CANTHARIS.

Cantharis vesicatoria, Geoff. (Meloe vesicator, Linn.; Lytta vesicator, Fabr.), Insecta, class , Coleoptera.

Common name , Spanish Fly.

Preparation , Tincture (or triturations, used for some of the provings) of the imported dried beetles.

Authorities.

1 , Hahnemann, Fragmenta de viribus med., p. 57; 1 a , Hahnemann, additional, from Archiv. 13, 1, 157; 2 , Baudis, Hartlaub and Trinks, R. A. M. L., 1; 3 , Bethmann, ibid.; 4 , Giacomini, Farmacologia 11, 152, experiments of students with repeated doses of from 5/8 of a grain to 4 grains; detailed account in Revue Crit, et. Retrospect, 5, 265; 5 , Hering, H. and T., R. A. M. L.; 6 , N-g, ibid.; 7 , Rückert, ibid.; 8 , Hartlaub, ibid. (vol. 1 and vol. 2); 9 , Shreter, ibid. (vol. 2); 10 , Baccius in Schenk, Obs., 126 (from H. and T., vol 1); 11 , Baglivi, diss. de vesicant. op., p. 654 (ibid.); 12 , Bernt, Rettungsmettel. p. 181 (ibid.); 13 , Barrichius, Act. Hafn. IV. (ibid.); 14 , Brassabolus de Med., 1555 (ibid.); 15 , Joach. Camerarius, in Schenk (ibid.); 16 , Cardanus, de Subtilit., lib. ix (ibid.); 17 , Cullen, Arzneimittell. II (ibid.); 18 , De Forell, diss. sist. hyperdruresin ex pervers, Canth. usu Externo ort. (ibid.); 19 , Dioscorides (ibid.); 20 , Fabric v. Hilden, Cent VI (ibid.); 21 , Forestus, Obs. (ibid.); 22 , Gmelin, All. Geschichte d. Gifte (ibid.); 23 , Greenfield, Treatise on Canth. (ibid.); 24 , Guldenklee, Cas. Méd. et Observ., etc. (ibid.); 25 , Hecker, Arzneim. 1 (ibid.); 26 , Horn, Archiv. fur die Med. Erf., 1815 (ibid.); 27 , J. L. Hoffmann, in Forsten, Hist. Canth., effects of half a drachm of tinct. on a woman (ibid.); 28 , Home, Clinical Experiments, p. 405 (ibid.); 29 , Jahn, Arzneim. (ibid.); 30 , Lanzoni, opera, tom, iii (ibid.); 31 , Lange, in Schenk, lib. vii (ibid.); 32 , Lindestolpe, de venenis, effects of external use (ibid.); 33 , Ledelius, in Misc. Nat. Cur. Dec. I (ibid.); 34 , Ludovici, in Forsten, Hist. Canth., effects of external use (ibid.); 35 , Misc. Nat. Cur. Dec., II (ibid.); 36 , Pallas, in Froriep Notizen (ibid.); 37 , Parmentier, Annal. de Chim., effects of the dust from bruising the beetles (ibid.); 38 , Paschalius and Occo, in Schenck, Obs., 125 (one symptom), (ibid.); 39 , Stalpaart van deer Wiel, effects of external use (ibid.); 40 , Spielmann, Mat, Med. (ibid.); 41 , Stockar a Neufarn, Diss. de Canth., 1781, effects of 12 "Spanish flies" (ibid.); 42 , Tarrie, from Lond. Med., and Phys. Journ., 1825, effects of poisoning in a man of 40 (ibid.); 43 , Tralles, de usu vesicant, 1795 (ibid.); 44 , Wierus, de præstig, dæm. III., c. 35 (ibid.); 45 , Wendt, in Hufeland's Journ., effects of an electuary of pulv. Canth., and of 90 drops of the tincture (ibid.); 46 , Werlhoff, opera (ibid.), also in Christison; 47 , Wilbrecht, Geschichte und Versuche, Copenhagen, 1774, effects of a drachm of pulv. Canth., taken in one dose, on a woman aged 35 (ibid.); 48 , Leviani, Mem di. Matem., etc., 1803 (ibid.); 49 , William Batt, Mem. de la Soc. Méd. de Genes. (detailed in Revue Crit. et Rétrospect. 5, 256), effect of five flies; 50 , Biett, from Orfila Tox., 228, effects of 1 dr. of powder on a young man; 51 , Gaz. de Santé, 1819, effects of two doses, each of 24 grains, with an interval of a day (from Christison); 52 , Giulio, Mem. de l'Acad. de Turin, 1802, tetanus and hydrophobic symptoms produced by Canth. detailed in Rev. Crit. et Retrospect, 5, 250; 53 , Dr. Maxwell, Lancette Franc., 1838, effects of the powder in rum, in three cases, from Revue Crit. et Retrospect, 5, 257; 54 , Ambroise Paré, "Des Venen," effects of fly-blister, Rev. Crit. et Rétrosp.; 55 , as last, an abbé took Canth. in sweetmeats; 56 , Piquet d. l. Houssiette, detailed in Rev. Crit. et Rétrosp., 5, 249, effects of 8 grs. of powder; 57 , Recueil, Period, etc. (in Rev. Crit. et Rétrosp., 5, 256), effects of powder in chocolate; 58 , Graaf, Hufeland's Journ., 1821 (Rev. Crit. et Rétrosp., 5), effects of the tincture drank from a flask; 59 , Seiler, Horn's Archiv., 27 (from Roth's Mat. Med., article Cantharides); 60 , Champy, Diss. sur Canth., 1809, effects of the fumes (ibid.); 61 , Montagnana, Schenk a Graffenberg, Obs. Méd. de Venenis (ibid.); 62 , Occo, Médicament., effects of carrying Canth. in the hand (ibid.); 63 , Rust, Salz. Med. Zeit., 1811 (ibid.); 64 , Pareus, in Schenk, Obs. Med. (Hartlaub and Trinks); 65 , Omitted; 66 , Weisse, Petersburger Abhandl., 5, 427, effects of a blister applied by mistake over swollen cervical ganglia (from Roth's Mat. Med.); 67 , Harder Petersb. Abhand., 4, 166, effects of a blister (ibid.); 68 , Robertson, Ed. Med. Journ., 1806, effects of a blister (ibid.); 69 , Hartte, Ed. Med. Jour., 1806 (ibid.); 70 , Benedictus, De Curand Morbis, 24 (ibid.); 71 , Grainger, Hist. Febris anom. Edinburg, 1753 (ibid.); 72 , Clinch, Diss., London, 1726 (ibid.); 73 , Schrœder, Pharmacop. (ibid.); 74 , Lafitte, Rev. Thérap. du Midi., 1858 (ibid.); 75 , Rouquaryrol, Annales de la Méd. phys., 1829 (from Christison); 76 , Dr. Ives, Am. J. of Med. Sc., 1833, a boy of 17 took one ounce of tincture (from Christison and Taylor); 77 , Werlhof, Mem. della Soc. Med. di Genoa (Christison); 78 , Lond. Med. Gaz., 1841, a woman took 1 oz. of tinct. (ibid.); 79 , (same as 77); 80 , Report of inquest, girl anointed whole body with ung. Canth. for scabies (Christison); 81 , Fisher, Med. Gaz., 39, p. 855, a man took 60 grs. of powdered Canth. (Taylor on Poisons); 82 , Ed. M. and S. Journ., 1844, some plaster containing two drachms of powdered Canth. was taken by a lunatic (ibid.); 83 , Journ. de Chim. Méd., 1847, six students tool powdered Canth., by mistake, instead of pepper, with their food, for six months (ibid.); 84 , Schlegel, Material, 1819, effects of a teaspoonful of tinct. on a child nine years old (Frank's Mag., 3, 465); 85 , Duprest Rony, Diss. sur Satyriasis, 1570, two men too each two drs. of pulv. Canth. for ague (Wibmer); 86 , Oest. Zeit., 3, 629 (gaz. Med. di Milan), a priest of 80 years and a sexton of 60 years, took a mixture of half an ounce of tinct. Canth. in six ounces of alcohol; 87 , Podrecca, Omod. Ann., 1843 (Schmidt's Jahrbucher, 42, 290), a dancing-master aged 32 was given twenty grs. of pulv. Canth.; 88 , La Fitte, Rev. Ther. chemichi, 1853 (Schmidt's Jahrb., 78, p. 167), a man aged 25 took one gramme of pulv. Canth. in two doses; [This is probably the same case as No.

