An element. Preparation: Triturations of the precipitated metal.
During and after the proving, his disposition much more quiet; for generally he is much disposed to fly into a passion. Her disposition is particularly quiet, being otherwise very lively, anxious and full of care. He forgets and neglects much; also the writing down, and even the observing of the symptoms; it is all too much trouble to him; when thinking of the one, or of any business, he forgets everything else, and on account of he neglects much that is necessary.
Vertigo. The next morning while dressing, a very violent attack of vertigo, which became much worse after walking out; he could hardly stand; he was compelled to lie down and to remain at home several days; the vertigo caused nausea; after eating rice he was obliged to vomit; at every motion while he was lying down, even when he turned his head, still more on sitting up, the vertigo returned; at the same time the pulse was more frequent; he had previously had similar attacks, also a severe one after Glonoin; on other occasions Aconite had always helped him; this time it did not, nor did Glonoin nor Belladonna; it gradually passed away after three or four days. A peculiar kind of vertigo every evening while getting asleep, about half an hour after going to bed, a sensation as if he were wafted and drawn forth very quickly in the direction of his legs; he was always weakened by it; it never returned later in the night; on the contrary, one night when he had gone to bed earlier than usual, about 8.30 P.M., the sensation appeared in like manner, about half an hour after he had lain down, and when he was first getting asleep; this vertigo kept coming for eight or nine days; was interrupted at one time by two days of quiet sleep, returned, and ceased altogether. General Head. When working quietly (sitting with the head bent forward), without any provocation whatever, a sudden rush of blood towards the head, with perceptible reddening of the face, recovering irregularly, but almost daily twice, now in the morning, now in the afternoon; this rush of blood recurred for about fourteen days. Dulness in the head (after three- quarters of an hour). Towards evening, dull headache over the whole head (second day). Dull headache and dulness of the head (first day). Head heavy, full, and sleepy (second day). On every movement the brain felt as if bruised. Headache on several occasions, since he took the dose; to-day chiefly on the vertex (thirteenth day). In the afternoon, headache worse on the left side; at 6 P.M., worse in the forepart of the head (fourth day).Almost every remedy that he ever before proved gave him headache; this, however, did not. Forehead. Some heaviness above the brows (fourteenth day). A peculiar pain in the head above the eyes, deep interiorly in a long line, like pressure from within outward, worse on the right side (after twenty minutes). Violent linear pain in a small spot above the left eye, behind the brow (after one hour). Headache internally in the left sinciput, in a small spot; it presses there like a hazelnut (first night), continuing slightly through the morning (second day). About 10 A.M., a pain above the left eye; it came suddenly and went as quickly; it seemed to have been caused by a sudden rush of blood thither; as it was passing off the pain was accompanied by a sensation not easy to describe, along the left side of the neck, as if the blood there had suddenly been retained in one of the large veins, or had streamed backwards; next followed a feeling in the stomach like weakness or faintness, and a pain in the left chest (tenth day). Some pain above the left eye after lying down (seventeenth day); now and then pain over the left eye (eighteenth day). Single pressure like stitches anteriorly at the forehead; the headache becomes more and more pronounced, and consists of the unpleasant pressure above the eyes which is commonly felt after having been awake for several nights (first day). Temples. Dull pain for a short time in the head, above and behind the left ear (after one hour). Congestive headache in temples and forehead, on waking in morning; worse n stooping, when there was a feeling of weight in these parts; relieved for a time by lying down (third and fourth days). Vertex and Parietals. Immediately a pressure upon a small place behind the vertex. External tensive headache over the whole left half of the head when lying on the right side, passing away when lying on the left side, in the morning (second and following days).Occiput. A confusion in the head behind, at both sides, and worse towards the occiput. Sensation of numbness in the occiput and nape.
Right eye painfully hot, with excessive lachrymation thereof, continuing about fifteen minutes, about 5 P.M. (eleventh day).Watering of the eyes, with the coryza (seventh day). He wakened early with a pale red, dropsical, biting, itching swelling in the left upper eyelid, rather towards the inner angle; this swelling secretes some fluid (eighteenth day); after a few days a scab forms, the eye is worse, the globe also is reddened (twentieth day). Towards evening, in the upper left eyelid towards the inner canthus, itching and pressure as if a hair had grown in the wrong direction (thirteenth day).
