Tetradymite

Natural History.
      "Rare crystals from North Carolina and Georgia, containing about 60 parts of Bismuth, 33 of Tellurium, 6 of Sulphur, and traces of Selenium and Iron." Trituration.

Clinical.
      Coccygodynia.
      Nails, ulceration of, ingrowing.
      Tendo Achillis, pain in.
      Urticaria.

Characteristics.
      Hering proved Tetradymite, taking about five grains of the 1st trituration.
      The most prominent symptoms were pains occurring in small spots, ulcerative pains about the nails, and a sharp attack of urticaria from eating shell-fish.
      Pains in ankles, heels, and tendines Achillis were also severe, and these were worse rising from a seat.

Mind.
      After waking in morning, made anxious by street noise.

Head.
      Pains in right temple, in occiput.

Ears.
      Pains in left ear, afterwards in right, as if bones sore.

Nose.
      Repeated sneezing on going out, with discharge of thin mucus.

Mouth.
      Toothache right lower jaw, afterwards left
      Coated tongue became clean.
      Bitter taste.

Stomach.
      Great hunger in morning.

Abdomen.
      Disagreeable feeling in abdomen.
      Colic and desire for stool.
      Burning, pinching-pressive pain in last ribs.

Stool and Anus.
      Pasty, scanty, lumpy stool, light yellow, with biting burning in anus.
      No stool second day, third day, in morning, scanty, soft stool with much pressure and discharge of blood, in evening another soft stool with much black blood.

Male Sexual Organs.
      Violent erections in morning.

Respiratory Organs.
      Hoarseness.
      Oppression better by sweat.
      Difficult respiration in back part of throat and larynx.

Chest.
      Griping as with pincers, followed by violent sticking in upper chest, beneath left shoulder, repeated at intervals, afterwards in left elbow.

Neck and Back.
      Pain in nape.
      Pain in small of back on rising.
      Severe pain in coccyx and lower extremity of right ischium, especially when sitting (an old symptoms revived).

Limbs.
      Pain in left leg, and left elbow.
      Frequent pains in margins of nails as if an ulcer would develop, painful on pressure, as if burning and sore in small spots, especially right middle finger.

Upper Limbs.
      Stiffness in left arm as if lame worse about elbow-joint, at part where ulnar nerve is exposed, constant inclination to stretch, twist, or turn arm.
      Violent pain in hands as if in bones or nerves.

Lower Limbs.
      Sharp pain through left leg.
      Tendines Achillis (especially r.) constantly painful as if sprained, better walking, worse rising from seat.
      Pain in ankles, violent while sitting, worse rising from seat.
      Cramp in right side.

Generalities.
      Pains in small spots.

Skin.
      Nettle rash, especially in face after eating crabs, whole face stiff even while eating.
      Burning pains as from hot needles.
      Crawling itching in right palm.

Sleep.
      Very sleepy, weary and ill-humored while riding in carriage.
      Awoke three AM from a dream that a steer was following him, and as though he had often had the dream before, which was not so.

Fever.
      Sweat, especially on occiput and on nape, at night, though the night was cool and windows open.