He had no power to raise the arms, which hung useless by his sides. He complained of a good deal of tenderness when his arms were moved about. The flexor muscles, although not paralyzed, are somewhat reduced in size, owing to the long continuance of the disease. Upper limbs emaciated, but not paralyzed; he only complains of general muscular weakness. Upper extremities exceedingly emaciated. Arms emaciated, especially their lower part. Entire upper extremity greatly emaciated. Arms very much wasted. Very numerous dilatations of the cutaneous veins of the forearm and under surface of the lower third of the upper arm; the dilatations much larger than peas; especially noticed at the point of union of veins, but also at other points, especially after muscular exertion and on compression of the venae profundae brachii; these dilations had the appearance of strings of pearls. Very numerous moniliform dilations of the veins on the forearm, upper arm, and back of the hand, chiefly corresponding to the points of union of veins, always much more prominent after muscular exertion; there were no varices in other parts of the body, expect a few slightly dilated veins on the calves; this was associated, as in other cases, with colic, arthritic pains, paralysis of the extensors of the forearm; relieved by a galvanic current. The veins of the arms were only slightly filled, but on compressing the deep veins of the upper arm they became swollen, and exhibited numerous rather large olive-shaped dilatations. Weakness of the right arms an hand; the middle and ring fingers are the weakest General feeling of weakness in the arms. Weakness of the extensor muscles of the right upper extremities.
Has noticed, for some time back, a good deal of weakness in the upper limbs, especially in the evening. Paralytic weakness of the arms. Diminished tactile sensibility in the hands, forearms, and arms, especially the right. Loss of tactile sensibility on the anterior surface of the left wrist, left forearm, and lower half of left upper arm (the lead bar, when going into the remaining portions of the left upper limb and in the palm of the right hand by which the metal was taken up. Muscular strength considerably diminished in both arms; none in the left. Complete insensibility of either arm from the junction of its upper with its middle third down to the finger tips. Tactile sensibility of these parts entirely abolished; the hardest pinching, the deepest pricking with pins and needles, was unfelt; his hands being tied behind him, a glowing coal was placed in one of them without eliciting any sign of feeling. Tactile sensibility was unimpaired in the shoulders and upper arms. Some analgesia and slight anaesthesia in both arms, but chiefly in the right. The extensor muscles of the upper limbs could not be made to contract by inductive currents of electricity; a constant current excited some fibres in the left arm to contraction; a constant current excited some fibres in the left upper limp. Numbness, formication, and weakness in the upper limbs, followed by all the symptoms of motor and sensory paralysis of those parts. Sensibility to tickling lost in the whole right limb and in the left hand; is only diminished in the remainder of the left upper limb. Sensibility to temperature slightly diminished in the right upper limb.
Sometimes he holds him arms against the hottest parts of the stove, sometimes wants to have them sprinkled with cold water. Insensibility to pricking of the whole right upper limb, also of the left hand, wrist, and forearm; diminished sensibility of the left arm, yet burning caused pain. Sensibility to contact and pain is diminished in the whole right upper limb; he has to be pinched very hard to feel it; his skin may be pricked through without causing pain. Diminution of regional sensibility and of the sense of muscular movement in the right upper limb. Sensation and of weight and powerlessness at the posterior surface of the middle portions of the arm and forearm. All forced movements of the limb are painful. The right arm is affected like the left, but in a less degree. Cramps in the superior extremities only. Lacerating pain in the upper limbs. Lacerating pains, with occasional cramps, of the entire upper limb from the shoulder to the wrist.
