20. GOTTLIEB SCHOLZ, aet. 23, farmer, phlegmatic temperament, always healthy, bad complexion, tendency to pimply eruption on face, especially forehead. – 31st July, evening, 3 drops tinct. Immediately qualmishness, nearly causing vomiting; unusual drowsiness. – 1st Aug., forenoon, 10 drops. Burning in interior of chest and a kind of oppression. Fine pricking pressure first above eyes. Now and then shooting in 1., seldom in right temple; pain above knee, on outer aspect of femur, as if bruised. Dislocation pain in left ankle. – 2nd, m., formication in scrob. cordis, with nausea. Dislocation pain in left ankle more severe. On and betwixt eyebrows small, itching pustules, painful to touch, which disappear in a few d. Slight pain in eyeball when moved. – 3rd, m., 10 drops. Great repugnance and nausea, from the taste of the medicine. Fermentation in abdomen in 1/4 h. Nausea nearly increasing to vomiting. Burning feeling in scrob. cordis. Boring drawing pain in right side of chest from without inwards, and a peculiar oppression lasting 5 m. Constant inclination to vomit all d. Symptoms all worse m. fasting and after food. Frequent pricks just above eyes. Cross humour. – 4th to 6th, Nausea and empty feeling in stomach, worst m. Stool soft. Every day before eating in the m., flat, insipid taste in mouth. Tongue furred, dirty yellow. Appetite diminished. – 7th, m., 10 drops. Soon, empty feeling in scrobiculus cordis. Immediately fermentation in abdomen. Sneezing caused by nausea. Feeling as if a stone lay in stomach. Pressive pain above left eye. Frequent discharge of flatus. Burning and pressure on eyeballs, especially when moving them. Constant sensation in stomach as if it sank like a great weight into the abdomen. Taste flat. Appetite going. – 8th. Pressure in scrobiculus cordis. Griping pinching pain in umbilical region. Drawing cutting pain in a hollow molar, during which the abdominal pains go off, but return when toothache ceases. – 9th. Dislocation pain in left shoulder-joint. – 13th, forenoon, 15 drops. Pricks in rapid succession in first joint of left index. The following symptoms occurred every d.:- Crawling in scrobiculus cordis with nausea; fermentation in abdomen; inclination to vomit; empty feeling in stomach; sneezing during nausea; griping pinching pain about navel; pressure and burning in orbits. – 14th. Griping pinching about navel. Constant nausea felt in chest. Satiety with empty feeling in stomach. Accumulation of flatulence, which causes oppression. (Ibid.)
21. Dr. ALEX. WAGNER. – a. 19th Aug., evening, 10 drops of 2x dill. in water. Next m. when going out felt slight griping in umbilical region for a short time. – 20th, 22nd, and 23rd, 15, 20, 30 drops. No symptoms. – 24th, 40 drops. Forenoon, confusion of head, weakness, occasional flying stitches in upper part of left chest. Weak feeling and drawing dislocation pain in right knee, transient; later colicky pains in belly, especially in umbilical region, lasting longer. For some day afterwards occasional griping and transient rumbling, with tendency to diarrhoeic stools.
