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

Apis

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APIS.


FEVER.

[930.] ► Strange, inward trembling feeling, as after a sickness, with
a kind of shudder, without coldness or shivering; down the back, morning; more in the upper
half, afternoons, 3 to 5 o’clock (after seven to nine hours), [9].
► When she was put to bed at noon she was seized by a
violent chill, although it was a warm summer day, during which the face remained red, and
the body covered with large, red spots, [1]. ► Chill, with shivering, accompanied by a terrible, racking
pain all through the head, with increased prostration, [1],
(A. R. M.). ► Chilliness all over; unwell feeling, so
that he is obliged to lie down, [1]. ► Chilliness while sitting still, caused previously by a slight
movement, with heat in the face, and headache, evenings (second day), [11]. ► Occasional feeling of
chilliness, [6]. ►
Slight chilliness, soon passing off, followed by fever at night, [6]. ► Frequent chilliness, and
hot hands in the fourth week, [11]. ► Chilliness evenings, with yawning and headache, and tip of
nose cold (fourth week), [11]. ►
Chilliness, cold limbs, and nausea, [1]. [940.] ► Chilliness, with
toothache, [1]. ►
General creeping, chills, repeated at short intervals; something moved over him, rolling
like waves (wasp), [1]. ►
Sudden chills, then heat and perspiration, [1]. ► Shaking chills after thirty-six hours of heat, [17]. ► Chill, with cold fingers,
especially those of the left hand (evenings, third day), [11].
► *Chilly every afternoon at 3 o’clock; she shudders, worse
in warmth; the chills run down the back; hands feel as if dead; feverishly hot after about
an hour, with a hoarse cough; heat of the cheeks and hands, without thirst; ceases
gradually, but she feels heavy and prostrate
, [10].
► Sensation of cold, without coldness of the skin, with
ague, [17]. ►
Shudders, and diarrhœa, [1]. ►
Coldness of the limbs, [1]. ►
Shuddering, and then nettlerash, [1]. [950.] ► Cold feet and burning
cheeks, [10]. ►
Cold feet, with burning toes, [5]. ► Fever, [1]. ► Violent fever, [1]. ► Hot and burning sensation, and oppressive feeling all over;
for several days, [1], (E. E. M.). ► Sensation of heat and stinging over whole body (C. C. C.), [1]. ► Sensation of heat
through the whole body, without external sensation of heat; the trembling feeling, as
formerly; pulse 88; after several minutes she grows dizzy while standing, and as if about to
faint; is compelled to sit; turns very pale, and feels nausea to vomiting; after lying down
on the sofa she fell asleep; anxious starting in sleep, with some cough; turns on the other
side, and sleeps quietly (evenings, soon after repeated doses, second day), [12]. ► Feverish, trembling, with
pain in the abdomen, [12]. ►
Fever and nettlerash after a sting in the hand, [1]. ► General sensation of heat, worse in the chest and stomach
(first day), [3]. [960.]
► Heat, with headache, [6].
► Heat when breathing rapidly, [5]. ► Heat at night, with
agitation (first night), [3]. ►
Hot flushes, [1], (A. R. M.). ►
Heat, [6]. ► Heat
in the face and chilliness, evenings, [11]. ► Heat and difficult breathing, [5].
► Burning of the skin of the hands, [2]. ► Heat on circumscribed spots
on the foot, [2]. ►
The heat of the room is intolerable, [15]. [970.] ► Burning of the feet, [3]. ► Heat after
chilliness, evenings, [10]. ►
Heat at night, after chilliness, [6]. ► Flushes of heat mixed with chills, [1], (A. R. M.). ► Fever-heat
increasing for thirty-six hours, then a violent shivering chill, at 5 o’clock in the
morning, during which she felt very cold herself, but not so to others, [17]. ► As if perspiration would
break out, [4]. ►
Perspiration breaks out occasionally, [6]. ► Perspiration broke out, so that it penetrated the clothing, [1]. ► Perspiration now
and then, with headache and heat, [6]. ► *Perspiration after trembling and fainting, then a nettlerash,
[1]. [980.] ► Dry skin alternating with perspiration, [6].
   

CONDITIONS.

