Sunday, January 7, 2007

AMBRA GRISEA

(From vol. vi. 2nd edit., 1827.)

(Ambergris, sometimes Ambra ambrasiaca, L )

This substance, often adulterated on account of its high price, we can hope to get genuine only in the first-class drug stores. The true ambergris, developed in the intestines of the sperm whale, as was proved by SCHWEDJAUR, and probably a fatty excretion from its gall-bladder, is obtained of the best quality from the sea, especially after stormy weather , off the coasts of Madagascar and Sumarta. It consists of small, rough, opaque masses, which are lighter than water, of spongy consistence, and can easily be broken up into rough, uneven pieces , externally of a brownish-grey colour, intenally permeated by yellowish, reddish, and blackish fibres intermingled with whitish , very odorous points, somewhat greasy to the touch, and of faint but very refreshing fragrance.

By the warmth of the fingers it becomes soft as wax, by the heat of boiling water its melts into oil, at the same time exhales a strong, very agreeable fragrance and on heated metal burns quite away. On applying a light to it it quickly takes fire, and burns with a bright flame.

Alcohol dissolves it very spatingly , but sulphuric ether dissolves it almost completely, and on adding alcohol a white wax-like substance is thrown down. Its feeble odour is much increased by this solution, as also by triturating it with other substances.

A grain of such genuine ambergris is triturated for an hour with 100 grains of milk-sugar in a porcelain mortar (every 10 minutes divided between 6 minutes of trituration and 4 minutes of scraping). Of this powder a grain is again triturated with another 100 grains of milk-sugar for an equal length of time , and in the same manner; and lastly, of this powder so obtained one grain is again triturated with a similar quantity of milk-sugar , in the same manner, and also for an hour. This furnishes a potentized millionth attenuation of ambergris, a small portion of a grain of which is not only sufficient for a dose for most homoeopathic purposes, but is often found to be quite so powerful; in which case its effects may be moderated by several small doses of camphor , but in many cases, according to the symptoms developed, by nux vomica, and in rarer cases by pulsatilla.

The duration of the action of such a dose is, in chronic cases, at least three weeks.

(The symptoms indicated by the letters Gff. Were observed by the State- councillor Freiherr von GERDOREF.).

[ None of the symptoms are derived from old school sources. Ambra first appears among Hahnemann’s medicine in the 2nd edition.]

 

AMBRA GRISEA

Great vertigo.

Extraordinary, even dangerous vertigo.

Vertigo while walking in the open air, in the forenoon and afternoon.

On account of vertigo and weak feeling in the stomach she must lie down (afternoon, aft. 72 h.).

5. He is always as if in a dream.

He cannot think of anything properly ; he is as if stupid (the first 24 h.).

Bad memory; the thinking power is very feeble; he must read everything therr or four times over , snd even then cannot take it in.

Great weakness in the head, with vertigo.

Weakness in the head, and a kind of chill in it.

10. Every morning headache, like emptiness, as if he had been drinking overnight.

Confusion in the occiput. [Gff.]Tension in the head, making him stupid.

Squeezing headache from both temples. [Gff.]

Squeezing confusion of the head. [Gff.]

15. Aching confusion in the head immediately after eating, especially when moving.

Pressure in the forehead ( with anxiety lest he should go mad) (aft. 48 h.).

Aching pain in the forehead. [Gff.]

Aching pain in occiput and nape. [Gff.]

Every other day down-pressing pain in the forehead and top of the head, with heat in head and burning in the eyes, with pale face from the morning onwards, only by worse in the afternoon.

20.Rush of the blood to the head for two days.

(Painless feeling of pressure on the top of the head and heaviness of the head, in the evening (aft. 36 h.)

Aching in the head combined with shooting.

Aching pain on a small spot at the occiput.

Aching pain on the left frontal protuberance.

25. Aching drawing from the nape upwards and through the head to the front, whilst pressure remains on the occiput. [Gff.]

Tearing pressure in the whole occiput, also to the crown and in the forehead. [Gff.]

Transient tearing through the head. [Gff.]

A drawing hither and thither , or tearing in the head.

On the left side of the occiput , towards the nape and behind the ear, tearing.

30. Tearing in the left temple up to the top of the head, on the right frontal protuberance and behind the left ear.

Tearing headache in the forehead extending to the upper part of the face. [Gff.]

