Chapter IV: Part 4

_Sixth day._—At 6 o’clock, colic, with diarrhœa and internal trembling. Shuddering at half past 6. Red spot and itching at the forearm. At 7 o’clock, colic with diarrhœa and shuddering. 580. Nervous laughter which causes her to shudder. Cold feet, shuddering in the left leg. At 8 o’clock, cracking in the right forearm. Lancination in the left gums, reaching to the right ear. At a quarter past 8, red spot like a flea bite, on the back of the left hand. 585. Dulness of the head, with weight at the orbits. Cold feet, especially the left. At 9 o’clock, oppression on the chest, with sighing. At 11 o’clock, weight at the orbits, as from sleep. Crampy pain at the right wrist, shifting to the arm and then to the axilla. 590. Colic at the stomach. Oppression and sighing. Trembling of the right arm, and beating at the anterior surface of the wrist. At a quarter past 11, rheumatic pain at the right shoulder. Small vesicular pimples on the lower lip, itching a good deal. 595. Pain as from having been lying in a wrong position, under the arm, under the right sight side of the chest. Painful beating above the right breast. Painful lancinations in the head, striking to the ear and the left teeth, and then shifting to the upper part of the orbit. Drowsy at noon. Pain between the shoulders, worse by pressing against the sternum. 600. Contusive pain at the left leg. Painful stitch at the outer breast, extending under the arm. Hungry, but satiated at once. Itching at the right outer ankle. Numbness of the right arm, as far as the left index-finger, all the muscles hurt him. 605. At one o’clock, formication in the soles of the feet. At half past one, contusive pain in the back, at the hips and in the renal region. Strong pressure at the left temple. Drowsy at 2 o’clock. Colic at half past 3. 610. At 4, beating at the outer side of the right wrist. Nervous shuddering all through the chest, and passing between the shoulders. Lancination from the left side of the head to the eye, temples, above the ear and in the lower jaw. Whizzing in the ears. Pain at the stomach as from hunger. 615. Lancination in the left breast. Lancination in the first phalanx of the middle-finger. At 4, toothache on the left side, affecting the eyes. Violent pain in the back as if weary, and affecting the lumbar region. Pain at the stomach, oppression, sighs. 620. Lancination in the left gums. At 4, beating in the right external ankle. Lancination in the whole jaw. Redness, and heat mounting to the face; cheeks and forehead are redder than the rest of the face. At half past 8, oppression, pain at the stomach, as from hunger.

_Seventh day._—625. At 6, colic, diarrhœa and shuddering. At 8, merry, with desire to laugh, followed by shuddering in the head and legs. Cold feet. Lancination in the left lower gums, tightness of the nose, felt even in the jaw. Feelings excited, oppressed, as from some great misfortune. 630. Nervous pain below the bend of the right elbow, descending to the ring- and little fingers, at 10 in the morning. Painful pressure on the left shoulder, which is very sensitive, at 11 in the morning. Beating at the right shoulder. At 11, lancination in the gums and left eye. Stiff neck, the least motion causes a pain in the nape of the neck and gums. 635. Weight at the eyes and in the head. Numbness at the nape of the neck. Sensation as of a bar through the jaws, from ear to ear, with tightness of the head. Tightness at the root of the nose. 640. The teeth are painful when chewing. Pain in the back, under the right shoulder, accompanied by beatings in the chest. Cold feet at one o’clock. Beatings in the right side of the chest. Heat in the face and drowsy after dinner. 645. Weight at the orbits. Pain in the side, with lancinations in the right breast. Pain in the bend of the right elbow, worse when moving it. Beating at the lip of the right index-finger. Suffocative oppression, causing her to sigh a good deal. 650. Colic, yawning. Beatings at the tip of the tongue, on the left side. At half past 2, pain in the renal region when sitting. Heat and pain in all the toes. Numb pain from the wrist to the upper part of the right arm. 655. Stiffness and beating in the left side of the neck, especially when moving the head. At half past 8 in the evening, beating in the right orbit, afterwards in the sides. Beating at the root of the nose. Painful stitches in the right side, hindering breathing. At a quarter past 10, aching and contusive pain in the right side. 660. Pain as from weariness below the right shoulder. Head heavy and dull, the least motion affects her eyes and the region of the orbits. Lancinations in the gums and heat in the face.

_Eighth day._—At 6, colic and diarrhœa. Lancination in the left breast, at 2 in the evening. 665. Pain in the right renal region. At noon, pimple on the forehead, left side. At 2, heat in the face. At 4, beating in the right, and sometimes left orbit. At 6, painful stitch in the right side, hindering breathing. 670. At 7, sadness, desire to weep. Rush of blood to the head. Heat in the face. At 10, nosebleed. At 11, cold and clammy feet, while lying down. 675. Hot feet, some time after.

_Ninth day._—At 6, pain in the right thigh, high up, at the outer side, causing her to limp. Painful stitch in the left breast. At half past 7, desire to weep, oppression as from some emotion. At half past 8, desire to weep, the least trifle makes her sad; she starts when hearing a door opened suddenly. 680. She is oppressed and breathes heavily. Pain in the right wrist, striking to each finger. Hot face. Great desire to weep, even while singing, followed by oppression, at half past 9 in the morning; she weeps. Acute nervous pain from the shoulder to the left breast. 685. Pain at the bend of the right elbow. Heaviness in the eyes and desire to sleep, at a quarter of one. Beating in the left side of the abdomen. Beating in the pit of the stomach, reverberating in the whole chest. Frequent ineffectual urging to stool. 690. Tight pain above the ears, with numbness of the jaw. Heaviness in the whole head. Lancination in the left lower gums; shortly after, lancination in the upper gums. Stiffness of the nape of the neck. Hot face. 695. Loud whizzing in the left ear. Drowsy. Numbness of the gums. Deep sighing, yawning. Mounting of heat to the face, now and then. 700. Pain in the left gums striking to the eye and behind the ear. At one o’clock, heat, no appetite. Lancinations in the gums, reverberating in the whole head. Violent beating at the left temple. Numbness of the left wrist, the whole hand is painful. 705. Acute pain in the left gums, the whole left side of the head is numb. Warm hands and cold sweat, at 3 in the afternoon.

