Part 13

_Eleventh day._—Oppression on the chest. Dry cough. Pain in the right side of the chest. No appetite. 200. Ulceration at the lower limbs, with itching.

ARRANGEMENT ACCORDING TO HAHNEMANN.

MENTAL AND MORAL: 1. She likes to be alone and quiet. Ennui. Melancholy. Dizzy, her head inclines forward. 5. In walking she imagines she is walking backwards. Staggering gait. Vision of dead persons.

HEAD: Headache in the evening, with inability to stoop. Heaviness of the head, with pain in right temple. 10. Acute pain in middle of the head. Pain in head as from a nail. Pressing pain from within outwards, in right parietal region. Splitting headache. Beating in the temple and above the left eye. 15. Pain as from an iron bar compelling the head to stoop forward. Hammering in the vertex. Headache as if the head were covered with a cap of lead on which one strikes.

EARS, EYES, &c.: Dull pain in left ear. Sawing pain in the cartilage of the left ear, extending to the neck. 20. Buzzing in left ear. Alternate heat and chilliness in the face. Shooting in the jaws. Pain in right teeth. Darting in right eye, with lachrymation. 25. Pain above the eyes, penetrating to the brain. Stitch under the right eye. Prickling in left eye, which runs and is inflamed. Pain at the eyebrows, towards the root of the nose.

GASTRIC: Rough tongue, with sensation as if larger. 30. Bitter mouth. Out of breath, with desire to vomit. Loathing at the sight of food. Desire for coffee. Desire to vomit. 35. Loathing, with tongue thick and doughy. Desire for dainties. Itching and tingling in the throat. Scraping in the throat. Yellowish, tenacious expectoration. 40. Sensation, while talking, as if a stone were burying itself in the stomach.

ABDOMEN: Pain around the navel. Lancinations in the splenetic region. Contusive pain in the region of the liver. Pain in the region of the liver. 45. Pain in abdomen, worse when touched. Pain in right side, as if a knife were plunged in. Painful stitches in each side of the abdomen. Constrictive pain round the hypochondria. Cutting pain at navel. 50. Pain in the side as if a stone were pressed in. Crampy pain in left side of hypogastrium. Pain in the groin as if the nerves were cut. Colic followed by a reddish diarrhœic stool. Constipation. 55. Diarrhœa. Sharp pain during stool, as from a penknife. Ineffectual desire to urinate. Burning when urinating. Stabbing sensation in the ovaries.

BRONCHIAL: 60. Blood-streaked saliva. Cough with inflamed throat.

CHEST: Her chest feels as if it would open, with cracking. Itching and burning in the chest. Oppression and burning in the sides of the chest. 65. Burning in the chest. Lancing pain in left nipple. Pressure at the chest and sides as from iron sheeting, followed by sensation as if pierced by a penknife. Acute pain in the right side of the chest. Weak feeling in the chest. 70. Pain at the right breast. Dartings in the right breast. Pain under the sternum. Pain under the right clavicle. Shortness of breath. 75. Heat around the breast which feels compressed. Dartings in right side of chest. Scratching pain in left side of chest. When drawing breath, the chest feels as if being opened. Pain at the heart. 80. Lancination in the præcordial region.

BACK: Heat along the back. Pain in the neck. Pain in the shoulder-blades.

EXTREMITIES: Numbness in the shoulder. 85. Numbness of the arms. Itching under the arm. Dartings under the right arm. Pain from the left arm to the back. Cramp in the palm and fingers of the left hand. 90. Pain in the lower limbs, which become stiff by walking. Prickings in left thigh, high up. Trembling of the lower limbs. Numbness in right foot and knee. Rheumatic pains in the knees. 95. Pain at right ankle as if sprained. Lancing pain in the heel. Pain of the soles in walking. Heat in the soles. The feet feel numb after going up-stairs.

FEVER, SLEEP: 100. Shuddering with drowsiness and arthritic pains. Chilliness. Shuddering on rising. Chilly. Restless sleep. 105. She dreams that a scabby dog is walking towards her; it bit her, and she cried out. She dreams that she wishes to look into a chest. Dreams about a leprous woman.

CUTANEOUS, GENERAL: Ulcers at the lower limbs, with itching. Red spots in the face. 110. Itching and suppuration behind the head. Pain in the joints. Distressing itching in the hand and fingers. Desire to lie down. Bruised all over. 115. Lassitude. Sensation in the limbs as if bruised.

BLATTA AMERICANA (LAM.)

