PIPER METHYSTICUM.
Piper methysticum, Forst.
Natural order
, Piperaceæ.
Common names
(Tahitian), Ava, Kava-kava.
Preparation
, Tincture of the root.
Authorities.
1,
T. R. N. Morson, Pharm. Journ., 1844, p. 478, effects of a strong
infusion; 2 and 3, Cuzent, Pharm. Journ., 1861, from Journ.
de Pharm., effects of a drink, prepared by chewing the fresh roots and
mixing the result with water; 4,
same, effects in old drinkers; 5,
Dr. C. F. Nichols, New Eng. Med. Gaz., 8, 101, copied from Brigham’s
translation of Remy, effects of the drink, as in Nos. 2 and 3; 6, W. N. Griswold, M.D., Hahn. Month., 1877,
p. 547, proving with increasing doses (10 to 20 drops) of 3d dil.; 6a, same,
2d dil., 10 drops, first day, to two teaspoonfuls eighth day (took a
dose of Puls. 2d on ninth, and Nux vom. on eleventh night); 7, F. Hiller, Jr., M.D., repeated doses of
watery solution, first day, afterward of tincture, 25 to 30-drop doses,
second, third, sixth, and seventh days, Hahn. Month., 1877, p. 617; 8, M. A. A. Wolff, M.D., Cal. Med. Times, 1,
p. 43, took tincture, three times a day, for about a month, doses 6
drops to three and four teaspoonfuls; 8a, same, in let. to Editor, Feb. 1878,
four weeks after last dose took two doses of 5 drops of strong tincture;
on the day after the last dose a series of symptoms appeared.
MIND.
►
When concentrated, drunkenness is almost instantaneous; with the
ordinary dose, it occurs about twenty minutes after ingestion. In a
small dose, kava is a tonic stimulating beverage, producing an agreeable
excitement, and affording support against great fatigue. In increased
doses, this root determines an intoxication of a sorrowful, silent, and
sleepy character, completely different from that produced by alcoholic
drinks. The habitual drinkers of kava take it six or eight times a day,
but then a nervous trembling seizes them, and they can scarcely raise
the cup to their lips, [2]. ► The intoxication does not last longer
than two hours, but if a person only takes it occasionally, the effects
may continue twelve; when taken at intervals of some days, the
intoxication continues for six hours. When made from the root grown in
damp soils, the drinker remains plunged in a deep torpor, and becomes
irritated by the least noise, [3].
► Often, when the dose is too great
or too small, instead of the sleep an intoxication, accompanied by
fantastic ideas and a strong desire to skip about, although one cannot
for a moment hold himself on his legs. I felt these symptoms for sixty
hours the first time I tasted this Polynesian liquor, [5]. ► (During
this week my system was gradually “toned up,” so that I was
able to do a (for me) large amount of miscellaneous reading after
business hours, without more than usual fatigue and with a relish. This
was extraordinary, because for years (since December, 1867) I have not
indulged in light reading, it having
fatigued and brain-fogged me equally with professional reading, and my
strength, perforce, has been reserved
for necessary scientific and professional reading), [6]. ► (Have,
for a long time, not gone through my daily work with such a cheerfulness
and ease as to-day), (third day), [8].
► Felt all day unusual life, vigor,
and exhilaration (eighth day), [6a].
► At 11 P.M. have felt satisfied and
hilarious, since 10 A.M. (thirty-third day), [8]. ► Soon
after 10 P.M. felt lively and wakeful (second day), [7]. ► Felt
bright and lively after emission (third day), [7]. [10.] ► I feel more lively than usual; in better
spirits; inclined to work (sixth day); feel lively; can dance with more
ease than usual (seventh day), [7].
► Want of vigor, timid, apprehensive,
during day (second day), [6a]. ► Feelings varying and generally depressed
(ninth day), [6a]. ► (Capable of doing more work, without
fatigue or brain-fog), (third day), [6a].
HEAD.
►
Dizziness and frontal pressure, even when lying in bed, in the morning
(seventh day), [6a]. ► From 5 to 9 P.M. unusually dizzy;
assisting at obstetrical case, came near falling several times; swimming
sensation and faintness, partly produced by going past evening meal
without eating, but not all; never had such a dizziness and swimming
sensation on going without food, usually a faint feeling near umbilicus
or in epigastrium (seventh day), [6a].
► Pains (especially of the head) relieved temporarily by turning the mind to another
topic, [6a]. ► Soon felt uneasiness in the head, [8]. ►
Slight heaviness in the head (fourth day), [7]. ► Slight
sensation of fulness, sometimes in one part of brain and sometimes in
another, mainly in frontal region (first, second, or third day), [6a]. [20.]
