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Plumbum Metallicum - Extremities, Limbs symptoms - T.F. Allen

Lead, Plumbum, Plumb, Plb.


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HPUS indication of Plumbum Metallicum: Paleness
Common symptoms: Paleness, Loss of smell, Stiffness.

Below are the main rubriks (i.e strongest indications or symptoms) of Plumbum Metallicum in traditional homeopathic usage, not approved by the FDA.


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EXTREMITIES, LIMBS

Extremities, limbs

EXTREMITIES.

(Dilated veins on both legs and on the feet; on the upper third of the outer surface of the right arm there is a large serpentine varicose vein, and on the patella a large patch of varicose veins),

OEdematous swelling of the extremities,

Has suffered from gout in the hands and feet,

The limbs lie slightly flexed, and are never contracted; when raised, they immediately fall back again,

Lay always with the limbs drawn up,

Usually the legs are kept flexed upon the thighs, and the forearms upon the arms, while the body is doubled together. This seems to be the easiest position,

Convulsions of the limbs,

The upper and lower extremities trembled, and the extensors of the former were paralyzed,

Tremor of the legs and hands, especially the right,

The limbs tremble much less when they are resting against anything,

The whole arm trembled so much that he could not carry a glass to his mouth. The lower limbs became similarly affected, in the evening. The oscillations quick and uniform,

Tightness and spasms in the extremities and hands,

Spasmodic flexion of the arms and legs, so the dorsal surfaces of both hands rested upon the chest, lasting a quarter of an hour, and followed by gradual relaxation, until the arms hung by the side; after a few hours the spasm was renewed,

Numbness of extremities increased day by day, and there was an incessant trembling, worse at times, especially the upper extremities, in which the paralysis of the extensor muscles was manifest, particularly in the right hand, which could not grasp or hold any object,

Convulsive movements of the extremities,

Sudden attack of violent convulsions in the upper and lower limbs,

Tremor, first in the left lower then in the left upper extremity, with pain and difficulty in moving,

Constant trembling of all the limbs,

Tremor and convulsions of the limbs,

Slight trembling of the limbs and face,

Trembling and weakness of the limbs, even to sinking down, recurring from time to time,

Trembling of all the limbs, and of the whole body,

Trembling of the limbs, but especially of the muscles of the face,

Tremor in the arms and legs, while walking and when at rest,

Trembling of the upper and lower extremities, during both motion and rest,

Trembling of the limbs, ,

Jerkings of the limbs,

Violent spasms of the limbs,

Paralysis of the limbs; it was singular that this affected both lower extremities and the right arm, while the left remained unaffected; it was discovered while the child was obliged to lie in bed that suddenly he took everything with his left hand, and could not move the right,

Paralysis of hands and legs, ,

The left limbs are almost as much paralyzed as the right,

Paralysis of the upper and lower extremities,

Paralyzed extensors,

Paralysis of the limbs,

Paralysis of the arms and feet,

Left-sided hemiplegia of the upper and lower extremities,

Limbs completely paralyzed and extremely wasted,

Complete and incomplete paralysis of the upper and lower extremities,

In the left limb the power of movement is unimpaired,

Upper extremities

Trembling of the arms,

Incoordinate movements of the superior extremities, which consist in an indefinite and irregular series of contractions, and have their set alternately in the extensor and flexor muscles. These oscillations continue in spite of the patient's effort to the contrary. The power of extending the arms upon the posterior portion of the trunk is much lessened. There exists a slight analgesia of the affected members, but not the least paralysis of the extensor muscles of the fingers,

Convulsive movements from time to time in the arms,

Trembling of the arms, worse towards evening, principally in the hands and forearms, but extending to the upper arms when he is compelled to any strong exertion of the limbs,

Trembling, especially of the upper extremities,

Trembling in the upper extremities,

Quite severe tremor, confined to the upper limbs,

Very perceptible tremor of the upper limbs,

Decided tremor of both superior extremities; oscillations rapid and uniform,

The tremor diminished after a few Sulphur sulphur baths; a paralysis of the extensors of both arms then set in,

Tremor of the right arm,

The superior extremities are affected with a decided tremor, not very perceptible when they are at rest, but plainly visible on holding them out in front,

Tremor of the arms, especially the right arm, during voluntary motion,

Well-marked tremor of both arms, preceded by weakness and numbness, which are especially felt towards evening,

Several attacks of colic. Three years ago, taken with weakness and numbness of the arms, worse towards evening, succeeded by a gradually increasing tremor confined to the arms; these were cured in six weeks,

Paralysis of the extensor muscles of the arm. When he pronates the hand, the wrist droops to a right angle with the forearm; he cannot straighten it; supination is performed naturally,

General paralysis of the upper extremities,

Flexor muscles slightly enfeebled,

Want of power of motory co-ordination quite marked in both upper limbs, the left especially; when his eyes are shut, he cannot touch any particular spot on his face without feeling for it; analgesia to pricking and pinching in both arms, especially the left,

Paresis of the upper limbs, especially of the right hand and forearm,

Complete paralysis of superior extremities,

Paralysis of the extensors of the upper extremities, especially of the forearms; flexor muscles unaffected; the paralysis of the fingers became so great that the patient was unable to write,

Paralysis of the upper extremities and atrophy,

Almost complete paralysis of upper extremities, and gradually increasing emaciation,

Paralysis in the extensor muscles of both upper extremities and one of the lower,

Upper extremities paralyzed as to muscular power (after three weeks),

Painful paralysis of the arms,

Inability, by any effort of will, to raise his arms, which hang down by his sides,

A few months ago, his arms and hands began to feel "fagged and powerless,"

Incomplete paralysis of the upper extremities; the extensors of the fingers, the supinators, extensors, abductors, and adductors of the thumbs seem to suffer especially, with incomplete paralysis of the feet, especially of the extensors of the leg, also the sensation of warmth not entirely lost,

Paralysis of the left arm. He was able to make flexion and extension but to a slight degree; but, what is singular, the grasp was as perfect and as strong as in health,

Both arms hung so powerlessly by his side, that the hands could not be raised more than a few inches from the body,

Diminished power of the extensor muscles, especially on the right side. This want of power does not seem to be confined as much as usual to the extensors, for the flexors of the arms and hands are also much enfeebled. It is evident that neither flexion nor extension can be fully accomplished, so that the angle included between the furthest limits to which these movements can be voluntarily carried is considerably lessened. The fingers can be extended farther by the application of outward force,

Almost complete paralysis of the extensors of the arms,

Loss of power in the right arm,

Paresis of the extensor muscles, especially of the left arm,

Paralysis of the arm began with loss of power in the extensor of the fourth finger, after which, trembling of the arm after exertion was frequently noticed,

The whole of that arm which used to be thrust into the furnaces was paralyzed, and not, as in most cases, only the hand and forearm,

The extensor muscles do not contract on the application of electricity; the inter. man-s contract., causing flexion of the first phalanges and extension of the second,

Paralysis of the extensors of both arms, especially the right. Both arms hang down, but there is no contraction of their flexor muscles,

Whatever efforts are made to move the whole upper extremity, contraction is only noticed in the fibres of the deltoid,

The motor power of the right upper limb is diminished; the muscles of the posterior region of the forearm are also somewhat wasted,

The flexors, as well as the extensors, are somewhat affected, since, when he clenches his hands, he exerts very much less strength with the right than with the left,

Arms hang straight down, and seem as if fastened to the sides; when raised and let go, they fall like inert bodies,

The arm is semiflexed at the elbow; it cannot be completely straightened; when this is attempted to be done, the limb immediately returns to its former position,

Both arms fixed in pronation; no approach to supination possible,

The left arm is laid against the chest; it cannot be raised by the action of the deltoid; its other movements are performed naturally,

