Rhus Toxicodendron

Rhus Toxicodendron.

POISON OAK. N. O. Anacardiaceae. Tincture of fresh leaves gathered at sunset just before flowering time.

and

Rhus Radicans.

POISON IVY. N. O. Anacardiaceae. Tincture of fresh leaves gathered at sunset just before flowering time.

[Under the name Rhus Hahnemann published his proving of "R. radicans, also called Toxicodendron." Botanists agree in recognising no distinction other than that of habit between the two. Millspaugh (American Medicinal Plants) tells in his masterly account of the plant that he has seen the two varieties springing from the same root-stock. He advises that the tincture should be made from specimens of both. Rhus tox. is a shrub with erect stem from two to four feet high.

The stem is devoid of rootlets. Rhus r. has more or less tortuous stems, four to thirty feet high, profusely studded with dark-coloured rootlets, by which it clings to its support Our own Ivy (Hedera helix) in the same way may run along the ground, rooting at intervals if it cannot find a support, and growing to a great height if it can; and it may be an erect shrub with no rootlets and no tendency to climb The two forms have been proved independently, and when necessary to distinguish them I shall name them Rh. r. and Rh. t.

When reference is made to both or either in this work I use the term Rhus without distinction. All other varieties of Rhus will be distinguished.]

Abortion. Acne rosacea. After-pains. Amenorrhoea.

Anus, fissure of. Appendicitis. Appetite, lost. Beri-beri.

Bones, pains in. Caecum, inflammation of. Chilblains. Circulation, feeble.

Cyanosis. Dengue fever. Diarrhoea; chronic. Diphtheria.

Dysentery. Dysmenorrhoea. Dyspepsia. Ear, eczema of.

Ecthyma. Enteric fever. Erysipelas. Erythema nodosum.

Exostosis. Eyes, inflammation of; choroiditis; sight, weak. Feet, pains in. Gastro-enteritis.

Glands, inflammation of. Gout. Haemorrhages. Haemorrhoids.

Hands, pains in. Hernia. Herpes. Herpes zoster.

Housemaid's knee. Hydrocele. Influenza. Intermittents.

Jaw, cracking in. Liver, abscess of. Lumbago. Measles.

Menorrhagia. Metrorrhagia. Neuralgia. Ovary, tumour of.

Paralysis. Paraphimosis. Pemphigus. Periosteum, pains in.

Pleurisy. Pleurodynia. Pneumonia; typhoid. Ptosis.

Pyaemia. Redgum. Relapsing fever. Rheumatism.

Scarlatina. Sciatica. Sleep, restless. Small-pox.

Spine, diseases of. Sprain. Strictures. Tongue, affections of.

Typhus fever. Urticaria. Warts. Wens.

Yawning.

The Poison Ivy grows in thickets and low grounds in North America, flowering in June. It was introduced into England as a plant in 1640. In 1798 Dufresnoy of Valenciennes first used it as a medicine. It was brought to his notice by the cure of a young man of an herpetic eruption (dartre) of six years' duration, through his being accidentally poisoned with the plant.

Dufresnoy used it successfully in eruptive diseases, paralysis, rheumatism, and amaurosis. The milky juice, which turns black on exposure, is used as a marking ink (like Anacard.) and as an ingredient of varnishes for finishing boots. The tincture contains Rhoitannic acid (C18H28O13) and Toxicodendric acid, a poisonous, volatile principle. A peculiarity of the plant is that it is more poisonous during the night, and when bursting into leaf, or at any time in June or July when the sun is not shining upon it.

Absence of sunlight, together with dampness, seems to favour the exhalation of Toxicodendric acid. "An acrimonious vapour, combined with carburetted hydrogen, exhales from a growing plant of the Poison Oak during the night. It can be collected in a jar, and is capable of inflaming and blistering the skin of persons of excitable constitution who plunge their arms into it" (Porcher, quoted by Millspaugh, from whose work I take the above facts). Those who care for Signatures will not fail to connect the cardinal aggravations of Rhus—at night and from damp—with the increased virulence of the plant at night and in damp atmosphere.

(One prover of Rh. ven. was not influenced by contact with the leaves when his skin was dry, but only when perspiring; and the worst poisonings with Rh. divers. happened to persons when moist and heated.) Millspaugh relates instances of Rhus poisoning: Out of ten men employed to clear a piece of land of shrubs among which the Poison Vine greatly predominated only four escaped: "Most of the men soon began to show signs of being tired, and at the end of the fourth day six of them were flat on their backs too sick for anything." Actual contact with the plant is not necessary in order to produce its effect.

