Chininum Sulphuricum chin-s.

NERVES. CIRCULATION. Dorsal spine.

EXACT PERIODICITY. Cold, 10-11 A.M. Head to left.

Yawning.

Neuralgias.

Sensitive. Nervous. A net, fog or mote before eyes. Tinnitus. Deafness. Brow ague. Granular, brickred, urinary sediment. Vertigo, with tinnitus (Sal-ac.). Spine (cervico-dorsal) aches, or is tender. Anticipating chills. Delirium during heat. Increasing fever and prostration, with profuse nightsweats. Profuse sweat which >, but exhausts. Thirst in all stages. Clear apyrexia. Typical malaria. Itching. Petechiæ.

Related: Chin.

Intermittent fever; paroxysms recur at the same hour every day, or every other day, or a little earlier each day; distinct stages, apyrexia, perfect.

Sulphite of Quinine

A dose of Chinin sulph in high potency sometimes arouses suppressed malaria, and brings back the paroxysm. Aside from its undoubted influence over malaria, it is indicated homeopathically whenever there is marked periodicity and spinal sensitiveness. Acute articular rheumatism. Polyarticular gout. Pruritus and congested conditions of the rectum. Symptoms of chronic interstitial nephritis. Retro-bulbar neuritis with sudden loss of sight. Thready vessels. Hiccough.

An immediate and rapid decrease in red blood cells and reduction in hemoglobin with increase in elimination of chlorides. Tendency to polynucleated leucocytosis.

Pain in forehead and temples, increasing gradually at noon, of malarial origin, with vertigo and pulsation. Worse left side. Falling in street. Inability to remain standing. Amaurosis.

Violent ringing, buzzing, and roaring in ears, with deafness.

Neuralgia commences under eye; extends into and around it. Pains return with great regularity; relieved by pressure.

Great sensitiveness of the dorsal vertebræ; pain on pressure. Last cervical sensitive. Pain extends to head and neck.

Bloody. Turbid, slimy, clay-colored, greasy sediment. Small amount of urea and phosphoric acid with excess of uric acid and abundance of chlorides, accompanied by subnormal temperature. Excessive flow. Albuminuria

Itching; erythema, urticaria, icterus, vesication, pustules, purpura. Great sensitiveness. Shriveled skin.

Chill daily at 3 pm. Painful swelling of various veins during a chill. Shivering even in a warm room. Anguish. Subnormal temperature.

Compare: Chin salicyl (Deafness, tinnitus, and Meniere's disease). Ars; Eupat; Methyl blue. Camphor mono-bromide (is said to intensify the action of Quinine and render it more permanent). Baja, an East Indian drug, (said to be almost infallible in intermittent fever, quartan type; pulsating headache injected eyes, flushed face. Liver and spleen enlarged. Œdema). Also Pambotano, Mexican remedy for intermittent and tropical fevers.

Antidotes: Parthenum; Natr mur; Lach; Arn; Puls.

First to third triturations; also thirtieth potency and higher.

Sulphate of Quinine. (C 20 H 24 N 2 O 2 ) 2 H 2 SO 4 15 H 2 O. Trituration.

Angina pectoris. Asthma. Brow ague . Cancerous ulcers. Cholera. Delirium. Diarrhœa. Dropsy. Dysmenorrhœa. Ear affections . Gangrenous and fetid suppurations. Gravel . Hæmaturia. Hæmoglobinuria. Hæmorrhages. Headache. Intermittent fever. Menière's disease. Neuralgia. Noises in the head . Parotitis. Pruritus vulvæ. Puerperal convulsions. Pyæmia . Rectum, prolapse of. Remittent fever. Rheumatism . Scarlatina. Spinal irritation. Spleen, enlarged. Typhus-fever . Urticaria. Varicose veins. Variola .

