* [Presented to the American Institute of Homoeopathy, June 1859.]

BY M. J. RHEES, M. D., MOUNT HOLLY, N. J.

Aged 34: years, small in stature, with well knit frame, good constitution, complexion neither light or dark, hair very dark brown, beard black, eyes deep blue. Unimaginative and cautious.

FIRST TRIAL.-Oct 1, 1858, 11 P. M. Took one drop of the tincture, after having mixed it with one ounce of water, by giving it one hundred strong succussions with the right arm.

1. Sensation across the forehead as if the brain were loose when moving the head, and as if it were bruised; this symptom commenced in two minutes after the dose and continued till after breakfast next morning.

2. Slight numbness and crawling sensation in the left arm, after lying down in bed; after two hours.

Oct. 2, 8:30 A. M. Second dose; one drop of tc. prepared with water same as first.

3. Grumbling, stinging toothache in the right superior molars, while riding in a cold wind; attended with a dull aching in the forehead; after three hours.

4. Sharp pain, piercing, in the left side of the head, for a short time; after three hours.

5. Dull pain and sensation of fullness as if from flatus, in the left side of the abdomen about midway between the umbilicus and the crest of the ilium, while riding; after three and half hours; continued two hours.

6. Rending in the anterior part of both ankle joints, running down the insteps, apparently in the ligaments; after four hours.

7. Gnawing pain in the internal condyle of the left humerus; this symptom was felt alternately with number six several times, after which was felt-

8. Aching and heaviness with crawling sensation all through the inferior extremities; after four hours, while riding.

9. Burning, tingling pain (similar to itching) below, and to the right of the left nipple; six hours.

10. Copious discharge of colorless urine; after eight hours. Oct. 2, 7:30 P. M. Third dose; same as first.

11. Sensation of distension in the scrobiculus cordis, with eructation of much tasteless flatus; after quarter hour.

12. Heaviness in the calf of the right leg, as if the flesh would fall from the bones; quarter hour.

13. Dull aching in both elbows.

14. Feeling of languor and universal heaviness, with fullness in the head and chest; after half hour.

15. Crawling, tingling sensation in the inferior extremities; half hour.

16. Dull aching pain low in the occiput; after one hour.

17. Dull aching pain in the left temple; after one hour.

18. Aching and pressure in the top of the head; after one hour.

19. Boring pain just behind the base of the left ear; after two hours.

20. Fullness and aching through the front part of the head and temples; after three hours.

Oct. 3, 9 A, M. Fourth dose; same as first.

21. Aching pain in the right hip joint while walking, producing slight lameness; thirteen hours after last dose; followed by

22. Burning pain on a small spot near the top of the right sacroiliac symphysis.

23. Burning stinging pain in the whole left side of the chest, suddenly, when taking a deep inspiration, while in the act of lying down in bed at night; after fourteen hours.

24. Rending aching pain in the flexure of the left knee, while standing; twenty-four hours.

Oct 4, 10 P. M. Fifth dose, R gtt. x in Aqua 3j; 100 succussions.

25. Stinging burning pain in the back, just below the inferior angle of the left scapula; after one hour; followed and accompanied by

26. Stinging almost itching pain in the left side of the chest. just below the nipple; attended by heavy throbbing in the ears, synchronous with the pulsations of the heart.

27. Dryness of the mouth and tongue at night

28. Sensation in the bowels and rectum as if diarrhea would ensue; after twenty-two hours; continued two or three hours.

Oct. 5, 11 P. M. Sixth dose; same as last.

29. Sensation as if a lump or a ball was sticking fast in the throat, which is not relieved by hawking or swallowing; after half hour.

30. Restlessness and discomfort in bed at night; the position must be frequently changed.

31. Burning pain in the left side of the chest, just below the nipple; worse when taking a deep inspiration.

32. Throbbing through the whole body; after fifteen hours.

33. Sensation of great dryness in the nose, the whole day and night.

34. Itching in the flexures of the elbows, and at the same time, to the left of the sternum, just over the fifth rib; after twenty hours.

35. Aching pain in the back, under and below the apex of the left scapula.

36. Feeling of dryness in the posterior nares.

Oct. 6, 10 P.M. Seventh dose; same as last.

37. Drawing pain, almost a cramp, in the calf of the right leg; 10 minutes after last dose; continued half an hour.

38. Sensation in the left chest as if the heart suddenly ceased beating; followed by a heavy throbbing through the chest; this symptom has been felt several times since the beginning of this proving.

