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Plumbum Metallicum - Generalities symptoms - T.F. Allen

Lead, Plumbum, Plumb, Plb.

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HPUS indication of Plumbum Metallicum: Paleness
Common symptoms: Paleness, Loss of smell, Stiffness.

Below are the main rubriks (i.e strongest indications or symptoms) of Plumbum Metallicum in traditional homeopathic usage, not approved by the FDA.

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Since his sickness, complete suppression of normal perspiration; walking difficult, can only take a few steps, and soon gets tired; disposed to sadness; loss of memory; much emaciation,

Each successive attack of lead colic had been followed by a worse attack of tremor. During the intervals the tremor was not sufficient to impede movement, and was chiefly aggravated after great fatigue. It was also considerably increased by any mental excitement, whether pleasurable or otherwise, and in this case extended to the lower extremities,

The tremor is worse in the evening, when he is fatigued,

During the intervals of quiet, which were of very irregular occurrence, she lay tired out and almost motionless, with closed eyes, and not daring to move or even answer questions, for fear of renewing the paroxysms,

General debility, and painful lassitude,

Easily became fatigued, on walking (fifth day),

Feels very weary and indolent,

Weakness, fatigue (second day),

Great languor and lassitude,


Painful lassitude,

General painful lassitude,



Constant short yawning (after one hour),

Frequent yawning (after one hour),

Yawning and stretching (after a quarter of an hour, and one hour and a quarter),

Yawning, with sleepiness, an hour after dinner,

Profound drowsiness,

At times he closes his eyes as if in sleep, but this drowsiness is only momentary,

Drowsiness, ,


Frequent inclination to sleep, with dulness of the head,

Sleepiness, with heat over the whole abdomen and redness of the face (after two hours and three-quarters),

She could scarcely keep from sleeping, after an hour, disappearing in the open air,

Sleepy early in the evening; very sound sleep,

Easy falling asleep while talking and knitting (after two hours and three-quarters),

Some sleep immediately after a paroxysm, but he is soon aroused by a return of the pain,

Talking during sleep, without knowing anything of it in the morning (second day),

Frightful starting up on falling asleep,

Sleep is pretty good, but he sometimes wakes with a start; he is also awakened whenever he stirs by the acuteness of the pains; nightmare almost every night,

The patient frequently fell into a soporous condition,



Sleeplessness, , etc.

Entire sleeplessness, , etc.

Sleepiness at times,

Sleeplessness, lasting for twenty days,

Sleeplessness, caused by the nightly aggravation of the spasmodic pains in the abdomen,

Sleeplessness for eight days, ; for seven nights, ; for twenty days,

Could not fall asleep for a long time, in the evening,

Restless night,

Restless and dreamy sleep at night; was frequently obliged to turn over (first day),

But little sleep, and this never quiet; always disturbed,

Was unable to sleep on account of violent pains,

Sleeps but little at a time on account of the great pain he suffers,

Little sleep, which is disturbed by nightmare,

Slept but little at first, afterwards it was impossible to sleep except from the effects of an anodyne,

Little sleep, interrupted by nightmare, which awakes her with a start,

Unable to sleep for two nights on account of pain,


Sleep disturbed by dreams,

Dreams and subdelirium,

Sleep much disturbed by dreams, sometimes pleasant, sometimes anxious,

Slumber often interrupted by dreams (first night),

Frequent dreaming, with sound sleep (first night),

Sleep frequently interrupted by dreams (first night),

Dreams of stealing fruit in a garden (first night),

Talks with some one in a dream, in the evening,

Lovely dreams of a distant beloved person, after midnight (first and second days),

Many pleasant dreams, at night,

Voluptuous dreams, with erections, without emission (sixth and seventh afternoons),

Troublesome dreams, almost nightly,

Confused anxious dreams (third day),

Heavy frightful dreams of falling (first night),

Distressing dreams,


Complete absence of oedema throughout the whole case, though the urine was highly albuminous, and the patient suffered from uraemic convulsions,

General twitching and convulsions,

The muscles tremble, they are even affected by painful convulsions, or also become paralyzed, pale, and soft,