Sulphuric acid and Sulphur are themselves in the first rank of periodic remedies, and combined with the chief alkaloid of China they enhance the powerful periodic properties of that drug. In old-school practice the Sulphate of Quinine has almost entirely taken the place of the crude Bark as a remedy. Chin. sul . closely resembles China in its effects, but as it has been proved separately, and as observations of the effects of over-dosing have supplied many additional symptoms, the homœopathist has plenty of guidance in the selection of one in preference to the other. Chi. sul . is even more powerful as an antiseptic than China , and it is probable that it is in virtue of its property of antagonising the malarial poison that it suppresses intermittent fever when it does not cure. It only cures when the fever corresponds to its own type. When a fever is "suppressed" there is generally air unholy alliance between disease-force and drug-force, which is expended on some part of the organism, resulting at times in lifelong ill-health. The "Quinine cachexia" is well known — sallow complexion, emaciation, deafness and singing in the ears, enlarged spleen, disposition to shiver, and great debility. Periodicity is extremely well marked, the attacks returning at the same hour each day. In intermittents the onset may anticipate. Skin flaccid and sensitive to touch. Red rash over whole body, with severe stinging, followed by desquamation. Other prominent symptoms are: Headache extending from occiput to forehead. Whirling in the head like a mill-wheel. Twitching of left eyelid, < in the evening. Aphthæ in weakly people. Tartar on teeth. Hunger at night. Prolapse of rectum, especially in children. Hæmaturia and hæmoglobinuria. ("Black-water fever" has been developed through administering Chi. sul . in intermittents. Koch deserves much credit for showing that the worst features of African fevers are due to over-dosing with Quinine and not to the disease). E W. Sawyer ( Med. Advance , 1887) relates this instructive history: He learned from his cook that her brother (æt. 16) could not take a particle of Quinine without causing a profuse flow of blood with the urine, sometimes within half an hour, always without pain. This had followed every time his doctors had tried to "break his ague" with Quinine. A year later a farmer's wife, æt. 60, came to Dr. Sawyer to be treated for bloody urine unattended with pain or uneasiness. She attributed it to strain from walking two miles on a slippery road. She had been for months under Hygienist treatment without benefit, and was alarmingly weak from loss of blood. Rhus 200, Ham . 1x, Erig . 1x, Chi . 1x, Fer. mur . 2x were given in succession in vain. At last, calling to mind the case of the youth, he gave Chi. sul . in 1 / 16 gr. doses three times a day, and a prompt cure was effected. Chi. sul . causes painfulness and swelling of varicose veins during a chill. (Julius E. Schmitt cured a case on this last indication.) Great sensitiveness to external influences. All discharges debilitating. Weak and nervous; a little exercise = sweat from least exertion. Head gradually breaks into sweat when perfectly quiet. Chi. sul . is one of the medicines which have the "sinking sensation." Tyrrell had a patient in whom in any potency it caused her to become "deathly sick and faint, thought she would die, could not raise her head, felt she would sink through the bed ." Sacch. alb . produced in her the same symptoms, and she accused the doctor of having given her Quinine. ( Arsen . has "sinking sensation," "as if bed had gone from under her and she had alighted on the floor." Bell., Dulc., Rhus, Lach ., have "sinking through the bed.") Palpitation. Touch < ; pressure > . Wants to lie down. Motion = chilliness. Stooping = giddiness. Bending forward > . Sleeplessness and over-stimulation of nervous system.

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Indifference, stupid expression, vacant stare, averse to answering questions. θ Typhus.
Great mental depression. θ Variola.
Despondency.
Semi-consciousness, she is partly insensible to pain. θ Spinal irritation.
Unconsciousness. θ Puerperal convulsions.
Unconsciousness, with red face, deep and noisy respiration, pulse full and very slow, recurring every other day at same hour. θ Intermittent apoplexy.
Decrease of imaginative faculty, with inability to remain standing.
Anxiety, downheartedness, moroseness, despondency, laziness, lassitude, and aversion to all kinds of work. θ Cholera.
Recurrence of feeling of impending evil.
Anguish and general sweat.
Loud sobbing and weeping. θ Spinal irritation.
Delirium all night while lying quietly on his back. θ Typhus.
Delirium as if from intoxication, with humming in ears.
Furious delirium, with screaming and jumping out of bed.
Furious delirium at night, with great restlessness, followed by stupor in morning.
Delirium during heat.

