SLEEP.
Drowsiness, with languor and debility; soporose condition the whole day, with involuntary closing of the eye-lids; sometimes passing off in the open air. Drowsiness in the afternoon.
FEVER.
General coldness; sometimes with drowsiness. Shuddering when entering a room from the open air. Febrile heat The pulse is small, accelerated, and hard. Irregularity of the pulse and the beats of the heart.
MORAL SYMPTOMS.
Great anguish, restlessness, and oppressive anxiety; sometimes followed by headache and colic Ill humor, vexed and irritable mood; especially in the afternoon or in the open air. He looks serious, does not feel disposed to talk, complains of heat in the head. Sadness and oppressive anxiety, in the afternoon. Delirium, frenzy, insanity.
SENSORIUM.
Out of his senses; stupefied.- His head feels dull and stupid, as if intoxicated. Sensation as if the brain were constricted. Vertigo; coming on or going off in the open air; with drowsiness; the eyes close involuntarily while sitting and after rising from the seat; while sitting, and going off after rising.
HEAD.
Violent headache, as if the brain were dashed to pieces. The forehead feels as if compressed. Weight in the forehead, with ill humor, and pressure upon the eye-lids; during dinner; in the occiput, with beating in the forehead. Sensation as if both sides of the head were in a vice. Lacerating pain in the head, paroxysms of a sort of darting laceration. Stitches in the left temple, the head being drawn up; in the temple, when turning the head. Stinging and throbbing in the whole of the head. Throbbing in the head upon entering a room from the open air.- Most attacks of the headache come on in the afternoon. Rising of heat to the head, with increased temperature of the body, redness of countenance, and abatement of the giddiness.
SCALP.
After a walk in the open air, the head, face, and hands feel swollen; this sensation passes off in the room.
EYES.
Burning in the eyes as from smoke, in the room. The eyes are glistening and protruded; staring and inanimate. The conjunctiva looks red, and the vessels of the conjunctiva are injected. Staring, strange look. The pupils are very much dilated and insensible.
EARS.
Violent itching in the ears, going off by rubbing. Stitches, particularly in the right ear, sometimes with a sense of lacerating. Tearing around the left ear, following upon stitches in the ear. The ears feel obstructed. Hardness of hearing, especially of the left ear.
NOSE.
Stinging in the side of the nose, followed by burning. Pain in the nose as if ulcerated. Sneezing and irritation, inducing a desire to sneeze, especially in the left nostril. Stoppage of the nose; early in the morning after waking.- Copious secretion of a dry nasal mucus.- Fluent coryza.
FACE.
Features expressive of anguish and pain. The countenance is pale, altered, and collapsed. Lacerating in the face; in the malar-bones.
TEETH.
Stinging in the gums. Painful sensitiveness of a hollow molar tooth, increased by contact.
MOUTH, THROAT, AND OESOPHAGUS.
The mouth feels dry, although it is moist. Heat and dryness in the throat. Stinging between the acts of deglutition.- Sensation as if deglutition were impeded, with spasmodic contraction of the throat and ear of the right side.
TASTE AND APPETITE.
Flat, sweetish taste in the mouth; early on waking; accompanied with dryness of the mouth. Bitter taste.- Thirst; continual thirst.
GASTRIC SYMPTOMS.
Empty eructations (in the afternoon). Eructations, tasting of the ingesta. Singultus in the evening. Violent vomiting, with diarrhoea; vomiting of coagulated milk (in children); of greenish mucus; of a frothy, milky-white substance.
STOMACH AND HYPOCHONDRIA.
Sensation as if something were turning about in the stomach, followed by burning, which extends up into the chest. lacerating in the pit of the stomach, extending into the oesophagus. piercing in the hypochondria; in the left hypochondrium, accompanied with burning and a pressure from without inwards, or succeeded at times by a piercing under the left mammae, and a whining mood. Sensitiveness of the region of the liver.
ABDOMEN.
A cutting across the abdomen, above the umbilicus; and in the hypogastric region. Pinching and shifting of flatulence around the umbilicus, with urging to stool. A sensation as of boiling water in the umbilical region, followed by pinching in the stomach.- Cold feeling in the abdomen.- The abdomen is distended and sensitive to the touch; black and blue swelling of the abdomen.
STOOL.
Hard stools, with violent urging, and lacerating sensation in the anus.- Loose stool, generally preceded by a pinching or cutting in the abdomen; accompanied with tenesmus, and followed by urging; early in the morning, after rising. Diarrhoeic stools, of a liquid, bilious, light yellow, or substance, accompanied with violent tenesmus.- Bloody stools.
URINE.
Copious, pale, watery urine.
LARYNX, TRACHEA, AND CHEST.
Frequent turns of a short and hacking cough. Dry cough after dinner. The breathing is short and anxious, or interrupted by singultus. Rending sensation and tightness in the right side of the chest; and in the middle of the sternum, followed by burning and anguish.
BACK, SMALL OF THE BACK.
Sensation as if the small of the back were in a vice; burning in that part, passing off by rubbing it. Sensation of heat in the back from below upward. Lacerating in the nape of the neck, sometimes throbbing and drawing.
UPPER EXTREMITIES.
Tension in the muscles. Lacerating in the fore-arm and hand.
LOWER LIMBS.
Lancination in the left thigh, from the hip down into the leg, accompanied with drawing; in the bottom of the right foot. Great languor in the lower limbs.
PATHOLOGICAL ANATOMY.
IN MEN.
The body is but slightly decayed after the lapse of three days. A multitude of cadaverous spots.- Immediately after death the body becomes stiff and very cold. The upper limbs are movable, the lower stiff. The hair is very firmly rooted in the scalp. Bloated countenance, the cornea is dim and deeply sunken, the pupils are very much dilated. The mouth is firmly closed. Black tongue. Contraction of the cardiac orifice of the stomach; the stomach contains a brownish, serous fluid. Apparent, but not fully developed inflammation of the mouth, fauces oesophagus, and stomach. The whole of the intestinal canal is distended with air.- Light color of the bile in the duodenum; the anterior edge of the liver, a portion of the colon near the liver, and a portion of the omentum exhibit a similar color. The liver is hard and yellow; the gall-bladder is turgid with a fluid, yellowish-brown bile. The spleen has a livid color. The kidneys are congested with blood. The brain and the sinuses are congested with blood. The venous blood is fluid throughout.
