The elaps corallinus is found quite frequently in the woods all along the coast of Brazil, and its bite is much dreaded. Its colors are more brilliant and more agreeably combined than those of any other serpent in Brazil. Its head is small, covered with large polygonal scales; it swells behind and is continuous with the neck from which it is scarcely distinguished as regards size. It has round and small eyes; the jaws which are little dilatable, are furnished with sharp teeth accompanied by fangs that rest on the venomous glands. The body is about two feet and a half in length; it is round, rather big in proportion to the head, and terminates in a sharp tail. The upper part is covered with smooth rhomboïdal scales; the belly is covered with two hundred transverse shields; the tail numbers fifty shields, which are disposed in two parallel rows. Its colors are disposed in the shape of rings of a vermillion-red, alternating with black rings, each two rings being separated by circular lines of a greenish white. The upper part of the head is black; likewise the first colored ring of the neck; the shields of the jaws are white, and are separated from each other by black lines. As in the case of the crotalus cascavella, the poison was taken from the living reptile, not without danger.
As soon as I had determined to institute provings with the poison of the cobra-coral, several of these reptiles were, at my request, brought to me on the same day, so frequent are they in the forests of Sahy. The animal which I selected was wrapt up in a piece of linen-cloth, and, after its head had been steadied with a little wooden pin, some eight or ten drops of poison were pressed out of its jaws by means of a pair of steel-pincers, which I received on one hundred grains of sugar of milk, and at once subjected to the process of trituration in my mechanical mortar. They received six thousand successive turns. One grain of this mass was triturated a second time, and a grain of this second trituration a third time, each receiving three thousand turns.
Even while triturating the drug in my mortar, the most striking effects were produced by the simple emanations ascending from it. This phenomenon, however, is observed whenever I cause a somewhat active drug to be triturated in the mortar.
The symptoms which I have collected, are not a great many, but they can be depended upon. Most of the symptoms were experienced by several provers, and some of them have already been confirmed by treatment, among which may be mentioned the oppression in going up-stairs, the vesicular eruption on the feet and the deafness. This last symptom is of great importance on account of its being so obstinate. For pulmonary affections the poison of the cobral may likewise prove a valuable remedy, especially for the second stage of phthisis, characterised by bloody cough and derangement of the digestive functions. It may likewise be serviceable in mental alienation and cutaneous eruptions.
The special action which this poison seems to exercise on the right side, the paralysis, the lancinations, have appeared to me worthy of attention. The gyratory motions, the desire to move to and fro, the scaling off of the epidermis and several symptoms relating to the disposition and the mind, seem to deserve the attention of the philosophical physician.
There certainly exist remarkable analogies between the symptoms of the cobral and those of the lachesis. The differences, however, are sufficiently numerous to refute the doctrine that all serpent-poisons act almost alike and that the cobral, for instance, may be resorted to as a perfect succedaneum of the lachesis. I am convinced of the contrary to such an extent that it is my belief that the poison of serpents alone would, if sufficiently proved, furnish the safest and most rapid means of combating all human infirmities. Every epoch in the history of the world is undoubtedly possessed of therapeutic means which are more particularly homœopathic to the general character of the ruling maladies. Hence it is probable that when the human species shall have been freed from the miasms which now undermine its vitality, the simple flowers on the fields will be sufficient to control the remaining indispositions. Whereas we, unfortunate heirs of the chronic miasms of all ages, lepra, scrofula, syphilis and a host of other subtle plagues, are compelled to employ the most frightful agents in order to meet the intensity of our diseases.
