Spigelia
Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 27,782 chars · source ↗
General
Spigelia.
Spigelia anthelmia. Demerara Pink-root. N. O. Loganiaceae. Tincture of dried herb.
Clinical
Adenoids. Amaurosis. Angina pectoris. Ciliary neuralgia. Cold. Constipation. Depression of spirits. Diaphragm, stitches in. Exophthalmic goître. Eyes, pains in. Gastric catarrh. Glaucoma. Headache. Heart, affections of. Hernia, inguinal. Iritis. Jaw-joint, pain in. Neuralgia. Otalgia. Post-nasal catarrh. Prostatorrhoea. Pterygium. Rectum, cancer of. Rheumatism. Scarlatina. Sigmoid flexure, cancer of. Stammering. Strabismus. Tinnitus. Tobacco habit. Toothache. Worms.
Characteristics
Spigelia anthelmia is a common weed in South America.: S. Marylandica, "Pink-root" or "Worm-grass," is a native of the Southern States of North America. Spigel. anth. is an acro-narcotic. It was known in Europe in Hahnemann's time as an anthelmintic, this property of the drug having been learned from the negroes of the Antilles.
Hahnemann's proving (M. M. P.) revealed many other virtues. He says of the plant that it has this peculiarity: the primary action of a single unrepeated dose usually increases somewhat daily during the first seven to ten days, so that pure experiments with it should be conducted with caution seeing that 60, 80, to 100 drops of the tincture produce violent effects even in robust persons.
Violence is a note of the Spigelia action. The pains are intense, and it produces pains in all parts. It is a neuralgia remedy par excellence. I was once written to by a patient in the country, and the only definite points that I could make out of the case were that there was neuralgia and that it affected the left side.
I ordered Spi., and it speedily cured. Spi. is more left-sided than right, but by no means exclusively left, sided. The pains are burning, jerking, tearing, pressing and stitching; they radiate and extend to other parts; are < by noise, jar, movement; change of weather—especially stormy weather. Head, eyes, face, teeth, and heart are the principal seats of Spi. action.
Hochecker (H. R., x. 147) relates the case of Miss O., 27, blonde, tall, robust, who had neuralgia for several weeks, without traceable cause. Pains came suddenly, twitching and tearing of left side of face, now in ear, then in lower jaw, and were particularly < by mastication. A peculiarity was that whenever the pains were about to commence a diarrhoea set in.
A single powder of Spi. 6 cured. Hochecker also cured with Spi. 3, 6, 10, and 20 a case of tic-douloureux of right side of fifteen months' duration. In this case each lower attenuation after first relieving caused an aggravation. That was why the attenuations were successively raised.
Spi. 20 completed the cure. This patient had dark hair and dark complexion. She attributed her trouble to taking cold in a draught when heated by dancing. Sensitiveness to cold, to wet and stormy weather, is one of the notes of Spi.
The left-sidedness of Spi. is shown in its affinity for the heart. Sometimes the heart, eyes, and head are affected together. A case is quoted in A. H.
(xxii. 417) in which there were darting and aching pains in head, nose, and eyes, and similar pains about the heart with slow, irregular action, but no murmur. Vertigo on stooping and heat of head. Sudden pains at bottom of back. The pains were < night and morning and in damp weather.
In one prover the accustomed evening smoke caused violent toothache. I cured with Spi. a case of cardiac neuralgia caused by tobacco. I have frequently seen cardiac murmurs appearing in acute rheumatism disappear under Spi. In the eye, neuralgias, inflammation, amaurotic conditions, glaucoma presenting the symptoms of Spi. have been cured with it.
The pains of Spi. are largely out-pressing, and proceed from within outward and below upward. A migraine comes from occiput and settles in or over left eye. In the eyes themselves there are intolerable pressive pains < on motion; but there are also stabbing pains through eye backwards into brain. The combination of heart and eye symptoms marks Spi. as the remedy in many cases of exophthalmic goître.
The anthelmintic properties of Spi. must not be lost sight of by homeopaths. It has the cardiac symptoms of helminthiasis: itching of anus and nose, colic, and borborygmus. Hering gives this case: "Helminthiasis: dilated pupils; strabismus; putrid smell from mouth, itching of nose, griping pain in belly; throat inflamed, swallows often, pale redness in throat and swelling of mucous membrane; palpitation." Masses of lumbrici have been expelled and also threadworms. Fetid breath and fetid flatus are marked features of Spi.
