Rhus Tox - General symptoms

GENERAL

General

(Morning), Low-spirited, crying.

dizziness. headache. eyes red and agglutinated.

on rising from bed, flow of nasal mucus.

accumulation of saliva in mouth.

mucus on tongue salt. bitterness in mouth disappearing after eating.

hawking of mucus. after rising, nausea.

cough. in bed, pain in chest.

in bed, pain in limbs on which he is not lying.

in bed, inclination to stretch out leg and foot.

on rising, pain in feet.

on first standing, pain in heels.

sweat..

(Night), Anxiety.

apprehension. throbbing in ear.

jerking toothache. bitter taste.

thirst. midnight, after lying down, pain in kidney.

erections. cough. short breath.

tension across chest. sensation in left arm.

midnight, while lying in bed, cramp in calves.

pain in tibia. uneasiness.

itching and burning. pain.

biting pain in ulcer. sweat..

(While sitting), Vertigo.

twitching in left side, then in small of back.

pain in back. pain in dorsal muscles.

griping in right side below ribs.

griping in abdomen. heaviness in abdomen.

pain in abdomen. crowding in abdomen.

drawing above abdominal rings.

drawing in right side of lower abdomen.

weariness in legs. tension in hip-joint.

pressure in right thigh.

pain in thigh. tension in skin of calves.

after walking, cramp in calves.

weakness in feet. drawing in feet.

pain in affected parts..

Violent headache, preceded by internal heat of the head only, with dry lips and thirst.

sensation as if the forehead would be pressed asunder, with extraordinary heaviness in it, especially on coming from the open air into the house or on waking from the midday nap.

as soon as she lay down in bed, in the evening, the headache disappeared,.

Pimples, large, deepseated, and irritable to the touch, on the nates, especially on the median line near the os coccygis.

they attain this state after four days from the dose, and two from their commencement on the second. This symptom recurred in three months, after some handling of the Rhus radicans and inhalation of its effluvia whilst gathering and preparing it during the two preceding days. On the fourth day a pimple, described by the same words and situated on the upper lip, opposite the alveolar process near the root of the left posterior bicuspid tooth, also a scabby pimple one inch above the left parietal protuberance.

the one on the upper lip remained with but little change for at least three days, the last became a scab in four,.

Severe and almost intolerable itching of the legs and feet, especially the lower half of the leg, the ankle, instep, and upper part of the foot.

scratching produces severe smarting and burning, 11 P.M. (nineteenth day).

followed at 8 A.M. by a burning and smarting eruption on the insteps and lower portion of the legs, and burning smarting and redness on the upper surfaces of the feet in the metatarsal region (twentieth day),.

It affects the skin of most people in a very painful manner, and the inflammation speedily spreads from one part of the body to another. Some people are so affected that their faces could not be recognized, and others are not affected by it. After having been once injured, they are ever after very susceptible to the poison. Even passing to the leeward of a bush on a windy day, or through the smoke of a fire in which it is burning, will "bring the poison to the surface" again. So poisonous is it, that it pollutes the air where it grows. Children, and even grown-up people, who are gathering berries, or other-wise approaching its vicinity, are often badly poisoned. Their faces are frequently swelled until their eyes are shut.

the neck, hands, and arms covered with inflamed vesicles, the cuticle highly inflamed, and not unfrequently constitutional symptoms are observed, resembling those of "milk sickness." On breaking a stem of the Rhus a milky fluid exudes, which is exceedingly poisonous, and if applied to the skin, will produce effects like that of Argentum Nitricum ^{nitrate of silver}. A black welt is produced, which in a few hours becomes sore, destroys the cuticle, which sloughs off, and upon healing leaves a circular cicatrix,.

Those persons who are constitutionally liable to the influence of this poison, experience from it a train of symptoms very similar to those which result from exposure to the Rhus Venenata ^{Rhus vernix}.

these consist in itching, redness, and tumefaction of the affected parts, particularly of the face, succeeded by blisters, suppuration, aggravated swelling, heat, pain, and fever.

when the disease is at its height, the skin becomes covered with a crust, and the swelling is so great as in many instances to close the eyes and almost obliterate the features.

After the lapse of about twenty-four hours, itching and burning commenced, lasting from half an hour to two hours. After about thirty-six hours, swelling of the parts, with violent itching and burning, increased on touching or moving the parts affected, as if pierced by hot needles.

white transparent vesicles appeared on the highly red and inflamed skin,.

I felt on the ears and hands an itching similar to the bites of insects.

it extended over the face, principally around the eyes, on the cheek-bone, and around the brow.

by degrees, in the space of twenty-four hours, all these parts were perceptibly swollen, and on the ears the swelling was accompanied with a considerable redness (after eleven days). Took a dose of Rhus. All the symptoms became much worse, so as to occasion great pain.

similar symptoms were manifested on the parts of the body that were covered, more especially on the scrotum, which became red first on the left side, then all over, became much swollen, and caused intense itching.

they then extended to the left thigh, only the latter did not swell, but became covered with red spots, with a burning itching, quite insupportable, much more painful than the stings from nettles.

at last, yielding to the insufferable itching, I rubbed myself slightly with the hand to procure a little relief. On the thirteenth day I was so changed by the swelling that I astonished every one.

my hands, but only on the dorsal side and on the first phalanges of the fingers, were much swollen, and the swelling ascended even to the middle of the forearm, so that the wrist of my shirt cut me.

there was also observed a great number of isolated vesicles, filled with a white fluid, which were doubly as painful when scratched.

the itching and red spots on the left leg extended also to the left arm. The swelling and itching on the ears and face diminished, and ceased entirely up to the sixteenth day or thereabouts.

the ears became white, and desquamation took place.

the hands, more especially the right, were still swollen, but no vesicles were any longer produced.

on the contrary, at the lower extremities, the symptoms continued to be developed.

on the left leg the red spots descended beyond the ankle, which also began to become swollen.

on the inner side of the two thighs, as also at the external sides of the right thigh, there were formed red patches, which were extremely itchy, similar to patches of measles, but larger, and without a rounded form. I had to do violence to myself not to scratch, for every time I yielded to the temptation I was punished for it, and yet I would willingly have continued. It was only on the twentieth day that the improvement in the symptoms was at all perceptible.

the swelling of the right hand disappeared.

however, the itching continued, though less burning. Some days later the spots which served as the seat for the vesicles scaled off.

the desquamation extended gradually over the whole external surface of the hand, as if the epidermis had been burned.

I observed no such appearance on the legs. At the present time (the twenty-eighth day) this symptom also has almost disappeared.

however, I always feel an itching in this hand, just as in the left leg, which was swollen,.

The following morning he complained of tiresome itching on the hands and wrists. On the fourth day the itching increased, and the wrists as well as the hands commenced to swell, and became covered with a number of small pimples.

afterwards the hands and wrists became more swollen during the night, were covered with a number of small vesicles, which continued to enlarge for seven or eight days, and became filled with yellowish serum, indicating a bad form of erysipelas.

in spite of bloodletting, baths, emollient fomentations, and soothing drinks, the head swelled to such an extend that he was unable to see for twenty-four hours in consequence of the enormous swelling of the eyelids.

the itching then spread all over the body, chiefly on the hairy scalp and the privates, which he tore to pieces with scratching. After ten days these symptoms went off.

the wrists, which had exuded much serum, east off their epidermis, and the patient was surprised to find that he was cured of an eruption (dartre) which he had had on his wrists for more than six years,.

Wound not disposed to heal.

eruption under the plaster at first, but now extends the whole length of the tibia (tenth day). Eruption extended to scrotum, attended with a thin colorless discharge and great irritation (fourteenth day). The eruption completely covers the face, trunk, and extremities, attended with a discharge from the chin, scrotum, and thighs, where it lies in contact, and from the leg where it first commenced.

penis swelled, in its general appearance resembling anasarca (fifteenth day). Eruption decreasing (after sixteen days),.

In the evening I felt considerable itching of my wrist, and the following morning observed that there were upon it a number of extremely minute vesicles, which contained a fluid more or less limpid or transparent.

the itching increased hourly.

the wrist and the middle of the forearm began the swell, and the vesicles extended themselves rapidly, chiefly upwards towards the elbow, and partly downwards along the lower part of the wrist and upon the fingers.

meanwhile vesicles, accompanied and preceded by itching more or less troublesome, made their appearance upon various other parts of the body.

the face was universally sprinkled with them, but these were extremely small.

the fluid which they contained was always limpid, and without any application, except that of cold water every morning, they entirely disappeared in two or three days. About the seventh or eighth day the itching, the inflammation, and the spread of the vesicles appeared to be nearly at their height. At this period, and for some days afterwards, the greater part of the forearm and about one-third of the arm were swelled to nearly twice the natural thickness.

the itching was intolerable, and the vesicles, in general, were no longer filled with a limpid fluid, but contained a thick matter or pus very similar to that of small-pox, and strongly adhering to the linen. On the ninth day I perceived a swelling in the axillary gland of the right arm, which was that to which the lacteous juice was applied, and which was chiefly affected.

the swelling rapidly increased until it became of the size of a hen's egg, and on the second day of its appearance it had almost entirely vanished. From the period that the swelling was at its height to its entire disappearance, the itching was almost universal, and much more insupportable than it was before. In fifteen days from the time that the poison was first applied to my arm, all the disagreeable symptoms had ceased.

the vesicles had almost entirely disappeared.

a desquamation of the affected parts had taken place, and a new epidermis had been formed,.