► To-night brain feels tired; a little rest relieves the tired
feeling (seventh day), [6a]. ► Awoke with very worn feeling of the
brain, decided brain-fog; getting on foot felt better (eighth morning), [6a]. ►
Brain-fog is spoken of during the primary or active part of the proving;
it was then caused by an excessive use
of the brain in miscellaneous reading; in the latter part it was
secondary or reactive effects of the drug, for I read as much as I could
stand during the first period, and abstained from all reading as far as
possible during latter part of proving, [6a].
► Headache and sleepiness so great
that I could hardly attend to a patient (after eight hours and a half), [8]. ►
Dulness, fulness, and pressure in forehead, and vertigo on elevating or
moving the head to either side; after the noon meal the pressure shifted
to both lateral and the occipital regions, and on lying down increased to a considerable degree, not
enough, however, to constitute real
pain; pressure in head increased by remaining in one position, decreased
by moving; impelled by something to move cautiously, as if there was
some condition which would not admit of rapid movement; apprehensive of
pain by rapid movement, but the move being mode, temporary relief, as by
slower movement (third day), [6a].
► Head ached all night, with fulness
of frontal region (ninth night); aching continues; feeling as if frontal
part of brain was solid with pain;
this ache, during the day, gradually moved backward to base of brain and
along the medulla oblongata; relieved
by slight motion, increased by
large, continued, and more active motion (opposite of Rhus); slight mental effort, passing from topic to topic,
for an instant relieves; sustained effort increases
the aching pain; lay down this P.M. [71i]
to rest the brain; frontal pain decreased, occipital increased; gravity
seems to have overcome the force of the circulation in the vessels of
the brain; vessels of neck and base of brain full, as if circulation had
been cut off by a cord; whole back of head, neck, and cerebellum felt
congested to the brain and cord-centre;
sore inside and tender to outside pressure; all those
parts of the nervous system (head, neck, etc.) felt as if double or treble
their ordinary size; I lowered my head and straightened my neck, called
for a soft pillow, caused mesmeric passes to be made downward by sides
of the head, and with frequent slight changes of position; in about one
hour relief began to come; action of the cerebrum weak, but clear;
during the whole evening these conditions continued, gradually
decreasing (tenth day), [6a]. ► After business anxieties, in the evening,
pain commenced along the middle of the forehead, proceeded outward to
each side of head, and after retiring at night, it followed around both
sides of the head and attacked the posterior part of the brain, medulla,
etc.; the sensation was not extremely painful, but almost indescribable;
all the cerebellum, medulla, etc., were as if compressed by an even
pressure from every direction, especially from front
to back; nervous system was forced
to its highest tension; could not sleep
first part of night, and later part only at intervals; could lie still
but a few moments at a time; seemed as if head and neck would be
compressed to death if I remained quiet long; changed from side to side,
from back to face, and vice versâ;
hands sought cool places, otherwise no perceptible increase of heat; no
thirst; constriction extended to chest and stomach as well as brain,
though in less degree; the drug seemed to have affected, secondarily,
the sources of animal life in cerebellum and medulla, partially and
temporarily exciting, and then, to
an extent, paralyzing, those functions; called up at 1 o’clock; while
moving, much relieved (twelfth day). Nervous system still strung up (or
on tension); considerable compressive pain about back of head and
cervical part of spinal cord, gradually diminishing during the day
(thirteenth day). The symptoms of twelfth night repeated (twentieth and
twenty-ninth days). For the last month or more I have spent Tuesday or
Wednesday night of each week with distress of head and sleeplessness, as
above recorded, though the symptoms each week have gradually decreased
in intensity (sixty-first day), [6a].
► Great frontal headache all day; at
8 P.M. the ache especially over the eyes and deepseated (second day), [8]. ►
Pain in frontal part of head (immediately after first dose, eighth day),
[8]. ►
Frontal headache and pressing pain, especially on left side, and deep in
the upper part of the orbits; moving the eyes hurts (eighth day), [8]. [30.]
► Frontal headache, just above the
eyes, at 5 P.M. (tenth day), [8]. ► Pressure in the head, back of the eyes
(fifteenth day), [8]. ► Frontal pain, left side, 7.30 P.M.