_Tenth day._—Torpor of the head, with numbness in the upper gums and the muscles of the eye. Pain at the right hip, at one o’clock. Tightness at the epigastrium; her feelings are very much excited, as if some misfortune should happen to her, at 2 in the afternoon. 710. Pain in the right ear. Pain in the left cheek and gums. Beating in the arm and right wrist. Weight at the right orbit, at 3. Little appetite. 715. Cold sweat in the face, at half past 6. Suffocative oppression. Drowsy, at half past 8. Hot face, at 9.

_Eleventh day._—Restless sleep. 720. Doughy mouth, at 6 in the morning. Inflammation of the left puncta lacrymalis. Pain at the right gums and cheek, at noon. Burning of the cheeks, from one to four.

_Twelfth day._—Small pimples in the face, at 6 in the morning. 725. Pain in the renal regions, at 9. Weakness of the legs. Beating under the right hip. Pain at the gums, at 11. At 2 in the afternoon, pain and beating under the left shoulder. 730. At 8, small pimples on the chin, itching a good deal. At half past 8 in the evening, colic and cold sweat.

_Thirteenth day._—Eyes bloated, surrounded by margins. Colic and diarrhœa. Uneasiness when lying down. 735. Leucorrhœa. The period sets in 8 days before its time. Profuse menses. At half past 6, lancination in the left gums. At 7, lancinations in the jaw. 740. Tightness at the root of the nose. Numbness of the right arm. At 9, whizzing in the right ear. Pain and beating on the right shoulder. At 10, beating in the left little finger, thumb and index-finger. 745. Burning at the whole hand. Violent itching at the index-finger, the whole of the left arm is painful, especially the wrist joint. At half past 10, beating pain near the right internal ankle. Hot feet. Toothache, on the left side. 750. At 11, pain and itching at the left foot, violent pain in the whole of the right foot. Violent pain near the inner canthus of the left eye. Pain in the left wrist-joint. Beating in the right index-finger. At noon, bloating of the lower eyelids. 755. Redness on the left side of the nose. Pain in the wrist and bend of the left arm. Contusive pain at the right knee. Pain in the left gums. Pain in the legs as from weariness. 760. At 2, lancinating pain shifting from the knees to the right elbow, then to the shoulder, to the right foot, right wrist, and lastly to the knees. At half past 2, nervous pain in the renal region. Pain behind and in the right ear. Colic. Pain in the left gums, striking to the root of the nose. 765. Pain in the left wrist. Pain as from weariness in the back, near the left shoulder. Whizzing in the right ear. Pain as if her arm were pulled violently. Painful stiffness in the left side of the neck.

_Fourteenth day._—770. At half past 6, pain in the wrist. Pain behind the head and in the neck, reverberating in the left gums. Stiff neck. Pain and beating in the elbow, at the right forearm and in the bend of the left elbow. Rheumatic pain in the right shoulder, passing under the arm. 775. Painful stitch in the left breast. At noon, the left foot burns, the right foot is cold. Heat and pain at the right index-finger. At half past one, heat at the feet, especially the right foot. Pain at the right little toe. 780. At 2, pain at the tip of the tongue. At 10, pain in the left gums.

_Fifteenth day._—At 10 in the morning, pain at the gums. Suffocative oppression of the chest. At 9 in the evening, nervous trembling of the right arm.

_Sixteenth day._—785. At noon, beating at the right middle and index-finger.

_Seventeenth day._—Dreams about purchases. At half past 9, pain at the right arm, shifting to the little finger. Pain at the left breast, almost under the shoulder. Numbness of the right wrist. 790. Beating at the right shoulder. Lancination in the left gums. At half past 10, pain in the whole right hand. Pain in the right orbit. Pain at the left wrist and in the whole hand. 795. Pain in extending the left arm. At noon, nervous shuddering. Burning pain with red spot above the right elbow. Nervous pain shifting from the eye to the gums, with beating at the left temple. Violent beating in the left side of the thorax, under the shoulder. 800. Heaviness at the left orbit. Lancinations in the right wrist and thumb. Drowsy, at 2. Numbness of the arm. At 3, pain in the back and chest. 805. Beating at the right temple. Violent pain like a stitch, in the left breast. At 2, slight itching at the knee, below the lower lip, changing to an acute pain when rubbed, which lasts all day.

_Eighteenth day._—Dreams about mutilated bodies, dead bodies, with the arms cut off. At half past 6, pain under the lower lip, with swelling on the left side, and a large red pimple in the centre of the swelling. 810. At 8, pain and prickling at the right shoulder. Beating above the right knee. At 5, cold feet, hot face.

_Nineteenth day._—Dreams about children, prisoners being set free. At half past 8, cold feet. 815. At 3, pain in the orbits and forehead. At half past 4, pain at the gums passing to the left eye. Pain at the right wrist, between the thumb and index-finger, also near the bend of the arm. Nervous beating in the left orbit. The skin on the forehead feels stretched. 820. Impatient; she wants to break every thing. Absence of mind at work. She imagines she is alone in the world and lost. Weeping without cause, followed by nervous laugh. Sad, melancholy; she thinks of the future, feels unhappy.

_Twentieth day._—825. At one o’clock in the afternoon, sickness at the stomach after eating. Hemicrania, pains all through the head. Drowsy, with nausea. Tightness of the back part of the head. Sharp pain behind the ears. 830. The least thing hurts her, causing horrible pains in the forehead, temples and under the chin. Lancination behind the neck, on the left side. Beating in the left breast. Cold feet. At 5, shuddering all the time. 835. Headache when walking. Horrible pain and beating in the chest. Involuntary closing of the eyelids. Pain in the gums. Internal trembling. 840. Rush of blood to the head; she turns red.

