swellings and salivation all gone by the 30th. (Ibid., 283.).
6. Dr. I. R. GRUNBERG, aet. 40, subject to catarrhal affection in spring and autumn. When he began proving was still suffering from remains of one of his usual spring catarrhal attacks. – May 8th, 6 a. m., 5 dr. mother tinct. After 2.1/2 hours, confusion of head and dull feeling in it. 1/4 hour later, feeling of pressing as from a hoop round head; later, increased confusion of head with staggering; flush of heat and pressive pain all over head. 10 a. m., heaviness and hat of head, and warm feeling in rectum, followed by roughing to stool. 10:15 a. m., head heavier and hotter, swayed from side to side, so that it could not be kept upright, vertigo on entering a room, must lean head against something, and support body, which trembled, relieved in open air, but staggered in walking as if intoxicated. 10:30 a. m., heat of face, circumscribed redness of cheeks, heat externally in sacrum spreading from centre to periphery as if a warm poultice were there. 11:30 a. m., profuse sweat of head and sacrum, both when walking and when seated, till 2 p. m. Appetite uncommonly good. 3 p. m., the heat of sacrum spread upwards on left side to scapula. Urgent call to stool but without result. 5 p. m., confused head. At 1 a. m. call to stool, and insufficient evacuation. Sleep restless with many dreams. – 9th, 6 a. m., difficulty of waking. After rising, distension and tense feeling or abdomen, increased by touching; walking caused painful tension and seizing in every muscle of abdomen, cough caused great pain; head confused, heavy, and painful in occiput; warmth in sacrum and weariness. 9 a. m., while walking fatigue in muscles of both shoulders and upper arms, later of all muscles of chest; disagreeable bruised and tired feeling of body, as after prolonged gymnastics exercises. All these symptoms, together with repeated call to stool, only once with result, lasted till 1 p. m. While lying in bed pulsation in left temple. Sleep restless, vivid dreams and sweat. – 10th. Difficulty of waking at 8 a. m. Very lazy; head full, heavy, hanging down, weariness. 9:15 a. m., 5 dr. In 5 morning oppression of stomach, eructation, nausea. 9:30 a. m., confusion and vertigo. 9:45 a. m., sudden heat radiating from within outwards in head, face, and ears, the latter burning hot. 10 a. m., head very heavy, swaying, stupefied, hanging forwards; vision indistinct, gait staggering; burning in sacrum, spreading up to right should, violent call to stool. 11:30 a. m., sudden rush of blood to face, dark redness of cheeks with yellowish tinge, also seen in white of eyes; fatigued appearance, trembling weakness of body, speech very low, pulse soft, small, quick = 96. This lasted till 3:30, when profuse sweat broke out, with relief. Appetite much increased. After dinner, urgent call to stool, a copious liquid stool with burning in anus; this went off in 1/2 hour. 5 p. m., ran about the streets with great agility and speed without being able to find a resting – place either there or at home. After this had lasted 2 hours he felt as though all feeling had left him, and his mental power was gone, and he could not think. 9 p. m., great prostration and painful fatigue; shooting, throbbing pain in head, from within outwards, as if it would burst; feet feel like lead, walking difficult, could not read or write on account of the noise and throbbing in head, especially forehead. Midnight, in bed throwing and digging in head and vertigo were increased, so that he had to get out of bed and seek relief at the open window. 3 a. m., perspiration came on and relieved these symptoms. Sleep disturbed by anxious, frightful dreams and tossing about, so that his head came to be where his feet were; he woke often with difficulty of moving and dry heat. 11th, 6 a. m., prostration and laziness, sensitiveness of right spermatic cord and retraction of right testicle; yellow colour of face and sclerotic; great swelling of thyroid gland; head heavy, stupefied, on raising or turning it vertigo. 9 a. m., when walking the former symptoms in sacrum, loins, shoulders, and upper arms, only worse, and persisting on left side. This state, to which was added frequent urging to stool, was relieved at 3 p. m. by perspiration. appetite very great. 6 p. m., all the former symptoms recurred with increased violence and lasted till 2 a. m. No stool in spite of frequent calls. Stupefied sleep disturbed by tossing about and dry heat. – 12th, 7:30 a. m., very tired on rising. Testicles hanging down, heavy, painful. Yellow colour continues. Head as bad as before, but could get through his mental work; must hold head bent forwards and downwards. 9 a. m., on going out the pain in sacrum, loins, shoulders and upper arms became shooting, contractive, alternately with burning and drawing pain, referred to the bellies of the muscles; this, with frequent calls to stool and increased pain in testicles and spermatic cords, lasted till 4 p. m., and was relieved by profuse sweat. Gait unsteady; appetite uncommonly good. 7 p. m., to the muscular pains were added transient shooting in left hypochondrium, and a dull tensive feeling over left side of chest. 