Chest
Shooting in r. side like pleuritic pains, occasionally extending to scapula, constant desire to take a long breath. Pain in lower part of r. lung on deep inspiration or coughing. Strained pain on deep inspiration, (<) waking in night and turning in bed. Constriction as from running or as from weight on lungs. Tightening, with inclination to gape.
Heart
Intermittent cutting in region passing through body anterio- posteriorly, making me hold my breath and turn pale even to lips, (<) inspiration, after each attack was thirsty, flushed and exhausted. Pain in region starting me out of a sound sleep, apex beat to be seen and felt over large area, with suffocating feeling, had to sit up in bed and turn one way and then another, with cough without expectoration, three attacks at night, once almost unconscious from the tremulous beating of heart, pulse rapid, temperature high, slept hardly at all.
Pulse
Rapid; and feeble, irregular. Slow; and soft. Throbbing in carotids.
Neck
Pain in nape; in nape, (>) pressing head backward, with stiffness; in neck and r. shoulder, extending down back, inability to turn head to l.; rheumatic, in nape, (>) pressing head backward; drawing, in nape, extending down r. scapula. Tired feeling in nape. Stiffness.
Back
Twitching of muscles. Pain, (<) cervical region and upper part of sacral region; in spine. Muscles tired. Coccyx seemed elongated, sensitive to pressure and aching, could not sit except on a cushion.
Extremities
Heavy to lift. Joints seemed loosened. Pain in r. arm; inside r. just above elbow; in r. beginning just above elbow. Arms better from being twisted. Arms felt as if I had carried a weight. Numbness of l. shoulder and arm. Pain in elbows; in l. elbow, passing to palm, then to shoulder; in l. knee and l. elbow extending to hand, then in l. side and top of l. foot; in wrist extending to thumb; sudden Cramplike, in wrists and knees, ending in a steady ache; flashing, in r. thumb, extending to hand.
Lower Extremities
Inability to walk straight. Weakness. Pain; in l. thigh; in knee. Twitching in l. knee and trembling in r. Pain in r. leg in morning; flash of pain in r. calf. Legs weak; and feet. Pain in r. ankle; in l. heel; shooting from feet to knees. It seemed as if the floor were cotton-wool.
Clinical Sciatica, (<) hot weather. Sciatica of the anterior crural nerve, after Gnaph.
Skin
Blotches in face, with boils.
Sleep
Gaping. Drowsiness; all the morning; in evening. Sleep from 4 till 7 P.M. and then from 10 P.M. till 7 A.M. Slept hard all night; hard and heavy, dreamed of flying about over tops of houses; heavy, with constant dreams. Frequent waking. Sleep restless, frightful dreams of being killed or burned. Night restless, although very sleepy, constantly twisted and turned, and when I did sleep dreamed of being chased and when overtaken and about to be killed I could not make a sound to call for help. Dream of suffocation, waking me. Dream that my throat grew up, I woke in fright about 2 A.M., with shaking, and l. arm felt like lead and was numb, the position may have caused the numbness.
Fever
Temperature low. Chilliness; frequently, with pain in limbs; in feet in morning on rising. Temperature high. Heat; in all veins, with desire to be bled, flash of heat from head to foot; in flashes; in flushes over face and head.