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Sanicula Aqua

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General

Sanicula.

Sanicula aqua. A Mineral Spring Water of Ottawa, Ill., U.S.A. (Containing, approximately, in grains per gallon—Nat. m. 93, Calc. m. 23 1/2, Mag. m. 23 1/4, Calc. bicarb. 14 1/4, Calc. sul. 9 1/2, K. sul. 5, Nat. bicarb. 1, Nat. bro. 1/3, Fe. bicarb. 1/10, Nat. iod. 1/12, Sil. 1/2, Alumina 1/100, and traces of Lith. bicarb., Nat. ph., Borax.) Dilutions of the spring water. Triturations of the evaporated salt. [This remedy has sometimes been confounded with the plant Sanicula Marylandica, Black Snake-root.]

Clinical

Amenorrhoea. Anterior crural neuralgia. Asthma. Bee-stings.

Boils; blind. Borborygmus. Coccyx, soreness of. Condylomata.

Conjunctivitis. Constipation: of children. Cornea, ulceration of. Coryza.

Cough. Dandriff. Debility. Diabetes.

Digestion slow. Dropsy; during pregnancy. Eczema. Emaciation.

Enuresis. Excoriations. Foot-sweat. Gastritis.

Gum-boil. Headache. Indigestion. Influenza.

Intermittents. (Intestinal sand.) Itch; suppressed. Itching. Leucorrhoea.

Liver, soreness of. Lumbago. Melancholy. Milk, thin.

Mouth, sore. Neuralgia. Neurasthenia. Night terrors.

Nose, crusts in. Ophthalmia; tarsi. Os uteri, dilated. Ossification, too early.

Ozaena. Perspiration, excessive. Pot-bellied children. Pregnancy, sickness of; dropsy of.

Rectum, cramp in. Rheumatism. Rickets. Scurvy.

Sea-sickness. Shoulders, rheumatism of. Throat, sore. Tongue, ringworm of; burning.

Toothache. Uterus, prolapse of; soreness of; (tumour of). Vomiting, of milk; of water.

Wrist, boils on.

Characteristics

The water of Sanicula spring is without odour or colour, and has an agreeable and slightly alkaline taste. It was proved by J. G. Gundlach, who, with his family, drank it for more than a year.

Writing in H. P., September, 1890, Gundlach says: Though some five years since the proving was made, we all (that is, my family) still suffer from the effects, and I fear never will fully get over them, as nearly all the symptoms still recur." Sherbino proved Sanic. in the potencies, and a large number of the symptoms of both provings have been confirmed. We have in Sanic. one of the best-proved remedies of the materia medica, a polychrest and antipsoric of wide range. My Schema is taken from the arrangement of Frank W.

Patch in Med. Adv., xxviii. 16l. Brackets indicate cured symptoms. The cachexia of Sanic. is its most pronounced feature—weakness, emaciation, itching, ill-nourished skin, pimply face, "dirty, greasy, and brownish" appearance of body, scrofulous ophthalmia and scrofulous eruptions, cold, clammy hands and feet, foul-smelling foot-sweat, profuse sweat of back of head and neck, hair dry and lustreless, thick dandriff on scalp and eyebrows, slow digestion, constipation, or else diarrhoea, stools turning green, pot-bellied, rickety children.

On the other hand, when taken by a pregnant woman, Sanic. has caused premature closing of sutures and fontanelles prior to birth. The mental state of the Sanic. cachexia is characterised by lack of energy, with no stability of purpose; jumping from one work to another, never finishing anything. There is also much depression, with sense of impending misfortune. Children are stubborn, wilful, get angry and throw themselves backward.

Digestion is slow. Children vomit milk or thick curds soon after nursing. The menses are irregular, delayed, scanty, and attended with pain. Nervous sensibility is exaggerated, and there is general and local intolerance on least jar.

This has led to its successful use in train-sickness and sea-sickness. The low vitality of Sanic. is evidenced in the cold clamminess of other parts besides hands and feet. Sherbino [J. of Hcs. (Hitchcock's), ii. 147] relates this case: Mr.

F. had neuralgia of coccyx, sacrum, and lumbar region, < by any movement, turning in bed, rising from chair, stooping; > keeping still. Parts sore to touch. Cold sensation in lumbar and sacral regions as if there were a cold cloth there.

Feet cold and clammy. Sanic. 10m cured after other remedies failed. The foot-sweat occurs between the toes, making them sore, as well as on the soles, which are as if one had stepped in cold water On the other hand, there may be "burning of the soles, must uncover or put them in a cool place," and "child kicks off clothing even in coldest weather." The odours of Sanic. are characteristic. The stool has an odour of rotten cheese, and no amount of washing will get rid of it.

The flatus has the same odour. Vaginal discharges and condylomata of penis have an odour of fish brine. This has led to a number of cures. The digestive tract is greatly disordered by Sanic.

Food has a long after-taste; turns sour. Children vomit milk looking like "Schmierkäse." Appetite is increased—hungry before meals—or disordered. Craves salt; craves fat bacon, which <. Eating = desire for stool; must leave the table.