The flexor muscles, although not paralyzed, are somewhat reduced in size, owing to the long continuance of the disease,

Upper limbs emaciated, but not paralyzed; he only complains of general muscular weakness,

Upper extremities exceedingly emaciated,

Arms emaciated, especially their lower part,

Entire upper extremity greatly emaciated,

Arms very much wasted,

The veins of the arms were only slightly filled, but on compressing the deep veins of the upper arm they became swollen, and exhibited numerous rather large olive-shaped dilatations,

Weakness of the right arm and hand; the middle and ring fingers are the weakest,

General feeling of weakness in the arms,

Weakness of the extensor muscles of the right upper extremities,

Has noticed, for some time back, a good deal of weakness in the upper limbs, especially in the evening,

Paralytic weakness of the arms,

Diminished tactile sensibility in the hands, forearms, and arms, especially the right,

Loss of tactile sensibility on the anterior surface of the left wrist, left forearm, and lower half of left upper arm (the lead bar, when going into the furnace, slid over these parts). Tactile sensibility only diminished in the remaining portions of the left upper limb and in the palm of the right hand by which Titanium Metallicum the metal was taken up,

Muscular strength considerably diminished in both arms; none in the left,

Some analgesia and slight anaesthesia in both arms, but chiefly in the right,

The extensor muscles of the upper limbs could not be made to contract by inductive currents of electricity; a constant current excited some fibres in the left arm to contraction,

Tickling and changes of temperature less felt in the left upper limb,

Numbness, formication, and weakness in the upper limbs, followed by all the symptoms of motor and sensory paralysis of those parts,

Sensibility to tickling lost in the whole right upper limb and in the left hand; is only diminished in the remainder of the left upper limb,

Sensibility to temperature slightly diminished in the right upper limbs,

Sensibility he holds his arms against the hottest parts of the stove, sometimes wants to have them sprinkled with cold water,

Insensibility to pricking of the whole right upper limb, also of the left hand, wrist, and forearm; diminished sensibility of the left arm, yet burning caused pain,

Sensibility to contact and pain is diminished in the whole right upper limb; he has to be pinched very hard to feel it; his skin may be pricked through without causing pain,

Diminution of regional sensibility and of the sense of muscular movement in the right upper limb,

Sensation of weight and powerlessness at the posterior surface of the middle portions of the arm and forearm,

All forced movements of the limb are painful,

The right arm is affected like the left, but in a less degree,

Cramps in the superior extremities only,

Lacerating pain in the upper limbs,

The pains in the upper limbs are more acute about the shoulders and at the bends of the elbows,

Neuralgic pains in the upper limbs,

Pains in the muscles and joints of the superior extremities only,

Pressure upon the joints of the upper extremities, especially on the elbows and fingers, sensitive,

Pain and formication in right arm,

Fine boring in the right arm, extending from the middle of the forearm to near the shoulder-joint, after breakfast (after three-quarters of an hour),

Transient tearing in the right arm,

Shoulder.

The shoulder is raised without difficulty,

Cannot lift the right shoulder at all,

Cannot raise the left shoulder,

Apparent difficulty in moving the shoulder-joint, and especially in raising the arm; the muscles are not wasted,

Both shoulders are depressed; the upper limbs hang straight down, and he cannot lift them,

The shoulder seemed depressed,

Sense of weight at the shoulder and finger tips,

There was a sense of weight in the shoulder, which was felt more in the elbow, and most of all in the wrist. The pains increased by the slightest exposure of the parts to cold; and there was a cold feeling all through the limb, especially on the dorsum of the hand, which was perceptible externally,

Feeling of weight in the shoulders, felt more in the elbows, and most of all in the hands,

Movement of the right shoulder painful,

Marked numbness in the shoulders,

Violent pains in the region of the shoulders,

Acute pain in the shoulders, especially in the left, and along the extensor surface of the forearm on moving the upper extremity; pressure on the deltoid muscle painful, especially in the left side; on stretching out the arm there was decided tremor,

The shoulders were affected with constant pain, especially the deltoid muscles, which also were slightly paralyzed,

Pain in shoulders and arms; the latter were much wasted and useless,

Pain in right shoulder and between the shoulders,

Pains in both shoulder-joints and in the flexor muscles of the upper arm, so violent that he was unable to raise the arm,

Aching pains in the shoulders, extending down to the elbows, and more especially felt over the deltoid muscles,

Sticking in the shoulders,

Sticking from without inward, in the right shoulder (after one hour and a half),

Sticking beneath the right shoulder, that extends outward at the shoulder (after two hours and three-quarters),

Some fine burning stitches on the right shoulder (first day),

A stitch in the right shoulder,

Arm.

Both deltoids were remarkably small and atrophied, and the wasting of these muscles was so apparent as to be a disfigurement. The sharp, lean, bony shoulders, incongruously associated with the fine, full, muscular development of all other parts of the frame,

He could not extended (laterally) or raise his upper arms, but the antero-posterior movement of both arms were comparatively unimpaired,

Remarkable immobility of the muscular fibres of the deltoid, while the surrounding fleshy parts are moving in different directions. All other movements of upper extremities are slow, feeble, and difficult, but not impossible,

Electrization of the anterior fasciculi of the deltoid muscle causes no marked contraction of its fibres,

Severe myosalgic pains, which seem to be most intense about the point where the radical nerve leaves the spiral groove of the humerus,

Muscular pains only once in a while in the right pectoralis,

Bruised pain in the deltoid muscle,

Dull very acute drawing in the bones of the upper arm, hand, and fingers (fourth day),

Tearing in the middle of the right upper arm (after a quarter of an hour),

Boring in the right upper arm, together with tearing in the right lower teeth, afterwards with sticking in the left scapula (after two hours and a half),

Tearing in the right upper arm beneath the shoulder (after two hours and three-quarters),

Tearing on the inner surface of the left upper arm, in the forenoon (second day),

Tearing in the lower portion of the left upper arm, in the morning (fourth day),

Acute drawing in the right humerus (eighth day),

Tearing on the posterior surface of the left upper arm, which, on rubbing it, went into the elbow,

Unable to raise his elbow to the level of his head, or indeed, to that of his shoulder,

Muscular twitches above the left elbow (after one hour and a quarter),

Some diminution of sensibility on the right upper arm,

Loss of sensibility in all the tissues on the external and anterior surface of the left deltoid region. Pricking with pins and needles, electro-puncture, friction in every direction, forced and violent contraction of the deltoid muscle, elicited no sign of sensation,

Feeling of weight in the elbows, and still more in the wrists,

A very annoying sensation of weight in the elbows, wrists, and fingers,

Joints of elbow, wrist, and fingers slightly flexed,

Twisting pains in the bends of the elbows, and the palmar surfaces of the forearms, worse by paroxysms; ameliorated by pressure,

Lancinating pains from the elbow to the finger-ends, without swelling, and without apparent paralysis of any muscle,

Pains confined to right elbow and wrist-joints, and to muscles of right arm,

Pains in the joints and muscles of the elbow, wrist, the fingers and their tendinous sheaths, knees, popliteal spaces, and insteps; spontaneous or excited by movement and pressure,

Sense of weight in elbows and wrists, and especially in the fingers; it is felt more in the left limb,

Forearm.

