CANTHARIS.
FEVER.
► Chilliness.
► Great coldness of the surface, [96]. ► Skin cold and clammy, [104]. ► Skin cold and
covered with sweat, [102]. [1550.]
► Great coldness of the surface, with imperceptible pulse
(after seven hours), [82]. ►
Cool, moist skin, [104]. ►
Temperature averaging two degrees less than normal, [107].
► General coldness of the body, [87]. ► Coldness of the whole
body, especially of the limbs (second day), [94]. ► Coldness and chill from 5 to 7 P.M.; she could not even get
warm in bed for a long time (seventeenth day), [6]. ► As soon as the icy coldness had ceased, there always appeared
coldness on rising from bed, which was always followed by transient heat, [6]. ► After she has gradually
become warm in bed the coldness immediately attacks her again as soon as she puts but one
limb out or rises, [6]. ►
Fever, consisting only of coldness, three days in succession, at 1 P.M., somewhat later each
day, [6]. ►
Constantly cold; cannot sleep at night on account of the cold, although quite sleepy (after
three weeks), [98]. [1560.]
► Shivering and shaking chill, beginning in the back, the
whole afternoon, from 2 till 8 P.M., followed by heat, after which shivering again follows, [9]. ► Universal
shivering and chill down the spine, [104]. ► At first shivering and great weakness, [94]. ► Chilliness, [87]. ► The chilliness awakes him
at two in the morning, and he cannot sleep any more (after three weeks), [98]. ► Chilliness, irregularly
alternating with heat and sweat (second day), [92]. ► General chilliness, [96].
► Slight chilliness till toward 1 1/2 P.M., when a
violent shaking chill appeared, with creeping in the hands and feet, for half an hour,
disappearing by a very warm stove, without subsequent heat, at 11 A.M. (fourth day), [6]. ► Frequent chills
(first day), [92]. ►
Chill in bed at 10 o’clock for half an hour, followed by natural warmth (sixteenth day), [6]. [1570.] ► Chill immediately on getting out of bed (eighth day), [6]. ► Chill and
shivering from 11 till 1 o’clock, without subsequent heat (fifteenth day), [6]. ► Chill and shivering, at 3
P.M., for an hour; relieved by warming with cloths (after seven hours), [6]. ► Chill and shivering, for
half an hour, at 4 P.M. (second day), [6]. ► Shaking chill from 3 P.M. till 3 A.M., followed by warmth,
without third (fourteenth day), [6]. ► Short shaking chill and tossing, as if from electricity;
immediately after sticking in the shoulder-blade, without perceptible coldness, about 6 1/2
P.M., [6]. ► Severe
chill at night in spit of increased covering (one prover), [4].
► Violent chill after rising at 3 P.M., disappearing on
lying down (seventh days), [6]. ►
Violent chill after stool, with sensation as if she were dashed with icy-cold water, with
internal warmth; toward evening, [6]. ► Violent chill from 11 till 3 P.M., when she took Camphor,
with the most violent pains in the knees and calves, which continued till lying down
(seventh day), [6]. [1580.]
► The chill can be relieved neither by the warmth of the
stove nor by covering during the severest paroxysm, lasting three hours in the evening, [6]. ► Cold face, [47]. ► Shivering runs up
her back, in the afternoon, [6]. ►
Feeling of coldness in the vertebral column, [95]. ► A sensation of coldness of the left side of the lumbar
vertebræ, in a spot as large as the hand, together with a feeling of formication, which was
often very violent and unpleasant; especially worse in the evening while sitting, [109]. ► Cold extremities
(second day), [78]. ►
Coldness of the limbs, [15], [58]. ► Limbs cold and covered
with cold sweat, [4]. ►
Very cold hands, which look yellowish, [9]. ► Icy coldness of hands and feet, with fearful pains in the
urethra, [6]. ► Heat.
[1590.] ► Temperature
increased, [89]. ►
After the coldness a transient warmth, [6]. ► Warmth and slight sweat over the whole body (after seven
hours), [6]. ►
External heat from 10 to 3 P.M., three days in succession (eleventh day), [6]. ► Skin hot (second day), [92]. ► Heat of the skin,
which she herself does not feel, with some thirst (tenth night), [6]. ► Heat, with some thirst
(eleventh day), [6]. ►
Heat in the whole body, [2]. ►
Heat in the whole body, with accelerated pulse, [6]. ► Heat in the whole body at night, especially in the anus and
genitals (after a few hours), [1a]. [1600.] ►
After every somewhat violent or continued motion the whole body is very much heated, also at
other times very hot, especially in the afternoon, [7].
