THE GUIDING SYMPTOMS OF OUR MATERIA MEDICA
Arsenicum hydrogenisatum
We had no provings of this very important combination until 1847, when C. Hg. prepared and proved it. What is given in Allen’s Encyclopµdia are accidental poisonings, which mostly prove fatal. The only clinical experiments have been made by Dr. Drysdale, in 1849, in the treatment of Asiatic cholera. Laboring under the mistake that Arsenicum was a specific in cholera Asiatica, and supposing to get something more powerful in the arsenetted hydrogen, he altogether overlooked that, notwithstanding its sudden action, it would not correspond to subacute ailments, on account of the very slow development of its symptoms. Nearly all persons poisoned even by small doses died in the second week. The only one that recovered suffered for seven weeks. The only real cure on record is the one published by F. W. Payne, in the New England Medical Gazette.
The similarity of some cases of Asiatic cholera with the symptoms of the common arsenic is, according to Hahnemann’s advice to Stapf, in 1813, regarding Nux vom. and Ignat., too great. They are no antidotes.
The authorities quoted in Allen’s Encyclopµdia areá: 1, Gehlen, Buchner, Tox., 1827á; 2, R. Schindler, Grµfe and Walther Journal, vol. xxvi, No. 4, p. 626á; 3, Eisenmenger, Zeit. f³r Hom. Kl., No. 1, p. 103á; 4, O’Reilly, Dublin Journal, 1842á; 5, Ollivier, Gaz. d. Hop., 1863, to which we add the case of J. E. Bullock, died on 12th day, at Dr. Beard’s (Gmelin, Chemie II. p. 690), and the reports of Dr. Richardson, in Calcutta, and some remarks of Berzelius, Bennecke and others.
Provers are marked, C. Hg., Hm., N. N., F. K. , Rh., Ea. In this instance we depart from our usual rule of omitting the names of the provers from the arrangement of symptoms (which would swell the book to too large a size) on account of the provings of Arsenicum hydrogenisatum not having been published.
The — signifies that the symptom is mentioned in another part of our arrangement.
He lost his memory on evening of 6th day. –Br.
He afterwards can hardly remember transient painsá; first day. –C. Hg.
His mental powers are unimpaired from the first. –Br.
Great exaltation of mindá; it made him talk incessantly. –R. Sch.
Excitedá; wants to talk constantly. ?áYellow fever.
Loud complaining about unbearable pains in spine. Impeded in talking, he answers very slow. Disinclined to work. –Eisenmenger.
His occupation is disgusting to him. –F. K.
Lazy and shirks his work. –C. Hg.
Full of care and fear about his complaint when he gets awake at night. –F. K.
Afraid of being alone, he thinks he will die. –F. K.
The fear of dying is gone on 3d day, notwithstanding all around him have doubts of his recovery. –R. Sch.
Anxiety, he believes his death is near, and despairs of being better (during vomiting), more courage afterwards, till next vomiting turn (six hours). –R. Sch.
Anxiety, with constriction of chest. –Chemists.
Anxiety, restlessness and great prostration of strength. Robeson.
Anxious feeling before chill. Indifferent on hearing most important newsá; discouraged, changeable, his mental activity much impaired all week. –C. Hg.
Soporous and apathicá; conjunctiva injectedá; urine red and scantyá; 3d. –O’Reilly.
He is vexed, impatient, anxious about his complaint and full of fears. –F. K.
When thinking about his headache he feels it leastá; first day. –C. Hg.
Thinking of water irritates him, as if he would have to vomitá; it nauseates him. —
Vertigo, with oppression of chest. –Gmelin.
Vertigo, violent, on going up-stairs, so that he staggered against sides of stairsá; was not noticed on going downstairs, or on a level floorá; three hours. –R. Sch.
Vertigo and general weakness. –O’Reilly.
Immediately after second inhalation, vertigo with faintness, followed by shuddering and a passage from bowels and a painless discharge of two ounces of blood from urethra. –Br.
Vertigo with nausea and vomiting. A swimming sensation in head and whole body. –F. K.
Vertigo with headache. A giddy oscillation with pressure in frontal sinuses. Head dull and benumbed, with pressure in forehead. Heaviness of head. –F. K.
During night a pressing, stupefying sensation in head, like from a load, with a tearing sensationá; sleeplessness all nightá; applied cold bandages without effectá; pain lessened towards morning. –R. Sch.
Stupefying feeling in head, as of a load there. –F. W. Payne.
Above forehead to right, a giddy sensation, with an inner twitching, like a painful quivering of musclesá; soon after, same feeling in upper and lower jaw, going down in a straight lineá; later, same in right shoulder. –C. Hg.
Pressure in right frontal sinus, like with point of a little fingerá; later, same on left.
Pressure above eyebrows, with numbness, in afternoon. F. K.
Violent pressive frontal headache, < at night, and with such excessive weakness, that he was obliged to lie in bed for several hours after eatingá; first and second days. –Eisenmenger.
Violent headache in forehead. –Ollivier.
Pressure in right temple, with flabbiness in stomachá; after two or three minutes same sensation in left temple. Now and then a headache in two streaks, from behind to front, would be unbearable if continuingá; > when thinking about it. –C. Hg.
Transient pains in head. Head and toothache, < in warmth. –C. Hg.
Pain in right forehead and head. –C. Hg.
Pain in occiput, < on right and when coughing. Headache in upper and back part of head when coughing. Towards evening headache on right side, extending into throat near larynx. –F. K.
Pain in forehead with chill. Headache increased during chill. –Eisenmenger.
Violent pain in forehead and in sacrum. –Ollivier.
Pain in head and epigastrium, followed by vomiting of food. –Ollivier.
After 10 P. M. headache increasing, face more redá; conjunctiva injectedá; pulse strongá; speech impeded, answers slow. –Ollivier.
Dura mater unchanged, arachnoidea a little injected, and below it air bubblesá; in substance of brain bloodless spotsá; no water in cavities. –Br.
All hair on “deadened” parts become snowy white, and white brows formed a strange contrast to dark brown face. –R. Sch.
When falling asleep and again when waking up at night, a blue light before right eye. –F. K.
Like a thread floating down before right eyeá; later, a dimness. –F. K.
Eyes yellow, deeply sunken, with broad blue circles. –Sch.
