Understanding Pulsatilla nig.

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

Due to its own nature, Pulsatilla is a difficult remedy to understand. A simple remedy in the beginning, but as far as we advance in its understanding, as far its complexity shows itself to the reader. But, assuming its controversial aspects, we can start from Kent´s observations that he himself has noticed: Pulsailla´s complex nature:

Kent: She is tearful, plethoric, and generally has little credit for being sick from her appearances; yet she is most nervous, fidgety, changeable, easily led and easily persuaded. While she is mild, gentle and tearful, yet she is remarkably irritable, not in the sense of pugnacity, but easily irritated, extremely touchy, always feels slighted or fears she will be slighted; sensible to every social influence.

And we have, from the proving:

Gloomy, melancholy, full of care. 

Hypochondriac moroseness; out of sorts with everything. 

Gloomy, melancholic mood. 

Restless and changeable; easily moved to tears or laughter; well one hour, miserable the next.

Satisfied with nothing, yet not vexed, [1]. 

Extremely capricious and peevish at everything, even at himself. 

Extremely capricious and peevish about everything, himself included. 

Very discontented, weeps a long time, in the morning, after waking. 

She cried a good deal, and was very low-spirited (naturally she is quite the contrary), 

A gloomy, melancholy mood set in..

Pulsatilla is a complex and contradictory patient, even in one physical symptoms and modalities. 

Trying to figure out the real world where Pulsatilla lives, the proving brought us a very hard place where she´s living:

Dreams: confused, frightful; anxious, vivid; of fright and disgust; sad, with weeping; anxious, when lying on left side; of black beasts; that he is falling. 

When evening comes he begins to dread ghosts, four evenings in succession; during the day anxiety and flushing heat over the whole body, though the hands and face are cold and pale.

Screams and starts up in sleep, frightened by a black dog, a cat; tries to drive away bees. 

Woke frequently on account of vivid dreams; for example, that he was falling, [1].

At night he woke as if frightened and dazed; did not know where he was, and was not quite conscious (after five, and twelve hours), [1].

 

Pulsatilla mental state is the one as we may expect from her experience with “her own “word”. We may see, as we move further on into Pulssatilla complexity, now we are face her inner state:

Gloomy, melancholy, full of care. 

Hypochondriac moroseness; out of sorts with everything. 

Gloomy, melancholic mood. 

Restless and changeable; easily moved to tears or laughter; well one hour, miserable the next.

Satisfied with nothing, yet not vexed, [1]. 

Extremely capricious and peevish at everything, even at himself, [1]. 

Extremely capricious and peevish about everything, himself included. 

Very discontented, weeps a long time, in the morning, after waking. 

She cried a good deal, and was very low-spirited (naturally she is quite the contrary), 

A gloomy, melancholy mood set in..

But, as we went into her deepest symptoms, another “level” of feelings and impressions came out from the proving. Puslsatilla feels oneself alone in the world, forsake and very confused.

It seems so quiet in her head and everything feels so empty that she seems alone in the house and in the world; she will speak to no one, just as if her surroundings did not exist, and she paid attention to no one,. 

She is confused, alone, full of contradictory issues and them comes another aspect of her personality. As contradictory as she is, Pulsartilla´s sexuality is represented in the proving by opposite feelings. From one side, she fantasies that there´s this man in her bed. 

Dread of men; she fancies a naked man is wrapped in her bedclothes and rolled up under her bed, while she has only a sheet to cover her; all her dreams are about men.

This dread of men is also associated to a religious aversion to the opposite sex.

Unquiet look; lips bluish red; weak memory; pangs of conscience about religion and the female sex; violent palpitation in the presence of women; abhors and hates the sex; must go out of their way for fear of injuring them; looks upon them as evil beings and is afraid; considers their presence injurious to his soul; respiration short and difficult; painful pressure in chest. 

Sleepless at 2 A. M.; pulsating, beating headache proceeding from vertex; lamentations; despaired of her soul's salvation; did not believe she would be restored to health; irresolute disposition; taciturn. θ Melancholy.

Now, on reading the next symptoms from the proving, our patient is suffering from the impression that men and women represents damnation to one´s soul, so our Pulsatilla patient may abhors the opposite sex, fearing he might have his soul cursed by his sexual attraction towards them.

But, as we are dealing with a very contradictory human being, also present in the proving is Pulsatilla sexual disorder now moving towards the other extreme:

Sexual desire too strong; almost priapism. 