Apathy, with stupid facial expression. θ Typhus.
Head heavy and giddy, he wants to lie down. θ Periodical cervical neuralgia.
Dizziness and enlarged feeling of head.
Whirling in head like a mill-wheel.
Vertigo, with buzzing in ears, difficult breathing, and sickness at stomach.

Pain in temple and forehead at noon, increasing gradually till temporal arteries throb obviously, with heat in head, tingling in ears, thirst, copious micturition, anxiety and great debility.
Frontal headache, where frontal bone verges towards top of head, a shaking pain, she feels every step, begins towards noon with chill.
Beating in vertex. θ Scarlatina.
Violent headache, particularly on left side, with throbbing of temporal arteries.
Heaviness in head as from a cold. θ Cholera.
Dull headache, with debility or with numbness.
Intermittent neuralgia at regular hours.
Intermittent headache, violent throbbing, with vertigo and heat in face, involuntary closing of eyelids from sheer prostration.
Headache with nausea, chilliness, cold feet, great prostration. θ Menorrhagia.
Violent attacks of left-sided hemicrania occurring in evening.
Headache, the pain is not severe, but day after day, and week after week, the brain is one continued ache.

Sensitiveness and tightness of scalp, and soreness of roots of hair.
Distension of veins about head and neck. θ Puerperal convulsions.

Bright lights and sparks before eyes.
Black spot, size of pin's head, about eighteen inches from r. eye, and moving with eye, for some weeks.
Dimness of vision as from a net before eyes, and once as from a dark fog. θ Typhus.
Blindness ; amblyopia ; amaurosis.
Can only see objects when looking at them sideways.
Great sensitiveness of eye to light, with lachrymation in full glare of light.
Disk and retina both very anemic.
Eyes staring and lustreless. θ Spinal irritation.
Eyes lustreless and restless.
Dilatation of pupils.
Supraorbital neuralgia occurring daily.
Neuralgic twinges in supra and infraorbital nerves generally periodic in character.
Intermittent strabismus ; child would squint one day and be entirely well on the next.
Conjunctiva injected, lids red and swollen, pupils contracted, lachrymation, extreme photophobia, tearing in orbit and headache, with thirst and fever ; all appearing every second day.
At 12 o'clock, daily, violent paroxysms of pain in and around left eye, conjunctiva inflamed, photophobia, pupil contracted, lachrymation, pressure > pain ; aggravation lasts until 8 P. M.
A sudden attack of violent pain above left eye, at 8 P. M., four days in succession, accompanied by slight delirium, muscular twitching and excessive sensitiveness to light and noise.
Violent stitching, throbbing pain in left eye, extending to forehead and temple, with photophobia, lachrymation, and inflamed conjunctiva, beginning at 1 P. M. daily, and lasting until 7, followed by perspiration. θ Intermittent.
Lancinating pain under right eye, commences at 7 A. M., lasting until after 3 P. M., when it disappears, leaving a sensation within cranium as if there was water dropping.
Peculiar dryness of eyes.
Eyes close from weariness.

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Adapted to persons of dark complexion, bilious temperament; cachectic, weakened from loss of blood.

Whirling in the head like a windmill.

Ringing in the ears, especially the left (especially the right, Cinch.).

Intermittent neuralgia, pains return with great regularity

Weak and nervous, a little exercise produces palpitation.

Spine extremely sensitive and painful to pressure, especially in the cervico-dorsal region.

Great weakness, especially of lower extremities.