First to third day.—1. Reveries in the day-time, one imagines one is receiving blows. One imagines one hears some one speak. One hears talking without comprehending. Absence of mind. 5. Nightmare and congestion about the head. Anxious dreams. Weight in the right parietal region and pain which penetrates to the nape of the neck. Beating at regular intervals in the nape of the neck, like the ticking of a clock. Weight in the forehead and above the orbits. 10. Boring pain from the vertex to the right eyebrow. Pain on the right side, which seems to be seated in the cerebellum. Sweat on the forehead and nape of the neck. The head falls forward with violence. Painful constriction in the temples and eyes. 15. Violent throbbing of the external carotid. Horrid pains when inclining the head backwards; less when inclining it forwards. Tension in the nape of the neck. Stiffness which prevents the head being turned. Sensation as of a foreign body in the right temple. 20. Lancinations in the outer angle of the left eye. Boring pain from the lower jaw to the right eye, and then from the right eyelid to the ear. Desire to close one’s eyes as in fever. Sharp pricking in the inner canthi of the eyes. Aching pains around the eyes, with vanishing of sight. 25. Continual buzzing as from a fly in the meatus auditorius. Constant deafness. Ringing in the ears. Discharge of a serous fluid from the left ear. Distressing prickling in the superior nasal fossa. 30. Swelling of the gums on the last three molar teeth. Prickling as if caused by strong spice, after having triturated the drug. Prickling at the tip of the tongue. Sour eructations, desire for cold water, ice. Loathing of food, acidity after every mouthful of food. 35. Pressive constriction in the throat. Burning from the larynx to the tongue as from peppermint, with desire for fresh air. The food descends in the œsophagus as if turned round like a screw. At other times the soup falls heavily and precipitately, as if through a metallic tube into the stomach, which trembles violently. Watery, yellowish diarrhœa, which is mixed with slime, attended with rumbling in the bowels. 40. Urine almost red. Urine profuse. Urine red. Constriction of the sphincter. Continual discharge of prostatic fluid. 45. Thickening of the skin of the prepuce, with inflammation. Excoriation on the back of the penis, which causes a continual itching. Weakness of the genital powers, impotence. Lancinations and prickings in the penis. Weight and swelling of the testicles. 50. Spitting of black coagula of blood, with painful tearing as if proceeding from the heart. Almost constant cough. Sensation in the chest and at the sternum as if the pleuræ would be torn off, and as if the two lungs would be separated from each other by force. Inability to incline to the right side, in consequence of a very painful pulling in the right lung. Violent itching, drawing, pricking at the epigastrium, which hinders drawing a full breath. 55. A chronic loss of breath when going up-stairs, disappears after the second day of the proving. Violent fit of dry cough which finally ends in raising black blood, with frightful tearing pains in every part of the lungs, and especially in the right side, at the upper part of the chest. Taste of blood in the mouth previous to the paroxysm of cough, succeeded by a desire to vomit. Burning in the hands while preparing the drug. Prickling in the back of the right hand. 60. Pulling in the right hand, which extends to the ring-finger. Pains in the elbows. Crampy constriction in the phalanxes of the fingers and under the nails. Lancinations and prickling in the back of the hand. The blood remains congested in the hand, which is of a violet color and as if paralysed; it has to be kept erect in order to prevent the congestion. 65. A black blood spirts out of the finger when pricking it ever so little. Vesicular eruption on the feet. Pains in the knees. Pains in the knees as if bruised and contused, especially in the left knee, which does not bear contact, and where the pain is as keen as if the part had been sprained.
Third to sixth day.—Sensitiveness of the right side. 70. Inability to rise in the morning in consequence of the pain in the right side. Slight phlyctænæ make their appearance here and there, especially on the extremities; the epidermis surrounding them sometimes scales off. Drowsy the whole day, but sleepless nights. Dreaming about the business of the day. Pain in the forehead. 75. Red eyebrows. The eye is extremely sensitive to cold water. Stoppage of the right nostril, improved by resting on the same side. Bad smell from the nose. Pulling in the œsophagus. 80. Violent headache, if the desire for food is not satisfied on the instant. Suffocative oppression after eating. Bloating of the stomach after eating. Pulling in the pit of the stomach. Violent hunger. 85. Pressure at the right hypochondrium. Pressure in the left side, which extends to the vertebral column. Dull pain in the right lung, worse when walking. Congestion of blood to the throat, which is caused by the pain in the lung. Sense of spraining and stiffness in the knee joint.
