KALI BICHROMICUM.
SKIN.
►
Objective. ► If there be
the smallest wound (when applied to the skin) it acts as a caustic,
setting up violent inflammation and destroying all the tissues down to
the bone, [48]. ► If the skin is torn or abraded, however
slightly, a sharp pain is felt; and if the salt is left in contact with
the wound the cutaneous tissue is decomposed and violent inflammation
established; these symptoms are accompanied with intense pain,
especially in winter, when the cold is severe; the action of the salt
does not cease until cauterization has penetrated to the bone, [44]. ►
Several brown spots on the forepart of the neck looking like freckles,
which I had never seen before, and which would scarcely be expected in a
skin as dark as mine (seventy-seventh day), [35]. ►
Elevated painless induration, where an ulcer was four months before, [22]. ►
Hands completely covered with depressed cicatrices, which look as if
they had been punched out with a wadding-cutter, [22]. ► Two of
the characteristic elevated cicatrices on the right thumb, [22]. ►
Roughness and slight burning of the whole skin of the forehead (fourth
day), [35]. ► Eruptions, Dry. ►
Eruption generally comes on in the first fourteen days, [22]. [1540.]
► Had eruptions, at first, [22]. ►
Solid eruption, like measles, over the body, [22]. ► Rash
commencing in hot weather, [22]. ► Rash lasted only three days, [22]. ►
Papular rash lasting three months (after three months), [22]. ► Was
attacked with a papular rash, chiefly affecting the arms, which,
however, lasted for two or three days only (after one week), [22]. ►
An eruption broke out on the eyelids and adjacent parts of the face,
lasting two days (second day), [22].
► Eruption on the upper and lower lip
(sixty-fourth day), [35]. ► Pimples on the right half of the face
(thirty-ninth day), [23]. ► Appearance of a red pimple on back of
hand (seventh day), [2]. [1550.] ►
Inflamed pimple on the forehead (fourth day), [35]. ►
Inflamed pimples on the back, in the evening (twenty-sixth day), [35]. ►
Several inflamed pimples on the right side of the forehead (sixty-first
day), [35]. ►
Several small inflamed pimples on the forehead, drying up and
disappearing in a few hours (sixth day); small red points on the
forehead where the pimples had been (seventh day), [35]. ►
Painful inflamed pimple in the right side of the nose, towards the
dorsum (eighty-ninth day), [35]. ► *Papular eruptions on forearms,
lasting a few days, recurring frequently, [22].
► Itching papular eruption on the
forearm and legs, which lasted a fortnight, disappearing after he gave
up the occupation, [22]. ► Heat and itching of the skin, at night,
in the warmth of the bed, followed by eruption on the thighs and legs,
of reddish hard knots, from the size of a pin’s head to that of a split
pea, with a depressed dark scurf in the centre, surrounded with an
inflamed base, declining in two or three days; similar attacks recurred
frequently, [22]. ► There appears (without any abrasion) a
small, red elevation with a dark centre and elevated circumference,
itching and slightly painful, [22].
► Psoriasis diffusa of the
hands, which after some time, degenerated into impetigo,
although during the interval he had been little exposed to the action of
the bichromate solution, [43]. ► Eruptions, Moist. [1560.] ►
Vesicular eruption on a red and elevated base (itching and burning much,
especially when exposed to steam), in a few days becoming pustular, and
in some presenting a dark point in the centre, invading hands, arms,
face, back, and belly (after seven days), [22].
► Vesicular eruption on the upper lip
(one hundred and thirty-seventh day), [35].
► Some vesicles on the right side of
the lower lip (fifty-fourth day), [35].
► Vesicles filled with lymph in the
right eyebrow (seventy-fifth day), [35].
► A large vesicle filled with serum
on the sole of the right foot (nineteenth day), [35]. ►
Itching vesicles on the margins of the lips, in the forenoon; in the
evening they itched and burned violently (sixty-fourth day), [35]. ►
On the belly, near the umbilicus, some spots, evidently of abraded
vesicles, presenting a deep hollowed appearance, which remains after
they are healed (after seven days), [22].