Great thirst; drinks little and often; vomits as soon as it reaches the stomach. Incontinence of urine and faeces. Urging from flatus, must cross legs to prevent faeces escaping. Sanic. is as great a remedy in constipation as in diarrhoea.

There is no desire for stool till a long accumulation has occurred. After great straining stool partially expelled recedes. Large evacuation of small, dry, grey balls, which have to be removed mechanically. Stool square, as if carved with a knife.

The diarrhoea is changeable in character and colour: Like scrambled eggs; frothy, grass-green; turns green on standing; like scum of frog-pond. There is excoriation of skin about anus, perinaeum, and genitals. As well as weakness of rectum and bladder, there is uterine weakness and bearing down as if contents of pelvis would escape; must place hand to vulva to prevent it. Walking, misstep, or jar < this, and also soreness of the uterus.

Sherbino (M. A., xxvi. 133) relates the case of Mrs. X., who had been in poor health a number of years. Tall, anaemic.

Has to urinate too often and too profusely, rises several times in night. Urine clear, pale. Has leucorrhoea, profuse, changeable in colour, at times milky, then yellow, < during stool. Weak and prostrated, rumbling in bowels before meals, > after eating and when stomach is full.

Hands cold, clammy; also feet, < in cold weather; stockings always damp. Two doses of Sanic., 10m and then 50m, cured all the trouble. H. C.

Morrow regards Sanic. as the chronic of Cham. (H. R., ix. 253). He records the case of a baby who had been ill through a summer with diarrhoea.

Morrow cured it with Sanic. 50m (F.), a peculiar symptom in the case being that the boy wanted to lie on something hard, thin as he was. Morrow had himself suffered since a boy from effects of suppressed itch. Among his symptoms were—"felt as if he had on cold, damp stockings," and "sweat about the head and neck when asleep, wetting the pillow far around." Calc. gave no relief. Sherbino advised Sanic., and after taking it Morrow was in better health than he had been for twenty years.

Morrow also relates these cases (M. A., xxiv. 47): (1) A lady was constipated a year. Had to strain very hard to expel the stool; at times faeces so large, hard, and dry, she was compelled to pick it out with the fingers. Sanic. relieved.

(2) A fig-wart on glans penis, with a discharge from its surface which smelled like fish brine. Sanic. cured. Gundlach relates (M. A., xxvi. 97) these cases: (1) Mrs.

K. felt an attack of fever impending. Sad and despondent. Had fever the previous night with headache, but no thirst. Mouth dry, tongue coated, bad breath inside lips and cheeks many little aphthous ulcers; no appetite bowels constipated; tired, numb, lame feeling in all limbs; chilly, craves warmth, yet head feels better in open air.

Sanic. 10m, every three hours, cured. (2) Mr. C. complained that the roof of his mouth felt scalded, < taking anything warm in mouth, especially hot drink. Smokers have this kind of sore mouth, but patient was not a smoker.

Gundlach remembered his own similar symptoms of the proving, and gave Sanic. 10m, which promptly removed the condition. (Sanic. causes a burning of the tongue so intense that it must be put out to cool: here again is the "< by warmth" of the mouth). (3) Gundlach's horse was out of health, would not eat, bowels constipated, stools dark and scant. Tired, rubbed his tail at every opportunity till nearly all the hair was rubbed off.

A veterinarian diagnosed "lampers," and said the gums would be found swollen and sore, and would need scarifying. The gums were found sore and swollen, mouth slimy, tongue coated. Sanic. 10m was given thrice daily, and no scarifying was needed. He was well in a few days.

Sherbino (M.. A., xxvi. 135) removed with Sanic. 10m and 50m these symptoms in a man suffering from the after-effects of influenza and much drugging: Soreness through stomach and liver region. Liver enlarged, great tenderness to pressure or jar. Could not laugh without supporting stomach and bowels.

> When stomach full, < when it was empty. G. M. Chase (M.

A., xxiv. 336) relates a case of acute gastric catarrh. Patient had had repeated attacks lasting three to seven days. Two doses of Sanic. cured. The mental symptoms were the chief guides: Irritable, least word or action would "upset" her.

Misconstrues everything. Melancholy, sad, depressed, no energy. Fever but no thirst. Headache, cannot bear light or noise.

Offensive breath, but not from teeth. Rheumatic pains in shoulders, < left, extending to chest. Only > from heat; patient sat with back to the fire. Gundlach (M.

A., xxiii. 381) relates this similar case: Mrs. W., 55, after a violent cold two days before, had great pain in muscles of neck, shoulders, and upper back, pain constant, but made sharp by attempts to put her hands to her head or behind her. Could not look round without turning whole body. < From cold or motion;

> from warmth and rest until she gets tired of holding head and body in one position, when she would have to move it. Sanic. 30 made a rapid cure. C. M.