In June, 1871, she suffered very severely from a burning and itching eruption covering her entire face, neck, both mammae, external genitals, extending along the inner surface of both thighs, both hands, wrists, and portions of her abdomen. The disease ran its course, terminating in desquamation, without any benefit from treatment. On the 6th of May, 1872, the eruption again broke out, appearing simultaneously in all the localities attacked the previous year. It began with swelling, redness, intense burning, and itching. During the subsequent twenty-four hours, the inflamed surface became densely covered with very minute vesicles, which soon ruptured and poured out very copiously a yellowish serious fluid, which, collecting in the most dependent parts, desiccated into amber-colored, semi-translucent incrustations. On May 31st, 1873, the eruption made its appearance for the third time. Burning and itching on the right temple, extending to the outer canthus of the right eye, slight redness, but no swelling (first day).

right eye entirely closed, swelling extended along forehead and to left cheek, partially closing left eye, also down right cheek to lip.

swollen surface inflamed, firm and elastic.

no pitting. the parts first attacked covered with minute vesicles.

exudation very copious and seems to irritate the inflamed surface (second day).

swelling about eyes slightly diminished.

right cheek, brow, and right upper eyelid covered with vesicles.

exudation very copious.

in the afternoon, the swelling had extended down the right side of the face, under the right lower maxilla and chin, but had diminished about the right eye.

exudation very copious (third day).

swelling, tumefaction, etc., decreased (after three days),.

In the first case, the eruption made its appearance in the form of vesicles over the right mastoid process and from thence it slowly extended to the ear. For three or four days the disease seemed to remain stationary, spreading little if any. There was a copious exudation of turbid serum poured out from the vesicles.

this soon formed into semitransparent incrustations. On the morning of the fifth day I noticed considerable puffiness of the upper eyelid. The disease from this time forward rapidly extended over the entire face, neck, and upper part of chest. The tumefaction and inflammation were well-marked, disfiguring the patient to such an extent that she was scarcely recognizable. There was no pitting on pressure. On the sixth day the eruption made its appearance on the hands.

the vesicles were small and aggravated in patches, varying in size from that of a three-cent piece to that of a Argentum Metallicum ^silver half dollar. The fingers on their proximal surfaces were thickly studded with vesicles. The tumefaction and redness of the parts were but slight. Patient complained of intense burning and itching, and unless closely watched, would frequently indulge in the luxury of scratching, which for the time being seemed to afford relief, but in the end only aggravated the trouble,.

In the morning, a blotch of redness, with very slight swelling, extending in a fan shape from the root of the nose towards the hairy scalp.

in the afternoon the tumefaction had increased, and felt hot (third day).

face very much swollen and disfigured.

both eyes closed. on the right temple a circular blotch of redness slightly elevated, itching and burning intensely.

on the afternoon of the same day, the circular blotch was thickly covered with very minute vesicles, and vesication had commenced on other parts of the inflamed surface (fourth day).

the patches of vesication present a milky whitish appearance, and under the magnifying glass the vesicles seem collapsed, presenting closely aggregated curdy whitish points.

small patches of vesication of the dorsum of right hand, and dorsal aspect of several fingers exhibit vesicles much larger than any which have appeared on the face.

they are limpid at their apices.

the fluid, when discharged by puncture, is limpid and transparent, changes blue litmus to a deep blue, which fades after drying, leaving no trace of discoloration (sixth day),.

Left eyelid swollen, dark-red, oedematous.

exuded pus of a yellowish-white color from the tarsal margins.

right forearm covered on its anterior surface with minute vesicles, burning and stinging.

they were preceded in their spreading up the arm by a plain line of inflammation. Gave Croton Tiglium ^{Croton tig}., 30. The next day the right eye became involved.

on the third day the right eye was again well and the left improving.

the eruption ceased to spread, and blisters half an inch long, appeared on the fingers, which bursting, discharged a yellowish-white serum, and then rapidly healed.

on the fifth day the eyes were both open, and a yellowish-brown scab had formed on the arm.

on the seventh day the eyes were perfectly well, with no photophobia, and the cuticle on the right arm and fingers was peeling off,.

Some sensation of heat about the face, in the evening (first day).

considerable heat and some itching, with slight fulness (second day).

considerable tumefaction, with much of that indescribable itching, stinging, or burning sensation, peculiar to this affection (third day).

tumefaction great, vesicular eruption very distinct (fourth day).

symptoms decreased (after four day),.

Swelling of the lips and nose, and then pale swelling of the face.

on the third day the swelling of the face increased, with burning pain.

the lids were closed by the swelling, the eyes watered.

on the fourth and fifth days, the face was covered with vesicles full of yellow water, that ruptured and discharged some moisture.

the swelling of the face lasted eight days.

that below the chin lasted longer, and was followed by fine desquamation,.

A slight eruption on the face and the hands, were very much swollen.

the eruption extended over the backs of the hands and to the ends of the fingers. In the language of Griffith, there were "violent itching, redness, and tumefaction of the parts, succeeded by heat, pain, vesication, and fever." The vesicles on the inside of the fingers were large, and adding to the pain by pressing against each other,.

A very painful violent burning and itching eruption, especially on the scrotum, prepuce, eyelids, and eyes, with swelling of these parts and appearance of small yellowish blisters, that here and there become confluent and discharge, also some vesicles upon the arms and loins.

these after a few days become as large as peas, and are inflamed by the scratching of the patient. Many of these large pustules or ulcers slowly suppurate, are surrounded by a red areola, become extended and heal slowly (in the third week).

the small confluent pustules rapidly dry up and desquamate after a few days. This eruption occurred without previous vomiting, nausea, and fever,.

Swelling of the prepuce and glans penis.

violent itching, burning, prickling, and cutting around the root of the penis and in the prepuce.

transparent swelling extending from the prepuce to the scrotum, more on the left side, with watery vesicles, discharging a transparent fluid.

prepuce very sore, looks and feels like a scald (after thirty-six hours),.

Large blisters containing yellowish liquid, with swelling of the arm.

the blisters were ruptured carelessly, and the liquid flowed over the whole arm, after which a very large number of vesicles appeared, so that after eight days the whole forearm seemed to be one mass of blisters.

anointing with olive oil seemed to have no effect upon the complaint.

soon the upper arm and then the right arm and other parts of the body became affected.

the whole trouble lasted four weeks,.

The juice became dark on exposure, and concreted on the palm and wrists, forming dark scales, which adhered so closely as to be with difficulty removed by rubbing off the superficial layer of the cuticle. At this time no inconvenience was felt, but four days afterward, two blisters were noticed, each about the size of a threepenny piece, on the flexor surface of the right wrist. On the top of each blister there remained adherent a portion of the black concentrated juice, and there was some redness around the vesications, but no pain. Four or five days subsequently the other wrist became similarly affected, and about the same time the redness began to slowly spread up both forearms. Nothing further was noticed until the seventeenth day after the exposure, when he was obliged to give up work in consequence of the swelling and stiffness of the forearms, and about the same time the redness began to spread slowly up both forearms. On examining the patient I found the skin on the flexor surface of both forearms swollen, and of a florid red color, like that of erysipelas.

and the red surface was covered with small transparent vesicles each about the size of a pin's head, closely set together. The vesicles closely resembled those of eczema or the minute inflammatory vesications produced by the application of Terebinthina ^turpentine. Both forearms were considerably swollen, and felt stiff to the patient. Some of the black spots, formed by the dried acrid juice, were still seen on the palms of the hands and on the adjoining parts of the wrists. The skin of the (upper) arms was natural. The face, though less affected than the forearms, and not vesicated, was swollen and erythematous, the eyelids being puffy and partially closed. The trunk of the body was untouched, but the skin of the penis and scrotum was red, oedematous and painful, and there were scattered spots of inflamed and slightly elevated skin on the inner surface of both thighs. The inflamed portions of the skin were the seat of pain, sometimes of a numbing character, sometimes stinging like the irritation of nettles. The pain was worse at night, owing to the heat, but it was not severe anywhere except in the forearms. During the course of the following day the red patches extended up the arms, and also down the thighs as far as the knees, while some scattered spots remained over the pubes. Next day (27th) the swelling and redness of both face and arms were diminishing, and the vesicles on the forearms were drying up into scabs, but the erythematous eruption on the thighs continued to spread downwards to the legs, and upwards on the trunk of the body. On the 29th, at noon, the abdomen was found covered with irregularly-shaped patches of inflamed skin, which had extended from the pubes upwards as far as the hypochondria. At the margins of the large patches there were numerous detached small reddish spots, like the eruption at the outset of measles, the larger patches resembling the continuous rash of scarlet fever. On the 31st the redness had extended to the back, while anteriorly the skin, from the pubes to the clavicles, was marked with inflamed patches and spots, the region of the sternum alone being unaffected. The legs were almost entirely covered with eruption. There was no vesication on any of these parts. But while the eruption was thus spreading on the lower half of the body, the upper half was recovering. Thus the forearms were now nearly well.

the redness and swelling were gone, only a few vesicles remaining on the backs of the hands and between the fingers. The face had nearly the natural appearance, very little desquamation being observable,.