(eighteenth day), [8]. ► Frontal headache, at 7 P.M. (nineteenth
day), [8]. ►
Frontal headache, at 9 A.M., worse at 3 P.M.; slept from 5 to 6 P.M.,
hoping to sleep the headache away, but the pain was so distressing as to
compel me to take, 6.30 P.M., a dose of Nux vom.;
pain being worse, took Bell. 3x;
great headache at 12 P.M. (twentieth day); had disappeared when I was
called at 2 A.M., then reappeared (twenty-first day); gone on waking at
5 A.M. (twenty-second day), [8]. ► Pain over the eyes, radiating from right
frontal side, just above the eye, at 10 A.M. (twenty-fourth day), [8]. ►
Headache, with pressure in upper part of the orbits of the eye
(immediately after a dose, twenty-fifth day), [8]. ► Dull
aching at intervals in the right frontal eminence (tenth day), [7]. ►
Dull frontal headache during the whole afternoon and evening, with
drowsy and stupid feeling (seventh day), [7].
► Dull heaviness across the forehead
(soon, first day), [7]. [40.] ►
Heaviness in forehead (seventh day), [7].
► Heavy pressure on the whole frontal
part of head (seventh day), [6a]. ► Heavy dull headache in temporal and
frontal regions, increased by thinking and reading (ninth day), [6a]. ►
Head aching at right temporal
region, across the eye and bridge of
the nose, with feeling of pressure along the sides of the nose, half way
to tip; right temporal pain not uncommon with me when fatigued (seventh
day), [6a]. ►
Sharp shooting pains in left temple (after first dose, second day), [7]. ►
Uneasy sensation on each side of the head over each ear, as of pressure
and weight (third day), [6a]. ► Stitches running through left side of the
brain front to back, after 3 P.M. (second day), [7]. ► The
severe pains and soreness in the back of the head and base of
brain have gradually disappeared,
leaving brain (cerebellum) only sensitive;
the feeling of over-size continues,
changing back and forth from frontal and occipital regions, being sometimes most prominent on sides of head,
over ears, etc., in the temporal regions (eleventh day), [6a]. ► Eye and
Ear. ► A pain along the
line of the optic nerve of the right eye, when reading, after 3 P.M.
(second day), [7]. ► Pain in the left supraorbital nerve
(first day), [7]. [50.] ► At
5.30 P.M., in the street, pain deep in left eye, as if the eyeball would
be pressed out; at 6 P.M., in the house, this pain had ceased (second
day), [8a]. ►
At intervals, a sharp shooting pain in the left supraorbital nerve,
after 3 P.M. (second day), [7]. ► Pressure behind the eyes (immediately
after first dose, eighth day), [8].
► Conjunctivas very red, [4]. ►
While dressing, a dizzy blindness came upon me; dizziness less on
closing the eyes; directing attention to the head and exerting the will
diminished the dizziness; at same time, dizziness followed by rush of
blood and fulness in the frontal region, soon followed by similar
sensation in occipital and basilar regions, soon disappearing (after two
minutes, fifth day), [6a]. ► Vision obscured, [4]. ► A
singular pressure in lobules of pinna of left ear (immediately after
first dose, eighth day), [8].
FACE.
►
A curious sensation of fulness in face, as of pressure from inside out,
at 7 P.M. (nineteenth day), [8].
MOUTH.
►
Teeth of a deep-yellow color, [4].
► For the last six or eight days
teeth have been very sensitive to cold water, cold air, tooth brush,
washing, etc. (tenth day); sensitiveness of left upper first molar,
predisposed by former disease, to
the gums, did not cease for three or
four months; last symptom to disappear, [6a].
[60.] ►
Sensation as if the tongue was covered with fur or velvet (second
night), [8]. ►
Sensation of burning on the tongue (after a few seconds), [3]. ► Awoke
from afternoon nap with great dryness in the mouth and heavy
perspiration (it is a very hot day), (third day), [8]. ►
Abundant salivation, [3]. ► Chewed in the freshly-gathered state, it
tastes first sweet or aromatic, then bitter and pungent, [3]. ► The
taste is first sweet, it then becomes piquant and sharp, [2]. ► The
taste is very nauseous, [5]. ► Pappy taste in mouth, soon passing away
(fifth day), [6a]. ► At every meal everything tasteless;
fruit, tea, butter, meats, cake, etc., taste all the same (third day), [6a].
STOMACH.
►
During some of the proving, noticeably a day or two previous and
succeeding to the ninth day, took in food with a sort of ravenous haste; no taste of food, but a
nervous ravenousness would have impelled me to swallow anything with an
abnormal avidity, [6a]. [70.] ► At
noon meal, appetite unusually good, but food had not the usual relish or
taste (third day), [6a]. ► Very hungry, but not able to eat much, at
12 M.; for supper, was able to eat but little (second day), [8]. ►
Formidable appetite, at 8 P.M. (eighth day), [8]. ►
Appetite slight (ninth day), [6a].
