Arsenicum Hydrogenisatum

Arsenetted hydrogen. AsHs.

We had no provings of this very important combination until 1847, when C.Hg prepared and proved it. What is given in Allen's Encyclopaedia are accidental poisonings, which mostly prove fatal. The only clinical ex- periments have been made by Doctor Drysdale, in ]849, in the treatment of Asiatic cholera. Laboring under the mistake that Arsenicum was a spe- cific in Cholera Asiatica, and supposing to get something more powerful in the arsenetted hydrogen, he altogether overlooked that, notwithstand- ing its sudden action, it would not correspond to subacute ailments, on account of the very slow development of its symptoms.

Nearly all per- sons poisoned even by small doses died in the second week. The only one that recovered, suffered for seven weeks. The only real cure on record is the one published by F. W.

Payne, in the New England Medical Gazette.

The similarity of some cases of Asiatic Cholera with the symptoms of the common arsenic is, according to Hahnemann's advice to Stapf, in 1813, regarding Niix vom. and Ignat., too great. They are no antidotes.

The authorities quoted in Allen's Encyclopaedia are: 1. Gehlen, Buch- ner Tox., 1827 ; 2, R. Schindler, Grsefe and Walther Journal, Vol. XXVI, No. 4, p. 626 ; 3, Eisenmenger, Zeit.fur Horn. Kl., No. 1, p. 103 ; 4, O'Reilly, Duh- Uh Journal, 1842; 5, Ollivier, Gaz. d. Hop., 1863, to which we add the case of J. E. Bullock, died on 12th day, at Dr. Beard's, (Gmelin, Chemie II, p. C90), and the reports of Dr. Richardson, in Calcutta, and some remarks of Berzelius, Bennecke and others.

Provers are marked, C.Hg., Hm., N.N., F.K., Rh., Ea. In this instance we depart from our usual rule of omitting the names of the provers from the arrangement of symptoms (which would swell the book to too large a size) on account of the provings of Arsenicum hydrogenisatum not having been published.

The — signifies that the symptom is mentioned somewhere else.

^ Mind. Almost unconscious. — R.Sch.

He lost his memory on the evening of the 6th day. — Br.

He afterwards can hardly remember the transient pains ; 1st

d.— C.Hg. His mental powers are unimpaired from the first. — Br. Great exaltation of mind ; it made him talk incessantly. — R.

Sch, lExcited; wants to talk constantly. ^ Yellow fever. Loud complaining about unbearable pains in spine. — Impeded in talking, he answers very slow. — Disinclined to work. — Eisenmenger. His occupation is disgusting to him. — F.K.

99 ARSENICUM HYDROGENISATUM.

Lazy and shirks his work. — C.Hg.

Full of care and fear about his complaint when he gets awake at night.— F.K.

Afraid of being alone, he thinks he will die. — F.K,

The fear of dying is gone on the 3d day, notwithstanding all around him have doubts of his recovery. — R.Sch.

Anxiety, he believes his death is near, and despairs of being better (during the vomiting), more courage afterwards, till the next vomiting turn (6 hours). — R.Sch.

Anxiety, with constriction of chest. — Chemists.

Anxiety, restlessness and great prostration of strength. — Robe- son.

Anxious feeling before the chill. —

Indifferent on hearing the most important news ; discouraged, changeable, his mental activity much impaired all week. —

Soporous and apathic ; conjunctiva injected ; urine red and

scanty; 3d. — O'Reilly. He is vexed, impatient, anxious about his complaint and full

of fears.— F.K. When thinking about his headache he feels it least ; 1st day. —

Thinking of water irritates him, as if he would have to vomit; it nauseates him. — * Sensorium. Vertigo, with oppression of chest. — Grmelin.

Vertigo, violent, on going up stairs, so that he staggered against the sides of the stairs ; was not noticed on going down stairs, or on a level floor; 3 hours. — R.Sch.

Vertigo and general weakness. — O'Reilly.

Immediately after the second inhalation, vertigo with faintness, followed by shuddering and a passage from the bowels and a painless discharge of two ounces of blood from the urethra. —Br.

Vertigo with nausea and vomiting. —

A swimming sensation in head and whole body. — F.K.

Vertigo with headache. —

A giddy oscillation with pressure in the frontal sinuses. —

Head dull and benumbed, with pressure in forehead. —

Heaviness of head. — F.K.

During the night a pressing, stupefying sensation in head, like from a load, with a tearing sensation ; sleeplessness all night ; applied cold bandages without effect ; pain lessened towards morning. — R.Sch.

■ Stupefying feeling in head, as of a load there. — F.W.Payne.

Above the forehead to the right, a giddy sensation, with an in- ner twitching, like a painful quivering of muscles ; soon af- ter, the same feeling in upper and lower jaw, going down in a straight line ; later, the same in right shoulder. — C.Hg.

ARSENICUM HYDROGENISATUM. 100

^ Inner Head. Pressure in right frontal sinus, like with the point

of a little finger ; later, the same on the left. Pressure above the eyebrows, with numbness, in the afternoon.

— F.K. Violent pressive frontal headache, worse at-night, and with such

excessive weakness, that he was obliged to lie in bed for

several hours after eating ; 1st and 2d days. — Eisenmenger. Violent headache in forehead. — Ollivier. Pressure in right temple, with flabbiness in stomach ; after two

or three minutes the same sensation in left temple. — Now and then a headache in two streaks, from behind to front,

would be unbearable if continuing ; >■ when thinking about

it.— C.Hg. Transient pains in the head. — Head and toothache, <C in warmth. — C.Hg, Pain in right forehead and head. — C.Hg. Pain in occiput, <C on the right and when coughing. — Headache in upper and back part of head when coughing. — Toward evening headache on right side, extending down into

the throat near larynx. — F.K. Pain in forehead with the chill. — Headache increased during the chill. — Eisenmenger. Violent pain in forehead and in sacrum. — Ollivier. Pain in head and epigastrium, followed by vomiting of food. —

Ollivier. After 10 P.M. headache increasing, face more red ; conjunctiva

injected; pulse strong; speech impeded, answers slow. —

Ollivier. Dura mater unchanged, arachnoidea a little injected, and below

it air-bubbles ; in the substance of the brain bloodless spots ;

no water in the cavities. — Br. * Outer Head. All the hair on the "deadened" parts become

snowy white, and the white brows formed a strange contrast

to the dark brown face. — R.Sch. ® Sight and Eyes. When falling asleep and again when waking

up at night, a blue light before the right eye. — F.K. Like a thread floating down before the right eye ; later, a dim- ness.— F.K. Eyes yellow, deeply sunken, with broad blue circles. — Sch. Eyes sunken, lustreless ; conjunctiva bulbi red. — Eisenmenger. Conjunctiva reddened; with the chill; in the evening; again

on the 3d day. — Heaviness of the lids, have to be lifted up with the fingers. —

Rh. A deadened feeling in region of eyebrows, the brows turn snow

white, forming a strange contrast with the dark colored face.

