Chininum Arsenicosum

Arseniate of Quinine.- 2 C 2o H 24 ,N 2 O 2 . AsH 3 . 4 H 2 O.

General Analysis.-

This drug has not been extensively proved, our knowledge of its action being chiefly derived from clinical sources.

It seems to affect the blood composition, the mucous tissues and the nervous system, giving rise to arthritic conditions, low inflammatory states, especially involving the mucous membranes, and accompanied by great exhaustion of the vital forces.

It thus becomes homoeopathic, to diphtheria and malignant scarlatina, in both of which affections it has been repeatedly and successfully used.

It also produces a fever closely simulating an intermittent, while the neuralgias resulting from its use are periodical in their character.

It has been successfully used in various malarial affections.

Its action evidently combines, more or less, the effects of both Arsenic and Quinine , from each of which, however, it is markedly different in the totality of its symptoms.

Characteristic symptoms.

(Chininum arsenicosum)

Depressed spirits ; mental dullness ; wishes to be quiet and let alone. ( Gels .)

Anxiety and nightly delirium. Irritable mood precedes the headache.

(Chininum arsenicosum)

Hemicrania, worse from bodily or mental exercise ; also in consequence of fright.

Confused feeling in head.

Severe, darting, tortuous pains running up into the head and preventing sleep.

Frontal and occipital headache.

Neuralgic pain in right temple and above eye.

Tearing, boring pain in left side of head, affecting the eye, with flickering, pain, and lachrymation ; ringing in ears, nausea and vomiting during the attack, which regularly appears at midnight. (Chin. sulph.)

Burning pain in left occipital protuberance, extending down nape of neck, along shoulder blade, and over left half of thorax, producing orthopnoea ; the attack commences with stretching and yawning, and a shaking chill, generally in the morning, and lasts until after midnight.

(Chininum arsenicosum)

Intense photophobia and spasms of orbicularis muscles, gushing hot tears, large ulcers attacking each eye ; aggravation from midnight until 3 A. M. ; keratitis.

Scrofulous ophthalmia ; worse after midnight.

Flickering before left eye, with pain and lachrymation ; in hemicrania.

(Chininum arsenicosum)

Ringing in ears ; hemicrania. (Chin. sulph.)

(Chininum arsenicosum)

Fluent coryza, profuse discharge.

Nose stopped up ; better out of doors.

Nose stopped up with a purulent and bloody substance ; diphtheria.

Corners of nose excoriated ; diphtheria. (Arum.)

(Chininum arsenicosum)

Pale, sallow, and bloated ; in intermittent fever. (Ars., Natr. mur.)

Swelling of submaxillary and parotid glands ; in diphtheria.

Blueness of the lips ; in tuberculosis.

(Chininum arsenicosum)

Tongue coated thick and brown ; diphtheria.

Fetor oris ; in diphtheria and scarlatina.

(Chininum arsenicosum)

Malignant angina during scarlatina, with paleness of skin, quick exhaustion, and rapid destruction of mucous membranes of fauces.

Diphtheria ; great fetor oris ; submaxillary glands swollen and painful ; nose completely stopped up with a purulent bloody substance ; corners of nose excoriated ; tongue coated thick and brown ; both tonsils covered with a gray exudation, which on disappearing, leaves a bloody ulcer with uneven edges ; lower half of uvula gangrenous, upper half covered with exudation ; posterior wall of fauces completely covered with exudation ; swallowing of liquids very difficult ; great prostration ; sleeplessness ; pulse small, very frequent.

(Chininum arsenicosum)

Thirst which cannot be appeased ; during attacks of suffocation ; in tuberculosis.

Eggs and fish cause painless diarrhoea at once.

She does not like cold water.

Nausea and vomiting, followed by sleep. ( Ant. tart.)

(Chininum arsenicosum)

Left hypochondriac region enlarged ; also abdomen bloated ; in intermittent fever.

(Chininum arsenicosum)

Diarrhoea from malaria ( Chin. sulph .) ; stools thin, watery, offensive ( Ars .) ; with pains in bowels.

(Chininum arsenicosum)

Spasmodic retention of urine.

Respiratory Organs.- (Chininum arsenicosum)

Hoarseness ; in diphtheria ; seemed to prevent diphtheritic membrane from spreading to larynx.

Attacks of suffocation begin in morning and last till noon, with blue lips, hands, and nails.

Must sit bent forward, and, if possible, at an open window during attack of suffocation ( Ars., Carb. v .) ; worse in any other position.

Dyspnoea with anxiety ; in tuberculosis.

Senile sub-acute catarrh with periodical fever, generally worse at night.

Paralysis of respiratory muscles on left side.

Heart and Pulse.- (Chininum arsenicosum)

Angina pectoris, with dropsical symptoms, venous hyperaemia, and cyanosis.

Trembling of heart ; palpitation, noticed on leaning against back.

Sensation as if heart had stopped ; beats not perceptible ; action irregular.

Pulse small ; very frequent (200) ; irregular.

Violent neuralgic pain in left mammary region, as though torn with red-hot tongs ; intercostal neuralgia.

(Chininum arsenicosum)

Blueness of hands and nails.

Limbs icy-cold.

(Chininum arsenicosum)

Great Prostration.

Epileptiform spasms ; preceded by a rushing like lightning through the brain and down right side of neck into arm, which is distorted and wrenched so as to crack audibly ; the facial muscles are convulsively drawn ; sight and speech cease ; consciousness leaves, and he falls to the ground ; attack followed by cold sweat, loud eructations, and a feeling of utter prostration.

(Chininum arsenicosum)

Deep sleep after suffocative attacks.

Restless sleep ; sleeplessness.

(Chininum arsenicosum)

Intermittent fever ; chill always in forenoon, not at a regular hour ; sometimes once every day, again every other day ; sometimes paroxysms close with perspiration, sometimes without ; before attack, headache, yawning, and stretching.

Chilliness coming in waves in evening, with restlessness ; goose flesh ; worse on moving hands and feet to a cool place in bed, also on motion, and by thinking of it.

After chilliness, fever toward midnight ; pulse full and strong, with inclination to throw off covers.

No sweat after fever, but weak, broken-up feeling in morning, and no appetite for breakfast.

Violent fever, with great prostration, in diphtheria and malignant scarlatina.

Cold, clammy sweat all over.

(Chininum arsenicosum)

Dry skin ; pallor of skin, with rapid exhaustion.

Periodical furuncula and abscesses, which relieve the head.

(Chininum arsenicosum)

At night ; after midnight ; every day or every other day ; from damp, cold weather.

Therapeutic Range.- (Chininum arsenicosum)

Intermittent fever ; malarial affections ; hemicrania ; headache ; diphtheria ; malignant scarlatina ; occipito-cervica intercostal neuralgia ; scrofulous ophthalmia and keratitis superficialis ; angina maligna ; tuberculosis ; epileptiform spasms ; senile subacute catarrh.

(Chininum arsenicosum)

Hydrogenoid constitution. ( Aran .)

(Chininum arsenicosum)

Apis, Ars., Aran., Chin. sulph., Cinch.

Copyright © Robert Séror 2003

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