Hand Book of Materia Medica and
Homśopathic Therapeutics.By T. F. Allen.
Presented by .
Morphinum.
Pure Morphine is triturated for use.
General Action :- ►
See Opium.
Generalities :- ►
Emaciation.
► Cachexia. ► Perfectly limber. ► Trembling ; with
crawling. ► Fell to the ground as if struck by lightning ;
suddenly falling back unconscious, can at first be awakened only by most
energetic means, face sunken or deathly pale, nose pointed, pulse
perceptible only at heart, or face, is red, eyes shining, pulse 44 or 40,
transient nausea and deathly sensation, then unconsciousness again, when
raised up the head sinks forward on chest, this condition is repeated at
short intervals in twenty-four hours, during which he is conscious or
partly conscious, or he may die with symptoms of paralysis of brain.►
Cramps of muscles. ►
Twitching ; of whole body ; in arms, on head, and agg.
face ; muscles of face and limbs ; backward and forward
convulsively ; on touching skin, with cramps. ►
Convulsions ; of facial muscles, and she fell back as if dead, face
blanched, pulse and respiration not to be perceived ; tetanic.
► Partial opisthotonos ; without unconsciousness, with
convulsions of limbs and face, renewed by tickling or pressure on skin.
► Eclampsia.►
Neuralgia ; in various parts,
forehead, occiput and stomach. ► Distinct interval of two or three
minutes between paroxysms of pain and convulsions. ► Sensation as if
flesh were trembling on the bones. ► Sore all over body in morning.
► Oppression. ► Drawing in muscles, with stiffness. ►
Discomfort, with restlessness, depression, anxiety and paroxysms of cough.
► Agreeable sensation. ► Hyperćsthesia. ► Parćsthesia.
► Restlessness. ► Weakness ;
and apathy ; mental and physical ; of muscular system ; of
limbs, small of back, neck and joints ; sudden, inability to stand
up ; pleasant. ► Could not get up in morning. ► Sudden
collapse. ► Faintness ; in morning, with dilated pupils ;
on rising suddenly from stool. ► Heaviness. ► Immobility.
► Phrenic and pneumogastric nerves narcotized. ► Reflex
irritability increased ; gone.
Mind :- ►
Hallucinations. ►
Delirium ; so that three or four persons held her in bed, alternating
with convulsions ; similar to that from alcohol, but melancholy that
of alcohol is more joyous. ► Excitement ; and partially
incoherent talking. ► Incoherent speech. ► Lively and wide
awake, uneasiness, unsteadiness and haste, and glistening of eyes. ►
Rapid and pleasant flow of ideas. ► Alternating moods. ► Cried
out in alarm. ► Tears and sobs. ► Terror. ► Starting up
in fright if one approached him. ► Nervous, so that she sprang out
of bed at the least movement in the room. ► Mute despair. ►
Melancholy ; so that he desired to commit suicide. ►
Anxiety ; and restlessness ; and hallucinations and illusions of
almost all organs of sense ; but after cold coffee fancy roved
through scenes of rapture and splendor, and I cannot determine whether I
was asleep or not, then sound sleep, then lassitude. ► Ill humor.
► Some endure their troubles with resignation, they remain quietly
in bed, scarcely speaking, a few are in a sopor, others have no rest,
anxiously run about the room, howl and cry.►
Activity, without control of the will,
jumping rapidly from one subject to another. ► Dullness. ►
Confusion. ► Impossible to fix mind. ► Have to stop in the
middle of a sentence to thick what word to say next, in morning after
rising. ► Incapable of thought or of recognizing any one in the
room. ► Memory lost. ► Stupefaction ; bordering on
faintness ; approaching S., with occasional waking and fretting.
► Coma ; from which he could be aroused for a short time by
persistent shaking and loud talking. ► Unconsciousness. ►
Similarity to cerebral paralysis, especially in motor symptoms, but from Morphine
there is complete consciousness and memory and ability to concentrate the
mind, unless there is mania.
