Evacuations loose, bloody, watery, or mucous, frothy, gelatinous, red, or streaked with white and yellow. ─ Dysentery; jelly-like, odourless stools, more frequent after midnight, preceded and followed by much pain with great restlessness. ─ Obstinate or dysenteric diarrhœa. ─ Fæces perfectly white. ─ Nocturnal diarrhœa, with violent colic, headache, and pains in all limbs ( > after an evacuation or when lying on abdomen). ─ Chronic painless diarrhœa, only in morning preceded by marked commotion in the bowels. ─ Diarrhœa with tearing pains running down back of the leg with every stool. ─ Involuntary stools when asleep at night. ─ Short respiration during stool. ─ Tingling and itching in anus and rectum. ─ Sense of constriction in rectum, as though one side had grown up. ─ Protrusion of hæmorrhoids from anus after a soft evacuation, with pain as of excoriation.

Urinary Organs

Retention of urine. ─ Frequent and urgent want to urinate, day and night, with profuse emission. ─ Incontinence of urine, esp. during repose (at night or when sitting). ─ Urine emitted in a divided stream. ─ Emission, drop by drop, of blood-red urine, with tenesmus. ─ Diminished emission of urine, although much drink may be taken. ─ Deep-coloured, irritating urine, which soon becomes turbid. ─ White, turbid urine. ─ Urine clear as water with a snow-white sediment. ─ Swelling of urethra.

Male Sexual Organs

Profuse eruption on genital organs (closing the urethra by swelling). ─ Inflammation of the glans. ─ Running vesicles on the glans. ─ Swelling of the glans and prepuce; prepuce dark red. ─ Paraphimosis. ─ Red spots (blotches) on the interior of prepuce. ─ Swelling and thickening of scrotum (with intolerable itching). ─ Erysipelas of scrotum. ─ (Hydrocele; from over-lifting). ─ Scrotum flaccid and hanging low. ─ Moist eruption on scrotum. ─ Frequent erections at night, with want to urinate. ─ Strong sexual desire in morning.

Female Sexual Organs

Catamenia premature and too profuse. ─ Menstrual flow light-coloured and acrid, causing biting pain in the vulva. ─ Erysipelatous inflammation of the external genitals. ─ Soreness of vagina soon after (or hindering) coitus. ─ Catamenia of too long duration. ─ Menstrual discharge = violent pain in vulva. ─ Membranous dysmenorrhœa. ─ Menorrhagia from strains; from wetting. ─ Discharge of blood during pregnancy. ─ Pain as from excoriation and shootings in vagina. ─ (Uterine polypus with metrorrhagia. ─ Relieves shooting pains of cancer uteri. ─ R. T. C.). ─ Bearing-down pain; when standing. ─ After-pains of too long duration, after severe labour, with much and excessive straining. ─ Discharge of blood and clots of blood from uterus, with labour-pains. ─ After labour, vitiated discharge from vagina, with shootings upward in the parts and a bursting sensation in the head. ─ For weeks after delivery pain in r. limbs with numbness from hips to feet (varicose veins). ─ Abortion from strain. ─ Axillary abscess after delivery. ─ Breasts painfully distended, red in streaks, rheumatic state. ─ Amenorrhœa from getting wet; with milk in breasts. ─ Milk-leg, typhoid metritis after delivery. ─ Diminished secretion (or suppression) of milk; with burning over body.

Respiratory Organs

Hoarseness and roughness of throat, with a sensation of rawness in chest. ─ Sensation of coldness in throat on taking an inspiration. ─ Tendency to be choked when swallowing. ─ Burning exhalation from larynx. ─ Sensation of constriction in throat-pit after a short walk. ─ Cough excited by a tickling in air-passages; generally short and dry, with anguish and shortness of breath, and principally in evening before midnight. ─ Dry, fatiguing cough. ─ Dry, teasing cough coming on just before the chill and continuing during the chill. ─ Cough with vomiting of food, esp. in evening, and when lying on back. ─ Cough after waking in morning. ─ During the cough gets a taste of blood in the mouth but does not cough up blood. ─ Short cough with bitter taste in mouth, in evening after lying down and in morning after waking. ─ Cough with stitches in chest and profuse general perspiration. ─ Whooping-cough; spasmodic, violent cough, caused by tickling in larynx and chest, with expectoration (except in evening) of acrid pus or greyish-green cold mucus of putrid smell; or of pale, clotted, at times brown blood. ─ Putting hand out of bed brings on a cough. ─ Pneumonia with typhoid symptoms, often after re-absorption of pus. ─ Cough with pain in stomach, or with shaking in chest and head. ─ Terrible cough which seems as if it would tear something out of chest. ─ Cough with expectoration of, a bright-red blood and sensation of faintness in chest.

Chest

Difficult respiration after a moderate walk. ─ Anxious oppression of chest, even at night. ─ Nausea in chest; < stooping. ─ Respiration impeded by a pressure and squeezing in pit of stomach. ─ Shortness of breath in evening with tension in chest. ─ Frequent want to take a full inspiration. ─ Weakness in chest, which renders speech difficult after a walk in open air. ─ Sensation of constriction in chest. ─ Shootings and lancinations in chest and sides of chest; esp. when sitting with body bent forwards, when speaking, when breathing deeply, when sneezing, seldom when walking or when using vigorous exertion. ─ Inflammation of lungs, also pneumonia nervosa. ─ Pleurodynia, chest pains shoot into shoulders ( Rh. rad .). ─ Tingling in chest, with tension of muscles of chest, < by repose. ─ Rush of blood to chest.

Heart

Weakness and sensation of trembling in heart. ─ Violent palpitation of heart while sitting quietly. ─ Shootings in region of heart, with painful sensation of paralysis and numbness of l. arm. ─ Pulse rapid, small, compressible.

Neck and Back

Rheumatic stiffness of nape and neck, with painful tension during movement. ─ Painful swelling of axillary glands. ─ Rheumatic tearing between scapulæ, not affected by movement, < by cold, > by heat. ─ Tearing between shoulders, drawing together from both sides. ─ Transient coldness in back. ─ Contusive pain in loins, esp. on touching the parts, and during repose. ─ Pain in small of back when sitting still or when lying; > when lying on something hard or from exercise. ─ Bruised pain in sacrum when he lies still on it or sits still; feels nothing of it when moving. ─ Painful rigidity in loins. ─ Painful exostosis on sacrum. ─ Distortion of the vertebral column. ─ Pains in loins, in back, and nape, as from lifting too great a weight. ─ Drawing and stitches in back, esp. when seated and on stooping. ─ Opisthotonos.

Limbs

Swelling, stiffness, and paralysed sensations in joints, from sprains, over-lifting, or over-stretching. ─ Lameness, stiffness, and pain on first moving after rest, or on getting up in morning; > by constant motion. ─ Trembling or sensation of trembling in limbs. ─ The limbs on which he lies, esp. arms, go to sleep. ─ Rheumatic tension, drawing, tearing in limbs, during rest. ─ Excessively cold hands and feet all day.

Upper Limbs

Burning shooting under l. axilla, on the arm. ─ Tearing and burning sensation in shoulder, with paralysis of arm, esp. during the cold season, during repose, and in heat of bed. ─ Coldness, paralysis, and insensibility of arm. ─ R. arm weak; rheumatic paralysis. ─ Exostosis in arm, with burning sensation and ulcers, which discharge a sanious pus. ─ Erysipelatous swelling and pustules, with burning itching in arms, hands, and fingers. ─ Red spots on arms. ─ Violent stitches in r. upper arm from without. ─ Jerks, shootings, and tearing in arms. ─ Tension in elbow-joint. ─ Jerking tearing in elbows, wrists, and joints of fingers. ─ Digging in bones of the forearm. ─ Weakness and rigidity of forearm and fingers during movement, and trembling of those parts after the least exertion. ─ Hot swelling of the hands in evening. ─ Swollen veins on hands. ─ Vesicular eruption in clusters on wrist. ─ Rhagades; smarting of back of hands. ─ Back of hand covered with chaps and hot; skin hard, rough, and stiff. ─ Tearing in all the finger-joints. ─ Warts on hands and fingers. ─ Hangnails. ─ Swelling of fingers. ─ Jerking in thumbs. ─ Contraction of fingers.

Lower Limbs

(Eruption with sweat in cleft of nates.). ─ Aching pains in legs; must change position every moment. ─ (Pains in l. lower limb, thigh chiefly, from septic absorption in old abdominal disease, with vesical irritation. ─ R. T. C.). ─ Shootings and tearings in hip-joint, extending to ham, esp. when resting on foot; or with dull drawings and burning sensation during repose, and painful sensibility of joints on rising from a seat or on going up stairs (or other over-exercise; involuntary limping). ─ Tension and stiffness of the muscles and joints of hips, thighs, legs, knees, and feet. ─ Paralysis of the lower extremities. ─ Cramp in calf after midnight, when lying in bed, and when seated after walking; it goes off on bending the knee. ─ Cramps in buttocks, thighs, and calves, esp. at night, in bed, or when seated after walking. ─ Spasmodic twitching of the limbs when stepping out. ─ Tension in the knee as if the tendons were too short. ─ Painful swelling above knee. ─ Drawing and jerking tearing in the thighs and legs. ─ Lancinations in the thighs, legs, knees, feet, and toes. ─ Heaviness in legs, esp. in hams and calves. ─ Tingling pain in shafts of tibiæ at night when the legs are crossed, with constant necessity to move, preventing sleep. ─ Coldness in l. tibia. ─ Paralysis of legs and feet. ─ Shootings and wrenching pain in anklebones when resting on foot. ─ Inflammatory swelling of instep, sometimes with pustules and miliary pimples on part affected. ─ Swollen round ankles after sitting too long, particularly in travelling. ─ Erysipelatous swelling of feet. ─ Swelling of feet in evening. ─ Numbness and paleness of feet (feet dead). ─ Distortion of toes. ─ Corns on feet, with burning sensation and pain as from excoriation.

Generalities

[We are led to think of this remedy where we find an irresistible desire to move or change the position every little while, followed by great relief for a short time, when they must again move, and experience the same relief for a short time; this condition is usually < at night. ─ After resting for a time, or on getting up from sleep, when first moving about, a painful stiffness is felt, which wears off from continual motion; but relief is experienced from continual motion ─ e.g ., a nursing mother may have sore nipples, and when the child begins to nurse, the nipple hurts exceedingly, but on continued nursing it becomes much easier. ─ Pain in chest (often rheumatic), < by using arms ─ as in making a bed, sweeping, &c., stiffness of nape of neck; sensation as if flesh were beaten off the bones, or as if a dog were gnawing it off; as if any part were contracted; as if a part were increased in size; as if certain parts were grown together; of heaviness in outer or inner parts; jerking pains in outer parts; darting and rending pains; of tension or tightness in outer or inner parts; arthritic pain in the joints; trembling sensation in inner parts; dyspeptics often complain of trembling in the stomach; of scraping along the periosteum. ─ For any troubles or complaints, whether acute or chronic, resulting from a sudden and a thorough drenching by a shower of rain; by getting wet in any way; there may be troubles of very long standing, which were so caused. ─ Troubles in general affecting the r. abdominal ring; l. chest; l. arm; l. lower extremity; l. side of body; of scalp, as in erysipelas when it runs up to the scalp; glands about the neck, particularly if they are swollen or inflamed with red streaks, as often are in scarlet fever; joints of the jaws, particularly when they are < on beginning of motion, and get > from continued motion; of the abdominal cavity in general; mons veneris, there may be a great deal of itching, sometimes a hard blue boil is found there; shoulder-blades; small of the back, as, e.g ., when one stoops his back hurts so that he cannot straighten up without help ─ this may result from an old sprain, or from a sudden "crick" in the back; sacrum; buttocks; forearm; shoulder, back of hand; fingers joints in general shoulder-joint; elbow, wrist, bones of the arm; calves; joints of the leg hip-joint, knee, and ankle; weakness of joints. ─ Coagulated blood from the nose; cough bloody, blood being coagulated; face covered like erysipelas; increase of saliva; difficulty in swallowing, it hurts so in the back; fluent catarrh of the nose. ─ Inability at first to move the parts affected. ─ One is very easily sprained by lifting; palsy of the limbs; staggering when walking. ─ Strictures after inflammation, and hence may sometimes be used for strictures resulting after gonorrhœa; swelling in general, with inflammation and without; debility; aversion to washing; wounds, with sprained muscles. ─ Axillary glands where the swelling is very deep and hard. ─ Symptoms < before a storm of rain; after midnight; in the morning; before falling asleep; from bathing; can't bear cold water; complaints coming on in autumn; on taking a deep breath; on inspiration; from cold in general; in cold air; in cold and wet weather; from coughing; while chewing; from drawing up the limbs; from exertion of the body; after drinking; after fatigue; on uncovering the head; from surgical injuries; from sprains; from lying down; from lifting; from cold food; cold water; anything cold; during perspiration; from wet poultices; while resting; on first rising; while sitting; while talking; after undressing; in foggy, or foggy and wet weather; from getting wet; in winter; from getting wet while perspiring; women in confinement; small-pox; after-effects of syphilis. ─ H. N. G.]. ─ Epidemic diseases with œdema of fauces threatening œdema glottidis, vesicles stud pharynx and voice is hoarse; rawness and roughness of pharynx (Dunham). ─ Rheumatic and arthritic drawings, tension, and tearings in limbs, increased to the highest degree during repose, as well as in bad weather, at night, and in the heat of the bed, often with sensation of torpor and numbness in the part affected after moving it. ─ Cramp and tension in different parts as from contraction of tendons. ─ Contraction of some of the limbs. ─ Tensive shootings and stiffness in the joints, < on rising from a seat, and in open air. ─ Paralytic rigidity in limbs, esp. on beginning to move the part after repose. ─ Ready benumbing of parts on which patient reclines. ─ Torpor of some parts with tingling and insensibility. ─ Tingling in parts affected. ─ Wrenching pain in limbs. ─ Paralysis, sometimes semilateral. ─ Red and shining swellings, with shooting pain as from excoriation when touched. ─ Contusive, or else a sensation in some places as if the flesh were detached from the bones. ─ Pressive drawing in periosteum as if the bones were scraped. ─ Sensation in internal organs as if something were torn away. ─ Swelling and induration of glands. ─ Icterus. ─ Jerking in muscles and limbs. ─ Convulsive movements and other sufferings, resulting from a cold bath. ─ Semilateral affections. ─ < And appearance of pains and symptoms during repose or at night, as also on entering a room from the open air; > obtained by movement and walking. ─ The cold, fresh air is not tolerated; it seems to make the skin painful; (a keynote on rheumatism. ─ Dunham). ─ Reproduction or < of many sufferings in unfavourable weather. ─ General excitability of nervous system, < by slightest indulgence of anger. ─ Drawings in all the limbs when lying down. ─ Trembling of limbs after the least fatigue. ─ Unsteady gait. ─ Great lassitude and weakness with want to lie down. ─ Syncope. ─ Inability to bear the open air whether it is hot or cold; it makes a painful impression on the skin.

Skin

Vesicular erysipelas where the vesicles are large. ─ Exanthema on face in general-on chin, face, cheeks, mouth, nose, forehead, causing much burning itching. ─ Pustulous chilblains. ─ Exanthema in general; burning; burning itching; pustulous; with swelling; blotches; like milk-crust; moist; like nettle-rash; blue with erysipelas; scurfy; tensive or tight feeling in; pock-shaped; black; purulent; zona or shingles; petechiæ; prickling; tickling; blisters which will sometimes spread up the limb, and are sometimes circular in form, spreading with a red edge in the advance, which gradually turns to a blister, the red border still keeping in advance (if the edges be black, Arsen .); itching < after scratching. ─ Tetters in general. ─ Ulcers burning; with corroding pus; with ichorous pus. ─ Rash itches a great deal, in scarlet fever, small-pox, &c., with the peculiar restlessness. ─ Phlegmonous erysipelas, esp. where the erysipelas begins in the ankle, and moves gradually up the leg, running up in the deeper tissues, no fever. ─ Itching over whole body, chiefly in hairy parts. ─ Stinging and tingling on skin, burning after scratching. ─ Humidity of skin. ─ Hardness of skin with thickening. ─ Swelling (hard) of affected parts. ─ Erysipelatous inflammations. ─ Nettle-rash. ─ Eruptions, generally vesicular, scabby, with burning itching, appearing esp. in spring and autumn. ─ Eruption of small pustules on a red bottom, like zona. ─ Gangrenous ulcers resulting from small vesicles, with violent fever. ─ Petechiæ, with great weakness, amounting to entire prostration. ─ Black pustules. ─ Herpes, sometimes alternately with asthmatic sufferings and dysenteric looseness. ─ Warts, esp. on hands and fingers; large jagged, often pedunculated, exuding moisture and bleeding readily. ─ Rhagades on hands. ─ Panaritium. ─ Tingling or shooting or else burning smarting in ulcers, esp. at night. ─ Chilblains. ─ Corns on feet, with burning sensation, and pain as of excoriation.

Sleep

Frequent, violent, and spasmodic yawnings. ─ Spasmodic yawning without inclination to sleep, and with stretching of limbs and pain as from dislocation of articulation of the jaw. ─ Yawning in general; with violent stretching of the limbs; falling asleep late; lying on the back during sleep. ─ Strong disposition to sleep during day, and also in morning in bed. ─ Somnolency, full of distressing and broken dreams. ─ Sleeplessness, esp. before midnight, generally caused by a sensation of heat, ebullition of blood, and uneasiness which does not permit patient to remain lying down. ─ Disturbed sleep, with anxious and frightful dreams. ─ Coma somnolentum, with snoring, murmurs, and carphology. ─ Sleep hindered by gloomy ideas. ─ Waking caused by bitterness and sensation of dryness in mouth. ─ Sleep at night hindered by a pressure at stomach, digging pinchings in abdomen, and nausea, with inclination to vomit. ─ Inability to remain lying on side at night. ─ Starts with fright and jerking of body during sleep. ─ Incomplete and agitated sleep, with tossing and many troublesome thoughts. ─ Vivid dreams of the business of the day, with talking during sleep. ─ Weeping while asleep. ─ Dreams of fire. ─ Sleep, with open mouth and short breathing.

Fever

Pulse irregular; generally accelerated but weak, soft; sometimes it cannot be felt or is intermittent. ─ Shivering and coldness, generally in evening, and accompanied by paroxysms of pain, and other accessory symptoms. ─ External coldness along skin; coldness, but does not mind cold air. ─ Shivering and shaking in open air, with violent thirst. ─ Continual transient shiverings, as if cold water had been thrown over body. ─ Sensation of coldness on moving even but a little. ─ Chill in back and heat in anterior portion of body. ─ Coldness and paleness of face, alternately with heat and redness. ─ Shiverings and heat intermixed, either general and simultaneous (internal shivering with external heat, and vice versâ ), or in different parts. ─ General heat, as if hot water were thrown over him, or as if the blood were flowing hot through the veins. ─ General perspiration, frequently already during the heat, and then often not in the face. ─ Fever in evening, first shivering, then heat and thirst, (and perspiration) accompanied or followed by cuttings and diarrhœa. ─ First headache (throbbing in temples); afterwards chilliness, with thirst and tearing pains in limbs as from fatigue; afterwards general warmth, with slight chills during motion and livid face; finally profuse, sour-smelling perspiration. ─ Tertian or quotidian fever. ─ Tertian fever with nettlerash, which disappears after the attack; during the apyrexia burning and redness in sclerotica. ─ Double tertian fever; first shivering and thirst, then general heat, with shivering on least movement, lastly perspiration. ─ During the shivering pain in limbs, headache, vertigo, pulsative toothache, accumulation of saliva in mouth, and inclination to vomit. ─ During nocturnal heat drawing in all limbs. ─ Transient heat with perspiration, commencing from umbilical region, and rapidly alternating with shiverings. ─ During or after the fever, jerks, tingling in ears, deafness, dry coryza, sleeplessness, with restless tossing, jaundice, and nettle-rash, pressure in pit of stomach, palpitation of heart with anxiety, colic, diarrhœa, and other gastric affections, and nocturnal thirst. ─ Malignant fever with loquacious delirium, violent pains in all limbs, excessive weakness, dry or black tongue, dry, brownish, or blackish lips, heat and redness in cheeks, carphologia, pulse quick and small, coma somnolentum, with snoring and moans. ─ Sweat during the pains. ─ Perspiration in general; with heat; offensive. ─ Perspiration when seated, often with violent trembling. ─ Nocturnal sweat, sometimes with miliary and itching eruption. ─ Sweat in morning, sometimes of an acid smell. ─ Sweats from warm drinks. ─ Constant perspiration.

The Guiding Symptoms of Our Materia Medica

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

Mind

Absence of mind ; forgetfulness ; difficult comprehension, cannot remember recent events ; recalls with difficulty things and names.
Languor of the mind, is unable to hold an idea.
Stupefaction, with tingling in head and pains in limbs, >. in motion.
Illusions of the fancy ; visions.
Low, mild delirium, thinks he is roaming over fields, or hard at work.
Incoherent talking ; answers hastily or reluctantly, thought seems difficult ; answers correctly but slowly.
Anxiety, timidity ; < at twilight ; restless change of place ; wants to go from bed to bed.
Apprehensive, anxious and tremulous.
Inexpressible anxiety, with pressure at heart and tearing at small of back.
Great apprehension at night ; cannot remain in bed.
Anxiety : while sitting was obliged to take hold of something because she did not think she could keep up on account of the beating and drawing pains in limbs ; and apprehension as if he wished to take his own life ; with loss of strength as if
he would die.
Fear and despair on account of sad thoughts, which she could not get rid of.
Fear : that he will die ; with anxiousness and sighing ; of being poisoned.
Fretful ; general unhappiness of temper.
Ill-humored, depressed ; easily moved to tears.
Impatient and vexed at every trifle ; she does not endure being talked to.
Great despondency, with prostration ; inclination to weep, especially in evening, with desire for solitude.
Disgust for life : thoughts of suicide ; wants to drown himself ; with fear of death ; with desire to die, without sadness.
Depression and discouragement and dissatisfaction with the world, in the evening.
Sad, begins to weep without knowing why.
Melancholy, ill-humor and anxiety, as if a misfortune would happen, or as if she were alone and all about her were dead and still, or as if she had been forsaken by a near friend ; < in house, > walking in open air.
Melancholia after suppression of menses by fright and sorrow ; great restlessness and anguish as if she had committed a crime, or as if she thought some terrible calamity impended ; these feelings drove her from one place to another ;
could not rest quietly at night in bed ; was robbed of sleep and all desire to live ; slight pain in temples ; a little vertigo ; head cool ; much depressed in mind ; spoke but little.
Restlessness and anxiety about heart as if she had committed a crime or as if some great misfortune was in store for her, is driven from one place to another ; deprived of sleep and all desire to live ; always depressed, speaks little, no appetite, sometimes belching which
relieves ; slight vertigo and pain in temples. θ Amenorrhœa from fright.
After fright heavy feeling in forehead ; a week later she told her mother not to look at her ; seemed to be distrustful and did not wish to see any one ; she came running in from the street and said people were looking at her ; sat quietly alone ; her eyes dim,
shunned the light ; since this time the symptoms have returned three times, lasting six weeks each time ; this time eight weeks, symptoms as before but without the complaint of the eyes ; cries without cause, imagines people are finding fault with her because she is earning
nothing, acts in a childish manner ; heaviness of head when head is in a low position ; beating in temple on which she is lying ; after taking cold, diarrhœa ; for past week coughed when lying down, with stitches in pit of stomach ; chilly hands and feet ;
frequent motion in bowels.

