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OSMIUM. – THE ENCYCLOPEDIA OF PURE MATERIA MEDICA By TIMOTHY F. ALLEN, A.M., M.D.

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OSMIUM.

Osmium, an element.

Osmium tetroxide (Osmic acid), OsO4.


Preparation

, Dilutions, with absolutely pure water, of Osmic acid; or
triturations of the precipitated metal.

Authorities.

1,
Berzelius, Poggendorf’s Annals, 1835, effects of vapor; 2, Swanberg, ibid.; 3,
Claus, effects of inhaling the fumes, from Brauell, by Bojanus Int. Hom.
Presse, 5, 193; 4, effects on
Hellmann, an assistant to Claus; 5,
Brauell, effects of small doses on himself; 6,
Bojanus (l. c.), effects of fumes of crude and of inhalation of 1st dec.
dil.; 6a,
same, provings with 10-drop doses of 1st dec. dil.; 7, Stokes, Month. Hom. Rev. 3, 164, took 2
grs. of 3d trit. (first day), same twice (second and third days), once
fourth and fifth day, twice seventh day, once eighth and eleventh day
(took three doses of Merc. sol. and two of Bell., thirteenth day); 7a, same,
subsequently took 3d trit., 1 grain first, second, third, and fourth
days; 7b,
same, subsequently took same dose daily, for seven days; 8, H. D. Noyes, N. Y. Med. Journ., July,
1866, p. 269, a doctor, after heating a compound of Iridium and Osmium,
took a piece from the crucible and held it near the left eye (a similar
effect had occurred before); 9,
Raymond, Progress Med., 1874, a man, after working daily with large
amounts of Osmium, and exposed to its fumes, became sick, hitherto he
had been perfectly well; 10, C.
Hering, provings with triturations of metal, Hering’s Monograph on
Osmium; 11, Neidhard, provings by
olfaction, of Osmium oxide, ibid.; 12,
Raue, provings by olfaction, ibid.; 13,
Mrs. Paschal, provings with 6th cent. trit., ibid.; 14, Genth, effects of inhalation of fumes,
ibid.; 15, Wœhler, effects of
fumes, ibid.; 16, Hardenstein, ibid.

MIND.

►
Morose mood, [5]. ► Irritable, at times even angry, [5]. ►
He gets very impatient on account of an itching, on going to bed, which
prevents sleep, [10]. ► Misplacement of words in the same phrase
(1st dec.), [10]. ► Disinclination for every work, [5]; (after two hours), [6a]. ►
Thoughts of accidents having happened to others, by a blow, a fall, or
being dashed to pieces; gradually these thoughts grow upon him, as if he
were to do the same injuries to others (after several weeks), [10]. ►
Inward weakness; thinks he will have to give up practice on account of
mental weakness, in the evening, when riding out, [10].

HEAD.

►
Frightful headache, depriving him of sleep, [9]. ►
Terrible headache above and under the eyes, on one side, tearing towards
the ear; worst under the eyebrows; the eye waters and is weak (a similar
effect from other influences, f. i., Oxide of Kakodyl), [14]. [10.] ► Dull headache, like a band round the head
above the ears; after the second dose, the dull headache extends from
the base of brain into the jaws (third day); at night, dull aching at
base of skull and in jaws (fourth day), [7].
► Intense dulness of the head, with
heat in it (soon after 1st dec.), [10].
► Dulness of the head, with pressure
and heaviness, especially in the left frontal eminence, [6a]. ► Dull
head all day (second day), [7b]. ► Head feels dull and full (after two
hours), [6a]. ► Heaviness of the head, [3], [4], [5]. ►
Muddled head (fifth day), [7]. ► Peculiar feeling in the head (soon after
olfaction), [10]. ► Forehead. ►
Headache in the right upper side of the forehead, a tearing to and fro,
deep in; at the same time similar pains in the bones of the limbs, deep
in, in the evening (first day, 1st dec.), [10].
► Pressing headache in the localities
of the organs of ideality (after olfaction), [12]. [20.] ► Pressing headache in the forehead, soon
followed by ulcerative pain in the left leg and gluteal muscles, at 9
P.M. (five minutes after twice repeated olfaction), [11]. ► Great
pain in the upper right side of forehead (soon after olfaction), [10]. ►
Compressive pain in the forehead and temples, [5]. ► Temple.
► Headache, principally in the
temples, with pain in the larynx, and hoarseness, [13]. ► Severe
pressing pain in the left petrous bone, upwards and backwards of the ear
(after trituration), [10]. ► Vertex and Parietal. ► All the afternoon had fulness and aching
at the upper and back part of the head, indoors and out; worse by
throwing the head back (second day), [7].
► Occipital headache continued (sixth
day), [7]. ► External Head. ►
Falling out of hair is increased and continues (twelfth day, after 1st
dec.), [10].

