Cassada

Manihot utilissima, Pohl (Jatropha manihot, L.) [The bitter variety is poisonous, differing from the sweet, as bitter from sweet almonds (the difference probably due to the presence of hydrocianic acid); botanically, the two varieties are alike.] Nat. order , Euphorbiaceae. Common name , Sweet or bitter cassada or cassava.

Preparation , Tincture of the root.

Authorities. 1 , 2 , 3 , Reil, Journ. f. Pharm., Tox., and Therap., 1, 586; review of Michiel de Keyzer, Inaug. dis., "Bydrage tot de Kennis van het Blauwzuur," 1856, poisoning of two boys and a girl, aged respectively 3, 4, and 6 years; 4 , ibid., poisoning of a negro by the juice; 5 , Dr. Barham, general statement of symptoms of poisoning, Pharm, Journ., 5, 29, 1846; 6 , Mure, Pathogénésie Brésilienne, effects from an ounce dose of the expressed juice of the root, by J. V. Martins.

Intellectual. She seemed to have some consciousness, as was shown by the look of her eye when her name was called aloud, [3] . Senseless and unconscious, with ice-cold hands and feet, pale, sunken face, half-closed eyes, dilated pupils, half-opened mouth, full of saliva, respiration very slow, almost imperceptible, action of the heart intermitting, scarcely perceptible, anus relaxed, wide open, limbs relaxed, [1] , [2] .

He fell to the ground unconscious, with loud cries and convulsions, [4] .

Dizziness (second day), [6] .

Giddiness of the head, [5] .

Eye. Pain within the orbits, [6] .

Dimness of sight, [5] .

Optical illusions (fourth day), [6] .

Ear. Noise in the ears, extending to the occiput, like letting off steam (third day), [6] .

Clammy mouth, with bad breath (third day), [6] .

Bitter mouth (fourth day), [6] .

Sense of swelling in the left tonsil (second day), [6] . Pain at the velum palati, [6] .

Slight feeling of dryness in the oesophagus, [6] .

Violent vomiting and purging, [5] . Heaviness in the stomach all night, relieved by applying the hands (fourth day), [6] .

Slight weight in the stomach, [6] . Pain and sickness of the stomach, [5] .

Slight dull pains in stomach and bowels, with borborygmi (second day), [6] . Vague and transient, but very acute, pains in the stomach (third day), [6] .

Swelling of the whole abdomen, [5] . [30.]

Vague pains in the hypogastrium, when urinating, at 6 A.M. (second day), [6] .

Diarrhoea in the morning (sixth day), [6] .

Unusually easy stools, [6] .

Watery, greenish, fetid stools (second day), [6] . Copious, light-colored, watery, fetid stools (second day), [6] .

Sudden pain, with lancination, in the urethra, above the fossa navicularis, for two minutes (second day), [6] . Slight heat in the urethra (third day), [6] .

Respiratory Organs.

Respiration intermitting, at times almost ceasing, [3] .

[40.] Pain within the chest, [6] .

Pain in the side of the chest and in the shoulders, aggravated by movement (second day), [6] .

Heart And Pulse. Pulse very weak, [3] .

Pain in the back (third day), [6] .

Pain at the loins (sixth day), [6] .

Superior Extremities.

Acute pain in the left arm at night, [6] . Pain in the left elbow (third day), [6] .

Inferior Extremities.

Swelling of the ankles, rather less at night (third day), [6] .

General Symptoms. Slight cramps, with staring look, [3] .

Debility, [6] .

Moral and physical prostration (third day), [6] . Faintings, [5] .

Sleep And Dreams. Sleepiness.

Drowsiness (sixth day), [6] .

Drowsiness in daytime, [6] .

Dreams about a conflagration, with small flames, like those presented by the 10th attenuation of Crotalus cascavella, when examined under the solar microscope, at the Homoeopathic Institute of Rio Janeiro (fifth day), [6] .

Coldness and shrinking, [5] .

Profuse sweat during sleep, ceasing on waking (second day), [6] . [70.] Very fetid sweat under the axillae and on the scrotum (third day), [6] .

( Night ), Swelling of the ankles. ( Applying hands to part ), Heaviness in stomach.