Sensorium

Vertigo : and dulness of head ; as if intoxicated when rising from bed ; with chilliness, and pressure behind eyes ; in the aged, < when rising from lying, turning or stooping ; when standing or walking ; while lying down.
Weakness of head ; whenever she turned the head she quite lost consciousness ; on stooping it seemed as if she could never rise again.
Head confused and dull.
Dulness of head : pressure in right temple, and just above and behind right orbit a pressing downward as from a weight ; disinclination for literary work ; and an intoxicated feeling, in morning ; as if intoxicated while sitting, on rising such dizziness
that it seemed as if she were going to fall forward and backward.
Heaviness and dulness of head on turning eyes ; even the eyeball hurts.
Head so heavy that she was obliged to hold it upright in order to relieve the weight pressing forward into forehead.

Inner head

Burning in forehead when walking.
Feeling as of a board strapped across forehead.
Pain in left temple and orbital region, appearing daily for three months, and lasting until evening ; caused by getting wet ; > from rapid motion.
Brain feels loose when stepping or shaking head.
A sensation of swashing and jarring in brain ; each step concusses brain.
Pain as if brain were torn, < when moving eyes.
Headache : stupefying, with buzzing ; < when sitting or lying, in cold, in morning, from beer ; > from warmth and motion ; must lie down ; returns from least chagrin ; immediately after a meal.
Stitches in head extending to ears, root of nose and malar bones, with toothache.
Feeling as if parts were screwed together in muscles of back part of head.
Dull pain beginning in occiput extending to vertex and thence to forehead, there attaining an intolerable degree of severity ; at times vomiting of bile which relieves the pain but exhausts the patient ; pain begins in morning, lasts until 5
P. M., and is particularly severe after 3 o'clock, > by walking rapidly in open air ; paroxysms every week. θ Migraine.
Periodical attacks of headache ; pain particularly in back part of head, so severe that she cannot speak and must go to bed for 24 hours, during which time she neither speaks, eats nor drinks ; the slightest vexation or least exercise in open air, particularly if she amused
herself at same time, brought on an attack next day. θ Hysteria.
Occipital headache ; muscles sore, > from moving and warmth ; caused by draught, dampness, or by internal causes, as in typhoid.
Headache in occiput, > by bending head backward.
Painful tingling in head, especially of occiput.
Aching in occipital protuberances.
Rush of blood to head, with humming, formication and throbbing ; face glistening and red ; restless moving about.
Meningitis in exanthematous fevers, or after getting wet ; tingling limbs ; high fever ; restlessness.
For two days complete loss of consciousness ; right upper and lower extremities paralyzed ; pulse rapid, trembling, scarcely perceptible ; involuntary escape of urine ; respiration very gentle, with frequent moaning ;
appearance cadaverous ; œdematous swelling of lids ; body cold to touch. θ Meningitis.
Cerebro-spinal meningitis ; anxiety, restlessness, stupefaction, vertigo ; fulness and bruised pain in head, extending to ears ; bleeding of ears and nose ; dry cough, with perhaps bloody sputa ; pain in back as if
sprained ; tearing tensive pains, with stiffness of muscles and joints ; vivid dreams ; various eruptions.

Outer head

Head painful to touch, sore as a boil.
Scalp sensitive, < on side not lain on, when growing warm in bed, from touch and combing hair.
Violent tearing and drawing pains in periosteum of cranial bones ; < at rest and in damp, stormy cold weather ; > wrapping head up warmly and by dry heat and exercise.
Headache as if occipital tissues were screwed together.
Liability to take cold from having the head wetted.
Vesicular erysipelas of scalp, going from left to right.
Biting itching on scalp, forehead, face and about mouth, with eruption of pimples like nettlerash.
Thick scurf over hairy whole scalp, from under which a greenish pus discharges ; severe itching at night under the scurfs ; hair eaten away.
Eruption on head, eating into surrounding parts, with violent itching at night ; discharge of greenish pus from right nostril ; left nostril excoriated, with discharge of bloody mucus on blowing nose.
Eruption suppurating, moist, forming thick offensivesmelling crusts ; itching < at night ; hair is eaten off ; extends to shoulders. θ Scald-head.
Dry herpes on hairy scalp.

Sight and eyes

Aversion to light ; scrofulous affections.
Extreme confusion of sight.
Obscurity of vision ; sensation as of a veil before eyes.
Lids red, swollen, œdematous, especially the upper, and spasmodically closed, with profuse gushes of hot tears on opening them ; saclike swelling of conjunctiva ; yellow, purulent, mucous discharge ; swelling around eyes ; burning pain in eye, with much
photophobia ; stitches in eyes and temples, with vertigo ; lids cannot be opened ; < in evening ; pressive burning pain in right eye, so intense he could not bear slightest touch ; child lies constantly on its face with its hands to its head ; head hot and
face red. θ Irido-choroiditis.
Mr. S., æt. 66, rheumatic diathesis ; had a cataract removed by Græfe's modified linear extraction ; on second night after operation, sharp pains in eye, restless, fever and thirst ; upper lid œdematous, lids tightly closed, on
opening a profuse gush of hot tears followed ; chemosis, haziness of aqueous, suppuration commencing. θ Irido-choroiditis suppurativa traumatica.
Miss D., æt. 18 ; had discission made of capsule remaining after extraction of cataract ; nausea, vomiting ; 1 A. M., sharp shooting pain in eye, lids spasmodically closed, œdematous, profuse hot lachrymation on opening, photophobia, chemosis.
Iritis : either of rheumatic or traumatic origin or from exposure to wet ; inflammation may extend to and involve choroid ; pains shoot through eyes to back of head, < worse at night ; profuse flow of hot tears on opening
eyes ; in some cases inflammation may go on to suppuration in rheumatic or gouty subjects ; suppurative, or where the ciliary body and choroid are involved, especially if of traumatic origin.
Mydriasis from exposure to cold and dampness.
Pustules and superficial ulcers on cornea, with great photophobia ; conjunctiva quite red, even to chemosis.
Suppuration of cornea, especially when consequent upon cataract extraction.
Totally blind ; cornea filled between its lamellæ with a thick whitish exudation ; iris distorted ; iridectomy of no avail ; has been subject to facial erysipelas ; cold water had suppressed eruption ; since then weak
sight, gradually total blindness, until relieved. θ Opacity of cornea.
Kerato-iritis, especially if rheumatic in character, from cold, damp atmosphere.
Glaucoma.
Orbital cellulitis.
Pain in right eyeball, of such intensity that she could not bear even a slight touch ; redness of sclerotic, and development of numerous bloodvessels ; dulness of cornea, great sensibility to light ; iris of affected eye, which in its
natural state was blue, is now green, pupillary margin not well defined, pupil itself does not move when exposed to light, lens appeared of a smoky dimness ; an eruption of red pimples and pustules on nose and cheek increased as action of eye declined, and vice versa ; a burning
tearing pain in neighborhood of diseased eye, < morning and night, depriving patient of rest and sleep.
Itching in eyes on exerting vision.
Aching or pressive pain in eyes.
Left eye felt enormously swollen and enlarged, though this was not the case.
Sharp pains run from eyes into head.
Biting as from something sharp and acrid in right eye.
Biting in eyes ; lids agglutinated in morning.
Drawing and tearing in region of brows and in malar bones.
Eyes are closed and greatly swollen and inflamed.
Acute conjunctivitis from getting wet.
Great photophobia, profuse acrid lachrymation in morning and in open air ; cheek under eye dotted with red pimples ; lids spasmodically closed.
Violent inflammation of right eye. θ Conjunctivitis.
Saclike swelling of conjunctiva, with yellow purulent discharge.
Eyes red and agglutinated in morning.
Catarrhal ophthalmia ; lids swollen and completely closed, from under which escaped, from time to time, purulent mucus ; on attempting to open lids there flowed out a quantity of water, and the conjunctiva covering the lids was loose, swollen, projecting betwixt the lids
and prevented the eyeball from being seen.
Arthritic ophthalmia, from working in water or getting wet, with tearing pain in eyes, especially at night.
Scrofulous ophthalmia ; phlyctenules on and about cornea ; intense photophobia ; eyelids involved and spasmodically closed ; yellow pus gushes out when they are forced apart ; pains < at night.
Scrofulous ophthalmia ; right eye affected ; not much photophobia ; lids slightly swollen ; on cornea a small scrofulous ulcer surrounded by fasciculi of vessels.
Scrofulous ophthalmia, with phlyctenulæ on edge of cornea of left eye ; pain and photophobia not very great ; scrofulous eruption on internal nose, which was much swollen.
Conjunctiva of left eye very red and studded with small ulcers ; great photophobia ; frequent lachrymation ; eruption behind ears and beneath scalp, exuding plentifully. θ Scrofulous
ophthalmia.
Violent inflammation of eyeball ; two dirty-looking ulcers on cornea of left eye size of hemp seeds ; great photophobia ; thick scabs around alæ nasi and angles of mouth. θ Scrofulous
ophthalmia.
Scrofulous ophthalmia ; excessive photophobia, child lies all day with face resting on floor ; constant restlessness, loss of appetite ; emaciation.
Right eye surrounded by an œdematous swelling, from border of orbit to alæ nasi ; eyes slightly red, lachrymose by day, closed up by night ; child constantly rubbing its eyes, restless and sleepless. θ Ophthalmia
erysipelatous.
Conjunctivitis granulosa ; < in right eye ; heaviness of lids ; < in stormy weather, with pannus.
Ophthalmia neonatorum ; lids red, œdematously swollen and spasmodically closed ; restlessness at night.
Pains in eyes when moving or turning eyeballs.
Paralysis of any of muscles of eyeball, resulting from rheumatism, exposure to cold or getting feet wet.
Burning in inner canthus of right eye.
Weeping eyes ; bleareyedness.
Epiphora of long standing, with an apparent stricture of lachrymal duct.
Inflammation of lids ; lids much swollen.
Right upper lid much swollen, hard ; pains < from 5 to 7 P. M. ; walking around does not relieve ; when she moves her eye it feels as if there was a hard ball moving around ; burning, itching, shooting pains around lid ;
< in cold air.
Erysipelas of lids, sometimes of traumatic origin ; profuse lachrymation, spasmodic closure of lids.
Eyelids œdematous, or erysipelatous, with scattered watery vesicles ; meibomian glands enlarged, cilia fall out.
Œdematous erysipelatous swelling of lids and face, with small watery vesicles scattered over the surface, and drawing pains in cheek and head.
Lids look red and fiery, like erysipelas, and itch greatly.
Violent burning, itching and prickling in swollen lids.
Uncomplicated blepharitis, especially of acute form, with a tendency to formation of abscess ; lids highly œdematous, profuse lachrymation with pain ; < at night, > from warm applications.
Simple œdema of lids.
Eyelids present a bladder-like appearance, and the lids are closed from the great swelling.
Lids œdematously swollen, copious, acrid, serous discharge, corrodes adjacent parts. θ Blepharitis.
Chronic inflammation of lids ; puffiness of lids and face ; meibomian glands enlarged ; falling out of ciliæ ; itching and biting in lids ; sensation of dryness of eyes ; burning in internal canthus ; acrid lachrymation in morning and in open air, or
constant and profuse lachrymation which may be acrid or not.
Relaxation of eyelids, with puffiness of lids and hot, flushed face.
Heaviness and stiffness of lids, like a paralysis, as if it were difficult to move lids.
Ptosis of right eyelid in a girl, æt. 5, first noticed when five days old ; whenever she wished to open her eye to look at anything, she involuntarily opened widely her mouth, which made her look ludicrous.
Ptosis, also paralysis of muscles of eyeball, from exposure to cold or wet ; in rheumatic patient.
Lids agglutinated with purulent mucus, in morning.
Eruption on left lower lid ; inflammation of conjunctiva ; burning and painful twitching in affected part.
A red, hard swelling, like a stye, on lower lid, toward inner canthus, with pressive pain, lasting six days.
Styes on lower lids.
Symptoms of lids dependent upon inflammation of deeper structures.

Hearing and ears

Hardness of hearing, especially of human voice.
Otalgia, with pulsation in ear at night.
Excoriating discharge of bloody pus from ear in acute inflammation.
Erysipelatous inflammation of external and internal ear, vesicular, with excessive otalgia.
Inflammatory swelling of glands beneath ears. θ After scarlatina.
Lobule of left ear swollen.
Parotitis, left side ; especially suppuration. θ Scarlatina.

Smell and nose

Loss of smell.
Nosebleed : frequent ; on stooping ; in morning ; at night ; coagulated blood ; at stool, or from exertion ; in typhus, with some relief.
Spasmodic sneezing.
Sudden cessation of cough followed by most outrageous sneezing, all night ; in morning face red, swollen, cannot talk for sneezing ; points to head and abdomen. θ Influenza.
Dryness and stoppage of nose.
Sensation of soreness in nostrils.
Discharge from nose : of thick, yellow mucus ; of nasal mucus without coryza ; of green, offensive pus ; of yellow ichor, with swollen cervical glands ; hot, acrid from nares.
Hot burning beneath left nostril so that the breath seemed to come out of it hot.
Swelling of nose.
Tip of nose red and sensitive ; nose sore internally.
Puffiness of nose.
Fever blisters and crusts under nose.
Eczema on both sides below nose ; nose swollen, now and then bleeding.
Eruption in corners of nose.

Upper face

Face : fiery red ; pale, sunken, nose pointed, blue around eyes ; red, with heat.
Burning, drawing, tearing in face ; teeth feel too long ; restlessness.
For several successive nights, awoke after having been asleep about an hour, with pain in temporal region of l. side, extending toward head, cheeks and teeth of same side ; pain increased from minute to minute, was of a glowing, tearing character
and forced him to quit his bed and walk about the room for three hours during the night ; went to bed exhausted, fell asleep, but awoke again in half an hour and was obliged once more to walk about until 7 or 8 A. M. ; during day teeth of affected side felt too long and were loose
so that he could masticate but little ; felt very weak and cold. θ Facial neuralgia.
Facial neuralgia ; feeling of great coldness ; < in open air ; violent evening exacerbation ; dysenteric diarrhœa.
From having been in a cellar, where he perspired much, especially on head, old neuralgic pains reappeared ; patient pressed hand on left cheek, pressed teeth together and had a distorted painful face.
Tension and swelling of face.
Great swelling of face, especially of eyelids and ears.
Violent burning in swollen face, lids and ears.
Erysipelas from left to right ; face dark-red, covered with yellow vesicles ; burning, itching and tingling with stinging ; delirium and high fever.
Whole face swollen, eyes nearly closed ; ears swollen ; swelling of face red, hot, with tension and burning, right side being covered with vesicles, some of which had burst ; hairy part of scalp very sensitive to touch, particularly in
region of occiput, which was the seat of pressing pains ; ringing in ears with hardness of hearing ; frequent short naps ; delirium at night ; slow, complaining speech ; great despondency ; constantly lies on back, at rare intervals sluggish movements of
limbs ; no appetite ; great thirst ; frequent, deep inspirations with sighing ; diarrhœa ; cough with expectoration of blood ; urine bluish-red. θ Erysipelas.
Whole face, except forehead, greatly swollen, hot, harsh to touch, bright-red, shiny and covered with vesicles ; lids greatly swollen, cannot open eyes ; auditory meatus on both sides swollen ; stitching pains in throat on swallowing ; sides of back painful to touch,
without swelling or hardness ; tongue red, dry ; great thirst ; frequent yawning ; painful pressure on chest and about heart ; at rare intervals cough with expectoration of blood ; tearing pains in all the limbs ; skin dry, hot ; urine scanty,
dark ; pulse rapid, weak. θ Erysipelas.
Erysipelas bullosum ; the spots had spread over forepart of scalp, entire face covered with large blisters ; heat, swelling and intense pain ; tongue smooth, very red ; much thirst ; anxiety ; restlessness ; sleeplessness ; very quick pulse.
Inflammation commenced in outer ear and gradually spread to cheek and forehead of same side, then to opposite ear, cheek and side of head, with blistering, burning and itching. θ Erysipelas.
Acne rosacea.
Milk crust ; thick crusts and a secretion of fetid, bloody matter.
Impetigo on face and forehead.
Forepart of head and right side of face covered with a thick, moist crust, from under which an ichorous, frequently sanious, offensive discharge oozes ; underlying skin rough, excoriated ; lids of right eye red, swollen ; conjunctiva
red ; skin of whole body, but particularly of arms and feet, rough and scaly, often covered with thick moist crusts ; intolerable biting-itching in affected parts, < toward evening, at night and from warmth ; on scratching a sanious pus is discharged with momentary
relief ; na intolerable odor arises from the patient.
Crusta lactea ; crusts on cheeks, extending up to temples over hairy part of scalp, even eyelids being covered ; on several fingers painful ulcerations about nails.
Chronic suppurating eruptions on face.

Lower face

Cramplike pain in articulation of lower jaw, close to ear, during rest and motion of part, > from pressure and warmth.
Pressive and digging pain in glands beneath angle of lower jaw.
Pain in maxillary joints as if the jaw would break.
Stiffness of jaws, cracking in articulation of jaw when moving it ; jaw easily dislocated.
Dull, aching cramplike pain in articulation of right lower jaw when at rest, and when in motion, accompanied by a crackling sound and severe pain as if jaw would break, > by pressure and warm food and drinks.
Rheumatism of maxillary joint.
Parotitis after catching cold ; suppuration was feared and an incision made ; swelling then somewhat subsided but became more indurated, particularly around scar ; if exposed to north and east winds inflammation and swelling occurred, at
which time she could hardly open mouth.
Corners of mouth ulcerated, fever blisters around mouth.
Exanthema on cheeks, chin and around mouth.
Herpetic, crusty eruptions around mouth and nose with itching and burning.
Pimples about mouth and chin.
Lips dry and parched, covered with reddish-brown crusts. θ Typhus.

Teeth and gums

Teeth painful with stinging at root of nose, extending to malar bones.
Toothache, in evening, first in a hollow tooth, which became elongated and loose, then also in other teeth in which the pain was partly sticking and partly crawling.
Jerking toothache at night (about 10 P. M.) ; the jerking extending into head ; > from application of cold hand.
Tearing pain in teeth, > by hot applications.
Jumping, shooting, as if teeth were being torn out ; or slow, pricking, throbbing or tearing, extending into jaws and temples ; face sore ; < at night, from cold, from vexation, > from external heat ; crusty caries.
Gnawing sensation in hollow teeth < from cold.
Teeth feel too long and too loose, feel as if asleep.
Looseness of lower incisors ; she cannot bite upon them.

Taste, speech, tongue

Taste : putrid, mornings after eating ; metallic ; food, especially bread, tastes bitter ; disgusting, bitter, with a sensation of dryness in mouth, frequently awoke her at night.
Tongue : dry ; sore, redness at tip ; not coated but very dry, which provoked drinking ; dry, red, cracked ; has a triangular red tip ; white, often on one side ; yellowish ; covered with brown mucus ; takes imprint of teeth ;
blistered ; coated at root, yellowish-white ; thickly coated ; brown mucus, excepting on edges, in morning on rising.

Inner mouth

Sleeps with open mouth.
Breath : putrid, excessively so in typhoid fever and diphtheria.
Mouth dry, with much thirst.
Water accumulates in mouth, is frequently obliged to spit.
Saliva bloody ; runs out of mouth during sleep.
Much tough mucus in mouth and throat.
Both lips large, prominent, tender and of an ashy-gray color from infiltration beneath mucous membrane of an albuminous-looking matter behind which was a layer of dark-colored fluid, probably blood ; face, especially forehead, bluish and
cool ; features drawn and pinched ; submaxillary glands greatly swollen ; pulse 96, small and thready ; temperature 97.3 ; tongue swollen, pale and covered with an offensive mucus similar in odor and hue to lips ; extreme prostration. θ Diphtheria
of lips.

Palate and throat

Sensation of dryness in throat.
Great thirst and dryness in throat, in typhoid conditions.
Unable to drink ; at every swallow the drink chokes her as if pharynx were inactive or paralyzed ; associated with a sensation of dryness in throat posteriorly.
Difficult swallowing of solids, as from contraction.
Painful swallowing, particularly when swallowing empty or saliva.
Sore throat ; deglutition difficult, with stitching pains, throat much swollen externally, maxillary and parotid glands greatly enlarged.
Sore throat as from an internal swelling, with bruised pain, also when talking, with pressure and stinging when swallowing.
Throat sore, feels stiff ; after straining throat.
Sticking or stinging pains in tonsils, < on beginning to swallow.
Erysipelatous inflammation ; parotids swollen ; cellulitis of neck ; drowsiness.
Tonsil (right) covered with yellow membrane.
Fever < toward night ; pains in back of neck with stiffness, < on turning, > on change of position ; restlessness ; inflammation of right tonsil, with a patch like chamois leather, yellowish-white, thick ; tongue white, heavily
coated, top and edge red, almost sore, raw-looking ; fetid breath ; sticking pain on swallowing, < when first beginning to swallow ; loathing of food. θ Diphtheria.
Diphtheria ; child restless, wants to be carried about wakes up every now and then complaining of pain in throat ; bloody saliva runs out of mouth during sleep ; parotid glands swollen ; transparent, jelly-like discharges from
bowels at stool or afterward.
Pain in back, in a spot corresponding with about centre of œsophagus, < eating and drinking ; when food reaches this spot it refuses to go further, so that she can take only fluids ; seeks to force food past affected spot by twisting body about or assuming some
favorable position, after which she is relieved. θ Œsophagitis.
Œsophagitis, especially after corrosive substances.
Parotid and submaxillary glands highly inflamed and enlarged ; swallowing nearly impossible. θ Diphtheria. θ Scarlatina.
θ Variola.
Mumps on left side.

