Arsenicum Hydrogenisatum

Υδρογόνο αρσενωμένο. AsHs.

Δεν είχαμε provings (δοκιμασίες φαρμάκου) αυτής της πολύ σημαντικής ένωσης μέχρι το 1847, όταν ο C.Hg την παρασκεύασε και την απέδειξε. Αυτό που δίνεται στην Encyclopaedia του Allen είναι τυχαίες δηλητηριάσεις, οι περισσότερες θανατηφόρες. Οι μόνες κλινικές δοκιμές έγιναν από τον Δρ. Drysdale, το 1849, στη θεραπεία της ασιατικής χολέρας.

Εργαζόμενος υπό την εσφαλμένη εντύπωση ότι το Arsenicum ήταν ειδικό στη χολέρα των Ασιατών, και υποθέτοντας ότι θα αποκτούσε κάτι πιο ισχυρό στο αρσενωμένο υδρογόνο, παραβλέψει εντελώς ότι, παρά την αιφνίδια δράση του, δεν θα ταίριαζε σε υποξείες παθήσεις, λόγω της πολύ αργής εκδήλωσης των συμπτωμάτων του. Σχεδόν όλα τα άτομα που δηλητηριάστηκαν ακόμη και με μικρές δόσεις πέθαναν τη δεύτερη εβδομάδα. Το μόνο που ανάρρωσε υπέφερε επί επτά εβδομάδες. Η μόνη πραγματική ίαση που καταγράφεται είναι αυτή που δημοσίευσε ο F.

W. Payne στο New England Medical Gazette.

Η ομοιότητα ορισμένων περιπτώσεων ασιατικής χολέρας με τα συμπτώματα του κοινού αρσενικού είναι, σύμφωνα με τη συμβουλή του Hahnemann προς τον Stapf, το 1811, σχετικά με το Nux vom. και το Ignat., υπερβολικά μεγάλη. Δεν είναι αντίδοτα.

Οι αρχές που παρατίθενται στην Encyclopaedia του Allen είναι: 1. Gehlen, Buchner Tox., 1827· 2, R. Schindler, Grsefe and Walther Journal, Vol. XXVI, No. 4, p. 626· 3, Eisenmenger, Zeit.fur Horn.

Kl., No. 1, p. 103· 4, O'Reilly, Dublin Journal, 1842· 5, Ollivier, Gaz. d. Hop., 1863, στις οποίες προσθέτουμε την περίπτωση του J. E. Bullock, που πέθανε τη 12η ημέρα, στο σπίτι του Δρ.

Beard, (Gmelin, Chemie II, p. 690), και τις αναφορές του Δρ. Richardson στην Καλκούτα, και ορισμένες παρατηρήσεις των Berzelius, Bennecke και άλλων.

Οι δοκιμαστές σημειώνονται ως C.Hg., Hm., N.N., F.K., Rh., Ea. Στην περίπτωση αυτή αποκλίνουμε από τον συνήθη κανόνα μας να παραλείπουμε τα ονόματα των δοκιμαστών από την κατάταξη των συμπτωμάτων (κάτι που θα αύξανε υπερβολικά το μέγεθος του βιβλίου), επειδή τα provings (δοκιμασίες φαρμάκου) του Arsenicum hydrogenisatum δεν έχουν δημοσιευτεί.

Το — σημαίνει ότι το σύμπτωμα αναφέρεται κάπου αλλού.

^ Νους. Σχεδόν αναίσθητος. — R.Sch.

Έχασε τη μνήμη του το βράδυ της 6ης ημέρας. — Br.

Αργότερα μόλις που θυμάται τους παροδικούς πόνους· 1η ημέρα. — C.Hg. Οι πνευματικές του δυνάμεις παραμένουν ανέπαφες από την αρχή. — Br. Μεγάλη διέγερση του νου· τον έκανε να μιλά ασταμάτητα. — R.Sch. Ευερέθιστος· θέλει να μιλά συνεχώς. ^ Κίτρινος πυρετός. Δυνατά παράπονα για ανυπόφορους πόνους στη σπονδυλική στήλη. — Εμποδίζεται να μιλήσει, απαντά πολύ αργά. — Απρόθυμος για δουλειά. — Eisenmenger. Το επάγγελμά του του προκαλεί αηδία. — F.K.

99 ARSENICUM HYDROGENISATUM.

Τεμπέλης και αποφεύγει τη δουλειά του. — C.Hg.

Γεμάτος φροντίδα και φόβο για την πάθησή του όταν ξυπνά τη νύχτα. — F.K.

Φοβάται να μείνει μόνος, νομίζει ότι θα πεθάνει. — F.K.

Ο φόβος του θανάτου εξαφανίζεται την 3η ημέρα, παρότι όλοι γύρω του αμφιβάλλουν για την ανάρρωσή του. — R.Sch.

Άγχος, πιστεύει ότι ο θάνατός του πλησιάζει, και απελπίζεται ότι θα νιώσει καλύτερα (κατά τον εμετό), περισσότερο θάρρος μετά, μέχρι την επόμενη εμετική κρίση (6 ώρες). — R.Sch.

Άγχος, με σφίξιμο στο στήθος. — Χημικοί.

Άγχος, ανησυχία και μεγάλη εξάντληση της δύναμης. — Robertson.

Αγχώδης αίσθηση πριν από το ρίγος. — Αδιάφορος όταν ακούει τα πιο σημαντικά νέα· αποθαρρυμένος, ασταθής, η πνευματική του δραστηριότητα πολύ εξασθενημένη όλη την εβδομάδα. —

Σοπώδης και απάθης· επιπεφυκότα ενεμφορημένη· ούρα κόκκινα και ολιγοουρία· 3η ημέρα. — O'Reilly. Ενοχλείται, ανυπόμονος, αγχωμένος για την πάθησή του και γεμάτος φόβους. — F.K. Όταν σκέφτεται την κεφαλαλγία του την αισθάνεται λιγότερο· 1η ημέρα. — Η σκέψη του νερού τον ερεθίζει, σαν να θα έπρεπε να κάνει εμετό· του προκαλεί ναυτία. — * Αισθητήριο. Ίλιγγος, με πίεση στο στήθος. — Gmelin.

Ίλιγγος, βίαιος, ανεβαίνοντας τις σκάλες, ώστε να παραπατάει στα πλάγια των σκαλοπατιών· δεν παρατηρήθηκε κατεβαίνοντας τις σκάλες, ούτε σε επίπεδο δάπεδο· 3 ώρες. — R.Sch.

Ίλιγγος και γενική αδυναμία. — O'Reilly.

Αμέσως μετά τη δεύτερη εισπνοή, ίλιγγος με λιποθυμία, ακολουθούμενος από ρίγη και μια κένωση από τα έντερα και μια ανώδυνη έκκριση δύο ουγγιών αίματος από την ουρήθρα. — Br.

Ίλιγγος με ναυτία και εμετό. — Αίσθηση κολύμβησης στο κεφάλι και σε όλο το σώμα. — F.K.

Ίλιγγος με κεφαλαλγία. — Μια ζάλη με ταλάντωση και πίεση στους μετωπιαίους κόλπους. — Κεφάλι θαμπό και μουδιασμένο, με πίεση στο μέτωπο. — Βαρύτητα του κεφαλιού. — F.K.

