Mouth
Drawing in right upper teeth. Gums swollen. Eruption on gums of upper incisors. On drinking anything warm, slight irritation on inner lips, gums, and tip of tongue. Tongue. Coated white in middle, back and edges red, red on tip, red and cracked in middle, cracked in middle and covered with little vesicles, several vesicles on under side. Sensation as if tongue were being pulled out by the roots. Distress in root of tongue and fauces. Scalded feeling in tongue, while at dinner it extends to mouth and fauces, causing dryness. Tongue and mouth as if burnt with an acid. Itching of tongue and roof of mouth. Tongue and lips feel cracked. Breath hot, feverish, offensive. Breath hot, and not offensive, feels like steam. Fever sore on mouth. Mouth feels rough as if sand under mucous membrane when touched. Saliva increased, viscid. Hot water runs from mouth when lying down, with sickness at stomach worse at night (B). Slimy, nasty, putrid taste (B). Taste: lost, slimy, flat, rough. Cannot speak distinctly, palate fallen and feels as if something in mouth impeding speech, unchanged by hawking and clearing throat.
Throat
Soreness left side throat, swelling extending downwards. Throat sore, swollen. Irritation and acridity about throat and eyes. Tonsils red, congested, dull aching distress in them. Irritation, dryness, burning in throat. Pharynx and oesophagus irritable and sensitive, painful and difficult to swallow, food caused pain and seemed to stop mid-way to stomach, cold water produced the same effect as very hot tea, and an aching such as is felt after drinking ice-water, though thirst was great. Frequent desire to swallow. Swallowing difficult. Feels as though hairs in throat *way back, lasting several days at a time (B). Difficulty in swallowing solid food, throat feels as though it were drawn up (B).
Stomach
Appetite: improved, lost. Thirst very great. Eructations. Nausea and loathing. (Dyspepsia and belching relieved) Severe pain in stomach 2 a.m., sudden call to stool two hours later. Much distress and pain in (cardiac end of) stomach. Sudden vomiting when at table eating (B). Pressure in stomach after eating, and I can pound lightly on stomach and throw up any meal (B). Pressure in pit of stomach (B). Creeping or crawling sensation in stomach (B). Stomach feels bad in evening (B). Pork causes vomiting instantly (B).
Abdomen
Hard beating or throbbing a little below pit of stomach (B). Distress in umbilicus with dry, lumpy, dark stools. Abdomen bloated, very sensitive to least pressure. Swelling of abdomen, in morning have to rub it down with my hand before I can button my clothing (B). Sharp cutting pain in umbilical and hypogastric regions. Colic, rumblings and soreness to touch. Pain in hypogastrium before every stool, very little warning. Pain in bowels worse mornings.
Stool and Anus
Bleeding haemorrhoids with extensive itchings and burning. Discharge of blood from rectum after a stool. Neuralgic pains in anus. Most intolerable burning and itching in anus. Diarrhoea 2 to 5 a.m., stools nearly white. At 4 a.m., large watery stool passed with great force and attended with violent colicky pains, during next two hours there were similar profuse stools, after which pains ceased. Stool: very dark, dark and partly undigested, dark, hard, and small in quantity.
Urinary Organs
Burning in urethra. Urine increased. Desire to void urine often, but in small quantities.
Male Sexual Organs
Groins and penis affected in morning. Scrotum red, swollen, much corrugated, covered with vesicles, prepuce swollen, glans swollen and very sore: cuticle of penis and scrotum peels off in patches as large as a sixpence.
Female Sexual Organs
Menses (which were near at hand) came on immediately in very large clots like pieces of meat. Every month, dull heavy pain in left ovarian region (B). Hard, labour-like pains for one day before menses (B). Soreness of vagina during menses (B). Menstrual discharge regular, rather scanty, always bright pink in colour. Terrible lancinating pains through left breast worse for three days before menses (B). Burning in left breast and left side of body (B). Sometimes sensation as if a thousand small needles were sticking in left breast (B). Breast symptoms: worse moving left arm forward and across body, by pressure, just before and during menses, at night and when lying down, better by motion, continuous work (B). Breast must be supported, it aches when it hangs down (B). Eruptions just before menses (B).
Respiratory Organs
Dryness and pains in larynx. Hoarseness. Harsh, dry cough, lasting more than two weeks. Sense of oppression as if the air was too heavy.
