KALI CYANATUM.
Potassium cyanide, KCy.
Preparation
, Triturations.
Authorities.
1,
Lembke, provings with 1st and 2d trits. (1 to 50), doses of 2d trit., 1
to 8 grains, of 1st trit., 3 to 35 grains, afterwards with a solution of
1 grain crude in a drachm of water, doses increased to 20 drops each, A.
H. Z., 49, 179; 2, Mr. —, took 3d
trit., night and morning to third morning, Pub. Mass. Hom. Med. Soc.,
II, p. 18; 3, same, took 1st trit.,
night and morning, for four days; 4,
another man took 1st trit. (first, second, and eighth days), from same; 5, Weidner, effects of about 12 grains in
solution, Casp. Woch., 1845 (Frank’s Mag., 1, 163); 6, a physician took about same dose, from
same; 7, Wagner, a man took a large
quantity of a strong solution, Archiv f. Phys., 1859 (S. J., 105, 176); 8, Blondlott, effects of a solution (?), J.
de Chim. Méd., 1856 (S. J., 90, 169); 9,
Gunther, effects of a solution (?), Archiv f. Hom., 12, 1, 142; 10, Orfila, fatal tox. by an injection of 200
grains; 11, Ware, a woman took about
7 grains in a solution, Bost. Med. and Surg. J., 1856, p. 387; 12, Perry, a child with slight cough took
about 4 grains in solution, N. Am. J. of Hom., 1852, p. 475; 13, Krause, a man took about 1 drachm, Am. J.
of Med. Sc., N. S., 58, p. 422; 14,
Dr. O. R. King, a girl of six years, tasted of a solution containing 20
grains to an ounce Am. Hom. Rev., 1, 563; 15,
Schauenstein, three cases of poisoning, Am. J. Med. Sc., 1860, p. 279; 16, Ebersberger, a girl aged three, took
about 6 grains, Syd. Yr. Book, 1860, p. 460; 17,
Damme, effects of removing silver stains with KCy and vinegar, Br. and
For. Med.-Chir. Rev., 1863, p. 535; 18,
Carriere, effects of injection of a solution, Bull. Gén. de Thér., 77,
458; 19, Scholz, a man swallowed a
piece the size of a pea, Monats. Bl., A. H. Z., 15, p. 7; 20, Stearns, effects in a healthy man, Am. J.
Med. Sc., 1869, p. 408; 21, Frank,
effects of a solution, Vjs. f. Ger. Med., 1868; 22,
Taylor, effects of 3 grains in solution (followed immediately by
sulphate of iron and mustard and water, till vomiting was induced); 23, Arnold, effects of about 1 grain on self,
Am. J. Med. Sc., 1869, p. 103.
MIND.
►
Emotional. ► Disposition
gentle (sixth day), [4]. ► Good disposition of mind, with
light-heartedness, jocularity, and brightness of feelings, all day
(fifth day), [4]. ► Had occasion to get angry, but could not;
felt more like laughing instead (second day), [4]. ► For two
days, desire to find fault; crossness almost uncontrollable on entering
the room; while the cold open air produces good spirits (third day), [2]. ►
At 7 P.M., while walking out of doors, feeling of crossness; carries on
a kind of conversation within himself, as if quarrelling with some one
with whom he had previously disagreed; thinks what he will reply in case
certain things are said to him (this state of mind is really painful;
there are occasional remissions of it, and there is really no cause for
it), (fifth day), [3]. ► As a general thing, for the past few
days, easily provoked, and impatient at trifles (fifth day), [3]. ►
Intellectual. ► Perfectly
bright and well on waking and rising (seventh day), [3]. ►
Sometimes cannot think clearly and to the point, in the forenoon (fifth
day), [4]. ►
Memory seems weak (fourth day), [4].
[10.] ►
She remembered nothing from the time she tasted the solution till
consciousness was restored (two hours and a half), [14]. ►
Perfectly lucid, but had no recollection of anything which occurred
after she took the injection (second day), [18]. ► Talked
all the evening, but could not find words easily (ninth day), [4]. ►
Inability to recollect certain words (aphasia), for several days, [19]. ►
Seemed to lose all thought for a moment only; the same sensation again
half an hour afterwards (fifth day), [4].