_Twenty-first day._—From the 11th to the 21st day, profuse menses with leucorrhœa. At half past 2, pain and beating in the left shoulder. At 3, beating in the left side of the head. Drowsy: heaviness of the head.

_Twenty-second day._—845. No sleep. Colic with diarrhœa, from the 18th day. Heaviness of the head. From the 23d to the 28th day, horrible colic, every morning, with diarrhœa, and pains in the middle of the back. Nervous, she starts when a chair is moved with a little noise. 850. She turns red, and her chest feels oppressed. Every day, after breakfast, she has an attack of oppression on the chest. Difficult digestion after breakfast; after noon she turns pale.

_Thirty-third day._—She feels hot at the hands, feet and face, though the hands are cold and clammy to contact; she thinks this is likewise the case with her feet and face. Cold sweat on the face and body.

_Thirty-fourth day._—855. The eyes are bloated and smaller. Painful pimples when touched, on the left cheek and at the eyebrows.

_Thirty-fifth day._—Starting from the least noise. Yawns all the evening.

_Thirty-eighth day._—Violent pain in the chest, shifting to the left breast, sometimes to the right, especially when moving the arm. 860. Headache.

_Thirty-ninth day._—Pain and sense of weariness in the renal region. Dreams about travelling and parties. Drowsy at one in the afternoon. Hot face. 865. Coryza. Face dull and dark, with paleness, mottled with red spots. Pain in the renal region, as from falling on the sacrum. Copper taste in the mouth. Pain in left side hindering breathing. 870. Inflammation of the right eye.

ARRANGEMENT OF THE SYMPTOMS ACCORDING TO HAHNEMANN.

MENTAL AND MORAL: 1. Sensation as if floating in the air. Dizziness. She imagines she sees a dead person, and cries. Sensation as if falling to the ground. 5. Sensation as if hanging three feet from the ground. Listless. Absence of mind, he makes mistakes. She imagines she is alone in the world. Laughter with shuddering. 10. Weeping, followed by a nervous laugh. Sad, thinks of the future. Desire to weep, with oppression and tendency to start. Merry, with desire to laugh, followed by shuddering in the head and legs. Depression of spirits. 15. Impatience, because her ideas flow too slowly. Impatience. Peevish. Sadness, despair, he imagines he is abandoned. Thinks of his salvation during a paroxysm. 20. Irritable.

HEAD: Lancinating pain at the top of the head. Beating pain from the occiput to the vertex. Pain in the head, like a weight. Headache down to the eyebrows and eyes. 25. Contractive sensation in the skin of the forehead. Headache as from a nail in the vertex. Aching pain at the forehead and vertex. Headache on the left side. Semilateral headache. 30. Heat about the head. Slight beating at the forehead. Weight at the frontal muscle. Dulness of the head, in the morning. The right half of the head is painfully sensitive. 35. Headache as if a circle were rolling over the forehead. Frontal headache. Dulness of the head, with weight at the orbits. Numbness of the head. The face and head, from the vertex pain her horribly. 40. Tightness at the back of the head. Painful darting in the head, striking to the ear, teeth, and then shifting to the orbit. Pressure at left temple. Heaviness of the head. Tightness of back part of the head. 45. Rush of blood to the head. Beating in left side of head. Headache. Hemicrania. Heaviness of the head. 50. Torpor of the head, with numbness of the upper gums and muscles of the eye.

FACE: Weary look. Burning smarting in the beard, left side. Hot face. Swelling below the zygoma, with sensitiveness to contact. 55. Pale face, with sunken eyes. Beating in the left side of the face. Livid complexion. The face looks weary. Sensation as if the skin of the face were stretched too much. 60. Mottled face, red and pale alternately. Cold sweat in the face. Lancinations all over the face, with tightness proceeding from the temples. Swelling of the right cheek. The left cheek is very red. 65. Cold sweat in the face. Mounting of heat to the face. Burning of the cheeks.

EYES: Bloated eyes. Inflammation of the left eye. 70. Beating in left orbit. Pain in the orbits and forehead. Heaviness at left orbit. Pain shifting from the eye to the gums. Pain in right orbit. 75. Beating in the orbits. Beating in the right orbit, afterwards in the sides. Nervous pain shifting from the orbits to the forehead. Pressure in the orbits as from a severe headache. Sensation as of crumbs in the eyes. 80. Redness of the sclerotica, with margins around the eyes, red lids. Weariness of the eyes, with pressure at the superior portion of the orbits. Weak sight. Dimness of sight and prickling in the lids. Beating pressure at the sclerotica. 85. Red eyes, with pale face. Prickling in the eyes. Bloating in the eyes. Sense as of dust in the eyes. Violent pain near the left inner canthus. 90. Inflammation of left puncta lachrymalis. Smarting and itching of the puncta lachrymalis, in the evening, in bed. Burning at right inner canthus. Involuntary closing of the eyelids. Bloating of the lower eyelids. 95. Twitching of left lower eyelid. Itching at the eyelids. Prickling at the margin of the eyelids, in the day-time. Sensation of coldness in the lids when closing them. Beating in the lids. 100. Sparks and zig-zag before the eyes. Dizziness, with waves before the eyes.

EARS: Stoppage of the ears, as if air-bubbles were passing through the left ear. Pain shifting from the left ear to the orbit. Lancinating pains in the ears. 105. Pain in the ear and jaw, followed by pricking in the ear. Pain in the right ear. Tight pain above the ears, with numbness of the jaw. Pain in the right ear. Whizzing in right ear. 110. Sharp pain behind the ears.

NOSE: Dry nose, with itching inside. Redness on the left side of the nose. Redness of the wing of the nose. Beating at the root of the nose. 115. Nosebleed. Tightness at the root of the nose.