EYE.

►
Immediately struck with a sharp pain, he shut the eye and drew back. In
ten minutes he came to my office. The lids were spasmodically closed,
light very distressing, and pain in the globe severe. The conjunctiva
and sclera were intensely injected, and lachrymation profuse. Pupil of
natural size and activity. Sight dim, viz., 1/3, and reads only No. 3 of
Jæger at ten inches. All objects look dim. this dimness is not the
effect of lachrymation, because wiping away the tears does not better
the vision. Accommodation perfect. There are no muscæ nor phosphenes;
the visual field normal. By the ophthalmoscope, both the inverted and
upright image, no material change discovered. The media clear, the optic
nerve pink, but not unlike the other eye. The external inflammatory
symptoms continued for one day, and then the eye resumed its normal
condition, both in appearance and function, [8]. ►
Extremely violent pains in the eyes, [9].
[30.] ►
Violent pain around the left eye, as if externally on the bone (half an
hour after 1st cent.), [10]. ► Burning pain in the eyes, from going into
an atmosphere containing vapors of Osmium, [1]. ►
Sensation as if the axis of vision was moved back and forth a short
distance, without moving the eyes, with closed eyes, in the evening
(first day, 1st dec.), [10]. ► Burning sensation in the eyes, with
profuse lachrymation, [3], [4]. ►
Extremely violent burning pain in the eyes, with very copious
lachrymation, [3]. ► Extremely small quantities of the vapor
act violently on the eyes and lungs, [15].
► Lid. ►
Muscular twitchings, both felt and seen, in the levator of the right
upper lid, relieved by rubbing, but always returning and lasting two
hours, during the morning (second day), [6a].
► Violent itching in left inner
canthus; irresistible desire to rub it (second day, after 1st cent.), [10]. ►
Lachrymation.
►
Lachrymation, aggravated by fixing the eyes upon any object, [6]. ►
Conjunctiva and Ball.
►
Burning sensation in the conjunctiva, [5].
[40.] ►
Pressive pain in the eyeballs, [5].
► Vision. ► Acuteness of vision diminished, so that
large objects, somewhat distant, seem enveloped in a fog, and cannot be
distinctly recognized, [5]. ► Dimness of vision, especially of the
right eye, that cannot be removed by wiping; it seems as though a mist
were before the eye, or the room were full of smoke, [6]. ►
Decrease of sight; could just tell night from day, but could not discern
the large letters on a title-page; this remarkable affection of the
sight lasted, each time, after smelling Bioxide of Osmium, for three or
four days, [2]. ► When attempting to read, letters run
together, so that he cannot distinguish them, [3], [4]. ► The candlelight is surrounded by a
bluish-green circle, the outer margin of which is bright red; if the
light is removed to the distance of ten or fifteen paces from the eyes
the circle disappears, and the flame seems indistinct, as if enveloped
by a cloud of dust or smoke, [6]. ► Candlelight surrounded by a bluish-green
circle, bordered by an ashy-gray margin, becoming larger as the light
was removed, [5]. ► The flame of the candle seemed surrounded
by a green circle, bordered by a red margin, which was larger or
smaller, according to the distance from the light, [4]. ►
Candlelight surrounded by a yellowish circle; at the distance of about
ten feet it had a diameter of three inches, [3]. ► In the
evening, a very large rainbow-hued ring around the flame of every
candle, whenever he is exposed to an atmosphere smelling of Osmium, even
slightly, [15]. [50.] ►
The flame of the lamp, in the evening, seemed much larger and more
confused than natural, [2].

