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Carbolic Acid

Hale - Materia Medica and Special Therapeutics of the New Remedies · Edwin Moses Hale · 21,465 chars

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Generalities

Ue thrilling tMough the body and extremities. Great desire to lie down in the daytime.

He feels so weak he could scarcely speak, and soon fell i

deep sleep. Paralysis of the lov:er extremities and riglit arm.

{Addum Garbolieum.)

PiriRMACOLOGJ, — This is an acid obtained from coal-tar, by fractional distillatioa and subsequent purification.

Carbolic acid, in Its pure state, is a solid, at ordinary temperatures crys- talizing in minute plates of long rhomboidal needles, white or' colorless, of a peculiar odor, similar to creosote, and an. acrid burning taste. Its spe- cific gravity is 1,005. If colored brown under the influence of light and air, it is impure. It deliquesces on exposure, and uUimatol; becomes liquid.

It is soluble in 20 parts water, its solution, if pure, colorless aiid remaining so; but if impure, colored brownish by exposure. It is very soluble in alcohol, ether, acetic acid, glycerine, and the volatile andfised oiifl.

It is neutral to test paper.

Ob'B'icikai. PttEPAKATtON. — (1) Tincture (one grain to ten drops pure alcohol) ; <3) Triturations of the crystals with coarse sugar of milk.

Ahalouuks. — Arsenicum, Baptisia, Bromide qf Potaaaium, Bromide of Awmoaia, Gitnicifuffa, Oreogote, Lacheiig, Mereuriu* corrosivut, et uid., Phogphonm, Nitric acid. Muriatic acid, Bhm ffm., S-ulphur, etc.

[The symptoms here given are mainly taken from Dr, Hoyne's patho- genesis, given in the Journal cf Hommopathic Materia Medica for May, 1872, to which I have added Dr. Miicheil's symptoms and my own obser- vations. (Rale.)]

Mental Sphere. ETiiire disinclmiation to study; what he had aecomplislicd

seemed trilling. Disinclined to work; even correctitjg proof is fatiguing. Cross, loses control of temper readily. Affection bestowed seemed distasteful.

Heading incre^ed all the head symptoms, especially the press- ing in the occiput, while the intellect was nnnsually quiet. Dullness of intellect, which passed away after breakfast.

Head

Forehead — Aching pain in the forehead (transient).

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152 CAKBOLIC ACID.

Feels as if a land was arovm.d tite forehead.

Headache in the foreliead of a nearalgie character.

Burning pain in tlie forehead.

Dull (or heavy) pain ruivnmgfrom, the forehead to tha occiput.

Feels aa if a band was around the forehead.

Felt a dull feeling in the frontal lobe of cerebrum, which

increased to a severe headache. Awoke with a dull, hot, constricted feeling in the head, more

especially in the forehead; followed before rising, by an

acute piercing pain in the left supra-orbital ridge. This

was circumscribed and might have been covered with a

silver ten cent piece. The acute piercing pain lasted only five or ten minutes, and

ceased on my rising, leaving the spot where it had been

sore to the touch for more than one day.

Vertex — burning pain in the top of the head.

Hard headache in the morning confined to the upper half of

the head. Sensation as of fine electric sparks in vertex, changing to a

pricking itching, with desire to rub the part and relief

from it.

In the vertex a feeling as if the brain was swashing about.

Temples — Burning pain in the right temple and top of the head.

Dull acliing pain in both temples and back of the head, when

leaning forward. Occiput — Dull aching pain in back of head, and right side and

temple. Back of head feels aore.

Constant doll, pressure and pain in the occiput and the mus- cles of the back of the neck, especially just behind the

Ears

{JMitchell.) A very great s&nse of weight on my necJc, with a tenderness,

even to the touch, on the seventh cervical veHebrce. (A

persistent symptom.

Dr.

F.

N.

Mitchell.) Constant vertigo, not relieved by abutting the eyes ; better

when walking fast in the open air; much worse when

sitting down. (iJ.)

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OAEBOIIC ACID. 15S

Constant humming, buzzing sound in the ears, with the head- ache, without dullness of hearing. (/5.)

/Sides — Eeating pain in right side of head.

The pains are the most severe on the right side.

Neuralgic pain in left side of head.

Scalp — Itching of scalp, first on right side, then on left.

