Lachesis Case



March 4th-Twenty-first Day-Chilly a. m. and p. m. Went to bed to get warm. Hot spot on vertex and over eyes. Cant think, forehead too tight. Heat from vertex into throat and back of neck.

March 5th-Awoke 2 a. m. troubled dream, crowding thoughts. Tried to study, but old impressions crowded the subject out. After lengthened effort broke into tears and dropped asleep. Awoke at 4 a. m., cold, aching back, relieved by micturition. Slept, waked later tired and discouraged. Distress in lower abdomen from running to take street car at 10 a. m. Nearly fainted over the simple operation of reducing a hernia (reducible). First time in four years. Slept p. m. Waking, arms felt like limbs of trees, numb. Stomach, over which arms are crossed, greatly distressed. Distress going downward to the uterus. Arms folded across stomach causes distress. Taste of blood, because of bloody mucus from posterior nares. Offensive perspiration. Several nights when going to sleep, have felt the bed was floating, as it seemed in childhood.

March 21st-Deep yellow, mucous stool sinking into the bottom of vessel; watery, with floating white particles upon the top, like rice. 3 p. m. Great bearing down in the rectum, as though it would protrude. Stool at 8 p. m. So hungry and thirsty, ate soft part of raw oysters, which seemed to satisfy. Relief from the throbbing of heart, which has endured for a week.

March 22nd- Slept well; dreams natural. Dreamed that on preparing for lectures, could not hurry. There was such soreness and gone feeling in the stomach. Back of head ached. No motion of bowels. First evacuation of urine, thick, deep orange colour; unsatisfied feeling, causing burning and smarting of parts. Cold from knees down, ankle aches. But little of the burning and smarting, sensation (scalded) of mouth and stomach, present yesterday. A. M.; bloody mucus from left lung. Weak, in attempting to walk. Yesterday, while standing for the first time at foot of bed, felt very tall and bed looked small. Felt three feet taller than usual. Toast, raw oysters and “cambric tea” seem to suit. Crave sour things, which for two years agg. my bowels, so also salt. Blisters in mouth, on lips, under nose, disappearing. As eager as a thirsty child for a glass of water. Small moulded stool covered with mucus; feel better.

March 26th-Mournful, dreamy state of mind, as though something very sad were transpiring, took Lachesis 9m.

March 29th-Cold, sweaty feet when not near a grate, a.m Walked a long distance in p.m. 4 p.m; pain in or over right kidney caused by desire to urinate. Followed by distressing sickened feeling in stomach. Pain went from stomach to left heel, then up the leg, ending in dull ache. Numbness in great and second toes, left as though something pressed from the end. Same symptom occurs in bed. Wake in night with urgent desire to urinate, pain in right kidney. Feet warm and feel swollen. Inclination to sweat after returning to the bed, especially when surfaces come in contact. Tossing until day-break, then slept. Most comfortable lying upon the stomach. Tired when called to get up. Fall asleep on the pillow, but if waked will slip the head off and roll on the stomach. Burning sensation from vertex to last dorsal vertebra. Perspiration just before sleep turn on back to make it warm. Perspiration musty and old, as at one time during the ague; when I would wake in night with profuse sweat, making me sick at stomach.

March 30th-Left toes numb. While packing, cramping in hypogastrium. Occasional pains from left of cervical vertebra to right, to left elbow. Heat in forehead. Eyes sensitive to heat. Left heel feels as though ice were pressing upon it. Uneasiness and fullness in kidneys before urinating. Urine profuse and colourless. Bowels feel insecure as from impending diarrhoea. Weight in rectum from long standing. Frequent pains in back opposite lower end of sternum. Itching over whole body after sitting a long time. An eruption size of small pea sometimes festered always sore and itching. Feel if I could break constriction in the forehead, could reason clearer and think more deeply.

