Extremities
Fingers and toes violet-coloured, fingers spasmodically drawn in, toes drawn back. Limbs outstretched and rigid, at times jerking movements. Cramps. Darting pains in muscles. Rheumatic pains in arms and legs. Crawling in limbs after spasms.
Upper Limbs
On washing his hands, half an hour after touching an abrasion on left thumb with Liquor. Strych., immediately felt numbness extending from thumb to whole of left hand and wrist and rapidly to elbow and shoulder, in two hours joints of all fingers swollen and numbness gone, later enormous swelling of whole limb. Arms stretched out, hands clenched. Soreness, tenderness of muscles. Sharp rheumatic pain in socket of right shoulder. Sharp pain in back of Left upper arm and forepart of thigh. Sharp pain right elbow-joint. Sensation as though a drop of cold water were dripping off right elbow at intervals, at times as if cold water dripped off right shoulder. Subsultus tendinum. Trembling of hands. Violent twitching in veins of right hand, it seemed as if the blood had stopped and then flowed on. Hands: partially paralysed, spasmodically clenched. Momentary stiffness of fingers. Cramp-like, rheumatic, sharp pains in hands. Prickling, numbed sensations: in left hand, at intervals, sudden in fingers.
Lower Limbs
Painful convulsions in lower limbs and nape, with lightning-like pains in lumbar region, constantly shooting. Loss of power of lower limbs. Stiffness, rheumatic pains, sharp, needle-like pains in joints and limbs. Trembling of legs. Sudden jerking of legs, at night. Hard rigidity of legs. Stiffness of left leg and back. Agonizing, gnawing pain in muscles of thighs. Cramps-like pains in right foot and leg. Severe pains in right ankle-joint worse walking. Cramp-like pains in feet. Sharp, darting pains in feet, especially in bottom of heels. Thrilling from toes up legs. Stiffened, twisted feeling in toes. Violent itching-tingling in soles and palms.
Generalities
Spasmodic, convulsive twitchings. Every muscle of the body in a state of constant twitching. Extremely violent twitching, first in limbs then in whole left side. Violent, electric-like starting and shuddering, followed by opisthotonos. Shocks in muscles so violent that right thigh is dislocated. Constant inclination to bend towards right side. Convulsions recurring regularly. Every attempt to move threatened a convulsion. Convulsive jerks on falling asleep. In convulsions, skin hot, bathed in perspiration and steaming. Everything seemed to turn green and he fell on the floor. Can lie in no position but on her back, any other causes convulsions. An attempt to take liquids causes violent, spasmodic fit preventing her swallowing it. Pains cramp-like, made her feel as though she would be stiffened. Worse evening. Worse at night. Worse from 8 to 10 p.m.
Skin
Skin: pale at first, then livid and bluish. Burning, prickling sensation, formication. Formication on tips of fingers. Intense itching of skin of entire body, especially of scalp, face, arms and legs.
Sleep
Yawning, extreme drowsiness. Sleeplessness: from internal uneasiness and anxiety, from dread of rectal spasms, with visions of dead persons. Extreme restlessness and talking in her sleep with peculiar working in back of brain. Restless nights with profuse perspirations. Dreams: disagreeable, strange wanderings of the imagination.
Fever
Extreme chilliness, and drowsiness. Peculiar creeping chilliness all over with a tremulous sensation in the jaws. Extreme chilliness even in a warm room. Icy coldness: painful, of entire body, sudden. A single cold chill down entire length of spine, afterwards she felt deathly cold. Icy coldness down spine. Extremities cold. Lower extremities cold and perspiration flowing in a stream from head and chest. Fever of adynamic intermittent type. Intolerable sense of heat over whole body though some parts cool to the feel. Burning heat with hot sweat. Bathed in warm sweat. Profuse sweat after the spasm. Sudden cold sweat and icy coldness of entire body. Cold sweat with the convulsive shocks, and increased shaking and stiffening.
