Understanding Lachesis

Dr. Claudio C. Araujo M.D. F.F.Hom. (Lon.) et al.

What comes in the mind of a Lachesis patient? In his first years, what this patient took note about reality?

Crawls upon floor, laughs and is very cross by turns; attacks last from half an hour to an hour; child acts strangely, will not play with other children; exhibits no love for mother; seems to hate her mother and friends, hides; runs away from strangers, looks at them through her fingers; bites and spits at other children; six years ago, was frightened by a snake. 

This symptom embodies everything that comes next in Lachesis life: The proving show us someone having a hard time to deal with his friends his loved ones. Suspicious of everyone, jealous, violent, and mischievous, this is our patient.

Mistrustful and thinking evil, [1a].

Becomes easily peevish and mistrustful; believes himself intentionally injured by all his environments and attaches the most hateful significance to the most innocent occurrences, [7].

Malice; thinks only of mischief. 

(…) fears of being poisoned.

Imagines he is followed by enemies who are trying to harm him; attempts to leave room as if frightened by visions behind him. θ Fistula. 

Thinks: herself pursued by enemies, or fears medicine is poison; (…)

Dreams of being accused of theft; of a haughty earl, on whom he is determined to take vengeance, and, therefore, he has knives lying ready at hand in order to make use of them when the earl comes and show himself insolent, [17]. 

(…) repugnance to society and dislike to talk; (…)

Mental derangement after vexation.

Kent: Suspects that they are contriving to injure her, and she will resort to any scheme to see if they were not talking of her to her detriment. A woman imagines that her friends, husband, and children are trying to damage her; that her friends are going to put her in an insane asylum.

The torture is something violent until she confesses that which she has not done. Imagines she is pursued. Imagines that she has stolen something, or that somebody thinks she has stolen something, and fears the law. She hears voices and warnings, and in the night she dreams about it. The state of torture is something dreadful, and it then goes into a delirium with muttering. The delirium is carried on like one muttering when drunk. This state increases until unconsciousness comes on and the patient enters into a coma from which he cannot be aroused. The patient also goes through periods of violence and violent delirium.

Kent says that his jealousy has apparently no reason, a husband is showing no signs of being cheating his wife. But this is the true jealousy, that one that is born in the depths of the imagination. 

Kent: The mental state is large. Jealousy without any reason. Unwarranted jealousy and suspicion. Many times, this medicine has cured suspicion in girls, when they were simply suspicious of their girl friends. She never sees a whispered conversation going on but they are talking about her, to her detriment.

Jealousy, in this case, must be considered as part of a greater picture. The way the Lachesis patient look to the others is a very painful way. Many remedies may show a scary reality, frightful scenes, dangerous situations and so one. But, reading the proving, we may see that this patient´s conflict is regarding his fellow men.

Malice; thinks only of mischief. 

(…) fears of being poisoned.

Imagines he is followed by enemies who are trying to harm him; attempts to leave room as if frightened by visions behind him. θ Fistula. 

Thinks: herself pursued by enemies, or fears medicine is poison; (…)

Dreams of being accused of theft; of a haughty earl, on whom he is determined to take vengeance, and, therefore, he has knives lying ready at hand in order to make use of them when the earl comes and show himself insolent, [17]. 

(…) repugnance to society and dislike to talk; (…)

Mental derangement after vexation.

Kent: Suspects that they are contriving to injure her, and she will resort to any scheme to see if they were not talking of her to her detriment. A woman imagines that her friends, husband, and children are trying to damage her; that her friends are going to put her in an insane asylum.

The torture is something violent until she confesses that which she has not done. Imagines she is pursued. Imagines that she has stolen something, or that somebody thinks she has stolen something, and fears the law. She hears voices and warnings, and in the night she dreams about it. The state of torture is something dreadful, and it then goes into a delirium with muttering. The delirium is carried on like one muttering when drunk. This state increases until unconsciousness comes on and the patient enters into a coma from which he cannot be aroused. The patient also goes through periods of violence and violent delirium.

We may assume that this altered understanding towards his family and friends is the main perverted perception upon that the Lachesis patient´s mind would be dwelling about. 

But the proving is giving us a second group of impressions of the Lachesis patient that we may find amongst our patients. There´s a religious insanity running through Lachesis mind. Ant this – religions - insanity starts with a sensation that he is under the spell of a greater source of energy, a greater power, endowing him to do great deeds. 

