Cicuta Virosa

Water Hemlock, Cowbane. Vmbelliferse.

" Grows on the borders of ditches and rivulets, swamps, meadows, ponds, lakes, etc., all over Germany, and the north and east of France. It is apt to be mistaken for Conium maculatum. The stem of Cicuta is furrowed, that of Conium is spot- ted, Cicuta virosa, though called water-hemlock, should not be confounded with the true water-hemlock, which is the Phellandrium aquaticum, and belongs to the same natural order. Cicuta grows on the border of the water, Phellandrium in water.

The Cicuta root is characterized by cellular, hollow spaces, which are well seen when the root is cut longitudinally." — Sircar.

The American water-hemlock, Cicuta maculata, is analogous in botanical character, but we have but few toxicblogical reports and no clinical experience from it. Old authors have frequently confounded Cicuta virosa with Conium maculatum.

With the exception of the symptoms from Hahnemann's provings and those of his followers, Hornburg and Langhammer, the synTptoms are mainly toxico- logical (see Encyclopedia) and clinical.

Clinical, Authorities Hallucinations with convulsions during convalescence from typhoid, Watzke, Letter de Propag. de Dr. Y., p. 61 ; in Cerebrospinal menin- gitis, sixty cases cured, within 7 years, in all stages and all degrees of malignancy, J. T.

Baker, Hah. Mo., v. 8, p. 42 ; Meningitis basilaris, Stens, A. H.

Z., vols. 8,9; Concussion of brain, Messerschmidt, Riick. Kl. Erf., v. 4, p. 551 ;

Ophthalmia, Wi- dermann, Gaz. Horn, de Leipzig, v. 2; Eruption on scalp and chin, Wesselhoeft, Hom. Eev., v. 20, p. 295 ;

Eruption on chin and face, (two cases), Wesselhoeft, Hom. Rev., v. 20, p. 294; Cancer of lip, Veith, Riick. Kl.

Erf, v. 5, p. 202; Eruption on face, Caspari, Archives, 33, p. 78; verified by W. McGeorge, Raue's Rec, 1875 p. 14; Habit of eating coal in child, Berridge, Organon, v. 2, p. 355;

Helminthiasis, Caspari and Krauss, Riick. Kl. Erf., v. 1, p. 800; Paralysis of blad- der, Gross, Archives, 2, 3, 145;

Puerperal spasms, Wielobicky, Allg. Hom. Ztg., 35, 301.; Goccyodynia, Brueckner, N.

A. J. H., v. 19; Hysteria, Krauss, Riick.

Kl. Erf., V. 1, p. 800; Hysterical spasms, Bethmann, N. A.

J. H., v. 2, p. 42; Periodi- cal ecstasy, Widermann, N. A, J.

H., v. 2, p. 42, and Gaz. Hom. de Leipzig, v. 2, p. 226; Clonic and tonic spasms, Gross, Arch. Horn., v. 7 ;

Corivulsions from cere- bral irritation, H. V. Miller, H. M., 72, p. 198;

Convulsions, Baker, Hah. Mo., v. 8, p. 42; H. V.

Miller, Med. Inv., v. 9, p. 487; J. F.

Baker, H. M , v. 72, p. 42 ; Eclampsia in child, from abuse of opium, Strecker, N. A.

J. H., v. 2, p. 42; Spasms following injury to knee by splinter. Gage, Organon, v. 2, p. 128;

Chorea, B. J. H., 1873, p. 748; Epilepsy, Beckwith, Gilchrist, Surg.

Ther.,p. 193; Watzke, B.J. H., v. 25; Tetanus, Kafka, B.

J. H., v. 25; W. Eggert, Med.

Inv., v. 8, p. 161 ; Teta- nic convulsioru^, Riick. Kl. Erf, v. 4, p. 551 ;

Typhoid fever, Watzke, N. A. J. H., V. 2, p. 43.

^ Mind. I I Loss of consciousness and sensation.

I She knows no one, but when touched and spoken to, she answers. ^Periodical ecstasy.

CICUTA VmOSA. 120

I I Became insensible and convulsed generally.

■ Suddenly consciousness returns, and she remembers

nothing of what has occurred. ^Periodical ecstasy.

Very absent-minded.

