Limbs
Intense aching, rheumatic pain in muscles of all limbs (R.). Lame, tired feeling in all limbs, with great exhaustion (R.).
Upper Limbs
Sharp (rheumatic) pain in right deltoid and pectoral muscles, worse lifting arm upward and outward (R.). Dragging in right deltoid (R.). Gnawing pain in middle of right arm on motion (R.) _ Twinges, and rheumatic pain, in right elbow-joint (R.). Sticking on inner side of left forearm. Sensation of numbness and weight as if arm asleep (R.). Tingling along right ulnar nerve and branches (R.). Benumbing, aching pain through right hand and wrist, with occasional stitches through ball of right thumb. Lameness of left wrist, hand, and fingers, where it is painful even when not moving it (R.) _ Sharp cutting pain extending through left wrist and palm when pressing hand firmly against anything (R.).
Lower Limbs
Painful sticking behind articulation of left hip. Intense aching pain in lower limbs (R.). Sharp sticking pain along course of right crural nerve (R.). Rheumatic aching along crural nerves (R.) _ Dull aching pains along border of right fibula to os calcis, where it is worse (R.). Sticking above right external malleolus, during rest and motion. Dull aching pains deep in right lower leg as if in bones, worse by continued motion (R.) _ Cramps in right calf when raising foot from floor (R.). Right calf lame and sore (R.). Rheumatic pain in right ankle (R.).
Generalities
All night lies on back, from sensation of paralysis.
Skin
Erythematous lupus much relieved (Cooper).
Sleep
Very restless sleep (R.). Unable to fall asleep in evening, tosses about, every position uncomfortable. Frequent waking and tossing, limbs when pressed feel paralysed. Wakened by insignificant dreams. Confused, disagreeable dreams (R.).
Fever
Chilliness towards night, preceded by thirst for large quantities of water (R.). Chilliness with sweat (R.). Temperature from 100.5 to 101 F. Sweat on awaking confined to a strip about four inches wide along whole length of back.
