Tuberculinum

Fragmentary provings by Swan, upon M. B. B. with cm. ; Edna Eose, with cmm.

Authorities : — Refer to New Organon, July, 1879, pp. 342, 439, 449 ; Swan's Morbific Products, 1886; Burnett's New Cures, 1885 to 1890; J. A. Biegler's Eeport; C. F. Nichol's paper in Popular Science News, April, 1891.

Clinical Authorities. — Tubercular meningitis, Biegler, Org., vol. 2, p. 439 ; Horn. Phys., vol. 11, p. 187; Burnett, Consumption, pp. 9, 13, 31, 53; Chronic headache, Swan, Org., vol. 3, p. 41 ; Vomiting, Kent, MSS. ; Tabes mesenterica, Burnett, Consumption, pp. 52, 82 ; Cholera infantum, Swan, MSS. ; Cough, Board- man, Org., vol. 2, p. 448 ; Burnett, Consumption, p. 15 ; Threatened phthisis, Incipient tuberculosis, Burnett, Consumption; Tubercular synovitis of knee, Burnett, Consumption, p. 47 ; Spasms, Swan, Organon, vol. 2, p. 342; Horn. Phys., vol. 11, p. 187 ; Ringworm, Burnett, Consumption, pp. 96-100.

^ Mind. ' I Although naturally of a sweet disposition, became taciturn, sulky, snappish, fretty, irritable, morose, de- pressed and melancholic, even to insanity. ^Tubercu- lar meningitis. Burnett.

I I Fretful, ailing, whines and complains ; mind given to be frightened, particularly by dogs. ^Hydrocephaloid. Burnett. ^ Inner Head. TrSevere headache, < on second day, lasting until third, recurring from time to time for many weeks and compelling quiet fixedness. Burnett.

I Headache, with frequent sharp, cutting pains passing from above r. eye through head to back of 1. ear. Rose.

1 I Headache of great intensity preceded by a shuddering chill passing from brain down spine ; with attack a feel- ing as if head above eyes were swollen ; became uncon- scious with screaming, tearing her hair, beating her head with her fists or trying to dash it against wall or floor. Swan.

I I Headache of forty-five years' standing, pain passing from r. frontal protuberance to r. occipital region. Swan.

I I Terrible pain in head, as if he had a tight hoop of iron around it ; trembling of hands ; distressing sensation of damp clothes on his spine; almost absolute sleepless- ness ; profound adynamia ; was thought by his friends to be on verge of insanity ; most of his brothers and

351 TUBERCULINUM.

sisters had died of water on brain ; r. lung solid, prob- ably from healed-up cavities, as he at one time suffered from pulmonary phthisis. Burnett.

I I Sullen, taciturn, irritable, screams in his sleep, is very restless at night, costive ; sister died of tubercular men- ingitis. Burnett.

I I Fretful and ailing, whines and complains, indurated glands can be felt everywhere, child hot, drowsy, urine red and sandy, much given to be frightened, particu- larly by dogs ; was vaccinated and had a very bad arm for four months thereafter; would not smile, whimpers when spoken to, skin dingy, skull hydrocephalic. Bur- nett.

I I Boy, set. 20 months, ill for days with head, high fever, restlessness and constant screaming ; finally no sleep for forty hours, followed by a condition of collapse ; peculiar smell of body ; family histor}'- of tuberculosis. Burnett.

I I Tubercular meningitis, with effusion ; head greatly en- larged ; alternately wakeful and delirious at night, talked nonsense by day, at intervals; nocturnal hallu- cinations and fright; delirium; pyrexia; had eczema which almost disappeared after two unsuccessful vacci- nations, and which were soon followed by above condi- tion ; after administration of remedy there occurred a severe pustular eruption, then patches of a lepra and eczema appeared. Burnett.

I I Basilar meningitis. Sinker.

■ Tubercular meningitis. Sinker.