"It will change an intermittent or remittent into a continued fever, and I have known it to cause typhoid and pneumonia (by suppressing the original disease)."—Hale.

Contact (dorsal vertebræ); when covered (sweats profusely).

Tertian; rarely quotidian. Every fourteen days. Each attack anticipating from one to three hours (Ars., Bry., Cinch., Nat., Nux). A perfect regularity both in the invasion and progress of the paroxysm, is always guiding.

10 or 11 A. M.; 3 and 10 P. M

All periods, except night. Variable type. Every fourteen days. Anticipating one to three hours.

Chininum sul.

10 A. M., 3 and 10 P. M. Regular paroxysms, tertian type. Anticipates two and a half hours every day.

Cinchona.

Marsh miasm; malaria. Acute intermittents of supposed malarial origin.

With thirst. Decided shaking chill at 3 P. M. (Apis, Ced.); chilliness, with paleness of the face, pain in the forehead and temples, and ringing in the ears at 11 A. M. Violent shaking chill followed by heat, then sweat for several hours. Violent chill with trembling in the limbs, so that she could scarcely walk; after going to bed she had violent heat with frequent yawning and sneezing, which was followed by a copious sweat. Violent paroxysm with shaking chill and severe pain in left hypochondrium; chilliness for an hour, with blue lips and nails (Cinch., Nux), paleness of the face and pain in the middle dorsal vertebræ; increased hunger and constipation.

Without thirst. Chill increased by drinking. External and internal coldness.

With thirst, paleness of face, lips and nails blue. Dorsal vertebræ painful on pressure.

With excessive thirst. Intense heat over the whole skin, with redness of the face. External heat, with dryness of the mouth and fauces, obstinate constipation. Heat which passes over into sweat; over whole body; which gradually breaks into sweat, while perfectly quiet (Staph.). Delirium during heat. Flushes of heat in the face, with thirst at 4 P. M. "Great enlargement of veins of arms and legs."

Without thirst. General, with distended veins, congestive headache, desire to uncover, but chilly when uncovered.

With thirst, hot, dry skin, dry mouth and fauces; flushed face; delirium. Pain in spine on pressure.

With thirst. Sweat breaks out over the whole body from time to time, even during perfect quiet. Profuse sweat on the least motion (Bry.). Sweat during the morning sleep, so profuse that the bed was soaked with it. Profuse, exhausting sweats; nightly diarrhœa (nightly diarrhœa before the paroxysm,

Puls.). Sweat often begins in latter part of hot stage, and relieves all symptoms of head and chest. (Nat.—sweat relieves all symptoms but headache, which is increased, Eup.). Drink- ing is grateful and affords relief. Most perspiration on parts pressed by clothing, back, axillary and perineal regions.

With great thirst. Sweats profusely on being covered. Night-sweat very profuse.

With great thirst. Sweats profusely during perfect quiet; morning sweat. Pain in lumbar vertebræ and sacrum on pressure.

Flabby; white or yellow coating in the centre, pale on the margin (reverse of Ant. t.). Taste bitter, with clean tongue.

Large; full during chill and heat. Weak and trem- bling at close of paroxysm, ranging from 50 to 60 per minute.

Constant excessive thirst during the entire apyrexia, which in daily fever is short, the paroxysm closely re- sembling a remittent or continuous fever. But whether it be short or long, always distinguished by great debility and prostration

(Ars.); the perspiration is exhausting (all the discharges are de- bilitating and weakening, Carbo a.). Canine hunger more marked, if possible, than in Cinchona, even in nervous enfeebled patients. Light exercise readily produces palpitation. Obstruc- tions of the portal system are especially marked, and the spleen swollen and painful. Ringing and burning in the ears, accom- panied with vertigo and a sensation of enlargement of head.

Hiccup may become a troublesome symptom in any stage, but especially in apyrexia. Urine fatty and deposits a straw-yellow, brick-dust sediment; urates in large quantities. Spine painful on pressure in all stages of paroxysm. The sensitiveness of the spinous processes of the dorsal vertebræ should be borne in mind, for Quinine acts specifically upon the spinal cord and the nerves proceeding from it.

