Cantharides

Spanish Flies. Cantltaridece.

Mlind. I Unconsciousness, lies with outstretched arms; sudden starting up, screaming, throwing arms about. ^Metritis.

■ Sudden loss of consciousness with red face. ^Dentition.

■ Lies in a stupor with cold surface and occasional jerks. Ursemic coma, delirium and convulsions. iForgetfulness.

Strange ideas crowd on him against his will. I Confusion ; distraction of mind ; inability to concentrate thought.

■ Confusion of head and pulsation in forehead, in morning. Hallucinations, especially at night; deliria of people long dead.

I Furious delirium, with crying, barking and biting; confusion

of head, anxious restlessness ; cold sweat, especially on hands and feet.

■ Almost frenzied delirium.

■ Paroxysms of rage, renewed by sight of dazzling, bright ob-

jects, or touching larynx when trying to drink water.

■ Whining and complaining, with anxious restlessness, < from

motion, >> lying quiet. Constantly attempting to do something, but accomplishing nothing.

■ Despondent and low-spirited, says she must die.

■ Fear, confusion of ideas, she could not think clearly. ^Vesical

hemorrhoids.

I I Great amativeness ; amorous frenzy.

■ Unbounded frantic sexual desire. ^Mania.

■ Exceedingly sensitive to all impressions; irritable and blas-

pheming. ^Traumatic neuralgia.

■ Insolent and contradictory mood, in afternoon. Uneasiness day and night, with hot head.

■ Anxious restlessness, ending in rage.

Great restlessness, obliging him to move constantly; great activity of mind. ^ Sensorium. Vertigo : and staggering ; and fainting ; while walking in open air, with transient attacks of unconscious- ness; appearance of fog before eyes.

■ Heaviness of head.

^ Inner Head. Soreness and burning in brain. Dull heavy pain in forehead. Confusion of head in morning with pulsations in forehead.

CANTHARIDES. 284

iBurning in sides of head, ascending from neck, with soreness and giddiness; < morning and afternoon; when standing or sitting; > while walking or lying down.

Stitches in side of head and occiput.

I Painful tearing on vertex, with sensation as if some one were pulling a lock of hair upwards.

■ Violent lancinating pains deep in brain, especially in occiput.

^Cerebro-spinal meningitis.

■ Heaviness in occiput, with drowsiness and incapacity to think. Heat and throbbing in head.

Sensation of fulness, with heat rising up into head, with anx- iousness.

■ Headache from washing or bathing.

Cerebro-spinal meningitis: paroxysms of rage and fury; pain deep in brain, with an expression of great suffering; base of brain is the chief seat of pain; urine dribbles or passes with burning-cutting pain. ^ Outer Head, l Hair falls out when combing. ^During confine- ment or lactation.

■ Scales on scalp; enormous dandruff. "Sight and Eyes. ■ Objects look yellow.

■ Eyes look yellow.

■ Burning in eyes and glowing heat, as from coals.

■ Biting sensation, as if salt were in eyes.

■ Smarting in eyes.

■ Lachrymation in open air; must close eyes; on opening lids,

margins pain as if sore, like raw flesh.

■ ■Inflammation of eyes, particularly when caused by a burn.

■ Eyes protruding; fiery, sparkling, staring look. Involuntary spasmodic movement of eyes.

■ Eyes sunken, surrounded by blue rings.

■ Eyes restlessly in motion, at times staring, always, however,

with a frightful look; pupils contracted. ^Acute mania. Right eye looks bleared, congested, inflamed; pain •< night, cannot read then ; sight quite good ; commenced Avith feel- ing as of lashes in eye ; urine scalds. ® Hearing and Ears. ■ Ringing, humming, or roaring in ears.

■ Tearing in right ear and right mastoid process, as if bone

would be torn out.

■ A hot exhalation passes, at intervals, and frequently, out from

^ Οσμή και Μύτη. Coryza με πόνους στα άκρα· επίσης χρόνιο coryza.

■ Ερυσιπελατώδης φλεγμονή του ρινικού θόλου, που εξαπλώνεται στα

δύο μάγουλα, αλλά περισσότερο στο δεξί· ακολουθείται από απολέπιση.