Very painful tearing above on the crown and as if in the whole upper half of the brain, with pale face and coldness of the left hand. [Gff.]

(Twitching in the head.).

Above the left temple, a stitch in the head (aft. 3 h.) [Gff.]

35.In the evening, several very sharp stitches upwards towards the occiput.

On exertion, a shooting and cutting headache; he feels it at every step; better when lying.

External headache; also in the nape and neck, pain as from a sprain, with tenderness to touch , the whole day (aft. 12 d.).

Headache as if catarrh would come on, sometimes more, sometimes less, and persistent. [Gff.]

40.On the right side of the head , a part where the hair is painful as if sore when touched. [Gff.]

A painful spot on the occiput.

Roaring about the temples.

The hair of the head falls out. (aft. 24 h.).

Aching, tearing headache, especially over and on the head. [Gff.]

45. Pressure on the left eyebrow. [Gff.]

Pressure on the eyes, as if they lay deep (with tearing headache above from the forehead downwards, or from the ear through the occiput)(aft. 3 h.). [Gff.]

Short, violent pressure just above the nose, in the forehead, in frequent fits, which changes into tearing, and leaves behind it confusion in the occiput. [Gff.]

A painful pimple on the forehead. [Gff.]

A red papule on the middle of the forehead, close to the hair, touching it causes a sore pain , not suppurating. [Gff.]

50.In the eye, pressure and smarting, as if dust had got in it. [Gff.]

 Smarting in the eyes and lachrymation.

Pressure on the eyes, which are opened with difficulty, and pain in them as if they had been too tightly shut, especially in the morning. [Gff.]

Distented blood vessels in the white of the eye. [Gff.]

Tearing or short rends in and around the right eye. [Gff.]

55. Burning pain in the right eye (aft. 10 h.).

Burning in the eyelids.

Itching on the eyelid, as if would inflame to a stye.

Around the eyes, intolerable itching tickling.

Dim vision, as if through a fog (aft. some h.).

60.Very dark before the eyes (aft. 3 d.).

Spasmodic trembling in the facial muscles.

In the evening, in bed, spasmodic twitchings in the face.

Flying heat in the face.

Jaundiced face.

65. Eruption of pimples on the face, without sensation.

Gnawing formicating itching in the face.

Tearing in the upper part of the face, especially near the right ala nasi. [Gff.]

Red spot on the cheek, without sensation.

Eruption of pimples and itching on the whiskers.

70. Tension in the cheek, as from swelling.

(Painful swelling of the cheek on the upper jaw, with throbbing in the gums) (aft. a few h.).

Tearing in the morning, and often at other times, in the right ear.

Creping in the ears (aft. 48 h.).

Itching and tickling in the ears.

75. Roaring and whistling in the ear, in the afternoon (aft. 4 d.).

(Crepitation and creaking in the left ear, as when a watch is wound up.).

Deafness of one ear.

Hearing diminished from day to day, for five days (aft. 6 d.).

Violent tearing pain in the lobe of the ear and behind it. [Gff.]

80. Spasm of the right ala nasi towards the malar bone.

(Great dryness of the interior of the nose, although the air passes well through it.).

Dry blood collects in the nose (aft. 16 h.).

Epistaxis, especially in the morning .

Hot lips.

85. Spasm in the lower lip and sensation as if were pressed against the gumsand torn away again.

(Pain in the corners of the mouth , like soreness.)

Shooti, aching pain in the jaws.

In the jaws, pain as if they were screwed together or asunder.

Drawing pain, now in one, now in another tooth, which was aggravated by warmth, was relieved for a moment by cold, was not aggravated by chewing, and went off after eating; at the same time the gums were swollen on the inside.

90. Greatly swollen and painful gums.

Pain in a hollow tooth, in the evening.

Pain in a hollow tooth, especially in the open air, as if the nerve were touched.

After dinner, pain in a hollow tooth, more shooting than tearing for half an hour (aft. 5 h.).

Squeezing, drawing in the right upper molars. [Gff.]

95.In the evening in bed aching , digging pain, as if under the left lower molars. [Gff.]

Drawing toothache, at one time in the right, at another in the left teeth, by day and during several nights. [Gff.]

Drawing in an incisor tooth, as if draught of air penetrated it and caused a stitch. [Gff.]

Bleeding from the teeth.

Uncommonly profuse bleeding out of the right lower teeth. [Gff.]

