SECTION 03
Mental symptoms!
The symptoms of the Mind and Disposition are most important and should be carefully considered and reported.
Give this section your particular thought.
How is your memory ?
For what is it poor ?
At what time is it poor ?
Do you remember what you read ?
Do you read with interest and pleasure ?
Can you apply your mind easily ?
In what way is your disposition changed during sickness ?
Are you mild, easy, gloom, hopeless, obstinate, irritable, snappish, petulant, "real ugly" or sullen, cheerful, happy, or in what way is the disposition affected ?
Do you comprehend easily ?
Do you answer the questions of others promptly or slowly ?
Do you have Anxiety, Apprehension of the Future, Aversion to Being Looked at or Touched, Aversion to People, Company or Things, Bashfulness, Desire for Company or Solitude, Desire for Death, Confusion of Mind, Delirium, Discontent, Disgust, Dread of the Future, of Animals or Things, any Peculiar Feeling, Mind full of Crowding Ideas, Ill-humor, Impatience, Indecision, Indifference, Jealousy, too easily excited to Tears or Laughter, Laziness, Loquacity (inclined to much talking), Disappointed, Love, Melancholy, Easy to be Offended, Feel like Quarrelling, Sadness, Scolding, Taciturnity (silent mood), had or Persistent Thought, , or Crowding of Ideas, Aversion to Work, Play, or any thing else ?
How does the future look to you ?
Have you any delusions of any kind, or do you imagine you see things that have no existence, that your family has turned against you, that a man is under the bed or in the house, that some one is following hounding you, that you are rich or poor, or will die in the poor house, hear voices, or that you are called, or anything else in this line ?
Be very careful to give all these symptoms fully as the are very important. The questions and language here used are merely suggestive, being intended to lead you to give all your symptoms. The whole of this pamphlet is merely suggestive. It is not intended that the patient be restricted to the language or symptoms of the pamphlet. Give your case in your own language carefully and fully.
Section 04
Sensations!
Sensations are also important and should be especially noticed. For Sensations of pain, pain of all kinds, see Section 6. These special Sensations may occur in any part of the body, or internally, or in the head or extremities. Give the sensation in your own language to express it. No matter how simple, or even ludicrous, it is necessary to give it. It may be like a mouse or bug crawling, like wind blowing into the ears or eyes, as if someone was pulling a hair, as of a blow on the back, as if the heart was grasped by an iron hand, as if claws were grasping the bowel, as of a splinter in the throat or flesh, like a string or thread on the tongue or in the throat, as if a joint were dislocated, as of a band or cord around the head, as though you had a cap on or hat, as of a plug in the ear or in some other place. These are merely illustrations, a few that have occurred to other persons, and are given that you may understand what is meant by sensations. Always give the location as well as the sensation.
Section 05
Better Or Worse!
This section refers to each disease, each sickness and to every symptom. No matter what the trouble may be it is necessary to refer to this section. Be sure that the aggravation or amelioration you notice is from the cause given. The time of an aggravation or amelioration refers to the year, the month, the week, the day, the night, or the hour. State at what time your trouble, or any single symptom, is better or worse.
State what season of the year, what time in the month, whether the phases of the moon cause either, what part of the week, what hour of the day or night the trouble or single symptom comes on, or is made better or worse.
Is there any position which you may assume that causes the trouble or any single symptom to be better or worse ?
It may be when you first he down, or after lying down awhile, or rising up after lying down ; on sitting down, after sitting awhile, or on rising after sitting ; standing, after standing awhile, or on sitting after standing, walking, walking much, walking in the house or in the open air, or in cold or warm air, or at night ; running, running rapidly or slowly, when stooping over, after stooping, or on rising from stooping, leaning the head backward, forward, to one side, or leaning the head on the table or the hand,; lying with the head high or low, lying in some particular position, crawling on the hands and knees, or some other of many possible positions.
Does anything cause the trouble or a single symptom to be better or worse ?
It may be reading, writing, music, ascending or descending the stairs or a hill, biting the teeth together, blowing the nose, before or after one of the meals, breathing, breathing deeply, when chewing food, when eating or drinking, closing or opening the eyes, looking up, down or sideways, from heat, cold, from warm or cold air, heat of the stove or sun, dry or moist air, going into the air or going into a warm room, sunlight or lamplight, from excitement, fright, grief, sorrow, fasting, some kind of food or drink, motion or quiet, when nose is discharging or is dry, from ratification of the passions, scratching, rubbing, beginning of sleep, during or after sleep, loss of sleep, sneezing, before or during a storm, under storm snow storm, swallowing food, drink of saliva, talking, singing, hearing others talk or sing, music, touch, turning over in bed, covering up or uncovering, wet, dry, windy, or cloudy weather. The above is given to impress on the mind the great importance of noticing what may seem to be little things. Any one of these may be great or little, but your physician must be the judge of that.
Section 06
Pain!
Give the exact location on the head, body, arms, hands, legs, feet, etc. right side or left side ; make this location as minute as you can. State whether the pain remains in one place, or whether it changes places, if moving or changing place state just how, and to what place it goes. Always mention the place where it starts and then where it goes, and how it goes.
State how the pain makes you feel ; the effect on you, how you act during the pain ?
Is there anything, any act, any position, any part of the day or night, application of cold or warm water, or dry heat or cold, any change in the weather, cold or warm air, or any other circumstance that causes the pain to be easier or worse, or removes it entirely ?
(See Section 5.) Is there any change in the appearance or feeling of the skin, flesh or bone after the pain leaves ?
What is your general feeling after the pain leaves ?
How does the pain come, quickly or slowly ?
Anything that seems to bring it on ?
How does the pain leave, quickly or slowly ?
What seems to cause it to leave ?
What kind of pain is it ?
What does it seem like to your feeling or imagination ?
This is very important as there are various kinds of pain, such as cutting, boring, digging, bruised, sore, aching, biting, burning, cramp-like, dull, drawing, gnawing, jerking, labor-like, oppressive, paralytic, piercing, pinching, pressing, pricking, pulsative, stitching, shooting, tearing, violent, wandering (changing place), as from ulceration, as from excoriation or a raw place. Express the sensation of pain in your own language-just as it feels to you.
How much of the time do you have the pain ?
When is it likely to come on ?
When are you likely to be free from it ?
Is there any sore, eruption or swelling at the seat of the pain ?
Any change in the color of the place or in the usual appearance of the skin ?
Mention anything else about the pain that occurs to you, especially anything that appears to be unusual or singular.
Section 07
Discharges Of All Kinds!
This refers to discharges from open sores, boils, fistulas, ulcers, etc., from the eyes, nose, cars, mouth, private parts, lungs, the skin, etc. Give the quantity and the time or condition under which the quantity varies. (Section 5). Give the consistency, whether thin or thick, stringy, clotted like jelly, white of an egg, gruel, water, etc. The appearance, just what it looks like, the color, and the time or condition when the appearance varies. The odor, what it reminds you of whether the odor varies and the time and circumstances of the variation. Whether it makes the parts sore, and in what way, whether the discharge has any effect on your feeling or strength, how long it has continued, whether the discharge comes and goes, and the time and circumstance of this variation.
Whether it is sticky, forms a scab, etc. Mention anything else about it that you may notice.
Section 08
Head!
