There are several springs at Carlsbad, of which "Sprudel" and "Muhlbrünnen" are the chief. Sprudel has a temperature varying from 125° to 162.5° F., and contains in one thousand parts (Ragsby, 1862): Sodium sulphate, 2.3719

Sodium bicarbonate, 1.9272 Sodium chloride, 1.0307

Calcium carbonate, .4288 Magnesium carbonate, .1889

Strontium carbonate, .0010 Ferrum carbonate, .0038

Manganum carbonate, .0008 Potassium sulphate, .1636

Calcium phosphate, .0002 Calcium fluoride, .0036

Aluminium phosphate, .0004 Silicic oxide (acid), .0728

Carbonic dioxide (acid gas), free, .7600 Traces of iodide and bromide of sodium, of cræsium, rubidium, lithium, and of boracic oxide (acid).

Authorities.

1 to 6 , symptoms obtained from drinking (and bathing in) the waters (chiefly from "Sprudel" and "Muhlbrünnen" springs), collected by Gross, Archiv. f. Hom., 20, 3, 173; 1 , "B.," a strong man, of 52 years, drank and bathed in both springs; 2 , "C.," a man, 50 years old, suffered at first from "heart troubles," but afterwards died from a "nervo-gastric fever;" 3 , "G.," a man, of 70, inclined to diarrhœa, had been operated on for stone, and stiff suffered from his bladder; 4 , "H.," a man of 40, formerly had liver troubles, jaundice, and pulmonary tuberculosis, but of late had been in better health; 5 , "M.," a healthy woman of 49; 6 , "W.," a man, of 48, suffering from jaundice; 7 , Dr. G. Porges, Specifische Wirkung. u. phys. analyses der Carlsbader Heilguellen, 1853.

MIND

Emotional.
Very excited and peevish, and often as if beside himself about trifles, with flushes of heat all over, 7.
Self-satisfied, very talkative, and uncommonly good-humored, 7.
Weeping, timorous, despairing mood, 2.
His nerves are so much affected that the sorrows of others cause him to weep easily, 2.
Mood very much depressed, like an excessive homesickness; at last violent weeping (second day), (after four glasses), 6.
Great dejection of spirits; without cause he is very unusually sulky, 7.
Painful dejection, with foul stomach, 7.
Gloomy and self-absorbed, 7.
Unpleasant mood in the afternoon, without cause for sadness, 7. [10.]
Discouraged and anxious in the discharge of his domestic duties, 7.
Attacks of anxiety, 7.
Constrictive anxiety when in the room; somewhat better in the open air, 7.
Fainthearted, with frequent yawning, at 9 A.M. (thirteenth day), 6.
Quiet ill-humor, and indisposed to speak, 7.
In the morning, on rising, irritable and out of humor, and peevish the whole day, 7.
Very much disposed to take everything in bad part and to be critical (especially after three weeks and later), 5.
Is easily vexed about things which, when well, would have made him laugh, together with a dull pressure in the right side of the lower abdomen, below the liver, where, when bathing, he frequently noticed a loose swelling (in the cæcum), (after four weeks), 6.
Variable mood, 7.
Intellectual.
Difficult thinking, 7. [20.]
Unfitness to think, and for every, even the slightest mental occupation; cannot find words to express himself correctly, 7.
Much effort in employing his mind, .

HEAD

Confusion and Vertigo.
Confusion and gloominess of the whole head; such a sensation as remains after intoxication, 7.
Confusion and heaviness of the head, especially after eating; better on motion in the open air, 7.
Confusion, with difficulty in thinking and indolence of mind, which becomes tired very soon and easily, 7. [30.]
Dizzy confusion of the head during the night, changing to a sensation of fulness in the forehead, in the morning, which disappears after rising, 7.
Dizzy confusion in the head, now pressure in the forehead, now a drawing tension in the occiput, 7.
Excessive stupefaction of the head, with gloominess, disappearing in the open air, and returning frequently during the day, 7.
Frequent attacks of vertigo (eighteenth day), 6.
Momentary attacks of vertigo, so that he had to hold himself up, also turning as if in a circle; better in the open air, 7.
Dizziness, 7.
Sensations.
Remarkable rush of blood to the head, with heaviness, benumbed confusion of the head, great melancholy, and weakness of mind, 7.
Cracking in the head, as if something were breaking in it, especially perceptible in the evening, on lying down, 7.
Head very heavy, full, and stupefied; worse on stooping, shaking round, and turning, with quivering in the lids, 7.
Head of the head, worse on entering a room, 7. [40.]
Drawing in streaks over the surface of the brain, as if in the membranes and sinuses, 7.
Pressing headache, especially in the forehead, with dull confusion, 7.
Dull pressing headache, in the morning, after waking, and almost the whole forenoon (thirtieth day), 6.
Extremely annoying pressing headache, more on the vertex, with from time to time single stitches and jerks in the centre, through the substance of the brain, .