Eyes sunken, lustrelessá; conjunctiva bulbi red. –Eisenmenger.
Conjunctiva reddenedá: with chillá; in eveningá; again on third day. Heaviness of lids, have to be lifted up with fingers. –Rh.
A deadened feeling in region of eyebrows, brows turn snow white, forming a strange contrast with dark-colored face. –R. Sch.
Tickling up in nose, right side, causes sneezing. See 15.
Indescribable sensation up in nose. –N. N.
Unpleasant crawling in nose causes sneezing. –R. Sch.
Violent sneezing, and such coldness of nose that it must be wrapped up in warm cloths. –R. Sch.
Nose feels as if dried up. –F. K.
Bloody mucus comes from nose. –F. K.
Nose somewhat sore, with chill. Nose and lips somewhat excoriated. –Eisenmenger.
Yellow eyes deep sunken, with broad blue circles.
Painfully distorted features. –Sch.
The face, which changed within a few hours to dark brown, was on fifth day still dark yellow, and features distorted as if from great inward suffering. The face copper-colored, or dark red, body greenish-yellow. –Br.
Yellowish face at beginning of chill. Face pale, lips discolored, can hardly walká; in three hours. –Ollivier.
Face earthy, dull, stupid featuresá; skin dryá; pulse 107á; violent thirst, with a dry tongueá; second day. –Ollivier.
Changed, sick face, sunken, cheeks yellowishá; 5th day to 7th day. –F. K.
Looks disturbed and pale. –C. Hg.
The face looks old, and bears an expression of pain. –F. W. Payne.
In face chilly feeling, followed by a glow. Heat in face. –Bennecke.
Face red in evening. Sweat in large drops on face and whole head. Face £dematousá; fifth till seventh dayá; < in evening. –Br.
Face greatly changed. ?áYellow fever.
Countenance wears an expression of extreme anxiety. ?áCollapse of cholera.
In upper and lower jaw a very painful twitchingá; pain going from above downward in a straight line. –C. Hg.
Pain in maxillary joints, when first opening mouth, when pressed with finger, when putting tongue out. –F. K.
Lips and tongue fuliginous, furredá; 5th day. –Ollivier.
TEETH AND GUMS. [10] [Ars. h.]
Sore bleeding gums around remaining root of right upper incisor. –C. Hg.
TASTE, SPEECH, TONGUE. [11] [Ars. h.]
Taste bitter. –Eisenmenger and O’Reilly.
Bitter taste in mouth after four hours vomiting, with great prostration. –Br.
All sweet things taste too sweet. –F. K.
A peculiar indescribable taste in mouth. –C. Hg.
Very unpleasant sticky aftertaste, lasting for hours after eating, whole week. –C. Hg.
A contracting sensation of numbness, like a cold feeling, in half the tongue in front, right side, with running together of saliva in mouthá; weakness in abdomen and pinchingá; first day. –C. Hg.
Pricking on tip of tongue and tickling in nose, upper part, right side, inducing sneezingá; first day, evening. C. Hg.
Tongue slimy, evenings. Tongue yellow. –Eisenmenger.
Yellowish, furred tongue, with chill. Tongueá: bluish-white, thinly coveredá; slimy taste, no appetiteá; later, greyish-white, < on back part of tongueá; still later, tongue white and soft. –F. K.
Tongue fuliginous, furred. See 9.
Tongue somewhat enlarged, on right a deep irregular ulcerá; next day a second nodular swelling of a darker color coming to a point. –Br.
Tongue dry, with violent thirst.
Mouth hot and dry, with very little thirstá; during heat.
Running together of saliva in mouth. See 11.
PALATE AND THROAT. [13] [Ars. h.]
Burning and constriction in throat, followed by irritability of stomach. –Robertson.
APPETITE, THIRST. DESIRES, AVERSIONS. [14] [Ars. h.]
Less appetite on account of slimy taste in mouthá; eats without relish. F. K.
No appetite in evening, tongue slimy. Very little appetite whole second week. Appetite very poor. –Eisenmenger.
Loss of appetite. –F. W. Payne.
Hunger the first evening. –C. Hg.
Violent thirst in three hours. –Ollivier.
Violent thirst and a dry tongue. Much thirst second day, drank oatmeal gruel, milk and slimy drinks in large quantities. –Sch.
Great thirst fifth day, less next following night. –Br.
Very little thirst with fever heat.
More sensitive to tobaccoá; 1st day. –C. Hg.
Smoking without relishá; 8th day. –F. K.
EATING AND DRINKING. [15] [Ars. h.]
After eating, frontal headache. A few hours after dinner he had to lie down in bed on account of headache and weakness. —
Constant retching and vomiting after taking the least thing to eat or drink. ?áYellow fever.
HICCOUGH, BELCHING, NAUSEA AND VOMITING. [16] [Ars. h.]
Belching, with taste of food eatená; a slimy tongue and no appetite eveningsá; smoking tasteless. –F. K.
Spasmodic eructations of enormous quantities of tasteless gas from stomach, without relief of pain in abdomen, that causes him to moan for six hours. –Sch.
Uninterrupted belching up, spasmodically, of a large quantity of tasteless air, with great pain in abdomen. ?áYellow fever.
During spasmodic eructations without any interruption, an incredible large quantity of tasteless air is expelled from stomach without relieving pain in abdomen. R. Sch.
Hiccough following eructationsá; 3d day. –R. Sch.
Annoying hiccough first night, returning 3d day. –Br.
Tormenting hiccough, with an oversensitive epigastrium. –Br.
Very troublesome and annoying hiccough. ?áYellow fever.
Nausea and vomiting, with vertigo and constriction of chest. —
Complains about nausea and fulness in epigastriumá; 6th day. –Br.
Incessant retching and vomiting. –Gehlen.
Retching and vomiting even after a single swallow, even a little water is followed by a return of most painful retching and vomiting. –Gehlen.
Vomits everything taken into stomach. –Gehlen.
Violent vomiting, could not retain slightest thing. O’Reilly. Ollivier.
Vomiting of green, bitter mucus with the colic. –Sch.
Vomiting of mucous, yellow, green and bitter fluid. ?áYellow fever.
Copious green vomiting, commencing in evening of first day and lasting all nightá; every hour between time a soporous statesá; on second day greenish vomiting every two hours, lessening on 3d and 4th day. –Br.
