Trigonocephalus lachesis, L.

Natural order , Ophidia.

Common name , Surukuke or Churukuku.

Preparation , Triturations.

Authorities. ( 1 to 18 , from Hering, Denkschrift der N. Am. Akad. der Hom. Heilk., 1837, B., effects of bite).

1 , C. Hering, effects of 30th dil.; 1 b , same, effects of triturating and of 1st and 2d trits.; 2 , Stapf, 30th dil.; 3 , Bute, 30th; 4 , Bauer, 30th; 5 , Behlert, 30th; 6 , Detwiler, 30th; 7 , Gross, 30th; 8 , Kummer, 30th; 9 , Reichhelm, 30th; 10 , Rœmig, 30th; 11 , Wesselhoeft, 30th; 12 , Kehr, 30th; 13 , Koth, 30th; 14 , Matlack, 30th; 15 , De Young, 30th; 16 , Helffrich, 30th; 17 , Schmœle, 30th; 18 , Lingen, 30th; 19 , Robinson, Br. J. of Hom., 24, 515, of 6th dil., four times a day, in a man; 20 , same, 20th dil., in a woman; 21 , same, 30th dil., in a woman; 22 , Dr. H. B. Fellows, effect of 30th dil. (taken for a cough), Am. Hom. Rev., 5, 411; 23 , Dr. Bartlett, effects of 6th dil., in a woman, for spasm of œsophagus, which it cured, but developed as follows, N. Am. J. of Hom., 2, 157; 24 , Metcalf, effect of 30th, in a young lady, suffering from chronic headache, N. Am. J. of Hom., 2, 158; 25 , Berridge, effect of 60m Fincke, in a patient (?), N. Y. J. of Hom., 2, 312; 26 , same, effect of cm Fincke, in a patient, A. J. M. M., 9, 246; 27 , same, effect of 6th dil., in self, ibid.; 28 , same, effect of 200th dil., in a man, ibid.; 29 , M. M., effects of 6th dil., in a girl, aged twelve, Am. J. M. M., 4, p. 78.

MIND

Emotional.
Maintains great quietness and firmness of mind, during very vexation and exciting events (seventh and following days), 1a.
Lively without any cause, 2.
Excited mood the whole morning (second day, second proving); decidedly improved health, suffering only from too much smoking (third day), 1a.
Excited for a very long time in the evening, lively, in spite of constant sticking pressure beneath the scapulæ, 1.
A kind of ecstasy, as after sublime impressions, or excessive joy, throughout the day; he constantly wishes to talk and do much, and even more seems to be at his command (third day), 1a.
Fanciful imaginings, with the evening fever, 1a.
It seems to him during the day that he has dreamed everything that has happened, only somewhat different, 1a.
Great irritability; soothing poetry moved him to immoderate weeping; he was obliged to cry for joy; as for example, when reading in Schiller's Tell, he could not proceed; an unmanly rapture compelled him to desist; in exciting scenes he broke into tears, and so on for a great many days; after much crying, pain above the eyes, 1a.
Much talking during the febrile condition , in the evening, 1.* [10.]
*Loquacity ; in the evening, with physical laxity, sleepiness without being able to fall asleep; without sitting up he talks a great deal, wishes to tell stories, constantly goes from one to another; during this he, however, recollects himself and soon knows when he has mixed and distorted anything; he then corrects himself, but repeats the same mistakes; thus he is tormented half the evening (first day), 1a.
An unusual inclination to be communicative, 2.
Great inclination to be communicative, extraordinarily, vivid imagination; therewith extremely impatient at tedious and dry things, 1a.*
Lively and communicative, even with a disagreeable feeling of fulness, 2.
Social and communicative, 2.
The more cause for fretfulness, the greater inclination for humor, just, satire, and humorous fancies, 1a.
Depression of spirits, with chilliness, 1.

HEAD

Confusion and Vertigo.
Confusion of the head, 1.
Confusion of the head in the morning, lasting till the tenth day, 9.
Confusion of the head in the morning, and in the afternoon pain on the right side of the head (third day), 9.
Confusion of the head in the morning, with heaviness and blowing of blood from the nose, with headache in the forenoon and congestion of the head in the afternoon, 9.
Confusion of the head in the morning, with inability to think correctly; does not disappear after sleep, but remains with weakness in all the limbs till evening (fourth day), 9.
Confusion of the head (after one hour); with heat and violent congestion (after two hours), lasting till afternoon, 4.
Vertigo (chronic result of the bite). [80.]
Vertigo, with general illness in the morning, 2.
*Vertigo in the morning on waking, 1.
Vertigo after rising, 1.
Vertigo, with reeling towards the left side, in the morning, immediately after rising, 4.
*Vertigo in the evening, 3.
Vertigo, with reeling and attacks of loss of consciousness as if he would be attacked by apoplexy; as if it were threatening him; two evenings in succession, 3.
Vertigo, previous to violent vomiting, at night, 9.
Vertigo, as soon as he goes into the street, 1.
Vertigo, with rush of blood, after a stool, 1a.
Vertigo precedes the faintness, 1. [90.]
Vertigo and headache, 1.
Vertigo so that he must hold on to something, especially after stooping, 1.
Vertigo, even to falling down, 1.
Slight momentary vertigo, at times, on closing the eyes ; at 11 A.M. (after one hour), 9.*
Dizziness, almost like vertigo, with pressure in the eyes, 4.
Dizzy while sitting (first day), 5.
Dizzy while sitting after walking (second day), .