► The whole afternoon heated, as after much walking on a
hot day, together with red face and increased perspiration (after eight hours), [8]. ► Suddenly rising
heat, with redness in the face and thirst (third evening), [6].
► Transient heat, [9].
► Great heat, with thirst and redness all over the body, [1a]. ► Burning heat at
night, which she does not feel; three nights, [6]. ► Very unpleasant heat, [12].
► Fever, [17]. ► (Fever, a mixture of heat and chill; heaviness of the feet; a
paralytic immobility of the limbs; loss of appetite; pain in the eyes; must lie in bed)
(after five days), [1a]. ►
Fever, at first scanty and very painful; emission of blackish urine; then secretion of urine
increased to fourfold the amount of liquids taken, with great thirst and much desire for
meat; after a few hours the urine lost its blackish color, and tasted like rather salt
water, [66]. [1610.]
► General fever (with the usual urinary symptoms), [80]. ► Burning fever, [55]. ► Violent fever, [86]. ► Extremely violent
fever, [64]. ►
Feverish condition (from small doses), [25]. ► Feverish condition, with dryness in the mouth and thirst,
anxiety, restlessness, and pains in the limbs (from external use), [25]. ► More or less marked
febrile condition, [29]. ►
Feverish and beside herself, [54]. ► Head burning hot (third day), [107].
► Rising of heat into the head; sweaty hands, with
burning in them (one hour after dinner), [6]. [1620.] ► Anxious rising of
heat into the head, [6]. ►
Warm forehead, with sensation of coldness in the body, in the evening, [6]. ► During the coldness very
warm forehead, without internal sensation of warmth (ninth day), [6]. ► Glowing of the ears and
chin for one hour (after eight hours), [9]. ► Heat in the face, [2]. ► Burning in the face with normal warmth to touch (fourth
afternoon), [6]. ►
Abdomen hot, [93]. ►
Sensation of heat on and in the abdomen (fourth morning), [6].
► The palms of the hands burn like fire, [6]. ► Burning in the soles of the
feet, in bed (the whole fourth day), [6]. [1630.] ► Burning on the soles
of the feet, while the hands are icy cold, [9]. ► Sweat. ► Sweat, [25]. ► Some sweat on
waking before midnight, [6]. ►
In the beginning, when lying, violent motion caused sweat, but especially warmth relieved
the fearful pains, [6]. ►
Slight sweat at night, [1], [1a]. ► Much sweat for two nights
in succession, followed by weariness in the morning, [9].
► Copious sweat, [4].
► Profuse sweat, [90].
► Profuse sweat on waking at night, [109]. [1640.] ► Profuse sweat when walking (after three days), [1a]. ► Cold sweat, [4], [84]. ► Cold sweat (second day), [94].
► Surface covered with cold and viscid sweat (second
day), [53]. ►
Surface covered with cold clammy sweat (third day), [96].
► Very profuse perspiration, on a cool day, [4]. ► Profuse
perspiration towards morning, [4]. ► Forehead covered with cold sweat, [49]. ► Profuse sweat on the
external pelvic region and in the groins, in the morning (second day), [3]. ► Sweat on the genitals, [1a]. [1650.] ► Sweat on the chest, on waking at night (tenth and eleventh
days), [6]. ► *Cold
sweat of the hands and feet, [47].
CONDITIONS.
► Aggravation.
