Gettysburg agua

 Great repugnance to studying my case, with depression of spirits, and a heaviness and disinclination to apply myself to study in the forenoon. This disappeared in the afternoon, or while attending to patients. It seemed to come on when thinking of myself (from forty- second to fifty-fifth day).

 Pulsating pain in the vertex, lasting three or four hours (fifteenth day). This was the only headache experienced during the proving.

 Tongue coated white (nineteenth day). Tongue coated white; no unpleasant taste in the mouth (seventeenth day). Tongue slightly coated white (sixteenth day). Tongue thickly coated white, enlarged, flabby, serrated by the teeth (twenty-first- day). Tongue coated yellowish-white (eighteenth day). Tongue gummy (eighteenth day). Pricking, tingling, and rigidity of the root of the tongue (sixteenth day). Increased flow of saliva (sixteenth day).
 Throat.
 Accumulation of mucus in right posterior nares, which is detached with difficulty (eleventh day). Great accumulation of slimy, frothy mucus in posterior nares (seventh day). Hawking from right posterior nares a tough transparent mucus, that can be drawn out in strings, and gets between the teeth like the fibre of tough meat (fifteenth day). Every morning I hawked from right posterior nares the tough stringy mucus, and on picking the nose a long string of the same was draw out slightly coated with blood (twenty-first day). Uvula, Fauces, and Pharynx. Elongation of uvula (twenty-first day). вright redness of fauces, with elongation of uvula (eleventh day). Raw inflamed sensation in right upper part of pharynx; the air inspired through the p73 nostrils impinging coldly and unpleasantly on the part of pharynx; the air inspired through the nostrils impinging coldly and unpleasantly on the parts (seventh day). Rigidity of the muscles of the throat and neck on the right side and under the jaw, making deglutition painful and difficult, as if the throat was sore; there was no swelling, and but slight redness of the parts internally. The neck externally was sensitive to pressure (sixteenth day).

 No appetite (nineteenth day). No appetite, except for milk (eighteenth day). Thirst; drinking freely of water, and milk and water (nineteenth and twenty-firsts days).
 Abdomen.
 Pass flatus freely (nineteenth and twenty-sixth days). Sharp pain in the abdomen to the right and above the navel (fourth day). Had a severe attack of incarcerated flatus, with great distension of the stomach, so that long inspiration was painful; this continued the greater part of the day and night (twenty- first day).
 Stool.
 Bowels moved for the first time since the eighteenth day (twenty-sixth day).

 Urine free, profuse, normal in color, and without sediment (thirteenth day). Urinate freely; urine darker color, somewhat turbid (nineteenth day). Urine high-colored and turbid, very frequent and copious, depositing a red sandy sediment (twenty- first day).
 Sexual Organs.
 During the whole provings, there was complete suppression of all sexual sensation, and while confined to the bed there was a singular detraction of shrinkage of the penis, with great relaxation of the scrotum.

 Breath fetid (eighteenth and twenty-first days).