EYE

Objective. [210.]
With sharp pains, especially in the forenoon, in the temples, upper and lower jaws, and eyes, sticking as with knives from the head towards the eyes, nose and temples; the eyes became swollen, especially in the afternoon, with running of cold water from the left eye and nostril, and redness of the left eye; the swelling gradually extended over the whole face, so that the eyes became closed ; the face was painful, itching much, as also the head and whole body; worse in the afternoon and evening, relieved at night, 1 . [Therewith the usual headache (great heaviness, especially on the left side and forepart, with pressing-outward on stooping, worse during the heat, like sticking with knives) was much worse; the usual pain in the chest disappeared; she afterwards suffered from diarrhœa, with violent spasmodic colic, so that she could not stretch herself out, from evening till morning, and no more headache; after Bell. failed, Merc. viv. relieved.]
Blue rings under the eyes, in the morning (in a healthy man), 1.
Subjective.
The eyes feel stiff, 3.
Feeling of dryness in the eye, 1.
Painful dryness of the eyes and sensitiveness to the light in the evening, 17.
Pain in both inner canthi, 1.
Violent pain in the right eye, in a person who had been blind more than ten years, though without pain, 6.
The eyes are painful on reading, 9.
Burning in eyes (after eighth dose), 12.
Painful burning in the eyes, 9. [220.]
Some aching burning of the eyes, 8.
The eyes seem to be thicker (swollen?) than usual, even to other people; they look as though one had been weeping, in the evening, 4.
Aching of the eyes, especially of the left, 8.
Aching and burning in the eyes, 8.
A sticking-drawing pain in the right eye extending up to the vertex , in the afternoon, lasting several minutes, 17.*
Pressure in the eyes , aggravated on moving them, as though the orbits were too small, 4.
Pressure in and above the eyes; also the skin of the forehead is painful externally to the touch, .

EAR

External.
The white cerumen is changed, and becomes like paste, 1.
A feeling of numbness in the concha with good hearing, and without roaring, and on pressing upon it it is also felt in the inner parts; afterwards followed by ordinarily painful pressure and heat, 2.
A cutting pain in the upper part of the left outer ear, not very perceptible except when touched, in the evening, most painful during the first night, lasting over eight days, 9. [280.]
Pain in a small spot when touched in the petrous bone behind the ear, 1.
Throbbing in the bones behind the ear, 5.
Middle.
Pains in the ears, with nasal catarrh, 1.
*Pains in the ears, with a sore throat, 1.
In the evening, whilst walking, pain deep in the left ear, or between the ear and throat, which was made more severe while putting the temporal and masseter muscles on tension; this pain disappeared in a short time, and one appeared just above the left external malleolus, which increased when the contiguous muscles were put upon the stretch in stepping; this pain lasted for some time (second day), 22.
Earache in right ear, relieved by external warmth, and by lying on right side; in the night, 26.
Earache associated with headache, 1.
Contractive pain deep within the left ear; on inserting the earspoon, it is painful as if swollen, 1.
Transient pressive pains in the right ear and in the limbs, 8.
(Sticking and pressure in the right ear), 1. [290.]
*Tearing extending from the zygoma into the ear, 1.
Itching in the ears, 1.
Stitchlike itching in the ears, 9.
Can tolerate no wind in the ear, 1.
Hearing.
Extremely sensitive to noises; frightened, 2.
Diminished hearing, 1.
Difficult hearing, 16.

NOSE

Objective.
Margins of the nostrils red, sore, erysipelatous; with catarrh, 1.
After catarrh, the nose remains red and sore in the angles at the tip for a long time, 1.
(The mucous follicles in the outer skin of the nose become inflamed), 1.
The left nostril is internally somewhat swollen and painful; worse on repeating the dose; at last a scab on the painful spot, 3.
Sneezing and very violent catarrh (third day after third dose) lasting several days; at one time the nose was quite stopped, at another only one side, and then again open and fluent, 8.
Sneezing and fluent catarrh, late in the evening (second day), (second experiment), 1a.
Sneezing and fluent coryza, with head troubles, 15.
Sneezing without relief, with stopped catarrh and cough, 1. [320.]
Sneezing, together with mucus in the throat, 1.
Violent sneezing for about two minutes (after the third dose); frequently (immediately after the fourth dose), 4.
Thin water from the nose, in the morning, 1.
Cold water from the left nostril and eye, with swelling, 1.
Increased secretion of mucus in the nose and fauces, diminished in the larynx, 1.
Discharge of mucus from the nose when coughing, 2.
Nasal mucus (fifteenth day), preceded by mucus in the throat, 9.
Yellow mucus from the nose and throat, following stopped catarrh the day previous, preceded for a week by hoarseness and mucus in the throat, 9.
Nasal catarrh comes on in the afternoon and is fully developed by evening, with much sneezing, 1.
Many symptoms end with nasal catarrh, 1. [330.]
Nasal catarrh, with red sore margins of the nostrils and lachrymation, without coryza, 1.
Catarrh; on the preceding day fever and a condition like an influenza, 2.
*Catarrh and sticking headache, 1.
Catarrh, with sticking headache; stiffness of the neck, 1.*

FACE

Objective.
Expression of pain in the face, with coma (bite). [380.]
He has an extremely suffering look, face sunken, and as if he had been up nights, till the fourth week, 2.
Paleness of the face during the attack of exhaustion, 1.
Paleness of the face, with faintness, before eating, 1a.
Very bad color of the face and general discomfort, 7.
Earthy, gray color of the face, with abdominal troubles, 1.*
Yellow color of the face during the fever, 1.
Swelling of the face, with much heat and redness, 6.
(Leprous swelling of the face aggravated), 1a.
Erysipelatous swelling of the face; the right eye is almost closed up (after six or seven days), 19.
Face swollen, generally puffy (bite). [390.]
(The face swollen, especially in spots and at the root of the nose; aggravation in a leprous person), 1a.
Blood rushes to the face and head with the cough, 7.
Subjective.
Burning pains in the face, 6.
Drawing in the bones of the face, during the febrile heat, 2.
Pressure in the side of the face, upper jaw, and head, 8.
Pain in the face, tearing above the orbit, with vomiting of food, 7 . [In a girl at the age of puberty, who was pale, with loss of appetite.]
Cheeks.
Swelling of the cheeks and redness of the whole face; repeated after the second dose, 6.
(Bluish-red swelling on the cheek, with sticking and throbbing, with toothache; it breaks and discharges matter), 16.
A feeling of stiffness in the malar bone coming from the cervical glands, 5.*
Drawing in the bones of the cheek and lower jaw, 2. [400.]
Pressive pain on the right malar bone, more towards the eye, also on the right knee towards the inner side (twelfth day), .