39. Complete loss of sexual desire for several days.

40. Aching between the scapulae while standing.

41. Stinging burning pain in the back, between the scapulae, attended by a constant desire to take deep inspirations, with a sensation of dry heat in the middle of the chest.

42. Deep inspirations are attended by heavy dull pain in the region of the heart.

43. Stinging pain on the inner side of the right upper arm.

44. Sensation as if the ears were obstructed, especially the left one; the prover's own voice (as well as the voices of others) sounds strangely to him, producing a kind of titillation in the ear and having a peculiar ringing, confusing sound, and yet the sense of hearing is as acute as ever; this symptom began six hours after the last dose, and continued eighteen hours.

Oct. 7, 10 P. M. Eighth dose; gtt. xx. in Aqua z/3 ij; 100 succussions.

Oct. 8, 10 P. M. Symptom 44 still continues, but not to so great a degree; attended by slight ringing in the ears.

Oct. 9, 45. Constant roaring in the left ear, as if a conch shell were held before it; the whole day; attended by a feeling as if a fine thread were tied tightly around the neck just below the ears. The roaring is not relieved by pressing the finger into the ear.

Oct. 20. Symptom No. 45 continued for a week and then gradually disappeared.

SECOND TRIAL. With sixth dilution-Nov. 22, 1858. Took gtt. v in Aq. z/3 ij, 100 succussions, at 10 P. M.

1. Dull, bruised feeling in the forehead, most severe in the right side of the forehead, worse when moving the head, when it feels as if the brain were loose after a few minutes.

Nov. 23. No. I continued until this morning, when it was worse then last evening.

2. Severe stinging pain in the region of the heart, extending through the chest to the apex of the left scapula, with a frequent desire to take a deep inspiration, which increases the pain. In the afternoon for two or three hours.

Nov. 23, 10:30 P. M. Second dose, gtt. x in Aq. z/3 ij, 100 succussions.

3. Sensation in the bowels as if diarrhea would ensue, with aching pain in the rectum, one hour after second dose.

Nov. 24. 4. Dull aching pain in the right molars, both upper and lower, which is entirely relieved after eating dinner.

5. Pungent drawing pain in the left side of the occiput, with a similar pain in the left nostril, and a feeling as if coryza would ensue. Eighteen hours after second dose.

6. Violent irritation to cough in the larynx, while eating; observed at three meals.

7. Much tough mucus in the larynx, with a constant desire to hawk and raise it, but without relief; worse at night, but has been troublesome all day.

Nov. 24, 11 P. M. Third dose, gtt. xv in Aq. z/3 ij., 100 succussions.

Nov. 25. 8. Dull headache and slight bruised feeling in the forehead nearly all day.

9. Sensation in the bowels as if diarrhea would ensue, with aching in the rectum.

Nov. 25, 11 P. M. Fourth dose, gtt. xx in Aq. 3j, 100 succussions.

10. Headache in forehead, increased soon after taking the last dose, connected with a pungent tingling sensation in the occiput, where phrenologists locate philoprogenitiveness.

11. Tingling, crawling sensation in the inferior extremities; after one half-hour.

Nov. 26. 12. Griping pain in the bowels below the umbilicus, which is partially relieved by discharge of very offensive flatus; after breakfast.

13. Aching sensation in the throat, as if a lump were sticking in the gullet; after twenty hours.

14. Dull pain in the region of the heart; attended by

15. Dull pain and heaviness in the left upper arm and particularly in the elbow.

16. Sensation as if a thread were tied tightly around the neck just below the ears, with a slight roaring in the ears; twenty hours after last dose.

17. Frequent, forcible eructation of tasteless flatus (in the evening).

18. Aching in the pharynx and collection of tough mucus in the fauces; with a slight irritation to cough; in the evening.

Nov. 26, 11 P. M. Fifth dose; same as last.

19. Prickling itching on the buttocks while exposed to the air, during an evacuation from the bowels.

20. Dull headache in the forehead with heat and redness of the face; after singing; in the evening.

Nov. 27, 10 P. M; Sixth dose; same as fourth. Shortly after the above dose, symptom No. 20, was entirely relieved.

Nov. 28. No. 19 was repeated today.

21. Much tough mucus in the fauces, which is very difficult to reject.

22. Raw pain in the chest just under each clavicle, while hawking mucus out of the throat.

23. Raw, stinging pain a little to the left of the longitudinal center of the sternum, which obstructs deep inspiration; at night.

