Part 15

Evanescent and confused ideas. Want of memory. Passing recollection, which escape from her mind without her thinking of it. Sadness unto tears, with headache, second day. 120. Deep sleep, commencing early, and lasting longer than usual, for three days. Drowsy all day, with frequent yawning, but no desire to lie down. Unpleasant dreams which she does not recollect on waking. Quiet sleep in spite of the disturbing dreams which she forgets on waking, second day. Prostration as from sleepiness, without desiring to sleep. 125. Dreams about dead bodies, she wakes with a start and cold sweat all over her body. Sensation as if the finger were pressed on the right temple, with sensitiveness to contact, second day, noon. Lancinating pain in the right temple, suddenly shifting to the left temple and thence to the vertex, where a burning sensation is experienced, second day. Pain and heat in the forehead, with pressure on the eyes, second day, three in the afternoon. Dull pain at the root of the nose, evening. 130. Numbness and compressive sensation as if a warm bandage were wrapped round the head. General prostration as from sleepiness. The voice seems to come from afar. The body seems insensible when she is lying down, and she feels as if in a swoon. When walking she feels as if she did not touch the soil, and as though she would fall. 135. Painfulness of the eyes, as if the eyeballs were driven out of the orbits by some foreign body. Sensation as if the head were full of warm water. Sadness, tears; in her sadness she remains seated, motionless, speechless (all these symptoms occurred within an hour, second day, after 12). Headache, with weight on the eyes, second day. Sensation as if stung by ants under the left lower eyelid. 140. Nose slightly inflamed and shining. Dull pain at the root of the nose, on the evening of the first day. Pain at the left wing of the nose, which spreads to the opposite side, followed by bloating on the dorsum of the nose, second day, at noon. Sense of heat in the face, though the skin feels cool. Sensation as if a needle had been stuck in the upper lip from within outwards, eleventh day, on rising in the morning. 145. Toothache. Dry mouth. Burning tongue as from hot water, on rising from bed. On going to bed, flow of watery and cold saliva, depositing an ash-colored sediment and whitish granulations, which taste and smell like bile, but are not bitter. Sharp and lancinating pain striking through the spleen from below upwards, second day. 150. Slight colic in the descending colon. From 11 in the morning until evening she urinates every five minutes, with heat in the urethra, second day. She urinates three or four times an hour, without pain, third day. Urine colorless, on the following days. Tightness and beating in the region of the heart, fourth day, evening. 155. Deep-seated and dull pains in the chest, under the sternum. Dull pain in the posterior cervical region, when moving, the neck, second day, noon. In the right wrist-joint she feels an internal, sharp pain which seems to be more violent externally. A similar pain is felt at the left wrist, but less intense. Pain from the humero-cubital articulation to the wrist. 160. Numbness at the posterior and internal part of the forearm. Sharp pain, and sensation of painful roughness at the forearm, first day, evening. Pain in the right hand, from the circumference to the centre. Sudden pain at the left little finger, striking through the whole forearm, becoming seated at the humero-cubital articulation and increasing gradually, with sensation of constriction, second day, morning. Shooting, and itching at the internal and upper part of the forearm, second day, morning. 165. Pains in the last fingers of the right hand as if they had been struck with a hammer, second day, noon. Sweat in the palm of the hands, second day, evening. Twisting sensation in the scapulo-humeral articulation, when stooping, third day. Sense of paralysis in the forearms and the phalangeal articulations, the fingers feeling numb, third day, evening. Heat in the skin of the arm, as if slightly burnt, after rubbing the hand over it. 170. Slight crampy pain in the tendons of the palms of the hands, and in the forepart of the wrist. Similar pain in the tendons of the ring-fingers, sixth day. Renewed crampy pain in the hands, ninth day. Cramp in the right ring-finger, tenth day. Slight cramps in the hands, twelfth day. 175. Numbness from the knee to the sole of the foot, where it becomes seated, first day, noon. Weakness and numbness of the legs, especially when rising, first day, after 12 in the day-time. Weakness in the legs and knees when stooping. Weakness in the legs, so that the knees give way, second day, after 12. Pain at the forepart of the tibia, as from a blow. 180. Contusive pain at the calf, aggravated by contact. Dullness of the sentient faculty when lying, as if the body were numb.

Fifth prover: _Miss Nina_, 14 years old, sanguine temperament, cheerful disposition, red face, auburn hair.