► (Morning), Anxiety;
when rising, fretful; mental depression; some hours after rising, distracted in mind, etc.;
confusion of head; tongue dry, etc.; on rising, foul taste; nausea, etc.; burning, etc., in
abdomen; at 9 o’clock, urine passed in a thin stream, etc.;
immediately on rising, persistent erection; while lying in bed, awake, emission of semen; on
rising, cough; clot of blood in mouth; in bed, pressure in side of chest; after
disappearance of the pains, pulse increased, etc.; pain in back;
laxness, etc.; in limbs; sleepy, etc.; in limbs; sleepy, etc.; on rising at 3 o’clock
chilly; sweat on the pelvic region, etc. ► (Forenoon), After coffee, nausea; from 11 till 1 o’clock, chilly,
etc. ► (Afternoon),
*Insolent; stitches in right temple; stitches in side of head; stitches
in occiput; pressing in eyes; itching in eye; stitching in chin; tearing in lower
jaw; on eating pain in teeth; filthy taste; pressure in pit of stomach; pain from abdomen
toward genitals; stitches in lower ribs; from 11 to 8 o’clock, squeezing, etc., in front
chest; stitches in sternum; stitches in ribs; anxiety about heart; stitches in
shoulder-blade; tearing in upper arm; stitching in arm; tearing in little finger; twitching
in thigh, etc.; tearing in hollow of knee; shivering, etc.; at 3 o’clock, chill, etc.; at 4
o’clock, chill, etc.; at 6.30 o’clock, short chill, etc.; from 11 to 3 o’clock violent
chill; shivering up the back; from 10 to 3 o’clock, external heat. ►
(Toward evening), Nausea; pressure toward sternum;
palpitation; after stool, violent chill, etc. ► (Evening), On sitting and standing, stitches in side of head;
after lying down, drawing etc., in teeth; during paroxysm, disgust for everything; stitches
in orifice of urethra; stitches in shoulder-blade; gnawing in sacrum; tearing in forearm,
etc.; while sitting, sensation on side of lumbar vertebræ; warm forehead, etc. ► (Night), Delirium; on
waking slimy mouth; thirst; stitches in orifice of urethra; burning in urethra; erections;
chill; restless prostration; restless; from 3 P.M. to 3 A.M., shaking chill; heart of body; sweat; sweat on chest. ► (Before midnight), Sweat. ► (Midnight), Cannot lie on left side. ►
(Toward morning), Perspiration. ►
(In air), Worse. ► (In open air), Lachrymation. ►
(On ascending steps), Knees totter. ► (In bed), Burning of
soles of feet. ► (Coffee),
The symptoms; abdominal pain; sense of fulness in chest, etc. ►
(During and after coition), Burning in ducts of
vesiculæ seminales. ► (During
the coldness), Thirst. ► (During dinner), Thirst. ► (After dinner), Eructations, etc.; stitches in costal region;
drawing, etc., in upper arm; tearing in bend of elbow; tension in calf; tearing in calf;
yawning; sleepy. ► (After
drinking), Cardialgia, etc. ► (When eating), Nausea, etc. ► (After eating), Pain in palate. ►
(Inspiration), Sensation in epigastric region; stitching
in chest; stitching in left side; stitching below right chest. ►
(Liquids, sight or contact of), Convulsive attacks. ► (After meals), Scraping
in throat; sleepy. ► (Motion),
Head heavy, etc.; headache; throbbing in side of spine;
pain across small of back. ► (Moving
head), Tearing in nape of neck, etc. ► (Pressure), Pain at the epigastrium, etc.; pain in abdomen; pain in lumbar region, etc. ► (Deep respiration),
Pressure towards sternum. ► (Sitting),
Rumbling in abdomen; weariness in small of back, etc.; pain in small of back. ► (After sitting down),
Tearing on surface of knee, etc. ► (Speaking), Pressure toward sternum. ►
(Standing), Nausea; urging to urinate. ► (After stool), Burning, etc., in anus. ► (On stooping), Sensation in epigastric region; tensive pain in
neck. ► (Talking),
Sensation in nose. ► (Touch),
Sensation in nose. ► (While
urinating), Pains in urethra; pain in
spermatic cord. ► (After
urinating), Crawling, etc., in urethra; burning along urethra. ► (Walking), Tearing in
lower jaw; nausea; pain in groin; urging to urinate; headache; after rising from sitting,
stitch in small of back; cutting in knees; tearing in calves; legs feel bruised; sweat. ► (Writing), Cutting in the
eye; dimness of vision. ► (While
yawning), Stitch in ribs. ► Amelioration.