—R.Sch.

101 ARSENICUM HYDROGENISATUM.

^ Smell and Nose. Tickling up in the nose, right side, causes sneezing. See 15.

Indescribable sensation up in the nose. — N.N.

Unpleasant crawling in the nose causes sneezing. — R.Sch.

Violent sneezing, and such coldness of nose that it must be wrapped up in warm cloths. — R.Sch.

Nose as if deadened. — R.Sch.

Nose feels as if dried up. — F.K.

Bloody mucus comes from the nose. — F.K.

Nose somewhat sore, with the chill. —

Nose and lips somewhat excoriated. — Eisenmenger. " Face. The yellow eyes deep sunken, with broad blue circles.

Painfully distorted features. — Sch.

The face, which changed within a few hours to dark brown, was on the 5th day still dark yellow, and the features dis- torted as from great inward suffering. —

The face copper-colored, or dark red, the body greenish-yellow. —Br.

Yellowish face at beginning of chill. —

Face pale, lips discolored, can hardly walk ; in 3 hours. — Olli- vier.

Face earthy, dull, stupid features ; skin dry ; pulse 107 ; vio- lent thirst, with a dry tongue ; 2d day. — Ollivier.

Changed, sick face, sunken, cheeks yellowish ; 5th to 7th day. —F.K.

Looks disturbed and pale. — C.Hg.

iThe face looks old, and bears an expression of pain. — F.W. Payne.

In the face chilly feeling, followed by a glow. —

Heat in the face. — Bennecke.

Face red in the evening. —

Sweat in large drops on face and whole head. —

Face oedematous ; 5th till 7th day ; worse in the evening. — Br.

iFace greatly changed. ^Yellow fever.

■ Countenance wears an expression of extreme anxiety, d Col- lapse of cholera. ^ Lower Part of Face. In upper and lower jaw a very painful twitching ; pain going from above downward in a straight line.— C.Hg.

Pain in maxillary joints, when first opening the mouth, when pressed with the finger, when putting the tongue out.- -F.K.

Lips colorless. — Ollivier.

Upper lip sore, with the chill. —

Lips and tongue fuliginous, furred ; 5th day. — Ollivier. ^° Teeth and Gums. Toothache < in warmth. —

I Sore bleeding gums around the remaining root of the right upper incisor. — C.Hg.

ARSENICUM HYDROGENISATUM. 102

^^ Taste, Speech, Tongue. Taste bitter. — Eisenmenger and O'Reilly.

Bitter taste in mouth after 4 hours vomiting, with great pros- tration.— Br.

All sweet things taste too sweet.— ^F.K.

A peculiar indescribable taste in mouth. — C.Hg.

Very unpleasant sticky after-taste, lasting for hours after eat- ing, the whole week. — C.Hg.

A contracting sensation of numbness, like a cold feeling, in half the tongue in front, right side, with running together of saliva in the mouth ; weakness in abdomen and pinching ; 1st day. — C.Hg.

Pricking on tip of tongue and tickling in nose, upper part, right side, inducing sneezing; 1st day, evening. — C.Hg.

Tongue slimy, evenings. —

Tongue yellow. — Eisenmenger.

Yellowish, furred tongue, with the chill. —

Tongue: bluish-white, thinly covered ; slimy taste, no appetite ; later, grayish-white, worse on back part of tongue ; still later, tongue white and soft. — F.K.

Tongue fuliginous, furred. See 9.

Tongue somewhat enlarged, on the right a deep irregular ulcer ; next day a second nodular swelling of a darker color coming to a point. — Br.

Tongue dry, with violent thirst. ^^ Inner Mouth. Mouth hot and dry, with very little thirst ; dur- ing the heat.

Running together of saliva in mouth. See 11. ^^ Palate and Throat. Burning and constriction in throat, fol- lowed by irritability of stomach. — Robertson. ^* Appetite, Thirst, Desires, Aversions. Less appetite on ac- count of slimy taste in mouth ; eats without relish. — F.K.

No appetite in the evening, tongue slimy. —

Very little appetite the whole second week. —

Appetite very poor. — Eisenmenger.

iLoss of appetite. — F.W.Payne.

Hunger the first evening. — C.Hg.

Violent thirst in 3 hours. — Ollivier.

Violent thirst and a dry tongue. —

Much thirst the 2d day, drank oatmeal gruel, milk and slimy drinks in large quantities. — Sch.

Great thirst the 5th day, less the next following night. — Br.

Thirst with the afternoon fever.

Very little thirst with the fever heat.

More sensitive to tobacco ; 1st day. — C.Hg.

Smoking without relish ; 8th day. — F.K. ^^ Eating and Drinking. After eating, frontal headache. —

103 ARSENICUM HYDROGENISATUM.

A few hours after dinner he had to lie down in bed on account of headache and weakness. —

■ Constant retching and vomiting after taking the least thing to

eat or drink. ^Yellow fever. ^® Hiccough, Belching, Nausea and Vomiting. Belching, with the taste of the food eaten ; a slimy tongue and no ap- petite evenings ; smoking tasteless. — F.K.

Eruptions. — Eisenmenger.

Spasmodic eructations of enormous quantities of tasteless gas from\tomach, without relief of pain in abdomen, that causes him to moan for six hours. — Sch.

■ Uninterrupted belching up, spasmodically, of a large quantity

of tasteless air, with great pain in abdomen, d Yellow fever.

During spasmodic eructations without any interruption, an in- credible large quantity of tasteless air is expelled from stom- ach without relieving the pain in abdomen. — El. Sch.