100.Pain in a submaxillary gland , which was as if swollen (aft. 3 d.).

Foeter of the mouth.

In the morning, in waking tongue , mouth, and lips, as if numb and quite dry. [Gff.]

In the morning, on awaking, great dryness of the mouth, with complete absense of thirst, for several days. [Gff.]

Smarting and soreness in the interior of the mouth; on account of the pain she could not eat anything hard.

105.Vesicles in the mouth, which pain as if burnt.

The tongue is covered with a greyish-yellow coating. [Gff.]

Under the tongue lumps, like small growths, which pain like excoriation.

Contractive sensation in the salivary glands, when eating, especially during the first mouthfuls.

Rheumatic pain at the back of the tongue and in the fauces, when not swallowing. [Gff.]

110. Tearing pain on the palate extending into the left ear.

Scraping sensation on the palate.

Scraping in the throat. [Gff.]

Scraping in the throat, as in catarrh, for some days.

In the morning, dryness in the throat.

115. Feeling in her throat as if something were sticking in it.

Tearing in the interior of the throat and above, quite at the back of the fauces. [Gff.]

Smarting at the back of the fauces when not swallowing. [Gff.]

Aching, smarting paint at the back of the throat from time to time . [Gff.]

Pain in the throat like something obstructing deglutition (aft. 8 d.). [Gff.]

120.(Sore throat, not when swallowing food, but during empty swallowing and on pressing on it externally , with tension in the cervical glands, as if they were swollen) (aft. 4 d.).

(Sore throat after a draught of air; shooting from the throat into the right ear and pain especially when moving the tongue.)

Secretion of mucus in the throat, with roughness and scraping. [Gff.]

Hawking of mucus, in the morning. [Gff.]

When hawking up mucus from the throat, almost unavoidable retching and vomiting.

125. The (accustomed) tobacco smoking greatly irritates and excites him, although it tastes good it tastes good; hiccup.

Frequently in the afternoon, rather tasteless eructation.

Ferquent, empty eructation (aft. 3.1/2 h.). [Gff.]

After a meal, violent eructation.

Frequent sour eructation (aft. 48, 72 h.).

130. Audible eructation, of a bitter taste.

When walking in the open air heart-burn, with baulked eructation. [Gff.]

Every evening, sensation as from disordered stomach and scrapy belching up as high as the larynx , like heart-burn.

(In the morning, on awaking , bitter taste in the mouth.)

After drinking milk, acidity in the mouth.

135.(After breakfast, nausea) (aft. 72 h.).

(In the stomach clawing nausea) (aft. 24 h.)

Qualmishness about the stomach.

Burning in the stomach. (aft. 3 h.) [Gff.]

Burning in the gastric region and higher up. [Gff.]

140. Aching and burning under the scrobiculus cordis, which goes off by eruction. [Gff.]

After eating, anxiety.

After eating, pressure in the pit of throat, as if food still stuck there, and would not go down.

During dinner tearing in the left side of the palate, at the back of the throat. [Gff.]

After a meal, transient tearing first about the left, then about the right eye. [Gff.]

145.Immediately after eating aching confusion of the head, especially when moving.

On account of weak feeling in the stomach and vertigo she must lie down, in the afternoon (aft.72 h.).

Tension and pressure in the gastric region.

Spasm in the stomach.

Shooting and aching in the gastric region.

150.Pressure under the scrobiculous cordis and in the hypogasterium, from time to time, also at night. [Gff.]

Pressure in epigastrium, with cold hands or feet. [Gff.]

Pressure in the abdomen, passing into squeezing. [Gff.]

Aching in the umbilical region , with heart-burn, that goes off by eructation. [Gff.]

Pressure in the side of the abdomen over the right hip. [Gff.]

155.Violent spasms in the abdomen.

Continual pressure in the epigastrium , allayed by walking in the open air, returning when sitting. [Gff.]

An aching in the hypgastrium for several hours, equally severe when walking and when sitting.(aft. 6 d.).

Aching pain in a small spot on the right side of the abdomen in the hepatic region, but not felt when touched. [Gff.]

Aching pain in the hepatic region. [Gff.]

160. Tension and distension in the abdomen, after everything he eats, even after evry mouthful of fluid.

Tension abdomen.(aft. some h.).

Distented abdomen (aft. 5 d.).

Early in the morning great compression in the abdomen.

The abdomen feels compressed.