Cinchona.

With no thirst. Sweats easily. Pain and soreness of hypochondria, worse on pressure and motion. Hepatic region swollen and sensitive. Jaundiced.

Different stages of paroxysm follow in regular succession.

Contra-indicated where there is much thirst during cold and hot stages. Perspiration always profuse, or Cinchona is contra-indicated.

Chininum sul.

With great thirst. Apyrexia short; sweat hardly ceases before chill begins again. Pain all down the spinal column on pressure. Spleen swollen and painful.

Cold stage may be long, light, irregular, or wanting in acute cases.

Contra-indicated where there is no thirst during cold or hot stages. Perspiration must succeed the heat, or will be contra-indicated.

Where the indications for any remedy are not very clear, the paroxysm incomplete but regular, Chin. sul. 30th or 200th may clear up or cure the case. The highest potencies are often antidotal when the symptoms are similar.

"In recent intermittents, there may or may not be a chill, but there must be fever, and it must be followed by sweat—and it generally is profuse and exhausting—or Quinine will be utterly useless." "As a rule, chronic, long-lasting intermittents are only aggravated by Quinine."—BURT.

The cachexia produced by long continued massive doses of Chin. sul., such as rheumatism of the extremities, chronic diarrhœa, ascites and organic disease of the liver and spleen, although now a constitutional malady, requires antidotal treatment. This may be most speedily removed by Arn., Ars., Carbo v., Fer., Lach., Nat., Puls., as indicated by symptoms of each individual case.

Samuel Swan, M. D., of New York, has reported some bad cases of quinine cachexia, cured with Chin. s. 10 m. and cm. potencies.—See last paragraph Hahnemann's Chronic Diseases,

Vol. I, p. 195–196, as authority.

Chin. s. is often indicated in intermittent fever, and when indi- cated will cure more promptly and more safely in the potencies than in the crude form. There is little doubt that it is oftener prescribed than indicated, and that it will, in a majority of cases, suppress the paroxysm—without reference to time of appearance, whether with or without chill, heat, sweat, thirst, etc., etc.—there is as little doubt. But Morphine will also suppress pain and diar- rhœa, quite as effectually as Quinine will the fever paroxysm, and the homeopathic physician, half-read or not read at all, in his

Materia Medica, "borrows both the theory and the Quinine from his allopathic brother, for the same reason that he borrows his hypodermic syringe and morphine," with which to relieve the pain and diarrhœa, viz., it is a "short cut" to palliate the pain, relieve and thus retain his patient, and avoid the necessity of studying the case. There is a wide difference between suppress- ing and curing a fever paroxysm, or any other disease. The homeopath can and ought to cure, not "break up the chill," "suppress" or "cover up" the disease. Leave the "breaking up of the paroxysm" to the allopath who invented the phrase; "rational (?) medicine" can do it "scientifically."

John Ellis, M. D., when Professor of Practice in Cleveland College, in treatment of "congestive chill," ad- vised: "That 25 or 30 grs of Chin. s. given during the intermission, will rarely fail to prevent a return, or to rescue the patient from death."

"Not that Quinine may be given in such cases, but that it must be given." Also, "That in recent cases of 'pernicious' fever, two-thirds of our patients will die in spite of any known homeopathic remedy or remedies in the ordinary doses."—

College Note Book.

L. M. Jones, M. D., of Michigan' who has had an extensive experience in the treatment of "congestive chill," on the other hand says: "It has fallen to my lot to treat a num- ber of cases of 'congestive chills,' first and last. In my early practice

I treated a few cases with Quinine, but it was not satisfactory; and since then I have relied on the attenuated homeopathic remedy, and never lost a case. Nux has been more frequently indicated in the cases I have met with than any other remedy."—Private Letter.