Both hands and wrists were inflamed and enormously swollen. In urinating he conveyed the poison to his penis, affecting the whole organ, and the scrotum, the lower part of the abdomen, and part of the thighs. The prepuce was swollen to the size of a common orange, and distended with fluid, giving it almost a transparent appearance there was phimosis, completely hiding from view the glans.

the scrotum was enormously swollen,.

A single vesicle, with the peculiar thick cover and somewhat dark look so often seen, appeared upon the back of a finger, but accompanied by no sensation (third day).

a single and similar, though somewhat larger, vesicle appeared upon my left wrist, to which two others joined themselves on the following day (fourth day).

one of the vesicles which appeared last upon the knuckles, without any external irritation, increased to three times its original size, with burning and itching sensations. The other efflorescences quiescent or receding (seventh day). A new and very large vesicle of irregular shape appeared on the back of the last phalanx of the right thumb, covered with so thick a roof a to appear transparent, as if the effusion had taken place in the lowest layer of the rete mucosum (ninth day).

two new vesicles, one on the back of the left forefinger, the other on the thumb near the base (eleventh day).

all groups, old and new, have become enlarged by the appearance of new vesicles at the peripheric (excepting those upon the wrists, which had been opened for the purpose of experiment), and one new cluster appeared on the back of the right middle finger. All itch and burn extremely (thirteenth day).

the original vesicles and papules have, in many of the clusters, resolved themselves apparently into two or three times their number of smaller efflorescences, the whole patch flattening down and assuming a darker brown tinge (sixteenth day). A large, single vesicle, with the thick and opaque covering peculiar to its seat, has struggled up into distinct prominence in the palm of the right hand, near its ulnar border.

a fresh one also at the base of the nail of the left thumb. At this date there are seven single or groups of efflorescences, on different parts of the hands, in all stages of development or involution (seventeenth day). Another small vesicle has appeared in the right palm, half an inch from that of the 17th day. The earlier vesicles have nearly all flattened down to the level of the general surface (twenty-second day). A single vesicle shows itself upon the internal lateral surface of the left thumb. This was the last to disappear, and from this date all the efflorescences gradually subsided, and after a fortnight were no longer perceptible (twenty-fourth day). At the present time their seats are still defined by the more glossy look of the new epidermis which covers them (forty-seventh day),.

For four fingers' breadth around the wrist it looked as if a blister had been applied to a stiff skin, and blisters upon blisters had accumulated in the form of a band around the arm.

more towards the hand the blisters were isolated.

some on the outer margin of the hand were clear, and these were without any areola.

on opening them there was discharged very clear lymph that dried to a yellow glistening pellicle (eleventh day),.

A small swelling appeared on the little finger (seventeenth day).

another was developed on the thumb (nineteenth day).

the swelling increased, covering the greater part of the lower joints of both thumb and finger (twentieth day).

the swelling disappeared, giving place to a sort of callus, which has since fallen off in the form of a scab (twenty-third day),.

On the second day of using the lotion the knee became violently inflamed, with an innumerable quantity of small vesicles scattered over its surface, and attended with severe pain, heat, and stinging itching.

a well-defined border line showed that the inflammation did not extend farther than the saturated bandage had reached. These symptoms continued on the increase for four or five days, at which time the other knee became similarly affected, no doubt in consequence of some of the lotion having come in contact with it. On the seventh day it had begun to decline, but still exhibited a painful and ugly-looking cutaneous disease,.

Two black spots appear an hour after the application of the juice to the first phalanx of the index finger.

but after twenty-five days violent burning in the mouth and throat, sudden swelling of the left cheek, upper lip, and lids.

the next night great swelling of the forearm, the skin became quite leathery, with intolerable itching and great heat.

after four days pustules appeared on the hands and forearms, bursting and discharging a clear liquid,.

Boil on the edge of the upper lid of the left eye, the size of a pea.

the eye again entirely closed (twenty-fourth day).

boil on the left lid discharging freely, with abatement of swelling.

new boils in great numbers are constantly appearing in the groins, on the legs and abdomen, and increasing in size, some half as large as a hen's egg (twenty-fourth day),.

Stinging prickings in different parts of the skin of the neck, on walking in the (open) air after drinking cold water.

the prickings oftener over the sterno-mastoid muscles opposite the lower part of the larynx, at 6 P.M. (twenty-first day).

at the lower part of the neck, about 6 P.M., when walking, after drinking cool water (twenty-second day),.

The eruption made its appearance in the afternoon, after the second cup, of a bright redness, and an intense burning sensation.

it soon covered the whole body from scalp to toes.

the head and limbs badly swollen.

the eruption, first smooth, soon assumed a minute vesicular appearance, which in places, ran together, forming small bulbs filled with serum. On the fifth day the vesicles began to dry up, followed by a desquamation of the cuticle, with intense itching.

the cervical glands were swollen and sore to the touch when the eruption made its appearance.

swelling of the eyelids, with oedema of the upper lid,.

Sunday (the third day) there was an eruption of itching red papules behind each ear and on the neck. On Monday these papules enlarged and became more numerous, and the eyelids were red and oedematous. Face was red and swelled.

the cervical glands became tumid and slightly tender. On rising from bed she fainted, and again later in the day syncope came on. On Tuesday the rash had extended all over the face, over the hands, between the toes, and thighs. The itching was becoming more and more intolerable, and partook of a burning character. About the fifth day from their first appearance, the papules had become vesicles, which rapidly coalesced on the face and burst, emitting and acrid serum, which, on drying, formed a crust, so dense as to make the movement of the facial and buccal muscles painful. The nose and lips were much swollen. The oedema of the eyelids was so great as to close up the left eye entirely and the right partially. The burning and itching were somewhat relieved after the breaking of the vesicles. The acute stage was now over (six days after the commencement), but the cracking of the crusts over the face, etc., occasioned such a disfigurement that the lady was confined to the house for a fortnight more.

by that time all traces of the skin erysipelas had disappeared, only an unusual irritability (to flannel, etc.) of the integument remained, and a hypersensitiveness to cold air. After a second exposure to the shrub several months later, there was very intense erysipelas of the face for four or five days. The next month there were two attacks. Five months later there was another attack, without fresh exposure, shortly after taking a bath rather too hot. The vesicles that appeared during the first two days were scattered and few, and strongly resembled the eruption of chicken-pox,.

A fifth attack came on after taking a bath rather too hot, five months after exposure. One of the earliest symptoms was the peculiar rheumatism of Rhus, affecting the legs chiefly, a stiffness of all the joints on first moving them.

aching pains in the joints, constant feeling of lameness in the legs. This rheumatism continued nearly three weeks,.

About thirty days after the poisoning, a swelling came on the left side of my neck under the ramus of the lower jaw, which increased to the size of a man's fist, so large that it turned my face directly to one side, causing my chin to rest on the right shoulder.

the swelling was quite hard, and disappeared in about two months, without suppurating,.

In about an hour after the morning draught, she complained of burning pains in the stomach, sickness of the stomach, with dizziness.

the stomach felt as though it were too large, hanging down like a bag.

soon followed by chills, running from the feet to the head, followed by flashes of heat.

chilled every morning during the inflammatory stage, from 2 to 3 o'clock.

the pulse was full, varying in frequency from 84 to 98 betas per minute,.

Rheumatic stiffness of all the joints.

pain shooting through the knee-joints from side to side.

wandering pains. sometimes on one side, and then suddenly appearing on the other.

pricking in the feet and fingers.

feeling of great weakness.

the flesh feels as though it would drop from the arms and limbs.

pain seems deep, or as the patient expressed it, "Down to the bone;" all pains aggravated by gentle friction, relieved by hard rubbing only so long as rubbing was continued.

wants to move the limbs frequently, which relieves the rheumatic pain, but soon has to change position for similar relief,.

Pain at the anterior part of the left thigh along the whole course of the rectus femoris, from the anterior inferior spinous process of the ilium to the patella, felt when in walking the leg begins to be thrown forward, and at different times from 4 to 8.30 P.M., and more especially during the earlier portion of each walk after an interval of rest.

long walking removed the lameness for a time (twenty-fourth day),.

He fell down unconscious, there was no pulse, but feeble ineffectual efforts to vomit, with general offensive odor from the body.

the epigastric region was painful, frothing from the mouth, inflammation of the lips (after suppressing the erysipelatous inflammation by vinegar and water).

subsequently the pustules returned, developed into furuncles, after which the patient recovered,.

Some twitchings across the abdomen, with irregular and convulsive motion in the limbs, and when the nervous influx seemed to pass to the extremities, it excited in the brain such a sensation of pain as made him frequently exclaim most violently.

but when any one asked him where his pain was, he answered he could not mention any particular place, but that all his limbs were as if stretched forcibly.

this was more especially after sleep,.