Appetite, thirst. desires, aversions

Hunger without appetite.
Loss of appetite in palate and throat, with emptiness in stomach, and at same time ravenous hunger, that disappeared after sitting awhile.
Complete loss of appetite for all food ; nothing tastes well, neither food, drink nor tobacco.
No appetite, or wants only dainties.
Thirst with dryness of throat.
Unquenchable thirst, wants only cold drinks ; < at night, from dryness of mouth.
Desire for : oysters ; sweets ; beer ; cold milk.
Aversion to : spirituous liquors ; to meat ; to beer.

Eating and drinking

After eating : great sleepiness ; fulness in stomach ; giddiness ; heaviness in stomach as from a stone.
From drinking ice-water : pain in stomach and nausea.

Hiccough, belching, nausea and vomiting

Eructations : seem to become incarcerated and remain in right side of chest ; with nausea ; with tingling in stomach, < when rising from lying.
Nausea : after ice-water ; after eating, with sudden vomiting ; with inordinate appetite and inclination to vomit ; < at night and after eating.

Scrobiculum and stomach

Violent throbbing in epigastric region.
Stinging or pulsation in pit of stomach.
Ulcerative pain in pit of stomach.
Fulness in stomach, as if overloaded.
Fulness or heaviness, as from a stone in stomach ; after eating.
Pressure in pit of stomach, as if swollen or as if drawn together.
Oppression in stomach toward evening.
Pain in stomach and nausea, after ice-water.

Hypochondria

Soreness as if beaten in hypochondriac region and abdomen, < on side on which he lies, < when turning and worst when beginning to move.
Pressing drawing, from below upward, in left hypochondrium, with anxiety and nausea in chest.
Severe pain in right hypochondriac region with high fever, was hardly able to breathe ; kept moving about ; > after eating.
Shooting pains of two weeks standing. θ Abscess of liver.

Abdomen and loins

Abdomen bloated : especially after eating ; all day a sensation of fermentation in it.
Griping and jerking pain in abdomen.
Pain in region of ascending colon.
Pain and contraction in abdomen, she was obliged to walk bent over.
Pains like a knife in right abdomen on walking.
Soreness of navel.
Soreness in walls of abdomen, especially in morning when stretching ; after physical strain.
Sensation as if something were torn loose in abdomen.
Visible contractions of abdomen above navel.
Pains in stomach and abdomen after drinking ice-water ; since then whenever she eats anything has colic, which is followed by a normal stool, with relief.
Colic, he must walk bent ; < at night ; after getting wet.
Violent colic, > only by lying on back with legs elevated vertically.
Typhlitis.
Constant pressing, burning pains in whole right side of abdomen, < rising from a seat, but particularly severe when sitting down, with sensation as if a lump lay like a pressing heavy weight in abdomen ; on this account and because of a tension
and disturbance in whole right side of abdomen which extended to groin, she could not stand erect, or easily lift right foot or propel it forward, whole right side of abdomen very tense and painful to pressure ; a broad flat tumor could be detected extending from crest of ilium to linea
alba, upward to liver, downward to region of groin, feeling as if it rounded itself inward and backward ; face sunken, pale, distorted, with suffering expression ; anorexia ; aversion to food ; moderate thirst ; chilliness mixed with heat ; rapid hard
pulse ; emaciation ; despondency ; feeling of extreme prostration. θ Physconia peritonealis.
Vomiting of mucus, bile and food ; sleeplessness ; fever ; belching of wind ; loss of appetite ; mouth dry, pappy ; dirty white coating on tongue ; abdomen distended, painful, very sensitive to pressure ; stitches below right ribs on
inspiration ; pain < on eating ; on fourth night recurrence of chill ; unquenchable thirst ; skin burning hot and dry ; pulse rapid, small and hard ; pain in limbs as if constricted ; feet and ankles numb, as if asleep ; eyes dull ; face pale,
pointed, expressive of suffering.
Enteritis ; tearing, stitching, burning pains ; grass-green vomiting ; cannot tolerate least touch ; whitish stools containing pus ; burning fever, < 1 P. M. ; burning in and beneath eyes ; dryness of gums ; throbbing in temples ; tickling
in throat ; gurgling in abdomen followed by stools which are not fecal ; difficult urination ; extremely sensitive spot, right side, one inch below navel, which when touched causes nausea.
Enteritis or peritonitis, with typhoid symptoms ; involuntary stools.
Incarcerated hernia.
Inflammatory swelling of inguinal glands.

Stools and rectum

Stools : watery, mucous and bloody, with nausea, tearing down thighs, and much tenesmus ; frothy ; white ; painless and undigested ; bloody water like washings of beef ; yellowish brown, bloody, cadaverous smelling and
involuntary at night [typhoid] ; dark, yellow, watery ; thin, mucous, red or yellow ; jellylike, streaked white and yellow ; greenish, mucous, with jelly-like globules or flakes ; lumps of transparent mucus ; yellowish white, fecal ; yellow, fluid ;
dark red [brick-colored] fluid ; otter-colored fluid [typhoid] ; profuse, yellow, watery ; scanty, frequent bloody water ; alternating with constipation ; involuntary (at night while sleeping) ; fetid ; frothy and painless [yellow fluid] ; very
offensive [dark yellow, watery] ; odorless [bloody, watery or yellow fluid].
Before stool : constant urging, with nausea and tearing colic ; cutting colic.
During stool : cutting colic ; nausea ; urging ; tenesmus ; tearing pains down thighs ; shortness of breath.
After stool : remission of pains and urging ; tenesmus.
Nightly diarrhœa, with violent pain in abdomen, > after stool or while lying prone.
Diarrhœa after marching through moist ground with bare feet.
Dark brown, thin, and very fetid stools eight or ten times daily, especially in early morning and between 4 and 6 P. M. ; stools often contained mucus, occasionally pus and frequently lentil-shaped clots of blood ; very weak, could not sit up, except in bed, because hanging
down feet always brought on urging to stool, with involuntary evacuation if not at once responded to. θ Chronic diarrhœa.
Intestinal catarrh during subsidence of cholera epidemica ; twenty to thirty motions in twelve hours ; vomiting frequent ; cyanosis of hands and face ; corpselike coldness of forearms, forehead and cheeks ; bowels emitted a splashing sound when pressed, showing
an admixture of fluid and wind ; asphyxia ; prostration of strength ; apathy of mind ; liquid stools mixed with some firmer lumps, strong smelling ; vomiting of whitish fluid, with a shade of green, with a sickly smell and mixed with mucus ; headache ;
incessant thirst ; frequent sighing ; tenesmus ; bowels distended with wind ; sickly taste in mouth.
Involuntary stools, with great exhaustion. θ Typhoid fever. θ Gastro-enteritis.
Cholera infantum, typhoid type ; very restless at night, has to be moved often to get relief.
Dysentery ; tenesmus, with nausea, tearing and pinching in abdomen ; tenesmic stools, followed by involuntary discharges from bowels.
Dysenteric discharges since early in morning ; extremely severe and constant tenesmus ; great chilliness ; constant restlessness.
Hemorrhage of black blood from bowels. θ Typhoid.
Sense of constriction in rectum as if one side had grown up.
Shooting pain up rectum.
Fissure of anus, with periodical profuse bleeding.
Hemorrhoids : sore, blind ; protruding after stool, with pressing in rectum, as if everything would come out.

Urinary organs

Tearing pain in region of kidneys ; œdema ; after exposure to wet.
In a miner exposed to much dampness, œdema of face and feet developing into a general anasarca ; urine full of albumen. θ Bright's disease.
Severe tearing pains in small of back ; urine contains blood and albumen ; anasarca ; in a man exposed to heat. θ Bright's disease.
Urine : hot ; white ; muddy ; pale, with white sediment ; dark, becoming turbid ; high-colored, scanty and irritating ; turbid when passed ; red and scanty ; snow-white sediment [urate of ammonia] ;
bloody, discharged drop by drop, with straining ; diminished, though he drinks much ; passes in a divided stream.
Tenesmus vesicæ ; discharges a few drops of blood-red urine.
Retention of urine ; backache ; restless, cannot keep quiet.
Urine voided slowly ; spine affected ; from getting wet.
Urine escapes in drops, flow interrupted ; burning in small of back ; constipation ; paralytic weakness with coldness and numbness of left arm and foot ; during sixth month of pregnancy.
Frequent urging day and night, with increased secretion.
Urine involuntary, at night, and while at rest.
Weakness of bladder in girls and women, with frequent desire to urinate ; also constant dribbling in boys.

Male sexual organs

Erections at night with desire to urinate.
Pains in glans penis on account of swelling of prepuce, causing paraphimosis.
Swelling of glans and prepuce, dark red, erysipelatous.
Stinging itching on inner surface of prepuce.
Humid vesicles on glans.
Red blotches on inner surface of prepuce.
Humid eruption on genitals and between scrotum and thigh.
Eruption on genitals, closing urethra by swelling.
Scrotum becomes thick and hard, with intolerable itching.
Œdema of scrotum and penis.
Enormous œdema of scrotum and penis after scarlet fever, with recurrence of fever ; penis assumed a spiral form.
Humid eruptions or erysipelas of scrotum.
Metastasis of mumps to right testicle.
Gonorrhœa ; repeated urging to urinate ; burning in urethra ; scanty, very thick discharge.
Sweat in second sleep for a month ; aching in glans penis ; after urination a few drops escape. θ Secondary syphilis.

Female sexual organs

Ovarian cyst, had existed eighteen months in a laboring woman æt. 20, brunette ; fresh, rosy complexion ; strained herself lifting shortly after first appearance of tumor.
Consciousness of uterus feeling sore and low down in pelvis, so as to seriously interfere with walking ; micturition frequent and painful ; much burning and itching of skin all over body ; soreness in back and hypogastrium ; subject to rheumatism. θ Prolapsus.
Bearing down in pelvis when walking ; itching in rectum ; desire for acids ; pains are most in right ovarian region ; feels as if her back would break ; > by lying on a hard floor or with pillow under back ; stiffness in joints when at rest, goes off
during motion.
Prolapsus ; after parturition ; from straining or lifting ; in rheumatic women whose pains compel them to shift about in order to get relief ; < in damp weather or before a storm.
Labor-like pains and pressure in abdomen while standing.
Metrorrhagia, blood clotted with labor-like pains.
The flow following last confinement never ceased, at times amounting to a severe hemorrhage ; when lying or sitting quietly extreme vertigo came on, which only passed away on rising and walking.
Polypus of uterus after getting chilled from a sea-bath, felt benumbed after the bath and had a pain in shoulders as if sprained, < at night toward 3 A. M. ; lost her memory and was almost paralyzed in her limbs ; headache and
vertigo ; soon afterward uterine hemorrhage ; twice there had been removed from her womb masses of polypous growth, but the bleeding returned soon after ; uterus low down in pelvis and retroverted, its posterior wall softened and swollen, filling almost entire cavity of
pelvis ; os dilated, cicatriced, discharging thin blood ; leucorrhœa ; turbid urine.
Menses : too early, profuse and protracted ; flow light-colored, acrid, causing biting pain in vulva.
Menorrhagia : from a strain ; in rheumatic women ; < at night, demanding constant change of position to find relief.
Membranous dysmenorrhœa in rheumatic women.
Obstructive dysmenorrhœa ; pains cramping, bearing down ; backache, < in horizontal position and by lying on back.
Amenorrhœa : from getting wet ; with milk in breasts after catching cold, with frequent affections of chest and epistaxis.
Amenia, after getting wet in a rainstorm, followed by hydrometra.
Discharge of offensive, blackish water from vagina, with bursting feeling in head as if head was swelling out.
Shooting pains by spells through head ; < when lying and > when head is raised.
Soreness in vagina shortly after an embrace, or hindering an embrace.
Sticking pain in vagina, not increased by contact.
External genitals inflamed, erysipelatous, œdematous.
Uterine complaints resulting from exposure to cold, damp weather, from getting wet, particularly while perspiring.

Pregnancy. parturition. lactation

During pregnancy : discharges of blood ; pelvic articulations stiff when beginning to move.
Abortion impending from straining or overexertion.
Lochia vitiated and offensive, lasting too long, or oft returning, she is well-nigh exhausted.
A vitiated discharge from vagina with shooting upward in parts, with a bursting sensation in head.
After-pains of too long duration, after severe labor, with much and excessive straining.
Milk leg, also metritis after delivery ; with typhoid symptoms.
Mamma : swell from catching cold, streaks of inflammation ; galactorrhoea ; milk vanishes with general heat.
For weeks after delivery has much pain in right limb, with numbness from hips to feet.
For weeks after delivery has a terrible cough, it seems as if something would be torn out of chest.

Voice and larynx. trachea and bronchia

Hoarseness : with roughness, scraping, or raw sensation in larynx ; roughness and soreness in chest ; from overstraining voice.
Muscular exhaustion of larynx from prolonged and loud exercise of voice ; hoarseness, after being silent awhile, > talking ; < in evening, and from change of weather.
Frequent tickling, irritability in air-passages, as if it would provoke cough.
Cold sensation in larynx, when breathing.
Burning rawness in larynx.
Hot air arises from trachea.
Influenza ; air-passages seem stuffed up ; aching in bones ; sneezing and coughing, < from uncovering body ; arising from exposure to dampness ; dry, hard, tickling cough, < evening until midnight ; stiffness in back and limbs.

Respiration

Respiration hurried ; very short at night.
Oppression : as if breath were stopped at pit of stomach ; < after a meal ; anxious, as if not able to draw a long breath.
Dyspnœa from pressure and painfulness in pit of stomach.
Hot breath.

Cough

Cough : dry, teasing ; caused by tickling in bronchia ; from uncovering, even a hand ; with tearing pain in chest, stitches, profuse sweat and pain in stomach ; < evening until midnight, or in morning soon after waking, from
talking, lying down or sitting still ; from tickling under sternum ; preventing sleep at night ; frequent hacking in evening after lying down, with bitter taste in throat till he falls asleep, and in morning a similar hacking cough and a similar taste, lasting till he
rises ; short, from severe tickling and irritation behind upper half of sternum, followed by feeling of discouragement and apprehension ; whenever he puts his hands out of bed ; spasmodic, shatters the head ; short, anxious, painful, frequently awakens her from sleep
before midnight with very short breath ; dry, during day, wrenching epigastrium, excited by talking or singing, shoulders and cervical muscles stiff and lame on first moving ; > during exercise.
During convalescence from pneumonia, when coughing, terrific pain in left shoulder, as if shoulder would fly to pieces, and his wife would have to hold his shoulder with her hand and pinch as hard as she could ; pain was brought on by a fit of
coughing, and he had to get out of bed and swing his arm back and forth as fast as he could to relieve it.
Acute cases of cough with much prostration of whole system.
Dry, hard, racking, rheumatic coughs ; the case is apt to take on a low typhoid form, and is greatly aggravated at night.
A dry teasing cough coming on before the chill and continuing during it.
Nocturnal dry cough with insufficiency of mitral valve.
Cough with taste of blood, although no blood is to be seen.
Cough with expectoration of bright-red blood and qualmish feeling in chest.
Sputa : acrid pus ; grayish-green cold mucus of putrid smell ; pale, clotted or brown blood.

Inner chest and lungs

Oppression of chest : at night with sticking pains, especially on breathing ; anxiety with weight on lower portion of chest.
Tension across chest, in evening very short breath and weakness in all the limbs.
In morning on rising, drawing and stitching pains in left nipple through to scapula, gradually increasing until it caused severe suffering ; face pale.
Stitches in chest and sides of chest, especially when sitting bent, talking, sneezing or taking long breath ; < when at rest.
Tingling in chest, with tension in intercostal muscles.
Acute pleurisy with typhoid symptoms.
Acute catarrh ; the nasal, laryngeal, tracheal and bronchial passages seem stuffed up, commencing at about sunset, with sneezing and dry, hard, tickling cough, continuing very severe until midnight, when all the sufferings are > ; renewed next morning.
After exposure, chilliness, headache, oppressed breathing, catching pains in right side of chest, cutting off breath on deep inspiration ; anxiety and apprehension that unless relieved he would only be able to breathe but a short time ;
restless at night ; plentiful crop of vesicles around mouth, which had appeared over night. θ Influenza.
Pneumonia after exposure to rain while overheated ; short, oppressed respiration ; cough with stitches in sides ; skin hot, dry ; tongue red, dry ; pulse rapid, hard ; urine dark, becoming turbid on standing, and depositing a sediment ; diarrhœa ;
impaired appetite ; considerable thirst ; sleep restless, full of dreams ; languid and weak.
Stitches in right side of chest, < coughing and breathing ; short, anxious respiration ; deep respiration impossible ; severe cough with expectoration of mucus and brownish blood ; partly crepitant and partly bronchial rales ; bronchophony right side and
dulness on percussion ; lies upon back or on right side ; burning, dry heat ; pulse tense, frequent ; anxious sleep ; transient delirium ; circumscribed redness of cheeks with yellowness of alæ nasi, corners of mouth and sclerotica ; unquenchable
thirst ; loss of appetite ; yellowish-brown coating on tongue ; bitter taste ; nausea, inclination to vomit, diarrhœa ; dark brown urine. θ Pleuro-pneumonia biliosa.
Pneumonia, relapse ; restless tossing about at night ; acute pain in right side of chest in locality previously affected, very sensitive to touch ; pulse again rapid, strong and full ; cough severe, with scanty expectoration of bloody mucus ; on breathing,
sensation as if air became imprisoned in epigastrium, causing great anxiety.
Pneumonia : adynamic type ; free expectoration of thin, puslike secretion stained deeply with blood.
Brick-dust expectoration of bloody sputa, raised with great difficulty, and accompanied by high fever, involuntary diarrhœa, in the worst cases ; with typhoid symptoms, often from resorption of pus ; with tearing cough and restlessness, because quiet makes pain and
dyspnœa worse ; pneumonia nervosa.
Frequently recurring short cough, with blood-streaked expectoration ; stitches in left side and oppression of chest ; menses scanty but regular ; for last 8 days, after catching cold, erysipelatous on dorsum of right hand, with burning and
stitching, and formation of a flat ulcer which began as a vesicle. θ Hæmoptysis.
Hæmoptysis : expectoration of blood becomes nearly a habit, so that patient gradually becomes anemic, weak, and the blood itself poor ; from overexertion, blowing wind instruments ; blood bright ; pain in lower part of chest ;
renewed from least mental excitement.

Heart, pulse and circulation

Weak and tremulous feeling about heart ; chest and heart feel weak after a walk.
Dragging and stiffness of cardiac region, especially on beginning to move.
Stitches in heart with painful lameness and numbness of l. arm.
Palpitation : violent, when sitting still, pulsations moving body ; anxious in morning on awaking ; following overexertion.
Uncomplicated hypertrophy, from violent exercise.
Enlargement of heart with dilatation ; pain in left shoulder and down left arm, which felt cold and numb ; pain < at 4 A. M. faint, fluttering sensation in stomach and left chest ; sensation of gurgling in heart region, with soreness
in left side ; lying on it causes severe palpitation and pain in heart.
Difficult breathing on ascending stairs ; a deep inspiration, or raising left arm suddenly, caused a momentary, acute, stabbing pain in middle anterior portion of fourth intercostal space on same side ; heart beats slightly accelerated ; some time previous was wet for
several hours.
Organic diseases of heart, with sticking pain and soreness ; numbness and lameness of left arm.
Aching in left arm, with disease of heart.
Myalgia cordis.
Pulse : accelerated, weak, faint and soft ; trembling or imperceptible ; sometimes quicker than heart's beat ; irregular ; affected by beer, coffee or alcohol.

Outer chest

Numb sensation in chest.
Pain in chest as if sternum were pressed inward.
Myalgia or muscular rheumatism of chest.

Neck and back

Stiff neck with painful tension when moving ; of rheumatic origin ; from a draft.
Pain in cervical muscles as if parts were asleep, and as if one had been lying for a long time in an uncomfortable position, toward evening.
Hard swelling on left side of neck under ramus of lower jaw increased to size of a man's fist, so large that it turned face directly to one side, causing chin to rest on r. shoulder.
Swollen or inflamed glands of neck, with red streaks, as in scarlet fever.
Carbuncle on nape of neck near spinous process of upper cervical vertebra ; swelling brownish-red, with several small openings, discharging offensive-smelling pus ; great pain ; fever ; sleep disturbed.
Pains in shoulders and back, with stiffness as from a sprain.
Pain between shoulders on swallowing food.
Sticking in back while stooping, in evening.
Pressive stitches in back, < while walking or stooping but more on rising up again.
Constrictive pain in dorsal muscles, while sitting, > bending back, < bending forward.
Violent rheumatic pain between scapulæ, neither > nor < by motion or rest, only > by warmth, < by cold.
Painful tension between shoulder-blades.
Stiffness in small of back, painful on motion.
Sensation as if bruised, in right side of lumbar vertebræ and in small of back.
While sitting small of back aches, as after long stooping or bending.
Pain as if bruised, in small of back, whenever he lies quietly upon it or sits still ; > on moving about.
Pain in small of back, on grasping it, as if the flesh had been beaten.
Heaviness and pressure in small of back, as if one had received a blow, < while sitting.
Pressure as with a cutting edge, across small of back, while standing or bending backward.
Pain in small of back, < when sitting still or when lying ; > when lying on something hard, or from exercise.
Sudden acute pain in small of back while lifting a light board so that he could raise himself only with difficulty ; next day paralysis of arms, with burning on urination, scanty discharge, and vesical tenesmus.
Violent pain "as if back were broken" in lumbar region, on least movement or coughing, from straining back by lifting.
Lumbago ; pain < after, not during motion.
Lumbar pain of three weeks duration after a strain ; great pain and soreness, < after getting warm in bed and on beginning to move.
Sensitive spot in spine between shoulder-blades ; when spot is touched, he has waterbrash, afterward nausea and vomiting ; easily tired and then can swallow nothing without vomiting it up directly ; before vomiting, burning sensation in stomach and between
shoulderblades ; must make great effort to vomit ; cannot eat meat, it distresses him ; numbness of middle finger of r. hand ; has not done a day's work for six years, on account of weakness, a kind of paralytic feeling in arms, and increased pain in back and consequent
nausea ; < in damp, rainy, cold weather, particularly east wind ; can only drink coffee, tea makes him worse ; vomits cold water immediately ; bowels move only every five or seven days, very costive ; strained himself lifting an invalid wife eight or nine years
ago, but felt no immediate symptoms after it, except pain in back ; Spring of 1862, during a northeast rainstorm, he endeavored to assist in moving a heavily laden team of lumber, after which felt something giving way between his shoulders.
Violent pain in head, from back to front and down spine ; lies on her back, head and back drawn backward ; slightest move or touch causes excruciating pain ; pulse slow ; action of bowels almost paralyzed ; urine voided daily but slowly ; complete
sleeplessness ; pain in paroxysms ; caused by getting wet. θ Spinal irritation.
Great pain in small of back ; < in bed, > on pressure. θ Spinal irritation.
Severe pain over crest of left ileum, between crest and posterior superior spine, > by pressure and heat. θ Spinal irritation.
Spinal membranes inflamed, even myelitis ; from getting wet or sleeping on damp ground.
Burning feeling in loins.
Stiffness and lameness in sacrum, < on resting after exercise.
Curvature of dorsal vertebræ.

