MERCURIUS CORROSIVUS.
HEART AND PULSE.
►
Præcordium. ► Præcordial
anxiety, [15]. ► Violent pain at the præcordia, [84]. ►
Obstruction and anxiety in the præcordia and epigastric region,
followed by slight palpitations (after second dose, portion of 3/16
grain), [84]. ► Heart’s Action. ►
The heart-beat had a tremulous, undulating motion, [48]. ►
“Bruit de souffle” at the base of the heart (fifteenth day), [51]. ►
Palpitation, [52]; (after third
dose), [35]. [810.] ►
More frequent palpitations, in the night, [35].
► Beats of the heart seemed remote
and slow (after five hours), [36].
► Every fifteenth or twentieth beat
of heart intermits (after four hours). Heart-sounds dull and
intermittent (second day). Heart-beats still intermittent (owing, no
doubt, to organic disease, probably mitral insufficiency), (seventh
day), [50]. ► Pulse. ►
Small, frequent pulse (second day), [80].
► Pulse small, contracted, frequent, [25]. ►
Pulse small, frequent, and irregular (after one hour and a half), [43]. ►
Pulse rather more frequent than usual, but not full (second day), [20]. ►
Quick pulse (after second day), [19].
► Full and quick pulse (seventh day),
[20]. ►
Pulse quick and feeble, [85]. [820.] ►
Full small, quick, tremulous, [84];
(after eight days), [20]. ► Pulse small, quick, and regular (first
day); not to be counted (second day); unsteady and feeble (third day), [86]. ►
Quick, small, and very indistinct pulse at the wrist (first day); barely
50 (second day); 64, but small and weak (third day), [56]. ► Pulse
very quick and small (second day), [22].
► Pulse rapid, full, [9]. ► Pulse
rapid, small, spasmodic, [52]. ► Pulse rapid, hard, without being
particularly large, [29]. ► Pulse small and rapid (after half an
hour), [73]. ►
Pulse rapid and weak, [26]. ► Pulse very rapid and small (after half an
hour); could not be felt at the wrist, at the carotids and heart it was
168, feeble, regular (after one hour and a half); had returned at wrist,
140, feeble, regular as to frequency, but varying in strength (after
three hours and a half), [9]. [830.] ►
Pulse feverish after dinner, at 1 P.M. (eighth day), [4]; (sixth night), [4]. ► Pulse
small, feverish, [15]. ► Pulse did not rise above the natural
standard, and maintained a good degree of fulness and regularity until a
few hours previous to dissolution, [42].
► Slow and feeble pulse (second day),
[32]. ►
Pulse feeble and slow (after two hours and a half); 80 (second day);
more frequent and feeble (fifth day), [63].
► Pulse 136, very feeble (after
eleven hours), [71]. ► Pulse almost imperceptible (after two
hours and a half), 120 (after seven hours); 100 (second day); 130, in
morning; 120, in evening (third day), [49].
► Pulse 126 (second day); 105, small
and corded (fifth day), [34]. ► Pulse 120, feeble (after five hours), [41]. ►
Pulse 120, and small (soon), [46].
[840.] ►
Pulse 120, and feeble (after two hours); upwards of 100, and feeble
(second day); 100, soft, and weak (third and fifth days); almost
imperceptible at the wrist (seventh day), [28].
► Pulse small, hard, 116, with
diminished temperature and moist clammy skin, [62]. ► Pulse
110, and full (second day), [24]. ► Pulse very much depressed (after one hour
and a half); 100, feeble (after five hours); 108 (third day); 108 full
(fourth day); 90, in the evening (fifth day); 80 (sixth day); 80, weak
(seventh day); 92, rather feeble, thready in the evening (eleventh day);
hardly perceptible (twelfth day), [61].
► Pulse 96, rather weak (ninth day), [27]. ►
Pulse 90, and feeble (fourth day), [24].
► Pulse 86 (third day); 72 to 76
(seventh day); 84 (tenth day); 88 (fifteenth day), [51]. ► Pulse
70, full, and regular (third day); 62 (fourth day), [42]. ► Pulse
70 (second day); 72 (third day); 90 (sixth day), [79]. ► Pulse
small, contracted, irregular, [11].
[850.] ►
Pulse 128, very feeble and irregular (after one hour); 120 (after two
hours); 112, very much corded, and intermitting occasionally (second
day), [77]. ► *Pulse intermittent, 89, [40]. ►
*Pulse small, intermittent, [44].
