Abdomen. Enlargement and induration of the liver (Cinchona, Sulphur); with pain. Pain in hepatic region on pressure. Enlargement of the spleen (Cinchona). Sensitiveness in hepatic region, worse when lying on right side, with pain on touch. Painful pulsation in right hypochondrium. Abdomen distended and tympanitic; painful to touch (Belladonna, Cinchona). Incarcerated flatus; loud rumbling in abdomen (Lycopodium); emission of much flatus (Aloe, Cinchona, Lycopodium). Sensation of great weakness and emptiness in abdomen. (Sepia, Stannum); must lie down. Sensation of coldness in the abdomen (Caps.).
Stool and Anus. Stitches or smarting in rectum. Paralysis of the sphincter ani, anus always open. Violent burning in anus and rectum, with great exhaustion, after stool (Arsenicum, Cinchona). Urging in rectum; on rising; stitches and itching in anus. Painless, debilitating diarrhoea (Cinchona, Podo; not debilitating, Phosphorus ac.); worse mornings (Aloe, Apis, Rumex, Sulphur). Chronic, painless diarrhoea of undigested food (Calcarea c., Cinchona, Podophyllum). Desire for stool whenever she lies on left side. Intestinal haemorrhage. Diarrhoea; stools involuntary (Arnica, Arsenicum, Carb. v., Hyoscyamus); at least motion, gray or whitish-gray (Phosphorus ac.); bloody; green; watery, with flakes of mucus and clots of blood; watery, with whitish-yellow and cheesy masses; lumps of white mucus; copious, like water from a hydrant. Constipation; faeces slender, long, dry, tough and hard, like a dog’s; voided with difficulty (Causticum); small, dark, difficulty, clay-colored.
Urinary Organs. Frequent micturition at night; scanty discharge. Urine turbid and high-colored; brown, with red, sandy sediment (Arnica, Cinchona, Lycopodium, Natr. mur., Nuph.); deposits white, cloudy sediment (Calcarea c., Sepia); variegated cuticle appears on surface; albuminous (Mercurius cor., Osm., Phytolacca, Plumb.); bloody, milky- white. haematuria (Arnica, Cantharis, Colchicum, Hamamelis, Terebintha); with acute pain in region of kidneys and liver, and jaundice.
Male Organs. Sexual excitement; frequent erections and emissions, or irresistible desire for coitus (Cantharis); with feeble erections or none at all. Emissions soon after coition. Impotence after excessive excitement and onanism (Cinchona, Phosphorus ac., Staphysagria).
Female Organs. Menses too early and too scanty, or too profuse; pale, with colic, nausea and diarrhoea. Frequent and profuse metrorrhagia (Aconite, Hamamelis). Acrid, excoriating leucorrhoea (Alumina, Coni., Kreosotum, Mercurius, Pulsatilla).
Respiratory Organs. Hoarseness, cannot speak above a whisper (Aconite, Carb. v., Causticum, Spong, Sulphur); mornings. Voice husky, rough. Aphonia; from prolonged loud talking (Argentum met., Argentum nit., Arum. triph.). Irritability in lower part of trachea, with suffocative pressure in upper part of chest. Cannot talk on account of pain in the larynx (Belladonna). Rawness in larynx (Aconite, Ambr., Lachesis, Plumb., Sulphur) and trachea, with frequent hacking cough and hawking. Cough dry; tickling, with tightness across chest (Angust., Mercurius cor.); hollow spasmodic, loose, without expectoration; with soreness of chest (Arnica, Causticum, Nux v., Stramonium); loose rattling; hacking; hollow, mornings, in bed, with trembling of whole body; dry on reading aloud; from tickling in throat (Hepar s., Rumex, Sanguinaria, Sepia); with violent oppression of the chest and difficult respiration, causing pain in the abdomen. Expectoration difficult, frothy; bloody; rust-colored; tenacious, purulent mucus (Kali bichromicum); mucus streaked with blood (Digit.); purulent, white and tough; cold mucus, tasting salty (Ambr., Calcarea c., Carb. v., Lycopodium, Sepia); transparent night (Nux v., Pulsatilla); from reading, laughing or loud talking (Cinchona, Drosera); from lying on left side or back; drinking; exercise. Pains in chest, with coughing, relieved by external pressure. Respiration short, labored, anxious, panting, with the tightness and oppression of the chest. Loud mucous rales during respiration (Ant. tart., Ipecac.), especially in lower lobes. Tightness; of upper part; worse lying on left side. Sensation as if everything about the chest were too tight. Congestion of the chest, with anxiety and oppression. Heaviness in the chest, as if a weight were lying on it (Ferrum, Nux v.). Stitches in the chest (Aconite, Bryonia, Kali carb.), especially on left side (Sepia, Stramonium). Stitches through lungs, worse on deep inspiration, in various parts. Suffocative constriction of the chest; at night. Burning, soreness and tension in chest. INflammation of the lungs; hepatization; especially of lower half of right lung, later part of period of deposit, and early part of that of absorption. Suppuration. Cavities. Tubercles, with hectic fever. All symptoms worse when lying on left side. Yellow spots on chest (brown spots, Sepia).
