Arsenicum Metallicum

Metallic arsenic. As.

The pure metal was prepared by Dr.Buchheim, now Professor in Giessen, in 1845, in the laboratory of Professor Lehmann. It retained all its metal- lic lustre when it was triturated, in 1847, in a new, well cleaned, dry mor- tar, during dry weather. The same triturations came into the hands of Bcericke & Tafel. To give to our school a vote in the dispute, if metallic arsenic had any action or none, it was introduced by CHg, proved under the care of A.

Lippe, and published in the New York Monthly, in 1851. The provers were: Doctors Duffield, Stevenson, and Coxe, jun., besides many more; among whom should be mentioned in particular, Tetherbridge.

^ Mind. Weakness of memory, especially in retaining what he has read.

Has to read everything two or three times before he compre- hends it.

Dullness, too much exertion to think.

Fearful visions of spectres in bright daylight ; she sees threaten- ing people after her, and screams horribly ; is in greatest dis- tress even when her mother is with her; after 30". Girl, get. 12. d During recovery from typhus.

Feels as if she had to run away, far away, and as if she would hardly touch the ground.

She would very much like to die, or fall asleep, never to awaken.

So lazy that she would rather sit up than have the trouble of going to bed.

Sad, with tearful eyes, but she cannot weep ; even during most painful events.

Depression with exhaustion, feels much depressed and vexed, wants to be alone ; followed by pain in heart.

Moody, does not wish to see anybody.

Afraid she will be poisoned.

She feels a glow over the left brow, as often as she thinks about it, most forenoon, less afternoon. ^ Sensorium. As if whiskey fumes had gone to head.

Heavy, dull feeling in forehead, above frontal sinuses, in the morning.

Fullness : when awaking at night ; with the coryza.

As if brain were too large and it would burst. ^ Inner Head. Pain in left side, extending to ear and eye, with nausea.

Headache worse when laughing.

ARSENICUM METALLICUM. 128

Headache from 9 a.m. to 2 p m., with diminished pulse.

Pain in left half of head, extending to eyes, nose and ears, with nausea and throbbing in the whole body.

Headache over eyes, with chilliness extending to occiput, neck, and into the chest.

As if water was gushing forward, when stooping.

Headache worse when writing and thinking. * Outer Head. Itching only allayed by pinching skin, in fore- head.

Scalp feels sore even when pulling a single hair.

I Falling off of hair, d Tertiary syphilis. — Lippe.

I 1 As if the head were swollen on waking in the night or morn- ing, as if he could not get his hat on the head.

Numbness on right occiput, later on left vertex ; evening.

Numbness from the nose to forehead, and in a streak along the vertex backwards, more to the left. ^ Sight and Eyes. Heaviness in eyes.

Eyes pain, cannot read much.

Upper lid sore and feels swollen.

Lids slightly inflamed and swollen, more with coryza.

Eyes reddened with coryza.

In region of brows numbness, extending to nose.

Glowing sensation on a small spot over left brow.

Sight weak, gas-light troubles him, cannot look into bright light.

Eyes hurt, cannot read in the morning.

Eyes hurt in afternoon and evening ; << after sewing.

I Her weak eyes improve two weeks after, so that she can use them, and even bear exertion she could not bear last four years.

Eyes pain as from walking in the wind.

Headache extends to the eye ; pains from the facial bones, or go from the eye to back part of ear.

I I Lids cannot be opened as wide as usual.

I I Eyes much swollen, or slightly reddened for two days ; run- ning of tears, sometimes hot and corroding ; dark circles un- der the eyes ; coryza.

■ Pterygium, with enlarged blood vessel, right eye; after Nux and Sjngel. had failed. ® Hearing and Ears. Pain into ears from side of head and facial

bones ; numbness below the ears. ^ SmeH and Nose. Coryza and hoarseness returned in two weeks with heat in face, lasting three days, and ending in angina of fauces ; BeUad.*° helped.

On rising in the morning he feels as if he would get a violent coryza ; nose stopped up ; eyes burn ; hoarse ; gone in the evening.

129 ARSENICUM METALLICUM.

Coryza with hot face, itching and hoarseness; returns the 21st

day. Coryza ; burning hot water runs from nose, excoriating the edges of nostrils ; with the greatest prostration.

Violent coryza ; reddened eyes ; running of tears, and of wa- ter from nose, excoriating, 11 a.m.; after four hours nose stopped ; eyes inflamed without discharging tears ; head very full and as if tied up ; 8 p.m. : nose begins to run again, with violent sneezing ; throat aches ; breathing difficult, till 11 P.M.; at 4 A.M. : wakens with the same coryza, still worse; sensation as if head and face were swollen ; some sore throat.

