2 b. April 8th, 2 h. after breakfast, 4 dr, of 1st dil. No symptoms.- 11th, 5:30 a.m., 4 dr. Stitches from left ala nasi going up nose to inner canthus of eye; on going to bed, e., violent chill; smarting in nipples. – 12th. No symptoms. – 13th. On stooping violent shooting pains in head as if brain fell forward. – 14th, 10 p.m. Violent shooting pains in right knee on treading, lasting in bed on moving. – 15th to 19th. No symptoms. – 20th. Menses came on 8d. too soon; eruption on neck and back as on 17th.
2 c. April 25th, 5:30 a.m., 6 dr. of 2nd dil. Eruption on neck and back smarting much. – 26th. Rheumatic-nervous pain in right maxillary joint when pressed. – 27th. the same. – 28th. No symptoms. – 29th, 9 a.m., 6 dr. after 1 h. nausea with eructation of frothy fluid; general soreness for 1 h. After dinner transient dull tearing pain in left upper arm., from shoulder to elbow. – 30th. In region of spleen a plain as if a ball turned on its axis; when sitting, violent pain betwixt scapulae extending to sacrum; small miliary rash on forehead. – May 1st. Eruption on neck. nape and back. – 2nd and 3rd. No symptoms. – 4th. From 6 a.m., 2 dr. every h. No symptoms. – 6th. For past 14 d. hawking up granular viscid stuff (like boiled rice), which accumulates. – 7th to 9th. No symptoms. – 10th, 6 a.m., 6 dr. No symptoms. – 11th, 6 a.m. No symptoms.
3 a. E. B. -, March 7th 6 a.m., 6 dr of. After 2 h. tearing pain in left frontal protuberance; violent shooting pains in sacrum lasting till noon; 5 p.m., paralytic state of right hand, so that she cannot lift anything. – 8th, paralytic state as before, but less. – 9th, 6 a.m., 6 dr. Shooting pains in sacrum; contractive pains in abdomen towards uterus; shooting in both lumbar regions. – 10th. No symptoms. – 11th, 9 a.m., 6 dr. No symptoms. – 12th. Before breakfast 3 liquid stools in rapid succession, and one after breakfast. – 13th to 20th. No symptoms. – 21st, 9 p.m., 3 dr. – 22nd. On rising sore-throat, swallowing painful, lasts all d. 5 p.m., tearing pain from outside of right tibia to toes. – 23rd. Same pains, only slighter. – 24th to 3rd April. No symptoms. – 4th, from 9a.m., 2 dr. every 2 h. till 9 p.m., At 11:30 a.m., slight pains in sacrum; at noon shooting in sacrum; rumbling in belly. 5 p.m., violent stitches in r. hip- joint on treading lasting 2 h. – 5th. From 5 a.m. 2dr. every 2 h. Noon, tearing both scapulae, between shoulders, then in nape up to occiput and forehead; feeling as if hairs were pulled upwards; tearing in both knees and through feet, and in right shoulder; 7p.m., violent rigor for 1/2 h; followed by great heat in head for 1/2 h.; tearing in forehead above eyebrows; vertigo, as if room spun round, thinks she will fall off chair. – 6th. No symptoms.
3 b. April 8th, 2 h. after breakfast, 4 dr. of 1st dil.. 6:30 p.m., shooting pain up left temple. – 9th. On rising, m., as if a thorn were in left eye cannot open eye. 6:30 p.m., same pain as before in left temple. – 10th. No symptoms. – 11th, 5:30 a.m., 4 dr. 6:30 p.m., shooting in sacrum. 7:30 p.m., violent rigor so that teeth chatter. – 12th. 1/2 h. after rising pain and stiffness of nape. 11:30 a.m., shooting in right scapula, under right short ribs, in point of right elbow, in right knee, in frontal sinus and both temples; after dinner throbbing pain in frontal sinus, so that she must always frown, which gives relief, for 1/2 h. 9 p.m., violent throbbing pain in forehead; trembling in arms and legs. – 13th. pain in 1st phalanx of right big toe on moving joint. – 14th to 20th. No symptoms. (Ibid., 270, et seq.)
4 a. HILLER. March 8th, 6 a.m., 6 dr. of tinct. Tearing pain in sacrum, right knee, l. shoulder – joint, back. l. axilla 1st joint of right index; tightness over epigastrium and hypochondria; stiffness of nape; shooting in right sole; in e. confused head. – 9th. Slight tearing in right shoulder joint. – 10th, 6 a.m., 6 dr. Tearing in both upper arms and right thigh; shooting in left upper arm; confused head; sacral pains; tension in right knee – joint. – 11th to 13th. No symptoms. – 14th, 6 a.m., 3 dr. Forenoon, headache in forehead and above eyes; tearing in left thumb and middle finger. Afternoon, sacral pains; tearing in nape with stiffness; dull pressive headache in middle of skull superiorly; restless sleep with anxious dreams. – 15th. Tearing in left thumb and middle finger and sacrum; difficulty of thinking. – 16th. Same pain and tearing in right arm. – 17th to 27th. No symptoms. – 27th, 6 a.m., 3 dr. Forenoon, headache in forehead and above eyes; tearing betwixt scapulae; sacral pains; tearing in 1st joint of right little finger, in right hough. Afternoon tearing in coccyx, in left sole, in right shoulder – joint, in 1st joint of left little finger; in left elbow – joint, through interior of both ears; great drowsiness. e.; restless sleep with dreams. – 28th. Frontal headache, tearing in left thumb and middle finger and nape, in left metacarpus, in right thigh. – 29th. No more symptoms.
