Arsenicum Sulphuratum Flavum

Realgar. As^S^-

Introduced and proved by Dr. Neidhard and his class in 1852 ; also proved by Patrick McHamara, Raymond, Howard, Preston and others.

^ Mind. Had an effect on his mind in making him crosser, and also to act with more energy ; 4th day.

* Sensorium. Increased heat of the head and face, with a feel-

ing of fullness, and heavy, dull sensation in head.

Falls in a deep swoon, with swelling of the face ; from inhala- tion. ^ Inner Head. Waking often with a dull pain in forehead over eyes, extending over top of head nearly to organ of self- esteem.

Heavy pain in forehead.

After three hours a general malaise, pain across the forehead, and chilly pain, lasted till he went to bed ; left him in the night durirjg sleep.

Severe continued pain extending deep into brain in r. frontal region, also to r. ear ; very much < by stooping and exer- cise; > by application of cold; 5 p.m.

Dull pain in r. frontal region, which increased in severity, and became a sharp throbbing and shooting pain, extending to occiput on r. side; < by motion and stooping ; 4 p.m.

Headache similar to that of 2d day, with the addition that the pains were in the whole frontal region, but most severe in the right.

Pain commencing in back of head below philoprogenitiveness, and extending thence around the sides of the head ; some- times dull and sometimes sharp ; 7 till 11 a.m.

* Outer Head. Heat of the head and face.

® Hearing and Ears. Sensation of fullness and pressing out- wards in r. ear.

Snapping sound in ear corresponding to pulsation of temporal artery.

Scarlet redness and burning of upper half of 1. ear, with ting- ling similar to that produced by a frost bite.

The ear feels hot to the touch to himself and others.

A very unpleasant, quick beating, extending deep into 1. ear, with pain and scarlet redness and heat of upper half of ear ; ear feels full, with pressing outwards.

143 ARSENICUM SULPHURATUM RUBRUM.

^ Smell and Nose. Sneezing occasionally, with a thin white dis- charge from both nostrils.

Sensation as if corjza was about to set in ; sneezed several times during day, with tingling in r. nostril.

Free discharge from nostrils, thin and white. " Face. Has a better expression of countenance than before ; used to look dull, but now looks brighter.

Sensible pulsation of arteries of r. side of face and head. " Tongue. Bitter taste in mouth on waking. ^^ Inner Mouth. Mucous membrane of mouth and throat much inflamed ; also lips and 1. side of tongue ; 1. eje (conjunctiva) much inflamed and puff"ed out. ^^ Palate and Throat. Inflammation of throat with deep red- ness, occasional pains and a raw feeling.

Enlargement of r. tonsil.

At times intolerable itching in throat, inducing a short, dry, expulsive cough. " Appetite, Thirst, Desires, Aversions. No inclination for supper.

Excessive thirst, continued for three days.

During this day and the next had very little appetite, and at times rather an aversion to food, otherwise well. ^^ Eating and Drinking. An hour after breakfast, fullness and weight at pit of stomach, low spirited, and no disposition to talk all day.

Ate but little at dinner time ; disagreeable feeling in stomach till 8 P.M., Avhen a burning sensation set in, which increased rapidly, and from 10 o'clock till 9 in the morning was so in- tense as to deprive him almost of his breath ; relief in no po- sition ; feet and hands cold; trembling of the whole body ; twitching and jerking of lower extremities; anxiety, fear of death ; stomach felt as if he had coals of fire in it ; pain ex- tended from cardiac extremity to 1. hypochondriac region ; cold drinks increased the burning in stomach ; pulse de- pressed and thread-like ; face pale and livid ; could not bear least pressure on region of stomach.

Sharp cutting pains in 1. abdominal region after each meal ; aggravated when walking, relieved by firm pressure with hand upon the aff"ected part.

After meals indisposed for mental or physical exertion. ^® Nausea. Nausea in the afternoon.

^^ Scrobiculum and Stomach. Heavy sensation and gnawing in region of stomach.

Dull, heavy pain, extending from pit of stomach to back, with a sensation of a weight in stomach.

Very weak, much soreness over whole extent of stomach.

In evening, on returning home, felt symptoms of derangement

ARSENICUM SULPHURATUM RUBRUM. 144

of stomach; great weakness and trembling all over; had walked rather more than usual during the day.

^^ Hypochondria. Large bluish spots over epigastric region, ab- domen and thighs.

^^ Abdomen. During afternoon dull pains in bowels, with feeling of fullness extending across into the hypogastric region. Most violent colic with terrible vomiting. In the smaller intestines round ulcers with blackish fundus.

^*' Kectum and Stool. A loose, small evacuation during day at an unusual hour ; another one in evening. Had a discharge from rectum of pure bile ; urine saffron-color. ■ Diarrhoea of two months' standing; yellow, mushy stools in the morning early, after getting up, and in the evening be- fore going to bed ; a kind of tenesmus in anus is constant.

^^ Male Sexual Organs. Slight drawing pain for a short time in 1. spermatic cord.

2^ Voice and Larynx. Hoarseness, with accumulation of tough, tenacious mucus in throat.

^^ Inner Chest and Lungs. Awakes at 5 a.m. with a sharp cutting pain, commencing between the cartilages of the fifth and sixth ribs, extending inwards and upwards deep into the chest ; the pain was so sharp that it did not admit of the slightest motion; was obliged to suspend respiration as much as possible.

