UC-NRLF 
 
 171 "120 
 
THE LIBRARY 
 
 OF 
 
 THE UNIVERSITY 
 OF CALIFORNIA 
 
 PRESENTED BY 
 
 PROF. CHARLES A. KOFOID AND 
 MRS. PRUDENCE W. KOFOID 
 

DR. B. MITRE'S 
 
 MATERIA MEDICA, 
 
 OR 
 
 Proiings of the principal AniDial and Vegetable Poisons 
 
 or THE 
 
 BRAZILIAN EMPIRE; 
 
 AND THEIR APPLICATION IN THE TREATMENT OF DISEASE. 
 TRANSLATED FROM THE FRENCH 
 
 AND 
 ARRANGED ACCORDING TO 
 
 HAHNEMANN'S METHOD, 
 
 BY 
 
 CHARLES J. HEMPEL, M.D. 
 
 FELLOW AND CORRESPONDING MEMBER OF THE PENNSYLVANIA HOMOEOPATHIC 
 
 COLLEGE ; HONORARY MEMBER OF THE HAHNKMANN SOCIETY OF 
 
 LONDON, &C., &C. 
 
 KEW-Y OEK : 
 
 WILLIAM RADDE, No. 322 BROADWAY, 
 
 PHILADELPHIA: RADEMACHER & SHEEK. BOSTON: OTIS CLAPP. 
 ST. Louis : J. G. WESSELHOEFT. LONDON : JAMES EPPS, 
 112 GREAT RUSSELL-STREET, BLOOMSBUHY. MANCHESTER : 
 H. TURNER, 41 PICCADILLY. 
 
 1854. 
 
ENTERED according to Act of Congress, in the year 1853, by 
 
 WILLIAM KADDE, 
 
 In the Clerk's Office, of the District Court, for the Southern District of 
 New-York. 
 
 HENRY LUDWIQ, Printer, 
 45 Vesey-street. 
 
IS- 
 
 TO THE 
 
 BRAZILIAN PEOPLE. 
 
 THOUGH the precious metals hidden in the Brazilian soil, 
 may be never so abundant ; though the splendor of its 
 precious stones, may be never so brilliant ; though the crops 
 which the soil yields to the farmer, may be never so rich : 
 yet there are, in the Brazilian empire, treasures of a far 
 greater importance, and infinitely more necessary to human 
 happiness. They are the powerful means which this vast 
 country furnishes for the cure of disease. 
 
 Previous to Hahnemann's discovery, we were ignorant 
 of a positive method of determining the use of drugs. We 
 knew that they existed, but we did not know how to use 
 them ; and popular experience, more successful than the 
 wisdom of the School, had alone picked up a few stray 
 fragments from the rich harvest which had been abandoned 
 for want of the proper means of gathering. Providence 
 at last permitted Hahnemann and his disciples to discover 
 the method of applying remedies to diseases in a positive 
 and efficacious manner. The dominion of mere palliatives 
 is at an end. Homoeopathy, by attacking the cause of dis- 
 ease, destroys the chronic miasms, which are transmitted 
 from generation to generation ; dries up the fountain-heads 
 of epidemic and contagious diseases ; enables the infant- 
 body, by a positive hygiene, to resist the deleterious in- 
 fluences to which -it might be exposed in the course of its 
 existence ; and, by preserving human life, which is the 
 most precious capital of nations and the first element of 
 their greatness, Homoeopathy will insure their prosperity, 
 provided they adopt it without reserve. 
 
 M3743G9 
 
INTRODUCTION. 
 
 We admire the bold hunter who skims the sharp points 
 of the rocks, for the purpose of snatching the down from 
 the little ones of the eider ; the indefatigable diver, who, by 
 dint of patient toil, succeeds in bringing up the diamond 
 from the sands of the river, or the pearl from the bosom 
 of the sea. Should not the people of Brazil sympathise 
 with the patient and courageous experimenters, who, under 
 the auspices of Hahnemann, discover a world of wonderful 
 uses in the neglected products of this country? 
 
 The work which we here offer to the Brazilian people, is 
 not a work of fiction intended to amuse, but a serious work 
 detailing a series of painful sensations voluntarily endured 
 by a few devoted men, who were desirous of finding out 
 the therapeutic uses of the poisonous animals and plants, 
 the pathogenetic symptoms of which will be found described 
 in this volume. We shall be amply compensated for the 
 patience and devotedness which the composition of such 
 a work requires, by the consciousness that it will do its 
 share in diminishing the sufferings of mankind. 
 
 B. MURE, Rio Janeiro. 
 
 NOTE TO THE READER : The symptoms in the following work, are 
 arranged in groups of five ; the figures in the text indicate the numeri- 
 cal order of these groups.^-Eo. 
 
CROTALUS CASCAVELLA. 
 
 WE commence the publication of our provings by the 
 symptoms of the Crotalus Cascavella, not so much on ac- 
 count of the importance of the symptoms which the poison 
 of this dangerous reptile produces on the healthy body; 
 but because the unfortunate experiment which was attempted 
 a few years ago, on a sick person, offers a fair opportunity 
 of contrasting the hazardous and uncertain results of a 
 merely clinical experimentation, with the positive advan- 
 tages of Hahnemann's method of proving. 
 
 A popular notion, and the therapeutics of the Old-School 
 was gradually built up of such notions, attributed to the 
 poison of the crotalus cascavella, the power of curing the 
 elephantiasis of the Greeks, a malady which, in Brazil, 
 goes by the name of morphea, or Lazarus' -evil. A disciple 
 of Hahnemann might have verified this belief without any 
 
6 BRAZILIAN PATHOGENESI3. 
 
 difficulty, and without endangering human life. But the 
 Old-School who does not acknowledge our method of prov- 
 ing, had to remain in doubt about this curative virtue of 
 the cascavella, until a patient and physician would be found 
 sufficiently bold and logical to apply to a frightful disease 
 a still more frightful remedy. Mariano Jose Machado, fell 
 a victim to his heroic attempt, and, by his death, dis- 
 sipated the illusory hopes founded on the curative virtue 
 of the poison of the cascavella. Now what conclusion 
 shall we draw from this fact ? That the practitioner 
 who advised the attempt, has been imprudent and censure- 
 able ? God forbid that we should commit such an act 
 of injustice. A patient has succumbed to a clinical experi- 
 ment ; let us honor the heroic courage with which he 
 braved the serpent's bite; let us honor the zeal of the 
 practitioner, who persuaded him to risk a few years of a 
 loathsome existence for the chance, though uncertain, of a 
 cure. The unhappy Machado has been saved a few years 
 of cruel suffering ; but what a joy it would have afforded 
 him and his miserable fellow-sufferers, if the remedy for 
 their loathsome disease had been known ! what a glory it 
 would have been to the physician who should have con- 
 ducted them to the haven of relief ! * 
 
 * This case has been reported in detail, in the Medical Gazette 
 of Paris, of the 5th of January, 1839, by the attending physicians, 
 Mdia and Reis. We transcribe it for the benefit of our readers. 
 
 Mariano Jose Machado, fifty years old, of athletic form, bilious- 
 sanguine temperament, was afflicted with elephantiasis leontina Alibert. 
 The whole body, especially the extremities, were insensible. The 
 skin and the cellular tissue were thickened, hard, rugose and covered 
 with tubercles which were somewhat raised but not ulcerated. A few 
 pustules under the arms, looked like itch-pustules, and seemed to indi- 
 cate a complication with this disease. The epidermis and nails began 
 to alter, and the fingers had lost their normal shape. Internally, the 
 patient felt quite well, enjoying both vigor of mind and body. After 
 six years of suffering, he had come to the determination to try this 
 dreadful experiment, which would either lead to death or a deliverance 
 from his horrible affliction. 
 
 On the morning of the fourth of September, at fifty minutes past 
 eleven o'clock, he was bit by a rattle-snake, the crotalus cascavella, in 
 
GROTALUS CA8CAVELLA. 
 
 However, a homicide has been committed on this occa- 
 sion, and though the perpetrators may be free from blame, 
 
 the two last fingers near the metacarpus. He felt neither the bite, nor 
 the poison as it penetrated into the wound. A few drops of blood 
 came out of the wound, and the hand began immediately to swell. In 
 five minutes : slight feeling of coldness in the hands. Twelve o'clock : 
 slight pain in the hollow of the hands. Twenty minutes : the hand 
 swells a good deal. Thirty minutes : swelling of the jugular veins. 
 Alteration of the features. Formication in the face. Fifty-five minutes : 
 the sense of swelling extends through the whole forearm. Twenty 
 minutes past one : trembling of the whole body. Thirty-six minutes 
 past one : the head is affected, with frequent pulse, difficulty of moving 
 the lips, disposition to slumber, constriction of the throat, violent pain 
 in the whole arm, the hand swells more and more. Thirty-eight 
 minutes past one : sense of chilliness ; the patient covers himself. 
 Forty-eight minutes past one : pain in the tongue and larynx, increased 
 pains and swelling of the bitten hand ; sense of coldness in the feet. 
 Twenty-five minutes past two : difficulty of swallowing, anguish, 
 copious sweat on the chest. Fifty minutes : weakness of the arms, 
 nosebleed, anguish, now and then, restlessness, pulse 96. In three 
 hours and forty minutes : pulse 100. Fifteen minutes: intensely vio- 
 lent pains in the arms, restlessness. Thirty minutes : pulse 98, red 
 face, continual bleeding of the nose. Thirty-five minutes : the patient 
 drinks some wine and water without any difficulty, and changes his linen 
 which was all wet from the perspiration. Intense redness all over. 
 In four hours : pulse 100, the whole of the skin, especially on the 
 bitten arm, is very red, violent pains in both arms, which do not leave 
 the patient any rest, constriction of the throat, impeded respiration. 
 Fifty minutes : pulse 104, the body is very hot all over, flow of 
 saliva. In five hours, thirty minutes : torpor, copious emission of 
 urine, thick, viscid saliva, which it is difficult to get out of the mouth, 
 muscular debility, frequent moaning on account of the pains which 
 he feels in the whole body, quiet breathing, pulse full and frequent, 
 skin soft, the bitten hand swells enormously. In seven hours : som- 
 nolence with moaning, after waking the pains in the arms are less, 
 but he experiences violent pains in the chest, sensation of a lump in 
 his throat, copious emission of urine, great difficulty of swallowing, 
 white, viscid saliva, discharge of a bloody liquid from the nose, ina- 
 bility to swallow a drink composed of water, sugar and brandy. In 
 eight hours : the sweating abates, restlessness, moaning, emission 
 of urine. In nine hours, ten minutes : the moaning ceases, deep 
 sleep. In ten hours : takes an infusion of guaco, pulse 108, the 
 bloody discharge from the nose ceases, shrivelling of the tuberculous 
 formations on the arms and in the face, they exhibit an erysipelatous 
 
8 BRAZILIAN PATHOOENESIS. 
 
 yet we may justly condemn the deceitful science that has 
 to resort to such dangerous practices, in order to augment 
 its resources and enlarge its boundaries. Like unto the vile 
 poisoner who, when his poisons fail him, resorts to the 
 stiletto, as a means of gratifying his cupidity or his ambition, 
 allopathy sacrifices human life, and, like him, will have an 
 ignominious end. The solemn homicide, which was com- 
 mitted a few years ago in this capital in the name of science, 
 may be of use to the world, by hastening the glorious recog- 
 nition of the homoeopathic healing art, in these distant re- 
 gions. If it was permitted as recently as four years ago, 
 
 redness. In ten hours, twenty minutes : emits two ounces of a natural 
 urine, a few minutes' quiet sleep, without moaning. In ten hours, 
 forty minutes : the pains abate a good deal, but he complains of pains 
 in the thighs and feet, where he had felt a considerable coldness until 
 now, pulse 108, ordinary thirst, the patient sits up in order to 
 drink, and swallows the drink with ease. In eleven hours : takes four 
 spoonfuls of a strong infusion of guaco. In eleven hours, forty-five 
 minutes: emits a deeply-colored urine, pulse 119, the bitten hand 
 and arm are very much inflamed and intensely painful, restlessness. 
 In twelve hours: quiet sleep, disturbed by eructations, pulse 112, 
 emission of urine. In twelve hours, thirty minutes : restlessness, 
 screams, despair. In twelve hours, forty minutes : emission of urine, 
 pulse 116, sensation of burning heat in the legs, which he un- 
 covers. In thirteen hours : emission of urine, quiet, he takes an 
 infusion of guaco. In fourteen hours : he sits up in bed, and drinks 
 water, during which he moves about violently and screams. In fifteen 
 hours : emission of urine, the swelling of the lower lips abates, the 
 salivation ceases. In fifteen hours, forty-five minutes : pulse 110, 
 involuntary motion of the right thumb and left foot. In seventeen 
 hours : the patient feels very sick, pulse 100, frequent moaning. In 
 nineteen hours : excessive debility, involuntary motion of the lower 
 jaw, and lower extremities, bloody urine. In twenty hours : acceler- 
 ated, intermitting pulse, increase of the convulsive motions, the 
 swelling of the extremities, and the redness of the skin are less, ex- 
 treme difficulty of swallowing, anxious respiration. In twenty hours, 
 fifty minutes : diminution of the convulsive motions. In twenty hours, 
 fifty-five minutes : the convulsions cease. In twenty-one hours : he 
 takes an ounce of lizard-oil, which he swallows with difficulty. In twen- 
 ty-one hours, thirty minutes : death. In a few minutes, the blue-colored 
 body, swoll considerably. Twenty-three hours after death, the body had 
 swollen enormously, was covered with blue and red spots, and smelt so 
 horridly that no post-mortem examination could be made. HEMPEL. 
 
CROTALUS CASCAVELLA. 9 
 
 when the name of Hahnemann was scarcely known in this 
 country, to kill a man for the purpose of trying a drug, we 
 venture to say that, at this period, nobody would either dare 
 to propose or accept such a murderous practice. 
 
 It will be seen, in studying the symptoms which we have 
 obtained from the poison of the crotalus, that there are very 
 few among them which resemble the tuberculous lepra, and 
 that this terrible malady will, therefore, have to be cured by 
 some other means. Fortunately, homoeopathy teaches us 
 the method of discovering a suitable remedy iu the place 
 of the crotalus poison, which we now know has to be aban- 
 doned as a remedy for lepra, and the success which we have 
 already obtained, enables us to indulge the hope, that the 
 Brazilian lepra, as well as the elephantiasis of the Arabs, 
 will soon disappear entirely, under the operation of the 
 suitable dynamised homoeopathic agent. 
 
 The crotalus will become a useful adjunct to the lachesis 
 proved by Doctor Hering ; it is my belief that it affects the 
 organism longer and more thoroughly than the latter, and 
 will effect many cures which had to remain incomplete under 
 the use of lachesis. 
 
 The serpent from which this poison has been extracted, 
 was caught in the province of Ceara. In this operation I 
 was aided by the young practitioner who alone, four years 
 ago, had protested against the dangerous experiment which 
 was made in the hospital of the leprous patients, of which he 
 was at that time chief physician. His noble heart revolted 
 against the practice of risking human life, for the sake of a 
 medical doctrine, and, soon after, he imitated the glorious 
 example which Hahnemann had set him fifty years previous, 
 by abandoning a lucrative practice, and the direction of two 
 hospitals. Having first protested against the bite which the 
 reptile was caused to inflict upon his patient, he now volun- 
 tarily exposed his own life for the purpose of extracting the 
 poison, which was to be suitably attenuated in order to con- 
 vert it into a curative agent. Several drops of the poison 
 spirted on his face, and might have ended his life, if the 
 inner corner of the eye had been touched as I first feared 
 1* 
 
10 BRAZILIAN PATHOGENES1S. 
 
 it was. At this day, Avhen his suspicions have been abun- 
 dantly confirmed by the physiological provings, Dr. J. V. 
 Martins, is one of the firmest adherents of our rising School. 
 May he live to see the error which he had instinctively 
 rejected, completely extinguished by the brilliant light of 
 medical truth. 
 
 This terrible serpent is found in the province of Ceara, 
 whence it was brought to Rio Janeiro. This species gene- 
 rally attains a length of from four to five feet but the animal 
 from which the poison was taken for our provings, was three 
 feet long. Its oval-triangular head one half of which is 
 provided with shields, shows a round depression in front of 
 the eyes, which are covered with a large elliptical shield, 
 serving as a lid. The body is big, conical, its movements 
 are sluggish ; its upper surface is covered with scales, the 
 dorsal scales being keeled and somewhat lanceolate, the 
 scales of the tail being quadrangular and smaller. The belly 
 is provided with one hundred and seventy large transversal 
 plates ; there are twenty-five plates belonging to the tail, the 
 three first of which are divided in shields. The extremity of 
 the tail is furnished with seven or eight capsules of the con- 
 sistence of parchment which, when agitated, produce a shrill 
 sound. The color of the crotalus is a yellowish-brown, 
 much lighter under the belly, with twenty-four or twenty-six 
 regular long rhomboidal lines on each side of the back. 
 When irritated and during the excessive heat, the crotalus 
 spreads a very fetid musk-like odor. The molar teeth which 
 are few in number, but long and excessively poisonous, are 
 inserted in exceedingly dilatable jaws. Every body knows 
 that the poison of this reptile acts with a frightful intensity ; 
 and it was not without great danger that Doctors Mure and 
 Martins succeeded in obtaining a few drops of it, by com- 
 pressing from the living animal the gland which secretes it. 
 
 FIRST EXPERIMENT. 
 
 1. First day : Heavy pain in the back part of the orbit, and 
 at the left eyebrow. Second day : Pain under the right 
 orbit and at the forehead, right side. Third day : Dry 
 
CROTALU3 CASCAVELLA. 11 
 
 cough with tickling in the throat, at night. Fourth day ; 
 Headache extending over the forehead and then the rest of 
 the head. &. Fifth day : Smell all day like that of the 
 crotalus, insipid, nauseous, like the odor perceived in a hospi- 
 tal. Sixth day : Lancinations in various parts of the body. 
 Seventh day ; Contraction with pressure at the right eye- 
 ball which felt as if drawn out, Eighth day: Yellowish 
 diarrho?a. - Ninth day : Pain in the middle of the forehead. 
 10- Tenth day: Rheumatic pain in the right shoulder. 
 Eleventh day : Rheumatic pain in the left wrist. Twelfth 
 day : Violent cramps in the heel. 
 
 SECOND EXPERIMENT. 
 
 (The drug is taken at 10 o'clock in the evening.) 
 Spitting of black blood. 15. Prickling all over the body. 
 Starting during sleep. Sleeplessness. Fright at night, 
 without knowing about what. 20- Sleep in the morning. 
 The tip of the nose is drawn up as by a string which is fas- 
 tened to a central point of the forehead. Tingling in the 
 throat. Salt taste in the mouth which cannot be removed by 
 drinking sugarwater. 25- Pulse a little heavy. Small 
 red conical pimples on the wrist. Painful pulling on the 
 sides of the neck in turning the head. Feeling of coldness 
 in the stomach, after having eaten. Sensation as if a peg 
 were sticking in the middle portion of the liver. 30- Ach- 
 ing pain at the gums, left side. Circular pain round the 
 abdomen, terminating at the navel. Two lancinations under 
 the right shoulder, as if with a dagger, arresting the breathing 
 and reverberating in the chest. Sensation as of a grain of 
 sand in the outer canthi of the eyes. Burning pinching at 
 the pylorus. 35- Constriction in the thyroid body. Sen- 
 sation as if the right lower limb, from the hip to the heel, were 
 shorter ; this sensation, though illusory, causes him to limp. 
 The left eye feels as if drawn towards the temple. Burning 
 and constriction in the throat. 
 
 Second day : Pain in the inner head. 40. The feet are 
 cold. The arms are weak. Contusive feeling at the inner 
 side of the right shoulder-blade. Painful heaviness in the 
 
12 BRAZILIAN PATHOGENESIS, 
 
 loins. Appearance of a blue dazzling light before the eyes. 
 45. Borborygmi. Painful pressure in the temples. Desire 
 to vomit. Sensation, below the breasts, of subcutaneous ul- 
 ceratiori. Lancinations in the dorsal spine as from needles. 
 50- The prover imagines he hears some one walking behind 
 him. The cranium presses on the brain on all sides like an 
 iron helmet. Pulling in the pit of the stomach. Itching on 
 the thighs. Titillating itching in the ears. 55. Swell- 
 ing of the right ear. Deafness. Dreams about parties with 
 illuminations; quarrels, battles. Frontal headache, as if the 
 forehead would split, with weight above the eyes, especially 
 at night. Pain in the stomach extending to the navel. 
 60- Weariness of the arms and lower limbs. Smarting in 
 the nostrils. Cutting sensations all round the eyeball as if 
 cut out with a pen-knife. Pain in the left cheek. Sweat and 
 debility after eating. 65- Greenish spitting in the morn- 
 ing. Sensation in the head, as if some living being were 
 walking about in a circle. Shocks in the brain so violent 
 that one is near losing one's equilibrium. Continual twitch- 
 ing of the eyebrows, especially the left. Black, bloody froth 
 around the lips, in the morning. 70- Tongue of a scarlet- 
 red. Jerking in the fingers. Pain in the elbow as if the 
 bones were pulled. Sensation as if a thread were rolling in 
 the eye and were pulling the eyeball toward the temple. 
 Acute pulling in the thigh, with momentary paralysis in the 
 right pelvic extremity. 75. Acute lancinations in the right 
 temple. Very thirsty. Belly-ache after drinking. Pressure 
 in the whole abdomen, in the direction of the navel. The 
 abdomen is exceedingly sensitive. 80- Great desire for 
 food, suddenly passing off at the sight of the latter. Loath- 
 ing of meat. Yellow rings around the eyes. Discharge of 
 an albuminous substance from the rectum, preceded by tenes- 
 mus and urging. Falling of the rectum for ten minutes. 
 85. Pain in the hollow of the hand. 
 
 Third day. Pain in the chest which reaches as far as 
 the back. Sensation as of an opening in the pit of the sto- 
 mach through which air passes. Sleeplessness with agitations. 
 Headache as if the forehead would split. 90' Headache, 
 
CROTALt/S CASCAVELLA. 13 
 
 nose-bleed, and excited feeling in consequence of having 
 been roused from sleep suddenly. Drawing-up of the 
 lower limb from the hip to the foot, with crampy pain. Leu- 
 corrhoea. Small pimples on the hairy scalp. The toes re- 
 main bent. 05- The nails are red. Sensation as of 
 water in the chest, with efforts to throw it up, and sensation 
 as if the heart were floating in a liquid. Constant yawning. 
 Itching of the tongue. Smarting at the tips of the fingers. 
 100- Sensation as of dust in the throat. The pimples at 
 first look like flea-bites, after which they become elevated 
 like little cones and constitute the centres of an exfoliation 
 less entensive than that caused by the elaps coralinus, with a 
 little black speck remaining in the middle. Itching in the 
 canthus of the eye. Acute sensation of burning and redness 
 of the skin which is perceptibly sunken in at the opening of 
 the right nostril. The prover imagines he hears some one 
 moan. 105- The thorax and head feel as if pressed upon 
 by an iron armor. Sensation as of bands round the ab- 
 dornen. Pain in the elbows. Pain in the jugular veins when 
 moving the neck. Abundant discharge of nasal mucus, at 
 night. HO- Foul taste, or taste as of onions in the mouth 
 until it is rinsed. Burning and prickling at the tip of the 
 tongue. Swoon which passes off in the open air. Anorexia 
 all day, and a good deal of appetite in the evening. Pain 
 above the right breast. 115- The soup falls into the sto- 
 mach quite suddenly, and lies there like a stone, with pain in 
 the back. Stitch in the left side when drawing breath after 
 drinking. Lancinations in the side. 
 
 Fourth day. Violent lancinations in the uterus while 
 washing one's-self with cold water, the lancinations become 
 frightful when using warm water, with weight at the uterus. 
 Itching under the feet. 120- Formication in the feet as 
 high up as the ankles. Prickling in the bends of the knees. 
 Faint feeling at the stomach. While in a clairvoyant state, 
 he speaks to somebody who does not answer him. 125- 
 Feeling of fright at night. First the blood is felt rising in the 
 carotid arteries several times ; this is followed by a faint 
 feeling and lastly by a sensation as if a valve were suddenly 
 
14 BRAZILIAN PATHOQENEBIS. 
 
 opened. Violent blow at the epigastrium. All his limbs 
 tremble. Chilliness all over which continues even under the 
 bed-cover. 130- Violent ache at the vertex, and sensitiveness 
 of the hairy scalp to the touch. Extinction of the voice. 
 Great weakness. Depression of spirits. Suffocative op- 
 pression and fear of another paroxysm. 1B5- Sensation as 
 if a red-hot iron were sticking in the vertex. The eyelids 
 feel heavy. Pain in the lower gums as if they had been 
 touched by a red-hot iron. Excessive weight at the dia- 
 phragm. Continual contusive pain between the two shoulders, 
 and sometimes slow and measured lancinations when inclin- 
 ing backwards, as if a vertebra had been fractured. 140' 
 Constrictive pain in the thyroid body as if strung together 
 with a string. 
 
 Fifth day. Coldness in the back after eating. Drawing 
 from the neck to the epigastrium. Pain in the right clavicle. 
 Weight on the orbits, at night. 145- The feet are icy- 
 cold. Headache above the eyes, at ten o'clock in the morn- 
 ing. Stomach-ache when eating, as if too empty. The 
 heart feels as if beating from above downwards. Internal 
 pain between the shoulders. 150- The inner nose is 
 ulcerated. He is pursued all over by the idea of death, 
 especially when alone. He can only think of death with 
 great depression of spirits. Ineffectual desire to weep. 
 Lancinations in the meatus and auditorius. 155- Ver- 
 million-colored metrorrhagia. Paralysis of the tongue. 
 She stands for ten minutes on the window r -sill, and she is 
 arrested when on the point of precipitating herself out of the 
 window. She rises suddenly at three o'clock, uttering two 
 shrill cries and throwing herself forward. The vermillion- 
 colored metrorrhagia with which she had been affected since 
 the morning, disappears suddenly. 160- Profuse flow 
 of tears. The hands are cold. The hands tremble. Loss 
 of memory. Second attack at six o'clock, after which she 
 seats herself in an arm-chair. 165- Burning forehead. 
 Palpitation of the heart. Weeping. She plays with her 
 fingers like a child. The suffocative oppression increases. 
 170- Magnetic state, she hears nothing, and again sees the 
 
CROTALUS CASCAVJSLLA, 15 
 
 phantom of death, an immense, black, fieshless skeleton ; her 
 tears and mania increase. Vacant stare. Pressive points 
 in the abdomen. 
 
 Sixth day. Bone-pain and swelling of the left clavicle. 
 Dream about a horse which is bathed in a pond and gets 
 drowned gradually. 175- Piteous moaning during sleep. 
 Even while .awake one feels as if one were falling out of 
 bed. Acute pain at the sacro-lumbar articulation. Loss of 
 consciousness, one hears and sees nothing. Coldness in the 
 back. 180- Oppression of breathing, as though there 
 were not air enough in the house. Contraction of -the toes, 
 Desire for snow, without desiring either water or wine. 
 Itching at the epigastrium. Heat in the thighs. 185' She 
 exclaims several times : he is in the lions' den, but they will 
 not bite him. At six o'clock in the evening, another fit of 
 mania. Magnetic state, during which she does not answer 
 any questions but hears a strange voice on her left side and 
 behind her ; she follows it, and tilts against the doors which 
 had been closed and which she scratches with her nails. 
 Three very nearly similar attacks succeed each other, they 
 are occasionally interrupted by silly laughter arid always end 
 with a iiood of tears. She exclaims again : he is in the den, 
 but the lions will not eat him. 
 
 Seventh day. Fainting from hunger, before eating. 190. 
 Contusive pain at the occiput. Somnolence the whole morn- 
 ing. Another attack of mental alienation, she hears voices 
 which she follows, and sheds a flood of tears. Her head 
 feels heavy, with stupor. The humeral extremity of the left 
 clavicle continues to swell. 195- Intermittent metrorr- 
 hagia twice a day, and alternating with the paroxysms of 
 mania. Involuntary emission of urine during sleep. Pain 
 across the umbilical region, with alternate sensation of 
 spreading out and pinching together. Swelling of the three 
 last toes of the left foot. Excoriation and pustules on the 
 toes of the left foot. 200- Suffocative oppression. Pain 
 in the bones, especially in the joints, at the shoulder-blades, 
 elbows, at the phalanxes of the fingers, at the knees, hip and 
 under the toe-nails. Pressure at the right hip as with the 
 
16 BRAZILIAN PATHOGENESIS. 
 
 blade of a knife. The metrorrhagia ceases. She cannot 
 bear seeing any one on her right side, without experiencing 
 palpitation of the heart and a real fatigue from pleasure. 
 
 Eighth day. 205- Dreams about enormous shaggy spiders 
 walking towards one and attempting to crawl over one's per- 
 son. Pain in the large psoas-muscle resembling lanci- 
 nations. Suffocative oppression. A circular spot between 
 the two breasts which is black at the upper and red at the 
 lower portion. Hepatic spots of a bright-yellow color, or 
 freckles on the upper part of the right hands. 210- Small 
 red pimples on the left foot, like those which appeared on 
 the hand on the second day of the proving. Obstinate con- 
 stipation. Lancinations, as if stabbed with a knife, in the 
 uterus and anus, especially while washing herself with cold 
 water. Pains in the lower parts of the belly when taking a 
 cold drink. Excessive sensitiveness of the epigastrium, 
 which does not even allow the pressure of the clothes. 
 215- The molar teeth are excessively sensitive and set on 
 edge. Vomiting after breakfast in consequence of drinking 
 tepid water. Flushes of heat in the face. Violent itching 
 at the calves. Small red pimples with a white tip. 220' 
 While drinking cold water, the veins of the bend of the knee 
 have a deep-black color. Buzzing in the ears while going 
 down-stairs. 
 
 Ninth day. Ache, at night, in the upper molares, with 
 inflammation of the gums. Spitting of blood mixed with 
 thick phlegm. Dreams about dead persons and phantoms. 
 225- Loathing of food. Very deaf, after a month. She 
 feels as though her eyes were falling out. Slight pain under 
 the lids. Discharge of white mucus from the mouth. 230. 
 Discharge of a bright-red blood from the nose. The last 
 phalanges feel as if broken. The tips of the fingers are blue. 
 The nails are bare. Yellow complexion. 235- Pain in 
 the left side. She feels uncomfortable in consequence of 
 having her courses, and is out of humor on account of having 
 them. Aversion to talking ; sensitive mood. Desire to move 
 about. 240- She answers all questions with : no. Small 
 red pimples all over. Tightness of the head, from above. 
 
CROTALUS CASCAVELLA. 17 
 
 Cramps in the arms, as if the nerves had been tied up in a 
 knot during a venesection. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 MORAL AND MENTAL SPHERE : 1. She answers no, 
 whenever she is asked a question. Sensitive mood. Aver- 
 sion to talking. Sensation as if one were falling out of bed, 
 even while awake. 5- Loss of consciousness. She ex- 
 claims : he is in the lions' den, but they will not bite him. 
 Magnetic state ; she hears a strange voice, follows it and tilts 
 against the doors ; she has three such attacks, occasionally 
 interrupted by laughter and tears. Ineffectual desire to 
 weep. Loss of memory. 10. Magnetic state ; she hears 
 nothing, and sees a black skeleton. Mania. He thinks he 
 will die, especially when alone. Depression of spirits. 
 Despair. 15- Anguish. 
 
 HEAD : Sensation as of a red-hot iron in the vertex. Lan- 
 cinations in right temple. Violent ache at the vertex. Burn- 
 ing forehead. 20. Contusire pain at the occiput. Tight- 
 ness of the head, from above. Her head feels heavy, with 
 stupor. Sensation in the head as if some thing alive were 
 walking about in a circle. Shocks in the brain. 25- Pain- 
 ful pressure in the temples. Sensation as if the brain 
 were pressed upon by an iron helmet. Headache as if the 
 forehead would split, with weight above the eyes. Pain in 
 middle of forehead. Pain in the interior of the head. 30- 
 Pain under the right orbit and in right side of forehead. 
 Frontal headache, afterwards all over the head. Sensitive- 
 ness of the having scalp. 
 
 EYES : Pain under the lids. Sensation as though her 
 eyes would fall out. 35- Profuse lachrymation. Heavy 
 pain at back part of orbit and left eyebrow. Vacant stare. 
 Weight on the orbits, at night. The eyelids feel heavy. 
 40- Itching of the canthus. Yellow rings round the eyes. 
 Blue dazzling light before the eyes. Twitching of the eye- 
 brows. Sensation as if the eyeball were pulled towards the 
 temple by a thread. 45- Sense of a grain of sand in the 
 outer canthi. The left eye feels as if drawn towards the 
 
18 BRAZILIAN PATHOGENESIS. 
 
 temples. Contractive pressure at right eyeball, which felt 
 as if drawn out. Cutting round the eyeball. 
 
 EARS : Buzzing in the ears while going down-stairs. 
 50- Lancinations in the meatus auditorius. He imagines he 
 hears some one walking behind him. Sensation as if some 
 one were moaning. Titillating itching in the ears. Deafness. 
 55- Swelling of the right ear. 
 
 FACE : Yellow complexion. Alteration of the features. 
 Formication in the face. Flushes of heat in the face. Pain 
 in left cheek. 
 
 NOSE : 60- Ulceration of the inner nose. Discharge of 
 a bloody liquid from the nose. Sense of burning and red- 
 ness of the skin, with depression, at the orifice of the right 
 nostril. Nosebleed. Smarting in the nostrils. 65- Insi- 
 pid, nauseous smell all day, as in a hospital. The tip of the 
 nose is drawn up. 
 
 TEETH : Pain in lower gums as from a red-hot iron. 
 Aching in the upper molares, at night, with inflammation of 
 the gums. The molar teeth are sensitive and set on edge. 
 70' Aching pain in left gums. 
 
 MOUTH : Paralysis of the tongue. Burning and prickling 
 at the tip of the tongue. Itching of the tongue. Tongue of 
 a scarlet-red. 75. Pain in the tongue. Spitting of black 
 blood. Spitting of blood, mixed with thick phlegm. Dis- 
 charge of white mucus from the mouth. Greenish spitting 
 in the morning. 80- Black, bloody froth around the lips 
 in the morning. Thick, viscid saliva which it is difficult 
 to get out. 
 
 TASTE AND GASTRIC SYMPTOMS : Salt taste in the mouth, 
 not removed by drinking sugar-water. Taste as of onions 
 in the mouth, before rinsing it. Aversion to food. 85. De- 
 sire for snow. Desire for food, passing off on seeing it. 
 Thirst. Fainting from hunger. Coldness in the back after 
 eating. 90- Anorexia all day. The soup descends into 
 the stomach quite suddenly, and lies there like a heavy body, 
 with pain in the back. Stitch in the left side, after drinking 
 when drawing breath. Colic after drinking. Aversion to 
 
CROTALUS CASCAVELLA. 19 
 
 meat. 95- Sweat and debility after eating. Desire to 
 vomit. 
 
 THROAT : Constriction of the throat. Sensation of a 
 lump in his throat. Difficulty of swallowing. 100- Sense 
 of dust in the throat. Burning and constriction in the 
 throat. Tingling in the throat. 
 
 STOMACH : Stomach-ache, when eating, as if too empty. 
 Faint feeling at the stomach. 105- Pulling in pit of 
 stomach. Sensation of an opening in pit of stomach, through 
 which air passes. Pain from stomach to navel. Burning 
 pinching at the pylorus. Feeling of coldness in the stomach, 
 after eating. 
 
 ABDOMEN : HO. Sensitiveness of the epigastrium. Pres- 
 sive points in the abdomen. Lancing pains in the large 
 psoas-muscle. Pains in lower part of belly when taking a 
 cold drink. Pain across the umbilical region, with alternate 
 sensation of spreading out and pinching together. H5- Itch- 
 ing at the epigastrium. Shock at the epigastrium. Falling 
 of the rectum. Weight at the diaphragm, Sense of bands 
 round the abdomen. 120- Pressure in abdomen, towards 
 the navel. The abdomen is sensitive. Discharge of an al- 
 buminous substance from the rectum, preceded by tenesmus. 
 Borborygmi. Sense of a peg sticking in the middle of the 
 liver. 125- Circular pain round the abdomen, terminating 
 at the navel. 
 
 STOOL : Constipation. Yellowish diarrheea. 
 
 URINARY AND SEXUAL ORGANS: Emission of a deeply- 
 colored urine. Metrorrhagia (vermillion-colored). 130- 
 Feels uncomfortable in consequence of having her courses. 
 Metrorrhagia alternating with mania. Lancination in uterus, 
 especially when washing one's self with warm water, with 
 weight at the uterus. Leucorrhoea. 
 
 BRONCHIAL SYMPTOMS : Aphonia. 135- Pain in the 
 larynx. Dry cough, with tickling in the throat, at night. 
 
 CHEST : Round spot between the breasts, black above 
 and red below. Swelling of the humeral extremity of the 
 left clavicle. Palpitation of the heart. 140- Suffocative 
 oppression. Oppression of breathing, as from want of air. 
 
20 BRAZILIAN PATHOGENESIS. 
 
 Bone pain and swelling of the left clavicle. Anxious 
 breathing. The heart feels as if beating from above down- 
 wards. 145- The thorax feels as if encased in iron. Pain 
 in the right clavicle. Violent pains in the chest. Pain 
 above the right breast. Sensation of water in the chest, and 
 as if the heart were floating in a liquid. 150- Copious sweat 
 on the chest. Ulcerative feeling under the breast. 
 
 BACK : Coldness in the back. Slow lancinations between 
 the shoulders, when inclining backwards. Acute pain at 
 the sacro-lumbar articulation. 155. Internal pain between 
 the shoulders. Contusive pain between the shoulders. Lan- 
 cination in the dorsal spine, as from needles. Painful heavi- 
 ness in the loins. Contusive feeling at inner side of right 
 shoulder-blade. 
 
 NECK: 160- Constrictive pain in thyroid body. Swelling 
 of the jugular veins. He feels the blood rise in the carotid 
 arteries, followed by faint feeling and sensation as if a valve 
 were opening. Drawing from the neck to the epigastrium. 
 Pain in the jugular veins when moving, the neck. 165' 
 Constriction in thyroid body. Painful pulling in the sides 
 of the neck when turning the head. 
 
 UPPER EXTREMITIES: Lancinations under the right 
 shoulder arresting the breathing. The bitten hand and arm 
 are inflamed and very painful. Sensation of swelling in the 
 forearm. Violent pain in the whole arm. Weakness of the 
 arms. 170- Cramps in the arms as ifthe nerves had been 
 tied up in a knot, during a venesection. Rheumatic pain in 
 right shoulder. Trembling of the hands. Slight pain in the 
 hollow of the hand. Pulling pain in the elbows. 175- Pain 
 in the elbows. Enormous swelling of the hand. Feeling 
 of coldness in the hand. Jerking in the fingers. Smarting 
 of the tips of the fingers. 180. The tips of the fingers 
 are blue. The last phalanges feel as if broken. She plays 
 with her fingers. Nails are red. The nails are bare. 
 185- Rheumatic pain in left wrist. 
 
 LOWER EXTREMITIES : Sensation as if the whole right 
 lower limb were shorter ; this causes him to limp. Acute 
 pulling in the thigh, with momentary paralysis. Itching on 
 
CROTALUS CASCAVELLA. 21 
 
 the thighs. Drawing-up of the lower limb, with crampy pain. 
 190- Pressure at right hip as from a knife, Heat in the thighs. 
 Sense of burning heat in the legs. Prickling in the bends of 
 the knees. Itching of the calves. 195- Cold feet. Sense 
 of coldness in the feet. The feet are icy-cold. Itching 
 under the feet. Formication in the feet. 200- The toes 
 remain bent. Contraction of the toes. Swelling of the three 
 last toes of the left foot. Violent cramp of the heel. 
 
 SLEEP : Sudden rising at three in the morning, and utter- 
 ing two shrill cries, with throwing herself forward. 205- 
 Dreams about dead persons and phantoms. Dreams about 
 spiders attempting to crawl over her. Disposition to slumber. 
 Somnolence, the whole morning. Moaning during sleep. 
 210- Involuntary urination during sleep. Dream about a 
 horse which is drowned in a pond. Yawning. Dreams 
 about illuminations, quarrels. Sleeplessness. 215- Start- 
 ing during sleep. Fright at night, without knowing about 
 what. 
 
 FEVER : Chilliness all over. Sense of chilliness. Pulse 
 heavy. 220. Pulse 98 to 104. 
 
 CUTANEOUS SVMPTOMS : Bright-yellow spots on upper 
 part of right hand. Red pimples on left foot. Red pimples 
 all over. Red pimples with white tips. 225- Pustules on 
 the left toes. Pimples on the hairy scalp. Pimples resem- 
 bling flea-bites, afterwards becoming raised and exfoliating, 
 leaving a black point in the centre. Red pimples on the 
 wrist. 
 
 GENERAL SYMPTOMS : Pain in left side. 230. Trem- 
 bling of the whole body. She cannot see any one on her 
 right side without feeling a palpitation of the heart, and a 
 real fatigue from pleasure. Desire to move about. Pain in 
 the joints, shoulder-blades, elbows, &c. Trembling of the 
 limbs. 235- Weakness. Torpor. Pains in the whole 
 body, inducing a moaning. Swoon. Lancinations in the 
 side. 240- Prickling all over. Weariness of the arms and 
 lower limbs. Lancinations in various parts of the body. 
 
22 BRAZIL! N PATHEGENESIS. 
 
 ELAPS CORALLINUS. 
 
 ELAPS. ELAPS VENUSTISSIMUS (SPIX.) VIPERA CORALLINA 
 
 The elaps corallinus is found quite frequently in the 
 woods all along the coast of Brazil, and its bite is much 
 dreaded. Its colors are more brilliant and more agree- 
 ably combined than those of any other serpent in Brazil. Its 
 head is small, covered with large polygonal scales ; it swells 
 behind and is continuous with the neck from which it is 
 scarcely distinguished as regards size. It has round and 
 small eyes ; the jaws which are little dilatable, are furnished 
 with sharp teeth accompanied by fangs that rest on the ve- 
 nomous glands. The body is about two feet and a half in 
 length ; it is round, rather big in proportion to the head, and 
 terminates in a sharp tail. The upper part is covered with 
 smooth romboidal scales ; the belly is covered with two 
 hundred transverse shields ; the tail numbers fifty shields, 
 which are disposed in two parallel rows. Its colors are dis- 
 posed in the shape of rings of a vermillion-red, alternating 
 with black rings, each two rings being separated by circular 
 lines of a greenish white. The upper part of the head is 
 black ; likewise the first colored ring of the neck : the 
 
CLAPS CORALL1XU8. 23 
 
 shields of the jaws are white, and are separated from each other 
 by black lines. As in the case of the crotalus cascarella, the 
 poison was taken from the living reptile, not without danger. 
 
 As soon as I had determined to institute provings with the 
 poison of the cobra-coral, several of these reptiles were, at 
 my request, brought to me on the same day, so frequent are 
 they in the forests of Sahy. The animal which I selected 
 was wrapt up in a piece of linen-cloth, and, after its head 
 had been steadied with a little wooden pin, some eight or ten 
 drops of poison were pressed out of its jaws by means of a 
 pair of steel-pincers, which I received on one hundred 
 grains of sugar of milk, and at once subjected to the process 
 of trituration in my mechanical mortar. They received six 
 thousand successive turns. One grain of this mass was tri- 
 turated a second time, and a grain of this second trituration a 
 third time, each receiving three thousand turns. 
 
 Even while triturating the drug in my mortar, the most 
 striking effects were produced by the simple emanations 
 ascending from it. This phenomenon, however, is observed 
 whenever I cause a somewhat active drug to be triturated 
 in the mortar. 
 
 The symptoms which I have collected, are not a great 
 many, but they can be depended upon. Most of the symp- 
 toms were experienced by several provers, and some of them 
 have already been confirmed by treatment, among which may 
 be mentioned the oppression in going up-stairs, the vesicular 
 eruption on the feet and the deafness This last symptom is 
 of great importance on account of its being so obstinate. For 
 pulmonary affections the poison of the cobral may likewise 
 prove a valuable remedy, especially for the second stage of 
 phthisis, characterised by bloody cough and derangement of 
 the digestive functions. It may likewise be serviceable in 
 mental alienation and cutaneous eruptions. 
 
 The special action which this poison seems to exercise 
 on the right side, the paralysis, the lancinations, have ap- 
 peared to me worthy of attention. The gyratory motions, 
 the desire to move to and fro, the scaling off of the epidermis 
 and several symptoms relating to the disposition and the mind, 
 
24 BRAZILIAN PATHOOENESIS. 
 
 seem to deserve the attention of the philosophical phy- 
 sician. 
 
 There certainly exist remarkable analogies between the 
 symptoms of the cobral and those of the lachesis. The dif- 
 ferences, however, are sufficiently numerous to refute the 
 doctrine that all serpent-poisons act almost alike and that the 
 cobral, for instance, may be resorted to as a perfect succeda- 
 neum of the lachesis. I am convinced of the contrary to 
 such an extent that it is my belief that the poison of serpents 
 alone would, if sufficiently proved, furnish the safest and most 
 rapid means of combating all human infirmities. Every epoch 
 in the history of the world is undoubtedly possessed of thera- 
 peutic means which are more particularly homoeopathic to 
 the general character of the ruling maladies. Hence it is 
 probable that when the human species shall have been freed 
 from the miasms which now undermine its vitality, the simple 
 flowers on the fields will be sufficient to control the remain- 
 ing indispositions. Whereas we, unfortunate heirs of the 
 chronic miasms of all ages,lepra, scrofula, syphilis and a host 
 of other subtle plagues, are compelled to employ the most 
 frightful agents in order to meet the intensity of our diseases. 
 
 First to third day. 1. Reveries in the day-time, one ima- 
 gines one is receiving blows. One imagines one hears 
 some one speak. One hears talking without comprehend- 
 ing. Absence of mind. 5- Nightmare and congestion 
 about the head. Anxious dreams. Weight in the right 
 parietal region and pain which penetrates to the nape of the 
 neck. Beating at regular intervals in the nape of the neck, 
 like the ticking of a clock. Weight in the forehead and 
 above the orbits. 10- Boring pain from the vertex to the 
 right eyebrow. Pain on the right side, which seems to be 
 seated in the cerebellum. Sweat on the forehead and nape 
 of the neck. The head falls forward with violence. Pain- 
 ful constriction in the temples and eyes. 15. Violent 
 throbbing of the external carotid. Horrid pains when 
 inclining the head backwards ; less when inclining it 
 forwards. Tension in the nape of the neck. Stiffness 
 which prevents the head being turned. Sensation as of a 
 
ELAI'S COKALLIXUS. 25 
 
 foreign body in the right temple. 20- Lancinations in the 
 outer angle of the left eye. Boring pain from the lower jaw 
 to the right eye, and then from the right eyelid to the ear. 
 Desire to close one's eyes as in fever. Sharp pricking in 
 the inner canthi of the eyes. Aching pains around the eyes, 
 with vanishing of sight. 25. Continual buzzing as from a 
 fly in the meatus auditorius. Constant deafness. Ringing 
 in the ears. Discharge of a serous fluid from the left ear. 
 Distressing prickling in the superior nasal fossa. 30- 
 Swelling of the gums on the last three molar teeth. Prick- 
 ling as if caused by strong spice, after having triturated the 
 drug. Prickling at the tip of the tongue. Sour eructations, 
 desire for cold water, ice. Loathing of food, acidity after 
 every mouthful of food. 35. Pressive constriction in the 
 throat. Burning from the larynx to the tongue as from pep- 
 permint, with desire for fresh air. The food descends in the 
 oesophagus as if turned round like a screw. At other times 
 the soup falls heavily and precipitately, as if through a me- 
 tallic tube into the stomach, which trembles violently. 
 Watery, yellowish diarrhrea. which is mixed with slime, at- 
 tended with rumbling in the bowels. 40. Urine almost 
 red. Urine profuse. Urine red. Constriction of the sphincter. 
 Continual discharge of prostatic fluid. 45. Thickening of 
 the skin of the prepuce, with inflammation. Excoriation on 
 the back of the penis, which causes a continual itching. 
 Weakness of the genital powers, impotence. Lancinations 
 and prickings in the penis. Weight and swelling of the 
 testicles. 50. Spitting of black coagula of blood, with 
 painful tearing as if proceeding from the heart. Almost 
 constant cough. Sensation in the chest and at the sternum 
 as if the pleura) would be torn off, and as if the two lungs 
 would be separated from each other by force. Inability to 
 incline to the right side, in consequence of a very painful 
 pulling in the right lung. Violent itching, drawing, pricking 
 at the epigastrium, which hinders drawing a full breath. 55. 
 A chronic loss of breath when going up-stairs, disappears 
 after the second day of the proving. Violent fit of dry cough 
 which finally ends in raising black blood, with frightful tear- 
 
26 BRAZILIAN PATIIOGENESIS. 
 
 ing pains in every part of the lungs, and especially in the 
 right side, at the upper part of the chest. Taste of blood in 
 the mouth previous to the paroxysm of cough, succeeded by 
 a desire to vomit. Burning in the hands while preparing the 
 drug. Prickling in the back of the right hand. 60. Pull- 
 ing in the right hand, which extends to the ring-finger. 
 Pains in the elbows. Crampy constriction in the phalanxes 
 of the fingers and under the nails. Lancinations and prick- 
 ling in the back of the hand. The blood remains congested 
 in the hand, which is of a violet color and as if paralysed ; 
 it has to be kept erect in order to prevent the congestion. 
 65. A black blood spirts out of the finger when pricking it 
 ever so little. Vesicular eruption on the feet. Pains in the 
 knees. Pains in the knees as if bruised and contused, es- 
 pecially in the left knee, which does not bear contact, and 
 where the pain is as keen as if the part had been sprained. 
 
 Third to sixth day. Sensitiveness of the right side. 70- 
 Inability to rise in the morning inconsequence of the pain in 
 the right side. Slight phlyctaenae make their appearance here 
 and there, especially on the extremities ; the epidermis sur- 
 rounding them sometimes scales off. Drowsy the whole 
 day, but sleepless nights. Dreaming about the business of 
 the day. Pain in the forehead. 75- Red eyebrows. The 
 eye is extremely sensitive to cold water. Stoppage of the 
 right nostril, improved by resting on the same side. Bad 
 smell from the nose. Pulling in the oesophagus. 80. 
 Violent headache, if the desire for food is not satisfied on the 
 instant. SufYocative oppression after eating. Bloating of 
 the stomach after eating. Pulling in the pit of the stomach. 
 Violent hunger. 85. Pressure at the right hypochondrium. 
 Pressure in the left side, which extends to the vertebral 
 column. Dull pain in the right lung, worse when walking. 
 Congestion of blood to the throat, which is caused by the 
 pain in the lung. Sense of spraining and stiffness in the 
 knee-joint. 
 
 Seventh day. 90- Painful pressure at the nape of the neck, 
 as if the cerebellum had settled downwards. Eyes red and 
 inflamed. Blood oozes from the eyes. Glassy look. Bitter, 
 
ELAPS CORALLINES. 27 
 
 salt taste in the mouth. 95- Noisy and violent borborigmi. 
 Stitch in the side. Falling of the rectum. Hoarse voice. 
 Violent beating of the the heart. 100- Pain as if bruised 
 in the sides of the neck. Painful drawing at the inner side 
 of the arm, from the axilla to the wrist, but felt especially at 
 the bend of the elbow. The right hand feels as if paralysed. 
 Shuddering from the hand to the shoulder when dipping the 
 former into cold water. A good deal of distress in the whole 
 abdomen. 105- The left foot is swollen and blue, with 
 red spots. Drawing-up of the feet. Twitching in the parotid 
 gland. The saliva tastes salt. Crusty eruption over the ear 
 and a part of the check. HO. Itching in the ear, in the 
 evening. Red urine, with cloudy sediment. Pinching sen- 
 sation at the helix and lobe of the ear. Discharge of a 
 greenish-yellow liquid from the ear, in the morning. Painful- 
 ness of the parotid gland. 115. Itching pimple on the legs. 
 Discharge of blood from the ear. Swelling of the inguinal 
 gland. The left groin is painful to contact. Colic with 
 urging to stool. 120- Blackish and frothy diarrhoea. The 
 urine is very thick and deposits a red sediment. 
 
 SECOND EXPERIMENT. 
 
 First day. Tension in the nape of the neck and inability 
 to turn the head. Dark, almost red complexion. Pain in 
 the urethra while urinating. 125- Pricking in the left 
 gums. Desire for food, with aversion to eating. Lassitude 
 in the limbs. Prickling under the toe-nails. Sense of 
 excoriation at the nape of neck. 130- Violent pains in 
 the lumbar region, like a band extending to the uterus. 
 Weight at the uterus. Weight at the stomach after eating. 
 Acidity, nausea and faint feeling. Weight at the left side of 
 the uterus. 135- Unquenchable thirst. Feeling of cold- 
 ness in the chest after drinking. The lower limbs give way. 
 Pain in the right instep as after a forced journey. Colic 
 gradually spreading all through the colon, from the caecum 
 to the rectum. 140. Sleeplessness with uneasiness. 
 
 Weight at the vagina, in consequence of an attack of hys- 
 teric colic. After a continued congestion of the blood to 
 
28 BRAZILIAN PATHOGENESIS. 
 
 the thoracic viscera, it seems to rush to the viscera of the 
 abdomen. Prickling in the uterus, vagina and pubic region, 
 extending to the epigastrium, with painful lancinations. 
 Lancinations at the umbilicus from above downward, extend- 
 ing to the womb. 145- Vomiting of green bile, followed 
 by bilious diarrhoea. Buzzing in the ear. In cleaning the 
 meatus auditorius, small balls of hardened and black wax are 
 taken from it. 
 
