Throat
Ulcers with yellowish base on tonsils. Soreness on both sides of
uvula, passing up posterior nares, with pains on swallowing. Throat and posterior wall of pharynx of a purple colour. Grey exudate on posterior wall of pharynx. Coughing out of large clinkers in morning that had clogged posterior nares for forty- eight hours, tough, like boiled cartilage streaked with blood. Fluent catarrh from posterior nares during day, dry at night. Greyish catarrhal secretion, worse in morning after eating, must leave table to clear throat. Cold sensation in throat, as though a piece of ice had been held there. Throat feels too large. Hoarseness following sore throat, must clear throat before speaking. Dryness of throat, better swallowing saliva or water. Dryness and roughness after sleeping in a draught. Constant desire to moisten the parts, but cannot. Can swallow solid better than fluid. (Sensation in pharynx and uvula as though he had inhaled peppermint. Choking sensation in throat as from a bread crumb.).
Appetite
Great longing for the spring water. Child wants to nurse all the time, yet loses flesh. Child craves meat, fat bacon, &c., which worse. Craving for salt. Loss of desire for bread, unless fresh baked. Splendid appetite, gets very hungry before mealtime. No appetite for breakfast. Child frantic when it sees the glass of water, drinks large quantities greedily. (Thirst for small quantity very often, which is vomited almost as soon as it reaches stomach. Loss of appetite, no desire for anything but water.) Feels better after eating.
Stomach
Bloating of stomach on beginning to eat. Feels terribly stuffed after a meal. Shortly after nursing food all comes up with a gush, and child drops into a stupid sleep. Fulness and bloating of stomach soon after eating, especially supper, or after taking acids, must loosen clothing. Cannot taste food for hours after eating. Food turns sour and rancid, with burning desire for water, which improves for short time only, then worse. Eructations, sour, rancid, burning, worse after smoking, of tasteless gas, which gives some relief. Nausea after eating with sick feeling, better from smoking. Sudden nausea while eating, vomits all the food taken. Vomiting better. Child vomits milk looking like “Schmierkase’, falls asleep after vomiting. Vomiting of large, tough curds, like the white of a hard-boiled egg. Vomiting of milk soon after nursing. Child vomits after drinking cold water. (Nausea and vomiting from riding in cars or close carriage, with desire for open air. Seasickness.) Nausea and cramp in stomach on awaking at night or in morning, or after rising in morning, like “morning sickness’, better after breakfast. Bloating of stomach on beginning to eat. Sensation of a lump in stomach. (Soreness through stomach, sensitive to pressure and jar, cannot laugh without holding his stomach and bowels, worse when stomach is empty.).
Abdomen
Gurgling in left hypochondrium, passing down descending colon, worse before meals. Sore, sensitive pain beginning at left of umbilicus, going around to spine in three days, worse from touch, at point where pain ceased, appearance of a vesicular eruption which gradually worked back to umbilicus, with burning and stinging. Soreness through hepatic region. Enlargement of liver, sensitive to pressure and jar. Rumbling in left side of abdomen at 9 p.m. Gurgling like distant thunder along course of large intestine. Bowels bloated as if they would burst. Sore pains in groins beneath Popuart’s ligaments, after walking. (Rumbling in bowels before meals, better after eating. Pot-bellied children, abdomen is the largest part of them).
Stool and Anus
No desire for stool for three or four days. After intense straining the stool, which was nearly evacuated, recedes. Even soft stool requires great effort to expel. Large evacuation of small, dry, grey balls, must be removed by fingers lest it rupture the sphincter. Great pain in perinaeum while at stool as though it would burst, whole perinaeum sore and burning for some hours after stool. Slim, yellow stool at least ten inches long, not requiring much effort. Stool feels full of jagged particles, very painful, lacerating anus and causing soreness and bleeding. Stools small and infrequent, first part hard and dry, latter part soft. Constipation with ineffectual urging. Impossible to evacuate the stool, which is of greyish-white balls, like burnt lime, hard and crumbling, with odour of rotten cheese, it must be removed mechanically. Yellow, soft, wedge-shaped stool, like an almond nut, without power to expel. Stool of large lumps of undigestible caseine, ragged or shaggy, smelling like rotten or limburger cheese. Stool resembling scrambled eggs. Thin portion of stool frothy and of a grass-green colour, whole mass turns green after standing. Stools green, frothy, watery, like the scum of a frog pond. (Child’s stools changeable, watery, yellow, green.) At 9.30 p.m. copious diarrhoea with urging and haste, stool yellow and fetid as after eating onions. Soft, sticky, mushy stool twice each day. Stools as often as food is taken, must hurry from table after each meal. Cramping pain in colon and rectum. Urging from flatus, must cross legs to prevent stool from escaping. (Persistent odour somewhat resembling that of decaying cheese about the child, not removed by bathing, diarrhoea. Pain before stool, some better after it. Pain during stool. “Not done’ sensation after stools. Stool becomes pale on standing.) Stool square, as if carved with a knife. (Excoriation of skin about anus, extending out on each side of nates, genital organs, and groins, skin very raw, like beef, with watery discharge. No control over sphincter, often soils himself while standing, running, at play, or even at night. Stool escapes when passing flatus.).
