SUPPLEMENT: KALI CARBONICUM.
Authorities.
13,
Cloquet, from Wibmer (Orfila), a young man took a spoonful in the
morning; 14, Andrew Derver, Edin.
Med. and Surg. Journ., vol. xxx, 1828, p. 310, alittle boy drank about 3
ounces of a strong solution; 15,
same, Mrs. —, who had been all day indulging freely in whiskey, drank
a wineglass of a strong solution, and soon afterwards drank warm water; 16, W. T. Cox, M.D., Lancet, 1834-5 (2), p.
660, fatal poisoning of a child æt. three years, by drinking Pearl-ash
that had become fluid; 17, C. H.
Ralfe, M.D., Lancet, 1878 (2), p. 651, effects of the bicarbonate on
urine.
MIND.
FACE.
►
She looked haggard and exhausted (second day), [15].
MOUTH.
►
The gums became loosened and fell off in pieces, [13]. ► Mouth
and fauces covered with a dirty-brown slough, which rendered the surface
nearly insensible to touch (second day); the sloughs adhered firmly to
the mouth and fauces (third day); the sloughs in the mouth began to
separate, and burning heat in the fauces and gullet immediately
supervened (fourth day); during the following week large portions of
though matter, sometimes firm and adherent like leather, were brought up
by coughing, hawking, or vomiting; gradually the surface, so far as
could be seen, became clean, though raw, and the burning and pain on
wallowing were most distressing; after a month had elapsed the mouth and
fauces began to assume a more healing appearance; the pain and
difficulty of swallowing diminished, [15].
[1700.] ► Tongue, gums and fauces were shockingly
destroyed, the cuticle appearing as if destroyed with a hot iron, while
the inside of the cheeks, roof of the mouth, and velum were entirely
inflamed (after one hour), [14].
THROAT.
►
Every attempt to swallow gave great pain (after one hour), [14].
STOMACH.
►
Thirst very urgent (third day), [15].
► Hiccough and vomiting the whole
day, [13]. ►
Nausea and vomiting with the most violent pains in the stomach, [13]. ►
Inclination to vomit on pressing over epigastric region (second day), [15]. ►
Vomiting, almost immediately; increased after drinking warm water, [13]. ►
Vomited incessantly; the vinegar and water which he drank were instantly
rejected (after one hour), [14]. ► It was with the greatest difficulty that
he could take any nourishment, since it always caused the most violent
pain and frequently vomiting; the vomiting was not persistent, and only
occurred after taking food or drink (after six weeks), [13]. ►
Burning pains, especially in the epigastric region, aggravated by
pressure, for several weeks, [13].
[1710.] ►
Burning in the stomach, extending to the mouth, with a sensation of
constriction, [13]. ► Fluids had scarcely reached the stomach
when they were followed by a sense of burning, and in general, in a few
minutes, were rejected by vomiting (second day), [15]. ► Acute
pain at stomach, immediately, [15].
► On pressing over the epigastric
region she complained of some uneasiness (second day), [12].
ABDOMEN.
►
Abdomen very sensitive to touch, [13].
STOOL.
►
Stools often purulent and at times bloody, for several weeks, [13]. ►
Profuse evacuation from the bowels and violent colic; the evacuations
contained blackish portions of membranes and streaks of blood, [13].
URINARY ORGANS.
►
Urine seldom and high-colored, for several weeks, [13]. ► Took 1
drachm at 12 A.M. (one hour before dinner), and 1 drachm at 8 P.M. (one
hour before supper).Observations, [17].
First Observation.
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.Day before,
1730
1.4
0.41
Day, with 2 drachms of Bicarb.
2080
0.78
0.66
Day after
1750
2.3
0.70
Second Observation. -Made at same hours:
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.Day before,
1442
2.5
1.05
Day, with 2 drachms of Bicarb.
1720
1.2
0.75
Day after
1230
3.9
1.70
Third Observation. -Made at same hours:
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.Day before,
2050
1.9
1.05
Day, with 2 drachms of Bicarb.
2190
1.2
1.6
Day after
1650
2.4
1.3
Fourth Observation. -Hourly variations. Made at same
hours.Day before experiment:
Water passed from
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.12 A.M. to 1 P.M.
58
0.09
0.04
1 P.M. to 2 P.M.
55
0.08
0.03
2 P.M. to 3 P.M.
90
0.08
0.06
3 P.M. to 4 P.M.
35
0.07
0.09
4 P.M. to 5 P.M.
104
0.17
0.09
Total
342
0.39
0.31
Day of experiment:
Water passed from
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.12 A.M. to 1 P.M.