 Rigidity at the insertion of the pectoralis major and trapezius, and in the muscles of the neck (fifteenth day). Was annoyed by a dull pain between the joint of the left scapula and spine; eructation, or a swallow of cold water, gave momentary relief; relieved by rubbing, from the nineteenth to the twenty-second day. On rising from bed, on stooping, or coughing, a rigidity is felt in the lumbar region in the erector spinae, but not extending the sacral region (seventy-seventh day).
 Extremities in General.
 Rigidity in left hand and arm continue, with slight tumefaction and heat in ball of thumb, and great sensibility to touch and pressure. The principal rigidity to-day is in the left adductor longus at its insertion; worse at its pubic end (seventeenth day). Morning, on rising, painful rigidity in the public insertion of lefty adductor longus, soon followed by the same in the right, also in the right shoulder and in the joints of the right hand. Extremes soreness of the limbs to pressure, though the muscles themselves could be taken p73 hold of without pain (twentieth day).
 Superior Extremities.
 Arms sensitive to the cold; pain in the shoulders on sudden motion; hands stiff and powerless, especially in the morning, better towards evening; lifting a book or turning a door-knob is difficult and painful; worse in grasping anything hard; difficult to squeeze a sponge dry (thirty-eighth day). Shoulder. Left shoulder is rigid (twenty-first day). Right shoulder rigid and painful, the pain and rigidity extending down the arm, still only in the insertions of the muscles (twenty-fifth day). Arm. Left arm and hand very stiff; hand much swollen and inflamed in spots (twenty-fourth day). The muscles of left arm, at insertions of biceps, and at the condyles of the humerus, and the hands are rigid (fifteenth day). Arms and hands helpless, and can be moved only with great difficulty and some pain (twenty-sixth day). Left arm very bad, but no pain when quite, except in the inflamed joints of the fingers (twenty-fifth day). In the act of lifting it is easy to designate the insertion of all the muscles brought into action. There is no painful sensibility to pressure on the muscles, but it felt when bearing hard with the finger on the muscles, but it felt when bearing hard with the finger on the ligaments (thirteenth day). Wrist. The rigidity of the left hand was followed by a sensation of dislocation in the joint of the wrist, hand and fingers, causing pain in and a sensation of coming apart while lifting anything (sixteenth day). Ruta relieved this symptom. Hand. The back of the hand was much swollen, and a scarlet papulous eruption without sensation appeared, covering the whole dorsum of the hand (twenty-sixth day), (* This last was verified by a cure with the 1m potency, in which case the eruption appeared also on the elbows, knees, and ankles. The day after the eruption appeared the swelling of the hand began to decrease (thirtieth day). Puffiness between the knuckles of both hands, the fingers of the right being slightly swollen (forty-first day). The right hand had the same swelling and eruption that appeared on the left, with the same swelling and eruption that appeared on the left, with the same decrease of swelling; there was subsequent desquamation of the skin of both hands; great heaviness of the arms, and a weary feeling in the bones; both arms sensitive to cold and east winds (thirty-second day). There is still some stiffness in the joints of the hands and shoulders, on rising in the morning, and twice I have been kept awake by the burning intermitting pain in the pisiform bone, first in the right, and then in the left hand (seventy-seventh day). Stiffness noticed most in the morning; at night I have to try various positions for the hands before I can find an easy one; they are still weak, and grasping anything hard is painful (sixty-first day). Hands stiff weak, in the morning. Pain in all the joints of the hand when exerting it forcibly, due to the pressure or strain on the ligaments; puffiness between the two last fingers; slight cracking and desquamation of the skin in the folds inside the hand (fifty- fifth day). Weakness in hands, especially right, in grasping knob of door (thirty-ninth day). Hands still weak, so that in attempting to carve I find it impossible to overcome the least resistance (seventy-seventh day). Fingers. Fingers of both hands and right shoulder and wrist stiff (fifty-third day). The stiffness in the morning seems to be principally in the metacarpal joints of the ring finger of each hand. Hot burning pain last night in pisiform bone of right hand, kept me awake two hours (fifty-seventh day). Painful stiffness and want of flexibility of the finger- joints of right hand (thirtieth day). I could feel the pain in the joints of the fingers, when pressing them firmly together, or grasping anything hard (after five months).
 Inferior Extremities.
 Walking painful and difficult (eighteenth day). The muscles of the right leg began to be affected, principally at the knee, while flexing the leg; the pressure on the patella feeling like a narrow band of steel pressing upon a very sensitive spot of the size of a quarter of a dollar, all pain ceased when the leg had been flexed by the aid of the hands (nineteenth day). сould not move either leg at all (twentieth day). Hip. Unable to rise. The rigidity of the ligaments and insertions of the muscles of hip, knee, and foot, rendered it impossible to move the left leg without great pain; no pain while lying quite (nineteenth day). Thigh. This morning the left vastus externus was affected as its insertions. The muscles of the left thigh felt sore on pressure, a symptom that has not before appeared, but did not on lifting them up (eighteenth day). Knee. Slight rigidity in knees, hips, and insertions of muscles, that had been affected during the proving (thirty-ninth day). A painful spot appeared in the afternoon on the top of the right knee, a little to the left of the center; perceived when pressing upon it, and when walking (eighteenth day). Foot. The left foot is somewhat swollen and hot, and the great toe-joint is swollen, hot, and sensitive when stepping on it (eighteenth day). Sensation of dislocation in the foot, as described in the hand (eighteenth day).

 General stiffness, on moving (second morning). Great rigidity of the muscles, like rheumatism, but without inflammation or pain. Nearly all of the muscles are involved, but it i more prominent in the lumbar region, and in the joints of the hips, shoulders, elbows, and wrists; when quite it is not perceived; it is apparent during slow movement, but does not interfere with rapid exercise like walking. The location of the rigidity is at the insertion of the muscles and in the ligaments, but not in the bellies of the muscles (thirteenth day). The rigidity of the muscles is most apparent in the morning (fifteenth day). The rigidities are not noticeable when lying quiet, but on rising from a seat or a recumbent position the various muscles affected can be easily indicated (seventeenth day). Very weak (thirty-first day). Still feel weak; it is most apparent in my voice (fifth- seventh day). Faint feeling when attempting to walk (eighteenth day). Very uneasy after 1 o’clock p.m; the bed feels hard;lying in one position causes a painful pressure on the part (sixteenth day). сould not remain long in one position, not from pain nor restlessness, but from a sense of discomfort (twenty-first day).

 Skin.
 Burning spot, size of a dollar, in palm of right hand toward the wrist, slightly painful; relieved momentarily by heat. сold water, or touching anything cold, is painful; was kept awake by it (fifty-first day). Inflamed spots appeared on the left tibia, knee, and great toe-joints (twentieth day).

 Rested quietly during the night, on my back (nineteenth night). I had under me a heavy English sheepskin rug, with very long thick wool, and to this I attribute my comfortable rest, and freedom from heat under the back. Was restless during the latter part of night; could find no easy position (seventeenth day).

 Transient chills during the day (seventeenth night).

 Condition.
 Aggravation (Coughing), Rigidity in lumbar region.
 (Moving), Stiffness of muscles. Moving head), The symptoms.
 (Rising from bed), Rigidity in lumbar region.
 (Stooping), Rigidity in lumbar region. Thinking of self), Depression of spirits, etc.
 Amelioration.
 (Rest), Pain in ligaments; stiffness of muscles.
 (Rubbing), Pain between scapula and spine.

• 13% — Arbutus andrachne
• 10% — Ilex aquifolium