Head :- ►
Drawn backward. ►
Rolling slowly. ► Shooting to head. ► Pain ; after
eating ; on waking ; on waking, amel. moving about ; agg.
reading and thinking ; agg. right side ; sudden. ►
Tension ; as if skull were too small for brain, making reading,
writing or thinking difficult. ► Throbbing as if it would burst.
► Dullness ; agg. forehead ; with difficult through ;
with heat ; as from a disordered stomach, after a nap, the nausea and
headache agg. a swallow of vinegar, and the heaviness and stupefaction of
head agg. eating. ► Heaviness ; with heat ; with pressing
asunder at parietal bones ; making thinking and writing difficult.
► Lightness, with sleepiness. ► Congestion. ►
Apoplectic, unconscious, with stertorous respiration and bluish congestion
of face. ► Vertigo ; in
morning on rising ; with nausea ; with sleepiness ;
frequent, with loss of sight.►
Frontal pain ; above eyes ; in
morning ; in right side in morning ; on waking ; agg. right
side ; as if bone would press outward ; throbbing P. in
sinciput. ► Dullness in forehead on waking. ► Heaviness in
forehead. ► Pain in right side of head ; on waking. ►
Violent pulsations in temporal and cervical arteries ; right temporal
artery beating full and quick. ► Pain in occiput.
Clinical :- ►
Brain
feels shrunken.
Eyes :- ►
Injected. ►
Sunken ; agg. right ; and half open, staring straight ahead.
► Glistening. ► Lustreless having a look of exhaustion and
fear, becoming after a new injection lively, fiery or as in delirium.
► Look unsteady. ► Staring ; and unaffected by light.
► Pain over and at side of left all day, with pain in left ear.
► Feeling as if too small for sockets, in morning. ► Heat,
amel. application of ice, with lameness of them.►
►
Injection of conjunctiva ; of balls, and agg.
subconjunctivć tissue, with a rosy circle in anterior ciliary region, as
in iritis ; of cornea. ► Strabismus. ► Convulsive motions
of balls ; upward and outward. ► Balls rigid, turned upward.
► Balls protruding. ► Pupils unequal. ► Pupils dilated.
► Pupils contracted ; and insensible to light, also in
morning ; and almost blind ; and vision of red and black
floating spots. ► Paresis of recti interni.
► Ptosis. ► Paralysis of
upper lids. ► Lids bluish drooping. ► Full feeling in orbits.
Vision :- ►
►
Weak. ► Foggy at times. ► Distorted. ►
Increase of far-sightedness. ► Lost. ► Could distinguish only
one vertical half of objects. ► Double and indistinct ; D.,
and accommodation disturbed, often with lachrymation ; D.,
with diminished range of accommodation, pupils usually contracted, often
unequally, seldom dilated ; D., with dilatation sometimes of one,
sometimes of other pupil.
Ears and Nose :- ►
Ringing in
ears. ► Roaring in ears. ► Sneezing ; in paroxysms ;
in frequent attacks, with yawning. ► Coryza.
Face :- ►
Pale ; and
sunken ; and cold ; and anxious ; with contracted and
painful expression ; ashy gray. ► Red ; cheeks ;
circumscribed redness of cheeks ; and puffy ; and drops of sweat
on it ; and almost cyanotic ; and puffy, and lips livid ;
and lips pale ; then vomiting, then dead faint struggling for breath,
pulse scarcely perceptible. ► Bluish. ► Cyanotic. ►
Purple. ► Dark. ► Livid. ► Swollen. ► Haggard in
morning, and eyes watery, as from dissipation. ► Wild look ;
after sleep, with confused look. ► Heavy look. ► Stupid look.
► Jaws and eyes wide open. ► Trismus. ► Jaws could
scarcely be opened. ► Jaws feel clenched. ► Lips discolored.
► Lips pale. ► Lips livid.
Mouth :- ►
Tongue :- ►
Livid. ►
Red ; at tip and margins ; at tip, palate scarlet,
painful ; on margin violet in middle. ► Pale in morning ;
P., heavy. ► Foul, in morning. ► Coated white and indented.
► Dry and brown ; D. and cracked ; D., with dirty mucus on
it ; D. anteriorly. ► Muscles so affected that articulation was
almost impossible. ► Speech embarrassed and incoherent ;
stammering or hesitating ; hasty ; slow.