► Sour eructations, especially before meals an hour, at times rolling up and
rumbling all the way from stomach and mouth, but for the most part breaking at throat-pit with frequent
succession. At throat-pit, some feeling as of something which ought to
be swallowed; sensation relieved by eructation temporarily; returns
soon; at night, eructations, and sensation at throat-pit and root of
tongue so disagreeable, took Puls. [2] to relieve, with some effect (ninth
day), [6a]. ►
Stomach bloated, 11 P.M. (nineteenth day), [8]. ► Warmth
in stomach succeeded swallowing the drug, [6a].
► Warmth of stomach soon passing away
(fifth day), [6a]. ► Crampy pain in stomach, lasting half an
hour; relieved by pressing stomach against the edge of a table (tenth
day), [7]. ►
Feeling as if mucous membrane of the stomach, mouth, tongue, etc., was
covered or furred over, and their sensitive
power was lost; tongue not coated (third day), [6a].
ABDOMEN.
►
Slight pain in the abdomen, above the umbilicus, soon passing away
(fifth day), [6a]. [80.] ►
After the first stool, in the forenoon, frequent colicky pains, and
distressing sensation of fulness in the bowels (twenty-ninth day), [8]. ►
Colic, about 9 A.M., every morning, [7]. ►
Colic, relieved by motion (tenth day), [7].
► Pain in right groin, when walking
(after first dose, second day), [7].
RECTUM AND ANUS.
►
Burning sensation in rectum has returned (thirty-ninth day), [8]. ►
The only symptom that has troubled me for some days past is the sensation of going to have a stool every evening (fiftieth day), [8]. ► Sensation
of desiring a stool all day (fourth day), [8]. ►
Continual desire for stool (seventh day), [8].
► All day have felt desire for stool
(eighteenth day), [8].
STOOL.
►
Bowels a little loose, in the morning, more difficult in the evening
(second day); soft stool passes with more difficulty than usual (seventh
day), [7]. [90.] ►
About 10 A.M. unusually (very) large
stool, the latter part of which was quite soft, preceded by slight pain
in the abdomen (sixth day), [6a]. ► Bowels, which have been regular,
constipated (eighth to twelfth day), [6a].
► At 9 A.M. had one passage; at 5
P.M., a second, natural, except in quantity,
which was enormous (second day), [8a].
► Small movement of the bowels, about
10 A.M. (thirteenth day), [6a]. ► An unusually large and very hard stool
(fifth and sixth days); very small and very hard stool (seventh day), [8]. ►
Very hard stool, at 10 A.M.; small stool, at 2.45 P.M. (tenth day);
stool twice as large as usual, natural (eleventh day); none (twelfth
day); very hard, at 2 P.M.; feel as if about to have another, at 2.45
P.M. (thirteenth day); during the forenoon, stool with less straining
(fourteenth day); large stool, at 8.30 A.M.; another large soft one, at
8.45 A.M. (sixteenth day); all day desire for
stool (eighteenth day); distressing desire for stool, at 10
A.M.; about 1 P.M., forced a stool, light-colored, hard, small, oblong
(twice the size of a large peanut), fæces; another, a little darker and
larger, at 7 P.M.; continuous desire for stool, at 11 P.M. (nineteenth
day); forced a hard stool, which caused a prolapsus
ani (twentieth day); small stool, less straining, at 5 A.M.;
urging to stool, at 10 A.M.; softer stool, at 12 M. (twenty-second day);
good stool, at 11 P.M. (twenty-third day), [8]. ► Good
stool (twenty-third and twenty-fourth days); natural and large stool
(twenty-fifth day), [8]. ► Two very large stools; another soft and
large stool (twenty-ninth day); soft stool, at 9.30 A.M. (thirtieth
day); large soft stool (thirty-second day), [8]. ► 8 P.M.,
diarrhœa threatening (thirty-fourth day); at 1 P.M. (thirty-fifth day),
[8]. ►
Double-sized light colored stool, at 10 A.M. (thirty-fourth day); light
colored, easy stool (thirty-fifth day), [8].
[100.] ►
Stool, with straining, at 4 P.M.; during the evening, continued desire
for stool (thirty-sixth day); treble the usual sized light-colored
stool; towards evening, sensation of urging to stool returned
(thirty-seventh day); sensation of urging to stool (thirty-eighth day);
large stool (thirty-ninth day); good stool (fortieth day); large stool,
at 7 A.M.; another stool, at 9 A.M. (forty-first day), [8].
URINARY ORGANS.
►
Burning in the urethra, in passing water (fourth day), [8]. ► Seeing
a great change in the urine, kept a clinical record in this respect
(fifth day), [8]. ► Got up to pass water, at 4.45 A.M.