► Pulse 104, small, *irregular, intermittent (after four hours);
80, small, uneven, *irregular (after
seven hours); 68 (after eleven hours); 80, at 8.30 A.M.; 100,
intermittent, at 5.30 P.M. (second day); 84, at 5.30 P.M. (third day);
90 (fourth day); 90, intermittent, in morning; 70, *intermittent and uneven, at 6 P.M. (fifth
day); 90, in morning; 84, evening (sixth day); 70, still intermittent,
in morning; 68, in evening (seventh day), [50].
► Pulse full and hard (seventh day), [31]. ►
Pulse small, contracted, 100, [21].
► Pulse small, contracted, 120, [37]. ►
Pulse feeble (after eight hours and a half), [74]. ► Pulse
soft and regular, but feeble (soon), [57].
► Pulse small, tremulous, and feeble
(after twelve hours), [83]. [860.] ►
Pulse feeble, laboring in its diastole (second day); less perceptible
(third day), [85]. ► Pulse small and extremely feeble (after
one hour and a half), [41]. ► Pulse small and innumerable, [82]. ►
Pulse small and scarcely perceptible (after four hours), [72]. ► Pulse
scarcely perceptible (soon), [68],
[72]. ►
Pulse small, filiform, scarcely perceptible (after five hours), [36]. ►
Almost pulseless, [66]. ► Pulsation imperceptible at the wrist
twelve hours before death (after twelve hours), [83]. ► All
pulsation left the wrist and extreme arterial branches (after twelve
hours), [84].
NECK AND BACK.
►
Tonic cramps involving the neck and back, lasting several minutes,
during which respiration completely stopped, [53]. [870.] ► Tension externally near the left scapula
(first day), [8]. ► Tearing internally in the upper part of
the left scapula, as if in the bone (first day), [8].
EXTREMITIES IN GENERAL.
► Objective. ►
Hands and feet rather livid, shrunken, and cold (after half an hour), [59]. ►
Trembling of the extremities, [41];
(second day), [32]. ► Trembling of the limbs, especially in the
stretched them out, [41]. ► Constant trembling of the extremities, [44]. ►
Convulsive motions of the right upper and lower extremities, [53]. ►
Spasmodic convulsions of the fingers and toes, [56]. ►
Twitching of the limbs, [81]. ► Paralytic stiffness of the extremities
(second day), [25]. [880.] ►
Extended on her bed, without control over her limbs (after five hours), [36]. ►
Complete paralysis of the upper and lower extremities, a few hours
before death (sixth day), [19]. ► *Lassitude in the limbs, and trembling when
standing up and without moving (after fourth dose), [25]. ►
Loss of power and stiffness of the extremities, gradually increasing day
by day, with excessive pain on every attempt to change to position,
until the patient became completely paralyzed, [25]. ►
Subjective. ► A peculiar
feeling of loss of power in the deltoid muscles, and also in the muscles
of the calves and thighs, without special cause (fifth day), [10]. ►
Feeling of weakness and shivering in the limbs (after third dose), [35]. ►
Numbness of the hands and feet (fifth day), (in one case), [70]. ►
A peculiar numbness attendant on the pains in the arms and legs; worse
in the evening, better the latter part of the night and during the day, [75]. ►
Pain in the extremities (second day), [25].
► Pains in her limbs and arms, like
those felt after long and fatiguing exercise, always worse after
sleeping, [75]. [890.] ►
Universal pains in the limbs (after two days), [19]. ► Dull
pains in the extremities, with general weakness, for five or six weeks, [62]. ►
Drawing deep in the limbs, in the bones (seventh day), [7]. ► A kind
of tearing in the bones (joints of the fingers, hips, etc.), (seventh
day), [8].
SUPERIOR EXTREMITIES.
► Shoulder. ►
Tearing in the left shoulder, frequently (fourth and fifth days), [8]. ►
Sensation as though the glands in the left axilla would become swollen;
with frequently repeated transient stitches in them (tenth day), [4]. ►
Arm. ► Rheumatic pain
(like that peculiar to windy weather) in the right deltoid muscle, while
walking (tenth day), [10]. ► Hand. ►
Jerking constrictive pain in the right metacarpus (fifth day), [10]. ►
Cramps in his hands (after two hours and a half), [61]. ►
Sticking pain in the muscles on the back of the hand, especially in the
abductor and extensor of the thumb, and in the extensors of the foot
(third day), [7]. [900.] ► Tearing in the left metacarpal bones
(during the first days of the proving this tearing had been farther down
in the joints of the fingers), (seventh day), [8]. ► Fingers.
