14b. Feb. 1st. – M., on waking, dulness in head; feeling of emptiness in stomach; no desire for coffee. After drinking coffee inclination to vomit. About 10 a. m. immoderate appetite and longing for something very tasty. She received a letter containing unpleasant news. After reading it violent trembling in hands and feet. Strong appetite at noon. Afternoon after coffee feeling over whole body as if one poured boiling water over her, lasting 10 m.; thereupon burning heat in right ear, whole of right ear was scarlet red for 1/4 h. Towards 5 p. m. chilliness over whole body, only in warm room, at same time frequent yawning. If she went into open air she had no chilliness. In returning home between 6 and 7 p. m. shooting pain around navel. In right side below ribs fine shoots, continuing 1/2 hours, then call to stool. During stool shooting pains around navel and in both hypochondria, as if the parts were being screwed together; stool first hard then soft; feeling at same time as if the rectum had protruded; feeling as if stupefied after stool, with nausea; soon after that vertigo; everything turns round with her, and she almost loses her consciousness at the time. Sleep full of dreams of evil things. 2nd. – M., on rising, headache. In church yawning lasting 1/2 hours, with shooting on right side below last ribs; dulness of head, inclination to vomit and empty eructations, with difficult respiration and trembling of hands and feet. In going upstairs difficulty of breathing; a palpitation of heart; drawing pain internally in bones from thigh to ankle, most violent from knee downwards. it seems to her at the time as if someone would pull her backwards in ascending. After breakfasting off coffee, cutting pain, with audible grumbling and rumbling in belly, particularly at rest. During day fine shoots in different parts of integument, especially on chest, scorbiculus cordis, both wrists and thigh. Good – humoured whole d. In evening heaviness and uneasiness in legs, which increases after drinking moderately of beer. (before the appearance of the catamenia, which are due on the 9th, she always suffers from heaviness and uneasiness in the legs.) Before going to bed vertigo with inclination to vomit and trembling of whole body; pressive pain in forehead; heaviness of upper eyelids. She was awakened about 12 o’clock. In rising dulness of head, as if stupid; stomach as if too full; at same time feeling of weakness and trembling in stomach; dryness in mouth; trembling of fingers; she cannot hold anything fast in the hand, or even close it, for weakness. 3rd. – Awakened about 4:30 a. m., in rising shooting pain in the shoulder – joint, and from mastoid process of right temporal bone as far as anterior part of the throat, lasting 1/22 hours, increased by motion; at same time constrictive pain in stomach, then cutting and rumbling in belly. Ill – humoured in forenoon; sleepy in afternoon; chilliness in back. 4th. – M., in church, empty eructations; frequent yawning; shooting in scrobiculus cordis; pressive pain in stomach, as if something heavy lays in stomach, with trembling of hands and feet; difficulty of breathing, even when she keeps herself quiet. In going upstairs palpitation of the heart. Afternoon, she could not bear to be anywhere. She was sorrowful, as if mortified. Between 4 and 7 p. m. in warm room chilliness in whole body; she felt warm to touch, only not in face. Repugnance to beer and wine, although she was thirsty; beer had a watery insipid taste. In going home heat in head, with redness of face and ebullition of blood to head; cutting pain around navel, which ceased after pressing on belly, throughout whole day; stool hard and dry; sulky, pensive dulness of head. (Since she commenced the proving the head has never been free from pain.) 5th. – Frequent micturition throughout day; after urinating each time burning in vagina, as if it were raw, lasting a short 1/4 hours; urine turbid, yellowish red; shooting pains from right lumbar region downwards towards uterus, more violent and constant in forenoon, frequently intermittent in afternoon; insufficient stool; lazy and quarrelsome. 6th. – M., shooting from region of kidneys towards uterus, ameliorated by sitting bent forwards, passing on belly, or sitting down, increased by walking. Whilst drinking coffee grumbling in belly. After coffee above pain ceased, but returned from 9 till 11:30 a. m., and again, more violently than before, after dinner. urine scanty; ill – humoured. 