4 b. May 11th, 8 a.m., 6 dr. of 1st dil. Forenoon, pain in sacrum; tearing betwixt scapulae, in right thigh, m in right axilla, l. hip-joint, in left hip – joint in left wrist, in nuchal muscles. Afternoon, shooting in right lower ribs, tearing in 1st joint of right little finger, in right shoulder, in 1st joint of left thumb. – 12th. Tension in calves; tearing between shoulders, in right forearm, in left knee, in both thighs. Afternoon, tearing in left half of lower jaw, in left ankle – joint, down left calf.; dislocative pain in right hip – joint; stitches through head from before backwards. – 13th. Tearing in left forearm, betwixt shoulders, in left hand, in 1st joint of left thumb, in head, in nape, in coccyx, in right knee – joint, in left tendo Achillis. 14th. Tearing in right thigh and knee – joint.
4 c. May 25th, 8 a.m., 10 dr. of 3rd dil. Forenoon, tearing in sacrum, muscles of nape, betwixt scapulae, l. heel right calf, right thing. Afternoon, tearing in lower part of right tibia, in right thigh, under left arm, in left hand, right foot, both wrists, 1st joint of right thumb, both knee – joints, l. ankle – joint, right mastoid process, right malar bone; smarting vesicles filled with lymph on various parts of body. – 26th. Forenoon, tearing in left knee, 1st and 2nd joint of right thumb, l. thigh, nape. Afternoon, tearing between shoulders. – 27th. Afternoon tearing in right knee, l. arm, l. hand, l. wrist, l. thigh. – 28th and 29th. Very slight tearing in arms and legs.
5. Mrs. H – aet. 40, very robust, 7 years married 3 children. In perfect health. – March 14th, 6 a.m., 6 dr. of tinct,. Forenoon, tearing sacral pains; head confused. Afternoon, tearing pain from right inner canthus down to upper lip, with feeling of swelling of part; stiff neck from noon till e.; restless n., with confused head. – 15th. Mucus in throat difficult to hawk up, this nearly causes vomiting for 2 d.; confusion of head. No more symptoms. – 27th, 6 a.m., 3 dr. Forenoon, dull frontal headache; great pressure and heaviness of eyelids; pain in occiput involving whole head. Afternoon, stiff neck; sacral pains; rheumatic pain between scapulae with shooting on manipulation and tightness to sternum; tearing in right shoulder – joint; horripilation up back; molars feel furry; tearing pains from eye to upper lip – 28th. Restless n., many dreams; mucus in throat as above, sacral pains. No more symptoms. (Ibid.)
6 a. K. B. -, servant girl, aet. 17, scrofulous habit, healthy. – March 10th, 6 a.m., 6 dr. of tinct. Noon stiff neck; frontal headache, especially above eyes; heat in head. No more symptoms. – 14th, 6 a.m., 6 dr. No symptoms. – 27th, 6 a.m., 6 dr. Forenoon, frontal headache. Noon, violent headache; stiffness in maxillary joints; molars seems too large and are painful.
6 b. May 4th. Took 14 dr. of 1st dil., without effect save some tearing in right hip. (Ibid.)
7. J. L -, aet. 25, surgeon, robust, but subject to blind piles. – March 11th, 1 1/2 h. breakfast, 6 dr. of tinct. After 1 h. slight tearing pains in abdomen; vertigo; pressive pain in occiput. Noon, shooting – tearing movements in rectum towards anus; tearing stitches through eyeball; pain in eye as if it were pressed out. N. good, but woke in m. with tension of skin. – 12th. Vertigo. – 13th. Tiresome tension in lower extremities; wandering pains in limbs; great weariness; anorexia. – 14th. Same symptoms.- 15th. Anorexia; bitter taste; thickly-occiput to forehead; sacral pains; rumbling and pinching in abdomen. Noon, continued chills followed by heat. – 16th. Symptoms like those of yesterday, better in the e. – 17th to 20th. No symptoms. -21st, 1 1/2 h. after breakfast, 3 dr. In 1/2 h. tearing in abdomen; pressive pain in whole head; vertigo; tension of cervical muscles on both sides; very confused head (after 2 h.); nausea and desire to vomit; spasmodic contraction of stomach. Noon, great weariness; trembling of limbs; vertigo; stitches in eyeball. – 22nd. Vertigo. – 23rd. No symptoms. – 24th. Frequent tension or aching in inner ear. – 25th. No symptoms.
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.