Chest
Chest and abdomen feel expanded, expanding chest seems to invigorate him, though it usually fatigues.
Heart and Pulse
Stitches in heart from ringing of church bells. Stitches in heart, worse when walking, they would kill him if they continued. Heart had for three months not been free from a sticking, drawing, squeezing pain, result of an attack of rheumatism and cold, together with a palpitation and difficulty of breathing. Violent pain in heart, as if it would burst or had needles running into it. Pain in cardiac region, to which he is subject, is worse half an hour after the dose, but much better in several days. Heart palpitated violently and felt as if it was coming up into throat, drank several mouthfuls of water, which relieved.
Back
Pressing in neck and up back of head. Backache and headache. Considerable pain in lower part of back, with soreness felt through to pubic region.
Limbs
Weight and heaviness of legs and shoulders. Severe twitching in arms and legs, much resembling chorea.
Upper Limbs
Cramp in arms. The pain up arm was followed by cramps and drawing in back and limbs of bitten side. Weakness in arms. Right arm becomes so heavy and inactive that writing is too great an exertion, and he allows arm to drop. Hand trembles so much he can scarcely write. Hands numb, with headache.
Lower Limbs
Feeling as if hip bones would slip out of their sockets, better by resting hands on hips. A pressive pain in right hip bone, goes from there to middle of sacral bones. Left hip aches in bone. Along left sciatic nerve a dull pain, returning periodically, worse when rising from sitting. Twitching in legs. Weakness in legs when going upstairs. Each dose he had taken made him feel as if he was getting corns on every toe, his real corns felt remarkably well and did not pain him at all.
Generalities
Drawing from neck to forehead, immediately followed by sparks before eyes and vanishing of sight, red face, involuntary grinding of teeth, second attack, the first was felt in head after washing in morning, seven days after bite of mad dog (*Bellad., three doses, *Hyoscyamus interpolated once a day). Acute ascending paralysis (Landry’s disease) diagnosed in early stage (P.) Bitten by a mad dog in sixth year in several places, became somnambulistic ten years after. Severe nervous twitches in whole body all day. Twitching of muscles throughout entire body (R.). Twitching of tendons with tendency to general convulsions (R.). Prostration beyond description (P.). Twitching every few minutes, sometimes more violently than others, most marked in abdominal walls (P.). Makes a peculiar noise like a waggoner driving horses (P.).
Skin
Quick tendency of the would to heal (the same in leprosy). Biting, itching in various parts of body, worse by scratching. Bluish discoloration of bitten place (after *Laches.). Pustules on forehead, around inflamed eye, on finger (after bite). Malignant ulcers from bite of a dog. Red scar from bite of a dog. Dark, livid-marks where inoculations were made, pricking sensation in them, causing him to continually press his side, which relieved temporarily (P.). Cancerous sores.
Sleep
Inclination to yawn, with stiffness of lower jaw. Frequent yawning without sleepiness, particularly when hearing others yawn. Insomnia, sleepless in spite of narcotics (R.). Starting in sleep, afternoon. On waking is morose, inclined to be angry. In morning, after exciting dreams, much fatigued, feels tired in sacrum and back. On awaking from siesta numbness in head.
Fever
Paroxysms of intense coldness with pain in spine. Chilly feeling, more down right (bitten) arm. Became cold in bed at 3 a.m., although covered with four blankets, lasted about one hour. Chills intermixed and followed by heat and cold sweat. Cannot bear heat of sun. Fever every evening commencing at dusk and lasting until bedtime (midnight). He feels the pulse beat through the body, from time to time there is a surging through throat into head, like a slow wave. Sensation of heat felt internally and externally through entire body, no external warmth, it forces perspiration out on face as from weakness, and is accompanied by lassitude and aching in legs. Restless, skin cool, perspiring, quite conscious (P.). At 9.p.m. a dripping warm perspiration from whole right hand, from wrist to nails, afterwards hands and fingers stiff, she can hardly bend them (R.). Skin covered with a clammy sweat (last stage) (R.). Skin moist, even covered with sweat, during spells, limbs cold and livid. Much better after perspiring. A number of cures of hydrophobia have been reported from forced perspirations, and especially from prolonged and repeated use of the Turkish bath. This is known as the Buisson treatment, from Dr. Buisson who originated it.) Intermittent fever.
