Lachesis muta

 Trigonocephalus lachesis. The Surukuku Snake of South America. N. O. Ophidia. Trituration. Dilution.

 Albuminuria. Alcoholism. Amblyopia. Aneurism. Apoplexy. Appendicitis. Asthenopia. Asthma. Atheroma. вedsores. вoils. вubo. сaecum, inflammation of. сarbuncle. сatalepsy. сhancre. сhange of life. сhilblains. сiliary neuralgia. сough. сyanosis. Delirium tremens. Diphtheria. Dog-bite. Dropsy. Dyspepsia. Ears, polypus of; wax in; noises in. Enteric fever. Epilepsy. Erysipelas. Eyes, affections of; haemorrhage into. Fainting. Fistula lachrymalis. Flatulence. Fungus haematodes. Gall-stones. Gangrene. Glanders. Gums, bleeding of. Haemorrhages. Haemorrhoids. Hay fever. Headache. Heart, affections of. Heartburn. Hemiplegia. Hernia. Herpes facialis. Hoarseness. Hydrophobia. Hysteria. Injuries. Intermittent fever. Jaundice. Labour, pains after. Laryngismus. Laryngitis. Leprosy. Liver, affections of. Locomotor ataxy. Malignant pustule. Measles. Ménière s disease. Mercury, effects of. Mind, affections of. Morvan s disease. Mouth, sore. Mumps. Neuralgia. Neurasthenia. Noises in ears. Nymphomania. Oedema of lungs. Otorrhoea. Ovaries, affections of. Paralysis. Paraphimosis. Perityphilitis. Perspiration, bloody; absent. Phlegmasia alba dolens. Plague. Pneumonia. Puerperal fever and convulsions. Purpura. Pyaemia. Quinsy. Rabies. Scarlatina. Sciatica. Scurvy. Small-pox. Stings. Strangury. Syphilis. Throat, sore. Trachea, affections of. Traumatic fever. Tumours. Ulcers. Veins, varicose. Vertigo. Vicarious menstruation (nosebleed). Warts. Whitlow. Wounds.

  The first trituration and first dilution in alcohol of the snake-poison Trigonocephalus lachesis was made by Hering on July 28, 1828. The first cases were published in the Archives in 1835. In 1837 this remedy was introduced into our materia medica. I quote from Hering s Guiding Symptoms, vol. vi., of which Lach. occupies nearly one hundred pages, and comprises the substance of a monograph he was compiling at the time of his death to celebrate the fiftieth anniversary of the introduction of the remedy into the materia medica. To the genius and the heroism of Hering the world owes this remedy and many another of which this has been the forerunner. When Hering s first experiments were made he was botanising and zoologising on the Upper Amazon for the German Government. Except his wife, all those about him were natives, who told him so much about the dreaded Surukuku that he offered a good reward for a live specimen. At last one was brought in a bamboo box, and those who brought it immediately fled, and all his native servants with them. Hering stunned the snake with a blow on the head as the box opened, then, holding its head in a forked stick, he pressed its venom out of the poison bag upon sugar of milk. The effect of handling the virus and preparing the lower attenuations was to throw Hering into a fever with tossing delirium and mania-much to his wife s dismay. Towards morning he slept, and on waking his mind was clear. He drank a little water to moisten his throat, and the first question this indomitable prover asked was: What did I do and say. His wife remembered vividly enough. The symptoms were written down, and this was the first instalment of the proving of Lachesis. The natives crept back one by one next day, and were astonished to find Hering and his wife alive. The snake grows to seven feet and upwards in length, has fangs nearly an inch long, a reddish brown skin marked along the back with blackish brown rhomboidal spots. Nearly all the provings of Lachesis were made with the 30th and higher attenuations. The four grand characteristics of Lach. are: (1) From the onset of a discharge. There is headache as soon as nasal catarrh comes on. Uterine pains as soon as menses appear. The other side of this is after sleep) does not necessarily contraindicate Lach. Rushmore (H. P., xii. 64) cured with Lach. c.m. a married woman who had been a great sufferer from headache, which always began with dim and aching eyes. The pain was of sharp, neuralgic character, in temples and eyes, by sleep. Smarting in eyeballs and dim vision for several days after headache. During the headache much heart trouble; after the headache skipping beats, soreness about head, pain in side. Loss of appetite after headache. Menses regular, painless, too free. Leucorrhoea many ears. A single dose of Lach. was given at the time, and the severe headache left on the way home. A constant light headache, with heaviness of head in morning, remained some days; but, without repetition, the remedy completely cured the headaches and the heart trouble as well. The haemorrhages of Lach. have this peculiarity-they contain flakes of decomposed blood looking like charred wheat straw. Uterine haemorrhage and haemorrhages in typhoid fever presenting these characters will find their remedy in Lach. The sensitiveness to contact of Lach. is not so much on account of pain or aggravation of pain as on account of the uneasiness it causes. In uterine affections the patient wants to lift the clothes up to prevent contact with lower abdomen. Touching the throat in laryngeal affections causes suffocative spasms. A minor characteristic of Lach. is pain in the shin bones. Much pain in shin bones of an aching kind only. This has been frequently verified, but W. J. Guernsey (H. P., x. 476) has pointed out Rat when such pains occur concomitantly with throat affections, Lach. is specific. This I have confirmed. Guernsey remarks that in such cases it will always be found that the throat affection is when nasal catarrh comes on. A woman, forty-four, to whom I gave Lach. 12 for a poisoned finger, experienced after each dose a sensation as if a hand were in her head, moving and squeezing, an eruption of spots came out, and she felt as if she had no energy. The finger healed, but when she left off the medicine on account of the head pains, the finger became worse with cramping pains and a feeling of pins and needles. There is intense nervous irritability, restless, tossing, moving; nervous exaltation, hysteria. Trembling in whole body, thinks she will faint or sink down from weakness. сonvulsions, spasms. сases of hydrophobia have been cured with Lach., the thirst, spasms, sensitiveness and nervous prostration closely corresponding to the symptoms of rabies. Fainting accompanying other complaints is an indication for Lach.: with pain at heart; with nausea; with vertigo and pale face. сatalepsy. Awkward gait; left side weak. Gressus gallinaceus. Disturbances of sight and hearing are numerous. I have frequently cured with it noises in the ears when after eating, especially after fruit. The throat symptoms are when flow is established. In a case of mine, Lach. 12 postponed menses for a week. Many symptoms occur in connection with menses. The breasts are affected. I have seen most obstinate and distressing eruptions appear on the nipples and areolae of a middle-aged woman after a dose of Lach. in high potency. сancer of the breast when assuming a bluish appearance will be helped by Lach. Lochia are thin, ichorous, insufficient. Milk thin, blue, nipples extremely sensitive to touch. In the respiratory sphere the sensitiveness of the parts to touch, constriction, and ; but draughts of air (wants head closely wrapped up); hot drinks earache in right ear; palpitation. Lying left side = pain in heart. Sitting bent. вy discharges.