Dr. Lippe says: "I lived for ten years in the country, where ague prevailed, and never resorted to Quinine. I cured my cases. I have always been of the opinion that a physician who professes to be a homeopath must cure all his cases of intermit- tent fever with homeopathic potentized remedies, under the law of the similars."

I am convinced that every case of "congestive chill," like

Asiatic cholera, can be cured more safely and speedily by the potentized remedy than in any other way, if it can be cured at all; and the mortality under homeopathic treatment will never approach 66 per cent.; the record of the dominant school.

Great thirst and canine hunger; headache and debility.

Premonitory symptoms are wanting.

"I have recently made several satisfactory cures with Chin. s. Two or three of them with one dose each of the 200th, and as many others with the 6th. I think this is an important remedy with us, and that it succeeds better in attenuation than in the crude form. The crude drug never gave me such satisfaction. Some of the indications in a number of recent cases were clear intermissions, regular paroxysms, clean or tolerably clean tongue, and profuse sweats."—H. V. MILLER.

Regular paroxysm; clear apyrexia; anticipating from 1–3 hours; clean tongue; painful congestion of spine; thirst in all stages; profuse exhausting sweat.

As in Natrum and Arsenic the potencies will always cure when the remedy is indicated. We must not overlook the fact that it is in the psoric and tubercular patient that we find the obstinate and chronic types of fevers, and no amount of crude quinine or any other drug, will cure such cases, though it may suppress the paroxysm and irretrievably injure the patient.

Buoyancy, excited state; later despondency.
Feeling of impending evil; anxiety.
Memory "muddled"; lost power of naming substantives.

Whirling in the head like a mill-wheel.

Violent throbbing headache; vertigo; heat in face; closes eyelids involuntarily from sheer prostration; intermittent type of cerebro-spinal meningitis (clinical).

Disk and retina very anæmic; disk looks dry.
Dim vision, as from a net, or as from a fog.
Pupils dilated.
Eyes very sensitive to light; lachrymation in the full glare of light.
Bright light and sparks before the eyes.
Black spot size of pin's head moves with the right eye.
Intermittent strabismus.
Can see objects only when looking sideways.

Ringing in the eras; also with deafness. Menière's disease.

Pale; suffering; sickly.
Puffy face; œdematous.
Aching about left malar bone in the evening.

Mouth dry.
Tongue white; thick yellow fur on it; yellow at the root; flabby.
Saliva increased.
Taste: pasty, flat; bitter.
Speech disturbed or difficult.

Pain in the region of the liver, shortly before going to bed.
Dull pain in region of spleen, disappears on pressure.

Dysentery, the fever intermits or the evacuations exhale a gangrenous odor.

Deposit of a straw-yellow, granular, or of a brick-red sediment.

Precordial anxiety; palpitation; or heart feeble, general prostration.
Pulse full and large; weak and trembling.

Sensitiveness of last cervical and first dorsal vertebræ to pressure; also of dorsal vertebræ.
Third dorsal painful to touch, with oppression of the chest.

Weakness; trembling; power of will over limbs seems greatly hampered.
Inflammatory rheumatism, fever remitting or intermitting; joints exquisitely sensitive.

Restlessness, excessive sensibility to touch, noises.
Weakness; trembling; faintness; hunger.

Chill 10-11 A.M. and 3-10 P.M., periodical, anteponing or tertian.
Trembling of the limbs; pain in spleen; spine sensitive; face pale; thirst; lips blue; ringing in the ears.
General chilliness, especially on the back.
Extremities, also nose, chin, cold.
Bodily temperature diminished.
Heat intense; fulness of head, face red; great thirst; after going to bed, heat, with frequent yawning and sneezing; delirious.
Veins on arms and legs enlarge; skin hot, dry.
Pain in spine on pressure.
Flushes of heat, thirst, 4 P.M.
Sweat with thirst; profuse even while quiet, coming on gradually after the heat; profuse also on least motion; soaking sweat mornings in bed; profuse, exhausting, nightly diarrhœa.
Profuse during sleep.
Congestive chills.

