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Medorrhinum

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General

Medorrhinum.

Glinicum. Nosode of Gonorrhoea. Attenuations of the Virus.

Clinical

Asthma. Clonic spasms. Corns. Diabetes. Dysmenorrhoea. Epilepsy. Eyes, inflammation of. Favus. Gleet. Gonorrhoea, suppressed. Gonorrhoeal rheumatism. Headache, neuralgic. Liver, abscess of. Masturbation. Ovaries, pains in. Pelvic cellulitis. Polypi. Priapism. Psoriasis palmaris. Ptosis. Renal colic. Rheumatism. Sciatica. Shoulder, pains in. Stricture. Urticaria. Warts.

Characteristics

Medorrh. is one of the most important of the nosodes. The constitutional nature of the gonorrhoea poison has within recent years been recognised in the old school as well as the new. Noegerath of New York and Angus Macdonald in this country have pointed out a causal connection between post-partum pelvic cellulitis and latent gonorrhoea in the husband. Macdonald published several fatal cases.

The effects of the poison, constitutional or acute, may be taken as data for homoeopathic prescriptions; but the virus has had an extensive proving in the potencies, and the symptoms there recorded have been largely verified in practice. The nosodes may be used according to their indications in exactly the same way as other homoeopathic remedies, and not merely for manifestations of the disease from which they are derived. At the same time, a knowledge of the origin of obscure disorders, especially if hereditary, will often give the clue to the remedy required.

Deschere published a case in point: Miss X., 23, had chronic blepharitis since eleven. Her suffering was intense. Light, especially gas-light, was intolerable, and this prevented her from going into society. She could not read in the evening, and in the morning the lids would be closed, and she suffered much on getting them separated.

There was much discharge. Before coming under Deschere she had been under strict homoeopathic treatment all the time. Deschere remembered treating her father for gonorrhoea before his marriage, and he suspected the taint had reappeared in this form. Medorrh. was given in high potency, single doses repeated as the effect of each wore off, and she was entirely cured.

A case of favus which had resisted all the external applications that allopaths could devise, and which had such an appalling odour that the patient, a little boy, had to be isolated from the family, was traced by Skinner to the same hereditary cause and cured with Medorrh. 1m. Many cases of stunted growth and arrested development in children are due to latent gonorrhoea and syphilis, and unless this factor is discerned and taken into consideration in prescribing, no great good will be achieved.

I have cured on this hypothesis extremely offensive body odours in children with Medorrh. One important point in distinguishing between the sycotic or gonorrhoeal taint and that of syphilis is in the time aggravation, and consequently in the indications for this. Syph. has < from sunset to sunrise, as also have all the great anti-syphilitic remedies. Medorrh. has < from sunrise to sunset; always brighter in evening, < in early morning hours.

With Medorrh. there is intense nervous sensibility, especially to touch of garment or a lock of hair by any one not en rapport. Sensibility is exalted almost to clairvoyance. As if in a dream. Starting at slightest sound.

Tremor; spasms. There is a state of collapse and a desire to be fanned. Among the Peculiar Sensations are: As of sticks in eyes, lids, and inner, canthi; as if cold wind blowing in eyes; as if upper lid had a cartilage in it. As if something crawling in ear and nose.

Lump in stomach. Tumour right side of abdomen. As if left lung collapsed or paralysed. As if an abscess between left pectoralis major and minor muscles.

As if blood was boiling hot in veins. As if all bones were out of joint The pains seem to tighten the whole body, especially the thighs. There is scarcely a spot on the body that is not full of pain.

Obstinate rheumatism. Sequelae of acute rheumatism. D. C.

McLaren relates in Hahn. Advoc. (quoted Amer. Hom., xxii. 408) a case which illustrates the power and sphere of this nosode.

A young French Canadian of delicate constitution, after working in a factory all winter, began coughing in spring and running down in health. He returned home and came under McLaren's care in May. The cough persisted and prostration increased, in spite of carefully selected remedies, and the patient took to his bed. It was then observed by McLaren that the cough and general condition was > from lying on the face.

This, coupled with a knowledge of there being a syphilitic taint in the boy's parentage, suggested Medorrh., which was given. The next day a profuse gonorrhoeal discharge appeared, and the cough and all threatening symptoms promptly disappeared. Exposure to contagion had occurred several weeks before, but from lack of vitality the disease could not find its usual expression and was endangering the patient's life. Ernest Nyssens ("La Sycose de Hahnemann," Jour.