One sultry day in June a young lady drove a croquet ball across a lawn to a clump of Poison Ivy that grew beside it. Knowing her susceptibility she reached under the plant and drew out the ball without touching a leaf. During the evening of the same day her face began to itch and burn, and in the night it swelled so that the eyes were not merely closed, the lashes even disappeared in the swelling. It took nearly two weeks for her to recover.

Millspaugh summarises the effects of Rhus (the majority of poisonings have been caused by Rh. rad.) as follows: First redness and swelling of the affected part, with intolerable itching and burning, followed by vertigo, weariness, and a sort of intoxication. Infiltration of face and eyes, and agglutination of the lids after sleep; great restlessness, pain, thirst, and fever. The surface of the skin becomes after a time studded with confluent bullae where the cellular tissue is loose, then a dermatitis follows resembling erysipelas; this may spread rapidly and finally be communicated to the mucous membranes.

This is followed by swelling of the mouth and throat, cough, nausea, and vomiting. Rheumatoid pains develop about the joints, and a painful stiffness asserts itself in the lumbar region, while the legs and arms become numb. Confusion of mind and delirium may then set in, during which the patient may become so ill-humoured, restless, and anxious that he will jump out of bed. Concomitants are: Inflammation of eyes, dilation of pupils, weak vision, sometimes diplopia; epistaxis; brown-coated tongue with triangular red tip; swelling of parotids; difficult swallowing; griping; diarrhoea; profuse urination; oppression; rapid pulse; prostration; soreness of muscles, < by rest;

> by exercise; sleepiness; chilliness followed by fever and copious sweat The American provings were made with Rh. rad., and the majority of the poisonings have occurred from this plant. Though it is not certain that Hahnemann used Rh. tox. at all, or exclusively, Jahr gave a separate presentation of the Rh. rad. symptoms. H.

C. Allen (quoted Critique, vi. 409) notes in Rh. rad. a periodicity which marks it as a great antipsoric. It is, he says, on deeply psoric or tubercular constitutions that its toxic effects are most felt and longest lasting, and these constitutional effects "seem ineradicable without the antipsoric." One case of his showed a return of symptoms at 12.45 a.m. on July 5th, each year during sixteen years, except the year 1898, when the previous use of Tuberculinum, a dose once each month, prevented an attack; and modified the 1899 attack.

Guernsey considers Rh. rad. deeper acting than Rh. tox., being indicated in phlegmonous erysipelas, especially where it begins in ankles and moves gradually up the leg, moving in the deeper tissues, no fever; and for axillary glands when the swelling is very deep and hard. Farrington gives as distinctive indications for Rh. rad.; Occipital headache with rheumatic stiffness of nape. Drawing tearing pains in legs.

Pleurodynia when the pains shoot into the shoulders. Mahony (M. A., xxvi. 109) reports a case of eczema on perineum and scrotum with sweat in cleft of nates, both relieved in a week with Rh. rad. 12, twice daily Hahnemann quickly perceived the keynote of the Rhus symptoms: "We observe," he says, in his preface to the proving, "this curious action (which is found in few other medicines, and in these never to such a great degree), viz., the severest symptoms and sufferings are excited when the body or the limb is at rest, and kept as much as possible without movement.

The opposite of this, namely, an increase of the symptoms by movement, is much more rarely, observed." He contrasts Rhus with Bry., which has almost identical rheumatic pains with the opposite Conditions. Neidhard adds a note in Hempel's Jahr which brings out a modification of this "< by rest" which is of the greatest practical importance, as I can testify. Neidhard says that the disease in which he has made most use of Rhus is a form of rheumatism common in North America, and characterised by the following symptoms: "Rigidity, paralytic weakness of the joints, with stinging pain along the tendons and muscles.

Swelling and redness on or near the joints. Rheumatism of the hip-joint and wrist seem to be most effectually controlled by its action. The greatest rigidity and pain is experienced on first moving the joints after rest, and on waking up in the morning. After the joints are moved for a while the pain is lessened." Contrasted with Bry., Rhus has: "The more he moves the > he is"; whereas Bry. has "The more he moves the < he is." It is necessary to bear in mind this distinction or a wrong prescription will often be made.