Violent involuntary movements of the muscles, becoming horrible convulsions,

Epileptiform convulsions in the third, of which she died,

Epileptiform paroxysms, with frothing from the mouth, convulsions of the arms,

During the fifth day of delirium, movements of an epileptic character took the place of distinct fits of epilepsy, and in these convulsions he passed away,

A series of spasms, and convulsions of various kinds, at first with free intervals, which, however, gradually became shorter and shorter, until the last twenty-four hours the spasms were almost uninterrupted; on the fifth day the patient became comatose,

Convulsions, preceding which the patient cried out, turned very pale, then became very much flushed, immediately following which the body was seized with violent clonic spasms, lasting an hour, and followed by great perspiration; the attack was associated with involuntary discharge of urine,

Frightful convulsions with cold clammy sweat,

Most violent convulsions, with loss of all the senses, in recurring attacks,

Frequent and frightful convulsions and colic,

Convulsions, with frothing from the mouth, as in epilepsy,

Convulsions, , , etc.

Convulsions of the whole body,

Convulsions, lasting four hours,

Convulsions, that constantly recur at shorter intervals (eighth, ninth, and tenth days),

Convulsions, returning from time to time, followed by deep sighing, and on waking, pains in the limbs and in the epigastric region,

Convulsions, with loss of consciousness,

Uraemic convulsions, with distortions of the eyes and opisthotonos and complete loss of consciousness, with a puffy face; the spasms were repeated with increasing frequency, followed by slow respiration, sinking of the pulse to 36,

Suddenly, while at work, without precursory symptoms, he was seized by violent convulsions, followed by profound coma,

One patient had convulsions and vertigo, several times,

Sometimes a tendency to universal convulsions,

May determine in children, convulsions, idiocy, imbecility, and epilepsy,

Weakness and loss of sensation after the convulsions, with weak and slow pulse,

The slightest touch of the skin over the umbilicus, and indeed over other parts of the body, produced such terrific pain as almost to throw him into convulsions, producing all the effects of an electric shock,

Violent pains, convulsions, delirium, and copious stool, at night,


Copious sweat,

Profuse general perspiration, during the colicky paroxysm,

Surface hot, the perspiratory transudation copious,

Sweat over the whole body (second day),

On first beginning to work in lead, he usually perspired easily on exertion, and even at night, but of late there has been complete absence of perspiration,

Sticky perspiration or perfectly dry skin,

Bathed in sweat, at 6 P.M.,

Skin covered with sweat (after two hours),

Skin sweaty,

Surface bathed in perspiration,

Skin covered with cold sweat,

Cold sweat,

The paralyzed parts are often covered in the morning with copious viscous perspiration,

A little moisture in the skin,

Cold sweat on the forehead, hands, and feet (first day),

Cold sweat on the forehead and over the whole body,

Sweat on the face, immediately,

Face bathed in sweat,

Offensive perspiration on the soles,

Sweat very scanty,

I have exposed her to hot air baths every other day, during which I have collected from her perspiration enough urea to be enabled to detect its crystalline flakes under the microscope most distinctly, and also proved it to be urea by converting it into nitrate and oxalate of urea,

For several years absolutely no perspiration except under the influence of powerful sudorifics,

Absolute lack of perspiration,


Complete emaciation,

Much emaciated, and looked ten years older than he really was,

The atrophy becomes general; the patient resembles a walking skeleton,


Emaciation, , etc.

She had been suffering for five or six years or more from various remarkable spasmodic attacks, and was reduced, by their constant recurrence, from a well-made handsome woman to a mere skeleton. Was frequently seized with violent tonic spasms in the arms, fingers, legs, abdomen, and chest, as if she had been taking strychnine,

Gradually increasing weakness in her extremities, which she first noticed, she thinks, in her hands and arms. She lost all power over her limbs. She lies on her back perfectly helpless, and presenting literally the appearance of a skeleton. Every muscle in the body is wasted to a very unusual and remarkable extent. Those of the back share in the general atrophy, which, however, is perhaps most of all marked in the muscles of the hands and arms. The fingers are flexed, giving the characteristic "griffin's-claw" appearance, the flexion being of the phalangeal and not the metacarpo-phalangeal joints. The interossei seem to have entirely disappeared, so that the finger and thumb of an observer can be made to meet between the metacarpal bones. The radius and ulna can be made out throughout their entire length as distinctly as though covered only by integument. The legs and feet are in a very similar condition. So wasted are the abdominal muscles that the spine can be distinctly felt throughout the lumbar region. At first there was great constipation of the bowels, sometimes no action taking place for a month. This was succeeded after some months by diarrhoea, and she often passed her motions involuntarily,