EYE

Weakness of the eyes, especially on writing and long-continued reading, 7.
Heat streams from the eyes, with burning and pressing in them, and an appearance of black spots swimming about, 7. [70.]
Burning and pressing , especially around the eye, but also in the ball itself, as from sand, or as when one looks into the sun, with increased secretion from the Meibomian glands, 7.
Pressing pain in the eyes, as if the eyes were being pressed downward from above, and were too large, and did not have sufficient room in their orbits, 7.
Pressure and pain in the eyes; they become cloudy, as if a veil were before them, 7.
Orbit.
Violent pressing pain above the orbits, spreading below or toward the temples, 7.
Slight ticking in the right supraorbital nerve and in the whole right upper lid; at the same time twitching in the inner angle of the eye, 7.
Very sensitive, dull stitches in the upper margin of the left orbit (nineteenth day), 6.
Lids.
Lids at times somewhat œdematous, swollen, and in the morning agglutinated with mucus, 7.
The inner surface of the lids is inflamed (tenth day), 6.
Twitching-quivering in the upper lids, causing constant rubbing of the eye, as if some foreign body were there, 7.
Lachrymal Apparatus.
Greatly increased lachrymal secretion, 7. [80.]
On sewing, her eyes water, and on long looking at one object, the eye is covered as by a veil, 7.
Vision.
A weakness of the eye (weakness of vision; can no more see near objects; cannot do fine work) becomes aggravated; she is obliged to wipe her eyes and wink constantly, which momentarily relieves the dimness and tension; it is better in the open air (fourth day after six glasses), .

EAR

Increased warmth in the ear, which itches, 7.
Pinching in the left inner ear, 7.
Fine twitching stitches from the Eustachian tube to the tympanum; disappearing on boring with the finger, 7.
Hearing.
Frequent murmuring in the ears, agreeing with the rate of the pulse; at times a sensation of slight pressure and tension, as if the ears were stopped, 7.
Humming and roaring, also ringing, in the ears, at times also fluttering before them, 7.
Momentary ringing in the right ear, when writing in the afternoon (fifteenth day), 6.
Very frequently violent ringing, at times changing into a transient loss of hearing, at times into a dull roaring, 7.

NOSE

Objective.
Bluish color of the nose, 7.
Turgescence of the vena nasalis, 7. [100.]
Frequent sneezing, 7.
Copious mucous secretion from the nose, 7.
Frequent blowing out of thick mucus, 7.
Catarrh, rough throat, and hoarseness disappeared soon from using the water, 3.
Her former stopped catarrh disappeared in a few days, 5.
The habitual stopped catarrh was worse during the first part of the proving, then it disappeared; after fourteen days fluent catarrh appeared, which also afterwards disappeared; he drew the usual amount of air through the nose, but constantly felt the necessity of snuffling (after the proving the old catarrh returned worse than ever), 6.
Chronic catarrh, with elongated uvula; dryness of the throat disappeared, 3.
Habitual bleeding of the nose, 7.
Subjective.
Dryness in the nose, with crawling sensation, 7.
Tension across the nasal bone, as if he had drunk wine (soon after the first bath of a quarter of an hour at 28° R.), 6. [110.]
Some stitching sensation in the right nostril, with sneezing several times, and blowing out blood; on suppression of the menses, 7.
Sensitiveness of the nose, as in incipient catarrh, 7.
Smell.
Loss of smell, after stoppage of the nose, 7.

FACE

Objective.
Yellow color of the face, 7.
White faces, after three or four glasses become sallow, 3.
In the fourth week, he became gradually yellow (had formerly been white); the urine, however, retained its normal color, only it had a very strong and pungent odor; the stool remained dark green, 6.
Redness and heat in the face, especially in the evening and after eating, when the organism is always stronger, 7.
Face as if somewhat swollen, 7.
Red swelling and pain, especially when touched, on the right side near the nose, from a prominent tooth, at intolerable (sixteenth day), 6.
Subjective. [120.]
Sensation as if cobwebs were drawn over the face, 7.
Sensation on spots here and there in the face, as from a hair which can be wiped away, 7.
Transient heat in the face, 7.
Sensation as if one side of the face were swelling, 7.
Cheeks.
Prickling formication on the cheeks, in the region of the pes anserina, 7.
On the right cheek, in the region of the pes anserina, quivering and prickling, without increased redness or warmth, 7.
Tearing-drawing on the right cheek, 7.
Sensation as if the zygomatic processes were distended, 7.
Cutting-drawing on the zygomatic process below the right eye, 7.
On the zygomatic processes, now dull pressing, now itching-tearing toward the head, 7. [130.]
On the right zygomatic process a sensation of cobwebs, as if he must constantly rub something away, 7.
Lower Jaw.
Involuntary pressure of the lower jaw against the upper, during sleep; ever grinding of the teeth, 7.