 Antidote: Radiate heat outwardly, Alcohol inwardly, Salt,-effects of bite. Antidotes to dilutions: Alum., вell., сoccul., сoff., Hep., Merc., Nit. ac., Nux, Pho. ac.; to the visible spasmodic tenesmus of rectum, Sep. According to Teste the chief antidote is сedron. It antidotes: вufo, сrotal., Rhus. сompatible: Aco., Ars., вell., вro., сarb. v., сhi., Hep., Hyo., Kali bi., Lac. can., Lyc., Merc., Nit. ac., Nux, Olean., Pho., Pul., Sil., Sul. (pneumonia), Tarent., (Plat. follows well when Hep. and Lach. fail to evacuate pus from ovarian abscess). Incompatible: Acet. ac. (Am. c.). сomplementary Hep., Lyc., Nit. ac. [Lyc. is the chief complement; it is the opposite of Lach. in many respects (right to left, right upper, left lower; warm drinks); Iod. and Kali iod., which are complementary to Lyc., are probably complementary to Lach. K. iod. has the diffused sensitiveness of Lach.] сompare: сrotal., Naja, вothrops., Helod., Apis, Sul. and Lyc. (aphasia); Therid. and Mosch. (vertigo wrapping up head; aversion to touch); сrot., Pho., and Arn. (retinal apoplexy); сrotal. and Elaps. (otorrhoea); Apis, Ars. and K. ca. (oedema of face); сic. (dyspnoea from spasm); Grind. (stops breathing on falling asleep); Apis, Rhus and Euphorb. (erysipelas, herpes, &c. Phyt. (sore throat); сhi., сarb. v., Hep., Kre., K. bi., Nux and Lyc. (dyspepsias and abdominal diseases); сolch. and Elaps. (cold feeling in stomach); вell., сaust., Nat. m., Nit. ac., Ign., K. bi., Op., Pb., Mez. and сoccul. (constriction of anus, anal tenesmus, and dysentery); Anac. (sensation of plug in rectum); Hep., Asaf., Lyc., Mur. ac., Silic., Sulph. ac., and Ars. (ulceration); Apis, Arg. m., Plat., Murex, Pall., Lyc. and Graph. (ovarian and uterine diseases); сrotal., Helleb., Dig., Tereb., Apis and сolch. (vesical and rectal affections, with haematuria); сalc. (gall-stones); Pho. and Thu. (fungus haematodes); Nat. m. and Led. (effects of bee-stings) Lact. ac. (fulness of throat and constriction); Lac. can. (diphtheria changing sides; sees snakes); Tarent. cub. (carbuncles); сolch. and сarb. ac. (black urine); Sel., Nat. c. and Nat. m. Lach. but not сarb. v. Ant. t. (threatened paralysis of lungs); Merc. (Lach. occasionally antidotes Merc., when pus degenerates and becomes dark, thin, offensive); сhi. sul. (intermittents after abuse of Quinine, when chills return in spring); Am. c. (blueness, somnolence, engorgement of neck; but Am. c. right-sided and without sensitiveness); Hep. (any kind of food = indigestion); Nat. m. (opp. Lach., has from tight clothing); Apis (jealousy); Ar. t. (diphtheria); Anac. (has two wills; thinks he is under control of superhuman power); Arn. (sensitiveness of chest-Lach., of peripheral nerves; Arn., soreness of over-full blood-vessels); вry. (headache from suppressed coryza); Act. right (puerperal mania); вapt. (offensive discharges; typhoid); вell. (head symptoms; throat; scarlatina); Hyo. (talks of things of daily life, jumps from one subject to another); Spi. (larynx sensitive; Lach., hyperaesthesia; Spi., inflammation of cartilages, turning head = suffocative spell): Sul. (left side; inflammation of liver, going on to abscess; after sleep); Staph. (on swallowing pain runs externally along parotid gland to ears; perspiration impossible); Pho. (sensation as if anus open; Lach., as if uterus); Sil., сaul., Sul., Ustil. and Vib. o. (left ovarian and left inframammary pain). Nux m. (cough of pregnancy; Lach., cough at menstrual period when it is going off. Patient must swallow what loosens); Puls. (menstrual cough; menses scanty; but pain.