TEETH: The teeth and gums are painful when pressed against each other. Short lancinations in the last two molares. Toothache on left side, affecting the eyes. 120. Lancination in left lower gums, with tightness of the nose and jaw. Darting in the gums and left eye. Sensation as of a bar through the jaws, from ear to ear. The teeth are painful when chewing. Lancinations in the jaws. 125. Numbness of the gums. Pain in left gums striking to the eye. Lancinations in the gums, affecting the whole head. Acute pain in the left gums, the whole left side of the head being numb. Pain in the right gums and cheek. 130. Pain in left gums. Toothache on left side. Lancination in the left gums. Swelling of the left lower gums, with toothache.

MOUTH: Beating at the tip of the tongue. 135. Pain at the tip of the tongue. Pricking at the tongue, with flow of water. White-coated tongue. White spots on the tongue. Contraction of the papillæ on the tongue, immediately. 140. Pain under the lower lip, with swelling and a red pimple in the centre of it. Fleshy growths on the inner surface of the lips.

GASTRIC: Coppery taste in mouth. Doughy taste every morning, with chocolate-colored sputa and fetid smell. Smoky taste of the water. 145. Violent sensation of hunger early in the morning, with tensive and pressive pain at the stomach. Difficult digestion after breakfast. Sick at the stomach, after eating. Hungry, shortly before a meal. She has to eat to quiet her pain at the stomach. 150. Hungry after a good meal. Uneasiness after dinner, every day. Loathing and nausea.

STOMACH: Oppression at the stomach, when standing. Uneasiness in the stomach and chest, after standing. 155. Tightness at the stomach, evening. Burning at the stomach. Oppressive pain at the stomach, before and after eating. Pain at the stomach, with oppression, sighs. Beating in pit of stomach, affecting the whole chest.

ABDOMEN: 160. Pain in the renal region as from falling on the sacrum. Pain and feeling of weariness in the renal region. Colic with diarrhœa, also every morning. Colic and cold sweat, or diarrhœa. Pain in the renal region. 165. Tightness at the epigastrium, with excited feelings. Beat in left side of abdomen. Colic with diarrhœa and shuddering. Twisting colic. Twisting sensation in the groin. 170. Pain in the renal region, with sense of weariness in the sacrum. Sensation as of a plaster in the region of the kidneys. Pain at the loins and on each side of the ovary. Lancinations around the pelvis, extorting cries. Compressive pain in the groin. 175. Painful stitch in the ileo-cœcal region, again when stirring. Acute pain in the right kidney, while walking. Tearing sensation in the renal region. Sense of heat in the renal region. Shuddering at the rectum. 180. Constrictive sensation at the anus.

STOOL, URINE: Ineffectual urging to stool. Constipation. Hard stool. Diarrhœa succeeded by weakness of the chest. 185. Fetid stool with white little worms. Lancination in the urethra. Watery urine with a greenish tint. Urine with white sediment. Frequent desire to urinate. 190. Frequent emission of watery urine.

SEXUAL: Nocturnal emission. Distressing erections. Taste of blood in the mouth, during an embrace. Weight in the testicles in walking. 195. Profuse menses with leucorrhœa. Premature and profuse menses. Lancinating pain in the vagina. Compressive pain at the uterus. Lancinating pain in the uterus, in zig-zag. 200. Pain in the uterus as if a sharp instrument were thrust in. Leucorrhœa.

BRONCHIAL, CHEST: Dry cough. Constant sneezing. Dry throat, she has to cough. 205. Suffocative sensation rising to the larynx. Sense of constriction in the upper part of the throat. Sneezing, with discharge of lemon-colored mucus from the nose. Pain behind the right ear and at the larynx as from pressing on a sore. Spitting of blood, with sense of rawness in the throat and the respiratory passages, after talking. 210. Spits blood, coming deep out of the throat. Yellowish, heavy and frothy expectoration. Oppression of the chest, with rush of blood to the larynx, taste of blood, and tearing in the chest. Shifting pain in the chest. Severe pain and beating in the chest. 215. Beating in left breast. Pain in left side, hindering breathing. Stitch-like pain in the left breast. Suffocative oppression of the chest. Painful stitch in the left breast. 220. Deep sighing. Pain from the shoulders to the left breast. Oppressed and heavy breathing. Painful stitch in left breast. Suffocative oppression, with sighing. 225. Darting in left breast. Aching and contusive pain in the right side. Painful stitches in the right side, hindering breathing. Lancination in left breast. Painful stitch at the outer breast, extending under the arm. 230. Painful beating above the right breast. Pain at the right side as if strained. Contusive pain under the false right ribs. Sensation as of a small ball under the left breast. Acute pain when drawing breath. 235. Stitch above the left breast, hindering breathing. Acute pain under the breast. Stitch-like pain at the anterior surface of right lung, hindering breathing. Pain and burning at the sternum. Intolerable heat at the chest. 240. Painful lancinations in the pectoral muscles. Stitch-like pain under the right lower ribs. Rheumatic pain at the sternum when stooping. Lancinating pain under the heart.

NECK: Painful glandular swelling below the right ear. 245. Painful stiffness of the neck. Rheumatic pain at left side of neck. Dark redness and numbness of the sides of the neck, even a prick is not felt. Heaviness along the side of the neck. Wry neck on the right side. 250. Pain as from weariness in front of, and behind the neck. Numbness at the nape of the neck. Stiffness of the nape of the neck. Stiffness and beating in left side of neck. Painful stiffness in left side of neck. 255. Darting behind the neck, left side.

BACK: Tickling under the arms and along the dorsal spine. Horrid pain in the sacro-lumbar region, when attempting to raise a weight. Contractive sensation below the coccyx. Pain in the glutei muscles and sacrum, with heat mounting to the face. 260. Painful stitch and beating between the shoulder-blades. Sensation as of a warm liquid flowing from a sore in the lumbar region. Throbbing at the sacrum. Painful breathing as from a sore in the lumbar region. Beating in the lumbar region, with slight pulling or shuddering. 265. Sense of heat, with throbbing and fatigue, in the lumbar region. Prickling pain at the sacro-lumbar articulation in going up-stairs. Inability to stoop forward, he then feels a pulling in the lumbar region. Weakness in the sacro-lumbar region. Tearing and spraining in the back, when sitting. 270. Painful weariness in the loins. Twisting pain at the scapulo-humeral articulation. Pain in the sacrum, accompanied by chattering of teeth. Twisting pain in the sacrum, exciting a nervous laugh, with moanings. Pressure at the sacrum, with weariness in left thigh. 275. Sense of worms crawling in the sacrum. Pain in the sacrum as if gnawed by dogs. Sense of weariness in the lumbar region. Heaviness at the sacrum when sitting. Pains in the sacrum preventing sleep, she has to lie on her stomach.