Nov. 29. 24. Dull pain in the left side near the back, just above the last true rib, after lying down at night Nov. 30. No. was repeated on going to bed last night.

25. Very restless, uncomfortable night.

26. Sleep full of troublesome dreams.

Dec. 1. 27. Unfreshed in the morning.

28. Burning stinging pain in the left side near the heart; came on soon after lying down in bed; gradually moved up into the great pectoral muscle, about two inches above and to the left of the nipple, and continued for a long time; increased by a deep inspiration and by lying on the back or the right side; relieved by lying on the left side.

29. Severe dull aching in the right molars; relieved by rinsing the mouth with cold water.

30. Itching on the buttocks before and after getting into bed.

31. Itching on the calves of the legs last night and this morning.

32. Uncomfortable night; sleep full of dreams and unrefreshing. No. 19 was repeated today.

Dec. 7. Uncomfortable nights continued until the 6th inst Last night was a good one. Sexual desire diminished throughout the trial.

SYMPTOMS ARRANGED.-

1. Sensation across the forehead as if the brain were loose when moving the head, and as if it were bruised; after two minutes. tc.
2. Sharp piercing pain in the left side of the head, of short duration. tc.
3. Sensation of fullness in head and chest, with general languor and heaviness. tc.
4. Dull aching pain low in the occiput. tc.
5. Dull aching pain in the left temple. tc.
6. Aching and pressure on the top of the head. tc.
7. Boring pain just behind the base of the left ear. tc.
8. Fullness and aching through the front part of the head and temples. tc.
9. Dull bruised feeling in the forehead most severe in the right side of the forehead, worse when moving the head, when it feels as if the brain were loose. 6 dil.
10. Pungent drawing pain in the left side of the occiput, with a similar pain in the left nostril and a feeling as if coryza would ensue. 6 dil.
11. Dull headache and slight bruised feeling in the forehead nearly all day. 6 dil.
12. Headache in the forehead connected with a pungent tingling sensation in the occiput, where phrenologists locate philoprogenitiveness. 6 dil.
13. Dull headache in the forehead with heat and redness in the face; after singing. 6 dil.

14. Sensation as if the ears were obstructed, especially the left one. The prover's own voice (as well as the voices of others), sounds strangely to him, producing a kind of titillation in the ear, and having a peculiar, ringing, confusing sound; and yet the sense of hearing is as acute as ever. Attended with slight ringing in the ears. tc.
15. Constant roaring in the left ear, as if a conch shell were held before it; the whole day; attended by a feeling as if a tine thread were tied tightly around the neck just below the ears. The roaring is not relieved by pressing the finger into the ear. tc.
16. Slight roaring in the ears with a sensation as if a thread were tied lightly around the neck just below the ears. 6 dil.

17. Sensation of great dryness in the nose, day and night. tc.
18. Feeling of dryness in the posterior nares. tc.

19. Heat and redness of the face, with dull headache in the forehead; after singing, in the evening. 6 dil.

20. Grumbling, stinging toothache, in the right superior molars, while riding in a cold wind; attended with a dull aching in the forehead. tc.
21. Dull aching pain in the right molars, both upper and lower; entirely relieved by eating dinner. 6 dil.
22. Dull aching pain in the right molars; relieved by rinsing the mouth with cold water. 6 dil.

23. Dryness of the mouth and tongue at night. tc

24. Sensation as if a lump or ball were sticking fast in the throat, which is not relieved by hawking or swallowing. tc.
25. Aching sensation in the throat as if a lump were sticking fast in the esophagus. 6 dil.
26. Aching in the pharynx and collection of tough mucus in the fauces, with a slight irritation to cough, in the evening. 6 dil.
27. Much tough mucus in the fauces which is very difficult to eject. 6 dil.

28. Frequent, forcible eructation of tasteless flatus; in the evening. 6 dil.
29. Sensation of distension in the scrobiculus cordis, with eructation of much tasteless flatus; in the evening. 6 dil.

30. Dull pain and sensation of fulness as if from flatus in the left side of the abdomen, about midway between the umbilicus and the crest of the ilium; while riding. tc.
31. Griping pain in the bowels below the umbilicus, which is partially relieved by the discharge of very offensive flatus; after breakfast. 6 dil.

32. Sensation in the bowels as if diarrhea would ensue, with aching pain in the rectum (twice). 6 dil.
33. Sensation in the bowels and rectum as if diarrhea would ensue. tc.