Heart and Pulse. Violent palpitation, with anxiety, evening and mornings in bed; while lying on left side (Natr. carb., Natr. muc.); on slight motion. Blowing sounds of the heart. Pressure in middle of sternum and about the heart. Pulse rapid, full and hard; small, weak, easily compressed.
Neck and Back. Stiffness in nape of neck (Kali carb., Lachesis, Rhus tox.). Weakness in back, as if crushed, then weakness in limbs, and trembling on least exertion. Sensitiveness of spinous processes of dorsal vertebrae to pressure (Agaricus). Softening of the spine. Burning pain between the scapulae. Pain in a small spot between shoulder blades. Pain in lumbar region.
Limbs. Weakness in all the limbs, as if paralyzed; especially in joints, trembling from every exertion. Swelling of hands and feet. Bruised pain in limbs. Extremities, especially hand and feet, heavy as lead.
Upper Limbs. Tearing pain in left shoulder, worse at night in bed. Stiffness in morning on washing, with pressure. Arms and hands become numb; fall asleep. Trembling of the hands (Agaricus, Calcarea c.). Fingers drawn bent at times as from cramp. Fingers, especially tips, feel numb and insensible. Motor paralysis of fingers.
Lower Limbs. Uneasiness, weakness, worse on ascending steps, with heaviness. Pain in right hip-joint. Suppurative pain in nates on sitting long. Bruised pain in periosteum of tibia. Gangrenous periostitis of tibia, with fever; the periosteum peeled off as far as the knee, leaving the bone rough. Weariness and heaviness of the legs and feet. Paralytic feeling in feet. Pain in knees drawing to feet. Cramps in the calves. Sprained pain in ankles on walking. Heaviness in the hollow of the knees. Feet swollen in the evening, or when walking.
Generalities. Great emaciation (Arsenicum, Fever., Graphites, Iodi.). Can lie only on the right side (reverse, Mercurius). Haemorrhages from various organs and parts of the body (Croc., Hamamelis); blood fluid, non- coagulable. Small wounds bleed much. Great weakness and prostration of the whole system (Arsenicum, Cinchona, Ferrum). Nervous exhaustion, with general heaviness and dread of motion. Mucous membrane pale. Muscular system lax. Ataxia and adynamia. Trembling. Motions involuntary and uncertain, as in palsy. Paralyzed feeling. Painful heaviness of the whole body. Lying on the left side at night causes anxiety. Numbness of the whole body, accompanied by pricking sensations. Takes cold easily in open air (Calcarea c., Kali carb., Silicea). Pains tearing, drawing, tensive, excited by slightest chill; body feels bruised, with sensation of coldness. Epilepsy, with consciousness. Spasms of the paralyzed side. Paralysis, formication and tearing in the limbs; anaesthesia; increased heat. Exostosis, especially of the skull. Hip-joint disease, oozing a watery pus.
Skin. Jaundice (Chelidonium, Cinchona, Mercurius). Pale. Ecchymosis (Arnica, Secale). Petechia (Arnica, Arsenicum, Secale). Purpura haemorrhagia spots. Anaesthesia. Formication. Itching over the whole body. Tetter in round spots over whole body. Ulcers bleed on appearance of menses. Fistulous ulcers: erysipelatous; pus thin, ichorous, hectic.
Sleep. Constant sleepiness; coma vigil. Sleepless and restless before midnight. Unrefreshing sleep. Dreams anxious, lascivious; of fire; of biting animals; of restless work and business which he could not finish. Sleepy all day, restless at night.
Fever. Typhus fever, often with pneumonia and bronchitis, that developed into consumption. Chilliness every evening, with shivering; without thirst (Ignatia, Pulsatilla); not relieved by warmth. Coldness of limbs; in knees at night in bed. Chill at night, alternating with heat. Heat, with anxiety, burning in face and hands, flushed cheeks, left more than right; afternoon and evening. Heat at night. Profuse perspiration; at night (Cinchona, Mercurius); during sleep (Cinchona); in morning, in bed (Calcarea c., China sulph., Nitr. ac.); on slight exertion (Calcarea, c., Hepar s., Kali, nit., Lycopodium, Sepia, Silicea). Exhausting sweat in morning. Cold, clammy sweat (Arsenicum, Camph., Kali nit., Mercurius).
ALLEN CORSON COWPERTHWAITE was born at Cape May, New Jersey, May 3, 1848, son of Joseph C. and Deborah (Godfrey) Cowperthwaite. He attended medical lectures at the University of Iowa in 1867-1868, and was graduated from the Hahnemann Medical College of Philadelphia in 1869. He practiced his profession first in Illinois, and then in Nebraska. In 1877 he became Dean and Professor of Materia Medica in the recently organized Homeopathic Department of the State University of Iowa, holding the position till 1892. In 1884 he accepted the chair of Materia Medica, Pharmacology, and Clinical Medicine in the Homeopathic Medical College of the University of Michigan. He removed to Chicago in 1892, and became Professor of Materia Medica and Therapeutics in the Chicago Homeopathic Medical College. From 1901 he also served as president of that College. He is the author of various works, notably "Insanity in its Medico-Legal Relations" (1876), "A Textbook of Materia Medica and Therapeutics" (1880), of "Gynecology" (1888), and of "The Practice of Medicine " (1901).