TABACUM.
SUPERIOR EXTREMITIES.
► The arms bound over the chest, [37]. ►
Constant inclination to stretch the arm (second day), [2]. [1010.] ► The right arm seems paralyzed, as with
cramp (twelfth day), [2]. ► The left arm is completely powerless and
painful (third day), [2]. ► Severe spasmodic contractions in his arms
and hands, [32]. ► Tension in the left arm, especially in
the elbow (first day), [2]. ► Pain in the arm on raising it (first
day), [2]. ►
Drawing pain in a spot as large as a half dollar on the left arm, as if
an ulcer would form (fourth day), [2].
► Shoulder. ► Pulsation beneath the right shoulder
(first day), [2]. ► Stitches and drawing in the left shoulder
(second day), [2]. ► Elbow. ►
A drawing pain in the elbow on turning the forearm (first day), [2]. ►
Sticking pains in the elbows, on account of which he could not quickly
stretch out the right arm (second day), [2].
► Forearm. [1020.] ►
Pain, as from a sprain, in the right forearm, especially in the elbow,
with painful stitches immediately on every exertion (third day), [2]. ►
Tearing in the tendons of the left forearm towards the hand, and then in
the elbow (second day), [1]. ► Hands. ►
Hands joined, and in a state of rigid contraction, [37]. ►
Trembling of the hands (first day), [2],
[76], [107], [149].
► Trembling of the hands and tongue, [78]. ►
His hand trembles much when he holds it out, [99]. ►
Weakness of the hands (first day), [2].
► The hands seem paralyzed and cold,
followed by burning and fuzziness of the tips of the fingers and
difficult mobility, with coldness and chilliness of the body (eighth
day), [2]. ►
Drawing, paralytic, spasmodic pain in the right hand, extending to the
elbow (fifth day), [2]. ► Sticking and tearing in the right hand
(after ten minutes), [2]. ► Fingers. [1030.]
► Fingers somewhat swollen
(sixteenth, seventeenth, and eighteenth days), [2]. ►
Twitching of one finger, [1]. ► Cramp, and a feeling of formication, in
the three first fingers of the left hand (third day), [2]. ► Cramp
in various fingers (after two hours, and on washing in the morning),
(second, third, and fourth days), [4a].
► Frequent painful tearing in the
whole little finger (second day), [1].
► Gait shuffling, [107]. ► Had
the gait of an old man, [108]. ► Tottering in his gait (after half an
hour), [133]. ► Stiffness of the lower extremities and of
the spine, [127]. ► Uneasiness in the lower extremities, [139]. [1040.]
► A kind of paralysis or excessive
weakness of the lower extremities, so that at last the patient is
obliged to sit or lie down, with loss of sensation and more or less
weakness of all the special senses, [68].
► Complete loss of power over lower
extremities, [149]. ► Hip and Thigh. ►
Dull pressive pain in the hips and knee-joints, [1]. ►
Stitches in the right hip, towards evening (third day), [2]. ► Pain on
pressing upon the right gluteal muscles (second day), [4c]. ►
Sticking in and above the gluteal muscles (first day), [4b]. ► Pain
and tension in the gluteal and femoral muscles, as after a long walk
(third day), [4c]. ► Drawing in the thighs (ninth day), [2]. ►
Stitches in the left thigh, between the shoulders and beneath the
sternum (eighth day), [2]. ► Knee. ►
Knees tottered, and he appeared scarcely able to support his emaciated
body, [69]. [1050.] ►
Stitches on bending the knees, pressure in them during rest (first day),
[2]. ►
Cracking in the knees when walking (first day), [2]. ► Cramp
in the knee (eighth day), [2]. ► Stitches in the hollows of the knees
(fourth day), [2]. ► Frightful burning in the knee, and when
touched, a feeling as if pins were in it (eleventh day), [2]. ► Leg.
► Paralyzed feeling, as if asleep
below the knee (fifth day), [2]. ► Tension from the knees to the feet when
walking (third day), [2]. ► Weakness of the legs and feet (third and
fourth days), [2]. ► Tearing externally on the left tibia, [1]. ►
Tearing down the left calf (first day), [1].
[1060.] ►
Pressive pain in the left ankle, [1].
