Vespa

The Wasp, including Hornet and Yellow Jacket.

Introduced by Hering, Amerikanische Arzneipriifungen (see Bienengifte). There are no provings with the exception of those by Berridge of Vespa crabro, the hornet, 30th dilution, Med. Inv., vol. 1, New Ser., 1875, p. 100. The symptoms quoted are mainly the results of the sting. Authorities : See Allen's Encyclopedia, vol. 10, pp. 119 and 639.

Clinical Authorities. — (Edema nf face, etc., Blake, Org., vol. 1, p. 320, from Horn. Eev., vol. 22, p. 270 ; Ophthalmia (Vespa crabro),, Berridge, Org., vol. 2, p. 318 ; Vesical catarrh, Hering, MSS.

^ Mind. Insensibility; loss of consciousness; inability to move.

Anxiety and universal distress.

Low-spirited. ^ Sensorinm. Fainting, loses consciousness.

A violent heat came over him, felt sick; then turned giddy and spun round and round like a top till he fell head- long into a currant bush ; managed to stagger like a drunken man to house, got into chair, in a moment fell out of it upon his knees, all but fainting ; dashed water

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into his face, at length he was able to lie down upon his bed. ^ Inner Head. Headache.

* Outer Head. Face swollen and inflamed ;. swelling extends upward over head.

Alopecia. ^ Sight and Eyes, Vision, especially r. eye, growing dim.

Eyes turned red and twitched.

Swelling and puffiness of lower lids.

Eyes nearly closed, two or three hours after sting.

Injection of conjunctiva of r. eye.

Itching of eyelids ; adhesion in morning.

Itching and redness in eyes.

. Itching of r. lid in evening, slight tumefaction ; lids more swollen and painful ; swelling increased, considerable pain in eyeball and lids all night; lids, greatly tume- fied with what seemed to be erysipelatous inflammation; whole side of face painful and swollen; on opening lids discovered almost complete chemosis of conjunctiva, it being raised up on sclerotic membrane more than half over eye to border of cornea, as if fatty matter were underneath it, caused by effusion of lymph; an abscess opened upon inside of upper lid about its centre ; swell- ing began to abate and chemosis to flatten down, assum- ing instead of a semi-transparent, a reddish hue, as in common ophthalmia; discharge from abscess piofuse; in fourteen days chemosis entirely disappeared.

I I Right eye inflamed for six days; it had commenced with lachrymation; had taken Aeon, without relief; now there is redness of conjunctiva of r. lower lid ; in 1. lower half of r. eye is a semi-transparent baggy swelling of con- junctiva extending up to cornea, and on pressing it up- ward it partly covers cornea; much lachrj'mation of r. eye, < in open air, r. eyelids adhere in morning; man, set. 60. ^ Hearing and Ears. Subdued, stitchlike pain deep in r. ear. ^ Upper Face. Face: anxious; livid; bluish; smooth, dark- red and bloated.

Facial neuralgia.

An ulcer lasting three months after a sting in cheek.

Stings in face, swelling closing eyes.

Swelling and redness of face like erysipelas.

After a sting in cheek a violent sensation burning like fire, as if it were going deep in ; a sensation followed as if something were sticking deep in, like a harpoon, and were drawn on frequently ; place of sting bright-red, ele- vated, and a hard swelling followed ; there was a very marked chilly-cold sensation all around red middle and this was followed by a general chill.

453 VESPA.

Face and ears became red as if covered with scarlet rash.

Face, especially eyelids, swollen and puflfy.

I iFace swollen and puffy; skin transparent and etiolated; scalding nrine, followed by itching; itching of r. arm ; vision, especially of r. eye, growing slowly dim ; palpi- tation on exertion ; flatulence.