■ Καταβολή πολλής ιξώδους βλέννας από τη μύτη, χωρίς φτέρνισμα· βραχνάδα και επώδυνος βήχας σκληρής βλέννας από τον θώρακα· νυχτερινές ξηρές κοφτές σουβλιές κατά μήκος της τραχείας, εξωτερικά.

285 CANTHARIDES.

^ Άνω πρόσωπο. Έκφραση ακραίας οδύνης, τρόμου ή απελπισίας.

Βυθισμένο, ιπποκρατικό πρόσωπο.

Εικόνα νεκρική κατά τη διάρκεια και μετά τους πόνους.

Πρόσωπο: καυτό, κόκκινο και πρησμένο· πρησμένο και ζαρωμένο· κοκκινισμένο όταν κλίνει το κεφάλι· κίτρινο ή πολύ χλωμό.

Πρόσωπο βυθισμένο· μάγουλα κυανά. ^Οξεία μανία.

■ Ερυσίπελας που αρχίζει στον ρινικό θόλο και εξαπλώνεται στα μάγουλα, περισσότερο στο δεξί. ^ Κάτω πρόσωπο. 'Ξηρά χείλη, χωρίς δίψα.

Οι γνάθοι σφιγμένες, σχεδόν να πλησιάζουν τρισμό, ειδικά όταν ήθελαν να της δώσουν νερό ή φάρμακο, το οποίο εμπόδιζε με νευρική ταραχή. ^Οξεία μανία. ^^ Δόντια και Ούλα. Τρίξιμο δοντιών. ^Μηνιγγίτιδα. ^Τυφός πυρετός.

Επώδυνο κόκκινο σημείο, μεγέθους κεφαλής καρφίτσας, πάνω από τερηδονισμένη ρίζα άνω τομείου· εκκρίνει πύον από μικρό άνοιγμα στο κέντρο, όταν πιεστεί.

Ούλα σπογγώδη και πρησμένα. ^Εμπυητική μήτρα.

■ Ομιλία αδύναμη και δειλή.

■ Τρέμουλο γλώσσας.

■ Γλώσσα πύρινη κόκκινη. ^Ερυσίπελας προσώπου.

■ Γλώσσα: πυκνά επιβεβλημένη, κόκκινη στα χείλη· πρησμένη και πυκνά επικαλυμμένη· και το βάθος του στόματος, εν μέρη εκδοφθέν, εν μέρει καλυμμένο με φυσαλίδες.

■ Φλεγμονή γλώσσας με κυστίδια.

■ Υπογλώσσιοι αδένες πρησμένοι και κόκκινοι.

^^ Εσωτερικό στόματος. ■Βλεννογόνος μεμβράνη κόκκινη και καλυμμένη με μικρές φυσαλίδες.

■ Απώλεια επιθηλίου στα χείλη, τη γλώσσα και την ουρανίσκο. ^Δυσεντερία.

■ Καύσος πόνου στο στόμα, τον λαιμό και το στομάχι.

Ξηρότητα στο στόμα.

■ Φυσαλίδες και αφθώδη έλκη στο στόμα και τον λαιμό. ^Δυσεντερία.

■ Επένδυση στόματος και λαιμού καλυμμένη με λευκές φυσαλίδες από μέγεθος κεφαλής καρφίτσας έως εκείνο φασολιού.

■ Σιαλόρροια: άφθονη· άγευστη· αηδιαστικά γλυκιά.

^^ Λαιμός. Αποβολή αφρώδους σάλιου ραβδωτού με αίμα.

■ Η βλέννα στα οπίσθια ρουθούνια πρέπει να αποβληθεί με βήχα στο στόμα για να

αποβληθεί.

■ ■Καύσια αίσθηση στον λαιμό, που φαίνεται σαν να καίγεται.

■ Καύσος στον λαιμό με αίσθηση ξύσματος και πτύωση αίματος.

■ Σπασμωδική συστολή και έντονος πόνος στο βάθος του λαιμού.

■ Λαιμός φλεγμονώδης και καλυμμένος με πλαστική λέμφη.