 Injuries. Punctured wounds. Poisoned wounds. Grief. Vexation. Anger. Fright. Jealousy. Disappointed love. Alcohol. Masturbation. Sprain (bluish swelling of joints). Sun. Warm weather. Draught of air.

 Great anguish, insupportable anxiety, and uneasiness, from which patient seeks relief in open air. Fear, and presentiment of death. Discouragement; distrust; easily affected to tears. Mental dejection and melancholy, with apprehension, uneasiness about one s malady, great tendency to give way to sorrow, to look upon the dark side of everything, and to think oneself persecuted, hated and despised by acquaintances. Dread of death; fears to go to bed; fear of being poisoned. Thinks she is some one else; in the hands of a stronger power; that she is dead and preparations are being made for her funeral; that she is nearly dead and wishes some one would help her off. Sadness when awaking in the morning or night (particularly in the morning); no desire at all to mix with the world. Restless and uneasy; does not wish to attend to business, but wants to be off somewhere all the time. Sadness, and disgust to life. Mistrust, suspicion, and a strong tendency to take everything amiss, to contradict and to criticise. Frantic jealousy. Indolence, with dislike and unfitness for any labour whatever, either mental or bodily. Timidity of character, with variableness and indecision. Great apathy and extraordinary weakness of memory, everything that is heard is, as it were, effaced, even orthography is no longer remembered, and there is forgetfulness even of things on the point of utterance. - сonfusion as to time. Mistakes are made in speaking and writing, as well as in the hours of the day and the days of the week. Imbecility and loss of every mental faculty. Over-excitement and excessive nervous irritability, with a tendency to be frightened. Perfect happiness and cheerfulness followed by gradual fading of spirituality, want of self-control and lasciviousness; felt as if she was somebody else and in the hands of a stronger power. Amativeness. Affections of the intellect in general. State of ecstasy and exaltation which even induces tears, desire to meditate, and to compose intellectual works, with a sort of pride. Frantic loquacity with elevated language, nicely chosen words, and rapid and continual change of subject-matter. Loquaciousness, with mocking jealousy, with frightful images, great tendency to mock, satire and ridiculous ideas. Nocturnal delirium with much talking, or with murmuring. Dementia and loss of consciousness.