74 , but differently reported.]

89 , Jaffe, Schm. Jahrb., 91, p, 297, two flies in brandy for loss of sexual desire; 90 , Pallé, Journ, de Brux., 1870 (Schm. Jahrb., 148, p. 276), poisoning of ten soldiers by a solution of Canth. in coffee; 91 , Morel, A. H. Z., 33, effect of blisters; 92 , Zeit. f. v. Oest., 1857, 1, 561, effect of eight "flies" taken internally; 93 , Lond. Med. Gaz., 1847 (from A. H. Z., 73, 189), a man took two teaspoonfuls of pulv. Canth.; 94 , La Lancette, 1843, (from Oest. Zeit.), 3, 629, effects on a man of a gramme of pulv. Canth. mixed with food; 95 , Radecki. Inaug. dis. on Canth., Dorpat. 1866, effects on a man suffering from chronic rheumatism, of Canth. ointment rubbed into a blister; 96 , Cattell, fragments from various sources, B, J, of Hom., 11, 159; 97 , Med. Times and Gaz., 1864 (in B. J. of H., 23, 131, as girl of 13 ate a Spanish fly in jam tart); 98 , Dr. H. G. Dunnell, Hom. Exam., 3, 145, effects on a boy of 12 of a Spanish fly in an apple; 99 , Am. J. of Med. Sc., 1, 368, a lad swallowed one ounce of the tincture; 100 , Kline, Phil. Med. and Surg. Rep., 1872, a women took more than 50 grains; 101 , Chalvigirac, de l'empoison. par la teint. de Canth., effects of about 100 grammes (from Tardieu, L. empoisonnement, 2d ed., 1875); 102 , Same author and source as the last (the six victims of 101 recovered), this one died (ibid.); 103 , Schwerin, Rev, des. Sc. Méd. de Hayem. 1874, an hysterical women took 15 drops of Canth. collodion (ibid.); 104 , Dominico Nardo, Antolog. Med., 1836 (from Am. J. of M. S., 1837), proving with two grs. of Cantharidin taken in two doses, and after a fortnight two grains in four doses; , Gaz. des Tribunaux (from Am. J. of M., 3, 1847), a man poisoned by Canth. in soup; , Dr. Baehr, Zeit. f. H. Kl., 4, 125, provings, effects of repeated doses of the 6th, 3d, 2d, and 1st dils.; , ibid., proving with the tinct.; , ibid., with the 1st and 2d trits.; , ibid., with one grain of pulv. Canth.; , Dr. M. Macfarlan, Am. J. H. M. M., 4, and 5, effects of the 400th, Fincke, given in water three times a day for two weeks; , W. M. Williamson, Proc. Hom. Med. Soc. Penn., 1873, effects when used to relieve chilblains; , Thos. Souttell, Pharm. Journ., 2, 655, effects of fumes inhaled while preparing ung. Canth.

MIND

• Emotional.
• Apparently intoxicated (first day), 78.
• Appears intoxicated and crazy, 96.
• Excited mood, 2.
• General excitement; they rose from bed and ran about the room, racked by vomiting and copious stools, 101.
• Frenzy, 31.
• Violent frenzy of three days continuance (during convalescence), (one case), 58.
• Delirium (after two days), 78.
• Delirium in evening, 76. [10.]
• Delirious at night (second day), 78.
• Delirium and convulsions, 96.
• Furious delirium, 96.
• Constant, complete, furious, almost frenzied delirium, 52.*
• He talked deliriously when lying, sitting, and walking, disconnectedly of his business and of people who had long since been dead, 1a.
• Senseless talking, 12.
• Visions at night, when half awake; she heard soft steps in the room, then knocking under the bed, and the bed was raised up (midnight), 6.
• Visions at midnight, while awake, lying with the right hand on the left shoulder; something took hold of her hand, and bent it several times up and down, then it seemed as if some one took her by the throat with ice-cold hands (fourteenth night), 6.
• Everything effects him more profoundly than usual, so that he is obliged to cry very much (second day), 3.
• Screaming, with legs drawn upon thighs, 84. [20.]
• Piercing screams and frequent loss of consciousness, 56.
• Incessant groaning (second day), 53.
• Very active, happy; she feels as if newly born; the room and all the objects appear clearer to her and more pleasant (sixth day), 6.
• Great depression, incessant moaning (third day), 96.
• Extreme despondency and faintheartedness; she says she must die, 6.
• Melancholy and anxious after dinner, soon disappearing, 6.

HEAD

• Confusion and Vertigo.
• Confused head (second day), 92, 9.
• Confusion of the head, and especially a sort of heaviness in the vertex (after half an hour), 8.
• *In the morning, confusion of the head, with pulsation in the forehead, for several hours, 1a.
• Head very much confused and dull, 9.
• Confusion of the forehead, as well as a slight pressing and drawing in it (after twelve hours), 3.
• Vertigo, 4, 55, 104. [70.]
• Vertigo and staggering, 4.
• Vertigo and fainting, 25.
• On walking in the open air, vertigo, with very transient attack of unconsciousness, during which there seemed to be a fog before his eyes, returning several times in half an hour (first day), 3.
• Dizzy and weak in the head, 1a.
• Giddiness (after half an hour), 97.
• Tottering about, as if dizzy (tenth, eleventh, and twelfth days), 6.
• General Head.
• Brain congested, 96.
• Heaviness of the head, 49.
• Head heavy, with dull pressing, worse on motion, 9.
• Head and hair feel stiff to him (after three weeks), 98. [80.]
• Pain in the head, trembling, and universal spasms, followed by coma (seventh day), 76.
• Dull pain in the head, 104.
• His head is heavy and confused, 8.
• Headache, 68.
• Headache, 2.
• Headache, the whole day, 9.
• Headache, disappearing after breakfast (one hour), 6.
• Headache, sometimes with delirium, 79.
• Headache and shivering (after fourteen days), 76.
• Headache, boring, drawing, tearing, throbbing, and pressing, all together, 9. [90.]

EYE

• Objective.
• Inflammation of the eyes, 37.
• Inflammation of the eyes, so severe that he was blind for several days (after several hours), 112.
• Protruding eyes, 45. [150.]
• The eyes protrude, 25.
• Sunken eyes, 87.
• Eyes sunken, surrounded by blue rings (second day), 94.
• Lustreless eyes, 4.
• Redness of eyes (soon after), 76.
• Eyes red, 96.
• Eyes red and suffused with tears (after one hour), 99.
• Subjective.
• His eyes give out, and pain on writing as usual, 9.
• The eyes pain on exertion, 9.
• The eyes pain, as after excessive weeping, 9. [160.]
• Glowing heat of the eyes, as from coals, 9.
• Burning of the eyes, 2.
• The eyes burn, 6.
• Pressing in the eyes, 3.
• Pressing in the eyes, so that the lids close, in the afternoon, 9.
• Biting sensation in the eyes, as if salt were in them, 1a.
• Cutting in the eye, while writing, 9.
• Sticking and itching in the left eye, 9.
• Tearing in the right eye (after one hour), 3.
• Smarting in the right eye, in the afternoon, 6. [170.]
• Smarting in the eyes, as if salt were in them, 1.
• Itching in the right eye, in the afternoon, 6.
• Orbit.
• Pain in the left orbital arch, as if it was pressed violently with a blunt instrument, 8.
• Lids.
• The lids more closed than usual; the eyes look small, 9.
• Quivering and stitching on the right lower lid, 6.