 Second day. Dull pain in the right lung, worse while 
 walking, with distress and rush of blood to the throat. Prick- 
 ling and pulling in the right lung. 150. Blear-eyedness. 
 Constriction of the thorax as by a corset. Pressure under 
 the right arm. White, albuminous leucorrhcea. Sensation 
 as of sand in the eyes. 155- Discharge of white and 
 watery mucus from the nose. Constant tickling at the nose. 
 Great weight at the uterus when rising, worse during a walk. 
 Coryza when exposed to the least current of air ; sneezing. 
 Acute coritusive pain at the inner side of the left leg, and 
 sensation as if something were rising and descending in the 
 tibia. 160- Difficulty of opening the eyes. Sensation as 
 if long and white filaments were floating before the eyes. 
 In closing the eyes, every thing looks red, dotted with black 
 points. Itching in the right meatus auditorius. Stoppage in 
 the 03sophagus, after eating, as if a sponge had lodged there. 
 165- The beverage is arrested in the oesophagus as by a 
 spasmodic contraction of this organ, after which it falls 
 heavily into the stomach. Lancinations from above down- 
 ward in the posterior muscles of ths trunk, from the occiput 
 to the sacrum, attended with pains in the temples. Lanci- 
 nations in the soles of the feet, while seated ; they disappear 
 by walking. Pains in the forehead. Discharge of black 
 blood, between the menstrual periods. 170- In the morn- 
 ing the hairy scalp, at the occipital protuberance, feels as if 
 raw. Violent itchingin the vagina. Prickling as with thousands 
 of pins. Aching pain in the leftside. Cramps in the calves, 
 worse in the afternoon. 
 
 Third day. 175- Breakfast agrees pretty well, but the 
 dinner distresses him. Very sensitive to the cold. Warmth 
 
ELAPS CORALLINUS. 29 
 
 in the hollow of the hand, after dinner. Coldness in the 
 back. Blear-eyed. 180- Sensation, in the right eye, of 
 a gauze having a bluish-white or mother-of-pearl color. 
 Sense of stiffness and spraining in the knee-joint. Dispo- 
 sition to faint. Sleeplessness or else drowsiness, with dis- 
 tressing dreams about the business of the day. 185- Lan- 
 cinations in the vagina. Heat in the left nostril, and swell- 
 ing of the nasal septum. Weight in the vagina, on the left 
 side, and acute pain which prevents her from going up-stairs. 
 Sensations in the abdomen as of a tube which can suddenly 
 be closed by means of a valve, and through which a column 
 of some liquid is poured into the abdomen, where a violent 
 rumbling takes place. The left eyebrow is painful and 
 drawn down. 190- Eructation tasting like spoiled eggs 
 in the throat. Lancinations which proceed simultaneously 
 from the groins and cross each other at the symphysis pubis. 
 Violent diarrhoea, consisting of sanguinolent mucus and yellow 
 bile, whereas it had been green heretofore. Sensation, while 
 walking, of a black disk of four inches in diameter, at the 
 distance of a few paces from the eye. Discharge of black 
 blood with stool, with acute colic as though the intestines 
 would be twisted together. 195. Stye at the left eye, 
 with violent lancination. Tickling and reddish streaks of the 
 sclerotica. Red spot on the knee-pan. Violent colic as 
 though the intestines would become twisted amongst each 
 other. Bloody dysentery, followed by sleep. 200- The 
 menses appear before their regular period. Pressure between 
 the shoulders. Greyish gauze before the eyes, like a cloud, 
 which becomes thicker ; at first it is of the size of a penny, 
 and spreads until finally it covers the whole field of vision. 
 Sensation as if an iron bar were pressing on the loins. Lan- 
 cination in the stye on the left eye. 205- Lancinations 
 in the dorsal muscles, especially in raising the arms. The 
 right side is numb and as if paralysed, from the shoulder to 
 the knee. Pulling at the cardiac orifice, with sensation of 
 hunger and boring feeling extending to the vertebral column. 
 Pain in the spinal marrow, from the nape of the neck to the 
 sacro-lumbar articulation. The neck remains twisted when 
 
30 
 
 BRAZILIAN PATHOGENKSIS. 
 
 turning it, with constriction in the thyroid gland. Crampy 
 constriction at the bend of the elbow, especially when mov- 
 ing it. 210- Weight in the stomach after the introduction 
 of food ; it turns, with desire to vomit. Constrictive pain at 
 the bend of the elbow and knee. Itching in the meatus 
 auditorius. This itching spreads in the interior of the cheek 
 all along the duct of steno. Watery saliva. 215' The 
 viscous saliva is more abundant. Changing one's position is 
 painful, one would like to remain seated or lying. Diarrhoaa 
 consisting of undigested food. The teeth are loose; one is 
 unable to chew bread. Loose cough. 
 
 Fourth day. 220- Complete paralysis of the right side, 
 with inability to rise in the morning. Violent itching in the 
 left eye. Complete blindness for five minutes. The right 
 hand is benumbed ; a stitch is felt through the thickness of 
 the metacarpus. Smarting under the nails. 225- Painful 
 drawing at the inner part of the arm, from the axilla to the 
 wrist ; but especially distressing at the spot where the prover 
 had been bled. Small red tetter at the corner of the right 
 nostril, spreading to the cheek, with tickling. Stoppage of 
 the nostrils, one has to breathe by the mouth. StuTocative 
 oppression while eating. 230. Violent distress throughout 
 the thoracic viscera. Cyanosis and reddish spots of the 
 extremities. Violent itching under the axilla, and appearance 
 of a tetter. The blood rushes to the right hand, which is of 
 a violet color and as if paralysed. Shuddering up to the 
 shoulder when dipping the hand in water. 285- The arm and 
 hand are swollen, blueish, and covered with red spots, like- 
 wise the right leg and foot. Cramps in the whole of the 
 right side. Cramps in the calves. Swelling of the stom- 
 ach. Acute lancinations, from time to time, in the fourth 
 toe of the left foot, as if pierced by a needle. 240- Quick 
 and transitory lancinations in the back, sides and arms. Pain 
 at the roots of the hairs on the occiput. Fruit and cold 
 drinks lie in the stomach like ice. Sudden colic, with 
 diarrhoea. Lancinations and stitches in the upper part of 
 each lung. 245- Bloat in the region of the diaphragm. 
 After taking a cold drink, shuddering from the head to tho 
 
ELAPS CORAL1.INUS. 31 
 
 feet, and chattering of the teeth. Lancinations in the inner 
 side of the knee. Lancinations from the root of the nose to 
 the ear. Sensitiveness in the pit of the stomach. 250- 
 The tips of the fingers peel off, which is painful. Redness 
 and pain under the nails, the parts look as if raw. Biting 
 one's hand during sleep, without waking. Pressure between 
 the shoulders. Liquids descend in the (Esophagus with a 
 sound like glou-glou. 255- The nose continues to swell 
 and the pain extends to the ear. Prickling in the eyebrows, 
 especially the left. Acute pain in the iliac bone, on the right 
 side, as though the crest were swollen and the periosteum 
 inflamed. The right leg up to the knee is cold as ice. Fron- 
 tal headache. 260- Discharge of black, liquid blood from 
 the bowels. Borborygmi and noisy flatulence. Constriction 
 of the sphincter, a quarter of an hour after the discharge. 
 The peristaltic motion of the intestines takes place from 
 below upwards ; the blood seems to flow backwards in the 
 abdomen, with violent pain and frightful palpitations, suc- 
 ceeded by lancinations which prevent walking. 
 
 Fifth day. Dreams about dead persons ; she kisses dead 
 persons, falls into pits where her feet get entangled ; she 
 walks sideways. 265- Quarrelsome, irritable mood, with 
 agitation of the mind. Good appetite. The heel begins to 
 peel off the same as the fingers. While dreaming she bites 
 her fore-arm. Vertigo so as to fall forwards. 270- Sen- 
 sation as if falling forward, though ihe prover remains im- 
 moveable. When raising the hand to the right side of the 
 nape of the neck, a penetrating pain is feet which spreads 
 to the ear. Stitch in the side, a whole day. The breathing 
 through the nose is interrupted. One hears some one 
 talking. 275- Violent itching of the hairy scalp. 
 
 Sixth day. Strange illusion of hearing ; she heard whist- 
 ling and ringing, and rises to see where it is. Frightful 
 dreams ; she buries a dead person and, with a knife, digs 
 about in his wounds. Afterwards the experiences a burning 
 remorse and sheds a flood of tears. She dreams that she 
 has a fight with a man condemned to the galleys. 280. 
 Desire to strike and pick a quarrel. Mental excitements. 
 
32 BRAZILIAN PATHOGENESIS. 
 
 Itching of the soles of the feet, which continue to peel off. 
 Small pimple with a good deal of itching. Slight discharge 
 of a clear mucus from the urethra. 285- At the least con- 
 trariety the body shudders and the blood boils, with prick- 
 lings. Lassitude in all the limbs. 
 
 Seventh day. Desire to go to the country and play about 
 in the grass. Desire to be alone ; for days she remains in 
 the corner of the anti-chamber. Sound sleep. Plans about 
 travelling, &c. 290, She hears distant whistling. Bread 
 tastes flat, like the triturated poison which had been swal- 
 lowed for the purpose of proving it. She wants to leave the 
 house at the moment when she is going to bed. She retires 
 to a distant room to work. Irresistible desire to cry out with 
 all her might. 295- Loathing of meat, bananas, and par- 
 ticularly bread. Desire for oranges, acids, and especially for 
 sour beef. Profuse cold sweat all over the body. 
 
 Eighth day. During a whole month, bread does not mix 
 up with other food, it returns by the nose the whole day, 
 whereas the other kinds of food are either digested naturally 
 or thrown up again by the mouth. Metrorrhagia. 300- 
 Violent aversion to light ; one prefers to be in the dark. 
 Violent diarrhoea, continued. Breaking out of little pimples 
 with an oval base, they dry up and are followed by desqua- 
 mation of the epidermis. 
 
 Ninth day. Complete loss of appetite, she eats nothing 
 but oranges. Bruising pain in the upper portion of the del- 
 toid muscle, as if she had received a violent blow on the 
 shoulder. 305. Tongue black or of a dark-red color. 
 
 The tetter at the wing of the nose peels off. Yellow, irre- 
 gular spots on the hand and around the ringers, over a con- 
 siderable space. A red, transversal bar of an inch in thick- 
 ness is seen in opening the eyes, and a red disk when shut- 
 ting them. Boils on the arm. 310- Profound ennui. De- 
 pression of spirits ; desire to be in a deep cavern, where no- 
 body can be seen. Absence of thought. Complete loss of 
 one's self, so that the time passes away without one being 
 conscious of it in the least. 
 
 Tenth day. After eating an orange and bread, he orange 
 
ELAPS CORALLINUS. 33 
 
 returns by the mouth and the bread by the nose. 315- 
 Coldness at the back part of the thighs. Furfuraceous tetter 
 and itching at the hairy scalp. She feels hungry and yet is 
 unable to eat. Small miliary pimples upon a red base at the 
 corner of the nose. Violent hunger. 320- Burning in 
 the stomach which extends to the duodenum. SufTocative 
 oppression after eating. Pain in the right side, as if in the 
 pleura, striking to the axilla. Constant hunger which can- 
 not be appeased on account of the continual vomiting. Small 
 suppurating pimples on the hands, ringers, wrists, gums, at 
 the inside of the cheeks. 325- Violent itching at the ab- 
 domen, especially while walking. Innumerable white 
 pimples at the inside of the thighs, which get inflamed in the 
 day-time and prevent one from walking in the evening. 
 Burning of the eyebrows. Drowsy in the day-time, espe- 
 cially at two o'clock, and sleepless at night. Tickling at the 
 root of the nose, as from worms. 330- Tongue swollen 
 and whitish, in the morning. Bloating around the eyes which 
 appear sunken in the morning. The arterial blood spirts 
 from the nose and ears. Formication at the anus as if a 
 worm were gnawing at the parts. Suppression of urine. 
 335- Tickling and frightful formication at the vulva. Very 
 thirsty ; desire for rnilk. Cold sweat all over. Slow diges- 
 tion, one has to drink after every mouthful that one swallows. 
 Excessive horror of rain. 340- Discharge of a black 
 blood from the womb. Noise as from a valve closing in the 
 trachea and causing a column of air to ascend to the pharynx. 
 
 Eleventh day. Discharge of blood from the ear. The 
 bread returns by the nose. 
 
 Twelfth day. Loathing of bread and other food. 345- 
 Decided taste for oranges and salad. Watery vomiting in 
 the morning. Ellyptical pimples full of serum. Acute pains 
 in the descending colon. Small red pimples at the tips of 
 the fingers. 
 
 Thirteenth day. 350- The gums become loose near to 
 the roots of the teeth. The intestines seem to turn violently 
 about one other, after which they feel for a few moments as 
 if twisted together like a cord, and then are suddenly strung 
 
34 BRAZILIAN PATHOGENESIS. 
 
 together as by a knot, causing a sensation as if the abdomen 
 would be choked from side to side. Extreme sensation of 
 coldness after drinking and as if ice-water were rising and 
 descending through a cylindrical opening in the left lungs. 
 Vomiting of food. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 MENTAL AND MORAL : 1. He imagines he is receiving 
 blows. Absence of mind. Horror of rain. Complete for- 
 getfulness of one's-self. 5- She wants to go out at the 
 moment of retiring to bed. Irresistible desire to cry out. 
 Vertigo, she falls forwards. Depression of spirits, she de- 
 sires to be in a cavern, alone. Desire for country-air and 
 sport. 10- Desire for solitude. Plans about travelling, &c^ 
 Quarrelsome. 
 
 HEAD : Pain in cerebellum, right side. The hairy scalp 
 at the occipital protuberance feels raw, in the morning. 
 15. Painful constriction in the temples and eyes. Horrid 
 pains when inclining the head backwards. Weight in fore- 
 head. Weight in right parietal region and pain penetrating 
 to the nape of the neck. Sensation as of a foreign body in 
 right temple. 20- Pain in the forehead. Boring pain 
 from vertex to right eyebrow. Pain at the roots of the hairs 
 on the occiput. Itching of the hairy scalp. 
 
 FACE: Dark complexion. 25- Itching in the ear and 
 cheek. Lancinations from the root of the nose to the ear. 
 Boring pain from the lower jaw to the right eye, and then 
 from the right eyelid to the ear. 
 
 EAR ; Pinching at helix and lobule. Itching in the ear. 
 30- The cerumen is hardened and black. Itching in the 
 right meatus. Deafness. Illusion of hearing, she hears a 
 whistling and ringing. He imagines he hears some one 
 speak. 35. Ringing. Constant buzzing in the meatus. 
 Buzzing. Discharge of a serous fluid from the left ear. 
 Discharge of blood from the ear. 40- Discharge of a 
 greenish-yellow liquid from the ear, morning. 
 
 EYES : Stye at left eye, withlancination. Tickling and 
 red streaks of the sclerotica. The left eyebrow is painful 
 
ELAPS CORALLINUS. 35 
 
 and drawn down. Blood oozes from the eyes. 45 Blind- 
 ness for some minutes. Violent itching in the left eye. 
 Prickling in the eyebrows. Aversion to light. Burning of 
 the eyebrows. 50- Bloating around the eyes, in the 
 
 morning. Aching pain around the eyes, with vanishing of 
 sight. Sharp prickling in the inner canthi. Desire to close 
 one's eyes. Lancinaiion in outer canthus of left eye. 
 55- The eye is sensitive to -cold water. Red eyebrows 
 Eyes red and inflamed. Difficulty of opening the eyes. 
 Sand in the eyes. 60- Blear-eyed. Glassy look. Sen- 
 sation in the right eye as of a gauze of a blueish-white or 
 mother-of-pearl color. Black disk at a few feet from the 
 eye, when walking. Greyish gauze before the eyes, gradu- 
 ally spreading over the whole field of vision. 65- Red 
 bar before the eyes when opening them, and a red disk when 
 shutting them. When closing the eyes, every thing looks 
 red, dotted with black points. Sense of long, white fila- 
 ments before the eyes. 
 
 NOSE : Tickling at the nose. Stoppage of right nostril. 
 70- Bad smell from the nose. Distressing prickling in the 
 superior nasal fossa. Tickling at the root of the nose. 
 Swelling of the nose, with pain extending to the ear. Stop- 
 page of the nostrils. 75- Heat in left nostril, and swell- 
 ing of the septum. White and watery mucus is discharged 
 from the nose. 
 
 TEETH: The teeth are loose. Prickling in left gums. 
 Swelling of the gums on the last three molares. 80- Loose- 
 ness of the gums at the roots of the teeth. 
 
 MOUTH : Salt tasting saliva. Bitter, salt taste in mouth. 
 Prickling at the tip of the tongue. Tongue swollen and 
 whitish, in the morning. 85- Tongue black or dark-red. 
 
 THROAT : The beverage is arrested in the oasophagus as 
 by a spasmodic contraction of this organ, after which it de- 
 scends like a heavy weight. Pulling in the oesophagus. 
 Constriction with pressure, in the throat. Sensation as if 
 the food turned like a screw while passing down. 90- 
 Burning as from peppermint, from the larynx to the tongue. 
 Sensation as of a valve in the trachea causing a column of 
 
36 BRAZILIAN PATHOGENESIS. 
 
 air to ascend in the pharynx. Stoppage in the oesophagus, 
 after eating, as if a sponge had lodged there. 
 
 GASTRIC SYMPTOMS: Vomiting of green bile, followed by 
 bilious diarrhoea. Weight at the stomach, after eating. 
 95- Acidity, with nausea and faint feeling. Violent thirst. 
 Cold feeling in the chest, after drinking. Desire for food, 
 with aversion to eating. Desire for food causing a vio- 
 lent headache, unless satisfied at once. 100- Violent 
 hunger. SufTocative oppression after eating. Bloating 
 of the stomach after eating. Acidity after every mouth- 
 ful of food. Aversion to food. 105- Desire for cold water, 
 ice. Sour eructation. Sense of coldness after drinking, as 
 if ice-water were rising and descending through an opening 
 in the left lung. She has to drink after every mouthful she 
 swallows. Watery vomiting in the morning. HO- She 
 feels hungry, but is unable to eat. Hunger, with continual 
 vomiting, preventing one from appeasing the hunger. Aver- 
 sion to meat, bread. Desire for oranges, acid. Loss of ap- 
 petite. 115. Bread returns by the nose, and does not mix 
 up with the other kinds of food, for a month. Bread tastes 
 flat, like the poison. Fruit and cold drinks feel like ice in 
 the stomach. Shuddering and chattering of the teeth, after 
 taking a cold drink. Suffocative oppression while eating. 
 120- Eructations tasting like spoiled eggs. The dinner dis- 
 tresses him. Pulling in pit of stomach. The food descends 
 violently into the stomach, which trembles. 
 
 STOMACH : Burning in the stomach. 125- Sensitiveness 
 of the pit of the stomach. Swelling of the stomach. Pulling 
 at the cardiac orifice, with sense of hunger and boring to the 
 spine. Weight in stomach, with desire to vomit, after eating. 
 
 ABDOMEN : Lancinations from the navel to the womb. 
 Pains in the loins as from a band, extending lo the uterus. 
 Colic spreading from the coscum to the rectum. Swelling 
 of the inguinal glands. Colic, with urging to stool. Bor- 
 borygmi. 130- Falling of rectum. Distress in abdomen. 
 Pressure in right hypochondrium. Itching, drawing and 
 pricking at epigastrium, hindering breathing. The intes. 
 tines turn about one another, and then feel twisted as by a 
 cord, and strung together in a knot, with strangulating sensa- 
 
ELAPS CORAL'LIXUS. 87 
 
 tion in the abdomen. 140' Formication at the anus, as 
 from worms. Acute pains in the descending colon. Itching 
 at the abdomen, especially when walking. Sensation as if 
 the blood in the abdomen were flowing backwards, with 
 violent pain and palpitations, succeeded by lancinations. 
 Sudden colic, with diarrhoea. 145- Bloat in region of 
 diaphragm. Sense of an iron bar pressing on the loins. Sen- 
 sation in the abdomen as of a tube which can be closed by 
 a valve and through which liquid is poured into the abdomen. 
 Lancinations from both groins to the symphysis pubis. 
 
 STOOL : Blackish and froth, diarrhoea. 150- Lien- 
 
 teria. Constriction of the sphincter. Watery, yellowish 
 diarrhoea, with slime, also rumbling. Discharge of black, 
 liquid blood from the bowels. Constriction of the sphincter, 
 after bloody stool. 155- Bloody dysentery. Diarrhoea con- 
 sisting of bile and bloody mucus. Discharge of black blood 
 at stool, with colic as though the bowels would be twisted. 
 
 URINARY AND SEXUAL : Red urine, with cloudy sedi- 
 ment. Thick urine with red sediment. 160- Pain in 
 urethra while urinating. Red urine. Suppression of 
 urine. Discharge of mucus from the urethra. Itching 
 excoriation on the back of the penis. 165. Impotence. 
 
 Lancinations and prickings in the penis. Weight and 
 swelling of the testes. The skin of the prepuce is thick 
 and inflamed. Discharge of prostatic fluid. 170- Discharge 
 of black blood between the menses. Prickling in the uterus, 
 vagina and pubic region. W r hite, albuminous leucorrhoea. 
 \Veight at the uterus. Weight at the vagina, after an attack 
 of hysteric colic. 175- Horrid formication at the vulva. 
 Discharge of black blood from the womb. Metrorrhagia. 
 Itching in the vagina. Premature menses. 180- Weight 
 in the vagina, with acute pain preventing her from going up- 
 stairs. 
 
 BRONCHIAL : Coryza from the least currents of air. 
 Constant cough. Fit of dry cough which ends in raising 
 black blood, with tearing pains in every part of the lungs 
 and especially in right side, superiorly. Taste of blood 
 in mouth before coughing. 185. Loose cough. Hoarse- 
 ness. Chronic loss of breath on going up-stairs. Violent 
 
38 BRAZILIAN PATHOGENESIS. 
 
 distress in the chest. Sensation as if the pleura would be 
 torn, and as if the lungs would be split by force. 
 
 CHEST: 190- Spitting of black blood, with painful tear- 
 ing as if proceeding from the heart. Constriction of the 
 chest. Stitches in upper part of each lung. Painful 
 pulling in right lung on which account he is unable to lean 
 to the right side. Dull pain in right lung, worse when 
 walking. 195 Dull pain in right lung, worse when 
 
 walking, with rush of blood to the throat. Prickling and 
 pulling in right lung. Palpitation of the heart. 
 
 BACK : Lancinations in the corsal muscles. Pain in 
 the whole spinal marrow. 200' Pressure between the 
 shoulders. Coldness in the back. Lancinations from the 
 occiput to the sacrum, with pain in the temples. 
 
 NECK : Sense of excoriation at the nape of the neck. 
 Painful pressure at nape of neck. 205- The parotid glands 
 are painful. Bruising pain in sides of neck. Twitching 
 in the parotid glands. Tension in nape of neck. Stiff- 
 ness of the neck. 210- Beating in the nape of neck, like 
 the ticking of a clock. Throbbing of the external carotid. 
 When raising the hand to the right side of the neck, a 
 penetrating pain in feet, spreading to the ear. The neck 
 remains twisted when turned. 
 
 UPPER EXTREMITIES: Painful drawing at the inner 
 side of the arm. 215- Itching under the axilla, with tetter. 
 The arm and hand are swollen, blueish, covered with red 
 spots, also the right leg and foot. Bruising pain in the 
 deltoid muscle. Painful drawing from axilla to wrist, at 
 inner side. Crampy constriction at the bend of the elbow. 
 220- Pains in the elbows. Warmth in the hollow of the 
 hand, after dinner. The right hand feels numb, with a 
 stitch through the metacarpus. The hand looks congested, 
 and is as if paralysed. Lancinations in the back of the 
 hands. 225- Pulling in right hand. Prickling in the 
 back of the right hand. Burning in the hands while pre- 
 paring the drug. The right hand feels as if paralysed. 
 Smarting under the nails. 230- The tips of the fingers 
 peel off. Redness and pain under the nails, the parts look 
 
ELAPS CORALLINUS. 39 
 
 as if raw. Crampy constriction in the phalanxes and under 
 the nails. 
 
 LOWER EXTREMITIES : The lower limbs give way. Acute 
 pain in the right iliac bone, as though the crest were 
 swollen and inflamed. 235- Coldness behind the thighs. 
 Cramps in the calves. Lancination at inner side of the 
 knee. Cramps in the calves. Icy-coldness of the right 
 legs. 240- Pains in the knees, especially the left, as if 
 bruised and contused. Sense of spraining and stiffness in 
 the knee-joint. Contusive pain at inner side of left leg, 
 with sensation as if something were rising and descending in 
 the tibia. The soles of the feet itch and peel off. Draw- 
 ing-up of the feet. 245- The left foot is swollen and 
 blue, with red spots. Pain in the right instep, as from 
 walking. Lanciriations in the soles of the feet while seat- 
 ed, ceasing when walking. Darlings in the left fourth toe, 
 now and then. The heel peels off. 250- Prickling under 
 the toe-nails. 
 
 FEVER : Sensitive to cold. Sweat on the forehead and 
 nape of neck. The arm shudders when dipping the hand in 
 water. Shuddering of the arm when dipping the hand into 
 cold water. 255- Cold sweat all over. 
 
 SLEEP : Sleeplessness with uneasiness. Drowsy all 
 day, no sleep at night. Dreams about previous business. 
 Nightmare, with congestion about the head. . 260- Anxious 
 dreams. She dreams that she buries a dead person and digs 
 in his wounds with a knife. She dreams that she is fighting 
 with a man condemned to the galleys. She bites his hand 
 during sleep. Dreams about dead persons, she kisses them 
 and falls into pits. 265- Dreams about business. 
 
 CUTANEOUS : Red spot on the knee-pan. Boils on the 
 arm. Crusty eruption on the ear and cheek. Itching 
 pimple on the legs. Vesicular eruption on the feet. 270- 
 Phlyctaenae here and there, especially on the extremities. 
 Pimples full of serum. Red pimples at the tips of the fingers. 
 Miliary pimples at the corner of the nose, upon a red base. 
 Furfuraceous tetter at the hairy scalp. 275- Suppurating 
 pimples on the hands, fingers, wrists, gums, &c. Numerous 
 
40 BRAZILIAN PATHOGENESIS. 
 
 white pimples at the inside of the thighs, inflamed in the day- 
 time. Little pimples, followed by desquamation. Yellow 
 spots on the hand and fingers. Red tetter from the corner 
 of the right nostril to the cheek. 
 
 GENERAL : 280- Lassitude in the limbs. Congestion 
 first to the chest, then the abdomen. Stitch in the side. 
 Pressure in left side, extending to the vertebral column. 
 Black blood spirts out of the finger when pricked 285- 
 The right side feels sensitive, with inability to rise in the 
 morning. Prickling as by spice, after triturating the drugs. 
 Spirting of arterial blood from the nose and ears. Pain in 
 the right side, up to the axilla. Stitch in the side. 290. 
 Lassitude in all the limbs. At the least contrariety the 
 body shudders and the blood boils, with prickling. Cramps 
 in the right side. Quick lancinations in the back, sides and 
 arms. The extremities look blue, with reddish spots. 295- 
 Paralysis of the right side. The right side is numb and as 
 if paralysed. Constrictive pain at the bend of the elbow 
 and knee. A change of position is painful. Aching in left 
 side. 300- Disposed to faint. 
 
 PEDICULUS CAPITIS (COMMON LOUSE). 
 
 It is scarcely necessary to give a description of this 
 species which is sufficiently known ; we shall content our- 
 selves with indicating the principal characteristics which 
 distinguish it from the other vermin living on the surface of 
 the human body. The louse is of an oval form; flattened, 
 longer than the crab-louse ; its head is very small ; its 
 thorax is composed of of three not very distinct rings ; the 
 abdomen is all of one piece, rounded off on the sides ; it is 
 ash-colored, whereas the crab-louse is entirely white. The 
 lice which have been made use of in our provings, were 
 taken from the head of a healthy child of five years. 
 
 Even before undertaking this experiment we expected to 
 derive from it important results. We entertained the belief 
 
PEDICULUS CAPITIS. 41 
 
 that nature pointed out to us the louse as a specific for the 
 hereditary psora, in which belief we were strengthened by 
 the fact that psorin develops the lice-malady in healthy per- 
 sons. And we are now prepared to affirm that we have found 
 the louse one of the most useful agents in diseases of 
 children. We offer the following pathogenesis with a sin- 
 cere pleasure which none but those who devote themselves 
 to such patient investigations, can appreciate . * 
 
 SYMPTOMATIC ARRANGEMENT ACCORDING TO 
 HAHNEMANN. 
 
 MORAL AND MENTAL : 1. Depression of spirits. Dul- 
 ness of feeling. Merry in the evening. Very merry. 5- 
 Irascible. Sad without cause. Sensation as if raised off 
 the ground by the hair. She is waked in the night by 
 an attack of dizziness, and inability to open the eyes. 
 Dizziness while walking ; the cerebellum feels compressed, 
 with beating and an acute pain on rising in the morning. 
 
 HEAD. 10. Frontal headache. Headache at intervals, 
 and abating all at once. Headache in the evening. Heavi- 
 ness of the head. Dulness of the head, on rising, with 
 beating in the right temple. 15. Heaviness at the vertex. 
 Violent headache, with dizziness and nausea, in the forenoon. 
 Violent headache, worse on stooping. Headache, with 
 nausea, when walking. Violent headache, and darting in 
 the forehead, when walking. 20- Dull pain in the head, 
 on rising from bed. Headache and pressure at the nasal 
 eminence. Lancinations in the forehead. Dartings in the 
 forehead. Dartings in the right parietal bone. 25- Inter- 
 mittent darlings in the head, worse when stooping. Heat 
 about the head. Itching of the hairy scalp, in front. Con- 
 traction of the hairy scalp. Itching of the left temple. 
 30- Itching of the hairy scalp. Shuddering over the left side 
 of the hairy scalp. Falling of the hair. 
 
 FACE: Dark complexion. Warmth of the face, after- 
 noon. 35- Itching of the beard. The face is red and 
 bloated. Sweat in the face. Scarlet-redness of the face. 
 
 * To avoid unnecessary repetition, the natural order of the symptoms has 
 been left out, it being nearly the same as Hahnemann's arrangement. Ed. 
 
42 BRAZILIAN PATHOGENESIS. 
 
 Itching at the right lower part of the face. 40- Heat in 
 the face,. Tingling pain in the right cheek. Itching of 
 the face and hairy scalp. The left cheek is swollen. 
 
 NOSE : Tickling and prickling at the left wing of the 
 nose. 45- Inflammation of the nasal fossae. Dartings in 
 the root of the nose. Itching of the tip of the nose. 
 
 EARS: Itching in the left ear, evening. Buzzing in the 
 ears. 50- Hot ears. Itching of the right ear. Whizzing 
 in the ears, when whistling. Cracking in the right ear, 
 when eating. 
 
 EYES: Itching of the left eyelid. 55- Rings around 
 
 the eyes. Dilatation of the pupils. Smarting of the eyes 
 as from weeping. The eyes feel weary, are red and smart. 
 Sensation as of sand in the eyes. 60- Smarting around 
 the eyes. 
 
 TEETH : The lower jaw feels tired, as from chewing too 
 much. Darlings in the right upper molares. 
 
 MOUTH : The lips are black and cracked. Dry, swollen 
 and red lips. 65- Burning and prickling on the border of 
 the tongue, which is red and cracked. 
 
 GASTRIC : Hunger, with inability to swallow ; the pharynx 
 seems to contract, followed by fainting and desire to vomit, 
 at noon. Aversion to food. Constant nausea in the evening. 
 Difficult digestion, with contraction of the stomach. 70- 
 Colic and diarrhoea after dinner. 
 
 THROAT : Sore throat, getting worse until evening. 
 Scraping in the throat. Sore throat every evening. Transi- 
 tory choking, especially after supper. 75- Dryness of the 
 throat. Scraping at the tonsils, when swallowing. Sore 
 throat, with constriction of the pharynx. Constant swal- 
 lowing of saliva. 
 
 STOMACH, &c. : Stomach-ache, and darlings in the umbi- 
 lical region. 80- Violent colic. Slight colic. 
 
 STOOL: Sofl stool, in the evening. Diarrhoea evening 
 and next morning. Hard and scanty stool. 
 
 URINARY, GENITAL, &c. : 85- Frequent and copious dis- 
 charge of a watery, yellow-greenish urine. Red urine. 
 Yellow, clear urine. Frequent and copious micturition. 
 
PEDICULUS CAPITIS. 43 
 
 Continual erection, without desire. 90- Leucorrhcea. 
 
 Shifting pain in the uterus, in the evening. Painful stitch 
 in the uterus. Painful darlings, heat and itching in the 
 uterus. 
 
 BRONCHIAL, CHEST: Thirst with hoarseness, towards 
 evening. 95- Dry and convulsive cough. Numbness 
 while drawing breath. Pain in the breasts, when drawing 
 breath. Pain in the chest, worse when touched. Oppres- 
 sion on the chest, in the evening. 
 
 BACK: 100- Tickling at the nape of the neck and between 
 the shoulders. Itching of the nape of the neck and back. 
 Frequent pain in the loins, when standing. Itching of the 
 back. 
 
 EXTREMITIES : Bruising pain on the shoulders and arms. 
 105- Darting at the arms. Itching of the forearm, in the 
 evening. Pain in the bend of the right arm. Itching of the 
 forearm, in the evening. Tickling at the left wrist. HO. 
 Tickling at the wrists. Darting in the back of the left 
 hand. Itching at the backs of the hands. Itching of 
 the back of the hand, with redness and swelling of 
 the veins. Tremor of the hands. 115- Darting and 
 itching at the first phalanx of the middle-finger. Tingling 
 in the tips of the middle and index fingers. Itching at 
 the ring-finger. Itching of first phalanx of right index- 
 fiiiger. Redness and itching at the right hip. 120- Itch- 
 ing as from nettles in the bend of the thigh. The skin on 
 the left thigh peels off. Weakness of the lower limbs. The 
 knee and upper portion of the left lower limb feel tired. 
 Violent lancination above the left knee-pan. 125- Beating 
 above the left knee-pan. Weariness of the knees, especially 
 the left, in the evening. Intense itching at the right instep. 
 Cold sweat at the feet, followed by excessive coldness, in 
 the evening. Ganglion under the foot, hard, swollen, and 
 painful when walking. 
 
 SLEEP, FEVER : 130- Yawning. Drowsy. Uneasy 
 sleep. Restless night. Frequent waking. 135- Dreams 
 about a mob, then amorous dreams with an emission. Con- 
 fused dreams about being pursued. He dreams that he is 
 
44 BRAZILIAN PATHOGENESIS. 
 
 dissecting one of his friends. He dreams that he sees people 
 skate on the Seine, in summer. She dreams that she sees 
 acquaintances walk on water. 140- She dreams that she 
 is sick in a dirty hospital, full of vermin ; water flows from 
 her mouth. Dream about large-lice. She dreams that she 
 sees a large, black figure flying to the clouds. He dreams 
 that he is to die in a prison, whence he escapes by crawling 
 out. Shuddering all over, eight or ten times in succession. 
 145- Shuddering in the evening. Shuddering and twitching. 
 Fever. 
 
 CUTANEOUS : Pimples in the face, on the forehead, 
 temples, chin, &c., vesicular with a black point in the centre. 
 Miliary pimples at the nape of the neck, on a red base. 
 150- Red pimples on the hands, passing off soon. Red, in- 
 flamed pimples on the temples, shoulders, arms, legs. In- 
 flamed pimples on the back, red all around, white in the 
 middle, with a black point in the centre. Red inflamed 
 pimples in the face, evening. Smarting pimples on the back, 
 white at their tips. 155- Red inflamed pimples on the 
 left shoulder and arm. White blotches above the left breast. 
 A number of small pimples on the left knee, black at the 
 centre. Small red pimples on the feet, on taking them out 
 of the warm water. Red pimples on the shoulders. 160- 
 Small red pimples and itching on the right calf. Red pimples 
 with a black point in the middle, on the right side of the 
 neck. Miliary pimples on the calves, with itching. Miliary 
 eruption at the inside of the thighs, with itching. Former 
 pimples at the nape of the neck reappear. 105- Miliary 
 
 pimples at the inside of the arms. White pimples on the 
 forehead. 
 
 GENERAL : Increase of physical strength. Swelling of 
 the breasts, face, and then of the whole body. Itching all 
 over. 170- Face, hands and feet look red. Tickling all 
 over. Starting when sitting or lying in the evening. Prick- 
 ling all over, the whole day. Prickling all over, especially 
 at the front part of the thigh. 175- Weariness, dizziness, 
 faint feeling. Shivering, heat and dryness of the extremities. 
 Itching of the skin. Heaviness. Itching here and there, 
 at night. 
 
F.LEIS GUINEENSIS. 
 
 45 
 
 ELEIS GUINEENSIS. (JACQ.) 
 ELE. PALM-TREE. 
 
 This species is spread all over South-America ; it prefers 
 cultivated and sunny regions. Its trunk, which is from 25 
 to 30 feet high, is covered by the persistent bases of the 
 leaves. The top-leaves form a thick tuft ; they are large, 
 pennate, with numerous folicles, ensiform, alternate and ses- 
 sile, attached to a strong rachis or spike the petioler portion 
 of which is garnished with long and sharp prickles. The 
 flowers are monoecious with a papyraceous perianthus hav- 
 ing six divisions. The male flowers have six stamens and 
 three internal, erect and converging folioles. They form 
 ramose spathes in fusiform masses, placed between the bases 
 of the leaves. The female flowers are scattered ; the ovary 
 is sub-cylindrical, surmounted by a short style with a bilobate 
 stigma. The fruit is oval, oleaginous, of a reddish yellow, 
 
46 BRAZILIAN PATHOGENESIS. 
 
 surrounded by a hard and angular pericarp. We have had 
 it drawn of a large size in comparison to the tree. 
 
 The fruit is triturated. 
 
 First day (in the morning). 1. Ennui when alone. Bitter 
 eructations. Nausea. Drowsiness in the day-time. 5- 
 Heat in the face. Throbbing pain in the nape of the neck. 
 (In the afternoon) : pain in the middle of the chest, as if 
 pricked by pins. The breathing is embarrassed. Hammer- 
 ing pain all through the head. 10- Vacillating gait. Loss 
 of appetite. Beating at the left arm, as if drumming on it 
 with the finger. 
 
 Second day. Swelling of the right leg. Pain at the foot 
 when walking, whenever the foot touches the ground. 15- 
 The same pain is felt when touching the sole of the foot 
 with the hand. Itching all over. He feels strong and healthy. 
 Small vesicles on the swollen leg. They break when pressed 
 upon, a little fluid spirting out. 20- Similar vesicles break 
 out on the left leg, arm and on various other parts of the body, 
 without any swelling. Merry mood, and laughter, even 
 when alone. Remembrance of a former shipwreck. Pain 
 at the right knee as from a blow. Pains at the right leg as 
 if stung. 25- Continual itching all over. Pain as if con- 
 tused at the right side of the chest. Swelling, roughness 
 and itching of the skin of the right leg. The skin seems to 
 be thicker. Acute pain at the lower past of the left leg, as 
 if a penknife had been thrust in. 
 
 Third day. 30- The leg is less swollen. Colic after tak- 
 ing a cold drink. Sadness. Pain at the bend of the knee, as 
 from a blow. Desire to vomit. 35- Violent colic. Weak- 
 ness of the legs. At candle light the sight becomes confused; 
 when writing he makes the letters much larger than usual. 
 Throbbing pain in the calves. Breathing embarrassed, with 
 a sigh. 40- Hammering pain at the tibia, nape of the 
 neck and right foot. Pains in the right shoulder, as from a 
 blow. The sight is weaker than before. Shuddering. 
 White urine. 45. Blackish stool. Constructive : pain 
 
 around the neck as if a string were tied round. Good ap- 
 
ELEIS GUINEEKSIS. 47 
 
 petite. Out of humor. Disobedient. 50- Wants to cry 
 (weep). 
 
 Fourth day. The foot swells up more and more. Ham- 
 mering pain in the foot all the time. Lancinations in the 
 throat when swallowing. Pain in the abdomen, with sen- 
 sation as if bruised. 55- Throbbing toothache. Prickling 
 in the larynx when drawing breath. He approaches his hand 
 to the fire without burning himself, whereas another person 
 got burnt at the same distance. An hour after, he feels very 
 keenly that he had been burnt. Stinging pain in the throat 
 when swallowing saliva. 
 
 Fifth day. 60- Bad smell in the mouth, after drinking 
 water. Cough with lancinations in the sides. Heat in the 
 tongue when taking dinner, so violent that he was obliged to 
 stop eating. 
 
 Sixth day. The swelling of the leg increases. The vesi- 
 cles on the right leg and foot have dried. Other vesicles 
 break out on the left leg and arm. 
 
 Tenth day. 65- After a complete disappearance of all the 
 symptoms, he smells of the drug and afterwards takes 10 
 drops of the mother-tincture. After taking them, bad smell 
 in the mouth. Foul eructations. Merry mood. Hammer- 
 ing in the temple. 70- Lancinations in the right side of 
 the chest, every 5 minutes, less during rest. Breaking out 
 of vesicles which are full of water and larger than the former 
 ones. Itching every 5 minutes, especially at the legs. On 
 each side of the pit of the stomach the skin appears thicker, 
 with pain in the last false ribs as if a peg were stuck in 
 there. 
 
 Eleventh day. Swelling of the right eye. 75- He is 
 unable to look at an object steadily. Lancinations in various 
 parts of the body, especially when going down-stairs. Tumor 
 at the left arm. No sleep at night in consequence of 
 the violent itch'ing. Swelling of the left eye. 80- Fre- 
 quent diarrhrea. He vomits up a cake as soon as he had 
 eaten it. 
 
48 BRAZILIAN PATHOGENES1S. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 MENTAL AND MORAL : 1. Out of humor. Sad. Ennui 
 when alone. Merry. 
 
 HEAD, &c. : 5- Hammering in the temple. Hammering 
 in the head. Hot face. 
 
 EYES, EARS, NOSE ; Swelling of the left eye. Swelling of 
 the right eye. 10- Unable to look at an object steadily. 
 Confused sight at candle-light. Throbbing toothache. Bad 
 smell in the mouth, after drinking water. Violent heat in 
 the tongue when taking his dinner. 
 
 GASTRIC : 15. Foul eructations. Colic, after taking a 
 cold drink. Desire to vomit. Nausea. Bitter eructations. 
 20- Loss of appetite. He throws up cake immediatelly after 
 eating it. Shootings in the throat when swallowing. Bruis- 
 ing pain in abdomen. 
 
 STOOL: Black stool. 25- Frequent diarrhoea. White 
 urine. Prickling in larynx when drawing breath. Cough, 
 with lancinations in the sides. Lancinations in the right 
 side of the chest, less during rest. 30- Contusive pain at 
 right side of chest. Embarrassed breathing. Pricking pain 
 in middle of chest. Constrictive pain around the neck. 
 Throbbing pain in nape of neck. 
 
 EXTREMITIES: 35- Swelling at the left arm. Beating at 
 the left arm. The hand gets burnt when holding it near the 
 fire. Swelling of the right leg. Throbbing pain in the 
 calves. 40- Sharp sticking pain at lower part of left leg. 
 Swelling, roughness and itching of right leg. Pain at the 
 right leg as if stung. Bruising pain at the bend of the knee. 
 Bruising pain at the right knee. 45- Pain at the foot 
 when walking or touching the sole. Drowsy. Shuddering. 
 Itching all over. The skin on each side of the stomach 
 appears thicker, with sticking pain in the last false ribs. 
 50- Itching every few minutes, especially at the legs. Ve- 
 sicles here and there, containing a fluid. Vesicles on the 
 swollen leg, containing a fluid. Hammering pain at the tibia, 
 nape of the neck and foot. Vacillating gait. Lancinations 
 in various parts, especially when going down-stairs. 
 
MIMOSA. HUMILIS. 49 
 
 MIMOSA HUMILIS. (WILD.) 
 
 HIM, 
 
 
 This species which is one of the smallest of the genus 
 Mimosa, is found in the prairies around Rio-Janeiro. Its 
 stem is feeble, rather woody, ramose, pubescent above and 
 covered with very sharp prickles. The leaves are bipinnate, 
 the pinnae being three- or four-paired, with small, linear foli- 
 oles, which close at the least contact ; there are from 6 to 
 12 on each side of the spike. The flowers are small, sessile, 
 forming pretty silky tufts of a violet color. The fruit is 
 somewhat triangular, flattened, covered with long and stiff* 
 hairs, and surrounded by a persistent pericarp, divided in two 
 capsules, each of which contains one seed. 
 
 First day. 1. Twitching of the arm, which extends even 
 to the chest. Smarting pain in the legs, with lameness of 
 the knee. Headache, with weakness of the stomach. Stom- 
 ach-ache after breakfast. 5- Drowsiness. Flatulence and 
 rumbling in the bowels. Yawning. Ptyalism. Shuddering. 
 10- Trembling of the legs. Lancinations in the legs and 
 hands. Sneezing. Coryza and discharge from the nose. 
 
50 BRAZILIAN PATHOGENESIS. 
 
 Inflamed eyes. 15- Papulae on the left leg. Constipation. 
 Depression of spirits. 
 
 Second day. Frequent waking at night. Dry cough in 
 the morning. 20' Stomach-ache after breakfast. Vertigo. 
 Halo around the candlelight. Numbness of the hands. 
 Stillness of the bends of the knees. 25. Sense of heal in 
 the head. The head seems larger than usual. Yawning. 
 Indolent indifference. Flatulent colic in the evening. 30- 
 Frequent stools, with colic. Papulous excrescence of the 
 size of an almond on the right leg, painful and itching. The 
 same swelling at the instep. Drowsy in the evening. Diffi- 
 cult breathing. 
 
 Third day. 35- Inflammatory swelling of the scrotum. 
 Itching of the eyes. Pressure at the nape of the neck and 
 the right temple. Papulous excrescence at the tendo-Achil- 
 les. Dimness of vision. 40- Pain in the sides of the 
 head. Diarrhea. 
 
 Fourth day. Swelling of the left ankle, with redness, 
 tension and lancinations. The excrescences on the leg dis- 
 appear ; similar ones appear on the left arm. Easy stool. 
 45- Numbness of the arm and right hand, passing off when 
 moving the parts. The left eye becomes inflamed. Want 
 of breath. 
 
 Fifth day. Bleeding of the gums. The papulae disappear. 
 50- Acute lancinations, now in the legs, then in the arms. 
 Violent lancinations in the back as from a penknife. Drowsy 
 in the evening, with frequent waking at night. 
 
 Sixth day. Inflammatory swelling of the left hand. Shud- 
 dering. 
 
 Eighth day. 55- Flatulence. Diarrhoea. 
 
 Tenth day. Diarrhoea. Whizzing in the ears. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 HEAD, &c.: 1. Vertigo. Indifference. Depression of spirits. 
 Pain in the sides of the head. 5. Headache, with weak 
 stomach. Heat in the head. The head feels as if swollen. 
 Coryza, fluent. Itching of the eyes. 10- Dimness of 
 sight. The left eye is inflamed. Inflamed eyes. Whizzing 
 in the ears. Bleeding of the gums. 
 
CERVUS BRAZILICUS. 
 
 61 
 
 GASTRIC SYMPTOMS, &c. : 15- Ptyalism. Stomach-ache 
 after breakfast. Flatulent colic. Diarrhoea. Easy stool. 
 20- Frequent stools with colic. Rumbling. Dry cough. 
 Oppressed breathing. 
 
 EXTREMITIES : Pressure at nape of neck. 25- Lan- 
 cinations in the back. Twitching of the arm. Smarting 
 in the legs, with lame knee. Trembling of the legs. Lan- 
 ciriations in the legs and hand. 30- Stiffness of the bends 
 of the knees. Numbness of the arm and right hand. Lan- 
 cinations in the legs and arms. Inflammatory swelling of 
 the left hand. Swelling of left ankle, with redness. 35 
 Yawning. Drowsy. Shuddering. PapulaG on left leg and 
 arm. Papulous excrescence on the right leg and instep. 
 
 CERVUS BRAZILICUS (NoBis). 
 
 CERV. BRAZILIAN STAG; GUAZOUTI. 
 PORTUGi GOUAZOUPITA. 
 
 This stag whose forms are extremely fine and graceful, 
 inhabits the forests of Brazil. Its size is about the same as 
 that of our stag. Its skin the color of which never changes, 
 is of a brownish fallow, being rather lighter towards the 
 abdomen, the posterior part of the thighs and the tail. The 
 
62 BRAZILIAN PATHOGENESIS. 
 
 inferior surface of the lower jaw, the part above and below 
 the eyes, the interior of the ears and the abdomen are white; 
 a black line encircles the jaws and gradually disappears 
 under the lower one. The eyes of the guazouti are black, 
 it has no canine teeth; its mouth, which is very slender, 
 tapers to a muzzle. The horns which, in every case, are 
 not very high and extremely regular, are at first straight ; 
 they curve forward in the second year, send forth three ant- 
 lers, the anterior being placed about two inches above the 
 burr, which is turned a little inward, and the other two at 
 the superior and posterior part of the staff. The horns be- 
 come bigger as they grow older, but the number of antlers 
 remains the same. We triturate the skin, which should be 
 used fresh and covered with the hair. 
 
 First day. 1. Copper taste in the mouth, and a sensation 
 of heat in the throat when taking the drug. Light or coma- 
 tose sleep, with dreams about men who are dressed in black, 
 about pistol-shots, imprisonment. Uneasiness. At five o'clock 
 in the morning, the head feels heavy and dull, especially the 
 front part. 5- Constant heat in head. At half past nine 
 the left side of the tongue feels hurt. Languid feeling, he 
 wants to lie down. Unable to work. Sensation of goose- 
 flesh as if some one were cutting cork close to him. 10. 
 Repeated yawning. He feels cold though he is wrapt up 
 well. Slumbers from half past two to three o'clock. Slight 
 diarrhoea. 15. The heat in the face increases (at four 
 o'clock). Dark-red spots, with inflammation of the right 
 side of the face. Head dull and heavy. Heat about the 
 legs. At six o'clock, slight pain around the navel, which, 
 however, does not last long. 20- Pricking at the right 
 nasal wing. At noon, the head feels compressed as by a 
 band tied together at the nape of the neck. Bruising sen- 
 sation in the left toes. Frequent pain, now in the left but- 
 tock, and then in the thigh. The left leg feels weak. 25. 
 Small callosity above the internal ankle of the left foot. 
 General feeling of weariness and of being bruised. 
 
 Second day. Restless sleep as the first night. Wakes 
 several times at night, always preoccupied with the idea of 
 
CERVUS BRAZ1LICUS. 53 
 
 quarrelling with somebody who frightened him. The dulness 
 continues. 30- Weight at the forehead. Tight feeling 
 at the inner side of the right leg, with red spots. Appear- 
 ance like incipient erysipelas. Shuddering with twitching. 
 Yawning. 35- Intermitting pain in the right groin after 
 walking. Taste of doughy bread in the mouth. The sight 
 is very sensitive to light, he cannot open his eyes in a spot 
 which is illumined by the sun. At eight o'clock in the 
 evening, pain in the right groin as if pricked with a pin, in 
 the direction of the joint, for a quarter of an hour. The 
 same pain is felt in the navel in a recumbent posture. 
 
 Third day. 40- Numbness of the arm on which he had 
 been lying at night. Hardness of the left leg, with lanci- 
 nalions. Mottled appearance of the face. Red and humid 
 spots on the left leg. Quiet and short sleep, he wakes four 
 times at night. 45- Dulness of the head : same weight at 
 the forehead. Heat in the right leg, where the red spot is ; 
 this is sensitive to contact. Taste as of doughy bread in the 
 mouth. Depression of spirits in the day-time. Erection in 
 the evening, with desire to lie down. 
 
 Fourth day. 50- Numbness of the hands and legs. Unea- 
 siness in the left leg. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 HEAD, &c.: 1. Depression of spirits. Weight at forehead. 
 The head feels heavy and dull. Heat in the head. 5- The 
 head feels compressed as by a band tied behind. Sensitiveness 
 to light. Left side of the tongue feels sore. Taste oT doughy 
 bread. Copper taste in mouth, with heat in throat. 10. 
 Mottled appearance of the face. Hot face. Pricking at 
 right nasal wing. Pain in right groin after walking. Prick- 
 ing pain in the right groin and navel. 15. Slight pain 
 around the navel. Diarrhoea. Erection. 
 
 EXTREMITIES, &c.: Numbness of the arm on which he 
 had been lying. The left leg feels weak. 20- Tight 
 feeling at inside of right leg, with red spots. Hardness 
 of the left leg, with lancinations. Heat at the legs. Heat 
 in the right leg, where the red spot is. Bruising sen- 
 
54 BRAZILIAN PATHOGENESIS. 
 
 sation in left toes. 25. Uneasiness in left leg Restless 
 sleep. Yawning. Quiet sleep, with frequent waking. 
 Dreams about men dressed in black, about imprisonment, &c. 
 30- Yawning. Shuddering with twitching. Sensation of 
 gooseflesh. Cold feeling. He feels weary and sore. 35- 
 Languor. Numbness of the hands and legs. Incipient ery- 
 sipelas. Callosity above the left inner ankle. Red and hu- 
 mid spots on left leg. 40- Dark-red inflamed spots in 
 face, right side. 
 
 GUANO AUSTRALIS. 
 
 This substance, which has been used for some years past 
 as manure, is found on the coasts of Patagonia and princi- 
 pally on the Lobos Island near the coast of Peru. We have 
 proved the different varieties of guano, and likewise the crys- 
 talline particles formed by the condensation of ammonical 
 vapors which rise from the guano in abundance. Our hope 
 to discover in these crystals a more active normal agent, has 
 not been realized, so that, in the end, we have found the 
 freshest possible guano preferable for medicinal purposes. 
 It is triturated in the same way as all other substances. 
 
