SECALE CORNUTUM.
GENERALITIES.
►
Rapid emaciation, [35]. ► Child loses flesh, [116]. ► Hot
gangrene, that eats the flesh from the bone, [23]. ► Cold
gangrene and death attacked the nose, fingers, hands, arms, feet,
tibiæ, and thighs, [3]. ► Dry cold gangrene, [34]. ► The
gangrenous parts became black and separated from the body, [12]. ►
Gangrene, [66]. ► Emphysematous swelling, [64]. ►
Apoplexy, [63]. [810.] ►
Extreme exhaustion, gangrene, or apoplexy, sometimes most violent
epilepsy, followed by death, [64].
► Hands, feet, ears, and nose became
purple, and much of the surface assumed a mottled aspect (after twelve
hours), [104]. ► General adynamic condition, under which
the patients commonly succumbed about the tenth or twelfth day from the
attack, [119]. ► Indications of a puerperal state (eighth
day), [135]. ►
Secretions diminished, [116]. ► Opisthotonos, [34], [162].
► Emprosthotonos, opisthotonos, risus
sardonicus, and raving, [47]. ► Emprosthotonos, [42]. ►
Convulsive movements and twitching of the muscles and tendons of the
limbs; twitchings of the muscles of the face (tenth day); twitching of
the muscles (eleventh day), [135].
► Violent paroxysms, consisting of
contractions of the extremities, repeated at short intervals until the
extremities became cold, stiff, and immovable, with violent pains in
various muscles; in some cases the attacks became tetanic, with trismus
and opisthotonos, or even epilepsy, followed by weakness of memory; the
attacks frequently occurred suddenly in the night, [145]. [820.]
► Most frightful convulsions,
followed by tetanus, [143]. ► Paroxysms usually better at night, so
that the patient could at times sleep quietly, [100]. ►
Convulsions, [66], [99], [141],
[165]. ►
Convulsions, etc., the convulsions sometimes carrying off the patient, [116]. ►
Strong general convulsions (after twelve hours), [104]. ►
Frightful convulsive movements and spasms, [42]. ►
Spasms, followed by death, [15]. ► Convulsions, followed by death, [42], [73].
► She died in violent convulsions, [135]. ►
Spasms, [28]. [830.] ►
Violent spasms, followed by anæsthesia, complete loss of sight and
hearing, and coma, [44]. ► General spasms, similar to epilepsy, [14], [61].
► The spasms are especially brought
on by emotional excitement, followed by exhaustion, weakness, and sopor,
[142]. ►
Repeated spasms, [139]. ► Extremely painful tonic contractions of
the muscles, with opisthotonos, great anxiety, and loud cries; these
attacks lasted from half an hour to several hours, [142]. ► The
whole body was tossed about with the greatest uneasiness, and the person
covered with cold sweat, [47]. ► Clonic spasms, that in some parts of the
body changed to tonic spasms or alternated with them, [64]. ► The
most violent spasms seemed to recur periodically, so that the recurrence
of a new attack could be foreseen, [42].
► The most violent spasms occurred at
night; the sweat associated with them seemed to be caused rather by the
anxiety than the pains, [42]. ► Most violent tonic spasms in the muscles
of all the extremities, [160]. [840.] ► Tonic
spasms, [161], [165]. ►
Slight tetanic contractions of the face and extremities, which yielded
to repeated hot baths (after one hour), [168].
► The muscles subject to volition
responding irregularly, with occasional violent spasms of the muscles of
the extremities and back (second and third days), [156a]. ►
Spasms and twitchings, followed by death, [47].
► Spasmodic movements of various
kinds, [64]. ►
Painful spasms, that lasted several weeks, [15]. ► Spasms
and twitchings of the upper and lower extremities; spasmodic
contractions in the veins, [70]. ► Sudden epileptiform spasms, with loss of
consciousness, [147]. ► Epileptiform spasms, [32]. ►
Epileptiform spasms in children, followed by death, [48]. [850.] ► Epileptiform spasms, occurring at
intervals of about a month, during which the patient lost her memory,
became foolish, and spoke with difficulty, [147]. ►
Completely developed epilepsy, occurring from time to time, gradually
succeeded by idiocy, generally fatal after six months, [89]. ►
Epilepsy, especially in children, [42].
► Epileptic attacks, [165]. ► Epilepsy,
[34], [48], [62].
► In some patients the spasms
occurred without remission or without aggravation at any time of day,
and these were in great danger, [42].