Κατά τη νύχτα πιεστική, ναρκωτική αίσθηση στο κεφάλι, σαν από φορτίο, με αίσθηση σκίσης· αϋπνία όλη τη νύχτα· έβαλε κρύες κομπρέσες χωρίς αποτέλεσμα· ο πόνος μειώθηκε προς το πρωί. — R.Sch.

Ναρκωτική αίσθηση στο κεφάλι, σαν να υπάρχει εκεί ένα φορτίο. — F.W.Payne.

Πάνω από το μέτωπο στα δεξιά, μια ζαλιστική αίσθηση, με εσωτερικό σπασμό, σαν επώδυνο τρέμουλο των μυών· σύντομα μετά, η ίδια αίσθηση στην άνω και κάτω γνάθο, κατεβαίνοντας σε ευθεία γραμμή· αργότερα, το ίδιο στον δεξιό ώμο. — C.Hg.

ARSENICUM HYDROGENISATUM. 100

^ Εσωτερικό κεφάλι. Πίεση στον δεξιό μετωπιαίο κόλπο, σαν με την άκρη ενός μικρού δαχτύλου· αργότερα, το ίδιο στα αριστερά. Πίεση πάνω από τα φρύδια, με μούδιασμα, το απόγευμα F.K.

Βίαιη πιεστική μετωπιαία κεφαλαλγία, επιδείνωση τη νύχτα, και με τόσο υπερβολική αδυναμία, ώστε αναγκάστηκε να μείνει στο κρεβάτι για αρκετές ώρες μετά το φαγητό· 1η και 2η ημέρα Eisenmenger. Βίαιη κεφαλαλγία στο μέτωπο Ollivier.

Πίεση στον δεξιό κρόταφο, με χαλαρότητα στο στομάχι· μετά από δύο ή τρία λεπτά η ίδια αίσθηση στον αριστερό κρόταφο Απρόσκοπτα μια κεφαλαλγία σε δύο λωρίδες, από πίσω προς τα εμπρός, θα ήταν ανυπόφορη αν συνεχιζόταν· > όταν σκέφτεται αυτή C.Hg. Παροδικοί πόνοι στο κεφάλι

Κεφαλαλγία και οδονταλγία, < στη ζεστασιά C.Hg. Πόνος στο δεξιό μέτωπο και στο κεφάλι C.Hg.

Πόνος στο ινίο, < στα δεξιά και όταν βήχει Κεφαλαλγία στο άνω και οπίσιο μέρος του κεφαλιού όταν βήχει Προς το βράδυ κεφαλαλγία στη δεξιά πλευρά, που εκτείνεται κάτω στον λαιμό κοντά στον λάρυγγα F.K.

Πόνος στο μέτωπο με το ρίγος Η κεφαλαλγία αυξήθηκε κατά το ρίγος Eisenmenger. Βίαιος πόνος στο μέτωπο και στο ιερό οστό

Ollivier. Πόνος στο κεφάλι και στο επιγάστριο, ακολουθούμενος από έμετο τροφής Ollivier. Μετά τις 10 μ.μ. κεφαλαλγία αυξανόμενη, πρόσωπο πιο κόκκινο· επιπεφυκότα ενεμφορημένη· σφυγμός ισχυρός· ο λόγος εμποδισμένος, απαντά αργά

Ollivier. Η σκληρά αμετάβλητη, η αραχνοειδής ελαφρώς ενεμφορημένη, και κάτω από αυτή φυσαλίδες αέρα· στην ουσία του εγκεφάλου αναίμακτα σημεία· κανένα νερό στις κοιλότητες Br. * Εξωτερικό κεφάλι. Όλες οι τρίχες στα «νεκρωμένα» μέρη γίνονται χιονόλευκες, και τα λευκά φρύδια σχημάτιζαν μια περίεργη αντίθεση με το σκούρο καφέ πρόσωπο

R.Sch. ® Όραση και μάτια. Όταν αποκοιμιέται και πάλι όταν ξυπνά τη νύχτα, ένα μπλε φως μπροστά από το δεξί μάτι F.K. Σαν ένα νήμα που επιπλέει κάτω μπροστά από το δεξί μάτι· αργότερα, θολούρα

F.K. Μάτια κίτρινα, βαθιά βυθισμένα, με πλατιές μπλε περιοχές Sch. Μάτια βυθισμένα, χωρίς λάμψη· επιπεφυκότα του βολβού κόκκινη

Eisenmenger. Επιπεφυκότα κοκκινισμένη· με το ρίγος· το βράδυ· πάλι την 3η ημέρα Βαρύτητα των βλεφάρων, πρέπει να σηκώνονται με τα δάχτυλα Rh.

Νεκρωτική αίσθηση στην περιοχή των φρυδιών, τα φρύδια γίνονται χιονόλευκα, σχηματίζοντας περίεργη αντίθεση με το σκούρο χρωματισμένο πρόσωπο R.Sch.

101 ARSENICUM HYDROGENISATUM.

^ Όσφρηση και μύτη. Γαργάλησμα ψηλά στη μύτη, δεξιά πλευρά, προκαλεί φτέρνισμα. Βλ. 15.

Απερίγραπτη αίσθηση ψηλά στη μύτη. — N.N.

Δυσάρεστη σέρνουσα αίσθηση στη μύτη προκαλεί φτέρνισμα. — R.Sch.

Βίαιο φτέρνισμα, και τέτοια ψύχρα της μύτης ώστε πρέπει να τυλιχτεί με ζεστά ρούχα. — R.Sch.

Μύτη σαν νεκρωμένη. — R.Sch.

Η μύτη αισθάνεται σαν να έχει στεγνώσει. — F.K.

Αιματηρή βλέννα βγαίνει από τη μύτη. — F.K.

Μύτη κάπως επώδυνη, με το ρίγος. — Μύτη και χείλη κάπως εκδοραμένα. — Eisenmenger. " Πρόσωπο. Τα κίτρινα μάτια βαθιά βυθισμένα, με πλατιές μπλε περιοχές. Πονοδυσμορφημένα χαρακτηριστικά. — Sch.

Το πρόσωπο, που άλλαξε μέσα σε λίγες ώρες σε σκούρο καφέ, ήταν την 5η ημέρα ακόμα σκούρο κίτρινο, και τα χαρακτηριστικά παραμορφωμένα σαν από μεγάλο εσωτερικό πόνο. —

Το πρόσωπο χαλκόχρωμο, ή σκούρο κόκκινο, το σώμα πρασινοκίτρινο. — Br.

Κιτρινισμένο πρόσωπο στην αρχή του ρίγους. — Πρόσωπο χλωμό, χείλη αποχρωματισμένα, μόλις που μπορεί να περπατήσει· σε 3 ώρες. — Ollivier.

Πρόσωπο χωματένιο, θαμπό, ηλίθια χαρακτηριστικά· δέρμα ξηρό· σφυγμός 107· βίαιη δίψα, με ξηρή γλώσσα· 2η ημέρα. — Ollivier.

Αλλαγμένο, άρρωστο πρόσωπο, βυθισμένο, μάγουλα κιτρινισμένα· 5η έως 7η ημέρα. — F.K.

Φαίνεται ταραγμένος και χλωμός. — C.Hg.

