Stramonium stram.

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

BRAIN. Circulation: Throat. Skin. Spinal nerves: Arms. Hip (L). Genitals.

Worse

Glistening objects. Fright. AFTER SLEEP. Dark, cloudy days. Suppression. Intemperance.

Better

LIGHT. Company. Warmth.

General

A remedy of TERRORS, BUT LACKING IN PAIN; with suppressed excretions (Ver-a.), passing neither urine nor stool (Led.). Very mobile states. Tremor; nervous. Disorderly, graceful or rhythmic motions (Elap.), < head or arms. Chorea. Spasms, < night.

Particulars

DREADS DARKNESS, and has a horror of glistening objects. Fearful, desires company or wants to escape. Active, variable delirium; talks incessantly; sees many, vividly brilliant or hideous phantoms, more to one side. Wildly excited, as in night terrors or delirium tremens, or does all sorts of crazy things. Raving mania, with cold sweat, cursing and praying. Religious insanity. The talk of others is intolerable. Self accusation. Loss of reason or speech. Stupid. Imbecile. Vertigo, < in dark. Jerks head up and drops it again. Fixed sparkling stare. Squint. Diplopia. Night blindness. Green vision. Crowding, visual hallucinations. Sees black. Delusions as to size and distance. Red, bloated or rapidly changing face; now flushed, now pale; a sardonic grin, then expresses terror. Frowning. Fine red dots on tongue. Stammering. Constantly spits saliva. Dry throat, with great thirst, yet dreads water; it chokes him. Hydrophobia. Putrid, dark, painless, involuntary diarrhœa. Sexual excitement (in males). Excessive menses, preceded by sexual excitement. Grasps the genitals. Nymphomania. Spasmodic cough. Spasm of larynx. Voice suddenly fails, in higher tones. Nervous asthma. Drawing in back. Sensitive spine. Violent pain in hip. Unilateral paralysis, with twitchings. Crawlings, as of many bugs. Non-appearing exanthema. Fiery scarlatinous rash. Sopor. Weeping, in dreams. Awakes in fear or screaming. Frightful visions.

Related

Antidotes: Cof. Nux-v. Related: Bell. Hyo. Op.

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

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

Keynote

Adapted to: ailments of young plethoric persons (Acon., Bell.); especially children in chorea; mania and fever delirium. Delirium: loquacious, talks all the time, sings, makes verses, raves; simulates Bell. and Hyos., yet differs in degree. The delirium is more furious, the mania more acute, while the congestion, though greater that Hyos., is much less that Bell., never approaching a true inflammation. Disposed to talk continually (Cic., Lach.); incessant and incohorent talking and laughing; praying, beseeching, entreating; with suppressed menses. Desires light and company; cannot bear to be alone (Bis.); worse in the dark and solitude; cannot walk in a dark room. Awakens with a shrinking look, as if afraid of the first object seen. Hallucinations which terrify the patient. Desire to escape, in delirium (Bell., Bry., Op., Rhus). Imagines all sorts of things; that she is double, lying crosswise, etc. (Petr.). Head feels as is scattered about (Bap.). Eyes wide open, prominent, brilliant; pupils widely dilated, insensible; contortion of eyes and eyelids. Pupils dilate when child is reprimanded. Face hot and red with cold hands and feet; circumscribed redness of cheeks, blood rushes to face; risus sardonicus. Stammering; has to exert himself a long time before he can utter a word; makes great effort to speak; distorts the face (Bov., Ign., Spig.). Vomiting: as soon as he raises head from pillow; from a bright light. Convulsions: from consciousness (Nux - without, Bell., Cic., Hyos., Op.); renewed by sight of bright light, of mirror or water (Bell., Lys.). Twitching of single muscle or groups of muscles, especially upper part of body; chorea. Hydrophobia: fear of water, with excessive aversion to liquids (Bell., Lys.); spasmodic constriction of throat. No pain with most complaints; painlessness is characteristic (Op.). Sleepy, but cannot sleep (Bell., Cham., Op.).

Relations

Stramonium often follows: Bell., Cup., Hyos., Lys. In metrorrhagia from retained placenta with characteristic delirium, Sec. often acts promptly when Stram. has failed (with fever and septic tendency, Pyr.). After overaction, from repeated doses of Bell., in whooping cough.

Aggravation

In the dark; when alone; looking at bright or shining objects; after sleep (Apis, Lach., Op., Spong.); when attempting to swallow.

Amelioration

From bright light; from company; warmth.

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)

Mental

The principal range of this remedy is found in the mental affections. In young people who are sometimes hysterical showing the following condition: praying and singing devoutly, beseeching, entreating, etc. Young women with suppressed menses may be affected in this manner. In some kinds of fevers, where the patient can't bear solitude or darkness, if they are left alone or are in a dark room, the mental affections are very much aggravated; also in unconscious delirium when the patient will every now and then jerk the head up from the pillow, then let it fall again--this being kept up without intermission for a long time; women in puerperal fever or convulsions have many absurd notions--that they are double, that some one is in bed with them, and other strange and unmeaning fancies. Affections of the intellect in general; madness.

Eyes

Dilated pupils; blindness; amaurosis; momentary loss of sight. Diplopia.

Pulse

Pulse full; irregular; hard; slow; small.

Generalities

Face red and bloated. Cannot walk or keep on the feet in a darkened room, is sure to fall. Saliva decreased; painless diarrhœa having a cadaverous odor; retention of urine in any fever; menses profuse; sighing respiration; restlessness of the body; staggering when walking; pithy, numb feeling of outer parts. Complaints concomitant to morbid sleep.

Epilepsy; spasms in general, especially clonic puerperal convulsions; involuntary motions; hydrophobia.

Worse

During perspiration; after sleep, when first awakens from sleep will shrink away as if in fear; in the dark; in solitude.

Better

In company.

Remedies following

Bellad., Bryon., Hyosc., Nux vom., sometimes, Acon.

Antidotes

Bellad., Nux vom., sometimes, Hyosc., Tabac.

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

Attacks of rage with beating and striking. Desire for company and light. Twitches in the face, frowns in the forehead. Difficult deglutition from spasmodic constriction of the throat. The child awaking is frightened at everything it sees, it wants to get away from them. During the chill the head is hot, does not want to be uncovered. Red, hot face with cold feet. Excessive aversion to liquids, water, a mirror, or anything bright. excites convulsions or spasmodic constriction of throat.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Thorn-apple

General

The entire force of this drug seems to be expended on the brain, through the skin and throat show some disturbance. Suppressed secretions and excretions. Sensation as if limbs were separated from body. Delirium tremens. Absence of pain and muscular mobility especially of muscles of expression and of locomotion. Gyratory and graceful motions. Parkinsonism.

Mind

Devout, earnest, beseeching and ceaseless talking. Loquacious, garrulous, laughing, singing, swearing, praying, rhyming. Sees ghosts, hears voices, talks with spirits. Rapid changes from joy to sadness. Violent and lewd. Delusions about his identity; thinks himself tall, double, a part missing. Religious mania. Cannot bear solitude or darkness; must have light and company. Sight of water or anything glittering brings on spasms. Delirium, with desire to escape (Bell; Bry; Rhus).

Head

Raises head frequently from the pillow. Pain in forehead and over eyebrows, beginning at 9 am; worse until noon. Boring pain, preceded by obscure vision. Rush of blood to head; staggers, with tendency to fall forward and to the left. Auditory hallucinations.

Eyes

Seem prominent, staring wide open; pupils dilated. Loss of vision; complains that it is dark, and calls for light. Small objects look large. Parts of the body seem enormously swollen. Strabismus. All objects look black.

Face

Hot, red; circumscribed redness of cheeks. Blood rushes to face; distorted. Expression of terror. Pale face.

Mouth

Dry; dribbling of viscid saliva. Aversion to water. Stammering. Risus sardonicus. Cannot swallow on account of spasm. Chewing motion.

Stomach

Food tastes like straw. Violent thirst. Vomiting of mucus and green bile.

Urine

Suppression, bladder empty.

Male

Sexual erethism, with indecent speech and action. Hands constantly kept on genitals.

Female

Metrorrhagia, with loquacity, singing, praying. Puerperal mania, with characteristic mental symptoms and profuse sweatings. Convulsions after labor.

Sleep

Awaken terrified; screams with fright. Deep snoring sleep. Sleepy, but cannot sleep (Bell).

Extremities

Graceful, rhythmic motions. Convulsions of upper extremities and of isolated groups of muscles. Chorea; spasms partial, constantly changing. Violent pain in left hip. Trembling, twitching of tendons, staggering gait.

Skin

Shining red flash. Effects of suppressed eruption in scarlatina, with delirium, etc.

Fever

Profuse sweat, which does not relieve. Violent fever.

Modalities

Worse, in dark room, when alone, looking at bright or shining objects, after sleep, on swallowing. Better, from bright light, company, warmth.

Relationship

Compare especially: Hyoscy and Bellad. It has less fever than Bellad, but more than Hyos. It causes more functional excitement of the brain, but never approaches the true inflammatory condition of Bellad.

Antidotes: Bellad; Tabac; Nux.

Dose

Thirtieth potency and lower.

Leaders in Homoeopathic Therapeutics

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

Leaders

Wildly delirious, with red face and great loquacity. Loquacity.

Pupils widely dilated; wants light and company; fears to be alone; wants hand held.

One side paralyzed, the other convulsed.

Awakens with a shrinking look; frightened; afraid of the first object seen.

Painlessness with most complaints (Opium.) Jerks the head suddenly from pillow in spasms.

The last of the trio is pre-eminently the high-grade delirium remedy, differs from the other two chiefly in the degree of intensity.

The raving is something awful singing, laughing, grinning; whistling, screaming, praying piteously or swearing hideously, and above all remedies loquacious. Again the patient throws himself into all shapes corresponding to his changeable delirium, crosswise, length-wise, rolled up like a ball, or stiffened out by turns, or, especially, repeatedly jerks up suddenly his head from the pillow. Things look crooked or oblique to him.

The whole inner mouth as if raw; the tongue after a while may become stiff or paralyzed. Stools loose blackish, smelling like carrion, or no stool or urine. Later there may be complete loss of sight, hearing, and speech with dilated, immovable pupils and drenching sweat which brings no relief, and death must soon close the scene unless Stramonium helps them out.

By way of still further comparison Stramonium is the most widely loquacious.

Hyoscyamus is the most insensibly stupid.

Belladonna in this respect stands half way between.

Stramonium, throws himself about, jerking head from pillow.

Hyoscyamus, twitches, picks and reaches, otherwise lying pretty still.

Belladonna, starts or jumps when falling into or awaking from sleep.

All have times of wanting to escape.

The same state of mind and sensorium is found in chronic and acute manias. I have cured several such cases. One was a lady about thirty years of age, who was overheated in the sun, on an excursion. She was a member in good standing in the Presbyterian church, but imagined herself lost and called me in six mornings in succession to see her die. Lost, lost, lost, eternally lost, was her theme, begging minister, doctor and everybody to pray for, and with her. Talked night and day about it. I had to shut her up in her room alone for she would not sleep a wink or let anyone else.

She imagined her head was as big as a bushel and had me examine her legs, which she insisted were as large as a church. After treating her several weeks with Glonoine, Lach., Natrum carb. and other remedies on the cause as the basis of the prescription, without the least amelioration of her condition, I gave her Stramonium, which covered her symptoms, and in twenty-four hours every vestige of that mania was gone.

But for the encouragement I gave the husband that I could cure her she would have been sent to the Utica Asylum, where her friends had been advised to send her by the allopaths. I gave her the sixth dilution or potency.

I cured a case just as bad since then with the C M. potency. I could relate other experience, just as remarkable, cured with this remedy, but why do so? Aside from the uses of the remedy, which are the main ones, I will mention now a few symptoms that have been found very reliable guides:

Staggers in the dark with eyes closed.

Eyes wide open; prominent, brilliant pupils widely dilated.

Desires light and company.

Face hot and red, cheeks circumscribed.

Convulsions, aggravated in bright light.

Mouth and throat dry. (Bell.)

Fear of water and aversion to all fluids.

Metrorrhagia, with characteristic mind symptoms.

Great pain in hip disease, or abscesses.

One side paralyzed, the other convulsed. (Bell.)

Entire absence of pain. (Opium)

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

Mental derangement especially in drunkards. Loquacious delirium and mania. Attacks of rage with beating and striking persons. Desire for company and light. Very changeable disposition ; alternate ; anticipation of death and rage ; laughable gestures and melancholy deportment ; affected haughtiness and inconsolableness ; loud laughing and groaning. Mania-a-potu with clonic spasms, with consciousness and desire for light and company. Insensibility to mental impressions.

Head

Staggering vertigo with obscurations of vision, headache and red face, colicky pain and diarrhœa. Stupefaction with vanishing of vision and bearing, and convulsive movements of the head. Fainting with paleness of the face, dryness in the throat, an, subsequent red face. Congestion of blood to the head, with pulsation in the vertex, loss of sight and hearing, bloated turgid face, total loss of consciousness, and painlessness. Inflammation of the brain, with beat and pulsation of the vertex, attacks of fainting, loss of sight and bearing, convulsive movements of the head, frequently raising the head up or bending it backward, better while lying still. Hydrocephalus with convulsive motions of the head, sensation of lightness of the head, and frequently raising the head up. Painful dark-red swelling of the highly-congested head and turgid face, with convulsive movements, delirium, and desire for light and company.

Eyes

Red, inflamed, swollen eyes. Staring, glistening eyes. Photomania. Contortion of the eyes and eyelids. Pupils dilated, insensible. Blindness (at night), (periodical). The objects appear blue. Double vision, the objects appear oblique.

Ears

Wind is rushing out of the ears. Hardness of hearing ; deafness.

Face

Red, swollen, turgid face. Circumscribed redness of the face. Stupid distorted countenance. Anxiety and fear is expressed in the countenance. Deep furrows and wrinkles in the face. Distortion of the mouth. A yellow stripe in the red part of the lip. Trembling of the lips.

Mouth and Throat

Grinding of the teeth. Dryness of the mouth ; dry, sticky lips. Violent thirst (for large quantities, drinking with avidity). Fear of water and aversion to all fluids. Bloody froth before the mouth. Difficult deglutition from dryness and spasmodic constriction of the throat. Swelling and paralysis of the tongue. Stuttering with distortion of the face. Speechlessness.

Stomach and Abdomen

The food tastes like sand or straw, or they have no taste at all. Violent (spasmodic) hiccough. Bitter taste in the mouth. Vomiting of sour mucus or green bile. Anxiety in the pit of the stomach with dyspnœa. Abdomen hard, tymphanitic. Painfulness of the abdomen when moving and to the touch. Pain in the abdomen as if the navel were pulled out. Hysterical abdominal spasms.

Stool and Anus

Constipation ; unsuccessful urging to go to stool. Putrid smelling diarrhœic stools. Discharge of clotted blood through the anus.

Urinary Organs

Suppressed secretion of urine (in typhus). Involuntary secretion of urine. The urine is only discharged in drops with constant painful urging.

Sexual Organs

Menstrual flow too profuse of black blood in large clots. Metrorrhagia. Eclampsia. During menstruation rank stench of the body. Too profuse secretion of milk in nursing-women.

Respiratory Organs

Difficult sighing breathing. Spasms in the pectoral muscles. Constriction of the tic chest with dyspnœa. Constrictions of the larynx. Fine shrieking voice. Periodically returning attacks of painless, barking, spasmodic cough, in fine shrieking tone, from constriction of the larynx and chest, without expectoration.

Back

The back is drawn backwards.

Extremities

Upper. Convulsive movement of the arms over the head. Trembling of the hands. The hands are closed to a fist. The fingers go to sleep. Lower. Twitching in the limbs. Trembling of the feet. The legs give way when he walks ; he falls over his own legs.

Generalities

Trembling of limbs (also in drunkards). Tingling in the limbs ; sensation as if the limbs were separated from the body. Spasms and convulsions, caused whenever he is touched, or from light and glittering objects. Cataleptic stiffness and immovability of the body. The body is bent backwards with distorted countenance. Convulsions (in children) with profuse perspiration, followed by sleep. St. Vitus' dance ; eclampsia. Epileptic convulsions with consciousness. The movement of the muscles subject to the will is easier and increased. Painlessness with most all ailments. Suppression of all secretions and excretions.

Sleep

Deep stupefied sleep with snoring. He lies on his back with open staring eyes. Sleep interrupted by screams. Frightful visions during sleep.

Fever

Pulse very irregular, generally full, hard and quick, or small and rapid, at times slow and scarcely perceptible, occasionally intermitting and trembling. Chill and general coldness with redness of the face and twitches. General coldness in the afternoon after previous heat of the head and face, followed by general heat. During the chill great sensitiveness to being uncovered. Chill running down the back. Heat over the whole body, with red face and perspiration. Hot red face with cold hands and feet. Anxious heat with vomiting. Profuse perspiration already during the heat with violent thirst. Greasy, oily, putrid-smelling perspiration. Cold perspiration over the whole body fever. Intermittent fever. Chill over the whole body without thirst, followed by heat with anguish ; sleep during the hot stage, and violent thirst after waking up, which causes a stinging in the throat, until he drinks something.

Skin

Suppressed eruptions and the consequences from it.

Conditions

Aggravation after sleep (in the morning) ; during perspiration ; from being touched ; from looking at glistening objects ; in the dark ; when alone. Amelioration from bright light.

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

Datura stramonium. Thorn-apple. Jamestown-weed. Stink-weed. (Grows in vicinity of cultivation on rank soil where refuse is deposited in all parts of the world.) N. O. Solanaceæ. Tincture of fresh plant in flower and fruit.

Clinical

Anasarca (after scarlatina). Aphasia . Apoplexy. Burns. Catalepsy. Chordee. Chorea. Delirium tremens . Diaphragmitis. Ecstasy. Enuresis. Epilepsy. Erotomania. Eyes, affections of . Headache; from sun. Hiccough. Hydrophobia . Hysteria. Lochia, offensive. Locomotor ataxy. Mania . Meningitis. Nymphomania. Œsophagus, spasm of. Scarlatina. Stammering. Starting . Strabismus. Sunstroke. Tetanus. Thirst. Tremors . Trismus. Typhus.