(twentieth day); passed a small quantity, in the morning (twenty-sixth
day), [8]. ►
Urine increasing in quantity, normal in color and odor (seventh day), [7]. ►
Urine, this A.M., when first passed, was hot, burned the urethra; at 10
A.M., urine nearly neutral; acidity hardly perceptible (eighth day); at
night, hot and decidedly over-acid (ninth day); acid (eleventh day), [6a].
SEXUAL ORGANS.
►
An erection, lasting about a quarter of an hour, in the afternoon (first
day); after an emission, lasting one hour, about 4 A.M. (third day), [7]. ►
Erections, but no emissions (fourteenth night), [8]. ►
Shooting pain in penis (third day), [7].
► Pains in right testicle (third
day), [7]. [110.] ►
More amorousness during the primary part of the proving than for years, [6a]. ►
Emission, about 4 A.M., followed by wakefulness (third day); large
emission early this morning; the emissions come on without dreams; am
awakened by a large quantity of semen running over me (fourth day);
emission during forepart of night (tenth night); during night (eleventh
night), [7].
CHEST.
►
Heaviness in upper part of chest, behind the sternum, as if filled with
wind which cannot be eructated (fourth day), [8].
BACK.
►
Pain in back, felt only on pressure, at 11.45 P.M. (tenth day), [8]. ►
Soreness in the back, about second dorsal vertebra, at 5 P.M. (tenth
day), [8].
EXTREMITIES.
►
The most excruciating pains in the right
arm, as if the marrow would be affected;
the location of the pain changes in the whole
length of the arm, from the shoulder
down to the finger-ends; the hands,
several times (paroxysmal), feel almost paralyzed;
I am then hardly able to keep hold of a pen; at the same time pain was
felt in the big toe of right foot;
intermissions only after Bry. and Calc.; took medicine only when the
pain became so distressing as to make me almost
frantic. At 6 P.M., the pain in big
toe, right foot, is severe, and another, less severe, is felt
in and around right fibula; at 9 P.M., pain in toe disappeared, but
appeared in right hand, especially
in metacarpal part, next to the
little finger (second day). At 1 A.M., in bed, pain in lower part of right arm unbearable; the hand feels so weak
that I can hardly use it to grasp anything; 1 drop Bry.; fell asleep
about 2.30; at 4 A.M., woke with exactly the same symptoms; another drop
Bry.; fell asleep until 6 A.M.; got out of bed; the pain reappeared in
its full strength; took 1 drop Rhus 3 x, 8 P.M.; since about an hour
after taking Rhus, this morning, all pain in arm and hand has left; only
the pain in right big toe has been
somewhat distressing, but as it is wearing off I intend to leave it to
itself (fifth day), [8a].
SUPERIOR EXTREMITIES.
► In the street, an aching pain in the
whole left arm, and flushing heat in left hand, which, in time, changed
to aching pains in the middle and third fingers (after one hour and a
half); pain in second joint of left thumb (after four hours), [8]. ►
A disagreeable dragging pain in the whole length of the left arm, at 8
P.M.; better at 10 P.M. (nineteenth day), [8].
► The whole right arm aches and feels
heavy, with slight pains running in all directions through it; the arm
feels sore and tired (fourth day), [7].
► Dull aching pain in left shoulder
(soon after first dose, second day), [7].
[120.] ►
About the middle of the day, a severe pain above the elbow at or near
the insertion of the triceps (sixth day), [7].
► A tingling in left arm and hand,
running from elbow to hand, including all the fingers; the sensation was
as if a mild current of electricity was running through the arm, hand,
and fingers. The sensation was pleasant and lasted about fifteen minutes
(seventh day), [7]. ► Numbness in right elbow (after first
dose, second day), [7]. ► Severe pain, with slight stiffness, in
right elbow and left knee (fourth day), [7].
► Aching pain in right wrist, worse
when writing (eighth day); severe pain in right wrist, lasting all day
and evening (ninth day); a dull aching pain in the right wrist commenced
at 10.30 A.M., with a slight prickling pain running up the arm to the
elbow, also a sore pain in wrist (tenth day); soreness in right wrist
(twelfth day), [7]. ► Sensation of weakness in left hand
(eighth day), [8]. ► Pain in the joint
of thumb of left hand, aggravated by pressure (seventh day);
continues, with intermissions, for several hours (eighth day), [8].
INFERIOR EXTREMITIES.
► Weariness of the lower extremities all
day (eighth and fifteenth days), [8].
► Very weak in lower extremities, in
the afternoon (thirtieth day); increased weakness (thirty-first day);
weakness in limbs (thirty-third day), [8].
► Weakness or weariness in lower
extremities (thirty-fourth day), [8].