UPPER EXTREMITIES: 280. Pain between the shoulders, worse when pressing against the sternum. Pain in the back as if weary, affecting the lumbar region. Pain and beating in left shoulder. Pain and prickling at right shoulder. Weary pain near the left shoulder, behind. 285. Violent beating under the left shoulder. Beating at the right shoulder. Rheumatic pain in the right shoulder. Painful beating on the right shoulder, in the left little finger, thumb, &c. Pain under the right shoulder, behind, with beating in the chest. 290. Painful pressure on the left shoulder. Rheumatic pain at the right shoulder. Pain at the right arm, shifting to the little finger. Numbness of the arm. Burning pain above the right elbow, with red spot. 295. The left arm is painful, with violent itching of the index-finger. Trembling of the right arm. Pain as if her arm were pulled. Pain in the bend of the left arm. Numbness of right arm. 300. Pain in the bend of the right elbow. Numb pain from the wrist to the upper part of the right arm. Crampy pain at right wrist, shifting to the axilla. Pain at the right wrist, all the veins and fibres hurt. Painful prickings in the wrist and along the left hand. 305. Pimple at the wrist, on a red base. Pain at the right wrist. Dartings in right wrist and thumb. Numbness of the right wrist. Pain in the wrists. 310. Numbness of the left wrist, the hand being painful. Pain in right wrist, striking to each finger. Beating in the arm and right wrist. Nervous pain from the right elbow to the ring- and little fingers. Cracking in right forearm. 315. Numbness of the right arm, all the muscles hurt him. Trembling of the right arm. Weight at the arms. Lancinating pain in the muscles of the upper arm, and in the trapezoid muscle. Sense of weariness in the arm, though lying down. 320. Pain in whole right hand. Burning at the whole hand. Contusive pain at the back of the right hand. The ball of the thumb of each hand is painful. Acute pain in the palm of the left hand, proceeding from the index to the thumb in a circle. 325. Dry heat in the hands. Dartings in the right hand. Heat in the nails of the left hand and at the tips of the right fingers. Beating at right middle and index-finger. Heat and pain at right index-finger. 330. Beating at the tip of the right index-finger. Darting in first phalanx of middle-finger. Contusive pain between the ring- and little fingers. Numbness of the right index-finger. Lancination and pricking in left little finger. 335. Stitch in the right index-finger. Stinging in the ball of the right thumb. Weakness of the finger-joints and wrists. Sensation as if a portion of the nail of the right index-finger had become detached. Sensation as of a splinter in the ring-finger. 340. Lancination in the right index-finger.

LOWER EXTREMITIES: Beating under the right hip. Pain in right hip. Cold and heavy pain at the left hip. Acute pain at the left hip. 345. Pain as if sprained in the left hip-joint, when walking. Pain in right thigh, high up, causing her to limp. Sensation in the thighs, as if bitten by dogs. Sense of coldness in the right thigh. Weary pain on the left thigh, when pressed upon. 350. Pain along the left thigh. Pain in the legs as from weariness. Contusive pain at left leg. Tingling and twisting pain in the right leg. Itching and smarting at the tibia, in front, at night. 355. Beating above the right knee. Slight itching at the knee, changing to an acute pain when rubbed. Contusive pain at right knee. Spraining sensation in left knee, with cracking when walking. Pain at the left knee as if sprained. 360. Pain as from a sprain in left knee, with dartings below the pan. Violent pain in the feet. Beating pain near the right inner ankle. The left foot burns, the right foot is cold. Cold and clammy feet, while lying down. 365. Beating in the right outer ankle. Formication in the soles of the feet. Bruising pain at the outer ankle. Cold and clammy feet, followed by heat. Heat and pain in the toes. 370. Intermittent throbbing pain at the right little toe, with prickling. Lancinating pain under the left big toe. Cramp in the toes. Pain as from a splinter under the toe-nail.

SLEEP: Frequent yawning. 375. No sleep. Drowsy, with nausea. Restless sleep. Heavy sleep at first, afterwards easy sleep and ready awakening to consciousness. Starting during sleep. 380. Restless night, heat and sweat all night. Drowsy in the afternoon. Dreams about travelling. Dreams about dead bodies. Dreams about purchases. 385. Dreams about prisoners. Dreams about dead bodies, decayed oxen, assassins. Dreams about a church-yard, she places torches on the graves. Dreams about a sea-voyage. Dreams with emissions. 390. Dreams about a revolution, &c. Restless sleep, with dreams about wild beasts in a slaughter-house. Dreams about children with their head half cut off. He dreams, that he was swimming in a river with warm and green water.

FEVER: Moist heat mounting from the feet to the face. 395. Pulse interrupted with roaring in the head. The body feels damp and cold. Cold sweat at night. Burning all over. Alternate coldness and heat at night. 400. Fever, with inability to close her hands. Shuddering all over, with oppression. Shuddering along the back and legs while taking breakfast. Shuddering through the chest and between the shoulders. Cold feet, with shuddering in the left leg. 405. Warm hands and cold sweat. Cold feet and hot face. Shuddering. Cold feet with shuddering. She turns red and her chest feels oppressed. 410. Cold sweat on the face and body.

