Imperfectly known; its action on the circulation is very decided, causing great disturbance in the heart’s action, predisposing to haemorrhages, but, so far as we know, not producing fever; its similarity to some forms of malarial fever, however, is pronounced, and has proved useful clinically.
Weakness; pains, as from constriction by an iron band, or tight cord, generally (>) fresh, open air.
Sadness; hypochondriac mood. Wishes to be alone, and not to speak to any one. Fear of death; thinks he will not get well.
Pain, like a weight, on the vertex, (>) pressure, and (<) talking and noise. Pulsating pain in the right side of the head, with a feeling of weight. Pain, as if the head were in a vise, or as if it would burst open. Threatening apoplexy.
Photophobia (with headache). Vision dim. Circles of red light before the eyes.
Profuse nose-bleed, even with pale face.
Sometimes pale, death-like, sometimes bloody. (Pains in the right side, (<) slightest exertion, (>) lying still.).
Constriction of the throat, suffocative.
Vomiting blood. Gastro-enteritis, with violent pain; sensation of constriction. Palpitation in the pit of the stomach.
Anus and Stool
Sensation of great weight, and urging to evacuate, as though a large stool would follow, but without result, Profuse haemorrhage from the bowels, or from haemorrhoids. Diarrhoea irregular, with heart complications.
Frequent urging at night, with a copious flow each day. Irritation in the urethra, as if necessary to urinate constantly. Urine reddish, turbid, profuse. Urine bloody.
Sexual Organs, Female
Painful menstruation. Menstruation too early. Menstruation too scanty; ceases while lying down. Inflammation of the ovaries, with constriction. Vaginismus. Dysmenorrhoea; pains occur periodically; menses cease on lying down, with heart symptoms.
Cough, with much viscid expectoration; spasmodic; worse at night. Cough irritable, hacking, seeming to come from the trachea; worse at night, dry. Expectoration free, yellow or jelly-like; like boiled starch. Expectoration of blood. Breathing difficult; a feeling as if the chest were constricted by an iron band. Periodical suffocation, with fainting, cold sweat and loss of pulse. Oppressed breathing, as from a weight on the chest. Feeling as if the chest were bound by a tight cord, or as if bound by an iron band. Congestion of the chest.
Heart and Pulse
A feeling of constriction at the heart, as from an iron hand. Acute pain in the heart, with stitches, causing loud cries, with difficult breathing. Heart’s action rapid, short, irregular, especially on rapid motion. Heart’s action irregular, with feeling of pressure and heaviness. Palpitation; worse from walking and at night, when lying on the left side. Palpitation from the least excitement, or from thinking, with need of deep breathing.
Neck and Back
Pain under left scapula. Coldness of the back, with icy-cold hands.
Tearing pains in the various joints. Numbness of the left arm at night, with prickling in the little finger. OEdema of the hands, especially of the left hand. OEdema of the lower extremities.
Sleeplessness, or restless sleep.
Intermittent. Febrile attacks daily at same hour, generally about the middle of the day, from 11 to 1 . Coldness in the back, with icy-cold hands; the febrile stage not marked; chill may be followed by cold sweat, without intermediate fever. (Malaria paroxysms accompanied by haemorrhage, especially from the bowels, rarely by convulsions in children.).