A group occurred in this order The calf of the left leg very painful when first walking downstairs at 7 A.M.

after two and a half hours a sensation of jerking near the inner canthus of the right eye followed in five minutes by severe aching in the left chest, midway between the sternum and the angle of the ribs, soon extending, with less intensity, to the shoulder, arm, and forearm. Great depression, discouragement, sleepiness, and desire to lie down by day, followed in the evening by debility and tardiness of the legs in walking (twelfth day),.

The following group in the morning, commencing about 6.30 and ending about 8.30 Severe pain in the deltoid of the left arm on exerting it.

then the same in a less degree felt twice at the insertion of a muscle near the middle of the sternum, followed by sensitiveness there on pressure.

then aching at the junction of the right temple and forehead.

severe itching of the lower half of the legs, repeated with similar intensity at 10 P.M. (thirteenth day),.

The following group in order Pain in left loin above sacro-iliac symphysis.

intense shooting pain in a narrow streak from the abdomen to the anus, first from a spot below and to the right of the umbilicus, then from below and to the left of, it towards evening.

then severe pain at the tendon, just above the patella, at the commencement of a walk before 7 P.M., and rheumatic pains in different parts, as in the back of the right wrist and in the right upper arm.

this group was in or near a thunder-shower, in the afternoon (fourteenth day),.

Between noon and 2 P.M. the following group occurred Pain in the back at noon, then quite strong in the back and loins.

then in the left eyeball, then at the dorsal side of the metacarpal bone, corresponding to the right ring finger, extending subsequently to the wrist, with lassitude and disposition to stretch.

strong pain at the ulnar edge of the left metacarpus, soon extending to the wrist and forearm, then transferred to the radial edge of the right forearm and the ulnar edge of the right metacarpus, shortly returning to the ulnar edge of the left metacarpus, more severe than in the right, and then, though less, attacking the left ring finger near the nail.

at 2 P.M. the above symptoms occurred when the weather was cold.

wind N. E. (eighteenth day),.

Itching burning (especially in the morning), and vesicular eruption on the hands and wrist and about the eyes, with smarting and redness of the eyes, and photophobia twenty-four hours after gathering, but commencing about eighteen hours previously. Headache through the eyes and temples, with dulness and sleepiness thirty to thirty-six hours after, in the afternoon. Secretion of urine more copious and rather pale. Next day, itching, burning, and extension of the vesicular eruption around the eyes, upper lids, superciliae, mouth, and external orifice of the ears, and drowsiness and dulness of spirits in the afternoon. Headache, slight photophobia, and obscured vision at times, as well as on the previous day. Itching of the scalp. Tongue more furred and appetite not as good. After midnight, on the beginning of the third day, pain, colic, rumbling, and griping in the bowels during repose, with sulphuretted eructations, and discharge of flatus. (Had eaten custard at noon before). Two or three years ago when similarly affected from preparing some, had loose evacuations in the morning for several days.

recurring, in addition to the colic and cutting pains in the abdomen. Rather copious secretion of palish urine continues. Rheumatic pain in the lumbar region and through the hips. Nausea, want of appetite, and loathing of food on rising in the morning, and colic and griping, etc., continue, but better after moving about during the day. Tongue still more coated. Itching of the hands and face still continues, and more extended. Took a dose of Bryonia ^Bryonia, and it is proper to remark, that I inhaled Bryonia ^Bryonia rather freely the evening of the exposure, otherwise I would probably have suffered still more, as I had done two or three times in as many years before. Fourth day, symptoms all materially relieved excepting the eruption, which is more extended. Fifth, sixth, and seventh days, first eruption drying up, but coming out on new spots. From a boy up to 1842, I had always been able to handle this and the Rad., and be among it, without experiencing any inconvenience,.

NIGHTLY SHOOTING, STITCHING, TEARING PAINS; CAN'T REST IN ANY POSITION

Grippe

Variola

Sore, bruised or STIFF

Flesh feels beaten or torn loose Dislocative sensation

Twitching muscles

Crawling Numbness

Trembling

Burning, swelling and lividity Cellulitis

Acrid, rusty-red, meat water or musty secretions; causing eruptions

Scraping, gnawing or tearing loose in periosteum

Sad, anxious, depressed or beclouded Slow answers

Low delirium

Whirling vertigo; then headache

Shattering or loose feeling in brain; worse jar

Board-like pressure in forehead

Painfully stiff scalp, better lying on it

Pain behind eyes; worse motion

Eyelids, stiff; adherent; dry; firmly closed

Profuse, hot, gushing tears

Photophobia

Vertical diplopia

Saccular conjunctivitis

Red, sensitive tip of nose; it drips water

Roseola

Nose-bleed; at night

Violent aching in bones of nose

Face-ache

Maxillae crack; easily dislocated; pains in

Red spot on l

cheek

Swelled, stiff face Dry, cracked, crusty lips; herpes on

Sordes Bloody saliva runs during sleep

Teeth feel loose

TONGUE; RED TRIANGLE AT TIP; coated diagonally or on one side only; dry red center; cracked, stiff, sore

Coppery or straw-like taste

Red, puffy, itching fauces

As of chamois skin stuck on tonsils

Sorethroat [left] in A

; with swelled glands Craves cold drinks, although they worse cough, chill, etc

Vomits from coughing, lying on back, etc

; fecal Abdomen sore; swashing in; as of a lump in

Ileocaecal symptoms Stools watery, frothy or bloody; foul; brick red; slimy; gelatinous; involuntary or with tenesmus, worse drinking

Piles, worse lifting

Genitals, oedema, worse prepuce; itching; swelled

Nephritis

Metritis; septic

Chest pains on using arms

Dry, hoarse, tearing, tormenting cough, from tickling behind upper sternum; with bloody taste

Sudden hypostasis or oedema of lungs

Palpitation; better motion

Heart; feels tired; hyper-trophy; pains going down l

Shingles

Stiff neck

Inter-scapular pain, worse swallowing

Contractive or breaking backache, better hard pressure, walking about or bending backward

Lumbago

Coccyx aches into thighs

Numb, prickling limbs

Arms nervous and shaky, [left]

Paralytic pain in elbows

Rhagades on backs of hands

Palms, dry, hot, cracked and sore; washing causes burning

Pains down back of thighs; worse stool

Sciatica

Legs feel dead, wooden; cramp in calves; gangrenous ulcer, runs bloody water; itching

SKIN; stiff; thick; dry; hot; itching; burning; worse warmth; painful to cold air Fine VESICULAR, crusty, eczematous, moist or ERYSIPELATOUS ERUPTIONS, worse genitals; alternating with dysentery

Pus erodes the hair

Rhus poisoning

Milk-crust

Baker's itch

Vesicles over abscess

Weeping ulcers

Dreams, laborious; of blood; awakes tired or nervous

Weak, rapid, sharp, tremulous or irregular pulse

Easily chilled; worse least uncovering; with pains in limbs; worse cough, etc

Chill as if dashed with cold water or cold water in veins; preceded by cough; alternating with heat; in single parts

Heat with busy delirium

Sweat, worse during pain; with sleepiness

POISON OAK. N. O. Anacardiaceae. Tincture of fresh leaves gathered at sunset just before flowering time. and Rhus Radicans. POISON IVY. N. O. Anacardiaceae. Tincture of fresh leaves gathered at sunset just before flowering time.

Abortion. Acne rosacea. After-pains. Amenorrhoea. Anus, fissure of. Appendicitis. Appetite, lost. Beri-beri. Bones, pains in. Caecum, inflammation of. Chilblains. Circulation, feeble. Cyanosis. Dengue fever. Diarrhoea.

chronic. Diphtheria. Dysentery. Dysmenorrhoea. Dyspepsia. Ear, eczema of. Ecthyma. Enteric fever. Erysipelas. Erythema nodosum. Exostosis. Eyes, inflammation of.

choroiditis. sight, weak. Feet, pains in. Gastro-enteritis. Glands, inflammation of. Gout. Haemorrhages. Haemorrhoids. Hands, pains in. Hernia. Herpes. Herpes zoster. Housemaid's knee. Hydrocele. Influenzinum ^Influenza. Intermittents. Jaw, cracking in. Liver, abscess of. Lumbago. Measles. Menorrhagia. Metrorrhagia. Neuralgia. Ovary, tumour of. Paralysis. Paraphimosis. Pemphigus. Periosteum, pains in. Pleurisy. Pleurodynia. Pneumonia.

with the increased virulence of the plant at night and in damp atmosphere. (One prover of Rh. ven. was not influenced by contact with the leaves when his skin was dry, but only when perspiring; and the worst poisonings with Rh. divers. happened to persons when moist and heated.) Millspaugh relates instances of Rhus poisoning Out of ten men employed to clear a piece of land of shrubs among which the Poison Vine greatly predominated only four escaped "Most of the men soon began to show signs of being tired, and at the end of the fourth day six of them were flat on their backs too sick for anything." Actual contact with the plant is not necessary in order to produce its effect. One sultry day in June a young lady drove a croquet ball across a lawn to a clump of Poison Ivy that grew beside it. Knowing her susceptibility she reached under the plant and drew out the ball without touching a leaf. During the evening of the same day her face began to itch and burn, and in the night it swelled so that the eyes were not merely closed, the lashes even disappeared in the swelling. It took nearly two weeks for her to recover. Millspaugh summarises the effects of Rhus (the majority of poisonings have been caused by Rh. rad.) as follows First redness and swelling of the affected part, with intolerable itching and burning, followed by vertigo, weariness, and a sort of intoxication. Infiltration of face and eyes, and agglutination of the lids after sleep.

great restlessness, pain, thirst, and fever. The surface of the skin becomes after a time studded with confluent bullae where the cellular tissue is loose, then a dermatitis follows resembling erysipelas.

this may spread rapidly and finally be communicated to the mucous membranes. This is followed by swelling of the mouth and throat, cough, nausea, and vomiting. Rheumatoid pains develop about the joints, and a painful stiffness asserts itself in the lumbar region, while the legs and arms become numb. Confusion of mind and delirium may then set in, during which the patient may become so ill-humoured, restless, and anxious that he will jump out of bed. Concomitants are Inflammation of eyes, dilation of pupils, weak vision, sometimes diplopia.

epistaxis. brown-coated tongue with triangular red tip.

swelling of parotids. difficult swallowing.

griping. diarrhoea. profuse urination.

oppression. rapid pulse.

prostration. soreness of muscles, agg. by rest.

amel. by exercise. sleepiness.

chilliness followed by fever and copious sweat.

