Lac caninum

Natural History.
      Bitch’s Milk.

Clinical.
      Arms, varicosis of.
      Breasts, painful.
      Chancre.
      Croup.
      Diphtheria.
      Dysmenorrhea.
      Epulis.
      Eyes, affections of.
      Gonorrhea.
      Headache.
      Ichthyosis.
      Leucorrhea.
      Neuralgia.
      Ovaries, affections of.
      Ranula.
      Rheumatism.
      Sciatica.
      Spinal irritation.
      Stomach, affections of.
      Syphilis.
      Throat, sore.
      Ulcers.
      Uterus, affections of.
      Vaccinosis.
      Varicose veins.
      Warts.

Characteristics.
      Lac Caninum is not a novelty in remedies.
      "Dioscorides, Rhasis, Pliny, and Sextus recommended it for the removal of the dead fetus.
      Sammonicus and Sextus praise it in photophobia and otitis.
      Pliny claims that it cures ulceration of the internal os.
      It was considered an antidote to deadly poisons." (Quotation by Hering.) Hering adds that the remedy was revived by Reisig, of New York, who used it successfully in the treatment of diphtheria.
      After Reising the remedy was used by Bayard and Swan, to whose indefatigable exertions we owe the present status of this medicine.
      Swan’s, potencies were prepared from Reisig’s 17th.
      The provings were made with the 30th and upwards and are published in a little volume by Swan and Berridge. As in the case of Bufo, Castor equi, and other remedies of ancient times, homeopathy has stepped in to confirm the accuracy of the old observers.
      In the provings a large number of the symptoms were manifested in the region of the throat, the effects being diagnosed as actual diphtheria in some instances.
      It is in diphtheria, both as curative and prophylactic that Lac can. has won its greatest fame, and the provings and clinical experience have developed a grand characteristic in this and other affections – an alternation of sides, often very rapid.
      "Soreness of throat commences with a tickling sensation causing constant deglutition: this condition entirely ceases, only to commence on the opposite side, and often alternates, again returning to its first condition: these sore throats are very apt to begin and end with the menses." This "alternation of sides" once led me to the cure of an eczematous condition of the eyelids in a child.
      The child’s aunt, who brought her to me, causally remarked that it often left one side entirely and went to the other and then back again.
      Lac can.
      cleared it up in a very short time.
      Rheumatic and other affections having this peculiarity of changing from side to side are very likely to be benefited by Lac can. From diphtheria, with its fetid discharges, it is not a far step to ozena, and Lac can. has proved itself curative in a number of cases.
      Corners of mouth and ale nasi cracked.
      It has cured a case presenting the following characters: Crusts under which grey matter forms.
      Throat bad, swallowing difficult, mucous follicles swollen, covered with cream-colored mucus.
      Nose bad, feared destruction of bones.
      Bloody pus discharges several times a day.
      Bones of nose sore to pressure.
      In addition to the changing sides characteristics Lac can. has: "Inflamed surfaces (of throat) glistening." The same appearance when found on ulcerated surfaces in the skin is a leading indication for Lac can. The mental symptoms are remarkable.
      One prover had delusions about snakes, imagined she was surrounded by them, was afraid to close her eyes at night for fear of being bitten by a large snake which she imagined was beside the bed.
      Awoke in the night with a sensation that she was lying on a large snake.
      After menses, imagined all sorts of things about snakes.
      These snake-symptoms led to a cure.
      E. T. Balch (H. P., x. 286) asked for advice in this case: "Maud right I0, demi-brunette, of healthy parents, one and a half years before fell forward and hurt her chest while playing.
      Nothing was thought of it at the time, but when brought to Dr. Balch she was pale, emaciated, capricious, no desire for play.
      Sleep disturbed by frightful dreams, during the day piteously begs her mother to take her, she is so afraid.
      She feels as though snakes were on her back.
      In response to advice tendered one dose of Lac. can. 50M. was given, dry, and in twenty-four hours the child became more lively and cheerful and very soon all abnormal sensations disappeared.
      Another mental curiosity which has proved a useful pointer is this: "Imagines he wears some one else’s nose." Restlessness, nervousness, and prostration appear in the provings and shown the relation of the remedy to diphtheritic paralysis as well as to diphtheria itself.
      In one prover the symptoms occurred periodically: worse in morning of one day and worse in afternoon of next.
      Wandering rheumatic pains.
      The sensation of lightness or levitation was noticed – seemed to walk on air, not to touch the bed when lying.
      Cannot bear one part of her body to touch another, must even keep her fingers apart.
      The symptoms in general were worse at night.
      Cold winds and cold, sharp air worse.
      Cold washing causes pain in herpetic eruption.
      Cold application better pain in upper jaw and teeth, and cold water gave momentary better to sore throat.
      Pains in ankles, forehead, and upper jaw were better by warmth.
      Rest and lying down better most symptoms, motion worse.
      Flexion better, extension worse.
      Going up and down stairs causes pain in heart.
      Walking causes leucorrhea, worse sores between labia and thighs.
      Touch worse (external throat, breasts, causing sexual excitement).
      worse After sleep. The Schema comprises both caused and cured symptoms, the latter are bracketed or have the name of the disease in which they occurred appended in brackets.