Symptoms return periodically, on alternate days, or antepone.
To be thought of when typhoid fever, eruptive fevers, pneumonia, etc., display intermittent symptoms or become rapidly pernicious.

Suppuration with chilliness; profuse sweat.
Œdema, especially with liver and spleen affections; malaria.

Compare with: Cedron (clock-like regularity of symptoms; debility, but of nervous origin rather than from sweating); Helian. follows well to prevent return of chill.

Pure sulphate of "Quina" is triturated for use.

Quinine is, above all, a protoplasmic poison, devitalizing the blood and tissues; it particularly retards the elimination of nitrogenous waste (urea and uric acid), and causes the retention and accumulation of effete products in the system (though, for a time the diminished waste gives a sense of "tone" to the system, the ultimate result is deplorable). ▶ It causes congestion of the brain, and, in large doses, abolishes the cerebral functions. ▶ It is an irritant to serous membranes and to the skin; it causes deafness and serous inflammation of the internal ear; blindness, ischæmia of the retina and optic neuritis; it produces stupor, delirium and even convulsions. ▶ (Epilepsy is intensely aggravated by it.). ▶ Quinine, however, arrests the development of low forms of vegetable life, and especially of the poison of march malaria, but it rarely antidotes the effects, of the poison of the system.

(See China).

Emaciation. ▶ Pandiculation, with frequent yawning. ▶ Falling suddenly in the street; falling to the ground senseless. ▶ Convulsions. ▶ Twitchings in evening. ▶ Trembling. ▶ Wandering symptoms.

Neuralgia, amel. warmth; wandering N. ▶ Shocks or pricks like neuralgia or rheumatism in divers places, as left supraorbital nerve, right ear, right elbow, right knuckle, etc. ▶ Twinges in various places in afternoon; in lower half of right scapula in afternoon, then in right lower jaw, then in upper, in malar region, frequently recurring in some places. ▶ Catching or sprained pains on sudden motion, e. g., in outer fibres of deltoid tendon on raising arms, in tendons in front of left ankle when flexing joint suddenly.

Quivering sensation internally through body at the middle, in afternoon, then eructations. ▶ General sensitiveness. ▶ Restlessness; in forenoon, after writing a letter; at 5 P.M., with coldness; at night; and discomfort. ▶ Excitement of arterial system, as from strong wine. ▶ Increase of physical powers. ▶ Weakness; in morning; in morning, on waking, with dullness of head; on waking from afternoon nap, with dullness; with sleepiness and desire for solitude in some dark corner. ▶ Old and "wooden" feelings, with deliberate motions and speech. ▶ Faintness. ▶ Heaviness; in forenoon, with drowsiness. ▶ Amelioration from sleep; from sweat, after walking in open air.

Disturbance, or rather emptiness. ▶ Insanity. ▶ Excitement. ▶ Feeling of impending evil in afternoon; amel. specific trust in the almighty. ▶ Despondency. ▶ Anxiety; at night, with little sleep; at night, obliging him to leave the bed; as if he had committed a crime. ▶ Fretfulness. ▶ Anger after sleep, even about a draught on legs. ▶ Resolute in evening, but shrinking from taking much trouble about matters. ▶ Positive in insisting on professional orders in forenoon, but self-restrained and deliberate. ▶ Buoyancy; in evening. ▶ Lively mood returned at 9 P.M., after a walk in open air, with activity. ▶ Quietness. ▶ Apathy. ▶ Indolence. ▶ Disinclination for mental labor. ▶ Thought difficult when writing. ▶ Memory "muddled." ▶ Mistakes in writing, "left" for "right" and vice versa. ▶ Loss of power to name substances, mistakes in adding figures, perception of quantities impaired. ▶ Vacancy of ideas.

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