165.Weight in the abddomen, as if sprained and pressed from the spinal column.

After pressure in the abdomen discharge of inodorous flatus. [Gff.]

Squeezing pain in the right hypogastrium. [Gff.]

First pinching bell-ache, followed by some cutting in the epigastrium, which goes off by eructation. [Gff.]

Discomfort from displacement of flatus, causing pain, especially in the left side of the abdomen.

170.Immediately after midnight he wakes up with great distension of the abdomen, especially of the hypogastrium, from flatulence, which cannot pass, and excites colic, or at least severe pressing downwards; this accumulation of flatulence goes off during subsequent sleep, without discharge of flatus, and the abdomen becomes quiet.

Fermentation and rumbling, heard but not felt, in the bowels. [Gff.]

Pinching in the hypogastrium , with violent fermentation and gurgling, especially in the epigastrium , when lying in bed, in the morning, diminished by rising, and renewed on again lying down, especially when lying on the back. [Gff.]

Violent cutting in the abdomen , in the evening.

After midnight, cutting in the abdomen in bed, even during the general perspiration of the body.

175.Cutting in the abdomen, with a soft stool, in the morning, for two successive mornings (aft. 5 d.).

Severe cutting in the abdomen , with three diarrhoeic stools, on three successive days (aft.5 d.).

(Burning in the abdomen.).

Cold feeling in the abdomen.

Coldness of one side of the abdomen for two days (aft. 48 h.).

180. Twitching in the abdominal muscles, in the evening.

Shooting over the hips, for two days (aft. 5 d.).

A sharp pressure, or obtuse stitch, over the right hip. [Gff.]

On drawing in the abdomen violent needle-pricks in the hypogastrium, also excited by external perssure. [Gff.]

Shooting belly-ache about the navel, on moving the abdomen, especially on drawing it in. [Gff.]

185. A frequent call to stool , but no motion occurs, and this makes her very anxious, and then the propinquity of other people is intolerable to her.

After ineffectual call to stool , a pinching pain ni the hypogastrium, especially in the right side (after some days0. [Gff.]

Tenesmus in the rectum.

Stool too scanty (aft. 24 h.). [Gff.]

Constipation (aft. 4 d.). [Gff.]

190.(Drawing in the rectum.)

Itching at the anus.

Itching at the anus.(aft. some h.). [Gff.]

Tickling in the rectum.

Itching and smarting in the anus , which goes off by rubbing. [Gff.]

195. Shooting in the anus.

Four stools of ordinary character within a fewhours (aft. a few h.).

Copious, soft, bright brown stool (aft. 8 d.). [Gff.]

(Seems to effect improvement in the hitherto sluggish, in the secondary action) (aft. 10, 15d.).

Along with not hard stool, great discharge of blood (aft. 7 d.).

200. After stool, aching deep in the hypogastrium . [Gff.]

(After each stool a weakness about the scrobilicus cordis).

After passage of stool there remains in the abdomen a wanting to go (he feels as if he had not finished) for more than a minute.

Pain in the rectum and at the same time in the bladder (aft. 5 d.).

Sensation as if some drops escaped from the urethra.

205.Urine lemon coloured, almost in odorous, with a small cloud. [Gff.]

Urine brown.

Urine like whey.

Scanty urine, with reddish cloud , with absence of thirst. [Gff.]

Urine dark brown and somewhat turbid, even during its passage. (aft. 20 h.).

210.Urine turbid, even when first passed, yellowish-brown, and deposing a brown sediment , whilst the clear urine above it was yellow.

Urine with reddish cloud. [Gff.]

Urine after standing a short time, of penetrating odour.

Bloody urine.(aft. 7 d.).

Diminished secretion of urine (the first 3 days).

215. Scanty urine, which after some hours has a reddish sediment. [Gff.]

Much micturition at night.

In the morning, after rising , for two hours, urging to urinate, to that he often cannot retain the urine.

He urinates three time as much as he drinks, especially in the morning; thereafter by a dull pain in the renal region.

Copious, bright coloured, unclouded urine (aft. 4 d.).

220.Burning in the orifice of the urethra and in the anus.

Burning at the mouth of the urethra (aft. 6 d.).

(Twitching in the urethra) (aft.12 d.).

(Twitching in the testicles) (aft. 14 d.).

Tearing in the glans penis.

225.Ulcerative pain in the glans penis.

An itching pimple above the male genitals.