[130.] ►
Feel weary and completely broken down in lower extremities (forty-first
day), [8]. ►
Fatigue in femoral part of both legs, as if unable to stand on them
(after five hours), [8]. ► Pain in left knee, which made me limp
when walking (soon after dose, seventh day), [7]. ►
Stitching pain in left knee, when
walking, at 4 P.M. (third day), [7].
► Sharp pain under the right patella,
causing me to limp when walking; it comes and goes; is much worse
immediately after taking medicine (third day), [7]. ►
Arthritic pain in left knee, when walking (fourth day), [8]. ► Pain,
for a few moments, in left knee (tenth day), [8]. ►
Weariness in legs (ninth day), [8].
► Soreness in right leg moved down to
tendo Achillis, at 8 A.M.; pain in leg removed to sole of left foot, at
4 P.M.; the pain hardly felt, at 7 P.M. (twenty-sixth day), [8]. ►
Pain in the calf of right leg (fifteenth day), [8]. [140.] ► Keen pain in right calf (sixteenth day), [8]. ►
Pain in both calves, after bathing (twenty-fifth day), [8]. ► Great
pain in lower part of right calf, in the morning, (twenty-sixth day), [8]. ►
Legs feel heavy, from knees down, when walking (seventh day), [7]. ►
Aching pain and tingling in right instep, worse when sitting, and better
on motion (after first dose, second day), [7].
► Pain in left foot, at the outer and
under border; the foot itself felt cold, with pain in the big toe of right foot (fourth day), [8]. ►
Pain in left foot and toe (sixth day), [8].
► Pain in right foot, sole (ninth
day), [8]. ►
Pain in right foot (ninth day), [8].
► Pain and heat in whole right foot
and back side of left hand, at 11.30 P.M. (fourteenth day), [8]. [150.]
► Arthritic pains in right foot, in
the first phalanges, at 12 M.; walking, pain in left foot also, at 6
P.M. (eighteenth day), [8]. ► Pain in right foot and wrist, and toe of
left foot, at 10 P.M. (nineteenth day), [8].
► Pain in left foot (thirty-ninth
day), [8]. ►
Pain in left toe (after five hours), [8].
► Pain in toe of right foot (seventh day), [8]. ► Pain in
the great toe of the right foot, at 12 M. (twenty-second day), [8]. ►
On waking, at 4.45 A.M., felt a keen, stinging, stitching pain in the
end of left toe, lasting a few minutes (twenty-sixth day), [8]. ►
Pain in great toe (third day), [7].
► Shooting pains in great toe, when
moving and walking (fifth day), [7].
GENERALITIES.
►
Complete emaciation and decrepitude, [4].
[160.] ►
The body becomes emaciated (in habitual drinkers), [5]. ►
Stimulating and sedative effects, lasting for twenty-four hours, and
leaving the patient in profuse perspiration, [1]. ► After
taking, a feeling followed as if the drug had descended and impressed
the lower part of the system, producing trembling sensation of bowels and lower extremities,
and bloodvessels connected therewith. On going downstairs, the drug
seemed to come through the circulation upwardly, reaching the brain, and
producing exhilarating dizziness and a disposition to swing and stagger,
as if one were under the influence of alcoholic liquor; for half an hour
or more, felt talkative and happy; dizziness soon disappeared and left a
generally “toned up” condition of brain and nervous system; on
commencing to move dizziness returned (eighth day), [6a]. ►
(System generally feels stronger), (third day), [6a]. ► The
effects are particularly pleasant, [5].
► Feel lazy and drowsy (tenth day), [7]. ►
Feel worn out, at 8.30 P.M. (tenth day), [8].
► Worn tired feeling, before and on
rising (seventh day), [6a]. ► Felt tired and “mean;” did not
want to get up; when I got up and moved around, felt better (thirteenth
morning), [6a]. ► An agreeable languor alternates with a
pleasant, youthful freshness and vigor of body and mind; feeling of
general tonicity comes on, as during the primary or actionary stage of
the proving; voluntary muscular
action, as then, so easy as to be almost involuntary; muscular action
increased, but power of involuntary unconscious co-ordination of
muscular action impaired; find myself walking
fast before I am conscious of it; legs and feet seem to be
running away with or from me; my will is called consciously into action
to regulate my movements; feel otherwise unusually well and active, all day
and evening (eleventh day); some business anxieties broke the general
tonicity of the system (twelfth day), [6a].
[170.] ►
Many uneasy sensations, during the day (twenty-fifth day), [8]. ►
Feel myself the last week, for the most part, relieved from the effects
of the Ava (eighty-second day), [6a].
► Towards night, general want of tone
and life in all functions (ninth day), [6a].
► Better in the open air and when moving,
[7].
