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THE 



HAHNEMANN 
MATERIA MEDICA 



PAET I. 

CONTAINING 



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INTRODÜCTION bt J. J. DRYSDALE, M.D. 
KALI BICHEOMICUM bt J. J. DRYSDALE, M.D. 
ACONITUM NAPELLUS by R. E. DÜDGEON, M.D. 
ARSENICUM BT FRANCIS BLACK, M.D. 



-4,4, 



■-_-_- ' PRINTED FOR THE 

HAHNEMANN PüBLISHING SOCIETY; 

AND PÜBLISHED BY" 

• H. BAILUERE, 219 REGENT STREET, LONDON, and 290 BROADWAY, NEW YORI?. 
PAiíIS: J. B. BAILLIÉRE, LIBRAIEE, RUE'HAUTEFBUILLE. 

1852. ' ' 

. . * Priee Seren Shillüi^ 



I 



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INTRODÜCTION. 



AccoEDiNO to the reqtürements of the fundamental law 
of Homoeopathy a puré Materia Medica should consist 
simply of a dear and accurate deacription of the effects 
of medicinal agenta on the living organiam. Now as 
nearly all canees of disease may in their tum become 
remedies for othcr diseased states, and in íact die effects 
of remedies on the healthy body are themselves diseases, 
it follows that substantially the same method must be 
íbllowed in obserring and describing the effects of medi- 
cince as in observing and describii^ natural díseasee. 
Thcre are bovever certain obvions technical differences 
■whicb the nature of the subject demanda, and the qnee- 
tion 18 whether we have not given way to these merely 
technical considerations to an cxtent injuríous to, if not 
in many cases quite subversive of the maín objecta 
which should have been kept in view. To put this 
point to die proof, Ict us take an extreme case. Take 
the example of any discase arísing &om a morbid poison 
— a specific cause acting firom witbout, and therefore 
quite analogous to the effects of medicines. Let any one 
take a case of sucb disease and vrite out the symptome 
careiully, but instead of doing so in their natural order 
and connecticm ¡n tbe form of a narratÍTC, let him 
arrange them in the form of the ordinary «chema, or 
register of symptoms in vhich our medicines are usually 
arrangcd, and tbcn shew it to another person well versed 
in the diagnosis of the discase. It is almost certain that 
the latter wíll faü to recognise it, and will view it wíth 
somewliat of the curioaity one would display towards a 
chínese puzzle, to -which we have not the key. Then 
!ct the same symptoms in the same words be merdy 
-written oyer again in their natural order and connection 
and immediately the nature of the case becomes plain 
and obvióos. Or even let one word be pronounced, 
TÍz., tbe ñame of the discase — thus gíving the key to the 



pozzle — and it becomes equaUy intellígible ; and tlds 
mode of arrangement, thougb a bad way of describing 
the disease, becomes perhaps a convenient plan for 
accuiately comparing tro cases of the same disease in 
order to find the minuter sbades of difference betveen 
Üíem. Now this shows us at once the defect and the 
merit of the ordinary turangcment. On the one hand 
this arrangement of the symptoms favooiB that accuratf 
adaptation to the minnter sbades of the case of the dis- 
ease before us which is neccssary in Homceopathy, 
while -on Üie other it depriyee us of that general and 
connected view of the whole action of the medicñne 
which shows in what diseases (or classes of cases) it is 
to he used at all. Thus in trying to escape the Scylla of 
a vague generalization, we fall into the Charybdis of 
an cqually unmeaning masa of tiivial details. In Üie 
first years of Homoeopathy this was less, if at all felt, 
for then we had few medicines, and these were well 
proved, and the key to the symptoms given by Hahne- 
mann hímself. But as the number of preved medicines 
increaaed, and these so-called new provings consisted of 
nothing more than an array of meaningless symptoms 
without aay key, and each year added to the number of 
Buch unmeaning lista, to the great embarrassment of our 
already overburdened memories, and the increasing 
cumbrousness of our abready too cumbrous repertories ; 
then the evil became so painfully felt that the scientific 
among Homccopathists, and those really anxious ibr its 
progress and development, set themselves eamesüy to 
the task of endeavouring to find a remedy for the evil. 
Foremost of all, and indeed as standing almoat alone, we 
must place the Austrian Proving Society, as the chief 
representatíves of which we may ñame Drs. Watake, 
Gerstel, Mayerhofer, Arneth, and ProfesBor Zlatarovich 
[professor of Materia Medica in the Josephinum (an 



ilized by 



Guuyle' 



INTRODUCTION. 



Allopathic) School of Medicine]. To the members of 
thifi society belong in my opinión the honour of making 
by far the greatcst and most important step that has 
been made in Homoeopathy since the publication of 
Hahnemann'a first volume of the Materia Medica — for 
the extensionand perfectíng of our Materia Medica is after 
all the only trae progress wbich has been, or iadeed abnost 
can be madc, within the domain of Homceopathy, and it 
Í8 therefore to those only who engage in that work that 
merit, at least of the first order, can be awarded. To 
men who bear the ñame of Homceopathists, but who are 
content simply to practise it for their own benefit or tíiat 
of their inunediate patients, or who even by writing or 
lecturing Bucceed in impressing a feír of its truths on 
persona beyond their immediate sphere, a certaiu merit 
ÍB ako due as confessorB and teachers, but a veiy infe- 
rior order of merit, and we may rest asBured that of this 
generación of homceopathifita the only ñames which have 
the smallest chance of going down to postcríty aloi^ 
with those of Hahnemann and the noble band of men 
who Bupported and aided him in the experimenta which 
were the foundation of his Materia Medica, are those of 
the men of our generation who are engaged in cairying 
out the same work with the labour, aelf-denial and even 
actual suficring which such a work demanda. 

The results of the labours of the Austrian Proving 
Society have been published under the unassuming title 
of Materials for the physiological reconstruction of the 
Hom. Materia Medica, and conaist íq the re-proving of 
some of our best Icnown and most valued medicinea. 
The important reason for choosing medicines already 
so well known was to find out if possible the method by 
which Hahnemann discovered the specific applicabílity 
of these medicines to the diseases for which he recom- 
mended them, and for which subsequent cxperience has 
amply confirmed the accuracy and valué of his recom- 
mendation. Hahnemann, after making himselfacquaintcd 
with the general action of medicines, which was afibrded 
by the study of the original provings in their natural 
order of narrative, did not consider it necessary to publish 
the individual experimente, but preferred giving them 
combincd into a convenient arrangement for adapting 
them to individual cases of certaiu classes of disease 
which he indicated in a preface or note to each proving. 
Without thcse guides it would be difficult or impossible 
to find in the mere register of symptoms the peculiar 
apecificity of the medicines to the diseased states for 



which many of them have become so &mous since 
Hahnemann pointcd it out to uh. Thía difficulty has 
now to a great extent been removed by the re-provings 
of the Vienna Society, and we are now in a position to 
demónstrate philosophically the homoLTopathic reladon 
between the medicines and the discases cured by them. 
But beyond this the Society have not yet been able to 
advance, for as yet no better plan has been devised of 
puttii^ the results of the provings in a practically useiul 
form into the hands of homceopathic practitioners than 
a well-made Hahnemannic schema with the prefatory 
directiona and notes such as Hahnemann's own earlier 
medicines appear in. Dr. Watzke has therefore most 
wisely confined himself to a simple and minute dctail of 
the cxperiments in his first medicine, viz., Colocynth, 
followed by analyücal and critical remaxks on the patho- 
genetic and curative effect» : the whole work being 
exccuted in a manner that may be said to exhaust the 
subject, and to afford to ub the materials of a complete 
study of the properties of the drug. And as such we 
must all use thesc materials, making oursclves tho- 
roughly masters of the general charactcr of the action of 
each medicine. But more than that is rcq^uired in 
practice, as we all know, and these provings do not 
afford US that, viz. the facility fot applying the minute 
symptoms to each individual case. lu fect were our 
Materia Medica arranged only in this form,the practice of 
Homceopathy would only cxist as íar as classes of medi- 
cinea and discases are concemed, and there woidd scarcely 
be that minute adaptation of the symptoms to individual 
cases which the proper practico of homceopadiy impera- 
tively demands, This objection has been unanimously felt 
to be quite fatal to the publication of the Materia Medica 
which is to be daily or hourly in the hands of the prac- 
tíoner in the form of Watzke's Colocynth. Neverthe- 
lees I think it ought to be considered that that work is 
the commencement of a new epoch in the development 
of homosopathy, and that from thenceforth the homoeo- 
pathic public can never consent to receive any ncw 
proving as having any claims to respect uniese the 
original experimenta are published in full, and whatever 
plan the author may adopt as a fit one for arranging the 
symptoms for the practitioner, such an arrangement 
must be given as an addition to the narratives of the 
experimenta, and not in Heu of them. If it has been 
found expedicnt and even neceesary to re-prove our 
best medicines, even after Hahnemann, who from henee- 



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INTRODUCTION. 



íbrth can expect we are to accept at his hand a mere 
bald and naked list of symptoms ? ! 

In the subsequent reprorings the autliors have en- 
deavoored to remedy the defect, but as yet Tritíi very 
partial 8UCCCSS. Dr, Mayerhofer, Professor Zlaterovicli, 
and Dr. Watzke liimuclf, in bis next medicine, Natr, 
tnur. have added a sort of analyaiB and Bummary of the 
Bymptoms in the Hahnemannic order, but as these are 
printed dose, and interspersed with physiological, the- 
rapeutíc and other apecnlatíve remarks, they fail to 
afibrd a good índex — ^in fect it woiUd be nearly as much 
trouble to find a symptom in them as in the experimente. 
Dr. Gerstel has added a schema of his own, wbich has 
all the defecte of the Hahnemamiic one, as far as regards 
the disjunction of Bymptoms and the loas of narratíve 
and course ; and in addítioii to these he has introduced 
a mode of discriminating tíie therapentic valué of the 
Bymptoms, which can only be uaeful and intelligible to 
those who adopt a theory of his own, and therefore may for 
the present be considered practícally useless to the grcat 
body of homceopathic practitíoners, who neither know 
noT onderstand his theory; among the latter of whom I 
am Eorry to confesé myself. Dr. Müller, who seems to 
be more a literary than a practical cbaracter, has giren 
US a complete old-fashioned schema, vith a complacency 
that is somewhat amusing, when we consider the object 
of the Bociety. The most useliil is that of Dr. Ameth, as he 
has giren a complete índex, sepárate &om the pathologi- 
cal remarks. StíH, boverer, the body of the proving 
remaíns an unsiñed and nndigested masa of symptoms. 
Out of Austria little has as yet been done ín this branch 
of ihe subject, but as the most notable, I consider, the 
ahle and profound writíngs of Dr. Kurtz, in the Hygea. 
He has examined and analysed with acutencBS and 
success Üie relations of the symptoms, and has giren a 
plan of arrangement which is rery good for an abndged 
manual, but would scarcely apply to the Materia Medica 
in fidl detaü. In tbis country Dr. Madden has glanced 
shortly at the Bubject, and is fiílly satisfied of the evil, 
and convinced of the necessity of re-arrangement, though 
he haa not suggested any plan as yet. In France, as in 
this country, little or nothing has been done in the 
Materia Medica, except the publication of translation 
abndgements and repertoriea of the already existing 
provings, witbout any attempt to add to or improve 
them. In America, besides the publication of abridge- 
ments and repertoñes, a good deal has been done in 



the north, led on by Dr. Hering, and in the south, by 
Dr. Mure, to add to the stock of our medicines, but 
the sul^ect of a general re-arrangement doea not seem 
to haré attracted attention yet. In England hitherto 
our numbers haré not been great enough to allow much 
attention to be giren to the scientific derelopment of the 
Materia Medica, but now that we fonn a considerable 
body, and that feir translations and abridgcments of 
medicines are in Üie bands of those not conrcrsant with 
foreign langu^es, it is our duty to direct our attention 
to the more profound and scienófic labonrs that are 
going on in the Materia Medica, and either lend our 
aid, or at the least, render to the Ei^lish medical public 
an account of the results of these labours. With this 
ricw the Hahnemann Publisbing Society has been 
founded ; and besides undertaking a complete repertory 
has deputed to Dr, Black, Dr. Dudgeon, and myself, 
the task of bringing out the first rol. of the Materia 
Medica, which is to consist chieSy of those medicines 
re-prored by the Austrian Society. To the execution of 
this task several difBcultiee of no ordinary magnitnde 
haré presented themselres in Hmine. To iumish a 
simple translation of the experimenta in their original 
State would, as above said, be a small boon to the 
practitioner, and a poor sabstitute for Hahnemann's 
own schemas, which are excellent of their kind. Again, 
to ignore completely aU the Austrian re-provings, and 
publish simply a translation of Hahnemann, would be, 
in tile first place, almost uncalled for, as there exists 
already an American translation, though it is inconre- 
niently printed, and, in the second place, would be a 
lamentable confession of ignorance and incapacity, and 
a rirtual acknowledgment tiíat we were \inable to profit 
by Hahnemann's discovery, except where be had not 
only sbown us the way but done the work himself. 
Or, again, are we merely to pick ont all the &esh symp- 
toms and incorpórate them with Hahnemann's schemas, 
and thus orerwhelm them with a fresh load of details 
which would put the finishing stroke to the already 
almost insuperable difficulty of leaming the general 
action of the medicine when described in that way? 
These considerationa haré weighed much on my mind 
during the past two years, and bave heen one cause of 
the retardation of the work. I haré done a considerable 
part of some medicines in the way last deacribed with faint 
hope of being useful to others, and incteasing dissatisfac- 
tion to myself, and haré at last thrown all aside, and begun 



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INTRODUCTION. 



on a new plan, which I now submit to the Socíely ■with 
this remaxk, that it is not hj uay meaua íntended to super- 
eede the pnblication of the literal narratíye of all new 
provings, hut these bcing once published, and thiu 
recorded in the Archives of Homoeopathy, as the source 
for the Bcienti£c study of the medicine, this plan is 
offered as one to convey, in a practical form, those parta 
that are most neccssary for the phjsician in active 
piactice. Ñor is this plan in the least meant to bind 
other felloW'labourerB in this vork, but each is ezpected 
to follow his o^m plan, and as &r as poseible, improye 
upon that of his predecessor. 

As before saíd the fundamental objccts in a materia 
medica are two, viz., to give a faithful narrative and 
descríption of the eifects of each medicine, and arrange 
that in such a form that each eymptom may be found at 
once. These two objects tend to counteract each other, 
and therefore a apecial machinery must be devised if we 
are to secare them both. Now, in considering natural 
diseases or natural groups of Üie effects of medicines, we 
observe that certain symptoms belong evidently to the 
organ primarily aSected, viz., idiopathic symptoms ; 
othera again depcnd merely on the sympathetic derange- 
ment of some other organ» or part, viz., the symptomadc 
symptoms. Both these classes of symptoms belong evi- 
dently to the same group, and cannot be separated 
■without destroying the unity and fidelity of the picture ; 
but, in that case, how feres it with the second object of 
the echema, viz,, the Índex íunction ? It is evidently 
lost, and we have no guide to Üie symptoms, Hitherto 
in hand-books the first object has been sacrificed to the 
second, and the symptoms have all been cnt up and 
arranged under the organs where they occur, and no 
intimation gívcn whether they originated there or not. 
To obvíate this evü, I proposc, a very simple remedy, 
viz., to sepárate the índex ñmction &om the descriptive, 
and then in each división we shall have two classes of 
symptoms ; one those belonging to the otgans under con- 
sideration, and the other merely references to other parts 
where similar symptoms also occur. By adopting this plan 
we at once get over all difficulty which the sizc of natural 
groups wonld throw in our way. To give an example, let 
US take awell-known disease or natural group of symptoms, 
viz., Jaundice, composed of yellow skin and conjunctíva, 
palé stools. dark-coloured uriñe, drowsiness, bitter taste, 
&c. To convey a correct idea of the disease these symptoms 
must of course all be given togethcr : but in that case, 



how is any one to find it among many pages of sinúlar 
groups ? He must begin by looking for some one of the 
individual symptoms ; and to help hím he will find in the 
hand'books the symptoms arranged in all the difierent 
parts where they occur, but no intimation as to whence 
they are derived. Thus under eyes he will find yellow- 
ness, under skin the same, under uriñe dark color, and 
so on ; and he is Icft to put them together as he may. 
Now, this way not only renders nugatory the knowledge 
we had of the group, but, unless counteracted by know- 
ledge derived &om other sources, must iniallibly mislead; 
for, suppose we wanted some medicine for drowsiness, 
for example, dcpending on idiopathic disease of the 
brain, and totally unconncctcd with jaundice, how are 
we to know that the drowsiness mentioned in that 
medicine belongs to tiie jaundice group, and not to any 
of the numerous other groups belonging to the medi- 
cine? But it is quite unnecessary to enlarge on a 
matter self-evident I wonld then lay it down as a rule 
never to sepárate the symptoms of the original group, 
but put it down as a whole in its proper place ; and, in 
addition, put a mere reference to it under the difierent 
parts to which its symptoms extcnd. In the above 
example, for instance, we put the whole group in its 
proper place and number it, say 365. Then under the 
eyes, añer the part allottcd to the symptoms belonging 
to those organs, would come yellowncss, see Sympt. 365, 
'and so on under mouth, bitter taste, see 365, &c. 

The next consideration is the order of arrangement 
we are to adopt. On thís head we have very Httle to 
say, for as long as- we keep the groups together and do 
not lose thcir course and connection, it is a matter of 
comparative indüFerence what order we follow in dca- 
cribing them ; and, as the Hahnemannic order is £imiHar 
to US all, it is on that account incomparably prcferable 
to any other. 

But now comes the grand ^fficulty, in fact the only 
real dif&culty in the matter. It is to determine what are 
the natural groups, and which are idiopathic, and which 
symptomatic Byniptoms. It may be thought that by 
a careful study of the medicine and the applicatíon 
of the principies of pathology and diagnosis, we may 
arrive at that knowledge, and thus place the action of 
the medicine on a sure and intelligible basis; but a 
litüe fiírther refiection will show the lutüity of that 
hope, as well as the incompatibüity of the attompt with 



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INTRODUCTION. 



the proper Amctions of the audior of a puré Materia 
Medica. To make the matter clear, ve may compare 
his duties with thóse of a mesflenger despatched by a 
ecientific body to a dietant country wbere some unknown 
diseasc was pieraüing, for the purpose of obtaiimig 
accuratc informatioii od that disease. If the mcasenger, 
añer observing a Bufficient numbcr of cases, were to cut 
them «p iuto sepárate aymptoma and arrange them into 
as arbitrary list and hand in that as his whole report, he 
woold be deservedly regarded as wholly imcompetent. 
If, again, instead of bringii^ back caaes he contented 
himself iñth forming his opinioDS of the pathological 
□atore of the disease, and gave in that without any 
details, then he would be met with the answer — We 
do not want your Úieoñes, but simply a report of facts 
and obserrations, and npon these we can theorize at 
home as well or better than if we travelled ourselves. 
So it is with the proving of a medicine : the authoi of it 
must confine hímaelf to the office of a feithful repórter 
of íacts and obserrationfi, for otherwise how could he 
convey to others information of grcater valué than he 
himself is awaic of ? K it was con£ncd to Ihat, thera- 
pcutics would be in a sad plight indeed. For grantiiig 
that the author of the proving united in his own persou 
the sum of all the knowledge of the day bearing on 
pathology, and explained the action of the medicine, 
and described the diseases to which ít was appücablc ín 
the most complete maimer the science of the day allowed, 
without the actual narrative of the symptoms, yct stíU 
what is that? In the course of a few ycars, one 
generation, or even ten years, all will be changed, and 
the Bcheme then deemed so perfect will have become 
antíquated and unintelligíble. And yet the effects of 
dmgs on the body are inunutable and unchat^able, 
and a plain and íaithñü descríption of them can never 
become antiquated or other than correct. Though, 
therefore, it may become neccssary to have thcorctical 
disquisitions and lectores on the naturc of the action of 
the medicines in each generation, yet these must be 
kept totaUy distinct firom the iacts, and cannot be ac- 
cepted as the principie on which these fects are to be 
arbitrarily arranged. 

Whilc we thus rejcct all pathological speculations as 
the basifl of arrangemcnt of the Materia Medica, ít must 
not be supposed it is because we undervalue patholo- 
gical knowlcdge, or that homo;opathic practitíoners 
individually are ignorant of the subject, or could suc- 



ceasíully practise medicine as a whole without being 
at Icast on a par with theír medical brethren of other 
schools. All that is meant is, that as yet pathology is 
by iar too imperfect to form the said basis, and in many 
respects may be said to bo centuríes in the rear of 
therapeutics ; in short, we can cure with tolerable ease 
and certainty a vast number of easüy rccognized and 
described diseases, of whose ultímate pathological nature 
we are whoUy ignorant 

For example, physicians have for long been able to 
cure with Peruvian Bark certaín forma of disease easily 
described and recognized by others, called intcrmittent 
fevers, of the ultimate pathological nature of which thcy 
all along have been and still are almost whoUy ignorant 
If the first observers of the power of Peruvian Bark, 
inatead of oarrating cases of disease actually cured, had 
merely given ub tbeir theories of its pathological nature, 
the use of the Bark would eithcr never have become 
general or would have been speedily lost &om the impos- 
sibihty of knowing what disease was actually meant. 

We muBt in consequence fall back on a more empiñcal 
formula. The plan I propose is this ; that our schema 
should consist only of groups of symptoms, howcver 
large or however small even if consisting of one single 
symptom, which occurred independcntly, so that when- 
ever we have a symptom or a group of symptoms to 
which a nmnber is attached, we shall know that it 
occurred alone (with certaín exceptíonal límitationa) ; 
and otherwise, the individual was in perfect health as 
far as could be ascertained. The advantage of this may 
be best shown by analyzing the sources of íallacy con* 
tídned in a badly constructed Hahnemannic schema, 
many of which are mere parodies of Hahnemann's own 
good provings. Some pcrsons, bavíng found that they 
could make up a group of symptoms &om the dngle 
ones in Hahnemann's provings and with that cure a 
case of disease that exactly corresponded to it, have 
imagined, that in order to get such another proving, you 
have merely to throw together all the sepárate symp- 
toms of the several morbid states a medicine will pro> 
ducc, and then it is of no use to discrimínate which 
symptoms belong to each morbid state, for aa it produces 
them all you cannot go wroi^ in any combination you 
may form with these symptoms. There are two obvioua 
sources of íallacy here : — one is, I think, that it is for- 
gotten, that it is, in many cases, the order and connection 
alone of the symptoms that give them any diagnostic 



INTRODUCTION. 



ralue at all, and Útat once lost it Í8 impOBSÍble to pnt 
them together again into any likeness of the original 
morbid state they aignified. The second ia, that the 
effect of die degree of intensity of the morbid state is 
overloolted; for it is plain that the lowest degree of 
intensity of a morbid action will only give rise to the 
most essential Bymptoms, but, in proportion as the 
degree increases, wíU be superadded Bymptoms less and 
less peculiar, and less £t to be cut away from tbeir 
connection. Foi* ezample, certain pains in the chest 
occurring quite isolated may indícate the lowest degree 
of the kind of pleurisy or pneumonía to which Bryonia is 
homoeopathic, and niay, thcrefore, uBefiílly stand isolated 
in the proving: but, supposing the action of the drug 
carned fartber so as to produce intense and extensive 
inflammatíon, then there would be superadded distínct 
symptoms, such as dyspnoea, general ferer, prostration 
of strengtb, &c.,whicb are, properlyspealdi^,not direct 
symptoms of Eryonia at aU, and can only appear in 
combination in this group where they speak to the inten- 
sity of the degree merely of the inflammatíon of the chest. 
The error of using these latter symptoms in making np 
any other gronp is too plain to require íurther notice. 

In fact the best illustration of my meaning is afíbrded 
by the description of an epidemic dísease, which is the 
action of the same cause on a great variety of diSérent 
oi^anisms. In one, a portion of its efiecte, possibly a 
sntall firagment, or even a single symptom, may be 
manifested ; in another, a similar fragment but of 
diffcrent nature ; in others, the full diaease in diffcrent 
d^rees of intensity. In a feithful description we would 
not only give the complete cases but likewise the 
fragmenta, and it woold be perfectly proper to combine 
these fragments together to form a complete picture of 
the dÍBcase. But it would, of course, never do to 
disintegrate the sepárate symptems of these groups or 
&agments and re-combine them in an arbitrary manner. 

Now a great many of the.symptoms in a proving are 
independent, isolated symptoms,- and may with pro- 
priety be used for combining together to give a faithfid 
picture of the whole action of the medicine, as they are 
in fact the characteristic symptoms of the lowest degree 
of the morbid átate. But it may be said. No doubt we 
often get only one symptom or a small group of symp- 
toms, owing to the feeble dose of the medicine given, but 
if more was given, or it acted more powerfully, and the 
morbid state was more developed, many more symptoms 



would make their appearance. Why therefore put 
down that single symptem by itself so conspicuously, 
which may after all be only a sympathetic symptom of 
no importance, and may have appeared accidentaÜy 
rather than another ? In short, the more superficial and 
incomplete the proving, the more such symptoms will ap- 
pear. — To thís the answer appears to me, that the appear- 
ance of one symptom or small group alone is not at all 
likely to be accidental, but that it is precisely because 
that is a most characteristic or peculiar symptom that it 
appears alone. Howevcr this may be, it is still a fact that 
some symptoms do appear alone in the provings of sub- 
stances iu sufficient dose to cause undoubted effects, and 
therefore iu any faithfiíl representation of these effects 
such symptoms must be notcd as having appeared in that 
manner. Doubtless as the provings are more complete 
and the morbid action more intense and completely 
shewn, these symptoms will take their place in the largor 
groupa, Still there will always be a utility in keeping 
the record of the fact that they also appeared alone. In 
the cholera a fully developed case will serve quite weU 
to describe tiie stools, but it is also a matter of great 
importance in the history of the disease and of tíie valué 
of the symptoms to know that in some cases l^e peculiar 
stools seem to occur as a &agment of the disease in 
some individual cases during the epidemic. 

Another advantage of this plan of never dividing 
independent natural groups la, that we avoid the diffi- 
cul^ of discriminating between primary and eecondary 
and altemative symptoms and the añer-effecta, as they 
are called. For if we take care to give the course and 
termination of each morbid state in the aame group, it is 
eaay enoi^h to sce which is the primary action.* 



' The meaning Hahcemauíi attsdiad to hü différeat kinde of ejmp- 
tola» uMy ba best gathered frota the Fragmettla de viñbia medüaotm~ 
íorum potitivii, in the prefhca ti> which we re^d as followa: " Medicina^ 
qoESTÍD alias vires dtiua edit, alias aerins, qun amlMa bÍM Dtennquk- 
c^posilK Btmt et dispares, immo e diámetro oppositn; illai TÍiea pn- 
marta» vel primi ordmú noncnpo, has teeondariat taI »eamdi orjim»." 

" QoEB rdiqíaa» nominaTi Bymptonuita, ea non oocoRont niú utú 
enonnis do«¡» enonnoa Bustítavit tninultiiB, tumque dintios justo 
aliijuB, reí prinue clasaia virea tbI seooudari» reraanciit, h» vel illn, 
nt fert ct^uBÜbet hominia natura, vel in hanc morbodtatem vel in 
illam potíasimnm prona." 

There i£ no mention iu this work of altemating sj'mptoms, ñor iu 
&ct doea the expression (wechaclnirkimg) appear, except in one oí two 
Toluioee of the Hat Med-, and disappearB again in nibeequent volóme*. 
In &ct there was no need oS tMy natne for them at all, as it meiel]r 
means that two ajmptoma which might stand to each other in ths 



tizedby Google 



INTEODUCTION. 



Anoftei recommendatioii I would make is to aminge 
by tbcmfielTes all the immediate local effects, the chcini- 
cal and pliysical effectB, and in short all those that 
Dr. Madden has included in the tenn genico-dynamic. 
If a medicine íb an evacuant, an emetic for ezample, 
and we knov by increasing the dose to a certain amount 
we can always produce vomiting and its necessary train 
of symptotns, whicb either stop oí pievent all the other 
effects, I vould not arrange Üieee among the more 
epecific eSecU of the drug, but all such by themselTes. 
Also of the after-effectB, after giving a few examplee in 
their propeí place in the indÍTÍdual gronps, it is quite 
unnecessary to multiply instancee, as they are of ao use 
as chaiacterífitics of the drug, but merely the effects of 
excessive action, bowever produced, such as cooatipa- 
tion foUowing pui^tives, sleeplessness and nerrouB ex- 
baustion folloving narcotics, &c., all Tbich depend 
merely on exhamtion of iiritability from preyious over- 
stimulation, of Thatever nature. 

The nezt addition I -would recommend to the schema is 
the Concordance, similar to that of Hartlaub'a TabeUen, 
for aa the main object of the whole schema is the saving 
of labour to the practitioner, it will be au immcnse 
saving of tini p to hím ¡f, wbile he ¿nds that the medi- 
cine in qucstion will not suit the case, he will at the 
same time be directed to the next most likely medicine, 
without having to go back to the Bcpertory. The 
Concordance would of course only apply to the most 
important and peculiar symptomB, and thus it would at 
the same time point out in a most accurate manner the 
related medicines. 

Finally, as a most important consideration, I would 
direct especial attention to the mode of printing the 
Materia Medica. The object to be sought is ^at as 
large a portion of the essentials should strike the eye at 
once. For this piu^KJse there must be as little tuming 
over of pages as poasible ; I would therefore recommend 
it to be printed iu quarto, or some such large size, in 
doublc columna, with a narrow space for the Concord- 
ance. Also that grcat care be taken to haré the headings 
and numbcrs in distinct types ; and in a group of symp- 
toms the merely narrative and less important portions 
should be printed cióse, while the peculiar symptoms 
should be widely print«d and in sepárate linea. 

Klition of primar; and «oconduy sctionB, such aa conitipation and 
dian'h<Ba, maj both occnr u parta of difiBieiit primary gnmpa pro- 
dncodbj the e 



On the detmÍB of the arrengement qf the Schema. — 
On endcavouriDg to apply the foregoing general prin- 
cipies to practice, we encounter a number of difficulües 
which require great pains and assiduity to aurmount, 
and which in the end still leare the schema in a more 
or less imperfect átate, but nerertheless we must not 
be discouraged on that account as we cannot expect per- 
fection in any work of the kind, and however well it may 
be done there will still remain Bomething to be leamed by 
the Btudy of the original narratives alone. Of course each 
one is left to meet these difficultíes in bis own way, but as 
a guide so far, I may detail the mode of proceeding that 
I adopted after many uosucceBsfnl tríala. — The thing 
Bought is the discoTery of the natural groups and iso- 
lated symptoms. Now on taking up a proving in any 
one individual which extended over several days or 
weeks, the aspect it presenta is that of a complete laby- 
rinth of symptoms, which appear and disappear &om 
day to day without any apparent connection with each 
other, except that they occurred in the same indiridual 
and &om the same cause. These two circuniBtancea 
were therefore taken as the basis of the first procedure, 
and having carefuUy looked through each person's ex- 
periments, they were divided into portions at which any 
natural break occurred by leaving off the medicine tul 
all effects subsided, and then renewii^ with a difierent 
dose, or eren the same dose. This brought the ezperi- 
ments Ínto more manageable compass. TheS/ to get rid 
of repetitions, the whole experiments were written out 
with the narratiTe of the course and progress of each 
symptom, broiight together ínstead of scattered through 
the aeyeral days, and thus repeated oyer and over agaín. 
This brought down the size of the groups rery greatly. 
This cannot however always be done without injury, for 
when there is a distincdy marked coiirse of groups of 
symptoms, all these must be given in the order of their 
occurrence day by day, or at least week by week if the 
duration is very long. Thus we must give together the 
symptoms of the first day, and next all thoae of the 
second day together, and so on, though eeveral of the 
symptoms may be repeated many times. In &ct, as the 
plan of drawing together the symptoms in each para- 
graph is only adopted for the sake of convenience, in 
order to save space and allow a more condensed and 
easily comprehended view of the group of which each 
paragraph is composed, it must not be used in any case 
where it would cause any sacrifice of distinctness of the 



INTRODUCTION. 



course of Úte symptóms, Then all these groups were 
carefullj compared ooe witli another, and all those 
Bymptoins or groups not ín liarmony Tith those of other 
provere were rejected as doubtñü, or plainly accidental 
and not the effect of the medicine at alL TUs is espe- 
cially necessary, and it is precisely here of courae -where 
a good proving differs most in reaüty from a bad one, 
but it ie also the point on wbich the least apparent 
difib-ence exists bctween a good and a bad proving, 
and in wbicb the greater the labour and fidelity of the 
author the lesa is the apparent result, for the greatest 
portion of bis labour may be spent in determining on 
the rejcction of certain symptoms, and the valué of that 
rejection will only be discovered by the anxious prac- 
titioner after repeated experience that the positive re- 
sulta given have not deceived him, We have noT 
arrived at a point where the groups have become of a 
more intelligible size, and many will consist of single 
Bymptoms. In some medicines with a Teryamall and cir- 
cumscribed sphere of action itmll perhapa not be neces- 
sary to proceed any fiírther in Bubdivision ; but in those 
medicines which have a more extensive action the groups 
ivill still be found too large and unwieldy for practical use, 
and are stíIl susceptible of further subdivisión without 
ínjury. In this however we must proceed very care- 
fully, and not upen any specuktive principie, but solely 
as the resrdt of observation and comparison with each 
other, for we ahall soon find several marked and distinct 
spheres of action which have obviously no connection 
with each other, at least a¿ far as mutual dependencc 
goes. For example, we may find certain symptoms of 
the eyes wbieh appeared in some personB to a conside- 
rable degree of intensity, though those persona exhibíted 
no symptoms belonging to the digestive organs ; again, 
we may meet with others who had symptoms belonging 
to the digestíve organs, and alao those same eye symp- 
toms in the aame or a lesser degree. It would be quite 
adniissible to sepárate these two classes of symptoms in 
the latter case. But we may also meet other symptoms 
of the ejes which never occurred alone, but only in 
persons who exhibited a certain degree of symptoms 
belonging to the digestive organs : these latter I have 
considcrcd it would be quite improper to sepárate. The 
same proceeding is to be applied throughout in sub- 
dividing the groups, keepii^ in mind Üie general prin- 
cipie that we must have a distinct ground, derived from 
observation alone, for separating any symptom or clasa 



of. symptoms, and without that sufficient ground ve 
must leave all symptoms in Üie original group, however 
unintelligible and unwieldy. Having proceeded in 
this diiection as far as the pathogenetic experimenta 
with each medicine extant will allow, doubtless there 
will stül remain in many prorings groups of symptoms 
which include a good many symptoms that have no 
special connection with the group, but are present 
merely accidentally &om occurring in the same indivi- 
dual : this can only be determined by further experi- 
ments, and till then I see no other mode than to leave 
them where we found them, without opening the door 
to error of all kínds. To endeavour to escape the diffi- 
culty by breaking up the whole group into individual 
symptoms would, as said bcfore, be equivalent to the 
destruction of nearly all the resulta of the experimenta 
themselves. "Die schema will now present the appear- 
ance of a number of individual cases of all the varietics 
of the morbid states produced by the drug, as concise 
as poBsible, and varying in bÍíc Érom one symptom to 
large groups. Our next step will be, where possíble, 
to proceed to draw together several of these groups, 
where they are very similar and produced by the same 
dose given for about the same length of time : we shall 
thus further savc rcpetitions, and be able to point out 
the more important and essential elementa of the group, 
just as we do with the more complete cases of any 
disease. 

Wben the same symptom or group of symptoms 
occuTs very often it is, of course, not necessary to give 
it more than once, but at the end of each secdon some 
remarks are given, pointing out the comparativo fre- 
quency and valué of the different groups. 

We must give (when possible) the morbid appearance 
with each group, and also all those symptoms which can 
be derived irom chemical and physical means of diag- 
nosis, — Buch as, analysis of the se- and excretions, 
auscultation and percussion, the use of the microscope, 
&c. Where we have only morbid appearances derived 
from animáis or cases of human poisoning of which we 
have not the symptoms, it will be better, probably, to 
arrange them at the end of the proving, as we do not 
know exactly which symptoms they illustrat«. 

As it becomes more complete the schema now assumes 
more and more the appearance of a good Hahnemannic 
schema, with this difference, that each sepárate morbid 
Btate or sphere of action has a complete scheioa to ítself, 



, Google 



INTRODUCTION. 



fiubarranged in the Hahnemaimíc order, and the whole 
is formed of a congericB of ench schcmaa rcndered 
accessible by an índex at the end of each eectioii, and in 
additdon to tKat, of an analysis of the Bcction itself when 
it is large. Now it may be thougbt there íb no nced of 
tbe Índex and analysis, as both these functionB may be 
discharged by having a good general repertory for all the 
medicines. To this I have nothing to object theore- 
ticaUy, but practically, cTerything. For the chief object 
of such a schcma at all being to aare time and labour to 
the practítioner, that object could not be attained if he 
had to refer to another vast work in sereral large 
Tolumes to discovcr the locality of any symptom in each 
medicine. Besídes that, a coznmon repertory would 
not do ; for the nmnber of the symptom must be given, 
and therefore such a repertory could not be begun till 
the Materia Medica ou this plan vae finísbed ; vhíle, 
on the other band, tbe Materia Medica on tbÍB plan 
could not be used till tbe indez and analysis were 
givcn; therefore they must appcaí símultaneously. I 
object even to printing the índex at the end of each 
proving, bccause to save time all the symptoms of each 
part sbould be so arranged as, if possible, to catch tbe 
eye at once, without tuming over pages ; and it may 
oñen bappen that the most strikíng and cbaracteristic 
symptom of the group we are Btudying may really be 
among tbe Bympathetic symptoma, For example — ^in 
a case of gastric or bibous disorder Bomething in the 
character of the headacbe may Beem to us tbe most 
pecubar and strikíng feature ; on tumíng up that symp- 
tom in a general repertory, we are rcferred to a medicine 
arranged in this form : we first look among tbe índe- 
pendent bead symptoms, and not finding ít there, run 
the eye further down and find ít among tbe connected 
symptoms with the number attached; we haVe tben 
merely to tum to tbat, and we find not only the head- 
acbe we want, but if tbe medicine suits, at the same 
time tbe greatcr part of the rest of the s3Tnptoms of our 
case : while if tbe índex were at the end we should have 
a great deal more tuming over of pagcs. As a further 
aaring of labour I would, in many cases, in tbe índex 
put not merely the number of the symptom, but, in 
a short abbrevíation, the sphere of action ít occurs in 
so that we may be often savcd tbe trouble of looking for 
ít, as tbÍB tells it will not suit 



On the Therapeutic Aciton. — It scems to me the wísdom 
of Hahnemann was conspicuously shown whcn be de- 
clined, except very sparingly, to incorpórate with hís 
províngs any speculations as to the diseases they would 
cure, and, in fact, simply referring any one to the 
pathogenetic efFects for infonnatíon on that poínt. In 
fact, wc give best the indícations for cure wben we 
describe best the pathogenetic action; and if any 
one asks me what a medicine will cure, I can only 
poínt to the symptoms and groups, and say ít will cure 
any cases similar to them, hut what these groups exactly 
mean, cither wben I meet them as idiopathic disease 
or as symptoms of a medicine, I must ñrankly confcss 
I cannot tell. How can it be otberwise, unless we 
have attained absolutely to the ultimátum of patbological 
Bcience ? Wben we say a medicine will cure sucb and 
such groups, it must always be with the proviso that both 
the symptoms of the case of discase and of tbe medicine 
that fit togetber, gívc sufficíent information to enable us to 
conclude tbat tbe proxímate causes of tbe two states are 
very similar, for otherwise the symptoms of a medicine 
and of a disease may quite correspond as far as they go 
and yet tbe medicine not be bomccopathic at all, tbe 
reason of wbicb would be quite plain if both morbid statcs 
were further developed, for tben the divergence would 
becomc manifest. It is nevcr to be forgotten that in 
homtcopatby we always treat the proximate cause alone, 
and, in íact, cannot if we will treat anything else ; we 
have no powcr over mere symptoms, and our constant 
endeavour is to get so complete a view of the morbid 
State as to be sure tbat our unknown proximate 
cause, which is rccognízed by certain syraptoma of a 
medicine, sbonld be as similar as possible to another 
equally unknown proximate cause, which is recognized 
by the assembl^e of symptoms before us which we 
ñame tiie discase. Now we do not know yet tbe ultí- 
mate nature of tbe action that produces the healtby 
functions, and scarcely even the seat of many of the 
sensations familiar to us ín pcrfect healtb ; how tben 
can we cxpect to undcrstand and fully account for all 
those sligbt aberrations of healtby sensatíon and ñmction 
which we meet with in our províngs ? And if pathology is 
called in to the aíd of physiology to explain the natural 
sensations and functions by exbibiting the effects of tbeir 
exaggeration or interruptíon by disease, so much the more 
is tbe u9ua in morbU necessaryfor throwing ligbt on certain 
symptoms in medicines aa the lowest elements of the dis- 



lized by 



Guu^l 



INTRODUCTION. 



eased states they cure. Therapeutic use becomes tlius tlie 
magnilying glass oí thc p&thogenesís. And the'reason 
whj v!€ cannot fill up the chapter of therapeutic use 
beforehand is, tha,t the more re£ned metbods of diag- 
nosis are as yet little employed, and we are not ablc 
in most cases to recognize the incipient sigus or loweat 
degree of natural diseases themselves j but when all the 
improved means of diagnosis aíForded by chemistry 
and physics, iacluding light, electricity and magnetism 
already knovm and ere lor^ about to be discovered, are 
applied both to the incipient stages of disease and to the 
provings of medicines, then we shall have lesa and less 
need of the usu» in nwrbis as the complemcnt of patho- 
genetic ezperiments to display the truly homceopathic 
relation of all dynamic specifics. 

But, in the mcantime, the author of a proving must 
abstain from speculations on therapeutic use in the body 
of the proving, though he riíay with propriety add a 
sepárate chapter, containing the resulta of past ezperíence 
on that head, and any speculations of bis own for the 
future, and also a fev general remarles on the chief 
sphercs of action of the medicine which may guide the 
practitioner to ccrtain laige classes of cases where it is 
most likely to be found suitable. 

Fhuiüy, it may be objected that if the Hahnemannic 
Schema is so defectire, how is it that ve have got on so 
well with Hahnemann's own early provings ? To this 
I reply ; Ist — They are good provings, and tte symp- 
tomfi were really produced by the medicines. 2nd. — A 
great many of his numbered paragraphs consist of single 



symptoms and amall groupa of symptoms, which really 
occurred in an independent and isolated form &om the 
action of moderately amall doaea. They are, therefore, 
short cases of disease reduced to its most essential ele- 
mentary symptoms, and divested of all merely sympa- 
thetic symptoms or after effects. 8rd. — Where he has 
split up largor groups, he has for the most part given 
US the key in the íntroductory remarks, oí the same has 
been done by the thousand-fold repeated experience of 
Homceopathic practitionerB of the VJtta in morbis. 

It appears then that I propose in reality nothing new, 
but I merely attempt to follow Hahnemann in the prin- 
cipies that guided bim in the constniction of his early 
proving-scbemas, and to render visible the natural bar- 
riers that sepárate a good from a bad schema ; aad also, 
by introducing the mdex as an aid to the memory, to 
render intelligible the much greater masa of materials 
we have now to work with. I may add that nothing 
has given me such an ezalted view of the greatnese of the 
talent and industry of Hahnemann displayed in his 
Materia Medica, as the months I have spent in the 
endeavour to arrange one medicine in the manner in 
which he has done so many ; and I cannot but fecl that 
the volunúnouB groups I have found neceesary to dis- 
play the characteríatics of the medicine, prcsent a very 
unfavourable contrast to the terse and pregnant para- 
graphs in which Hahnemann has given the same infor- 
mation. 

J. J. DRYSDALE, M.D. 



Liverpool, Joly, 1851. 



VOCABÜLARY 
GERMÁN MEDICAL EXPEESSIONS. 



(ThJB is not intended to be ft couplete Too&bnlftry oT Germán medical woids, bat merely of Bome tenn« of fraque 
hoiii(Bop>tlüc liteíatoje, t£ which it íb deainble to seooie a oniform tnndaüoiL) 



. anxiety 



At^eschlagenheit — (mental) dejecdon, 

(corpoteal) proetiation 
Abraagenmg — emaciation 
Absetzend — intermittertt 
Ader, güldene — hemonhaida 
Aengstlichkeit ' 
Angst 
Aergerlích — peevish 
AnwBndlung — attack, fit 
AufgedimBen — BwoQeD, pufied 
Aufechrecken — atarting 
Aufschwulken — rising up (from Üie 

stomach into the mouth) 
AuistOGeeu — eructatUm 
Auftreibung — inflation, distensión 
AuBschlag — eruptíoD, rash 
Auszehrung— emacíation 

Bangigkeit — apprehenñveoeBS 
Bauch — abdomen, belly 
BeÍBsend — smarting, bitíng 
Beklemmung — conatñctíou, oppxea- 

Beraerkerwuth — ñirioua rage (like that 

□f the Berserkera) 
BeainnungsrerluBt — losa of power of 

recoUecting himself 
Betaubung — stupefaction, confusión 
Beule — boil, funmculus 
Blaschen — vesicles 
Blasen — bleba, blistera 
Blass — palé 
BUck— look 
Blodigkeit — weaknem 
Blodsinn — weakneea of mind, ímbe- 

cÜity 
Bliitcben — small pustulea 



Blüthen — pustulea 
Blutschwar — boil 
Bohrend — boring 
Brausen — rouing 
Brechwujgen — retching 
Buckel— boil 

Damiscb — dull, confused (in head] 

D ehnend — stretching 

Drobnen — tingling 

DrUckea — preasure 

Driickend — preseive 

Dumm — stupid 

Dumpf— duU 

D urchfall — diairbcea 

Düselig — dizzy 

Düsterheit — dulneea (of head) 

Ein&essend — burroving 
Eíngenommenheit — confusión 
Eiter — (laudable) pus 
Eiterblüthen — pustulea 
Eitem — to auppurate 
Ekel — disguat 

EngbruBtígkeit — tightness of the chest 
Erbrecben — romit 
Eiachopfung— ezhauation 

Fippem— quivering 
Flechte — berpea 
Fteck — apot 

Fluttem— flutter 
Fresaeu — guaw, conrode 
FuDken — eparke 

Gahnen — yawning 
Gahreo — fermentation 
Galatrig — randd 



Gluckem — gujgling 

Gluckaen — gurgle, bubble 

Gram — grief, sadneas 

G rausen — ahudder 

Greifen — claw 

Gríminen — griping 

Guireu — rumbling 

Hacken — knock 

Hammem — hammer 

Hin und her achwanken — swaying to 

and fro, undulation 
Herbé — astringent 
Herzgrube — aciobiculus cotdia 
Hocker — protuberance 
Uüftgicht — Bciatícs 

Jammem — wailing, larneuting 
Jammerlich — piteoua 
Jaucbe — unhealtby púa, ichor 
Jücken — itcb 

Kaltes Fieber — agüe 
Eitzehí— tickle 
Klamm — cramp 
Elemmen — squeeie 
KUngen — líng 
Elopfen — beat, tbrob 
EnackeD, crack 
Enarren, cieak 
Kneipen — pincb 
Enickern 
Eniatem 
Knirachen — grind (tfae teetb) 
Enotcben — papu]m 
Knoten — pimples 

Eouiren— grumble (applied U> gas in 
the bowels) 



crepitate 



TCoogte 



lii VOCABULABY OF GERMÁN MEDICAL EXPRESSIONS. 