Characteristics

The first to use Stram . in medicine, according to Teste, was Stoerck, who was one of Hahnemann's predecessors Stoerck first tried it in mental alienation, because it was supposed to produce "a marked and persistent disorder of the mental faculties." Hahnemann proved it, and introduced it into the homœopathic materia medica. In his introduction to the remedy he points out that, though it produces many uncomfortable symptoms, it does not in its primary effects cause actual pain . Hahnemann attached a good deal of importance to this. " Stram .," he says, "allays some spasmodic movements, and restores suppressed excretions in several cases in which absence of pain is a prominent symptom." In addition to the absence of pain there is with Stram . (and in many mental cases) an extreme muscular mobility. This mobility affects muscles of expression and muscles of locomotion. The movements of Stram . are generally gyratory and graceful when they occur in the arms. The forms of mania specially mentioned by Teste as calling for Stram . are: Nymphomania of lying-in women. Certain forms of religious monomania, in exaggerated and ridiculous scruple of conscience. Fixed notion that some unpardonable sin has been committed (which the patient is nevertheless unable to remember); that he is possessed of the devil. Hallucinations. The delirium of Stram . is for the most part terrifying. It corresponds exactly to many cases of delirium tremens. Visions of animals enter largely into it. In a case of severe pleuro-pneumonia of right side, supervening on scarlatina, the patient, a young man, said he saw a large black dog about the room. This led me to give Stram ., which rapidly altered the whole case for the better, including the pneumonia, and resolved a situation of no little anxiety. Stram . is also called for in congestions without actual inflammation, but with high mental exaltation and furious delirium and little or no fever; without pain but with some coma. J. Emmons Briggs ( New Eng. M. Gaz ., xxx. 151) relates this case of poisoning: Briggs had an urgent call to see James M., 4, in "convulsions." He found him lying on the bed in a state of wild delirium, requiring the constant combined efforts of two people to keep him in bed. Face exceedingly flushed; expression becoming in rapid alternation pleasant and anxious. Pupils widely dilated; iris scarcely visible, giving the eye a very brilliant appearance. Marked convergent strabismus, skin hot and dry, resembling scarlatina eruption. Abdomen tense. The most alarming symptom was rapidly recurring convulsions with twitching of the arms and lower limbs. Thirty or forty of these spasms occurred in rapid succession, followed by a moment during which the countenance brightened and seemed at rest, only to be followed in an instant by a series of clonic contractions. Grasping at imaginary objects before the eyes, when expression frequently became anxious, as if the patient was trying to ward off imaginary foes. At times the mind was very active, and the patient talked rapidly and incoherently. Between the spasms laughter and crying frequently occurred. The boy, it transpired, had been chewing a Thorn-apple. When he came home he seemed rather dazed, and vomited. He then threw himself on the sofa and slept very soundly till he awoke in the convulsions. The boy recovered under Kali bro . in five-grain doses, though it was with great difficulty that he was made to swallow. This difficulty of swallowing is a marked feature of Stram ., and with the intense thirst, delirium, and hallucinations completes the picture of many cases of hydrophobia. Another symptom indicating it here is " < by bright light, mirror or surface of water." S. A. Jones (quoted A. H ., xxii. 410) relates the case of a little girl with brain symptoms for whom he had prescribed a remedy. The report was brought late at night, that the patient was much worse. "She vomits," said the father, "if she even raises her head from the pillow." The vomit was green . Jones found this under Stram . by aid of the Cypher Repertory. He gave Stram ., and the next morning the case was entirely changed for the better. Acting on this analogue, Jones also cured a "vomiting of green stuff always induced by bright light." On the other hand, the Stram . patient is dependent on light and company; cannot walk in the dark (hence it is indicated in locomotor ataxy); and going through railway tunnels without a light in the carriage may cause fainting. Some of the head-movements of Stram . are characteristic: Continually jerks head up from pillow; head bent back; boring head into pillow. The twitchings of single muscles and the squint mark Stram . as the remedy for many cases of chorea. I find it correspond to about an equal proportion with Agaricus ; and when there is fright in the causation Stram . will almost certainly avail. Stram . has a relation to the hip-joints, and Stram . has cured both coxalgia and morbus coxæ (left). This is accompanied by very severe pain, and is one exception to the "painlessness" of Stram . affections. The effect of Stram . on the secretions is to suppress them; and this makes Stram . an excellent remedy in many cases of illness due to suppressed secretions ─ menses, lochia, sweat, eruptions. Stram . causes high fever with rashes, some scarlet, like scarlatina; petechiæ; spots on the arms like flea-bites; vesications; and it corresponds also to burns and scalds. Stram . 30 caused the face of a boy to whom I gave it to swell and come out in blotches soon after commencing the remedy. (I have seen Dulc . 30 produce furfuraceous rash on the face in the same way.) In a case of mine Stram . relieved an extensive eczematous eruption which came on after a fright. As a result of suppressions convulsions occur. These may be general, or they may be partial or choreic. The convulsant, spasmodic properties of Stram . are shown in the respiratory sphere in constriction of the chest, asthmatic symptoms, and cough of the whooping-cough type. The common practice of smoking Stramonium leaves for asthma is roughly homœopathic. Peculiar Sensations of Stram . are: As if spinning or weaving. As if objects were smaller than they really are. As if dizzy. As if he had no limbs. As if drunk. Head as if drawn backward. Starts as if a shock of electricity had been passed through her body. As if eyes were forced out. As of sparks of fire rushing from stomach to eyes. Eyelids as if swollen, or as if oppressed with sleep; as of wind rushing out of ears. As if sawing cheek-bone; as if a hole were there and the brain were touched. As if nose were shifted. As if pins and needles were in forehead. As if he was seeking something. As if bones were sawed through. As if front teeth would fall out. Teeth as if pressed together. Moving fingers as if searching for something. Cries as if from sight of hideous objects. As if lips would grow together. Inner mouth as if raw. Soft palate as if drawn down. As of boiling water in throat. As if a ball were wedged in throat. As if falling. As if he would vomit. As if navel were to be torn out. Abdomen as if puffed up. As if abdomen were expanded to extremest degree. As if urine could not be passed on account of narrowness of urethra. As if a cylindrical body were being passed through urethra. As if he had not power to close neck of bladder. As if very tall. As if something turned round in chest. Limbs feel as if gone to sleep. As if parts of limbs were completely separated from body. Hands and feet as if loose in joints. As if cold water were poured down back. Stram . is an ill-smelling plant, and the discharges and secretions it causes are often foul and even cadaveric in odour. Stram . is Suited to: Ailments of young, plethoric persons; especially of children (chorea, mania, fever, delirium). The symptoms are: < By touch; by pressure. Motion < ; removing head from pillow = vomiting of bile; walking = involuntary micturition; walking in dark = vertigo. < After motion (vomiting of bile; palpitation; pain in back, shoulder, and abdomen). Whilst sitting: involuntary micturition; cough = lower limbs to be jerked up. Lying > pulsating heat of vertex; in evening prosopalgia in l. cheek; = cutting pain in sternum. Lying on side < vertigo. Warmth > . Wind < . Cold < . < Evening and night. < In dark. > In light. > In company. < Looking at shining objects, water, &c. < Sun. Great desire for acids; citric acid > .

Relations

Antidoted by: Lemon-juice, Vinegar, Tobacco injections; Senna for cerebral symptoms; Bell., Hyos., Nux; and "Particularly Camphor" (Teste). Antidote to: Merc., Pb. Follows well: Cupr., Bell. Incompatible: Coffea. Compare: Metrorrhagia, from retained placenta with characteristic delirium, Sec. (Sec. often acts when Stram . fails), Pyro. (with fever and septic tendency). Delirium, Bell., Lach., Agar., Cupr., Zn. Illusions of shape, Bapt., Petr., Thuj. Erysipelas, Bell., Rhus. Stuttering; unable to combine consonants with vowels, Bov. Bright light = convulsions, K. bro. > Light, Stro. Hiccough, Ign. ( < after eating, smoking, emotions), Ver. (after hot drinks). Hears voices from far off talking to him; behind him, Anac. Body bathed in hot sweat. Op. Gyrating movements (Hyo., angular). Loquacity, Cup., Hyo., Lach., Op., Ver. Hands constantly on genitals, Zn. Laughs and weeps by turns, Aur., Pul., Alm., Lyc., Caps., Graph., Phos., Sep., Sul., Ver. Tetanic convulsions < touch and light, Nux (Stram. with mania; Nux, mind clear). Desire to escape in delirium, Bell., Bry., Op., Rhus, Hydrophobia, Hfb. Painlessness, Op. Sleepy, but cannot sleep, Bell., Cham., Op. < After sleep, Apis, Lach., Op., Spo. Objects appear small, Plat. Night-blindness, Bell., Nux.

Causation

Shock. Fright. Sun. Childbirth. Suppressions.

Mind

[The principal range of this remedy is found in the mental affections. ─ In young people who are sometimes hysterical, showing the following condition: praying and singing devoutly, beseeching, entreating, &c. ─ Young women with suppressed menses may be affected in this manner. ─ In some kinds of fevers, where the patients can't bear solitude or darkness, if they are left alone or are in a dark room, the mental affections are very much < ; also in unconscious delirium when the patient will every now and then jerk up the head from the pillow, then let it fall again, this being kept up without intermission for a long time; women in puerperal fever or convulsions have many absurd notions ─ that they are double, that some one is in bed with them, and other strange and unmeaning fancies. ─ Affections of the intellect in general; madness. ─ H. N. G.]. ─ Melancholy. ─ Sadness, with deadly anguish, and copious tears, esp. in evening, in bed. ─ Anguish of conscience. ─ Inconsolable disposition, and susceptibility to irritation by trifles. ─ Great activity and rapidity of movement. ─ Obstinacy and self-will. ─ Bursts of laughter, alternating with choleric passion or moaning. ─ Howling and groans. ─ Murmurs, or continued cries. ─ Ungovernable fury, desire to bite, to strike and to kill. ─ At one time great indifference to matters of business, at another time fear of being found incapable of discharging them properly. ─ Love of procrastinating and loss of will-power (cured in a man, 75 ─ R. T. C.). ─ Desire to run away. ─ Desire for society, candle-light, sunshine, because darkness and solitude < the moral symptoms. ─ The moral Symptoms are < -After the autumnal equinox. ─ Loss of memory (loses thoughts before she can utter them; calls things by wrong names). ─ Dulness of all the senses, insensibility to external influences (insensibility to mental impressions). ─ Dizziness, with internal agitation. ─ Mental derangement, esp. in drunkards. ─ Loquacious delirium and mania. ─ Mania-à-potu with clonic spasms and desire for light and company. ─ Deliria, generally characterised by terror, with visions of frightful spectres. ─ Loss of consciousness, so that the patient forgets his own Relations. ─ Fixed ideas; the body is supposed to be cut in two. ─ Carphologia. ─ Delusions of fancy, in which all surrounding objects appear to be very small, and the sufferer himself very large, and on an elevation. ─ Deliria, with strange ideas. ─ Mental alienation, with praying and pious actions (prayers, hymns, devout aspect, &c.). ─ Mania, generally with endless fictions of imagination, lascivious talking, conversation with spectres, affectation of importance, dancing, laughter, and blows, or ridiculous buffoonery, in constant alternation with sad and serious behaviour. ─ Hallucinations: a voice near r. mastoid process scolding her; frightful, of rats, mice, cats, dogs, and animals moving. ─ Hallucinations that = terror or rage. ─ Saw people coming out of all corners. ─ Rush of blood to head with furious loquacious delirium. ─ Fear: of losing his senses; that his lips will grow together; that he will suffocate; of failing; of everything falling on her. ─ Boy seemed to see black objects, spoke of black people, black clouds, and grasped at air. ─ Awakens with a shrinking look as if afraid of first thing she sees. ─ Dulness of senses before a rash. ─ Conversing in different languages. ─ Talking in Jewish jargon. ─ Ecstatic. ─ Mania from shock. ─ Nervousness and restlessness.

Head

Intoxication and dizziness. ─ Vertigo; cannot walk in the dark, failing to l. or backward. ─ Vertigo, with giddiness and staggering, or with clouded sight, headache (red face, colicky pain and diarrhœa). ─ Vertigo, head feels drawn backward. ─ Stupefaction With vanishing of vision and hearing, and convulsive movements of head. ─ Headache, with clouded sight and dysecoia. ─ Headaches with tendency to speak incoherently (much relieved. ─ R. T. C.). ─ Anæmia of the brain in old people (relieved. ─ R. T. C.). ─ Distressing sensation of lightness and weakness in head. ─ Woke up with fearful headache and extreme sickness, got up at noon but could hardly speak to any one all day; this went on for three days and then left (produced in a woman, 60, fourth day after single dose of Ø. ─ R. T. C.). ─ Head feels empty, hollow; sensitive to every sound. ─ Throbbing pains in vertex, with syncope. ─ Congestion of blood to head, with heat. ─ Congestion of blood to head, pulsation in vertex, loss of sight and hearing, bloated, turgid face, total loss of consciousness, and painlessness. ─ Inflammation of brain, with heat and pulsation of vertex, attacks of fainting, loss of sight and hearing, convulsive movements of head, frequently raising head up or bending it backward; > while lying still. ─ Hydrocephalus with convulsive movements of head, sensation of lightness of head, and frequently raising head up. ─ Painful dark-red swelling of the highly congested head and turgid face, with convulsive movements, delirium, and desire for light and company. ─ Retraction and convulsive movements of head. ─ Lifting head frequently from pillow when lying down. ─ Bores head into pillow. ─ Bends head backward. ─ L. side of head numb. ─ Head perspires more than usual.

Eyes

Eyes red (inflamed) and swollen. ─ Pressure and tension in eyes and lids. ─ Inflammation of margins of lids. ─ Eyelids ulcerated. ─ Involuntary lachrymation. ─ Nocturnal agglutination of eyes. ─ Eyes wide open, staring, prominent. ─ Conjunctiva injected, as if the vessels were filled with dirty liquid. ─ Eyes fixed, wide open, and sparkling. ─ Eyes half open in sleep. ─ Photomania. ─ Vague, melancholy look. ─ Paralysis and spasmodic closing of lids. ─ Eyes convulsed. ─ Contortion of eyes and lids. ─ Marked convergent strabismus. ─ Pupils dilated and insensible. ─ Cloudiness of sight. ─ Transient blindness. ─ Blindness (at night), periodical. ─ Objects appear blue. ─ Myopia. ─ Diplopia. ─ Indistinct, confused sight. ─ (Everything looks jumbled up. ─ R. T. C.). ─ (Used as a lotion to prevent cataract by a well-known oculist. ─ R. T. C.). ─ Amblyopia. ─ Confusion of letters, when reading. ─ Errors of vision; objects appear oblique or coloured. ─ Illusions of vision. ─ Hallucinations dark; black spots before eyes. ─ Luminous vibrations; fiery sparks. ─ Sees balls of fire roll over the counterpane. ─ Sensation as of sparks of fire rushing from stomach to eyes.

Ears

Wind rushes out of both ears. ─ Dryness in Eustachian tube. ─ Pains in ears. ─ Pain in l. ear pressing down to l. side of cheek. ─ Tearing pain in r. ear with shooting through forehead and vertex. ─ Hearing very acute. ─ Hallucinations of hearing. ─ Deafness. ─ Deafness of r. ear improves at once from 30th (twitching of pomum Adami led me to it. ─ R. T. C.).

Nose

Obstruction of the nose. ─ Alæ nasi white, face red. ─ Nasal discharge yellow, bad-smelling, quickly liquifies. ─ Nose feels obstructed and dry, though she is able to breathe through it. ─ The cold of Stram . is accompanied by catarrh of nasal passages and shooting pains over r. eye (produced. ─ R. T. C.). ─ Spasmodic sneezing.

Face

Dull and bewildered air, with timid behaviour. ─ Stupid, distorted countenance. ─ Anxiety and fear is expressed in the countenance. ─ Sardonic grin. ─ Painful distortion of features. ─ Facial muscles in constant play during delirium. ─ Twitching in muscles of face; frowns on forehead. ─ L. side of face for moments distorted with painless convulsions; contraction of zygomatic muscles draws cheeks and mouth from below up, and from face backward to temples. ─ Face deeply furrowed and wrinkled. ─ Face bloated, puffed with blood, sometimes with an idiotic expression. ─ Circumscribed redness of cheeks. ─ Hot cheeks. ─ Blood rushing to face. ─ Deep red, or very pale colour of face. ─ Fainting with paleness of face, dryness in throat, and subsequent red face. ─ Erysipelas on one side of face and nose. ─ Boils come out on face while taking Stram . (R. T. C.). ─ Lips dry and glued together. ─ A yellow streak in red part of lips. ─ Quivering in lips. ─ Distortion of the mouth. ─ Crawling sensation on chin. ─ Chewing motion with mouth. ─ Mouth spasmodically closed. ─ Lock-jaw.

Teeth

Grinding of the teeth. ─ Pulsative toothache, as if the teeth were going to fall out.

Mouth

Dryness of mouth (dry fauces and dry, sticky lips). ─ Dribbling of glairy saliva from mouth. ─ Copious salivation. ─ Saliva decreased. ─ Sanguineous froth before mouth. ─ Hæmoptysis. ─ Tongue swollen and paralysed. ─ Tongue felt stiff, dry, and parched to the very root; as if edges rolled up as hard and dry as leather. ─ Tongue paralysed, trembles when put out. ─ Imperfect speaking and stammering (with distortion of face). ─ Continued murmurs. ─ Complete loss of speech. ─ A trembling tongue.

Throat

Spasmodic constriction of throat. ─ Impeded deglutition, with shootings in throat, or pressure in submaxillary glands. ─ Deglutition obstructed, sometimes by dryness in throat. ─ Dryness of throat and fauces not > by any sort of drink. ─ Paralysis of pharynx and œsophagus. ─ Contracting, tearing in throat; sensation as if a ball were lodged in throat. ─ Twitching of pomum Adami, up and down movement as in swallowing (R. T. C.). ─ Spasm of œsophagus.

Appetite

Loss of taste. ─ Food tastes only of sand, or straw (or has no taste at all). ─ Violent thirst (for large quantities, drinking with avidity). ─ Violent thirst, esp. for acid drinks. ─ Constant bitterness in mouth, with bitter taste of food. ─ Burning thirst, generally with dread of water and all liquids.

Stomach

Risings, with sour taste. ─ Nausea. ─ Watery vomiting, with colic and diarrhœa. ─ Vomiting of mucus, which is greenish, or of a sour smell. ─ Vomiting of green bile after slight exercise. ─ Convulsive hiccough. ─ Pain in stomach, with smarting or pressive sensation. ─ Anxietas precordium, with obstructed respiration. ─ (Inflammation of stomach.). ─ Diaphragmitis; delirium; burning along diaphragm; short-breathed; spasms; struggles against the water offered.

Abdomen

Abdomen painful when touched. ─ Abdomen distended, not hard. ─ Abdomen inflated, hard, distended. ─ Contusive pain in abdomen during movement. ─ Violent pains in abdomen, as if navel were being torn out. ─ Hysterical spasms in abdomen. ─ Swelling of inguinal glands. ─ Borborygmi and fermentation in abdomen. ─ Expulsion of much flatus.

Stool and Anus

Constipation (unsuccessful urging to go to stool). ─ Tenesmus. ─ Fetid fæces (painless) of a corpse-like smell. ─ Diarrhœa, with pain and borborygmi in the abdomen. ─ Discharge of coagulated blood from anus. ─ Suppression of both stool and urine. ─ (Stools passed unconsciously and very frequently loose, with mental derangement. ─ R. T. C.)