MOUTH

Teeth.
The destruction of a bad tooth goes on more rapidly than usual, but without pain (third week), 2. [410.]
He can easily crush a hollow tooth, 3.
Remarkable brittleness of a carious tooth; while eating large pieces break off, 3.
Breaking and crumbling of a hollow tooth, 14.
A piece breaks off from a hollow tooth, 1.
Every diseased tooth is felt, but not painful, with congestion to the head, 2.
*The teeth feel too long when biting them together, 1.
A partly broken, hollow, last back tooth seems too long, so that she cannot bite the jaws together; a boring in it extending into the jaw, especially after eating; the gum about it is swollen and painful as far as down into the throat; at last a discharge of pus from the tooth, when the pain ceased, 1.
Pain in the right upper teeth and in the left limbs; next day in the left lower teeth and in the limbs more of the right side, 8.
Toothache extending through the jaw to the ear, 7.*
Toothache, with cold ear, 1. [420.]
Toothache with catarrh, 1.
Toothache with swollen cheek, 1.
Drawing in the teeth and in the bones of the face, during the febrile heat, 2.
Drawing in some of the teeth, 2.
Drawing in the second upper right back tooth, which was sound, 4.
Itching-drawing in some teeth of the left side, 2.
Raging, jerking, tearing, dull sticking in the roots of the lower teeth, often extending through the upper jaw to the ear, periodic, always after waking from sleep, soon after eating, also from warm and cold drinks, 7.*
Transient stitches in the front teeth, 2.
Crawling in a tooth of the right upper jaw, 8.
Gums.
Gum bluish-red, swollen, and very painful, 6. [430.]
Gum and lips swollen, .

THROAT

Objective.
(Inflammation of the throat, for ten days), 1 . [After olfaction of the 30th.]
Slight swelling of the throat, soon disappearing (later), 2.
Much mucus in the back part of the throat, then in the nose, mostly with a sweetish taste (second to fourteenth days), 9.
Tenacious mucus in the throat, that he could scarcely raise, 1.
Hawking of mucus more from the fauces, less from the larynx, 1.
Hawking of mucus only in the evening after tea, instead of in the morning, and so much that it seems as though an abscess had broken, 1.
*Hawking of mucus, with rawness in the throat, after a nap in the daytime, 2.
Hawking of mucus, and extremely disagreeable taste, almost like saltpetre, 1. [490.]
Hawking of mucus, with ecptysis, cough, and ulceration of the throat, t 1.
Hawking of mucus, followed by disappearance of a painful lump in the pit of the throat, 2.
Subjective.
Dryness in the throat, without actual dryness on the tongue, with pain in the throat, 7.
Dryness in the throat, with thirst and nausea, 5.
*Dryness in the throat without thirst, at night on waking; a sticking as with a thousand needles that threatens to suffocate her, 1.
*Dryness in the throat that impedes swallowing, 1.
(Pain in the throat on turning it), 1.
Pain from the gum into the throat, 1.
A pain on the right side of the throat, 8.
Pain in the right side of the throat, always extending to the ear, 1. [500.]
Pain in left side of the throat, extending to tongue, jaw, and into ear ; so violent in morning after breakfast, that he was beside himself; therewith the tongue was sore on the left side, with sticking here and there ; the gum was inflamed, all the teeth; left side of the face and lower jaw swollen and sensitive to touch ; pricking and sticking small spots in the thighs and legs; disagreeable taste; loss of appetite, and bad sleep, .*

STOMACH

Appetite.
Increased appetite (first and second days), 1a.
Great appetite, but after eating he was obliged to lie down (sixth day), 1a.
At one time good appetite, at another none at all, 1.*
Hunger; cannot wait for food, 14.* [570.]
Feeling of great hunger in the stomach, as though one had to wait a long time for food, 14.
Feeling as when obliged to wait for food, without real hunger, 1.
Food is relished without real hunger; it was hastily swallowed, 2.
Longing for something, he knows not what; he took at last a swallow of water, 1.
Unusual longing for oysters , and they agree well; for several evenings, 3.*
*Diminished appetite, 4.
Little appetite (first day), lasting a week, 1a.
She loses all appetite, especially for bread and rolls; the usual milk causes nausea; yet everything has a natural taste, 7.
All appetite in the morning has disappeared (seventh and following days), 1a.
No appetite for breakfast, 7. [580.]
Without any appetite at the usual time in the evening, though a disagreeable sensation in the abdomen (first day), 7a.
The usual hunger in the morning fails, otherwise very well (fourth day), 1a.
Though he has a very good relish for food, yet he takes very little, without any symptoms, yet it seems as though he did not need more, 1.
A certain aversion to food, with hunger, 2.
Longing for neither food, wine nor tobacco, for a week, he was accustomed to wine and tobacco daily, 1.
Remarkably little desire for smoking (immediately), (first day), 1a.
No relish for smoking, 4.
All inclination to smoke has disappeared in a great smoker, though without any aversion to it; for a week, 1a.
Thirst.