Seventh day.—90. Painful pressure at the nape of the neck, as if the cerebellum had settled downwards. Eyes red and inflamed. Blood oozes from the eyes. Glassy look. Bitter, salt taste in the mouth. 95. Noisy and violent borborygmi. Stitch in the side. Falling of the rectum. Hoarse voice. Violent beating of the heart. 100. Pain as if bruised in the sides of the neck. Painful drawing at the inner side of the arm, from the axilla to the wrist, but felt especially at the bend of the elbow. The right hand feels as if paralysed. Shuddering from the hand to the shoulder when dipping the former into cold water. A good deal of distress in the whole abdomen. 105. The left foot is swollen and blue, with red spots. Drawing-up of the feet. Twitching in the parotid gland. The saliva tastes salt. Crusty eruption over the ear and a part of the cheek. 110. Itching in the ear, in the evening. Red urine, with cloudy sediment. Pinching sensation at the helix and lobe of the ear. Discharge of a greenish-yellow liquid from the ear, in the morning. Painfulness of the parotid gland. 115. Itching pimple on the legs. Discharge of blood from the ear. Swelling of the inguinal gland. The left groin is painful to contact. Colic with urging to stool. 120. Blackish and frothy diarrhœa. The urine is very thick and deposits a red sediment.
SECOND EXPERIMENT.
First day.—Tension in the nape of the neck and inability to turn the head. Dark, almost red complexion. Pain in the urethra while urinating. 125. Pricking in the left gums. Desire for food, with aversion to eating. Lassitude in the limbs. Prickling under the toe-nails. Sense of excoriation at the nape of neck. 130. Violent pains in the lumbar region, like a band extending to the uterus. Weight at the uterus. Weight at the stomach after eating. Acidity, nausea and faint feeling. Weight at the left side of the uterus. 135. Unquenchable thirst. Feeling of coldness in the chest after drinking. The lower limbs give way. Pain in the right instep as after a forced journey. Colic gradually spreading all through the colon, from the cœcum to the rectum. 140. Sleeplessness with uneasiness. Weight at the vagina, in consequence of an attack of hysteric colic. After a continued congestion of the blood to the thoracic viscera, it seems to rush to the viscera of the abdomen. Prickling in the uterus, vagina and pubic region, extending to the epigastrium, with painful lancinations. Lancinations at the umbilicus from above downward, extending to the womb. 145. Vomiting of green bile, followed by bilious diarrhœa. Buzzing in the ear. In cleaning the meatus auditorius, small balls of hardened and black wax are taken from it.
Second day.—Dull pain in the right lung, worse while walking, with distress and rush of blood to the throat. Prickling and pulling in the right lung. 150. Blear-eyedness. Constriction of the thorax as by a corset. Pressure under the right arm. White, albuminous leucorrhœa. Sensation as of sand in the eyes. 155. Discharge of white and watery mucus from the nose. Constant tickling at the nose. Great weight at the uterus when rising, worse during a walk. Coryza when exposed to the least current of air; sneezing. Acute contusive pain at the inner side of the left leg, and sensation as if something were rising and descending in the tibia. 160. Difficulty of opening the eyes. Sensation as if long and white filaments were floating before the eyes. In closing the eyes, every thing looks red, dotted with black points. Itching in the right meatus auditorius. Stoppage in the œsophagus, after eating, as if a sponge had lodged there. 165. The beverage is arrested in the œsophagus as by a spasmodic contraction of this organ, after which it falls heavily into the stomach. Lancinations from above downward in the posterior muscles of the trunk, from the occiput to the sacrum, attended with pains in the temples. Lancinations in the soles of the feet, while seated; they disappear by walking. Pains in the forehead. Discharge of black blood, between the menstrual periods. 170. In the morning the hairy scalp, at the occipital protuberance, feels as if raw. Violent itching in the vagina. Prickling as with thousands of pins. Aching pain in the left side. Cramps in the calves, worse in the afternoon.