Hiccough following the eructations; Sd'day. — R.Sch.

Annoying hiccough the 1st night, returning 3d day. — Br.

Tormenting hiccough, with an oversensitive epigastrium. — Br.

1 Very troublesome and annoying hiccough, d Yellow fever.

Nausea. — Berzelius.

Nausea and vomiting, with vertigo and constriction of chest. —

■ Nausea. ^ Yellow fever.

Complains about nausea and fullness in epigastrium ; 6th day.

—Br. Incessant retching and vomiting. — Gehlen. Retching and vomiting even after a single swallow, even a little

water is followed by a return of the most painful retching

and vomiting. — Gehlen. Vomits everything taken into the stomach. — Gehlen. ' Violent vomiting, could not retain the slightest thing. —

O'Reilly. Ollivier. Vomiting of green, bitter mucus with the colic. — Sch,

■ Vomiting of mucous, yellow, green and bitter fluid, d Yellow

Copious green vomiting, commencing in evening of 1st day and lasting all night ; every hour between the time a soporous state ; on the 2d day greenish vomiting every two hours, lessening the 3d and 4th day. — Br.

Vomits large masses. — Br.

Before midnight twice vomiting, with bellyache and the great- est anxiety. — R.Sch.

With pressure in stomach : very little appetite ; bitter taste ; belching ; nausea and obstinate constipation. — Eisenmenger.

ARSENICUM HYDROGENISATUM. 104

With the dead feeling in the limbs five hours after inhalation, violent cutting pain in region of stomach and below it, it compels him to moan constantly. — R.Sch.

A weary feeling in stomach, with pressure in temples. —

Pain in epigastrium and vomiting of food, —

Very sensitive epigastrium and tormenting hiccough ; 2d day. —Br.

Pressure in epigastric region during chill. — Eisenmenger,

Pressure of hand causes dull pain in epigastrium. — O'Reilly.

Liver was congested, without alteration of the cells. — Ollivier.

Liver deep indigo blue, not enlarged, gall bladder full to burst- ing.— Br.

Pressing pain below the diaphragm, on the left side of abdo- men ; 1st day. — C.Hg.

Violent cutting in region of navel, at intervals. — R.Sch.

Colic with vomiting, before midnight.

Pains in various parts of abdomen, worse left side, followed by great weakness, most in lower limbs; 1st day. — C.Hg.

Sensation of weakness in abdomen and pinching stitches.

An undecided, but exceedingly unpleasant sensation, as from a stone lying in abdomen, as if all had changed into a stone ; he begged for a laxative, but neither injections nor repeated stools (after Magn. sulph.) made any change, belching did not relieve. — Sch.

Glowing heat in abdomen, with cold limbs. — Sch.

Burning pain through the whole alimentary canal. — Robertson.

I Abdomen burning, outside; cold feet. ^Yellow fever.

A gurgling noise in left side of abdomen from incarcerated flatus, causing colicky pain, threatening to become severe ; he has to lie on the belly, or bent together, and wants to be well covered; very sensitive to the cold; morning, 3 a.m.; 2d day. —C.Hg.

Distension of abdomen during chills. — Eisenmenger.

Gaseous distension of abdomen. Post mortem. — ^Br.

Integuments of abdomen look greenish, most on the sides. — Br.

Violent itching below the last rib on the extreme left ; 3d day. -C.Hg ^^ Rectum and Stool. Weak sensation, as if relaxed, and as if

105 ARSENICUM HYDROGENISATUM.

diarrhoea followed, the whole would fall out; evening, 1st

Hg. Copious passage of wind and looseness ; after Magn. sulpli. did

evacuation of half a pound of red urine, containing real

blood corpuscles ; 1st day.' — Ollivier. The first morning stool on the 10th day, full of holes like

■ Constipation, with a feeling of heaviness and stiffness, like a

weight in abdomen. — F.W.Payne.

Constipation, with fever. — Robertson.

Stool, with vertigo, weakness and crawling. — Br.

Thumping, knocking pains in region of perineum, near the anus; forenoon, 2d day. — C.Hg.

Frequent flying pains in perineum, to the anus, or, upwards in the anterior wall of rectum ; 1st week. — C.Hg. ^^ Urinary Organs. Unpleasant sensation of pressure in region of kidneys, rapidly increasing, extending over the back to between the shoulders, not violent until night ; it continued without interruption, and increasing, with urging to urinate ; the urine is dark-red, and a thick coagulum of pure blood is formed ; next day the color the same, but no coagulum, pain in kidneys equally violent ; the 3d day the pain less violent ; color more bright, still bloody ; the same the 4th day ; on the 6th day without bloody color. — R.Sch.

■ Pressure in the kidneys, extending to shoulder-blades, with

pain in region of kidneys during desire to urinate, d Yellow fever.

Kidneys enlarged, with very marked injection, most in the tu- bular substance ; the cells of both substances granulated. — Ollivier.

Kidneys deep indigo -blue through the whole substance, the left enlarged similar to the spleen, the right smaller. — Br.

Scanty, foaming urine in the morning, depositing a sediment ; 2d day.— C.Hg.

* Called " obstinate" by the Old School, which is transferring a quality of their own mind to the colon.

ARSENICUM HYDROGENISATUM. 106

From 1st to 8th day less urine ; on the 9th more, but brown,

coagulum resembling that which we obtain from boiling blood,

I Urine dark, blackish-red, with pure blood. ^ Yellow fever. ■ Discharge at times of large quantities of pale urine. — F.W.

Payne. ^^ Male Sexual Organs. Sexual irritation on the glans penis,

almost irresistible with the morning erection ; 2d day ; it

continues after rising and passing water ; all first week. —

Deep in pelvis when crouching down, an unbearable sensation of numbness, with a waving as if it would break, then a hor- rible feeling, but of short duration; ibrenoon, 11th day. — C.

A pain in symphysis pubis, no redness there, but it is exceed- ingly sensitive to the touch, also when coughing or bending forward; 16th day. — F.K.

Violent pricking pain on a small spot over the right groin, of- ten repeated, like a throbbing; 1st day. — C.Hg.