Before midnight twice vomiting, with bellyache and greatest anxiety. –R. Sch.
Vomiting with pain in loins. –Br.
SCROBICULUM AND STOMACH. [17] [Ars. h.]
Irritability of stomach, vomiting liquid, first bilious and afterwards coffee-colored, with a burning pain. –Robertson.
With pressure in stomachá: very little appetiteá; bitter tasteá; belchingá; nausea and obstinate constipation. Eisenmenger.
With dead feeling in limbs five hours after inhalation, violent cutting pain in region of stomach and below it, it compels him to moan constantly. –R. Sch.
A weary feeling in stomach, with pressure in temples. Stomach empty, two inflamed spots in large curvature, where mucous membrane could very easily be peeled off. Post-mortem. –Br.
Pain in epigastrium and vomiting of food. Very sensitive epigastrium and tormenting hiccoughá; 2d day. –Br.
Pressure in epigastric region during chill. –Eisenmenger.
Pressure of hand causes dull pain in epigastrium. O’Reilly.
Pains in epigastrium. –Ollivier.
Liver painful to pressureá; after three or four hours. –Ollivier.
Liver was congested, without alteration of cells. –Ollivier.
Liver deep indigo blue, not enlarged, gall bladder full to bursting. –Br.
Softening of spleen. –Ollivier.
ABDOMEN AND LOINS. [19] [Ars. h.]
A slight pressure in abdomená; 5th day. –R. Sch.
Pressing pain below diaphragm, on left side of abdomená; first day. –C. Hg.
Violent cutting in region of navel, at intervals. –R. Sch.
Colic with vomiting, before midnight.
Pains in various parts of abdomen, < left side, followed by great weakness, most in lower limbsá; 1st day. –C. Hg.
Sensation of weakness in abdomen and pinching stitches.
An undecided but exceedingly unpleasant sensation, as from a stone lying in abdomen, as if all had changed into a stoneá; he begged for a laxative, but neither injections nor repeated stools (after Magn. sulph.) made any change, belching did not relieve. –Sch.
Glowing heat in abdomen, with cold limbs. –Sch.
Burning pain through whole alimentary canal. Robertson.
Abdomen burning, outsideá; cold feet. ?áYellow fever.
A gurgling noise in left side of abdomen from incarcerated flatus, causing colicky pain, threatening to become severeá; he has to lie on belly, or bent together, and wants to be well coveredá; very sensitive to coldá; morning, 3 A. M.á; 2d day. –C. Hg.
Distension of abdomen during chills. –Eisenmenger.
Gaseous distension of abdomen. Post-mortem. –Br.
Integuments of abdomen look greenish, most on sides. –Br.
Violent itching below last rib on extreme leftá; 3d day. C. Hg.
STOOLS AND RECTUM. [20] [Ars. h.]
Weak sensation, as if relaxed, and as if diarrh£a followed, the whole would fall out, eveningá; 1st day. –C. Hg.
Urging as to diarrh£aá; noon, 2d day. –C. Hg.
Less wind passed after urination in morningá: 2d day. C. Hg.
Copious passage of wind and loosenessá; after Magn. sulph. did not relieve. –Sch.
Several openings the 4th day. –Sch.
Soft stool at 4 P. M.á; 2d day. –C. Hg.
The usual morning stool is omitted and appears in afternooná; the same 6th, 7th and 8th days. –F. K.
Two copious, offensive stools, 5 P. M., followed by a painless evacuation of half a pound of red urine, contain real blood-corpusclesá; 1st day. –Ollivier.
The first morning stool on 10th day, full of holes like lava. –F. K.
Obstinate constipation. –Eisenmenger. (Called “obstinate” by the Old School, which is transferring a quality of their own mind to the colon.)
Constipation, with a feeling of heaviness and stiffness, like a weight in abdomen. –F. W. Payne.
Constipation with fever. –Robertson.
Stool, with vertigo, weakness and crawling. –Br.
Thumping, knocking pains in region of perineum, near anusá; forenoon, 2d day. –C. Hg.
Frequent flying pains in perineum, to anus, or, upward in anterior wall of rectumá; first week. –C. Hg.
URINARY ORGANS. [21] [Ars. h.]
Unpleasant sensation of pressure in region of kidneys, rapidly increasing, extending over back to between shoulders, not violent until nightá; it continued without interruption, and increasing, with urging to urinateá; urine dark red, and a thick coagulum of pure blood is formedá; next day color the same, but no coagulum, pain in kidneys equally violentá; 3d day pain less violentá; color more bright, still bloodyá; the same the 4th dayá; on 6th day without bloody color. –R. Sch.
Pressure in kidneys, extending to shoulder blades, with pain in region of kidneys during desire to urinate. ?áYellow fever.
Kidneys enlarged, with very marked injection, most in tubular substanceá; cells of both substances granulated. –Ollivier.
Kidneys deep indigo blue through whole substance, left enlarged similar to spleen, right smaller. –Br.
Scanty, foaming urine in morning, depositing a sedimentá; 2d day. –C. Hg.
From 1st to 8th day less urineá; on 9th more, but brown, brown, with a suspended cloud. –F. K.
No urination 2d day. –Ollivier.
The urine is suppressedá; from 4 P. M. no urine till next morningá; 1st day. –C. Hg.
No urine 1st nightá; very little next nightá; 3d to 6th day. –Br.
Very small quantities of urine, deposits some bloodá; 6th day.
Bladder empty, no change. –Br.
Urine very dark, orange-coloredá; 5th day. –F. K.
Inky urineá; on boiling and adding nitric acid a reddish brown coagulum resembling that which we obtain from boiling blood is deposited. –J. Vogel.
Urine not so frequent, but more profuse eveningá; 6th day. –F. K.
During night no urineá; in morning dark, reddish brown, with red gelatinous and bluish-red sedimentá; 8th day. –F. K.
Afternoon, dark urine, with a rose-colored deposit on walls of utensilá; 9th day. –F. K.
Urine like porter, with a cloudy depositá; 10th day. –F. K.
Urine darker on 13th day. –F. K.
Urine dark, reddish-blacká; formed a thick clot of blood in vessel. –Sch.
Soon a painless discharge of two ounces of blood through urethraá; repeated with shuddering. –Br.
Hµmaturiaá; passed two ounces of blood through urethra. O’Reilly.