Upper limbs

Pressure on shoulders like a heavy weight.
Left shoulder seems paralyzed.
Sensation as if some one were pressing upon left shoulder, by the clavicle.
Rheumatic pain in left shoulder and arm in region of deltoid muscle.
Severe pain at top of left shoulder.
Tearing in shoulder joint and on top of scapula.
Shooting inward and throbbing in left shoulder.
Stitches in shoulders while lying, > on moving about.
Tearing and burning in shoulder, arm lame, < in cold, wet weather, in bed, and at rest.
Pain in muscles of left shoulder and arm, also in bones of arm while joints remain unaffected ; numb sensation about hands and fingers, after a wetting.
Strain of left shoulder joint very painful for a long time ; became at last immovable ; sleepless at night.
Painful swelling of axillary glands ; suppurating.
Trembling of arms after moderate exertion.
Violent tearing pain in arm, most violent while lying still.
The arm upon which he rests the head in sleep becomes numb.
Shooting pains through arms.
Drawing, paralyzed sensation in left arm, at night.
Sticking and drawing in left arm extending downward to tips of fingers.
Drawing stitches in arms, from shoulders downward.
Tensive aching pains as if arms were luxated.
Pain in left upper arm as if muscles or tendons were unduly strained, when limb is raised.
Numbness or aching in left arm, with heart disease.
Cramplike drawing or tension in elbow joint.
Chronic inflammation of articular structures, especially when resulting from blows, sprains, etc.
Drawing and tearing extending from elbow joint into wrist.
Jerking tearing in elbow and wrist joints, during rest, > during motion.
Loss of power and stiffness of forearms and fingers on moving them.
Paralysis of arm, with coldness and insensibility.
Sudden paralysis of left arm while in open air on a rainy, day ; arm cold without sensation or motion ; pulse on affected side small, almost trembling ; dull headaches roaring in ears ; lachrymation and pressure in eyes a from sand ; dryness of gums ;
offensive taste in mouth clean, dark red tongue ; diarrhœa with tenesmus and frequent urging to urinate ; restless sleep ; constant chilliness ; melancholy.
Erysipelatous swelling of arms.
Pain in right wrist.
Sensation on upper surface of left wrist on bending it as if it had been sprained.
For six months stiff wrist joint, swollen and painful ; pain < after rest when first beginning to move the joint, after washing in cold water, by cold generally, change of weather, in a feather bed, by exertion in morning after night's rest,
and in evening.
Rheumatic pains darting through wrist joint from side to side after a sprain.
Tenderness of carpal articulation ; could not bear any shaking of wrist from forearm, or any pressure over articulation of wrist or any sideway motions of hand ; inflamed state of articular surfaces of wrist, probably of synovial membrane ; after sprain.
Drawing pain in palm of right hand.
Rheumatic pains in hands.
Pains, aching, drawing with numbness ; began in right hand, extended to all parts ; stiff in morning on beginning to move ; must change position frequently at cost of pain ; < after midnight. θ Rheumatism.
Rheumatism with great swelling of hands, brought on by wet weather.
Hot swelling of hands in evening.
Burning in palm of right hand and sensation as if hand were being held in hot water, < in rest, in cold, holding anything cold, but particularly from cold water, and from midnight toward morning ; > from motion, letting hand hang, warmth and warm water ; at 3 A. M.
whole hand and forearm burn, driving her nearly to distraction, must get out of bed and walk about till morning ; hand as if lame and during day often "goes to sleep" for hours ; hand dry as if withered, unless it is rubbed with fat ; must constantly carry something
in hand.
Rhagades on backs of hands.
Swollen veins on hands.
Warts particularly on hands and fingers.
Cold, sweaty hands.
Fingers can be moved only with pain, on account of great swelling.
Tearing in joints of all fingers.
A fine sticking pain in fingers.
Index and middle fingers of one hand feel numb and asleep in morning.
Severe pain at phalanges of several fingers, about midway between joints, in evening.
When grasping anything, feeling as if pins were pricking tips and palmar surfaces of first phalanges of fingers.
Crawling as if asleep, in tips of fingers.
Strained middle joint of thumb severely eight days before ; had been quite sore and painful, < nights ; could not use it without increasing painful state.
Inflammatory swelling of finger tips with formication.
Acute pain in middle finger of right hand while working, which disappeared as he continued his occupation ; thereupon a sensation of numbness and formication appeared in finger, which gradually extended along median nerve to elbow ; this sensation grew more pronounced
from day to day, and hand began to lose its strength, middle finger particularly seeming lamed.
Swelling of fingers.
Hangnails.
Eczema impetiginoides ; angry eruption on right forearm, extending from elbow to phalangeal joints ; surface raw and excoriated and covered with yellow scabs and eliminates a sero-purulent discharge ; infiltration of areolar tissue, with
much swelling ; general health affected ; fever at night, with chilliness, etc.
Chronic psoriasis covering arms, especially left, exterior surface of arms and dorsa of hands ; violent itching, but not the cloud of branlike scales.

Lower limbs

Drawing pain in right natis, just below small of back, > on pressure.
Pressive pain in hip joints at every step, and a paralyzed sensation in anterior muscles of thigh.
Tension and drawing in right hip.
Tension in left hip joint while sitting.
When lying upon side hip hurts, and when lying upon back small of back hurts.
Tearing and drawing from hip to knee while walking or standing.
Sciatica : right side, dull aching pain, < at night, in cold or damp weather ; > by rubbing, from heat and when warmed by exercise ; numbness and formication.
Severe attack every few weeks, crippling him for days at a time ; right thigh and hip affected ; pains < when keeping still and on attempting to move, in wet, damp weather ; > after moving around and from warm applications ;
attacks brought on by overwork and exposure. θ Sciatica.
Violent tearing, burning pain proceeded from tuberosity of right ischium, followed course of sciatic nerve and spread over thigh, knee and leg ; generally came at night, increased in intensity every minute, until obliged to get up and walk about, when pain went off. θ Sciatica.
Acute pain in left hip, particularly when rising from a seat, pain then extending toward spine, into abdomen, and at times to knee ; shortness of breath ; pains about heart, at times very severe, as if something would burst in chest, hard pressure over painful spot, and entire
quietness relieves. θ Sciatica.
Sciatic neuralgia for twelve years ; pain occupied whole l. lower limb, particularly posterior part of thigh ; drawing, burning, lancinating pains, < at night, so as to prevent sleep ; also < in cold wet weather.
Sciatica, left side ; intense pains gradually increasing in severity ; lightning-like pains shoot through limb ; sensation of coldness in limbs ; < in rest, > from continued motion ; sleeplessness at night.
Sciatica with tenderness about knee joint ; pain constant when walking ; could rise from bed or chair only with great effort and care.
Sciatica, right side ; pain extremely violent, makes him scream, < when at rest ; > by walking when able to walk.
Stinging pain, < during rest in bed ; has to turn over, or change position of leg every few minutes, which relieves pain for a short time ; heaviness, when he undertakes to run, leg lacks power ; cramps in calves obliging him to get out of bed and walk the floor.
Excessive nervousness ; sleeplessness ; inability to rest in any position ; muscular twitching in all parts of body, especially in affected leg, at night. θ Sciatica.
Rheumatic sciatica ; pain < after rising from his box (he is a coachman) ; urine thick.
Coxalgia in right hip-joint along ischiatic nerve to ankle ; > from warmth, < from cold ; first motion very painful, gradually getting > from continued motion.
Coxalgia : involuntary limping ; pains felt mostly in knee ; < from overexercise ; < at night ; with lengthening of limb.
After exposure, pain in hips, thence to lower part of thigh, only on external side ; leg lame and stiff ; pain < in change of weather, from cold and exercise.
Pain as if sprained in hip, knee or ankle joint.
A sense of stiffness in pelvic articulations on first attempting to walk ; > after getting warm in walking.
Much pain continues in right limb, with numbness from hips to feet. θ After parturition.
Drawing pain with crepitation in hip joints ; pain < by leaving chair after long sitting, by sitting down in the cold, by exerting leg during walking, in the Autumn and by change of weather ; > from warmth of stove, in sun, and by
continued gentle motion ; leg is so lame that he is obliged to take hold of the pantaloons near knee, in order to lift it and move it on ; when limping in this manner the leg was always bent in the knee-joint, and every attempt to extend it caused pain, complete extension was
impossible ; the limb being stiff in hip joint every motion was painful and imperfect ; after exposure to snow-storm while overheated. θ Rheumatism.
Traumatic cases of inflammation of hip joint ; frequently after Arnica, in bad effects from contusion and from straining of capsular ligaments and of tendons and muscles of thigh, with swelling and great pain in affected parts ; or when
caused by exposing perspiring skin to sudden cold, or by getting wet, or from lying on wet ground after body has been in perspiration ; aching, drawing, tearing, tensive pains with a sensation as if skin around diseased parts were too tight ; pain < in recumbent posture.
Four years ago was thrown from a wagon and much injured about hips and small of back ; was very lame and unable to move much or sit up any length of time ; has been in feeble health ever since ; it has affected her very much to stand or walk since the injury ;
thinks she has not been able to bear her weight on her limb since, without more or less suffering through the hips ; cannot endure walking, even for a short distance, without suffering for a week or more, and at times is confined to bed in consequence ; riding or any jarring
affects her in much the same way ; much tenderness to pressure about heads of both femora and edges of acetabulum, joint of coccyx and sacrum ; pressing head of femur against acetabulum produces much pain and aching, and she feels it so constantly while bearing any weight upon
limbs ; sleep restless and unquiet, especially first part of night.
Man of sanguine temperament, had been injured by the caving in of a gravel bank, injuring his right hip ; no sleep for three nights ; unable to move or have the leg stirred ; groaning under severe pain and suffering ; whole hip and thigh quite hot and inflamed.
Aching pain in both hip joints at every step, and a paralytic feeling in anterior muscles of thighs.
Right rectus cruris muscle very sensitive on pressure, as if bruised.
Tension on posterior surface of thigh while riding one leg over the other.
Tension in left thigh, extending downward from hip-joint.
Jerking and tearing in right thigh, somewhat above knee.
Tearing pain in middle of outer portion of thigh, while sitting, > on motion.
Tearing, dragging pains in muscles of left thigh.
The pain runs in streaks down limbs with every evacuation.
From a severe wetting all over, was seized with terrible pains in lower extremities, paroxysmal in character, driving him to desperation ; could remain in no position, but resembled a dancing monkey.
(In sick :) Lameness and stiffness and pain on first moving after rest, or on getting up in the morning, > by continued motion.
After becoming thoroughly chilled a year and a half ago during a long railroad journey, legs had gradually become stiff and weak ; numbness of feet with tingling ; every now and then attacks of painful stiffness in back, which would lay her up for two
or three weeks ; urine thick. θ Rheumatic paralysis.
Restlessness of lower limbs in bed at night, > by motion.
Spasmodic twitching in limbs when stepping out.
Jerking in thigh, with tremor of knees.
Paralysis of lower extremities.
Lower extremities feel bruised, they are so weary.
Heaviness of lower limbs.
Powerlessness of lower limbs, she can hardly draw them up ; nurse has to move them. θ After parturition.
On rising from seat after sitting about four hours, loss of power of coordination in lower extremities, staggers, takes longer strides than he intends, steps higher than usual ; feels strangely ; symptoms return after sitting or lying down.
Scrofulosis and rachitis ; tensive feeling in diseased limb, as if tendons were too short ; bruising pains, causing patient to scream ; < when touched.
For some years swelling of feet in warm weather ; finally limbs began to enlarge ; no evidence of any organic disease ; both legs much swollen and pit upon pressure ; prickling heat in limbs and after walking, surface of them becomes red and hot ; on first
attempting motion limbs are stiff, but become more supple after continued exercise ; tongue yellowish, with red points at tip. θ Anasarca.
After scarlet fever anasarcous condition of lower limbs, with diminished secretion of urine.
Painful swelling above knee.
A pulling with tension in tendons on inner side of right knee, causing uneasiness in foot.
Pains under patella.
Burning pain in knee joints and lower extremities.
Tearing in knee and in ankle, < during rest.
A stitch across knee on standing up after sitting.
A sticking from within outward in side of knee, while walking.
Stiffness, especially of knees and feet.
Tension in knee, as if it were too short.
Heaviness like a hundredweight, in hollows of knees and in calves, so that he could not move feet along.
A crawling with tension in tendons on inner side of right knee.
After catching cold, swelling of knee, followed by suppuration ; after eight weeks surgical treatment, there were around the patella three openings with elevated edges, from which an unhealthy thin pus was discharged ; fever ; continuous
pain ; sleeplessness ; looks as if he had consumption.
Swelling of knee, with violent gnawing pains. θ Rheumatic gout.
Groaning with pain in left knee joint, which extends down leg ; begged to have the limb cut off. θ Acute rheumatism.
Shooting and deep cutting pains in leg. θ Acute rheumatism.
Pain in right knee ; < when straining knee ; often a cracking in joint when stretching limb ; exudation in joint ; change of weather, especially rain or storm < pain, when at rest there is no pain. θ Hydrarthrus
genu.
Painful swelling in popliteal space of one limb, occasioned by a cold, preventing extension of leg ; pain in tumor, particularly after walking and exercising leg.
After exposure to dampness, swelling of finger joints, followed by a pale, rather painless, somewhat fluctuating swelling of right knee ; leg flexed, cannot be extended ; emaciation ; paleness of face ; no fever. θ White
swelling of knee.
Erysipelatous inflammation and swelling of both knee joints ; second sound of heart impaired.
Great heaviness, weakness and weariness of legs.
Great inclination to stretch out leg and foot, in morning.
Aching pains in legs, inability to rest in any position but for a moment.
Tension in calves while walking and a sensation as if the hamstrings were too short.
Cramps in calves after midnight, while lying in bed and while sitting after walking.
Pain in inner, lower and posterior part of calf of leg, felt during earlier portion of a walk, whenever the heel was raised by the action of the calf ; > after walking a few minutes.
On rising from a chair, sudden and severe pain as from a sprain, at insertion of ligamentum patellæ into tibia.
A stitch in hamstrings just above calves, on violent motion, on rising from a seat and on touch.
Stitches just below right knee.
Pain like a tingling, in tibiæ at night, while feet are crossed ; she is constantly obliged to move legs back and forth, and on this account is unable to sleep.
When walking legs feel as if made of wood.
Paroxysmal pains in legs from getting wet, especially when warm and sweaty.
Cramps in legs and feet, must walk about.
Ulcers : on legs, discharging profusely ; on dropsical legs, discharging serum.
Intolerable itching of legs and feet at night ; old rash.
Erysipelas, red, itching, phlegmonous swelling, with vesicular eruption extending like a band around right ankle ; large open ulcer on ankle ; pain < after, not during motion (Rhus rad. cured after failure of Rhus tox.).
Four weeks ago, while running fast, was suddenly taken with a very acute pain in ankle-joint ; pain > when at rest, but is felt as soon as he attempts to walk fast, obliging him to stand still.
Sprain of ankle, could not touch foot to ground for six weeks, or expose it to dampness, or be out nights.
Aching pains in ankles and hollow of feet on walking, so that he must lie down after the least walk.
Swollen about ankles after sitting too long, particularly in traveling ; feet swell in evening.
Ulcer as large as a silver dollar on internal malleolus, with itching, stinging, darting pains ; < after motion.
Swelling of feet, painless to touch in evening.
Weariness of feet so that she could not easily go up stairs.
Deadness and numbness of lower part of right foot, which seemed made of wood.
Heaviness and tension of feet while sitting.
Feet painful as if sprained or wrenched, in morning on rising.
A paralytic drawing in whole of foot, while sitting.
Crawling in feet in morning, while lying in bed and after rising.
Aching pains in hollow of feet.
Pains in both heels as if stepping upon pins, on first standing, in morning.
Sharp pain in heels at times, like running nails under skin.
Stitching in heels when stepping upon them.
Spasmodic contraction in inner side of sole of foot, > by stretching it out and bending sole upward.
Stitches in soles of feet as if he were walking upon needles, in evening.
Fetid perspiration of feet in men of a rheumatic tendency much exposed to weather and devoted to hard manual labor.
Corns, with soreness and burning.
Eczema on inner side of thighs after vaccination, much itching and thirst.
Eczema rubrum ; leg, from knee joint to toes, exhibits a dark, purplish aspect and emits a musty odor, together with copious serous discharge ; intense burning and itching, particularly on exposure to cold ; extreme irritation of mind ; general debility ;
sleeplessness ; loss of appetite ; distress when eating ; constipation ; headache.
Child, æt. 1 1/2, has had hives, which were very itchy, scratching developed them into large blisters ; very uneasy and restless at night ; has now erysipelas on l. leg, which is swollen and dark purple.
Erythema nodosum on legs ; large painful protuberances over each tibia.

Limbs in general

Great weakness in limbs ; they tremble.
All the limbs feel stiff and paralyzed during and after walking, with a sensation of a hundredweight on nape of neck.
Sensation of stiffness on first moving limb, after rest.
Limbs upon which he lies, especially arms, fall asleep.
A sensation similar to a trembling in arms and lower extremities, even while at rest.
Drawing or tearing pains in limbs during rest.
Pains as if bruised, or sprained, in joints.
Cracking of joints when stretched.
Tension, stiffness and stitches in joints ; < when rising from a seat.
Rheumatoid pains in limbs : with numbness and tingling ; joints weak, stiff, or red ; shining swelling of joints, stitches when touched ; < on beginning to move, after 12 P. M., and in wet, damp weather or places ; > from
continued motion.
Pain, swelling and stiffness of joints from sprains, overlifting or overstraining.
Inflammatory rheumatism, from exposure to cold, followed by paralysis of right side ; pains almost constant in r. side ; marked periodicity, coming on at 10 P. M. and lasting until 6 A. M. ; < in winter and before a storm, during a
storm pains over whole body ; intense pain on moving after rest, but continued motion relieved.
Chronic inflammation of articular structures, especially when resulting from blows, strains, etc.
Synovitis ; spurious anchylosis.
Swelling of hands and feet.
Phlegmonous erysipelas of limbs.
Eruption on limbs, with intense itching, < at night, and when putting hands in hot or cold water.

Rest. position. motion

Rest : tearing pains in cranial bones < ; pain in jaw ; involuntary urination ; stiffness of joints ; stitches in chest < ; tearing and burning in shoulders < ; tearing in elbow and wrist joints < ; sciatica < ; stiffness and lameness in
sacrum < ; tearing in knee and ankle joint < ; no pain in knee ; tearing and drawing in limbs ; weakness of limbs.
Lying : cough ; vertigo ; headache < ; diarrhœa > ; extreme vertigo ; shooting through head < ; cough < ; pain in small of back < ; stitches in shoulders ; tearing in arms < ; symptoms return.
Lying on back : colic > with legs elevated ; obstructive dysmenorrhœa < ; pain in small of back < ; pain in head and down spine ; small of back hurts ; rheumatic fever < ; trembling of paralysis >.
Lying in bed : cramps in calves.
Lies on back constantly : erysipelas.
Lies on its face with hands to head : sore eyes.
Lying on hard floor with pillow under back : backache >.
Lying on side : hip hurts.
Lying on left side : causes palpitation and pain in heart.
Side on which she lies : beating in temple ; scalp sensitive ; soreness of abdomen <.
Lying upon limbs : they fall asleep ; no sweat on parts.
Head low : heaviness <.
Head raised : shooting pains through head >.
Must hold head to relieve weight in it.
Bending head backward : pain in occiput > ; pain in head and down spine.
Bending back : pain in dorsal muscles > ; pressure in small of back.
Bending forward : pain in dorsal muscles <.
Sitting : headache < ; hunger > ; pains in abdomen < ; extreme vertigo ; cough < ; palpitation ; pain in dorsal muscles ; small of back aches ; heaviness and pressure in small of back < ; tension of left hip-joint ; symptoms return ;
after walking, cramps in calves ; too long, ankles swollen ; heaviness and tension of feet ; paralytic drawing in whole foot.
Sitting bent : stitches in chest.
Could not sit still : on account of general uneasiness, must turn in every direction on chair and move limb.
Rising from seat : pain in hip < ; loss of power of co-ordination in lower extremities ; severe pain at insertion of ligamentum patellæ into tibia ; stitch in hamstrings ; tension, stiffness and stitches in joints.
Rising from bed : vertigo ; eructations <.
Rising from stooping : stitches in back <.
Stooping : vertigo < ; nosebleed ; pain in back ; stitches in back <.
Standing : vertigo < ; labor-like pains and pressure in abdomen ; pressure in small of back ; tearing from hip to knee ; after sitting, a stitch across knee ; pain in both heels ; could not stand erect, or easily lift right foot or propel it forward.
Raising left arm suddenly : causes stabbing pain in fourth intercostal space ; pain in arm.
Bending wrist : as if sprained.
Riding one leg over other : tension of thigh.
Bending sole of foot upward : contraction >.
Hanging down feet : caused urging to stool.
Change of position : > pain in back of neck ; frequent, in cholera infantum ; constant, to > menorrhagia ; > pain in leg ; rheumatic fever ; during typhoid ; zona, necessitates.
Beginning to move : soreness in abdomen worst ; pelvic articulations stiff ; shoulders and cervical muscles stiff, lame ; stiffness of cardiac region ; lumbar pain < ; pain in wrist joint < ; sciatica < ; limbs stiff ; rheumatism in limbs <.
Motion : stupefaction in head, with tingling and pains in limbs > ; rapid, > pain in temple ; of eyes, painful ; of eyes, < pain in head ; headache > ; pain in jaw ; cracking of jaw ; stiffness of joints > ; painful tension of neck ;
stiffness of back painful ; pain in small of back > ; lumbago < after, not during ; slightest, causes excruciating pain in back ; stitches in shoulders > ; tearing in elbow and wrist joints > ; loss of power and stiffness of forearms and fingers ; sciatica
> ; continued, > coxalgia ; gentle continued, > pain in hip joints ; restlessness of legs > ; violent stitch in hamstrings ; pain in ankle, < after, not during ; pain in ulcers on feet < ; continued, > rheumatism ; produces cold feeling ;
causes shuddering ; slight chills.
Swallowing food : pain between shoulders.
Stretching : limb, cracking sound in knee joint ; inclination for, leg and foot ; sole of foot, contraction > ; cracking of joints.
Stretching : soreness of abdomen.
Turning : vertigo < ; pain in back of neck < ; soreness in abdomen <.
Swinging arm back and forth : > pain in shoulder.
Stepping out : spasmodic twitching in limbs.
Stepping : brain feels loose.
At every step : pain in hip joints ; stitches in heels.
Walking : vertigo < ; burning in forehead ; pains in abdomen ; bearing down in pelvis ; vertigo > ; heart feels weak after ; stitches in back < ; tearing from hip to knee ; > sciatica ; surface of feet becomes red and hot ; sticking in
side of knee ; tumor of knee, pains ; tension in calves ; a few moments, pain in heel > ; pain in ankle returns ; pain in ankles and hollows of feet ; all limbs feel stiff and paralyzed.
Must walk bent over : pain in abdomen.
Must shift about to get relief : prolapsus.
Could remain in no position : terrible pain in legs ; tingling in tibiæ.
Cannot remain quiet a moment.
Inclination to move affected parts, continued motion : > soreness of nipples.
Ascending stairs : difficult breathing.
While running fast sudden acute pain in ankle joint.
Exercise : pain in cranial bones > ; stiffness of cervical muscles > ; violent, uncomplicated hypertrophy ; pain in small of back > ; trembling of arms ; stiffness and soreness of muscles pass off.
Unwonted exertion : paralysis.
Overexertion : palpitation ; coxalgia <.