Ooryza lessened after eyes were inflamed ; nose swollen for several hours, lessened suddenly, but feels as if beaten all over.

Coryza with running of tears ; sneezing and difficult breathing, increases 2d day ; discharge, thick, yellow ; eyes swollen and puffed up ; feels as if head had suddenly become too large, lasts for days, then ceasing slowly ; watery discharge hot or warm several times a day, causes biting and stinging; sud- denly a burning as if scalded.

Pain in nose from headache ; pains in left side in the evening ; pains from the cheek-bones, with it a fine streaming like warm air on the left side.

Violent itching in tip of nose, 1 p.m.; evening, more to the left. ^ Face. Face bloated, red and hot, with coryza.

Itching burning, with swelling, skin feels tense, relieved by bathing with cold water ; later, followed by peeling off" in small scales.

(Edematous swelling on forehead and face, with itchino-.

Itching burning, stinging, with swelling on face, most on right forehead, <C at night, >- by cold washing.

Sensation as if the skin were immovable, tense and stretched tightly over the bones.

The itching not relieved by scratching, only by pressing and squeezing.

A few pimples in face, gradually more, until within three months he has more than a dozen, with it he feels better than before in every way.

Pain in cheek-bones, when touched it shoots into right eye, into the nose and below the ear.

Swelling of cheeks.

Itching and burning of lower half of face around lower jaws, as if an eruption would break out. ^ Lower Part of Face. Pain in lower jaw on right side down into throat and neck.

Stiff"ness in lower jaws when biting.

Twitching in left lower jaw.

VOL. II. — 9.

ARSENICUM METALLICUM. 130

Painless swelling of lips and right cheek, very disfiguring, last- ing 36 hours, followed by a much lowered pulse.

Lips dry and hot. ^^ Teeth and Gums. Gums swollen and sore.

Gums swollen and feel as if scalded, with water running to- gether in mouth.

Gums swollen, pain when touched, as if sore, with the outer lips dry and hot, first day the right, then the left side. ^^ Tongue. ' l Coating on tongue white, mucous.

BB Tongue bears imprint of teeth. ^^ Inner Mouth. Dry mouth, with white slimy, furred tongue.

I 1 Mouth sore.

Accumulation of water in mouth.

A small white ulcer, size of point of finger inside of left lower lip, with a pale halo, very painful.

On right and left under lip a sore inside, hurts when touched with the tongue, also the whole inner edge of lower lip hurts, next day the same on left lip. ^^ Palate and Throat. Throat sore, more frequently with coryza.

Violently inflamed throat, with pain when swallowing, worse right side ; after a coryza. Cured by Bellad.

Ulcer deep in throat, right side, painful in swallowing, in- creases for several days, is worse in forenoon ; 2d to 9th day.

B Angina, with much heat in throat, and several little ulcers, several weeks after the ulcer of the gland had been healed by Natr. curb.; after Jod.^'^ it healed. ^* Appetite, Thirst, Desires, Aversions. Diminished appetite ; 3d day.

No appetite for weeks, not until after 3d or 4th month ; his actual appetite and strength returned.

Great desire for brandy or alcoholic drinks, most in the fore- noon, with a lady who never used them.

Aversion to wines and alcoholic drinks for several months, with a man who had not objected to them.

Aggravation after drinking a small quantity of brandy, for which he had not the slightest desire. ^® Belching, Nausea. Hot eructations as of bile, with throbbing through whole body, at noon.

Nausea toward morning.

Nausea with the headache, in the morning. ^"^ Stomach. Pressure in region of stomach, first mucus, then bile ;

later empty retching and cutting in belly ; the 3d night, ^^ Hypochondria. Sore pain in region of liver, goes through all the way to shoulder and spine.

Stitch from region of liver towards the breast bone.

Itching on a small spot, size of point of finger, one inch above the navel, as if in the liver.

Pain in region of spleen down to the groin, evening.

131 ARSENICUM METALLICUM.

Pain in breast extends to region of spleen. ^^ Abdomen. Bloated abdomen.

When getting awake bellyache, tormenting, cutting, shooting,

followed by a burning, watery stool and cessation of pain. Tension and sensation of swelling, with heaviness in head and

threatened vertigo. Pulsation in the navel.