Long-lasting morning erections. 

Nightly emissions: two in one night, with amorous dreams; with mental depression; eyes felt as if they would push back into orbit, head light and empty, as if it were off shoulders; after onanism. 

Sexual excesses resulting in headache; backache; limbs heavy. 

Erections day and night,. 

Frequent erections, with discharge of prostatic fluid

Erections, in the morning, for a long time after waking, not without sexual desire (after six hours), 

Sexual excitement and desire for coition, in the morning, on waking

Seminal emission, with amorous dream (third night); without dream]. 

Nightly emissions. 

Nymphomania.

Two emissions in one night, with dreams that were not amorous, and on the next day lassitude and intolerable heaviness of the limbs 

Lascivious dreams in the evening and morning, almost without sexual excitement

Amorous dream, with seminal emission.

Afraid of what is coming towards her, feeling alone and forsake, fighting inside oneself with one´s out of control sexual thoughts and whims and - expressing many contradictory decisions and longings – this is our patient. 

We might add at this point her irritability, her inconstancy in every decision that has been taken before and her insecurity - towards her survival in this world: not present in the proving but present in our repertories. Pulsatilla strategy for survival includes: her charming, coquettish way of being, and also she is vain and seducible - all this hiding someone who is afraid of poverty, longing for a wealthy husband – and then becoming subservient to him as long he provides her with protection and company, and all the wordily things she needs so much to feel herself sefe and cared. 

Other symptoms from the proving may stress what we had said before about this patient´s personality:

Gloomy, melancholy, full of care. 

Hypochondriac moroseness; out of sorts with everything. 

Gloomy, melancholic mood. 

Restless and changeable; easily moved to tears or laughter; well one hour, miserable the next.

Satisfied with nothing, yet not vexed,. 

Extremely capricious and peevish at everything, even at himself,. 

Extremely capricious and peevish about everything, himself included. 

Very discontented, weeps a long time, in the morning, after waking. 

She cried a good deal, and was very low-spirited (naturally she is quite the contrary), 

We may find our Pulsatilla patient also is a sad and depressive condition. But, different from other remedies, Pulsatilla may express her sadness since the first moments of the consultation. She easily weeps as soon she starts to complain:

Weeping: sad, bursting into tears very easily; can hardly tell her symptoms for weeping; at every nursing; at everything, whether joyful or sad; at answering a question; with almost all her sufferings.

The pain is so violent that she tosses in every direction, with cries and tears. 

He sinks into a condition of sadness and despondency from disagreeable news (after twenty hours)

As we have said, Pulsatilla is overtaken by her fears, but they are not a given fear for something. In fact, it is a general fear towards the future, as is present in this symptom:

Tearful, easily discouraged; full of anxiety, forebodings of impending disaster; anxiety from epigastrium, likely to be associated with indigestion; chattering teeth; palpitation; flushes. 

Tremulous anguish: as if death were near; < during rest, while sitting and lying; > by motion. 

Anxiety; does not know what to do (before an hour), [1]. 

Anxiety, as if he would have apoplexy, in the evening, after lying down, with chilliness, sounds in the ears like music, with twitching in the fingers of the right hand. 

Tremulous anxiety, as if death were imminent

Anxiety in the afternoon, with trembling of the hands, that are spotted red, but not hot, 

Anxiety, as if he were in a hot atmosphere,. 

Anxious solicitude about his health

To finish our study, a symptom from the proving that may define the personality of our patient, or we may say, the consequences of her troubled mind over herself and her daily life.

Extreme irresolution.

And its consequences:

Continuous crying with great melancholy and fear of losing her reason, or that she might commit suicide. 

Weary of life; thinks with pleasure of drowning. 

Anxiety: thinks to die; does not know what to do; as if in a hot atmosphere; in region of heart; even to suicide; in evening, with sensation of qualmishness in pit of stomach; in evening after going to sleep, with a rush of ideas and determination of blood to head that forces him to get up; at night, as from heat. 

Anguish in region of heart, sometimes increasing to a desire for suicide. 

Anxiety in the region of the heart, even to suicide, in the evening, associated with a sensation of qualmishness in the pit of the stomach. 

Anxiety, thinks to die (after one hour).