The least cause excites her mirth; she would like to sing. Regular sleep, generally longer than the three first days. Drowsy all day, with frequent yawning, without any desire to go to bed. Dreams which she is unable to recollect. Lachrymation, with sensation as of sand in the eyes. Urine more profuse and of a lighter color. Numbness of the right arm.

Sixth prover: _Mr. Cyprien Huet_, 51 years old, sanguine temperament, robust constitution, serious disposition, red conjunctiva, weak sight, redness of the margin of the eyelids.

Very gay. He laughs and sings all day. Deep sleep, commencing sooner and ending later than usual, for four days. Quarrelsome dreams, second day. Violet-colored spots elongated horizontally, on the right hypochondrium. Dull pain at a point on the hairy scalp, and pressure at the occiput on the right side. 195. Boring pain at the top of the forehead, second day. Contusive pain at the zygomata. Violent lancinations in the upper part of the forehead and in the left side of the head, for one minute, second day, noon. Pain in the upper part of the left parietal bone, as if the skull would split. Boring pains in the right upper lid, first day. 200. Dull pain at the right eye, as from a blow, relieved by pressure, second day, noon. Slight pain in the nose. Intense and sudden itching on the dorsum of the nose. Stoppage of the right ear, with hard hearing. Contusive pains in the outer parts of the orbits. 205. Sensation as of a pustule on the cheek, of the size of a pea, for some seconds. Violent itching at the same place. Sensation in the throat as from swallowing some astringent substance. Borborygmi when lying down, second day, morning. Lancination in the hypochondria. 210. Mucous diarrhœa, dark-colored, mixed with fæcal matter in hard and single fragments, third day. Light-colored and copious urine, second and third day. Dry heat in the palms of the hands, for several days. Sense of contusion in the muscles of the right forearm, at the inner side between the radius and cubitus, first day, morning. Crampy pain in the muscles of the right hand, especially at the thumb, first day, morning. 215. Dull pain and numbness, as is experienced when pressing the brachial nerve where it passes over the internal condyle of the humerus; aggravated by contact, first day, noon. Violent crampy pain in the muscles of the palm of the right hand, for five minutes. Crampy pain in the left little finger. Numbness of the fingers of the right hand for several hours, first day, after 12. Lancination and heat at the tip of the right thumb, as if there were a whitlow, extending to the first phalangeal articulation. 220. Heaviness and numbness of the extremities, first day, evening. Contusive pain at the forearm. Itching at the last fingers. Numbness of the extremities after rising from bed, second day, three different times. Itching in the palm of the left hand. 225. Pain in the external middle part of the right forearm, as if needles were thrust in. A similar feeling at the left arm, but less distinct. On rising from bed, in the morning, numbness and itching at the right foot, first day. Dull pain in the knee-joint and bend of the knee, especially the first day. Numbness and slight itching of the right leg, down to the foot, second day, noon. 230. Slight, acute and circumscribed pains in the groins, repeatedly and at intervals. Heat in the loins, second day. Dry heat all over, especially in the palms of the hands. General weakness, every morning after rising from bed.

ARRANGEMENT ACCORDING TO HAHNEMANN.

MENTAL, MORAL, HEAD: 1. Sad. Sad, motionless, speechless. Confused ideas. Merry, disposed to sing. 5. Boring pain at the top of the forehead. Lancinations in forehead and left side of the hand. Splitting pain in left parietal bone. Pain and head in forehead, with pressure on the eyes. Numbness and compressive sensation at the head as from a warm bandage. 10. Sensation as if the finger were pressed on the right temple. Lancing pain in the temples, shifting to the vertex where she feels a burning. Pain at vertex, as from a blow. Numb pain, with pressure, in the temples. Heaviness in the forehead when stooping. 15. Headache, with small pulse and hot face. Painful stitch in forehead, worse when opening the eyes. Stabbing sensation in right temple. Dull, beating pain in left temple. Compressive pain in forepart of head. 20. Headache on waking. Heaviness of the head, also at the vertex. Sense of fullness in the head, as if it would split. Sense as if hot water were thrown on the hairy scalp. Deep-seated pain in upper part of the brain, less when walking about. 25. Dull pain at a point on the hairy scalp.