► Fine but very sharp stitches in the
tip of the left thumb, in the evening while walking (sixth day), [8]. ►
Acute tearing in the bone of the first joints of the left index and ring
fingers, and also in the first joint of the thumb, continuing next day
(first day), [8].
INFERIOR EXTREMITIES.
► Objective. ►
*Lower extremities drawn up in bed (fifth day), [34]. ►
Spasms of lower extremities (after four hours), [72]. ►
Stiffness of the legs, [40]. ► Sticking in the muscles of the lower
extremities (eleventh day), [7]. ► Hip. ►
Pressive-sticking pain in the hip-joint and in the knee, during both
rest and motion; also in other extremities, but of less intensity
(twelfth day), [7]. ► Rheumatic pains like needle-stitches in
the lower extremities (second night), [3].
► Sticking in the left hip-joint,
from within outwards (first day), [8].
[910.] ►
Sticking pain in the hip-joint, during rest and motion, [1]. ►
*Sticking pains in the hip-joints during rest, disappearing on motion
(tenth day), [7]. ► Shooting stitches in the hip-joint, in
the afternoon (fourteenth day), [7].
► Tearing posteriorly in the right
hip-joint, afterwards more to the side and externally (second day), [8]. ►
Thigh. ► Drawing in the
thigh-bones (second day), [7]. ► Knee. ►
Knees drawn up (after four hours), [72].
► Leg. ►
Twitching in various muscular fibres of the calves, inner side of the
gastrocnemius muscle (fifth day), [10].
► The lower leg seems asleep, [1]; (second day), [7]. ►
Numbness and want of feeling in the legs (after three days), [28]. ►
Cramps in his legs (after five hours), [61].
[920.] ►
Cramps in left leg (after two hours and a half), [59]. ►
Drawing pain in the bones of the leg (eighth day), [7]. ► Tearing
in the left calf extending inwards (first day), [8]. ► Foot.
► Very unusual weariness of the feet
and sleepiness, in the evening (first day), [8]. ►
Trembling of the feet (soon), [51].
► Trembling of the feet on walking,
especially affecting the left side, and mostly in the morning on rising,
and in the evening, [41].
GENERAL SYMPTOMS.
►
Objective. ► His whole
appearance much resembled that of a person in the last stage of typhus
fever (after nine days), [27]. ► Though supported throughout the illness
with milk, gruel, and chicken-broth, he was more reduced both in bulk
and strength than any patient I ever saw, in so short a space of time, [32]. ►
*Dorsal decubitus (after four hours), [50]. ►►
*Lying on his back with his knees bent up (tenth day), [61]. [930.]
► He rolled so incessantly from side
to side that it was difficult to distinguish pulsation, even at heart
(after one hour and a half), [59].
► While leaning heavily upon the left
arm, on standing, a moderate trembling of the left arm and whole left
half of the body (first day), [8].
► Convulsions and rigors before
death, which occurred on the fifth day, [43].
► Twitchings, [16]. ►
Spasms, [53]. ► General spasms and convulsions, [17]. ►
Spasms, first in the toes and feet, and then in the fingers and hands,
and afterwards extending up the legs and arms (after two or three
hours); a violent spasm attacked the right breast, and shot through to
the back, just under the shoulder-blade; the breast became much
contracted, and its milk was speedily dried up, [23]. ►
Violent spasms (second day), [34].
► Spasmodic motions of the muscles of
the face, arms, and legs; constant cramps in all the extremities, [37]. ►
Whole body stiff and painful on the slightest motion (sixth day), [25]. [940.]
► Great weariness and suffering in
the morning, so that after shaving he was obliged to lie down again in
bed and sleep for an hour (second day), [3].
► Great depression of system (soon), [72]. ►►
*Great debility (second day), [22].
► *Total debility of whole system
(second day), [32]. ► Debility seemed particularly alarming
(after eight days), [20]. ► *Weakness (ninth day), [27]; without having made any exertion (second
day), [7]. ►
Great weakness, and violent pains in the feet (after three days), [62]. ►
Very weak (second day), [71].
► Weakness (third day); excessive in
the whole system, especially in the joints, which with difficulty
support the weight of the body (after nearly two weeks), [77]. ► Very
weak and exhausted (soon), [46];
(after half an hour), [45]. [950.] ►
General exhaustion and weariness, [38].
► Much exhausted (second day), [77]; after the spasms, [23]. ► Great
exhaustion (second day), [34]. ► Excessive exhaustion, [25]. ►
Prostration, [43]; (fifteenth
day), [51]. ►
General prostration and great exhaustion after eating (fifth day), [4]. ►
Much prostrated (after eight hours and a half), [74]. ► Quite
prostrate (after two hours and a half), [63].
