Severe chills, headache, pain in back and limbs, restlessness and sore throat, three days later right tonsil covered with ashy grey membrane, extending along free palatine border to uvula, which it had already involved; peculiar diphtheritic odor in room, pulse small; skin clammy; rapid vital exhaustion; next day membrane involved whole arch of palate and passed down to left tonsil.
Roof of mouth and back wall of pharynx coated with a greyish yellow deposit, greater part of which soon disappeared, lasting only about an hour; throat very much amel. by noon, deposit had nearly disappeared, but agg. again by night.
Throat covered with diphtheritic membrane; uvula elongated, swollen and covered with black and white or grey diphtheritic deposit; back of throat extending to hard palate, all covered; breath very offensive; left side of neck swollen and almost even with jaw; great difficulty in swallowing; after throat began to improve, disease seemed to work through whole alimentary canal, for uvula and parts were very much swollen, and every little while there would be involuntary discharges of diphtheritic matter from uvula and rectum.
Patch of diphtheritic membrane appeared first on right tonsil, then on left, and frequently alternated sides, swelling of neck [submaxillary and lymphatic glands.] also alternated in like manner; agg. during and after a cold storm from northeast; tickling in throat when drinking; one side of nose stopped up, the other free and discharging thin mucus at times and thin blood; this condition of nose also alternated; non-edematous swelling of eyelids, pink color of under lid, particularly of right eye; breathing hoarse and croupy, at times entire stoppage of breath; often snoring, and only possible through mouth; obstinate constipation, frequent desire, with darting pains in rectum, no power to expel, stool large in size, whitish, rough, scaly, hard; could not bear to be left alone an instant; saw big eyes and creeping things; must have light, yet is intolerant to light of sun; urine scanty, infrequent, no desire, coffee colored; 80 per cent of albumen and much mucus; quantity less than a gill in twenty-four hours.
Fever: bathed in warm perspiration especially about the face, neck and hands; anxious expression; eyes watery and discharging; wants to sit up in mother’s arms; cries and desists at every attempt to nurse; reaches for water, yet refuses to take it, respiration hoarse; crying whispered and broken often no sound at all; pulse 170; tongue, fauces and tonsils swollen and covered with dirty coating, drooling from mouth; throat tender to touch externally; thick, dirty, grey, diphtheritic membrane, covering free border of epiglottis, and extending off to each side; child refuses to swallow and sputters out the medicine, some returning through nose.
Soreness of throat, accompanied by intense heat, pulse scarcely to be counted, prostration so complete that patient refused even to make an effort to take medicine; temperature 102.6 degrees, great sensitiveness of throat externally; symptoms after sleep; very thick exudate, covering nearly entire surface of each tonsil, which, if forcibly removed, is followed by considerable hemorrhage.
Throat highly inflamed, swollen, almost closed, grey, diphtheritic patches on left side of throat; difficult breathing, at times suffocative spells, pulse 140; face flushed, swollen and hot; tongue dry and thickly coated, greyish white.
On third day right tonsil swollen and on it a small diphtheritic patch, rest of throat inflamed; on fourth day both tonsils swollen and covered with diphtheritic patches, with difficult deglutition; high fever, restlessness, cried out and talked in sleep; complained of pains in head, back and limbs; bright scarlet redness on chest and around neck, which, on fifth day, extended all over body and legs; disease now at highest point; skin, in large patches, assumed a dark red color bordering on purple; whole body swollen; membrane, swelling and soreness on right side; deglutition impossible; refusing to drink while complaining of intense thirst; characteristic fetor in room; soreness on right side decreased and commenced on left; left tonsil and posterior wall of pharynx covered with membrane; posterior nares invaded; marked sensation of lump in throat on left side, when swallowing, with pain extending to left ear.; Tongue coated dirty, yellow white and slimy; absence of prostration; improvement commenced on seventh day and remedy was discontinued.