Relations.
      (According to Nichols, Lac. can. "acts best in single dose, if repeated should be given at exact intervals.")
      Compare: Lachesis is the nearest analogue (throat, ovaries, symptoms changing from side to side – Lach. left to right, worse after sleep, fainting on raising arms), Lac. Vac. deflor. (dreams of going on a journey).
      Lac. Vac. coag., Lac-ac. (The following were mostly supplied by Lippe to Swan’s arrangement.) Weak memory for what she has read, not for other things (Lach., Nat. m., Staph.).
      Absent-minded (Anac., Caust., Con. Dulc., Lach., Nat m., Sep.).
      Crying, fearing she was contracting consumption (Calc., Guar., Sep.).
      Exalted feeling in sensorium (Plat.).
      Headache worse in cold wind, better in warm room (Aur., Nux-v., Rhus).
      Headache worse by noise better by keeping quite, confused feeling in head (Calc.).
      Must have light, but intolerant of sunlight (Aco., Bell., Cac., Gels., Ruta, Stram).
      Soreness and scabbing of nostrils (Kali-bi., Thu.).
      Lips dry and peeling (Nat-m.).
      Throat sensitive to touch externally (Lach.), worse by empty swallowing (Ign.).
      Breasts sensitive to pressure (Cal c., Murex), to deep pressure (Merc.), as if full of very hard lumps, very painful when going up and down stairs (Bell., Calc., Carb., an., Lyc., Nit-ac., Phos.), soreness and enlargement (Bell., Bry., Calc.).
      Small, round, or irregular grey white ulcers on tonsils and fauces (Merc. i.).
      Discharges of diphtheritic matter from vulva and rectum (Apis).
      Empty, weak feeling in stomach-pit (Dig., Ign., Pet., Sep.), pain as from a stone or undigested food in stomach-pit (Kali-bi.).
      Pain in right ovarian region (Ap., Lyc., Pallad.).
      Sensation as if breath would leave her when lying down, must get up and move about (Grind.).
      Sciatica (Cur., Graph., Gnap., Kali-bi., Ir-v., Lach, Phyt., Tell.).
      When walking seems to be walking on air, when lying dose not seem to touch the bed (Asar., Chi., Coff., Nat m., Nux-v., Op., Rhus., Spi., Stram., Thuj., Stict. Pul. Phos-ac.).
      Dreams of going on a journey (Lac-v. deflor., Lach., Sang., Sil.).
      Spreads fingers apart (Secale – in spasms).
      Retina retains impressions of objects (Tuber.
      Nicotine. Lyc., ear retains impression of sounds)., Red spot before vision (Dubois.
      Hyo.).
      Flatus from vagina (Bor., Lyc., Nux m., Merc. cy., Gels.).
      worse Going down stairs (Borax).
      Diphtheria (Diphtherinum, Merc., cy., Gels).
      (Hydrophobinum is a dog-engendered nosode and must be compared with Lan. can, Lach. is one of its antidotes.) Cannot bear one finger to touch the other (Lac. f. cannot bear one foot to touch the other.)