ABDOMEN

Hypochondria. [680.]
Pains in the hepatic region, 3.
Violent pain in the region of the spleen, while riding, in a wagon, obliging him to stretch out straight, which afforded a little relief; lasting two days, but only while so riding, 6.
Acute pain in the abdomen, as if on the short ribs; worse on inspiration, 8.
Sticking in the sides beneath the ribs (second day), 5.
Stitches in the left hypochondrium, 4.
Transient stitches in the hypochondria, from the right to the left side, 4.
Painfulness in the left side, near the pit of the stomach, in the spring of the year, 1.
Gnawing on both sides, beneath the ribs, deep in the abdomen, 5.
Clothes around the hypochondria are very annoying, 1.
Umbilical and Sides.
Pain in the abdomen, in the umbilical region, as from diarrhœa, all day, 17. [690.]
Pain transversely across the umbilical region, in the morning, immediately after rising, 10.
(Burning sensation about the umbilicus, follows pressure in the stomach and shoulder), 11.
A peculiar feeling in the left side of the abdomen, like a violent tension, 8.
Tensive pressure beneath the pit of the stomach extending towards the umbilicus, in the afternoon, lasting an hour and a half, 9.
Drawing pressure to the umbilicus from the pit of the stomach, 9.
Agonizing cutting pain in right side of abdomen , throwing her into fainting attacks (after three days), 21.
Sticking from within outwards, in the left side of the abdomen, in the evening, 10.
Stitches in the left side extending into the chest, so that breathing was very difficult, 6.
Tearing in the right side of the abdomen (seventh day), 5.*
General Abdomen.
Distension, tearing in the abdomen for four hours, . [700.]

RECTUM AND ANUS

Objective.
Protrusion of the rectum after a stool, 1.
Protrusion of the rectum, which is thick and proportionately swollen, without great pains; after it is with difficulty reduced, the anus is spasmodically contracted, 1.
Determination of blood to the anus with hæmorrhoids; diarrhœa-like stool and increased itching in the anus, 1. [760.]
Great straining, in the diarrhœa, 1.
Burning discharge from the anus four times a day, preceded by cutting colic and urging to stool, 1.
Discharge of blood from the anus, 7.
He constantly feels the flatus at the anus, though he presses out only small short emissions from time to time, 1.
Subjective.
Hæmorrhoidal troubles (after eighth dose), 12.
Pains in the anus with a hard stool, 17.
Transient pains in the rectum preceding the evening diarrhœa, for a week, 1a.
Burning in the anus during a stool, also after the stool, 1.*
Burning in the anus, with watery stools, 13.*
The anus feels closed, 1a.* [770.]
Painful constriction of the anus, 2.
Painful constriction of the anus, following prolapsus of the rectum, 1.*
Cramplike pains in the anus, preceding a natural stool, 1.
Spasmodic pains in the anus and rectum internally, followed by a natural stool, 1.
Spasmodic pains in the anus internally, a short time before and after the stool (sixth day), 1a.*
Drawing in the anus extending up into the chest, and even into the head, with fever, 5.
Painful transient drawings, now in one, now the other side of the anus, 2.
Pressure in the anus, both painful and painless, .

STOOL

Diarrhœa.
Diarrhœa every evening for a week, preceded by transient pain in the rectum, followed by throbbing as with a little hammer in the anus, 1a.* [790.]
Diarrhœa after the vomiting at night, 9.
Diarrhœa, with violent spasmodic cramplike colic, so that she cannot straighten herself, 1.
Natural evacuation, followed again by diarrhœa, 7.
*Sudden diarrhœa, with great urging, about midnight, thin, pasty, excessively offensive , ammoniacal (first day), 1a.
Pasty diarrhœa in the morning (second day), 1a.
Acids, even fruit, after Lachesis, easily cause diarrhœa, 1.
Diarrhœa-like stools five or six times daily, 7.
Diarrhœa-like stool, with hæmorrhoidal troubles, 1.
Stools more frequent than usual (in one inclined to constipation), 1.
Frequent stools during the heat (in a nursing infant), 1. [800.]
Three watery stools, with burning in the anus, in the evening (second day), 13.*
Two stools in the morning; after the stools, weakness, with continued desire for another stool, without result (first day), 3.
Copious evacuation of the bowels (eleventh and twelfth days), 1a.
Moderately copious, strong-smelling, otherwise natural stool, followed by soreness of the anus for a short time (after eight hours and forty minutes, second day), 27.
Soft stools the whole time, 5.
*Soft stools of a bright yellow color (sixth day), 14.
A soft but consistent stool (third day), 14.
Stool soft, pasty, never slimy, 2.
Pasty stool every forenoon, 1.
Pasty, satisfactory stool, followed by congestion to the head and vertigo (third day), 1a. [810.]
Stool pasty, every day somewhat later, so that, occurring in the morning, it after awhile occurred in the evening, and then again in the morning, and so on (fifth and following days for a week), (second proving), .

URINARY ORGANS

Bladder.
A peculiar, not very painful but very unpleasant sensation in the bladder, associated with a real desire to urinate, with slimy sediment to the urine, 7.
Pressure upon the bladder , with burning and cutting in the abdomen, 1.
Pressure in the bladder and penis, with frequent need to urinate, 3.
Pressure upon the bladder to urinate at noon; the same repeated the next day in the evening, with emission of some semen (prostatic fluid), which looked milky, 9.
Constant pressure in the region of the bladder and in the urethra, 3.
Urethra.
A milky-white gleet returns after micturition, 1.
Burning in the urethra while urinating, 9.
Burning in the urethra while urinating succeeds the night attack of vomiting and diarrhœa, 9.
Burning urine, with a hard stool (later action), 2. [840.]
Pressure in the urethra, 3.
Cutting in the urethra, 9.
Constant sticking-cutting in the forepart of the urethra, 3.
Sticking in the urethra, 3.
Sticking pains shoot from place to place, from the small of the back to the liver (perhaps also to the kidneys), and thence downward to the urethra, 3.
Stitches extending from the hepatic region to the urethra, 3.
A sore pain in the urethra, in the forepart of the penis , in three persons, 3.
Micturition.
Frequent desire to urinate, without much discharge; drawing pains in the small of the back, which extend to the hips (after the seventh dose), 12.
Great desire to urinate at night, slight cutting in the urethra, and pressive sensation in the testicles from above downward, as if a hernia would protrude, lasting four days, 9.
Urging to urinate, but inability to do so , except at long intervals (after three days), 21. [850.]