EAR

• A not vapor frequently issues from either ear, alternately, 6.
• Pressing behind the right ear, 3.
• Sticking in the ears (after one hour), 9.
• Stitching in the left ear (after seven hours), 6.
• Tearing deep in the right ear, and at the same time tickling in the left ear, 6.
• Tearing externally in the right meatus auditorius, then the left shoulder, 6.
• Tearing and stitching in the right mastoid process, so that she believed that it must tear the bone out; she had to cry out (in the evening for one hour), 6.
• Single tearing in the right mastoid process, very painful and frequently repeated, 6.
• Painful tearing in the right mastoid process below the ear, as if with a knife, not disappearing on rubbing; at the same time headache in the forehead, like a heaviness; frequently, even at night (after half an hour), 6. [200.]
• Violent, painful, sudden tearing in the right mastoid process, extending into the lobule of the ear, and at the same time stitching in the ear, frequently disappearing on rubbing (after three-quarters of an hour), 6.
• Hearing.
• Incessant drumming in the ears (after three weeks), 96.
• Ringing and humming before both ears, 8.
• Roaring in the ears, after supper, 6.

NOSE

• Objective.
• Inflammation of the tip of the nose, 9.
• Inflammation on the edge of the right wing of the nose, especially toward the end, appearing at irregular intervals red and shining, with a little swelling and some pain (after several hours); disappeared only on the second day, 5.
• Inflamed, spotted nose, with pain, as if sore; several crusts form, which fall off after three days, 9.
• Red, swollen nose, with sensation as if it would fester, especially internally; on touch and on talking the pain is increased, 9.
• The nose red and hot, with a festering pustule, 9.
• Nose swollen; red and sore in the interior (after three weeks), 98. [210.]
• He has a violent catarrh, which makes itself apparent by the secretion of much tenacious mucus from the nose, without sneezing, by hoarseness and hawking of tough mucus from the chest, and (which was never the case in catarrh with him) by nightly dry, cutting-stitching along the trachea externally (second day), 8.
• Sneezing (after three hours), 6.
• Sneezing, followed by sticking in the left wing of the nose, 9.
• Violent sneezing (second morning), 6.
• Bleeding of the nose, 9.
• Bleeding of the nose (ninth day, A.M.), 6.
• The nasal mucus is mixed with blood, 9.
• The mucus from the nose in an old catarrh becomes bloody, 1a.
• Pain and tension in the nose and throbbing, with sensation as if it were swollen; it is also painful to the touch (fourth and fifth days), 7.
• Pain at 3 A.M. above on the top of the nose, so that he thought he had pressed it, followed by tension and erysipelatous inflammation and swelling from the back of the nose down both sides into the cheeks, especially on the right, like great redness of the cheeks, becoming white under the pressure of the finger, then rapidly again red; hard to the touch. It continued to increase on the following days and decreased on the third day, followed by slight desquamation (thirtieth day). After several weeks, without marked cause, a similar inflammation, especially on the right upper lip, the sides and tip of nose, 5. [220.]
• Transient, stitchlike pain above the root of the nose, 8.
• Several stitches in the left wing of the nose, from within outward, .

FACE

• Objective.
• Animated expression, 60.
• Expression of extreme suffering, 6.*
• *Very suffering, pale look (fourth, fifth, sixth, etc., days), 6. [230.]
• Sickly look, sunken, pale face, 3.
• Sickly look, with dim eyes, surrounded by dark rings (second day), 107.
• Deathlike look, during and after the pains (second day, afternoon), 6.*
• Countenance anxious, 81.
• Very anxious countenance, 96.
• Hippocratic countenance, 4.
• On stooping he immediately becomes very red in the face, the blood shoots forcibly into te head; even when sitting the head becomes very hot, no when walking, 1a.
• Red spots in the face, which glow like fire (after three hours), 9.
• Flushed face (soon after), 76.
• Flushed face (after one hour), 99. [240.]
• Face flushed, anxious expression, 96.
• Flushed, anxious countenance (second day), 18.
• Glowing of the whole face, 9.
• The right side of the face glows, while the left is a waxy yellow, 9.
• Face cyanotic, 94.
• Cyanotic color of the face, 87.
• Yellow color of the face and eyes (tenth day), 6.
• Earthy color of the face, 26.
• Pale looks (after one and a half hours), 6.
• Paleness of the face, 6. [250.]
• Faces pale, sunken, expressive of terror, 101.
• Face pale, sunken, haggard, expressive of anxiety, 102.
• Face pale as plaster, and covered with sweat, 4.
• During the chill very pale, 6.
• Pale face, with red flushes (second day), 92.
• Pale in the face, with internal sensation of coldness, .

MOUTH

• Teeth. [280.]
• Drawing, followed by sticking, in the teeth, especially in the evening, after lying down, so that it is an hour before she falls asleep, 9.
• In the upper teeth a drawing pain, worse on eating, in the afternoon, 9.
• Tearing in the right lower molars (ninth day), 6.
• A few tearings in a carious molar, on the lower right side, 6.
• A root of a tooth on the right lower side rises and can easily be drawn out, without the tearing ceasing (ninth day), 6.
• Gums.
• Gums red and swollen, 96.
• Gums red and swollen (one case), (third day), 53.
• On the gum above the left upper incisor there appears a red, somewhat painful spot, which constantly grows more painful, and finally becomes a small, round, elevated, inflamed spot, of a yellow-reddish appearance, which is sore and also painful to more severe pressure externally; the whole upper lip is swollen, 5.
• On the gum there appears, after six hours, a small blister, with red points; after fifteen hours the blisters disappears, and leaves only a red spot; at the same time the upper lip is remarkably swollen, but little painful, 5.
• After several weeks a dental fistula, lasting many weeks; a red spot above the carious root of an upper incisor, somewhat painful, of the size of a pin's head, with a small opening in the centre, from which, if it is pressed, pus discharges, 5. [290.]
• Gums and mucous membrane of cheeks swollen (second day), 92.
• Pains the gums, 2.
• A quivering in the gum of the left upper eye tooth, 8.
• Painful drawing in the right gum extending outward on he right upper incisor, with sensation as if something were drawing across the lip (after four hours), 6.
• A sudden painful tearing in the gum and left lower incisor (after three hours), 6.
• Tongue.
• Tongue red at the edges, with a thick yellow coating on its anterior two-thirds, 102.
• Tongue bluish-red, covered with white blisters containing bile-like fluid (second day), 92.
• Tongue rather pale and dry, .

THROAT

• Throat inflamed, and covered with plastic lymph (one case) (third day), 53.*
• He draws much tough mucus into the mouth through the posterior nares (in the first hour), 8.
• The throat dry, without thirst, in the afternoon, 9.
• Roughness and hoarseness in the throat (third forenoon), 6. [380.]
• Burning heat in the throat soon after, 53.
• *Burning sensation in throat (after half an hour), 97.
• Sense of burning in throat and stomach (soon after), 50.
• Burning sensation in the throat, especially at the entrance of the œsophagus, extending to the epigastrium (second day), 53.
• Burning sensation in the throat and pit of stomach, increased by pressure, 96.
• Sense of constant burning in throat, most intense at top of œsophagus, and descending down towards stomach (third day), 96.
• Throat feels "on fire" (third day), 96.*
• Throat swollen (third day), 96.*
• Constriction and intense pain at the back of the throat, 102.*
• Burning soreness of the throat, which is inflamed (after three weeks), 98.* [390.]
• Intolerable scraping in the throat, with necessity for hawking up mucus after meals, 9.
• Uvula.
• Uvula relaxed, 96.
• Tonsils.
• The tonsils are somewhat inflamed, 2.
• Tonsils swollen, 96.
• Fauces, Pharynx, and Œsophagus.
• Erysipelatous blush of inflammation and turgid veins run across fauces (third day), 96.
• The fauces red, painful, with a pressing sensation, which on swallowing changes to a sticking, 9.
• Fauces abraded and blistered, 96.