There is both constipation and diarrhoea. I have found it especially useful in heart cases where constipation has been a troublesome complication. The bodily sensitiveness of Spi. is paralleled by the mental irritability. But the most peculiar mental symptom is "fear of pointed things as pins, &c." Meninger (A.
H., xx. 282) had a severe case of nausea of pregnancy which he cured with Spi. The only leading symptom in the case was this: She was afraid of pointed things and asked her husband to take away a fork, crochet-needle, &c. (Sil. has a somewhat similar symptom, but the Sil. patient hunts for pins although afraid of them.) Spi. corresponds to rheumatism as well as to heart affections the consequence of rheumatism. A patient whom I successfully treated for a serious heart affection with Spi. 3 told me that under the treatment he had lost a pain in the right knee which he had had for eighteen months, and which he had not mentioned to me at first.
The pain was as if dislocated; unable to rise from kneeling; cannot find an easy position, often for hours at night. Peculiar Sensations of Spi. are: As if he would fall. As if intoxicated. As if head would burst.
As of a band around head. As if head tightly bound. As if electric sparks in temples. Brain as if loose.
As if nerves being cut with a fine instrument in forehead and temple. As if eye would be pushed out of head. As if hairs or feathers on lashes. Upper lids as if paralysed.
Eyeballs as if too large. As if sand in eyes. As if needles thrust into eyeball. As if eye would be pressed out of socket.
As if eye would fly into pieces. As if eye were being pulled forward and backward. Pain in eye as if it would drive him crazy. As if ear loosely stopped or a thick mist before it.
As if back of nose were lightly touched by hair, or as if a gentle wind were blowing across it. Face feels as if it had been scorched. As if all muscles of left side of face from head to neck and left axilla were pierced with red-hot needles. Teeth as if too long.
As if left side of lower jaw would be torn out of its joint. Sensation resembling purring of cat. As of a worm rising in throat. As of a half fluid body ascending in throat.
As of a hard lump in throat. As if abdomen would burst. As if all intestines would be constricted. Suffocating as if from a quantity of water poured into windpipe.
Pulse as if a thread pulled through arteries. As if heart compressed or squeezed with a hand. As if heart being crushed. As if everything in chest were too short, loose, and wabbling about.
As if something tearing in chest. In left scapula sensation as though blood dripping through a valve. Spi. is Suited to: Anaemic, debilitated subjects, of rheumatic diathesis; to scrofulous children afflicted with ascarides and lumbrici; to persons with light hair; pale, thin, bloated, weak; with wrinkled, yellow, earthy skin. The body is painfully sensitive to touch, the part touched feels chilly; touch sends a shudder through the whole frame.
Spi. is a sun remedy: headache beginning at sunrise, at its height at noon, declining to sunset. In chest affections there are stitching pains synchronous with the pulse. Stammering: repeats first syllable three or four times; with abdominal ailments; with helminthiasis. The symptoms are < by touch.
Contact and pressure of clothes is unbearable. (Pressure > neuralgia.) < jarring; hard step. Rest >. Motion <.
Moving, shaking head <. Moving eyes <. Moves very carefully. Lying with head high; or on right side >.
< Rising; stooping; bending forward. > Whilst eating, < immediately after. Warmth >; (< headache).
Open air = pain in eyes; > headache. < Slightest draught; cold, damp, rainy, stormy weather; cold air; cold washing; (cold application > neuralgia temporarily).
< Morning on waking. Pain increases and declines with sun. < (Also sometimes >) from tobacco. Opening mouth < headache.
Relations
Antidoted by: Camph., Aur. (restlessness in limbs); Cocul., Puls. Antidote to: Merc., Colch.
(heart). Compatible: Aco. (endocarditis); Ars., Dig., K. ca., Zn.
(heart); Iris (prosopalgia); Arn. (carbuncle).
Compare: Botan. Nux, Ign., Curar. Pains; left eye, Aco. Neuralgia in left eye, Ther.
Headaches, coming and going with sun, Na. m., Sang., Tab. Neuralgia, Act. r. (Act. r. < right).
Catarrhs, Puls. Eye pains, Bell. (Bell. more right-sided; more congestion). Heart pains; white stools, Dig.
Ciliary neuralgia, Ced., Mez. (mercurial), Thuj. (pains go up and backwards). Stitches in heart, Hep., Na. m., K. ca., Ars., Caust.