► Eruption over the whole body of
pustules the size of peas, with a small black slough in the centre on an
inflamed base, [22]. ► Small pustules all over the body, like
the small-pox, which disappear without bursting, [22]. ►
Violent itching of the skin all over the body, then eruption of small
pustules forming scabs, most on the arms and legs; the scabs are then
painful, smarting, and burning (two cases), [22]. [1570.]
► Eruption of papillæ, these after a
little time become pustular, and at length, provided the exposure be
continued, deep sloughs form under the pustules; the sloughs are of a
peculiarly penetrating character; an instance has even occurred in which
a complete perforation through the muscular substance of the hand has in
this way been produced, [43]. ► Eruptions, Pustular. ► A profuse yellow scabby eruption formed
over the upper lip, [22]. ► Suppurating, painful pimples on the back
(nineteenth and thirty-fourth day). ►
The painful pimples which have been noticed on the back for two weeks
have enlarged, and one has already discharged bloody matter, is still
existence and is more painful than ever; the pimples continue to pain
for several days, and after partly discharging become again filled with
matter (thirty-ninth day), [35]. ► Redness, swelling, and itching in a spot
on the wrist, then great pain; after some time, matter formed and broke
the skin, and continued to ooze out for two or three months, then
healed, leaving a cicatrix, depressed, as if scooped out (after some
months), [22]. ► Itching in the legs, followed next day by
breaking out of a red eruption, which run together and formed scabs,
discharging their matter with aching-smarting pains; it has lasted above
a year, and is in large pustules on the front of the leg; better in cold
weather, [22]. ► Face covered with a profuse eruption like
acne (other parts equally exposed are not so affected), [22]. ►
Eruption on the face like small-pox, for some weeks, on first entering
the works, [22]. ► Pustules appear on the hands (second
day); (after merely passing through the works during the boiling), [22]. ►
An eruption of red round spots broke out on the back, arms, and belly;
the spots then formed pustules the size of a pea, covered with a scab,
which came off in a few days and left a small dry ulcer, which mostly
healed up in about a fortnight leaving a colorless depressed cicatrix
(after a few days), [22]. [1580.] ►
Pustules on the arm, the size of a split pea, with a hair in the centre,
[22]. ►
Small yellow pustules on the calf of the leg, about the size of a split
pea, not unlike small-pox pustules, [22].
► Small pustules made their
appearance at the roots of the nails on both hands, but chiefly on the
left; they extended soon over the whole back of the hand to the wrist,
and also, though not to the same extent, on the palm; the back of the
hand was one mass of suppuration. The pustule on the hand was small and
round, and secreted a limpid, watery matter, when the head of it was
broken off; but if left alone, the secretion consolidated into a yellow
viscid mass (after three days); since then, more than once, after being
in contact with the liquor, has had breaking out of pustules the
following day, [22]. ► Boil on the right thigh (thirty-seventh
day), [23]. ►
A furuncle appeared on the right side of the back near the last rib,
which was very painful to the slightest touch, and lasted five days
(after one day), [31a]. ► Ulcers. ►
Decided itching on the hairy portion of the genitals, which increased to
an inflammation of the skin and the formation of about twenty pustules
as large as the head of a pin, which were collected in a spot about an
inch in diameter (second day); the itching, almost a biting, continued
during the next day, so that I was obliged to scratch in order to get
relief, but the night was restless; on the fourth and fifth days the
pustules continued to suppurate and were painful; in the evening of the
fifth day all the small pustules had united into one large ulcer, in
which violent paroxysmal stitches woke me at night; on the seventh day
the ulcers began to heal, after which I slowly recovered, [31]. ► When
the workmen are too lightly clad they are attacked with violent
itchings, followed by suppuration and ulceration of the moist surface of
the penis, around the glans; this condition may progress until a
disorder not unlike syphilitic ulceration may be presented, [44]. ►
There still remained an irregular ulcer, twice the size of a bean, with
a scab, on the left scapula, quite out of the reach of contact of the
solution; it is dry and superficial, [22].