Το πρόσωπο φαίνεται γερασμένο, και φέρει έκφραση πόνου. — F.W.Payne.

Στο πρόσωπο αίσθηση ψύχους, ακολουθούμενη από μια φλόγωση. —

Θερμότητα στο πρόσωπο. — Bennecke.

Πρόσωπο κόκκινο το βράδυ. —

Ιδρώτας σε μεγάλες σταγόνες στο πρόσωπο και σε όλο το κεφάλι. —

Πρόσωπο οιδηματώδες· 5η έως 7η ημέρα· επιδείνωση το βράδυ. — Br.

Πρόσωπο πολύ αλλαγμένο. ^ Κίτρινος πυρετός.

■ Η όψη φέρει έκφραση ακραίου άγχους, d Κατάρρευση της χολέρας. ^ Κάτω μέρος προσώπου. Στην άνω και κάτω γνάθο ένας πολύ επώδυνος σπασμός· ο πόνος πηγαίνει από πάνω προς τα κάτω σε ευθεία γραμμή. — C.Hg.

Πόνος στις γναθιαίες αρθρώσεις, όταν ανοίγει πρώτα το στόμα, όταν πιέζεται με το δάχτυλο, όταν βγάζει τη γλώσσα. — F.K.

Χείλη ασώματα. — Ollivier.

Άνω χείλος επώδυνο, με το ρίγος. — Χείλη και γλώσσα αιθαλώδεις, επιλεπτυσμένες· 5η ημέρα. — Ollivier. ^° Δόντια και ούλα. Οδονταλγία < στη ζεστασιά. —

Επώδυνα αιμορραγούντα ούλα γύρω από την υπόλοιπη ρίζα του δεξιού άνω τομέα. — C.Hg.

ARSENICUM HYDROGENISATUM. 102

^^ Γεύση, ομιλία, γλώσσα. Γεύση πικρή. — Eisenmenger και O'Reilly.

Πικρή γεύση στο στόμα μετά από 4 ώρες εμετό, με μεγάλη εξάντληση. — Br.

Όλα τα γλυκά έχουν πολύ γλυκιά γεύση. — F.K.

Μια ιδιαίτερη απερίγραπτη γεύση στο στόμα. — C.Hg.

Μια πολύ δυσάρεστη κολλώδης επίγευση, που διαρκεί ώρες μετά το φαγητό, όλη την εβδομάδα. — C.Hg.

Μια συσπαστική αίσθηση μουδιάσματος, σαν κρύα αίσθηση, στο μισό μπροστινό μέρος της γλώσσας, δεξιά πλευρά, με σύναξη σάλιου στο στόμα· αδυναμία στην κοιλιά και σφιξίματα· 1η ημέρα. — C.Hg.

Κεντρίσματα στην άκρη της γλώσσας και γαργάλημα στη μύτη, άνω μέρος, δεξιά πλευρά, που προκαλεί φτέρνισμα· 1η ημέρα, βράδυ. — C.Hg.

Γλώσσα βλεννώδης, τα βράδια. —

Γλώσσα κίτρινη. — Eisenmenger.

Κιτρινισμένη, επιλεπτυσμένη γλώσσα, με το ρίγος. —

Γλώσσα: γαλαζόλευκη, λεπτά επιλεπτυσμένη· βλεννώδης γεύση, καμία όρεξη· αργότερα, γκριζόλευκη, επιδείνωση στο οπίσιο μέρος της γλώσσας· ακόμα αργότερα, γλώσσα λευκή και μαλακή. — F.K.

Γλώσσα αιθαλώδης, επιλεπτυσμένη. Βλ. 9.

Γλώσσα κάπως μεγεθυμένη, στα δεξιά ένα βαθύ ακανόνιστο έλκος· την επόμενη ημέρα ένα δεύτερο οζώδες πρήξιμο πιο σκούρου χρώματος που καταλήγει σε κορυφή. — Br.

Γλώσσα ξηρή, με βίαιη δίψα. ^^ Εσωτερικό στόμα. Στόμα καυτό και ξηρό, με πολύ λίγη δίψα· κατά τη θερμότητα.

Σύναξη σάλιου στο στόμα. Βλ. 11. ^^ Ουρανίσκος και λαιμός. Κάψιμο και σφίξιμο στον λαιμό, ακολουθούμενα από ευερεθιστότητα του στομαχιού. — Robertson. ^* Όρεξη, δίψα, επιθυμίες, αποστροφές. Λιγότερη όρεξη λόγω της βλεννώδους γεύσης στο στόμα· τρώει χωρίς όρεξη. — F.K.

Καμία όρεξη το βράδυ, γλώσσα βλεννώδης. —

Πολύ λίγη όρεξη όλη τη δεύτερη εβδομάδα. —

Όρεξη πολύ κακή. — Eisenmenger.

Απώλεια όρεξης. — F.W.Payne.

Πείνα το πρώτο βράδυ. — C.Hg.

Βίαιη δίψα σε 3 ώρες. — Ollivier.

Βίαιη δίψα και ξηρή γλώσσα. —

Πολλή δίψα τη 2η ημέρα, ήπιε χυλό από βρώμη, γάλα και βλεννώδη ροφήματα σε μεγάλες ποσότητες. — Sch.

Μεγάλη δίψα την 5η ημέρα, λιγότερη την επόμενη νύχτα. — Br.

Δίψα με τον απογευματινό πυρετό.

Πολύ λίγη δίψα με τη θερμότητα του πυρετού.

Πιο ευαίσθητος στον καπνό· 1η ημέρα. — C.Hg.

Κάπνισμα χωρίς όρεξη· 8η ημέρα. — F.K. ^^ Φαγητό και πόσιμο. Μετά το φαγητό, μετωπιαία κεφαλαλγία. —

103 ARSENICUM HYDROGENISATUM.

Λίγες ώρες μετά το δείπνο αναγκάστηκε να ξαπλώσει στο κρεβάτι λόγω κεφαλαλγίας και αδυναμίας. —

■ Συνεχείς προσπάθειες εμετού και έμετος μετά τη λήψη του ελάχιστου φαγητού ή ποτού. ^ Κίτρινος πυρετός. ^® Λόξιγκας, ρέψιμο, ναυτία και έμετος. Ρέψιμο, με τη γεύση της φαγωμένης τροφής· βλεννώδης γλώσσα και καμία όρεξη τα βράδια· κάπνισμα άγευστο. — F.K.

Ερεθισμοί. — Eisenmenger.

Σπασμωδικά ρεψίματα τεράστιων ποσοτήτων άγευστου αερίου από το στομάχι, χωρίς ανακούφιση του πόνου στην κοιλιά, που τον κάνει να βογκάει επί έξι ώρες. — Sch.

■ Αδιάκοπο ρέψιμο, σπασμωδικά, μεγάλης ποσότητας άγευστου αέρα, με μεγάλο πόνο στην κοιλιά, d Κίτρινος πυρετός.

Κατά τα σπασμωδικά ρεψίματα χωρίς καμία διακοπή, μια απίστευτα μεγάλη ποσότητα άγευστου αέρα αποβάλλεται από το στομάχι χωρίς να ανακουφίζει τον πόνο στην κοιλιά. — El. Sch.

Λόξιγκας που ακολουθεί τα ρεψίματα· 3η ημέρα. — R.Sch.

