TABACUM.
ABDOMEN.
►
Hypochondria. ► Liver
enlarged, [167]. [640.] ►
Acute inflammation of the liver after an extraordinary bout of smoking, [123]. ►
Pressure in the hypochondria (first day), [2].
► Stitches in the hypochondria (first
and seventh days), [2]. ► Sensitiveness of the entire gastric
region to slight pressure. But the real seat of pain was the left
hypochondria, immediately below the heart. Slight pressure relieved it
temporarily, it never ceased entirely, but came on in paroxysms, mostly
excited by motion, though it would also take place, albeit only at long
intervals, in a state of complete rest. The patient described this pain
as being an exaggeration of that which is felt in the region of the
spleen after running too long, [93].
► When pressing upon the hepatic
region pain extending to the pit of the stomach (tenth day), [2]. ►
Stitches in the hepatic region relieved by stooping, could not stretch
out on account of it (tenth day), [2].
► Stitches in the hepatic region
(fourth day), [2]. ► Several times stitches in the hepatic
region under the last ribs, towards evening (first day), [2]. ► Fine
stitches as with a needle in the liver, aggravated by breathing (first
day), [2]. ►
When walking, stitches in the liver, which extend toward the pit of the
stomach (tenth day), [2]. [650.] ►
Burning sticking externally in the left hypochondriac region (after five
minutes), [2]. ► Umbilicus and Sides. ► Painful retraction of the navel,
especially on stooping, [1]. ► Cramplike pain in the umbilical region, [1]. ►
Cutting pain about the navel (fifth day), [2].
► Pressive pain in the umbilical
region with cramplike retraction of the navel, [1]. ►
Pressive sensation beneath the right short ribs, as if a heavy weight
were lying there, the place is also painful to touch, [2]. ► Digging
and pressive feeling in the umbilical region, [1]. ► A
pressive, painful feeling in the region of the kidneys, [1]. ►
Stitches beneath the right short ribs (fourth day), [2]. ► Sharp
stitches in the right flank (second day), [1].
► General Abdomen. [660.] ►
Abdomen distended, [108]. ► Abdomen excessively swollen, hard, tense,
very painful to the slightest touch, [77].
► Belly retracted, [117]. ►
Abdomen contracted, [17]. ► Retracted abdomen with rumbling, [40]. ►
Flatulence and nausea, [167]. ► Frequent movements of flatus with pain in
the abdomen, followed by diarrhœa with tenesmus, in the evening
(seventh day), [1]. ► Rumbling in the abdomen, [1], [2], [51]. ►
Rumbling in the transverse colon, [45].
► Rumbling in the colon and
inclination to stool, [4c]. [670.] ►
Rumbling, gurgling, and griping about the abdomen (first day), [2]. ►
Rumbling and gurgling in the abdomen on deep breathing, lasting eight
days, [2]. ►
Rumbling in the abdomen, and a feeling of coldness over the whole body, [1]. ►
Very violent, almost incessant rumbling in the abdomen the whole
afternoon, while taking a walk (tenth day), [2]. ► Pain in
the abdomen, [38], [52]. ► Pain
in the abdomen with distension, [1].
► Frightful pains in the abdomen, [77]. ►
Considerable looseness, and pain in lower part of abdomen (woman), [32]. ►
Repeated attacks of what he called “biliousness,” pain in the
bowels, and purging, [156]. ► Severe pain in bowels, their action was
arrested, necessitating the use of enemata,
[150]. [680.]