Third day.—175. Breakfast agrees pretty well, but the dinner distresses him. Very sensitive to the cold. Warmth in the hollow of the hand, after dinner. Coldness in the back. Blear-eyed. 180. Sensation, in the right eye, of a gauze having a bluish-white or mother-of-pearl color. Sense of stiffness and spraining in the knee-joint. Disposition to faint. Sleeplessness or else drowsiness, with distressing dreams about the business of the day. 185. Lancinations in the vagina. Heat in the left nostril, and swelling of the nasal septum. Weight in the vagina, on the left side, and acute pain which prevents her from going up-stairs. Sensations in the abdomen as of a tube which can suddenly be closed by means of a valve, and through which a column of some liquid is poured into the abdomen, where a violent rumbling takes place. The left eyebrow is painful and drawn down. 190. Eructation tasting like spoiled eggs in the throat. Lancinations which proceed simultaneously from the groins and cross each other at the symphysis pubis. Violent diarrhœa, consisting of sanguinolent mucus and yellow bile, whereas it had been green heretofore. Sensation, while walking, of a black disk of four inches in diameter, at the distance of a few paces from the eye. Discharge of black blood with stool, with acute colic as though the intestines would be twisted together. 195. Stye at the left eye, with violent lancination. Tickling and reddish streaks of the sclerotica. Red spot on the knee-pan. Violent colic as though the intestines would become twisted amongst each other. Bloody dysentery, followed by sleep. 200. The menses appear before their regular period. Pressure between the shoulders. Greyish gauze before the eyes, like a cloud, which becomes thicker; at first it is of the size of a penny, and spreads until finally it covers the whole field of vision. Sensation as if an iron bar were pressing on the loins. Lancination in the stye on the left eye. 205. Lancinations in the dorsal muscles, especially in raising the arms. The right side is numb and as if paralysed, from the shoulder to the knee. Pulling at the cardiac orifice, with sensation of hunger and boring feeling extending to the vertebral column. Pain in the spinal marrow, from the nape of the neck to the sacro-lumbar articulation. The neck remains twisted when turning it, with constriction in the thyroid gland. Crampy constriction at the bend of the elbow, especially when moving it. 210. Weight in the stomach after the introduction of food; it turns, with desire to vomit. Constrictive pain at the bend of the elbow and knee. Itching in the meatus auditorius. This itching spreads in the interior of the cheek all along the duct of steno. Watery saliva. 215. The viscous saliva is more abundant. Changing one’s position is painful, one would like to remain seated or lying. Diarrhœa consisting of undigested food. The teeth are loose; one is unable to chew bread. Loose cough.
Fourth day.—220. Complete paralysis of the right side, with inability to rise in the morning. Violent itching in the left eye. Complete blindness for five minutes. The right hand is benumbed; a stitch is felt through the thickness of the metacarpus. Smarting under the nails. 225. Painful drawing at the inner part of the arm, from the axilla to the wrist; but especially distressing at the spot where the prover had been bled. Small red tetter at the corner of the right nostril, spreading to the cheek, with tickling. Stoppage of the nostrils, one has to breathe by the mouth. Suffocative oppression while eating. 230. Violent distress throughout the thoracic viscera. Cyanosis and reddish spots of the extremities. Violent itching under the axilla, and appearance of a tetter. The blood rushes to the right hand, which is of a violet color and as if paralysed. Shuddering up to the shoulder when dipping the hand in water. 235. The arm and hand are swollen, blueish, and covered with red spots, likewise the right leg and foot. Cramps in the whole of the right side. Cramps in the calves. Swelling of the stomach. Acute lancinations, from time to time, in the fourth toe of the left foot, as if pierced by a needle. 240. Quick and transitory lancinations in the back, sides and arms. Pain at the roots of the hairs on the occiput. Fruit and cold drinks lie in the stomach like ice. Sudden colic, with diarrhœa. Lancinations and stitches in the upper part of each lung. 245. Bloat in the region of the diaphragm. After taking a cold drink, shuddering from the head to the feet, and chattering of the teeth. Lancinations in the inner side of the knee. Lancinations from the root of the nose to the ear. Sensitiveness in the pit of the stomach. 250. The tips of the fingers peel off, which is painful. Redness and pain under the nails, the parts look as if raw. Biting one’s hand during sleep, without waking. Pressure between the shoulders. Liquids descend in the œsophagus with a sound like glou-glou. 255. The nose continues to swell and the pain extends to the ear. Prickling in the eyebrows, especially the left. Acute pain in the iliac bone, on the right side, as though the crest were swollen and the periosteum inflamed. The right leg up to the knee is cold as ice. Frontal headache. 260. Discharge of black, liquid blood from the bowels. Borborygmi and noisy flatulence. Constriction of the sphincter, a quarter of an hour after the discharge. The peristaltic motion of the intestines takes place from below upwards; the blood seems to flow backwards in the abdomen, with violent pain and frightful palpitations, succeeded by lancinations which prevent walking.
