SPIGELIA



Palpitation in the morning, after rising while sitting, with anxious oppression; the heart seemed to be in tremulous motion.

In the morning, as soon as he sat down after rising from bed, the heart began to beat violently, and above the point where the beating was felt there seemed to be a painfully oppressive weight upon the chest, which caused oppression; together with cutting and digging in the lower abdomen, as from incarcerated flatus, which continued longer than the palpitation. On taking a deep inspiration, and on holding the breath, the anxiety increased; there was an attack of palpitation and oppression of the chest, the heart beat more violently, and the palpitation was even felt by the hand at the pit of the stomach. Palpitation and anxious oppression of the chest. Unusually violent beating of the heart, so that he frequently could hear the pulsation, or so that the beats could be seen externally through the clothes. Pulse. Pulse weak and irregular, at one time rapid, at another slow (after seven hours). Pulse usually 72, was at the time of the morning fever only 54 (after twenty-four hours). Pulse 77 (before taking); 79 (after two minutes); 78 (after five, ten, fifteen, and twenty minutes). 78 (after eight minutes) Pulse 77 (before taking); 76 (after one minute); 75 (after four minutes); 77 (after ten, twelve, and twenty minutes). Pulse 78 (before taking); 80 (after two and five minutes); 82 (after ten minutes); 84 (after fifteen minutes); 80 (after twenty minutes); 79 (after twenty-five, and thirty minutes); 78 (after thirty-five minutes); 77 (after sixty minutes).

Neck And Back

Neck. After stooping for a while it seemed as though he could not raise the head again on account of pain in the nape of the neck.

Pain in the nape of the neck, in the morning after rising from bed; if he keeps it still it hurts as if asleep; was also obliged to move it constantly, because during motion it did not hurt.

Intermittent drawing in the posterior cervical muscles, and up to the occiput. Sensation of paralysis in the left side of the neck, which, however did not hinder motion of the head, and soon disappeared (after one hour). Sticking pain in the right side of the neck; on swallowing, sticking in the parotid gland and within the ear itself, something between an earache and a throatache.

Back. Bruised feeling in the spine, even during rest (after thirty-eight hours). Needlelike stitches in the back, extending to the left side while walking (after twelve hours). Twitching in the dorsal and costal muscles. Sensation in the left scapula, as though blood were dropping through a valve, a kind of bubbling (after a quarter of an hour). Itching stitch in the right dorsal muscles. Needle like stitches in the upper dorsal vertebrae (after thirty-two hours). Stitches in the back, opposite the heart. Sharp stitches in the right scapula, recurring at regular intervals. Dull boring stitching in the left scapula (after seventy hours). Stitches in the small of the back, worse during inspiration and expiration, while sitting (after two hours and a quarter).

Extremities

Trembling of the lower and afterwards of the upper limbs.

Constant uneasiness in all the limbs at night; he was constantly obliged to move them from place to place; at one time to bend them up, at another to stretch them out, on which account he could not get a moment’s sleep (after ten hours). (* These symptoms were removed in a short time by gold.-HAHNEMANN. *) Great heaviness in the upper and lower limbs; could get his breath only with difficulty after going upstairs. Writing is difficult on account of great heaviness in the arm; walking is difficult on account of great heaviness in the lower extremities.

Tearing in the limbs, either immediately above, or somewhat below the joints, in the loins, as if they were scraped. The limbs are affected, mostly when walking; the spine feels bruised. When walking he feels every false step; a painful shooting through all the limbs.

Superior Extremities.

Trembling of the upper limbs. The arm frequently falls asleep when writing, so that he cannot hold the pen. Shoulders. Some jerks in the muscles of the right shoulder. Twitching on the top of the right shoulder. The left shoulder and arm hang down, as if heavy, while walking, with tension on the forepart of the upper arm. Pain, as if sprained or beaten, in the shoulder-joints, and in the first joints of the thumb and index finger. Tensive pain in the left axilla during rest (after thirty-eight hours).

Burning pain in the left axilla (after thirty-one hours). Fine itching-biting stitches in the left axilla, towards the forepart (after one hour and a half). Arm. Sensation of heaviness in the right upper and forearm, while at rest, and even on slight motion, when raised (after three hours). Drawing pain in left deltoid, more violent on hard pressure. Cutting drawing across, above the deltoid muscle. Twitching in the muscles of the left upper arm (after seven hours and a half). Tearing pressure on the middle and inner side of the upper arm, worse when touched.

