Spirea Ulmaria

▲   GENERAL

General

Spiraea Ulmaria ^{Spiraea ulmaria}, Linn.

Natural order, Rosaceae.

Common names, Queen of the meadows; (G.), Spierstaude.

Preparation, Tincture of fresh root.

Authority. Bojanus, Hom. Vjs., vol. 14, p. 13, took 2 drops of the tincture of fresh root at 5 and 6 A.M.

8 at 1, 5, and 8 P.M. (first day).

8 at 7 and 10 A.M. 5, 9.30 P.M. (second day).

10 drops four times (third day).

12 drops five times (fourth day).

20 drops five times (fifth and sixth days).

25 five times (seventh and eighth days).

25 at 7 and 9 A.M., 30 at noon, 35 at 5 and 9 P.M. (ninth day).

30 at 6 A.M. (tenth day).

30 at 6, 8, and 10 A.M.

60 at 9 P.M. (twelfth day).

60 three times (thirteenth and fourteenth days).

On lying down at 11 P.M., just as he was falling asleep, but was only half asleep, there was a sensation as if all his senses vanished, with an indescribable sensation in the head like vertigo, and a feeling as though all the blood left the head, with a prickling in the face.

this was followed by sudden waking, after which he could not fall asleep for a long time, until after midnight, with distressing burning itching on the scalp. He fell asleep towards morning.

the sleep was full of vivid dreams of everything that he knew only indistinctly remembered (seventh day).

After washing with cold water, which was very unpleasant, the head felt large.

this sensation extended upward from the cheeks, was associated with pressure and burning in the throat and oesophagus, which latter was very violent and almost intolerable, immediately followed by an attack of vertigo, with heat of the cheeks (ninth day).

After the first dose, sensation of increased warmth in the pharynx, extending down the whole length of the oesophagus to the stomach, where it seemed to concentrate (second day). A burning pressure in the oesophagus, as before noted, usually disappeared over night, and immediately reappeared after a dose in the morning.

the sensation was partly relieved by eating and by drinking, disappeared entirely while eating and drinking, but not on empty swallowing (sixth day). The burning and pressure in the same spot in the oesophagus was to-day especially severe.

it seemed as though the oesophagus were forcibly constricted, with many eructations of much gas.

this sensation was relieved during the eructations, and while eating was associated with a sensation as if a large hard body were forcibly pressing through the oesophagus (seventh day). Burning in the spot already described in the oesophagus is to-day more like a pressure, with a sensation as if the oesophagus were too small, without, however, affecting swallowing.

it extended up to the pharynx and down into the stomach, where there was a peculiar sensation of qualmishness (eighth day).

Towards evening, sensation of coldness in the pharynx and oesophagus is especially noticed.

it even did not disappear after eating (eighth day). A cold sensation in the oesophagus extended to both anterior sides of the chest beneath the nipples, and into the upper portion of the pharynx, with oppression of the chest, which obliged deep breathing (ninth day).

The sensation of warmth felt yesterday in the pit of the stomach (cardiac orifice) is to-day less in the stomach than in the oesophagus, about the region of the manubrium sterni, and is more decidedly a burning sensation, noticed after every dose. In the intervals between the doses, this sensation almost entirely disappeared, so that it was scarcely noticed.

the heat reappeared after each dose (third day).

The urine passed the previous evening had become turbid, as if mixed with a thin film over the surface, looking like fat, and breaking to pieces when the liquid was moved.

the urine was bright yellow, almost straw-colored (second day). The urine passed was bright yellow, but after standing an hour, a flocculent cloud seemed to hang on the upper surface.

and hour later (two hours after urinating), this cloud sank to the bottom (third day). The urine passed yesterday is cloudy, as if mixed with clay, the surface covered with an iridescent film, with numerous red granules.

these, when collected, had the appearance of sand, and when pressed by a knife, gave a crackling noise and formed brickdust powder. The urine passed in the morning, fasting, was clearer than that of yesterday, but had the same cloud. The urine became milky soon after it was passed, and after a few hours deposited a clear flocculent sediment, which, when collected on the filter, was slimy and of a rosy-red color, mingled with much red sand. A part was collected from the filter and mixed in the glass tube with Nitric Acid ^{nitric acid}, which dissolved the mucus with odorless frothing.

the liquid then had a clear yellow color, and the grains of sand fell unaffected to the bottom. Another portion was mixed in a glass-tube with Sulphuricum Acidum ^{sulphuric acid}, which completely dissolved both the mucus and sand, and the liquid became dark brown.

there was no frothing, but the liquid had a strong odor of decomposing urine. The third portion was mixed with Muriaticum Acidum ^{muriatic acid} in a glass tube, but there was not the slightest change (fourth day). The urine passed in the morning was clearer than yesterday, and developed a cloud hanging from the upper surface, even before the urine became cold (fifth day). The urine passed this morning was decidedly darker than that of yesterday, without, however, being too dark.

a cloud immediately formed after becoming cold (sixth day). The urine passed the fifth day formed a cloud but no sediment.

that passed on the sixth day the same, but had again a red sand, and the cloud lying at the bottom exhibited everywhere a number of these grains of sand looking like frog-spawn.