BLATTA.—KAKERLAT AMERICANA (SAR.) PORTUG.: BARATTA.

The blatta americana, which is very common in Brazil, where it inhabits human dwellings, is an orthopterous insect, with an elongated, oval, rather flat body, from 12 to 16 lines in length, of a brown-red which becomes paler under the belly. The prothorax is smooth, shining, of an ochre yellow, with two large brown spots, which are sometimes united in one. In the male the elytræ reach beyond the belly by a few lines; in the female they are a little shorter. They are marked with numerous longitudinal streaks which bifurcate near the dotted margin terminating the elytræ. The wings are striate and reticular, of the length of the elytræ. The antennæ which are longer than the body, exhibit at their base a small yellowish point. The feet are provided with black prickles and terminate in a tarsus with five articulations.

We triturate the whole insect, if possible alive, for 15 minutes; after which we take two or three grains of this paste and rub them down with 100 grains of sugar of milk in order to obtain the first trituration.

_First day._—1. Aching pain in the temples. Numbness and heaviness of the head. Formication in the toes, at 7 in the morning. Pain shifting from the back to the shoulder-blade. 5. Prickings in the left side of the neck. Heat in the urethra when urinating. Stitch as by a fly, in the corner of the left eye, at 10 in the morning. Sense of weariness in the bends of the knees. Yellowness of the face. 10. Yellowness of the sclerotica. (When the prover had the jaundice, for which the blatta is considered empirically as a specific, he felt a number of pains which have been reproduced in this proving, such as general prostration, weariness, &c.) Frequent yawning, watery discharge from the nose. Lachrymation. Passing bloating at the pit of the stomach. 15. Drowsy in the afternoon. Acute pains in the temples, every now and then, at 4 in the afternoon. Chill and shuddering for half an hour. Pain at the right leg, from the toes to the knees. Slight colic. 20. Pain in the back, right side. Shuddering; sense of heat and slight moisture all over. Pain in the transverse colon, duodenum and pit of the stomach. Pain at the left little toe. Pain in the right side of the chest. 25. Shuddering for one hour. The pain in the temples continues. Yellow color of the urine, increasing more and more. Salt saliva.

_Second day._—Pain in the temple, with lancinations now and then. 30. Sense of weariness in the bend of the knee. Pain in the feet, here and there, and sometimes in the sole. Lazy. Frequent yawning. Acute pain in the chest, afternoon. 35. Cramp in the right leg. Weary when going up-stairs. Violent pain in the chest, with want of breath. Urine of a bright-yellow, albuminous. The proving was interrupted by an accident.

HAHNEMANN’S ARRANGEMENT.

1. Aching in the temples. Numbness and heaviness in the head. Acute pains in the temples. Pain in the temple, with lancinations now and then. Stitch in canthus of left eye. Yellowness of the sclerotica. Lachrymation. Bloating at the pit of the stomach. Pain in the transverse colon. Heat in the urethra when urinating. Bright-yellow, albuminous urine. Acute pain in the chest, afternoon, also with want of breath. Pain shifting from the back to the shoulder-blade. Pricklings in the left side of the neck. Formication in the toes. Sense of weariness in the bends of the knees. Pain in the feet, here and there. Chill and shuddering. Shuddering, with sense of heat and moisture all over. Weary when going up-stairs.

DELPHINUS AMAZONICUS.

DELPH. DELPHINUS GEOFFROYI (DESM.) PORTUG.: PEIXE BOI.

This dolphin is from 9 to 10 feet long; its body is large and cylindrical, of a brownish-gray color above and a pure white below. Its jaws, of equal length, are long, narrow, linear, armed on each side with 26 large conical, somewhat rugose teeth, with wide crowns. Its forehead is bomb-shaped, the eyes a little above the commissure of the lips. The pectoral fins are of considerable size, brownish at their extremities, and placed very low; the dorsal fin is elevated and semilunar. This dolphin, as its name shows, inhabits the mouth of the Amazon. It has a thick and fibrous skin, which we employ in medicine.

(Before trying the drug, the prover had paroxysms of cough with suffocation, during which a hernia protruded with much force.)

_First day._—1. Slight pain at the navel, after five minutes. Feeling of a quantity of air in the stomach, with grumbling in the abdomen. Pain at the loins, on rising in the morning. Eructations. 5. Violent smarting and excoriating pains, shifting from the right thigh to the heel, then to the right shoulder; these pains are aggravated by contact. In moving the right toes, the bones cracked as if notched. Quickly passing pain at the right eyebrow (when coughing, the hernia did not protrude any longer with so much force.)