Mouth in General :- ►
Strange
noise. ► Mucus. ► Dry, and throat ; D. in morning and
after eating ; mouth and fauces after sleep ; with thirst,
nausea, vomiting, aversion to meat, loss of appetite, trembling of tongue
on protruding it, stool usually retarded, diarrhśa seldom. ►
Discharge of watery saliva. ► Saliva churned into froth, which
welled up and disappeared at every return and subsidence of respiratory
movement. ► Pasty. ► Bitter, sticky. ► Clamminess.
► Taste perverted.
Throat :- ►
Swelling of jugular
veins. ► Pain posteriorly in morning, with obstruction (?). ►
Dryness and constriction. ► Irritation. ► Burning posteriorly
in fauces. ► Peculiar sensation in fauces. ► Paralysis of
pharynx. ► Muscles of fauces and glottis so affected that swallowing
was almost impossible. ► Inability to swallow.
Stomach :- ►
Appetite
diminished ; lost. ► Aversion to food. ► Thirst ;
burning. ► Eructations ; violent ; of sour mucus, with
nausea. ► Hiccough. ► Nausea ; after eating ; in
morning on rising, amel. lying, lasting till 4 P.M. ;
transiently amel. vomiting of sour, bright green fluid ; waking
him ; with heat of face ; with faintness ; with constant
retching, faintness and alternate flushes of heat and cold. ►
Retching. ► Vomiting ; in morning after fresh milk ; in
evening ; of coffee ; of green matter ; of scanty frothy
liquid ; of bile ; with diarrhśa.►
Cramp ; intermittent, with loud
cries, grinding of teeth and violent throwing about of arms, later the
pain was worse in umbilicus ; in epigastrium, as if clenched by a
hand. ► Pain ; in pit ; in epigastric region ; in
evening, and in umbilicus and bladder ; after eating, so that he had
to go to bed ; in epigastric region, then about umbilicus, then about
loins ; in pit and bladder, waking him ; in pit extending to
bladder. ► Constriction. ► Crawling. ► Dyspepsia.
► Digestion irregular.
Abdomen :- ►
Meteorismus. ►
Rumbling. ► Pain ; in morning, amel. turning on back ;
waking him ; in umbilical region ; acute, in A. and along spine,
on every inspiration.
Rectum and Stool :- ►
Desire for
stool for two hours in morning, then small stool with great straining, and
at 2 P.M. loose stool with tenesmus, straining and
burning in rectum, almost causing frenzy. ►
Diarrhśa ; in morning ; in evening ;
watery ; watery, in morning ; frequent. ►
Constipation ; then diarrhśa. ► Copious stool. ► Painful
S. twice in one day. ► Delayed and sluggish S. ; and scanty,
with painful urging. ► S. and urine almost stopped.
Urinary Organs :- ►
More affected
in men than in women. ► Pain in bladder. ► Paresis of bladder.
► Ineffectual desire ; constantly. ► Strangury. ►
Ischuria. ► Urine copious ; and limpid, p. gr. lowered. ►
Urine scanty ; at night, passed with difficulty and turbid ; and
high-colored ; with great urging ; frequently, but at times
increased. ► Urine suppressed. ► Acid ; and pale ;
and bright yellow. ► Urine turbid and slimy. ► Sp. gr.
increased, U. alkaline, afterwards acid ; U. diabetic, possessing
reducing and levogyrating properties. ► U. contained waxy cylinders
and white blood corpuscles. ► U. yielded albumen ; without
structural elements ; in severe cases micturition often difficult,
often scanty, the U. of nearly all suffering from Morphine
intoxication reduces an alkaline solution of Cuprum sulphate without
precipitating it as an oxide, at the same time the urine usually turns the
polarization ray to the left.
Sexual Organs :- ►
Pain, agg.
right testicle ; and in urinary organs, agg. right spermatic cord.
► Erections incomplete or wanting. ► Excitement, then
impotency. ► Desire diminished. ► Impotency. ► Weakness.