Pains in limbs, small of back and head disappear, and throat becomes more painful, but looks better; often ulcers increase in size and number, but neighboring membrane looks clearer; agg. by empty deglutition; throat feels stiff; amel. after drinking, warm or cold, not thirst, but dry mouth, pain pushes toward left ear; right tonsil raw, swollen, grey white membrane there and on fauces; epistaxis when speaking or swallowing, in one case; sweat all over; great exhaustion with poisoned feeling; frequent micturition, urine dark; restless, legs and whole body, face burns dry; constant spitting, drooling; ulcers small, round or irregular, grey white; voice hoarse, interrupted by weakness and hoarseness.
Throat filled with substance that looked like “smear kase; ” throat, tongue, roof of mouth, gums and cheeks completely lined with this substance; mouth and throat filled with loose particles; horrible odor.
Heaviness, and stomach bloated and tender; enlargement of tonsil, left tonsil agg.; feels weak; cannot eat or drink anything without pain in pit of stomach, shortness of breath and general languor.
Membrane would leave throat, and a very severe interstitial hemorrhage of bright red blood would ensue; hemorrhage would slowly improve, and membrane appear again in throat, these had continued to alternate for several days.
False membrane, thick grey, yellow or dark, surrounding mucous membrane dark or bright, may be agg. on either side, or inflammation shift from side to side, generally agg. on left False membrane, thick, yellowish grey, often greenish.
Pharyngeal inflammation, with wholesale destruction of epithelium, viscidity of saliva, heat of palms, absolute necessity for constant change of position.
Thick, dirty grey diphtheritic membrane covering free border of epiglottis, and extending off to each side.
Uvula pretty free from membrane, but intensely sore and bleeds. Uvula coated [in seven cases.].
After membrane exfoliates, mucous membrane appears raw bloody, with increased deglutition.
In most cases of diphtheria, the throat symptoms begin on right side.
Inflammation, ulcers and swelling shift from side to side, generally agg. on left Diphtheria and diphtheritic croup; membranous croup.
Awoke about four A.M. [second day.] with a feeling that she was going to have sore throat, rawness and soreness in throat on right side.
Swollen feeling in throat.
Feeling as if she wanted to expectorate but could get nothing up.
Sensation of a sac [lump?] In her throat on right side which seemed to descend when she swallowed, and scraped or rubbed against the mucous membrane as it went down; returning after deglutition.
Fauces and tonsil very sore and red.
Right tonsil appeared puckered and drawn up from circumference to center.
In center of right tonsil, a small black spot about the size of a pin-head.
Two long shaped ulcers on right tonsil, toward inner edge.
On third day a ring of a small yellow blisters around each ulcers, which later presented appearance of a false membrane.
False membrane on right tonsil but not on left.
Left tonsil became sore and inflamed on second day, when the right was not nearly so painful, by evening pain and soreness returned to right side when left side was relieved. This alternation from side to side continued one week when the painful symptoms wholly subsided.
All deglutition painful, but worse when swallowing solid food.
Pain extends to ear when swallowing.
Pains in throat worse in cold air.
Throat feels stiff as a board.
Feeling of lump in throat which goes down when swallowing, but returns; throat agg. on right side.
A lady, aged 50, a widow, mother of one child, is syphilitic, and has suffered very much with inflammation and ulceration of the tonsils and fauces-which are completely honeycombed by abscesses-and for the last month the pain and soreness has changed from one side to the other every day. For instance, the side that was sore yesterday is well to-day, and the side that was well yesterday is the sore one-to-day. She has been treated a long time for this disease without benefit by a professed homoeopath.
Four doses, 200th of this remedy were given, two each day, when improvement set in, and in ten days she was well, and has so remained without further medication. “Right to left, and from left to right” – daily. – Wakeman. One of my cases as little Moody, son of Moody, of “Moody and Sankey,” sick with scarlatina “for the third time ” [so reported]. His throat was full of large, foul, grey-yellow patches, deglutition extremely painful after sleep and from swallowing acid fruits, lumpy sensation in throat, unrest, delirium with undefined fears, considerable bright-red, fine eruption on face and chest, itching with dry skin. [I do not remember to have seen a case of diphtheria, so- called, fairly well defined, but some eruption appeared at some time during the disease.]. Lac caninum CM., one dose dry, and in forty-eight hours after a dry powder of CM. potency, cured promptly without any other remedy.