► Stupefaction, [1]. ► Lying
on the floor in a deep stupor, [23].
► Loss of consciousness, [5]; (after a few minutes), [11]. ►
Almost complete loss of consciousness, [6].
HEAD.
►
Confusion and Vertigo. ►
Head confused and heavy (after one hour), [6].
[20.] ►
Vertigo, even to losing his balance, [6].
► Intense vertigo so that all objects
seemed to be moving around him (after a few minutes), [17]. ►
Violent vertigo, accompanied with a sort of swooning, then she fell and
lost her consciousness (immediately), [18].
► Slight giddiness in the head
(immediately), [23]. ► General Head. ►
Head drawn backwards (soon), [18].
► Head seems light, and also the
tongue, with pleasure and power to talk, in the morning; had a headache
on the day before commencing the proving, leaving head dull, which was
replaced by lightness of the head and tongue (second and third day), [4]. ►
Started up suddenly complaining of pain in the head and pit of stomach
(after two hours and a half), [14].
► Head began too feel full, and had
dry feeling, with tension across nose and inner corners of the eyes;
also around the mouth, at 7.30 A.M. (ninth day), [4]. ►
Headache (after two hours, second day), [18].
► He was unable to tolerate any
covering on the head, whatever in the cold or warmth, because it caused
the frightful headache, for months after the attack, [9]. ► Forehead.
[30.] ►
Pressure in the forehead, [6]. ► Headache in the forehead, dull, pressing,
but confined to a small space over the frontal bone, while walking
briskly in the open air, at 4 P.M. (third day), [3]. ► Slight
shooting pains in the forehead, over the eyes, particularly the left;
pains shooting from below upwards, while riding in the open air, in the
forenoon (third day), [3]. ► Vertex. ►
Oppressive headache on top of head, the pain moving about, sharp and
tearing, for five minutes; then head feels dull, which passed away
unaware, at 11 A.M. (third day), [4].
► Slight oppressive headache on the
top of the head, in the forenoon (tenth day), [4]. ► Occiput.
► Slight dull pain in back of head,
aching about twenty minutes, just before going to sleep (first night), [4].
EYE.
►
Objective. ► Eyes fixed, [10]. ►
Eyes fixed and staring (after ten to fifteen minutes), [14]. ► Eyes
fixed and turned upwards (soon), [18].
► Subjective. ► Prickly feeling in the eyes, worse in the
inner corners (ninth day), [4]. ► Lids. [40.]
► Eyes were closed, almost
immediately, [16]. ► The eyelids began to open and shut
alternately, the eyeballs stared in different directions (after a few
seconds), [21]. ► Ball. ►
Eyes closed, but on raising the lids the balls were seen to be in
uninterrupted convulsive motion, [19].
► (Chorea of the ball), [19]. ►
Motion of the eyeball slow, not co-ordinated after the attacks, [19]. ►
Pupil. ► Dilated pupils, [10], [12];
(after ten and fifteen minutes), [14].
► Pupils moderately dilated, the
cornea insensible to touch, [19]. ► Pupils largely dilated, and insensible to
light, [20]. ► Vision. ►
Obscuration of vision, so that it was with difficulty that he
distinguished the features of those near him, [6]. ► Loss of
sight; as sight returned there was double
vision, [17]. [50.] ►
Double vision after the return of consciousness, [19].
EAR.
►
Rushing in the ears, [6].
NOSE.
►
Objective. ► Phlegm from
nose bloody, in stripes of clear blood, at 10 A.M. (third and ninth
day), [4]. ►
Blew pure blood from nose about 10 A.M.; inside of nose feeling parched,
hot, and dry; blood drying in the nose very quickly (ninth day), [4]. ►
Subjective. ► Feeling in
the nares, like that before sneezing, with a drawing pain in the
cheek-bone (first day), [2]. ► Tension across nose and inner corners of
the eyes, with fulness of the head, at 7.30 A.M. (ninth day), [4].
FACE.
►
Objective. ► Pallor of the
face, [17]; (soon), [18]. ► Looked
pale and exhausted, in the afternoon, [14].