CUTANEOUS: Miliary eruption in the joints. Vesicular pimples on left arm, with itching. Miliary pimples at the bend of the elbow, with redness around. Small red circle on the tibia, with red pimple in the middle. 415. Pimples all over, similar to those on the legs. Small smarting pimples on the right knee, containing a fluid. Large pimples on the legs, around the root of each hair. Painful pimples on the left side of the tongue. Smarting red pimples on the right cheek. 420. Itching, red pimples on the shoulders. Smarting red pimples on the side of the hips. Vesicular pimples all over, with red spots. Miliary eruption in the face. Large blotches on the legs. 425. Pimples leaving red spots behind. Small itching pimple at the inside of the left elbow. Itching and pimples at the forehead. Large red spot on the lower part of the left cheek. Small, red pimples on the left cheek, with a white point in the middle. 430. Red blotch on the right shoulder. Red spot and itching at the forearm. Red spot on the back of the left hand. Red pimples on the left cheek. Small vesicular pimples on the lower lip, itching. 435. Pimples in the face and on the chin. The skin on the forehead feels stretched. Face mottled with red spots. Painful pimples on left cheek and eyebrows. Itching of the back, legs, arms. 440. Contusive pain in the back and the hips. Lancinating pain shifting from the knees to the right elbow, shoulder, right foot, &c. Uneasy when lying down. Pain in the back and chest. The hands, feet and face feel hot to her, but clammy to others. 445. Liable to starting. Internal trembling. Weakness of the legs and arms. Sense of weariness as if strained, on waking. Weakness of the extremities. 450. Emaciation. Paleness, cold hands and feet, with weakness during the pains. Fainting spell, with spasms, cramps in the calves and toes.

LEPIDIUM BONARIENSE (D. C.).

LEP. MASTRUCO.

This plant is very common in the neighborhood of Rio, where it is found along the roads and in stony regions. It is herbaceous, with numerous glabrous, erect stems, attaining a height of from twenty to thirty inches; the radical leaves are petiolate, finely indented; the superior leaves are alternate, sessile and almost linear. It blossoms in September. The flowers, which form terminal spikes, are supported by filiform pedicles; calix with four folioles; corol small, cruciform, with four hypozynous petals, six tetradynamous stamens, short style, small, subelliptical pod, which is somewhat crenated at the top; root fibrous, simple, erect.

The fresh leaves are triturated.

In Brazil the Lepidium bonariense is used for similar purposes as the Arnica. It is universally used in domestic practice. The pathogenesis of this plant may be perhaps welcome to our profession.

_First day._—1. Sleeps well until midnight; no sleep since then; has pains all over when stirring. Heat all over, with dull pain; she had the most pain on the left side. Violent pain in the left arm before rising; she cannot stretch it; the more she covers it, the greater is the pain; the pain ceases on uncovering the arm.

_Second day._—Dizziness at nine in the morning; her head fell forward and she imagined the floor was sinking under her; every thing turned with her. 5. At eleven, heat in the face, left side. Dull pain at the stomach, followed by desire to vomit. Cold as when she had her spasms. Hunger after dinner. In the evening, hot face. 10. Pain as if scratched, for an hour, followed by heat, at the feet. Beating pain above the left ear. Acute stitching pain in the lower gums, for an hour. Itching in the right ear, worse when stooping, for half an hour. Dreams that she is talking with dead people; very restless. 15. Sad on waking.

_Third day._—On rising, pain as from a crown pressing on her head. Pain round the right ear, as if pricked with pins, ceasing by rubbing the part; for a quarter of an hour. Stitch in the right lung for five minutes. Pain at eminence in the left cheek, with redness. 20. Heat in the mouth, on the left side, as from eating spice. Palpitation of the heart, felt in the side, with violent pain hindering breathing; worse when stooping, ceasing when lying down. At noon, boring pain at the vertex, left side, extending to the ear. Heat in the nose, and sensation as of a current of cold air in the left nasal fossa. Pain in the nape of the neck, right side, ceasing by rubbing the part and moving the neck. 25. Sensation as if a knife were slowly penetrating into the heart, ceasing when pressing for a few minutes strongly against the region of the heart. Prickings at the shoulder-blade, extending along the right side of the neck. Itching at the right nostril. Pricking at the skin, followed by itching. Pricking in the ear, down the jaw. 30. Lancination in the right breast, less when standing erect. Stitching pain under the axilla, in a half-moon shape. Prickings between the breasts. Pain as from a band on the right side, worse when pressed upon, hindering breathing. Lancination in the spine of the shoulder-blade, shifting to the other shoulder; less when standing erect. 35. Prickings in the left hypochondrium. Stitch under the axilla. Desire for chocolate, salad, green fruit. Great thirst for vinegar. Lancination in the heart, in the evening. 40. Oppression after eating. Convulsive trembling of the heart. Pain at the pit of the stomach after eating, worse when walking, or when touching the part. The blood which is discharged on the second day of the courses is darker and coagulated.

_Fourth day._—Band in the side as the day before. 45. Passing lancinations in the abdomen, sides and breasts. Lancinations from the elbow to the shoulder-blade. Heaviness and pressure on the bladder when urinating. The menses cease after twenty-four hours. Short sleep. 50. Desire to vomit all night. Formication above the left shoulder. Slight spitting of blood after coughing. Cutting as with a penknife below the left breast. Heat in the throat with desire to vomit, and noise in the ears when swallowing the saliva. 55. Constrictive pain in the head. Vertigo, with disposition to fall forward. Thick expectoration, which it is difficult to get loose, with roaring in the ears. Painful stitch at the knee, less when walking. Stitch in the cheeks. 60. Lancinations under the axilla. Colic in the umbilical region. Hard hearing. Throbbing at the epigastrium. Very sad, thinks of sickness. 65. Pain in the bone of the left thumb, with trembling when attempting to use it. When attempting to read her eyes fill with tears.

_Fifth day._—Sad, uneasy, quarrelsome, dissatisfied, deep sleep.