Greatly emaciated and very weak,

On stripping the patient the clavicular and scapular prominences were very remarkable, the deltoid muscles had wellnigh disappeared, whilst the supra- and infraspinati were atrophied to such a degree as to present cup-shaped depressions above and below the scapular ridges. The latissimus dorsi and pectoral muscles were soft and slightly atrophied. The biceps and triceps of both arms were wasted, those of the right arm more than those of the leg. The extensors and flexors of both forearms were soft and atonic from disuse, but as regards their muscular volume they seemed intact, as also were the muscles of the thumbs and hands generally. The spinal, lumbar, and muscles of the lower extremities were sensibly atrophied, the left extremity generally more than the right, more particularly the left gluteals. The sensibility of the two extremities least atrophied - viz., the right leg and left arm - was increased so that the patient was unable to bear the weakest current of electricity, whereas he could bear electricity strongly applied to the alternate leg and arm,

All the paralyzed parts are wasted and insensible to all stimuli. Thus, blisters applied to the thighs and arms may be torn off violently without eliciting any sign of feeling,

The general plumpness is in strong contrast with the wasted condition of the limbs,

Marked emaciation of the limbs and body,

The paralyzed parts are wasted; their shrivelled dingy-yellow skin seems loosened from the flabby muscles. The adipose tissue seems to have dissolved; the contour of the muscles has disappeared. The hands are blue and slightly infiltrated,

Emaciation supervenes after fifteen days, a month, or whole years of exposure to the fumes, and only in cases where great quantities have been absorbed,

He lost strength and flesh, notwithstanding a good appetite,

Emaciated and weak,

The muscles lose their contour,

General feebleness of the muscular system, the muscles throughout the body being soft and wasted,

Pale and emaciated,

The muscles throughout the body are soft and flabby,

Muscles are soft and weak,

Muscles rather firm, not soft and pliable,

Flabbiness and paleness of the muscles,

Flesh soft and wasted; his countenance was more emaciated than the rest of his body, and showed profound despondency,

Pale and rather emaciated,

Appearance meagre,

Anaemic and cachectic appearance,

She was anaemic, and in a condition analogous to that of a person suffering from paralysis agitans,

Profound anaemia,

Anaemic and very thin, with a sallow aspect,

The whole surface is pale, anaemic looking, and of a characteristic hue,

Anaemia, ,

General cachectic condition and hectic fever,

The patient presented a cachectic appearance, pale, anaemic, with a jaundiced tint,

Cachectic condition after second attack of colic, which kept him from working for six months,

The patient looked like one suffering in a high degree from anaemia and atrophy,

Ictero-plumbic appearance,

Excessive anasarca,

Swelling of the body,

Face, feet, and legs have become oedematous,

Mucous membranes pale,

Mucous surfaces of a waxen hue,

Mucous membranes lose their normal color,

He was seized with symptoms of asphyxia and died suddenly (after three weeks and four days),

Six cases of gout were observed out of one hundred and eighty-four,

Had had several attacks of gout,


Diminished secretions and nutrition,

The secretions generally are torpid,




Most pernicious gangrene,

General scorbutic symptoms, with ulcers in the lungs,

Blood corpuscles diminished from 1,800,000 to 1,500,000, and afterwards to 1,300,000,

The serum of the blood shows a slight yellow reflection, but with no shade of green,

The blood, under the microscope, shows an abnormal number of white globules,

Nervous prostration not infrequently destroying life,

Great mortality among children, especially during the first weeks of life,


He seems as if attacked by apoplexy,

(In this case the symptoms of poisoning were confined entirely to the parts most frequently brought in contact with the lead cement),

