OXALICUM ACIDUM.
RECTUM AND ANUS.
[450.]
► Burning in the rectum, during the
night (twentieth day), [12]. ► Violent tenesmus in the upper part of the
rectum, in the morning, on rising, not like diarrhœa, but in a long and
narrow streak, extending downward in the right side of the rectum, very
painful, and similar to cutting with a knife; repeated on sitting down
to stool; afterwards, a pressing-cutting pain in the right side of the
rectum; after the stool there remains an undefined sensation in the anus
for half an hour (second day), [11].
► Pressure towards the anus (fifth
day), [2]. ►
In the evening a slight pinching from flatus, near the anus, [11]. ►
Frequent pains in the anus, disturbing sleep, at night (twenty-first
day), [12]. ►
In the anus a dull slow stitch, often returning, [11]. ►
Repeated, but ineffectual, efforts for stool; tenesmus constant
(twentieth day), [12]. ► Ineffectual desire for stool
(twenty-second day), [12]. ► Desire for stool, in the morning, on
lying down, with desire to urinate (an hour after taking milk), (second
day), [11].
STOOL.
►
Diarrhœa. ► Violent
purging, [41]; directly, [55]. [460.]
► Purged violently and passed blood
in the stools (after one hour), [58].
► Purging (after one hour), [30], [66];
the fæces of a natural color (after ten minutes), [36]. ►
Feeling of diarrhœa immediately after drinking coffee, [11]. ► Had
excessive catharsis, and was evidently suffering excessive tormina
(after half an hour), [16a]. ► Diarrhœa at 7 A.M., and a very copious
pasty evacuation, preceded by fine colic, followed by more violent
colic, then general sick feeling, desire for stool, and recurrence of
the diarrhœa the same forenoon; in the afternoon diarrhœa, with
constant desire for stool, and evacuation of the undigested food taken
at dinner (second day), [1]. ► Copious diarrhœa, preceded by violent
colic, in the morning, after rising; at 9 o’clock, very thin watery
diarrhœa, with great weakness and prostration, followed by nausea and
tension in the calves; in the afternoon, again diarrhœa (third day), [1]. ►
Copious pasty stool, preceded by rumbling in the abdomen and colic
(twelfth day), [12]. ► Scanty pasty stool at 8 A.M., and a
copious one, with great urging, at noon (fifteenth day), [12]. ► Very
violent diarrhœa-like evacuation at 3 and 7 P.M. (eighteenth day), [12]. ►
Constant involuntary discharge of fluid fæces, occasionally mixed with
blood, [50]. [470.] ►
Bowels have been moved three times, and rather relaxed, which is unusual
(second day), [66a]. ► Three thin pasty discharges, during half
an hour, after breakfast; three again at noon; at 8 P.M. another,
somewhat harder, with some pressure towards the anus (fifth day); on the
next day there were three somewhat hard stools, from morning till noon,
without pressure towards the anus, [2].
► Very watery diarrhœa three times a
day (fourth day), [2]. ► Three stools (second night); two of
natural color (third day); mixed with blood (fourth day), [36]. ► Two
passages of the bowels during the day, [5].
► Injection produced a free discharge
of a green slimy matter (second day); discharge from bowels remained
much the same for three days, when it assumed a better appearance, [38]. ►
At 6 A.M., was suddenly seized with a distressing feeling in the whole
abdomen, followed in several minutes by twisting in and around the
umbilicus, with a discharge, in a few minutes, of a small quantity of
hard fæces, of a dark-brown color; in half an hour, again violent pain
and bearing down, followed by a loose evacuation, of a muddy-brown
color, accompanied by colic pains in the navel; below the navel he felt
a bearing down, and griping pains in the anus; the latter were so severe
as to produce severe nervous pains through the head, with heat in this
organ; after retiring to bed the same pains, returned again in five
minutes, followed by a copious evacuation of consistent dark muddy-brown
fæces; on going to bed the pains invariably returned; he was obliged to
sit or stand; is better during motion (had to take Merc. sol. 2d to be
relieved of the pain), [6]. ► Bowels opened at 9 A.M., and again at 4
P.M.; slight colic pain in and around the umbilicus, just before the
afternoon evacuation, [6]. ► Stool thin, loamy, on the third day
(after there had been no stool on the second day), [1]. ► Stool
rather pasty and tenacious; evacuated after longer and greater urging
than usual (after the solution), [1].