 First day. 1. Internal shuddering for three minutes in 
 the morning. Violent headache. Pain in the forehead when 
 inclining the head forward, at 6 o'clock in the morning. Vio- 
 lent itching at the back, and painful smarting after scratching, 
 at 7 o'clock in the morning. 5- Formication in the right 
 nasal fossa, at 7 and a half o'clock. Pain with pinching 
 behind the ears, at 8 o'clock in the morning. Dizziness, 
 objects turn from below upward, at 9 o'clock in the morning. 
 Nausea wiih profuse flow of saliva. Pale face with faint 
 feeling, at noon. 10. Lassitude, at half past two in the 
 afternoon. Desire to vomit, at half past two in the afternoon. 
 While eating, pain at the pit of the stomach and desire to 
 vomit. Profuse sweat all over, after eating. Aching in the 
 forehead and temples, worse when stooping, at half past 
 three. 15. Pain at the styloid process of the left wrist. 
 Pain in the lungs which stops the breathing, for three minutes. 
 
GLJANO AUSTRALIS. 55 
 
 Swelling of the right index-finger. Itching of the genital 
 organs. Water feels extremely cold to the hands, they feel 
 like ice when keeping them in the water a little longer. 
 20- Pain at the feet which prevents one from pressing them 
 to the ground, at 5 o'clock in the evening. Red spot, with 
 itching at the back, and smarting pain after scratching. Vio- 
 lent headache as if the head were incased in iron. 
 
 Second day. Beating at the left commissure of the lips, 
 at 6 o'clock in the morning. Itching in the right nostril and 
 frequent sneezing, for one hour, at half past G o'clock. 25. 
 Great weakness. She remains at the spot where she hap- 
 pened to have located herself. 
 
 Third day. Painful ganglion on the left arm, with redness 
 and itching ; when scratching the arm, it remains insensible 
 until the skin was off; lasts for half an hour, at 6 o'clock in 
 the morning. Headache : he feels as if the head were open- 
 ed, at 8 o'clock in the morning. Smarting ganglion below 
 the right calf, hindering walking, and lasting until night. 
 
 Fourth day. 30- Nausea, one cannot bear seeing persons 
 eat, at 7 o'clock in the morning. Painful ganglion at the 
 left elbow. Small itching pimples. Violent beating of the 
 heart ; feeble breathing, for five minutes. Large hard and 
 red place on the back, with pricklings as from a thousand 
 pins. This sensation commences at 9 o'clock and lasts all 
 night. 
 
 Fifth day. 35- Profuse sweat on the arms and hands ; the 
 skin on the thighs is insensible ; a prick is not felt ; for two 
 days they are covered with little pimples. Cramp at the pit 
 of the stomach before eating. 
 
 Sixth day. Violent pain at the right knee, as though 
 pieces of fiesh would be torn from him, at 7 o'clock in the 
 morning. Burning under the soles of the feet, she cannot 
 keep her shoes on. Cramp at the left thumb, for an instant. 
 
 Seventh day. 40. Sensation as if the gums were cut with 
 pen-knives, after which thoy bleed for half on hour, at 6 
 o'clock in the morning. Formication in the right nostril, for 
 five minutes, at 10 o'clock. Sensation of hammering in the 
 nape of the neck, at o o'clock in the afternoon. Pain in the 
 
56 BRAZILIAN PATHOOENESIS. 
 
 abdomen as if pierced by sharp points, at 9 o'clock in the 
 evening. 
 
 Eighth day. Tongue white and thickly coated. 45- 
 Bitter bilious taste in the mouth, at 6 o'clock in the morning. 
 Deep sleep. She dreams that she is playing with wild 
 beasts. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 HEAD, &c.: 1. Dizziness, objects turn from below upward. 
 Headache. Headache as if the head were encased in iron. 
 Headache as if the head would split. 5. Aching pain in 
 forehead and temples. Pain in forehead when inclining the 
 head forward. Pale face, with faint feeling. Pinching pain 
 behind the ears. Cutting in the gums, followed by bleeding. 
 10. Tongue coated white. Beating at the left commissure of 
 the lips. Formication in right nasal fossa. Itching in right 
 nostril, with sneezing. 
 
 GASTRIC, &c. : Bilious taste in mouth. 15. Cramp 
 at pit of stomach before eating. Nausea, cannot bear see- 
 Jng people eat. Pain at pit of stomach, with desire to vomit, 
 while eating. Sweat all over, after eating. Nausea, with 
 flow of saliva. 20- Desire to vomit. Sharp piercing- 
 sticking pain in abdomen. Itching of the genital organs. 
 Palpitation of the heart. Pain in the lungs, arresting the 
 breathing. 
 
 EXTREMITIES, &c.: 25- Hammering sensation in nape of 
 neck. Itching of the back,with smarting after scratching. The 
 hands feel like ice in cold water. Pain at the left wrist. 
 Swelling of the right index-finger. 30. Cramp at the left 
 thumb. Burning at the soles. Pain at the feet when press- 
 ing them to the ground. Pain at right knee, as if the flesh 
 would be torn off. Internal shuddering, in the morning. 
 35. She dreams that she is playing wild beasts. Itching, 
 red spot on the back. Hard and red spot on the back, with 
 pricklings. Smarting ganglion below the right calf. Pain- 
 ful ganglion on left arm, with redness. 40- Weakness, no 
 desire to stir. Lassitude. Profuse sweat on the arms and 
 hands, with insensibility of the skin and little pimples. 
 
IIIPrOMANK MANCINELLA. 
 
 57 
 
 HIPPOMANE MANCINELLA. -(L.) 
 
 HIPP. MANCINELLA VENENATA, TUSS. 
 
 Although the poisonous properties of the mancinella have 
 been very much exaggerated, it is nevertheless a very poi- 
 sonous tree, which, happily, becomes more and more rare, 
 owing to its being rooted up with great care wherever it 
 shows itself. It is a tree from 12 to 15 feet high, with a 
 trunk having a white and soft wood and covered with a grey- 
 ish bark. Its branchy top gives it the appearance of a 
 European fruit-tree. Its leaves are alternate, oval-acute, some, 
 what cordate at their base, with fine indentations, and a red 
 gland at their apex. They are attached to long petioles ; 
 stipulate while young. Flowers mono'ichous, forming long 
 terminal spikes, the male flowers being above, the female 
 below or at the axilla of the leaves. The male flowers have 
 a bifid perianth whence emanate the stamens, the united 
 filaments of which form a column that supports the anthers. 
 The female flowers have a perianth with two or three divi- 
 sions and a rudimentary foliole; the ovary is round and 
 superior ; style straight, terminating in 6 or 7 red, radiating, 
 reflexed stigmata. The fruit is round, pulpy, from 5 to 6 
 3* 
 
58 BRAZILIAN PATHOGENESIS. 
 
 inches in diameter, umbilicate at the top, and inclosing a 
 wooden kernel with seven monosperm compartments. 
 
 The fresh leaves are triturated. When we were informed 
 that a mancinella had been discovered near Rio, we re- 
 quested Mr. Ackermann, a pupil of the institute, to repair to 
 the spot for the purpose of verifying the identity of the plant, 
 and collecting its juice. Having accomplished his mission, 
 he drunk, a portion of the liquid, on the 10th of January, 
 1847, in a public sitting of the institute. He was joined in 
 the proving by several of our pupils. Some of the following 
 symptoms were so violent, that they had to be counteracted 
 by antidotes. The pathogenesis of the mancinella is one of 
 the most precious additions which our Brazilian provers have 
 furnished to our Materia Medica. 
 
 Prover : M. E. T. Ackermann. 
 
 FIRST PROVING. 
 
 First day. 1, Merry mood, desire to sing. Is disposed 
 to take every thing in good part. Buzzing in the ears and 
 whizzing like the wind, when walking. Urine scanty and 
 whitish. 5. Sensation of heat and trembling in the chest. 
 Constant eructations like volumes of air. Watery vomiting. 
 Violent pain in the abdomen, as if he had been struck by the 
 point of a stick. 
 
 Second day, 10 Heavy sleep, and late waking. Evanes- 
 cent ideas. Sensation of paralysis immediately after ris- 
 ing, his hand trembles a good deal ; he is unable to open the 
 door of his room. Absence of thought. Disposed to be 
 silent. Deep tranquillity of mind, in the morning. 15 
 Sadness. Drowsy after breakfast. Embarassed breathing 
 when falling asleep again. Redness of the skin. Sweat in 
 the palm of the hands whereas the rest of the body is per- 
 fectly dry. 20e Pain at the lower part of the head, and 
 weight as if he had knocked it against any thing. Small 
 pimples. Beating pain at the left side of the neck. Pain 
 all around the neck like beats with a hammer. Pain at the 
 right side of the head while hearing the strokes on an anvil, 
 he felt as though he were struck with a hammer.- 25. 
 
HIPPOMANE MANCINELLA. 59 
 
 Pain at the nape of the neck and forehead when stooping; it 
 is a dull, confused pain which he cannot describe. In the 
 day-time the hands become red. Sense of weight over the 
 eyes. His nose is looser than usual. Pain all round the 
 head as from a blow after having remained in the sun for a 
 time. 30 Redness and heat of the ears. Alternate hun- 
 ger and loss of appetite. Weak stomach. Loathing. Pro- 
 fuse urine, but always a little white. 35* Acute pain with 
 weight in the pit of the stomach, for a minute. Eructation 
 during an expiration, like a volume of hot air, which ascends 
 to the mouth with a feeling of oppression. Metallic taste in 
 the mouth. White expectoration. Beating 'pain in the ab- 
 domen after breakfast. 40i Disagreeable sensation while 
 hearing the noise of a saw. When hearing blows with a 
 hammer the counter-shock is felt in the whole body. He 
 alternately lays himself down and raises himself again. 
 Swelling of the veins of the hands. Constant pain all day, 
 in the wrist and metacarpus, as if strings were tied round 
 very tightly. 45 Three slight beats on the arm, as if 
 touched with the finger. Easy stool. The face is yellow 
 and the body red. Copious emission of wind. Weak all 
 over in the day-time. 50- Two attacks of colic and diar- 
 rhoea, with pulling and pinching in the bowels, at midnight. 
 
 Third day. Sad, then merry dreams. Every thing is un- 
 pleasant to him. The headache continues and renders him 
 impatient. Feeling of tenderness and deep pity. 55. 
 Profuse and whitish urine. The chest dilates a good deal, 
 when drawing breath, even with the mouth closed. The 
 chest feels bruised, with embarrassed respiration. The con- 
 strictive pain at the wrist shifts to the middle of the arm for 
 an hour, after which it returns again to the wrist. 
 
 Fourth day. Lancinating pain in the left temple. 60. 
 Buzzing in the ears, and drumming noise when walking 
 against the wind. Lancinating pain in the chest. Prickings 
 through the heart. The moral emotions are accompanied by 
 an indescribable malaise, beating pain in the chest and loss 
 of speech. When making the least exertion, he is at- 
 tacked with violent cough and painful prickings in the throat. 
 
60 BRAZILIAN PATHEOENESIS. 
 
 65' When commencing to talk, a sudden suffocation and violent 
 beatings in the chest. Suffocation and beatings in the chest 
 when attempting to cough. Beating pain in the head and 
 nape of the neck, with inability to bend the head forwards 
 for the purpose of writing. Weak chest. Thirst every 
 hour in the day-time ; desire for water, with aversion to wine 
 or any other liquor. 70- The weakness increases. Sad- 
 ness. Colic and diarrhoea. Full and frequent inspirations. 
 Urine clear and abundant, but whitish. 75. Lancinations 
 in the bladder when commencing to urinate, he feels relieved 
 after urinating. Pulling and dragging pain in the bowels. 
 
 Fifth day. Headache. Pain in the chest when making 
 the least motion. The breathing is no longer embarrassed. 
 80- Extraordinary desire to smoke. Pricking in the feet 
 when sitting. Weakness all over. Pain in the bends of the 
 knees as if bruised. 85- Constriction round the thighs 
 and legs as if a thread had been tied around. Lancinations 
 in the groins. Sexual desire. Continual thirst in the day- 
 time. Dry mouth. 90- Depression of spirits. Sadness. 
 Cold extremities. Profuse and clear urine. Deep sleep in 
 the day-time. 95- Aversion to work. 
 
 Sixth day. Dream about ghosts and phantoms. Head- 
 ache. Sad in the morning. Increasing thirst in the day- 
 time, until evening. 100- Heaviness all over. Profuse 
 and clear urine. Loathing of every thing. Aversion to 
 work. Desire to lie down. 
 
 Seventh day. 105- Headache with vertigo, especially in 
 the morning, after eating a piece of bread. Sensation as of 
 a blow in the abdomen, followed by stool. Formication in 
 the right hip, and lancinations when walking. Continual 
 thirst. Sadness. 110- Clear and profuse urine. 
 
 Eighth day. The urine becomes natural again. 
 
 Ninth day. The previous symptoms disappear. Active 
 jnind, disposed to work. Good appetite. 
 
 Eleventh day.- 115- Tetter of an inch in diameter on the 
 left arm; it disappears on the following day. Beating pain 
 in the neck, abating for a few moments by reclining the head. 
 Pricking in tt^e mouth when eating bread. Desire to remain 
 
HIPPOMANE MANCINELLA. 61 
 
 lying. Frequent stool. 120- Swelling of the left ankle. 
 Pricking for two hours at the left knee-joint. 
 
 Twelfth day. Lancinating pain in the head. Heaviness 
 at the head. Pain at the head after thinking, as from ban- 
 daging the head from temple to temple with the skin of a 
 bladder. 125. Confused pain in the head when writing. 
 Lancinating pain in the head, as soon as one sets about 
 eating. Contusive pain at the clavicles, when turning the 
 head right or left. 
 
 SECOND PROVING. 
 
 First day. (The drug was taken at half past seven in the 
 evening.) 
 
 One hour after, violent headache, with painful lancinations. 
 The pains continued all night, with sleeplessness. 
 
 Second day. 130* The headache continues, especially at 
 the temples and above the eyes. Acute pain at the elbow- 
 joints. Taste of blood in the mouth. Rheumatic pain at 
 the shoulder-blade. Repeated, violent lancinations in the 
 right side of the abdomen. 135. Lancinations at irregular 
 intervals, in the left shoulder-blade and muscles, from the 
 left side of the chest. Headache all day. Constant dryness 
 in the throat. Taste of blood in the mouth all day. 
 
 Third day. Painful lancinations in the head, temples, 
 and over the eyes. 140 Intense lancinating pains in the 
 left side. Lancinations in the hypochondria and shoulder- 
 blades. The pain at the elbow-joint continues. Lancina- 
 tion in the right knee-joint. Excessive heaviness and 
 dulness of the head. 145 Constant drowsiness. Inces- 
 sant headache. Intense, lancinating and constrictive pain 
 in the muscles of the upper part of the right arm, for more 
 than an hour. Continued formication in both feet, especially 
 the left. Taste of blood in the mouth, as if blood had as- 
 cended in the throat, and had left the taste of it in the mouth. 
 150 Frequent and violent lancinations in the abdomen and 
 bowels. Almost complete loss of appetite. Comatose, con- 
 stantly drowsy. The head feels very heavy, with constant 
 pain in it. 
 
62 BRAZILIAN PATHOGENESIS. 
 
 Fourth day. No sleep at night. 155. The headache 
 becomes intolerable. Taste of blood in the mouth. Attack 
 of diarrhoea, with pain and tenesmus. First a natural stool, 
 followed by frequent, painful discharges, first of black, fetid 
 substances, then of a watery liquid ; the attack lasts upwards 
 of two hours. Lancination in the muscles of the right knee, 
 also in the ribs and right side. 160. Pains in the hypo- 
 chondria. Lancinating pain in the bowels. Lancinating 
 pain in the left shoulder. The headache continues. Com- 
 plete loss of appetite. 185. No sleep. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 1 MENTAL AND MORAL : Taciturn. Deep repose of mind. 
 Evanescent ideas. Merry. 5. Sadness. Feeling of ten- 
 derness. Sad, then merry dreams. 
 
 HEAD : Heaviness and dulness of the head. Lancinating 
 pain in the head. 10. Pain at the head, as if bandaged 
 all round, after thinking. Headache with vertigo, after 
 eating bread in the morning. Headache, especially in the 
 temples, and above the eyes. Violent headache with pain- 
 ful lancinations. Pain as from a blow all round the head, 
 when staying in" the sun. Weight above the eyes. 15. 
 Pain at nape of neck and forehead, when stooping. Pain and 
 weight at lower part of the head. Lancinating pain in left 
 temple. 
 
 FACE, GASTRIC : Face yellow, and body red. 20. Buzz- 
 ing in the ears. Redness and heat of the ears. Buzzing 
 and whizzing in the ears. Dry mouth. Loathing. 25. 
 Loathing of every kind of food. Loss of appetite*. Watery 
 vomiting. Desire to smoke. Thirst every hour, with aver- 
 sion to wine or liquor. 30. Alternate hnnger, and loss of 
 appetite. Pricking in the mouth when eating bread. Eruc- 
 tations, like volumes of air rising upwards. Hot air rises 
 during an expiration. Taste of blood in the mouth. 35. 
 Metallic taste in mouth. Dryness of the throat. 
 
 STOMACH, BOWELS : Weak stomach. Acute pain and 
 weight in pit of stomach. Lancinations in the groins. 
 40. Pulling and dragging pain in the bowels. Sensation as 
 
HIPPOMANE MANCINELLA. 63 
 
 of a blow in the abdomen, followed by stool. Violent lan- 
 cinations in right side of abdomen. Pains in the hypochon- 
 dria. Lancinations in abdomen and bowels. 45. Stick- 
 ing pain in abdomen. Beating pain in abdomen, after break- 
 fast. Flatulence. 
 
 STOOL, URINARY, GENITAL : Easy stool. Colic and 
 diarrho3a, with pulling and pinching in the bowels. 50. 
 Diarrhoea, with pain and teriesmus. Natural stool, followed 
 by painful discharges, first of black and fetid, then of watery, 
 liquid substances. Frequent stool. Dartings in the bladder, 
 when commencing to urinate. Profuse urine, rather white. 
 55. Urine scanty and whitish. 
 
 CHEST : Full and frequent inspirations. Weak chest. 
 Contusive pain at the clavicles when turning the head. 
 Sense of heat and trembling in the chest. 60. Suffoca- 
 tion and beating in the chest, when attempting to talk or 
 laugh. Violent cough and painful prickings in the throat, 
 after the least exertion. The chest feels bruised, with op- 
 pressed breathing. Lancinating pain in the chest. Con- 
 siderable dilatation of the chest, when drawing breath. 
 65. Embarrassed breathing. Prickings through the heart. 
 
 BACK, EXTREMITIES :' Beating pain at left side of neck, or 
 all around it. Pain at right side of neck as if struck with a 
 hammer. Rheumatic pain at the shoulder-blade. 70. 
 Dartings in the left shoulder-blade and muscles, from the left 
 side of the chest. Beating pain in the neck, abating when 
 reclining the head. Lancinating pain in the left shoulder. 
 Intense darting and constrictive pain in the muscles of the 
 upper part of the right arm. Tetter on left arm. 75. 
 Slight beats on the arms as with a finger. Acute pain at the 
 elbow-joints. Constrictive pain in wrist and metacarpus, all 
 day, shifting to the arm. His hand trembles after rising, as 
 if paralyzed. Sweat in the palm of the hand. 80. The 
 veins of the hand are swollen. Formication in the right 
 hip, and lancinations when walking. Constrictions around 
 he thighs and legs. Bruising pain in the bends of the 
 knees. Pricking at left knee-joint. 85. Dartings in the 
 
64 BRAZILIAN PATHOGENES1S. 
 
 right knee-joint. Swelling of the left ankle. Pricking in 
 the feet when sitting. Formication in the feet. 
 
 SLEEP, &c. : Heavy sleep. 90 No sleep at night. 
 Dream about ghosts and phantoms. Constant drowsiness. 
 Deep sleep in the day-time. Red skin. 95. Pimples. 
 Desire to lie down. Aversion to work. Indescribable 
 malaise, with beating pain in the chest and loss of speech. 
 Nervousness, the blows of a hammer produce a counter- 
 shock in the whole body. 100 Beating pain in the head 
 and nape of the neck, with inability to bend the head for- 
 wards. Cold extremities. Heaviness all over. Painful 
 dartings in the head, temples, and above the eyes. Darting 
 in the muscles of the right knee, ribs and right side. J05. 
 Weakness in the day-time. 
 
HURA BRAZILIENRIS. 65 
 
 HURA BRAZILIENSIS. (WILLD.) 
 
 HURA. ASSACU. OASSACU. 
 
 THIS plant inhabits the equatorial regions of South- Ameri- 
 ca, the provinces of Para, Jlio-Negro, and the neighborhood 
 of the Amazon, where it is very frequent. It resembles the 
 hura crepitans ; its leaves are alternate, somewhat cordate, 
 rounded, glabrous, serrate ; rolled up and stipulate while 
 young. The petiole is provided at its top with two large 
 glands. Flowers monoechous ; the male flowers having a 
 short, urceolate perianth, and covered with a scaly bract ; 
 they form elongated, peduncled, terminal husks. The fe- 
 male flowers, which are twice as long as those of the hura 
 crepitans, have their perianth resting against the ovary, 
 which is surmounted by a long and infundibiliform style, 
 terminated by a stellate stigma ; they are solitary and placed 
 near the male flowers. It is from this tree that the Indians 
 draw the milky juice called Assacu by the Brazilians. 
 
 A man affected with lepra, and who had sought refuge in 
 the solitary regions of the Amazone, took, by the advice of 
 an Indian whom he met there, a considerable quantity of a 
 juice known under the name of Assacu, flowing from the 
 
66 BRAZILIAN PATHOGENESI3. 
 
 trunk of a tree, which has been described by Willdenow, 
 under the name of hura braziliensis. He was cured ; and 
 the president of the province of Para, informed the imperial 
 government of it. Since then, this juice has been very 
 generally used by leprous patients without, however, curing 
 them. 
 
 The first and third provers of this drug, on a voyage to 
 Brazil, in 1842, had both been attacked with the lepra. 
 Under homeeopathic treatment they seemed both to have got 
 well, though one might have inferred from the gravity of 
 their symptoms, that they had been palliated rather than 
 cured. The frightful symptoms of compression of the spinal 
 marrow, which supervened in the case of one of the provers, 
 point to the Assacii. as a powerful remedy for various forms 
 of myelitis. The symptoms of nervous excitement, the 
 twitching, the irritability of the temperament exhibited by all 
 the provers, favor the doctrine that the lepra is a particular 
 lesion of the nervous system. If the exanthems and the 
 insensibility of the skin characteristic of the lepra, have been 
 less marked in our provings, it is undoubtedly because these 
 phenomena belong to some chronic form which a continued 
 use of the drug and a real poisoning are alone capable of 
 producing. 
 
 These four provings have been instituted with a single 
 drop of the fifth attenuation. It is our rule to avoid repeating 
 the dose lest the chronological succession of the symptoms 
 which we regard as important, should be disturbed. We do 
 not believe that repeated doses can do much good, arid if a 
 prover should not experience any effects from one dose, we 
 should prefer dropping this proving, and resort to some other 
 drug, to which his organism should be more sensible. 
 
 First prover : Aug. Joly, 29 years of age, bilious-nervous 
 temperament, healthy constitution. 
 
 First day. Took one drop of the 5th attenuation at ten 
 o'clock at night. 
 
 lo One hour after, itching at the ribs and sternum, at the 
 biceps and the posterior parts of the right arm. Doughy 
 mouth, in the morning, on waking. Dreams about a ball, 
 
HURA BRAZILIENSIS. 67 
 
 about houses in process of erection. In the morning, itching 
 at the arms, legs, outer parts of the tibia. 5 The upper 
 and lower eyelids are inflamed and blueish. Itching at the 
 right arm, at the lower and inner portion of the humerus, 
 owing to a little pimple which is forming. Taste of blood 
 in the mouth. Whizzing in the ears, especially the right. 
 Clusters of miliary pimples on the back, arms, legs and 
 chest. 10. Irritated by the least contrariety. Desire to 
 vomit, sick stomach. Rheumatic pain at the left arm. He 
 looks weary as if he had been carousing all night, though he 
 slept well all night. Pinching at the right side of the 
 tongue. 15. Laricination in the canal of the urethra. 
 Prickling around the eyes, and especially around the right 
 one. Sensation as if small pimples would break out on the 
 inside of the eyelids. Nervous beating in the eyelids. Rheu- 
 matic pain at the sacrum, especially when stooping. 20* Con- 
 tusive pain at the lumbar region. Miliary eruption in the joints. 
 
 Second day. Dry mouth in the morning. Acute pain in 
 the lumbar region and at the sacrum, as from a fall. Smoky 
 taste of the water which is drank at breakfast. 25 Pain 
 in the ilio-femoral articulation. Pain all along the left thigh. 
 Sneezing, and frequent blowing, as when a catarrh is about 
 setting in, followed by involuntary discharge from the nose 
 of a lemon-colored mucus, with tickling. Constant pain in 
 the lower part of the lumbar regions, worse when stooping 
 or sitting down. Lancinating pain at the top of the head. 
 30i Slight desire to vomit at eleven o'clock in the morning. 
 Dizziness. He dreams that he was swimming in a river 
 with ,warm and dark-green water ; afterwards that he was 
 on a plantation in Brazil, where men drew water from a 
 yellow pond. Moist, intermittent heat, mounting every 
 fifteen minutes from the feet to the face. Prickling at the 
 right eye. 35 Sense of heat mounting to the clavicles. 
 (At a quarter of ten o'clock :) Dry nose, he cannot blow it ; 
 with itching at the interior of the nose. 
 
 Third day. In the morning, the pain at the sacrum had 
 disappeared. (At ten o'clock and a half:) The pain at the 
 sacrum returns worse, after moving a box. Burning at the 
 
68 BRAZILIAN PATHOGENESIS. 
 
 right index-finger, a red spot extending from the nail to the 
 second phalanx. Numbness ; almost amounting to insensi- 
 bility. 40 (At half past twelve :) Pain as from a splinter 
 under the thumb-nail. In the evening, tickling under the 
 arms and along the dorsal spine. 'No sleep at night, frequent 
 waking, feverish agitation. 
 
 Fourth day. Heat in the hands, in the morning. At two 
 o'clock, a small vesicular pimple on the back of the left 
 hand ; for four hours. 45. Stiffness in the trapezoid 
 muscle, near its attachment at the occiput. Pain at the left 
 fore-arm as from a blow. Small vesicular pimples, and 
 itching at the ribs, arms, and at every prominent process 
 of the bones. 
 
 Fifth day. In the morning, the pimples on the arms have 
 almost disappeared ; there remains only a little itching at the 
 sternum. Heat at the tips of the right fingers. 50 Sen- 
 sation as if a small portion of the nail of the right index- 
 finger had become detached. At half past six in the evening, 
 heat and passing sweat. At half past seven in the evening, 
 sensation of burning, smarting on the left side of the chin, 
 in the beard, as from an incipient tetter. Sensation under 
 the masseter muscle, as from a recent blow on the parotid. 
 At eight o'clock in the evening, the spot becomes sensible to 
 contact ; a small swelling is observed extending below the 
 zygomatic arch. 55 Sensation at the supinator muscle 
 of the forearm, as from an incipient tetter. Small pimples 
 on the inner surface of the lower lip. Stiffness of the trape- 
 zoid muscle and the neck. Prickling as from dust, at the 
 border of the lower lid of the right eye. 60. Itching at 
 the back, legs, arms, at the same time. 
 
 Sixth day. Fleshy excrescenses on the inner surface of 
 the lips. At four o'clock, weariness in the legs, in going up- 
 stairs. At eight o'clock in the evening, painful stiffness of 
 the neck. The pain in the masseter muscle, which had 
 already decreased in the morning, disappeared entirely in the 
 the evening. Weight in the testicles in walking, at five 
 o'clock in the evening. 65* Taste of blood in the throat 
 before breakfast. 
 
 Seventh day. Itching at the right lower eyelid, as if a 
 
HURA BRAZ1LIENSIS. 69 
 
 pirnple would appear. At three o'clock, sensation as of dust 
 in the left eye. Sense of weight at the eyes, as if they had 
 been strained. 
 
 Eighth day. No sleep all night. 70 Pressive pain at 
 the cranium. Heat in the nails of the left hand. 
 
 Ninth day. Straining sensation in the upper part of the 
 sacrum, preventing him from standing erect, at noon. Taste 
 of blood in the throat before breakfast. Sputa mixed with 
 blood. 75 Sense of giving way in the knee-joint, in 
 going down-stairs, at two o'clock. At four o'clock, pain 
 in the renal region, which keeps increasing ; it decreases at 
 five o'clock. Prickling in the left eye, and intolerable 
 itching, with nervous irritation which spreads to the heart, 
 but passes off soon. 
 
 Tenth day. Prickling in the left eye as from dust. 
 Smarting sensation in the beard as from a pimple, at each 
 hair, at nine o'clock. 80t Burning sensation at the inner 
 canthus of the right eye, at half past nine in the evening. 
 The carunculae lachrymales look inflamed. 
 
 Eleventh day. Itching at the anterior surface of the tibia, 
 at night, and smarting sensation as from a tetter. Appear- 
 ance of a small red circle, with a small dark-red pimple in the 
 middle ; followed by peeling off. Itching at the hairy scalp, 
 especially behind and in the mastoid process, as from a tet- 
 ter. 85 Sensation as if he had torn off a hang-nail, or 
 as from a splinter in the ring-finger of the left hand. At ten 
 o'clock, smarting at the bend of the right elbow, on the 
 outside. 
 
 Twelfth day. Tickling at the left arm, with small vesicu- 
 lar pimples. Itching in the beard, with small pimples which 
 form a crust under the chin. Itching and small crusty pim- 
 ples on the hairy scalp. 90 Constrictive sensation at the 
 anus ; at half past five o'clock. 
 
 Thirteenth day. Painful sensation at the upper and late- 
 ral portions of the sacrum, as if strained or bruised. Clus- 
 ters of small miliary pimples at the bend of the elbow, with 
 redness around the pimples after scratching them. The 
 pimples cease to be vesicular ; other pimples appear on the 
 
70 BRAZILIAN PATHOGENESIS. 
 
 insteps. Prickling sensation in the eyes all day, with red- 
 ness and smarting at the border of the lids. 95. Sensa- 
 tion as if there were dust or foreign bodies in the eyes. The 
 right eye is more sensible than the left. Weariness in the 
 legs, after noon. Pain in the left knee as from a sprain, 
 with lancinations below the pain, 
 
 Fourteenth day. Contractive sensation below, and at the 
 right side of the coccyx. 100. Rheumatic pain at the left 
 side of the neck, the splenius, complexus and trapezoides 
 muscles. 
 
 Fifteenth day. Rheumatic pain at the neck, with diffi- 
 culty of turning the head to the left side, in the morning. 
 Pain in the head like a weight on the skull, extending to 
 the mastoid processes. Sense of loathing with nausea, 
 Oppression at the stomach when standing erect. 105. 
 Pale face, with rings around the eyes and redness at the 
 margin of the eyelids. Pains in the head like a beating in 
 the sides and at the vertex, reverberating in the mastoid 
 processes, and extending to the sterno-mastoid muscles. 
 Sense of constriction in the upper part of the throat. Yel- 
 lowish, heavy and frothy expectoration, ever since he took 
 his drug. The affective sphere is very active. HO. 
 Painful stiffness of the neck, which prevents one from turn- 
 ing the head to the left side. Sensation, in closing the 
 eyes, as though the eyelids were cold. Pain from the occi- 
 put to the vertex, with 'beating, and acute pains. 
 
 Sixteenth day. Horrid pain in the sacro-lumbar region, 
 at the articulation of the last lumbar vertebra and sacrum, 
 when attempting to raise a weight. Pain as when straining 
 a ligament ; numb pain in the left thigh, along the course 
 of the sciatic nerve. 115. Inability to stoop without ex- 
 periencing acute pains in the sacro-lumbar region ; he is 
 obliged to lie down. Fainting when trying to sit down, 
 caused by the violence of the pain at the sacrum ; sense 
 of tearing. Nervous spasms, convulsions, cramps in the 
 calves and toes during the fainting spell. Sense of shud- 
 dering at the rectum. Tickling like worms creeping along 
 in the rectum. 120. In spite of the pains, he slept pretty 
 
HUKA BRAZILIENSIS. 71 
 
 well in the night, from the fifteenth to the sixteenth. De- 
 sire to urinate, every half hour. He urinates a long time. 
 Watery urine, with a greenish tint. Cramp in the right 
 middle, and ring-finger. 125- Pulse interrupted for two 
 minutes, ringing in the ears, roaring in the head, beating in 
 the temples. During and after the fainting-spell disposition 
 to love everybody, especially those around you. He often 
 thinks of death, but he is not afraid of dying; he even feels 
 as though he would die without regret. He reproaches 
 himself with everything bad he has done, even the lease 
 trifles, and considers nimself very guilty for having done 
 them. During the nervous attacks, he thinks of his salva- 
 tion. The sense of smell is very acute, he eren smells 
 persons at a distance. 
 
 Seventeenth day. 13ft. The pain at the sacrum seems to 
 decrease, but he fs not yet able ta rise from bed, nor stir 
 about in it, he has to remain lying on the back. He has an 
 appetite, but eats little. A sort of painful glandular swelling 
 behind the masseter muscle, below the right ear. Dul'ness 
 of the head, in front. Sense of oppression at the forehead. 
 
 Eighteenth day, 135- Frequent waking at night. He 
 wakes earlier than usual. Doughy mouth, in trie morning. 
 Foul, bloody sputa, of the color of chocolate with milk. The 
 pain at the sacrum is feebler, it seems to have spread over 
 a larger space, rises a little towards the dorsal and lumbar 
 muscles, and to the dorsal vertebrae. f|0- The heao?, 
 above the eyebrows, is still somewhat dull. Weakness in 
 the finger-joints and wrists. The gland at the neck con- 
 tinues painful, with lancinations. Taste of blood in the 
 throat. Flushes of heat. 145- The breathing is painfuf, 
 as if there were a sore in the lumbar region. 
 
 Nineteenth day. Deep and long sleep. Nosebleed, in 
 the morning. Pimple at the forehead. Weight above the 
 eyes, he is unable to read* long. 150- Sense of weariness 
 in the arms, though lying down. The pain at the sacrum 
 decreases ; sometimes, however, it rises again to the cervi- 
 cal vertebrae. Prickling in the eyes. A cluster of pimples 
 breaks out at the wrist, on the external and inferior surface 
 
72 BRAZILIAN PATHOGENES1S. 
 
 of the radius ; they are vesicular, (like those which he had 
 after his return from Brazil.) Bloating sensation in the 
 eyes. 155. Throbbing at the sacrum, without pain. Pale 
 face, eyes sunken, with redness around the eyelids. 
 
 Twentieth day. No stool from the sixteenth to the twen- 
 tieth day. Hard and difficult stool. The pain at the sa- 
 crum is much less, though he still feels a violent throbbing 
 in this region, but painless. 160- Rose at eight o'clock, 
 his legs were weak and his head felt heavy ; he laid down 
 again an hour after, with very cold feet. He feels a pain at 
 the iliac bones, though not all the time. There are fever 
 pimples on the arm, and the remaining pimples contain a 
 little water which spirts out when pressed. Sensation in 
 the glutei muscles as if bruised. Full and slow painless 
 beatings in the sacro-lumbar region. 
 
 Twenty-first day. 165- Restless night, dreams about crime, 
 dead bodies, children with their heads half cut off, and of 
 others whose heads were being cut. Pain in the glutei 
 muscles as if bruised, now on the right, then on the left side. 
 Pain as if bruised at the sacrum, with heat mounting to the 
 face, at nine o'clock in the morning, shortly after rising. 
 Cramp in the toes. Beatings in the left temple. 170- 
 Painful stitch and beating sensation between the shoulder- 
 blades. 
 
 Twenty-second day. Lascivious dream with emission. 
 Heat mounting to the face, with oppression of the chest. 
 Acute pain in one of the right toes. Weight at the sacrum, 
 but less bruising in the glutei muscles ; weakness in the 
 knee-joints, with cracking, either in going up or down-stairs, 
 175- Sensation as if a warm liquid were flowing from a sore 
 in the lumbar region. Heat mounting to the face, at seven 
 o'clock in the evening. Weakness of the legs in going up 
 or down-stairs. 
 
 Twenty-third day. Restless night, heat and sweat all 
 night. Dream about work, vast business. 180- Dizziness 
 at two o'clock, waves before the eyes ; the sight becomes 
 dim when writing. Sparks and zigzag movements before the 
 eyes, when walking or sitting. Weak legs. Weight in the 
 
HURA BRAZILIENSIS. 73 
 
 upper lids. Frontal headache. 185. Pressure at the fore- 
 head, with damp coldness at the feet and hands. The head- 
 ache extends to eyebrows and eyes. Short-lasting oppres- 
 sion at the throat, in the region of the tonsils. The eyes 
 are red, with blue dark margins ; face pale, yellow, dull. 
 Less pain in the renal region ; but he is unable to stand any 
 length of time without experiencing an uneasiness in the 
 stomach which extends to the chest with oppression. 190. 
 Sclerotica red, inflamed, and the capillaries injected. Beat- 
 ing pressure at the sclerotica. Weakness of the knee-joint, 
 when walking or going up and down-stairs. Hiccough four 
 hours after eating. 
 
 Twenty-fourth day. Restless sleep. 195. Slight prick- 
 ling pain at the sacro-lumbar articulation, in going up-stairs. 
 Sense of oppression at the chest. 
 
 Twenty-fifth day. Pressure at the forehead. Heat in the 
 sacro-lumbar region; sense of oppression at the chest, and 
 rush of blood to the larynx, with suffocative oppression ; taste 
 of blood and tearing in the chest. 
 
 Twenty-sixth day Restless sleep. 200- Throbbing and 
 weakness in the sacro-lumbar region. Nausea while riding 
 in a carriage, before breakfast. Sense of heat in the renal 
 region, after a long ride in a carriage. Slight aching pain 
 at the forehead and vertex. 
 
 Twenty -seventh day- Restless sleep. 205. Beatings in 
 the lumbar region, with slight pullings or shudderings. 
 Weakness in the lumbar region. Weakness in the knee- 
 joint; sense as if sprained, after a walk. 
 
 Twenty-eighth day. Restless sleep, with dreams about 
 work, wild beast devouring meat in a public slaughter-house. 
 Sense of heat with throbbing and fatigue in the lumbar re- 
 gion and above the iliac bones. 210- Paleness, cold hands 
 and feet, with weakness all over while the pains last. 
 
 Twenty-ninth day. Dream about revolution, gun-shots, de- 
 molition of some public edifice ; he walked among the ruins. 
 Sense of well-being, in the morning on rising. Doughy 
 mouth every morning, with sputa that has the color of choco- 
 late with cream, and foetid smell. Spits blood in the morning 
 4 
 
74 BRAZILIAN PATHOGENESIS. 
 
 that seems to come deep out of the throat. 215. Swelling 
 of the left lower gums, over the molar teeth, outside, with 
 toothache in this region. Small pimples on the right knee, 
 with smarting as from a tetter and painful itching when touch- 
 ing them ; they emit a fluid when pressed upon ; itching at 
 the tibiae. 
 
 Thirtieth day. The swelling of the gums continues, but 
 the toothache is less. The cheek threatens to swell. Taste 
 of blood in the mouth and throat, very marked, with scratch- 
 ing or tearing sensation when drawing breath. 220. Head- 
 ache at two o'clock, as from a nail in the vertex, with vio- 
 lent toothache, swelling of the gums, after a walk. Beatings 
 in the left side of the face, extending up to the eye. The 
 feet, and mostly tbe whole body are constantly damp and cold, 
 with weakness. Uneasiness at the stomach. His breakfast 
 does not seem to sit well on his stomach ; he eats with a 
 good appetite, however (from the twenty-fourth day). 
 
 Thirty-first day. Restless night. Intolerable erections, 
 sexual dreams, with emissions. 225. Large pimples on 
 the legs, around the root of each hair. In the evening, large 
 pimples, swollen, like mosquito-bites, with violent itching, and 
 raw feeling when touched. 
 
 Thirty-second day. Weakness, with painful stitch in the 
 lumbar region. Uneasiness in the stomach, every day after 
 the noon-meal. Violent headache on the left side. 
 
 Thirty-third day. 230. Sense of tearing and spraining in 
 back when sitting (for one minute). Spitting of blood, with 
 sense of rawness in the throat and the respiratory passages, 
 after talking. Contractive sensation on the skin of the fore- 
 head. Pimples all over the body, similar to those above de- 
 scribed ; suffocative sensation rising to the larynx. 
 
 Thirty-fourth day. Taste of blood in the mouth during 
 an embrace. 235. General emaciation. Inability to in- 
 cline forward ; he can only walk by reclining the trunk back- 
 wards ; when inclining forward ever so little, he feels a pull- 
 ing in the lumbar region and is obliged to straighten himself. 
 
 Thirty-fifth day. Uneasiness at the stomach from the 
 noon-meal until four in the afternoon. Irritable mood. 
 
fcURA 
 
 75 
 
 Thirty-eighth day. Frequent desire to urinate. 240. 
 Clear urine, after a return of the pain in the sacro-lumbaf 
 region. Tearing sensation in the renal region ; acute pain, 
 with faint feeling and pale face. 
 
 Forty-sixth day. Cold sweat at night. 
 
 Fifty-fifth day. Pale, sickly face; rings around the eyes, 
 Red lips. 245. Emaciation. Weakness in the sacrd-* 
 lumbar region. Dimness of sight, and prickling in the -eye- 
 lids. (From this period, he gradually gets better.) 
 
 Second prover : Chr. Dieudonne Joly, twenty-four yeard 
 old, sanguine-nervous temperament, robust constitution. 
 
 At eight o'clock in the evening, took one dose of assacii 
 of the fifth attenuation. 
 
 First day. Contraction of the papillae on the tongue, im- 
 mediately. 250. Heaviness of the head. Acute pain in 
 the right kidney while walking, with urging to urinate, at 
 nine o'clock in the evening; for two minutes. 
 
 Second day. In the morning, while walking, pain as if 
 sprained in the left coxo-femoral articulation, for some mo- 
 merits. Prickling at the margin of the eyelids, in the day- 
 time. Face looks weary, with rings around the eyes. 255. 
 Lancinations in the left index and thumb. Dull lancinations 
 in the right hand. Itching at the left side and calf. Stitch 
 in the right index-finger at eight o'clock in the evening. 
 Feeling as of sand in the left eye, at ten o'clock. 
 
 Third eZay. 260. Nocturnal emission. Sneezing at noon, 
 as when a catarrh is about setting in. At two o'clock, dark 
 redness and almost complete insensibility of the sides of the 
 neck in the region of the sterno-cleido-mastoideus-muscles ; 
 he pricks the parts and does not feel any pain until one hour 
 after. 
 
 Fourth day. No sleep at night, and drowsy in the day- 
 time. Livid complexion at noon. 265. At nine o'clock 
 in the evening, itching at the left eyelids. 
 
 Fifth day. "Violent nosebleed, at seven o'clock in the 
 morning. Stinging in the ball of the right thumb. Slight 
 pain in the medius of the left hand. 
 
 Sixth day. Itching at the margin of the left eyelids. 
 
76 BRAZILIAN PATHOGENESIS, 
 
 270* At noon, pimple at the right lower part of the lower jaw. 
 At ten o'clock in the evening, in bed, smarting and itching of 
 the puncta lachrymalis and the left lower eyelid. 
 
 Seventh day. At two o'clock: Aching pain like a stitch in 
 the side, under the right lower ribs, for one minute, 
 
 Tenth day.-^M three o'clock in the afternoon, slight colic, 
 and nausea. Dull and heavy head, with weak legs. 
 
 Eleventh day. '275. At eleven o'clock, hypochondria, sad- 
 ness, despair ; he imagines that he is abandoned by his 
 family. 
 
 Twelfth day. Fatigue, and weakness of sight. 
 
 Thirteenth day. Eyes red, with weak sight, he reads with 
 difficulty. The upper and lower limbs feel weak. 
 
 Fourteenth day. Eyes weary, sight weak. 280- Short, 
 dull, painful lancinations in the pectoral muscles, rather in- 
 ternal, without impeding the breathing. 
 
 Fifteenth day. Weariness of the eyes, pressure at the 
 superior portion of the orbits. Headache. At nine o'clock 
 in the evening, lancinating pain in the biceps and triceps 
 muscles of the arm, similar pain between the shoulder-blade 
 and the spinal column, in the trapezoid muscle. The throat 
 feels dry and irritated, compelling one to cough. 285* 
 Dryness of the glottis ; causing a cough as from a cold, 
 
 Sixteenth day. -Itching at the margin of the eyelids. 
 
 Seventeenth day. -Sense of stoppage in the ears ; after- 
 wards as if air-bubbles were passing through the left ear (for 
 two or three seconds). Small smarting pimples on the 
 lower part of the right leg. 
 
 Twenty-third day. Diarrhoea. 
 
 Twenty-seventh day. 290- Nocturnal emission. Weight 
 at the frontal muscle. Heat about the head. Painful stitch 
 in the ileo-coecal region, recurring several times when walk- 
 ing or moving about. Slight nausea. 
 
 Thirtieth day. 295- Pain as from weariness in the outer 
 portion of the left crural muscle when pressing upon it. 
 
 Thirty-first day>-~- This pain is very marked and continues 
 all day. 
 
HURA BRAZILIENSIS. 77 
 
 Thirty-second day. Violent headache in the left side of 
 the head. 
 
 Thirty-third day. Headache in the side of the head. 
 
 Thirty-fourth day. In the evening, slight pain in the lum- 
 bar muscles as from weariness. 
 
 Thirty-fifth day. 300. The weariness in the loins conti- 
 nues in the morning. At 9 o'clock in the evening, slight 
 pain as from weariness, with an acute lancination in the 
 lumbar region, for one second. 
 
 Thirty-sixth day. At noon, long-lasting lancinating pain 
 under the left big toe. A good appetite for some days past. 
 
 Thirty-seventh day. 305- Hard, scanty and difficult stool. 
 Absence of mind. Not disposed to work. Peevish. Red 
 eyelids. 310- Lazy, weary. Constant yawning. 
 
 Thirty-eighth day. Hungry, two hours after a copious 
 meal. Tightness at the stomach, in the evening. 
 
 Thirty-ninth day. At five o'clock in the morning, violent 
 sensation of hunger, with tensive and pressive pain at the 
 stomach ; when lying, the pain extends to the umbilical re- 
 gion. 315- The pain during a walk continues ; pressure 
 after eating ; painful sensation of hunger. Acute pain at 
 the stomach, with constant hunger. Frequent desire to uri- 
 nate. The urine deposits a white sediment. At noon, pres- 
 sive pain at the stomach, before and after eating. 320- 
 Acute pain, like a stitch, at the anterior surface of the right 
 lung, which hinders breathing. Absence of mind, he makes 
 many mistakes, mistakes one month for another, for several 
 days. He mistakes the street twice. During the last days 
 of the proving, frequent urination with whitish deposit. 
 
 Third prover : Mme Al. j. 26 years old, sanguine tempera- 
 ment, good constitution. 
 
 First day. Took one dose of the 5th attenuation, at 10 
 o'clock in the evening. 
 
 In the morning on waking, doughy taste in the mouth, and 
 great drowsiness. 325. She dreams about death, burial. 
 Small painful pimples on the left side of the tongue. Burn- 
 ing at the stomach. Stiffness at the nape of the neck. 
 Weakness of the legs and arms. 330. Nausea at two 
 
78 BRAZILIAN PATHOGENESIS. 
 
 o'clock. Fever: face of a scarlet-red, hands burning-hot. 
 Depression of spirits, has no desire to do any thing, nothing 
 pleases him. White spots on the tongue. Frequent desire 
 to urinate. 335. Feeling of weariness all over. Sense 
 of pain with heat at the sacrum. 
 
 Second day. Lancinating pain, zig-zag, in the uterus, at 
 half past six in the morning. Slight leucorrhoea. Dry 
 cough. 340. Pain in the groin, compressive sensation as 
 during parturition. Lanciriation from the lumbar region to 
 the coccyx. 
 
 Third day. Restless night, frequent waking. On waking, 
 sense of weariness, as if strained. Acute pain in the palm 
 of the left hand, proceeding from the index, and describing a 
 circle extending to the carpal articulation of the thumb. 
 345. Very weary, especially the left leg. At half past 12, 
 third night, writhing colic. Violent diarrhoea at one o'clock, 
 with pains similar to those which she had experienced on 
 her return from a voyage to Brazil. Fetid stool, with white 
 little worms. 350. The diarrhoea continues and is suc- 
 ceeded by a great weakness of the chest. Violet-colored 
 cheeks. Heat in the cheeks and temples. Red forehead. 
 Small miliary vesicles on the right cheek, on the middle of 
 the forehead and on the left cheek. 355- Listless, she 
 attends to things as if she took no sort of interest in them. 
 
 Fifth day. Dreams about a church-yard ; she placed 
 torches on the graves. On waking, her face is bloated and 
 scarlet-red. Blotches on the right cheek, similar to those 
 which she had after her return from a voyage to Brazil (at 
 this time an enormous crusty tetter commenced in this way). 
 Intolerable heat at the chest, at two o'clock, violent pain and 
 burning sensation at. the sternum. 
 
 Sixth day. 360- Restless sleep. Nervousness, impa- 
 tience, at half past 12. Dry heat in the hands. 
 
 Seventh day. Small vesicular pimple at the right wrist- 
 joint. Marked feeling of heaviness from the parietal bone 
 to the lower attachment of the stemo-mastoideus muscle, at 
 the upper side of the sternum. 365- At two o'clock: the 
 
BRAZILIENSIS. 
 
 79 
 
 weight, at times, descends to the forehead, with heat. Small 
 pimple on the right wrist, red at its base, containing a fluicl. 
 
 Eighth day. No sleep. Twisting pain in the left side, 
 or lancinations around the pelvis ; the pain passes off soon 
 and extorts cries from her, at 9 o'clock in the morning. Burn- 
 ing all over. 
 
 Ninth day. 370. Twisting pain at the scapulo-humeral 
 articulation. Acute pain under the breast. Half past twelve : 
 the pain at the scapulo-humeral articulation recurs from time 
 to time with great violence. Five o'clock in the evening: 
 the pain is constant but less, always of the same kind. Half 
 past nine : miliary eruption in the face. 375. Small red 
 pimples on the right cheek, smarting on the right cheek, the 
 eruption first showed itself at 7 o'clock in the morning. Mi- 
 liary eruption on the shoulders, with itching, in the evening. 
 Red vesicular pimples, they break when pressed upon, and 
 discharge a smart stream of water. 
 
 Tenth day. Dulness of the head, in the morning, on ris- 
 ing. Red face, the little pimples are less apparent. 380- 
 Pain at the stomach, as from hunger, though she is not hun- 
 gry. She swallows her saliva. She has to eat to quiet her 
 pain. 
 
 Eleventh day. Headache, slight beating at the forehead, 
 during a considerable portion of the night. The headache 
 continues with a heaviness in the forehead, in the morning. 
 
 Twelfth day. 385- Small pimples on the back, with 
 itching. Nosebleed, at 8 o clock. Hard stool for 8 days. 
 Nosebleed, at 10 o'clock. 
 
 Thirteenth day. 300- Restless night, dream about a sea- 
 voyage. Heaviness of the head, nosebleed on rising. Head- 
 ache, heaviness with beating in the forehead, all day. Red 
 pimples on the shoulders, with pricking when touched. Lan- 
 cination and pricking in the left little finger, three or Tour 
 different times. 
 
 Fourteenth day. 395- Hot and red face. Itching red 
 pimples on the shoulders. 
 
 Fifteenth day. Sense as of crumbs in the eyes. Sclerotica 
 
80 BRAZILIAN PATHOGEXESIS. 
 
 red, with margins around the eyes, red eyelids, red face. 
 Red pimples on the sides of the hips, smarting. 
 
 Sixteenth day. 400. Sharp pain, followed by an acute 
 lancinating pain about the heart. 
 
 Seventeenth day. A.t eight o'clock in the morning, sharp, 
 lancinating pain, by fits and starts, at the right side of the 
 sacrum, more or less violent. Ten o'clock in the evening; 
 wry neck on the right side. 
 
 Eightee?ith day. While slumbering, sensation as if she 
 were hanging three feet from the ground. Sensation as if 
 she would fall into a ditch. 405- Coldness and heat, al- 
 ternating at night. 
 
 Nineteenth day. Acute pain at the left hip, at 9 o'clock in 
 the morning. The pain recurs at 9 o'clock in the evening, 
 and continues for several days at the same hour. Pain at 
 the uterus as if compressed. Pain at the heart, which is at 
 times very sharp, almost unbearable. 410- The breathing 
 is arrested ; this pain makes her very uneasy. Lancinating 
 pain in the head. 
 
 Twentieth day. Pain at the left knee, as if sprained. 
 
 Twenty-first day. Writhing colic, and diarrhoea, five times 
 in the day. 
 
 Twenty-second day. Restless night. 415- In the even- 
 ing, pain at the loins and on each side of the ovary. Vio- 
 lent lancinations with prickling, afterwards lancinating pain in 
 the vagina ; appearance of the menses, but very slight. 
 
 Twenty-third day. Pain in the uterus as if a sharp in- 
 strument were thrust in. Lancinating pain above the left 
 breast. Pain at the right little toe, like an intermittent 
 throbbing, with intolerable prickling, at half past 10 o'clock 
 in the evening. 
 
 Twenty-fourth day. 420- Sleep disturbed by a violent 
 itching caused by small pimples on the shoulders. In the 
 morning, the pain of the little toe returns, but it does not last 
 as long as the day previous. Pain in the renal region, with 
 sense of weariness in the region of the sacrum, Cold and 
 heavy pain at the left hip. Painful pricking in the wrist and 
 along the left hand, between the middle and ring-finger. 
 
HURA BRAZILIENSIS. 81 
 
 Twenty -fifth day. 425- Prickings and stitch above the left 
 breast, hindering breathing, whether walking or sitting. 
 Acute pain when drawing breath. 
 
 Twenty-sixth day. Sense as if sprained in the left knee 
 and cracking when walking. 
 
 Twenty-eighth day. Restless night. Desire to cry. 430- 
 Fever, inability to close her hand. Sad, vexing thoughts. 
 
 Twenty-ninth day. Sensation as if floating in the air. No 
 sleep. Starting in bed. 435- Sensation as if she were 
 falling to the ground. Lancinating pain under the heart ; it 
 continues, more or less feeble. Bad digestion, the stomach 
 feels yet full since supper. 
 