Fifth day.—Dreams about dead persons; she kisses dead persons, falls into pits where her feet get entangled; she walks sideways. 265. Quarrelsome, irritable mood, with agitation of the mind. Good appetite. The heel begins to peel off the same as the fingers. While dreaming she bites her forearm. Vertigo so as to fall forwards. 270. Sensation as if falling forward, though the prover remains immoveable. When raising the hand to the right side of the nape of the neck, a penetrating pain is felt which spreads to the ear. Stitch in the side, a whole day. The breathing through the nose is interrupted. One hears some one talking. 275. Violent itching of the hairy scalp.
Sixth day.—Strange illusion of hearing; she heard whistling and ringing, and rises to see where it is. Frightful dreams; she buries a dead person and, with a knife, digs about in his wounds. Afterwards the experiences a burning remorse and sheds a flood of tears. She dreams that she has a fight with a man condemned to the galleys. 280. Desire to strike and pick a quarrel. Mental excitements. Itching of the soles of the feet, which continue to peel off. Small pimple with a good deal of itching. Slight discharge of a clear mucus from the urethra. 285. At the least contrariety the body shudders and the blood boils, with pricklings. Lassitude in all the limbs.
Seventh day.—Desire to go to the country and play about in the grass. Desire to be alone; for days she remains in the corner of the anti-chamber. Sound sleep. Plans about travelling, &c. 290. She hears distant whistling. Bread tastes flat, like the triturated poison which had been swallowed for the purpose of proving it. She wants to leave the house at the moment when she is going to bed. She retires to a distant room to work. Irresistible desire to cry out with all her might. 295. Loathing of meat, bananas, and particularly bread. Desire for oranges, acids, and especially for sour beef. Profuse cold sweat all over the body.
Eighth day.—During a whole month, bread does not mix up with other food, it returns by the nose the whole day, whereas the other kinds of food are either digested naturally or thrown up again by the mouth. Metrorrhagia. 300. Violent aversion to light; one prefers to be in the dark. Violent diarrhœa, continued. Breaking out of little pimples with an oval base, they dry up and are followed by desquamation of the epidermis.
Ninth day.—Complete loss of appetite, she eats nothing but oranges. Bruising pain in the upper portion of the deltoid muscle, as if she had received a violent blow on the shoulder. 305. Tongue black or of a dark-red color. The tetter at the wing of the nose peels off. Yellow, irregular spots on the hand and around the fingers, over a considerable space. A red, transversal bar of an inch in thickness is seen in opening the eyes, and a red disk when shutting them. Boils on the arm. 310. Profound ennui. Depression of spirits; desire to be in a deep cavern, where nobody can be seen. Absence of thought. Complete loss of one’s self, so that the time passes away without one being conscious of it in the least.
Tenth day.—After eating an orange and bread, the orange returns by the mouth and the bread by the nose. 315. Coldness at the back part of the thighs. Furfuraceous tetter and itching at the hairy scalp. She feels hungry and yet is unable to eat. Small miliary pimples upon a red base at the corner of the nose. Violent hunger. 320. Burning in the stomach which extends to the duodenum. Suffocative oppression after eating. Pain in the right side, as if in the pleura, striking to the axilla. Constant hunger which cannot be appeased on account of the continual vomiting. Small suppurating pimples on the hands, fingers, wrists, gums, at the inside of the cheeks. 325. Violent itching at the abdomen, especially while walking. Innumerable white pimples at the inside of the thighs, which get inflamed in the day-time and prevent one from walking in the evening. Burning of the eyebrows. Drowsy in the day-time, especially at two o’clock, and sleepless at night. Tickling at the root of the nose, as from worms. 330. Tongue swollen and whitish, in the morning. Bloating around the eyes which appear sunken in the morning. The arterial blood spirts from the nose and ears. Formication at the anus as if a worm were gnawing at the parts. Suppression of urine. 335. Tickling and frightful formication at the vulva. Very thirsty; desire for milk. Cold sweat all over. Slow digestion, one has to drink after every mouthful that one swallows. Excessive horror of rain. 340. Discharge of a black blood from the womb. Noise as from a valve closing in the trachea and causing a column of air to ascend to the pharynx.
Eleventh day.—Discharge of blood from the ear. The bread returns by the nose.
Twelfth day.—Loathing of bread and other food. 345. Decided taste for oranges and salad. Watery vomiting in the morning. Ellyptical pimples full of serum. Acute pains in the descending colon. Small red pimples at the tips of the fingers.