SEXUAL ORGANS

Male. [860.]
Erections in the morning while half asleep, 1 . [In one who had had none for a long time.]
Unusual erections during the day, 1.
Very strong erections in the morning, 1.
Very strong erections in the forenoon (second day), 1a.
Very strong erections after the midday nap and towards evening, 1.
Very strong erections at night, 1.
Some jerkings in the penis, 4.
Red spots on the glans penis; the margin is congested in two places, 2.
A red pimple, with itching, beneath the margin of the glans penis (fourth day), 2.
Profuse secretion beneath the prepuce, 2. [870.]
Pressive pain in the right side of the scrotum, in the morning, lasting about two hours and a half (seventh day), 9.
The testicles seem quite hard, with relaxed scrotum, 4.
Pressing-dragging upon the testicles, not violent, lasting two hours in the evening, 9.
A pressive sensation from above upon the testicles, as if a hernia would protrude, 9.
Increased irritability of the sexual desire, 4.
Increased sexual excitement; this lasted several days (after four days), 22.
Very much increased sexual desire, without amorousness; when controlled, it caused great inclination for mental labor (second week), 1a.
Great sexual desire and amorousness (first day), (second proving), 1a.
Amorous in the morning, with relaxed penis, 1.
Amorousness in the morning after waking, with pains in the loins and a bruised feeling, 1a. [880.]
Amorousness in the morning on waking, with pain in the loins and great prostration (sixth day), 1a.
Amorousness after the midday nap (fourth day), 1a.
Frequent transient amorous thoughts, without the slightest physical excitement, 2.
Very many voluptuous thoughts during the day, 17.
For several nights in succession either very lascivious, voluptuous, or very quarrelsome dreams, and during the day many voluptuous thoughts (so that the words of Mephistopheles might be applied to him; "With this draught in thy stomach, thou seest a Helen in every woman"), .

RESPIRATORY ORGANS

Larynx and Trachea.
The larynx affected (after fourth dose), 12.
Larynx swollen, sore, raw, scraping, somewhat also on pressing upon it; at the same time is obliged to swallow (after ninth dose); the same on the following day, rather increased, 15.*
Diminished secretion of mucus in the larynx, 1.
Secretion of mucus in the larynx is diminished, while in the nose and fauces it is increased (second and following days), 1a.
It seems as though something should be hawked up which cannot be loosened, 1.
The larynx feels obstructed by a foreign substance, 4.
A feeling as though a plug were fixed in the larynx, which moved up and down, with a short cough; is unable to lie down; blows bloody and purulent matter from the nose, 7. [910.]
Pain extending from the pit of the throat to the root of the tongue and hyoid bone, 1.
The larynx seems tensively swollen, and swallowing is difficult (four hours after sixth dose), 15.
(A peculiar spasmodic sensation extended once from the larynx downward), 1.
Pressure in the larynx, 4.
*Larynx painful to touch (first day), 1a.
*Larynx and the whole throat painful to touch, 1.
The larynx and throat were painful on bending the head backward, 1.*
A disagreeable, dry, scraping, feeling at the epiglottis and vicinity (first to fourth days), 6.
After the midday nap, the trachea seems narrowed; no mucus can be loosened as usual (first day), 1a.
Stitch through the trachea, irritation to cough and dry cough, 13. [920.]
Pain in the pit of the throat extending to the root of the tongue and into the hyoid bone, and to the left tragus, behind which it shoots out; painful to touch, 1.*
*A feeling as if something were swollen in the pit of the throat and would suffocate him; it cannot be swallowed; with soreness in the throat, .

CHEST

He lies upon the chest at night, 1.
Great commotion and anxiety in the chest, with constant efforts to vomit (bite), 1.
It seems as though the wind rose up into the chest, and became fixed there; relieved by eructations, 1.
While riding in a wagon, pain in the chest, and tickling in the larynx provoking hacking cough, 4.
Pain extending inward in the lower portion of the ribs, 5.
Pain in the short ribs, first in the right, then in the left, then in the left elbow, then extending to the hand, 8.
Pains beneath the short ribs on breathing, 8.
Violent pains in the chest, so that he could not touch the chest, at night, 7. [980.]
Burning in the chest at night, with pains in the sternum, 1.
The chest feels swollen, with violent pains in it; dares not touch it at night, 7.
Tightness of the chest (tenth day), following pressing pains in the chest the day previous, 9.
Such great tightness of the chest, in the evening after lying down, that she almost suffocated, 11.
Pressure upon the chest, as if it were full of wind, 1.
Pressure in the chest, with sighing, during fever, 5.
Heavy dull pressure in the whole chest, 1.
Pressing pain extending from the chest to the stomach, 5.
Pressing pains in the chest, lasting the whole afternoon, together with pressing pains towards the stomach; in the evening frequent pulse, and at night pains in the chest (sixth day), still more on the next morning; again, afterwards, violent pressing pains, 9.
Oppression of the chest , suddenly disappearing, 2. [990.]
Oppression of the chest in the evening, 2.
Oppression of the chest during sleep, 1, 2.*
Oppression of the chest on becoming heated, 2.
Oppression of the chest, with nightly attacks of vomiting, 9.
Oppression of the chest, alternating with clawing in the anus, 2.

HEART AND PULSE

Præcordium.
Feeling of constriction about the heart, 5.*
*Cramplike pain in the præcordial region, causing palpitation, with anxiety, 3.
Pressure towards the heart from the stomach, 5.
Pressure about the heart during fever, 5.
She feels the beating of the heart, with weakness, even to sinking down, 7.*
Heart's Action.
Palpitation, 1.*
Palpitation causing anxiety (soon after a dose), 3.*
Pulse. [1030.]
Pulse increased, full and hard, after moderate exertion, with profuse sweat, in the evening, 9.
Pulse small and rapid, with hot skin (bite).
Pulse full and hard, with headache catarrh, and drawings in the lower legs, 15.