► Aggravation.
► (Morning), 5
o’clock, ague; boring in temples, when awaking; pressive pain; headache when rising; pain in
forehead; lachrymation; adhering lids; sticking in the right lower lid; swelling of the
eyes; blowing blood from the nose; dry palate; mucus in the mouth;
hawking mucus; accumulation of mucus and hawking; pain in the throat; burning in chest and
stomach; sensation of soreness in the abdomen; pain in the abdomen; after rising, pain in
the abdomen and urging to stool; urging to stool and pain; stool; soft stool; diarrhœa; hoarse; when rising, pain in nape of neck; crawling on
the knee; drowsy; yawning; heat. ► (Forenoon), Sad; increased headache; dark before eyes; pains in
the eyes; burning in mouth and thirst; pain from the hip toward the navel; piercing in the
chest; pressure on the chest. ► (From
mornings till 3 P.M
.), Headache. ► (Afternoon), When stooping, dark before eyes; increased headache;
4 o’clock, sudden coryza; kind of chill in the back; *3 to 4 o’clock,
chilly
; itching; itching of the head. ► (Evening), Vertigo, when standing; dizzy
and weak; vertigo and headache
; headache; piercing in the temples; piercing in
the eyes and weakness; pain in the eyes, when sewing;
lachrymation; cold nose; coryza worse; chapping of the lower lip; toothache;
dry under the tongue; pain in the abdomen; pain in the ovaries; hoarseness, beginning; cough; chapping of the hands; feet swollen; faint; sleepy; sleepy
and startled; increased aversion to cold; chilliness;
chilliness and cold fingers; sensation of heat. ► (Night), Quivering and twitching of the eyes, worse left; adhesion
of the eyes; secretion of mucus from the eyes in bed; aversion and nausea; disgust,
inclination to vomit and feeling of diarrhœa; short breath; sharp pains in chest; stitches
through chest and back; stitches in the chest and back; heat. ►
(Before midnight), Cough, that awakes. ► (Latter part of night),
Restless. ► (During day),
Frequent urinating. ► (Day and
night
), Frequent urinating. ► (Bending head on painful side), Increased pain in nape of neck. ► (Cold weather), Weakness
and chest troubles. ► (Coughing),
Headache. ► (Closing eyes),
Vertigo. ► (After every exertion
and much exercise
), The prickling returns all over the body, the same as after
the sting. ► (Leaning back when
sitting
), Feeling of suffocation. ► (Lying), Weakness in back; increased difficulty in breathing
wishes to be raised up; cannot lie horizontally; increased vertigo. ►
(Motion), Chilliness; increased headache; pain in
shoulder and upper arm. ► (Moving
head toward right
), Stitches in right side of nape of neck. ►
(Pressure), Sensitive to outward pressure; pain in
abdomen; abdomen painful on exterior pressure; little bunches sensitive. ► (Reading), Headache. ► (Rising after sitting),
Back as if beaten. ► (Shaking
head
), Pain in occiput. ► (Sitting), Increased vertigo; pain as if beaten in lower limbs. ► (Sneezing), Sore feeling
in abdomen. ► (Speaking),
Pain, caused by fatigue in the larynx. ► (Going upstairs), Difficulty in breathing. ►
(After long standing), Faint and dizzy; renewed swelling
of sprained knee. ► (Stooping),
Headache; darkness before eyes; sensation of fulness in the face. ►
(Stretching in bed), Pain in ovaries. ► (Touch), Pain in swollen
checks; scalp sensitive. ► (Walking),
Soles of feet feel like cushions; pain in ovaries. ► (Warmth), Closed rooms, especially if overheated, are perfectly *intolerable to him, with fulness and heaviness in the head, and
rush of blood; *headache in warm room; cough worse;
chilliness grows worse; *makes him worse, especially in evening,
with some coryza and cough. ► Amelioration. ► (Cold water), Burning in
palms; wanted his red face bathed; pain and burning in
clitoris and labia; best means of relief after a sting. ►
(Continued diarrhœa), Headache. ►
(Exercise), Seemed to bring him to himself. ► (Eating), Soreness and
cough. ► (Eructations),
Pain over left hip. ► (Lying on
the parts
), Going to sleep of the thighs, etc. ►
(Pressure), *Headache.
► (Rubbing), Itching
of skin. ► (Sitting up),
Pain in abdomen. ► (Sleep),
Symptoms of the sting. ► (Walking),
Bruised feeling of the lower limbs; vertigo.


SUPPLEMENT: APIS.

Authorities.