_Sixth day._—Dim eye as if looking through a white gauze; when looking at the sky, the air looks gray. Her left eye is full of water; the pain is worse when moving, it follows the eyebrow, for six hours. 70. Crampy pain at the right ring-finger, extending to the elbow, contracting the flexor communis digitorum, with redness at the lower part of the nail; for twenty minutes, it passes off in the open air. Toothache on the right side, at one o’clock. Water in the eye, worse in the open air, ending with itching, for ten minutes. Heat in the corner of the left nostril, and stitch at the tip of the nose, for fifteen minutes. Pain at the forehead, with beating in the left side, for ten minutes. 75. Merry, she laughs about every thing. Desire to vomit after dinner, when inclining her head forward. Difficult digestion, weight on the stomach. Salt, thick and difficult sputa. Pains for five minutes, from the shoulder to the middle of the back, with lancinations hindering breathing. 80. Pain passing quickly through the right side of the head, from the top of the left parietal bone to the eyebrow. Desire for tea. Lancinations in the ears. Pain at the cardia as if cut with a penknife, short-lasting. Thirst, dry mouth. 85. No sleep at night, the whole body feels tired as in the third night.

_Seventh day._—Pain in the left lung, striking through the back, and worse when carrying any thing heavy; for twelve hours. Stitch in the left side; when drawing breath, the pain is felt like a cut with a knife, and, after a short interval, coalesces with the former pain; three times. Urine clear, white and not very thick. Sense as of a string at the right breast, painless. 90. Pain in the teeth of the left lower jaw, striking to the ear, and rendering her deaf for three minutes. She feels as if a string were pulled from the shoulder to the ear. Toothache, the teeth are soft and on edge, all day; every day since she took the drug, not at night. Violent drawing pain from the shoulder to the ear, hindering the motion of the head for three minutes. Shuddering, with paleness, and margins around the eyes. 95. The fever abates by covering herself and exciting a profuse perspiration; it is succeeded by malaise.

_Eighth day._—Cough at night, light sleep. Sad dreams, with fear on waking, for a quarter of an hour. Itching at the tongue, like prickings, for five minutes. Itching at the nipples, swelling of the glands, hardness of the breasts; the itching does not last long. 100. Pain at the pit of the stomach, which strikes to the left breast and shifts about; stitch in both places at the same time. Itching under the chin, from ear to ear; proceeding from the throat. Dry hacking cough which causes a desire to spit, and, after repeated efforts, produces a salt saliva. Pain in the left lower jaw, extending to the shoulder, for five minutes. Pain as if a penknife were thrust in, with itching at the biceps muscle. 105. Pricking at the temple with itching, which spreads all over, all day. Pain at the shoulder-blade as if a pin were stuck through the bone, for three minutes. Pain in the middle-finger, while running, the finger remained stretched for some minutes. Pain from the left hip to the knee, with weakness of the leg which abates when sitting down. Pain and beating in the left jaw, for ten minutes. 110. Vertigo and desire to vomit in the evening. Cough with hoarse voice.

SECOND PROVING.

_First day._—Heavy sleep, with numbness on waking; sensation as if the whole body were bruised. Drawing pain from the throat to the arm; her tongue is thick as if very much swollen.

_Second day._—The left arm is very numb, pain in the left shoulder, as if beaten by hammers. 115. Stitching pain at the pit of the stomach, after eating. Crampy pain in the right hand, followed by shuddering all over.

_Third day._—No sleep until midnight. At seven in the morning, itching at the corner of the right lip. Nose swollen on the left side, with pain, which is less in the open air and worse when the parts are touched. 120. Painless lachrymation. Itching on the back of the hands. Weariness. Desire to vomit, worse after half an hour; passes off by stirring about. Pain in the pit of the stomach as from a band cutting the body in two, for half an hour. 125. Pain at the bend of the knee, as if a tendon were slowly drawn inwards. Buzzing in the left ear. Rheumatic pain at the right shoulder-blade, for some minutes. Drowsy from noon to three o’clock. Headache above the orbits and in the temples, worse when raising the eyes or touching the parts. 130. Pain in the pectoralis major, commencing under the axilla, and, in a few minutes, extending to the heart. Worm-colic in the lower part of the abdomen, for five minutes, with ineffectual effort to go to stool, and with tenesmus. Frequent yawning. Pain at the right arm, like a blow with the hammer, and numbness. Vertigo while steadying a basin with water, the head inclining forward. 135. Pain in the right cheek, passing off by pressing on the bony eminence. Compression as by a band around the waist, especially at the epigastrium. Feeling of weakness in the stomach, with faint feeling. Crampy pain in the right side of the neck, extending to various parts of the shoulder and arm; relieved by pressure. Colic caused by the damp air. 140. Coldness at the stomach, extending over the chest as far as the throat. Pain with twitching of the muscles under the right breast, extending and diminishing towards the axilla. Rheumatic pain and stiffness of the left index-finger, which remains stretched for some minutes. Contusive pain at the right hip, lessened by pressure. A cake remains arrested in the œsophagus, after which it suddenly falls into the stomach with a shaking sensation; the same symptom is experienced in drinking. 145. Heat at the tip of the tongue as from spice, and sensation as if the papillæ would expand and open. The abdominal functions are regular. Dark urine. Stitching pain in the left axilla. Shuddering and cold sweat in the air. 150. Violent coryza, inflammation, itching at the nose. The limbs feel bruised. Desire for cressis, with loathing when seeing it. Contraction of the leg, with stiffness of the bend of the knee.

_Fourth day._—Sensation as if a knife were plunged into the epigastrium from without inwards. 155. Dry cough, with loss of breath. Violent shock across the middle of the back. Throbbing in the head, from within outwards, causing her to incline the head forwards. She imagines she is abandoned in a church-yard, pursued by a phantom, and cries though nobody hears her, with loss of voice next morning. Lancination from the ear to the shoulder. 160. Beating in the forehead, causing her to incline her head forward, not long. Sensation like a blow at the left big toe. Merry after the sadness of the previous days (curative effects). Desire for fruit and loathing of food.

