Throat
Chronic hypertrophy of tonsils (hereditary syphilis). Chancrous ulcer extending across velum palati to left pillar of pharynx (s.s.). Acute pharyngitis (s.s.).
Appetite
Appetite indifferent and capricious (psoas abscess). Total loss of appetite for months, little or nothing satisfies him, formerly was generally ravenous. Thirst. Tendency to heavy drinking, alcoholism. Aversion to meat. Dyspepsia, flatulence, belching of wind, nervous dyspepsia.
Stomach
Nausea. Heartburn with pain and rawness from stomach to throat- pit, often with cough. Vomiting for weeks or months due to erosion from superficial ulceration of lining of viscous, herpetic, of syphilitic origin.
Abdomen
Pain or distress deep in abdomen as if in omentum. Feeling of heat internally in hypogastric region. Pain in right groin followed by swelling of glands. Large painless bubo in right groin opened and discharged freely (s.s.) Slight lancinating pain in one groin, worse at night. Inguinal bubo.
Stool & Anus
Bowels torpid for five weeks (periodical neuralgia in head). Obstinate constipation for many years, rectum seemed tied up with strictures, when injections were given agony of passage was like child-bearing. Chronic constipation, with fetid breath, earthy complexion, gaunt appearance. Stools very dark and offensive (infantile syphilis). Bilious diarrhoea at seashore, painless, driving her out of bed about 5 A.M., stools during day, later causing excoriation, face red, suffers from heat, occasional painless, whitish diarrhoea when at home, always better by going to mountains. Fissures in anus and rectum. Two indurated ulcers at mouth of anus somewhat sore, slight itching of anus (primary syphilis).
Urinary Organs
Itching in orifice of urethra. A sensation, in morning on going to urinate, as if male urethra were stuffed up or clogged, about an inch from orifice. Scalding urine. Urination difficult and very slow, no pain, but a want of power, so that he has to strain. Urine infrequent, not oftener than once in twenty-four hours, scanty, of a golden-yellow colour. Profuse urination after chill, passed during night nearly a chamberful. Rich lemon-yellow scanty urine. Frequent urging to urinate all night, at least from 7 p.m. until 5 A.M.
Male Sexual Organs
Chancre on prepuce. Buboes. Burning in chancre size of a split pea, on prepuce above corona glandis, edges raised, bottom
covered with lardaceous deposit, glans purple, on left side covered by an exudation. Chancre on penis, third in two years, all on same spot (s.s.). Aching of genitals, could not sit still for over a month. After suppressed chancre, disease attacked testes and scrotum, which became painful and swollen, this was supposed to be cured, but ever since, every few weeks, if exposed at all to damp weather would be seized with pain as if in kidneys, seemingly traversing ureters, but instead of passing into bladder followed spermatic cord, down groins and into testes, pain agonizing, chiefly in cord, in present attack in right, pricking in chancre. Chancroid, phagedenic, spreading rapidly, buboes commencing in each groin. Inflammation and induration of spermatic cord.
Female Sexual Organs
Uterus and all surrounding parts loose, soft and flabby, profuse, thick, yellow leucorrhoea, constant pain across small of back. Yellow offensive leucorrhoea, watery or not, so profuse it daily soaks through napkins and runs to heels of stockings if much on her feet. Profuse yellow leucorrhoea, worse at night, in sickly, nervous children (inherited syphilis). Soreness of genitals, and muco-purulent discharge, in a child. Acrid discharge causing violent itching and inflammation of external organs, worse at night from warmth of bed, parts very tender, itching and inflammation better during menses. Nocturnal worse of right ovarian pain, preventing sleep. Sore on right labium majus, extending to left (s.s.). Menstruation painful, two weeks too soon, pink-red, bright, profuse, running free for some days, napkins wash easily. Painful menstruation. Sensitiveness of os uteri, worse to intolerable pain at menses, or on introduction of finger or penis, frequently causes abortion (n). Sharp *zigzag shooting pains in region of uterus. Ovaries congested and inflamed, tendency to ovarian tumours. Sore aching in left ovarian region, extending to right with darting pains. Left ovary swollen, during coitus, at moment of orgasm, a sharp cutting pain like a knife, and twice there was smarting as of a sore, ovary swelled so much that its size and shape could easily be felt through abdominal walls (caused by *Buboin). Uterine and ovarian diseases with pronounced nervous disorders, especially in married women. Mammae sensitive to touch, feeling sore, during menses, and at other times.