Thinks: she is somebody else and in the hands of a stronger power. 

A girl, after excessive study, uses exalted language; exceedingly particular about language she uses, often correcting herself after using a word, and substituting another of very similar meaning; talks about being under influence of a superior power. θ Mania.

 (…) Thinks herself under super-human control; (…)

Kent: Thinks she is somebody else, and in the hands of a stronger power. She thinks she is under superhuman control. She is compelled to do things by spirits. She hears a command, partly in her dream, that she must carry out. 

Quick comprehension, mental activity, with almost prophetical perception; ecstasy; a kind of trance.

No sooner does one idea occur to him, than a number of others follow in quick succession while he is writing.

 He wishes to do a great deal; begins many things, [1a]. 

A kind of ecstasy, as after sublime impressions, or excessive joy, throughout the day; he constantly wishes to talk and do much, and even more seems to be at his command (third day), [1a]. 

We have heard about the prophets, spiritual leaders, spiritual guides leading their flocks trough God´s righteous way, affirm the idea that “a stronger spiritual force” has determined him to do. And on the other side of this altered perception, there is this lady:

Kent: It is full of religious insanity. You will find a dear, sweet old lady who has always lived what would be called an upright and pious life, yet she is not able to apply the promises that are in the Word of God to herself; these things seem to apply to somebody else but not to her. She is full of wickedness and has committed the unpardonable sin. She is compelled to say these things; she is overwhelmed by these things, and she is going to die and going to that awful hell that she reads about. The physician must listen to this with attention. The physician might make the mistake in this instance of making light of such feelings. If he does, the patient will not return, and he will be deprived of the chance of benefiting her.

No matter what her whims are, no matter what her religious opinions are, her state of mind must be treated with respect. It must be treated as if it were so.

A few years ago, I had in my office a young woman, married and mother of two healthy children. After a few consultations she told me that she was leaving her husband and children to follow her priest. She has been receiving messages from him, during the Sunday Masses sermon, that he was about to leave the habit to marry her. She was greatly excited about that and was preparing herself to leave her family. As Kent suggested, I make no comments about her hopes and dreams, but she was given Lachesis in high potencies, single doses. After a few months she came to see me and said: “you knew from the beginning that I was going mad, don´t you? My fantasies with the priest are gone and my plans to leave my husband and children.”

This brings us to another issue about our Lachesis patients:

  Aversion of woman to marry.

We might wander – where or when this symptom became part of Lachesis mental picture? But this patient provides a full explanation – and position – of this symptom; her aversion to her family and a “strong reason”. Represented by her love for her priest. 

And it will surely be followed by:

The state of religious melancholy, with religious insanity, is not uncommonly attended with much loquacity, with talkativeness, which Lachesis is full of. It is commonly among women, very seldom among men, that we find this religious melancholy. Now, this woman is impelled to tell it; she will annoy her intimate friends, day and night, with this story of the damnation of her soul and her wickedness and all, the awful things she has done. If you ask her what things she has committed she will say everything, but you cannot pin her down to the fact that she has killed anybody. If you allow her to go through with her story she will tell you all the crimes in the calendar that she has committed, although she has been a well-behaved and well-disposed woman.

Groups in Lachesis

Hering, Allen & Kent

Dr. Claudio C. Araujo M.D. F.F.Hom. (Lon.)

Humor

Talks, sings or whistles constantly; makes odd motions with arm. θ Diphtheria.

Violent laughing for one hour; dyspnea.

Sadness and sorrow

Quiet, sorrowful, lowness of spirits, > by sighing; solicitude about future, with disgust for life; inclination to doubt everything; mistrusts and misconstrues; indolence; aversion to every kind of labor and motion. θ Melancholia.

Sad; loathing of life; suspicious and peevish; moaning and complaining; skin shriveled and livid; nose, ears and forehead cold; as soon as he shuts his eyes he is delirious. θ Traumatic delirium. 

Fainting fits with great and almost unconquerable sadness and gloom; dreads society; persistent constipation with sensation as though anus was closed. 

Great sadness and anxiety, < in morning on awaking. 

Weary of life, looks at everything from dark side; < morning, > through day; least noise disturbs sleep.

Depression of spirits, with chilliness, [1]. 