Head feels sore when moving it; sore feeling after the head- ache.

The dull, hot, constricted feeling which was severe enough to become an ache at times, (relieved by pressing the head with the liands,) lasted ail day long and late in the night.

Confused feeling in the head.

Feel as if I had a cold in the head.

Head seemed to swell and felt hot, even as though it radiated heat as from a hot stove.

Hard headache most of the night.

The headache did not locate anywhere in particular, but was as bad in the forehead as anywhere else.

Headache worse when bending the head forwards.

The headache continued until I went to sleep at night (all day.)

° PeriodiMil sick-headache, generally just before or after the menses.

Headache with nausea; better from drinking a cup of green tea.

Pressure at first relieves the pain for a moment, but if con- tinued incresees the headache. However, if the pressure was removed, if only for an instant, and then re-applied, it would bring relief for a moment.

The head pains are the most severe and worse on the right aide- Feels very dizzy from the slightest motion,

A sensation, when stooping, of a coldness in one spot, followed by a clammy s%veat on the head. Eyea.

Very severe orbital neuralgia, worse over rigM &ye.

Burning pain in the eyes, worse in the left.

° Pupils contracted.

Tilings look as if tbey were moving backwards and forwards.

Cannot see across the room.

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154 CARBOLIC ACID.

While writing, the letters eeem to run together, so that it is

with diffip.iiltv I can read what is written.

Eyes sensitive to light.

A constant dark spot in front of left eye.

Ears

Beating pain, with a hnmniing sound in both ears. Constant humming, buzzing sound in the ears.

Nose

Both nostrils plugged up.

Dryness of posterior nares.

When blowing the nose the mucus was bloody — bright red

Blood

Feeling of expansion in the nasal passages.

Smell decidedly m.ore aeute.

Watery discharge from both nostrils while in the open air;

ceasing when in doors — returning when entering a cold

room. Sensation at left wing of nose as of fine electric sparks; wants

to rub the part repeatedly. "CEzena, even malignant, with great fcetor, and ulceration.

{Bale.)

Face

Sharp pain about the centre of the cheek, as if bitten by a

mosquito. Faoefivshed and burns.

Slight heat of face and forehead, especially the left side.

" Face blanched and bathed in perspiration.

Drawing pain in the jaw, right side.

Mouth

Nasty taste in the mouth. Swelling and soreness, internal side of left cheek, opposite the

molars; the cheek is in the way of the teeth when biting.

" Intei'ior of the mouth very white.

" Slight lividity of the lips and tips of the fingers. ° Tongue dry and chippy.

Aching of teeth of right upper jaw; grinding of the teeth. " ToothacJie from caries, or from a cold. ' Thrush in children and consumptives [a weak wash).

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CAEBOLIO AC3D. 185

Throat

Throat sore; felt eliglitly hoarse, as if tating cold.

Throat sore only when ewaUowiiig, and pressing upon the

upper part of the larynx; worse on the right side.

Soreness worse on the right side.

Soreness of the throat on empty deglutition.

Sharp stitches in the throat.

The pain in the throat eomes on every few moments; the pain

is sharp and pricking. Pricking burning in the throat, as if she had eaten something

strong.

Mucli mucus in pharynx.

Dryness of pharynx and posterior nares.

Hwwking of clear white mucus while in the open air.

Hawking from pharynx and posterior nares of much white

mucus. ° Spasmodic contraction of the ossophagua.

Slight nausea in the throat.

Mucous membrane of the (esophagus dry and shrunken and

of a brownish color. " Ulceration of the throat, tonsils, palate, etc.

Gastric Symptoms.

Constant belching up of large quantities of wind.

Sensation as if the stomach was lilled with wind, whici ought

to come up. Wind in the stomach very troublesome; better after raising a

sort of sweetish-sour liquid.

Nausea in the stomach.

Slight nausea in the throat. * Na/usea nea/rly all tJte morning.

After tea the nausea was better, but she was very drowsy. After tea the nausea returned, and was increased by taking a

little sherry wine. Hegurgitation from the stomach which tt^tes like buttermilk

and cabbage.

In the afternoon, after dinner long eontinned hiccough Dull aching, uneasy feeling in the etomadi.

Burning pain in the stomach.

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156 CAKBOLIC ACID.

° Chronic vomiting of sarcinse.