Four tablespoonfuls of blood from urethraá; 2d day. –Br.
Four pints of bloody urine, containing arsenic. –Robertson.
Discharge of inky urine. –Bennecke.
Urine dark, blackish-red, with pure blood. ?áYellow fever.
Discharge at times of large quantities of pale urine. F. W. Payne.
MALE SEXUAL ORGANS. [22] [Ars. h.]
Sexual irritation on glans penis, almost irresistible with morning erectioná; second dayá; it continues after rising and passing waterá; all first week. –C. Hg.
Deep in pelvis when crouching down, an unbearable sensation of numbness, with a waving as if it would break, then a horrible feeling, but of short durationá; forenoon, 11th day. –C. Hg.
A pain in symphysis pubis, no redness there, but it is exceedingly sensitive to touch, also when coughing or bending forwardá; sixteenth day. –F. K.
Violent pricking pain on a small spot over right groin, often repeated, like a throbbingá; first day. –C. Hg.
Unbearable pain in both groins, exactly where spermatic cords emerge, as if everything would fall or slip out thereá; exceedingly sensitive in standingá; > when sittingá; still more when pressing on it with both handsá; afternoon 10th dayá; same feeling returns on 12th day at 2 P. M. –C. Hg.
Pain in left side of penisá; 1st day. –C. Hg.
In third week whole foreskin and glans are covered with little blisters containing pusá; they burst and form very small round flat ulcersá; alone on outer surface of foreskin he counted sixty-five, they healed after ten to twelve days. –R. Sch. [Obs. Was the young man syphilitic ? Ars. met. brings out dormant syphilis. –C. Hg.]
VOICE AND LARYNX. TRACHEA AND BRONCHIA. [25] [Ars. h.]
Squeaking voiceá; immediately after inhalation. –Br.
The voice remains whispering and gets very weak in evening. –Br.
Voice has lost its timbre, sounds as if broken, but not hoarseá; 5th day. –F. K.
Pain near larynx when speaking, right sideá; 8th day. –F. K.
A drawing sensation from head towards larynx, right side.
With a slight hemming or hawking he raises with great ease a soft, round and smooth lump of phlegm size of a filbert, when awaking at 3 A. M.á; 2d day. –C. Hg.
His customary hawking up of phlegm ceasesá; 6th day. –F. K.
Ammoniacal odor of breathá; 5th to 7th day. –Br.
Constriction of chestá: with nauseaá; with chill.
Want of breathá; gasping for air.
Breathing relieved after Sinapism and Amm. acet.á; after three or four hours. –Ollivier.
Oppression of chest during chill. –Eisenmenger.
In forenoon frequent coughing, with a pain in perineumá; 3d day. –F. K.
When he coughs in evening headache in upper and back part of headá; 6th. –F. K.
A little cough very often, without inner irritation, as from a pressure over chestá; after eating ice-cream, at first better (also whole chest), but afterwards worseá; 6th day. –F. K.
Cough increases from 9 to 10 A. M., most while conversing in roomá; 7th day. –F. K.
In evening cough comes now from depths of chest, is looserá; sputa relievedá; 7th day. –F. K.
Cough comes from front upper part of chestá; 9th day. –F. K.
Sweats when coughingá; 11th day. –F. K.
A sensation as if whole thorax was laced tightly, with rapid breathing, without cough or rattling of phlegmá; after three hours. –Ollivier.
INNER CHEST AND LUNGS. [28] [Ars. h.]
Pressure in region above breastbone, all across, on 4th dayá; worse on 5th. –F. K.
A painful pressure in upper part of chest, where it commences to become sore to pressure, disappears when perspiringá; 7th day. –F. K.
Pressure over whole chest, with great anxietyá; 7th dayá; pressure is lessened by gapingá; 9th day. –F. K.
Pain in chest is gone in morning, returns towards 11 A. M.á; 11th day. –F. K.
Pressure over chest produces a slight cough. Pain across chest, like a beating in right side, near middle, drawing towards left. –R. H.
A glowing sensation in chest after chilly feeling. Back part of lungs are congestedá; 2d day. –Ollivier.
Lungs collapsed, containing very little air, otherwise normal. –Br.
In cavities of pleura two pints of reddish-brown, odorless fluid. –Br.
HEART, PULSE AND CIRCULATION. [29] [Ars. h.]
A cutting pain near last left ribs.
A knocking, thumping pain in heart, deep in chest, extends towards right sideá; forenoon, 2d day. –C. Hg.
Heart pale, relaxed, empty of bloodá; only a little fluid in pericardium. –Br.
Pulse small and rapid. –Eisenmenger.
Fever with a full, hard, frequent pulse. –Robertson.
Pulse strong and frequent. Pulse 1O7á; 2d day. —
Pulse frequent. ?áYellow fever.
Pulse 90 in morning, 128 at 10 o’clock, very small and softá; 7th day. –F. K.
After meals pulse is more full and more frequentá; 7th day. –F. K.
Pulse intermits when awaking in night, with anxiety and thoughts of deathá; 7th day. –F. K.
Pulse 60 in morning, and irregulará; in forenoon 52á; 8th day. –F. K.
In evening pulse 56, the same after eatingá; later 60, and tensive, as if turned or twistedá; some beats retarded for more than a second, followed by a few quicker beatsá; 8th day. –F. K.
Pulse 64, every other beat stronger, like pendulum of a clock placed obliquelyá; 8th day. –F. K.
Pulse 64, limping in morning of 9th dayá; at noon, 112, limping till 1 P. M., and softerá; 3 P. M., limping again and intermittingá; changing from quicker to slower. F. K.
Pulse 76 in morningá; at 11 A. M., 84 to 88á; 11th day. F. K.
Pulse more frequent after meal at nooná; 14th day. –F. K.
Pulse very frequent and small with chill. Pulse 110 after. Sinapism and Ammon. acet. –Ollivier.
Pulse 90, but weak, after four hoursá; small, 92, lessened temperature of skin next dayá; 80, strong, with sensitive epigastrium, 2d dayá; 76, and painless epigastriumá; later, same dayá; 76, 3d dayá; 80, 5th dayá; same, 6th dayá; 102 in morning, 7th dayá; 76 at nooná; later, 80á; death next morning. –Br.
The breathing very frequent, and pulse imperceptible before death. Pulse imperceptible after increased respirationá; becoming unconsciousá; evening 5th day, death. –Ollivier.