Unbearable pain in both groins, exactly where the spermatic cords emerge, as if everything would fall or slip out there ; exceedingly sensitive in standing ; > when sitting ; still

107 ARSENICUM HYDROGEOTSATUM.

more when pressing on it with both hands ; afternoon, 10th day ; the same feeling returns on the 12th day at 2 p.m. — C.Hg.

Pain in the left side of penis; 1st day. — C.Hg.

Whispering voice. — O'Reilly.

The voice remains whispering and gets very weak in the even- ing.— Br.

Voice has lost its timbre, sounds as if broken, but not hoarse ; 5th day.— F.K.

Pain near the larynx when speaking, right side; 8th day. — F.K.

A drawing sensation from head toward larynx, right side.

With a slight hemming or hawking he raises with great ease a soft, round and smooth lump of phlegm the size of a filbert, when awaking at 3 A.M.; 2d day. — C-Hg.

Rapid breathing.

Constriction of chest : with the nausea ; with the chill.

Want of breath ; gasping for air.

Breathing relieved after Sinapism and Amm. aeet.; after three or four hours. — Ollivier.

When he coughs in the evening headache in upper and back part of head; 6th day. — F.K.

A little cough very often, without inner irritation, as from a pressure over the chest ; after eating ice cream, at first better (also the whole chest), but afterwards worse ; 6th day. — F.K.

Cough increases from 9 to 10 a.m., most while conversing in the room ; 7th day. — F.K.

In the evening the cough comes now from the depths of the chest, is looser; sputa relieved; 7th day. — F.K.

Cough comes from the front upper part of chest ; 9th day. — F.K.

Sweats when coughing; 11th day. — F.K.

A sensation as if the whole thorax was laced tightly, with rapid breathing, without cough or rattling of phlegm ; after three hours. — Ollivier.

ARSENICUM HYDROGENISATUM. 108

A painful pressure in upper part of chest, where it commences to become sore to pressure, disappears when perspiring; 7th day.— F.K.

Pressure over whole chest, with great anxiety ; 7 th day ; the pressure is lessened by gaping ; 9th day. — F.K.

Pain in chest is gone in the morning, returns towards 11 A.M.; 11th day.— F.K.

Pressure over the chest produces a slight cough. —

Pain across chest, like a beating deep in right side, near the middle, drawing towards the left. — R.H.

A glowing sensation in chest after the chilly feeling. —

Back part of lungs are congested; 2d day. — Ollivier.

Lungs collapsed, containing very little air, otherwise normal. —Br.

In the cavities of the pleura two pints of reddish-brown, odor- less fluid. — Br.

^^ Heart, Pulse and Circulation. A cutting pain near the last

left ribs. A knocking, thumping pain in heart, deep in chest, extends

—F.K. Pulse intermits when awaking in the night, with anxiety and

tensive, as if turned or twisted ; some beats retarded for

more than a second, followed by a few quicker beats ; 8th

limping till 1 P.M., and softer; 3 p.m., limping again and

intermitting; changing from quicker to slower. — F.K.

109 ARSENICUM HYDROGENISATUM.

Pulse 76 in the morning; at 11 a.m., 84 to 88; 11th day. — F.K.

Pulse more frequent after the meal at noon ; 14th day. — F.K.

Pulse very frequent and small with the chill. —

Pulse 110 after Siniapism and Ammon. acet. — Ollivier.

Pulse 90, but weak, after four hours ; small, 92, lessened temperature of skin next day ; 80, strong, with sensitive epigastrium, 2d day ; 76, and painless epigastrium ; later, same day ; 76, Sd day ; 80, 5th day ; same, 6th day ; 102 in the morning, 7th day ; 76 at noon ; later, 80 ; death next morning. — Br.

The breathing very frequent, and the pulse imperceptible be- fore death. —

Pulse imperceptible after increased respiration ; becoming un- conscious ; evening 5th day, death. — Ollivier.

Complete cessation of pulse. — R.Sch.

Pain in chest, in the bones and intercostal muscles ; at the same time pain in arm.

Want of breath, and gasping for air. — Ea.

In left side of chest, near the nipple, as if raw and sore, with the pressive pain ; 4th day. — F.K.

The pain in chest is concentrated in the left side, above the nipple; 9th day. — F.K.

A pressure over the chest, a few inches below the upper end of breast-bone, with a pressure on the breast-bone ; 6th day. — F.K.

Sore, raw feeling over the whole chest; 8th day. — F.K.

Chest hurts when coughing, breathing, and when pressed ; 8th day.— F.K.

Feverish in the neck, forenoon ; 13th day. — F.K.

aPain as if something was sticking below the right shoulder- blade ; increased at first, and disappeared after three hours sleep. — C.Hg.

Backache like on the first days, returned towards evening on the 7th day, not so violent, but much harder to bear; in- creased next evening and in the night, causing loud lamenta-

ARSENICUM HYDROGENISATUM. 110

tions ; sitting relieves it a little, but he is too weak to sit long ; relieved towards evening of 9tli day by application of cloths dipped in warm milk. — R.Sch.

Crawlino; over the shoulders and back. —

A glow in the back after chilliness. —

Shuddering over single parts of back. —

Pain in region of kidneys became exceedingly severe, with urg- ing to urinate. — Sch.

An unpleasant pressive feeling in region of kidney, which rapidly increased and spread up the back to between shoul- ders ; after four hours. — Sch.

Pressure between the shoulders. — R.Sch.

Very violent pain in lumbar region. — Ollivier. '

Slight pain in lumbar region. — O'Reilly.

Some pains in the loins when the "falling asleep" of the limbs passed away. — Br.

Pain in loins with vomiting. — Br.

Behind and above the right hip, on a small spot near the spine, a very great pain ; increased in walking ; has to sit down. — C.Hg.

Backache in small of back, as after having taken cold ; even- ing, 2d day.— F.K.

Violent pains in sacrum, after three hours.

Pain from the tip of shoulder down towards the point of elbow ; 9th day.— F.K.

Painful twitching in the shoulders.

A warm, almost burning cut, like with a small knife, in right upper arm, from near the shoulder down towards the elbow ; soon after inhalation. — F.K.

Flying stitches in the arms. — R.Sch.

Tearing pain and stitches in upper limbs, during chill. — Eisen- menger.