► Face livid and bloated, [23]. ►
Turned blue in the face, [23]. [60.] ►
Flushed face, on waking in the morning (fifth day), [4]. ► Face
covered with red spots, with at times transient diffused intense redness
if he made passive motions with the upper extremities, and also in the
long pauses between the respirations, [19].
► Immediately the face became puffy
and cyanotic, [19]. ► Twitching of the face (after a few
minutes), [21]. ► Cheeks. ►
Cheeks deadly pale, almost immediately, [16].
► Lips. ►
Lips white, almost immediately, [16].
► Commissure of the lips covered with
a light, white foam (soon), [18]. ► A reddish froth covered the mouth and
nose, [23]. ►
There was noticed slight twitching of the mouth when the patient was
spoken to in a loud tone of voice, as though the sense of hearing were
awakened, though the stupor still continued (third day), [19]. ►
Tension around the mouth, with fulness of the head, at 7.30 A.M. (ninth
day), [4]. ► Chin. [70.]
► Some difficulty in using my lower
jaw in the act of speaking, [23]. ► Jaws firmly closed, [20]. ► Teeth
closed so firmly and continuously, that only once or twice could
anything be poured into the mouth, [12].
► Jaws tightly closed, the region of
the masseter muscles very prominent and as hard as cartilage, [19]. ►
The patient lay in a frightful tetanic cramp, jaws so tightly closed
that it was impossible to open them; the eyes were drawn completely back
into their orbits, face distorted, nose pointed, mouth drawn outward,
pulse imperceptible, and hands frequently attacked with muscular
twitches, [9]. ► Jaws violently closed (soon); the trismus
was so violent that it was impossible to separate the jaws for the
purpose of introducing a liquid into the mouth; a strong iron spoon
introduced between the teeth, and used as a lever, effected a slight
opening, [18]. ► Some difficulty in introducing an emetic
into my mouth, [23]. ► It was impossible to get anything into
the stomach, [11]. ► Spasmodic closure of the mouth, [19]. ►
Spasmodic closure of the jaws (after ten or fifteen minutes), [14]. [80.]
► Jaws rigidly contracted, [13]. ►
Locked jaw, [18]. ► Vague pain in the jaws (second day), [18].
MOUTH.
►
Lips and mucous membrane of the mouth pale, [19]. ► Slight
frothing at the mouth (after ten or fifteen minutes), [14]. ► A
peculiar astringent taste in the mouth, something like that of a
saturated solution of alum or green vitriol (immediately), [6]. ►
Power of speech lost, but intelligence preserved, [17].
THROAT.
►
Astringent sensation in the throat and nausea, lasting till after
midnight, [6]. ► Feeling of constriction about the fauces,
with muscular tremors about the throat; for one or two days afterwards
he complained of a great degree of stiffness about the throat, [22]. ►
Immediately after meals, especially dinner, quite a painful feeling of
fulness in region of œsophagus; also feeling of much accumulation of
wind in the stomach, with desire to raise it; tried to but could not;
this became particularly noticeable in the forenoon of the third day,
and continued all through it; the above symptom became still worse after
dinner than ever before, with painful soreness about œsophagus;
feelings in the stomach are very troublesome, with a pressure upwards
(third day); had these symptoms slightly and occasionally a few days
before taking the medicine, [4]. [90.] ►
The patient was able to swallow as soon as a large amount of fluid
filled the pharynx; after every swallow the whole body was seized with
convulsive tremors and flushes of redness overspreading the face, [19]. ►
Had no sensation of the act of swallowing, [23].
STOMACH.
►
Appetite. ► Appetite good,
but no hunger before eating (third day), [4].
► Less appetite for meals, though
food relishes, but ate less than usual (fifth day), [3]. ► Eructation.
► The trouble in stomach passed off
with eructation of much wind, coming up easily and involuntarily,
leaving only slight soreness about the œsophagus, at 4 P.M. (third
day), [4]. ► Vomiting. ►
Inclination to vomit (immediately), [5].
► Great inclination to vomit, [6]. ►
Vomiting immediately, [15]. ► Copious vomiting (after five hours);
followed by return of consciousness, [23].