_Second day._—Doughy mouth. 10. He has not been troubled with suffocation and the cough is less. Headache. Violent colic with soft and strong-smelling stools. Pain in the loins. Hard abdomen, especially on the right side, where he feels like a ball which is painful when touched, in the evening. 15. Dry lips.

_Third day._—Restless and disturbed sleep. (Cough continues.) Pain in the loins. The hardness in the abdomen has shifted to the left side. 20. Bleeding from the left nostril. (Before taking the drug he bled from the right nostril.)

_Fourth day._—Acid stomach. (Cough with suffocation.) Erections, with sexual desire. Itching at the anus as from worms. 25. The bones of the thorax are affected with rheumatic pains.

AMPHISBŒNA VERMICULARIS.

AMPH.

This species moves either backwards or forwards, as occasion may require, and is quite frequent in the woods of Brazil. Its body is cylindrical, from two feet to two and a half long, terminated by a very obtuse tail. It has no scales properly speaking, but its skin is divided into quadrilateral compartments disposed in rings round the body; 228 on the trunk and 26 on the tail. The lower lip is divided into six long and narrow plates; the head is small, rather sharp, protected by scutellæ, and not distinguished from the neck. It has small eyes; the jaw is not dilatable, the teeth are conical, bent, unequal and distinct from each other; the nostrils are on the sides, and pierced in a single naso-rostral plate. The amphisbœna is of a brownish color above, and a pinkish-white under the belly. The poison was taken from the living animal by cutting off part of its jaw, which was triturated immediately.

1. Debility. Sadness and lassitude in the morning, which leaves one while walking. Tender sadness which disposes one to be gentle and meek. Violent pain in the whole of the vertebral column, worse when walking, moving the arms or stooping. 5. Painful and large pimple on the left side of the upper lip, suppurating. Acne rosacea miliaris (a dry itch cured), covering extensive ellyptical spots; after the eruption healed, a furfuraceous desquamation took place wherever a pimple had been situated. Wakes at midnight, for ten consecutive nights. Disturbed sleep.

_Fifteenth day._—Depression. 10. Ennui. Impatience. Weight in the forehead and parietal regions. Weight at the forehead. Vertigo as if one would fall towards one side and is then impelled towards the opposite side by a contrary oscillation. 15. Pain at the inner canthus of the right eye as if a stye would form. Repeated beating at the right side of the forehead as if hail-stones fell upon it. Sweat about the head. Horrible headache, with sensation as if the feet were in the brain. Dizziness when turning round. 20. Constant twitching at the upper eyelids, especially the left. Constriction of the right eye as if strung together with a cord. Shooting pain in the outer angle of the left eye. Sensation as of a grain of sand in the right eye. Weariness of the eyes, in the evening, with pain and pricking when looking at the light. 25. Lachrymation and constriction of the left eye. Pain in the meatus auditorius, as if air were rushing in. Pricklings and heat at the right malar eminence. Dull pain _in the right lower jaw-bone_. Lancination and pain all through the right side of the head. 30. Pains in the right lower jaw, and considerable swelling aggravated by air and dampness. Swelling of the right lower jaw, worse in the open air. The teeth feel elongated and set on edge, especially the right lower molares. The toothache is worse in the evening and afternoon. Chewing is painful, but the contact of liquids is not painful. 35. Swelling of the tonsils. Deglutition is difficult, one is not able to swallow saliva. Protrusion of umbilical hernia. Chilliness and pains at the epigastrium. Tearing pain at the navel, all day. 40. Suppuration of inguinal hernia. The hernia is painful, and air is felt in it. Lancination in the navel as from a stiletto. Constipation. The miliary acne rosacea spreads over the chest, neck and back, with itching which is worse in the morning and decreases in the evening. 45. Gradually a white vesicle forms on every pimple, discharging a clear serum, after which the eruption dries up on the fifth day. Breaking out of little pimples, especially on the forearm. Painful swelling of the arm, on the fifteenth day. Cramp in the left leg. Painless drawing up of the legs. 50. Cramp in the left leg; it remains behind in walking as if paralyzed.

ARISTOLOCHIA MILHOMENS. (NOBIS.)

ARIST. ARISTOLOCHIA GLANDIFLORA (GOM.)—ARISTOLOCHIA CYMBIFERA (MART.) SNAKE-ROOT.