Sometimes itching in the ear, with secretion of a thinner earwax than usual (sixth day). In the forenoon it seems to him as if his ears were suddenly stopped; about 10 P.M., sensation of obstruction in the ears; worse on the left side (sixth day).Sometimes, for an instant, a sensation as if air catches itself in the left Eustachian tube; on taking a pinch of snuff and on eructation of wind, the air catches itself in the left Eustachian tube, as in a sac (ninth day); repeated several times (tenth day).
At 10 A.M., attack of sneezing, lasting several minutes; had this frequently after rush of blood too the head (fourteenth day). Afternoon, coryza has set in, it is dry (second day); after a few days it ran a natural course; it is only to be remarked that it appeared worse at irregular times. The whole forenoon the left nasal passage is stopped from the right one; slime is running off by the posterior opening (fifth day).Obstruction of the right nostril (seventh day). When walking in the clear, fresh air (11 A.M. to 12 M.), a fluent coryza develops itself, with hoarseness and watering of the eyes, with short cough and pressure in the middle of the chest, under the sternum; after being some time in the open air it goes away again (seventh day); repeated (eighth day). On awaking, much thick slime in the nose; during the night he had breathed through the mouth; the nose sometimes stopped, sometimes free (eighth day).Coryza, with thick mucus (twentieth day). Sudden feeling of painful dryness (as is felt on a fluent coryza being suddenly stopped, or on an abortive attempt to sneeze) in right side of nose and fauces, between 4 and 5 P.M.; it lasted three-quarters of an hour, when the right eye became painfully hot with excessive lachrymation thereof (eleventh day). Painful dryness (as if felt on a fluent coryza being suddenly stopped, or on an abortive attempt to sneeze) at back of throat for ten minutes, in the morning (thirteenth day).
During the first week, and now and then during the following, a peculiar twitching and distortion of the left facial muscles, often when speaking; the left angle of the mouth is drawn to the left, and upward. After having been, during the forenoon, in sharp, cold air, slight burning sensation in the lips during the afternoon (second day). In the afternoon, burning in the middle of the upper lip (third day).
Slight dull toothache on the left side, in teeth that had been filled with lead. The gums bleed so that the mouth is full of blood (eleventh day). His breath had, for several weeks, the odor of garlic. Sensation of coolness in the mouth and pharynx, as after having peppermint lozenges in the mouth, very distinct on drawing in the air (first day). A metallic earthy taste in the mouth.
In the morning, much secretion of the slime form the posterior nares, of a saltish taste, like smoked herrings (third day). The slime in the posterior nares has been deposited as a yellow- reddish resin, which is hawked out in the morning (seventh day).Sensation of dryness in the throat, at 5 P.M. (fifth day). In the evening, sore throat, worse on the left side of the empty swallowing (tenth day). Sore throat on empty swallowing, evening (eleventh day). A little rough, scratchy sensation in the throat, not passing off by swallowing (first day). A scratchy feeling in the throat, worse towards evening (nineteenth day).Tonsils. Pressure at the tonsils (first day). Fauces. In the morning, a prickly sensation of dryness in the fauces, worse on the left side; better after breaking (fifth day). Sensation of dryness, involving the whole fauces, but worse on the right side (seventh day). Towards evening, dryness of the fauces (eighth day). The sensation of dryness in the fauces, worse on the left side, comes again in the morning, but is milder; while walking in the open air, and after doing so (11 A.M. to 12 M.) it ceases; in its stead the right side becomes painful, worse on empty swallowing; the pain at the same time extends to the right ear, which feels internally as if stopped; the sensation of dryness is always perceptible morning and evening (sixth day). The pain and sensation of dryness in the fauces go away when eating or drinking, during the entire proving. Feels his fauces and pharynx; has at times a strange sensation, as if round waves pushed against the pharynx below (after three-quarters of an hour). Prickly soreness in the fauces when swallowing; worse on the right side (seventh day). In the fauces above the larynx, an itching and a kind of burning, as if he had scalded himself with a hot drink, lasting several days.
