Throat
Throat sore left side, swallowing difficult, painful.
Appetite
Ravenous about 10 a.m., with onset of frontal headache. Appetite capricious, especially morning, impaired.
Stomach
Gastric discomfort, flatulence, fulness, and other symptoms appear when constipated. Acid eructations all day, causing burning and smarting (B).
Abdomen
Much distension, flatulent, worse during menses.
Stool and Anus
Constipation: no movement for 3 to 5 days then daily movement for 3 or 4 days. No desire for stool till there is large accumulation, when there is a very difficult, painful stool with constriction in rectum and discharge of stringy, glassy, milk- white mucus, each succeeding passage less painful until normal, then constipation sets in again. Heavy throbbing and fullness in rectum from internal piles (B.). Severe shooting cutting in rectum while walking, better sitting down.
Urinary Organs
Frequent and profuse urination. Urine profuse watery, and relieving the dull, congestive headache.
Female Sexual Organs
Leucorrhoea, pain and soreness in back and pelvic region, excited by walking. Menses at proper time, but scanty and intermittent, thin, watery, pale, offensive. During menses: headache, vertigo, stiffness in back and limbs, with dull, heavy, bearing-down pain in pelvis. Severe sharp sticking, shooting pains in external genitals (especially labia), momentary but frequently recurring and very annoying, causing starts (at close of menses). Severe stitches or cutting pains through uterus (B.). Ovarian neuralgia.
Respiratory Organs
Cough: harsh, dry, spasmodic, horribly distressing, causing great anxiety, towards night a slight expectoration, difficult, with slight better, so heavy and oppressive finally could not lie on either side (B.). Cough from fullness of chest better by epistaxis (B.). Haemoptysis, blood bright red. Smothering sensations, cannot get air enough. Breathing difficult from weight on chest, fulness of chest and head, violent congestion of the lungs. Tickling in throat with cough and spasmodic breathing causing extreme nervousness (B.). Weight on chest causing difficult breathing, sensation of smothering, frequently examined clothes to see if they were not too tight (B.).
Back
Broken sensation in lumbo-sacral articulation, on sitting and especially sitting upright, constantly changes position to get relief, wants to strike the part or press it, better standing or walking (seemed to alternate with headache).
Limbs
Uneasy sensation in large joints. As if had taken hard cold, stiff and sore on rising, better by careful movement. Rheumatic pains in all joints on approach of rain-storm or in rainy, changeable weather. Extremities cold.
Upper Limbs
Arms heavy, too much prostrated to lift them without effort.
Lower Limbs
Numbness and aching in knee-joints, right then left Gnawing throbbing in right knee-joint, wants to stretch it but stretching does not better. Rheumatic pain in right leg, especially about knee, better moving. Soreness about hip-joints. Cutting pains in knees alternating with headaches.
Generalities
Tired, bruised, listless, sleepy, chilly. Engorgements of any part or organ. Spasms, eclampsia, convulsions, epilepsy. Haemorrhages.
Sleep
Drowsy, sleepy, stupid. Alternate sleep and wakefulness through night. Dreams: unpleasant, of bickering. Insomnia: cannot sleep after 3 a.m., awakes regularly a few minutes before 3 a.m. Head seemed too high (although he had no pillow). Sleep prevented by unpleasant things (unconnected, meaningless) coursing through brain.
Fever
Chilly 10 a.m., begins in back, loins, or occiput, passing in waves up to vertex. Chilly 12-1 p.m., with sharp pains in cardiac region of stomach and much flatulence. Chilly all forenoon. Uncomfortably chilly, feet and hands colds. Febris nervosa stupida.