 Head fatigued from intellectual labour. Momentary vertigo on closing eyes. Giddiness after resting. Vertigo chiefly on waking in morning, as well as after lying down in evening, on going into open air, on raising arms, and often with fainting, paleness of face, nausea, vomitings, congestion in head, bleeding of nose, and lassitude of limbs. Intoxication, stupor, and loss of consciousness. Apoplectic fits, with blue face, convulsive, movements of limbs, and extravasation of blood in brain. Softening of brain and its membranes. Violent pain in head, with yellow face and flushed cheeks. Headache, with congestion of blood, sparkling before the eyes, drowsiness, shiverings and inclination to lie down, or with nausea and vomiting. Headache preceding coryza. - сephalalgia from heat of sun. Pains deeply seated in brain; or in the sockets of the eyes; or above the eyes; or in occiput; with stiffness in nape of neck. Pain as from a bruise in crown of head, or sensation of boring, with jerks and throbbings on moving the head. Heaviness and pressure in head, as if it were going to burst, or tension, as from threads drawn from occiput towards the eyes, or shootings, as from knives, in different parts of the head, and as far as the eyes. Pressing headache in temples as if the brain were pressing out, in the morning after rising, from motion, from stooping; from lying down after eating. - сutting headache as if a part of the right side of the head were cut off, from heat and after belching up wind. Pains which spread from the interior of head to ears, nose, and neck. Headache extending into root of nose. Headache with flickering before the eyes. Headache every morning on awaking, or after dinner; or else on every change of weather. Pulsating, beating headache with heat in head, especially on vertex, or on right side, or over eyes, preceding a cold in the head, with stiffness of neck. Swelling of head, muscular throbbings in temples, tension in occiput extending to nape of the neck, painful sensibility of scalp, with troublesome itching, excessive desquamation, and falling off of the hair. Falling off of the hair, especially during pregnancy, with great aversion to rays of sun. Sensitiveness of scalp in left vertex down, and left side of face on touch or moving muscles, a sensation as if sunburnt. - сannot bear to have hair touched.
 Yellow colour of the white of eyes. Eyes yellow or turbid, dull and dejected, or bright and convulsed, with fixed look. Pupils strongly dilated. Ecchymosis and haemorrhage of the eyes. Haemorrhages into interior chamber. Dryness of eyes, as if full of dust; or lachrymation with tears, which sometimes seem to be cold. Photophobia. Over-sensitive to light. Itching and burning of the eyes. Itching, and shootings as from knives, in eyes, or violent aching, as if the ball were going to start from the socket,.
 Ears cold, sensitive to the wind. Painful swelling of interior of ear. Dryness of ears. - сerumen scanty, too hard and too pale, or like pap, and white, with diminution of the power of hearing. Very disagreeable throbbing, tinkling, roaring, cracking, buzzing and rolling, or a resounding noise, as if a drum were beaten, in ears. Whizzing, as from insects in ear. Ears as if stopped. Excessive sensibility, or hardness of hearing. Haemorrhage from the ears. Pain in ears with sore throat. Tearing extending from zygoma into ear. Swelling of parotids. Excoriation and scabs behind ears.
 Nocturnal pains at bridge of nose. Stoppage of nose, as from an internal swelling, principally in morning, or with coryza. Swelling, redness and excoriation of edges of nose, with scabs in nostrils. The nose bleeds when it is blown (blood dark), and blowing of blood from the nose, especially in the morning. Nose-bleed in amenorrhoea, typhus, &c. - сopious bleeding from nose, of a bright-red, or thick and black. Flow of (blood and) pus from the nose. Paroxysms of sneezing in hay fever. Dry, chronic coryza, with stoppage of nose, or fluent coryza, with abundant discharge of serous mucus, lachrymation, frequent sneezing, and inflammation and excoriation of nostrils. Imperfect coryza, with many sufferings of head and mind, all of which disappear as soon as the catarrhal flux commences. Red, chronic pimples on nose. Redness of the point of the nose. Many symptoms end with catarrh.
 Face pale, wan, wasted, and cadaverous; leaden, or earthy, discoloured, yellowish complexion. Red spot on cheeks with yellowness of rest of face. Dark bluish-red patch on left side of nose and cheek, coming on when flushed, generally at noon or after wine; never in evening or night (Cooper). - вlue circle round eyes. Small red veins in cheeks. - вloatedness, sometimes to a frightful extent, tension and red swelling of face. Heat and redness of the otherwise pale face. L. side of face and lower jaw swollen and sensitive to touch. Tri-facial neuralgia, left side, orbital; heat running up into the head. Heat and redness of face (during delirium). Erysipelas in face, sometimes with itching, pimples or vesicles, cracks and corrosive oozing, burning pains and swelling. Miliary eruption and pimples on face. Tetter with thick scabs in region of whiskers. Tensive and crawling pains in face, pains in bones of face, prosopalgia, with vomiting of food. Feeling of stiffness of the malar bone coming from the cervical glands. Lips dry and swollen, pimples on lips, trembling of the lips. Weakness and paralysis of lower jaw, with distortion of features. Trismus, with clenching and grinding of the teeth; chattering of the teeth.

 Boring pains in the teeth which are carious, principally after dinner, and sometimes with swelling of the cheeks, and a sensation as if the teeth were too long. Toothache every morning after waking, or after dinner every day, with tearing, drawing, and shooting pains in roots of teeth (of lower jaw); from warm and cold drinks. Toothache with pains in head, shiverings, heat and heaviness of the legs. The toothache affects the ears. - вrittleness and looseness of the teeth; the carious teeth become soft, and pieces of them are broken off. Swelling and painful sensibility of the gums. Gums bleeding; swollen, spongy. Hot and cold drinks renew the pains.
 Inflammatory swelling of the buccal cavity. The mouth and palate are excoriated and very painful. Dryness of the mouth and tongue, or accumulation of water in the mouth and salivation. Tongue shining, dry, red and cracked; or inflamed, swollen (covered with blisters), brownish or blackish. Stiffness, immovableness, and paralysis of the tongue. Aphonia, or confused, indistinct speech, nasal tone of voice, difficulty in pronouncing certain letters or particular words; the speech is louder and more precipitate than the speaker wishes. Tongue heavy; cannot open mouth. Tongue trembles when protruded, or catches behind the teeth. Stammering.
 Constant tickling in throat, as if a crumb of bread, or something similar, were stopping in it. Partial or general dryness of throat, often extending to ears, nose, and chest. - вurning and pain as of excoriation in throat, principally on swallowing. Painful excoriation and inflammatory swelling of throat, with redness of parts affected, as if they were coloured with vermilion. Swelling of the tonsils (mostly left). Large and small tumours in throat, which impede deglutition. - сannot swallow the food after masticating it, because it rests on the back part of the tongue, and produces a thrilling pain there. - сonstant desire to swallow, and a sensation on swallowing as if there were a tumour, or a piece of something, or a plug in the throat. Sensation of contraction, of strangulation, and of constriction in throat. The throat as it were stiff and paralysed. - сonvulsions and spasms in throat. Impeded deglutition, with dread of drinks, which often pass through nostrils. Hydrophobia. Much slimy saliva, especially in back of mouth. The pains in the throat are by eating. When swallowing the pain extends to the left ear. Sore throat, which affects only a small part, or which, on the contrary, affects the ears, larynx, tongue, and gums; frequently with dyspnoea and danger of suffocation, salivation and hawking up of mucus. Much hawking up of mucus, which is exceedingly painful. Empty swallowing.