■ Αφθώδες έλκος στο οπίσθιο τμήμα του φάρυγγα, καλυμμένο με κιτρινωπή προσκολλημένη κρούστα· παρόμοιο στο δεξι αμυγδαλικό.

Λαιμός πρησμένος.

CANTHARIDES. 286

■ Η κατάποση πολύ δύσκολη. ^Αμυγδαλίτιδα.

Δύσκολη κατάποση με νυχτερινή παλινδρόμηση.

Το νερό που πίνεται παλινδρομεί από τη μύτη. ^Συνέπεια εγκαύματος.

Φλεγμονή και εμπύηση των αμυγδαλών.

Διφθερίτιδα: δυσουρία· τα ούρα περιέχουν θραύσματα ή μεμβράνες ουροφόρων σωληναρίων· ακραία εξάντληση, βύθιση, νεκροειδείς κρίσεις· ερεθιστικού όψης εξάνθημα στο δέρμα ή να λάμπει μέσα από την επιδερμίδα.

fulness. B Drinking, even small quantities of water, increases pain in

bladder. Great thirst, but drinking, and even the sight of water, in- creases the pain. ^^ Hiccough, Belching, Wausea and Vomiting, ii Empty

eructations; B eructations of sour, frothy mucus, tinged bright

red. B Nausea and vomiting. ' B Vomiting: of water drank, also of blood; greenish, offensive;

and bladder, with such exquisite sensibility that the slightest

^^ Abdomen. B Abdomen swollen and tympanitic above; yields a

dull sound below. ^Puerperal fever. B Great distension and tenderness in belly.

287 CANTHARIDES.

I Abdomen sensitive, and burning pain about umbilicus. ^Cholera.

■ Violent burning pain and heafthrough whole intestinal tract,

with painful sensitiveness to touch.

■ Cutting in abdomen.

■ Ascites.

Frequent small, corrosive stools, with colic and pinching. Stools: yellow, brown, watery; white, with tenesmus.

■ Diarrhoea, of blood and mucus.

■ Faeces red, slimy or green.

■ ■ Passage of white or pale-red tough mucus with the stool, like

scrapings from intestines, with streaks of blood.

■ Passage of pure blood from anus and urethra.

■ Before stool: straining; urging; colic.

■ During stool: cutting, colicky pains; burning in anus; pro-

lapse of rectum ; pressing and urging, extorting cries.

■ Stool with painful pressure on bladder. ^Catarrh of bladder.

■ After stool: ^colic relieved; burning, biting and stinging in

anus; straining; faintness ; shuddering. Chilliness as though water were poured over one, with internal warmth.

■ Desire for stool while urinating.

■ Pain in perineum, seemingly arising from neck of bladder. ^^ Urinary Organs. bDuII |iressing pains in both kidneys. _

■ Pain in region of kidneys and urging to urinate, steadily in-

creasing in severity.

■ Constant, dull painful sensation in region of kidneys, late m

evening.

■ ■Paroxysmal cutting and burning pains in both kidneys, the

region very sensitive to slightest touch, alternating with pain in tip of penis ; urging to urinate ; painful evacuation, by drops, of bloody urine, and at times, of pure blood. Inflammation of kidneys; excessively violent pains of bladder; gangrene of mucous coat of bladder; paralysis of neck of bladder; desire to urinate, frequent and violent, with scanty discharge with great pain, and often bloody.

■ Dull, heavy distensive pain in region of kidney, either side,

no relief in any position; continued rolling and twisting of body, with groans and cries, resulting in nausea, retching and vomiting, unless the stomach is empty; no great desire

CANTHARIDES. 288

to urinate, but a tingling thrill running down dorsum of penis to glans. ^Renal calculus. iPainful urging to urinate, but was not able to; had, however, to be catheterized, which caused much pain; urine cloudy, of a somewhat bright yellow color; after standing a little, a sediment of mucus and phosphatic salts appeared; imme- diately on being passed was of alkaline reaction ; some pus with the urine. Region of bladder sensitive to outward pressure. ^Catarrh of bladder.