Nerves

Great restlessness : inclination to move affected parts ; at night ; has to change position frequently ; it seemed as if something forced him out of bed ; could not sit still on account of internal uneasiness, but was obliged to turn
in every direction on chair and move limbs.
Weakness : with desire to lie down ; over whole body ; weary as if deprived of sleep ; of limbs, mostly during rest ; in morning does not wish to rise and dress ; feels as if sinking through bed ; as if bones ached ;
constantly desires to sit or lie down ; especially on walking in open air.
Great debility with soreness and stiffness, < on beginning to move ; > from continued motion, but soon fatigued, requiring rest again.
Numbness : in extremities, with previous twitching and tingling in them ; in the parts on which he lies.
Paresis of limbs with numb sensation and difficulty of moving the back, in consequence of a wetting.
Paresis of lower extremities, with commencing amaurosis so that patient could not distinguish large objects.
Painless paresis in legs in a girl æt. 14.
Paralysis : after unwonted exertion ; after parturition ; rheumatic, from getting wet or lying on damp ground ; from sexual excesses ; after ague or typhoid ; parts painless, or painfully stiff and lame, with tearing,
tingling and numbness.
Sudden paralysis of lower half of body, in a girl who was being treated by an extension apparatus for curvature of spine ; obstinate constipation ; legs numb, cold, emaciated.
On third day after a natural labor, the mother being only thirteen years and six months old, right side became entirely paralyzed ; there was an apparent total abolition of functions, of voluntary motion and special sensation ; could not articulate so as to be understood.
Hemiplegia, right-sided ; sensation as if "gone to sleep".
Paraplegia in a woman following an attack of apoplexy five years previously ; she was unable to stand or rise up.
Acute spinal paralysis of infants.
Sits upon a stool and keeps it in constant motion ; cannot remain quiet a moment ; head and body hang forward, the former oscillating continually ; violent trembling of extremities ; cannot raise himself into erect sitting posture, or hold anything, so that he
must be fed ; on attempting to walk legs are extremely unsteady ; although he can stand a short time, the knees meanwhile shaking constantly ; if he takes a few steps falls over his feet and is not able to rise again without assistance ; trembling > in horizontal
position ; during sleep, frequent spasmodic starting unnoticed by himself ; muscles flabby ; emaciation ; constipation ; urine clear as water ; pulse small, soft, 70. θ Paralysis
agitans.
After falling down steps the following condition gradually developed ; lies upon abdomen, with head retracted so that it almost touches spine ; face pale, distorted, covered with cold sweat ; goitre-like swelling of neck due to tonic spasm of cervical muscles ; spine
drawn from normal position ; crackling sound on bending lumbar vertebræ ; great swelling of bone in region of sacrum ; complete paralysis of lower extremities ; retention of urine, or discharge of bloody urine in drops with vesical tenesmus ; retention of
stool ; no appetite ; great thirst ; fever with evening exacerbation ; but little sleep, and if he falls asleep is restless and disturbed by frightful dreams ; violent jerks through body awake him frequently.
Twitchings of limbs and muscles.
Chorea-like twitching ; skin red, hard, itching, < from scratching ; great anguish.
Chorea with pruritus vulvæ with intense itching, redness and hardness.
Chorea caused by a cold bath, getting drenched or after repression of measles.
Epilepsy after childbirth, brought on by a fall immediately before delivery.

Sleep

Spasmodic yawning, yet not sleepy, with stitching and pain as from dislocation of jaw.
Great sleepiness and lassitude after eating.
Heavy sleep, as from stupor.
Somnolence with snoring, muttering and grasping at flocks.
When intoxicated with beer, sleeps with mouth open and head thrown back.
Restless at night, has to change position frequently.
At night it seemed as if something forced him out of bed.
After midnight, restless slumber filled with fretful, disagreeable thoughts and events.
Restless sleep, with tossing about, raising and throwing off covers.
Was unable to sleep after 3 A. M., rose very anxious, restless and weak, constantly trembled, especially in knees.
Unable to fall asleep after 3 A. M., but after awhile fell asleep and then dreamed very vividly and on awaking it seemed as if he had not slept.
No sound sleep after midnight ; she tossed about uneasily on account of a distressing sensation as if whole body were burning, without thirst ; with dreams full of anxious agitations.
She did not sleep for half the night, was despondent, apprehensive and full of anguish about the heart.
Sleepless for four nights ; she could not remain in bed.
Sleeplessness : from pain, more before 12 P. M., must turn often to find any ease.
As soon as he wished to fall asleep his business came to him in anxious dreams.
Fearful dreams, for example, that the world was on fire, with palpitation on awaking.
Dreams of great exertion ; rowing, swimming, walking, climbing or working hard.

Time

At 3 A. M. : sleepless after.
At 4 A. M. : pain in shoulder and arm <.
Morning : as if intoxicated ; headache < ; tearing pain near eye < ; lids agglutinated, photophobia and lachrymation ; nosebleed ; tongue coated ; soreness in walls of abdomen ; cough < ; on rising, drawing and stitching pains in left nipple through
to scapula ; anxious ; after night's rest stiffness of wrist joints < ; inclination to stretch leg and foot ; feet painful as if sprained ; crawling in feet while lying in bed and after rising ; pain in heels ; sweat.
At 9 A. M. : chills came on.
At 10 A. M. : drowsy, weary, with yawning.
All day : child lies with face resting on floor (ophthalmia).
During day : dry cough ; anxious palpitation ; tenacious expectoration.
At 1 P. M. : burning fever <.
At 2 P. M. : red flush all over body.
At 5 P. M. : paroxysms appear.
Twilight : anxiety, timidity < Evening : inclination to weep < ; depression ; eyes < ; facial neuralgia < ; biting itching of face < ; toothache ; oppression in stomach ; hoarseness < ; till midnight cough < ; hacking cough ; tension and
short breath ; pain in cervical muscles ; pain in back ; stiffness of wrist joints < ; feet swell ; stitches in soles of feet ; fever < toward, creeping coldness all over ; heat ; chill < ; fever commencing with a short chill ; quartan fever
in paroxysms.
At 7 P. M. : as if blood were running cold through veins ; severe chill.
At 10 P. M. : jerking toothache.
Night : great apprehension ; severe itching of scalp ; crusta lactea < ; pain in eyes < ; iritis < ; tearing pain near eye < ; otalgia ; sneezing ; nosebleed ; delirium ; biting itching of face ; shooting toothache < ; awoke with
dryness in mouth ; fever < ; nausea < ; colic < ; involuntary stool ; involuntary urination ; pain in shoulders < toward 3 A. M. ; menorrhagia < ; oppression of chest ; restless ; sleepless from pain in shoulder ; paralyzed sensation in
arm ; sciatica < ; coxalgia < ; restlessness of legs ; tingling in tibiæ ; itching of legs and feet ; pain between shoulders and stretching of limbs during fever ; rheumatic fevers < ; general perspiration ; itching of rash in joints < ; itching
<.
At 12 P. M. : rheumatism <.
About midnight : quotidian fever.
After midnight : cramps in calves ; restless slumber ; great restlessness ; itching of rash <.

Temperature and weather

Sensitiveness to cold open air.
Sufferings during raw, cold weather and the prevalence of northeasterly winds.
Sufferings after drinking cold water.
Bad consequences from getting wet, especially after being heated.
From cold bathing, convulsive twitches.
Heat : pain over crest of left ilium > ; sciatica > ; gives general relief.
Exposed to heat : tearing pains in small of back.
Hot application : pain in eyes > ; pain in teeth > ; shooting toothache > ; sciatica >.
Warm weather : swelling of feet.
Warmth : headache > ; of bed, < sensitiveness of scalp ; biting-itching of face ; pain in jaw > ; rheumatic pains between scapulæ > ; coxalgia > ; of stove > pains in hip joints ; burning and itching of erysipelas ; crusta lactea <.
Getting warm in bed : lumbar pain <.
Getting warm from exercise : sciatica >.
Feather bed : stiffness and pain in wrist joints <.
Whenever he puts his hands out of bed he is seized with a convulsive cough.
Uncovering body : influenza < ; cough.
In house : melancholy, ill-humor, anxiety < ; chilliness.
Open air : melancholy > ; lachrymation ; facial neuralgia < ; during rain sudden paralysis of left arm ; walking, weakness ; acrid lachrymation.
Change of weather : stiffness of wrist joints <.
Damp, stormy weather : pain in cranial bones < ; conjunctivitis < ; paralysis of muscles of eyeball from exposure to cold or wet ; prolapsus < ; uterine complaints ; paralytic feeling in arms < ; rheumatism < ; Before a storm : inflammatory rheumatism
<.
Putting hands in hot or cold water : eruptions on limbs <.
Exposure to wet : tearing pain in region of kidney ; œdema of face and feet ; burning and sticking in skin.
From getting wet : causes pain in left temple ; liability of taking cold ; iritis ; conjunctivitis ; arthritic ophthalmia ; colic < ; urine voided slowly ; amenorrhœa ; amenia ; difficult breathing and pain ; pneumonia ; spinal
irritation ; spinal membranes inflamed ; pain in shoulder and arm ; terrible pains in lower extremities ; paroxysmal pains in legs ; paresis of limbs ; paralysis ; erysipelatous inflammation.
Washing in cold water : pain in wrist joint.
Getting chilled : from sea bath, polypus of uterus ; on a long journey, legs become weak and stiff.
Lying on damp ground : paralysis.
Marching through moist ground with bare feet : diarrhœa.
Cold or dampness : mydriasis ; ptosis ; influenza ; rheumatic pain between scapulæ ; tearing in shoulder ; pain in wrist ; sciatica ; coxalgia ; swelling of finger joints ; erysipelatous inflammation < ; urticaria <.
Exposure to cold : eczema rubrum itches and burns ; inflammatory rheumatism ; erysipelatous inflammation <.
Cold air : pains in eyelid <.
Cold drinks : desire for ; vomits water immediately.
Cold application : of hand, toothache > ; shooting toothache <.
Ice-water : causes pain in stomach and nausea.
After exposure to snowstorm when overheated : rheumatism.
East wind : < paralytic feeling in arms and weakness.
In Autumn : dragging pains in hip joints.
In Winter : inflammatory rheumatism <.

Fever

Chilliness : in house, toward evening, creeping coldness all over ; and heat in evening, face seemed very hot, though cheeks were cold to touch, and pale, breath hot ; in back and head, heat on anterior part of body ; as if cold water were
poured over him, or as if blood were running cold through veins, 7 P. M., feels cold when he moves.
Chill : over back, < evenings ; with pains in limbs, restlessness ; face pale, or alternating red and pale ; begins in the legs, usually in thighs, or between scapulæ.
Shuddering on moving or uncovering.
Sensation of internal coldness in limbs.
Coldness on left tibia.
Stretching and pain in limbs, shivering over whole body, with much thirst, cold hands, heat and redness of face.
Shivering, heat and perspiration over body at same time.
Severe chill at 7 P. M., as if dashed with ice-cold water, or as if blood were running cold through vessels ; cold when he moves ; < eating and drinking ; became hot by lying down and covering up ; pain between shoulders and
stretching of limbs during fever at night, sweat in morning.
Cough during chill ; dry, teasing, fatiguing.
Great restlessness during chill.
During chill, pains in limbs, and during fever twitchings.
Chill increased by drinking.
Heat : with great thirst ; after the chill, with sweat which relieves ; general, as from hot water, or hot blood running through veins ; general, with slight chills during motion, face livid ; urticaria breaks out over whole body, with violent itching, < by
rubbing.
During fever, nettlerash ; thirst, drinking little and often.
Drowsy, weary, with yawning ; 10 A. M. excessive heat, without thirst.
Evening fever, with diarrhœa.
Sweat : with pains, often with violent trembling ; even during heat, except on face ; with violent itching of eruption ; sour ; musty, putrid ; with or without thirst ; from warm drinks ; profuse in morning ; profuse, odorless, not
exhausting ; general, except on head.
During sweat : sleep ; urticaria passes off with violent itching.
Night sweat, with miliary itching eruption.
Suppressed foot sweat.
Checked perspiration by rain or dampness, when patient has become warm from exercise and has been in a free perspiration.
Dry, teasing, fatiguing cough, coming on sometimes hours before, and continuing during chill. θ Ague.
Chill comes on about 9 A. M. ; during chill seemed almost frantic, frequently changing his position in bed, groaning and complaining of intense drawing, tearing, crampy pains in muscles of both hips running down posterior thighs to calves of
legs ; fever intensely high, pulse accelerated but weak, face and whole body red ; slight thirst during both chill and fever, most during chill ; fever followed by sweat and headache. θ Ague.
Fever commencing with a short chill in evening ; every day the chill and heat being mixed up at the commencement, the fever continuing during the night with restlessness and tossing about in bed and a profuse sour sweat toward morning ; prostration, great weakness, loss of
appetite, vomiting and inability to take food during day. θ Intermittent fever.
Chill every morning, 3 A. M., beginning in right thigh, and thence spreading over whole body ; during chill, dry, hacking cough ; immediately after chill, vomiting followed by fever ; during fever, thirst ; no sweat ; great exhaustion. θ Ague.
Paroxysms appear about 5 P. M., preceded by great yawning and pain in the maxillary joint, as if dislocated ; chill long and severe, with shivering and chattering of teeth ; during chill pain in small of back, as if bruised, compelling him to change position constantly, also
peculiar drawing in arms, with formication and numbness of fingers ; heat great, with great dryness of lips and mouth, but lies quietly, without drinking, in a half stupid condition ; answers questions slowly and despondingly ; there also occur regularly two or three diarrheic
stools with some colic ; passes night in sleep, disturbed only by thirst and sweat ; spleen enlarged. θ Quotidian ague.
Ague : double tertian ; diarrhœa during day of paroxysm ; high fever with lassitude and somnolence ; spleen enlarged ; loss of appetite ; constipation ; had taken much Quinine.
First chill at 5 A. M., second at 6 A. M. ; with chill pain in limbs, great restlessness and stretching ; fever with thirst, drinks little but often ; colic, diarrhœa ; great nausea and vomiting of bile ; during fever, nettlerash. θ Ague.
Chills coming on every afternoon, followed by heat and then sweat ; dry, racking cough during chill. θ Ague.
Quartan fever ; paroxysm came on in evening, with predominating chill ; much thirst during chill and heat ; throbbing pain in forehead before and after heat ; chronic miliary eruption on back of left hand.
Chill 7 P. M., very cold even to shaking, fever and sweat in regular succession ; no thirst. θ Ague.
Quotidian fever about midnight, with pressure and swelling at pit of stomach and anxious palpitation during day.
First headache (throbbing in temples), afterward chilliness with thirst and tearing pains in limbs as from fatigue ; afterward general warmth, with slight chills during motion and livid face ; finally profuse, soursmelling perspiration.
Tertian fever with nettlerash, which disappears after attack ; during apyrexia burning and redness of sclerotica.
Ague commencing in right side (first arm, then leg gets cold).
Hydroa on upper lip. θ Ague.
Rheumatic fevers prevalent and characterized by drawing, tearing pains in limbs ; < at night, with constant change of position, < lying on back ; lame feeling in lower extremities ; frequent desire to urinate ; fever < at night ; vertigo, occipital
pain ; tension in nape of neck and between shoulders ; diarrhœa ; erysipelas bullosum.
Slow fevers ; tongue dry and brown, or red as if it had been skinned ; sordes on teeth ; bowels loose ; great weakness ; powerlessness of lower limbs, can hardly draw them up ; great restlessness after midnight ; must move
often to get relief.
Acute diseases take on a typhoid form. θ Dysentery. θ Peritonitis. θ Pneumonia.
θ Scarlatina. θ Diphtheria.
For nine days great weakness and mental dejection ; loss of appetite ; vertigo ; confusion of head ; sleeplessness ; attacks of fever returning every afternoon, consisting of coldness, followed by heat lasting for a long time
and abundant sweat ; delirium at night of eighth day ; on ninth day fever ; face red ; tongue dry, red ; breathing quickened, sharp ; pulse 88 ; abdomen slightly tympanitic ; spleen enlarged, reaching to anterior border of ribs ; no stool for
three days ; urine scanty, turbid ; skin moist ; several small red spots on chest, disappearing on pressure of finger ; vertigo ; roaring in ears ; confusion and heat of head ; pressive pain in region of forehead ; dryness of mouth and throat ;
pappy, bitter taste ; loss of appetite ; great thirst ; abdomen painful to touch ; feeling of great weakness ; general feeling of illness ; sleeplessness on account of many and perplexing dreams, occurring at moment he falls asleep. θ Typhoid
fever.
Shivering followed by heat ; feels himself very ill ; pressive pain in occiput ; weariness and aching in all the limbs ; want of sleep ; on third day temperature, especially of head, elevated ; skin bedewed with perspiration ; face very red ;
tunica albuginea of a yellowish color ; lips dry ; tongue dry and coated ; voice rough and hoarse ; some small red spots on chest, disappearing under pressure of finger, and some small pustules ; respiration quicker, sharper ; an occasional dry cough ;
heart normal, pulse 108 ; abdomen tympanitic ; spleen reaching nearly to anterior border of ribs ; stools liquid ; is uneasy ; reflects with difficulty ; answers very slowly but correctly ; complains of a feeling of great prostration and debility ;
sleeplessness and dreamy doziness ; aching of whole body ; oppression of chest and slight burning behind sternum ; inclination to cough ; abdomen sensitive to touch. θ Typhoid
fever.
Typhoid fever : patient is of a mild temperament ; delirium mild and not violent ; at times may exhibit a disposition to jump out of bed or try to escape, but when more or less conscious, manifests little petulance or irritability ;
mental or physical restlessness, constantly tosses about bed, first lying on one side then on other, one moment sitting up, the next lying down ; or, at beginning of disease, wants to lie perfectly quiet on account of the great weakness, feels completely prostrated, is indifferent to
everything, this sense of debility is out of proportion to all other symptoms ; hallucinations ; fears he will be poisoned, refuses medicine and food ; as the stupor progresses he answers very slowly, reluctantly, or petulantly, but is not violent ; violent headache, as
of a board strapped to forehead, often associated with rush of blood to head and sudden flushing of face ; epistaxis, which relieves headache, blood dark ; pneumonic cough, dyspnœa, rust-colored sputum ; tongue dark-brown, dry, cracked, cracks gape considerably and even bleed
at times ; sometimes tongue and mouth are covered with a brownish tenacious mucus ; at other times tongue takes imprint of teeth ; tongue shows a triangular red tip ; disturbance of stomach and bowels ; diarrhœa with yellowish-brown stools of cadaverous odor ;
involuntary stool during sleep ; urine escapes involuntarily, and sometimes leaves a reddish stain ; tearing pains in limbs with almost intolerable backache ; if he falls asleep he is restless and dreams of roaming over fields and undertaking arduous labors ; sometimes
dreams of business of day, surface of body dry and hot and often redder than natural ; red spots on skin ; if he has sweat, it is copious and sour-smelling and is accompanied by a miliary rash ; abdomen tympanitic ; right iliac region and region of spleen especially
sensitive ; spleen swollen ; stools scanty and greenish, unattended by tenesmus ; in women uterine hemorrhages may appear, but give no relief to symptoms ; symptoms of pulmonary congestion appear ; rales all through chest ; lower lobes especially affected ;
cough at first dry, then more frequent and loose, with expectoration of blood-streaked sputa.

