Comocladia dentata

 Comocladia dentata, Jacq.
 Natural order: Anacardiaceae.
 Preparation: Tincture of the leaves and bark.

 Mind.
 (Self complacent thoughts and contempt of others). (after three hours and a half). сombative, vindictive disposition all the week and contempt for opponents (sixth day).

 Head.
 General Head.
 Heaviness of the head, in the morning (second day). The head feels very heavy and large (first day). Severe pain at intervals, extending from the posterior portion of both eyeballs through the head to just below the occipital protuberance, with sensation of pressure on the superior surface of the eyeballs, seeming to move the eye downward and outward (sixth day); this pressing and rolling sensation was felt more or less during the last two days.
 Violent pain extending from the posterior portion of the right eye through the head to the occipital protuberance, with great soreness in the eyeball, very profuse lachrymation and sensation as if the eye were as large as two eyes, continuing an hour until she fell asleep (sixth day). сannot describe the headache (first day). Stupefying throbbing headache (from merely passing by, in a shadow of the tree). The head feels worst near the warm stove and when stooping it is almost impossible to hold the head down, relieved by being in the open air (first day).
 Forehead.
 The head feels heavier about the forehead and eyes (first day).
 On sitting down, pain and pressure deep in the anterior portion of the brain (after one hour). Severe pain, deep in the brain over the right eye, lasting but a moment (fifth day).
 Temples.
 Quite a severe pain in the right temporal region for some minutes (after three hours and a half). Pressing pains in the right temple for a few minutes at 1 p. m. (seventh day). Severe press ing pain in the temporal region, soon passing off (after ten minutes). Shooting pain through the left temple, recurring at intervals for three hours, and at times for several days.
 Sides.
 Frequent returns of pains in the right side of the head (after nine hours and a half). Pressing constrictive feeling in both sides of the head as if they were pressed together (after three hours and a half). сompressive headache from the sides of the head (eleventh day).
 Occiput.
 Sharp pain in the occiput extending down the neck (after twelve hours).
 External Head.
 Itching of the scalp, mostly the superior left parietal region, exciting one to scratch it (after ten minutes).
 Eye.
 Objective.
 Eyes look dull and glassy; vessels congested; lids red, swollen and inflamed (fifth day). The eyes feel very heavy, larger than usual, painful and pressing out of the head, as if some thing was pressing on the top of the eyeballs, moving them downward and outward (first day). Right eye very painful, feeling much larger and more protruded than the left, at 3 or 4 p. m. (fifth day).
 Aching soreness in the eyeballs, which increases in severity during the evening, sometimes making him very dizzy, lasting from 4 or 5 p. m. till 10, aggravated by looking at a lighted candle and by motion; stooping or moving the head causes flow of tears (third day). сatarrhal symptoms in the head; eyes seem sore, with more or less lachrymation, attributed to a cold, at 4 or 5 o’clock, and continuing through the evening (fourth day). Looking at a lighted candle makes the eyes more painful and causes profuse lachrymation (first day). Eyes were aggravated by moving the head, by reading, by looking at a lighted candle and bright objects (sixth day). The eyes feel more painful when near the warm stove; with profuse lachrymation also when stooping (all this time the eyeballs are very sore, the right worse than the left), (first day). Eyes were relieved by sitting quietly before a wood fire on the hearth (sixty day). The right eye worse than the left during the day, in the evening vice versa (sixth day).
 Left eye worse than the right towards and during the evening (fifth day).
 Lids.
 Fine stitches in the external canthus of left eye, about 8.30 p.
 M.; these stitches seem to resemble very fine needles (about half an inch long) and moved rapidly from below upward, lasting only a few seconds (tenth day). Slight itching at external angle of the right eye, then at the lower border of the left eye (after ten minutes).
 Lachrymal Apparatus.
 More or less lachrymation for some time, worse in the open air (sixth day). Profuse lachrymation during the day, worse in the open air (fifth day).
 Ball.
 Right eyeball very sore, worse on moving the eye; at 6 a.
 M. (fifth day). Eyeballs feel worse on moving them (first day).
 Vision.
 On rising from bed everything looked dark.
 Ear.
 Dulness of hearing. Slight ringing in the ears and sensation of giddiness (after three hours and a half).
 Face.
 Face most dreadfully swollen, my eyes projecting far out of their sockets, and I could see only a faint glimmer of light with the left.
 A painful burning on my face and arms, and particularly about my eyes. Face around the eyes felt swollen, at 6 a. m., very much puffed just below the superior tarsal cartilage in the afternoon (fifth day).
 Sensation as if the skin was puckered or drawn up from the face and about the nose, rendering me slightly dizzy (after ten minutes).
 Lips.
 Interior lip blistered and swollen. The lips have been dry and chapped for three or four days, at 9 p. m. (eighth day). The lips remained dry or chapped, often bleeding, for several weeks, a circumstance without precedent in my history.
 Jaw.
 Slight pain in the lower jaw from the ears (after nine hours and a half).