MOUTH

Teeth and Gums.
Thick, pappy, mucous coating on the teeth, 7.
The teeth become very had, loosen, and fall out, 6.
The teeth are painfully prominent, the gum is painfully swollen (in several persons sooner or later), 3.
A painful tooth bleeds of itself very much, especially when sucking it (seventeenth day), 6.
Dulness of the teeth, as from an acid, 7.
Burrowing in an upper hollow tooth; can endure neither cold nor warmth (fifth day), 6.
Pain in a sound incisor, tensive, and as if the teeth were being driven apart, on each touch of the tooth, 7.
Slight pain in a hollow molar, passing through almost the whole side of the face, especially the zygomatic processes, 7. [140.]
Tearing pain in the roots of the upper molars, 7.
Toothache increased after every meal, so much so that he avoids touching the elongated tooth; relieved by olfaction of Chamomilla, 6.
Gum at times swollen, painful to touch, at times bleeding on slight pressure, 7.
Tongue.
Tongue coated white, with offensive smell from the mouth, 7.
Thick yellowish-white coating on back of tongue, at times more on one half of the tongue than on the other, 7.
General Mouth.
Dryness in the mouth and throat, now with thirst, now without it, 7.
Dryness of the whole mouth, with increased thirst, especially of the whole roof of the mouth, as if dried up, 7.
Warmth and sensation of dryness in the soft palate and pharynx; sensation as of swelling of these parts, 7.
Saliva.
Flow of saliva , and frequent spitting; at times sensation of soreness on the uvula and larynx, and in the throat, 7.
Frequently in the morning, an increase of mucus in the mouth, 7. [150.]

THROAT. [160.]

Constantly much hawking up of mucus, 7.
Transient stitches in the throat and along the Eustachian tube, 7.
Frequently a rough scraping, at times becoming a tickling sensation, in the throat, 7.
Pain in the throat on swallowing, after he had omitted his neckcloth for some time, 2.

STOMACH

Appetite.
Appetite and thirst much increased, 7.
Uncommonly increased appetite at quite unusual times; at times with hiccough, 7.
Desire for rye bread, 7.
Appetite much lessened; afterwards very capricious, 7.
Anorexia and acidity in the mouth (third week), 1.
Anorexia and pressure in the stomach, transient, 1. [170.]
Aversion to meat, with longing for rye bread, 7.
Thirst.
Frequently increased thirst, 7.
Thirst in the afternoon and evening (second week), 6.
Water, though his usual drink, is unpleasant to him during the first part of the time, 6.
Eructations and Hiccough.
Eructation of air, after rumbling in the region of the stomach, 7.
Eructation of air and hiccough, with rumbling noise in the intestines, 7.
After he had eaten rather more than usual at noon, eructations towards evening, and a sensation as if heartburn would ensue (nineteenth day), 6.
After a bunch of grapes, and potatoes with butter, in the evening, eructations as of bad eggs (twelfth day), 6.
Frequent eructations during the day, sometimes tasting and smelling of the food, sometimes very bitter, 7.
Incomplete eructation, with oppressed feeling in the chest, sometimes painful, 7. [180.]
Frequent hiccough, with yawning at the same time, especially after drinking and breakfast, also after eating, frequently loud hiccoughing, in shuddering attacks, followed by mostly empty and tasteless eructation, 7.
Heartburn.
After an unusually full meal, attacks of heartburn in the latter part of the afternoon (twenty-second day), 6.
After a full meal decided heartburn in the latter part of the afternoon and in the evening; even at night on waking he felt it, and in the morning, while smoking a cigar, he felt traces of it (thirty-sixth day), .

ABDOMEN

Hypochondria.
Sense of heaviness in the right hypochondrium, making it difficult to turn the body quickly, 7.
Pinching pain rising up from the hypochondrium to the chest, intermitting when drinking the water (fourteenth day), 6.
Pressing-pinching, now only for a few moments, now longer lasting; now in both hypochondria, and now shooting from thence into the region of the navel, 7.
Pressing and tearing-pinching pains from both hypochondria toward the region of the privates, 7.
Twitching stitches, in jerks , as after running fast, extending from the region of the left lower thorax through the whole left hypochondrium down to the hip, 7.
In the region of the liver, also in the pit of the stomach, and from thence down both sides, at times very perceptible stitching , often changing to a stitching-pinching and tearing-stitching in the lower abdomen, becoming worse on rapid walking and deep respiration, and even on turning over to the left side, 7. [210.]
Burning pain in the spleen, causing a stooped position, 7.
Alternate pressing and tension in the region of the right lower ribs, which often quite oppresses inspiration, with constant distension of the stomach, 7.
Prickling stinging below the short ribs of the left side (nineteenth day), 6.
Great sensitiveness to pressure, below the left last ribs, alongside of the vertebral column, 7.
Umbilical.
A painless soft swelling extending across from the navel to the right side of the lower margin of the liver, but not connected with it (fourth day, during a bath), it disappears the fifth and subsequent days, but returns after fifteen baths, 6.
Dull abdominal pain on the right of the navel, only felt on slow walking, disappearing on standing still and active motion, also on ascending an eminence, but on level walking often again becoming more sensitive, 7.
Momentary contraction above the navel, disappearing on stooping and sitting, 7.
Sensation of constriction of the intestines , on both sides of the region of the navel, 7.