Complete cessation of pulse. –R. Sch.
Pulse quite imperceptible. ?áCollapse in cholera.
Rheumatic pains over breast bone lessen when perspiringá; 2d day. –F. K.
Pain in middle of sternumá; < when he walks aboutá; 10th day. –F. K.
Pain in chest, in bones and intercostal musclesá; at same time pain in arm.
Want of breath, and gasping for air. –Ea.
In left side of chest, near nipple, as if raw and sore, with pressive painá; 4th day. –F. K.
The pain in chest is concentrated in left side, above nippleá; 9th day. –F. K.
A pressure over chest, a few inches below upper end of breast bone, with a pressure on breast boneá; 6th day. –F. K.
Sore, raw feeling over whole chestá; 8th day. –F. K.
Chest hurts when coughing, breathing, and when pressedá; 8th day. –F. K.
A crawling, as if warm drops were running over chest, stopped by pressing with fingerá; 11th day. –F. K.
Tearing pain in neck during chill. Eisenmenger.
Feverish in neck, forenooná; 13th day. –F. K.
Stiffness in neck and between shoulders, begins in morningá; > when going out or moving aboutá; 7th and 8th day. –C. Hg.
Pain as if something was sticking below right shoulder bladeá; increased at first, and disappeared after three hours’ sleep. –C. Hg.
Backache like on first days, returned towards evening on 7th day, not so violent, but much harder to beará; increased next evening and in night, causing loud lamentationsá; sitting relieves it a little, but he is too weak to sit longá; relieved towards evening of 9th day by application of cloths dipped in warm milk. –R. Sch.
Crawling over shoulders and back. A glow in back after chilliness. Shuddering over single parts of back. Pain in region of kidneys became exceedingly severe, with urging to urinate. –Sch.
An unpleasant, pressive feeling in region of kidney, which rapidly increased and spread up back to between shouldersá: after four hours. –Sch.
Pressure between shoulders. –R. Sch.
Very violent pain in lumbar region. –Ollivier.
Slight pain in lumbar region. –O’Reilly.
Some pains in loins when “falling asleep” of limbs passed away. –Br.
Pain in loins with vomiting. –Br.
Behind and above right hip, on a small spot near spine, a very great painá; < in walkingá; has to sit down. C. Hg.
Backache in small of back, as after having taken coldá; evening, 2d day. –F. K.
Violent pains in sacrum, after three hours.
A dull pain on upper part of sacrum, on a place size of a hand, interferes for one or two minutes with his breathingá; it swells and feels as if something was filled upá; with increased painá; 8th day. –F. K.
Sore aching spot on right acromioná; 8th day. –F. K.
Pain from tip of shoulder down towards point of elbowá; 9th day. –F. K.
Painful twitching in shoulders.
A warm, almost burning cut, like with a small knife, in right upper arm, from near shoulder down towards elbowá; soon after inhalation. –F. K.
Flying stitches in arms. –R. Sch.
Tearing pain and stitches in upper limbs, during chill. Eisenmenger.
In elbows and upper arms same pain as in knee. –R. Sch.
Laming pain in both elbows, more in rightá; 9th day. –F. K.
Pains in elbows and upper armsá; in five hours. –Sch.
Feeling of deadness of hands extending to middle of forearms. Sch.
Arms and hands very tired, as if burning.
Flying pains in right hand and fingersá; 2d day. –C. Hg.
Swollen veins on handsá; 7th day. –F. K.
Middle finger, left and inner side and second joint red and swollená; 14th dayá; gone 15th day. –F. K.
Itching on first joint of left middle finger, inner side, on a small spot, where a very small blister isá; after 1st week. –C. Hg.
Slight thumping pain on a small spot behind r. hip bone. C. Hg.
Pimple on nates, impedes walkingá; 15th day. –F. K.
Quivering in left thigh, inner side, towards front, in a short line evening, till nightá; 9th dayá; again on 1Oth day, in afternoon. –F. K.
Pain on inner side of both thighs, most right side, whence it extends to near anusá; 12th day. –F. K.
Pain on inner side of both thighs, mostly towards os pelvisá; 15th day. –F. K.
Violent itching on left thigh, on inner side, a few inches above kneeá; 7th day. –C. Hg.
After getting up, when placing his legs higher than body, a violent pain above left kneeá; soreness in muscles or tendons, under skiná; > when moving aboutá; evening, 1st dayá; next day it still pains, but more below knee, with a lame feeling when kneelingá; his limbs give way going up-stairsá; noon, 2d day. –C. Hg.
Above right patella a pain on pressure, also in bend of kneeá; increases after lying still a good whileá; evening, 16th day. –F. K.
On getting up and beginning to move, after lying especially in a somewhat fatiguing position, a pain in left knee, as if it was inwardly crushed, but not in bonesá; it increases to a kind of burning, and only disappears after continuing to moveá; 8th to 10th day. –C. Hg.
Rheumatic, gouty, tearing pain in knee joints. –R. Sch.
Pains in knees during chill. –R. Sch.
Pain in hollow of left knee, when rising from a seat, and in beginning of walkingá; 3d day. –F. K.
Sensation in bend of left Knee as if beatená; a cold and burning painá; < on beginning to move, especially after lyingá; whole 1st week. –C. Hg.
In bones of leg below right knee, a throbbing pain, drawing downward. Pains in lower limbs, especially right side, lasting two hours. –Br.
Flying stitches in lower limbs. –R. Sch.
Pain in lower limbs, more in right-O’Reilly.
Flying, cutting pains in left leg, from shin to ankleá; at same time on last left ribsá; 2d day. –C. Hg.
Pain in left leg, after sittingá; < going down-stairs, with giving way of kneesá; 2d day. –C. Hg.
Lower limbs become rigid later than arms. –Br.
Feet get numb, as if dead, up to knees. –R. Sch.
Weakness, most in lower limbs. –Z.
Left foot hurts again when rising, most towards external marginá; 12th day. –F. K.
Feet, usually colder than rest of body, are now warmerá; 3d day. –F. K.
Sweat all over, but not on right foot. –F. K.
Pain in right heel. Flying pains in feet.
Pain in left foot joint when walkingá; 3d day. –F. K.
The left foot joint he cannot move, even when lying in bedá; 8th day. –F. K.
