Stool and Anus Painful, protruding, blind piles (Aloe, Calcarea c., Lachesis, Mercurius, Silicea), with stitches, smarting, soreness and itching (Sulphur). Pressure in rectum after stool. Frequent urging, as if diarrhoea would occur. Stools watery at night, like bile, preceded by rumbling; green mucus (Apis, Argentum nit., Arsenicum, Belladonna, Ipecac., Mercurius, Sulphur); slimy; soft; mixed with mucus, or only mucus, with colic; frequent (Mercurius cor.); bloody mucus, without colic; not exhausting (Phosphorus ac.). Constipation; difficult evacuation, with painful pressure and pain in back; stools white; yellowish- white, mucus mixed with stool.
Urinary Organs Tenesmus of the bladder (Cantharis, Caps., Mercurius cor.). Region of bladder painful to touch. Sharp pressure on bladder, without desire to urinate. Burning in orifice of urethra during and after micturition (Can. sat., Cantharis). Frequent, almost ineffectual, urging to urinate, with acrid urine and cutting pains. Involuntary micturition (Arsenicum, Belladonna, Hyoscyamus); at night, in bed (Arnica, Cuprum, Graphites), especially in little girls, while coughing or passing flatus (Causticum, Natr. mur.). Dribbling of urine while sitting or walking. Frequent urinations, profuse flow (Apis, Apocynum, Argentum, Cepa, Ber.). Urine watery, colorless; brown; bloody.
Male Organs Drawing, tensive pains, from abdomen through spermatic cords, into testicles (Berberis, Hamamelis, Mercurius), which hang low down. Swelling of the testicles, with soreness and tearing pains. Swelling of right side of scrotum (Clem.). Desire in the morning on waking. Nocturnal emissions (Cinchona, Phosphorus), without dreams. Itching biting on inner and upper part of prepuce. Thick, yellow, or yellow-green discharge from urethra, in gonorrhoea (Agn., Hydras.).
Female Organs During menses and with uterine troubles, heavy pressive pain in abdomen and small of back, as from a stone (Alumina, Caulophyllum, Cimic.); limbs tend to go to sleep; ineffectual urging to stool. Drawing, pressing pain extending toward uterus, with nausea in morning. Chilliness before the menses, with yawning and stretching. Constrictive pain in left side of uterus, like labor- pains, obliging her to bend double. Menses suppressed, after getting feet wet. Menses delayed, with coldness of body and chilliness and trembling of the feet. First menses delayed (Graphites). Menses too late, scanty, and of short duration (Cimic., Sulphur); suppressed, or flow intermittent (Cimic.); flow thick and black (Ignatia); more during day while walking about (at night, Mag. carb.). Leucorrhoea thick, like cream or milk (Calcarea c., Coni., Sepia, Acid Sulphuricum); worse when lying down; with swollen vulva; painless; acrid, thin, burning (Alumina, Coni., Kreosotum, Mercurius, Phosphorus).
Respiratory Organs Violent tickling and scraping in the larynx, bringing tears into the eyes and causing dry cough. Constriction in larynx, especially at night when lying down. Hoarseness and roughness of throat; cannot speak a loud word (Causticum, Hepar s., Phosphorus). Dry cough at night or in evening, after lying down (Coni., Mez., Nux- v., Rumex, Sulphur); disappears on sitting up in bed, returns on lying down (Hyoscyamus); causes dryness of throat; prevents sleep; with nausea and vomiting; causes exhaustion. Cough dry at night, loose during the day. Expectoration difficult; yellow mucus (Calcarea c.), in morning after rising; bitter; scanty, of tenacious mucus; black clotted blood (Nux-v.). Dyspnoea in lower part of chest, as if too full and tight, especially mornings (Belladonna, Phosphorus). Oppression of the chest. Cramp-like and constrictive tension in the chest. Shortness of breath, anxiety and palpitation when lying on left side. Scraping and soreness in chest, causing cough (Chamomilla). Pain in chest behind sternum, as if ulcerated (Psorinum). Pressure and soreness in chest. Stitches in the chest and sides, when lying, at night, from inspiration or coughing (Aconite, Bryonia, Kali carb.).
Heart and Pulse Catching pain in cardiac region; bitter for a time from pressure of hand. Stitches in praecordial region, better while walking, with pressure and anxiety, impeding respiration. Palpitation, with anxiety, after dinner; from lying on left side, with anxiety and want of breath; with menstrual irregularities, chlorosis, etc. The beat of the pulse is felt in the pit of the stomach.
