Cimex lectularius

 Acanthia lectularia, Fabr. Climex lectularius, Linn). Natural order of insects, Hemiptera. Preparation: Trituration of the living animals.

 Head.
 Confusion. сonfusion of the head, as if headache would ensue. General Head. Head seems dull and painful, without special character to the pain (after twenty-four hours). Drawing headache, especially beneath the right frontal bone, continuing the whole day; even the next day the head felt dull. Forehead. Outward pressing pain in the left frontal eminence. Headache, pressing outward, first on left, then on right side of forehead, lasting ten to fifteen minutes (after forty- five minutes). Parietals. Sticking pain beneath the right parietal bone, aggravated by cough; the pain extended through the right shoulder to the middle of the arm; even the jaws were affected by it, though there the pains were relieved by external pressure (after twenty-four hours).
 Nose.
 Sneezing incessantly from 12 to 12.30 (after five hours and a half). Fluent coryza for several days, which afterwards increased. Fluent coryza, with pressure in the frontal sinuses.
 Dryness of the nostrils, which is slightly worse after twenty- four hours and more sensitive.

 Teeth and Gums. A loose tooth seems larger and looser than usual. Violent itching on the inner side of the gum of the upper jaw; she is compelled to rub it with the tongue and finger, after which it pains as if burnt (after fifty hours). Tongue. Tongue coated. Tongue coated with white; tearing in the middle of it, with loss of appetite (after six hours). Tongue coated dirty-white, with a sensation of swelling as if it had been burnt; there is even a burnt sensation on the palate and on the upper anterior gum (after half an hour). Saliva. The saliva collects on the middle of the tongue, and causes a taste of iron in the mouth (after forty-eight hours).
 Throat.
 Much tasteless mucus in the throat, which can be easily expectorated in the morning (after twenty-four hours). Slight dryness of throat almost directly, lasting five minutes.

 She drinks only on account of dryness in the throat, not on account of thirst, the whole day. Sour eructations, once with frothy saliva, which rises from the stomach (after half an hour). Hiccough, very slightly painful, for five minutes (after ten minutes).
 Abdomen.
 Pain in the liver, as if she had bent the right side sharply inward; the place is also painful to touch and on coughing (after six hours). сolic, relieved by passage of flatus, lasting seven minutes (after several hours). сolic, soon after taking, followed by liquid stool, which was once repeated towards noon, with urging to stool towards evening without result.
 Rectum and Anus.
 Urging to stool (after twenty-four hours), followed by passage of only a piece of soft stool, after which the rectum closed immediately; after dressing and sitting down she experienced a sore sensation which extended to the small of the back, and there caused a sensation of weariness (after twenty-four hours).
 Stool.
 Stool regular, but like small nuts, and as soon as a small ball had passed, the rectum immediately closed tightly (after forty-eight hours). After she had two diarrhoea-like stools the day previous, she experienced desire for stool (after twenty-four hours), but could only pass a small piece; after much pressure a second stool, with hemorrhoidal pains.

 Scanty, saturated urine (first day). Urine very light straw- color (third day). Urine bright-yellow, depositing a sediment of the color of kermes mineral, which not only adheres to the bottom, but also coats the whole vessel (second day).
 Sexual Organs.
 A hot sensation of the inner side of the pudenda (after fifty-six hours).

 Painfulness, with constant, short, dry cough. After two eructations of air, cough, with sour vomiting of saliva, soon after which there is sour vomiting with violent retching of food eaten the day previous; this exertion caused a dull pain on the forepart of the right side of the head, which afterwards spread over the whole forehead and then into the head of the sternoclavicular muscle, behind the ear and into the occipital protuberances, with a sensation as if she had lain through the night with the head in an uncomfortable position (after one hour). сough, with retching, as if she would vomit, caused by pressure in the middle of the lower portion of the sternum; the pressure, however, is persistent, and the cough causes sweat, with pressing pains in the right side of the forehead (after a quarter of an hour). Scraping paroxysmal cough, which causes retching, with pain in the middle of the chest after coughing a few times; the sternum becomes painful to touch (after one hour). Dry cough, with tensive pain in the left side of the trachea and pharynx, which extends diagonally through the right breast, and causes a shuddering. Dry, frequently repeated cough, with shuddering pain in the middle of the lower portion of the chest, which extends to the right side of the liver (after twenty-six hours).
 Chest.
 Scraping sensation beneath the sternum, with short cough, repeated after twenty-four hours, after rising in the morning. Scraping sensation beneath the upper part of the sternum, with irritation to short cough.  Appetite poor.
 Neck. Twitching in the muscles of the right side of the neck, very transient, in the evening. вack. Pain in the back, which extends round to the abdomen, with accumulation of flatulence (after four hours and a half). Dorsal. Drawing pain beneath the right scapula, extending through the whole arm and into the tips of the fingers, where it caused a sensation as if the tips of the fingers were asleep; after ten minutes motion of the point of the shoulder-blade was painful, as if she had received a blow and it were swollen, with anxiety and sweat (after one hour and a half). Lumbar. Great weariness in the loins, so that she is obliged to sit down, disappearing, however, after awhile (after half an hour). Pains in the small of the back and loins of the right side, now severe, now slight; at 3 (third day) most severe; she lay awhile upon the bed, and after half an hour they disappeared. Pain in the small of the back while sitting, in the sacrum and right hip- bone, extending down to below the knee, on which account she was obliged to loosen her garters (after forty-eight hours).

 Pulse intermitting, with chilliness (after several hours).

 Extremities in General.
 Great weariness in the limbs, with sleepiness; she is constantly obliged to sit (first and second days).
 Superior Extremities.
 A painful sensation in the right shoulder and anterior pectoral muscles, extending through the whole arm to beneath the nails, where it causes a sensation as if the fingers were asleep. Drawing pains from the right shoulder down through the arm, soon disappearing. Intermitting pricking pains in muscles back of right arm for fifteen minutes (after fifty minutes).
 Inferior Extremities.
 Pain in the recti muscles of the thighs, with oppression of the chest, shortness of breath, and frequent deep inspiration, with a sensation as if he would creep into himself, and on that account could not sufficiently crouch together; every attempt to stretch out the arms or legs causes tensive pains in these parts, and he suffers thirst rather than move.

 The whole right side is especially affected. Weariness the whole day; inclination to stretch frequently; sleepy early in the evening.

 Frequent yawning, as if she had not slept enough, with cold sensation on the skin, or as if the wind blew on the knees, lasting several hours (after one hour and a half). Goes to sleep easily while sitting, in the morning (after forty-eight hours).

 Chilliness over the whole body; she was obliged to lie down and be warmly covered, lasting an hour and a half, followed by creeping flushes of heat on the body, with sensation as if sweat would break out, but very transient, in the morning (after twenty-four hours). сhilliness at times, soon followed by dry heat, then by some perspiration, with anxiety, so that she could not rest long in any place, with frequent yawning and a weak pulse, almost without thirst, but with desire for drinking because the throat was dry, lasting nearly all day (after four hours). Sweat on the head and on the nose; warmth in the morning and during rest (after twenty-four hours).

 Conditions. Aggravation.
 (Morning), Mucus in throat; after rising sensation beneath sternum; chilliness.
 (Afternoon), From 12 to 2.30 o’clock, sneezing.
 (Evening), Twitching in muscles of neck.
 (While sitting), pain near small of back.
 Amelioration.
 (Passage of flatus), сolic.
 (External pressure), Pain jaws.

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