Ενοχλητικός λόξιγκας την 1η νύχτα, επανέρχεται την 3η ημέρα. — Br.

Βασανιστικός λόξιγκας, με υπερευαίσθητο επιγάστριο. — Br.

1 Πολύ ενοχλητικός και προβληματικός λόξιγκας, d Κίτρινος πυρετός.

Ναυτία. — Berzelius.

Ναυτία και έμετος, με ίλιγγο και σφίξιμο στο στήθος. — ■ Ναυτία. ^ Κίτρινος πυρετός.

Παραπονιέται για ναυτία και πληρότητα στο επιγάστριο· 6η ημέρα. — Br. Αδιάκοπες προσπάθειες εμετού και έμετος. — Gehlen. Προσπάθειες εμετού και έμετος ακόμη και μετά από μια μόνο γουλιά, ακόμη και λίγο νερό ακολουθείται από επιστροφή των πιο επώδυνων προσπαθειών εμετού και εμετού. — Gehlen. Εμετεί ό,τι έπαιρνε στο στομάχι. — Gehlen. ' Βίαιος έμετος, δεν μπορούσε να κρατήσει το παραμικρό. — O'Reilly. Ollivier. Έμετος πράσινης, πικρής βλέννας με τον κολικό. — Sch.

■ Έμετος βλεννώδους, κίτρινου, πράσινου και πικρού υγρού, d Κίτρινος

Copious green vomiting, commencing in evening of 1st day and lasting all night ; every hour between the time a soporous state ; on the 2d day greenish vomiting every two hours, lessening the 3d and 4th day. — Br.

Vomits large masses. — Br.

Before midnight twice vomiting, with bellyache and the great- est anxiety. — R.Sch.

With pressure in stomach : very little appetite ; bitter taste ; belching ; nausea and obstinate constipation. — Eisenmenger.

ARSENICUM HYDROGENISATUM. 104

With the dead feeling in the 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. —

Pain in epigastrium and vomiting of food, —

Very sensitive epigastrium and tormenting hiccough ; 2d day. —Br.

Pressure in epigastric region during chill. — Eisenmenger,

Pressure of hand causes dull pain in epigastrium. — O'Reilly.

Liver was congested, without alteration of the cells. — Ollivier.

Liver deep indigo blue, not enlarged, gall bladder full to burst- ing.— Br.

Pressing pain below the diaphragm, on the left side of abdo- men ; 1st day. — C.Hg.

Violent cutting in region of navel, at intervals. — R.Sch.

Colic with vomiting, before midnight.

Pains in various parts of abdomen, worse left side, followed by great weakness, most in lower limbs; 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 stone ; 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 the whole alimentary canal. — Robertson.

I Abdomen burning, outside; cold feet. ^Yellow fever.

A gurgling noise in left side of abdomen from incarcerated flatus, causing colicky pain, threatening to become severe ; he has to lie on the belly, or bent together, and wants to be well covered; very sensitive to the cold; morning, 3 a.m.; 2d day. —C.Hg.

Distension of abdomen during chills. — Eisenmenger.

Gaseous distension of abdomen. Post mortem. — ^Br.

Integuments of abdomen look greenish, most on the sides. — Br.

Violent itching below the last rib on the extreme left ; 3d day. -C.Hg ^^ Rectum and Stool. Weak sensation, as if relaxed, and as if

105 ARSENICUM HYDROGENISATUM.

diarrhoea followed, the whole would fall out; evening, 1st

Hg. Copious passage of wind and looseness ; after Magn. sulpli. did

evacuation of half a pound of red urine, containing real

blood corpuscles ; 1st day.' — Ollivier. The first morning stool on the 10th day, full of holes like

■ 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 the anus; forenoon, 2d day. — C.Hg.

Frequent flying pains in perineum, to the anus, or, upwards in the anterior wall of rectum ; 1st week. — C.Hg. ^^ Urinary Organs. Unpleasant sensation of pressure in region of kidneys, rapidly increasing, extending over the back to between the shoulders, not violent until night ; it continued without interruption, and increasing, with urging to urinate ; the urine is dark-red, and a thick coagulum of pure blood is formed ; next day the color the same, but no coagulum, pain in kidneys equally violent ; the 3d day the pain less violent ; color more bright, still bloody ; the same the 4th day ; on the 6th day without bloody color. — R.Sch.

■ Pressure in the kidneys, extending to shoulder-blades, with

pain in region of kidneys during desire to urinate, d Yellow fever.

Kidneys enlarged, with very marked injection, most in the tu- bular substance ; the cells of both substances granulated. — Ollivier.

Kidneys deep indigo -blue through the whole substance, the left enlarged similar to the spleen, the right smaller. — Br.

Scanty, foaming urine in the morning, depositing a sediment ; 2d day.— C.Hg.

* Called " obstinate" by the Old School, which is transferring a quality of their own mind to the colon.

ARSENICUM HYDROGENISATUM. 106

From 1st to 8th day less urine ; on the 9th more, but brown,

coagulum resembling that which we obtain from boiling blood,

I Urine dark, blackish-red, with pure blood. ^ Yellow fever. ■ Discharge at times of large quantities of pale urine. — F.W.

Payne. ^^ Male Sexual Organs. Sexual irritation on the glans penis,

almost irresistible with the morning erection ; 2d day ; it

continues after rising and passing water ; all first week. —

Deep in pelvis when crouching down, an unbearable sensation of numbness, with a waving as if it would break, then a hor- rible feeling, but of short duration; ibrenoon, 11th day. — C.

A pain in symphysis pubis, no redness there, but it is exceed- ingly sensitive to the touch, also when coughing or bending forward; 16th day. — F.K.

Violent pricking pain on a small spot over the right groin, of- ten repeated, like a throbbing; 1st day. — C.Hg.

Unbearable pain in both groins, exactly where the spermatic cords emerge, as if everything would fall or slip out there ; exceedingly sensitive in standing ; > when sitting ; still

107 ARSENICUM HYDROGEOTSATUM.

more when pressing on it with both hands ; afternoon, 10th day ; the same feeling returns on the 12th day at 2 p.m. — C.Hg.

Pain in the left side of penis; 1st day. — C.Hg.

Whispering voice. — O'Reilly.

The voice remains whispering and gets very weak in the even- ing.— Br.

Voice has lost its timbre, sounds as if broken, but not hoarse ; 5th day.— F.K.

Pain near the larynx when speaking, right side; 8th day. — F.K.

A drawing sensation from head toward larynx, right side.

With a slight hemming or hawking he raises with great ease a soft, round and smooth lump of phlegm the size of a filbert, when awaking at 3 A.M.; 2d day. — C-Hg.

Rapid breathing.

Constriction of chest : with the nausea ; with the chill.

Want of breath ; gasping for air.

Breathing relieved after Sinapism and Amm. aeet.; after three or four hours. — Ollivier.

When he coughs in the evening headache in upper and back part of head; 6th day. — F.K.

A little cough very often, without inner irritation, as from a pressure over the chest ; after eating ice cream, at first better (also the whole chest), but afterwards worse ; 6th day. — F.K.

Cough increases from 9 to 10 a.m., most while conversing in the room ; 7th day. — F.K.

In the evening the cough comes now from the depths of the chest, is looser; sputa relieved; 7th day. — F.K.

