Lower Limbs
Swelling of legs from knees down, soles painful when standing on them, swelling goes down in morning, comes back at night. Pains in lower extremities, excruciating, completely banish sleep, worse from hot fomentations, better pouring cold water on them (n). Cannot sit in a low chair, or squat down, owing to loss of control over knee and hip-joints (n). Pains in long bones of lower extremities, also in joints (n). Dull pain over backs of feet to toes, began soon after getting into bed, lasting until 4 or 5 A.M. For two or three winters intense cold pain in both
legs, worse in left, came on every night on lying down, lasting all night, better by getting up and walking, and in warm weather. Pain in three toes of right foot as if disjointed. Slight contraction of tendons beneath right knee (psoas abscess). Tearing pain sin hip and thighs, worse at night, better about daybreak, better by walking, not affected by weather (improved). Redness and rawness with terrible itching between toes (s.s.). Bubo with pain in spot on middle of right thigh in front, only when standing and on deep pressure, which seemed to touch spot, which was apparently on periosteum. Two ulcers larger than a crown piece, dirty stinking, sloughing, with jagged, elevated edges, one on thigh above patella another on head of tibia, two large pieces of bone came away from head of tibia (s.s.). Osteosarcoma in center of right tibia the size of half an ostrich egg, pains agonizing at night, growth irregular, spongy, partly laminated, very hard (s.s.). Contracted, painful feeling in soles, as if tendons were too short.
Generalities
Utter prostration and debility in morning. Epilepsy. Dwarfed, shrivelled-up, old-looking babies and children. Epileptic convulsions after menses.
Skin
Pustular eruption on different parts of body, in patches on certain places, particularly on wrists and shins, where bones are nearest cuticle, and isolated other large pustules on other parts, these break, discharging an ichorous fluid for one or two days, then heal, leaving characteristic pockmark cicatrize, patches take longer to heal, discharging same fluid till healing process commences. After healing of chance a fresh pustular eruption appears on different parts of body, which, when pustules have discharged an ichorous liquid and healed up, leaves fresh coppery pockmarks, Medor. Removed it permanently, causing it to turn yellow-brown, dry at edges and scale off, leaving skin permanently clear and free. Biting sensation in different parts of body, as if bitten by bugs, at night only. Syphilitic rash, very prominent on forehead, chin, arms and front of thorax, an abundance of fine scales peeling off, large prominent spot on center of forehead, filled with fluid, as also are some smaller patches (s.s.). Syphilitic bullae discharging freely on cheeks, under chin, on back of shoulders, on scalp and other parts of body (infantile syphilis). Macula, copper-coloured (s.s.). Pemphigus, looking like a pock, often confluent and persistently reappears. Skin bluish.
Sleep
Great restlessness at night, impossible to keep leg in one position. Absolute sleeplessness (vies with *Sul. In producing quiet, refreshing sleep). Wakes soon after midnight and cannot sleep again till 6 A.M.
Fever
Great pains in head, whole body extremely cold, looked blue, wanted to be covered with blankets or could not get warm, no appetite, sleeping almost continually, could not be roused (s.s.). Nervous chills preceded by pains in head, especially occiput and scalp of that part, pains below waist, in pelvis, legs, especially tibia, which is sensitive to touch, bowels torpid, cross, irritable, peevish, pains begin every day 4 p.m., culminate at midnight, disappear at daylight. After retiring nerve chill beginning in anus, running down legs, desire for stool, better by profuse urination and by eructations. Fever: dry, hot, shortly after going to bed, parted lips, great thirst, 11 to 1 daily. Sweat: profuse at night, sleepless and restless, especially between scapulae and down to waist, with excessive general debility.