► Jerking of tendo Achillis, and of
other muscles, mostly at night, with restlessness and sleeplessness, [137]. ►
Foot. ► Trembling, or
rather shaking of the feet for a long time (first day), [1]. ► Great
weakness, as if the feet were paralyzed; could scarcely go upstairs
(first day), [2]. ► Paralyzed feeling in the right foot
(first day), [2]. ► Burning on the side of the sole of the
foot, as from a glowing hot iron, most violent towards evening (second
day), [2]. ►
Jerking tearing on the back of the left foot (first day), [1]. ► Toes.
► Cramp from the toes into the knee
(first day), [2]. ► Acute pain in the balls of the toes of
the left foot, so that he could not step upon it as usual (sixth day), [2].
GENERALITIES.
►
Consumption, [9]. [1070.] ►
“The pernicious effects of Tobacco upon children are incontestable.
The use of Tobacco causes pallor, chloro-anæmia, palpitation, and
troubles of digestion. The anæmia is incurable as long as the habit is
continued. Children addicted to Tobacco are of inferior intelligence,
and have a taste more or less pronounced for strong drink. Those who
drop the habit before the production of any organic lesion recover
perfectly,” [144]. ► Twenty-seven presented marked symptoms of
nicotine poisoning, [143]. ► The habitual use doubtless causes a
physical and mental deterioration of the race. One’s offspring are more
liable to possess a delicate constitution, because this abuse produces
undue excitement, and hence exhaustion of nervous force in the patient,
and statistics conclusively show that such indulgence predisposes the
next generation to various cerebral affections, [142]. ►
Feeling of increased vigor in the muscles, with disinclination for the
slightest movement (soon), [4]. ► Entire system flaccid, pallid, [80]. ►
Walks literally bent double, pressing both hands over the region of the
spleen, and groaning at every step, [93].
► Blood thin; red corpuscles
scattered, non-confluent and crenated, [167].
► Eight had decided deterioration of
the blood, [143]. ► Emaciation, [61], [69],
[109]. [1080.]
► An advanced state of marasmus, [91]. ►
Rapid emaciation, [76], [122]. ►
Loses flesh, especially on the back; the cheeks also become wasted
(after ten days), [2]. ► Began to emaciate and grow pallid, [58]. ►
She is emaciated; all her clothes are too loose (twelfth day), [2]. ►
Average weight of body 225.79 pounds (for five days before smoking);
225.86 pounds (for five days while smoking), [87]. ►
Average weight of body 224.77 pounds (for five days before smoking);
223.62 (for five days while smoking), [87a].
► The hands were doubled into a fist
and tightly drawn across the chest; the fingers could not be
outstretched nor the arm moved; the muscles of the chest and arms felt
hard, with vibrating contractions of different fibres, [127]. ► I
always had a strong appetite for Tobacco, so that nothing but absolute
necessity could ever have induced me to undertake to break up the habit,
but for a year I found the symptoms gradually increasing in violence and
frequency. I used Gentian as an antidote or substitute; its bitterness
temporarily destroyed the everlasting craving for Tobacco. The first
night after reforming, I jerked so that I could not sleep, jerked all
over, and something seemed to draw my left shoulder down irresistibly. A
dose of Ignatia immediately relieved me of these symptoms, and I slept
well the remainder of the night; one slight jerking since is all. Now I
can lie very well on either side. Can go upstairs or over a bridge quite
comfortably. Better as to pulse and cardiac pain. No more vertigo. Can
hardly observe any numbness of orbicularis oris. Sleep well. No bad
dreams: Appetite good. Strength improving. Temper better than usual, [137]. ►
I was called and saw him in less than ten minutes after he had taken it.
Upon entering the room, I noticed two short inspirations, and all was
ended. From the statements of the family, he had convulsions immediately
after drinking the poison, and sank to the floor. I found him lying upon
his left side, mouth and jaws wide open, with the tongue protruding;
lips, tongue, and inside of mouth of a dark-blue color; eyelids open;
pupil of the eye contracted to the size of a pin’s head. General
appearance of a man who had been suddenly struck dead. Petechiæ all
over the body, with spots of ecchymosis in places. Rigor mortis very
great, [146]. [1090.] ►
Epilepsy, [9]. ► Muscles rigid, [119]. ►
Paralysis, [160]. ► At fit of hemiplegia eight years ago, [174]. ►
Twitching of the muscles, [55a]. ► Jerking in the whole body, with pulsation
in the head and palpitation (fourth day), [2].