Describe any pain as in Section 6. Describe any sores, lumps, or skin disease as in Sections 7 & 32. For sensation in head see Section 4.
Is the hair very dry or naturally moist ?
Does it split at the ends ?
Does it tangle easily, how ?
Does it come out badly ?
Any dandruff ?
Quantity, shape and appearance.
Is the hair oily or greasy ?
Does it break off, or mat together ?
Does it come out in spots or bunches?
Be sure to give the exact location of any trouble of the head and whether internal or external.
Dizziness. Describe as in Section 5.
What position, motion, or cause brings on the dizziness ?
What is the sensation ?
Do you, feel like falling in any particular direction ?
Does it affect the sight ?
Do you feel as if swaying to and to, in a circle, falling, rising, floating, as if bed were sinking, things about You were moving, etc.
Give all the particulars.
Section 09
Ears!
Describe pain as in Section 6. Describe discharges as in Section 7.
Sores as in Section 32.
Is the trouble inside, in the canal, or on the external ear ?
Right or left car ?
Are you deaf ?
When and how can you hear best ?
When is your hearing poorest ?
How far from the right ear and the left car can you hear a watch tick ?
Is your hearing getting better or worse ?
Can you hear better in a noise, on the cars, or riding ?
Is the hearing poor for the human voice or other noises or sounds ?
Have you too acute hearing ?
Do sounds hurt the ear or feel unpleasant ?
Have you any noises in the ear ?
Which ear ?
State minutely what the noise is like. Give any sensations in the ears as in Section 4. How does your own voice sound to you ?
Section 10
Eyes!
Describe pain in the eyes as in Section 6. Discharges as in Section 7. Sensations as in Section 4.
Is the trouble in one eye or both ?
Which eye ?
Upper or lower lid ?
Inner or outer corner of the eye ?
Under the lid or on the outer side ?
Does one eye or both water ?
When ?
How much ?
Does the water make the eye or checks sore ?
How does reading or sewing affect the eyes ?
Are the eyes weak ?
Does the light of the sun or of a lamp hurt them
Or cause them to water ?
At what time are your eyes worse ?
Have you any peculiar feeling about the eyes ?
(See Section 4.)
How long have you had the trouble ?
Have you or has any near relative ever had any trouble of the eyes ?
Have you ever used any eye-washes or salves ?
Can you refer the trouble to any cause ?
What appearance has lamp light to you ?
Has lamp light any peculiar circle around it ?
Are you near or far-sighted ?
Any swelling above or below the eyes ?
Any colored rings around the eyes ?
What color ?
Do you wear glasses ?
At what age did you begin to wear glasses ?
In case you do wear glasses, what would be the result if you did not ?
Have you had styes ?
On which lid and how many ?
Have you ever had a blow or other injury to the eyes ?
Section 11
Nose!
Is the trouble inside or outside, in forepart or back ? For discharge, see Section 7.
Do you blow out scabs or plugs ?
Give the size, colors, odors, consistency, and any other information about the scabs.
Do the discharges make the nose or lip sore ?
Is the nose painful, swollen, or sore ? (See Sections 6 and 32)
Do you catch cold easily ?
Do colds always affect the nose ?
Under what circumstances do you usually catch cold ?
For cold and catarrh report fully as in Sections 5 and 7.
Section 12
Mouth &Tongue!
State whether the trouble is with the tongue or mouth, and what part of the mouth.
Any sores ?
Give the location, appearance, color and size of the sores.
Whether depressed or elevated ?
For the pain in the sores see Section 6. Is mouth or tongue dry or moist ?
Much or little saliva ?
Character, color, appearance and any peculiarities of the saliva ? Thirst. (See Section 15.)
Is the breath bad or foul ?
When does foul breath occur and what is it like ?
Any bad taste ?
When does it occur and what is it like ?
Any peculiar taste ?
Any peculiar sensation ? See section 4.
Is the tongue moist or dry ?
What is the coating on the tongue, its color and appearance ?
What part of the tongue is coated ?
Is there any peculiarity about the coating ?
How are the edges of the tongue ?
How is the tip ?
How is the back part ?
Does the tongue show the imprint of the teeth ?
Can you put it out of the mouth easily ?
When putting it out does it turn to one side or tremble ?
Any swelling or soreness under the tongue ?
Give direction and location of any fissures or cracks on tongue.
Section 13
Teeth!
Are the teeth sound or decayed ?
When did they begin to decay ?
Which teeth are decayed ?
What part of the teeth decay ?
What kind of fillings have you in the teeth ?
On what kind of plate are your false teeth ?
Are the front teeth smooth or rough on the edges like a saw ?
Are the teeth dirty-looking, yellow, black, or covered with mucus ?
Do they ache? (See Section 6.)
Which teeth ache ?
What causes the teeth to ache ?
Cold air, warm or cold food or drink, when the body is cold or warm, when lying down, at night, etc., etc. ?
What relieves the aching ? (See Section 5.)
Is there any abscess at the root of a tooth ?
Do the teeth break off easily or crumble? (Also consult Section 4)
Are the gums healthy ?
Do the gums s bleed or recede from the teeth ?
Do you have gums boils ?
Are the teeth loose in the gums ?
Have you ever been salivated ?
Have gums or teeth been in good condition since being salivated ?
Section 14
Throat!
Are you subject to throat troubles ?
Have you had quinsy, diphtheria, croup or sore throat ?
Have you had the throat burnt out, tonsils cuts or lanced, or have you used strong gargles ?
Have you pain in the throat ?
Is there pain on swallowing solid food drinks or saliva ? (See Section 6)
Is there . gargles or saliva (empty swallowing) ?
Is the pain during swallowing or after ?
Have you pain when not swallowing ?
Have you any sensation or peculiar feeling about the throat ? (Section 4)
Have you a desire to keep swallowing ?
At what time or from what cause do throat troubles come on ?
On which side of the throat is the trouble ?
Is it in the upper or lower part of the throat ?
Is there mucus causing hawking ?
When do you have to hawk the most ?
What causes the hawking ?
Do colds usually affect the throat ?
Is there any rattling in the throat ?
What is the appearance, color and condition of the throat ?
For swelling on the outer throat or neck see Section 32.
Is your voice clear ?
State what may be wrong with the voice ?
What is the effect of talking or singing on the voice ?
Is voice low, high or hoarse ?
Is the voice certain in speaking ?
Are you hoarse much of the time ?
Is the hoarseness painful ?
When does the hoarseness come on ?
What causes the hoarseness ?
Section 15
Eating & Drinking!
Have you a craving for any special article of food ? (Not merely a desire, but a feeling that you must have it.)
Any aversion to any special article of food ?
Name the article in either case.
Are you hungry much of the time or at any special time ?
Is the hunger or craving for food excessive ?
Have you no desire for food ?
Do you have hunger with aversion to eating ?
Do you eat without hunger ?
Does the food taste good ?
Has the food a natural taste ?
How do you feel before eating ?
Have you any bad effect from eating much or little ?
Do you desire little or much food at a time ?
Is there any special food that disagrees ?
Do you desire solid or liquid food ?
Do you crave you don't know what ?
Do you crave substantial food or dainties, candy, cakes, sweet things, sour things etc.
Is the appetite even or variable ?
Does food satisfy you ?
Any trouble that always comes on after eating all you want, or after a little food ?
