Generalities
Sensation of weakness and of stiffness in the whole body, as if the marrow of the bone were stiff. The spinal marrow and the exterior muscles are principally affected. Stiffness and extension of the limbs. Tension in the muscles while walking. Paralysis of different parts. Great difficulty in walking, with threatened paralysis of the legs. In tetanus, traumatic, or otherwise, when there is spasmodic twitching or jerking of the muscles. Catalepsy, with the body bent backward. Wasting of soft parts. Convulsive starts. Attacks of tetanus, excited mostly by touch, by drinking, and by noise. Tetanic spasms caused (by the previously named causes) and by drinking of lukewarm water, cheeks and lips become blue, the breathing is laboured during the spasms, groaning and closing of the eyes, lips wide open, drawn up and down, exposing the teeth. Commotion in the body (trunk), as from an electric shock. Twitching and jerking along the back, like electric shocks. Cracking of the joints.Caries, and painful ulcers, which attack the (long) bones and perforate them, even to the marrow.
Sleep
In the evening, great drowsiness, followed by sleeplessness before midnight. Sleep disturbed by frequent dreams.
Fever
Pulse accelerated, spasmodic, irregular at times, intermitting. Chill, in the morning and forenoon, preceded by thirst. Violent chill every afternoon at 3 o’clock. Heat in the evening after entering a room, after supper, mostly in the face, at 3 a m., disturbing sleep, followed by chilliness. Shuddering in the part affected. Heat, with confusion and pain in the head, in the evening and at night. Thirst and vomiting of bile begin with hot stage.