Rhus has not only < during rest, but < after resting also. However, Rhus and Bry. complement each other: it is not unusual for the Conditions of a case to change under one of these remedies, and then the other will be required. Hahnemann says "these two antagonistic sister remedies "—each in its place—successfully met the typhus which prevailed in the countries desolated by the war which raged from the summer of 1813 and onwards. Of 183 cases treated by Hahnemann in Leipzig not one died.

This restlessness of Rhus will be found to qualify the symptoms in a large proportion of the cases in which it will be called for. It is as restless as Acon. and Ars., but in a different way from either. With Rhus it is due to the pain and soreness temporarily > by movement; or a nervous internal uneasiness which makes the patient want to be on the move when there is no particular pain present (Nash). The presence of restlessness is a leading indication for Rhus in fevers, typhoid and other.

Other indications are—clouded sensorium, stupefaction, muttering delirium, dry tongue. The characteristic tongue of Rhus is dry or dark coated, with triangular red tip. In intermittents a characteristic is "Cough during the chill." Hahnemann pointed out another keynote of Rhus: "Multiplied experience has taught me that Rhus is the most efficacious and the specific remedy for the frequently fatal effects of over-lifting, inordinate exertions of the muscles, and contusions." He was, of course, led to this inference by the "bruised and sprain-like pains" and "stiffness" of the provings.

Rhus is in the front rank of vulneraries. It meets threatened abortion from a sprain; and also prolonged after-pains and other effects of the strain of a severe labour; axillary abscess from this cause has been cured with Rhus. Straining, rheumatic coughs. Ailments from straining a single part, muscle, or tendon; over-lifting, particularly from stretching high up to reach things.

There is an analogy to this in the dreams—dreams of great exertion: rowing, swimming, working hard at his daily occupation. Rhus has cured many forms of paralysis: Rheumatic paraplegia from getting wet, lying on damp ground; sleeping in damp sheets; after exertion; after parturition, sexual excess, or fevers. Ptosis. Paralysis of single limbs.

Numbness of parts paralysed. Facial neuralgia, lumbago, and sciatica (esp. of left side), with restlessness; coming on after a wetting or after a bath are cured by Rhus. The neuralgic pains and eruptions make Rhus a perfect simillimum in many cases of herpes zoster. Fever-blisters round mouth.

Howard Crutcher relates (M. A., xxii. 38) how after standing on a wharf with his right side exposed to a cold wind from the river he began to have severe pains shooting up the ulnar nerve, a steady ache uniform throughout arm and forearm, but extremely severe in structures beneath deltoid. The pain was much < in a warm place; it did not interfere with movement. At 8 p.m.

Crutcher took Rhus 30 dry on the tongue, and almost immediately he was called into the open air again. In thirty minutes the pain was decidedly better; in ninety minutes it was gone. A case of Rhus poisoning reported by Morey (Med. Cent., February, 1898;

H. W., xxxiii. 309), showed an effect on the menstrual period, and was remedied by Crocus. Miss M. was severely poisoned by Rh. rad. (it is called "Ivy") in July, 1895, during her menstrual period.

She was treated with Bell. and Rhus internally, and an Oxide of Zinc ointment externally, and appeared to make a rapid recovery. On September 1, 1897, without further known poisoning, another similar attack developed during the menstrual period, and frequent minor attacks had occurred in the two years, always at the time of the menses. Later on she had another attack which developed rapidly and greatly alarmed her. The menstrual flow commenced a week before she came to Morey, was very scanty, dark, and clotted, as had been the case for sometime.

The flow had scarcely well begun when it ceased suddenly and the eruption appeared. Croc. was given, and the first dose re-established the flow, which was normal in appearance and quantity, and the eruption at once disappeared. Peculiar Sensations are: As if intoxicated. As if asleep.

As of a weight behind right orbit. As of a band strapped across forehead. As if head were swelling out. Brain, as if loaded; as if torn; as if loose; as if fluctuating; as if a quantity of blood shot into it when stooping.

As if muscles of back of head screwed together. As if a hundredweight on nape of neck. As if a veil before eyes. As of sand in eyes.

As if lids difficult to move. As if jaw would break. Teeth as if being torn out; too long; loose. As if tongue had been skinned.

As if a hernia about to protrude. As if pharynx inactive or paralysed. Stomach, as if overloaded; as if a stone in; as if pit of stomach swollen or drawn together. Hypochondria and abdomen as if beaten.

