5 b.-26th. Took 1 gr. C.3. Soon stoppage of nose lasting 1/2 hour and feeling as if it would bleed. Slight pressive pain on top of head spreading to right forehead and temple. Then tension in stomach and oesophagus with attacks of great nausea, with greasy taste and inclination to vomit; these symptoms transient. Then attack of feeling of debility all over body, disinclination to mental work, laziness and prostration. All forenoon pressing pains in both temples, with feeling as if pressed by thumbs, toothache as before. These symptoms continued more or less all afternoon. – 27th. Repeated the dose of 3rd dil. Soon the pressive headache recurred, also the by and stopped up feeling of nose and a slight attack of nausea with tensive pain in stomach and the toothache. Great itching of skin on undressing at night and a slight attack of the spasmodic constriction of oesophagus. – From 28th May to 3rd June, the above symptoms occurred occasionally, but in slighter degree. – 3rd June. Took 1 gr. C. 2. They pulse soon rose from 64 to 100, and the respirations from 14 to 17. Immediately the usual headache appeared, combined with heat of face and head. At noon the pulse was down to 84. During afternoon he had confusion of head with aching and pressing, in fits, heat of head, feeling of exhaustion frequently, the toothache as before, stitches from tongue to meatus auditorius, feeling as if the teeth of both jaws were full of lead. After supper increased flow of saliva with peculiar sweetish metallic taste, the saliva somewhat acid, swelling of the gums at 1st and 2nd right upper molars with pain like needle pricks (rather a common occurrence with him) great dislike to mental work, constant congestive headache on top of head, forehead and temples, increased by any mental operation. pricking itching of skin on undressing. – 4th. Woke from a disturbed dreamful sleep with confused head and the usual headache. Took 1 gr. C.2. The headache soon increased, and he had severe pressing in orbital region with feeling as if eyeballs were compressed from all sides with momentary dimness of vision. The swelling on the gums was the seat of tensive, shooting and throbbing pain, and there was painful pressure in the alveoli of all the teeth, especially those of the lower jaw towards the right angle. Spasmodic tension in stomach and around navel, abdomen somewhat distended. The tension of the stomach extended up the oesophagus into pharynx and was attended with anxiety, nausea, increased secretion of sweetish saliva warm feeling of head and flushing of face and head, tension in velum pendulum palati and spasmodic contraction there. The headache increased much 1/2 hour after taking the dose and this increase lasted 2 hours. When lying feeling of dislocation in both soles and cramp – like contraction in them. This recurred several times during day. Frequent deep stitches above heart, worst in morning. Pains in sacrum with bruised feeling and transient stitches after sitting leaning forwards. The headache and salivation much increased evening; a stool, the first from 48 hours. Spirits much depressed, feet cold. – 5th. After restless, dreamful sleep woke with much the same symptoms. The mouth was coated with bitter slime of feebly acid reaction. Headache, pain in stomach, nausea and flow of metallic, sweetish saliva, drawing and stretching in joints of lower extremities, especially knees, with great feeling of weakness in them, and the previous pain in soles. At 8 a. m. bruised and shooting pain in lumbar and dorsal muscles, stretching of whole body, bruised and shooting pain in ulna and tibia. The parulis diminished in size. All forenoon yawning and desire to stretch, great prostration, inability to think, just like the commencement of a serious illness. At 11 a. m. severe stitches through right chest, cold feeling in abdomen, especially renal region, spreading thence over whole back and lasting long between scapulae, along with this severe stitches in right frontal protuberance, in rapid succession or many all at once, this repeatedly. Frequent shivering all over body and limbs, increased secretion of urine; after 1/2 hour feeling of warmth all over followed by gentle perspiration. Head and all symptoms relieved by 2 p. m. At 3 p. m. took 1 gr. C. I. In 1/2 hour the old headache returned the flushes of heat all over head and face, weakness of limbs and joints, dull stitches in occiput with desire to bend head backwards, bruised feeling between scapulae and intercostal muscles, especially when bending forwards, flow of metallic, sweetish saliva, nausea, head confused, pain in left peroneus muscles as after going up hill, also pain in extensor muscles of left foot, and then upwards to middle of thigh, stitches in left metatarsal bones, foot goes to sleep, sensation of band tightly constricting leg above ankle, hot feeling in left foot with outbreak of sweat, crawling in nose and lachrymation. – 6th. After rising head free, but later the headache and some of yesterday’s symptoms recurred. At 10 a. m. crawling in right nostril as if about to have coryza, and lachrymation of right eye. Parulis gone. At 2 p. m. took same dose. Similar symptoms appeared and, in addition, stitches in right maxillary joint, shooting in cartilage of 6th rib, roaring in ears, heat of head and face, weight of head, tension and pressure in pharynx and uvula; cramplike sensation in flexors of forearm with feeling of gone – to – sleep of it, stitches along metacarpal bone of left thumb, feeling of prostration, stitches in cartilage of 6th rib, anguish feelings like yesterday, pulse full and hard, 80, respirations 18, heartburn. – 7th to 11th. Some of the same symptoms, but in even slighter degree.