Depressed and anxious, with shortness of breath, [1]. 

Great sadness in the morning, weak for a short time in the forenoon, otherwise physically well (thirteenth day), [9]. 

No sleep until after midnight; great despondency and sadness, weakness of memory; headache in sun, with glimmering of eyes; swollen and easily bleeding gums; sore throat, with sensation of fullness, or as of a plug in throat; tonsils enlarged; constant dryness of throat; frequent entire loss of voice; burning pain in region of left ovary, menstruation irregular; corrosive leucorrhœa for ten days after menstruation; everything sours in stomach, heartburn incessantly; pressing, burning pain in top of head, from within outward; dry, hacking cough; palpitation; constipation; cold limbs below elbows and knees. θ General breakdown after repeated attacks of pneumonia. 

Lively and communicative

Lively without any cause, [2].

Excited mood the whole morning (second day, second proving); decidedly improved health, suffering only from too much smoking (third day), [1a]. 

Excited for a very long time in the evening, lively, despite constant sticking pressure beneath the scapulæ, [1]. 

An unusual inclination to be communicative, [2]. 

Great inclination to be communicative, extraordinarily, vivid imagination; therewith extremely impatient at tedious and dry things, [1a]. 

Lively and communicative, even with a disagreeable feeling of fullness, [2]. 

Social and communicative, [2].

The more cause for fretfulness, the greater inclination for humor, just, satire, and humorous fancies, [1a]. 

Longing for amusement, without however experiencing ennui, with lively fancies about which he himself laughs, [2]. 

In evening very wide awake and talkative, lively as soon as the gas is lit. 

Very unusually joyous, humorous dreams during the afternoon nap (second day), [1a]. 

Irritability

Irritability during the feverish heat, [2]. 

Extremely irritable, [2]. 

Impatient; desires positive answers when this is not practicable, [11]. 

Peevishness (transient), [2]. 

Unusually contentions and obstinate, so that he quarrels with everything about him, [11]. 

So quarrelsome that he disputes with a mother about the age of her daughter, and affirms the younger to be the elder, [11].

Violent, scornful mood, without being vexed (first day), [1a]. 

Breaks into a rage about trifles, [2]. 

Slight touch is intolerable, almost puts him into a rage, [2]. 

Nervous irritability; restlessness; jerking.

Irritability; ill humor; sensitive disposition.

Peevish, disposed to be morose or quarrelsome.

Very remarkable and persistent indifference and forgetfulness, [1a]. 

Ennui with trembling, [2].

Nervous exaltation; hysteria. 

It seems to him during the day that he has dreamed everything that has happened, only somewhat different, [1a]. 

Sleepless: from anxiety; especially before midnight, with talkativeness; on account of internal restlessness; abdomen and chest seem swollen; restless and nervous, burning in soles of feet, stinging all over.

Nightly attacks of anxiety; afraid of cholera, gets cramps in calves from fear; nausea, heavy feeling in abdomen, rolling in umbilical region.

With Oneself

Great irritability; soothing poetry moved him to immoderate weeping; he was obliged to cry for joy; as for example, when reading in Schiller's Tell, he could not proceed; an unmanly rapture compelled him to desist; in exciting scenes he broke into tears, and so on for a great many days; after much crying, pain above the eyes, [1a].

Poetic dreams full of inventions during the midday nap, [1a]. 

Maintains great quietness and firmness of mind, during very vexation and exciting events (seventh and following days), [1a].

Quick comprehension, mental activity, with almost prophetical perception; ecstasy; a kind of trance.

No sooner does one idea occur to him, than a number of others follow in quick succession while he is writing.

 He wishes to do a great deal; begins many things, [1a]. 

A kind of ecstasy, as after sublime impressions, or excessive joy, throughout the day; he constantly wishes to talk and do much, and even more seems to be at his command (third day), [1a]. 

A stronger power

Thinks: she is somebody else and in the hands of a stronger power. 

(In sick:) Perfect happiness and cheerfulness, followed by gradual fading of spirituality; want of self control; lascivious; felt as if she was clear animal right through, whilst all mental power was dormant; sensation as if in hands of stronger power, as if charmed, and as if she could not break the spell.

A girl, after excessive study, uses exalted language; exceedingly particular about language she uses, often correcting herself after using a word, and substituting another of very similar meaning; talks about being under influence of a superior power. θ Mania.

