Abdomen
Sense of lassitude in abdomen better when supported. Swelling of abdomen and nausea as if about to vomit. Feeling in the abdomen as if he had been disemboweled, he wishes to walk fast which causes the parts to pain severely. Cutting pains in abdomen, preventing sleep the whole night. At 9 a.m. colicky pains in abdomen, which ceased after some minutes, and a quantity of white mucus issued from vagina, these attacks are often repeated. Under umbilicus a cutting pain as if caused by a sharp knife, extending downward to genitals. Colicky pains for some hours internal to umbilicus with a painful sensation as if a cord was bound around abdomen above stomach, lasting ten minutes. Griping sensation in region of umbilicus, extending to spine. When sitting, spasmodic pains in lower abdomen, extending into rectum and coccyx. After long sitting the pains are better, but walking makes them worse, so that the body must be held in a slightly curved position. Toward 6 p.m. griping and cutting internal to umbilicus with nausea, afterwards vomiting of acid water and at the end a little food, with twisting pains in vertex and temples, dryness of mouth with much thirst. At 10 p.m., without having supped, abdomen suddenly swelled as if she had eaten to excess, before and during the attack flat and viscid taste in mouth. She went to bed in this condition, and on waking in morning the attack was entirely gone, the bowels, however, refused to move. Painless swelling of abdomen lasting twenty-four hours. Abdomen hard, tense, and swollen, with painless rumblings unaccompanied with belching of wind, he goes to bed with these symptoms but they are gone in morning. Pressing arm against stomach and squeezing it better the pain, and then she was able to breathe deeply which she could not do otherwise. Stomach swollen in the afternoon, went to bed at 10 p.m. and slept one hour, awoke with urging to vomit, and soon after threw up acid water and the food taken the preceding day. Griping in abdomen, extending down into rectum, with a feeling as if this organ was ligated, she feels so weak that she has to support herself to keep from falling, with cold sweat in face, lasting half an hour. Severe itching in abdomen which cease, and is always followed by copious white expectoration, with flashes of heat in face and great weakness. At first coldness in feet, then stinging and pressing pains in right hypochondrium. From here the pains pass to stomach with swelling of abdomen, then they extend up the spine to the shoulders. Spasmodic stabbing pains one after the other in mons veneries, when standing on her feet she has a desire to put one foot over the other. Spasmodic pain in left inguinal region as of incarcerated wind, which extends upward across abdomen, causing a painful spot in region of spleen. Drawing and cutting pain from one iliac crest to the other as if a knife had traversed abdomen, often intermitting, and always returning.
Stool and Anus
Constrictive pain below ribs, passing across stomach, with much thirst, five hours later stools, at first very hard with much tenesmus and retracted abdomen, later, fluid, abundant, constant tenesmus, relieving swelling of abdomen a little. Bowels confined for two days and very hard, evacuation in small pieces. No evacuation for three days, abdomen seems very full, as if much had been eaten, with loss of appetite. Evacuations accompanied with stinging, cutting pains in rectum, which persist more than an hour, with vehement tenesmus. Obstinate constipation in children is readily cured. The child has a movement only once in three or four days, accompanied with severe pain in anus. Frequent desire for stool without result. Stools hard but occurring every day. After going for three days without stool he is obliged to remain an hour before expelling anything, and becomes very much fatigued. Evacuations hard as nuts expelled with much difficulty, with spasmodic pains in intestines, the faeces escape in small pieces. Chronic constipation with haemorrhoids and continual urging to stool without result.
Urinary Organs
Passes much urine often. Frequent desire to pass urine after cramps in stomach. Was obliged to urine three times in the spaces of four hours, but only a small quantity each time, otherwise she only urinated once during the same length of time and with strangury. Urine very hot and light coloured. Passes much urine, and after a quarter of an hour passes an equally large quantity although she had drunk but little.
Female Sexual Organs
Slight itching and burning in vulva when not urinating. Feeling of heat in the vulva. Very hot urine causing heat at vulva. The menstruation appears several days too late. The menstruation comes on six days too soon when on the feet the blood flows continuously. The blood is black and abundant, reddish-black. During menses: feels cold externally and hot internally and must drink a great deal, cutting pains through body on second day. White fluid discharge like milk coming away in drops, sweetish odour. Very profuse white discharge, leaving white and grey spots on the linen, with itching in abdomen.
Respiratory Organs
Voice hollow and harsh. A chronic rattling in throat causes a dry cough.
Chest
Whole chest pains as if compressed, and when breathing sharp stabbing pains traverse chest, worse left side. Stinging in chest which prevents him from taking a long breath. Pain in region of diaphragm as if it was inflamed, when gaping, drawing pains under right ribs, extending as far as spine, they come and go frequently and are worse by respiration. Stinging pains under false ribs on left side, worse on lying down, on external pressure and on deep respiration with flashes of heat. Stabbing pains one after another in upper portion of breast, worse when breathing, lasting half an hour. Twisting pains in left breast. The nipple pain on touching them, as if sore inside.
Heart
Pulse weak, thready, increased in frequency.
Back
Drawing and stinging between the shoulders with oppression of breath. Drawing pains between the shoulders, extending downward along spine, toward liver and upward into chest, then respiration becomes oppressed and frequent shooting pains traverse entire body. Pains in spine, extending into lumbar vertebrae and then into both sides above crests of ilia and into inguinal regions, where a pain as of inflammation is felt. The dorsal pains are worse by bending. Pains in spine as if it had been injured, as bad during repose as when in motion. Pains as if from fatigue in both loins, when ascending stair.
Upper Limbs In left axilla an electric shock which shakes whole body, and in all the joints there occurs a trembling, such as might be produced by an electric machine, and which causes each time a sensation of fear. Whole right, arm, but especially axilla, feels as if it had been dislocated by a blow. Stabbing pain under right arm toward breast. Right arm feels heavy and she cannot lift it well, feels a sensation of numbness as if the clothing was too tight, with turgescence of the veins. Muscles of forearm seem to grow large and have a feeling of stiffness. Wrenching pains in elbow-joints. Wrenching pain in joints of left hand. Palms very hot.
Lower Limbs
Painful tension in muscles of thigh as if a long walk had been taken. Wrenching pain on outside of right knee extending down right side of leg to malleolus, from thence into the heel, where it ceases. Wrenching pains in calves, extending into toes, prevent sleep, she does not know where to put her legs. Trembling of legs from knees to toes so that there is difficulty in walking or raising the feet. Tearing pains in the calves of the legs, with a feeling of heat, extending down to the toes, the palms of the hands and soles of the feet are very hot. Tearing pains in articulations of feet and in toes for several hours. Back and soles of feet are swollen, after thirty-four hours, with tearing pains in ankles and soles, on account of which, though very tired, he was not able to sleep. A feeling as of electric shocks in all the joints.
Generalities
General weariness, lasting several days. When sitting down a feeling as if whole body were swaying to and fro. At 4 p.m. great fatigue with profuse cold sweat and somnolence for two hours.
Sleep
Frequent gaping with great somnolence. Continued yawning although the joints of the jaw are painful. She would like to sleep all the time, day and night. She cannot keep awake and goes to sleep in her chair, her feet go to sleep. After having passed the night rolling around in bed without waking and passing from one dream to another, she wakes at 5 a.m., the bed-clothing thrown aside and without her nightcap, a thing which had never happened to her before. Sensual, lascivious dreams.
Fever
Chill, followed by dry heat with thirst, which is soon followed by sweat, lasting along time. Chill, heat, and sweat frequently alternating. Face and hands hot and red, hot sweat on upper part of body, especially forehead.