STOMACH

• Increased appetite (some provers), 4.
• More appetite than usual, 6.
• Appetite not diminished during the whole action of the medicine, 6.
• Hunger immediately after relief of the pains (seventeenth day), 6.
• Awakened at night by sensation of hunger (which had never happened before), (second night), 106. [420.]
• Without feeling hungry, he would eat now this, now that (first day), 3.
• Diminished appetite, 4.
• Loss of appetite, 4.
• Loss of appetite (after three weeks), 98.
• Loss of appetite, evening and morning; he relished nothing, 1a.
• Loss of appetite for food, 1a.
• Appetite lost; weakness; she becomes bedridden (eighth day), 6.
• The appetite which had been somewhat excited, disappeared after coffee, 6.
• No appetite (second day), 92.
• No appetite for supper (third day), 107. [430.]
• No desire for food, 1.
• Disgust for food (second day), 1, 92.
• Disgust for everything; she cannot bear to see or hear about food; in the evening during the paroxysm, 6.
• Disgust and ill-humor, 21.
• Disgust, with frequent gathering of water in the mouth, 6.
• Constant disgust and nausea, 47.
• Aversion to tobacco, 1a.
• Thirst.
• Thirst (first day), 92.
• Thirst (fifteenth day, A.M.), 6.
• Thirst when not in pain (ninth and tenth days), 6. [440.]
• Thirst during dinner (unusual), 6.
• Thirst after the shaking chill, 8 P.M., 6.
• Thirst after the chill. After the chill neither heat nor sweat (second day, 5 P.M.), .

ABDOMEN

• Hypochondria.
• Incarceration of flatus under the short ribs (as of offensive flatus), (after two hours), 1a.
• (Inflammation of the liver and erosion of the intestines), 11.
• Sensation as if something held her together below the right false ribs (after two hours), 16.
• Umbilical and Sides.
• Burning pain above the navel on coughing, sneezing, and blowing the nose, whereby the abdomen seems very hot; in the region of the pain externally are several yellow spots, which when touched are more stinging than burning, 1a.
• Pinching about the navel (one hour after dinner), 6.
• Before and during the stool, griping in the abdomen, below the navel, 6.
• Pinching in the left side of the abdomen (after four hours), 6.
• Pressing pain in both sides below the ribs (after two hours), 3. [580.]
• On both sides of the lower abdomen, sensation as if something were compressing them there, but in the left side farther downward (four hours), 6.
• Cutting in the right side of the abdomen (three hours), 6.
• Stitching in the left side of the upper abdomen, and in the centre of the sternum, 6.
• General Abdomen.
• Inflammation of whole alimentary canal, ureters, kidneys, and internal organs of generation, 96.
• Violent intestinal inflammation, 12.
• The pains in the intestinal canal change to inflammation and gangrene, 29.
• Erosion of the intestines, 11.
• The abdomen was prominent, 45.
• Abdomen swollen and tympanitic, 78.
• Abdomen swollen to the size at full period of utero-gestation, tense and tympanitic, 96. [590.]
• Diffusive swelling, extending over the whole abdomen, 96.
• Abdomen distended, 84.
• Abdomen much distended (second day), .

RECTUM AND ANUS

• Tenesmus (some provers), 4.
• Very great tenesmus, 30.
• A violent cutting pain attacked her in the rectum, such as she had never experienced in her life before; on standing and walking, discharge of flatulence with relief, but immediately afterwards the same pain, with urging to stool, followed by soft stool, with cessation of the pain, at 8 P.M., 6. [670.]
• Crawling in the rectum, 9.
• Burning, like fire, in the anus, after the diarrhœa (tenth day), 6.*
• After the stool, burning and stitching, as with needles, in the anus (first day), 6.
• Pain in the perineum, seemingly arising from the neck of the bladder rather than from the root of the penis, 49.*
• Pressing in perineum, 91.
• Frequent desire for stool, 1a.
• Urging to stool, 2.
• Urging, without stool (fourth day), 6.
• Urging to stool, and then copious discharge of soft fæces, 6.
• Increased painful urging to stool, 29. [680.]
• Frequent urging to stool, with scanty discharge of fæces, 1a.
• Constant as well as ineffectual urging to stool, 6.
• Ineffectual urging to stool (after two hours), 6.
• Ineffectual urging to stool, soon after the first stool, 6.
• When he passed water, was obliged at the same time to go to stool, though nothing passed; this desire for stool ceased after the bladder became empty, 1a.

STOOL

• Diarrhœa.
• Diarrhœa, 59.
• Diarrhœa, without colic, 1.
• Diarrhœa, by which the colic was somewhat relieved (after thirteen hours), 26.
• Diarrhœa, with burning in the anus, 86.*
• Diarrhœa three times a day, with very violent colic, 9. [690.]
• Diarrhœa, without any pain, several times during the day, 8.
• Diarrhœa of frothy fæces (twenty-second day), 6.
• Watery diarrhœa, 3.
• Mucous diarrhœa, 84.
• Diarrhœa of green mucus (tenth day), after constipation for three days, 6.
• *Diarrhœa, consisting of blood and mucus, 96.
• Violent diarrhœa, with intolerable burning in the anus, 45.*
• Diarrhœa-like stool of brown liquid fæces, twice (nineteenth day), 6.
• In the morning, usual stool, and at 6 P.M. two diarrhœic stools (third day); also one diarrhœic stool (fourth day), 6.
• Two morning stools, with some tenesmus, 9. [700.]
• In the forenoon, two natural stools, 6.
• Two natural stools in quick succession (after four hours), in the afternoon, 6.
• A natural stool four times in the day, 1a.
• Two liquid yellow stools during the day, with cutting in the abdomen after every stool, biting pain in the anus, without tenesmus, 1a.
• Copious stools (some provers), 4.
• Stool thin, pasty (third day), 106.
• Thin stool, with much irritability in the rectum, 1a.
• Slight, somewhat hard stool, passing with difficulty, with cutting pains in the rectum (first day), 8.
• Stool hard, and only passed by pressing, so that she could have screamed (first day), 6.
• Discharge of hard fæces, with protrusion of the rectum, 2. [710.]

URINARY ORGANS

• Bladder and Kidneys.
• Inflammation of the uropoiëtic organs, 25.
• Inflammation of the urinary organs, and bleeding from them, 29.
• Great irritability and severe pain of the urinary organs, attended by frequent micturition, 100.
• Cutting and contracting pains from the ureters down toward the penis; at times the pains pass from without inward; pressure on the glans relieves the pain somewhat, 5.* [730.]
• Kidneys inflamed, 96.
• Inflammation of the kidneys, 40.
• Inflammation of the kidneys, the bladder, and the penis, which becomes gangrenous, 41.
• Inflammation of the kidneys, the ureters, the bladder, and the urethra, 22.
• Renal congestion, 97.
• Pain in kidneys, 29, 78.
• Dull pressing pains in both kidneys (second day), 92.*
• Pains in the region of the kidneys, 95.*
• Pains in the region of the kidneys and urging to urinate (after three hours), steadily increasing in severity, 89.*
• Pain in region of kidneys and bladder, 96. [740.]
• Severe pain in the region of the kidneys and bladder (after two days), 78.
• The region of the kidneys is affected by a continued dull painful sensation, late in the evening, 8.*
• Pains in the kidneys and whole tract of the ureters, extending to the bladder, 4.
• Pains in kidneys and bladder, 93.
• Violent paroxysmal cutting and burning pains in both kidneys; the region was very sensitive to the slightest touch ; this alternated with equally severe pain and burning in the tip of the penis, urging to urinate, and extremely painful evacuation, by drops, of bloody urine; at times also he passed pure blood with some clots, 89.
• Pain in right kidney (soon after), 4.