Boger (M. Couns., xvi. 265) relates the case of a light-haired carpenter, 35, who had hacking cough from trachea after rising in morning, also in evening. Sneezing occasionally during day. Crusty sores in right nostril.

Dull pain in frontal sinuses, < stooping. Aching in muscles of whole back, stitches upward, < from motion. Foot-sweat, making feet sore, stiffens stockings, destroys shoes. Itching eruption over sternum.

Itching pimples on coccyx. Sanic. 10m (F. C.) cured. Gundlach (M.

A., xxiii. 382) relates these two cases of constipation. (1) Mr. A., always accustomed to take pills. No stool, nor desire, for five days.

Dull frontal headache with vertigo; stooping or getting up suddenly = vertigo. When walking gets blind and dizzy, has to stand still till it passes off. Poor appetite; tongue large and flabby, coated yellowish. Bad taste in morning; at times stomach full and oppressed after eating; accumulation of gas.

Stool scanty and requires great effort to expel. "Not done" sensation after stool. Sanic. 10m cured promptly and completely. (2) Miss R., 20, constipated all her life.

Goes a week without desire. Great effort required to expel stool, which would at times slip back. Sanic. 30 helped at once. W.

J. Guernsey (M. A., xxiii. 382) relates several cases of bowel disorder in children. (1) R., aged one month, has sore mouth.

Jumps on waking from sleep. Stool difficult with straining. Sanic. 10m cured in a few days. Three months later same child had swelling about eyes.

Discharge of water from nose. Rubs nose constantly, looking frightened. Sanic. 10m cured in five doses. (2) B., four months, stools loose, green.

Restless at night. Losing flesh. Eyes look very heavy. Has had sore mouth removed by the mother with Borax wash, Sanic. 10m, 50m, and cm, gradually cured.

(3) S., aged seven months, stool loose and copious. Stool becomes pale on standing. Urinates much. Vomits large chunks of milk.

Wakens screaming in fright. Sanic. 10m. All symptoms disappeared, but a large carbuncle appeared on right buttock, which, however, was less painful than its size would indicate, opened in five openings and discharged within a week, rapid recovery following. Guernsey chose Sanic. on the italicised symptom, being the direct opposite of the special Sanic. condition, and as it is noted under no other remedy.

Opposites as well as similars may serve as indications. Gundlach (H. P., xiii. 158) reports these cases: (1) Printer, 40, suffering for some weeks from results of overwork. Dull pain in forehead over eyes feels as if eyes being driven back into head;

< in warm, close room by application of mind; > in open air. Mind wanders when trying to apply it. Cannot keep at any one thing.

No appetite. Bad taste, tongue coated white, < morning. Dry mouth, no thirst. Fears he will lose his reason.

Sanic. 10m cured. (2) Mrs. H., 45, constantly chilly mingled with flushes of heat. Chills < moving, even turning in bed;

> by external warmth. Chills at irregular times; spread from below up. During chill wants to be covered; during heat wants covers off. Pains and aching in limbs, feels sore and bruised, both flesh and bones; can't put hands to head or behind for pain in shoulders.

Head dull, heavy. Warmth > pains, but < head. Bad taste; wants sour things; some thirst with fever; urine dark, scanty. Sanic. 10m cured.

J. V. Allen (H. P., ix. 380) observed that in the eye cases of Sanic. there is marked photophobia without much inflammation.

The cases he cured had these symptoms: Must close eyes continually; with this an awful discharge of thick, yellowish, greenish matter, excoriating any part it touches. In one child there was as well greenish nasal discharge, excoriating nostrils and lips. Peculiar Sensations are: Head as if open and wind went through it. Of cold cloth round brain.

Of scalp all drawn up to vertex. Coldness in throat. Throat as if too large. Back as if in two pieces.

Lumbar vertebrae as if gliding past each other, especially when rocking in a chair. Feeling of distraction. There is great fear of the dark; constant desire to look behind her. Dreams of robbers.

"Stool full of jagged particles" suggests the condition known as "intestinal sand." Square stool is also peculiar. The symptoms are < by touch. Child cannot bear to be approached. In bed one cannot bear to lie near or touch another.

Cannot bear to have one part touch another; sweat where parts (as crossed thighs) touch. Part lain on sweats. Must loosen clothing. Slight pressure < more than hard.

< From strain; from riding in cars. < Descending. < Motion; raising arms; putting arms behind back; working. < Misstep, walking, jar.

Cough = bursting in vertex. > Rest. < Leaning head forward; > leaning it back.

Awakes at night with arms under head. On waking child rubs eyes and nose with fist. Light and noise <. Eating <; urging to stool whilst eating.

Also < before eating (hunger); and > after breakfast; and when stomach full. Swallowing <. > Vomiting. < At noon.

> In open air. < Warm room (head and skin symptoms chiefly). > Warmth; wraps up head in cold weather. < Becoming cool after running (pain in jaw).

< From draught of air, especially cold air. Cannot bear cold wind on back of head or neck. < Change, especially to damp weather, Periodicity, chills every other day. Symptoms of the proving recurred repeatedly during five years.