► Very weak, prostrated, [21]. ►
Great prostration, [75]. [960.] ►
Lying in a state of great prostration (soon), [63]. ►
Extreme prostration and restlessness, [43b].
► General state of collapse, [75]. ►
Faintness, [56]. ► Feeble and faint (second day); extreme
general faintness (fourth day), [74].
► Alarming faintness recurred at
short intervals, [23]. ► Fainting fits (fifth day), [31]. ► Great
prostration; fainted while being leeched (third day), [49]. ► Great
uneasiness of the whole body, so that it was impossible to lie quietly
in any position, and was obliged to leave the bed; digging and sticking
in the left ear in the afternoon, so violent that it made him weep and
cry out, lasting three minutes (second day), [3]. ►
Restless, [79]; (after two days), [19]. [970.]
► Constant restlessness and tossing
about, [15]. ►
Great restlessness (third day), [24].
► Very restless, [85]; (soon), [36].
► Constant tossing about, [44]. ►
Rolling uneasily about the bed, complaining of severe headache, and
great pain in stomach (after half an hour), [59]. ► 1st. The general symptoms bore no relation to
the amount of local disease. After the first few hours, the pulse was
moderately full, and not above 90, and the temperature not unusual. This
might be connected with the state of the blood after the occurrence of
the suppression of urine, but it was present previous to the coming on
of the suppression. 2d. The amount
of inflammation and ulceration of the large intestines was such as
occurs commonly with severe dysentery, and yet the dysenteric symptoms
were slight, much slighter, indeed, than commonly occur in cases of
poisoning by this substance. 3d.
Suppression of urine continued from Monday until Saturday, the day of
her death, and yet the patient retained her senses and was easily
roused, exhibiting no signs of cerebral disturbance except slight
drowsiness, and some tendency to wandering, [58]. ►
Subjective. ► Extreme
sensitiveness of the whole body (fifteenth day), [51]. ►
Inclination to lie down (fourth day), [5].
► Great feeling of weakness (eighth
day), [61]. ►
“Sinking feeling” (seventh day), [61]. [980.] ► Some malaise (second day), [35]. ►
General feeling of malaise (after third dose), [35]. ►
Disagreeable sensation in the periosteum of all the bones, like the
onset of intermittent fever, with a feeling of heat in the head towards
evening (after six hours), [1]. ► Pains over the whole body (fifth day),
(in one case), [70]. ► General pains over the whole body,
accompanied by stiffness, aggravated by every motion (fourth day), [25]. ►
Most acute pain, as severe as the actual cautery (immediately), [34]. ►
Most excruciating pain all over body, more especially about abdomen, on
which part and on the thighs he had rubbed the largest quantity, and he
felt as if “roasting alive” (after one hour), [24]. ►
Sometimes easy, at other times violently racked with pain, seat of which
is principally about the scrobiculus cordis and umbilicus, [83]. ►
Intolerable pains, [16]. ► Intolerable pain, so that she ran about
the room out of her senses, with loud screams, [17]. [990.] ► Occasional cramps, [43]. ► Fine
sticking here and there in the muscles during the day, [1]. ►
Stitching in the parenchyma of organs, as in the lungs, liver, and very
fine in the testicles (seventh day), [8].
► Drawing in the arms, and tearing in
all the extremities, alternating with convulsive shudderings in the
whole body; with at times loss of consciousness and oppression of the
heart, [62]. ►
The effects continued more or less for two days, [35a]. ► Every
motion or change of position was painful, [25].
► Acids aggravate, [9]. ► General
aggravation from eating fat food, [9].
► She feels better during rest,
easily becomes weak and tired after a little exertion, [9]. ► She
feels worse in the open air, especially weak and frequently dizzy; if
she then begins to work she feels somewhat better; while at work she
feels less weary than before or afterwards, [9].
SKIN.
[1000.] ►
Skin grew more and more livid, until it became everywhere of a dusky
hue, although the breathing was perfectly free, [66]. ►
General yellowness of skin (second day), [72].
