Part 20

Second day.—Sexual dream. Dull colic in the hypogastric region, at night.

Third day.—150. Dream about witchcraft. Difficult digestion accompanied by twisting in the stomach, after breakfast and dinner. Hard and knotty stool; after stool, renewed urging, with smarting at the anus. Falling of the rectum. Sense of contraction at the sphincter. 155. After stool, the rectum alternately descends and returns again. The falling of the rectum is accompanied by shuddering all over, for ten minutes.

Fifth day.—Palpitation of the heart, at 11 in the evening, while lying.

Sixth day.—Palpitation of the heart, at 7 in the morning. Colic at the stomach, after eating, at 6 in the evening.

Seventh day.—160. Tearing in the throat, at 8 in the morning. Tongue coated white.

Eighth day.—Restless sleep, she dreams that she is eating human flesh. The least thing puts her out of humor. Palpitation of the heart, at noon. 165. Palpitation of the heart, at 11 in the evening, at three different periods.

Ninth day.—Thick tongue, at 2 in the morning.

Eleventh day.—Restless sleep. Cold sweat at night, while lying.

Twelfth day.—Sense of spraining in the ileo-femoral articulation, causing a pain in the womb; while making a trifling exertion. 170. Flatulence; sometimes is unable to expel them. Headache. Contraction of the sphincter ani. Lancinating pain at the forehead, until 9 in the evening. Twisting colic. 175. Stool always hard and difficult. Heat at the anus, after stool. Weeping of the right eye, for some minutes. Frequent urging to stool. Shuddering all over, every moment, at 9 in the evening. 180. Eructations in the evening. Flatulence in the evening. Quarrelsome mood.

Thirteenth day.—No sleep. Heat all over, with sweat. 185. Agitated pulse. She dreams that she is floating in a river and cannot get out. Flushes of heat in the face, now and then, especially while eating. These flushes are followed by chilliness. (Is unable to close her hand). 190. Irregular pulse, at times feeble, at others strong. Frontal headache with dulness, and disposition to incline forwards. Lazy. Weary all over, she has to lie down, at noon. Little appetite. 195. Pressure at the chest. Thirst. Shivering while drinking cold water, or washing her face with it. Headache ceasing for a while and then recommencing again. Lancinations with sensation as if the brain would fly to pieces, in going up-stairs. 200. Vivid redness on the right malar eminence. Small red pimples on the cheeks. Shuddering now and then. Congestion of the sclerotica. Red face at three in the evening. 205. Flush of heat all over, at half past 3. Sensation, while stooping as if the brain would bound in the skull. Heat at the vertex, which spreads all over, at 4. Sensation in the left hypochondrium as if a spring were rolled out. Sense of fainting, she has to stand still. 210. Acute pain in the right pectoralis major when drawing breath. Borborygmi. Twisting of the bowels, at half past 10. Colic and shuddering. Dry cough in the evening. 215. Headache decreases in the evening. Flatulence. Red and hot face. The skin of the face peels slightly.

Fourteenth day.—Heat at night, disturbing the sleep. 220. Sense of weariness in the limbs, on waking. Dulness of the forehead. Tongue coated white. In the morning, taste of raw potatoes. Menstrual blood rose-colored, at 9 in the morning. 225. Borborygmi, in the morning. At the least movement she feels as if a hollow body were turning rapidly round in the chest, with a rattling noise; she then fancies she will faint, at 8 in the morning. Frontal headache all day. Smarting and painful sensation at the fifth dorsal vertebra, when the clothes rub against the part. Little appetite. 230. Stiffness of the posterior cervical muscles. Dark redness and warmth of the cheeks. Heat all over in cold and damp weather. The menstrual flow is interrupted. Repeated sneezing, followed by a slight cough, every evening at 5, from the tenth day. 235. Smell of blood, as if nosebleed would take place, at 7 in the morning.

Fifteenth day.—Restless sleep. Last evening’s dinner does not sit well on her stomach, with acidity at night. Doughy mouth, in the morning. Weariness all over, when rising. 240. Drawing pain in the right lower limb, posteriorly, from the gluteus maximus to the heel. The menstrual flow is interrupted. When bending the knee, pulling pain in the posterior and internal muscles of the thigh. Hypochondria. Sadness. 245. Every thing is disagreeable to her, she would like to go far away. Small pimples on the lower part of the neck and on the right knee, they are very red at the base, with a white point in the centre; they disappear in an hour. Sense of weight in the nape of the neck, at half past 11. The head feels heavy, she can scarcely keep it erect. Pain as from weariness in the back and the posterior muscles of the thighs and arms. 250. Dulness of the head. Pain as if bruised, hindering her movements in bed. Very hot hands. Slight nosebleed, at 11 in the morning. She walks with difficulty, she fears, she will lose her muscular powers. 255. The pain is worse in the day-time and less in the evening. The menstrual flow is interrupted. The epidermis of the face peels off. Numerous small pimples on the face. Desire to stretch.