Cannot move foot, and is unable to get upá; 9th day. –F. K.
Great pain in left foot, from one ankle bone to the other, passing across above joint, < on a small spot of dorsum of footá; a red yellow streak on top of foot, near toesá; from fourth to second toeá; pain is awful, turns him paleá; most painful in moving of foot jointá; 1st day. –F. K.
A red streak on ankle joint, where pain was day beforeá; 11th day. –F. K.
In left foot, most on sole, pains prevent stepping on itá; < in motion, > in bedá; pains in middle, as if contracted lengthwaysá; when stepping on it a painful stretchá; 3d dayá; much < the 4th. –F. K.
Pain in left sole prevents walking in forenooná; less in afternooná; < in evening, especially after rising from a seatá; all pains in sole, heel and whole foot, extend upwardá; 6th day. –F. K.
Pains in left sole, foot and knee, < in eveningá; 6th day. F. K.
Pain from sole towards middle toeá; very much < when first toe joints are bentá; 8th day. –F. K.
Tickling in hollow of left footá; 10th day. –F. K.
Pain on pressure of balls of toes, sore and thrilling, most in ball of middle toeá; pain extends along all toesá; 8th day. –F. K.
With every attempt to step on feet all toes hurt, as if in tendons up to foot jointá; 8th day. –F. K.
The once chilblained ball of right big toe gets more painfulá; 16th day. –F. K.
Thumping pain in right big toe increasing in warmth. –C. Hg.
Left middle toe exceedingly painful when touched, most underneath, on ball and in first joint, and from there to big toe and inside ankleá; 8th day. –F. K.
Sensation as if a splinter lodged under nail of left middle toeá; 9th to 10th day. –F. K.
LIMBS IN GENERAL. [34] [Ars. h.]
Soon after inhalation pain in lower limbs, most right side, with a numbness, first in upper limbs, then in lower, followed by a crawling sensation, for two hours. –Br.
Very sensitive, gouty, tearing pains in upper arms, elbows and knee joints. –Br.
Throbbing pains in bones of left upper arm, extending downward, three and five times every hourá; same in bones of right lower limb below kneeá; also extending downward. –Br. C. Hg.
Stitches in arms and feet. –R. Sch.
Arms get cold and stiff first, then lower limbs. –Br.
Coldness of limbs. –R. Sch. Ollivier.
Coldness of limbs. –F. W. Payne.
Unpleasant crawling in hands and feet, and flying stitches in upper and lower limbsá; 7th day. –R. Sch.
REST. POSITION. MOTION. [35] [Ars. h.]
Tired in hands and arms, after moderate exertion (carrying a child), they burn from weaknessá; 1st day. –C. Hg.
Very little inclined to do any work. –Eisenmenger.
Difficult walkingá; left foot painful.
Motion difficult. –Ollivierá; left-foot < ; While walking, chilly.
All pains increase during motioná; in rest they also first increase, but get better afterwards. –F. K.
Weak even when sitting. –C. Hg.
Such a weakness that he cannot sitá; on 3d day able to do a few stepsá; still very weak 7th dayá; somewhat better 10th day and following. –R. Sch.
Getting up he feels so weak and chilly that he is obliged to lie down againá; evening, 8th day. –F. K.
Such a sensation of weakness with headache and vertigo, that he has to lie downá; 3d day. Colic better lying on belly, or better from bending together. —
Restlessness and anxiety. –Robertson.
The greatest bodily restlessnessá; 5th day. –Br.
Prostration with anxietyá; vertigo, nausea and troublesome costiveness. –Berzelius.
Suddenly after inhalation he feels himself poisonedá; an indescribable exhaustion and nausea overwhelm himá; hardly able to take few steps to reach next roomá; incessant retching and vomiting followedá; he could not take any medicine, gruel or soup, nor a swallow of water without a painful return of retching and vomitingá; even thinking of water excited vomitingá; death on 9th day. –Gehlen.
Sensation of deadness from hands upward to middle of forearm, and feet to knees, then nose and region of eyebrows, with cessation of pulseá; every sign of life ceased in these parts, but the ability to move them remainedá; after five hours. –R. Sch.
Heat in faceá; weakness in all limbsá; disposed to faint and tremble, soon passing off, but leaving a sensation of weakness and exhaustioná; immediately after inhalation. –Vogel.
The whole nervous system was immediately affected, and ultimately his lungsá; died in ten days. –Bullocká; by Beard.
Disposed to fainting. –Bennecke.
Faintness with vertigo, followed by shuddering. –Br.
Great fatigue and weakness. –Eisenmenger.
Sudden indescribable weakness and nausea. –Gehlen.
Very great weakness, and bitter taste in mouth. –Br.
Complained about his great weakness, and ascribed it to continual vomiting. –Br.
Great weakness, most in lower limbs. Unusual weakness in evening, as weak as a rag, ready to dropá; 1st day. –C. Hg.
Weariness and exhaustion with chill. Arms become torpid and stiff first, afterwards lower limbs, with crawling sensation, lasting two hours, soon after inhalation. –Br.
Now and then a very peculiar weakness, and during it all pains ceaseá; 1st and following days. –C. Hg.
Weakness without any painá; 2d day. –Br.
After dinner weakness and no pains all afternoon and eveningá; 2d day. –C. Hg.
He feels as if he was recovering from a very long illness, a pleasant sensationá; 11th day. –F. K.
Great prostration and general malaise. –F. W. Payne.
Gaping and unpleasant feeling with chilliness. So drowsy that he can hardly open his eyes. –Rh.
Drowsiness from 5th to 7th day. Sopor between attacks of vomiting. –Br.
Very pleasant, poetical dreams. –C. Hg.
Dreams as if he was praying in a public meeting, with great applauseá; 7th day. –F. K.
Dreams towards morning from people going and arrivingá; 7th day. –F. K.
Moaning in sleepá; 16th day. –F. K.
Sleep interrupted by headache. –R. Sch.
Slightest noise interrupts his sleep. –R. Sch.
Disturbed by wind colic towards morning. Suddenly awakened by two strong concussive shocks after midnightá; 7th day. –F. K.
Frequent starting while falling asleep. As soon as he falls asleep he perspiresá; 15th day. –F. K.
Restless night, from 5th to 6th day. –Br.
Restless sleep, till after midnight. Wakens every hour, always before clock strikesá; from 9th to 10th day. –F. K.