In the elbows and upper arms the same pain as in the knee. — R.Sch.

Earning pain in both elbows, more in the right ; 9th day. — F.K.

Pains in elbows and upper arms ; in five hours. — Sch.

Feeling of deadness of hands extending to middle of forearms. —R.Sch.

Arms and hands very tired, as if burning.

Flying pains in right hand and fingers ; 2d day. — C.Hg.

Swollen veins on the hands; 7th day. — F.K.

Ill ARSENICUM HYDROGENISATUM.

Middle finger, left and inner side, and second joint red and swollen ; the 14tli day ; gone the 15th day. — F.K.

Pimple on the nates, impedes walking; 15th day. — F.K.

Quivering in left thigh, inner side, towards the front, in a short line, evening, till night ; 9th day ; again on the 10th day, in the afternoon. — F.K.

Pain on inner side of both thighs, most right side, whence it extends to near the anus ; 12th day. — F.K.

Pain on inner side of both thighs, mostly towards the os pelvis : 15th day.— F.K.

Violent itching on left thigh, on the inner side, a few inches above the knee ; 7th day. — CHg.

After getting up, when placing his legs higher than the body, a violent pain above the left knee ; soreness in the muscles or tendons, under the skin ; gets better when moving about ; evening, 1st day ; the next day it still pains, but more be- low the knee, with a lame feeling when kneeling ; his limbs break down when going up stairs; noon, 2d day. — CHg.

Above the right patella a pain on pressure, also in the bend of the knee ; increases after lying still a good while ; evening. 16th day.— F.K. ^

On getting up and beginning to move, after lying especially in a somewhat fatiguing position, a pain in left I: nee, as if it was inwardly crushed, but not in the bones ; it increases to a kind of burning, and only disappears after continuing to move ; 8th to 10th day. — C.Hg.

Rheumatic, gouty, tearing pain in knee-joints. — R.Sch.

Pains in the knees during the chill. — R.Sch.

Pain in hollow of left knee, when rising from a seat, and in the beginning of walking ; 3d day. — F.K.

In the bones of the leg below the right knee, a throbbing pain, drawing downwards. —

Pains in lower limbs, especially right side, lasting two hours. — Br.

Flying stitches in lower limbs. — R.Sch.

Pain in lower limbs, more in the right. — O'Reilly.

Flying, cutting pains in left leg, from the shin to the ankle ; at same time on the last left ribs; 2d day — CHg.

ARSENICUM HYDROGENISATUM. 112

Lower limbs become rigid later than the arms. — Br.

Feet get numb, as if dead, up to the knees. — R.Sch.

Weakness, most in the lower limbs. — Z.

Left foot hurts again when ri^'ing, most towards the external margin ; 12th day. — F.K.

Feet, usually colder than the rest of the body, are now warmer ; 3d day.— F.K.

Sweat all over, but not on the right foot. — F.K.

Pain in right heel. —

Flying pains in the feet. —

Pain in left foot-joint when walking ; 3d day. — F.K.

The left foot-joint he cannot move, even when lying in bed; «th day.— F.K.

Can not move the foot, and is unable to get up ; 9th day. — F.K.

Great pain in left foot, from one ankle-bone to the other, pass- ing across above the joint, worst on a small spot of the dor- sum of the foot ; a red-yellow streak on the top of the foot, near the toes ; from the fourth to the second toe ; the pain is awful, turns him pale ; most painful in the moving of the foot-joint ; 1st day. — F.K.

A red streak on the ankle-joint, where the pain was day be- fore ; 11th day.— F.K.

In left foot, most on the sole, pains prevent stepping on it ; worse in motion, less in bed; pains in the middle, as if con- tracted lengthways ; when stepping on it a painful stretch ; 3d day ; much worse the 4th. — F.K.

Pains in left sole, foot and knee, increase in the evening ; 6th day. — F.K.

Pain from the sole towards the middle toe ; very much worse when the first toe-joints are bent ; 8th day. — F.K.

Tickling in hollow of left foot; 10th day. — F.K.

Pain on pressure of balls of toes, sore and thrilling, most ball of middle toe ; the pain extends along all the toes ; 8th day. —F.K.

With every attempt to step on the feet all the toes hurt, as if in the tendons, up to the foot-joint ; 8th day. — F.K.

The once chilblained ball of the right big toe gets more pain- ful ; 16th day.— F.K.

Thumping pain in right big toe increasing in warmth. — C.Hg.

The left middle toe is exceedingly painful when touched, most underneath, on the ball and in the first joint, and from there to the big toe and inside the ankle ; 8th day. — F.K.

Sensation as if a splinter lodged under the nail of the left mid- dle toe; 9th to 10th day.— F.K.

113 ARSENICUM HYDROGENISATUM.

Very sensitive, gouty, tearing pains iu upper arms, elbows and knee-joints. — Br.

Stitches in arms and feet. — R.Sch.

Weakness in limbs. — Bennecke.

Arms get cold and stiff first, then lower limbs. — Br.

I Coldness of limbs. — F.W.Payne.

Very little inclined to do any work. — Eisenmenger.

Difficult walking. —

Walking up stairs, vertigo. —

Motion difficult. — Ollivier.

While walking, chilly. —

All pains increase during motion ; in rest they also first in- crease, but get better afterwards. — F.K.

Weak even when sitting. — C.Hg.

Such a yeakness that he cannot sit ; on the 3d day able to do a few steps ; still very weak 7th day ; somewhat better 10th day and following.^ — R.Sch.

Getting up he feels so weak and chilly that he is obliged to lie down again ; evening, 8th day. — F.K.

Such a sensation of weakness with the headache and vertigo, that he has to lie down ; 3d day. —

The greatest bodily restlessness ; 5th day. — Br.

Prostration with anxiety; vertigo, nausea, and troublesome costiveness. — Berzelius.

Suddenly after the inhalation he feels himself poisoned ; an in- describable exhaustion and nausea overwhelms him ; hardly able to take the few steps to reach the next room ; incessant retching and vomiting followed, he could not take any medi- cine, gruel or soup, nor a swallow of water without a painful return of retching and vomiting ; even thinking of water ex- cited the vomiting ; death on the 9th day. — Gehlen.