[480.] ►
Evacuation pappy, light brown; in the afternoon, again, passage from the
bowels pappy, thick, and short; during the passage, violent stitches in
the fleshy part of the left thumb, like little quick cuts of a knife;
after the passage, a heavy rumbling in the right side of the abdomen
(cæcum) and noise from flatus (second day), [11]. ► Stools
pasty and tenacious, evacuated with great effort; weakness of the limbs
and of the whole body, [13a]. ► A quantity of mucus was evacuated after
the stool (eleventh day), [12]. ► Serous stools, with some streaks of blood
and much tenesmus (twentieth day), [12].
► Stool, with bloody mucus and
tenesmus (twenty-first day), [12].
► Blood passed with stools (third
day), [21]. ►
Dejections contain filaments of whitish matter, similar to the crust on
the tongue (tenth day), [17]. ► Constipation. ► *Constipation (in two persons who
recovered), [50]; (twelfth and
thirteenth days), [1a], [13]. ►
Stool hard, with much mucus and some blood (sixth day), [1]. ► Stool
omits every other day, and continues very irregular; constipation, at
the most, two days for three or four weeks, [1]. [490.] ► Stool omitted (third day); somewhat
indolent (fourth day); omitted (fifth day); occurred with much pressure
and was hard (sixth day); copious, though hard stool; fæces covered
with mucus (tenth day), [12]. ► Stool light brown, pasty, mealy; at the
same time a small quantity of clear urine was passed (second day), [11]. ►
Stool somewhat indolent; micturition rather more frequent than natural;
the quantity rather smaller than usual (from 1/6000th), [1].
URINARY ORGANS.
►
Woke towards morning with pain in the left kidney, [11]. ► In the
evening, slight pain in the region of the right kidney, [5]. ► Intense
pain in the region of the kidneys, [56].
► (Feeling of fulness in the
bladder), [11]. ► Bladder distended with urine, but cannot
pass (tenth day), [31]. ► Slight burning pain through the urethra
to the orifice, as though a drop of acrid urine would pass, in the
evening (second day), [1]. ► Slight burning, with a somewhat
voluptuous sensation in the urethra, during micturition, at noon (eighth
day), [1]. [500.] ►
Violent burning during micturition; the urine is passed only in drops
(sixth night), [1]. ► Micturition and Urine. ► Passed urine involuntarily (third day), [17]. ►
Frequent desire to urinate; the urine is of a lighter color (second
day), [11]. ►
Urging to pass water, with copious discharge; the water is of a lighter
color than usual, [5]. ► Disposition to pass water every two
hours, and in large quantities (second day); inclination to pass water
every hour, and in large quantities each time; slight burning in passing
the urine, which is clear, and of a straw color (third day), [6]. ►
Urine passed more frequently, in a smaller quantity than usual, [13]. ►
Diminished desire for micturition (eighth to tenth day), [12]. ► She
passed no water during the whole ten hours, [61]. ►
Profuse flow of light-colored urine frequently during the evening, [6]. ►
Copious discharge of urine, at 5 A.M., [9].
[510.] ►
Passes less urine than usual, in the morning (second day), [11]. ►
The urine passed in the morning and evening was exceedingly acid, even
after standing thirty-six hours in a warm room; deposited numerous
crystals of uric acid; indications of oxalates of lime were recognized
in the milky-white sediment (nineteenth day), [12]. ► For
more than a week her urine was loaded with enormous crystals of oxalate
of lime; a single drop on a glass slide yielded hundred of crystals,
together with blood-disks; some of these crystals were quite
one-fiftieth of an inch in diameter, which may, perhaps, account for the
intense pain in the region of the kidneys, [56].
SEXUAL ORGANS.
►
Male. ► Red points on the
glans penis, without itching or soreness, [11].
► Pain in the glans penis, six or
seven thrusts, not very violent, but very annoying, always on urinating
(second and third days), [11]. ► During walking, in the evening, a pretty
severe pain and heaviness in both testicles, shooting along the
spermatic cords; worse on the right side, [5].