I Every two hours an attack of very painful urging to urinate,

during which, with whining or groaning, a quantity of clear urine was discharged, accompanied with pressure on the rectum and the passage each time of a little soft, but other- wise normal stool. ^Bladder complaint in an old man.

I I Violent tenesmus vesicae and strangury.

I IPainful discharge of a few drops of bloody urine, causing

very severe sharp pain, as if a red-hot iron were passed along urethra; this pain was most acutely felt at membranous portion of canal, and in meatus urinarius.

■ Cutting and contracting pains from ureters down toward penis;

at times pains pass from without inwards; pressure on glans relieves pain somewhat.

I I Violent burning, cutting pains in neck of bladder, extending to fossa navicularis, worse before and after urinating.

1 1 Violent pains in bladder with frequent urging ; intolerable tenesmus.

■ Heaviness in bladder, feels sore on slightest motion.

1 1 Urging to urinate from smallest quantity of urine in bladder.

■ Dribbling discharge, reddish, sometimes mixed with blood.

■ Urging, < when standing, and still more when walking;

> when sitting.

■ With urging to urinate, stitching pain in forepart of neck of

bladder; on continued urging, only a few drops pass.

■ Frequent, painful urination, constantly preceded by violent

pain in glans.

■ I Ardor urinae.

■ ■Before, during and after urinating fearful cutting pains in

urethra; she must double herself and scream from pains.

■ ■Burning, when urinating, and when not.

■ Urine passes in thin and divided stream. ^Stricture.

■ Fruitless effort to urinate. Frequent and copious urination.

■ Enuresis.

■ ■Retention of urine, causing pain. ^Suppressed gonorrhoea.

■ Urine contained (when finally passed) much albumen, was

almost black. ^Acute mania.

■ Urine dark colored.

■ Urine: turbid and scanty; cloudy during night, like mealy

289 CANTHARIDES.

«

water, with white sediment; albuminous, containing cylin-. drical casts; deposits grayish-white granules. Red-colored urine, as if mixed with blood.

I Atony of bladder from long retention of urine. Hemorrhoidal affections of bladder and enlarged prostate.

■ Intense vesical spasm.

Post- scarlatinal nephritis; threatening uraemia. Morbus Brightii : early stage, especially when occurring from blows on the loins, or sudden change of temperature.

IBFrightful satyriasis; violent, j)ainful priapism, with excessive pains.

B Strong and persistent erections, painless and without volup- tuous sensation. . B Erections at night, with contraction and sore pain along urethra.

Frequent nocturnal emissions; spermatorrhoea from relaxed penis, early in evening, in bed, without sensation ; discharge of blood in place of semen.

B Swelling of glans, which is very painful, even to external pressure.

BGonorrhoeal phimosis.

Burning in excretory ducts of vesiculse seminal es and in urethra, during and after coition.

B Dropsical swelling of penis and scrotum.

TrGangrene of penis.

Drawing pain in spermatic cord, while urinating.

B Testicles drawn up.

I Smegma prseputii.

Discharge of prostatic fluid. *3 Female Sexual Organs. Over-sensitiveness of all the parts.

B Ovarian region: stitches, arresting breathing; violent pinch- ing pains, with bearing down towards genitals; great burn- ing pain.

B Inflammation of ovaries after suppressed gonorrhoea.

Cysto-ovarium with urinary difficulties ; hydatids.

B Pruritus: with strong sexual desire; during climacteric period.

B Violent itching in vagina.

Swelling of neck of uterus, with burning in bladder; pain in abdomen ; constant vomiting.

i Swelling and irritation of vulva; vaginismus.

I Inflammatory suppuration of womb with extreme tenderness.

I Uterine hemorrhage, with great irritation in neck of bladder.

Membranous dysmenorrhoea with dysuria.

B Menses: too early, too profuse; blood black or scanty, breasts painful. ^Sterility.

VOL. in. — 19.

CANTHARIDES. 290

Menses retarded.

I Amenorrhcea, with fulness and pain in head. iLeucorrhcea: with sexual excitement; in consequence of

masturbation; with prurigo. Uterine hemorrhage, with great irritation in neck of bladder; more suitable to sterile women.