Pulsation in abdomen extending to 1. groin and down to knee. Colic with retching after vomiting at night. I I Red rash on abdomen in the night, the following night red

smooth spots. Painful swelling in right groin ; < on extending the leg, pain

goes up to hip, lasting a long time ; on the same place he

had a suppurating bubo 24 years ago. ^^ Rectum, and Stool. After awaking at 6 A.M., distressing,

lancinating, griping pains in bowels, followed by an acrid,

burning, watery stool, and relief of the pain, but leaving

much debility ; falls asleep sitting ; no appetite ; pulse 60,

much fuller than usual. Constipated after two weeks. Some of the patients who received it had two weeks after some

exceedingly painful piles. Varices bleed a little. Varices right side of anus painful after stool, not bleeding, a

few days later only sore; disappear the 4th day, after some

bleeding.* Itching in anus, gets sore after rubbing, intolerable during the

afternoon, extending to perineum and scrotum, obliged to

scratch violently ; the sore feeling is lessened by very hot

water, not by cold washing. Intense itching at anus, followed by crawling on the end of

the back, mornings. ^^ Urinary Organs. Urine hot in the evening.

Red, sandy sediment in urine. ^^ Male Sexual Organs. Pain in groins, in the morning the

right, evening the left. Pain when awaking in left groin, extending to the thigh. Pain from region of spleen to the groin. Pulsation in the groin. Itching in groin and down to knee. In right groin painful swelling, pain extending to the hip ;

<; when stretching the leg, >■ walking ; <C in sitting ; leg

falls asleep ; had a bubo on the same spot. A numbness extends trom hip-joint to the pubic region. Itching on glans ; prepuce swollen.

* If piles disappear after bleeding, it is a pathological symptom ; if they bleed after disappearance, it is therapeutical.

ARSENICUM METALLICUM. 132

Swelling of the prepuce, with slight burning, lasting half a day and extending to a circumference three times greater ; the 3d week.

Sore place on corona glandis, right side, from where a chancre had been driven 20 years ago, by mercurial ointment ; now thin, watery fluid is discharged, causing thg most violent itching, increasing the sore place ; 2d week ; in the 3d week a similar excoriation on left side of corona glandis, with swelling of prepuce and itching on the edges ; three weeks after its appearance, Mercur.^", without effecting a change ; in four weeks, Natr. carh?"^ followed by improvement ; nearly well in five days ; persuaded among friends to take a little brandy and water, it got worse and remained so for three days ; after Natr. carh^'^ it disappeared.

iChagicres with 1 1 burning pain. — Lippe.

Offensive sweat on genitals for some weeks'.

Itching on scrotum lasting for weeks. ^^ Female Sexual Organs. With the appearance of the monthly the pulse usually became less frequent.

Heat in uterus and vagina ; burning when touched.

1 8 Monthly before the time, lasting longer than usual.

Catamenia appeared at 7 a.m., darker, more fluid and more copious.

On the sixth day passed large lumps of blood-colored mucus.

1 1 Catamenia too early and too scanty. — Lippe.

I Pain in uterus and vagina during the monthly.

■ Able to sew during her monthly, which she never could do before. 24 Pregnancy. Slight stitches in right mamma, under the shoul- der-blade ; later, in the left.

Pain in left mamma, behind the nipple ; later, stitch about an inch behind the nipple, thence extending down to the region of hip.

Itching on the mammae. 2* Voice and Larynx. I l Hoarseness, with coryza. ^^ Respiration. Hot breath.

Violent difficulties in breathing, with sneezing; coryza; run- ning of tears ; he had to lie higher with his head ; increas- ing from 3 P.M. till in the night.

Breathing became painful and asthmatic, and lasted three days and then somewhat less four more ; very bad before break- fast ; >• after the 8th day.

As if a heavy load was lying on the chest all night ; dreams of danger on the water.* ^^ Inner Chest and Lungs. Pain in right side of chest near nip-

* Such dreams always indicate lung or heart symptoms..

133 ARSENICUM METALLICUM.

pie, extending downwards and upwards ; after 30 minutes in left side, and going to neck ; later, again right side.

At 10 A.M. pain in chest near the nipple, shooting about and down into region of spleen ; when at the worst it is near the apex of the heart, with more frequent pulse.

Chilliness extending into chest.

Chilliness in chest, with the headache. ^^ Heart, Pulse and Circulation. Slight pains in region of heart.

After mental disturbances, pain in region of heart.

A stitch in the heart.

A single cutting pain through the heart, at 4 p.m.

Pulsation under the sternum.

I Could lie only on left side. ^Disease of heart. Pulse 64 in the morning ; 4th day.