I I Acute cerebral meningitis, with intense strabismus. Biegler. ^ Smell and Nose. Soreness inside of nose, commencing as watery pimples, which, suppurating, form scabs; nose and lips somewhat swollen; itched slightly. Rose. ^ Lower Face. Slight swelling and itching of lips. Rose. '^ Hiccough, Belching, Nausea and Vomiting. Nausea be- fore breakfast, with sudden diarrhoea. M. B. B.

i I Frequent vomiting. Kent. *^ Scrobiculum and Stomach. 1 1 Windy dyspepsia, with pinching pains under ribs of r. side in mammary line. Burnett. ^^ Abdomen, i ' Fever, emaciation, abdominal pains and dis- comfort, restless at night, glands of both groins enlarged and indurated ; cries out in sleep ; strawberry tongue. ^Phthisis. Burnett.

I 1 Tabes mesenterica; swelling on 1. side, also on r. ; com- plains of a stitch in side after running; languid and indisposed to talk; nervous and irritable; talks in his

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sleep, grinds his teeth ; appetite poor ; hands blue ; in- durated and palpable glands everywhere; a drum belly, spleen region bulging out. Burnett.

I I Inguinal glands indurated and visible; excessive sweats; chronic diarrhoea. ^Tabes mesenterica. Burnett. ^" Stool and Rectum. Sudden diarrhcea before breakfast, with nausea.

I I Diarrhoea, furious fever, burning hot skin, great heat in head, red, flushed face, eyes turned upward, quivering and rolling ; peculiar fetid smell of body. ^Incipient tuberculosis. Burnett.

I I Cholera infantum. Swan.

I I Severe hemorrhages from bowels, cough; emaciation; family history of phthisis. Burnett. "" Cough. I I Slight tedious hacking cough, which had lasted for months in a girl of a distinctly phthisic habit. Burnett.

1 I Hard, dry cough, sometimes slight, but generally no expectoration, slightly feverish. Boardman.

I I Hard, dry cough, shaking patient, more during sleep, but did not waken him. Boardman.

I I Expectoration of non-viscid, very easily detached, thick phlegm from air passages, followed after a day or two by a very clear ring of voice. Burnett. Inner Chest and Lungs, i i Slight hacking cough, contin- uing all day, < at bedtime and on rising ; emaciation ; dulness on percussion at apex of r. lung. ^Threatened phthisis. Burnett.

I I Girl, set. 15, tall for her age ; tonsils enlarged ; chronic discharge from nose, < early morning on rising; speech thick ; thorax of pigeon-breast type ; menstruated freely ; perspires much across nose; very bad perspiration of chest, armpits, palms, nose and feet; feels very chilly; spleen swollen ; distinct dulness on percussion at apex of r. lung; suffered badly from vaccination; gets chil- blains. ^Incipient tuberculosis. Burnett.

I I Hectic flush of cheeks; shortness of breath; slight hacking cough ; several strumous scars on neck ; dusky skin ; large, moist rales in both lungs ; increased vocal resonance of r. lung; amphoric sounds in r. lung; large, soft-feeling gland in 1. side of neck; very pronounced endocardial bruit, best heard at apex beat {lodoformum 3x in four grain doses for two months, with improve- ment, followed by Tuherculinum c. in very infrequent doses). Burnett.

I I Incipient phthisis in a boy set. 7; loss of flesh; great prostration; morbid timidity; glands of groins and on both sides of neck very much enlarged and indurated,

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particularly glands over apex of r. lung; as he had suf- fered much from vaccination, Thvja 30 and Sahina 30 were first given, then Tuberculinum c. Burnett.

I I Nocturnal perspirations; notched incisors; indurated glands everywhere, very large and numerous; drum- bellied; grinding of teeth at night; great susceptibility to taking cold ; perspiration < at back of lungs and on head ; big head, with bulging forehead ; subject to attacks of fever and diarrhoea. ^Incipient phthisis. Burnett.

M Incipient tubercular disease; restless at nights; sleep- less; grinds teeth; tendency to diarrhoea; want of appe- tite; foul breath; notched teeth; pain after food; vom- iting of food; indurated glands; strawberry tongue; naughty; very irritable temper; puny growth; very thin; girl, set. 6. Burnett.

I I A nasty little cough for seven weeks; much expectora- tion; pains in r. lung; evening fever; liver and spleen enlarged; cough < morning after breakfast; neck slightly goitrous; eats hardly any breakfast. Burnett.

