17. Dr. SORGE, aet. 34, subject to haemorrhoids and congestion of choroid, took, Sept. 15th, 7 a. m., 2 dr. 1st dil. After 2 m. feeling in fundus of stomach as if something was going on there, with slight rumbling in abdomen. After 5 m. feeling of tightness over heart to thyroid glands, as if of incarcerated flatulence, frequent need to take a deep breath, and slight nausea. After 10 m., the tightness having diminished, there ensued a warming sensation above right side of heart and below left clavicle. This heart spread to apex of left scapula and to acromion, when it left the heart. Then, those symptoms having ceased, there was, till 8 a. m., empty, tasteless eructation, with continual nausea, aggravated by drinking cold water. After coffee and roll repeated eructation, as if something liquid rose up from stomach with sour taste. From 9 a. m. disposition to emit flatus, with continued eructation. 1 hour after dinner had no relish for tobacco – smoking. When returning home from a drive at 7, felt chilly in spite of a cloak, with cold hands, pale face, nausea, with frequent empty eructation and transient pressive pain deep in right side of forehead and parietal bone, with peevish humour. – 16th. Quite well; took, 7 a. m., 3 dr. After a few m. slight pinching in epigastrium to transverse colon, as if flatulence were incarcerated there, which gradually spread equally on both sides of abdomen, with slight warmth. All a. m. empty eructation, only once with feeling of nausea; sometimes rumbling in belly, with discharge of flatus. Soon after coffee of coll chilliness in back and arms, followed by confusion of head, feeling of heaviness of head that extended to eyeballs, as though the head were drawn forwards by a weight; at same time feeling of fulness in head and face, as if too much blood were in them, as he is accustomed to when he studies too hard. Whilst the weight was worst, drawing in left side of occiput. Head transiently relieved by smelling at spirit, and by shaking head, increased by work. 11 p. m., Still some tension in forehead and face. All a. m., very irritable and cross. – 17th. No med. No noteworthy symptoms. – 18th, 7 a. m., 4 dr. Till 8 a. m., only flow of water into mouth. After usual breakfast, pressive headache, chiefly on right side, as if head were heavy, with confusion and slight tension in both cheeks, as if too full of blood. Sneezed once, and water ran from nose. Headache went off during mental work. Feeling of exhaustion and prostration, almost amounting to trembling, twice slight formication in left thumb. Better after dinner, in evening all right. – 19th. Frequent eructation of sour fluid, and general prostration as if very ill. Loss of appetite for dinner and tobacco, which was recovered at super – time. – 22nd, 6:30 a. m., 5 dr. After 10 m. empty eructation, repeated later. After 3/4 hours pressive sensation under right short ribs. 8 a. m., when eating, scrappy feeling in palate and fauces, feeling as if heartburn would come on. After 9:15 a. m. feeling of distension of abdomen, oppressing respiration. After this heat of cheeks for 3/4 hours, with prostration and weariness, most felt in forearms. Then slight dull headache as after prolonged study, with some giddiness. Numbness in tips of right index and thumb. At 10 p. m., along with these symptoms, a dull pain betwixt shoulders. After dinner pressive heaviness in head, spine, and all limbs in jerks, with ill – humour, till evening – 24th, m., 6 dr. Some throbbing in 2 right upper molars, and some empty eructation. – 25th, m., 8 dr. Empty eructation, and after 2 hours throbbing aching in 2nd upper right molar for a short time. 10 a. m., urging to stool, with soft pappy evacuation. P. m., sour eructation, scraping in throat like heartburn, m rumbling in belly. 7 p. m., another pappy stool. – 26th. From a. m. weight in occiput and nape, down whole spine a dull feeling, as if over – filled with blood, and in os sacrum a peculiar paralytic feeling like what one feels in limbs when exposed to some unavoidable danger. Along with this heaviness of feet, which were not placed on ground with usual energy. He walked less strongly and often stumbled on smooth road, so that his staggering gait was observable in e. Diminished sexual appetite, and feeling as if the penis could not become stiff when excitement was present. Indifference of mind, which was quite unusual. This, together with some tightness of chest, lasted all the 27th till n., when the sensation in the os sacrum was especially tiresome. The symptoms are better during scientific conversation, but worse from drinking beer, which caused more severe and continued heartburn than he had ever experienced. In the n. of 27th was much troubled by a scraping feeling in throat. – Oct. 3rd. feeling quite well, took, m., 10 dr. 1st dil. Soon, slight heat of stomach. During a. m. irritability of temper and slight paralytic sensation, with trembling feeling in whole body, heaviness of head and upper part of back, and towards 10 a. m. paralytic feeling in upper part of os sacrum, and last lumbar vertebrae. Numb feeling in right side of upper lip and tip of tongue, formication in right 4th and 5th fingers. In right lower jaw, from foramen mental backwards, tearing for 5 m. Felt well and cheerful after dinner. 