Smoking < eructations, > nausea. Pains go right to left; front to back; and back to front; shift much.

Relations

W. J. Guernsey considers Sanic. the chronic of Cham. Compare: The constituents of the water, especially Nat. m. and Calc.

Dread of downward motion, Brx. Head sweat, Calc., Sil. Soreness behind ears, viscid discharge, Graph., Pso. Ringworm on tongue, Nat. m., Ran. sc., Tarax.

Drinks little and often, vomits as soon as it reaches stomach, Ars. Symptoms change constantly, Lac c., Puls. Sphincter not under control, Alo. Stool recedes, Sil., Thu.; must be removed mechanically, Sel.; crumbling at anus, Mg. m.

Odour of stool follows despite bathing, Sul. Excoriation about anus, Sul., Lyc., Cham. Places hand on vulva for support, Lil. t., Murex. Offensive foot-sweat, Graph., Pso., Sil.

Burning soles, Lach., Med., Sang., Sul., Calc. Kicks off clothing in coldest weather, Hep., Sul. Skin of neck wrinkled, hangs in folds, Abrot., Iod., Nat. m., Sars. Vomits "Schmierkäse"; falls asleep after vomiting, Aethus.

Fishbrine odour, Calc. (rectum), Graph. (scab of ulcer), Med. (moisture from anus), Tell.

(ear discharge), (Trimeth.). Stool when eating, Fer., Trombid. Cough from laughing or talking, Pho., Arg. n. Sweet expectoration, Sang., Stan, < Lifting arms, Bar. c., Con., Cup., Fer., Led.

Symptoms increase to noon and decrease after, Sang., Spig. Dreams of robbers, Nat. m. Cries before urinating, Lyc. Fears darkness, Grindel., Stram.

Fears touch, Cin., Ant. t., Arn. Seasickness and train-sickness, Arn., Cocc., Tab. Headache from nape to eyes, Sil., Sang. Wraps up head, Mg. m., Sil., Pso.

Mental restlessness when reading, Dros. Depression with feeling of impending misfortune, Calc. Irritability, Cham., Con. Child rubs nose and eyes on waking, Scil.

Hair lustreless, Alm., K. ca. Clinkers, K. bi.

Causation

Strains. Jarring.

Mind

Instability of purpose

Constantly changing his occupation

Want of energy

Forgetful

Depression; mind wanders from one subject to another, even when conversing

Nervous irritability

Misconstrues actions of others

Child headstrong and obstinate, crying and kicking, esp. 9 p.m. to 12

Headstrong crossness quickly alternating with laughter and playfulness in children

Intense depression; feels no one admires her, every one hates her, wants nothing to do with any one, most trifling cares unbearable

Fear of impending misfortune

Restless desire to go from place to place; great aversion to darkness

Constant irresistible desire to look behind her

Feels like cursing (intermittent fever).—(Child wants to be in constant motion night and day.)

Averse to be touched

Restless; no > from moving

Easily upset by slight word or act

Forgets common details of recent occupation

Dreads work on account of weakness and exhaustion.)

Head

Queer, mad, crazy feeling in head

Vertigo: on rising from stooping; while sitting at table or desk; after eating; with nausea, must lean head against something to keep from falling

Giddy while kneading with rush of blood to head and desire for cool air

Faint, smothering, sensation with great desire for open air

Seasick sensation after riding on horseback in the dark

Nervous, drunken sensation.—(Blindness and dizziness when walking

Downward motion of elevator = feeling of everything giving way under her, and as if top of head would fly off.)

Dull, heavy feeling in head; rising from nape and extending to forehead and eyes; on waking

Sensation on waking in morning as having lain on a hard board

Dull frontal headache with sharp, shooting pain from r. side of occiput to r. forehead and eye, ending in a sensation that the eye was clutched and pulled back for a moment

Dull frontal headache, < leaning head forward (reading or writing), or in warm, close room;

> leaning head back and in cool, open air

Headache changes r. to l

Pain in head < from draught of air, esp. if cold

Sensation that the head was open and the wind went through it

Sometimes wraps head up, even in summer, to protect it from wind

Headache < lying down;

> riding in open air

Dull, constant ache in frontal bone, < over l. eye

Pain shifts from forehead to back of head

Cold feeling in brain

Sensation of cold cloth round brain.—(Headache every week, lasts two or three days, with nausea and vomiting

Headache from vertex down to occiput

Pain from upper portion of spine around under jaws to throat, with contracted feeling, < r. side and from swallowing

Neuralgic pains about head and face after exposure to warm or cold winds

Pain from back of head to face, at times from as far down as shoulders, < r. side

Headache < from light or noise

Neuralgic pains over r. eye.)