Cough comes from the front upper part of chest ; 9th day. — F.K.

Sweats when coughing; 11th day. — F.K.

A sensation as if the whole thorax was laced tightly, with rapid breathing, without cough or rattling of phlegm ; after three hours. — Ollivier.

ARSENICUM HYDROGENISATUM. 108

A painful pressure in upper part of chest, where it commences to become sore to pressure, disappears when perspiring; 7th day.— F.K.

Pressure over whole chest, with great anxiety ; 7 th day ; the pressure is lessened by gaping ; 9th day. — F.K.

Pain in chest is gone in the morning, returns towards 11 A.M.; 11th day.— F.K.

Pressure over the chest produces a slight cough. —

Pain across chest, like a beating deep in right side, near the middle, drawing towards the left. — R.H.

A glowing sensation in chest after the chilly feeling. —

Back part of lungs are congested; 2d day. — Ollivier.

Lungs collapsed, containing very little air, otherwise normal. —Br.

In the cavities of the pleura two pints of reddish-brown, odor- less fluid. — Br.

^^ Heart, Pulse and Circulation. A cutting pain near the last

left ribs. A knocking, thumping pain in heart, deep in chest, extends

—F.K. Pulse intermits when awaking in the night, with anxiety and

tensive, as if turned or twisted ; some beats retarded for

more than a second, followed by a few quicker beats ; 8th

limping till 1 P.M., and softer; 3 p.m., limping again and

intermitting; changing from quicker to slower. — F.K.

109 ARSENICUM HYDROGENISATUM.

Pulse 76 in the morning; at 11 a.m., 84 to 88; 11th day. — F.K.

Pulse more frequent after the meal at noon ; 14th day. — F.K.

Pulse very frequent and small with the chill. —

Pulse 110 after Siniapism and Ammon. acet. — Ollivier.

Pulse 90, but weak, after four hours ; small, 92, lessened temperature of skin next day ; 80, strong, with sensitive epigastrium, 2d day ; 76, and painless epigastrium ; later, same day ; 76, Sd day ; 80, 5th day ; same, 6th day ; 102 in the morning, 7th day ; 76 at noon ; later, 80 ; death next morning. — Br.

The breathing very frequent, and the pulse imperceptible be- fore death. —

Pulse imperceptible after increased respiration ; becoming un- conscious ; evening 5th day, death. — Ollivier.

Complete cessation of pulse. — R.Sch.

Pain in chest, in the bones and intercostal muscles ; at the same time pain in arm.

Want of breath, and gasping for air. — Ea.

In left side of chest, near the nipple, as if raw and sore, with the pressive pain ; 4th day. — F.K.

The pain in chest is concentrated in the left side, above the nipple; 9th day. — F.K.

A pressure over the chest, a few inches below the upper end of breast-bone, with a pressure on the breast-bone ; 6th day. — F.K.

Sore, raw feeling over the whole chest; 8th day. — F.K.

Chest hurts when coughing, breathing, and when pressed ; 8th day.— F.K.

Feverish in the neck, forenoon ; 13th day. — F.K.

aPain as if something was sticking below the right shoulder- blade ; increased at first, and disappeared after three hours sleep. — C.Hg.

Backache like on the first days, returned towards evening on the 7th day, not so violent, but much harder to bear; in- creased next evening and in the night, causing loud lamenta-

ARSENICUM HYDROGENISATUM. 110

tions ; sitting relieves it a little, but he is too weak to sit long ; relieved towards evening of 9tli day by application of cloths dipped in warm milk. — R.Sch.

Crawlino; over the shoulders and back. —

A glow in the back after chilliness. —

Shuddering over single parts of back. —

Pain in region of kidneys became exceedingly severe, with urg- ing to urinate. — Sch.

An unpleasant pressive feeling in region of kidney, which rapidly increased and spread up the back to between shoul- ders ; after four hours. — Sch.

Pressure between the shoulders. — R.Sch.

Very violent pain in lumbar region. — Ollivier. '

Slight pain in lumbar region. — O'Reilly.

Some pains in the loins when the "falling asleep" of the limbs passed away. — Br.

Pain in loins with vomiting. — Br.

Behind and above the right hip, on a small spot near the spine, a very great pain ; increased in walking ; has to sit down. — C.Hg.

Backache in small of back, as after having taken cold ; even- ing, 2d day.— F.K.

Violent pains in sacrum, after three hours.

Pain from the tip of shoulder down towards the point of elbow ; 9th day.— F.K.

Painful twitching in the shoulders.

A warm, almost burning cut, like with a small knife, in right upper arm, from near the shoulder down towards the elbow ; soon after inhalation. — F.K.

Flying stitches in the arms. — R.Sch.

Tearing pain and stitches in upper limbs, during chill. — Eisen- menger.

In the elbows and upper arms the same pain as in the knee. — R.Sch.

Earning pain in both elbows, more in the right ; 9th day. — F.K.

Pains in elbows and upper arms ; in five hours. — Sch.

Feeling of deadness of hands extending to middle of forearms. —R.Sch.

Arms and hands very tired, as if burning.

Flying pains in right hand and fingers ; 2d day. — C.Hg.

Swollen veins on the hands; 7th day. — F.K.

Ill ARSENICUM HYDROGENISATUM.

Middle finger, left and inner side, and second joint red and swollen ; the 14tli day ; gone the 15th day. — F.K.

Pimple on the nates, impedes walking; 15th day. — F.K.

Quivering in left thigh, inner side, towards the front, in a short line, evening, till night ; 9th day ; again on the 10th day, in the afternoon. — F.K.

Pain on inner side of both thighs, most right side, whence it extends to near the anus ; 12th day. — F.K.

Pain on inner side of both thighs, mostly towards the os pelvis : 15th day.— F.K.

Violent itching on left thigh, on the inner side, a few inches above the knee ; 7th day. — CHg.

After getting up, when placing his legs higher than the body, a violent pain above the left knee ; soreness in the muscles or tendons, under the skin ; gets better when moving about ; evening, 1st day ; the next day it still pains, but more be- low the knee, with a lame feeling when kneeling ; his limbs break down when going up stairs; noon, 2d day. — CHg.

Above the right patella a pain on pressure, also in the bend of the knee ; increases after lying still a good while ; evening. 16th day.— F.K. ^

On getting up and beginning to move, after lying especially in a somewhat fatiguing position, a pain in left I: nee, as if it was inwardly crushed, but not in the bones ; it increases to a kind of burning, and only disappears after continuing to move ; 8th to 10th day. — C.Hg.

Rheumatic, gouty, tearing pain in knee-joints. — R.Sch.

Pains in the knees during the chill. — R.Sch.

Pain in hollow of left knee, when rising from a seat, and in the beginning of walking ; 3d day. — F.K.

In the bones of the leg below the right knee, a throbbing pain, drawing downwards. —

Pains in lower limbs, especially right side, lasting two hours. — Br.

Flying stitches in lower limbs. — R.Sch.

Pain in lower limbs, more in the right. — O'Reilly.

Flying, cutting pains in left leg, from the shin to the ankle ; at same time on the last left ribs; 2d day — CHg.

ARSENICUM HYDROGENISATUM. 112

Lower limbs become rigid later than the arms. — Br.