For a long while he cannot get to sleepá; he feels as if he had to move aboutá; 6th day. –F. K.
Total sleeplessness. ?áYellow fever.
Sleeplessness. –F. W. Payne. (A chronic case. See 47.)
Worse at nightá: frontal headacheá; pain in lower limbs. After midnightá: sleep easy. Getting awake in morning, weak and depressed. On awakingá: weak, etc. Weak and prostrated on waking. –Eisenmenger.
Tired and depressed when waking in morning. Very exhaustedá: morning in bedá; 8th day. –F. K.
At noon and midnight he always feels the worstá; 10th day. –F. K.
Nooná: as if diarrh£a would come on.
Afternoon, 3 o’clocká: headaches increase chills and fever every dayá; chillá; pain in left foot >. His feeling unwell increases steadily in afternooná; 4th day. –F. K.
Dying commencesá: 4 o’clock P. M., six times 24 hours after inhalation. –Br.
Evening, 5 o’clocká: offensive stools. Eveningá: headacheá; vomitingá; less warmth of skiná; weakness of rectumá; pain in left foot < ; all pain is gone out of right footá; 8th day. –F. K.
TEMPERATURE AND WEATHER. [39] [Ars. h.]
After drinking cold waterá; later, after warm drinks, he could bring on a copious sweat. –R. Sch.
Warmth lessens, cold increases symptoms. –F. K.
Warmthá: toothache < ; pain in big toe <.
If not covered in evening he feels chillyá; 8th day. –F. K.
Undressing, 10 P. M., chill violent. Coming in a cool room he feels very chillyá; 3d day. –F. K.
After moving in open air always < After walking in open air, very unwell. –Eisenmenger.
During a walk in open air, chilly. –Eisenmenger.
Before a thunderstorm, many old pains appear again. F. K.
Sensitive to cold weather. Damp air increases his malaise very much. –Eisenmenger.
General chilliness on slight exposure, or change of temperature. Payne.
Temperature diminished. –O’Reilly. Chill. O’Reilly.
After faintness, giddiness and shuddering. –Br.
Chilliness over whole bodyá; after four hours. –Sch.
Chilliness became very violent on undressing, at 10 P. M.á; after five hours. –Sch.
Cold limbs with heat in abdomen. –R. Sch.
Nose cold, had to wrap in hot cloths. –R. Sch.
Chilly while walking. –Eisenmenger.
With attempt at rising he feels chilly, from weaknessá; 8th day. –F. K.
Attacks of shuddering or creeps in evening, short, violent, and only on parts of backá; 1st day. –C. Hg.
Evening frequent creeps, with coldness running down bodyá; glowing heat about chest, back and faceá; later, general sweat, only not on right foot, continues all night, large drops run over his face and down headá; with it pulse limpingá; 8th day. –F. K.
During chillá: headacheá; pressure in epigastric regioná; distension of abdomená; oppression of chestá; tearing in necká; tearing in upper limbs. With pressing pain from region of kidneys up to region between shoulders, a chill over whole body, with gouty tearing pains in knee joints and cold limbsá; four hours after inhalationá; half an hour later, when undressing, chill more violent than any he ever hadá; pains in knees, upper arms and elbowsá; increasing to great violence after chillá; five hours after inhalation. –R. Sch.
Severe chill on 3d day, 3 P. M., time when headache was usually <, beginning with yawning, discomfort, anxiety and chilliness, accompanied by oppression of chest, pain in neck, drawing in upper limbsá; increased frontal headacheá; after a two hours’ chill moderate heat, lasting till 8 P. M., with a hot, dry mouth, but little thirstá; after heat very slight sweat, during which he falls asleepá; at first frequent startings, during unrefreshing sleepá; after midnight quiet. –Eisenmenger.
In afternoon, 3 o’clock, when headache had been worst, on 1st and 2d day, on 3d day he has gaping, malaise, anxiety and chilliness, gradually growing into strong chill with constriction of chest, pain in neck, drawing in upper limbs, and pain in foreheadá; after chill had lasted two hours a moderate heat followed, lasting until 8 P. M.á; mouth hot and dryá; moderate thirstá; after heat some sweatá; he falls asleep, but starts oftená; after midnight quiet sleep, but on waking, weary, and as if beatená; 3d day. –Eisenmenger.
After great chill and fever on 3d day, only chilly on 4th, and on 5th strong again, till on 3d and henceforth, every afternoon at 3 o’clock.
With beginning of chill at 3 P. M. sallow, yellowish faceá; eyes sunken, listless, conjunctiva reddenedá; nose and upper lip excoriatedá; tongue furred, yellowá; pulse frequent and small, at same time increased headacheá; constriction of chestá; tearing pain in nape of neck and upper limbsá; pressure in region of tonsilsá; distension of abdomená: great weariness and weakness. Evening, 5 o’clocká: fever heatá; half-past 7 o’clocká; sweat, followed by sleepá; 7th day. –Eisenmenger.
A slight fever paroxysm on 2d day. –Eisenmenger.
A paroxysm of fever on 5th day more severe than on 3d, after which it returned every day. Cured by Nux vom.á; renewed on a subsequent occasion on inhaling same gas. –Eisenmenger.
Fever commenced at 12 nooná; pulse up to 90á; did not affect headá; thirst in afternooná; sensitive to cold weatherá; after supper pulse rose from 90 to 120á; 6th day. –F. K.
After writing awhile flying heat up towards headá: pulse about 120á; every 50 to 60 beats one omits, gradually oftener, in evening every 5th to 6th beat, sometimes every 3dá; 7th day. –F. K.
In morning when attempting to step down, heatá; in evening cold feelingá; 10th day. –F. K.
Slight fever, with great weaknessá; 5th day. –Br.
Glowing heat in abdomen and cold limbs all night, with pain in kidneys and urinating blood. –R. Sch.
Much heat and burning in different parts of body, particularly over renal region. –F. W. Payne.
General warm sweat after midnight, with a soft pulse, 80 to the minute, omitting 3, 4 timesá; 7th day. –F. K.
Attacks of night sweatá; from 7th to 8th dayá; continually in morning hours. –F. K.
Night sweatsá; 13th day. –F. K.
Night sweat in short attacká; 5th day. –F. K.