After mortification, sad, gloomy and weary of life; frequent pain in forehead, earthy face; dark rings around eyes; bitter, sapid taste in mouth; dislikes meat and bread; nausea, with pain in stomach; occasional bitter, slimy vomiting; frequent, profuse nosebleed; stitches in side, when coughing, with frothy, bloody expectoration; palpitation; labored breathing; hard, scanty stools; frequent cutting pain in bowels; heaviness of legs; limbs feel bruised; swelling on upper part of foot; anxious dreams; is anxious, sad; weary of life, thinks of drowning with great pleasure; bursts into tears; dissatisfied with everything; easily enraged; reticent; very easily frightened. 

 

Groups in Pulsatilla

Hahnemann, Hering, Allen & Kent

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

Humor

Kent: She is tearful, plethoric, and generally has little credit for being sick from her appearances; yet she is most nervous, fidgety, changeable, easily led and easily persuaded. While she is mild, gentle and tearful, yet she is remarkably irritable, not in the sense of pugnacity, but easily irritated, extremely touchy, always feels slighted or fears she will be slighted, sensible to every social influence.

Gloomy, melancholy, full of care. 

Hypochondriac moroseness; out of sorts with everything. 

Gloomy, melancholic mood.

Restless and changeable; easily moved to tears or laughter; well one hour, miserable the next.

Satisfied with nothing, yet not vexed, [1]. 

Extremely capricious and peevish at everything, even at himself, [1]. 

Extremely capricious and peevish about everything, himself included. 

Very discontented, weeps a long time, in the morning, after waking, [1]. 

She cried a good deal, and was very low-spirited (naturally she is quite the contrary), 

A gloomy, melancholy mood set in (after four hours), [3].

Mild, bashful, gentle, yielding disposition. 

Silent mood; inclined to silent grief with submissiveness. 

Disposition mild and gentle, never cross. θ Habitual constipation. 

Hypochondriac peevishness. 

Confused, fretful, very chilly. 


Ill-humored, fretful, easily enraged. 

Taciturn, morose, aversion to talking. 

Weeping: sad, bursting into tears very easily; can hardly tell her symptoms for weeping; at every nursing; at everything, whether joyful or sad; at answering a question; with almost all her sufferings.

The pain is so violent that she tosses in every direction, with cries and tears.

He sinks into a condition of sadness and despondency from disagreeable news (after twenty hours), [1].

Hypochondriac moroseness; is out of sorts with everything, [1]. 

Morose, lachrymose, anxious, [6]. 

Extremely morose, will not answer, takes everything in bad part, in the evening towards sundown, [1]. 

Morose mood, breaking out into weeping, whenever interrupted in his business, about 4 P.M. (after thirty-six hours), [1]. 

Extreme peevishness (after six or seven days), [14]. 

Extremely ill-humored and fretful, [16]. 

Ill-humored and discontented all day, without cause (after twenty-four hours)

ll-humor (after several hours), [1]. 

Fretful and without appetite, after walking about the room (after forty-eight hours), 

Confused, fretful, very chilly, [1].

 Fretful, everything said to him makes him ill-humored (after half an hour), [1]. 

Hasty, [1]. 

With oneself

Tearful, easily discouraged; full of anxiety, forebodings of impending disaster; anxiety from epigastrium, likely to be associated with indigestion; chattering teeth; palpitation; flushes.


Insanity; he was continually crying; ran about the streets at night.

Gasping breathing; inconsolable. 

After slight emotions, difficult breathing; bad effects from fright, mortification or excessive joy.

Tremulous anguish: as if death were near; < during rest, while sitting and lying; > by motion.

Hysterical laughter, after meals.

Mild, cold and phlegmatic.

Nightly anxiety on waking, as if he had committed a crime, [1]. 

Anxiety; does not know what to do (before an hour), [1]. 

Anxiety, as if he would have apoplexy, in the evening, after lying down, with chilliness, sounds in the ears like music, with twitching in the fingers of the right hand (after half an hour), [1]. 

Tremulous anxiety, as if death were imminent (after one hour), [1].

Anxiety in the afternoon, with trembling of the hands, that are spotted red, but not hot, 

Anxiety, as if he were in a hot atmosphere, [1]. [Compare with 1282. -Hahnemann.] 

Anxious solicitude about his health, [1]. 

Extreme irresolution, [1]. 

Suicide

Continuous crying with great melancholy and fear of losing her reason, or that she might commit suicide.

