account of painful tension betwixt the scapulæ and in the sternum. Drawing in the arm, whereby it feels heavy and as if paralysed. He has no rest in his arms, and must flex and extend them alternately. He cannot raise the right arm; has shooting and tearing in the shoulder-joint, which pains as if bruised when touched down through the upper arm, and his shoulderjoint creaks. Swelling of hands; afterwards the skin scales off. 205. Swelling of hands and legs up to the knees. Coldness of hands and feet (Ritter, 1. c.). Cramp in fingers, which are numb and insensible. In the morning, on trying to work, she has trembling in the hands. A kind of paralysis; a tearing with violent stitches from the hip-joint down to the shin-bone and sole of the foot (the ball is always painful when touched, as if bruised); by day he cannot step on account of pains, which, however, diminish when he walks. In the evening after lying down they are worst; he must get up and walk about in order to relieve the pains until midnight. 210. Shooting and tearing in the hip-joint, which pains as if bruised when touched-down to the shin-bone; in the evening in bed worst; he must get up and walk about. Paralytic pains in thigh, also when sitting; when she has sat for some time in a crouching position, she must, to relieve herself, stretch out the leg; when she rises from her seat the paralytic pain is worst; it goes off, however, on walking. Numbness in thigh. After rising from a seat, relaxation and weariness in the hocks, especially when walking* after having stood still. Weakness of knees, so that he sinks down (immediately). * On commencing to walk. 215. Swelling of knees and ankles and pain therein, especially on extending the knee in bed. A contractive pain in knee- and ankle-joints. On account of the pains in the knees, as if they were over-fatigued, he must at one time flex, at another extend them; he has no rest in them. On rising from bed in the morning, painful cramp in the calf (aft. sixteen hours). Tonic cramp of thigh and leg* (Scherer, in Hufeland's Jour., iii). 220. When walking in the evening,† contractive pain like cramp in shin-bone and calves. When standing, cramp in the calves, that goes off when walking (aft. twenty-eight hours). A painful drawing in legs. Bruised pain in legs in the morning in bed, that goes off soon after getting up. The legs tremble, and on walking they pain as if bruised. 225. Legs as if gone to sleep. On resting after walking, stiffness in the feet, when she attempts to move them again. Varicose veins in the feet. 230. Frequent cramp in toes and soles. The fingers and toes are drawn crooked with cramp, with great pain. Very cold feet, which she can scarcely use on account of fatigue. After eating weariness in feet. Her feet will not bear her. 235. Parts of the skin (e. g. on the dorsum of thumb, of toes, &c.), which are the seat of burning pains when not touched, smart intensely on the slightest touch. Dark hepatic spots (e. g. on the dorsum of the hand) inflame and suppurate. Easily fatigued by walking. * From iron applied to sole of foot. [In a case of chorea.-Transl.] He is very weak and thin. Very weak and sleepy (aft. two hours). 240. Very great weakness, like weariness (immediately). Heaviness of limbs for forty-eight hours. Heaviness, weariness, and relaxation of limbs. General weakness, caused merely by speaking. Great weakness (Harcke, in Hufeland's Jour., xxv). 245. Great trembling throughout the body, lasting several weeks (Harcke, 1. c.). Attacks of syncope (Ritter, 1. c.). Attacks of syncope, which leave behind them weakness, lasting all day (Ritter, 1. c.). Weakness of fatigue, alternating with anxious trembling. Frequent attacks of trembling throughout the body. 250. The symptoms are aggravated by sitting, and ameliorated by gentle movement. Walking in the open air affects her. When walking, faint feeling; darkness before eyes, felt as if she should have an attack of apoplexy, at every step roaring in ears and head. Inclination to lie down. Irresistible inclination to lie down (aft. one hour). 255. Constant weariness and sleepiness by day (sleep affords but slight relief). After dinner (noon) sleepiness and dizziness, also some headache over the root of the nose; he could not undertake any mental employment. Apt to fall asleep when seated at any time of the day. Light, not sound, slumber-like sleep. She lies long before going to sleep. 260. He lies for half and whole hours before falling asleep. She must lie for two or three hours before she falls asleep. He wakes every hour during the night, and only falls into a slumber again. She falls asleep tired, and sleeps though restlessly, and lies awake for a long time before again going off to sleep, and yet is not tired when she gets up in the morning. At night she can only lie on her back; she cannot sleep on her sides. 265. Windy colic at night; much flatulence is generated in his abdomen, which causes pain, although much flatus escapes. At night restless sleep. At night vivid dreams. At night disturbed by dreams; on rising in the morning much weariness. Restless, dreamful sleep, with seminal emissions. 270. Dreams he is in battle; that he has fallen into the water. Anxious tossing about in bed after midnight. Anxiety at night as if something had happened to her; she could not sleep; tossed about in bed. Heavy morning sleep till 9 o'clock, from which he can scarcely rouse himself. He sleeps with half-opened eyes. 275. In the evening in bed he became cold all over, in place of getting warmer. Afternoon, siesta, heat. Much perspiration when walking and sitting during the day. Perspiration by day when walking. About midnight frequent perspiration during slumber. 280. Perspiration in the morning for a long period. In the evening before going to sleep, rigor without external heat; in bed he was chilly all night.. Nocturnal sweat, with weariness. In the morning at daybreak perspiration till towards noon on alternate mornings, and each time preceded by headache. In the morning attack of stretching and yawning, during which the eyes are full of water (aft. eight hours). 285. (In the morning heat of face.) (Rigor, and during the chill his face got glowing hot.) By day ebullition in blood and heat in the evening, especially of hands. Heat in the body with red cheeks, but the head is free (aft. twenty-four hours). Scarcely perceptible pulse (Ritter, 1. c.).* 290. (Depression of spirits as from too loose bowels.) Violence, quarrelsomeness; insists that he is right (aft. four hours). Alternately too gay one evening, sad and melancholy the next. Anxiety (Nebel and Wepfer, 1. c.; Ritter, 1. c.). From slight cause, anxiety with throbbing in scrobiculus cordis. 295. Anxiety as if something had happened to her. THE PATHOGENESIES OF THE "CHRONIC DISEASES." By Dr. RICHARD HUGHES. I HAVE reason to believe that in the minds of most English-reading homœopathists, and therefore of the great majority of British and American practitioners of our school, a very vague idea exists as to the provings referred to the Chronic Diseases. Even if they go beyond Jahr, and use Hempel's translation of the Master's work itself, the absence of all references forbids them any insight into the constitution of the several pathogenesies. It seems frequently assumed that the symptoms recorded are the genuine effects of material doses of the drugs upon the healthy body, and may be cited and used accordingly. I have been led, in the course of some recent literary work, to examine closely the nature and materials of these pathogenesies; and I think it may be of service to my colleagues if I put on record in this place the results of my analysis. * [See note to s. 32.-Transl.] |