 Thirtieth day. Restless night, starting during sleep. Sense 
 of weariness in the lumbar region, all night. 440- Pain at 
 the sacrum as from a recent blow, this pain increases until 
 four o'clock in the evening. Pressure at the sacrum, with 
 weariness in the left thigh. Heaviness at the sacrum, when 
 sitting. Sensation as if worms were crawling in the pos- 
 terior and external portion of the sacrum. 
 
 Thirty-first day. The pain at the sacrum obliges her to 
 keep bent ; this pain shifts up and down from the sacrum to 
 the left thigh, and is accompanied by chattering of the teeth, 
 which interrupts the speech, and by cold hands and feet. 
 445. Quickly -passing tingling and twisting pain in the right 
 leg, at three o'clock in the evening, when lying. Twisting 
 pain extending from the sacrum into the left leg, and oblig- 
 ing her to lie down. Every paroxysm of pain excites a 
 nervous laugh, with moanings like those of a sick child. 
 Sensation as if dogs had bitten her where the pain is felt. 
 Sensation as if she had a plaster at the region of the kidneys. 
 450. The pain descends along the vastus externus muscle. 
 Mottled face, in the beginning of the proving it became red, 
 now it is sometimes pale. She cannot walk, without fearing 
 to fall. No solicitude for the future, generally speaking; 
 tears with ennui ; she thinks of death without fearing it. 
 The pain at the sacrum is worse when sitting, and obliges 
 her to lie down. 
 
 Thirty-second day. 455- Sleep during the the night, but 
 
82 BRAZILIAN PATHOGENESIS. 
 
 the pain in the renal region returns as soon as she rises from 
 bed. The pain is seated in the sacro-lumbar articulation ; it 
 extends to the glutei muscles with sensation as though she 
 were gnawed by dogs. At times the right thumb feels numb. 
 
 Thirty-third day. Pain in the vertebral column. Sense 
 of luxation, with pain in the glutei muscles, of the same na- 
 ture as the day previous. 
 
 Thirty-fourth day. 460- Twisting sensation in the groin. 
 Nosebleed, when lying. Vesicular pimples all over, with 
 red spots as if the skin had been rubbed. Large blotches on 
 the legs like mosquito-bit.es. Sensation in the renal region 
 and buttocks as if gnawed by dogs. 465. Continual sneez- 
 ing for two hours, 
 
 Thirty-seventh day. -Sensation in the thighs, as if bitten 
 by dogs. The pimples increase during an increase of tem- 
 perature, and leave large red spots in the renal region and on 
 the hips. Since she had the pains in the sacrum, she is 
 unable to sleep or rest on the stomach. 
 
 Thirty-eighth day. Uneasiness, sometimes she cries in 
 the street. 470- Acute headache, like a circle which 
 rolls quickly over the forehead. Dizziness. Profuse nose- 
 bleed from both nostrils. The nosebleed is preceded by a 
 smell of blood. Red face, with little pimples between the 
 skin and flesh. 475- Heat at the face. Sensation as if 
 the skin of the face were stretched too much. Frequent 
 emission of watery urine. Sense of coldness in the right- 
 thigh. 
 
 Fortieth day. 480- Dreams about dead bodies, assassins, 
 decayed oxen, yellow water. Continual nosebleed, especially 
 in the morning. The pains in the renal region decrease. 
 
 Forty-third day. Nervous twitching at the left lower 
 eyelid. 
 
 Forty-fifth day. Flow of sad thoughts ; she imagines she 
 will lose somebody who is dear to her. 485- She cries 
 every moment, and, for several days past imagines she is see- 
 ing the dead person before her eyes. 
 
 Fifty-eighth day. Painful sensibility of the whole right 
 half of the head, especially when touching it. Lancinations 
 
HURA BRAZILIENSIS. 83 
 
 in the jaws, pain at the right arm. Impatience, anger ; she 
 bites her hands, arid gets mad because her ideas flow too 
 slowly. 
 
 Fourth prover : Mile E. R. 17 years, sanguine tempera- 
 ment, good constitution. 490- At 8 o'clock in the morn- 
 ing, the ball of the thumb of each hand is painful. 9 o'clock : 
 her feelings are excited and she cries a good deal. 10 
 o'clock : numbness of the right index, every minute. Half 
 past 10 : cold and clammy feet, followed by heat for three 
 hours. Half past 11 : short lancinations in the last two left 
 molares, lower jaw; numbness in the bend of the right arm. 
 495. Lancination in the right index-finger, and especially in 
 the articulation of the last phalanx. Sensation of a small 
 ball under the left breast; at the same time, lancination 
 under the left shoulder, for 5 minutes. At noon, large red 
 spot on the lower part of the left cheek. Half past 12 : heat 
 at the face, for half an hour. Half past 12 : small pimples 
 on the left cheek, above the nose and near the lower lip ; 
 they are red, with a small white point in the middle. 500- 
 At two o'clock, beating in the right index-finger. At half 
 past 2, lancination in the gums. At a quarter past four ; pain 
 in the gums corresponding to the left eye, with heat in the 
 face. Burning in the left cheek, weight at the eyes, lanci- 
 nating pains in the ears. Pain at the outer ankle, as from 
 a blow. 505- Frontal headache, at half past 9 in the 
 evening. Cold sweat on the face. Pressure in the orbits, 
 as from a violent headache. The teeth and gums are painful 
 when pressing the teeth against each other ; the pain extends 
 to the nose. Toothache on the left side. 
 
 Second day. 510. Half past seven, white-coated tongue. 
 Slight pain shifting from the left ear, where it commenced, 
 to the left orbit. Small pimple at the inside of the left 
 elbow, causing a smart itching. Half past 7, lancinations in 
 the right side, every second. Cold feet, 515- Eight 
 o'clock, pain as if the right arm had been stretched a long 
 time, contusive pain at the back of the right hand, especially 
 at the middle-finger. Lancinations in the gums on the right 
 side. Itching at the forehead. Small pimples at the fore- 
 
84 BRAZILIAN PATHOGENESIS. 
 
 head. Suffocative oppression in the chest, especially when 
 thinking of any thing contrary. 520- The oppression as- 
 cends and immediately after descends again. Heat mount- 
 ing to the face. Pain at the sternum. Lancinations in the 
 temples. Pain in the gums on the left side. 525- Dis- 
 couraged, does not wish to do any thing. Weight at the arms. 
 Suffocaiive oppression in the chest. Ten o'clock in the 
 evening, pain in the orbits as from a violent headache, or as 
 from looking fixedly at the same object. 
 
 Third day. Half past 6 in the morning, the right cheek 
 is quite swollen, without toothache. 530- Red pimple on 
 the left cheek, in the middle, and on the left side of the neck, 
 with a good deal of itching. Nine o'clock, beating at the 
 right side of the thorax, almost under the shoulder. Half 
 past 3, pain at the right wrist ; all the veins and fibres hurt 
 her. Half past 8, oppression at the stomach. Twisting 
 colic. 535- Nine o'clock, heat at the face. Half past 
 10, desire to cry. Since taking the drug, the least thing irri- 
 tates her ; at such times she feels oppressed, with desire to 
 cry, she blushes, sighs a good deal, several times a day. 
 Less appetite. Pain at the chest, especially the left breast, 
 when lying; the pain gradually passes to the right side. 
 
 Fourth day. 540- Since the first day, she wakes sooner 
 than previously; her sleep was heavy and she was unable to 
 open her eyes. Now she opens them easily, and the ideas 
 come to her at once. Half past 5, shuddering all over, she 
 feels oppressed, wants to cry. Colic, with cold feet. Eight 
 o'clock, the shuddering extends over the legs ; she feels op- 
 pressed and has cold feet. 545- Nine o'clock, prickling at 
 the tongue on the left, side, causing a good deal of water to 
 accumulate in her mouth. Nervous pain shifting speedily 
 from the orbits to the forehead, and disappearing at once. 
 She sighs a good deal. Ten o'clock, she feels sick at the 
 stomach, as from hunger, generally she is not hungry till noon. 
 Hungry, sometimes shortly after a meal. 550- Pain as from 
 pressing strongly on a sore behind the right ear, and under 
 the neck, at the larynx ; pain when moving the head. Cold 
 r eet, at 10 o'clock in the morning. Hunger, with pain in the 
 
HURA BRAZILIENSIS. 85 
 
 stomach, at 11 o'clock. Tightness at the root of the nose, 
 for an instant. Short lancinations all over the face, with 
 tightness of the head emanating from the temples. 555- 
 Slight contusive pain under the false right ribs. 
 
 Fifth day. At noon, oppression hindering breathing. Op- 
 pression in the chest, causing her to sigh a good deal. Numb- 
 ness of the head. The face, and head, from the vertex, pain 
 her horribly. 560- Contusive pain between the ring- and 
 little ringer, only for a moment ; reaching up to the elbow. 
 Tightness at the back of the head. Pain as from weariness 
 in front of and behind the neck. Frequent desire to urinate. 
 The left cheek is very red. 565- Redness of the wing of 
 the nose. Shuddering along the back and legs while taking 
 breakfast. At 5 o'clock, oppression and sighs. Pain in the 
 ear, and half of the jaw, followed by pricking in the ear. At 
 a quarter 'past 5 o'clock, colic and shuddering. 570- At 8 
 o'clock, pain as from weariness between the shoulders. At 
 9 o'clock, oppression on the chest. She sighs a good deal. 
 Internal trembling. Cold sweat on the feet. 575. At half 
 past 10, red blotch on the right shoulder ; hot feet, after ly- 
 ing down, in bed. 
 
 Sixth day. At G o'clock, colic, with diarrhoea and inter- 
 nal trembling. Shuddering at half past 6. Red spot and 
 and itching at the forearm. At 7 o'clock, colic with diar- 
 rhoea and shuddering. 580. Nervous laughter which cau- 
 ses her to shudder. Cold feet, shuddering in the left leg. 
 At 8 o'clock, cracking in the right forearm. Lancination in 
 the left gums, reaching to the right ear. At a quarter past 
 8, red spot like a flea bite, on the back of the left hand. 
 585- Dulness of the head, with weight at the orbits. Cold 
 feet, especially the left. At 9 o'clock, oppression on the 
 chest, with sighing. At 11 o'clock, weight at the orbits, as 
 from sleep. Crampy pain at the right w r rist, shifting to the 
 arm and then to the axilla. 590- Colic at the sto- 
 
 mach. Oppression and sighing. Trembling of the right arm, 
 and beating at the anterior surface of the wrist. At a quarter 
 past 11, rheumatic pain at the right shoulder. Small vesi- 
 cular pimples on the lower lip, itching a good deal. 
 
BRAZILIAN PATHOGENESIS. 
 
 Pain as from having been lying in a wrong position, under 
 the arm, under the right sight side of the chest. Painful 
 beating above the right breast. Painful lancinations in the 
 head, striking to the ear and the left teeth, and then shift- 
 ing to the upper part of the orbit. Drowsy at noon. Pain 
 between the shoulders, worse by pressing against the ster- 
 num. 600- Contusive pain at the left leg. Painful stitch 
 at the outer breast, extending under the arm. Hungry, but 
 satiated at once. Itching at the right outer ankle. Numb- 
 ness of the right arm, as far as the left index-finger, all the 
 muscles hurt him. 605. At one o'clock, formication in the 
 soles of the feet. At half past one, contusive pain in the 
 back, at the hips and in the renal region. Strong pressure 
 at the left temple. Drowsy at 2 o'clock. Colic at half past 
 8. 610- At 4, beating at the outer side of the right wrist. 
 Nervous shuddering all through the chest, and passing be- 
 tween the shoulders. Lancination from the left side of the 
 head to the eye, temples, above the ear and in the lower jaw. 
 Whizzing in the ears. Pain at the stomach as from hunger. 
 615. Lancination in the left breast. Lancination in the first 
 phalanx of the middle-finger. At 4, toothache on the left side, 
 affecting the eyes. Violent pain in the back as if weary, 
 and affecting the lumbar region. Pain at the stomach, op- 
 pression, sighs. 620- Lancination in the left gums. At 
 4, beating in the right external ankle. Lancination in the 
 whole jaw. Redness, and heat mounting to the face ; 
 cheeks and forehead are redder than the rest of the face. At 
 half past 8, oppression, pain at the stomach, as from hunger. 
 Seventh day. 625. At 6, colic, diarrhoea and shuddering. 
 At 8, merry, with desire to laugh, followed by shuddering in 
 the head and legs. Cold feet. Lancination in the left lower 
 gums, tightness of the nose, felt even in the jaw. Feelings 
 excited, oppressed, as from some great misfortune. 630. 
 Nervous pain below the bend of the right elbow, descending 
 to the ring- and little fingers, at 10 in the morning. Painful 
 pressure on the left shoulder, which is very sensitive, at 11 
 in the morning. Beating at the right shoulder. At 11, lan- 
 cination in the gums and left eye. Stiff neck, the least motion 
 
HURA BRA2ILIENSIS, 87 
 
 causes a pain in the nape of the neck and gums. 635. 
 Weight at the eyes and in the head. Numbness at the nape 
 of the neck. Sensation as of a bar through the jaws, from 
 ear to ear, with tightness of the head. Tightness at the root 
 of the nose. 640- The teeth are painful when chewing. 
 Pain in the back, under the right shoulder, accompanied by 
 beatings in the chest. Cold feet at one o'clock. Beatings 
 in the right side of the chest. Heat in the face and drowsy 
 after dinner. 645- Weight at the orbits. Pain in the 
 side, with lancinations in the right breast. Pain in the bend 
 of the right elbow, worse when moving it. Beating at the 
 lip of the right index-finger. Suffocative oppression, causing 
 her to sigh a good deal. 650- Colic, yawning. Beatings 
 at the tip of the tongue, on the left side. At half past 2, pain 
 in the renal region when sitting. Heat and pain in all the 
 toes. Numb pain from the wrist to the upper part of the 
 right arm. 655- Stiffness and beating in the left side of 
 the neck, especially when moving the head. At half past 8 
 in the evening, beating in the right orbit, afterwards in the 
 sides. Beating at the root of the nose. Painful stitches in 
 the right side, hindering breathing. At a quarter past 10, 
 aching and contusive pain in the right side. 660. Pain 
 as from weariness below the right shoulder. Head heavy and 
 dull, the least motion affects her eyes and the region of 
 the orbits. Lancinations in the gums and heat in the face. 
 
 Eighth day. At 6, colic and diarrhrea. Lancination in 
 the left breast, at 2 in the evening. 665. Pain in the right 
 renal region. At noon, pimple on the forehead, left side. 
 At 2, heat in the face. At 4, beating in the right, and some- 
 times left orbit. At 6, painful stitch in the right side, hinder- 
 ing breathing. 670- At 7, sadness, desire to weep. Rush 
 of blood to the head. Heat in the face. At 10, nosebleed. 
 At 11, cold and clammy feet, while lying down. 675. Hot 
 feet, some time after. 
 
 Ninth day. At 6, pain in the right thigh, high up, at the 
 outer side, causing her to limp. Painful stitch in the left 
 breast. At half past 7, desire to weep, oppression as from 
 some e.motion. At half past 8, desire to weep, the least trifle 
 
88 BRAZILIAN PATHOGENESIS. 
 
 makes her sad ; she starts when hearing a door opened sud- 
 denly. 680- She is oppressed and breathes heavily. Pain 
 in the right wrist, striking to each ringer. Hot face. Great 
 desire to weep, even while singing, followed by oppression, 
 at half past 9 in the morning; she weeps. Acute nervous 
 pain from the shoulder to the left breast. 685- Pain at 
 the bend of the right elbow. Heaviness in the eyes and 
 desire to sleep, at a quarter of one. Beating in the left side 
 of the abdomen. Beating in the pit of the stomach, rever- 
 berating in the whole chest. Frequent ineffectual urging to 
 slool. 690- Tight pain above the ears, with numbness of 
 the jaw. Heaviness in the whole head. Lancination in the 
 left lower gums ; shortly after, lancination in the upper gums. 
 Stiffness of the nape of the neck. Hot face. 695. Loud 
 whizzing in the left ear. Drowsy. Numbness of the gums. 
 Deep sighing, yawning. Mounting of heat to the face, now 
 and then. 700- Pain in the left gums striking to the eye 
 and behind the ear. At one o'clock, heat, no appetite. Lan- 
 cinations in the gums, reverberating in the whole head. Vio- 
 lent beating at the left temple. Numbness of the left wrist, 
 the whole hand in painful. 705- Acute pain in the left 
 gums, the whole left side of the head is numb. Warm hands- 
 arid cold sweat, at 3 in the afternoon. 
 
 Tenth day. Torpor of the head, with numbness in the 
 upper gums and the muscles of the eye. Pain at the right 
 hip, at one o'clock. Tightness at the epigastrium ; her feel- 
 ings are very much excited, as if some misfortune should 
 happen to her, at 2 in the afternoon. 710- Pain in the right 
 ear. Pain in the left cheek and gums. Beating in the arm 
 and right wrist. Weight at the right orbit, at 3. Little ap- 
 petite. 715- Cold sweat in the face, at half past 6. Suf- 
 focative oppression. Drowsy, at half past 8. Hot face, at 9. 
 
 Eleventh day. Restless sleep. 720- Doughy mouth, 
 at 6 in the morning. Inflammation of the left puncta lacry- 
 malis. Pain at the right gums and cheek, at noon. Burning 
 of the cheeks, from one to four. 
 
 Twelfth day. Small pimples in the face, at 6 in the morn- 
 ing. 725. Pain in the renal regions, at 9. Weakness of 
 
HURA BRAZILIENSIS. 89 
 
 the legs. Beating under the right hip. Pain at the gums, 
 at 11. At 2 in the afternoon, pain and beating under the left 
 shoulder. 730- At 8, small pimples on the chin, itching a good 
 deal. At half past 8 in the evening, colic and cold sweat. 
 
 Thirteenth day. Eyes bloated, surrounded by margins. 
 Colic and diarrhoea. Uneasiness when lying down. 735. 
 Leucorrhcea. The period sets in 8 days before its time. 
 Profuse menses. At half past G, lancination in the left gums. 
 At 7, lancinations in the jaw. 610- Tightness at the root 
 of the nose. Numbness of the right arm. At 9, whizzing in 
 the right ear. Pain and beating on the right shoulder. At 10, 
 beating in the left little finger, thumb and index-finger. 745. 
 Burning at the whole hand. Violent itching at the index-finger, 
 the whole of the left arm is painful, especially the wrist-joint. 
 At half past 1 0, beating pain near the right internal ankle . Hot 
 feet. Toothache, on the left side. 750- At 11, pain and 
 itching at the left foot, violent pain in the whole of the right 
 foot. Violent pain near the inner canthus of the left eye. 
 Pain in the left wrist-joint. Beating in the right index- 
 finger. At noon, bloating of the lower eyelids. 755- 
 Redness on the left side of the nose. Pain in the wrist and 
 bend of the left arm. Contusive pain at the right knee. 
 Pain in the left gums. Pain in the legs as from weariness. 
 760- At 2, lancinating pain shifting from the knees to the 
 right elbow, then to the shoulder, to the right foot, right 
 wrist, arid lastly to the knees. At half past 2, nervous pain 
 in the renal region. Pain behind and in the right ear. Colic. 
 Pain in the left gums, striking to the root of the nose. 
 765- Pain in the left wrist. Pain as from weariness in the 
 back, near the left shoulder. Whizzing in the right ear. 
 Pain as if her arm were pulled violently. Painful stiffness 
 in the left side of the neck. 
 
 Fourteenth day. 770. At half past (5, pain in the wrist. 
 Pain behind the head and in the neck, reverberating in the 
 left gums. Stiff neck. Pain and beating in the elbow, at 
 the right forearm and in the bend of the left elbow. Rheu- 
 matic pain in the right shoulder, passing under the arm 
 775- Painful stitch in the left breast. At noon, the left foot 
 
90 BRAZILIAN PATHOGENESIS. 
 
 burns, the right foot is cold. Heat and pain at the right index- 
 finger. At half past one, heat at the feet, especially the right 
 foot. Pain at the right little toe. 780- At 2, pain at the 
 tip of the tongue. At 10, pain in the left gums. 
 
 Fifteenth day. At 10 in the morning, pain at the gums. 
 Suffbcative oppression of the chest. At 9 in the evening, 
 nervous trembling of the right arm. 
 
 Sixteenth day. 785- At noon, beating at the right middle 
 and index-finger. 
 
 Seventeenth day. Dreams about purchases. At half past 9, 
 pain at the right arm, shifting to the little finger. Pain at 
 the left breast, almost under the shoulder. Numbness of the 
 right wrist. 790. Beating at the right shoulder. Lanci- 
 nation in the left gums. At half past 10, pain in the whole 
 right hand. Pain in the right orbit. Pain at the left wrist 
 and in the whole hand. 795- Pain in extending the left 
 arm. At noon, nervous shuddering. Burning pain with red 
 spot above the right elbow. Nervous pain shifting from the 
 eye to the gums, with beating at the left temple. Violent 
 beating in the left side of the thorax, under the shoulder. 
 800- Heaviness at the left orbit. Lancinations in the right 
 wrist and thumb. Drowsy, at 2. Numbness of the arm. At 3, 
 pain in the back and chest. 805. Beating at the right temple. 
 Violent pain like a stitch, in the left breast. At 2, slight itch- 
 ing at the knee, below the lower lip, changing to an acute 
 pain when rubbed, which lasts all day. 
 
 Eighteenth day. Dreams about mutilated bodies, dead bo- 
 dies, with the arms cut off. At half past 6, pain under the 
 lower lip, with swelling on the left side, and a large red 
 pimple in the centre of the swelling. 810- At 8, pain and 
 prickling at the right shoulder. Beating above the right 
 knee. At 5, cold feet, hot face. 
 
 Nineteenth day. Dreams about children, prisoners being 
 set free. At half past 8, cold feet. 815- At 3, pain in the 
 orbits and forehead. At half past 4, pain at the gums passing 
 to the left eye. Pain at the right, wrist, between the thumb 
 and index-finger, also near the bend of the arm. Nervous 
 beatino-in the left orbit. The skin on the forehead feels 
 
HURA BRAZILIENSIS. 91 
 
 stretched. 820- Impatient; she wants to break every 
 
 thing. Absence of mind at work. She imagines she is 
 alone in the world and lost. Weeping without cause, followed 
 by nervous laugh. Sad, melancholy ; she thinks of the fu- 
 ture, feels unhappy. 
 
 Twentieth day. 825- At one o'clock in the afternoon, 
 sickness at the stomach after eating. Hemicrania, pains all 
 through the head. Drowsy, with nausea. Tightness of the 
 back part of the head. Sharp pain behind the ears. 830- 
 The least thing hurts her, causing horrible pains in the fore- 
 head, temples and under the chin. Lancination behind the 
 neck, on the left side. Beating in the left breast. Cold 
 feet. At 5, shuddering all the time. 835. Headache 
 when walking. Horrible pain and beating in the chest. 
 Involuntary closing of the eyelids. Pain in the gums. In- 
 ternal trembling. 840- Rush of blood to the head ; she 
 turns red. 
 
 Twenty-first day. From the llth to the 21st day, profuse 
 menses with leucorrhosa. At half past 2, pain and beating 
 in the left shoulder. At 3, beating in the left side of the 
 head. Drowsy : heaviness of the head. 
 
 Twenty-second day. 845- No sleep. Colic with diar- 
 rhoea, from the 18th day. Heaviness of the head. From 
 the 23d to the 28th day, horrible colic, every morning, with 
 diarrhoea, and pains in the middle of the back. Nervous, 
 she starts when a chair is moved with a little noise. 850. 
 She turns red, and her chest feels oppressed. Every day, 
 after breakfast, she has an attack of oppression on the chest. 
 Difficult digestion after breakfast ; after noon she turns pale. 
 
 Thirty-third day. She feels hot at the hands, feet arid 
 face, though the hands are cold and clammy to contact ; she 
 thinks this is likewise the case with her feet and face. Cold 
 sweat on the face and body. 
 
 Thirty-fourth day. 855- The eyes are bloated and small- 
 er. Painful pimples when touched, on the left cheek and at 
 the eyebrows. 
 
 Thirty-fifth day. Starting from the least noise. Yawns 
 all the evening. 
 
92 BRAZILIAN PATHOGENESIS. 
 
 Thirty-eighth day. Violent pain in the chest, shifting to 
 the left breast, sometimes to the right, especially when mov- 
 ing the arm. 860. Headache. 
 
 Thirty-ninth day. Pain and sense of weariness in the 
 renal region. Dreams about travelling and parties. Drowsy 
 at one in the afternoon. Hot face. 865- Coryza. Face 
 dull and dark, with paleness, mottled with red spots. Pain 
 in the renal region, as from falling on the sacrum. Copper 
 taste in the mouth. Pain in left side hindering breathing. 
 870- Inflammation of the right eye. 
 
 ARRANGEMENT OF THE SYMPTOMS ACCORDING 
 TO HAHNEMANN. 
 
 MENTAL AND MORAL : 1. Sensation as if floating in the 
 air. Dizziness. She imagines she sees a dead person, and 
 cries. Sensation as if falling to the ground. 5- Sen- 
 sation as if hanging three feet from the ground. Listless. 
 Absence of mind, he makes mistakes. She imagines she is 
 alone in the world. Laughter with shuddering. 10. 
 Weeping, followed by a nervous laugh. Sad, thinks of the 
 future. Desire to weep, with oppression and tendency to 
 start. Merry, with desire to laugh, followed by shuddering 
 in the head and legs. Depression of spirits. 15. Im- 
 patience, because her ideas flow too slowly. Impatience. 
 Peevish. Sadness, despair, he imagines he is abandoned. 
 Thinks of his salvation during a paroxysm. 20- Irritable. 
 
 HEAD : Lancinating pain at the top of the head. Beating 
 pain from the occiput to the vertex. Pain in the head, like 
 a weight. Headache down to the eyebrows and eyes. 25- 
 Contractive sensation in the skin of the forehead. Head- 
 ache as from a nail in the vertex. Aching pain at the fore- 
 head and vertex. Headache on the left side. Semilateral 
 headache. 30. Heat about the head. Slight beating at 
 the forehead. Weight at the frontal muscle. Dulness of the 
 head, in the morning. The right half of the head is pain- 
 fully sensitive. 35. Headache as if a circle were rolling 
 over the forehead. Frontal headache. Dulness of the head, 
 with weight at the orbits. Numbness of the head. The 
 
HURA BRA2ILIENSIS. 93 
 
 face and head, from the vertex pain her horribly. 40- 
 Tightness at the back of the head. Painful darting in the 
 head, striking to the ear, teeth, and then shifting to the orbit. 
 Pressure at left temple. Heaviness of the head. Tightness 
 of back part of the head. 45- Rush of blood to the head. 
 Beating in left side of head. Headache. Hemicrania. 
 Heaviness of the head. 50- Torpor of the head, with 
 numbness of the upper gums and muscles of the eye. 
 
 FACE : Weary look. Burning smarting in the beard, left 
 side. Hot face. Swelling below the zygoma, with sensi- 
 tiveness to contact. 55. Pale face, with sunken eyes. 
 Beating in the left side of the face. Livid complexion. The 
 face looks weary. Sensation as if the skin of the face were 
 stretched too much. 60- Mottled face, red and pale alter- 
 nately. Cold sweat in the face. Lancinations all over the 
 face, with tightness proceeding from the temples. Swelling 
 of the right cheek. The left cheek is very red. 65- 
 Cold sweat in the face. Mounting of heat to the face. Burn- 
 ing of the cheeks. 
 
 EYES : Bloated eyes. Inflammation of the left eye. 70- 
 Beating in left orbit. Pain in the orbits and forehead. 
 Heaviness at left orbit. Pain shifting from the eye to the 
 gums. Pain in right orbit. 75- Beating in the orbits. 
 Beating in the right orbit, afterwards in the sides. Nervous 
 pain shifting from the orbits to the forehead. Pressure in 
 the orbits as from a severe headache. Sensation as of 
 crumbs in the eyes. 80. Redness of the sclerotica, with 
 margins around the eyes, red lids. Weariness of the eyes, 
 with pressure at the superior portion of the orbits. Weak 
 sight. Dimness of si^ht and prickling in the lids. Beating 
 pressure at the sclerotica. 85. Red eyes, with pale face. 
 Prickling in the eyes. Bloating in the eyes. Sense as of 
 dust in the eyes. Violent pain near the left inner canthus. 
 90. Inflammation of left puncta lachrymalis. Smarting and 
 itching of the puncta lachrymalis, in the evening, in bed. 
 Burning at right inner canthus. Involuntary closing of the 
 eyelids. Bloating of the lower eyelids. 95. Twitching 
 of left lower eyelid. Itching at the eyelids. Prickling at 
 
94 BRAZILIAN PATHOGENES1S. 
 
 the margin of the eyelids, in the day-time. Sensation of 
 coldness in the lids when closing them. Beating in the lids. 
 100- Sparks and zig-zag before the eyes. Dizziness, with 
 waves before the eyes. 
 
 EARS : Stoppage of the ears, as if air-bubbles were pass- 
 ing through the left ear. Pain shifting from the left ear to 
 the orbit. Lancinating pains in the eats. 105- Pain in 
 the ear and jaw, followed by pricking in the ear. Pain in 
 the right ear. Tight pain above the ears, with numbness of 
 the jaw. Pain in the right ear. Whizzing in right ear. 
 HO. Sharp pain behind the ears. 
 
 NOSE : Dry nose, with itching inside. Redness on the 
 left side of the nose. Redness of the wing of the nose, 
 Beating at the root of the nose. 115. Nosebleed. Tight- 
 ness at the root of the nose. 
 
 TEETH : The teeth and gums are painful when pressed 
 against each other. Short lancinations in the last two mo- 
 lares. Toothache on left side, affecting the eyes. 120- 
 Lancination in left lower gums, with tightness of the nose 
 and jaw. Darting in the gums and left eye. Sensation as 
 of a bar through the jaws, from ear to ear. The teeth are 
 painful when chewing. Lancinations in the jaws. 125. 
 Numbness of the gums. Pain in left gums striking to the eye, 
 Lancinations in the gums, affecting the whole head. Acute 
 pain in the left gums, the whole left side of the head being 
 numb. Pain in the right gums and cheek. ISO- Pain in left 
 gums. Toothache on left side. Lancination in the left gums. 
 Swelling of the left lower gums, with toothache. 
 
 MOUTH : Beating at the tip of the tongue. 135. Pain 
 at the tip of the tongue. Pricking at the tongue, with flow 
 of water. White-coated tongue. White spots on the tongue, 
 Contraction of the papillae on the tongue, immediately. 140- 
 Pain under the lower lip, with swelling and a red pimple in 
 the centre of it. Fleshy growths on the inner surface of the 
 lips. 
 
 GASTRIC : Coppery taste in mouth. Doughy taste every 
 morning, with chocolate-colored sputa and fetid smell. 
 S'moky taste of the water. 145. Violent sensation of 
 
 
HURA HJTAZILIEN-SI3. 95 
 
 hunger early in the morning, with tensive and pressive pain? 
 at the stomach. Difficult digestion after breakfast. Sick at 
 the stomach, after eating. Hungry, shortly before a meaL 
 She has to eat to quiet her pain at the stomach. 150- 
 Hungry after a good meaL Uneasiness after dinner, every 
 day. Loathing and nausea. 
 
 STOMACH : Oppression at the stomach, when standing. 
 Uneasiness in the stomach and chest, after standing. 155* 
 Tightness at the stomach, evening. Burning at the stomach. 
 Oppressive pain- at the stomach, before and after eating. 
 Pain at the stomach, with oppression, sighs-. Beating in pit 
 of stomach, affecting the whole chest. 
 
 ABDOMEN : 160- Pain in the renal region as from falling 
 on the sacrum. Pain and feeling of weariness in the renal 
 region. Colic with diarrhoea, also every morning. Colic 
 and cold sweat, or diarrhoea. Pain in the renal region. 165, 
 Tightness at the epigastrium, with excited feelings. Beat- 
 in left side of abdomen. Colic with diarrhoea and shuddering. 
 Twisting colic. Twisting sensation in the groin. 170' 
 Pain in the renal region, with sense of weariness in the 
 sacrum. Sensation as of a plaster in the region of the 
 kidneys. Pain at the loins and on each side of the ovary. 
 Lancinations around the pelvis, extorting cries. Compress- 
 ive pain in the groin. 175. Painful stitch in tbe ileo-cce- 
 cal region, again when stirring. Acute pain in- the right 
 kidney, while walking. Tearing sensation in the renal 
 region. Sense of heat in the renal region. Shuddering at 
 the rectum. 180. Constrictive sensation at tihe anus. 
 
 STOOL, URINE: Ineffectual: urging to stool. Constipation, 
 Hard stool. Diarrhoea succeeded by weakness of the chest, 
 185. Fetid &tool with white little worms. Lancination in the- 
 urethra. Watery urine with a greenish tint. Urine with 
 white sediment. Frequent desire to urinate, 190. Fre- 
 quent emission of watery urine. 
 
 SEXUAL : Nocturnal emission. Distressing erections'. 
 Taste of blood in the mouth, during an embrace. Weight in 
 the testicles in walking. 195. Profuse menses with leu- 
 corrhoea. Premature ami profuse raenaesv Lancinating 
 
96 BRAZILIAN PATKOGENESIS. 
 
 pain in the vagina. Compressive pain at the uterus. Lan- 
 cinating pain in the uterus, in zig-zag. 200. Pain in the 
 uterus as if a sharp instrument were thrust in. Leucor- 
 rhoea. 
 
 BRONCHIAL, CHEST : Dry cough. Constant sneezing. 
 Dry throat, she has to cough. 205. SufTocative sensation 
 rising to the larynx. Sense of constriction in the upper part 
 of the throat. Sneezing, with discharge of lemon-colored 
 mucus from the nose. Pain behind the right ear and at the 
 larynx as from pressing on a sore. Spitting of blood, with 
 sense of rawness in the throat and the respiratory passages, 
 after talking. 210- Spits blood, coming deep out of the 
 throat. Yellowish, heavy and frothy expectoration. Op- 
 pression of the chest, with rush of blood to the larynx, taste 
 of blood, and tearing in the chest. Shifting pain in the chest. 
 Severe pain and beating in the chest. 215. Beating in 
 left breast. Pain in left side, hindering breathing. Stitch- 
 like pain in the left breast. Suffocative oppression of the 
 chest. Painful stitch in the left breast. 220- Deep sigh- 
 ing. Pain from the shoulders to the left breast. Oppressed 
 and heavy breathing. Painful stitch in left breast. SufTo- 
 cative oppression, with sighing. 225. Darting in left 
 breast. Aching and contusive pain in the right side. Pain- 
 ful stitches in the right side, hindering breathing. Lanci- 
 nation in left breast. Painful stitch at the outer breast, ex- 
 tending under the arm. 230. Painful beating above the 
 right breast. Pain at the right side as if strained. Contu- 
 sive pain under the false right ribs. Sensation as of a small 
 ball under the left breast. Acute pain when drawing breath. 
 235. Stitch above the left breast, hindering breathing. Acute 
 pain under the breast. Stitchlike pain at the anterior surface 
 of right lung, hindering breathing. Pain and burning at the 
 sternum. Intolerable heat at the chest. 240- Painful 
 
 lancinations in the pectoral muscles. Stitch-like pain under 
 the right lower ribs. Rheumatic pain at the sternum when 
 stooping. Lancinating pain under the heart. 
 
 NECK : Painful glandular swelling below the right ear. 
 245. Painful stiffness of the neck. Rheumatic pain at left 
 
HURA BRAZILIENSIS. 97 
 
 side of neck. Dark redness and numbness of the sides of 
 the neck, even a prick is not felt. Heaviness along the side 
 Df the neck. Wry neck on the right side. 250- Pain as 
 from weariness in front of, and behind the neck. Numbness 
 at the nape of the neck. Stiffness of the nape of the neck. 
 Stiffness and beating in left side of neck. Painful stiffness 
 in left side of neck. 255. Darting behind the neck, left 
 side. 
 
 BACK : Tickling under the arms and along the dorsal 
 spine. Horrid pain in the sacro-lumbar region, when at- 
 tempting to raise a weight. Contractive sensation below the 
 coccyx. Pain in the glutei muscles and sacrum, with heat 
 mounting to the face. 200- Painful stitch and beating 
 between the shoulder-blades. Sensation as of a warm liquid 
 flowing from a sore in the lumbar region. Throbbing at the 
 sacrum. Painful breathing as from a sore in the lumbar 
 region. Beating in the lumbar region, with slight pulling or 
 shuddering. 265. Sense of heat, with throbbing and fa- 
 tigue, in the lumbar region. Prickling pain at the sacro- 
 lumbar articulation in going up-stairs. Inability to stoop for- 
 ward, he then feels a pulling in the lumbar region. Weak- 
 ness in the sacro-lumbar region. Tearing and spraining in 
 the back, when sitting. 270. Painful weariness in the 
 loins. Twisting pain at the scapulo-humeral articulation. 
 Pain in the sacrum, accompanied by chattering of teeth. 
 Twisting pain in the sacrum, exciting a nervous laugh, with 
 moanings. Pressure at the sacrum, with weariness in left 
 thigh. 275. Sense of worms crawling in the sacrum. 
 
 Pain in the sacrum as if gnawed by dogs. Sense of weari- 
 ness in the lumbar region. Heaviness at the sacrum when 
 sitting. Pains in the sacrum preventing sleep, she has to 
 lie on her stomach. 
 
 UPPER EXTREMITIES : 280. Pain between the shoulders, 
 worse when pressing against the sternum. Pain in the 
 back as if weary, affecting the lumbar region. Pain and 
 beating in left shoulder. Pain and prickling at right shoulder. 
 Weary pain near the left shoulder, behind. 285- Vio- 
 lent beating under the left shoulder. Beating at the right 
 5 
 
98 BRAZILIAN PATHOGENESIS. 
 
 shoulder. Rheumatic pain in the right shoulder. Painful 
 beating on the right shoulder, in the left little finger, thumb, &c. 
 Pain under the right shoulder, behind, with beating in the 
 chest. 290- Painful pressure on the left shoulder. Rheu- 
 matic pain at the right shoulder. Pain at the right arm, 
 shifting to the little finger. Numbness of the arm. Burn- 
 ing pain above the right elbow, with red spot. 295- The 
 left arm is painful, with violent itching of the index-finger. 
 Trembling of the right arm. Pain as if her arm were pulled. 
 Pain in the bend of the left arm. Numbness of right arm. 
 300- Pain in the bend of the right elbow. Numb pain from 
 the wrist to the upper part of the right arm. Crampy pain 
 at right wrist, shifting to the axilla. Pain at the right wrist, 
 all the veins and fibres hurt. Painful prickings in the wrist 
 and along the left hand. 305- Pimple at the wrist, on a 
 led base. Pain at the right wrist. Dartings in right wrist 
 and thumb. Numbness of the right wrist. Pain in the wrists. 
 310- Numbness of the left wrist, the hand being painful. 
 Pain in right wrist, striking to each finger. Beating in the 
 arm and right wrist. Nervous pain from the right elbow to 
 the ring- and little fingers. Cracking in right forearm. 
 315- Numbness of the right arm, all the muscles hurt him. 
 Trembling of the right arm. Weight at the arms. Lanci- 
 nating pain in the muscles of the upper arm ? and in the tra- 
 pezoid muscle. Sense of weariness in the arm, though ly- 
 ing down. 320- Pain in whole right hand. Burning at 
 the whole hand. Coritusive pain at the back of the right 
 hand. The ball of the thumb of each hand is painful. Acute 
 pain in the palm of the left hand, proceeding from the index 
 to the thumb in a circle. 325. Dry heat in the hands. 
 Dartings in the right hand. Heat in the nails of the left 
 hand and at the tips of the right fingers. Beating at right 
 middle and index-finger. Heat and pain at right index-finger. 
 330. Beating at the tip of the right index-finger. Darting in 
 first phalanx of middle-finger. Contusive pain between the 
 ring- and little fingers. Numbness of the right index-finger. 
 Lancination and pricking in left little finger. 335. Stitch 
 in the right index-finger. Slinging in the ball of the right 
 
HURA BRAZILIENSIS. 99 
 
 thumb. Weakness of the finger-joints and wrists. Sensa- 
 tion as if a portion of the nail of the right index-finger had 
 become detached. Sensation as of a splinter in the ring- 
 finger. 340. Lancination in the right index-finger. 
 
 LOWER EXTREMITIES : Beating under the right hip. 
 Pain in right hip. Cold and heavy pain at the left hip. 
 Acute pain at the left hip. 345. Pain as if sprained in 
 the left hip-joint, when walking. Pain in right thigh, high 
 up, causing her. to limp. Sensation in the thighs, as if bitten 
 by dogs. Sense of coldness in the right thigh. Weary 
 pain on the left thigh, when pressed upon. 350- Pain 
 along the left thigh. Pain in the legs as from weariness. 
 Contusive pain at left leg. Tingling and twisting pain in 
 the right leg. Itching and smarting at the tibia, in front, at 
 night. 355. Beating above the right knee. Slight itch- 
 ing at the knee, changing to an acute pain when rubbed. 
 Contusive pain at right knee. Spraining sensation in left 
 knee, with cracking when walking. Pain at the left knee 
 as if sprained. 360. Pain as from a sprain in left knee, 
 with darlings below the pan. "Violent pain in the feet. 
 Beating pain near the right inner ankle. The left foot burns, 
 the right foot is cold. Cold and clammy feet, while lying 
 down. 365. Beating in the right outer ankle. Formi- 
 cation in the soles of the feet. Bruising pain at the outer 
 ankle. Cold and clammy feet, followed by heat. Heat and 
 pain in the toes. 370. Intermittent throbbing pain at the 
 right little toe, with prickling. Lancinating pain under the 
 left big toe. Cramp in the toes. Pain as from a splinter 
 under the toe-nail. 
 
 SLEEP: Frequent yawning. 375. No sleep. Drowsy, 
 with nausea. Restless sleep. Heavy sleep at first, after- 
 wards easy sleep and ready awakening to consciousness. 
 Starting during sleep. 380- Restless night, heat and 
 
 sweat all night. Drowsy in the afternoon. Dreams about 
 travelling. Dreams about dead bodies. Dreams about pur- 
 chases. 385. Dreams about prisoners. Dreams about 
 dead bodies, decayed oxen, assassins. Dreams about a 
 churchyard, she places torches on the graves. Dreams about 
 
100 BRAZILIAN PATHOGENES1S. 
 
 a sea-voyage. Dreams with emissions. 390. Dreams 
 about a revolution, &c. Restless sleep, with dreams about 
 wild beasts in a slaughter-house. Dreams about children 
 with their head half cut off. He dreams, that he was swim- 
 ming in a river with warm and green water. 
 
 FEVER : Moist heat mounting from the feet to the face. 
 395. Pulse interrupted with roaring in the head. The body 
 feels damp and cold. Cold sweat at night. Burning all 
 over. Alternate coldness and heat at night. 400- Fever, 
 with inability to close her hands. Shuddering all over, with 
 oppression. Shuddering along the back and legs while 
 taking breakfast. Shuddering through the chest and between 
 the shoulders. Cold feet, with shuddering in the left leg. 
 405. Warm hands and cold sweat. Cold feet and hot face. 
 Shuddering. Cold feet with shuddering. She turns red 
 and her chest feels oppressed. 410- Cold sweat on the 
 face and body. 
 
 CUTANEOUS : Miliary eruption in the joints. Vesicular 
 pimples on left arm, with itching. Miliary pimples at the 
 bend of the elbow, with redness around. Small red circle 
 on the tibia, with red pimple in the middle. 415. Pimples 
 all over, similar to those on the legs. Small smarting pim- 
 ples on the right knee, containing a fluid. Large pimples on 
 the legs, around the root of each hair. Painful pimples on 
 the left side of the tongue. Smarting red pimples on the 
 right cheek. 420- Itching, red pimples on the shoulders. 
 Smarting red pimples on the side of the hips. Vesicular 
 pimples all over, with red spots. Miliary eruption in the 
 face. Large blotches on the legs. 425. Pimples leaving 
 red spots behind. Small itching pimple at the inside of the 
 left elbow. Itching and pimples at the forehead. Large red 
 spot on the lower part of the left cheek. Small, red pimples 
 on the left cheek, with a white point in the middle. 430. 
 Red blotch on the right shoulder. Red spot and itching at 
 the forearm. Red spot on the back of the left hand. Red 
 pimples on the left cheek. Small vesicular pimples on the 
 lower lip, itching. 435. Pimples in the face and on the chin. 
 The skin on the forehead feels stretched. Face mottled 
 
 
HURA BRAZILIENSIS. 101 
 
 with red spots. Painful pimples on left cheek and eyebrows. 
 Itching of the back, legs, arms. 440. Contusive pain in 
 the back and the hips. Lancinating pain shifting from the 
 knees to the right elbow, shoulder, right foot, &c. Uneasy 
 when lying down. Pain in the back and chest. The hands, 
 feet and face feel hot to her, but clammy to others. 445. 
 Liable to starting. Internal trembling. Weakness of the 
 legs and arms. Sense of weariness as if strained, on wak- 
 ing. Weakness of the extremities. 450. Emaciation. Pale- 
 ness, cold hands and feet, with weakness during the pains. 
 Fainting spell, with spasms, cramps in the calves and toes. 
 
 LEPIDIUM BONARIENSE (D. C.). 
 
 LEP. MASTRUCO. 
 
 THIS plant is very common in the neighborhood of Rio, 
 where it is found along the roads and in stony regions. It is 
 herbaceous, with numerous glabrous, erect stems, attaining a 
 
102 BRAZILIAN PATHOGENESIS. 
 
 height of from twenty to thirty inches ; the radical leaves 
 are petiolate, finely indented; the superior leaves are alter- 
 nate, sessile and almost linear. It blossoms in September. 
 The flowers, which form terminal spikes, are supported by 
 filiform pedicles ; calix with four folioles ; corol small, cru- 
 ciform, with four hypozynous petals, six tetradynamous sta- 
 mens, short style, small, subelliptical pod, which is somewhat 
 crenated at the top ; root fibrous, simple, erect. 
 
 The fresh leaves are triturated. 
 
 In Brazil the Lepidium bonariense is used for similar pur- 
 poses as the Arnica. It is universally used in domestic prac- 
 tice. The pathogenesis of this plant may be perhaps wel- 
 come to our profession. 
 
 First day. 1, Sleeps well until midnight ; no sleep since 
 then ; has pains all over when stirring. Heat all over, with 
 dull pain ; she had the most pain on the left side. Violent 
 pain in the left arm before rising ; she cannot stretch it ; the 
 more she covers it, the greater is the pain; the pain ceases 
 on uncovering the arm. 
 
 Second day. Dizziness at nine in the morning; her head 
 fell forward and she imagined the floor was sinking under 
 her; every thing turned with her. 5, At eleven, heat in 
 the face, left side. Dull pain at the stomach, followed by 
 desire to vomit. Cold as when she had her spasms. Hunger 
 after dinner. In the evening, hot face. 10. Pain as if 
 scratched, for an hour, followed by heat, at the feet. Beat- 
 ing pain above the left ear. Acute stitching pain in the lower 
 gums, for an hour. Itching in the right ear, worse when 
 stooping, for half an hour. Dreams that she is talking with 
 dead people ; very restless. 15. Sad on waking. 
 
 Third day. On rising, pain as from a crown pressing on 
 her head. Pain round the right ear, as if pricked with pins, 
 ceasing by rubbing the part ; for a quarter of an hour. Stitch 
 in the right lung for five minutes. Pain at eminence in the 
 left cheek, with redness. 20. Heat in the mouth, on the 
 left side, as from eating spice. Palpitation of the heart, felt 
 in the side, with violent pain hindering breathing; worse 
 when stooping, ceasing when lying down. At noon, boring 
 
LEPIDIUM BONARIENSE. 103 
 
 pain at the vertex, left side, extending to the ear. Heat in 
 the nose, and sensation as of a current of cold air in the left 
 nasal fossa. Pain in the nape of the neck, right side, ceas- 
 ing by rubbing the part and moving the neck. 25 Sen- 
 sation as if a knife were slowly penetrating into the heart, 
 ceasing when pressing for a few minutes strongly against the 
 region of the heart. Prickings at the shoulder-blade, ex- 
 tending along the right side of the neck. Itching at the 
 right nostril. Pricking at the skin, followed by itching. 
 Pricking in the ear, down the jaw. 30 Lancination in 
 the right breast, less when standing erect. Stitching pain 
 under the axilla, in a half-moon shape. Prickings between 
 the breasts. Pain as from a band on the right side, worse 
 when pressed upon, hindering breathing. Lancination in 
 the spine of the shoulder-blade, shifting to the other shoulder ; 
 less when standing erect. 35. Prickings in the left hy- 
 pochondrium. Stitch under the axilla. Desire for choco- 
 late, salad, green fruit. Great thirst for vinegar. Lancination 
 in the heart, in the evening. 40 Oppression after eating. 
 Convulsive trembling of the heart. Pain at the pit of the 
 stomach after eating, worse when walking, or when touching 
 the part. The blood which is discharged on the second day 
 of the courses is darker and coagulated. 
 
 Fourth day. Band in the side as the day before. 45 
 Passing lancinations in the abdomen, sides and breasts. Lan- 
 cinations from the elbow to the shoulder-blade. Heaviness 
 and pressure on the bladder when urinating. The menses 
 cease after twenty-four hours. Short sleep. 50 Desire 
 to vomit all night. Formication above the left shoulder. 
 Slight spitting of blood after coughing. Cutting as with a 
 penknife below the left breast. Heat in the throat with de- 
 sire to vomit, and noise in the ears when swallowing the sa- 
 liva. 55. Constrictive pain in the head. Vertigo, with 
 disposition to fall forward. Thick expectoration, which it is 
 difficult to get loose, with roaring in the ears. Painful stitch 
 at the knee, less when walking. Stitch in the cheeks. 60 
 Lancinations under the axilla. Colic in the umbilical region. 
 Hard hearing. Throbbing at the epigastrium. Very sad, 
 
104 BRAZILIAN PATHOGENESIS. 
 
 thinks of sickness. 65. Pain in the bone of the left 
 thumb, with trembling when attempting to use it. When at- 
 tempting to read her eyes fill with tears. 
 
 Fifth day. Sad, uneasy, quarrelsome, dissatisfied, deep 
 
 Sixth day. Dim eye as if looking through a white gauze; 
 when looking at the sky, the air looks gray. Her left eye 
 is full of water; the pain is worse when moving, it follows 
 the eyebrow, for six hours. 70 Crampy pain at the right 
 ring-finger, extending to the elbow, contracting the flexor 
 communis digitorum, with redness at the lower part of the 
 nail; for twenty minutes, it passes off in the open air. 
 Toothache on the right side, at one o'clock. Water in the 
 eye, worse in the open air, ending with itching, for ten min- 
 utes. Heat in the corner of the left nostril, and stitch at 
 the tip of the nose, for fifteen minutes. Pain at the fore- 
 head, with beating in the left side, for ten minutes. 75. 
 Merry, she laughs about every thing. Desire to vomit after 
 dinner, when inclining her head forward. Difficult digestion, 
 weight on the stomach. Salt, thick and difficult sputa. 
 Pains for five minutes, from the shoulder to the middle of the 
 "back, with lancinations hindering breathing. 80 Pain 
 passing quickly through the right side of the head, from the 
 top of the left parietal bone to the eyebrow. Desire for tea. 
 Lancinations in the ears. Pain at the cardia as if cut with 
 a penknife, short-lasting. Thirst, dry mouth. 85. No 
 sleep at night, the whole body feels tired as in the third 
 night. 
 
 Seventh day. Pain in the left lung, striking through the 
 back, and worse when carrying any thing heavy ; for twelve 
 hours. Stitch in the left side; when drawing breath, the 
 pain is felt like a cut with a knife, and, after a short interval, 
 coalesces with the former pain ; three times. Urine clear, 
 white and not very thick. Sense as of a string at the right 
 breast, painless. 90 Pain in the teeth of the left lower 
 jaw, striking to the ear, and rendering her deaf for three min- 
 utes. She feels as if a string were pulled from the shoul- 
 der to the ear. Toothache, the teeth are soft and on edge, 
 
 
LEPIDIUM BONARIENSE. 105 
 
 all day ; every day since she took the drug, not at night. 
 Violent drawing pain from the shoulder to the ear, hindering 
 the motion of the head for three minutes. Shuddering, with 
 paleness, and margins around the eyes. 95 The fever 
 abates by covering herself and exciting a profuse perspira- 
 tion ; it is succeeded by malaise. 
 
 Eighth day. Cough at night, light sleep. Sad dreams, 
 with fear on waking, for a quarter of an hour. Itching at the 
 tongue, like prickings, for five minutes. Itching at the nip- 
 ples, swelling of the glands, hardness of the breasts ; the 
 itching does not last long. 100* Pain at the pit of the 
 stomach, which strikes to the left breast and shifts about ; 
 stitch in both places at the same time. Itching under the 
 chin, from ear to ear ; proceeding from the throat. Dry hack- 
 ing cough which causes a desire to spit, and, after repeated 
 efforts, produces a salt saliva. Pain in the left lower jaw, 
 extending to the shoulder, for five minutes. Pain as if a pen- 
 knife were thrust in, with itching at the biceps muscle. 105 
 Pricking at the temple with itching, which spreads all over, 
 all day. Pain at the shoulder-blade as if a pin were stuck 
 through the bone, for three minutes. Pain in the middle- 
 finger, while running, the finger remained stretched for some 
 minutes. Pain from the left hip to the knee, with weakness 
 of the leg which abates when sitting down. Pain and beat- 
 ing in the left jaw, for ten minutes. H0 Vertigo and de- 
 sire to vomit in the evening. Cough with hoarse voice. 
 
 SECOND PROVING. 
 
 First day. Heavy sleep, with numbness on waking ; sen- 
 sation as if the whole body were bruised. Drawing pain 
 from the throat to the arm ; her tongue is thick as if very 
 much swollen. 
 
