Mercurius Cyanatus
T. F. Allen - Encyclopaedia of Pure Materia Medica · Timothy Field Allen · 11,018 chars
General
Cyanide of mercury, Hg(Cn) 2 .
Preparation for use , Solutions.
Authorities. 1 , Olivier and Kapeler, fatal poisoning by about 23 1/2 grains, Archiv. Gén. de Méd., 1825, vol. 9, p. 99 (Bibl. Hom., 1869); 2 , L. Simon, poisoning of M. X., aged nineteen, by about a teaspoonful of a saturated solution, Bull. d. l. Soc. Mod. Hom. de France, 1863, x, p. 340; 3 , Moose, Virchow's Archiv, 1864 (S. J., 125, 174), a student took a solution of 2 grains in beer; 4 , Thibert, fatal poisoning by 100 grains, Christison on Poisons, fourth edition, p. 427 (Bibl. Hom., 1869).
Mind
Excitement, at night (second day), [2] .
Night sleepless; great excitement and incessant talking; is angry with the attendant, and raved furiously (first and third day), [2] .
Vertigo
Vertigo, [3] .
Vertigo, on sitting up, with loud ringing in the ears, on sitting up in bed (second day), [2] .
Head
Headache and vertigo, several days, [3] .
Very severe headache (fourth day), [1] ; at night (second day), [2] .
Tearing headache, especially in the forepart of the night (eight day), [2] .
Eye.
Eyes sunken (after eleven hours), [2] .
Eyes fixed (fourth day), [1] . [10.]
Conjunctiva injected (fourth day), [1] .
Pupils greatly dilated, [3] .
Ear.
Ringing in the ears (second day), [2] .
Nose
Profuse epistaxis, recurring several times a day, for two weeks (after four days), [3] .
Face
Expression serious (fourth day), [1] .
Face flushed (fourth day), [1] .
Face cyanotic, [3] .
Complexion slightly cyanotic (after eleven hours), [2] .
Face pale and wan (after eleven hours), [2] .
Teeth
Teeth painful (eleventh day), [2] . Gums. [20.]
Gums swollen, and covered with a thin, adhesive, whitish coating, above which is a border of bluish-red (third day), [2] . Tongue.
Tongue pale (after eleven hours); with yellow coating at base (after nineteen hours); edges of tongue redder, base covered with a gray metallic-looking coat, in morning (second day); tongue swollen, red on the edges, and covered by a very adhesive gray coating (third day); tongue again covered with a grayish coating (ninth day); tongue still covered with a grayish coat (thirteenth day), [2] . Eight blisters on the left margin of the tongue and on the soft palate, opening and developing into irregular ulcers; these ulcers afterwards from on the right margin of the tongue (fourth day), [3] . General Mouth. Buccal mucous membrane red and injected (third day); a round ulcer, with grayish base and upright edges, and encircled with bright red, on the inside of the right cheek (fourth day); the ulcer in the mouth has spread, and is covered by a large gray leathery coating (fifth and sixth days), [2] .
Inflammation of the whole buccal cavity, [4] .
The lips, tongue, and inside of cheeks covered with a grayish-white pulp (fourth day), [1] . Saliva.
Constant and copious flow of saliva, smelling as in mercurial salivation (fourth day), [1] .
Taste
Bitter taste, [3] .
Very disagreeable styptic taste in mouth (after eleven hours), [2] .
Very disagreeable metallic taste (ninth day), [2] .
Throat
[30.]
*Great redness of the fauces, with difficulty of swallowing (third day), [2] . Redness and injected appearance at the base of the pharynx (after nineteen hours), [2] .
The mucous lining of the pharynx is red and injected (third day), [2] . *A white opalescent coating, resembling the superficial mucous patches of syphilis, on the pillars of the velum palati, and on the tonsils (fourth day), [2] . Roughness of throat (after nineteen hours), [2] .
*Difficult deglutition (after nineteen hours), [2] .
Salivary glands swollen (fourth day), [1] .
Appetite
Aversion to food (ninth day), [2] . Thirst.
Thirst, [3] .
Great thirst (fourth day), [1] . [40.]
Intense thirst; but drinks are speedily vomited (after eleven hours); burning thirst, without vomiting of ingesta (after nineteen hours); intense thirst; but he cannot bear soups or hot drinks, which always seem to salt (fifth and sixth days); thirst returned (ninth day), [2] .
Hiccough.
Incessant hiccough, for twenty-four hours (seventh day), [2] .
No vomiting, but very troublesome hiccough (eighth and night days), [1] .
Nausea and Vomiting.
Violent retching from merely thinking of sugared water (after eleven hours), [2] .
Nausea and vomiting (soon), [2] .
Drinks a great deal of milk and albuminous water; vomits six times, but much less than he had drank (first night), [2] .
Constant nausea, with frequent vomiting after drinking (fourth day), [1] .
Persistent vomiting (after a few minutes), [3] .
Nausea; and a little greenish-yellow vomiting, after soup (ninth day), [2] .
Bilious vomiting twice, with scanty ejecta, but a great deal of retching (first day), [2] . [50.] Repeated vomiting of bloody matter (immediately), [1] .
Stomach
Burning at the stomach (after nineteen hours), [2] .
Epigastrium sensitive to pressure (after nineteen hours), [2] . Violent irritation of the stomach, [4] .
Abdomen
Abdomen soft; not painful on pressure (fourth day), [1] .
Some pain in abdomen; yet it is not swollen, and is but little sensitive (fifth and sixth days), [2] .
Very severe pains in the whole abdomen (immediately), [1] .
Colic (ninth day), [2] .