► Wrists and arms affected with deep
ulcers, [43]. ► Ulcers on the hand, [22]. [1590.]
► Some had ulcers on the hands and
body, [53]. ►
Without his being aware of having any scratch on the arm or hand, ulcers
formed; the arm swelled as high as the axilla, and became very painful,
before the boil-like elevation formed, which afterwards turned into a
large ulcer, with a dark centre, and white overhanging edges, [22]. ►
Ulceration of forefinger to such an extent, that the two last phalanges
had to be cut off, [22]. ► After swelling and redness of the finger,
with severe throbbing pain, an ulcer formed over the point of the
forefinger with white overhanging edges, and dark gangrenous central
point; the skin and cellular tissue movable as if separated from their
attachments, [22]. ► Painful ulcer under the thumb-nail, [23]. ►
Inflammation of the feet, and in twenty-four hours breaking out of
numerous ulcers (fourteen on one foot, and nineteen on the other), of
the characteristic form; they healed in a fortnight (after standing for
half an hour in a weak solution, with shoes not water tight), [22]. ►
Peculiar ulceration of the face, [44].
► In the seat of a scratch, exposed
to ch. sol., swelling and irregular ulcer, covered with a scab, painful
on pressure, dry; this continued for months, and a hard movable knot is
felt under the skin, with an ulcerated spot like a corn. This gradually
hardens, and is covered with a white skin, and remains so for months, [22]. ►
Itchiness of the forearms and hands, then intolerable pain and formation
of numerous ulcers, from which above a dozen nearly solid masses of
matter fell on striking the arm firmly. The ulcers were left clean dry
cavities, which gradually filled up and healed in about a month, leaving
a white cicatrix (after four days’ exposure to ch. sol.), [22]. ►
Sloughs on the fingers and glans penis, [43].
► Subjective. [1600.] ► Stinging in the skin (twenty-first day), [8]. ►
Heaviness and burning in the skin of the right leg, in the afternoon
(thirtieth day), [35]. ► Burning in the skin of the forehead
(seventy-sixth day), [35]. ► Burning in the skin of the forehead,
especially in the glabella, in the morning (one hundredth day), [35]. ►
Burning in the skin in the middle of the forehead, in the nose and right
lower leg, after coming into the house in the evening (ninety-third
day), [35]. ►
Burning over the skin of the face and head, but without redness
(ninety-fifth day), [35]. ► Burning in the skin of the face,
especially in the eyes (sixty-eighth day), [35]. ►
Burning in the skin on both sides of the nose, near the lower margin of
the orbit (fifty-third day), [35].
► Burning in the skin on the inner
surface of the right lower leg (sixty-sixth day), [35]. ►
Burning in the skin of the outer portion of the left lower leg, late in
the evening (one hundred and second day), [35].
[1610.] ►
Violent burning of the skin of the forehead, without anything to be
seen; later in the evening this burning and itching became very violent,
so that I was constantly obliged to rub the forehead (fifty-seventh
day), [35]. ►
Violent burning in the skin of the face, beneath the eyes, and a feeling
in the sides of the nose as if he were going to have erysipelas, in the
open air in the forenoon (ninety-third day), [35]. ►
Pricking and stinging pains in the skin in several parts of the body
(fifteenth day), [8]. ► Ulcer painful on touch, [22]. ►
Itching on the right cheek (ninety-ninth day), [35]. ►
Itching in the beard (one hundred and twentieth day), [35]. ►
Itching and burning in the skin in various parts of the body at
different times, lasting into the night, [25].
► Itching and burning in the skin of
the forehead (fifty-sixth day), [35].
► Itching and burning in the skin of
the forearm and hands, a short time after lying down, soon disappearing,
[25]. ►
Violent itching of the eruption on the lips, though it had begun to dry
(sixty-fifth day), [35]. [1620.] ►
Violent itching and burning in the skin of the nape of the neck, after
awhile disappearing from that place and appearing on the left shoulder,
afterwards in the left upper arm and left side of the chest, and at last
on the back, lasting from 6 to 10 A.M.; in the afternoon suddenly a
similar itching in the skin on the loins, quickly disappearing, [25]. ►
The ulcers were painful in cold weather, [22].