Attacks, periodicity

Periodical attacks : of headache ; profuse bleeding from anus.
Alternating : stool and constipation ; red and pale face.
Every few minutes : changes position of leg on account of pain.
Daily : for three months pain in temple and orbital region ; thin stools eight or ten times ; chill and heat mixed at commencement.
Every morning 3 A. M. : chill.
From morning till 5 P. M. : headache.
Every afternoon : attacks of fever.
Nightly : diarrhœa.
For four whole nights : sleepless.
For several successive nights : awoke after one hour's sleep with pain in left temporal region.
For twenty-four hours : neither speaks, eats, nor drinks.
Between 4 and 6 P. M. : thin stools.
From 5 to 7 P. M. : pain in eye <.
From 10 P. M. to 6 A. M. : inflammatory rheumatism lasts.
For six days : swelling on left lower lid.
Every 3, 5 or 7 days : bowels moved.
For nine days : great weakness and mental dejection.
Every week : paroxysm of headache.
For three weeks : lumbar pain.
Every few weeks : sciatica.
For a month : sweat in second sleep.
For six weeks : could not touch foot to ground on account of sprain.
For six months : stiff wrist joints.
Every year on 13th of May : seized with burning itching of skin, lasting twenty-four hours.
For six years : has not worked on account of weakness in arms.
For twelve years : sciatica.

Locality and direction

Right : pressure in temple above and behind orbit ; burning pain in eye ; ophthalmia ; œdematous swelling around eye ; conjunctivitis granulosa ; burning in canthus ; upper lid swollen ; pain in eyeball ; biting in eye ;
inflammation of eye ; ptosis of eyelid ; side of face covered with vesicles ; side of face covered with thick crust ; lid of eye red, swollen ; inflammation of tonsil ; tonsil covered with yellow membrane ; pain in hypochondriac region ; like a knife
in abdomen ; side of abdomen very tense ; stitches below ribs ; side, an inch below navel, sensitive spot ; metastasis of mumps of testicle ; pains in ovarian region ; pain in limb ; catching pains in chest ; bronchophony ; acute pain in
chest ; erysipelas on dorsum of hand ; side of lumbar vertebræ as if bruised ; pain in wrist ; pain in nates ; tension in hip ; sciatica ; tearing from tuberosity of ischium spreading over thigh, knee and leg ; coxalgia in hip joint ; rectus
cruris muscle very sensitive ; jerking and tearing in thigh ; pulling and tension in tendons on inner side of knee ; crawling with tension in tendons on inner side of knee ; fluctuating swelling of knee ; stitches just below knee ; eruption like a band around
ankle ; deadness and numbness of lower part of foot ; paralysis of side ; constant pain in side ; chill begins in thigh, ague commencing in arm and leg ; zona, pain going down leg.
Left : pain in temple and orbital region ; nostril excoriated ; eye felt enormously swollen ; phlyctenules on edge of cornea ; conjunctiva red and studded with small ulcers ; ulcers on cornea ; eruption on lower lid ; swelling on lower lid ;
lobule of ear swollen ; parotitis ; hot, burning beneath nostril ; mumps ; pressive drawing in hypochondrium ; coldness and numbness of foot and arm ; terrific pain in shoulder ; pain in nipple through to shoulder ; stitches in side ; numbness of
arm ; fluttering sensation in chest ; lameness and aching in arm ; hard swelling on side of neck ; shoulder seems paralyzed ; pain over crest of ileum ; as if some one were pressing upon shoulder ; rheumatic pain in shoulder and arm ; severe pain in
top of shoulder ; shooting and throbbing in shoulder ; pain in muscle of shoulder ; strain of shoulder joint ; paralyzed sensation in arm ; sticking and drawing in arm down to finger tips ; as if muscles of upper arm were strained ; numbness and aching in
arm ; sudden paralysis of arm, wrist as if it had been sprained ; tension in hip ; acute pain in hip ; in whole lower limb ; tension in thigh ; tearing in muscles of thigh ; acute rheumatism in knee joint ; erysipelas on leg ; tibia cold ;
chronic miliary eruption on back of hand ; felt a shock in external orbital integuments ; excoriation at inner side of nates ; skin peeled from hand entirely ; wheals more numerous on index finger ; on thigh there is a round elevated red blotch ; enlargement of
parotid.
Right to left : erysipelas travels.
Left to right : vesicular erysipelas of scalp ; erysipelas in face.
From front to back : pain in head.
From within outward : stitching in knee.

Sensations

As if intoxicated ; as of a weight behind right orbit ; as if she were going to fall forward or backward ; as of a board strapped across forehead ; brain as if loaded ; as if brain were torn ; as if muscles in back of head were screwed
together ; back as if sprained ; as if occipital tissues were screwed together ; as of a veil before eyes ; as if it were difficult to move lids ; as if jaw would break ; as if teeth were being torn out ; teeth feel too long and too loose ; as if
asleep ; as if pharynx were inactive or paralyzed ; stomach as if overloaded ; as of a stone in stomach ; as if pit of stomach were swollen or drawn together ; hypochondriac region and abdomen as if beaten ; as of a knife in right abdomen ; as if something
were torn loose in abdomen ; as if a lump lay like a pressing heavy weight in abdomen ; limb as if constricted ; feet and ankles as if asleep ; as if one side of rectum had grown up ; as if everything would come out of rectum ; shoulders as if sprained ; as
if head were swelling out ; as if something would be torn out of chest ; as if breath were stopped at pit of stomach ; as if not able to draw a long breath ; as if shoulder would fly to pieces ; as if air became imprisoned in epigastrium ; as if sternum were
pressed inward ; as if cervical muscles were asleep ; as if one had been lying in an uncomfortable position ; as if bruised in right side of lumbar vertebræ and in small of back ; as if flesh of small of back had been beaten ; as if back were broken ; as if
some one were pressing upon left shoulder ; as if arms were luxated ; as if muscles and tendons of left upper arm were unduly strained ; as of sand in eyes ; as if wrist had been sprained ; as if hand were held in hot water ; hand as if lame ; hand dry, as
if withered ; as if pins were pricking point and palmar surfaces of first phalanges of fingers ; finger tips as if asleep ; as if something would burst in chest ; hip, knee, or ankle joint as if sprained ; as if skin around diseased parts were too tight ; right
rectus cruris muscle as if bruised ; as if tendons of limb were too short ; as if knee were too short ; as if hamstrings were too short ; legs as if made of wood ; lower part of r. foot as if made of wood ; feet as if sprained or wrenched ; heels as
stepping upon pins ; as if running nails under skin in heels ; as if walking upon needles ; as of a hundredweight on nape of neck ; as of a trembling in arms and legs ; joints as if bruised ; as if sinking through bed ; as if bones ached ; as if jaw
were dislocated ; as if something forced him out of bed ; as if whole body were burning ; as if cold water were poured over him ; as if blood were running cold through veins ; as if maxillary joints were dislocated ; as if back were bruised ; as if tongue
had been skinned ; as of a board strapped to forehead ; as if flesh were torn loose from bones, or as if bones were being scraped ; pains as if sprained in outer parts ; as if inner parts were grown together ; as if something in inner parts were torn loose ;
face and hands as if covered with suggillations.
Pain : in left temple and orbital region ; in back part of head ; in eyes ; in right eyeball ; in temporal region of left side, thence to head, cheeks and teeth ; in maxillary joints ; in back of neck ; in back ; in stomach ; in region of
ascending colon ; in abdomen ; in glans penis ; in right limb ; in lower part of chest ; in left shoulder and arm ; in heart ; in cervical muscles ; in shoulder and back ; between shoulders on swallowing ; in muscles of l. shoulder and arm,
also in bones of arm ; in right wrist ; in hips ; down thighs ; in streaks down limbs with every evacuation ; under knee-pain ; in left knee joint ; in inner, lower and posterior part of calf of leg ; in heels ; in jaw ; about umbilicus.
Terrific pain : in left shoulder.
Terrible pains : in lower extremities.
Violent pain : in abdomen ; in lumbar region ; in head ; in left leg.
Intense pain : in left leg.
Acute pain : in right side of chest ; in middle anterior portion of fourth intercostal space, left side ; in small of back ; in middle finger of right hand ; in right hip ; in ankle joints.
Great pain : in small of back.
Severe pain : in jaw ; in right hypochondriac region ; over crest of ileum ; at top of left shoulder ; at phalanges of several fingers ; sudden, at insertion of ligamentum patellæ into tibia.
Sharp pain : in eye ; from eyes into head ; in heels.
Tearing : at small of back ; in periosteum of cranial bones ; in neighborhood of diseased eye ; in region of brows and malar bones ; in face ; in teeth ; down thighs, in region of kidneys ; in chest ; in shoulder joint and on top of
scapula ; in shoulder ; violent, in arm ; from elbow joint into wrist ; in joints of all fingers ; from hip to knee ; from right ischium following sciatic nerve in right thigh ; in middle of outer portion of thigh ; in muscles of left thigh ; in
knee and in ankle.
Bursting pain : in head.
Deep cutting pains : in leg.
Lancinating pain : in left leg.
Beating pain : in limbs ; in temple.
Darting pains : in ulcers.
Jerking pain : in teeth ; in abdomen ; in elbow and wrist joints ; in right thigh.
Catching pains : in right side of chest.
Throbbing : in temples ; from teeth into temples and jaws ; violent, in epigastric region ; in left shoulder ; centrifugally in inflamed integuments of face and forehead.
Digging pain : in glands beneath angle of lower jaw.
Gnawing pain : in swelling of knee.
Ulcerative pain : in pit of stomach.
Labor-like pains : in abdomen.
Shooting pain : in teeth ; in eyelid ; up rectum ; through head ; in left shoulder ; through arms ; in leg.
Stupefying pain : in head.
Stitches : in head to ears, root of nose and malar bones ; in eyes and temples ; below right ribs ; in stomach ; in chest and sides of chest ; in left side ; in heart ; in shoulders ; just below right knee ; in soles of feet ; in
joints.
Stitching pains : in throat ; in left nipple through to scapula ; on dorsum of right hand ; in heels.
Drawing stitches : in arm.
Pressive stitches : in back.
A stitch : across knee ; in hamstrings just above calves.
Stinging pain : in leg.
Sticking pain : in throat ; in vagina ; in chest ; in left side ; in back ; in left arm ; in fingers ; in side of knee.
Constrictive pain : in dorsal muscles.
Bruised pain : in head ; in throat ; in limb.
Burning pain : in knee joints and lower extremities ; in corns ; of sclerotica ; in eruption around mouth and nose.
Drawing pains : in cheek and head ; in limbs ; in region of brows and malar bones ; in face ; in left nipple through to scapula ; in left arm ; cramplike, in elbow joint ; from elbow joint into wrist ; in palm of right hand ; in right
natis ; in hips ; from hip to knee in left leg ; in hip joints ; paralytic, in whole foot ; in arms.
Rheumatic pain : violent, between scapulæ ; in left shoulder and arm and in region of deltoid muscles ; through wrist joints ; in hands.
Pressing pain : in eyes ; in stye ; in glands beneath angle of jaw ; in hip joints ; in region of forehead ; in occiput.
Dull pain : in occiput, vertex and forehead.
Tensive aching pains : in arms.
Aching : in occipital protuberances ; in eyes ; in articulation of right lower jaw ; in teeth ; in glans penis ; in bones ; of left arm ; in elbow joint ; in right limb ; in legs ; in ankles and hollows of feet ; of whole body.
Paroxysmal pains : in legs.
Cramplike pain : in articulation of jaw.
Cramp : in calves ; in legs and feet.
Jerking : in thigh.
Stinging : in throat when swallowing ; in tonsils ; in stomach ; on inner surface of prepuce ; in ulcers ; in skin.
Burning : in forehead ; in eye ; in and beneath eyes ; in inner canthus, right eye ; in eyelid ; in swollen lids ; beneath nostril ; in face ; of eruption around mouth and nose ; in whole right side of abdomen ; behind sternum ;
in small of back ; in urethra ; in stomach and between shoulder blades ; in loins ; in shoulder ; in dorsum of right hand ; in palm of right hand, forearm and hand ; in left leg ; of skin ; in pustules on chin ; in ulcers.
Burning rawness : in larynx.
Burning itching : here and there ; of skin.
Biting : in right eye ; in vulva ; on lower lids.
Excoriation : feeling of, on inner side of left natis.
Soreness : of head ; of nostrils ; of tongue ; in abdomen ; of navel ; in walls of abdomen ; in back and hypogastrium ; of vagina ; in chest ; in left side ; of lumbar region ; in corns.
Pricking : from teeth into jaws and temples ; in swollen lids.
Prickling heat : in limbs.
Tenderness : of carpal articulation about knee joint.
Gnawing sensation : in teeth.
Dragging : of cardiac region ; in muscles of left thigh.
Pressive drawing : in left hypochondrium.
Tingling : in head ; in limbs ; in stomach ; in chest ; of feet ; in tibia ; in limbs ; in skin.
Tickling : in throat ; in air passages ; in bronchia ; under sternum.
Pressure : at heart ; behind eyes ; in right temple ; on chest and about heart ; in throat when swallowing ; in rectum ; in abdomen ; in small of back ; on shoulders ; in eyes.
Tension : of face ; across chest ; in intercostal muscles ; of neck ; painful, between shoulder blades ; in elbow joint ; in right hip ; in left hip joints ; on posterior surface of thigh ; of diseased limb ; in tendons on inner side
of right knee ; of knee ; of calves ; of feet ; in joints ; of nape of neck and between shoulders.
Constriction : in rectum.
Heaviness : of head ; of lids ; in small of back ; of lower limbs ; in hollows of knees and calves ; of legs ; of feet.
Fulness : of stomach.
Anxiety : in chest.
Oppression : in stomach ; of chest.
Dryness : of mouth ; of tongue ; of throat ; of gums ; of eyes.
Restlessness : of lower limbs.
Pulsation : in pit of stomach.
Trembling : of arms ; of knees.
Tremulous feeling : about heart.
Fluttering sensation : in stomach and left chest.
Gurgling sensation : in heart region.
Swashing, jarring sensation : in brain.
Lameness : of left arm ; of sacrum ; of leg.
Paralytic feeling : in arms ; in left shoulder ; in anterior muscles of thighs.
Weakness : of lower limbs.
Weariness : of legs ; of feet.
Stiffness : of lids ; of jaws ; in back of neck ; of joints ; in back and limbs ; of cardiac region ; of shoulder and back ; in small of back ; of sacrum ; of forearms and fingers ; in pelvic articulation ; painful, of
back ; of knees and feet ; in joints.
Numbness : of left arm and foot ; from hips to feet ; in left chest ; of finger ; of hands and fingers ; from finger to elbow ; of right leg ; of feet ; of lower part of right foot ; in limbs ; of fingers.
Deadness : of lower part of right foot.
Crawling : in finger tips ; from finger to elbow ; of right leg ; in tendons of knees ; in feet.
Biting, itching : on scalp, forehead, face and about mouth, of eruption on hand and face.
Itching : under scurfs on head ; in eyes ; of eruption around mouth and nose ; inner surface of prepuce ; of scrotum ; in rectum ; of eruption of arms and hands ; intolerable, of legs and feet ; of ulcers ; of eruption on limbs ; of
urticaria ; intolerable, of rash all over skin ; of hairy parts ; of small pimples ; of eczema ; of eruption about nipples, breast, back, chest, forehead, scalp and hair.
Chilliness : in back and head.
Coldness : of forearms, forehead and cheeks ; of left arm and foot ; of larynx ; of arm ; of left leg ; of legs ; all over internal of limbs.

Tissues

Acts on fibrous and muscular tissues.
Soreness and stiffness in muscles, pass off during any exercise.
Flesh of affected parts sore to touch.
Pain as if flesh were torn loose from bones ; or as if the bones were being scraped.
Pains as if sprained in outer parts ; disposition to sprain a part by lifting heavy weights, or stretching arms high up to reach things.
Inflammation of tendons of muscles, from overexertion or sudden wrenching as in case of a sprain.
Affections of ligaments, tendons and membranes, connected with joints.
Bad effects of getting wet, especially after being heated.
In inner parts sensation of fulness ; or as if they were grown together (adhesion) or as if something in them were torn loose.
Dropsy, with turbid urine.
Abdomen and legs greatly enlarged ; from some points of legs water trickles down ; appetite good, no thirst, passes little urine ; after eating, pains in stomach ; sensitive to cold, damp weather ; preferred to lie propped up
in bed.
General dropsy ; scrotum swollen, from prepuce there hung a long-shaped blister.
Dropsy resulting from amenorrhœa, caused by being drenched in rain.
Smooth, red and shining swellings, the inflamed skin being covered with small painful white vesicles.
Inflammatory swellings.
Cellulitis ; accompanying diphtheria ; orbital cellulitis with formation of pus.
Boils and abscesses.
Child emaciated ; covered with abscesses, most of them of a bloody character ; child appeared as if it would shortly die.
Carbuncle, in beginning, when pains are intense, and the affected parts are dark red ; if given early may abort whole trouble.
Glands swollen, hot, painful ; indurated ; suppurating.
Abscesses of axillary and parotid glands, swelling painful to touch, and discharging a bloody serous pus, with stinging and gnawing pains.
Scrofulous induration of glands of neck, nape of neck and lower jaw.
Prominent projections of bones, are sore to touch ; as, for example, the cheek bones.
Inflammation and swelling of long bones.
Crusty caries, always combined with tetter, in rheumatic or gouty subjects.
Scrofulous and rickety affections.

Touch. passive motion. injuries

Touch : head painful ; cannot bear slightest, on eye ; on sore spot below navel causes nausea ; chest very sensitive ; sensitive spot in spine ; causes waterbrash ; causes excruciating pain in back ; scrofulosis and rachitis < ;
stitch in hamstrings ; stitches in limbs ; abdomen sensitive ; flesh of affected parts sore ; abscesses of axillary and parotid glands painful ; prominent projections of bones sore ; eruption near corners of mouth on margin of lower lip sore ; pustules on
chin pain.
Pressure : pain in jaw > ; abdomen painful ; pain in back > ; pain over crest of left ileum > ; drawing pain in right natis > ; hard, on hip and leg > pain ; rectus cruris muscle sensitive ; pain in eruption <.
Resting head upon arm : causes numbness of arm.
Rubbing : > sciatica ; itching of urticaria < ; affected parts increases eruption.
Scratching : developed blisters from hives ; itching < ; causes burning ; causes an agonizing pleasure ; causes smarting and itching of pimples.
Grasping and pinching : > pain in left shoulder ; pain in small of back as if flesh had been beaten.
Riding or jarring : affects injured hip.
Blows or sprains, etc. : cause chronic inflammation of articular structures.
After a sprain : pains in wrist from side to side.
A fall immediately before delivery : epilepsy.
Thrown from carriage : injured about hips and small of back.
Traumatic : erysipelas of lids.