RECTUM AND ANUS. [260.]

Flowing hæmorrhoids in several persons, 3.
Varices in the rectum, painful and burning; or with stitches in the same, at times they are moist, 7.
Frequently, increased secretion of a white, sometimes thick mucus from the rectum and anus, burning the adjacent parts, together with spasmodic contraction of the sphincter; it is often mixed with thin streaks of blood, 7.
Burning in the rectum with constant pressing; the rectum is often pressed out, 7.
Shooting pain in the rectum and anus, which several times extends to the penis, also with feeling of diarrhœa-irritation, without stool, 7.
Lumps as large as a hazelnut at the anus, with burning after the stool and impeded walking, 7.
Discharge of bloody mucus, with itching and burning in the anus, extending up toward the rectum, 7.
Blood from the anus, at times blackish and coagulated, at times quite red, and then in a jerking stream, 7.
Discharge of blood, in drops, or in a stream, even without stool , when walking, 7.
While sitting at stool, sensation in the left side of the anus as from a hæmorrhoid, with aching, so that he stood up in order to be relieved, which however continued when standing, was the same when walking or lying; in the morning it disappeared, returned on walking and pained, especially after the stool, 5. [270.]
At times, pressure at the anus, as if much fæces would be discharged, after which only a little mucus at a time passes, 7.
In jerks, cutting, tearing, and burning sensation of soreness in the anus, 7.
Stitching, tensive pain in the anus, extending to the region of the back and loins, combined with the sensation of a wedge in the rectum, 7.
Frequent itching in the anus, which is rubbed sore, with annoying smarting and burning pain, 7.
Frequent itching at the anus, which is rubbed till sore, with tearing and burning pains, 7.
Pressive pain in the perinæum; the urine passing in a weak stream, with slight burning in the urethra, 7.
Frequent urging to stool, either ineffectual or with scanty greenish mucous discharge, with twinging and pain in the anus (in several persons), .

STOOL

Diarrhœa.
Diarrhœa preceded by severe pressure in the abdomen, the first day after a few glasses of the water, 5.
A copious brown diarrhœa with slight griping; constipation the next day (eleventh day), 6.
Profuse diarrhœa several times a day (from the "New Spring"), which disappears after two glasses of "Sprudel," 3 . [3 was inclined to prostrating diarrhœas, and frequently troubled with looseness of the bowels; had been operated on for stone and subject to spasm of the bladder; was seventy years old.] [280.]
Painless diarrhœa the first day; on the fourth day the stool was already solid (before beginning the water he had pasty stools; on well days, however, firm, sluggish evacuations), 6.
Mucous diarrhœas ; at times discharge of large lumps and streaks of mucus, with or without fæces; with much relief, 7.
Chronic diarrhœa, 7.
Small diarrhœa-like stool (twenty-ninth day), 6.
Labor-like pains in the lower abdomen are followed, either easily or with effort, by a diarrhœal stool, 7.
After two warm clysters of "Sprudel," a profuse sudden evacuation, like diarrhœa, though consisting of green lumps as large as walnuts (thirty-fourth day), 6.
Two painless dark-green, bilious stools (tenth day), 6.
Two solid stools in the forenoon, without exertion, of a dark-spinach color; a third after dinner, dark-brown (fifth day), 6.
Stools watery, mostly of mucus, or pappy, at times glairy, bilious, mucous masses, with a pungent smell of rotten eggs, 7.
A thin stool was passed unnoticed, with some flatulence (in a young girl, who, in consequence of a fall on the right side, had complained of a pain in the liver for several years), (first eight days), 3. [290.]
Pappy soft stools , also frequently diarrhœal, 7.
After half an ounce of "Sprudel" salts, a profuse discharge, first of small hard lumps, then of thin fæces, all of which was colored green (thirty-third day), 6.
No stool the whole day in spite of two warm clysters and three glasses of water; only the next morning after half an ounce of Carlsbad salts, a sluggish green stool (thirtieth day), 6.