Urinary Organs

Suppression of secretion of urine (in typhus). ─ Emission of urine, drop by drop, with frequent want to urinate. ─ Involuntary emission of urine. ─ Urine: profuse flow; sudden; and burning.

Male Sexual Organs

Lasciviousness (exalted sexual desire in both sexes). ─ Constant uncovering of genitals; indecent talk. ─ Priapism. ─ Scrotum œdematous. ─ Testes retracted, penis erect as in chordee. ─ Onanism, causing epilepsy. ─ Impotence.

Female Sexual Organs

Nymphomania. ─ Increased catamenia, with discharge of large masses of coagulated black blood. ─ (Menses too profuse and attended with headaches. ─ R. T. C.). ─ Increased sexual desire. ─ Metrorrhagia (with characteristic mental symptoms). ─ Eclampsia. ─ During catamenia, fetid smell from body, great loquacity, drawing pains in abdomen and thighs. ─ Sobs and moaning after catamenia. ─ Too profuse secretion of milk in nursing women. ─ During pregnancy: mania; faceache; is full of strange fancies. ─ Cadaverous odour of lochia; she is full of strange fancies and visions.

Respiratory Organs

Voice: hoarse and croaking; high, fine, squeaking; indistinct. ─ (Sudden aphonia in hysterical girl just recovering from chorea. ─ R. T. C.). ─ Twitching of pomum Adami. ─ Constrictions of larynx. ─ Periodically returning attacks of painless, barking, spasmodic cough, in fine, shrieking tone, from constriction of larynx and chest, without expectoration. ─ Voice loud and bawling. ─ Want of breath. ─ Difficult (hurried or) sighing respiration. ─ Suffocating obstruction of respiration. ─ Oppression with desire for open air. ─ (Asthma continually recurring, with some gouty tendency: attacks < at night. ─ R. T. C.). ─ Dyspnœa on waking up every morning, cold winds catch her breath, "can cough at any time" (much relief. ─ R. T. C.)

Chest

Constrictive oppression on chest (with dyspnœa). ─ Pressure on chest, < by speaking. ─ Sensation, as if something were turning over in chest. ─ Spasm in pectoral muscles. ─ Red rash on chest.

Heart and Pulse

Pressure about heart. ─ Angina pectoris. ─ For a week after single dose of Ø felt as if heart beat insufficiently, and had a suffocating feeling in throat (R. T. C.). ─ Palpitation. ─ Pulse rapid, full, strong; irregular, hard, slow, small, frequent.

Neck and Back

Neck stiff, cannot bend head backward. ─ Pain in nape, from neck over head. ─ Sensitiveness along spine. ─ Pain as of a fracture in back, when moving. ─ Drawing and tearing in the back and loins. ─ Spine sensitive; slightest pressure = outcries and ravings. ─ Drawing pains in middle of spine; in sacrum. ─ Opisthotonos (with distorted countenance).

Limbs

Twitching of hands and feet; of the tendons. ─ Trembling of limbs; they fall asleep.

Upper Limbs

Convulsive movements of arms, above head. ─ Convulsive movements of arms and hands; carphologia. ─ Contractive pain in arm, with acute lancinations in forearm. ─ Distortion of hands. ─ Clenched fists. ─ Cramps in hands. ─ Trembling of hands. ─ Numbness of fingers.

Lower Limbs

Coxalgia, l. hip; violent, distracting pain when abscesses form. ─ Pain in muscle of outer side of r. hip. ─ Morbus coxæ, l. ─ Drawing pains in thighs. ─ Jerking in legs, as from a shock, with retraction. ─ Drawing pains in thighs. ─ Bending of legs when walking (he falls over his own legs). ─ Trembling of feet. ─ Contractive cramps in feet.

Generalities

Face red and bloated. ─ Cannot walk or keep on the feet in a darkened room. is sure to fall. ─ Restlessness of the body; staggering when walking; pithy, numb feeling of outer parts. ─ Complaints concomitant to morbid sleep. ─ < During perspiration; after sleep, when first awakens from sleep will shrink away as if in fear; in the dark; in solitude. ─ > In company. ─ The Stram . patient longs for light; if lying down, longs to sit up, and dislikes having head on pillow. ─ Spasmodic, drawing, paralytic pains in muscles and joints of limbs. ─ Contractive cramp in limbs. ─ Tingling in the limbs. ─ Sensation as if limbs were separated from body. ─ Slow contraction and extension of limbs. ─ Attacks of cramps of different kinds. ─ Tetanus. ─ Opisthotonos (the body is bent backwards with distorted countenance). ─ Cramps, and other hysterical sufferings. ─ Stiffness and contraction of several of the limbs. ─ Attacks of cataleptic stiffness in body, with loss of consciousness, preceded by headache with vertigo. ─ Easy movement, or great heaviness, of limbs. ─ Involuntary motions; hydrophobia. ─ Excessive aversion to liquids. ─ Convulsions, which resemble St. Vitus' dance. ─ Convulsions (in children) with profuse perspiration followed by sleep. ─ The movement of the muscles subject to the will is easier and increased. ─ Convulsive jerking of limbs, with weeping. ─ Convulsive movements and jerks, esp. on touching, or fixing the eyes on brilliant objects (such as a candle, a mirror, or water), or else appearing periodically. ─ Convulsions, as in epilepsy, but without loss of consciousness. ─ Puerperal convulsions. ─ Syncope, with stertorous breathing. ─ Unconscious snoring; jaws hang down; hands and feet twitch; pupils dilated. ─ Trembling of limbs (also in drunkards). ─ Tottering of limbs, when walking, and when standing upright. ─ Paralysis, sometime, after an attack of apoplexy. ─ (General paralysis of insane. ─ R. T. C.). ─ Symptoms as from old age, sight becomes dim, has to use glasses, mind gets weak, cannot complete sentences, avoids people and suspects them; wakes with r. arm over his head and cannot get it down again (produced. ─ R. M. Theobald.). ─ Weakness, with necessity to lie down. ─ Suppression of all secretions and excretions. ─ Painlessness with most all ailments. ─ Movements hurried. ─ Restlessness and nervousness beyond description. ─ Whole body sensitive to touch and every movement < .

Skin

Suppressed eruptions and the consequences thereof. ─ Intense, bright, scarlet-red rash over whole body.

Sleep

Strong disposition to sleep by day. ─ Deep sleep, with snoring, cries, and howling. ─ Lies on back with open, staring eyes. ─ Restless sleep, with tossing about, twitching, and screaming. ─ (Restlessness of old age; she constantly wakes up those about her. ─ R. T. C.). ─ Comatose somnolency, with a ridiculously solemn expression of countenance on waking. ─ (Boy wakes in a great fright from indefinable terrors; stammers and puffs on least excitement. ─ R. T. C.). ─ Agitated sleep, with vivid dreams. ─ Frightful visions during sleep. ─ Kneeling position in bed, and starting at least touch, with shrieks and wild gestures.

Fever

Coldness of whole body, esp. of limbs, with shaking and shivering and general jerking. ─ Coldness of hands and feet, with redness of face. ─ General coldness in afternoon after previous heat of head and face, followed by general heat. ─ During chill great sensitiveness to being uncovered. ─ Chill running down back. ─ Heat over whole body, with red face and perspiration. ─ Profuse perspiration already during the heat with violent thirst. ─ Greasy, oily, putrid-smelling perspiration. ─ Cold perspiration. ─ Intermittent fever. ─ Chill over whole body without thirst, followed by heat and anguish; sleep during hot stage, and violent thirst after waking up, which causes a stinging in throat, until he drinks something. ─ Heat, with anxiety, and redness of cheeks, or else with thirst and vomiting. ─ At first, heat in head, then general coldness, followed by heat and thirst. ─ Pulse very irregular generally full, hard, and quick, or small and rapid, at times slow and scarcely perceptible, occasionally intermitting and trembling. ─ Frequent profuse sweat, also at night. ─ Retention of urine in any fever.