10 p. m.the last – named symptoms became aggravated to cramp pain; the shooting pain localised itself in spleen, with a dull, tensive feeling in fundus of stomach, increased by pressure. Soon after this the heart was affected by violent squeezing and shooting, sometimes in base, at other times in apex. These symptoms lasted till 2 a. m., when he fell asleep from exhaustion. Night’s rest disturbed.. -13th. Same symptoms as yesterday with marked weakness of memory. – 14th, 8 a. m., laziness, heaviness of lower extremities extreme pain in testicles and spermatic cords. Urine passed slowly and in thin stream. Same symptoms as yesterday till 5 p. m., and in addition great irascibility, crossness, dislike to everyone; he shuns all society, but dreads to be alone; dislike to speak, despondency, tedium vitae, constant thoughts of death, fear of, and yet longing for the repose of death Then anxiety, lachrymose humour, longing for home and his family, at length copious weeping and violent trembling of the body for 1 hour, complete prostration. Sleep with the most horrible dreams, frequently disturbed in order to urinate, which left slight burning in urethra. – 15th. Excessive weariness and prostration on rising, ill feeling and unhealthy yellow complexion. Urine passed with difficulty, return of the head symptoms and the pain in sacrum, loins, shoulders, upper arms, and chest. Appetite increased in proportion to the feeling of illness. 7 p. m., flying, shooting, and jerking contractive cramp pain in left intercostal muscles; recurrence of the symptoms in heart, spleen, and stomach in increased intensity, and also in left kidney. Memory very weak. These symptoms lasted till 2 a. m. Sleep deep, undisturbed of dreams. – 16th, 7 a. m., difficulty of waking, great heaviness of lower extremities, both legs felt larger. On inner side of right leg near inner angle of tibia, three soft lumps the size of walnuts, dark red, painless, the upper one seemed to fluctuate in its centre. In other respects the same symptoms as yesterday, relieved by sweat, but after that coming on again. – 17th. The same symptoms but slighter, transient stitches in urethra and dull, tensive pain in prostate, frequently recurring during day. Frequent urination that always left a prickling burning in orifice of urethra. Evening tired feeling and burning tensive pains in back of thigh; legs heavy and painful, gait staggering. Then the nape became affected, causing head to be held in opposite direction for some days, Frequent urination at night – 18th, 7 a. m., rose with difficulty, legs very heavy. Left leg visibly swollen with a painless swelling, the size of a pigeon’s egg, like those on right leg; visible swelling of the veins of both calves. Urine passed slowly and in thin stream, leaving a burning along urethra, and tickling pricking in its orifice. Urine turbid, milky, dark, with many mucous flakes, and thick frothy layer on top. Head must be held back; the slightest movement of it caused violent vertigo. Memory very feeble. All the former symptoms in back and arms. When walking the left testicle became painful, enlarged, and hanging down. The right intercostal muscles and those of the anterior surfaces of the thigh became affected. – 19th. Extraordinary sopor in morning 10:30 a. m., dull pains in both knee, they felt heavy, as if gone to sleep, hindering walking for 2 hours, ending with sweat in knees. 11 a. m.urgent call to stool, burning in front part of urethra for 1/2 hour, then urging to urinate with smarting tickling in orifice of urethra. After urinating, itching tickling for some morning for 1/2 hour. The headache which began in the morning increased by 2 p. m. to such a degree, especially in occiput, that it caused nausea and violent vertigo which ended in profuse sweat in head, with cold face and body. Appetite unnaturally great. 5 p. m., the head and muscle symptoms returned. 7:30 p. m., after a cup of coffee all the symptoms returned with violent and were relieved by profuse general sweat 9:30 p. m., vertigo while walking in open air, gait staggering. Sleep disturbed by frightful dreams. -20th. No remission of the above symptoms. During day long – continued erections with disinclination for coitus. To – day only the gluteal muscles were affected, and there was hardness of hearing. – 21st All the symptoms remained, and in addition a very tiresome cough; respiration sometimes much accelerated, sometimes very slow, chest tight, pains in both lungs; frequent, rough, barking cough causing continued burning in all inner surface of sternum and a painful shooting in both lungs. 9 p. m., slight shooting pain in right arch of palate hindering movements of tongue; slight discharge of mucus from urethra. N. disturbed by urging to urinate, dryness and pain in mouth – 22nd. Same symptoms persisted; the painful spot in right arch of palate had an ulcer on it; in right border of tongue two deep transverse fissures very painful. – 23rd. The fissures in tongue were changed into sores with hard borders of an elongated round shape, and in middle of tongue were more deep and superficial fissures which on the 24th were changed into gaping sores causing the most acute pain, preventing him taking anything cold or warm into the mouth or moving tongue. The other symptoms were moderated. – 25th The severe pains in the tongue abated; small vesicles appeared on its upper surface and borders, and small wart – like elevations on its under surface, and two similar large elevations on each side of frenulum linguae, which was not painful. Still discharge from urethra, otherwise no troublesome symptom. After this the symptoms all declined and were all gone by the 28th. (Ibid. 393.)
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.