Belge d'Hom, vi. 244) quotes some important observations by old-school authorities on constitutional gonorrhoea. Wertheim in a case of gonorrhoeal cystitis watched the entrance of the gonococcus into the blood stream. With the gonococcus taken from the blood of this patient he made cultures to the fifth generation. A youth who had never had venereal disease volunteered for inoculation with this.

The subacute urethritis which resulted was so grave, and, in spite of all, became complicated so cruelly with cystitis, epididymitis, prostatitis, synovitis, and pleuro-pneumonia, that Wertheim asked whether the gonococcus did not redouble its virulence by passing into the blood. Louis Jullien and Louis Sibut (from whose paper Nyssens quotes the above) witnessed the following case in Saint Lazare hospital: Louisa M., 17, entered the hospital June 8th with urethro-vaginitis, and was treated with tampons (tiges) of Ichthyol dissolved in glycerine (1 to 5).

The urethritis ran a normal course till July 6th, when this condition was reported: The patient has had sufferings in the abdomen for a week, but has made no complaint. However, they became so acute the previous night that an injection of Morphia was given. Rectal temperature 100.2. Tongue saburral.

Right side abdominal pain. In spite of rigid contraction of the recti muscles there seemed to be a swelling deep down, but the observers were not certain it was not a swelling of the muscles themselves. Intestinal functions normal; rectum empty. An eruption of roseolous spots appeared on the body, abdomen, and chest, so exactly like those of typhoid that the possibility of this was discussed.

There was also acute pain in muscle of right calf. This pain persisted the following day when the abdominal pains had disappeared. July 9 Right knee painful, swollen.

At same time synovitis of left wrist, dorsal aspect, the tendons attacked being the extensor proprius of thumb and index. Temperature normal. July 10 Very few and slight traces of the eruption.

Right arm the seat of acute lancinating pain, especially at the level of the deltoid "V," deep down near the bone at the insertion of the tendon (probably a hygroma). On examining the tendo Achillis, pain at the level of the left ankle, nothing to the right at the same level, but the pain is above all acute along the inner border of the right tibia, to five or six centimetres from the flat surface. This part is oedematous and painfully sensitive. Another painful spot in the abdomen is behind the right anterior superior iliac spine, and beside the navel (probably muscular).

The urethral discharge contained abundant bacilli besides gonococci. Treatment by daily injection of one centigramme of Merc. cor. was commenced. The next day there was sharp fever, saburral tongue. The abdominal pains were frankly muscular.

Trace of albumen in the urine. Next night there was delirium, and epistaxis in the morning. This case went on to recovery. Another case, also in a girl of seventeen, of phthisical history, and even complicated with syphilis, presented the same order of symptoms, along with epistaxis, haemoptysis, albuminuria, endocarditis with suffocative attacks and violent palpitations, ending in permanent disablement.

These cases may be regarded as provings of Medorrh. from the homoeopathic stand-point The rheumatic symptoms are of extreme intensity, and Medorrh. will cure many cases where the symptoms correspond. I have cured many cases of dysmenia with it, following Burnett. Burnett cured with Medorrh. 1m: (1) A patient who had fits at every menstrual period, the fits coming on in the early morning.

(2) A man who had clonic spasms, the legs suddenly shot up from the bed. (3) A case of right wrist rheumatism. (4) Polypi having their origin in a chronic suppurating discharge. (He regards Medorrh. as "the mother of pus and catarrhs").

(5) Masturbation in children. (6) Albuminuria when the urine contains some mucus as well. (7) Sycotic asthma, < 2 to 4 a.m. (8) Psoriasis palmaris.

Gilbert (Trans. Amer. Inst., 1895, quoted H. R., xi. 71) traces rickets to hereditary gonorrhoea; there are often in these cases glandular enlargements, and the patient is > at seaside.

In such cases he gives Medorrh. (When there is syphilitic paresis and the patient is > in the mountains, he gives Syph.). In acute bowel troubles in rickety children he finds Medorrh. of great value Thomas Wildes (H.

