Mercurius Cyanatus

Mind

Excitement, at night (second day), [2] .

Night sleepless; great excitement and incessant talking; is angry with the attendant, and raved furiously (first and third day), [2] .

Vertigo

Vertigo, [3] .

Vertigo, on sitting up, with loud ringing in the ears, on sitting up in bed (second day), [2] .

Head

Headache and vertigo, several days, [3] .

Very severe headache (fourth day), [1] ; at night (second day), [2] .

Tearing headache, especially in the forepart of the night (eight day), [2] .

Eye.

Eyes sunken (after eleven hours), [2] .

Eyes fixed (fourth day), [1] . [10.]

Conjunctiva injected (fourth day), [1] .

Pupils greatly dilated, [3] .

Ear.

Ringing in the ears (second day), [2] .

Nose

Profuse epistaxis, recurring several times a day, for two weeks (after four days), [3] .

Face

Expression serious (fourth day), [1] .

Face flushed (fourth day), [1] .

Face cyanotic, [3] . Complexion slightly cyanotic (after eleven hours), [2] . Face pale and wan (after eleven hours), [2] .

Teeth

Teeth painful (eleventh day), [2] . Gums. [20.]

Gums swollen, and covered with a thin, adhesive, whitish coating, above which is a border of bluish-red (third day), [2] . Tongue.

Tongue pale (after eleven hours); with yellow coating at base (after nineteen hours); edges of tongue redder, base covered with a gray metallic-looking coat, in morning (second day); tongue swollen, red on the edges, and covered by a very adhesive gray coating (third day); tongue again covered with a grayish coating (ninth day); tongue still covered with a grayish coat (thirteenth day), [2] . Eight blisters on the left margin of the tongue and on the soft palate, opening and developing into irregular ulcers; these ulcers afterwards from on the right margin of the tongue (fourth day), [3] . General Mouth. Buccal mucous membrane red and injected (third day); a round ulcer, with grayish base and upright edges, and encircled with bright red, on the inside of the right cheek (fourth day); the ulcer in the mouth has spread, and is covered by a large gray leathery coating (fifth and sixth days), [2] .

Inflammation of the whole buccal cavity, [4] .

The lips, tongue, and inside of cheeks covered with a grayish-white pulp (fourth day), [1] . Saliva.

Constant and copious flow of saliva, smelling as in mercurial salivation (fourth day), [1] .

Taste

Bitter taste, [3] . Very disagreeable styptic taste in mouth (after eleven hours), [2] . Very disagreeable metallic taste (ninth day), [2] .

Throat

[30.]

*Great redness of the fauces, with difficulty of swallowing (third day), [2] . Redness and injected appearance at the base of the pharynx (after nineteen hours), [2] .

The mucous lining of the pharynx is red and injected (third day), [2] . *A white opalescent coating, resembling the superficial mucous patches of syphilis, on the pillars of the velum palati, and on the tonsils (fourth day), [2] . Roughness of throat (after nineteen hours), [2] .

*Difficult deglutition (after nineteen hours), [2] .

Salivary glands swollen (fourth day), [1] .

Appetite

Aversion to food (ninth day), [2] . Thirst.

Thirst, [3] .

Great thirst (fourth day), [1] . [40.]

Intense thirst; but drinks are speedily vomited (after eleven hours); burning thirst, without vomiting of ingesta (after nineteen hours); intense thirst; but he cannot bear soups or hot drinks, which always seem to salt (fifth and sixth days); thirst returned (ninth day), [2] .

Hiccough. Incessant hiccough, for twenty-four hours (seventh day), [2] . No vomiting, but very troublesome hiccough (eighth and night days), [1] .

Nausea and Vomiting.

Violent retching from merely thinking of sugared water (after eleven hours), [2] .

Nausea and vomiting (soon), [2] . Drinks a great deal of milk and albuminous water; vomits six times, but much less than he had drank (first night), [2] . Constant nausea, with frequent vomiting after drinking (fourth day), [1] . Persistent vomiting (after a few minutes), [3] . Nausea; and a little greenish-yellow vomiting, after soup (ninth day), [2] .

Bilious vomiting twice, with scanty ejecta, but a great deal of retching (first day), [2] . [50.] Repeated vomiting of bloody matter (immediately), [1] .

Stomach

Burning at the stomach (after nineteen hours), [2] .

Epigastrium sensitive to pressure (after nineteen hours), [2] . Violent irritation of the stomach, [4] .

Abdomen

Abdomen soft; not painful on pressure (fourth day), [1] . Some pain in abdomen; yet it is not swollen, and is but little sensitive (fifth and sixth days), [2] . Very severe pains in the whole abdomen (immediately), [1] . Colic (ninth day), [2] .

Excessive colic, aggravated by every evacuation, [2] . Abdomen slightly painful (on pressure), (after nineteen hours), [3] . [60.] Abdomen not swollen; rather sensitive to pressure (after nineteen hours), [2] .

Rectum And Anus.

Small haemorrhoidal tumors around the anus, with knobby swelling of the mucous membrane (twentieth day), [2] .