EAR.

►
Earache, first in the right, then in the left ear, in the evening (first
day, 1st cent.), [10]. ► Ringing in the right ear (half an
hour after 1st dec.), with pain (immediately after trituration), [10].

NOSE.

►
Coryza, [5]. ►
Constant discharge from the nose, [3],
[4]. ►
Constant running from the nose, with a sensation as if the nose were
full, [5]. ►
Secretion from the nose, [5]. ► Sneezing, [5].
► Frequent sneezing, with increased
secretion of mucus in the nose, [6].
► Frequent ineffectual efforts to
sneeze, [6]. [60.] ►
From the posterior nares, lumps of phlegm easily loosened, [10]. ►
Sensation of fulness in the nose, as if coryza would come on, [6]. ►
Prickling sensation in the nose, with increased secretion of mucus, [6]. ►
Peculiar irritation in the nose, throat, œsophagus, and trachea, as if
he had been burnt with hot water, [4].
► Very violent burning irritation in
the nose, [3]. ► Sensation in the nose as though blood
rushed into it from the head, [6].
► Irritation in the Schneiderian
membrane, like that caused by snuff, [5].
► Nose and larynx very sensitive to
cold air, [6]. ► Smell. ►
The sense of smell is diminished (second day), [6]. ► Senses
of smell and taste blunted, [6]. [70.] ►
Smell similar to Chlorine, [10]. ►
The stinging odor of the acid remained for a long time in the nose, and
afterwards changed to a sensation like that after one has received a
blow upon the nose (odor of blood), [6].

FACE.

►
Dull aching in jaws and at base of brain, at night (fourth day), [7]. ►
Cold jerks in the left upper jaw and front teeth, after olfaction, [10]. ►
Pain in the muscles of chewing, after eating wheat bread (from two to
three hours), [10].

MOUTH.

►
Teeth and Gums.
► The
teeth creak, more than usual when rubbing them with the finger (1st
dec.), [10]. ►
The pain in the right upper tooth returned, but was drawing, and was
relieved by sucking the tooth with the tongue (third day), [6a]. ►
Jerking pain in a right upper hollow tooth, very painful, frequently
preventing speech (have had a pain in this back tooth before, but it was
of a very different character), [6a].
► Broad swelling above the root of an
upper left incisor, with pain and numbness; suddenly, after eating
pears; disappeared after silicea (fourteenth day, after 1st dec.), [10]. ►
Tongue.
► There was a red
stripe on the middle of the tongue, that pained as if sore; the edges of
the tongue were rough and covered with small pimples; the tongue was
sensitive to the slightest touch, when eating and drinking, [13]. [80.]
► Tongue much coated; coffee tastes
badly (third day, after 1st dec.), [10].
► General Mouth. ► Mouth sticky and pasty, as after a long
illness (after a few hours), [6a].
► Saliva. ► Increased secretion of saliva, with
frequent need of spitting, [6]. ► Copious salivation, with constant
expectoration of mucus, with retching, without inclination to vomit, [3]. ►
Copious salivation, [4]. ► Salivation, [5]. ► Taste.
► Taste blunted, [6a]. ► Taste
of blood in the mouth, [5]. ► Metallic taste (after two hours), [6a]. ►
Tobacco does not taste as usual, it causes a scraping in the throat;
cigars cannot be smoked, because they provoke cough and aggravate the
rawness in the larynx, [6].

THROAT.

[90.]
► Burning irritation in the pharynx, [3]. ►
Sensation of increased warmth along the œsophagus, in the chest
(immediately), [6a].

STOMACH.