Weary of life; thinks with pleasure of drowning.

Anxiety: thinks to die; does not know what to do; as if in a hot atmosphere; in region of heart; even to suicide; in evening, with sensation of qualmishness in pit of stomach; in evening after going to sleep, with a rush of ideas and determination of blood to head that forces him to get up; at night, as from heat.

Anguish in region of heart, sometimes increasing to a desire for suicide. 

Anxiety in the region of the heart, even to suicide, in the evening, associated with a sensation of qualmishness in the pit of the stomach, [1]. 

Anxiety, thinks to die (after one hour), [1].

After mortification, sad, gloomy and weary of life; frequent pain in forehead, earthy face; dark rings around eyes; bitter, sapid taste in mouth; dislikes meat and bread; nausea, with pain in stomach; occasional bitter, slimy vomiting; frequent, profuse nosebleed; stitches in side, when coughing, with frothy, bloody expectoration; palpitation; labored breathing; hard, scanty stools; frequent cutting pain in bowels; heaviness of legs; limbs feel bruised; swelling on upper part of foot; anxious dreams; is anxious, sad; weary of life, thinks of drowning with great pleasure; bursts into tears; dissatisfied with everything; easily enraged; reticent; very easily frightened.

Religion

Kent: Melancholia, sadness, weeping, despair, religious despair, fanatical; full of notions and whims; imaginative; extremely excitable. She imagines the company of the opposite sex a dangerous thing to cultivate, and that it is dangerous to do certain things well established in society as good for humanity.

These imaginations belong to eating as well as thinking. They imagine that milk is not good to drink, so they will not take it. They imagine that certain articles of diet are not good for the human race. Aversion to marriage is a strong symptom. A man takes it into his head that it is an evil thing to have sexual intercourse with his wife and abstains from it.

Religious freaks; an especial tendency to dwell on religious notions; fixed ideas concerning the Scripture; he misuses and misapplies the Scriptures to his own detriment; dwells on sanctification until he becomes fanatical and insane; thinks he is in a wonderfully sanctification state of mind, or that he has sinned away his day of grace.

Religious mania; sees the devil coming to take her; the world on fire during night; fear, rage in spells, or weeping; forgetful during lucid moments.

Sleepless nights on account of great fear and anxious restlessness; despairs of her salvation and seeks aid in constant prayer; irregular catamenia; heat and congestion to head and face; headache, precordial weight and backache. 

Throbbing pain in brain; dimness of vision, as if looking through a sieve; frightful visions in the dark, or when closing eyes; strikes at them and holds up the cross.

Unquiet look; lips bluish red; weak memory; pangs of conscience about religion and the female sex; violent palpitation in the presence of women; abhors and hates the sex; must go out of their way for fear of injuring them; looks upon them as evil beings and is afraid; considers their presence injurious to his soul; respiration short and difficult; painful pressure in chest. 

Sleepless at 2 A. M.; pulsating, beating headache proceeding from vertex; lamentations; despaired of her soul's salvation; did not believe she would be restored to health; irresolute disposition; taciturn. θ Melancholy.

With the others

Patient seeks consolation.

Fancies a naked man is wrapped in her bedclothes, dreams of men.

When evening comes, he begins to dread ghosts.               

Mistrust; envy; covetousness; dislike to people. 

Mania from suppressed menses.

Sinks into a condition of sadness and despondency from disagreeable news.

After vexation, mental depression; is in constant dread; palpitation; afraid of everybody; considers every one her enemy, despairs of everything; cries easily; trusts no one; pale, earthy complexion, with dim, desponding look; no appetite, much thirst; limbs feel as if asleep; is weak and weary; cannot sleep at night on account of fear and dread. 

Fright, followed by diarrhœa, with internal heat and external coldness of body. Dread of people.

Envious, avaricious, unsatisfied, greedy, he would gladly have everything, to himself, 

During sleep she sat upright, with staring eyes, and said, "Drive that man away,"

Dreams of quarrels (after twenty-four hours), [1].

 Dreams of frightful things; for example, that he had been beaten and was unlucky; sobbed and wept aloud in sleep, and on waking the dream seemed so vivid that he was obliged to take deep breaths, as if sighing, [1]. [1210.]

