“Rare crystals from North Carolina and Georgia, containing about 60 parts of Bismuth, 33 of Tellurium, 6 of Sulphur, and traces of Selenium and Iron.” Trituration.
Clinical
Coccygodynia. Nails, ulceration of, ingrowing. Tendo Achillis, pain in. Urticaria.
Characteristics
Hering proved *Tetradymite, taking about five grains of the 1st trituration. The most prominent symptoms were pains occurring in small spots, ulcerative pains about the nails, and a sharp attack of urticaria from eating shell-fish. Pains in ankles, heels, and tendines Achillis were also severe, and these were worse rising from a seat.
SYMPTOMS.
Mind
After waking in morning, made anxious by street noise.
Head
Pains in right temple, in occiput.
Ears
Pains in left ear, afterwards in right, as if bones sore.
Nose
Repeated sneezing on going out, with discharge of thin mucus.
Mouth
Toothache right lower jaw, afterwards left Coated tongue became clean. Bitter taste.
Stomach
Great hunger in morning.
Abdomen
Disagreeable feeling in abdomen. Colic and desire for stool. Burning, pinching-pressive pain in last ribs.
Stool & Anus
Pasty, scanty, lumpy stool, light yellow, with biting burning in anus. No stool second day, third day, in morning, scanty, soft stool with much pressure and discharge of blood, in evening another soft stool with much black blood.
Male Sexual Organs
Violent erections in morning.
Respiratory Organs
Hoarseness. Oppression better by sweat. Difficult respiration in back part of throat and larynx.
Chest
Griping as with pincers, followed by violent sticking in upper chest, beneath left shoulder, repeated at intervals, afterwards in left elbow.
Back and neck
Pain in nape. Pain in small of back on rising. Severe pain in coccyx and lower extremity of right ischium, especially when sitting (an old symptoms revived).
Limbs
Pain in left leg, and left elbow. Frequent pains in margins of nails as if an ulcer would develop, painful on pressure, as if burning and sore in small spots, especially right middle finger.
Upper Limbs
Stiffness in left arm as if lame worse about elbow-joint, at part where ulnar nerve is exposed, constant inclination to stretch, twist, or turn arm. Violent pain in hands as if in bones or nerves.
Lower Limbs
Sharp pain through left leg. Tendines Achillis (especially right) constantly painful as if sprained, better walking, worse rising from seat. Pain in ankles, violent while sitting, worse rising from seat. Cramp in right side.
Generalities
Pains in small spots.
Skin
Nettle rash, especially in face after eating crabs, whole face stiff even while eating. Burning pains as from hot needles. Crawling itching in right palm.
Sleep
Very sleepy, weary and ill-humoured while riding in carriage. Awoke 3 A.M. from a dream that a steer was following him, and as though he had often had the dream before, which was not so.
Fever
Sweat, especially on occiput and on nape, at night, though the night was cool and windows open.