► Retching with copious vomiting,
immediately after the difficult swallowing of a cup of milk; the
vomiting was followed by relief, [6].
[100.] ►
Vomited twice at an interval of half an hour, a small quantity of yellow
water having a peculiar smell (soon after two hours and a half), and
from that time improved rapidly, [14].
► The color of matter first vomited
was light-blue or greenish, [22]. ► Stomach. ►
The epigastrium prominent, almost immediately, [16]. ► Pain
in the pit of the stomach (after two hours and a half), [14]. ► Severe
burning in the stomach (immediately), [11].
► Great sensitiveness of the
epigastric region (fourth day), [19].
ABDOMEN.
►
A feeling as if the bowels were about to act, [11]. ► Pains
in the abdomen, [7]. ► Very severe, dull tearing pain in the
bowels, beginning in the region of the bladder, and running quickly over
whole abdomen towards outer surface; but also in the bowels, tearing,
rolling, and cutting, which extended as far as the stomach; it lasted
about five seconds, then it ceased slightly for a moment, and then again
increased; and lastly passed away quickly, leaving no sensation, at 10
A.M. (ninth day), [4]. ► Iliac Region. ►
Pain in the groins, in the afternoon (tenth day), [4]. [110.] ► Pain in right groin, at 9 A.M., passing
into loins, and passing off towards 12 o’clock; pain in right groin made
leg feel stiff, at 1.15 P.M. (ninth day), [4].
► Up to this time and previous to
taking the medicine, had a dull, painful feeling in back after nocturnal
pollution, with dread of head work or any exertion, which was replaced
by pain in left groin (second day), [4].
► Pain in the left groin and
hip-bone, in the night (ninth night), [4].
► Pain in left groin while standing,
at 4 P.M. (ninth day), [4]. ► Slight dull pain in right groin, which
disappeared after a few seconds, and then reappears in back of head,
aching about twenty minutes, just before going to sleep (after fifteen
or twenty minutes, first night), [4].
► Slight dull pain in left groin,
near top of hip-bone, which passed, at intervals of one or two seconds,
to both thighs, chest, and top of head, at 10 A.M. (second day), [4].
STOOL.
►
Fæces came away involuntarily, [23].
URINARY ORGANS.
►
Bladder distended by a large amount of urine, which had to be evacuated
with a catheter, [19]. ► Urine came away involuntarily, [23]. ►
Examination of the urine showed a sp. gr. of 1.014, slightly acid,
odorless, of a wine-yellow color, without sediment, the chlorides and
urophæin normal, the uroxanthin increased, sulphates, alkaline
phosphates, earthy phosphates, urea, and uric acid diminished (second
day), [19].
SEXUAL ORGANS.
[120.]
► Awoke at 4 A.M., after
unconsciously having had a seminal emission; then fell asleep, with an
indistinct dream and horizontal erection; strong sexual desire,
producing a tendency to seminal emission (sixth morning), [4].
RESPIRATORY ORGANS.
►
Voice hoarse after the attack, [19].
► Loud mucous rattle, [13]. ►
Respiration superficial, [1]. ► Slow and difficult breathing, [10]. ►
Respiration slow, regular, [19]. ► Breathed slowly and heavily, [23]. ►
Breathing slow and noisy, inspiration quick, expiration very slow and
prolonged, with a loud groaning noise (after ten or fifteen minutes), [14]. ►
Breathing not oftener than four or five times a minute, and stertorous, [20]. ►
Respiration slow, with extremely long intervals, [9]. [130.] ► Respiration became very slow, only 7 to
the minute; the expiratory act was prolonged; the intervals between the
respirations were remarkably long (second day), [19]. ►
Respiration heavy and labored, producing the blowing of bubbles at the
mouth, [23]. ►
Diminished frequency of respiration (12 to 16 per minute), [12]. ►
Respiration nearly suspended, but the thorax was convulsively raised, at
irregular intervals, far enough a part (soon), [15]. ►
Struggled desperately for breath, and the horrible conviction of
impending suffocation, though ignorant of its cause, did not leave me
for a moment; this stage lasted hardly, thirty minutes; the violence of
the asthmatic symptoms prevented my speaking, [23]. ► Dyspnœa,
[13]. ►
Inclination to yawn, to sigh, and to heave, immediately, [23]. ►
Respiration as if the chest were constricted, [21]. ►
Inability to take a deep breath without pain, [6].