► Tremblings, [160]. ►
Trembling greatly, [121]. ► Trembling of all the muscles, [10], [41],
[134]. ►
After having lain in bed for three hours, she felt a shudder throughout
her whole body, which was followed by nausea and violent vomiting, with
convulsions in the arms, lower limbs, and even in the muscles of the
back; these convulsions had continued from 1 to 4 A.M., [175]. [1100.]
► Trembling of the whole body, with
the nausea, [1]. ► Trembling of the head and hands, with
great excitement, like intoxication after dinner (first day), [1]. ►
Whole frame shook with strong tremors, [89].
► Nervous tremors, [60]. ►
Spasmodic contractions of single muscles, [130].
► Constant jactitating movements of
the muscles, [148]. ► Whole body affected with spasmodic
contraction, [37]. ► In a state of continuous muscular tremor,
and when he moved across the room to reach his bed, his legs seemed bent
or bowed, as if he were permanently deformed, which, however, was not
the case. He had evidently lost the full use of the muscles of the lower
extremities, and he climbed into bed with considerable difficulty. When
he reclined in the bed, a continual movement of the muscles of the arms
and legs was kept up, and the facial muscles moved occasionally in an
involuntary manner, [148]. ► Great nervous excitement, accompanied by
irregular action of the muscles, more particularly of the eyelids,
mouth, and upper extremities, which lasted for about two hours after
each occasion of using this substance. These sensations were succeeded
by a pleasant feeling of ease and contentment, which lasted about two
hours, [87]. ►
Hysteric tremors, with convulsive twitching of the flexor muscles of the
whole body, accompanied by an agonized apprehension of some rapidly
approaching physical catastrophe, the result of which would be death. He
would clutch the arm of any bystander and beseech him to save his life,
to relieve him from the great præcordial distress and threatening
suffocation. This fear was, in some subsequent attacks, the cause of
prolonged mental and bodily excitement. Conversation, rapid walking, or
any violent motion of the attendants, would provoke this spasmodic
attack, and produce great nervous irritability. His disposition, from
being amiable, became fretful and peevish, [166]. [1110.]
► General convulsive trembling, [44]. ►
Convulsions, [14], [27], [70],
etc. ► Convulsions, followed by
death, [163]. ► Spasmodic convulsions, [43]. ►
Violent spasms, with great rattling (after two minutes), [29]. ►
Violent convulsions, followed by death, [23].
► Convulsions, the head firmly drawn
back, with rigidity of the muscles of the posterior part of the neck
(third day); there were constantly returning rigid tetanic spasms, the
muscles of the back being principally affected, till death, a week after
he chewed the Tobacco, [121]. ► Violent involuntary contraction of all
the muscles, with appearance of frightful pain constantly placed the
hand upon the abdomen and tore at the penis forcibly, [17]. ►
Convulsive movements of the arms, then of the legs, and afterwards of
the whole body, which progressively augmented during six or seven
minutes, and were succeeded by extreme prostration, [52]. ►
General convulsions, with bending forward of the body and stretching of
the limbs, with subdued cries, on account of the pain in the stomach, [36]. [1120.]
► Frightful convulsions, with
rigidity of the limbs and violent contractions of the muscles of the
abdomen; bending backward of the body; distended bloodvessels on the
head, [33]. ►
In half an hour violently convulsed, the flexor muscles of the upper and
lower extremities being rigidly and spasmodically contracted, so as to
contract the limbs forcibly against the body, [83]. ►
Tetaniform convulsions, [160]. ► Clonic convulsions, which produced great
muscular agitation, particularly of the extremities; the teeth were grit
together, hands tightly clenched, legs flexed and extended in rapid
alternation, [196]. ► The next morning he always had a
spasmodic attack, was constantly obliged to stretch the limbs and yawn,
with a sensation of rolling through the chest, abdomen, and calves,
followed by a feeling of leaden heaviness of the feet, [143]. ► The
general effects upon the system were almost identical with those
previously described as resulting from the former use of Tobacco; there
was the same nervous excitement, trembling; wakefulness, but in a
somewhat less degree, [37a]. ► Slightly convulsed (in one hour), [71]. ►
Disturbance of motility, [130]. ► Complete rigidity of the muscles, [35]. ►
He felt decidedly uncomfortable at the end of the eighth, and when he
had finished the ninth, he as attacked by giddiness and shiverings;
these symptoms became worse after the tenth cigar; he refused to leave
off smoking, and was then attacked by severe pain in the bowels and
vomiting, and died in the night, [154].