A climbing plant with a glabrous stem; leaves alternate, uniformly cordate, pedati-nerved, with reticulate little veins between the nerves; they are supported by long petioles, furnished with a large, entire, reni-form, amplexicaule stipule. Flowers solitary, upon a sulcate peduncle from four to five inches long. Perianth single, large, of a yellowish brown, tuberculated, curved, divided into two lips; the upper lip sharp, lanceolate, and somewhat bent outwards; the lower lip, twice as long as the other, at first dilated at the base, and expanding into a large oval disk with undulate borders. The whole flower is covered with prominent nerves. Stamens six epigynous. Ovary glabrous, surmounted by a stygma with six short and rounded lobes.

We employ the flower.

_First day._—1. Restless sleep. He dreams that he is neither able to work, drink or walk. Gurgling at the right frontal eminence, for one minute. Doughy mouth the whole morning. 5. Thirst. Pain in the right groin. Numbness of the left leg. Numbness of the lower part of the calf. Borborygmi in the stomach and bowels. 10. Lancinations in the whole of the left lower limb. The left leg is red and swollen. The head feels heavy. Very thirsty, with bitter mouth. No appetite. 15. Stitch in the ball of the left thumb, at half past three in the afternoon. Torpid sensation at the vertex. Pricking in the right testicle. Pricking at the right thigh. Pricking at the lower part of the left leg. 20. Itching at the inside of the left thigh. Prickings here and there, over the body. Pain at the ball of the right thumb, at 7 in the evening. Torpid sensation in the cerebellum. Stitch under the heel. 25. Itching at the left outer ankle, at 8. Itching at the skin of the prepuce. Crampy pain at the right inner ankle. Contusive pain at the left pectoral muscle, which is sensitive to contact, at night.

_Second day._—Restless sleep. 30. He dreams about a sheep and dog covered with red scarfs; the first was lifted off the ground and seized by the latter in the middle of the back; the dog was suspended by the back, by some individual accompanied by a number of persons. Afterwards an intense sexual dream with emission. Painful stitch under the shoulder-blade, as after receiving a blow. Sense of embarrassment behind the left inner ankle. Uneasiness in the thighs, followed by pricking, at 2 in the afternoon. 35. Contusive pain at the left knee. Lancinations at the forepart of the left outer ankle, at 7 in the evening. Fulness of the stomach. Stitching pain at the right thigh. In the morning, the leg is swollen and violet-colored; it becomes inflamed by walking, and, towards evening, changes to a blackish red. 40. Loss of appetite. The whole leg is covered with irregular blackish spots formed by extra-vasated blood. Urinates more frequently than usual. Burning head. Continual thirst, with bitter mouth. 45. The lips and gums are excoriated. Complete loss of appetite. The left leg is painful as if excoriated; the pain shifts to the right inner ankle, where it becomes more acute.

_Third day._—Lancinating pains at the apex of the heart, which arrests the breathing all night. The temples are painful to contact, the whole day. 50. Stiffness of the leg, with inability to stand for a few minutes. Stitching pain between the shoulders. Dull pain at the lower part of the lumbar region and at the abdomen. Burning pains at the anus. The lips and gums are raw as before. 55. Itching above the bend of the right elbow. Crampy pain in the left tendo-Achillis. Partial numbness around the ankles. Contusive pain below the left knee-pan, at 3 in the afternoon. Lancinations in the lower part of the right leg and at the inner ankle, at half past 3. 60. The upper and lower part of the left arm is painful to the touch, at half past 4. Painful lancinations at the inner part of the left knee. Stitch in the articulation of the first phalanx of the little finger, at 8 in the evening.

_Fourth day._—Pain at the dorsal part of the left index. Colic, followed by stool the first part of which is soft, the latter diarrhœic, twice in succession, in the morning. 65. Malaise as if something would accumulate at the inside of the right leg, above the knee, in the evening and during part of the night.

_Fifth day._—Difficulty of using the lumbar region. Sensation as if the skin of the right leg would fall upon the ankles, like a stocking; he frequently puts his hand there for the purpose of raising the skin again. Itching at the forepart of the right leg. Pricking at the inside of the right leg. 70. A difficulty at the lower part of the tendo-Achillis. Easy stool.

_Sixth day._—Itching at the internal ankle of the left foot. Itching at the left thigh. Pain above the right inner ankle. 75. Disgusting dreams.