URINARY ORGANS

Bladder and Kidneys.
Extraordinary pressure in the region of the neck of the bladder, with excessive pressure to urinate, as after drinking new beer, 7.
Tension and drawing in the region of the kidneys, with sensation as if something would press down from the region of the last ribs toward the privates, in the course of the ureter toward the bladder, 7.
Sensation of pressure and heaviness in the region of the kidneys, now on the right, now on the left, at times during rest, but mostly on motion, and especially on long sitting, 7.
Dull pressing pain in the region of the left kidney, 7.
Dull pressive pain , mixed with single dull stitches, along the ureter, extending forward to the fossa navicularis, and ending at the prepuce, 7.
Urethra.
On urinating , and long after, burning sensation in the preputial portion of the urethra, 7.
Very frequent urging to urinate, with discharge of a copious watery urine, 7. [310.]
Burning urine and smarting as if the pudenda were sore, after urinating (after nine days), 5.
After urinating, frequent deceptive sensation, as if some urine still remained to be forced out, 7.
Micturition.
Copious urinating twice in the night (after six days), 3.
Very frequent urinating all day, also at night he frequently wakes to pass urine; the urine is clear like water, 7.
After three glasses of white wine during a night of watching, he was obliged to pass watery urine frequently much at a time (after three weeks), 6.
Urine passed frequently though not much at a time; was always pale (fifth day), 6.
Fulness of the bladder after two or three glasses, and though no special urging to urinate he was obliged to use abdominal muscles, and press the hand over the bladder in order to slowly evacuate it (third week), 6.
Passed a small quantity of urine three or four times with the stools (seventeenth day), .

SEXUAL ORGANS

Male.
Transient twitching through the penis, 7.
Erections without cause, also emissions for several nights, 7.
Even on going to stool, there is erection of the penis, and with pressure to stool not seldom prostatic fluid is discharged, 7.
Erections and emissions cease, 7.
Crawling and itching on the skin of the penis and scrotum, changing, after scratching, to a burning sensation, 7.
Œdema of the scrotum (on the fourth day of the fever), 2. [330.]
Testicles at times swollen without pain or signs of inflammation, so that he must apply a suspensory bandage, 7.
Pressive pain in the testicles ; tensive drawing from the groin to the testicle and cord, 7.
Amorous excitement, with very sensual thoughts, frequent erections, and frequent and copious emissions, 7.
Suppressed sexual desire, the first part of the proving, 6.
During the proving, sexual desire entirely ceases, 7.
Frequent involuntary nocturnal emissions, in the case of chaste individuals, and even advanced in years; without erection or amorous feeling; with subsequent exhaustion and remarkable lassitude, 7.
Female.
Three days after cessation of the menses, discharge of lumps of tenacious black blood, and later uncommonly violent leucorrhœa, 7.
Frequently, after the menses, burning and smarting in the genitals, and much leucorrhœa, 7.
At times too early appearance of the menses, with spasmodic abdominal pains, cutting in the lower abdomen and mostly also some headache, 7.
Menstruation, which had been profuse, became scanty; when it had been completely normal it occurred later; when it had ceased for some years (after the climacteric), it reappeared and continued several days, 3. [340.]
Mostly scanty and retarded menstruation, at times, however, more profuse again, and also lasting somewhat longer; then somewhat darker blood, and of a penetrating smell, .

RESPIRATORY ORGANS

Larynx and Trachea.
Frequent hawking of mucus from the trachea and larynx; at times it is detached with difficulty, 7.
Sensation of soreness in the air-passages, and quite uncommon sensitiveness to the air, as if the parts were deprived of their protecting membrane, 7.
Scraping and tickling in the larynx and along the trachea to its point of bifurcation, exciting a cough, with loose expectoration of mucus, 7.
Sensation of roughness and dryness in the trachea and larynx, also after a little talking; sometimes even in the morning before breakfast, 7.
Voice.
Momentary, at times also lasting and intense, hoarseness and roughness, 7.
Cough.
A chronic dry cough became looser, and at last troublesome, 3.
Respiration.
Oppression of breathing, 7.
Difficult breathing on ascending steps; and, on carrying a slight and customary burden, increased oppression of chest , making him stand still, 7.

CHEST. [350.]

Painless sensation in the chest, as from a rushing therein, with a sensation as if an apprehensiveness would rise to the heart (thirty-third day), 6.
At times peculiar sensation of lassitude in the chest , as after sitting for a long time, and pressing on the thorax while writing; it decreased very much on walking, 7.
Heaviness on the chest , as if a load must be lifted with each respiration; not disappearing on forcible inspiration, 7.
Heaviness and fulness in the chest, causing deep respiration, at times with internal restlessness, anxiety, and palpitation of the heart, 7.
Severe burning rises from the intestinal canal to the chest, the whole afternoon, 2.
Sore aching diagonally across the chest, 7.
Sensation of oppression on the chest; also after slight motion of the body, 7.
Peculiar sensation of oppression in the lower part of the chest, as if the lung had not room enough to expand, so that frequently she had to respire deeply, 7.
Stitching, fulness, and agitation in the chest, 7.
In the female breasts, painfulness; frequent transient stitching and tensive drawing, 7.
On deep respiration, a contracting sensation in the periphery of the diaphragm, which ends in slight stitches, 7. [360.]
Heaviness and pressure along the sternum, as of a hard weighty body, 7.
Violent pressive pain and tension on both sides, at the attachment of the diaphragm to the ribs, 7.