Causation.
      Result of fall.

Mind.
      Illusions or hallucinations about snakes, imagines they are all around her, that they are creeping into her bed, fears to close her eyes.
      Horrible visions, fears they will take objective form, when sitting still and thinking.
      Wakes at night with a sensation that she was lying on a large snake.
      After menses, imagines all sorts of things about snakes.
      Woke at daylight, feeling that she was loathsome, horrible, mass of disease.
      Could not bear to have any one part of her body touch another, felt if she could not get out of her body is some way, she would soon become crazy, could not think of anything but her own condition.
      Feels weak, and nerves so thoroughly out of order, that she cannot bear one finger to touch the other (nervous throat affection).
      Is impressed with the idea that all she says is a lie, that all her symptoms are unreal, and the result of a diseased imagination, it seems to be very difficult to speak the truth, but continually distrusts things, when reading anything she rapidly changes the meaning omitting or adding things.
      Imagines that he wears some one else’s nose (diphtheria).
      Felt very short in morning while walking, ditto in evening.
      Finds it very difficult to read understandingly anything requiring a mental effort to follow it.
      Very restless, cannot concentrate her thoughts or mind to read, wants to leave everything as soon as it is commenced.
      When speaking, substitutes the name of the object seen for that which is thought.
      Cannot remember what she reads, but objects seen for that which is thought.
      Cannot remember what she reads, but can remember other things.
      In writing, uses too many words or not the right ones, very nervous.
      Absent-minded. Cannot bear to be left alone for an instant (diphtheria).
      Fear: of disease, of consumption, of heart disease, of falling downstairs.
      Fits of weeping two or three times a day (metritis).
      Depression.
      (Thinks she is looked down upon by every one, and feels insulted thereat.) – Anxious. Easily excited, easily startled.
      Cross and irritable, while headache lasted.
      (Attacks of rage, cursing and swearing at the slightest provocation.)

Head.
      Dizzy sensation with slight nausea.
      Constant noise in head, very confusing, worse at night, and much worse at menses (metritis).
      (Sick headaches beginning in nape, the pain settling gradually in right or left forehead.) – Pain in left occipital region running up when moving head.
      (Headache over eyes, worse when sewing, frontal and occipital, worse turning eyes up.) – Sharp lancinating pain, in a zigzag line from right side of forehead to an indefinite point in occiput, instantaneous, and sometimes repeated, as soon as it is felt, she lays aside whatever she is doing and lies down, from an indefinite dread that it will return, if at night, she goes to bed at once, has great dread of the pain, though not very severe, recurred for several days.
      Sharp, throbbing pain in right side of forehead then in left side of forehead slightly.
      Sharp pain like a stab in right temple, at seven PM
      Throbbing pain just over left eye principally.
      Headache over left eye on first waking, and great pain in pelvis, most marked at right ovary.
      Neuralgic pain in left side of head, followed by a film over left eye, wants to rub it off, not better by rubbing.
      Headache first on one side of forehead, then on other.
      On going into the cold wind, felt a terrible pain in forehead as if it would split open, better on going into warm room.
      Headache in upper part of forehead, with sensation of a broad band pressed firmly across forehead from one temple to the other.
      Darting pain across forehead and over eyes.
      Headache over both eyes, extending back over left ear.
      Slight pressure on vertex and over eyes, the day before menses ceased.
      Dull pain in right temple and right eye, with pressure on vertex during menses.
      Stiffness in occiput on turning head, with soreness on pressure.
      (Occipital headache, with shooting pains extending to forehead.) – Headache worse by noise or talking, better by keeping quiet, confused feeling in head.
      Intense headache, entirely better by cold-water application, but soon returned, but, however, as severe.
      Pains in head during day, first on one side then on the other, it seems perfectly unbearable: better on first going into the air, but soon grows worse.
      Sensation as if brain were alternately contracted and relaxed, several times rapidly, generally only when lying down, at various times all through proving.
      Excessive dandruff on head for past week.
      Sore pimples on scalp, which discharge and form a scab, extremely painful when touched, or on combing hair.
      Head very sore, and itches almost all the time, worse at night.
      Slight roughness of skin of forehead, as of numerous pimples.

