Chest
Pains in chest (dyspnoea on ascending stairs and shortness of breathing), as if caused by internal tension. Stitches in chest and sides with shortness of breathing, especially when taking a long inspiration. Breath short and chest tight, and as if a dry stick of wood were down the throat, with cough. Lancinating pains in chest and sides of chest, with impeded respiration, sometimes when taking a full inspiration, and when coughing.
Heart
Anxious and violent palpitation of heart at every movement of body, but principally when lying on left side. After eating, breath impeded, with violent palpitation. Jerking and shooting pain in region of heart. Fluttering motion of heart. Irregular and intermittent palpitation of heart. Jerking movement of heart. Enlargement of heart.
Neck and Back
Aching, rigidity, and tension in nape. Stitches in back and back of head. Painful stiffness of the neck. Throat and neck emaciate rapidly, esp., during summer complaint. Goitre of a large size. Scurf under axillae. Scabs in axilla, painful soreness of cervical glands when coughing. Engorgement of axillary glands. Contusive pain and feeling of paralysis in sacrum, especially in morning. Paralytic weakness nearly all day, better from lying, worse from eating. Shootings, incisive-pains, and violent pulsations in sacral region. Tearing across loins and hips. Nocturnal pains in back. Oversensitiveness of spine. Pain in back better by lying on something hard. Lassitude, pressive tension, and pulling in back.
Upper Limbs
Wrenching pains in joints of shoulders and fingers. Lassitude and paralytic heaviness of arms. Contusive pain in arms and hands, but especially in shoulder-joints (sensation of lameness and of a sprain). which prevents arms from being elevated or moved. Digging in arms. Shocks in elbow. Lancinations in muscles and joints of hands and fingers. Brownish spots on back of hands. Warts on palms. Skin of hands dry and cracked, especially round the nails. Coldness of hands. Cramp in arms, hands, finger and thumb. Sweat on hands. Difficulty in bending the joints of the fingers. Numbness and tingling in the fingers. Tingling in the hands (and feet), especially on joints and tips of fingers and toes. Trembling of hands when writing. Swelling of right hand. Numerous flaws in the nails. Hang-nails. Whitish hives on arms and hands. Panaritium.
Lower Limbs
Wrenching pain in hips, with shootings. Drawing pains in thighs, knees and legs. Restlessness and jerking in limbs (in legs, compelling one to move them constantly). Paralytic weakness of legs, and especially of joint of foot. Pain as if knees and ankles and were sprained. Weakness and trembling of lower extremities, on rising from a seat, better from continued walking. Jerking of muscles of thighs. Tension in bends of limbs and sensation as if the tendons were shortened, painful contraction of tendons of ham. Wrenching pain in joints of knee and foot. Lassitude in knees and calves. Cramps in lower legs and calves. Tetters in hams. Tension in legs and calves. Great heaviness in legs and feet. Burning in feet. Swelling of feet. Coldness of feet. Pain as from ulceration in malleoli, when putting down foot, and on touching the parts. Sensation as if limb had gone to sleep (feet, fingers). Suppression of perspiration of feet. Redness of great toe, with acute pullings and shootings when walking, and after standing a long time. Tetters on malleoli. Corns on feet, with shooting and boring pains.
Generalities
Pressive drawing in limbs. Rigidity of all joints, which crack when moved. Contraction of tendons (muscles shortened). Jerking in the muscles and limbs. Jerking of right side and head. Tendency to dislocation, and to strain back. Old sprains. Paralysis. Swelling of glands. Fungus haematodes, polypus, hang- nails. Fits of uneasiness, especially in morning or evening, with nausea, weakness, deadly paleness in face, headache, numbness of limbs, want to lie down, etc. Bad effect of a disappointment. After fright, chorea. After fit of passion, paralysis. The symptoms manifest themselves, are renewed, or worse generally when lying down, and especially at night, or in morning, and are better by rising up in bed. The nocturnal pains suspend respiration, and occasion of sort of semi-lateral paralysis. General ebullition of blood, with pulsation over whole body, on slightest movement. Trembling of whole body, caused by tobacco smoking. Congestion in head, chest, and stomach, with coldness of legs. Obstruction from inactivity of the bowels. Affections of the pit of the stomach, rectum, external belly. Reddish urine, complaints after making water. Uneasiness and inconvenience after prolonged speaking. Great relaxation of all physical and moral powers, after fatigue. Heaviness and indolence, especially after having risen in morning, with repugnance to movement and walking. Excessive soreness and lassitude in limbs, especially in morning, and when seated. Hysterical debility, in morning bed. Great weakness. Alternate weakness and agility in limbs. Great emaciation (more of body than face). Tendency to take cold. Inquietude in body, with shivering.