P., xii. 70) considers that favus and scald-head and ophthalmia tarsi simplex (margins scaly, scurfy, often angry red, falling of lashes) are due to suppressed gonorrhoea in one or both parents. The red, angry condition of skin may extend from face or scalp, down neck and back to perineum and genitals. (1) Girl, 11, had been treated by many physicians with salves and ointments to the general impairment of her health. Face mottled with a profusion of red scurfy sores, eyelids involved and nearly denuded of lashes; hairy scalp one diffuse mass of thick yellow scabs, from beneath which oozed a highly offensive mixture of ichor and sebum.

Passing down neck, back, perineum and involving genitals and pubes was a fiery red band as broad as the child's hand, oozing a pale yellow serum which caused the clothing to stick to the body. Wildes told the mother he could cure the case, but it would certainly get worse the first three months. This was not objected to. Medorrh. c.m.

(Swan) was given, one dose on the tongue. The external appearance grew rapidly worse, but appetite, sleep, and general health steadily improved, and in nine months she was completely well. (2) Child, 6, since infancy horribly disfigured with tinea capitis. Scalp a mass of dense scabs exuding fetid ichor, the only semblance of hair being a few distorted stumps ending in withered roots.

One dose cured in a few months, and at the time of Wildes' writing patient was a healthy and extremely talented young lady and the possessor of a luxuriant head of chestnut hair. Wildes thinks that suppression of favus when derived from gonorrhoea in the father leads to hydrocephalus, capillary bronchitis, severe teething diarrhoeas, cholera infantum, &c.; if derived from the grandfather, suppression leads to consumption and lingering diseases. Fiery red rash developing about the anus in babies a few days old; constipation with hard, dry stools; when the nurses say "baby's water scalds it terribly," the indications for Medorrh. are clear.

Wildes regards the latent gonorrhoeal taint as the true explanation of many of the disease-manifestations included by Hahnemann under Psora. Burnett in a way confirms this, as he traces gout to a sycotic origin. Wildes regards Medorrh. too dangerous a remedy to give in acute cases whether of gonorrhoea, rheumatism, or scarlatina, on account of the intensity of the aggravation it is liable to cause; though single doses are often useful when there is a tendency to sinking in dangerous cases of cholera infantum.

Among other diseases Wildes traces to the same source are: Vascular meningitis in infants and cerebro-spinal meningitis. In the former the efficacy of Medorrh. is doubtful, but in the latter it is very efficacious after Act. r. has allayed the first acute symptoms. In the convalescent stage Lyc. has been his chief remedy. He quotes from old-school authorities the following conditions traceable to latent gonorrhoea communicated from husband to wife: Ovarian tumours, oophoritis, salpingitis, metritis, parametritis, endometritis, and even peritonitis,—Medorrh. is the remedy in single doses, but it is rarely if ever to be given in the acute stages of a disease.

In general motion <, rest >. Lying on face or stomach > cough. Stretching out <. Leaning head forward <.

Leaning far back > constipation: can only pass stool so. (I cured with Medorrh. 200 a most aggravated case of constipation on this indication. The patient said he was obliged to lean far back on the seat or he could not get rid of the stool. He was passing urine containing long white mucous shreds.

Many years before he had had gonorrhoea.) There is great sensitiveness to draught of air; takes cold easily. At the same time there is great desire to be fanned. < In the sun; by warmth of bed; entering a warm room (cough). Salt-water bathing > sore throat and cold in head.

Damp weather > pain in limbs. Craving for ice. Chronic rheumatism of joints is < inland, > near sea. The early morning < (especially 3 to 4 a.m.) is a leading characteristic of Medorrh. and all sycotics.

Relations

Antidoted by: Ipec. (dry cough); Compatible: Sulph. (especially when stool drives out of bed). Compare: Pic ac. (inability to walk right; priapism); Camph. and Sec. (collapse, skin cold yet throws off all covering); Verat. (collapse with cold sweat); Syph. (reverse aggravation—sunset to sunrise); as if in a dream, Ambr., Anac., Calc., Can. i., Con., Cup., Rhe., Stram., Val., Ver., Ziz. > By leaning back, Lac c. Fish-brine odour, Sanic.