 Second day. The left arm is very numb, pain in the left 
 shoulder, as if beaten by hammers. 115. Stitching pain 
 at the pit of the stomach, after eating. Crampy pain in the 
 right hand, followed by shuddering all over. 
 
 Third day. No sleep until midnight. At seven in the 
 morning, itching at the corner of the right lip. ,Nose swol- 
 5* 
 
106 BRAZILIAN PATHEGENESIS. 
 
 len on the left side, with pain, which is less in the open air 
 and worse when the parts are touched. 120. Painless la- 
 chrymation. Itching on the back of the hands. Weariness. 
 Desire to vomit, worse after half an hour ; passes off by 
 stirring about. Pain in the pit of the stomach as from a band 
 cutting the body in two, for half an hour. 125, Pain at 
 the bend of the knee, as if a tendon were slowly drawn in- 
 wards. Buzzing in the left ear. Rheumatic pain at the 
 right shoulder-blade, for some minutes. Drowsy from noon to 
 three o'clock. Headache above the orbits and in the temples, 
 worse when raising the eyes or touching the parts. 130* 
 Pain in the pectoralis major, commencing under the axilla, 
 and, in a few minutes, extending to the heart. Worm-colic 
 in the lower part of the abdomen, for five minutes, with in- 
 effectual effort to go to stool, and with tenesmus. Frequent 
 yawning. Pain at the right arm, like a blow with the ham- 
 mer, and numbness. Vertigo while steadying a basin with 
 water, the head inclining forward. 135. Pain in the right 
 cheek, passing off by pressing on the bony eminence. Com- 
 pression as by a band around the waist, especially at the epi- 
 gastrium. Feeling of weakness in the stomach, with faint 
 feeling. Crampy pain in the right side of the neck, extend- 
 ing to various parts of the shoulder and arm ; relieved by 
 pressure. Colic caused by the damp air. 140. Coldness 
 at the stomach, extending over the chest as far as the throat. 
 Pain with twitching of the muscles under the right breast, 
 extending and diminishing towards the axilla. Rheumatic 
 pain and stiffness of the left index-finger, which remains 
 stretched for some minutes. Contusive pain at the right hip, 
 lessened by pressure. A cake remains arrested in the oeso- 
 phagus, after which it suddenly falls into the stomach with a 
 shaking sensation; the same symptom is experienced in drink- 
 ing. 145. Heat at the tip of the tongue as from spice, 
 and sensation as if the papilloe would expand and open. The 
 abdominal functions are regular. Dark urine. Stitching pain 
 in the left axilla. Shuddering and cold sweat in the air. 
 150. Violent coryza, inflammation, itching at the nose. The 
 limbs feel bruised. Desire for cressis, with loathing when 
 
LEPIDIUM BONARIENSE. 107 
 
 seeing it. Contraction of the leg, with stiffness of the bend 
 of the knee. 
 
 Fourth day. Sensation as if a knife were plunged into 
 the epigastrium from without inwards. 155- Dry cough, 
 with loss of breath. Violent shock across the middle of the 
 back. Throbbing in the head, from within outwards, causing 
 her to incline the head forwards. She imagines she is 
 abandoned in a church-yard, pursued by a phantom, and cries 
 though nobody hears her, with loss of voice next morning. 
 Lancination from the ear to the shoulder. 160- Beating 
 
 in the forehead, causing her to incline her head forward, not 
 long. Sensation like a blow at the left big toe. Merry after 
 the sadness of the previous days (curative effects). Desire 
 for fruit and loathing of food. 
 
 Fifth day. Bleeding from the right nostril, the blood is 
 black and coagulated, with itching. 165- Pain in the right 
 eye as from some round weight, resting upon it, with itching 
 in the inner canthus. Pain in the shoulder extending around 
 the neck like a band, with stitch in the pit of the stomach 
 and nape of the neck. Pricking and pressing pain around 
 the head. Crampy pain in the left hand. The nose bleed 
 continues until one o'clock, when it becomes violent, with 
 red and bright blood. 
 
 Sixth day. 170' Deep sleep. Pain as if a penknife 
 were stuck along the jaw, short-lasting. Crampy pain be- 
 hind the neck, for five minutes. Short pain from the temple 
 to the chin, as if the face were cut with a razor. Beating 
 in the pit of the stomach, with pricking, worse when drawing 
 breath, not long. 175- Pain from the left ear to the lower 
 part of the neck, along the course of the carotid, worse when 
 inclining the head toward the right. The left ear feels as if 
 stopped up, she does not hear any thing with it. Loathing 
 of meat. 
 
 Seventh day. Pain in the back as from a nail, extending 
 to the intra-scapular region. Pain in the right side arresting 
 the breathing. t80- Shuddering all over as when the 
 
 fever commences. Heat after the cold, especially in the 
 renal region. Constrictive pain at the heart, extending to 
 
108 BRAZILIAN PATHOGENESIS. 
 
 the left axilla. Desire to vomit, for half an hour. Pricking 
 at the tip of the middle-finger, drawing it up, so that she is 
 unable to stretch it. 
 
 THIRD PROVING. 
 
 First day. -185' Very drowsy, shuddering in the legs as 
 before an attack of fever, very short. At 8, stitch in the left 
 side, disappearing of itself. At 11, tightness in the forehead 
 as if pressed upon, for 15 minutes. Constant physical and 
 moral torpor. Constant dull pain in the head. 190- Fre- 
 quent yawning. Desire to vomit before eating. Violent 
 headache at 4 in the afternoon. Dull pain in the abdomen, 
 especially on the right side, not aggravated by pressure. 
 Headache with heat at the fore-part of the vertex. 195- 
 Absence of ideas ; inability to think, with indifference for 
 everything. Comatose condition without being able to sleep. 
 Weight at the eyelids, with desire to close them. The 
 outer air feels very fresh. Pricking in the left side of the 
 face. 200- Thirst. Desire for coffee. Internal heat, 
 and restlessness after lying down, she has to get up again. 
 Pulling at the forehead and at the root of the nose. Heat 
 in the stomach, with feeling of dryness and irritation. 205. 
 Throbbing in the back, which seems to proceed from the 
 aorta. Aversion to milk. Desire to walk about. Passing 
 heat in the back, followed by a general shuddering. 
 
 Second day. No sleep at night, general restlessness 
 followed by prickings all over, all night. 210- Eyelids 
 weary, she raises them with difficulty all night. At 4, pains 
 in the abdomen, on the right side, the same as the night 
 previous. 
 
 Third day. The same restlessness, as the night before, 
 followed by sleeplessness. Pain in the left arm, she is 
 scarcely able to raise it, not long. Sickness at the stomach, 
 followed by a desire to vomit, before a meal, 215- Lan- 
 
 cinations in the right eye, without redness, for three hours. 
 
 Fourth day. Sickness at the stomach before eating. 
 Weariness in the legs for three hours. Heat in the back, 
 not long, followed by shuddering. 
 
 
LEPIDIUM BONARIENSE. 109 
 
 FOURTH PROVING. 
 
 Second day. At 10 in the morning, pain all along the 
 trunk, from above downwards. 220- Pulling in the course 
 of the left sartorius muscle. At 2, pain in the left gluteus 
 maximus, as if contracted and twisted. At 6, pain as if cut 
 with a penknife, under the left axilla. 
 
 Third day. Laming pain at the left arm, when holding 
 it still for a time. Dreams about dead bodies, at night. 
 
 Fourth day. 225- At 11, distress at the pit of the stomach, 
 with desire to vomit. Physical and moral prostration, loss 
 of appetite, loathing of food. At 2, heat in the head, with 
 cold sweat and a little fever. Constant desire to gape. At 
 6, heat in the head, no sweat. 230- Diarrhoea. At 8 in 
 the evening, violent colic, less when sitting, flatulence from 
 the bowels. Sour eructations. 
 
 Fifth day. At 7 in the morning, the abdomen feels sen- 
 sitive as if sore. Sensitiveness of the hairy scalp. 235- 
 Short breathing. The abdomen feels better. At 11, burn- 
 ing in the eyes. At 12, quick beating on the right shoulder, 
 as with a little hammer, for a minute. At 2, stitch in the 
 abdomen, on the left side. 240- From 4 to 7, faint feeling 
 in the stomach. 
 
 Sixth day. At half past 6, pain in the gluteus maximus, 
 for one hour. 
 
 Seventh day. At 3, palpitation of the heart. At night, 
 while lying, suffocative fit. Foul eructations all day. 245- 
 Nightly pain in the whole abdomen. At 5, buzzing in the 
 right ear, for two minutes. 
 
 FIFTH PROVING. 
 
 First day. Violent lancinations in the right side of the 
 chest for a few minutes, below the third rib, every few mo- 
 ments. Acute pain at the inner side of the right tibia. 
 
 Second day. Heaviness of the body. 250- Drowsy 
 
 all day. Bad night, nervous restlessness. Pains in the left 
 brain, spreading from above the left eye (which experiences 
 a contractive sensation) to the vertex, the back part of the 
 head, and lastly to the nape of the neck where they remain 
 
110 BRAZILIAN PATHOGENESIS. 
 
 seated for a time. The pains seem to be seated in the cere- 
 bral membranes, and succeed each other, never appear 
 simultaneously. Sharp stitching pain, in the region of the 
 heart, with lancinations under the false ribs. Violent head- 
 ache, as if a hammer were beating inside and as if the brain 
 were bounding in an empty space, for half an hour. 255- 
 Sharp pain in the right lower jaw-bone, all the teeth being 
 sound. Palpitation of the heart. 
 
 Third day. Night less restless. Sleeps all the time. 
 Heaviness of the head, with an undefined feeling of malaise 
 in the brain, especially on the left side. 260- Painful 
 sensation at the right zygoma, for a short time. 
 
 Fourth day. On waking, acute pains in the head and 
 posterior cervical muscles. Intense lancinating pains in the 
 muscles of the right hand, and its phalangeal articulations. 
 Two hours, similar sensations in the right shoulder-blade, 
 accompanied by pains 'in the right wrist, all these pains are 
 well marked, but short. 
 
 Fifth day. Restless nighr, without any apparent cause ; 
 no sleep. 
 
 Sixth day. 265- Prickling in the eyes, in the evening, 
 as from some astringent body. Eyeball and lids congested. 
 Lancinations in the right shoulder-blade. 
 
 Seventh day- Continual redness and pain in the eyes. 
 Lancinating pains above the eyes and in the temples. 
 
 Eighth day. 270- Eyes still red, but less ; no prickling. 
 Ninth day. Eyes well. 
 
 Thirteenth day. Acute and repeated pains in the cervical 
 muscles, and those of the left shoulder-blade. Violent head- 
 ache in the morning, which lasts until 2 o'clock. 
 Fourteenth day. Heavy and drowsy. 
 Fifteenth day. 275- Recurrence of the pains in the neck 
 and shoulder-blade, in the morning. Heavy and drowsy ; 
 unable to apply himself to a serious work ; at 3, continued 
 his work with ease. 
 
 Sixteenth day. Acute pains in the muscles of the neck 
 and shoulder-blade. Violent headache, in the evening, with 
 
LEPIDIUM BONARIENSE. Ill 
 
 sense of compression in the forehead ; from temple to temple. 
 Dry mouth and throat. 
 
 Seventeenth to nineteenth day. 280- Violent headache, all 
 day, from ten every morning until night. Violent palpitation 
 of the heart. Violent pains in the muscles of the neck, thigh 
 and left leg, frequently recurring, but short. (Rising of air 
 in the evening, without acidity). 
 
 Twentieth day. No headache. Same symptoms as on 
 the preceding days, in the muscles of the left side. 285- 
 Passing palpitations. Eructations. Loathing of food, espe- 
 cially meat. Pains in the maxillary bones, as if all the teeth 
 were affected. 
 
 Twenty-first day. Lancination above the left eye and in 
 the left temple. 290- Lancinations in the left jaw-bone. 
 No appetite, loathing of meat. 
 
 Twenty-second and -third day. No appetite. Pains in 
 the left side of the head. 295- Palpitations of the heart. 
 
 Twenty-fourth day. The stomach feels better. Slight 
 darlings in the head, always on the left side. 
 
 Twenty-fifth day. The appetite returns. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 MENTAL AND MORAL : 1. She imagined the floor was 
 sinking under her. Inability to think. She imagines she is 
 pursued by a phantom in a church-yard, cries, with loss of 
 voice next morning. Vertigo, with desire to .vomit. 5. 
 Vertigo when stooping slightly. Sad and quarrelsome. 
 
 HEAD : Painful pressure on the head. Headache, with 
 heat at front-part of vertex. Headache above the orbits and 
 in the temples. 10. Constrictive pain in the head. Head- 
 ache, with sense of compression in forehead. Beating head- 
 ache, as if the brain were bounding. Pains in the left brain, 
 spreading to the occiput and nape of the neck. Boring pain 
 in the vertex. 15. Pricking and pressing pain round the 
 head. Throbbing in the head, causing one to bend it for- 
 ward. Pricking at the temple, and itching all over. Tight- 
 ness of the forehead. Pulling at the forehead and root of 
 
112 BRAZILIAN PATHOGENESIS. 
 
 the nose. 20- Lancinations in left side of the head. 
 Heaviness of the head, with indescribable malaise in the 
 brain, especially the left. Heat in the head, with cold 
 sweat and fever. Sensitiveness of the hairy scalp. 
 
 FACE, EYKS, EARS : Pain in the right cheek, passing off 
 by pressing on the bone. 25- Pricking in left side of the 
 face. Cutting pain from the temple to the chin, across the 
 face. Heat in left side of the face. Heat in the corner of 
 the left nostril, with stitch in the tip. Nose swollen and 
 painful on the left side. 30- Coryza, inflammation, itching 
 of the nose. Discharge of black blood from the right nostril. 
 Heat in the nose, with sensation as of a current of cold air 
 in left nasal fossa. Buzzing in the right ear. Beating pain 
 above the left ear. 35- Itching in the right ear, worse 
 when stooping. Darlings in the ears. Buzzing in left ear. 
 Pricking pain round the right ear. Prickling in the eyes. 
 40- Burning in the eyes. Eyelids weary at night. Red- 
 ness and pains of the eyes. Darlings in the right eye. 
 Dimness of sight as if looking through a white gauze. 
 45- Lachrymation, with itching. Pain in right eye as 
 from a round weight resting upon it. 
 
 TEETH, JAWS : Slicking pain in the jaw. Painful beating 
 in the left jaw. Lancinations in the left jaw. 50- Pains 
 in the jaws, as if in the teeth. Pain in the lower teeth, 
 with deafness. Toothache, as if soft and on edge. Stitching 
 pain in the lower gums. Itching under the chin, from ear 
 to ear. 
 
 MOUTH, THROAT : 55. Pricking itching at the tongue. 
 Drawing pain from the tongue to the arm, with sensation 
 as if the tongue were swollen. Smarting at the tip of the 
 tongue. Dry mouth and throat. Heat in the throat with 
 desire to vomit and noise in the ears on swallowing. 
 
 GASTRIC : 60. Aversion to meat. Desire for tea. De- 
 sire for fruit, with loathing of food. Desire for cressis, 
 with loathing when seeing it. Desire for chocolate and 
 salad, vinegar. 65. Desire for coffee. Desire to vomit. 
 Sour eructations. Foul eructations. Prostration with 
 loathing of food. 70. Loathing of food. A cake descends 
 
LEPIDIUM BONARIENSE. 113 
 
 into the stomach suddenly, with a shaking sensation. Op- 
 pression after eating. 
 
 STOMACH, BOWELS : Faint feeling in stomach. Distress 
 in pit of stomach, with desire to vomit. 75- Heat in 
 stomach, with feeling of dryricss. Sickness at the stomach, 
 followed by a desire to vomit, before eating. Pain at the 
 pit of the stomach, after eating. Stitching pain in the pit 
 of the stomach after eating. Weak feeling in the stomach. 
 80- Pain in the pit of the stomach, as if cut through. 
 Beating and pricking in the pit of the stomach. Throbbing 
 at the epigastrium. The abdomen feels sensitive. Cut- 
 ting pain at the cardia. 85- Lancinations in the abdomen 
 and sides. Worm-colic, with teriesmus. Compression as 
 by a band round the waist. Colic in damp air. Sense as 
 of a knife being plunged into the epigastrium. 90- Colic. 
 Stitch in left side of abdomen. 
 
 STOOL, URINARY, &c. : Diarrho3a. Weight and pressure 
 at the bladder when urinating. Dark urine. 
 
 BRONCHIAL : 95. Dry cough, with loss of breath. Cough 
 with hoarseness. Hacking cough, with salt saliva. Cough 
 with slight spitting of blood. Salt, thick sputa. 100- 
 Stitch in the right lung. Pain in the right side, arrest- 
 ing the breathing. Twitching pain in the muscles under 
 the right breast. Coldness from the stomach to the throat. 
 Pain in the pectoralis major. 105. Sense as of a string 
 at the right breast. Pain in the left lung, through to the 
 back. Itching at the nipples, swelling of the glands, hard- 
 ness of the breasts. Sensation as of a band in the side. 
 Pricklings between the breasts. HO. Pain all along the 
 trunk. Lancinations in the right chest. Shortness of breath. 
 Palpitation of the heart, with pain hindering breathing. 
 Convulsive trembling of the heart. H5. Sense as of a 
 knife slowly penetrating into the heart. Constrictive pain 
 at the heart, extending to the left axilla. Palpitation of 
 the heart. Sharp stitching pain in the region of the heart, 
 with lancinations under the false ribs. 
 
 BACK : Acute pains in the muscles of the neck and 
 shoulder-blade. 120- Pricklings from the shoulder-blade 
 
114 BRAZILIAN PATHOGENESIS. 
 
 along the right side of the neck. Sensation as if a string 
 were pulled from the shoulder to the ear. Crampy pain 
 in right side of the neck, extending to the arm. Darting 
 from the ear to the shoulder. Pain from the shoulder 
 round the neck, like a band, with a stitch in the pit of the 
 stomach and nape of the neck. 125. Crampy pain behind 
 the neck. Pain in the side of the neck, worse when turn- 
 ing the head to the right side. Throbbing in the back, 
 Passing heat in the back, followed by shuddering all over. 
 Darting in the spine of the shoulder-blade, shifting to the 
 other shoulder. 130. Pains from the shoulder to the 
 
 back, with lancinations hindering breathing. Sticking pain 
 at the shoulder-blade. Shock across the back. Pain in the 
 back as from a nail. 
 
 UPPER EXTREMITIES : Stitching pain in the left axilla. 
 135- Formication above the left shoulder. Pain under the 
 left axilla, as if cut with a penknife. Quick throbbing on 
 the right shoulder. Violent pain in left arm, worse when 
 covered ; she cannot stretch it. Pain as from a blow at the 
 right arm, with numbness. 140- Numbness of the left 
 
 arm, with pain in the shoulder as if beaten by hammers. 
 Darting from the elbow to the shoulder-blade. Pain in 
 left arm, she can scarcely raise it. Laming pain at left 
 arm, when, holding it still. Crampy pain in left hand. 
 145- Itching on the back of the hands. Crampy pain in the 
 right hand, followed by shuddering all over. Lancinating 
 pains in the muscles of the right hand and shoulder-blades. 
 Rheumatic pain and stiffness of left index-finger. Crampy 
 pain at the right ring-finger. 150- Pain in the bone of 
 the left thumb, with trembling when attempting to use it. 
 Prickling at the tip of the middle-finger, which draws it up. 
 
 LOWER EXTREMITIES: Contusive pain at the right hip. 
 Pulling along the left sartoritis muscle. Pain in left gluteus 
 maximus as if contracted. 155- Contraction of the leg, 
 with stiffness of the bend of the knee. Acute pain at inner 
 side of right tibia. Pain from the left hip to the knee, with 
 weakness of the leg. Pain in the bend of the knee as if a 
 tendon were slowly drawn inwards. Pain as if scratched at 
 
PANACEA. 
 
 115 
 
 the feet, followed by heat. 160- Sense as of a blow at 
 the left big toe. 
 
 SLEEP, &c. : Desire to gape. No sleep after midnight, 
 with pains all over when stirring. Comatose condition, but 
 no sleep. Heavy sleep, with numbness and sense as if 
 bruised on waking. 165. Drowsy, and shuddering in the 
 legs. Restless at night, followed by prickings all over. 
 Heavy and drowsy. Restless night. Suffocative fit at 
 night. 170. She dreams that she is talking with dead per- 
 sons. Sad dreams with fear on waking. Dreams about 
 dead bodies. Internal heat with restlessness ; she has to 
 rise. Heat after the cold, especially in the renal region. 
 175. Shuddering and cold sweat in the air. Violent pain in 
 the muscles of the neck, thigh and left leg. The limbs feel 
 bruised. 
 
 PANACEA. 
 
 WE regret to say that we lost the drawings and the 
 notes which we had collected about the tree called by the 
 Brazilians "panacea" on account of the many ailments for 
 which they use it. It is called in Brazil, azougue dos pobres 
 (mercury of the poor), cabedula, and erva carneira. This tree 
 is exceedingly common in Brazil ; knowing its name, foreign 
 homoeopathists will find it perhaps easier to procure the plant. 
 
 First day. 1. Heaviness in the forehead, worse when 
 drowsy, at 10 in the evening. Heat followed by considerable 
 cold, at half past 10. 
 
 Second day. Bitter mouth, in the morning after rising, 
 at 5. Pain at the shoulder-blade by turning the head to the 
 left side. 5- Nausea. Spasmodic yawning arrested sud- 
 denly. Cramp from the index-finger to the elbow. Violent 
 headache, worse when inclining to the left side, at 6. Pain 
 at the forehead and temples. 10- Pain at the loins as if 
 bruised, at 6. Globus hystericus at the pit of the stomach, 
 she cannot lace herself. Hunger, with loathing of food. 
 
116 BRAZILIAN PATHOGENESIS. 
 
 Fainting turn. Pain from the right wrist to the elbow. 
 15- Vertigo with increase of the headache, at 6. Heaviness 
 of the head. Drowsy. Tearing, from the chest to the 
 throat, at 7. Pain like a blow with a hammer, at the left 
 shoulder. 20- Dizziness, she inclines backwards as if 
 she would fall, at half past 7 in the evening. Pain at the 
 navel as if cut. by a penknife, all around the abdomen and 
 terminating in the loins. Heat at the tongue, with sensation 
 as if little drops of ice-water were upon it, at 9 in the morn- 
 ing. Pain at the temples as if in a vice. Very drowsy at 
 noon, with heaviness of the eyes. 25. Cramps from the 
 feet to the bends of the knees. Empty feeling in the stomach, 
 with desire to eat. Hunger causing a burning at the 
 stomach. The knees give way, at 4 in the evening. De- 
 sires to be alone. 30. Shuddering in the open air, at 7 in 
 the evening. She cannot kneel for any length of time. 
 Pain in the chest, rising upwards, with pulling. Pain above 
 the orbits as if a rusty saw were rapidly moved across the 
 part. Sensation as if the toe-nail were torn off. 35. 
 Weariness as after a long journey, at 8 in the evening. 
 
 Third day. Numbness of the left hand, it cannot be 
 stirred, at 6 in the morning. Pain as if stabbed with a knife, 
 in the sides and navel. Pain in a decayed tooth, as if a 
 penknife were thrust in, at 7 in the morning. Aching pain 
 at the vertex, with dizziness ; this pain shifts to the left eye, 
 followed by sensation as if a rocket were rushing out of it, at 
 half past 7. 40- Sense of choking at 9 in the morning. 
 Trembling of the right hand. Dissatisfied with herself, 
 every thing is unpleasant to her. Headache which increases 
 her dissatisfaction. Shuddering all over. 
 
 HAHNEMANN'S ARRANGEMENT. 
 HEAD, &c.: Vertigo. Dissatisfied with herself, more so when 
 she has the headache. Pain at the temples as if in a vice. 
 Aching pain at the vertex with dizziness, shifting to the left 
 eye, with sensation as if a rocket were rushing out of it. 
 Heaviness in the forehead. Headache worse when in- 
 clining the head to the left side. Sawing pain above the 
 
SOLANUM TUBEROSUM ^EGROTANS. 117 
 
 orbits. Pain in a decayed tooth, as if a penknife were thrust 
 in. Heat at the tongue, with sensation as if little drops of 
 ice-water were upon it. Sense of choking. 
 
 GASTRIC, &c. : Hunger with burning at the stomach. 
 Nausea. Hunger, with loathing of food. Bitter mouth, after 
 rising from bed. Globus hystericus at the pit of the stomach. 
 Empty feeling in the stomach. Pain in the sides and navel 
 as if stabbed with a knife. Cutting pain, from the navel all 
 around the abdomen. Pulling pain in the chest. Tearing from 
 the chest to the throat. Pain at the loins as if bruised. 
 
 EXTREMITIES : Pain at the shoulder-blade when turning 
 the head to the left side. Pain in the right fore-arm. 
 Trembling of the right hand. Numbness of the left hand. 
 Cramp from the index-finger to the elbow. Cramps in 
 the legs. Sensation as if the toe-nails were torn off. 
 Pain at left shoulder as from a blow. Spasmodic yawning. 
 Shuddering all over. Shuddering in the open air. Heat 
 followed by cold. Weariness. Fainting turn. 
 
 SOLANUM TUBEROSUM ^EGROTANS. 
 
 SOL. T. JEG. DISEASED POTATO. 
 
 A description of the potato in a work destined for European 
 pharmaceutists and physicians, would be entirely useless ; so 
 well and so universally known is this plant in Europe. 
 However, since our work will get into the hands of persons 
 who are less familiar with the productions of the European 
 continent, we deem it advisable to subjoin a drawing and a 
 short description of this plant. The potato is a native of 
 Chili ; it is an herbaceous plant, with a branchy stem about 
 one or two feet high. Its leaves are pinnatifid, with leaflets 
 that are oval, entire, slightly hairy on their lower surface and 
 almost opposite. Smaller folioles sometimes arise between 
 the larger ones. The flowers constitute corymbs either erect 
 or inclined ; calice in five parts ; corol of a white violet with 
 five equal divisions ; five stamens attached to the basis of the 
 corol ; one style and stigma, fleshy berry with two chambers. 
 
118 BRAZILIAN PATHOGENESIS. 
 
 The roots develop tubercles of different sizes and called 
 potatoes. The potato-rot first reveals itself by brown spots 
 irregularly distributed through the interior of the tubercles ; 
 gradually these spots are transformed into white points of a 
 cottonny appearance which may be compared to the cryp- 
 togamia termed byssus, and found on damp wood. From this 
 point a general process of decomposition sets in, and the 
 potato exhales an insupportable nauseous odor. In our 
 provings we have made use of a potato in an entire state of 
 decomposition, without, however, being completely rotten ; 
 there were brown portions intermingled with those byssus- 
 shaped parts described above. 
 
 HOMCEOPATHIC TREATMENT OF THE POTATO-ROT. 
 
 Human pathology is not the only field of the homosopa- 
 thist. He should take an interest in every species of suffering, 
 and endeavor to restore the harmony of the organic kingdom 
 wherever it has been disturbed by some accidental cause. 
 Homoeopathy is a vast, unitary science. The healing art is 
 one ; there is no such thing as one healing art for man and 
 another for the animal, though it is on man that we should 
 prove our drugs because he is the complex of the various 
 kingdoms of nature. 
 
SOLANUM TUBEROSUM ^EGROTANS. 119 
 
 The question now occurs, how is the potato-rot to be treat- 
 ed? It is evident that the great point is to prevent the dis- 
 ease, and, for this purpose, we must endeavor to remove the 
 cause. Principiis obsta, has ever been the fundamental rule 
 of medical treatment. 
 
 In order to attain this end, we have deemed it necessary 
 first to ascertain the effects which the diseased potato would 
 produce on a healthy person and afterwards to find out what 
 drugs produce similar effects. We might have instituted our 
 provings on the potato itself, and, among a number of drugs, 
 might have discovered the one that would produce a disease 
 similar to the rot. But this mode of investigation would have 
 been too long and uncertain, whereas the proving on the 
 human body is simple and direct, and is, we think, the true 
 mode which Providence has designed we should pursue even 
 in regard to the potato-rot. 
 
 It is true, man cannot be assimilated to the myriads of or- 
 ganized beings that surround us ; man constitutes the highest 
 link in the chain of beings ; he is the complex of the animal 
 life on our globe, and the most perfect type to which all in- 
 ferior existences can be referred ; he is a microcosm con- 
 taining all the wonders of the universe ; he is the responsible 
 administrator of this earth. Man alone is able to produce a 
 true pathogenesis by revealing the most evanescent as well 
 as the most characteristic and most permanent symptoms, or 
 lesions of sensation. On plants and animals we can only 
 perceive disordered functions, disorganizations ot tissues, or 
 acute pains as manifested by gestures or cries ; but the truly 
 dynamic action can only be properly perceived and described 
 by man. 
 
 The veterinary homceopathist does very well in selecting 
 his remedy by the human pathogenesis. Why should not 
 the same mode be applicable to vegetables ? We have in 
 vited our fellow-beings to try it; we have not only invited 
 them to teach, and to cure, and to make themselves sick, in 
 order to discover the true means of healing ; but we have 
 encouraged them to suffer themselves to be persecuted, and 
 even imprisoned, as a reward for their labors of love, we have 
 
120 
 
 BRAZILIAN .PATHOGENESIS. 
 
 said to them ; whilst the world is hesitating whether it 
 should accept or reject the blessing offered by Hahnemann, 
 let us lose no time ; there are other regions where the evi 
 is still triumphant, and where truth is not even known by- 
 name ; let us expel error from its last hiding-places. And 
 we have never failed in meeting corresponding souls that 
 would hear us and follow us. And thus it is that homoeo- 
 pathy, this physical reflex of the Christian redemption, com- 
 bats evil by itself, pursuing it from region to region until it 
 shall have been exterminated from the world. 
 
 Now let us describe the practical part of our proving. 
 
 From the first, frontal headaches, with pressure above the 
 orbits, have been observed with much regularity not only by 
 the three provers whose symptoms are published, but also by 
 other provers who continued the proving only for a few days. 
 
 Until the 20th day, these headaches were often accom- 
 panied by fever, with chill, heat, sweat, shudderings followed 
 by sore throat, cough and greenish mucous expectoration. 
 
 The palpitation of the heart which occurs during the 
 whole period of the proving, and with particular violence at 
 the end of the third proving, appears to be represented in 
 the case of the second prover by violent muscular pulsations 
 occurring in the same chronological order. The hard, large- 
 sized, fragmentary stools, and their painful expulsion which 
 sometimes caused a falling of the rectum ; the frequent 
 emission of flatulence preceded or accompanied by colic, 
 with sensitiveness of the abdominal integuments in the case 
 of the first prover, are very constant symptoms of this drug ; 
 they were observed from the first and increased until the last 
 days of the proving. 
 
 We will likewise point to the general or partial weakness, 
 which, in the case of the third prover, were followed by 
 violent pains in the loins. 
 
 The white coating of the tongue which was observed on 
 the first day, gradually limited itself to a yellow line along 
 the middle. Among the less general symptoms which were 
 observed during the whole time of the proving, we may note 
 the want of appetite, the bitter taste of food, the cutaneous 
 
SOLANUM TUBEROSUM ^IGROTANS. 121 
 
 eruptions, the swelling of the mucous membrane of the palate, 
 the thick urine, and lastly the pain in the groin or the right 
 ileo-femoral articulation. 
 
 In the emotive sphere the drug induced a great irritability. 
 The dreams about a change of form occurred very generally 
 to the three provers. The second prover had the same 
 dreams on two successive nights. 
 
 After a careful comparison of the symptoms of the Solanum 
 tuberosum aegrotans with those of the other known remedies 
 of our Materia Medica, we have found them to agree with 
 the symptoms of the following drugs which we enumerate in 
 the order of their importance : 
 
 1. Bryonia ; 9. Pulsatilla ; 
 
 2. Arsenicum ; 10. Graphites ; 
 
 3. Plumbum; 11. Alumina; 
 
 4. Nux-vomica ; 12. Mercurius ; 
 
 5. Sepia ; 13. Natrum-mur. ; 
 
 6. Strontiana ; 14. Ignatia ; 
 
 7. Viola-tricolor; 15. Calcarea, 
 
 8. Squilla ; 
 
 We have no doubt that Bryonia and Arsenicum will pre- 
 vent the rot ; but, to be frank, we believe that, in this case 
 at least, the isopathic method of treatment will prove more 
 successful than the homoeopathic. It is well known that the 
 mode of preparing our drugs for medicinal purposes, modifies 
 their action a good deal. This result is principally obtained 
 by rubbing them down with sugar of milk, which is riot an 
 inert substance as Hahnemann believed, but is on the con- 
 trary endowed with the most useful powers of action. The 
 sugar of milk effects a preliminary digestion of the drug, and, 
 by imparting to it vital qualities, fits it for medicinal purposes. 
 Do we not know that certain animal products are preferable 
 to corresponding mineral substances ? Is not the calcarea 
 prepared from the oyster-shell preferable to the chemically 
 prepared carbonates and phosphates of lime ? Are not the 
 poisons of serpents destined to occupy the first rank among 
 the polychrests ? 
 
 6 
 
122 BRAZILIAN PATHOGENESIS. 
 
 To return to our subject, the medicinal preparation obtained 
 from the diseased potato is not the original poison as used 
 by nature, but the poison modified in consequence of its 
 having been previously engrafted on a living tubercle. 
 
 Our mode of inoculating either the isopathic or homoeo- 
 pathic preparation is as follows. Before putting the potato 
 in the ground we perforate it with a big needle, and into this 
 hole we insert a single globule of the third attenuation. 
 
 This operation is simple and easy. It can be applied on 
 a large scale and we think that by its means the potato 
 will be preserved for a long time yet to the European con- 
 tinent. 
 
 First prover : Van-Dyck, 26 years old, of a sanguine 
 nervous temperament and a robust constitution. 
 
 First day. 1. Painful stitch in the right side, a few mo- 
 ments after taking the drug. Acidity and eructations, at 9 in 
 the evening. 
 
 Second day. On waking, weight above the eyes and in 
 the forehead, as the morning after being intoxicated. Shud- 
 dering and sensation of cold internally, at noon. 5- Scanty 
 and difficult stool, in the shape of small hard balls, in the 
 evening. 
 
 Third day- He dreams that he is to dress and draw the 
 body of a drowned man ; this body bounded up every moment 
 and fell back either on his clothes or on his drawing board. 
 The mucuous membrane of the palate seems to detach itself 
 here and there. Cross ; he blames every thing, and cannot 
 bear that any thing near him should be disturbed. 
 
 Fourth day. Difficult stool in small red balls. 
 
 Fifth day. 10- Stool as above. 
 
 Sixth day. Horrid colic, as if the bowels were violently 
 twisted ; 15 minutes after, hard and copious stool, followed 
 by two almost liquid stools (at night). 
 
 Seventh day. Copious and liquid diarrhoea, of a greenish 
 yellow, in the morning. Prickling around the eyelids ; on 
 their internal surface they are red and congested. Tongue 
 coated white. 15. White sordes on the teeth. (Profuse 
 lachrymation). Little appetite. Pulse rather agitated. 
 
SOLANUM TUBEROSUM .EGROTANS. 123 
 
 Eighth day. The median line of the abdomen from the 
 sternum to the hypogastrium is painful to the touch. 20- 
 Thirst. Little appetite. Sensation of warmth about the 
 head, at 4 in the evening. 
 
 Ninth day. Dreams about magic, men being transformed 
 into speaking animals, changes at night, &c. Heat in the 
 canal of the urethra, after urinating. 25- The urine de- 
 posits a yellowish sediment. Small pimples on the back, 
 causing a violent itching. Sneezing in going up-stairs. 
 
 Tenth day. Heaviness on the eyes. Slight beating in 
 the temples. 30- Mounting of heat to the head from time 
 to time. 
 
 Eleventh day. Pricking around the eyelids, on waking. 
 Itching of the back. Sweat on doing the least work. 
 Heaviness of the head. 
 
 Twelfth day. 35- Heaviness in the head which is at 
 times very violent, especially when raising the head again 
 after stooping. Smarting and prickling in the eyes. No 
 stool for five days past. 
 
 Thirteenth day. Heaviness of the head, worse in the 
 morning than evening. Ordinary stool. 40- Difficult 
 digestion. Sneezing after going up-stairs. Likes to loiter 
 about. 
 
 Fourteenth day. Heaviness of the head. Ordinary stool. 
 45. He would like to go to bed, but is too lazy, at 10 in the 
 evening. Pains in the thighs, above the knee-pan. 
 
 Fifteenth day. (Lachrymation on waking). Slight heavi- 
 ness of the head. Greenish yellow coating on the tongue, 
 along the middle. 50- White slime on the teeth. Head- 
 ache at noon. Lancinations in the region of the heart. 
 Chilliness with chattering of the teeth. Smarting at the eyes, 
 in the evening. 55- Not much appetite. Sneezing. Lips 
 cracked, bleeding and almost raw. 
 
 Sixteenth day. Smarting at the eyelids. Tongue slightly 
 coated white. 60- White mucus on the teeth. Dreams 
 about his daily business. Flatulence and eructations. Agi- 
 tated pulse. Sneezing at 4 in the afternoon. 65* Smart- 
 ing and prickling at the eyes. 
 
124 BRAZILIAN PATHOQENESIS. 
 
 Seventeenth day. Colic followed by two stools at 4 in the 
 morning. The right umbilical region is painful to contact. 
 
 Eighteenth day. Colic. Not much appetite. 70. Sneez- 
 ing at 5 in the evening. 
 
 Nineteenth day. Prickling in the throat, inducing cough. 
 Dry cough. 
 
 Twenty-third day. Heaviness of the head on waking. 
 
 Twenty-fourth day. Headache aggravated by the smell 
 of alcohol and disappearing at 3 in the evening. 
 
 Twenty-fifth day. 75- Colic on waking. Frequent emis- 
 sion of flatulence. Pains between the shoulders (at 10 in 
 the evening). 
 
 Twenty-sixth day. He dreams that his hands are cut in 
 pieces. Tickling in the throat causing a cough. 
 
 Second prover : Charles Dieudonne Jolly, 24 years old, 
 nervous-sanguine temperament, robust constitution. 
 
 First day. 80. Pressure at the root of the nose. Dreams 
 about religious things. 
 
 Seco7id day. Heaviness of the head, in the morning. The 
 head and especially the forehead, feel dull as during a catarrh, 
 all the afternoon. Colic after eating. 85- Sexual dream, 
 followed by a dream about women that are changed to 
 animals. 
 
 Third day. Frequent emission of flatulence, in the morn- 
 ing. Tongue slightly coated white, in the morning. Colic 
 and twisting in the stomach after eating. Salt taste in the 
 throat. 90- Pressure in the forehead and above the orbits. 
 
 Fifth day. Slight yellowish-white coating on the 
 tongue, in the morning. Heat in the face, at half past 4 in 
 the afternoon. Pain as if sprained at the right coxo-femoral 
 articulation, posteriorly. Flow of ideas, at 5. 95- Beat- 
 ing at the middle portion of the triceps brachialis, at 8. 
 
 Seventh day. Wakes very early since the third day. 
 Itching at the ball of the thumb, at 9 in the evening. 
 
 Eighth day. Wakes very early. Thin yellowish coating 
 on the tongue, in the morning. 100- Prickling in the 
 lumbar muscles, at 6 in the afternoon. 
 
SOLANUM TUBEROSUM ^EGROTANS. 125 
 
 Ninth day. Stitch in the left ring-finger, at 7 in the 
 morning. Stitch and sharp pinching in the right groin, near 
 the inguinal ring ; this pain was felt shortly after an ordinary 
 stool, while raising one leg as if one would mount three steps 
 at once, at 11 in the morning. Beating in the left thigh at 4 
 in the afternoon, while sitting. Drowsy at half past 7, 
 waking very early. 
 
 Tenth day. 105- Beating under the right shoulder, at 9 
 in the evening. Drowsy at 8 o'clock in the evening. 
 
 Eleventh day. Weight in the left testicle, the whole day, 
 also in the evening while sitting. 
 
 Twelfth day. Violent pulsations at the lower part of the 
 vastus internus muscle, in. a demi-circle, for an hour and a 
 half, in the morning. 
 
 Thirteenth day. Beating in the lumbar muscles at 4 in the 
 afternoon. 
 
 Fourteenth day. HO- Headache. Repeated sneezing, at 
 half past 8 in the evening. 
 
 Fifteenth day. Sense of weariness in the muscles of the 
 right thigh, after walking. Involuntary crowding of hetero- 
 genous ideas on one's mind while listening to a discourse or 
 attending to some work ; frequently during the proving. 
 
 Sixteenth day. Tongue coated white, in the morning. 
 115- Contraction and beating at the left superior eyelid, at 7 
 in the evening. Slight colic and copious flatulence all night. 
 
 Seventeenth day. Restless sleep. Flatulence in the 
 evening. Hard and scanty stool. 
 
 Eighteenth day. 120- He dreams that he will fall from a 
 tower. Violent beating of the heart in raising himself. 
 Pricking in the right side of the tongue, from noon until 3. 
 Roughness in the throat, with thirst, in the evening. Cough 
 and yellowish mucous expectoration, at night. 
 
 Nineteenth day. 125. He dreams that he is in danger of 
 falling from the roof of a house. Swelling of the mucous 
 membrane of the internal alveolar margin of the two incisores 
 and the left canine tooth. Violent frontal headache and 
 coryza all day. Pain as if sprained at the right scapuio- 
 
126 BRAZILIAN PATHOGENESIi. 
 
 humeral articulation, after having rested on the elbow, in the 
 evening, in bed. Restless night. 
 
 Twentieth day. 130. Confused dreams. Agitated pulse 
 in the morning. Coryza. 
 
 Twenty-first day. Confused dreams. Frontal headache. 
 135- Coryza. Agitated pulse. Sweats all over, in the morn- 
 ing, in bed. Strong pulsations at the perineum, loins and 
 right ring-finger, at half past 4. Violent frontal headache 
 at 5 in the afternoon, while walking. HO. Large, hard, 
 fragmentary stool. Urinates all the time during stool. 
 
 Twenty-third day. Strong pulsations in the vertebral 
 region, in the morning while lying. Whizzing in the left 
 ear, at 5 in the evening. Disposed to remember past jour- 
 neys ; flow of ideas about theories, &c. 
 
 Twenty-fourth day. 145. Aching pain in the right hypo- 
 gastric region, towards the ring, after a long walk. 
 
 Twenty-fifth day. Reddish urine, with mucus floating 
 in it. 
 
 Third prover : Mme Al. /***, 26 years old, of sanguine 
 temperament, good constitution. 
 
 First day. Tearing in the chest and throat, immediately. 
 
 Second day. Sexual dream. Dull colic in the hypo- 
 gastric region, at night. 
 
 Third day. 150- Dream about witchcraft. Difficult di- 
 gestion accompanied by twisting in the stomach, after break- 
 fast and dinner. Hard and knotty stool ; after stool, renewed 
 urging, with smarting at the anus. Falling of the rectum. 
 Sense of contraction at the sphincter. 155- After stool, 
 the rectum alternately descends and returns again. The 
 falling of the rectum is accompanied by shuddering all over, 
 for ten minutes. 
 
 Fifth day. Palpitation of the heart, at 11 in the evening, 
 while lying. 
 
 Sixth day. Palpitation of the heart, at 7 in the morning. 
 Colic at the stomach, after eating, at 6 in the evening. 
 
 Seventh day. 100. Tearing in the throat, at 8 in the 
 morning. Tongue coated white. 
 
 Eighth day. Restless sleep, she dreams that she is eating 
 
SOLANUM TUBEROSUM jEGROTANS. 127 
 
 human flesh. The least thing puts her out of humor. Palpi- 
 tation of the heart, at noon. 165- Palpitation of the heart, 
 at 11 in the evening, at three different periods. 
 
 Ninth day. Thick tongue, at 2 in the morning. 
 
 Eleventh day. Restless sleep. Cold sweat at night, 
 while lying. 
 
 Twelfth day. Sense of spraining in the ileo-femoral arti- 
 culation, causing a pain in the womb ; while making a trifling 
 exertion. 170- Flatulence ; sometimes is unable to expel 
 them. Headache. Contraction of the sphincter ani. Lan- 
 cinating pain at the forehead, until 9 in the evening. Twisting 
 colic. 175. Stool always hard and difficult. Heat at the 
 anus, after stool. Weeping of the right eye, for some mi- 
 nutes. Frequent urging to stool. Shuddering all over, every 
 moment, at 9 in the evening. 180- Eructations in the 
 evening. Flatulence in the evening. Quarrelsome mood. 
 
 Thirteenth day. No sleep. Heat all over, with sweat. 
 185. Agitated pulse. She dreams that she is floating in a 
 river and cannot get out. Flushes of heat in the face, now 
 and then, especially while eating. These flushes are fol- 
 lowed by chilliness. (Is unable to close her hand). 190- 
 Irregular pulse, at times feeble, at others strong. Frontal 
 headache with dulness, and disposition to incline forwards. 
 Lazy. Weary all over, she has to lie down, at noon. 
 Little appetite. 195. Pressure at the chest. Thirst. 
 
 Shivering while drinking cold water, or washing her face 
 with it. Headache ceasing for a while and then recom- 
 mencing again. Lancinations with sensation as if the brain 
 would fly to pieces, in going up-stairs. 200. Vivid red- 
 ness on the right malar eminence. Small red pimples on the 
 cheeks. Shuddering now and then. Congestion of the 
 sclerotica. Red face at three in the evening. 205. Flush 
 of heat all over, at half past 3. Sensation, while stooping 
 as if the brain would bound in the skull. Heat at the vertex, 
 which spreads all over, at 4. Sensation in the left hypo- 
 chondrium as if a spring were rolled out. Sense of fainting, 
 she has to stand still. 210. Acute pain in the right 
 pectoralis major when drawing breath. Borborygmi. Twisting 
 
128 BRAZILIAN PATHOOENESIS. 
 
 ing of the bowels, at half past 10. Colic and shuddering. 
 Dry cough in the evening. 215- Headache decreases in 
 the evening. Flatulence. Red and hot face. The skin of 
 the face peels slightly. 
 
 Fourteenth day. Heat at night, disturbing the sleep. 
 220. Sense of weariness in the limbs, on waking. Dulness 
 of the forehead. Tongue coated white. In the morning, 
 taste of raw potatoes. Menstrual blood rose-colored, at 9 in 
 the morning. 225. Borborygmi, in the morning. At the 
 least movement she feels as if a hollow body were turning 
 rapidly round in the chest, with a rattling noise ; she then 
 fancies she will faint, at 8 in the morning. Frontal head- 
 ache all day. Smarting and painful sensation at the fifth 
 dorsal vertebra, when the clothes rub against the part. Little 
 appetite. 230. Stiffness of the posterior cervical muscles. 
 Dark redness and warmth of the cheeks. Heat all over in 
 cold and damp weather. The menstrual flow is interrupted. 
 Repeated sneezing, followed by a slight cough, every 
 evening at 5, from the tenth day. 235. Smell of blood, 
 as if nosebleed would take place, at 7 in the morning. 
 
 Fifteenth day. Restless sleep. Last evening's dinner 
 does not sit well on her stomach, with acidity at night. 
 Doughy mouth, in the morning. Weariness all over, when 
 rising, 240. Drawing pain in the right lower limb, 
 
 posteriorly, from the gluteus maximus to the heel. The 
 menstrual flow is interrupted. When bending the knee, 
 pulling pain in the posterior and internal muscles of the thigh. 
 Hypochondria. Sadness. 245- Every thing is disagree- 
 able to her, she would like to go far away. Small pimples 
 on the lower part of the neck and on the right knee, they are 
 very red at the base, with a white point in the centre ; they 
 disappear in an hour. Sense of weight in the nape of the 
 neck, at half past 11. The head feels heavy, she can scarce- 
 ly keep it erect. Pain as from weariness in the back and 
 the posterior muscles of the thighs and arms. 250- Dul- 
 ness of the head. Pain as if bruised, hindering her move- 
 ments in bed. Very hot hands. Slight nosebleed, at 11 in 
 the morning. She walks with difficulty, she fears, she will 
 
SOLANUM TUBEROSTJM JEGROTANS. 129 
 
 lose her muscular powers. 255. The pain is worse in the 
 day-time and less in the evening. The menstrual flow is 
 interrupted. The epidermis of the face peels off. Numerous 
 small pimples on the face. Desire to stretch. 
 
 Sixteenth day. 260- No sleep ; disturbed sleep. Oppres- 
 sion; owing to the dinner of last evening not sitting well on 
 her stomach, she has to rise at 3 in the morning. Eruc- 
 tations followed by rumbling in the stomach, ceasing after 
 drinking a glass of water with sugar. Tongue coated white, 
 with a yellow line along the middle. (She would like to 
 break every thing, on account of not being able to under- 
 stand a certain phrase). 265- Doughy mouth, in the 
 night. Alternate heat and shuddering, in the night. (Has 
 the taste of potatoes in the mouth, all night, from last evening's 
 dinner). Beating in the left temple. Stiffness in the poste- 
 rior cervical muscles. 270. The sacrum is painful when 
 touched or during a walk. After eating, choking and diffi- 
 culty of breathing, caused by dryness of the mouth. Very 
 fine pimples and intolerable itching at the labia majora. 
 
 Seventeenth day. Restless sleep. Is roused at 4 in the 
 morning by a stomach-ache with eructations, for an hour. 
 275- Headache during a half-slumber. Heaviness at the 
 vertex in the evening. Shuddering and burning, in the 
 evening, in bed. Palpitation of the heart, while lying down. 
 Ringing in the ears as if she would faint. 280. Acute 
 stitch-like pain in the left side, preventing her from turning 
 about in bed. The hair in the axilla sticks together. 
 
 Eighteenth day. Heaviness at the vertex. Disturbed 
 sleep. Pain at the stomach and redness of the face after 
 breakfast. 
 
 Nineteenth day. 285- Feels well all over. Prickings at 
 the right internal surface of the sternum. 
 
 Twentieth day. Sore throat; she is unable to swallow her 
 saliva, in the evening. Distressing pain in the lumbar 
 region, she cannot keep herself erect. 
 
 Twenty-first day. She feels as if a piece of flesh had 
 grown out in her throat. 290. Lancinating pain in the 
 left iliac region, less in the right. Good appetite. Is un- 
 6* 
 
130 BRAZILIAN PATHOGENESIS. 
 
 able to walk erect. Complains a good deal about her pain 
 in the loins. 
 
 Twenty-second day. She is waked by a violent shrill 
 cough which last five hours. 295- The pains in the loins 
 are worse when stooping. Acute pain as if the sacrum were 
 out of place. The pain in the loins causes her to cry out; 
 she walks bent forward, at 11. The least movement causes 
 her an acute pain in the sacro-lumbar articulation. Pain in 
 the posterior part of the right thigh as if a penknife were 
 thrust in. 300- Pain in the left gluteus muscle, accom- 
 panied by nausea. Sensation as if something would become 
 detached from the sacrum. She can neither remain standing 
 nor sitting. Pressure as from an iron bar at the sacro-lum- 
 bar articulation, obliging her to lie down when she feels bet- 
 ter. Formication at the sacrum. 305- Cough as from 
 obstruction of the pharynx. 
 
 Twenty-third day. Restless sleep. Acute lancinating 
 pain above the right breast, for two hours, in the morning. 
 Pain as if sprained all along the vertebral column, and extend- 
 ing down the posterior muscles of the lower limbs to the 
 heels. The face is dark red. 310- She walks inclined 
 forwards. Heaviness in the stomach, her dinner does not 
 sit well on her stomach, at 9 in the evening. Walking is 
 hindered by the pain in the lumbar vertebrae. Desire for 
 coffee. 
 
 Twenty-fourth day. Her dinner hurts her all night. 315. 
 Palpitation of the heart, in the night, three different times. 
 Colic with loud emission of flatulence. Incoherent dreams. 
 The pain in the loins is less. Twisting pain through the 
 uterus, at nine in the evening. 
 
 Twenty-ffth day. 320. Itching wakes her at four in the 
 morning. Dreams about a witch, actors changing to yellow 
 and black. Sense of spraining in the right groin. Slight 
 nosebleed, at six in the evening. Thick urine, with ap- 
 pearance of white mucus some time after standing. 
 
 Twenty-sixth day. 325. Dreams about fire, then a comedy. 
 The urine continues to show white flocks after standing. 
 
 Twenty-seventh-day. Slight nosebleed after supper. Vio- 
 lent itching at the labia majora, at two. 
 
SOLANUM TUBEROSUM jEGROTANS. 131 
 
 Twenty-ninth day. Hard, difficult and large stool. 
 
 Thirtieth day. 33(K Dreams about a revolution, about a 
 city being destroyed by fire and the sword. Sour eructations 
 exciting her cough. Smarting and itching at the vulva, at 
 two in the afternoon. 
 
 Thirty-second day. Canine hunger at dinner. Acidity, 
 bitterness and regurgitations after dinner. 335. Hard and 
 large stool. Difficult, fragmentary stool. Painful stool, mak- 
 ing the tears rush to her eyes ; the sclerotica becomes red in 
 consequence of the efforts she is obliged to make. Soapy 
 pale-yellow urine. Colic along the large gut, at nine in the 
 evening. 
 
 Thirty-third day. 340 Pulling at the stomach, at two in 
 the morning. Mouth dry. Large, dry, hard, difficult stool. 
 Stool breaking off after one half is expelled. Pain and 
 smarting at the rectum, caused by the violent efforts required 
 to expel the stool. 345. Not disposed to work, at eight in 
 the evening. Irresistible drowsiness. Turbid urine, of a 
 dingy-yellow, and covered with an oily pellicle. Dreams 
 about persecutions. Stitches during sleep as though needles 
 were stuck in the spinal marrow; this wakes her. 350. 
 Starting during sleep. Dry mouth with tearing sensation in 
 the chest, at two in the morning. She rises in the night, 
 imagining that thieves are hidden behind the curtains, but she 
 dares not look behind and begs somebody else to do it. 
 