Do you eat hastily or slowly ?
Do you have sick stomach or vomiting after eating ?
Does eating aggravate other complaints ?
Are you sleepy after eating ?
Have you pain anywhere after eating ? (See Section 6.)
Do you suddenly lose your appetite or relish for food while eating, or at any time ?
Are you very thirsty or thirstless ?
Do you wish to drink often or seldom ?
Do you want to drink much at a time, or little ?
What effect has drinking on you ?
Any trouble that always comes on after drinking ?
Do you crave any special drink ?
Do you wish hot or cold, or ice cold drinks ?
Do you feel badly after drinking ?
Does drinking satisfy you ?
Do you use tea or coffee ?
How much ?
Do you use alcoholic or other liquors ?
Do you use much milk ?
Does milk agree ?
Do you have sick stomach or vomiting after drinking ?
Does drinking aggravate other complaints ?
How does water, or other drinks, taste ?
Section 16
Nausea, Vomiting, Eructation!
These terms stand for different things. It is necessary to make the distinction in writing your case. Eructation (belching of wind).
Is it frequent ?
When does it usually come on ?
Does it last long at a time ?
What relieves it ?
What makes it worse ?
Does it relieve the stomach, pain in any place, the throat, or do you feel better generally after belching ?
Have you pain anywhere before or during belching ?
Is the amount of wind great or small ?
Does it come up easily or with difficulty ?
Is there any other trouble that always accompanies it ?
Is there any bloating of the stomach or abdomen ?
Do you try to belch but cannot ?
Any nausea with it ?
Any taste with it ?
Acid, like almond, like apples, bitter, greasy, fetid or foul, hot, rancid, salty, sweetish, etc. ?
State in your own language what the taste is like.
Have you gagging ?
When and under what circumstances ?
Any cow, accompanying troubles ?
How does it affect you ?
Have you at any time heartburn (an uneasy, burning feeling in the stomach) ?
Any accompanying troubles ?
How does it affect you ?
Have you at any time hiccoughing ?
When does it come on ?
How often ?
Any pain ?
Any accompanying troubles ?
How does it affect you ?
What relieves it ?
Have you at any time regurgitation of food (spitting up food in small quantity without vomiting ? (Give particulars Nausea (qualmishness, squeamishness, loathing, sickness at the stomach).
Where is the nausea located, or from where does it seem to come ?
Does it come and go, or is it constant when present ?
Does it always come on at a particular time ?
What seems to cause it ?
Is there any other trouble, pain that always comes before it or with it ?
How does it affect you ?
Describe the feeling in your own words. Does it come on suddenly or gradually ?
What relieves it ?
What makes it worse ?
Is there with it any faintness, fainting dizziness, paleness, weakness ?
Do you vomit or retch with the nausea ?
Is there any sweating with it ?
Where is the sweat ?
Is the sweat warm or cold ?
Do you feel that it would relieve you to vomit ?
Is there simple nausea, or do you feel deathly sick ?
Retching (to make an effort, or straining to vomit without vomiting).
What causes it ?
When does it come on ?
Does it cause pain anywhere ?
How does it affect you ? (Consult Nausea and Vomiting.)
Vomiting (emptying the stomach of its contents, pawns. Give a minute description of what you vomit as to the appearance, consistency, color, taste, quantity etc ?
Is it acid, acrid, like of an egg, bilious, bitter, black, or blood, bluish, brown, like coffee grounds, cold, curdle, fecal, fetid or foul, fluid, frothy, glairy, greasy, green, jelly-like, milk, milky, mucous, musty, of pus or matter like rice water, salty, sweetish, watery, white, worms, yellow ?
Is it constant, copious, what you drink, what you eat, difficult, painful, periodic, spasmodic, violent, forcible slow in coming on, sudden, coming on quickly ?
When does it come ?
After eating, after drinking, after chill, from choking, from coffee, from cold, with colic, in convulsions, with cough, with cramps, during teething, with eructations, with eruptions on the skin, after exercise, during expectoration, in fever, from pain, from colic, when hawking, with heat, with hiccough, lying down, rising up, sitting up, standing, from motion, in the morning, when riding, after sleep, from smoking, before stool, on stooping, with sunstroke, swallowing, with thirst, with weakness ?
Is there anything, any position, food or drink, or application that aggravate the vomiting, or relieves it ?
Are there any accompanying troubles ?
How does it affect you ?
Make a full statement of anything else that may occur to you regarding the vomiting. Waterbrash (pain or hot feeling in the stomach with a rising of water to the mouth).
When does it come on ?
What is the amount ?
What is the taste ?
How does it affect you ?
Section 17
The Stomach!
The stomach is situated below the lower part of the breastbone, or beneath the depression known as the pit of the stomach. In stomach troubles, indigestion, dyspepsia, etc., it is necessary to consult Sections 4, 6, 15, 16.
For the part external to the stomach consult Section 32.
For bloating consult Section 18.
Section 18
Abdomen!
The abdomen is the belly, that part of the body between the chest and the pelvis.In troubles of the abdomen consult Sections 4, 6, 15, 16. For the external abdomen, consult Section 32.
Is there any bloating ?
When does the bloating come on ?
Is the bloating much or little, or tense, painful, etc. ?
Is the bloating over the whole abdomen or only in one place ?
What effect has it on you ?
Describe carefully any peculiar feeling in the abdomen as in Section 4.
Is there any gurgling or rumbling ?
When does it come ?
How much time is the rumbling present ?
Is the abdomen depressed or full ?
Is there any soreness of, or oozing from the navel ?
Describe rupture or hernia fully as in Sections 4, 5, 6, 32.
How long has the rupture been present ?
How did it start ?
Is there any known cause of the rupture ?
Have you worn a truss or other appliance ?
Section 19
Urine & Urination!
The bladder is situated behind and extends a little above the bone in the middle lower abdomen. If painful describe as in Section 6. Describe any feeling or sensation as in Section 4.
Have you ever had any blow or injury in this region ?
Have you ever retained the urine too long, or till it became painful ?
Any swelling or distension ?
Is it hot or inflammed ?
Any soreness or ten derness ?
Any bearing down pressure ?
Any sense of weakness ?
Any sense of uneasiness ?
Describe any trouble, pain or sensation in the urethra (the canal through which the urine passes). Describe any discharge from the urethra as in Section 7. Consult also the questions in Sections 36. The kidneys are located on either side of the backbone (spinal column) in front of and more to the upper part of the small of the back, a little above the level of the navel. Describe any pain, sensation or trouble in the region of the kidneys as in Sections 6, 4 and 5. Urination, (the act of passing urine).
Does the desire to pass urine come on at any particular time, or from any known cause ?
Is there any pain with the desire ? (Section 6.)
Does the urine flow easier in any particular position or under any special circumstances ?
Do you have desire to pass urine but cannot ?
Does it flow freely in a stream, or in drops ?
Does it flow at once or must you wait ?
Is there any thing that you must do to help the flow starrt ?
Does it flow slowly or come in a gush ?
Is the desire urgent or can you easily wait ?
Have you involuntary urination during the day, at night, while coughing, sneezing, or at any time ?
What part of the night do you wet the bed ?
Is there any dribbling or leakage ?
At what time do you have most desire to urinate ?
Do you have to get up at night ?
How often ?