3 p. m, when driving in close carriage, felt for 5 m. a sharp shooting pain in bone of ball of right little finger, repeated after 3 h. Frequent tearing in bones of right forearm and right metacarpus on its dorsal aspect, and extending to humerus. In evening, almost all m., right hand on its dorsal aspect was numb for a short while. The above symptoms came, not all together, but one after the other. 7 p. m., no appetite, nausea, with scrappy feeling in palate and flow of saliva into mouth. From being irritable became indifferent, with faint feeling and weight of head; m., 2 thin pappy stools; p. m., frequent empty eructation and discharge of inodorous flatus. – 19th. Feeling quite well, took,. m., 2 dr. 3rd dil. Soon, some oppression in scrob. cordis. All a. m. numb formication in last phalanx of right little finger and thumb. 4 p. m., when driving in a close carriage and warmly clothed, felt chilly; relaxed in limbs till 8, little appetite for supper. During this time slight drawing pain on right side of head, deep in malar, frontal, temporal, and parietal bones. N. very restless. The sexual desire, which had been strong during the previous 10 day, became suddenly weak on 19th. – 20th. Rose quite refreshed, and passed water with the greatest ease. 7:30 a. m., felt gnawing and smarting from orifice to an inch back in urethra. Nothing abnormal in m. m. of urethra, but on right side of apex glandis, beginning from upper surface and extending down to the urethral orifice, a pale red, soft swelling, about 1/2 above level of surrounding parts. This went off about 11 a. m., but after micturition drawing for 1/2 m. from external orifice to membranous part of urethra. – 23rd, m., 5 dr. 3rd dil. Soon a tightness in scrob. cordis, and all day numb formication in all right finger – tips, in left thumb and right little toe, not all together, but successively. – 24th, 7 a. m., 6 dr. Soon, empty eructation and rumbling in abdomen, accompanied by a feeling of emptiness and weakness in scrob. cordis. 7:30 a. m., the formication in all right fingers in left thumb and index, in right outer toes, in middle of vermillion of upper lip, in right thumb, combined with warm feeling, returned in succession, lasting, with occasional pauses, till evening, whilst there was pressive pain in right metacarpal bones, and a dull drawing in right metatarsal bones for a short time. From 8 to 10 a. m. felt very cross and had a very striking sensation in muscles of rr. upper arm to elbow, as if blown upon by a cold blast of air near a half – open window, or as if a strong wind blew upon a part that had been wetted. In the elbow this feeling became a numbness, which extended slightly to the fingers. This cold drawing was felt even to the 25th, on which day he took 6 dr. – 26th. 2 dr. 2nd dil., no effect. – 27th 6 dr., soon rumbling and working in abdomen till evening, occasional formication. – 29th. 2 dr. 1st dil., soon, tightness in scrob. cordis, with slight pain in stomach, and after 1/2 hour with rumbling and transient cutting in abdomen, and occasionally with empty eructation. The rumbling and discharge of flatus worst before and after supper. Pruritus in ano occurred always on the day when the med. was taken, this day also accompanied by slight pressure in right lobe of liver. There was weariness and bruised feeling in all limbs, accompanied by some tightness in scrob. cordis and on chest, until n. Indifference changed, p. m., without cause, to irritability. – 31st. 3 dr. 1st dil., all a. m., heaviness in back and sacrum, and p. m., greatly excited phantasy from reading a silly little story, so that he must make a great effort to go on with his work. In a. m., great sexual desire, and at n. restless, dreamful sleep, with much turning about. – Nov. 1st. 4 dr. 4th dil., after 1 hour pain in sacrum and in its connection with last lumbar vertebra, as after lifting too heavy a weight, only felt when standing, walking, coughing, and particularly when standing on one foot and holding the other turned inwards and forwards, or when stretching the back and then moving sideways. When the 2 last lumbar vertebrae were pressed, numbness and stiffness were caused in both feet. This sensation increased till noon, and then declined till e. In the forenoon there was transient numbness on the violet side of right hand. P. m., frequent rumbling in abdomen, and discharge of inodorous flatus. evening, great irritation, followed by severe urticaria and many large wheals. – 2nd, m., urticaria and sacral pain gone, but both returned slightly in evening, with much rumbling and discharge of flatus. – 4th, m., 5 dr. 1st dil. After 1/2 hour pressive pain under middle and right side of sternum, with some tightness of chest, relieved by eructation, lasting only 1/2 h. Frequent empty eructation, with heaviness and fulness in whole body. – 7th. 5 dr., pressing pain in a left upper molar, lasting 1 m. This symptom frequently occurred after taking 1st dil. – 8th. 6 dr. A.m., dull tearing in bones of right forearm and hand. For several months noticed a diminution of sexual function and frequent formication and weakness in limbs, which was quite unusual with him. (Ibid., 155.)
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.