NECK AND BACK

Neck.
Stiffness of the nape of the neck, with catarrh, 1.*
Sticking in the nape of the neck and back, 6.
Stitches in the nape of the neck and in the whole back, for three days; sticking in the right arm, with a feeling as if it were asleep, with violent itching in both arms, hips, and lower limbs, disappearing gradually in ten days after second dose, 6.
Tearing in the cervical vertebræ, 5.
Nape of the neck sensitive to external pressure, 1a.*
Back.
After stooping, he could with difficult become erect, 2.
Pain in the back, as if sprained, during the fever heat, 2. [1040.]
Sticking in the back from below upwards (first day), 5.
Sticking in the upper part of the back, 3.
Dorsal.
Constant pressive pain between the scapulæ and on the chest, 3.
Sticking between the scapulæ, 3.
Very distressing, persistent, pressive, sticking pain near the point of the right scapula, towards the spine, deep in the back, as if something were sticking in it; worse by paroxysms, obliging one to bend backwards, and also to take a deep breath; not affected by breathing; usually recurring after long sitting (second and following days, for a week), 1a.
Tearing in the scapulæ, more in the right; also in the shoulders (seventh day), 5.
Tearing between the shoulders, and in the cervical vertebræ (fourth day), 5.
Painfulness of the left scapula, as from a dull pressure, 4.
Lumbar.
Pains in the loins, after the midday nap, 1a.
Pain in the small of the back, as if lame and weak, 13.* [1050.]
Pain in the small of the back spreads upwards like a fan; it is like pain from excessive exertion, 2.
Pain in the small of the back, with yawning and stretching of the arms and legs, as in fever (after acids), .

EXTREMITIES IN GENERAL

Objective.
The bitten limbs become inflamed and swollen (bite). [1070.]
Stretching of all the limbs, 2, 3.
Stretching of the limbs and a feeling about the heart as if it were constricted (after acids), 5.
Stretching of the arms and legs, with fever, 5.
Limbs stiffly outstretched, head bent back, eyes distorted, for half a minute, 7.
Paralyzed lameness in almost all the bones, and some pressive, but not constant, pain (sixteenth day), 9.
Subjective.
Heaviness of the limbs, 4.
Pains in the limbs, after a profuse catarrh, 8.
Pains in the left arm and lower extremity, side, and hand (second day); in the right side, in the neck, elbow, lower extremity, and shoulder (third day), 8.
Pain in the left shoulder and in the forepart of the left foot, afterwards in the knee, wrist, and shoulder of the same side; then in the right limb, arm, and teeth, 8.
Weary pain in all the limbs, commencing in the knees and elbows, 2. [1080.]
Drawings in all the limbs, with throbbing in the small of the back, 5.
Drawing in the left leg from the hip to the knee, then in the right arm from the shoulder to the elbow, 8.
Painful drawing in the knee and elbow, extending downwards, 2.
Pains as if pressed from without, sometimes very violent, though always transient, in the arms, hands, legs, feet, lasting a whole week; together with itching in the eyes, and on the sixth day violent catarrh, 8.
Seated pain as from a sprain in the left knee and elbow, with pain in the small of the back, which does not disappear, 2.
Tearing pains in both arms and legs, with cramp, 5.
Frequent tearing pains in both arms and legs, 5.
Painfulness of all the limbs, feeling as if beaten on motion, 3.
Gnawing pain in all the limbs, 3.
Jerking in the hands and lower extremities, 8. [1090.]

SUPERIOR EXTREMITIES

Weakness of the arms in fever, 5.
The arms are so weak that she is unable to raise them; they fall down again, 5.
The arm sinks down exhausted, after trifling exertion, 7.
Feeling as though the arms had fallen asleep, with sticking in them, 6.
Pains in the arms as if internally in the bones (after acids), 5.
Tension through the whole arm, extending to the middle fingers, as if the tendons were too short, 1.
Tensive sensation as if the tendons in the left arm were too short on stretching it out straight, extending through the whole arm to the middle finger, in which it is most perceptible, 1.
Paroxysmal pains in the right arm like a pressing in the bones, 8.
Sticking in the right arm, with a feeling as if asleep, 6. [1100.]
Tearing through the right arm, less in the left (fifth day), 5.
Sudden tearing downward through the arms (fourth day), 5.
Shoulder.
A turning about in the muscular margins of the axillæ, more towards the right side, as in erysipelas (third day), 5.
A kind of paralysis of the left shoulder, in the morning on rising, as from lying in an uncomfortable position; it, however, continues, and is afterwards repeated, but especially in the morning when dressing and on bending the arm backward, 7.
Rheumatic pains in the right shoulder and wrist, 8.
Aching and heaviness extended through the shoulders and arms, but in a less degree than in the legs (second day), 22.
Drawing pains in the shoulder-joint, in the evening, 12.
Tension in the shoulder and cervical muscles, with headache, 1.
Sticking near and beneath the right shoulder, worse after the midday nap, 1a.
Stitches from the abdomen to the shoulder, 5. [1110.]
Stitches externally, beneath the right axilla, 1.
Violent tearing in the left shoulder, and extending through the arm to the tips of the fingers (in the morning, immediately after the second dose, and again on the third day), 6.