SLEEP AND DREAMS.
►
Sleepiness. ► Great
tendency to yawn and stretch (seventh day), [2]. ►
Frequent yawnings (sixth day), [2].
► Very frequent yawning, though he
had slept very well the previous night (twentieth day), [11]. ►
Constant yawning, followed after half an hour by violent pressing pain
in the stomach, great nausea, and efforts to vomit; vomiting could with
difficulty be restrained (twenty-second day), [31]. ►
Sleepiness, [26]. ► Sleepiness during the day (forty-third
day), [23]. ►
Sleepiness earlier than usual, with some pressive headache, [25]. ►
Great sleepiness and yawning after dinner (fourth day), [2]. [1630.] ► Great sleepiness, in the afternoon (one
hundred and twentieth day), [35]. ► Great sleepiness in the evening (one
hundred and thirteenth day), [35].
► Great sleepiness and exhaustion, so
that I was scarcely able to write a word, in the evening (one hundred
and fourteenth day), [35]. ► Very great sleepiness, constant closing
of the lids, nodding, yawning, and weariness of the feet, towards noon, [25]. ►
Irresistible sleepiness, at times (twenty-second day), [26]. ►
Irresistible sleepiness before the usual time, with momentary dropping
to sleep (third day), [26]. ► Overpowering sleepiness after dinner, [25]. ►
Overpowering sleepiness in the evening; after sleeping for awhile upon a
lounge I was waked by shivering, now in the upper part of the body, now
in the whole body, now in different muscles (eighth day), [35]. ►
Sleeplessness. ► Loss of
sleep, [54]. ►
Difficult falling asleep (fourth day), [26].
[1640.] ►
Was unable to fall asleep for a long time at night, afterwards slept
quietly and soundly (ninety-fifth day), [35].
► Nights uneasy (thirty to
thirty-fifth day), [23]. ► Night restless, [31b]; (second day), [42]. ► Night
restless, interrupted by dreams, unrefreshing (twenty-seventh night), [22]. ►
Restless sleep towards morning, after subsidence of nausea and headache
(15 drops, third day), [5]. ► Suddenly awakened by fright from a quiet
sleep of three hours, and only gradually fell again into a doze (first
night), [34]. ► Awoke early, and then fell into a
confused, heavy half sleep; in morning unrefreshed and weary, [1]. ►
Waking very early in the morning (fourth day), [28]. ► Wakes
very early in the morning, and after falling asleep again very restless
sleep with tossing about (eighth and ninth days), [28]. ► Waking
at 1.30 A.M. (afterwards falling asleep again), (second day), [28]. [1650.]
► Waking at 1.30 A.M. (third night), [28]. ►
Feeling in the morning on rising as though he had not slept enough
(fifty-sixth day), [35]. ► Frequent startings, tossing about of the
arms, incoherent talkings, and finally snoring, on falling asleep at
night (after fourth dose), [2]. ► Frequent groaning and much tossing about
in bed (twentieth night), [35]. ► Dreams. ►
Vivid dreams, [1]. ► Vivid dreams at night, particularly
towards morning (of various dangers and misfortunes), [25]. ►
Disagreeable dreams (thirteenth day), [8].
► Frightful dreams (eleventh and
twelfth days), [8]. ► Very disagreeable sensation at 4 A.M.; it
is best described as nightmare; I dreamed that some one was lying across
my chest and abdomen, which arrested the breathing, so that I was in
danger of suffocation; I groaned aloud, and after waking was covered
with sweat; my blood was in a tumult; after rising I felt very weak
(eighty-ninth day), [35].
FEVER.
►
Chilliness. ► No sensation
of superficial coldness, though the loss of temperature was very marked
to the touch (after one hour and a half), [51].