► Frightful pain in the abdomen, a
violent burning which caused loud cries, the pains afterwards involved
the whole abdomen, especially the epigastrium, [17]. ►
Violent contractions in the muscles of the abdomen, [17]. ► She
woke after midnight with sensitiveness in the abdomen, so that she could
scarcely be touched without internal pain, followed by a soft stool with
relief of the pain; at 4 A.M. the same symptoms were renewed (first
day), [1]. ►
The entire abdomen, but more especially the pit of the stomach and the
hepatic region, are so sensitive that the pressure of his uniform tunic
is intolerable, [95]. ► Some months after, ceasing to smoke, I
was induced to smoke incessantly, during a nine hours journey in the
company of smokers, and in consequence, the
taste of rancid oil returned, with such intensity, that it
would have turned my stomach, had it not been disguised by the same
means which had excited it. On approaching Paris, I felt some slight
lancinations in the hypochondria, which I scarcely noticed. Feeling as
if the abdomen was larger than usual; and on the other hand, while it
was the seat of a dull pain, little increased by pressure, it was as if
paralyzed; I touched it, and my hands alone were sensitive of the
contact. I noticed also a difficulty in articulation, resulting from a
kind of numbness, hitherto quite unfelt, not only of the tongue, but of
the muscles of the cheeks and lower jaw, which were affected with a
slight nervous agitation when I tried to speak. These last symptoms,
however, which I attributed to fatigue, ceased for the most part on my
arrival at home. It was then 8 P.M.; I had an excellent appetite, my
dinner awaited me, and I took my seat at the table with extreme
pleasure. The soup seemed excellent, it doubtless was so, but alas! I
was unable to enjoy it. I had taken scarcely three or four spoonfuls
when a sudden, piercing, indescribable pain, so excessive as to make me
cry out, forced me to drop my spoon, and throw myself back in my chair,
pale as a corpse, bathed in a cold sweat, breathless, as if in the
agonies of death. Judge how my family were terrified! The disorder had
broken out so suddenly and with such violence, that I had not the chance
to utter a word, and only my hands clasped over the stomach served to
point out the seat of my suffering. However, I succeeded, with some
difficulty, in getting into bed. I was covered with hot cloths, which
were renewed every minute, and greatly relieved me. I felt my pulse – it
was never quieter; I pressed hard on the stomach and abdomen, they
scarcely felt it. A quarter of an hour passed, my appetite returned, I
was hungry, very hungry, and without quitting my bed (very fortunately,
as it turned out) I resumed my dinner, which seemed to have been
interrupted by a horrible nightmare. So incredible, so rapid a change,
caused the friends who surrounded me to smile amid their recent tears;
they brought me the wing of a fowl. I eagerly swallowed a few mouthfuls;
it was too much, a hundred times too much. The pain has got me again –
it is terrible! I have had extracted in my time a big molar, whose root
had grown to the lower jaw, and which broke twice under the dentist’s
turnkey. In 1849 I had cholera so badly that I was blue all over, as my
venerable friend Dr. Peters can testify, who kindly attended me at the
time. Well, I boldly declare the pain I am now speaking of was worse
than either. A horrible night it was, that night of February 21st, 1858.
First, I vomited (but only by taking tepid water and tickling the
uvula), a little food mingled with a very bitter fluid. It seemed to me
that this vomiting relieved me by bringing out the sweat which marked
the height and turning point of the attacks. These lasted altogether
from twenty to thirty minutes, becoming rather longer towards morning.
Each of them was over in from one to three minutes, during which I could
only keep from crying aloud by prodigious efforts of will. They were
accompanied neither with nausea nor colic, and excited neither stools
nor urination, but yielded in every case to a very copious sweating,
which usually marked the close of a paroxysm. After the cessation of one
attack I felt remarkably easy. Then my face, a moment before greatly
altered and of a cadaverous pallor, regained its color and natural
expression, and I had no more pain anywhere. During the 22d, I had there
of these attacks, in the daytime. The first one took me (I believing
myself cured) when I was away from home, but only a few steps from it.