I He confounds the present with the past. • iHe thinks himself a young child.

He imagined he was not living in his usual condition and circumstances ; everything appears to him strange and almost terrible.

I She thinks she sees coming towards her a huge drunken man, who lies down alongside of her, she begs him to retire, falls into convulsions, and turns over on her ab- domen.

I Feels as if he was in a strange place, w^hich causes fear.

Fantastic illusions, attacks of madness.

I I Delirium; crazy delirium.

■ Delirium, cries, sings; loss of consciousness with open

eyes, knows no one, but when touched or spoken to an- swers questions; consciousness returns suddenly, and she does not remember what has passed ; attacks twice a day. 6 Periodical ecstasy.

■ Mental torpor and stupefaction.

I I Loss of ideas ; loss of sensation.

■ Thinks of the future with anxiety, and is constantly sad. ■Strange desires, as desire to eat coal.

■ Fondness for solitude; great disregard and dislike for the

society of others.

■ Gives short answers.

Funny gesticulations, with redness of face and heat of body.

I I Aberration of mind, singing, performing the most gro- tesque dancing steps, shouting.

■ ■Likes childish toys, jumps from bed in a happy, childish

state.

■ ■Weeping, moaning and howling.

I I Sobbing and weeping, pain in neck, head drawn back spasmodically, with trembling of hands.

■ Great agitation, child grasps at one's clothing in a fright-

ened manner. ^Convulsions.

■ ■Very violent in all his actions.

■ Quiet disposition, contented, happy.

■ Melancholia; indifference and sadness. ^Concussion of

brain.

■ ■Anxious thoughts of the future; feels sad.

■ ■Anxiety, excessively affected by sad stories.

■ Greatest anxiety. ^Wounded oesophagus. Anxiety and fretfulness.

■ Old men fear a long spell of sickness before dying.

121 CICUTA VIROSA.

Is afraid of society, and wants to be alone.

■ Excited, with apprehension concerning the future; every-

thing that could befall him seemed to be dangerous.

1 1 Mistrust and shunning of men; despises others.

Disposition to be frightened. ^ Sensorium. When standing still there is a desire to hold on to something, because objects seem to approach and then to recede.

Vertigo : on rising from bed as if everything was moving from side to side, or approached and then receded; reel- ing; falling on stooping; after injuries to the head.

■ Vertigo; things turn in a circle, darkness before the eyes

on attempting to rise. ^Paralysis of bladder. I Giddiness with falling forwards.

■ Loss of sight and vertigo in walking. ^Ophthalmia.

■ Vertigo: buzzing in ears; deafness; eyes glassy, dim, so-

porous state; loss of consciousness ; muttering delirium. ^Typhoid. ^ Inner Head. Headache above orbits.

Stupefying frontal headache, increasing when at rest. ■Semilateral headache, as from congestion to head or external pressure ; > when sitting erect.

■ Rending, cutting pain of one side, thinking of headache

causes it to disappear.

■ Headache > by sitting erect, or by emission of flatus.

■ Severe headache in occiput, like a dull pressure, and as

with coryza.

■ Pressure deep in brain; heaviness in front or back of

■ Headache in morning on waking, as if brain were loose

and was shaken on walking; when thinking as to its

and the muscles too short.

■ ■Concussion of brain and chronic effects therefrom, par-

limbs ; eyes closed ; on lifting lids the eyes stare upwards.

^Meningitis basilaris. Cerebro-spinal meningitis; hydrops meningis acutus. * Outer Head. ■ Sinking of head forward when looking at

anything, or sitting in apparent sleep; when aroused

head was bent forward and stiff.

■ During intervals, head falls back if she attempts to raise

herself, and that with violent spasmodic pains. ^Hys- terical spasms.

CICUTA VIROSA. 122

1 1 Head bent backwards; with convulsions.

I Head retracted ; rigid spine. ^Cerebro-spinal meningitis.

I Head bent to one side. ^Epilepsy.

IJerking and twitching of head.

■Violent jerking backward of head. ^Cholera.

■ Starting, trembling of head, < moving head; with this,

single jerks, like electric shocks, < in cold; > at rest and from warmth.

I Spasm begins in head and goes down. ^Epilepsy.