Chest
Violent stitches through chest with great suddenness. Violent stitches in left lung causing anxiety, especially on breathing. Stitches in both lungs, in apices. Rush of blood to chest with anxiety. Stricture in chest. Pain over sternum, lancinating in sternum and right leg. Drawing pain in lower left side.
Heart
Stitches in heart. Palpitation with stitches in heart.
Neck and Back
Stiff neck or crick-in-neck. Ulceration of cervical glands, which discharged a very offensive dark-coloured pus, dark red areola round ulcers. Dull pain in cervical, dorsal, and lumbar regions. Back very stiff. With rumbling of flatus in bowels, pains in back extending from lumbar region to umbilicus. Sharp pain under left scapula, extending through to ribs. Rheumatic pains between scapulae. Dull, heavy pains in lumbar region worse stooping or walking. Drawing in lumbar muscles extending into hips. Drawing in left loin. Dull, aching pain and weakness across loins. A little pain in sacrum. Lumbago from a strain or a cold.
Limbs
Trembling of limbs with twitching of muscles. Swelling of all the limbs with redness, and thirst. Wrists, ankles feet ached so severely he could not sleep.
Upper Limbs
Tearing in left arm, extending up from elbow, a sensation as if the bone would break. Pain from left breast extends into left arm (B). Drawing in left arm, forearm, and last three fingers, arm feels paralysed. Paralytic drawing in right arm, especially wrist, extending to tip of fingers. Jerking pain in muscles of both arms. Crawling in left arm, especially when resting it upon anything. Severe pain in left elbow-joint preventing moving it. Rheumatic pains in left elbow and shoulder-joints, on motion. Weakness of forearm and fingers, which are cold. When hand becomes numb and goes to sleep it feels as if puffed up (B). Left hand becomes numb on sitting or lying down (B). Dull, drawing pains in wrists and fingers. Wrists and fingers very stiff. Dark- coloured ganglion on wrist. Drawing pressing pain in right wrist, extending through the bones to elbow. Right hand swelled without redness. Constantly aching dulness in hands and fingers. Drawing in right fingers. Backs of hands swollen and puffy. Blue finger- nails. Hands swelled and clumsy.
Lower Limbs
Paralysed and bruised sensation in legs. Pain as if sprained or dislocated in right hip. (better by Nit.ac.). Drawing, cramp-like pain in left thigh. Crop of boils on right thigh. Paralytic drawing with pains in bones of left leg. Streaks of pain run down left leg (B). Great weakness of knees and ankles, they ache constantly. Jerk-like drawing in leg. Wandering drawing pains. Drawing in knees. Cramp-like pain and tension in calves. Ankles and feet ached so that it was painful to stand or walk, worse afternoon. Throbbing in both feet as if distended with blood. Jerk-like drawing in right foot, extending from ankle to heel, and shooting up with pains in the bones. Crawling and crackling in right foot. Pulsation in right foot. Eczema of (l.) foot. Swelling of feet worse at night, sensitive to touch (B).
Generalities
Great lassitude, stretching. Great restlessness. Swelling of whole body with intolerable irritation. Numbness and lameness of left arm, side, and leg (B). Bruised feeling in all the limbs. All muscles stiff, especially back of right leg. Stiffness and soreness. Rheumatism before a storm (B). Lying on l. side causes shortness of breath (B). Sensation as though blood hot and rushing along the vessels (B).
Skin
A fine white rash keeps under the skin. Ulcers, cuts, and other lesions surrounded by a miliary whitish rash. Nightly itching, and an eruption very like erythema nodosum. Within twenty-four hours itching with swelling, which gradually extends over body assuming erysipelatous appearance. Red indurated elevation, especially on face, neck, and chest. Redness, swelling, and vesicular rash on skin of eyes, nose, cheeks, lips, ears, behind ear and front of neck. Boils on forehead, neck, and arms. At night much itching of face and sexual organs. Rash-like pimples appear under skin just before menses, especially on head, face, back, and hands, burning, but not quite like burning in breast and side (B). Rash appears also if she takes cold (B). Fine vesicular eruption on forearm, wrist, back of hands, between and on fingers, vesicles are situated on an inflamed erysipelatous base, and accompanied with most intolerable itching, especially in evening in a warm room and in bed, after scratching and rubbing (which cannot be resisted) the itching is intolerable, large quantities of serum run from each vesicle after it is scratched. Clusters of vesicles. Boils on right thigh. Desquamation. Itching and complete desquamation of skin of hands. Deep, corroding phagedenic ulcers with cadaverous-swelling pus. Itching and creeping sensation, worse by warmth.