► In most cases the spasms attacked
the patient without previous unpleasant symptoms, and if no remission
followed the patient died on the third day, [42]. ► The
spasms changed often from clonic to tonic, even to tetanus and trismus, [64]. ►
The spasms generally occurred in the forenoon, lasted a longer or
shorter time, were always followed by great weakness, sometimes by
complete stiffness of the neck; the patient was relieved by rubbing and
stretching the limbs; every emotional excitement caused a new attack, [47]. ►
The spasms occurred two or three times a day; during the interval great
weakness, contractions of the lower extremities, so that at times the
patient could walk only on the toes, numbness of the limbs, especially
of the fingers and toes, [64]. [860.] ►
The spasms lasted usually two to four hours, sometimes twenty-four
hours, and ended with profuse perspiration, [64]. ► Sudden
vertigo and blindness; the patients were deprived wholly or in part of
their senses, fell to the ground, and suffered the most violent
contraction of the joints, twitching of the limbs, trembling, and
violent ineffectual efforts to vomit; the elbows were pressed against
the chest, the wrists flexed, the fingers doubled into the hands, the
heels drawn upward toward the tendo Achillis, the toes bent under the
sole of the foot, and frequently two strong men could not stretch out
the limbs, [47]. ► After the spasms there were often
distortion of the limbs, dilated pupils, loss of consciousness,
delirium, weakness of mind or a certain insensibility, in which she
seemed to be lost, staring at any one who spoke to her and answering
nothing, as if she did not understand; others seemed paralyzed, were
unable to stand or walk, [42]. ► Violent trembling from every effort, even
on stretching out the tongue, [48].
► General trembling, [146]. ►
Trembling, weakness, and paralyzed, benumbed sensation, [141]. ►
*Trembling, [14], [48], [82].
► Irregular movements of the whole
body, especially of the limbs, [98].
► *Unsteadiness of the whole body,
[82]. ►
Painful stretching, [14]. [870.] ►
Transient twitching, [47]. ► Violent jerking preceded the sensation of
crawling, and was associated with most violent pains; these spasms were
accompanied by constant trembling of all the muscles, and the spasms at
first clonic became after a time tonic, and developed into a truly
tetanic character, [41]. ► Numerous jerking movements of the
voluntary muscles, [44]. ► Jerkings like electric shocks, almost as
in tetanus, [138]. ► Jerking and spasms, [37]. ►
Jerkings, [65]. ► Slight jerking and visible movements
under the skin, [48]. ► Complete paralysis, [48]. ►
Paralysis, so that the patient could no longer walk, with weakness in
the small of the back and trembling of the feet, [100]. ► Loss
of sensation and paralysis of the parts previously affected by spasms, [61]. [880.]
► Muscular inertia so great that he
could scarcely move the fingers, and had great difficulty in either
writing or walking (after one hour), [126].
► Paralytic symptoms, [100]. ► Lost
all voluntary motion, and even the power of utterance, [115]. ► The
vital forces were gradually exhausted and paralysis occurred; the skin
of the affected parts began to desquamate; erysipelatous vesicles
appeared over the whole body; the fingers and toes became gangrenous,
with separation of the soft parts; the stools were thin, involuntary,
followed by apoplexy and death, [61].
►► *Restlessness, [142]; (sixth day), [155]. ► *Great
restlessness, [135], [151], [153].
► Restlessness, with frequent wailing
or screaming cries, [116]. ► *Extreme debility, [90]. ►
Extreme debility, numbness (occasionally of complete insensibility of
the extremities), [99]. ► Feeling of complete prostration and
vertigo on walking across the room, [108].
[890.] ►
Great depression of strength and temperature of the body, [125a]. ►
Great prostration, accompanied with a slow feeble pulse (second and
third days), [156a]. ► *Great prostration (second, fourth,
and seventh days), [155]. ►► *Prostration, [106], [122];
(after one hour), [126a]; (eighth
day), [155]. ►
Faintness, [64]. ► Exhaustion, [62], [70].
► Great exhaustion, having no power
to move the lower extremities, and but very little control over the
upper, [97]. ►
Great exhaustion after sleep, [84].
► Long-continued indolence, with
stupefaction, coldness, and insensibility of the limbs, followed by
gangrene, [65]. ► Languor during the whole day (second
day), [126a]. [900.] ► Great languor and lassitude (after half
an hour), [94]. ► Extreme languor, [99]. ►
General languor and lassitude, [95].
► General lassitude (after one hour),
[126]. ►
Great weakness, [10]. ► Weakness, [12], [32],
[47], [160]. ►
Weakness and dizziness (after two hours), [166].