 (…) Thinks herself under super-human control; (…)

Kent: Thinks she is somebody else, and in the hands of a stronger power. She thinks she is under superhuman control. She is compelled to do things by spirits. She hears a command, partly in her dream, that she must carry out. 

Sometimes it takes the form of voices in which she is commanded to steal, to murder, or to confess things she never did, and she has no peace of mind until she makes a confession of something she has never done.

Weak and unhappy, particularly in morning, when she feels, on awaking, friendless and forsaken; same symptoms if she awakens at night; appetite poor; constipated; feeling of constriction of anus; urine scanty and dark colored; has had domestic troubles. θ Melancholia. 

Hopelessness.

After domestic calamity, sleepless, or, when overcome by exhaustion, short naps disturbed by frightful dreams; springing up in bed with terror, and suffocation of chest and palpitation; irritability alternating with loquacious delirium; nightly hallucinations causing mental suffering; conscious of her state. θ Mental disturbance.

Suicide

She is tempted to commit suicide. θ Mania. 

Satiety of life with longing for death. 

She is tormented by idea that her better principles might be overcome by irresistible desire to suicide. θ Mania. 

Death and the future

Nervous aches all over; hysterical spells of trembling; cannot move, work or sleep; dark forebodings of future; any news, excitement, or a harsh word makes <; < after sleep. θ Nervous affection. 

So great apprehensiveness while riding in the open air that it seemed to him some great evil was impending, like an evil foreboding; it torments him for more than an hour (after three to four hours), [1a].

Kent: Apprehension of the future. Thinks she is going to have heart disease and is going insane; and that people are contriving to put her in an insane asylum. Imagine her relatives are trying to poison her and she refuses to eat. She thinks sometimes that it is only a dream, and she can hardly say whether she dreamed it or whether she thinks it. She thinks she is dead, or dreams that she is dead, and in the dream, preparations are being made to lay her out, or that she is about to die.

Fear of death

Afraid to go to sleep for fear he will die before he wakes. 

Dread of death, fears to go to bed. 

Great depression of spirits and apprehension of death; neck stiff and sensitive to touch; blue spots or blisters on skin; epistaxis; hemorrhage from bowels, of decomposed blood; great prostration. θ Chorea. 

(…) she is dead, and preparations are made for funeral, or that she is nearly dead and wishes some one would help her off; (…) visions real; he will die. 

Feeling as though body was overwhelmed by a disintegrating tendency, with sinking of all forces. 

Feeling as though the body were overwhelmed by a disintegrating tendency, with sinking of all the forces, [3]. 

Very easily frightened, in the evening (first day), [1a]. 

Very easily frightened, with sensitiveness of the brain, [2]. 

Sudden doubts arise about truths of which he had hitherto been convinced, in the afternoon, [17]. 

It frequently seems to him wrong to read long at a time, although the subject interests him, [2].

Religion and damnation

Delirium; fears she will be damned. 

Religious monomania, fear of being damned. 

Gladly sits in meditation, [2].

Kent: It is full of religious insanity. You will find a dear, sweet old lady who has always lived what would be called an upright and pious life, yet she is not able to apply the promises that are in the Word of God to herself; these things seem to apply to somebody else but not to her. She is full of wickedness and has committed the unpardonable sin. She is compelled to say these things; she is overwhelmed by these things, and she is going to die and going to that awful hell that she reads about. The physician must listen to this with attention. The physician might make the mistake in this instance of making light of such feelings. If he does, the patient will not return, and he will be deprived of the chance of benefiting her.

No matter what her whims are, no matter what her religious opinions are, her state of mind must be treated with respect. It must be treated as if it were so.

The state of religious melancholy, with religious insanity, is not uncommonly attended with much loquacity, with talkativeness, which Lachesis is full of. It is commonly among women, very seldom among men, that we find this religious melancholy. Now, this woman is impelled to tell it; she will annoy her intimate friends, day and night, with this story of the damnation of her soul and her wickedness and all, the awful things she has done. If you ask her what things she has committed she will say everything, but you cannot pin her down to the fact that she has killed anybody. If you allow her to go through with her story she will tell you all the crimes in the calendar that she has committed, although she has been a well-behaved and well-disposed woman.