The Guiding Symptoms of Our Materia Medica

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

Mind

Dulness of senses ; before a rash.
Coma, spasms ; later snoring, unconscious, jaw hangs, hands and feet twitch, eyes roll ; pupils dilated ; automatic grasping of hands toward nose, ears, etc. ; difficult to swallow liquids.
Continual motions with hands and arms as if spinning or weaving ; frequent lifting up head, red face, staring eyes, with large immovable pupils, constant murmuring, frequent sighing, total stupefaction of senses.
Semi-conscious ; dilatation of pupils marked.
Consciousness totally lost ; did not answer questions ; stared around stupidly ; pupils much dilated, insensible to light ; signs of vertigo, aversion to fluids.
Face red ; eyes uneasy, shining ; pupils much dilated, staring, immovable ; drunken look ; unconscious ; disconnected talk ; jumped up ; restless ; started ; grasped about in air, catching at imaginary things, no fever ; slow, tardy
pulse ; chills ; perspired, skin warm ; drink swallowed hastily.
Unconscious ; snoring ; lower jaw hanging down ; twitches of hands and feet ; rolling eyes ; dilated, immovable pupils ; automatic motions ; grasping about with hands ; skin cool ; pulse somewhat frequent, single beats
omit ; greatest difficulty to swallow liquids.
Sat up in bed unconscious, continually babbling, occasionally starting up suddenly, his hands apparently directed to imaginary things in air ; pulse very slow, no fever, intense thirst and violent sweat from incessant motion.
He was mute, did not move ; pulseless ; limbs lame for six or seven hours ; lying without consciousness ; after that tossed about in bed with great rage, made innumerable signs to those around him, which were not understood, and then became quiet again.
Unconscious and stupid : during chill ; < in hot stage, sometimes during sweat ; in typhus.
Stupor : weakened intellect ; torpor and fits ; extreme excitement of sexual parts, constipation ; resembling highest state of intoxication from spirituous liquors.
Loss of memory.
Paroxysms of loss of memory, during which he recognizes neither persons nor objects ; questions remain unanswered.
Memory confused ; great restlessness ; red face and staring eyes ; sadness, weeping, thoughts of dying ; stammering, gets words out with great difficulty ; cold feet, restless sleep, with visions ; fear of wild animals and black dogs.
Memory weak ; loses thoughts before she can give them utterance ; weeps about her weak mind. θ After sunstroke.
Loss of recollection appears connected with an inward uneasiness and to proceed from it.
Does not recognize his friends and family, calling bystanders as if absent. θ Typhus.
After awaking he recognizes nothing about him.
Recognizes no one, did not take any notice of loudest calling, moved her head constantly from one side to other ; forehead covered with perspiration.
Does not recognize the one to whom he is speaking.
Does not seem to notice objects around him.
Calls things by wrong names, his boots logs of wood ; his bedroom the stable, and this without knowing it.
No correct estimation of distance, or size of objects ; reaching hands to catch hold of objects across room, and running against persons and things, which they appeared to view as distant.
During fever she cannot speak or reply to any question ; shows with hands where pain is seated, and when writing down has to think what letters to use.
Uses wrong words in talking.
Desires to relate a story, but cannot connect a sentence ; cannot find right words, and becomes displeased at this interruption.
Inability to give a proper answer, rapid change of ideas, so that he seldom completed a sentence, but, e. g., united the half sentence of answer to a question addressed to a person not present.
Conversing in different languages. θ Typhus.
Talking in Jewish jargon. θ Mania.
Tries to find right expression.
Dull, difficult thinking ; cannot think clearly about anything ; loses thoughts before she can give them utterance.
After getting out of bed, vertigo and loss of thought ; everything hovers dimly and distantly before his memory, there seems to be a veil before his eyes.
Walks about room, absorbed in himself, with fixed, sparkling eyes, surrounded by blue circles, takes no notice of surrounding objects, is solely occupied with objects of his fancy.
Sits silent, with her eyes fixed on ground, as if absorbed in contemplation, while her hands are occupied in picking at her clothes.
Talks disconnected words in a high screaming voice.
Mind wandering, and unusual quick motions with eyes and hands.
Confusion of mind.
Wild thoughts when she is awake ; frightful sensations, without perspiration.
Mental derangement ; violent headache, followed by excessive delirium, loss of sight and hearing, striking about with hands and feet, excessive dilatation of pupils, slow pulse.
Mental derangement, with spasmodic symptoms, staring look, attempts to escape with shrieks, frightful visions, fever heat, redness of face, moist skin.
Aberration of mind ; one carries home all sorts of wood, in order to manufacture brandy ; another placed two axes across each other in order to split wood in this way ; a third burrowed in ground like a pig with his mouth ; a fourth alleged he was a wheelwright and
began to bore holes ; a fifth ran into forge to catch fish, which he saw swimming there ; a lacemaker threw about her bobbins incessantly, and threw everything into confusion ; another girl ran about the room and cried out that all evil spirits were pursuing her.
Stares stupidly ; looks vacantly around.
She feels dull ; stupid in head, almost insensible and indifferent to everything and everybody.
Stupid, unable to articulate, with a certain peculiar wildness of countenance and flushed face, lying in bed.
Physiognomy expresses stupidity and perturbation ; insensibility to mental impressions, with fixed, weeping eyes and enlarged pupils, hardly responding to irritation.
Stupid, after delirium.
He is like one enchanted and beside himself.
Ecstatic.
Alternations between exalted states and settled melancholy.
After spasms she fell into a trance, says she is under influence of spirits, and has had conversation with spirits, communications from God ; delivers emphatic sermons, prophecies.
Very restless in evening in bed ; converses with spirits who approach his bed, lays hold of a stick and strikes about him, to drive fiend who is after him from room ; red face, glistening eyes, great thirst, distended abdomen and great sexual excitement.
The things and persons around him appear to be changed ; although he knows that his friends are there he forgets it immediately afterward ; imagines he is quite alone in a wilderness, abandoned ; is afraid ; animals jump suddenly out of ground sideways, so
that he moved quickly to other side, where, however, others start up pursuing him, so that he runs forward.
Dreaming with open eyes. θ Typhus.
Hallucinations which terrify patient ; sees ghosts, hears voices back of his ear ; sees strangers.
He thinks that he is dying and that he will not live over night, rejoices and gives directions about his funeral.
Believes to be in his grave ; shrives, prays, asks to be killed ; accuses his wife of infidelity ; scolds, strikes at everybody who wishes to restrain him ; thinks they are dogs and barks at them to make himself understood.
Strange, absurd ideas ; thinks herself tall, double or lying crosswise ; one-half of body cut off ; bed is full of creases ; that he was killed, roasted and being eaten.
Imagines objects smaller than they really are.
Imagines he is alone, and is frightened.
Started with great force and alarm, crying out that she is going to fall, clings to her mother with as much desperation as if she were going to be thrown from a precipice.
Imagines that he is very large and tall, but surrounding objects small.
Thinks she is not fitted for her position.
Imagines she sees a number of strange people, and tries to seize them, though there are none present.
An old lady had a vision every night since six weeks, in which many persons, all strangers, came into her room and to her bedside, causing her such fear that she had to leave bed.
Saw people coming out of all corners.
"There," he replied, "a long train of bed-bugs, and after them a procession of beetles, and here come crawling over me a host of cockroaches ;" sank back in alarm, then suddenly said : "I believe I know they are not really bugs, but, except
once in a while, they seem real to me."
Woke suddenly in night and said there were snakes under and about her ; looked wild, screamed and pointed to them.
After waking, all things appeared to him as if they were new, even his friends, as if he had never seen them.
Hears dancing, music, sees men and hears them talk in foreign tongues.
Hallucinations, as if near right mastoid process a voice were scolding her, < at night, sometimes voice seemed to be under bed.
Hallucinations bring him into a rage.
Fears : he will lose his senses ; his lips will grow together ; to suffocate ; falling ; everything is falling on her ;
Frightful fancies take hold of his mind, his features express fright and terror.
Sees more horrifying images at his side than in front of him, and they all occasion terror.
Hallucinations cause fear and fright.
Exclaims about cats, dogs and rabbits approaching her from above, from side and middle of room.
Frightful figures, rats, mice ; saw animals moving, cats, dogs, etc.
He converses with absent individuals as if they were present, and addresses inanimate objects, as chessmen, by names of such persons, but observes none of those standing about him.
Patient had a constant vision of an executioner standing before him, in spite of which he was lively, talkative laughed and joked about his hallucination, yet it seemed to him a reality.
Boy seemed to see black objects, spoke of black people and black clouds, and grasped at air.
Awakens with a shrinking look, as if afraid of first thing she sees. θ Metritis.
Delirium : bland ; murmuring ; violent ; foolish ; joyful ; loquacious ; incoherent ; chattering ; with open eyes ; vivid ; merry ; with spasmodic laughter ; furious ; raving ; wild,
attempts to stab and bite ; with queerest notions ; with sexual excitement ; fear, as if a dog were attacking him ; conscious of her condition ; calls for papa and mamma, who are present and trying to console child ; with open eyes ; noisy, with
hallucinations ; shy, hides himself ; tries to escape ; full of fear ; talks incessantly, absurdly, laughs, claps her hands over head, wide-open eyes.
Rush of blood to head, with furious loquacious delirium.
Loquacious delirium ; disposed to talk continually, with desire to escape out of bed ; exposes genital organs.
Delirious and unintelligible, patient was busy with a thousand not unpleasant fantasies, made known his wants by gestures, without speaking, ran about for several days busy with his fantasies with a joyful mood.
Delirium of a lively, active, vivid character, alternating in short periods with apparent horrified, fright, seeming to dread approach of some imaginary monster, and giving utterance to most piteous appeals for help.
She rapidly became furiously delirious, struck at, pushed or attempted to bite every person who came near, or any object that was offered to her.
Delirium by day and night, without rest or sleep ; sang or whistled or entertained himself in different languages with departing people, or jumped wildly from bed to run away or to attend to business. θ Vesicular
erysipelas.
After a dreadful shock, occasioned by the death of his brother, who fell dead in his arms, talked incoherently, struck at all around him with his feet and hands, raved and spat in face of his attendants, tore his clothes, spoke at one time in Hungarian, and then in Wallachian
language ; sang Latin paternosters, declared that he was God, and then that he was the devil ; talks incessantly unintelligible nonsense ; sits down and rises again ; kneels and then pushes against wall, alternately stretching out his hands to full extent, and laying his
finger in his mouth ; tore his clothes and broke a very strong chain and padlock, with wonderful rapidity ; bored large holes in wall with his fingers ; will not answer any questions, avoids the eye ; pupils are contracted, eyes weary and collapsed ; cannot sleep or
eat.
Furibund delirium, during an attack of erysipelas faciei et capitis ; suppression of urine ; singing and whistling between paroxysms.
Delirium, tendency to throw herself out of bed, great restlessness and sleeplessness. θ Facial erysipelas.
Loquacious delirium, with desire to escape out of bed ; tongue yellowish-brown, dry on centre ; lips sore and cracked ; sordes on teeth. θ Bilious typhoid.
Mania : with fits of rage, hallucinations of sight and hearing, loss of memory ; complains that a dog is biting and tearing flesh off his chest ; merry exaltation ; with pride and affectation ; runs about, complains of violent
headache ; claps his hands together, steals from his room-mates everything he can get hold of ; with anxiety, and disposition by words and deeds to scold persons whom he otherwise loved.
Mania ; thinks he is lying on his sepulchre ; confessing, praying, wants to be killed ; laughs as if tickled ; wants to be kissed ; accuses his wife of being faithless ; scolding, beating in a rage, will not be taken hold of by attendants ; takes
them for dogs, and barks at them ; talking in Jewish jargon ; supposes his house to be surrounded by carts, Jews and geese, offending him, driving him into a rage ; pale, eats nothing, does not sleep, while muscles of face are in constant twitching motion.
Mania ; great restlessness, confused memory ; a hot face, with coldness of body alternating with anxiousness and thirst ; frequently a red face, with a staring look ; sadness, weeping, thoughts of death ; stammering and muttering before a word comes out ;
cold feet ; nervous, anxious sleep, with strange visions, fear of malicious animals, black dogs ; a young man of loose habits.
Conjunctiva injected, pupils immensely dilated ; whole expression of eyes brilliant, restless, suspicious and roving ; brow corrugated.
Mania, with convulsive attacks every half hour ; sudden falling ; grasping with fingers ; intended to scream, but could not, as mouth was full of rattling phlegm and froth on lips ; bending spine backward ; beating with one arm, grasping with other ; face
pale ; no consciousness.
Mania puerperalis.
Mania ; affects being a distinguished person, of high rank ; is full of fear.
Acute mania ; frenzy ; tears his clothing ; hallucinations ; violent impulse to be active ; threatens to use knife on those about him.
Paroxysms, during which he threatens to knock everybody down, to break furniture, to throw himself out of window.
Mania for light and company, cannot bear to be alone.
Mania, with insomnia ; very talkative ; thinks he has every imaginable disease ; that he has power over all disease ; masturbates ; at times perfectly rational ; fills his pockets with anything he can find ; thinks he
has snakes in him.
Had many strange fancies, such as imagining his wife had lovers concealed behind stove ; wandered restlessly about, and could only be restrained by force from running, out into street ; afterward had a fit that looked so much like apoplexy that he was bled.
Mania puerperalis in course of peritonitis ; phlebitis puerperalis.
Mania, originating in childbed ; sitting up, talking incessantly, in one strain for fifteen minutes, and with great vehemence ; always wants to go away.
Timid mania, in childbirth.
Delirium tremens : hallucinations which, especially at night, put patient in wildest restlessness, is chased about as if crazy ; heard continually, on right side of occiput, a loud voice, scolding, vituperating and accusing him of
ungodliness ; region of bladder distended, urine very scanty, for a few days previous, since day before, almost entirely suppressed ; constipated ; tongue white ; conjunctiva dirty yellow ; on reading letters blended, and danced before eyes ; talked continually,
sometimes prayed, expecting, with great anxiety, the flash of lightning which was to kill him ; considerable thirst ; profuse, fetid, warm sweat ; on lower extremities, which sweat much, a red, granular, itching eruption (lichen) ; trembling of limbs violent ; pulse
small ; makes mistakes about time, speaks of all sorts of affairs, which have happened at his office ; people seem to appear before him ; night very restless, talked much to himself, wanted to leave bed ; quaking, trembling of limbs ; misplaces words in
speaking ; glittering eyes, with sharp, staring look, pupils generally dilated ; inability to distinguish objects at a short distance ; on looking at objects a little way off (twenty to thirty steps) fantasies disappeared, hence sought the open air.
Young man with delirium tremens, had received, shortly before, a cut in cheek, and wound was in an inflamed condition ; pain in forehead ; tendency to sweat ; motions unsteady, hasty ; hands and tongue tremble ; appetite
poor ; chills in back ; continuous scintillations before eyes ; spoke of lizards and worms being on his clothes, and in air before him ; starts up suddenly as from fright ; pulse weak.
Often leaves his chair to rush at people whom he thought he saw fighting and quarrelling before him.
Has been drinking too hard, weather very hot ; since about five days, is walking day and night, can find no rest ; could not sleep ; saw a door open where there was none ; frightful dreams about fighting and killing ; takes offensive in
imaginary quarrels, and attacks aggressor ; runs against supposed object to attack it ; personifies voices, hears clock talk, and argues with it ; sores in mouth and tongue, probably from biting ; unquenchable thirst ; tingling in hands, which sometimes get
cold ; heavy, dull sensation in head ; left nostril closed ; feels > in cold air ; would like to die ; rolling of eyes ; trembling of hands ; urine scanty, red ; pulse full and hard ; afraid of delirium tremens ; weather very hot.
Nymphomania ; with diaphragmitis ; violent attacks, even to rage ; exalted sexual passion.
Religious mania ; pious looks, praying ; restless nights ; inspired talking, singing ; despairs of her salvation.
Hydrophobia ; water, a mirror, or anything bright, excites convulsions ; screams or howls in a high voice ; bites ; mouth dry ; pupils large ; unconscious ; afraid to be alone ; great desire to bite and to tear himself with his teeth ; wants
to bite those around him, with a terrible cry and rage ; fancies full or fright and terror, staring eyes, dilated pupils, turgid, swollen face, bloody froth at mouth, excessive restlessness ; aversion to watery liquids ; frequent spitting, slaver hanging from mouth ;
horrible convulsions ; stiffness of whole body.
Very violent ; loquacious ; wild ; difficult of restraint ; seeing rats and cats in room, and on walls ; pulse 120 ; high fever ; several men required to prevent him from getting out of bed, or jumping out of
window ; wanted a razor ; would take nothing out of a spoon or cup. θ Erysipelas of head and face.
Rage ; unmanageable ; grasping with his hands ; laughing ; rolling and creeping around in bed ; unable to stand on his feet ; pupils wide open ; insensible ; wants to kill people or himself.
With horrible cries he strikes at those around him, and is furious.
Uncontrollable fury, can scarcely be restrained ; flies at people ; strikes and endeavors to seize them.
Very changeable disposition, alternate anticipations of death and rage ; laughable gestures, and melancholy deportment ; affected haughtiness and inconsolableness ; loud laughing and groaning.
A woman, æt. 50, became weak-minded, childish, and laughed without cause ; had two paralytic attacks, each at 2 A. M. ; lay quietly on her back, with closed eyes ; delirious talk, < in evening ; wants to get away, throws things out of
window ; at 3 A. M. violent spasms, return every half hour ; wants to scream but cannot ; gurgling sound in throat ; foams at mouth ; opisthotonos ; strikes with one arm, grasps with other ; pale face ; unconsciousness.
Incoherent talking ; incessant ; like that of dementia ; says many curious, incomprehensible, foolish things ; prattling ; continual babbling ; constant senseless chattering ; talking in one strain, with distressed
face. θ Typhus.
Talkative ; but talking is impeded.
Excessive loquacity each time during menses ; tears and prayers and earnest supplications.
Inspired talking.
Great talkativeness ; full of wit, but indecent, sometimes in a rage, tearing his clothes ; pulse frequent, full and hard.
Talkativeness about lewd subjects.
Talks incessantly foolish things which nobody can understand ; sits down, rises up, kneels, or takes other queer positions ; tears his clothing and breaks chairs with remarkable celerity ; gives no answer, and evades carefully looks of other persons.
Ceaseless talking, mostly devout ; very earnestly beseeching. θ Dysmenorrhœa.
Constant muttering to himself.
His thoughts ran upon obscene things, frequently put his hands to erected penis ; sought to bite or to catch flies.
Talks in a foreign tongue. θ Typhus.
Loquacious, talks all the time, sings, makes verses.
Child awakens terrified, knows no one, screams with fright, clings to those near.
Sings, talks, fancies there are dogs in room, which he describes and attempts to chase, springing suddenly to his feet, and as suddenly toppling over.
Sings and utters obscene things.
Delirious laughing, making faces and behaving generally like an intoxicated person or like a fool, pulling his clothes, making laughing grimaces, with a staring look.
Prattling incessantly, without any sense or understanding.
Screams until he is hoarse, or loses his voice.
Crazy with distress ; jumps out of bed ; acts as if bed were being drawn from under her ; with spasmodic motions of head.
Falling down with a scream ; loud shriek, during fits.
Screams about growling in abdomen.
Would like to scream, but could not on account of phlegm.
Moaning ; tossing about.
He uttered constant moans, with occasional shrieks, and could only be pacified by holding his chest pressed close to his mother's breast.
Groaning ; moaning after menses ; restless motions.
Wife complains of husband neglecting her ; man accuses his wife of being faithless.
He is mute, does not answer ; expresses a wish by pointing to things.
He talks little and utters single, broken words in higher voice.
At times active efforts at utterance.
Could not utter a word ; sitting silent and brooding.
Disposed to weep : violently ; involuntary ; during day ; at night ; about her mental weakness.
Laughing.
Making all kinds of faces and imitating motions, gestures and voices of different animals.
After suffocative paroxysms with elevations of sternum had been > by tinc. amygd. amaræ : face red all over, eyes glassy and staring impudently or spitefully, followed with her eyes her little brother, moving her lips backward and forward, lips covered with shining
moisture ; choking frequently ; bitten by dog a year ago, dog not known to be mad.
When his father got him to recognize him, boy said : "Why, papa, is that you ?" and commenced stroking, or rather clawing, with his fingers his father's face.
Tears clothes ; breaks chairs with incredible quickness ; destroys things.
Disposition to suicide ; wanted a razor to cut his throat.
Endeavors to escape, imagines he is alone all the time, and is afraid.
Wandering up and down floor.
Starts involuntarily, quick as if a shock of electricity had passed through her body, with an air of affright and a loud shriek ; limbs writhed with convulsive motions, and her countenance and body distorted in every direction.
Grasps at things quickly and in a hurry, thinks he has seized a thing before touching it ; if he does hold the object he does not feel that he has hold of it.
He makes all motions hastily, with great force and hurriedly, so that he feels an anxiety if he cannot finish them at once.
While sitting on a sofa, fancied she was falling off, kept holding on to everything ; while in bed said that bed was being drawn from under her.
In his conscious moments, he asked to be held because he was falling.
Cries out fearfully, hides face in pillow, is terrified by presence or approach of physician ; after an attack of typhoid.
Intense pain in right side of head, with profuse lachrymation ; had frightful imaginings, would start up, scream out ; if spoken to would answer correctly, but immediately relapse into her wild state, head drawn spasmodically to one side, not continuous.
Inclination to climb up.
Hasty ; hurries off too fast, with all his might, if he wants to go to another place.
Gay excitement, alternations of laughing, crying out, singing, whistling, leaping up, catching at flies, picking at flocks.
Phlegmatic, with weariness of mind and sadness of heart ; everything is indifferent to him.
Not disposed to any real work.
Doleful, weeping, thoughts of death.
Crying mood, with inclination to give offence and to feel offended.
Downcast and full of anguish, believes herself unworthy of eternal bliss, because she is unable to perform her duties.
Feels as if nothing could give her any enjoyment.
In evening after lying down, very sad, with thoughts of death, and violent weeping.
Sad ; apprehends evil consequences from trifling things.
Melancholia, with walking about, crying and lamentations ; complains her husband has neglected her.
Inconsolable ; much affected by trifles ; disposed to weep, sometimes vexed ; neglects her duties, thinks she is not fitted for her position ; < after Fall equinox ; in darkness, when alone, and in morning ; wants light (sunshine) and
company ; heat and anxiety, rise from abdomen, causing redness of checks.
A peculiar sensation of anxiety ; anguish ; despair.
Pangs of conscience ; thinks he is not honest.
Ill-humor unto vehemence, followed immediately by a disposition to laugh, even aloud.
When spoken to appeared peevish and irritable, and answered by a sharp cry, or said sharply, "Let me alone," all his words being curtailed in a curious way.
Formerly an obedient boy, he is now headstrong and obstinate ; but in presence of strangers timid and anxious.
Very passionate, easily provoked into a rage.
Extreme irritability ; makes all his motions so fast that finally he cannot move any more, and all turns black before his eyes.
Slightest contradiction irritates her so much that she sobs with anger.
Continued violent scolding ; senseless quarrelling.
Child is very cross, and strikes or bites.
After fright : mania ; melancholy ; chorea ; epileptic attacks ; spasms.
On being reprimanded pupils dilate immediately.

Sensorium

Drunkenness ; reeling, loss of voluntary motion.
Unsteady when walking in dark, with tendency to fall to l. or backward, in evening after sunset.
Staggers as if dizzy ; gait unstable ; impossible for him to walk in a straight line ; must be led.
Staggers, yet limbs obey will so readily that he feels as if he had none ; they seemed to him much longer than they were, so that when walking he thinks he has already touched floor, when foot is six inches away from it, hence he always puts down foot too quickly.
Stumbles against door before going through room.
(In sick :) When sitting on a sofa she fancied she was falling off, kept holding on to everything.
(In sick :) When in bed, lying on right side, screamed and said that bed was being drawn from under her and that everything was falling on her, kept holding on to walls ; asked her mother not to leave her as something was going to hurt her ; from 9.30 P. M. until midnight.
Vertigo : cannot walk in dark, or with eyes closed ; staggering, obscuration of vision, or flickering before eyes, red face ; reeling as if drunk ; head feels as if drawn backward, at same time excessively sleepy ; with colicky pain and
diarrhœa ; with heat ; before catalepsy ; with hallucination of slight and confusion of thoughts.
Vertigo, especially at night ; < lying on side, had to lie upon back ; pressure like heavy load in forepart of head ; could only half open eyes, could not raise eyes to ceiling ; painful twitching over face, followed by spasms in
chest, which entirely arrested respiration for a minute, alternating with fits of laughter, lasting a quarter of an hour.
Stupefaction, from which he at times started up in a wild manner, opened his eyes, which were partly closed, but could not keep them open ; spoke disconnectedly, quarrelled with his mother, whom he did not know ; face very red, cheeks glowing hot, with dry heat over
whole body ; at times he moved lips and tongue, called for liquid : throbbing carotids, full, very rapid pulse, rapid respiration, pupils excessively dilated, insensible ; swallowing difficult.
Dulness of sensorium, especially noticeable when talking by confounding words.
Stupefaction with vanishing vision and hearing and convulsive movements of head.
Fainting, with paleness of face, dryness in throat and subsequent red face.
Suddenly falls, with pale face and almost insensible breathing ; sometimes face is bloated red ; fainting may continue a long time.

Inner head

Lightness, weakness, dulness and stupid feeling in head.
Heaviness of head ; before catalepsy.
Congestion to head, beating of carotids ; sparkling eyes ; pulsation in vertex, loss of sight and hearing, bloated, turgid face, total loss of consciousness.
Head hot, also whole body.
Heat of head : during chill ; with headache ; then general coldness, followed by heat with thirst ; with sweat on forehead.
After a sunstroke, a tormenting sensation of heat in whole head, most on vertex, with great dulness ; pain in nape of neck, preventing bending of head further than to a certain point ; got in habit of supporting head with hands while bending or rising ; constant
pain in cervical and upper dorsal vertebræ ; memory and power of thinking disturbed ; loses thoughts before she can give them utterance ; tries to find right expressions and weeps about her weakness of thought ; very sensitive to noise ; slightest contradiction
irritates her so much that she sobs for anger.
Violent affections of brain, during or after vesicular erysipelas.
Meningitis : eyes red and inflamed, wild and staring, shrinking look as if from fear, accompanied by some degree of delirium, dilated pupils, pain in head and nausea ; convulsive motions of head and frequently lifting it from pillow ; head is thrust forward ;
conjunctivæ injected ; pupils contracted ; desire for light, or bright light and glistening things cause spasms ; calls for parents, who are present, and does not know them ; violent delirium ; stammering ; great dryness of mouth ; dysphagia ; urine
suppressed ; trembling and convulsive movements of limbs ; striking with hands and feet ; frequent torsions of trunk ; frightful visions ; screaming ; pleading for help, or very irritable, with raving or disposition to strike, bite or injure others ;
suppressed miliary eruptions.
Hydrocephalus ; convulsive motions of head, sensation of lightness of head, and frequently raising head up ; great loquacity ; merry delirium ; desire to escape from bed and room ; grinding of teeth ; glittering eyes ; staring look ; dark-colored
stools ; during convulsions head is jerked from pillow and falls back again.
Apoplectic seizures ; paroxysms of syncope, with stertorous breathing ; bloody froth at mouth ; dark-brown face ; lies on back with open staring eyes ; fetches breath with great difficulty.
Paralysis, after apoplexy, spasmodic drawing of head to either side ; screaming, with convulsive movements of arms above head, especially in eclampsia.
When rising, pressure on forehead ; could open eyes only half ; could not look upward.
Squeezing, clawing headache.
Throbbing headache : in forehead ; in right temple, with diarrhœa ; in vertex ; in typhus, with fainting fits.
Pain in right temple, sticking and stabbing, from 8 P. M. until he fell asleep at 11 P. M.
Headache in both temples, shooting to back of head, with thirst.
Dull pain in occiput.
Pain in head and nausea.
Headache, with dryness of throat, nausea and vomiting.
Alternate headache and tumefaction of abdomen.
Headache from being exposed to sun.
Periodical neuralgic pain in forehead over either eyebrow, commences about 9 A. M. ; < until about noon, when it begins to decline, and by 3 P. M. has passed off, but returns at 9 next morning.
Tormenting sensation of heat in whole head, mostly vertex, with great dulness ; after sunstroke.
Pressure on forehead when rising, could only half open eyes, could not look up.
Congestive headaches, in morning, < toward noon, gradually > toward evening ; pains terrible, fears going mad, runs or presses head against wall.
Heat, pulsating in vertex, attacks of fainting, loss of sight and hearing, face bloated, turgid ; convulsive motions of head, frequently raising head from pillow or bending it backward ; > lying still.
Sensation of lightness of head.
Pain in head, nausea, delirium, eyes wild, staring, inflamed ; frenzy, convulsive spasms and twitching of nerves ; hands and feet become cold, pulse sinking. θ Meningitis.
Headache with loss of sight and hearing.
Rheumatic headache, with dulness ; difficult thinking ; < in vertex or forehead, < evening and night.
Tearing in neck and over head, shunning light ; > from warmth ; < from cold ; < on getting up in morning.
Rheumatic inflammatory affections of brain with children under seven years, epidemic during a Winter season ; starting in sleep ; moaning with restless motions ; when awake they look with staring eyes and despair in their faces, to one point, and either move
slowly and shyly backward or run away with a violent, fearful scream ; taking hold of things near them ; feverish heat, red face ; moist skin.
Rheumatic pain, for several years, on top of head.
When getting up in morning, tearing in neck and over head ; impaired sight ; shunning light ; chilly crawls over whole body ; fingers and heels numb, latter sometimes painful ; > in warmth, < in cold.

Outer head

Jerks head up from pillow.
Boring head into pillow.
Head bent backward.
Moves head, thrusts it in all directions ; in spasms mostly to right.
Supports head with hands while bending or rising ; after sunstroke.
Head drawn to one side ; rolling of head, or spasmodic raising and dropping of head.
Head numb on left side.
Head and forehead hot to touch.
Head perspires more than usual.