Fortunately a carriage was standing at my door. I beckoned to the
driver, and he came to my help before I fainted in the street. On the
23d, I was well and without an attack, thanks to lying in bed, and the
strictest diet, despite a very sharp appetite. On the 24th, after a very
good night and feeling admirably, I took a few spoonfuls of chocolate,
and went out in a carriage. But scarcely had ten minutes passed when I
felt another attack coming on, and returned home quite desperate. 25th
and 26th, strict diet, rest in bed, and no attack. 27th, chicken-broth;
I could sit up a little; felt same wandering pains in the sides, but no
decided attack. Three days after, I returned to my usual diet and mode
of life. The tongue, which was loaded after the forced vomiting, is
still a little yellow at the root. The pulse, which for eight days had
continued quite regular (even in the most violent of the paroxysms) is
still a little slower than usual; but this I attribute to deprivation of
food. No trace of pain. The stools are normal, and there has been no
constipation. March 5th, having felt very well for five days, I tried to
smoke a segar, and immediately, that is, after the third and fourth
puff, felt sharp, characteristic pain in the pit of the stomach; rancid
taste in the mouth; sweat on the forehead; an attack was impending,
which would certainly have occurred if I had
gone on smoking, [96]. ► Colic, [40],
[44], [51], [88].
► Colic, in the morning (fifth day), [2]. ►
Colic, as from a purge, towards evening (eighth day), [2]. ► Violent
colic, [160], [162]. ► Colic
and diarrhœa, [7]. ► Colic, followed by violent cramp in the
stomach, great nausea and salivation (tenth day), [2]. [690.] ► Movements about the abdomen as if
diarrhœa would come on (first day), [2].
► Griping in the abdomen (first and
fourth days), [2]. ► Griping and rumbling in the abdomen for
twelve days (after four days), [2].
► Griping in the abdomen, followed by
clawing pain in the stomach (fourth day), [2].
► Pinching and griping in the
abdomen, [35a]. ► Shocks in the bowels at night when first
getting into a drowse; at length they came on in the daytime, with
epigastric sinking, costiveness and general dyspepsia, [1]. ►
Pressure in the upper abdomen, [48],
[49]. ►
A feeling of weight and distension in the abdomen, [167]. ►
Tearing in the abdomen at night (eighth day), [2]. ► A
number of sudden fine stitches in the whole abdomen (after half an
hour), [1]. [700.] ► Heat in the intestinal canal, [21]. ►
Hypogastrium and Iliac Regions. ►
Violent pressive pain in the lower abdomen with nausea and inclination
to vomit, [1]. ► Violent pressive pains in the lower
abdomen with chilliness of the whole body, [1]. ►
Pressive pain in the lower abdomen with relief from emission of flatus, [1]. ►
Sensation of powerlessness in the right groin (fifth day), [2].
RECTUM AND ANUS.
►
Burning pain in the anus after the stool, [1].
► Itching in the anus, [48]. ►
Repeated ineffectual urging to stool, followed by a hard evacuation
several hours after the usual time, [4d].
► Tenesmus and violent pain in the
small of the back during stool, though the evacuation was soft (fourth
day), [2]. ►
Frequent urging to stool in the morning (eighth day), [2]. [710.] ► Desire for stool with frequent tenesmus
in the rectum (after four minutes), [2].
► Violent straining at stool with
pressure as if the fæces were retained, yet the stool was soft, [2]. ►
Straining and violent burning in the anus during stool (eleventh day), [2]. ►
Frequent desire for stool, but always a scanty evacuation, preceded and
followed by sore pain in the abdomen (second day), [1].
STOOL.
►
Diarrhœa. ► Diarrhœa, [9], [11],
etc. ► Profuse diarrhœa, [76], [162].
► At intervals, violent diarrhœa,
accompanied with severe gripings, lasting sometimes several days, and
followed by constipation, [92]. ► The diarrhœa was not like that produced
by tobacco in the provings; it was urgent
watery, painless; one movement on rising in the morning, and
four or five before reaching his office, and no
more till next morning; cured in two weeks, [136]. ► After
one or two years the symptoms of chronic poisoning begin with serous
diarrhœa, followed by a peculiar change in the color of the face, which
becomes a pale gray; the blood becomes very thin, and passive
congestions occur, [68]. ► He was subject, for eighteen months, to
severe attacks of diarrhœa, which almost invariably came on at night,
about 2 A.M. On discontinuing the use of tobacco, these attacks ceased, [72]. [720.]
