Kali Arsenicosum

A short proving, Med. and Surg. Joum., 1848, p. 459 ; physiological and pa- thogenetic effects by Berndt and Cattell ; see Allen's Encyclopedia, vol. 5, p. 212; pathogenetic effects observed by Hering, MSS.

Clinical, Atjthoeities. — Melancholy and jealousy, N. N. ; Affection of uterus, Cattell, B. J. H., vol. 11, p. 350; Neuropaihia, Gradowicz, Med. Ztg., vol. 3, p. 180, 1846 ; Psoriasis, Cattell, B. J. H., vol. 11, p. 350.

^ Mind. I Scolding, morose, retired, quarrelsome and discon- tented, jealous, indifferent to everything, scarcely an- swered questions addressed to her, or replied to them in a peevish tone; eyes had a fixed look, face looked frightened and anxious; < every third day. ^Melan- choly.

TrThought her head felt larger.

TrHeadache in 1. parietal bone, as if it was sore and pressed upon by a hand; behaves like a crazy person.

I I Constricted feeling in head, as if there was a wound on parietal bone which was being scratched ; the place feels hot ; pressure does not relieve. ^Neuropathia. * Outer Head. • Crusta lactea.

® Sight and Eyes. • l Startled look, with protruding, brilliant eyes, pale face and sunken cheeks. ^Neuropathia.

309 KALI ARSENICOSUM.

;rProtrusion of eyeballs. Conjunctiva glassy.

;rDyspnoea; injected conjunctivse, and eyeballs fixed. y-rRight eye weaker; watery, as after weeping. ^ Upper Face. • Nodular eruption on face; boils.

i Furfuraceous eruption in beard. " Taste and Tongue, i l Tongue coated on edges only with mucous stripes. ^Neuropathia. I In middle towards tip of tongue smooth red spot with troublesome burning and numbness. ^Neuralgia of tongue. ;rTongue swollen, felt too large in mouth. ^' Throat. ^Sensation in throat and larynx as if forced

asunder. ^^ Hiccough, Belching, Nausea and Vomiting. 1 1 For one or two hours, repeated every five or ten minutes, sensation as of a ball rising from pit of stomach to larynx threatening sufibcation, > by loud belching. ^Neuropathia. ^^ Scrobiculum and Stomach, i ' From pit of stomach to spine an anxious feeling, accompanied by palpitation, not perceptible objectively. ^Neuropathia. 1 i Empty feeling in stomach. ^Neuropathia. ^ Stool and Rectum, l ' Violent diarrhoea. ^ Female Sexual Organs, i Cauliflower excrescence of os uteri, with flying pains, pressure below os pubis, and stinking discharge. ^ Heart, Pulse and Circulation, i Pulse weak and con- tracted. ^Melancholy and jealousy. I I Pulse small, scarcely perceptible, rapid. ^Neuropathia. ^ Lower Limbs, i Varicose veins of legs. ■ Ulcers on legs with general psoriasis. ^ Best. Position. Motion. Cannot sit up in bed : on ac- count of weakness. Walking: causes perspiration. ^® Nerves, l iSuch weakness she cannot sit up in bed; a loud noise or sudden, unexpected motion throws her whole body into a tremor. 6'Neuropathia. ^^ Time. Night: intolerable itching of eruption. ^^ Temperature and Weather. Warmth : < dry chronic eczema. Undressing: at night, itching of eruption <. ^ Fever. iTemperatureof surface diminished. ^Melancholy and jealousy. Lassitude with febrile heat. Perspiration when walking. ^^ Attacks, Periodicity. ' ' Worse every other day in the morning. ^Neuropathia.

KALI ARSENICOSUM. 310

For one or two hours, repeated every five or ten minutes: sensation of b-all rising from pit of stomach to larynx.

Every third day: mind symptoms <. *^ Locality and Direction. Left: headache in parietal bone. ^^ Sensations. Head felt larger; as if 1. parietal bone was sore and pressed upon by a hand; as if there was a wound on parietal bone which was being scratched ; tongue felt too large; sensation in throat and larynx as if forced asunder; as if a ball was rising from pit of stomach to larynx.

Pain: in 1. parietal bone.

Flying pain : in uterus.

Troublesome burning: in middle towards tip of tongue; of eruption on trunk, legs and forearms.

Anxious feeling: from pit of stomach to spine, accompa- nied by palpitation.

Constricted feeling: in head.

Pressure: below os pubis.

Lassitude: with febrile heat.

Numbness: of middle towards tip of tongue.

Intolerable itching, stinging: of eruption on trunk, legs and forehead. ^ Tissues. ■ Phagedenic ulcers, deep base and turned up edges.

Eruptions; lichen, psoriasis, icthyosis.

i Rheumatic, gouty and syphilitic pains.

• Gouty nodosities. ^^ Touch. Passive Motion. Injuries. Pressure : does not

relieve constricted feeling in head. ^^ Skin. I I Dry, wilted skin ; emaciated to a skeleton. ^Neu- ropathia.

lAcne, appearance like that in early stage of variola.

■ Eruption covering entire body except scalp, comes out in red papulse, varjdng in diameter from size of pin's head to that of a three cent piece ; vesicles form on sum- mit, suppurate, crusts form and fall off, leaving a sore which heals; the places occupied by these sores are marked by a dark colored cicatrix, and the skin gener- ally has a dusky look; intolerable itching, stinging and burning, especially on undressing at night ; it is worst on trunk, legs and forearms; mind much depressed.

I I Lichen confluens over whole body, except face, palms and soles, and part of chest; the rest studded with pap- ulae, particularly distinct about outer sides of thighs, arms and back; they are covered with very minute, flimsy, whitish scabs, causing a powdery appearance of skin; head very scurfy; hair crisp and dry; often irri- tation in skin, which becomes reddened and cracked, particularly about bend of arms and knees.

311 KALI ARSENICOSUM.

I I Dry chronic eczema; skin of arms thicker and rougher than natural, covered with flimsy exfoliations of epider- mis; very irritable, itching and tingling when she gets warm; intensely fissured about bends of elbows and wrists ; occasional exacerbation, with eruption of distinct vesicles; languor and lassitude; pale, sallow complexion ; catamenia irregular.

I I Patches of psoriasis on back, arms and spreading from elbows, and anteriorly on legs, size of a crown piece, and indolent.

I I Lepra.

I I Psoriasis: scaly itchings, causing him to scratch till an ichorous fluid discharges, forming a hard cake.

I I Discoloration of skin after psoriasis and lej^ra.

I I Psoriasis in numerous patches, with great itching; the patches becoming more active, scale off, and are replaced by smaller, they leave beneath them a red skin. *^ Relations. Compare Arsen. which it greatly resembles ; Cinchon. in periodicity; Cicuta in fixed eyeballs ; /odum, Kali bich., Merc. cor.

KALI BICHROMICUM; 312