The American provings were made with Rh. rad., and the majority of the poisonings have occurred from this plant. Though it is not certain that Hahnemann used Rh. tox. at all, or exclusively, Jahr gave a separate presentation of the Rh. rad. symptoms. H. C. Allen (quoted Critique, vi. 409) notes in Rh. rad. a periodicity which marks it as a great antipsoric. It is, he says, on deeply psoric or tubercular constitutions that its toxic effects are most felt and longest lasting, and these constitutional effects "seem ineradicable without the antipsoric." One case of his showed a return of symptoms at 12.45 a.m. on July 5th, each year during sixteen years, except the year 1898, when the previous use of Tuberculinum ^Tuberculinum, a dose once each month, prevented an attack.

and modified the 1899 attack. Guernsey considers Rh. rad. deeper acting than Rh. tox., being indicated in phlegmonous erysipelas, especially where it begins in ankles and moves gradually up the leg, moving in the deeper tissues, no fever.

and for axillary glands when the swelling is very deep and hard. Farrington gives as distinctive indications for Rh. rad.

Occipital headache with rheumatic stiffness of nape. Drawing tearing pains in legs. Pleurodynia when the pains shoot into the shoulders. Mahony (M. A., xxvi. 109) reports a case of eczema on perineum and scrotum with sweat in cleft of nates, both relieved in a week with Rh. rad. 12, twice daily.

Hahnemann quickly perceived the keynote of the Rhus symptoms "We observe," he says, in his preface to the proving, "this curious action (which is found in few other medicines, and in these never to such a great degree), viz., the severest symptoms and sufferings are excited when the body or the limb is at rest, and kept as much as possible without movement. The opposite of this, namely, an increase of the symptoms by movement, is much more rarely, observed." He contrasts Rhus with Bryonia ^Bry., which has almost identical rheumatic pains with the opposite Conditions. Neidhard adds a note in Hempel's Jahr which brings out a modification of this "agg. by rest" which is of the greatest practical importance, as I can testify. Neidhard says that the disease in which he has made most use of Rhus is a form of rheumatism common in North America, and characterised by the following symptoms "Rigidity, paralytic weakness of the joints, with stinging pain along the tendons and muscles. Swelling and redness on or near the joints. Rheumatism of the hip-joint and wrist seem to be most effectually controlled by its action. The greatest rigidity and pain is experienced on first moving the joints after rest, and on waking up in the morning. After the joints are moved for a while the pain is lessened." Contrasted with Bryonia ^Bry., Rhus has "The more he moves the amel. he is".

whereas Bryonia ^Bry. has "The more he moves the agg. he is." It is necessary to bear in mind this distinction or a wrong prescription will often be made. Rhus has not only agg. during rest, but agg. after resting also. However, Rhus and Bryonia ^Bry. complement each other it is not unusual for the Conditions of a case to change under one of these remedies, and then the other will be required. Hahnemann says "these two antagonistic sister remedies ";.

successfully met the typhus which prevailed in the countries desolated by the war which raged from the summer of 1813 and onwards. Of 183 cases treated by Hahnemann in Leipzig not one died. This restlessness of Rhus will be found to qualify the symptoms in a large proportion of the cases in which it will be called for. It is as restless as Aconite ^Acon. and Arsenicum Album ^Ars., but in a different way from either. With Rhus it is due to the pain and soreness temporarily amel. by movement.

clouded sensorium, stupefaction, muttering delirium, dry tongue. The characteristic tongue of Rhus is dry or dark coated, with triangular red tip. In intermittents a characteristic is "Cough during the chill." Hahnemann pointed out another keynote of Rhus "Multiplied experience has taught me that Rhus is the most efficacious and the specific remedy for the frequently fatal effects of over-lifting, inordinate exertions of the muscles, and contusions." He was, of course, led to this inference by the "bruised and sprain-like pains" and "stiffness" of the provings. Rhus is in the front rank of vulneraries. It meets threatened abortion from a sprain.

and also prolonged after-pains and other effects of the strain of a severe labour.

axillary abscess from this cause has been cured with Rhus. Straining, rheumatic coughs. Ailments from straining a single part, muscle, or tendon.

over-lifting, particularly from stretching high up to reach things. There is an analogy to this in the dreams.

dreams of great exertion rowing, swimming, working hard at his daily occupation.

Rhus has cured many forms of paralysis Rheumatic paraplegia from getting wet, lying on damp ground; sleeping in damp sheets; after exertion; after parturition, sexual excess, or fevers.

Ptosis. Paralysis of single limbs.

Numbness of parts paralysed.

Facial neuralgia, lumbago, and sciatica (esp. of left side), with restlessness; coming on after a wetting or after a bath are cured by Rhus.

The neuralgic pains and eruptions make Rhus a perfect simillimum in many cases of herpes zoster.

Fever-blisters round mouth.

Howard Crutcher relates (M. A., xxii. 38) how after standing on a wharf with his right side exposed to a cold wind from the river he began to have severe pains shooting up the ulnar nerve, a steady ache uniform throughout arm and forearm, but extremely severe in structures beneath deltoid.

The pain was much agg. in a warm place; it did not interfere with movement.

At 8 p.m. Crutcher took Rhus 30 dry on the tongue, and almost immediately he was called into the open air again.

In thirty minutes the pain was decidedly better; in ninety minutes it was gone.

A case of Rhus poisoning reported by Morey (Med. cent., February, 1898; H. W., xxxiii. 309), showed an effect on the menstrual period, and was remedied by Crocus Sativus ^Crocus.

Miss M. was severely poisoned by Rh. rad. (it is called "Ivy") in July, 1895, during her menstrual period.

She was treated with Belladonna ^Bell. and Rhus internally, and an Oxide of Zincum Metallicum ^Zinc ointment externally, and appeared to make a rapid recovery.

On September 1, 1897, without further known poisoning, another similar attack developed during the menstrual period, and frequent minor attacks had occurred in the two years, always at the time of the menses.

Later on she had another attack which developed rapidly and greatly alarmed her.

The menstrual flow commenced a week before she came to Morey, was very scanty, dark, and clotted, as had been the case for sometime.

The flow had scarcely well begun when it ceased suddenly and the eruption appeared. Crocus Sativus ^Croc. was given, and the first dose re-established the flow, which was normal in appearance and quantity, and the eruption at once disappeared.

Peculiar Sensations are As if intoxicated.

As if asleep. As of a weight behind right orbit.

As of a band strapped across forehead.

As if head were swelling out.

Brain, as if loaded; as if torn; as if loose; as if fluctuating; as if a quantity of blood shot into it when stooping.

As if muscles of back of head screwed together.

As if a hundredweight on nape of neck.

As if a veil before eyes.

As of sand in eyes. As if lids difficult to move.

As if jaw would break.

Teeth as if being torn out; too long; loose.

As if tongue had been skinned.

As if a hernia about to protrude.

As if pharynx inactive or paralysed.

Stomach, as if overloaded; as if a stone in; as if pit of stomach swollen or drawn together.

Hypochondria and abdomen as if beaten.

Digging as if caused by a worm.

As if a knife in right abdomen.

As if something torn loose in abdomen, chest, and inner parts generally.

As if a lump lay like a pressing heavy weight in abdomen.

As if one side of rectum grown up.

As if everything would come out of rectum.

As if breath were stopped at pit of stomach.

As if sternum were pressed inward.

As if sprained or dislocated back, jaw, arms, wrist, hip, knee, ankle.

As if one had been lying in an uncomfortable position.

As if bruised in right side of lumbar vertebrae and in small of back.

As if flesh of small of back had been beaten.

As if back were broken.

As if some one were pressing on left shoulder.

As if hand were held in hot water.

Hand, as if withered; as if lame; as if pins pricking points and palmar surfaces of first phalanges of fingers.

Rectus cruris muscle as if bruised.

As if hamstrings and tendons of limbs too short.

As if knee too-short. Legs (and right foot) as if made of wood.

Feet and ankles as if asleep.

Heels as if stepping on pins.