Kollem-rumble 




VerdrieBslich — moróse 






Vereitem — auppurate away 


Klopfechmerz 1 , j ^ 


Quetficbímg — contuúon 


Verheben — Btrain 

Veijauchen— to waate by destructíve i 


Kopf-wallung — ebuUiüon of blood in 


Eachsen-hawk 


ulceration ! 


tbehead 
Kotzea — ^hacking 


Baffend — scraping 
BauBch — intosication 


dielocation 


KotzhuHten— Bhort hacking tussicula- 




Verachleimt — covered with mucns 


tion 
Krabbeln— crawl 
Krachsen — croak 
Erollen — claw 
Ktampf— epasm 


BKuepem — clear the throat, hawk 

Eeifisen— tear 
Rucke— jerbs 

Sauaen— roaring 


VerBchJimmem — agrávate 

Wabblichkeit— aqueamiflhnesa ' 
Weichlichkeit— BickislmeaB, faint feel- ! 


Kratzen — Bcraping 

Kreutz — biubII of back, sacral región 

Kninken— granting 
KunuDCT'^^Bolícitude 

Lahmig— pctralytic 


Scblucbzen ) 

SchDeidend — puttÍDg gñpiag (isbovele) 
Schwach — weak, imbecUe 
Schrundend — aore 


ing, Binking 
Weinerlichkeít— lacrymoBe humour , 
Wimmelend — crawling ' 
Wimmerend — whining 

Wohllüsüg— Toluptuous ' 
Wühlen— digging 


Langwierig— chronic, long-standmg 
Lappisch— Büly 


Schwere— weight 
Schwiele— calloBity 
Schwindel— yertigo 


Wund — raw 

Würgen — strangling efforts to eruc- 

tate, retching 
Würmerbeseigeti— flow of water inUí 

mouth 

i 


Lástig— annoying 

LStschig — disagreeably ineipid 


SchwindeD— tetteTB 

Spannung — ten aion 




Stich— shoot, BÜtch 


MadeD-würmer — aacarides 
Matt— weak 

MenBche ohass — misan thropy 
Menachenscbeu — authropophobia 
Muckend-fine pecking 
Müdigkeit — fatigue, laaeitude 


Stichlicht— prickling 

Stoas— blow 
Stñemen — atripea 
Stumpf — obtuse 


Zaghaft — timorous 

Zerhauen— knocked to pieces 

Ziehend— drawing 

Ziscben— hiBa 


Nagend — gnawing 




Zittem — tremble ! 


Neckend-hacking 


neas) 


Zomig — irascible 


Niedergescblagenheit — dejection (of 




Zottíg — villouB, fiba^y 1 


spiíits), prostration (of body) 


Tobend — ban ^g 


Zucken— twitch ¡ 




Tripper — blennorrhma 


Zukleben— adhere 






Zusammendrückend — compressive > 


Ohnmachtig— fíúnt 






Ohrenzwang — earache 








UnbehagUchkeit— discomfort 




Phantasiren — to rave 


Unterbauch— hypogastrium 


Zuaammenzieben — contract ' 


Peinlich — toraienüng 




Zuachwaren— sück together with matter 1 


Pickend— pecking 


Unterleib — abdomen 


=J 



Google 



KALI BICHEOMICUM. 

AREANGED BT JOHN J. DEYSDALE, M.D. 



CONIENTS. 

L — Cheniical and Natural Historicol. 

II.— Literature and Sourceaof our Enowledge on the Subject. 
III. — Pfttbological Anatomy. 

IT. — The ProvÍDg ia nambered ParagrapliB, with Indes and Analysii, Bemarlu and Concordar 
T. — Summaiy of the Phyáological Action. 
VI. — The Tberopentic Actíon, and Caies of Cure with it. 
VII. — Dose, Preparatíon, Antidotes, Relatíon to other Medicinen 
VIII.— AppendU, cootaining additjonal Caae», and the Proving of the Oxide of Chromium. 



i_ .uy Gcro glg 



KAXI BICHROMICTJM. 



Chemical.—The salts of Cbromíc Acid are moBtly of 
eitbci a yellow or red colour, the latter tmt predomina- 
ting whenever the acid ia in excess. The chromates of 
tlie fixed alkalicB sustain a very high temperature with- 
oat decompoBitíon ; hut they are all decomposed without 
exceptíon by the iinited agency of heat and combustible 
matter. The chromates are in general sufSciently dis- 
tinguifibed by their colour. They may be knovn che- 
mtcally by the following charactcr : on boiling a chromate 
in bydrochioric acid mixed vñth alcohol, the chxomic 
acid is at first set &ee, and is then decomposed, a green 
Bolution of the chloride of chromium being generated. 

Chromate» of Potaasa. — The neutral chromate, from 
wliích all the compounds of chromium are directly or 
indirectly prepared, ís made by headng to rednoBs the 
natire oxide of chromium and iron, commonly called 
chromate of iron, with nítrate of potasaa, when chromic 
acid is generated and unites with the alkali of the mtre. 
tt is deposited from its solution in small prismatic 
anhydrouB crystals of a lemon-yellow colour, which 
belong to the right prismatic system. Chromate of 
potassa has a cool, bitter and disagreéable taste. It is 
soluble to a great extent in boiling water, and in twice 
its -weight of that liquid at 60°. It is insoluble in 
alcohol. It has an alkalinc reaction, but Thomson has 
proTed that it is neutral in composition, consisting of 
52 parts or 1 cq. of chromic acid and 47-15 parta or 
1 eq. of potassa. 

The bichromate of potassa, which is made in large 
quantity for dyeing, is prepared by acidulating the 
neutral chromate with sulphuric, or still better with 
acetic acid, and aUowing the solulion to crystalHze by 
spontaneous evaporation. It crystallizeB in large four- 
sided tables, the form of which is an oblique rhombic 
prism. They have an exceedingly rich red colour, are 
anhydrous, and consist of 1 eq. of potash and S eq. of 



chromic acid. They are soluble in about ten times 
their weight of water at 60°, and the solution reddens 
litmus paper. This salt fuses tmdcr a red heat, and 
forms a crystalline masa on cooling, of which the cryetals 
have the same form as tíiose obtained from an aqueous 
solution } but this mase falls to powder as it cools, from 
the unequal contraction of the crystals in different di- 
mensions. 

Sesquioxide of Chromium. — This is the common greco 
oxide of chromium, and is composed of 2 eq. of chro- 
mium and S eq. of oxygen. As this may also be used 
in homoeopathic practice, I give a conyenient mode of 
preparing it purc, recommended by Dr. Brett of Liver- 
pool. 

The hydrated green oxide may be prepared by boiling 
a saturated solution of the bichromate with an equal 
quantity of alcohol (rectífied spírits), and a sufficient 
quantity of pute hydrochloric acid to rendcr the mixture 
distinctly add, until the whole possesses a distinct eme- 
rald-green colour, then ammonia is to be added in slight 
excess. The precipítated oxide of chromium is to be 
weU washed with boiling water, and dried at a tempe- 
rature of 212°. 

Chemical uses. — Jacobson found that the neutral salt 
was inflammable when mixed with carbonaceous and 
sulphureoua substances, and therefore preposed to use 
it in the composition of moxas, and those in which it 
was used were found very powerful. The same observer 
also found that this salt possesses great antiseptic powers, 
and he has employcd it with success as a licuor comer- 
vafrix for kecping anatomical preparations. The com- 
position of this antiseptic preparation is one drachm of 
the neutral chromate of potash to 32 ounces of water. 

The use of both these salts as caustica and local 
applications wUl be alluded to under the head of thera- 
peutics. 



,Guo¿^lt 



KALI BICHEOMICUM. 



(^emical antidotes. — In caaes of poÍBoning -witli the 
bichromate, Dr. Dacatel firet proposed a Bolution of 
carbonate of soda or potash. Buchner recommends a 
mixture of bicarbonate of soda and hydrated peroxide 
of iron. Bemdt tried the carbonate of potash in ñve 
animnla poisooed witb chrome, and three dicd ; but he 
does not t^i"V the two that recovered were saved by 
tbe antidotal power, as the poisoa vas moet likely all 
ejected by the vcaniting, and besides as we knov the 
neutral chromate is not much less poisonons than the 
bichromate. As the peroxide of iron givea an insoluble 
precipítate -with the chrome salta it seemed a more likely 
antidote, but it was given to three rabbits -without suc- 
cess : a scruple of the bichromate vas given to each, 
and fioon a&er an ounce of the oxide, yet they all died 
in £rom three to five hours, and in the stomach some of 
the chrome salt was still detected. The tincture of galls 
was also tried without aucccss. The acétate of lime has 
also been proposed aa a chemical antidote. Mr. Al&ed 
Taylor recommends carbonate of magnesia, or lime, in 
linseed tea, and also suggests the trial of brown sugar 
dissolved in water at 102°, which reduces the chromic 
acid to the state of oxide of chrome. Chemical antidotes, 
however, can be of Uttle avail unless administered within 
a few miautes after the poison is swallowed ; and it may 
be added none of the above are of tried efficacy ñor 
promise much snccess, so the chief reliance must be 
placed on removing the poison with the stomach-ptimp 
and by Tomiting. 

lÁterature and sources of itiformaiion. — The first 
notice of the action of this substance on the animal 
organism seems to be in the experimenta of Gmelin of 
Tubingen in 1824. Then Dr. Cumin of Glasgow in 
1827 observed its poisonous effecta on the worimen 
cagaged in its preparation, and also su^ested ita use 
and occasionally employed it aa a caustic. In 1841 and 
1842 it was used by Hauche and Jacobson in Geimany 
as a caustic and extemal appUcation in emptions, &c 
Xn 1844 the first homceopathic proving was published 
by me, with experimenta on anímala and obserratáons 
on the workmen, in the Britüh Journal of Homceopathy 
for tíiat year. In 1845 the Austrian Proving Society 
undertook the addítional proving of this drug, and the 
results of their labonra are published ín the Austrian 
Journal of Homceopalhy for 1847, Vol. Üi, p. 252, by 
Dr. Ameth, who has incorporated inte this in the most 
complete manner all that was known upon the subject 



up to that date. To save constant reference, I may say 
here that I have endeavoured to incorpórate in the 
foUowing pages all the ínfomiation contained in Dr, 
Ameth's treatise, and have ¿equently also adoptad 
the opínions and remarks of Dr. Ameth. 

The number of persona who have been the subjects 
of the following observations and experimenta ís Tery 
considerable, amounting to about 100. Of these, it is 
quite nnnecessary to give the ñames and abbreviationa 
of all the individuáis, as in many cases little is known 
of the workmen exccpt their ñames and the symptoms 
reported ; it is sufficient to say, that the workpeople on 
whom observations were made were all males, and of 
ages varyíng from 16 to 70. Any observation as to the 
ínfluence of temperament, &c., on the action of the drug 
amoi^ the workmen, must be taken on the anthority of 
thoee who fumished the observations, as we have not 
the means of proving it nnmerícaUy. 

The ñames and abbreviationa of the voluntary experi- 
menters here, and in Austria and Ammca, are as foUows 
— comprising 1 1 males and 5 females already named in 
Üie Brítish Journal of Homceopathy in 1844, and 12 
males and 2 females named in the Austrian Journal, 
1847. 



A. B. — an onnunied f«male, agsi 23, of unguíne lympti&lic tempe- 
lament {Á. B.) 

Dr. Ametb — aged 25, of dioleiia temperament and Htnm^ conatitn- 
tion. (-á.) 

Dr. Dr^sdale — aged2B,iierTonasaiigQliie temperament {DU.) Three 
proTingft. 

Dr. Dadgeon — aged 25, nerTona Bsngnioe temperament (-Pjn.) 

Dr. Hamilton — Bangnine temperament {Hbt.) 

Joseph Eing— a yoong man of lympliatío temperament with red 



h«3r. { 



-g-) 



Hr. K. — aged 30, of nervons I^mpliatic tempeíament {K.) 

E. El. — aged 30, a fenuüe, bninette and of cholerío temperament 
(JCJC) 

Koetler, a medical atudent 

Iisckner— aged 23, 1:^ona nerroiu temperament (£jL) 

H.J.— aged21. 

Dr. Mareníeller— aged 26, sangiüne nerrooB temperament, rpare 
hahit (i&.) 

Dr. Hayerhofer. (Mr.) 

Dr. Müller— aged 37, tall and elender, bílions temperament, dfsposi- 
tion to hamorrhdda. { J£} 

Ti. — au nnmarried girl, aged 18, IdUoDS tempenunant, bUek hair, 
ioft dispositían, of a ohlorotío complexión, and Iiregolar menatrnation. 

Dr. Neidbud— dark balr, stroDg framo. 

Dr. Norton— «ged 33, tall, &irh>ÍT«d,l7mpbatic temperament {Kn.) 

Dr. Beisinger — aged ábove 30, lymphatio temperament, strong ñsme. 

Dr. Bnuell — aged 23, foir luür, ungnine nerrona temperament (^-) 



, Google 



KALI BICHROMICUM. 



Di. ficUesinger — aged 30, Mngnine temperament, diiposed lo ooryt», 

and hmnorrboid», bat of gooA healtli. 

Dt. Schwaiz — aged 30, saugníne tempemnent, aomeirliftt atont, and 

of ezcellent healtii. {Seh.) 
J. TajIoT, aged !6, tnlioui sanguiíie temperament. ( ^V-) 
Hebiy Torner— aged 31, Eaugiiine lyuípliatic temperament. (B. T.) 
Dr. Walker — aged 29, t>ilioiu «acgnine IjrmpliatíQ tempenment. 

{Wh.) 
X. Y. — an munamed female, aged 30, Bangnine lymphatic lempera- 

Prof. ZtstaroTich — aged 38, of strong cmistitation, dark oomplexioQ, 
Mngnine nerroiui temperament. {Zl) Two proringa. In yonth had 
mtennitteot fever, and wtieo 29 bod t^phos— mibject to hnmorrbñda. 

The dosc is generally noted accurately at the end of 
each gronp of Bymptoms, but sometimes it is lesa dcfi- 
nitely indicated. Ajiythmg beyond the ^d dilution 
being namcd infinitesimal dose (tnf. d.), and the iiiune- 
diate &actioiis of a grain above '/>th, or more than one 
giain, being called strong dose (í. d.). When dilution 
is mentioned the centesimal is aliFaye meant : Üie Ist 
and Snd dilutions are somelimes inde&nitely indicat«d 
as low dilutions (/. d.). 

The fonn in vhich the medicine was taken by the 
Toluntary proveni waa that of aqueous solutiaQ or of 
tríturation with milk-sugar, in the proportion of 1 
grain of the salt to 100 drops or graíns of the water or 
sugar respeetively. 

The Torkmen are exposed to its inñuence chíefly in 
the form of solution, of vapour arising &om the solu- 
tion, the dust of the salt, and of the chrome ore. I 
have placed most reliance on the cases of those employed 
in packing the perfect salt, as they are exposed to the 
inflnence of the salt in its purest form, viz., the dust of 
the crystals necessarily ínhaled in the process. Never- 
theless, doubtless many of the symptoms derived from 
the workmen are to be ascribed to the chromic acid, the 
action of which however must be very similar to that of 
the bichromate of potash, as that is an acid Balt.(') 



(') In selecting the gronpfl of iTioptomi whicli compose the following 
lehama, I have sabjected the nairatlTea of the experimenten to what iiMy 
appeai lomewhat Hgid cHticism ; and in the fear of íncorpoTating anj 
lUeteaB oí doabtful symptoms may have left oat many that really be- 
long to the drng, and which may tnrn oat to be Talnable. Bnt I h<M 
that it íb bettei to leject many ceal BymptomB tban admit one fidee one, 
aa ene liilse symptom tends to vitiate the whole, by destioying oni con- 
fidence in the lest. In moat cásea I bava not admitted ony maiked 
phenomena on tho evidence of one expeiimentei, bat onlj adopted snch 
Bymptoma as agree in severaL I have abo omitted the gieatei pait 
of the experimenta of aome proTers, in conaecinence of the want of mf- 
£oient infMTDatioa as b 



ReBvits of the experimenta on the lower animal». — 
Our knowledge of the morbid appearancee produced by 
this substance, as far as can be ascertaíned from experi- 
ments on the lower animáis, is tolerably complete, being 
derived from 39 experiraents with the neutral salt and 
the bichromate on varíous animáis, but chiefly doga and 
rabbits. The first experimenta made known were those 
of Gmelin (see Wibmer Arznetmittel und Gifte, Bd. iv, 
p. 313), next roy own with the bichromate (published 
with plates in No. VI of the Britiah Journal of Hom<BO- 
pathy), then those of ZlataroTÍch, Schlesinger and Nor- 
ton (in tlie Austrían Jóumal), and lastly those by Bemdt 
(Frank's Magazin, vol. i, p. 34). As all theae experi- 
menta are narrated or quoted in íull in the Austrían 
proving Bo often referred to, it is unneccMary to give 
them literally here, — ^it will be sufficient to give a sum- 
mary of the rcsults. The experimenta may be divided 
into three classes : Ist, those that proved fatal within lese 
than ten or twelve hours; 2nd, those íatal between 
twelve hours and two or three weeks ; and 3rd, those 
that lasted from one to two monüis. 

The first class fumiehea few facts of practícal interest. As 
regards the quanü^ : in different ezpeiiments, 3, 6, 12, 80 
grains produced no further efiect than their ejection by vomit' 



djieot evidence of their donbtftd chaiactai. Thoa a moit fbnnidaldB 
gronp of lymptoms, inclnding total blindneu (br a short tíme, ie giTeo 
by one experiinenter; bat as we have no infbimatíon as to bis concti- 
tution, and aie told he had a headache belñre beginning to take the 
medicine, we cannot adopt bis renüts till they are confiímed, as fw 
all I know he may be snbject to sick beadaches, preceeded by losa of 
sight, a« io thii case. The proring of Di. Wachtel 1 have abo taken 
the libeity to omit entiiely. Thb gentlemno took one dose of the 12th 
dilution only. Kxteen days theieaftei he had a tickling congh, and 
spat np duiing the day, on tbe whole, abont balf a ponnd of bright led 
blood : next day he disoovered a small fissnie in the posterioi wall of 
the pharynz, tram whieb the blood had exaded. Farther evidenca is 
ceitainly leqnired to eflablish any orainectíon betwaen these pheno- 
mena and the dose of E. Uch. I have ondtted abo «orne of the Bymp- 
toms of the excellent and indefatigable Piofessoí Zlataiovich; asou 
compañng them, (eapeciatly thom connecled with hnmoirhñda, the 
flickering befóle the eye, and the hemíorania) with bis own symptom*, 
while nnder tbe inflnence of otbei and veiy dissimilai medicinen, they 
weie very mnch tbe Mine. It is certainly terj mnch to be desiied 
that each experimenter shonld hand in at the same time with bis nir- 
rative a critical analytis of it, poistáng ont ot eipnnging those symp- 
toms which hora knowledge of bimaelf he eonsiden may be doabtñd. 
Till that is done we eanuot attain to accnracy, foi it is impoaaiUe for 
any one aflerwaide, at a distance of time and spaoe, to mlíject tho 
narrative to a aiftíng cross-examínation, Each as migbt be practicable 
on the spot: all that can be done is to omit in eaoh what is not con- 
flrmed by the namtive of some other experimenten. 



KALI BICHROMICUM. 



ing ; whDe íd otbeTS, bom 30 to 60 gndns of the neutral, or 
10 gruña of the bichiom&te, were fatal in dogs and rabbits 
in írom half an hour to three hoim. A solution of 10 grains 
injected iota the jugolar vein af a dog produced instant death. 
The appearoncee found in theee rspid polsonings were: the 
mucoua membrane of the etomach was found violently inflamed 
in all ita extent except the pyloríc portion; or there were 
brown, or brownish-red, oí eren blackiah spots in aeveral 
placea, and the membrane waa partly destroyed. The üeum 
injected. Red spots in the coecum. Traches vascular or 
bronchia and lunge full of blood, and in one, the lower lobes 
aaid to be inflamed. Heart containing dark coagulated blood. 
Brain and apinal marrow fuU of blood and soft. 

The second class fumishes the most important resulta. 
They are chiefiy derived from tíie foUowing eiperi- 
i ments. Q) 

No. 13, Gmehn*s case — 3j of pulTerized neutral 
chromate of potash vas mtxoduced into the cellular 
tissue of the back of the neck of a dog. Death on the 
6th day. 

15 (and three foUowing), mine. — 10 grains of the 
bichromate were inseited into the cellular tiseue of the 
integuments of the abdomen behind the foreleg of a 
small dog, Death ín 16 houra. 

16. — Small and gradiially increaacd doaes were given 
by the mouth to a dog. At first half a gniin dissolved 
in one ounce of water ; this was gradually increased to 
10 grains in the day, but as immediate Tomiting was 
produced when the dose exceeded S or 3 grains, the 
quantity was diminished to that dose, and giveo twíce a 
day till ita death in 15 days. 

17. — 5 grains in an ounce of water once a day for S 
days, then, twíce a day. Death in 6 days. 

18. — 5 grains in 1 ounce of water daily, dívided into 
3 doses for 19 days. Then 5 grains were iuserted into 
a wound as above, and the animal died nezt day, 

22, 23 and 24, Norton's.— These were 8 dogs, all 
treated by strewing daily a quantity (vmdetermined) of 
the bichromate on a wound in the neck. Death took 
place iu 6, 14 and 16 days. 

29, Schlesinger's. — 2 teaspoonfiíls of Ist dUution daily 
to a rabbit. Death in 14 days. 

33, Berndt's. — SO grains of bichromate inserted to 
neck of a dog. Death in 11 hours. 



(') The platea reféired to are in the Appendlx to No, VI (2iid tdI.) 
Df tlie Brilitk JburtMl of Simaopatky. 



With the exception of the ulcers in the prinue tíeb, 
the effects were the same whether the salt waa giren 
intemally or inserted into a wound. In several cases 
poisoned in this last manner, Bemdt analysed the ejected 
matters, and abo the contenta of the stomach and bowels, 
and also the uriñe, without finding any trace of chrome 
in them. In those poisoned by the internal exhibition 
it was readily detected. 

The symptoms usually manifested by the animóla were — 
Tomiting, TÍolent and oflen inceaeant, renewed añer drínking, 
at flrst injecta then mucua frothy or bloody and then dry ret. 
ching. Paine and tendernese in the belly. Frequent pnr^g 
of mucua and blood ; quíck pulae. At ñrst great thirst, then 
the anímala refiísed all food and drink. Frequent mictuiitíon. 
Nose stuffed. Flow of mucus from the mouth, cough and ex- 
pectoration of tbick ropy mucus. Eyes covered nith a porulent 
secretion fi^m the conjuntiva which dimmed the comea; wfaen 
waahed off it waa apeedily renewed. JUpid emaciation. Great 
weakneBS, especially of hind lega, and finally losa of power of 
them. Death, at times with convulsiona, but generaUy none, 
A dry exantbematoua eruption on the back, with falling off of 
the hair in several apota. 

KOBBID APPEAaÍKCBS. 

Mouth aad (Esophagu». — In caaes 16, 18, and 29, all 
poisoned by internal exbibildon of the aalt, the mouth waa in 
one (16) found atudded with ulcerationa, and there were small 
dry excavated ulcerationa on the tongue. Tbe cesophagus in 
its upper two-thirds waa extemally of a dark red cobnr and 
thickened ; in the eorreeponding internal portion tbe mucoua 
membrane waa entirely deatroyed by nlceration, and could 
easily be aciaped off with the hsndle of the acalpel: ít had a 
greenish grey colour. The lower third was studded with small 
Bcattered oblong elevated ulcera. In No. 18 the cesophagus, 
intemally near the phaiynx, contuned several irregular fleshy- 
looking nlcerstions. QSee píate I, fig. 1 .] In 29 tbe cBaophagus 
waa intenaely reddened townrds the lower end. 

Siomach. — In almoet all cases, however the substance waa 
exhibited, this organ was apecially acted on. There were red 
spots bere and there, or (13) it waa alightly inflamed, and had at 
the bottom several patches of blood extravasated between its 
coats with similar patches in the duodenum. In 16 the car- 
diac half was healthy, but the pyloiic half dark violet red 
coloured, tbough at tbe pyloric orífice and foi an inch before it 
there waa no trace of inflammation. The cardiac orífice waa, 
on the other hand, íbund aeveral times partaking of the inflsm- 
mation of the neigfabouring parta to a great degree. In 16, at 
the cardiac orífice and central portion of the stomach were ex- 



lized by VjOOQ 



te 



KALI BICHBOMICUM. 



teusive superficial olcerations. Over tbe lest of the etomach 
were Hcattered deep irregular ulcere of a greeuiBh colour, pene- 
trating complétela through the mucous membrane. The pylonc 
eztremity wae more healtby. The nigte were bere and there 
ofa bríght red colour. In case 18 theie was great conatriction 
of the middle of the stomach, and tbe pyloríc eztreniity vas 
partly ¡uTaf^nated in the cardiac. The mucous membrane 
was very rugous and intenaely ínjected. In the cardiac cul- 
de-aac were two violet-oobured elerated irregular patches, 
besidea severa! abrasiona or sUght ulcerationa, aurrounded by 
highlf inflamed mucouB membrane. [Set píate 1, fig. 2.] In 
29 the mucouB membrane yellowieh red and eaúly stripped off. 

Duúdentim. — This portíon of the intestinal tube was even 
more constantly acted on than the atomach. The injeclion 
began immediately beyond tbe pylorua, and vañed irom slight 
redneas, or detacbed red spots and stripes, to intenae infiam- 
mstion and even nlceratíon. In case 15 tbe same deep in- 
jectíon began immediately añer the pylorus, and extended 
along the whole duodenum in eqnal íntensity ; ín the jejuDum 
it became gradually Ughter, and ceased about the begianing of 
the ileum : tbe reat of tbe inteatinal tube was healthy, except 
the rectum, which waa deeply injected. Is 16 tbe duodenum 
presented mimerous vascular streake, and acattered over It 
through ita whole extent numerous oval ulcera. In 18 the 
mucouB membrane of tbe duodenum was higbly injected, plum 
coloured and thickened, containing numeroua very regular 
ulcers of an oval ebape with sharply defincd edges, the mucoua 
membrane completely eaten out. The injection and ulcerationa 
extended tbrougbout tbe jejmium. The ulcere varied Irom a 
quarter of an inch to an inch in long diameter. [See píate I, 

Tibum ío Recium. — Throughout the small intestinea (case 
1 6) were numerous injected patchea. Tbere was a recent in- 
tuBsuBceptiott of the Ueum in 16 and 18. Inl8, 23, andseveral 
others, the colour and injectíon gradually died away, and were 
entirely absent in tbe colon and rectum. In 23 and 24 the 
mucoua membrane of the ccecal valve was reddened, and had 
blackish spots on it. In 22 tbe cobn and rectum were deeply 
reddened ; and in 16 tbere were longitudinal brigbt red patches 
in tbe rectum, apparently the reautt of inflatnmation, and 
several spots of extravasated blood. In case 22 tbe tnesenlery 
is reported to be injected. Contenta — In general neither food 
ñor üeces were found in the stomach and inteatinal canal ; but 
they were lined witb a tougb reddish mucus. 

Liver, — In 29 and 39 dark brown, very friable, and fult of 
blood. In most, tbe galt bladder was full of bile. In 17 the 
Bur&cB presented the appearance of altemate very dark and 
palé patches. Tbe section had a mottled appearance. [See 



píate U, ñg. 6.] Scatteied over both aurfacea were u 
apota of a whitieb yellow colour about tbe aize ofa pea, sligbtly 
depressed, and of a sollcr conaiatence than the Burrounding 
structure. When cut into they were found to extend into the 
substance of tbe glaad in a globular form. In 13 both sur- 
faces of the liver were atudded with yeUowish spots of a 
apherical shape, the ate of large peas, reaching &t>m one | 
quarter to balf an inch inte the substance of the gland. Wbere 
they toucb the suiface tbere is a ebght depresstoa or indentaüoo 
showing a loas of substance. They are of a softer consistence i 
than the surrounding parenchyma. [See píate II, flg. 5.^ ' 

Kidnoft. — In caae 18 the tubuli were mucb injected, aod 
the whole Bubstanee of tbese organa in a state of congeatíOD. 
In Schindler's fatal case in the human subject, the kidneyi I 
were found enlaiged, and when cut into, deep marbled red and 
filled witb frothy blood. In caae 33 tbe bladder and its im- 
mediate neigbbourbood were reddened. < 

Noté and Eye%. — In case 13 the nose was full of purul^it- 
lookiog mucuB, wbicb, however, did not reach into the sinuses; 
the conjunctiva wae inflamed and covered witb the same I 
purulent-lookiug mucua. 

Re^iratoiy Organt. — In case 13 in the upper part of the 
larynz, between the ligaments of tbe glottis, were found blood- 
Btained coagulated masses, whicb could be separated from the 
walla of tbe windpípe like a membrane. In the bronchi were 
also found ümilar polypus-looking maBses of mucus tinged 
with blood, wbicb could be traced like cords through aU tbe 
brancbee of the air-tubes. Theae maases when put in water 
were soflened, and coloured it red, at the aame time beiog 
partly blimched, but did not Bwell up in vinegar or ammonia; 
the;f were, therefore, not fibrine, but mucus coloured with tbe 
red matter of tbe blood. 

In 16 the epiglottis and rima §^ottidis were congested and 
covered vntb thick ropy mucus. Tbe intemal surface of tbe 
larynx was bighly injected and covered witb muco-purulent 
matter. The trachea throughout its whole extent was very 
much injected, and lined witb a dirty whitish coating like a 
false membraue, which could be easily detacbed with tbe back 
of the Bcalpel. This false membrane did not reach below the 
bifurcation, althougb the rednesa extended into the ramifica- 
tioQs of the broncbia as far as they could be traced. The 
lunga were apparently healthy, except that tbe dependent por- 
tions were congested witb blood : they floated with the beart, 
however, ín water. In 1 7 tbe same thick purulent mucua lined 
tbe larynx and tracbea ; but tbere was no false membrane or 
injection. In 18 tbe larynx and trachea vascular, and in tbe 
trachea tbere were irregular loi^tudinal streaka and patcheí 
deeply injected [see píate I, fig. 4] covered with viscid mucus 



"Googlt 



KAII BICHEOMICUM. 



similar to that reported to have been Tomited. The iojecüon 
continued to where the broncbia began to divide in die paren- 
cliyma; but the lungs tlienwelTes were not in the least isjected : 
OH tlie coDtraiy, thej' were palé aod bloodtesB. la 22 the 
laiyiiz and tiachea contalued about a tablespoonful of healthy 
lookinff pae. Títere waa pus bIbo in tbe bronchinl tubea. 

In 1 7 the InngB were mottled but quite crepitant ; there waa 
a yellowiah spot of about an inch in length on the sur&ce of 
the Inferior lobe of one of the lungs. 

Hearí. — The heart waa ffenerally distended with bkmd in 
both cañties. In 16 the perícardium vas slightl; bjected, 
but there waa no efiUsion. 

Sram and Spinal Marróte were generally normal ; but in 
one or two experimenta they are said to be more fuB of blood 
than usual, and of a softer consiatence. 

General appearance. — OreaÜy emaciated, The irritability 
of the muBclea, especiaüy of tbe heart, diminiahed. 

Appearance of the wound. — The appltcatíon of tbe ealt to 
tlie raw surface alwaya gave great paiu; but in caae No. 13, 
the wound was found puré and Bcarcely any pus secreted : in 
No. 15 the aalt «ras entirely absorbed and the wound not in. 
flamed : in Noa. 33 and 39 the wound was very painM to the 
touch, and secreted mucb lymph; yet it was añer death quite 
dry and not reddened. 

Morhid appearancee in ezperíment» ichich laatedfrom 

4 ío 10 ttJeeií. The fiye subjects of these experimente 
were all rabbíts. 

Expeñment 24. — A rabbit got 1 grain of Ist tritura- 
tion of kali bichromicum (^/imth grain) for 33 days, tlien 

5 grains of the same tiU its death in 6 days more. 

No. 25 received the aalt in the aame way, and díed iu 
40 days. 

No. 26 waa treatcd in the aame manner, but as it waa 
not much affected the quantity waa gradually increaaed 
till on the 60th day 5 graina of the Ist trituratíon C/nth 
grain) were given, On the 62nd the daUy quantity was 
increased to 6 graina. Ou the 67th day 8 grains. On 
the 69th day 12 grains. On the 71st and 72nd days 
the medicament was omitted. On the 7Srd and 74th 
again 12 grains. On the 78th day it died. 

No. 27 was treated in the same way with gradually 
iacreased doses, and it died on the 74th day. 

No. 28 also in the aame way. For the last 6 days it 
receÍTed 20 grains of lat trituratíon daily ('/sth grún of 
the puré salt). 

Under tLis treatment the animáis exhibited the foUowing 
symptoms. In aboat two weeks a tbín watery discharge from 



the Qose carne on and gradually ÍDcreased iu quantity and cou- 
aistency, till the nostriis were partáally obstructed and the haii 
beñde them matted together. Soon afler the commeucement 
of the discharge from the nose the flir of their coat began to 
stick out and lose its smoothneBa, then layers of white acales 
formed on the akin at different parta, and gradually spread 
«ver the whole sur&ce ; but were thicker at tbe neck, back 
and thighs. They lost flesh rapídly, even to emaciation, before 
the appetite and excretions were perceptibly affected. Then 
tbey got dull and weak, and trembled in moring about, refoeed 
food and drink, and fiually died. 

Skin. — The coat was roogfa and staring, and the fur sticking 
up. It was eyerywhere covered with patchea of scurfy whiti^ 
scales. luside tbe parta of the ekia corresponding to the scurfy 
patchea were thickened, and the corium of cartila^ous con- 
úetence ; when cut into were white and shining like flbro- 
cartílage. In case 27 tbe skin intemally seemed to the feel 
thickened, and ínterspersed with grítty particles between the 
lameUte of the skin. 

The muBcles of the body were tbín and wasted, and the 
whole body emaciated to a remarkable degree, so that the ver- 
tebral apiñes stuck out conspicnously. 

Stomach. — The stomach was generally found fiíll of tlie 
remains of food. Tbe mucoue membrane in No. 25, at the 
bottom and towards the pylorus, easily Btripped off Irom 
the muscular coat, and eaaily rubbed to a pulp in the fingen. 
Iu No. 26 and 27, on the whole inner surface, eepecially at 
the cardiac orifice, it was tíückened and raísed in acales eaeQy 
Btripped off while the outer surface of the viscus was red. 

Smait InUtlint». — The ileum (24) in ita inner aurikse was 
pretty strongly reddened, with great injectíon of the veS' 
seis, and tbe whole tract of the small iutesünea contained a 
TÍBcid gelatinous mucus. In 26 and 27 the gut was outwardly 
reddened and injected, and the tissue eamly tom; but intemally 
no trace of inflammation, and the contenta the same viacid 
mncue. 

Larfft Inietünet. — At the point of junction with tbe small 
intestines (24) there waa conúderable vascular injection, and 
the coats of the gut had lost tbeir transpareucy. In 26 tbe 
coats of the Urge intestine were easily tom. In 28 throughout 
the whole course of the colon, between the muscular and peñ- 
tonceal coat, tbere waa an abundant coUection of a briny, 
coagulated (aulzartig geronneuen) transpaient, gelatinouB maas. 
In 25 the rectum was constricted at tbree places, and distended 
with gas between theae constricted places. The contente were 
pitcby, or green or clayey fsces. 

Mesmtery and Olandt. — In 24 and 25 the véasela of the 
mesentery and meso-colon were fiUed with blood. In 26, 27, 



, Google 



KALI BICHROMICUM. 



aad 28, besides the injecüon of the meaenteric vesseta, the 
glands of the mesentery were ia eome BpoU thickened, enlatad 
to the BÍze of peas, and contaioiiig a bluieh brown or brown 
ñiable aubstance. la the three last casee the diaphragm 
vas reddened and traveraed by enlarged vesaels. 

Liver. — The liver was in every case eolarged, and in some 
eren to t^rice its satura] aize ; it was in all cases fall of blood 
and friable, and easily nibbed to a pulp between the fingers. 
Its colour wa« dark reddiah brown, or eveii blackish iu Nos. 
24 and 25. It was double its natural süe, but the colour 
IÍght«r than natural in No. 26. The gall bladder naa ñill of 
büe in all cases. 

Eidneya and Bladdtr. — In Xo. 24 the tubular aubstance 
was someTrhat sofler tban natural, and reddened : the bladder 
was full of clear watery uriñe. In Ko. 25 the kidneja were 
dense and firm : the vertical and tubular parts not to be dis- 
tinguisheá by their colour, wbich was in both dark brownish' 
red : the bladder was quite filied w¡th thickisb yellow purulent 
looking uriñe ; its coats soft but without any traces of ¡nfiam- 
mation. In No. 26 the kidneys were outwardly dark coloured, 
and inwardly shewed only slight traces of the tubular substance. 
In 27, when cut into, they sbowed a brownish red cobur, so 
that no trace of the tubular substance was to be seen. No. 
28 presented ezactly the same appearancea. In the three last 
cases tbe bladder was quite empty. 

Nasal Pasaaget. — In No. 28 nasal paseagea were reddened. 
In 25 they contained a considerable quantity of cheesy wbite 



soft masses: the mucoua membnuie was sotlened and dis- 
Goloured, showiug several spots like amall ulcera ; but it could 
not be dietinctly made out whether they were ulcera or soitened 
spots. 

LtmgM. — In Nos. 24, 2S, and 27 the lungs were collapsed 
so much as in 24 only to fill the posterior cavity of the cheat : 
their colour, both on the surface and in tLe parenchyma wns 
deep pink or cinnabar colour ; they were unaltered is tissue, 
crepitating and swimming in water. In No. 26 the front ei- 
tremity (dependent part) of both lungs ebowcd roarks of inflam- 
mation, and aank somewhat under the surface in water. 

ffeart. — In all cases the auricles and ventrictes were fiDed 
with dark clotted blood. In 26 the heart was enlarged to 
nearly the size of a whole lung. In 27 tbe heart eeemed larger 
than both lungs put together : the pericaidium wafl reddened, 
and the coronary arteries full of blood. 

Brain and ilt Memhrane». — In No. 27 the meningeal ves- 
seis and the sinusea were gotged with blood : the surface of 
the leít heoúsphere veiy vascular. In 26 the membnues 
were reddened, and posteriorly there was an extravasation of 
dark blood ou the surface of the brain. In 25 the membranes 
somewhat reddened, and there was considerable vaacular de- 
velopment in the ventricles: the brain wae very soft. In 24 
vaacular development in the membrauea, which were uniformly 
reddened : the veasels of the cerebellum and medalla oblígata 
aa if injected i the subatance of the brain was very soft, and 
fallin^ into pulp under the preBsure of the finger. 



yV^OOgk 



STMPTOMS OF KALI BICHROMICTJM. 



N.B. — The Byniiptoms are given in groapB in tbe natnral order of tbeir occnrrence in eacit prever. Theie gronpB are nombered, and arntngeá íd 
the same oider as Ukbnemann'a proTÍn;^. ^Vlien the nnmber of symptoma ¡a not great in any section. so tliat the eye can easilj ron orer them all, 
,0 Analjsi« ia added; baC onlj tbe iodcx pomting out where njniptoiiiB referríng tu that section are met wíth in otber paita of the pTOving. 

In tbe concordan™ the coireapondence only applies to the worda ovcr which the Ictter of refetence le placed ; bnt if the latter la ptawd ttt the end 
f a sentence oí paragraph, it apphes to the whole. A mark of intenogatíon implies that no medicine conesponding to the sjmptom to which ít refets 
could be Cband. 



a Atf. B. Btj, Ai*. 



Head and 

1, Inclination to vomit for an hour, and in 
the evening* frequeat threateaingB of giddinees. 
Next day, frequeat sudden attacks of yertigo ou 
staading'' or waiking, bo violeot tbat he Bta^- 
gered and thought he would have fallen. {M/r., 
3 provmffs, 1. d.) 

Z. Soon after the dose, nausea, giddinese, 
and drawing pains íd the hande, feet and back. 
(Mr., 1 dote 1. d.) 

3. ParozyemB of vertígo ereiy 2 hours, 
lastiog for 12 hours, succeeded h; headache 
cbiefly in the frontal protuberance, witb ex- 
treme proBtration of strength. {A /emole, aged 
36, afitr 30 gtí». Ul. dü.) 

4. OiddineSB at 10 or 11 o'clock, A. »., in. 
creaeed on 8toopii^.° 

StabbiDg pfüus in tbe lefl b^pochondrium. 
(Ch. W.) 

5. GiddineBs in the moming, relieved by 
tea.'' LightnesB acroBS tbe forehead on stoop- 
ing, chiefly in the morning.* On stooping, 
frontal headache aa añer a debauch.' 

MuHt; taste ia tbe moming. 
£ad appetite and foul tongue, 
Sour vomiting, excited by sEoopiíig or mo. 
TÍng,« witb pain at epigaetrium. {Atgn. Ch. W.) 

6. Vértigo on rising from bis seat: every- 
thing appeared tuming round: accompaníed 
by pain in epigaalnum." 

Pain acroBS tbe loins: he ciumot strugbten 
himaelf afrer stooping.' {£ru. Ch. W.) 

7. On the 4th day a severe headache carne 
on in the aftemoon and increased gradually till 
dinner, after vbich (eaten with appetite) it was 
relieTed,' though uot gone. Next moming it 
was gone, and he had a copioua loóse stool. 
{DU., 2nd. dil. night and morning for 6 rfoy».) 

8< Violent sbooting pains from the root of 
tbe nose along the leit órbita] arch' to tbe ex- 
temal angle of the eye exactly, with dimnesa' 
of B^bt like a ficale on the eye : begius in tbe 
moming and increaaea till noon, goea away 
tovarda the evening. Laated 3 weeks. {Bw». 
Ut dü. bú die.) 

9, Soon after rising ia the moming a dartjng 
pain in a small spot over the lefl: eye, spread- 
ing" over the forehead, hut Btill remainmg 
worst at tbe oripnal spot; worse on motion. 



Sensorinm. 

After breakfast, aching pain beginning at tbe 
nayel" aod rising up the throat, laating half-an- 
hour. {A femóle, aged 14, Iíí dil. bis die.) 

10. Soon after dinner a dull heavy throhbing 
pain in tbe forehead, feeling as if it would 
buTBt," abcve the eyes exteoding into the 
head, witb desire to lie down, and relieved by 
lying down or reeting tbe head on anytbing, 
and by being in tbe open air ; worse on atoop- 
ing or moving about 

11. Diyness of the nose, witb sensation of 
preeeure at tbe root of tbe noee' as at the be- 
ginning of a Btuffing cold in the head. The 
pressing pún epread to the temples and con- 
fused the whole head ; later in tbe day very 
Tiolent headache with wearinesB of the limbo. 

Vértigo, nausea and inclination to vomit, 
with retching up of sour watery^ fluid ; sham- 
hling of the lega ; he must eit down. 

Drawíng pain in rigbt bip atretebing to the 
knee, Aching in the loweet riba in the ligbt 
side, lasting 2 dayB. (Reisiager, '/, gr. 1 dote.') 

13, On the 3rd day, both while sitting and 
waiking about, be bad diatinct pain in tbe bone 
at the middle of the left tibia ; ' it carne Bud- 
deuly. Usted for a few seconds, and then went 
off Buddenly, and retumed thus frequently : 
also for a few minutea a aimilai pain along 
the left orbital ridge of the frontal bone. Next 
moming, 10 a. u,, this latter pain carne agaia, 
and gradually increased and apread to the 
upper left maxilla,* and was attended with flow 
of saüía ; ' tben it went off imperceptihly. It 
returaed for 3 subsequent days at tbe same hour. 
{Schlesinger, '/,„ to V,,, gr. 4 doiet m 7 dayi.) 

13- On the 2nd day he had again tbe pain 
in the forehead for about 2 hours in the 
mommg: next day 3 hours. It retumed 
daily for 10 or 12 days in all ; 6 or 7 
days after the medicine was etopped. It 
became daily milder and of sborter duration. 
and carne later in the day. For the last 5 
or 6 days there carne also a parosysm in tbe 
evening, which followed the same course. {SvM. 
%p ?'''< 3 doíeí in 5 dayt.) 

13a, He was seized with violent pain in the 
leit parietal región abore and behind the tem- 
ple in a spot the sise of a crown-piece. 



I Aw. CqIdc. HtU. 
IgiLlod . Ueremiil. 
Scp. eü. Uet. 



: Etod. Kre. LiKfa. 



KALI BICHROMICÜM. 



Symptoms 13 To 24. 



nead aDd Sensorium. 