INFERIOR EXTREMITIES

Helpless, stumbling gait, with stiffness of the joints; cannot bend the joints, except very slowly; afterwards the movements are frequently rapid and active, often uncertain and clumsy, 2.
A feeling of weariness in the legs, 8.
Drawing extending up the legs, 5. [1150.]
Drawing extending down the legs from the small of the attack, 2.
Short, transient, pressive pains in the left lower extremity, first above the knee, afterwards below it, extending to the foot; afterwards in the right arm and right ear; in the evening while sitting, 8.
Hip.
Pains in the hip and thigh, lasting into the night, with pressive heaviness in the forehead, so that he is unable to open the eyes, 3.
A former tearing in the left hip returns, 7.
Thigh.
(Œdema, with pains in the thigh, in one suffering from dropsy of the chest), 7.
Paralyzed feeling in both recti muscles of the thigh, which also feel swollen, disappearing over night, 15.
Rheumatic pains in the posterior portion of the thigh, 14.
The posterior portion of the thigh, especially towards the knee, becomes painful, as if swollen; the knee is swollen, with intolerable pain, especially in the hollow, chiefly on touch; there is tension and stretching out the leg is very difficult, 7.
Pressive sticking in the left thigh, less while walking, worse during rest and in bed, with œdema, 7

[In a dropsical person who had the pains once the previous year.]

Some tearing in the left thigh from above downward, 4. [1160.]
Frequent tearing in the thighs, extending to the knees as if in the bones, 5.
Pain in the muscles of the right thigh, as after a blow or bruise; after drinking wine, and also renewed thereby, 3.
The posterior portion of the thigh is painful, 7.
Jerking at times in the left thigh; after a quarter of an hour, again several jerks in the thigh, with painful drawing in the left leg from above downward, 4.
Knee.
The knee is thick, painful on standing; he can scarcely walk, and only after walking awhile is it endurable, 7.
Creaking in the left knee, 2.
Feeling of weakness in the knees after eating; with pressure in the stomach, 3.
Tension in the knee; stretching it out was very difficult, 7.
Cramp in the knees on waking, 2.
Pain, as from a sprain, in the right knee, 2, 4. [1170.]
Drawing pain, as from swelling, in both knees; a sticking (after a quarter of an hour), 15.
Gouty, drawing pain in the left knee while sitting, 4.
Pressive pain in the right knee, extending inward, 9.
Pain, as from a sprain, in the knee during the fever heat, 2.
Pain, as from as sprain, in the knee, with pain in the small of the back, 9.
Stitches in the knees when walking, 3.
Stitches in the right knee, 8.
Stitches in the left knee, with stitches in the chest, 15.
Knees feel bruised in the evening, 1a.
Crawling pain in the right knee down the forepart of the tibia to the back of the foot and to the toes, 15.
Leg. [1180.]
Swelling of the left leg and foot, 6.
She was obliged to move the feet up and down, otherwise the legs would jerk up and cause uneasiness in the whole body, together with tearing extending up the left (fifth day), .

GENERAL SYMPTOMS

Objective.
Stretching of the whole body, commencing in the toes and going to the fingers, 5.
Stretching after breakfast, 8.
Jerkings, 12.
Sudden jerking together of the whole body, starting from below, while sitting, 1.
Always, after sleep, so stiff that he could scarcely stir or move; rubbing and stroking by another person did him good, and soon entirely removed it, 1.
Trembling of the whole body, with ennui, 2.
Trembling of the body, with fever, from pain on the back of the foot, 1a . [In elephantiasis.]
Muscular laxity; exhausted by motion and by the most moderate exertion, 2.
Indolent; disinclined for business or study, 10. [1240.]
Indolence; heaviness after eating, 1.
Weary, sick, dejected, with fulness after eating, 1.
Constant and fatiguing labor does not agree with him; he soon becomes weary, 7.
Great weariness on going out in the evening; the accustomed walk seems endless, 1.
At mealtime, while walking on the street, so weary that he could scarcely proceed; yet he ate but little, 1.
Weakness, especially of the arms, 7.
Weakness, especially of the legs, 7.*
*Weakness of the whole body, in the morning on rising, especially in the arms and feet, 7.
Weakness in the morning, in all the limbs ; inclined to sleep; general exhaustion, even to lying down; better after lying down; therewith inactive, sad, disinclined to work, indifferent or gloomy, as after a night's debauch; physically prostrated and mentally indolent (second to sixteenth days), 9.*
Weakness every morning ; in the beginning rather a physical prostration, then inclining him to sleep; afterward, rather a mental prostration (second to sixteenth days), 9.* [1250.]
Weakness after breakfast, 3.
Weakness after supper, .

SKIN

Objective.
*Sore spots became fungoid, dark-red to brownish, with whitish spots; burning on wiping, 1.
Eruptions, Dry. [1320.]
Small tubercles on the right forearm (fifth day); these gradually extend over the whole body, excepting the face, chest, and abdomen; very violent itching at night in bed; afterwards the eruption assumed a different character, partly larger, like nettles, hives, or insect-bites; partly, after scratching, becoming like scarlatina, or roseola, or prickly heat; and disappears the second day (in June), 14.
Pimples, especially on the hairy portion of the genitals (second day), 9.
Several pimples on the body (eighth day); afterwards here and there; in the morning, on the genitals, arms, face, etc., 2.
Red pimples here and there on the body, with at times tickling in them; scratching causes pain; the tickling is worse in bed; she is unable to sleep on account of the biting-itching; is frequently wide awake (first night); she slept well (second night), 5.
(Hives in a leprous person, caused after Lachesis), 1a.
In the forenoon the whole body began to bite and itch, especially on the upper arms; after scratching, thickish elevated spots appeared (hives), which soon disappeared (second day), 1a . [In leprous patients.]
Desquamation of the skin of the forehead, with biting-itching, 5.
The skin of the face and scalp desquamates more than usual, for three or four days, 9.
A small wound beneath the nose bleeds unusually profusely, 18.
(A red spot on the prepuce, without itching), 2. [1330.]
Scarlet-red spot as large as the hand on the right chest, shoulder, and arm, with great thirst, rapid pulse, short breath, coated tongue, 7 . [Within twenty-four hours after the administration of Lachesis for cancer of the right breast, after a shaking chill and dry heat with thirst.]
The whole arm of the diseased side and the shoulder, and also the chest, became covered with scarlet-red spots as large as the hand; pulse rapid; thirst great; breathing short, and moaning; tongue coated, 7.
A red burning spot on the thumb, followed by a large hard vesicle, 1.