Can you pass urine without stool or stool without urine ?
Have you no desire to pass urine ?
Have you no passage of urine and yet no inconvenience ?
Do you feel the stream when passing ?
Does the flow intermit, start and stop ?
Any straining to pass ?
Is the stream even or divided ?
Before urination. Describe any trouble, pain, etc., that always comes on just before the flow starts. Describe pain as in Section 6. Is there any burning before the flow starts ? (Describe & locate it)
Is there any pressure ?
Any discharge other than urine ?
Be as explicit as you can as to these troubles.
During urination. Describe every trouble that accompanies the flow, or that comes on during the flow. Describe pain as in Section 6?
Describe the burning minutely and locate it?
Give the peculiar sensations as in Section 4?
Do you have any chill, chilliness, any discharge other than the urine, faint feeling, pain anywhere, shuddering, etc. After urination. The same as above.
The Urine!
Is the urine acrid (corroding), black, bloody, brown, burning, changeable in color, clear (limpid, no sediment or color), cloudy, like coffee, cold when passed pellicle or scum on it, dark, decomposes rapidly, decreased in quantity, flaky, foamy, frothy, frothy like fine glue, dirty gray, greenish, high colored, hot, increased in quantity (profuse), jelly-like, light colored, milky, muddy, pale, red, scalding, scanty, smoky, straw-colored, suppressed, thick, turbid, violet color, watery, like whey, white yellow ?
Mention any difference when first passed and after standing ?
What is the smell or odor ?
Do you pass gravel ?
Describe the sediment (the substance that falls to the bottom of the vessel) very carefully as to the Amount, color, consistency, appearance, whether it varies, and other facts that you may notice. Does the sediment adhere tightly to the vessel ?
What is the color, consistency & appearance of that which adheres ?
Section 20
Stool, Diarrhoea, Constipation
Stool (whether diarrhoea, dysentery or constipation).
Character of Stool : Acrid, (excoriating), with air bubbles, balls, beaded, bilious, bloody, burning the parts, as if burnt, chalky, changeable, chopped, clayey, coffee grounds, copious, crumbling, curdled, diarrrheic, difficult to expel, dry, dysenteric, fatty, fecal, fermented, fetid or foul, flaky, flat, fluid, foamy, focibly, expelled, frothy, frothy, glassy, like glue, granular, greasy, green scum, gritty, gushing out, hard, full of holes, hot, insufficient, involuntary, irregular, jelly-like, knotty, too large in size, lienteric (with undigested food), liquid, long, loose, lumpy, membranous, mixed, mucus, mushy, narrow in form, noisy (with wind), odorless, oily, painful, painless, pappy, pasty, like pea soup, periodic (at stated times other than each morning), pourring out, profuse, purulent (like matter), recedes (slips back), retained, retarded, like rice water, rough, like cooked sago, sandy, scaly, scanty (too little), like scrapings of intestines, sheep dung, shreddy, slender in size, slow, small in form, soap suds, soft, passes better when standing, passes better when leaning back, starchy, square, sticky, stringy, sudden in explosion, tar-like, tenacious, thin, thready, triangular, urging desire (cannot wait), watery, white, with worms, Color of stool, Ash colored, black, bluish, brown, changeable, dark, green, gray, liver colored, reddish, variegated, yellow, white.
When do you have stool ?
Afternoon, when coughing, after drinking, after eating, frequent, morning, on motion, from least movement, at night, at noon, before or during urination, after washing.
What trouble before stool ? (For pain see Section 6)
For any other trouble locate and describe minutely.
Chilliness, colic, faint feeling, fainting, flatulence (gas in bowels), passing wind, heat, piles come down, languor, lazy, nausea, sweat, tenesmus (pressing down in rectum), thirst, trembling, urging to stool (more than natural), vertigo (dizziness), vomiting.
What trouble during stool ? (For pain see Section 6)
For any other trouble locate and describe minutely.
Anxiety, bleeding, breathing affected, chill chilliness, coldness, colic, disagreeable sensation, fainting, faintness, flatulence (gas in bowels), passing wind, eat, piles come down, hunger, nausea, sweat, nervousness, loss of fluid from private, sleepy, straining at stool, sweat, bad taste, tenesmus (involuntary straining), thirst, urination, vertigo (dizziness), vomiting, weakness.
What trouble after stool ? Same as during stool.
Constipation. See Stool in this Section. For pain anywhere describe as in Section 6.
To what extent and when are you constipated ?
Are there any troubles that come on during or that accompany the constipation ?
Describe all troubles and locate.
Do you feel better or worse -during constipation ?
How often do you have a stool ?
Have you any desire for stool ?
How does the constipation affect the mind, the disposition, the head and the breathing ?
How long have you been costive ?
Has it followed any sickness, other trouble, or physic ?
Is it habitual or temporary ?
Does it always come on before or during any particular trouble, or at any particular time ?
Is the child teething ?
Does it alternate with diarrhoea ?
Have you taken much physic or many pills ? If so, state what kind.
Have you used Hall's treatment of injections of hot water ?
Have you indigestion ?
Much wind in the bowels ?
The piles (see Section 21) ?
Liver or spleen trouble ?
A bad taste ?
Sore mouth ?
Nausea ?
Amy skin disease (Section 32) ?
Vertigo (or dizziness) ?
Vomiting ?
What kind of appetite ?
What kind of thirst (Section 15) ?
Diarrhoea. See Stool in this Section.
Is it painful or painless ?
For pain Section 6. Consult Section 7.
Most of the questions under Constipation (in this section) are suitable for diarrhoea.
What aggravates or ameliorates the diarrhoea ? (Section 5).
What seems to cause it ?
Acids, bathing, from cold, after drinking, during or after eating, exertion or work, riding, during sleep, after, vaccination, after washing, any kind of weather ?
Does it come on at any particular time of the year, month, day/night ?
Does it alternate with constipation ?
Is it chronic ?
Is the child teething ?
Does it weaken much ?
Do you lose flesh ?
Have you fever ?
Dysentery (bloody flux.) Same questions as under Stool and Diarrhoea. Describe more minutely the quantity of blood and mucus, and the character of the tenesmus (involuntary pressing down in bowels).
Section 21
Anus, Rectum, Piles
Anus.
Have you any trouble of the anus ?
Abcess, aching, beating, bleeding, boil, boring clawing, constriction, spasmodic contraction, cramping, crawling, cutting, darting, discharge (other than stool), dragging, drawing, dryness, eruptions, excoriated (chafed, raw), fissures (cracks), fistula (an opening beside the anus with constant discharge), dullness, heat, heaviness, inflamed (sore), injured itching, jerking, pain (see Section 6), pinching, feeling as of a plug, pressure, pricking, prolapsed (protruding) ; state when and the effect, relaxed, sensitive, shooting, smarting (when ?), sticking, stinging, stitches, straining, sweat, swelling, throbbing, tickling, tingling, ulcers, warts.
Rectum. (The intestine just within the anus.)
Same questions as under Anus.
Piles. (Haemorrhoids).
Describe the appearance of them. Color and shape.
When do they come down ?
What causes them to come down ?
What relieves the pain in them ?
What aggravates them ?
How long have you had them ?
For the pain, see Section 6.
For the discharge, see Section 7.
Any peculiar feeling in them (Section 4) ?
Any bleeding ?