■ FbM. Plit. Btapb. 



The pain wm felt chiefly at night" and sub- 
GÍded duríng tbe day, and carne on violent ag^n 
at the same hour in tbe evcning about HUDset. 

A BwellÍDg' Boon fonned at the seat of the 
paia : it grew more iu Ibe night, and went down 
a little íd the day : in a week it got to itebeight, 
and was tbea about the size of an e^. It was 
then quite hard aad not sore tixthe touch. 



The pain was confined to the lump, and vaa 
oí a Htabbing character, and as if tbe head were 
opening. It lasted ín all about 2 montha, and 
then the puna and swelling gradually weQt awaj 
viithout any auppuration or eoftening. (I CH. 
W. aged 16.) 

[It was carefnUy ascertaíned that this lad 
I never bad Bjphilis ñor mercury. 8ee Appendix.] 



Tertigo, 84, 92, 94 (im. eff.), 99 (gastr.) 1S3, 
(cough), 163 (renal). 
„ betCer m wolkiiig, 106 (gaatr.) 
„ worao on Btooping, 106 IgaRtt.) 
„ better in tho opon air, 109 (gastr.) 
„ on moving tbe head rapid]y, 129 (goetr.) 
„ on silting up in bed, 133 (abd.) 
„ asgravated on lybig bock, 132 (abd.) 
„ atler Doughing, 160 (coagh). 

Almoit total inBeniibiUty, 96 (im. eS., poiaonoiu 
doaej. 



uinoBí, &C., 99 (gastr.) 
„ in the moming, lUT (gaatr.) 
„ in thd temples, 109. 
Head generally, achicg, 45 (nose). 

„ beavinesB and weíght, 160 (.congh, &c.) 

„ himuning in, 127 (abd.) 

„ bnreling pain, 136. 

„ „ inoat in tha templeí, 136 (abd.] 

Beuabes. — The affections of the head and 
the chief afiection in the groups wbere they occur; but are generaliy 
tive organe. There ia generaliy a duU confuaion, deacñbed 
with beaviness in the eyes and nausea. The actual vértigo ia generaliy 
mostly in the templea and forebead, and of a ahooting or preasing character, or 



índex. 

Head, presaire teaiing poina (with laoryínatíon) 
137. 

Pain the bonea of tlie liead, 204 (general paina). 
Creeping contraction on the scalp (with nausea) 

111 (gastr.) 
Fluebes up to the head, 86 (im. eff.) 
Flying pama in head, 135 (abd.) 
Forehead, p^, 89, 92 (im. eff.), 104 (gaatr.), 
129 (gastr.) 

„ with cold Bweat, 109. 
„ ,, „ andcolic, 120. 

heavinesa in, ereoing, 65. 
dartiug pain, 129. 
„ violent presBÍTe, after dinner, 



Forebead and occipnt, dattiiig paía in, 137. 
Vértex, preíaive pain, 136, 163. 

„ apreodiag to the temple, 130. 

„ throbbmg, 120. 

appear to preaent tbemaelí 



Vértex, foUowed hy paralytic drawiug in ñgfat 

shoolder, 204. 
Semi-lateral, 135, in ■ amall apot, 112 (gastr.) 
„ pulaative, 129, lancinatuig in pajoxysma, 
204 (gen. paina). 
Templea, 102 (gaatr.) 

ebooting, 98, 94, 129, 135, 137 (gaMl,), 
193 (gen. paina). 
„ „ relieved by rest, 129. 

„ throbbirg, 123 (gaatr.) 
„ temporal muacle, 201, lascia, 204. 
Oodpnt, 104 (gaatr.) 

„ and foroheád, pieMbig tcaring in p>- 
loiyama, 201 (paina). 
„ {rom oceiput to forebead, 53 (noae). 
Pain in right aido of ocdpnt and leñ face ann, 

204 (gen. paina). 
Pain in rigbt parietal boue, 202 (gen. pain*). 



seidom ae independent eymptoma, or u 
conjunction with aymptoma belonging to the diges- 
&c. worse in tbe morning, and accompanied 
motion and lelieved by rest. The headache b 
" spot. The chief local paius seem to haré 



their eeat in the esterior tiesuea of the head, eapecialTy over the lelt orbit ; aee Nos. 8, 12, 13, 13a, 202, 204. 



Sulpb. Zinc 

i Anr. BeU. 

K. hyd. ■■ 



Cien 



' Clí¿. Dig! More! 
Fhu.Silwd. Sulph. 

/ Btt, Nui, Pul». 



t Coleh. Uug. Sxa. 



h Ckn. Licb. Uní. 

i An. ' Bc£ ' LhIi. 
HetcPtiai.apiccI. 



k Alam.CiD. Eapboi 



14é Buming of the eyelids,' 
15. SmarÜDg and biting of the eye." 
16< Od awaking on the second day, burning 
in tbe inner canthus, wbích extended over tbe 
whole lowér lid ; ° aggravated by writÍQg. 
{Zack., Ut Irit. dailyfor 9 day*.) 

17. Smartüig in the eyes, woree in the open 
air,' on the Ist ; on the 2Dd and 5th presaive 
pain in the hall and buming ; ' on the 4th aore- 
uesa in the right carúncula.' [fign.. I- d.) 

18. Buming in tbe eyelids, increadng in 
intenaity dally, and on the 6th they were glued 
up on waking. {Zl., l»l trit. daily 1. d.) 

19. On the dth day smarting of the extemal 
canthus : ■ on the 1 Ith redness of tbe conjunc- 
tiva, with heat and an uneasy aenaation aa if 
whenopened under water. {Dle., Istdil. 1 4 day».') 

20. On the 2nd day, watering, itching aod 
buming of the eyea, especially tbe upper eye- 
lids.'' Tbe cor;', oculi ia reddened and traveraed 
hy large red' vesaela, and be had tbe senaation 
of sonietbing fallen into the left eye. {Mz., '/» 
gr. 1 áoíe.) 

SI. After buming in the eyes frequently, 
on the 19th day there was some <Edematous' 
swelling of hoth eyelids, which lasted üll night. 
{Lack., líí írit. 1 doxe daily.) 

ÍSt. On the Ist day, itching of the eanthi,' 



Ej-es. 



dryness' of the eyelida, slight redness of the 
conjunctiva, and troubled visión. 

Ñext day itching and watering of the eyes : 
the albugínea is dirty yellow and appears pufly,' 
with yeUowish-brown™ pointa the size of pin- 
heads; heat in the eyes and desire to nib thera. 

On tbe 3rd day troubied visión : thia was 
worae on the 4th day, and on looking at an 
object the eyes bum and the aight goee away, 
tbe objects appearíng witbout diatinct outline. 
These symptoma went off gradually in 3 days 
more. {Mr., I, d. 1 doae.) 

33. After amarting, itching and watering 
frequently during tbe day, and morning a^lu. 
tination during the previoua days. Ou the 7th 
the eyes. were glued in the momtng ¡ the itch- 
ing and watering continued all day. 

In the afternoon the photophobia increaaed to 
such a dcgice tbat be could not open the eyes or 
bear the light of day witbout constant quivering 
and twitcbiog uf tbe eyelida, and great watering 
of the eyes and buming of the lids. Towarda 
evening the photophobia weat quite off:' tbe 
tarsi were much reddened, and tbe con;. palpe~ 
brarum injected and red. The eye symptome 
went off gradually in the next 2 or 3 daya. 
(J/i-, 9 ¡/rs. 1>¡ trit. daily for 10 dayt.) 

34. Afler frequent buming in the eyes, es- 



ilized by 



Guu^jL 



SYMPT0M3 25 TO 41.] 



KALI BICHROMICUM. 



B de. Dic. Onpli. 



r Bell. Kui, San. 



pecially in the outer canthus, during the pre- 
viouB days, on the 21st day at noon, in the 
house, he liad presBure and buming in the eyes, 
and feelbg as if sharp eajid" in them. 

In the albugínea of the right eye, not far 
from the cornea on the outer side, he eaw a 
brovn spot of the «ize of a pm's-head. 

Towarde evening ogain, great buming and the 
feeling of increased beat in the ríght eye, and 
aleo at times in the skin'' round it. For the 
next few days the eyee were agglutinated, and 
eensitive to touch and motion, and heavy. {Zlat., 
2nd trií. 1 doie daily/or 27 doy».) 

S5. On the 8th day aereral bnght red^ 
spots aad Btreaka' appeared on the white of 
the eye ; in progress of üme they changed 
theír place, and in 13 days diaappeared. {Zíh., 
1. d. 1 do3e daüyfor 4 days.) 

26< After bumiug of the eyea and agglutina^ 
tion of the lids, and accumulation of yellow niat- 
ter at the anglea repeatedly on the previous days, 
on the 1 1 th and agaln on the 30th days the tarsí 
were reddened and itch,* and bura, and seem 
rough,* causing the sensation of friction' on 
the eyehall on moving the lids. 

The buming and sljght eye symptomB con- 
tinued to return for about 4 weeks afler the 
last dose. {Zl., 2 provings, 2nd trit. 1 d. daily 
fot 23 day», and '/[, gr. every 4 dayí for 8 

Among tht Workmen. 
S7' Sedness of conjimctÍTa withlacrymation. 
SS, HeavineBB and soreness of the eyes. 
S9. Pains in the eyes for the first foitnight. 
(J/«G.) 



30. Eyes inflamed, and adherence of the Ms 
in the morning, and yellow discharge. (líwe.) 

31. Eyelids ínfiamed and much Bwollen, and 
eruption" hroke out on them and adjacent parta 
of the face, lasting 2 days. (1 Ch. W. the day 
afler exposure to the vapaur ofchrome liqttor.) 

33. Eyelids inflamed and much awollen.' 
{Ghm.) 

SS, Eyes tender, cotfj. oeult injected, eyelids 
fllightly granular." {Plt.) 

Si. Pastule' on the left comea, with Bur- 
rounding indolent inflammatíon, attended with 
pricking pain ; leucoma on left cornea. {Lge.) 

35> When any of the Bolution accidentally 
gete into the eyes it produces Tiolent inflamma- 
tion and lose of vieion. 

36. Heat in the eyes: lacrymation in the 
moming at home : appearance of small whíte 
pustules in the conjunctíva of left eye towards 
the inuer canthus. These "puatules" are 
small white granular' elevations surrounded 
with a good deal of redneas. {A young man 9 
days al the toorkt. ) 

87. In the second week of ezpoaure he had 
itching and pain in the eyes like aand in them, 
worse in the evening" and night : the conjunctáva 
both of the bulb and lida injected. ( I Ch. W.) 

38. Redneas and swelling of the upper eye- 
lids, and next day pustules appear upon the 
hands. (_77tese are experieneed h/ <m individual 
very lentitivñ ía the action of chrome if hi m«raly 
patees through the works during the boiüny.) 

39. Ophtbalmia : it commenced with itching 
for several days, followed by pain and heat in 
the eyes and agglutination of the lids : the con- 
junctÍTa was red. (1 Ch. W.) 



(iCn)t.mM«n.Sep. 
Hep. 

V Acón. BeU. Bu. 
Bn. Con. Qnpli. 
Hep. Mero. tUiíu. 
Bm. Sen. Bep. BoL 
Pul*. Thult. 

í SuLID 



OWBCTITB BniFTOllg. 

' 'lemoming, 18, 23, 2 
, and yellow 



INDEX and ANÁLTSIS [Loea¡ Sifmpionu U lo Si 



laetulBi: 



„ Bwelled np and heavy, 123 (gastr.) 
„ fieetiug stidiM ¡D, 137 (gaatr.) 
Taisi nid, 23, 26. 

Conjnncüva, red, 19, 20, 22, 23, 27, 29, 83, 36, 
37, 39. 

„ large vefsels, 20. 

„ brown spots od, 22, 2Í 

„ red spots and itreaks, 24. 

RxHABKS.-^The idiopathic action 



LachrymatioD, 20, 22, 23, 27, 36. 

ofrigl.teye(noBe)51. 
„ with headoche, 137. 

PrntÜB dilatod and fliod, 96 (im. eS., poiaonoru 



rigbt ounincula, 17. 
Tender to touch, eyelids, 24. 
Itching, 20, 22, 23, 37, 39. 
Heat, 19,24, 36. 
DryncBfl, 22. 

Ronghneaa of tarsi, feeling of, 36. 
Jdbjsctttb Sihptomb. ProsaivB pain in ball, 17, 24, 34. 

Baming, 14, 17, 18, 20, 21, 24, 46 (nose), 92 Somsthing in the eye, 20, 24, 37. 
(im. eS.) Photaphobia, aftemooo, 23, 57 (nose). 

ioner canthiu and lower lid, 16. Dimness of sight, 22, 8 rbaadache), 65 (gaitr.), 

eit canthos, 24. 102, 123 (gastr.), 168 (renal). 

Bnuutíug, 15, 19, 33. Objects mem yellow, 92 (voDutúag). 

the eyes is plainly shewn in the foregoing, and ita character well expresaed. The 
anatomical nature of the changes seems to he inflammatfcn of the conjunctíva oculí and palpebrarum, also of the carúncula lacrymalis, 
and probably also of the conjunctíva of the cornea accompanied with a blennorrhagic process. The tarsal edgea of the lids are impli- 
caled, and probably the meibomian follicles. The infianunation most closely resembles that of the catarrho-atrumous character, as 
indicated by the phlyctenuloe towards the inner canthus, the phoCophobia ameliorated towarde evening, and the lacrymation. The 
inflammatíon tends to assnme a subacute or chronic character, and coromencing eymptoms of granular conjunctíva and thickening 
of the lids are piesent. The deeper üseuee are also not unafiected. The brown spots on the conjunctíva are peculiar. 



1,28. 



t. canthna, 19. 



Nose. 

In the moining snecíing ten times in 11 41. At noon ückling and itching of the nose, | 

First day. (Zl., 2nd trií. 6 days.) \\ and feeling of coldneas* in drawing air throu^ | ■ Ueteniiiiie. 



b,AjOOgk 



KALI BICHROMICUM. 



[Symptoms 42 to 53. 



t Cils. Con. Ljra. 






d Au. Ole. Cn. 



e An»c. Hep-K.liTd. 

Uaiv. Plb. Ftaell. 

Sior. 8aL 
/ An. Am. BclL 

Ole. Con. Nitr.u. 

PoU. Bug. 3uL 
a C*k.C<KC.H>(n.B. 

Zinc. 



j( Aur. Bu. c. Onpb. 
Utn. m. Fat»]. 

FlHM.Tbl|l>. 



Pb». Sep. Salph. 



"cor.'onph.K.cwi 
MigB.>. N.lp,m. 



Anr. Bell. Ctlc. 
Ucñ Ictr. Pbo^; 



dull Boreness" in the septum, emartíng when 

touched ; flow of watery fluid from both nt»- 

tnle ; troublesome quiveríng and creeping, aa 

of uits, beginnin^ tí, the ríght eide° of noee asd 

spreading up to the eyelids, causiog jerkin^ of 

them : sneesing. These syrDptomB carne back 

daily for 2 or 3 days. (Mx., 16 ¡/r. Uí írit.) 

4á. The Bmell even of slrong scents blunted'' 

. the 3rd day, to the surprÍBe of others, 

Bucceeded hy frequent Bneezin^ and incipient 

coryza, Obstruction of left noBtril, with dis- 

¡harge of thick yellow mucus on the 4th day. 

Loes' of smell; and had' emell before nose, 

preceeded by atuffing and increased Becretion. 

(3 malí proveri, lov? dil. 1 iio«« daily.) 

43. Oa the 9th day soreneea aad Bwelling 
of the right' ala nasL {Loíd dil. 1 efoíe daily.) 

44. In half an hour, Bneezing with pressicg 
sensation at the upper partof the larynx, vhich 
extended through the cboaiue to the nose. It 
changes into a tickling in the laryns, and 
spreadB through the mouth and eaiB ; forcible 
SDeeiing ; aching in the root of the noBe (crib- 
riform píate) with heat to the touch of the nose 
at that Bpot, and pulsation. The noae awells, 
and íb red and stuffed, and she speaka thiough 
it, Bod feels as if there was a thick" substance 
in it, making her blow it often, but nothing 
comes out — it íb dry. The same conttnued 
□ext day, and on the 3rd day she had conBtant 
attacks of convulsive aneeiing with heafiness 
in the head, and in the aftemoon buming íq the 
right nostríl, and flow of bríght red blood' in 
drops. On the 4th day tbe Bame bleeding 
afler dinner. {N., Ard dil.) 

45. On the iBt day, in the evening he had 
Bome preasive headache with buming in the 
eyes, and afl^rwards eensation as if the nose 
were stopped, with great heat' of the espú-ed 
air Irom the noBtril. In two hours epistaxis 
carne on. The epistaxis reappeared on the 
evening^ of the 6tb day, and after dinner on 
tbe 7th, preceeded' by buming of the eyes. 
Í^Lach. \st trit. 5 day», daily.) 

46. Afler Bevend days of no symptoma he 
awoke in the nightr with bleeding of Üie TÍght° 
noetril, which stopped with difficulty. (Schl., 
Itl dil. 1 don daily.) 

47. On the 2nd day, bleeding of the nose, 
and in the evening quite suddenly coryza, chiefly 
in the rigbt nostríl. 

Next day it was worse, and much fluid was 
eecreted by the right nostríl, and a spot in the 
ñght lachiymal bone° is swelled and throbbing. 

On the fiñh day, the right side of tbe nose 
was painful, and in blowing the nose he feeis 
as if two loóse'' bones rubbed against each 
other. Tbis continued till the 8th, and th'ere 
were greyish masses blown out, and alíght 
ulcerated' spots formed at the entrance of the 
noetrils, and healed up in the next two or 
three days. {Am., '/j prain 1 dote.) 

48. On the Ist day a considerable mass of 



tongh coDCOcted mucua hawked' up. Añer 
dinner several times he had a short dry cough. 
On the 4th day he awoke' with considerable 
dTyness of the noae ; this symptom reappeared 
on the next day for a short time, accompanied 
with Boreness ; and again oo severa! days to- 
wards the latter end of the proving accompanied 
with soreness and buming, and with interre- 
ning days of more or less mucous discharge ; on 
one occasion a pain spread to the ear. 

On the tweinb day in the evening (without 
smoking) there was a tickling like a hair* mo- 
Ting in the top of the left nostríl, lasting for a 
quarter of an hour, and forñng him to bore his 
fínger inte it, although the nostríl was empty and 
quite dry. (Z/., 2nd trií. 27 dayg, 1 do»e daily.) 

49. At tile coDunencement of the proving 
there was a considerable flow of water from tbe 
nose, subsequently becoming acrid,* buming 
the upper Up and excoríating* the nostríl. On 
the lOth and 20th days, dull aching at the 
root* of the nose. 

On the 13th, the nose became dry and con- 
tinued sometimes dry and sometimes watery 
untO the end of the proving. The nose citen 
being dry in the moming and watery towardB 
evening. 

On the lOth day, afler exercise, he had 
bleeding from the nose (quite unusual). 

On üie 25tb day he had a sensation as if 
he drew in sulphuretted' hydrogen with each 
breath. 

On the 29th day he had diynees, with a sen- 
sation as if the mucous mecnbrane was swollen. 

On the 40th day, the nose being dry and 
smaiting, and on the 41 st, he had a peculiar 
sensation, as if the nostrils were of parcbment,* 
and rigid. 

Towards the end of the proving the nose 
became very sore; and on the 65Úí day there 
was dryness, and the passagea seemed as if 
widened, with easy passage of air. (Zl., '/lo gr. 
every iih day, for 8 tceeks.) 

Individual Catet among lÁe JForkmea. 



m. Soreness at the noee, at the lower (outer) 
surface of the septum' there is a yellow scab, 
which is increasing. It is chiefly at the junc- 
tion of the septum with the upper hp. 

Fluent coryza, especially when at the chrome 
bouse and in the open air, going off when at 
bome. In tbe moming' on waking, obetruction 
of the nose, and bleeding of it afler gettíng up, 
when washing hímself. (A man ayed 25, 9 dayí 
in the uiorh.) 

51. Sweilingof Both aIffi*of the nose. Sneez- 
ing, with lachrymation of the right eye. 

53, Watery discharge, with redness of the 
nose, and a fetíd smell from it (Ilyrt.) 

53, Great discharge of thick clear mucus 
üom tbe nose ; when this stops,'' he has head. 



ÜTiiK. Bula, S«p, 



y Crotón. Am.Burt. 



Mtn.PbtU.SBlpli. 



Stmptoms 54 To 64.] 



KALI BICHROMICUM. 



ache, pain from tLe occiput to the forehead. 
{Brrt.) 

SU. Diecharge, with Hwetling, tmd pains of 
noee and Bneezing. (£%u>.) 

Sa, Watery diecharge from the noBe, with 
soreness, mucb sneetmg, snuffliiig° in speaking. 
{Mld.) 

56, Nosepainfuland dTy.ezceptintheiDoni- 
iiig, nhen a watery diacharge took place. (^Ni/n.) 

Sil, Clinkera form in the courae of a few 
daye, and caá then be eaally detached ¡ but if 
pulled away too soon, it causes soieneBS at root 
of Qose, and iatolerance of ligbt. {Hdn.) 

éS, Almo8t immediat«ly on commenciiig, 
coryza and epietaxis, wluch continué. (12 
moni/u. Hrl.) 

59. The first veek at the works he bad 
frequent bleeding of the nose, which returned 
at mterrals for a year, and since then (19 yeara) 
has been destitute of smell. {Dün.) 



StnauxT. 

60. For the first days tbere ie discharge of 
clear water from tbe nose with sneezing, chiefly 
in going into the opeu air ; then soreness and 
redne«B of the noae, with aensatlon of a fcetid 
emell. Then tbey have gieat pain and tender. 
nees, most at the junction of the cartilage, and 
the septum ulcérales quite througb, while the 
noae becomea obatructed by the repeated fonna- 
tion of hard elastic plugs (called by the work- 
men clinkers). Finally the membrane loses its 
senaibility and remaina diy, and with the septum 
gone, and frequeatly losa of smell for yeara. In 
about twO'thirds of the workmen tbe aeptum was 
found to be gone, in many cases witbout their 
being aware of it. 

The above procesa runa its courae and the 
septum is destroyed within a few weeks, or is 
epread over many months. 



INDEX mtd ASALTSI3 {Loeei ^fn^tomifivm 40 to 



Sneenng, 40, 41, 42, 44, Gl, 64, 55, 167, 151 

(chea^. 
Tickting and itching, 41, 4fi. 
Formicatioii, 41. 
Heat, 44. 

Hot feoling of expired aix, 46. 
Coiddo. do. 41. 

Bensa oí smell dimimahed oí loat, 42, 69, 128. 

„ fetid smell, 49, 62, 129, 13& (abd.) 
StuBed feeling, 46. 
D^eas, 48, 49, 66. 

Rexabrs. — Tbe apecific action on the nose is among tbe most dedded of the effects of this subatance, as it is ob»erved in 
almost all persona exposed to its influence, equally in tbe provers and in the workmen, and alao in the animáis. It is to be obserred 
that tbe watery coryza came on in gome provera in warm clear weather, and witbout any probable extnmeouB exciüog cause. 



1 (hwd), 44, 
57. 

Borenesa of the noie, 47, 48, 49, 50, 54, 65. 

„ of aeptum, 36. 

„ of ola, 43. 

„ of lachijinal bone, 47. 
Ulceration at noatiils, 47, 60, 157 (chest). 

„ of Beptoni, 60. 
Bednéw,52. 



BirsUins, 44. 

alo, 43, 51. 
DÍM^iarge, watery, 41, 47, 49, 52, 54, 55. 

in open lir, 60, 151. 

in the moming, 56. 

thick tbUow mncoB, 42, 63. 

blood, 44, 45, 47, 49, 50, 58. 

at niphl, 46. 

in bnght dropa, 44. 
pinga, cliokera, 57, 60. 



Al, Singing in the eara, which continued for i 
three days inceaeantly.' {Zoth., 2 provingt, l»t 
tñt.Jvr 3 and 5 dayt.) 



gin the eara, 168 (renal). 



6li. A swellii^^ of slightly ínflammatory 
cbaracter in tbe eztemal meatua of the left ear, 
which dieappeared in ibur days, witbout much 
pain. {Ztk., 2tid trit. tweral dajft.) 



Btitcbea in tbe ears, 193 (genenl pains). 



63. On 2nd and lOth days, slight indistinct 
painful feeling on one side oí the face (one time 
rigbt and the other left), eapecially in tbe malar 
bone* and towards tbe ear. 

5th day, aligbt drawing pain of sbort duration 
bere and tbere on tbe throat, at flrst in iront 
between the lower jaw and tbe hyoid bone, tben 
at the cribriform píate, reaching to behind the 
ears. (Zl., l«t trit. hto dil. dail¡/,/of 10 days.) 



Stitcbes in the lefl Bub-maxQlary'' hones to- 
wards the ear. [Neidhard.) 

64. On Ist day, a dígging pain in the rami 
of tbe lower jaw, and next day a awelling' on 
lower ramua — an elastic circumscribed eleva- 
tdon under tbe periosteum, the size of a nut — 
it began to diminieb on the 4tb day. (N., a 
femaU, Zrd dil.) 



Aaiions conntanance, S 



I Very pote and oadaverotw, 96 (im. effi.) 
I „ and eyea smik, 96 (djaentery). 



, 106, 119, ISO, 137 (gaatric 



yC^oogk 



KALI BICHROMICTTM. 



Stmptoms 66 to 76. 



FloBhed tñet,, 96 (gsatrt 

„ ÍD tEe aftemoon, 120 (gaatr.) 

„ aud head, 127 (abd.) 

Buh OH the faoe, 92 (im. off.) 

Sweating of tbe opper lip, 109 (with pain i 



Face. 

Cold Bweat on íaoe, 96 (im. eff.) 
Pmqb in tbe iaco, left side, SM (?eiiL pains). 
„ in infra-orbital ridra, 204. 
„ bebind the earandm tbo lonerjsw, with 
tenñoD of the miiscleg of the neck. 204. 

iug iu the maUi hone and tbe ex- 
200, 204. 



„ „ in npper ma-nll»., below the 

ortñtB, 204. 
üxpansive preñare in the Zygoma, 203 (geni. 



63, Heaviness acrosB foretead, and in the 
evening dimneae of TÍRÍon in 'walking. 

Ulcerationg, nith indurated edges, and smait- 
ing* pain on the macous Burface of both lipa, 

Great thirst; bad appetite. Coppery taate. 

Di^poaition to conatipation, and then aymp- 
toms af^^vated. {Hiví. Ch. W.) 

66. After fouT doeea of one giain, on fbur 
Bucceasive daya, he had a p¿tiat eruptive 
snelling" of the tongtte, which after two days 
became depresaed, and out of ite hoUow biood 



oozed for three days. No pain ; but hie speech 
was obBlructed.'' 

67. Painñil' ulcer on the tongue, laatíng for 
weeks. (CA. W.) 

68. Eicavated cicatrii on roof of the mouth, 
from which a slough separated seven montha 
ago ; no pain untíl aeparation of alougb ; eore 
took eiz months to heal. The velum presenta'' 
a rough papular elevated appearance. {Bryn. 
Ck. W.) 



stoDuwh, 117 (gattr.) 



iitli, 80, 32, 61, 93, 94 
with pain in Üie 
intheerening.iSÍ 



(gasti.). 
Dr^nesB of the mooth, 88 (im. eff.], 168 (gastrio 

and renal). 

„ „ and l¡p8,136 (abdominal). 

Itohing verdea on the lipB, 136 (abd.) 



INDEX. 
Tensión In the MaHoters, 117 [ai1;eT cramp in 

sUimach). 
Toathüche, wilh aalivation, 114 (gastr.) 

„ genand paina, 193. 

Tongue ooated, yellow, 103, 130 (gaatr.), 158 
(coagh). 

„ yollowish whito, 119, 137 

(gartr.), 159 (congh). 

„ white, with tsEte and appetite 

good, 127 (abd.) 

„ biown Cor, 78, 141 (catarrh). 



Tongne Sxf and dark brown, fdired, 96 (gastro- 
enteritis). 
„ Atj and thlckly coated, 123 (gaatr. and 

„ amooth, red and cracked, 125 (dfsen- 

terr)- , 

„ pncking, stuigúig pains in, 135 (alid.), 
69 (thTMt). 
„ aalivation, aalt-tasted, 70. 
Gaping, 79 (im. eff.) 



s Aun. 


Nil 


K. 


xVxKt. 


■a.Ul, 




i BtU. 


Cutli. 
Colcb 


Chin. 
Con. 


•r.i 


Men 
Tu. 


.... 


ilBeU. 

Luti 


ÍKí' 


»s- 









09. Stinging' paios in the toi^e lat day, 
id on the 4th, eensation of a hair* at the back 
of tbe tongue and velum, lasting a considerable 
time, and not reUeved by eating and drinking : 
ime daye, and ending in aore tliroat in 
the moming, which went off in the course of the 
day. {Nn. '/m gr. 6 dags, teveral time» a day.) 

70. At firat no symptom. Then about the 
lOth day the aalivation,'* which had ezisted 
elight before, became a notable symptom. On 
the tenth day, three houra añer '/,„ gr. of tbe 
aalt, he had slight d¡£culty of awallowing. The 
aalivation was troublesome, and caused frequent 
hawking and spitting ; worse after Bmoking. 

Nest day dryneas of the throat, with a Uttle 
pún in empty swallowing. This dryneas aoon 
gave place to the usual mucoua aecretion, and 
the s^va taated aalt." 

On ezamination the aoft parta of fauces 
eeemed alightly reddened, and the uvula elon- 
gated; and he had the Benaation'' of a plug 
in the throat, which would not go away on 
ewaliowing. The same continued for three daya. 
Tbe aalivation continued for ten daye longer. 
(Sehwan. l»í dil./or 10 da¡/t, daily.) 

71, On the 4th day, pain in the throat on 
waking ; sore on swallowing or speaking, con- 



siderably increaaed hy motion* of lower jaw, 
cstending to the eara ; the fore part of the 
palate slightly red. Next day, at noon, aore 
tlmat worse. 

In the fore part of the palate are aingle cír- 
cumacríbed apota of tbe size of a barley corn, 
coloured red, aa if little ulcera were about to 
form. Nest day, sore throat lesaened, and the 
following day gone. (J/x., 2nd trit. 1 dose daüy 
for 5 dat/3.) 

73. On the 6th 6th and 7th, he had aore 
throat, as if of a broad' prickly body. (A., it^. 
dote, 1 daily, for 12 dayi.) 

73, Sharp ahooting pains in the left toneil 
towarda» theear; relieved''by swallowing. {Dle., 
Istweek, Xsídil.) 

74> Relaxed uvula' and injected fauces, with' 
out uneasy feelings. {Several Ch. W.) 

7&. Long continued erytheniatous bluah of 
the feuces and soft palate, varying in hue from 
a dark' to a bríght red ; occasionally of a cop- 
pery colour. (/n many, Ch. W.) 

76. On the root of tbe uvula, on the rigbt 
side, an excavatcd ' sore, half the size of a spiit 
pea, with a reddish areola, and containing a 
yellow tenadona matter ; fauces and palate pre- 
senting an erythematous blush. {Cke., Ch. W.) 



\ Ipee. lod. Nu. 

Cilo. Cíoc. lod. 
Ljo. Nitr. m. BU. 



:-.a 5íí:íí 



Stmptoms 77 To 88.] 



KALI BICHKOMICUM. 



77. Tbe nvula and toDsilB becune red and 
swelled aud painful, and finally ulcerated, and 
were suepected by a surgeon to be sypbilitic. 
{Hry., Ch. W., 8 dayí after expoawe ta Ihe 
toltition.) 

78. Awoke with aore throat, pwn being at 
the [wl&te ; cough with desee txanaparent emall 



liunpy sputa, euUf aipectorated ; tongue co- 
vered with a thick loóse fur ; the papiU» veiy 
long on the dorsum, with a biown cotoured 
patch; sore throat went away ia an hour; tbe 
cough conÜDued occasiomüly during the day . 
{Nn., 20 ío 60 glíi. Ut dil. tmeral titnen a doy, 
IQth day.) 



INDEX. 
SenBatioii of aomeüüng eticking io the throa 
116 (flatolence). 

„ food in the ^oUet, 135 (gaatr.) 

Barnmg in the gollet, 79, 96 (im. eSL), 109 (wit 

headaohe). 
Cool feeling in the fauces, SI (im. eff.], 97. 
Bwallowing, difficult, 81 (im, eff.) 
„ paioful, 144 (corj^). 

„ with a stitch in ríght long, 153. 



DirneM, 144 (oatarrii), 168 (leiud) 96. 

„ «nd heat with thiiBt, 96 (im. eff.} 

Hawking of mocni, 4B (nose), 106 [afler mealB), 

111, 127 (gsrtr.) 

„ toogb whito nnita, 106 (gastr.) 

"ncÚing and presüng man throat to ohootue, 

44 (pose). 
SeratchÍDg and icra^K in the throat, 8B (im. 
eff.), 111, 127 (gaett.), 171 (&tal). 

REit&BKS. — Tbe idiopatiúc acüon on the throat is well marked. The inflammatory pioceoB seems of a chronic indolent 
character, tending to ulceration, with Uttle ewelling or pain. . 



Tennon of the moBcles of the neok, 201. 

Fauces reddened, 106 (gasti.), 144 (catanh), 168. 

ToubUb „ 15S. 

Urula relaxed, 106. 

Painlwa midniating Bemutím &om the eingu- 

tritun np the choát, 97. 
Shooting ¡ron ' ' ' 

neok, 110. 



t hypochinidiiim 



Nansea, Vomitliig: and Immediate ettectA. 

powerfnl lUid oert^n 

_ _ , ciño oimactar of the aotion of the sabstanoe, if the doBO is com- 

pÜatÍTely gieat Thefte efiécts aie, therefore, arranged togetber, añd a «afficímit number of exomples given to show diBtinctlj their natnre ; bnt to 
Mve OBeleBB repetition they are oftan omitted. It ¡b to he midentood, that whun the dose amonoted to from >/, to 1 grain, Tomiting was generallj 
pniduced, and often preventod the developrnent of any fmther symptoms ; or if not, ionio of the s jioptoms in this dÍT¡BÍon preceded thoeo deicribed in 
other places. However, Bome of the groaps which are neceBsanly acianged here, from the masnitade of the doM, oontaln veiy valnable and charac- 
terietic BymptomB which Booceeded the vomiting or the shock lo the ayatem oaosed by the poisonoos do»e, ao tbey mnst not be orerlooked aa 
hom(Bop«thic indications.] 



I Htgn. TsbM. 



■ DnltCntaLKtMH. 



79. Immediately, Bouneh ealt taate in the 
tnouth; diegust for food ; nausea; alight buro- 
ing in gullet ; conetant gaping ; in half an hour 
BtrODg presaive pain in etomacb, with great 
nausea and íncUnation to vomit, which was 
with difficulty repreased. (R., 20 yr. Ul trit.) 

80. Scarcely had he taken tbe drug tban he 
bad fitrong nausea and metallic taste, continued 
eructaron witbout vomiting, and great flow of 
water in the moutb. {EiSiiUr, '/ubÍA jr.) 

81. Two or tbree minutes añer taking the 
doee, be bad a cool* feeling on tbe hinder wall 
of the pbarynx. Tbis increased to a diy scratch- 
ing, wbicb caused repeated ptünful cougb for a 
few minutes. Tbis waa felt every time he took 
it ; and also on tbe 8rd slight difficulty of swal- 
lowing epittle. Tben be bad a few empty 
eructations, and in about a quarter of an hour 
Bome aligbt ^ping. After the above, in five 
minutes, on 4th day, be had a H%ht dull un- 
easiness in etomacb, emp^ eructations and 
rumbling in the bowels. {Schl., 1. d., 1 do>f 
daily, 4 days.) 

83. Naueea, beaving at tbe stomach and 
shuddering, with flow of water in the moutfa, 
senaation of coldnesa'' in the stomach, and 
want of appetite. { 3 j, 1»' dü. DU.) 

83. Half an bour after taking 15 gtts. Ist 
dil., sickness and great inclinatioa to vomit, 
and sUgbt cbilUness.' {M. J.) 

84. Eructations, nausea, giddiness and feel- 
bg of beat aU over tbe bcdy.' {Mz., 10 yrt. 
2nd tril.) 



85. Soon afler, while watking in the open air, 
he hsd nausea, eveu to faintnees, and desire to 
Tomit, but could not ; and after some hours, 
Bour eructations and griping ín tbe bowels. 
The sour emctaüon retumed twice tbe day 
afler the dose waa takcn. {Schl. '/» ^') 

80. Immediately, disagreeable metallic taste 
and uneasy sensation in tbe etomacb. Nausea 
like sea-sicknesa, an indesoribable sensation of 
gentle tearing and conetriction in the etomacb, 
with sUght rushe^ of blood to tbe head at in- 
tervals-— accompanied by great weaiiness and 
exbaustioD— so that after trying a couple of 
houzs to overeóme it, and Ibe had taste and 
uneaúnees in stomach (increased by walking) 
be was obliged to lie down and siept two bours. 
In the rest of tbe day he etill bad tbe eweetish 
metallic taste, and water' tasted bad, but food 
right. (A., \bgtU. Ul dil.) 

87. The nausea waa compared by many 
others to sBa-sickness, and was ezcitod or ag- 
gravated by moving* about. 

88. He woke in aboul two hours with great 
uneasiness in stomach, and sorenesa and ten- 
derness in tbe región of tbe same, particularly 
in a small spot'' towaids tbe left of zyphoid car- 
tilage. Tbe pains continued for some time, 
with drynese of the moutb, nausea, restleesuesa 
and wakefulnesB, beat' of tbe hands and feet; 
tben perepiration of tbe banda, feet and legs, 
foUowed by subsidence of the symptoms for 
about two bours, wben tbey occurred again as 
before. {Dle., after 3 j, Ut dil. takm aibedünu.) 

Jigitized by 



/ Coff. Lfc. Uui 
Ndr.ai. Nllr.u 



Guuv^k ' 



KALI BICHROMICUM. 



[Stmptoms 89 To 96. 



Nausea, V«iiiitlii|; and immediate effecfs. 



Bapti. Tirt-Venli 



S9. Heawokeat2A.if. withviolent HÍckneaB, 
but unable to vomit, and headache, cbieflf in 
the foreheiid, preTentíng aleep for about an 
hour, then it subsided, and be had restleBs sleep. 
{Wgt, afUr %gr. ai bedtime.) 

90. Ñauaea and violent ahootíng ptúnB in tbe 
atomach, then vomiting of tbe drug. [Xg., 25 
gtU. Ut da.) 

91> Soon afler takin^ it, excessive nausea 
and inclmation to Totnit, and flow of ealiva, ag- 
gravated by motion and sight of food ; in two 
hours, wbile walking in the open air, deadly 
sickneas, wíth vomitíng of ligbt yellow insipid 
fluid. (i)y«., iVi^r.) 

92> Immediately Añer taking it, while be sat 
wríting, be was seized witb giddíuess, so that 
tbe pen trembled in bis hand. 

He rushed to the nindow for freab air, but in 
a moment he had the moat violent vomiting of a 
wbite, mucouB, sourish fluid ; accompanied witb 
fnghtful nausea and preasive and buming paine 
in tbe Btomach. Then the symptoms remitted 
for a. little while ; but five minutes had ecarcely 
paBsed wben tbe giddinese' and nauaea' increased 
to tbe greateat beight again, and the painful 
Tomitjng was repeated as before, thougb lesa in 
quantity. 

At the same time, pain in forebead, buming 
in eyes, and glowing heat^ of face and upper 
part of the body, while he bad an inward' cold 
shivering wbicb conünued for three boure. 

There was a portion of brigbt red blood, the 
size of a hazel nut in the vomited mucne. 

The body wa« now covered with anxíoUB 
Bweat, and the buming headache and giddinesB 
increased, and with it be aaw objects' as tbrougb 
a yellow veil. 

He took some warm soup, and sat down to 
finish the letter, wben be was immediately 
seized with vomiting os hcfore, in aucceasive 
throes, whicb foUowed on eacb otber eo rapidly 
that he could acarcely get breath : the matter 
vomited was yellow, bitter and biliouB. 

For the reat of the day be had headache, and 
the face broke out in a raah wilb tbe atraining. 
Taste bitter,' and aalt ;' grcat tbirst. Tbe ex- 
temal fluahes of beat and inward cold^con- 
tinued ; pain in tbe breast in deep inspiration ; 
epigaatrium senaitive to toucb, and the leaat" 
presBure brínga on tbe inclination to Tomit. 
No appetite. 

After a short aleep the nausea waa gone, but 
be stiU felt weaiy, and beat of the banda and 
face, wbile tbe arma were cold to tbe touch, 
and he had inward" shivering. 

He bad distensión of the abdomen and gur- 
gting in it, as if a fluid atool waa going to 
come ; discbarge of fcetid flatus. Next few 
daya the fulnesa ia abdomen atter eating 
was the only eymptom leit. (Jt., */s gr. 1 

93> In balf an hour emart salivation ; salt 
and° bitter saliva. In tbe epigastríum be bad a 



senaation of over.Ioaded'' atomach, thougb be 
had eaten breakfast witb reliab. 

Tbia uneasy sensation increased'' to a violent 
pressure, then nausea, eructation with a rancid' 
taste ; inclination to vomit, and sligbt gríping 
in upper belly. 

Tbis was followed by flusbes of heat altema- 
ting with ahudderíng ; and sligbt sweating on 
tbe hack and inaide of the thigha. 

As the nausea increased be became iiritable, 
had paleness of the face, and fínalty vomiting, 
with rehef of tbe aymptoma. {Sch., '/, gr. 1 
dot9 laten after hreakfatt.) 

94. Soon after 40 gtts. lat dil., nausea' and 
incUnation to vomit without being able, with 
moutb fult of water as before sea-aickneas ; ac- 
companied witb vértigo,' as if sbe would feel 
relieved in lying down; but the nausea con- 
tinued, and abe vomited clear watety fluid. 

The vomiting was attended witb cold per- 
spiraüon' on the banda, and coldneas of tbe 
body, 

Then heat over the body with feeling of cold ¡ 
heavineas in bead and transient shooting paine 
in the temple, worse on lying down. This 
lasted some hours. (^A. B.) 

95. A workman, aged 35, got by chance 
some of tbe solution of tbe bichromate of pot- 
aah into bis moutb : be spit it all out, as he con. 
ceived, but scarcely had a few minules elapaed 
when he felt great beat in the throat and 
Btomach, and be was seized with violent vomit- 
ing of blood and mucua, whicb continued till 
within a few moments of hia deatb, five hours 
after the commencement of the symptoraB. 

On diaaection, the mucous membrane of the 
stomach, duodenum, and a flfth of tbe jejunum, 
were found deatroyed in patchea, and tbe re- 
maining parts could be eaaily removed with the 
handle of the scalpel. The lower part of the 
intestinal canal waa healthy. (Baer's cate.) 

96. A youDg man swallowed about 2 oz. of 
the salt dissolved in warm water shortly añer 
breakfast. 

In five minutes, vomiting, first of the food, 
then of a thin glaiiy fluid of a pinkish hue. 

In half an bour, face eiceedingly palé, ca- 
daverouB, and covered with cold perapiratíon; 
tbe pupila dilated and fixcd ; pulse exceedingly 
feeble ; crampa in the calves" of the legs, and 
almost total iasensibility : occasional vomiting, 
attended witb violent epigastric pain. [Tbe 
atomach pump, &c. were used till the washings 
of the atomach hecame colourlesa, j 

The patient now complained of a buming 
pain at the pit of tbe atomach, an'd of a senae 
of dryneaa and heat in the throat, accompanied 
with exceasive tbirat. Vomiting and straiuing 
Btill occurred at intervala. 

Tn abont two hours and a balf the vomiting 
had subsided, and he began to assume bis 
natural look. The temperature of the skin 
rose ; and with the exception of slight epigas- 



itized by 



Güo^^k 



Symptoms 96, 97.] 



KALI BICHROMICUM. 



Ljrc Uaga, Mags. 



trie pain and dryaeBB in the fauces, he Beemed 
compBratiTely comfortable. The pulse was 100, 
and rather full ; the pupila responded to light. 
Mind calm and iatetligence undisturbed. 

TweWe houre after taking the poison, very 
Bevere gastro-inteetinal inflammation had set in, 
accompanied níth aevere cramp ia various parte 
of the body, particularly" the calves of the lega 
and inner' parta of the thighs. The skin waa 
hot and dry ; cheeka fiushed ; countenance 
anzious; pain in the head ; pulse 120, hard 
and full; respiíatiou rapid; epigaatñum and 
abdomen very painful, not bearing the slighl«at 
preeaure ¡' constant atraining and retching. 
The blood drawn was cupped and buffed. In 
ten hours the TOmiting and crampa had ceaaed, 
and the other aymptoma leas intense, thougb 
atill persiatíng; the tongue waa aleo dry and 
covered with a dark brown fur; pulae 100, 
hard and jerking; the boweia had not acted; 
great complaint of the taate of the chromate in 
the faucea. In the evecing the aymptoms were 
all aubsiding, and the boweU had acted once. 

In the nigbt, sixty-aix hours aiter taking the 
poison, he waa aeized with violent purging, 
which continued almost incesaantly ; the bowels 



Nausea, Tomiting and Immediate effects. 



lated as he lay in bed ; the eTscuations 
consisted of mucus and blood;' when thÍB had 
lasted two houra he was reported to be " dying," 
and was found with the skin cold and clammy, 
face palé, eyes eunk, feet and hands cold ; 
pulse scarcely perceptible ; abdomen awollen 
and tender. Reaction set in in about two hours, 
and the ayuíptoma gradually subeíded towarda 
erening of that day, Doring the day were 
obserred : excesúve tlúrst; pulae 120; ab- 
domen tender and awoUeo ; frequent twitcbes ' 
ín the calves of the lega ; straining and purg- 
ing. 

Next day the purging retumed, but not BO 
violent as before, and the atoóla contained fecu- 
lent matter; teneamus not aevere; abdomen very 
tender in the región of the aigmoíd flexure ; 
distensión slight; thirst and fever abated. 
Next day, aymptoms subsiding, and bowels 
acted onlj once, and stool natural. 