EYES, &c.: Lachrymation and feeling as of sand in the eyes. Boring pains in right upper lid. Dull pain at the right eye as from a blow. Pain as if the eyes were driven out. 30. Stinging under the left lower lid. Redness of the conjunctiva. The flame of the candle looks yellow. Eyes half closed, bloated. Weight at the eyelids, she has to close them and then sees figures. 35. Dimness of sight. Painful burning at the margin of the eyelids. Toothache. Sense of heat in the face. Itching of the dorsum of the nose. 40. Nose inflamed, shining. Pain at the alæ nasi, followed by bloating of the dorsum of the nose. Stoppage of the right ear. Report in the ears when lying down. The left ear is hot and red.

MOUTH, STOMACH, &c.: 45. Stitching in the upper lip. Dry mouth. Burning in the tongue. Flow of saliva in the evening, with ash-colored sediment and granulations tasting like bile. Sore throat with difficulty of swallowing saliva. 50. Astringent sensation in the throat. Lancinations in the epigastrium and stomach. Stomach-ache, with cold feeling internally. Acute pain in stomach when rising from a chair. Circumscribed pains in the groins. 55. Rumbling. Lancing pain in the spleen. Dull pain in bowels.

STOOL: Constipation. Slimy diarrhœa. 60. She urinates every five minutes, with heat in the urethra. Light-colored urine.

BRONCHIAL: Cough with hoarseness. Suffocation, with cold feet, in bed. Fetid breath. 65. Pain at the sternum when stooping. Deep-seated pain under the sternum. Tightness and beating in the region of the heart.

EXTREMITIES: Heat in the loins. Twisting sensation at the shoulder-blade, when stooping. 70. Sensation in the spine as if strained when lying down. Prickings at right shoulder, followed by inflammatory redness. The left arm feels weary and numb. Pain at left arm, with large, red, inflamed spot. Burning pain at left radius. 75. Inflammatory redness at left forearm. Sense of paralysis at the forearm and phalanges. Shootings and itching at the inner forearm. Numbness at the inside of the forearm. Sharp pain and rough feeling at the forearm. 80. Pain in the forearm. Contusive sensation at right forearm. Pricking pain at the outer and middle part of the right forearm. Numbness of the right fingers. Stinging pains at the elbow. 85. Numbness at the wrist with sensitiveness to contact. Internal sharp pain in right wrist. Crampy pain in the palm of the hand. Sweaty in the palms of the hands. Pain in the fingers of the right hand, as from a blow. 90. Pain in the right hand. Dry heat in the palms of the hands. Crampy pain in the muscles of the right hand. Numbness of the tips of the fingers. Itching and inflammatory swelling of the ball of the left thumb. Cramp in the ring-finger. 95. Sudden pain from the little finger to the extent of the forearm, with constriction at the elbow. Darting and heat at the tip of the right thumb. Numbness of the lower limbs. Biting sensation at right thigh, with itching and smarting after scratching. Cramp in the calves, at night. 100. Numbness of the legs, also with weakness. Contusive pain at the calf. Numbness and itching of the right leg. Sudden numbness of the knees. Dull pain in the knee joint. 105. Lancing pain in the metatarsal bone. Painful pricking in the left fifth toe, followed by a sensation as if it would turn.

SLEEP: Drowsy, yawning. Deep sleep. Drowsy after breakfast and dinner. 110. Light sleep. Sad dreams about sick persons. Dreams about quarrelling. Unpleasant dreams. Sad dreams. 115. Dreams about dead bodies, she wakes with a start and covered with cold sweat. Quarrelsome dreams.

FEVER: Febrile heat, pale face, cold hands. Heat all over. Dry heat all over. 120. Shuddering all over. Cold feeling in the bones. Profuse cold sweat and chilliness, first part of the night.

CUTANEOUS: Violet-colored spots on the right hypochondrium. Two yellow spots on the neck.

GENERAL: 125. Heaviness and numbness of the extremities. Weakness every morning. The body feels insensible when lying down, as if in a swoon. Prostration. Dartings through the whole body, followed, by itching and violet-colored spots on the arm, back and feet. 130. Numbness of the arms and legs. Contusive pain in the arms and legs. Heaviness of the limbs.

JANIPHA MANIHOT. (KUNTH.)

JAN. JATROPHA MANIHOT. (LIN.) MANIHOT UTILISSIMA. (POHL.) MANIOCA MANDI.