Next day, about 4 a.m., I was suddenly awakened by a- burning, stinging sensation in cheek, and a great soreness and smarting along course of lymphatics down into neck; I found my cheek much swollen and red, and there was a patch of redness about size of a florin that felt as if it were being pierced with red-hot needles; temporo-maxillary joint stiff and painful, and a feeling of soreness ran along gums to tonsils on that side of face ; after bathing for a while affected parts, I got into bed again, feeling somewhat >, and fell asleep again; about two liours afterward I was again suddenly aroused, this time by a sense of suffocation and difficulty of swal- lowing with renewal of former distress with intensified severity; feeling alarmed, I obtained some hot water, to which I added a few drops of tincture of Ledum and fomented whole of affected part until severity of symp- toms abated; during remainer of that day and for four days afterward attacks continued to r.eturn in parox- ysms of more or less severity ; submaxillary and cervi- cal glands on that side of face became increasingly swollen and tender until fourth day, when these condi- tions began gradually to abate ; in immediate locality'' of wound pains began to assume a more constant char- acter, throbbing, smarting and burning ; still there'was a marked periodicity about stinging and lancinating pains experienced for more than a month afterward, although wound suppurated and discharged freely; gen- eral constitutional disturbances were marked b}^ slight rigors and febrile conditions felt mostly in evening. '" Teeth and Gums. Quaked and trembled ; teeth chattered

as if he had a paroxysm of ague. ^^ Taste and Tongue. Pain for a minute or two intense, fol- lowed by a peculiar taste, a singular combination of palatal and nasal sensation, such as is noticed when a nest of these wasps is disturbed and they dart about through air; for a week constant and annoying, then intermittent and very pungent, and whenever heated by exercise or near a hot fire.

Swelling of tongue, could scarcely talk ; pain exceedingly violent, burning stinging (Apis 30 relieved).

Tongue very red, greatl}^ swollen and rounded ; could not move it about or protrude it, it appeared to entirely fill

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mouth ; could not speak, only mumble, swallowing pain- ful and difficult.

Tongue very much swollen and tense; considerable swell- ing immediately below chin, between that and hyoid bone; pain referred to a point in middle line of tongue about three-quarters of an inch from apex.

Found her in a state of terrible anxiety, with eyes and face oedematous, and quite unable to articulate or to protrude her tongue, but she could open her mouth a little and I could see sting embedded in middle third of tongue ; I at once extracted it ; tongue itself with its root and whole floor of mouth swelled so that cavity of mouth was entirely filled therewith and then nothing else could be seen ; she could not articulate a single word ; suffered great pain in tongue, which she described afterward as burning, throbbing and aching ; great anxiety, appearance of face, mouth and throat that of severe cynanche ; great dysphagia ; surface of tongue and lining of cavity of mouth did not seem especially red, swelling being diffused and deep-seated. ^^ Inner Mouth.

Sting on roof of mouth caused immediately swelling in mouth and throat; burning pain ; nausea and vertigo ; two hours afterward violent fever, pulse 126 per minute ; loss of consciousness, delirium ; face, neck, arms and chest swollen and red and glistening; breathing oppressed ; swallowing very difficult. (Spir- its of Camphor relieved ) ^2 Throat. Sore throat.

Sensation of heat in throat.

Throat greatly swelled.

Dangerous swelling in oesophagus.

Erythema spread into mouth and down into stomach, causing vomiting with temporary relief.

Tonsils repeatedly inflamed.

Pharyngeal varicosis.

Hypertrophied tonsils secreted a cheesy matter.

Swelling of mouth and throat with violent burning pains, nausea and vertigo so that patient was obliged to go to bed ; after two hours a violent fever, unconscious and delirious, face, neck and arms swollen and shining red; respiration impeded, swallowing very difficult; pulse 126 ; heart's action irregular and tumultuous. (Cured by Camphor.) '' Eating and Drinking. Indigestion with flushing after

meals. '•^Hiccough, Belching, Nausea and Vomiting. Eructa- tions.

Nausea, with faint feeling and trembling.

Vomiting.

455 VESPA.

*^ Scrobiculum and Stomach. Weight in stomach with nausea.

Heat or cold feeling in stomach. ^^ Abdomen. Uneasiness in bowels.

Restlessness in abdomen.

^•^ Stool and Rectum. Constipation.

^^ Urinary Organs. Marked tenderness on deep pressure over renal region.

The pelves of kidneys shrunk irregularly to one-third of their usual capacity.

Kidneys enlarged and flabby, lobulated in outline, soft on section ; cortical part pale, medullary portions deep red and hypertrophied.

Mucous membrane lining both ureters much thickened and loaded with tenacious mucus.

Bladder free from disease ; mucous membrane thickened and tuberculated from previous inflammation.