[A/Ur efecü iasting 4 montht.) The conva- 
lescence waa esceediugly slow, ulceratiou of the 
boweia having aet in, and with difficulty been 
aubdued. There waa considerable emaciation 
with urgent dyepepsia; boweia habitually coa- 



CiiH. C<dcb. Men. 
Mere.c.Hep.Tan. 

Cupr. Arff. iüÍh 



Cupi. Onph. Htp. 
HyM. Liicli. íjc. 
Higo. Ma^. ~~ 



„ in tb« optai air, S5, 
líke saa-sickneu, es. 
woTM on motítm, 87, 91, 100. 
betler in the open air, 109. 
in the moming (witb m 



„ at the sight of fond, 91. 
„ dnring meala, 111. 
„ after meáis, 130, 137. 
„ after break&st (with pain in Ü¡a ahonl- 
ders) 136. 
„ excitad br drinking, 116. 
smokijig, 130. 
„ after atool, 127. 
„ ntlieved bv eotÍDg, 135. 
„ accompanied by vértigo, 94, 92, 84, 98. 
headaolie, 93, "' 



bead,» 



ruBhea of blood to the 



ooldnesB in do., ! 



INDEX and ANALTSIS [Loecd Symptoita, 79 to 
in both hypo- 
n h^pogastriiun, 

„ „ altérnate heats and 
shivera, 93. 

„ „ chillinesB, 83, 83. 

„ heat «II over, 84. 

„ „ heat of húlds and 
fi<et,8e. 

„ „ wearinesB, 86. 

„ „ irritability, 93. 

„ „ foUowed by colduess 
all over, 101. 
Inclination to vomit, 79, 82, 83, 89, 91, 93, 94, 
111 CgMO:-) 

„ on presaing the epigas- 

„ with diarrlicBa, 187. 

VomithiK, 90, 91, 94. 99, 137, 171. 
in snccessive tbToea. 92. 
great Btraining, 98. 99. 96. 
6[vectigu), 10,92, 108. 



ofhlood.97. 

Bome bright blood, 9 

Ktter, 92, 99, 118 (g 



itr.) 



Tomiting, nndJgMted 



1, 100 (gastr.) 
eagy of food, 111 (gastr.) 
cleat watery fluid, 94. 
brownish yellow, 98. 
pinkish glaiiy fluid, 96. 
yellow and bitter, 98. 

Íireceedad by vértigo, 92. 
ollowed by nausea, 100. 

ipanied by coldneBS, then heat 



r, 94. 



oold sweat on hands, 



drowBÍneaa, 98. 
bitter taate, 98. 
vértigo, 99. 



Reiubks. — The nausea and vomiüng are constant eymptoms whenever the doae is moderately great ; ao that this medicine ¡a 
a powerfiíl and certain emetic. They ara also frequenUy aymptomatic of other gaatric efiects of the drug. The nausea is generaUy 
preceded or accompanied by vértigo, and ís worse on motíon ; it was compared to sea-aickneaa by several. The vomiting is generaUy 
accompanied, and often foUowed by excesñve nausea; also by chillíneaB and heat and many other aymptoms. 



Stomach and After Meáis. 



97. On the 4th, in the aftemoon, he felt a 
very strong but quite painleas undulating con- 
tractíon in the pit of the stomach, which apread 
ÍTom thence into the cavity of the cheat and 
there ceaeed ;* within about Gve minutes this 
was Tepeat«d several times and (¿en diaappeared. 



[Thia was to bítn quite anew senaation, its aeat 
Beemed to be in the stomach and cesophagus.] 

On the 5tb, in the moming, before taking 
any of the drug, he had a cool, aour taste at the 
root of the tongue^ and fauces, and nausea for 
about ten minutes. 



yC OL 



KALI BICHBOMICUM. 



[Symptoms 98 TO 109. 



Stonuch uid After Heáls. 



in.Aur.Dig.Crot. 

'hw. Tíit.' 



U Amx. Grotoii,H«rc 



rs.Aíw.Dig.Cnit. 

-bw. T»it.' 
1: Bell. Gnu. HyiHc. 

/ A(DQ, Bvll.Cunph. 

BiDi^t.Gnpli.Tin. 



■te' 



On the 6th, ia the aflerncwn," without any 
cauee, Bensation of glowing heat of the face for 
lialf aa hour, but it did not look red. Same 
evening, itchinj on the gUcs and at the rec- 
tum. {ScM., % to %„íA« 4 times tn 7 dat/s.) 

98i Afler */,„ gi. he had nausea and dimi- 
nished appetite ; after breakTast vomitiog with 
tnuch Btraining," injectíon of the eyelids and 
drowBiness.' 

After the lapse of half an bour, agaln Tomit. 
ing of brownÍBh yellow pappy matter. In three 
houTH the vomiting returned with Tiolent retch- 
ing and very bitl«r' taste in the mouth. 

Nausea* lasted the wbole day, and occa- 
eional gripmg in the bowela and sudden attacks 
uf vértigo.* 

8rd day, transient emart shooting pains in 
the right temple, laeting 2 or 3 minutes and 
returnbg at intervala of 10 minutes for severai 
daya. Loss of appelite, languor and disincli' 
nation to ezettion, with nauaea and ofieusive 
taste and watering of the mouth. Sickness in 
the moming and yellow'' bitter'' Tomiling. 
(SU., líí dil. several timei a day for a week.) 

90. In about an hour, Tioleut pressure at 
stomach and nausea and inclinalion to vomit, 
and actual vomiting of the ingesta half an hour 
after, with great straining. 

The presaÍTe' paio and the nausea' continucd 
the wbole day, so that he could Bcarcely eat any- 
thing, and in the evening, afler a cup of cofiee, 
he vomitcd again with great etraining' and ac- 
companied by vértigo,' TÍolent burning pwn in 
the stomach, ansioiía sweat' on the whole sur- 
face of the body, and chillineas amounting to 
ehivering."" The ejected fluid in the evening 
wae bilíous. There remained eshaustion and 
írritation, which hindered aleep. 

In the same day he had confusión of the 
head, eapecially over the eyes. (Jí., 15 gr. 1 
trit. 1 done.) •> 

lOOi After breakfast aqueamiabuesa, and in 
half an hour vomiting of tbe food, quite undi- 
gested and not the leaat acid; followed* by 
nausea on moving about, for severa! hours. 
(X. Y., 5lh day, % jr.) 

101. Directly after takiug it, and for at leaat 
an hour after, and eveu after breakfaat, he had 
to contend with nausea. Duríng this there 
aróse heaviness and tightness in the hypogaa- 
trium," towards tbe symphisis pubis, and a 
general feeling of malaise and disordered 
ccEUffistbesifl ; a veiy repulsivo taste in the 
mouth ; the nausea leasens after a while, and, 
inetead," there arises an impleasant coolnesa" 
over the whole body. About midday, wbile 
smoking, frequent spitting aad slight retum of 
nausea. On the 3rd day, very unpleasant taste 
in the mouth while smoking. {Zl., '/,„ one 
dote daüyfor 2 day».) 

IOS. For severa! days, sour tasto in the 
mouth the whole day, but the taste of food not 
affected.'' 



Hiccup, losa of appetite and no thtrst 
headache, chiefiy in the temples, with uneasi 
nese in stomach and dimness of sight. (A. B. 
y, to y, gr. several times a day for 4 days.) 

103. Stomach disordered, with heat of the 
whole body at night; yeüow-coated tongue 
gnawing at epigastrium. Transient darting 
pain in the manima (female). {X. Y., 12íA 
day, 10 fo 60 gil. 1 dH.) 

104. For tbe 4 last days, frontal and < 
pital headache ; transient pains in tbe rigbt 
mamma (male) and left elbow; stitchea in ríght 
bypocbondrium. 

On 7th day, acid risings and buming 
stomach, several times a day. In the afternoon, 
salt taste m tbe mouth.' Transient acute pain 
in left Bcapula. (JVn., Ist írií. S íimet a day 
for 7 datfi.) 

105. Generally after dinner nausea, emcta- 
tioDB, distensión, flow of saliva and expeclora- 
tion of mucue from the throat; al! subsiding 
towarda evening, but succeeded on the 8th by 
extreme weakneas of the hands," so that he had 
to lay down the newspaper. {Lac/m«r, Isí trit. 
1 gr, dailyfor 9 dayi.) 

106. On rising in the moming, heaviness 
and giddiness, increased on atooping,' relieved 
by waiking about. 

Relaxed uvula and fauces injected' without 
any uneasy feelings. 

Distensión of stomach, sour eructalion, flatu. 
lence. 

Dispoútion to constipation, and wben that 
exista the general aymptoma are aggtavated. 

Uriñe red, with pwn across the back. 

Oppression at tbe pit of the stomach, witb 
smarting, btiming pain, followed by ezpectora- 
tion of tough lighUcoloured sputa. 

Complesion palé and yellovrish- 

Feverishness in the first part of the night. 
{Wfd. Ch. W.) 

107i Occaaionally dyspeptic attacks, loss of 
appetite, food lies like a load, with low spírits 
and much flatulence, and maúness in the head 
in the moming, and nausea, with sometimes 
vomiting of clear fluid. (5r. Ch. W.) 

108. Habitual attacks of sour vomiting, ez- 
cited by stooping or moving,' with pain at 
epigastrium. {Ch. W.) 

109. Oq tbe Ist day, immediately after the 
usual sourisb-salt taste, he had pressive pain in 
stomach, which bourly increased to a sharp 
pain. 

He had for about 3 bours the feeling as 
if he bad received a severe blow " on the sto- 
mach, accompanied with süght nausea and 
inclination to vomit. 

In spite of these feelings he sat down to din- 
ner with tolerable appetite, but litüe thirst, 
wbich is uDusual for him. 

He did not relish ths wine and water, which 
tasted bitter.' After dinner al! the symptoms 
better. 



yGuuyI 



Symptoms IIOto 116.] 



KALI BICHROMICUM. 



Stmnacb and Afler Meáis. 



( Cbin. Hap. Ign- 



I L^c. Rhua, Tiui 
i Dif. M»r.. o. Bi 



M«r. e. SmXt. < 



I Bu.c/Binn. Cace 



f Bar, Cub. T. Cbin. 
Cokb. TOT. u. 
Gnph. K. arb. 
Lfc. Nox. 



B«. Tub- Z. oí. 



On the 2nd, anzie^ at ep^aetrium ; tbe 
nausea reliered hj waim Boup ; üie stomacb- 
ache continued tlvoughaut the day , BO that he 
could not bear tight' clotbes. 

He feels aick and ^ddy in tbe room; better 

open air. Next day, towards evening, the 
aching in etomach increased, witli a feeliñg of 
anxietj in epigaetrium and Bweating on upper 
Hp. 

Tbe pain in atomacb ie confinad to a spot' the 

¡e of a tbimble, about a band breadtb above 
the navel. The 4th day, the stomacb pain and 
thirst for sour* tbinga nere tbe only Bymptoms. 

Pain in forebead and cold eweat, 3rd day. 

ConfuBÍon of head in right'' temple, with 
preasure at root of the nose, lat day. 

EructatioD of puré flatus ; stool hard and 
knot^ ; abdomen, for 2 days (3rd and 4th), 
distended" and sensitice.' (£., 20 yr*. turice i» 
4 dofft.) 

110> Ist day, emp^ emctationB and no otber 
symptom. 

Kext day, soon aíter breakfast, sbe had 
intense ahooüng ín the lefl hypochondñum, 
wbicb spread up the cheat to the clavicie and 
eide of the neck, unaffected by respiration, but 
increased by stooping.^ It laated an bour. 
Next day (8rd) the same pain carne again and 
lasted most of tbe day, at intervals. Next day 
It was gone. (iV,, young /emole, líí írit. 1 doae 
daily/or 2 dayt.) 

111> Tbe very disagreeable BweetiBbmetaUic 
taste, particularly at the root* of the tongue 
and pídate, was felt always immediately after 
taking the drug; it also retumed frequently 
during tbe foUowing days, bours ailer the drug 
had been taken, partícularly after smoking a 
cigar and añer breakfast. It was felt some 
daya before taking anything in the motning. 

On the 4tb day, in the forenoon, slight at- 
tacks of buming presaive pain in stomacb, and 
again an hour añer dinner. It returaed on tbe 
7tb, 9th and lOth, as heartbum afler dinner 
and in the evening. 

On the 7th, he took breakfast without appe- 
tile. At 10 A. H., nausea' and creeping con- 
troction of tbe scalp of the forebead and top of 
head. 

6th, no relisb for breakfaat, and duríng' it 
nausea, which continued with wateríng of tbe 
mouth, and vomiting could with difficulty be 
kept down. 

Soon ailer breakfast the sweeüsb metallic 
taste came back, with continued nausea and 
disgusL 

In the forenoon, wbile dresiing, tbe inclinaron 
to vomit carne suddenly '' with Buch TÍolence 
that he could not overeóme it, but be threw 
up the whole contents of the stomacb in a 
stream, before he could get to any proper place, 

Thia Tomiting was without' effort and leñ 
no bad taste, and soon añer be felt bo well 
that he could give bis lecture. 



8tb, roughneaa in throat, in tbe moming, and I 
hawking of thick pblegm. 

8th, in tbe evening, be was overpowered 
with sieepíness, and fell asleep on tbe Bofa, 

On the Stb and 6tb he bad 2 eemi-fluid 
atools, and on tbe Stb, hard knotty stool. The 
abdomen was distended, with grumbling and 
griping for the 3 or 4 last days. (Zí., 1 do$e 
Ut trit. dailyfor 10 days.) 

118. For 6 days be took gr. "/„, 2 or 3 
timea a day. UneasineaB at tbe stoinach on 
tbe let day ; next day nausea. On tbe 4tb he 
awoke with severo pain in tbe atomach, wbicb 
laated three quartere of an hour ; tbe uneaei- 
nesB at tbe atomach laated all day, and was 
situated about the great cuirature of tbe ato. 
macb, about 3 inches below the enaiform 
cartilage : tbe sensation reaembling raoBt the 
feeling of an overloaded^ atomach. On tbe 6tb, 
again the pain at great curratuie of Btomach, 
with a aense of weigbt. 

Headacbe at siuidry times, generally on one 
aide and at a point that may be covered with 
the finger. (-^n.) 

113. Dull, cold, beavy pain atcardiac región, 
with tightnesa in cbest and dyspncea. Griping 
in the lower betly, aa if Bometbing waa piercing 
tbe bowels, worse on deep inEpiíaüon, better 
on pressure. This lasted for 2 days. {Nyt., 
45 gU: 1 dU.) 

114. After the bcal efTecta, on the Ut day, 
he had in half an hour, sour eructations and 
nausea for 2 bours. 

At midnight ' of the same day [be had eaten 
fruit ice] he was wakened up wiüi a cramp in 
the stomacb, wbicb kept bim awake 2 bours, 
and waa altemated witb similar pinching paina 
at tbe navel. 

Duríng the fore and añemoon, next day, be 
bad aimilar apaamodic paina in the boweia, 
wbicb gradually became weaker and did not 
disturb tbe appetite or stool. 

4th day, toothacbe, with salivation for an 
hour and a half. {Schl., '/, gr. 1 do»e.) 

115. On tbe 8rd day, in the evening, he had 
Bweetiab astringent taate, and aching in the 
atomacb, wbicb gaea away after smoking but 
comes back soon, so that he had to go to bed 
witb it and passed a quiet nigbt. Next mom- 
ing the aching in stomacb continued in a less 
degree, thougb tbe appetite was not disturbed 
by it, but even increased.' {R., \tt trit. 1 do»e 
dailyjór 6 days.) 

116. Soon after the dose, preesive pain in 
stomacb, witb continua! eructation of puré fla- 
tulence. At times the feeling thereby as if 
BOmetbing remained etícking in the tbroat on 
tbe passage of the flatulence." Tbe pain in 
stomacb was rather sharp and lasted 3 bours. 
For tbe nest 2 days there remained a soreness 
at epigastrium, rendering it tender to pressure. 
[R., 1 dose of Ul trit.) 

117. Before dinner, suddenly a violent pun 



g.n.Coloc.Gurb. 



dbyGuot^le 



KALI BICHBOMICUM. 



[Symptoms 118 TO 120. 



Stomach and After Meáis. 

I in Emteiíor sur&ce of tbe stomach, boring and 
¡Me. Cuín, contractive, with nausea and fiow of water in 
SKUd.Pboi. the mouth, increaaed by esternal pressure/ In 

I 10 minutes it aubsided, and m its pUce* carne 



a tensión and drawii^ in the muBcleB oí mastí- 
cation and more flow of watei in tbe mouth. 
Iflt day. (Zl., gr. '/« every 4 doy» for 8 
weekt.) 



Tabte, 

lad in tlie mommr, O (Teitígo), 101, 133. 
:oppery, 6S (montS). 
íait, 70 (saliratioa), 92 (¡m. efT.) 
„ in the aftemoon, 104. 

SOOT, 97, 102. 
Cool, sonr, 97. 
SooT-Mlt, 79, (¡». e£f.) 109. 
Metallio, 80, 86 (im. eff.), 135 (abd.) 
„ and Bweet, 111, 127 (abd.) 
„ „ in tbe evening, 114. 

Bloody, 129 (abd.) 
Offeneiro, 98. 

"■ ler, 92 (¡m. off.), 98 (gaatr.) 
añer meáis, 130, 136 (abd.) 
„ in the morning, 167, (ptün in the back.) 
Water taetee bsd, 86, (im. eOl) 109. 
" 1 taste OD smciíDg, 101. 

„ „ after meáis, 111. 

ÁFFEnTB ÁHD TmSBT. 

Bad Bppetite, 5 (vértigo), 65 (mouth). 98. 
82 (un. eff.), 102, 111, 130. 137 (abd.) 
,, fór breakfást, 127, 136. 

Cap?icioiu, 153 (coogh, &c.) 
Eniotationi, 79, 81, 83, (im. tíS.) 105, 109, 110. 



INDEX and ANALTSIS [Loetd Sgmptoin*,Jrom &7 lo 117J. 



Ernctations, rancid, 93 (im. eff), 129 (sbd.) 
DUguHt for food, 79 (im. eff.) 
Di^eto water, 118. 

„ meat, 160 (oaegh, &0.) 
Appetlte ÍDcreased, 115, 121, 136. 
Hiccnp, 102, 135. 
Heartbaní at nigbt, 129 (abd.) 

„ in the uTeniug, 168 (back.) 
Thirst, 92. (im. e£) 118, 121, 137. 



Pain «t eplgaatrium, 5, 6, (with 

verti^) 79, 81, 82, (im. eff.) 99, 106, 112, 114, 

136, 110. 

„ like a blow, 109. 

„ relieved by smoking, 115. 

„ after meaU, 137, 

„ at nigbt, 129. 
Boreness, 86 (im. eff.) 

„ totouch,g2, 115, 117. 
Bhooting psine, 96, (gastco-entoñtli.) 
Andetj, 109. 

Uneasiness, 86, 93. (im. eff.) 112. 
Gnawing, 103, 153. 

„ witb emptíneus, 153. 
FeeUng of sinlüag, 129. 

„ „ in themoniing, 153, 129. 



I, lOtf. 
itr to baar tight clottes, 109, 129. 
Food a load, 93, lOT, 159 (oough, &&) 
ColdnesB, 82 (im. eff.) i 

Bnming, 106, 111, 129, 96. 

„ and cramp, gmng afterwaidfl to th« 
jaws, 117. 
Digestión easíly disordered, 159, 160. 
Meat disagrees, 160. 

Puniese undniatían from eplgaatiíDm np to tbe i 
chest,97. 



Bxtemal stitdies and peina in the ebest, 1I&, ' 

128. 
Hawkingof moens, 105. j 

Qastric symptoms relíered, 109, 136. 
Pain in stomach, 137. ¡! 

Drowunees, 129. 

128. 

1,105. 
36. 
Nausea, ]0^ lOÍ. 
Vomiting nndigested fbod, 100. 

„ food, 99. 
Distenúon of abdomen, 127. 
Komhling in „ 127. 

Hard stooL, 127. 



(cough.) 

Rekabks. — The primary sction seema to deprese tbe digestÍTe powers, aa the secretíon of ^tríc juice and the procew of ,! 
digestión seem intemipted and the digestión slow, with uneasiness and other more active symptonia. The appetite aíler a time seenu 
not affected ot even increaeed, and many of tbe pains and diaorders connected with the stomach and intestinal canal seem reUered for 
the time by eating. The pains in the stomach are generally worse on moving about, Thirat doea not seem generally pieeent in the 
non-febiile gaatríc derangementa. Teste is frequenüy perverted, and there is a soui, salt OT bitter taste in the mouth, and water tastee ' 
bitter and there is no r^iah for tobáceo ; the food tastes natural. The tongue is generally thickly coated yellow. Extemal pains in 
the chest añer meáis are obserred. The symptoms of disorder of the stomach seem to be generally woise on moring about and io ! 
the ■ ' 



a Bor. Bij. Cocc. 
u. SUnn. SuL 



I18, An hour after the dose he vomited 6 
times, and at the laat with much bruised pain 
at upper belly, ejected a dark-brown ezces- 
sively bitter' matter; followed by thirst, but 
drinking'' tbe least excíted tbe nausea agaia, 
solíd food did not ; dislike to water " for several 
daya. 

On the 2nd and 3rd he had often a contrac- 
tive pain in abdomen, and on the 2nd pappy 
atoóla followed by senaation as if little'' was 
passed. Nest 2 days stool scanty and hard, 
(.<J y, gr. 1 doia, ike Uuf ofhii serie».) 

For many weeks after tbe proving, even in 
the finest weather, be had a sensitiveness of 
the abdomen to the least cold' air, and on ex- 
posure to the slightest draught he felt the tenr- 
ing and constrictíve feel in the abdomen.' The 
stools were hard. 

Ufl. Much flatus for the firet S days, no 



stool on the 4tb, and a hard difficutt and scanty 
stool on the 5th. 

Tongue yellowish-white ; complexión sal- 
low and aickly; general feeling of discomfort 
and irritability. 

Sleepiness early in the evening. {Mt., 2nd 
irit., 1 doit daüyfoT ñ dayi.) 

[A similar group of symptoms was common 
to seTcrol provers.j 

120. Aáerbreakfast Ist day, was seixed with 
violent pinching pains in the upper and middie 
of abdomen, with anxiety' and sweat of the 
forehead. They gradually diminished and went 
off in 2\ hours. 

Keit day some romblii^ and uneaainesfl at 
the nayel, and no more colic. Only on the 
6lh, towuils evening, a copioua pappy stool, 
otherwíse the stool was normal. 

On let, in the aftemoon,'' a eudden flush of 



-^— ^ 



Symptoms 121 To 129.] 



KALI BICHROMICUM. 



heat on the &ce ; agaia on 2nd and 4th, uid 
7th and Sth. 

On the Snd he was disproportionately de- 
preased, and ^eved vith a small vesation. 
{ScM., y, ffr, befare breaifiul, daily/or 5 day».) 

121. A slight oppreeaiTe pain at navel, and 
in a few houra'Boreneas at ñght hypocbondríac 
región, coming and gotng off at interraU duríng 
the daf . 2nd day. 

On Üie 3rd day (ereníng), fulness and heari- 

!EB of whole head, particularly the vértex, and 

general throbbing in it on bending forwards, 

and íncrease of appetite andthiiet. (Jf. J., \it 

dü./or 3 doy*.) 

122. Uriñe red. 

Periodic constipation occurring every 3 
moDths. {OaU. C%. W.) 

123. Frequent throbbing headache at Üie 
angles of the forehead, in a smaU e^t, accom- 
pauied with dinmess of Btght. 

Tongue dry and thickly coated in the mom- 
ing, with nauaeous taste in the mouth. 

Eyes Bwelled up and heavy in the moming. 
ShortneBS of breatb, as if something were üed 
round the upper belly, so that he cannot take 
a deep breath : ' equal in all positlona and cir- 
cumstancea, without cough or pain in the cheet. 
Generally cosüve. (Slt., a worhnan aged 36.) 

[The above symptome had laeted for monün. j 

1^ Habitual conatipalion in common among 
the chrome workmen. 

ÍSt&. In the beginning of sununer, for severa] 
Buccessive yeara aince employed at the wor^a, 
has had dysenteñc attacks lasting about 3 
weeka ; frequent bloody motions with gnawing 
ptún at the navel,' foUowed by ineffectual 
straining ; tongue amooth, red,'' and cracked.^ 
{^Slt., a toorkman agtd 95.) 

126. Dyaenteric attacke, with pain at the 
navel" and bloody evacuationa. {Sm. Ck. W.) 

IS?) Sth. — Hawking of mucus and rough- 
QGBB in throat in the moming. 7th. — Has a 
peculiar feei in the whole body, as of an acrid 
humour or diatbeeis, or the peora had been 
stirred up in him and cauaed all the BymptomB. 

On the 2l8t, hard atool; and on the 22nd, 
hard scanty atooL 

On the 23rd, nausea, want of appetíte for 
breakfast, and afler it rumbling in belly and 
distensión of abdomen ; slight pressive pain at 
región of heart ; ° distensión añer meáis ; tongue 
wUte, thick coated, but good appetite and taste 
for food ; humming° in Üie head. 

24th, two rather hard etools. 25th, in the 
tnoming, slight griping iu the bowele, followed 
by a semifluid stool with much rumbling. 
Break&st with little appetite, and ailer it con- 
stant rumbling and searching and slight gri- 
ping, then a eecond quite fluid stool, followed 
by retraction of the anus and slight nausea. 

Disagreeable astringent taste at the roof of 
the tongue. A third stool -very scanty and fluid, 
but wíüi relief to the uueasiness in abdomen. 



Later in the forenoon, bumii^ in the whole 
ekin of head and face without ñdness ;* then 
Bgain desire to stool but only flatus paesed: 
during the effort suddenly eweat burat out all 
over but especially on the face,' soon went off, 
and be ate dinner with good appetite. (Zí., Vio 
gr. every 4 dayi/or 8 weeh.) 

128. On the 2nd day, soon aíter takmg the 
medicine, he had eructations and great nausea, 
wbicb lasted for a short time ; the nausea carne 
on agiún the 4th and 9th day, lasting for a 
short time, and on the lOth and llth day to- 
wards noon, aa also on the evening of the 1 Itb 
day, with inclinatioa to vomit, wÚch laated an 
hour and a half ; at the same time a dull pres- 
sive' pain appeared in the región of the three 
last trae ribs of both sidee, a^ravated by deep 
breathing. On the 12th day (without medi- 
cine) the same pain appeared, together with 
the nausea, which disappeared gradunlly to- 
wards noou, but reappeared the next day in a 
much lese degree. 

Ailer dinner he had a violeut presaive head. 
ache, especially in the forehead,* also a drawing 
tensiíe dull pain" in the región of the nipple 
of the rigbt aide, aggravated by deep breathmg 
and going up stairs, continuing till nigbt. 

On the 12th day he had a tearing pain in the 
right shoulder, and later in the day in the left 
etbow and foreann, which soon paased away. 
{Lací., 2 grt. \»t. trit. one doie daüy /or 10 

129. Eructations on the Ist of food, 2nd and 
3rd like rancid' bacon. 

Slight circumscribed pain in left hypochon< 
drium on Ist, boring" ditto on 3rd, and also 
dull pain m hepatic región, increased on full 
inspiration,^ and cough ; the latter again next 

On tbe 2nd, darting pain in prscordíi: 
On the fitb, shooting in the liver' and dull 
achiug in it posterioily. 

Transitory dartiiig pain in the forehead, and 
after a fresh dose obtuse heavy pain above the 
eyes and occasionally in the temple, aggravated 
by the open air, witb the nausea and buming 
at the pbarynx on Ist day ; and 2nd and 4th 
days preaúve darting pains in both temples: 
vértigo on moving the head rapidty, lasüng 
hours. 3rd day, slight shooting in forehead, 
and pulsative pain in parietal bone. Sth, shoot^ 
ing across forehead and temples wbile waUtíng, 
relieved by rest. 

Heartbum' and slight transitory pam in the 
middle of the lung woke' him in Ihe ni^t. 

A flied buming pain in middle of stenium;* 
dull circumscribed pain in right chest, a^ra- 
vated by inapiration ; on the 2nd day and 4th, 
constant pain in chest under left axilla. 

On rising in the moming, 2nd day, taate of 
blood'' in the mouth, and again in the evening, 
and again on 7th. 

Imaginary putrid smells on the 2nd. 



... (1) Ptio^ 



« An. Cifb. 1. CbiD. 
Con. Ed.B. Ktl. 
bjA. Mun. m. 
Kia. m. Huí. 



Pulí. Bcp. Bul. 



yGüo^jIe 



KALI BICHROMICUM. 



[Symptoms 130 To 145. 



i Clle. H*p. Ign. 



A Abj. 
Ih^ i 



I Ala. Ctlt. Coleh. 
tgD.K.hTd. Mtgn. 



d. Bnw. 



ttÍBÍnclination for ezertion on 2nd ; drowBi- 
nesB aod yawning afler dinner on 4th. 

Frequent etartiagB, Umemg about the BrmB, 
incoherent talking, and finally BDoring, on Snd. 

CopioUB dttrk-coloured evacuation witb tenes- 
mua, on the 5tli. 

Swellin^ oí Btomach in the evening, with 
fiílnesB and pain on presBure : cannot bear 
light clothes,' on the 6th. Next day feeling 
of sinkiug in stomach before breakfaat. {Dgn., 
li to 2i gri. daily/or 2 dayi.) 

130> NauseouB and a resinoufi* bitter taate 
after breakfast and dinner, and after smoking ; 
tongue yellow ' coated ; little appetite ; gallón 

On the 2nd, towaide noon, a eudden spas- 
modic coatractíon* of the intestines with nau- 
sea, which lasted about a quart^r of an hour, 
and was then foUowed' by a papP)' Btool with 
bumiug in the anua and atraining: after thia 
all the Bymptoma disappeared, but retumed at 
4 and 10, laating for a short time, but without 
the stool. 

Violent preasing beadache on the top of the 
head, spreading to the sidee of the bead and 
templea, in the aftemoon.'' 

On the 3rd, oppreHBÍon and a atitch in the 
lower part of the chest oa deep inapiration. 
On the 4th, in the evening, a atitcb for a short 
time '\n Ihe región of the heart. 

Irrítabihty and querulous diapOBÍtÍon. 

On the 4th, uriñe muddy and with coptoue 
aei^ment ia the momiug. {Three maU provert, 
1 dose of Ut tril. onca daily/or 6 /o 8 day*.) 

131. On the 28th day, preeeiug paín in a 
small epot' in the bowela to the right of the 
navel. Normal etool. 

FresBure in a emall apot in the upper lobe of 
rígbt lung, which cbaoged intú a drawing pain 
in the whole length of the rígbt lung, and went 
off after aitting half an hour ; thereupon he had 
a Btrong preseure at the anuB.' This gave place 
to preesure in atomach and upper belly.' 

He feela altogether Tery iU without belng 
able to ascríbe it to any diatinct aymptoma. 
(Z/., '/le^r. every 4 day* for 8 toeeíí.) 

13¿< Soon after the usual eruclation, nauaea, 
confuaion in head, and flow of Baliva. lat day, 
in tbe aftemoon, violent atitchea in tbe left^ 
bypocbondríum, apreading to the loins, worse 
on molion and preBHure, with same inclination 
to cough, and thick white expectoratioo. 

Towarde erening, a atool, at the ñrat coqbíb- 
teDt and then diarrhceHl,' and an hour after vio- 
lent shooting in the región of tbe liver, increased 
by aligbt presaure ; quarter of on hour after- 
wards, cutting and gríping in abdomen, as if 
diarrhcea were coming on,™ and soreneae of the 
whole belly to rough touching.° Thia whole 
attack went off in about 10 minutes, aod left 
the abdomen painless to atrong preeeure. 

Thcre remained ill-humour and iodeacribable 
dlBComfort. Next day, a aolid atool, followed 



in an hour by a fluid one ; beadache ; frequent 
ahort attacka of nausea and colic, soon goiug off. 
3rd day, repeated troubleaome colicky attacks. 

On the mominga of the 2ad and Srd, giddi- 
nesa on sitting up in bed, as if ererything 
tumed round ; on suddenly lying back again 
it was increased and nauaea carne on : it last«d 
a quarter of an hour. [^Mz,, gr. y,, on» doie.) 

133. No BymptomB Ist day. Next momÍng° 
she wakened at 6 a.u. with hurried deaire to 
Btool, and the watery contenta gushed out ; 
after it, violent colicky Btraining, ao that abe 
could not get up ; after thia, burning in the 
whole belly,'' and great nausea and retching. 
Felt weak and iU the whole day after. {K. K., 
afemale, one dote Itt trií.) 

IH. Pale8late.colouiedatools.'(i'.,7„ffttí. 
1(/ dií. daily/or 10 daya.) 

135. FrequenÜy, on different days. ebort 
atínging and prícÚng pains in the toi^e.' 

Shooting paina generally iu one temple. 

Paine darting or aching in one üde of the 
head. 

Flying pains about the bead. 

Sensation of a fcetid smell. 

On the 3rd and 7th, tearing shooting pains 
in tbe rígbt bypochondríum, of sbort duration.* 

6th. — Senaation aa if the food remained in 
the oeaophagus. Scanty uríne with white film 
and wbitish deposit. 

6th, in the evening, wearínesB, distensión of 
the abdomen, hiccup and waterbrash ; and at 
night,' deep seated dull shooting pains under 
the BcapulR ; vivid dreams, and he awoke early, 
and then fell into a confuaed heavy half sleep; 
in the mombig unrefteshed and weary. 

On the 7th, transient heavy pains in the 
right temple immediately after eating ; fre- 
quently recurring in the aftemoon, accompanied 
by an uneasy craving aeoBation in the stomach. 

8th. — After dinner, esternal stitches in the 
epigastnum and breast' into the nipple (male), 
and in theiight hypochondrium:' duUpreaeive 
pain in the rígbt side of the spbe about the 
9tb dorsal vertebra, witb uneasinesa in the 
stomach. 

From the lOth day till some daya after 
leaving off the proving, he had aching at the 
rígbt h3'pochondríum ; " Bcanty, palé, clay- 
colouied * Btools, sometimes twice a day ; me- 
tallic' taste, fcetid breath, and confusión in the 

In the 2nd week, nauaea, relieved by eating. 

Frequent fine* irregular stitches in the inte- 
gutnenta of the chest, uoconnected with reepi- 
ratíon or palpitation. 

Sharp irñtative fixed pain in the región of 
apex <^ heart, unaffected by respiration or 
position. 

In tbe 2nd week the appetite was increased, 
being better than at the beginning of the pro- 
ving, and the gastric symptoms were relieved 
after eating in general, wbile the rbeumalic 



,edb,LnOOglc 



STMPT0M8 186, 137.] 



KALI BICmtOMICUM. 



Laeh. Niti. 



un. Cbio. Adt. 

ac. Bhiu, 
R, 

n. Aor. Beiti, 



An.BeU.B«Tb.BiT. 

EuphDrt>. Htdi. 

BcU.'LtÉ. Ph«. 



BymptomB (dieUnt pabe, &c.) reappeared. 
{Dle.jjrom 6 lo SO gtU. \tt dU. teveral timís 
a dayfor 14 days.) 

136, For the firat 2 or 3 days no stool or 
BCant; and hard etools. For the first 10 da3ra 
OT fortmght much disteneion* of the abdomen 
and rumbling of pent up fiatuB. Appetite bad, 
and reaÍDous bitter Usté" after meáis. 

In the 3rd and 4th weeke, frequenüy two 
eemifluid etools, not copious, one oitéa on ñaiog 
in the moming. 

Throughou^ appetite bad for breakíast^ and 
oftea nausea during or afler it, and bad° taste. 
On the 3rd the nausea añer breakfast «aa 
accompanied by a paralytic tearing pain in the 
ehoulder. 

Thxoughout, erery day or two an aching or 
buming' preesive pain in the stomach at vañouB 
times, and in the firet week several times to- 
wards evening a pressing' paón at the heart, 
with a peculiar uneaey sensatíon, 

In tbe Ist week, several daye an uncomfor- 
table feeling of pressure in the back between' 
the scapuls, recurring several times in the day. 

In the 2nd week, several times a dull' stitch 
in the right aide at the edge of tbe thorax in 
the región of the liver, not affected by motion 
of deep inspiration. 

In the 8tb and llth, turbid" uriñe in the 
afternoon and depoñtiog a thick mucous' sedi- 
ment. 

In the 4tb week, for several days drynees of 
the mout^' and lips, and after breakfast on tbe 
26th Bome itching and buming' Teaiclea break 
ont on the mar^ of the lips : better ne>t day. 

At different times preseure on tbe top of the 
head, and on tbe 22nd be had on waking pretty 
severo beadacbe, especially at the top, dis- 
appeared on rising but leil languor hebind : it 
retuned in tbe añernoon. 

In tbe evening tbe feeling ae if all tbe 
bones of the head would fly asunder, by the 
presBure of the too large bnún; this feeling 
cannot esactly be called pain, but is very 
oppressive, and íb felt moat on tbe temples 
towards the ears and on tbe parietal bone.' 



(3 maje proven, %nd trit, one dote daify, 20 
io 27 doyj.) 

137. For the first 2 days be had nausea and 
emplineBS,™ little appetite and cou£ned bowels. 
On tbe 3rd complete loas of appetite," constant 
tbiret and yellow-coated tongue, and no Btool. 

Very eevere headache, sometimea in tbe 
moming about 8 or 4 bours after the dose; 
sometimee in the evening presúng tearing pain 
tbrougb the whole head, especially severe in the 
forehead and occiput, with stitches" constantly 
recurring ín the same epot in tbe temples. 

The headache unuaually severe on tbe 3rd 
evening, as if a knife'' were cutting thiough 
tbe head, with quickencd pulse. 

Ailer going to bed he had palpttatíon, with 
dull burdensome pun in r^on of heart. Sleep 
good. 

On tbe Ist, along with the headache, copious 
flow' of teais from both eyes, with fleetíng 
stitcbes in tbe eyeUds, the conjunctiva of the 
eyelida more reddened than ustud, in conjunc- 
tiva of eyeball several red injected vessels. 

4th day a hard stool in the evening. 

5th, half an bour after a modérate dinner, 
sudden nausea, uncomfortable feelingfl of pres- 
Bure in stomach, stabbing pinching paíu ¡n 
región of liver, forcible cali to vomit, rumbling 
in the belly, passage of fcetid' flatus, violent 
griping in the whole abdomen, cutting as by 
a knife* in the belly: afler a atool of usual 
consistence and colour, a dysenteric dianrhcea 
of brown frotby water, with violent painful 
pressure, kneadlng, and tenesmus in the anus.* 

After aeven or eight similar loóse atools, ac. 
compaoied by constant pwn in the belly, nausea 
and inclinatíon to vomit, complete quiet sud- 
denly followed, and except a bitter pappy taste 
and whitÍBh-yellow coated tongue do symptoms 
remained: the universal diaturbance in the 
belly, wbich bad lasted acaree an bour, was 
appeased. 

7th, — General emaciation ís apparent, yellow 
complexión, no stool. 

Irritabillty and indiaposítion to mental efibrt. 
[Mx., 8 grt. Ut trii. one don daüy, 11 doy».) 



I Ipi. Bell. ButLc. 



í Eag«i.7alii.Btnm. 



'Cbin.i.Lob.Nitr.i. 
Ni«. Flb.Bim.SU. 
Btuli. Colac. 
CoD.Sibul. 



Cutb. Hign. e. 
Sali*d. Ai^. nit. 
Ipec Uen. SuIh 
Niut. 



I BwuT HTFocHOMDanm. 

r Aching, 11 (head), 121, 136, 137. 
¡ Stitcbes, 104, IS9, 132, 13&, 136. 

Pain worM on respiration and congh, 1!9. 
jl Dolí pain inbotbhypoobondija with nausea, 

Lbft Htíochondriuh. 

I, Ebooting, 4 (vértigo). 

I „ np to the chest, clavicle and neok, 

I' DnUpain, 1S9. 



Abdohem. 
Púiu at the navel, 120, 121, 125, 126, 131. 
„ írnm narel to throat, 9 (headache, &c.). 
„ aa if to diairbtea, 132. 
„ in a nnall spot abiFre navel, 109. 



INDEX ana ANALTSIS [Tmoú 



I le ío 137]. 



altematefy with cramp at the stomach, 

Bnniing in the belly with nmuea, 133. 
Griping, 81, 85 (im. eff.), 03, 111, 113, 114 
ígaHtr.) 

with dÍRiTb<aa, 137. 



A tranaient otitch thraugh abdomen backwarda, 

204. 
ContractJve pun, 118, 130. 
Short colicky, with nauHea, 132. 
Swollen ana tender, 96 (dysenterj). 
Abdomen senútive, 109, 132. 

„ „ to tbe leaat preeeore, 9S 

(gastro-enteritis). 

„ „ to tbe leait diBoght of cold 

úr, na 



Bnmbling, SI, 92 (im. e£}, 111, 120, 127, 136, 



evening, 129, 135. 
FlatiOénce, 106, 107. 
TendemesB at sigmoid flexura, 96 (dyaentery). 



Periodíc constipation, 122. 
" ■■ ■■ '■ - ito, _, 
back). 



ConBtipation, tUspoBitiini to, 66, 106, 123, 124, 

159, 160, 168 (pain in back). 
No Btool for two daya or more, 119, 136, 137. 



Hard or knotty Btool, 109, 111, 118, 119, 127, 

136, 137. 
Semifloid Btoola, 111, 116, 120, 127, 130, 135. 

„ two daily, 135, 136. 
Dark-colom^d atool, 129. 
Firtt consiateut, tken looM, 132. 



yGuuylt 



KALI BICHROMICUM. 



[Symptoms 1S8 To 147. 



135 (djsenterj), 129, % (djeeiitsry). 



Aftei Btaol, oalíc and nnúning, 133, 137. 



BUte-coIonred itoob, 134, 136. Diurhcu, 137. 

Bloody motioiu, 125, 126. 

InoasMnt paiging of mncoB and blood pused ín 

bed, 96 (djaeiiteTy). Itehin^c at reetai 

DiurbcM emj in the moming, 133, 136. Stninii 

BSHASKa. — The signe of action on the liver are frequent and diSbrent pains are ezperienced in it bj many proven. The 
Eccretion of bile seema at first diminisbed. The palé stools in No. 134 occurred as the only noticeable Bymptom in the prover, 
who was a bealtby joung man. Colic and flatulent symphunB were very frequent. The diiect action on tbe stool aeems to be to 
render them hard and scanty. Violent dysentery (aee 96) is aleo in tbe prímaiy action. Aa the indirect action we oflen see ene or 
more ñnid stools daily. 



Madder and Ilrine. 



Un. M*n. PtuM. 



138. On the 2nd and 8th slíght pricking 
pain in glana peaia," and ocoaaional smarting 
during niicturition, lasting two daya. Nezt day 
high coloured uriñe aod heat 
(Sgn, *. d.) 

13». On waking in tbe mora 
tive pun at tbe root^ of the penis. 

7th day.-^Wbile urinating, and long afler, a 
bnming pain was felt in the glandular portion 
of tbe urethra. (^Lock., Itl dÜ. 14 dafft.) 



140. Palnful dramng from tbe peñnceum 
inlo the urethra." (Z/., Ul trit. 3 dayf.) 

14-1, On tbe I4th day, ín the aflernoon, be 
had eeveral times shooting puna in the pros- 
tate,'' extremely severe, and preventing bis 
wqlking. (^Lach., 14 d. Ut dil.) 

143. Irritation at the orífice of the meatus 
urinarius (male). (iV— ».) 

143. Several otherB had alight pricking or 
bnming in uretbra during or afler mictutition. 



Uriñe Ugb colooied, 164, 166. 
„ fed, 106 (^tr.), 122, 166, 16S (back), 170. 
„ mnddf, with copióos aeduneot, 130. 



IKDEX. 
I UrinenithiTlütefiImanddcpodt,135,164,16&, 

166, ITO. 

„ turbid, withmnooosMdimeut, 1S6. 

„ brownisb, 159 (coQsh and cacheiia). 
1 „ peariy white deposit, 1G4 (renal). 



ItchinK on glans, 97 
rain from gUns i 
paias). 



1 metlin, 200 (genenl 



a S«p. Ljo. Enoa- 
I Fhot.' SU. 



e Oub.T. Dm. Ten. 



d Muf. ac. K.«ub. 



144. In the course of the lOth day took 
all 4 drama of the solution, eqnal to 2 gra., and 
on the 11 th awoke witb aÚ the feelings of 
having caught a Bevere cold, the nose fuU and 
loaded, aa if going to discharge abundantly, the 
throat dry, with pain in swallowing; tongue 
thickly furred, and of a light brown colour on 
the dorsiun; aorenees in the larynz; pain in 
the BÍdes and nape of the neck, and leít shoul- 
der ; the throat looks red and inflamed around 
the tonsila. 

The cough began on awaking ; the sputa free 
and tbick, tranaparent, of a slaty* colour. 

Cough with dense transparent'' sputa in amatl 
lurops easily detached. 

Slight dyspncea, aa if the mucous membrane 
of the broncbi was tbickened, on rising in the 
moming. 

Sensation of dryness' in tbe broDchi on 
awaking in the moming. 

14d. 9th. — In tbe morning frequent short, 
broken cough, till a few lump^ of tough mucns 
were detached, and there remained Bome sore- 
ness* at tbe larynx. (Zí., 2nd trit. 23 day».) 

146. Sneezing in the moming and evening. 
On tbe Ist day tickliag in tbe laiynx, causing 
clearing of the throat, and at night tickling at 
the top of the larynx, cauúng conúderabte 
coughing on first lyíng' down. 



Gongh and Chest. 



Dull circumscnbed pain in right side of cbest, 
aggravated by inapiration. 

On tbe 2nd day, feeling of irritation in the la- 
lyni in themoming, cauaing tohawk upmucua. 
. Inaupportable tickling of latyui, causing 
cough at almoat every inepiration ; ' not much 
mucuB ejected. 