Eyes.
      Sharp pain in socket back or right eye, followed by tenderness in right temple, both transient.
      Darting intense pain round left eye.
      Heaviness of upper eyelid, with pain above left eye: burning in left eye, agglutination of left lids (rheumatism).
      Eyes slightly swollen, profuse lachrymation, with catarrh.
      Looking at different objects causes eyes to ache.
      Pricking sensation in eyeballs, eyes sensitive to cold air.
      Upper eyelids very heavy, can scarcely keep eyes open, very sleepy.
      Pain in eyes when reading, followed by a film over them, apparently requiring to be wiped off before she can see.
      Tendency in retina to retain the impression of objects, especially of colors, or somewhat of the object last looked at is projected into the next.
      (Sees faces before her eyes, worse in the dark, the face that haunts her most is one that she has really seen.) – Small floating discs before eyes occasionally, and showing primary colors at edge of discs.
      When reading the page dose not look clear, but seems covered with various at an object sees red spots on it.
      While looking at an object appears to see just beyond or out of the axis of vision, an object passing across the field of sight, but on adjusting the eye to see it, it is gone, it always appears as a small object, like a rat or bird, sometimes on the floor, at others in the air.

Ears.
      Pain in right ear, sometimes intense.
      Very sharp pain in right middle ear, while walking in wind, had to cover it with hand, which gave entire relief, sharp pain in right side also.
      No pain during day, but is awakened several times during night by sore aching pains in middle and external ear of side on which she is lying, soon passes off when the pressure is removed.
      (Green, odorless discharge.) – Reverberation of voice as if speaking in a large, empty room, with pain in frontal region, first over one eye and then over the other.
      (Sounds seems far off.).
      Ringing in right ear.
      At night a buzzing in right ear.
      Noises in ears, sensation as though ears were full.
      (More than any other remedy, relieved deafness from hereditary syphilis.)

Nose.
      Sore on right side of septum of nose, next day nose sore, constant inclination to pick at it and get the scab off, nose still sore on sixth day, and on seventh day was very painful to touch, but on eighth day scab came off nose, leaving it as well as ever.
      Left nostril first dry, afterwards discharging a thin, ichorous fluid, excoriating nostrils.
      Stuffed feeling in nose and throat.
      Watery discharge, followed by dry sensation in nose.
      Fluent catarrh from tubal nasal discharge, like gonorrhea, staining pillow greenish yellow.) – One side of nose stuffed up, the other free and discharging thin mucus at times and thin blood, these conditions alternate, first one nostril stopped up and the other fluent and vice versa (diphtheria).
      Bad smell in nose.
      Cannot bear smell of flowers, they seem to send a chill over her.
      All drinks return by the nose, nothing being swallowed (diphtheria).

Face.
      Right cheek burns like fire, and is red after coming in from the cold.
      Pain as from a knife-thrust from under left zygoma up to vertex.
      Burning flushing of face.
      Marked pallor of face.
      Lips dry and peeling off.
      Jaw cracks while eating (dyspepsia).

Teeth.
      Pain in left upper molars, coming from left temple through left ear.
      Teeth sensitive to cold water.
      Gums swollen, ulcerated, retracted, bleeding, teeth loose, caused by defective nutrition and exposure.