Pulse continues to rise in mornings, and to fall in the evenings, for 30 days longer, without taking any more of the medicine.

I I Pulse accelerated in the morning (similar to Sulphur). Pulse 116 in the morning, and unequal.

^^ Outer Chest. Pain in muscles of left chest.

On left side of chest small blisters filled with blood, which can be pressed out without pain.

Dull pain in left pectoralis extending to muscles of the shoul- der and to the point of the shoulder-blade, and through the lower inner part of the arm down to elbow ; >> by striking on it, throwing arm back and lifting the shoulder. ^^ Neck. Back. Numbness and sensation of lameness in right lumbar region, from vertebras to crest of ilium and inner side of thigh down to the knee.

Lumbago ; fears walking might increase it, but ceases wiien walking;.

Pain from chest extending into neck.

Pain from region of liver to back and shoulder.

Pain back of right shoulder, morning.

Pain in spine between shoulders, sore to the touch and burning.

Stitch behind the shoulder-blades.

I I Chilliness in the neck, I with headache.

Sensation when lifting the head as if it was drawn down into the cushion, morning.

Weakness of the neck.

Itching in front of throat.

I I Itching in the neck, I with coryza.

Crawling on the back.

Feels as if a furuncle would form ; 9th day. ^^ Upper Limbs. Pain in shoulders and arms.

Pain in right arm above elbow, mornings ; later, stitches on the outside of left arm above elbow.

ARSENICUM METALLICUM. 134

After carrying a child, sharp pain in right arm below elbow, as if wrenched; after resting, as if beaten ; for days.

Arras and hands feel heavy, as if it required more exertion to lift them.

Sore feeling in left arm below elbow, goes through the hand to thumb.

Pain in right forearm below elbow, goes through hand into lit- tle ring finger and is worse in middle joint of the middle finger.

Cracking of all the finger-joints, more when closing hands.

Cold hands during the day, at other times inwardly hot, or cold hands with hot body.

Dry heat in palms of hands.

I I Insensibility in forearm and hands.

Hands and fingers feel swollen, cannot close hands.

Hands feel stiff, as if they could not be closed.

Itching on the olecranon.

I A scab on first joint of left third finger, when torn off leaving a liver-colored spot, a new scab soon forming ; of 20 years standing. ^^ Lower Limbs. Sensation of lameness in right hip-joint.

i I Pulsation in right hip-joint •< morning, ^ evening.

Pulsation from the heel up to the hips.

Sensation of lameness and numbness in right hip-joint, deep in, extending to symphysis pubis and on inner side of thigh down to the knee.

Pulsation in right anterior tibial artery, at the superior end of its inferior third.

Sensation of dryness in right knee-joint.

Feet burning hot, feel as if bloated, next day the same, with- out the least moisture.

Feet, usually icy cold, have become warm, and sweat much.

Feet burning, more at night, has to hold them out of bed, can- not bear the least cover on them ; recurs two weeks after.

From lying on right side, the right hip painfully fatigued, as if he had been lying on a board.

Lameness in right hip-joint and down the thigh, worse after rising from a seat ; gets better while continuing to walk.

When bathing pain in left hip so bad that she cannot lift the limb ; pains from hip to heel. ^* Limbs in General. Feet, hands and fingers feel as if swollen

and stiff. ^° Rest. Position. Motion. Sitting : pain in groin < ; falls asleep.

Lying head high : coryza better.

Lying left side : heart disease better.

Stretching leg : pain in groin worse.

Walking : pain in groin >> ; lumbago > ; hip better.

135 ARSENICUM METALLICUM.

Striking : pain left pectoralis better.

Stooping : sensation of water gusliing forward in head.

Carrying a child : pain r. arm as if wrenched.

Rising from seat: hip-joint worse. ^^ Nerves. Debility, weariness, general prostration of strength. ^^ Sleep. After an unusually sound sleep at night, irrisistible incli- nation to sleep in the day time and early in the evening.

Great drowsiness in morning, after rising, having had a sound sleep.

Feels as if he should fall asleep while walking in the street ; sleepy from 11 A.M. till evening.

On sitting down he falls asleep ; after diarrhoea.

Stupor in the morning, notwithstanding a good sleep all night ; more sleepy in afternoon and evening.

Very sleepy, but cannot fall asleep.

During sleep a sensation as if he would have a headache when awaking in the morning.

Dreams of danger, especially, of danger on the water, with burn- ing of hands and feet. See 26.