In his dream he possesses and intriguing character (which while awake was in nowise the case), [1].

With the others

Aversion of woman to marry.

Jealousy

After a jealous quarrel, she put both hands to her chest and cried out "Oh! my heart!" then fell and was in an asphyctic state for nearly twenty-four hours; no pulse could be felt, breathing hardly perceptible; lay on her back.

Towards evening very unusual almost crazy jealousy, as foolish as it is irresistible (after six hours), [1a].

Insane jealousy. 

Proud; jealous, suspicious; developing into mania.

Kent: The mental state is large. Jealousy without any reason. Unwarranted jealousy and suspicion. Many times, this medicine has cured suspicion in girls, when they were simply suspicious of their girl friends. She never sees a whispered conversation going on but they are talking about her, to her detriment.

Mistrustful

Mistrustful and thinking evil, [1a].

Becomes easily peevish and mistrustful; believes himself intentionally injured by all his environments and attaches the most hateful significance to the most innocent occurrences, [7].

Malice; thinks only of mischief. 

(…) fears of being poisoned.

Imagines he is followed by enemies who are trying to harm him; attempts to leave room as if frightened by visions behind him. θ Fistula. 

Thinks: herself pursued by enemies, or fears medicine is poison; (…)

Dreams of being accused of theft; of a haughty earl, on whom he is determined to take vengeance, and, therefore, he has knives lying ready at hand in order to make use of them when the earl comes and show himself insolent, [17]. 

(…) repugnance to society and dislike to talk; (…)

Mental derangement after vexation.

Kent: Suspects that they are contriving to injure her, and she will resort to any scheme to see if they were not talking of her to her detriment. A woman imagines that her friends, husband, and children are trying to damage her; that her friends are going to put her in an insane asylum.

The torture is something violent until she confesses that which she has not done. Imagines she is pursued. Imagines that she has stolen something, or that somebody thinks she has stolen something, and fears the law. She hears voices and warnings, and in the night she dreams about it. The state of torture is something dreadful, and it then goes into a delirium with muttering. The delirium is carried on like one muttering when drunk. This state increases until unconsciousness comes on and the patient enters into a coma from which he cannot be aroused. The patient also goes through periods of violence and violent delirium.

 Dream that a person very dear to him had died; he awoke weeping; looked about him with the conviction that he would see his ghost; without experiencing fear, [2]. 

Ailments from fright, disappointed love or jealousy.

Environment

Many dreams of his home, with an anxious feeling as though some evil had happened to him; sleep restless, [4]. 

Work

Undertakes many things, perseveres in nothing.

Need of being very busy, without the slightest perseverance, [2]. 

He sits up late at night at mental work, with great activity, [1]. 

He is impelled to productive work in the evening, although he had been much fatigued during the day; he sits all night, without the slightest sleepiness or exhaustion; writes with the greatest freedom and increased vigor about everything that he knows; new things constantly throng in his mind; also next day, after very little sleep, he is just as excited; it only gradually diminishes without subsequent reaction of mind; on repeated proving, [1]. 

Increased power of originality in all mental work, increased activity of fancy; scenes and occurrences throng to him in an unusual amount, [1a]. 

No sooner does one idea occur to him than a number of others follow in succession while he is writing it down, so that he is unable to finish the record, [1a].

Dreams the whole night concerning the occurrences and business of the day, [17].

Disinclined to his own proper work; complains of trifles.

Indifferent and disinclined to work in the forenoon, [9]. 

Mentally very indolent, with physical weakness (sixteenth day), [9]. [50.]

Aversion to work, [2]. 

Disinclined to his own proper work; either an indifferent or sad mood, with weariness and general laxity (fifteenth day), [9]. 

Must force himself to attend to business (later action), [2]. 

Dilatory disinclined for any mental work, [4]. 

Dilatory; he cannot accomplish his business as usual, [3]. 

Sensitiveness, or general aggravation after mental exertion. 

Childhood

An infant is very fretful, cries much, will not lie down; then attacked by febrile heat, with much eructation; vomiting of milk; frequent stools; much crying and fretting; therewith it was hot to the touch, [1].

Restless tossing, moaning; children with sore throat.

Tossing about, moaning, during sleep; children. 

Child now and then loses consciousness and sight for a second, turns and twists eyes like one who fights with sleep; closing lids, sinking of head all in a moment; cannot stand, must lie down.