Thirteenth day.—350. The gums become loose near to the roots of the teeth. The intestines seem to turn violently about one other, after which they feel for a few moments as if twisted together like a cord, and then are suddenly strung together as by a knot, causing a sensation as if the abdomen would be choked from side to side. Extreme sensation of coldness after drinking and as if ice-water were rising and descending through a cylindrical opening in the left lungs. Vomiting of food.
ARRANGEMENT ACCORDING TO HAHNEMANN.
Mental and Moral: 1. He imagines he is receiving blows. Absence of mind. Horror of rain. Complete forgetfulness of one’s-self. 5. She wants to go out at the moment of retiring to bed. Irresistible desire to cry out. Vertigo, she falls forwards. Depression of spirits, she desires to be in a cavern, alone. Desire for country-air and sport. 10. Desire for solitude. Plans about travelling, &c. Quarrelsome.
Head: Pain in cerebellum, right side. The hairy scalp at the occipital protuberance feels raw, in the morning. 15. Painful constriction in the temples and eyes. Horrid pains when inclining the head backwards. Weight in forehead. Weight in right parietal region and pain penetrating to the nape of the neck. Sensation as of a foreign body in right temple. 20. Pain in the forehead. Boring pain from vertex to right eyebrow. Pain at the roots of the hairs on the occiput. Itching of the hairy scalp.
Face: Dark complexion. 25. Itching in the ear and cheek. Lancinations from the root of the nose to the ear. Boring pain from the lower jaw to the right eye, and then from the right eyelid to the ear.
Ear: Pinching at helix and lobule. Itching in the ear. 30. The cerumen is hardened and black. Itching in the right meatus. Deafness. Illusion of hearing, she hears a whistling and ringing. He imagines he hears some one speak. 35. Ringing. Constant buzzing in the meatus. Buzzing. Discharge of a serous fluid from the left ear. Discharge of blood from the ear. 40. Discharge of a greenish-yellow liquid from the ear, morning.
Eyes: Stye at left eye, with lancination. Tickling and red streaks of the sclerotica. The left eyebrow is painful and drawn down. Blood oozes from the eyes. 45. Blindness for some minutes. Violent itching in the left eye. Prickling in the eyebrows. Aversion to light. Burning of the eyebrows. 50. Bloating around the eyes, in the morning. Aching pain around the eyes, with vanishing of sight. Sharp prickling in the inner canthi. Desire to close one’s eyes. Lancination in outer canthus of left eye. 55. The eye is sensitive to cold water. Red eyebrows. Eyes red and inflamed. Difficulty of opening the eyes. Sand in the eyes. 60. Blear-eyed. Glassy look. Sensation in the right eye as of a gauze of a blueish-white or mother-of-pearl color. Black disk at a few feet from the eye, when walking. Greyish gauze before the eyes, gradually spreading over the whole field of vision. 65. Red bar before the eyes when opening them, and a red disk when shutting them. When closing the eyes, every thing looks red, dotted with black points. Sense of long, white filaments before the eyes.
Nose: Tickling at the nose. Stoppage of right nostril. 70. Bad smell from the nose. Distressing prickling in the superior nasal fossa. Tickling at the root of the nose. Swelling of the nose, with pain extending to the ear. Stoppage of the nostrils. 75. Heat in left nostril, and swelling of the septum. White and watery mucus is discharged from the nose.
Teeth: The teeth are loose. Prickling in left gums. Swelling of the gums on the last three molares. 80. Looseness of the gums at the roots of the teeth.
Mouth: Salt tasting saliva. Bitter, salt taste in mouth. Prickling at the tip of the tongue. Tongue swollen and whitish, in the morning. 85. Tongue black or dark-red.
Throat: The beverage is arrested in the œsophagus as by a spasmodic contraction of this organ, after which it descends like a heavy weight. Pulling in the œsophagus. Constriction with pressure, in the throat. Sensation as if the food turned like a screw while passing down. 90. Burning as from peppermint, from the larynx to the tongue. Sensation as of a valve in the trachea causing a column of air to ascend in the pharynx. Stoppage in the œsophagus, after eating, as if a sponge had lodged there.