Skin

Intolerable itching ; red, measly rash all over skin.
Itching all over, < on hairy parts ; burning after scratching.
Violent burning in skin, twitching, general perspiration at night ; whenever he puts his hands out of bed he is seized with a convulsive cough.
Burning itching here and there.
Stinging and tingling in skin, burning after scratching.
Burning itching eruptions.
Humidity of skin.
Rubbing affected parts increases eruption.
Red flush over whole body, at 2 P. M.
Covered from head to foot with a fine red vesicular rash, itching and burning terribly, especially in joints ; < at night, causing constant scratching, with little or no relief, felt very hard upon pressure with finger ; skin burning hot.
Some small pimples, coalescing into blisters the size of a split pea, filled with yellow watery fluid, with intense itching ; < at night after 12 P. M. ; the only relief he can get is to rub it with something rough until the blisters are open.
Numerous vesicles appear on different parts of body, varying from two or three lines to one-fourth inch in diameter ; vesicles dry and disappear by desquamation.
A burning eruption of small blisters, filled with water, with redness of skin of whole body, except on scalp, palms of hands and soles of feet.
Vesicles, most of which contain a milky, but some of which also contain a clear liquid, become confluent ; this condition lasts three days, after which the skin desquamates.
Clusters of vesicles, filled at first with a watery substance, near both corners of mouth on margin of lower lip, with a salty biting sensation, and soreness to touch.
Large blisters containing yellowish liquid, with swelling of arm ; blisters were ruptured carelessly and the liquid flowed over whole arm, after which a very large number of vesicles appeared, so that after eight days whole forearm seemed to be one mass of blisters ; anointing
with olive oil seemed to have no effect upon the complaint ; soon the upper arm and then right arm and other parts of body became affected ; whole trouble lasted four weeks.
An eruption of an erysipelatous nature upon face ; the inflammation had extended over forehead and into scalp, both eyes were closed, both ears, cheeks and lips were very much tumefied and pitted on pressure, and the patient's features were so much disfigured that he was not at all
recognizable.
Erysipelatoid eruption affecting hands and arms, feet and legs, face and sometimes the whole person ; it varied in extent and`in severity from a small patch, with trivial itching, to an extended surface with enormous swelling and excruciating suffering ; pruritus, tingling,
smarting, stinging burning were the sensations described ; on a red and swollen base of inflamed skin, vesicles and blebs, from the size of a pin's head to a pea, were crowded together, and when these broke and dried, eczematous crusts remained ; sufficient irritation carried the
inflammation on to ulceration.
Bright redness of scrotum and penis ; scrotum extremely flaccid and relaxed, falling half-way to knee.
After the lapse of about twenty-four hours, itching and burning commenced, lasting from half an hour to two hours ; after about thirty-six hours, swelling of the parts, with violent itching and burning, increased on touching or moving parts affected, as if pierced by hot
needles ; white transparent vesicles appeared on the highly red and inflamed skin.
Erythema, rapidly progressing to vesication, often accompanied with œdema and with the final formation of pus and scabs ; surface about eruption is red and angrylooking.
Eruption herpetic ; with incessant itching, burning and tingling ; alternates with pains in chest and dysenteric stools.
Scalp, abdomen, lower portion of chest and part of legs and back covered with a moist, burning, itching eruption, which eats into surrounding parts ; large vesicles form which are filled with clear serum, later becoming turbid, which burst and
become confluent.
After being poisoned while gathering blackberries ; face presented a perfect picture of facial erysipelas of vesicular type ; hands and forearms were covered with patches of vesicles.
Herpes zoster (shingles) ; burning and neuralgic pains after it.
Herpes preputialis and axillaris.
Pemphigus, each bulla with a red areola.
Erysipelatous swelling under eyes and red blotches over body.
Erysipelatous inflammation : hardness of skin, with thickening ; urticaria ; from getting wet ; during rheumatism ; with chills and fever ; < in cold air ; burning, drawing ; tearing in face ; teeth feel too long ;
restlessness ; face dark red, covered with yellow vesicles ; burning, itching and tingling with stinging ; < in cold, open air, wet weather, getting wet, or damp, in cold places.
Vesicular erysipelas ; scalp, face and genital organs particularly affected ; affected parts dark red ; inflammation travels from right to left.
Capt. S., six years ago, kissed a child who had scarlatina, and felt it burn his lips ; in a few weeks had boils on his back ; after this was costive ; once fainted, bruising his forehead ; during faint had an involuntary stool ; soon erysipelas appeared
on bruised forehead, spreading over face, appearing on scrotum and penis, which suppurated ; has had several attacks since, impairing his sight for near objects ; felt a shock in left external orbital integuments ; about noon, red erysipelatous swelling began there, extending
over whole face, neck and scrotum ; vesicles form exuding a fluid which stains linen yellow ; affected parts burn and itch ; when lying at each beat of heart there is a throbbing centrifugally in inflamed integuments of face and forehead ; any moisture to skin brings out
erysipelas there, as it always did in those attacks ; must scratch parts, which causes an "agonizing pleasure" ; scratching of scrotum causes sexual pleasure and an escape of semen, which weakens him ; photophobia ; very restless all last night, no sleep ;
walking about stamping, shaking arms, and striking about ; large yellow crusts from discharge on chin ; eyelids closed from swelling ; hands and feet cold ; pulse 50, intermitting in volume and rhythm ; burning and itching < from warmth.
Zona, right side, pain going down to right leg, < at night, necessitating constant change of position.
Cutaneous inflammation and feeling of excoriation at inner side of left natis.
Scurfy eruption over body ; fine scurf on face.
Back of hand is covered with cracks and is hot ; skin hard, rough and stiff.
Epidermis peeled from cheeks, leaving parts hot and rough.
Skin peeled from left hand entirely ; intolerable itching ; skin peeled from all parts affected.
Eczema : surface raw, excoriated ; thick crusts, oozing and offensive ; if face is attacked there is œdema of loose cellular tissue about eyelids ; burning, itching, tingling pains ; incessant itching and scratching ; the more they
scratch the greater the urgency to scratch.
Crusta lactea characterized by thick, heavy scabs, on an inflamed base, with much itching and restlessness, < at night and from becoming too warm ; green slimy diarrhœa.
Very sore nipples after confinement and an itching, burning papular eruption about nipples on breast, neck, chest, forehead, scalp and hair ; the itching kept just ahead of the scratching, disappearing and burning after, < during sweat ;
profuse sweat on exterior parts of body, but not on parts on which she lay ; restless, continually sought new positions ; > after moving about.
Forehead, face and particularly sides of neck, covered with red nodules, apices being filled with pus ; severe burning.
Pimples like the itch, with burning itching and smarting after scratching, on inner surface of wrist, and on lower portion of cheek.
Hard pimples on hands, with burning-biting itching.
Pimples large, deep-seated and irritable to touch, on nates, especially on median line near os coccygis.
Tetter-like eruption around mouth and nose, at times with jerking and itching burning pain in it.
Pustules, with pus at tips on side of chin, with pain only when touched, as from pressure of a sharp edge and a persistent burning.
Pustulous eruption.
Black pustules, with inflammation and itching, rapidly spreading over whole body.
Urticaria from getting wet ; during rheumatism ; with chills and fever ; < in cold air.
On the 13th of May, every year, for several years, had been seized with a burning itching of skin that drove her nearly to distraction ; eruption so confluent not a healthy spot could be seen ; eyes closed with œdema of lids ; seemed
suffocating and threw off bed coverings ; whole paroxysm lasted twenty four hours. θ Urticaria.
Upper and lower limbs and left side of throat covered with hard, dark-red, circular elevated blotches, in groups and isolated ; skin of affected parts tense and shining, while surrounding skin is swollen and shows an erysipelatous redness ; the wheals are particularly numerous
on left index finger, dorsum of hand and forearm ; on neck and left thigh there is a round, elevated red blotch, around which larger and smaller patches were closely crowded ; intolerable itching in affected parts, particularly on index finger ; fine stitching pain in the
eruption itself, produced or aggravated by pressure ; patient appears depressed ; eyes closed as in sleep ; fever ; skin moist ; respirations increased, at times rales ; cough not frequent, with tenacious expectoration during day ; pulse 104 ; feeling
of weakness ; great heat of head ; vertigo ; nausea ; vomiting ; constant pain about umbilicus. θ Urticaria.
Bluish red, lentil-sized spots over body, with lassitude and repeated hemorrhages from nose and mouth. θ Purpura.
Face and hands appear as if covered with suggillations. θ Purpura.
After catching cold, by exposure to rain, burning and sticking in skin, which began to swell up here and there, particularly on hands, arms and legs ; bright red spots appear, of various shapes and sizes ; rheumatic tearing pains in hip, particularly when at rest. θ Purpura.
Full of bluish dark blood, spots all over body except face and hands ; bleeding from gums ; ice-cold temperature ; pale face and skin ; small pulse.
Carbuncles, bluish, gangrenous.
Hardness of skin with thickening.
Warts : especially on hands and fingers ; large, jagged, often pedunculated, exuding moisture and bleeding readily.
Rhagades, chaps ; chilblains.
Ulcers : as if gangrenous, arising from small vesicles, attended with violent fever ; burning in them or sensation of coldness.
Scarlatina : miliary, rash dark, fever high, drowsiness and restlessness ; especially adynamic forms, child grows drowsy and restless ; tongue red, sometimes smooth ; fauces dark red and have a peculiar œdematous appearance, cervical glands enlarged, and there may be
enlargement of left parotid, there may even be impending suppuration of these parts ; cellular tissue of neck inflamed, cutaneous surface having a dark-red or bluish erysipelatous hue ; delirium, mild in character ; secretions altered, acrid ; glands in all parts of body
may become enlarged, especially those of axillæ ; emaciation ; prostration ; the rash itches violently and there is much restlessness at night ; there is an ichorous or yellow, thick discharge from nose, with swelling of glands of throat ; a bright edge of
inflammation surrounds every portion of eruption, and there is much itching, particularly at night ; cases complicated with erysipelatous inflammation.
Skin dark red from head to foot and covered with small vesicles, containing a yellow pus-like fluid ; burning heat ; great thirst ; sopor ; starting and fright ; restlessness ; painful ineffectual urging to urinate ; bowels constipated. θ Scarlatina.
A child, æt. 13, threw a shawl, belonging to a child who had died of scarlet fever, over her shoulders ; next day she had high fever ; pulse 140 ; sore throat ; vomiting ; backache ; next day rash appeared on neck and chest, extending gradually over body
and becoming red, after pressure, from periphery to centre. θ Scarlet fever.
Delirium, dry tongue, almost complete loss of sleep, repeated bilious vomiting, frequent diarrhœa, temperature of skin 40°C. θ Measles.
Variola : eruption sinks and turns livid ; typhoid symptoms.
Smallpox : typhoid condition ; eruption illy developed ; livid ; burning fever ; extreme prostration ; burning thirst ; roaring in ears ; dry, cracked tongue ; lips and teeth covered with tenacious brown mucus ; meteoric distension of
abdomen.
Variola : pustules turn black from effusion of blood within ; diarrhœa, with dark, bloody stools.

Stage of life, constitution

Rheumatic diathesis.
Child, æt. 6 months, scrofulous ; catarrhal ophthalmia.
Infant, æt. 8 months, badly nourished, afflicted with ascarides which had been relieved by Podoph. ; abscesses.
Child, æt. 1 1/2, has had hives ; erysipelas.
Child, æt. 2, scrofulous, suffering since birth ; eruption on head and ozæna.
Boy, æt. 2, suffering nine months ; ague.
Boy, æt. 2 ; scarlet fever.
Boy, æt. 2 1/2 ; ophthalmia erysipelatosa.
Boy, æt. 3, delicate, pale, head and face covered with an eruption, scrofulous ; ophthalmia.
Girl, æt. 3, suffering one year ; scrofulous ophthalmia.
Boy, æt. 3, stout, otherwise healthy ; strumous ophthalmia.
Boy, æt. 4 ; scrofulous ophthalmia.
Girl, æt. 5, scrofulous ; ophthalmia.
Lizzie B., æt. 5, healthy child from birth, trouble first noticed five days after birth ; ptosis.
Child, æt. 5 ; scrofulous induration of glands.
Boy, æt. 6, several weeks ago fell down a high flight of steps ; paralysis.
Boy, æt. 7 ; inflammation of knee joints.
Girl, æt. 8, ill ten days ; meningitis.
Boy, æt. 8, strong, suffering since four weeks old ; eruption.
Girl, æt. 9, scrofulous ; ophthalmia.
Girl, æt. 10 ; diphtheria of lips.
Boy, æt. 10 ; five months ago fell while carrying a bundle of straw ; since then suffering ; lameness of leg.
Girl, æt. 12, slender, lymphatic, nervous, had rheumatic pains the year before ; diphtheria.
Boy, æt. 12, suffering six months ; ague.
Girl, æt. 13 ; affection of eye.
Girl, æt. 13, has curvature of spine ; paralysis of lower portion of body.
Girl, æt. 13 ; scarlet fever.
Young woman, æt. 13 1/2, on third day after a natural labor ; paraplegia.
Boy, æt. 14 ; crusta lactea.
Boy, æt. 14, blonde, suffering four years ; eruption on head and body.
Boy, æt. 14 ; dysentery.
Boy, æt. 15, from a violent sprain two months ago ; swelling in elbow joint.
XX, æt. 16, badly-nourished and overworked needle-girl ; erythema nodosum.
Youth, æt. 17 ; ulceration of cornea.
Boy, æt. 17, after exposure to snowstorm while overheated two and a half years ago ; rheumatic lameness.
Girl, æt. 18, small, lateral curvature of spine ; mental disorder.
Girl, æt. 18, menstruation not yet established ; influenza.
Girl, æt. 18, after nursing a person with typhoid fever ; smallpox.
Girl, æt. 19, quiet, calm, strongly-built, blonde, rosycheeked ; intestinal catarrh.
Man, æt. 19 ; measles.
Girl, æt. 19 1/2 ; enteritis.
Laboring woman, æt. 20, brunette, fresh, rosy complexion, strained herself lifting shortly after first appearance of tumor, father had scirrhous tumor of groin ; ovarian cyst.
Girl, æt. 20, blonde, caught cold year and a half ago, since then suffering ; amenorrhœa.
Young woman, æt. 21 ; parotitis.
Man, æt. 23, weak, delicate, after typhoid fever ; epistaxis.
Baker, æt. 23, of phthisical family, after severe labor in a damp cellar ; swelling of knee.
Man, æt. 23, suffering twelve days ; quotidian ague.
Mrs. E. D., æt. 24, colored, hysterical, hypochondriacal, suffering since puberty ; dysmenorrhœa.
Miss M., æt. 24, slender form, lymphatic temperament, never in good health, suffering four years ; injury to hip.
Miss E. H., æt. 24, blonde, clerk in a store, suffering three weeks ; swelling of foot.
Artilleryman, æt. 24, small stature, full habit, brown hair ; quartan ague.
Miss C., æt. 25 ; dysmenorrhœa.
Man, æt. 25, strong, caught cold by exposure to rain ; purpura.
Mrs. H., æt. 26 ; boils.
Woman, æt. 28 ; rheumatic ophthalmia.
Tailor, æt. 28, suffering twelve years ; sciatica.
Man, æt. 28 ; several years ago had ague, then smallpox ; typhoid fever.
Woman, æt. 30, sanguineous temperament ; inflammation of eye.
Man, æt. 30 ; œsophagitis.
Woman, æt. 30, thin, healthy, menses absent five years ; pleuro-pneumonia.
Woman, æt. 30, married, two years ago sprained wrist, since then suffering ; pain in wrist.
Woman, æt. 30, single ; warts on hands.
Woman, æt. 30, colored, suffering five years ; rheumatism.
Man, æt. 31, slender, muscular, dark complexion, after exposure ; rheumatic lameness.
Man æt. 32, robust ; erysipelas.
Man, æt. 32, fifteen years after an attack of syphilis ; syphilitic rheumatism and formation of soft nodes.
Woman, æt. 33, negro, suffering five years ; rheumatism.
Woman, æt. 35, rheumatic, after lifting heavy furniture ; affection of back.
Man, æt. 35, sanguine, nervous temperament, suffering six months ; sciatica.
Woman, æt. 35 ; erysipelas.
Man, æt. 36, lively, intellectual, active, brown complexion, black hair, sparkling black eyes ; facial neuralgia.
Woman, æt. 36 ; œsophagitis.
Woman, æt. 36, single, blonde, delicate, irritable disposition, lives by needlework ; abdominal inflammation.
Woman, æt. 36, poorly nourished, cachectic, six months pregnant ; urinary difficulty.
Josefa Fluch, æt. 36, married, born in Spain ; cardiac neurosis.
Woman, æt. 37, medium height, corpulent, ill half year ; hæmoptysis.
Man, æt. 37, professor, nervous temperament ; loss of coordination in legs.
Lady, æt. 38, mother of six children ; ague.
Woman, æt. 38, well built ; urticaria.
Woman, æt. 40, hysterical ; headache.
Woman, æt. 40 ; eruption on eyelid.
Man, æt. 40, suffering several months, had rheumatism previous to attack ; diarrhœa.
Woman, æt. 40, brunette, slender figure, mother of many children, suffered six months ; rheumatic pain and stiffness in wrist.
Man, æt. 40, sandy complexion, strong, athletic and vigorous constitution ; strain of thumb.
Man, æt. 40, large, muscular, had former attacks, after walking fourteen miles ; sciatica.
Man, æt. 40, suffering eight weeks ; suppuration at knee joint.
Man, æt. 40, after severe wetting ; pains in legs.
Woman, æt. 40, wife of clergyman, has had an attack annually for last seven years ; urticaria.
Woman, æt. 40, Irish ; eczema impetiginodes.
Man, æt. 41, strong and healthy, works in sugar factory and is exposed to great heat ; Bright's disease.
Mrs. B., æt. 42, six years previously took a sea-bath and became chilled through and through, since then suffering ; polypus of uterus.
Man, æt. 42 ; typhoid fever.
Man, æt. 43, small, dark complexion, weight 90 pounds, cabinet-maker, suffering eight or nine years ; lameness of back.
Woman, æt. 43, suffering eighteen years ; rheumatism.
Woman, æt. 44 ; paralysis of arm.
Woman, æt. 44, Irish, married, suffering four months ; eczema rubrum.
Man, æt. 45 ; opacity of cornea.
Man, æt. 45, small, choleric temperament, nurse, after recovering from an attack of typhoid ; paralysis agitans.
Man, æt. 45, strong, confined to bed last three months after exposure ; pneumonia.
Man, æt. 46-49, tall, slender, muscular, dark complexion, leather manufacturer, suffering several years with rheumatism of left arm, after exposure to rainstorm ; rheumatism.
Lady, æt. 50 ; fear of being poisoned.
Woman, æt. 50, pale, emaciated, for years has had a slight hacking cough in Winter, strained back by lifting a heavy weight fortnight ago, since then suffering ; lumbago.
Jewess, æt. 51 ; melancholia.
Woman, æt. 52, year and a half ago became chilled during a railway journey, since then suffering ; rheumatic ; paralysis.
Woman, æt. 53, mild disposition, small stature ; suffering two weeks ; epistaxis.
Woman, æt. 55, strong, stout, subject to erysipelatous swellings of face, suffering ten days ; erysipelas bullosum.
Man, æt. 55, farmer, strong, large, muscular, sufferer from sciatic rheumatism, which was contracted in the army 1862-63, would have severe attacks every few weeks, induced by overwork and exposure ; sciatica.
Coachman, æt. 55, some years ago had a similar attack ; rheumatic sciatica.
Man, æt. 56, cabinet-maker, athletic figure, otherwise always well, suffering eight months ; sciatica.
Man, æt. 62, five years ago similarly affected ; dropsy.
Woman, æt. 63 ; pneumonia.
Woman, æt. 64 ; sciatica.
Man, æt. 64 ; ague.
Man, æt. 66, tall, thin, delicate frame ; facial neuralgia.
K., æt. 66, German, from exposure to cold ; rheumatism.
Mrs. G. K., æt. 67, suffering several years ; anasarca.
Lady, æt. 80, suffering five months ; diarrhœa.
Young man, retired habits, affected with acne punctata, after exposure ; influenza.
Mrs. C., sick for twenty years ; affection of heart.
Bridge-builder, nervous temperament, suffering three weeks, caused by a strain ; lumbago.
Woman, large, strong, suffering six months ; burning in hand.
Stout phlegmatic man, frequently subject to attacks of rheumatic gout ; gonagra.

Relations

Antidoted by Bellad., Bryon., Camphor., Coffea, Crot. tig., Mercur., Tenacet., Sassaf., Sulphur, Verbena hastata, Virginiana serpentaria .
It antidotes : Bryon., Ranunculus, Rhodo., Tart. em .
Compatible : Arnic., Arsen., Bryon., Calc. ost., Calc. phos., Chamom., Conium, Lach., Phos. ac., Pulsat., Sulphur .
Incompatible : Apis .

Lectures on Homoeopathic Materia Medica

James Tyler Kent · Lectures on Homoeopathic Materia Medica · homeoint.org / Séror HTML text (Kent d. 1916; public domain)

Modalities

The complaints of this remedy come on from cold damp weather, from being exposed to cold damp air when perspiring.

The patient is sensitive to cold air and all his complaints are made worse from cold and all are better from warmth. In a general way, the aching pains, the bruised feelings over the body, restlessness throughout the limbs, and amelioration from motion are features that prevail throughout all conditions of Rhus.

While he is better from motion and better from walking, if he continues to walk he becomes exhausted. Any continued exertion of the body or mind exhausts the Rhus patient. He suffers from rheumatic conditions with pains in the bones, lameness in the muscles, lameness in the tendons, ligaments, and joints from suppression of sweat, from becoming chilled.

These occur with or without fever. Rhus is suitable in old chronic rheumatic conditions. He is stiff, lame, and bruised on first beginning to move. This passes off on becoming warm up, but soon be becomes weak and must rest.

Then comes the restlessness and aching and uneasiness which drive him to move and which again make him better, but soon he becomes weak and these continue, so that he is never perfectly at ease and never finds rest. Inflammation of the glands and of the mucous membranes; inflammation of the muscles. Cellulitis of the pelvis, of the neck, about the glands with much swelling. Inflammation of the skin that becomes erysipelatous; purple; pitting upon pressure with large blisters that fill with serum, sometimes bloody. It has abscesses and carbuncles and vesicular eruptions.

Glands

Inflammation of glands that are hot and very painful.

They are hot and end in suppuration. Abscesses of the axillary glands and of the parotids. Scrofulous inflammation of the glands of the neck and lower jaw. Inflammation of the periosteum and of the bones. Scrofulous and rickety affections. The prominent projections of bones become sore to touch, especially the cheek bones. Its complaints are more or less periodical. It has cured many cases of intermittent fever, is often suitable in remittent fever, and is a most useful remedy in continued fevers and in a low form of typhoid fever.

Pains

The pains that run through Rhus are aching, tearing, and bruised pains often attended with numbness and paralytic weakness of the limbs.

It has paralysis of the limbs with loss of sensation. In infantile paralysis Rhus is a very common remedy. The nurse-girls at the present time often bring on in the child this paralytic condition and spinal paralysis. The nurses take the infants to the park, take them out of their carriage and put them down upon the cold damp ground and in a few days the child comes down with infantile paralysis. Rhus will cure these cases because the symptoms take the Rhus type. Hemiplegia, especially of the right side. Twitching of the limbs and muscles. It has cured chorea brought on from taking a cold bath.

Mind

Most of the mental symptoms of Rhus are such as prevail during low forms of fever, especially in typhoid.

There is then incoherent talking; answers questions hastily. There is anxiety, apprehensions, and fear. Intense fear at night. The complaints of Rhus often come on in the night. The mental symptoms are worse at night. The delirium is worse at night.

The fears and anxiety are worse at night. The chronic mental symptoms of Rhus are despondency, mental prostration, inability to sustain a mental effort, disgust for life and thoughts of suicide. He wants to drown himself yet he has fear of death. He desires to die yet he has not the courage to commit suicide.

In many instances he is filled with suicidal- thoughts; sadness and weeping yet he knows not why. Irritability and anxiety as if he had met with some misfortune, restlessness, anxiousness and nervous in the extreme in acute and chronic complaints.

Colds settle throughout the body and limbs. He is full of dizziness as if intoxicated; staggers, when walking.

Head

The headaches are commonly such as occur in fevers, in rheumatism, and in inflammation of the bladder.

The brain feels loose or there is an undulating feeling in the head. Pain in the head as if the brain were torn. Stupefying headache with buzzing in the ears. Stitching pains in the head; feeling as if the parts were screwed together; feeling as if the brain were pressed. The muscles of the head are sore.

The periosteum of the cranium is sore to touch. The pain in the back of the head is ameliorated by holding the head backwards. Tingling in the scalp. Rush of blood to the head. Humming in the ears. Formication in the scalp.

Pulsating headaches. Meningitis with high fever. Great restlessness with these Rhus symptoms. Cerebro-spinal meningitis with the anxiety and restlessness. Aching in the bones; amelioration from motion. Eruptions upon the scalp; very sensitive to touch. The scalp is very sensitive on the side lain on. Tearing, drawing pains in the periosteum of the head; pressure in the bones of the skull as if screwed together. From every exposure to cold, damp weather, or from suppressing the sweat upon the head, comes pain in the head; rheumatic headaches.

Headaches are worse from wetting the hair. Vesicular eruptions upon the scalp; erysipelas of the scalp with large blisters; eruptions upon the scalp that suppurate. It is a very useful remedy in the treatment of eczema of the scalp in infants; herpetic eruptions upon the scalp.

Eyes

Inflammation of the eyes in rheumatic subjects from exposure to cold, damp weather, from suppressing the perspiration, with restlessness and fever.

Pustules upon the cornea; photophobia; suppuration of the eyes. Inflammation of the iris of a rheumatic character. There is much swelling and the eyes are closed from swelling. Very acute conjunctivitis; chemosis; eyes red and aggravated in the morning; scrofulous inflammation of the eyes from becoming cold.

The lids are red; oedematous. The pains in the eyes are worse from moving the eyeballs, especially the bruised pain. Paralysis of the muscles of the eyeball the result of rheumatism and exposure to the cold, or from getting the feet wet. Red eyes and lachrymation; erysipelas of the lids; paralysis of the upper lids.

