Extremities
Spasmodic drawing or bruised pain in the joints, (<)when lying, (>) rising, (<)morning. Tremblings. Jerkings. A paralytic heaviness in the shoulders. The hands seem to fall asleep. Lower extremities unsteady. Stiffens under the knees as if the tendons were too short, on rising from a seat. Tensive pains in the calves. The gait is tottering and unsteady, the knees “knock under”. The feet feel asleep and dead. (The feet are shuffled along when walking, and not lifted.).
Skin
Painful swellings of pimples, here and there, especially on the chin and face. Acne of the face.
Sleep
Very sleepy in the evening, but sleepless after midnight, then falls asleep late in the morning; is unrefreshed on waking. Tendency to lie on the back, with the arms under the head. Sleepiness only after day break, finally waking stupid and dull. The morning sleep always aggravates the symptoms.
Fever
Chill, with backache on the slightest motion, with blue nails; beings as early as 3 A.M. heat, with thirst (usually). Heat even before the chill and during it. Sweat rather light, but giving relief to the pains.
Clinical Intermittent fever, anticipating paroxysms, morning chill with blue nails, yawning backache, even mixed with fever; must be covered up during the fever; perspiration light.