Feet get numb, as if dead, up to the knees. — R.Sch.

Weakness, most in the lower limbs. — Z.

Left foot hurts again when ri^'ing, most towards the external margin ; 12th day. — F.K.

Feet, usually colder than the rest of the body, are now warmer ; 3d day.— F.K.

Sweat all over, but not on the right foot. — F.K.

Pain in right heel. —

Flying pains in the feet. —

Pain in left foot-joint when walking ; 3d day. — F.K.

The left foot-joint he cannot move, even when lying in bed; «th day.— F.K.

Can not move the foot, and is unable to get up ; 9th day. — F.K.

Great pain in left foot, from one ankle-bone to the other, pass- ing across above the joint, worst on a small spot of the dor- sum of the foot ; a red-yellow streak on the top of the foot, near the toes ; from the fourth to the second toe ; the pain is awful, turns him pale ; most painful in the moving of the foot-joint ; 1st day. — F.K.

A red streak on the ankle-joint, where the pain was day be- fore ; 11th day.— F.K.

In left foot, most on the sole, pains prevent stepping on it ; worse in motion, less in bed; pains in the middle, as if con- tracted lengthways ; when stepping on it a painful stretch ; 3d day ; much worse the 4th. — F.K.

Pains in left sole, foot and knee, increase in the evening ; 6th day. — F.K.

Pain from the sole towards the middle toe ; very much worse when the first toe-joints are bent ; 8th day. — F.K.

Tickling in hollow of left foot; 10th day. — F.K.

Pain on pressure of balls of toes, sore and thrilling, most ball of middle toe ; the pain extends along all the toes ; 8th day. —F.K.

With every attempt to step on the feet all the toes hurt, as if in the tendons, up to the foot-joint ; 8th day. — F.K.

The once chilblained ball of the right big toe gets more pain- ful ; 16th day.— F.K.

Thumping pain in right big toe increasing in warmth. — C.Hg.

The left middle toe is exceedingly painful when touched, most underneath, on the ball and in the first joint, and from there to the big toe and inside the ankle ; 8th day. — F.K.

Sensation as if a splinter lodged under the nail of the left mid- dle toe; 9th to 10th day.— F.K.

113 ARSENICUM HYDROGENISATUM.

Very sensitive, gouty, tearing pains iu upper arms, elbows and knee-joints. — Br.

Stitches in arms and feet. — R.Sch.

Weakness in limbs. — Bennecke.

Arms get cold and stiff first, then lower limbs. — Br.

I Coldness of limbs. — F.W.Payne.

Very little inclined to do any work. — Eisenmenger.

Difficult walking. —

Walking up stairs, vertigo. —

Motion difficult. — Ollivier.

While walking, chilly. —

All pains increase during motion ; in rest they also first in- crease, but get better afterwards. — F.K.

Weak even when sitting. — C.Hg.

Such a yeakness that he cannot sit ; on the 3d day able to do a few steps ; still very weak 7th day ; somewhat better 10th day and following.^ — R.Sch.

Getting up he feels so weak and chilly that he is obliged to lie down again ; evening, 8th day. — F.K.

Such a sensation of weakness with the headache and vertigo, that he has to lie down ; 3d day. —

The greatest bodily restlessness ; 5th day. — Br.

Prostration with anxiety; vertigo, nausea, and troublesome costiveness. — Berzelius.

Suddenly after the inhalation he feels himself poisoned ; an in- describable exhaustion and nausea overwhelms him ; hardly able to take the few steps to reach the next room ; incessant retching and vomiting followed, he could not take any medi- cine, gruel or soup, nor a swallow of water without a painful return of retching and vomiting ; even thinking of water ex- cited the vomiting ; death on the 9th day. — Gehlen.

Sensation of deadness from hands upwards to the middle of

VOL. II, — 8.

ARSENICUM HYDROGENTSATUM. 114

forearm, and the feet to the knees, then the nose and the re- gion of eyebrows, with cessation of pulse ; every sign of life ceased in these parts, but the ability to move them re- mained; after five hours. — R.Sch.

Heat in the face ; weakness in all the limbs ; disposed to faint and tremble, soon passirjg oif, but leaving a sensation of weakness and exhaustion ; immediately after inhalation. — Vogel.

The whole nervous system was immediately affected, and ulti- mately his lungs ; died in ten days. — Bullock ; 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 the continual vomiting. — Br.

Great weakness, most in the lower limbs. —

Unusual weakness in the evening, as weak as a rag, ready to drop ; 1st day. — C Hg.

Weakness and crawls. — Br.

Weariness and exhaustion with the chill. —

Arms become torpid and stiff first, afterwards the lower limbs, with crawling sensation, lasting two hours, soon after inhala- tion.^Br.

Now and then a very peculiar weakness, and during it all pains cease ; 1st and following days. — C.Hg.

Weakness without any pain ; 2d day. — Br.

After dinner weakness and no pains all afternoon ^nd evening ; 2d day.— C.Hg.

He feels as if he was recovering from a very long sickness, a pleasant sensation; 11th day. — F.K.

So drowsy that he can hardly open his eyes. — Rh.

Drowsiness from 5th to 7th day. —

Sopor between the attacks of vomiting. — Br.

Very pleasant, poetical dreams. — C.Hg.

Dreams as if he was praying in a public meeting, with great applause; 7th day. — F.K.

Dreams towards morning from people going and arriving; 7th day.— F.K.

Moaning in sleep ; 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 mic'- night; 7th day. — F.K.

115 ARSENICUM HYDROGENISATUM.

Frequent starting while falling asleep. —

As soon as lie falls asleep he perspires; 15th day. — F.K.

Restless night, from 5th to 6th day. — Br.

Restless sleep, till after midnight. —

Wakens every hour, always before the clock strikes; from 9th

Getting awake in the morning, weak and depressed. — On awaking : weak, etc. —

—F.K. Afternoon, 3 o'clock : headaches increase chills and fever every

—F.K. ^^ Temperature and Weather, After drinking cold water ;

later, after warm drinks, he could bring on a copious sweat.

■ General chilliness on slight exposure, or change of tempera-

ARSENICUM HYDROGENISATUM. 116

After faintiness, giddiness and shuddering. — Br.

Chilliness over the whole body ; after four hours. — Sch.

Chilliness became very violent on undressing, at 10 P.M.; after five hours. — Sch.

Cold limbs with heat in abdomen. — R.Sch.

Nose cold, had to wrap it in hot cloths. — R.Sch.

Chilly while walking. — Eisenmenger.

With the attempt at rising he feels chilly, from weakness ; 8th day.— F.K.

Attacks of shuddering or creeps in the evening, short, violent and only on parts of the back ; the 1st day. — C.Hg,

Evening frequent creeps, with coldness running down the body ; glowing heat about the chest, back and face ; later, general sweat, only not on the right foot, continues all night, large drops run over his face and down the head ; with it the pulse limping; 8th day. — F.K.

During chill : headache ; pressure in epigastric region ; disten- sion of abdomen; oppression of chest; tearing in neck; tear- ing in upper limbs. —

With the pressing pain from region of kidneys up to region be- tween shoulders, a chill over the whole body, with gouty tearing pains in the knee-joints and cold limbs ; four hours after inhalation ; half an hour later, when undressing, the chill was more violent than any he ever had ; pains in the knees, upper arms and elbows, increasing to great violence after the chill; five hours after inhalation. — R.Sch.