► Pimple on labia. ► Bland leucorrhśa. ► Sterility in
women. ► Abortion. ► Menstruation too early ; and more
profuse. ► Menstruation irregular or suppressed. ► Amenorrhśa
gradually developed from dysmenorrhśa or it occurred suddenly.
Respiratory Organs :- ►
Rattling
in trachea. ► Hoarse. ► Speech inaudible. ► Aphonia.
► Respiration loud and rattling. ► Respiration
stertorous ; and at times arrested. ► Difficult right ;
with tightness of chest, she asked to be raised, saying that she felt as
if dying. ► Irregular right, with frequent sighs ; I. and
short. ► Rapid R. ; with acute pain in chest. ► Slow
R. ; and rattling ; and stertorous, also irregular ; and
superficial ; and difficult. ► Indescribable R., thoracic R.
apparently suspended. ► R. suspended.
Chest :- ►
Pain and inability to
take a long breath, afterwards pain, agg. middle of sternum, breathing
short and quick and frequent sighing. ► Indescribable sensation
worse than pain, behind lower half of sternum.
Heart :- ►
Violent throbbing, and
in carotids. ► Palpitation. ► Beat could not be felt, could be
indistinctly heard only at times.
Clinical :- ►
Piercing pain in region of heart, with difficulty in breathing.
Pulse :- ►
Rapid ; and
full ; and strong ; and soft ; and feeble ; and weak,
fluttering ; and small ; and small, contracted ; and small,
weak intermittent ; and intermittent. ► Strong and full.
► Hard. ► Feverish. ► Tense, suddenly becoming scarcely
perceptible, thready, slow and intermittent, which marks the beginning of
collapse. ► Slow ; and laboring ; and full ; and
full, intermittent ; and weak ; and of less power and
volume ; then rapid. ► Small ; and hard ; and at
times tense or thready ; and contracted, intermittent. ► Weak.
► Contracted. ► Intermittent, almost imperceptible at wrists,
fluttering on sides of neck. ► Irregular ; afterwards not to be
felt. ► Imperceptible. ► Tracing almost a straight line,
representing the maximum effect on arterial tension, which thereafter
began to increase, forty minutes afterwards marked increase in the swell
corresponding to the arterial diastole, but the smaller prominence caused
by dicrotism is not yet visible, an hour later tracing normal.
Neck and Back :- ►
Stiffness of
neck in morning. ► Sensation of stiffening and thickening in muscles
of nape, soon extending to flexors of all limbs, not the rigidity like
that in cramps, but subject to volition. ► Pain in back ; along
spine ; down spine, with twitching ; across kidneys, then
diuresis. ► Loins weak.
Extremities :- ►
Bluish. ►
Trembling ; with general oppression. ► Twitching. ►
Involuntary contraction and extension of fingers, with uneasiness in
elbows and knees, after another dose muscles of hands and feet were
rigidly contracted, legs drawn upon thighs, and they upon abdomen, arms
alternately flexed, extended and then contracted across chest, simulating
traumatic tetanus, from 2 till 5.30 P.M. ►
Arms and legs felt as if alive and as if they would jump up. ► Pain
in joints. ► Abnormal sensations, with salivation. ► Tingling
or prickling. ► Weakness ; of joints. ► Heaviness ;
or stiffness. ► Paralysis.►
Heaviness of arms. ► Stiffness of
arms after sleep, with pain. ► Peculiar, almost painful drawing in
wrist. ► Trembling of hands ; when writing ; after sleep.
► Finger-nails dark. ► Fingers numb and thumbs firmly drawn
into palms. ► Lower limbs deficient in sensibility and lying
motionless. ► Staggering ; in morning. ► Legs swollen so
that he could not put on his boots. ► Twitching of left leg ;
T. upward of legs, and feeling as if worms were in them. ► Tingling
in feet.