the urine passed on the seventh day had the same character. The urine passed yesterday was still clear, showed no trace of decomposition, though it had stood the whole time in a warm room (seventh day). To-day the urine, while yet warm, formed a cloud, was clearer than on the fifth and sixth days, but darker than on the fifth and sixth days, but darker than on the fifth day (eighth day). The urine passed yesterday became turbid and cloudy.

after twenty-four hours had a slimy flocculent sediment of a dirty rose-red color. The urine passed toward evening was quite clear and lemon-yellow. The urine passed on the fifth day was beginning to decompose, but without being turbid.

that of the sixth, seventh, and ninth days is unchanged.

that of the eighth day has, in addition to a cloud, a white pellicle, like an iridescent film of fat on the surface. The urine passed to-day developed a cloud while still warm (ninth day). The urine passed on the ninth day is very turbid and cloudy, with iridescent flakes, that with difficulty sank to the bottom.

it has already begun to decompose. The urine passed in the morning, and also that of the eighth day, has not begun to decompose. The cloud lying in the bottom of the vessel is full of large grains of red sand. The urine passed on the ninth day has the same peculiarities, with the addition of a white fatty film on the surface, in which are entangled numerous grains of red sand. The urine passed on the tenth day is the same, rather turbid yellow, has a cloud at the bottom, but no perceptible colored sand. The urine passed last evening is lemon-yellow and very turbid (tenth day).

At 5 P.M. became very warm in the usual temperature of the house, and heat seemed to creep over different parts of the body, especially the head, shoulders, and chest, with a feeling as though sweat would break out, and with a moist forehead.

the veins of the hands were swollen, the hands burnt and were moist. Very great heat in the face, like rush of blood, with burning in the ears, which were red.

the face easily reddened, and half an hour afterwards the skin over the whole body was moist, with a moist forehead and hands.

heaviness and dulness in the head (ninth day).

▲   MODALITIES ETC

Aggravation

(In the house), Headache.

(Moving head), Headache.

(Stooping), Headache.

(Sneezing), Headache.

Amelioration

(Open air), Headache.

(Eating and drinking), Burning in oesophagus.

(Moving about), Feeling of discomfort.

▲   MIND

Mind

At 1 A.M. he was attacked with remorse over a long-past slight indiscretion, with most fearful qualms of conscience and loathing of himself; on account of this he could not rest, but was obliged to rise and walk about (eighth night).

▲   HEAD

Headache

Pain over the whole head, as if a ring were tightened about the head, with heaviness. On shaking the head, it seemed as if the brain wabbled to and fro. After this he fell asleep, and woke about 7 A.M. with some headache, which disappeared on rising; heaviness and dulness in the head remained (ninth day).

The headache disappeared about 8 P.M. (fourteenth day).

▲   EYES

Eyes

Sensation as if something hot mounted into the eyes, causing biting and burning, and a feeling as if tears would flow, though they did not (sixth day).

▲   FACE

Face

Sensation as if the blood mounted into the face, with a sensation of heat in the face and eyes (sixth day).

▲   MOUTH

Gums and teeth

Slight drawing toothache in the left back teeth, without ability to tell whether in the upper or lower jaw (eighth day).

▲   THROAT

Throat

Sensation of increased warmth in the pharynx, extending down to the stomach; feeling of warmth in the oesophagus, opposite the manubrium sterni (fourteenth day).

▲   CHEST

Pulse

Pulse 90, hard and tense; afterwards 66, weak, soft (sixth day); 60 (seventh day); small, contracted, hard, 100; afterwards full, large, 76 (ninth day).

Respiration

On inspiration, the air of the room seemed very cold and as though he had been chewing Mentha Piperita ^peppermint (eighth day).

▲   ABDOMEN

Eating

After a light meal, movement in the lower part of the abdomen, with rumbling and slight griping, followed by desire for stool, with emission of odorless flatus (ninth day).

▲   RECTUM, ANUS, STOOL

Rectum

A prickling sensation of closure in the anus, especially in the evening (sixth day).

Frequent desire for stool, that suddenly disappeared (eighth day).

▲   ABDOMEN

Stomach

Repeated eructations of gas (twelfth day).

▲   RECTUM, ANUS, STOOL

Stool

About 10 P.M. a somewhat hard stool, accompanied and followed by burning and soreness in the anus, and a sensation as if the anus were drawn up into the rectum and something hard were still remaining there (ninth day).

▲   GENITALS ETC

Urine

Burning in the orifice of the urethra while urinating during stool (sixth day).

Genitals

In the morning, in bed, violent erections, with great sexual desire (seventh day).

▲   EXTREMITIES, LIMBS

Upper extremities

Veins of the hands greatly distended.

Lower extremities

In the afternoon, heaviness in the lower extremities, as if full, especially on ascending steps (eighth day).

▲   FEVER AND CHILL

Fever

While eating and afterwards, sensation of heat over the whole body and rush of blood to the head, with slight outbreak of sweat on the chest, face, and hands (fourteenth day).

▲   GENERALITIES

Fatigue

In the afternoon great exhaustion, with stretching of the limbs and yawning (seventh day).

Sleep

In the evening, lascivious dreams and emission (thirteenth day).

Generalities

After the midday nap there was an indefinite feeling of discomfort over the whole body, as after illness, or like a foreboding of fever, a kind of unsteadiness while walking or moving about, disappearing after moving about, towards evening (seventh day).