As if running nails under skin of heels.

As if walking on needles.

Joints as if bruised. As if bones ached.

As if sinking through bed.

As if something forced him out of bed.

Bones, as if being scraped; as if flesh being torn loose from them.

As if whole body was burning.

As if cold water poured over him.

As if blood ran cold through veins.

As of subcutaneous ulceration.

As if inner parts grown together.

Peculiar Symptoms are Craving for cold drink and laborious dreams.

Herpes alternating with asthma and dysentery.

Chokes easily on swallowing.

Swallowing = pain in middle of back.

Anorexia in palate and throat.

Nausea in chest. Taste of blood with cough (no blood being raised).

Coldness in left tibia.

Scalp sensitive, agg. turning hair back.

Hour-glass contraction of abdomen.

The symptoms are agg. By touch; amel. by rubbing. agg.

From riding; blows; jars; sprains. agg.

By rest; and commencing motion; amel. continued motion. (Lying down amel. colic and diarrhoea.) Lying on hard floor with pillow under back amel. pain in back.

Must hold head to amel. weight in it.

Bending head back amel. pain in occiput; = pain in head and down spine.

Limbs lain on fall asleep; no sweat on them. agg.

Side lain on. Lying on left side = palpitation and pain in heart.

Swallowing = pain in back.

Inclination to stretch.

Stretching = cracking in knees; soreness in abdomen.

Unwonted exercise = paralysis.

Over-exertion = palpitation; agg. coxalgia. agg.

Evening; night; morning after sleep.

Sensitive to cold open air; raw north-east winds.

Effects of drinking cold water; getting wet, especially after being heated, cold bathing; sea bathing. amel.

By warmth and hot applications. agg.

Warmth of bed. Sciatica is amel. by warmth from exercise. agg.

Change of weather; damp, stormy weather; before a storm; snowstorm; in autumn; in winter.

Nausea agg. after eating.

Craves cold water, which is vomited immediately.

Eye symptoms, amel. by motion, Comoc. (Rhus amel. by warmth; Comoc. agg.).

Rheumatic paralysis from exposure to damp and cold, Causticum ^Caust. (Rhus restless, amel. by motion day and night; Causticum ^Caust. restless only at night).

Parotid gland, Ammonium Carbonicum ^{Am. c.} (Rhus left; Ammonium Carbonicum ^{Am. c.} right).

Result of working in water, Calc Carb ^Calc.

Granular ophthalmia, Argentum Nitricum ^{Arg. n}. (Rhus has more spasm; if lids are forced open scalding tears gush out and cause pimples round the eye).

Cough excited by cold drink, Silicea ^Sil. (amel. Causticum ^Caust.).

Sweat of body, head dry (Silicea ^Sil. sweat of head, body dry).

Enables persons to withstand muscular fatigue, Hydrofluoricum Acidum ^{Fl. ac.}, Arsenicum Album ^Ars., Coca.

Hypertrophy of heart from over-exertion, Bro., Arnica ^Arn., Aconite ^Aco. Ulcers on legs in dropsy, Arsenicum Album ^Ars., Lycopodium ^Lyc. (Lycopodium ^Lyc. in dropsy from liver disease).

Fear of being poisoned, Glo., Kali Bromatum ^{K. bro.}, Hyoscyamus Niger ^Hyo., Bap.

Profuse gushing tears excoriating cheek, Euphrasia Officinalis ^Euphr. (Rhus agg. right eye; pus thinner).

Ptosis or any ocular paralysis, Gelsemium Sempervirens ^Gels. (Rhus rheumatic patient, from wetting; Gelsemium Sempervirens ^Gels. with sluggish thought and suffused face).

Scarlatina, erysipelas, &c., with drowsiness and oedema, Apis Mel ^Apis (Rhus dusky red, bodily restlessness; Apis Mel ^Ap. rosy red, fidgetiness. Rhus itching preponderates; Apis Mel ^Ap. less tendency to form pus).

Enteritis, peritonitis, typhlitis, Lachesis ^Lach.

Heart affections with numbness of left arm, Aconite ^Aco. (tingling in fingers), Kalmia Latifolia ^Kalm., Pulsatilla ^Puls. (numbness, especially about elbow), Act. r. (as though arm tightly bound to body), Phytolacca Decandra ^Phyt. (right arm).

Empyema and induration of axillary glands, Belladonna ^Bell. (Belladonna ^Bell. at climaxis, Rhus after labour).

Eczema, Mezereum ^Mez., jug. r. (favus).

Cough agg. from evening to midnight, Mezereum ^Mez. (Rhus also from uncovering).

Colic amel. bending double, Colocynthis ^Coloc. (Rhus also amel. moving about).

Conjunctivitis from getting wet, Calc Carb ^Calc.

Glaucoma, Causticum ^Caust.

Cracking and breaking pain in jaw, Ignatia ^Ign., Petroleum ^Petr.

Acute spinal paralysis of infants, Sulphur ^Sul. (complementary).

Averse to be uncovered, Arsenicum Album ^Ars., Hep Sulph Calc ^Hep. Bearing down in hypogastrium, Pulsatilla ^Puls.

Flesh feels beaten off the bones, Thuja ^Thuj.

Aversion to darkness, Am. m., Bar. c., Calc Carb ^Calc., Carb. a., Stro., Val., Stramonium ^Stram.

Averse to be washed, Antimonium Crudum ^{Ant. c.}, Clematis Erecta ^Clem., Hep Sulph Calc ^Hep., Sepia ^Sep., Spi., Sulphur ^Sul.

Effects of raising arms high to lift things, Phosphorus ^Pho.

Bloody urine discharged in drops, Pulsatilla ^Pul.

Phimosis, Cann., Merc Viv ^Merc., Sulphur ^Sul., Nitric Acid ^{Nit. ac}., Sepia ^Sep., Thuja ^Thuj., Sabi.

Hunger in early morning, Aga., Antimonium Crudum ^{Ant. c.}, Asarum Europaeum ^Asar., Calc Carb ^Calc., Carb. a., Lycopodium ^Lyc., Ran. b., Saba., Zincum Metallicum ^<">Zincum Metallicum ^Zn. Semilateral coat of tongue, Daphne Indica ^Daph., Lobelia Inflata ^Lob. (Rhus white).

Hot breath, Calc Carb ^Calc., Carboneum Sulphuratum ^{Carb. s}., Sulphur ^Sul.

Nocturnal salivation, Chamomilla ^Cham., Nux Vomica ^Nux, Phosphorus ^Pho.

Difficult swallowing of solids, Atrop., Belladonna ^Bell., Bar. c., Calc Carb ^Calc., Chininum Sulphuricum ^Chi., Dro., Lycopodium ^Lyc., Plumbum Metallicum ^Plb., Silicea ^Sil.

Parotitis, Aurum Metallicum ^Aur., Merc Viv ^Merc., Pilo.; metastasis to testes, Rhus, Pal., Belladonna ^Bell., Kali Carb ^{K. ca.} Yearly returns, Arsenicum Album ^Ars.

Cold from wetting head (Belladonna ^Bell. from hair-cutting).

Sensation of subcutaneous ulceration, Ran. b., Pulsatilla ^Pul.

Chokes easily when swallowing, Kali Carb ^{K. ca.} amel.

Warm food, Lycopodium ^Lyc.

Epistaxis at night, (Bryonia ^Bry. morning).

Punctured wounds as if stepping on nails, Hyper., Led.

Backache amel. lying on hard floor, Nat Mur ^{Nat. m}.

Hydroa, Nat Mur ^{Nat. m}.

Acne from getting wet, or ice-cold drinks, when heated, Bellis Perennis ^Bellis.

Desires cold drink and vomits it immediately, Arsenicum Album ^Ars.

Ailments from spraining a single part, muscle, or tendon, Calc Carb ^Calc., Nux Vomica ^Nux.

Vertigo agg. lying down (Apis Mel ^Apis amel.); agg. rising from lying or stooping, Bryonia ^Bry.

Jelly-like stools, Colchicum Autumnale ^Colch., Kali Bich ^{K. bi.}.

Causation.

Exanthema in general. burning.

burning itching. pustulous.

with swelling. blotches.

like milk-crust. moist.

like nettle-rash. blue with erysipelas.

scurfy. tensive or tight feeling in.

pock-shaped. black. purulent.

zona or shingles. petechiae.

prickling. tickling. blisters which will sometimes spread up the limb, and are sometimes circular in form, spreading with a red edge in the advance, which gradually turns to a blister, the red border still keeping in advance (if the edges be black, Arsenicum Album ^Arsen.).

itching agg. after scratching.

Poison Sumac. Hahnemann. Anacardiaceae.

Modalities The complaints of Rhus Tox come on from cold damp weather, from being exposed to cold damp air when perspiring.

The patient is sensitive to cold air and all his complaints are made worse from cold and all are better from warmth. In a general way, the aching pains, the bruised feelings over the body, restlessness throughout the limbs, and amelioration from motion are features that prevail throughout all conditions of Rhus.

While he is better from motion and better from walking, if he continues to walk he becomes exhausted. Any continued exertion of the body or mind exhausts the Rhus patient. He suffers from rheumatic conditions with pains in the bones, lameness in the muscles, lameness in the tendons, ligaments, and joints from suppression of sweat, from becoming chilled.