Digging as if caused by a worm. As if a knife in right abdomen. As if something torn loose in abdomen, chest, and inner parts generally. As if a lump lay like a pressing heavy weight in abdomen.

As if one side of rectum grown up. As if everything would come out of rectum. As if breath were stopped at pit of stomach. As if sternum were pressed inward.

As if sprained or dislocated: back, jaw, arms, wrist, hip, knee, ankle. As if one had been lying in an uncomfortable position. As if bruised in right side of lumbar vertebrae and in small of back. As if flesh of small of back had been beaten.

As if back were broken. As if some one were pressing on left shoulder. As if hand were held in hot water. Hand, as if withered; as if lame; as if pins pricking points and palmar surfaces of first phalanges of fingers.

Rectus cruris muscle as if bruised. As if hamstrings and tendons of limbs too short. As if knee too-short. Legs (and right foot) as if made of wood.

Feet and ankles as if asleep. Heels as if stepping on pins. As if running nails under skin of heels. As if walking on needles.

Joints as if bruised. As if bones ached. As if sinking through bed. As if something forced him out of bed.

Bones, as if being scraped; as if flesh being torn loose from them. As if whole body was burning. As if cold water poured over him. As if blood ran cold through veins.

As of subcutaneous ulceration. As if inner parts grown together. Peculiar Symptoms are: Craving for cold drink and laborious dreams. Herpes alternating with asthma and dysentery.

Chokes easily on swallowing. Swallowing = pain in middle of back. Anorexia in palate and throat. Nausea in chest.

Taste of blood with cough (no blood being raised). Coldness in left tibia. Scalp sensitive, < turning hair back. Hour-glass contraction of abdomen.

The symptoms are: < By touch; > by rubbing. < From riding; blows; jars; sprains. < By rest; and commencing motion;

> continued motion. (Lying down > colic and diarrhoea.) Lying on hard floor with pillow under back > pain in back. Must hold head to > weight in it. Bending head back > pain in occiput; = pain in head and down spine.

Limbs lain on fall asleep; no sweat on them. < Side lain on. Lying on left side = palpitation and pain in heart. Swallowing = pain in back.

Inclination to stretch. Stretching = cracking in knees; soreness in abdomen. Unwonted exercise = paralysis. Over-exertion = palpitation;

< coxalgia. < Evening; night; morning after sleep. Sensitive to cold open air; raw north-east winds. Effects of drinking cold water; getting wet, especially after being heated, cold bathing; sea bathing.

> By warmth and hot applications. < Warmth of bed. Sciatica is > by warmth from exercise. < Change of weather; damp, stormy weather; before a storm; snowstorm; in autumn; in winter.

Nausea < after eating. Craves cold water, which is vomited immediately.

Antidoted by: Bry., Bell., Camph., Coff., Crot. t., Grind., Merc., Sang., Sul., Verb. h. Antidote to: Bry., Ranunc., Rhod., Ant. t., Sapon. (Ars.). Complementary: Bry.

Inimical: Apis, before or after, especially in skin affections. Compatible: Arn., Ars., Bry., Calc., Calc. ph., Cham., Con., Lach., Ph. ac., Puls., Sul. Followed well by: Calc., Bell., Graph., Nux, Pho., Pul., Merc., Sep., Sul., Ars., Bry. Compare: The other Rhoes and Anacardia.

Eye symptoms, > by motion, Comoc. (Rhus > by warmth; Comoc. <).

Rheumatic paralysis from exposure to damp and cold, Caust. (Rhus restless, > by motion day and night; Caust. restless only at night). Parotid gland, Am. c.

(Rhus left; Am. c. right). Result of working in water, Calc. Granular ophthalmia, Arg. n.

(Rhus has more spasm; if lids are forced open scalding tears gush out and cause pimples round the eye). Cough excited by cold drink, Sil. (> Caust.). Sweat of body, head dry (Sil. sweat of head, body dry).

Nose-bleed at beginning of typhoid, Ph. ac. (with Rhus it >, not with Ph. ac.). Enables persons to withstand muscular fatigue, Fl. ac., Ars., Coca. Hypertrophy of heart from over-exertion, Bro., Arn., Aco.

Ulcers on legs in dropsy, Ars., Lyc. (Lyc. in dropsy from liver disease). Fear of being poisoned, Glo., K. bro., Hyo., Bap. Profuse gushing tears excoriating cheek, Euphr.