SLEEP AND DREAMS

Sleepiness.
Yawning (third day), 5.
Yawning with stretching, 5.
Yawning with nausea, and dryness of the throat, as if thirsty, 5.
Frequent yawning, toward evening, 8.
Spasmodic yawning, in the morning, 1.
While obliged to wait for dinner he was attacked by spasmodic yawning, became pale and faint, had to sit down quietly and eat something, when he felt better, 1a.
Sleepiness in the forenoon, 14. [1430.]
Sleepiness after breakfast, 3.
Sleepiness with the headache, 3.
Sleepiness without being able to sleep, 1a.*
Unusual sleepiness in the morning after breakfast, with great prostration, stretching, and much spitting of saliva, 3.
Great sleepiness, after supper; he can scarcely keep awake, and in the morning he wakes late, 7.
Overpowering sleepiness in the evening; even during very interesting conversation with his friends, he can hardly keep awake, 17.
Overpowering sleepiness before eating, 2.
Overpowering sleepiness after eating, 1.
Sleepy in the evening earlier than usual, 17.
Sleepy after supper, 1. [1440.]
Sleepy in the evening, immediately after supper, with much weariness, 1.
Sleepy and weak after dinner, 1.
Very sleepy in the forenoon, after walking in the open air; sleeps for some hours, during which he dreams constantly; it seemed as though the dreams had consisted solely of very important things, though everything was forgotten on waking; he woke refreshed by sleep (second day), 1a.
Very sleepy in the afternoon, 10, 17.
So sleepy after dinner that he could scarcely keep up in spite of pressing business; contrary to his habit, he slept for an hour; afterwards the troubles in the abdomen were worse, 1.
So sleepy after dinner that he could not keep up; sleep an hour, which was very unusual; after sleeping the oppression in the stomach was worse, .

FEVER

Chilliness.
Chilly, indolent, and prostrated; he was obliged to lie down flat on the ground near the fireplace, which made him feel better, 1.
Very violent general chill, with tearing and distension of the abdomen, 6.
Once in the evening, violent chill, with chattering of the teeth, and a feeling as in trismus, 13. [1500.]
A febrile chill, with thirst and pain in the forehead, in the evening, 6.
General sensation of coldness, with coldness and longing for the fire, 3.
She was obliged to lie down the whole day on account of fever; coldness without thirst, heat, or sweat; in the evening some small pustules on the elbow which had previously existed had natured (second day); repeated (third day), 1a.
Shivering during the heat, 1.
Single paroxysms of shivering, 1.
*Chilliness in the back, commencing in the small of the back, 5.
Coldness in one side of the head, 1.
Sensation of coldness in the left side of the head and in the ear, which are however warm (with toothache), 1.
The ear is cold with the toothache; the whole side of the head seems to be cold, though it is warm; external warmth relieved, 1.
Soon after taking, a feeling of coldness in the stomach, as if an intermittent fever which he had formerly had would suddenly return, 7. [1510.]
Coldness in the pit of the stomach, alternating with heat, 7.
Cold calves and knees, at times only, on the left side, 2.
Cold knees, 2.
Cold feeling on the right ankle (seventh day), 5.
Cold feet followed by heat and by pain in the toes, 2.
Cold feet, with roaring in the ears, 2.
Cold feet, with unconsciousness, that disappears when they become warm, 2.
Cold feet, with oppression of the chest, .*

CONDITIONS

Aggravation.
( Morning ), Confusion of head; *on waking, vertigo; after rising, vertigo; *vertigo ; pains in head, etc.; *headache in frontal eminence; tearing in forehead; after waking, heaviness in occiput; stoppage of nose; after rising, troubles in throat, etc.; pressure in pit of stomach; immediately after rising, pain across umbilical region; itching in anus; *after sleep, dry, hacking cough ; on rising, *weakness of the whole body; *weakness in all limbs; *physical and mental exhaustion ; after waking, bruised feeling.
( Afternoon ), Rush of blood to head, etc.; the symptoms, 5 ; feeling of heat.
( Evening ), The symptoms, 1a, 3 ; eyes seemed thicker; after tea; hawking of mucus; *sensitiveness of throat ; pain deep in throat *; on lying down, pain in top of throat; *longing for oysters ; eructations, etc.; retching, etc.; at 6 o'clock cramps, etc., in stomach; sticking in left side of abdomen; *diarrhœa; cough ; on lying down, cough, etc.; dry cough; from about 9 o'clock, nervous cough; after lying down, tightness of chest; pains in shoulder-joint; pain in wrists, etc.; while sitting, pains in lower extremity; tearing in feet; chill; fever.
( Night ), Relieved by extra warmth and lying on right side; earache in right ear; pressure in stomach; desire to urinate; short cough *; dry, hacking cough ; in sleep, rattling respiration; pains in the chest; burning in the chest; heat; perspiration, etc.
( Open air ), Vertigo; *tickling cough.
( Damp weather ), Hacking cough.
( Drinking ), *Swelling in throat ; cough.
( Eating ), Itching in nose; boring in hollow tooth; *; , etc.; soreness of chest; , .

*dry, hacking cough.

( Vinegar ), Feverish condition.
( Walking ), Hacking cough; stitches in knee.
( Wine ), The symptoms, 3 ; sensation in head, etc.; pain in muscles of thigh.
Amelioration.
( Open air ), Tensive pain in head; pressure in forehead.
( Coffee ), The symptoms, 5 ; itching in eye, etc.
( After dinner ), Felt better, 22.
( Eating ), *Swelling in throat; *pain in throat.
( Pressure ), Tensive pain in head.
( Walking ), Paralyzed feeling.

LACHESIS.