Respiratory Organs
Hoarse, almost complete aphonia, day before menses. Diseased cartilages of larynx (tertiary syphilis). Chronic asthma, in summer, especially when weather was warm and damp, most frequently in evening, passing off at daybreak. Pain and oppression at bifurcation of bronchia and in larynx, it hurts her to breathe. Attacks of spasmodic bronchial asthma for twenty-five years, they come on only at night after lying down or during a thunderstorm, producing most intense nervous insomnia, entirely preventing sleep for days and nights. Violent attacks of dyspnoea, wheezing and rattling of mucus, from 1 to 4 A.M. Cough: hard cough worse at night, when it is continuous, preventing sleep. Hard, constant cough, with thick, yellow, tasteless expectoration. Dry, racking cough, with thick, purulent expectoration, caused by a sensation of rasping or scraping in throat, always at night. Whooping-cough with terrible vomiting. Cannot lie on right side, as it causes a dry cough. Muco-purulent expectoration, greyish, greenish, greenish-yellow, tasteless. Expectoration without cough, quite clear, white, feels like a round ball and rushes into mouth.
Chest
Rattling in chest and throat. Soreness of chest, with great anguish and inability to retain a recumbent position, in winter, severe bronchial cough succeeded asthmatic attacks, a regular
type of chills and fever developed, suffered from this many years ago. Pain in center of chest as if skin were drawn up, on drawing the head back. Lack of sleep produces a sudden faintness and sinking sensation in chest, three spells succeeded each other during a single night. Oppression of chest to such an extent as almost to arrest breathing, asthma caused by sensation as if sternum were being gradually drawn towards dorsal vertebrae, expansion of chest difficult, confusion of mind as if unconsciousness might follow. Sensation of pressure under upper part of sternum. Pain and pressure behind sternum. Angina, ptosis left eye, facial paralysis left side, slight aphasia, impotence (relieved). Eczematous herpetic eruptions on chest.
Heart
Lancinating pains in heart at night, from base to apex (*Medor. has reverse). Valvular disease of heart.
Neck & Back
Heavy aching and stiffness from base of neck up through muscles and cords into brain. Caries of cervical spine with great curvature in same region, directly forward, pain in curvature always worse at night (no proof of syphilis). Enlargement of cervical glands and a number of pedunculated pin-head warts on neck, cured by *Syco-syphilinum (hereditary syphilis, girl, 10). Enlargement of glands in different parts of body, particularly abundant about neck, indurated and slightly painful, causing a sensation of fulness and suffusion in face, throat and head (n). Enormous swelling of glands of head and neck (Hodgkin’s disease). Rigidity of muscles. A heavy, dragging, dull feeling in lumbar region, with want of elasticity. Great pain in back in region of kidneys, worse after urinating (s.s.). Pains commencing in sacral regions internal, and apparently coming around to uterus. Pain at coccyx at its junction with sacrum, sometimes in lower sacral vertebrae, worse on sitting, with a sensation as if swollen, though it is not. Caries of dorsal vertebrae with acute curvature, for five months, every night most intense neuralgic pains, commencing generally from 5 to 7 p.m., and never terminating till about 5 A.M., worse by least motion, and slightly better by warm poultices. Psoas abscess first left then right. Nocturnal worse of pains in back, hips and thighs.
Extremities
Aching pains in limbs like growing pains. Gradual rigidity of all joints after eruption, flexors seem contracted. Rheumatic swelling of left wrist and big toe, bluish red, with pains as if somebody sawed at his bones with a dull saw, better by heat of stove, worse from sundown to sunrise, no appetite, has lasted two weeks (rheumatism). Feeling of numbness in palms and soles, at times a prickly sensation as if numb parts were punctured by a great number of needles. Excruciating arthritis, swelling, heat, and redness intense. Rheumatism, muscles are caked in hard knots or lumps.
Upper Limbs
Rheumatism of shoulder-joint or at insertion of deltoid, worse from raising arm laterally. Can only raise arms to a right angle with axilla, trying to force them higher causes muscles to suddenly become paralysed and they drop pendant (n). Lameness and pain of arm on motion, worse on raising arm up in front as if reaching, pain located about insertion of deltoid in upper third of humerus, not painful to pressure. Fingers and thumbs have runarounds (infantile syphilis). Always washing the hands. Hands badly ulcerated on backs (s.s.). Right second finger swollen and stiffened (s.s.).