The lids are agglutinated in the morning with a copious, purulent, mucous discharge. The Rhus patient, is subject to styes on the lower lids; neuralgia in the eyes.

Ears

Neuralgia in the ears; erysipelatous inflammation of the external ears with vesicles; inflammation of the parotid gland.

Nose

Haemorrhage from the nose; violent coryza.

The nose is stopped up from every cold; great soreness in the nostrils; discharge from the nose of thick, yellow mucus; green, offensive mucus.

Much swelling of the nose from erysipelas. The tip of the nose is red and sensitive. The nose is puffed and oedematous. Eruptions upon the nose and in the corners of the nose; eczema of the nose and much swelling.

Face

Erysipelas of the face with burning, large blisters, and rapidly extending inflammation which becomes very purple and pits upon pressure.

The erysipelas of the face often extends from left to right across the face. There is much burning, itching, and tingling, delirium, and high fever, and the mental state referred to above. Eczema of the face chronic suppurating eruptions of the face. Stiffness of the jaws rheumatic condition of the jaws and of the joints.

The corners of the mouth ulcerate; fever blisters; lips dry and parched and covered with reddish-brown crusts in typhoid fever; lips bleed. We have many symptoms of the mouth especially in connection with typhoid fever.

The tongue is sore, raw, and bleeding; burning of all the tissues in the mouth; red tongue. The taste is putrid and metallic. The teeth are covered with blood; fever in the gums with blood; blisters upon the tongue and the whole mouth appears to be raw and sometimes bleeding. The mouth is dry and an accumulation of saliva and sometimes bloody saliva in the mouth, which runs from the mouth during sleep.

In Rhus the thirst is often violent, but there is difficulty in swallowing solids from constriction of the throat; painful swallowing; inflammation of the throat; cellulitis of the throat internal and external with painful inflammation of the throat. Enlargement of the neck; swelling of the glands of the neck.

The neck is stiff; sometimes erysipelatous inflammation of the parotids; neck greatly swollen. Rhus has cured diphtheria with these symptoms. Rhus is especially suitable for inflammation of the oesophagus. When it is acute from swallowing corrosive substances, because of the extensive cellulitis that such substances cause it makes the case like Rhus.

This remedy is very freaky. For instance hunger without appetite; hungry sensation or sensation of emptiness in the stomach without desire for food. Dryness of the mouth and throat with great thirst; unquenchable thirst for cold drinks especially at night with great dryness of the mouth. Yet the cold drinks bring on chilliness, bring on the cough.

Stomach

Pain in the stomach and nausea.

His desires are also strange. Desires oysters, cold milk, and sweets. Aversion to meat. Rhus has nausea and vomiting; bilious vomiting and nausea from drinking cold water; nausea after eating, with sudden vomiting; inordinate appetite with inclination to vomit; worse at night and after eating.

Pulsation in the pit of the stomach; gnawing pain in the stomach fullness and heaviness in the stomach as from a load; pressure in the pit of the stomach as from a great weight; pain in the stomach and nausea, especially after cold things; pain in the stomach after ice cream; nausea after eating ice cream.

Liver and abdomen

In the liver there is swelling and tenderness on pressure, so that he cannot lie on the right lobe of the liver.

The soreness is increased on beginning to move; shooting pains in the region of the liver. In the abdomen we have many of the complaints of Rhus. Distended abdomen during typhoid fever; extreme soreness of the tissues of the abdomen to touch; cannot bear any pressure; sensitive to clothing.

Colic; pains and violent colic compelling him to lie on the back and draw up the limbs. Inflammation of any of the tissues of the abdomen; peritonitis; enteritis; typhlitis.

During these violent inflammatory conditions of the bowels, typhoid symptoms are likely to be present with involuntary stools. Inflammation and swelling of the glands of the abdomen and groin. With typhoid conditions there is diarrhoea, copious, watery, bloody stools or mushy stools involuntary stools; frothy stools. Diarrhea during typhoid fever the diarrhoea is worse during the night and better during the day time; involuntary stools with great exhaustion. It has cured cholera infantum of a low type and it is often useful in dysentery with bloody, mucous stools. Violent tenesmus; violent tearing, pinching pains in the abdomen; involuntary stools; dysenteric stools; dysenteric discharges that drive him out of bed in the morning sometimes as early as 4 o'clock.

Haemorrhage of black blood from the bowels. Shooting pains in the rectum. It has cured hemorrhoids when there is great soreness and when they are internal or protruding; protruding after stool with pressing in the rectum.

Urinary

Urging to urinate with tenesmus and pain in the region of the prostate gland causing urging to stool, ameliorated by moving about.

There are more or less tearing pains in the region of the kidneys. Albuminous urine; bloody urine; urine hot; muddy; white sediment, becoming turbid on standing; bloody drops of urine dribble away.

Violent tenesmus of the bladder with dribbling of blood; retention of urine; urine is voided slowly from paralytic weakness of the bladder. There is sometimes complete paralysis of the bladder with involuntary urination at night in bed.

Frequent urging to urinate day and night; weakness of the bladder in girls and women with frequent desire to urinate, especially in the women dribbling of the urine in cold air and on becoming very cold.

Men

In the male sexual organs we have inflammation erysipelatous in character.

Eczema of the genitals. The scrotum becomes thick and hard with intolerable itching; oedematous swelling of the genitals; erysipelas of the genitals; humid eruptions upon the genitals.

Women

In the female we have the same symptoms, especially erysipelatous swelling of the genitals and some eruptions.

The woman has prolapsus of the uterus from straining or lifting; weakness of all the pelvic muscles; labor-like pains in the abdomen from straining.

Copious menstrual flow; clotted blood with labor-like pains. The menstrual period comes too soon, is too profuse, and lasts too long. The flow is acrid, causing excoriation of the parts.

Every over-exertion brings on menorrhagia. Membranous tissue in the menstrual flow; suppressing of the menstrual flow from becoming wet; from getting the feet wet, or becoming chilled.

Similar complaints come on in pregnancy from overstraining and a tendency to abortion. The after-pains are very torturesome. The woman suffers from cellulitis such as occurs in milk-leg.

Typhoid symptoms come on and inflammation of the mammary glands. The milk vanishes.

Larynx

In the larynx many of the colds locate producing hoarseness, rawness, and roughness.

Soreness in the chest; muscular exhaustion of the larynx from loud and much exercise of the voice. Hoarseness on first beginning to sing; which wears off on singing a few notes or wears off after talking a little while; burning and rawness in the larynx.

Rhus is suitable in many cases of influenza, such as begin in the nose and extend into the larynx with hoarseness and with Rhus symptoms. Respiration is hurried; oppression of the chest; very difficult and hard breathing, especially in pneumonia and bronchitis and in colds that settle in the chest.

Cough

Rhus gets out of breath on exertion.

The cough of Rhus is very tormenting; teasing cough; paroxysms of almost any kind; tormenting, dry, teasing cough before and during chill.

He knows that the chill is coming because of the dry, teasing cough; cough with taste of blood in the mouth; dry, hoarse, racking, rheumatic cough. cough from rheumatic fever.

Chest

Inflammation of the lungs; inflammation of the pleura with stitching pains, much fever, progressing toward the typhoid state with aching in the bones; restlessness; general amelioration from motion; intense fever, marked thirst, great prostration; typhoid symptoms.

The pneumonia is of a low type; pneumonia such as would denominate typhoid. Rhus has expectoration of blood from the lungs and from the mucous membranes of the air passages; hemorrhage from the chest from overexertion; hemorrhage from blowing wind instruments; hemorrhage from the chest from violent mental excitement.

The heart is weak, tremulous with palpitation violent palpitation when sitting still; pulsations move the whole body anxious palpitation in the morning on waking; palpitation from exercise. It seems as if exertion had strained the muscles of the heart; hypertrophy of the heart from violent exercise; hypertrophy that comes on in athletes, in runners; organic diseases of the heart with sticking pains. Numbness and lameness of the left arm with heart disease.

Back

In the back, we have stiffness and lameness.

This is most noticeable on beginning to move, but wears off on moving about. Pains in the shoulder with stiffness; pains between the shoulders on swallowing food; rheumatic symptoms; painful tension between the shoulder blades.

The small of the back aches while sitting. Painful stiffness on rising from a seat; pain in the back as if bruised, sore and lame all over the back. The pain in the back is ameliorated by lying on something hard or from exercise.

There are violent pains in the back, especially in the lumbar region, as if the back were broken. It is a remedy for lumbago brought on from getting wet, from overlifting, from taking cold, and from suppressing the sweat. He is ameliorated from motion and from moving about; worse on beginning to move.

This remedy has many spinal symptoms with paralytic weakness either of the lower limbs or of one part of the body, Stiffness and lameness in the sacrum aggravated on resting after exercise. It might now be predicted that symptoms are to be found in the limbs from what has been said in general.

There are stitching pains, pressing pains, all sorts of rheumatic lameness, and these pains are ameliorated from motion and are worse from keeping still. They are brought on from cold air and from suppressing the sweat, and as these pains grow worse they became tearing down the limbs, drawing pains. Paralytic pains, benumbing pains, and these are relieved from motion; numbness throughout the limbs; numbness and aching in the arms from heart disease; numbness in the joints; jerking, tearing pains in the joints. Paralysis of the arms; erysipelas with much swelling in the limbs; swelling of the bands and arms.

When grasping anything a tingling and pricking is felt in the hands and fingers; crawling and numbness in the finger tips and fingers; swelling of the fingers; eruptions upon the hands and fingers. In the lower limbs, we find similar pains and similar modalities pain in the hip when lying upon it; tearing, drawing pains in the lower limbs; sciatica with tearing, drawing pains in the lower limbs, worse during rest and ameliorated from motion, brought on from becoming chilled, from cold damp weather, from exposure, and from suppressing the sweat.

In sprains such as occur in the ankles and in fact any of the joints, after Arnica has removed the first and most painful symptoms, Rhus becomes useful for weakness of tendons and muscular fibers such as always follows sprains.

It is a routine remedy for this weakness in joints following sprains. The pains rush in streaks down the limbs; restlessness in the lower limbs at night, but amelioration from motion; must keep the limbs in constant motion; paralysis of the lower limbs, great weariness and heaviness of the lower extremities; weakness of the lower limbs on going up stairs; swelling of the joints of the lower limbs; stiffness of the knees and feet. Paroxysmal pains in the legs from getting wet, especially when sweating; complaints from living in damp houses; rheumatism in the lower limbs from living in damp houses.

Skin

Ulcers on the legs. Intolerable itching of the legs at night in bed; eruptions upon the feet and legs; foetid sweat of the feet in persons of rheumatic tendency,

Eczema of the lower limbs. Rhus is a useful remedy in fevers. In typhoid sufficient has been said. It is a very useful remedy in scarlet fever with coarse rash. When the rash has been suppressed, with inflammation of the glands and much sore throat. During fever there is often violent urticaria which passes off during the sweat; night sweat with much itching eruption; fevers from suppressed foot sweat; rheumatic fevers; fevers worse at night; fevers that come with cold sores on the lips, remittent fevers and intermittent fevers takes on the typhoid type and run through their course as symptomatic typhoid fever.

Intolerable itching of the skin; tingling in the skin; eruptions burn and itch violently; much moisture with eruptions upon the skin.

Large blisters form upon the skin either with or without erysipelas. The incessant itching is sometimes relieved by "scalding" the parts, as it is called by some who are poisoned with Rhus, by "scalding" with water as hot as it is possible to bathe the parts in. Rhus has cured shingles and the tendency to herpetic eruptions. It has made a grand record with humid eczema such as have raw surfaces; excoriated; oozing much. It is very commonly the remedy for hives that come on from getting wet or hives that come on during rheumatism or during chills and fever; hives that are worse in the cold air.

The Therapeutics of Fevers

H. C. Allen · The Therapeutics of Fevers · 1902 Library of Congress printing (Allen d. 1909; public domain)

Characteristic

Adapted to persons of a rheumatic diathesis.

Bad effects of getting wet, especially after being overheated.

Ailments: from spraining or straining a single part, muscle or tendon (Bellis, Cal., Nux); overlifting, particularly from stretching arms high up to reach things; lying on damp ground; summer bathing in lake or river.

Affects the fibrous tissue especially (Rhod.—the serous, Bry.); right side more than left.

Pains: as if sprained; as if a muscle or tendon was torn from its attachment; as if bones were scraped with a knife; < after midnight; in wet weather; affected parts sore to touch.

Great restlessness, anxiety, apprehension; cannot remain in bed; must change position often to obtain relief from pain (restlessness from mental anxiety, Acon., Ars.).

Muscular rheumatism, sciatica, left side (Col.); aching in left arm, with heart disease.

Great sensitiveness to open air; putting the hand from under the bed-cover brings on the cough (Bar., Hep.).

Great apprehension at night; fears he will die of being poisoned; cannot remain in bed.

Headache: brain feels loose when stepping or shaking the head; sensation of swashing in brain; stupefying; as if torn; from beer; returns from least chagrin; < from sitting, lying, in cold; > by warmth and motion.

Vertigo when standing or walking, is worse when lying down (better when lying down, Apis); < rising from lying (Bry.).

Dreams of great exertion; rowing, swimming, working hard at his daily occupation (Bry.).

Corners of mouth ulcerated, fever-blisters around mouth; exanthema on chin (Hep., Nat.).

Back: pain between the shoulders on swallowing; pain and stiffness in small of back < sitting or lying; > by motion or lying on something hard.

Relations

Complementary: to Bryonia.

Inimical: to Apis, must not be used before or after.

Aggravation

Before a storm; cold, wet, weather; at night, especially at midnight; anything cold. Rest.

Amelioration

Warmth; warm, dry weather, wrapping up, warm or hot things; motion; change of position; moving the affected parts.

"The great characteristic of Rhus is that, with few exceptions, the pains occur and are aggravated during repose and are ameliorated by motion. This statement, however, requires some explanation. In addition to the symptoms of Rhus, which resemble paralysis, there are also groups of symptoms resembling muscular and articular rheumatism. These rheumatic symptoms come on with severity during repose and increase as long as the patient keeps quiet, until they compel him to move. Now, on first attempting to move, he finds himself very stiff, and the first movement is exceedingly painful. By continuing to move for a little while, however, the stiffness is relieved and the pains decidedly decrease, the patient feeling much better. But this improvement does not go on indefinitely. After moving continuously for a longer or shorter period, and finding comfort therein, the paralytic symptoms interpose their exhausting protest, and the patient is compelled, from a sensation of lassitude and powerlessness, to suspend his movements and to come to repose. At first this repose, after long-continued motion, is grateful, since it relieves, not the aching and severe pains, but only the sense of prostration. Before long the pains come on again during this repose and the patient is forced to move again as before."—DUNHAM.

The pains of Rhus are aggravated by rest, while the pains of Bryonia are relieved by rest. It is the languor and paralysis of Rhus that are relieved by rest, not the pains.

Type

Every type. Quotidian; tertian, double tertian; quartan, double quartan. First two stages often irregular. Remittent; continued; endemic and epidemic; typhoid and typhus; dengue; mountain; yellow fever.

Time

5, 6, 7, 8 and 9 P. M.. All periods except forenoon. Morning fever without chill 6 to 10 A. M. Evening paroxysm predominant; that at 7 P. M. lasts all night (Nux, Lyc., Puls.); every seventh day.

4 to 9; 10 to 11 A. M.; 4 to 7 P. M. Fever without chill at 10 to 11 A. M.

10 A. M.; 7 P. M. and evening, lasting all night.

Cause

Rheumatic exposure, especially getting wet when overheated; after a drenching from rain and neglecting the precaution of changing the wet clothes; too frequent cold bathing in ponds or streams; "going in swimming" too often in midsummer. Living in damp rooms; sleeping in damp beds; fevers occurring in damp, wet weather.

Exposure to emanations from salt or fresh water streams, ponds; near recently turned-up (especially virgin) soil.

Rheumatic exposure, especially by cold bathing. Swimming in ponds, rivers and small lakes.

Prodrome

Yawning; stretching and aching of the limbs; increase of saliva in mouth; burning in the eyes and painful weariness of the limbs. “A dry, teasing, fatiguing cough, coming on first sometimes hours before, and continuing during the chill (Samb.). I have often cured intermittents with Rhus, guided by this symptom alone.”—DUNHAM.

Dreads the chill. Languor, headache, thirst, nausea and vomiting.

Burning in eyes, stretching and severe pain of limbs; dry, teasing, fatiguing cough.

Chill

Begins in one thigh, only on one side, the right by preference (Bry., Thuja); sometimes, though rarely, between the scapulæ; or with severe rheumatic pains over whole body. The arm and leg of this side first feel the cold. Shaking chill about 5 P. M., even in a warm room or by a hot stove, with thirst and salivation, relieved by covering up in bed (not relieved by covering, Nux); salivation and all symptoms disappeared during sleep or on rising. Stretching and pain of the limbs, shivering over the whole body, with much thirst, cold hands, heat and redness of the face; in the evening in bed shivering; in the morning perspiration over the whole body. Chill, with intense muscular pains, must walk about for relief. Chilliness and heat in the evening; the face very hot, though the cheeks were cold to touch and pale; with very hot breath. Shaking chill on going from the open air into a warm room without thirst (reverse of Puls.). Shivering heat and perspiration over body at the same time (chill and heat alternating or simultaneously, Ant. t., Ars., Cal.), without thirst. Shaking chill in open air, not relieved by covering. Internal coldness of limbs (like falling asleep) but no trace of external coldness. Extremely cold hands and feet. Chill in all the limbs for an hour at 6 P. M., with diarrhœa (without thirst), then violent heat and profuse perspiration lasting three hours, with thirst. Severe chill at 7 P. M., as though dashed with ice cold water (Ant. t.), or as if the blood were running cold through the vessels; cold when he moves; increased by eating and drinking; became hot by lying down and covering, pain between the shoulders and stretching of the limbs during fever at night, sweat in morning. Chill at 8 P. M., without thirst, with diarrhœa and cutting pains in abdomen with the heat, for several hours, with thirst; followed by light sweat, sleep and morning diarrhœa. Cough during chill; dry, teasing, fatiguing (dry, racking with pain and pleuritic stitches in chest, Bry.). Great restlessness in chill (in all stages, Ars.). The restlessness is because he finds that tossing about relieves, not from mental anguish, as in Arsenicum.

With thirst; blue lips and nails; bursting headache; severe shaking; chattering of teeth and tearing in bones; nausea and vomiting. and sometimes unconsciousness. Begins in fingers and toes.

Mixed and irregular; severe chill, as if ice water were dashed over him, or blood running cold through the vessels. Coldness of left tibia, arm and left side of body. Shaking chill on going from open air into a warm room. Dry, teasing, fatiguing cough.

Heat

With thirst. General heat at 10 A. M., with yawning, drowsy, tired feeling, as if dashed with hot water, excessive heat, as from hot water running through the blood-vessels, without thirst, but with throbbing, dull headache, pressure and swelling at pit of stomach, and diarrhœa with cutting pain in abdomen, may last all night. No cough in heat, but urticaria breaks out over entire body with violent itching, increased by rubbing, with great heat and thirst, drinks little and often; lips dry. (Urticaria as chill passes off, Apis—before and during chill, Hep.—during heat and sweat, Rhus—during heat only, Ign.) She was too hot internally and chilly externally. Head and hand hot, rest of body chilly, or vice versa. Heat on the left side and coldness of right side of body. Hot, flushed face and burning heat of skin, yet not warm to the touch. Heat, after the chill, with sweat, which relieves, or chill in some parts and heat in others, both at the same time. Restless, constantly changing position (Ars.). Shuddering on moving or uncovering.

"The urticaria is intolerable; appears in spots or weals over the whole body; even the palms of the hands and soles of the feet, driving the patient frantic."—CLEMENT PEARSON.

With thirst; increased headache, unconsciousness and excessive weakness. Long and severe. Nausea and vomiting.

Excessive heat, as if dashed with hot water, or as if hot water were running through the vessels. Urticaria over entire body, itching violently. Restless, constantly changing position, without finding an easy place.

Sweat

Profuse sweat, odorless and not exhausting (Samb.). Morning sweats, not debilitating. Urticaria, with violent itching, which passes off with the sweat. Sweat, with violent trembling. Night-sweat; sometimes sour; musty; putrid (rare). Sweat over whole body, except face (reverse of Sil.), or vice versa. Sleep during sweat (Pod.). Sweat does not relieve all pains (like Nat.). Sweat may be profuse and debilitating in old cases, after frequent suppression by quinine and "ague cures."

With thirst; profuse, gradually relieving all pains. Chilly.

Over whole body, except face, or vice versa. Profuse, but not debilitating. Violent trembling during sweat.

Tongue

Coated white, often on one side only; takes imprint of teeth (Mer., Pod.); with red, triangular tip; sore, cracked. Bread tastes bitter, after eating. Hunger, without appetite; craving for milk; cold water; beer; to relieve the dry mouth. Aversion to alcoholic liquors and meat (reverse of Puls.).

Mapped; herpes like ringworm on the tongue; yellow coating; salt taste. Aversion to bread. Longing for salt. Hydroa around the mouth, like strings of pearls.

Rhus tox.

Coated white, or on one side white; red, dry, triangular tip. Aversion to alcoholic liquors. Putrid taste after eating or drinking. Hydroa on upper lip.

Apyrexia

Not characteristic. Symptoms of the paroxysms' continue in a modified form, particularly of the skin. Continual motion only relieves. Constant restlessness, cannot sit quiet, turns in bed frequently without finding an easy place (because bed is so hard, Arn., Pyr.). Hydroa on upper lip, not as pearly, but as characteristic as Natrum.

In July, 1881, I cured three cases of ague in one family, where hydroa on upper lip was characteristic. Nat. m. had been given in each case without success, and one prescription of Rhus cured.

Since verified by W. A. Allen and A. McNeil.

Natrum mur.

Analysis

From rheumatic exposure, summer bathing.

Chill: severe, as if dashed with ice water; as if blood was running cold through vessels; intense rheumatic pains; cough dry, teasing, fatiguing; restlessness, must move or walk about.

Heat; intense, as if blood were molten lead; restless; urticaria over whole body, with violent itching < by rubbing.

Sweat; sleeps during sweat; profuse; urticaria passes off.

Hydroa on the lips.

Diarrhœa with profuse, watery or bloody stools, with marked prostration are premonitory symptoms of typhoid or typhus.