Headache begins occiput and goes to left eye (Sang. to right; Sil. to both). Tic-douloureux, Thu., Coccin. Aversion to be washed, Ant. c., Clem., Hep., Rhus, Sep., Sul.
Faintness connected with stool, Ap., Nux m., Pul., Ver. (with scanty stool, Crot. t., Dulc., Ox. ac., Pet., Sars., Sul.). Neuralgia with pallor (with redness, Bell.). Nausea at sight of food, Colch., Lyc., Mosch., Ph. ac., Saba.
Worms, Saba., Cin., Teuc., Scirrh., Stn. < Moving head, Sol. n. Coughing, loud speech = head pains, Bry., Caps., Nat. m., Sul. Illusions of vision, Cycl.
(Cycl. when with any trouble, headache, sick stomach, &c., one always sees countless stars), < Tight clothing, Lach. Contraction of fingers, Gels., Guaiac. Sensitiveness to touch, K. ca. As if eyes too large, Act. r., Comoc.
Sensation of band round heart, Cact., Carbl. ac., Sul. Post-nasal catarrh, offensive, causing choking at night, Hdrast. Scirrhus of sigmoid flexure or rectum, atrocious, unbearable pain, Alumen. Dyspnoea, must lie on right side with head high, Cact., Spo.
Toothache from tobacco, Plant. Teste puts Spi. in his Arn. group; he considered it a "chronic" of Arn.
Causation
Chill. Tobacco.
Mind
Sadness and discouragement
Agitation and anxiety, with restless care concerning the future
Timidity
Afraid of pointed things, pins, &c
Sits as if lost in thought, stares at a single point
Moroseness, to the extent of suicidal mania
Great dejection in evening; he could have killed himself (with chilliness of body)
Weakness of memory
Absence of ideas
Difficulty of thinking
Unfitness for intellectual labour.
Head
Head confused, as from intoxication or dizziness
Giddiness when looking downwards
Vertigo, to such an extent as to fall down when walking, standing, or looking down
Vertigo, with nausea
Headache, on shaking head, with vertigo, and sensation of heaviness
Neuralgic pains flying from one part to another
Headache beginning in cerebellum, morning, spreading over l. side of head, causing violent and pulsating pain in t. temple and over l. eye, with stitches in left eye; returning periodically.
Painfulness of cerebellum with stiffness of neck
Stitches in l. side of head and out of l. eye
Headache like a heaviness; on drawing the facial muscles it seems as though the skull would burst upward and asunder
Fine burrowing-tearing pains in brain, esp. violent in l. parietal bone;
< on false step
Sharp shaking just behind and above r. frontal eminence
Pressive pain in r. side of head involving r. eye, morning in bed, < after rising; pain deeply seated, unaffected by pressure, very acute on motion; on suddenly turning head brain seemed loose;
< every jar, step, even straining at stool
Stitches like electric sparks in head
Pains in head < by slightest movement, by least noise, and by opening mouth
Headaches are < from least noise;
> when lying with head high, and from washing head with cold water
Painful tenderness of the occiput, with sensation of numbness and stiffness in nape of neck
Periodical headaches
Pressing asunder in head, esp. in r. temple;
< from motion and opening mouth;
> while at rest
Pressure in head, compressive or expansive, < by stooping
Sensation of a tight band around head
Pain, as if head about to burst, when coughing and speaking loud
Tearing, digging, or boring headache from within to without, in forehead, vertex, or cerebellum, < during movement
Sensation of soreness in forehead and vertex
Tearing in forehead in paroxysms, with fixed eyes
Pulsative lancinations in forehead, with noise as of hammering before the ears
Commotions and blows in head, while walking in open air
Shaking in brain at every step, and at every movement of head
Burning pain in exterior of forehead and temples as far as eyes
Tension in scalp
Painful tenderness of scalp when touched;
< when moving the scalp
Head feels too large.