Severe chill on the 3d day, 3 p.m., time when headache was usually worse, beginning with yawning, discomfort, anxiety and chilliness, accompanied by oppression of chest, pain in neck, drawing in upper limbs ; increased frontal headache ; after a two hours chill: moderate heat, lasting till 8 P.M., with a hot, dry mouth, but little thirst ; after the heat : very slight sweat, during which he falls asleep ; at first frequent startings, during the unrefreshing sleep ; after midnight quiet. — Eisenmenger.

In the afternoon, 3 o'clock, when the headache had been the worst, on 1st and 2d day, on the 3d day he has gaping, ma- laise, anxiety and chilliness, gradually growing into strong chill with constriction of chest, pain in the neck, drawing in upper limbs, and pain in forehead; after the chill had lasted two hours a moderate heat followed, lasting until 8 P.M.; mouth hot and dry ; moderate thirst ; after the heat some sweat ; he falls asleep, but starts often ; after midnight quiet sleep, but on waking, weary, and as if beaten ; 3d day. — Eisenmenger.

After the great chill and the fever on 3d day, only chilly on the 4th, and on the 5th strong again, till on the 3d and henceforth, every afternoon at 3 o'clock. —

117 ARSENICUM HYDROGENISATUM.

With the beginning of the chill at 3 p.m.: sallow, yellowish face; eyes sunken, listless, the conjunctiva reddened; nose and upper lip excoriated ; tongue furred, yellow ; pulse fre- quent and small, at the same time increased headache ; con- striction of chest ; tearing pain in nape of neck and upper limbs ; pressure in region of tonsils ; distension of abdomen ; great weariness and weakness. —

Evening, 5 o'clock : fever-heat; half-past seven o'clock : sweat, followed by sleep ; 7th day. — Eisenmenger.

A slight fever paroxysm on the 2d day. — Eisenmenger.

Fever commenced at 12 noon : pulse up to 90 ; did not affect the head ; thirst in the afternoon ; sensitive to the cold weather; after supper the pulse rose from 90 to 120 ; 6th day.— F.K.

After writing awhile flying heat up towards the head ; pulse about 120 ; every 50 to 60 beats one omits, gradually oftener, in the evening every 5th to 6th beat, sometimes every 3d ; 7th day. — F.K.

In the morning when attempting to step down, heat ; in the evening cold feeling ; 10th day. — F.K.

Slight fever, with great weakness ; 5th day. — Br.

Glowing heat in abdomen and cold limbs all night, with pain in kidneys and urinating blood. — R.Sch.

I Much heat and burning in different parts of the body, particu- larly over the renal region. — F.W.Payne.

General warm sweat after midnight, with a soft pulse, 80 to the minute, omitting 3, 4 times ; 7th day. — F.K.

Attacks of night sweat ; from 7th to 8th day ; continually in the morning hours. — F.K.

Night-sweats ; 13th day. — F.K.

Night-sweat in short attacks ; 5th day. — F.K.

General warm sweat in the night, in large drops. —

Sweat relieves deadness in the limbs. —

On the 7th and 8th day a renewed appearance of many former symptoms and new symptoms, and a higher development of the morbid medical affection. —

Pains return ; typical headache ; after a slight improvement on the 4th day, worse on the 5th, when urination completely ceased. — Ollivier.

I Typhus tertianus postponens. —

ARSENICUM HYDROGENISATUM. 118

*^ Sensations. As if all had changed to stone in abdomen.

As if something would break in pelvis.

As if something was sticking below right shoulder-blade.

Pain in back, as after having taken cold.

A pain in left knee, as if inwardly crushed.

As if beaten ; in bend of left knee.

As if a splinter had lodged under toe-nail.

Cutting: in region of stomach and below it; in region of na- vel ; near last left ribs ; burning in right upper arm ; in left leg.

Stitches : In arms and feet.

Stitches : flying through limbs.

Pricking : on top of tongue ; in right groin.

Burning : in throat ; in stomach ; through whole alimentary canal ; outside of abdomen ; in left knee ; in bend of left knee.

Pinching : in abdomen.

Colicky pain : in left side of abdomen.

Tearing : in head ; in neck ; in upper limbs ; in knee-joints.

Drawing: from head toward larynx, right side.

Aching : spot on right acromion.

Rawness : in left chest ; over whole chest.

Pressure : in frontal sinuses ; in forehead ; above the eye- brows ; in temples ; in stomach ; in epigastric region ; in abdomen ; below diaphragm ; on left side of abdomen ; in region of kidneys ; between the shoulders ; above breast- bone ; in upper chest ; over whole chest ; in left chest.

Beating : in right chest.

Thumping: in perineum ; pain in heart; on a small spot behind right hip-bone ; in right big toe.

Throbbing pain : below right knee ; in bones of left upper arm.

Thrilling sore pain in balls of toes when pressed.

Flying pains : in perineum ; upwards, in rectum ; in arms, hands and fingers ; in feet.

Rheumatic pain : over breast-bone ; in knee-joints.

Laming pain : in elbows.

Cold pain : in bend of left knee.

Undefined pain : in head ; in right forehead and head ; in oc- ciput; in upper and back part of head, wheji coughing; in maxillary joints ; in loins ; in epigastrium ; in various parts of abdomen ; in symphysis pubis ; in groins ; in left side of penis ; near larynx, when speaking ; in perineum, when coughing ; in middle of sternum ; in intercostal muscles and bones of chest ; in lumbar region ; in loins ; behind and above right hip ; in sacrum, from top of shoulder to point of elbow; in elbows and arms; on inner side of thighs; in knees; in hollow of left knee ; in lower limbs ; in right heel; in left foot-joint; in sole of left foot.

119 ARSENICUM HYDROGENISATUM.

middle finger, around a blister ; on left thigh. Heat : in face ; in mouth ; in abdomen ; in chest ; in back ;

in feet. Weariness : in stomach.

Weakness : in abdomen ; in rectum, as if relaxed ; in limbs. Stifi"ness : in neck ; between shoulders.

ARSENICUM HYDROGENISATUM. 120

All the hair over the "deadened" parts become snowy white,

hearty before, suffered the whole Fall and Winter ; well in

Nux vom. (πυρετός).

^Berzelius. Turpentine should be tried.

121 ARSENICUM lODATUM.

ARSENICUM IdDATUM.

Iodide of Arsenic. Asl^.

Introduced by friends of the lower, it has been given most in the third decimal and always repeated.

^ Mind. Studying occasions headache.

■ Frequent sneezing, d Phthisis,

■ Severe coryza with catarrhal tendency; pungent irritation

about nose and eyes, and an irritating, watery secretion.

I I Chronic nasal catarrh.

^ Face. I Complexion sallow. ^Phthisis.

I Peaked cadaverous face, with a purple, livid hue of skin.

d Cholera infantum. ^" Teeth and Gums. Intermittent pain in first right upper molar

ARSENICUM lODATUM. 122

B Intense thirst, with uncontrollable desire for cold water, Avhich

would be almost immediately ejected. 6 Cholera infantum.

^® Hiccough, Belching, Nausea and Vomiting, i Distressing

■ Subacute gastritis.