How much and when ?
Any pain or trouble anywhere else that accompanies the piles ?
Do they come with diarrhoea or constipation ?
Any itching, burning, smarting, soreness ?
Are they large or small ?
When and under what circumstances did you first have them ?
Have you ever had an operation for the piles ?
Have you ever had an injection of medicine into the piles ?
Section 22
Lungs and Breathing!
Is the pain or other trouble in the chest muscles or deep in the lungs ?
For pain see Section 6. For cough and expectoration see Section 24.
Do colds usually affect the lungs ?
Do you cough up anything ?
Do you have any difficulty in lying on either side or the back in lung troubles ?
Is there any rattling in the chest ?
Is there any consumption or lung disease in father's or mother's family ?
How many near relatives have died of lung troubles ?
Is there any soreness of the lungs ?
Any sensitiveness ?
Have lungs been injured by excessive exercise, running, etc. ?
Do you have any trouble in breathing ?
By what is the breathing affected ?
In what position is the breathing affected ?
What position do you assume when breathing is affected ?
Do you have difficulty in breathing outward or inward (exhalation or inhalation) ?
Is breathing affected during or after sleep ?
While drinking ?
For troubles of external chest see Section 32.
Section 23
Heart!
Does the heart palpitate ?
At what time or under what circumstances does palpitation come on ?
Any trouble of heart after eating or sleepling ?
What kind of palpitation ?
Is eart beat regular, loud, prolonged, purring, intermitting or skipping ?
Any other sound in the heart beside the beat ?
For pain in the heart see Section 6.
Do heart and pulse beat together ?
How many beats per minute ?
Have you blueness of lips or fingers ?
Any difficulty in breathing in heart troubles ?
Any sensation in region of the heart ? (Section 5.)
Does motion or quiet affect the heart ?
Has heart ever been strained by excessive exercise, mountain climbing, etc.
Section 24
Cough and Expectoration!
What kind of cough have you ?
Constant, croupy, deep, dry, explosive, fatiguing, forcible, frequent, gagging, harassing, hard, harsh, hissing, hoarse, hollow, jerking, labored, loose, loud, moist, muffled, nervous, noisy, painful, in paroxysms (spells), periodic (at certain times), racking, rapid, rattling, ringing, rough, scraping, screeching, shaking, sharp, short ; shrill, in single coughs, spasmodic, sudden suffocative, tearing, teasing, tickling, (where ?), tight, tormenting, violent, wheezing, whistling ?
What causes the cough ?
Acids, anger, anxiety, coffee, from cold, crying, teething, while drinking, after drinking, as from dust, while eating, after eating, emotions, excitement, exertion or working, in fever, from fright, heart troubles, heat, indoors, out of doors, laughing, liver, troubles, least motion, mucus in throat or lungs, music, from nausea, odors, playing the piano, running, from smoke, stooping, talking, tickling (where ?), dry weather, wet weather, windy weather, from yawning, going from open air into warm room, going from warm room into open air, when thinking of it, during study, sensation of sulphur fumes, feather, or what ?
When does cough come on ?
Afternoon, evening, forenoon, lying down, sitting up, morning, night, noon, during sleep (does it waken you ?), before arising in the morning, just after arising, before, midnight, after midnight, early evening, when going to bed, just after going to bed, in company, when alone, during the day, only at night, etc. ?
Where does cough seem to come from ?
Abdomen, chest (lungs), back of mouth, windpipe, stomach, throat, etc ?
Where does it hurt you when you cough ?
How does it hurt you ?
What effect has the cough on you ?
Must you hold your throat, chest, head, stomach, or any other part while coughing ?
For pain while coughing see Section 6.
Expectoration!
Do you cough up anything ? Describe it as in Section 7.
What does it taste like ?
Can you spit it out ?
Does it fly out of the mouth while coughing ?
Does it float in water or sink ?
Does it vary as to quantity, color, consistency, taste, etc. ?
When do you expectorate and when not ?
Morning, noon, afternoon, evening, forepart of night, after part of night, at bed time, on arising in the morning, after arising in the morning ?
Under any other circumstance ?
Section 25
Joints!
Locate the joint affected and the side the joint is on. For pain see Section 6. Describe any sensation or feeling as in Section 4.
Any cracking on movement ?
Has it been out of place or dislocated ?
Any eruption or sore about it ? (section 32).
Is it inflamed, hot, swollen, sore, painful ?
Does it move easily ?
Is it stiff or is there no motion ?
Does the inability to rnove come from pain, or from what cause ?
Is it numb ?
Have you rheumatism now, or have you had it ?
Has it ever been sprained ?
Is it weak ?
Have you corns or bunions ?
Locate and describe as to pain and other particulars. Any trouble in walking
Section 26
Muscles!
For pain in muscles see Section 6. For discharge from muscles (sores of any kind) see Section 7.
Are muscles contracted, knotted, sore, stiff, any numbness, pricking, tickling ? Report the sensations as in Section 4.
Section 27
Bones!
Describe pain in bones as in Section 6. Locate the bone affected.
Has the place affected ever been injured, bruised or broken ?
Do your bones break easily ?
Is there any swelling of the bone ? Describe the trouble carefully in all particulars.
Section 28
Back!
For pain sec Section 6. Also consult Sections 5 and 32. Especially describe the time or position in which the pain comes on. Also what position or act (like pressure, lying on hard bed, etc.) makes the pain better or worse. State carefully the part of back affected. Describe the sensations as in Section 4.
Have you ever had the back injured in any way ?
Section 29
Wounds and Injuries!
Have you had severe wounds or injuries in the past ?
Was your general health good after the injury ?
Have you had a hard fall ?
Describe it carefully. Is the wound a cut, tearing of the flesh, punctured, gunshot, sting of insect, a strain, or what ? For discharge see Section 7. For pain see Section 6. Give exact location.
What caused the wound or injury ?
Did it bleed much, little or any ?
Did the wound heal readily ?
What is the appearance, color and shape of the scar ?
Does the scar give you any trouble ?
Does the scar change color at any time ?
What kind of insect stung you (if bad effect from insect sting) ?
What bruised the place ?
What is the color, appearance, extent of the bruise ?
What produced the burn (steam, hot water, fire, hot wax, etc) ?
What. is the extent and appearance of the burn ?
Is the burn deep or only on the skin ?
What produced the cut or laceration ?
Was either deep or shallow ?
Is the wound cold, or very hot ?
Section 30
Bleeding!
Give the cause of bleeding. Give the location or where the bleeding is from. Does the blood ooze, flow, or come in gushes ?
Is the blood thin or thick, clotted, lumpy, stringy, hot ?
Give color and appearance of the blood. Are you subject to bleeding ?
From what place ?
Have you ever been subject to bleeding ?
Does the bleeding weaken you ?
Are there any peculiar sensations or feeling that accompany the bleeding? Give all other known particulars.
Section 31
Morbid growths, Tumors, Cancers, etc!
In the treatment of these every symptom from head to feet must be known, therefore nearly every part of this pamphlet must be consulted and symptorns given as directed. These troubles can all be cured by the internal homoeopathic remedy when taken in time. To cut them out does not cure them. Cutting them out removes the effect of disease but does not remove the disease itself. It is like cutting off the tops of weedsthey will grow again, either at the same place or in another place. Months of careful treatment are required for their cure. When thus cured they will remain cured. Give the exact location. Describe pain as in Section 6. Describe discharges as in Section 7. Describe the appearance, if on the outside. Describe the feeling to the hand, if on the inside. Give the size and general form. How long has it been coming ?