On tbe 3rd day the aame in the moming ; and 
later in the day cougb cauaing pain in the middle 
of the stemum,'' painful to pressure, darting to 
between the sbouldera,' and aleo cough with 
ezpectoration of thiek yellow mucua, witb traces 
of blood. 

Next day soreness as if ulceration of the 
larynx;' at dinner great tickling in laTynz 
after the first few mouthfula, going after eating 
more.' {Dgn., t. d. 5 dayi.) 

147. On the Ist day towarda noon, occasional 
tickling in the larynx, and conetant hoareeness 
of Toice, whicb reappeared with increaaed in- 
tensity on the succeeding days, lasting till 
evening, whcn it was generally tbe worat.' 
Tbe tickling in the laiynx was generally pre- 
sent, with hawking or coughing up of tbick 
pblegm, gradually aubaiding. 

On die 6th night he aufiéred from much 
tightness of the cheat, especially at the bifur- 
cation of tlie trachea, obliging him to hreathe 
deeply.^íidcA., líí trit. 1 dotedailt/Joridayt.) 



I BatL Fnli. Bnn. 



. JjF ^^' 



byCOOglt 



Stmptoms 148 To 160.] 



KALI BICHKOMICUM. 



Conf b and Chest 



o Cpi. Am. m. 
Enphoib. laoT. 

t B^ Bhm. 






r Anu. Ambr. Fhoi' 



I Bor. Ucrc. ThaiB. 






148, On the ?th day, collection of mucus in 
the larynx, obli^ng him to hank it up ; towards 
noon dry tíckling cough carne on, iriüi ahoot- 
isgB in tlie chest. 

On the lOth daj there was Irequect hanking 
up of tbick tough fellovisb wbitieh mucus, 
contained in great quantities in the trachea, 
succeeded by increased hoiirseness. (Lact., 2 
¡iroviñgt, 2 grs. 2nd trit.for 9 rfays and 8 dayg.) 

149. On the lat day, along with the eymp- 
toniB of coryía, íic, described at No. 44, ahe 
had B presBÍTe achin^ at the upper part of the 
laiynz, increaeed afler epeaking, and the Toice 
Me in epeaking." Thia sching changed to a 
ticMing which extended to the throat and eara, 
and at night amounted to buming and scraping 
in the throat and upper part of the larynx to 
the hyoid bone. Next day the dryness in the 
throat causea frequent Bwallowing, wfaích is 
attended with tearing. 

On the 3rd day, in the night, the buming in 
the throat ceased and abe began to cough. 

On the 5th day tbe cough continued, aa fi-e- 
qnent short cou^ in the morning, and duríng 
the whole day much ückling in tbe larynz, ex- 
citing ehort diy cough." 

In tbe night a nauseous eweet taate, aa if 
blood ■* began to rise up from the chest into the 
mouth. 

The diy tickiing cough continued day and 
night in frequent parozysms, and -^ae accom- 
pauied by aching in the middie of the atemum,'' 
and in tbe laiyns up to the fayoid bone. 

When she coughs stronger it brings on the 
bloody taste tn the mouth. 

The ^^ptoms subaided in five or fú days, 
and the cough ended then with expectoration 
of Bweetiah yellow sputa taaüng like pus. (N., 
\ltdil. 1 gr.) 

150i On the 2nd day he had a pressing 
equeeziag sensation in the upper part of the 
rigbt lung/ which on ezertion increaaed to a 
abooting pain and Usted tbe whole day. 

Nezt day the shooting increeaed, so that in 
walking he had to beod towarda the right aide, 
and draw vety short breaths. It gradually 
diminiflbed and went off in tbree daya. 

Along witb it there waa frequent aneeiing, 
which caused a violent atitch in the sore part 
of the ñght lung.' Also in swallowing' a 
morsel at dinner he felt the same pain. {Mz.) 

Among the Workmm. 

ISli There was the usual aoreneas of nose, 
d eicessive aneezíng and coughÍDg and run- 
ning of the eyee and nose from exposure to the 
open aír" when the leaet cold. (if.,/. CA. W.) 
Í5&, Chronic loud cot^b írom "atufflng" 
at the epigastrium,' chiefly on waking in the 
momlDg ; he has then a fit of coughing and 
expectoration of tough* mucus, with lightneas 
in tbe head.* 



Dyspuaa witb mucb cough and expectoration 
of black' tough mucus, difficult to detach. 

CapriciouB appetite. 

In tbe morning gnawing pain at the epigas- 
trium, with sensation of emptineas and faint- 
ness.' (CA. JF.) 

153i Dyspnoia, especiolly in the morning, 
nitb cough and expectoration of white mucus 
" as Cough aa pítch," and which could be drawn 
out into Blrings.' {OaS., Ch. W.) 

154, Cougb with expectwation of yellowieh 
green tough matter. {Smk., Ch. W,, afUr 2 
yeart.) 

155. "Stuffing" cough with pain at the 
chest, and expectoration of yellowish heavy 
tough matUr. {Hwe., Ch. W.) 

196. Hard cough, with weight and eorenees 
in the chest, and copious expectoration. Dyap. 
Disa and slight pune in the chest. {Hnn, 
Ch. W.) 

157. Pain, stuíGng and ulceration of noetrils 
and sneezing; then cougb in fits,'' lasting for 
ten minutes, (rom tickiing' at the bifurcation 
of the bronchi, with expectoration of reddish 
mucus. {Sm., Ch. W.) 

158. Continued to work until five weeks 
Bgo, when he had to leave, and for fbur weeks 
suffered from the foUowing symptoms. 

Pain in the back eitending from lumbar re- 
^on to tbe nape of the neck, striking Ibrougb' 
to the Bternum, with oppresaion at the chest. 

Dyspncea and cough, at first diy, but speedily 
folloned by expectoration of dark coloured very 

The cough and expectoration stíll condnue. 
His general appearance is anemic. The tongue 
is covered at tbe roots with a tbick coaüng of 
yeUouAih fiir. The lonúls and fauces geaerally 
have an erythematous injected appeanmce. 
{Hgn., 6 moníh», Ch. W.) 

159. His health before working here waa 
always good, but in a fortnight he was seized 
with tightnesB across the chest, oppresaion 
and dyspncea, attended witb a hard diy cougb 
which laated aix weeks, when expectoration 
of dark grey' mucus of tbe conaistence of 
white of egg came on. 

SorenesB of tbe chest eziats at preaent, and 
he still feels much oppressed on making any 
exertion. 

Has febiile paroxysma night and morning. 

The tongue at the root thickly coated witb 
a yellowish white fur, and be compltuns of in- 
digestión. Load at the stomach ; eructatíons 
of flatuB and acid ma*ter. The bowels are 
always costive, requiring frequently cathartics 
which produce temporaiy relief. Has dull 
aching pain io the loins, and the uriñe is of a 
brownish hue. (Gd»., Ch. W.,/or 20 uttekt.) 

160> Violent cough proceeding as if from 
a small spot in the epigastrium, painful to tbe 

Loud wheeiing cough for five minutes at a | 



Cirti.T. leu. HwD. 
m. Ií.tr. o. Bfce. 
Nlb. u. PluM. Flb. 



An. BcU. CuD. 



i .'íTit.T. Un. Cut. 



, Google 



KALI EICHROMICUM. 



Syhptohs 161 To 166. 



I. Hj». Mlec 



GoBfrh 

time, ^th retching utd expectontion of toi^h 
muciu, flo viacid that it am be diawn in stringB 
dowD to the feet. 

Immediately on waking'' violent wheezing 
and panting ; then violent cough, cauBÍng Mm 
to Bit' up and bend fortraide. 

On Ijing down at night, and In aleep, the 
cough is absenl ; but he hae then wheezing and 
rattling in the chest, heard at a distaoce. 

After meale awdling and heaving of the 
stomach, and the cough ^ comea on. 

The cough is accompanied by pains in the 
loins and eides,' causing him to hold them. 



(md Gbest 

After the cough he has pain and awimming' in 
the fórebead, ahnost causing him to fatl. 

Beeidea the cough, he has weight in the he&d ; 
weoknees of digeetion, bo that the Btomach ia 
diaordered hj any but the mildest food. 

Dialike to meat™ and disordered digeation 
from it ; habitual conatipation. 

Emaciated, and looka aged, and great weak- 
ness, BO that he was obliged to gire up woik. 

{£mm. Ch. W. eame on soon a/ler he carne 
tú lite Works and coniinued for moní/u. Got 
yuííí well í» 3 or 4 icaeií under HomrBopathie 
IretUmmí, chiejiy Nux and Phot.) 



m BsIL Ciri). I^. 



COCOH Ájn> EXFKTTOaATlOM. 

Bhort di7, after dümer, 48 (noae). 
81 {tal. off.) 
. U InmpB are expectorated, IIS. 
Coagh ñtim the open ^r, 161. 

„ on awaking, 144, 163, 160. 
Wbesiiiig coogh, 160. 
At flret díy, then with expectoratioo, 158. 
Hard and dry, 159. 

" ^^'nflts, 167, 160, 149. 

irith Boranea» at Btemnm, 146, 149. 
dartíng to between ehoDlden, 14 
■hootinga In oheat, 150. 
vértigo, 162, 160. 
dyspnoia, 153, 154, 166, 158, 159 
pain ta chest, 16^ 156. 
ratchinK, 160. 
taate ofblood, 149. 
pains in loins and «des, 160. 
,. PuninlaiTnx, 149. 
Spnta, copióos, )56. 

tranaparent, 144. 

Blatr, 144, 169. 

tliick yellow, 146. 

traces ofblood, 146. 

thiok, 147, 153, 155. 

tougb, 106, 152, 153, 154, 155, 166, 1 



INDEX AND ANALY8IS [íccoí Sym^Um» 144 * 
Spnta stringT, 153. 
„ blackish, 163, 158. 
„ Telluniíth gceen, 164. 
„ reddisb muciis, IS7. 
„ swestisb, and yollow, 149. 
Congh from oppression at epigastriom, 163. 
„ „ a sore spot, 160. 
„ „ tickUng at bifnrcation of Ivonchi, 

167. 
„ after meáis, 160. 

Labthz. 
Soreneaa, 144, 145, 146, 147. 
Ticküng, 146, 149, 147. 
„ at dinner, 146. 
Accnmnlation of mucus in hxjoí, 160. 
HoanenesB, 147, 149, 160. 

„ worse in eTening, 147, 

Pain at night, 129 (abd.) 
„ on deep inaplration, 92 (im. eff.) 
„ atcaidiao región, 113 (gastr.), 127, 130,136, 

136 ¡pJpitotion), 137. 
,, buimng in steraum, 129 ir" ^ 



_.(?- 



IB). 



I, 200 



.pama), 
TighniesB, 118 (gaatr.), t 
Dfapntsa, 113, on ezertíon, 158. 



tjed lound bellj. 



160.] 
I>fiipn<Ba, as &om 

123 (^tr.) 
Oppresaion, with pam to baok, 158. 
Pun in long, migrating to anua, 131. 
Tightness at biflu<cationof bnincbia, 147. 
TickUng at do., 157. 
Pain in uppeí part of right long, 162. 
Whaezing and panting, then oongh, 160. 

„ m sleep, \m. 
Paisa in marntoa and nipple (male) 18t, (leg) 

104 (gaatr.l, 135, 128 (abd.) 
Transient pidns in mamma (female) 103. 
Pains onder axilla, 129 (abd.) 
Pain in cbest, between scapuln, and in the ex- 

tranutíes, 204. 
Ttansisnt extemal atitoliss, 135. 
Pain from back to slemuiD, 158. 

„ u aidee to back, 196- 

„ pectonü musctes, 198, 201 (and Intenostals 

and wrisbi). 

„ oí pTeBsnre, and abooting in a small spot 

the «ze of balf-a-ctoim, sora to tonch, 204. 

„ anperficul in whide left aide of bieaat on 

waking, 204. 
Pain in ribs, preceded bj pain in thnmb and 



Back, Kldneys, &c. 



161. Dull presBÍTe paúm indiffeFent parte of 
the back, going off in the erening. 

Deep-seated aching at upper angle ' of left 
acapula. {DU., llA day, Ut dü.) 

163( Bheumatic paina between 7th and 8th 
ribs at their angles on the right side, increased 
on raiaing or twiating the body to the left,'' 

Transient atitch at the inferior angle of left 
Bcapula, then a similar pwn in the toe, ( Wh-., 
V» to y, gr. dailyfor 10 doy».) 

163i On 2nd, darting paina in renal región " 
and severe etitcb in lumbar región, aggravated 
by iuapiration,* and cough. 

Srd day, tranaient dull pain under right acO' 
pula ¡ sharp shooting paina flrat in left then in 
right renal región, estending down' the thigh, 
aggravated by inapiration and coughing, on4th. 
The lumbar pain felt next day also. 

On the 6th, cutting pain on left aide of sacral' 
bone abooting up and down. (_I>¡fn., 1. d.) 



IM. Vértigo and heavy pain in the vértex 
Bubeiding in 6 or 6 houra, then severe pain in 
the lumbar región, extending into the aacrum 
and down the tliigh, at flrat adiing Üien increa- 
Bing to a numb senaation ao aevere that he 
could ecarcely ríse Irom the chair. It continued 
3 daya and graduaUy decreased in aeverity. 

The uriñe wae acanty, high coloured, and 
deposited a pearly wbite aediment ; no iiritatioa 
in pasBmg it. {Hln., 90 gtU. Ut dü. in 3 
doiÜÉ, 1 day.) 

165. At timea, for about a week or a fort- 
nigbt, he has paina acrosa the loina and acanty 
high coloured uriñe. {B. F., Ch. W.) 

166. Wae aeized with pain like a knife ' 
through the loina, auddenly, bo that he could 
Bcarcely walk in the afterooon. He waa with 
difficulty helped home, and had great pain all 
night, and could not sleep all night more than 
an hour for the pún that continued even when 



,Goügle 



Sthptoks 167 To 176,] 



KALI BICHEOMICUM. 



still, but greatly worae on movin^ or turning ^ 
he had frequent desixe to pasa urine, with Bctmty 
reddish urme.'' He [got Bome mire and] was 
Bomewhat leliered, so Üiat be could ga back to 
work uext day, but remained with paio in back 
and Bcanty uriñe for a fortnight, (CA. W. aged 
19.) 

167> Bitter taate in tlie momiag; ' acbing at 
the inferior angleofñgbtscapda. {Fan.Ch.W.) 

148. Aching patn ia the back, numing down 
on the left eide into the hip.' 

Uriñe red. 

DryneBS in mouth and throat. 

Sight cDufiísed and dim ; aingiog in tbe ears. 
(Hem. Ch. W.) 

169( Stabbiug pain hata the 3rd cerrical to 
tbe 5th dorsal vralehra, striking forward through 
tbe cheet to the stemum,' increased on motion, 
with inabiüty to stroighten the apiñe after etoop- 
ing. It prerented him from working fbr 6 
weeks. 

Coustipation with pain acroBs the loine. 

Heaitbum only in the evening after tea. 
{Su,y. Ch. W.) 

170. Occasional attacka, laating about a 
week, of aching pain in the región of the 
kidneys, estending' to the groine, worse aíler 
reet, with Bcanty reddÍBh unne, nausea and im- 
paired appetita. (1 Ch. W.) 

171. A dyer, in a fit of rage, took a piece of 
bichromate of potash, disaolved it in water, and 
awallowed tbe solutdon. Nausea immediately 
carne on, and, aíler copions draugbts of milk, 
soap-water, and oil, violent Tomiting was pro- 
duced. Ailer the stomach was completely 
evBcuated, the patient felt well and &ee from 
pain, and walked about, and in the evening ate 



Buk, KldB«ys, tus. 



bis Bupper with appetita and refuaed to have 
medical advice. The night was paaied quietly. 

Next moming añer getting up be felt sucb 
weaknese, tbat be waa obliged to lie down 
again ; the belly was neither eweUed ñor pain- 
fUl ; tbe pulse quiet, but small. 

Tbe patient felt only some abooüng pains in 
the back, and in the legion of tbe ki^ieys, and 
a feeling of acraping in the throat ; he was able 
to eat, and he drank large quaotitiBe ot puré 
water and demutcent drüiks ; he had several 
stools of natural colour and conústence, but did 
not pasB a drop of uriñe. 

Tbe 2nd night was somewhat restlesa, and oext 
moming the patient was very mucbweaker; he 
had scarcely power to ríse, and trembled greatly 
oa making the attempt, but witbout, however, 
feeling aoy increase of pain. At a later period 
he could Bcarcely raiae bimself up, and be aank 
back on making tbe attempt, but bis spirite 
remained good, and be felt sure he would eoon 
be well. The debility increased and the patient 
died, sleeping colmly, in fifty-foui bours after 
taking tbe poisoo, as if from puré exhauation, 
witbout any disturbance of the mental facultiee. 

Some bours before deatb, tbe white of the 
eye became coloured yellow, and shortly before 
death, spasmodic contracdon of tbe haude waa 
obaerred. 

On disseclion, the itomach was found un- 
changad, tbe duodenum slightly reddened, the 
liver coloured yellow, tbe spleea gorged vñth 
blood ; the kidQeys were large, and wben cut 
open, deeply marbled red, ñlled with frothy 
blood ; bladder empty. The fluid in tbe sto. 
macb atill sbewed tbe presence of Chrome to 
chemical tests. 



kpala, in dio 

erening, 136 (abd.)* 
Betireen Bcapnln, pam preBaire, 136(afad.) 
Pain between Bcapíibe. m the ftont of the ohest 
' waking, 204. 



INDEX. 
-Boct, pama in, 106 (gastr.) 

„ puna liindenng Btnúghtemng, 6 (tbt- 

tigo). 

„ nía in the middle tm the light, 135 

(abí) 
Peooltar nndnlating contraction of tbe mna- 

cleB of tbe right Bidé ofthe baek, 201 (gen. 



thrOQgh to tbe atemnm, IB8 (oongb. Sai.) 
Coeeyx, paini iji,iii themorning, 200 (gen.painl.) 

„ „ during coition, SOO. 

„ in walking and in the «ct of ütl 
down, 20a 

„ ralieved after itool, 100. 



VpptT Extremlües. 



17S> Violent tearing aching pain in the 
left sbouhleT. (DU., íat dÜ. and Tm. Ch. 
W.) 

Rheumatic paíns in botb sboulders, worse at 
night. {Tye. Ch. W.) 

173. At night, soon after lying down, tear. 
ing paina in the shoulder and npper arm, on the 
eide not* lain upoo ; on turning, the pain went 
to tbe otber arm. {DU.) 

174. On the Ist day, he had now and then, 
quite Buddenly, a violent crampy " pun in the 
middle of the outer aurface of Úie r^>ht iq)per 



ann, leaving tbe spot tender to toucb. {Am., 
1. d. 2 dotít daiÜA/ jmr 5 days.) 

175. Daiting in the elbow on 2nd, fith and 
7th, and dartinge in ñght wriet 2nd and Sth, 
also aevere throbbing. Darting in lefl wrist, 
near pisiform bone,* for nearly au bour, and 
slight aching in 2nd joint of fingers. {Dyn., 
c. i. 5 days.) 

174. 4th day, aflemoon, a sbarp wrenching'' 
pain on tbe radial side of the left hand, that 
made him groan aloud. 

On 8tb, in tbe aftemoon, a few tnmñent 



e ÍTitvX. fí) 
i Hcp. Poli. <T 



yGOOl^lt 



KALI BICHKOMICUM. 



[Stmfmms 177 TO 192. 



.a 



wrenches knd fltitches in the ri^ht azula 
hinder surface of lell Üúgh ; aleo frequent BÍn- 
gle jerking wrenchiiig pain from ríght shoulder 
to elbow. (Zi., Ut dÜ. 10 dayi.) 

177. Tearíng paia in Üie ehia bañe and in 
the joints of tjie fingere of both banda, but 
especially bo violent in tbe right thumb * tbat he 
could not write for tbe spaee of an hour. 

Next day the pain in tbe thumb retumed at 
ebort intervals till tbe evening, and it and the 
other paine gradually became lees irequent and 
severe in tbe next 2 or 3 daye. (3/í., 15 gr». 
Ut trit.) 

178. On tbe 6th, painñil tensión ' at tbe ex- 
tensor side of nght thumb lasted the whole day, 



IJpper Eifremltíes. 



and is tender to pressure at tbe articulatíotí of 
metacarpal bone of thumb with wríat. 

Neit mornmg* be awoke witb sucb a violent 
pain in the thumb that he could hardly hold the 
pen, increased by every moTement of tbe band 
or arm, no swelling or redness visible. The 
pains coutinued tbe whole forenoon, and were 
often so violent that he could not toke his 
bandbercbief out of bis pocket ; tbey reacbed 
up to tbe elbow ; notbíng to be seen ; better 
in tbe evening, and next moming gone. {Zl., 
Vio y- CT^«ry ^ daysfm- 8 mwAí.) 

179. On the lOth day he bad a sudden 
tearing and convulsive movement in the ligbt 
deltoid muBcle. {Lack., 2 irii. 17 day».^ 



„ „ afler pain on Tertex, 304. 

„ Joint, as if loóse, 194. 

„ ptúns in, and leñ breast, on Taimng the 
um, 204. 

„ „ tiglit Bhonlder, then in left 

elbow, 128 
Pún and nnmbneu ¡a shonlder and elbow, 204 
Faina in Bcapnls, whole orm, liand and thumb, 
diaappearing on motian, 203 (geni pains), 



INDEX. 
FÚD and jeiUng In npper um and thigh, 

Púu in the left fineum and right EÍde of occi- 
pnt, 'J04. 

Handi, Fains m hands, feet and hsck, 2 (vér- 
tigo). 
,. „ „ andchest, 197 (geni. 

„ „ „ and forearm, 204. 

PtúoB in wriets and pectoral and intercostal 
máseles, 201. 

„ „ and extemal malleolos, 202. 



Pun in hands, as if bnÜBed, 193. 
Weaknesa of the banda, lD5(gaatr.) 
Spasmo^ contTwction of the lunds, 171 (fotal 

guppTession of mine). 
PmtñileB on hondo, 38 (e^ea). I 

Thmi), pains in, 193, 203, 204. \ 

Pain in ríght tbumb, then leñ opper arm, then ' 

left ribs, 204. 
Bone», pains in, of band, 195. I 

nina, 204. ¡ 

„ „ foreonn, 19&. 



Lower Extramities. 



a ChuB.Colch.Luh. 
Nlcfl. Vtn. 



1. Fhu. u. F1l>. 



r Bhai (1) ZÜ.I!. (1) 

r BtU. Bij. Mn. 
Plica. UcreiDJatii. 



180. Bheumatic pune in tbe hip, coming on 

atnight.' {Tgn. Ck. W.) 

181. 2nd, the nbole rígbt leg waa painful, 
eepecially on the bip, tbat he could not lie ' on 
the right side that night. 

In the evening nest day, añer a walk, tensive, 
troublesome drawing pains in tbe whole light 
leg. (Zí., '/,o gr. every 4 dayí for 8 loeeí».) 

183. Rheumalic paina in tbe rigbt tiugh. 
{Ch. Ch. W.) 

183. On the 2nd day, in the evening, be bad 
a drawiog and jerking in single muscles of tbe 
thi^ and upper arm.° 

On tbe 6tfa day, also in the evening,^ he bad 
sudden tearing pain in tbe leít knee, very pain- 
ful, and preventuig every movement of the joint. 
Thia pain lasted about a minute and reappeared 
again in about balf &n hour. (Lack., 'iñd trit. 



17(j 



/*.) 



Un rísing from bis seat, a violent pain, 
as if dislocated in tbe knee,° of ahort durntion, 
repeatedly. Once a similar pün, but slighter, 
in the ankle joint. {Lack., 2 proving», \»t trit. 
9 and 13 days.) 

185. Acute rheumatic paine and stifineea in 
tbe knees without swelling, felt only in walIUng 
and not at night. {Brrt. Ch. W.) 

186. On the 4th day, esternal huming and 
smarting eenaation over the right trochanter 

9th and llth days, tearing pain &om leít 
bam * down tbe leg. {OU.') 



187. Pain in the course of tbe left sciatic 

nerve, extending from behind the great trochan- 
ter to the calf of tbe leg. {Dgn., Nn.) 

188. Barting pain down tbe outside ^ of the 
left thigh. {Dgn.) 

180. On the 9th day, in the añeraoon, a 
pain carne on in the tendeas of the muecles of 
the calf, as if stretched, much felt in walking, 
and causing lamenese. It extende up to the 
bam and down to the tendo achillie.' It con- 
tinued 2 daya. {Dle., ird dil. twiee a day for 
10 dayi.) 

190. SorenesB in the heels' in walking, con- 
tinued for Eome days añer the proving. 

Painful shooting in the 2nd joint of tbe great 
toe, at night in bed.' ( Wkr.,fTom '/„ lo '/i gr. 
about 10 dagi.) 

191. Pains, heat and tbrobbing ' in tbe toee. 
{Ble.) 

193. Seven hours ailer the 4th dose he was 
attacked by violent enduring tearing pains in the 
boues: tbey were concentiated in both little toes 
of tbe lower extremities, and accompanied by 
very trouhicsome creeping pains; tbey reached 
sucb a grade of intensity, tbat he feared both 
toes would tear themeelves away ; these pains 
lessened indeed iu a few hours, but etill con- 
tmued during the night and next forenoon; 
tben tbere aróse sligbt pains in tbe tbigh and 
Bnudl of back, which went off in a few hours. 
{ZoíA., Uí trit. 4 dayi.) 



kMuw. I 
Bbod. St 



!L«d.mti.K. Pulí. 



yGOOglt 



Sthptoms 193 TO 1 



Piici in hip to knee, 11, (head) 197, 199. 
„ from back, 166. 

„ tmd left bre^at and stiooldaT, 198. 

Púu in thiKh, &rim loins, 163, 163. 
„ and Hiilla, 176. 

„ after pain in Eucnim, 200. 

Pmd in tuna, 12 (head). 

„ diis-bone and finger jointa, 177, 193 
(genenü). 
„ Ehin-bcme, 193. 



KALI BICHROMICUM. 



Lower Eitremlties. 

INDEX. 
Pain in tibia and nina, fidlowed by bnming oi 

Borface of thigh, 204. 
„ knee, 198. 
Tendo acbillis, pün, 19S. 
Toe, J93, (general) 203. 

„ and scapnla, 161. 

„ fint in one theu in the otber, 198. 
HeavinesB of legs, 195 (paÍDB). 
Tearing in lower limba, nandá and nape, 203. 



Pain in leg, after pain in Baenun, 200. 
„ in Kuiorins mu«cle, 201 ( 

„ legs and feet, foreaima i 

on waking, 284. 
Crampa in Üie calve» and inner pait of the 

thi^lis, 96 (gaatro-enteiitia). 
Fotmication in raetatarsnfl, 195. 
Malleoloa, bard lump, painleBs, 194. 

„ pün in ext m. and wrát, 202. 



Rehaces. — Fains are often mentioned in the hipe and kneee, chiefly felt in the day titne and on movement. SwelUog has 
not becB obaerved. Some Bymptoms, apparently of the eciatic nerve, are to be noted. The action on the toes le also marked, and 
the pains oñen fly quickly &om one leg to the other and to otber parta of the body. 



General Palns and Sensaümis vlth no fixed Seat 



193. 2nd. — At noon, draning tearing pain m 
several parts of tbe upper and lower extremities, 
in the right ankle joint and shinhone, also ¡n 
the right bíg toe and right thumb, of particular 
violence ; Izansitory atiffness of neck ; tootbache 
with atitchee ín the left ear and temple. 

On tbe Std, single fleeting but violent atit- 
chea in the left ear, fleeting drawing and tearing 
in the left motara, and abo Ín Tarious jointa of 
the limbs, Tagne, and quickly changing* place. 
Violent pain in tbe booe of the leg towarda the 
ankle, as if the feet were broken or bruiBed;'* 
íntoleraUy increaeed on bending the ankie up- 
warda,* impeding locomotíon, coming on about 
three houra after the medicine ; and on the foU 
lowing day, at the same time, arma and banda 
as if bniised and lame ; the thuinbs of botb 
hands eapecially painful ; stiffneea of neck. {Mz., 
iprovmgt, ymffr. daÜy, 7 and 11 dayt.) 

IH. Pain in the right aboulder joint on 
motion, and feeling of looaenesa ' of the joint — 
3rd day. 

For the next two daya it contlnued much the 
same ; and on tbe 6th it increaaed to atiíineaa 
of the joint, and painfulness on being raised 
high. 

llthand ISthagainworse; wentoffon 14tb. 

On the 4tb he bad swelling' and pun in 
kft tendo Achillia, whicb on Üie 6th was di- 
minisbed by walking ; but carne after aitting.' 
It continued üll the 9th, and on that day Üie 
right became also affected in the same way 
and hindered walking. llth. — Pain vent 
írom left tendo AchilUs and ataid in right. 
On the 12th, he observed a amall hard awel- 
líng,' painful on fina presauíe, on right inner 
m^eoluB. 

On the 14tb the awelling at the inner mal- 
leolus increased ; it is very haid, and has a 
rhomboid shape, not moreable on pressure, 
painful only to strong preaaure, and seems to 
be aeated on the bone : it went off in three or 
four days. {Am., 18 day», \Qth, Ith and Zrd 
tUb. tachfor Ktme days, 2 tioset daÜy.) 



195é On the I et, heavineaa of the legs while 
sitting. On the 3rd, pain in a fixed spot of the 
outBÍde of the upper part of the forearm, chiefly 
la the mUBclea, and partly in the periosteum ;** 
the apot is sore on motion. 

On the 4th, slight drawing in the bones of 
tbe right hand ; heayineas of right leg. 

On the 6th, a fleeting but pierciug pain in the 
bone of the firat phaluix of the right middle 
finger ; in sitting sudden numbneas and creep- 
íng in the right metataraus.' {ZkU., \tt tnt. 
1 dose daHy, 6 days.) 

196> A duU heavy pain in right side of chest 
througb to tbe back,' continuing and pasaing off 
at interrala of twenty minutes; and in the 
middle of the day a aharp shooting in left side 
of chest : all went off in the evening, 2nd day. 
Next moming tbe same pain, but less violent. 

On the 3rd day, aching at right hip joint; a 
sensation of stiffnees in the back of the neck 
wben bending down the head. 

Rheumatic pain in sboulder and elbow joint 
on motion, with numbneas írom aboulder to 
elbow.' {M. J., 10 gíü. Ut dil.) 

197. On waking, and also after rising, single 
short twitches in tbe extremities, chiefiy in 
front towards the banda and feet, which bood 
pasaed off, and were foUowed by a presaing 
pain in the pectoral muscles under both azilke, 
which also laated but a abort time. l_Zlal„ Itt 
írii. 3 dayi.) 

198. Sharp pún in the right knee and hip 
jointa, and left breast and sboulder Ist day. 
Neit day sharp pain in knee. 3rd day. — 
Rheumatic pains in knees and chest. 5th. — In 
knee and hip joint. 

On the 6th, in tbe evening an acute twing. 
ing pain ín the hall ' of left great toe, lasting 
four minutes ; pricking and sünging pains in 
difierent parts of the body ; acute gouty pún 
in ball of right great toe, precisely like that in 
left foot, and eucceeding the other aft«r an 
interval of four or five minutes." {N — n., %oy»". 
leveral time» a day for 6 days^ 



¡ Ktjo.. (Í) Ai«. (1) 



%. Mf. i 



yGuoyle 



KALI BICHROMICUM. 



[8YUPT0H8 199 TO iOi I 



Ctenerai Pubis aod Sennfloiu wttti no fiíed Seat 



Bbod. 
p tuM. CHb.ao. Igs. 



r Cub. to. F«tnd. 



■ K.h;d.Bat^Goi». 



IMt Acbing and jerking paioa íd the hip, 
felt onl; in the daf. 

Id the moruin^, shootíng and prícking paina 
in all the limbs ;* he íb stiff all oyet and can 
hardiy move." (ÍÍIm., Ch. W.) 

i9M. On the I3th, in the tnoroing on mynk- 
iag, and after risiag he felt a pain in the coccyz' 
(Bteiasbein), deep as if in the bone, worse from 
walking'' and touch.' Tbis contiuued in til, 
more or less duly, for about four weeks, ^ne- 
rally felt only in the moming,' but at times 
lasting the whole day, or coming back in the 
aftemoon and evening. 

33rd. — The pain in ooccyx carne on agwn 
about noon, and was Tery severe wben he got 
up to pasa uriñe ; ' it reached then to the 
urethra, and forced htm lo bend the bellj for- 
warda ; it went oS in half an bour. On the 
37th it waa felt duiing coition. 

44th. — At noon, while Bitting, again that 
peculiar pain ín the Bacmm (kreutibein), as if 
he had got a amart blcw" on it. It went off in 
balf an bour, and tben be bad tearing and draw- 
ing paine in tbe musclea of the front of ñght 
thigh. 

45tb. — Again the paios in aacrum coming oa 
in paroxjBmB in walking, so viotent that valk- 
ing was hindered for a few moments at a time, 
going oS next moment, thougb felt in the act 
of Bitting down. 

In tbe aftemoon they went off quite, and in- 
Btead he had drawing paicB in the right leg till 
evening. 46th. — On awaking, pretty serere 
paini in aacrum, which returned again tater. 

Ue then had a pretty copioua Btool, ait«r 
which tbe paina went quite off, but carne back 
again after dinner alightly, and returned tgün 
for Heveral days, but not bo eevere again. 

Besidea theM, be had paine, chiefly after the 
3rd week, in tbe bones at variouB timefl ; gnaw- 
ing paina in the malar bone, and in tfae bones 
of the extremities ; pain tike a bniise in the 
bonea of tbe face,' especially on the facial 
eurface of tbe upper maxillary bones. 

On tbe 39tb day, he had stitches in tbe inner 
Bur&ce of the stemum. 

Ue felt occasional retums of tbese pains tíll 
nearly a month after the last dose. {Zlat., Y^gr. 
eoery 4 day»,for 8 uwaitf.) 

801. On tbe 9tb and 1 Oth days be had prea- 
BÍng pain, eapecially in tbe occiput and fore- 
head, which caused the sleep to be reatless ; 
also tearing and drawing pain in tbe rigbt tem- 
poral muscle, iirbicb continued till the 1 Ith day. 

Tbese symptoms came on in paroxysma, 
and Ibr the moat part were more severe before 
noon tfaan in the evening. 

For gome days before, he had paine in tbe 
wriits, and violeat flying stitches in tbe large 
pectoral musclea" and in the intercoBtala.* 

Also a teneive pain in the aartoriue muscle, 
which came on suddenly and bindered walking. 
(iooA., litlrit. 14 doy».) 



fíOa, 2nd day. — Ezpansive' presaure at zy- 
gomatic procese of left temporal bone ; in the 
aftemoon. 

On the 3rd,teanng and sqneenngoverüie ez- 
temal ' malleolua of left foot, as if in the tibia, (?) 
aloag with aqueeiinglearingaboTe the left wrist. 

On the 4th day, (no medicine for 2 days) se- 
vere cutting pain along the right parietal bone,' 
{MuUer, Ist trií. 1 dote daiiy, for 2 day*.) 

SOSt Three bours after takíng tbe medicine 
tbere occurred regularly every day, drawing 
pains, on the first day, in tbe leít shouldet 
blade, in tbe left upper and forearm, hand, and 
especially tbe thimib, which quite disappeared' 
OD moving the ann, and occupied more the 
bonea than the jointa; pressiag pain in the 
whole right side of the head, especially, and 
most violent, in the occipital part of tfais úde, 
accompanied by fleeting, but Ttolent stitches' 
tberein. 

On the 2nd, drawing tearing pain ín the lower 
limbs, especially in tbe rigbt big toe ; jerking in 
tbe little finger of left hand ; tearing pain on 
the slightest movement of nape of neck; stiff* 
nes« of the same. 

8(M. On the S\h, dight tearing* pain in left 
side of face, and at times (lOth) in tbe bonea 
of the head, 

6th. — Exteraal drawing pain in the left lem. 
pte,^ as if in tbe fascial coTering of the muBcle. 

7th. — 'In the eveniog, lancinating' pains on 
the rigbt aide of the head, in diatínct paroxysms 
lasting only a short time. 

lOth. — About noon, constricting pain in the 
top of the head, and later paralytic'' drawing in 
the right ahoulder. 

ISth. — In waking slight dnwing pain be. 
hind tbe leit ear, and left lower' jaw. The 
movement of tbe head is not quite free ; the 
muscles of tbe neck on tbe left side appear to 
be stretcbed. 

After breakfaet feeling of preseure in the 
bones of the upper jaw, immediately below tbe 
orbits. The aame in the aftemoon of the SUt. 

1 Sth. — Several times in the day a sharp pain 
in the infraorbital edges of botb malar bones, 
and eensitivenesa of tfae bones of the face. 

láth. — The whole evening a pain composed 
of presBure aad shooting on a spot the sise of 
half-a-cTown, in the región of the serenth rib 
of the left side, Uke a pain in tbe coetal pleura. 
Next moming on waking, the same pun, and 
the spot waa sore to touch : in tbe forenoon, 
the abootjng in it came frequently. Next day 
quit« gone. 

19tL. — On waking, painfiíl cutting and tear- 
ing iu' whole left side of tbe faieiiBt, seemingly 
superficial 

6th. — A truisient «titcb through die abdo- 
men backwards towards the spinal column ; in 
tbe evening in walking, teneive pain in tbe left 
breaat, more eztemally. 

22nd.— lu tbe evening on ñtting down, tAet 



Dm. Stnot 



,«^oogle 



Stmptomb 204: TO 210.] 



KALI BICHEOMICÜM. 



ecnend Faina and Sensatíwu witii no fiíed aeat. 

foreanns and banda. These pains were peculiar. 



strong exerciae, he felt a peculiar uudulating' 
contraction of the muacles of the back on the 
right BÍde, laating quarter of an hour. 

Though he elept well Ue had the feeling of 
¡uBofficient eleep on getting up. 

Ist. — On naídng, drawing paina in TariouB 
parta of the body ; but everyvhere near the 
bone, and'aa if the periosteum and the teodinoua 
expansión lying next it were affected.' 

On riHÍng very troublesome, drawing^ and 
presBÍng paine in Tañoua parta of the bodj, 
eapeciaUy in the bonea of tbe foce ; but aleo in 
the long bones of the eztremitíes. 

12th. — In waking, tearing drawiiig pains 
here and thete íu the body^ moatly in the ez- 
tremitíea, y et abo on the fi^nt of the cbeat and 
betveen Üie ahouldera. 

14th and 16th. — Tearioga in hands and feet 
and forearme. 

1 5th. — On awakiog, tearing pain in the right 
tibia and uhia, aflerwaidB buming on the outer 
Burface of the left thigh. 

IStb. — On waking &om good sleep, veiy 
aharp tearing peina" in the lega and feet, aud 



they carne in Jerka, and were not extended, 
but it was alwayB as if a single fibre or twig of 
nerve was auddenly pulled." They diaappeared 

13th. — On waldng, alight paina in tbe faa- 
cia, now bere, now there, in tbe neck, back 
and extremitiea. 

?th. — Slight preasive pain in the left shoulder, 
which extended to tbe left breast ; increased by 
mOTÍng the ana, particularly by raiaing it. 

Tearing pain in the right thumb, then in left 
upper arm, and then at the aich of the riba on 
the left eide. 

8th.— Tearing in the left forearm, and on 
the right eide of the back of the head. 

Towards evening repeated stitcbes in tbe 
metacarpa] joint of middle finger of right haud." 

Beaides theae, on other days varioiu leaa 
distinctly marked pains in the eitremitiea, tran- 
aient, and affecting difierent membera eimul' 
taneously, or in quick Bucceaaion.'' {ZL, 2 
provings, índ trit. 1 dote daüy, 23 and 27 



Sbort tiritehea, lÜT. 
Sdn^g pains, 198. 
Püns, wide spreaid, regnlvly erery day, 208. 

„ in abort jeiki) w if a nerre Boddeiüy 

piiUad,204. 
AchÍDg and stiSbesa all orer in tbe moniing, 

1»9, 204, 196. 

„ right manmia and left elbow, 104. 
„ l(Jt forearm and right aide of ocdpat, 204. 
„ right knee and bip, and left breast and 
■houl^, 198. 

„ right axilla and left tbigh, 176. 
„ right Ing toe and left Utíla finger, 203. 
Peño£e paini, 18, lai, 203. 



INDEX and ANAL7SJ8. 
g puna &om sacnun to riffht thigh, 200. 
„ „ one arm to the other, 173. 

„ „ ri^t thomb to leñ arm, 

then left riba, 304. 

„ „ left to right graat toe, 198. 

„ „ left acapola to the toe, 162. 

.. vértex to loim, 164. 

right ahoolder to left elbow, 

twitching pains in hands and feet ; then 
acbing in the pectoral muícles, 197. 

Cnunps in varióos parts of tho body, 96 (gastro- 
enteritÍB), 

Paina in the jmnts, 193. 

A hoíd Bwelling on the bone. 



12a 



„ „ parietal bime, 13a. 

Faina in the bones, penostenm and ümóí 



orer, 204. 
Pains in tibia, 193. 

arm and fingen, 19G. 
fice ande: ■ 



eo<»yx and sacrom, 163, 200. 
lygoma and parietal, 2t^. 



hoád,204. 
&ce, 204, 200. 
malaibone, 200 



Cuin. CiotaL Htoi. 
Tu.Thnls. ' 

tBcpU. 

I An. BaiTt. Cil«. 
Lh. Úax. Ic. 
Oluad. 



Skln and 

90S> Biown * Bpots on the tbroat,'' like irec- 
klea, on the 7th and I7th. 

Chi the lath, itching and buming of the 
scalp, with eruption of small pimples here and 

23rd, in the forenoon, while in the open air,'' 
Bevere buiníng in the face,* below the eyee and 
on botfa eidee of the noae, as if he was goiog to 
have erynpelaa. In tbe evening, buming of 
the same and forehead and right thigh. 

30th, buming of forehead. 32nd, buming 
in skÍQ of outaide of the leg, in the evening. 
(2 prmert, Zi. and Laekner, 8 toetkt and 2 
towAa.) 

ÜOA. On the 1 Oth day, aoon afler awaking, be 
had Bevere itching in the akin of the neck. 
After a little time thia disappeared ; yet aoon 
leappeared, flrst on the left shoulder, later on 
the left upper ann, and on the left aide of the 
chest, and finally on the back. Thie conünued 



IJlceTS. 

írom 6 to 10 o'cLock, and after midday the 
same itching appeared on the akin of the loina 
and quickly disappeared. (¿ocJt., 2nd trit. 11 
day*.) 

307, I6th day, two veaiclea on the under' 
lip. On the succeeding days, on different paris 
of the face and body, buming and itching,' and 
buming and itching in the eyee. {Zl., l»t trit. 
23 day».) 

208. 9tb, a bliater^' full of serum in aole of 
right foot from walking, which never bappened 
befbre. 9th and 17th, a few inflamed pimples 
on the back. {R.) 

809* On Üie right síde of the back,' neai 
the last ríb, a boil formed, painñil on the ieast 
motion, and lasted S daya. (JZ., \tt trit, gr. 15.) 

Sia On the nigbt of the 2nd, he had consi- 
derable itching of the hairy parta of the geni- 
tals ¡ it increased to inflammatíon of the akin 
and formation of about 20 pustulea' the size of 



Cmtli, Cut. L 



1 Luh. H«>. 



KALI BICHROMICUM. 



[Stmptoms 211 To 2S5. 



Síin and lll«ers. 



I Ag». An. .__ 

".on. Con. Oraph. 
od. kJ. <:. Kal. 
U. KiL ti;tl. Ltd. 



t Tmit. Co«. Cop. 
' üt£. BúT. Thi^B. 



Dulc. M«re. Tan. 



pin beade, vhich were cluBtered together in the 
space of a aquare inch. Neit (3rd) á&j it 
continued all day very troubleBome, caueing him 
to acratch constantly. 4th and 5th, tfae pus- 
tules form little ulcers and run together inlo 
which dischargea matter, and severe íhoot' 
in il, waking him at night. Healed up in 
5 or 6 days. (ií., 2nd íríí. one dote daily 
for 5 dayí.) 

iSlli Od tbe 6th day, a red pimple appeared 
on the back of the haod.' {Dgn., s. d. 5 days.) 

Among the Workmen. 

S12, Papular eruptions on fore-arms, laBÜng 
a few daye, recurring frequenüy. {Siony.) 

2I3> Three months after exposure, papular' 
rash lasting 3 montha. {Hrl.) 

314é Aflcr 9 days expoaure to the dust of 
the K. hich., he had an itching papular erup- 
tion on the fore-arm and legs, which laated a 
fortnighl, dbappearíng afler he gave up the 
occupation. {Ch. W.) 

S15. Sohd eruption, like measlea ™ over the 
body. {M. Ch. W.) 

316. Eruption generally comee on ¡o the 
firet 14 days. 

dl7. Bash commencÍDg in hot weather. 

218. Raah laated oply 3 days. {Hgn.) 

219. In 7 days Teeícutar eruption on a red ° 
and eievated baae (itching and buming much, 
eapecially when espoaed to ateam) in a few days 
becoming pustular, and in some presenting a 
dark point in the centre — invading handa, arma, 
face, back and belly. On the beliy, near tbe 
umbilicue, aome spota evidenüy of abraded 
vesicles, preaenting a deep hollowed appearance, 
which remaina añcr they are healed. {Mcl.) 

220, Pustulea on the arm, the size of a aptit 
pea, with a hair in the centre." {L. C. W.) 

231. Eruption over the whole body of pua- 
tulea the size of peas, with a small black slougb' 
in the centre on an infiamed ^ base. {Hwe. 
Ch. W.) 

223. Small puatules all over tbe body, like 
the small-pox,' which disappear witbout buisU 
ing. {M. Ch. W.) 

233. In a few daye aa eruption of red round 
spots broke out on the back, arms and belty : 
the apota then formed pustules the aize of a pea, 
covered wilh a acab ' which carne off in ■ few 
days and left a amall dry ulcer,' which mostly 
healed up in about a fortnight leaving a coloui- 
less depreased cicatrix," 

AJler 3 montba there still remaioed an irre- 
gular ulcer, twice the aize of a bean, with a 
scab, on the left scapula, quite out úf tbe reach 
of contact of tbe solution. It is dry and super- 
ficial. {Ch. W.) 