 Confusion and Vertigo. Head only somewhat confused, muddy (third day). At times feels dizzy.

 Teeth.
 Sensation as if all the molar teeth on right side were loose, about 4.30 p. m., lasting thirty minutes (eighth day). Aching in the bodies of all the teeth, lasting a minute, but returning every five minutes; which intermittent aching continued for half an hour (second day). Aching in a middle molar tooth of the upper jaw of the right side (the molar tooth immediately below it is carious, or in popular language hollow); at 12 m. it increases and becomes of a twitching character, that is, a sensation as if the tooth was drawing out of its socket or alveoli, putting the nerve on the stretch and suddenly pressing into the socket again, the pain shooting up to the temple of the same side; the tooth felt about an inch and a half long and lasted till 3 p. m., relieved by pressing on the jaw with the hand and by holding the affected side close to a hot stove; aggravated by holding cold water in the mouth (first day). Sore pulsating pain in the body of the middle molar tooth of the right upper jaw (this tooth is perfectly sound), lasting half an hour, and then relieved by hold ing the right side of the face to a hot stove, at 6.30 p. m.
 (thirteenth day).
 Gum.
 The gum of a carious tooth is swollen (ninth day). Steady aching and soreness of the gum and root of the middle molar tooth of the right lower jaw; this aching continued until I went to sleep (9.30 p. m).; relieved by holding the right side of the face to a warm stove, or very hot wood fire; holding cold water in the mouth produced no change (ninth day). This tooth is carious, and has been so for several years, and it is loose, but never ached before.
 Tongue.
 Tongue coated in the morning, dirty yellow coating, which is easily removed. Tongue like a chip, with burning and swelling of the lower lip, which remains chapped (eleventh day). Tongue feels burnt (eleventh day). Tongue has still the burnt sensation, and more smooth and red on the tip than usual (third day). Severe burning in the tongue, which looks redder and dryer than usual, more the anterior portion, in the forenoon (second day). Violent unpleasant burning in the tongue (after ten minutes).
 General Mouth.
 Mouth dry. Mouth very dry at night (tenth day).
 Dry mouth and tongue for several nights (eleventh day).
 Throat.
 A girl inoculated when she was six years old suffered from severe attacks of inflammation of the throat, until the period of womanhood, when they ceased. Hawking up of increased quantity of mucus, for several days (seventh day).
 Fauces.
 Immediately sense of roughness and scraping in the fauces and throat.
 Swallowing.
 Difficulty of swallowing in empty deglutition (second day).

 Taste.
 Bitter taste, in the morning.

 Eructation with relief (after ten minutes). Unpleasant eructations coming up from the stomach (sixth day). Frequent eructations of wind, at 9 a. m. (ninth day). Sour eructations, two hours after eating. Felt sick at the stomach, which feeling continued over an hour (after two hours, second day). сonstant pressure and heaviness in the region of the stomach. While lying on the left side at night, a number of very fine sticking pains or stitches in the scrobiculus cordis, worse on inspiration, lasting a few seconds (this sensation seemed as if about a dozen fine pins or needles, half an inch in length, were dancing about in every direction), (tenth night).
 Abdomen.
 Hypochondria.
 Stinging pains about the hypochondrium, lasting but a moment, at 11 a. m. (seventh day).
 Umbilical.
 Pains round the umbilicus, and extending up to the epigastrium, at 8.30 p. m. (twenty first day). Acute sore pain extending across the abdomen, just across the umbilicus, affecting the breathing, lasting several minutes, also slight bubbling in the abdomen, and very much wind there, and emission of hot flatus, at 9.30 p. m. (twentieth day).
 General Abdomen.
 Discharge of flatus, with desire for stool (after ten minutes).
 Still a good deal of flatulence with noisy eructations upwards and discharge of flatus (tenth day). Some uneasiness in the bowels (after ten minutes). сonstant uneasiness and pain in the bowels (after nine hours and a half). Abdomen feels swollen. The abdomen seems unusually full and bloated, with some pain (after nine hours and a half). At times dull pain in the abdomen; clothes too tight. Pain and rumbling of flatus in the left abdominal region, from thence extending over the abdomen (after one hour). сontinual throbbing like a thumping in the left posterior side, in the region between the spleen and kidneys, not painful but very singular. The throbbing in lower left side, which was from twitching of the tendons, occurred at times during the night (first night). сolic pains in the abdomen, especially during eating (seventh day). сolic pains in the abdomen and distension, with rumbling and discharge of flatus (eighth day).
 Frequent returns of colic pains in various parts of the abdomen, sometimes mounting up to the axilla (after nine hours and a half).
 Frequent returns of colic pains through the day, more noticed and more severe after eating. Quite severe colic pain in the right ilio cecal region, coming on like a thrust (fourth day).
 Colic pains still come on by turns, more in the right abdomen, and when sitting indoors (fifth day). Quite unpleasant colic pains, all the evening (eighth day).
 Hypogastrium.
 Slight shifting pains in the hypogastric region, lasting about six minutes, at 9 p. m., after lying down in bed (twelfth day).
 Dull pain, gurgling and uneasiness in the intestines, in the hypogastric region and accompanied by emission of odorless flatus in the night (tenth night).
 Stool.
 Diarrhoea.
 Stool loose, but normal (ninth day). Loose stool in the morning (sixth day); loose urgent stool, with aching at the anus (seventh day).
 Constipation.
 Bowels sluggish. No stool, which is very un usual (after three hours and a half).