► Itching in the testicles and
spermatic cords, [5]. ► Erections, without cause, on lying down
in the forenoon, followed by pain in the testicles on going out (first
day); after going out, pain in the testicles and spermatic cords; worse
in the latter, and worse on the right side (first day), [11]. ►
Erections, with dulness in the occiput, after sleep, in the forenoon
(second day), [11]. ► Erections and lascivious dreams (sixth
night), [11]. [520.] ►
Excitement of the sexual function, repeatedly, [5]. ►
Emission interrupted by waking (first night); it followed on the fourth
night, [1]. ►
Great increase of sexual desire during the night and morning, with
voluptuous dreams every night, for three nights, [6]. ►
Excessive sexual desire (fifth day), [6].
► Female. ► A great deal of burning pain in the
genital organs, [61].
RESPIRATORY ORGANS.
► Larynx. ►
On walking in the open air, tickling in the larynx, with a sensation of
sticking; he coughs several times; the larynx feels swelled, [8]. ►
During speaking, a sensation of mucus in the larynx, hoarseness; he has
to expectorate more than usual, [11].
► A few mouthfuls irritated the
glottis, [49a]. ► Voice. ►
Voice very rough, [60]. ► Voice rough before going to bed (third
day), [2]. [530.] ►
Hoarse (third day), [17]. ► Voice very hoarse (second day), [58]. ►
Lost her voice for eight days, but whether this depended on the action
of the Oxalic acid or not it is difficult to say, [24]. ►
Directly after the recovery from the first effects a new symptom
presented itself, namely, alteration of the
voice. The man, previous to taking the Oxalic acid, possessed
a remarkably deep bass voice, now reduced to a very low key, giving you
the idea of a person talking in an undertone. This “weakness”
of the voice remained for more than a month, without any amelioration,
during the greater part of which period his legs used, for several hours
a day, “to go to sleep,” as he termed it. Nine weeks from the
time of taking the acid his voice had become much stronger, but he says
he “cannot sing his old songs any longer, as his voice is so
altered;” in fact, it is a complete old man’s voice, [54]. ► Cough and
Expectoration. ► Constant dry
cough on violent exertion (third day), [1]. ► Violent
dry cough, caused by tickling in the throat, with violent pains in the
chest, afterwards somewhat persistent, in the morning (after fifteen
hours), [1]. ►
Cough and tickling in the throat, in the evening (after five, and six
hours), [1]. ►
Some slight cough, with soreness of chest (fourth day), [36]. ► Slight
cough (fifth day), [21]. ► Slight cough, from tickling in the larynx
and trachea; also sensation of soreness in the larynx, [5]. [540.] ► Desire to cough, but cannot for pain in
his side (fourteenth day), [21]. ► Has a little cough, and expectorates a
considerably quantity of greenish mucus (fifth day), [30]. ►
Expectoration of thick yellowish mucus from the throat, [8]. ► Hawking
up of thick yellowish-white phlegm, with a black lump in the centre, of
the size of a pea (first day), [6].
► Expectoration of hard mucus in
lumps, and watery running from the nose, with sneezing, [8]. ►
Expectoration of crumbly tenacious mucus by hawking (third day), [1]. ►
Respiration. ► Respiration
very quick and laborious, [41]. ► *Great oppression of the breath, [45]. ►
*Respiration difficult, [17];
in the forenoon (third day), [1];
(fourth day), [21]. ► *Difficulty of breathing, with constrictive pain
in the larynx, and wheezing; oppression of the whole chest, towards the
right side, [8]. [550.] ► *The
breathing slightly spasmodic, [54].
► Respiration very slow (after four
hours); quicker than natural (fourth day), [36]. ►
“Felt as though his breath was going; was almost strangled,”
immediately, [41]. ► Breathings 14 (before the proving); 16
(after five minutes); 15 (after ten minutes), [66a]. ► Dyspnœa
marked; tracheal râles very loud, so loud that I was unable to make any
satisfactory examination of the chest; I could not even hear the
heart-sounds (second day), [67]. ► Pressure and tightness of respiration, on
every violent motion, in the evening (third day), [1].
CHEST.
►
*Sharp shooting pain in the left lung and heart, extending down to the
epigastrium, lasting for some seconds (from 5 grains 1/10th,
fourth day), [6]. ► In the afternoon, stitches several times
in the left lung (fifth day), [6].