 Thirty-fourth day. Restless sleep. Anxiety on waking. 
 355. Cracked tongue, in the morning. Violent palpitations 
 and pulsations with sensation as though the heart were turn- 
 ing about very briskly. The flatulence presses on the uterus. 
 Hard, dry, large stool, expelled with difficulty, and causing 
 the tears to rush to her eyes. Regurgitations and eructations 
 at three. 360 ( Noisy flatulence, at nine in the evening. 
 
 Thirty-fifth day. Light sleep. Hoarseness on waking. 
 White-coated tongue. Desire for liquor and oranges. 
 
 Thirty-sixth day. 365t Dry cough day and night. 
 
 Thirty-seventh day. Dry cough on waking. Burning in 
 the hand and all over. Hard and tense pulse. Tongue 
 white in the middle and red at the tip. 370, Pain at the 
 
132 BRAZILIAN PATHOGENESIS. 
 
 vertex. Sensation as of water splashing in the head. The 
 posterior cervical muscles are stiff. Scarlet-redness of the 
 cheeks. Headache aggravated by work. 375. In bed the 
 sweat smells like potatoes. Tongue very red. Burning 
 hands, with somewhat uneasy pulse. 
 
 Thirty-eighth day. The breasts have been painful during 
 the whole time of the proving, the pain is worse when mov- 
 ing the arms, it then seems to become seated at the external 
 border of the pectoralis major. Feels chilly all over, cannot 
 get warm, at half past five in the evening. 380. Scarlet- 
 redness of the cheeks. After dinner, her clothes feel too 
 tight. Dry cough for six minutes, at half past ten in the 
 evening. Her thoughts dwell upon her future, which she 
 imagines will be wretched. 
 
 Fortieth day. Dry cough, in the evening. 385. Dull 
 colic in the lower abdomen. 
 
 Forty-first day. Premature menses. Discharge of black 
 coagulated blood. For five days the menstrual blood has a 
 very fetid smell, similar to the smell of spoiled fish. Turbid 
 urine of a dingy yellow, depositing a copious whitish sedi- 
 ment. 
 
 Forty-second day. 390 Burning thirst, as though her 
 mouth were salt. Twitching of the right lower limb. Sen- 
 sitiveness of the hairy scalp and of the roots of the hairs. 
 Tearing at the vertex ; she cannot bear the least covering on 
 her head. 
 
 Forty-third day. Hoarseness on rising which disappears 
 immediately. The same hoarseness in the evening, not long. 
 Forty-fourth day, 395. Tearing sensation in the throat, 
 with accumulation of phlegm which it is difficult to get loose. 
 Expectoration consisting of yellowish lumps. The phlegm 
 seems to cover the whole anterior portion of the throat. The 
 pain in the throat disappears after talking and stirring about. 
 Sensitiveness of the hairy scalp, every day ; she feels a 
 pulling in it which does not allow her to bear the comb. 400. 
 In the morning, raising of black coagulated blood. In the 
 morning she blows bloody mucus from the nose. Nose- 
 bleed every morning, from forty-second to forty-fourth day. 
 
SOLANUM TUBEROSUM JEGROTANS. 133 
 
 She dreams of battles, dead bodies and an immense pool of 
 blood. 
 
 Forty-fifth day. She dreams about green men, covered 
 with moss and living in the water ; these men were changed 
 to dogs. 
 
 Forty-sixth day. 405* At dinner, the dishes taste to her 
 bitter as gall. 
 
 Forty-seventh day. Sensation as of some obstacle in her 
 throat which she is unable to expel, followed by the expecto- 
 ration of a small, hard, yellowish-gray lump. The urine de- 
 posits less, though still turbid. When attempting to sing, 
 violent palpitations of the heart prevent her from articulating 
 the sound ; her breathing is stopped, she feels as though she 
 would faint. (Her face is scarlet-red.) 
 
 Fiftieth day. 410t Strong palpitations of the heart, with 
 oppression, and disposition to faint. She is on the point of 
 fainting, a glass of water brings her to. 
 
 Fifty- first day. Palpitation of the heart. 
 
 Fifty-second day. Heat on the malar eminences and fore- 
 head, when going out to the open air. Palpitations of the 
 heart, after supper. 415* The palpitation was irregular, 
 stopped for a moment, and then reappeared with redoubled 
 vigor. These palpitations are accompanied by oppressions, 
 less when lying down. Alternate subcutaneous pulsations 
 or beatings above the knee-pan, in the two legs. She does 
 not wish to hear anything in explanation and is out of humor. 
 Red face, and congestion of blood to the sclerotica. 
 
 Fifty-third day. 420. Palpitation of the heart the whole 
 day. It is caused by the act of swallowing. The palpita- 
 tion is instantaneous and corresponds to the superior portions 
 of the thorax. (Her lower limbs tremble on account of the 
 hunger.) 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 EMOTIVE SPHERE. 1, Quarrelsome, irritable mood. 
 Dread of work. Hypochondriac mood. She wants to enjoy 
 a change of scenery, &c. She fancies she is miserable, and 
 dwells much on the future. 
 
134 BRAZILIAN PATHOGENES1S. 
 
 SENTIENT SPHERE. 5 Crowd of ideas. His attention 
 is easily disturbed by other things. 
 
 HEAD : Heat in the head, evening. Heaviness of the 
 head ; in the vertex ; on stooping and then raising the head 
 again. Catarrhal dulness of the head, especially the fore- 
 head. 10, Headache at noon ; increased by the smell of 
 spirits. The head feels too heavy, she has to make an effort 
 to support it. Pressure above the eyes, on waking. In the 
 forehead : violent pain, all day ; stitching pain ; with dulness 
 of the head, and disposition to fall forwards Slight beating 
 in the temples. 15, Sensation as if the hair would be torn 
 out on the vertex. 
 
 EYES : Prickling about the lids, the surface of which is 
 red. Spasmodic contraction and twitching of the left upper 
 lid. Burning in the lids. Prickling and burning in the eyes. 
 20. Congestion of the conjunctiva. Lachrymation on 
 waking. 
 
 EARS : Ringing in the left ear. 
 
 NOSE : Repeated sneezing, followed by feeble cough. 
 Nosebleed. 
 
 FACE : 25* Face hot and red. Mounting of heat to the 
 face, now and then. Upper lip bleeding, cracked. 
 
 TEETH : Swelling of the mucous membrane of the inner 
 margin of the two incisores. Teeth covered with white 
 mucus. 
 
 MOUTH : 30, Dry mouth. Salt taste. Taste of raw po- 
 tatoes. The mucous membrane of the velum palati seems to 
 become detached here and there. Tongue swollen, cracked, 
 early in the morning ; coated white or yellowish-white ; or 
 coated white, with red tip, or yellowish along the median 
 line. 35. Prickling in the right half of the tongue. 
 
 THROAT : Inflamed fauces, she is unable to swallow the 
 saliva. 
 
 APPETITE : Canine hunger. Food tastes bitter as gall- 
 Great desire for liquor and oranges. 
 
 GASTRIC SYMPTOMS : 40. Eructations followed by rumbling 
 in the stomach. Sour eructations causing a cough. Acidity, 
 
SOLANUM TUBEROSUM ^EGROTANS. 135 
 
 bitterness, and gulping-up, after eating. Cardialgia after 
 breakfast, dinner, and supper. 
 
 STOMACH : Pain in the stomach, with red face, after break- 
 fast. 45 Spasmodic pains, griping-tearing at night. 
 
 ABDOMEN : Pains and working in the bowels, early in the 
 morning. Painfulness of the abdomen to contact along the 
 median line. In the abdomen : pain after eating ; spasmodic 
 pains, as though the bowels became twisted together ; dull 
 pains in the hypogastric region, at night ; pain with chilli- 
 ness ; rumbling : the clothes cause a feeling of tightness. 
 Emission of flatulence, also with colic. 50t Pain, as if 
 sprained, in the right groin. 
 
 STOOL AND ANUS: Frequent urging to stool. Stool scanty, 
 with straining, passing off in small, black lumps ; she has to 
 strain until tears come ; hard, large, lumpy ; with violent 
 burning in the anus and rectum ; hard and large, followed by 
 two liquid stools. Copious, greenish-yellow diarrhoeic stool. 
 Constipation for five days. 55i Violent colic previous to 
 stool. Alternate protrusion and retraction of the rectum 
 during stool, with feeling of chilliness in the body. 
 
 URINARY ORGANS : Urine reddish, mingled with mucus. 
 Thick urine ; it becomes covered with white mucus after 
 standing ; turbid, of a dingy-yellow, with copious white sedi- 
 ment ; turbid, dingy-yellow, covered with an oily pellicle. 
 Pain in the urethra, after urinating. 
 
 SEXUAL PARTS: 60. Weight in the right testicle, the 
 whole day. Suppression of the menses. Menses smelling 
 of foul fish, mixed with black coagula. Small pimples and 
 intolerable itching of the labia. Spasmodic pains striking 
 through the uterus. 65. Burning and itching in the va- 
 gina, 
 
 WINDPIPE : In the windpipe : tearing, prickling, with 
 cough ; tearing, with phlegm ; sensation as of an obstacle, 
 followed by cough and expectoration of a lump of hard, yel- 
 lowish-gray mucus. Hoarseness, on walking. Cough, with 
 expectoration of yellow mucus, at night. Dry cough, day 
 and night. 70 Cough, as from stoppage in the pharynx. 
 Expectoration of lumps of black blood, early in the morning. 
 
136 BRAZILIAN PATHOGENESIS. 
 
 CHEST : Constriction and difficulty of breathing, caused 
 by dryness of the mouth. Oppression after supper. Tear- 
 ing in the chest, also with dryness of the mouth. 75. 
 Sensation, on making the least motion, as though a hollow- 
 body were moving about in the chest quickly and with a 
 noise, after which she fancies she will faint, early in the 
 morning. Prickling as from a thousand pins, on the inner 
 surface of the sternum. Violent stitching pain above the 
 right breast. The mammae are painful, especially when 
 raising the arm. Congestions to the chest. 80. Acute 
 pain in the left side, like a stitch. Painful stitches in the 
 right side. Palpitation of the heart, for moments ; at night ; 
 when lying; when raising one's-self; as though the heart 
 would turn; with fainting feeling; with oppression of the 
 chest (less when lying) ; irregular (after eating). 
 
 BACK: Violent beating in the spine, early, when lying. 
 Prickling sensation in the spine, during sleep, waking her. 
 85. Stinging pain in the large dorsal muscle, right side, when 
 drawing breath. Burning and painful sensation on the fifth 
 dorsal vertebra, caused by the friction of the clothes. Sen- 
 sation of weariness in the whole back. Stiffness in the 
 muscles of the back. Sense of weight in the back part of 
 the neck. 90. Sensation as if something on the os-sacrum 
 became detached. Pain at the sacrum, when walking or 
 touching the part. Tingling at the os-sacrum. Beating in 
 right shoulder. Prickling in the psoas-muscles. 95. Vio- 
 lent beating in the loins. Pain in the lumbar vertebrae, im- 
 peding walking. Intolerable pain in the lumbar region, 
 obliging her to walk bent. 
 
 UPPER EXTREMITIES : Feeling of weariness in the muscles, 
 posteriorly. Pain as if sprained, in the right upper arm, after 
 leaning on the elbow. 100. Beating in the middle portion 
 of the triceps brachealis. Heat in the hands. Stinging in 
 the left little finger. Beating in the right ring-finger. 
 
 LOWER EXTREMITIES : Acute pains in the hip-joint, 
 caused by the least motion. 105. Painful pressure on the 
 hip-joint, as with an iron bar, compelling her to lie down. 
 In the left gluteus muscle: beating; pain, accompanied by 
 
SOLANUM TUBEROSUM ^EGROTANS. 137 
 
 loathing. Lancinations in the posterior part of the right 
 thigh. Weary feeling in the muscles of the right side, after 
 walking. Feeling of dislocation in the hip-joint, with pain 
 in the womb, after a slight exertion. HO. Shooting pain 
 in the posterior and inferior femoral muscles, when bending 
 the knee. Beating in the internal femoral muscles. Alternate 
 beating and throbbing above the patella, in both limbs. Pain 
 as if sprained, in the whole of the vertebral column, striking 
 through the posterior parts of the thigh, and extending down 
 to the heels. Drawing pain in the posterior part of the right 
 lower limb, from the glutens muscle down to the heel. 
 
 GENERAL SYMPTOMS : 115, General and partial debility. 
 Debility, she is about to faint. Weariness in all the limbs, 
 on waking. Pain as if bruised, in bed, preventing her from 
 stirring. Cold water causes a sense of oppression. 
 
 SKIN : 120* Small pimples on the back ; causing a violent 
 itching. Small red pimples on the cheeks. The skin in the 
 face peels off a little. 
 
 SLEEP : Irresistible drowsiness. Very sleepy in the 
 evening. 125, Restless sleep. Starting from sleep, as in 
 affright. Sleepless. Confused dreams, about fires, revolu- 
 tion, corpses, thieves, &c. Amorous dream. 130. He 
 dreams that he is to dress or draw the body of a drowned 
 person, but is prevented in consequence of the body falling 
 all the time on the clothes or paper, Dreams about men who 
 become transformed to talking animals. He dreams that his 
 hands are cut to pieces. He dreams that he is falling from 
 a steeple. 135, She dreams that she is eating human 
 flesh. She dreams that she is swimming in a river, and that 
 she cannot get out of it. 
 
 FEVER : Chilliness and sensation of internal coldness. 
 Coldness, with chattering of teeth. Repeated chilly creep- 
 ings through the whole body, in the evening. 140, Feel- 
 ing of coldness all over, she is unable to get warm, her 
 cheeks being very red, in the afternoon. Heat all over, with 
 sweat. Violent paroxysms of heat, suddenly passing through 
 the whole body, and proceeding from the vertex. Alternate 
 burning heat and chilliness, at night, in bed. Exhalations 
 from the skin, when performing the least work. 145, 
 
138 BRAZILIAN PATHOGENESIS. 
 
 Sweat all over, early in the morning, in bed. Cold night- 
 sweat. The sweat smells of potatoes, in bed. Pulse irri- 
 tated ; irregular; hard and tense. 
 
 PLUMBAGO LITTORALIS (Noeis). 
 
 P. LIT. PICAO DA PRAIA. 
 
 THIS is a creeper, inhabiting the shores in the bay of 
 Rio Janeiro. Its stem is herbaceous, rounded, covered 
 with short and rather stiff hairs. Its leaves are simple, 
 opposite, gradually tapering to a short channelled petiole 
 adhering to that of the opposite side, and forming tufts at 
 certain intervals whence arise adventitious roots. They 
 have a smooth, trapezoid, coarsely intended limb. The 
 flowers form little axillary heads, with from 15 to 20 flowers 
 each, arising from an involucre with five divisions and 
 supported by a somewhat filiform pedicle. Calix tubulous, 
 monophyllous, with five teeth, and much shorter than the 
 tube of the corol. The corol is monopetalous, of a yellowish 
 white, tubulous, puffed up at its extremity, with five reflexed ' 
 divisions, and five stamens with bilocular, connivent anthers 
 which are longer than the corol. Ovary one-celled, flat 
 at the top, whence proceeds a slender style, terminated by 
 
PLUMBAGO LITTERALIS. 139 
 
 a glandular stygma which is longer than the stamens. Fruit 
 monospermous, elongated, with a crustaceous integument 
 which is covered with a number of stiff hairs that are 
 bent over, and which presents irregular longitudinal fur- 
 rows. The root is perennial and ramose. We employ 
 the leares. 
 
 First day. I. Weakness of the joints of the lower ex- 
 tremities, immediately. Vertigo. Slight pain in the right 
 side of the neck, for five minutes. Body and head are very 
 warm. 5- Cold extremities. Violent sexual desire at 11, 
 disappearing afterwards during the remainder of the day. 
 
 Second day. Headache in the morning. Pain in the 
 sides of the chest. Weakness of the lower limbs. 10. 
 Aversion to every thing. Taciturn. Acute pain in the left 
 ear, for some minutes. Hot face, with sickness at the 
 stomach. Passing pain in the left arm. 15. Passing pain 
 in the left lower limb, for ten minutes. Very drowsy after 
 noon. Headache after a walk. Acute pain in the left lower 
 limb, in the evening. In the evening, pain in the limbs. 
 20- Pain in the head. Internal heat. At night, very hot 
 internally. Pulse hard and small. Passing and lancinating 
 pains in various parts. 25- Lancinations in various parts 
 of the head. Lancinating pain in the kidneys ; the parts 
 were all painful as if pricked. Pain at the right shoulder. 
 Painful burning pricking at the right shoulder. Catarrhal 
 sore throat. 30- Frequent and scanty flow of saliva. 
 
 Passing pains at the neck. Constant pain in the head. 
 Slight sense of heaviness at the stomach. Sense of chilli- 
 ness at every motion. 35- Vertigo for 3 or 4 minutes, 
 after eating. Heat in the eyes. Sensitive smell all day. 
 Constant headache, especially in the forehead. Pain in the 
 left limbar region. 40. Heaviness of the head, with ver- 
 tigo. Drowsy after 9. No stool, red urine. 
 
 Third day. Pain in the right lower limb, in the morning. 
 Pain at the neck. 45- Heaviness of the head and on the 
 eyelids. Taciturn. Sad. Extremely languid. Pricking 
 in various parts of the thorax. 50. Unable to lean on an 
 arm, on account of the pain in the thorax. Pain in the 
 
140 BRAZILIAN PATHOGENESIS. 
 
 temples. Weak stomach. Painful palpitation of the heart. 
 Heat in the limbs. 55- Hot arms with cold hands. At 
 9 in the evening, hard and small pulse, pain in the right 
 lower limb, all day. Vertigo. Heaviness of the head. 
 Drowsy. 60- Heat in the eyes. Passing pains in various 
 parts of the trunk. Passing pain at thehumerus. Constant 
 pain at the right hip and lower limb. Passing pains at the 
 neck. 65- Sexual desire as above. Headache. Internal 
 heat, coming and going momentarily. Pain in the ribs when 
 bending forward ; feeble pulse. Pain and constriction of 
 the throat. 70- After a walk, heat in the head lasting all 
 day. Pains here and there, which seem to shift. Red urine. 
 Excessive heat about the head. 
 
 Fourth day. Aversion to every thing, in the morning. 
 75- Pain in the neck. Pain at the back. Headache. Heat 
 in the face. Pain in the stomach. 80- Pain at the heart. 
 Pain in the chest when straining. Pain at the humerus when 
 lifting any thing. Slight headache above the brows. Pal- 
 pitation of the heart. 85- Agitated pulse. Ulceration of 
 the commissure of the lips. Constant pain in the iliac 
 region. Milk-colored spittle. .Easy discharge of urine. 
 90- When drawing breath, pain below the last false ribs, 
 left side. The same pain on the right side, less lasting' 
 Stool hard, inodorous. Headache, at night. Pain, with 
 difficult breathing. 95- Little saliva. An old pain in the 
 chest is worse. 
 
 Fifth day. Profuse saliva in the morning. Inflammation 
 and lachrymation of the left eye. Lips dry and cracked at 
 the corners. 100- Heaviness at the stomach. Extreme 
 languor. Hot fever, vertigo, uneasy pulse. Acute pains all 
 over for three hours. Pain in the ribs and at the nape of the 
 neck, in the evening. 105- Violent pain in the eyes. 
 Frontal headache. Taciturn for some lime. Painful stitch 
 in the region of the heart. Stomach-ache. HO. Pains in 
 the joints hindering movement. 
 
 Sixth day. Stomach-ache. Pain in the back, while 
 sitting. Languor and general prostration. Profuse saliva. 
 115. Bitter mouth. Headache. Pain here and there. The 
 
PLUMBAGO LITTERALIS. 141 
 
 right lower limb is always painful. 120- White-colored 
 spittle. 
 
 Seventh day. Pain in the belly. Pain at the right 
 shoulder. Frightful dreams, about dead bodies. 125- 
 Pair} in the forehead. Heaviness in the stomach. 
 
 Eighth day. Pain in the joints. Pain at the right ribs. 
 Pain in the forehead. 130. Slight pain at the right 
 
 shoulder. Pain in the lower limbs. Passing pains above 
 the right ear. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 HEAD, &c.: 1. Vertigo after eating. Vertigo. Taciturn. Ex- 
 cessive heat about the head. 5 Darlings in the head. Pain 
 in the temples. Frontal headache. Sensitive smell, all 
 day. Acute pain in the left ear. 10. Heat in the eyes. 
 Inflammation and running of the left eye. 
 
 GASTRIC, &c. : Profuse saliva. Ulceration of the commissure 
 of the lips. Milky spittle. 15. Bitter mouth. Aversion to every 
 thing. Painful constriction of the throat. Sore throat. Heavi- 
 ness at the stomach. 20- Pain in the iliac region. Pain in the 
 kidneys as if pricked. Pain below the false ribs when drawing 
 breath. Costiveness with red urine. Violent sexual desire. 
 
 CHEST, &c.: 25. Pain at the right ribs. Prickings in 
 the chest. Pain in the chest, on which account he is un- 
 able to lean on the arm. Pain in the sides of the chest. 
 Painful stitch in the region of the heart. 30. Pain at 
 the heart. Palpitation of the heart. Passing pains at the 
 neck. Pain in the back. Pain at the right shoulder. 
 35. Pain at the humerus when lifting any thing. Burning 
 pricking at right shoulder. Weakness of the joints of the 
 lower limbs Weakness of the lower limbs. Drowsy. 
 40- Dreams about dead bodies. Hot arms with cold hands. 
 Internal heat, coming and going. Sense of chilliness when 
 stirring. Heat in the limbs. 45. Very hot, internally, 
 at night. Pulse hard and small. Prostration. Darting 
 pains here and there. Acute pains all over, for three 
 hours. 50. Pain in the joints. 
 
142 BRAZILIAN PATHOGENESIS. 
 
 SOLANUiM OLERACEUM. (VELLOZ.) 
 
 SOL. OL. PORTUG. I GYQUIRIOBA, JUQUERIOBA. 
 
 THIS is an herbaceous plant with a creeping and some- 
 what ligneous, cylindrical stem, the upper branches being 
 covered with short and crooked thorns. The leaves, of a 
 dark green, are alternate, irregularly pennate ; the folioles 
 are long, lanceolate, almost sessile on a thorny spike ; there 
 are from 7 to 9, those at the top being the largest. The 
 flowers are supported by ramose pedicles, which do not 
 grow out of axils ; calice campanulate, with five divisions ; 
 corolla of a greenish white, monopetalous, with five equal, 
 rotaceous, somewhat reflexed divisions alternating with those 
 of the calix. Five stamens with erect, converging and bilo- 
 cular anthers ; their filaments are short, with the exception 
 of one, which is longer than the rest. Ovary oval, sur- 
 mounted by a filiform style. Berry spherical with two com- 
 partments, of a dark green, with white spots. This solanum 
 grows on the shores around Rio Janeiro, in damp and shady 
 places. We employ the flower. 
 
 1. Scanty urine. Short-lasting menses. Toothache at 
 night. Acute catarrh. # Suffocating cough. Pain in 
 
SOLANUM OLERACEUM. 143 
 
 the face. Toothache. Pain and swelling of the face and 
 throat, with inflammation. No sleep for two nights. 10. 
 Stye on the right lower eyelid. Swelling of a cervical 
 glands. Continual redness of the face. Difficult digestion. 
 Pain at the internal canthi of the eyes. 15- Inflammation 
 of the left upper eyelid. Tickling at the lower limbs. Pus- 
 tules all over, first white, then red, with an intolerable itch- 
 ing now and then. Lancinating pain in the stomach not last- 
 ing long. Sense of chilliness in the left side of the chest, 
 after drinking. 20- Violent pain in the left cheek, spread- 
 ing over the whole face. Discharge of fetid yellow mucus 
 from the left nostril. Sadness. Irritable. Drowsiness with 
 headache. 25. Herpetic eruption at the ankle. Nettle- 
 rash fever. Sore throat. Itching. Ptyalisrn. 30- No 
 appetite. Tongue coated white. No sleep. Drowsy for 
 four hours in the middle of the day. Discharge of white 
 mucus from the vagina. 35- Swelling of the mammary 
 glands with profuse effusion of milk, on the second day. 
 Drowsy all day. Shortly after taking the drug the breasts 
 of a negro-woman of 60 years began to swell and discharged 
 a quantity of milk. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 1. Sad. Irritable. Toothache. Pain in the face, also 
 with swelling of the face and throat, and inflammation. 
 Redness of the face. 5. Pain in left cheek, spreading over 
 the face. Stye on right lower lid. Inflammation of left 
 lower lid. Pain at the inner canthi. Discharge of fetid 
 yellow mucus from left nostril. 10- Difficult digestion. 
 No appetite. Tongue coated white. Chilly feeling in left 
 chest, after drinking. Sore throat. 15. Ptyalism. Lan- 
 cinating pain in the stomach. Scanty urine. Short-lasting 
 menses. Discharge of white mucus from the vagina. 20- 
 Swelling of the mammary glands, with discharge of milk. 
 Tickling at the lower limbs. No sleep. Drowsy with 
 headache. Itching pustules all over, first white, then red. 
 Herpes at the ankle. Nettle-rash with fever. 
 
144 BRAZILIAN PATHOaENESIS. 
 
 PAULLINIA PINNATA. 
 
 PAUL. PAULUNIA TIMBO (VELL). PORTUG. I GUARATIMBO, 
 
 TIMBO-SIPO, CURCJRU APE, 
 
 THIS beautiful liana is commonly found in the woods of Bra- 
 zil; its stem, of a flexible and tenacious wood, furnishes slen- 
 der, slightly pubescent branches with deep parallel furrows. 
 The leaves are alternate, with winged petioles ; they are com- 
 posed of five folioles which are almost sessile, oval-lanceo- 
 late, crenulate, irregularly bizugate. The flowers are small, 
 in spikes, situated on axes that are accompanied by leaf- 
 lets arising from the axillae of the leaves. Calix with five 
 folioles, corolla with four petals, alternating with the folioles 
 of the calix ; eight stamens ; ovary with three uni-ovulate 
 chambers. Capsule pear-shaped and sharp, divided at its 
 superior part in three tubercles. Root with long fasciculate 
 branches which are a little hairy at their extremity. We 
 employ the fresh root. 
 
 First day. 1. Loathing, tongue thick and doughy, in a 
 few minutes. She dreams about a leprous woman, which 
 disgusts her. 
 
 Second day. Very chilly. Colic 'followed by a reddish 
 
PAULLINIA P1NNATA. 145 
 
 diarrhceic stool mixed with slime. 5- Headache as if the 
 head were covered with a cap of lead on which one strikes. 
 Loathing of food. Desire for dainties. Frequent and in- 
 effectual desire to urinate. Pain of the soles in walking, 
 increased by pressure. 10- Lancinating pain in the heel. 
 
 Third day. Sensation in all the limbs as if bruised. 
 Dizzy, her head inclines forwards. The feet feel numb, after 
 going up-stairs. The arms, chest and head, except the ears, 
 are very cold. 15- Desire to vomit. Her tongue feels as 
 if it were as thick as a finger. Burning when urinating. 
 She likes to remain quiet and shut up. Dreams about a 
 leprous patient whose sores bleed. 20- Her chest feels 
 
 as if it would open, with a cracking noise. Stitch under 
 the right eye. 
 
 Fourth day. Shuddering on rising. Sharp pain during 
 stool, as if a penknife had been plunged into the abdomen. 
 Prickling at the left eye, which weeps and is very much in- 
 flamed. 25- Redness of the sclerotica. Buzzing in the 
 left ear for 15 minutes. Pain in the groin as if the nerves 
 were cut. Crampy pain in the left side of the hypogastrium. 
 Itching and tingling in the throat. 30- Pain at the eye- 
 brows meeting from opposite side at the root of the nose. 
 Heat in the soles. Oppression and burning in both sides 
 of the chest. Pressure in the hypogastrium. Pain as if a 
 string had been strung round the hypochondria. 35- In- 
 tolerable itching, with sense of burning in the chest. Beating 
 in the temple and above the left eye. Pain at the navel as 
 Irom a penknife. Painful sensation as from an iron bar, com- 
 pelling the head to incline forwards. Constant ennui. 40- 
 Loathing at the sight of food. Desire for the taste and smell 
 of coffee. General lassitude. 
 
 Fifth day. Pain in the lower limbs, which become stiff 
 by walking. Cramp in the palm and fingers of the left 
 hand, extending to the arm. 45- Violent pain in the side 
 as if a stone were pressed in. Itching and suppuration be- 
 hind the head. 
 
 Sixth day. Hammering in the vertex, reverberating in 
 the temples. Restless sleep. She dreams that she wishes 
 7 
 
146 BRAZILIAN PATHOGENES1S. 
 
 to open her chest in order to look into it. 50- Pressure 
 at the chest and sides, as if pressed upon by iron sheeting, 
 and then pierced with penknifes, causing an acute pain. 
 Nausea. Lancinating pain in the left nipple, as if a pen- 
 knife were thrust in, at regular intervals. Sawing pain as 
 if the cartilage of the left ear were cut ; this pain extends to 
 the left side of the neck. Prickings as from a thousand 
 needles in the left thigh, high up, for several minutes. 
 
 Seventh day. 55. Pressure as from an iron band around 
 the waist ; and stitches in the upper part of the thorax, worse 
 during motion. Crampy pain in the left hand, for a moment. 
 Sensation, while talking, as if a stone were burying itself 
 in the stomach. Pain as if a knife were plunged into the 
 right side. 
 
 Eighth day. She dreams that a scabby dog full of sores 
 is walking towards her ; she took hold of the dog, who bit 
 her ; then she uttered loud cries, in the midst of which she 
 awoke with a severe pain in the chest. 60- She feels 
 bruised all over. Headache as if her head would split. 
 Lachrymation, especially of the left eye. Very hungry at 
 dinner. Stabbing sensation in the ovaries, for a moment. 
 65- Painful stitches in each side of the abdomen. 
 
 Ninth, day. Burning in the chest. Pain at the right 
 ankle, as if sprained. Tingling in the throat. Pain in the 
 loins as if bruised ; she is unable to raise herself after 
 stooping. 70- Pain at the right shoulder, disappearing by 
 friction. Numbness in the shoulder. Intense itching under 
 the arm. 
 
 SECOND PROVING. 
 
 First day. Sense of scraping in the throat. Heat in the 
 front part of the chest. 75- Short breathing. Passing 
 
 in the region of the liver. Acute pain at the left wrist. 
 Rumbling in the right hypochondrium. Pain in the left 
 hypochondrium. 80- Pain in the right parietal region, 
 as if pressed from within outwards. Internal trembling in 
 the umbilical region and the left hypochondrium. Pain in 
 the whole abdomen, worse when touching it. Pain at the 
 
PAULLINIA PINNATA. 147 
 
 heart, at 2 in the afternoon. Lancination in the praecordial 
 region. 85- Chilliness, first of the upper part of the body, 
 and then all over. Alternate heat and chilliness in the face. 
 Dry mouth. Rough tongue with sensation as if larger. Ob- 
 nubilat'ion. 90- Lancination, as after chewing cloves ; a 
 constant symptom. Numbness of the arms. Trembling of 
 the lower limbs. In walking, she feels as though she were 
 walking backwards. Lazy, not disposed to work. 95- 
 Desire to lie down." Rough voice. Yellowish, bitter, diffi- 
 cult and tenacious expectoration. No appetite. At 6, the 
 pain at the heart extends to the last ribs. 100- Acute 
 pain in the middle of the head, on the right side. Headache, 
 on the left side. Out of breath, with desire to vomit. Pain 
 above the eyes, penetrating to the brain. Pain at the left 
 breast. 105- Pain in the right side of the chest, at half 
 past 7 in the evening. Melancholy. Pain in the right 
 temple. Weakness and heaviness in the lower limbs. 110- 
 Numbness in the sole of the right foot and at the knee. 
 Pain in the shoulder-blades. Red spots in the face and on 
 the chest. Shooting in the jaws. Sadness and drowsiness 
 all day. 
 
 Second day. 115- Desire to vomit on waking. Pain at 
 the left groin, at 8. Weak feeling in the chest. Pain in 
 the left temple. Pain in the left arm, extending to the back. 
 120- Pain in the middle of the head as if a nail were thrust 
 in. Itching in the hand and fingers, obliging one to scratch 
 until the skin is off. Deep ennui. Acute pain in the right 
 side of the chest, at 4 in the afternoon. Pain in the left 
 thigh. Pain in the right teeth. Contusive pain in the 
 region of the liver, in touching the right ribs ; worse when 
 walking. Chilliness all over in the evening. 130- Pain 
 near the right elbow ; at 9 in the evening. 
 
 Third day. Acute lancinations under the right arm. 
 Pain at the neck. Lancinations in the left side. Heavi- 
 ness of the head ; with pain in the right temple. 135. 
 Heat in the face. Lancination under the right breast, at one 
 o'clock. Dull pain in the left ear, at 2. Lancinations in 
 the liver. Headache at night. 
 
148 BRAZILIAN PATHOGENESIS. 
 
 Fourth day. 140- Pain in the whole abdomen. Extraor- 
 dinary desire for coffee and fruits. Constipation, for two 
 days. Toothache continued. Pain under the right arm. 
 145- Pain at the internal part of the right arm. Lancinations 
 in the right side of the chest, at 4 in the evening. 
 
 Fifth day. Dreams about dead persons. Vision of dead 
 persons. Headache, in the region of the right temple. 
 150. Pain from the arm to the chest, at 8 in the morning. 
 Heat in the chest, around the breast, which feels as if pressed 
 together by an iron band. Staggering gait. Bitter mouth. 
 Profuse saliva. 155- Shortness of breath. Pain in the 
 left arm when stretching it. Pain in the neck, less in the 
 open air. Pain in the right side of the chest, below the 
 clavicle and the right axilla, at 6 in the evening. No sleep. 
 
 Sixth day. 160- Diarrhoea. Pain in the right side of the 
 chest. Rheumatic pain in the knees. Pain around the 
 navel. Pain in the chest. 165- Headache all day. 
 Desire to walk. Lancinations in the splenetic region, at 
 noon, Pain in the right shoulder, at one o'clock. Chilliness, 
 at 3. 170- Shuddering with drowsiness and arthritic 
 
 pains. Lancinations in the right side of the chest, at half 
 past 3. Lancinations in the right breast, at 6 in the evening. 
 Heaviness of the head and forehead. 
 
 Seventh day. Short breathing. 175- Pain under the 
 sternum. Pain in the right wrist. Pain in the joints. Pain 
 in the right ear. Blood-streaked saliva. 180- Headache 
 in the evening, with inability to stoop. Violent cough, with 
 inflamed throat. Fear of being phthysicky. Sad dreams. 
 
 Eighth day. When drawing breath, the chest feels as if 
 opened. 185- Dry and short cough. 
 
 Ninth day. Headache in the morning. Weariness of the 
 lower limbs. Pain in the left side of the chest, as far as the 
 arm, as if the parts were scratched. 
 
 Tenth day. Pain around the umbilicus. 190- Lanci- 
 nations in the right side of the chest. Lancinations in the 
 right eye, with lachrymation. Heat all along the back. A 
 good appetite all day. Dreams about dead persons, with 
 tears on waking. 195- Dry and short cough. 
 
PAULLINIA PINNATA. 149 
 
 Eleventh day. Oppression on the chest. Dry cough. 
 Pain in the right side of the chest. No appetite. 200- 
 Ulceration at the lower limbs, with itching. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 MENTAL AND MORAL: 1. She likes to be alone and quiet. 
 Ennui. Melancholy. Dizzy, her head inclines forward. 
 5. In walking she imagines she is walking backwards. 
 Staggering gait. Vision of dead persons. 
 
 HEAD : Headache in the evening, with inability to stoop. 
 Heaviness of the head, with pain in right temple. 10- 
 Acute, pain in middle of the head. Pain in head as from a 
 nail. Pressing pain from within outwards, in right parietal 
 region. Splitting headache. Beating in the temple and 
 above the left eye. 15- Pain as from an iron bar compel- 
 ling the head to stoop forward. Hammering in the vertex. 
 Headache as if the head were covered with a cap of lead 
 on which one strikes. 
 
 EARS, EVES, &c. : Dull pain in left ear. Sawing pain in 
 the cartilage of the left ear, extending to the neck. 20. 
 Buzzing in left ear. Alternate heat and chilliness in the 
 face. Shooting in the jaws. Pain in right, teeth. Darting 
 in right eye, with lachrymation. 25. Pain above the 
 eyes, penetrating to the brain. Stitch under the right eye. 
 Prickling in left eye, which runs and is inflamed. Pain at 
 the eyebrows, towards the root of the nose. 
 
 GASTRIC : Rough tongue, with sensation as if larger. 
 30- Bitter mouth. Out of breath, with desire to vomit. 
 Loathing at the sight of food. Desire for coffee. Desire to 
 vomit. 35- Loathing, with tongue thick and doughy. 
 Desire for dainties. Itching and tingling in the throat. 
 Scraping in the throat. Yellowish, tenacious expectoration. 
 40. Sensation, while talking, as if a stone were burying itself 
 in the stomach. 
 
 ABDOMEN : Pain around the navel. Lancinations in the 
 splenetic region. Contusive pain in the region of the liver. 
 Pain in the region of the liver. 45. Pain in abdomen, 
 worse when touched. Pain in right side, as if a knife were 
 
150 BRAZILIAN PATHOGENESIS. 
 
 plunged in. Painful stitches in each side of the abdomen. 
 Constrictive pain round the hypochondria. Cutting pain at 
 navel. 50- Pain in the side as if a stone were pressed in. 
 Crampy pain in left side of hypogastrium. Pain in the groin 
 as if the nerves were cut. Colic followed by a reddish 
 diarrhceic stool. Constipation. 55 Diarrhoea. Sharp 
 pain during stool, as from a penknife. Ineffectual desire to 
 urinate. Burning when urinating. Stabbing sensation in 
 the ovaries. 
 
 BRONCHIAL : 60- Blood-streaked saliva. Cough with in- 
 flamed throat. 
 
 CHEST : Her chest feels as if it would open, with cracking. 
 Itching and burning in the chest. Oppression and burning 
 in the sides of the chest. 65- Burning in the chest. 
 Lancing pain in left nipple. Pressure at the chest and sides 
 as from iron sheeting, followed by sensation as if pierced by 
 a penknife. Acute pain in the right side of the chest. Weak 
 feeling in the chest. 70- Pain at the right breast. Dart- 
 ings in the right breast. Pain under the sternum. Pain 
 under the right clavicle. Shortness of breath. 75. Heat 
 around the breast which feels compressed. Darlings in right 
 side of chest. Scratching pain in left side of chest. When 
 drawing breath, the chest feels as if being opened. Pain at 
 the heart. 80- Lancination in the praecordial region. 
 
 BACK : Heat along the back. Pain in the neck. Pain 
 in the shoulder-blades. 
 
 EXTREMITIES : Numbness in the shoulder. 85- Numb- 
 ness of the arms. Itching under the arm. Darlings under 
 the right arm. Pain from the left arm to the back. Cramp 
 in the palm and fingers of the left hand. 90- Pain in the 
 lower limbs, which become stiff by walking. Prickings in 
 left thigh, high up. Trembling of the lower limbs. Numb- 
 ness in right foot and knee. Rheumatic pains in the knees. 
 95. Pain at right ankle as if sprained. Lancing pain in the 
 heel. Pain of the soles in walking. Heat in the soles 
 The feet feel numb after going up-stairs. 
 
 FEVER, SLEEP : 100- Shuddering with drowsiness and ar- 
 thritic pains. Chilliness. Shuddering on rising. Chilly. 
 
BLATTA AMERICANA. 151 
 
 Restless sleep. 105- She dreams that a scabby dog is 
 walking towards her ; it bit her, and she cried out. She 
 dreams that she wishes to look into a chest. Dreams about 
 about a leprous woman. 
 
 CUTANEOUS, GENERAL : Ulcers at the lower limbs, with 
 itching. Red spots in the face. HO. Itching and sup- 
 puration behind the head. Pain in the joints. Distressing 
 itching in the hand and fingers. Desire to lie down. 
 Bruised all over. 115. Lassitude. Sensation in the limbs 
 as if bruised. 
 
 BLATTA AMERICANA (LAM.) 
 
 BLATTA. KAKERLAT AMERICANA (SAR.) PORTUG. : BARATTA. 
 
 THE blatta americana, which is very common in Brazil, 
 where it inhabits human dwellings, is an orthopterous insect, 
 with an elongated, oval, rather flat body, from 12 to 16 lines 
 in length, of a brown-red which becomes paler under the 
 belly. The prothorax is smooth, shining, of an ochre yellow, 
 with two large brown spots, which are sometimes united in 
 one. In the male the elythrae reach beyond the belly by a 
 few lines ; in the female they are a little shorter. They are 
 
152 BRAZILIAN PATHOGENESIS. 
 
 marked with numerous longitudinal streaks which bifurcate 
 near the dotted margin terminating the elytrse. The wings 
 are striate and reticular, of the length of the elytrae. The 
 antennae which are longer than the body, exhibit at their 
 base a small yellowish point. The feet are provided with 
 black prickles arid terminate in a tarsus with five articu- 
 lations. 
 
 We triturate the whole insect, if possible alive, for 15 
 minutes ; after which we take two or three grains of this 
 paste and rub them down with 100 grains of sugar of milk in 
 order to obtain the first trituration. 
 
 First day. I. Aching pain in the temples. Numbness 
 and heaviness of the head. Formication in the toes, at 7 
 in the morning. Pain shifting from the back to the shoul- 
 der-blade. 5. Prickings in the left side of the neck. 
 Heat in the urethra when urinating. Stitch as by a fly, in 
 the corner of the left eye, at 10 in the morning. Sense of 
 weariness in the bends of the knees. Yellowness of the 
 face. 10- Yellowness of the sclerotica. (When the 
 prover had the jaundice, for which the blatta is considered 
 empirically as a specific, he felt a number of pains which 
 have been reproduced in this proving, such as general 
 prostration, weariness, &c.) Frequent yawning, watery 
 discharge from the nose. Lachrymation. Passing bloating 
 at the pit of the stomach. 15- Drowsy in the afternoon. 
 Acute pains in the temples, every now and then, at 4 in the 
 afternoon. Chill and shuddering for half an hour. Pain at 
 the right leg, from the toes to the krrees. Slight colic. 
 20- Pain in the back, right side. Shuddering; sense of 
 heat and slight moisture all over. Pain in the transverse 
 colon, duodenum and pit of the stomach. Pain at the left 
 little toe. Pain in the right side of the chest. 25- Shud- 
 dering for one hour. The pain in the temples continues. 
 Yellow color of the urine, increasing more and more. Salt 
 saliva. 
 
 Second day. Pain in the temple, with lancinations now 
 and then. 30- Sense of weariness in the bend of the 
 knee. Pain in the feet, here and there, and sometimes in 
 
DELPHINUS AMAZONIDUS. 153 
 
 the sole. Lazy. Frequent yawning. Acute pain in the 
 chest, afternoon. 35- Cramp ia the right leg. Weary 
 when going up-stairs. Violent pain in the chest, with want 
 of breath. Urine of a bright-yellow, albuminous. The 
 proving was interrupted by an accident. 
 
 HAHNEMANN'S ARRANGEMENT. 
 1. Aching in the temples. Numbness and heaviness in 
 the head. Acute pains in the temples. Pain in the temple, 
 with lancinations now and then. Stitch in canthus of left 
 eye. Yellowness of the sclerotica. Lachrymation. 
 Bloating at tho pit of the stomach. Pain in the transverse 
 colon. Heat in the urethra when urinating. Bright-yellow, 
 albuminous urine. Acute pain in the chest, afternoon, also 
 with want of breath. Pain shifting from the back to the 
 shoulder-blade. Pricklings in the left side of the neck. 
 Formication in the toes. Sense of weariness in the bends 
 of the knees. Pain in the feet, here and there. Chill and 
 shuddering. Shuddering, with sense of heat and moisture 
 all over. Weary when going up-stairs. 
 
 DELPHINUS AMAZONICUS. 
 
 DELPH. DELPHINUS GEOFFROYI (DESM.) PORTUG. : PEIXE BOX. 
 
 
 THIS dolphin is from 9 to 10 feet long; its body is large 
 and cylindrical, of a brownish-gray color above and a pure 
 
154 BRAZILIAN PATH'EGENESIS. 
 
 white below. Its jaws, of equal length, are long, narrow, 
 linear, armed on each side with 26 large conical, somewhat 
 rugose teeth, with wide crowns. Its forehead is bomb- 
 shaped, the eyes a little above the commissure of the lips. 
 The pectoral fins are of considerable size, brownish at their 
 extremities, and placed very low ; the dorsal fin is elevated 
 and semilunar. This dolphin, as its name shows, inhabits 
 the mouth of the Amazon. It has a thick and fibrous skin, 
 which we employ in medicine. 
 
 (Before trying the drug, the prover had paroxysms of cough 
 with suffocation, during which a hernia protruded with much 
 force.) 
 
 First day. 1. Slight pain at the navel, after five minutes. 
 Feeling of a quantity of air in the stomach, with grumbling 
 in the abdomen. Pain at the loins, on rising in the morning. 
 Eructations. 5- Violent smarting and excoriating pains, 
 shifting from the right thigh to the heel, then to the right 
 shoulder ; these pains are aggravated by contact. In moving 
 the right toes, the bones cracked as if notched. Quickly 
 passing pain at the right eyebrow (when coughing, the her- 
 nia did not protrude any longer with so much force.) 
 
 Second day. Doughy mouth. 10- He has not been 
 troubled with suffocation and the cough is less.) Headache. 
 Violent colic with soft and strong-smelling stools. Pain in 
 the loins. Hard abdomen, especially on the right side, 
 where he feels like a ball which is painful when touched, 
 in the evening. 15- Dry lips. 
 
 Third day. Restless and disturbed sleep. (Cough con- 
 tinues.) Pain in the loins. The hardness in the abdomen 
 has shifted to the left side. 20- Bleeding from the left 
 nostril. (Before taking the drug he bled from the right 
 nostril.) 
 
 Fourth day. Acid stomach. (Cough with suffocation.) 
 Erections, with sexual desire. Itching at the anus as from 
 worms. 25- The bones of the thorax are affected with 
 rheumatic pains. 
 
AMPIIIBCENA VERMICULARIS. 155 
 
 AMPHISBCENA VERMICULARIS. 
 
 AMPH. 
 
 THIS species moves either backwards or forwards, as 
 occasion may require, and is quite frequent in the woods of 
 Brazil. Its body is cylindrical, from two feet to two and a 
 half long, terminated by a very obtuse tail. It has no scales 
 properly speaking, but its skin is divided into quadrilateral 
 compartments disposed in rings round the body ; 228 on the 
 trunk and 26 on the tail. The lower lip is divided into six 
 long and narrow plates-; the head is small, rather sharp, 
 protected by scutellae, and not distinguished from the neck. 
 It has small eyes ; the jaw is not dilatable, the teeth are 
 conical, bent, unequal and distinct from each other ; the 
 nostrils are on the sides, and pierced in a single naso-rostral 
 plate. The amphisbcena is of a, brownish color above, and 
 a pinkish-white under the belly. The poison was taken 
 from the living animal by cutting off part of its jaw, which 
 was triturated immediately. 
 
 1. Debility. Sadness and lassitude in the morning, 
 which leaves one while walking. Tender sadness which 
 disposes one to be gentle arid meek. Violent pain in the 
 whole of the vertebral -column, worse when walking, moving 
 
156 -BRAZILIAN PATrfOGENESIS. 
 
 the arms or stooping. 5- Painful and large pimple on 
 the left side of the upper lip, suppurating. Acne rosacea 
 miliaris (a dry itch cured), covering extensive ellyptical 
 spots ; after the eruption healed, a iurfuraceous desquama- 
 tion took place wherever a pimple had been situated. 
 Wakes at midnight, for ten consecutive nights. Disturbed 
 sleep. 
 
 Fifteenth day. Depression. 10. Ennui. Impatience. 
 Weight in the forehead and parietal regions. Weight at the 
 forehead. Vertigo as if one would fall towards one side 
 and is then impelled towards the opposite side by a con- 
 trary oscillation. 15. Pain at the inner canthus of the 
 
 right eye as if a stye would form. Repeated beating at the 
 right side of the forehead as if hail-stones fell upon it. 
 Sweat about the head. Horrible headache, with sensation 
 as if the feet were in the brain. Dizziness when turning 
 round. 20- Constant twitching at the upper eyelids, 
 
 especially the left. Constriction of the right eye as if 
 strung together with a cord. Shooting pain in the outer 
 angle of the left eye. Sensation as of a grain of sand in^the 
 right eye. Weariness of the eyes, in the evening, with 
 pain and pricking when looking at the light. 25. Lachry- 
 mation and constriction of the left eye. Pain in the rneatus 
 auditorius, as if air were rushing in. Pricklings and heat at 
 the right malar eminence. Dull pain in the right lower jaw- 
 bone. Lancination and pain all through the right side of the 
 head. 30. Pains in the right lower jaw, and considerable 
 swelling aggravated by air and dampness. Swelling of the 
 right lower jaw, worse in the open air. The teeth feel 
 elongated and set on edge, especially the right lower mo- 
 lares. The toothache is worse in the evening and afternoon. 
 Chewing is painful, but the contact of liquids is not painful. 
 35. Swelling of the tonsils. Deglutition is difficult, one is 
 not able to swallow saliva. Protrusion of umbilical hernia. 
 Chilliness and pains at the epigastrium. Tearing pain at the 
 navel, all day. 40- Suppuration of inguinal hernia. The 
 hernia is painful, and air is felt in it. Lancination in the 
 navel as from a stiletto. Constipation. The miliary acne 
 
ARISTOLOCHIA MILHOMENS. 157 
 
 rosacea spreads over the chest, neck and back, with itching 
 which is worse in the morning and decreases in the evening. 
 45. Gradually a white vesicle forms on every pimple, dis- 
 charging a clear serum, after which the eruption dries up on 
 the fifth day. Breaking out of little pimples, especially on 
 the fore-arm. Painful swelling of the arm, on the fifteenth 
 day. Cramp in the left leg. Painless drawing up of the 
 legs. 50- Cramp in the left leg; it remains behind in 
 walking as if paralyzed. 
 
 ARISTOLOCHIA MILHOMENS. (Nosis.) 
 
 ARIST. ARISTOLOCHIA GLANDIFLORA (GOM.) ARISTOLOCHIA 
 
 CYMBiFERA (MART.) SNAKE-ROOT. 
 
 A climbing plant with a glabrous stem ; leaves alternate, 
 uniformly cordate, pedati-nerved, with reticulate little veins 
 between the nerves ; they are supported by long petioles, 
 furnished with a large, entire, reni-form, amplexicaule sti- 
 pule. Flowers solitary, upon a sulcate peduncle from four 
 to five inches long. Perianth single, large, of a yellowish 
 brown, tuberculated, curved, divided into two lips ; the upper 
 
158 BRAZILIAN PATHOGENESIS. 
 
 lip sharp, lanceolate, and somewhat bent outwards ; the lower 
 lip, twice as long as the other, at first dilated at the base, and 
 expanding into a large oval disk with undulate borders. The 
 whole flower is covered with prominent nerves. Stamens 
 six epigynous. Ovary glabrous, surmounted by a stygma 
 with six short and rounded lobes. 
 
 We employ the flower. 
 
 First day. 1. Restless sleep. He dreams that he is 
 neither able to work, drink or walk. Gurgling at the right 
 frontal eminence, for one minute. Doughy mouth the whole 
 morning. 5. Thirst. Pain in the right groin. Numbness 
 of the left leg. Numbness of the lower part of the calf. 
 Borborygmi in the stomach and bowels. 10. Lancinations 
 in the whole of the left lower limb. The left leg is red and 
 swollen. The head feels heavy. Very thirsty, with bitter 
 mouth. No appetite. 15. Stitch in the ball of the left 
 thumb, at half past three in the afternoon. Torpid sensation 
 at the vertex. Pricking in the right testicle. Pricking at 
 the right thigh. Pricking at the lower part of the left leg. 
 20. Itching at the inside of the left thigh. Prickings here 
 and there, over the body. Pain at the ball of the right 
 thumb, at 7 in the evening. Torpid sensation in the cere- 
 bellum. Stitch under the heel. 25. Itching at the left 
 outer ankle, a 8. Itching at the skin of the prepuce. 
 Crampy pain at the right inner ankle. Contusive pain at the 
 left pectoral muscle, which is sensitive to contact, at night. 
 
 Second day. Restless sleep. 30. He dreams about a 
 sheep and dog covered with red scarfs ; the first was lifted 
 off the ground and seized by the latter in the middle of the 
 back ; the dog was suspended by the back, by some indi- 
 vidual accompanied by a number of persons. Afterwards an 
 intense sexual dream with emission. Painful stitch under 
 the shoulder-blade, as after receiving a blow. Sense of em- 
 barrassment behind the left inner ankle. Uneasiness in the 
 thighs, followed by pricking, at 2 in the afternoon. 35. 
 Contusive pain at the left knee. Lancinations at the fore- 
 part of the left outer ankle, at 7 in the evening. Fulness of 
 the stomach. Stitching pain at the right thigh. In the 
 
ARISTOLOCHIA MILHONENS. 159 
 
 morning, the leg is swollen and violet-colored ; it becomes 
 inflamed by walking, and, towards evening, changes to a 
 blackish red. 40. Loss of appetite. The whole leg is 
 covered with irregular blackish spots formed by extra- 
 vasated blood. Urinates more frequently than usual. Burning 
 head. Continual thirst, with bitter mouth. 45. The lips 
 and gums are excoriated. Complete loss of appetite. The 
 left leg is painful as if excoriated ; the pain shifts to the 
 right inner ankle, where it becomes more acute. 
 
 Third day. Lancinating pains at the apex of the heart, 
 which arrests the breathing all night. The temples are 
 painful to contact, the whole day. 50- Stiffness of the 
 
 leg, with inability to stand for a few minutes. Stitching 
 pain between the shoulders. Dull pain at the lower part of 
 the lumbar region and at the abdomen. Burning pains at the 
 anus. The lips and gums are raw as before. 55. Itching 
 above the bend of the right elbow. Crampy pain in the left 
 tendo-Achillis. Partial numbness around the ankles. Con- 
 tusive pain below the left knee-pan, at 3 in the afternoon. 
 Lancinations in the lower part of the right leg and at the 
 inner ankle, at half past 3. 60. The upper and lower 
 part of the left arm is painful to the touch, at half past 4. 
 Painful lancinations at the inner part of the left knee. 
 Stitch in the articulation of the first phalanx of the little 
 finger, at 8 in the evening. 
 