►
Appetite.
► Loss of
appetite, [4]; for dinner (sixth
day), [7b]. ►
Great aversion to his coffee and tobacco, even their odor was
disgusting, [4]. ► Eructations. ►
Incessant, extremely distressing eructations of the odor and taste of
the drug, with great nausea, so that he thought he would vomit every
moment, which, however, he did not; this was accompanied by much
spitting of the saliva, which constantly accumulated in the mouth, and
which was very watery (after twenty minutes), [6a]. ► Empty
eructations, at first without taste, afterwards having the taste and
odor of the acid, relieving the nausea (soon), [6a]. ►
Eructations of the odor of radish (after a few hours), [6a]. ► Nausea and
Vomiting.
► Sensation of
qualmishness and discomfort, in the abdomen below the navel, with a
feeling of weakness (after a few hours), [6a].
► Feeling of qualmishness in the pit
of the stomach, while riding, in the open air (second day), [6a]. ►
Qualmishness and extreme discomfort, with dull pain and heaviness in the
pit of the stomach, after eating, [6a].
[100.] ►
Nausea, without accumulation of water in the mouth, and without
retching, [6]. ► Nausea, with accumulation of water in the
mouth, [6]; obliging frequent
spitting (immediately), [6a]. ► Frequent attacks of nausea, without any
cause (after several days), [6a]. ► Nausea and discomfort in the pit of the
stomach, in the morning (second day), [6a].
► Nausea, without vomiting, [9]. ►
Vomiting of much watery mucus, of the odor and taste of the acid, with
numerous blackish-green flakes of mucus, looking like the deposit that
the acid causes when brought in contact with organic substances;
vomiting paroxysmal, at first of water, afterwards of yellowish and
tenacious substances; after vomiting eructations of gas of the odor and
taste of the acid, with continued salivation (after half an hour), [6a]. ►
General Stomach.
►
Distension of stomach and bowels, with difficult passage of flatus, in
the evening (third day), [7b]. ► All the evening had distension of stomach
and abdomen, although the dinner was only plain roasted mutton and
potatoes (first day), [7b]. ► At 6 P.M., weakness of stomach, almost
amounting to nausea, and aversion to cocoa, usually so well relished;
this, by-the-by, occurred during the digestion of meat pudding, and
requires a glass of brandy and water, at 10.30, to set matters right
(after three hours and a half), [7a].
► All day yesterday and to-day there
has been uneasiness in the stomach, increasing to anxiety and
contraction; worse after food, and much aggravated by stimulants (eighth
day), [7]. [110.] ►
Constrictive pain in the stomach, in the forenoon (seventh day), [7b]. ►
Before dinner (which I take at 12.30), felt contractive pain and weight
in epigastrium; this is often attended by a feeling in the stomach as if
I had swallowed a lot of stones from a newly laid road (sixth day), [7b]. ►
During the proving my digestion suffered a good deal, and during about
nine or ten days, I felt no attraction to the pleasures of Venus,
although at all other times very easily excited thereto. My suppressed
report ran thus: “Venereal appetite suppressed for eight or ten
days; the conjugal act when performed was done by a sheer act of
volition, and the usual thrill in ejaculation was absent (in a letter to
the Editor, Aug. 3d, 1877”), [7].

ABDOMEN.

►
Rumbling and gurgling in the abdomen, as if in the intestines air were
mixed with water, indeed one can feel the bubbles of air passing through
the intestines, though there is no pain, [6].
► Rumbling and moving about in the
abdomen (after a few hours), [6a].
► Slight griping in the bowels, at
night (second day), [7b]. ► Abdomen very sensitive, and distended all
the afternoon (fourth day); again troubled with distension, all the
afternoon and evening (fifth day); bowels distended, in the afternoon
(sixth day), [7b]. ► Sensation like great weakness in both
groins towards the spermatic cords (soon), [10]. ►
Pressure on both inguinal rings (sixth day), [7b].

RECTUM AND STOOL.