The forearms and hands, especially the left, tremble considerably,

Extensors of the forearm completely paralyzed,

Paralysis of the extensors of the forearm,

Complete paralysis and atrophy of the extensors of the forearm, etc.,

On applying Gaiffe's electrical machine, the extensor muscles were found to contract with difficulty, as also the deltoid and pectoralis major; the flexors also contracted with difficulty, as also the outer layer of the muscles of the forearm, and the posterior rhomboid, trapezius, and longissimus dorsi,

Complete debility of the forearm, affecting particularly the extensor muscles,

On waking suddenly, at 3 A.M., he found he had lost the use of his right forearm and hand; the palsy was not restricted to the extensors of the forearm, but also affected the flexors to a considerable extent,

Great loss of power over the extensors of both forearms, especially the right; the affected muscles were greatly withered; the paralysis gradually stealing upon him during attack of colic,

Loss of power in the right forearm and wrist. The extensor muscles are especially enfeebled, and he has wrist-drop on the right side. The left arm and wrist are also paralyzed, but less so than on the right side,

Dropping of supinators soon after his first lead colic,

Left forearm semiflexed upon the arm; it can be almost completely flexed at will, but its extension is impossible,

Pronation and supination of the forearm and hand are easily performed; in the latter position, the flexors of the wrist and fingers cease to act, so that the parts become extended by their own weight,

The forearm is capable of supination and pronation, abduction and adduction of the wrist and fingers are only possible by flexing them,

The forearm is kept pronated; supination is impossible,

When at rest, the forearm is strongly pronated, it cannot be supinated; it is semiflexed, and incapable of extension,

The superior portion of the outside of the forearm (edge of the radius) is no longer on the same plane with the inferior portion, which is twisted inwardly,

The arm and hand held edgewise, i. e., in a position midway between pronation and supination,

Both forearms fixed in pronation; with much effort they can be brought to a position half way between pronation and supination; the hand does not take part in this movement,

Electro-muscular contractility of the forearms greatly diminished,

Posterior surface of right forearm visibly atrophied; a bony projection is observed at the carpo-metacarpal region; the skin of these parts is dried up and flabby,

Muscles of the forearms and the thumbs are much wasted, the wasting being greater in the right arm and hand than in the left,

The inferior portion of the forearm in emaciated; the hypothenar eminences especially are diminished in size; upon the whole, the right arm is more affected than the left. Muscles of the right arm wasted, also those of the left, but in a less degree; also both deltoid muscles,

The muscles of the forearms, especially the extensor, were flabby, weak, and tremulous,

During the three years the muscles of the forearm became atrophied,

The posterior surface of the forearm in strikingly emaciated and flabby, while the anterior surface is more nearly of its natural size,

The forearms are extremely wasted; they retain their normal sensibility, but, at intervals, are affected by pretty strong cramps,

The posterior surface of the left forearm is as much atrophied as that of the right; the left thenar region has also fallen away; its muscles have apparently vanished,

The forearm, wrist, and hand on the right side were found to measure in every part of their circumference some four or five less than on the left,

Numerous pearl-like dilatations at the points of union of the veins of the forearms and hands, especially on compressing the venous trunks, and after working,

Veins of the upper arm very large and knotted, varicose at the points of union, but the veins on the extensor surface of the forearm were scarcely visible even after compressure of the venous trunk,

Arteries of the forearms extremely rigid and tortuous,

The cutaneous veins of both forearms could not be seen, though after long working, on compressing the venous trunks, the cephalic could be seen on the left side, and on the right side a few dilated spots at the points of union of veins,

During the worst paroxysms, the palmar surface of his forearm becomes hard and tense, and it is affected by cramps, which are renewed on movement,

Sensation of exhaustion in the forearms (fifth day),

Weakness of the forearm,

Some anaesthesia on the back of the forearm,

Analgesia and anaesthesia, especially of the forearms,

On the both forearms, 68 millimeters of separation between the points of the aesthesiometer,

Hypalgesia of the upper two-thirds of the palmar surface of the lest forearm; not so well marked in the rest of the limb,

Skin of the forearm partially insensible,

Almost complete anaesthesia of both forearms, especially of the extensor surface,

Slight anaesthesia of the forearms; less in the fingers; it is much more decided in the lower extremities,

Excruciating pains in the forearms, with paralysis of the extensors,

Pain, especially in the left forearm, elbow-joint, and arm,

Wrist.

The wrists and hands shake and tremble very easily under the influence of any emotion,

A small bony elevation, formed by the projecting heads of the second and third metacarpal bones on the back of the wrist,

Wrists much swollen, while extensors of hand are completely paralyzed; supinators intact,

Wrists entirely dropped, from complete paralysis, being perfectly helpless and unable to straighten either hand, unless by the aid of the opposite arm, and requiring all the care of an infant, in being fed, washed, etc., yet a comparatively good grip with his hands,

Marked wrist-drop, with wasting of forearms and hands. Has no power of extension of wrist-joint, and scarcely any power of separating the fingers,

Complete wrist-drop on the right side, incomplete on the left,

Wrist-drop of both hands, but the right hand more powerless than the left,

Wrist-drop, , , etc.

Subsultus tendinum,

Wrist permanently flexed at a right angle with the forearm; it could be further bent; its extension, abduction, and adduction were impossible; it is somewhat turned inwards, so that the lower extremity of the radius forms a marked projection on its outer side,

Right wrist remained flexed upon the forearm,

The right wrist is permanently flexed at an obtuse angle with the forearm. Instead of the hollow space which naturally exists at its ulnar border, there is a slight convexity; while conversely, the convexity at its radial border becomes a hollow space, so that the entire wrist and hand are twisted outwards,

The wrist is quite forcibly flexed upon the forearm, and can be bent still further by an effort of the will, but cannot be extended; abduction and adduction are equally impossible,

The left wrist is carried into abduction; its ulnar border has become convex. It can also be straightened into a line with the arm; in short, there is paralysis of the extensor carpi ulnaris,

Wrists strongly flexed upon forearms; the left much more so than the right; extension, abduction and adduction are impossible. Fingers flexed and extended at will. All other movements of forearms and hands freely performed,

Right wrist strongly flexed upon the forearm; its extension, abduction, and adduction are impossible,

Right wrist twisted inwards; its radial border describes a bold curve; it is incapable of abduction, and can only be carried a little further into adduction than when at rest. It can be extended, but cannot be burned back upon the forearm; on attempting this movement, the whole hand is thrown into adduction,

The wrist is considerably flexed; the fingers form almost a right angle with the metacarpal bones; when most flexed, their tips touch the thenar and hypothenar regions,

On clenching the fist, the flexion of the wrist is increased in proportion to that of the fingers,

Right wrist flexed at a right angle with the forearm, and can be further flexed at will, but incapable of the least extension. Pronation and supination of the forearm freely performed,

The left wrist cannot be extended,

The wrist is quite forcibly flexed upon the forearm, and can be bent still further by an effort of the will; but it cannot be extended,

The wrist and fingers are almost semiflexed, and can only be slightly extended,

Left wrist flexed at an obtuse angle with the forearm; it can be bent further at will; its extension, abduction, and adduction are impossible, or nearly so,

The wrist is slightly flexed on the forearm; it cannot be extended unless the hand is placed edgeways; it is with difficulty abducted or adducted at the same time that it is extended or flexed,

Complete paralysis of the right wrist; the right hand dropped powerless, and could only be raised by means of the left, and he could not grasp anything,

Paralysis of the extensor muscles of the wrist and partially of the fingers,

Palsy of wrist and fingers, with decided tremor on trying to move them,

Paralysis of the extensors of the right wrist and hand,

Extension of the left wrist and fingers is slowly and feebly performed,

When the left hand is closed, the wrist is easily extended, abducted, or adducted,

The right wrist is less easily extended than the left; the extensors of the right wrist are somewhat paralyzed,

The left wrist is flexed and extended with ease, when the hand is previously closed,

The wrist can still be straightened out upon the forearm, but in making this movement, it is brought into abduction, never into adduction; during extension, the strong action of the radial muscles is plainly visible, while hardly the slightest motion can be detected in the extensor carpi ulnaris,

Weakness of wrists and fingers (after the subsidence of the colic),

Sensation of heaviness in the wrists and fingers,

Sensation of weight in the extremities of the wrists and fingers,

Feeling of weight in the right wrist and fingers,

Frequent attacks of pains, extending from the wrists up the arms,

Pains in the articulations of the arm and hand, with convulsive movements,

Tearing on the lower surface of the right wrist, extending thence to the back of the hand and fingers, in the afternoon,

A peculiar sensation of numbness in the left wrist,

Hand.