221, Eruption on the face like amall-pox,' 
fur aome weeks on first entering the worke. 
{Brrt. Ch. W.) 

235. The face la covered with a profuse 
eruption like acné. (1 Ch. W., aged 36.) 



[Other parta equally ezpOBed are not so 

affectedl. 

228. During the lat week a profiíae yellow 
Bcabby eruption formed over the upper lip. 
(1 Ch. W.) 

237. Small yellow pustules on the calf of 
tbe leg, about the aize of a eplit pea, not unlike 
amall-pox " pustules. (I Cft. W.") 

22$< SmeJl pustules made tbeir appearance 
at tbe roota of the nula on botb banda, estended 
over tbe back of tbe hand to the wrist, and also, 
but sbgbtly, ou tbe palm ; the arm became red, 
inflamed, and very painful, aa far aa the sbout- 
der, the glands of the axilla auppurnted, but 
did not break. Tbe postule on the band was 
small and round, and secreted a limpid, watery 
matter, when the head of it waa broten. off; 
but if leit alone, the secretion Consolidated into 
a yellow, viscid masa. {Hvy., after 3 dayí ex- 
posure lo the solulúm.) 

Painful ulcer under the thumb nail. (McO. 
Ch. Sol.) 

239. Violent itching of the ekin all over tbe 
body ; tben eruption of small pustules forming 
scabs,* most on the arma and legs ; the scabs 
are then painful, amarting and buming. (2 
Ch. W.) 

330. Itching in tbe legs, followed nezt day 
by breaking out of a red eruption, which run 
together and formed acaba, discharging tbin 
matter with aching amarting pains. It has 
tasted above a year, and is in large pustules on 
the front of the leg ; better in cold weather. 
(1 Ch. W.) 

331. Heat and itobing of tbe skin at night 
in the warmth of the bed,' followed by eruption 
on the thigha and legs of reddish hard knots,' 
from the size of a pin's head to that of a split 
pea, with a depreaaed dark scurf * in the centre, 
fiurrounded with an inflamed base ; declining 
in 2 or 3 days. Similar attacks recurred fre- 
quenüy. {Cpr. Ch. W.) 

232. Añer a week's expoaure to the chrome 
aolution (witbout any abrasión) there appears a 
small red elevation with a dark centre and ele- 
vated circumference,'' itching and slightly pain- 
ful. (CWi.) 

233. Inflammation of the feet, and in 34 
bours breaking out of numeroua ulcers (14 in 
one foot, and 19 on tbe other) of tbe charac- 
teriatic form : they healed in a fortnight, 
{Holn., afler tlanding /or ha^ on Aour m o 
weai lolulion of the E, hieh. with thoe» not 
waier-tighl.) 

234. Witbout bis beingawareof any acratch, 
the arm swelled as high as the axilla, tben a 
boil liie elevation formed, which tumed into a 
large ulcer with dark centre and over-banging" 
edges. (Mtt/.) 

235. Rednesa, awelUng, and itching in a 
spot on the wrist, then great pain : after aome 
tune, matter formed and broke tbe akin, and 
continued to ooze out for 2 or 3 months, then 



y^^oogle 



SrMPTOMS ase To 249.] 



KALI BICHKOMICUM. 



Skin and 

healed, leaviog a cicatrtx depreesed, rs if 
scooped out {Mcl., txpoted to ck. tol. afier 
tome ntontht.) 

536. Itcbiness of tfae fore-amiB and handa, 
then iatolerable pún aud formatíon of numerouB 
ulcen, from which abore a dozen aearlj Bolid 
moBsea of tuatter fell on sttiking the arm ñrmly . 
The ulcers were left deán dry cayities, which 
gradually filled up and healed in about a month, 
leaving a white cicatiix. (Ghm., 4 lioyj qfler 
espoaurs to ch. sol.) 

537. In the seat of a scratcb, ezpoeed to ch. 
sol. ewellmg and inegulai ulcer, covered vith 
a 6cab, painful on preseure, diy : thia contioued 
foi montha, and a bard knot moveable ig felt 
under the akin, with an ulcerated spot like a 
com. ThÍ8 gradually kordens, and is covered 
with a wbit« skin, and remains so for montha. 
{Brd. Iru.) 

538. Afler swelUng and redneae of the fin. 
ger tfith severe throbbii^ pain, an ulcer formed 
over the joint of the fore-flnger with white 
overhanging edges, and dark gangrenoue cen- 
tral point ; the skm and ceUuIar üssue moveable 
as if separated from their attachmenta. ( On.) 

239. Tbe ulcera are always formed where 
auy abrasión exista in parta ezposed to the 
chromic eolution, aud frequently without any 
perceptible abresion. 



llcers. 

dze, from that of a 
they are generally 
dry, of an oval form, with oTeriütngÍDg edges, 
infiamed bríght red ajeóla,'' hardened base 
moTeable on the subjacent tissuea, with a 
blackish spot in the centre. 

341. Sores in the parts exposed to tbe solu- 
tion, which gradually pierced deeper and 
deeper, without extending lat«rally, tíll they 
sometimes made their way through the hand or 
arm altogether. {Cm.) 

2i2. In eome persona, thougfa esposed to 
the duat, abrasions did uot lead to the forma- 
tíon of sores. 

343. The ulcera were painfíil in cold wea- 
ther. {M'O.Aln.Nfm.) 

¡244. Ulcer painful on touch. (CVn.) 

245. Ulceratioa of fore-fínger to auch an 
extent, tbat the two last pha^^gea had to be 
cUoiT. (a™.) 

246. Elevated painlesa induralion, where an 
ulcer waa 4 montha before, (3//e.) 

247. Hands completely covered with de- 
presaed cicatricea, whicb look as if they had 
been puncbed out with a wadding ciUter. 

24S. Slou^is on the fingera and glans penis, 
from exposure to solution. (CWni'n.) 



Objecttve. 
Papnl», 212, 113, 214. 215. 231. 
Papóla changing to postales, 223. 
Piinides,205. 208, 211. 
VesicleB, 207. 136. 
Postales, 209, 210, 222, 224, 227, 228, 229. 

líke acné, 225. 
„ ivítb a black epotin centre, 221. 

with a hair in centre, 220. 
Bntwn spots, 20G. 



INDEX and ÁNALTSIS. 

Yellow, scablí]' emptíon, 228. 
Veaicular, thon pustukr, 219. 
Scabs, 223, 228, 230. 

Itching ndlboat eropüon, 206, 207. 

„ before and with ditto, 205, 210, 214, 
219,229, 230,231. 
Bnming withoat emptíon, 205, 127. 
BurniQg and amartíng with dítto, 229, 230, 136. 



París Affbcted. 
Whole body, 213, 216, 221, 222, 223, 229. 
Head, face, oí neck, 127, 205, 207, 224, 226' 

225, 136. 
Tnmk, 206, 207, 209, 219, 223. 

„ genitals, 210. 
EitramUies, upper, 212, 214, 219, 220, 226. 
lower, 20S, 214. 227, 230, 231. 



Reicabkb. — The idiopatbic and peculiar action on tbe skin is well marked. On the provers we bave as maiiy indications of it 
aa uaually appear in such experiments. lo the workmen it appeara fully developed, probably from the different chamiele Uuough 
nhich it is introduced into the system, and thus penetrales It more completely ; but certainly not from mere local irritation, becauae, 
Sfi many of the caaea well show, there was a simultaneoua eruption all over the body, or in parta that were not touched by the aalt. 
The forma of eruption are eufBciently well ahewn in the above cases. The large ulcera were only formed under the influence of 
direct contact of the aalt, but their fundamental character appeara in some of the eruptions above alluded to ae qipearing on untoucbed 
partfi. The local action of tbe salt in producing ulceratioa, may be deacríbed as foUowa : if there is any abraaioo ou the skin of the 
handa when exposed to tbe chrome solution, a swelling appeara, like a knot, and on this forms an irregular ulcer covered with a dry 
acab aod painful to touch. This conünues for montha, and under tbe akin is felt a hard moveable knot, like a com, with a small 
tilcerated spot at tbe middie, where it toucbes the cuticle. It gradually beala and becomea covered with a white skin, but the bard 
koot^ feel remains for some time longer. But if the solution ia atronger and tbe cuticle more tender, so that it is penetrated even 
without any previous abrasión, then ulcers form trom the size of a pea to a crown, and often penétrate deep. They ore generally oval 
or round in ^ape, and are dry ; they have overhangmg edges, a bright red inflamed enviion ; hard base, moveable on the auhjacent 
tissues, and have a dark spot in the centre ; they h^ leaving a depressed cicatrix. 



249; After the usual local aymptoms ir 
mouth, he had in balf an bour, wbile walking 
in the open air, unusual wearinese, heaviness of 
the limbs, exhaustion, indifferent and depressed 



General Debüit; and Weariness, &«. 



spiríts, and unfit fot work ; be feels ex. I 
bauated with beat, as if after great muscular 
eSbrts ; he is tired with walking a short way 
and ia obliged to sit down, and be coanot wdl | 



yt^oogle 



KALI BICHBOMICUM. 



ISymptohs 250, 251. 



collect hia thoughts ; he wiHhee to b« alone and 
in the open aii. NeTcrtlieleflB in going hia 
ronnd of vints oa the sight of food he Í8 seized 
with craTÍng appetite [unusutd at that hour], 
ud on eating be feels better, but in half aa 
houT han cold and honipilatioD, especially on 



Graieral ÍMaüij and Weariness, &c. 



the eztremitiea, alteniatiug with flusbea of heat 
and general sweat; nausea, eructaüons, flow 
of water and inclinatioD to vomit, Theae Bub- 
ñded in an hour or two. {ScAtoartí, gr. V^d, 

1 lÜM.) 



INDEX. 
id prostntian, 3 (Tertigo), 10 (bead- 



Watrinen and exhanstion, 83, (im. eff.) n 

QeBB Bo tlut he trembled. 
DiaÍDclinatioQ íbr exsrtion, 122 (alid.), oi 

lemptin^ to rige, 162 (fatal). i 

REUAaKB. — General debíli^, weariness and weakness of the limbs are a proi 
oít«n seem oot of proportdon to the primar^ Bymptoma, 



9G(eattr.), 113, 121. 125, 



lent of manj symptomB, and 



Steep, 

SSO. On the 2Ut day he had a quite pecu- 
liar uapleasant feeling at 4 o'clock in the 
moming, which might b« best deacríbed as a 
nightmare. He dreamed that Bomcbody had 
laid himaelf across bis breast and belly, which 
so hampered bis breathing that he tfaougbt he 
would choke, called out aloud, and on waking 
wafl covered with aweat, and with bia blood in 
great commotion. After riaing felt ratíier fa^ 
tigued. (Zioí, , gr. '/ijíA tvery 4 t^ifor 8 VMek». ) 



tas. 

aSi, On the Ist, at midnight, awoke with 
an oppreaaioQ on tbe cheat, hitherto Deveí ex- 
períenced, wlúch took away bis breath and waa 
ver; highly oppreaaÍTe (like wbat be bad ima- 
gined tbe nigbtmare to be). 

2nd á«j, aleepiness towarda evening ; at 
midnight was again awakened by a violent op- 
preesion on the cheat, as if a hundred weight 
lay on it, and oould not fall asleep again tíU 
dawn. {Mz., gr. VinlA dailg/or 6 dayt.) 



eariy in the evening, 113. 



INDEX. 
\ BcsUeM sieep, 85, 86 (im. eff.), 122, 12 

(abd.) 
[ „ ataitiDg, toaaing and talking, 1 22. 



Rbmabes. — There eeeme io be no idiopathic actíon on aleep, and even the Eiympathetic action ia rare and not great ; 
oñea remarked that the sleep waa good, eren when eymptonis of considerable inlenú^ weie preaent during the day. 



Febrile paroxTBin night and moming, 159. 
FeTsrishnesa iu the flrat part o£ the night, II 



Febrileí 

, night, 106. 

Shndderiugaiidchilliiieea, 82,83,99, 101. 

„ inward, 92. 
Heat oIl over, 84 (iln. eff.) 

at night, 103 (gastr.) 



Ferer. 



Heat all orer, with inwiird ¡xAá, 90, 94. 
Eeat of handfl and feet, S8, 

„ ÍBCo tmii apper part of the body, 9Z. 
Skiñ hot and diy, 96 (^tro-enteritis). 
FloalieB altematdj witli Bhaddering, 93. 
Sweating, 92, SS. 



Swatting aa the back, 93. 

„ during effoTt at atad, 127. 
Pulse unaU, 171. 
Pulse at fint feeble, then hard and full, 120. 

Then 100 andjerkfng, 96 (gaatro-ent) 
Blood buffed and capped, 96. 



Rehabxs. — Idiopathic conünued fever does not lie withm the aphere of the action of thb aubataoce ; but aa periodícity it 
obeerved, it ia poseible aome of the aboíe symptoms may indícate the elementa of intermittent fever. 



Amdet; and depreadon of apints, h 

andgaitr.) 
Amdetr, 109 (gaatr.) 



Mmtal ^mptoms. 

* (eolio I Infifference and deprenion of «pirita, 249 (ge- I ImtaUlity, 129, 119, 137, 93. 

nenl languor). Moch ditturbed hy a ali^t Teíalion, 120. 

1 ni-hamonr, 132 (abd.) | 



General NatrttioB. 

I CWiezia, 1G6 (oungh, &c) 



yCüüí^le 



Stmptom 252.] 



KALI BICHROMICÜM. 



25& — ^tiohgÜKU Gmdiliotu. 

The theumatic paine are aggravated, and tbe 
g^agtric reliered añer eating. (109, 135.) 

In general wbere the gastríc Bymptoms are 
veiy laromÍDent the rheumatic BjmptcñiiB do uot 

Man^ púns are worat in the morniíig oo 
avaking. (197, 204.) 

The ptúna sil over Beem worat in the mom- 
ing on awaking. 



Sereral of the workmen stated that the coogh 
uid expecloratíoQ weie worae aAer the uae of 
coffee, and they gave it up for tea. 

Fat and light-haíred peraons seem more 
easilj ofiécted by thia dnig. 

liie opea air, when moderatdf cold, «ffecla 
him painfully, (Zl.) 

Some of the BymptomB in the workmen are 
iocreased in vrarm we&ther [poaeibly only from 
the greater escape of cbromic acidj. 

Some symptomB are períodic, retuniiag at 
the same hour daily, or at longer interrale. 



CoiTCLUliiKO Beiubeb. — I ii»y condude hy notíng a lew genera] remarks that were made hy the proven or on 
The añer effects of the proving experíenced by Am. are given at No. 118. Those of Zlat. are given in a note in the foUowiug 

" The Bichromaa Eali dieplayed itaelf to me aa a medicine that expreeses its actton more in the vegetative than the sensitive 
sphere ; and which more especially attocka the bonea and tbeir immediate coTeringa, as well as the mucoua membrane and the fibrons 
tisBues. It ehewed a quite peculiar operatioa on the noae, botb on the echneiderian membrane and the bonea of the nose ; thea on 
the long bonea of the extremities, on the aacrum and coccyz ; in a elighter degree alao on the atemum. The bonea of the organ of 
hearing were alao not quite unaffected. 

" I would have no heaitation in counting it among tlie antípeoric medicines, and aecríbing to it a long duration of aclion. 
I can aaaert that even a montb after the last do«e I took, the action of the medicine was not finiahed. It aeema in many res^ects to 
be analogoua to Arsenic, and may, in all probabilíty be adminiatered m diaeaaea with advantage in very high potencies." 

Me. addfl the fbUowing " concluding remarka :" " I waa compdlled to give up my experimenta oo account of the greatly 
deleriorated átate of general health brougbt on by them. Tet for tbree weeks after I continued far from well. During that time 
I bad frequent returne of the eructationa, nausea, inclination to Tomit, want of appetite, and troubteaome griping in the abdomen. 
And I waa troubled düly, and almost constantly, with dull aching and cracking ¡n difTerent jointa ; am&rting and watering in the 
eyea ; ückling and buniing in the noae ; preasive aching in the head and cardia. Aa regards the boweis, I had, with few exceptions, 
daily two motiona; tbe first regular and conüatent, and soon after it a looae one. I díd not regain my former good health till the 
fburth week after theae ezperiments." 

The writer alao waa powerfuUy effected by the drug, and the general health considerably deteriorated for a time ; ao that aome 
time after the actual dístinct aymptoms of the drug had aubdded, he had a return of a epecies of severe nerroua or bilious headache, 
which he had had before, but not within two years. 

Tbe general impresñon hom an exammation of men engaged in the manufacture of Bichromate of Potash, on whom it has 
produced ita peculiar efiects, is, that they auffer from dyapepaia ¡ and though the appetite ia generally good, yet many become ai 
the skin acquiring a yellowiah hue, which afiects eren the conjunctiva. In at leaat two'tbirda of them the Mpñtnt narm 
perfoiated more or leae, a phenomenon which would aeem to take place iu a very few weeks ailer commencing to work: but the exact 
time when thia happened could not be aacertaioed, aa many of them were not aware of the exiatence of thia átate of diaeate until 
pointed ont to them by the peraon making the examinatíon. In three-fourtha of them the fiíucea and eoft palat« were red aod injected 
ahhongh without pain or aorenesa. In two cases deep ulcere on the peíate, but without pain, That the pam moaüy complained of 
waa acrosa the loina; that catarrh (chronic) ezieted in about 25 per cent, of the caaea, attended with an expectoration of tough visad 
tenacioua mucua generaüy white, but eometimea dark grey, approaching to black. 



y^^oogle 



SUMMARY OF THE PHYSIOLOGICAL ACTION. 



Genbbal AcTlOK. 
Tliis subatancc may be clasaed as a puré irritant to 
the organic tissues. It does not appear to act directly 
on any of the fimctíons of animal or organic life — ex- 
cept perhaps to a certain extent on those of the stomach 
— but only indirectly through its action on the tissues 
that compose the organa. Its actioD b of a profoimd and 
intense character, producing inñammation vhich goes 
on to the formatioo of morbid producís even in parts 
on vhich it acta only by sympathy. The specific ten- 
dency of its action to certain óigaos and tiesues is well 
maiked, and much more circumscríbed thaa that of 
Arsenic or Mercury, Ita influence is confined almost 
vhoUy to the tiasues of oi^^anic or regetatíve life, and is 
moBt marked on the mucous membranes of the stomach 
and bovels, and of the air passages and nose : next the 
eyes ; then it eficcts, with about equal intensity, the skin, 
the liver, and the kidneys, and lastly the fíbrous and 
muscular tissues and the períosteum, and probably the 
bones. It seems tA have little or no spccifíc relation to 
the serouB membranes, to the genital organs of eithcr 
sex, to the cerebro-spinal nerrous system (exccpt neu- 
ralgic affection of certain individual ncrres), or to the 

Its action is rapid, and also long continucd — even 
ofter the modérate doses of the provers its action could 
be traced beyond four veeks añer the last dose was 
taken. When swallowed in dangcrous doses, the efíccts 
have been known to last in a serious form for four 
months. 

ToxiCAL Action, 
In the human aubject it has produccd death in two 
instanccs on record. In one, a few minutes after it was 
swallowed great heat was felt in the throat and stomach, 
and then TÍolent Tomiting of blood and mucus carne on, 
and continucd till dcath, which took place in five hours. 



The mucous membrane of the stomach, duodenum and 
part of the jejunum was destroyed in patches. In the 
other case narrated in full at No. 171, death was pro- 
duccd by the remote action of the drug, aod the 
stomach was unchanged, though after death traces of 
chrome were stdll detected in the stomach. Death 
seeraed to have been produced by congestión of the 
kidneys, and the only symptoms were suppression of 
uriñe, stítchea in the back, and extreme debility. 

In another case of poisoning, whích however did not i' 
proTe fatal, (see Appendix, Bishop's case,) the indi- I 
vidual was attacked with vomiting immediately, and 
ejected most of the poison, but nevertheless in half-an- i' 
hour was found in a state of extreme coUapse, with | 
palé fece, very feeble puke, cramp in the calves of the ' 
Icgs, and almost total insensibility. Twelve hours after- j 
wards severe gastro-intestinal inflammation carne on, r 
attendcd with severe cramps in the limbs and inflam- : 
matory fever. When this subsided he was seized 66 
hours afticr the poison was swallowed with a severe 
attack of dyaentery. The effects of these were not 
wholly removed till after the expiration of four months. 

In the lower animáis, when given in doses of 10 
gnüns to doga and rabbits, it proved &tal in &om half- 
an-hour to three hours, by the shock to the system and 
destruction of the irritabüity of the heart and the irrita- 
tion of the stomach. When given in smaller doses, 
either by the mouth or insertad into a wound, it pro- 
duced death by exciting violent inflammation of the 
stomach and duodenum, and in a lesa degree the 
rectum : or by exciting inflammation with exudatíon of 
a substance like a íalse membrane in the trachea and 
bronchia: while at the same time there is general 
wastíng, eruption on the skin, and excessive muscular 
debility. In otber cases where given in very small 
doses to rabbits, and death protracted beyond seven or 
eight wecks, lliere was found dcgeneration of the kid- 



gitized by 



Guu^l 



PHYSIOLOGICAL SUMMAKT. 



37 



□eys and of the coaU of the large intestinea ; affectioii 
o( the mesenteric glande; enlargement of the heart; 
and disease of the skin ; attended with emaciation and 
scnrfy eruption and tougkcees of the coat of the animal. 
Although Buch a po-werful poison, ít does not exeicise 
such an unhealthy influence on the woikmen employed 
in its maau&cture hy any means as Arsenic or Mercury : 
most prohably on account of ite not being Tolatile like 
those metala, and Úms it ia comparatÍTely easy to escape 
its influence by oidinary prccautLone. 

Summary in Anatomícal Order. 
Gastko-intestinal Mdcous Mehbkane asd Appen- 



Mouth and (Esophagug, — In the animáis in which the 
salt vas ezhibited intemally, ulceratíons were found in 
the mouth, and the cesophagus thíckened, and reddened 
and ulcerated. In the workmen ulceratíons veré obserred 
in the tongue and palate, and throat and lips. Among 
the provers s^ns of idiopathic action were not wanting; 
among them may be noted the pricking pain in the 
tongue, and a swelling in it described at No. 66. There 
seemed to be little action on the teeth and gums, though 
in some cases salivatíon appears. In the ixsophagas was 
remarked a peculiar epaemodic feeling, described at No. 
97. 

Stomach and stnaU Inteatínes. — In the etomach and 
duodenum ve remark constanüy eigns of TÍolent inflam- 
mation, vhether the salt was introduced into the system 
by the stomach or by any other channel, and when none 
of it could he detected in the prims vüe by chemical 
testa. The action seems to be most marked at the car- 
diac portion, and the pylorus seems not affected, while 
the intense action begins again in the dnodenum and 
graduaily diminisltes in the small intestine, and reappears 
in the colon and rectum. In the provers we have 
numerouB symptoms corresponding to these organic 
afTections, and also others ehowíng ñinctional derange- 
ment of the stomach. In particular nausea and vomiting 
are constant symptoms, also want of appetite, yellow 
tongue, pains in the stomach — ^both of a spasmodic and 
inflammatory character, sympathetic headaches, and a 
varíety of symptoms described at length in the previous 
pages. 

/» the large intestine we have also among the prorers 
the marks of idiopathic action ín constipation and eolios, 
and also in severe d^entery, as described at Nos. 96, 



125, 126. In thís rcspect the Kali bichromicum 
seems to resemble most closely the corrosive sublímate. 

On the Liver we have signa of organic changes seldom 
met with in the pathological anatomy of the effects of 
poisons. As that organ ia so intimately connected with 
the Tcnous circulation, we very often find reporta of 
congestión and variations in the sÍ2e and líilness of blood 
in it, yet Úiese changes have little or no practical beai- 
ing. It ia otherwise in thia case, for we find marked 
morbid appearances of a distínct and peculiar character, 
described at p. 5, and indicating most prohably circum- 
Bcribed ináammation and incipient suppuration. In the 
provers we have also strong evidence of the action on 
the liver from the frequency of pains in that región, and 
the symptoms of the digestÍTe system and the appearance 
of the stools, which indícate irregulaiity in the secredon 
of hile. 

Of its action on the mesentery and mesenteric glands 
we have likewise evidence in the pathological anatomy 
at pp. 5 and 7, and along with that, chronic disease of 
the coats of the large intestine. As symptoms of this 
we may prohably consider the excessive emaciation of 
the animab disproportioned to the consumption of food, 
and among the provers and workmen the anemic and 
cachectic appearance of some. 

We have no evidence of any action on the perítonseum. 

In three of the experimente (p. 7) the diaphragm was 
found acted on. 

Urinaby anb Genital Oegans. 

Id a considerable proportion of cases the kidneys 
were acted on in a marked manner. The nature of the 
action seemed to be inflammation of the whole tissae of 
these organs. In some cases, as in the &tal case in the 
human subject. No. 171, the congestión was of an active 
nature, and produced total suppression of uriñe and 
death in two days. In the czperiments of Zlatarovich, 
which lasted &om a month to ten weeks, the kidneys 
were in every case affected, and in general in a state of 
degeneration, with the tubular portion softened and 
reddened, and undistinguishable &om the rest. The 
uriñe was also apparently suppressed or altered, for the 
bladder was either empty as in most cases or fiíll of pus. 

Connected with these changes we may also note the 
State of the brain and mcmbranes, which were found 
injected, and in one case there was extravasation of 
blood. It is most likely these appearances were dcpen- 



b,Goo¿^lt 



88 



KALI BICHROMICÜM. 



dent OH the state of Üie Mdney, as ín other experimente 
the medicine did not display aay idíopathic action on 
that oigan. It must be obserred however aleo that in 
these cases there iras great enlargement of the heart. 

The aymptoms in the provers do not shew any pri- 
mary fundáonal disturbance of the urinary secretion, 
and that aeeras only modified in cases such as those of 
the workmen who are affected 'with aigns of inflammatory 
irritation of the ladneys. I regret that I have not had 
the opportunity of ezamining chemically or niicroscopi- 
cally the uriñe in such cases, aa it wonld be interestíng 
to knoT how &r the degeoetation of the kidney in 
question resenibleB that of Bright's disease. 

The action on the rest of the urinary organs seems to 
be only alight, as we have only a íew indications refer- 
able to the orethra. 

We have no eridence of its posseasing any action on 
the genital fiínctíons or organs of either sex. 

Respibatort Oroams. 

These are nndoubtedly, more espedally in the mucous 
membrane, one of the chief spheres of action of thia 
Bubstance. The action is of a áistinctly inflammatory 
character, and even morbid products aie fiílly formed. 
The action seem? ponfined to the bronchial membrane ; 
and in some of the experimente we find it remarked 
that the Inngs were quite palé in caaes in which the 
bronchia veré highly inflamed. The aymptoms in the 
living Bubjecte ftdly beat out the experimente on ani- 
máis, and are so fuUy eet forth in the foregoing pages 
that it is needless to recapitúlate. 

In the symptoms iré have aleo various signa of action 
OQ the integumente and eren the boncs of the chest 

In ÜiB Heart the appearances are somewhat contra- 



dictory. In the «Tn'tnnU we find it oftea afiécted, sereral 
times with Tery considerable enlai^ement in the chronic 
poiaoning, and once with some maxks of inflammatíon of 
Üie pericardium ; while in the provers we find very few 
symptoms referring to that organ. Whether it produces 
a bIow alteration in the nutñtíon of the muscular tísane 
of it, remains yet to be shown. 

The Fibrous, Müscuiab, ahd Ossbocb Tissces akd 
thb joints. 

On these it eridenUy acte to a certain extent, producing 
the numerous and frequently sharp pains. On the jointe, 
eapecially of the knee and hip, it produces considerable 
influence, but Bwelling has not been obserred. The 
action on the periosteum and bones is well marked. 

On the Nervous System we have few signB of ite 
influence. The brain in the provers does not seem in any 
way idiopathically affected, ñor is the mind. In some 
of the experimente, particakrly those of Zlatarovich, 
the membranea were reddened and the substance 
softened; but I think we may with juatíce refer these 
signs to the Btate of the kidneys and the heart which was 
also observed in these cases. Whether, like AiHenic, 
it acte on the spinal marrow, is not quite obvious. In 
some of the animnla paialytic weaknesa was observed 
before deadi, and in the human ezperimenters great 
weaknesa was obaerved at times, but still the signa of 
ite influence are not very strong. The action on some 
individual nervoua trunks is, however, distánct, more 
particularly the neuralgic affectíoo of the sapraorbital 
and sciatic nerves. 

Finally, the influence of this medicine on the nose, 
the eyes and the skin, aie so plainly set forth, that it is 
needless to do more thau notice it here. 



yV^oogie 



THEEAPEUTIC USE. 



kHea it u not meant to pnt íbera forward tu therspentic indioatúmi, ibr these most alm;B be fonnd m the pora lymp- 

Íiúnlr ihe cUaieB oí disean in whicli it ii nseful. Játaj o¡ íhe caMet cOTretpoai well m the minuta B^mptomB with 
ers tlie deBcription ia too meagra to eoable oe to tee a complete Dorrespondsnca. This mainly arisel &Dm the 
that^in diapensar; cases, o! which thare are a groat nniaber, ne are preyenled, aa every one is aware, hj ntunenms and mui- 

. I, ffíjta obtaining naj minaCe Mstories oí the picgreea of the casas. The exact timo occnpied hj the ctire is also difficnlt to 

n correctlji oving to tfae irregnlaiitj of attendftnce of maiiy mab patients. 

es the caaes here prea this medidne has been osea with good effeot in & gnat mauy other oaaas. In bct it ia nsed almofrt áMÜj Ity 

myself and mj colleagnes m lirerpool, both in diapensary and private piactioa ; biit in complic^ed cásea of derangement of the digesÜTs orgaiia 
inifhich it isofleii 8erTÍoeable,itiBaeldomthat Míe medicine st^ces for the core, uid the esact shue of each in bringing abont diat lesnlt is not 
possible to determine. 



This medidne herag a puré irrítant tinii actmg oa a some- 
what circumecribed eeries of tisBues and organe, ia well adapted 
for homceopaüiic use, as the indicatione are not obscuied in the 
way that occurs wiüi the narcoticB : we are likewÍBe not em- 
barrassed bj the difflculty of distinguiahing primary and 
Bccondaif Bymptomi which meeta ub íd the study of those 
mediciaefl which act directly in producíng' functional derange- 
menta, euch aa the evacuante, kc. As genend characteríatica 
<^ its actioD, we should ezpect to flsd it uaeful both in acute 
and chronic diHeasea : in inflammations of an intense character, 
principally seated in the mucous membranes, and tending to 
the formation of pseudo-membranouB and other morbid producís 
and to ulceratioDs. The pains are eharp and &j rapidly traía 
one place to another, are geneíally woree towardB morning, and 
unaccompanied with swelling. It acta moat powerfully in lat, 
fair-haired persona, and many aymptomB are aggraTated in hot 
weather. We ehould not expect to find it usefiíl in merely 
functional disordera, except, peihapa, in eome of tboae of the 
stomach. 

In going tliTough the caaes in which it íb indicated, we may 
foUow the usual fiahnemannic order. 



Altbough headache ia a very commoo Bymptom of the medi- 
cine, yet it is generally tnerely concomitant of other diaturbancea, 
and it will be found in cases in other parta. The chief pains 
are in the temples and over one eye, and are of a neuralgic or 
dyspeptic or rheumatic character. The foUowing three cases 
may be noted : 

CxBB iBt— iWn in the temples. R D., aged 24. A month ago (2Tth 
Feb.) he waa snddenly aeiied trith violent pain in both temples, which 
hoB continned mnce ; it is a shootíng ontwaida, in the temples and over 
the ejw, oontianing daj and night, hut lesa BeTere daiing the night ; 
it 18 woree on Btooping, which ako brings on vértigo ; no coryi» : 
otherwise healthy. A powder of K. bich. 6 was gÍTen, to be diasolved 
■s asnal, and a spoonñil taken thiee times a day. Three weeks añer 
be came to repott that he bad got well wbile tijung the medicine, and 
bad h*^ no retnm of the pain. 

C*sK 2nd.— K M., a woman, aged 46, had hsd for a month a violent 
pain in left side of the head, at the lygomatia procesa; worse when 
Ijing OD it ; ahooting inwards and towaldB the throat ; the throat 
«asa littlereddened bnt not swelled; shehad also some gastric symp- 
toma. K. Iñch. 3 ter. die lelieved it in a few daja aftei Meic and An. 
had &Ued. 



Cabb Sid.— a woman, aKed 38, bad oompl^ned for ^ months of 
psin in the lefl Bidé of tbe head and orer the left eje j wone at night ; 
she hsd also psin in right side of the chest, &om the scapnla round tó 
the anterior part ; also gnawíng at epigastrinm after meau ; oatameiúa 
Bcanty and some lencorrluea. K. bich. 6, bis die, then the Srd and 
ISth dil. altérnate!; everj 6 honiH removed the aymptoms in abont 3 

Id the face, eara and teeth we have few indicatíons of action, 
and we have only to report cases of aupraorbital neuralgia, 
in which it seems quite specific in many varíetíee. Beúdea 
the two cases here given, I have had eeveral other caaes in 
which it was remarkahly succesefú]. In case No. 4 it will be 
obserred the pain carne almost at the same hour aa in tbe 
pathogenetic group No. 13. 

Cabe ith.-~8upra-orb¡tei Nenrtügia. — U. M., a témale, »mA 44, 
had snfféred for a fortnight on tbe 4th Dec., from pain in the fbre- 
faead; it begins at 9 o'clock, a.m., in the left temple, and atretches 
scroBB the ibrehead to the right temple, and ronnd the oye and tbe 
malar bone of the ri^ht side ; attended with complete loes of aight 
in the right eje donng tbe {win, and puflj swoUing on the m^ar 
bona j the parozjsm goea off in the sftemoon ; she waa otherwise 
well. K. biciL 12, hiB die. Nezt daj the pain began later bnt 
waa more violent, and the attackg gradoaUy declined, though irre- 
gular!;, til], on the lOth, she bad no p^n; on the 12th she had 
aDOther attack on the oppocdte dde of the face, which lasted twelve 
honra, and after that slie nad no letnm of it at alL 

Case Sth. — EL F., a man, aged 32, had been for same time aSected 
with neuralgia. Tbe pain beghiB at the right sapra-orbital ridge and 
epceods ovar one side of the nesd ; it comes on eorly in the da; and 
lasts ton houTS, leaving soreneaa of tfae acolp; he is otherwise heiílth;. 
K. bich 12 ter. die. In a week he carne to sa; that he began to im- 
prore imniediatel;, and there lemoined none of the violent pains, bnt 
Btill a sligbt pün of the same character. K. b. 6 bis die. In another 
week be wsa quite welL 



From the ejimptoma we naturally expect much in cases of 
inflammatory ^ections of several of the tissuea of the eyea and 
its consequences ; and we may also ezpect to effect cures of 
aome morhid cbanges of structure and new growths. The 
diaeasea in which it ia applicabie are catarrhal and catarrho- 
strumoua opbthalmia, blennorThcea, and even perhapa, Egyptian 
ophthalmia, in whidí it might aleo be uaed loódly ; aleo 
rheumatic inflammatioD and inflammatíon of the eyelida. Altcru- 



Uigiiized by 



Gooí^Il 



40 



KALI BICHROMICUM. 



tionB of visión as concomitant of theae changeB, may also yield, 
bat as yet we have no reason to hops for any influence in 
amaurotíc cases. We Lave found it eemceable in a number of 
cases of catarrhal ophthalmia, among tbese we may notíce that of 

Cabb eth.— n. G., ft boy, sped 6, wbo had been two dsya affected with 
mBammatioD (^ tbe eje»; ttie conjimctivA was reddened and injected 
uid chamosed ¡ much Sow of teara ; ejclida reddened and agsluCinated 
ffitb tbick matter at tbe edgea. K, bícb. 3 ter. die. In three daya 
all redness gone, and no ayniptoma remainine eicepl allgbt monimg 
agglntinatiail, irhicb wat) alao remored bj the same treatment iu a 

We have also seeu very good resulta from its use in oph- 
thalmia tarai. Id these cases we have sometimes wilh good 
effect, conjoined the esternal with Ite interaal use of tbe 
remedy : uaing as a collyrium once or twice a day a lotion 
composed of ) grain of ihe puré aalt to the oz. of water. I 
would euggeet that the neutral chromate might be used with 
advantage, as bein^ leas liable to decompoBÍtion, in the form of 
an ointment. I haré not yet tried it. 

Case 71b. — ScroJvUnu Op/iííaímto and Uheraivm of tht Cornea. — 
M. G., agirl.a^ed 1 3, had been for a mootb affected with inflammation 
of the eycB, which was little improvod undor severa! medicines. On 
the 28th April there was much injection of the conjunctíva, both of tho 
bolb and the syelids of both eyex ; very red at the cdsea uí Ibe comea, 
and a number of phl yctenulte on the edge ; scveral decp ulcera on tbe 
comea ; great pbütophobia and flow of teara ; no pún. K. bich. 3 ter. 
die, and K. bich. lution of i grain lo the os. of water, to be lued twice 
• day. On the lat of May tbere waa improvement, bnt atUl the above 
Bymptoms, and the intolerance of light and flow of teaiB wuro very 
troubleBODie. K. bich, trit. 1, in water— a spoonful twice a day ; lotion 
aa before. Oo the 5tb thcre waa miich gn^tcr improvement, and the 
Bymptoms wsre not tninhleBomo. Tbe medicine was then cantinued 
till the 19th, whcn thece were no ioSammatory ayinptoiiu remaining, 
and only a alight apepk, tbr which Euplirasia was given. 

Case 8th.— The case of M. M. was of a similar natnre, bnt thia 
patient, a girl of 7 years of age, liad been affect«d more thau halT her life 
with ophthalmia acrofuloaa, and attendod eyo diapenaaiies eontiuiially. 
There wera larpe ulcere on the cornea, and conatantly tecurríng 
aggravation of inflammation on the slighteat eiposure. tShe was 
tiésted HucceHsfully with K. bich. interoally and extemally, in tho 
6th and 3rd dilution, with an interposición once of Eaphrasia, and once 
of Natmm mor., and the remaining apeck was treated with Cannabis. 

In another case of catarrbo-stmmons ophthalmia it was remarhably 
sncceaafiíl ; the comea was afiected with a large opaque spot, to which 
large red vesaela ran from the injected conjunctiva acroaa the clear 
margin, and tbere wna also a zonc of Sne injectíon of the bulb round 
the comea; tho usual tnibjcctiTO aymptoms were alan proscnt. One 
grain of the Ist tril. was givcti, disnolved in 14 apoonfuls of water, and 
ono talen every 4 honra, and the solution of J grain to 1 oz. nacd e;iter- 
nally twice a ciay. Undur tbis it was very much iuiproved in a coople 
of ¿aya, and in a week all traces of inñammatíon were gone, and only 
a apeck remamed. 



gont, brought on by cold and wot ; he haa had severa! attacka of rheu- 
fflatio iritis within the laat ais or eiifbt months, and haa been treated 
with Calóme! and Hyoscyamas. Tiie iast attack had come on a fort- 
night before I saw bim; he improved nnder ííulphnr, Pulsatilla and 
Beliadunna, when, aftcr imprudent cxpoanre, tbo inflammation cama 
back aa had as before ; Bulpbnr again did good in the courss of fíve 
daya tu a ceitain eitent, hut thore atil! remained moat of the aymptoms ; 
tho iris was mnddy and slugeish, and the comea looked projecting; 
fine Bclerotic injection round it, and some conjmictival injection ; tho 
right very dim, líke a ganxe; lachrymation on expoeure ; the pain bad 
never been a promineot aymptoni, and waa only adffiíeiB ' " 



in 14 apoonfula of water, and one apoonful to be taken everj 8 boiirs. 
In 4 days there waa a greater ¡mproveraent that ever ; tbe injection of 
the Bclerotic waa eonc ; he bad no uneasy aenaatian, and the sight waa 
much improvcd ; Irat the Rreatcst chango wa» in the iría, whicb had 
nearly reannied its natural cleameaa and loat the mnddy Icok ¡ bis 
general heolth was improved and he feit no new symptoma. He got 



Mvco-minileiit dadtarge. — A ^!,aged 1 S, had for a year 
>-pamlent discharge írom the nose ; the discharge ia 



gr, j. of the I at centesimal trit of K. Uch., todissolve in the same wají 
and take a apooofol night and moming. I saw him again in a litde 
more tlian a ibrtuight, and the eye was tben in every respect the same 
aa the other. 

Nosi. 

We may expect to find thie one of our best remedies in 
various afiections of the nose, and some of a formidable charaC' 
ter. Inflammation and ulceralion of the membranes, and even 
of the bones and cartilages of a scrofulous or syphilitic 
character, may in eome cases flnd a remedy : also ozena and 
perversión of the seUM of amell : also epistaxis from con- 
gestioD of the mucous membrane not depending on general 
hcemorrhagic diathesia. The following are a few cases in 
which it was used beneficially, and beaides theae I have seen 
a good many more, more or lesa completely BuccessfuL 

Case lOth.— jWiict 

a copious rauco-pnmlent discharge ti _, . 

worae at night. The noae ¡a aweiled and the septum púnfnl to the 
touch ; nose conatantly Btuffed. K. b. 6 bis die cured tbe case in I 
abaut a fortnight. ' 

Case \\Ú¡.~Afftelim of Ae ftOH and títrocü afUr typh3k.--3 . C., t. | 
woman, aged 33, had tbe venérea! diseaae severa! veáis ago, and aince 
then had labourcd under the following; aore throat-, short oough, 
with hoarseness and difficnlty of speakmg ; copióos tbIIow dischai^ i 
from the nose. On the Slat Janoary she got K. Inch. 3, 6, 12, 30, |i 
of each a powder to be disaolved in tonrteen apoonfuls of water, and j 
one taken twice a day. On tíie 9th Harch she carne bach and 
reported hersclf much bctter: the cough and sore thmat ^oiie and 
the voice clear, bnt stiU the mnning from tbe nose and pain ¡n the , 
head. 8he had otber gastríc symptoms, for wbicb Nux 3 tris die was , 
now given. This gave relief, and abe only carne back at long in- 
tervals and got an occaaional doae of Nu vnthout any freah report of , 
her symptoms being taken till the 15tb Augoflt, when the gastric | 
symptoms were gone, hut she sti!! had the copious yeüow discharge 
from the nose and a duU, heavy, cunstant pain m tbe forehead. 
K. bich. was repeated os before, and in two montha she was well. [ ' 

Cace I3th.— Dr. Knsaell writes— " In some caaea of stuffing of the 
noatrils, espeeíally the npper part, with a difliculty of detaching the 'i 
thick mncuB which more leadily paascs by Che poateiior nares, and ia 
found very troubleaome to tho pstient, althongh the complaint ís | 
trlfling, I nave seen undouhted beneSt from E. hich." 

Dr. Watzke, of Yienna, reports bis experience of it in 
three cases oípoíypw ofthe noM. 

Case 14th.— One case wae that of a man, aged SO, wbo had been | 
operated on three times in the courae of twenty-three yeai«. On ita i 
lóurth growth it waa treated with K. h. in the !nd decimal dilution 
(Ist centesimal), inlemally and eiteraally, with the effect of remm-ing 
it in eight days. Dr. W. has since lost sight of the patient, so be 
doea not know whctber the disease retumed. 

Cabe I6th.— Tbe second was that of a yonng gir!. Tbe polypn» 
had only begun to form a few montlis befare. An operation bad been 
attempted bnt only partially succeeded, and the chief part of the 
growth and aymplumB wcro atil! piesent. It waa quite cured within ' 
a short time by tho same dilution inwardly and ontwardly as above. 
After the lapae of a year and a half there had been no retnm of the 
djBeaae. The third case was not complete as the patient llved Eu l| 
Hway, and reportad improvemeat only when Dr. W. Iast heard from 

Thboat. 
The great expectations which the puré symptoms raisc of ¡ 
its utility in chronic sypbilitic and noo-ByphÚitic inflammation 
and ulceration of the throat are confirmed in the following 
cases so far as they go. Besides theae, from my own eipe- . 
ríence I am ÍDclined to think it wilt be found an exceUent 
remedy in some fonns of acute Bore-tbroat, in which there is 
not much swelling or vivid rednese, or fever, but which 
Bpeedily ulcérate. ' 



b,Guu<i\{. 



THEBAPEUTIC USE. 



The foUowing caae waa commvmicated by Mr. Moore, of 
Liverpool. It Beems to bave been one of thoee cásea of 
chrooic «ffectíon botb of the fauces and Urynx. 

Cabe IStli. — The pktient waa an immarried ladj, ased SO, wlio k«d 
beñi afiétíed more or leas for twolvB yeara with tha following aymp- 
toms; "OppreMion of the ohest; withoat congh, expectontitm of 
Uood mixedwith phlegm, brunght on by any exertioD, or b; reaiüng 
or talkíng lond or langhing; &g is alwajs wono in the moming'. 
Caimot bear the dothea tig-ht orer the cheal or throat, otherwise a 
■ensatioii of famtneaa aomoB on. In the lefl ñde ot the throat she has 
a «ore, etnaiting feeling, aomeirhat relieved by Bwallowitig ; and the 
feelÍDg of the thioat m if it were lined witn waah-leatner. ThoM 
ajinptoiiu aro rofiered hj éxy wann air, but asgravated hj damp 
weather, nhether bot or cold. Examisatíoii of the ohest girea no 
morbid ttymplomB. Bowela and oatamenia regalar. 8he hád aome 
otlier nerrons and flatntent symptomB which were relisTad bv CUno, 
Ladietit and S^ia, bnt tbe kbore in the throat remained unohanged : 
Maanet muir., Ae. mtñ. and H^ar, which were aftenrards given, had 
DO better raaolt E. bich. waa then giren for fix or eight weeka in 
Ibe 12Ui and 6th dUntiotuí «ith complete iocoesa, and the abore 
aymptoma «ere qnite removed, and tboogh she baa inbaeqnently 
canght aoommoQ cold tbera hai been no retom orthem." 

