LOWER LIMBS
Tensive pressure in the thighs, with great weakness while walking. Weakness in the region of the head of the femur, and inability to walk, with a feeling as if it had been crushed, particularly after lying down and sleeping. Numbness and lameness in the left thigh. Transient paralysis. Unsteadiness of the knees, they totter and give way when walking. Tearing in the knees, as from a jerk, in the inner side. Drawing in the right
leg and the region of the tendo-Achillis, extending as far as the heel. The legs feel heavy. The legs and feet feel numb, and go to sleep. Coldness of the feet, extending as far as the malleoli, with sweat on the toes and soles of the feet.
GENERAL SYMPTOMS
General convulsions, lasting about five minutes. Prickling over the whole body. Distressing restlessness. Constant movement of the legs, like in chorea. Arms and legs drawn inwards; fingers strongly clenched together; turned-in thumbs, and feet in a state of permanent abduction; no convulsive shocks or jerks. Painfulness of all the joints, as if attacked by rheumatic inflammation. Bruised and festered feeling of the whole body. Mentality generally clear and unclouded only obscured exceptionally. Transient paralysis. Feeling as if all the blood in ones veins was frozen; then became dizzy, with burning in the head as if the skull were filled with boiling water. Clonic spasms and cold sweats, also tonic spasms. First feeling was a tingling heat in the tongue and jaws, with such strange alteration of sensation that neither friends nor the looking-glass could convince him that his face was not enlarged to twice its size; this gradually extended, until it involved the whole body, especially the extremities. Slow and difficult respiration. Pulse quick and irregular. Skin burning hot.
PATHOLOGICAL ANATOMY
IN MEN. Bloated countenance; expression of terror on the countenance. The abdomen is distended. Blue spots on the neck and back. The vessels of the brain considerably injected; the substance of the brain dotted with blackish points. The lungs are heavy, bluish, violet-colored on the posterior surface; filled with blood; scarcely any crepitation. The left ventricle is empty, the right is filled with clots of gelatinous blood. The oesophagus, stomach, and bowels, as far as the coecum, are red and congested. The blood-vessels, particularly the veins of the bowels, are turgid with venous blood. The liver and spleen are filled with a quantity of blackish blood. Effusion of yellow serum into the abdominal cavity.