Pregnancy

Hands and feet cold; head hot; skin moist; on closing eyes sees strange sights; was compelled to keep eyes open and look into light; pulse small, hard and frequent, 140; great thirst for cold water; < after Bellad.; did not sleep, felt as if she was longer herself; could not see anything right ; said doctor was making faces at her, that he looked black; could not discern any one's features, in fact knew no one; head was pulsating, felt too full, as if skull was lifted up; on closing eyes saw pictures and all sorts of strange sights; heard all kinds of operatic airs; could not lie on sides, must continually lie on back; desires no food; some pain in right groin, where the lymphatics were swollen; during night urinary secretion suppressed but since morning normal; cold perspiration over whole body; felt cold and required and extraordinary amount of covering; lochial discharge ceased; eyes sunken; hands and wrists cool; tongue clean and moist; stares at her husband; says her baby looks odious; everybody looks fearfully ugly, making faces at her; labor pains compelling her to press downward; trembles all over and says she is dying; after Puls. says something snapped in abdomen, after which a large quantity of retained spurious liquor amnii was discharged, with relief of all symptoms. θ Puerperal fever.

Dark, suspicious and reserved manner; disturbed look on face; sleepless; looks for her bed in the yard; hides in a corner to escape from a little grey man who wanted to pull out her leg; in eighth month of pregnancy.

Nearly a year before, enlargement of abdomen; soon afterwards felt very distinct movements as from a fetus; for next month or two had morning sickness just as in previous pregnancies, also same longing and craving for unnatural articles of food; abdomen kept on gradually enlarging; breasts became fuller, and finally contained milk; all symptoms of former pregnancies present except that she had a regular monthly flow lasting three or four days, somewhat scanty, painless and too pale; when seated very decided movements as from a fetus could be seen through dress. θ False pregnancy.

Mild, tearful women who have but little milk. 

After weaning: breasts swell, feel stretched, tense, intensely sore; milk continues to be secreted.

After night watching and mental disturbance during pregnancy, constant chilliness, small pulse, face alternately pale and red, eyes dim, sunken, tongue white, no appetite, constipation, stitches in chest; labor-like pains in uterine region and discharge of blood from vagina; pain < from motion, > in rest; nausea after eating. 

In fourth month of pregnancy, after a fright, was obliged to walk a mile through deep snow; in a few hours labor pains; two days later violent labor pains confined almost entirely to left side which cause her to cry out and weep, occur every fifteen minutes; flow of dark blood between pains, with large clots; violent chills between pains, shakes so violently she jars the bed, wants much covering; chilliness during pains; no thirst; slimy taste; os considerably dilated. θ Threatened abortion.

The child's head is in the opening of pelvis and the action of womb is insufficient for expulsion. 

Weeps because she is not delivered.

Mal-positions of fetus.

During first stage of labor child was lying transversely (first position, shoulder presentation), in thirty minutes vertex presented.

Puerperal mania after sudden suppression of lochia; looks about shyly and hides under bedclothes at sight of any one; sometimes jumps out of bed with the clothes hanging over her head; answers confusedly; eyes shine and stare; uterus tender, she winces under pressure of hand.

Kent: Puerperal insanity in a woman who was mild, gentle and tearful, later sad and taciturn, and then she sits in her chair all day answering nothing or merely nodding her head for "Yes" or "No."

With the environment

When closing eyes sees all sorts of strange sights and hears all kinds of operatic airs. Frightful visions, delirium.

Dreams: confused, frightful; anxious, vivid; of fright and disgust; sad, with weeping; anxious, when lying on left side; of black beasts; that he is falling. 

When evening comes he begins to dread ghosts, four evenings in succession; during the day anxiety and flushing heat over the whole body, though the hands and face are cold and pale, [1]. 

Screams and starts up in sleep, frightened by a black dog, a cat; tries to drive away bees,

Woke frequently on account of vivid dreams; for example, that he was falling, [1].

At night he woke as if frightened and dazed; did not know where he was, and was not quite conscious (after five, and twelve hours), [1].

Careless ease, such as is often produced by a small dose of hashish, [24].

It seems so quiet in her head, and everything feels so empty that she seems alone in the house and in the world; she will speak to no one, just as if her surroundings did not exist, and she paid attention to no one, [1]. 

Everything disgusts him; he seems averse to everything, [1]. [8, 25, 49 are alternate conditions.-Hahnemann.] 

He was very quiet, [2]. 

He is not indifferent to his surroundings, but he will pay attention to nothing (after one hour), [1]. 