Sight and eyes

Light dazzles ; shuns light ; convulsions from bright light, water or brilliant objects ; eyes water.
Change of light, either going from dark to light, or suddenly from a light to a dark place causes pain in eyeball.
Greatest sensitiveness to daylight, and desire for lamplight.
Hemeralopia.
Dimness of vision : complained of darkness, wanted a light ; vision cloudy as through a veil ; total blindness, in typhus ; like a fog, or gauze before eyes ; like seeing through a glass of turbid water ; things seem as if
dissolved, or too distant ; in morning.
Visual illusions : when looking at an object believes he sees cats, dogs, rats and all sorts of insects in continual motion ; fiery visions ; flickering before eyes ; the silk he supposed to wind is blue ; he seems to see a reddish-grey border around white
things ; black things seem to him grey ; the black letters seem to him grey, and as if a second one of the same light grey color were placed sideways or above (a kind of diplopia) ; writing an F he went with pencil a second time over same line, supposing to have drawn a second
one ; sees objects multiplied, and in different colors ; all things appear awry, in an oblique position ; sometimes cannot see entire object, and then again sees it double ; he saw things as if through coarse linen, only by pieces, and as if cut through, of a face he only
saw nose etc ; as if eyes had but a`small circle of vision, and he was only able to see a small point at once ; half hour after dinner sees everything double ; objects seem smaller and at a greater distance.
When reading he was unable to distinguish a syllable ; letters seemed to move and become blurred.
Suddenly he feels very strangely, because everything appears in a green color ; at same time he gets confused in head, and says he cannot help to strike with his spade (while working in garden) strange blows in air, and to make strange gestures, as if he were possessed.
Hallucinations dark (Bellad., fiery, shining).
If attention was fixed upon objects only twenty or thirty paces distant, though they could not distinguish them exactly, still the moving figures were lost when they looked again.
In morning hours, cannot distinguish objects, although he sees them ; knocks against them as if he were in the dark.
Strabismus from brain affections, epilepsy, eclampsia or chorea, if < by mental emotions, terror, fear, etc.
Small things, such a point of a pin, patient was unable to discern.
Long-lasting farsightedness ; he was only able to read print at a distance.
When going down stairs, he takes two steps for one, and is not aware of it until he falls.
On fixing attention on objects not very far off, they saw animals ; looking at a distance over thirty yards all disappeared.
Amblyopia amaurotica.
Darkening of sight, could not read, or see thread when spinning.
The eyes were open, but he took no notice of anything or anybody about him, and when objects were held before his eyes he could not see them.
Eyes insensible to strongest light ; to bright sunlight, in typhus.
Caught cold when eruption was out ; at once cannot see or hear, everything looks black before eyes ; calls for persons standing close by, and cannot believe in their presence, although they speak to him in a loud voice ; grasps with
hands and kicks with feet.
Almost complete blindness for six hours ; on day following, a pressure as from middle of eyeball, at every change of light, either when going from a dark place into a lighter, or from a light place suddenly into a darker.
Pupils dilated ; sometimes immovable and insensible to light.
Eyes wide open, prominent ; pupils exceedingly dilated, insensible ; injected conjunctivæ, as if vessels were filled with dirty liquid.
Pupils dilate when child is reprimanded.
Pupils dilated to their fullest capacity, immovable and insensible to light, yet holding a lighted candle before eyes caused violent convulsions of extremities, particularly opisthotonic spasms with rigidity.
(In sick :) Paralysis of iris.
Contraction of pupils ; paralysis of œsophagus and lower limbs ; involuntary passage of urine and bloody feces ; face, hands and feet blue and cold.
Pupils contracted after vinegar or lemonade.
Eyes : restless, glistening, wide open, staring, with a peculiar intoxicated look ; brilliant ; glassy ; wild and red ; protrude ; vacillate, vessels injected ; contorted ; rolling ; squinting ; half
open in sleep ; inflamed ; in constant motion.
Contortion of eyes and eyelids.
Fixed and sinister look from time to time.
Stares fixedly from eyes, which are surrounded by a dull bluish border.
Eyes anxiously fixed sideways, on one point, where she imagines to see a terrible, hostile figure.
Eyes dull and heavy.
Sensation as if eye were forced out, with twitching of lids.
General suffusion of eyes.
Whites of eyes and margins of eyelids red ; tears run from eyes ; sheds tears unconsciously.
Dimsightedness, blear-eyes, sore, running, as with old people.
Profuse lachrymation, with headache ; during fever heat ; from otalgia.
Upper eyelid hangs down, as if caused by a cramp of orbicularis.
Could open eyes only half, not look upward.
Eyes half open in sleep.
Closed eyes, opening only when spoken to.
Pressure in eyelids, as if swollen, which is the case, or as if oppressed with sleep.
Swollen and inflamed eyelids.
Agglutination of eyelids at night.
Suppurating eyelids.

Hearing and ears

Sense of hearing very acute, while vision was lost.
Very sensitive to noises, least noise startles him.
Hardness of hearing ; complete deafness.
Sensation as of wind rushing out of ears.
Hallucination of hearing ; talks about a train in his ear ; singing in ears with giddiness.
Pain in left ear, passing down to left side of cheek.
Shooting in ears.
Otalgia, left side, pain violent, without intermission, only remitting somewhat at night, when covering head warmly ; tears come from left eye when pains are most violent.
Neuralgia in cheek, near left ear, as if sawing bone, on a small spot as if a hole were there, and when touched horrible sensation as if brain were touched ; muscles of l. face in an oscillating motion ; eye feels as if it were driven out of its socket ; at first warmth
> pain, now < ; patient in constant motion, throwing his arms about ; evening and night.

Smell and nose

Nasal discharge yellow, bad smelling ; quickly liquefies.
Nosebleed : dark, in lumps ; with whooping cough.
Spasmodic sneezing.
Feels as if nose were stopped, although he breathes freely.
Stoppage of nose with feeling of dryness.
Influenza.
In wing of nose, tearing and shooting.
Intolerable itching in nose.
Alæ nasi white, face red.
Erysipelas on nose.

Upper face

Expression : wild and staring ; vacant, bewildered ; anxious ; of great fear and terror ; that of a drunken person ; maniacal ; wild, idiotic ; despairing, on awaking ; constantly changes ; makes foolish
faces ; stupid and disturbed ; as if he were seeking something.
Forehead wrinkled, corrugated ; frowning in brain diseases.
Tingling feeling, as if pins and needles were in her forehead ; redness and swelling about right eye.
An old cicatrix on forehead became very red.
Sardonic grin.
Thinks face elongated. θ Hysteria.
Painful twitchings over face, spasms of chest spasmodic laughter.
Facial muscles constantly in play during delirium.
Prosopalgia, in evening after lying down, < in left cheek, close to ear, seizing temporal and zygomatic region, with sensation as if bones were sawed through, radiating to os petrosum, with sensation at a small place as if there were a hole in bone, which feels at touch as if
brain were touched.
Prosopalgia began over left eye, with severe stitches in ear ; passed over left cheek to left ala nasi ; stitching, tearing at different times for three of four days.
Prosopalgia nervosa, pains maddening, spasmodic starts and shocks through body, throws arms upward ; skin of forehead wrinkled.
Pain spreads over all branches of facial nerve, from foramen stylo-mastoideum to ala nasi ; tearing, and of such severity as to produce oscillation of facial muscles, with distortion.
Left side of face is, for moments, distorded with painless convulsions ; contractions of zygomatic muscles draw cheeks and mouth from below upward, and from face backward to temples.
Since three days, at 9 A. M., severe tearing pain over whole right side of face, with cold extremities and very warm face.
Painful twitching over face and chest, with spasmodic laughing.
Face : red, bloated, hot ; red, eyes wild ; hot and red, with cold hands and feet ; circumscribed redness of cheeks ; pale ; blue, with difficult breathing ; swollen and very red, puffy, purple ;
dark-brown, copper-colored.
Hot cheeks.
Blood rushing to face.
Felt as if left side of her face were swollen, which was not the case.
Swelling of face before formation of vesicles, with muttering delirium. θ Smallpox.
Face covered with patches of irregular shape, not elevated above rest of skin, and of a brilliant, fiery-red color.
Erysipelas on right side of cheek, nose and face.
Erysipelas in face ; on left cheek, after catamenia ; with mania.
One-sided erysipelas, with meningitis ; spasmodic symptoms alternate with paralytic.
Facial erysipelas, eruption was smooth, patient delirious, with constant talking, and wild staring eyes.
Itching eruption on face, petechiæ.
Frequent sweat on face and forehead.

Lower face

Moves lips backward and forward.
Lips : red ; with yellow streak on vermilion border, as in malignant fevers ; dry ; sore and cracked ; tremble ; convulsed ; have a yellow streak along their red part, as in malignant fevers, and stick together, he fears they will grow together ;
bluish, swollen ; covered with shining moisture.
Swelling of under lip.
Froth on lips ; white or bloody.
Crawling sensation on chin.
Pain in submaxillary glands.
White circle around mouth. θ Diarrhœa of children. θ Hysterical
mania.
Puts fingers on mouth.
Distortion of mouth, drawn to one side.
Chewing motion of mouth.
Mouth spasmodically closed.
Mouth open, but tongue immovable.
Thick frothy saliva about mouth.
Lower jaw : hanging down ; convulsed ; tension ; locked, with closed lips.
Lockjaw after convulsions.

Teeth and gums

Grinding teeth, with shuddering over whole body ; raises hands above head, and moves them as if he were winding a ball of thread ; with gloominess in head ; contortion of hands and shuddering ; with chill.
Throbbing toothache, as if some teeth would fall out.
Sudden pain in upper teeth, then in lower ; teeth feel pressed together.
Pains begin in carious bicuspid of right lower maxilla, spread hence over all branches of facial nerve on that side of head ; tearing.
Sordes on teeth. θ Typhoid.
Dentition : grinding of teeth ; moving of fingers in sleep as if searching for something ; desire for light ; disposition to stammer ; convulsions, with cries as if from sight of hideous objects ; throwing about of limbs, especially upper ones.

Taste, speech, tongue

Taste : bitter ; all food tastes bitter, or like straw to her, or sand ; a loss of taste, drank vinegar without tasting it.
Tongue : whitish, with fine red dots ; point redder than usual ; dry, red ; dry and parched ; pale red, in constant motion ; swollen, coated, dry ; yellow in centre ; dry ; swollen, hangs out of mouth ; moist, papillæ enlarged
and projecting through a soft, white fur ; swollen, stiff, and difficult to move ; feels blistered.
Scratched their tongues with their nails.
Speech : stammering ; difficult and unintelligible ; indistinct ; has to exert himself a long time before he can utter a word, stammers, and utters unconnected sounds.
Stammering ; distorts face ; makes great efforts to speak ; mouth drawn now to right again to left.
A family had gone to bed, when suddenly from a room near sleeping chamber there came a crash awaking a 2-year-old boy out of sleep in affright ; cause of disturbance was the breaking of an oaken table leaf ; boy a blonde, light-haired child,
with prominent forehead, lively and intelligent, was a considerable time in getting quieted and to sleep again ; on next day, parents observed that boy, who had formerly spoken with correctness, now stuttered, and that his tongue was in involuntary motion in different ways ; toward
evening he appeared fearful and anxious, that some one was under bed ; the fearfulness disappeared in a few days, but stuttering and disordered movements of tongue continued, until relieved by Stramon. [30].
Speechlessness, with a girl 4years old, since weeks, with spasmodic laughter, clapping of hands ; spasmodic laughter at night, weeping during day.
Speechlessness, for several days, with a girl of seven years. θ Cholera Asiatica.
Could not talk, in typhus.
Aphasia.

Inner mouth

Dryness of mouth : and fauces ; dry, sticky lips ; glistening ; is unable to spit, although tongue looks moist and clean ; can hardly take a mouthful of bread, drinks a great deal ; and no taste ; has to moisten it, no
thirst.
Saliva : increased ; drivelling ; with chills and fever ; glairy, dribbling from mouth.
Viscid slime in mouth.
Whole inner mouth as if raw.
After dinner, sudden ebullition and spitting of blood ; with a little hawking, his mouth got full of bright, red blood ; oppression of chest, palpitation and headache.
Bloody froth before mouth.
Soft palate as if drawn down ; food and drink pass with difficulty under it, and with a scratching pain in it.
Palate feels parched, so that he is unable to eat a mouthful of bread.

Palate and throat

Burning in throat, great thirst, dryness of tongue, which is very red.
Burning in throat, violent thirst, pain in stomach, stupor.
Feeling as of boiling water, rising in throat.
Dryness of throat : and fauces ; not benefited by any sort of drink ; and copious urination ; with difficult swallowing.
Swallowing difficult : impeded, with stinging pain in throat ; with pain in submaxillary glands ; with convulsions ; particularly fluids ; from spasmodic constriction of throat.
Paralysis of pharynx and œsophagus.
Contracting burning pain in throat, and a sensation as if ball were wedged in throat ; after this delirium, with queerest notions ; later, blindness with dilated pupils.
Choking in throat.
Constriction about throat ; frequent hemming and hawking.
Constriction of muscles of throat in attempting to swallow.
Spasmodic affection of œsophagus. θ Measles.
Averse to fluids ; shrinks from the proffered cup ; became enraged when his lips were moistened.
Averse to water ; even sight of it causes spasm ; constriction of throat, froth, spitting.
Hydrophobia ; restlessness, violent convulsions, patient being so violent that he had to be tied ; rolled about in bed, sleepless, uttering shrill screams ; delirious, without memory or consciousness ; pupils extremely dilated ; violent desire to bite and to tear
everything with his teeth ; extreme dryness of inner mouth and fauces ; sight of a light, a mirror, or water excited horrible convulsions ; constriction and spasms of œsophagus, froth at mouth and frequent spitting.
Drink is swallowed hastily.
Throat feels sore with stiff neck.
Inflammation of posterior wall of pharynx ; spasmodic contractions.
Tetanic spasms of muscles of glottis ; added to angina, after copious venesections, with impending danger of a local motory paralysis.

Appetite, thirst. desires, aversions

Increased appetite ; with diarrhœa ; with sweat ; with chorea.
Loss of appetite : with oppression at pit of stomach ; with sweat ; cannot eat bread.
While eating : arms tremble.
After eating : double sight ; fauces constricted.
Thirst : with great dryness of mouth and throat ; intense and unallayed by water ; violent ; with desire for sour drinks ; in mania ; with vertigo ; with headache ;
abdomen inflamed ; for large quantities, drinking with avidity ; with dim sight ; even with much saliva ; and vomiting ; after vomiting ; with bellyache and looseness of bowels ; with copious secretion of burning urine ; when awakening ; violent,
with heat ; followed by sweat ; between heat and sweat ; with sweat.
Thirstless : sometimes with cold or hot stage and sweat ; averse to water during fever.
Great desire for acids.
Fear of water and aversion to all fluids.

Hiccough, belching, nausea and vomiting

Very violent spasmodic hiccough.
Singultus in most obstinate form, in children, with restlessness in night, and screaming during sleep. θ Singultus.
Sour eructations, with cardialgia.
Nausea : flow of very salt saliva ; but cannot vomit ; and disgust ; with anxiety ; with sensation as if falling ; with profuse salivation, in evening ; with incessant hiccough ; with inability to bring up anything ; as if he would vomit, but
it never comes to it.
Water vomiting : of mucus in evening ; of a sour-smelling mucus ; of green mucus, with thirst ; of bile, with mucus ; of a dark greenish substance, mixed with food ; of bile, ; after least motion, even after sitting up in bed ; as soon as he raises
head from pillow ; from exposure to bright light ; in morning ; of sour mucus, or green bile ; all food, with cardialgia, or whooping cough ; rarely with chill, often with heat ; sometimes with sweat.
After vomiting : thirst ; deep sleep ; fever and sweat.
Diaphragmitis ; delirium ; burning along diaphragm ; short-breathed ; spasms ; struggles against water offered.

Scrobiculum and stomach

Great distress at pit of stomach.
Anxiety at pit of stomach, with dyspnœa.
Burning in pit of stomach, extending to both sides.
Epigastrium tense, hard, painful.
Stomach very sensitive to touch.
Inflammation of stomach, burning ; anxiety.
Pressing pain in stomach.
Violent pressing pain in left half of stomach, < by pressure.
Drawing pain in back part of stomach.
Pain in stomach and cecum.
Corroding pain in stomach.
Intense pain, vomits nearly all food ; since ten years.
Cardialgia for several years ; several attacks every day, ending with vomiting and eructation ; tongue pale, somewhat furred at back ; retarded stool ; small, weak pulse ; emaciation.

Abdomen and loins

Heat and anxiety in abdomen.
Pain in abdomen ; pressing, creeping ; writhing ; drawing.
Tearing ; as if navel were to be torn out, pain goes into chest ; colicky.
Colic : vertigo ; watery vomiting, and diarrhœa ; with rumbling and diarrhœa ; with sweat ; coming on suddenly in evening, with sensation of fainting and cold shivers ; as if puffed up, abdomen painful, even when touching side.
Abdomen : hard, tense ; tympanitic ; distended, but not hard.
Hysterical spasms in belly.
Wind in abdomen awakens her ; screams, thinking herself full of creeping things.
Sensation as if abdomen were expanded to extremest degree.

Stools and rectum

Stool and urine suppressed.
Constipation : unsuccessful urging to stool ; with convulsions ; cardialgia ; alternating with diarrhœa, and bleeding hemorrhoids.
Diarrhœa : with vertigo ; with headache ; with paleness of face ; with increase of appetite ; ceasing after a profuse sweat ; evacuations involuntary ; of typhoid fever ; in childbed .
Stools : black, preceded by writhing in bowels, and delirium ; blackish ; smelling like carrion, painless, diarrheic.
Cholera infantum : foul-smelling stools ; strabismus ; awakes with fright ; pale face.
Coagulated blood passes from anus.
Hemorrhoidal flux for several days.
Hemorrhoids : painful ; bleeding.
Before stool : twisting in bowels ; writhing pain in abdomen.
During stool : colic, distension of abdomen, rolling in abdomen, vomiting, paleness ; perspiration.
Worms ; abdominal spasms, and frequent desire for stool ; on awaking child shrinks from sight of objects, even from those with which it is familiar.

Urinary organs

Retention of urine : with sensation as if urine could not be passed on account of narrowness of urethra ; after straining a while a few drops are passed, no stream being formed in spite of all straining ; without any painful sensation, but as if a cylindrical
body were being pushed through urethra, > after drinking vinegar.
Urine discharged in drops, with constant painful urging.
Kidneys secrete less urine than usual, or none, in acute diseases, especially of children, eruptive fevers, etc., also in typhoid, or typhus ; after miscarriage or labor ; great desire to urinate, although secretion is suppressed.
Often obliged to make water, but passage was delayed for a minute before it came, and although it came out merely in drops, yet during forenoon a large quantity was discharged.
Suddenly, at night, an astonishing quantity of urine as clear as water ; after delirium.
Profuse flow of burning urine.
Urine passes without any power ; was able to retain it, but felt as if he had not power to close neck of bladder ; sometimes a sensation as if urethra were too narrow and unable to expand.
Passed urine involuntarily ; in bed ; in walking and sitting.
Micturition dribbling ; dribbles away very slowly and feebly.
Rigor during urination, rumbling in abdomen.