_Fifth day._—Bleeding from the right nostril, the blood is black and coagulated, with itching. 165. Pain in the right eye as from some round weight, resting upon it, with itching in the inner canthus. Pain in the shoulder extending around the neck like a band, with stitch in the pit of the stomach and nape of the neck. Pricking and pressing pain around the head. Crampy pain in the left hand. The nose bleed continues until one o’clock, when it becomes violent, with red and bright blood.

_Sixth day._—170. Deep sleep. Pain as if a penknife were stuck along the jaw, short-lasting. Crampy pain behind the neck, for five minutes. Short pain from the temple to the chin, as if the face were cut with a razor. Beating in the pit of the stomach, with pricking, worse when drawing breath, not long. 175. Pain from the left ear to the lower part of the neck, along the course of the carotid, worse when inclining the head toward the right. The left ear feels as if stopped up, she does not hear any thing with it. Loathing of meat.

_Seventh day._—Pain in the back as from a nail, extending to the intra-scapular region. Pain in the right side arresting the breathing. 180. Shuddering all over as when the fever commences. Heat after the cold, especially in the renal region. Constrictive pain at the heart, extending to the left axilla. Desire to vomit, for half an hour. Pricking at the tip of the middle-finger, drawing it up, so that she is unable to stretch it.

THIRD PROVING.

_First day._—185. Very drowsy, shuddering in the legs as before an attack of fever, very short. At 8, stitch in the left side, disappearing of itself. At 11, tightness in the forehead as if pressed upon, for 15 minutes. Constant physical and moral torpor. Constant dull pain in the head. 190. Frequent yawning. Desire to vomit before eating. Violent headache at 4 in the afternoon. Dull pain in the abdomen, especially on the right side, not aggravated by pressure. Headache with heat at the forepart of the vertex. 195. Absence of ideas; inability to think, with indifference for every thing. Comatose condition without being able to sleep. Weight at the eyelids, with desire to close them. The outer air feels very fresh. Pricking in the left side of the face. 200. Thirst. Desire for coffee. Internal heat, and restlessness after lying down, she has to get up again. Pulling at the forehead and at the root of the nose. Heat in the stomach, with feeling of dryness and irritation. 205. Throbbing in the back, which seems to proceed from the aorta. Aversion to milk. Desire to walk about. Passing heat in the back, followed by a general shuddering.

_Second day._—No sleep at night, general restlessness followed by prickings all over, all night. 210. Eyelids weary, she raises them with difficulty all night. At 4, pains in the abdomen, on the right side, the same as the night previous.

_Third day._—The same restlessness, as the night before, followed by sleeplessness. Pain in the left arm, she is scarcely able to raise it, not long. Sickness at the stomach, followed by a desire to vomit, before a meal. 215. Lancinations in the right eye, without redness, for three hours.

_Fourth day._—Sickness at the stomach before eating. Weariness in the legs for three hours. Heat in the back, not long, followed by shuddering.

FOURTH PROVING.

_Second day._—At 10 in the morning, pain all along the trunk, from above downwards. 220. Pulling in the course of the left sartorius muscle. At 2, pain in the left gluteus maximus, as if contracted and twisted. At 6, pain as if cut with a penknife, under the left axilla.

_Third day._—Laming pain at the left arm, when holding it still for a time. Dreams about dead bodies, at night.

_Fourth day._—225. At 11, distress at the pit of the stomach, with desire to vomit. Physical and moral prostration, loss of appetite, loathing of food. At 2, heat in the head, with cold sweat and a little fever. Constant desire to gape. At 6, heat in the head, no sweat. 230. Diarrhœa. At 8 in the evening, violent colic, less when sitting, flatulence from the bowels. Sour eructations.

_Fifth day._—At 7 in the morning, the abdomen feels sensitive as if sore. Sensitiveness of the hairy scalp. 235. Short breathing. The abdomen feels better. At 11, burning in the eyes. At 12, quick beating on the right shoulder, as with a little hammer, for a minute. At 2, stitch in the abdomen, on the left side. 240. From 4 to 7, faint feeling in the stomach.

_Sixth day._—At half past 6, pain in the gluteus maximus, for one hour.

_Seventh day._—At 3, palpitation of the heart. At night, while lying, suffocative fit. Foul eructations all day. 245. Nightly pain in the whole abdomen. At 5, buzzing in the right ear, for two minutes.

FIFTH PROVING.

_First day._—Violent lancinations in the right side of the chest for a few minutes, below the third rib, every few moments. Acute pain at the inner side of the right tibia.

_Second day._—Heaviness of the body. 250. Drowsy all day. Bad night, nervous restlessness. Pains in the left brain, spreading from above the left eye (which experiences a contractive sensation) to the vertex, the back part of the head, and lastly to the nape of the neck where they remain seated for a time. The pains seem to be seated in the cerebral membranes, and succeed each other, never appear simultaneously. Sharp stitching pain, in the region of the heart, with lancinations under the false ribs. Violent headache, as if a hammer were beating inside and as if the brain were bounding in an empty space, for half an hour. 255. Sharp pain in the right lower jaw-bone, all the teeth being sound. Palpitation of the heart.

_Third day._—Night less restless. Sleeps all the time. Heaviness of the head, with an undefined feeling of malaise in the brain, especially on the left side. 260. Painful sensation at the right zygoma, for a short time.

_Fourth day._—On waking, acute pains in the head and posterior cervical muscles. Intense lancinating pains in the muscles of the right hand, and its phalangeal articulations. Two hours, similar sensations in the right shoulder-blade, accompanied by pains in the right wrist, all these pains are well marked, but short.

_Fifth day._—Restless night, without any apparent cause; no sleep.

_Sixth day._—265. Prickling in the eyes, in the evening, as from some astringent body. Eyeball and lids congested. Lancinations in the right shoulder-blade.

_Seventh day._—Continual redness and pain in the eyes. Lancinating pains above the eyes and in the temples.

_Eighth day._—270. Eyes still red, but less; no prickling.

_Ninth day._—Eyes well.