Burning internally in the region of the seminal vesicles.

Burning, smarting, tickling and itching on the vulva and in the urethra when urinating.

Burning in the female genital organs, with discharge of some drops of blood, especially after walking and after a hard stool.

230. Severe itching on the pudendum ( more rarely at the anus); she must rub the parts.

Sore pain and itching on the pudendum, also when not urinating.

Swelling and soreness of the labia pudendi, and itching there.

Itching in the glans penis, continuing while sitting, lying, standing and walking.

Violent voluptuous sensation in the interior of the genital organs, lasting for an hour, without considerable erection or irritation of the external sexual parts (aft 4 d.).

235.In the morning, on awaking , violent erection, without voluptuous sensation, with external numbness and diminished sensibility; on the cessation of the erection , a creeping tearing in the anterior part of the urethra.

It takes away the erections ( in the secondary action).

Menses three days too early.(aft. 4 d.).

Menses four days too early (aft. 20 d.).

Great excitement in the abdomen , as if the menses were about to come on, which had appeared only 21 days previous (aft.2.h.)

240.Discharge of blood from the uterus (aft. 2 h.).

During the menses the left leg becomes quite blue from distented veins, with pressing pain in the leg.

(At night, musch leucorrhea).

(Discharge of bluish- white masses of mucus from the vagina.)

(Thick slimy leucorrhoea, increased day by day, and before each discharge a stitch in the vagina.)

245.In the forehead and eyes , sensation as before the outbreak of coryza. [Gff.]

Headache on blowing the nose.

Nose stopped up and sore pain in the inside of it.

Long continued, great dryness of the nose, but frequent smarting in it as if he would sneeze. [Gff.]

Sometimes sneezing with dry nose.

250.Creeping in the nose, as if about to sneeze.

Frequent feeling as if about to sneeze.

She sneezes almost every day , which never occurred before.

Stuffed coryza.

Scraping in the throat, as in catarrh.

255. The voice is rough and hoarse ; viscid mucus collects in the throat.

Hoarseness; rough deep voice , alternating with thick mucus in the windpipe, which he easily gets rid of by hawking and voluntary tussiculation (aft. 10, 24 h.).

Foetid breath, in the morning after awaking.

Coryza and cough, with expectoration of white mucus.

Tickling in the throat, exciting cough.

260. Cough only at night from extreme irritation in throat-not by day.

Cough excited by scraping in the throat. [Gff.]

Collection of greyish mucus in the throat, which is coughed out with difficulty; at the same time scraping in the throat. [Gff.]

Itching in the throat and thyroid gland during the cough.

Burning, itching tickle from the larynx down into the abdomen.

265.While coughing pain in the side below the scrobilicus cordis.

Every evening cough, with pain under the left ribs, as if something were torn away there.

Cough only at night on account of horrible irritation in the throat .

Cough comes sometimes in regular great fits.

Frightful spasmodic cough, with much eructation and hoarseness.

270. A kind of whooping – cough (aft. 48h.).

Deep, dry cough, with flow of water into the mouth, and afterwards scraping in the throat. [Gff.]

When coughing, sensation as from a sore place in the throat.

Very salt expectoration when coughing.

When coughing there is a pressure in the umbilical region.

275. Sensation like rawness in the chest.

Burning in the chest.

A burning in the external parts of the chest. [Gff.]

On one of the right ribs, an aching burning pain, aggravated by external pressure; then on the left side of the chest a similar pain. [Gff.]

A stitch in the chest extending into back (aft. some h.).

280. A violent obtuse stitch in the right side of the chest, catching the breath. [Gff.]

Whistling in the chest.

Oppression on the chest.

Oppression in the back through the chest.

Oppression of the chest and in the back between the scapulae, which goes off for a short time by eating.

285. Tight chest, with much restlessness , all day (aft. 3 d.).

Tightness of the chest; she can not take a deep breath nor yawn properly.

Anxiety at the heart, hindering respiration, with flying heat.

Palpitation of the heart, when walking in the open air, with pale face.

Along with violent palpitation of the heart pressing in the chest, as if a lump lay there, or the chest were stuffed there.

290. Aching sensation deep in the right side of the chest on expiring forcibly, most painful on a small spot. [Gff.]

Aching in the upper part of the chest, in fits of five minutes.

Aching superiorly in the chest. [Gff.]

Aching under (in?) the left side of the chest.