Elbow. Itching pain, like needle stitches, in the bend of the right elbow, obliging scratching (after thirty-five hours).

Itching stitch in the tip of the left elbow (after eleven hours).

Violent stitches in the bend of the elbow and in the fingers.

Forearm. Pressive pain in the right forearm. Twitching in the muscles of the left forearm just above the wrist, only during rest (after fifty-five hours). Pressive pain above the right wrist, during rest (after thirty-four hours). Violent sticking- cutting pains above the left wrist, on moving the index-finger while holding the arm firmly against the body (after forty-five hours). Pain in the right forearm, as though both bones were pinched between pincers, during rest (after twenty-two hours).

Some sticking jerks above the wrist. Boring stitches in the right forearm (after fifty-two hours). Hand. The hands are pale yellow, as after a long illness. Trembling of the hands on taking hold of anything, with weakness and prostration in the whole body (after thirteen days and a half). Involuntary drawing in the tendons of the left hand, so that all the fingers were bent, with spasmodic pains in the hollows of the hands. Drawing pain transversely through the metacarpal bone. The hands fall asleep while they are resting, with crawling in the tips of the fingers, disappearing on wetting them, and taking firm hold of anything. Cramplike pain transversely through the left metacarpus, extending from the side of the thumb to that of the little finger, as though the whole hand were squeezed together (after six hours). Rhythmical tearing in the joints of the left hand, that at times extends into the metacarpus, almost a cramplike tearing in the palm of the hand, though with perfectly free motion. Some sticking jerks near the first joints of the fingers. Boring crawling in a small spot in the palm of the right hand (after seventy-nine hours). A crawling in the hands, as though they were asleep on compressing the hand (after twelve hours). Fine tearing in the metacarpophalangeal articulations (after forty hours). Fingers. Painful drawing on the first joint of the thumb where it unites with the metacarpal bone. Paralytic pain in the right index finger. Pressive tearing in the tip of the left little finger (after forty-eight hours).

Rhythmical tearing in the fingers of the right hand (after twelve hours). Tearing pain in the phalanges of the right thumb (after seven days). Burning pain on the joint of the left thumb. Burning pain on the back of the first phalanx of the little finger (after seven hours and a half). Itching sticking in the tips of the fingers (after ten minutes). Dull, bubbling stitches in the tips of the fingers, as if they had been frozen (after a quarter of an hour).

Interior Extremities.

Great weakness in the lower extremities, especially in the thighs, as far as below the knees, as after violent running, even while sitting. The lower extremities seem heavy, a tingling in them; could only slip along with difficulty; walking was very difficult. Hip and Thigh. Drawing pain in right hip and muscles of right thigh. Tension in muscles in anterior surfaces of thighs, only when walking. Tension in the right thigh, while sitting (after thirty-six hours). Tensive pain in the left gluteal muscles, while walking (after five days). Bruised pain in the anterior muscles of the thighs, only when walking. Pressive pain in the right thigh, aggravated by pressure (after five hours and a half). Pressive tearing in the left thigh, externally, extending from the knee to the pelvis, as if in the periosteum; when pressing immediately upon the bone the pain was aggravated (after eleven days). Drawing tearing in the right thigh, while sitting (after twenty-nine hours. Persistent tensive stitch in the left thigh, while walking, that ceases on standing, and afterwards returns, on sitting (after four days). Intermittent burning sharp stitches in the muscles below the neck of the left femur, externally and posteriorly, in a small spot, while sitting, a little relieved by rising; but on sitting down again more violent than before. Persistent itching stitch on the left thigh. Knee. Digging and great uneasiness in the left knee, on account of which she could not sleep, but was obliged at one time to bend it up, at another to stretch it out and move it from place to place (after four hours). The knee is painful to touch, as if beaten. Bruised pain on the inner surface of the knee-joint on bending the knee. Boring pain above the right knee, only during rest. Pressive pain above the right knee, while sitting, that disappears on motion (after a quarter of an hour).

TF Allen
Dr. Timothy Field Allen, M.D. ( 1837 - 1902)

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.