Scalp feels contracted from back and forepart to vertex; skin of forehead contracted, frowning, causing desire to raise eyebrows and lean head back;

< towards noon, > evening;

< motion, leaning head forward, noise, jar, misstep;

> rest, lying down, sleep

Occiput sensitive to pressure

Great accumulation of dandriff on top of head, with itching on getting head warm; cannot endure cold wind about back of head or neck

Child sweats profusely about back of head and neck during sleep, wetting pillow all around

Hair thin, scanty, dry, lustreless

Hair electric, crackling when combed.—(Falling out of hair

Small boils on head that do not mature.)

Eyes

Sight dim, sometimes sees double, or letters run together

Sensation as though a white cloud passed over eyes, with loss of sight and faintness

Eyes feel weak and sore on waking in morning, light painful at first

Eyes burn, exuding a sticky fluid, which in a few hours dries on the margins of the lids, forming white scales

Burning and smarting of canthi

Lids red and inflamed

Small reddish ulcers on r. lower lid, which burn after removal of the yellow scabs

Ulceration of margins of lids, also extending over half r. upper lid, with photophobia, itching, and burning

Awakes with dryness of whole eye and sensation that eyeball is sticking to lid

Catarrhal ophthalmia, with profuse yellow discharge; first l. eye, then r

Lids agglutinated in morning

Eyes sore on motion

Cornea ulcerated

Photophobia

Eyes < at night

Catarrhal conjunctivitis, lids swollen, eyeballs red.—(Chronic sore eyes

Scrofulous ophthalmia

Eye symptoms > morning, < noon, still < as day advances

Lachrymation in the wind, in cool air, or from cool application

Great swelling of lids, great effort required to keep them open.)

Ears

Eustachian catarrh.—Stuffed feeling in l. ear.—(Soreness behind ears with discharge of white, gluey, sticky substance.)

Nose

Nose sore and stuffed with yellow scabs

Discharge: thin, acrid drops; thick, yellowish, green, profuse; thick, honey-like scabs; white, tenacious, stringy; clots of black blood; bloody ichor; copious, yellow;

< indoors and after eating

Sneezing and itching of nose

Soreness, tenderness, or ulceration of alae

Squeaking from before backward after blowing nose.

Face

Small red pimples, mostly on l. cheek

Constant dull pain along superior maxillary bone, extending to l. temple, > from warmth, < from cold

Dull ache in upper r. jaw on becoming cool after running

Constant dull pain on side of face and temple; drawing of muscles

Faceache, r. side, in upper jaw and teeth, extending to temple, < cold or hot drinks, and least wind about head or face

Acne about eye and cheek

Excoriation of upper lip.—(Profuse, scaly dandriff on eyebrows., and beard

Large scabs on upper lip, constantly picking them till they bleed.)

Itching eruptions in beard, esp. under chin;

< when warm

Vesicular eruption on lips and chin.

Teeth

Teeth sensitive to cold air, as if they were very thin

Gums sore and painful;

< from eating

Gumboils.—(Teeth feel too long

Pain in r. dental nerve extending to head and neck; feels that if she could pick the teeth out and cause bleeding they would improve: < at night and from lying down; must get up and walk about; momentary > clenching jaws.)

Mouth

On awaking, dark brown streak down centre of tongue, which is furred and dry like leather

Sides of tongue turn up

Tongue adheres to roof of mouth

Thick yellow coating on back of tongue

Disagreeable pappy taste in mouth in morning

Under surface of tongue a mass of painful ulcers

Bread tastes dry and flat

Tongue large, flabby.—(Burning of tongue, must protrude it to keep it cool

Ringworm on tongue.)

Roof of mouth feels raw;

< from warm or hot drinks, food, &c

Large, painful ulcers on centre of roof of mouth

Mouth and inside of lips a mass of painful ulcers; child can take no food

Great dryness of mouth and throat, without thirst

Swelling of sublingual glands, with occasional discharge of a teaspoonful of salt liquid

Breath offensive.—(White aphthae on lips and in mouth, which can be scraped off with finger

Scurvy with profuse salivation in daytime;

< night

Profuse flow of white, clear, transparent, stringy saliva when cutting teeth;

< when awake and in day;

> when asleep and in night

Burning in mouth; better from cold water or drawing in cool air

Sore mouth of children, with atrophy, white appearance like curdled milk.)

Throat

Ulcers with yellowish base on tonsils

Soreness on both sides of uvula, passing up posterior nares, with pains on swallowing

Throat and posterior wall of pharynx of a purple colour

Grey exudate on posterior wall of pharynx

Coughing out of large clinkers in morning that had clogged posterior nares for forty-eight hours; tough, like boiled cartilage streaked with blood

Fluent catarrh from posterior nares during day, dry at night

Greyish catarrhal secretion, < in morning after eating, must leave table to clear throat

Cold sensation in throat, as though a piece of ice had been held there

Throat feels too large

Hoarseness following sore throat; must clear throat before speaking

Dryness of throat;

> swallowing saliva or water

Dryness and roughness after sleeping in a draught

Constant desire to moisten the parts, but cannot

Can swallow solid better than fluid.—(Sensation in pharynx and uvula as though he had inhaled peppermint

Choking sensation in throat as from a breadcrumb.)

