it.
2d. 27th, 7 a.m., 3 gr. of 3rd trit. 11 a.m., great weariness with powerlessness, especially of upper arm, with desire to lie down and sleep. On giving way to this inclination got a feeling of hunger with nausea, painless contraction of gullet and inclination to swallow saliva (lasting some m.). On going to sleep was prevented doing so first by an electric shock in right lower extremity, and then by two similar shocks of upper part of body, which had their exploding spot close to occipital foramen. Thereafter in interior of throat (the larynx) a kind of curious throbbing, cracking, or creaking, something like a metallic reverberation such as the frozen brooks sometimes given forth in spring on breaking up of the ice. N. good, woke at 4 a.m., and fell asleep again in 1/4 h. -28th, 7 a.m., 7 gr. At 10 a.m. dullness in head and weakness of thighs when walking; at same time frequent shooting in canthi of both eyes and eroding itching in sulci of r. concha, making him scratch. 11 a.m., some flying stitches behind abdominal wall between right hypochondrium and epigastrium, followed by hunger and loud rumbling in bowels. Afterwards an insufficient hard stool with pressing; an acute pain in last double tooth of l. lower maxilla; the lower row of teeth adhered to the upper, as if the enamel of the teeth were covered with a layer of adhesive putty. During day pricks here and there in skin like electric sparks. 6 p.m., when walking across room, repeated short paralytic pain going through the marrow of the r. side of tibia. When sitting in open air tensive bruised pain on both sides of neck down the course of sterno- cleido-mastoideus, only felt when the head is turned to opposite side and the muscles stretched. N., a seminal emission and many anxious and disgusting dreams. Woke at 3:30 a.m. and could not get to sleep again. In bed had a drawing tensive pain in middle joint of l. index, becoming after a short time throbbing pain; at same time powerlessness in upper arms as after severe manual labour; hunger; pricking itching in canthi. -29th, m., when walking in street, boring scraping pain in r. shoulder-joint. At 8 a.m., 10 gr. In 1/4 hour short drawing pain in condyles of left knee, followed by a similar pain in l. temple, when at rest. During day feeling of hunger with painless retraction in scrob. cordis, a very violent stitch in front of left elbow, when at rest. 6 p.m., burning pain limited to a spot size of a shilling on elbow, for more than 20 second, when at rest. N. good. M., in bed, weariness in upper arms and drawing pain in radius, beginning over wrist, followed by similar pain in r. shoulder. – 30th, 8 a.m., 16 gr. During day bruised pain on left patella and l. side of pelvis posteriorly, when moving, with pain as if dislocated. During afternoon siesta, feeling of hunger with attack of nausea. After waking weakness of lower extremities, the knees knuckle under him when walking; afterwards painful drawing in l. temple with sitting. 4 p.m., repeated digging pain deep in body of right testicle, when at rest, with dread of knocking against something. E., burning pain in corn on l. little toe. N. good. M., on waking, prostration of all limbs, bruised pain in sacrum, lumbar region and nape, especially felt when moving, with repeated violent stitches in hollow behind right ear-lobe penetrating into head. -31st, 8 a.m., 20 gr. In 1/4 hour repeated drawing throbbing pain in middle of l. tibia, when at rest, followed by violent drawing pain in r. nape near occipital foramen, with bruised pain on the inner side of right patella. At 8:30 a.m. this bruised pain attained such intensity when walking that he could only limb along; it went off after 25 seconds while sitting; at same time weariness and weakness of that extremity. 11 a.m., in middle of extensor side of l. forearm on the skin, a frightful prick as from a sting by an angry wasp, followed soon by a similar prick but not so severe, in skin of right side of thorax. 1/2 hour after this, when lying, a cold feeling in a small spot near the sacrum at right side of pelvis, as if the skin and underlying muscles were touched with the point of an icicle, lasting 30 seconds and recurring after dinner. Afternoon, hot burning on tip of tongue as though he had tasted a fragrant aromatic substance. E., a paralytic drawing pain in left ankle- joint towards outer ankle, lasting some m., when at rest. -1st June, no med. At 10 a.m. dislocation pain, when moving, in the muscular part forming the posterior wall of axilla, going off when at rest. 11:30, when walking in open air, dislocation pain on inner condyle of r. tibia. 1/2 hour later, when sitting, drawing pressive, then throbbing pain on dorsum of right foot in metatarsal bones. 6 p.m., tearing in backs of middle toes of l. foot, followed by paralytic drawing in bones of r. hip-joint when at rest, with simultaneous sensation in anus as if a worm were forcing its way through sphincter, without itching. Soon afterwards, paralytic drawing on middle of l. tibia, when at rest, as if in periosteum. 