I I Violent shocks through head, arms and legs, which cause them to jerk suddenly; head hot. ^Tetanus.

■ Burning, suppurating eruptions on hairy scalp; scald

■ Child is subject to scalp sweat when sleeping. ^Convul-

sions from cerebral irritation.

■ Child rolls head from side to side, has fever and hot head,

sudden convulsions with froth at mouth, eyes rolled up, dilated pupils, screamed fearfully, great agitation, con- vulsive movements of limbs, head and trunk, grasps at one's clothing in a frightened manner, pulse rapid. ^Convulsions from cerebral irritation.

Lentil-sized pimples on forehead, causing at first burning pain, become confluent, assume a deep red color, and end in desquamation. ^ Sight and Eyes. ■Objects vacillate, appear black, double vision, ins-like circles around candle, eyes burn slightly, can scarcely see in sunlight, weak sight, lids glued in morning. ^Ophthalmia.

Momentary loss of sight.

Double sight, vertigo, with twitching over left eye, cutting pain.

■ Frequent vanishing of sight, as if by absence of mind,

with vertigo, when walking. ^Ophthalmia.

■ When she attempts to stand, she wishes to hold on to

something, because objects seem now to come nearer, and now to recede from her.

■ Letters go up and down or disappear; or colors of rain-

bow around them; iris-like circles around candle. ^Ophthalmia.

■ Eyes staring; she stares with unaltered look at one and

the same place, and cannot help it; head inclines for- ward. ■Staring, fixed and glassy, or upturned eyes. ^Epilepsy.

■ Eyes sensitive to light. ^Ophthalmia.

■ Eyes protruded. ^Wounded oesophagus.

123 CICUTA VIROSA.

I Blue margin around eyes ; eyes sunken. ^Ophthalmia.

I I Trembling and twitching of lids.

1 1 Strabismus convergens in children, if periodic and of a

spasmodic character, or caused by convulsions. Strabismus occurring after a fall or blow. ^ Hearing and Ears. ■ Oversensitiveness of hearing.

■ Hardness of hearing in old people.

I Perfect deafness. ^Cerebro-spinal meningitis. I She does not hear well unless one speaks loudly to her, and she pays attention.

■ Detonation in right ear when swallowing.

■ Burning, suppurating eruption on and around ears.

■ Hemorrhage from ears.

'^ Smell and Nose. ■Nose very sensitive to touch, slight touch causes it to bleed. ■Yellow scurfs in nose, or yellow discharge from it.

■ Frequent sneezing, without coryza.

^ Upper Face. ■Face pale, without expression. ^Typhoid.

■ Rolls the eyes, hideous countenance, piercing cries.

^Hysterical spasms.

■ Face: pale and drawn ; deathly pale and cold; red; bluish,

puffed up.

■ Ashy paleness of face. ^Convulsions.

■ Pale, earthy color of cheeks, scrofulous eruption about

^'Ophthalmia.

■ Flushed face, with headache and restless sleep, later pal-

lor and cold face. ^Concussion of brain.

■ ■Convulsion of facial muscles; distortions, either horrible

or ridiculous.

■ Painful, burning, ulcerated lips.

Burning and itching vesicle on upper lip, near vermillion border.

■ Eruption at corners of mouth, spreading over face and

hands, and appearing on breast, resembling erysipelas, gradually forming a yellow, honey-colored crust, with burning and itching, unaccompanied by fever.

■ Thick, honey-colored scurf on chin, upper lip, and lower

portion of cheeks (milk crust), burning, soreness and oozing, accompanied with swelling of submaxillary glands, and insatiable appetite. /^Ophthalmia.

■ Dark red pimples on face and hands, come with burning

pain, coalesce.

■ Herpes on face; acne rosacea.

^ Lower Face. ■■ Lockjaw, the teeth pressing firmly against one another. ^Concussion of brain.

CICUTA VIROSA. 124

■ Yellow scurfs on 1. corner of mouth, discharging yellow,

corrosive fluid, may extend over lip, chin and cheek.

■ Cancer of upper and lower lip; painful ulcers on lips.

■ Gradually increasing eruption upon chin, extending to

both sides over j)arts occupied by beard; skin is red, shining, swollen ; terrible itching and burning sensation ; beard matted together with a yellowish-white crust, mostly dry; this had been preceded by vesicles, which exuded the fluid, and subsequently formed the scab.