(The parts chiefly exposed to contact with the paint were the right hand, wrist, and forearm; and these were also the parts most affected by paralysis),

Trembling of the hands, ,

Constant violent trembling in the right hand, almost disabling him from work; unaccompanied, for eight days, by weakness, distortion, or pain of the part,

His hands tremble violently when he tries to take his shovel,

Hand unsteady and trembling,

Began to notice that his hands trembled a little when he was fatigued; though his general strength seemed entirely unimpaired,

Had lead colic forty-seven years ago (his only attack), two or three months afterwards his hands began to tremble, and they have been trembling ever since, with some periods of remission and aggravation. He has observed that when anything goes wrong with him, the trembling becomes sensibly worse,

When the hands are stretched out, they are both seen to tremble, the right one rather more than the left. The right ring finger hangs down semiflexed, and cannot be completely extended. The paralysis of the extensors affects especially the last phalanx. On the left hand, only the ring finger is paralyzed. The grasp of the hands, especially of the right hand, is very weak. The lower limbs are somewhat weak, but do not tremble. Cramps in the last three fingers of the right hand, and in the calves,

He began to feel first tremor and weakness in the hands; the tremulousness increased; it was confined to the hands and wrists; his hands grew gradually worse for about six weeks, and then he had the "drop-wrist;" the ligaments were very lax,

Tremor of the hands,

Some lead tremor, especially in the right hand (with which she handled the type),

Tremor of the hands, especially the left,

Sudden tremor of the right hand, while at work; this slight agitation of the fingers was soon followed by paralysis (a week after being cured of colic). Four days later, tremor and paralysis of the left upper limb,

Slight tremor of the right hand,

Slight tremor of both hands,

Both hands drooped. Had the power of pronation but not of extension,

The back of the hand is convex

it exhibits two prominent projections formed by the heads of the second and third metacarpal bones,

on the right side of the wrist is a small elevation formed by the projection of the second and third metacarpal bones; on the left side a swelling, similarly formed, by the trapezium and trapezoid,

The backs of the hands were blue, clammy, and slightly infiltrated,

The back of the hand is curiously deformed; the metacarpal bones form a concavity, being much enlarged where they articulate with the phalanges; there is a small elevation on the wrist, formed by the projection of the second and third metacarpal bones,

It is impossible to close the hand entirely; in attempting to do so, the tips of the fingers fall upon the thenar and hypothenar regions; the last phalanges are very slightly flexed upon the second,

Hands flexed upon the forearms; when he tries to lift them he observes that the right hand is bent inward, and can scarcely be raised above the horizontal plane; the left hand, on the contrary, makes almost a right angle with the forearm, and is not bent inwards,

The palm of the hand does not lie on the bed, but looks the other way,

Wasting of the muscles of the hand, accompanied with great contraction of the flexor tendons and rigidity of the joints of the fingers. The hand has been stiff and useless ever since stopping the Goulard lotion,

Phlegmonous swelling of the back of the hand and forearm, followed by an abscess, after the opening of which the patient improved,

Shortly after the occurrence of the paralysis, a circumscribed swelling of the extensor tendons was observed, extending from the wrist to the middle or two-thirds of the metacarpus. The swelling was hard and nodose, but was formed without pain, although this was produced in a slight degree by pressure. The sheath of the tendon participated in the tumefaction, and on the back of the hand a series of three or four rounded and cylindrical digitations were observable, which caused a projection of the skin to the extent of two or three millimeters. In one of the patients, as the paralysis of the muscles gradually disappeared in the course of two months, so did this deformity of the tendons,

Four days after the use of the water had been stopped, she was suddenly seized with loss of power in her hands, one morning (she had awoke in the night with a feeling of numbness in them),

Incipient motor paralysis of the right hand; with special weakness of the index and middle fingers; their complete extension has been impossible for several years,

Paralysis of the extensor muscles of the hands,

Paralysis of the extensors of the hands and wrists,

Paralysis of hands and forearms, worse on the right side,

Complete paralysis of the extensor muscles of the right hand,

Lost the use of his hands three years ago, so that he could not grasp anything, nor button his clothing,

The hands were paralyzed to about the same extent as the feet. They hung down at right angles from the forearms, and could not be raised at the will of the patient. The wrist-joints looked flaccid and powerless like the ankles. When the forearms were placed in the supine position, and then pronated, the hands dropped down into their hanging position, as if they had been attached to the forearms, by hinges. The flexors seemed to be somewhat paralyzed, but not nearly so much as the extensors. There was no well-marked emaciation, except of the bundle of muscles composing the ball of the thumb. These were wasted almost entirely away, so that the shape of the metacarpal bone of the thumb could be distinctly traced through the integument,

Paralysis of the hands, especially of the right,

Paralysis of both hands,

Paralysis of the extensors of the right hand. He cannot stretch out the fingers horizontally; they are always semiflexed,

Hand flexed on forearm and on the phalanges,

Stiffness of the entire right hand; in the left hand, of the fingers only,

Left hand much enfeebled, but the right hand still more paralyzed, being unable to grasp an object. Lower limbs still quite strong,

Her hands and arms presented all the characteristic symptoms of lead palsy; the wrists were dropped, and the power of extending the fingers almost lost, while the muscles composing the thenal and hypothetical eminences were remarkably atrophied,

Some inability to extend the hand, or open the fingers, from want of power or control over the muscles of the wrist,

Weakness of the hands,

Right hand weaker than the left,

Weakness of the hands, especially the right,

The right hand is too weak to grasp anything; the left, on the contrary, is as strong as ever,

Great difficulty in closing the left hand entirely,

After his first attack of colic, he began to perceive a difficulty in extending his fingers and hand; drawings in the arms and legs,

His right hand is weak; he can extend it, but not completely. When extended as far as possible, the ring and little fingers are less extended than the other fingers, and form a curve whose concavity is directed towards the palm,

Loss of strength in the right hand; it is bent upon the forearm and cannot be straightened,

Weakness and trembling of the hands,

The hands, the left especially, have a weak grasp of anything,

Muscular weakness and paresis of the extensor muscles of the hand, especially the right. The right hand does not grasp as strongly as the left,

The extensor muscles of the right hand no longer contract under the influence of electricity; those of the left hand react readily,

Grasp of right hand evidently weaker than that of the left,

Either hand exerts a force of 18 by the dynamometer,

Compressive force of the right hand, as estimated by the dynamometer, 11 kilograms; of the left hand, 9 1/2 kilograms; pulling strength, 50 kilograms,

Entire loss of electro-contractility in the extensors of either hand,

Evident muscular weakness of the parts; compressive force of the right hand equal to 10 kilograms; that of the left hand to 9 1/2 kilograms; pulling strength much reduced; only equal to 14 kilograms,

The muscular sense of the right hand is weakened,

Skin of left palm entirely insensible to pinching or any other stimulus; superficial pricking was unfelt; a pin caused pain only when thrust into the subcutaneous tissues. Strong pressure upon all this region; a forced extension of the fingers was painful. The backs of the hands and sides of the fingers retain their sensibility,

Loss of sensitiveness to tickling in the right palm; less sensitiveness in the right sole than in the left,

On applying to the skin the lighted end of a match, a certain space is found to be insensible to the heat. This space includes the right hand and wrist, extending as far as the lower half of the dorsal surface of the forearm, but only 3 or 4 centimeters above the wrist, on its palmar aspect, so that it is shaped like a wrist-bandage, which is cut away slopingly from its posterior or dorsal portion. The transition from the total insensibility of this space to the normal sensitiveness of surrounding parts is gradual,

