Upper Limbs Acute lancinations under axillae. Aching in right upper arm, extending to region of elbow, better motion. Tickling as if an insect were creeping on forearm. Tense feeling in muscles across elbow on flexing arms. Cramp in ulna at wrist. Sticking griping in left wrist, behind thumb. Pain almost a tearing in left finger-tips. Shootings and tingling in fingers. Dead feeling in one finger. Ring finger, which received four weeks previously a blow from a blunt rapier, seems as far as the first and second phalanges dead, cold, devoid of blood, shrivelled, yellow, and without sensation, in afternoon.
Lower Limbs
Cramp in right knee (joint) when sitting. Sudden thrusts (blows) outward or inward side of left knee. (Ulcer on anterior surface of right tibia, from a blow. Chronic ulcer of right leg, serpiginous, spreading at edges, severe shooting pains hindering walking by day and rest by night. Ulcer on left great toe, on dorsum of foot, from tight boots.) _ Sensation in lower part of calf as if aponeurosis of muscles and tendons were tense or bruised, making walking difficult, towards, evening. Weary pain in ankles when sitting. Pain in corns. Swelling of toes, with contraction, intermittent sticking (jerking pains) through them. Sticking in skin of great toe, as if pressed by shoe, in evening. Pain in left little toe as from pressure.
Generalities
Weakness: when walking, with heaving of chest and Extremities, so that often she must stand still, better eating, with heaviness of Extremities. Worse After sleep at night, at noon and in rainy weather.
Skin
Painful ulcer, oozing offensive moisture on perineum, near anus. Sensitive ulcers on lower part of body. Crawling in a spot on left forearm, with a bristling sensation, sticking in the fingers, in the sides, drawing beneath umbilicus, better scratching. Itching: on calves, better rubbing, on head, chest, and Extremities, with burning biting as from nettles, prickling in open air, with sticking, prickling on chest, then in axillae and arms down to sides of chest.
Sleep
Sleepiness all afternoon. Starting on falling asleep, even during day. Sleep: restless, and dreams unremembered, restless, disturbed the first night by burning in epigastric region, afterwards by voluptuous dreams with emissions, or by anxious and vivid dreams of death, etc. Sleep unrefreshing, disturbed by many and unrefreshing dreams. Dreams: unremembered, frightful, of the death of relatives, etc., quarrelsome, anxious, vivid, wonderful, and amorous,, with emission, amorous after midnight, disturbing sleep, of a ghost sitting upon his chest and oppressing his breath, so that he often woke groaning, of a figure sitting upon his chest, making respiration anxious.
Fever Shivering.
Coldness of one ear at 5 p.m., with heat of the other. Coldness of Extremities, with (burning) heat in face, back, and chest. Heat: at night disturbing sleep, general, waking after midnight, with heat in region of stomach. Hot skin. Flea in head, in face, as from nettles, on chest, neck, back, and shoulders. Rush of blood to head and face with sweat.