^° Teeth and Gums. ■ Grinding of teeth, with pressing of jaws together like lockjaw. ^Dentition. 6'Tetanus. ■Toothache, faceache, or earache, caused by filling teeth with gold.

" Taste and Tongue. ■ Speech difficult; when talking he feels a jerk in head from before backwards, as if he had to swallow the word as in hiccough. I I Could not speak from having no control over move- ments of mouth and tongue. ^Chorea.

■ Speechlessness. ^Wounded oesophagus. ^Cerebro-spinal

meningitis.

■ Tongue coated, dry.

■Swelling of tongue; white, painful, burning ulcers on

edges of tongue ; painful to touch. ■Bites his tongue, later lockjaw, painful ulcers on edge of

tongue and inside of lips. ^Concussion of brain. ^^ Inner Mouth. ■Foam in and at mouth. ^Epilepsy.

■ Mouth closed, unquenchable thirst, drinks swallowed with difficulty. ^Hysterical spasms.

13 Throat. I I Dryness of throat. ^Ophthalmia.

■ Very great difficulty in swallowing; sometimes it is im-

possible. ^Tetanus. ■Strangling when an attempt is made even to swallow medicine. ^Cerebro-spinal meningitis.

■ The throat felt as if grown together, internally; exter-

nally painful, as if bruised, on moving, or touching it; eructations from noon till evening.

■ ■After swallowing a sharp piece of bone, or other injuries

to oesophagus the throat closes, and there is danger of suffocation.

■ Constriction of oesophagus from intestinal irritation, par-

ticularly verminous, with spasmodic contraction of mus- cles of neck, almost like tetanus ; tonic contraction with intermittent clonic spasms.

■ CEsophagus hurt by a splinter of bone swallowed, this

was followed by pain and swelling ; six days later could not swallow a drop of fluid ; three days after it was diffi- cult for the air to get into the windpipe, and she feared suffocation every moment; throat and neck were swollen to double their natural size, stiff and hard.

125 CICUTA VIROSA.

■ Nausea in morning and when eating.

■Vomiting: of bile; of blood; on stooping; when trying to rise ; during pregnancy; alternating with tonic spasms in the pectoral muscles, and distortion of eyes.

■ Violent vomiting. ^Ophthalmia. ^Convulsions.

■ Vomiting aliments when swallowed, very violently; yel-

low, like mucus; with headache, thirst, and dryness of throat. ^Ophthalmia. ^^ Scrobiculum and Stomach. iShe feels a blow deep in the epigastrium (plexus coeliaci), which passes like lightning up the back, and forces her to throw herself backwards in the midst of most tormenting pains. ^Hysterical spasms.

■ ■ Sudden shock deep in pit of stomach causes opisthotonus.

^Tetanic convulsions.

■ ■Burning pressure at stomach and abdomen. ^Oph-

thalmia.

■ ■Swelling and throbbing in pit of stomach.

■ Heat and burning in stomach.

■Sw^elling of stomach as from violent sjDasm of diaphragm. ^Epileptic attack.

■ Waterbrash, a quantity of saliva flowing from mouth,

■ I Distension and painfulness of abdomen.

■ Pain at times in head, then in abdomen. ^Periodical

ecstasy. Sudden, sharp, stitching pains from navel to neck of

bladder. Tearing pains deep in abdomen.

■ Colic and borborygmi as before a stool. ^Ophthalmia.

CICUTA VIROSA. 126

Worms, with fever, colic, and convulsions. 1 1 Colic, with convulsions and vomiting. I Chronic painful hernia. ^^ Stool and Rectum. iThin stool, with violent urging to

urinate, which could not be withstood; also desire to

urinate after stool. Stools thin, slimy, expelled suddenly; sudden urging,

scarcely able to retain stool, at 2 and 5 a.m.

■ Frequent liquid stools. ^Ophthalmia.

Cholera, when purging ceases, and congestion to brain and chest, turning the eyes, difficult breathing, and other symptoms set in.

iDiarrhoeic stool followed by constipation. ^Convulsions.

■ Itching in rectum, with burning pain after rubbing.