Mind

Forgetfulness: of names; later of words and initial letters

Time moves too slowly

Dazed feeling; a far-off sensation, as though things done to-day occurred a week ago

Loses constantly the thread of her talk

Seems to herself to make wrong statements, because she does not know what to say next, begins all right but does not know how to finish; weight on vertex, which seems to affect the mind

Difficulty in concentrating his thoughts on abstract subjects

Could not read or use mind at all from pain in head

Thinks some one is behind her, hears whispering; sees faces that peer at her from behind bed and furniture

One night saw large people in room; large rats running; felt a delicate hand smoothing her head from front to back

Is sure she is going to die

Sensation as if all life were unreal, like a dream

Wild and desperate feeling, as of incipient insanity

Cannot speak without crying

Suicidal

Is in a great hurry; when doing anything is in such a hurry that she gets fatigued

Spirits in the depths, weighed down with heavy, solid gloom, > by torrents of tears

Is always anticipating; feels most matters sensitively before they occur and generally correctly

Dread of saying the wrong thing when she has headache

Apprehensive

Fear of the dark

Feeling as if he had committed the unpardonable sin and was going to hell

Irritated at little things

Very impatient

Great selfishness.

Head

Vertigo: when stooping; slightly > lying;

< on movement

Sensation of tightening in head causing intense vertigo

Frontal headache: with nausea; feeling of a tight band across forehead, < leaning head forward; as if skin were drawn tight; with fluent coryza; with pressure back of eyes, as if they would be forced out; extending over brain to neck

Brain seems weary; slightest sound annoys and fatigues her

Wakes with headache over eyes and in temples;

< from sunlight

Pain in centre of brain; in evening sharp pain through temples; pains commence and cease suddenly

Brain exceedingly tender and all mental work irksome

Pain in l. parietal bone when the wind blows on it

Pain circling through head and around crown

Terrible pains all through head in every direction, with continuous and violent vomiting, followed by aching in sacrum and down backs of legs to feet

Constant headache < while coughing; light (through the eyes) seems to hurt it

Intense headache for three days, with inflammation of eye

Intense cerebral suffering, causing continual rubbing of head in pillow, rolling from side to side

Dull pain in cerebellum

Intense burning pain in head, < in cerebellum

Tensive pains in head as if she would go crazy; could not read or use mind

Aching pain in base of brain, with swelling of cords of neck

Head feels heavy and is drawn backwards

Pain in back of head and in r. eye

Hair lustreless, dry and crispy; electrical

Intense itching of scalp; quantities of dandruff.

Eyes

When eyes were shut, felt as if pulling out of head to one side or other; when open all things seemed to flicker

A blur over things; numberless black, sometimes brown spots dancing over her book; sees objects double; things look very small; sees imaginary objects

Neuralgic pain in eyeballs: when pressing eyelids together;

< when rolling them

Feeling of pain and irritation, and sensations of sticks in eyes, lids, and esp. inner canthi, redness and dryness of lids, congestion of sclerotics and sensation of a cool wind blowing in eyes, esp. inner canthi

Ptosis of outer end of both upper lids, particularly L, requiring exertion to open them.

Decided tendency to irritation of edges of lids

Hardness of upper lid, as if it had a cartilage in it

Swelling under eyes.

Ears

Nearly total deafness of both ears, with very little noise; had to use a trumpet

Partial or transient deafness; pulsation in ears

Singular sensation of deafness from one ear to the other, as if a tube went through head, while yet there was an over-acuteness of hearing

When whistling, the sound in ears is double, with peculiar vibration as when two persons whistle thirds

Quick, darting pains in r. ear, from without inward; pains followed each other in quick succession

Ringhole in l. ear sore and almost gathered.

Nose

Intense itching in nose, internally near point, had to rub all the time

Very great burning in both nostrils when breathing through them

Coldness of end of nose

Entire loss of smell for several days

Nose goes to sleep

Epistaxis

Nose inflamed, swollen

Posterior nares obstructed, > by hawking thick, greyish mucus, followed by bloody mucus

Soreness and crawling feeling, as of a centipede in l. nostril in morning.

Face

Greenish, shining appearance of skin

Blotches on skin

Flushes of heat in face and neck

Fever blisters near corner of r. upper lip, small but very sore

Enormous fever sore on lower lip near l. commissure

Sweat of face; on upper lip

Neuralgia of r. upper and lower jaws, extending to temple

Face covered with acne; dry herpes; freckles

Tendency to stiffness in jaws and tongue.

