A tincture is made of the dried bark of Gonolobus Cundurango, Triana.
Generalities and Mind
Weight increases. Did not feel well, when walking. Miserable feeling. Soreness all over body, like rheumatism, (<) through l. shoulder and under l. scapula when awake in the night. Stiffens of the muscles. Confusion of mind.
Clinical Tumors of the breast, very hard, painful, associated with ulcers in the corners of the mouth; this soreness and cracking in the corner of the mouth seem to be very characteristic of drug. It seems also to have cured stricture of the oesophagus with burning pain behind the oesophagus, where the food seems to stick. Vomiting of food and indurations in l. hypochondrium, with constant burning pain.
Head
Aching; in morning, (<) l. upper part of forehead, with feeling as if bigger. Vertigo; on stooping or turning head; with slight pain across top of forehead. Frontal headache; all day; at top; all day along, top to brow and hairy scalp, (>) early in evening. Dullness in forehead. Forehead feels as if very broad and high. Heaviness in l. half of forehead. Pain in l. temple spreading over upper part of brain to r. side of head spreading as if some one were pulling up the upper part of the skull, with one-half of brain, at 10 A.M., increasing till 6 P.M. Pimple on scalp
Eyes
Pain in l. ball. Vision dim. Vision of black serpents jumping in all directions before r. eye, on closing l. eye I seemed looking through a dense fog, afterwards the appearance before the eye was like two black horns, with black balls on the upper ends, and a mound of crystal between them, their tops tapering off and tipped with black, afterwards the obstruction appeared in the shape of a pear, with the large end up, red on looking towards the light, purple on looking from the light, later appearance of curled hair in front of r. eye and a blur before l., retina congested, inability to recognize any one in the street with l. eye closed.
Nose
Stiffness. Discomfort. Stuffed up. Full feeling in bridge. Ability to pronounce the French nasal sounds with great perfection. Discharge of much glairy mucus alternating with a dry feeling.
Face
I do not look well. Painful crack in r. corner of lips. Lips unusually red; lower.
Mouth and Throat
Tongue unusually clear and red; coated brown; painful pustule on r. upper side of tip, next day pain in r. side of tip; pain in l. half; feels burnt, also acrid. Sore throat. with enlargement of tonsils. Aching in throat extending to stomach, with burning in stomach.
Stomach and Abdomen
Anorexia. Nausea; arising from r. hypochondrium. Cardialgia. Pain in S.; (<) at cul de sac. Fulness in S. Flatulence. Emission of flatus; painful, foul-smelling, in afternoon. Pain in r. hypochondrium. Uneasiness in abdomen; in illiac region, not quite a pain, at 8 A.M.
Stool, Urinary and Genital Organs
Stool papescent, small, with mucus, without sense of aid from sphincter muscles. Constipation. Stool dry and scanty. Frequent micturition; at night, with urging in renal ducts; and at times copious. Urine scanty; U. thick; high-colored and loaded with phosphates; almost colorless, emitted without effort, urging in renal ducts after bladder is emptied. Sexual appetite depressed.
Heart and Pulse
Sharp pain in H. in morning on rising, then passage of flatus. Constrictive pain in H. Pulse accelerated, afterwards slow; slow and small.
Back
Pain in l. scapula; then in r.; under apex of l. scapula; across lumbar region; about fourth dorsal vertebra; heavy, in l. scapula; as if in the bone, in r. scapular region; weary, in kidney; in occasional darts through kidneys.
Extremities
Sharp pain posteriorly in 1 shoulder in morning when driving. Creeping pain along periosteum of r. humerus. Tingling in l. fingers when writing. Apparent increase of strength in legs when walking.
Skin
Brown. Some congenital, warty excrescences look red, fresh and unusually large. Blotches on upper arms, (<) l., after growing nearly invisible they again become red, and there is a new one below elbow, one on wrist, one on clavicle, erythematous, on face. Pimples on thighs; on front of l. thigh; indolent, on chest, one on l. side of nose. Small pustule between eyebrows and one on r. side of nose, afterwards pustule on border of tip of tongue to right of mesial line, one on r. cheek, two on abdomen, to right of mesial line, and still farther to the right tiny papules, a large pustule that did not ripen near acromion. Itching on scapulae and legs; along anterior and outer tibial regions; shoulders and sternum.
Sleep
Sleep as if narcotized. Sound dreamy. Transient. Intermittent. Restless; and dreamy; but felt rested in morning. Had a bad night; (<) towards morning; and. Had a bad night;
Fever
Rigors.