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Agaricus Phalloides. – A DICTIONARY OF PRACTICAL MATERIA MEDICA By John Henry CLARKE, M.D. Presented by ®

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Agaricus Phalloides.

A. bulbosus. Amanita bulbosa. (A small stinking fungus common in Europe
and U.S.) N. O. Fungi. Tincture of fresh fungus.

Clinical.─

Cholera. Chorea. Cramps. Diarrhśa.
Gastritis. Trismus. Urine, suppression of. Vomiting.

Characteristics.─

Symptoms observed in poisoning
cases give a complete picture of Asiatic cholera. There is extreme prostration and
chilliness; the sweat is cold; the hippocratic face is marked; the tongue is cold; and there
is violent thirst. Very frequent bilious vomiting. Incessant cramps
in stomach. Hard, tense abdomen. Frequent whitish watery stools; or bilious, bloody stools.
The urine is suppressed; the voice is hoarse. Pulse small, intermittent, hardly perceptible.
The extremities are cold, and there are violent cramps in legs, feet, and calves.
Convulsions are another prominent feature. There is mental excitement, which has in some
cases lasted for three days. Sometimes there is stupor, at other times consciousness remains
till death.

The effects do not come on till ten or twelve hours after taking the drug
(in this it is like Colchicum). At times the development
of choleraic symptoms saves the patient. General cholera symptoms are developed as with A. muscarius. Chilliness also predominates. Agaric. Phal. is a poison of great intensity and fatality.


SYMPTOMS.

2. Head.─

Vertigo always on rising up.─Frightful
pains in head.

3. Eyes.─

Pupils much dilated.─Eyes
sunken, weak, and lustreless.

6. Face.─

Deathlike pallor; face sunken; cyanotic.─Anxious
countenance, hippocratic.─Nose and mouth dry.─Tetanic
closure of jaws, with at times grating of the teeth.

8. Mouth.─

Teeth and gums black.─Cold
tongue.─Breath cold.─Trismus.─Speech
slow, difficult.─Stammering.

9. Throat.─

Dry throat.

11, 12. Stomach and Abdomen.─

Violent thirst;
nausea; vomiting; then diarrhśa.─Very frequent mucous and bilious
vomiting.─Vomiting of an offensive greenish-coloured fluid; of blood.─Pains
in stomach and hypogastrium followed by anxiety and vomiting.─Incessant
cramps of stomach.─Violent pains in epigastrium, which spread rapidly
over the whole abdomen; greatly < by pressure.─Abdomen
tense; swollen; painful.─Unendurable pain in hypogastrium and lumbar
region.

13. Stool and Anus.─

Anus inflamed.─Stools:
frequent, bilious; whitish as in Asiatic cholera; frequent, watery; bloody.

14. Urinary Organs.─

Suppression of urine.

17. Respiratory Organs.─

Voice hoarse.─Respirations
short.

19. Heart and Pulse.─

Pulse: small and
intermittent; hardly perceptible; slow and somewhat irregular; hard and frequent.─Pulse
full and rapid (later action).

21. Limbs.─

Cold extremities.─Skin
of extremities lost its elasticity.─Upper extremities swell and become
livid; finger-tips livid.─Cramps of the legs; of the calves; of the feet
with drawing back of the limbs.

24. Generalities.─

Violent convulsions.─Slight
convulsive motions in the legs and arms, which generally extend to the muscles of the trunk
and cause irregular distortions of the whole body.─Constant
restlessness.─Debility; prostration.─Malaise.─Staggers
as if intoxicated, and, with odd gesticulations, labours to express his sufferings but
cannot articulate a syllable.

25. Skin.─

Body covered with livid spots.

26. Sleep.─

Somnolence.

27. Fever.─

Marked chilliness.─Sweat
cold.─Skin cool, afterwards hot.

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