SEXUAL ORGANS

• Male.
• Genitals inflamed, 96.
• Feeling of weakness in the genitals (first hours), 1a.
• Burning heat and itching of the genitals, 56.
• Pressing pain from the lower abdomen toward the genitals, in the afternoon, 6.
• Fatal gangrene of the penis, 55. [1000.]
• The penis is swollen, 1a.
• Swelling and heat of the penis, without erection, and without sexual desire, 90.
• Swelling of the glans, which is very painful, even to external pressure, 6.*
• About the corona glandis, a brown, cheesy mass accumulates, without any special sensation, in the morning, 9.
• A tumefaction of the prepuce, of red, hot, and diaphanous nature, with phimosis; there issues from beneath it a purulent secretion (after three weeks), 98.
• Swelling of the frænum of the prepuce, 1a.
• Total absence of the usual smegma preputii, 109.
• Blood passes out of the rigid penis and from the anus, 41.
• Instead of semen, blood flows, 33.
• Erections, 67. [1010.]
• Erection and involuntary emission (from smelling the powder), 27.
• A strong and persistent erection of the penis, painless, and without voluptuous sensation, 49.*
• Very persistent erection every morning, immediately on rising, 109.
• Continued erection of the penis, with some painful sensation, for three hours, 2.
• Difficult erection of the penis, 41.
• Severe erections at night, during which there is contraction and sore pain in the whole of the urethra, 1a.*
• Painful erections, 25, 26, 29.
• Painful erection, lasting fifteen minutes (one case), 101.
• Very painful erections, 59.

RESPIRATORY ORGANS

• Larynx and Trachea. [1070.]
• Hawking of tenacious mucus from the larynx (after half an hour), 8.
• Intense pain in larynx (one case), (third day), 53.
• Burning in the larynx and stomach, 27.
• Tickling, provoking cough, 8.
• Contraction of the trachea, 2.
• Voice.
• Rough voice (second day), 94.
• Hoarse voice, 87.
• Hoarseness in the chest, 1a.
• Voice feeble, 50.
• Speech very low, with sensation of weakness of the vocal organs (twelfth day), 6.* [1080.]
• On deep respiration, and a speaking, she feels as if she dare not exert herself, on account of extraordinary weakness of the respiratory organs; she therefore speaks only in a weak and frightened tone, 6.
• Inability to speak (sexton), 86.
• Cough and Expectoration.
• Cough, with pain in the abdomen, 1a.
• Hacking cough, frequently (second day), 6.
• Frequent dry hacking cough (fifteenth day), 6.
• Several short paroxysms of dry cough, caused by irritation in the larynx, with more rapid respiration and a sort of tightness in the chest (immediately after taking), 2.
• Cough in the morning on rising, with difficult expectoration, 1a.
• Sputa frothy and bloody, 96.
• Bloody expectoration after short cough (eighth day), 6.
• Respiration.
• Hurried breathing (soon after), 76. [1090.]
• Respiration hurried, 76.
• Hurried respiration (after one hour), 99.
• Hurried and difficult respiration, 60.
• Difficult respiration, 25.
• Respiration becomes difficult, 29.

CHEST

• Pneumonia, 96.
• (Is drawn together at times when coughing; the lungs themselves are contracted), 1a.
• The side of the diaphragm is inflamed, 21.
• Feeling of dryness in the chest, for several days, 1a.
• Burning in the chest, 2.
• Burning on the chest like fire; an again a small clot of blood in the mouth, in the morning (seventeenth day), 6.
• Hot burning on the chest, and pinching in the abdomen, with constipation (fifteenth afternoon), 6.
• Violent burning, with stitches over the whole chest, externally and internally, as if in the bones, 6. [1110.]
• Sensation of fulness in the chest, stomach, and abdomen, after coffee (fourteenth day), 6.
• Pressure on the chest for a long time, 6.
• Sticking in the chest, from one side to the other, 9.*
• Slight stitches in the chest, which do not affect respiration (after three hours), 5.
• A fine stitch extending from the right axilla into the chest (after one hour), 6.*
• Several fine needlelike stitches, deep in the left lower ribs, in the afternoon, 6.
• Tearing in the thorax, especially in the region of the heart (after half an hour), 3.
• Extreme sensitiveness of the chest to touch (tenth, eleventh, and twelfth days), 6.
• Relief of habitual oppression of chest (one prover), 4.
• Front.
• Burning on the sternum (after eight hours), 9. [1120.]
• Squeezing and contraction in the forepart of the chest, with impeded respiration, stitching in the whole chest, from 11 A.M. till 8 P.M.; relieved on lying, but returning again (third day), 6.
• Pressure on the sternum, 9.
• Pressure from the heart toward the sternum, toward evening, increased by speaking and deep respiration, 9.
• On the right side of the sternum, deep internally, a pressing, with stitching from within outward (after four hours), 6.
• Stitching in the centre of the sternum (third evening), .

HEART AND PULSE

• Anxiety in the præcordium, 27. [1160.]
• Extreme præcordial anxiety, 94.
• Anxiety about the heart in the afternoon, 6.
• Pain in the heart, 35.
• Drawing pain in the region of the heart, 3.
• Stitch in the heart, followed by a crawling sensation, 9.
• Heart's Action.
• Violent jerking of the heart, that runs quite to the head (after three weeks), 98.
• Palpitation of the heart, 4.
• Violent palpitation, toward evening, 9.
• Violent palpitation of the heart, for several minutes (soon after taking), 8.
• Habitual palpitation of the heart entirely ceased (one prover), 4.
• Pulse. [1170.]
• Uneasy beating of the pulse in the whole body, so that the limbs tremble, several days, 7.
• Hard full pulse, as in inflammatory fevers, 45.
• Pulse contracted, 50.
• Pulse thready (second day), 94.
• Weak pulse, 2.
• Pulse feeble, and scarcely perceptible (after two days), 78.
• Pulse scarcely perceptible, 97.
• Scarcely perceptible pulse (second day), 78.
• Pulse imperceptible, 96.
• Pulse scarcely changed during the chill, 6. [1180.]
• Rapid pulse, 41.
• Hard, rapid pulse, 27.
• Pulse full, hard and rapid, as in inflammatory fever, 84.
• Pulse rapid, full, tense (second day), 92.
• Pulse weak, trembling, rapid, 93.
• Pulse quick and hard, 96.
• Small, quick pulse (after one hour), 99.
• Pulse quickened by two beats (two provers), 4.
• Pulse quickened by two beats, but evidently softer (two provers), .

NECK AND BACK

• Neck.
• Thick neck, 45.
• Twitching in the left cervical muscles, 6.
• Stiffness in the neck, with tensive pain on stooping, 1a. [1220.]
• Fine but sharply drawing pain in a narrow line extending downward, deep in the right cervical muscles (after two hours), 8.
• Several dull stitches in the left cervical muscles, in the afternoon, 6.
• Tearing in the left cervical muscles, with headache, like a heaviness, on walking (second day), 6.
• Tearing in the nape of the neck, extending upward toward the vertex (sixth day, A.M.), 6.
• Tearing in the nape of the neck and stitching in the right cervical muscles, on moving the head, whence it extends into the upper part of the head (after six hours), 6.
• Swollen cervical glands painful to touch, 9.
• Back.
• Pain in the back, in the vertebral column, 87.
• Pains in the back and limbs, 29.
• Violent pain in the back, 23.
• Dragging in the back, as if about to be "unwell," which period she had passed about ten days before; slight show, but the pains the same, 111. [1230.]
• Sticking-cutting pain through the back and abdomen, which speedily passes off (after nine hours), 8.
• Tearing pain in the back, 1.
• Tearing pain in the back , especially in the morning, 1a.
• Dorsal.
• A stitch inward, below the right shoulder-blade (after four hours), 6.
• Several violent dull stitches in the upper part of the right shoulder-blade, with burning on the skin in the same place, in the afternoon, 6.
• Extremely violent acute stitches in the right shoulder-blade, in the evening, 6.
• Tearing in the shoulder-blade (after one hour), 3.
• Tearing and stitching in the right shoulder-blade, in the upper part (after three hours), 6.
• Pain between shoulders (after half an hour), .

