Rhus Toxicodendron

I Eruption suppurating, moist, forming thick offensive- smelling crusts; itching < at night; hair is eaten off; extends to shoulders. t'Scald-head.

I I Dry herpes on hairy scalp. ^ Sight and Eyes, i Aversion to light; scrofulous affections.

I Extreme confusion of sight.

■ Obscurity of vision ; sensation as of a veil before eyes. I Lids red, swollen, oedematous, especially the upper, and

spasmodically closed, with profuse gushes of hot tears on opening them; saclike swelling of conjunctiva; yellow, purulent, mucous discharge; swelling around eyes ; burning pain in eye, with much photophobia ; stitches in eyes and temples, with vertigo ; lids cannot be opened ; < in evening; pressive burning pain in r. eye, so intense he could not bear slightest touch ; child lies constantly on its face with its hands to its head; liead hot and face red. ^Irido- choroiditis. I I Mr. S., set. 66, rheumatic diathesis; had a cataract removed by Graefe's modified linear extraction ; on second night after operation, sharp pains in eye, restless, fever and thirst ; upper lid oedematous, lids tightly closed, on opening a profuse gush of hot tears followed; chemosis, haziness of aqueous, suppuration commencing. ^Irido-choroiditis suppurativa traumatica.

I I Miss D., set. 18; had discission made of capsule re-

maining after extraction of cataract ; nausea, vomiting; 1 A.M., sharp shooting pain in eye, lids spasmodically closed, oedematous, profuse hot lachrymation on open- ing, photophobia, chemosis.

I I Iritis : either of rheumatic or traumatic origin or from exposure to wet ; inflammation may extend to and in- volve choroid : pains shoot through eyes to back of head, < worse at night ; profuse flow of hot tears on opening eyes; in some cases inflammation may go on to suppu- ration ; in rheumatic or gouty subjects ; suppurative, or where the ciliary body and choroid are involved, es- pecially if of traumatic origin.

■ Mydriasis from exposure to cold and dampness.

■ Pustules and superficial ulcers on cornea, with great

photophobia; conjunctiva quite red, even to chemosis.

• Suppuration of cornea, especially when consequent upon cataract extraction.

i I Totally blind ; cornea filled between its lamellae with a thick whitish exudation ; iris distorted ; iridectomy of no avail; has been subject to facial erysipelas; cold water had suppressed eruption ; since then weak sight, gradually total blindness, until relieved. ^Opacity of cornea.

57 RHUS TOXICODENDRON.

iKerato-iritis, especially if rheumatic in character, from cold, damp atmosphere.

Glaucoma.

I Orbital cellulitis.

I I Pain in r. eyeball, of such intensity that she could not bear even a slight touch ; redness of sclerotic, and de- velopment of numerous bloodvessels ; dulness of cornea, great sensibility to light ; iris of affected eye, which in its natural state was blue, is now green, pupillary margin not well defined, pupil itself does not move when ex- posed to light, lens appeared of a smoky dimness ; an eruption of red pimples and pustules on nose and cheek increased as action of eye declined, and vice versa ; a burning tearing pain in neighborhood of dis- eased eye, < morning and night, depriving patient of rest and sleep.

Itching in eyes on exerting vision.

I Aching or pressive pain in eyes.

Left eye felt enormously swollen and enlarged, though this was not the case.

Sharp pains run from eyes into head.

Biting as from something sharp and acrid in r. eye.

Biting in eyes ; lids agglutinated in morning.

Drawing and tearing in region of brows and in malar bones.

llEyes are closed and greatly swollen and inflamed.

I Acute conjunctivitis from getting wet.

I Great photophobia, profuse acrid lachrymation in morn- ing and in open air ; cheek under eye dotted with red pimples ; lids spasmodically closed.

I I Violent inflammation of r. eye. ^Conjunctivitis.

I Saclike swelling of conjunctiva, with yellow purulent discharge.

I Eyes red and agglutinated in morning.

1 I Catarrhal ophthalmia; lids swollen and completely closed, from under which escaped, from time to time, purulent mucus ; on attempting to open lids there flowed out a quantity of water, and the conjunctiva covering the lids was loose, swollen, projecting betwixt the lids and prevented the eyeball from being seen. ^ Arthritic ophthalmia, from working in w^ater or getting wet, with tearing pain in eyes, especially at night.

■Scrofulous ophthalmia ; phlyctenules on and about cornea ; intense photophobia ; eyelids involved and spasmodically closed ; yellow pus gushes out when they are forced apart ; pains < at night. I I Scrofulous ophthalmia ; r. eye affected ; not much pho- tophobia ; lids slightly swollen ; on cornea a small scrofulous ulcer surrounded by fasciculi of vessels.