HEART AND PULSE

Præcordium.
Tensive aching in the præcordium, and painful distension of the region of the stomach, which is sensitive to pressure; at times also oppressed breathing, 7.
Tension and contraction in the region of the heart, with an anxious sensation of heaviness, especially with an overloaded stomach, 7.
Pressing and burning , especially in the region of the heart, with warm ebullition and rush of blood to the chest, so that frequently increased beating of the heart ensues, 7.
Anxiety rises up to the heart (from one glass), 2.
Peculiar vague sensation of pain at the heart; it is often disturbed, as by a blow, 7.
Sudden, momentary twitching stitches through the heart, without especial cause, so that he has to stop while walking, 7.
Heart's Action.
Palpitation of the heart, frequently very violent, 7.
She had frequent attacks of palpitation (twenty-first day), 5.

NECK AND BACK

Neck. [370.]
In the neck, near the right angle of the jaw, soreness to touch, and a swollen sensation, especially if he turns the neck to the left, lasting several days (five days after three glasses), 6.
Sensation of stiffness in the region of the straight muscle of the neck and in a part of the muscles of the back, increased on lying, decreased by motion, 7.
Painful sensation in the nape of the neck, close to the occiput, as if he had become stiff from lying.
This pain often extends, in the course of the day, over the whole vertebral column, as if the groups of muscles bad become strained, 7.
Drawing pains in the nape of the neck and shoulder-blade, 7.
Back.
The whole back and small of the back painfully stiff, as if he had been stooping a long time, 7.
Sensation of heat and burning, and at times a shoulder over the back, 7.
Paralysis and paralytic pressing pain in the back and small of the back, with drawing over the hips, impeding walking very much, 7.
Dull , somewhat boring pressure in the back, above the region of the liver, 7.
Dorsal.
Tension, as if streaming out from one spot and like a bruise, with dull stitches between the shoulder-blades; relieved on motion of the arms, 7.
Lumbar.
Pains in the small of the back, with lassitude, 7. [380.]
Pain and weakness in the small of the back, with difficult walking, 4.
Pain, as if stiff, on the right side of the small of the back, above the hips, on rising from a seat, 7.
Tensive and pressing pains from the small of the back toward the region of the privates, 7.
Drawing toward the small of the back, and a pinching toward the genitals, 7.

EXTREMITIES IN GENERAL

Objective.
Unusual cracking in all the joints, 7.
Trembling and crawling in the joints and limbs, 7.
Restlessness in the limbs, so that he now extends, now flexes them, 7. [390.]
Frequent stretching of the limbs, with yawning, 7.
In the morning after rising, he felt very light and strong in his limbs, though after a few glasses his knees knocked together again (fourth day), 6.
Sensation of falling asleep; lame; sensation of stiffness in the upper and lower limbs, especially when the limbs are held in one position, as, for example, hanging down; lasting longer than after sitting for a long time, when the rising from the seat frequently becomes very troublesome, which, however, often disappears on motion of these parts, 7.
He seemed tolerably vigorous, while sitting after supper, but after lying down in bed all the limbs seemed completely fatigued; the sensation of exhaustion and prostration seemed now for the first time to be outspoken (third week), 6.
Was constantly obliged to change his position in bed, because all the limbs ached from lying, especially the ischium from lying on the back, 2.
All the limbs are painful from lying, as if broken, in the morning (twentieth day), 6.
After the first night, in which he dreamed very much without waking, and lay until 5 A.M., all the limbs pained from lying, as if broken (twentieth day), 6.
Pressing, also tensive, tearing and drawing pains, jerks, stitches, and crawling, in almost all the joints, and in the most distant parts of the limbs; frequently alternating with each other, 7.
Frequent sensation of formication in various parts of the extremities, 7.
At times, especially after writing for some time, coolness and stiffness of the finger ends, also of the toes, after sitting for some time, but, in most cases, heat, even a burning sensation, in the soles of the feet, 7.

SUPERIOR EXTREMITIES. [400.]