Sixteenth day.—260. No sleep; disturbed sleep. Oppression, owing to the dinner of last evening not sitting well on her stomach, she has to rise at 3 in the morning. Eructations followed by rumbling in the stomach, ceasing after drinking a glass of water with sugar. Tongue coated white, with a yellow line along the middle. (She would like to break every thing, on account of not being able to understand a certain phrase). 265. Doughy mouth, in the night. Alternate heat and shuddering, in the night. (Has the taste of potatoes in the mouth, all night, from last evening’s dinner). Beating in the left temple. Stiffness in the posterior cervical muscles. 270. The sacrum is painful when touched or during a walk. After eating, choking and difficulty of breathing, caused by dryness of the mouth. Very fine pimples and intolerable itching at the labia majora.

Seventeenth day.—Restless sleep. Is roused at 4 in the morning by a stomach-ache with eructations, for an hour. 275. Headache during a half-slumber. Heaviness at the vertex in the evening. Shuddering and burning, in the evening, in bed. Palpitation of the heart, while lying down. Ringing in the ears as if she would faint. 280. Acute stitch-like pain in the left side, preventing her from turning about in bed. The hair in the axilla sticks together.

Eighteenth day.—Heaviness at the vertex. Disturbed sleep. Pain at the stomach and redness of the face after breakfast.

Nineteenth day.—285. Feels well all over. Prickings at the right internal surface of the sternum.

Twentieth day.—Sore throat; she is unable to swallow her saliva, in the evening. Distressing pain in the lumbar region, she cannot keep herself erect.

Twenty-first day.—She feels as if a piece of flesh had grown out in her throat. 290. Lancinating pain in the left iliac region, less in the right. Good appetite. Is unable to walk erect. Complains a good deal about her pain in the loins.

Twenty-second day.—She is waked by a violent shrill cough which last five hours. 295. The pains in the loins are worse when stooping. Acute pain as if the sacrum were out of place. The pain in the loins causes her to cry out; she walks bent forward, at 11. The least movement causes her an acute pain in the sacro-lumbar articulation. Pain in the posterior part of the right thigh as if a penknife were thrust in. 300. Pain in the left gluteus muscle, accompanied by nausea. Sensation as if something would become detached from the sacrum. She can neither remain standing nor sitting. Pressure as from an iron bar at the sacro-lumbar articulation, obliging her to lie down when she feels better. Formication at the sacrum. 305. Cough as from obstruction of the pharynx.

Twenty-third day.—Restless sleep. Acute lancinating pain above the right breast, for two hours, in the morning. Pain as if sprained all along the vertebral column, and extending down the posterior muscles of the lower limbs to the heels. The face is dark red. 310. She walks inclined forwards. Heaviness in the stomach, her dinner does not sit well on her stomach, at 9 in the evening. Walking is hindered by the pain in the lumbar vertebræ. Desire for coffee.

Twenty-fourth day.—Her dinner hurts her all night. 315. Palpitation of the heart, in the night, three different times. Colic with loud emission of flatulence. Incoherent dreams. The pain in the loins is less. Twisting pain through the uterus, at nine in the evening.

Twenty-fifth day.—320. Itching wakes her at four in the morning. Dreams about a witch, actors changing to yellow and black. Sense of spraining in the right groin. Slight nosebleed, at six in the evening. Thick urine, with appearance of white mucus some time after standing.

Twenty-sixth day.—325. Dreams about fire, then a comedy. The urine continues to show white flocks after standing.

Twenty-seventh-day.—Slight nosebleed after supper. Violent itching at the labia majora, at two.

Twenty-ninth day.—Hard, difficult and large stool.

Thirtieth day.—330. Dreams about a revolution, about a city being destroyed by fire and the sword. Sour eructations exciting her cough. Smarting and itching at the vulva, at two in the afternoon.

Thirty-second day.—Canine hunger at dinner. Acidity, bitterness and regurgitations after dinner, 335. Hard and large stool. Difficult, fragmentary stool. Painful stool, making the tears rush to her eyes; the sclerotica becomes red in consequence of the efforts she is obliged to make. Soapy pale-yellow urine. Colic along the large gut, at nine in the evening.

Thirty-third day.—340. Pulling at the stomach, at two in the morning. Mouth dry. Large, dry, hard, difficult stool. Stool breaking off after one half is expelled. Pain and smarting at the rectum, caused by the violent efforts required to expel the stool. 345. Not disposed to work, at eight in the evening. Irresistible drowsiness. Turbid urine, of a dingy-yellow, and covered with an oily pellicle. Dreams about persecutions. Stitches during sleep as though needles were stuck in the spinal marrow; this wakes her. 350. Starting during sleep. Dry mouth with tearing sensation in the chest, at two in the morning. She rises in the night, imagining that thieves are hidden behind the curtains, but she dares not look behind and begs somebody else to do it.