Skin
Miliary eruption, with shooting pain. Itching and pricking in skin. Rash over whole body, with stinging, sensation in skin. Red tetter in hollow of knees. Pain and redness of an old cicatrix. Skin of hands, especially about nails, dry cracked, hang-nails. Whitish hives on arms and hands. Itching tubercles. Nettle-rash after violent exercise (itching). Tetters. Furunculi. Exanthema on mouth, lips, in intermittent fever where there are large exanthematous spots looking like large peas, on lips (cold sores), lips look puffy. Warts, on palms of hands. Panaritium. Varices. Corns.
Sleep
Great drowsiness during day, with frequent yawning. Retarded sleep, and sleeplessness at night, with ineffectual efforts to go to sleep. Difficulty in falling asleep again, at night, after awaking. Difficulty in waking, and excessively drowsy lassitude early in morning. Agitated sleep, full of vivid and lascivious dreams, with prolonged erections and pollutions. Anxious, distressing dreams, with tears and talking during sleep. Frightful dreams of quarrels, murders, fire, thieves, etc. Dreams of thieves in the house, making so strong an impression that patient wakes up and cannot go to sleep again until the house has been searched, fantastic dreams. Dreams of burning thirst, starts and talks in sleep and tosses about. Dreams which still keep possession of the mind after waking, and which are believed to be realities. Ebullition of blood at night, with anxious heat (perspiration, violent throbbing of the arteries) and palpitation of heart. Nightmare. Somnambulism. At night, pains in back, quivering, apparently of the nerves, frequent emission of urine, headache, colic, asthmatic sufferings, and great anguish of body.
Fever
Frequent, internal, shudderings. Continued shivering and want of vital heat. Chill predominate, chilliness internally, as from want of vital heat, with icy coldness of hands and feet (evening). Continued chilliness from morning till noon. Shivering, with and without thirst. Shivering and shuddering, with drowsiness, followed by slight perspiration. Flushes of heat and shivering alternately, with headache, chilliness over back and perspiration in axilla and on soles of feet. Continuous heat in afternoon, with violent headache and unconsciousness, they are gradually better during the perspiration which follows. Violent perspiration better the painful symptoms present during fever, _ Debilitating, somewhat sour-smelling perspiration. Chilliness with increasing headache in forehead every day at 9. a.m. until noon, afterwards heat with gradually increasing perspiration and thirst, the headache decreasing afterwards gradually. Heat with burning thirst. Dejection before fever. Before shivering, headache, during shivering, short breathing, yawning, and desire to sleep. During heat, violent headache, dizziness, cloudiness of eyes, vertigo, and redness of face. Fever, with pains in bones, pains in back, yellowish complexion, headache, weakness, bitter taste in mouth, ulceration at commissures of lips, want of appetite, pressure at pit of stomach, with great sensitiveness of that part of touch, quotidian or tertian fever, generally commencing in morning by shiverings, followed by heat and thirst. In forenoon chilliness for three hours, with blue nails and chattering for teeth, this is followed by heart, lasting as long, accompanied by obscuration of sight, stitches in head, much thirst, pains in back, followed by perspiration. (Ague, fever at noon, generally 9 to 11 hard chill, great thirst for large quantities of water, longing for salt food, headache during the heat, profuse sweat and complete apyrexia leaving languor and debility. Spleen and liver enlargement and obstinate constipation. Pernicious fever and fever with anemia often benefited by *Nat.m. (Majumdar)). Typhus fever, with debility, dryness of tongue, and violent thirst. Pulse irregular and often intermittent (especially when lying on left side). Pulse at one time rapid and weak, at another full and slow. The pulsations shake whole body. Intermittent fever, chilliness with great thirst, afterwards great heat with violent thirst and excessive headache, at last profuse perspiration. Intermittent fevers after the abuse of *Chininum sulph. ( Worse during hot stage). During apyrexia: stitches about the liver, languor, emaciation, fever blisters on lips. Sweat in morning. Profuse sweat, too easily excited by movement. After the fever passes off the patient wishes to retain a recumbent position, does not “feel able” to get up or go about anything.