Crawls upon floor, laughs and is very cross by turns; attacks last from half an hour to an hour; child acts strangely, will not play with other children; exhibits no love for mother; seems to hate her mother and friends, hides; runs away from strangers, looks at them through her fingers; bites and spits at other children; six years ago, was frightened by a snake. 

Child, muttering delirium; yellowish red, dry, tremulous tongue; moderate thirst; pulse 70; rational for a little time when awake, then subsides into delirium; paralysis of motoric nerves of left limbs.

Male Sexuality

Voluptuous, irritated state fights it. θ Epilepsy.

Very many voluptuous thoughts during the day, [17]. 

 For several nights in succession either very lascivious, voluptuous, or very quarrelsome dreams, and during the day many voluptuous thoughts (so that the words of Mephistopheles might be applied to him; "With this draught in thy stomach, thou seest a Helen in every woman"), [17]. 

Amorousness; amativeness.

Great excitement of sexual desire. 


Excessive sexual desire, constant erections at night; emissions, with profuse night sweats; cheerful disposition and feeling of ease on awaking, succeeded by increased mental concentration; semen has a pungent smell.  

Unusual erections during the day, [1]. 

 Very strong erections in the morning, [1].

Very much increased sexual desire, without amorousness; when controlled, it caused great inclination for mental labor (second week), [1a]. 

Frequent transient amorous thoughts, without the slightest physical excitement, [2]. 

Amorous dreams.

Nocturnal emissions, with thrill of delight.

Dream with emission, always entailing every few unpleasant consequences, [2]. 

Impotence. 


Lascivious, disgusting dreams the whole night (sixth day), [1a]. 

Epilepsy; from onanism or otherwise connected with sexual function after great lewdness, jealousy, fluor albus, or seminal emissions; during catamenia; during climacteric period; during sleep. 

Epilepsy after suffering by lewdness, or morbid excitement of sexual organs, onanism, frequent emissions of semen, or jealousy. 


Female Sexuality

Sexual desire excited to the highest pitch; perfectly insatiable; luxurious convulsive thrills run all through her. 


Pregnancy

Discouraged, loathing life. θ Melancholy after confinement.

After confinement, all her former troubles (pain in the left side beneath the breast, tearing in right foot, violent headache, and attacks of colic) became again more violent, though only transient, [7]. 

Menstruation irregular; suppressed for eight months; swelled abdomen; restless, nervous, morbidly talkative complaining, yet giving a very rambling account; no sleep for three nights, partly owing to nervous restlessness, partly to what she calls shivering and shaking fits which come over her; for some time sleep broken, followed by headache and despondency; least worry and excitement puts her into heat and fever; urine scanty, high colored, offensive, passed with much pain; bowels inclined to be loose; nervous and discouraged after eating; nausea and load at stomach; dress unfastened and quite loose at upper part of chest, says she cannot bear it tight, nor can she bear things tight around her waist; faintness and hunger about 11 A. M. θ General prostration after childbearing. 

Intellectual

Loquacity

Constant delirium which changes rapidly from one subject to another. θ Diphtheria.

Delirium tremens, attacks come most in afternoon, or after sleep; loquacious, jumps from subject to subject, cannot bear shirt or neckband to touch throat. 

Most extraordinary loquacity, making speeches in very select phrases, but jumping off to most heterogeneous subjects; at same time proud, full of mistrust. θ Mania.

Exceptional loquacity with rapid change of subject; jumps abruptly from one idea to another.

Much talking during the febrile condition, in the evening, [1].

Loquacity; in the evening, with physical laxity, sleepiness without being able to fall asleep; without sitting up he talks a great deal, wishes to tell stories, constantly goes from one to another; during this he, however, recollects himself and soon knows when he has mixed and distorted anything; he then corrects himself, but repeats the same mistakes; thus he is tormented half the evening (first day), [1a]. 

Mistakes on talking and writing.

An unusual confusion as to time; he dated everything the 26th, when it was only the 6th; and on Wednesday he asked whether it was Saturday, [3].

Makes more mistakes than usual in writing, [3]. 

Constantly obliged to pay attention to his spelling, in a language in which he is usually fluent, [1]. 

Writes a letter with numerous mistakes in spelling, without noticing them himself, in words written both in Roman characters and in the usual German text (in one who hardly ever made such mistakes), [11].