34. Copious discharge of colorless urine, in the afternoon. tc.

35. Complete loss of sexual desire for several days. tc.
36. Sexual desire diminished for many days. 6 dil.

37. Much tough mucus in the larynx, with a constant desire to hawk and raise it, but without relief; worse at night. 6 dil.
38. Violent irritation in the larynx to cough while eating; observed at three meals. 6 dil.

39. Burning, tingling pain (similar to itching) below, and to the right of, the left nipple. tc.
40. Fullness in the chest and head, with languor and universal heaviness.
41. Burning stinging pain in the whole left side of the chest; suddenly, when taking a deep inspiration, while in the act of lying down in bed at night. tc.
42. Stinging, almost itching, pain in the left side of the chest, just below the nipple, attended by heavy throbbing in the ears, synchronous with the pulsations of the heart. tc.
43. Burning pain in the left side of the chest, just below the nipple; worse when taking a deep inspiration. tc.
44. Sensation in the left chest as if the heart suddenly ceased beating, followed by a heavy throbbing through the chest, observed several times. tc.
45. Severe stinging pain in the region of the heart, extending through the chest to the apex of the left scapula, with a frequent desire to take a deep inspiration which increases the pain. (In the afternoon). 6 dil.
46. Dull pain the region of the heart. 6 dil.
47. Raw pain in the chest just under each clavicle while hawking mucus out of the throat. 6 dil.
48. Raw stinging pain a little to the left of the longitudinal center of the sternum, which obstructs deep inspiration; at night. 6 dil.
49. Burning stinging pain in the left chest near the heart; came on soon after lying down in bed, gradually moved up into the great pectoral muscle about two inches above and to the left nipple, and continued for a long time; increased by a deep inspiration and by lying on the back or the right side; relieved by lying on the right side. 6 dil.
50. Deep inspirations are attended by heavy dull pain in the region of the heart. tc.

51. Burning pain on a small spot near the top of the right sacro-iliac symphysis. tc.
52. Stinging burning pain in the back, just below the inferior angle of the left scapula. tc
53. Aching pain in the back under and below the apex of the Left scapula. tc.
54. Aching between the scapulae while standing. tc.
55. Stinging, burning pain in the back between the scapulae, attended by a constant desire to take deep inspirations; with a sensation of dry heat in the middle of the chest. tc.
56. Dull pain in the left side near the back, just above the last true rib; after lying down at night. 6 dil.
57. Sensation in the neck as if a thread were tied tightly around it just below the ears; with roaring in the ears; observed twice, tc., 6 dil.

58. Slight numbness and crawling sensation in the left arm, after lying down in bed. tc.
59. Gnawing pain in the internal condyle of the left humerus (alt. with No. 64). tc.
60. Dull aching in both elbows. tc.
61. Itching in the flexures of the elbows, and at the same time to the left of the sternum, just over the fifth rib. tc.
62. Stinging pain on the inner side of the right upper arm. tc.
63. Dull pain and heaviness in the left upper arm, and especially in the elbow. 6 dil.

64. Rending in the anterior part of both ankle joints, running down the insteps, alt. with 59. tc.
65. Aching and heaviness with crawling sensation all through the inferior extremities (while riding). tc.
66. Heaviness in the calf of the right leg, as if the flesh would drop from the bones. tc.
67. Crawling, tingling sensation in the inferior extremities. tc.
68. Aching pain in the right hip joint while walking, producing slight lameness (followed by No. 51). tc.
69. Rending aching pain in the flexure of the right knee, while standing. tc.
70. Drawing pain, almost a cramp, in the calf of the right leg. tc.
71. Tingling crawling sensation in the inferior extremities. 6 dil.
72. Prickling itching on the buttocks, while exposed to the air, during an evacuation of the bowels; observed three times. 6 dil.
73. Itching on the buttocks before and after getting into bed. 6 dil.
74. Itching on the calves of the legs.

75. Restlessness and discomfort in bed at night, the position must be frequently changed. tc.
76. Very restless, uncomfortable nights; observed several times. 6 dil.
77. Sleep fall of troublesome dreams. 6 dil.
78. Unrefreshed by sleep on waking in the morning. 6 dil.

79. Itching and prickling itching on various parts of the body, principally on the lower extremities. 6 dil.
80. Crawling, tingling sensations in different parts of the body. tc. and 6 dil.

81. Languor and universal heaviness with fulness in the head and chest. tc.
82. Throbbing through the whole body. 6 dil.
83. The most prominent chest symptoms are increased (aggravated) on lying down in bed.