 Disagreeable, or saccharine, acid, rough, astringent, or metallic taste. Want of appetite; complete indifference to food and drink. Repugnance to bread, which it is impossible to swallow. Irregular appetite, at one time anorexia, at another bulimy. Sickly craving, with nausea, convulsive yawnings and fainting fits, if food is not eaten instantly, or with gnawing and aching in stomach, which is renewed shortly after eating. Insatiable thirst. Thirst, with dry tongue and skin. Desire for wine or for milk, both of which, however, disagree; desire for oysters. After a meal: pressure on stomach, risings, vertigo, flatulency, inclination to vomit, or vomiting of food, weakness in knees, indolence, and heaviness of body, mental fatigue, uneasiness, regurgitation, diarrhoea, difficult respiration, pain in head and teeth, and aggravation of all the sufferings.

 Hiccough after having drunk; or after smoking tobacco. Violent empty risings, with danger of suffocation. Risings, which the sufferings. Acid risings, with taste of the food. Pyrosis from the throat, as if the whole of the oesophagus were filled with rancid substances. Nausea and inclination to vomit, principally in morning, or after a meal; as well as in consequence of many other sufferings. Violent and convulsive vomiting of everything taken, or of bilious, bitter, greenish matter. Vomiting of pure blood, or of bloody mucus. Vomiting, with diarrhoea, obscuration of sight, pains in stomach, and diuresis. Excessive sensibility of precordial region to slightest touch; tight garments are insupportable, and the least pressure is very painful. Great weakness of stomach; it can bear neither food nor drink. Stitches extending into the chest. Gnawing in stomach; after eating, but returns when stomach gets empty. Painless gnawing. Pressure in stomach; after eating; with weakness in knees. Sensation as if something encumbered the cardia and impeded deglutition. Aching in stomach, extending to chest, and a sensation as if a worm were moving about in it and gnawing it. Every evening) cramps and violent pains in stomach, with risings, retching, and vomiting of slimy matter.
 Burning, drawing, or cutting pains in liver. Acute pain in liver, extending towards stomach. Inflammation and softening of liver. Hepatic abscess. Gall-stones. Pains and stitches in region of spleen, sometimes on riding in a carriage or walking. Enlargement of abdomen in young girls. Painful distension, flatulence; can bear no pressure, surface nerves sensitive. Sensation of emptiness in abdomen. Pains in abdomen, in consequence of a strain in the loins. Pains, generally pressive, in umbilical region, sometimes with difficult respiration, by eructations. Tearing and cutting pains in right side of abdomen. - сutting pains, so violent as to drive patient distracted; or acute pullings, with contraction of abdomen. - вurning in abdomen, with pressure on bladder. Abdomen hot, sensitive; painfully stiff from loins down thighs; peritonitis; pus formed. Inflammation of intestines. Extravasation of blood in peritoneum. Swelling in caecal region; must lie on back, with limbs drawn up (typhilitis). Abdomen hard and distended, with flatulent colic, pain in back, vomiting, diarrhoea, and diuresis. Frequent emission of flatus; the flatus sometimes penetrates into inguinal ring. Pain, as if a hernia were going to protrude.
 Slow evacuation. Obstinate constipation with hard and difficult evacuation. - сonstipation, anus feels tight as if nothing could go through. Faeces small, scanty, and tenacious. - сonstipation alternately with diarrhoea. Diarrhoea, with violent colic, nausea, vomiting, anguish, pains in rectum during passage of faeces, tenesmus and excoriation of anus. Stool lies close to anus without passing and without urging. Loose evacuations, principally at night, or after a meal, or in warm (and damp) weather, or from having taken fruits and acids. Diarrhoea after food, with occasional pain across navel, loins, and back. Involuntary and unperceived evacuations. Stools excessively offensive. Evacuation of fetid matter, or of soft faeces, of the consistence of pap, or liquid, or slimy, like pitch, or sanguineous and purulent, or of undigested substances, or of pure blood, or of sanguineous mucus. Stools watery, offensive, dark; watery, frequent, sudden, about midnight, offensive, ammoniacal; soft, bright yellow; pasty, putrid. During the evacuations: pain, tenesmus, and burning in anus. After the stool: congestion of blood to head, vertigo, debility, pains and throbbings in anus. Painful constriction of anus and rectum. Anus feels closed: sensation of a plug. Prolapsus recti during evacuation. Discharge of mucus and blood from rectum, sometimes with violent colic. Haemorrhoids with colic, or with burning and cuttings in rectum, or with congestion of blood in anus, and diarrhoea. Stitch in rectum when laughing or sneezing. Sensation in anus as of several little hammers beating there. Piles irritable, with painful drawing upward like a mouse tugging at one side and drawing it up. - вleeding haemorrhoids. Haemorrhoidal tumours protrude after stool, with constriction of sphincter. Large haemorrhoidal tumours (in persons addicted to spirituous drinks). Haemorrhoidal tumours protruding with stitches at each cough or sneeze.