■ Itching of lower part of rectum. Prolapsus recti.

^^ "Urinary Organs. ■Paralysis of bladder, with great anxiety.

■ Involuntary emission of urine, with old men.

■ Frequent micturition ; the urine is propelled with great

force.

■ Either great quantities of urine, with great urging, or no

urine at all. ^^ Male Sexual Organs. ■Testicles drawn up toward external abdominal ring. ■Sore drawing pain in urethra, as far as glans, obliging one to urinate.

■ Stitches in fossa navicularis, with nightly emissions. ■Pollutions without lascivious dreams.

Strictures (spasmodic) sometimes after gonorrhoea. ^Female Sexual Organs. ■Menses delayed; spasmodic symptoms.

■ Tearing and drawing in os coccj^gis, during menses.

^Coccyodynia. ^Parturition. ■■ Spasms during parturition; convulsions continue after delivery.

■ Puerperal convulsions, very violent and exhausting; fre-

quent interruptions of breathing, after respiration has been restored patient remains weak and insensible, as if dead. Puerperal spasms, with trembling of limbs, jerks as from electric shocks, borborygmus, want of breath, opisthoto- nus, cold, pale face, half closed eyes with blue margins.

^■' Voice and Larynx. ■Violent and loud screaming. ^Spasms following injury from splinter.

^ Respiration. ■Oppression, can scarcely breathe; may arise from tonic spasm of pectoral muscles.

■ Respiration snoring. ^Tetanus. ■Breathing interrupted, in spells. ^Epilepsy.

127 CICUTA VIROSA.

I Want of breath the whole day.

■ Difficulty of breathing, chest feels too tight.

■ Respiration suspended, at times gasping. ^Hysterical

spasms. ^Convulsions.

■ Dyspnoea. ^Cerebro-spinal meningitis.

■Cough, with expectoration. ^Cholera.

^ Inner Chest and Lungs. ■ Sensation in chest and throat as though something of the size of a fist were lodged there.

■ Sensation of soreness, as if bruised, at lower end of ster-

num, when walking.

■ Oppression of chest. ^Tetanus.

■Tightness in chest; scarcely able to breathe. ^Paralysis

of bladder. ■Burning and great heat in chest.

■ Cold sensation in chest.

^ Heart, Pulse and Circulation. ■ ■Trembling palpitation of heart.

■ ■Feels as if heart stopped beating; and sometimes faint

feeling therewith. ■Pulsation of heart weak. ^Tetanus.

■ Rapid pulse. ^Cerebro-spinal meningitis.

■ Pulse weak, slow, trembling, at times imperceptible.

(^Tetanus. ^ Outer Chest. ■ Violent tonic spasms of pectoral muscles.

■ Sensation of soreness at lower end of sternum. Chill begins in chest.

^^ Neck and Back. Neuralgia at nape, with tendency to drawing of head backwards and dull occipital headache.

■ The muscles of neck contract and become hard as wood.

^Hysterical attacks.

■ ■Tension or cramp in muscles of neck; if he turns head,

he cannot easily turn it back again.

■ ■Pain in nape, spasmodic drawing of head backward,

with tremor of hand.

■ Tonic spasm of cervical muscles. ^Tetanus.

■ Tetanic stiffness of back and legs with drawing pains in

thighs and calves. ^Concussion of brain.

■ Swelling of neck, arising from wounding oesophagus with

a splinter (bone) or similar sharp body. I I Painful sensation on inner surface of scapulae.

■ Bruised feeling on r. scapula.

■ ■The back bent backward like an arch.

■ Bod}^ and legs straight; head drawn back; if lying on

side is straightened out upon back quick as lightning. ^Spasms following injury to knee from splinter.

■ Tearing, jerking in os coccygis. ^Dysmenorrhoea.

I I Coccyodynia, coming on for the first time during cata- menia, after parturition.

CICUTA A^IROSA. . 128

^^ Upper Limbs. ' ' Complete powerlessness of limbs, after spasmodic jerks.