21b. 10th Nov, 11 p.m., 10 drops 1x dil. Next m. head confused, tongue thickly furred, taste flat. Later, pressive pain in temple. Forenoon, while walking in open air repeated transient griping and burning pressive pain in hypogastrium. – 11th, 10 p.m., 20 drops. A dull pressive pain in right hypochondrium towards the back, in the forenoon and for some hours afterwards. – 12th, evening, 40 drops. Next m. furred tongue, bad appetite; after dinner full feeling and pressure in stomach, with much flatulence. – 13th, m., tongue much furred, flat, pappy taste, confusion of head, exhausted feeling when walking. In right hypochondrium, more towards the back, pressive sensation with occasional shooting, especially when bending body to 1., lasting all d. Appetite diminished, with full feeling, as from flatulence, after food. Cross humour, with disinclination for work. At n. itching in navel and inner side of thigh. – 14th, m., furred tongue, flat taste, anorexia, occasional pressive pain in hepatic region, itching on various parts of body, frequently changing its place, and making him scratch. – 15th. Furred tongue, anorexia, slight yellowish tinge of complexion, especially about alae nasi and corners of mouth. Occasional yellow spots before eyes on looking at bright objects; tobacco not relished. – 16th. The same symptoms continue in slighter degree; occasional shooting pressive pain in right hypochondrium, increased by pressure. At n. more intense and long-continued itching in navel, pudendum, and inner aspect of thigh, making him scratch. E., 60 drops. – 17th, m., itching and burning at anus, as in tenesmus. Dryness and burning pimples on upper and lower lip, which in the course of the day change into vesicles filled with yellow serum. On hypogastrium, navel, pudendum, and inner side of thigh an eruption appears, consisting of whitish papules, which itch continually, compelling him to scratch, whereby the burning and itching are only increased. The papules seated at the roots of the hairs bleed readily when scratched and leave behind reddish pimples. The itching began with feeling of creeping under the skin which described small circular lines, and was occasionally combined with pricks as with needles and burning. During the day he felt on both iliac regions and on left arm a transient itching under the skin. 11 p.m., 80 drops. Slept uneasily on account of the excessive itching compelling him to scratch, not only in the former places, but also alternately on the arms and hairy scalp, which declined towards m., but only ceased at intervals. – 18th, m., tongue thickly furred, flat, rather sweetish metallic taste. Lips much swollen in consequence of the vesicles, which have become ulcers. Nape rather stiff and painful on moving head sideways, especially to the r. L. side of head painful to touch through its whole extent. Tension spreading towards occiput and there becoming dull pressive pain with heavy feeling all day, The itching eruption spreads further in the abdominal and femoral regions. By day, great itching in left hough, and on anterior surface of right knee, when walking; also in sacral region. This lasts all day, coming alternately in various parts of the body, and frequently changing its seat. 11 p.m., 100 drops. – 19th. The itching and burning great at n., disturbing sleep. It also occurred often during the day on different parts. Forenoon, whilst walking, violent contraction of flexor muscles of left thigh, for 1 hour – 20th. The same symptoms – scratching all n. till blood came. – 21st. Itching somewhat abated. – 22nd, 11 p.m., 150 drops. – 23rd. Very restless n., frequent waking on account of itching, especially about navel, pudendum, perinaeum, and hairy scalp. M., tongue covered with viscid mucus. Itching not quite so bad by day – 25th. Another very restless n., with frequent waking on account of the burning itching pain, which was almost incessant on the parts mentioned, and on others. During the day burning pain was felt on the parts which had itched all n., especially on the inner side of the thigh when walking. During the day there was frequent but transient itching on face, nose, ears, and hairy scalp, with great feeling of exhaustion. The itching and burning lasted during a journey that occupied him till the 1st Dec., as also did the readily bleeding eruption on navel, perinaeum, and thighs. The n. of 2nd Dec., which was passed n bed, was nearly sleepless owing to the pricking and burning itching, especially on belly, thighs, and feet. – 3rd, m., great exhaustion, compression of head, pressive pain in right forehead. – 4th. Itching and burning, especially about navel and inner side of thighs, continued. It generally began in the evening, increased in intensity till midnight. The eruption was seated at the roots of the hairs, each papule being pierced by a hair, and when it had continued for a considerable time 2 to 10 proliferations of the epidermis about the size of pins’ heads were observed surrounding the hair like a rosary, and were with difficulty detached from it. (It corresponded to Hebra’s lichen pilaris urticatus.) Constant dryness of upper lip, with tendency to chap and vesicular eruption on it. – 5th and 6th. The itching and burning continued to such a degree that to get rid of it he tried various remedies. Washing with equal parts of spirits of camphor and water removed the itching and eruption in a short time. But he felt a good deal of the itching until 15th Dec., especially at night and particularly on the feet. – 16th. Occasional itching, especially on feet and perinaeum, at night, but no more eruption; the nocturnal itching lasted till the middle of January, especially on the lower extremities, causing scratching till the blood came.