Sharp, cutting pain in abdomen which warned him to go to stool ; the pains became excruciating, embracing the entire abdomen and obliging him to bend almost double ; after a great deal of straining he passed a large, soft stool which af- forded some relief, at 9 p.m.; after eleven hours.

I I The abdomen is hard and distended with flatus, which is con- stantly discharged.

I Tabes mesenterica. ^^ Rectum and Stool. Escape of flatus relieves ; pains in abdomen.

Bellyache better after stools.

Stool in the evening soft and mushy, with considerable strain- ing, very dark, almost black ; 2d day. — B.

On rising in the morning great urging to stool, but stool was scanty, small in size, as though anus was contracted ; stool mushy, occasional scybala, small-sized, peculiar black, at- tended with straining as in dysentery ; 3d day. — B.

Diarrhoea not at all at night, but the urging commenced on be- ginning to move about in the morning.

I Diarrhoea in dysentery.

■ Almost constant watery discharges, distressing nausea and

vomiting. I Almost constant copious watery diarrhoea, d Cholera infantum.

■ Cholera infantum, even in articulo mortis.

Continual aching in anus, with a seeming inability to keep the

123 ARSENICUM lODATUM.

sphincter closed ; amounts to real dysenteric straining at stool ; 3d day. — B.

^^ Urinary Organs. I Diseases of urino-genital organs, especially in the female, with scrofulous taint.

" Male Sexual Organs. > Secondary syphilis.

^* Female Sexual Organs. iCatamenia regular. ^Phthisis.

^* Pregnancy and Parturition. iLump in mamma, with re- tracted nipples, tumor sensitive to touch and painful.

^® Kespiration. Breathing too rapid, even when at rest, increas- ing in rapidity on exertion, soon becoming an audible wheez- ing, d Phthisis.

■ General feeble respiration, d Hsemorrhagic phthisis. I Occasional asthmatic attacks. ^Phthisis.

I Asthmatic sensations at night, must sit up to breathe, d Phthisis. BForced inspiration induced crepitation, posteriorly, right lung.

■ Frequent cough, with muco-purulent and occasionally stringy

■ Expectoration heavy during night and morning. ^Phthisis.

■ Cough and expectoration. ^Hsemorrhagic phthisis.

■ Respiration harsh and jerky in left apex. ^Phthisis.

■ Rales and crepitation before and after catamenia. 6 Phthisis. ^^ Inner Chest and Lungs. ■Lungs pale, rather flabby.

d Haemorrhagic phthisis.

■ Feeble respiration, with plenty of dry rales over anterior sur-

face of right lung and upper part of its posterior surface. d Phthisis.

■ Dull spot beneath left clavicle and coarse crepitation.

d Haemorrhagic phthisis.

■ Flattening and decreased mobility beneath left clavicle, with

dullness on percussion ; coarse crepitation on the same spot, while dry ronchi and prolonged expiration was obtained elsewhere, d Phthisis.

■ Left half of chest flattened and motionless and percussion as

dull as a board from apex to below axillary border of pector- alis major in front and to middle of scapula behind, d Phthisis.

■ Below border of pectoralis major and around posteriorly to

ARSENICUM lODATUM. 124

back of lung, dullness and coarse crepitation. 6 Hsemor- rhagic phthisis.

I Crepitation and bronchial noise in the right supra scapular re- gion; after Sulphur for weeks increase of the dullness in the infra- clavicular region ; more intense and extending. d Phthisis.

I Immobility of right chest, with dullness in front and behind upper portion of lung, increasing to absolute dullness posteri- orly beneath the scapula, d Phthisis.

I Coarse crepitations, posteriorly about centre of lung; at the base bronchial respiration, d Phthisis.

■ Marked dullness on right base posteriorly, shading off into normal resonance about middle of scapula; coarse crepitation audible over all the duller portion of lung, d Phthisis. '''Heart, Pulse and Circulation. "Pulse weak, 84 to 92. d Phthisis.

I Pulse hard, fallen from about 80 to 64, woman set. 40. d Phthisis.

I Pulse very frequent. ^Mammary tumor. ^' Neck and Back, Soreness of the back, especially of the back of the neck, as if he had been beaten.

I Cold limbs.

Dull, heavy soreness of calf of left leg, 11 a.m.; after one hour.

Tired, weary feeling in calves of both legs while kneeling — Bl.

A very severe, laming pain in calf of left leg, afterwards em- bracing the entire leg, disappearing during active motion, re- turning when at rest.

Formicating pricking on extreme left ankle, followed by the same on inner side of right ankle. — Bl.

Heaviness of the limbs with weariness of the whole body.

Lying down : wheezing. See 25.

125 ARSENICUM lODATUM.

Motion : headache < ; pain in leg > ; hawking of thick mucus.

Exertion : cough <C ; dyspnoea.

Walking : soon causes fatigue.

Stooping : headache worse.

Kneeling : tired feeling in calves.

Rising after sitting : pains in stomach.

Ascending : dyspnoea.

Must bend double : with pain in abdomen.

Must sit up : difficult breathing in phthisis pulmonalis, 3^ Nerves. I Great vital prostration.

I Paralysis. ^^ Sleep. Constant yawning ; he gets sleepy much earlier than usual.

Pain in head preventing sleep ; 4th day. — B.

I I Night restless, slept little; 3d day. — B.

^^ Time. Morning : dullness and pain in head ; stool on rising ; expectoration heavy ; felt as if had taken cold.

II A.M. : soreness of left leg.

1 P.M. : pains in forehead and ears.

Evening: soft, mushy stool.

9 P.M. : stool with relief.

Night : asthmatic ; cough < ; expectoration heavy ; restless ;

sweat. 2^ Temperature and "Weather. Warmth : applied to abdomen

ear ; pain in upper molar tooth ; dry rales over lung ; pain

in humerus. Left: dull pain in malar bone; side of neck sore; pain in ear;

apex of lung affected ; posterior part of thigh chilly ; weight

ARSENICUM lODATUM. 126

Soreness : of back and neck, as if beaten ; of calf of left leg.

Aching : in anus.

Dull pain : in left malar.

Rheumatic pain : in humerus and left femur.

Laming pain : in calf of left leg.

Intermittent pain : in first right upper molar.

Undefined pain : in right temple ; in stomach ; in head, pre- venting sleep.

Formicating, pricking : on left ankle, and inner side of right ankle.

Formication : on left foot and instep.

Irritation : about nose and eyes.

Itching : of back of left hand, and stinging of back of right hand ; on various parts of body, most on back.

Heaviness : of limbs.

Tired, weary feeling : in calves of legs.

Stiffness : left side of neck. ^* Tissues. I Morbid cellular irritation in lungs.

■ Rapid emaciation.

■ Great emaciation and prostration, d Cholera infantum.

■ Considerable emaciation and wasted mammse. ^ Tumor in

— Bl.

■ Chronic skin affections.

■ Psoriasis, the inflamed, and scaly eruption almost covered the

child. ^"^ Stages of Life, Constitution. "Well fleshed man, set. 25, af- ter haemoptysis. ^Phthisis.

■ ■Strumous or psoric diathesis in conjunction with arsenic

■ Ψωρίαση παιδιού, διάρκειας 4 μηνών.

12T ARSENICUM METALLICUM.