CHEST.
►
Anxious feeling in the chest, soon (second day), [4]. [140.] ► Oppression of the chest, [1].
HEART AND PULSE.
►
Præcordium. ► Stitches in
the heart and lungs, [1]. ► Jerking stitches in the heart on
respiration, [1]. ► Heart’s Action. ►
Palpitation of the heart, [10]. ► Pulse. ►
Pulse 70, large, soft, and compressible, [19].
► Pulse small, but distinct, 60 per
minute, [12]. ► Pulse fell to 60, became small and soft
(second day), [19]. ► Pulse at times 15 beats slower than
usual, [1]. ►
Pulse scarcely perceptible, slow and irregular (soon), [18]. ► Pulse
hardly perceptible, [23]. [150.] ►
Pulse at the wrist not perceptible, [20].
► The pulse insensible, the heartbeat
scarcely perceptible (almost immediately), [16]. ► No
pulse (after ten to fifteen minutes), [14].
NECK AND BACK.
►
Vague pain in the nucha (second day), [18].
► Feel painfully weak in back and
loins, during morning and forenoon (sixth day), [4]. ► Very
marked weakness in the lumbar regions, with dull pain and weakness of
right and left iliac region, while walking and during the afternoon
(third and fourth days), [3].
EXTREMITIES IN GENERAL.
► Limbs rigid and convulsed (soon), [18]. ►
Spasms of the extremities, [13]. ► Tetanic spasms of the muscles of the arms
and legs, [21]. ► Extremities relaxed, and when raised fell
down as heavy as lead, [19]. [160.] ►
Limbs flaccid, with occasional slight
general convulsions more like a shuddering than anything else (after ten
or fifteen minutes), [14]. ► The arms sank down, the cloth fell from
the right hand, he leaned back upon the chair with the legs stretched
stiffly forward, the head turned backward (after a few seconds), [21].
SUPERIOR EXTREMITIES.
► Sharp stitch in right shoulder, in the
morning, just after rising (third day); it occurred several mornings in
succession, and was also felt at various other times during the day,
though not so well marked, [2]. ► Hands clenched (after ten or fifteen
minutes), [14]. ► The fingers were stretched out and
spasmodically contracted (after a few seconds), [21].
INFERIOR EXTREMITIES.
► Gait seemed to me to be unsteady, [23]. ►
Legs feel heavy, but with a disposition to walk, in the latter part of
the afternoon (fourth and fifth days), [4].
► Pain in legs in different places,
with weakness below the knees (fourth day), [4]. ► Felt
stiffness and pain in legs, as if from below on the thighs, while
walking at 2 P.M., lasting all the afternoon (ninth day), [4]. ► Severe
rheumatic twinges on the inner side of right knee, lasting only a
second, at 11 P.M.; they continue and assume the character of continued
pain over the whole right knee; while the twinges continue at intervals
of a few minutes for an hour after going to bed (fourth day), and are
felt again next morning after rising (fifth day), [3]. [170.] ► Became weak in the lower part of legs,
below the knees, extending to a part of each foot; sometimes felt in the
knees, but not in the ankles; felt at the same time a desire to walk,
but could not walk with ease and pleasure; the legs feel heavy, at 4
P.M.; weakness of legs passed off at 6.30 P.M. (third day). ► Weakness in lower part of legs, extending
to part of feet and ankles, but without pain, in the afternoon (fifth
day). ► Slight weakness in lower part
of legs, below the knees, passing away soon; after 5 P.M. (ninth day), [4].
GENERAL SYMPTOMS.
►
Objective. ► Moved with
quickness and precision on rising, in the morning (fifth day), [4]. ►
Circulation languid, [12]. ► Convulsions immediately, [12]. ►
Convulsions followed by death, [7].