" Chronic vomiting of every meal.

° Vomiting in pregnancy.

■^ Inflammation of the stomach and duodenum.

Abdomen

Aching pain in lower part of abdomen.

Burning pain in lower part of abdomen and top of the head.

Kumbling and rolling in the abdomen, with a sense of disten-

Rumbling in the bowels; a feeling as if diarrhrea would come on, after walking about.

"While sitting, a crampy stitch in left inguinal region.

Abdominal muscles feel sore.

Constant sensation of distension in the abdomen, Anua and Stool.

The anus itches and feels as if the skin was rubbed off.

Bowels seem torpid but not costive.

Desire for a stoo! all day, although I had had a natural move- ment in the morning.

Two natural stools per day, which is unusual, having generally but one passage in two days.

" Diarrhtea from bad drainage.

" Cholera infantum, with putrid, rice-water discharges, like foul eggs.

Urinary Organs

Passed an unusual quantity of saccharine urine.

Urme iticreased, and had a strong smell.

Passed urine oftener than usual during the night.

Unusually free flow of urine — -normal in color, odor and quan- tity.

The urine was voided about once in two hours, and was large in quantity — qualitynormal.

■* Greenish urine, after scarlet fever.

Genital Organs.

Lascivious dreams, with emissions, followed \>y weakness and dejection.

Male — Sexual appetite very much decreased.

Awakened by unusual strong sexual excitement

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OAEBOLIO ACID. 157

Itching of scrotam and inside of thighs, relieved hy scratch- ing, bat it soon returns.

Intense burning itching of the genitals.

J<'emale — Menses came on.. two days later tban usual, and were more profuse.

Menses m/uch more profuse, and darker color than usual, fol- lowed by headache and great nervous irritability for twelve hours,

* Mucous tubercles on the labia and insi(3e of the thighs, with

discharge from the vagina.

" Puerperal fever, with putrid symptoms.

" Ulceration of the cervix uteri; obstinate. {Sale.)

Larynx

* Short hacking cough, with tickling in the throat. Constant inclination to cough.

Left side of larynx very sore when pressed upon — not true of the right side.

Irritation of the throat, causing a short, dry cough.

Expectoration of a large quantity of thick whitish muous.

° Catarrhal larj-ngitis.

° Large granulations in the throat.

Coughed to clear the bronchi; expectorated a little.

° Catarrhal cronp,

■^ Chronio iaryngUis, threatening phthisis laryngea, {Mate,)

Chest

Stitches in region of the heart.

Slight uneasy pains in right lung.

Dull aciiing pain whole left side of chest and abdomen, run- ning around to the shoulder-blades.

Wliile walking out of doors, feeling of expansion {of light- ness) in the lungs; also in the nasal passages.

Sensation as of fine electric sparks on the sternal end of right clavicle; later on middle finger of left hand; later on vertex, changing slowly to a pricking itching, with desire to rub the part, and relief from it.

Respiration free and deep; inclination to take a deep breath.

Respiration stertorous, and smelling strongly of the fluid.

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158 OAKBOLIG ACID.

Back,

Aching pain across the smallof the back and in the lower limbet

General soreness; worse in back, abdomen, eliest and mnselea of neck,

Neck feels lame and stiif, when moving the head.

Drawing in ranscles of neck (right side) — think in splenitis eapitie.

Soreness of the seventh cervical vertebrfe.

While walking rapidly, after dinner, had spasm of the left common carotid artery.

Spasm of the left external carotid artery. Upper X!:streimtJes<

Drawing pain in the left arm, from the shoulder to the elbow.

Constant tired, heavy feeling in left arm.

Irfimeness and soreness of right shoulder while walking.

Aching pain in right slioulder when bending forward,

Knmbness of the skin of the hands,

Pecnliar feeling of stiiFness and discomfort (puckering) of the entire Land, which remained until night.

Sensation as of fine electric sparks on middle linger of left hand.

Appearance of a small pimple on middle finger of left hand, which increased in size iintil it became a sore resembling a carbuncle.

The flesh suppurated until a probe could be passed nearly through the finger.

(From the direct ap- plication of the acid.)

" Lividity of the tips of the fingers.

Lower Extremities.

Occasional pains in hips and shoulders.

Dull pain in right hip, ankle and left knee, most of the morn- ing.