■ Puerperal convulsions: the presence of bright objects; the

sight, the drinking, or the sound of water, and touching the larynx reproduce violent spasms.

■ Promotes fecundity; expels moles, dead foetuses and the

placenta.

I I Retained placenta or membranes, usually with painful urina- tion.

■ Burning pain; abdomen sensitive; peritonitis, with tenesmus

of bladder. Mammae painful; dysuria.

■ Speech very low, with sensation of weakness of vocal organs.

■ Voice: hoarse; feeble and indistinct.

■ Burning and stinging in larynx, especially when attempting to

hawk up tough mucus.

■ Catarrh in larger bronchia, with profuse, yellow expectoration. ^^ Respiration. ■ When breathing deeply, and when speaking, she

feels as if she dare not exert herself, on account of extra- ordinary weakness of respiratory organs ; speech therefore weak and timorous. Oppression of breathing, with sensation of constriction of pharynx. ^^ Cough. 'Dry, hacking cough.

During cough: shortness of breath; pain in abdomen ; erections. ^^ Inner Chest and Lungs. ■ Shooting pain in chest, from front toward back, impeding respiration.

■ A fine stitch extending from r. axilla into chest.

■ Stitching pain in forepart of r. chest; it then passes down- .

wards into r. lower ribs.

■ Stitches in chest, more on right side, or first left, then right;

in lower right chest, extending toward middle of sternum.

■ 1 Burning in chest.

■ Exudation within the pleura. ^Pleurisy.

^'Heart, Pulse and Circulation, s Anxiety in cardiac region.

■ Stitch in heart, followed by a crawling sensation.

■ Drawing pain in region of heart.

291 CANTHARIDES.

I Pulse: very variable, mostly hard, full and frequent, at times

intermittent ; frequent and small ; slow, feeble and scarcely perceptible ; more full and rapid in morning. ^° Outer Chest. ■ Stitches in sternum.

■ Burning m chest.

^^Neck and Back. ■ Stiffness of neck, with tensive pain on stooping. Stiffness, tearing, and lancinating in nape of neck to head.

■ Tearing in cervical muscles.

■ Tearing pain in back, especially mornings.

Pressing, gnawing and tearing in back, while walking, after rising from a seat.

■ ■Pain in loins, with incessant desire to urinate.

I I Pain in loins, kidneys and abdomen, with such pain on urin- ating that he could not pass a single drop without moaning and screaming.

iLancinations and tearing in os coccygis, causing him to start.

^Coccyodynia. In left lumbar region, sensation of coldness and formication,

on a spot the size of a hand. Dragging in back, as before menstruation, followed by slight

■ Eczematous vesicles between fingers, itching and burning

fearfully. ■Eczematous eruption on dorsum of 1. hand, between and upon fingers ; burning, pricking, shallow vesicles filling with fluid and soon drying into thin crusts, which peeled off, leaving denuded spots ; < from cool water, > from warmth. ^^ Lower Limbs. ■ Coxalgia with spasmodic pains in bladder and strangury.

■ Tearing from right, later left hip-bone, down to knees.

■ Knees totter when ascending steps.

■ Violent pains in knees ; sometimes boring.

■ Pain in soles, as from an ulcer, could not step.

■ Fearful pain in soles of feet, like an ulcer; she could not step

■ Darting pain from r. foot to r. side of head in paroxysms.

^Neuralgia. '''Limbs in General. ■Weakness and trembling of limbs. Tearing in limbs, relieved by rubbing.

■ Dropsical swelling of hands and feet. ;rCold extremities.

■ Cold sweat of hands and feet.

CANTHARIDES. 292

Rising: pressing, gnawing and tearing in back. Walking : vertigo, staggering aud fainting ; burning in sides

of head; pressing, gnawing and tearing in back. 3^ Iferves, Restlessness, compelling him to move about continually. iSubsultus tendinum. I Weakness, prostration, faintness, general coldness, colla^pse.

light, drink or sound of falling water, touching larynx, or

painful parts, cause or renew the spasm; excessive desire

i Sleepy, but cannot sleep soundly on account of sudden twitch-

emissions ; chill. ^^ Temperature and Weatlier. Warm applications relieve pains

BCold sweat, especially on hands and feet. ^Collapse. fiCold extremities. B Chill running up back ; succeeded by thirst without heat ; not

relieved by external warmth. fi Sweat smells like urine. E Sweat from every movement. 8 Evening fever. ^Catarrh of bladder.

