Miss N., aged 19, was paralyzed in infancy, from which she partially recovered. The arm is normal but the lower limb is small and weak in the joints. Face flushed, body well nourished, short and stout. Has suffered mentally and was placed in an insane asylum for many months. Came out heart-broken and feeble- minded. Extremely excitable and full of apprehensions. If she talks or sings much she becomes hoarse. Catarrhal symptoms of nose and pharynx; constant accumulation of mucus in pharynx and larynx. Often there is dryness and sense of burning in nose when inhaling air. Sense of soreness deep in ears, left worse. Constantly taking cold. Throat symptoms worse mornings, much mucus tasting sweetish. Menstruation ceased for four months, but has returned recently. Leucorrhoea like white of egg before menses. Slight exertion causes her to become heated up all over, increasing the redness of the face, and the ebullitions. Slight excitement is followed by wakefulness. Cold, sweaty feet, sometimes a little offensive.
Her mental symptoms come on after the excitement of the theatre and she becomes sleepless; then full of fear, especially at the piano; was constantly on the lookout for something to happen. The symptoms during her insane months not obtainable. Since she has been with her family she has heard voices constantly. Very hot head and face and wakeful nights.
Watching the case for several weeks without medicine, developed further symptoms: Leucorrhoea instead of menses; craves spices, something salty. Two hard corns painful, the pain nauseates her; shooting pain in the abdomen comes with the desire to urinate, urging to urinate, but the urine does not flow; she feels as though her limbs are separated from the body; no feeling below waist line; sour eructations; sensations as though her warm feet were cold. Violent sexual dreams and sexual excitement. Sensitive to cold. She feels that she is going to be taken back to the asylum.
Phosphorus 45m. one dose, cured every symptom in six weeks.