■ Spasmodic jerking of arms and upper part of body ^Fol-

lowing injury to knee by splinter. II Frequent involuntary jerking and stitches in arms and

fingers. ^Epilepsy. IJerking in 1. arm all day,

■ Arms bent at elbows, fingers clenched. ^Spasms follow-

ing injury from splinter. ' I Sensation of heaviness in arm when raising it, accom- panied by stitches in shoulder, so violent that patient must desist; he dare not move the fingers even; occurs more frequently in 1. arm. I Veins of hands enlarged.

■ Trembling of hands, with pain in occiput. ^Helmin-

thiasis.

■ Numbness of fingers.

■ Creeping, trembling and starting of fingers in convales-

cence from typhoid.

■ Thumbs turned inward. ^Epilepsy.

Pimples on hands, burning when first appearing, but finally blending and forming one dark red scab.

I I Nails blue. ^ Lower Limbs. l i Weakness, especially in knees and in muscles of back after standing only a short time.

I 1 Frequent involuntary jerking of lower limbs.

■ Swelling and pain of 1. knee.

■ Painful feeling of stiffness in muscles of lower limbs. ■Trembling of 1. leg.

■ His legs refused to carry him, and he staggered. ■When walking, she does not step properly on soles of

feet, they tilt inwards, and the walking is done on outer edge of foot. ^Gressus vaccinus.

■ Suddenly grasped his knee with his hands and screamed

fearfully and was seized with convulsions.

■ Drawing pain in thighs and calves with tetanic stiffness. ■Violent pain in entire 1. leg, later also in r., recurring

periodically, ending in tetanic convulsions with uncon- sciousness.

■Rending in muscles of lower limbs, front side down to the feet, < at night. ^ Limbs in General. ■ Great weakness in arms and legs, after slight exertion.

Bruised feeling of forearms and legs.

■Trembling in upper and lower limbs.

■ Spasmodic contortions and fearful jerking of limbs, with

violent convulsions. ■Jerking of limbs. ^Basilar meningitis.

129 CICUTA VmOSA.

pressive, stupefying headache; shocks in liead >. While lying: jerking of head or throwing it backward;

on side, is straightened out upon back quick as light- ning. When standing still: desire to hold on to something;

After standing: weakness in knees and muscles of back. Lies on back unable to turn.

Sitting in apparent sleep: sinking of head forward. On attempting to rise : darkness before eyes ; falling back

something. On stooping: falling; vomiting of bile; of blood, during

On raising arm: sensation of heaviness in arm; stitches

in shoulder. On walking : loss of sight ; vertigo ; as if brain were loose

and was shaken; epistaxis; soreness as if bruised at

lower end of sternum; does not step properly, feet tilt

inward. ^^ Nerves. ■ Great depression and prostration of strength ; he

feels at noon more fatigued than at evening.

■ Lassitude and constant sleepiness.

■Weak and powerless, muscles refuse to obey the will.

^Paralysis of bladder. State of insensibility and immobility, with loss of strength

and consciousness. . I Catalepsy, limbs hang down and patient appears lifeless.

■ Dysphagia; no muscular flinching when trunk or lower

extremities are pricked with pin, perfect paralysis; has not moved or winked for several days. ^Cerebro-spinal meningitis.

■Tremulous movements.

I Twitchings of extremities.

■Sudden shocks and jerks through head, arms and legs. ^Concussion of brain.

■Sudden rigidity, with jerks, afterwards great relaxation and weakness. ^Worm affections.

■Strange contortions of upper part of body and limbs, during paroxysms, with blue face and frequent inter- ruptions of breathing for a few moments.

■ Child suddenly grasped knee with his hands and

screamed fearfully; immediately afterwards was seized

VOL. IV. — 9.

CICUTA VIROSA. 130

with convulsions and insensibility, head being perma- nently retracted.

■ The attacks twist the child into most curious and fright-

ful contortions, sometimes causing it to scream out. ^Chorea. 1 1 Convulsions, with loss of consciousness, frightful distor- tions of limbs and whole body.

■ Convulsions and insensibility, head permanently re-

tracted, high fever, vomiting, dilatecl pupils, double vision, ashy paleness, one cliarrhoeic stool then con- stipation.

■ Convulsions, with limbs relaxed and hanging down, or

unnaturally stiffened and extended. ^Dentition.

■ Convulsions with cries.

■ Epilepsy, with violent contortions of limbs and upper

portion of body and head, bluish face, interrupted res- piration and frothing at mouth.