Cannot perform anything in an orderly manner, [3]. 

It became extremely difficult for him to listen to others, though his hearing was not impaired; the words just spoken seemed obliterated, [2]. 

Memory

Forgetful and indifferent, [1].

Weakness of memory, so that it was difficult to pay attention to what was said to him, [2]. 

Does not remember what has just happened, [10]. 

Has no memory at all; hears and understands nothing that others say to him; with good power of thought, [2]. 

Weakness of memory; makes mistakes in writing; confusion as to time.

Great dullness of mind with bodily weakness. θ Typhus.

Mind confused and wandering. θ Diphtheria. 

Inability for abstract thought; not the least persistence, [2]. 

Very distracted, while reading, without interesting trains of thought, [2]. 

A kind of loss of ideas, [7]. 

Neurological

Visions and delirious talk as soon as he shuts eyes; < noon till midnight. 

Delirium at night, muttering, drowsy, red face; slow, difficult speech and dropped jaw. 

Violent delirium especially after sleeping. θ Typhoid.

His mind is disturbed before the attack. θ Epilepsy.

Fanciful imaginings, with the evening fever, [1a].

Delirium from over watching.

Loss of consciousness, as before apoplexy, [3]. 

Loss of consciousness, with vomiting and purging (bite). [70.]

Loss of consciousness (two days after the bite), with somewhat irregular motions of the limbs; covered with cold clammy sweat; pulse small, slow, almost imperceptible. 

Loss of consciousness with loss of strength and disappearance of the pulse (bite). 

Complete loss of consciousness at times, with cold feet; it disappeared as soon as the feet became warm, [2].

Loss of consciousness.

Kent: Confusion of the mind to insanity.

All sorts of impulsive insanity. 

The mind is tired. 

The patient puts on an appearance like the maudlin of a drunkard talks with thick lips and thick tongue, blunders and stumbles, only partly finishing words; the face is purple and the head is hot.

There is choking and the collar is uneasy about the neck, and the more uneasiness about the neck, the more choking, the more confusion of mind and the more appearance of intoxication. You will see if you talk with one who is intoxicated with whiskey symptoms like Lachesis, he stumbles through, hardly realizing what he says, half finishing his sentences and his words, leaving his "g's" off, all the present participles; he stumbles and blunders, he mutters, and tells you first one thing and then another.

Severe pains in back of head; violent convulsions, requiring several strong persons to prevent her from injuring herself; attempts to pull hair out of back part of head. 

Sudden and forcible protrusion and retraction of tongue.

After having ears pierced, chorea; < left side; left side of body in continual motion; cross, irritable; throws away anything she has in her hands at time; ears sore and ulcerated where they had been pierced; finally motion very violent, partial paralysis of left side; could hold nothing in hand; when walking frequent stumbling and dragging of left foot; unnaturally loquacious; < after sleep.

 

Generals

Kent: In many cases a close connection between the mental symptoms and the heart symptoms will be noticed, especially in young women and girls who have met with disappointment, who have been lying awake nights because of disturbance of the affections, or from disappointment, or from shattered hopes, or from grief.

Prolonged melancholy, mental depression, hysterical symptoms, weeping, mental prostration and despair, with pain in the heart, with a gone sensation or sensation of weakness in the heart, with difficult breathing. 

She meditates upon suicide, and finally settles back into an apathetic state, in which there is an aversion to, everything, to work, and even to thinking.

Delirium and convulsions from night watching, overfatigue and solicitude. 

Lying with body and limbs doubled up; nose, ears and forehead very cold; giddiness and blindness; skin shriveled, cold, livid; pulse thready, dying away; rapid gaping, incessant sighing; blue rings around eyes; increasing stupor. θ Shock from injuries.

Troubles come on during sleep, and patient wakes in distress or pain; cough, asthma or spasm. 

Dreams constant and fatiguing, with frequent waking all through the night; yet he awakes early, and rises refreshed (first day, second proving), [1a].

He is in a suffering, emaciated condition, very weak and prostrated, and is constantly inclined to rest, [3]. 

Delirium (…), over fatigue; loss of fluids; excessive study.

The whole body feels beaten and weak, in the forenoon, as after a night's debauch, also mentally very indolent (sixteenth day), [9].