 Fourth day. Pain at the dorsal part of the left index. 
 Colic, followed by stool the first part of which is soft, 
 the latter diarrhoeic, twice in succession, in the morning. 
 65- Malaise as if something would accumulate at the in- 
 side of the right, leg, above the knee, in the evening and 
 during part of the night. 
 
 Fifth day. Difficulty of using the lumbar region. Sen- 
 sation as if the skin of the right leg would fall upon the 
 ankles, like a stocking ; he frequently puts his hand there 
 for the purpose of raising the skin again. Itching at the 
 forepart of the right leg. Pricking at the inside of the 
 right leg. 70. A difficulty at the lower part of the tendo- 
 Achillis. Easy stool. 
 
160 BRAZILIAN PATHOGENESIS. 
 
 Sixth day. Itching at the internal ankle of the left foot. 
 Itching at the left thigh. Pain above the right inner ankle. 
 75- Disgusting Dreams. 
 
 Seventh day. Malaise after waking in the morning ; he 
 is unable to fall asleep again ; he feels as if something 
 near the ankles inconvenienced him for several hours. This 
 pain increases towards three, changing to a contusive pain. 
 The ankles feel swollen. 80- Acute pain in the sacro- 
 lumbar region. Pain in the right side. 
 
 Eighth day. Pain at the pit of the stomach. The pain 
 in the legs continues. Permanent pain above the left inner 
 ankle. 85. Smarting at the inner and upper right thigh, 
 in the evening. Acute lancination in the head, evening. 
 
 Ninth day. Acute lancination in the left side of the head, 
 evening. 
 
 Tenth day. Violent lancination behind the head. The 
 forepart of the left leg is painful to contact. 90- Shootings 
 in the cerebellum. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 HEAD. Head heavy. The head is burning hot. Throb- 
 bing in the right frontal eminence for a minute. Sensation 
 of torpor at the vertex. 5. His temples are very sensi- 
 tive to touch during the whole day. Acute lancination in 
 the head. Acute lancination in the left side of the head. 
 Severe lancination behind the head. Shooting in the cere- 
 bellum. 10. Sensation of torpor in the cerebellum. 
 
 MOUTH : Mouth pasty through the whole morning. Ex- 
 coriations of the lips and gums. Excoriations of the lips 
 and gums as on the second day. 
 
 APPETITE : Anorexia. 15. Want of appetite. Complete 
 anorexia. Thirst. Great thirst with bitterness of the mouth. 
 Continual thirst, and bitter mouth. 
 
 STOMACH : 20- Borborygmus in the stomach and in- 
 testines. Fulness of the stomach. Pain at the scorbiculus. 
 
 STOOL AND ANUS: Colic, followed by a stool, at first soft, 
 then diarrhceic, twice in succession. Easy stool. 25- 
 Burning pains at the amis. 
 
ARISTOLOCHIA MILHOMENS. 161 
 
 URINARY AND GENITAL : He makes water more frequently 
 than usual. Itching on the skin of the prepuce. Pricking 
 in the right testicle. 
 
 CHEST : Lancinating pain at the apex of the heart which 
 takes away his breath at night. 30. Bruised pain over the 
 left pectoral muscle, which is sensitive to the touch at night. 
 
 BACK : Painful spot, under the scapula, as if from having 
 received a blow. Sharp pain between the shoulders. Pain 
 in the right side. Uneasiness in the lumbar region. 35- 
 Dull pain at the lower part of the lumbar region and in the 
 hypogastrium. Acute pain in the sacro lumbar region. 
 
 SUPERIOR EXTREMITIES : The upper and lower parts of 
 the left arm are painful to the touch. Itching above the bend 
 of the right arm. Stinging in the hypothenar eminence of 
 the left hand. 40- Pain in the hypothenar eminence of 
 
 the right hand. Pain in the dorsal portion of the left index. 
 Pricking in the joint of the first phalanx of the little finger. 
 
 INFERIOR EXTREMITIES : Pain in the right groin. Lan- 
 cinations through the whole extent of the left inferior extre- 
 mity. 45. The left leg is red and inflamed. Swelling 
 of the left leg. The leg is swollen and violet-colored in the 
 morning; it becomes inflamed by fatigue and turns blackish 
 red towards evening. The whole leg is covered by large 
 irregular patches formed by extravasated blood. Malaise as 
 if something were collected in the internal part of the right 
 leg above the knee. 50- The pains in the legs continue. 
 Uneasiness, then pricking in the thighs. Stiffness of the 
 leg, with impossibility of standing up for a few minutes. 
 Pricking on the internal surface of the right leg. Smart- 
 ing on the internal superior part of the right thigh. 
 55. Pricking in the right thigh. Acute pain in the right 
 thigh. Itching on the right thigh. Itching on the internal 
 surface of the left thigh. The upper part of the left leg is 
 painful to the touch. 60. Itching on the anterior part of 
 the right leg. Bruised pain in the left knee. Bruised pain 
 under the left patella. Painful lancinations in the internal 
 part of the left knee. Prick as from a pin in the lower part 
 of the left leg. 65- Swelling of the lower part of the calf. 
 
162 BRAZILIAN PATHOGENESIS. 
 
 Cramplike pains in the left tendo-Achillis. Uneasiness in 
 the lower part of the tendo-Achillis. Prick under the heel. 
 Malaise after waking in the morning ; he cannot go to sleep 
 again ; he feels as if something incommoded him about the 
 malleoli for several hours. This pain increases, becoming 
 a bruised pain. 70- Partial swellings around the malleoli. 
 The malleoli appear swollen. Feeling as if the lower part 
 of the right leg had a tendency to fall down upon the mal- 
 leoli, as a stocking might do ; he often carries his hand there 
 as if to raise it up. Cramplike pain in the right internal 
 malleolus. Pain a.bove the right internal malleolus. 75. 
 Lancinations in the lower part of the right leg and internal 
 malleolus. The left leg is painful as if excoriated ; the pain 
 passes to the right internal malleolus arid becomes more 
 acute. Lancinations in the anterior part of the left external 
 malleolus. Itching on the left external malleolus. Itching 
 on the left internal malleolus. 80- Persistent pain above 
 the left internal malleolus. Disagreeable sensation behind 
 the left internal malleolus. 
 
 SLEEP: Disturbed rest. Unquiet sleep. Dreams. Dis- 
 gusting dreams. 85. He dreams that he can neither act 
 nor drink nor walk. He dreams of a sheep and a dog, covered 
 with red scarves ; the former, elevated above the ground, 
 shook his head and was seized by the dog in the middle of his 
 back ; the dog himself was suspended by the back by a man 
 accompanied by many other individuals. Afterwards, a very 
 amorous dream with pollution. 
 
 GENERAL : Prickings in different parts of the body. 
 
 RESINA ITU. 
 
 ITU. 
 
 THIS rosin which comes to us from the province of St. 
 Paul, is used empirically for hernia. 
 
 First day. 1. Stupefying pain in the head, worse when 
 stooping. Vertigo as if one would fall to the right. Ear- 
 ache when the least dampness sets in, extending to the arti- 
 culation of the jaw. Numbness at the tarsal joint, after 
 
RESINA ITU. 163 
 
 sitting. 5. Pain in the abdomen, from within outwards. 
 Sense of chilliness at the hypogastrium, especially in the 
 evening. 
 
 Second day. Light sleep at night, but continual. Con- 
 tinual hiccough. Aching pain in the forehead and eyes. 
 10. Beating in the right temple. The pain extends to the 
 ear and the articulation of the jaw. Pain on the left side 
 like wry-neck. Lancination in the forehead, right side. 
 Nausea worse during motion. 15- Pain in the left hy- 
 pochondrium, when inclining forwards. 
 
 Third day. Violent itching near the sternal extremity of 
 the right clavicle, followed by a moist tetter, which scatters 
 in six hours. 
 
 Fourth day. Violent itching at the right arm ; it is covered 
 with red pimples, rounded like pins' head. The itching 
 ceases in the day-time, but the eruption lasts all day. Pina- 
 ples on the left side of the neck ; they itch as much, though 
 less inflamed. 20- Numbness of the legs. On rising 
 from a chair one is unable to stand straight. 
 
 Fifth day. Stiffness of the nape of the neck, which pre- 
 vents one from raising or inclining the head. Pain at the 
 nape of the neck, penetrating to the forehead and causing a 
 numbness and heaviness which carries the head forward. 
 The pimples on the arm and neck scatter gradually. 
 
 Sixth day. Cramps at the left tarsal joint. 25- Invo- 
 luntary stools. 
 
 Seventh day- Sudden report in the ear, with frightful 
 pain extending to the teeth, for several minutes ; this par- 
 oxysm recurs four times in the morning, from hour to hour. 
 Numbness in the tarsal joint every time one rises from a 
 seat. Profuse painless diarrhosa. Copious, yellow, diar- 
 rhoeic stools. 
 
 Eighth day. 30- Reports in the ears, as often as eight times 
 a day. Profuse sweat after the reports. Air aggravates the 
 pain. Lancinating pain in the region t)f the liver, worse 
 when walking or stooping. Heaviness of the head, it in- 
 clines forwards. 35- Heaviness at the eyes when walk- 
 ing. Burning pain at the anus after sitting. Twinkling of 
 
lb'4 BRAZILIAN PATHOGENESIS. 
 
 the eyes. Burning in the eyelids. Muscae volitantes like 
 pins'-heads. 40- Pain from the ear to the teeth, less but 
 longer than previously. Lancinating pain in the orbit of the 
 left eye, extending to the eyebrow. Toothache worse when 
 taking a cold drink. 
 
 Nmth day. Burning at the vulva followed by violent itch- 
 ing. Crampy pain at the tendo-Achillis. 45. Bright- 
 yellow stool, which cannot be retained as soon as one stands 
 up. Repeated sneezing. Coryza. Crampy pain from the 
 calf to the heel. Heaviness in the legs and weariness to- 
 wards evening. 
 
 Twelfth day. 50- Acute pain in the knee-joint. The 
 tongue feels big, as if it filled the whole mouth, though the 
 swelling is but trifling. Red tongue. Difficulty of moving 
 the tongue and talking. Inflammation of the tonsils. 55. 
 Pain in the throat and sensation as of a lump in the pharynx. 
 Pain in the left breast worse when walking. Itching at the 
 left breast and nipple, especially in the morning. Pain at 
 the posterior iliac spine when stretching the leg or rising, 
 several days in succession. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 HEAD, &c.: f. Vertigo as if one would fall to the right. 
 Stupefying pain in the head. Aching pain in forehead and 
 eyes. Beating in the right temple. 5- Twinkling of the 
 
 eyes. Burning in the eyelids. Muscae volitantes. Lancing 
 pain in left orbit. Earache in damp weather. 10. Sudden 
 report in the ear, with pain extending to the teeth. Coryza. 
 Toothache worse after a cold drink. 
 
 GASTRIC, &c. : Hiccough. Nausea. 15. The tongue 
 feels big as if filling the mouth. Difficulty of moving the 
 tongue. Red tongue. Inflamed tonsils. Sore throat with 
 sensation of a lump. 20- Lancing pain in the region of the 
 liver worse when stooping. Involuntary stools. Diarrhoea, 
 yellow. Burning pain at the anus after sitting. Burning at 
 the vulva. 
 
 CHEST, &c.: 25. Itching at the left breast and nipple. 
 Pain in left breast. Stiffness of the nape of the neck. 
 
TRADESCANTIA DIURETIC A. 165 
 
 Pain like wry neck. Pain from nape of neck to fore- 
 head, causing a numbness and heaviness. 30- Pain 
 at the posterior iliac spine when stretching the leg. Heavi- 
 ness in the legs. Acute pain in the knee-joint. Cramps at 
 left- tarsal joint. Numbness of the legs and tarsal joints. 
 35- Numbness at the tarsal joint. Crampy pain at tendo- 
 Achillis. Moist tetter with itching at right clavicle. Itching 
 red pimples on the right arm. Pimples on left side of neck. 
 40. Sense of chilliness in hypogastrium. 
 
 TRADESCANTIA DIURETICA. (MART.) 
 
 TRAD. TRADESCANTIA COMMELINA (WELL.) 
 
 PORTUG. I TRAPCERAVA. 
 
 HP 
 
 THIS herbaceous plant is pretty common in Brazil. Its 
 ramose and cylindrical stems are erect or a little inclined ; 
 the leaves are alternate, sheathed, somewhat lanceolate, and 
 constituting at the extremity of the branches tufts whence 
 arise long pedicles each of which carries from four to six 
 flowers; perianth double, three-leaved, the outer one having 
 sharp, herbaceous divisions, and the inner one being petaloid 
 and blue-colored. Stamens six fertile ; a free tri-locular 
 ovary, surmounted by a simple style. We employ the leaves. 
 
166 BRAZILIAN PATHOGENESIS. 
 
 First day. 1. Vertigo. Pain in the left side of the chest. 
 The breathing is embarrassed as when one is affected with 
 catarrh. 
 
 Second day. Yellowish, copious urine, depositing at the 
 bottom of the vessel an ash-colored, copious sediment. 5. 
 The urine has an acrid smell. Inflammation of the scrotum 
 which is painful and very red. Difficult breathing, sighing 
 as from want of air. The symptoms continue from the third 
 to the fifteenth day. The breathing is very painful. 10. 
 The inflammation of the scrotum decreases since the twelfth 
 day. Whitish discharge from the urethra. Pain when 
 urinating. Thin stream of urine. Diarrhoea. The testicles 
 return by the inguinal ring. 
 
 MURURE LEITE. 
 
 MUR. L. 
 
 THIS rosin is used as an anti-syphilitic. 
 
 1. Blennhorrhoeal discharge. Ulcers on the legs. Yel- 
 low and fetid urine. Cracking sensation in the tibia. 5- 
 Profuse flow of saliva. Small painless pimple which ter- 
 minates in suppuration, with smarting. Spot at the instep, 
 painful in the middle and insensible all round the circum- 
 ference. Numbness of the left arm. Numbness of the 
 limbs. 10. Sciatica. Swelling of the face as in the ele- 
 phantiasis of the Greeks. Pain in a former cicatrix on the 
 left side of the tongue. Cold hands. Heaviness of the head. 
 15. Pains in the head, recurring on the third and fourth day. 
 Pain in the left ear, on the first day. Stool easier. Heat 
 in the eyes. Sore eyes. 20. Drowsy day and night. 
 Constant restlessness during sleep. Exaltation of ideas. 
 Loathing of food, loss of appetite. Pain at the left shoulder, 
 hindering breathing when walking. 25. Pustules on the 
 penis. Eruption on the legs. Toothache for four days. 
 Pimples on the occiput, on the fourteenth day. Vomiting, on 
 the sixteenth day. 30. Urging to stool, with soft faeces. 
 
MURURE LEITE. 167 
 
 Little appetite. Severe pain in the thighs. Prickings in 
 the tongue. Heaviness of the head. 
 
 HAHNEMANN'S ARRANGEMENT. 
 I. Pain in the head. Heaviness of the head. Pain in left 
 ear. Swelling of the face. 5. Heat in the eyes. Sore eyes. 
 Toothache for four days. Prickings in the tongue. Flow 
 of saliva. 10- Pain of a former cicatrix at the tongue. 
 Loathing of food. Vomiting. Blennorrhoea. Yellow and 
 fetid urine. 15- Pain at left shoulder, hindering breathing 
 when walking. Numbness of left arm. Cold hands. 
 Severe pain in the thighs. Cracking in the tibia. 20. 
 Painful spot at the instep, insensible all round. Sciatica. 
 Drowsy. Restless sleep. Pustules on the penis. 25 
 Pimples on the occiput. Numbness of the limbs. 
 
168 
 
 BRAZILIAN PATHOGENESIS. 
 
 CANNABIS INDICA. 
 
 CANN. IND. HASCHICH. PANGO. 
 
 THIS is an intoxicating, herbaceous plant, with an erect 
 stem which is furrowed its whole length. Leaves alternate, 
 palmate, composed of five almost linear, serrate folioles on 
 slender petioles. Flowers dioi'chous, with a monophyllous 
 greenish perianth, in groups of two, placed at the base of the 
 leaves, and constituting a terminal spike. The male flowers 
 with five reflexed divisions, five stamens with almost vesi- 
 cular, pendant anthers ; female flowers with an entire peri- 
 anth that is split only on one side. Fruit ovoid, with one seed. 
 The haschich which has been introduced into Brazil by the 
 blacks, is called by them pango ; they are severely forbidden 
 to grow it in Brazil. It can only be procured with difficulty. 
 We employ the leaves. 
 
 This narcotic develops a good many symptoms in those 
 who make use of it. It is our belief that, if it had been suf- 
 ficiently proved, it would be used as much as opium and bel- 
 
CANNABIS INDICA. 169 
 
 ladonna. The few symptoms which we give below, are 
 simply intended to stimulate others to continue the proving 
 of this interesting agent. 
 
 1. Dizziness when stooping, vertigo, the head inclines 
 backwards. Aching in occiput and temples. Beating head- 
 ache at vertex. 5. Slight pain at the pit of the stomach. 
 This pain is followed by a very marked pricking sensation. 
 These pains cease after eating. Little appetite. 10. Con- 
 traction of the eyelids. Twinkling of the eyes. Pale face. 
 Haggard looks. Languid eyes, heaviness of the head. Loss 
 of appetite. 15. Very hungry. Bitter mouth. Tongue 
 coated white. Urine thick and reddish. Very drowsy, even 
 in the day-time. 20. Weary pain in the bend of the right 
 elbow. Vivid, sometimes extatic dreams. Chill and heat 
 all over. Shuddering. Pain in the joints. 
 
170 
 
 BRAZILIAN PATHOGENESIS. 
 
 PETIVERIA TETRANDRA. (Gon.) 
 
 PET. MAPPA GRAVEOLENS (WELL.) PIPI. ERVA DE PIPI. 
 
 THIS bush is common in the fields around Rio-Janeiro, 
 where it blossoms the whole year. Its branches are erect, 
 somewhat sarmentose, slightly pubescent .at their extremi- 
 ties, with alternate, glabrous, somewhat undulate leaves. 
 Flowers small, scattered over long axillary or terminal 
 spikes ; perianth persistent, herbaceous, with four linear 
 divisions. Stamens four, alternate with the divisions of the 
 perianth and a little taller. A single ovary, surmounted by 
 a style, divided into ten reflexed stigmata. Capsule flattened, 
 containing a single seed. The roots are branching and very 
 fibrous ; they smell strongly of garlic. 
 
 We employ the recent root. 
 
PETIVERIA TETRANDRA. 171 
 
 Prover : Dr. Manuel Duarte Moreira. 
 1. Merry, disposed to sing. Deep sleep, longer than 
 usual, for the first three days. Drowsy all day, with frequent 
 yawning, but no desire to lie down. Insignificant or un- 
 pleasant dreams, scarcely recollected on waking. 5- Sleeps 
 longer, the first day. Headache, on waking. Sleepy with 
 yawning, after breakfast, the first day. Drowsy after dinner, 
 but no sleep, second day. Shuddering all over, sweat ; the 
 hair stands on end, second day, 9 in the morning. 10. 
 Heaviness of the head on waking, eight hours after taking 
 the drug. Weight at the vertex, which seems to press on 
 the brain, with heaviness of the eyelids and difficulty of 
 opening them, without sleep. Deep-seated and dull pain in 
 the upper part of the brain, worse when touched, talking or 
 sitting ; less when walking or moving about, first day. Same 
 symptom on the second day, but less. Sense of fullness in 
 the head, second day. 15. Sense of fullness in the head, 
 as if it would split, especially after twelve o'clock, on the 
 third day. Sensation as if hot water were thrown on the 
 hairy scalp, penetrating to the brain, second day. The 
 headache disappears on the third day, it becomes lighter 
 and changes. Sight feebler and dimmer than usual. Pain- 
 ful heat at the margin of the eyelids, worse when closing 
 the eyes. 20- Dim sight after dinner, second day. Fetid 
 breath. Sensation in the throat as if one had swallowed 
 some astringent substance. Sensation in the mouth and 
 throat as if one had eaten some acrid and resinous fruit, 
 second day, in the morning. Dull pain in the bowels and 
 hypogastrium, second day. 25- Constipation for three 
 days. Copious urination, in the morning. Light-colored, 
 watery urine, without smell or sediment, third day. Violent 
 lancinations under the right breast, at each inspiration. 
 Slight pain at the sternum, when stooping. 30. The voice 
 becomes hoarse from much coughing. Weariness and numb- 
 ness of the left arm, with pain in the humero-cubital articu- 
 lation, first day. Numbness of the tips of the fingers, es- 
 pecially the ring-finger. Sensation at the middle of the 
 right thigh as if bitten by an ant ; itching and heat after 
 
172 BRAZILIAN PATHOOENESIS. 
 
 scratching. Cramp in the calves during the night, second 
 day. 
 
 Second prover : Mile. Norma, 21 years old, sanguine 
 temperament, good constitution, pale face, melancholy dis- 
 position, chestnut-colored hair. 
 
 35. Disposed to laugh and jest, first day. Sad, desires 
 to weep ; shortly after, involuntary weeping, sixth day, 
 morning. Long, deep sleep, the first three days. Sleeps 
 all day, with frequent gaping, but no desire to lie down. 
 Dreams about quarrelling, she does not recollect her dreams 
 on waking. 40- First day, sleeps longer than usual in the 
 morning. Headache on waking. Somnolence after break- 
 fast, with gaping, first day. Drowsy after dinner, second 
 day. Sad dreams about sick persons in her family, fifth day. 
 45. Profuse, cold sweat, and chilliness all over, with shud- 
 dering after the first sleep, sixth day. Shuddering through- 
 out her body, when lying down. Febrile heat, pale face, 
 cold hands, on the evening of the sixth day. Two small 
 dark-yellow spots on the neck. Headache, with a small and 
 feeble pulse ; heat in the face, especially on the right cheek, 
 which is felt very intensely, .though the skin feels cool, first 
 day. 50- Painful stitch in the forehead, worse when 
 opening the eyes, with external heat of the head on the first 
 day, at 2 in the afternoon. Stabbing sensation in the right 
 temple, first day, at 3 in the afternoon. Dull pain, with 
 beating in the left temple, third day. Aching pain in the 
 temples. Pain in the forehead, with compressive sensation 
 in the brain, aggravated by walking. 55- Eyes half 
 closed, swollen externally, surrounded by blue margins, es- 
 pecially near the nose, for three days. Weight on the eye- 
 lids constraining her to close her eyes ; in this state she sees 
 a variety of figures, sixth day. The veins of the nose are 
 swollen and bluish. Redness and heat of the left ear, for 
 some minutes, third day. Stomach-ache with sensation of cold- 
 ness internally. 60- Acute and seated pain in the whole 
 stomach, when rising from a chair, suffocation, with cold feet, 
 which obliges her to remain in bed, on the evening of the 
 sixth day. Pains in the muscles of the superior and inner 
 
PETIVERIA TETRANDRA. 173 
 
 side of the elbow, like stings of ants. Contusive pain in 
 the arms and legs. Heaviness and weariness of the limbs, 
 sixth day, morning. 65- Numbness of the lower limbs, 
 with aversion to exercise. Contusive pain in the arms and 
 legs, sixth day. Cold feet, in bed, morning. 
 
 Third prover : Mile. Silvia, 20 years old, sanguine 
 temperament, good constitution, gay disposition. 
 
 Disposed to sing. Regular and deep sleep, longer than 
 usual, the first three days. 70- Sleeps all day, with fre- 
 quent yawning, but no desire to lie down. Unpleasant dream 
 which she does not recollect on waking. Wakes at 4 in the 
 morning, falls asleep again a quarter of an hour afterwards. 
 Light and disturbed sleep, after breakfast, first day, 9 in the 
 morning. Deep sleep at 10, same day. Deep sleep, second 
 day. 75- General prostration, with disposition to lie down, 
 but no sleep, third day, 9 in the morning. Sad dreams, 
 which she does not recollect. No sleep in bed. Profuse 
 and cold sweat, after her first sleep. Prickings at the right 
 shoulder, followed by inflammatory redness for 15 minutes. 
 80- Lancinations or shootings through the whole body, as if 
 needles were stuck in ; followed by itching from the elbow 
 to the hands, with small violet-colored spots on the arm, 
 back and feet, second day. Pain at the outer part of the 
 left arm, with a large, red, inflamed spot like erysipelas. 
 Heat on the surface of the body as from exposure to the sun, 
 the feet being cold. Pain at the vertex, as from a blow, dull 
 pain on the top of the head, left side, worse when turning the 
 head or walking, second day, 11 o'clock in the morning. 
 Benumbing and deep-seated pain with pressure, in the 
 temples, and dull pain on the vertex, second day. 85- At 
 the moment if lying down in bed, explosion in the head, the 
 noise passing through the ears, third day. Deep-seated pain, 
 at times in the forehead, at times in the nape of the neck. 
 Aversion to exercise, she wants to remain quiet. Laming 
 numbness of the arm and legs, fifth day, morning. Heaviness 
 in the forehead, when stooping, here and there, sixth day, 
 noon. 90. Weight in the eyes, and prostration as from 
 sleepiness, without however being sleepy. Sensitiveness to 
 
174 BRAZILIAN PATHOGENESIS. 
 
 the light of day. Redness of the conjunctiva, especially 
 near the internal angle of the left eye. Sudden inflammation 
 of the left eye at dinner, continuing for three days. The 
 flame of the candle looks yellow, and seems surrounded by 
 a red halo. 95- Redness of the wing of the nose and left 
 cheek, third day. Frequent sneezing after 12, fifth day. 
 Redness on the left cheek. Sharp lancinations in the epi- 
 gastrium from within outwards, fifth day, evening. Lanci- 
 nation in the stomach after dinner, seventh day. 100- Pain 
 in the throat, with difficulty of swallowing saliva. Catarrh 
 from the third to the fifth day. When lying down, sensation 
 in the spine as if she had strained it by lifting a heavy weight, 
 first and second day, evening ; the pain is aggravated by 
 raising herself again or by inclining backwards, and disap- 
 pears when she inclines forwards. Numbness at the wrist, 
 along the course of the cubital nerve, with sensitiveness to 
 contact, second day, evening. Shooting throughout the body, 
 followed by itching at the back part of the forearm, second 
 day, morning. 105- Redness and intense inflammation 
 at the outer part of the left forearm, second day, 11 in the 
 morning. Burning pain at the left radius, with contusive sen- 
 sation when touched, third day. Violent itching of the ball 
 of the left thumb, followed by inflammatory swelling, third 
 day, evening. Weariness of the arms and legs, and numb- 
 ness as after a long walk, fourth day, morning. Painful 
 numbness at the outer parts of the arms and legs. 110- 
 Cold feeling in the interior of the bones, fourth day, noon. 
 Numbness of the anus and legs, with deep-seated pain at 
 times in the forehead, at others in the nape of the neck, with 
 aversion to motion, fifth day, morning. Excessive coldness 
 penetrating to the bones, hands and feet, seventh day. 
 Sudden numbness of the knees, with dull pain in the tibia, 
 first day, noon. Acute and lancinating pain in the meta- 
 tarsal bone, which corresponds to the left little toe. 115. 
 Painful pricking in the left fifth toe, eighth day, morning, a 
 few moments after, the same toe feels as if it would turn 
 round from above downwards. 
 
PETIVERTA TETRANDRA. 175 
 
 Fourth prover : Miss Celia, 17 years old, sanguine 
 temperament, good constitution, pale face, cheerful dispo- 
 sition, auburn hair. 
 
 Evanescent and confused ideas. Want of memory. Pass- 
 ing recollection, which escape from her mind without her 
 thinking of it. Sadness unto tears, with headache, second 
 day. 120- Deep sleep, commencing early, and lasting 
 longer than usual, for three days. Drowsy all day, with 
 frequent yawning, but no desire to lie down. Unpleasant 
 dreams which she does not recollect on waking. Quiet 
 sleep in spite of the disturbing dreams which she forgets 
 on waking, second day. Prostration as from sleepiness, 
 without desiring to sleep. 125- Dreams about dead 
 
 bodies, she wakes with a start and cold sweat all over her 
 body. Sensation as if the finger were pressed on the right 
 temple, with sensitiveness to contact, second day, noon. 
 Lancinating pain in the right temple, suddenly shifting to 
 the left temple and thence to the vertex, where a burning 
 sensation is experienced, second day. Pain and heat in 
 the forehead, with pressure on the eyes, second day, three 
 in the afternoon. Dull pain at the root of the nose, evening. 
 130- Numbness and compressive sensation as if a warm 
 bandage were wrapped round the head. General prostra- 
 tion as from sleepiness. The voice seems to come from 
 afar. The body seems insensible when she is lying down, 
 and she feels as if in a swoon. When walking she feels as 
 if she did not touch the soil, and as though she would fall. 
 135- Painfulness of the eyes, as if the eyeballs were driven 
 out of the orbits by some foreign body. Sensation as if 
 the head were full of warm water. Sadness, tears ; in her 
 sadness she remains seated, motionless, speechless (all 
 these symptoms occurred within an hour, second day, after 
 12). Headache, with weight on the eyes, second day. 
 Sensation as if stung by ants under the left lower eyelid. 
 140. Nose slightly inflamed and shining. Dull pain at the 
 root of the nose, on the evening of the first day. Pain at 
 the left wing of the nose, which spreads to the opposite 
 side, followed by bloating on the dorsum of the nose, second 
 
176 BRAZILIAN PATHOGENESI8. 
 
 day, at noon. Sense of heat in the face, though the skin 
 feels cool. Sensation as if a needle had been stuck in the 
 upper lip from within outwards, eleventh day, on rising in 
 the morning. 145. Toothache. Dry mouth. Burning 
 tongue as from hot water, on rising from bed. On going to 
 bed, flow of watery and cold saliva, depositing an ash- 
 colored sediment and whitish granulations, which taste and 
 smell like bile, but are not bitter. Sharp and lancinating 
 pain striking through the spleen from below upwards, second 
 day. 150- Slight colic in the descending colon. From 11 
 in the morning until evening she urinates every five minutes, 
 with heat in the urethra, second day. She urinates three or 
 four times an hour, without pain, third day. Urine colorless, 
 on the following days. Tightness and beating in the region 
 of the heart, fourth day, evening. 155- Deep-seated and 
 
 dull pains in the chest, under the sternum. Dull pain in the 
 posterior cervical region, when moving, the neck, second 
 day, noon. In the right wrist-joint she feels an internal, 
 sharp pain which seems to be more violent externally. A 
 similar pain is felt at the left wrist, but less intense. Pain 
 from the humero-cubital articulation to the wrist. 160- 
 Numbness at the posterior and internal part of the forearm. 
 Sharp pain, and sensation of painful roughness at the fore- 
 arm, first day, evening. Pain in the right hand, from the 
 circumference to the centre. Sudden pain at the left little 
 finger, striking through the whole forearm, becoming seated 
 at the humero-cubital articulation and increasing gradually, 
 with sensation of constriction, second day, morning. Shoot- 
 ing, and itching at the internal and upper part of the fore- 
 arm, second day, morning. 165. Pains in the last fingers 
 of the right hand as if they had been struck with a hammer, 
 second day, noon. Sweat in the palm of the hands, second 
 day, evening. Twisting sensation in the scapulo-humeral 
 articulation, when stooping, third day. Sense of paralysis 
 in the forearms and the phalangeal articulations, the fingers 
 feeling numb, third day, evening. Heat in the skin of the 
 arm, as if slightly burnt, after rubbing the hand over it. 
 170. Slight crampy pain in the tendons of the palms of the 
 
PETIVERIA TKTRANDRA. 177 
 
 hands, and in the forepart of the wrist. Similar pain in the 
 tendons of the ring-fingers, sixth day. Renewed crampy 
 pain in the hands, ninth day. Cramp in the right ring-finger, 
 tenth 'day. Slight cramps in the hands, twelfth day. 175- 
 Numbness from the knee to the sole of the foot, where it 
 becomes seated, first day, noon. Weakness and numbness 
 of the legs, especially when rising, first day, after 12 in the 
 day-time. Weakness in the legs and knees when stooping. 
 Weakness in the legs, so that the knees give way, second 
 day, after 12. Pain at the forepart of the tibia, as from a 
 blow. 180. Contusive pain at the calf, aggravated by con- 
 tact. Dullness of the sentient faculty when lying, as if the 
 body were numb. 
 
 Fifth proven Miss Nina, 14 years old, sanguine tem- 
 perament, cheerful disposition, red face, auburn hair. 
 
 The least cause excites her mirth ; she would like to 
 sing. Regular sleep, generally longer than the three first 
 days. Drowsy all day, with frequent yawning, without any 
 desire to go to bed. Dreams which she is unable to recol- 
 lect. Lachrymation, with sensation as of sand in the eyes. 
 Urine more profuse and of a lighter color. Numbness of the 
 right arm. 
 
 Sixth prover : Mr. Cyprien Huet, 51 years old, san- 
 guine temperament, robust constitution, serious disposition, 
 red conjunctiva, weak sight, redness of the margin of the 
 eyelids. 
 
 Very gay. He laughs and sings all day. Deep sleep, 
 commencing sooner and ending later than usual, for four 
 days. Quarrelsome dreams, second day. Violet-colored 
 spots elongated horizontally, on the right hypochondrium. 
 Dull pain at a point on the hairy scalp, and pressure at the 
 occiput on the right side. 195- Boring pain at the top of 
 the forehead, second day. Contusive pain at the zygomata. 
 Violent lancinations in the upper part of the forehead and in 
 the left side of the head, for one minute, second day, noon. 
 Pain in the upper part of the left parietal bone, as if the skull 
 would split. Boring pains in the right upper lid, first day. 
 8 
 
178 BRAZILIAN PATHOGENESIS. 
 
 200. Dull pain at the right eye, as from a blow, relieved by 
 pressure, second day, noon. Slight pain in the nose. In- 
 tense and sudden itching on the dorsimi of the nose. Stop- 
 page of the right ear, with hard hearing. Contusive pains 
 in the outer parts of the orbits. 205- Sensation as of a 
 
 pustule on the cheek, of the size of a pea, for some seconds. 
 Violent itching at the same place. Sensation in the throat 
 as from swallowing some astringent substance. Borboryg- 
 mi when lying down, second day, morning. Lancination in 
 the hypochondria. 210- Mucous diarrhoea, dark-colored, 
 mixed with f<ecal matter in hard and single fragments, third 
 day. Light-colored and copious urine, second and third day. 
 Dry heat in the palms of the hands, for several days. Sense 
 of contusion in the muscles of the right forearm, at the inner 
 side between the radius and cubitus, first day, morning. 
 Crampy pain in the muscles of the right hand, especially at 
 the thumb, first day, morning. 215- Dull pain and numb- 
 ness, as is experienced when pressing the brachial nerve 
 where it passes over the internal condyle of the humerus ; 
 aggravated by contact, first day, noon. Violent crampy pain 
 in the muscles of the palm of the right hand, for five minutes. 
 Crampy pain in the left little finger. Numbness of the fingers 
 of the right hand for several hours, first day, after 12. Lan- 
 cination and heat at the tip of the right thumb, ^is if there 
 were a whitlow, extending to the first phalangeal articulation. 
 220- Heaviness and numbness of the extremities, first day, 
 evening. Contusive pain at the forearm. Itching at the last 
 fingers. Numbness of the extremities after rising from bed, 
 second day, three different times. Itching in the palm of the 
 left hand. 225- Pain in the external middle part of the 
 right forearm, as if needles were thrust in. A similar feeling 
 at the left arm, but less distinct. On rising from bed, in the 
 morning, numbness and itching at the right foot, first day. 
 Dull pain in the knee-joint and bend of the knee, especially 
 the first day. Numbness and slight itching of the right leg, 
 down to the foot, second day, noon. 230- Slight, acute 
 and circumscribed pains in the groins, repeatedly and at in- 
 tervals. Heat in the loins, second day. Dry heat all over, 
 
PETIVERIA TETRANDRA. 179 
 
 especially in the palms of the hands. General weakness, 
 every morning after rising from bed. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 MENTAL, MORAL, HEAD : \. Sad. Sad, motionless, 
 speechless. Confused ideas. Merry, disposed to sing. 5. 
 Boring pain at the top of the forehead. Lancinations in 
 forehead and left side of the hand. Splitting pain in left 
 parietal bone. Pain and head in forehead, with pressure on 
 the eyes. Numbness and compressive sensation at the head 
 as from a warm bandage. 0- Sensation as if the finger 
 were pressed on the right temple. Lancing pain in the 
 temples, shifting to the vertex where she feels a burning. 
 Pain at vertex, as from a blow. Numb pain, with pressure, 
 in the temples. Heaviness in the forehead when stooping. 
 15. Headache, with small pulse and hot face. Painful stitch 
 in forehead, worse when opening the eyes. Stabbing sen- 
 sation in right temple. Dull, beating pain in left temple. 
 Compressive pain in forepart of head. 20- Headache on 
 waking. Heaviness of the head, also at the vertex. Sense 
 of fullness in the head, as if it would split. Sense as if hot 
 water were thrown on the hairy scalp. Deep-seated pain in 
 upper part of the brain, less when walking about. 25. 
 Dull pain Jit a point on the hairy scalp. 
 
 EYES, &c. : Lachrymation and feeling as of sand in the 
 eyes. Boring pains in right upper lid. Dull pain at the 
 right eye as from a blow. Pain as if the eyes were driven 
 out. 30- Stinging under the left lower lid. Redness of 
 the conjunctiva. The flame of the candle looks yellow. 
 Eyes half closed, bloated. Weight at the eyelids, she has 
 to close them and then sees figures. 35. Dimness of 
 sight. Painful burning at the margin of the eyelids. Tooth- 
 ache. Sense of heat in the face. Itching of the dorsum of 
 the nose. 40 Nose inflamed, shining. Pain at the alae 
 nasi, followed by bloating of the dorsum of the nose. Stop, 
 page of the right ear. Report in the ears when lying down. 
 The left ear is hot and red. 
 
 MOUTH, STOMACH, &c. : 45- Stitching in the upper lip. 
 
180 BRAZILIAN PATHOGENESIS. 
 
 Dry mouth. Burning in the tongue. Flow of saliva in the 
 evening, with ash-colored sediment and granulations tasting 
 like bile. Sore throat with difficulty of swallowing saliva. 
 50- Astringent sensation in the throat. Lancinations in the 
 epigastrium and stomach. Stomach-ache, with cold feeling 
 internally. Acute pain in stomach when rising from a chair. 
 Circumscribed pains in the groins. 55. Rumbling. Lancing 
 pain in the spleen. Dull pain in bowels. 
 
 STOOL : Constipation. Slimy diarrhoea. 60- She 
 
 urinates every five minutes, with heat in the urethra. Light- 
 colored urine. 
 
 BRONCHIAL ; Cough with hoarseness. Suffocation, with 
 cold feet, in bed. Fetid breath. 65- Pain at the sternum 
 when stooping. Deep-seated pain under the sternum. 
 Tightness and beating in the region of the heart. 
 
 EXTREMITIES : Heat in the loins. Twisting sensation 
 at the shoulder-blade, when stooping. 70- Sensation in the 
 spine as if strained when lying down. Prickings at right 
 shoulder, followed by inflammatory redness. The left arm 
 feels weary and numb. Pain at left arm, with large, red, 
 inflamed spot. Burning pain at left radius. 75. Inflam- 
 matory redness at left forearm. Sense of paralysis at the 
 forearm and phalanges. Shootings and itching at the inner 
 forearm. Numbness at the inside of the forearm. Sharp 
 pain and rough feeling at the forearm. 80. Pain in the 
 
 forearm. Contusive sensation at right forearm. Pricking 
 pain at the outer and middle part of the right forearm. 
 Numbness of the right fingers. Stinging pains at the elbow. 
 $5. Numbness at the wrist with sensitiveness to contact. 
 Internal sharp pain in right wrist. Crampy pain in the palm 
 of the hand. Sweaty in the palms of the hands. Pain in the 
 fingers of the right hand, as from a blow. 90- Pain in the 
 right hand. Dry heat in the palms of the hands. Crampy 
 pain in the muscles of the right hand. Numbness of the 
 tips of the fingers. Itching and inflammatory swelling of 
 the ball of the left thumb. Cramp in the ring-finger. 95- 
 Sudden pain from the little finger to the extent of the forearm, 
 with constriction at the elbow. Darting and heat at the tip 
 
PETIVERIA TETRANDRA. 181 
 
 of the right thumb. Numbness of the lower limbs. Biting 
 sensation at right thigh, with itching and smarting after 
 scratching. Cramp in the calves, at night. 100- Numb- 
 ness of the legs, also with weakness. Contusive pain at the 
 calf. Numbness and itching of the right leg. Sudden 
 numbness of the knees. Dull pain in the knee-joint. 105- 
 Lancing pain in the metatarsal bone. Painful pricking in 
 the left fifth toe, followed by a sensation as if it would 
 turn. 
 
 SLEEP : Drowsy, yawning. Deep sleep. Drowsy after 
 breakfast and dinner. 110. Light sleep. Sad dreams 
 about sick persons. Dreams about quarrelling. Unpleasant 
 dreams. Sad dreams. H5. Dreams about dead bodies, 
 she wakes with a start and covered with cold sweat. Quar- 
 relsome dreams. 
 
 FEVER: Febrile heat, paleface, cold hands. Heat all 
 over. Dry heat all over. 120- Shuddering all over. 
 Cold feeling in the bones. Profuse cold sweat and chilliness, 
 first part of the night. 
 
 CUTANEOUS : Violet-colored spots on the right hypochon- 
 drium. Two yellow spots on the neck. 
 
 GENERAL: 125. Heaviness and numbness of the extremities. 
 Weakness every morning. The body feels insensible when 
 lying down, as if in a swoon. Prostration. Darlings through 
 the whole body, followed, by itching and violet-colored spots 
 on the arm, back and feet. 130- Numbness of the arms 
 and legs. Contusive pain in the arms and legs. Heaviness 
 of the limbs. 
 
i-82 BRAZILIAN PATHOGENESIS. 
 
 JANIPHA MANIHOT. (KUNTH.) 
 
 JAN. JATROPHA MANIHOT. (LIN.) MANIHOT UTILISSIMA (POHL.) 
 MANIOCA MANDI. 
 
 THE manioca which is cultivated, a good deal in South- 
 Amerisa, for its nutritious root, is a bush with a round 
 and ramose stem, often growing to the size of three feet 
 high. Its leaves, which are of a sea-green color, and sup- 
 ported by long petioles, are alternate, palmate, with five to 
 seven lanciolate, smooth and entire lobes. The flowers, 
 which are monoichous, form branching panicles either ter- 
 minal or axillary ; their perianth is calicoid, campanulate, 
 with five deep divisions of a light-yellow color, changing to 
 a brown at the extremity of the divisions. Flowers male, 
 ten stamens, with alternately long and short filaments inserted 
 in a fleshy disk, which, in the female flowers, surrounds the 
 base of a sub-globular ovary, with three uniovulate cham- 
 bers ; no style, but three stygmata presenting six or seven 
 thick, compressed lobes that constitute a thick and sinuous 
 mass. The roots, which are tuberculous and very big, con- 
 tain an abundance of milky juice which is very poisonous 
 when fresh, and which is extracted first by pressure and 
 
JANIPHA MANIHOT. 183 
 
 afterwards by the desiccation of the feculent portion that con- 
 stitutes the chief nutriment of the Brazilian farmer. It is this 
 juice that we employ in medicine. 
 
 On the second of July, 1845, a large quantity of this 
 dangerous liquid was expressed before the institute, and an 
 ounce of it was taken by Dr. Jo. Vincente Martins, and 
 several pupils among whom Messrs. Antonio de Souza, Dias 
 and Chedifer, seemed to be the most eager. The symptoms 
 were so violent that most of the provers were obliged to an- 
 tidote them. We trust that the devotedness of the Brazilian 
 physicians will excite a corresponding enthusiasm among 
 their brethren in other parts. 
 
 First day. 1. Eructations, at half past 6 in the morning. 
 Slight feeling of dryness in the oesophagus. Slight weight 
 in the stomach. Drowsy in the day-time. 5- Thirst. 
 Falls asleep late. Stool easier than common. Pain at the 
 velum palati. Pain in the orbits. 10- Pain in the chest. 
 Weakness of the knees in going up-stairs. Sad. Feeble. 
 Dizzy. 15. Acute pain in the left arm, at night. 
 
 Second day. Vague pain in the abdomen, while urinating, 
 at 6 in the morning. Copious light-colored, watery, felid 
 stools. Renewed ineffectual urging to stool, at 8. Appetite 
 when commencing breakfast, it suddenly ceases after taking 
 a little rnilk. 20- Sense of swelling in the left tonsil. 
 Profuse sweat during sleep, ceasing on waking. Watery, 
 greenish, fetid stools. Slight dull pains in the stomach and 
 bowels, with rumbling. Sudden pain, with lancination in 
 the urethra, above the fossa navicularis, for two minutes. 
 25- Tenesmus and pressure in the sphincter ani, with prick- 
 ing, at 3 in the afternoon. Weight in the head, especially 
 high up in the forehead, at 4 in the afternoon. Drowsy, at 
 4 in the afternoon. Distressing dreams, he wants to save a 
 child from asphyxia, but the parents refuse to have it treated. 
 Dizzy. 30- Wakes in bad humor. Trembling of the 
 knees and limbs, with violent emotion when hearing other 
 persons talk about the malady which he fears he is afflicted 
 with. Pain in the side of the chest and in the shoulders, 
 worse during motion. 
 
184 BRAZILIAN PATHOGENESIS. 
 
 Third day. Uncertain and transitory, but very acute 
 pains in the stomach. Fetid sweat in the axillae and about 
 the scrotum. 35. Doughy mouth, with bad breath. Noise 
 in the ears like that of rushing steam. Slight heat in the 
 urethra. Swelling of the ankles, rather less at night. Pain 
 in the back. 40. Pain at the left elbow. Moral and phy- 
 sical prostration. 
 
 Fourth day. Heaviness in the stomach, all night, eased 
 by placing the hands upon the part. Optical illusions. Bit- 
 ter mouth. 45. Pain in the forehead and the nasal fossae. 
 
 Fifth day. Pain at the inside of the thigh. Dreams about 
 a fire with little flames like those which were observed 
 during the examination at the institute of Rio Janeiro from 
 the tenth attenuation of the crotalus cascavella, by means of 
 the solar microscope. 
 
 Sixth day. Drowsy. Diarrhoea in the morning. 50. 
 Pain at the loins. Icy coldness of the knees. 
 
 Seventh day. Icy coldness under the shoulder-blades, in 
 bed, even when well covered. Cold feet and hands; 
 
 Eighth day. Rheumatic pain in the right thigh. 55. 
 Icy coldness in the arm, even to the marrow. The whole 
 head, especiaily the nape of the neck, is cold. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 Dizzy. Sad. Bad humor on waking. The whole head 
 and especially the nape of the the neck, are cold. Weight 
 in the head. Pain in forehead and nasal fossa. Optical il- 
 lusion. Pain in the orbits. Whizzing in the ears. Eruc- 
 tations. Thirst. Appetite at breakfast, ceasing suddenly 
 after tasting milk. Doughy mouth. Dry feeling in the oeso- 
 phagus. Pain at velum palati. Sense of swelling in left 
 tonsil. Dull pain in stomach and bowels. Weight at the 
 stomach. Tenesmus, and pressure in spincter ani, with 
 pricking. Watery, fetid stool. Ineffectual urging to Jstool, 
 Painful darting in the urethra. Heat in the urethra. Vague 
 pain in the abdomen when urinating. Pain in the side of 
 the chest, during motion. Pain in the chest. Fetid sweat 
 in the axillae. Acute pain in the left arm. Pain at the left 
 
MELASTOMA ACKERMANI. 185 
 
 elbow. Icy coldness in the arm. Cold feet and hands. 
 Rheumatic pain in the right thigh. Trembling of the knees 
 and limbs. Swelling about the ankles. Weakness of the 
 knees. Icy coldness under the shoulder-blades, in bed. 
 Distressing dreams. Drowsy. Dream about little flames. 
 Sweat during sleep. Prostration. 
 
 MELASTOMA ACKERMANI. 
 
 MELAST. TAPIXIRICA. 
 
 THIS species has never yet been described by authors. 
 It is a bush with round branches, triangular at their extre- 
 mities, and covered with a brownish bark. The leaves 
 are opposite, supported by short and hairy petioles ; their 
 limb is oval, reticulate, covered with stiff hairs, and traversed 
 on its lower surface by five thick almost parallel nerves 
 running from the base to the summit of the leaf. The 
 flowers are sessile supported by terminal axes. We employ 
 the leaves. 
 
 First day. \. In the morning, pain in the region of the 
 
186 BRAZILIAN PATMOGENES1S. 
 
 sternum. Sneezing. Heat all over. Palpitation of the 
 heart. 5- Buzzing in the left ear. Acid stomach. Pro- 
 fuse saliva. Shuddering, then sweat. Vertigo. 
 
 Second day. 10- Looseness of the teeth. Lancination 
 and prickings at the vertex. Stitches at the feet, ankles and 
 wrists. (Disappearance of an inveterate diarrhoea with colic). 
 Itching and heat at night. Tenesmus with constriction 
 of the sphincter. 15 Pain at the perinaeum. Light-colored 
 and foaming urine. Hardness of the penis, even when there 
 is no erection. Fetid urine. Digging in the teeth. 20. 
 Heat and pricking at the anus. Pricking in the urethra. 
 Weakness of the thighs. Profuse urine. Lancinations in 
 the perinaeum, the urethra and the testicles. 25. Rumbling. 
 Urine more cloudy and less foaming. Pain in the abdomen. 
 Prostration. Pale face. 30. Drowsy in the day-time. 
 Urine with white sediment. Albuminous urine. Horrid 
 pain and pulling from the perinaeum to the groin, for six hours ; 
 while seated and not passing off in any position. Violent 
 shuddering for four hours, followed by heat without sweat. 
 35. White coated tongue. Bitter mouth. Pain in the loins. 
 Red urine without smell, with bloody coagula. Headache 
 and sensitiveness of the hairy scalp. 40- (Edema of the 
 legs. Eruption on the lips, especially the upper. Internal 
 heat. 
 
SKDINHA. 187 
 
 S E D I N H A. 
 
 HERBACEOUS plant, with a slender, round and pubescent 
 stem ; the leaves are opposite, lanceolate and very sharp ; 
 their upper surface is hairy and of a darker green than their 
 lower surface, which is covered with long, silky hairs. This 
 plant is quite common in the neighborhood of Rio-Janeiro. 
 We employ the leaves. 
 
 1. Aching pain at the sternal articulation of the fourth ribs. 
 Internal itching, with desire to scratch, in the pit of the 
 stomach. Sensation in the region of the liver as if penknives 
 were thrust in. Tenesmus. 5- The urine burns like boil- 
 ing water. Restless dreams about murders, monstrous ani- 
 mals. Distress on seeing any one eat. Pain in the pit of 
 the stomach in raising one's-self. Pressure in the temples 
 and vertex. 10- Bone-pains above the eyes. Constant 
 yawning for two days. Pain in the abdomen, after dinner, 
 apparently proceeding from the pit of the stomach, with slight 
 colic. The teeth are sensitive and set on edge, especially 
 the right upper incisores. Itching in the left ear, with a 
 good deal of ear-wax. 15- Digging pain in the right lung. 
 He raises a bloody mucus. Desquamation on the back of the 
 hand, extending to the nails, where the skin becomes loose 
 
188 BRAZILIAN PATHOGENESIS. 
 
 and forms hang-nails. Itching at the pubis, Pimples and 
 itching "on the back, chest and arms. 20- Colic in the 
 evening, with incarcerated flatulence; relief is obtained by 
 the emission of flatulence. Toothache after eating, with 
 bleeding and sensitiveness of the gums. Pain in the bad 
 teeth. Headache as if from water-bubbles enclosed here and 
 there in the forehead. Sense of excoriation in the urethra. 
 25- Slight pain in urinating. Discharge from the urethra of 
 a water mixed with little mucous flocks. Heat on the back 
 of the hand as if scorched by the sun, followed by desqua- 
 mation. The gums are extremely sensitive, and the incisor 
 teeth set on edge. Ludicrous dreams ; he is pursued by cro- 
 codiles and he drives them away by sneezing. 30. Coffee 
 aggravates the symptoms; the incisor teeth are set on edge, 
 with sense of coldness in these teeth which descends from 
 time to time. Caries of an incisor tooth. 
 
 SPIGGURUS MARTINI. (Nouis.) 
 
 SriG. SPIGGURUS SPINOSA (FR. CUV.) HISTRIX SUBSPINOSUS. 
 
 THE PORCUPINE. 
 
 THIS little animal is common in Brazil where it lives on 
 trees and secures itself by means of its hind-feet, it uses its tail, 
 which is pretty long, as a means of descending. Its length, from 
 
SPIGGURUS MARTINI. 189 
 
 the muzzle to the tip of the tail, is about a foot ; the tail is 
 almost as long as the trunk. The upper parts of the body are 
 covered with sharp prickles about an inch and a half long, 
 and attached to the skin .by means of a very thin pedicle. 
 The head-prickles are white at the base, black in the middle 
 and of a yellowish-brown at the top, the dorsal prickles are 
 of a sulphur-yellow at their base. The prickles on the rump 
 and the first third of the tail, are black at their extremity. 
 All the prickles are very close together, mingled with a few 
 long and fine hairs. The lower limbs are covered with a 
 grayish fur, interspersed with little prickles ; the tail is fur- 
 nished with prickles at its upper part, and is covered with 
 stiff and black hairs ; the extremity of the tail is bare. 
 We triturate the prickles taken from one of the sides. 
 
 Prover : Jo. Vincente Martins. 
 
 First day. Took one dose of the third trituration at 8 
 in the morning. 1. Desire to vomit and nausea at the 
 sight of food, immediately. At night, sense of dryness and 
 fullness in the stomach. Very drowsy after dinner. 
 