Eyes
Neuralgia of eyes, esp. where there is great soreness, and can scarcely bear a touch; affections of the eyeball; eyelids; optic nerve; dilated pupils; ocular illusions—sees strange things, fiery, luminous rays, sparks, &c
On shutting eyes a sea of fire appears
Illusion as if hairs or feathers on lashes;
< on moving them
Impending amaurosis
Pains in eyes, deeply seated in sockets
Aching (pressure) in the eyeballs, esp. when turning them
Pains in the eyes during movement, as if eyeballs were too large
Digging, boring, and shootings in eyes, penetrating into head, sometimes with pain, which drives to despair
Pains as if needles thrust into r. eyeball
Movement of eyes and muscles of face < the pains
Tingling in eyes
Itching in r. eyeball, returning after rubbing
Dry heat and burning sensation in eyes, which forces them to close
Redness of sclerotica, with injection of blood-vessels
Inflammation of eyes and of cornea
Inflammation and ulceration of lids, with smarting pain as from excoriation
Eyes confused and dull
Profuse lachrymation
Acrid, smarting tears
Great sensitiveness of eyes to light
Hanging down of lids as from paralysis
Sensation as of a hard substance under r. upper lid, > by rubbing
Violent burrowing stitch in middle of eye and in inner canthus that does not prevent vision, but presses upper lid down
Upper lids feel hard and immovable
Pain as if l. orbit were pressed from above downward
Tendency to wink
Weakness of eyes; in whatever direction they are turned they remain
Difficulty in raising the eyelids, with painful sensation of stiffness
Contraction and involuntary movement of eyes
Squint; convergent.—"A dose of Spigel. always produced squint in us when children" (American lady's testimony
R.
T.
C.)
Strabismus whether from worms or not (Macfarlan)
Pupils dilated
Loss (momentary suspension) of sight
Presbyopia.
Ears
Earache with an ichorous, scalding discharge; hearing very sensitive; noise in the ear as of something fluttering
Pain in margin of l. concha
Drawing in l. antitragus
Itching in r. concha
Pressive pains in r. ear
Otalgia, with pressive, troublesome pain, as if there were a plug in ear
Jerking tearing in ears
Squeezing, itching, and burning sensation in external ear
Itching in r. vesicle
Stoppage of ears, with or without dysecoia
Periodical deafness
Sensation of distant ringing in ears, with sensation as if the ear were loosely stopped or a thick mist were in front of it
Roaring, buzzing, and pulsation in ears
Noise of hammering before ears.
Nose
Itching in nose, with tickling
Tickling on back of nose, as if lightly touched by hairs, or as if a gentle wind were blowing across it
Tingling, shooting, boring, smarting and itching in nose
Herpetic eruption on nose with pain, as from excoriation
Stoppage and dryness of anterior nose, with copious discharge of whitish and yellowish mucus from posterior nares
Frequent sneezing; discharge of bloody mucus
Mucus at one time white, at another time yellow, is discharged from nose; at same time much mucus is discharged from mouth
Fluent coryza, which recurs frequently, esp. after slightest chill.
Face
Face pale and wan, with yellow circles round eyes
Redness of face; perspiration on face
Cheeks and lips at one time a deep red, at another time pale
Burning in r. side of upper lip
Bloatedness of face, esp. after sleeping
Facial muscles seem distorted and swollen, morning on rising
Prosopalgia (mostly l.—sided)
Jerking tearings, burning sensation, and aching in region of Zygomatic process; or violent pains, which cannot bear the slightest touch or least movement, with shining swelling of side affected
Periodical neuralgia; from morning until sunset;
< at noon;
< from motion or noise
Semilateral pains in face, with praecordial anxiety and great agitation
Exostosis of the temporal part of the orbit
Lips tense and burning
Small blackish pimples on upper lip
Pressive pain in angle of lower jaw, as if in the jaw or in the teeth, proceeding from the ear
Tearing in lower jaw, radiating to ear and about it as far as nape; could not move head without pain
Pain as if r. side of lower jaw would be torn out of its joint, only when chewing.
Teeth
Toothache (in evening) after customary smoke in evening
Toothache > by tobacco smoke
Pain, like pressing asunder, in the teeth, immediately after a meal, or at night, which does not permit continued lying down
Toothache so that he was unable to sleep at night; it drove him out of bed; not during day, except just after eating, not while eating
Toothache > by warmth of bed
Toothache like a pressure outward;
< lying on r. side
Jerking toothache, or with pulsative tearings, esp. in carious teeth, < by cold water after eating or by contact with the open air;
> whilst eating and when lying down
Toothache with prosopalgia, paleness and bloatedness of face, yellowish circles round eyes, palpitation of heart, shivering and agitation.
Mouth
Offensive exhalation from the mouth, noticed only by others.—(Stinging) lancinating dryness in mouth on waking in morning
Much white, frothy saliva in mouth
White or yellow mucus in mouth and palate
Tongue cracked
Vesicles, with burning pain, on tongue and palate
Took away the pain of cancer of tongue (Bayes, H.