EXTREMITIES IN GENERAL

• Objective.
• Great weakness of limbs (second day), 92.
• In the morning, laxness and lassitude in all the limbs, so that he remains in bed much longer than usual (second day), 3.
• Weariness in the hands and feet (fourth day), 6.
• Collapse of limbs, 4.
• Trembling of the limbs, 4, 87. [1270.]
• Trembling of the limbs, 87.
• Trembling and weakness of the limbs, lasting a long time, 94.
• Trembling of the hands and feet, during the chill, in the evening, 6.
• Unconscious tossing about of the limbs, 64.
• Convulsions in all the limbs, 93.
• Numbness of arms and legs (after three weeks), 98.
• Subjective.
• A feeling of dryness in the joints of the arms and limbs, for twelve days, 1a.
• Pain and stiffness of limbs (after three weeks), 96.
• Contracting, almost paralytic, pain in the limbs, 1.
• Drawings in the extremities, 87. [1280.]
• Drawing, almost paralytic, pain in the limbs, 1a.
• The forearms and lower legs feel bruised (third, fourth, fifth and sixth days), 6.

SUPERIOR EXTREMITIES

• Shoulder.
• Drawing pain in the left shoulder-joint, 3.
• Stitching below the right chest, extending into the right shoulder, on inspiration, 6.
• Stitching-tingling in the axillæ, 1a.
• Tearing in the axilla, 3.
• Arm.
• Boring pain in the middle of the upper arm, 6.
• Drawing and stitching in the right upper arm, as if in the bone, after dinner, 6.
• Gnawing in the right humerus in the middle, and at the same time stitching farther above, 6.
• Gnawing in the middle of the upper arm, on the external surface (after four hours), 6. [1290.]
• In the middle of the right upper arm, a painful gnawing (after one hour and three-quarters), then stitching in the left knee, on the inner surface, 6.
• Tearing on the inner surface of the right humerus, disappearing on pressure, during breakfast (one hour), 6.
• Tearing in the middle of the right upper arm, in the afternoon, 6.
• Tearing from the bend of the right elbow into the shoulder, 6.
• Pain, as if bruised, in the right upper arm (after two hours and a half), 8.
• Elbow.
• Sensation in the right elbow as if something were holding her fast there, 6.
• A drawing pain in the right elbow, 9.
• Tearing in the bend of the elbow; on rubbing, it passes into the outer side of the upper arm, after dinner, 6.
• Tearing in the bend of the right elbow, 6.
• Forearm.
• Tearing from the middle of the left forearm to the middle of the upper arm, 6. [1300.]
• Painful tearing from the middle of the right upper arm to the middle of the forearm, relieved by rubbing (after one hour and a half), 6.
• Violent tearing in the middle of the right forearm, and at the same time in both calves (in the evening and also the second day, frequently repeated), 6.
• Wrist.

INFERIOR EXTREMITIES

• Inability to stand or walk, 87.
• Paralysis of the lower extremities, 87.
• Paralysis of the lower limbs, 94.
• Paralysis of lower extremities and weak arm, without apparent spinal tenderness, 96.
• The pains on the legs become ameliorated on violent rubbing, 6.
• Hip.
• Large stitches in the right hip, in the afternoon, 6.
• Thigh.
• Falling asleep now of one, now of the other thigh, 6.
• Feeling of weight in the muscles of the thighs, 4. [1320.]
• Tearing and stitching in the posterior portion of left thigh, 6.
• Tearing from the left hip-bone into the knee, followed by a very painful drawing in the right mastoid process, frequently (after one hour), 6.
• Tearing from the right hip to the knee, down along the posterior surface, not disappearing on rubbing (after a quarter of an hour), 6.
• Painful tearing from the right nates down to the knee on the posterior surface, not disappearing on rubbing (after half an hour), 6.
• In the flesh of the middle of the thigh, posteriorly, a fine twitching, together with itching in it, in the afternoon, 5.
• Knee.
• On ascending steps, the knees totter, 1a.
• Painful feeling of extreme weariness in the knees and legs, 102.
• Lamenting and whining on account of fearful pains in the knees (the whole day), (ninth day), 6.
• Tension on the right knee, 6.
• Pain in the knee, as if it were swollen, which impedes walking; in the left it is transient, in the right raining several days, 7. [1330.]
• Boring pain in both knees, so violent that it contracted both her lower legs (third day), 6.
• Drawing pain in the hollows of the knees, 1a.
• (Cutting in the knees, when walking), 1a.
• Frequent painful stitches deep into the right knee (after three hours and a half), 6.

GENERAL SYMPTOMS

• Marasmus, 96.
• Complete emaciation; she can scarcely sit any more, because the tuberosities protrude, 6.
• The body is bent almost double, and the arms are folded across the hypogastrium (after four hours), 103.
• The plasticity of the blood drawn from the veins is increased, 25.
• Increased discharge from the diseased part, in the ulcer on the feet, from the nose in chronic catarrh, from the urethra in gonorrhœa, 1.
• Erosion of the mucous membrane from the mouth to the anus, 21.
• Twitchings of tendons, 93.
• Convulsive motions, 93. [1370.]
• Convulsive motions, 51.
• Convulsive agitation and trembling (after one hour), 99.
• Convulsions (after fourteen days) gradually increasing, till death, 76.
• Convulsions, which returned at short intervals, 47.
• Convulsions in paroxysms, accompanied by painful priapism, 76.
• Convulsions, followed by severe pain in head and coma (fourth day), 99.
• Convulsions, with horror of liquids, 96.
• Violent convulsions, 12.
• Violent convulsions, followed by insensibility and death (fourteenth day), 76.
• Frightful convulsions, and death on the second day, 60. [1380.]
• Horrible convulsions, with writing of the limbs, 56.
• Terrible convulsions; sometimes he tossed about and rolled on his bed in despair; sometimes he got up and rushed like a madman to a friend's bed in an alcove of the same room, seized the iron curtain rods and bent them like reeds, screaming and howling dreadfully; eight strong men could scarcely hold him; the convulsions succeeded each other almost uninterruptedly, and lasted for hours at a time, with a few minutes quiet interval; sometimes they look the form of emprosthotonos, sometimes of opisthotonos; sometimes he opened his mouth, and sometimes the violent trismus closed it tightly, with very hard grinding of the teeth, and running of frothy, at times blood-streaked saliva; his face was expressive of fright and despair. In the convulsions, his hair was seen to stand on end; his gaze was fixed, his eyes sparkled and flashed, and as their muscles were successively thrown into spasmodic movements they rolled frightfully. The temperature of the skin was natural, the pulse full and slow, 55 per minute. When a hand was pressed upon the umbilical region, the abdominal muscles entered into contraction, and that portion of the abdomen seemed glued to the spine, especially the recti, which were like tightened cords; suddenly the disturbance extended all over the body, the spasms became general, and the head was thrown backward in a manner fearful to behold. When we sought to apply a sponge, dipped in a warm and oily embrocation, to the most painful part of the abdomen, the patient instantly broke away like a madman; he frothed at the mouth more than ever; his eyes became fiercer; the constriction of the throat almost choked him; ; and immediately after these symptoms . These attacks were renewed frequently; pressure upon painful places in the hypogastrium, or the mere sight of liquids, was sufficient to produce them, .

