Chenopodium Anthelminticum

Chenopodium Anthelminticum.

Σπόρος για σκουλήκια. N. O. Chenopodiaceae. Βάμμα φρέσκου φυτού. Διάλυμα του ελαίου του σπόρου.

Αφασία. Αποπληξία. Άσθμα. Εγκεφαλική κώφωση. Σπασμοί. Υδρωπικία. Επιληψία. Κεφαλαλγία. Ημικρανία. Απληγία. Λευκόρροια. Έμμηνος ρύση, κατασταλμένη. Παράλυση. Ωμοπλάτη, πόνος στην. Εμβοές. Αμυγδαλίτιδα.

The most characteristic pain of Chenopodium is a dull pain below the angle of right scapula, and nearer the spine than the analogous pain of Chelidonium. Chenopodii glauci Aphis (see Aphis) has a similar pain below angle of left scapula. Several cases of poisoning have been reported in which all the symptoms of apoplexy and consequent right hemiplegia with aphasia were reproduced. Stertorous breathing, with a very peculiar rattle as of a ball rolling loose in the trachea.

Heavy breathing with flapping of cheeks. Other symptoms are: Vanishing of sight and roaring in ears with (right) hemicrania. Roaring in ears as of cannons going off, also ringing; deafness. Subacute and chronic enlargement of tonsils in pale, scrofulous children.

Caseous deposits with painful inflammation of tonsils. Rough, furry feeling in throat. Menses suppressed; leucorrhoea instead. Pains through heart; under right scapula, and in right shoulder.

Fever after a fright. In three cases of poisoning reported by Allen the following symptoms were produced: (1) Insensible, convulsed, foaming at the mouth. All remembrance of taking the poison was lost on his recovery. (2) Deep, heavy, stertorous breathing accompanied by a very peculiar rattle, as if there were a ball rolling loose in the trachea; pulse small, weak, frequent and feeble; eyes insensible to light or external objects; convulsive movements of right half of body; extremities cold; any attempt to swallow threatened instant suffocation.

(3) (This patient took 1 1/2 oz. of worm-seed oil and 30 drops of turpentine.) Disagreeable eructations; nausea; staggering like a drunken man; deafness to the sound of the voice, but exquisite sensitiveness to the sound of passing vehicles, they sounded like cannons in his ears; also annoying buzzing. In smoking he would scarcely light his cigar before he would lay it down again and take a fresh one, arguing perversion of taste. By afternoon the mantelpiece was strewn with cigars only partly used.

No disposition to engage in conversation. Aphasia: he clearly wanted his attendant to get or do something but could not make him understand. The attendant wrote, "Don't understand," showed it to him, and gave him paper and pencil. After great efforts he wrote distinctly words with no meaning.

Voice-hearing became progressively worse, but he heard the tea-bell three storeys below promptly, and, to the astonishment of the family, got up and walked deliberately into the dining-room He did not seem to know his accustomed seat, and sat in the wrong place. During the afternoon became completely aphasic. Finding himself unable to express his ideas, this seemed to amuse him much, and he laughed heartily.

Whatever he did he would keep repeating. When the doctor entered he arose and shook him heartily by the hand, and then sat down. In about a minute he arose, solemnly came forward and again shook hands. This he repeated twenty times in as many minutes.

He then went through the performance of washing his hands in an empty basin and repeated this many times. Sitting at tea he ate with apparent relish, taking singly tea and bread. While grasping a piece of bread, there was a distinct spasm of right forearm and hand; fingers firmly clenched, hand forcibly flexed on forearm. Assisted to his room, his walk was entirely natural; when put to bed showed some resistance, striking at the doctor.

He at once commenced to groan, tossed from side to side of the bed, suggesting abdominal distress. Soon became unconscious; right arm paralysed; dragging helplessly. Next day continued impairment of motion and sensation right side; right eyeball insensitive to touch. Third day, frequent twitching and stiffness of right limbs, culminating in a one-sided convulsion in early morning of fourth day.

