Generalities
Pain in whole body as before ague, at 10 p.m., shifting pain. Languor: in morning on waking, with pain in back, with soreness of muscles of thighs, as if he had taken cold. Worse From Warmth of bed at night, disturbing sleep, better after breakfast, better in open air. Slight nervous excitement and restlessness, soon followed by a sick, debilitated, sensation. General muscular lameness and soreness, lassitude, depression of spirits.
Skin
Yellow jaundiced appearance, itching as from flea-bites. Pimples in different parts, a painful one on nose. Itching: near insertion of deltoid in both arms, of face, then creeping sensation, and stinging-like flea-bites, on r, side of face, then on neck, shoulder, forearm, midway between right knee and ankle.
Sleep
Drowsiness, vertigo, semi-stupor. Restless, or sleeps soundly until towards morning, awakens generally feeling worse. Unrefreshing sleep, with frequent wakings and bad dreams. Amorous dreams, with emission. Ugly dreams, at one time that his head was attacked by enormous bugs, which he felt obliged to kill with difficulty.
Fever
Chilliness on going out of doors, slight aching in lumbar region. Excited, feverish feeling, alternating with chilliness, warm sensation along spine, then chill and gentle sweat. Face hot and flushed.
