Urinary Organs
Micturition at 4.45 a.m. Burning in urethra during micturition. Urine nearly neutral at 10 a.m., hot and over-acid at night. Urine: increased, scanty in morning.
Male Sexual Organs
Shooting in penis. Erection: in afternoon, at night, at 4 a.m. after an emission. Pain in right testicle. Emission early in morning, without dreams. Amorousness.
Chest
Heaviness behind upper part of sternum, as from wind that cannot be eructated. Constriction of chest and stomach, extending from base of brain.
Pulse.
Pulse steadied.
Back
Pain in back only felt on pressure. Soreness about second dorsal vertebra.
Limbs
Pain: in right foot and wrist and left toe at 10 p.m., right elbow and left knee, with stiffness, right foot and back of left hand at 11.30 p.m., with heat of them. Pain in right arm as if marrow would be affected, changing its location, with paroxysmal paralysed feeling in hands, in toe a 9 p.m.
Upper Limbs
Pain: in left shoulder, in left arm in the street, with flushing heat in left hand. Excoriating pain in right arm, as if the marrow would be affected, paralysed feeling in hands. Pain in right arm, running in all directions, with heaviness, soreness, and tired sensation. Dragging in left arm at 8 p.m., worse 10 p.m. Tingling as from an electric current from left elbow to fingers. Numbness of right elbow. Pain in right wrist, worse writing. Weakness of left hand. Pain in joint of left thumb, worse pressure.
Lower Limbs
Drunk in his walk, but intellect included, aware of his inability to control the movements of his legs. Numbness of lower limbs. Weakness, all day, in afternoon, in things as if unable to stand. Sticking in left knee at 4 p.m. when walking. Heaviness of legs when walking. Pain: in feet, left foot and toe, right sole, at outer and under border of left foot and in right great toe, with coldness of left foot. Sticking: in end of left toe on waking at 4.45 a.m., in great toe when moving and walking.
Generalities
Emaciation and decrepitude. Trembling. Pains (especially of
head) temporarily better by turning mind to another topic. Feeling as if drug descended and impressed lower part of system, causing trembling of abdomen and lower limbs and blood-vessels connected therewith, but on descending stairs the drug seemed to come upward through the circulation, reaching the brain, causing exhilarating dizziness and disposition to swing and stagger, as if under the influence of liquor, felt talkative and happy, after the dizziness felt a “toned-up” condition of brain and nervous system, dizziness returned on beginning to move. Nervous system strung up to its highest tension. Stimulating and sedative effect, the sweat. Vigour, all day, with exhilaration, next day feelings varying and generally depressed. Uneasiness and weakness during day, with timidity and apprehension. Weakness in morning, better rising and moving around. Want of tone and life in all functions towards night. Worse in open air and on motion.
Skin
Covered as in leprosy with large scales, which fall off and leave white spots, and these often become ulcers. Dryness, especially where it is thick, as on hands and feet, with scales, cracks, and ulcers. Painful hard swelling in lower corner of left ear, red, painful lump, threatening to become an abscess, on forehead above right inner canthus and on back.
Sleep
Sleepiness: at 10 p.m., soon afterwards liveliness and wakefulness, irresistible. Head sleep several times a day. Stupid sleep. Heavy sleep with disturbing but unremembered dreams. Sleepless, from 12 till 2.30 a.m., at 4 a.m., after an emission, then sound sleep, next night wakeful after an emission till I got up for breakfast, latter part of night, mind working on business problems, next morning tired feeling before and after rising. Difficult falling asleep. Restless sleep last part of night. Fragmentary sleep last part of night. Fragmentary sleep from 12.30 till 4.20 p.m., with varied and exciting dreams, then sleeplessness so that I had to get up at 4.30 a.m., did excitedly all kinds of unusual office work. Dreams: curious, nonsensical, wild, amorous, of travelling by rail, active, vivid, last part of night, alternating with half-conscious waking, in afternoon, of fighting unknown men, left them to follow an unknown woman, and when she left me found that she had conducted me to a prayer- meeting, which must have changed to a restaurant, for I ordered a Hamburg beefsteak, but woke before it was served, of a fire, heard the engines and firemen.
Fever
Chilliness for the last few hours, at 8 p.m. Heat: at 9 a.m., flush of general heat, in face and hands, worse left hand, flushing, in cheeks, heat in left ear-flap and left hand, over upper part of body in evening. Hands sought cool places, otherwise no perceptible increase of heat. Heavy perspiration, with great dryness of mouth on waking from afternoon nap.