General warm sweat in night, in large drops. Sweat relieves deadness in limbs. —
Surface of body bedewed with moisture, with unnatural warm feel of such cases. ?áCollapse of cholera.
ATTACKS, PERIODICITY. [41] [Ars. h.]
In attacks, as if beaten all overá; 7th day. –F. K.
On 7th and 8th day a renewed appearance of many former symptoms and new symptoms, and a higher development of the morbid medical affection. Pains returná; typical headacheá; after a slight improvement on 4th day, < on 5th, when urination completely ceased. –Ollivier.
Typhus tertianus postponens. Death on 9th day. –Gehlen. Bullock.
LOCALITY AND DIRECTION. [42] [Ars. h.]
Rightá: pain in heelá; thumping pain in big toe.
Leftá: flying, cutting pains in legá; foot hurts on risingá; pain in foot jointá; cannot move footá; great pain in footá; as if foot was contracted lengthwaysá; tickling in hollow of footá; as if a splinter was under nail of middle toe.
As of a load in headá; nose as if deadenedá; nose as if dried upá; as of a stone lying in abdomená; rectum as if relaxed, as if diarrh£a would follow, the whole would fall outá; as if everything would fall out of groiná; as if thorax was tightly lacedá; as if drops were running over chestá; as if something was filled up in sacrumá; arms and hands as if burningá; feet as if deadá; pain in middle of left foot as if contractedá; as if recovering from a long illnessá; as if all had changed to stone in abdomená; as if something would break in pelvisá; as if something was sticking below right shoulder bladeá; as if beaten, in bend of left kneeá; as if a splinter had lodged under toe nail.
Painá: in back, as after having taken cold.
Unbearable painá: in both groins.
A pain in left knee, as if inwardly crushed.
Cuttingá: in region of stomach and below itá; in region of navelá; near last left ribsá; burning in right upper armá; in l. leg.
Stitchesá: flying through limbs.
Prickingá: on top of tongueá; in right groin.
Burningá: in throatá; in stomachá; through whole alimentary canalá; outside of abdomená; in left kneeá; in bend of l. knee.
Colicky painá: in left side of abdomen.
Tearingá: in headá; in necká; in upper limbsá; in knee jointsá; in upper arms.
Drawingá: from head towards larynx, right side.
Achingá: spot on right acromion.
Rawnessá: in left chestá; over whole chest.
Pressureá: in frontal sinusesá; in foreheadá; above eyebrowsá; in templesá; in stomachá; in epigastric regioná; in abdomená; below diaphragmá; on left side of abdomená; in region of kidneysá; between shouldersá; above breast boneá; in upper chestá; over whole chestá; in left chest.
Beatingá: in right chestá; in region of tonsils.
Thumpingá: in perineumá; pain in heartá; on a small spot behind right hip boneá; in right big toe.
Throbbing painá: below right kneeá; in bones of left upper arm.
Thrilling sore pain in balls of toes when pressed.
Flying painsá: in headá; in perineumá; upward, in rectumá; in arms, hands and fingersá; in feetá; in left leg.
Rheumatic painá: over breast boneá; in knee joints.
Cold painá: in bend of left knee.
Undefined painá: in headá; in right forehead and headá; in occiputá; in upper and back part of head, when coughingá; in maxillary jointsá; in loinsá; in epigastriumá; in various parts of abdomená; in symphysis pubisá; in groinsá; in left side of penisá; in region of kidneysá; near larynx, when speakingá; in perineum, when coughingá; in middle of sternumá; in intercostal muscles and bones of chestá; in lumbar regioná; in loinsá; behind and above right hipá; in sacrum, from top of shoulder to point of elbowá; in elbows and armsá; on inner side of thighsá; in kneesá; in hollow of left kneeá; in lower limbsá; in right heelá; in left foot jointá; in sole of left foot.
Heavinessá: of headá; of eyelidsá; in abdomen, like a weight.
Twitching, or painful quiveringá: in right side of head, above foreheadá; also in upper and lower jaw and right shoulderá; in shoulders, painful.
Contracting sensationá: in tongueá; in sole of foot, painful.
Constrictioná: of throatá; of chest.
Ticklingá: in nose, right sideá; in hollow of left foot.
Crawlingá: in noseá; as if warm drops were running over chestá; over shoulders and backá; in limbsá; in hands and feet.
Itchingá: below last rib on extreme leftá; on first joint of left middle finger, around a blisterá; on left thigh.
Swimming sensationá: in head and body.
Indescribable sensationá: up into nose.
Dead feelingá: in limbsá; in hands, in nose and region of eyebrows.
Heatá: in faceá; in mouthá; in abdomená; in chestá; in backá; over renal region.
Shudderingá: over parts of back.
Coldnessá: in tongueá; of limbs.
Feeling of deadnessá: in noseá; region of eyebrowsá; in limbsá; in feet.
Weaknessá: in bodyá; in abdomená; in rectum, as if relaxedá; in limbs.
Stiffnessá: in necká; between shoulders.
Numbnessá: in headá; above eyebrowsá; half the tongue, in front, right sideá; deep in pelvisá; in limbs.
Cracking of joints when moving, even knees and elbowsá; 16th day. –F. K.
The habitus increases markedly within a few hours. îdema increases at nooná; 7th day. –Br.
General anasarca. Post mortem. –Br.
TOUCH. PASSIVE MOTION. INJURIES. [45] [Ars. h.]
Pressureá: < dull pain in epigastrium. External pressure hurts in region of liverá; 32d dayá; balls of toes sore. —
Skin bronze-coloredá; 5th day. –Ollivier.
Dark brown skin all over. ?áYellow fever.
Dark brown, sallow look of skin. –F. W. Payne.
Itchingá: on last ribs, left sideá; on middle fingerá; on left thigh above knee. A vesicator put on pit of stomach made a blister filled with dark red bloodá; 5th day. –R. Sch.
All hair over “deadened” parts became snowy white, brows formed a strange contrast to dark brown face. –Sch.
STAGE OF LIFE, CONSTITUTION. [47] [Ars. h.]
Mrs. A., µt. 67, well and hearty before, suffered whole Fall and Winterá; well in seven days. –F. W. Payne.
Amm. acet.á: breathing relieved.
Compareá: Carb. veg. (yellow fever and cholera).
Drinks containing sulphuretted hydrogen appear to relieve most. –Berzelius.