Male sexual organs

Exalted sexual passion.
Lasciviousness ; priapism ; penis in erection, as in chordee ; testicles drawn up.
Sexual irritation ; constantly uncovering sexual parts ; indecent talking.
Very little consciousness ; keeps his hands constantly on his genitals.
Constant pulling at genitals in little boys.
Onanism, causing epilepsy.
Impotence ; from onanism, often but temporary.

Female sexual organs

Nymphomania ; sexual delirium ; talks about lewd subjects ; sings obscene songs ; insatiable sexual desire ; has a lascivious smell of semen ; excessive menstrual flow, with drawing in thighs, abdomen and upper limbs ; after
menses, sobbing and whining.
Ovarian tumor, size of hen's egg, lancinating pain ; hysterical convulsions, during which patient shrinks back with fear on seeing any one.
Shrinking look, when awaking, in metritis.
Discharge of black blood from uterus.
Menorrhagia.
Metrorrhagia, with excessive loquacity, singing, prayers, and praise ; full of strange and absurd ideas ; drawing pains in abdomen, upper and lower extremities ; sometimes passing large coagula.
Menstrual flow : excessive ; drawing in thighs, abdomen, and upper limbs ; very watery ; too profuse, of black blood, in large clots ; every three weeks, lasting longer than usual.
Dysmenorrhœa ; ceaseless talking, mostly devout ; very earnestly beseeching ; drawing in thighs and aching in knees, with a sensation of being very tall ; pains are unbearable, drive patient to despair.
During menses : loquacity ; extreme degree of nervous erethism ; convulsions ; trembling and restlessness ; strong smell as of semen ; rank smell of body.
After menses : sobbing, whining ; erysipelas of left cheek.

Pregnancy. parturition. lactation

During pregnancy : mania ; faceache ; is full of strange ideas.
Threatened abortion ; unceasing talking, singing imploring.
Puerperal convulsions : frightened appearance before and during convulsions ; sardonic grin ; stammering or loss of speech ; loss of consciousness and sensibility ; frightful visions ; laughter, singing ; attempts to escape ; fits are renewed by
sight of some brilliant object, sometimes by contact ; with copious sweating and great fear.
Convulsions : epileptic form ; skin hot and dry ; pulse sharp and quick (130) ; face red and bloated ; eyes sparkling and projecting, with frothing at mouth ; arms and limbs convulsed ; head drawn backward. θ Puerperal
convulsions.
A woman, æt. 32, during fourth labor, was harshly manipulated in attempt to dilate os, became excited, scolded, struck, spat about her, cried and laughed, face flushed, pupils dilated, in great terror ; spasms with writhing and floundering in manifold gyrations ; every muscle
in play, especially flexors and extensors ; pudendum swollen, tender ; os uteri tilted back, dilatable ; child was born during spasm. θ Puerperal convulsions.
Cadaverous odor of lochia ; she is full of strange fancies and visions.
Too profuse secretion of milk in nursing women.

Voice and larynx. trachea and bronchia

Voice : higher and finer ; screeching ; indistinct ; vocal organs partly paralyzed ; weak.
Attempts to speak hastily, cannot utter a word, only a bellowing or stammering ; voice hoarse and croaking.
Constriction of larynx and thoracic muscles.
Hoarseness from screaming ; with salivation ; in morning.
Aphonia from great mental excitement, with hysterical and maniacal symptoms.
Aphasia in cerebral disease.
Laryngeal spasm for an hour, in cholera, at midnight, patient nearly suffocated, seemed to pray for help, with folded hands and despairing look.
Tries in vain to speak a word ; facial muscles become distorted, and an attack of suffocation sets in, lasting several minutes.
Spasmodic laughing at night ; spasmodic weeping during daytime ; perfect aphonia.
Loss of speech in cholera ; total dumbness for several days.

Respiration

Rattling breathing : toward midnight ; in whooping cough ; in chill or sweat.
Breathing : at times stertorous and labored ; snoring ; hurried and difficult ; very deep, with great exertion ; inspiration slow, expiration quick ; oppressed, with feeling of tightness across chest ; anxious, during heat or sweat ;
oppressed in a high degree ; stertorous as in croup.
Frequent sighs.
Excessive sense of suffocation.
Angina pectoris ; tightness across chest ; oppression, contraction ; interrupted breathing.
Spasms of muscles of chest ; single parts twitch ; spasmodic motion of arms ; sometimes chest fixed ; breathing only with diaphragm and abdominal muscles.
A mixture of hyperemia and spasm in consequence of affections of spine and diaphragm, with hiccough, sympathetic spasms of epiglottis.
Spasms of chest, particularly in hysterical females.
Spasmodic asthma.
Hard pressure on cartilage of third and fourth ribs, with difficult breathing ; he is unable to inhale enough breath without great anxiety.

Cough

Cough : periodical, painless, spasmodic, shrill, screeching tone : < in evening and morning, from touching throat, from walking in wind, in vaulted rooms, after debauch, after fright, from looking at bright objects, from drinking water ; of
drunkards ; dry, with excessive sense of suffocation ; sonorous, croupy, barking.
When coughing while sitting, lower extremities are jerked up.
Whooping cough, barking, crouplike, with suffocating contraction of chest, violent beating of heart, rattling, anxiety, congestion, blood-spitting ; convulsions ; vomits all food, extremely emaciated, crying day and night, bleeding from nose with
violent attacks.
During cough : palpitation, anxiety ; constriction of chest, convulsions.

Inner chest and lungs

Feeling of dryness in chest.
Aching pain in chest and sternum, excited by talking.
Feeling as if something turned around in chest ; afterward heat in face.
Pain in breast, cough and other peri-pneumonic symptoms during recovery from meningitis.
Spasms in chest preventing breathing. θ Prosopalgia.
Diaphragmitis ; violent burning in region of pit of stomach, extends along diaphragm, both sides ; short, difficult breathing ; pulse frequent, hard ; laughing and crying ; spasms ; delirium, but is conscious of her condition and bursts out in bitter
complaint about her misfortunes ; on offering her water she struggles against it. θ Nymphomania.
Pulse 132 ; temperature 103.3 ; breathing very short and labored, with a continuous rattling in chest, > by a profuse, slimy, watery expectoration, mixed with reddish purulent matter ; large bubbling rales all over both lungs, percussion sound flat over entire
back ; urine had not been voided since morning, but there had been a loose alvine evacuation at 1 P. M. ; as soon as she falls into a doze, a profuse perspiration breaks out all over her ; cough < by cold drinks ; fits of suffocation follow cough, with desire to have
doors and windows open ; craving for beer ; great desire for light, if room is dark she thinks she will be smothered. θ Pneumonia.
Right-sided pneumonia four days ; pulse 102 ; temperature 103 ; very thirsty for cold water ; moaning and great loquacity, with high delirium ; wants to jump out of bed, can hardly be kept there ; talks about horses in a barn that he has to feed, etc. ;
thinks one of his legs is cut off ; wants his wife with him all the time, and light in room ; imagines he is going to die ; countenance besotted ; coughs considerably and raises yellow and bloody mucus ; severe frontal headache ; high fever from 4 P. M. until 5
A. M. : no movement from bowels since commencement of sickness ; urine clear, but dark-red, bronchial breathing and dulness on percussion over lower left lung.

Heart, pulse and circulation

Pressure about heart.
Heart's action feeble and slow.
Beating of heart could not be felt.
Palpitation ; with anxiety.
Beating of heart so increased by motion he cannot speak for hours ; trembling, twitching as in chorea ; murmurs instead of regular sounds ; after fright.
Angina pectoris. ( See 26 .)
Pulse : full, strong ; frequent, hard ; irregular ; small and spasmodic ; slow, in typhus ; trembling or imperceptible ; double and very quick, with quiet respiration ; rapid ; soft and feeble ; quick, intermitting ; tremulous weak,
unequal, sometimes intermitting.
Pulse small, weak, scarcely perceptible, heart tumultuous, carotids full, pulsating.

Outer chest

Cutting pain in sternum after lying down in night, ceases when wind passes off, but returns.
Chest eruptions.
Red rash on chest. θ Typhus.
Spasms in pectoral muscles.

Neck and back

Throat externally swollen, as in mumps.
Great rigidity of muscles of neck and back.
Neck stiff ; cannot bend head backward.
Drawing rheumatic pain from side of neck into limbs.
Pain in nape of neck ; from neck over head.
Pain in cervical and upper dorsal vertebræ.
Tearing burning pains from neck to left axilla.
Great sensitiveness along spine in cervical region, slightest pressure caused most violent outcries and raving.
Trunk equally rigid as limbs.
Back very stiff, not very painful.
Red, stupid, staring visage ; inability to articulate ; lying on left side and constantly thrusting his right side forward by spasms of right erector spinal muscles. θ After
sunstroke.
Drawing pains in middle of spine, with drawing pain opposite to it, on back part of stomach.
Spot in back pains when touched.
Puts right arm to small of back and draws mouth as if he had severe pain.
Pain as if beaten in back, shoulder and abdomen, excited by motion.
Chilly along back, like cold water.
Sweat on back.
Eruption on back.
Severe pains in loins.
Pains in lumbar region, like rheumatism.
Drawing pains in small of back.
The back is drawn backward.
Myelitis : trembling contractions ; tonic epileptoid convulsions, consciousness undisturbed ; sudden jerks through body, spots in back pain when touched ; constant pain in cervical and upper dorsal vertebræ ; muscles will not obey
will ; alternate exaltation and melancholy ; vertigo when walking in dark ; diplopia, cloudiness of vision ; strabismus ; stammering speech, or aphonia ; spasms of muscles of face, or twitching of single parts trembling, or paralysis of limbs.

Upper limbs

Pain in shoulder and back.
Fine, sharp stitches in forearm, and a rheumatic constrictive pain in deltoid.
Aching, drawing pain in right arm, above elbow.
Jerks of elbows ; stitches in forearm.
Arms thrown about ; in neuralgia ; thrown upward.
Constant motion of hands and arms as if spinning or weaving.
Convulsive movement of arms over head.
Raises arms over head, claps hands, makes graceful, gyratory motions.
Spasmodic motions of hands and forearms.
Arms convulsed, more than legs. θ Spasms.
Beating with one arm, grasping with other.
Motion with hands, as if child, which was bent backward, feared every moment to fall deep down.
Grasping about with hands, not trembling and uncertain, but firm.
Trembling hands incessantly. θ Typhus.
Moving hand : strangely, in different directions ; straight forward ; as if keeping off something ; as if doing some work ; as if searching something ; as if endeavoring to seize some object which he indistinctly perceives in
air ; catching at imaginary things ; picking ; searching with hands on bedcovers ; toward nose, ears and head ; grasps throat, with sighing and groaning.
Contortion and wringing of hands.
Hands : opening and shutting ; many motions with fingers ; jerking ; twitching ; clenched (not thumbs), but can be opened ; could not close hands to make a fist ; dropped things ; loosened in joints ; trembling.
Difficult to bring hand to tumbler, or tumbler to mouth.
Fingers numb.
Hands and arms tremble.
Trembling of hand when he seizes anything ; when eating.
Upper extremities hot.
Hands constantly cold.
Itching blotches in palms of hands.
Spots on arms like flea-bites.
Panaritium, pain intolerable, drives to despair ; relieves pain of suppuration.

Lower limbs

Coxalgia, left hip ; violent distracting pains, when abscesses form.
Morbus coxarius, left limb affected and about half an inch longer than sound limb ; fistulous openings from left hip.
Drawing pains in thighs.
Sharp stitches on right shin bone.
Rheumatic, drawing, pressing pain in left tarsus.
Numbness and stiffness of left leg, with tickling, creeping feeling under cutis.
Creeping ; in thigh ; in foot ; in toes.
Heels numb, sometimes painful.
Feet and lower extremities cold and palsied, rest of body agitated.
Paralysis of lower limbs, loss of speech ; staring.
Feet loose in joints.
When placed on his legs, he would kick them forward, but could not stand on them, they could not remain quiet one minute.
Weariness of feet.
Spasmodic rigidity of lower limbs.
Twitching in limbs.
Trembling of feet.
Legs give way when walking ; falls over his own feet.
Convulsions of left lower limb ; they commence with shocks, drawing limb inward and upward.
Spasms in leg.
Jerking in thigh ; in knee joints.
Drawing up leg in sleep.
Pushing with feet. θ Typhus.
In afternoon, a tremulous tossing of knees and feet, as of a violent chill, his mind being intact.
Twitching of toes.
Constant trembling of feet.
Inferior extremities cold.
Always cold feet.
Burning on dorsum of foot.
Burning and itching of feet.
Lower part of paralyzed lower limbs covered with sweat.
Limbs deep red.
Copper color visible on left knee.
Inside of right thigh, red and swollen. θ Typhus.
Eruption on leg ; itching on feet.
Inflamed, painful pustules on right leg, emitting an acrid water.
Several boils on feet.

Limbs in general

Arms agitated, lower limbs quiet.
Drawing, laming, somewhat spasmodic pains in muscles.
Fingers and heels numb, latter at times painful, rheumatic headaches.
Limbs paralyzed after apoplexy, or from spinal softening.
Limbs feel numb, as if gone to sleep ; hands and feet very cold, in nervous diseases, brain highly congested.
Twitching of hands and feet.

Rest. position. motion

Lying : on side vertigo < ; pulsating heat in vertex > ; in evening prosopalgia in l. cheek ; cutting pain in sternum.
Sitting : passed urine involuntarily ; while coughing lower extremities are jerked up.
Supports head with hands while bending or rising, after sunstroke.
As soon as he raises head from pillow : vomiting.
Puts right arm to small of back : as if in pain.
Rising : pressure in forehead.
After motion : vomiting of bile ; beating of heart very much increased ; pain in back, shoulder and abdomen.
Walking : involuntary passing of urine ; in dark, vertigo.

Nerves

Great inclination to lie down.
Weariness of limbs.
Great debility ; lassitude and weariness.
Fainting : with headache ; in forenoon, with great paleness of face ; with great dryness in mouth ; with colic ; during cold stage ; in typhus.
Fainting fits every day ; suddenly falls as if dead, with pale face, almost imperceptible breathing, waking after one to three hours ; if disturbed during paroxysm, she rolls about floor, becomes enraged, bites those around her.
Totters as if giddy ; cannot make even a few steps without help.
Falls down with full consciousness, and bent backward so that heels touch occiput ; suddenly snaps forward again.
Falling in dark ; can walk well in light.
Excessive uneasiness and restlessness.
Constant restless movements of limbs and of whole body.
Great mobility of all extremities, still he is not able to rise.
The muscles of voluntary motion fail to follow influence of will ; with great labor he carries a glass to his lips.
Entire loss of voluntary motion, although conscious.
Voluntary muscles do not obey will, in spite of his exertions to moderate his disagreeable motions.
Lameness of different parts of body.
Paralyzed limbs, after apoplexy.
Paralytic symptoms alternating with spasmodic.
Trembling : of lips ; of limbs ; of hands and feet ; of whole body ; as if child were in a great fright ; of limbs with mania-a-potu.
Jerking : of head from pillow ; of extremities ; through body.
Twitching : of hands and feet ; of tendons ; of extremities ; during chill ; through body, like chorea.
Starts and shocks through body.
Continual cramp in hands and feet.
Slow contracting and stretching of limbs, repeatedly in paroxysms.
Alternate contractions of hands and feet.
Convulsions : alternating with rage ; opisthotonic, from bright, dazzling objects, a lighted candle, a mirror, or touch, child rigid as a board ; when loudly spoken to, or when touched ; rejects every kind of liquid, like in hydrophobia,
moment it touches lips spasms return with great violence ; shrieks violently in a hoarse voice.
Throwing about of arms and legs, most of arms ; with opening and shutting of hands, and many motions of fingers.
Great movability of limbs.
Strange involuntary motions, great agility.
False perception of his limbs, missing steps going down stairs.
Sensation in joints as if all parts of limbs were completely separated from each other.
Sensation in arms and legs as if they were separated from body.
Hands and feet feel as if loosened in joints.
Progressive locomotor ataxia.
Chorea is preceded for some length of time by great irritability and sensitiveness, inclination to weep, with laughing and sprightly humor ; trembling in one or more extremities ; movements of extremities are performed with ease and with force ; walking degenerates into
hurried running ; crawling in extremities.
Chorea in persons of weakly constitution, with increased action of higher nervous system, easy mobility of muscles subject to will, with simultaneous depression of abdominal nervous system, lassitude and retention of stool and urine.
Chorea : from fright ; creeping in limbs, then violent movements, generally crosswise, of left arm and right foot ; rotate arms over head ; jump up, climb over tables, etc. ; caused by cerebral disease ; severe involuntary motion of tongue, with
impossibility to utter a word.
Sardonic grin ; on attempting to pick an object up from floor, hand would steer quite wide of it in spite of best efforts. θ Chorea.
Hysteria : preceded by great sensitiveness, weeping and laughing alternately ; sexual excitement ; full of strange and absurd fancies ; full of fear, starts back and stares wildly, even at familiar objects ; does not wish to be
left alone ; great loquacity ; puffed-up face ; praying and imploring ; convulsions ; rigid ; nervous chills ; frothing at mouth ; faces appear elongated ; shrinks back with fear, tries to escape ; without loss of consciousness ; from
fright ; attacks sudden, with screams, afterward drowsy, but cannot sleep ; attacks periodical, and there are premonitory symptoms ; tonic spasms, as catalepsy, limbs can be moved by others ; stiffness of body, with loss of consciousness, preceded by headache, with
vertigo.
Opisthotonos and trismus, with congestion to head ; red face ; heat of body, profuse urine ; deep, snoring sleep.
Screams, then draws legs up and arms across chest, grinds and clenches teeth, becomes blue under eyes and around mouth, sometimes nausea or retching ; urine high-colored when attacks are most frequent ; asks for something to eat directly after
attacks ; pain in stomach, with attacks ; during attacks, face first flushed, then pale, followed by blueness ; skin dry and hot ; body becomes stiff and bent backward, head retracted, knees drawn up, elbows pressed into sides, and hands clenched ; eleven to twelve
attacks daily, each lasting three minutes ; moans in sleep after having had attacks ; has thread-worms.
Convulsions of head and arms, with hiccough ; moves head to and fro, this movement is only interrupted by hiccough.
Severe spasms, opisthotonos, emprosthotonos, alternating with somnambulism.
Spasms : alternation of clonic and tonic ; body very hot ; continually change character ; abdomen puffed ; nightly ; from suppression of eruption, or exanthem failing to come out ; suppression of all secretions and excretions.
Epilepsy : from fright ; attacks sudden, with screams, afterward drowsy ; aching in stomach ; periodical ; gives warning of approach by premonitory symptoms.
Epileptiform spasms, thrusting head continually in quick succession to right ; continual rotary motion with left arm ; pain in pit of stomach ; obstinate constipation ; deep, snoring sleep ; low-spirited, fear of death ; desire to be alone.
Epilepsy, after onanism.
Spasmodic symptoms, alternating with a trance ; a woman suffering for three years, every Summer.
Immobility of limbs ; unable to make least motion. θ Catalepsy.
Cataleptic attacks, limbs easily moved by others, remaining in given position ; before attacks headache, vertigo and heaviness of head.
Cataleptic state, after a wound on right parietal bone ; picking with hands on bedcovers.
Tetanus and trismus.
He can only slowly advance, as legs can only be raised in a stiff manner and feet remain in full extension ; patient falls easily, and tip of foot pointed inwardly, only touches ground.
Extremities retain any position given to them, only eyelids reopen after they are closed ; head remains wherever it is put, and when foot is flexed forward or backward on joint it remains so, or returns only slowly to its former position.
Paralysis of one, convulsions of other side.
Left side paralyzed, stammering unconnected words ; sheds tears.
Paralyzed limbs after apoplexy.
Lies perfectly quiet, eyes half open, staring and tired-looking, upper eyelids move spasmodically, trembling mouth open, does not reply to any question.
Traumatic neuritis.
Said to be effective for hydrophobia (vary dose even to production of symptoms).