RHUS TOXICODENDRON. 58

I I Scrofulous ophthalmia, with phlyctenulse on edge of cornea of 1. eye ; pain and photophobia not very great; scrofulous eruption on internal nose, which was much swollen.

I I Conjunctiva of 1, eye very red and studded with small ulcers; great photophobia; frequent lachrymation ; eruption behind ears and beneath scalp, exuding plenti- fully. ^Scrofulous ophthalmia.

I I Violent inflammation of eyeball; two dirty-looking ulcers on cornea of 1. eye, size of hemp seeds ; great photophobia ; thick scabs around alee nasi and angles of mouth. ^Scrofulous ophthalmia.

I I Scrofulous ophthalmia ; excessive photophobia, child lies all day with face resting on floor ; constant restless- ness, loss of appetite ; emaciation.

I I Right eye surrounded by an oedematous swelling, from border of orbit to alee nasi ; eyes slightly red, lachry- mose by day, closed up by night ; child constantly rub- bing its eyes, restless and sleepless. ^Ophthalmia ery- sipelatous.

I I Conjunctivitis granulosa; < in right eye; heaviness

of lids ; < in stormy weather, with pannus. • Ophthalmia neonatorum ; lids red, oedematously swollen and spasmodically closed ; restlessness at night.

I I Pains in eyes when moving or turning eyeballs.

■ Paralysis of any of muscles of eyeball, resulting from

rheumatism, exposure to cold or getting feet wet. Burning in inner canthus of r. eye.

■ Weeping eyes ; bleareyedness.

■ Epiphora of long standing, with an apparent stricture of

lachrymal duct.

1 1 Inflammation of lids ; lids much swollen.

I I Right upper lid much swollen, hard ; pains < from 5 to 7 P.M. ; walking around does not relieve ; when she moves her eye it feels as if there was a hard ball moving around ; burning,itching, shooting pains around lid ; < in cold air.

■ Erysipelas of lids, sometimes of traumatic origin; pro-

fuse lachrymation, spasmodic closure of lids.

■ Eyelids oedematous, or erysipelatous, with scattered

watery vesicles ; meibomian glands enlarged, cilia fall out.

■ Oedematous erysipelatous swelling of lids and face, with

small watery vesicles scattered over the surface, and drawing pains in cheek and head.

■ Lids look red and fiery, like erysipelas, and itch greatly.

■ Violent burning, itching and prickling in swollen lids.

■ Uncomplicated blepharitis, especially of acute form, with

59 ^ RHUS TOXICODENDRON.

a tendency to formation of abscess ; lids highly oedema- tous, profuse lachrymation with pain ; < at night, > from warm applications.

■ Simple oedema of lids.

I Eyelids present a bladder-like appearance, and the lids are closed from the great swelling.

I Lids oedematously swollen, copious, acrid, serous dis- charge, corrodes adjacent parts. ^Blepharitis.

iChronic inflammation of lids ; puffiness of lids and face ; meibomian glands enlarged ; falling out of cilise ; itch- ing and biting in lids; sensation of dryness of eyes; burning in internal canthus ; acrid lachrymation in morning and in open air, or constant and profuse lachrymation which may be acrid or not.

Relaxation of eyelids, with puffiness of lids and hot, flushed face.

I Heaviness and stiffness of lids, like a paralysis, as if it were difficult to move lids.

I I Ptosis of r. eyelid in a girl, set. 5, first noticed when five

days old ; whenever she wished to open her eye to look at anything, she involuntarily opened widely her mouth, which made her look ludicrous.

I I Ptosis, also paralysis of muscles of eyeball, from ex- posure to cold or wet ; in rheumatic patient.

1 1 Lids agglutinated with purulent mucus, in morning. I I Eruption on 1. lower lid ; inflammation of conjunctiva;

burning and painful twitching in affected part. A red, hard swelling, like a stye, on lower lid, toward

inner canthus, with pressive pain, lasting six days. iStyes on lower lids.

■ Symptoms of lids dependent upon inflammation of

deeper structures. * Hearing and Ears. Hardness of hearing, especially of human voice.

■ Otalgia, with pulsation in ear at night.

■ Excoriating discharge of bloody pus from ear in acute

inflammation.

■ Erysipelatous inflammation of external and internal ear,

vesicular, with excessive otalgia.

■ Inflammatory swelling of glands beneath ears. ^ After

scarlatina.

■ Lobule of 1. ear swollen.

■ ■Parotitis, 1. side; especially suppuration. ^Scarlatina. ^ Smell and Nose. 1 1 Loss of smell.