Gastric Symptoms: Vomiting of green bile, followed by bilious diarrhœa. Weight at the stomach, after eating. 95. Acidity, with nausea and faint feeling. Violent thirst. Cold feeling in the chest, after drinking. Desire for food, with aversion to eating. Desire for food causing a violent headache, unless satisfied at once. 100. Violent hunger. Suffocative oppression after eating. Bloating of the stomach after eating. Acidity after every mouthful of food. Aversion to food. 105. Desire for cold water, ice. Sour eructation. Sense of coldness after drinking, as if ice-water were rising and descending through an opening in the left lung. She has to drink after every mouthful she swallows. Watery vomiting in the morning. 110. She feels hungry, but is unable to eat. Hunger, with continual vomiting, preventing one from appeasing the hunger. Aversion to meat, bread. Desire for oranges, acid. Loss of appetite. 115. Bread returns by the nose, and does not mix up with the other kinds of food, for a month. Bread tastes flat, like the poison. Fruit and cold drinks feel like ice in the stomach. Shuddering and chattering of the teeth, after taking a cold drink. Suffocative oppression while eating. 120. Eructations tasting like spoiled eggs. The dinner distresses him. Pulling in pit of stomach. The food descends violently into the stomach, which trembles.
Stomach: Burning in the stomach. 125. Sensitiveness of the pit of the stomach. Swelling of the stomach. Pulling at the cardiac orifice, with sense of hunger and boring to the spine. Weight in stomach, with desire to vomit, after eating.
Abdomen: Lancinations from the navel to the womb. Pains in the loins as from a band, extending to the uterus. Colic spreading from the cœcum to the rectum. Swelling of the inguinal glands. Colic, with urging to stool. Borborygmi. 130. Falling of rectum. Distress in abdomen. Pressure in right hypochondrium. Itching, drawing and pricking at epigastrium, hindering breathing. The intestines turn about one another, and then feel twisted as by a cord, and strung together in a knot, with strangulating sensation in the abdomen. 140. Formication at the anus, as from worms. Acute pains in the descending colon. Itching at the abdomen, especially when walking. Sensation as if the blood in the abdomen were flowing backwards, with violent pain and palpitations, succeeded by lancinations. Sudden colic, with diarrhœa. 145. Bloat in region of diaphragm. Sense of an iron bar pressing on the loins. Sensation in the abdomen as of a tube which can be closed by a valve and through which liquid is poured into the abdomen. Lancinations from both groins to the symphysis pubis.
Stool: Blackish and froth, diarrhœa. 150. Lienteria. Constriction of the sphincter. Watery, yellowish diarrhœa, with slime, also rumbling. Discharge of black, liquid blood from the bowels. Constriction of the sphincter, after bloody stool. 155. Bloody dysentery. Diarrhœa consisting of bile and bloody mucus. Discharge of black blood at stool, with colic as though the bowels would be twisted.
Urinary and Sexual: Red urine, with cloudy sediment. Thick urine with red sediment. 160. Pain in urethra while urinating. Red urine. Suppression of urine. Discharge of mucus from the urethra. Itching excoriation on the back of the penis. 165. Impotence. Lancinations and prickings in the penis. Weight and swelling of the testes. The skin of the prepuce is thick and inflamed. Discharge of prostatic fluid. 170. Discharge of black blood between the menses. Prickling in the uterus, vagina and pubic region. White, albuminous leucorrhœa. Weight at the uterus. Weight at the vagina, after an attack of hysteric colic. 175. Horrid formication at the vulva. Discharge of black blood from the womb. Metrorrhagia. Itching in the vagina. Premature menses. 180. Weight in the vagina, with acute pain preventing her from going up-stairs.
Bronchial: Coryza from the least currents of air. Constant cough. Fit of dry cough which ends in raising black blood, with tearing pains in every part of the lungs and especially in right side, superiorly. Taste of blood in mouth before coughing. 185. Loose cough. Hoarseness. Chronic loss of breath on going up-stairs. Violent distress in the chest. Sensation as if the pleura would be torn, and as if the lungs would be split by force.
Chest: 190. Spitting of black blood, with painful tearing as if proceeding from the heart. Constriction of the chest. Stitches in upper part of each lung. Painful pulling in right lung on which account he is unable to lean to the right side. Dull pain in right lung, worse when walking. 195. Dull pain in right lung, worse when walking, with rush of blood to the throat. Prickling and pulling in right lung. Palpitation of the heart.