Nutrition and all the secretions fail, and the skin becomes dry and discolored,

Electro-muscular contractility of the parts unimpaired,

No paralysis, anaesthesia, or hyperaesthesia on the left side,

No redness, swelling, or morbid heat of the affected parts,

Neither palsy nor anaesthesia affect the right side,

No redness or swelling of the painful parts,

During the colicky paroxysms he lies flat on his belly, rolls about, presses his fists into the umbilicus, screams,

Lies upon his back, apparently much prostrated,

Dorsal decubitus,

Lies on the back, with limbs relaxed and powerless,

At intervals of about five or six minutes there was a short resting spell, when he became quiet, only groaning a little now and then,

Lies on his left side doubled up,

Decubitus on right side; lower limbs strongly, flexed upon the abdomen, and the head sunk between the shoulders, so that he seems doubled up and huddled together,

Lies in bed, sometimes one way, sometimes another,

When quiet he would lie on either side, generally on his left, with his thighs pressing against the abdomen,

He lay upon a sofa, on his right side, having his legs flexed upon his thighs, and these, in a slight degree, upon his abdomen,

One another characteristic spoken of by Tanquerel was well marked in this case. It was the approximation to recovery and diminution in force of the attacks, so as to excite strong hopes of a speedy and complete restoration, and then a return of all the symptoms in their severity, followed by another amendment, what I should call getting up three feet and falling back two,

After a few days he was taken with the characteristic symptoms of lead-poisoning, the diagnostic blue line on the gums included; he continued to be affected with the disease, with remissions and relapses alternating, for a period of two months, after which the recovery was progressive, though slow,

For four or five days has had severe symptoms of lead-poisoning; pain in the hypogastrium for two days; headache, restlessness, and even fully developed epileptic attacks for two days,

(His health remained good eight years, when he had a violent attack of colic, lasting about three months. Eight years later, weakness of the lower limbs; walking difficult, especially in the dark; from time to time, lancinating pains through the lower limbs; these grew much worse, and he could not clearly see a light),

(Has had eight attacks of colic. Present symptoms Dull colic; paralysis of extensors, of long standing; face much altered; profound cachexia; skin deep yellow),

Tremor, ; in seventeen cases, etc.

Slight muscular tremors,

Considerable tremor suddenly came on (the colic having ceased under treatment), especially in the arms, which appeared to be almost equally affected. The trembling of the lower extremities was comparatively slight,

Limbs and body almost incessantly jerked about,

Tremor and partial delirium during two days,

Slight tremor, with weakness of the left hand,

Aggravation of the tremor by excessive drinking,

Repeated jerkings,

Jerking movements of limbs and body,

Tremulousness, with commencing paralysis of the upper extremities,

Constant jactitation,

Extreme agitation,

Attacks of muscular agitation, accompanying the talking spells,

Spasmodic movements,

Apoplectic attack, with paralysis of the left arm,

Attacks of apoplexy,

One-sided epileptiform spasm, with convulsive twitchings of the face; followed by a transient general epileptic attack, with stertor and complete loss of consciousness,

Frequently put the hands to the head, with convulsive movements of the eyes, hands, and feet,

Four fits; two at intervals of several days, and the other two on the same day,

Eight epileptic seizures, one after the other, on the eighth day before his admission to the asylum; a few days after admission the fits returned very frequently,

Fit of epilepsy, at 5 A.M., of which he was unconscious,

Epileptic attacks,

Several had fits, described as being hysterical,

Epileptiform spasms; the patient fell to the ground unconscious, lips rigid, with spasmodic contractions, frothing from the mouth, eyes turned upward, pupils insensible, somewhat dilated,

During the fourth day of delirium, twelve epileptic fits, followed sometimes by delirium, sometimes by coma,

During her last few days epileptic fits supervened, which by their violence and frequency, soon rendered her apparently quite insensible to what was passing around her,

Epileptiform twitchings, in all parts of the body, followed by paralysis,

Epileptic attacks, in which the tongue becomes excessively swollen, protruded, and bitten,


Has had two attacks of epilepsy,

Suffering from epileptic fits, occurring about once in a fortnight, severe in character, and of three years' duration,