► (Morning), In bed,
the pains. ► (Evening),
On the appearance of the urinary difficulties, the other difficulties cease. ► (Night), In the
beginning, pains except those of the abdomen, cease. ► (Alcoholic liquors), Prostration of
strength. ► (After
breakfast), Headache disappears. ► (Camphor), Pains in abdomen disappear; urging to stool; coldness; urinary symptoms. ► (Lying), The symptoms; squeezing etc., in chest. ► (On lying down), Morning
chill disappears. ► (Pressure on
glans penis), Pains from ureters downward. ► (On rising), Pressure in side of chest disappears. ► (Rubbing), Stitch in
temple; stitching in ear; tearing in arm; tearing in hand; pain in legs; tearing in knee;
burning in swelling on foot; tearing in toes. ► (Sitting), Pain in groin. ► (On sitting up in bed), Headache disappeared. ► (Standing), Stitch in
frontal eminence. ► (On walking),
Headache disappears; pain in calves disappears. ► (Warm applications), Relieve; pains in knees, etc. ► (Wine), Refreshes.
SUPPLEMENT: CANTHARIS.
Authorities.
113, J. M.
Fontanelle (Rev. Med.), Lancet, vol. ix, 1826, p. 233, a man, aged twenty years, took 1/2
ounce; 114, (Midland Reporter, No. 11), Bost. Med. and
Surg. Journ., vol. v, 1831, p. 75, two young men took some lytta in raspberry brandy; 115, W. Miller, Lancet, 1834-5 (2), p. 114, a woman, aged
twenty-five years, swallowed some blistering plaster; 116,
Med. Gaz., March 26, 1836, three negroes took some tincture; 117,
G. Smith, Lancet, 1840 (1), p. 733, a woman, aged sixty years, took a piece of blister
plaster about the size of a walnut; 118, Brit. Journ. of
Hom., vol. iv, 1846, F. T., aged seventeen years, was engaged all day in making
“Emplastrum Cantharidis”; 119, Dr. C. H.
Hildreth, Bost. Med. and Surg. Journ., vol. lii, 1855, p. 80, a man took a quantity of
powdered Canth. in gin; 120, W. R. Spence Jeffries,
Brit. Med. Journ., 1876 (1), p. 190, a lumatic took 3 fluid ounces of tincture; 121, J. M. Schley, M.D., Hahn. Month., 1878, p. 641, Mr. J., aged
twenty years, took 2 drachms made into a fly-blister, at 5.30 P.M., during treatment Camph.,
Can. sat., Ars. and Ipecac. were given; 122, M. Rosolino
Braga, Med. de Rio de Janeiro (Lond. Med. Rec., 1879, p. 80), M. C., aged twenty-three
years, drank Canth. in wine.
HEAD.
► Headache and dull
heavy feeling around eyes (second day), [121]. ► Shooting-darting pain in right temple and in right eye (third
day), [121].
EYE.
► Great dimness of
sight, attended with smarting and burning round the eyelids, and round the balls of the
eyes; constant lachrymation; the eyes turned towards the nose; twitching of the eyelids; he
could not close his eyes without great pain, from smarting of the lids chiefly; there was
considerable redness, and an apparent distress from the inflammation of both eyes. Some
drops of the strong Camphor tincture were given him. The next morning everything appeared
yellow. Ther nose was also considerably affected; some swelling with redness and heat,
within as well as without, with the appearance of suffering from severe coryza, [118].[Note: Add, 113, Br. J. of Hom., 4,
91, effect on eyes, of making fly-plaster.►
Eyes turned towards the nose, [113]. ► Twitching of lids, [113]. ► Smarting and
burning in lids and around balls, [113]. ► Great pain from smarting in lids, on closing eyes, [113]. ► Lachrymation, [113]. ► Great dimness of
vision, [113].]
FACE.
► Face flushed
(second day), [121].
MOUTH.
► Tongue coated
white down centre (third day), [121].
STOMACH, ABDOMEN, AND URINARY ORGANS.
►
Poor appetite (third day), [121]. ► Great thirst, and throat very dry (second day), [121]. ► Nausea after
eating (fifth day), [121]. [1660.]
