Upper Limbs
Heaviness and lassitude of arms, with paralytic pulling. Paralysed sensation in left arm, in both arms. Aching and spasmodic pain in forearms, hands, and fingers, especially when grasping anything firmly. Itching, gnawing, pricking, and burning sensation in arms, hands, and fingers. Sensation of stiffness in forearms. Painful throbbing in fingers. Distortion of fingers. Numbness of fingers. Trembling of right thumb, with numbness. Numbness of little finger. Ulcers on fingers.
Lower Limbs
Spasmodic pain and tension in things, feet, and toes. Weakness of thighs and knees, as if they were broken. Pain as from a blow in left knee. Shocks and blows in legs. Lassitude of legs. Restlessness and trembling in legs, with a sensation of numbness and rigidity. Lassitude and numbness in feet when seated. Coldness of feet. Gnawing, excoriation, and smarting in ankle- bones, greatly worse by least touch. Painful throbbing in toes. Swelling on ball of toe, with tearing and nocturnal pulsations. Ulcers on toes. Pain in great toe as if too tightly enveloped.
Generalities
Dark-haired females. Face changing colour frequently. Rising in throat. Tapeworm, other symptoms agreeing. Contraction of inner parts. Catalepsy, epilepsy with rigor, tonic spasms. Very great paleness of skin. Spasmodic yawning. Pains like labour pains. Sensation as of a hoop around parts. Violent shocks as if from pain. Sensation of prickling in the outer parts. Sensation of coldness in outer parts. Compressive, cramp-like, constrictive, or pressive pains, as if caused by a plug, or by dull blows. Cramp-like, jerking, and drawing pains in limbs and joints. Tension in limbs, as if bound too tightly with ligatures. Pains, as from a contusion, a blow, or a bruise, especially when pressing on part affected. Pains, slight at commencement, increase gradually, often at regular intervals, and diminish in same manner. Sensation of torpor and paralytic rigidity in various parts, often with trembling and palpitation of heart. Attack of spasmodic rigidity in limbs, without loss of consciousness, but with clenching of jaws, loss of speech, eyes convulsed, and involuntary movements of commissures of lips and eyelids. The spasmodic attacks manifest themselves chiefly at daybreak. Affections caused by fright, by vexation, or by a fit of passion. Moral and physical affections, appearing alternately. Excessive weakness (paralytic weakness in limbs). Dull, pushing, or inward pressing pains, as from dull blows. Tingling restlessness, sensation of weakness and trembling in limbs, especially during repose and in open air. Majority of symptoms worse by repose, in the evening, from anger, more in females than males, after lying down and rising again, when sitting, after rising, and better by movement. The affections which are better in open air are generally worse towards evening and in a room.
Skin
Tingling gnawing, with pain as of excoriation, and itching or burning, pricking, and shooting pain on various parts of skin, which provokes scratching. Ulcers (on fingers and toes).
Sleep
Convulsive and spasmodic yawning, especially in afternoon. Great disposition to sleep in evening. Prolonged sleep in morning. Anxious dreams of wars and bloodshed. Lascivious dreams. Waking at night, especially after midnight (with frightful dreams, want of consciousness), or with anxious, sad, and distressing thoughts. Bewilderment at night on waking. At night patient lies on back, with arms above head, legs drawn up, with strong inclination to uncover them.
Fever
Pulse small, feeble, frequently tremulous. Constant shivering and shuddering over whole body, especially in open air. Chilliness predominates, with low spirits, which ceases during heat. Heat with sensation of burning in face, without any visible change in colour of face (she though she was very red, but colour the same as usual). Flushes of heat, interrupted by chilliness. Gradually increasing, and in the same manner gradually decreasing heat. Perspiration only during sleep, ceasing as soon as one wakens.