Ten epileptic seizures in about two years; in which he fell down with a cry; became very pale; there was at first stiffness; then followed contractions. The attack lasted about an hour, and was followed by great prostration. It was accompanied by involuntary urination,

The paroxysms occurred only every half hour,

Small spasmodic shocks shoot like lightning over his face and limbs,


Violent spasms,

Tetanic spasms (after two hours),

Spasms of particular muscles, and in two cases, of the whole body, with delirium,

Epileptiform spasms,

Seized three times with what seemed like a tetanic spasm; then came sharp prickings in the hands, the forearm, in the whole lower limb, and then the limbs were stiffened, the jaws were clenched convulsively,

Clonic spasms of the muscles of the face and extremities, with loss of consciousness, frothing from the mouth, and puffiness of the face (with albuminuria),

Violent clonic and tonic spasms, with both eyeballs rotated upward, repeated four or five times daily,

Four or five convulsive efforts daily, characterized by spasms, during which the patient lost consciousness for half an hour or an hour, without frothing from the mouth,

Convulsive tremulous movements of the muscles,

Every now and then, there came on a genuine paroxysm, accompanied by violent cramps in the legs and retraction of the testes toward the inguinal ring,

Drinking seemed to hasten the return of the paroxysms; hence, though very thirsty, he dared not drink often,

Slight convulsive seizures every five minutes, while in a state of the most profound coma. At last he succumbed, after a violent attack, which continued almost fifteen minutes,

Convulsive seizures, with loss of consciousness,

Fell without consciousness (after a quarter of an hour),

The limbs became quite rigid; jaws spasmodically closed; during these attacks, which lasted about ten minutes, the patient was unable to stand; chilliness at the close of the attack,

He fell to the ground unconscious,


Rigidity and tetanus,

Two or three crises during the day, with prickings in the skin, and contractions of the jaw and of the limbs; violent supraorbital pain, twitching and constriction in the temples (first day); the spasmodic cries more frequent, but less violent; tingling in the limbs (first night),

All movement, also standing, was impossible for about six minutes while the crisis lasted,

Between the attacks he lay quiet; his features much sunken and expressing great anxiety. The pain is dull and benumbing. The paroxysms returned at very irregular intervals,

Between the paroxysms he usually lay on his belly, with his eyes closed, and avoided the slightest movement,

Between the attacks, he lay with closed eyes, silent and motionless, for fear of renewing the pain,

Between the paroxysms, still restless; the pain, though less acute, was still overpowering,

General paralysis,

Complete paralysis of the muscles,


Paralysis, , ,

As the paralysis appeared the spasmodic pain in the abdomen disappeared (in many cases),

Paralysis, commencing in slight numbness of the parts, and trembling, terminating in loss of motion and atrophy,

Motor and sensory paralysis affecting chiefly the whole right side of the body,

The paralysis equal on both sides,

Electro-muscular contractility much diminished on both sides,

One-sided paralysis,

Paralysis of the whole left side of the body,

Some years later, he had a second attack of dextral hemiplegia, which especially affected the upper part of the body,

Motor and sensory paralysis, chiefly on the right side of the body,

The paralysis is much worse on the left side; the right wrist is hardly at all affected,

Left-sided hemiplegia, with contraction of the left hand and distortion of the face, towards the right,

The paralysis is rather worse on the right side than the left,

Great difficulty in moving himself in bed; so that he remains lying on his back; all other movements of limbs and body are as easy as usual,

Lies on his back, sometimes turned one way, sometimes another; motion is freely performed, only the right extensor comm. Digitalis Purpurea digit. being paralyzed,

Muscular movements are difficult,

Seriously ill for the last twelve months, and had never been well for more than five years. He was totally unable, from want of muscular power, either to walk, turn round in bed, dress, or feed himself; this had been his condition for several months; he persisted in the idea that he was laboring under suppressed gout,

Locomotor ataxy, especially when his eyes are shut, yet his muscular strength is undiminished; his leg cannot be bent upon the thigh,

(Attacks of colic; then suddenly motor and sensory paralysis of the upper part of the right half of the body, upper limb, and face. Epileptic seizures. Another attack of paralysis, limited like the first to the right upper limb and right half of the face, including the tongue. Four epileptic attacks. Face oedematous),