■ ■Epileptic attacks, with swelling of stomach, as from

v^iolent spasms of diaphragm; hiccough; screaming;

redness of the face ; trismus ; loss of consciousness and

distortion of limbs. ■Eclampsia, in a child of five months, from abuse of opium. ■Attacks come on twice a day, and she seems to be dying

when in them. ^Periodical ecstasy.

■ After convulsions child is unconscious and nearly lifeless.

■ Spasms in muscles, especially of neck and chest.

■ Child lies on back, not being able to turn, legs alternately

contracted and extended, with severe pains in them. ^Spinal curvature.

■ Violent tonic spasms, each muscle being perfectly rigid.

■ The most violent tonic spasms, so that neither the curved

limbs could be straightened out nor the straight ones curved.

■ ■Tonic spasm renewed from slightest touch ; from oj^en-

ing door, and from loud talking. ■Violent spasms with opisthotonus, difficult breathing, arms bent at elbows, screaming, tongue coated and dry, thirst. ^Splinter in knee two weeks before.

■ Spasms of pregnant or parturient females; hysterical

convulsions,

■ Body and extremities hard as wood. ^Hysterical spasms. I I Tetanus centric; cases somewhat ej)ileptiform. ^Cere-

bro-spinal meningitis.

■ Catalepsy.

"' Sleep. ■Soporous condition, in cholera.

■ Erequent waking, with sweat all over, from which he

feels invigorated.

■ Dreams: vivid, about events of previous day; vivid but

unremembered.

131 CICUTA VIROSA. "

■ Starts up suddenly out of sleep, raises head, stares fixedly

before him, breathing ceases, turns blue in face, catches anxiously at breath and perspiration stands in great drops on forehead. ^Epilepsy.

■ Soporous sleep, weeps on being roused, distorts facial

muscles, stares vacantly and holds head stifhy bent forward. ^Concussion of brain.

■ While asleep, starting and biting tongue. ^Hysterical

spasms.

■ Is roused from sleep with difficulty. ^Convulsions.

■ Complete sleeplessness. ^Hysterical spasms.

sweat, most on abdomen. During midday: loss of appetite; more fatigued than at

■ Chill starts in chest and runs down legs and into arms,

with staring look.

■ Cold internally and externally.

■ Heat slight and only internal.

■ In intervals she is calm, slightly feverish and face flushed.

^Periodical ecstas}''.

■ High fever. ^Convulsions.

Typhoid fever: vertigo, buzzing in ears, deafness, glassy, dim eyes; face pale, without expression; great thirst; meteorism; soporous state; loss of consciousness; mut- tering delirium.

Nervous fevers, characterized by great stupidity.

Worm fevers, in children, with colic and convulsions.

■ Sweat at night and in morning hours, most on abdomen.

■ Sweats profusely at night without being able to sleep.

Periodic: strabismus convergens in children; pain in legs; ecstasy. ^^ Locality and Direction. Right : detonation in ear when swallowing: bruised feeling on scapula; violent pain in leg; vesicle on scapula.

CICUTA VIROSA. 132

Left: twitching over eye; jerking in arm; sensation of heaviness in arm, with stitches in shoulder; swelling and pain of knee ; trembling of leg ; violent pain in leg.

Forward: falling with giddiness; sinking of head when looking at anything; bending of head when aroused from apparent sleep ; on staring, head inclines.

Backward : bending of head, with convulsions ; falling of head with spasms; jerking of head; throwing of head. ^^ Sensations. As if he were in a strange place ; as if muscles of neck were too short ; as if throat had grown together ; as of a blow deep in epigastrium which passes like lightning up back; as if something the size of a fist were lodged in chest and throat; as if heart stopped beating.

Rending pain: in one side of head; in muscles of lower limbs.

Tearing : deep in abdomen ; in os coccygis.

Cutting pain : in one side of head ; over 1. eye.

Jerking : in os coccygis.

Drawing : from corners of eyes towards temples ; in ure- thra ; in OS coccygis ; in thighs and calves.

Stitching pains : from navel to neck of bladder.

Stitches: in fossa navicularis; in arms and fingers; in shoulder on raising arm.

Sharp pain: from navel to neck of bladder.