I I Cough, < 6 A.M.; notched incisors; thin and puny; cer- vical and inguinal glands much enlarged and indu- rated; strawberry tongue; girl, set. 7. ^Incipient phthisis. Burnett.

I I No respiratory sounds at top of r. lung, and vocal reso- nance slightly increased ; pain in 1. side ; profuse per- spiration; girl, set. 18. Burnett.

I I Much fever, < evenings; restless and terribly irritable; much depressed and in almost constant agitation ; tongue very red ; chronic diarrhoea; has lost fourteen pounds during last six weeks; has no appetite; evacuations dis- charged from bowels as from a pop-gun. ^Threatened phthisis. Burnett.

I I Bad cough of about twelve months' duration; expecto- ration of blood; one of apices was audibly diseased ; has had pneumonia; chest flat; respiration accelerated; tanned unduly in sun. Burnett.

I lAnsemic,sickly, pale; profound debility; dyspnoea, can- not mount or hurry; menses irregular. ^Phthisis pul- monum. Burnett.

I I Lady, set. 26, in first stage of consumption; dyspnoea and rapid breathing; loss of flesh; greasy, dingy skin. Burnett.

I I Stout man, bright, florid complexion, mother died of phthisis, with which disease her sister is suffering; gets pneumonia very often in cold weather; hence travels

. from place to place to avoid colds; coughs much, brings up much phlegm; perspired profusely and drank great quantities of fluids; wretched sleepless nights, with

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almost constant fever; glands of neck much enlarged. /^Phthisis. Burnett. I I Complains that she has been in consumption for many years; is very thin and consumed with fever; lungs very fiat; respiration almost imperceptible; fever; poor appe- tite; languid. Burnett. I I Ringworm on scalp; lymphatic glands everywhere pal- pable; ribs very flat; strawberry tongue, bad cough, < at night; although 11 years old she had practically no teeth, they were rudimentary, and not above level of of gums. Burnett. I I Pronounced phthisical habit; severe piles; constipation; brown cutaneous affection on abdomen. Burnett. ^' Neck and Back, i ' Indurated cervical glands.

Lump size of a walnut on cord of neck, is movable and occasionally itches. Rose. ^' Lower Limbs. Lame feet for three weeks, would walk or stand on sides of feet to rest them. M. B. B.

Cramps in calves. M. B. B.

I I Tubercular swelling of knee; intermittent attacks of pain in it; has expectorated clots of blood and suffered from exhausting sweats; family history of phthisis. Burnett.

I ' Tuberculous disease of 1. knee ; for eleven months had been limping; knee much enlarged and very tender; teeth dirty and carious; strawberry tongue. Burnett.

I I Tubercular synovitis of 1. knee. Burnett. ^^ Nerves, l l Suddenly became unconscious while sewing or talking, began screaming, tearing her hair, beating her head with her fists, or trying to dash it against wall or floor; attacks daily, for a month, then spasms set in, with rolling of head from side to side and moaning; continuing five weeks, followed b}^ a recurrence of faint- ing fits, at least twice a week; a few hours before an attack of fainting, a shuddering like a chill seemed to go from brain down spine ; when questioned about an attack, she said head would suddenly seem to swell over eyes and pain became " horrid," and she knew no more ; between attacks she was free from all complaints except fatigue and an ever-present frontal headache. Swan. '^'' Sleep. J)isturbed, distressful sleep. Burnett. ^^ Time. Morning: before breakfast, sudden diarrhoea; on rising, hacking cough < ; on rising, discharge from nose < ; after breakfast, cough <.

6 A.M. : cough <.

Evening: at bedtime, hacking cough <; fever.

All day: hacking cough.

Might: wakeful and delirious; restless; grinding of teeth; cough <.

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'"Fever, l l Fever. (?Phtbisis. Burnett.