► General paleness of the surface
(fifteenth day), [51]. ► Surface of body tumefied, with a
mercurial erythema spreading over it (fifth day), [34]. ► Eruptions,
Dry. ► Eruption of many
ecchymosed spots over the body and limbs, especially the lumbar region
(fifteenth day), [51]. ► Eruption over the whole body of pale-red,
elevated, round spots, not sharply defined, disappearing on pressure,
itching, looking like rubeola (after three days), [62]. ►
Papulous eruption (lichen), that continue to worse, so that the baths
had to be stopped, [38]. ► Piercing cries followed, and in twenty
minutes a brown scar was found on the parts that had been powdered;
around was an inflammation of a bright-red color; scar black and dry in
centre, and rather humid at circumference (after thirty hours), [48]. ►
Round the mouth, for the space of about an inch and a half, there was a
rash, such as appears often after arsenical poisoning (eldest), [67]. ►
Eruptions, Moist. ► All
the parts which had been rubbed in a state of complete vesication
(second day), [24]. [1010.] ►
(Painless blisters on the arms and abdomen, in the morning, disappearing
during the day), [1]. ► Arm greatly swollen from shoulder to
wrist; in many places it was in a state of high inflammation, and in
several parts covered with numerous and extensive vesications filled
with lymph, much resembling the appearance that would have been produced
by a large blister (second day), [22].
► Eruptions, Pustular. ► Several large pustules, of a livid hue,
appeared upon the face and breast (fourth day), [32]. ► A
burning sensation was immediately experienced, and soon became
intolerable; the next morning there was still violent burning and
pricking over the whole surface of the skin, which was red and inflamed,
and that evening presented at many points vesicles, such as show
themselves in cases of scalding by hot fluids; these parts of the skin
afterwards suppurated, [70]. ► Sensations. ►
Severe tingling sensation, similar to that of “being asleep”
(third day), [23]. ► Itching burning and fine sticking in
various places just under the skin (first day), [8]. ►
Itching, changing to sticking and burning in the skin (seventh day), [8]. ►
Itching in various places, scalp, legs, etc. frequently changing to fine
sticking and burning (first day), [8].
► Itching about the anus, while
walking (first day), [8]. ► Itching, changing to a fine sticking, in
the middle of the back, as if in the skin (first day), [8]. [1020.] ► Itching between the right great (and
second) toes (first day), [8].
SLEEP AND DREAMS.
►
Sleepiness. ► Inclination
to yawn, and frequent yawning (fourth day), [5]. ► *Frequent
yawning and stretching (fifth day), [5]; without sleepiness (eighth day), [5a]. ►
Drowsiness (fifth day), [63]. ► Rather drowsy (after three hours and a
half), [73]. ►
Considerable inclination to sleep, [38].
► Sleepiness all the afternoon
(fourth day), [5]. ► One fell into a somnolent state, from
which she could at first be roused by questioning, [70]. ►
Soporous sleep, from which she was occasionally awakened by return of
the pain, [21]. ► Sleeplessness. ►
Sleep uneasy (sixth night), [8]. [1030.] ►
Sleep very light, after awaking in the night, and unable to sleep on
account of confusion of the head, [9].
► Restless night (first day), [86]. ►
Restless night, with some mild delirium; she tried to get up (fifth
day). Night restless, disturbed by constant waking; sleep for two or
three minutes, followed by waking; change of position, tossing about,
etc. (first night), [3]. ► Night restless; sleep frequently
interrupted by distressing dreams (sixth night), [4]. ► Sleep
restless; and for a month her dreams were of falling from high banks,
and being let down into deep wells, or trying to get away from some one
who was intending to murder her, [75].
► Sleep for only a few minutes at a
times (second night), [3]. ► Did not sleep more than five minutes at a
time (first night), [79]. ► Sleep for the first eight nights lasted
only till three o’clock, [9]. ► Sleep interrupted towards morning, [3b]. [1040.]
► Woke about midnight, tossed about
the bed for three hours, was unable to sleep (first night), [3b]. ►►
*Night sleepless; could not lie
comfortably upon either side (sixth night), [7]. ►
Inability to sleep at night, on account of anxiety (eleventh day), [7]. ►
*Starting up suddenly from sleep, [40]. ►
Frequent starting up on falling asleep at night (tenth day), [7]. ►
Frequent startings during sleep (second night), [77]. ► Sleep
not sound, with frequent starting up in fright (second day), [7]. ►
Violent starting while falling asleep, with shuddering in the whole body
(after eight hours), [1]. ► No sleep (first night), [61], [77].
► Dreams. ► Sleep disturbed by vivid dreams (fifth
night), [8]. [1050.] ►
Very vivid dreams of remarkable, ludicrous, and disagreeable things,
journeyings, etc. (first night), [8].
► Voluptuous dreams (second night), [8]. ►
Sleep disturbed by frightful dreams; she was hurried in her sleep, by
fancying that a horrid-looking figure was at her bedside, presenting a
bottle to her (second night), [23].
► Dreams of fire and death (fourth
night), [5].® 2000
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