Is it hard, soft, yielding, movable ?
Any sensation in it ? (Section 4.)
Have you ever had any ,injury or blow on or near the place ?
Describe how it began and, the growth. Has the growth been slow or rapid?
Is it fast to the skin (if within) ?
Does it grow at any particular time or from any cause ?
What has it been called by other physicians ?
What treatment have you had for it ?
Ever had a surgical operation for this or any similar trouble ?
Have you applied any medicine to it locally ?
Has the treatment or local application made any change in it ?
Has any near relative on father's or mother's side had the same, or a similar trouble ?
Section 32
Skin Diseases!
This includes all eruptions, pimples, sores, felons, abscesses, ulcers, carbuncles, boils, warts, morbid growths, tumors, cancer, and all kindred diseases, as these are all amenable to the homoeopathic internal treatment. Consult Sections 4, 5, 6, 7, and 31.
Does the skin heal readily after an injury ?
Any roughness, chapping, sores from washing or cold weather ?
Are you subject to skin diseases, and for how long ?
Have any of your near relatives been troubled in the same way, or with any other skin trouble ?
Have you been vaccinated ?
How did it take, and what was the effect ?
Have you had the itch ?
What treatment was used for it ?
Have you had measles, scarlet fever, chicken pox, smallpox, mumps, or other similar diseases, and how did you get along during the sickness and afterwards ?
Have you ever had a surgical operation for the removal of tumors, morbid growth, etc. ? (Section 31.)
How do your nails differ from healthy nails ?
Have you hang-nails ?
Ingrowing toe nails ?
Have you foul, sweaty feet ? (Section 7.)
How long has the skin trouble been present ?
How did it first start ?
Is the trouble sensitive to touch or pressure ?
Give the exact location of places affected.
Has the trouble been treated by local applications ?
Has any skin disease ever been suppressed or apparently cured by local applications ?
If so, what and when ?
What does the disease or sore look like ?
What is the appearance of the skin around the sore or under the sore ?
Is there any itching of the sore ?
What effect has scratching ?
Any scabs ?
What is the appearance and general form of the scabs ?
Any matter under scabs ? (Section 7.)
Describe any discharge from the sores as in Section 7.
Describe pain as in Section 6.
Any roughness of the skin ?
In what way is the skin different from healthy skin ?
Is there itching of the skin ? (Section 5.)
Give location, color and character of any spots or blotches on the skin, whether very small or large. Give location, color and appearance of moles or warts. What is the location, color, size, shape and appearance of any swelling ?
Any sensations on skin as itching, burning, pinching, crawling of insects or bugs, stinging or anything else ? See Sections 4 and 5.
Is the skin oily, shining, scaly ?
What is the color of the skin ?
Is the color permanent or natural ?
Describe pimples, little blisters, etc., as to location, size, contents, appearance, etc. Describe corns and bunions as to appearance, location and pain as in Section 6.
Section 33
Fever, Chill and Sweat!
Where have you flushes of heat ?
Have you flashes of heat and chill inter mingled or alternating ?
Give location and time when either comes on. Is there shuddering ?
Are you inclined to be chilly generally or in special parts ?
Where does the chilliness, or chill, begin and what course does it take ?
Do you like or desire the warmth or heat of the stove, sun or wraps ?
Do you feel better when warm or cold ?
Do you have thirst with the chill, fever or sweat ?
Do you have hunger with the chill, fever or sweat ?
At what time of day. or night does the chill, fever or sweat come on ?
At what time is either the highest ?
At what time is either the lowest ?
What seems to cause the chill, fever or sweat ?
Have you coldness (other than chill) internally or externally ?
Does any other complaint or sickness come on during the chill, fever or sweat ?
How long does the chill, fever or sweat continue ?
In intermittent fever (ague) do you have a distinct stage of chill, fever and sweat ?
How do you feel generally between the chill, fever and sweat, or after either ?
When having intermittent fever (ague) do you have hours or days when ,feeling perfectly well ?
Is one part hot while another part is cold ?
Do you have a chill as to any specified hour or day ?
Which predominates, or is worse, the chill, fever or sweat ?
Is the skin hot, dry, moist, red, pale, cool or purple with the fever ?
Is there goose flesh with the chill or chilliness ?
What is the condition of the flesh during the sweat ?
What is the pulse rate ?
Is the pulse full, bounding, ready, skipping a beat, imperceptible, compressible. ?
Is sweat local or general over the body ?
Does any particular part or place sweat at any time ?
Do the covered or uncovered parts sweat ?
Is the sweat warm, cold, sticky, musty, clammy, foul, greasy, pungent smell, sour ?
What is the color ?
What color does it stain the clothing ?
Is sweat weakening ?
How do you feel during and after sweat ?
Do you sweat easily ?
Where, on what part do you sweat most ?
Mention any other peculiarity of the chill, fever or sweat. Have you ever had ague ?
When, how long, and what medicine was taken for the ague ?
Have you been well since having the ague ?
Section 34
Sleep and Dreams!
State when and under what circumstances you are abnormally drowsy or sleepy. State when and under what circumstances you have yawning. Is the yawning painful or spasmodic ?
State all troubles of symptoms occurring before, during or after sleep, or when just falling to sleep ?
State all troubles that come on just as you waken and how you awaken, what awakens you during the night ?
Are you a sound, deep or a light sleeper ?
What causes the sleeplessness ?
When and under what circumstances are you sleepless ?
What seems to keep you awake when first going to bed, or when awaking during the night ?
Do you awaken often during the night ?
Is the sleep restful and refreshing ?
How do you feel when first awaking and on first arising in the morning ?
Do you take a nap or sleep during the day ?
Do you feel well after a sleep during the day ?
Are you easy or hard to awaken ?
Do you sleep quietly or toss and roll about during sleep ?
Do you like to sleep with the head high or low ?
Do you have the nightmare ?
Do you snore. loudly ?
Do you moan, scream or make other noises during sleep ?
Have you sweat during sleep ?
Have you grating or grinding of the teeth during sleep ?
Do you dream much ?
Do you remember your dreams ?
Do the dreams trouble you after waking ?
In what part of the night do you dream ?
Do you dream the same dream over the same night, or later ?
Are the dreams confused, pleasant, horrible, frightful, disgusting, disagreeable, vexatious, vivid ?
Do you dream of accidents, animals, cats, dogs, blood, business, church, death or corpses, dancing, danger, drinking, drowning, eating, falling, fire, flying, fruit, ghosts, horses, houses, being hungry, lightning, misfortunes, money, murder, of people, praying, being pursued, of quarrelling, riding, robberies, sexual pleasure, shooting, sickness, snakes, snow, talking, being thirsty, travelling, trees, urinating, vomiting, of water, weeping ?
Do you have day dreaming ?
Section 36!
Male !