Sensation of deadness from hands upwards to the middle of

VOL. II, — 8.

ARSENICUM HYDROGENTSATUM. 114

forearm, and the feet to the knees, then the nose and the re- gion of eyebrows, with cessation of pulse ; every sign of life ceased in these parts, but the ability to move them re- mained; after five hours. — R.Sch.

Heat in the face ; weakness in all the limbs ; disposed to faint and tremble, soon passirjg oif, but leaving a sensation of weakness and exhaustion ; immediately after inhalation. — Vogel.

The whole nervous system was immediately affected, and ulti- mately his lungs ; died in ten days. — Bullock ; by Beard.

Disposed to fainting. — Bennecke.

Faintness with vertigo, followed by shuddering. — Br.

Great fatigue and weakness. — Eisenmenger.

Sudden indescribable weakness and nausea. — Gehlen,

Very great weakness, and bitter taste in mouth. — Br.

Complained about his great weakness, and ascribed it to the continual vomiting. — Br.

Great weakness, most in the lower limbs. —

Unusual weakness in the evening, as weak as a rag, ready to drop ; 1st day. — C Hg.

Weakness and crawls. — Br.

Weariness and exhaustion with the chill. —

Arms become torpid and stiff first, afterwards the lower limbs, with crawling sensation, lasting two hours, soon after inhala- tion.^Br.

Now and then a very peculiar weakness, and during it all pains cease ; 1st and following days. — C.Hg.

Weakness without any pain ; 2d day. — Br.

After dinner weakness and no pains all afternoon ^nd evening ; 2d day.— C.Hg.

He feels as if he was recovering from a very long sickness, a pleasant sensation; 11th day. — F.K.

So drowsy that he can hardly open his eyes. — Rh.

Drowsiness from 5th to 7th day. —

Sopor between the attacks of vomiting. — Br.

Very pleasant, poetical dreams. — C.Hg.

Dreams as if he was praying in a public meeting, with great applause; 7th day. — F.K.

Dreams towards morning from people going and arriving; 7th day.— F.K.

Moaning in sleep ; 16th day. — F.K.

Sleep interrupted by headache. — R.Sch.

Slightest noise interrupts his sleep. — R.Sch.

Disturbed by wind colic towards morning. —

Suddenly awakened by two strong concussive shocks after mic'- night; 7th day. — F.K.

115 ARSENICUM HYDROGENISATUM.

Frequent starting while falling asleep. —

As soon as lie falls asleep he perspires; 15th day. — F.K.

Restless night, from 5th to 6th day. — Br.

Restless sleep, till after midnight. —

Wakens every hour, always before the clock strikes; from 9th

Getting awake in the morning, weak and depressed. — On awaking : weak, etc. —

—F.K. Afternoon, 3 o'clock : headaches increase chills and fever every

—F.K. ^^ Temperature and Weather, After drinking cold water ;

later, after warm drinks, he could bring on a copious sweat.

■ General chilliness on slight exposure, or change of tempera-

ARSENICUM HYDROGENISATUM. 116

After faintiness, giddiness and shuddering. — Br.

Chilliness over the whole body ; after four hours. — Sch.

Chilliness became very violent on undressing, at 10 P.M.; after five hours. — Sch.

Cold limbs with heat in abdomen. — R.Sch.

Nose cold, had to wrap it in hot cloths. — R.Sch.

Chilly while walking. — Eisenmenger.

With the attempt at rising he feels chilly, from weakness ; 8th day.— F.K.

Attacks of shuddering or creeps in the evening, short, violent and only on parts of the back ; the 1st day. — C.Hg,

Evening frequent creeps, with coldness running down the body ; glowing heat about the chest, back and face ; later, general sweat, only not on the right foot, continues all night, large drops run over his face and down the head ; with it the pulse limping; 8th day. — F.K.

During chill : headache ; pressure in epigastric region ; disten- sion of abdomen; oppression of chest; tearing in neck; tear- ing in upper limbs. —

With the pressing pain from region of kidneys up to region be- tween shoulders, a chill over the whole body, with gouty tearing pains in the knee-joints and cold limbs ; four hours after inhalation ; half an hour later, when undressing, the chill was more violent than any he ever had ; pains in the knees, upper arms and elbows, increasing to great violence after the chill; five hours after inhalation. — R.Sch.

Severe chill on the 3d day, 3 p.m., time when headache was usually worse, beginning with yawning, discomfort, anxiety and chilliness, accompanied by oppression of chest, pain in neck, drawing in upper limbs ; increased frontal headache ; after a two hours chill: moderate heat, lasting till 8 P.M., with a hot, dry mouth, but little thirst ; after the heat : very slight sweat, during which he falls asleep ; at first frequent startings, during the unrefreshing sleep ; after midnight quiet. — Eisenmenger.

In the afternoon, 3 o'clock, when the headache had been the worst, on 1st and 2d day, on the 3d day he has gaping, ma- laise, anxiety and chilliness, gradually growing into strong chill with constriction of chest, pain in the neck, drawing in upper limbs, and pain in forehead; after the chill had lasted two hours a moderate heat followed, lasting until 8 P.M.; mouth hot and dry ; moderate thirst ; after the heat some sweat ; he falls asleep, but starts often ; after midnight quiet sleep, but on waking, weary, and as if beaten ; 3d day. — Eisenmenger.

After the great chill and the fever on 3d day, only chilly on the 4th, and on the 5th strong again, till on the 3d and henceforth, every afternoon at 3 o'clock. —

117 ARSENICUM HYDROGENISATUM.

With the beginning of the chill at 3 p.m.: sallow, yellowish face; eyes sunken, listless, the conjunctiva reddened; nose and upper lip excoriated ; tongue furred, yellow ; pulse fre- quent and small, at the same time increased headache ; con- striction of chest ; tearing pain in nape of neck and upper limbs ; pressure in region of tonsils ; distension of abdomen ; great weariness and weakness. —

Evening, 5 o'clock : fever-heat; half-past seven o'clock : sweat, followed by sleep ; 7th day. — Eisenmenger.

A slight fever paroxysm on the 2d day. — Eisenmenger.

Fever commenced at 12 noon : pulse up to 90 ; did not affect the head ; thirst in the afternoon ; sensitive to the cold weather; after supper the pulse rose from 90 to 120 ; 6th day.— F.K.