Urine sometimes red and hot, always too frequent.

In urine frequent blood disks, no casts of any kind.

Irritation invaded urinary passages; remittent dysuria with backache.

Incessant enuresis. ^^ Male Sexual Organs. In less than an hour his hand be- came greatly swollen and painful, followed by swelling and puffiness of lower lids and scrotum, together with integuments of penis ; parts swollen more than twice their usual size; almost immediately skin on abdomen, arms, legs, neck and nearly all of back turned purple (almost black), followed by an eruption of urticaria, which completely covered body ; two or three hours after sting his eyes were nearly closed, and this dark color and urticaria were fully developed ; they all con- tinued about twenty-four hours, when they gradually disappeared in order in which they came. ^' Female Sexual Organs. Pain in 1. ovarian region.

Catamenia: intermittent; sometimes brown ; always ac- companied by pain and flatulence, preceded by mental depression, pain, pressure and constipation.

Fundus purple from congestion, dark blood oozing from incised surface.

An irritable ulcer surrounded os tincse.

Vagina healthy, an ulcer encircled os and extended irregu- larly into cavity of cervix, half an inch in deepest part.

Irritation passing into pudenda, gives rise to ulceration.

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^^Respiration. Dyspnoea; suffocation.

Kespiration : hurried, 34, not particularly labored, and not strikingly laryngeal ; and deglutition much impeded. ^^ Heart, Pulse and Circulation. Aching in heart.

Slow beating of heart, hardly perceptible.

Palpitation on exertion.

Pulse: small and quick; feeble, quick; 64; 160. ^^ Neck and Back. Beating of carotid arteries violent.

Woke with pain in 1. neck, preventing her from turning it to 1. side ; felt least when lying on back, best on r. side.

Aching of part (r. side of neck) all day ; next burning, lasting all night; cold water > burning for a time, but afterward it returned < than before.

Part (r. side of neck) began to swell that night, and was red and burning; swelling gradually increased to size of an egg and lasted three weeks.

Much pain and soreness on shoulder blade where stings were received. ^^ Upper Limbs. Itching of r. arm.

Hand and arm painfully inflamed and swollen.

Pain in shoulder in region of wasp sting; glands in r. axilla swollen.

Pain in 1. shoulder joint on moving it, as if sprained; < on lifting whole arm and on twisting it.

Aching of hand and arm up to shoulder, lasting all day.

Burning of part (r. thumb), then swelling red, with burn- ing pain.

Within ten minutes his thumb became considerably swol- len, and whole. of his face, especially eyelids, became swollen and puffy ; very shortly face, and more particu- larly ears, became very red, as if covered with scarlet rash ; child very restless during night ; complained of a sensation of heat and much irritation ; wherever he scratched there arose little spots, like blains of nettle- rash ; there was some swelling with redness of 1. hand and arm, but most marked symptom was swelling and redness of face, which reminded him of erysipelas; after forty hours there was considerable oedema of eyelids, especially of lower, and face was pallid and puffy. ^^ Lower Limbs. Feet cold, except in Summer, when they burn uncomfortably.

Slight oedema of feet.

Rheumatic pain in 1. instep lasting a week. ^* Limbs in General. It seemed as if a cutting instrument were piercing all joints; he likened sensations to elec- tric shocks; arm, face and head became swollen; eyes became red and twitched ; red lines extending along

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joint <. ^^ Nerves. Convulsions, if pain is violent.

Great lassitude ; cannot stand up, cannot move.

Universal distress.

Felt once or twice as if actually dying.

Faint feeling and trembling all day, with nausea.

Great prostration for several days.

Faintness.

Marked nervo-muscular excitement. ^^ Sleep. Sleeplessness.

Desire for rest and sleep.

Disturbed sleep ; restless. ^^ Time. 3 or 4 a.m. : itching of r. side of neck ; itching of r. thumb.

4 A.M : woke with burning stinging in cheek.

Morning : adhesion of eyelids.

8 or 9 A.M.: itching of r. thumb.

3 P.M. : itching of r. thumb.

Evening : rigors and febrilQ conditions.

Night : pain in eyeball and lids. ^^ Temperature and Weather. Cold water relieved burning for a time, it returned < than before.