Right hand, especially the fingers, insensible to pricking and burning. The latter only causes a sensation of warmth,

Anaesthesia of the hands, wrists, and forearms; only partial insensibility of the lower half of the arms,

Diminished sensitiveness to tickling of the palm of the right hand,

Diminished sensibility to pain, tickling, and changes of temperature, in the right hand,

Sensibility to tickling is somewhat increased in the right hand,

Diminished sensibility to temperature of the right hand,

Diminished sensibility of the right hand, most marked on its dorsal surface,

Diminished tactile sensibility of the right hand,

Sensibility to tickling lost in the right hand; diminished in the left hand,

Diminished sensibility to tickling in the hands, especially the right hand,

Diminished sensibility to tickling and temperature on the palm of the right hand,

Diminution of sensibility and of sensitiveness, to pricking and burning, of the right hand, right wrist, and lower third of the back of the right forearm,

The right hand is less sensible to changes of temperature than the left; this is still more the case, corresponding, by with the feet,

Slight diminution of tactile sensibility, and of sensibility to pain, in the right hand and lower part of the right forearm,

Slight degree of anaesthesia in the right hand and forearm; rather diminished sensitiveness when burnt on the right limb,

Slight anaesthesia, especially of the right hand; on applying the aesthesiometer to the middle part of the anterior surface of the forearms, a difference of 8 mm. was observed in the distance at which the separated points, could be felt,

Of the right hand, only the palm is deprived sensibility,

Numbness in hands and arms,

Cramps only of the right hand,

Jerking in the back of the left hand (after two hours and a half),

Pains in the left hand, with loss of power, on moving it,

Sudden pain in hands and arms, followed by inability to use the hands,

Fine sticking, extending inward, in the back of the right hand (after two hours and a half),

Tearing in the right hand at the point where the pulse is felt (after two hours),

Fingers.

Spasmodic flexion of the last phalanx of the thumb and in the third finger,

The finger-nails become bluish-gray,

Slight spasms of the fingers; these attacks were frequently repeated in the course of the next three days; then paralysis set in,

Paralysis and atrophy of the extensor digitorum communis indicator, extensores digiti quinti et pollicis extensores carpi (except the left extensor carpi ulnaris), abductor pollicis longus and brevis, interosseous muscle, deltoid muscles, biceps, brachiales interni, and the supinators,

Atrophy of the balls of the thumbs,

About three months ago, he lost the power of the middle and ring fingers of the right hand; and after the last attack the index and little fingers of the same hand became similarly affected,

Paralysis of the flexors, and especially of the extensors of the fingers, chiefly on the right side; he cannot grasp anything. Weak contraction of these muscles under the stimulus of electricity,

Shortly after the admittance of the painter, in case twenty-nine, we were consulted by a young man who stated that, a few days before, the last two fingers only of his right hand had become benumbed and paralyzed. What astonished him was, that his health otherwise was good,

Paralysis of the extensor muscles of the right fingers. Hand semiflexed upon the forearm. Fingers bent into the hand,

Unable to extend the fingers of either hand,

If his fist is clenched and he wishes to unclench it, he has merely to stop trying to contract the flexor muscles, when the fingers at once return to their state of semiflexion, the extensors taking no part in the movement,

The two middle fingers of the right hand are less flexed than those of the left, but their extension and separation are equally impossible. The index and ring fingers, on the contrary, are held above the middle fingers, and are capable of complete extension and separation, but cannot long maintain these positions, being drawn into slight flexion by the weight of the paralyzed fingers, and by the permanent contraction of the flexors communi digitorum. On trying to squeeze a small object, the two middle fingers grasp it less firmly than the index and ring fingers. The thumb is moved naturally in all directions,

The thumb is firmly flexed and turned inwards; it can be further adducted, but cannot be abducted, extended, or brought into opposition. All other movements are easy,

The left fingers, excepting the thumb and index, are firmly flexed, almost at a right angle. Their complete extension is impossible. When the last phalanges are flexed as much as possible, the tip of the index finger falls upon the metacarpus, while the other fingers cannot be carried beyond the thenar and hypothenar regions. All the movements of the left thumb are performed naturally,

The left thumb is crooked, flexed at a right angle; the second phalanx is less bent than the first. Plumbum Metallicum's movements of extension, abduction, and opposition are abolished; adduction, however, can still be performed,

Fingers of right hand considerably flexed upon the metacarpus; they are capable of very slight extension, especially the forefinger; on shutting the hand, the finger-ends fall somewhat below the thenar and hypothenar regions. They cannot be far separated, except in the line of flexion,

The two left middle fingers are semiflexed upon the metacarpus and cannot be extended; on closing the hand, their tips fall on the middle portion of the thenar and hypothenar regions,

The left index and ring fingers are bent back; slightly flexed; only partially extensible; held above the middle fingers, so that, when the hand is shut, their tips fall below the thenar and hypothenar regions, but do not reach to the lower extremity of the metacarpal region,

Fingers of left hand kept flexed at an obtuse angle with the metacarpus; their phalanges being similarly bent upon one another, and their extension, abduction, and adduction very imperfectly performed,

The fingers are flexed at almost a right angle with the metacarpus; the two middle fingers appear somewhat more bent than the others, and can scarcely be at all extended by any effort of the will; they can be very slightly separated, but only in the line of their flexion,

The fingers and phalanges are more than half flexed; on attempting to close the hand, the finger-ends touch the thenar and hypothenar regions; the fingers can neither be separated nor approximated, except in the line of their flexion. The thumb and little finger cannot be brought into opposition,

The fingers are semiflexed on the metacarpus; they are capable of partial extension, adduction, abduction, and opposition; the hand cannot be firmly closed, as the finger-ends can only be brought to touch the lower portion of the thenar and hypothenar regions,

The thumb is kept turned inwards; it cannot be opposed to the other fingers, or abducted,

The fingers, when flexed, can only be slightly separated,

Middle and ring fingers of right hand became flexed so gradually, that he was hardly aware of it. During treatment for the colic, which supervened, the thumb and remaining fingers became bent in like manner,

The fingers, as well as the two phalanges, are more than semiflexed; when he tries to clench the fist, the finger-ends are brought down on the thenar and hypothenar regions,

Fingers of one hand were curled up into the palm,

Fingers, especially those of the right hand, semiflexed into the palms,

Fingers flexed upon one another without muscular contraction,

From the beginning, he has observed that any attempt to stretch out the fingers results as follows the middle and ring fingers are flexed, the thumb and little finger are extended,

Both middle fingers are firmly flexed at an obtuse angle; and are incapable of the least extension; they can only be a little separated when in the act of flexion,

Fingers difficult to move,

Complete extension cannot be accomplished by the right fingers, nor by the left middle and ring fingers,

The thumb and little finger cannot be placed in opposition,

When the hand hangs down, the fingers can hardly be separated in the least,

The thumb cannot be completely abducted; the abductor pollicis longus remains entirely motionless,

Opposition or abduction of the thumb is almost wholly impossible,

The fingers cannot be separated except by flexing them a little,

When the thumb is fully adducted, it is incapable of opposition or abduction,

When the hands are kept forcibly extended, the fingers being flexed, he is unable to extend the latter, with the exception of the left little finger, and in a slight degree the right index,

When the hand is shut, the tips of the index and little fingers reach to the lower portion of the metacarpus, while those of the middle fingers do not fall beyond the thenar and hypothenar regions,

The left middle fingers are less easily separated and approximated than are the forefinger and little finger,

The left thumb and little finger are easily brought into opposition; the left forefinger cannot be abducted,