These are neither increased nor diminished by pressure or movement; they are sharp one moment and dull the next. No redness or swelling. The pain seems deeply seated. Cutaneous sensibility is unimpaired. The affected limbs tremble slightly all the time. The pains in the upper limbs are more acute about the shoulders and at the bends of the elbows. Neuralgic pains in the upper limbs. Pains in the muscles and joints of the superior extremities only. Pressure upon the joints of the upper extremities, especially on the elbows and fingers, sensitive. Pain and formication in right arm. Fine boring in the right arm, extending from the middle of the forearm to near the shoulder-joint, after breakfast (after three- quarters of an hour). Dull, boring pain, especially at the bend of the elbow, and extending up to the shoulder; the hand is kept flexed, and cannot be straightened or lifted; the arm cannot be raised; uses both hands in carrying a glass of his lips; on trying to straighten the bend arm, while the patient opposes the effort, the supinator Transient tearing in the right arm. Shoulder. The shoulder is raised without difficulty. Cannot lift the right shoulder at all. Cannot raise the left shoulder. Apparent difficulty in moving the shoulder-joint, and especially in raising the arm; the muscles are not wasted. Both shoulders are depressed; the upper limbs hang straight down, and he cannot lift them. The shoulder seemed depressed. Sense of weight at the shoulder and finger tips. There was a sense of weight in the shoulder, which was felt more in the elbow, and most of all in the wrist. The pains increased by the slightest exposure of the parts to cold; and there was a cold feeling all through the limb, especially on the dorsum of the hand, which was perceptible externally.
Feeling of weight in the shoulders, felt more in the elbows, and most of all in the hands. Movement of the right shoulder painful.
Marked numbness in the shoulders. Violent pains in the region of the shoulders. Acute pain in the shoulders, especially in the left, and along the extensor surface of the forearm on moving the upper extremity; pressure on the deltoid muscle painful, especially in the left side; on stretching out the arm there was decided tremor. The shoulders were affected with constant pain, especially the deltoid muscles, which also were slightly paralyzed. Pain in shoulders and arms; the latter were much wasted and useless. Pain in right shoulder and between the shoulders. Pains in both shoulder-joints and in the flexor muscles of the upper arm, so violent that he was unable to raise the arm. Aching pains in the shoulders, extending down to the elbows, and more especially felt over the deltoid muscles.
Sticking in the shoulders. Sticking from without inward, in the right shoulder (after one hour and a half). Sticking beneath the right shoulder, that extends outward at the shoulder (after two hours and three-quarters). Some fine burning stitches on the right shoulder (first day). A stitch in the right shoulder.
Arm. Both deltoids were remarkable small and atrophied, and the wasting of these muscles was so apparent as to be a disfigurement. The sharp, lean, bony, shoulders, incongruously associated with the fine, full, muscular development of all other parts of the frame. He could not extend (laterally) or raise his upper arms, but the antero-posterior movement of both arms were comparatively unimpaired. Remarkable immobility of the muscular fibres of the deltoid, while the surrounding fleshy parts are moving in different directions. All other movements of the upper extremities are slow, feeble, and difficult, but not impossible. Electrization of the anterior fasciculi of the deltoid muscle causes no marked contraction of its fibres. Severe myalgic pains, which seem to be most intense about the point where the radial nerve leaves the spiral groove of the humerus. Muscular pains only once in a while in the right pectoralis. Muscular pains only once in a while in the right pectoralis. Bruised pain in the deltoid muscle. Dull, very acute drawing in the bones of the upper arm, hand, and fingers (fourth day). Tearing in the middle of the right upper arm (after a quarter of an hour). Boring in the right upper arm, together with tearing in the right lower teeth, afterwards with sticking in the left scapula (after two hours and a half). Tearing in the right upper arm beneath the shoulder (after two hours and three-quarters). Tearing on the inner surface of the left upper arm, in the forenoon (second day). Tearing in the lower portion of the left upper arm, in the morning (fourth day). Acute drawing in the right humerus (eighth day). Tearing on the posterior surface of the left upper arm, which, on rubbing it, went into the elbow.
Born in 1837in Westminster, Vermont. . He was an orthodox doctor who converted to homeopathy
Dr. Allen compiled the Encyclopedia of Pure Materia Medica over the course of 10 years.
In 1881 Allen published A Critical Revision of the Encyclopedia of Pure Materia Medica.