 The urine discharged yesterday and during the night is covered with a thin pellicle and has a cloud of mucus suspended in it; fair quantity and color (second day); rather scanty and no cloud (third day).

 Cough.
 Slight cough from irritation, at night in bed (first night).
 Respiration.
 The breath is continually oppressed. Difficulty in breathing, worse in the morning while in bed, better while moving about and in the open air (third day).
 7.15 , after a walk in the open air and on seating myself in a warm room, an itching in the right side of the trachea, producing a dry, hacking cough.
 Soon after an itching in the left side of the trachea, causing a dry hacking cough (fifteenth day).
 Chest.
 Feeling of fullness and tightness across the lower part of the chest and upper part of the abdomen, as if nothing could move, and causing great difficulty in breathing (the prover said she swelled in those parts), (third day). Sharp pains in the superior region of the chest on taking a deep inspiration, at night in bed, for two nights in succession, apparently in the pleura, lasting for some time (seventh day). The whole chest feels sore on contact; flannel irritates without much soreness.
 Front.
 Occasional digging sensations in the center of the sternum, without pain, from within outward. Stingings for a few moments beneath the sternum, more towards the right side (fifth day).
 Cannot draw a long breath on account of sharp pain felt at the center of the thorax on the left side. Sharp, stitching pain in left chest, just below the apex of the heart, not worse on motion or inspiration (after three hours and a half). Stinging pricking pain between the nipple and axilla of the left side. Fine prickling in the costal cartilages of the eighth, ninth and tenth ribs, in the right side (twelfth day). Soreness in a small spot just below the ribs on the right side; also and first on the left side but worse on the right side, at 7.30 p. m. (twentieth day).
 Mammae.
 Very acute pain in the left mammary gland, about an inch above the nipple, while sitting in the house, and lasting about five minutes; this pain, I think, I cannot describe intelligibly; sometimes it seemed to be a throbbing sore pain, at others as if a sharp edge of a small knife blade was pressing on the spot and with great force, increasing in intensity and with a sore bruised feeling of the ribs beneath when pressed with the hand; relieved by walking about, particularly by deep inspiration; aggravated by expiration; at 3.3.30 p. m. A return of this pain at 5 o’clock, immediately after eating supper.
 After leaving the mammary gland it passes down the side as low as the spleen. At 6.30 a return of the pain in the mammary gland.
 Immediately after leaving the mammary gland, a sensation of a lancing pain passing down the right side of the chest and inner side of the right upper arm, then to the elbow, down the lower arm and along the dorsal surfaces of the second and third fingers, after which, pain in the left carpus; it returned at 7.25 and 9.20 (twentieth day).

 Palpitation, hard beating of the heart on slight exercise, all the morning (second day). Pulse somewhat accelerated for several days, at 9 a. m. (eleventh day).