_Seventh day._—Malaise after waking in the morning; he is unable to fall asleep again; he feels as if something near the ankles inconvenienced him for several hours. This pain increases towards three, changing to a contusive pain. The ankles feel swollen. 80. Acute pain in the sacro-lumbar region. Pain in the right side.

_Eighth day._—Pain at the pit of the stomach. The pain in the legs continues. Permanent pain above the left inner ankle. 85. Smarting at the inner and upper right thigh, in the evening. Acute lancination in the head, evening.

_Ninth day._—Acute lancination in the left side of the head, evening.

_Tenth day._—Violent lancination behind the head. The forepart of the left leg is painful to contact. 90. Shootings in the cerebellum.

ARRANGEMENT ACCORDING TO HAHNEMANN.

HEAD. Head heavy. The head is burning hot. Throbbing in the right frontal eminence for a minute. Sensation of torpor at the vertex. 5. His temples are very sensitive to touch during the whole day. Acute lancination in the head. Acute lancination in the left side of the head. Severe lancination behind the head. Shooting in the cerebellum. 10. Sensation of torpor in the cerebellum.

MOUTH: Mouth pasty through the whole morning. Excoriations of the lips and gums. Excoriations of the lips and gums as on the second day.

APPETITE: Anorexia. 15. Want of appetite. Complete anorexia. Thirst. Great thirst with bitterness of the mouth. Continual thirst and bitter mouth.

STOMACH: 20. Borborygmus in the stomach and intestines. Fulness of the stomach. Pain at the scorbiculus.

STOOL AND ANUS: Colic, followed by a stool, at first soft, then diarrhœic, twice in succession. Easy stool. 25. Burning pains at the anus.

URINARY AND GENITAL: He makes water more frequently than usual. Itching on the skin of the prepuce. Pricking in the right testicle.

CHEST: Lancinating pain at the apex of the heart which takes away his breath at night. 30. Bruised pain over the left pectoral muscle, which is sensitive to the touch at night.

BACK: Painful spot under the scapula, as if from having received a blow. Sharp pain between the shoulders. Pain in the right side. Uneasiness in the lumbar region. 35. Dull pain at the lower part of the lumbar region and in the hypogastrium. Acute pain in the sacro-lumbar region.

SUPERIOR EXTREMITIES: The upper and lower parts of the left arm are painful to the touch. Itching above the bend of the right arm. Stinging in the hypothenar eminence of the left hand. 40. Pain in the hypothenar eminence of the right hand. Pain in the dorsal portion of the left index. Pricking in the joint of the first phalanx of the little finger.

INFERIOR EXTREMITIES: Pain in the right groin. Lancinations through the whole extent of the left inferior extremity. 45. The left leg is red and inflamed. Swelling of the left leg. The leg is swollen and violet-colored in the morning; it becomes inflamed by fatigue and turns blackish red towards evening. The whole leg is covered by large irregular patches formed by extra-vasated blood. Malaise as if something were collected in the internal part of the right leg above the knee. 50. The pains in the legs continue. Uneasiness, then pricking in the thighs. Stiffness of the leg, with impossibility of standing up for a few minutes. Pricking on the internal surface of the right leg. Smarting on the internal superior part of the right thigh. 55. Pricking in the right thigh. Acute pain in the right thigh. Itching on the right thigh. Itching on the internal surface of the left thigh. The upper part of the left leg is painful to the touch. 60. Itching on the anterior part of the right leg. Bruised pain in the left knee. Bruised pain under the left patella. Painful lancinations in the internal part of the left knee. Prick as from a pin in the lower part of the left leg. 65. Swelling of the lower part of the calf. Cramplike pains in the left tendo-Achillis. Uneasiness in the lower part of the tendo-Achillis. Prick under the heel. Malaise after waking in the morning; he cannot go to sleep again; he feels as if something incommoded him about the malleoli for several hours. This pain increases, becoming a bruised pain. 70. Partial swellings around the malleoli. The malleoli appear swollen. Feeling as if the lower part of the right leg had a tendency to fall down upon the malleoli, as a stocking might do; he often carries his hand there as if to raise it up. Cramplike pain in the right internal malleolus. Pain above the right internal malleolus. 75. Lancinations in the lower part of the right leg and internal malleolus. The left leg is painful as if excoriated; the pain passes to the right internal malleolus and becomes more acute. Lancinations in the anterior part of the left external malleolus. Itching on the left external malleolus. Itching on the left internal malleolus. 80. Persistent pain above the left internal malleolus. Disagreeable sensation behind the left internal malleolus.