Solicitude about his household matters, in the morning, [1]. 

Business/Work

In early morn depressed, full of cares about domestic affairs.

Shuns business; irresolute; sighing respiration; feels as if he were beside himself.

Cannot think of his business without grieving, in morning. 

Morose mood, bursts into tears when interrupted in his business. 

Satisfied with nothing, yet not vexed; everything disgusts him. 

Fretful and without appetite; dread of work.

He wishes now for this, now for that employment, but when given to him he will have nothing to do with it (after ten hours), [1]. 

Shuns business, is irresolute, with sighing respiration and a feeling as if he were beside himself, [1]. 

Cannot think of his business without grief, in the morning (after eight hours), [1].

Fretful, dread of work (after one hour), [1].

Male Sexuality

Sexual desire too strong; almost priapism.

Long-lasting morning erections.

Nightly emissions: two in one night, with amorous dreams; with mental depression; eyes felt as if they would push back into orbit, head light and empty, as if it were off shoulders; after onanism.

Sexual excesses resulting in headache; backache; limbs heavy. 

Erections day and night, [1]. 

Frequent erections, with discharge of prostatic fluid (after thirty-six hours), [1]. [Compare 699. -Hahnemann.]

 Erections, in the morning, for a long time after waking, not without sexual desire (after six hours), [1]. 

Sexual excitement and desire for coition, in the morning, on waking (after twenty-four hours), [1]. 

Seminal emission, with amorous dream (third night); without dream (sixth night), 

Nightly emissions, [1]. 

Emission in sleep, at night, [5]. 

Two emissions in one night, with dreams that were not amorous, and on the next day lassitude and intolerable heaviness of the limbs (after twelve hours), [1]. [Alternate action with 1216. -Hahnemann.] 

Lascivious dreams in the evening and morning, almost without sexual excitement

Amorous dream, with seminal emission (third day), [22]. 

Female Sexuality

Nymphomania.

Dread of men; she fancies a naked man is wrapped in her bedclothes and rolled up under her bed, while she has only a sheet to cover her; all her dreams are about men (after six to seven days), [14].

Childhood

Child longs for this, now for that, even with good humor.

Children are peevish, changeable, pale and chilly.

Children are extremely affectionate, which they manifest by kissing and caressing.

he child longs now for this, now for that, even with a good humor, [1]. 

Intellectual

Absent-minded. 

Mental labor fatigues and affects the head. 

Great difficulty in speaking to find the right expression; fixed ideas. θ Typhoid.

A great many wandering thoughts in head. 

Sleep before midnight prevented by a fixed idea; for example, a melody constantly recurred to his mind, yet sleepiness prevented activity of memory and fantasies.

This goes no until he becomes insane on other subjects, and then the tendency is to sit day after day in a taciturn way. He will not answer questions unless hard pressed, when all he will say is "Yes" or "No," or be will merely shake his head. 

More inclined to mental labor in the evening than at any other time, [1]. [Curative action. -Hahnemann.] 

He cannot at all get rid of a thought that he once grasped, [1]. 

A great many wandering thoughts in his head, [1].

Could only with great effort express himself correctly, while talking, [1]. 

Mental labor affects him most of all, [1]. 

When writing he omits letters, [1]. 

Inattentive, does things hurriedly, does something different from what he intended to do (after two hours), [1]. 

Stops talking, it frets him to answer, [1].

Talking of foolish things, that seemed to float before him, while half awake, after midnight, [1]. 

Sleep before midnight prevented by a fixed idea; for example, a melody constantly recurred to his mind, yet sleepiness prevented activity of memory and fantasies, [1]. 

Slumber full of dreams of disconnected subjects, that she dreams of one by one, with the echo of words, though the names do not correspond to the subjects of the dream; hence disconnected loud talking during such a sleep, [1]. 

Warmth/Sleep

Cannot fall asleep, in the evening, on account of an anxious sensation of heat (after four hours), [1]. [1190.]

During the first three nights, he could sleep only while sitting with the head bent forward, or to one side, and could not fall asleep before midnight, [1]. 

After lying down, in the evening, he slept for an hour and a half without dreaming, then woke and remained wide awake until morning; was constantly obliged to turn over, [1]. 

s unable to fall asleep, in the evening, [6]. 

Quite restless sleep, with tossing about the bed, as from too great warmth, [3].