The right then left arm goes to sleep in the afternoon nap (twenty-third day), 6.
After writing a letter, heaviness in the arms, with increasing coldness of the finger-tips, and sensation in them as if going to sleep, 7.
Shoulder.
A tension downward in the upper arm, in the shoulder-joint; great pain when raising it or upon placing it in any other position (tenth and twelfth days), 5.
Tearing pain, often extending from the heart to the left shoulder, up to the axilla, and even to the region of the nape of the neck, by which all these parts become as if stretched, and very movable, 7.
Arm.
Upper arms at times so weary that when brushing the hair the head is reached with difficulty; they tire easily when writing, and the lower limbs sometimes fail him in walking, 7.
Painful digging in the right humerus, especially on motion in the afternoon; the arm felt lame when she was obliged to use it (thirty-sixth day), 5.
Hand.
Transient pain suddenly upon the back of the hand, or upon one finger, as from burning nettles, or throbbing-burning stitches (fourteenth day), 6.
The fingers go to sleep from carrying a light load upon the arm (third week), 5.

INFERIOR EXTREMITIES

Swelling of the superficial veins of the lower extremities, so that the branching of single distended vessels can be plainly perceived, 7.
Frequent stumbling, 7. [410.]
The right leg feels lame when walking; the lameness is also felt in the right nates when sitting (after seven days), 6.
Weary pain in the whole right leg, from above downward, when walking (sixteenth day), 6.
A spasmodic pain extending suddenly down the right leg, when standing, momentary (after six days), 6.
Hip.
Dull stitches over the left hip (nineteenth day), 6.
Knee.
Some dull shocks across the left knee (nineteenth day), 6.
Leg.
The lower leg, which before the proving had been less yellow than other portions of the body, became more yellow (fourth week), 8.
A tension in the left lower leg, extending into the great toe, when sitting (fifteenth day), 6.
Painful tension and tightness in the lower legs, when sitting (seventeenth day), 6.
While sitting down, after being heated, in a falling rain, she felt drawing from the feet up to the knees, in the evening; after walking more, she perspired, though when she lay in bed the hands and feet became cold, with shivering and convulsive yawning, followed by uneasy sleep and very heavy feet in the morning (twenty-ninth day), 5.
Swelling of the bone along the tibia, lasting a long time after the proving (from too hot" Sprudel" baths), 3. [420.]
The calves seem too short; ascending becomes difficult (after twelve days), 5.
Cramp in the calf on stretching out the leg, in the morning, in bed (after eleven days), 6.
Cramp in the calves, in bed, on stretching out the foot, with pain in the calf, in the forenoon, when walking, especially on rising from sitting, as if too short (in many women), 3.
Ankle.
In the articulation of the left lower leg and foot, a transient cramplike pain (eleventh day), 6.

GENERALITIES

Objective.
The usually rapid gait becomes slower, 7.
Anxious trembling , as if the hands and feet would fall asleep, 7.
Great lassitude, 7.
Lassitude, with sluggishness for every occupation, 7.
Sinking of strength, 7.
Very tired and dejected, 7.
Sensation of weakness, so that she trembled and could hold nothing securely, 7.
In the evening, very weak, but when one began to ascend the mountain the strength seemed to gradually return, so that after two of three hours of difficult climbing he seemed to be stronger than in the beginning (third week), 3. [450.]
Weakness of all the organs; of the organs of speech (sermo abdominalis); the bladder; the urine flows slowly in a weak stream, and with the assistance of the abdominal muscles; of the rectum, the stool was slow and only evacuated, as it seemed, with the help of distant portions of the intestinal canal; the peristaltic motion seemed to cease not far from the end of the intestinal canal, and no amount of pressure was of any avail; the fæces seemed to be held back rather than pushed forward (fourteenth day), 6.
Exhaustion, weariness, with sinking of knees, especially of the right, when walking (second day, after four glasses), 6.
Great exhaustion in the evening, even after a bath of 85. (twelfth day); after lying down in bed he felt an apprehensive sensation about the heart; the pulse was full and slow; it frequently intermitted; he woke about 3 o'clock after many dreams, and found a pillow lying on his stomach, and could not for a long time fall asleep again; toward morning he was inclined to sleep, 6.
Felt very much exhausted after repeated sweats; great heaviness and fulness of the abdomen and despondency, in the afternoon; in the evening, when ascending a mountain, she felt stronger (fourteenth day), 5.
Feeling of prostration, 7.
Increased sensitiveness of the skin, 7.
Subjective.

SKIN

Mealy desquamation of the skin, 7.
Red spots and streaks , frequently burning like fire, 7.
Eruptions.
Rashlike eruption on the whole body, more itching than burning, 7.
Small red pimples , frequently alternating, mostly on the sweating parts, disappearing with or without suppuration, 7.
Pimples , also pustules, 7.
Sensations.
Crawling and prickling on various parts of the body, with breaking out of sweat, 7.
Itching-crawling in various parts of the skin, now in front, on the chest, now between the shoulders, now in the nape of the neck, in the upper and lower extremities, 7. [470.]
Much itching and increased sweat of the genitals, 7.