For all complaints, whether local or general, the preceding sections should all be consulted and every symptom reported as herein directed. For private diseases of men, Homoepathy offers a more radical cure than any other system of medicine. Local treatment by injections or applications is not curative, but suppressive. When so called local diseases are suppressed, or disappear under local treatment, they form the basis of chronic conditions which not only cause much annoyance and suffering, but are transmitted by heredity and may cause a lifetime of suffering to the children of lawful wedlock. Many persons have expiated the sins of the father by years of untold suffering. "Visiting the iniquities of the fathers upon the children unto the third and fourth generation." The only sure and reasonable way is to eradicate the disease by internal constitutional medication. This is the real object of true homoeopathic treatment.
For all complaints, whether local or general, consult especially Sections 3, 4, 5, 6, 7, 32. Answer the following questions, when suited to your case, fully, and not by "yes" or "no", nor by a mere acknowledgement. Have you been addicted to the practice of masturbation (self-abuse) in the past ?
To what extent ?
Have you excessive sexual desire ?
Is sexual desire diminished or lost ?
Is there an aversion or repugnance to sexual embrace, or to women ?
Do thoughts of the sexual relation, or the desire for sexual gratification, crowd upon your mind ?
Does the presence of women cause sexual thoughts, or erections ?
Are your dreams persistently of sexual gratification, or of lewd women ?
Do you have sexual desire or teasing without erection ?
Are the erections incomplete or too soon lost ?
Has sexual embrace any bad effect on you mentally or physically ?
Is sexual embrace thrilling or has it no pleasure ?
Is sexual embrace complete or does the erection fail ?
Is the semen discharged too soon, or too late ?
Is the discharge of the semen painful ?
Do you have erections when riding in a carriage, or on the cars ?
Are you prompted to expose your private parts ?
Are you inclined to handle or manipulate your private parts ?
For pain in the parts locate and describe as in Section 6.
Is there any unpleasant odor from the parts ?
Is there warm or cold sweat on the parts ?
Are there warts or growths on the parts ? (Sections 31 and 32)
Do the parts feel natural and healthy, or do they feel weak ?
Is the penis shrunken, retracted, relaxed, lifeless, small, swollen, etc. ?
State the part of the penis affected as well as the trouble. Is the scrotum (bag) sweaty, contracted, itching, swollen, relaxed, or hanging loose, etc?
State any affection of the testicles (seeds).
Describe any eruption or sores on the privates as in Section 32.
Have you loss of semen (spermatorrhoea) at night, during stool, or at any time ?
What is the effect of this seminal loss ?
Is there a thrill with the seminal loss ?
Is the seminal loss during lewd dreams ?
Have you indulged your sexual appetite extensively ?
Have the parts been injured by a fall or a blow ?
Have you ever had a gonorrhoea (clap) ?
State the time and treatment, and the state of your health since. Have you ever had syphilis (pox) ?
State the time and treatment, and the condition of your health since. Have you had buboes, chancre, or ulcers ?
Have you had eruptions, sores, warts, etc., since having gonorrhcea or syphilis ?
Locate, state the character and the result. Have you gleet or any discharge from the penis ? Describe as in Section 7.
A proper answer to the above, and a full statement of all troubles as directed in the various sections, are essential to the cure of any chronic disease wherever located. Do not treat this subject lightly, nor allow your modesty to prevent you telling the truth. All such information is held in the strictest confidence and is only asked for because it is of the greatest importance in the successful treatment of your case.
Section 35!
Female !
In the treatment of diseases peculiar to women all symptoms from head to feet, and previous history should be given. Local xaminations and local treatment are seldom required and will only be made by the homoeopathic physician when really necessary. In these diseases, as in all others, nature speaks through symptoms which point to states and conditions well understood by the well-informed physician. These diseases, like diseases in other parts of the human economy, are amenable to the internal homoeopathic remedy, they should be treated like those hidden diseases where the eye of the doctor cannot penetrate, by the language of nature, by symptoms pointing to the pathological condition and the curative homoeopathic remedy. There is no need in the majority of cases for local applications, surgical operation, pessaries and supports, cauterization, removal of the womb or ovaries, and the accompanying shock to a true woman's modesty. All these diseases have been cured by the internal homoeopathic remedy, and they again may be by the intelligent physician. We are fully aware that there are conditions and states calling for surgical skill, but surgery should be the last resort.
While it will require more time to effect a cure by medicinal means, it is certainly more pleasant, less repulsive to a modest woman, less dangerous, and more in accordance with the plans of a beneficent Creator. It has often been said and demonstrated that Homoeopathy is woman's best friend. It respects her modesty, preserves her womanhood, relieves her of the many ailments peculiar to her sex and habits, and does it all more pleasantly. It might be parenthetically suggested that much of the suffering of woman arises from her habit of life and obedience to the demands of Dame Fashion. In this section we allude only to those symptoms peculiar to women. No matter what the disease or trouble may be, the patient should read all preceding sections and carefully give the totality of her symptoms as therein directed. Also, each part of this section should be carefully considered.
Mammae (the breasts).
For pain see Section 6. For discharges see Section 7.
For skin eruptions, spots, hard lumps, morbid growths, cancer, etc., consult Sections 31 and 32.
Have you ever had abscess (bealing) of the breasts ?
Have breasts ever been injured ?
Are breasts cold ?
Are breasts hard, swollen, inflamed, hot, sensitive, sore ?
Are breasts undeveloped (too small) or too large ?
Do breasts itch ?
Is there pain when nursing the child (Section 6) ?
Is there any fluid or milk in breasts other than when nursing ?
Is there any trouble with the nipples or the part around them ?
Such as bleeding, burning, cracks, eruptions, gummy secretions, hard, inflamed, inverted or retracted, itching, pain (Section 6), redness, sensitiveness, soreness, swelling, ulcers ?
Genitals (external sexual parts)
Consult especially Sections 4, 6, 31 and 32.
Is there any trouble of the genitals ?
Biting, burning, congested, cracks, dryness, enlarged, eruptions, loss of hair, heat (feels hot), inflammation, irritation, itching, moisture, rawness, sensitiveness, smarting, soreness, stinging, stitching, sweat, swelling, tickling, tumors, ulcers, voluptuous sensation, warts. For any trouble, pain, etc., state all the facts as to aggravation and amelioration, Section 5.
Vagina!
(the canal which leads from the womb to the external orifice of the genitals). Especially consult Sections 4, 6, 7, 31. State all the troubles of the vagina fully and particularly. Do not allow modesty to prevent a full statement. These matters are held in the strictest confidence. There may be want of all feeling in the vagina, bearing down in the vagina, biting, burning, coldness, congestion, constriction and contraction of the walls, discharges (see Leucorrhcea), dragging, drawing, dryness flatus or wind from vagina, fullness, granulations, undue heat, heaviness, inflammation, irritation, itching, jerking, pain, pressing, pricking, prolapse or falling of the walls of the vagina, rawness, sensitiveness, smarting, soreness, stitches, swelling, ulcers, warts.
Ovaries!
(the ovarian region is to either side of the womb and above the groins). Especially consult Sections 4, 5, 6. Always state on which side the trouble is. If an enlargement or a tumor state pains minutely (Section 6), whether it increases or decreases, its relation to discharges from the vagina and menses, how long present, whether growth is rapid or slow, whether movable, and about the size.
Have you ever been injured in the ovarian region ?
Did you have any trouble before marriage ?
Have others of your family, or your mother, had the same or similar trouble ?