Excessive colic, aggravated by every evacuation, [2] . Abdomen slightly painful (on pressure), (after nineteen hours), [3] . [60.] Abdomen not swollen; rather sensitive to pressure (after nineteen hours), [2] .
Rectum And Anus.
Small haemorrhoidal tumors around the anus, with knobby swelling of the mucous membrane (twentieth day), [2] .
Pains in the rectum, and around the anus, when sitting (fourteenth and fifteenth days).
Pains in the rectum intolerable; sensitive, light-red swelling around the anus (seventeenth day).
No stool; but, on straining, a little clear black blood is discharged (nineteenth day).
Haemorrhage occurred six times, and was profuse (twentieth day).
Grayish diphtheritic-looking deposit around the anus, quite similar to that on the inside of the cheeks; the part is also eroded; it looks exactly like what are called "ulcerated mucous patches" (twenty-first and twenty-third days).
Fetid liquid discharge from the rectum, having a gangrenous odor, and leaving large black stains on the linen (twenty-fourth day).
Gangrenous odor much less; discharge still copious; but more decidedly purulent-looking (twenty-fifth day).
Diminished discharge, serous, and almost odorless (twenty-eighth day), [2] .
Urging.
Frequent urging to stool, preceded and accompanied by tenesmus (fourth day), [1] .
Great desire for stool, with diarrhoea and vomiting (after ten minutes), [3] .
Stool
Diarrhoea.
Frequent diarrhoeic stools, preceded by very severe colic (soon).
Six bad-smelling diarrhoeic stools (first day).
Eight offensive, green, slimy stools (first night).
Six slimy diarrhoeic stools, with a little tenesmus (third day).
Diarrhoea (eighth day).
A hard, followed by a soft stool; at night, two liquid stools, preceded by severe griping (ninth day).
Very copious diarrhoea; twelve stools daily, black, liquid, and highly offensive (eleventh and twelfth days).
Eight stools in twenty-four hours; more yellow; one of them somewhat bloody (thirteenth day), [2] .
Frequent and copious stools (immediately), [1] .
Thin blood stools, [3] .
The stools were mixed with blood, for five days, after which they were mostly pasty, dark-colored and flocculent, then becoming normal; after about two weeks the patient was obstinately constipated, [3] .
Stools scanty, and mixed with blood (after four days), [1] .
Constipation. [70.]
Constipation (fifth and sixth days), [2] .
No stools (ninth day), [1] .
Urinary Organs
Micturition. Micturition somewhat painful (second day), [2] .
Retention of urine, [4] ; (after four days), [1] ; for twenty-four hours (after eleven hours), [2] .
Urine
Urine amber-yellow (second day), [2] .
Complete suppression of urine for five days (the bladder was always completely empty); the secretion of urine then gradually returned; the urine contained at first much albumen, afterwards less, and after two weeks became perfectly normal (after three days), [3] .
Urine found in bladder was highly albuminous, [4] .
Sexual Organs
Semi-erection of penis (persisting even after death), (fourth day), [1] .
Dark-blue color of scrotum and penis (persistent after death), (fourth day), [1] .
Respiratory Organs.
Slight cough (fourth day), [1] . [80.]
Respiration free (fourth day), [1] .
Chest
Chest sounds clear throughout (fourth day), [1] .
Heart And Pulse.
Heart's Action.
Violent and abrupt beating of the heart (sixth day), [1] .
Strong palpitation of the heart, lifting up the hand applied to the chest (fourth day), [1] .
Heart's impulse and sound weak, [3] .
Pulse
Pulse weak, 130, [3] .
Pulse 70 to 76; small but compressible (after eleven hours).
Pulse 90; stronger and more frequent (after nineteen hours).
Pulse 70 to 75, weak (eighth day).
Pulse weak, but quicker (ninth day).
Pulse 100; stronger (thirteenth day), [2] .
Pulse moderately frequent, rather slow, but full and hard (fourth day), [1] .
Pulse small, slow, and contracted (eighth day), [1] . The pulse continued to sink constantly for twelve days, until it was only 52, after which it rose during the next week to 104; in the evening of the eighteenth day it was 88; nineteenth day 76, and regular; during the first two weeks it had been irregular and intermitting, [3] .
Extremities In General. [90.] Slight spasms of the extremities (seventh and eighth days), [1] .
Inferior Extremities.
Severe pain in left calf; the veins of the part form two hard cords, which meet together a little above the popliteal space.
The slightest contact is very painful (twenty-fifth day).
Leg about same; it swells when standing (twenty-eighth day), [2] .
General Symptoms.
General appearance as in the first stage of severe epidemic cholera (after eleven hours), [2] .
Lying on right side, supported on the arm (fourth day), [1] . *General debility (eighth day), [1] ;
(ninth day), [2] .
*Great weakness, so that he cannot stand up (second day), [2] .
Great weakness and prostration in consequence of frequent bleeding of the nose, for two or three weeks, [3] .
*Extreme prostration (ninth day), [1] . General debility during the diarrhoea, and at last he fell to the floor in a swoon, [2] .
Repeated swoons (ninth day), [1] . [100.]
Frequent fainting (eighth day), [1] .
Sleep
Drowsiness, with easy waking (eighth day), [1] . Night restless; not sleep (sixth day), [1] .
Fever
Icy coldness (soon), [2] . Icy coldness of skin (after eleven hours), [2] .
Skin has recovered warmth (after nineteen hours), [2] .
Great sensation of coldness, [3] .
Extremities cold, in the evening (eighth day), [1] .
Extremities very cold, [3] . Fever at night, with sleeplessness and severe pains in the head (fourth day), [2] . [110.]
*Skin moist and cold (ninth day), [2] .