[1660.] ►
Surface generally cold, especially of the limbs (0.12 gr.), [57]. ►
Unpleasant coolness of the whole body, after the nausea (sixty-seventh
day), [35]. ►
Slight chilliness (with sickness of stomach), (after half an hour,
eighth day), [6]. ► Great chilliness in the evening (twelfth
day), [23]. ►
Occasional attacks of chilliness and shivering (thirty-second day), [26]. ►
Coldness of the body (during vomiting), [12].
► Shivering and sensation of
coldness, chiefly in the arms and shoulders, in afternoon (second day), [5]. ►
Shivering alternating with flushes of heat, slight sweat on the back and
inside of the thighs (after one hour), [32].
► Shivering extending from the lower
legs over the whole body, with a sensation in the pericranium as if it
were being tightly constricted about the head, in frequent paroxysms; an
hour after the chill there followed heat with dryness of the mouth and
lips, so that she was constantly obliged to moisten them; the next
morning she first had great thirst but no perspiration (third day), [29b]. ►
Coldness of the extremities, [47].
[1670.] ►
Feet and hands cold, [52]. ► Feet cold, during the attack, with
shivering over thighs and back, [40].
► Heat. ►
Skin hot and dry, [52]. ► Heat of whole body at night (with
disordered stomach), [14]. ► Heat over the body with feeling of cold
(after vomiting), [12]. ► Feeling of heat over the whole body, [26]. ►
Feeling of heat over the whole body, with increased thirst (soon after
40 grs., third day), [26]. ► Feverishness in the first part of the
night, [22]. ►
Febrile paroxysms, night and morning, [22].
► Heat of the face (fifteenth day);
came on suddenly at 5 P.M., during rest (seventeenth day), [32]. [1680.]
► Flushes of heat in the face, at 4
P.M. (fourteenth day), [32]. ► Face and hands glowing hot, while the
arms were cold and deep internal chilliness continued, [31b]. ►
Sensation of glowing heat in the face, which however was not noticeably
red, at 4 P.M. (ninth day), [32]. ► Sweat. ►
Cold clammy skin, [52]. ► Sweating profusely, [45]. ►
Remarkable perspiration while sitting quietly in the evening (one
hundred and eleventh day), [35]. ► Anxious sweat over the whole body while
vomiting, [31b]. ► Cold perspiration on the hands (during
vomiting), [12]. ► Hands cold, and bathed in cold sweat
(after one hour and half), [51]. ► Cold sweat upon the forehead, extending
as far as the root of the nose, while the rest of the body was dry
(twenty-second day), [31].
CONDITIONS.
►
Aggravation. ► (Morning), “Maziness” in head; on
waking, vertigo; giddiness; on rising, heaviness, etc.; on waking at 5
o’clock, heavy pain in head; on waking, headache; on waking, pain in
circumference of skull; pressive headache; lightness across forehead; on
waking, pain in left side of forehead; pain in
frontal bone; soon after rising, pain over left eye; burning in eyes; on waking, swelling of lids;
dryness, etc., in lids; on waking, heaviness of upper lids; burning in
margins of lids; lachrymation; sneezing; discharge from nose etc.; after
waking, dryness of nose; obstruction of nose; bitter taste; on waking,
pressive pain in throat; on waking, sore throat; feebleness of stomach;
pain in stomach; griping in intestines, etc.; after waking, sensation in
penis; on waking, soreness in larynx; after rising, roughness in larynx;
irritation in larynx; on waking, hoarseness, etc.; hacking cough; dyspnœa;
pain in side of chest; drawing in muscles of neck, etc.; pain in small
of back; pain in sacrum, etc.; on waking, pain in coccyx; rheumatic
pains; pain in limbs; on waking, pains in legs, etc.; on waking, pain in
ulna; on waking, sticking in metacarpal joints; soon after rising,
drawing in fingers, etc.; general discomfort, etc.; pains in various