25, Edinb.
Med. and Surg. Journ., vol. xiii, 1817, p. 130, James G., aged thirty-nine, was stung by a
bee on the middle finger of the left hand; 26, Drs. Bell
and Ritchie, Am. Journ. of Med. Sci., vol. xix, 1836, p. 266, a man, aged twenty-six years,
was stung by a bee on the under side of tip of the nose; 27,
Dr. Krieg, Caspar’s Woch. (Lancet, 1842-3 (2), p. 654), a man, aged sixty years, was stung
in the centre of the cornea by a bee; 28, G. H.
Spalsbury, Bost. Med. and Surg. Journ., vol. liii, 1855, p. 285, Mrs. H. was stung by a
honey-bee on the left forefinger (she had ulcers in her mouth produced by kreasote); 29, Dr. N. Nivison, N. Y. Med. Journ., 1857, p. 339, a farmer,
aged fifty years, was stung by a bee on the side of the neck, death on the sixth day; 30, C. Hanbury, Jr., Med. Times and Gaz., 1860, p; 233, Mr. J.
was stung behind the ear; 31, M. Monquin-tandou, ibid.,
quotes the case of a man, aged thirty-six years, who was stung on the back of the right hand
by three or four bees; 32, John Ewens, Med. Times and
Gaz., 1860 (2), p. 359, a man was stung by a common bee below the right ear; 33, same, Lancet, 1872 (2), p. 437, an elderly lady was stung; 34, E. W. South, M.D., Am. Journ. of Hom. Mat. Med., vol. vi,
1873, p; 18, a man, aged thirty-five years, was stung twenty-seven times by bees; 35, H. King, M.D., Ohio Med. and Surg. Rep., vol. vii, 1873, p.
285, Mr. W. S. aged fifty years, was stung on the back of his hand; 36,
Dr. James Kitchen, Am. Journ. of Hom. Mat. Med., vol. vi, 1873, p; 249, a farmer was stung
in nine places by honey-bees; 37, George Walker, Lancet,
1874 (2), p. 833, the writer was stung on the forearm by a bee; 38,
Bull. de la Soc. Méd. de la Suisse Romande, 1874, No. 8 (Hahn. Month., vol. xi, p. 506
1876), a boy, aged eighteen years, was stung in the middle of the right palm; 39, E. W. Berridge, Am. Journ. of Hom. Mat. Med., vol. ix, 1876,
p. 246, Miss —, was stung by a bee on the forehead; 40,
Dr. Tinker, copied from MSS., Mrs. A., aged forty years, not pregnant, for abdominal
enlargement and cessation of menses, took 15 drops tincture, and repeated the dose after
three hours.