Skin :- ►
Pale ; and cool,
bathed in sweat. ► Livid ; agg. lips and nails, and cold,
covered with cold, clammy sweat. ► Cyanotic about face, neck, chest
arms and hands. ► Dark bluish spots on back and thighs. ►
Yellow and shrivelled. ► Lost its elasticity. ► Loses its
turgescence, color and tension, the subcutaneous cellular tissue atrophies
(but in some cases, especially in women, it contains fat).►
Eruption on face and large part of
body ; over whole body in morning. ► Rash like measles on face,
spreading over body. ► Eruption in eighth intercostal space,
painless, otherwise resembling herpes zoster. ► Inflammation of
sebaceous glands, zoster, agg. chin, cheeks, intercostal spaces, sometimes
returning. ► Red pimples ; covering arms and legs ;
itching P., with red areola, a minute and a half after the operation,
after twenty minutes it is flattened, its color more like that of the
skin, hard, with red areola, with heat. ► Abscesses infiltrate the
skin at the point of injection of morphine.►
Pricking. ► Biting, sometimes with
round elevations. ► Formication ; over whole body ;
general, with tickling and itching. ► Constant rubbing of face, eyes
and nose. ► Itching ; over whole body ; on face and
back ; on nose, neck, loins and inside of thighs ; agg.
arm ; over whole body in evening ; at night, with dryness of
skin ; over whole body, waking frequently, with sensation of cobwebs
on face and sensation of chilblains on soles, I. next day and evening here
and there, at intervals.
Sleep :- ►
Yawning. ►
Sleepiness ; all day, with heaviness. ► Sopor. ► Fell
asleep when standing ; when talking. ► Almost constant sleep,
in which he dreamed different things, heard everything going on about him
and was almost always conscious of his condition. ► Sound sleep,
with muttering. ► Profound sleep ; and calm, with pleasant
dreams ; at times interrupted by convulsive cramps. ► Heavy S.,
with red cheeks. ► Sleep long and quiet. ► Did not wake in
morning. ► Difficulty in arousing herself in the morning.►
Sleeplessness ; all night, with
restlessness ; till 2 A.M., but as much
refreshed in morning as if he had slept all night ; then sopor.
► Restless sleep ; with frequent starting up ; with fever,
headache and itching. ► Unsound sleep, frequently interrupted by
lively imaginings, wakeful early in morning. ► Light slumber, during
which he was conscious of jerking of limbs. ► Troubled, delirious
sleep, from which she woke in a few moments feeling as if she had slept
weeks, this sleeping and waking were repeated all day. ► Half
waking, half stupid condition, with ability to think of different things,
but he was busy with confused fancies. ► Frightful dreams.
Fever :- ►
Chilliness ; and
pallor ; and trembling. ► Temperature falls ; afterwards
rises. ► Shudderings. ► Creeping chills, agg. from hips to
knees and back again to hips. ► Cold skin ; with warm feet.
► Cool head, face and hands ; cold limbs ; lower
limbs ; feet ; hands and feet ; limbs, with blue nails.
► Cold and livid limbs and hands.►
Heat ; at night ; with
itching ; with flushed face and forehead ; more in women than in
men, with sweat and redness. ► Temperature rises. ► Hot
skin ; and dry ; and moist. ► Hot head ; and
face ; face, with flushing, also forehead. ► Tertian fever,
with delirium during the paroxysms. ► Intermitting fever, tertian,
then quotidian ; intermittent, shaking chill, headache, oppression,
heat, sweat, amel. change of locality, brought on again by imprudence (a
voyage on the water, errors of diet), sometimes it appears like febris
arthritica, at indefinite times attacks with chilliness, heat and sweat
usually the intermittent is tertian or quotidian, if the paroxysms are
relieved at the time when the fever usually occurs he feels uncomfortable,
especially exhausted, with the febrile paroxysms are associated neuralgia
in numerous nerve-centres, supraorbital, intercostal and cardiac pains,
temperature rises, spleen is usually enlarged, after the paroxysms
sediment in the urine, in the more violent form there is delirium at the
height of the fever, so that he cannot to kept in bed, after the fever and
during the apyrexia exhaustion.►
Sweat ; at night ; with
relaxation ; exhausting ; clammy ; cold ; cold on
walking ; on face ; cold on face, scalp and hands, in beads
coalescing about nose and mouth and trickling down ; cold, on
back ; viscid, on upper part of body.
Clinical :- ►
Icy
coldness of left sole, as if were on oil-cloth.
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