► Simultaneously with the convulsive
attack, he was purged to a most unusual and extraordinary extent, the
whole bed and floor around it being flooded, as it were, with the
discharges, which consisted of feculent matter of a dark greenish-brown
color, [83]. ►
Diarrhœa with vomiting and delirium (after two hours), [97]. ►
Involuntary evacuations, [54]. ► Involuntary evacuations at times of both
urine and fæces, [108]. ► Bowels very loose, especially in the
morning; generally has to rise from bed about 4 A.M., in consequence of
a call to stool, and he has frequently two or three evacuations before
breakfast also; the motions are of a good color, only thin, [99]. ►
Purging several times (second and third days), [2]. ► Purging
and emission of flatus immediately after eating (fourth day), [2]. ►
Purging three times with sore pain in the anus (fourth day), [2]. ►
Purging with colic (fourth day), [2].
► Five diarrhœa-like stools at
night, with burning and tenesmus in the anus (seventh day), [1]. [730.]
► Liquid, very offensive evacuation,
followed by tenesmus, [1]. ► Green, slimy diarrhœa with tenesmus, [1]. ►
Frequent thin evacuations, [47]. ► Thin evacuation of the bowels, increased
in quantity, [51]. ► Stool at the usual time, and rather
thinner than usual (first day), [2].
► Stool softer than usual, [49]. ►
Frequent pasty stools, [48]. ► Involuntary thin stools, [88a]. ►
Habitual soft and often diarrhœic stools, [92]. ► A very
sudden, almost involuntary pasty yellow-green evacuation, followed by
tenesmus, [1]. [740.] ►
Stool pasty, increased in quantity, frequently slimy, with emission of
flatus, [50]. ► Stool softer than usual, after large
doses, [135]. ► Black, fetid stools, [160]. ►
Several stools, [19]. ► Two thin stools with some colic, [7]. ►
It depresses the action of a purge upon the colon, [25]. ► Stool
only after thirty-six hours, harder than usual, and of a dark color, [4b]. ►
Frequent involuntary and unconscious evacuation of bloody and watery fæces
and watery urine, [77]. ► Two soft stools at night (second day), [1]. ►
Two soft stools within two hours, followed by internal sensitiveness of
the abdomen (second day), [1]. [750.] ►
Two small soft stools in the evening, followed by straining for a long
time (second day), [1]. ► *Stools resembling those of cholera, [134]. ►
The fæces, resembling the excrements of sheep, had for long only been
passed after the use of enemata and purgatives; at first, on the
contrary, purging had been present, [117].
► Let an individual smoke half a
segar in the morning, soon after breakfast, and almost before he has
finished, he will have an urgent desire for an alvine dejection, [65]. ►
Stools irregular, [108]. ► Stool indolent, with at times diarrhœa,
associated with great weakness of the sphincter ani, [107]. ►
Average weight of fæces, 8.10 ounces (for five days before smoking);
8.09 ounces (for five days while smoking), [87]. ►
Average weight of fæces, 6.04 ounces (for five days before smoking);
4.52 ounces (for five days while smoking), [87a]. ►
Constipation. ►
Constipation, [42], [57], etc. ►
The stool usually daily, omitted for two days, [6]. [760.] ► Absence of stool, contrary to habit
(first day), [2]. ► No stool (fourth to seventh day), [2]. ►
The evacuation that usually occurred in the morning, now took place
towards evening, and was harder than usual, [4]. ►
Inclined to constipation at times, [7].
► Habitual constipation, worse when
the patient is worse in other respects; never has diarrhœa, [95]. ►
Unrelenting constipated bowels, [67].