Aching in the left side of the chest in the cardiac region. [Gff.]

295.In the chest, above the scrobilicus cordis, an aching bruised pain, relieved by eructation. [Gff.]

Bruised pain on the right lowest true rib, rather posteriorly. [Gff.]

Rheumatic pain on the right side of the chest under the arm. [Gff.]

Tearing pressure in the left side of the chest.

Violent pressure on the lower part of the sacrum. [Gff.]

300.In the sacrum stitches, when sitting (aft. 8, 9 d.)

In the sacrum single, violent , sharp stitches, increased by the least movement. [Gff.]

Painful tension in the lumbar muscles.

Rheumatic pain in the back, on the right side. [Gff.]

Backache, as if bowels were compressed , and a weight therein, as if he could not straighten himself.

305. A burning in the left scapula.

Shooting in the left scapula.(the first day)

Rheumatic pain on the right scapula. [Gff.]

Aching drawing pain in the nape.

Tearing in both shoulders.

310. Tearing in the left shoulder-Joint. [Gff.]

In the evening drawing, and as if dislocated and paralysed in the shoulder.

On the right shoulder a violent obtuse stitch.(aft.2 h.). [Gff.]

The arms are apt to go to sleep on lying on them.

At night, in the right arm, frequently numbness and gone asleep.

315. The left arm frequently goes asleep, by day, when at rest.

Tearing in the morning in the right arm for five minutes.

Clucking in the arm.

Twitching in the arm.

(Paralysis in the right upper arm.)

320. Tearing in the righelbow.

Tearing on the right elbow.

Tearing in the right elbow and forearm. [Gff.]

Aching drawing pain in the right forearm up into the elbow. [Gff.]

Falling asleep of the hands at night.

325.Cramp in the hands (a. some h.)

In the evening the fingers are drawn crookedly inwards(aft. 7 d.).

Paralysis of the hands for some minutes (aft. 6 d.).

At night weakness of the fingers so that he can only by an effort press them upon the palm, or move them quickly. [Gff.]

Long continued icy coldness of the hands (aft. 1 h.) [Gff.]

330.Painful, long-continued coldness of the hands. [Gff.]

In the evening icy coldness of the hands; he is chilled by it. [Gff.]

Tearing in the inside of the right metacarpus. [Gff.]

Pricklings in the hands and fingers as from gadflies.

Prickings now in the right index , now in the right thumb.

335.Itching in the palms.

Rheumatic pain from the proximal joint of the thumb, through its metacarpal bone to the wrist-joint. [Gff.]

Tearing in the muscles of the thumb. [Gff.]

Trembling in the thumb, in the evening in frequent, short fits.

Tearing in the proximal joint of the left index. [Gff.]

340.(The proximal joints of the fingers become stiff in the evening, and the proximal joint of the thumb swollen; it is painful when flexed-worst when she has made no movement of the fingers during the day.)

Tearing in the right index. [Gff.]

Tearing in the last two fingers , in the evening, before going to sleep. [Gff.]

Drawing in the fingers and thumb.

Tearing in the tip of the right little finger. [Gff.]

345. Tearing under the nail of the right middle finger. [Gff.]

The skin of the finger tips is wrinkled, in the morning.

The wart on the finger pains as if sore.

Itching in the finger tips.

A small tetter appears between the thumb and index, which itches.

350.In the tip of the left thumb a shooting tearing pain, and also on gently touching it, it feels as if a splinter were stuck in under the nail; the sensation is less on pressing strongly on it. [Gff.]

In the tip of the thumb a formication as if it were asleep, which goes off for a short time by external pressure. [Gff.]

Tearing in the left and then also in the right hip. [Gff.]

Aching, tearing pain anteriorly , just below the left hip. [Gff.]

Clucking tearing posteriorly below the left buttock. [Gff.]

355. Tearing in the right buttock. [Gff.]

Tearing in the left lower limb, in the morning.

Rheumatic tearing in the right lower limb. [Gff.]

Heaviness of the lower limbs.

Tension in the thigh, as if the tendons were too short, especially when walking.

360. Stretching and relaxation in the lower limbs.

The lower limbs feel gone to sleep; he cannot step firmly(aft. 8 d.)

Tearing on the right knee. [Gff.]

Drawing in the knees and ankles.

Paralysis of the knee for some minutes.(aft. 6 d.).