►
Urging to stool, but only passage of flatus, in the afternoon (second
day after 1st dec.), [10]. [120.] ►
Stool very hard, then soft, preceded by violent urging, followed by
frightful burning in the anus preventing sleep, with desire for stool,
but only a little yellowish mucus was passed, [6a]. ►
(Diarrhœic stool after drinking coffee), (1st cent.), [10]. ►
Diarrhœa-like, bloody stools, accompanied and followed by colic; he
evacuated black blood, as much as two or three centimeters every time
(did not suffer from hæmorrhoids), [9].
► Evacuation soft, almost pasty,
though formed thin, otherwise, normal, at 9 P.M., following a normal
stool, at 10 A.M. (first day), [6a].
► Mushy stools in the morning,
afternoon, and evening (1st dec.), [10].
► In the morning, first hard, then
thin soft stool, of a striking orange-yellow color (after olfaction,
third day), [10]. ► The bowels were not moved till 4 P.M.;
the evacuation was passed hastily, with burning at the anus; it was
bilious and partly fluid (second day); no evacuation to-day, only a
small lump, like a marble, passed, after trying very hard to relieve
myself (fourth day); no evacuation to-day until 10 P.M., it was dry and
full of air (sixth day); bowels relieved at 10 A.M.; evacuation small in
volume and quantity (seventh day); the bowels remain costive (eleventh
day), [7b]. ►
The bowels are confined, but move daily, [7].
► Evacuation delayed, small and
constipated (fifth day), [7].

URINARY ORGANS.

►
Urine.
► Urine very
albuminous, [9]. [130.] ►
In the evening perceived the urine to be strongly scented, somewhat like
violets, very highly colored, and apparently full of bile (fifth and
sixth days), [7]. ► Urine brown and scanty all day (second
day); this morning the urine was scanty, and strongly scented, but not
so dark as before (third day); scanty and dark-colored urine (fourth
day); now begins to be more free and less colored (eleventh day), [7b]. ►
Much bright-red sediment in the urine, in part deposited on the bottom,
in part adhering to the sides of the vessel, [6a].

SEXUAL ORGANS.

►
Male.
► Pain in the
spermatic cords, especially in the left (the same which he had after
phosphoric acid), (soon after triturating; the same again after 1st
dec.), [10]. ►
Pain in the spermatic cords, extending into the testicles, with
inflammatory swelling of the right inguinal glands, as large as a
pigeon’s egg; this lasted ten day, [3].
► Glans penis reddened, on the left
side; during coition a longer lasting emission of semen (1st dec.), [10]. ►
Throbbing, stinging, pricking, pinching pain on the left side of the
glans penis (after trituration), [10].
► Violent yet undefined pain at the
tip of the glans penis and in the foreskin (1st cent.), [10]. ► Pains
in the right testicle (immediately after olfaction), [10]. ► Pain
in the testicles, so that he could not sleep the whole night, [3]. [140.]
► Very hard erections (sixth and
following days after 1st dec.), [10].
► Very hard erections; frequently
soon after midnight, always on awaking in the morning, without
exception, either before or with it; later, they continue longer, even
after rising; moderate sexual desire (tenth and eleventh days, after 1st
dec.), [10]. ►
Erections every morning, earlier and harder, [10].

RESPIRATORY ORGANS.