► Obstinate constipation, changing at
times to diarrhœa, [159].
URINARY ORGANS.
►
Kidneys and Bladder. ►
Pressive pain in the region of the kidneys before urinating, [51]. ►
Paralysis of the bladder and rectum, [68].
► Urethra. ► The orifice of the urethra is inflamed
and agglutinated (eighth day), [2].
[770.] ►
Burning and tickling in the urethra, soon, followed by an emission at
night, [50]. ►
Burning in the urethra when urinating, [42].
► Burning-itching pain in the urethra
after urinating (eighth day), [2].
► Prickling in the urethra during
micturition, [48]. ► Itching in the urethra before urinating, [51]. ►
Micturition and Urine. ►
Frequent desire to urinate, [5]. ► Constant desire to urinate, [134], [139].
► Pressing desire to evacuate the
bladder and bowels, [78]. ► Desire to urinate, with or without
vertigo, [7]. ► Frequent and increased, evacuation of
urine, which was once passed involuntarily at night, [46]. [780.] ► Urine evacuated more frequently than
usual, at times involuntary dribbling, [48].
► Urine passed involuntarily, [117]. ►
Increased discharge of urine, [7],
[19], [20], etc. ►
Increased evacuation of red, offensive, ammoniacal urine, [45]. ►
Increased secretion of urine, from small doses, [26]. ►
Copious secretion of pale urine, [47].
► Urine pale, increased in quantity,
so that he was frequently obliged to rise at night to urinate, with
almost incontinence of urine, [49].
► Increased evacuation of
yellowish-red urine, [1]. ► Suppression of urine, [40]. ►
Quantity of urine small and dark in color, specific gravity 1025, acid
reaction; deposits urates and mucus, no albumen or sugar, [167]. [790.]
► Albuminuria (second day), [127]. ►
Urine dark red, smelling of tobacco, [21].
► Urine clear, lemon yellow, more
copious than usual, [4b], [4c]. ►
Average quantity of urine, 41.69 fluid ounces; free acid, 27.86 grains;
urea, 657.69 grains; uric acid, 12.83 grains; chlorine, 148.81 grains;
phosphoric acid, 56.18 grains; sulphuric acid, 36.92 grains (for five
days before smoking); average quantity of urine, 39.82 fluid ounces;
free acid, 32.89 grains; urea, 615.32 grains; uric acid, 18.71 grains;
chlorine, 125.77 grains; phosphoric acid, 80.01 grains; sulphuric acid,
41.33 grains (for five days before smoking), [87]. ►
Average quantity of urine, 38.85 fluid ounces; free acid, 24.64 grains;
urea, 610.50 grains; uric acid, 10.53 grains; chlorine, 129.55 grains;
phosphoric acid, 44.23 grains; sulphuric acid, 31.66 grains (for five
days before smoking); average quantity of urine, 37.34 fluid ounces;
free acid, 27.67 grains; urea, 547.96 grains; uric acid, 15.05 grains;
chlorine, 114.55 grains; phosphoric acid, 74.46 grains; sulphuric acid,
40.01 grains (for five days while smoking), [87a].
SEXUAL ORGANS.
►
Male. ► Genital organs
flabby, [107]. ► Erections towards morning (first day), [2]. ►
Many erections without voluptuous sensation (second day), [2]. ►
Discharge of prostatic fluid (eighth day), [2]. ► Some
crawling in the glans penis, [2]. [800.] ► Varicocele, [174]. ►
Emissions, [47]. ► Nocturnal emissions, [46], [174].
► Emission at night, without waking
(eighth day), [2]. ► No erections or sexual desires, [109]. ►
Female. ► Discharge of a
few drops of liquid like mat water from the vagina, fourteen days after
the menses (second day), [2]. ► The menses, which were delayed about one
day, came on more profusely than usual (first day), [1]. ►
Derangement of the catamenia, [57].® 2000
Article