24 302 237 66

..

...

..

...
...

:

...

...

...

...

...

... ...

...

...

..

...

...

...

...

23 23 286 218 57 34 34 348 290 57 35 35 416 367

VOL. XXIV, NO. XCV.—JANUARY, 1866.

5

57 27 27 478 403 62 40

C

CHELIDONIUM MAJUS, L.

By Dr. O. BUCHMANN, of Alvensleben.*

(Continued from Vol. XXIII, p. 581.)

February 9th, in the morning.-Bright red spots of the size of a lentil, confluent, with a papule in the centre of each, all over the face except the forehead; rough to the touch; burning. Three times in half an hour thin pappy stools preceded by nipping pains in the intestines; pain like a wound in all the vertebræ, aggravated by movement; and pressure on the spinous processes.

About 2 p.m. chill, as if drenched with cold water, intermittent with dry heat, especially in the face, with the feet constantly cold; great weariness and paralytic sensation in the limbs. During the hot fit she falls asleep in a sitting posture, and the cold fit awakes her (two hours long).

In the evening in bed she cannot go to sleep for a feeling of numbness of the lower extremities from cold, though the bed had been warmed. In the night dreams of corpses. Towards evening she lost the eruption on the face.

10th, Morning.-Feeling of constriction across the navel; sensation of twisting and movement in the abdomen above the navel as if an animal were wriggling all through the intestines. Stool thin, pappy, bright yellow, three times in one hour.

2 p.m.-Violent stitches in the lower part of the thorax on the right on inspiring, aggravated by movement and coughing; drawing pains from the lower side of the sternum on the right as far as the spine; pain like a wound in the lower ribs on the right; frequent fits of short dry cough; difficulty of breathing, cannot take a deep breath for stitches; wound-like pain in the lower right half of the thorax, so that the very contact of her clothes increases it; collection of

From Allg. Hom. Zeitung, vol. lxx.

water in the mouth. Towards evening cold feet; cold feeling in the lower extremities. The skin all over the body feels cool to the touch, though the room is very warm.

11th.—All the forenoon, urging to stool every half hour with griping in the intestines and constriction in the rectum without evacuation. In the evening evacuation normal.

Towards evening collection of water in the mouth; menstruation commenced the following night in excess, but without any suffering.

12th. The ribs on the right side still painful to the touch as if raw; vertigo, especially on closing the eyes as if every thing whirled in a circle.

13th. Confusion of the head, with a sensation of a cord about the forehead; pains in the lumbar vertebræ like a wound; spasmodic pain in the right kidney and the liver all day, worse from 4 p.m. till about 9, with perspiration on the forehead and hands; wound-like pain in the lower ribs and right side; collection of water in the mouth; increased thirst; burning in the eyes; 4 p.m. chill for quarter of an hour, the heat, especially in the head, with cold in the legs for two hours.

Great languor overcome by slight exertion; diminished appetite.

14th, 15th.-As the 13th.

16th.—The same till 4 p.m.; at 4 p.m. chill for a few minutes only, with heat which lasted only half an hour, then got quite well.

17th. About 9 a.m. sensation in the forehead and temples as of cord till noon; same sensation about 7 p.m.; trembling, as if she would fall forwards, without vertigo. Muddled head; trembling in the upper extremities; sensation of icy cold in the calves and soles; the legs feel cool.

18th.—An hour after rising, a feeling of a hoop about the forehead and temples; inclination to close the eyes; difficulty of opening the lids, as if the upper lids were drawn down again, till noon. Towards evening return of the sufferings in a higher degree; feet cold.

19th, as before.-Menstruation has passed unnoticed into

leucorrhoea; the secretion is viscid, mucous, and stains the linen yellow. (Thirteen years previously, when unmarried, she suffered in the same way.) No appetite in the evening for six days. Frequent urging to pass urine, which goes off without actual discharge.

20th.-Headache in the forehead as if from a cord, from getting up till midday; leucorrhoea abundant all day. Towards evening, pain like a wound in the lumbar vertebræ and the five lower dorsal, aggravated by pressure with the hand, and by every movement; also in the five lower ribs on the right; pain in the right region of the kidneys, as previously.

21st. (South wind; after noon a thick fog; barometer low.) In the morning on rising, head aches over the forehead as if from a cord; relieved by closing the eyes. About 2 flying heats in the face; anguish obliging her to loosen her dress on the chest for half an hour; pains in both kidneys as before; violent pains in the same vertebræ and ribs as yesterday; ribs as if ulcerated; abundant leucorrhoea. She cannot take a deep breath because it increases the pain; heaviness and stiffness in the legs; drawing spas-. modic pain from above downwards, and in the iliac and inguinal region towards the region of the pubes. No appetite all day.

22nd. In the morning no more leucorrhoea; urine reddish, turbid in quarter of an hour. In two hours a reddish flocculent loose sediment; after standing till evening, not yet quite clear.

Morning. The same drawing spasmodic pains as yesterday, preventing walking. From increase of these pains, the right leg can with difficulty be raised; ankles painful, especially after walking, as if sprained. Evening, good appetite; pains as before in the vertebræ all day.

23rd. From 9 to 11 wound-like pain in the same vertebra; pain in the right kidney. Towards 5 p.m. pain in the forehead as before, till bed-time; wound-like pain as before in the right ribs; pain like dislocation in the ankles all day, more violent in the night.