■ Nosebleed: frequent; on stooping; in morning; at

night ; coagulated blood ; at stool, or from exertion ; in typhus, with some relief.

■ Spasmodic sneezing.

RHUS TOXICODENDRON. 60

I I Sudden cessation of cough followed by most outrageous sneezing, all night ; in morning face red, swollen, can- not talk for sneezing ; points to head and abdomen. ^Influenza.

■ Dryness and stoppage of nose.

■ Sensation of soreness in nostrils.

■ Discharge from nose: of thick, yellow mucus; of nasal

mucus without coryza ; of green, offensive pus; of

yellow ichor, with swollen cervical glands ; hot, acrid

from nares. Hot burning beneath 1. nostril so that the breath seemed

to come out of it hot. iSwelling of nose.

■ Tip of nose red and sensitive ; nose sore internally. iPuffiness of nose.

I Fever blisters and crusts under nose. I I Eczema on both sides below nose ; nose swollen, now and then bleeding.

■ Eruption in corners of nose.

* Upper Face. Face : fier}^ red ; pale, sunken, nose pointed, blue around eyes ; red, with heat.

■ Burning, drawing, tearing in face; teeth feel too long;

restlessness.

I I For several successive nights, awoke after having been asleep about an hour, with pain in temporal region of 1. side, extending toward head, cheeks and teeth of same side ; pain increased from minute to minute, was of a glowing, tearing character and forced him to quit his bed and walk about the room for three hours during the night ; went to bed exhausted, fell asleep, but awoke again in half an hour and was obliged once more to walk about until 7 or 8 a.m. ; during day teeth of af- fected side felt too long and w^ere loose so that he could masticate but little; felt very weak and cold. ^Facial neuralgia.

I I Facial neuralgia ; feeling of great coldness ; < in open air; violent evening exacerbation; dysenteric diarrhoea.

I I From having been in a cellar, where he perspired much, especially on head, old neuralgic pains reappeared; patient pressed hand on 1, cheek, pressed teeth together and had a distorted painful face.

■ Tension and swelling of face.

■ Great swelling of face, especially of eyelids and ears. Violent burning in swollen face, lids and ears.

■ ■Erysipelas from 1. to r. ; face dark-red, covered with

yellow vesicles ; burning, itching and tingling with stinging; delirium and high fever. I I Whole face swollen, eyes nearly closed ; ears swollen ;

61 RHUS TOXICODENDRON.

swelling of face red, hot, with tension and burning, r. side being covered with vesicles, some of which had burst; hairy part of scalp very sensitive to touch, par- ticularly in region of occiput, which was the seat of pressing pains ; ringing in ears with hardness of hear- ing ; frequent short naps ; delirium at night ; slow, complaining speech ; great despondency ; constantly lies on back, at rare intervals sluggish movements of limbs ; no appetite ; great thirst ; frequent, deep in- spirations with sighing; diarrhoea; cough with expec- toration of blood ; urine bluish-red. ^Erysipelas.

i I Whole face, except forehead, greatly swollen, hot, harsh to touch, bright-red, shiny and covered with vesicles; lids greatly swollen, cannot open eyes ; auditory meatus on both sides swollen ; stitching pains in throat on swallowing; sides of back painful to touch, without swelling or hardness ; tongue red, dry ; great thirst ; frequent yawning ; painful pressure on chest and about heart ; at rare intervals cough with expectoration of blood ; tearing pains in all the limbs ; skin dry, hot ; urine scanty, dark ; pulse rapid, weak. ^Erysipelas.

I 1 Er3'sipelas bullosum ; the spots had spread over fore- part of scalp, entire face covered with large blisters; heat, swelling and intense pain ; tongue smooth, very red; much thirst ; anxiety; restlessness; sleeplessness; very quick pulse.

I I Inflammation commenced in outer ear and gradually

spread to cheek and forehead of same side, then to opposite ear, cheek and side of head, with blistering, burning and itching. ^Erysipelas.

I I Acne rosacea.

I Milk crust; thick crusts and a secretion of fetid, bloody matter.

■ Impetigo on face and forehead.

I I Forepart of head and r. side of face covered with a thick, moist crust, from under which an ichorous, fre- quently sanious, offensive discharge oozes ; underlying skin rough, excoriated ; lids of r. eye red, swollen ; con- junctiva red ; skin of whole body, but particularly of arms and feet, rough and scaly, often covered with thick moist crusts ; intolerable biting-itching in affected parts, < toward evening, at night and from warmth ; on scratching a sanious pus is discharged with momen- tary relief; an intolerable odor arises from the patient.