9 p.m., violent tearing in middle of joint of r. little finger, followed by drawing pain in l. frontal eminence. After waking prostration and weakness, especially of upper arms, with hunger. -2nd, m., after rising, dislocation pain on inner side of r. knee, going off during rest. 9:30 a.m., when walking in open air, a very violent dislocation pain deep in sacro-lumbar region, aggravated to an intolerable degree on every adduction of l. thigh, making him limp, lasting some m., followed by bruised pain in outer side of left knee. 10 a.m., drawing pain from mastoid process 1 inch long, relieved by strong pressure when at rest. 11 a.m., short paralytic drawing on outer side of left upper arm, with bruised pain when pressed. 11:30 a.m., drawing pain in radial side of wrist-joint when at rest, going off on moving hand and with bruised pain when pressed. Shortly afterwards a paralytic pain in periosteum (or bone) of left fibula, when at rest, followed by painful drawing in interior of left ear. After dinner a violent electric shock proceeding first from left then from right hip joint, and preventing sleep. 10 m. later, on falling asleep with hands laid on head, there occurred a more violent electric shock in l. arm proceeding from shoulder- joint. 3 p.m., when walking in street, an intolerable, very violent pain, accompanied by powerlessness, involving almost the whole of l. fibula, lasting some m. It seemed compounded of pressure, digging, tension, stiffness, bruised, cracked feeling (of the bone). 6 p.m., the same pain in same place. All evening, till 11 p.m., frequent tearing pains, sometimes in left, sometimes in r. head of fibula and in bone beneath, with slight scalding when urinating, as though the urine (which was normal) were more acrid. N. good. After waking, m., the same tearing pain in fibula. After rising, when moving, dislocation pain externally on posterior part of pelvis and on r. inner ankle.
2e. 3rd, 8 a.m., 5 gr. 2nd trit. In 1 hour pressive bruised pain in head of l. humerus when walking, followed by painful drawing in l. occipital region (betwixt protuberance and mastoid process) when at rest. During d. frequent drawing pains, first in one joint then in another, in upper arm, calves, forehead, always transient and alternating, when at rest. 3 p.m., painless jerking in l. elbow-joint when at rest, a brownish-yellow, pappy, almost diarrheic stool, with ineffectual pressing at end of evacuation. 4 p.m., after a short walk, repeated tearing pain in course of both spermatic cords to testicles, when at rest. E., in bed, contused pain in both testicles. N. good. M., after rising, dislocation pain in r. knee and cramp of calf, when walking. – 4th, 8 a.m., 10 gr. Forenoon hungry feeling with nausea as from emptiness of stomach, with rough irritation in bronchi (causing dry cough); at same time in lowest ribs near spinal column drawing shooting pain as in an ulcer followed by similar pain in r. side of pelvis posteriorly, when at rest, and drawing pain in l. metatarsal bones and ankle-joint, with burning in corn on l. toe. From moderate walking slight excoriation between nates at anus and in bend of thigh. After dinner subsultus of muscles in bend of r. elbow and bruised pain in head of r. humerus, when at rest. 3 p.m., when walking, a bruised pain in flank above l. hip all over l. side of pelvis; in hip-joint at every step dislocation pain so that he could only walk in a limping way, lasting some m. 4 p.m., painful drawing close to ear cartilages in hollow behind r. ear-lobe in crescentic form, when at rest. 7 p.m., repeated contused pain in r. testicle lasting 4 or 5 m. The pressure of the trousers when walking aggravated the pain. N. good. M., inclination to go to sleep of arms when lying on them, with increased saliva in mouth. -5th, 9 a.m., 15 gr. Forenoon, no symptoms except the above-described bruised and dislocation pains on l. side of pelvis when walking, and a violent stitch on the tip of both elbows. 3 p.m., itching crawling in faucial opening of r. Eustachian tube, extending to membrane tympani, lasting 10 seconds. Then the same in l. ear. N. good. 6th. No med. Drawing digging pain under right deltoid muscle in shoulder-joint, followed by drawing throbbing headache deep in the right side of brain, when at rest. -7th. M., when writing a momentary, but horrible stitch in l. side of chest in cardiac region (as if in pleura). During day frequent spasmodic but painless jerking of whole cardiac muscle, especially when lying on back; at same time a constantly recurring idea that apoplexy was coming on, and that he would not be able to finish the proving. Also sensation in enamel of teeth as though they were covered with sticky putty, lasting all d. N. with anxious dreams.
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.