SKIN

• Eruptions, Dry.
• Skin pale, 104.
• Goose-flesh during the chill, 6.
• Yellow spot the size of a two-shilling piece on the abdomen near the umbilicus, and another on the inside of the left thigh (after three weeks), 98.
• An itching swelling on the last phalanx of the finger, 1a.
• On the first phalanx of the left thumb two small red spots, without sensation, as if a pimple would form, at 2 P.M., 6.
• Psoriasis, 96. [1450.]
• Eruption in the corners of the mouth, 9.
• Eruption on the breast-bone, with pains on touch like an ulcer, 1a.
• A burning eruption on the left buttock, 9.
• An eruption on the knee, which pains, especially on touch, and impedes free motion, 9.
• A papulous eruption on the side of the neck; burning pain it, 1a.
• Eruption of pimples on the forehead and cheeks, burning only on touch (sixth day), 6.
• A pimples on right upper lid (after seven days), 6.
• Two pimples on the right mastoid process burning on touch (after one hour), 6.
• In the left nostril a small pimple, burning on touch (third day), 6.
• A pimple seated deep in the cheek, which itched when touched, 1a. [1460.]
• A pimple upon the cheek near the corner of the mouth, which felt tense, but when touched caused burning pain, 1a.
• Pimples on the margin of the upper lip (second evening), 6.
• Pellucid pimples between the chin and lip, from one angle of the mouth to the other, without sensation; in the afternoon, 6.
• A large pimple on the nates, painful to touch (burning), 1a.
• The inner surface of the arms and the middle of the chest are full of itching pimples, which burn after scratching (eighth and ninth days), 6.
• Pimples on the back of the hands (sixth day), 6.
• Pimples on the back of the right hand between the fourth and fifth fingers (second day), 6.
• A small pimple on the right hand between the thumb and index finger (preceded by tickling in this place), burning on touch; one hour after dinner, .

SLEEP AND DREAMS

• Sleepiness.
• Stretching and yawning (after two hours), 6.
• Much stretching and yawning (soon after), 8.
• Yawning without sleepiness (after one hour and a half), 6.
• Repeated yawning (after one hour and three-quarters), 6.
• Constant yawning, after dinner, 6.
• Great sleepiness, with lassitude; she could hardly help falling asleep; without yawning, in the afternoon, 6.
• Almost unconquerable sleepiness, for three days, 9. [1510.]
• She can scarcely keep up on account of sleepiness, two hours after dinner, 6.
• Sleepy the whole day, especially after meals, 9.
• Sleepy after dinner, 6.
• Very sleepy and depressed in the morning, 1a.
• She fell asleep while spinning; her eyes closed involuntarily, followed by smarting in the eyes (after three hours), 6.
• Very good, sound sleep (first night), 6.
• Sleeplessness.
• Sleep bad, 97.
• Half sleep (seventeenth night), 6.
• Before midnight, only light sleep (third night), 6.
• Little sleep, 2. [1520.]
• Little sleep at night, 4.
• Restlessness (first day), 92.
• Passed a restless night, 97.
• At night very restless, frequent waking (first night), 6.
• Extremely restless nights (fifth, sixth, and seventh days), 6.
• Starting up in sleep (ninth day, A.M.), 6.
• Frequent waking, at night, 6.
• Slumbering sleep, from which she constantly woke (ninth day), 6.
• Waking after midnight, and remaining awake till morning, 6.
• Cannot fall asleep for a long time in the evening, 6. [1530.]
• Loss of sleep, 1a.*

FEVER

• Chilliness.
• Great coldness of the surface, 96.
• Skin cold and clammy, 104.
• Skin cold and covered with sweat, 102. [1550.]
• Great coldness of the surface, with imperceptible pulse (after seven hours), 82.
• Cool, moist skin, 104.
• Temperature averaging two degrees less than normal, 107.
• General coldness of the body, 87.
• Coldness of the whole body, especially of the limbs (second day), 94.
• Coldness and chill from 5 to 7 P.M.; she could not even get warm in bed for a long time (seventeenth day), 6.
• As soon as the icy coldness had ceased, there always appeared coldness on rising from bed, which was always followed by transient heat, 6.
• After she has gradually become warm in bed the coldness immediately attacks her again as soon as she puts but one limb out or rises, 6.
• Fever, consisting only of coldness, three days in succession, at 1 P.M., somewhat later each day, 6.
• Constantly cold; cannot sleep at night on account of the cold, although quite sleepy (after three weeks), 98. [1560.]
• Shivering and shaking chill, beginning in the back, the whole afternoon, from 2 till 8 P.M., followed by heat, after which shivering again follows, 9.
• Universal shivering and chill down the spine, 104.
• At first shivering and great weakness, 94.
• Chilliness, 87.
• The chilliness awakes him at two in the morning, and he cannot sleep any more (after three weeks), 98.
• Chilliness, irregularly alternating with heat and sweat (second day), 92.
• General chilliness, 96.
• Slight chilliness till toward 1 1/2 P.M., when a violent shaking chill appeared, with creeping in the hands and feet, for half an hour, disappearing by a very warm stove, without subsequent heat, at 11 A.M. (fourth day), 6.
• Frequent chills (first day), 92.
• Chill in bed at 10 o'clock for half an hour, followed by natural warmth (sixteenth day), 6. [1570.]

CONDITIONS

• Aggravation.
• ( Morning ), Anxiety; when rising, fretful; mental depression; some hours after rising, distracted in mind, etc.; confusion of head; tongue dry, etc.; on rising, foul taste; nausea, etc.; burning, etc., in abdomen; at 9 o'clock, urine passed in a thin stream, etc .; immediately on rising, persistent erection; while lying in bed, awake, emission of semen; on rising, cough; clot of blood in mouth; in bed, pressure in side of chest; after disappearance of the pains, pulse increased, etc.; pain in back ; laxness, etc.; in limbs; sleepy, etc.; in limbs; sleepy, etc.; on rising at 3 o'clock chilly; sweat on the pelvic region, etc.
• ( Forenoon ), After coffee, nausea; from 11 till 1 o'clock, chilly, etc.
• ( Afternoon ), *Insolent; stitches in right temple; stitches in side of head; stitches in occiput ; pressing in eyes; itching in eye; stitching in chin; tearing in lower jaw; on eating pain in teeth; filthy taste; pressure in pit of stomach; pain from abdomen toward genitals; stitches in lower ribs; from 11 to 8 o'clock, squeezing, etc., in front chest; stitches in sternum; stitches in ribs; anxiety about heart; stitches in shoulder-blade; tearing in upper arm; stitching in arm; tearing in little finger; twitching in thigh, etc.; tearing in hollow of knee; shivering, etc.; at 3 o'clock, chill, etc.; at 4 o'clock, chill, etc.; at 6.30 o'clock, short chill, etc.; from 11 to 3 o'clock violent chill; shivering up the back; from 10 to 3 o'clock, external heat.
• ( Toward evening ), Nausea; pressure toward sternum; palpitation; after stool, violent chill, etc.
• ( Evening ), On sitting and standing, stitches in side of head; after lying down, drawing etc., in teeth; during paroxysm, disgust for everything; stitches in orifice of urethra; stitches in shoulder-blade; gnawing in sacrum; tearing in forearm, etc.; while sitting, sensation on side of lumbar vertebræ; warm forehead, etc.
• ( Night ), Delirium; on waking slimy mouth; thirst; stitches in orifice of urethra; burning in urethra; erections; chill; restless prostration; restless; from 3 P.M. to 3 A.M., shaking chill; heart of body; sweat ; sweat on chest.
• ( Before midnight ), Sweat.
• ( Midnight ), Cannot lie on left side.
• ( Toward morning ), Perspiration.