 Continual burning pain in the left scapula, just above and posterior to the spine of the scapula. The back and right half of the abdomen and outer part of the right thigh presented a streaked appearance of alternate red and white (the former the broadest); this redness vanished by pressing with the fingers but returned immediately on taking away the pressure; the streaks extended as high up as the scapulae; the redness seemed to be of a dull hue; at 9 o’clock, on retiring to bed (seventeenth day).
 Chronic ailments of the spine much aggravated, especially between the scapulae.
 Superior Extremities.
 Shoulder.
 Easy trembling in left arm and shoulder, on reclining and supporting the body with that hand (after three hours and a half). More pain in right arm but more tremulous sensation (and loss of power?) in the left (after three quarters of an hour).
 Drawing or cramp like pain in the right axilla, lasting half an hour (third day). Heavy aching drawing pain in the left axilla, extending through the shoulder, with a sensation as if the shoulder would be drawn towards the neck, lasting half an hour (fourth day). Axillary glands feel swollen and sore, especially the left.
 Forearm.
 The arm feels numb when holding anything with the hand (seventh day). The right forearm continues slightly numb, especially along the ulnar nerve to the end of the last two fingers, and prickles on resting on the elbow (after three hours and a half). Numb tensive pain of the forearm and rheumatic stiffness of the shoulders and elbow joints, lasting three hours, at 6 p. m.
 (second day). Dull aching pain extending from a little above the elbow down the posterior portion of the arm, dorsum of the hand, to the ends of the fingers, lasting two hours and a half; relieved by exercising the arm (seventh day).
 Hand.
 Trembling in left hand and forearm, when even holding the paper to write (after three hours and a half). Painful weakness of the right hand; especially the two last fingers are inclined to numbness on writing (third day). Drawing crampy pain in the middle of the palm of the right hand, extending to the tips of the fingers (not the thumb), as if the fingers would be drawn towards the palm of the hand, lasting three hours and a half (fifth day).
 Finger.
 Pain in the palmar surface of the last phalanx of the third finger, at 3 p. m.; a recurrence of the pain at 7 (twenty first day). вurning and aching in the ends of the fingers, more of the right hand (after nine hours and a half). Severe aching pain in the little finger of the right hand, while sitting quietly reading; continuing some time (sixth day). Return of the crampy sensation in the first phalanx of the ring finger of the right hand, lasting ten or fifteen minutes; at 5 p. m. a similar sensation in the first phalanx of the index finger of the right hand, lasting ten minutes, at 6.30 p. m. (thirteenth day).
 Drawing crampy sensation in the first phalanx of the ring finger of the right hand and as if the third finger would be flexed on the palm; this drawing sensation seemed to move towards the metacarpophalangeal articulation, lasting about ten minutes (twelfth day).
 Inferior Extremities.
 Thigh.
 Twitching of the tendons of the right buttock, at 8.30 p. m.
 (seventh day). At 10 p. m., numb tensive pain on the inner part of the thigh, extending from the scrotum to the condyle (second day). Aching tensive pain in the anterior and lower part of both thighs, at 8 p. m., the right worse than the left; lasting over an hour in the left, and until I went to sleep in the right; by pressing on the parts with the hand the periosteum feels bruised and sore) (twentieth day).
 Knee.
 Very short stitches in the popliteal space in the left leg; it seems as if there were a dozen or more small pins or needles shooting in every direction in the part, which was so intolerable that she was compelled to rub and scratch the part, but without any relief; lasting over half an hour (fifth day).
 Leg.
 Severe intolerable aching pain in right leg, above the ankle in the lower third, almost making one cry out, while sitting, somewhat relieved by walking, returning with increased violence on sitting down, at 9 p. m. (eighth day), quite severe during the early part of the night (eighth night). Violent smarting in the popliteal space in the left leg, as if it had been burned at a hot stove, lasting fifteen minutes (fifth day).
 Foot.
 Pain in the right instep, soon passing off (after nine hours and a half).

 Swelling of the whole body (from merely passing by in the shadow of the tree). Under a good deal of nervous excitement, with fever, hard pulse (tenth day). Restless at night, continual rolling from side to side. сannot sit still; constant change of position because it gives relief.
 Subjective.
 General malaise, fever and headache. Worst symptoms on the left side.

 Skin.
 The swelling was quite gone in the course of a few days, and it was followed by the breaking out of a red color all over the body, resembling scarlet fever.
 Eruptions, Dry.
 A boy was subject to occasional burning eruptions on the skin for some years after the inoculation. The lower portion of the right hypochondriac region down to the crest of the right ilium and extending two thirds across the abdomen (from right to left) presented a pale red appearance, as if an eruption would make its appearance; by passing the hand over this portion of the abdomen beneath the skin is covered with papillae; next morning, could see no trace of these papillae on the right side, but the left side of the abdomen presented a similar appearance as the right side of the night previous, but much less marked (eighteenth day). At night, on retiring (9 o’clock), observed several pimples on the back part of the neck, shoulders, both scapulae and lower down on the back; some of them presented a white appearance at their apex; these pimples did not lose their redness on pressure with the fingers (eighteenth day). Small round dull red pimples on the right scapula, anterior and upper half of the left forearm, in the same region of the right arm, but more numerous on the left; also on the outer and upper parts of the calf of the left leg. When observed, those on the calf of the left leg and left arm looked dry and scaly, as if the parts had been scratched with the finger nail (fifteenth day). A red, hard pimple appeared on the left side of the sacrum, painful when touched (second day).

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