293 CANTHARIDES.

I Typhoid, with difficult and scanty urination, palpitation < lying on left side, and rising of a clot of blood into mouth.

SB in the third stage, when there is complete insensibility;

cramps in abdominal muscles and legs ; suppression of urine ;

hemorrhages from stomach and intestines; cold sweat on

hands and feet. /^Yellow fever.

*^ Attacks, Periodicity. Some symptoms appear every seventh

day. « Locality and Direction. Sides : of head, burning.

Right : ear, tearing ; mastoid process ; liver painful and sen- sitive; axilla into chest, fine stitching; tearing in hip-bone; darting pain in foot and head.

Left : lumbar region, sensation of coldness ; eczematous erup- tion on dorsum of hand and fingers. " Sensations. iRaw and sore pain in whole body, internally and externally.

lEvery part oversensitive, accompanied by excessive weakness.

Burning, stitching and tearing pains predominate.

As if some one were pulling a lock of hair.

I Darting, stinging pain on diflferent parts of body at same time. ' Compare Crot. tigl.

Prickling: after erysipelas.

Stitching : i:n neck of bladder.

Cutting : in both kidneys ; from ureters downwards towards penis ; in neck of bladder.

Boring : in knees.

Tearing : and stitching pains in anus.

Drawing : in spermatic cord.

Burning : in throat ; violent, in stomach ; intestinal tract ; in anus ; in both kidneys ; when urinating ; excretory ducts ; in larynx.

Biting : in anus.

Scraped : sensation in throat.

Heaviness : in bladder.

Coldness : 1. lumbar region. ** Tissues. Acts on parenchyma of kidneys and destroys them.

Increased secretions from mucous membranes, and ulcerated surfaces.

Hemorrhages from nose, mouth, intestinal canal, urinary and genital organs.

•Skin affections, particularly of an erysipelatous, vesicular character.

■ Suppuration of internal organs.

CANTHARIDES. 294

or disturbed had violent attacks, so that it took four men to hold her. ^Acute mania.

■ Touching the larynx or painful parts renews the symptoms.

^Spasms. Pressure: on stomach produces convulsions ; swelling of glans

■ Erythema, from exposure to rays of sun. ^Eczema Solaris.

■ Vesicles all over body, worse between toes, which are all sore

and suppurating.

■ Vesicular erysipelas; the blebs swell and exude much watery

matter.

■ Erysipelatous inflammation of the skin, followed by prickling.

■ Superficial ulcerations caused by burns, with burning pains

and lachrymation.

■ ■Burns, before blisters form,* and when they have formed. Pemphigus.

■ Psoriasis.

Pityriasis, especially in children.

■ Itching, changing place, like from lice.

Ulceration and gangrene after exanthematous diseases.

Ulcers with itching, tearing and lacerating, or burning, smart- ing and stinging; pus copious, inodorous, slightly yellow, sometimes tinged with blood, < from rubbing and scratching.

Carbuncle.

Immovable, firm, hard tumor, directly above symphysis pubis.

Eczema: watery vesicles, as if excoriated; burning, itching, and when touched burning and smarting; eruption mostly on r. side; early inflammatory stage.

Petechise.

Large burning, painful blisters on an erysipelatous base.

Variola: dysuria and bloody urine ; distressing headache and backache; eruption not properly developed, or assuming an hsemorrhagic hue. *^ Stages of Life, Constitution. "A boy, ^t. 6, light com- plexion. ^Sequel of a burn.

■ A woman in third month of pregnancy. ^Eczema of hands.

■ Woman, set. 29, scrofulous. ^Kidney affection.

295 CANTHARIDES— CAPSICUM.

Incompatible: Coffea; oil increases the pernicious effects by rendering tlie active principle [Cantharidine) more soluble, favoring greater absorption.

See introduction to Arnica as to the Arnica fly.