5 c. 12th. Took on waking 1 dr. C. Soon a return of some of the old symptoms and, in addition, dull stitches in different parts of the body, especially deep in joints with lamed feeling of these joints, frequent strong erections followed by general heat, then sweat with relief of all the other symptoms except nausea. 7 a. m., pulse 98, small and soft, stitches above heart, desire to bend head backwards, dull stitches in mastoid processes, stupefied sensation and feeling of compression of brain. 9 a. m., swelling and pain in abdomen as if diarrhoea were coming on; relieved by discharge of flatus smelling of sulphurated hydrogen. 1 p. m., severe stitches in right temple, return of headache aggravated by sitting and studying, relieved by walking. 3 p. m., stitches in a small place above left nipple for some morning repetition of the stitches in different parts of the body, those in arms and legs attended by paralytic like pains, with feeling of having over – exerted them. Coldness in renal region with frequent attacks of rigor, increased urine, drawing pains in fibula, prickling in various parts of body relieved by scratching. Constriction of chest at level of nipples, pressure in right side of forehead and right temple, and sometimes some obtuse stitches there extending to occiput. The pains made him very cross; he described them always as unbearable. 13th. Took 2 dr. of Similar symptoms occurred, also wandering pains in limbs. As a rule the pains come on when sitting or lying, and are relieved by walking about. At noon a feeling in oesophagus as if a ball filled with air were forced by the contraction of the oesophagus up into pharynx; this was three times repeated. – 14th. Took 3 dr. of Soon a flush of dry heat over head and trunk, jerking stitches like electric sparks from left shoulder to nape, the usual pains in joints of elbow, wrist, wand knee, and thence through bones, great prostration. Anguish fits, as before, about 8 a. m., – 15th. Nothing particular except stitches in knee and ankles, constriction in pharynx, and toothache, slight digging in molars, transient but intolerable. – 16th. Took 4 dr. of Many of the symptoms of former days occurred. – 17th. Nothing particular save feeling as if tonsils were swollen and uvula too long. – 18th, 2 p. m., 5 dr. of From this time forth during the reminder of the proving, the symptoms previously noticed recurred without much variation. We shall therefore only give the unusual ones that occurred on different days, but it must be remembered that besides these many of the previously – observed symptoms cropped up. The teeth felt heavy as if filled with lead, boring and digging in the roots of some molars relieved momentarily by cold water but instantly recurring, sharp stitches in right meatus auditorius, feeling of fulness of nose and as if it were stopped up.
5 d. 19th. At 7 a. m. drawing in joints, springing from one joint to another. Took at 7 p. m. 5 dr. of *. Soon feeling in right forearm as if it were too short, and on bending back hand pain full feeling in epigastrium, knees bend readily under him when walking, weight and numb feeling in calf – muscles when sitting, feeling as if legs were tied tightly round with a broad band with great weight in them. After 3/4 hours pressure in trachea with irritation to cough. – 20th to 22nd. No med. – 20th. Constriction in larynx causing cough with mucous expectoration. – 21st, at 6 a. m., epistaxis from right nostril. – 22nd. Irritation of larynx and coughing up of a few drops of blood. At 9 a. m. throbbing and hot feeling in alveoli and gums of upper molars, later in lower molars, boring and digging in roots of teeth with momentary relief from cold water. – 23rd. Took at 6 p. m. 10 dr. of After 15 minutes difficulty of swallowing as if tonsils were swollen. After 45 morning heat and burning in stomach, anxiety, restlessness, itching in prepuce and glans. After 50 minutes bruised pain in anterior aspect of thighs. – 24th. At 8 a. m. feeling of pushing out and weight in roots of upper molars. At 2 p. m. took 20 dr. After 10 m. flush of heat over head and face, dull shooting and drawing along ulna and stitches in scalp, bruised pain in muscles of legs, stitches under head of right fibula, along metatarsal bones, in muscle. bulbocavern. and right inguinal region, with feeling as if something were coming out there, feeling in arteries of forearm as if they were too short. After 4 hours feeling in arteries of forearm as if they were too short. After 4 hours feeling of rawness and scraping in larynx. – 25th. On waking paralytic stitches from joints along hollow bones, worst when lying, better on rising. At 11 a. m. stitches in meatus auditorius, increased saliva with feeling of pressure in parotids. At 1 p. m. 40 dr. After 20 m. pressure above right nipple. After 30 m. hot feeling in head and face, burning in face and roaring in ears. At 3 p. head, jerking from hard palate perpendicularly through to scalp – 27th. Took at 6 a. m. 60 dr. Soon oppressed feeling in chest, constrictive feeling in pharynx with dull stitches in it to base of skull. At 1 p. m. constant bruised feeling in m. person. and pain in heel as if after long standing and as if calcaneum would press through skin. After this no more of the drug was taken. – 28th, morning feeling of weakness and weariness in legs, bruised pain in bellies of flexor muscles of toes as from excessive walking, dull stitches in ankles, knees, and wrists, spreading to neighboring long bones. – 29th, 6 a. m., tearing in legs and arms, especially in fibula, tibia, metacarpus, and metatarsus, and along outside of radius, pains in knee and elbow – joints in their flexor aspect, especially when these joints are stretched. At 4 p. m. stitches in tubera parietalia, pressing, aching and weight in head, especially along coronal suture, and pain in abdomens if diarrhoea would come on, relieved by discharge of flatus. – July 3rd, 6 a. m., teeth very sensitive to touch. 10 a. m., frequent shuddering over back, head confused with pressure in it. – 6th. Recurrence of tearing pain in forearm. Some of the symptoms previously experienced recurred as late as the 15th July. (Prof. HOPPE’s provings, Hom. Vierteljahrsch., xiii,7.)
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.