The thumb moves freely in every direction, as also do the wrist and forearm,

The left index, middle, and ring fingers are easily and completely extended separated, and flexed; on shutting the hand, their tips touch the lower part of the metacarpal region. The left little finger, however, is firmly flexed on the metacarpus, and cannot be extended separated, adducted, or brought into opposition,

Abduction of the right thumb is easy, adduction is impossible,

The extensors of the fingers are very much enfeebled on both sides, but more on the right. The left hand grasps very well, but the right can scarcely keep hold of anything,

The contracted fingers when forcibly extended, the extension causing pain up the whole arm to the shoulder, were almost immediately again completely flexed,

The index and little fingers are capable of complete extension, but cannot maintain it for any length of time, being drawn into flexion by the weight of the middle fingers, which are held immovably beneath them, and by the action of the flexores communi digitorum. Their power of abduction and adduction is unimpaired,

Sudden weakness of the fourth and fifth fingers of the right hand,

The feeling of weight in the left fingers is less decided than in the right,

Sensation of weight in the finger-tips,

Weakness of the right ring finger; the left hand being almost unaffected,

Loss of muscular sense in the right fingers,

Diminution of sense of contact. Cannot distinguish a fine fabric from a coarse one by the touch merely,

The sense of touch, judging from the perception of polished surfaces, is somewhat enfeebled,

Sense of touch is weaker in right fingers,

Slight dextral analgesia, especially of the finger-tips,

Formication and numbness in the right finger-tips,

Peculiar sensation of numbness and fuzziness in the tip of the left fourth finger,

Numbness of fingers,

Numbness of the fingers and the muscles of the back of the arm with wrist-drop. He could not pick up a pin, although sensation, which was tested by two points, but not by galvanism, was unaltered,

Falling asleep of the right thumb (after seven hours),

Sensation of tension in the left thumb, painless, for five minutes,

The fingers feel as if much swollen, and heavy,

Cramps in the fingers whenever he tries to grasp anything; but without pain,

Occasional cramps in the fingers,

Pain in the fingers,

Tearing on the side of the left index finger, between the second and third joints, in the afternoon,

Tearing in the left thumb (after two hours and a half),

Tearing in the right ring and middle fingers, towards the tips, disappearing after rubbing, but returning violently (after one hour),

Transient jerking in the left thumb (after seven hours),

Lower extremities

OEdema of the lower extremities,

Complete paralysis of the lower extremities; they seem numb and dead,

Complete paralysis of the right lower extremity,

In the lower extremities paralysis of the peroneal muscles and extensors of the toes,

Paralysis in the lower extremity of the peroneal muscles and in the extensors of the toes,

The right leg is somewhat flexed upon the abdomen,

The left lower extremity is paralyzed as the right, except that the foot is twisted inwards by the permanent contraction of its "adducteurs fl├Ęchisseurs" upon the leg; the latter muscles acting naturally, while their antagonists, the abductors, are paralyzed. Complete atrophy of the tibial region,

Sudden difficulty in going upstairs; without previous pain,

Loss of power in the lower extremities, while walking (first day),

At present there is no trembling of the inferior extremities,

Standing, and much more walking, are impossible. When he tries to stand, the thigh is flexed upon the leg, and the leg upon the foot, so that he falls down; the sole of the foot forms a deep hollow,

Gait unsteady,

Gait is weak and tottering from laxity of the knee and ankle-joints,

Gait became tottering and unsteady,

The mother perceived that the gait of the youngest, was awkward, that he frequently tumbled down in crossing the floor, that he staggered and complained that it hurt him to walk, and that his feet pained him, especially the bottoms of them. Soon the other children complained in a similar manner,

Lower extremities either cramped or partially paralyzed,

The lower limbs are the seat of an intense reflex excitability, aroused by pressure on the painful parts; it is especially severe in the left,

He cannot walk without the aid of a cane, and drags the foot along as stiff as a poker, being unable to plant the entire sole upon the ground,

Walking is difficult; he drags his right leg,

Walks with difficulty; is not very steady on his legs, but feels the ground well,

When he attempted to walk he faltered in both legs, which seemed to converge at the knees,

I started to run a short distance, and fell forward flat; my legs seemed not to obey the will; two or three times, while standing or walking on the smooth floor, my knees suddenly bent, and I fell; I fell repeatedly while dressing,

Movement of the right lower extremity became difficult,

Long standing is impossible; walking is painful and staggering; he drags his feet so that they stumble over the slightest obstacle, and he can hardly go up or down stairs,

Walking is difficult and staggering; he drags his feet along so that the least obstacle causes stumbling,

Very evident want of motory co-ordination in the movements of both legs. When he tries to move them, the muscular effort is not exactly adapted to the desired end; walking is very difficult; he strikes the ground with his heel, when he put his legs out; in walking with his eyes shut he staggers, and would fall if unsupported,

The lower limbs oscillate, but not sufficiently to impede the gait,

Scarcely able to walk for twelve months,

Walking was difficult, a few steps caused fatigue,

Considerable muscular weakness of lower limbs; standing is difficult, and he cannot walk far,

Long standing is impossible,

Weakness of the lower extremities, increasing so that the patient was unable to walk or stand,

Weakness of the lower limbs,

Weakness and stiffness of lower extremities,

Weakness of the lower extremities, in the afternoon,

So great weakness of the lower extremities that she could scarcely keep upright,

Painful prostration of the lower extremities,

Great weakness of the lower extremities,

Numbness and stiffness of the lower extremities,

Numbness and stiffness of lower limbs, so that frequently he was not aware when they touched the ground,

Anaesthesia of the whole right lower limb and corresponding arm, also of the whole right chest, right abdomen, right loins, and right back, as in hemiplegia; it is bounded exactly by the median line, before and behind,

The sensibility of the lower extremities is unimpaired,

Anaesthesia of the lower extremities,

Both lower limbs equally sensible to touch,

The lower limbs, especially the calves, are affected with strong cramps,

Cramp in the whole of the lower extremities,

Cramps in the lower extremities,

Frequent cramps in the lower extremities,

Frequent short-lasting cramps in the lower limbs,

Cannot bear his weight on the affected limb; can scarcely walk from one bed to another with the aid of a crutch or cane,

Violent pains in the lower extremities, chiefly in the anterior portion of the thighs and in the calves, so that he could with difficulty rise up in bed,

Violent pains in the lower extremities, especially in the knees and thighs, with at times cramps in the calves,

Most violent pains, extending from the hips to the knees, as though pierced with needles,

From time to time very sharp neuralgic pains, always seated in the lower limbs, though not limited to the joints, nor to any particular spot,

Great pain in the lower extremities,

The pain in the lower extremities was also very severe, commencing in the soles of the feet, which were so sore that he dreaded to touch the floor with them, and shooting up the limbs to the lumbar region with dreadful suffering,

Rather severe pain in the lower limbs, especially about the calves and soles of the feet,

The pains are more acute in the lower limbs than in the upper,

Extremely acute and paroxysmal pains, as well as cramps, in the lower limbs,

The pains in the lower limbs are worse by paroxysms; they are diminished by gentle pressure, but increased by movement,

The lower limbs only, and especially the knees and thighs, are affected by severe paroxysmal pains,

Intermittent contusive pains, confined to the lower extremities, and especially felt on the soles of the feet, and around the knees,

Remittent pains in the lower extremities, especially in the soles and about the knees, with cramps in the calves,

Lacerating pains, without redness or swelling, all over the lower limbs, but worse in the popliteal spaces, calves, and soles, than in the thighs or in the other portions of the legs and feet,

Pains in lower extremities, especially the soles of the feet,

Pains always confined exclusively to the lower extremities, consisting of rheumatic pains in the knees and feet, and in the muscular portions of the thighs and calves; these muscular pains were excited by any movement, and were accompanied by cramps,

Pains, spontaneous and aggravated by movement and pressure, in the lower limbs, which are red and inflamed,

Pain on pressure, in the lower extremities; apparently rheumatic, though there were no rheumatic antecedents,

Pains in lower limbs, with a sense of weakness, stiffness, and numbness,

Pains encircling the lower limbs,

Bruised pains, with at times, cramps, becoming worse by paroxysms, in the lower extremities, especially the knees and soles of the feet,

Tearing pains in the lower extremities,

Shooting pains, extending from the soles to the hips, when walking or standing,

Lightning-like pains in the lower limbs,

Sensation of paralysis in the lower extremities,

Hip.