► Sharp lancinating pain in the left
lung, coming on so suddenly that it deprived him of breath for several
seconds, and then gradually subsided (sixth day), [6]. ► Some
tightness in the chest, with inclination to take a deep breath (after
one hour and a half), [1]. [560.] ►
Pressure upon the chest, as if it were ulcerated, at noon (second day), [1]. ►
Sore pain, like a sore sticking, in the chest, that afterwards extends
backwards to between the scapulæ, at 2 P.M. (third day), [1]. ► Pains
in the chest when coughing, [1]. ► Feeling of constriction across the chest,
and the breathing is rather short (fifth day), [30]. ► Dull
pain in the middle of the chest, extending through to the scapula (after
two, and three hours), [1]. ► Stitches in left breast, more during
walking, [8].
HEART AND PULSE.
►
Heart. ► Sensation as if
ulcerated in the præcordial region, with heaviness of the chest, as in
asthma or in dropsy of the chest, in the evening, [1]. ►
Oppression at præcordia, with sighing (after two hours), [35]. ► Fine
stitches in the præcordial region (second day), [1]. ►
Stitches in the heart, extending towards the upper abdominal region, [6]. [570.]
► A pain in the heart, that extends
forward from the posterior and lower portion, in the forenoon, while
lying down, and afterwards, also, while walking in the street; very
violent electric-like beats extending outward from a place rather near
to and below the nipple to the sternum (second and third days), [11]. ►
*Heart in a continual fluttering palpitation, [31]. ►
Immediately after lying down in bed, at night, palpitation of the heart,
for half an hour, three nights consecutively, [5]. ► After
going to bed, at night, the heart made its beatings sensible in an
unusual manner, and attracted attention, [66a].
► Heart’s impulse much diminished
(after four hours), [36]. ► Heart’s action exceedingly feeble, and
the sound barely audible (after nine hours), [30]. ►
Heart-sounds imperceptible, and the pulse could be felt only at long
intervals, [60]. ► Heart’s action irregular, and the sounds
somewhat distant, but otherwise normal, [52].
► Depressed circulation, [50]. ►
There seemed to be no capillary circulation; there was no pulsation in
the radial artery, and it was extremely feeble in the brachial (second
day), [67]. ► Pulse. [580.]
► Pulse 110 and sharp (second day);
120 and wiry (third day); 110 and hard (fourth day); 98 and softer
(fifth day); quick and tremulous (eighth day), [21]. ► Pulse
hard and contracted (after twenty minutes), [20]. ► Pulse
more frequent than usual, 100 and over, [5].
► Pulse more rapid than usual (third
day), [3]. ►
Pulse quick and small (after one hour and a quarter), [26]. ► Pulse
increased in frequency, from 100 to 108, [5],
[11]. ►
Pulse 105, hard and rapid, at noon (fifth day), [2]. ► Pulse
more frequent, and harder than usual, [8].
► The pulse is more frequent than
usual, and tense, [10]. ► Pulse small, quick and wiry (after
fourteen hours), [34]. [590.] ►
Pulse almost extinct, but could be felt by touch, and was found to be
extremely weak, rapid, and so irregular that it could not be counted
(first day); 130, very small and threadlike (second day); 132, fuller
and hard (fourth day); full, hard, and intermittent, 122 (fifth day);
full, not hard, 100 (sixth day); hard, 104 (seventh day); 100 (eighth
and ninth days); almost insensible to touch, very weak (tenth day), [31]. ►
Pulse more or less intermitting during the entire day; at 8 P.M. it was
125, small, irritable, and intermitting; next morning 100, small,
irritable, but not intermittent; 94, fuller and less irritable (third
day), [41]. ►
Pulse 72, five hours after taking food (before the proving); 76 (after
five minutes); 72 (after ten minutes); 70 (after fifteen, and
twenty-five minutes); soon after 9 o’clock had a cup of cocoa, went to
bed at 10.30, when the pulse was about 60 (after three hours and a
half), [66]. ►
Pulse scarcely perceptible at the wrist or temples, later, 96 and firm
(after four hours); 120, rather small (after six hours); 100, feeble;
106, weak (eleventh day); 86 (twelfth day), [17]. ► At
first pulse could not be felt, afterwards 104, [58]. ► Pulse
90 and weak, soon; 95 (after six hours), [38].