Urinary Organs
Frequent desire for urination with profuse discharge, comes suddenly with sensation that urine was at meatus. Great effort necessary to retain urine, at times impossible, yet if the desire is resisted the urging ceases. Cramp-like pain along course of left ureter, when trying to retain urine, compelling him to stand, although he cannot stand erect on account of the pains. Sensation that a hard body like a lead pencil were being forced upward and backward from bladder to kidney, it gradually passes away some fifteen minutes after urination. Voids large quantities of pale urine of low specific gravity. Urgent calls to urinate as if bladder would burst. Child strains to urinate while at stool. Urine of child scanty, voided at long intervals. Child cries before urinating. Urine stains diaper red.
Male Sexual Organs
Increased sexual desire at first, then much decreased. Discharge of semen too early with little sensation. A few hours after intercourse an odour of fish brine about the glans, sometimes lasting a day or two. Child’s parts smell of fish brine even after bathing. Scrotum relaxed, clammy sweat about parts. (Fig- wart on glans penis, sycosis, with discharge from its surface smelling like fish brine. Copper-coloured, syphilitic sores.).
Female Sexual Organs
A few hours after intercourse appearance of a slight watery discharge from vagina with odour of fish brine, lasting about twenty-four hours, not removed by bathing. Leucorrhoea with strong odour of fish brine. Menses irregular. Menses always late, come on with grinding or dilating pain in lower abdomen, with soreness of womb, pain in back better when flow established, tumour size of hen’s egg, left side of womb just above cervix, come on since the passing. Menstrual blood first pale red thin, and watery, then dark and clotted. Cramp-like pains like “after- pains’ in uterine region before menses, ceasing after flow. Pain just above sacrum worse before the flow and from motion, better from rest. Weakness in lower part of abdomen with bearing down as if contents would escape, worse from walking, motion, misstep, or jar, better from rest and lying down. Womb sensitive to jar. Desire to support the relaxed parts by placing the hand against vulva. (Shoots: from left side of pelvis across pelvic region, also to under left breast.) Soreness of womb. Menses suppressed with morning sickness. Vagina feels large. Cannot stop menstruation. (Leucorrhoea profuse changeable in colour, milky, yellow, &c., worse during stool.) During pregnancy: swelling of lower limbs at third month, worse evening, swelling and stiffness of hands and feet, particularly of left side during pregnancy, feet pit on pressure, sad, tearful disposition, after standing, sensation that the os uteri is opening or dilating, with drawing at inside of thighs. Os uteri dilated to size of half dollar three weeks before labour. Child’s head hard and compact when born, with no sign of suture or posterior fontanelle. Milk thin, watery, acid reaction.
Respiratory Organs
Larynx sensitive to pressure, especially left side, with dry, tickling cough. Stuffed feeling on awaking in morning, unable to speak for a time. Hoarseness. (Complete aphonia, must speak in a whisper –Raw feeling in trachea, worse after expectoration of large clumps of mucus.–Sensation in trachea on swallowing as though a hard substance were present, like a stone.) Cough: deep, hollow cough, with loud rattling, caused by tickling under sternum. Tickling on lying down at night and on awaking. Irritation to cough felt worst at right of middle chest. Rattling cough, child gags and vomits a mouthful of tough, stringy matter. Cough from laughing or talking, worse in warm room, in morning, better in open air. Cough causes bursting feeling in vertex. Expectoration: yellow, sweet, of large cheesy masses that sink in water, profuse in morning and after meals, of shaggy lumps, loose and lasting all day.