► Larynx, Trachea, and Bronchi. ► Small lumps of phlegm easily loosened
from the larynx, [10]. ► The mucus hangs in the larynx like a
thread, irritates to hawking and cough, causing retching and almost
vomiting; after sneezing it is loosened very easily (eleventh day after
1st dec.), [10]. ► With a slight cough and coryza a very
severe pain in the larynx; it pains her to talk, every word she speaks
hurts her, [13]. ► Sore pain in the larynx, [6]. ► Burning
irritation in the larynx and trachea, [3].
► Irritation in the larynx, with
hacking cough, [5]. ► Tickling in the larynx and trachea, [5]. [150.]
► Tickling in the larynx, [5]. ►
Scraping in the larynx, provoking cough, [6].
► Slight rawness in the larynx
(eleventh day); increasing until the thirteenth day, when it was a very
severe laryngeal catarrh, the voice hoarse, weak, and low, and almost
extinct; lay in bed all the morning, and took three doses of Merc. sol., and two of Bell., which carried off the attack, in the
afternoon, [7]. [I am not positive
that the laryngeal affection was medicinal, but I am very much inclined
to think it was.] ► Scraped, raw
sensation, and prickling in the larynx, not provoking cough, [6]. ►
Scraped, raw sensation in the epiglottis, [6].
► Sensation in the larynx, causing
frequent hawking, [6]. ► Profuse secretion of mucus in the
air-passages, with constant inclination to cough, [3]. ► Tedious
secretion of phlegm from the air-passages (after inhaling vapors of
Osmium), [1]. ► Very extensive bronchitis, [9]. ► Voice.
► Hoarseness, with pain in the
larynx, for eight weeks; she was hoarse when talking, but particularly
when singing, so much so, that she could not sing at all; the hoarseness
was much worse each time after going into the open air (riding out or
walking), as soon as she came home, [13].
[160.] ►
Hoarseness, [6]. ► Cough and Expectoration. ► *Paroxysms of convulsive coughing, [1]. ►
Frequent cough, [3]. ► Cough, with sensation of constriction in
the air-passages, [4]. ► Cough, only in the morning (after three
days), [6]. ►
Cough, on rising; violent short bursts of cough, with expectoration
(fourteenth day after 1st dec.), [10].
► Cough short, dry, accompanied and
followed by pain in the larynx and trachea, extending to the middle of
the sternum, as if raw and sore; very violent, as if the mucous membrane
would be torn off with every paroxysm of cough, [6]. ► Cough
dry, racking, difficult to loosen, [6].
► Dry spasmodic cough, [3]. ► Hacking
cough, relieved by deep inspiration, [5].
[170.] ►
Constant hacking cough, [5]. ► Hacking cough and irritation in the
larynx, aggravated by motion, in the open air, [5]. ► Cough,
with secretion of colorless mucus (after several hours), [6]. ► After a
cold, while nursing a sick child, and losing sleep at night, slight
cough with pain in the larynx, she had also some coryza, but continued
to take Osmium 6th cent.; the tongue became very sore, the pains in the
larynx very severe; she was taken with hoarseness; she was afraid she
would get the croup, and took Spongia and Hepar, which relieved
somewhat, [13]. ► After coryza, the cough returned during
the day, very severe and disturbing sleep until midnight; a slight but
irresistible tickling irritation in the larynx, causing short bursts of
cough, increasing in violence; after repeated sneezing something is
loosened, like a little round lump, which he is compelled to swallow
(fifth day), [10]. ► Hawking of mucus frequently accompanied
by attempts to vomit, [5]. ► Incessant expectoration of mucus, causing
inclination to vomit, [4]. ► Respiration. ►
Difficult respiration, [3]. ► Difficult respiration, which was almost
asphyxia, with dry skin, and temperature of 40.6° C., [9]. ►
Difficult whistling respiration, [3].
[180.] ►
Difficult respiration, with dyspnœa, [4].

CHEST.

►
Moist râles in the chest and larynx on breathing, [6]. ►
Pneumonia very peculiar and extremely obstinate; possessing a singular
motility, occupying at one time a certain portion of the lung, at
another time changing its place, [9].
[Autopsy showed the whole left lung in the third stage of gray
hepatization; in the other lung, red hepatization; there were also found
indications of approaching gangrenous dissolution; the bronchial glands
enlarged, red and soft; the kidneys showed the second stage of Bright’s
disease; in the stomach were large ecchymosed spots.] ► Air, containing vapors of Osmium, affects
the lungs when inhaled, [1]. ► Oppression of the chest, [3], [4]. ► Oppression of the chest, with difficult
respiration, as if the lungs were collapsed and they could not get air
enough, relieved by deep inspiration, [5].
► Tightness of the chest; dread of
breathing; one can feel the air entering the bronchial tubes by the sore
pain it causes, [6]. ► Pain near the left lower rib, about a
quarter of a circle towards the front; a dull stitch (immediately after
olfaction), [10]. ► Rawness in the chest provokes hawking and
hacking cough, [6]. ► Sensation of dryness in the chest, [6]. [190.]
► Pain beneath the sternum on
coughing, extending to both sides of the chest, with a burning soreness,
as if everything were raw; after coughing a long time some lumps of
yellow tenacious mucus were loosened, [6].

HEART AND PULSE.

►
Pulse 90, when I am well it is 72 (sixth day); 80 (seventh day), [7b]. ►
Pulse 80 before taking the powder (second day); 78 (third day); 84 at 11
A.M. (fourth day), [7a].

NECK AND BACK.

►
Pains in the back, [3]. ► A peculiar pressing pain in the back,
extending from the scapula to the sacral region, aggravated by motion
and by cough, [4]. ► Pain in the lumbar region, [4]. ►
Pressure in both loins, that on coughing extends into the testicles, [3]. ►
Pressive pain in the sacral region, [5].