At noon of third day, copious involuntary urination in bed. This continued to the end, except when drawn off. In afternoon, heavy breathing and flapping cheeks of apoplexy appeared. More or less constant regurgitation of yellow frothy material from mouth, smelling of worm-seed, as also did the perspiration.

This material was at times so profuse as to embarrass respiration. During one of the attacks of dyspnoea, and while in a drenching sweat, which suggested dissolution, he was gently turned in bed; immediately a general convulsion set in, markedly opisthotonic, lasting ten minutes, despite the use of chloroform. By this time jaundice appeared, having been only noticed the day before. Five days from taking the dose he died in profound coma with high temperature.

The significance of these symptoms needs no pointing out. The peculiar deafness corresponds nearly to the "cerebral deafness" described by Cooper in which the watch-hearing is good whilst the voice-hearing is bad or absent. Hemiplegia with contractions of limbs, and certain epileptic seizures are strongly portrayed in the poisoning. When given as a vermifuge it frequently produces progressive and long-lasting deafness.

Linnell has cured with it two cases in which there was deafness to voice-hearing but sensitiveness to other sounds. In one case there was implication of left labyrinth with slight chronic otitis media of both ears; deafness left ear several years; no tinnitus; consciousness of the ear; sensitive to musical sounds; deaf for watch and voice; perosseous hearing diminished. He has also cured: Roaring tinnitus synchronous with heart. Sensitiveness to cold.

Hearing better for high-pitched than low-pitched sounds. (H. W., xxxii. 295.)

Σύγκριση: Aphis, Chel., Chen. v. Σε αποπληξία και συριγμόδη αναπνοή, Chi., Op., Lyc. Σε κώφωση, Chi., Chi. sul., Chi. salicyl., και τα σαλικυλικά γενικά.

Ελαττωμένες κινήσεις του δεξιού οφθαλμού· απώλεια ευαισθησίας.—Εξαφάνιση της όρασης.

Παφλασμός των παρειών με συριγμόδη αναπνοή.

Χρόνια υπερτροφία αμυγδαλών· τυροειδείς αποθέσεις.—Αίσθημα τριχώματος στον λαιμό.

Ελαφρύς πόνος στην περιοχή των νεφρών.—Ακούσια ούρηση, πολύ άφθονη.

Καθυστερημένη έμμηνος ρύση· έχει λευκορροία αντ' αυτής· τραχιά αίσθηση τριχώματος στον λαιμό.

Συριγμόδης αναπνοή· παφλασμός παρειών, δύσπνοια· ιδιαίτερος ήχος ροδανιού σαν χαλαρή μπάλα να κυλίεται στην τραχεία.—Η αναπνοή δυσχεραίνεται από την ποσότητα κίτρινου αφρώδους υλικού που αναγύριζε συνεχώς.

Πόνοι μέσα από την καρδιά, κάτω από τη δεξιά ωμοπλάτη και στον δεξιό ώμο.—Πόνος σε όλο τον δεξιό θώρακα, που αρχίζει από την πρόσφυση της 6ης πλευράς στον χόνδρο της και εκτείνεται στο εμπρόσθιο της δεξιάς ωμοπλάτης.

Πόνος κάτω από την ακμή της δεξιάς ωμοπλάτης, με ζάλη στο μέτωπο, βούισμα στα αυτιά και χλωμό πρόσωπο.—Ελαφρύς θαμπός πόνος λίγο χαμηλότερα από την ακμή της δεξιάς ωμοπλάτης, αλλά πιο κοντά στη σπονδυλική στήλη.

Σπασμωδικές συσπάσεις και δυσκαμψία στα δεξιά άκρα.

Πάρεση και σπασμός του δεξιού πρηνιστικού και χεριού σε κάμψη.

Σαλεύουσα βάδιση.—Επαναλαμβάνει συνεχώς μια ενέργεια.—Δεξιά πλευρά σπασμός και πάρεση.—Συχνές σπασμωδικές συσπάσεις και δυσκαμψία των δεξιών άκρων.—Ημιπληγία με σύσπαση των άκρων.

Ίκτερος.