CuBlTth.— %>UUtc«orat&nia<.— H. B.,aged3Q, badBTphüis eleren 
yeara aso, and waa treated with mercurial pilla. After that ahe had 
one stíll-lxim chUd, and ainoe then three healthy cbildren, and con- 
tínaed in good health fiU her preient illneaa, which began dz months 
ago. She baa now ttksenition of the bucea to a great extent, with 
mnch rednesa of the tinue Borromidiiig the nlcerated parta. At one 
part ths nlcer has perfbrated the relom palsti, foiming b ole«a oval 
Iiole. There is mooh paio excitad bj Bwallowing. Coagh and tbick, 
blacklBh mocni in the moming. Freqnant tickling congh. Swelling 
and feeling of ftilneas in tíia noae and BensatíoD of a fetid ameE Bhe 
¡a pregna^ two montha. K. bich. 3 bU dio. Id a week there |waa 
coori&ñble improvement in the throat, and tha amell in the noae 
Roñe. The me^oine wm continuad at interralB for a month longer in 
Ote unte doie, and ¿¡ti waa then quite well and nu romaing of the 
dÍBeaae exoept the lióle in the Talom, which lemained permanent 

Dr. Watske of Vieiina reporta in the Atutrituí Jovimal that 
he has ueed thie remedy in Bereral cases of sore throat is 
peUieats who had had chancre sbortly before. 



day. 

Stomach akd Htfochondbia. 
To eaumerate the affectíona of the gtomach and Uver in 
which our remedy is likely to be usefiil, would be BÍmply to 
recapitúlate a large part of the proving, therefore it may be 
auffident summarily to uotice that it is curative in a v&ríety 
of cases of dyspepúa, Bpasms in the stomach, chronic inflamma- 
tion of the stomach and duodenum, and many afiections of these 
parta accompanied with nanaea and vomiting. It may likemse 
be useful in sea-aickueea, in flatulent and bilious colics of 
Taiious descriptioDS ; aleo it may probably be a capital remedy 
in acote suppurative inflommaüon of the liver, as well as in 
Tarious chronic diseases of that organ. 

ClBK I9th. — Oatírie darangemaU. — A fijr hairad yomig man bad 
nfféred on the 29th Aagnat Rir a weak vrith the fbllowing Bymptoma, 
which oame on with vértigo and pain in right hypochotidnnni ; ne haa 



aggtsvated bj tonch a 
mocuB in tha maming ; 
} thirat; taate natnral; £ 



Cább SOth. — A ymmg lady, wed 14, not yet menstraated, had had 
Aira oonaidenhle time Ihe following symptoms: uansea on moving 



abont or taking a ahort walk ; ftequently a seneation of n 






flow rX water in the mouüi, and cooparj taste ; with faintnaaB a 
general coldnesB, and deBire to lie down; ghe baa frequent pün at 
epigastrinm, pricking tbrongb to the back, fot abont hall an honr at a 
tune ; thiret ; bniwn tongue in the maming ; bowela very oosttrs, 
Beldom moved withont injecdona or pills ; abdomen distended ; conatant 
hunger and craving ; mijk dlBagross ; almoBt dajly headache, ahooting 
from back to &ODt ; paina in botb bypocbondria on walking ; axceMive 
languor and indiapoeition to bodily and mental exerlion ; aleep mtre- 
fteáliing. She got 6 pondera uf K. bich. in difiérent dilntiona, from 
the ISUi to the Srd, and wa« told to take one every second night. 
After the 2nd powder (6) the nanaea waa gime, and nadoally all the 
other Bymptoma 8abdnea,and ihsoonldeatmilkiand the howelaactad. 

Stomach. 

Ciaa Zlst— lamina.— W. W., aged S9, had been fbr eighteen 
months affeoted with the following aymptomB : he baa romiting of the 
food, Boar, with nausea, coming on an honr after oating; alBO pain at 
tho pit of tha stomach, like a atone ; the tongne is white and uabbv ; 
the Dowela oostíve; he oannot eat meat, or taa or cofee, as he vomita 
them immedlately. E. hich. 6 bis die. In a week he was improred, 
and in tíiree weeka nnder E. bich. alone, in the IBth, 6tfa, and Srd 
dilntiona, quita cmed. 

Casb 22ad. — Fontifúy. — G. D., agirl, agad II, had been Íll for two 

monthe with tha following ayioptoina ; almost immediateij after eatíng 
she vomita naarly all her íooi, bout ; she haa tolerable appetitej tha 
tongue ia red ¡n the middle ; tntter taste ; bowela rather confinad. 



iting oew 
withintl 



first day of the mediana, and ahe was quite well 

CiSK aSrd.— Vtmi^ ef Prtfoaneí.—I adminialered thia remedy in 
a case of sevare and long oontmned vomiling with very good resolta 
speedÜT. The patieut waa quite nnable to retain any food on the 
atomach, and was Iq conaeqnanoe emaciated and detrilitated to a dan- 
geroua degree ; after ahe waa better it torned unt she wa* piegnant, 
though that waa not known at the time, as she waa otherwise m bad 
health, and had been mamad aeveral years withont anj c b ildran. 

CiBB 2i&.—Nauiea and Oatlne Ditordar.—V. P., aged 87, had had 
for Beven weeks tba following : conalant nanaea and at bmes vomiting ; 
Bhe has a choking faeling, lúa a haii in the baok of the thmat, that 
contes anddenly and oaoBes aickness ; constaot pain tearing at epi^aa- 
trinm ; and amartiDg between the scapnln ; bad taata ; tongne white ; 
bowela open ; vértigo on rinni. Ant cr. 3 bis die fco' 3 days mada no 
ohanee ; Oien K. bit^. 6 bis £e removed the faeling of a hair aoon, 
and ul the symptoms in abont a fortnight 

CiSB 2Gth.— Ouerií-inieitinaZ imtolíon.— A &ir h«red girl, ued C, 
bad soarceiy reoovered &om the hooping-congh when, after cold and 
ohangeable weather, she was aeiied with the following BymptomB, 
whj(£ have now lastad a week, on the 6th Apríl ; almoat immeoiately 
after eating abe compluns of coldneSB and nanaea, and looka palé, and 
haa pain in the abdomen ; then she vomita the food imcbanged, Bome - 
times aonr or tinged with bile ; the vomitiiig givea relief ; dnring tbe 
rest of the day ahe is Unguid, drowsy and complaina of cold, thoogb 
the body iB bot ; ñcqnent oolicky paina in the abdoioen ; tongua white, 
furrod ; thirst ; bowels moved eeveial timea a-day ; stocda pala and 
liqnid. K. bich. 3 bis die. On lOth April ahe had bad no retum of 
vomiting or nanaea and waa altogether better, and got quito well ¡n a 
day or two more. 

Dr. RuBsetl writea: " In eome cases of stomach complidnt 
where there ia pain in the región of the liver and a sodden 
looking tongue, without much acidity or other aymptoms, 
ezcept general discomfort and sometimea white stools ; in more 
than one Bucb case I have aeen unequivocal beneñt from 
Kal. tóch." 

HTroCHOKSBIA. 



vrith attacka of p^ as foUowa : in the erening she is sdied with á 
violant acbing oontínoed pain, drawing her downwards, in tbe Hght 
faypochondrinm, atretching bom the efúgastrinm roond to tha Bhoul£r : 
she has to nndress Immedlately, thoo^ not penwptábly awelled, and 

■ laitizedbyGUO^le 



KALI BICHROMICÜM. 



Wbee 



bM f[Teftt oppreuionof thebraathmg; the pünluti aeveral tunmond 
■UMÍdes gndaallj, withoat aoj eTsonatioD oí puuing of winil; Mi 
tbuea it u aociimpaiiled irítli naiue& And Hune littls vonutinK ; the 
tonnie ¡a ñxt and ñirred ; the howelí ñte rogtüar ; tbe complexión not 
jelloír, «nd she íb otherwiw hetúthj. Gall-stunea were mispeoted, bnt 
none luve been detected. She got Heptu and then Colocyntb, bát in 
a fortníght wa« no better, and bad limuar attocks eveiy secimd even- 
iag i Bhe added to the abore descriptjon that abe firat fecls aa if the 
bowelB wunld be moved, but the; ore not, and the pain oomeg tm. 
Nait daj (hooTB after tfae attack has caaaed) they are copiouslj re- 
Uered. K. Inch, 6 hú die. Añer talung thú fbr a da; or two the 

iuB went off, and had not retorned aix weekB aíterwaids, and she 

4 been in all leípects well. 

I haré Ken othei cases wbere BÍmilar spaamodíc attacks 
reaemblÍDg thoae accompanying gall-stones were tre&ted witk 
auccBM with K. bicb. as the principal remedy, tbough others 
were also given. I have not Been it giveo in U17 case where 
the preeence of gall-stones was positively aacertained. 

Ci^ !7th. — A man, aged S2, who b«d niffered for three yeara from 
pain in tbe right úde, carne to the dispenury. Tbe pain was in a 
noall ipotüi the rigfat bjppchondjiíun ; pretty conatAot, bnt aggraTatod 
to a abaip Etitch on snddsn motion ofter úttiae ; bis appetite iras 
good and hig heallh not mach affected, bnt tbe pain waa so BoTere and 
tronhlesome tliat he had been to Tariona mediciJ men lacking rellef in 
rain. Br;., Nnz, and other medioinea were gÍTen withont reiult. 
K. bioli. 6 wa« then giren with ipeedj telief, and efleoted a permanent 
COIS in a few weeka. 

C^aE SSth.— In a oaae of pain 'in the left bjpochondriam, nnder the 
riba, nnaSéoted by eating or prosínre, or reapiration, bnt inoreaaed by 
a chül, or great bodil; ezertion, K. bich. 6 and 3 effected a ciire añer 
Am. and B17. liad failed. The patient iras a blackBmIth and accnstomed 
to atrikinK úd lifting bea*y frmgbtB ; he wai odiemise in good bealth 
and tbei^ire the pam was piobably mnacnlar. 

Cua !Otb, — Dt. Soche wiitai : " I was oonnilted liy « yoong laáy, 
aged 17, wbo had Jnst retomed trom India, Bnffériiig tiom a conitant 
dnll aching in the right b^pochondriao región ; in other reapecta she 
felt wbU. i ^ve her K. bich. B ter. die, which removed tbe pain in 
a bw daya, without any ntarn." 

Cabk SOth. — Dr. R. foond the lame remedy eqnall; mcoeulhl in 
removin^ the p^ in the aame place in a lady, a^ 23, who had alao 
caUmenial deñingement. 



In the boweis we may expect to find it uBeiiil in chronic 
ulcer&tíon of the mucous membrane or of the glande, and in 
diatensioD and flatulent colics ; also in dieease of the meBeat«ric 
glande and of tbe coate of the targe intestines; probably in 
chronic colitis with constipation or diarrhroa. In general, as 
to the State of boweis, it may suit a constipatcd átate, but 
tíiere are abo forms of diarrhaea, especlally palé and fcetid, 
coonected with some of the above morbid states, that we shall 
find it useful. We may also expect to find it one of the chief 
remedies in dysentery ; in fact it will probably be found equal 
to Mere, corr. in that diseaae. 

Chronic tikeraíion of the inteitinal mucout mem¿rane. — 
The two foUowing intereatíng cases baye been fumisbed by 
Dr. Hilbers. 

CuaSlat. — "An nnmarried lady, aged aboutS5,oonínlted me firet in 
Ootober, 1B50. She iníormed me Üiat ahe had aoiS'eTed for many years 
from delicate health, and that ahe had alwaya been more or leae 
antg'ect to diarrhtBa. About twelve montha preTions to her conaidtíng 
me ahe waa attacked with most violent díarrhcea, aecorapaníed hy 
great weakneaa of digestión, ao that even the alighteat irregularity of 
3iet canaed extreme aofferiog, and greatly increaaed the diarrhcea. 
Her medical attondant presciilred for her Landanum in Urge dosofl, 
which somewhat checked the dianhcea, but the ¿ighteat evil influence 
bronght baok all the sjTnptoma as had as ever. "ñie naual ailopathic 



remodiaa 1 



e tried with the a 



i reaulCa. She then ñas g 



oonrse of Calnnel, and afterwarda the Mnriated tinctnre of Iron. 

ünder thia treatment ahe improved tomewhat aa regarded the diar- 
rhica ; the motiona became leas ftoquent and she gained wnte itrength. 
In Jone ahe disconünued the Iron and the diajrrhcEa almoat imme- 
díately retuniBd, and has coBÜnned ever aince. Bhe ia now ezceed- 
ingl; emaciated, and complains of mnch woakneaa. Her digestiré 



The bowela 



jnng. 

r; the motíons a 
Bometimea aocompanied by vitnent, ibaip, niping puna, at other 
timea they paaa on mmotioed — thia ia especialfy the caae in the nigfat, 
and causea extreme diatteas; aometimea they are in large quontitiea 



powen are moch impaired, and her diet ia oUJged to be of the aimfdeat 

deacriptiot), otherwiae it canaea her extreme sofiéiin' ''^~ ' '~ 

are moved &Dm ttnee to tirentr tímei in the day ; 
fiolont, ibi — — ' 

, they are in larga q 

and with mnch teneemiu; thür oolonr ia palé, yellowiah, wateiy, 
aometimea flocculent with atreaka of blood; the tangne waa mnoh 
ooated. On examining the abdomen there waa moch tendemeaa on 
preMüre over the whole oeorae of tlie colon, nhich aeemed to increaae 
tcnnuda the right iliao fbsaa, where even aligbt preaaure coold hardly 
be borne. There waa alao mneh irritation 01 the apinal nérvea. íSm 
waa oocaóonelly attacked with violent apaima in the atomach. 1 
determined in thia case üUrly to try the Bichromate of Potaah, and 
therefore preacribed it for a month m the Srd, Sth and I2th dilatiana. 
At the end of thia time all her aymptoma were greatly better. Tbe 
motiona were not nearly so freqnent, not more than two or three 
times a dar, and were of a mneh more loUd chanuiler. The involnn- 
tar; or rather unnoticed evacoatíonB at nigbt bad entirely oeased, and 



by some error in diet or by taking too long walks, the impcovcmcmt 
oontinned also nntil at the end m aboat ten weeke, the evacnationa 
bad neariy attained a healthy átate. The general health alao being 
greatly improved. 

In üie middle of Jaunuy she wsi ioddeniy aeiaed with hnmop^rñB, 
which retnmed on aeveiál sooceasive weeka in amaQ qnantities. 
!Bxamination of the cheat ahowed a tendenoy to tnberculoua develop- 
ment in one Inng. For thia ahe has oontinned under treatment aince, 
and is now almoBt entír^; msltaed to health. Dnring the whole of 
this latter period, wiüi one 01 two nnimportant exoeptiona, the boweia 
bavB renuuned in a healthy átate." 

CUsa 32nd. — " A lady had long laboortd from hemorriuige from the 
bowela. Her atrenglb waa mneh impaired ; her lipa were oompletely 
blanched ; sbe bad palpitation on the ahghteat exeition ¡ ahe had 
' piles ; ahe had mnch tendemeaa over the coscain ; hsr 

etímes natural, aometimea mucna atreaked with blood, 

almoat pare blood ; there was «omewhat distended abdo- 
men ; the atoóla never canaed pain when the; were aoUd, but when 
there was mucus or blood there wbb some teneamoa. Sha got the 
Bichromate. The bleeding speedily ceased, and on ita retam on one 



no aymptoiDB ol 



Tbe tendeneaa ovar the ctecam snba 



Cabib No. 33. — In two caaes of chronic nlceíatíon of the mnooos auns- 
bruie attended with vomiling of M ingesta, and heotíc and ematüation, 
I obtained temporary tieneficial reanlta of a strikiug natnre in relivv- 
ing the Tomiting, pain and diarrh<Ba, and the patienls were enabled to 

eat bnt, altemately aunk. 

In several cases of chronic whitieh dianhcea and hepatic 
derangement of childreu, I have obtained very aatisfacUiiy 
resulta with this medicine aa the basis of the treatment. 

dme 34th.— A boy, aged t, of sangnine teropenunent, bad br soma 

time been subject to a onronio diarrhcea, for which a variety of hom<eo- 
patliic medicines were tñed with pardal or t«mporary lienefit. Uia 
uipetite and general health appear prett; good, bnt the bowela are 
disordored — aeveral thio motiona dalfy, clayc; and o&enaive. Bcfore 
Btool he looka palé and shivering, and dnnng it has nneaaiac»e and 
palenesa. Froqnent thirst K. DÍch. 6 and 3, a dose evecy altérnate 
nigbt removed the diaetue in a fortnjght. 

CiBE 35th. — This medicine I bnnd also nsefíil in a ohrraiio case of 
dull colicky pain round the navel, coming on after any expoeure to 
oold wind. 

Cabe ZStii.—Dvim^ry after a Jorge Imrft, — A boy of stont oíake 

d, abont 8 years oíd, accidentally set fire to his clothea, 

■ ""->e bum, cauaing an extenNVS slough of 



yGOOt^It 



THEHAPEIITIO USE. 



43 



Üie akin «D otst (me bip ud thigh utd down ttiB leff- From tbe 
time of reedriug th« injnry he had neqoentlf oompMned of painB in the 
abdomen of a more or leas trauñtorj oharacter ; but foor ireeka aSUir, 
be hkd diarrhiBa uid fsbríls irritation, and frequent psini in the 
bowels; in tbt«e or fonr dsp mora tbe etaonatKmB becsme bloodj 
■nd TBiy fraqaaDt, and tbe paina incesHuit. Tbia itate bad luted 
tbiea d&y« nnder allopathic treatment (Opiates, &c, and UUwly Acé- 
tate of Ijead and Opinm had bean ordered) in tbe hands of two emincnt 
and skilfiíl pmctitiaDora, who pnmomiced tbe cose to be oce of lüeera- 
tion of tbe boweiB, and hod giren a Ter; bad prognoaiB trhen tbe 
parents reqneBted me to preacríbe. Tbey nere quite in deipair, and 
natuislly in great diatreaa, for it wss their onlv child. On tbe 24th 
October in tha evening I fonnd bim suffering man oonrtant pain in 
tbe abdomen, no that ttÍB mother h>« to be mbbing it K^ntlj withoiit 
ceasing ; be ia fretful ; mucb emaciated ; intolennt of licHt ; pnke 1 20. 

He h^ Tery fteqnent eTSCuatíona of mucoa and blo^ r '" """ 

liolent pain ii 



i blo^ preceded by 

. .i bv mnch teneamnB. 

Tbe tongas ia pointed and red Ijke a piece of raír Mef ; tbere ia little 
Üúrat and no appeCite. He baa acareely any aleep for tbe pain, irllich 



9 abdomen, bnt not followed b 



«bim 






fonr bonra. In thirty-sii honra he was considetabiy improred, 
tbere had been eome fecnlent appearance in Bome of tbe motíona, bnt 
itiU tbe moin symptoma continned and tbe paín waa veiy «evere. 
He had algo fevemb paroxTanu toirards evening; «ligbt nanaea; 
•orne watery eraotationa; BoddeQ atarte and Bcreama on waking. 
1 now gave K. bich. 4, ereiy aiz houn. On tbe 38tb be i>a« veiy 
mncb improved, in &ct oonvaleacing Tery rajndly, He had alept 
three hooraat a time; had had na atool for tweive honn ; bnt atill tbe 
last evaciiation contened macos and brigbt red blood, tbongh the one 
befbre naa fecnlent. He bad a great appetfte and acaroely aoj pain 
in abdomen. Cont med. 

lít Not.— By the 29th tbe motíona bad become qohe fifoe from 
Uood and nataral in appeanwoe, and were aince coatíve. The áytea- 
tery was now quite well, and he got Nnx and aftenrarda Pola, for 
— i other ajmptoma of little moment, and flnally made a good 



In thÍB cese the actíon of the K. bich. was mnch more 
marked and beneflcial than that of the Ara., and if it had been 
giveo gooner would, I doubt not, haré efiected the cure alose. 

Whether thia was a case of ordinary dysealtiry, or ought 
to be looked on as colitis or entero-colitís, and how fár it may 
be connected with the lesión of the mucous membrane, whicji 
moet Irequently accompanies large hums, it is difficult to say, 
but it su^ests the reflection that our remedy ia likely to be 
bdicated in those secondaiy effects of bums. On tfais aubject 
Mr. Long, of Liverpool, has publUihed (in the Londim Med. 
Gazetle, Feb. 7, 1 840) some intereeling cases, and among them 
two in which death was cansed by a perforating ulcer of the 
duodenum. Mr. T. B. Curling has re.published these, with 
Bome additional cases uid some inleresting remarks in tbe 
twenty'fifth vol. of the Medico Ckirurgieal Tranioetion». From 
tbese it appears that after bums, by far the most frequent 
secondaiy lesión, is inflaniniation of the duodenum, more espe- 
cially of Brunner's glands, sometimes foUowed by perforating 
ulcer, which is the common cause of the suddea death at 
times observed in cases of serere bums which appear other- 
wise to be doii^ well. From the specific efiect of the K. bich. 
on the intestinal mucous membrane, and especially the duode- 
num, when introduced even thtough a wound, we may ezpect 
to find it a useful remedy in the secondary effects of bums on 
the intestinal tube. 

CiflB 87th. — We have also amoug tbe diapenaaír records a oaae of 



painM d^ .pUet, protrnding 
varióos dllnbons, lícan 12 to 3. 



after atool, ouiéd 



'V^"b 



KnnrEYS. 



The action on the urinary organs, all except the kidneys 
themselTes, appears to be veiy slight. From the action on 
tbe kidney already desctibed we should ezpect to find it 
neeful in congestión of those organs, and accordingly I haré 



tiied it in Üie suppresñon of uriue of cholera, with tbe result 
deacribed at p. 119 and 161 of vol. viÜ of the BritUh Journal 
of Somaopaihy. Although Arsenic also produces suppression 
of uriñe, and doubtJess this is one reason more for the gieat 
utíli^ of thst medicine in the Asiatic cholem, still we found in 
some cases tbe suppression continué aR^r the use of Arsenic, 
and therefore we used this medicine in tweive cases in the 
2nd trituration. Of these the uriñe letumed ín eleven, but 
the numbcr of cases is still too small to form a positíve opinión 
on its utility. 

In incipient cases of Brigbt's diseases it may be tried, I 
think with good hopes of success, though I have uot yet had 
any opportuoity of putting it to the test. 

CiSB S8tli. — B. D., aged 60, had for three weeks a constant aching in 
ibe región of the kidneys, worse in the right aide, where the pain was 
ireqaendy abootinK thriHigh to the bowels. There waa alao soreness 
at Üte atomach and acidity. Tbe orine waa hjgh coloured and toan^. 
K. bich. S ter. die. In ten daya tbe urinary aymptom and pain weie 
gone, bat the bowela were costíve : Svx lemoyed thia. 

O, after being expoeed 



till oom- 
pieesure 
i, and be 



, a geni 
to oold some months before, 

attributed to tbe kidneya, and he waa cupped, &c., but be 
plained on the 23rd Oct of a dull, constant pain and feolina- of ; 
m tbe loina, woise early in tbe moming, wheo ít wakes bimi 
toases about to find reat : tbe places are tender to preasure, 
red, bot not acanty; no difficnl^ in paaaingit; white tongne. 
bich. 3 ter. die- In a few days tbe pain was gone, and he awoke ove 
from oneaaineas, and the orine waa clear. In the progresa of the case 
other symptoma abewed tbemaelTea, and other medicine bad to be 
j^en, Bo that it waa not a cure by tbis medicine. 

RESFIIU.IOST Oboaits. 

From ita marked action on these organs we should espect 
them to hold an important place m its therapeutic actkoi. 
And experíence has tended to confiím that expectatiou hitherto. 
The affectioQS in which it has been found useful are the Tañe- 
tiea of Bcute and chroníc infiammatíon of the trachea and 
larger bronchial tubca, and aloug with these we may also in- 
clude the catarrhal affectione of the nasal mucoua membrane. 

Cían 40th. Cate of hayfiver, eommimieated hy Dr. Black, — " A lady 
aged 25, of atmmona conatitntion, has aoffered for many yeara ítom 
hay fever, commoncing in tbe early aninmer months and laatíng tiU 
the end of antomn. On lat Hay, 1848, abe waa aeaieA with sneeiing, 
redneas of tbe aahneiderian membrane and aln of tbe uooe, auffluad 
eyea, lochrjmation, rawneas of the throat, and gieat general langoor, 
¿a. 8he waa treated with Mercurios, Arsenic, and tbeo K. hich. at 
different timea throogboot the Bommer, and got throogh ít with lesa 
of the complaint tlian naoal. The K. bich, waa continned at intsrrals 
for a month. Nert year, thongh the weather had been warm, the hay 
fsTer did uot appear tiU the 8th Jane, and abo bad sneezing, &o. On 
the 9tb Mere, was given, and then in a wcek Arsenic, bnt ooth with- 
oot any benefit : K. bich. waa then given with immediate and perma- 
nent relieC She took a few doses of K. bich., and remained well 
tluuugboot tbe aommeT, even tbough expoted to rain and dnst." 

Two eaiei ofeakuTh, eonmmüeaUd bg Dr. SiOmn. 

Case 41st. — I. " A very delicate lady, aobject to ritdent attacka of 
catarrb, applied fbr advice. She ioíbrined me that the attacka alwaya 
assomed a aimüar oharacter to her present aymptoma, and that abe 
oontínoed conflned to the hooae by them for many daya ; that tbey 
made her extremely ill, and that neqoently ahe did not regain her 
stnngth for many weeka. Bbe was soffering, when I aaw her,' from 
serere congh, cauaing aoreneaa all down tbe throat and chest, with 
moch tenacioos expectoratíon : conatant ronning from tbe eyea and 
nose, severe paín lo tbe frontal mnnaes, some ferer and great weak- 
ness. Tbe preceding ni^t the coogh bad almoat entirel; preyented 
her aleeióng. The congh waa alwaya worse at night I ordered the 
Biobromate, and in two days, to her great sorpiiae, abe waa qnite 
welL" 



yGuo^jIe 



what simUar attack. 



the whole of ths piecedine night, i 

Ü¡e pAin in the chest, which he deicribed M tearing ud 

ConEtuit numing trom the now, and pain in the frontal 



B foT advioe iríth a soms- 

L, nhich kept him awake 

and occatnoned moch diatresa from 

deacribed as tearing aad btuniíig. 



Genial bdins d' laMitnde and Ungnor. 1 ordered the bichromate, 
and neit dayhewaa greatlv bettar, and on the TulloirinK dayweU. 
Theíe are tiro oaaaa ont of n '"'' '""* —'-'-' *-- 






i that niight be men- 



From the veij marked acüon of thÍB medicine oa the mu- 
coofl membruie of the nose and trachea, ne ahould expect 
it to occupf an important place — second probably onl; to 
Araenic — in the treatment of aome forma of epidemic catarrh 
aud influenza. 



Casi ÍSid. Que of Aotn-MneM, ba A. iT., i» tb Avttrimí Joanal 
iff Homaopatky, rol. iv, p. 634. " ilj little boy, ag«d 2}, has been 
troabled «liaost conatantlj for the lait nine montha with hoane&eaa 



and want of cleameng of the voice, fi)T irhich leveTal medical Mends 
TBCommended a varíety of medicines nbicb I had alreadj adminiatered 
withaat beneñC The clüld iraa alBO inclined ta ccuutipatiDQ. I gare 
a globnle half the siie of a pinhead of tbe fmx (decimal 7} tritaration 
of K. bich. Therenpon he had dianbtxia which laited abore two 
weeki, and wa« thea treated «tth China ; bnt ainoe the time be tonk 
the K. Iñch. the Toioe ii oleaier than i* often agreeable, and háa health 
ia exoellent" 



5th March, 1849. Bha had had eronp bÍi jean before, and since tbat 
^__ i._j i — — i.i__^ -^ freqnont attackd of hoarteneai, cough í~^ 

She complained that for tbree waeka i 
had Bore throat, and the sensation of a Imnp, partiall; relieved by 
ewallowin^ down : there b alM> hooraeneaa and loas of voice ; congh 



leoMTed all STmptoma in aboat t«D daya. 



!., «ved 6, a bealtbj círl, irltb &ir hair and floiid 
n afiectsd tbr a fortnight on tbe Sth Marcb, 1850, 



C*«B 46th.~F. M., 
oompleijon, had been 

with a load harsh congh, in (óngle coDghs, at different 
hoiiT or two, and then not for aome hours — moat in the moming on 
wakín^ ; the vo¡c« was not hoane ; there was no pain \ and the huJth 
otberwiHe undistorbed. K. bich. 6 night and moining. Tbe cough 
was aoon moch impiored and sabaided m abont a week or ten days. 

Croup. — Dr. W. E. Payne, of Bath in America, has pub- 
liebed in the Bbmaopathic Examiner for Marcb 1846, a paper 
dbtínguiebed by sound reflective and obserrational powerB. 
After noticiu^ that tbe bomtBopatbic materia medica hj no 
meana poaaeaaea as yet the tnie liomtEopathic speciflc remedies 
for alt forniB of croup in Acor., Spon^., and Hepar, faowerer 
admirable these medicines are in cases to which they are auitable, 
jet, he remaika, we are not to rush to the opposite extreme, as 
■ome are inclined to do, and maintain tbe extraTogant opinión tbat 
the bomiEOpathic principie is not applicable to trae membra- 
nouB croup at all, wheneTer ne meet an epidemic that bids 
defiance to the above standard remedies ; but vre must atudy 
diligently the yet untried medicinea. Some auch epidemic 
seems to have been prevalent at Bath and the adjoining towna 
in that year, and hade defiance to all medical treatment, both 
allopathic and homceopathic, and whole fámilies of cbildren 
were swept off by it. I extract our author's three caaes, with 
hia remarka, verbatim, as the compaiison of the cases serves 
to Ihrow light on the differentíal diagnosis of the Tarious forma 
of croup to whicb our different remedies are applicable. It is 
much to be desired tíiat bomceopathic writera would publish 
cases in a aimilar manner, tíz., unsuccessful along with auc- 
cessful caaea, and endeavour to discrimínate between the various 
forma of tbe same disease. 

Cusa 46th.— I. " Boy <rf two years; had enjoyed good health ap to the 
time itf tbis attack. i. slight diffloulty of breathing, when the mouth 
waa doaed, owing to one nostril bemg obstrocted with a plug of 



mocna, was obserrable. Palie irregnlar and iatermittent. There 
wa» a slight eleration of tha tempentore of the skin. Otfaerwiae tbe 
child appeared well ; he was lively and playfol. This state continaed 
for three or fom* dkya without auy perceptible chaoge, except the 
amteannce of « feír imall sores below the nostríla, whicb trem aome- 
what moilt On tha eTening of the thiid or fomtb day there was, 
eridently, a ohange or increaM of the diaeaae. The napiration, 
tkoogh not haid, coald be haard diatínctír in any part of the room 
whan the child nuda a deep inspíratlon. Tnia did not seem to proceed, 
aa before, from the obetmcted nottill, thongh this remained tbe same, 
bnt tma some difficnltr aboot the lamiz. The child would freqoently 
cany his hand to hii throat and put faia fingen into hia moutn. On 
tbe following day tbe difficnlty oí breatbing bad evidently increaaed. 
On appiying the ear to the ne(^ a whistling aound waa apparent, like 
that whieh may be produced bj the paaaan of aii tbnmgh a metallio 
tabe. VtHce hoarse. Cougb not frequent, but hoarae, dry and barking 
erowing. Tbe child was reatleaa, aleeplees,_and refnaed to drink. 



appantntly becaiue deglntitíon was painml. 
part of the laiynx were red and i 



The t 



oaoainK a 

of tbe neck ana shoalder-bladea. The head was inclined backwarda. 
Tbe ahriU whiatling respiratory sannd increaaed, together with a 
tearing sonnd like that produced by a aaw runniíig uirongh a dry 
boaid. Tbe oough was mostly dry, bnt oooaiioDalIy EOnndcd loóse 
and rattljng. It however grew lesa and lesa distinct, nntil towards 
the olose of the diaeaae it amonnted to little more than a gnmt. The 
child woold be cariied to and fVo continnall;— not one moment wonid 
he allow faia paienta to >it with him. The breatb hecame Tery c^en- 
stve, and this oSénaÍTenesa increaaed to an intolerable degree as the 
disease advanced. The plng of miicns remuned in the noetril, but 
tbe herpetic Rorea gradnally oried away. The temperatnre of the skin 
was rather below than above the natund atanda^ Doring the laut 
day or two of the disease the child was inclined to stupor. Tbongh 
these symptoms gradually increaaed, yet there were occaaional renus- 
sions : — the breathing bocame lesa difficult, and ths whole general 
appeanince of the child was mnch better ; but this spparent giving 
way of the disease lasted only for a short time. The breatbing coala 
be beard often in the street 

In my searoh for remedios ia this case, I conld flnd nono tbat 
appeared lo mato be bomtBopatbic. Neitber Acón., Spong., lud-, Phoa. 
or BeU. seemed tu cover tha case. But 1 knew of no remodics that 
presentad a &irer proapect oí anccess, so I began the treatmaut with 
Aoon., hoping to gtün some power over the locu inflammation. Bnt I 
could perceive no effect. Aoon. was foUowed bvBpong., bat still aa 
efféct Then Aoon. and Spong. in altemation. Thea Hep., aud afler- 
wards Hep. and Spong. altomately, but I could perceive no more 
effect than if these medicines had remained in my case. I then gave 
lod., according to tbe metíiod of Dr. Koch. Mili tbe disease went on 
without iuterruptian. Fhoe. was equaUy iueScient. The disease 
terminatad íatally, but I have to remark, with much less sufiering 
than the little broÜier endurad who was (rcated with emetics, cathar- 
tica, warm batha, aud blisters. Tbis was the Grst case tbat I had 
ever lost by croup. and I felt that I bad to giapple with s disease for 
whicb 1 had no bomnopathic remedy ; ano I beartily desired that I 
might never meet with another case ontil the oddu were less fearñil, 
tor I looked apon it, that iu tbis case I bad no power wbatever. Bnt 
two or three days bad alapsed, however, when I was called in the 
night to see another case. I went with a heavy beart, expecting to 
find a case eiactly similar to the above, for as yet all had presented a 
similar aspect, ana all termiuated fatally. I had, however, ñxed npon 
Bichromate of Fotash as a remedy more likcly to meet anch cases 
than any other of which I had any knowledge ; but I did uot know 
that it bad ever heon osed, therefore I conld uot lean upon it with 
that confidence which is inspiíed by actual eiperience. This case, 
however, proved to be different in its cliancter, as may be seen from 
the fidlowmg symptrans : " 



hot and dry ; pulse frequent and ftill ; face flushéd, daik and awoUen ; 
eyes snffused; loud and hard breathing; cougb huarse, rough and 
barking. Corning on in paroiyíms, tbus— a loud hooping and sawing 
inspiration, followed by a violeol expulsión of air, whicb produced this 
boarse, barking sound. The cluid siept for a few momeats at a time 
between the paraiyams oT coagb, but sleep not quiet — the breatbing 
was very Uborions — the child conatantly started and moaned. Tongue 
ooated. Aoon. G, in a tumbler one-third filled with rain water ; dme, 
a teaspoonful every two hours. Jan. 28, 10 o'olook a.ii. — Repott of 



THERAPEUTIC USE. 



ed a, ntürma night — bie&thing yotj haid, aod 

t appearad Bomewhit lelieved e&rly in tlis mor- 

r sleepa ; hard Mwúiff Teapiration moch increased. 



iH>th«ri child ; 
«tmgti ftcquant; 

ning. Ghild no ^ , „ , 

Great actioit of abdominal mnaclei — miuoleB of neck and ehonlder 
bUdes. Bndden itaita. Sweat abonl tbe head and neck. Fever ia 
DO desiee abated. The cbild waa aoon ronsed bv congh, irhich ap- 
peared tbe same aB last night. Thiratj, bnt ewalfówa with difficnlty. 
Complaini of pña in larris, and IreanenÜj grupB the throat witti 
the haiid. CneB, and wntheB abont üoes not want to be looked at, 
and aska to be oanied abont. Will gtí, oai of bed. Tonsila are red, 
there ¡a mncna abont the fkaces, and frota the month íb dñveUing 
■alÍTa. Hneeeing and flnent oor^sa. Spong. 6, everj two honra. 
Half-paat 1 o'clock, p.h.— BemÍBaioa of hH symptomB except fever, 
Coagh hoane, bat not so fraquent. Spong. 6, to be repeated if Bymp- 
tonul increaae. 8 o'clock, f.m. — Fever abated; Bawing respiration 
lesa. Coiuh leaB &eqaent and looae. Fenpired all p.m. The child 
has aeamed bñght and pUjfnl. Boweb opeaed. Spong. to be ^ven 
tf symptomB incroaaod danng night Januaír 39, 9 o'clock í.il— Boy 

•^>™wt-* " 



B fbod. Congh loóse, bnt leas hoaree. 



iright— Bits ap and w 
IVpve - ■ 

9 o'clock. JaDoarr 30.— Congh hoane and ireqnent doring {he night, 
bot DOW leBB «o. The cbild appears active—Das good appetite, and 
irantB to play abont on the floor : thia íb forbidden. Hep. 16 at balf- 

C9 o'clock A.u., and at 9 r.u. Jannar^ Slst. Congh hoarae üid 
nsDt dnríng the night, os on the previons night, bnt leas so thia 
moniin^. BpoDg. 6, giren. Tbis remored the congh entinily, and 
the patient was diBchaiieed. 

6j a comparíson of UiÍ9 case with the jireoeding, a mutifest diffe- 
nnce id observable in many respecta. It is very erident tbat in this 
case Spongia was Üie remedj. Thongh Acón, waa apparentlr indi- 
c«ted m the oatsct, it did not seem to prodnce good resulta. Nwther 
did Hep. do well after Bpong. 

The charactcristic differenccB between tbeBe two cases wore very 
uiparent, first in the period of occession. In case No. 1 the approsch 
<^ the disease wm very alow and gradnal ; ttMIg in No. 2 it naa 
sndden. In the one case the nostril waa plngged with elaBtic mncos ; 
while in the oCher flnent Cobtu waa preBent. In the ene oaae the 
ooogh was not freqnent cor violeat ; while in the other it was very 
6«qnent and paroxjBmaL In the one case the temperatote of the 
ikiu was not greatly increased, and fell as the disease adrooced ; while 
in the other it amonnted to a bnming heat. In the one case the pnlse 
was iiregnlar and not taO ; while iu the other it was regalar, fhlJ and 
bonoding. In Home points, howaver, tbeie waa a great Bimilarity. 
The soimd of the congh — the TespiratoiT soond — remission of the 
•ymptoms — the Bore throat, and, at first, íhe difficnlty of Bwillowing, 
and afterwards a snbudence of thú Utter Bymptom, weie very aindlar 



Case 4Sth. — III. "in which I nsed Bichromate of Potaah, occnired 
in a few days after case II. The symptoms in this caso wei« pre- 
cisely like uiose in case I, with this difibrence only, ths diíBcnltj of 
1nt«thing increased rather more rapidly, and tbe oongb ni^er more 
fieqiient. The chanulter of the congh and respiration was alike in 
bottt oases. The gradual approach and ' " " 



; the tomperatnre of the ¿in and freqnenoy of pulse v 
in both -' - ■' ■ ■ ' 

r half fllled with r 



H the nostril of the left side contained a plng of 



le difficnlty of breathing was mncfa 
increased dming the first eight hours of the treatment, bnt afler this 
period it became leas and less difficnlt, antil it aSBnmed almoBt its 
natural character. The hoarseneas, however, remained, together with 
the borking congh, afler Kali bich. had eflected all that it appeared 
Capable of drang. Theee latter symptomB were removed in three 
V fbnr days by Hep. sulpb., ropeatad moming and svening. 

I am aware that the ose of the wot linea to tbe neck may posBÍbly 
lender the eflSicts of Kali bich. sMnewhat donbtfal, thongh 1 do not 
attribate the good effoct to the linea that might have been fsirly attri- 
Imtable if its application had been carried to ihe ettent that a hydro- 
pathist wonld have reqnired. And what woold render the good effects 
of the iret_ linen still more donbtfal in my estimation, is the fact that, 
(¡Dce treating the above case, I have treated my own child for a 
similar attack, with Kali bich, without the nse of the wet linen. BntK, 
Kch. was given to my own child earlier in the conrte of the diaeaae 
than it waa given in case No. 3, for in this case I was not called nntil 
abont eightaen honrs after the period of aocession. Thongh we cannot 
oflitunly predict what tlio restut wonld have beeo in eitber of these 



I eitract two casee {eom the same Joumal, November, 1846, 
treated by Dr. Kitcben, of Philadelphia. 

Cabb 49th. — I. "Albormn, aged 6 yeara, a thin, nnhealthj boy from bis 



n emetio, I consented, believine 

^ .. . ¡1. This proving abortive, vonu- 

child bnt imperfectly, 1 then administered the Bi-Cbrom. 
Potasa. 6 in water, a teaspoonfnl every hont. ThiB evidently had 
a better efféct than any of the other remedies ; tbe oongh was Bhghtly 
loosened, and be ocoosionally, with great agony, eipectorated ^reds 
of y«llow mncna tínged with btood, and a bloodv speck here and there. 
Owing to the ignorance and dissatisfactíon of tbe parenta, this remedy 
was ioily tríed ahont twelve honra, when a cesort was bod again to 
emética, and the child died the thiid day after my first visit." 

CiBi SOth. — II- " Boggs, slightlv made bat healthy female, light 
complexión, 1 8 montha oM, had had a dry iwagh tbree or fonr d^s, 
having aaffered nnder the whooping congh previonsly. Oct. 31, was 
called to see her at 9 a. k., bnt owing to hnsiness did not g«t to Üie 
honse till noon. The fhther told me that the attaok oommenoed tbe 

frevioos evening at 9 o'clock, and that abe waa cronpy all night. 
consideied her m a very dangerons oondition, and told the parents of 
my feara as to the resalt. aI they were intelligent, and pnt every 
confidence in me and in bomceopathy, I commenced the tieatment, 
I confess, with a gnaX degree of mistmat as to the means. I gave 
Bpong. and Acón. 3, in altemaldon, evoir i honr. At 6 r. u. there waa 
lesa ferer, bnt the intense drawing-in of the breath, ahrill congh, &o., 
were the same. I now gave Tari Antim., which I have (h^nently 
fonnd to promoto the secretion of bronchial and tracheal macns in 
theae cases, and prodnoe ralíef— the dose waa a teaspoonfnl of a satn- 
rated solation in half a tnmbler of water, of wUch a teospoonfbl was 
to be given according to droomstanoee. Bometimes it vomits, bnt 
not alwavB. Nov. 1, at 3 o'clock, a. m., I waa callad np with the 
disagreeable intelligence that the child was dying, and that tbe 
parents wished me to come aronnd. I oomplied, of coarse, My own 
opinión, on looking at the patient, ciúncided with that of the by-stan- 
ders. NsvertheleBB, I diasolved tome Bi-Chrran. Potasa. 6 m half 
a tnmbler of water, aod pnt a teaapoonfOl into the month of the child; 
with agony it was awailowed. 1 remained tul 4 o'clock, and then 
went home, never more eipectin^ to aee that child a breathing one. 
To my anrnrise, however, on dnvin^ to the honse at 9 o'clock, I 
fonnd oer aUve, bnt on examination, Btül in a very had eondition. One 
Bymptom was bvoniable¡ same yellow apnta had been ejected by 

" ig, which Bhe endeavoured to restndn a "- ^'- 

- - -"-'--'- Uyhold 

^ , the oÜíec s _ 

all again was obscaredj the ohud appeared worse; uic i»«i> 
intense; aln nasi flappmgj white drde aronnd the month; «(»■ 
Bonk ¡ diBposiüon to slaep. 1 got off with sa good a grace aa póssible, 
with no view of retaning, as I had nu hopea left, and it u not a 
pleaaant thing to be among moumers. Aa I was sitting in mj^ office 
at 6 p. M., Ule fkther entered, as I sapposed to demand a certificate, 
bnt what was my sniprise, when he told me that hia danghter waa 
mnch relieved, and had eaten a pioce of bread, the first morael of food 
for three days. At 9 I called to soe her ; all the symptoma had won- 
derMlj abated, and Bhe had had some trifling e:^ectoraüon and 
several paasages. Nov. 2.— She is improvinfj, and a ^stinot flapoing, 
on inspiralJon and expiration, can be heard m the windpipc, no donbt 
the anginooa membrana in a louaaned átate ; this disappaared in the 
conrae of twanty-foar honre, and &oo eipectoration took place, no 
donbt softening and carrying off this membranaceooB eiBadalion in 
the larynz and traohaa. Thia was certaiíJv a wonderfbl escaí», and 
as ¡t waa made nnder the uae of the Bí-Chromata, the qnestion is, 
wheüíei it was attribntoble to that, or whether it waa by the sola 
eflTorta of the sratom. A solitary case provea nothing. I pnt not 
oonfidenco in aofitary caaes. I want evidenco of many, very many . 

With Boch fbelings, I cali vpon the ptofetaúm to try the roniady, 
and let na know the reaolt It is imporUnt that it sbonld be triad, aa 
we have no reliable remedy in thii disease. Nearly every case provea 
fatal. We hope, than, we shaU hav« h tried, Mthfiilly triad, and tha 
readts pnbliahed." 

Cabk Slst, 6y Dr. Blaek.—" A littlo giri of delicata eonstitntíon, was 
BeiEed in the night with violent crraip. Aoonite and Bpouna were 



seiEed in the night witb violent crraip. Aoomte ana e 
given, and thea Hepar, bat with little nlief ; leaming m 



, Google 



KAXI BICHROMICUM. 



that tfae nnne, oí 



._ .__ ,yt>f BWiJlowúig, h»d given the 

meuicme verj imgalMrly, and biÁ üiupeiLded it for three hooni I oon- 
tinned wíth tlia Hepar, but by tbe ereoing, the Bjmptoma increaamg 
uid the child in most imminent d&nger, I gsve K. bicb. 6, nboat twenty 
Klobole» in H winegUs» of water—» tHMpooofiU to be given erory 
fifteeD minateB for lui bour, and then fioca erery hnur lo foor bours, 
acGording to the relief. In tbree bouis tbere was nadoal relief, and 
the little potiant was wbU and able to nm aboat in abont a week." 