EXTREMITIES.

►
The limbs feel as heavy as lead, with weariness and heaviness in them,
especially in the knees, was unable to stand long (after two hours), [6a].

SUPERIOR EXTREMITIES.

► Shoulder and Arm. ► Pulsating, dull stinging on the inner
side of right shoulder-joint (after olfaction), [12]. [200.] ► Severe pinching pain in the left upper
arm, a handbreadth above the elbow, inwardly and on the inner posterior
side; often repeated and very severe, for fifteen minutes (soon), [10]. ►
Sensitive pain in the middle of the left humerus; soon after in the
fingers of the left hand (two hours after olfaction), [10]. ► Elbow.
► Violent bone-pain in the left elbow
(immediately after olfaction), [10].
► Forearm. ► Violent pinching in the bones of the
right forearm (after 1st cent.), [10].
► Drawing on the inside of the right
forearm (after olfaction), [12]. ► Dull weary pain deeply seated in the left
radius, aggravated by lifting anything or by allowing the hand to hang
down, lasting three days, gradually disappearing; on the third day, the
pain extended to the same place in the right forearm but was much less
severe, [6a]. ► Burning pressure on the outer side of the
right forearm (after olfaction), [10].
► Wrist. ►
Pain in the left wrist-bones, in the morning after stool (second day
after 1st cent.), [10]. ► Finger. ►
Severe pains in the right forefinger, especially in the phalanx,
stinging and twitching towards the point, in the forenoon (after a
week), [10]. ►
Burning pains in the left ring finger (sixth day after 1st dec.), [10]. [210.]
► Aching pain in the
metacarpo-phalangeal joint of left thumb (fifteenth day), [7]. ►
Irregular attacks of stabbing in the tips of the fingers, particularly
those of the left hand (fourth day), [7].
► Several times I have felt the
stabbing pains in the tips of the thumb and fingers of the left hand, [7b].

INFERIOR EXTREMITIES.

► Fulness and restlessness in the legs
which becomes quite unbearable, he does not know what to do with them,
and finally he has to lie down, at 9 P.M. (fifth day after 1st dec.), [10]. ►
The legs and feet feel as if too full (1st cent.), [10]. ►
Yesterday and to-day felt a drawing aching in the left quadriceps
tendon, each side of top of patella, varied by occasional shoots below
the external malleolus, and on the instep of left foot (fourteenth day);
aching of left knee is less severe, and ceases at night (fifteenth day),
[7]. ►
Sudden pain in the hip-joint as if it would be dislocated, preventing
walking, but lasting only a few minutes, [6].
► Severe pains in the right ankle,
which do not prevent walking (first hour), [10]. ►
Pinching pain in ankles (first cent.), [10].
► Flying, cutting pains in the bones
and joints of the right foot (first hour, after olfaction), [10]. [220.]
► Pinching, pressing pain in the
heel, as if in the bone, first left, then right (second day, after 1st
cent.), [10].

GENERALITIES.

►
Was obliged to keep is bed ten days on account of weakness, from which
he was not free until the third week, [4].
► Indolence, [5]. ►
Weakness, [5]. ► Great weakness of the whole body, so that
he was frequently obliged to sit down, [4].
► Weary, as after a very long walk
(after two hours), [6a]. ► Felt very weak and easily tired
(thirteenth day), [7]. ► General sick feeling (after a few hours),
[6a]. ►
Feeling so poorly, I took no more medicine (ninth and tenth days), [7]. ►
I rise jaded, [7b]. [230.] ►
Feel restless and fidgety (eighth day), [7].
► Arose feeling jaded, after a
restless tossing night (second morning), [7a].
► Arose very tired, with muddled head
and aching limbs and body, and was thus all day (fifth day), [7].

SKIN.