Sleep

Drowsy and staggering.
After sleeping in daytime, wakes with an important and solemn look.
Great desire to lie down and sleep.
Drowsiness succeeded by coma.
Sleepy, but cannot sleep ; after convulsions.
Stupefied half slumber, or deep sleep with snoring ; stertorous breathing.
Coma, rattling respiration, bloody froth at mouth. θ Scarlatina.
Child will not go to sleep in dark, but soon falls asleep in a lighted room.
Restless sleep, lies with legs drawn up ; moves arms in different directions ; snores and utters inarticulate sounds.
Walking about at night ; got up after midnight, confused ; rising up in bed ; sat up in bed.
Dreams with open eyes. θ Typhus.
Strange dreams of a frightful kind.
Insomnia, with low adynamic fevers.
During sleep : laughs ; screams ; starts ; sexual excitement ; twitching of limbs ; emissions ; spasms ; sits up, looks up, talks incoherently.
Restless sleep, full of dreams ; tossing about in bed.
Hallucinations : dancing in churchyard ; hears two persons talk, but does not know who they are ; as if bed were being drawn from under her.
Awakens : does not know where he is ; with a solemn air of importance ; screaming, seems frightened, knows no one, shrinks away, or jumps out of bed ; with staring eyes at one point ; assumes a comically majestic appearance ; sees as through a gauze ;
violent thirst ; tired ; with itching.

Time

Morning : inconsolable ; congestive headache on getting up, tearing in head and neck < ; dimness of vision ; vomiting ; cough < ; feet cold early ; itching over whole body.
At 2 A. M. : paralytic attacks.
At 3 A. M. : violent spasms.
Forenoon : fainting.
During day : weeping ; after sleep wakes with an important and solemn look.
At 1 P. M. : alvine evacuation.
Afternoon : tremulous tossing of knees and feet ; chilliness along back ; first heat of head and face, then general coldness ; fever.
Evening : delirious talk < ; sad with thoughts of death ; after sunset unsteady gait ; congestive headache > ; rheumatic headache < ; neuralgia of cheek ; prosopalgia in left cheek ; nausea with profuse salivation ; vomiting of mucus ; sudden
colic ; cough < ; fever.
Night : hallucinations < ; disposed to weep ; vertigo < ; rheumatic headache < ; agglutination of eyelids ; neuralgia of cheek ; spasmodic laughing ; singultus with restlessness ; suddenly an astonishing quantity of clear urine was passed, after
delirium ; cutting pain in sternum after lying down ; walking about ; shuddering of limbs ; profuse sweat.
Midnight : laryngeal spasm for an hour ; toward, rattling breathing.

Temperature and weather

Warmth : tearing in neck and head > ; otalgia > ; neuralgia of cheek first > then <.
Wind : walking in, cough <.
Cold : tearing in neck and head < ; drinks, cough < ; very sensitive to draft.

Fever

Shivering sensation in chin.
Chills : run down back ; and general coldness, with red face and twitchings ; with great sensitiveness to uncovering ; with heat of head and shuddering of limbs ; at night ; through whole body, with single jerks, partly of whole body, partly of single limbs,
of elbows and knee joints, without any thirst.
Creeping : under skin ; from left side into thigh, or into toes of same side, thence into abdomen, whence creeping again descends into right thigh and foot.
Chilliness : along back in afternoon ; chilliness and trembling, feels as if cold water were poured down her back ; of limbs.
Cold shivers with colic.
Shuddering : and diuresis ; over whole body, and grinding teeth.
Skin cold, hands and feet cold ; pulse threadlike, easily compressed, small.
Feet cold early in morning, nevertheless very sensitive to least cold draft.
Coldness of whole body ; limbs and trunk are cold all over.
Cold body, hot face.
Stiffness and coldness of extremities, with unusual redness and bloatedness of face.
Fever in children : cry out in sleep. start, jerk ; eyes half open, pupils large ; urine suppressed.
Afternoon, first heat of head and face, then general coldness, then general heat.
Heat : anxious with vomiting ; delirium, thirst and sweat ; in face ; of whole body, face vivid red ; at same time sweat ; dry over whole body ; in face, when coldness and chilliness passed ; and talking during sleep ; covers himself
carefully, if he puts a finger out from under cover, pain becomes very violent.
Covers up during heat.
Fever : in afternoon ; in evening ; first heat in head, afterward coldness of whole body, followed by heat of whole body with anguish, sleeps during heat, after awaking violent thirst, feels a stinging in palate until he drinks.
During hot stage : restless and anxious, often with screams ; thoughts of suicide ; excitable ; talking, singing and trilling ; vertigo, headache, pains in eyes ; impaired speech ; puffed-up abdomen.
During heat and sweat, numbness or crawly trembling of limbs, drowsiness and stupid sleep.
Heat of face, alternating with coldness of body.
Fever, with profuse sweat, which does not relieve.
Sweat : with great thirst ; cold all over ; with delirium ; with impaired vision or shunning light ; oily or putrid odor ; on forehead ; in back ; covers paralyzed limbs ; profuse at night.
During sweat : dulness and dizziness ; apoplectic symptoms ; anxiety, violent screaming, sighing and moaning ; sometimes changeable mood and often trilling and singing.
Boy, æt. 12 1/2, suffering since three years old with peculiar febrile attacks, for first six years accompanied by an asthmatic condition and blueness of face ; fever appears every two or three weeks, with intermissions of same duration, appears every
afternoon between three and four ; no chilliness ; presence of fever can often only be determined by use of thermometer ; no sweat ; extreme activity during fever ; writes constantly, although he cannot form his letters ; distorts face and talks a great
deal ; duration of fever variable ; sleep disturbed by many dreams ; pupils normal ; functions of body normal ; hearing somewhat impaired, particularly during attacks ; during fourth and fifth years had various hallucinations.
EC., æt. 25, had sunstroke twice, afterward was subject for some time to epileptic convulsions, which only occur at present during febrile stage of paroxysm ; has had quotidian ague four or five times in last three months, each time palliated by chloral hydrate and suppressed by
quinine ; chill usually began at 9 or 10 A. M., with pain in head and limbs, great thirst, headache, nausea and vomiting ; fever comes on slowly with congested face, eyes heavy and dry, pain becomes intense, with general muscular twitchings ; during convulsions eyes become
bright and staring, body rigid, jaws locked, frothing at mouth, with insensibility ; duration of paroxysm from five to fifteen minutes, after which he is unconscious of all that transpired ; sometimes three or four spasms in succession. θ Ague.
Congestive fever ; heat of face with moist and cold limbs.
Nightly fever, child cries out in its sleep ; starts and jerks ; sleeps with its eyes half open, pupils widely dilated, urine and feces suppressed.
Worm fevers.
In bilious fever ; shrieking voice, false conception of things.
Gastric fevers, with jerking of arms and fingers.
Bilious typhoid fever ; loquacious delirium with constant desire to get out of bed ; yellowish-brown tongue dry on centre ; lips sore and cracked and sordes on teeth.
Bilious typhoid fever ; swelled, dry, coated tongue, with no desire for water, although his mouth is dry, he has to moisten it ; suppression of urine ; lies constantly on right side, as it is painful to lie on left side.
Typhus ; moving her trembling hands incessantly ; could not talk.
Typhus ; delirious, singing, whistling, conversing in different languages, or jumping out of bed to run away, or to go to his business.
Typhus ; after throbbing headache, black before eyes, fainting away ; grasping with hands and pushing with feet, confused talking ; did not know his family or friends ; calling bystanders as if they were absent ; pupils extremely dilated, insensible to bright
light or sunlight, pulse slow ; called for help, thought he would die ; next day sopor, with loud snoring.
Typhus, with loss of consciousness ; lying flat, with staring, immovable pupils ; desire to run away ; with rage, talkative, furious delirium, singing, laughing, whistling, constant restlessness, involuntary strange motions with great agility, dreaming with open eyes, loss
of sight, loss of speech, red pimples on chest.
Typhoid fever of remittent character, pains beginning in left ear and terminating in left side of chest, with dry cough, which < pain.
In typhus, typhoid, or other fevers, when patient frequently raises or jerks head from pillow.
Typhoid fever, with parched and dry tongue ; eyes dull and heavy ; passages from bowels very dark, almost black.
Typhoid fever, involuntary muscular motions characterized by extraordinary celerity, also a peculiar morbidly altered state of mind, risus sardonicus, spasmodic distortion of facial muscles, oblique appearance of objects ; lies either unconscious with staring eyes, dilated,
immovable pupils, or talks continually, and dreams with open eyes, trying to grasp everything with hands.
Stupor, with delirious muttering ; constant raising of head from pillow or boring into pillow, so that he finally pushes head against headboard of bed ; raises hands to face, ears, etc., or waves them in air, or scratches on wall ; violent twitching of
muscles ; rigidity of back, and limbs ; masseter muscles rigid, clenching jaws ; pupils dilated, eyes injected and staring ; frowning ; moving of lips back and forth ; coldness of face, chin, nose, ears, hands and feet ; involuntary loose but small
stools ; no urine ; hot sweat on body ; tongue, when last seen, red on edges and tip dry, and heavily coated in centre ; delirium constant ; patient unconscious, yet wanted to get up and dress, or to walk about room ; fever and delirium < from 4 P. M. to
midnight.
Abdominal typhus, in a boy, æt. 14 ; on looking at him he stared, and there appeared on his forehead, and in his emaciated face, deep wrinkles ; cried out loud till he became hoarse ; mouth and lips ulcerated to such a degree that he declined to drink on account of severe
pain caused by any fluid or solid coming in contact with his mouth ; lips peeling off, and bleed when he picks them ; abdomen sunken, and tender to contact ; vomited occasionally mucus, with specks and streaks of blood ; frequent watery, offensive stools ; no
sleep ; no appetite ; urine scanty ; pulse very frequent and not regular ; great emaciation.
Very restless, uttering inarticulate cries day and night ; tossing arms, legs and head about continually ; high fever ; tongue coated yellow, and dry ; mouth open, and covered with a thick, dry coating ; lips sooty ; snoring breathing ; thin, fetid
profuse diarrhœa, involuntary ; conjunctiva bulbi much injected ; much muco-purulent matter in inner angles of eyes. θ Typhoid fever.

Attacks, periodicity

Periodical : neuralgic pains in forehead from 9 A. M. until noon, by 3 P. M. has passed away, but returns in morning ; cough ; attacks of hysteria ; epilepsy.
Alternation : exalted states and settled melancholy ; lively delirium and fright ; coldness of body anxiousness and thirst ; anticipations of death and rage ; laughing and crying out ; spasms of chest and fits of laughter ; headache and tumefaction of
abdomen ; spasmodic and paralytic symptoms ; constipation and diarrhœa ; exaltations and melancholy ; paralytic and spasmodic symptoms ; contractions of hands and feet ; convulsions and rage ; weeping and laughing ; severe spasms and
somnambulism ; clonic and tonic spasms ; heat of face ; and coldness of body.
Every half hour : convulsive attacks ; spasms.
For six hours : complete blindness.
For six or seven hours : limbs lame.
Every day : fainting fits, eleven to twelve attacks.
Every afternoon : fever appears.
Every night : since six weeks had visions.
Nightly : spasms ; fever.
From 4 P. M. to 5 A. M. : high fever.
From 4 P. M. to midnight : fever ; delirium <.
From 8 P. M. until 11 P. M. : pain in right temple.
From 9.30 P. M. until midnight : as if bed were drawn from under her.
For several days ; speechlessness ; hemorrhoidal flux.
Since three days ; at 9 A. M. severe tearing pain over right side of face.
For three or four days : stitching tearing at different times ; prosopalgia.
For five days : walking day and night.
Every two or three weeks : fever.
After Fall equinox : inconsolable.
For several years : rheumatic pain on top of head.
Since ten years : intense pain and vomiting of food.

Locality and direction

Right : hallucinations as if near mastoid process ; heard loud voice on side of occiput ; intense pain in side of head ; when lying on side felt as if bed were being drawn from under her ; throbbing headache in temple ; in spasms moves head mostly
to side ; redness and swelling about eye ; erysipelas of cheek, nose and face ; sided pneumonia ; thrusting side forward by spasms of erector spinal muscles ; drawing pain in arm ; stitches on shin bones ; inside of thigh red and swollen ; pustules on
leg ; violent movements crosswise of foot ; thrusting head to side ; creeping into thigh and foot ; lies constantly on side.
Left : tendency to fall ; head numb on side ; pain in ear down to cheek ; tears come from eye when otalgia is most violent ; neuralgia in cheek near ear ; muscles of side of face in an oscillating motion ; prosopalgia of cheek ; prosopalgia began
over eye to pass over cheek ala nasi ; side of face distorted with painless convulsions ; as if side of face were swollen ; erysipelas on cheek ; pressing pain in half of stomach ; dulness on percussion over lung ; after sunstroke lying on ; coxalgia ;
morbus coxarius ; fistulous openings from hip ; pain in tarsus ; numbness and stiffness of leg ; convulsions of lower limb ; copper color visible on knee ; violent movement crosswise of arm ; rotary motion of arm during spasm ; side paralyzed ;
pains beginning in ear and terminating in side of chest ; eruption of small blisters on leg.

Sensations

As if spinning or weaving ; as if objects were smaller than they really are ; as if dizzy ; as if he had no limbs ; as if drunk ; head as if drawn backward ; starts as if a shock of electricity had passed through her body ; as if eyes were
forced out ; eyelids as if swollen or as if oppressed with sleep ; as of wind rushing out of ears ; as if sawing cheek bone ; as if hole were there and as if brain were touched ; as if nose were stopped ; as if pins and needles were in forehead ; as if he
were seeking something ; as if bones were sawed through ; as if left side of face were swollen ; as if some teeth would fall out ; teeth as if pressed together ; moving fingers as if searching for something ; cries as if from sight of hideous objects ;
inner mouth as if raw ; soft palate as if drawn down ; as of boiling water in throat ; as if a ball were wedged in throat ; as if falling ; as if he would vomit ; as if navel were to be torn out ; abdomen as if puffed up ; as if abdomen were expanded
to extremest degree ; as if urine could not be passed on account of narrowness of urethra ; as if a cylindrical body were being passed through urethra ; as if he had not power to close neck of bladder ; as if urethra were too narrow ; as if very tall ; as if
something turned around in chest ; limbs feel as if gone to sleep ; as if parts of limbs were completely separated from body ; hands and feet as if loosened in joints ; as if cold water were poured down her back.
Pain : in nape of neck ; in cervical and upper dorsal vertebræ ; in head ; in right temple ; in eyeball ; in left ear, down to cheek ; spreads over all branches of facial nerve ; in submaxillary glands ; pain in upper teeth, then in
lower ; in stomach ; in cecum ; in abdomen ; in breast ; in nape of neck ; from neck over head ; in cervical and upper dorsal vertebræ ; as if beaten in back, shoulder and abdomen ; in lumbar region ; in cervical and upper dorsal
vertebræ ; in shoulder and back ; in pit of stomach.
Terrible pain : of hip disease.
Intense pain : in stomach ; in right side of head.
Severe pain : in loins.
Great distress : in pit of stomach.
Cutting pain : in sternum.
Lancinating pain : ovarian tumor.
Tearing : in neck and over head ; in wing of nose : over whole right side of face ; in abdomen into chest.
Tearing burning pains : from neck to left axilla.
Stabbing : in right temple.
Shooting : to back of head ; in ears ; in wing of nose.
Stitches : in ear ; fine, sharp in forearm ; on right shin bone.
Clawing pain : in head.
Corroding pain : in stomach.
Neuralgic pain : in forehead ; in cheek.
Sticking : pain in right temple.
Scratching pain : in palate.
Stinging pain : in throat ; in palate.
Contracting burning pain : in throat.
Pressing pain : in stomach ; in left half of stomach ; in abdomen ; in left tarsus.
Drawing pain : in back part of stomach ; in abdomen ; in upper and lower extremities : from side of neck into limbs ; in middle of spine and opposite to it ; in small of back ; in right arm ; in thighs ; in left tarsus ; in muscles of
limbs.
Rheumatic pain : on top of head ; in deltoid ; in left tarsus.
Dull pain : in occiput.
Aching : in knees ; in chest and sternum ; in right arm.
Writhing : in abdomen.
Cramps : in hands and feet.
Throbbing : in head ; in teeth.
Burning : in throat ; along diaphragm ; at pit of stomach ; in region of pit of stomach ; on dorsum of foot ; of feet.
Soreness : of throat.
Sensitiveness : along spine.
Heat : in whole head ; in abdomen ; in face.
Pulsating : in vertex.
Jerking : in thigh ; in knee joints.
Drawing : in thighs, abdomen and upper limbs.
Pressure : in forepart of head ; on forehead ; on cartilages of third and fourth ribs ; about heart.
Constriction : about throat ; of muscles of throat ; of œsophagus ; of chest.
Tightness : across chest.
Heaviness : of head.
Oppression : at pit of stomach.
Anxiety : in abdomen.
Lightness : of head.
Dulness : of head.
Weariness : of feet ; of limbs.
Lameness : of different parts of body.
Stiffness : of left leg.
Numbness : on left side ; of left leg ; heels ; of fingers.
Dryness : of mouth ; of tongue ; of fauces ; of throat ; in chest.
Tingling : in hands ; in forehead.
Creeping : in abdomen ; under cutis of left leg ; in thigh ; in foot ; in toes ; in limbs.
Crawling : on chin ; in extremities.
Itching : in nose ; of feet ; over whole body.
Shivering sensation : on chin.
Coldness : of face, chin, nose, ears, hands and feet.