Paralysis; the tongue and muscles on the right side being partially involved, and the right arm and right leg; completely,

Transient paralysis, with immobility of the arms and legs, inability to talk, and insensibility of the limbs,

Transient paralytic attack,

Paralysis, involving both sides; more the right than the left, and not entirely limited to the upper extremities, though chiefly there found,

No local paralysis; sensibility unimpaired,

Paralysis of the right side, with curvature of the spine,

Very general paralysis; he could not move either arms or legs, so that he was wholly unable to get out of bed,

No amount of effort produced the slightest movement in the large dorsal or pectoral muscles, or in those of the shoulders, arms, forearms, and hands; although after great and long-continued exertion, he succeeded by the action of the trapezius in raising his shoulders a little,

A certain degree of hemiplegia on the left side,

Painful stiffness on movement,

The right side is weaker than the left,

The paralysis, though incomplete, is widespread, and the external muscles are wasted and very soft; those of the upper extremities are most affected,

About a month before he was seized with colic, followed by palsy of the forearm extensors, and of the lower extremities, and when first seen he had the characters of general paralysis of the insane. He could not lift the feet from the ground. Then followed bilateral facial spasms, trismus, frequent spasmodic jerkings of the upper limbs, the flexors of which were firm and rigid, while the lower limbs were rigidly extended,

A condition of increasing chloro-anaemia, with nervous erethism,

General debility, ,

Such debility that he could hardly stand up,

Debility extraordinary, with constant fainting spells; she could not rise up without swooning,

Debility almost immediately,

General debility, preventing him from standing up,

General debility, and special weakness of the lower limbs,

Obliged to lie on the bed the greater part of the day on account of excessive debility,

Great debility,

Increasing debility and loss of flesh,

Increasing debility,

The emaciation is accompanied by more or less debility,

After any excess, the debility is increased, and the paralyzed limbs are even affected by a slight tremor,

He feels that he is debilitated. Can hardly lift a chair with his right hand. The left hand is much less affected. Frequently a feeling in the fingers, especially those of the right hand, of numbness and formication, lasting a few moments, and followed by a rather painful pricking sensation,

General feebleness, with trembling of the limbs,

Very feeble,

All bodily movements are slow, difficult, and somewhat painful,

Moves only when necessary, and very slowly,

General prostration, with great weakness of the extremities,

Extreme exhaustion,

General prostration, , ,

Great prostration, ,

In the more aggravated cases, great prostration and collapse,

Appears prostrated, profoundly anaemic,

Prostration; he lies down, feels a beating in the neck and abdomen, and can sleep but little (first day),

On rising in the morning, often (not always) completely enervated, with neither energy, strength, nor courage,

The prostration, weakness, sleepiness, pains that follow, in direct contrast to the general feeling of health noticed the first day, seem to be extraordinarily agreeable; during the primary action it was cold and wet, during the secondary action it was the finest spring weather,

If he puts himself out in any way he shakes violently, "like a leaf on a tree," and his gait becomes unsteady and jerky,

Collapse and syncope, almost immediately,

Weakness and trembling,

Unusually weak and relaxed after motion,

She could not sit up in bed or extend her arm fully,

Sense of great weakness and depression,

Continually complained of excessive weariness; all exercise was fatiguing,

Gradual loss of strength,

But little strength, and is barely able to sit in a chair or walk across the room,

Weakness and loss of power with loss of sensation,

Considerable weakness (of the affected parts); according to Duchenne's dynamometer, the compressive force of the right hand is equal to 6 kilogr.; that of the left hand to 8 kilogr.; pulling force, 43 1/2 kilogr.,

Such weakness of the muscular system generally as almost precluded the patient from walking, or even standing for any length of time,

Slight diminution of compressive and pulling strength, as estimated by the dynamometer,

All his movements are slow and feeble,



Languor so complete as to unfit them for any exertion,

General languor,


Frequent faintings,

Frequently seized with a sensation of faintness and praecordial uneasiness, as of impending dissolution,