Teeth

Teeth have serrated edges, or are chalky and easily decay

Sore teeth, particularly eye teeth; feel sore and soft

Yellowness of teeth.

Mouth

Taste: coppery on rising; disagreeable; bad in morning

Tongue coated: brown and thick; thickly in morning, with bad taste: white at base, the rest red; white, with papillae showing through

Tongue blistered

Small sores, pustules (canker sores) on edge, tip, and under tongue, very painful; also inside lips and in throat

Foul breath in morning

Dryness of mouth; feels burnt

Blisters on inner surface of lips and cheeks, skin peeling off in patches

Stringy mucus comes out of mouth during sleep.

Throat

Throat: scraped; sore, stiff; dry; swallowing painful

Back part of throat constantly filling with mucus from posterior nares

Sore throat and cold in head > by salt-water bathing.

Appetite

Appetite: ravenous, immediately after eating; lost

Thirst enormous; for liquor

Craves: salts; sweets; hard, green fruit; ice; sour things; oranges; ale.

Stomach

Hiccough

Nausea: with frontal headache; after drinking water; after dinner; always after eating; before eating

Violent retching and vomiting for forty-eight hours; first glairy mucus, then frothy and watery, and lastly coffee-grounds; accompanied by intense headache, with great despondency and sensation of impending death; during paroxysm was continually praying

Vomiting thick mucus and bile; black bile without nausea, tasting bitter and sour, with considerable mucus

In pit of stomach: sensation of pins forcing through flesh; sick gnawing not > by eating; trembling; burning

In stomach: feeling of lump after eating; cramps; clawing, < drawing up knees

Intense pain in stomach and upper abdomen, with a sensation of tightness

Sensation of sinking and agonising sickness at stomach, with a desire to tear something away.

Abdomen

Terrible pains in liver, thought she would die, they were so acute

Grasping pain in liver and spleen

Intense agonising pain in solar plexus; surface cold; eructations tasting of sulphuretted hydrogen and, after eating, of ingesta; applied r. hand to pit of stomach and l. to lumbar region

Tensive pain in r. side of abdomen, as of a hard, biconvex body; with heat and gnawing aching pain, continued a short time; it was between spine of ilium and recti muscles

Darting pain from centre of r. ovarian region to lower edge of liver

Beating as of a pulse in abdomen vertically

Cutting in r. lower abdomen running into r. spermatic cord; r. testis very tender.

Stool And Anus

Bilious diarrhoea, verging on dysentery, with mucous stools

Pains of most intense kind (threatening cramps) in upper abdomen (darting and tearing pains) coining on at stool; stool diarrhoeic, thin and hot, but not copious; after stool, profound weakness and mild cramp in l. calf

Profuse bloody discharges from rectum, sometimes in large clotted masses, followed by shivering

Black stool

White diarrhoea

Stools tenacious, clay-like, sluggish, cannot be forced, from a sensation of prolapsus of rectum

Can only pass stool by leaning very far back; very painful, as if there was a lump on posterior surface of sphincter; so painful as to cause tears

Constriction and inertia of bowels with ball-like stools

Child, aet. 15 months, brought on a pillow to clinic, apparently dead; eyes glassy, set; could not find pulse, but felt heart beat; running from anus greenish yellow, thin, horribly offensive stool

Oozing of moisture from anus, fetid like fish brine.

Urinary Organs

Intense renal colic; severe pain in ureters, with sensation as of passage of calculus; during kidney attack, great craving for, ice

Dull pinching pain in region of supra-renal capsules at 11 a.m.; fingers cold at same time; great pressure in bladder, greater than amount of urine warrants; urine scanty and high coloured

Pain in renal region, profuse urination >

Urine: high coloured; strong-smelling; covered with thick, greasy pellicle; intensely yellow

Slow flow; cutting across root of penis transversely just as last drops are voided; intermittent

Diabetes

After urination, syncope.

Male Sexual Organs

Emissions during sleep: watery, causing no stiffness of linen; transparent, consistence of gum arabic mucilage, too thick to pour, and voided with difficulty; thick, with threads of white, opaque substance

Impotence

Intense and frequent erections day and night

Pains along urethra while urinating, drawing burning.—(Suppressed gonorrhoea).