■ Crusta lactea; crusts on cheeks, extending up to temples

over hairy part of scalp, even eyelids being covered ; on several fingers painful ulcerations about nails. iChronic suppurating eruptions on face.

RHUS TOXICODENDRON. 62

^ Lower Face. Cramplike pain in articulation of lower jaw,

close to ear, during rest and motion of part, > from

pressure and warmth. Pressive and digging pain in glands beneath angle of

lower jaw. I Pain in maxillary joints as if the jaw would break. liStiffness of jaws, cracking in articulation of jaw when

moving it; jaw easily dislocated.

■ Dull, aching cramplike pain in articulation of r. lower

jaw when at rest, and when in motion, accompanied by a crackling sound and severe pain as if jaw would break, > by pressure and warm food and drinks. iRheumatism of maxillar}^ joint.

I I Parotitis after catching cold ; suppuration was feared

and an incision made ; swelling then somewhat sub- sided but became more indurated, particularly around scar; if exposed to north and east winds inflammation and swelling occurred, at which time she could hardly open mouth.

I I Corners of mouth ulcerated, fever blisters around mouth.

■ Exanthema on cheeks, chin and around mouth.

■ Herpetic, crusty eruptions around mouth and nose with

itching and burning.

I Pimples about mouth and chin.

I Lips dry and parched, covered with reddish-brown crusts. ^Typhus. '° Teeth and Gums, l Teeth painful with stinging at root of nose, extending to malar bones.

Toothache, in evening, first in a hollow tooth, which be- came elongated and loose, then also in other teeth in which the pain was partly sticking and partly crawling.

Jerking toothache at night (about 10 p.m.); the jerking extending into head ; > from application of cold hand.

Tearing pain in teeth, > by hot applications.

■ Jumping, shooting, as if teeth were being torn out; or

slow, pricking, throbbing or tearing, extending into jaws and temples; face sore; < at night, from cold, from vexation, > from external heat; crusty caries.

■ Gnawing sensation in hollow teeth < from cold.

■ Teeth feel too long and too loose, feel as if asleep. Looseness of lower incisors ; she cannot bite upon them.

'"^ Taste and Tongue. ■Taste : putrid, mornings after eating; ■ ■metallic; food, especially bread, tastes bitter; disgust- ing, bitter, with a sensation of dryness in mouth, fre- quently awoke her at night.

■ ■Tongue: dry; sore, redness at tip; not coated but very

dry, which provoked drinking ; dry, red, cracked ; has a triangular red tip ; white, often on one side ; yellowish;

63 RHUS a'OXICODENDRON.

covered with brown mucus; takes imprint of teeth; blistered ; coated at root, yellowish- white ; thickly coated ; brown mucus, excepting on edges, in morning on rising. "Inner Mouth. Sleeps with open mouth.

I Breath: putrid, excessively so in typhoid fever and diph- theria.

I Mouth dry, with much thirst.

Water accumulates in mouth, is frequently obliged to spit.

I Saliva bloody; runs out of mouth during sleep.

I Much tough mucus in mouth and throat.

I I Both lips large, prominent, tender and of an ashy-gray

color from infiltration beneath mucous membrane of an albuminous-looking matter behind which was a layer .of dark-colored fluid, probably blood; face, especially forehead, bluish and cool; features drawn and pinched; submaxillary glands greatly swollen ; pulse 96, small and thready ; temperature 97.3° ; tongue swollen, pale and covered with an offensive mucus similar in odor and hue to lips ; extreme prostration. /^Diphtheria of lips. ^^ Throat, l Sensation of dryness in throat.

I I Great thirst and dryness in throat, in typhoid conditions. Unable to drink ; at every swallow the drink chokes her

as if pharynx were inactive or paralyzed ; associated with a sensation of dryness in throat posteriorly.

■ Difficult swallowing of solids, as from contraction.

■ Painful swallowing, particularly when swallowing empty

or saliva. Sore throat; deglutition difficult, with stitching pains,

throat much swollen externally, maxillary and parotid

glands greatly enlarged. ■Sore throat as from an internal swelling, with bruised

pain, also when talking, with pressure and stinging

when swallowing.

■ ■Throat sore, feels stiff; after straining throat.

■ Sticking or stinging pains in tonsils, < on beginning to

swallow.

■ Erysipelatous inflammation; parotids swollen ; cellulitis

of neck ; drowsiness.

Tonsil (right) covered with yellow membrane.

I I Fever < toward night ; pains in back of neck with stiffness, < on turning, > on change of position ; rest- lessness ; inflammation of r. tonsil, with a patch like chamois leather, yellowish-white, thick ; tongue white, heavily coated, top and edge red, almost sore, raw-look- ing ; fetid breath ; sticking pain on swallowing, < when first beginning to swallow; loathing of food. ^Diph- theria.