► Very weak; cannot move herself in
bed (third day), [155]. ► Loss of strength, [64]. ► Loss
of strength, caused by exhausting diarrhœa, [47]. [910.] ► Weariness, [14].
► *Rapid sinking of strength, [54]. ►
Indisposition to move or speak; becomes very much exhausted when doing
either (eleventh day), [155]. ► Great sensitiveness to cold, [111]. ►
The parts affected by spasms became somewhat insensible, [64]. ► After
the spasms ceased, loss of sensation, the fingers and hands became numb
and the lips pale; the spasms mostly returned on the ninth day, [42]. ►
Rigidity, loss of all sensation, and most violent pains, aggravated by
warm air or by the warmth of the bed, somewhat relieved in the cold, but
in its place there was a sensation of most intolerable cold in all the
limbs and over the whole body, [80].
► General discomfort, [100]; (after two hours), [69]; (after three-quarters of an hour), [106]. ►
General heaviness, [105]. ► Great soreness all over the body; could
not lie with ease in any position, and could not be moved without taking
hold of her hands (second day); soreness of body not diminished (third
day), [155]. [920.] ►
Tetanic cramps for several days, and considerable stiffness of the limbs
remained, so that she frequently fell in walking, [137]. ►
Tetanic cramps, [134]. ► Sudden intense pain, so that he cried
aloud and ran about as if mad, [142].
► Gnawing-boring pains in the flesh,
worse at night, permitting no sleep, [140].
► Tearing pains and intolerable
crawling sensation in the limbs, pain in the head and back, anxiety, and
some insensibility in the arms and feet, [61].
► Wandering pains over the whole
body, especially in the back and small of the back, [63]. ►
Obstinate periodical pains, [61]. ► Pains recurring every ten or twenty
minutes, with slow contraction of the limbs, [76]. ► Pains
causing screams, [63]. ► Transient sticking tearing moving from
place to place, at times with, at times without cramps, [140]. [930.]
► Sensation of burning, as if sparks
of fire were falling upon different parts, [61]. ►
Drawing and crawling, changing sometimes rapidly, sometimes slowly, into
violent pains and spasms; the limbs were flexed and the skin covered
with sweat, [47]. ► Twitching tremulous sensation in single
muscular fibres and in whole muscles, in the face and hands, [42]. ►
On awaking, in the morning, she had a peculiar tingling sensation all
over the body, sometimes merely a slight creeping feel, and at others
the symptoms increased even to painfulness, [114]. ►►
*Heat applied to any part of the body aggravated his pains; his extreme
aversion to warmth was very remarkable, and if on any cold day any additional covering was laid
upon him while sleeping, he awakened almost instantly and threw it off;
he was generally found in the coldest weather lying in bed with only an
old cloak thrown over him, [159].
► The symptoms increased for four
days, [124]. ►
All the symptoms are aggravated on the appearance of the menses, [33].
SKIN.
►
Objective. ► Exhalations
from the skin, of a vinous odor (fifth day), [155]. ►
Exhalations from the skin fetid (second day), [135]. ►
Desquamation of the whole body three times, in a girl, [47]. [940.] ► The epidermis begins to loosen from the
affected parts, [64]. ► Skin soft, flabby, [70]. ► Skin
dry, rough, [64]. ► Dry and withered appearance of skin, [116]. ►
The skin, which in general was inclined to perspiration, was constantly
quite dry, [124]. ► Dryness of the skin, with no trace of
perspiration, [139]. ► *Skin dry and cool, [135]. ► The
capillary action of the skin was remarkably slow, a portion of the skin
deprived of its blood, by pressure with the finger, being a long time in
recovering its color, [94]. ► Capillary action very slow, [95]. ►
Capillaries of the skin appear to be empty (seventh day); more blood in
the surface veins (ninth day), [155].