Female Sexual Organs

Great sexual desire after menses in a single woman

A great deal of pain in l. ovary, with a sensation as if a sac was distended and if pressed would burst; sensation as if something was pulling it down, causing it to be sore; pain when walking passed to l. groin, as if leg pushed something, with a great amount of heat

Tense pains passing diagonally in r. ovary, followed by a bubbling sensation

Intense, excruciating, neuralgic pains in whole pelvic region, extending downwards through ovarian region to uterus; cutting like knives, forcing tears and groans

Distinct soreness and nervous pain in one spot in lower part of uterus on l. side, < walking or moving l. leg

Profuse menses; dark clotted, stains difficult to wash out; also bright blood, with faintness and some pain

Intense menstrual colic, causing drawing up of knees, with terrible bearing-down, labour-like pains, with pressing of feet against support, as in Labour

A burning pain in lower part of back and hips during menses

After very profuse menses, neuralgia in paroxysms in head, with twitching and drawing in of limbs and cords of neck, which were like wires; pain in lower abdomen, with profuse yellowish leucorrhoea

Itching of vagina and labia, thinking of it makes it <

Small chancres on edge of r. labia (had no sexual intercourse for three years, never had venereal disease)

Short, shooting pains, passing outwards, chiefly in breasts

Breasts as cold as ice to touch, esp. nipples (during menses), rest of body warm

Large but not painful swelling of l. breast

Breasts and nipples very tender to touch, also inflamed

Soreness of nipples, a gummy secretion drying on orifice; when picked off nipple bleeds freely.

Respiratory Organs

Hoarseness, esp. while reading, with occasional loss of voice

Choking caused by a weakness or spasm of epiglottis, could not tell which; larynx stopped so that no air could enter, only > by lying on face and protruding tongue

Dryness of glottis, very annoying, with pain during deglutition; great hoarseness

Soreness in larynx, as if ulcerated

Tenacious mucus in larynx

Sensation of a lump in larynx; severe pain on deglutition

Bronchial catarrh spreading into larynx, swelling of tonsils and glands of throat extended also into ears, causing transient deafness

Great oppression of breathing every afternoon about 5 p.m.; sense of constriction

Has to fill lungs, but no power to eject air

Breath hot, feels so even when breathing through the nose

Cough from tickling under upper part of sternum

Incessant dry cough, < at night; wakes just as she is falling asleep;

< from sweet things

Terrible, painful cough, as if larynx would be torn to pieces and as if mucous membrane was torn off, with profuse discharge of viscid greyish mucus, mixed with blood

Cough < on lying down, > lying on stomach

Expectoration: yellow white, albuminous, or little green, bitter balls; ropy, difficult to raise; as if flecked with infinitesimal dark spots.

Chest

Sharp pain in bottom of l. lung

Chest sore to touch, at times burning extends over chest; cold seems to < it; a piece of ice seems to cool it for an instant, then it is hotter; lung feels as if beaten or bruised

Singular sensation through chest, bounded by a line drawn across lower end of sternum and another about middle; as if there was a cavity extending from side to side, filled with burning air, which dilated in puffs in all directions and could be felt impinging on walls of cavity

Pain in r. shoulder as though it came from l. straight through

Constricted sensation at bottom of both lungs; dull, heavy pain at top of l. lung

Coughing gives great pain in chest, as if it was painfully contracted

Incipient consumption

Pain and soreness through chest and mammae

Sensation of an abscess between pectoralis major and minor

Great soreness to pressure of muscles of lower l. chest front and back, soreness when moving l. shoulder-blade.

Heart

Palpitation after slight exertion

With heat in chest, heart felt very hot, beat very fast and felt large, accompanied by a bursting sensation

Feeling of a cavity where heart ought to be

Pain in heart: acute, sharp, quick; dull; quick

Intense pain in heart, seemed to radiate in different parts of l. side of chest;

< from least movement

Burning in heart, went through to back and down into l. arm.

Neck And Back

Drawing in cords of neck, causing desire to throw head back

Spasms of neck muscles, notably sterno-mastoid, drawing chin firmly down to breast

Contractive pain from superior angles of scapulae, passing to seventh dorsal vertebra, drawing shoulders back tight as if bones would be crushed;

< moving shoulders, neck, or arms

Intense burning heat, commencing in back of neck and extending gradually down spine, with a contractive stiffness extending into head and seeming to thicken the scalp

Weak, stiff, aching back

Heat in medulla and spine for a whole week

Whole length of backbone sore to touch, also ribs of l. side

Lumbago caused by straining or lifting

Pain in back of hips, running around and down limbs

Pain in sacrum and coccyx.