On awaking in the morning, sensation as if the head were swollen. ^^ Time. Morning : dullness in forehead ; nose stopped up ; nau- sea; pain in r. groin; pulse rises; pain in- arm; throbbing through body ; hip-joint < ; pain back of shoulder.

4am.: coryza loose.

6 A.M. : pains in bowels and diarrhoea.

7 a.m.: catamenia appeared. 9 A.M. to 2 P.M. : headache. 11 A.M. : excoriating coryza.

Forenoon : glow over brow < ; desire for alcoholic drinks ; sore

throat worse. Noon : hot eructations. 1 P.M. : violent itching tip of nose. Afternoon : glow over brow better. 4 P.M. : cutting pain in cardiac region.

8 P.M. : violent sneezing, with running of nose.

Evening : coryza gone ; urine hot ; pain in 1. groin ; pain in

ARSENICUM METALLICUM. 136

I I Throbbing through the whole body, mornings, most in hip- joint, under breast-bone and in the navel. ^^ Attacks. Symptoms recur every two weeks.

Coryza returns 21st day.

Attacks come suddenly and end slowly, or vieeverna. 6 Coryza. *^ Locality and Direction. Right : pterygium ; pain in lower jaw ; throat < ; liver sore ; painful varices side of anus ; painful swelling in groin ; corona glandis sore ; stitches in mamma; numbness and lameness in lumbar region; pain back of shoulder ; pain in arm ; hip-joint lame ; pulsation in hip-joint.

Right to left : swollen gums ; soreness of under lip.

Left : glow over brow ; pain in inner head ; pulsation in abdo- men ; stitch in mamma; pain in heart region; twitching in lower jaw; ulcer on lower lip.

Above downwards : pain in head; splenic pain; pain in mamma; pain in hip.

Below upwards : pulsation in heel.

Diagonally : stitch pain from liver. *^ Sensations. As if brain were too large.

As if water was gushing forward in head.

As if swollen : the head, eyelid, hands and fingers.

As if skin were immovably tense.

Cutting : in abdomen ; through heart.

Lancinating : in bowels. \

Shooting : in abdomen.

Stitches : from liver to sternum ; in r. mamma ; under shoul- derblade ; in 1. mamma about an inch behind nipple ; in heart; behind the shoulder-blade; in 1. arm.

Stinging : in face.

Burning : in face ; in abdomen ; in rectum ; of the prepuce ; in chancres ; in uterus and vagina ; of feet.

Scalded feeling : of gums.

Sore pain : in region of liver.

Soreness: of scalp; of upper lid; in 1. arm.

Pressure: in region of stomach.

As if wrenched: right arm.

Throbbing : in body, with headache ; ^n groin ; under the sternum; in r. hip-joint; from heel up to hips.

Twitching: in 1. lower law.

Undefined pain : in 1. side of head, to ear and eye ; in eyes ; in facial bones; in ears; in r. lower jaw down into throat and neck ; in region of spleen to groin ; in breast to spleen ; in swelling in groin ; in groins ; in 1. mamma; in r. side of chest near nipple ; in region of heart ; in muscles of 1. chest ; in spine between shoulders ; in shoulders ; in r. arm above elbow ; in 1. hip.

Heaviness : in eyes ; in arms and hands.

137 ARSENICUM METALLICUM.

Lameness : in r. hip-joint.

Numbness : on r. occiput ; on 1. vertex ; from nose to forehead, and over vertex ; in region of eyebrows ; below ears ; from hip-joint to pubic region ; in r. lumbar region.

Crawlino; : on end of back.

Glowing : on a small spot over 1. brow.

Dryness : in r. knee-joint.

Itching: on forehead; on tip of nose ; in face; an inch above navel ; in anus, perineum and scrotum ; in groin and down to knee ; on glans penis ; on the mammge ; in front of throat ; in neck ; in olecranon. ** Tissues. Emaciation : for weeks.

In two weeks lost half a pound ; another in the same time one pound.

Pinching : itching allayed. See 4.

Pulling hair : scalp sore.

Rubbing : itching in anus worse.

Pressing or squeezing : itching better.

Scratching : itching worse. *® Skin. Itching : now here, then there, has to pinch the spot.

Itching : with swelling in face, on head, neck and mamma ; on forearm ; later, on ankles of both feet.

Skin peels off in small scales.

Bluish-red eruption on abdomen ; rash, and red smooth spots.

Red spots over the whole body. Cured by JSfatr. carh.

Small furuncles in the face for three months.

Useful in pterygium after failure of Nux vom. and Spigel.

Bellad. relieved angina faucium.

ARSENICUM SULPHURATUM FLAYUM. 188