Appetite and Thirst. During the whole time, a good appetite and a disposition to drink a glass of beer oftener than common, which always tasted good; both later ceased. 11.30 P.M., while going to sleep, sudden desire for apples, which makes him wide a wake again (thirteenth day). No desire to smoke (first evening).Eructations. Eructations tasting of the food. Heartburn.Heartburn, a sensation of warmth, as after spirituous drinks, in the epigastrium and on both sides of the same. Nausea. Nausea before the evening meal, ceasing by eating, together with the headache (fourth day). Nausea caused by the vertigo; after eating rice he was obliged to vomit. Disagreeable sensation in the stomach; something comes up as far as the pharynx, as though a wet eructation were about to occur, but nothing comes up; finally a difficult retching, then an accumulation of water in the mouth; after half an hour accumulation of water in the mouth, retching, then yawning. Stomach. Feels empty and week in the stomach, yet without appetite. A feeling in the stomach like weakness or faintness (tenth day). The disposition to become easily faint in the region of the stomach often recurred. In the forenoon, in school, she had always a fullness and oppression in the epigastrium and was obliged to loosen her clothes, ate much less; was obliged to lie down after eating, which, however, gave no relief; the oppression became, indeed, rather worse; the left thigh upon which she lay became numb and her feet cold; at last she took Nux vomica, lay down again and then slept better (after four weeks). Singular contracting sensation in the epigastrium, as if the parts were folded together; when this sensation passed away, there remained a pain and soreness in the left side.
In the forenoon, when sitting, a burning in the right side of the hepatic region, and later, a heavy painful pressure. She was attacked in the right side of the abdomen, but worst of all, low in the back, which continued several days, with gnawing, rubbing pains in the abdomen. Pain in the left flank within the crest of the ilium. Very peculiarly stinking flatus, like a compound of hydrogen, such as he never smelled before (second day); after one week, the same once again, not occasioned by the mode of living.Pressure of incarcerated flatus under the last ribs, first on the left side, then on the right, an hour and a half after breakfast (third day). Fullness in the region of the upper part of the abdomen and of the liver. After supper, very full in the abdomen, but not bloated. General sensation of warmth in the abdomen, as after spirituous drinks. Sensation of numbness in the abdominal walls, as if it were in the flesh, began below the umbilicus on each side of the same, and extended around and upward to the ribs, while he lay on the sofa after supper.Frequent spasmodic pains in the bowels, as if from incarcerated flatulence, chiefly in the afternoon (from fifth to ninth day); to-day, about 6 P.M., while eating, the spasmodic pain was excessive, with urging to stool; copious stool followed; after this no spasm, but only feeling of flatulence in bowels (ninth day); pains returned between 3 and 4 P.M., followed by copious stools, after which the pains went off (thirteenth day). About 10 P.M., pinching in the abdomen; better after passing wind (seventh day). About 8 A.M., pinching in the abdomen and stool, first thick, then diarrhoeic (eighth day). Some dull pain low down above the pubic region, and anteriorly on both sides of the abdomen. Pain in the pelvis at the left side (after one hour).
On the left side, in the region of the uterus, across, in the groin and towards the hip, violent stitches or cuttings (third day). Frequent stitching pains from the middle of the pelvis across towards the left side, in attacks (fourth and fifth days).
After lying down, a throbbing on the right side, superiorly in the pelvis (ninth day). She put on a somewhat tight petticoat; this was very uncomfortable and caused a return of the pain in the left groin, which she had several weeks before (after five weeks).
Blind hemorrhoids (second day). After the stool, itching in the rectum (sixth day). For a few minutes, itching in the anus.Inclination to stool without straining and urging (after half an hour).
Had, for weeks every morning, a stool, sometimes soft, sometimes harder, often with some blood. Since taking the Tellurium, also every day a second stool like the first, so every following day, for one week; later again, as had been the case sometime before, every morning thin stool. Stool, first thick, then diarrhoeic (eighth day); diarrhoeic stool at 10 A.M.; after the stool urging in the rectum for awhile, with some burning; thereupon stronger retraction of the rectum (ninth day). No stool for two days; to- day, 11 A.M., a stool, composed of crumbs enveloped in some brown-reddish slime (fifth day); stool in the evening, the first part like that of yesterday; the last part softer (sixth day).Bowels costively inclined from the first (ninth day); still inclined to be costive; bowels act only every other day, and with some difficulty (thirteenth day). The next morning the customary stool was lacking. Constipation with much wind (second day).