.Burning: in eyes; in eruptions; ulcerated lips; vesicle on upper lip; ulcers on tongue; in stomach; in chest; in rectum after rubbing.

Bruised feeling: on moving or touching throat; at lower end of sternum; of forearms and legs; as from a contu- sion or blow; in many parts.

Sudden shock: deep in pit of stomach; through head, arms and legs.

Throbbing: in pit of stomach.

Pressure: deep in brain.

Dull pressure: in occiput.

Burning pressure : at stomach and abdomen.

Compression: from both sides of head.

Heaviness : in front or back of head ; of head ; in arm on raising it.

Soreness : behind ear, as after a blow ; in urethra ; in chin, upper lip and cheeks, with milk crust; at lower end of sternum.

Tightness: in chest.

Numbness : of fingers.

Creeping : of fingers.

Itching: vesicle on upper lip; eruption on face, hands and breast; in rectum; of lower part of rectum ; of skin over whole body; eruption on scalp; crusts on chin.

133 CICUTA VIROSA.

Heat: in stomach; all over.

Coldness: in chest.

Dryness : of throat. ** Tissues. Acts particularly on nervous system.

Cerebro-spinal irritant, producing tetanus, epileptic and epileptiform convulsions, trismus and local tonic and clonic spasms in general.

Congestions to brain and spinal cord, also to lungs and abdominal viscera.

Tonic spasms of extensors and flexors.

Strictures (spasmodic) following inflammations.

Affections caused by getting splinters into flesh; trismus and tetanus : injurious effects of concussions.

Touch: nose very sensitive to; bleeding of nose from slight; tongue painful to; answers questions while un- conscious when touched; causes bruised sensation of throat; tonic spasm renewed from slightest; vesicle on r. scapula painful to; causes pain in eruption on hands.

Rubbing : burning pain in anus after.

BSkin burning hot. ^Wounded oesophagus.

I Burning, itching of skin over whole body.

I Red vesicle on r. scapula very painful to touch.

■ Elevated eruption as large as peas, on both hands, even

on balls of fingers, with burning pain when touched, later it became confluent. ■Pustules which run together, forming thick, yellow scabs, on face and other parts of body.

■ Suppurating eruptions, with yellow scurf and burning

pain.

■ Eczema: no itching; the exudation dries into a hard

lemon colored scab.

Impetigo ; honeycomb-like crusts, which fall off and leave a bright red smooth surface.

Suppressed eruptions cause cerebral disease.

■Scaly, moist, itching eruption upon scalp, with numerous hard nodes upon chin, throughout beard ; these nodes give birth to a crop of vesicles which soon fill the beard with yellow crusts, matting the hair together and ac- companied with burning and itching. ^^ Stages of Life, Constitution. Old people and children.

Scrofulous child, spinal curvature; clonic and tonic spasms.

Male child, set. 10 months; epilepsy.

Child, set. 22 months; has for a week or two been in the habit of eating coal.

Boy, set. 2 J, light complexion and hair, blue eyes; convul- sions from cerebral irritation.

CICUTA VmOSA. 134

Boy, ?et. 8; convulsions.

Female, set. 9; ophthalmia.

Child, set. 11 ; chorea.

Boy, a3t. 11 ; helminthiasis.

Boy, set. 13; concussion of brain.

Robust boy, set. 15 ; tetanic convulsions.

Girl, set. 17, large, strong, brown hair, red cheeks, has not menstruated; tetanic spasms.

David Gray, set. 17, treated allopathically and unsuccess- fully for five weeks; three children in family died of same disease; cerebro-spinal meningitis.

Woman, set. 23, in second confinement; puerperal spasms.

Man, set. 40, thin, weak constitution ; tetanus.

Woman, set. 76; wounded oesophagus.

Man, nearly 90 ; paralysis of bladder.

Man, ran splinter into knee, and was then wet through by a cold rain; spasms.

Man; renewed cancer of lip after operation. ^^ Relations. Antidoted by: Arnic, Opium; tobacco for mass- ive doses.

It antidotes: Opium.

Compatible: After Laches., after Arsen. and Conium (cancer of lip), Cuprum (aphasia in chorea).

Hydr. ac. and Strychnia.

135 CIMEX LECTULARIUS.