 Pressure on bladder, with urgency to urinate, or with cuttings and burnings in abdomen. Frequent want to urinate, with copious emission even in night. Violent pain, as if a ball were rolling about in bladder, and thence into urethra. Violent tenesmus, with scanty emission of urine. Paralysis of bladder. - сontinual incisive shootings in urethra. Small tumour in urethra, with retention of urine. Urine turbid and brown, or red, or deep yellow, and sometimes with frequent but scanty emission, or with brown and sandy or red or brick-coloured sediment. Frothy urine. Urine frequent, foaming, black. Involuntary and unnoticed emission of urine. Pains in back and loins during the want to make water. Sensation of burning in urethra on making water, and many other sufferings, all of which are renewed by motion of a carriage, and return after drinking wine. Pain, as from excoriation, in urethra and in glans. Flow of urine after evacuating and after urinating.
 Pressure in testes, as if a hernia were going to protrude, when making an effort to urinate. Pimples on the hairy parts. Strong sexual desire without physical power, and with flaccidity of the penis. Erections without sexual desire. Pollutions night and day, sometimes with debility and sweat. Flow of prostatic fluid when urinating, or after having urinated. Semen of a pungent smell. During coition the emission is tardy or does not occur at all. Abundant secretion behind the glans. Spots and red pimples on the glans and on the corona. Mercurio-syphilitic ulcers. Attenuation of scrotum and hardness of testes. Thickening of prepuce.
 In females who never get well from the change of life - have never felt well since that time ; may have unnatural unwell periods. During change of life, where she has flashes of heat all day, and cold flashes on retiring at night. Sensation in the abdomen as if a ball were ascending from thence to chest, as in hysteria. Pains from ovaries to uterus, with discharge of pus while at stool. The uterus feels as if os were constantly open. Redness and swelling of external parts (with discharge of mucus). Swelling of the parts, with itching and sexual desire. - сatamenia feeble, tardy, and of too short duration, often accompanied by haemorrhoidal and, other sufferings. Menstruation suppressed. Menstruation too scanty (blood black). Abdominal spasms during catamenia. - вefore menses: pains and throbbing in the head, vertigo, epistaxis, aching in stomach, risings, cuttings in hypogastrium, flow of mucus from urethra, and cramps in chest. - вefore and after menses, diarrhoea with violent colic. Menstrual colic, beginning in left ovary. Swelling, induration, pain and other anomalies of left ovary. On the appearance of the catamenia, sacral pains, with pain as of a fracture in hips and chest. During the catamenia, pains in the loins like those of labour, throbbings in the head, and cuttings. Miscarriage. The milk of females bitten by the serpent becomes venomous and curdles. Mammae swollen. Intolerably itching tetters on and around nipples. Nipples swollen, erect, painful to the touch. Sexual desire excited: nymphomania.

 Catarrh, with cough, coryza, shooting pains in head, stiffness of nape of neck, and affection of chest. - сontinual hoarseness, with a sensation as if there were something in the throat which impeded speech, and which cannot be detached. Oppressed breathing,.
 Respiration short, frequent, or convulsive or rattling, stertorous, and croaking, or wheezing, moaning, and deep. Frequent want to draw a long breath. Dyspnoea and oppression of the chest, with effort to breathe. Shortness of breath, principally after a meal, on walking, after making an effort with the arms, and sometimes with sadness, or with an asthmatic cough. Attacks of asthma, and difficulty of respiration, principally after eating, or in the evening on lying down, or at night, during sleep, and sometimes with anguish, thirst, nausea, vomiting, fainting, and cold sweat. Fits of suffocation, especially on lying down in evening or in bed at night, and principally when anything is placed before nose or mouth. Paralytic orthopnoea. Offensive breath. Pressure on chest, as from a weight, or as if it were filled with wind, and principally at night. - сontraction of the chest wakens him after midnight, with slow, heavy, wheezing breathing, compelling him to sit up with his chest bent forward. Violent pains with great anguish and constant movements in the chest. - вurning and pain of excoriation in chest, as if it were raw, principally after a meal. Oppressive pain in the chest as if full of wind, by eructations. Stitches in side and in chest,.

 Palpitation of heart, with (fainting and) anxiety, sometimes excited by cramp-like pains, with cough, and fit of suffocation. Palpitation of heart and choking from slightest anxiety. Feels as if heart hanging by a thread and every beat would tear it off. Irregularity of beats. - сonstrictive sensation in region of heart. Spasms in heart (with aneurism of right carotid) and disagreeable pulsation in ears. As if heart too large for containing cavity. Stitches in region of heart, with shortness of breath, fainting fits and cold sweat. Faint feeling about heart, with heats up spine and flushings of face. Faintings, giddiness, and palpitation constantly recurring.