W., xviii. 3).
Throat
Sore throat, with lancinations and swelling in palate
Discharge of mucus from fauces all day, most from posterior nares
Cervical glands swollen.
Appetite
Putrid, fetid taste
Anorexia, with violent thirst
Repugnance to tobacco-smoke and snuff
Dislike to coffee
Bulimy, sometimes with nausea and thirst.
Stomach
Risings after every meal
Sour risings
Nausea (in the morning) when fasting, with a sensation as if something were ascending from stomach into throat
Accumulation of mucus in the stomach
Pressure in stomach and scrobiculus as from a heavy body (as from a hard lump)
Lancinations in pit of stomach and diaphragm, sometimes with obstructed respiration
Dull stitches, in pit of stomach, < from inspiration, with oppression of the chest
Inability to bear tight clothing round scrobiculus; the least contact causes anguish, with redness and heat of face, and sensation as if something were torn away in chest.
Abdomen
Griping in abdomen, as if intestines constricted, with anxiety and difficult breathing
Abdomen hard, and painfully tight
Stitches in region of diaphragm, l. side, arresting breathing
Pressure in umbilical region, as by a hard body
Colic, with pinching pains, cuttings (from worms) in the umbilical region, with shivering, diarrhoea, and copious secretion of urine
Lancinations (stitches) in the abdomen
Tensive pain in the groins when touched
Grumbling and borborygmi in the abdomen
Painful pressure in lower abdomen, as if it would burst, esp. in evening before a soft stool; sometimes > after
Expulsion of fetid flatus.
Stool And Anus
Frequent, urgent, and ineffectual want to evacuate
Soft, liquid faeces
White stools daily
Nodular stool with violent pressure
Faints during stool
Hard, difficult evacuations, with much mucus
Discharge (of large lumps) of mucus from anus, without evacuation
Liquid diarrhoea of faecal matter and of mucus
Diarrhoea, with pinchings in abdomen and coldness in body
Discharge of faeces with worms
Ejection of lumbrici and ascarides from rectum
Itching and sensation as if something were creeping in rectum and anus
Boring stitches in perinaeum.—(Scirrhus of sigmoid or rectum, atrocious, unbearable pains
H.
C.
Allen).
Urinary Organs
Urine, with whitish sediment
Frequent want to urinate, with profuse emission, even at night
Sudden and involuntary dribbling of urine, with burning sensation in anterior part of urethra
Discharge of prostatic fluid from the urethra.
Male Sexual Organs
Tingling round glans penis
Semilateral swelling of glans
Erections, with lascivious ideas, without voluptuous excitement.—(Discharge of prostatic fluid.)
Itching stitch in r. testicle and penis, from behind forward.
Respiratory Organs
Catarrh, with hoarseness, continual discharge of mucus from nose, dry heat without thirst, prominent eyes, distressing headache, and disposition to weep
Nocturnal catarrh, with cough
Cough in open air, with pain in chest as from excoriation
Dry cough, violent and hollow, caused by irritation low down in trachea, with respiration obstructed, even to suffocation
Short, dry cough causing soreness of chest
Shortness of breath, esp. when talking, with anxiety and redness of cheeks and lips
Dyspnoea when moving in bed; can only lie on r. side; or with the head very high
Danger of suffocation on least movement, and esp. on raising arms.
Chest
Aching at the chest, with painful oppression
Contraction of chest, with anguish and obstructed respiration
Stitches in diaphragm with dyspnoea
Noise in the chest like that made by a spinning-wheel, esp. in region of heart
Pressure, burning or incisive sensation, pain, as from ulceration and tearing in chest, esp. on lifting arms
Cutting tearing beneath l. nipple, extending to region of scapulae and upper arm, < during inspiration and deep breathing
Sensation of trembling in thorax, < by moving arms
Spasmodic sensation in chest, proceeding from pit of stomach and causing choking
Tensive lancinations in chest, esp. when drawing breath.
Heart
Violent palpitation of heart, perceptible to sight and hearing, often with anxious oppression of chest, < by curving chest forwards and by sitting down
Noise in chest, like that made by a spinning-wheel, esp. in region of heart
Sudden attack of suffocation, with palpitation of heart and anguish
Heavy aching in region of apex, with feeling as if a dull-pointed knife were slowly driven through it.—(Organic diseases of the heart; rubbing, bellows sounds.)