SKIN.
► The
skin is covered as in leprosy, with large scales, which fall off and
leave lasting white spots which often become ulcers, [5]. ►
A peculiar kind of skin disease, called at Tahiti, Arevareva, results
from the daily use, [3]. ► Skin dry, scaly, cracked and ulcerated,
especially where it is thick, as on the hands and feet, [4]. ► A
painful lump, threatening to become an abscess, has appeared on right
forehead, above minor canthus of right eye, just above the brow (eighth
day); the swelling yet there, but redness disappeared and pain ceased
(ninth day); lump on forehead swollen, painful to touch; swelling
continues, with diminished pain (tenth day); size of lumps on forehead
and back decreased (eleventh day); the threatening boils on forehead and
back have disappeared (thirteenth day), [8].
► A small painful swelling in lower
corner of left ear (twenty-sixth day); lump in lower left ear less
painful (twenty-seventh day); harder (twenty-eighth day), [8].
SLEEP.
►
Feel somewhat drowsy and stupid, with a dull frontal headache during the
whole afternoon and evening (seventh day), [7]. [180.] ► An irresistible sleep seizes you, and
lasts twelve, twenty-four hours, or even longer, according to the
temperament of the individual; often, when the dose is too great or too
small, sleep does not follow, but in its place an intoxication, [5]. ►
10 P.M., feel unusually sleepy (second day), [7]. ► Slept
soundly, during the afternoon, which is unusual for me (tenth day), [7]. ►
Lay down to sleep (soon); (in the afternoon), was awakened unusually
lazy; lay down again; awakened again at 4 P.M., extremely indisposed to
mental effort; to arouse myself, went out to walk; great drowsiness, at
6.30; in an interesting meeting felt languid and sleepy, hardly able to
keep the eyes open, at 8.30; sleepiness and headache, so great that I
could hardly attend to a patient, at 11 P.M.; slept excellently at night
(first day); when awakened, at 3.30 A.M., had to exert myself unusually
to keep awake during a serious case of obstetrics (second day). Sleep,
during first hour, interrupted, then slept till morning (second night).
Slept from 1.30 to 2.30 P.M.; fell asleep on the lounge (third day).
During the day, wakefulness between 1 and 2 P.M., when usually sleepy
(fourth day). Fragmentary sleep, from 12.30 to 4.20 A.M., with varied
and exciting dreams; great sleeplessness, so much so that I had to get
up, at 4.30 A.M.; did excitedly all kinds of unusual office work; slept
soundly from about 1.30 to 2.45 P.M. (fifth day). Unusual drowsiness, at
3 P.M.; have slept very much, and very hard, several times during the
day (eighth day). Returned home from patient, at 1 A.M.; fell asleep,
only after great exertion, at 2.45 A.M.; slept well to 3 A.M.; feel
completely worn out; took a dose Cinchona; slept light till 5 A.M.
(ninth night). Sleep from 12.15 to 5 A.M.; twice interrupted by desire
to urinate (fourteenth night). Have had a heavy sleep, with dreams, at 2
P.M.; feel very sleepy (fifteenth day); slept a great deal during the
day (seventeenth day); slept soundly from 12.30 to 5 A.M., in spite of
the much day sleep yesterday (eighteenth day). A restless night; to bed
a 12 P.M.; after a good while, succeeded in falling asleep, but awoke at
1.30; sleepless; took an extra dose, one teaspoonful; fell asleep but
awoke at 3 A.M. (twenty-fourth night); tried to sleep, but could not, at
9 A.M. (twenty-fifth day). To bed at 12.45 A.M.; no sleep; took a dose;
soon fell asleep, but awoke after one hour; fell asleep again; slept to
4.45 A.M. (twenty-sixth day). Awoke twice during the night (thirty-first
night). Very sleepy and drowsy (thirty-first day); drowsy, at 9 A.M.
(thirty-second day); great and continued drowsiness (thirty-third day).
Sleepless from 12 to 2.30 A.M. (thirty-third night); disturbed sleep
(thirty-fifth night). Have no felt the want of afternoon sleep, at 11
P.M.; no desire to sleep these thirteen hours (thirty-third day); no
inclination for afternoon sleep (thirty-fourth day), [8]. ► Could
not sleep the first part of the night, and latter part only at
intervals, with the headache (twelfth day); the sleeplessness, with the
distress of head, recurred once a week for last month or more
(sixty-first day), [6a]. ► Stupid sleep (seventh night), [6a]. ►
Latter part of night sleepless; mind working on business problems (sixth
night), [6a]. ► Wakefulness following emission, at 4 A.M.