Open air: lachrymation <. *" Fever. A chilly-cold sensation in a circle all around red middle of sting, soon followed by chill running all over him, in short intervals, like waves.

Quaked and trembled and teeth chattered as if he had a paroxysm of ague.

Complained much of sensation of heat and much irri- tation.

A lady was stung by a wasp on back of 1. middle finger; pain extremely intense; in a few moments whole body tumefied, skin became red, and violent fever developed. *^ Locality and Direction. Left: pain in ovarian region ; pain in neck; pain in shoulder joint; swelling and redness of hand and arm; pain in middle finger; erythematous blush on body.

Right : vision dim ; injected conjunctiva ; itching of eye- lid; eye inflamed ; lower lid inflamed; 1. lower half of eye a baggy swelling ; lachrymation eyelids adhere ; stitches in ear; itching of arm; glands in axilla swol- len ; itching of neck ; itching of thumb. *^ Sensations. As if a harpoon were sticking deep in and were drawn on; chilly-cold sensation around sting; as if

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pierced with red-hot needles ; patch of redness on cheek; as if about to suffocate ; as if 1. shoulder joint were sprained; as if a cutting instrument were piercing all joints, like an electric shock ; as if dying.

Pain : in 1. ovarian region ; in 1. stomach ; in shoulder blade; in 1. shoulder joint; in 1. middle finger.

Lancinating: in wound.

Stitches : in r. ear.

Stinging: in wound.

Burning: like fire, in place stung; in wound; in tongue; in throat; r. side of neck ; in r. thumb.

Aching: in tongue; in heart; r. side of neck.

Soreness : and smarting along course of lymphatics ; along gums to tonsils ; in shoulder blade.

Rheumatic pain : in 1. instep.

Throbbing : in wound ; in tongue.

Weight : in stomach.

Uneasiness : in bowels.

Heat : in throat.

Cold feeling : in stomach ; around sting ; like waves all over body.

Itching: of eyelids; in eyes; of r. lid; of r. arm ; over whole body; of r. thumb. ** Tissues. Red lines showed the course of the absorbing vessels.

Rapid decomposition of body. ■*^ Skin. Cheek much swollen and skin of bright-red tint ; red- ness spread rapidly in all directions over head and down neck, shoulders, back and front of chest; wherever it traveled it w^as accompanied with pain and tenderness.

Hands, feet and chest becoming as red as if he had scarlet fever.

Erythematous blush on 1. half of body, from head down- ward, lasted eight to ten days and desquamated ; then rheumatic pain in 1. instep lasting a week.

Prurigo-like, pinkish, lentil-shaped spots on hand and forehead, on neck and all over to feet.

Sting followed by a burning sensation as if something were sticking and drawing out; part stung was bright- red, elevated, with a hard swelling, redness surrounded by a circle of cold, chilly sensation, soon changing to general chill, repeated at short intervals that seemed to extend in waves all over body.

Intense itching of part (r. side of neck) every day about 3 or 4 A.M., lasting about half an hour, slightly > by vine- gar applications (after third day); immediately after itching there was burning for half an hour.

Intense itching of part (r. thumb); it came on about 3 or

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4 A.M., about 8 or 9 a.m., and again 3 p.m.; it lasted half an hour each time and was immediately followed by burning for half an hour; itching > by application of salt and vinegar ; this lasted four days; for next three days itching only came between 8 and 9 a.m. and was shorter and less severe.

Itching all over to a dreadful degree.

Subsequent desquamation of whole abdomen.

Was stung all over by wasps four or five years ago, fol- lowed by abscesses all over body, that caused great emaciation ; every now and then gets seizures of prostra- tion, with enuresis somni ; heat especially overpowers him; purulent catarrh of middle ear of both sides.

An ulcer, lasting three months after sting. *^ Stages of Life, Constitution, ^t. 16, scrofulous since birth, stung by a wasp, carious bones, severe rheuma- tism, suppurating in hands.

A pale, light-haired, worn-looking woman; swollen face.

Mrs. E., set. 58 ; oedema of face, etc.

Man, set. 66, suffering six days; ophthalmia. *^ Relations. Antidoted by : Apis, salt water and vinegar.

Incompatible: Argent, nitr.