Pain and sensation of soreness began after some time in the region of the kidneys; this extended downwards and over towards the abdomen, with a pressing-down, as if by a weight, which increased during the whole night; in the morning the kidney pain was still worse, especially the sensation of soreness. At the close of urinating, burning in the orifice of the urethra. Very frequent urging to pass water, and a very unpleasant sensation if she cannot yield to the urging (second day); sudden cold weather had formerly a similar effect upon her, but to a far less degree.Urine transparent, dark, easily evacuated, without pain. Urine acid, rather small in quantity (17.5 fluid ounces in twenty-four hours), deep red, sp. gr. 1030 (eighteenth day). The urine was analyzed several times during the proving, but no remarkable peculiarity was observed, except the great abundance of the coloring matter, hydrochloric acid developing a very striking change of color. The examination to-day gave: urine acid; high- colored; sp. gr. 1030; 22.5 fluid ounces in twenty-four hours.Water. 930.10 Urea. 30.06 Uric acid. 80 Fixed salts. 19.40 Organic matters, etc. 19.64 Solids. 69.90 1000.00 (twentieth day).
Male. He had erections all night, a thing which had never before happened to him. For one week a much more excited and powerful sexual instinct, but after that time this appeared to be entirely extinct; without any want of capability thereto, he renounces the indulgence for weeks without missing it. Sexual desire and power increased, for last week (thirteenth day).Female. Menses appeared in the afternoon, one day too early (third day); the next menstrual period came three days too early; the first day the usual quantity, later less than usual.
A sensation between roughness and pressure in the region of the larynx, which generally provokes a cough, passes gradually into a pure tickling (first day). Voice. Hoarseness with the coryza (seventh day). Hoarseness early in the morning, after rising (twentieth day). Cough and Expectoration. A cough which often came on by day or night in slight attacks, with a wheezing in the larynx without becoming loose, especially after smoking, drinking, and much walking, or after going upstairs, came on again, and always towards morning, and with much violence; after a few days it became loose and then ceased; after taking cold it came again, and then ceased permanently, so that even taking fresh colds did not bring it on again. Cough and pressure in the middle of the chest, under the sternum (seventh day).Expectorates white mucus, which is easily discharged.Respiration. Slight feeling of suffocation in the upper part of the throat.
Feeling as if some fluid wanted to discharge itself (pressing down wards) in the middle lobe of right lung for four or five hours, in the afternoon (second day). Bubbling in the middle lobe of the right lung for a few minutes, on three or four occasions, chiefly in afternoon (from ninth to thirteenth days).Pain in the clavicle. Slight stitches in the chest, transient, more to the left side (first day). Some pain in the middle of the sternum. Throughout the whole day, constant pain in the chest, anteriorly in the middle, sometimes extending backwards between the shoulders, and a dull unpleasant feeling in the head, especially above the eyes (tenth day). The pains change their locality more frequently this morning than yesterday; mostly on the left side of the chest, only now and then in the right chest and over the right eye; once or twice in the right shin (eleventh day). Stitching pains lasting from three to ten minutes, above the fifth rib, on the left side (first day). Some pressure in the left chest, above the first rib. Drawing, cutting pain around and in the left nipple, extending towards the scapula (first day). When lying on the left side, a throbbing sensation on the right side under the ribs, somewhat towards the epigastrium, as from wind balls, undulatory; in the morning it is as if, when lying on the right side, wind had accumulated in the corresponding spot on the left side; flatus does not pass off so freely in the morning as is customary, and the hitherto rather diarrhoeic stool intermits; latterly the flatus become stinking.
Heart and Pulse
Precordia. She got asleep, lying on the left side, and awakened once in the night with a dull pain in the region of the heart, which passed away when she lay upon the back (first night).Constant pain in the region of the heart (eighteenth day). Pain in the apex of the heart; she had something similar five or six years ago, but was then much more seriously affected. During the later part of the proving, while having the pains in the heart, she had a great disposition to bend forward, even so as to lie upon the face without being able to go to sleep in this position, or without experiencing any relief from it. Heart’s Action.Palpitation of the heart and general throbbing through the whole body, with fullness of the pulse; after it had lasted an hour, copious sweat for an hour and a half. Pulse. Pulse more frequent, with the nausea.
Neck and Back.