(third day). Was wakeful after the emission until I got up for breakfast
(fourth day); restless sleep during after part of night (tenth night), [7]. ►
Sleep heavy, with dreams disturbing but unremembered (ninth night), [6a]. ►
A horridly unnatural and amorous dream resulted in a seminal emission,
about 3 A.M., which was so large that the passage of it through the
urethra caused pain enough to awaken me; penis erect; sensation of
sickness, shame (twelfth night); nocturnal emission in less degree
(twentieth and twenty-ninth days), [6a].
[190.] ►
Active vivid dreams, after part of night, alternated with half conscious
waking; usually dream a good deal, but not like this; dreams
unremembered, except the following. Dreamed I was proving a remedy,
which produced severe frontal headache, sore throat, especially on the
right side; could not swallow; saliva was acid and intensely smarting;
in my dream was generally looking over the system for symptoms to
record; on awaking, found that my suffering about the throat was all a dream, though so intensely real that I
could hardly believe that my throat was not sore (seventh night), [6a]. ►
Dreamed of fighting several unknown gents; left them to follow an
unknown female, and when she left me, found she had conducted me to a
prayer-meeting, which must have changed to a restaurant, for I ordered a
Hamburg beefsteak, but awoke before it was served (third afternoon);
varied and exciting dreams with the fragmentary sleep, from 12.30 to
4.20 A.M. (fourth night); curious, nonsensical, wild dreams (fifth
night); dreamed of a great fire; heard the noise of the engines and the
firemen, the order to come down in a hurry, as the roof was going to
fall in; saw them coming down; heard and saw the crash; dreamed that I
was awakened, when, to my consternation, I found it to be the immensely
large hotel in which I lived which was on fire; my room was just a few
feet outside the part that had been burned down; made hasty arrangements
to have everything belonging to me gathered up to move; went out to find
a fitting place for an office; was stopped by an unknown gentleman in an
open carriage, who wanted me to go a little up the country where he said
it would pay well, but I turned away from him to find another place; I
awoke from the dream at 5.30 A.M. (twelfth night); amorous dreams
(fourteenth night); at 2 P.M., have had dreams of travelling by railroad
(fifteenth day); dreamed of fighting (orally) for liberty, and of giving
a surprise party to a friend in his own house; took dinner with him;
enjoyed a roast excessively (thirty-third night), [8].
FEVER.
►
8 P.M., for last few hours feel chilly (thirty-fourth day), [8]. ►
Flush of heat all over the body (soon, first day), [7]. ►
Feverish heat, at 9 A.M. (twenty-fifth day), [8]. ► This
evening, feel a warm glow over all
the upper part of the body, as of slight fever, but no marked increase
of heart action (third day), [6a].
► Feverish feeling in face and hands,
especially left hand (tenth day), [8]. ►
A flush of heat in both cheeks (after first dose, second day), [7]. ►
Feverish heat in left ear flap and left hand (second day); flushing heat
of left hand and ear less strong than yesterday (third day). Flush in
left hand and ear (fourth day). Heat of left ear and hand continues
(seventh, eighth, eleventh and twelfth days). ►
Heat in left hand, fingers, and ear, at 10 A.M. (twenty-second day), [8]. ►
Heavy perspiration, with the great dryness of mouth, on waking from
afternoon nap (third day), [8].
CONDITIONS.
►
Aggravation. ► (Morning), Worn feeling in the brain; 9 A.M.,
colic; pain in lower part of right calf; worn and tired feeling; 9 A.M.,
heat. ► (Afternoon),
Frontal headache; soreness in back; on waking from nap, perspiration and
dryness of mouth. ► (Evening), Frontal headache; 7 P.M., fulness
in face; sensation of going to have a stool; 8 P.M., chilliness. ► (After bathing),
Pain in calves. ► (Before meals), Sour eructations. ► (Moving head),
Vertigo. ► (Moving),
Pain in great toe. ► (Pressure), Pain in back; pain in joint of
thumb. ► (Reading),
Frontal headache; pain along line of optic nerve. ►
(Remaining in one position), Pain in
head. ► (When
sitting), Pain in right instep. ►
(Thinking), Frontal headache. ► (While urinating),
Burning in urethra. ► (When walking), Pain in right groin; pain in
knee. ► (When
writing), Pain in wrist. ►
Amelioration. ► (Open air), The symptoms. ► (Closing eyes),
Dizziness. ► (Eructations), Feeling at throat pit. ► (Mental effort),
Headache. ► (Motion),
Pain in head; colic; pain in right instep; the symptoms. ► (Pressing
stomach against edge of table), Crampy pain. ► (Rest),
Tired feeling. ► (Turning mind from one subject), Pain in head.® 2000
Article