[1130.] ►►
*General debility, [39],
[91], [92], [142].
► General sick feeling, [50]. ►
Great debility and emaciation, [53].
►► *Weakness, [36], [46],
etc. ► Weakness and indolence, [48]. ►
Weak, nervous, and timid, [64]. ► Weakness, paleness, dilated pupils
(second day), [10]. ► Very weak and languid, [174]. ►
General relaxation of the whole body, with rough and warm palms of the
hands (soon), [4]. ► Weakness towards evening, and on moving
part, immediate shivering and coldness between the shoulders, with
dizziness and stitches in the temples, forehead, and vertex (first day),
[2]. [1140.]
► Muscular weakness so great that any
movement was very difficult, [77].
► Weaker in the forenoon than in the
afternoon (first day), [2]. ► General feeling as if he were losing all
his strength all over body (after smoking half a cigar indoors), [165]. ►
Lost strength very rapidly, [122].
► Inclination to lie down, yet when
he goes to bed he cannot close his eyes to sleep, [96]. ►
Aversion to work (first day), [2].
► Disinclination for physical effort,
[138]. ►
Aversion to moving about, [96]. ► Reflex and motor functions weak, [167]. ►
Muscles weak and flabby, [167]. [1150.] ►
Relaxation of the whole body, [45],
[51]. ►
Excessive languor, [166]. ► Lassitude and debility of the voluntary
muscles, with vertigo on motion, [161].
► Feeling of great exhaustion,
[42]. ►
Prostration, [44], [55], [150].
► Profound prostration, [140], [160].
► Excessive prostration all night, [155]. ►
Complete prostration, motionless, and apparently insensible, [83]. ►
Nervous excitability, [142]. ► Nervous and shaky on smoking, [174]. [1160.]
► Smoking makes him nervous if he
exceeds his usual amount, [174]. ► Very nervous for several years,
especially after smoking, in the morning, [174].
► Restlessness, [43], [121],
[160]. ►
Great restlessness, [108]. ► Restlessness and sleeplessness, with the
jerking of the muscles, [137]. ► *Restlessness, requiring continual change of
place, [136]. ► Restless and excited condition, [126]. ►
Restlessness drives her from place to place, with constant sighing
(tenth day), [2]. ► Vertigo when standing and sitting, at
last becoming painful; frequently obliged to change his position, and
when standing, was frequently obliged to change his position, and when
standing, was frequently obliged to stand upon one foot and frequently
change the position of the body, to lean or support the body in some
way; while sitting, was obliged to stretch out or bend up the feet and
move them back and forth; while reading, the arm speedily became
fatigued from holding the book, at times associated with stitching in
the fingers, especially in the thumbs; even in bed was frequently
obliged to change the position, and also while asleep I became very
restless, so that the sleep was frequently interrupted, and was often
weary in the morning. Following this, there was complete loss of power
of co-ordination of antagonistic muscles, so that while standing, the
knees gave way, or on sitting down, I fell with my full weight on the
chair. I became unable to draw my clothes on to my limbs without
supporting myself. At times the gait became slow and shuffling, the
steps short, scarcely raising the feet from the ground, so that I
frequently stumbled and became weary; it was especially difficult to go
upstairs, especially if the steps were high; such an ascent caused
anxiety and dread of falling backward, so that I went with the body bent
forward. This was associated with transient attacks of vertigo while
walking in the open air, especially on suddenly looking upward, also
with great weakness and speedy fatigue, without confusion of the head
and without difficulty in performing mental labor, with at times
nosebleed without apparent cause. One evening, while sitting, as usual,
drinking beer and smoking, there was a sudden peculiar creeping chill
along the back with general weakness; this was ascribed to a draft of
air, so that I changed my place, but the symptom was repeated from time
to time, with such aversion to my cigar, that I threw it away and went
home. On my way home, I was attacked with a dull pressive headache on
the lower portion of the frontal bone; while undressing, on going to
bed, I was attacked with a shaking chill, soon followed by dry heat, and
afterwards perspiration; the sleep which followed was interrupted by
vivid dreams, from which I awoke with perspiration pouring from the
whole body, greatly exhausted, and with head confused; on rising in the
morning, I had a dull distressing headache in the frontal region, as
though there were an actual pressure from above downward within the
skull; the headache was completely relieved by a horizontal position;
this was associated with thirst, a coated tongue, and loss of appetite.