[950.] ►
Skin hot, dry, and of a yellowish-brown color, resembling that of a
mulatto (second and third days); hot, dry, but not as dark as if was the
day before (fourth day); hot and dry, but of a better color, of a
natural appearance on the feet and hands (sixth day); soft and more
natural to the touch, but still very yellow (ninth day); yellow, soft,
and moist (tenth day); most and yellow (eleventh day), [155]. ► Skin
dry and of a muddy-yellow hue (second and third days), [156a]. ► Skin
discolored, [142]. ► Skin had a yellowish tint, [157]. ► The
child, when born, was in a state of perfect jaundice, and continued so
until death, which took place on the second day, [117]. ► Skin
everywhere deep red, [149]. ► Skin of a roseate hue, [90]. ► The
whole skin assumes a leaden hue, shrinks and wrinkles, and becomes
insensible, [64]. ► The skin of the affected parts becomes
leaden-colored and wrinkled, the vessels disappear, the parts gradually
become numb and lose all sensibility, so that she can be cut and pricked
without pain, or without blood flowing from the wounds, [61]. ►
Petechial exanthema and furuncles on the lower limbs; outer parts of the
limbs, especially the fingers, turn dark blue, become gangrenous and
died altogether; the gangrene rapidly extended over other parts of the
body, was not confined to fleshy parts but affected the bone, so that
often the gangrenous parts fell off, [61].
[960.] ►
*Petechiæ, [62], [64]. ►
Furuncles, [62]. ► Bloodboils, [64]. ► A
slight eruption on the skin changing to gangrene, first on the toes and
fingers, then rapidly extending over the arms and lower extremities, [64]. ►
*Gangrenous blisters, [64].
► Various eruptions on the skin, [47]. ►
*Large ecchymoses, [64].
► Blood ulcers, [47]. ►
Eruption of livid spots over the body, [99].
► Spots on the face, [34]. [970.] ► Numerous boils on the back, nates, and
abdomen, with cutting pains, surrounded by erysipelatous redness, and
becoming gangrenous; this gangrene extended over the whole trunk and
thighs, with separation of the epidermis and a cadaverous odor; followed
by bloating of the abdomen, hiccough, coma, and death, [144]. ► Boils
on the neck, discharging a yellow matter, with burning pain, [34]. ►
Boils on the neck, [34]. ► A painless blister on the left index
finger, as large as a nut, that opens and discharges ichor; the base of
the sore is blackish; all the fingers are insensible, [42]. ► Spots
like fleabites, on the feet, lasting eight weeks, [34]. ►
Subjective. ► Pains in the
skin, [65]. ►► *Formication, [143], [155],
[161]. ►
The whole course of the disease was accompanied by formication of the
feet and other symptoms characteristic of ergotismus, [98]. ►
Formication, with a sense as if mice were creeping under the skin,
[142]. ►
Formication on the face, gum, and other parts of the body, [70]. [980.]
► Formication in the extremities, with
tearing-stinging pains, [140].
► *Formication on the arms, legs, and
face, [47]. ► *Formication of the extremities, [162]. ►
Formication, not only in the fingers, but over the whole body,
[42]. ►
*Formication in the tips of the fingers, lasting several weeks, with a
partial loss of sensibility, [42].
► *Crawling and formication over the
whole body, [145]. ► *Crawling all over the body (first
day), [155]. ► Crawling between the skin and flesh, [140]. ►
Jerking crawling under the skin, [37]. ►►
*Sensation as of something creeping under the skin, [70]. [990.]
► Sensation of crawling becoming
greatly increased, so painful that the patient cried aloud and could
rest in no position, [64]. ► Crawling and creeping in the skin, [82]. ►
Violent crawling and prickling over the whole body, especially on the
upper lip, and at times all about the mouth, [89]. ► Crawling
and creeping, [76]. ► Crawling and insensibility extending even into
the forearms, [42]. ► Violent crawling in the hands and feet,
[160]. ►
Crawling sensation, as of formication, or as if the limb were stiffened
by cold or were asleep, as if it had been insensible and sensation were
returning with returning warmth; this is especially noticed in the
fingers and toes, or often over the whole body, also on the tongue,
which is then painful, [61].
► Crawling in the tips of the
fingers, hands, neck, and other parts, [48].
► Crawling in the hands and feet, [86]. ►
A burning, torpid, prickly sensation over the whole surface, with much
difficulty in moving the extremities, accompanied by a sensation like
that produced in a limb by pressure on the trunk of a nerve, when we say
that the limb is asleep (first day), [156a].
[1000.] ► Fine stitches, here and there, in the
skin, disappearing on scratching, soon returning; the places scratched
were affected for a long time by a disagreeable warmth, [109]. ►
Itching all over the body (sixth day); so as to cause the patient to
tear her skin (eighth day), [155].
► Distressing itching on the lower
extremities, like formication, [34].
SLEEP.
►
Drowsiness and inclination to sopor (fourth day), [155]. ►
Drowsiness (sixth, eighth, and ninth days), [155]. ►
Strong desire to sleep (after one hour); the sleep the following night
was disturbed by anxious dreams, [124].
► Great sleepiness, [72], [84].