parts; on waking, tearing here and there. ►
(Forenoon), Pinching in temporal
bones; pressure in occiput; pain along orbital arch; burning, etc., on
eyeball; stitches in ear; pressure on chest; venous excitement; symptoms
in general. ► (Afternoon), Immediately after eating, pains
in temple, etc.; pain over left eye; photophobia; heat of face. ► (Evening),
Melancholy; vertigo; stitch in forehead; compression from both temples;
burning in eyes; earache; pressure in ear; dryness of nose; soreness in
nose; pain in cheek-bones; thirst; pain in right chest; prostration of
limbs; burning in forearm; chilliness; perspiration. ► (Night),
Pain in parietal region; itching, etc., in eyes; pains under scapula;
rheumatic pains in shoulders; rheumatic pains in hip; in bed, shooting
in great toe; in warmth of bed, heat, etc., of skin. ► (After midnight),
Drawing, etc., in elbow. ► (Open air), Pain in forehead; burning, etc.,
in eye; smarting in eyes; fluent coryza; sore throat. ► (Draught of air),
Twisting, etc., in abdomen. ► (After breakfast), Nausea. ► (Cold air),
Pain above eyes. ► (Coughing), Stitch in lumbar region. ► (After dinner),
Aversion to mental work; pain in head; pain in forehead; burning in
eyes, etc.; sneezing; stitches in epigastrium, etc. ► (In house),
Vertigo, etc. ► (Inspiration), Borborygmi, etc.; griping in
lower belly; stitch in lumbar region. ►
(Lying down), Vertigo; pains in
temple. ► (After
meals), Cough. ► (Motion), Pain over eye; pain above eyes;
nausea; stitches in region of spleen, etc.; pain in lumbar region; pains
in renal region; bruised pain in limbs; rheumatic pain in shoulder, etc.
► (Pressure),
Stitches in region of spleen. ► (Rest), Ache in region of kidneys. ► (Sitting),
Pain in coccyx. ► (Smoking), Burning in eyes, etc.; bad taste in
mouth; metallic taste in mouth. ► (Standing), Vertigo. ►
(Stooping), Giddiness; heaviness,
etc.; pain in right flank; pain in loins. ►
(Walking), Vertigo; headache across
forehead, etc.; pressure in sacrum; pain in coccyx; especially when
ascending steps, pain in sartorius muscle; pains, etc., in knees. ► (In winter),
The pains. ► (Writing), Burning in right eye; burning in
lower lids. ► Amelioration. ► (Towards evening),
All pains. ► (Night), Pains, etc., in knees. ► (Open air),
Vertigo, etc. ► (Eating), Nausea;
gastric symptoms. ► (Pressure), Griping in lower belly. ► (Tea),
Giddiness. ► (Walking about), Heaviness, etc. ► (Working),
General indolence.
SUPPLEMENT: KALI BICHROMICUM.
Authorities.
(59
and 60, Taylor’s Med. Jurisp., 1873,
p. 323); 59, Dr. H. C. Andrews
reports a case of the poisoning of a man, æt. thirty-seven years, by
about 2 ounces; 60, Mr. Wood reports
the case of a woman who was poisoned by 2 drachms, and died in four
hours; 61, Ducatel, Journ. de Chim.
Méd., vol. x (Contribution a l’Étude de l’Acide Chromique, Henri
Rousseau, Paris, 1878), a man sucked a little through a siphon.►
In about two hours he was apparently
in a dying state, suffering chiefly from severe cramps, the pupils were
dilated, the pulse was scarcely perceptible, and there was vomiting and
purging of greenish-colored evacuations. In about nine hours the violent
symptoms abated, and the man complained only of great pain in the
shoulders and legs, [59]. [1690.] ►
In the first two hours she suffered from violent vomiting and purging,
the vomited matters being of a yellow color. When admitted to the
hospital she was in a dying state, pulseless, unconscious, and breathing
slowly, with great effort. The skin was cold, the lower lip swollen and
purple, and the tongue swollen, [60].
► Great heat in the throat and
stomach, followed by vomiting of mucus and blood, which continued till
death, five hours after the accident, [61].® 2000
Article