ZINCUM METALLICUM REPROVEN



14. Palpitation heavy but not rapid. 15. Sudden development of hiccups. 16. The heart seems to throb a lot. 17. Heart developed a slow beat when lying on the left side. 18. The heart beats rapidly on fast walking. 19. Off and on, for three days, the heart beat rapidly. Would feel it in bed at night. 20. Deep sighing noted by an old woman. This is a persistent symptom. 21. Pressure around the heart. 22. More palpitation of the heart than usual, worse in the afternoon. 23. Pressure around the heart. 24. The heart felt very sore in afternoon and that continued throughout a day. 25. The heart beat very weakly. 26. A sense of oppression in the central sternal area. It was worse from a long breath (the oppression). 27. A dry racking cough. Not productive. Coughs at night but did not keep awake long. 28. Heart is less rapid and feeling stronger.

29. Cough dry and worse at night. 30. White expectoration and not very thick. 31. Helped tickling cough. 32. Helped night cough. This was dry. 33. Cough dry. 34. Pain or soreness in the left chest over the heart area. It is dull and intermittent. 35. The cough makes her nervous. 36. Heavy in lower and central anterior chest. 37. Coughed all night. It was loose. 38. Worse from talking as regards the tickling and the cough. 39. More often short of breath. 40. Pain in left chest after walking upstairs with packages. 41. Shortness of breath, worse on walking. 42. Short of breath and pain when walking rapidly. 43. She is awakened with heart beating heavily in the morning. 44. Constant severe pain in left side of chest and through the breast when walking down grade. 45. Left chest around heart felt congested and white mucus came up. 46. Pain inside of left chest, better by rubbing with a liniment.

STOMACH AND ABDOMEN.

1. Changed stool from a dark color to an olive green. 2. Created an appetite and an occasional hungry feeling. 3. Stopped a natural hunger all the time for food. 4. Vomits potatoes and bread only. 5. Caused hunger for all meals. 6. Sharp pains came and went in the abdomen. It causes the bowels to be open four times in the day. The motion ameliorates the pain. The stool is normal, however. 7. Appendix pain was very sharp for a while. 8. Acted much better after patient moved his bowels. 9. Severe, sharp constant pain in right upper abdomen. 10. Gas. 11. Unusually hungry for evening meal and for breakfast. 12. Gas formed in abdomen and then suddenly developed hiccups. 13. Awful gas. It would come up when she talked.

14. Had stool at 4 a.m. and then again at 8 a.m. It was mushy. 15. Nausea about 11:30. It lasted fifteen minutes. 16. Slight nausea in afternoon. 17. Worse after evening meal (flushing of face). 18. A little costive with the cold. No desire for food when she had the cold. 19. Gas on her stomach and she had nausea after 2 p.m. It occurred two days in succession at the same time. 20. The bowels are tighter. A firm stool now, it was mushy before. 21. Bowels are more active; twice a day instead of one. The stool is softer and more yellow and less offensive.

22. Not quite as much gas. 23. Soreness in the ovaries. 24. Nauseated and it would come and go. 25. Pain in left side of the abdomen. 26. Slight constant nausea. 27. Sharp constant pain in abdomen intermits in daytime. 28. Gas; more severe passing it. 29. Slight nausea. 30. Pain and gas. 31. Pain and gas.

BACK AND BODY.

1. Can hardly stand on feet because of sharp pains in renal regions. 2. Shivering cold in the back. It comes on after break- fast, better in the warm sun out of doors. 3. From 2 a.m. until arising, pain over the back of the neck (a dull aching but sharp at times). 4. A tired feeling across the back. 5. Backache, some- times sharp, sometimes dull (?). 6. The backache is worse on stooping. 7. A peculiar feeling as if the kidneys were being tapped (touched). 8. Backache and kidney ache, better from pressure. 9. The backache is so bad she could not sleep. Feels as if weighted down with lead. 10. Chilliness all over the body in afternoon. Felt better covered up. It lasted nearly all afternoon. Chilliness was worse in body. 11. The pains are nocturnal. Better getting up, worse lying down. The pains are sometimes sharp, sometimes dull.

12. Constant sharp pain in lower back under the ribs. 13. Grating sound pronounced in back of neck. 14. Jerking and trembling of the neck (?). 15. More pallor for two or three days. 16. Felt heavy all over. A sense of chilliness all over when she was weak. 17. Rather severe itching down both sides of the neck to the point of the shoulder. No eruption. 18. Morning tire and pulse is 84 and temperature is 97.1. 19. Severe generalized aching as if she was beaten. It was intermittent and started in the evening (?). 20. Chilliness and hot spells follow. All over the body at 10 p.m. Craved the warmth. 21. Shaky when she first arose. All over. 22. Around noon the pulse is 102 and the temperature around 98.2. 23. Pulse is 94 sitting, with a normal temperature. 24. Chilly all over the body. It came and went all day. 25. Sore in spots all over the body.

