Spirae ulmaria

Natural History.
      Spirae.
      Ulmaria.
      Queen of the Meadows. Meadow-sweet. N.O. Rosacea. Tincture of fresh root.

Clinical.
      Conscientiousness, morbid.
      Convulsions.
      Epilepsy.
      Eyelids, affections of.
      Hydrophobia.
      Esophagus, stricture of.
      Ptosis.
      Urine, deposits in.

Characteristics.
      Bojanus proved Spiraea, taking substantial doses.
      A leading symptom was the production of heat, general and local.
      Heat in throat, in oesophagus, under manubrium sterni, under ensiform cartilage.
      Bojanus was seized with remorse, a kind of morbid conscientiousness.
      Fullness and heaviness of head.
      Washing with cold water was very unpleasant, and caused a feeling as if the head were too large.
      A scurfy condition of eyelids and heaviness of lids after siesta were noted.
      The urine was turbid as if mixed with clay, and deposited red sand, had an oily film on the surface.
      Hansen mentions Spi. As having been recommended in hydrophobia, epilepsy, and eclampsia.
      The burning in oesophagus was better by eating and drinking but not by empty swallowing.
      Symptoms were worse indoors, better in open air.
      Worse moving head.
      Worse sneezing.
      Better moving about.

Mind.
      At one AM was attacked with remorse over a long-past slight indiscretion, with most fearful qualms of conscience and loathing of himself, could not rest on account of it, obliged to rise and walk about.

Head.
      Vertigo with heat in cheeks.
      Headache: worse shaking head, with increased warmth of body, as if blood flowing more rapidly through vessels, better towards evening.
      Dullness and heaviness in head with pressive headache.
      On lying down at eleven PM sensation like vertigo, as if all senses vanished and all blood left the head, with a prickling in face.
      Pain over whole head as if a ring were tightened about head with heaviness, on shaking head, brain seemed to wabble to and fro.
      After washing, head felt large.
      Pressive headache and fullness in forehead, worse in house, better in open air.

Eyes.
      Eyes full of mucus, dried to crusts on waking.
      Lachrymation of left eye, increased warmth in it, sclerotic bright red.
      On waking lids so heavy cannot open them for a long time.
      Sensation as if something hot mounted to eyes, causing biting and burning and sensation as if tears would flow, but they did not.

Face.
      Face red.
      Sensation as if blood mounted to face with increased heat.

Mouth.
      Slight drawing toothache in left back teeth.

Throat.
      Increased warmth in pharynx, extending down to stomach, burning pressure in oesophagus, generally better at night, better eating and drinking, not on empty swallowing.
      Sensation as if oesophagus too small, constricted.
      Cold sensation in oesophagus extending to both sides of chest.
      Warmth in esophagus opposite the manubrium sterni.

Stomach.
      No relish for smoking.
      Frequent eructations.
      Burning in small spot beneath ensiform cartilage as if something hot or acrid had been taken.

Abdomen.
      Frequent emission of very offensive flatus.
      Movings and gripings in hypogastrium during stool.
      After eating moving in navel.

Stool and Anus.
      Prickling, crawling, sticking in rectum and anus.
      Prickling, constrictive sensation long after stool.
      Frequent desire for stool, that suddenly disappeared.
      Stool delayed, evacuated with pressure and stringing, hard, scanty, like sheep’s dung.
      About ten PM somewhat hard stool, accompanied and followed by burning and soreness in the anus, and a sensation as if the anus were drawn up into rectum and something hard were still remaining.

Urinary Organs.
      Burning at orifice of urethra while urinating during stool.
      Urine bright yellow when passed, becomes cloudy, forming a deposit like clay with red, gritty sand.

Male Sexual Organs.
      In morning in bed, violent erections with great sexual des

Respiratory Organs.
      At seven PM cough, at first dry, afterwards loose, with tingling and scraping in throat, that continued long after the cough.
      On inspiration air of room seemed very cold as if he had been chewing peppermint.

Chest.
      Pressure beneath manubrium sterni as if he had swallowed too large a morsel, or a large piece of hard-boiled egg.

Heart.
      Pulse: hard and tense, weak, soft, small, contracted, hard, afterwards full and large.

Upper limbs.
      Cramp in muscle of forearm on lifting anything.
      Veins in hands distended.

Lower Limbs.
      Heaviness in lower limbs as if full, especially on ascending steps.

Generalities.
      In afternoon, exhaustion with stretching and yawning.
      Discomfort after siesta.

Sleep.
      Overpowering sleepiness, heaviness in limbs and dulness of head.
      Difficult falling asleep in evening, restlessness, frequent waking.
      Dreams: vivid during midday nap, in evening lascivious and emission.

Fever.
      Great heat over whole body.
      Heat like rush of blood to head and face.
      While eating, and after, heat over whole body and rush of blood to head, with slight outbreak of sweat on chest, face, and hands.