Back: Lancinations in the dorsal muscles. Pain in the whole spinal marrow. 200. Pressure between the shoulders. Coldness in the back. Lancinations from the occiput to the sacrum, with pain in the temples.
Neck: Sense of excoriation at the nape of the neck. Painful pressure at nape of neck. 205. The parotid glands are painful. Bruising pain in sides of neck. Twitching in the parotid glands. Tension in nape of neck. Stiffness of the neck. 210. Beating in the nape of neck, like the ticking of a clock. Throbbing of the external carotid. When raising the hand to the right side of the neck, a penetrating pain in feet, spreading to the ear. The neck remains twisted when turned.
Upper Extremities: Painful drawing at the inner side of the arm. 215. Itching under the axilla, with tetter. The arm and hand are swollen, blueish, covered with red spots, also the right leg and foot. Bruising pain in the deltoid muscle. Painful drawing from axilla to wrist, at inner side. Crampy constriction at the bend of the elbow. 220. Pains in the elbows. Warmth in the hollow of the hand, after dinner. The right hand feels numb, with a stitch through the metacarpus. The hand looks congested, and is as if paralysed. Lancinations in the back of the hands. 225. Pulling in right hand. Prickling in the back of the right hand. Burning in the hands while preparing the drug. The right hand feels as if paralysed. Smarting under the nails. 230. The tips of the fingers peel off. Redness and pain under the nails, the parts look as if raw. Crampy constriction in the phalanxes and under the nails.
Lower Extremities: The lower limbs give way. Acute pain in the right iliac bone, as though the crest were swollen and inflamed. 235. Coldness behind the thighs. Cramps in the calves. Lancination at inner side of the knee. Cramps in the calves. Icy-coldness of the right legs. 240. Pains in the knees, especially the left, as if bruised and contused. Sense of spraining and stiffness in the knee-joint. Contusive pain at inner side of left leg, with sensation as if something were rising and descending in the tibia. The soles of the feet itch and peel off. Drawing-up of the feet. 245. The left foot is swollen and blue, with red spots. Pain in the right instep, as from walking. Lancinations in the soles of the feet while seated, ceasing when walking. Dartings in the left fourth toe, now and then. The heel peels off. 250. Prickling under the toe-nails.
Fever: Sensitive to cold. Sweat on the forehead and nape of neck. The arm shudders when dipping the hand in water. Shuddering of the arm when dipping the hand into cold water. 255. Cold sweat all over.
Sleep: Sleeplessness with uneasiness. Drowsy all day, no sleep at night. Dreams about previous business. Nightmare, with congestion about the head. 260. Anxious dreams. She dreams that she buries a dead person and digs in his wounds with a knife. She dreams that she is fighting with a man condemned to the galleys. She bites his hand during sleep. Dreams about dead persons, she kisses them and falls into pits. 265. Dreams about business.
Cutaneous: Red spot on the knee-pan. Boils on the arm. Crusty eruption on the ear and cheek. Itching pimple on the legs. Vesicular eruption on the feet. 270. Phlyctænæ here and there, especially on the extremities. Pimples full of serum. Red pimples at the tips of the fingers. Miliary pimples at the corner of the nose, upon a red base. Furfuraceous tetter at the hairy scalp. 275. Suppurating pimples on the hands, fingers, wrists, gums, &c. Numerous white pimples at the inside of the thighs, inflamed in the day-time. Little pimples, followed by desquamation. Yellow spots on the hand and fingers. Red tetter from the corner of the right nostril to the cheek.
General: 280. Lassitude in the limbs. Congestion first to the chest, then the abdomen. Stitch in the side. Pressure in left side, extending to the vertebral column. Black blood spirts out of the finger when pricked. 285. The right side feels sensitive, with inability to rise in the morning. Prickling as by spice, after triturating the drugs. Spirting of arterial blood from the nose and ears. Pain in the right side, up to the axilla. Stitch in the side. 290. Lassitude in all the limbs. At the least contrariety the body shudders and the blood boils, with prickling. Cramps in the right side. Quick lancinations in the back, sides and arms. The extremities look blue, with reddish spots. 295. Paralysis of the right side. The right side is numb and as if paralysed. Constrictive pain at the bend of the elbow and knee. A change of position is painful. Aching in left side. 300. Disposed to faint.