►

The conjunctiva was greatly hypertrophied, and the cornea
covered with a dense opaque layer of membrane. There was every reason to believe that the
internal structures also, fully participated in the diseased process. On closely examining
the eye a dark and slightly prominent spot was discovered in the centre of the cornea,
around which much vascular injection was perceptible, and from this spot was extracted a
long filiform body, the sting. The inflammation soon began to subside, but some striking
results became permanent in consequence of the injury. The tint of the iris had changed from
its natural grayish blue to a perfect blue, the pupil remained dilated and immovable on the
stimulus of the light, and the patient, who before the accident was obliged to use convex
glasses, now required one concave, being nearsighted on the left side, [27]. ► Very soon after, he became
faint and began to vomit, which was repeated nine times, his bowels also were relaxed,
though he did not mention how many times, [36]. ► Shortly after attacked by sharp crampy pains in the stomach
and abdomen, followed presently by severe vomiting and diarrhœa, which lasted at intervals
for about two hours, and which simulated closely an attack of cholera morbus, [34]. ► Nausea, followed by
profuse vomiting (second day); breathing oppressed and sighing (third day); diarrhœa;
countenance skrunken, wan, and anxious; pulse reduced in force and volume; tongue covered
with a dirty white fur, pale, soft and flabby (fourth day); sleeplessness; great
restlessness and jactitation, [29]. ► Vomiting; slight spasm or convulsion; pulseless and
breathless; lips livid; mouth open; eyelids closed, pupils insensible to light; skin cold
and clammy. System very much relaxed, urine passed involuntarily. On the skin of the
extremities, small purple spots, about three or four lines in diameter, nails on fingers and
toes purple, and skin on feet the same, [30]. ► Soon after the sting there was faintness, vomiting, and
purging, followed by prolonged fainting and low pulse, with repeated rigors and profuse
sweating. On another occasion there was a severe attack of asthma in addition to the other
symptoms, [25]. ►
He was instantly affected with an indescribable sensation over his whole body, with a
prickly feeling, and white and red spots in the palms of his hands, and on his arms and
feet. Tears at the same time involuntarily flowed, the nose and face swelled, accompanied
with hoarseness, loss of taste, oppression at the pit of the stomach, and difficulty of
breathing. On his way home, which was distant about half a mile, he felt a great disposition
to sleep, with increased difficulty of respiration, and by the time he reached his house,
his face, throat, breast, and limbs were considerably swelled, with an increase of the other
symptoms. He was soon seized with chilliness, cold extremities, and nausea, [26]. ► Immediately on receiving
the injury, she put her finger to her mouth in order relieve the pain by suction; in a few
moments she felt a prickling sensation in the lips and tongue. This sensation extended
rapidly over the face, temples, and head, thence over the entire body; the sensation now
resembled the pain in the finger from the sting. A few minutes after the accident happened,
there was a good deal of tumefaction of the face, so much so, that the eyes were nearly
closed, and the lips and tongue were so much swollen, as to interfere with speech. There was
distressing sensation of fulness in the head, the patient declaring that her temples would
burst. She complained of oppression at the chest, and inability to take a full inspiration;
the skin was intensely red, and covered with an eruption over the entire body, except the
feet, resembling urticaria, causing distressing itching and prickling. There had been severe
rigors. Pulse 87 and full, [28]. ►
Immediately seized with obscuration of vision, loss of strength, profuse perspiration over
the whole body, suffusion of the face, acute pain in the head, oppression, anxiety, and fear
of death; urticaria, with swelling of the lower extremities, and intense fever, [31]. [990.] ► In twenty minutes he began to experience a sensation of
itching, almost intolerable, in the ears, first the right, then the left. The right hand
then felt benumbed, and this was followed immediately by intense itching of the palm, and
the pulse was discovered to be very feeble. Then the skin of the forehead and face felt full
and constricted, and began to swell, and red streaks made their appearance on the face.
Gradually the swelling extended to the body and extremities, and the whole surface was
covered with an eruption resembling urticaria. At the same time all symptoms of a collapse
developed (first day). Feels dull, sleepy, and complains of lassitude, and a rumbling sound
in both ears, and a general confusion, also incapability of fixing his attention on a book
requiring thought (second day), [32]. ► In a few minutes he was seized with nausea and vertigo, and a
general sense of distress and prostration, accompanied with mental anxiety. When seen by me
within half an hour, he was lying on his back with flushed and slightly puffed face and
ears, and flushed neck, breathing with some difficulty, a sense of fulness and choking as if
filling up his throat; oppression over the chest and epigastrium, troublesome itching or
stinging of the face, ears, and throat, and also of the hands and wrists, feet and ankles.
There was little or no itching on any other part of the body. An examination of his limbs
discovered a marked redness of the hands as far as the wrists, and of the feet and ankles,
none farther up the limbs. The itching on the limbs seemed to be confined to the backs of
the hands and the upper part of the feet. The pulse was quick and full, not hard. An
examination of the place where he was stung showed that the bee had struck directly upon a
prominent vein on the back of one of the hands. There was no swelling at this point. The
precise order of development of all the symptoms could not be accurately ascertained. He
suffered in this way about two hours, and then the symptoms gradually disappeared, [35]. ► The whole forearm
was affected with a cutaneous erysipelas, and there was disorder of the nerves, accompanied
with heat, redness, swelling, and pain, [37]. ► Immediately after the first pain from the sting he was taken
with a very intense itching, which very rapidly extended up his arm and over the entire
upper part of the body; ten minutes later in a cold bath, the itching assumed an intolerable
intensity; very intense headache, rumbling in the ears, appreciable diminution of hearing,
rough and laryngeal voice (perhaps caused by emotion); excitement approaching delirium. The
trunk, arms, and the entire surface of the thorax were overspread with a very intense
erythematous redness, the body appeared bloated, and the conjunctivæ were injected. Pulse
weak and very quick. Washing with ammonia diluted with water gave great relief, but could
not be extended to the thorax as the ammoniacal fumes prevented respiration. At a quarter
after two, the pains in the head continuing, a mustard bath was administered to the feet,
which immediately caused an erythema of the lower extremities, identical with that of the
upper part of the body. At 4 o’clock vomiting, which relieved him, and was followed by
sleep. At 7 o’clock notable diminution of the eruption on the arms and chest; the head was
still free from it, but it was still very prominent on the limbs. Slight headache. He had a
very agitated night, and the next day there was a little dulness of the head, and some red
spots on the extremities. In the evening the symptoms entirely disappeared, [38]. ► White swelling of the
forehead and face, so that her friends did not recognize her, with pain in the forehead, and
nausea, [39]. ► The
next morning the second right finger began to well (except the tip), the middle joint
especially, red, hot; burning-stinging pains, with tingling extending up arm to body, and
down right side and leg to foot; the pains were worse from sundown (5 P.M.) to 6-8 A.M.,
preventing sleep; relieved by hot applications and gentle rubbing, or by pinching end of
finger, aggravated by cold applications. Constant and persistent aggravation from Apis 30th,
200th, and 1000th. Improving under Ledum, [40]. ► General malaise; severe attack of nettlerash, [33].

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Apis