Mouth.
      Tongue coated brown.
      Tongue dirty, deeply coated near back and center, except on edges, which are bright red, at nine PM tongue looks patched.
      Taste: putrid, of lead, afternoon.
      Swelling of left sublingual gland, ranula.
      Mouth and throat covered with aphthous yellowish-white ulcerations, easily bleeding.
      Roof of mouth very sore, with blisters that break and leave loose skin, any seasoned food causes great pain.
      Inside of lower lip feels tender and sore, and looks very red.
      Mouth very dry.
      Saliva: increased, slightly viscid, ran from mouth during sleep.
      Mouth constantly full of mucus, but a constant inclination to swallow, which causes pain.
      Frothy mucus in mouth worse by going into open air, and after eating.
      Breath very offensive (diphtheria).
      Talking is very difficult, and there is a disposition to talk through nose (nervous throat affection).

Throat.
      In morning throat very sore, right tonsil covered with ulcers and patches, which extended over palate and covered left tonsil, next day membrane extended across posterior wall of pharynx, uvula elongated, accompanied by chilliness, high fever, pains in head, back, and limbs, great restlessness, and extreme prostration.
      This was pronounced to be "severe diphtheria," but it soon got well.
      Diphtheritic patch appeared first on right tonsil, then on left, and frequently on alternated sides, the swelling of sub maxillary and lymphatic cervical glands also alternated in like manner, there was a noticeable worse after a cold storm from North-East. Quinsy, alternating sides, thick, though pieces of diphtheritic membrane coming away, and new membrane constantly re-forming, swelling in throat so large and tense that mouth could not be closed.
      The diphtheritic deposits look as if varnished, exudations migratory, now here, now there (diphtheritic croup).
      Throat sore: with sever headache, pain extending to chest, dry and sore, deep red color on either side of throat opposite tonsils, on left side, painful to external pressure on both sides.
      Throat feels stiff (diphtheria).
      Sore throat alternating sides, beginning and ending with menses.
      Feeling of a lump, in throat, which goes down when swallowing, but returns, throat worse right side, worse on swallowing saliva, afterwards, throat which had been getting well, suddenly one evening grew rapidly worse, but this time on left side.
      Constant inclination to swallow, which causes pain extending to right ear.
      Tickling and sense of constriction in upper part of throat, causing constant dry, hacking cough.

Appetite.
      Appetite improved, increased.
      Cannot satisfy her hunger.
      Desire for highly-seasoned dishes, which is very unusual, has used pepper, mustard, and salt freely.
      No appetite (diphtheria, acute rheumatism).
      Considerable thirst.
      Great hunger for large quantities, often.
      Craves milk and drinks much of it (diphtheria).
      Aversion to anything sweet.

Stomach.
      Nausea, with headache, on waking, continuing all morning.
      Nausea better by eructations of wind.
      At five PM while smoking a cigar, great nausea with severe pain in stomach-pit, vomiting seemed imminent, but the sensation ceased in four or five minutes.
      At 10.15 AM, empty, weak feeling in stomach-pit, next day, same at six PM
      Weak, sinking feeling at stomach-pit, on waking in morning.
      Burning in epigastric region, feeling of a weight and pressure of a stone in stomach.

Abdomen.
      Pain in right side of pelvis, while it lasted there was no pain in left side.
      Pain and burning in left side of abdomen and pelvis, with weight and dragging on that side, clothes feel very heavy.
      Feeling of tension in left groin, dose not want to walk or stand, as it worse the sensation, better by flexing leg on abdomen.
      Very acute pain in 1 groin, extending up left side to crest of ilium, better by stool, sometimes the pain s in track of colon.
      Abdomen swollen, and sensitive to deep pressure, which also causes nausea, the nausea passes off when pressure is removed.
      Felt as though abdomen and chest were firmly compressed all over, as if the skin were contracted.
      Abdomen very sensitive to pressure and weight of clothes, entirely better by removing them, during very profuse menses.
      Pains in abdomen intermittent.
      Pain in pelvis, principally over right ovarian region.
      Headache (left) on first waking, and great pain in pelvis, most marked at right ovary.
      Pressure from within outwards, as if contents of abdomen would be forced out literally, just above pelvis.
      Sensation while walking as if abdomen would burst.