The pain in the hip has gone to the left shoulder.

Very severe aching pain in riglit hip joint, felt only while walking, not when sitting still.

Tingling in the left great toe, followed by a feeling as if

Sensation, just below the knee on the shin, as if it was touched with a piece of ice.

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CASBOLIC AOnX 169

Fever

' Mi&eraatio fever,

" Typhoid or enteric fever, in tlie stage of ulceration

° Scarlatina maligna, with putrid sore throat, etc.

° Pulse quick, feeble, intermitted, small, slow (60 to 100).

Chilly sensations; pulse 78.

Sleep

Tnoessant yawning; feel languid and sleepy.

Slept heavy; awoke sore all over, especially legs (gluteal muscles), back, chest and arms.

Wakes often dwring the night.

Woke up in tlie middle of the night and found that he waa bathed in perspiration.

Wakes frightened; paralyzed with fear.

Awakened by unHBual strong sexual excitement.

Awoke with a dnll, hot, constricted feehng in tlie head.

Passed urine oftener than usual during the night,

Dreams of fire; so vivid was the dream that he was awakened.

Had a great many dreams, some amorous, othsrs I was im- able to recall.

Dreamed that she could not get to sleep on account of think- ing about the body I had enbalmed; tliought she tossed about and then tried to wake me, to give her some medi- cine to stop thinking; she thought she eould not wake me, and pulled me out of bed; and that I was bathed in perspiration, pale face; thought I was dead. She could not at first be persuaded that she had been asleep. Gave her a dose of 7\%c and she dropped to sleep at once, and slept soundly.

Skin

Itching of the sMn of vario-us parts of the liody; scalp, bacK of neck, left shoulder, left elbow, arms, right forefinger, buttocks, rigiit thigh, outside of thigh, Inner side of left knee, shin, calf of leg, ankles, face, nose, right cheek, abdomen, scrotum, genital organs.

Slight eruption of- a vesicular character all over the body.

Vesicular eruption on the hands and all over the body, which itches excessively; better atler rubbing, but leaves a bum

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ing pain.

Neither Arsenicum, HAtes, or Sulphur had any influence over it.

Disappeared after eighteen days without treatment.

* Pnstular eruption.

*Aene; eczema; impetigo; scabies; psoriasis inveterata.

' Conpuent variola, the peeks began to dry up on the eighth day, tongue clears oif, no secondary fever; the pocks were dry all over the body on the twelfth day, {Dr. Middle- t07i, JSahnemannian Monthly, April, 1872.)

°Indt)lent or irritable ulcers, with unhealthy granulations, an<l fcetid pus, (externally).

"Leprosy; prurigo; pityriasis; lupus; carbuncles.

" Pedicnli, and vermin of all kinds on the body. General Symptoms.

Complains of being very tired.

Cannot walk straight.

The pains seem to affect the right side first, and afterwards the same parts of the left.

Itching of various parts of the hody.

Jfeeh as if he had taken a violent cold.

General soreness, worse in back, abdomen and chest

Soreness as if I had taken mncli cold — think I have not.

" Body much swollen a short time before death.

All the muscles prominently used are sore and stiff.

" Cancerous affections.

CAEDUnS MARI^.

{Bleued TMslle.) Debcktption

Soot perpendicular, strong, simple, with few fibres.

Stnlk from tliree to six feet high, upright, stem round, ribbed, arachnoid- wooley, branching half way up.

Leaxe» longish, heart-shaped at the base, lanceolate sheathing ; the very large radical leayes spreading in a circle, narrowing almost to a footstalk, pinnatifid, tipped with spines, the upper ones only serrate, the lower more or less folded or recurved ; all naked, Hmootli, almost shining, green, ma/rked wiQi broad white etripea along tht veins.

Fiirwen reddish-purple or white.

It grows in waste places in Southern Europe; iuund wild in middle Europe; common in England; scarce in Scotland; seldom, if ever, seen in America, except when culti- vated in gardens.

It is an annual; blooms from June to September.

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0ABDCU8 MARI«. 161

Phabmacoloot

The root is hitter, tlie young leaves aour, the farina, ceona seeds tasteless without the hull, hitteriah with it, astringent.

Tlie root and hull of tlie seeds contain the medicinal principle.