365. Above the knee pain of dislocation , especially after sitting (aft.5 d.).

Itching on the knees.

In the morning stiffness in the hough (the first days)

Soreness in the houghs, the pain is worst in the evening.

Tearing under the left knee, at the upper part of the tibia. [Gff.]

370. More cold feeling in the legs than externally perceptible coldness. [Gff.]

The right leg is very cold, especially the knee.

Cold feet.

Very cold feet. [Gff.]

On the both tibiae painful spots.(aft. 28 d.).

375.( The legs from the knees downwards very swollen, especially the feet.) (aft. 3 d.)

Swelling of the left inner ankle ; it is only painful there when walking; but on walking for a considerable time it no longer hurts (aft. 7 d.).

In the evening, after lying down, itching on the legs above the ankles; after rubbing it pains as if sore and bruised.

Intermitting tearing on the left calf. [Gff.]

380.Cramp in the lower limbs and cramp in the calves almost every night.

Grumbling in the calves and feet.

Creeping in the feet, which are as if numb ( a tingling in them);

When he stood up he felt faint , all became dark before his eyes; he could not remain up, he must vomit (bile), and had to lie down again.

Itching on the ankles.

Tearing in the ankles.

385.Gouty pain in the ankle-joints.

Pain on walking in the left ankle-joint.

In the left foot tearing and shooting (aft. 26 d.).

In the left foot occasional shooting.

Tension in the left foot (at noon).

390. Stiffness of the feet, which are very weary.(aft. 6 d.).

Gouty pain in the ball of the big toe.

Stitch in the ball of the big toe.

Itching on the toes.

Intolerable tickling on the tip of the big toe.

395. Tearing in the middle toes of the left foot. [Gff.]

Tearing on the external border of the left foot. [Gff.]

Pain in the heel when walking.

Stitches in the heel.

Itching in the interior of the soles, not allayed by scratching.

400.Great burning in the soles.

Pain of the corns, as if sore.

By gentle walking in the open air the symptoms are alleviated, but return when sitting. [Gff.]

When walking, profuse perspiration chiefly on the abdomen and thighs.

Perspiration all day long(aft. 24 h.).

405.Itching almost all over, even on the abdomen.

Produces the itch-eruption on the skin, with much itching.

Causes the tetters to reappear.

A burning in several parts of the skin of the body.

In the morning on awaking the skin of the body is as if numb and insensible to the knees, without being cold; the hands have only an indistinct sensibility – a kind of gone-to-sleep condition of the skin, but without formication. [Gff.]

410.He feels the pulse in the body like the ticking of a watch.

Twitching in the limbs.

Uncommon twitching in all the limbs and coldness of the body at night(aft. 5 d.).

From walking in the open air , commotion in the blood and accelerated circulation, with greater weakness of the body.

Uneasiness in all limbs, like a formication, with a kind of anxiety – only by day.

415.In tne morning ( in a heated room). he became suddenly so weak that he could not walk alone , with cold sweat on the forehead and hands.

Very exhausted (aft. 8 , 24 h.).

Exhaustion in the morning in bed. [Gff.]

In the morning great weakness in the lower limbs.

Weariness, with painfulness of all the limbs.

420. Exhaustion that goes off by walking (aft. 5 d.).

Heavy in the body and very tired (aft. 7 d.).

Faintness, sinking in the knees (aft. 3 h.).

Weakness in the feet like insensibility (aft. 48 h.).

She must lie down on account of weak feeling in the stomach and vertigo(aft. 72 h.).

425.Inclination to stretch himself.

(Sleepiness by day).

Before midnight sleeplessness.

He cannot sleep at night, he knows not why.

For several nights sleeplessness , and in the morning slumber full of fantastical dreams.

430. Frequent waking at night. [Gff.]

Frequent waking, and at 2 a. M. long uneasiness in the whole body, especially in the occiput.

Very late of falling asleep- then very restless sleep on account of pressure in the epigastrium , particularly the right side. [Gff.]

For several successive nights , always after midnight until 7 or 8 a. M., pain over the eyes, with nausea.

In the evening, late, after going to sleep in bed, aching, tearing from the occiput into the forehead. [Gff.]

435. The first half of the night heat in the head.

Uneasiness in the occiput after midnight.

At night he wakes up with headache , which goes off on rising.

Waking with exhaustion, dryness of mouth, and great pressurein the epigastrium, diminished by lying on the abdomen, where upon he has tearing in the sacrum instead , which goes off when he again lies on the back. [Gff.]