7th. – In m. in bed menses appear more profusely than usual; blood darker; vertigo in stooping. Boring pain in umbilical region, and violent palpitation of the heart throughout d. Feeling of weakness in whole body. Urine scanty, acrid, corrosive, dark, like brown beer, deposits a red sediment which adheres to the vessel. 8th. – Menses as profuse as yesterday. Great restlessness during sleep, with frequent dreams which she cannot recollect, and frequent waking. She is generally restless in. during catamenial flow, though not so much so as now. After coffee pinching in belly; desire for sweat mucilaginous things (otherwise at that time always for beer, which to – day is repugnant to her). 9th. – Restless sleep full of dreams; she dreamed that she pulled a very fine tooth out of her mouth. menses as yesterday. After coffee, loud grumbling in belly. Forenoon, nausea, so that she believes herself scarcely able to sit up. \Pressive headache now in right now in left half of forehead., After dinner trembling and twitching of left upper eyelid. Feeling as if flesh were being scraped or torn off bone from below upwards, beginning from lower jaw, over zygoma to right temple, at; sting about 10 m., returning every 5 m., and always becoming more violent from 4 till 7 p. m. Much thirst, particularly for beer; trembling of hands; frequent micturition; urine pale, not acrid; menses less profuse than in forenoon. 10th. – M., menses have ceased. Throughout day extremely sensitive and peevish. in evening after violent vexation reappearance of catamenia. 11th. – M. and forenoon, dulness of head. throughout whole day and also in n. frequent micturition. The catamenia have again ceased to flow. 12th. – In m. urine milky, as if milk had been added, later with white sediment. After going out, still more on returning home, shooting pain now in right now in left side f forehead. Cutting pain as if with a sharp knife from left half of forehead to occiput; weak dim eyes; little appetite; taste bitter; cutting pains in bowels, slightly intermittent; two loose stools; shooting in scrobiculus cordis; cold and hot flushes over body; trembling in whole body; general weakness; difficulty of breathing in walking, and in going upstairs also palpitation of the heart. All these phenomena lasted whole day, and alternated frequently one another. Towards noon she became so sick that she was obliged to lie down in bed. In falling asleep twitching in limbs as if she were electrified. If she closed eyes she saw many people, large cities, great waters pass before her. After rising she die not improve, pulse quick and full. in evening its was long before she could fall asleep. When she tried to sleep she was seized with twitching in limbs and electric shocks of whole body. Once it appeared to her as of her knees and chin would be knocked together. Slept well after midnight. 13th. – In,., after rising, pinchings in belly; fine shooting in forehead; trembling of hands. Subsequently then showed itself for an hours slight leucorrhoea; loathing of animal food; even bread is not relished. After dinner shooting pain first in right then in left half of forehead, lasting for hours. Towards 4 p. m., after she had drunk a very little coffee, nausea, inclination to vomit with empty eructations; trembling of stomach; yawning for 1 1/2 hours; internal chilliness during which she was quite pale. Pulse very quick and intermittent. Also the headache became at this time more violent, and if she took hold of her forehead she had the feeling as if there was a hammering in head. Difficulty of breathing; tearing pain in spinal column from above downwards; during whole day frequent urination; urine turbid. 14th. – Headache; leucorrhoea, a few times in day; tearing in different teeth, now in right upper, now in l lower jaw; tearing pain in spinal column whole d. She could not for a long time fall asleep on account of pains in back; sleep was restless. 15th. – In forenoon shooting in chest from xiphoid cartilage of sternum through to back, worse afternoon; loss of appetite; much thirst; shooting in right side of cavity of chest, during which she was obliged to sit with knees up to stomach, increased by walking. No pain in taking a deep breath. After midnight sleeplessness. 16th. – In m. two loose stools without pain; shooting pain in temples. In afternoon it appeared to her as if there were a gauze before eyes. She could scarcely see to knit. Heaviness of the legs. 17th. – In m. during breakfast (coffee) screwing cutting pain in belly with grumbling. Latterly remarkable forgetfulness. (Ibid.)
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.