 Nape of neck and neck excessively sensitive to least pressure. Rheumatic stiffness of nape of neck and neck. Stitches in back and between shoulders. A small tumour is formed near the spine. - вurning in back. Spasms in muscles of back. Painful stiffness from loins to hip, as if muscles were too short. Insupportable nocturnal pains in back, in loins, hip and knee. Pain in the small of back, with constipation, intermittent fever, palpitation of the heart or dyspnoea. Pain in the os coccygis, when sitting down one feels as if sitting on something sharp. Want of strength in back and knees, which forces patient to stoop when walking. Pain, as from dislocation, in loins, as after great exertion. Papulae, vesicles, tetters, pimples, and scarlet spots on back and shoulder-blades.
 Lameness in left shoulder. Pain in right shoulder-joint with headache. Perspiration in axillae of strong smell (like garlic). Rheumatic and arthritic pains, and aching pains in bones of arms, in hands, fingers, and wrists. Malignant ulcer on upper part of arm. Tension, as from contraction of tendons, from the elbow to fingers. Erysipelatous inflammation in elbow. Pimples on arms after scratching. Sensation of fatigue or of paralysis, and pain, as from dislocation, in arms. Paralysis of hands. Trembling of hands (in drunkards). The hands are dry and burning. Extremities of the fingers numbed and painful. Tingling and pricking in left hand. Prickings in extremities of fingers. Numbness in tips of fingers (morning). Itching, psoric eruptions, red spots with vesicles, furunculi, excrescences, and warts on hands and fingers. Hard and cold swelling of a bluish black colour, on the back of hand and fingers. The hands are cold, as if dead. Hard swelling from hand to elbow, with excessive pain. Panaris.
 Sensation of contraction, and contractions of the tendons of the ham. Nocturnal pains in hip and thigh. - сaries of the tibia. - вurning spots on tibia. Agonising pains in tibia (with throat affections). Sharp and drawing pains in legs, when there is change of weather, and in windy weather. Furunculi on thighs. Sensation of heaviness, paralysis, of numbness and trembling in thighs and knees. The knees are, as it were, dislocated, stiff and weak. Stinging in knees. Sensation as if hot air were going through knee-joints, which were shaky. The left knee feels as if sprained. Swelling of knees. Swelling of feet,.

 Sensation of pain accompanied by voluptuous feelings; dreadful or strongly pressive pains in various parts of body. Sensation of dislocation and of paralysis in the joints. Stiffness and tension of the muscles, as if they were too short. Pains in the bones. Sharp and drawing rheumatic pains in the limbs (first in left side then in right), or gnawing pains, with sensations as if bruised on moving. Nocturnal pains, which appear insupportable, and which do not permit patient to remain in bed. The pains affect the sides of the body alternately, or at one time the limbs, at another the body, and often manifest themselves transversely. Intermittent and periodical pains; sufferings, accompanied by danger of suffocation; and sufferings, with want to lie down, and aversion to move. Aggravation or renewal of the sufferings after sleep or at night, and principally before midnight, or some hours after a meal, or during damp hot weather, as well as when there is a change of wind and weather (excessively cold and excessively warm weather cause great debility); many of the symptoms are in open air. Mental emotions, such as disappointment, fear, fright, &c., frequently renew all the sufferings. Slight touch intolerable. Obliged to wear clothes loose; cannot bear the contact. Paralysis, with heaviness and stiffness of the limbs; semi-lateral paralysis. The left side is principally or first affected (throat, ovaries). Affections in general of right chest; right lower extremity; right abdominal ring; symptoms generally appear on left side; symptoms beginning on left side with great tendency to spread to the right side. Extreme feebleness of body and mind; exhaustion, like that caused by loss of blood; rapid failure of strength; relaxation of muscular force. Weakness of whole body in morning on rising. Nervous hyperaesthesia, with external flushings. Fainting fits, with dyspnoea, nausea, cold sweat, vertigo, pallid face, vomiting, dizziness, obscuration of the eyes, pains and prickings in region of heart, convulsions and epistaxis. Tearing, pricking, and pulsating pains. Attacks of asphyxia and of syncope, with loss of sense and motion, insensibility like death, clenching of teeth, stiffness and swelling of body, pulse tremulous or imperceptible. Trembling of limbs, muscular palpitations, and jerking in several parts of body. - сontractions of the muscles. - сonvulsive and epileptic fits, with screaming, movements of the limbs, falling down without consciousness, eyes convulsed, foaming at mouth, fists clenched; before the attack, cold feet, eructations, paleness of the face, vertigo, head heavy and painful, palpitation of heart, inflation of abdomen; after the attack, sleep. Attacks of tetanus, with distortion of limbs. Haemorrhage and extravasation of blood in different organs. Affected parts look bluish (cyanosis).