These occur with or without fever. Rhus is suitable in old chronic rheumatic conditions. He is stiff, lame, and bruised on first beginning to move. This passes off on becoming warm up, but soon be becomes weak and must rest.

Then comes the restlessness and aching and uneasiness which drive him to move and which again make him better, but soon he becomes weak and these continue, so that he is never perfectly at ease and never finds rest. Inflammation of the glands and of the mucous membranes.

inflammation of the muscles. Cellulitis of the pelvis, of the neck, about the glands with much swelling. Inflammation of the skin that becomes erysipelatous.

purple. pitting upon pressure with large blisters that fill with serum, sometimes bloody. It has abscesses and carbuncles and vesicular eruptions.

Glands Inflammation of glands that are hot and very painful.

Pains The pains that run through Rhus are aching, tearing, and bruised pains often attended with numbness and paralytic weakness of the limbs.

It has paralysis of the limbs with loss of sensation. In infantile paralysis Rhus is a very common remedy. The nurse-girls at the present time often bring on in the child this paralytic condition and spinal paralysis. The nurses take the infants to the park, take them out of their carriage and put them down upon the cold damp ground and in a few days the child comes down with infantile paralysis. Rhus will cure these cases because the symptoms take the Rhus type. Hemiplegia, especially of the right side. Twitching of the limbs and muscles. It has cured chorea brought on from taking a cold bath.

There is then incoherent talking; answers questions hastily. There is anxiety, apprehensions, and fear. Intense fear at night. The complaints of Rhus often come on in the night. The mental symptoms are worse at night. The delirium is worse at night.

In many instances he is filled with suicidal- thoughts; sadness and weeping yet he knows not why. Irritability and anxiety as if he had met with some misfortune, restlessness, anxiousness and nervous in the extreme in acute and chronic complaints.

Colds settle throughout the body and limbs. He is full of dizziness as if intoxicated; staggers, when walking.

The brain feels loose or there is an undulating feeling in the head. Pain in the head as if the brain were torn. Stupefying headache with buzzing in the ears. Stitching pains in the head; feeling as if the parts were screwed together; feeling as if the brain were pressed. The muscles of the head are sore.

The periosteum of the cranium is sore to touch. The pain in the back of the head is ameliorated by holding the head backwards. Tingling in the scalp. Rush of blood to the head. Humming in the ears. Formication in the scalp.

amelioration from motion. Eruptions upon the scalp.

very sensitive to touch. The scalp is very sensitive on the side lain on. Tearing, drawing pains in the periosteum of the head.

pressure in the bones of the skull as if screwed together. From every exposure to cold, damp weather, or from suppressing the sweat upon the head, comes pain in the head.

rheumatic headaches.

Pustules upon the cornea.

photophobia. suppuration of the eyes. Inflammation of the Irisof a rheumatic character. There is much swelling and the eyes are closed from swelling. Very acute conjunctivitis.

chemosis. eyes red and aggravated in the morning.

scrofulous inflammation of the eyes from becoming cold.

The lids are red; oedematous. The pains in the eyes are worse from moving the eyeballs, especially the bruised pain. Paralysis of the muscles of the eyeball the result of rheumatism and exposure to the cold, or from getting the feet wet. Red eyes and lachrymation; erysipelas of the lids; paralysis of the upper lids.

The lids are agglutinated in the morning with a copious, purulent, mucous discharge. The Rhus patient, is subject to styes on the lower lids; neuralgia in the eyes.

The nose is stopped up from every cold; great soreness in the nostrils; discharge from the nose of thick, yellow mucus; green, offensive mucus.

Much swelling of the nose from erysipelas. The tip of the nose is red and sensitive. The nose is puffed and oedematous. Eruptions upon the nose and in the corners of the nose; eczema of the nose and much swelling.

The erysipelas of the face often extends from left to right across the face. There is much burning, itching, and tingling, delirium, and high fever, and the mental state referred to above. Eczema of the face chronic suppurating eruptions of the face. Stiffness of the jaws rheumatic condition of the jaws and of the joints.

The tongue is sore, raw, and bleeding.

burning of all the tissues in the mouth.

red tongue. The taste is putrid and metallic. The teeth are covered with blood.

fever in the gums with blood.

blisters upon the tongue and the whole mouth appears to be raw and sometimes bleeding. The mouth is dry and an accumulation of saliva and sometimes bloody saliva in the mouth, which runs from the mouth during sleep.

In Rhus the thirst is often violent, but there is difficulty in swallowing solids from constriction of the throat; painful swallowing; inflammation of the throat; cellulitis of the throat internal and external with painful inflammation of the throat. Enlargement of the neck; swelling of the glands of the neck.

The neck is stiff. sometimes erysipelatous inflammation of the parotids.

neck greatly swollen. Rhus has cured diphtheria with these symptoms. Rhus is especially suitable for inflammation of the oesophagus. When it is acute from swallowing corrosive substances, because of the extensive cellulitis that such substances cause it makes the case like Rhus.

Rhus Tox is very freaky. For instance hunger without appetite.

hungry sensation or sensation of emptiness in the stomach without desire for food. Dryness of the mouth and throat with great thirst.

unquenchable thirst for cold drinks especially at night with great dryness of the mouth. Yet the cold drinks bring on chilliness, bring on the cough.

His desires are also strange. Desires oysters, cold milk, and sweets. Aversion to meat. Rhus has nausea and vomiting; bilious vomiting and nausea from drinking cold water; nausea after eating, with sudden vomiting; inordinate appetite with inclination to vomit; worse at night and after eating.

Pulsation in the pit of the stomach; gnawing pain in the stomach fullness and heaviness in the stomach as from a load; pressure in the pit of the stomach as from a great weight; pain in the stomach and nausea, especially after cold things; pain in the stomach after ice cream; nausea after eating ice cream.

Liver and abdomen In the liver there is swelling and tenderness on pressure, so that he cannot lie on the right lobe of the liver.

Colic; pains and violent colic compelling him to lie on the back and draw up the limbs. Inflammation of any of the tissues of the abdomen; peritonitis; enteritis; typhlitis.

involuntary stools with great exhaustion. It has cured cholera infantum of a low type and it is often useful in dysentery with bloody, mucous stools. Violent tenesmus.

violent tearing, pinching pains in the abdomen.

involuntary stools. dysenteric stools.

dysenteric discharges that drive him out of bed in the morning sometimes as early as 4 o'clock.

Haemorrhage of black blood from the bowels. Shooting pains in the rectum. It has cured hemorrhoids when there is great soreness and when they are internal or protruding; protruding after stool with pressing in the rectum.

Urinary Urging to urinate with tenesmus and pain in the region of the prostate gland causing urging to stool, ameliorated by moving about.

There are more or less tearing pains in the region of the kidneys. Albuminous urine; bloody urine; urine hot; muddy; white sediment, becoming turbid on standing; bloody drops of urine dribble away.

Violent tenesmus of the bladder with dribbling of blood; retention of urine; urine is voided slowly from paralytic weakness of the bladder. There is sometimes complete paralysis of the bladder with involuntary urination at night in bed.

Frequent urging to urinate day and night; weakness of the bladder in girls and women with frequent desire to urinate, especially in the women dribbling of the urine in cold air and on becoming very cold.

Men In the male sexual organs we have inflammation erysipelatous in character.

Eczema of the genitals. The scrotum becomes thick and hard with intolerable itching; oedematous swelling of the genitals; erysipelas of the genitals; humid eruptions upon the genitals.

Women In the female we have the same symptoms, especially erysipelatous swelling of the genitals and some eruptions.

The woman has prolapsus of the uterus from straining or lifting; weakness of all the pelvic muscles; labor-like pains in the abdomen from straining.

Copious menstrual flow; clotted blood with labor-like pains. The menstrual period comes too soon, is too profuse, and lasts too long. The flow is acrid, causing excoriation of the parts.

Every over-exertion brings on menorrhagia. Membranous tissue in the menstrual flow; suppressing of the menstrual flow from becoming wet; from getting the feet wet, or becoming chilled.

Similar complaints come on in pregnancy from overstraining and a tendency to abortion. The after-pains are very torturesome. The woman suffers from cellulitis such as occurs in milk-leg.

Soreness in the chest; muscular exhaustion of the larynx from loud and much exercise of the voice. Hoarseness on first beginning to sing; which wears off on singing a few notes or wears off after talking a little while; burning and rawness in the larynx.

Rhus is suitable in many cases of Influenzinum ^influenza, such as begin in the nose and extend into the larynx with hoarseness and with Rhus symptoms. Respiration is hurried; oppression of the chest; very difficult and hard breathing, especially in pneumonia and bronchitis and in colds that settle in the chest.

The cough of Rhus is very tormenting; teasing cough; paroxysms of almost any kind; tormenting, dry, teasing cough before and during chill.

He knows that the chill is coming because of the dry, teasing cough; cough with taste of blood in the mouth; dry, hoarse, racking, rheumatic cough. cough from rheumatic fever.