Appetite

Great longing for the spring water

Child wants to nurse all the time, yet loses flesh

Child craves meat, fat bacon, &c., which <

Craving for salt

Loss of desire for bread, unless fresh baked

Splendid appetite; gets very hungry before mealtime

No appetite for breakfast

Child frantic when it sees the glass of water; drinks large quantities greedily.—(Thirst for small quantity very often, which is vomited almost as soon as it reaches stomach

Loss of appetite, no desire for anything but water.)

Feels better after eating.

Stomach

Bloating of stomach on beginning to eat

Feels terribly stuffed after a meal

Shortly after nursing food all comes up with a gush, and child drops into a stupid sleep

Fulness and bloating of stomach soon after eating, esp. supper, or after taking acids; must loosen clothing

Cannot taste food for hours after eating

Food turns sour and rancid, with burning desire for water, which > for short time only, then <

Eructations, sour, rancid, burning, < after smoking, of tasteless gas, which gives some relief

Nausea after eating with sick feeling, > from smoking

Sudden nausea while eating, vomits all the food taken

Vomiting >

Child vomits milk looking like "Schmierkäse"; falls asleep after vomiting

Vomiting of large, tough curds, like the white of a hard-boiled egg

Vomiting of milk soon after nursing

Child vomits after drinking cold water.—(Nausea and vomiting from riding in cars or close carriage, with desire for open air

Seasickness.)

Nausea and cramp in stomach on awaking at night or in morning, or after rising in morning, like "morning sickness";

> after breakfast

Bloating of stomach on beginning to eat

Sensation of a lump in stomach.—(Soreness through stomach, sensitive to pressure and jar, cannot laugh without holding his stomach and bowels, < when stomach is empty.)

Abdomen

Gurgling in l. hypochondrium, passing down descending colon;

< before meals

Sore, sensitive pain beginning at l. of umbilicus, going around to spine in three days;

< from touch; at point where pain ceased, appearance of a vesicular eruption which gradually worked back to umbilicus, with burning and stinging

Soreness through hepatic region

Enlargement of liver, sensitive to pressure and jar

Rumbling in l. side of abdomen at 9 p.m

Gurgling like distant thunder along course of large intestine

Bowels bloated as if they would burst

Sore pains in groins beneath Poupart's ligaments, after walking.—(Rumbling in bowels before meals;

> after eating

Pot-bellied children, abdomen is the largest part of them.)

Stool And Anus

No desire for stool for three or four days

After intense straining the stool, which was nearly evacuated, recedes

Even soft stool requires great effort to expel

Large evacuation of small, dry, grey balls; must be removed by fingers lest it rupture the sphincter

Great pain in perinaeum while at stool as though it would burst; whole perinaeum sore and burning for some hours after stool

Slim, yellow stool at least ten inches long, not requiring much effort

Stool feels full of jagged particles, very painful, lacerating anus and causing soreness and bleeding

Stools small and infrequent, first part hard and dry, latter part soft

Constipation with ineffectual urging

Impossible to evacuate the stool, which is of greyish-white balls, like burnt lime, hard and crumbling, with odour of rotten cheese; it must be removed mechanically

Yellow, soft, wedge-shaped stool, like an almond nut, without power to expel

Stool of large lumps of undigestible caseine, ragged or shaggy, smelling like rotten or limburger cheese

Stool resembling scrambled eggs

Thin portion of stool frothy and of a grass-green colour; whole mass turns green after standing

Stools green, frothy, watery, like the scum of a frog pond.—(Child's stools changeable; watery, yellow, green.)

At 9.30 p.m. copious diarrhoea with urging and haste; stool yellow and fetid as after eating onions

Soft, sticky, mushy stool twice each day

Stools as often as food is taken, must hurry from table after each meal

Cramping pain in colon and rectum

Urging from flatus, must cross legs to prevent stool from escaping.—(Persistent odour somewhat resembling that of decaying cheese about the child, not removed by bathing; diarrhoea

Pain before stool, some > after it

Pain during stool.—"Not done" sensation after stools

Stool becomes pale on standing.)

Stool square, as if carved with a knife.—(Excoriation of skin about anus, extending out on each side of nates, genital organs, and groins; skin very raw, like beef, with watery discharge

No control over sphincter, often soils himself while standing, running, at play, or even at night

Stool escapes when passing flatus.)

Urinary Organs

Frequent desire for urination with profuse discharge, comes suddenly with sensation that urine was at meatus

Great effort necessary to retain urine, at times impossible, yet if the desire is resisted the urging ceases

Cramp-like pain along course of l. ureter, when trying to retain urine, compelling him to stand, although he cannot stand erect on account of the pains

Sensation that a hard body like a lead pencil were being forced upward and backward from bladder to kidney; it gradually passes away some fifteen minutes after urination

Voids large quantities of pale urine of low specific gravity

Urgent calls to urinate as if bladder would burst

Child strains to urinate while at stool

Urine of child scanty, voided at long intervals

Child cries before urinating

Urine stains diaper red.