►
Red spots on the dorsum of the hand, [16].
► The fold of the skin remains
attached to the growing nail; more on the right side, and mostly on the
middle finger (fourteen days after 1st dec.), [10]. ►
Copious exanthema on the forearm and on the dorsal and palmar surface of
the hands and on the cheeks, [9]. ► Red-brown papules on the skin of the
forearm, and hand, with desquamation of the epidermis, [9]. ► Small
pointed vesicles, surrounded by red areola, with intolerable itching, on
the back of the left hand, between the thumb and index finger (in a spot
where, six years before, scabies had broken out); some vesicles appear
on the ulnar margin of the same hand, extending from the metacarpal
joint to the phalanges of the little finger, on the outer surface of the
wrist; also on the right hand violent itching, but not vesicles; these
vesicles disappear after twenty-four hours (third day), [6]. ► Burning
stitches in the skin on many places, particularly in the right upper
lid; worse at the inner border of the nail of the fourth finger of the
left hand, where it burns like fire (soon after 1st dec.), [10]. ►
Prickly heat disappears on the upper half of the body and increases on
the lower, first on the thigh, then on the leg, then on the ankles
(after several days), [10]. [240.] ►
Itching, as from crawling insects, on the shoulders and back, in the
evening, when going to bed; it scarcely permits sleep, and makes him
very impatient (nine days after 1st dec.), [10]. ►
Violent itching on a place an inch wide and a hand long above the crest
of the left ilium, towards the abdomen; the place is red, with many
small pointed spots, as if tetter would appear (seventh and following
days after 1st dec.), [10]. ► The itching on a small spots near the
left hip returns, when the erections return, at 3 to 4 A.M. (thirteen
days after 1st dec.), [10]. ► Violent itching on the legs and ankles
(first day, 1st dec.), [10].

SLEEP.

►
Overpowering sleepiness (after two hours), [6a]. ►
Sleepiness, [5]. ► Night restless, [4]. ►
Restless tossing night (first night); slept badly; tossed about as
before (third night), [7a]. ► Sleep restless every night, with dreams
of painful events (seventh day); sleep is haunted by dreams of activity
and of events of a serious and important character, but they are not
remembered on waking (eleventh day), [7b].
► Restless night (first day), [7b]. [250.]
► Nightmare during sleep, [9]. ►
Confused, but not frightful, dreams of fire, at night, [6a].

FEVER.

►
Shivering, especially in the back, [5].
► Fever, with difficult respiration, [9]. ►
Sweat in axilla, smelling of garlic (eighth day), especially in the
evening and at night, lasted for a week, [10].

CONDITIONS.

►
Aggravation.
► (Morning), Twitching in the levator of right
upper lid; nausea; on awaking, erections; cough; on rising, cough; after
stool, pain in the left wrist. ► (Forenoon), Pain in stomach; pain in right
forefinger. ► (Afternoon), Bowels distended; urging to
stool. ► (Evening),
Headache; 9 P.M., headache in forehead; ring around flame of candle;
flame of candle seemed larger; earache; 6 P.M., weakness in stomach;
distension of stomach and bowels; fulness and restlessness in legs;
urine strongly scented; when riding out, inward weakness; on going to
bed, itching; sweat in axilla. ► (Night), Aching at base of skull; aching in
jaws and base of brain; sleeplessness; sweat in axilla. ► (Open air),
Hoarseness. ► (Breathing), Moist râles in chest and larynx.
► (Coughing),
Pain beneath sternum; pain in back. ►
(After drinking coffee), Diarrhœic
stool. ► (While
eating and drinking
), Tongue sensitive. ►
(After eating), Wheat bread, pain in
muscles of chewing; pears, pain and numbness in teeth; qualmishness. ► (Fixing eyes
upon any object
), Lachrymation. ►
(Hanging hand down or lifting), Pain
in radius. ► (Motion), In open air, hacking cough; pain in
back. ► (Riding
in open air
), Qualmishness. ►
(Smoking cigars), Rawness in larynx.
► (Stimulants),
Uneasiness in stomach. ► (Talking), Pain in larynx. ► (Tobacco),
Scraping in throat. ► (Throwing head back), Headache in upper part
and back of head. ► Amelioration.
► (Deep
inspiration
), Hacking cough; oppression of chest. ► (Rubbing),
Twitching in levator of right upper lid. ►
(Sucking tooth with tongue), Pain in
upper tooth.

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