► General convulsions, [10]. ► Sudden
convulsive action of the whole body, about ten minutes after the heart
ceased to beat, [11]. ► The muscles were in a condition of
hyperæsthesia; if one pressed on the thigh, calves, upper arm or over
the region of the stomach the whole body was seized with trembling
startings like convulsions; these tremors gradually passed into short
attacks of general tetanus if violent pressure was made upon the muscles
or the epigastric region, or when introducing the catheter; after every
such tetanic spasm mobility of the extremities was presented for a long
time on account of muscular rigidity, and complete relaxation of the
limbs came on gradually, and only after half an hour; these attacks of
tetanic spasms were accompanied by moaning; at last three was observed
for a minute or so a spasmodic trembling of the hands and feet; the
diaphragm seemed to be affected by violently convulsive contractions, [19]. ►
The sphincters rigidly contracted, [16].
► Strong tetanic spasms, directly,
and death in less than an hour (in a young girl), [15]. [180.] ► Most frightful epilepsy repeated several
times, the day after an attack, [9].
► Motionless (soon), [18]. ►
Sphincters paralyzed, [12]. ► Lazy and sleepy, and disinclined to work,
in the morning (tenth day), [4]. ► General weakness, [1]. ►
Physical exhaustion (second day), [6].
► Great exhaustion, [17]. ► His
senses almost entirely disappeared, as in faintness, [6]. ►
Insensibility, [12]. ► Became insensible and fell down, [20]. [190.]
► Fell insensible, [16]. ► Fell
insensible on the floor, immediately, [14].
► The poison had hardly penetrated
the intestine when she fell senseless, without a single complaint, [18]. ►
Fell off my chair before I had finished drinking the emetic, turned blue
in the face, and breathed slowly and heavily; it was six hours before I
gave signs of returning consciousness, [23].
► Soon began to reel and fell down
with extreme prostration, followed by convulsions of the limbs, extreme
dyspnœa, and death, [8]. ► Subjective. ►
Skin pale, not sensitive to violent pressure or pinching, [19]. ►
Affected easily by cold draughts or air, producing crossness, in the
afternoon (fifth day), [4]. ► Slightly nervous, soon (second day), [4]. ►
Feels stronger than before, and more inclined to work (second day), [4]. ►
Feeling of muscular trembling with general weakness, [22]. [200.] ► Feeling of lassitude all the forenoon,
towards evening it changes into moroseness (fifth day), [3]. ► Pains
in various joints and muscles, [1].
► Muscles painful to touch or motion
after the attack, [19]. ► Symptoms did not pass away for ten hours,
[17]. ►
Took some weak milk punch, and smoked, in the afternoon; after which all
the symptoms vanished, and the effect of the medicine seems to have been
cut off short by this slight irregularity (seventh day), [3].
SLEEP AND DREAMS.
►
Sleepiness. ► Sleepiness
during day (ninth day), [4]. ► Became very sleepy at 2 P.M. (fifth day),
[4]. ►
Felt very sleepy at 8 P.M.; could not keep awake; became wakeful again
at 9 P.M. (third day); slept soundly all night (third night), [4]. ►
After being quite awake and bright all day, became sleepy early in the
evening, and wakeful again at 9 P.M. (second day), [4]. ► Slept
well all night (eighth night), waking with clear head, at 6 A.M. (ninth
day), [4]. [210.] ►
Slept soundly all night (fourth night), [4].
► Slept soundly until 2 o’clock A.M.
(second night), [4]. ► Sleeplessness. ►
The sleep at night had been restless; confused dreams, which he cannot
remember after waking, for two nights (third night), [2]. ►
Restless, dreamful sleep all night; could not lie on one side for any
length of time (third night), [3].
► Dreams. ► Dreams very lively, especially towards
morning (third night), [4]. ► Dreams clear, very lively, and practical,
with very satisfactory feeling after waking and in regard to dreams
(fourth night), [4]. ► Lively dreams, but awoke only once during
the night, and then continuing the dream had before waking, very lively,
quick, and rushing (first night), [4].
► Rushing dreams, very clear and
distinct, from 2 o’clock until morning (second night), [4]. ► During
the whole night, dreams horrid and exciting; then waking up partially,
and feeling tired of lying on that side, as after great fatigue; turning
on the other side, another dream, waking, and turning again, and so on
till morning (fifth night), [3].