Limbs

Almost entire loss of nervous force in legs and arms; exhausted by slightest effort

Numb sensation in l. arm, hand, and leg; l. leg goes to sleep

Eruption under and on toes and on hands and feet.

Upper Limbs

Rheumatic pain in top of l. shoulder, < from motion; occasional little darts of pain if kept still

Rheumatic pain in (r.) shoulder and arm

Brown, itching eruption on l. shoulder

Cold numbness outer side of arms just below elbow

Cracking of joints, esp. elbows

Much pain in l. arm; cannot hold a paper; veins become enlarged;

< raising arm

Trembling of arms and hands

Burning of hands, wants them fanned and uncovered; always cold hands

Backs of hands rough

Small yellow spots on hands

Transverse depression on nails, as if they were bent

Consumptive incurvation of nails.

Lower Limbs

Woke with sharp pain in l. hip, preventing stooping, walking difficult; like a stiff neck

Legs heavy as lead; walking difficult, esp. up and down stairs

Numbness, paralysed feeling, in l. leg from knee to hip

Longs to stretch legs

During heavy thunderstorm very sharp pains in knees start upwards; pains < by stretching

Aching in legs with inability to keep them still in bed, < when giving up control of himself, as when trying to sleep (> after Lil. t.)

Trembling in legs from knees down (< l.), burning in feet

Cramps in soles and calves at night

Ankles turn easily when walking

Sudden intense pain in l. ankle, back of joint, on going to bed, could not move limb or body without screaming; could find no position of comfort

Burning in feet, wants them uncovered and fanned

Cold feet with chills all over

Oedema of feet followed and > by diarrhoea

Soreness in ball of foot under toes

Cold, sweating feet

Old foot-sweats, < during winter for seven years

Great toe covered with tettery scales

Corns very tender.

Generalities

Gangrene.—Trembling.—Spasms.—Epileptiform spasms, foaming at mouth.—Opisthotonos.—Risus sardonicus.—Collapse.

Skin

Yellowness of skin

Intense and incessant itching, fugitive, < towards night, sometimes confined to one side

Itching (and pricking) all over, < back, vagina, labia, and < thinking of it

Fiery red band passing down neck, back, and perineum, and involving genitals and pubes

Fiery red rash about anus in babies;

"the water scalds it terribly."

Scald-head

Tinea capitis, eyelids involved

Copper-coloured spots (syphilitic) remaining after eruptions, thin yellow-brown and detach in scales, leaving skin clear and free

Small pedunculated warts, with pin-heads, like small button mushrooms, on various parts of body and thigh

Favus

Fetid odour of body.

Sleep

Sleepy, yawning, chilly

Spasmodic yawning, cannot suppress it; followed by spasm of glottis

Asleep, but hears everything, answers questions as if awake

Bites tip of tongue in sleep

Sleeps at night on her knees with face forced in pillow

Can only sleep on back with hands over head; if she lies on either side, the contents of lower part of chest and abdomen seem to press on each other and cause discomfort

Dreams: horrid; painful; exhausting; that she is drinking; of walking; of ghosts and dead people

Wakeful; slept towards morning

Great restlessness at night; sleepy but could not sleep.

Fever

Creepy chills running down back and all over body in a zigzag course

Chills: up and down back; several times a day

Chilly 3 to 4 p.m

Cold hands with coldness extending all over body

Flashes of heat alternating with chills

Coldness: r. hand, then l.; a slight flush of heat succeeded, then sensation of a foreign substance in r. eye, then in l

Must be fanned all the time, throws clothes off, yet surface is cold; burning mostly subjective of hands and feet, wants them uncovered and fanned

Fever: with or without thirst; with gushes of perspiration in face; followed by languor; with nervous restlessness from midnight to 3 a.m.; at 11 a.m. preceded by cold feet; fell asleep during fever; after fever, sweat on palms, feet and legs; with rapid pulse at night; in afternoon; and malaise.< 10 a.m. to 1 p.m

Great tendency to sweat on exertion; sensitive to cold

Profuse sweat about neck

Night-sweats.