Neck. With the pain above the eye, a sensation not easy to describe; along the left side of the neck, as if the blood there had suddenly been retained in one of the large veins, or had streamed backwards (tenth day). Sensation of numbness in the nape and occiput. When lying on the left ear, a kind of sharp pressing pain from the neck into the left ear. Back. Whenever she has no pain there is a sensation of weakness in the back, the whole day (ninth day). The pains in the back and chest are quite unusual; they were so continuous and so violent that the prover was compelled, by reason of them, to remain at home in the afternoon (eleventh day). Dorsal. During the second month of the proving, the spine, from the last cervical to about the fifth dorsal vertebra, became very sensitive, and the seat of a peculiar sense of irritation, which made the prover dread having the part touched or even approached; this dread was disproportion ed to the actual sensibility of the part when pressed or rudely touched, for this sensibility was not really very great; from the vertebrae above mentioned, a peculiar irritation seemed to radiate upwards into the neck outwards into the shoulder, and forwards through the thorax to the sternum; the distress caused by this sensation was aggravated by fatigue, but only partially relieved by repose; it was great and very annoy-ing, and lasted, as I remember, nearly two months. Drawing and dull pressure at the right scapula; soon afterwards also upon the left (first day). Dull pain in the middle of the back between the shoulders.Sacral. Pain in the back at the upper end of the sacrum, which extended upward (eighth day). Pain in the sacrum, worse on stooping or when rising from a sitting or recumbent posture; the pain passes down in the right thigh in the direction of the sciatic nerve; it is therefore, almost impossible for him to press when at stool; the pain in the sacrum and in the sacral ligaments was sometimes, when moving, like a stab with a knife.Early in the morning painful pressure or pain, as if beaten in the os sacrum, worse when stooping, but not ceasing on getting up again; it extends after a time into the renal region, abating by walking in the open air, but returning after a short time when sitting (fourth day). The pain in the sacrum begins again when standing in a stooping posture; is better when walking; worse when lying on the back; but when lying on the left side, it is worse towards the right (fifth day). The pressing, across the sacrum comes again immediately on stooping, and becomes almost intolerable when the stooping posture is persisted in; the pains in the sacrum and leg cease by motion in the open air; increased when pressing at stool; also, when coughing and laughing, the pain then extends from the sacral plexus through the large foramen ischiaticum, along the great sciatic nerve down into the thigh; worse on the right side (sixth day). On pressing to stool, on coughing and on laughing, aggravation of the pain in the sacrum, extending into the right thigh (eighth day).
After supper he took a walk; on returning to the house his knees, hips, and elbows, and shoulder-joints were as if sprained and beaten.
At the anterior margin of the left axillary cavity, a sensation as if it were thicker, as if there was a round tumor internally, and painful on pressure and by motion; it went away without becoming a boil (fifth and sixth days). Sometimes tearing pains towards the elbow, and in the palm of the head towards the elbow, and in the palm of the hand towards the thumb-joint (first day).Drawing, cramp like pain, apparently in the supinator longus of the left arm, just below the bend of the elbow, lasting half an hour (after fifteen minutes). In the left forearm and hand heaviness and sensation of numbness, about 10 P.M. (fifth day).Sensation, as if the skin of the hands, especially of the right hand, were contracted, from the tips of the fingers downwards, so that it seems as if, on extending the fingers, one must stretch the skin forcibly; at the same time in the ends of the fingers a king of sensation, as if dead (first day). Unpleasant drawing in the right hand, later involving the whole forearm (first day).
Soon, violent pressing pain through the metacarpal bone of the right fourth finger, beginning scarcely a minute later and increasing. Rheumatic pain in the right little finger (excepting last joint), increased by strong pressure or movement of finger (fifteenth and sixteenth days). Pain in the first phalanx of the little finger of the left hand, as if he had fallen upon it; on touch and pressure no sore spot can be discovered; on moving it, it is painful (eleventh day).
Dull pain, deep internally in the whole length of the right thigh; uninfluenced by change of position (after one hour). The left thigh upon which she lay became numb, and her feet cold (after four weeks). Very tired in the knees and lower legs; worse on the right side; the whole evening drawing in the right leg posteriorly from the right posterior superior spinous process down the calf; worse in the knee holder; the drawing in the right leg and tiredness after lying down (11.30 P.M.) are so hard, that for awhile it prevents him from getting asleep, and compels him to frequently turn and twist; the sleep is good, with amelioration of all the pains (fifth day). At the outside of the right knee anteriorly, a burning aching (after eighteen minutes).Pain in the right shin (eleventh day). Pain in the right metatarsal bone, as if the bone were pressed (after half an hour, and second day). A sharp pain passed quickly over the toes of the right foot, then into the heel (after one hour).