FEVER.
►
Chilliness. ► Surface of
the whole body cold and moist (after ten to fifteen minutes), [14]. [220.]
► Shiverings, [17]. ►
Coldness of the extremities, [10],
[17]. ►
Coldness of extremities, which were pendulous and without muscular
power, [12]. ►
Hands cold (soon), [18]. ► Extremities icy cold, almost immediately,
[16]. ►
Heat. ► Awoke about 6
A.M., with heat and disagreeable feverish perspiration over whole body,
excepting legs below the knees, with flushed face (fifth day). ► Awoke about 6 A.M., with dry heat and perspiration (sixth day), [4]. [As in original text.] ►
Heat in the head, [1]. ► Sweat. ►
Hands and face covered with and perspiration, [20].
CONDITIONS.
►
Aggravation. ► (Morning), All symptoms, [4]; at 7.30 o’clock, fulness of head, etc.;
after rising, stitch in shoulder. ► (Afternoon), Weakness in lumbar regions, etc.;
weakness in lower legs. ► (Evening), All symptoms, [4]. ► (After meals), Immediately, especially after
dinner, fulness in region of œsophagus, etc. ►
(In room), Crossness, etc. ► Amelioration. ►
(Motion in open air), The symptoms, [1].
SUPPLEMENT: KALI CYANATUM.
Authorities.
24,
E. Sandwell, Lancet, 1864 (2), p. 648, a child swallowed a drachm,
dissolved in water, after a full meal; 25,
Wm. Gillibrand, Lancet, 1876 (2), p. 223, a man, æt. thirty-five years,
took between 50 and 60 grains; 26,
A. H. Newth, M.D., Med. Times and Gaz., 1877 (1), p. 335, poisoning of a
man; 27, Geo. F. Sonwers, M.D.,
Phil. Med. Times, vol. viii, 1877-8, p. 345, a photographer worked some
days with it, both in substance and solution.
MIND.
►
Some muttering delirium (which afterwards became more active, the
patient evincing a desire to walk around), [27].
HEAD.
[230.]
► Heaviness of head, [27]. ►
Gnawing pain across temples, [25].
► Soreness of the scalp over both
parietal regions, [27].
EYE.
►
Eyes fixed, pupils dilated, and insensible to light, [25]. ►
Swelling of the upper eyelids, [27].
EAR.
►
Ringing in the ears, [27].
FACE.
►
Face dull, slightly flushed, and expressionless, the tendency being to
close the eyes, [27].
MOUTH.
►
Teeth, gums, and lips covered with sordes, [27]. ► Tongue
has a peculiar darkish background, seen through the heavy white coating,
[27]. ►
Breath extremely fetid, [27].
STOMACH.
[240.]
► Loss of appetite, [27]. ► Some
nausea, [27]. ► Pain at the epigastrium of a griping
intermitting character, [25].
STOOL.
►
Bowels obstinately constipated, [27].
RESPIRATORY ORGANS.
►
Breathing very slow and spasmodic, white froth issuing from the mouth,
and the jaw fixed, [25].
BACK.
►
Pain in lumbar region, [27].
EXTREMITIES.
►
Extremities relaxed and limbs flaccid, [25].
GENERALITIES.
►
Immediately seized with convulsions, and soon became collapsed and
rigid, the pulse at the wrist being imperceptible, though a slight
action of the heart could be felt, [24].
► Found the man lying full length in
bed on his back; the arms, which were straight down by his side,
twitching convulsively; hands partially clenched, thumbs flexed across
palm; body bathed in a clammy sweat; face pallid, expressionless; eyes
fixed, partially closed, pupils widely dilated, tears in the corners of
the eyelids; breathing stertorous, loud mucous rattle, foam around
mouth; pulse imperceptible, and heart’s action indistinct, [26].
SLEEP.
►
Sleeplessness, [27].
FEVER.
[250.]
► On awaking from cat-naps has a chill, which in fact wakes him
before he can get soundly asleep; this is followed by very slight sweat,
[27]. ►
Body covered with cold clammy sweat, [25].® 2000
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