► About 11 P.M. (after six hours) commenced to vomit,
which, however, produced little pain, as the contents of the stomach came up easily. At 2
P.M. the greatest pain was produced by incessant vomiting and nausea. His retching was
painful to look at, for after the most violent efforts he would bring up at most some of the
administered medicine or a little mucus, but no bile at any time, [121]. ► In an hour or two,
vomiting and strangury commenced; the urine discharged being scanty in quantity, and
contained blood. On the third day, she was attacked with severe pain in the region of the
left kidney, accompanied by tenderness on pressure, and sympathetic fever, [117]. ► Vomiting, with severe
pain in the lower part of the abdomen, accompanied with bearing down, and most intolerable
inclination to micturition, with heat and smarting so acute as to cause her to scream; also
severe tenesmus, without evacuation of the bowels, [115].
► Gnawing painful feeling over region of stomach,
extending into back between shoulders (second day), [121].
► Violent pain in the stomach, bowels, kidneys, and
bladder; a constant desire to make water; and a burning heat in the throat, [114]. ► Soon complained of
lancinating pains of the stomach, burning of the throat, and great nausea. In two hours,
violent retching succeeded, and the vomited matters were streaked with blood; they
consisted, however, chiefly of frothy mucus. Next morning the pains continued, accompanied
with cold clammy sweats, difficulty of swallowing, and in the evening, salivation. The mucus
expectorated was of a pink color. Strangury supervened and continued for six days, [116]. ► Flatulency,
which when belched up gave temporary relief (first day), [121].
► Rumbling in the bowels (first day), [121]. ► Severe pain in the lower
part of the abdomen, thence extending into the lumbar region, but most intense just above
the pubis. Some nausea, but no pain in the stomach, [119].
► About midnight he was seized with strong desire to
urinate. In spite of all his efforts he could pass only a few drops of scalding urine,
attended with severe pain throughout the length of the urethra, especially at the meatus,
where he had a sensation like that of the pricking of pins. These symptoms became worse, and
they were attended with priapism and severe pain in the genito-urinary organs, as well as in
the lumbar region, and with intense thirst. At 9 P.M., he was much agitated, crying out and
very restless. The eyes were injected and lustrous, the pupils dilated, and the countenance
animated. The pulse was small and frequent. There was nausea with intense thirst. There was
the most acute pain in the urethra, rendered much worse when with great difficulty some
drops of urine were expelled. The desire to micturate was incessant, and an acute state of
nervous erethism was produced. Only a very small quantity of urine could be discharged; and
this was thick and bloody. The abdomen was retracted and sensitive to pressure, especially
in the hypogastric region, where the slightest touch produced acute pain. Pain was also felt
in the lumbar region, owing to the kidneys being affected, and this pain extended downwards
to the perinæum. The catheter brought away a small quantity of thick bloody urine,
containing album in marked proportion, [122]. [1670.] ► He went to dinner at
6 P.M. (after half an hour), but had little or no appetite, and about 8.30 went to his room
suffering much pain in his abdomen and in the region of the bladder. The first and most
prominent symptom was an excruciating burning before passing water, which was increased as
the water left the bladder. About 9 he commenced to have the most excruciating pain in his
bladder, with the continual desire to pass his water, which could only be pressed out in
drops, but often bloody, and sometimes small clots would pass through the urethra, producing
so much agony that he came near fainting on several occasions. About the same time his
bowels moved several times, the passage being loose and without pain, except as the last
fæces passed from the rectum, when he would experience some pain and straining, which soon
extended to the bladder, bringing on the most painful tenesmus, which was but little
relieved when one or two drops of bloody urine passed. At 2 A.M. he complained mostly of a
tearing-boring pain immediately over the region of the right kidney; it was painful for him
to lie in any position, but when his back was bent in, he felt more comfortable. At times he
said the pain was most acute, and he would groan fearfully under the agony; this would last
for several moments, when a short period of comparative ease would ensue, only to be
succeeded by the old pain. This acute pain did not remain entirely localized to the region
of the kidney, but followed the direction of the ureters. The desire to urinate was somewhat
better, still every ten or fifteen minutes he would seize the chamber, and under the
greatest agony pass sometimes one-half ounce of urine without any appreciable appearance of
blood, when probably the next time he would pass urine the first drop seemed to be almost
pure blood. It was as the last drops passed the sphincter vesicæ that the pain amounted to
torture, and though a young man of courage, his self-possession would forsake him, and his
face betrayed what his sufferings were, [121]. ► Burning feeling in and near orifice of urethra when passing
water, and occasionally also when perfectly quiet; in the morning noticed the parts were
slightly glued together (fourth day), [121]. ► The amount of urine passed this morning was four ounces; its
color when held up to the light was a reddish brown, showing the presence of a small amount
of blood. Neutral on test. On adding Nit. ac., also when heated, albumen was precipitated in
abundance, amounting perhaps to 1/14 per cent. The presence of albumen was found to be
caused by the large quantity of blood in the urine. Under the microscope a very large number
of blood-corpuscles, occasionally pus-corpuscles, epithelia of bladder, and spheroidal cells
from the tubuli uriniferi and pelvis of kidney were to be found. The epithelia from the
bladder were more numerous than those from the kidney. There was some mucus, with which the
blood-corpuscles seemed to be intimately mixed. There were no crystals, no casts. The
deposit at the bottom of the vessel, after standing some little time, was considerable
(first day). Urine pale yellow. Reaction alkaline. Albumen present, but in less quantity.