^^ Heart, Pulse and Circulation. Occasional sharp pains, which appear to affect the base of the heart, impeding respi- ration.

^^ Neck and Back. After rising in the morning, a heavy, press- ing pain, extending from the point of the os coccygis to the anus ; soreness of the os coccygis ; the pain in the anus is increased by efforts to evacuate the bowels and when passing water ; bearing down would produce a heavy, sickening sen- sation.

^^ Upper Limbs. Rheumatism from r. shoulder down the arm, as if in the bone ; paralysis for three days. Pain in bones of 1. upper arm, more towards morning, when he

wakes up. Coldness of the hands.

Slight numbness of forearms and hands, with heaviness ; drop- ped things.

^* Lower Limbs. Considerable pain in r. hip, with lameness in leg. Severe pain affecting the inferior third of the tibia of the left leg ; commences at the lower point of the malleolus internus, and extends upwards in the shaft of the bone ; momentarily relieved by changing the position of the foot and by friction with the hand.

145 ARSENICUM SULPHURATUM RUBRUM.

Numbness and prickling affecting inner side of calf of r. leg, the heel, outer side of foot and little toe.

Violent itching of third toe of 1. foot, producing occasional spasms of muscles of the foot and leg.

About 1 P.M. the thighs and legs itched; worse after scratch- ing.; seemed to leave in about two hours, and about 5 o'clock the anterior muscles of thighs felt sore in descending the stairs ; about 9 o'clock legs and thighs commenced to itch again. ^^ Rest. Position, Motion. Rest : pain in chest better.

Walking : pain in abdomen worse.

Motion : pain in chest worse.

Motion and friction : pain in tibia better.

Stooping and exercise : pain in frontal region worse. 36 Jferves. Convulsions, with abdomen puffed up ; offensive, bili- ous diarrhoea, slimy vomit ; death in 4 to 6 days ; a child.

General heaviness of the whole body, sleeps longer, and is more difficult to rouse. ^^ Sleep. Did not sleep so sound as usual, very restless, with many dreams.

Was very sleepy before taking the medicine, but afterwards felt no desire to sleep, was very restless through the night, wak- ing up often with a dull pain in head.

All the symptoms develop more in the night ; very vivid dreams all night. ^^ Time. Morning : diarrhoea ; bone pains in arm.

5 A.M. : pain between fifth and sixth ribs.

7 to 11 A.M. : pain in head. Afternoon : pain in bowels.

1 P.M. : thighs and legs itched.

5 P.M. : pain frontal region ; thighs sore.

Evening : stomach weak ; unusual stool.

8 P.M. : disagreeable feeling in stomach.

9 P.M. : thighs itch.

10 P.M. to 9 A.M. : stomach burning intensely. Night : pain in head ; dreams ; all symptoms.

^^ Temperature and Weather, Cold : pain frontal region better. *" Chill, Fever. Sweat. Towards night felt very cold and chilly, even before hot stove, lasted for three or four hours. Heat and thirst ; loss of appetite ; frequent vomiting ; a child. ^^ Locality and Direction.

Right : pain frontal region ; full- ness in ear ; tingling in ear ; pulsation in arteries ; tonsil enlarged ; rheumatism in shoulder ; pain in hip ; numbness in leg ; throbbing and shooting in head. Left : ear painful ; eye inflamed ; pain in spermatic cord ; bone- pains in arms; pain in tibia; third toe itches. Above downwards : rheumatism in shoulder. Below upwards : pain in chest ; pain in tibia.

VOL. II. — 10.

ARSENICUM SULPHURATUM RUBRUM. 146

*^ Sensations. As if he had coals of fire in stomach.

Cutting : in 1. abdominal region ; between cartilages of fifth and sixth ribs.

Shooting ; in r. side of head.

Sharp pain : at base of heart.

Pressing pain : from point of os coccygis to anus.

Drawing : in 1. spermatic cord.

Gnawing: in region of stomach.

Throbbing : in r. side of head.

Burning : of ear ; in stomach.

Soreness : of os coccygis ; of anterior muscles of thighs.

Raw feeling : in throat.

Rheumatic pain : in r. arm.

Heavy pain : in forehead ; in stomach ; from point of os coccy- gis to anus.

Dull pain : in forehead, over eyes, to top of head ; in r. frontal region ; from pit of stomach to back ; in bowels.

Undefined pain : across forehead ; deep into brain ; in back of head ; in bones of 1. arm ; inferior third of 1. tibia.

Fullness : in head ; in r. ear ; at pit of stomach.

Heaviness : in stomach.

Tingling : in ear ; in r. nostril.

Numbness: of forearms and hands; in r. calf; in foot.

Heat : of head ; in face ; in ear.

Itching : in throat ; of third toe of 1. foot ; of thighs and legs. ** Tissues. All the joints remain immovable after the recovery from the poison.

Rheumatic symptoms first 24 hours after taking the medicine in the morning.

*^ Touch. Passive Motion. Injuries. Touch : ear feels hot. Pressure : stomach worse. Firm pressure : pains in abdomen better. Scratching : itching thigh worse. *^ Stages of Life, Constitution. Young man, set. 18 ; head- ache in forehead and back of head, with vertigo and empty feeling in region of heart.

14T ARTEMISIA VULGARIS.