After writing awhile flying heat up towards the head ; pulse about 120 ; every 50 to 60 beats one omits, gradually oftener, in the evening every 5th to 6th beat, sometimes every 3d ; 7th day. — F.K.

In the morning when attempting to step down, heat ; in the evening cold feeling ; 10th day. — F.K.

Slight fever, with great weakness ; 5th day. — Br.

Glowing heat in abdomen and cold limbs all night, with pain in kidneys and urinating blood. — R.Sch.

I Much heat and burning in different parts of the body, particu- larly over the renal region. — F.W.Payne.

General warm sweat after midnight, with a soft pulse, 80 to the minute, omitting 3, 4 times ; 7th day. — F.K.

Attacks of night sweat ; from 7th to 8th day ; continually in the morning hours. — F.K.

Night-sweats ; 13th day. — F.K.

Night-sweat in short attacks ; 5th day. — F.K.

General warm sweat in the night, in large drops. —

Sweat relieves deadness in the limbs. —

On the 7th and 8th day a renewed appearance of many former symptoms and new symptoms, and a higher development of the morbid medical affection. —

Pains return ; typical headache ; after a slight improvement on the 4th day, worse on the 5th, when urination completely ceased. — Ollivier.

I Typhus tertianus postponens. —

ARSENICUM HYDROGENISATUM. 118

*^ Sensations. As if all had changed to stone in abdomen.

As if something would break in pelvis.

As if something was sticking below right shoulder-blade.

Pain in back, as after having taken cold.

A pain in left knee, as if inwardly crushed.

As if beaten ; in bend of left knee.

As if a splinter had lodged under toe-nail.

Cutting: in region of stomach and below it; in region of na- vel ; near last left ribs ; burning in right upper arm ; in left leg.

Stitches : In arms and feet.

Stitches : flying through limbs.

Pricking : on top of tongue ; in right groin.

Burning : in throat ; in stomach ; through whole alimentary canal ; outside of abdomen ; in left knee ; in bend of left knee.

Pinching : in abdomen.

Colicky pain : in left side of abdomen.

Tearing : in head ; in neck ; in upper limbs ; in knee-joints.

Drawing: from head toward larynx, right side.

Aching : spot on right acromion.

Rawness : in left chest ; over whole chest.

Pressure : in frontal sinuses ; in forehead ; above the eye- brows ; in temples ; in stomach ; in epigastric region ; in abdomen ; below diaphragm ; on left side of abdomen ; in region of kidneys ; between the shoulders ; above breast- bone ; in upper chest ; over whole chest ; in left chest.

Beating : in right chest.

Thumping: in perineum ; pain in heart; on a small spot behind right hip-bone ; in right big toe.

Throbbing pain : below right knee ; in bones of left upper arm.

Thrilling sore pain in balls of toes when pressed.

Flying pains : in perineum ; upwards, in rectum ; in arms, hands and fingers ; in feet.

Rheumatic pain : over breast-bone ; in knee-joints.

Laming pain : in elbows.

Cold pain : in bend of left knee.

Undefined pain : in head ; in right forehead and head ; in oc- ciput; in upper and back part of head, wheji coughing; in maxillary joints ; in loins ; in epigastrium ; in various parts of abdomen ; in symphysis pubis ; in groins ; in left side of penis ; near larynx, when speaking ; in perineum, when coughing ; in middle of sternum ; in intercostal muscles and bones of chest ; in lumbar region ; in loins ; behind and above right hip ; in sacrum, from top of shoulder to point of elbow; in elbows and arms; on inner side of thighs; in knees; in hollow of left knee ; in lower limbs ; in right heel; in left foot-joint; in sole of left foot.

119 ARSENICUM HYDROGENISATUM.

middle finger, around a blister ; on left thigh. Heat : in face ; in mouth ; in abdomen ; in chest ; in back ;

in feet. Weariness : in stomach.

Weakness : in abdomen ; in rectum, as if relaxed ; in limbs. Stifi"ness : in neck ; between shoulders.

ARSENICUM HYDROGENISATUM. 120

All the hair over the "deadened" parts become snowy white,

hearty before, suffered the whole Fall and Winter ; well in

Nux vom. (fever).

^Berzelius. Turpentine should be tried.

121 ARSENICUM lODATUM.

ARSENICUM IdDATUM.

Iodide of Arsenic. Asl^.

Introduced by friends of the lower, it has been given most in the third decimal and always repeated.

^ Mind. Studying occasions headache.

■ Frequent sneezing, d Phthisis,

■ Severe coryza with catarrhal tendency; pungent irritation

about nose and eyes, and an irritating, watery secretion.

I I Chronic nasal catarrh.

^ Face. I Complexion sallow. ^Phthisis.

I Peaked cadaverous face, with a purple, livid hue of skin.

d Cholera infantum. ^" Teeth and Gums. Intermittent pain in first right upper molar

ARSENICUM lODATUM. 122

B Intense thirst, with uncontrollable desire for cold water, Avhich

would be almost immediately ejected. 6 Cholera infantum.

^® Hiccough, Belching, Nausea and Vomiting, i Distressing

■ Subacute gastritis.

Sharp, cutting pain in abdomen which warned him to go to stool ; the pains became excruciating, embracing the entire abdomen and obliging him to bend almost double ; after a great deal of straining he passed a large, soft stool which af- forded some relief, at 9 p.m.; after eleven hours.

I I The abdomen is hard and distended with flatus, which is con- stantly discharged.

I Tabes mesenterica. ^^ Rectum and Stool. Escape of flatus relieves ; pains in abdomen.

Bellyache better after stools.

Stool in the evening soft and mushy, with considerable strain- ing, very dark, almost black ; 2d day. — B.

On rising in the morning great urging to stool, but stool was scanty, small in size, as though anus was contracted ; stool mushy, occasional scybala, small-sized, peculiar black, at- tended with straining as in dysentery ; 3d day. — B.

Diarrhoea not at all at night, but the urging commenced on be- ginning to move about in the morning.

I Diarrhoea in dysentery.

■ Almost constant watery discharges, distressing nausea and

vomiting. I Almost constant copious watery diarrhoea, d Cholera infantum.