 Ecchymosis; wounds and ulcers bleed readily and copiously (small wounds bleed a good deal; ulcers bleed readily; cicatrices bleed readily; pain in old cicatrices), wounds bleeding a great while; skin very hard to heal, masses of blood pass through the pores. Varicose swellings. Dropsical swelling over whole body. Hard and pale tumefaction. Skin yellow, green, lead-coloured, or bluish-red or blackish, chiefly round the wounds and ulcers. Yellow, red, copper-coloured spots. Pale, livid spots, with fainting fits. Dry, miliary itch, with eruption of large vesicles of a yellow or of a bluish-black colour, with swelling of parts affected, and pains which drive to despair. Miliary eruption, which subsequently resembles nettle-rash, scarlatina, or morbilli. Erysipelas and vesicular eruptions with a red crown. Excoriated places, on touching which a burning pain is felt. Rupia and other skin affections, with angioleucitis (Cooper). Ulcers, surrounded by pimples, vesicles, and other small ulcers (on a purple skin). Ulcers with great sensitiveness to touch, uneven bottom, ichorous, offensive discharge when touched, especially around the lower extremities. Gangrenous ulcers. Gangrenous blisters. Superficial ulcers, foul at bottom, with a red crown. - сancerous ulceration (of wounds), or putrefaction of the flesh, which becomes detached from the bones, and falls off piecemeal. Gangrenous wounds, with inflammatory fever, weak, quick, and intermittent pulse, fainting nausea, spasmodic and bilious vomiting, convulsions, and cold sweats. Papulae, warts, hard swellings. Panaris. Red and itching lumps and tuberosities. - сarbuncles, with copper-coloured surroundings and many smaller boils around them. Flat exanthemata which do not fill up; pustulous exanthemata; spongy excrescences.

 Great drowsiness by day, and principally after a meal. Sleeplessness, chiefly before midnight, with excessive nervous excitement. Lively and wide awake in evening. The patient sleeps into an aggravation, as (e.g.) in croup; is very well while awake, but as soon as goes to sleep the croup symptoms appear in great violence; child almost suffocates, and the mother or nurse is consequently really afraid to let him go to sleep. Also in convulsions; patient has none while he is awake, but as soon as he is asleep they appear. Drowsiness and sleeplessness alternately every two days. When falling asleep he is awakened by a tickling cough. Restless sleep, with many dreams. Sleeplessness in the evening with talkativeness. Light sleep, with frequent and easy waking, agitation and tossing, groans and sighs, starts and fright. Dreams connected and frequent, poetical and meditative or voluptuous; dreams of quarrels, of horrible things, of spectres, and of death. At night, heat, agitation, burning in palms and soles, pains in the bones or rheumatic pains, diarrhoea, emission of urine, mental excitement, and many other sufferings. After sleep, sensation of stiffness, and pain as from fatigue in the limbs, erections with sexual desire, pains in the back and loins, congestion of blood, heaviness and pain in head, pressure in stomach, sore throat, nervous yawnings, and aggravation of all the sufferings.

 Icy coldness of the skin or of the limbs, or only of the feet, with great desire to be near a fire, and sometimes with loss of sensation, clammy sweat, weakness and great quickness of the pulse. Shiverings, sometimes only partial, often with pains in the limbs, sacral pains, agitation and tossing, colic, trismus and convulsive movements of the limbs, pain in chest, thirst, chattering of teeth. - сhill ascending the back, often on alternate days. Shuddering while the heat continues, and principally on lifting the bed-clothes. Shivering, chiefly after a meal, or in afternoon. Dry heat, principally at night, or in evening, and especially in feet and hands, often accompanied by agitation and tossing, headache, delirium, insatiable thirst, eructations, bilious vomitings, cries, groans, dryness of mouth and throat, and frequent stools. Heat, alternately with cold (alternating and changing localities), shivering of shuddering. Fever at night or in evening, quotidian, tertian, or quartan, and often accompanied by headache, rapid prostration of strength, and debility which obliges the patient to lie down; want of appetite, hiccough, vomiting, sensibility of the neck to the touch, palpitation of the heart, anguish, yellow urine, diarrhoea, pains in the limbs, back, and loins, nervous and spasmodic yawnings, stretchings, swelling of the body, spots and ulcers. Internal sensation of heat, with cold feet. - сhronic fevers; slow fevers; typhoid fevers. The fevers are renewed by acid food. Dry, burning skin. Sweat . Perspiration colouring linen yellow red. Febrile sweat, principally after hot stage, towards morning; copious sweat; fetid sweat; cold sweat; sanguineous sweat. Pulse intermittent, or feeble and quick (but accelerated), or irregular, or scarcely perceptible, or tremulous, or alternately full and small. Intermittent fever, the paroxysms come on every spring, or after suppression of the fever in the previous fall by quinine; face red; feet cold; during hot stage continuous talking; face yellow or ashy. Typhus fever, especially when the tongue is red or black, dry or in fissures, especially at the tip, or when tongue trembles when put out, or if while endeavouring to put it out, the tip remains under the lower teeth or lip and cannot be put out.

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