► Pulse 82 (before the proving); 86
(after five minutes); 80 (after ten minutes); 82 (after twenty-five
minutes), [66a]. ► Pulse 92 and feeble (after one hour and a
half), [42]. ►
Pulse 78, quick and small (seventh day), [2].
► Pulse 72 (before the proving); same
(after five minutes); 68 (after fifteen minutes); 72 (after thirty
minutes); 68 (after forty-five minutes, and also fifteen and thirty
minutes after second dose), [66b].
[600.] ►
Pulse fell from 70 to 65 in three minutes; 60, after thirty minutes, it
became rather more frequent and fuller; 60, small and slow, following
the diarrhœa and chill, afternoon (second day); 60, after the
diarrhœa, in the forenoon (third day), [1].
► Small, rapid, feeble pulse (like
that of abdominal collapse), (after one hour), [56]. ► Pulse
rather small (fourth day); in the evening small and contracted, with
violent shaking chill, [4]. ► Pulse small, [62]. ► Pulse
small and irregular (after half an hour), [57].
► Pulse small, tremulous,
intermittent, [27]. ► Extreme feebleness of the pulse, [52]; (twenty-four hours after 2
scruples), [56]. ► Pulse small and weak, [29]. ► Pulse
weak, [64]. ►
Radial pulse scarcely, perceptible (after four hours), [36]; (after nine hours), [30]. [610.] ► *Pulse scarcely perceptible (after
two hours), [35], [54]. ► The
pulse at the wrist was imperceptible (after half an hour), [16a]. ►
Pulsation of the radials disappeared (after two hours), [61]. ► Pulse
imperceptible, [43], [47]. ►
The pulse in every case became imperceptible, and even in those who
recovered it could not be felt for several hours; this state of the
pulse was accompanied with deadly coldness, clammy sweats, sometimes
lividity of the nails and fingers, [50].
NECK AND BACK.
►
Smarting soreness around the neck, as if chafed by the collar, [9]. ►
Bruised sensation in the back, extending from the shoulders to the
loins, on waking (second day), [11].
► Acute pain in the back,
gradually extending down to the thighs, occasioning ere long great
torture, and continuing almost to the moment of death (the first
symptoms in a patient who had swallowed 1/2 ounce; he died in thirteen
hours), [50]. ► Dorsal. ►
Deep burning pain between the scapulæ, in the evening (second day), [1]. ►
The back feels as if bruised and stiff, in the morning, especially
beneath the tip of the left scapula (second day), [11]. [620.] ► Pain as if something were sticking
beneath the point of the right scapula, very acute, while sitting
(second day), [11]. ► Pain as if something were sticking in the
right side, below the shoulder, towards the back, in a small spot, which
he had indeed frequently experienced, now very acute, while sitting, [11]. ►
Lumbar. ► Intense lumbar
pain (second day), [56]. ► Pain in the small of the back, during the
whole of the day, somewhat relieved after a hard evacuation (eighth
day), [12]. ►
Pain in the small of the back, on both sides of the spine, in the region
of the kidneys (eleventh day), [12].
► Pain in the lumbar region, between
the last ribs and hip, extending towards the right side, after rising
from a bent posture, [11]. ► Sticking pressure above the right hip
during hiccough, [11]. ► Stitches above the hips during hiccough, [11]. ►
During yawning, a pressing stitch above the right hip, which takes away
his breath, [11]. ► Cold creeping, especially extending
upward from the lower portion of the spine, [1]. [630.] ► After rising from the recumbent position,
a pain in the region of the right loin, between the last rib and hip, [11]. ►
*Weakness in the loins and hips, extending down to the lower extremities
(from 5 grains 1/10th), [6]. ► Pains shooting down from the loins to the
limbs, the patient seeking constant relief in a change of position (in a
patient who died in thirteen hours), [50].
► Sensation of numbness in sacrum, [5]. ►
The pain in the sacrum, habitual to him, in the morning, is gone;
instead of it a bruised sensation in the back, from the shoulders to the
loins (second day), [11].® 2000
Article