■ Cholera infantum, even in articulo mortis.

Continual aching in anus, with a seeming inability to keep the

123 ARSENICUM lODATUM.

sphincter closed ; amounts to real dysenteric straining at stool ; 3d day. — B.

^^ Urinary Organs. I Diseases of urino-genital organs, especially in the female, with scrofulous taint.

" Male Sexual Organs. > Secondary syphilis.

^* Female Sexual Organs. iCatamenia regular. ^Phthisis.

^* Pregnancy and Parturition. iLump in mamma, with re- tracted nipples, tumor sensitive to touch and painful.

^® Kespiration. Breathing too rapid, even when at rest, increas- ing in rapidity on exertion, soon becoming an audible wheez- ing, d Phthisis.

■ General feeble respiration, d Hsemorrhagic phthisis. I Occasional asthmatic attacks. ^Phthisis.

I Asthmatic sensations at night, must sit up to breathe, d Phthisis. BForced inspiration induced crepitation, posteriorly, right lung.

■ Frequent cough, with muco-purulent and occasionally stringy

■ Expectoration heavy during night and morning. ^Phthisis.

■ Cough and expectoration. ^Hsemorrhagic phthisis.

■ Respiration harsh and jerky in left apex. ^Phthisis.

■ Rales and crepitation before and after catamenia. 6 Phthisis. ^^ Inner Chest and Lungs. ■Lungs pale, rather flabby.

d Haemorrhagic phthisis.

■ Feeble respiration, with plenty of dry rales over anterior sur-

face of right lung and upper part of its posterior surface. d Phthisis.

■ Dull spot beneath left clavicle and coarse crepitation.

d Haemorrhagic phthisis.

■ Flattening and decreased mobility beneath left clavicle, with

dullness on percussion ; coarse crepitation on the same spot, while dry ronchi and prolonged expiration was obtained elsewhere, d Phthisis.

■ Left half of chest flattened and motionless and percussion as

dull as a board from apex to below axillary border of pector- alis major in front and to middle of scapula behind, d Phthisis.

■ Below border of pectoralis major and around posteriorly to

ARSENICUM lODATUM. 124

back of lung, dullness and coarse crepitation. 6 Hsemor- rhagic phthisis.

I Crepitation and bronchial noise in the right supra scapular re- gion; after Sulphur for weeks increase of the dullness in the infra- clavicular region ; more intense and extending. d Phthisis.

I Immobility of right chest, with dullness in front and behind upper portion of lung, increasing to absolute dullness posteri- orly beneath the scapula, d Phthisis.

I Coarse crepitations, posteriorly about centre of lung; at the base bronchial respiration, d Phthisis.

■ Marked dullness on right base posteriorly, shading off into normal resonance about middle of scapula; coarse crepitation audible over all the duller portion of lung, d Phthisis. '''Heart, Pulse and Circulation. "Pulse weak, 84 to 92. d Phthisis.

I Pulse hard, fallen from about 80 to 64, woman set. 40. d Phthisis.

I Pulse very frequent. ^Mammary tumor. ^' Neck and Back, Soreness of the back, especially of the back of the neck, as if he had been beaten.

I Cold limbs.

Dull, heavy soreness of calf of left leg, 11 a.m.; after one hour.

Tired, weary feeling in calves of both legs while kneeling — Bl.

A very severe, laming pain in calf of left leg, afterwards em- bracing the entire leg, disappearing during active motion, re- turning when at rest.

Formicating pricking on extreme left ankle, followed by the same on inner side of right ankle. — Bl.

Heaviness of the limbs with weariness of the whole body.

Lying down : wheezing. See 25.

125 ARSENICUM lODATUM.

Motion : headache < ; pain in leg > ; hawking of thick mucus.

Exertion : cough <C ; dyspnoea.

Walking : soon causes fatigue.

Stooping : headache worse.

Kneeling : tired feeling in calves.

Rising after sitting : pains in stomach.

Ascending : dyspnoea.

Must bend double : with pain in abdomen.

Must sit up : difficult breathing in phthisis pulmonalis, 3^ Nerves. I Great vital prostration.

I Paralysis. ^^ Sleep. Constant yawning ; he gets sleepy much earlier than usual.

Pain in head preventing sleep ; 4th day. — B.

I I Night restless, slept little; 3d day. — B.

^^ Time. Morning : dullness and pain in head ; stool on rising ; expectoration heavy ; felt as if had taken cold.

II A.M. : soreness of left leg.

1 P.M. : pains in forehead and ears.

Evening: soft, mushy stool.

9 P.M. : stool with relief.

Night : asthmatic ; cough < ; expectoration heavy ; restless ;

sweat. 2^ Temperature and "Weather. Warmth : applied to abdomen

ear ; pain in upper molar tooth ; dry rales over lung ; pain

in humerus. Left: dull pain in malar bone; side of neck sore; pain in ear;

apex of lung affected ; posterior part of thigh chilly ; weight

ARSENICUM lODATUM. 126

Soreness : of back and neck, as if beaten ; of calf of left leg.

Aching : in anus.

Dull pain : in left malar.

Rheumatic pain : in humerus and left femur.

Laming pain : in calf of left leg.

Intermittent pain : in first right upper molar.

Undefined pain : in right temple ; in stomach ; in head, pre- venting sleep.

Formicating, pricking : on left ankle, and inner side of right ankle.

Formication : on left foot and instep.

Irritation : about nose and eyes.

Itching : of back of left hand, and stinging of back of right hand ; on various parts of body, most on back.

Heaviness : of limbs.

Tired, weary feeling : in calves of legs.

Stiffness : left side of neck. ^* Tissues. I Morbid cellular irritation in lungs.

■ Rapid emaciation.

■ Great emaciation and prostration, d Cholera infantum.

■ Considerable emaciation and wasted mammse. ^ Tumor in

— Bl.

■ Chronic skin affections.

■ Psoriasis, the inflamed, and scaly eruption almost covered the

child. ^"^ Stages of Life, Constitution. "Well fleshed man, set. 25, af- ter haemoptysis. ^Phthisis.

■ ■Strumous or psoric diathesis in conjunction with arsenic

■ Psoriasis of a child, set. 4 months.

12T ARSENICUM METALLICUM.