■ Diphtheria; child restless, wants to be carried about

RHUS TOXICODENDRON. 64

wakes up every now and then complaining of pain in throat; bloody saliva runs out of mouth during sleep ; parotid glands swollen; transparent, jelly-like discharges from bowels at stool or afterward.

I I Pain in back, in a spot corresponding with about centre

of oesophagus, < eating and drinking; when food reaches this spot it refuses to go further, so that she can take only fluids ; seeks to force food past affected spot by 'twisting body about or assuming some favorable position, after which she is relieved. ^CEsophagitis. iCEsophagitis, especially after corrosive substances.

I I Parotid and submaxillary glands highly inflamed and enlarged ; swallowing nearly impossible. ^Diphtheria. ^Scarlatina. ^Variola.

I Mumps on left side. ^* Appetite, Thirst. Desires, Aversions, i Hunger without appetite.

Loss of appetite in palate and throat, with emptiness in stomach, and at same time ravenous hunger, that dis- appeared after sitting awhile.

I Complete loss of appetite for all food; nothing tastes well, neither food, drink nor tobacco.

I No appetite, or wants only dainties.

I I Thirst with dryness of throat.

I Unquenchable thirst, wants only cold drinks; < at night, from dryness of mouth.

■ Desire for: oysters; sweets; beer; cold milk.

■ Aversion to: spirituous liquors; to meat; to beer.

^^ Eating and Drinking, i After eating : great sleepiness ; ful- ness in stomach ; giddiness ; heaviness in stomach as from a stone. From drinking ice-water: pain in stomach and nausea.

^^ Hiccough, Belching, Nausea and Vomiting. i Eructa- tions: seem to become incarcerated and remain in r. side of chest ; with nausea ; with tingling in stomach,

< when rising from lying.

I Nausea: after ice-water ; after eating, with sudden vomit- ing; with inordinate appetite and inclination to vomit;

< at night and after eating.

'^ Scrobiculum and Stomach. Violent throbbing in epi- gastric region.

■ Stinging or pulsation in pit of stomach. ■Ulcerative pain in pit of stomach. Fulness in stomach, as if overloaded.

■ Fulness or heaviness, as from a stone in stomach; after

eating.

■ Pressure in pit of stomach, as if swollen or as if drawn

together.

65 RHUS TOXICODENDRON.

Oppression in stomach toward evening. 1 1 Pain in stomach and nausea, after ice-water. '* Hypochondria, n Soreness as if beaten in hypochondriac

region and abdomen, < on side on which he lies, <

when turning and worst when beginning to move. Pressing drawing, from below upward, in 1. hypochon- ' drium, with anxiety and nausea in chest. I I Severe pain in r. hypochondriac region with high fever,

was hardly able to breathe ; kept moving about ; >

after eating. I I Shooting pains of two weeks standing. ^Abscess of

liver. ^^ Abdomen, i Abdomen bloated: especially after eating ; all

day a sensation of fermentation in it. Griping and jerking pain in abdomen. Pain in region of ascending colon. Pain and contraction in abdomen, she was obliged to walk

bent over.

I I Pains like a knife in r. abdomen on walking.

■ Soreness of navel.

I I Soreness in walls of abdomen, especially in morning when stretching; after physical strain.

• Sensation as if something were torn loose in abdomen.

■ Visible contractions of abdomen above navel.

i I Pains in stomach and abdomen after drinking ice-water; since then whenever she eats anything has colic, which is followed by a normal stool, with relief.

I Colic, he must walk bent; < at night; after getting wet.

I I Violent colic, > only by lying on back with legs elevated

vertically.

I I Typhlitis.

I I Constant pressing, burning pains in whole r. side of abdomen, < rising from a seat, but particularly severe when sitting down, with sensation as if a lump lay like a pressing heavy weight in abdomen; on this account and because of a tension and disturbance in whole r. side of abdomen which extended to groin, she could not stand erect, or easily lift r. foot or propel it forward, whole r. side of abdomen very tense and painful to pressure ; a broad fiat tumor could be detected extend- ing from crest of ilium to linea alba, upward to liver,- downward to region of groin, feeling as if it rounded itself inward and backward; face sunken, pale, dis- torted, with suffering expression ; anorexia ; aversion to food ; moderate thirst ; chilliness mixed with heat ; rapid hard pulse; emaciation; despondency; feeling of extreme prostration. ^Physconia peritonealis.

I I Vomiting of mucus, bile and food ; sleeplessness ; fever;

VOL. XI. — 5.