 Second day. 5. Wakes early. Merry and quiet dreams. 
 Sense of fullness in the abdomen, at 5 in the morning, when 
 lying. Diarrhoea. Transitory pains in the toes, right temple 
 and one of the right cuspidati. 10- Pains at the lower 
 extremity of the right forearm. Pain at the right zygoma. 
 Pain at the first incisor. Bleeding of the gums. Pain in 
 one half of the head. 15- Buzzing in the ears. The knees 
 give way, likewise the tarsal joints. The toothache becomes 
 obstinate. After dinner all the pains cease, Shuddering 
 with chattering of the teeth. 20- Cough with pains in the 
 chest. Stitch in the region of the heart, left side, which 
 stops his speech for two minutes. Pain at the right arm, 
 from the hand to the elbow, as if extending the arm were 
 prevented by a string. Improvement when turning the arm 
 or lifting a weight, or moving it about ; aggravation as soon 
 as these movements cease. After breakfast, boring pain 
 through the bones of the skull. 25. Aggravation when 
 
190 BRAZILIAN PATHOGENESIS. 
 
 lying down, and improvement when walking in the open air. 
 Pains in the stomach, as if strung together. 
 
 Third day Quiet sleep with merry dreams ; in the morn- 
 ing he dreams of insects and a serpent which it was dif- 
 ficult to kill. Painful sensation at the articulation of the 
 jaw. Whizzing and buzzing from the left ear to the back 
 part of the head. 30- Long-lasting prickings at the zy- 
 goma. Very much disposed to write, in the morning, ceasing 
 after breakfast. Heaviness of the head from 10 to 11. Abun- 
 dant desquamation in the region of the whiskers and at the 
 knee. The whizzing in the ears continues. 35. Acute 
 pain in the intercostal muscles, in the evening, while riding 
 on horseback. Prickings on the vertex from time to time, 
 especially on the right side. Pain at the lower extremity of 
 the forearm. Dizziness in the back part of the head when 
 writing. Roaring in the ears, as from a distant gale. 40- 
 Bitter mouth and throat, with salt taste. Nausea, with pier- 
 cing pain in the back, for 15 minutes. 
 
 Fourth day. Boring pain through the skull-bones. Cough 
 as the day before. General weakness. 45- Drowsy all 
 
 day. Lancination in the left side of the head, through the 
 skull-bones ; inability to move the head, for three minutes. 
 When sitting or rising, lancinating pain in the right big toe 
 hindering walking, for two minutes. 50- Painful swell 
 ing of the abdomen, before dinner. Itching of the pubis 
 after taking tea. 
 
 Fifth day. Disposed to yawn, with flow of saliva. La- 
 chrymation. Stitch in the left side, for five minutes, hinder- 
 ing gaping. 55 Shootings in the epigastrium, for several 
 minutes. Pain in the left side, at the moment when he at- 
 tempted to gape. Acute pain from the left ear to the jaw, 
 for two minutes. Constriction from the neck to the dia- 
 phragm, with heaviness of the head and arms. 60- Numb- 
 ness for half an hour. Pain in the right side, for two min- 
 utes, as if a plug were thrust in. Pain in the urethra after 
 urinating, worse when stooping in order to pick up some- 
 thing. Pain around the navel. Continued swelling and pain 
 of the abdomen, down to the left groin. 65- Drowsy. 
 
SPIGGURUS MARTINI. 191 
 
 Good appetite, Nausea after dinner. Shuddering from time 
 to time. Heat and numbness of the feet. 70- Merry 
 dreams, at night. 
 
 Sixth day. Itching all over, with bleeding after scratch- 
 ing. Pain in the right arm, as if the bones were broken, 
 with inability to grasp any thing. Deafness on the left ear, 
 as if stopped. Inconsistent and capricious mood. 
 
 Tenth day. The scales on the head and in the whiskers 
 are less ; before, they were so thick that he did not feel 
 either the cold or heat, and was insensible to water. Ir- 
 ritable, he quarrels about the least trifle. Cracks between 
 the toes. Violent pain in the left kidney. Constant whiz- 
 zing in the ears. 80- The speech is sometimes embar- 
 rassed. He discovers some gray hairs. His hair falls off. 
 Every thing is disagreeable to him ; he desires to travel. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 Dizziness behind the head. Capricious mood. Every 
 thing is disagreeable to him, he desires to travel. Prickings 
 on the vertex. Darting through the left skull-bones. He- 
 micrania. Boring pain in the skull, after breakfast. 
 Heaviness of the head. The hair falls off. Lachryma- 
 tion. Deafness on the left ear. Whizzing in the ears. 
 Buzzing in the ears. Pain in the articulation of the jaw. 
 Bleeding of the gums. Pain at the right zygoma. Prick- 
 ings at the zygoma. Bitter mouth, with salt taste. Nausea, 
 with piercing pain in the back. Desire to vomit at the 
 sight of food. Drowsy after dinner. Embarrassed speech. 
 Constrictive pain in the stomach. Dry and full feeling at 
 stomach, at night. Painful swelling of the abdomen, before 
 dinner. Shootings in the epigastrium. Pain in right side 
 as from a plug. Pain around the navel. Violent pain in 
 the left kidney. Sense of fullness in the abdomen. Pain 
 in the urethra, after urinating, worse when stooping. 
 Itching of the pubis, after taking tea. Cough with pain 
 in the chest. Stitch at the heart. Constriction from the 
 neck to the diaphragm. Pain in the intercostal muscles. 
 Pain in right arm, as if broken. Pains at lower end of the 
 
192 BRAZILIAN PATHOGENESIS. 
 
 right forearm. Pain at the right arm, as if the stretching 
 were prevented by a string. The knees give way. Heat 
 and numbness of the feet. Cracks between the toes. 
 Lancing pain in the right big toe. Yawning. Morning- 
 dream about a serpent. Merry dreams. Shuddering. 
 Shuddering, with chattering of the teeth. Desquamation at 
 the whiskers, Itching all over, with bleeding after scratch- 
 ing. Pains in the toes, right temple. Feels better in the 
 open air. 
 
 CONVOLVULUS DUARTINUS. (Nosis.) 
 
 CONVUL. DUART. CALONYCTION SPECIOSUM. (D. C.) . IPOMEA 
 
 BONA NOX. (LINN.) CONVOLVULUS PULCHERRIMUS. (WELL.) 
 
 MORNING-GLORY. 
 
 THIS is a climbing plant, cultivated in America and 
 Europe. Leaves large, entire, corda c, alternate, on long 
 petioles, generally arising from the axil of the flower-bearing 
 branches. Calix with five unequal folioles, the three outer 
 ones sharp, the two inner ones oval and foliaceous. Corol 
 white, large expanding into a large circular limb. Stamens 
 five, adhering by their filaments to the tube of the corol 
 which is shorter than the stamens. Anthers linear acuminate. 
 
CONVOLVULUS DUARTINUS. 193 
 
 The base of the ovary is surrounded by a glandular disk ; 
 style very long, filiform, terminated by a shaggy, bilobate 
 stygma ; fruit with a coriaceous tegument. There are two 
 or three flowers on the flower-bearing pedicels ; they 
 resemble a trumpet in shape, whence their Brazilian name 
 " herva trombetta." This plant blossoms in the summer- 
 months. We employ the flower. 
 
 Prover : Dr. Manoel Duarte Moreira. 
 1. Heat and burning of the skin all over, with prickings 
 like the stings of insects. Profuse sweat in bed, several 
 nights in succession. Red spot on the right cheek when 
 rising from bed, it disappears in the course of the day. 
 Shuddering in the day-time, several different times. 5- 
 Small red spot in the right side of the neck. Drowsiness in 
 the evening, in three provers. Prostration, in two provers. 
 Dreams about quarrels. 10- Reveries in the day-time. 
 Dreams about dead persons and about the incisores falling 
 out. Dreams that one flies along an illuminated street; ap- 
 pearance of a ghost ; waking with a start. Languor. Sink- 
 ing of the moral strength, in two provers. 15. Hypochon- 
 dria. Mental languor. Discouragement. Pain in the left 
 temporal region, in relation with the eye. Pain at the right 
 cheek. 20. Pain in the frontal region. Dizziness, jn 
 three provers. Pain all over the head, especially along the 
 median line. Pain in the frontal region, with heat at the 
 root of the nose, in three provers. Two small spots on 
 the forehead, disappearing in a few minutes. 25- Pain 
 in the whole head, from the morning until 5 o'clock in the 
 evening. Acute pain in the left temporal region, in the 
 morning, on two consecutive days, in two provers. Head- 
 ache, at times at the vertex, at others at the occiput. Pain 
 in the temples. Violent pain at the vertex, evening. 30- 
 Pressure in the frontal region. Headache on the left side. 
 Heaviness and dizziness in the frontal region, two days in 
 succession. Burning in the frontal region, ceasing after 
 taking a cold bath. Violent pain at the vertex, morning. 
 35- Vertigo with fainting. Slight pain at the vertex. In- 
 9 
 
194 BRAZILIAN PATHOGENES18. 
 
 flammation of the left eye. Dark redness of the face. 
 Slight heat in the upper part of ihe oesophagus. 40. 
 Sore throat for eight days. Sense of swelling at the tongue. 
 Toothache. Swelling of the gums. Bad taste in the mouth. 
 45. Spitting up of mucus. Heat and dryness at the anterior 
 and superior part of the oasophagus, in three provers. Slight 
 pain on each side of the thyroid cartilage. Appetite when 
 rising in the morning, in two provers. Stomach-ache for 
 three days. 50- Decrease of the appetite. Pain in the 
 abdomen, with internal heat. Violent colic with pulling, in 
 two provers. Constipation, the first days, in eight provers. 
 Red urine. 55. Yellow sediment in the urine. Numb- 
 ness of the left scapular region. Pain at the left shoulder. 
 Numbness of the arm, worse when hanging down. Numb- 
 ness of both arms. 60- Deep-seated pain in the left 
 forearm. Numbness of the right index- and middle-finger. 
 Pain in the left wrist-joint. Deep-seated pain under the 
 right breast. Pain at the right knee. 65. Deep-seated 
 pain in the calves. Pain at the forepart of the left leg, for 
 four days. Laming pain of the legs and thighs for several 
 days. Deep-seated pain, first in the left, then in the right 
 thigh. Numbness of the left leg and heel. 70- Shooting 
 stitch in the right knee. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 MENTAL, MORAL, HEAD : 1. Vertigo with fainting. Dizzi- 
 ness. Pain all over the head. Headache, at the vertex and 
 at times at the occiput. 5. Pressure in the frontal region. 
 Burning in the frontal region. Pain in the left temporal 
 region, also acute. Pain in the frontal region, also with 
 heat, at the root of the nose. 
 
 EYES, &c. : Inflammation of the left eye. 10- Swelling 
 of the gums. 
 
 MOUTH, STOMACH, &c. : Sense of swelling at the tongue. 
 Sore throat. Heat in upper part of the esophagus. Bad 
 taste in the mouth. 15- Decrease of appetite. Stomach- 
 ache for some days. Pain in abdomen, with internal heat, 
 Colic, with pulling. Constipation. 20. Red urine. Yel- 
 
BUFO SAHYTIENSIS. 195 
 
 low sediment in the urine. Deep-sealed pain under the 
 right breast. Pain on each side of the thyroid cartilage. 
 Numbness of the left scapular region. 
 
 EXTREMITIES : 35- Pain at left shoulder. Deep-seated 
 pain in left forearm. Numbness of the index- and middle- 
 finger. Numbness of the arms. Deep-seated pain in the 
 calves. 30- Laming pain of the legs and thighs. Deep- 
 seated pain in the thighs. Numbness of the left leg and 
 heel. Shooting stitch in the right knee. 
 
 SLEEP : Quarrelsome dreams. 35- Reveries. Dreams 
 about dead persons and about teeth falling out. He dreams 
 that he is flying along an illuminated street. Burning of the 
 skin all over, with stinging. Profuse sweat in bed. 40. 
 Shuddering, repeatedly. Red spot on the right cheek, when 
 rising from bed, also on the neck. Prostration, also moral. 
 
 BUFO SAHYTIENSIS. (Nouis.) 
 
 BDFO. BUFO AGUA (LAT.) TOAD. 
 
 THIS toad is found all over America ; it inhabits swamps 
 and marshy regions. It is as big as two fists, though its size 
 varies a good deal. It is readily known by its enormous 
 rhombo'idal parotids, whence it sends forth a large quantity of 
 
196 BRAZILIAN PATHOGENESIS. 
 
 poison. Its head is flat, triangular, more large than long; it 
 shows a strong osseous edge, commencing at the tip of the 
 muzzle, thence stretching towards the inner angle of the eye, 
 round this organ, and finally terminating behind the lids. 
 The eye and the tympanic wall are very large. The trunk, 
 which is very large anteriorly, in consequence of the large 
 development of the parotides, is covered, on each side of the 
 dorsal spine, with two irregular rows of large elliptical or 
 conical bladders ; sometimes there are such bladders on the 
 sides. The anterior extremities do not reach to the end of the 
 trunk ; the posterior extremities reach beyond the muzzle by 
 the length of the fourth toe. The toes are rather flattened ; the 
 first toe is longer than the second. Its colors are various, 
 consisting of a number of brown spots, which coalesce on the 
 back, and are separated on the abdomen by yellowish dots. 
 
 The horrible croaking of these animals is well known, and 
 might rouse the indignation of the most phlegmatic individual. 
 
 By exciting the animal, we caused it to spirt its saliva, 
 which we collected on a little sugar of milk, and at once pre- 
 pared, by trituration. 
 
 Prover : Bruno VidaL 
 
 First day. 1. Extreme heaviness of the head, at 2. Aver- 
 sion to work, with inability, the whole afternoon. 
 
 Second day. Pain at the sacrum, worse when rising, 
 stooping or sitting. Almost continual expansive pressure in 
 the orbits, and sensation of internal itching ; he is obliged 
 to rub his eyes with the palm of his hand. 5. Itching at 
 the pubis. Itching at the face. Violent itching at the lips. 
 
 Third day. Pain at the inner part of the right knee. Easy 
 stool. 10- Itching, almost all over. Not disposed to 
 study. Less active than usual. Expansive pressure and 
 itching in the orbits. The pain at the sacrum continues. 
 
 Fourth day. 15- The pain at the sacrum is less ; the pain at 
 the knee has ceased. Expansive pressure and itching in the 
 orbits. Itching almost all over. Constant erections with- 
 out desire ; not disposed to intellectual labor, not very active 
 
 Fifth to tenth day. Laziness of mind as before. 20 
 
BUFO SAHYTIENSIS. 197 
 
 Constant erections, but no desire. Itching and expansive 
 sensation in the orbits. 
 
 Eleventh day. No sleep. 
 
 Twelfth day. Prickling at the right big toe. 
 
 Thirteenth day. Crampy pain at the outer side of the 
 right leg. 25- Red pimple, which breaks and leaves a 
 
 black spot in its place. Pricking in the pit of the stomach. 
 Pinching at the inside of the left elbow. 
 
 Fourteenth to fifteenth day. Pressure at the cartilages of 
 the false ribs. Loathing of study. 
 
 Seventeenth to eighteenth day. 30- The eyes are red and 
 smart. A former fungus bleeds. The orbits feel larger, and 
 as if they were in contact with the orbital walls. Aversion 
 to work. He is apt to forget things which he had been oc- 
 cupied with a moment ago. 
 
 Nineteenth day. 35- The eyes smart and are painful 
 when touched. 
 
 Twentieth to Thirty-fifth day. Careless. Lazy and dis- 
 couraged. No disposition to work. Weak memory. 40. 
 The upper portion of the orbits seems to be in contact with 
 the orbital walls, especially at night. He is obliged to rub 
 his face in the morning. Formication of the lower jaw. 
 Itching at the lumbar vertebrae. Itching at the anus. 45- 
 A black spot on the right outer ankle, which had remained 
 after a pimple, continues. 
 
 Thirty-sixth day. Large red pimple on the occiput. 
 
 Thirty-eighth day. Very gay in the evening. Disposed to 
 talk about merry things. 
 
 Thirty-ninth day. Gay. Lively. 50- The pimple at 
 the nape of the neck remains. Itching at the lumbar ver- 
 tebrae. Pain in front of the lobule of the left ear. Ganglion 
 on the sole of the right foot. Excoriation of the left masseter 
 muscle, discharging a little sanguinolent humor. 55- 
 Heaviness of the head after a walk. The eyes smart and 
 are painful when touched. Sleeps for an hour, in the middle 
 of the day, contrary to habit. Sad, he avoids company. He 
 is unable to act with decision, he forms projects and does not 
 accomplish them. 60. Tingling in the lumbar region. 
 
 
 
198 BRAZILIAN PATHOGENESIS. 
 
 Dreams every night, does not recollect his dreams on waking. 
 Pressure on the right side of the forehead. Taciturn and 
 gloomy. Painful sensation under the false ribs. 65- Itch- 
 ing at the sacrum. (Sense of weakness in the whole left 
 side of the head.) Prickings in the tips of the fingers of the 
 right hand and the left toes. Pimples on the forehead. 
 Weakness of mind and memory, less in the evening. 70 
 Acute lancinations in the left temple. Acute pain in the 
 right wrist. Continual headache. Pain in the extensor 
 muscles of the right arm. Pimple on the right wrist. 
 75- Violent itching. Drowsy. Poetical and philosophical 
 dreams. Exalted imagination. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 1. Sad, he avoids company. Exalted imagination. In- 
 dolence of mind. Merry and talkative. 5- Pressure on 
 the right side of the forehead. Darting in the left temple. 
 Heaviness of the head. Expansive pressure in the orbits, 
 and sensation of internal itching. The eyes are red and 
 smart. 10- The orbits feel larger, and as if in contact 
 
 with the orbital walls. Formication of the lower jaw. 
 Violent itching at the lips. Itching of the pubis. Erections 
 without desire. 15- Pain under the false ribs. Tingling 
 in the lumbar region. Pain at the sacrum, worse when 
 rising. Itching at the lumbar vertebrae. Prickings in the 
 tips of the right fingers. 20- Acute pain in the right 
 
 wrist. Pain at the right knee. Prickling at the big toe. 
 Poetical dreams. Red pimple, leaving a black spot after 
 breaking. 25- Excoriation at the left masseter muscle- 
 Aversion to work. Itching all over. 
 
JACARANDA CAROBA. 199 
 
 JAOARANDA CAROBA. (D.C.) 
 
 JAC. BIGNONIA CAROBA. (WELL.) 
 
 THIS is a tree with white wood, the ramose top of which 
 attains a height of from 20 to 28 feet. Leaves pennate, 
 tri- or quadrijugate, composed of from five to nine opposite, 
 sessile, glabrous and oval folioles. Flowers large, violet- 
 colored, on pedicles that are expanded at their extremities, 
 and forming ramose terminal panicles. Calix tubulous, with 
 five teeth, corolla tubulous, slightly pubescent externally, and 
 expanding at its summit into a limb with five obtuse divisions. 
 Stamens five, one of which is rudimentary ; ovary avoid, 
 surmounted by a simple style terminating in a bilamellary 
 stygma. The husks are linear and fiat. The caroba is very 
 common in Brazil, in gardens and on plantations ; it blos- 
 soms in September. We employ the flower. 
 
 Several varieties of the caroba are used in Brazil for the 
 treatment of syphilitic diseases. For our provings we have 
 selected the Jaracanda caroba, which has furnished results 
 
200 
 
 BRAZILIAN PATHOGENESIS. 
 
 as complete as could be desired. We consider this drug of 
 great importance in the treatment, of chancres. 
 
 First day. 1. Stitch at the heart ; the heart seems to beat 
 slowly in placing the hand upon it, at 9 in the evening. 
 Stitch and pulling below the stomach, on the right side, at 
 midnight. Dryness and pricking all over. 
 
 Second day. No sleep at night and drowsy in the day- 
 time. 5. Dry mouth, in the morning, in bed. One does 
 not feel any longer the beats of the heart, in the morning, in 
 bed. The heart beats regularly again after going into the 
 open air. Painful stitch at the heart, almost constantly. Full 
 and slow pulse, in the morning, in bed. Weary while talk- 
 ing. 10- Drawing pain on the right side, from the axilla 
 to the false ribs, at 9 in the morning. Dull pain under the 
 sternum, in raising the head and drawing breath. He eats 
 little, though his appetite is good, at 9 in the morning. Gene- 
 ral weakness, in the morning. Slight pain at the articula- 
 tion of the second phalanx of the fingers of the right hand, 
 at half past 9 in the morning. 15- Weakness of the legs. 
 Pain as if bruised in the right knee, while walking, at 10 in 
 the morning, of short duration. Sense as if bruised in the 
 muscles and bones of the legs. Slight drawing pain from 
 the eye to the right lower jaw, followed by shuddering in the 
 same region, at 11 in the morning ; this pain recurs, chang- 
 ing to a contusive pain. Sensitiveness of the malar bone 
 when pressing on it with the finger. 20. Sensation of 
 painfulness at the apex of the heart, on the right side, at 
 noon. Hurried breathing, with sense of fullness under the 
 sternum, several times in the course of the day. Painful 
 stitch under the false right ribs, at noon. No stool. Momen- 
 tary drawing in the flexor communis dighorum, left wrist, at 
 half past 12, afternoon. 25. Pulling from the lower extre- 
 mity of the forearm to the right little finger, for one hour. 
 Weariness of the limbs, and desire to remain seated. Weak- 
 ness of the limbs- and lumbar region, at 2. Slight pain in 
 the right ribs, below, at half past 2. Painful fullness in the 
 right temple, shifting a moment after to the left temple, and 
 disappearing in the left side of the nape of the neck, in the 
 
JACARANDA CAROBA. 201 
 
 evening, in the open air. 30- Sense of fullness in tho 
 head, in the afternoon. Dull pain between the forehead and 
 right temple ; it disappears in the evening, by shifting to 
 the opposite side. Pain as if excoriated at the left side of 
 the tongue. Pulling from the lower jaw to the middle of the 
 neck, on the right side, in the evening. Fullness in the pit 
 of the stomach, with feeble, hurried breathing ; sometimes a 
 strong and long inspiration, with strong and sudden expira- 
 tion, in the afternoon. 35- Lancinating pain in the region 
 of the heart. Continued prickings under the sternum. Pain- 
 ful stitch on the left side of the navel. Sensation, while 
 walking, as of dull thorns or little pieces of straw between 
 the thighs, or as if stiff and dry moss is applied to a raw sore. 
 Itching at the anus, while sitting. 40- Pain at the left 
 elbow, striking through the whole forearm by fits and starts, 
 in the evening. Dull pain in the right wrist-joints, penetrat- 
 ing to the middle of the forearm ; a similar sensation at the 
 left arm, but slighter. Pain as if bruised in the bones of the 
 right forearm, and lancination from the wrist to the forearm, 
 at 6 in the evening. Acute deep-seated, drawing pain under 
 the left last rib, at 6 in the evening. Palpitation of the heart 
 in going up- and down-stairs, with acute pain, as if it were 
 pushed with the tip of the finger, at 9 in the evening. 
 
 Third day. 45- Doughy mouth, at 6 in the morning. 
 The heart seems to beat in the pit of the stomach, at 6 in 
 the morning ; its beats are no longer felt under the left 
 breast. The beating of the heart recommences during mo- 
 tion, but is slow and feeble. Noise in the ears, like the 
 flapping of the wings of a butterfly, at 8 in the morning. 
 Sneezing and fluent discharge from the nose, at half past 8 in 
 the morning. 50- Itching at the left commissure of the 
 lips, at 9 in the morning. Fatiguing drawing pain in the an- 
 terior cervical muscles, extending to the right ear, at half 
 past 9 in the morning. Colic ; flatulence shifts about in the 
 abdomen, followed by emission of inodorous flatulence, at half 
 past 9 in the morning. Painful stitch in the integuments of 
 the abdomen, between the navel and the pit of the stomach, 
 a little on the right side, at 10 in the morning. Dull pain 
 9* 
 
202 
 
 BRAZILIAN PATHOGENESIS. 
 
 above the wrist and in the radius, at half past 10 in the 
 morning. 55- Dull crampy pain in the right elbow, shift- 
 ing afterwards to the left elbow. Pain as if bruised in the 
 right side, at a quarter of 11 in the morning. Painful stitch 
 at the heart, shifting at once to the other side, as if one had 
 two hearts, at 11 in the morning. Extensive aching pain 
 from the right upper part of the forehead to the eye, at noon. 
 Slight pain in the right temple, as if several dull points were 
 pressed upon it at the same time ; dull pain in the right orbit. 
 60. Coryza at half past 12. Mouth dry and doughy. Sen- 
 sation in the skin as if grasped, on the right side of the navel, 
 at one in the evening. No stool. Lancination from the 
 elbow to the middle of the forearm, thence to the left wrist, 
 from 9 to 3 in the evening. 65- Stoppage of the nose, at 
 3 in the evening. Boring pain at the right external carotid, 
 at half past 3 in the evening. Vertical pullings above the 
 pit of the stomach, at 4 in the evening. 
 
 Fourth day. Stiffness of the loins and pain in the abdomen 
 and hypochondria as if bruised, at 6 in the morning. Soft 
 and easy stool, (previous to the proving the stools were gene- 
 rally hard and painful.) 70. The inflammation of the 
 anus has disappeared. Coryza, with heaviness and weari- 
 ness at the vertex, forehead and eyes, at 9 in the morning, 
 Coryza, with digging, lancinating pain in the left side of the 
 forehead, corresponding to the palatine arch of the same side, 
 at noon. Dry lips, mouth and tongue. Intense itching be- 
 tween the left ring- and little finger, and a red, itching spot 
 on the second phalangeal joint of the ring-finger. 75- A 
 red spot, with a yellowish pellicle and itching at the forepart 
 of the wrists, at noon. Heat at the left ear, with burning 
 digging pain extending to the left nostril, at half past 2 in the 
 evening. Sensation as if the left ear were stopped up, at 
 half past 3 in the afternoon. 
 
 Fifth day. The coryza has ceased. 
 
 Sixth day. 80. Dreams about objects, which he defends 
 courageously against thieves, who lay a thousand snares for 
 him ; also about unknown fruits, which he desires to taste, but 
 which disappear immediately. Dull pain at the outer side 
 
JACARANDA CAROBA. 203 
 
 of the right eyebrow, passes off in the open air. Acute pain 
 in the left testicle, when walking. A good deal of appetite. 
 Rheumatic pain in the right knee, it disappears by motion. 
 85. Slight pinching at, the extremity of the prepuce. Dull 
 pain in the right temporal region, at 10 in the morning. 
 
 Seventh to thirteenth day. Slight pains in the left testicle 
 when walking, or by the pressure of the clothes. 
 
 Fourteenth day. Heat and swelling of the scrotum, near 
 the left groin, with pain when rubbing or touching it. Slight 
 suppuration between the glaris and prepuce, on the right side. 
 
 Fifteenth day. 90- The swelling of the scrotum is less, 
 the suppuration of the glans worse. 
 
 Sixteenth day. Itching at the forehead, as if mosquitoes 
 were walking about there. 
 
 Eighteenth day. The swelling of the scrotum has disap- 
 peared, the testicle is less painful ; the suppuration has 
 spread to the outer side of the prepuce, without affecting the 
 glans. Swelling of the right groin which is painful when 
 touched. Pain as from a plug pressing perpendicularly 
 against the forehead, right side. 95. Violent sneezing. 
 Dreams about a frightful storm, with smashing and burning of 
 palaces, or crushing gigantic mountains, from which issue 
 columns of smoke. 
 
 Nineteenth day. Profuse watery discharge from the nose. 
 Food tastes flat or acid, sugar-water tastes like vinegar. 
 
 Twenty-first day. Acute pain in the prepuce, as if a 
 small bundle of fibres were seized. 100- Prickling at the 
 prepuce. Profuse discharge of a yellowish white liquid 
 from the prepuce, smelling like ordinary pus. Heat and pain 
 of the penis, the inflammation being worse in bed. The 
 prepuce cannot be drawn back. General malaise, nausea, 
 debility. 105- The swelling of the scrotum has entirely 
 ceased. The testicle remains a little swollen and painful. 
 (The excrescence at the anus has considerably decreased for 
 eight days past.) Dreams about combats, dead persons ; he 
 picks up very small heads, which had been partially calcined 
 on a pan with coals ; these heads opened their eyes and spoke 
 to him in an angry tone. 
 
204 BRAZILIAN PATHEGENESIS. 
 
 Twenty-second day . The pain and inflammation of the pre- 
 puce are less. HO. The pain in the testicle keeps de- 
 creasing. Very weary in the evening, he has to lie down. 
 The suppuration and inflammation of the prepuce augment in 
 the evening, the whole prepuce is affected. Itching at the 
 scrotum. 
 
 Twenty-third day. Acute pain, with lanciriations at the 
 anus, as if a large needle were stuck in three or four 
 times. 115. Prostration ; a trifling exercise fatigues him 
 and compels him to lie down. Weariness of the knees. 
 Sensation of a greenish-yellow pus from the prepuce. 
 
 Twenty -fourth day. Profuse secretion of a greenish-yel- 
 low liquid from the prepuce. The internal membrane of the 
 prepuce is inflamed. 
 
 Twenty-fifth day. 120. Itching at the anus, in the morn- 
 ing. The inflammation of the prepuce is less on the right 
 side, it shifts to the left. Itching and prickling at the 
 margin of the prepuce. Emission of a light colored urine, 
 four or five times a day. 
 
 Twenty-sixth day. The inflammation on the inner side 
 of the prepuce has ceased, whereas the margin has become 
 inflamed over night ; and it is raw and bleeds here and 
 there. 125 The contact of the urine causes tearing 
 
 pains, which affect the whole organism, and leave a con- 
 siderable malaise behind. The nervous system, head and 
 neck are painfully affected by these pains. The orifice 
 of the urethra looks like two small lips, which are inflamed 
 on the inner side ; on touching them, a slight itching is 
 experienced there, extending to the middle of the penis. 
 
 Twenty -seventh day. ISO* Internal chilliness, as if the 
 blood would freeze in the vessels, in the open air, for fifteen 
 minutes. Erections, which the continual swelling of the 
 prepuce renders painful. Total suppression of the sexual 
 desire, with relaxation of the penis. 
 
 Twenty-eighth day. Sound sleep. The inflammation and 
 uppuration of the glans diminish considerably in the morn- 
 ing. 
 
JACARANDA CAROBA. 205 
 
 Twenty-ninth day. 135t He is able to take a long walk 
 without getting tired. 
 
 SECOND PROVING. 
 
 First day. Sense of constriction at the throat, until 
 evening. Rheumatic pain in the left shoulder-blade. 
 
 Second day. The pain in the shoulder-blade continues 
 until evening. 
 
 Third day. Restless sleep ; frightful dreams. 140* 
 Dull pains in the head, in the day-time. 
 
 Fourth day. Itching pimple at the glans, of the size of 
 half a grain of corn. 
 
 Fifth day. Restless sleep, and eccentric dreams. Painless 
 suppuration of the pimple on the glans ; with itching ; it looks 
 like a chancre. Heaviness of the head, which is painful allday. 
 
 Sixth day 145. Restless night ; sleep is frequently dis- 
 turbed, with extreme difficulty to fall asleep again. The 
 chancrous pimple on the glans has dried up ; there remains 
 in its place a red point ; the place is not painful. The 
 throat is very dry. 
 
 Seventh day. Restless at night, with uneasy and unre- 
 freshing sleep. 
 
 Eighth day. Rheumatic pain in the right calf. Restless 
 night. 
 
 Ninth day. 150 Sleep more quiet. The pain in the 
 calf continues ; it is intense and hinders walking. 
 
 Tenth day. Sore throat, with constriction of the pharynx 
 and difficult deglutition. The pain in the calf has shifted to 
 the shoulder blade, extending from the last ribs to the neck. 
 The neck is so painful that it is only with difficulty and 
 pain that the head can be turned to the right side. 
 
 Eleventh day. 155. Similar pain in the shoulder-blade 
 and neck. The constriction of the throat continues. 
 
 Twelfth day. Same symptoms as on the eleventh, but 
 less intense. No sleep at night, and drowsy in the day- 
 time. Pain in the nape of the neck. 160. Pain under 
 the sternum. Weariness and prostration. Emission every 
 night. Heat at the anus. Prickings around the anus. 
 
206 BRAZILIAN PATHOGENESIS. 
 
 165. Fever. Prostration, so that he is scarcely able to 
 speak. Dry cough. Cough, with white, watery expecto- 
 ration. Ulcers on the legs. 170 Pains in the joints. 
 Sore eyes. Pain in the right leg. Bad taste in the mouth, 
 in the morning. Headache, in the day-time. 175, Ca- 
 tarrh. Pressure at the pit of the stomach. Nausea when 
 eating. Pain in the back and chest. Acute pain at the 
 hypogastrium, when pressing upon it. 180 He wakes 
 with a start, twice in the night. He dreams loud all night. 
 Pain in the left arm, in the morning. Redness at the left 
 arm. Painful stitch under the right ribs, when drawing 
 breath, for half an hour. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 HEAD, &c. : Dull pain in right temple, as if several points 
 were pressed upon it. Frontal headache. Dull pain between 
 the forehead and right temple, shifting to the other side and 
 there disappearing. Sense of fullness in the head. Painful 
 fullness in right temple, shifting to the left and disappearing 
 in the nape of the neck. Pain in right side of forehead as 
 from a plug pressing against it. Itching at the forehead as 
 from vermin crawling about there. Heaviness of the head, 
 it aches all day. Sore eyes. Flapping in the ears as of 
 wings. Stoppage of the left ear. Heat at the left ear, 
 with burning digging pain extending to the left nostril. 
 The malar bone is sensitive to pressure. Drawing pain 
 from the eye to the right lower jaw, followed by shudder- 
 ing in the same region. Sneezing and fluent coryza. 
 Coryza, with heaviness and weariness at the vertex, fore- 
 head and eyes. Coryza, with digging and lancing pain in 
 left side of forehead. He dreams about fighting with 
 thieves. Catarrh. 
 
 GASTRIC, &c. : Food tastes flat or acid. Bad taste in 
 the mouth, in the morning. Nausea when eating. Dry 
 mouth, in the morning, in bed. Raw pain at left side of 
 the tongue. Mouth dry and doughy. Sore throat with 
 constriction of the pharynx and difficult deglutition. Con- 
 strictive sensation at the throat. Stitch and pulling below 
 the stomach. Fullness in pit of stomach, with hurried 
 
JACARANDA CAROBA. 207 
 
 breathing. Pulling from above downwards in the pit of 
 the stomach. Pressure at the pit uf the stomach. Bruis- 
 ing pain in right side. Painful stitch in the integuments 
 of the abdomen, between the navel and the pit of the 
 stomach. Colic with flatulence. Acute drawing pain under 
 the left last rib. Painful stitch on the left side of the navel. 
 Swelling of the right groin, painful when touched. Sen- 
 sation on right side of navel, as if the skin were seized. 
 Acute pain at the hypogastrium when pressing upon it. No 
 stool. Soft and easy stool. Itching at the anus while sit- 
 ting. Heat at the anus. Prickings around the anus. Acute 
 pain with lancination in the anus. Excrescence at the 
 anus. The orifice of the urethra looks like two small in- 
 flamed lips, itching when touched. Heat and pain of the 
 penis. Discharge of a yellowish white liquid from the pre- 
 puce. Prickling in the prepuce. Pain in prepuce, as if a 
 small bundle of fibres were seized. The prepuce cannot be 
 drawn back. Suppuration between the glans and prepuce. 
 Acute pain in left testicle when walking. Heat and swell- 
 ing of the scrotum. Slight pinching at the prepuce. 
 Emission every night. Itching pimple at the glans, suppu- 
 rating like a chancre, and leaving a red point when dry. 
 Suppression of the sexual desire. Painful erections, owing 
 to the swelling of the prepuce. The contact of the urine 
 causes tearing pains, which affect the whole organism. Itch- 
 ing and prickling at the margin of the prepuce. 
 
 CHEST: Dry cough, with white, watery expectoration. 
 Painful stitch under the right ribs, when drawing breath. 
 Drawing pain from the right axilla to the false ribs. Dull pain 
 under the sternum when raising the head and drawing breath. 
 Hurried breathing, with sense of fullness under the sternum. 
 Painful stitch under the false right ribs. Prickings under the 
 sternum. Pain at the apex of the heart. Lancing pain in the 
 region of the heart. Palpitation in going up- or down-stairs, as 
 if pushed with the tip of the finger. Sensation as if the heart 
 beat in the pit of the stomach. Painful stitch at the heart, 
 shifting to the right side. Stitch at the heart, which seems 
 to beat slowly. The beats of the heart are not felt in the 
 
208 BRAZILIAN PATHOGENESIS. 
 
 morning, in bed. Drawing pain from the front part of the 
 neck to the ear. Pulling from the lower jaw to the middle 
 of the* neck. Boring pain at the right external carotid. The 
 neck is so painful that the turning the head is difficult and 
 painful. Weakness of the lumbar region. 
 
 EXTREMITIES : Rheumatic pain in left shoulder-blade. 
 Pain in the back and chest. Pain in the left arm, in the 
 morning. Redness at the left arm. Dull crampy pain in 
 right elbow, shifting to the left. Pulling -from the forearm 
 to the right little finger. Pain from the left elbow through 
 the forearm. Bruising pain in the bones of the right 
 forearm, with lancination. Dull pain from the wrist-joint 
 to the middle of the forearm. Red spot with a yellowish 
 pellicle on the wrists. Drawing in the flexor communis 
 digitorum. Red, itching spot on the ring-finger. Sense 
 as of thorns between the thighs when walking. Ulcers 
 on the legs. Pain in the right leg. Weakness of the. legs. 
 Bruising pain in the legs. Rheumatic pain in the right calf. 
 Rheumatic pain in right knee, disappearing by motion. 
 Bruising pain in the right knee. 
 
 SLEEP: No sleep at night. Dreams about a frightful 
 storm, mountains from which smoke issues, &c. Rest- 
 less sleep, with frightful dreams. Dreams about combats, 
 calcined head, which spoke to him angrily, &c. Loud 
 dreams. Fever. Internal chilliness. Dryness and 
 prickings all over. Weariness of the limbs. Weakness in 
 the morning. Weary while talking. Malaise, nausea, de- 
 bility. Stiffness of the loins, and bruising pain in the abdomen 
 and hypochondria. Pains in the joints. Prostration ; he is 
 easily tired. Weary in the evening. 
 
CANNA ANGUSTIFOLIA. 
 
 209 
 
 CANNA ANGUSTIFOLIA. 
 
 C. ANG. CANNA GLAUCA. PORTUG. : IMBIRI. 
 
 THIS plant inhabits damp regions, or the borders of brooks. 
 Its stem is erect, cylindrical, growing to a height of about 
 six feet out of a rhizoma sending off numerous rootlets. It is 
 provided with knots, whence arise large alternate clasping 
 leaves, whose lanceolate limbs have strong midribs, sending 
 off fine parallel transverse nerves. At its summit the stem 
 bears the flower-bearing pedicels. Flowers alternate, on 
 short peduncles, and accompanied by bracts. The corol has 
 
210 
 
 BRAZILIAN PATHOGENESIS. 
 
 a double perianth, with three divisions adhering to the trian- 
 gular, greenish arid glandular ovary ; the stamens present 
 the changing characters so common in this family. We use 
 the leaves. 
 
 An infusion of the leaves was recommended for the lepra ; 
 but this empirical application of the drug has been abandoned. 
 1. Whitish expectoration in the morning. Numbness at the in- 
 step. He dreams about doctors, treatment. Vertigo on waking. 
 5. Heat at the anus. Lancinations at the feet, legs and hands. 
 Pain in the chest. Swelling of theifingers. Weakness of sight. 
 10- Itching of the skin. Weariness in the chest. Peeling 
 off of the skin. Roughness in the throat. Excited sexual 
 desire. 15. Too sudden emission of the semen, and with- 
 out thrill. Heat at the ears. Constipation. 
 
 HEDYSARUM ILDEFONSIANUM. (Nouis.) 
 
 BED DESMODIUM. PORTUO. I AMOR DO CAMPO. BARBA DE BOI. 
 CARAPICHO. BNGL. : BURDOCK. 
 
 THE brownish and ligneous stem of this plant is about 
 three feet high ; it is ramose, pubescent, especially above. 
 
MYRISTICA SEBIFERA. 211 
 
 Leaves alternate, pennate, trifoliate ; folioles oval and slightly 
 tomentose, on a hairy, bistipulate petiole. The flowers which 
 are small arid seated on filiform, unifloral peduncles, form 
 loose, terminal spikes. Fruit oval, hairy, on bent peduncles, 
 and attaching itself very intimately to clothes and to the 
 hairy skin of animals, on which account the Brazilians call 
 it barba de boi. 
 
 1. Painful tearing from the loins to the navel. This pain 
 is less on the second day. Sudden appearance of a yellowish 
 discharge from the urethra. No sleep for several nights. 
 5. Itching of the penis. Pain and pricking at the eyes. The 
 ringers contract with pain. Redness and smarting at the 
 penis. Diarrhoea. 10- Profuse urination. Pain in the 
 upper and lower limbs. Smarting in the eye, with lachryma- 
 tion. Redness of the sclerotica. Fever and rheumatic pains. 
 15- Constipation. Painful swelling of the penis, with 
 erysipelatous inflammation. Thin stream of the urine, in 
 consequence of the glans beling swollen. 
 
 MYRISTICA SEBIFERA. (SWARTZ.) 
 
 MYR. VIROLA SEBIFERA (AUBLET). PORT. I UCUUBA. 
 
 THIS is a tree of some height, the trunk and branches of 
 which are covered with a thick, brownish and reticulate bark. 
 
212 
 
 BRAZILIAN PATHOGENESIS. 
 
 Leaves alternate, oblong, cordate, rather lomentose on their 
 lower surface, and supported by short petioles. Flowers in 
 tufted panicles, ramose, arising from the axil of the leaves or 
 the extremities of the branches ; they are dioi'chous, with a 
 simple, urceolate perigone having three divisions. Male 
 flowers with six stamens, the filaments of which are attached 
 to each other, and are inserted in a glandular disk. The 
 female flowers are smaller, one unilocular, ovary, style want- 
 ing, stygma bilobed. Capsular berry, with two valves, con 
 taining an oleaginous seed, surrounded by an aril crenated 
 above. This tree is found in the provinces of Para and Rio- 
 Negro. We use the red juice which is acrid and very poi- 
 sonous and is obtained by cutting into the bark. 
 
 First day. 1. Vertigo from right to left, on waking in the 
 morning. Difficulty of swallowing the saliva. Constriction 
 of the isthmus of the pharynx ; this pain increases progres- 
 sively. Pain and pressure from within outwards at the right 
 frontal eminence. 5. This pain intermits now and then 
 and is less in the open air. Pain in the finger-nails, with 
 swelling of the phalanxes. Painful pinching in the right calf. 
 
 Second day. Fie is unable to fall asleep in the evening, in 
 bed. Confused dreams about houses which one is building, 
 commencing at the upper stories. 10- The buccal cavity, 
 the tonsils and the upper part of the pharynx are painful to 
 contact, the soup, when chewing or swallowing it, seems to 
 make these parts sore. Burning sensation in the throat. 
 The urine is discharged less frequently. Dizziness, in the 
 morning. He is indifferent and careless in regard to his 
 business. 15. Sensation as if a foreign body, of the size 
 of a walnut, had lodged in the interior of the left inguinal 
 region, the whole morning. The face is highly colored. 
 Tingling in the left thumb-joint. Stiff hands as from squeezing 
 something in one's hands for a long time. Pain in the left 
 hand ; thirst. 20- He swallows his saliva with less pain 
 and more ease. The urine is scanty and discharged less fre- 
 quently, though he has drank a good deal; it is of a reddish 
 yellow. The pains in the hands increase when the hands 
 are joined. He is in the habit of drinking two tumblers of 
 water before going to bed, and he urinates immediately after- 
 
MYRISTICA SEBIFERA. 213 
 
 wards ; on the second day he drinks in the evening, but does 
 not urinate. Pinching at the right side of the neck. 
 
 Third day. 25. Restless sleep, he dreams about violent 
 quarrels. Marked copper-taste in the mouth, followed by 
 spitting of blood for 20 minutes. No urine since 5 o'clock in 
 the evening, on the second day. Since 4 in the afternoon he 
 has been unable to fix his mind upon any one point; he con- 
 tinually repeats in his mind a tune, which irritates him, and 
 of which he cannot rid himself. The whole mouth is painful. 
 30- Two pimples on the left cheek, they disappear in an hour. 
 Fourth day. At night, hard pressure in the sides of the 
 thorax, though this does not hinder the breathing. Restless 
 sleep, with dreams about occupations that are entirely different 
 from his ordinary business ; afterwards dreams about dis- 
 putes. Tongue white-coated and cracked. His head feels 
 heavy. 35. Stools mixed with yellow mucus. Bitter 
 mouth. Palate insensible, with loss of taste. 
 
 Fifth day. Restless sleep. Violent starting during sleep. 
 40- Pain at the frontal eminence, at noon. He is unable to 
 concentrate his attention on one object, though he has im- 
 portant business to attend to. 
 
 ARRANGEMENT ACCORDING TO HAHNEMANN. 
 
 Indifferent and careless about business. He keeps repeat- 
 ing a tune against his will ; this irritates him. Quarrelsome 
 dreams. Is unable to fix his mind. Vertigo from right to 
 left. Painful pressure at frontal eminence from within out- 
 wards. Pain at the frontal eminences. Pimples on the left 
 check. Coppery taste in the mouth. Constriction of the 
 pharynx, painful. Soreness of the mouth, tonsils and pharynx. 
 Tongue white-coated and cracked. Difficulty of swallowing 
 saliva. Sensation as if a small body had lodged in the left 
 inguinal region. Stools mixed witl? yellow mucus. Scanty 
 urine, with less frequent discharges. Hard pressures in the 
 sides of the thorax, at night. Pinching at the right side of 
 the neck. Stiffness of the hands. Tingling in left thumb- 
 joint. Pain at the finger-nails, with swelling of the phalanxes. 
 Painful pinching in right calf. Confused dreams about build- 
 ing houses. No sleep in the evening. 
 
214 
 
 BRAZILIAN PATHOGENESIS. 
 
 OCIMUM CANUM. (D. C.) 
 
 OCIM. OCIMUM INCANESCENS (MART.) OCIMUM FLUMINENSE 
 (WELLS.) PORTUG.: ALFAVACA. 
 
 THIS is an herbaceous plant having an aromatic odor, with 
 an erect and ramose stem, about 16 or 20 inches high ; it is 
 pubescent, quadrangular and grooved towards the upper 
 branches. Leaves opposite, oval, finely indented, on petioles 
 of the same length, as the limbs of the leaves. Flowers 
 whorled, forming terminal spikes ; each whorl is provided 
 with two foliaceous bracts. Calix with five divisions, the 
 upper being oval, large and entire ; the other four are sharp 
 and inferior. Corol tubulous, inverted, with a bilabiate limb ; 
 the upper lip divided into four lobes ; the lower lip composed 
 of a single lobe, which is longer. Stamens four, with free 
 and outward-bent filaments, and two other stamens, which are 
 shorter and somewhat geniculate at their base ; style filiform 
 and bifid. Root vertical, fibrous, rather ramose. We use 
 the leaves. 
 
 The ocimum canum is destined to become one of the most 
 important remedial agents in Brazil, where it is used as a 
 specific for the diseases of the kidneys, bladder and urethra. 
 
OCIMUM CANUM. 215 
 
 Those who wish to devote themselves to our art, had better 
 set about proving this drug. 
 
 1. Turbid urine, depositing a white and albuminous sedi- 
 ment. Burning during micturition. Urine of a saffron color. 
 Diarrhoea, several attacks a day. 5- Crampy pain in the 
 kidneys. Renal colic, with violent vomiting every 15 min- 
 utes ; one wrings one's hands, and moans and cries all the 
 time. Red urine with brick-dust sediment after the attack. 
 Itching at the breasts. Engorgement of the mammary glands. 
 10- The tips of the breasts are very painful ; the least, con- 
 tact extorts a cry. Compressive pain in the breast, as is the 
 case with wet-nurses. Dreams about being poisoned. Dreams 
 about her parents, friends, children. Lancinations in the labia 
 majora. Swelling of the whole vulva. 15. Falling of the 
 vagina, so as to issue even from the vulva. Thick, purulent 
 urine, with an intolerable smell of musk. Swelling of the 
 inguinal glands. Heat, swelling and excessive sensibility of 
 the left testicle. Numbness of the right thigh, for two days. 
 
216 
 
 BRAZILIAN PATHOGENE8IS. 
 
 SOLANUM ARREBENTA. (VELL.) 
 
 SOL. AR. PORTUG.: ARREBEN'TA CAVALLOS. 
 
 THIS bush grows spontaneously in the provinces of Rio 
 Janeiro, along roads and in cultivated places. It is from 10 
 to 16 inches high ; its branches which bifurcate regularly, 
 are, while young, covered with strong thorns growing from 
 above downwards. Leaves slightly pubescent, cordate, with 
 five obtuse lobes ; their nerves are furnished with a few irre- 
 gularly distributed thorns. The flowers are supported by 
 peduncles arising from the axils of the leaves in groups of 
 two or three. Calix with five parts, very prickly on the 
 outside ; corol with five divisions ; five stamens ; a style. 
 Berry red, fleshy, with two chambers, containing a large 
 number of small seeds. Roots fibrous, arising from a com- 
 mon rhizoma. We use the leaves. 
 
 1. Loss of appetite. Superficial ulceration below the left 
 
ILLICIUM ANlSATUMi 21? 
 
 nipple. Vertigo after bathing. Painful boil below the right 
 axilla. 5. Pain at the pectoralis major. Suppuration of 
 the boils. Headache. Slight fever. Swelling of the 
 stomach. 10. Difficult digestion. Urticaria. Dreams 
 
 about quarrels and murders. Waking with a start. Doughy 
 mouth in the morning. 15. Constant thirst. Impatient 
 and irritated by trifling causes. Redness of the face, and 
 rush of blood to the brain. Flash of heat all over. Paleness 
 and greenish color of 4 the skin after a few days of proving. 
 20. Swelling of the axillary glands. Lancinations in the 
 breasts. Glandular tumor in the right breast. 
 
 ILLICIUM ANISATUM. 
 
 ANISUM STELLATUM. 
 
 BOTH the illicium anisatum and the millefolium, which 
 have been introduced into our practice empirically, will un- 
 doubtedly become important adjuncts in the homoeopathic 
 materia medica, the former in gastric affections, the latter 
 in those of the chest. We publish the following symptoms 
 in the hope of facilitating their employment in the treatment 
 of disease. 
 
 1. Dizziness. Buzzing in the ears. Ringing in the ears, 
 followed by sleep. Bloating of the stomach. 5. Reten- 
 tion of urine. Pain in the loins. Bilious stools. Acute 
 catarrh. Constipation. 10- Pain in the spleen. Heat 
 from the abdomen to the stomach and chest, shifting about 
 here and there, and decreases in the course of the day. 
 15. Rumbling in the abdomen. Acid stomach. Satiety 
 after eating but little. Nausea. Uncertain pains in the 
 head. The pains are less in the evening and worse in the 
 morning. Flow of saliva. Watery discharge from the 
 nostrils. 20- The stools are compact and dark-colored. 
 Drowsy at twilight. Pain at the spleen. Heat at the navel 
 and in the oesophagus. Violent erections. Nocturnal emis- 
 sions. 25. Pains in the chest, also the left side, and feel- 
 10 
 
 
218 BRAZILIAN TATHOGENESIS, 
 
 ing of emptiness after coughing. Pain in the back and chest. 
 White expectoration. Disturbed sleep. 
 
 MILLEFOLIUM. 
 
 Second day. I. Headache as if the skull would fly to 
 pieces. Stitches in the chest. Oppression, dyspnoea. 
 Burning eyes. 5. Tongue coated and swollen. Urine 
 red, frequent and copious. 
 
 Third day. Headache less violent. Prostration. Malaise 
 in all the limbs. 10. Dry mouth. Lips [cracked. Stom- 
 ach-ache. Cough with frothy expectoration. Cough and 
 vomiting. 15. Fever with shuddering, internal and external 
 heat, for four hours. Hot fever. Thirst. Hot hands and 
 feet. 
 

 TABLE OF CONTENTS- 
 
 P*. 
 
 Introduction, 3 
 
 Crotalus Cascavella, 5 
 
 Elaps Corallinus, 22 
 
 Pediculus Capitis, 40 
 
 Eleis Guineensis, 45 
 
 Mimosa Humilis, 49 
 
 Cervus Brazilicus, 51 
 
 Guano Australis, 54 
 
 Hippomane Mancinella, 57 
 
 Hura Braziliensis, 65 
 
 Lepidium Bonariense, 101 
 
 Panacea, 115 
 
 Solanum Tuberosum ^Egrotans, 117 
 
 Plumbago Littoralis 138 
 
 Solanum Oleraceum, 142 
 
 Paullinia Pinnata, 144 
 
 Blatta .Americana, 151 
 
 Delphinus Amazonicus, 153 
 
 Amphisboena Vermicularis, 155 
 
 Aristolocliia Milhomens, 157 
 
 Resina Itu, 162 
 
 Tradescantia Diuretica 165 
 
 Murure Leite, 166 
 
 Cannabis Indica, 168 
 
 Petiveria Tetrandra, 170 
 
 Janipha Manihot, 182 
 
220 TAfeLE OF CONTENTS. 
 
 Melastoma Ackermaiii, 185 
 
 Sedinha, 187 
 
 Spiggurus Martini, 188 
 
 Convolvulus Duartinus, Morning Glory, 192 
 
 Bufo Sahytiensis, Toad, 195 
 
 Jacaranda Caroba, * 199 
 
 Canna Angustifolia, * 209 
 
 Hedysarum Ildefonsianum, (Burdock), 210 
 
 Myristica Sebifera, . . 211 
 
 Ocimum Canum, -. . . , 214 
 
 Solanum Arrebenta, 216 
 
 Illicium Anisatum, 217 
 
 Millefolium, , . 218