SLEEP AND DREAMS

Sleepiness.
Constant yawning , also generally very violent early in the morning, with inclination to sleep, 7.
Unconquerable inclination to sleep the whole day, and later in the evening difficult falling asleep, 7.
Violent inclination to sleep, without sleep following, 7.
Weary with sleep, with yawning, as soon as she sits down (first and second weeks), 5.
Overpowered by sleepiness, after yawning and chilliness (fourth day), 5.
After a meal, great inclination to sleep, and after a half hour's sleep, headache, with redness of the face and heat, 7.
Deep sleep, with snoring inspiration and expiration, 7.
Quiet and deep sleep, with active heavy dreams, 7.
Usually very refreshing morning slumber, 7. [480.]
Sleep sound and refreshing, or very restless, with frequent starting awake, 7.
Feels unrefreshed, in spite of long and sound sleep, 7.
Sleeplessness.
At times, total sleeplessness ; at times only unrefreshing half slumber, 7.
Difficulty in falling asleep, also tardy slumbers, 7.
Sleep after long tossing about, 7.
Frequent waking and wakefulness at night, 7.
With all her sleep-weariness, she slept very lightly and woke at every noise, especially after midnight, and could not again fall asleep. 5.
He wakes every morning at 3, 6.
Dreams.
Many unremembered dreams, 7.
Lascivious dreams, with pollutions, in persons over 60 years of age, . [490.]

FEVER

Chilliness.
Chilliness, with palpitation of the heart and drawing in the limbs, 7.
Sensitiveness to cold air ; in general, great liability to take cold, 7. [500.]
Frequent chilliness on various parts, 7.
Chilliness and formication between the shoulders and down the back, 7.
An attack of fever towards evening, after a walk in a cold wet atmosphere (similar to what he had before the proving), yawning, chilliness, and sweat through the night, together with tolerably good sleep, from which, however, he frequently partially awoke and talked, when he always forgot the context; a kind of delirium which he had not had before the proving (second day), 6.
Frequent alternations of shuddering, chilliness, and heat, 7.
A few hours after drinking the "Sprudel" for several days in succession, alternations of chill and heat, great exhaustion, vertigo, night-sweats, fantasies, oppression of the chest, with coated tongue, anorexia, earthy, yellow, sunken face, and great prostration (fourth week); (this condition was at first called a crisis from the waters, afterward, nervo gastric fever); allopathically treated, and died after five weeks, 2.
Heat.
Pleasant warmth of the whole body, 7.
Sensation of increased warmth all over, especially in the head, 7.
Heat, without preceding chill, also frequently in the evening, 7.
Sensation of heat, with alternating flashes of chilliness, over the whole back, 7.
Flushes of heat all over, especially in the face, with sweat on forehead, 7. [510.]
Hot flashes, with weakness and anxious sweat (as she formerly had), very frequently (first weeks), 5.
Heat of the head, with redness of the face and creeping shudders, 7.
Sensation of heat in the face, without redness, 7.
At times, attacks of fever, without remissions, then again for a few days he felt very free and light in the limbs, though with increasing leanness, weariness, and sickly expression (after four weeks), .

CONDITIONS

Aggravation.
( Morning ), On rising, irritable, etc.; fulness of the forehead; after waking, headache; semicircle in field of vision; mucus in mouth; after waking, mouth lined with mucus; limbs painful from lying; in bed, cramp in calf; on stretching out foot, cramp in calves; in bed stitches in great toe; early, yawning, etc.
( Forenoon ), Beating in temple; when walking, pain in calf.
( Afternoon ), Unpleasant mood; thirst; while riding, sensation as if heartburn would ensue, etc.
( Evening ), On lying down, cracking in the head; in bed, pain in side of head; redness, etc., in face; thirst; pain above left malleolus; when lying in bed, stitches in right heel; in bed, stitches in left heel return; shocks above left heel; exhaustion; heat.
( Night ), Confusion of head; griping in abdomen.
( Ascending an eminence ), Throbbing, etc., in head.
( After breakfast ), Hiccough, etc.
( Coughing ), Pains through sacrum.
( On descending ), Stitches in pit of stomach.
( After dinner ), Pressing, etc., in stomach.
( After drinking ), Hiccough, etc.
( After eating ), Confusion, etc.; redness, etc., in face; hiccough; pain, etc., in stomach.
( After looking long ), Eye seems veiled.
( Lying ), Sensation in muscle of neck.
( After lying down in bed ), All limbs seem fatigued.
( After meals ), Pressure in forehead; toothache; inclination to sleep.
( On raising and bending body backwards ), Pain in small of back.
( Long-continued reading ), Weakness of eyes.
( Deep respiration ), Pain in region of liver; sensation of ring around abdomen.
( In room ), Anxiety; heat of head ; fulness, etc., in occiput.

Carlsbad