April 6th-Itching in roof of mouth and base of tongue; must rub it. At times burning and pricking on the edge of tongue, agg. by smell of tobacco or turpentine. All gone feeling in stomach amel, by eating. Slow urination, especially after waiting. Sweat middle of night, or after first sleep. Throat feels full. Mouth feels sore. Agg. of the burning in mouth and stomach by salt. Dyspnoea agg. by slightest exertion. Constriction of the throat, as if something tight were about it. Coughing at night caused by itching in left side of throat, extending to ear. Amel, by warmth of hand. Hands puffy and often very warm. Sweat followed by chill (caused by dampness of clothes); then heat, then sleep. Fourth toe joint sore upon under side. Moved to first toe and thought it would be a bunion. So sleepy at 8 p. m. am obliged to retire. Right foot and leg feels large, warm and heavy. Left foot and leg feels small, numb and cold. Quivering in both ears when lying down at night, at times relieved by change of position. Aching back of both ears. Aching a little above the apex of heart. (Soreness about the edge of mammary gland before menstruation, Old Symptom.) Throbbing in left side. Slight pain in left ovarian region, sometimes both sides, and then in hypogastrium. During past two weeks swelling induration and smarting of the ducts of sublingual glands. Relieved. Feeling of prolapsed rectum, only relieved by lying on the stomach. Top of head sore and hot. Throat burns and feels raw. Lungs dry and tight. No expectoration after long coughing. Burning smarting with itching.

April 7th-Constipation; feces hard, bleeding from rectum. Feels like cut after stool. Bearing down in rectum, long time after evacuation. Gray spots drop in front of left eye while reading. Caused blur and nervousness. Agg. by looking to the left. Amel. by continuing to read. Mouth sore; herpes, lower lip, right side.

April 8th-Numbness extending from lumbar region to lower extremities after long walk. Menses p. m. Bloating in epigastrium. Sensation of an opening in abdomen from umbilicus down; i. e., upon either side of bladder. Bladder distended, cold, before menses. Also aching in left arm, thoracic and abdominal cavities. Crawling sensation for several nights, in anus after retiring. Severe aching in left leg, first four hours of catamenia.

April 9th-Waked from sound sleep by severe colic, followed by loose stool, dark almost green. During stool cold and prostrated. Amel., by stool. Weak before menses, had gushing, hot milky-white leucorrhoea. (At cessation of menses, continuous itching above the coccyx; worse at night. Has been customary for several months, Old Symptom.)

April 10th-Twitching in first finger (left) extending through tendons to wrist. Back of neck so weak that must have a high back chair. Catarrh in head better. Two attacks of coughing; 4 p. m. Repeated 2d day. Can’t cough deep enough. Smarting and itching either side of trachea into ears. Cannot recall unfamiliar easy subjects. So sleepy by 7 p. m. am obliged to retire but am wakeful for some time after lying down. Before and during menses, sweat at least exertion. From thighs upward warm, sweaty and suffocating. From above the knees downward, cold necessitates a warm iron. Cramping in left great toe before the menses. Worse in bed at night. Worse in turning from back to right side. Crawling sensation under seat of cold sore. In various places when tired. Same sensation would appear as a spot before eyes, during the blind headaches of my childhood, 16-20 years.

April 12th-Extreme pleasure causes trembling and twitching for hours, more than would severe fright or sudden surprise. That and mental exertion caused wakefulness until midnight. Waked very early. Annoyed by sudden loss of subject of sentence, in attempts to speak. Effort to hold an idea until it can be expressed. Expression or the real effort, drives subject matter quite out of mind. Aching in occiput, extending to cervical vertebrae. Same pain extending down the arm when walking or upon receiving a jar.

April 18th-Constant desire to lie down, can think better. An hour’s study and strength gives way. Pain in occiput, neck and eyes feel cold, head hot. Ameliorated by warming feet. Ameliorated, by lying down, finally. Ameliorated, by open air. Such an anxious feeling to be strong, and think quickly. Became quickly exhausted. Long for physical strength. Sleep until 4:30 a. m. Awaked refreshed, but work of the day before engrosses, me to that extent, that when I rise, am already tired. Desire to lie down again after breakfast. Tired feeling from forehead downward and backward through cervical region. Many times obliged to give up writing and throw myself on the bed.

James Tyler Kent
James Tyler Kent (1849–1916) was an American physician. Prior to his involvement with homeopathy, Kent had practiced conventional medicine in St. Louis, Missouri. He discovered and "converted" to homeopathy as a result of his wife's recovery from a serious ailment using homeopathic methods.
In 1881, Kent accepted a position as professor of anatomy at the Homeopathic College of Missouri, an institution with which he remained affiliated until 1888. In 1890, Kent moved to Pennsylvania to take a position as Dean of Professors at the Post-Graduate Homeopathic Medical School of Philadelphia. In 1897 Kent published his magnum opus, Repertory of the Homœopathic Materia Medica. Kent moved to Chicago in 1903, where he taught at Hahnemann Medical College.