Neck and Back Stiffness, and rheumatic, tensive, and drawing pains in nape of neck (Colchicum). Sticking pains in nape of neck and back. Pain in nape at night, as if he had lain in an uncomfortable position. Pain in small of back, as from long stooping (Arnica, Cinchona), or from a sprain (Sulphur); on motion; after sitting (Rhus tox.); in evening. Back painfully stiff. Labor-like pains in small of back (Caulophyllum, Cimic., Kreosotum), as if constricted by a tight band. Pain as if suppurating. Drawing, tensive pain in loins. Pressive pains in sacrum, in evening, as from fatigue.
Limbs Redness and swelling of joints (Bryonia), with stinging pains (Apis). Anxious tremulous sensation in limbs. Drawing, sticking, worse in joints, which are painful to touch. Weakness in limbs morning after rising, with relaxation without feeling weary. Drawing, tearing pains in limbs (Aconite), shifting rapidly from place to place; worse at night, from warmth (Mercurius); better from uncovering. Pain in limbs in morning in bed, worse in joints, forcing him to stretch, with general heat. On waking, the parts on which he has lain are asleep, with crawling and tingling (Aconite). Coldness of hands and feet; they seem dead.
Upper Limbs Sensation of numbness and heaviness in the arms, as if beaten. Drawing, tearing pains, in shoulder joints, and in arms, hands and fingers (Bryonia, Ledum, Rhus tox.). Swelling and wrenching pains in elbow joints.
Lower Limbs Hip-joint painful, as if dislocated. Acute, drawing, jerking pains from the hip to the knee. Bruised pains in the gluteal muscles, and in muscles and bones of thighs. Drawing, tensive pains in thighs and legs at night, with great restlessness, sleeplessness and chilliness. Painless swelling of the knee. Knees swollen, with tearing, drawing pains. Drawing, heaviness and weariness in legs and feet. Legs seem asleep on rising from a seat. Cramps in legs, in evening, after lying down (Sulphur). Feet inflamed, red-hot, swollen (Bryonia), with tensive, burning pains; also soles. Varies on the legs (Hamamelis, Zincum met.); on feet. Weakness in feet. Pain in soles, as if beaten. Boring pain in heels toward evening (Zincum met.). Chilblains, burning, sticking, itching (Agaricus, Nitr. ac.).
Generalities Violent trembling of the whole body; with cold sweat, anxiety and drawing pains. Excessive weariness and prostration (Arsenicum, Phosphorus, Ferrum). Everything about body seems too tight, wishes to throw off her clothes. Heaviness of the whole body. Inclination to stretch. Lies upon back with hands above head when sleeping; also with feet drawn up. Longing for fresh air (Lycopodium). Feeling of discomfort over the whole body, in morning, after rising, disappearing on moving about. Weaker the longer he lies in the morning. Wandering pains shift rapidly from part to part (Benz. ac., Kali bichromicum, Ledum). Symptoms everchanging. Pulsations through the whole body (Gloninum, Sepia, Zincum met.).
Skin Burning, biting, itching here and there; worse from warmth of bed, in evenings and before midnight; from scratching; from becoming heated during a walk (Clem., Mercurius, Mez., Sulphur). Itching in the evening in bed. Measly-like eruption (Antim crud., Baptisia, Coffea c., Rhus tox.); nettle rash (Apis).
Sleep Irresistible sleepiness in afternoon and early evening. Cannot go to sleep in evening; sleepless first part of night. Sleeps late in morning. Restless sleep, with sensation of heat; wakes frequently, as in frights. Dreams; confused; vivid, frightful, disgusting, anxious (Arnica, Aurum, Rhus tox., Sulphur). Frequent yawning.
Fever Constant chilliness, even in warm room; cold chills all over, chilly, with the pains; worse evenings (Phosphorus). Shivering, creeping sensations. Anxious heat, as if dashed with hot water. Intolerable, dry, burning heat, evening or night; with distended veins (Cinchona), and burning hands that seek out cool places, without thirst (Ignatia, Phosphorus). Profuse sweat in morning (Calcarea c., Nitr. ac., Rhus tox.), one-sided sweat.
Aggravation In the evening and in succeeding hours till midnight; every other evening; at night; from warmth of bed; while lying down, especially on left side; from lying on painless side; in warm room; after eating, especially after fat food, pork, ice-cream, fruit, pastry.
Amelioration In open air (Acid oxalicum); in cool place; when lying upon the back; lying on painful side; from cold drink; from slow motion.
Conditions Sandy hair, blue eyes, pale face, inclined to silent grief and submissiveness; especially women and children. Slow, phlegmatic; peevish but not irascible.
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).