Sensation in heart as if squeezed with hand; as if crushed
Lancinations in region of heart
Stitches in heart, sometimes synchronous with the pulse
Sensation of trembling in heart
The beatings of the heart do not correspond with those of the pulse
Pulse weak, irregular, trembling
Undulating movement of the heart
In affections of the heart, particularly if the whole l. side is sore from the affection, and possibly the eyes also from sympathy; purring of heart as of a cat; palpitation of the heart with anguish; trembling pulsation of the heart; sympathy of the chest with heart troubles.—(Visible pulsation of heart
Violent, oppressive action of heart extending to top of head
Tumultuous action of heart in acute rheumatism and other acute disorders
R.
T.
C.)
Neck And Back
Needle-like stitches in upper dorsal vertebrae; in r. scapula
Sensation in l. scapula as though blood were dripping through a valve, a kind of bubbling
Red pimples on neck, with pain as from excoriation when touched
Hard and painful swelling of glands of the neck
Pains in nape, < when still, > by motion
Intermittent drawing in posterior cervical muscles and up to occiput
Sticking pain in r. side of neck; on swallowing, pain in parotid gland
Itching of anus and coccyx
Pain in back as from a fracture, also during movement
Bruised feeling in spine, even during rest
Lancinations (stitches) in back, sometimes on drawing breath.
Limbs
Fatigue
Drawing, tearing, twitching pains in limbs and joints
The limbs are affected mostly when walking.
Upper Limbs
Heaviness and trembling of arms
Easy numbing of arms and hands
Jerking of muscles of arms and forearms
Violent lancinations and shocks in bend of elbow and joints of hands and fingers
Spasmodic drawings and tearings in bones of hands.
Hard nodosities in the palms, with burning itching
Hands of a pale yellow colour
Contraction of fingers
Purulent pimples on fingers.
Lower Limbs
Pain, as of a fracture, tension and shootings in thighs, almost exclusively, when walking, or during rapid movements
Stitches in the joints of the legs and feet and in the thigh
Violent lancinations in knee on bending it
Painful stiffness in knee-joint
Lancinating shocks in joints of feet
Excrescences, like warts, on toes.
Generalities
[Very violent neuralgia, followed by an extreme soreness; boring pains; pains as if parts were pushed or pressed asunder, or as if they would burst; sensation of extension in size; feeling as of a lump in the inner parts; darting pains in inner and outer parts; darting pain from within outward; in the joints; pains of a dragging or rooting character Affections in general of r. side of face and nose; stool with maw-worms (oxyuris vermicularis), discharge of urine too copious, sensitiveness of outer parts; aversion to washing; trembling pulse that can scarcely be counted.—< On stooping; when blowing nose; during expiration; after rising from a seat; from touching the parts affected; when walking in open air; from having worms.—> While taking an inspiration
H. N. G.] Arthritic, shooting, or tearing pains in the limbs
Stinging pain in the limbs and principally in the joints Tearing in the vicinity of the joints, as if the bone were scraped Heaviness and soreness in the body when rising from a seat Sensitiveness of body to touch, with chilliness of the parts touched; or it sends a shudder through whole body
Great weakness, esp. mornings Heaviness and sensation in limbs as if fractured Convulsions Lassitude, esp. after slight exercise, and in open air
Syncope, esp. when making an effort to evacuate, or in a warm room Great sensitiveness to cold air, with sufferings from walking in open air Great liability to suffer from a chill.
Skin
Pale, wrinkled skin of body
Painful sensibility of entire skin when touched
Painful glandular swellings
Red pimples, with pain, as from excoriation, when touched.
Sleep
Strong disposition to sleep by day, and also in morning or evening; but without sleeping until long after lying down
Sleep at night, unrefreshing, agitated, with uneasiness in limbs
Heavy, stupefying sleep
Confused dreams, which cause him to awake wearied, and which he cannot remember.
Fever
Pulse irregular, generally strong, but slow
Trembling pulse
Frequent shiverings, esp. in morning or during slight exercise
Chill, frequently returning at the same hour in the morning
Chill, alternating with heat or perspiration
Chilliness on some part of the body, on others heat
The chill extends from the chest
Frequent heat, sometimes transient
Heat, esp. in back
Heat in face and on hands, with chill in back
Thirst for beer during the heat (with flushes of heat at night)
At night putrid perspiration with heat at same time
Clammy perspiration
Cold perspiration.