On attempting to walk, I had pains in the loins, small of the back, and
nape of the neck; the gait was slow and anxious, accompanied by vertigo
and a terrible pressing headache; when walking, my left foot frequently
failed to make a step, as do soldiers on changing the step. In the
afternoon there was considerable bleeding of the left nostril, with some
relief to the headache, but later, in the evening, on attempting to make
some visits, the pressive headache became worse, and concentrated in the
left side; this, however, disappeared on going to bed, in the evening,
but the sleep was filled with vivid dreams. The next morning the
headache returned, was concentrated in the left side, with great
weakness, thirst, and loss of appetite, and with no inclination to
smoke; hæmorrhage from the left nostril returned, and lasted for a
quarter of an hour, consisting of black blood. To-day my gait was very
unsteady, tottering, and assisted by a cane. The urine was increased in
quantity, and of a deep yellowish-brown color. On the subsequent day
there were, in addition, tearing pains in the temporal muscles, the
epistaxis recurred, the blood being thick, dark, tenacious. This
condition continued unabated for some time, after which it gradually
improved until perfectly good health returned, with less desire for
Tobacco and with greatly lessened use of it, [129]. ► In
the course of an hour a patient has been seen to sit on every chair in
the room, recline in various positions on sofas, armchairs, bed, or
floor, sit on the edge of the table, and give, as a reason, that not
place or position seemed comfortable, and he was compelled by an
irresistible restlessness to this constant change, [136a]. [1170.]
► Inclined to faint, [10]. ►
Faintness, [11], [14], [21],
etc. ► Sudden faintings, [64], [77].
► Quite collapsed, with cold sweats
(in one hour), [71]. ► Frequent attacks of faintness, [77], [78].
► Attacks of syncope and
unconsciousness, [132]. ► Violent syncope, [37]. ►
Profound collapse, with pale face, with cold sweat, [163]. ►
Hyperæsthesia of different nervous branches, [130]. ►
Anæsthesia more or less complete, especially of the left side of the
extremities and of the tip of the tongue, [166].
[1180.] ►
General numbness, [168]. ► General numbness, commencing first in
tips of fingers, toes, and tongue, [109].
► Complete loss of sensation, of
voluntary motion, and of respiration, [35].
► Feeling as though the blood were
circulating more rapidly and violently (soon), [4c]. ►
Inability to lie on the left side; it caused so much pain and
palpitation, [137]. ► Painful cramp, [134]. ►
Cramps and twitching, [11]. ► Different neuralgia, as of the N.
pudendus ext., awakening him from good refreshing sleep, at 4 A.M., with
painful erections and strangury, and passing off about noon after
micturating a watery urine six or eight times; of the plexus cœliacus,
with continual sour eructations; of the fifth left intercostal nerve; of
the right plexus brachialis; as soon as one neuralgia ceases, another
starts in its place, [131]. ► Drawing pains over the whole body, [48]. ►
Violent pressive pain, with uneasiness of the whole body and anxious
perspiration, [1]. [1190.] ►
Dread of motion, [130]. ► During low barometer, and when the wind
blows, the pains return, and they can only sometimes be relieved by hot
applications to the stomach, by lying on the back, and by a strict diet
(notwithstanding his good appetite), during, two, three, or four days, [95]. ►
Aggravation of all the symptoms from great heat, great cold, and
especially from stormy weather, [95].
► Aggravation by walking, riding in a
carriage, and especially from the jarring of a railway train, [95]. ►
The left side of the body suffers more than the right, [2]. ► She
feels better in the open air, [1].® 2000
Article