Male Sexual Organs

Increased sexual desire at first, then much decreased

Discharge of semen too early with little sensation

A few hours after intercourse an odour of fish brine about the glans, sometimes lasting a day or two

Child's parts smell of fish brine even after bathing

Scrotum relaxed, clammy sweat about parts.—(Fig-wart on glans penis, sycosis, with discharge from its surface smelling like fish brine

Copper-coloured, syphilitic sores.)

Female Sexual Organs

A few hours after intercourse appearance of a slight watery discharge from vagina with odour of fish brine, lasting about twenty-four hours; not removed by bathing

Leucorrhoea with strong odour of fish brine

Menses irregular

Menses always late, come on with grinding or dilating pain in lower abdomen, with soreness of womb; pain in back > when flow established; tumour size of hen's egg, l. side of womb just above cervix, come on since the passing

Menstrual blood first pale red thin and watery, then dark and clotted

Cramp-like pains like "after-pains" in uterine region before menses, ceasing after flow

Pain just above sacrum < before the flow and from motion;

> from rest

Weakness in lower part of abdomen with bearing down as if contents would escape;

< from walking, motion, misstep, or jar;

> from rest and lying down

Womb sensitive to jar

Desire to support the relaxed parts by placing the hand against vulva.—(Shoots: from l. side of pelvis across pelvic region, also to under l. breast.)

Soreness of womb

Menses suppressed with morning sickness

Vagina feels large

Cannot stop menstruation.—(Leucorrhoea profuse changeable in colour; milky, yellow, &c., < during stool.)

During pregnancy: swelling of lower limbs at third month, < evening; swelling and stiffness of hands and feet, particularly of l. side during pregnancy; feet pit on pressure; sad, tearful disposition; after standing, sensation that the os uteri is opening or dilating, with drawing at inside of thighs

Os uteri dilated to size of half dollar three weeks before labour

Child's head hard and compact when born, with no sign of suture or posterior fontanelle

Milk thin, watery, acid reaction.

Respiratory Organs

Larynx sensitive to pressure, esp. l. side, with dry, tickling cough

Stuffed feeling on awaking in morning; unable to speak for a time

Hoarseness.—(Complete aphonia, must speak in a whisper

Raw feeling in trachea, < after expectoration of large clumps of mucus

Sensation in trachea on swallowing as though a hard substance were present, like a stone.)

Cough: deep, hollow cough, with loud rattling, caused by tickling under sternum

Tickling on lying down at night and on awaking

Irritation to cough felt worst at r. of middle chest

Rattling cough, child gags and vomits a mouthful of tough, stringy matter

Cough from laughing or talking;

< in warm room; in morning;

> in open air

Cough = bursting feeling in vertex

Expectoration: yellow; sweet; of large cheesy masses that sink in water; profuse in morning and after meals; of shaggy lumps; loose and lasting all day.

Chest

Asthmatic breathing, < after supper

Wheezing, rattling under sternum, < during or after eating

Tickling under sternum

Great soreness of upper chest, when coughing must hold it with hands.—(Burning from throat to lungs.)

Sudden attack of a terrible sensation of a burden on chest; for a few moments it seems as if she would burst, gradually followed by an intense depression of spirits

Eruption on chest over the ensiform appendix, size of a shilling, with intense itching.

Neck And Back

Small, painful boil on l. side of back of neck, not inclined to suppurate

Neck so weak and emaciated that child cannot hold its head up

Muscles of back of neck seem too short; weakness and all-gone sensation in small of back

Skin about neck wrinkles and hangs in folds

Dull, aching pains between scapulae on awaking in morning, as if he had lain in a cramped position all night

Deep-seated pain in muscles of spine, esp. toward l. side

Soreness and stiffness in back, which is not affected by breathing;

> from motion

Rheumatic pains in shoulders, esp. l., the only > is from heat, patient sits with back to fire

Pain < from moving shoulders or lifting arms up; cannot place arms on head or behind body

Sharp pain from least turning; must hold himself stiff and turn whole body in order to look around

Inclines head forward to case pain in muscles at back of neck

Sharp pain at inner angle of l. scapula on putting head back

L. scapular region very sore

Weak, tired, broken sensation in lumbar region, coming on just after rising in morning, and gradually increasing till noon, then decreasing till its disappearance, about 6 or 7 p.m

Sensation in lower lumbar region that the vertebrae were gliding past each other, felt esp. when rocking in a chair

A dislocated sensation in last lumbar vertebra

Backache, with burning sensation across lumbar and sacral regions;

> from gentle exercise or lying flat on back;

< when sitting

Region of coccyx sore, as if excoriated

Coldness along spine;

< on going into cool air or when sitting still;

> from external warmth and motion

Back very painful at noon

Sensation that the back is in two pieces

Back becomes tired and weak from walking over snow

After a strain, lameness and stiffness of back in morning;

> after moving about

Catch in back on reaching or straining

Gooseflesh on back

Small boils on back that do not mature.