*' Attacks, Periodicity. Intermittent attack : of pain in

tuberculous knee. For forty hours : no sleep. Twice a week : fainting fits. For three weeks: lame feet. During six weeks : lost fourteen pounds. For seven weeks: a nasty little cough. For eleven months : limping, from tubercular knee. For about twelve months : a bad cough. For forty-five years : headache. "Locality and Direction. Left: enlarged gland on neck;

pains in side; tuberculous knee. Right : sharp pain above e3^e, through to 1. ear ; pain from

forehead to occiput ; pinching pains under ribs; dulness

in apex of lung ; increased vocal resonance in lung ;

amphoric sounds in lungs ; pain in lung. *^ Sensations. As if head, above eyes, were swollen, followed

by unconsciousness ; as if he had a tight hoop of iron

around head; as of damp clothes on his spine; a shud- dering like a chill seems to go from brain down spine. Terrible pain : in head.

Cutting : from above r. eye, through head to back of 1. ear. Stitch : in 1. side, after running. Pinching: under r. ribs. Cramps: in calves.

Itching: of nose and lips; in lumps on neck. *^Skin. I (Very bad tempered ; very much pigmented where

sun's rays impinged upon him; teeth dirty, greenish.

^Phthisical habit. Burnett. Eruption of itching blotches all over bod}^, with exception

of face and hands. Rose. ■ Ringworm. Burnett. *^ Stages of Life, Constitution. Boy, set. 15 months, dark, fat,

sister died of consumption of brain ; incipient tubercular

meningitis. Boy, set. 20 months ; threatened tubercular meningitis. Boy, set. 2 years and 8 months, brother of two children

w^ho died of tubercular meningitis ; tuberculosis. Boy, set. 3 ; incipient tuberculosis. Girl, set. 6, daughter of a countr}^ squire who was suffering

from chronic phthisis; phthisis. Girl, set. 7 ; incipient phthisis. Girl, set. 7, family history of phthisis ; tubercular affection

of knee. Boy, set. 7, family history of phthisis ; incipient phthisis. Boy, set. 8, family history of consumption ; threatened

phthisis.

TUBERCULINUM. 356

Boy, set. 10; tabes raesenterica.

Girl, set. 11, family history of phthisis ; ringworm, carious teeth, cough, etc.

Girl, set. 1 3, overgrown ; phthisis.

Boy, set. 14 ; phthisis.

Girl, set. 15; incipient tuberculosis.

Girl, set. 17, sister died of consumption ; phthisis.

Girl, set. 19 ; pulmonary phthisis.

Girl, set. 20, phthisic habit, tall for her age, long fingers, almond-shaped nails, long neck, indurated glands in neck; cough.

Lizzie R., set. 21, when three years old was frightened into a fit, which was followed by chorea, which continued until she was thirteen ; has never been in good health ; for the last four or five years passed through a variety of conditions, at one time being confined to bed for six- teen months, during nine months of this time could eat nothing but ice-cream ; then had an attack of trismus, followed by severe ulceration of mouth; finally spasms set in, and after these ceased she passed through a con- dition simulating last stage of phthisis ; spasms.

Lady, set. 22, single, delicate habit of body, brother has consumption of bowels ; threatened phthisis.

Lady, set. 26, single, family history of consumption ; phthisis.

Merchant, set. 26, tall, slim, long, thin neck, bends forward, both parents died of lung disease ; incipient phthisis.

Man, set. 30, married, ten of his relations died of phthisis ; tubercular swelling of knee.

Woman, set. 38, mother of seven children, three sisters died of consumption ; threatened phthisis.

Lady, set. 40, single ; phthisis.

Lady, set. 40, married, family history of consumption ; threatened phthisis.

Man, set. 50, family history of phthisis; hemorrhage from bowels.

Man, set. 50, an author of eminence, well known in theo- logical circles, brother and sister died of water on brain, r. lung solid, probably from healed-up cavities, he hav- ing by treatment and travel "grown out" of his pulmo- nary consumption ; tubercular meningitis.

Lady, set. 50, fiorid, mother and six brothers and sisters died of consumption ; tubercular synovitis.

Gentleman, ver}'^ big and stout, of bright, florid complexion, family history of consumption ; phthisis. *^ Relations. Complementary: Hydr. can. to fatten patients cured with TubercuUnum.

357 URANIUM NITRICUM.