(Rhus < right eye; pus thinner). Ptosis or any ocular paralysis, Gels. (Rhus rheumatic patient, from wetting; Gels. with sluggish thought and suffused face).

Scarlatina, erysipelas, &c., with drowsiness and oedema, Apis (Rhus dusky red, bodily restlessness; Ap. rosy red, fidgetiness. Rhus itching preponderates; Ap. less tendency to form pus).

Enteritis, peritonitis, typhlitis, Lach. Heart affections with numbness of left arm, Aco. (tingling in fingers), Kalm., Puls. (numbness, especially about elbow), Act. r.

(as though arm tightly bound to body), Phyt. (right arm). Dreams of business of day, Bry. (Rhus and Bry. have opposite Conditions; and Rhus menta. state is hopeless and despondent, Bry. fretful, peevish, irritable.) Typhoid, Pho.

(follows Rhus well; pneumonia; stools yellow and blood-streaked, at times like "flesh water"), Ars. (irritable and anxious in spite of prostration), Bapt. (face dark red, besotted; stool dark, fluid, very offensive; drowsy, stupor; tossing about with delusion that limbs are scattered about bed feels hard), Arn. (complete apathy; involuntary stool and urine bloody sputa if lungs affected).

Empyema and induration of axillary glands, Bell. (Bell. at climaxis, Rhus after labour). Eczema, Mez., jug. r. (favus).

Cough < from evening to midnight, Mez. (Rhus also from uncovering). Colic > bending double, Coloc. (Rhus also > moving about).

Conjunctivitis from getting wet, Calc. Glaucoma, Caust. Cracking and breaking pain in jaw, Ign., Petr. Paralysis from rheumatic meningitis (from rheumatic myelitis, Dulc).

Acute spinal paralysis of infants, Sul. (complementary). Averse to be uncovered, Ars., Hep. Bearing down in hypogastrium, Puls.

Flesh feels beaten off the bones, Thuj. Aversion to darkness, Am. m., Bar. c., Calc., Carb. a., Stro., Val., Stram. Averse to be washed, Ant. c., Clem., Hep., Sep., Spi., Sul. Effects of raising arms high to lift things, Pho.

Bloody urine discharged in drops, Pul. Phimosis, Cann., Merc., Sul., Nit. ac., Sep., Thuj., Sabi. Hunger in early morning, Aga., Ant. c., Asar., Calc., Carb. a., Lyc., Ran. b., Saba., Zn. Semilateral coat of tongue, Daph., Lob.

(Rhus white). Hot breath, Calc., Carb. s., Sul. Nocturnal salivation, Cham., Nux, Pho. Difficult swallowing of solids, Atrop., Bell., Bar. c., Calc., Chi., Dro., Lyc., Plb., Sil.

Parotitis, Aur., Merc., Pilo.; metastasis to testes, Rhus, Pal., Bell., K. ca. Yearly returns, Ars. Cold from wetting head (Bell. from hair-cutting). Sensation of subcutaneous ulceration, Ran. b., Pul.

Chokes easily when swallowing, K. ca. > Warm food, Lyc. Epistaxis at night, (Bry. morning). Punctured wounds as if stepping on nails, Hyper., Led.

Backache > lying on hard floor, Nat. m. Hydroa, Nat. m. Acne from getting wet, or ice-cold drinks, when heated, Bellis. Desires cold drink and vomits it immediately, Ars.

Ailments from spraining a single part, muscle, or tendon, Calc., Nux. Vertigo < lying down (Apis >); < rising from lying or stooping, Bry. Jelly-like stools, Colch., K. bi.

Slightest anger. Cold. From wetting head. Damp sheets. Bathing, in fresh or salt water. Getting wet when heated. Strains. Over-exertion. Over-lifting. Raising arms high to lift things. Drinking ice-water. Beer (headache).