► Sleepiness, [64]. ► Great
inclination to sleep, [72]. ► Inclination to sopor (first day), [155]. [1010.]
► Stupefied slumber, for days, [47]. ►
Deep and long-continued sleep, [72].
► Almost complete sleep (in one
hour), [167]. ► *Somnolency, [162]. ► Slept
an hour and a half in the night, the first she had enjoyed during her
illness (second night), [155]. ► Sleep restless, interrupted by anxious
dreams, [64]. ► Passed a restless, feverish, and
sleepless night, in a state of great nervous agitation, [156]. ► Sleep
very restless, [12]. ► Sleep restless, with heavy dreams, [80]. ►
Little sleep (first night), [126a].
[1020.] ►
Sudden waking from sleep, with a wild staring look (tenth day), [155]. ►
Sudden waking from sleep and looking wild, as if frightened, followed by
palpitation of the heart (ninth day), [155].
► Entire absence of sleep (second and
third days), [156a].
FEVER.
►
Chilliness. ► Extremely
violent chill, followed by burning heat, especially affecting internal
parts, and associated with violent anxiety, so that many lose their
reason, with violent, almost unquenchable thirst, [61]. ►
Violent chill, followed by violent burning heat, with unquenchable
thirst, [64]. ► A chill came on, followed immediately by
nausea, sharp pain in the head, with dizziness and partial blindness, [156]. ►
Rigors, with cutis anserina, [125].
► Rigors, followed by heat and
violent thirst (first day), [155].
► Shaking chill, [48]. ►
Creeping chill over the extremities (after one hour); chilliness over
the whole body (after three hours), [126].
[1030.] ►
General sensation of coldness in different parts of the body, as from
cold water or from snow, [89]. ► Sensation of cold (after one hour), [126a]. ►
*Coldness of the surface of the body, and particularly the extremities,
[157]. ►
*Diminished temperature of the body, [147]. ►►
*Cold skin, [122];
(after three-quarters of an hour), [106].
► *Skin cold, particularly that of the
face, [108]. ► Temperature of skin low, with free
perspiration (after two hours), [104].
► Skin cool, [87]. ►
Shivering, [122], [148]. ►
Sudden shuddering, [48]. [1040.] ►
Face cold and pale, [153]. ► Shivering in the limbs (after one hour), [123]. ►
Temperature beneath tongue 98° Fahr., [131].
► Sensation of great coldness over
the back and abdomen, [64]. ► Heat. ►
Fever (first night and second day), [156].
► Fever accompanies the pains in the
stomach and abdomen, and pains in the limbs with internal heat, anxiety,
and great thirst, [100]. ► Febrile excitement, [47], [54],
[64]. ►
Typhoid symptoms presented themselves (first day), [155]. ►
Intense heat, [149]. ► Increased heat of body, [81]. [1050.]
► Heat, [64], [76].
► Heat with thirst, [48]. ►
Burning hot skin, [100]. ► Heat and dulness of the head, [100]. ►
Sweat. ► Profuse general
perspiration, [146]. ► Perspiration all over the body except the
face (sixth day), [155]. ► General sweat, relieving all the
symptoms, [147]. ► Very profuse general perspiration, [34]. ►
Breaking out of cold sweat, [63]. ► *Covered with cold sweat, [142]. [1060.]
► Clammy sweat, followed by
epileptiform spasms and death, [139].
► *Cold clammy sweat, [64]. ►
*Profuse cold sweat, [160].
► Sweat on the forehead, [148]. ►
Sweat from the head to the pit of the stomach, [80]. ► Limbs
covered with cold sweat, [97].
CONDITIONS.
►
Aggravation. ► (Forenoon), Spasms. ►
(Evening), Pressure and dragging in
hypogastrium. ► (Night), Spasms; pain in flesh. ► (After eating
bread), Vertigo. ► (Heat), Pains. ►
(On appearance of menses), The
symptoms. ► (During
micturition), Burning in urethra. ►
(On moving), Dizziness of head; in
bed, dizziness of vision. ► (Moving head), Black before eyes. ► (When rising),
Dizziness of vision. ► (Rising up in bed), Black before eyes. ► (On attempting
to urinate), Cutting and smarting in urethra. ► (Warm air),
Prickling in stomach; pains. ► (Warmth of bed), Pains. ► Amelioration. ►
(Open air), Prickling in stomach. ► (Extending
flexed parts), Pain in arm and hand. ►
(Stooping), Pain in back. ► (Sweat),
The symptoms.® 2000
Article