Stool and Rectum.
      Frequent desire for stool all through provings.
      When having a soft passage great tenesmus, rectum dose not act as if it had lost power, but as if it could not expel feces because they are soft, and adhere to the parts like clay.
      Constipation, occasionally natural passages, urgent desire for stool, but passes nothing but wind, or possibly one or two small pieces like sheep-dung, considerable wind in abdomen, with rumbling but never any pain.
      Profuse diarrhea, with colic pain, diarrhea watery, profuse, coming out with great force.
      Great constipation before and after menses, bowels very loose (not diarrhea) during menses.

Urinary Organs.
      Urination causes intense pain in urethra, soon passing off.
      Sensation after urinating, as if bladder still full, continued desire to urinate.
      Frequent desire to urinate, which if not immediately attended to causes pain in bladder, a numb, dull sensation, if not better by urination it spreads over abdomen and left side to ends of fingers, never in head, would frequently wake at night dreaming of the pain, and would have to urinate to better it.
      Constant desire to urinate, passing large quantities frequently, at night she dreams of urinating, and wakes to find an immediate necessity, a less strong and healthy person would probably have wet the bed.
      (Nocturnal enuresis, a specific.)

Male Sexual Organs.
      Sexual desire quite marked.
      Right spermatic cord, low down, sore to touch.
      Chancre on prepuce, left side of frenum, penis greatly swollen, chancre like a cauliflower excrescence, red, smooth, and glistening.
      (Small sore at entrance of urethra, parts of glans around urethra an open ulcer, exhaling most fetid smell, and with most excruciating pain, red, glistening appearance.) – Gonorrheal pains, intermittent, in front, middle, or posterior part of urethra, when the gonorrhea is better, catarrh sets in.

Female Sexual Organs.
      Menses scanty, terribly cross and impatient first day, on second day, severe paroxysmal pains in uterine region, causing nausea, occasional pain in left ovarian region, passing about half-way down thigh, on upper part of it, all these pains better by bending backwards, pain and aching in right lumbar region when leaning forwards (as in sewing) even for a short time, entire better when bending back.
      Menses scanty at first, with pain in left ovary.
      Menses very profuse, abdomen very sensitive to pressure and weight of clothes, entire better by removing them.
      (Several cases of membranous dysmenorrhea.) – Dysmenorrhea, pain in left groin, with bearing down and nervousness.
      Leucorrhea all day, but none at night, even after taking a long walk.
      Slight leucorrhea during the day, worse when standing or walking.
      Severe pain in right ovarian region, completely better by a flow of bright-red blood, which lasted an hour, and did not return.
      In afternoon, intermittent, sharp pains in right ovarian region.
      Constant pain in right ovary.
      Pain in left ovarian region, and all across lower part of abdomen.
      Sharp pains beginning in left ovary, and darting like lightning either towards right ovarian region, or else up left side and down arm, or sometimes down both thighs, but generally down left leg to foot, which is numb, pains like labor-pains, accompanied by great restlessness of legs and arms, and great aching in lumbar region, (5th, day after premature labor).
      Sharp, lancinating pains like knives cutting upward from os uteri, and as these were being relieved, sensation as of needles darting upwards in uterus.
      Escape of flatus from vagina.
      Pressure on anterior part of vulva, entire better by sitting, sensation as if everything were coming out at vulva, with frequent desire to urinate and smarting in urethra.
      Itching in left side of labia, with rough eruptive condition on left side of vagina, with acrid leucorrhea, excoriating severely.
      Great swelling of left labia, and terrible pain while urinating, (from gonorrhea).
      Itching of vulva.
      Intense painful soreness of vulva, extending to anus, coming on very suddenly about noon, and lasting for about two hours, came on again during evening, could not walk, stand, or sit, better by lying on back and separating the knees as far as possible.
      Raw and bad-smelling sores between labia and thighs, in folds of skin, worse when walking, would rather keep still all the time, these sores are covered with a disgusting white exudation.
      Sexual organs extremely excited, very much worse from the slightest touch, as putting the hand on the breast, or from the pressure on vulva when sitting, or the slight friction caused by walking.
      (After-pains very distressing, extending to thighs, rather worse on right side.) – Menses very stringy and sticky, cannot get rid of them.
      Urination caused intense pain in vulva, when even the least drop of urine came in contact with it.
      Breasts very sore and sensitive to pressure for a day or two during menses.
      Breasts very sore and painful, with sharp, darting pain in right ovarian region extending to knee, very painful and must keep leg flexed (Ist d. after miscarriage at 6th month).
      Constant pain in breast, they feel very sore when going up or down stairs.
      Breasts seem very full.
      Constant pain in nipples.
      Breasts sensitive to deep pressure.
      Breasts painful, feel as if full of very hard lumps, worse going up or down stairs.
      Loss of milk while nursing, without known cause.
      Galactorrhea (many cases).
      Dries up the milk when nursing.
      Given for an ulcerated throat to a nursing woman, it cured the throat and nearly dried up the milk.
      After two doses of c.m. rapid decrease in size of breasts and quantity of milk in a lady who wanted to wean her child.