SUPPLEMENT: CANTHARIS. Authorities.

113 , J. M. Fontanelle (Rev. Med.), Lancet, vol. ix, 1826, p. 233, a man, aged twenty years, took 1/2 ounce; 114 , (Midland Reporter, No. 11), Bost. Med. and Surg. Journ., vol. v, 1831, p. 75, two young men took some lytta in raspberry brandy; 115 , W. Miller, Lancet, 1834-5 (2), p. 114, a woman, aged twenty-five years, swallowed some blistering plaster; 116 , Med. Gaz., March 26, 1836, three negroes took some tincture; 117 , G. Smith, Lancet, 1840 (1), p. 733, a woman, aged sixty years, took a piece of blister plaster about the size of a walnut; 118 , Brit. Journ. of Hom., vol. iv, 1846, F. T., aged seventeen years, was engaged all day in making "Emplastrum Cantharidis"; 119 , Dr. C. H. Hildreth, Bost. Med. and Surg. Journ., vol. lii, 1855, p. 80, a man took a quantity of powdered Canth. in gin; 120 , W. R. Spence Jeffries, Brit. Med. Journ., 1876 (1), p. 190, a lumatic took 3 fluid ounces of tincture; 121 , J. M. Schley, M.D., Hahn. Month., 1878, p. 641, Mr. J., aged twenty years, took 2 drachms made into a fly-blister, at 5.30 P.M., during treatment Camph., Can. sat., Ars. and Ipecac. were given; 122 , M. Rosolino Braga, Med. de Rio de Janeiro (Lond. Med. Rec., 1879, p. 80), M. C., aged twenty-three years, drank Canth. in wine.

HEAD

• Headache and dull heavy feeling around eyes (second day), 121.
• Shooting-darting pain in right temple and in right eye (third day), 121.

EYE

• Great dimness of sight, attended with smarting and burning round the eyelids, and round the balls of the eyes; constant lachrymation; the eyes turned towards the nose; twitching of the eyelids; he could not close his eyes without great pain, from smarting of the lids chiefly; there was considerable redness, and an apparent distress from the inflammation of both eyes. Some drops of the strong Camphor tincture were given him. The next morning everything appeared yellow. Ther nose was also considerably affected; some swelling with redness and heat, within as well as without, with the appearance of suffering from severe coryza, 118. [Note: Add, 113 , Br. J. of Hom., 4, 91, effect on eyes, of making fly-plaster.
• Eyes turned towards the nose, 113.
• Twitching of lids, 113.
• Smarting and burning in lids and around balls, 113.
• Great pain from smarting in lids, on closing eyes, 113.
• Lachrymation, 113.
• Great dimness of vision, 113 .]

FACE

• Face flushed (second day), 121.

MOUTH

• Tongue coated white down centre (third day), 121.

STOMACH, ABDOMEN, AND URINARY ORGANS

• Poor appetite (third day), 121.
• Great thirst, and throat very dry (second day), 121.
• Nausea after eating (fifth day), 121. [1660.]
• About 11 P.M. (after six hours) commenced to vomit, which, however, produced little pain, as the contents of the stomach came up easily. At 2 P.M. the greatest pain was produced by incessant vomiting and nausea. His retching was painful to look at, for after the most violent efforts he would bring up at most some of the administered medicine or a little mucus, but no bile at any time, 121.
• In an hour or two, vomiting and strangury commenced; the urine discharged being scanty in quantity, and contained blood. On the third day, she was attacked with severe pain in the region of the left kidney, accompanied by tenderness on pressure, and sympathetic fever, 117.
• Vomiting, with severe pain in the lower part of the abdomen, accompanied with bearing down, and most intolerable inclination to micturition, with heat and smarting so acute as to cause her to scream; also severe tenesmus, without evacuation of the bowels, 115.
• Gnawing painful feeling over region of stomach, extending into back between shoulders (second day), 121.
• Violent pain in the stomach, bowels, kidneys, and bladder; a constant desire to make water; and a burning heat in the throat, 114.
• Soon complained of lancinating pains of the stomach, burning of the throat, and great nausea. In two hours, violent retching succeeded, and the vomited matters were streaked with blood; they consisted, however, chiefly of frothy mucus. Next morning the pains continued, accompanied with cold clammy sweats, difficulty of swallowing, and in the evening, salivation. The mucus expectorated was of a pink color. Strangury supervened and continued for six days, 116.
• Flatulency, which when belched up gave temporary relief (first day), 121.
• Rumbling in the bowels (first day), 121.
• Severe pain in the lower part of the abdomen, thence extending into the lumbar region, but most intense just above the pubis. Some nausea, but no pain in the stomach, 119.
• About midnight he was seized with strong desire to urinate. In spite of all his efforts he could pass only a few drops of scalding urine, attended with severe pain throughout the length of the urethra, especially at the meatus, where he had a sensation like that of the pricking of pins. These symptoms became worse, and they were attended with priapism and severe pain in the genito-urinary organs, as well as in the lumbar region, and with intense thirst. At 9 P.M., he was much agitated, crying out and very restless. The eyes were injected and lustrous, the pupils dilated, and the countenance animated. The pulse was small and frequent. There was nausea with intense thirst. There was the most acute pain in the urethra, rendered much worse when with great difficulty some drops of urine were expelled. The desire to micturate was incessant, and an acute state of nervous erethism was produced. Only a very small quantity of urine could be discharged; and this was thick and bloody. The abdomen was retracted and sensitive to pressure, especially in the hypogastric region, where the slightest touch produced acute pain. Pain was also felt in the lumbar region, owing to the kidneys being affected, and this pain extended downwards to the perinæum. The catheter brought away a small quantity of thick bloody urine, containing album in marked proportion, . [1670.]

HEART AND PULSE

• Pulse accelerated, 92; skin hot (after nine days), 121.

GENERALITIES

• Nervous, constantly threw himself about in bed, and could not sleep (second day), 121.
• After two hours and a half she was suffering much from burning pain and constriction in the throat; her eyeballs were prominent; her lips and mouth were parched and bleached (blistered). She was salivating, retching, and vomiting a glairy tenacious mucus; her tongue was also bleached along the sides and tip; but was blackish brown in the centre, and much swollen. The breathing was very irregular and imperfect, sometimes quick, sometimes slow, and at great intervals. The pulse at the wrist was full and bounding; the vessels of the head and neck were much congested. The poor creature appeared to be suffering great agony, as was indicated by her expression of countenance, and the throwing about of her arms and body in her endeavors to obtain relief. Vomiting was free, and the patient complained much of pain in the gullet, and great difficulty in swallowing. Seven hours after the poisoning she complained of pain over the bladder, uterus, and kidneys, especially severe over the hypogastrium. She passed a restless night; she frequently tried to urinate, but ineffectually, only passing a little blood instead of urine. The bowels acted slightly, the motion being black and tarry-looking. The pulse was now small and compressible; she died in twenty-one hours and a half after the poisoning. The post-mortem showed in the posterior and upper surface of the stomach, three inches from the pyloric end, a perforation sufficiently large for a small hen's egg to pass through; the edges of the perforation were ragged, congested, and blackened, and the mucous membrane for two inches on each side was congested and blackened, and the mucous surface of the stomach and lower end of the gullet generally in a blakened and softened state, and coated with a black grumous matter, 120.
• Almost immediately seized with violent heat of the urine, heat in the throat, and pain in the head. These symptoms increased, and were followed by excessive sickness. Eight hours after the accident he passed a quantity of blood from the urethra, with excessive pain, 113.

SKIN

• Brownish-yellowish appearance of skin (fifth day), 121.