The heart is weak, tremulous with palpitation violent palpitation when sitting still.

pulsations move the whole body anxious palpitation in the morning on waking.

palpitation from exercise. It seems as if exertion had strained the muscles of the heart.

hypertrophy of the heart from violent exercise.

hypertrophy that comes on in athletes, in runners.

organic diseases of the heart with sticking pains. Numbness and lameness of the left arm with heart disease..

Rhus Tox is most noticeable on beginning to move, but wears off on moving about. Pains in the shoulder with stiffness; pains between the shoulders on swallowing food; rheumatic symptoms; painful tension between the shoulder blades.

The small of the back aches while sitting. Painful stiffness on rising from a seat; pain in the back as if bruised, sore and lame all over the back. The pain in the back is ameliorated by lying on something hard or from exercise.

There are violent pains in the back, especially in the lumbar region, as if the back were broken. It is a remedy for lumbago brought on from getting wet, from overlifting, from taking cold, and from suppressing the sweat. He is ameliorated from motion and from moving about; worse on beginning to move.

Rhus Tox has many spinal symptoms with paralytic weakness either of the lower limbs or of one part of the body, Stiffness and lameness in the sacrum aggravated on resting after exercise. It might now be predicted that symptoms are to be found in the limbs from what has been said in general.

There are stitching pains, pressing pains, all sorts of rheumatic lameness, and these pains are ameliorated from motion and are worse from keeping still. They are brought on from cold air and from suppressing the sweat, and as these pains grow worse they became tearing down the limbs, drawing pains. Paralytic pains, benumbing pains, and these are relieved from motion.

numbness throughout the limbs.

numbness and aching in the arms from heart disease.

numbness in the joints.

jerking, tearing pains in the joints. Paralysis of the arms.

erysipelas with much swelling in the limbs.

swelling of the bands and arms.

When grasping anything a tingling and pricking is felt in the hands and fingers.

crawling and numbness in the finger tips and fingers.

swelling of the fingers.

eruptions upon the hands and fingers. In the lower limbs, we find similar pains and similar modalities pain in the hip when lying upon it.

tearing, drawing pains in the lower limbs.

sciatica with tearing, drawing pains in the lower limbs, worse during rest and ameliorated from motion, brought on from becoming chilled, from cold damp weather, from exposure, and from suppressing the sweat.

In sprains such as occur in the ankles and in fact any of the joints, after Arnica ^Arnica has removed the first and most painful symptoms, Rhus becomes useful for weakness of tendons and muscular fibers such as always follows sprains.

It is a routine remedy for this weakness in joints following sprains. The pains rush in streaks down the limbs.

restlessness in the lower limbs at night, but amelioration from motion.

must keep the limbs in constant motion.

paralysis of the lower limbs, great weariness and heaviness of the lower extremities.

weakness of the lower limbs on going up stairs.

swelling of the joints of the lower limbs.

stiffness of the knees and feet. Paroxysmal pains in the legs from getting wet, especially when sweating.

complaints from living in damp houses.

rheumatism in the lower limbs from living in damp houses.

night sweat with much itching eruption.

fevers from suppressed foot sweat.

rheumatic fevers. fevers worse at night.

Intolerable itching of the skin; tingling in the skin; eruptions burn and itch violently; much moisture with eruptions upon the skin.

Large blisters form upon the skin either with or without erysipelas. The incessant itching is sometimes relieved by "scalding" the parts, as it is called by some who are poisoned with Rhus, by "scalding" with water as hot as it is possible to bathe the parts in. Rhus has cured shingles and the tendency to herpetic eruptions. It has made a grand record with humid eczema such as have raw surfaces.

excoriated. oozing much. It is very commonly the remedy for hives that come on from getting wet or hives that come on during rheumatism or during chills and fever.

hives that are worse in the cold air.

Dry or coated tongue with a triangular red tip.

Great restlessness, cannot lie long in one position, changes often with temporary relief, tosses about continually.

Lameness and stiffness on beginning to move after rest; on getting up in the A. M. better by continued motion.

Erysipelas or scarlatina with vesicular eruption and characteristic restlessness.

Stupor and mild, persistent delirium; continually tossing about, with laborious dreams.

Modalities worse when quietly sitting or lying and on beginning to move; wet, cold weather. lifting or straining.

Muscular rheumatism, sciatica; left side (Col.).

Great sensitiveness to open air; putting the hand from under the bed cover brings on the cough (Bar., Hep.).

Back; pain between the shoulders on swallowing.

Cough during chill; dry, teasing, fatiguing, but urticaria over body during heat.

* * * * *

This is the third remedy of our so-called restless trio. This restlessness of Rhus is on account of the aching pain and soreness which is temporarily relieved by movement. There is also an internal uneasiness which is purely nervous, which causes the patient to want to be on the move, even when there is no particular pain present; but not nearly to the degree that we find it under Aconite ^Aconite and Arsenicum Album ^Arsenicum.

As in Bryonia ^Bryonia, so in Rhus, the leading characteristic is found in its modality. The aggravation on movement, in the former, is no less marked than th.

Rhus, Baptisia Tinctoria ^Baptisia and Arnica ^Arnica closely resemble each other; and choice is sometimes difficult; but we will try to differentiate them when we come to write upon the two latter.

Cough during chill in intermittents is a characteristic given us by Carroll Dunham, and is very reliable, as I have had occasion to prove.

Rhus acts particularly on fibrous, muscular and cellular tissues. The muscles are stiff and sore. This may be of a rheumatic character, or may have been induced by straining, by heavy lifting or severe muscular exercise of any kind, or it may have been brought on by exposure to cold, especially wet cold.

Rhus Tox strained condition may not be confined to the muscles alone, but may involve the tendons, ligaments and membranes of the joints. Several affections of the muscles of the back and even the spinal membranes (myelitis) may come on from sprain, or by exposure, by sleeping on damp ground, or in bed with damp sheets, or getting wet in a rain storm, especially while perspiring. Indeed Rhus is one of our best remedies in lumbago. But it makes no particular difference what muscles are strained or exposed so as to bring on this lameness and soreness the remedy is the same, and if the great characteristic -"Lameness and stiffness and pain on first moving after rest, or on getting up in the morning, relieved by continued motion," is present, Rhus is the first remedy to think of.

Rhus is also often a remedy for glandular swelling of parotid or submaxillary glands during scarlatina, cellulitis in diphtheria, or orbital cellulitis.

Rhus Tox is also one of our best remedies in skin diseases. No one who has been poisoned by it will doubt that Rhus has power to produce skin disease, and of course in accordance with our law of cure we would expect cures by it. We have not been disappointed. The eruption of Rhus poisoning is vesicular. Erysipelas of the vesicular variety, accompanied by the restlessness and sensorium of Rhus Tox, is quickly cured by it. So, also, is scarlatina. If we find the skin red, smooth and shiny, with high grade of fever and delirium Rhus would not do any good, but Belladonna ^Belladonna or some remedy having that kind of skin, etc.

Apis Mel ^Apis, Cantharis ^Cantharis, Lachesis ^Lachesis, Ailanthus ^Ailanthus and others have each their peculiar appearance of the skin in these acute exanthemata. Yet, notwithstanding this, it must be remembered that in many cases the leading indication for a remedy will not lie in the skin symptoms, but outside of them.

Rhus is no less valuable in chronic skin troubles than in acute. Eczemas of the vesicular type are often cured by it; there is much itching which is not greatly relieved by scratching. In all such cases of course the constitutional symptoms weigh as much as the local. So far as dose is concerned, I have used it both high and low, and find it useful all along the scale, but I have an M. M. potency made upon my own potentizer which has served me so well, and so many times, that I cannot refrain from speaking of it.

Dose

Sixth to thirtieth potency. The 200th and higher are antidotal to poisoning with the plant and tincture.

Region

SKIN Face Scalp

Genitals

Blood

Tissues Cellular Ligaments Fibrous Joints

Mucous membranes

GLANDS Pyer's Parotid

NERVES CORD

Sciatic

Left side or left to right

Characteristics

The Poison Ivy grows in thickets and low grounds in North America, flowering in June. It was introduced into England as a plant in 1640. In 1798 Dufresnoy of Valenciennes first used it as a medicine. It was brought to his notice by the cure of a young man of an herpetic eruption (dartre) of six years' duration, through his being accidentally poisoned with the plant. Dufresnoy used it successfully in eruptive diseases, paralysis, rheumatism, and amaurosis. The milky juice, which turns black on exposure, is used as a marking ink (like Anacard.) and as an ingredient of varnishes for finishing boots. The tincture contains Rhoitannic acid (C18H28O13) and Toxicodendric acid, a poisonous, volatile principle. A peculiarity of the plant is that it is more poisonous during the night, and when bursting into leaf, or at any time in June or July when the sun is not shining upon it. Absence of sunlight, together with dampness, seems to favour the exhalation of Toxicodendric acid. "An acrimonious vapour, combined with carburetted hydrogen, exhales from a growing plant of the Poison Oak during the night. It can be collected in a jar, and is capable of inflaming and blistering the skin of persons of excitable constitution who plunge their arms into it" (Porcher, quoted by Millspaugh, from whose work I take the above facts). Those who care for Signatures will not fail to connect the cardinal aggravations of Rhus─at night and from damp

each in its place