Officinal Peepakatioij — (1) Tmctnre of equal parts of the root and seed with the hull on. (3) Tincture of the hull; dilutions.

plademaclier's tincture, with which most of the cures reported were made, was prepared as follows : To five pounds of the untiniised seeiis add five pounds of highly rectified alcohol and five pounds of water; diKeat (macerate) with tVequent agitation for a week; prew and filter. {Haie.)']

AsAtoouES

Bryonia.

Ohdidcmiwm, Ohionanthua, Nine mmica, Fodo phyllum, Leptartdra, Semoia acid, ete.

Mind

Depressed, sad, hypochondriacal.

Head

* Dull, heavy in the foreliead over the eyes and in the t'

* Vertigo, with want of clearness of thought.

Gastric.

Bitter taste, and want of appetite.

Great nausea, pyrosis, eructations, and distension of I Violent nausea, painful retching, and vomiting of sour green

fluid. Tongue coated white in the middle.

Stomach

Feeling of malaise in the epigastric region Empty eructations Riler food taken against his inclination. Pains in the stomach, continuing for two hours, preceded by.

vomiting. " Morning vomiting in a pregnant woman; food remains undi- gested all day.

Liver.

* Swelling and painfniness of the liver,

" Tenderness and hardness of the riglit hypochondria, espeeially the left hepatic lobe; pressure there caused ■ breathing and cough; stools brown; urine yelioi piration asthmatic; expectoration thick and tough, with violent cough.

° Pain in the liver, with (edema of the feet, scanty bright yel- low urine, and asthma,

° Jaundice (many eases).

° ChlUtones, with jaundice, pain in stomach, vomiting of bile,

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162 CAEOUUS MAEiai.

etc.

(Two cases cured bj^ ^ tincture in a pint of water; a teaspoonful every two hours. {Df.

Liedbeck^

° An epidemic of influenza with hepaUc symptoms, viz; pecu- liar brown, gray, dirty complexion of patient, sometimes real jaundiced tint; sensitiveness of left hepatic lobes to pressure; brijjht, pale yellow, seldom dark green stool; dark brown urine; oppression of tlie chest; stitches in the side; debility; fever; frontal headache.

Nux, Chelidon- ium, Pulsatilla did no goo(3; only Oarduus promptly cured, {Dr.

Hell.)

'' Painful tenderness and swelling of tlie gall bladder.

° Hepatic affections, with liEemoptysis, asthma and cough.

" Portal congestion and obstruction and its consequences.

"Hypertrophy of left hepatic lobes, with tenderness of the cervical and dorsal vertebrfe.

Abdomen

Feeling of fullness in the hypochondria, obliging him to draw a long breath.

Inflation of the abdomen, especially on the right side.

Sensibility of the hepatic region to pressure.

Painful sensation of an undefined character in the abdomen, producing deep breathing, increased by violent movement.

Cutting colic in bowels here and there.

Stitches in the abdomen, as well. as in the chest,

° Pain in the whole abdomen near the ccecnm; cramps; urine normal; complexion smutty, yellowish; sleeplessness; great emaciation ; hectic fever.

Stool

Stool tardy, knotted, hard, brown, (primary.)

Stool soft, yellowish, thin, loamy, chocolate colored, pappy, and without bilious tinge, (secondary.) , Urine.

Urine at first normal, then as the bile disappears from the stools, it appears in the urine.

Golden yellow urine, diminished in amount, depositing a sedi- ment; finally scanty and brown.

Female Sexual Organs.

"Affections of the climacteric period; megrim, metrorrhagia,

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CASTANA TESOA, lUi

leucorrhcea, and asthma, with consensual disorder of the

liver. (Rdl.)

Larynx, and Chest.

" Painful cough at night, obliging him to eet up in bed.

"Expectoration of pure blood, or blood and mucua, generally

connected with liver troubles. ° Expectoration of tough, clear mucus. " Influenzas, which appear to cause severe derangementc of the

liver, even to jaundice, ° Cough of consumptives, and asthmatics, * Stitohes m the sid^^lt reiievps, but does not appear to

remove the fever and oppression aa well as Aconite. " Plemisyy in the iirst stage or chronic pleuritic pain, ° AMhmatio symptoms, connected with hepatic disorders.

Fever

Heat followed by sweat, with full pulse and quotidian aggra-