Faintness, ,

Attacks of faintness, frequently lasting an hour,

Occasional fits of restlessness,

Generally restless,

Exceeding restlessness for the last two nights,

Extreme restlessness,

Incessant tossing about the bed, without being able to find rest,

Turns himself about in bed,

Nervous restlessness,


Constantly tossing about,

Although the pains are aggravated by motion, he is constantly seeking relief by changing his position,

During the paroxysms, he is restless, bends double, lies upon his abdomen, screams, etc.,

Restless; rolling himself up in the bedclothes; lying on his belly, etc. (during the paroxysms). Pain a mere constriction, but increased by pressure (between the paroxysms),

During the remissions, which occurred only at long intervals, he had very little repose, but was not so extravagant in his manifestations,

Constant change of position; he doubles himself up, but avoids lying on the abdomen, and any pressure on the latter somewhat aggravates,

Sometimes with his head almost on the floor, his feet tangled in the bedclothes, and his hands grasping the rails, he kept up a sort of rocking movement,

During the paroxysms, he kept turning himself in bed, but with difficulty, on account of his great corpulence. He often tried lying on his belly, but could not remain long in that position, as it suffocated him; he threw his limbs about and cried out at times,

Hyperaesthesia of the skin,

Paralyzed parts very sensitive to cold,

He immediately feels the slightest prick anywhere on the left side,

Complete anaesthesia of the right arm, for both contact and temperature; this anaesthesia extended over the right side of the face and right lower extremity,

Diminished sensibility over the whole body,


The entire surface of the body was deprived of sensibility,

Loss of sensation and motion,

Insensibility to burning of the whole right side. But a small blister, applied over the middle of the forepart of the insensible right thigh, gave rise to pain in that spot,

Complete absence of pain when pricked, in the right side (right limbs, and right half of the face and trunk). Quite a deep prick with a pin causes only a feeling as of a heavy touch,

Loss of sensibility to tickling in the whole right side of the body,

The affected members are in an almost complete state of anaesthesia,

Insensibility to pricking in the right hard, lower half of right forearm, and right cheek; diminished sensibility to pricking in all the rest of the right half of the body, and lower half of left forearm. Loss of sensibility to burning in the right hand only; burning is only felt as a warmth,

Sensibility to temperature notably diminished in the right side, especially in the right upper extremity,

No perception of temperature anywhere on the right side; the right foot, when resting uncovered on the ground, does not feel cold, as the left foot does, under the same circumstances,

Sensibility to temperature is less on the right forearm, and also on the left side of the face, which is the one most affected with anaesthesia,

Diminished sensibility to temperature in the whole right side,

Little sensibility to temperature in the whole right side, face, forearm, and lower limb,

Sensibility to pricking generally lessened, but nowhere completely abolished,

Sensitiveness to pricking, pinching, and burning, on right hand and dorsal surface of right forearm, on the right cheek, back of left hand, and palmar surface of left fingers,

Less sensitive to tickling on the right side,

Diminished sensibility in the arms, shoulders, and lower limbs, so that they feel only one point of the aesthesiometer; less diminished in the rest of the body, but more in the right than left side,

Notable diminution of the sensibility to temperature all over the body,

Diminished sensibility to temperature on the whole right side, especially the back of the right hand and forearm, and on the right leg; also in the sternal region,

Electric irritability of the right side very much diminished,

Sensibility to touch slightly diminished,

Sensibility more impaired on the right side of the body, generally, than on the left,

Diminished sensibility to pain in the shoulders and arms, but especially in the lower limbs and face,

Tactile sensibility is diminished in the whole right side of the body, and especially in the upper limb, where, when two points are applied to the surface at some distance apart, he feels only one of them,

Diminished tactile sensibility of the upper limbs, especially the right, of the right side of the face, and on the right lower limb. It is more marked on the dorsal than on the palmar surface of the forearms,

Diminished sensibility on the whole right side of the body,

Insensibility of several scattered portions of the body,

Occasional impairment of the senses,

Slight analgesia of the right half of the body, especially the forearm and hand. The right cornea can be touched without causing pain. The left cornea has very little sensibility,

Tickling also is much less felt on the right side,

Perversion of sensibility; pricking imparts a sensation of rubbing; pinching, a sensation as if touched,