The manioca which is cultivated, a good deal in South-America, for its nutritious root, is a bush with a round and ramose stem, often growing to the size of three feet high. Its leaves, which are of a sea-green color, and supported by long petioles, are alternate, palmate, with five to seven lanciolate, smooth and entire lobes. The flowers, which are monoïchous, form branching panicles either terminal or axillary; their perianth is calicoïd, campanulate, with five deep divisions of a light-yellow color, changing to a brown at the extremity of the divisions. Flowers male, ten stamens, with alternately long and short filaments inserted in a fleshy disk, which, in the female flowers, surrounds the base of a sub-globular ovary, with three uni-ovulate chambers; no style, but three stygmata presenting six or seven thick, compressed lobes that constitute a thick and sinuous mass. The roots, which are tuberculous and very big, contain an abundance of milky juice which is very poisonous when fresh, and which is extracted first by pressure and afterwards by the desiccation of the feculent portion that constitutes the chief nutriment of the Brazilian farmer. It is this juice that we employ in medicine.

On the second of July, 1845, a large quantity of this dangerous liquid was expressed before the institute, and an ounce of it was taken by Dr. Jo. Vincente Martins, and several pupils among whom Messrs. Antonio de Souza, Dias and Chedifer, seemed to be the most eager. The symptoms were so violent that most of the provers were obliged to antidote them. We trust that the devotedness of the Brazilian physicians will excite a corresponding enthusiasm among their brethren in other parts.

_First day._—1. Eructations, at half past 6 in the morning. Slight feeling of dryness in the œsophagus. Slight weight in the stomach. Drowsy in the day-time. 5. Thirst. Falls asleep late. Stool easier than common. Pain at the velum palati. Pain in the orbits. 10. Pain in the chest. Weakness of the knees in going up-stairs. Sad. Feeble. Dizzy. 15. Acute pain in the left arm, at night.

_Second day._—Vague pain in the abdomen, while urinating, at 6 in the morning. Copious light-colored, watery, fetid stools. Renewed ineffectual urging to stool, at 8. Appetite when commencing breakfast, it suddenly ceases after taking a little milk. 20. Sense of swelling in the left tonsil. Profuse sweat during sleep, ceasing on waking. Watery, greenish, fetid stools. Slight dull pains in the stomach and bowels, with rumbling. Sudden pain, with lancination in the urethra, above the fossa navicularis, for two minutes. 25. Tenesmus and pressure in the sphincter ani, with pricking, at 3 in the afternoon. Weight in the head, especially high up in the forehead, at 4 in the afternoon. Drowsy, at 4 in the afternoon. Distressing dreams, he wants to save a child from asphyxia, but the parents refuse to have it treated. Dizzy. 30. Wakes in bad humor. Trembling of the knees and limbs, with violent emotion when hearing other persons talk about the malady which he fears he is afflicted with. Pain in the side of the chest and in the shoulders, worse during motion.

_Third day._—Uncertain and transitory, but very acute pains in the stomach. Fetid sweat in the axillæ and about the scrotum. 35. Doughy mouth, with bad breath. Noise in the ears like that of rushing steam. Slight heat in the urethra. Swelling of the ankles, rather less at night. Pain in the back. 40. Pain at the left elbow. Moral and physical prostration.

_Fourth day._—Heaviness in the stomach, all night, eased by placing the hands upon the part. Optical illusions. Bitter mouth. 45. Pain in the forehead and the nasal fossæ.

_Fifth day._—Pain at the inside of the thigh. Dreams about a fire with little flames like those which were observed during the examination at the institute of Rio Janeiro from the tenth attenuation of the crotalus cascavella, by means of the solar microscope.

_Sixth day._—Drowsy. Diarrhœa in the morning. 50. Pain at the loins. Icy coldness of the knees.

_Seventh day._—Icy coldness under the shoulder-blades, in bed, even when well covered. Cold feet and hands.

_Eighth day._—Rheumatic pain in the right thigh. 55. Icy coldness in the arm, even to the marrow. The whole head, especially the nape of the neck, is cold.

ARRANGEMENT ACCORDING TO HAHNEMANN.

Dizzy. Sad. Bad humor on waking. The whole head and especially the nape of the neck, are cold. Weight in the head. Pain in forehead and nasal fossa. Optical illusion. Pain in the orbits. Whizzing in the ears. Eructations. Thirst. Appetite at breakfast, ceasing suddenly after tasting milk. Doughy mouth. Dry feeling in the œsophagus. Pain at velum palati. Sense of swelling in left tonsil. Dull pain in stomach and bowels. Weight at the stomach. Tenesmus, and pressure in sphincter ani, with pricking. Watery, fetid stool. Ineffectual urging to stool. Painful darting in the urethra. Heat in the urethra. Vague pain in the abdomen when urinating. Pain in the side of the chest, during motion. Pain in the chest. Fetid sweat in the axillæ. Acute pain in the left arm. Pain at the left elbow. Icy coldness in the arm. Cold feet and hands. Rheumatic pain in the right thigh. Trembling of the knees and limbs. Swelling about the ankles. Weakness of the knees: Icy coldness under the shoulder-blades, in bed. Distressing dreams. Drowsy. Dream about little flames. Sweat during sleep. Prostration.