(After a period of general fatigue, he felt, eight days previous to entering the hospital, some pain in the hip-joints, aggravated by walking. This extended to the malleoli, and obliged him to stop work for half a day. In the course of the following three or four days, he had two attacks of dizziness. Finally, there was oedema, with pain on pressure and during movement, which subsequently were in great part transferred to the knees),

Sticking in the region of the right hip, afterwards in the right hypochondrium, relieved by walking, in the afternoon,

Sticking in the right hip, the whole afternoon, always on moving the right arm towards the left,

Acute drawing in the right hip-joint, while lying (first day),

Thigh.

Both thighs slightly flexed upon the pelvis, in consequence of the semiflexion of the leg upon the thigh, caused by paralysis of the triceps and anterior crural, and the resulting permanent, contraction of their antagonizing muscles,

The anterior portion of the thigh is wasted away so as to form a striking contrast with the remainder of the limb,

Glutei muscles and the large extensor on the front of the thigh were greatly wasted; while the biceps and flexors, from the trochanter of the ilium to the tibia, were unusually strong and active, indeed in a constant state of contraction,

Spasmodic shaking in the right thigh above the knee (after six hours),

Feeling of weariness in the extensor and adductor muscles of the thigh,

After an hour's drive in a gig, a cramped feeling in the thighs, so uncomfortable that I seldom drove in any vehicle in which I could not stretch the limbs straight,

Numbness over left thigh and buttock, with a diminished sensibility,

Bruised pain in the thighs,

A paralytic pain or a painful paralytic sensation in the thigh, knee, and ankle-joints on ascending steps (first day),

Spontaneous pains in the thighs, knees, and tips of the toes,

Severe pain in the thighs and knees,

Lancinating pains and very frequent cramps in the thighs, knees, calves, and soles of the feet,

Lancinations in the posterior and inner portion of the thighs,

Lacerating pain, without redness or swelling, in the forepart of the thighs and knees; becoming worse at intervals; decidedly increased by movement, and scarcely alleviated by pressure,

Lacerating pains in the forepart of the thighs, and in the popliteal spaces,

Pains in the thighs,

Pain along the course of the right sciatic nerve,

Pains in the adductors of both thighs and in the extensor muscles of the left thigh; these regions were painful to pressure,

Pain in a small spot in the middle of the left thigh, a hand's breadth below the groin, as if a tendon would snap, always at the commencement of a step, while walking,

Burning pain, usually in not large spots, mostly in one or the other thigh, or in both at the same time,

Prickings in the anterior portion of the thigh,

Pricking pains in the forepart of the thighs, in the popliteal spaces, and in the tibial and peroneal surfaces of the legs, increased by movement, and diminished by pressure; they alternate with occasional cramps in the thighs,

Tearing in the middle of the inner surface of the left thigh (after three-quarters of an hour),

Jerking sticking in the inner and upper portion of the left thigh, in the afternoon,

Jerking a few times in the left thigh, to relieved by rubbing (after three days),

Stitches in the right thigh, then also in the left, when walking (third day),

Knee.

Inability to extend the knee,

Stiffness of the knees,

Knees and legs, at times, extremely feeble,

Knees became weak and stiff, making locomotion painful,

When fatigued, he feels particularly tired in the knees,

When he is fatigued, there is an especial sense of weariness in the knees,

Weariness of the knees, on ascending steps (first day),

Feeling of weight in the knee, when walking,

Two painful zones in the left leg, viz., at the ankle and knee-joints; anaesthesia of both legs, especially the left, to touch, temperature, and pain,

Peculiar "aching" in the bend of the knee, which was apparently seated in the bone,

During the paroxysms, the popliteal spaces and calves, as also the backs and soles of the feet, are seized by very painful cramps, temporarily relieved by pressure and walking; the muscles of the affected parts are very hard; the legs and feet are flexed. When the cramps cease, they are succeeded by a sensation of tearing,

Dull pain, deep internally, in the right knee, in the morning, on ascending steps,

Bruised pain in knees and thighs,

Bruised pain in the knees, popliteal spaces, and soles of the feet,

Firmly seated pain in the knee, under the soles, and between the lower extremities, even in the feet, making walking difficult, lasting two days (twenty-first day),

Lancinations, at intervals, in the knees, calves, and soles of the feet, ameliorated by the warmth of the bed and by pressure; between the paroxysms, there is merely a feeling of constriction,

Lancinating pains from the knee to the soles of the feet; in the latter parts there is felt, five or six times a day, a kind of heat, lasting ten minutes, and neither increased nor diminished by motion or pressure,

Lacerating pains in the knees, calves, soles of the feet, and palmar surface of the forearms; increased by movement, diminished by pressure, worse by paroxysms, during which there are often cramps,

Violent lacerating pains in the knees and soles of the feet, increased by movement and the warmth of the bed; ameliorated by light friction, but aggravated by firm pressure. The pains become more acute at intervals, and are then accompanied by cramps in the feet,

Lacerating pains in the popliteal space, calf, and sole of the foot, worse by paroxysms, during which there are cramps; the pains are increased by motion, and diminished by pressure,

Pain in the knees,

Pains in the left knee, with a good deal of effusion,

Pain in the right knee and left hip,

Lame, weak, painful limbs, particularly in knees,

Pains in the knees and ankles,

Pains in the knees and feet,

Pains in the knees, especially in the inner portions,

Violent tearing-jerking pains in the knees, so that walking became impossible,

Tearing above the left knee, while standing, disappearing on rubbing; then a sticking in the right hypochondriac region, after sitting, in the afternoon,

Violent sticking in the right knee, while standing, disappearing while moving it back and forth, in the evening,

Sticking through and through the right knee (after two hours),

Some fine burning stitches in the inner side of the left knee, while sitting (first day),

Leg.

Shaking, like a trembling of the legs (after two hours and a half),

Legs tremble, but he moves them in every direction; he walks with difficulty,

Spasmodic contraction of the legs,

The right leg, when left to itself, either in sitting or when standing up, is semiflexed upon the thigh, and can be flexed further, but not to the full extent; in lying down, it is extended, by a mere mechanical movement; it cannot be spontaneously extended in the least,

Left leg almost semiflexed upon the thigh, and can only be very slightly extended; its complete flexion is rather difficult; all other movements of the lower limb are freely performed,

Inability to stand upon the leg, extend it, or flex the thigh upon the abdomen, and the thigh was very much atrophied, being about one-half the size of the other. There was loss of motion in all the muscles supplied by the anterior crural nerve. In attempting to raise the leg, it turned outwards by the action of the biceps, and in crossing the leg over the other, the patient required to lift it with his hands,

The leg is semiflexed upon the thigh; it can only be extended a little with great difficulty,

Great difficulty in extending the leg upon the thigh; it cannot be fully done,

It caused paralysis of right leg, and the right thigh always remained smaller than the other,

The tibialis anticus and peronaeus tertius are paralyzed,

Occasionally, much pain in upper part of one leg, and on examination distinct varicosis was found (none existing about the ankles); this swelling of the principal cutaneous vein at the back of the right leg had existed only a short time (two or three weeks); Hamamelis Virginica Hamamelis 3d reduced it in about three weeks,