Pains in the rectum, and around the anus, when sitting (fourteenth and fifteenth days). Pains in the rectum intolerable; sensitive, light-red swelling around the anus (seventeenth day). No stool; but, on straining, a little clear black blood is discharged (nineteenth day). Haemorrhage occurred six times, and was profuse (twentieth day). Grayish diphtheritic-looking deposit around the anus, quite similar to that on the inside of the cheeks; the part is also eroded; it looks exactly like what are called "ulcerated mucous patches" (twenty-first and twenty-third days). Fetid liquid discharge from the rectum, having a gangrenous odor, and leaving large black stains on the linen (twenty-fourth day). Gangrenous odor much less; discharge still copious; but more decidedly purulent-looking (twenty-fifth day). Diminished discharge, serous, and almost odorless (twenty-eighth day), [2] . Urging.

Frequent urging to stool, preceded and accompanied by tenesmus (fourth day), [1] .

Great desire for stool, with diarrhoea and vomiting (after ten minutes), [3] .

Stool

Diarrhoea. Frequent diarrhoeic stools, preceded by very severe colic (soon). Six bad-smelling diarrhoeic stools (first day). Eight offensive, green, slimy stools (first night). Six slimy diarrhoeic stools, with a little tenesmus (third day). Diarrhoea (eighth day). A hard, followed by a soft stool; at night, two liquid stools, preceded by severe griping (ninth day). Very copious diarrhoea; twelve stools daily, black, liquid, and highly offensive (eleventh and twelfth days). Eight stools in twenty-four hours; more yellow; one of them somewhat bloody (thirteenth day), [2] .

Frequent and copious stools (immediately), [1] . Thin blood stools, [3] . The stools were mixed with blood, for five days, after which they were mostly pasty, dark-colored and flocculent, then becoming normal; after about two weeks the patient was obstinately constipated, [3] . Stools scanty, and mixed with blood (after four days), [1] . Constipation. [70.]

Constipation (fifth and sixth days), [2] .

No stools (ninth day), [1] .

Urinary Organs

Micturition. Micturition somewhat painful (second day), [2] .

Retention of urine, [4] ; (after four days), [1] ; for twenty-four hours (after eleven hours), [2] .

Urine

Urine amber-yellow (second day), [2] . Complete suppression of urine for five days (the bladder was always completely empty); the secretion of urine then gradually returned; the urine contained at first much albumen, afterwards less, and after two weeks became perfectly normal (after three days), [3] . Urine found in bladder was highly albuminous, [4] .

Sexual Organs

Semi-erection of penis (persisting even after death), (fourth day), [1] .

Dark-blue color of scrotum and penis (persistent after death), (fourth day), [1] .

Respiratory Organs.

Slight cough (fourth day), [1] . [80.]

Respiration free (fourth day), [1] .

Chest

Chest sounds clear throughout (fourth day), [1] .

Heart And Pulse.

Heart's Action. Violent and abrupt beating of the heart (sixth day), [1] . Strong palpitation of the heart, lifting up the hand applied to the chest (fourth day), [1] . Heart's impulse and sound weak, [3] .

Pulse

Pulse weak, 130, [3] .

Pulse 70 to 76; small but compressible (after eleven hours). Pulse 90; stronger and more frequent (after nineteen hours). Pulse 70 to 75, weak (eighth day). Pulse weak, but quicker (ninth day). Pulse 100; stronger (thirteenth day), [2] . Pulse moderately frequent, rather slow, but full and hard (fourth day), [1] .

Pulse small, slow, and contracted (eighth day), [1] . The pulse continued to sink constantly for twelve days, until it was only 52, after which it rose during the next week to 104; in the evening of the eighteenth day it was 88; nineteenth day 76, and regular; during the first two weeks it had been irregular and intermitting, [3] .

Extremities In General. [90.] Slight spasms of the extremities (seventh and eighth days), [1] .

Inferior Extremities. Severe pain in left calf; the veins of the part form two hard cords, which meet together a little above the popliteal space. The slightest contact is very painful (twenty-fifth day). Leg about same; it swells when standing (twenty-eighth day), [2] .

General Symptoms.

General appearance as in the first stage of severe epidemic cholera (after eleven hours), [2] . Lying on right side, supported on the arm (fourth day), [1] . *General debility (eighth day), [1] ; (ninth day), [2] .

*Great weakness, so that he cannot stand up (second day), [2] .

Great weakness and prostration in consequence of frequent bleeding of the nose, for two or three weeks, [3] .

*Extreme prostration (ninth day), [1] . General debility during the diarrhoea, and at last he fell to the floor in a swoon, [2] .

Repeated swoons (ninth day), [1] . [100.]

Frequent fainting (eighth day), [1] .

Sleep

Drowsiness, with easy waking (eighth day), [1] . Night restless; not sleep (sixth day), [1] .

Fever

Icy coldness (soon), [2] . Icy coldness of skin (after eleven hours), [2] .

Skin has recovered warmth (after nineteen hours), [2] . Great sensation of coldness, [3] . Extremities cold, in the evening (eighth day), [1] .

Extremities very cold, [3] . Fever at night, with sleeplessness and severe pains in the head (fourth day), [2] . [110.]

*Skin moist and cold (ninth day), [2] .