State all other troubles. There may be aching, bearing down, boring, burning, cramping, dragging, drawing, gnawing, grinding, heaviness, hardness, inflammation, itching (internal), jerking, numbness, pain, pinching, pressing, pushing sensation, sensitiveness, tenderness, shooting, soreness, stinging, stitches, swelling, throbbing or beating, twitching, twisting, etc.
The Uterus! (the womb is situated in the middle lower abdomen, behind and extending a little above the bladder). In this place it will be well to ask some very delicate, but important questions. A true answer to these may throw much needed light on the case. With these, as with all questions, no reply is to be made unless there should be something abnormal. Were you led into the habit of masturbation (self-abuse) when a child, or later ?
To what extent did you practice it ?
Is there undue sexual desire ?
Is the sexual desire lost ?
Is sexual embrace painful or distasteful ?
Has sexual embrace been excessive ?
Are there any bad results following (within a few hours) sexual embrace ?
If married, how many children ?
If no children, do you do anything to prevent them ?
How do you prevent having children ?
It will be well to fully state everything abnormal about these things, and ask any questions that may give you needed light.Especially consult Sections 4, 5, 6, 31, for womb troubles.
Do you have a consciousness of a womb ?
(Normally there is no feeling, hence no consciousness of any internal organ.) State the sensation if the womb seems not to be in the proper position. If there is pain or other trouble in any other part of the body which seems to be connected with the womb, state particulars and mention what relation there seems to be.
Have you falling of the womb ?
If so, give the extent, the accompanying troubles, the time and cause, what relieves or aggravates (Section 5), and the effect upon you generally. To what extent have you worn a pessary or support, and what would be the effect if you did not wear any ?
For haemorrhage see Section 7 and 30, and "Flow" under Menses in this Section.
Have you ever received an injury in the region of the womb ?
Have you been ruptured or torn in childbirth ?
In womb trouble there may be aching, bearing down (or a pushing as though everything would come out), burning, bursting feeling, contraction, congestion, cramps, cutting, discharge (see vagina in this Section), distress, drawing, enlargement, fullness, heaviness, hardness, inflammation, labor-like pains, motion, neuralgia, pain, pressure, sensitiveness, soreness, spasms, squeezing sensation, swelling, throbbing, etc.
Menses (the monthly sickness or period).
To insure a prompt cure it is necessary for patients to be very observing and report all symptoms as directed in other Sections. The interval between the menstrual periods is 28 days, counting from the beginning of one period to the beginning of the next.
At What age did you have your first menses ?
Had you any trouble before or during the first period ?
Have you, at any time, had your menses stopped or deranged by getting feet wet, from a general wetting from cold, fright, sickness, or from any cause ?
Have menses been irregular or painful since a particular time ?
Are your menses too frequent, too seldom, delayed, regular, early, late ?
How often do they come ?
For pain at the period describe as directed in Section 6, and Before, During, and After, in this Section.
Do you have menses during the nursing of your child ?
Do you have the whites or nose bleed instead of the menses ?
How long do menses last ?
Does excitement or overexertion bring menses on ?
When does the flow increase, decrease, or cease ?
Afternoon, day only, evening, lying down, morning, motion, at night only, walking. Mention anything that affects the flow. Character of the flow. Describe the flow very carefully. Acrid, black, bright red, brown, changeable, clotted or lumpy, copious, dark, excoriating (making parts sore), fetid or foul, greenish, gushing, hot (unduly so), intermitting as to flow, membranous (shreds), milky, mucous, odor (what is the odor ?), pale, profuse, protracted (lasts too long), scanty, stringy, tenacious, thick, too thin, viscid, watery, dark clots in bright blood, etc.
Give exact appearance and odor of the flow.
Before the Menses.
It is very necessary to state whether the accompanying troubles of the menses are before, during or after the flow. We mention some of the more frequent troubles occurring at these times. Various troubles of the abdomen. Loss of or a very great appetite.
Troubles of the back. Difficulty in breathing. Troubles of the chest. Chill. Chilliness. Costiveness. Convulsions. Cough. Delirium. Diarrhoea. Ear trouble. Eructations. Eruptions. Eye trouble. Face trouble. Fainting. Cold feet. Head troubles ; headache. Leucorrhoea. Pains in arms or legs. Swelling, itching and soreness of the breasts. Mental changes (Section 3). Nausea or vomiting. Bleeding of nose. Ovarian troubles. Pain (Section 6).
Restlessness. Sexual excitement. Urinary troubles. Great weakness or weariness. Describe all such troubles, and others, as directed in the various Sections.
During the Menses!
This refers to the time from the starting to the ending of the flow. All the troubles mentioned as occurring "Before the Menses" may occur during the period, and many others. Describe everything as directed in other sections. Consult especially Sections 3, 4, 5, 6.
After the Menses.
Many of the troubles referred to above may occur after the menses.
Give all the complaints carefully as above.
Leucorrhoea (the whites)
At what time does it come on ?
Is it all the time ?
Describe the color, consistency, odor and appearance of the discharge, and all accompanying complaints.
Does it make the parts sore, raw or itch ?
What color does it stain the napkin or clothing ?
Notice what other complaints always come on or are worse when the leucorrhcea comes on or is worse. Does it corrode the clothing ?
Does it come on, or is it worse, before or after the menses ?
Are you excessively weak ?
It may be acrid (corroding), albuminous (like white of an egg), biting, black, bloody, brown, burning, clear, cold, cream-like, dark, fetid or foul, like jelly, greenish, in gushes, honey-colored, lumpy, mild or bland, milky, mucous, opaque, profuse, purulent (mattery), ropy, scalding, scanty, smarting, causing soreness, starchy, sticky, stiffening the linen, suddenly coming and going, tenacious, thick, thin, thready, transparent, watery, white, yellow.
Pregnancy (during and after)
There are many complaints incident to the pregnant state. These are all curable by the homoeopathic remedy, and when thus cured "labor" is always much easier because it is more natural. Treatment during this period is not only best for the mother, but is also best for the future health of the coming child, as well as for future pregnancies. The healthy woman will have no trouble and the minimum of pain in bearing children ; normal labor is easy labor. Report all these complaints as in the various sections of this pamphlet, but especially consult Sections 3, 4, 5, 6, 7. Nearly every abnormal condition of the pregnant woman will be found in the preceding sections.
Have you ever miscarried ?
How often, and what was the condition of your health afterward ?
At what month of pregnancy was the miscarriage ?
What caused the miscarriage ?
For morning sickness consult Sections 15 and 16, and state how long pregnant.
How did you get along at your last confinement ?
Were instruments used ?
How long were you in labor ?
Was there any trouble with the after-birth or with the lochia (discharge) ?
How was your recovery from childbed ?
Describe any complaints you may have had following it.
Have you had milk leg ?
Do you nurse your child ?
If not, why not ?
Was the milk good and sufficient ?
How long after childbirth before having your menses ?
Describe any trouble you may have had pregnancy or after childbirth.
Climacteric (the change of life) Describe any trouble which may arise during this period as directed in the various sections preceding, and especially consult Sections 3, 4, 5, 6, 7.
At what age did your mother or older sisters pass this period ?
If you are now passing it, at what age did it begin ?
Do you have flashes of heat ?
If profuse flooding, describe as directed in "Flow" in this section, and as in Section 30.
If past the period, how long since ?
Did you have any trouble during the climacteric ?