Tissues

Abscess, with redness, heat and intolerable pain.
Mitigates terrible pains of hip disease, tumors, abscesses, anthrax, whitlow, etc.
Plethoric, especially young persons.
Emaciated, cries day and night ; cough.
Anasarca, after scarlatina.

Touch. passive motion. injuries

Touch : on spot on os petrosum, as if brain were touched ; stomach very painful ; on side abdomen painful ; spot in back pains.
Pressure : pressing pain in stomach <.
Rubbing : increases itching.

Skin

Skin : hot and dry ; flabby and dry ; dirty.
Anasarca after scarlatina.
Emaciation ; like an old man ; with cardialgia.
Itching over whole body, early in morning, after waking.
After dulness of senses, and anxiety, a red rash breaks out on back, with sweat.
Violent fever ; delirium ; tremors in limbs ; general eruption on skin, swelling, itching and inflammation.
Agony, high fever, burning heat and redness of skin, with itching eruption over whole face and trunk.
Suppression of an eruption, or eruption fails to come out.
Petechiæ on face, neck and breast.
Many pimples, like blotches on several parts of body, also in palms of hands, with a stinging itching like nettles, increased by rubbing.
Spots on arm like flea-bites.
Measles : fever before eruption, great heat of body and copious sweat ; very great redness of puffed-up face ; peculiar delirium ; full of fear and anxiety ; children see frightful figures, rats and mice, attempted to hide ;
spasmodic affection of œsophagus.
Scarlet redness over whole body ; peculiar boiled-lobster hue of scarlatina.
Intensely red rash on skin, resembling scarlet fever, but having a more shining appearance.
Very marked flushing of hands, arms, face, neck and back ; rash resembled that of scarlatina simplex, the bright red disappearing under pressure, and immediately returning after removal of pressure.
Scarlatina, similar to Bellad., but eruption is less bright, shows a disposition to recede or fade, and urine is small in quantity or secretion suppressed ; parenchymatous nephritis ; delirium, hallucinations, convulsions ; great dryness of throat,
compelling frequent drinking ; swelling or paralysis of tongue ; it hangs out of mouth.
Child, æt. 6, violent vomiting ; high fever ; restlessness, with somnolence ; pulse 140 ; tongue dry ; throat sore ; tonsils swollen ; fetid breath ; fifth day parotid and submaxillary glands much swollen,
especially right ; swallowing difficult and painful ; could scarcely open mouth ; respirations snoring or rattling, whether asleep or awake, as in diphtheria ; breath very offensive ; deafness ; dirty, putrid sanies from mouth and nose ; pulse 150 ;
rash fading ; wild mania, with terror, imagined he was to be killed, but struck friends who came to help him ; desire to leave bed, imagined he was driving a horse ; feigned he would take medicine, often poured it out. θ Malignant
scarlatina.
Restless ; skin itching ; rash coppery red ; skin dry, hot.
Skin suddenly turning dark, red-brown, like an Indian's.
Front of chest copper-colored.
Fifth day, many vesications on skin, filled with a pellucid fluid, extremely numerous and very small, many of them not larger than a pin's head, covering her whole face and trunk, drying up on sixth day.
Eruption of small blisters on left leg near calf ; spreading over whole leg ; blisters very painful, with much heat and redness, and oozing a hot, sharp, acrid fluid.
Boils : several on feet.
Burns, and scalds.
Abscesses and tumors, with intolerable pain, driving to desperation.
Ulcers : irritable, with thickened edges, and a sanious discharge ; promotes granulation and cicatrization ; syphilitic ; after mercury ; scrofulous, of ill condition.
Old cicatrix very red.

Stage of life, constitution

Children especially ; chorea, mania, fever.
Young, plethoric persons.
Boy, æt. 2, light hair, lively and intelligent, after fright ; stuttering speech.
Boy, æt. 3, father insane ; mental derangement.
Boy, æt. 3, ill a year ; spasms.
Girl, æt. 4 ; loss of speech.
Girl, æt. 4, spasms.
Girl, æt. 5 ; mental disturbance.
Child, æt. 6 ; typhoid fever.
Boy, æt. 6 ; malignant scarlatina.
Boy, æt. 10, scrofulous, after a fall from swing ; spasms.
Girl, æt. 10, pale, anemic, slender, unable to study much, with sore eyes, etc. ; chorea.
Boy, æt. 11, after fright ; mental derangement.
Boy, æt. 11, after fright four months previously ; chorea.
Girl, æt. 11, weak, sensitive ; chorea.
Girl, æt. 12, lively disposition ; chorea.
Boy, æt. 121/2 ; periodical fever.
Girl, æt. 13, severe attack of facial erysipelas, delirium.
Girl, æt. 13 ; chorea.
Young man, æt. 14 ; typhoid fever.
Girl, æt. 16, nervous, blonde, delicate skin, frequently suffering from headache ; prosopalgia.
Young man, æt. 18, tall, slim ; typhoid fever.
Miss S., æt. 19, delicate, blonde, blue eyes ; pneumonia.
Young man, æt. 22, frivolous, has had three previous attacks ; mental disturbance.
Man, æt. 22, suffering several days ; mania.
Young woman, æt. 22, single, strong and healthy, dark hair, brown eyes ; prosopalgia.
Mrs. S., æt. 23, bilious, nervous temperament ; puerperal convulsions.
Woman, æt. 23, single, choleric temperament ; spasms.
Man, æt. 24, has had several attacks during last five years ; delirium tremens.
Man, æt. 25, after severe fright ; affection of heart.
Man, æt. 25, had sunstroke twice, for some time afterward subject to epileptic convulsions ; ague.
Man, æt. 26, sanguine temperament, after fright ; mania.
Man, æt. 28 ; delirium tremens.
Man, æt. 29, short, thick set ; delirium.
Woman, æt. 30, single, weak, timorous disposition, after fright ; melancholia.
Lady, æt. 30, leuco-phlegmatic temperament, had five children, each time lost much blood ; vertigo.
Woman, æt. 30 ; vertigo.
Man, æt. 30, blonde, robust ; pneumonia.
Man, æt. 32 ; delirium tremens.
Woman, æt. 32, during fourth labor, was harshly manipulated in attempts to dilate os ; convulsions.
Man, æt. 33, tendency to obesity ; prosopalgia.
Man, æt. 35, light complexion, mild, taciturn, blue eyes, light sandy hair, amiable disposition, during an attack of erysipelas of head and face ; delirium tremens.
Man, æt. 36, suffering several months ; mental disorder.
Man, æt. 37, tall and thin, irritable nervous system ; prosopalgia.
Woman, æt. 37, emaciated, phthisical ; typhoid fever.
Man, æt. 40, suffering three weeks ; mental disorder.
Man, æt. 40 ; delirium tremens.
Woman, æt. 40 ; spasms.
Man, æt. 40, suffering four years ; epilepsy.
Man, æt. 41 ; delirium tremens.
Woman, æt. 42 ; delirium tremens.
Man, æt. 42 ; mental disturbance.
Lady, æt. 42, robust, dark complexion, black eyes, subject to rheumatism ; headache.
Woman, æt. 42, after uterine hemorrhage ; prosopalgia.
Woman, æt. 42, strong, dark skin, eyes black ; prosopalgia.
Man, æt. 43 ; mania.
Man, æt. 45, strong ; typhoid fever.
Lady, æt. 62, suffering several weeks ; mental derangement.
Weaver's wife, æt. 62, had in her first childbed puerperal mania ; got better, but had, for fifth time, several attacks, even after six years ; mania.
Woman, æt. 65, nervous temperament ; insanity.

Relations

Antidoted by : Vinegar, lemon juice, tobacco injections ; senna for cerebral symptoms ; Bellad., Hyosc., Nux Vom .
It antidotes : Mercur., Plumbum .
Compatible : after Bellad., Cuprum .
Incompatible : coffee.
Compare : Secale (delirium, metrorrhagia).

Lectures on Homoeopathic Materia Medica

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

Mind

When considering Stram. the idea of violence comes into mind.

One cannot look upon a patient who needs Stram., or who has been poisoned with it, without wondering at the tremendous turmoil, the great upheaval taking place in mind and body.

Full of excitement, rage, everything is tumultuous, violent; the face looks wild, anxious, fearful; the eyes are fixed on a certain object; face flushed, hot raging fever with hot head and cold extremities, violent delirium. In his anxiety he often turns away from the light, wants it dark, is aggravated especially if the light is bright.

High fever with delirium; the heat is so intense that it may be mistaken for Bell., but it is usually a continued fever, only at times remittent, while the intense fever of Bell. is remittent always.

Stram. is like an earthquake in its violence. The mind is in an uproar; cursing, tearing the clothes, violent speech, frenzy, erotomania, exposing of the person. These symptoms are found in continued fevers, insanity, cerebral congestion. It is useful in violent typhoids.

It is useful in mania that has existed for some time; attacks of mania coming on in paroxysms, appearing with more or less suddenness, so that a single attack would look like Bell., but the history differentiates. Bell. would hardly be more than a palliative in the first attack, and the second exhibition of it would do nothing.

When the delirium is not on, the patient has the appearance of great suffering, forehead wrinkled, face pallid, sickly, haggard. In head pains this anxious look, indicative of intense suffering from meningeal involvement.

"Delirium bland, murmuring; violent, foolish, joyful, loquacious, incoherent chattering with open eyes; vivid; merry, with spasmodic laughter; furious, raving, wild; attempts to stab and bite; with queerest notions; with sexual excitement; fear as if a dog were attacking him."

Strange ideas about the formation of his body, that it is ill-shapen, elongated, deformed; strange feelings concerning his physical state. All sorts of illusions and hallucinations. One must distinguish between these states. An illusion is an appearance in the vision or mind which the patient knows is not true.

A hallucination is a state that appears to be true. A delusion is a more advanced state, when the patient thinks it is true and cannot be reasoned out of it. Fear and great anxiety on hearing running water.

He sees animals, ghosts, angels, departed spirits, devils, and knows they are not real, but later he is confident of it. He has these hallucinations especially in the dark. At times he has an aversion to a bright light which is painful, and again he must sit and look into an open fire, but this may cause cough and other symptoms.

"Sings amorous songs and utters obscene speech.

Crazy with distress, jumps out of bed, acts as if the bed were being drawn from under him.

Screams until he is hoarse or loses his voice.

Screaches and screams day and night with fever, with forms of mania.

Hasty, hurries with all his might if he wants to go to another place."

Violent laughter with sardonic expression on his face.

"Child awakens terrified, knows no one, screams with fright, clings to those near."

Hyosc. has wild maniacal delirium, but with very little fever. In Stram. there is considerable fever. In Bell. the fever is in the afternoon and evening, 9 P.M. to 3 A.M., and then a remission.

Violent convulsions involving every muscle of the body, opisthotonos, violent distortions, contraction of the limbs, biting of the tongue and bleeding from the passages. During spasms, covered with cold sweat; sometimes almost as cold as ice; cold sweat in mania; this feature is equaled only by Camphor.

Hysterical convulsions of long standing, associated with spinal trouble; worse from fright. Convulsions in nervous, excitable people brought on by fright.

Puerperal convulsions and insanity. It has the septic nature. Those cases going on for a while as melancholic, low spirited; she believes she has sinned away her day of grace, yet she has lived an upright life; sad; imagines strange things, does strange things, until finally violent delirium comes on; she screams aloud; exhorts people to repent; face red, and eyes flashing; exhorts and prays in incoherent speech. In such cases Stram. should be compared with Veratr.

In cerebral congestions, the delirium subsides into unconsciousness the patient has the appearance of profound intoxication; pupils dilated or contracted (in Bell. they are dilated).

Marked stupor, stertorous breathing, lower jaw dropped. So in typhoid and the low forms of fever, foetor, oozing of blood from the mouth and other passages.

Throat and mouth dry, tongue dry, swollen, so that it fills the mouth, pointed, red like a piece of meat, bleeding from the mouth, sordes on the teeth, lips dry and cracked; at times violent thirst yet dread of water.

Diarrhoea copious, involuntary; abdomen tympanitic, involuntary urination.

Basilar meningitis from suppressed ear-discharge. The Old School have no remedy for such cases. Forehead wrinkled, eyes glassy, staring, dilated pupils and scarcely any fever; awful pain through the base of the skull and there is a history of necrosis about the ear.

Violent headache from walking in the sun, and from the heat of the sun. Aggravated all day and at night the patient must sit up because of increased pain on lying down; he is worse from every motion on jar; eyes fixed and glassy, face flushed, but later it is pale, eyes fixed on a corner of the room, motionless; delirium, says strange things. Pain in the occiput.

High grade inflammation which it carries to the finish. Pus forms, abscesses with excruciating pain ( Hepar, Merc., Sil., Sulph.). Violent catarrhal inflammations, vicious, septic states. Chronic abscesses, carbuncles, boils, abscesses in the joints, the left hip-joint is a special locality. You will often be able to abort a case of hip-disease, and even when pus is present or fistulous openings have formed it is very useful. Fullness, suppuration, and pain in the cartilages.

Stram. stands alone among the deep acting remedies, in its violence of mental symptoms. Stram. cures eye troubles and irritation of the brain from overstudy; in students who are obliged to do much night work to keep up with day lectures. The patient seems almost blind; there is much pain in the eyes in dim light, relieved in intense light. The mental symptoms, cough, headache, etc., are worse from light.

"Dryness of throat and fauces, not benefited by any sort of drink.

Swallowing difficult and impeded with stinging pain in the throat, with pain in the submaxillary glands with convulsions; particularly fluids from constriction of throat."

Choking on attempting to swallow water. It has done some good work in hydrophobia. ( Hyosc., Bell., Canth., Hydroph.)

In old cases of suppuration of the lungs where the cough is worse from looking into the light, Stram. is often a great palliative and causes no aggravation.

Retention of urine, cannot pass it if he ceases to strain; old men who have lost power over the bladder, stream flows slowly, cannot make haste.

Cardiac affections with great constriction of the chest, mental irritability, delusions as to personal identity, inability to sleep in the dark, great anxiety when on a train going through a tunnel, pulse irregular, heart feeble.

Sleep full of dreams and turmoil.

The Therapeutics of Fevers

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

Characteristic

Adapted to diseases of young plethoric persons (Acon., Bell., Ver. v.); especially children, in chorea; mania, fever, delirium.

Delirium: loquacious, talks all the time, sings, makes verses, raves; simulates Belladonna and Hyoscyamus, yet differs in degree. The delirium is more furious, the mania more acute, while the congestion though greater than Hyoscyamus is much less than Belladonna, never approaching a true inflammatory condition.

Loquacious: disposed to talk continually (Cic., Lach.); incessant and incoherent talking and laughing; praying, beseeching, entreating; with suppressed menses.

Convulsions with consciousness (Nux—without, Bell., Cic., Hyos., Op.); renewed by sight of a light, a mirror, or water (Canth., Bell., Lys.).

Desires light and company; cannot bear to be alone (Bis.); worse in the dark and solitude; cannot walk in a dark room.

Awakens with a shrinking look, as if afraid of the first object seen.

Hallucinations which terrify the patient.

Desire to escape, in delirium (Bell., Bry., Op., Rhus).

Imagines all sorts of things; that she is double, lying crosswise, etc. (Petr.).

Head feels as if scattered about (Bap.).

Eyes wide open, prominent, brilliant; pupils widely dilated, insensible; contortion of eyes and eyelids.

Pupils dilate when child is reprimanded.

Face hot and red with cold hands and feet; circumscribed redness of cheeks, blood rushes to face; risus sardonicus.

Painlessness with most complaints (Op.).

Hydrophobia: fear of water, with excessive aversion to liquids (Bell., Lys.); spasmodic constriction of throat.

Stammering; has to exert himself a long time before he can utter a word; makes great effort to speak; distorts the face (Bov., Ign., Spig.).

Vomiting as soon as he raises his head from pillow; from a bright light.

Twitching of single muscles or groups of muscles, especially of upper part of body.

Aggravation

In the dark; when alone; looking at bright or glistening objects; touch; after sleep (Apis, Lach., Op.); swallowing.

Amelioration

From company; bright light; warmth.

Type

Quotidian; double quotidian; typhoid; typhus; yellow.

Time

6 to 7 A. M. All periods, day or night.

Fever without chill, noon and midnight (11 A. M. and 11 P. M., Cac.).

Chill

Without thirst. Shaking chill through whole body, with single jerks, partly of whole body or only of single limbs, elbows and knee-joints. Chilliness runs down along the back as from cold water (as if dashed with cold water, Rhus, Sabad.). General coldness of the whole body, with red face (Arn.), hot head, and twitchings of the limbs. Chills, with great sensitiveness to uncovering (excessively sensitive to cold air, Camph.—chill through and through from the slightest uncovering in warm air, Thuja). Skin icy cold, and covered with cold sweat, hands and feet livid (Ver.). Face, hands and feet blue and cold (Camph., Ver.). Coldness of the limbs. Hands and feet extremely cold, bluish and almost immovable; coldness and paralysis of limbs (Nux—numbness of limbs, Ced.).

Heat

With thirst. Violent fever at noon, returning at mid- night (11 A.M., returning at 11 P. M., Cac.). Heat of head and face, then coldness of whole body, then general heat, with anguish; sleeps during heat (Apis, Ign.—falls asleep during heat and sweats profusely, Pod.). Nausea and vomiting in evening followed by violent, anxious heat. Heat over whole body from least motion (least motion relieves the heat, Caps.). Dry, glowing heat over whole body, with redness of head and face, and coldness and paleness of rest of the body (Bell., Op.). Skin hot and burning, with sweat at same time (Sep.). During heat, pains became violent if he put out a finger from under the cover (chilly, if she puts a limb from under the cover, Bar., Canth.). Covers up closely. During chill, heat in head and face; during the hot stage, cold feet and legs; during sweat, cannot bear to be uncovered. Vertigo; delirium; epileptiform convulsions (Hyos.).

Sweat

With thirst (Ars., Cinch.). Profuse sweat, with burning in the eyes and dim vision. During sweat, good appetite, diarrhœa, distention of abdomen, and colic. Cold sweat over whole body. Perspiration of forehead and face, rest of body red, dry and hot. Oily sweat (Phos.—as if mixed with oil, Cinch.).

Tongue

Clean or whitish coated, with red papillæ; or swollen, dry and difficult to protrude. Juicy fruit tastes dry; food tastes like straw.

During fever, in children, they cry out in sleep; start suddenly, twitch and jerk; eyes half open; pupils dilated; urine suppressed.

Stramonium, like Nux, cannot bear to be uncovered in any stage; but not for the same reason. The Nux patient is cold and chilly, if uncovered in the slightest, even cold on moving in bed; while the Stramonium patient is cold, and with the coldness comes immediately violent pain.