[We are led to think of this remedy where we find an irresistible desire to move or change the position every little while, followed by great relief for a short time, when they must again move, and experience the same relief for a short time; this condition is usually < at night After resting for a time, or on getting up from sleep, when first moving about, a painful stiffness is felt, which wears off from continual motion; but relief is experienced from continual motion—e.g., a nursing mother may have sore nipples, and when the child begins to nurse, the nipple hurts exceedingly, but on continued nursing it becomes much easier

Pain in chest (often rheumatic), < by using arms—as in making a bed, sweeping, &c., stiffness of nape of neck; sensation as if flesh were beaten off the bones, or as if a dog were gnawing it off; as if any part were contracted; as if a part were increased in size; as if certain parts were grown together; of heaviness in outer or inner parts; jerking pains in outer parts; darting and rending pains; of tension or tightness in outer or inner parts; arthritic pain in the joints; trembling sensation in inner parts; dyspeptics often complain of trembling in the stomach; of scraping along the periosteum

For any troubles or complaints, whether acute or chronic, resulting from a sudden and a thorough drenching by a shower of rain; by getting wet in any way; there may be troubles of very long standing, which were so caused Troubles in general affecting the r. abdominal ring; l. chest; l. arm; l. lower extremity; l. side of body; of scalp, as in erysipelas when it runs up to the scalp; glands about the neck, particularly if they are swollen or inflamed with red streaks, as often are in scarlet fever; joints of the jaws, particularly when they are < on beginning of motion, and get > from continued motion; of the abdominal cavity in general; mons veneris, there may be a great deal of itching, sometimes a hard blue boil is found there; shoulder-blades; small of the back, as, e.g., when one stoops his back hurts so that he cannot straighten up without help—this may result from an old sprain, or from a sudden "crick" in the back; sacrum; buttocks; forearm; shoulder, back of hand; fingers joints in general shoulder-joint; elbow, wrist, bones of the arm; calves; joints of the leg hip-joint, knee, and ankle; weakness of joints

Coagulated blood from the nose; cough bloody, blood being coagulated; face covered like erysipelas; increase of saliva; difficulty in swallowing, it hurts so in the back; fluent catarrh of the nose Inability at first to move the parts affected One is very easily sprained by lifting; palsy of the limbs; staggering when walking Strictures after inflammation, and hence may sometimes be used for strictures resulting after gonorrhoea; swelling in general, with inflammation and without; debility; aversion to washing; wounds, with sprained muscles

Axillary glands where the swelling is very deep and hard Symptoms < before a storm of rain; after midnight; in the morning; before falling asleep; from bathing; can't bear cold water; complaints coming on in autumn; on taking a deep breath; on inspiration; from cold in general; in cold air; in cold and wet weather; from coughing; while chewing; from drawing up the limbs; from exertion of the body; after drinking; after fatigue; on uncovering the head; from surgical injuries; from sprains; from lying down; from lifting; from cold food; cold water; anything cold; during perspiration; from wet poultices; while resting; on first rising; while sitting; while talking; after undressing; in foggy, or foggy and wet weather; from getting wet; in winter; from getting wet while perspiring; women in confinement; small-pox; after-effects of syphilis

H. N. G.] Epidemic diseases with oedema of fauces threatening oedema glottidis, vesicles stud pharynx and voice is hoarse; rawness and roughness of pharynx (Dunham)

Rheumatic and arthritic drawings, tension, and tearings in limbs, increased to the highest degree during repose, as well as in bad weather, at night, and in the heat of the bed, often with sensation of torpor and numbness in the part affected after moving it Cramp and tension in different parts as from contraction of tendons Contraction of some of the limbs Tensive shootings and stiffness in the joints, < on rising from a seat, and in open air

Paralytic rigidity in limbs, esp. on beginning to move the part after repose Ready benumbing of parts on which patient reclines Torpor of some parts with tingling and insensibility Tingling in parts affected

Wrenching pain in limbs Paralysis, sometimes semilateral Red and shining swellings, with shooting pain as from excoriation when touched Contusive, or else a sensation in some places as if the flesh were detached from the bones

Pressive drawing in periosteum as if the bones were scraped Sensation in internal organs as if something were torn away Swelling and induration of glands Icterus

Jerking in muscles and limbs Convulsive movements and other sufferings, resulting from a cold bath Semilateral affections.—< And appearance of pains and symptoms during repose or at night, as also on entering a room from the open air; > obtained by movement and walking

The cold, fresh air is not tolerated; it seems to make the skin painful; (a keynote on rheumatism Dunham) Reproduction or < of many sufferings in unfavourable weather

General excitability of nervous system, < by slightest indulgence of anger Drawings in all the limbs when lying down Trembling of limbs after the least fatigue Unsteady gait

Great lassitude and weakness with want to lie down Syncope Inability to bear the open air whether it is hot or cold; it makes a painful impression on the skin.