Enlarged veins on the calves, with numerous varicose dilatations,

Legs swollen, especially about the ankles (for three or four days),

Symptoms of the legs are similar to those of the arms, except that the extensors of the feet are very little paralyzed,

Some weakness and flabbiness of the muscles of the legs,

The right leg is rather weaker than the left; it gets tired sooner,

The weakness of the right leg and thigh becomes apparent, on making a comparative examination of the lower limbs, while the patient lies on his back,

Her legs are weaker,

Great weakness in the legs, particularly in the knee-joints,

Legs weak; seldom affected by cramps,

Insensibility of the posterior portion of the right leg, from two inches below the knee to the ankle. The sticking of pins and acupuncture needles into these parts was unfelt. Neither pinches, blows, pressure, forced movements of the limb, nor any other stimuli, elicited a sign of feeling. Above and below these limits, as also in the tibial and peroneal regions, the sensibility of the limb was unimpaired. A slight sensation of numbness in the insensible parts,

Slight degree of hyperaesthesia in the muscles of the calf,

Cramps in calves, especially the right,

Violent cramps in the calves, so that he cried aloud,

At times, extremely painful cramps in the calves, which prevent extension of the leg upon the thigh; to get rid of them he jumps out of bed, and presses his feet hard on the floor. These pains are worse at night,

Much cramp in legs,

Cramps in the muscles of the calf and thigh,

Cramp in the calves and toes,

Cramps in the legs, at times intense,

Cramps in the calves, , , etc.

Cramps in right calf,

Falling asleep of the left leg, from the knee to the foot (after a quarter of an hour),

Painful sprained sensation on the outer side of the right ankle, on stepping upon it, in the morning, after rising, and continuing through the morning (fifth day),

Muscles of the calves painful,

Bruised pain in the legs, after rising, in the morning, disappearing after walking about (after two days),

Very severe pains in the lower parts of the legs, the calves, and popliteal spaces,

Sharp pains in the calves, before the colic,

Pain in leg; frequently woke in the night in most intense agony; a sudden jump, with hard rubbing, would very soon cause relief,

Pains in the left leg,

Pains in the legs, especially at night,

Pains in the right calf,

Transient pain in the tibia, when walking (first day),

Intolerable lancinations in the legs, arms, and fingers,

Tearing in the left leg, towards the instep; on rubbing, it extends into the hollow of the knee; afterwards, again sticking in the former place, that disappeared after rubbing, in the afternoon,

Jerking in the right tibia (after two hours and three-quarters),

Sticking in both calves, disappearing of itself (third evening),

Violent throbbing, in a small spot, on the outer side of the right calf, while lying down (first day),

Ankle.

OEdema about the ankles,

Her ankles were oedematous, and the legs covered, posteriorly, by many livid spots and superficial ulcerations,

Swollen ankles; they had been in that state for three or four weeks; the anasarca extended about half way up the leg; quite reduced in two months by Arsenicum Album Arsenicum,

Bony projection on the ankle,

Swelling and pain in the left ankle-joint,

Pains in the left ankle, extending up to the knee,

Pain in malleoli,

Foot.

Feet swollen,

Feet and legs considerably swollen,

OEdematous swelling of the feet,

(Edema of the feet,)

Gout in left foot,

She passed most of her time sitting up in bed, and while in this position her feet dropped over, and inclined inward, so as nearly to rest on their inner border, apparently from paralysis of the extensors, which should have supported them in an upright position. The toes also remained mod safely flexed, and she could not extend them. There was much apparent laxity of the ankle-joint, and the patient was incapable of moving the feet, or supporting the weight of her body upon them. When she was lifted up in the arms of an assistant, she cried out, and drew her feet under her body, for fear she would be made to attempt standing on them. The feet also appeared to be tender, as she cried whenever they were freely handled,

The right foot is firmly extended upon the leg; it cannot be flexed nor carried at the same time into abduction or adduction; the foot points downwards, while the heel is drawn high up,

The foot is kept extended and motionless; it cannot be flexed in the least, and its abduction and adduction are equally impossible,

The foot is extended upon the leg, and cannot be flexed nor brought into adduction or abduction, at the same time that it is attempted to flex it; all other movements of the lower limbs are unrestricted,

The left foot is pointed downwards; the toes are firmly flexed; the instep is on the stretch, so that the heel is lifted high up,

The foot points downwards; its plantar surface is hollow, so that he can hardly stand, much less walk,

The dorsum of the foot is arched, and the sole much hollowed,

Shortening of the foot by several lines, with paralysis and atrophy,

General difficulty in putting the foot to the ground; the soles seem dead, as if made of wood, and when stepping it seems as though there were several round sausages under them, that prevented a free gait (fourth day),

In walking, the feet are lifted like dead weights, and when extended strike hard upon the ground, by pressure against which their flexion is effected. He seems to move by skips and jumps,

Lateral movements of the foot are impossible,

Weakness of the feet,

Heaviness and weariness of the soles of the feet, especially noticed while sitting,

Heaviness of the feet, especially of the knees,

Diminished sensibility to painful impressions on the back of the right foot,

Numbness of the feet,

Feet constantly inclined to fall asleep,

Sensation of softness in the sole of the foot when touching the ground,

Cramplike contraction in the muscles of the sole of the left foot, during rest, relieved by raising the foot and by motion; lasting several days,

Cramps in the feet,

Cramps and lancinations in the soles of the feet, before the colic,

Cramps in the feet, at times,

Soreness and tenderness of the soles of the feet, when first getting out of bed in the morning, so much so as to be unable to walk without first rubbing them. The soreness disappeared in the course of the day, after taking exercise and getting warm,

Dull, aching, heavy pains in her feet, which gradually extended to her legs and bowels,

Pains in feet, after a mustard footbath which removed the headache,

Pains in the soles of the feet,

Excruciating-tearing pain in the soles of the feet,

Tearing, extending upward, in the right heel (after two hours and a half),

Quite painful pricking and formication in the soles of the feet,

Very painful pricking in the sole of the foot,

Toes.

The toes are very strongly flexed upon the sole of the foot; they can only be very slightly separated in the way of flexion; their extension is impossible,

The toes are excessively bent upon, the soles of the feet, and can neither be separated nor approximated,

The right great toe is strongly flexed upon the sole of the foot; it is incapable of extension, or of being brought into a line with the other toes,

Right great toe flexed upon the sole of the foot,

Swelling, now of one, now of another toe joint, with the most violent pains and sleeplessness; these attacks were repeated and finally extended to the ankle-joints, heels, etc., and lasted for several months,

In another patient, there arose, at the same time as the tendinous tumefaction, an articular swelling of the great toe, with redness, heat, and severe pain, giving it very much the appearance of an attack of gout,

Both great toe-joints are enlarged by tophaceous deposits,

Swelling of the great toe, with pain and redness,

Has had four attacks of gout; the metatarso-phalangeal joint of the left great toe was first attacked; this attack lasted for three weeks or a month; subsequently, the corresponding joint of the right great toe was attacked; some months later the left knee, and then the right knee, were similarly affected,

Cannot extend the toes, or flex the foot upon the legs,

Sensation of falling asleep, and crawling in the toes, of the left foot, extending into the instep (after two hours),

Drawing in the left great toe, by the nail; on walking, the sensation extended into the ball of the foot, disappearing on continuing to walk,

Painful drawing inward of the two larger toes of the right foot, followed by drawing in the hollow of the right knee, afterwards also in the hollow of the left knee, where there was a sticking, while standing and sitting; afterwards the toes seem numb; gradually disappearing while sitting, in the afternoon,

Intense pain in great toe, at night, which nothing relieves,

Tearing in the two first toes of the left foot, disappearing on moving about (after three-quarters of an hour),

Crawling in the right great toe (after two hours and three-quarters),

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