26. Produced a subnormal temperature with a normal pulse. 27. Sharp throbbing pains in same spot in mid-spinal area for a few seconds upon awakening. 28. Sharp pain in back of neck, grating sound when turning head (?). 29. Skin is itching, worse in the back and shoulders. 30. Very nervous trembling all over. 31. Throbbing pain for a short time in the spine. 32. Pain in the neck muscles on right side, very stabbing and worse after walking. 33. Spine is very stiff in early morning. Difficult in bending.

34. Whole back very painful, worse in lower part. 35. Neck muscles very painful, with sharp stabbing pain at the base of the skull. 36. Very sharp pain in spine when bending. 37. Neck pain is severe. Jerking of the neck. 38. It is like a cutting knife in the back on the least movement. Each day it becomes worse in the evening. 39. Severe stabbing pain in the neck at the base of the skull on the right side of the center. Worse upon walking or moving the head. 40. Muscles are stiff and nuchal muscles hard on touch. 41. Feverish in the evening.

UPPER EXTREMITIES.

1. Shooting pains all over the chest in afternoon. The pains went into the left arm at the same time. 2. The left hand almost constantly shakes. Before, once in a while. 3. The right hand is cured of shaking. Can hold things better with it. 4. In the right hand, the middle finger is quite stiff at night. 5. The hands ached dully in the fingers. 6. The prover felt as if trembly. It was worse in the arms. 7. Some numbness in the left arm. 8. Worse after sleep in the morning (the right hand was quite numb). It went after one hours duration. 9. Tossing in bed at night, the covers disarranged. This is not usual. 10. The hands are cool. 11. Numbness in arms and hands but not severe. 12. Left shoulder is very painful. It is a constant ache. 13. Right arm ached dully and constantly. 14. A bruised mark develops upon left arm.

LOWER EXTREMITIES.

1. Can hardly stand on his feet because of sharp pains in renal regions. 2. When she sits still, she imagines that her feet are moving. 3. Both legs ache all over. It comes and goes. It is darting and sharp and short lived. The left leg is the worse. 4. It pained all night below the right knee joint in front. It was sharp and intermittent. 5. The left ankle gets stiff. 6. The feet become very cold for three hours. Then they warmed up. 7. The left leg pained up to the hip, worse in the evening. It was a dull constant severe aching. 8. The left ankle was swollen but the right one was worse. 9. On walking, very weak; out of breath too. 10. Worse on ascents (as regards cardiac palpitation and breathlessness, also asthenia). 11. On walking up and down the steps, weak spells. She felt smothery and all gone. 12. Pain sharp and stabbing in right ankle. It came suddenly and caused limping.

13. A sharp constant pain in the left ankle. 14. The feet were cold and the pains went up and down both legs. The pains were sharp and intermittent. 15. Pain in left leg on right side below the hip as if it were crushed, sharp, only present on lying down and better by walking. 16. On walking, the left knee suddenly gave way. 17. The feet hurt dully. 18. Sudden severe pain in the right ankle. 19. Left leg aching from the hip down. 20. A numbness in both feet and legs. 21. Her legs are stronger. 22. Numbness in feet but not severe. 23. Right leg ached dully and constantly. 24. A pain, sharp and occasional in the right knee, but less stiffness than before. 25. The ankles swell just a little in the evening.

URINE.

1. Made urine lighter in color. 2. It stopped nocturia of twice a night. 3. Had to get up once to urinate. 4. Passed urine more frequently during the day. 5. Helped the nocturia appreciably. 6. Effected a reddish tint to urine from a hydrant color. 7. Passed urine frequently, five times in afternoon. Small amounts. 8. Four times as much urine avoided as the week before. 9. Passed much less urine. Urine quite a little darker. 10. Frequent urination in daytime. 11. The last three nights had to arise twice (rare). The urine is very free in daytime and lemon colored. It is painless. On the whole voided twice as much as usual. 13. The kidneys are more active than usual only during the day. Went oftener. The amount was unchanged. 14. The kidneys are more active whilst awake. 15. The proving dropped the nocturia from thrice to once. 16. Prover arose once at night, at 4 a.m., to void urine.

SLEEP.

1. Awakens around 3 oclock. No sleep after that. 2. Sleeplessness. 4. She could not sleep until 1:30 a.m. She was tense in the morning. 5. So sleepy she could not get awake in the morning. 6. Did not sleep well. The dreaming is muddled: about pretty flowers; pleasant dreaming. 7. Very drowsy all day not ameliorated by a nap. 8. Worse after sleep, awoke with a headache which was short lived. It was dull and frontal. 10. Did not sleep soundly. 11. Worse after sleep in the morning, the right hand being quite numb. Went after one hour. 12. Tossing in bed at night. Covers are disarranged. This is not usual.

Donald Macfarlan