Limbs

Restlessness with pains in joints

Stiffness and pain in limbs when rising in morning;

< on first beginning to move.—(Numb feeling in limbs)

Cold, clammy sweat on limbs.

Upper Limbs

Constant pain in r. shoulder-joint;

< from motion

Constant dull pain in r. arm and shoulder, with a sense of coldness from elbow up

Sore, bruised feeling on outer side of l. forearm and hand;

< by slight pressure more than by hard

Drawing pain on outside of upper arm to elbow on lifting arm;

< on rising in morning and from a change to damp weather

Cannot raise arm or put it behind him on account of sharp pains

Large oval spot on ulnar side of l. arm, of dusky colour, attended with itching; it turns red after scratching

Gooseflesh on arms

Boils on wrist that do not mature, hard and painful, but not very red; pain extends to axilla

Profuse sweat in axilla

Excoriation in axilla

Hands swollen and stiff on awaking in morning

Cracks on hands exuding blood and watery fluid and forming crusts

Eruption on hands of small vesicles exuding a watery, sticky fluid

Itching eruption on hands

Eczematous eruption appearing on outside of first joint of thumb on l. hand, spreading by new pustules over ball of thumb, back of hand and wrist, also to back of r. hand

Burning, smarting soreness, with deep, angry, ragged cracks of hands;

< cold weather

Hands as cold as though handling ice

Burning of palms

On putting hands together they sweat until it drops from them

Knuckles of fingers crack and leak.—(Hang-nails.)

Lower Limbs

Rheumatic pains in l. hip-joint;

< from motion and cold, yet not > by rest

Reddish pimples on inside of thighs with itching, particularly the l.;

< on undressing at night

Sore, bruised sensation in front of r. thigh.

< from light pressure

Tingling sensation in one or the other lower limb, like an electric current, ending with a twitch, < on first going to bed

Sore pain whole length of lower limbs; esp. in upper portion

Tired, dull, heavy feeling in lower limbs, with inclination to change position, no position is comfortable

Child's legs emaciated

Child cannot walk or stand alone at sixteen months of age

After walking pain begins under Poupart's ligament on r. side, extends along course of anterior crural nerve to the inside of joint, then to front, causing limping;

> from rest

Bruised pain in l. ischium

Rheumatic pains in knee-joints

Sharp pains in l. knee-joint come on suddenly, causing him to cry out

Tiredness of knees

Sore, bruised feeling on inside of both knees;

< from light pressure

Severe pain in hollow of r. foot; foot swollen, causing restless wakefulness

Sore, sprained feeling in l. foot;

< from bending

Burning of feet, esp. soles, wants to put them in cool place, in water, or uncover them

Cold, clammy feet

Cramp in feet in bed at night, they are so cold

Sweat on soles as though he had stepped in cold water

Stockings feel sticky

Sweat between toes, making them sore, with foul odour.

Generalities

Dread of usual work on account of weakness and exhaustion, with irresistible desire to lie down.—Restlessness; hard to remain long in one position; > from motion.—No rest day or night; always < from 9 p.m. till after midnight.—Child kicks off clothing even in coldest weather.—Wants to lie on something hard.—Great soreness.—Stiffness and lameness of parts.—(Child looks old, dirty, greasy, and brownish.).—Progressive emaciation.

Skin

Skin dry and flabby

Itching < by scratching

Pimples on face

Boils on wrist

Eczema exuding sticky fluid: behind ears; on wrists; fingers, toes

Cracks on fingers

Skin covered with fine rash all over

Body attended with severe itching at night.—(Copper-coloured syphilitic sores).

Sleep

Awakes at night with arms under head

Frequent waking at night

Restless, uneasy sleep; awakens at 3.30 a.m

Awakes soon after going to sleep with a start and twitch

Child is restless during sleep and awakes cross and crying

She awakens her companion to search for a tramp in her room, gets up and looks under the bed for him

On waking child rubs eyes and nose with its fist

Cannot bear any one to lie close to or touch him

Lascivious dreams

Dreams of robbers and cannot sleep till the whole house is searched

Dreams of murder and remorse.

Fever

Chilliness all day;

< in warm room

The cold air chills him

Sensation that chills are coming on

Chill every day at same time

Chill begins in lower extremities

Chill every night lasting an hour, beginning between shoulders, thence extending to arms, fingers, and whole body;

(intermittent, three weeks after labour.)

Thirst during chill, none during heat or sweat.—(Chill at 8.30 a.m

Chill at 5 p.m

Chill postponing two hours

Chill every other day; fever lasting all night

Drinks before chill.)

Whole body feels too hot at night

Sweat most where limbs cross each other or touch the bed

Begins to sweat as soon as covered

Sweats on first falling asleep, mostly about neck, wetting clothing through

Cold, clammy sweat on occiput and neck, those parts feel like a wet stone

Sweat from above downward over whole body

High fever every night with sleeplessness

Whole body feels too hot at night.—(Wants to move to a cool part of bed.)

Sweats on side lain on

Hungry during sweat; water tastes bitter.