Respiratory Organs.
      Slight hoarseness, with now and then a change of voice, after waking, but soon passing away.
      Cough from tickling in upper anterior part of larynx, worse when talking and also when lying.
      Cough from tickling under middle of sternum.
      Cough with pain and oppression of chest, it jars her all over.
      Loss of voice, cannot speak in a whisper (pharyngitis).
      Marked soreness on touching larynx (diphtheria).
      Sensation as if the breath would leave her when lying down and trying to sleep, has to jump up and stir around for an hour or so every night.

Chest.
      Terrible dyspnea immediately after sleep, first on left side of chest, the dyspnea compelled her to be lifted upright with violent exertion to get breath, there was sharp pain in region of heart with each of these attacks: after the medicine had but one attack of dyspnea, and all the pain fast was referred to right side of chest (acute rheumatism).
      Lungs feel as though fast to chest, worse while writing.
      Clavicles sore to touch.
      Stabbing pain in right lung, just below nipple, preceded by pain in stomach-pit as of a stone or undigested food.
      Sharp pain in right breast at four PM
      Feeling of oppression and tightness behind sternum, with desire to draw a deep breath.

Heart.
      Palpitation of heart, irregular, causing shortness of breath.

Neck and Back.
      Neck stiff (rheumatism, neuralgic headache, diphtheria).
      Sharp neuralgic pain under right scapula.
      Lameness and cutting, pain under left scapula, worse turning in bed.
      Sharp, cutting pain under left scapula, shooting forwards through lung.
      Backache nearly all day between scapula, worse after becoming warm, somewhat better by leaning back.
      Pain in sacrum worse by riding (not by walking.) – Aching pain, worse by stooping, better by leaning back with weakness, this pain extended around left side of pelvis (leaving the back), to inside of thigh followed by a bloody leucorrheal discharge after six hours, which came all at once, leaving labia extremely sensitive.
      Spine aches from base of brain to coccyx (pharyngitis).

Limbs.
      Aching pains in limbs and back.
      Rheumatism beginning in soles flying from joint to joint and side to side, worse every evening and by movement and touch, numb pains in ankle.
      Burning of hands and feet at night.

Upper Limbs.
      Painful swelling and hardness, with suppuration of left axillary gland, menses came on at same time.
      Pains down right arm and in fingers, which feel cramped, dose not seem to have the same power in right hand.
      From draft in evening, sudden, violent pains in right shoulder, so much so that when retiring she could not raise arm to finish toilet, as if disabled by dislocation.
      Right wrist lame and painful.
      Sharp, shooting pains in ball of right thumb.
      Sharp pain round left arm, as of a cutting instrument, felt principally at the vaccination-cicatrix, passed from thence to left elbow and disappeared, (forty-five minutes after first dose.) – Trembling of left hand, as in paralysis agitans.
      Woke at night feeling very chilly, with sharp pain in left hand, and sensation in left arm as if asleep, lasting fifteen minutes.
      Palms and soles burning hot.
      Two warts on little finger noticed to be leaving.
      Painful eruption on axille, like moist herpes, exceedingly painful on washing them.
      Veins in hands look bluer than usual, they are swollen.
      Sensation s if an insect were crawling on shoulders and neck, occasionally on hands.
      Perspiration in axille, stains linen bright organs color, no smell.
      Very fetid perspiration in axille, staining linen brown.
      Wrists very lame, especially right, which has sharp pains passing from thumb to little finger.