21c. 22nd Jan., 10 p.m., 10 drops tinct. in water. – 23rd, m., on waking, feeling of exhaustion and confused head. Tongue furred, white; bitter taste. Pressure in right hypochondrium upwards. After breakfast loose stool followed by griping in hypogastrium in forenoon while walking in open air. 10 p.m., 20 drops. – 24th, m., tongue covered with thick fur; pappy taste. Later when walking in open air pressive pain in right supra- orbital region for a short time. At 9 p.m., 30 drops. N., very restless, late of falling asleep. Woke every hour, and difficulty of falling asleep, owing to tiresome smarting itching, especially about navel, pudendum, and perinaeum, sometimes also on inner side of left thigh and foot. – 25th, m., head confused, tongue furred, smarting in eyes. During day, frequent itching alternately on neck, extremities, and belly; no eruption. – 26th. During day, pressive frontal headache and occasional itching on belly. 9 p.m., 40 drops – 27th, m., furred tongue, pappy taste, confused head. Forenoon and afternoon, repeated attacks of griping, cutting pains in hypogastrium, with flatulence. Frequent itching, causing scratching about navel. 9 p.m., 50 drops. Soon recurrence of cutting pains in the bowels, with rumbling and rattling; dryness of gullet, with astringent taste in mouth. Some transient acute pricks from fauces along Eustachian tube towards right ear. – 28th, m., tongue thickly covered with viscid mucus; astringent metallic taste lasting all day, but in less degree. Discomfort in abdomen, with rumbling and occasional cutting griping. E., itching about navel, causing scratching, with eruption of papules with red areola. 11 p.m., 60 drops. Soon the peculiar dryness of palate, especially felt when swallowing, with occasional stitches towards right ear and right parotid gland. Tensive drawing of both sterno-cleido-mastoidei, causing stiffness of neck. Griping and rumbling in bowels. – 29th. On awaking dryness of fauces and palate continues, spreading downwards to gullet, and contraction there as though an astringent fluid had been drunk. Tongue covered with viscid mucus. Taste flat, pappy, somewhat metallic. Feeling of emptiness of stomach alternating with pressure as from a heavy body there. In right hypochondrium heavy feeling and drawing, as though the liver were increased in weight and dragged on its ligaments. Occasional sharp pricks as if radiating from the surface of the right lobe of liver to its centre. Rumbling wandering about of flatulence in abdomen. Afternoon, several violent shooting in splenic region. 11 p.m., 80 drops. Some time afterwards the peculiar dryness of throat, with shooting towards parotid and submaxillary glands, tension in nape, flatulent movements in abdomen. Later, violent itching in abdomen and legs, making him scratch, with a scattered eruption of readily bleeding papules. – 30th, m., tongue thickly furred, dryness of fauces and palate, pressure on the liver, discomfort with frequent rumbling and griping in abdomen in forenoon and afternoon. 11 p.m., 100 drops. In 1 hour tensive drawing in right jaw towards ear. Dryness in fauces, pressive and burning pain in stomach. Violent itching on abdomen in umbilical region and perinaeum, particularly severe on lower extremities, with eruption of papules. – 31st. Woke with furred tongue, pappy, flat, metallic taste, dryness of fauces and palate, pressive pain in stomach, with loathing and inclination to vomit. Feeling of exhaustion and confusion of head, increased by walking in open air; occasional discomfort with rumbling and cutting pressive pain in hypogastrium. Itching at n. in bed, especially about navel and inner side of thighs, but without eruption, lasted for another week, and then gradually went off. During the whole of February the tongue in the m. was covered with viscid mucus, its papillae were very prominent, and the peculiar dry and astringent sensation was perceived. The appetite also was decidedly smaller.
Hughes was a great writer and a scholar. He actively cooperated with Dr. T.F. Allen to compile his 'Encyclopedia' and rendered immeasurable aid to Dr. Dudgeon in translating Hahnemann's 'Materia Medica Pura' into English. In 1889 he was appointed an Editor of the 'British Homoeopathic Journal' and continued in that capacity until his demise. In 1876, Dr. Hughes was appointed as the Permanent Secretary of the Organization of the International Congress of Homoeopathy Physicians in Philadelphia. He also presided over the International Congress in London.