Under the microscope there was a diminution of the blood-corpuscles, and epithelia from the
bladder. The cells from the pelvis and kidney had diminished some in number (third day).
Urine light yellow, much deposit, reaction alkaline. Albumen much decreased. Microscope
shows a marked diminution of blood-corpuscles, a diminished number of cells from kidney and
epithelia of bladder. On the other hand there was much mucus, intermixed with large
quantities of urates, and some crystals of carbonate of ammonia (fifth day). Urine alkaline;
no albumen; no blood corpuscles. Increase of mucus, urate, and epithelia of bladder, and an
exceptional cell from kidney (eighth day). Urine alkaline, much sediment. Large quantities
of mucus, with epithelia of bladder, and an exceptional cell from pelvis of kidney
(thirteenth day). Urine varied frequently in appearance now, sometimes being quite clear;
this was more marked toward morning, whereas towards noon it would be quite cloudy. Color of
urine passed in office decidedly more natural. Alkaline, large quantities of mucus, urates,
epithelia from bladder, and crystals of carbonate of ammonia (nineteenth day), [121].
HEART AND PULSE.
► Pulse
accelerated, 92; skin hot (after nine days), [121].
GENERALITIES.
► Nervous,
constantly threw himself about in bed, and could not sleep (second day), [121]. ► After two hours and a
half she was suffering much from burning pain and constriction in the throat; her eyeballs
were prominent; her lips and mouth were parched and bleached (blistered). She was
salivating, retching, and vomiting a glairy tenacious mucus; her tongue was also bleached
along the sides and tip; but was blackish brown in the centre, and much swollen. The
breathing was very irregular and imperfect, sometimes quick, sometimes slow, and at great
intervals. The pulse at the wrist was full and bounding; the vessels of the head and neck
were much congested. The poor creature appeared to be suffering great agony, as was
indicated by her expression of countenance, and the throwing about of her arms and body in
her endeavors to obtain relief. Vomiting was free, and the patient complained much of pain
in the gullet, and great difficulty in swallowing. Seven hours after the poisoning she
complained of pain over the bladder, uterus, and kidneys, especially severe over the
hypogastrium. She passed a restless night; she frequently tried to urinate, but
ineffectually, only passing a little blood instead of urine. The bowels acted slightly, the
motion being black and tarry-looking. The pulse was now small and compressible; she died in
twenty-one hours and a half after the poisoning. The post-mortem showed in the posterior and
upper surface of the stomach, three inches from the pyloric end, a perforation sufficiently
large for a small hen’s egg to pass through; the edges of the perforation were ragged,
congested, and blackened, and the mucous membrane for two inches on each side was congested
and blackened, and the mucous surface of the stomach and lower end of the gullet generally
in a blakened and softened state, and coated with a black grumous matter, [120]. ► Almost immediately seized
with violent heat of the urine, heat in the throat, and pain in the head. These symptoms
increased, and were followed by excessive sickness. Eight hours after the accident he passed
a quantity of blood from the urethra, with excessive pain, [113].
SKIN.
► Brownish-yellowish
appearance of skin (fifth day), [121].® 2000
Article