Feeling of numbness in the insensible parts,

Feeling of faintness, relieved by food; often felt very faint, in morning,

Has been suffering from occasional sensations of faintness, on ascending stairs, or taking any undue exertion,

Between the paroxysms, he had a feeling of burning and compression,

Sensation as if she were seated in cold water as far as the abdomen, immediately followed by heat of the abdomen, frequently (after two hours and a half),

Feeling as if liquid ice ran through his veins,

Feeling as if his bones were being gnawed,

Soreness of the muscles generally,

Crampy paroxysms every quarter of an hour, with severe pain, and a feeling of icy coldness, which passes like lightning from the groin to the leg, without involving the posterior portion of the thigh. If, when these attacks come on, he is standing leaning on a cane, he falls to the ground. This pain, though so deeply seated that he thinks it is in the bones, seems to be diminished by strong pressure. Between the paroxysms, there is a feeling of constriction in the limb,

In the more aggravated cases, universal cramps and numbness,

Frequent painful cramps in the paralyzed muscles,

The tingling, the cramps return still every few minutes, but at longer intervals, and they are, moreover, less severe (third day),

Slight cramps at long intervals,

After a time he became troubled, more and more, with neuralgic pains in all parts of the body, sometimes so severe as to be almost unendurable,

The colic and neuralgic pains in the thighs, arms, and thorax, had become so severe that he was unable to sleep much at night, groaning and twisting himself continually,

Arthralgic and neuralgic pains about the trunk and extremities,


Chronic myalgia,

Severe paroxysms of pain,

Pain comes in paroxysms,

Intervals of comparative ease are followed by such intense paroxysms of pain that the patient loses all self-control; shrieks violently, and cries like a child,

Crawling pains by paroxysms, internally, in the bones, recurring from time to time, very violent, especially in the left thigh, above the knee, and in the left forearm; in the left thumb, dull and frequent,

The pains intermit for a longer or shorter time, and return in intermittent paroxysms,

Subject to rheumatic pains (muscular) for some years,

Almost constant, dull, bruised pains, or, at times, pricking and formication, followed by numbness, in the paralyzed parts; they are also very sensitive to cold, which aggravates the pain,

Compared the pain to a feeling of boring, as with an anger,

Bruising, and sometimes gnawing pains, in the affected parts,

Dull fugitive pains,

Wandering pains,

The pain in the paralyzed parts is sometimes lancinating, sometimes contusive; it is increased by motion and pressure,

Severe lancinating superficial pains in several parts of the body, such as in the scalp and the thoracic parietes,

Violent pain,

Great pain in lower part of body,

Severe shooting pains through the body,

From the balls of both thumbs, which were much atrophied, excruciating pains would arise, shooting with great severity up his arms and shoulders, to the back of his neck and head,

The pain in the head, thorax, inside of the arms and thighs, was, at times, so intense as to produce furious delirium,

Feels pain in the bones,

Pains all over; sometimes they appeared in one place, and sometimes in another; but when she moved, she complained of its hurting her everywhere,

Pain in trunk and limbs,

Pain presents very various characters in the same case, at various moments, rapidly changing,

Pains throughout the body for the last seven years,

Pains in the muscles and joints, especially of the right side,

The power of movement is retained, but its free exercise is prevented by pain, which, during the paroxysms, is so great that, at times, he is unable to stand up,

Pain in left side (after one year),

Pains over the body generally,

Pains were not severe, but constant, and aggravated from time to time, so as to cause the patient to cry out (after three weeks),

Pains not increased by pressure or motion,

He tried every position in order to relieve the pains without obstructing respiration; sat up, left his bed, walked about, etc.,

The only time he is free from pain, is when he can be perfectly still in bed,

Drinking aggravated her symptoms,

Pains worst during the night,

Pressure relieves the pain, and cold increases it,

During the paroxysms, pressure gave some relief; between them, it rather aggravated the pain,

The pain is constant; is aggravated by the least degree of coldness, by forced movements, and by pressure,

Friction and strong pressure give a little temporary relief,

Some apparent relief by drinking,

Pressure relieved somewhat,

Drinking has no effect on the pains or vomiting,

No pains at night,

All symptoms disappear at night,

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