Lower Limbs.
      A few days before menses, inside of both thighs became raw and painful when walking, they then broke out with large, flat, red pimples, the soreness soon left, but the pimples remained.
      Varicose veins on outer right thigh, from hip to knee.
      Sensation of numbness in left leg with great heat as if burning, but cool to touch, brought on by pressure.
      Stiffness through thighs, worse on attempting to move after sitting.
      Veins of feet and ankles very much swollen.
      Feet swollen and very sore, causing considerable pain while walking.
      Cramps in feet.
      Numbness and paralytic feeling in inner side of both knees, extending to both big toes.
      Pain in right hip and leg while walking, with a trembling of leg, and slight feeling of uncertainty, especially on going down stairs (metritis).
      (Articular rheumatism in right hip and knee joints, especially former, she was seated in an armchair, unable to move, complaining of bruised, smarting, lancinating pains in both joints and in lumbar region with swelling of affected joints, pains worse by slightest motion at night, by touch and by pressure of bed clothes, next day pains and swelling had by touch and by pressure of bed clothes, next day pains and swelling had gone to left hip and knee joints, leaving right almost free, the ensuing day they attacked right hip and knee, complaining, moaning, and sighing on account of her sufferings and probable termination of her illness).
      Rheumatic pains in left hip and along sciatic nerve, wandering pains in nape of neck, with stiffness, pains in one or other shoulder, pain above left eye and heaviness of eyelid, burning in eye, agglutination of eyelids, sensitiveness to light (sciatica and rheumatism).
      Intense, unbearable pain across superscacral region, extending to right nates and down right sciatic nerve, pain so severe as to prevent sleep or rest (sciatica).
      (Partial paralysis of right leg from miscarriage, leg numb and stiff, but cannot keep it still, feels better flexing it on abdomen.) – Numb pains chiefly in ankles, worse while quiet, with swelling, veins of ankles distended, better while extreme heat in applied (rheumatism).
      Ecthyma: on right leg.

Skin.
      Sensation as if an insect was crawling on shoulders and neck, occasionally on both hands.
      Herpetic eruption in both axille, with light brownish scab, extremely painful when washing, eruption most in right axilla, and in both instances appeared previous to pain in labie, which was followed by a discharge of blood from vagina.
      Every scratch gets sore.
      ichthyosis, with bran like desquamation of skin.
      Shining, glazed, and red appearance of ulcers on shin and wrist (syphilis).
      Crusts on skin, under which greyish yellow matter formed and was squeezed out.

Sleep.
      Great desire to sleep (diphtheria).
      Cried out and talked in sleep (diphtheria).
      Cannot find any comfortable position in bed, there is no way that she can put her hands that they do not bother her, falls asleep at last on her face.
      Dreamed a large snake was in bed (tonsillitis).
      Got to sleep late, profuse sweat during sleep, felt feverish all night, in morning better in every way.
      At night lies with left leg flexed on thigh, and thigh on pelvis, restless, worse after sleep (ovaralgia).
      Dreams frequently that she is urinating, and wakes to find herself on point of doing so, requiring immediate relief.
      Symptoms worse after sleep (diphtheria).

Fever.
      Chilly feeling lasting all day.
      Internal chilliness with external warmth.
      Cold chills run down back, hands as cold as ice (on entering house four PM, 6.30 entire better after a good dinner).
      Fever and chills for a few days, and up and down every few hours.
      Intense fever on waking in morning, with perspiration.
      Dry not skin (Diphtheria).
      Exhausting sweats, after sleep.
      Wakes at night in cold perspiration, with fearful foreboding (metritis).
      Perspired considerably through night, sweat having a rank smell (acute rheumatism).