MELASTOMA ACKERMANI.

MELAST. TAPIXIRICA.

This species has never yet been described by authors. It is a bush with round branches, triangular at their extremities, and covered with a brownish bark. The leaves are opposite, supported by short and hairy petioles; their limb is oval, reticulate, covered with stiff hairs, and traversed on its lower surface by five thick almost parallel nerves running from the base to the summit of the leaf. The flowers are sessile supported by terminal axes. We employ the leaves.

_First day._—1. In the morning, pain in the region of the sternum. Sneezing. Heat all over. Palpitation of the heart. 5. Buzzing in the left ear. Acid stomach. Profuse saliva. Shuddering, then sweat. Vertigo.

_Second day._—10. Looseness of the teeth. Lancination and prickings at the vertex. Stitches at the feet, ankles and wrists. (Disappearance of an inveterate diarrhœa with colic). Itching and heat at night. Tenesmus with constriction of the sphincter. 15. Pain at the perinæum. Light-colored and foaming urine. Hardness of the penis, even when there is no erection. Fetid urine. Digging in the teeth. 20. Heat and pricking at the anus. Pricking in the urethra. Weakness of the thighs. Profuse urine. Lancinations in the perinæum, the urethra and the testicles. 25. Rumbling. Urine more cloudy and less foaming. Pain in the abdomen. Prostration. Pale face. 30. Drowsy in the day-time. Urine with white sediment. Albuminous urine. Horrid pain and pulling from the perinæum to the groin, for six hours; while seated and not passing off in any position. Violent shuddering for four hours, followed by heat without sweat. 35. White coated tongue. Bitter mouth. Pain in the loins. Red urine without smell, with bloody coagula. Headache and sensitiveness of the hairy scalp. 40. Œdema of the legs. Eruption on the lips, especially the upper. Internal heat.

SEDINHA.

Herbaceous plant, with a slender, round and pubescent stem; the leaves are opposite, lanceolate and very sharp; their upper surface is hairy and of a darker green than their lower surface, which is covered with long, silky hairs. This plant is quite common in the neighborhood of Rio-Janeiro. We employ the leaves.

1. Aching pain at the sternal articulation of the fourth ribs. Internal itching, with desire to scratch, in the pit of the stomach. Sensation in the region of the liver as if penknives were thrust in. Tenesmus. 5. The urine burns like boiling water. Restless dreams about murders, monstrous animals. Distress on seeing any one eat. Pain in the pit of the stomach in raising one’s-self. Pressure in the temples and vertex. 10. Bone-pains above the eyes. Constant yawning for two days. Pain in the abdomen, after dinner, apparently proceeding from the pit of the stomach, with slight colic. The teeth are sensitive and set on edge, especially the right upper incisores. Itching in the left ear, with a good deal of ear-wax. 15. Digging pain in the right lung. He raises a bloody mucus. Desquamation on the back of the hand, extending to the nails, where the skin becomes loose and forms hang-nails. Itching at the pubis. Pimples and itching on the back, chest and arms. 20. Colic in the evening, with incarcerated flatulence; relief is obtained by the emission of flatulence. Toothache after eating, with bleeding and sensitiveness of the gums. Pain in the bad teeth. Headache as if from water-bubbles enclosed here and there in the forehead. Sense of excoriation in the urethra. 25. Slight pain in urinating. Discharge from the urethra of a water mixed with little mucous flocks. Heat on the back of the hand as if scorched by the sun, followed by desquamation. The gums are extremely sensitive, and the incisor teeth set on edge. Ludicrous dreams; he is pursued by crocodiles and he drives them away by sneezing. 30. Coffee aggravates the symptoms; the incisor teeth are set on edge, with sense of coldness in these teeth which descends from time to time. Caries of an incisor tooth.

SPIGGURUS MARTINI. (NOBIS.)

SPIG. SPIGGURUS SPINOSA (FR. CUV.) HISTRIX SUBSPINOSUS. THE PORCUPINE.