72
Alkaline.
0.05
1 P.M. to 2 P.M.
45
Alkaline.
0.04
2 P.M. to 3 P.M.
40
0.05
0.08
3 P.M. to 4 P.M.
70
0.09
0.08
4 P.M. to 5 P.M.
90
0.09
0.07
Total
817
0.23
0.32
Fifth Observation. -Same conditions.
Day preceding experiment:
Water passed from
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.12 A.M. to 1 P.M.
34
0.046
0.04
1 P.M. to 2 P.M.
43
0.094
0.06
2 P.M. to 3 P.M.
41
0.096
0.03
3 P.M. to 4 P.M.
50
0.065
0.04
4 P.M. to 5 P.M.
60
0.075
0.03
Total
228
0.376
0.20
Day of experiment:
Water passed from
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.12 A.M. to 1 P.M.
82
Alkaline.
0.07
1 P.M. to 2 P.M.
60
Alkaline.
0.06
2 P.M. to 3 P.M.
98
0.11
0.04
3 P.M. to 4 P.M.
150
0.13
0.05
4 P.M. to 5 P.M.
310
0.11
0.07
Total
700
0.35
0.29
Second series of observations to test effect when
taken after meals.Took 1 drachm at 2 P.M. (one hour after dinner), and
1 drachm at 9 P.M. (one hour after supper):
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.Day before,
1480
1.6
0.69
Day, with 2 drachms of Bicarb.
1720
Neutral.
0.76
Day after
2456
1.3
0.91
Second Observation. -Same conditions:
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.Day before,
2600
2.4
1.04
Day, with 2 drachms of Bicarb.
1720
Neutral.
0.76
Day after
2300
1.3
1.15
Third Observation. -Same conditions:
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.Day before,
1296
1.3
1.7
Day, with 2 drachms of Bicarb.
2600
Alkaline.
2.1
Day after
1480
1.7
1.8
Fourth Observation. -Same conditions, hourly
observations.Day before experiment:
Water passed from
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.1 P.M. to 2 P.M.
53
0.06
0.12
2 P.M. to 3 P.M.
55
0.15
0.12
3 P.M. to 4 P.M.
41
0.11
0.11
4 P.M. to 5 P.M.
60
0.04
0.07
5 P.M. to 6 P.M.
61
0.02
0.12
Total
270
0.38
0.54
Day of experiment:
Water passed from
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.1 P.M. to 2 P.M.
47
0.11
0.06
2 P.M. to 3 P.M.
83
Neutral.
0.06
3 P.M. to 4 P.M.
103
Alkaline.
0.06
4 P.M. to 5 P.M.
105
Alkaline.
0.08
5 P.M. to 6 P.M.
110
Alkaline.
0.07
Total
448
0.29
Fifth Observation. -One month later. Same conditions,
hourly observations.Day before experiment:
Water passed from
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.1 P.M. to 2 P.M.
55
0.11
0.09
2 P.M. to 3 P.M.
34
0.02
0.04
3 P.M. to 4 P.M.
94
Alkaline.
0.10
4 P.M. to 5 P.M.
50
0.02
0.08
5 P.M. to 6 P.M.
306
0.08
0.06
Total
539
0.23
0.37
Day of experiment:
Water passed from
Quantity
Cuble cent.Acidity
Grams.Uric acid.
Grams.1 P.M. to 2 P.M.
15
0.08
0.04
2 P.M. to 3 P.M.
92
Alkaline.
0.03
3 P.M. to 4 P.M.
45
Alkaline.
0.09
4 P.M. to 5 P.M.
65
Alkaline.
0.07
5 P.M. to 6 P.M.
105
Alkaline.
0.06
Total
322
0.29
PULSE.
►
Pulse quick (second day), [15].
GENERALITIES.
[1720.]
► Great emaciation, with paleness,
sunken eyes, dim vision, for six weeks, [13].
► Greatly agitated (second day), [15]. ►
Constant trembling and convulsive movements of the limbs, [13]. ► Lips,
tongue, and fauces swollen, soft, and red; breathing labored, and a
rattling in the trachea and larger tubes; pulse quick and feeble, and
the surface generally cold (in one hour and a half), [16].
SLEEP.
►
Little sleep for six weeks, [13]. ► Almost always cold and could be warmed
only with the greatest difficulty, for several weeks, [13].
FEVER.
►
Fever on the next day, with general shivering, violent chill in the
limbs, [13]. ►
Skin hot and dry (third day), [15].
► Cold sweat over the whole body, [13].® 2000
Article