On awaking about midnight weakness, nausea, great pressurein the scrobiculus cordis and abdomen, violent erections, without voluptuous sensation, dryness in the mouth and insensibility of the surface of the body. [Gff.]

440. Very early waking; followed by frequently interrupted, but very profound sleep, with eyes fast closed. [Gff.]

In the morning, after waking , in bed, greater weariness, especially in the upper part of the body, confusion of the head and sensation as if the eyes were very fast closed, besides some nausea in the scrobilculus cordis, he has hardly resolution to get up. [Gff.]

In the morning, in bed, weariness , with feeling in theyes as if they were too firmly closed. [Gff.]

At night when asleep he lies on his back, the occiput supported by both hands, and with bent knees, with very vivid dreams. [Gff.]

445. For three successive nights restless, with many dreams (aft. 5 d.).

While in the actof going off to sleep vivid, uneasy dreams, which almost prevented any sleep (aft. 8 d.).

The child sleeps restessly, talks in its sleep, and wants to drink.

Sleep restless, with anxious dreams (aft. 5 d.).

The night full of uneasy, anxious dreams. [Gff.]

450. After falling asleep late , anxious dreams, as if he was ill used, and on account of weakness could not defend himself; he then awakes with great weakness in the upper part of the body, with squeezing pressure under the scrobiculus cordis and nausea, sensations that recur when he lies down again and falls asleep- to which is then added pressure in the left side of the abdomen; but on waking up and sitting up and moving the symptoms go off, with discharge of flatus, fermentation in the abdomen and eructation. [Gff.]

Vexatious, anxious dreams, and talking in sleep, for eight days (immediatlely).

Dreams full of business.

At night restless sleep, on account of coldness of the body and twitching in all the limbs (aft, 5 d.).

Internal chilliness at night , on account of which he cannot go to sleep, or from which he wakes up at night; he does not become warm at all.

455. Chilliness and weariness as if he wanted to sleep, for successive fornoons, which went off by eating his dinner (aft. 72 h.)

From early morning chill, sleep-weariness, and numb headache, which only went off by walking in the open air.

After two diarrhoeic stools, chill, great weariness and headache.

Before dinner chilliness (the first days).

(Coldness of the skin of the whole body-excepting only the face, neck. and genital organs.)

460. For two successive evenings heat, from 7 to 8 p. M. (aft. 12 d.).

Every quarter of an hour heat in the face and all over the body (aft. 5, 6 d.)

Nocturnal perspiration for two successive nights (aft. 6, 7 d.).

Profuse night sweat for two successive night )aft 5 d.).

Always after midnight general , strong-smelling sweat, for many nights.

465. Every night a strong exhalation , almost like sweat.

Moderate night sweat all over , with great warmth of the body.

Every morning sweat, most profuse on the ailing side.

Very restless by day.

Restless al day, with tightness of chest.

470. Disposition restless and excited.

Hurriedness in intellectual occupations.

Irritable humour, as if weak in nerves and impatient. [Gff.]

Excited; she spoke unusually much (loquacious), was very much exhausted thereby, could not sleep at night, got a headache, as if a great weight lay on her head; she felt much oppressed, must sit up in bed, and anxiety , and perspired all over the body.

Unusually long excitement.

475. Is irritated by speaking , has shaking and trembling all through the body. especially in the lower extermities, and must remain for some time alone, in order to rest.

Music sends the blood to his head.

The imagination is occupied with many lascivious ideas, even in dreams, and yet the disposition and the sexual organs are but little excited bt them ( in the first 24 h.).

Distorted fancies, grimaces , satanic faces take possession of the mind, and he cannot get rid of them.

Anxious thoughts arise in him.

480. Anxious in the evening.

Anxious and trembling (aft. 8 d.).

Great dejection (aft. 6 d.).

Sad thoughts take possession of him, with sinking feeling about the heart; he is for a long time depressed in spirits.

Very sad (aft. 72 h.).

485. Despair.(aft. 48 h.).

Immediatlely lachrumose, then peevish and quarrelsome, for two hours.

His humour is easily embittered.

Constant alteration of dejection and passionate disposition, which will not allow him to get a tranquil disposition.

Indifferent to joy and sorrow , but more dejected than calm.

Very composed disposition.(Secondary action by the organism)

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