The follonin^ Case bas been published by Dr. Bayard, of 
New York, ib the American Journal of líomaopaih^, 6th 
February, 1847:— 



.8 adoiiniaterod at night, a fsw pellots uf the 4th or 6th dilution. 
On Wedne«da7 moming ihe eooghed freqoentlf, and complained of 
great aorenesi of the tlüoat, djfficnlty of snallowjng, &o. Belladonna 
«as given, and as tbere waa little or no melioration of the gjmptoms, 
in the evoiiing it naa followed hy Mere. viv. The neatber was now 
severelj cold, and from recltleas exposure of hecself dming 
Thi ' ■ " ■ ' ' ■ . . .. ~. 



iverelj cold, 

bnrB^j, her snfferings seemcd much incTeased. In the aftemoon of 
that day her face became flnahed; hor akin dr; and hot; and the 
difBcnlty of iwallowing so great that she refused to cat or drínk. 
Abont 7 p. m. «be retirad to bcd, and remamed qniet, and M it ñas 
■uppoeed, aaleep, tbr sotne time ; bat hetween 9 and 10 p. m, oiie of ths 
fanuly paasine her door was etartled W hearing a rongb, hoarse, bark- 
ing cough, wblch Beemed to come witb eveiy inbalatiun uf the breath. 
Tbere \ra» Bomething indencribably alanniog in ¡te sound, whicb told 
the most ineiperienced that theni was not a moment to be lost in 
admiaistering the appropríate remedies. Accordíngl; Acónito — aboat a 
dozen pelleta of tbe 4th or Sth dilutioa diSBolved in three-fooiths ofa 
turobler of water — was given two or tbrae times, at intecvala of fifleen 
or twenty minutoB ; then Spongia of the same dilution, prepara in the 
same way, was altemaCed with the Aconite. No chango occarred in 
the BymptomB except wbat aeemed a lapid progression oí the diBease, 
the cougb becoming more deep and hoaise, the fliuih of the face deep- 
ening ñrst iiito crímson and then ¡uto pnrple, and the contortions of 
the whole form shoning the agonj with which every breath was won. 
Sttch was the eondition of the patient at midnight, when Dr. Bajard 
arrived, too late, it was feaied, to be of serñce. ' 5he will dio befhre 
moming,' had been the conviction of every one who heard that coagh, 
and wtten, in leas than half an honr aftcT Dr. Bayard's arrival, its 
deep, rongb sonnd bocamo In some degrec cbanged, and its violence 
leBsened, every heart sank nnder tbe sad íinpieeaioD that the poweni 
of Ufe were faüing, and tbe stillness which soon sncceeded thatchange 
was fearíiil to thoee who stood not beside her, for it secmed to tbem as 
the stiUnesB of death. In little more than an bour after Srgt seeing 
her, Dr, Bayard was ahlo to loave her without approbcnsion, The 
medicine, of whicb a single dose had produced such wonderftü rosults, 
was left for her with directíons that it should not be repeated uniese 
tbere should be a dccided revival of the sjmptoms that had first de- 
mandad it. The patient slcpt with little intcrmption for eeveral honrs, 
and it was not till nesrlv 6 í. ii., that the congb retomod with any 
persistence. The medicme was repeated — half a spoonful of the water 
m whicb it had been diesolved heing given — it gave immediato and 
enduring rolieC Tbe patient had noretum of cougb or hoareeueBS. 
The above stateraont was drawn up at my requcst, by tbe 






»lbe 

. . ^ . 3T a harsh drv ci 

the reapiratioD BtridolooB, the eipreBsion of the 
the cheekB pofled and livid, pulse frcqueot and small, extiemiticB cold ; 
great restlesBiicss and jactitation. On looking into the throat, I found 
Ule Canees highly inflamcd and Bwollcn. 1 diasolved six pelleta of the 
Kali bichro., of the 6th dilution, ¡n a tumbler half ftUl of water, and 
nnder tbese oircumstanoes I administered a dcssert spoonful of the 
Holntíon. In ten minutes thereatter, thera were pauses ¡d the before 
incessant cougb ; in thixty mbutes the child had snnk into a qnict 
sleep, and tbe difficnit respiíatioa Bubsided." 

From hU these cases it is BuScienÜy evídent tba.t clinical 
ezperience has already confirmed our expecUtioas of the utility 
ofthiB medicine in membranous croup, derived from its pbysto- 
logical action. We can scarcely determine the exact variety 
in which it ia to be prefeired to out other approved remedies ; 
— as yet that can only be diacovered by clinical experíence of 
the character of the epidemic on the first cases that occur in 
each locality. 



Case &3rd. — Laryngüü. — Dr. RoMell has commnnicated the Ibllow' 
iog case. " The patient was a gentleman, aged 45 ; he had been taken 
iU tbe day before I saw him, üd had been hot and restleis the i^Iiola 
night. I Ibund the pulse 110 in the minvte, and the hen flnahed ; ' 



laiynz and top c€ tbe tracbea, ín- 
creased by piessure ; no pain ñor any abnonnal lonild on peicuasitni 

and anscultation in any part of the oheat I bogan wiÜi Ácooite for 
the first siz honra, a dcáe every bour, aud tban gave Aeon. in altemai' 
tion with KaU tic&r. 3. Tbe general symptoms were better oext 
moming, but tbere was still miioh hard cou^ and pain on preasnre, 
aud slight fever ; I continned tbe KaU büjirom. tbe wbole of that ámy 
and found tbe symptoma giadoally ameliurating, and in the course of 
the third day tbe toogh eipeotoration bad given place to an emtaer 
kiiid, tbe pain was gone, and tbe patient was in evety reqieot in b 
stato of convalesoence. 

I should be inclined to place K. bioh. voiy high among the list of 
medicines fot laiyngitis of adnlU." 

The following case occurred in my own practice : 

Case Uth.— The patient mu a delieate woman, abont 60, nbo liad 
raffered fiír several years from severe catarrh in the trachea, with loas 
of TOico, espedally m winter, so that she coold scarcely go ont for 
several weeka at « time. On tbe 6th of November, IS50, she tvfts 
attacked with acate catairbal infUunmation of tbe windpipe, and great 
aggravatíon of ber former symptoms, and pulse 90. In the course of 
the next two days tbe symploms were relieved nnder tbe use of Bella- 
donna, Cinnabar and Hepar. On the 9th tbe weather had become 
cióse and damp, and I was sent foi in tbe moming in great baste, a.s 
the patient had been much worae in the m'gbt ; abe had frequent 
paroxysms of very barsh cough, with snoh feeling of saffocatíon that 
she ^ps and toaam abont for breatb ; respiration loud, wbeezing ajid 
hiasing ; the laryíu is painful to touch, and tbere is sirelüng at one 
side of tbe throat, outwardly; swalloiring is exccssively difficnit, and 
tbe attempt brings on pún and tearing, and constriction of tbe throat 
and ahootmg np to the ears ; pulse 120 ; tbe patient cannot lie down at 
all ; intemally tbere is no visible Bwelling in the &nceB. I considcrcd 
the patient in great danger. Spongia 2 waa ordered every half bour, 
and two dosea of Mangan, acet. to be interposed in tbe middle of tfae 
day. In tbe evoning tbere was somo mitigation of tbe violence of the 
aymptome ; the pulse was 120, ñill and hard. Continué the ^Kmgia 
and interpose two doses of Aconite. lOth.. — The nigbt was ratber 
better and the pulse Blower, and the awallowing easier. Interpose 
Lacheáis 6 aud Uien cont, Spongia. 1 1 th. — Pulse 90 and swaltotring 
easier, bnt no fnither chango in tbe laryngeal symptumB ; the congh 
still bard and in paroxyams and very deep, as if from the bottom of tha 
cbeat ; she is quite unable to lio down, and the inspiíatíon is loud and 
hiasing ; the sputa are ton¿i and difficalt to detacb. K. bieh. 2, every 
two boum. I2tb Kov. — She is much better and can lie down, and 
has bad some bonrs of sleep ; the cough and wheedng is better, and 
tbere is no pain in swallowing. Cont. K. bich. 2 every three honra. 
1 Sth. Nov. — StíU further improvement, and she has had a better night 
than for aome weeks before tbe aoute attack ; has been able to ^een 
several bouis at a time, and bad only one or two paroxyanu of c«ugb 
in the night ; the pain in the lar)mi is quite gone, and also the awelling 
at the side of it ; there is little or no wheeiing; atill a little pün añer 
the fite of coogh ; tho expectoration is in roniidiah greyish masaes, and 
is ^ected with tolerable ease and relief; hassome appetite. Cont. K. 
bien. 2, 4 tis. horis. ]9th. — She was better altogether than for months 
before, and complained only of same bnakinesa of voice and looee 
oongh, for which Phellandrinm was now given. 



m qf larytu! oñd irachea,» 






Cabb 5Bth. Chrmtieinñami ._, ^ ,„ 

6y Dr. Ulack. — " Major H., aged 65 ; ha» for three wintera been 8nl)ject 
lo chronic inflammatíon of the fauces, eitending to the larynx, le- 
eembling much the disease described by Dr. Green, of New Tork. For 
tbis he has bad bis throat freqnentiy tonched with tbe Nltr. Argent, 
both solid and in solution ; in aummer tho symptoma aro macb easier. 
Nov. 2Tth, 1B48, He has had frequent teasing cough coming on eveiy 
five minutea, and worse afler meáis and at night, eielted by tickling 
in tbe tiachea, wbicb is tender to the tonoh ; tbe expectoration ia 
Boanty and very düficult. Has for six weeks tried the ordinaiy medi- 
cine, and ia obhged to take a sedative draught every night, in order to 
allay the cough and procure sleep. Prescrip. K. bien. S, gr. ij, in J üj, 
of water, and 5 bb to be taken every 2 to 4 houis, acoording to the 
relief. Nov. 28th. — After two doeea of the K. bich. tbe cough abated, 
and he elept well; to^day, no wboesing, and tbe cough is much eas'"' 
Cont The neit day there was no ñirUier amendment, and l^eh. i 
giv^i, followed np oj other n 



yt^OOgle 



THERAPEÜTIC USE. 



Case SCth, bg Dr. Boche, of Láiei'pooL — " I wm reqnwted to yUit 
Hrs. H., luvd 45, of nervoos Umperament. I foiuid her eaSering trom 
ehroníc infltunmation of the larynx and bachea, for «hich «he had 
been treated by on iJIapathic suigeoD fór sevenl monthe. Tfae cbfef 
remedj' empkiyed by tim wftn DUstoriuff, often lepested; tíúa tí 

til 3 i._ . i:^j. gjjj gte WM occasional' '—' —' 

esa difflcnlty in taking un ini 
la tongh and offsnBive, and al 

U -" ■' ' - ' — 

A 

the attacki of dyiqnKBa ir 

qnantityand Dot sooffenii .. ., - „ - 

weeks ifae traa deddedly atronger, the djvpiuBa entirelr rsmored, 
líMie hoanenssaanddittieBSOiiitiBpmiig. umwMkmoreuewBsq^mte 
weEL" 

CuB 57tli — A woman, aged 36. She had taffemA fbr abont two 
moathB ñrom the folknnn^ ■ymptoma : Faina in the tbroat, and pain 
and feeling of twelling m tha laiynz; a lloaiBe acd hoaky Toice ; 
congfa with ipnta difficnlc to detacli ; oough and dyapncsa in tíia moni- 
ing. Pain acrosa the epigaatrimn and abdomen, and boweia coative. 
Ouienriae welL KáL dícb. 6 was given three timea e, day fot a fort- 
night, within whieh time die waa quite welL 

Cask 58ÜLSmhiUtU (ffeetúm qf tie loryaas—E. U., a fiur hairsd, 
1 ... .-1. „ mt of age, waa brought lo mo on the 30l]i May, 
rphilitic from birth, and had beon trested allo- 



uid anxioas look, and the breathinK wag difficnlt and lood, with whee- 
aÍDg as if &Din obatmctíon in tha wíndpipe, audible at aome distance ¡ 
there waa complete loaa of voiice, eren in ciying ; a iaint, baakf ccngh. 
At nigbt tbece wu mach dyspntBa and rattlmg in the throat dnnng 
aleen, and ^ le often awoke b; it There ia ulceratíon at tíie anglea 
of the month and soreneM roond it. ErnptiuD round the auna. I gare 
K. bicb. 6, ererj ais honn. On the Sth Jone she waa altogether 
•omewliat improred, and tha breathing bettei ; bnt the eraption and 
■cannesa at the angles of the mouth waa not better, and waa very 
tronbloaome. Anenic 6, and tben Ara. 3, were given oight and mom- 
iog, each lor a week. On Jone ISth ahe waa atill iarther improved, 
tnd tha month much bettei, and also the bieathing better. Cont An. 
3 Ub die. On the 2Sth June the month ahowed only one allght crack. 
The eniptíou at the anos and the UiTngeal gymptoina were mneh the 
■une. K. U<^ 3 bis die. 13th Jnly, there u more voioe, and ahe ia 
altogether improved ; the congh ia omervad chiefly when ahe drinki; 
month ia qnite boaled- iSth JtUy, the voíce ia now quit« fPXid, aad 
•'" — =í íoatcely any congh ; the appetile '" — ^ ""■'^ **"" "*■■'■' -~" 

_ !i and thriveB. Cont. £. bich. 4th 
well, ezcept &e emption at the anos, whioh tx 
aeaiMir vidUe, at otheiB elerated and nw. it waa tmauy lemorea 
mkder Dulphur iu diflbrent Hllwtkma. 

Can b9Qi.—Aeute BnmtAitd OatarTh.~á. lady, aged 44, (f atont 
fiame and ñorid ooontenanoe, anbject to chronic congha, waa attacked 
with febrile B/mptoma and acnte hronchial catairh on the 25th May, 
1850. She waa treated with Aeonite and Mero. corr. for three days, 
dnring which tha genera] febrile Bymptome got somewhat better, bnt 
the chest aymptomBon the SSth were: last night she did not áieep 
the wbolo ni¿t on accoont of '<ri<dent ringing congh and difficnlt, 
yeUowiah-whlte expectoiation, with boming, raw pain down tfae 
throat and along uie breast-bone ; dyBpncea and wbeeEing go that 
ahe mnst ait paraally np in bed ; PplBe gnick and nither amalL I 
gave K. bich 3, erery two honra. The aymptoma anbaided gradually 
and Bteadily, and on the Becond night ahe alept the whole night with- 
ODt ooogh, ezcept the habitual congh ahe haa long had towarda 
moraing. 

I have ufled Ibis medicine in a aumber of caeea of acute 
broQchitÍB, especially of children, but it hae Beldom been the 
onJy medicine, and I have not aufficieutly accurate notes of 
them to relate any complete cose. But as far as my experience 
goes, I Üiink it ia a remedy to be giren with confldence in cases 
of acute bronchitls, especi^y the exudative, both ¡diopathic and 
of meafles, where Úte pathogenetic s^ptoms correspond. Dr. 
Black alao writes me — " I have found K. b., ia the 3rd 
dilution, useful in several cases of acute bronchitis in the early 
ttage with a diy BonorouB rale and scanty ezpectoration, pre- 
ceded or altemated with Aeonite. In this stage of broncbitis 



n 



it pronúses to ranlE vith Biyonia and Spongia." Aftsr the 
experience of last winUr Dr, B. subsequenüy writes that he 
has found it so useful in acute broncbial afiections that it is 
one of the medicines he now canies in his pocket-case, 
and which he uses Tery íiequently. 

Casi 60th.— Avne&ial OatarrhviitÁ lovd viheBmig.—E. M., aged S, 

a child of good conatitatíon, waa bronght to our diapenaaír on the 
íínd May, and was reportad to haTe aoDsred from the foUowmg nymn- 
toms for two monthe, durinc wnich time be had bad ^opathu; treat- 
raent without relief. Me had freqnent severe paroxyaniB of congh, 
which had a loóse and wbeezing aonnd, bnt no apnta were got np. 
These flts of congh were accompanied by perapiraüon, and were worat 
at night ; begidea there waa a conatant load wbeezing and rattiing, 
aodibte at a conaideiable distance. There was alao moch dyspnm on 
lying down, and he has &eqaeatly to be raiaed iqi in hia sle^ ; bowela 
rather costive and little appetite. In other respecta the cbild doea not 
look 7ery iU, and it has not mach ^er and will not remain in bed. 
K. bich. 3 waa jfiTen every fbw houis. On the !6th there was an 
improrement. The fits of oongh were not ao frequent, thottgh atill 
preaent, and there was süU andible wheeiüig and rattiing. K/Wh 3, 
erer^ fonr hoon. On the Tth of Jone tfae child wat bronght sgsin, 
lookmg qnits well, and no wbeeEliig to be heard. The mother reported 
that in abont a week aíter laat Tiait the congh was gone, and he oonld 
lie down well, and evea in alaep no wfaeeiiiig was to be heaid, and he 
wat iu all otbei leapects well. 

It is in chronic broncbitis as we might expect from the phy- 
ñological action of the drug, and Irom the frequency of the 
disease in this climate, that we must look for the most frequent 
use of this remedy ; uid accordingly it has become one of tlie 
stock medicines of the Homceopalhic Dispensaty at Liverpool, 
and there is not a day in which it is not &«quently prescribed 
by all the phjrsicians in snch cases, and striking, curative results 
are veiy often obtaiued. The cases of cure by it alone, or as a 
chief remedy, are so numeróos, even ín cases of long standing 
in which the oonsequences of chronic bronchitis are for 
advanced, that it would occupy too mnch space to give more 
than the beads of a few cases iUuBtrating eome of the symptoms 
which indícate the cholee of this remedy. 



snd the present al 

■ymptoma the oongfa and dyapniBa were worst saily in tha moming, 
and the spata exeeñivelj/ taugh. E. Ueh. S efiected a complete cnre. 

Cabs eSnd— Ann B., aged S5. The asnal symptoms, and the congh 
waa attended with atitéhea in the aides, and the apata rery toarii and 
difficnlt to detach. K. bich. 6 ter. die. Cnred in a fbrtuight. 

CiSB SSrd.— A. P., aged 36. Had chronic bronchitiB for many 
montha ¡ the congh waa not great, bnt there was mocfa rery visdd 
expectoraüon, in greylninpB; sligfat aore throat j p-'- -' ■' 

trínni; and flatnleooe. Cniéd in abont t 

dilations of K. bich. alone. 



I montha with 



"áS 



Caei 6Uh. — Hary D., i^ed IT. Caoght oold a year ago, aaá has 
iídcb (8th May) snfféred from congh, with gieat oppreasion of the 
cilest and swelliiiK of tfae Tcins of ue neok ; the apnta are in tongh 
blackish Inmpaj the i 
on exertion "^ " 
12th June. 

Cabe 66th.— W. W., a man, a^ 66, had been tieated witfa mnch 
beneflt for chronic bronchitia with Arsenic and Oraphilea, from the 
16th Nov. to the llth Dec, at which date all the aymptoma were 
KlieTedexceMra(tiH9ÍnlA«cA<st and dyauuBBon lying down. These 
were remorea in two weeks by K. bich. 6 bis die. 

Cau 66th.— E. R., aged 46, had f(^ a long time chronic bronchitis, 
tbe ohlaf character of whioh waa a TJolent, tight dry oongh, woise in 
the day, and alwaya exoited by any expomrt to tmAe. ¡fiaema at 
night m bad. Petiolenm 3 waa flrst given withont any effeet ; uien 
K. bidi. 6 and 3 aSected a core. 



KALI BICHROMICTTM. 



Cira 6Tth.— A mftn, amd 46. The ohMscteríttio of th« con^h wu, 
that It waa accompanied o; inioard toratat in the cbest, espeoudly in 
oMjxnnCfBsif tfaere wuMi ulcer Ütera. K. bich. cniedhim. 

Casb Seth.— a casa of chnmic brrmclihii wu enred bj' K. bioh., bi 
which the canje of the diaease wm attrlbated to the inhalatiou of the 
ntpotD- ofAneaie, to which the pMieiit was expoaad. 



«temum; worse in tíie moraing ; drapncea, &c. The Bfmptomi 
remored in abont a fortoight bj K. bich. 6 bis die. 

We have found it veiy uaeful Íd the course of many cases 
which ako required other medicincB, in some stages of the case 
wben the ezpectoraüon was ezceBBively bmgh and ttritigy, 
The cases of this are so numerous that it is needless to occupy 
more space in dweUing on the Bubject further. 

Cabe VOth. — Of a child, aged 1}, which had hooping oongh six 
moiitha before and the congh atill contiaaed, loóse and nttUng tmd 
tickling in fita at night, aad wheeiing in Üm day withoat coagh ; 
occasional pituitoua Tomltiiig íu tba day, K. bich. 3 bis die effécted a 



We have also other cases where it was euccessful in remoTing 
the Tomiting (añer meab and at night), and other gastiic 
sjrmptoms, and the cough remuning vXiitt wfaooping cough had 
been treated with other medicines. 

Cabe TlsL— I maj nota also a case (a cbild, aged i) where the 
whooping congh was tieated with tbe dbiuI homisopathio lemedies, 
and thera remüned only the dngle aymptom of wheeiing at night ; 
this was remored by K. b. 6. 

The foUowing case of recurríng bronchial attacks may 
pcrhapB also he traced to the whooping cough ; 



Biderable time her ilkíess had asaomed the fbllowine ahape : every two 
01 three week» after aiiTslight expOBiire,she is Beizedwith chülineas and 
languor, with flnsbed iace and headache and hot hands for balf a day; 
then heat of tbe wbole body ; thirst ; disttubed i 
night, fbllowed by paroxyems of oonghing, with 
of tongh mncQH hite white of egg uiif yeikiw acid 
days sbe has c<ingh; want of appetite; fonl 



languor, with flnsbed iáce and headache and hot hands for balf a day; 
then heat of tbe wbole body ; thirst ; disttubed sleep and screaming at 
_!_■... »_ii 3 1 .._.. 1. , irith YomitinR (as sbe saya) 

^ , . w acid fluid ; then for several 

days sbe has congh ; want of appetite ; fonl tongne ; and coetiTe 
bowob, which graduallv all go off. There are no woims. Bhe got K. 



attack aftec tolüng the medicine. 

Dt. Walker of Manchester, informe me that he has used 
this remedy with very good effect in chronic broDchitis and 
catarrhs. 

Case 73rd. Dr. Black virüa:—" In a oaae of obninic brancbitiB 
attendant on a scinhooa decenaration of both lunga, when the eipec- 
tonOion was »ery cleai and so viscid that it could be drawn a yard 
troin the moath, and where the cough was Tory violent, preyonting 
ale^ and rest, tho K. bichroro. !rd dil. gave very marked relie!; 
mibgating the coagh and chsnginK the charactcr of Üio uxpectoration, 
which betune more of a cleor frothy macns. This relief continaed for 
eigbt oí ten daye, and Che Bymptom nereí letomed to the lame extent, 
thongh tbe patient nltinutely died." 

Casi 74tlL Dr. Black aUo natieei l&s oom o/—" A lady, agad 65, 
who bad acate bronchitis, compücated with plenñtío effi^an on one 
úde, and slight pnenmonia of one lobe of Che lung. Acón., An., Káli 
hichrom., Senega, Phos., and then Bnlphcr were the Temediea. Bqoills 
was of no use. The case was very aevere, and had a distinot iuternÜB- 
sion BTBiy second night) she was deliríons fot thrae days." 

Case TSth. Dr. Boche of lÁeerpooL, torüte : — " I was consultad by 
a gentleinan, aged 69, suffering trom chronic broacbitis, and who had 
t^en Bulphnr and Arsenionm withoat benefit. Thare was constant 
wbeezing with opprsasion of the chest, cbiefly at night, with stringy 
¿ bich. 9 entirely iclieTed him in thrae we^u." 



Dr. Siuieli wrilet ; — " In sevenil cases of bronchial c&tarrfa, 
especially of oíd pereoos, I have aeen the most decided im- 
provement follow the admiuistratdon of this medicine, and that 
in tbose obstínate cases which had resisted Tart. ant., Arsen., 
and all the other ordinary remedies, and threatened to be very 
aerious to the patients." 

Case 764.^" In one case where it was of marked use tbete were 

violent paroxysms of cough, with littte expectoiation, and that of 
atringy mucus, leaTtnff the patient eioessiTely exhaustad, and some- 
timaa attendad with dry retching. The patient was an oíd lady who 
had been long subject to anch attacks, which generally occur earfy in 
winter, and ¿he expressed herself as greatly pleased with the KaL bicfa. 



dnes in ber former illnesaes." 

We have no reason to ezpect any good from thie remedy in 
tbe ordinaty forme of pneumonia ; but it is otherwise in the 
pnemnonia notba, or catairhal pneumonia, nhicb ie tbe est«ti- 
sion of catarrhal and frequently plástic inflammation of the 
bronchie into the smaller bronchial tubes, ñnally. implicating 
the parenchyma of the lunga, Tbie ineidiouB fonn of pul- 
monary inflammation is liable to occur in some epidémica of 
catarrh and influenza ; and in searching for the appropriate 
remedy, I t hi'tl' K. bich. ehould be kept in view. 

Paira in íhe chett and ínmk. — In seTeral cases we found 
pains in these parta apparently situated in the máseles or fibrous 
tissue, eitber alone or connected nith cough, or dyspeptic 
symptoms, removed by this remedy. 

Heasi. 
Although enlargement of tbe beart even to a remarkable 
extent is shewn in the experimenta on animáis, yet there are 
extremely few Bjanptoms in the scbema that relate to that 
orgau. It is difficult to say whether this arises from a difierent 
action of the substance on men and on the lower anímala, or 
vrbetber its action is of that slow character on the nutrición of 
tbe muscular tiesue of the organ that would not give riee to 
any perceptible symptoms witbin the Umits of an ordinary 
proving. If the latter should be the case, it may be found 
usefiil wben given for a sufficient length of time iu paswve 
düatation. 

Back. 
Case 7Tth. Lumbago.— A man aged abont 47, of lymphatie tem- 
parament On the 27th Decembor 1B48 he compluned that for some 
days pieviouslr be had felc slizht rbeumatic palus in the back, and 
yeat«rday while stooping ha fett as if something cracked across the 
SBcrum, and he had to catch huid of BomeChing, and could not moie 
for BDine minntea from the violenco of the palo. It continned duHng 
tbe night, aod to-day he cannot stoop or move for pain, which ramains 
constant even while aC rest, but greatly aggravatod on the least moTS- 
meut of the Crunk or the tegs. There is no fever or other aytnptom). 
K. bich. 3, etís horia. 29th.— Siuco yoatorday morning he bas steadilj 
improved, and he can walk abouC, tbougb stiffly sod nith dull pain 
serosa the hipe and sacrom on líitmg tbe feet; nearly free from pain 
wben at rest The medicina was continued, and in a coupla of dayí 
more all aymptoms were gone. 

W. 6., aged S4, had had a rheumatia attack thirteen moaths before, 
which had Isated aeven months. When aean on Angust 2 he had 
suffared for three weeks from Che foltowing symptoms : pain iram the 
back of the head to between the HCapolie, so tbat he if quite atiff, and 
cannot tom ; the pain also extenda from the scspula down to tbe 
elbows, so that be cannot raise his arms to his head^ and the shonldar 
jránts crack ou mOTememt Ha ia worsa when lying down, and eaps- 
ciaily in the moming. The tongne is broad and flábby, and white; 
the urina ecanCy and difficult ¡ boweb open ; appetite good ; sleep hin- 
dered by the pain. K. bich. 6, evecy six houre. On the fith he was 
worae, and Bryon. 2, ter. die, was given by another of the phyaiciaus. 



Od the Tth Bomswhat tetter, bnt the g^mptonu wsre exttctly the 
Mote. K. bich. 3, ter. die. On the Mth he wsb veiy mnoh better. 
On the ISth no eymptomB Tenuined biit some aüffiíeBB óf the nape uid 
beEireen Üie shouLdeiB, for vhioh Uei. 3 was given with complete 



Cabe 79th. — A man aged 24 had been imder treatmeiit for fonr oí 
fiTe monÜiB ei ooi diapenurj (br a Tariely of gastrio and rheamatic 
gvmptoms, which hod nadually improved nndoi varíona medlcineB, 
and the chief flymptom left was a nolent pain ia the back which had 
Usted unce the iBt of Mar, ín apite of Bryonia and Nnx in difierent 
dilutions. On the 5th of Jone a more minnte examinaCion iraTs the 
following srmptoniB. A TÍolent aching pain " like b gathe 



he ib np and i 

r'n which BtrikeB i 
bich. 3, ter. die. 

19th Jone. — He carne to report tliat eoon after bepnning the medi- 
cine the pain began to diminish, and in thi«e dajre conld scarcelr be 
felt, and ni>ca then it has gradually qmte gone. 

L0W£B ExT&EHITIES. 

Case SOth. — iSbiafino-^A gentleman uf tall and Bpare fíame, who 
had Enffeied aboat eight yeara befara from Bciatica in a severa fbrm, 
lasting Bereral jears, appUed to me in Febniaty 1850 witíi the foUow- 
ing Bymptoms, which he said weie exactlv the aame as he felt at the 
commencemont of hia fonuer attack, and he dreaded a letnm of bis 
fonner tedióos dileaw. He had had for a week aerare paina in ths 

Xand dcywn the outaide of the thirh. The pains wora worao in the 
moon and evening, and better in Dcd ; worse on any change in the 
weather. In other raapectB the health waa good. He got Nux for a 
week, and improred aomewhat, bnt the pains were as tñd aa erer on 
the next change of weatber, and eiactly of the aame ciiaracter. He 
now got K. bich. 6, twice a day, and all STmptoma completel; and 
permanently dísappeared, and he had ramamod ^ee from them laat 
Maich (1851), when 1 mw him again. 

Cabe SIbL — Q. H., ased 62, had lieen ill for yean with chjonio 
riienmatísm. Carne to ue diapensary in the latter part of March, and 
tbe di«eaM teemed then to be cotKwntrated in the titria, fcneea and 
thigha. He complained of violent paina Ín the ahin-bonea and huming, 
eztending np tbe lega, and he had aching and ahooting in the Iront of 
the Ihigha and kneea^ worse at night, without Kwelling. A vanety of 
mediciiisB were giren withont effect, üll Xal. byd., gr. j, ter. die, waa 
given on 2lBt Jone. Thia waa cootmned till the Gth Jnly, when the 
pain in the ahina was sntirely gone, but the pain in the thigha and 
knees remained nnchanged. K. bich. 3, ter. die, waa now given with 
apeedy beneñt, and contínned for aome weeks, when he reported him- 
■elf quite weU. 

Case 82nd. Aade attack of pain ín iht libia, amnrnmiaOed by Dr. 
Sladc. — " Mra. D-, aged 3!, of phthisical habit and Ijmpbatic tempera- 
ment, waa convaleacent from a mild attack of gastnc fever, wben ahe 
had coRiplsined on the 4Ui Anipiat 1850, for R>ui dava, of tenderneae 
of the iníadie thiid of the left tibia, which gradually incraaaod till on 
this da/ neither the foot noi leg coold be moved. Thero waa great 
tendemeaa and aligfat awelling, but no Tedneaa. The pain ia descríbed 
la boring, aa if in the boue, and conatant, with freqnent paToxyama of 
acute pain eitending np the anterior part of the tbigh and down to 
the inetep ; increaaed by heat K. bich. 3, gtob. tj in water, a Hpoonfol 
erery hoor to fonr honra, till relief ia obttdned. 

On the 5th the tendemeaa was mnch better ; there were no pa- 
toiyBnia of pain, and ahe waa able to move the foot ¡ abe ezpericnced 
relief aftor every doee; the flrat fonr or fiva doses waw always 
foUowed by a bimiing feel over both limba, ' aa if the medicine waa 
aearchinK tbTonsh tne reina.' In two days there only remained a 
altght pam of a di&érent character in the inaf * '■■•■"- 
th«i given with good offect" 



a inatsp, fbr wmch Bnta w 



Cabc 83. Ftriotátii from a tíav>. — J. M., a man aged 50, got a blow 
on the shin with a bar of irun bíx weeka before. unoe then he haa 
an nlcer on the apot abont tbe Bize of a ahilling, and the akin and 
eellnlai tiaene round it mnch inflatned; he has great pain in the 
leg when he standa. He haa riolent pain ahooting np to the knee ; 
aOffiíeaa of the flexor mnacles of the knee. Qeoenl health good, 
S. bicb. 6, ter. die. In fbor daya he had leai pain^ aad the inSam- 
mation was lesa. He now got E. bjch. S, and the lotion extemally. 



In eight daya the aora was nearly healed, bnt atill be had the ahooting 
--'a np to the knee, which he oonld not strolghten. The medicine 
waa contínned at interrala, with Meady amendment, for fonr or flre 
weeka, when be reported himself welL 

Case %iÚi.^Oenend Paiat.—i. H., a man of 60, had snSéred ÍKm 



' diapcQBary tbe pain waa excesBÍrely violent in the híp on motion ; at 
times it íb onc híp and at oCbers the other that ia affected. Under the 
action of Colocynth 3 and 30 altemated cveiy bíx houra the ooialgia 
waa entírely removed in aboat throe woekB, and on the 28th Octobei 
he complained of no pain in the bip, bnt paina flying abont to diSérent 
parta of the body; a few honra in the ahonldera, then in the back, 
then in tho knees, then in the ankie and hig toe; he ÍB better wben 
warm in bed. He had already received Fuleatilla 3 bia die fbr a 
week withont benefit. K. bich. 30 bia die removed all aymptomB 
within a fortnight. 

Tbis case correspoiids renurkably with the characteriMic 
pajns produced by our remedy. 

Cías 35tji. — Oetteraí OaiAfxia.—Oai remed; eflbcted grsat amend- 
ment thongh not complete cnra in the case of a man, aged 44, who had 
been fot yeara ill. He had Jaondtced, pa% coontenance, with palé 
lipa; tongue broad, cracked and flabby; had taate in the monung; 

hiB guma bleed at nisht, and he finda clotted blood in hia month in Oie 
mominK ; constant tbimt ; appetite at times craving, at othera none, 
wiUi a faiot nansea; after mÑla load at the stomach and dnll pain, 



and empty retching; bowela rather looae witb yellowiah 

.nodona. He bag a lárge, flabby nlcer on the leg, and tbe 

akin of the whole leg ia thickened, hard and paaty. Under K. bich. 3, 



and alimy n 



2 and 6, for aeveral wecks, he improved very mnch ; and the bowels 
and gamB and digeative orgsna and general appearance became 
mnch better, and the leg grew softer. He waa not, howevar, cured 
of the nlcer, ñor do I tbink anch a case conld be cored withont the 
comforta of an hoBpitaL 

Skis. 
Casi S6tb.— iWuIor E-ni^tíosM.—k. boy, aged 14, of lymphatíc, 
nervouB temperament, with fair hair and ligbt eyea, had been alfected 
with an ímpetiginoua emption oo the tsae. The pnstnlea forra fre- 
quently, discharB:e a watery púa and leave a brawniah acab, and are 
accompanied with mnch itcbmg. K. bich. 4 hia die. In a fortidght 
almoet well. Cont. K. bich. 4 bis die. Quite well in another week. 

Case 87th.— Q. H., a boy, aged 7, of palé complexión and lymphatic, 
saugnine temperament, had for many weeks an emption which begaa 
on the ear and apread over half the head. It presented, when first 
Boen, the appearance of greenlah CHlBts, with oosmg of whitish, thick 
mattec (rom beneath them. It was lemoved niider tbe action of 
K. bich. alone in 6th, Srd and 2nd dilntíima within six weeks. 

Cabb SSth.— 

oovered witb a browniah acab, withont ooring of matter; itchiag aflor 
wa»hing. Two powders were given, one of the 6th and the other Üie 
3rd dil. of K. bich., to be taken in anccesaion, eaoh in fonrteen dosea, 
one night_ and moming. The enipüon was entírely removed before 
tbe medicine was finiahed. 

Cabe 89th.— R. B., a gírt, aged 5, had for some length of time 
an emption of pnatolca on the acalp and the lianda, whkdi had im- 
proved veiy mnch nnder Snlphnr given for a fortui^t. Then aa 
emption oovered with dark, thick yellow croáis broke ont roond tbe 
lipa. K. bich. 3 ter. die removed that and all tbe remaining t^mptoma 
in a fortnight. 



hia present one three yeara ago, i 

When seen he had been affbctol fbr abont two montha with k ^ 

tion on varions parta of tbe body, conaiating of detaobed pnatnlea trom 
the site of a pea to that of a aixpence, which ñll wiüi matter and Üieu 
heoome covered with a brown acab, Bnrronnded with an inflamed base. 
K. bich. 6 ter. die removed it ín three weeka. 

I the remedy in a case of 
Case d2nd. — Alao a case of aecondary aypbilitio emption on tlie &ce 



wu CDTBd hj the 6th, Srd uid Ist díL It consisted of thick brown 
•caba, nnder which jdlaw nutter wm formad, and waa attended with 
mnch ilching ; it waa Hitasted od the fiuse, eitending from ths loot oí 
the noM to toe cheek uid apper lip. 

CuB QSrd. — I hBTB lued it in a cau of lona aa the aols remedy, and 
the caae did Teiy weU, bnt aa the diuaae oflea Tvnt a ahort conree 
with or withoat treatmeat no dedoctíoD can be diawn Erom a tüngle 



Cam 94th. — It waa also anooewñd in the Snd trítnration in ñnioTiiig; 
•n STuptisn of painfnl small b<^B on ths bach of Üie be«d, of a man 
aged 40. The dlEeaw had laated thrae montha. 

C*M 96th.—ñailiar Fiuluhr Enaitüm.~A man, aged 46, had had 
for Heven yoara an eroption all otbt the body of the foUowinK deacrip- 
tioD : Fiítl a small lump comes on in the skin, then it inoBnieB aod 
getg red ; then diacharg^B a bluodj fluid, and leavea a amall, deprexaed, 
nlceratdre snrfaco with an inflamed base, whioh hoala and bréaka out 
ag»ÍD. WhereTec the discbarge touches it cauBes a freíb apot. It 
itohea Tiotently at ni^bt. Oenentl bealth good. K. b. 3, IS, 2, S, of 
eaob a ponder to be diBBolved, aiid taken for a week. In a montb he 
raported be bad more discharge and more epata, bnt aomewbat difie- 



reported hinuielf well. Be 

then still freo £n>m anj retam. We did not aacertiún whetber he had 

hadaypbiüs. 



CáU 96th. — i^>rnj)o.— A bo^, arad 2, bad for fonr montbt 

' -malí vellow round pnatuJes, with a rather depraí 

t<^tber and oozing yellow matter ; he bad aleo ecrofuloiu 



o of Bmall vellow round pnatuJes, with a rather depraimed 
ninning t<^tber and oozing yellow matter ; he bad aleo Bcro 
ophtbaUnia, witb a puaCale un the comea and photopbobia. The hcad 



lUid eyea wera quite cured in two montbs with K. bicb. S and 6 
with the interposilion of BeUadamia, 6 ter. dje, for geveisl daya every 
now and then. Á. remaining moiat eniption of the ears waa lemored 
1^ Hepai. 

Dr. Wright of Birkenhead, bu communicated the following 



Ciu 9ei.-~" M. B., aeed fi montha, Bt 



aUing tliree montha and treated allopathically withont benefit. Oct. 
IBth, ISFiO. — Circmnacñbed patcbea of eniption, varjing in aize from 
üxpence to half-a^rown, cOTering neorly t^e enüre icalp, commencing 
at the aupia-orbital regions ¡ the eruption connists nf a numbor of 
minute veaiclea cioaely crowded together, and fllled with a tnuisparent 
Tiscid fluid, which buraC and form tbíck, laminated cmata, of a dirtf 
ney coloQi ; no inflammatioQ or aweUjng of the likin in the interraÍB 
between tbopatches of eruption-, muchilching; eyelids agglatinated 
together, and discharge from the inner canthuB a quantity of pumlent 
matter ; patcbea of eruption on the face, and thick cniBta aronnd the 
noatril» ; the eitemal ears mnch awoUen, red and glazed, and bebind 
the eoTB excoriated with protiise discbarge of aerouB fluid ; patches of 
eruption abont an ¡nch and a half in length, deeply flsanred, between 
the folda of the integumenta of the neok, with aero-pnralent diloharse ; 
cbild lery ñetrat, ud reata badly ; Bucka with dimcnlty from Btoffang 
of the nOBtríls ; emaciation ; bowela relazed j atoóla green and atimy. 
The Snd dilution of K. bicb. was giTeu, a doae night and moming, and 
at the same time the loüon of 1 gr. of tbe ealt to 4 oz. of water, was 
Died. Undet tbis treatment it ateadil j improred and waa well in fonr 



Cabi ^Ith.—Papular Eruption.— Utb. K., aged about 30, had for 
Bome time been delicate and aubject to perapirattons, wben thrce 
tnontha ogo a spot formed on the calf of the leg, and apread giadually 
aÜ over her. It íb düw 5th Ñor. 1S50, on tbe trqnk, and thigh, and 
back, aod, iu fact, all orer ber eiccept the face. It cansists of large 
papular elevationa, red and irregular, like measlea but more raised, 
with intenae and eicessive itching, eapeciolly at night, eo that for 
gome uightB abe has had to walk about the roúm moat of the night ; 
it ¡B a baming ilclúng— like a fiíie, aa the aaya. She haa also general 
debility; füi Bome weeka a gnawing and pain at epigastrium, and 
a sensatian of intemal ilching tbere, whioh is relleved bj taking fcmd; 
bowela open ; uriñe hot and high coloured, and at times Bcanty ; cata- 
menia regular. K bicb. lat trít gr. ij in fonrteen tableapoonhils of 
~ ' ' ^t and moniing. [She had been fire weakB nnder 



leaa and the apota paler, and Bome deaqnamation had aet in from the 

atchee. The nie£cine waa continncd in the Igt and at timea the 3rd 
□tion, and all tbe BymptomB gradoally deolined till towarda tbe end 
of Deoember, when abe waa quite welL 

Cább 9Bth. — Dr. Dudgeon hot amamMiaUed the Jbüímáu/ cate. — 
& A., aged 13 montba, waa bnnight to the West LiHidon DiBpenaary 
in 1849, for a ctuiona akin aflection. The wbole of tbe lower part of 
the body, from a little below tbe nave] in fiímt and from the top of (he 
— ' — bebind, down tba thigha and leg», waa eorered witb a smooth, 



coming on gradoally for Bome montha, and onder the use of all manner 
-if anti^iica and all tbe ordinary liomieopathia remediei for itkin affec- 



- had diaaweared, leaving only a browniah tinge of the tkin, 

whioh alao graduabj went off. 

The diBeaao communicated to the akin an appeaiaoce oí thiokeniíw 
and indnratíon, bnt the laah did not aeem to be attend^ by mnch irn- 
tation or beaL 

Tbia ohild wBi bronght to the Hahnemann Hoqiilal abont eigbtoen 
monthg after the abore-mentioned skin dÍBoaae waa remoTod as above 
detailed, witb that curiou» dixeaBe moBiuaim coHtagiattoH, which ia 
gradually going off under the use principally of íSüixn and Lyix^odium, 

The mode in which this latter diseaso íh reroored ia worth notícing. 
Tbe individual tubcrclea, or tumourt, which vory in size from a Urge 

K'n'E head to a pea, inflame, BuppnraCe, and drop off aa a scab, leaving 
uiab-red cicatricea, which gradually die away. 

Cabe 99th.~£ez«ina.— A girt, aged 10, had beca ill flve or ñi 
weeka, and bad been treated allopatbicallv the greater port of that 
time. There waa an emption coveiing both ears entirely, and a con- 
Biderable portion of the Burronnding eUn. It waa hot and itching, and 
had a conBtant ooiiug watery diacbarge. The geooral healcb was 
good. K. bicb. 3 bif die, and the lotion of K. b. (i gr. to oz). In a 
week there waa great improvomeot. The medicine waa repcated at 
interrab, not rehilar aíter tbe firat three weeks, as Hhe was so mnch 
bcttor. It waa iiot finally removed for two montha, without any other 
mediciite. 

Cabe lOOth.— In a case of herpea exedena (Inpua] of the face, this 
medicine was givon unintermptedly (i. e. witliout athcr modicinos), at 
intervals, in diflerent dilutions (from 3 to 30) fór nine montha, and Iho 
diaeaae was apparently arrexted, bnt we cannot couclode anytbing 
poeitive &om one such obaervatlon. 

Ulorbb. 
We haTe used thie medicine to a great eztent in the Liver- 
pool HomceopRthic Díapenaary, and on the wbole obtained as 
mucb BuccesH as can be hoped for from any single remedy, and 
cured Bome cnaeB as estendve as we could suppoee the cure 
attainable, wíthout the comforts of hospital accommodation, 
which ia indispensable', as is well knowu, in maay cases of 
ulcer of the lower extremities. Ws have used it at tbe same 
time extcrnally in a coneiderahle number of cases, but not by 
any means in all. Wben used externally it must be mucb 
diluted, aa even the strengtb of the lat dÚution gives ríse to 
violeat pain, as wae aleo found by Dr. Watzke of Vieima. We 
have gradually diminisbed the strengtb of the common lotion 
used at the dispenBary, and the strengtb now recommended ie 
{ grain of tbe puré salt to tbe oz. of water; tbii is about bolf 
the strengtb of the 3rd decimal dilution. It would be tedious 
to nárrate any considerable number of caaes. We may ebortly 
notice, that it aeemed most useful in those cases where there 
was mucb pain and imtation, and sereral small ulcera broke 
out eimultaneouBly, or in quick BuccesaioD ; though it was 
aleo useful in many large ulcers when there was inflammation 
about them. Among the cases we may sbortly notice one of : 



byLnOogk 



THiatAPEÜTIO TOE. 



M 



foqnent nleen in the les ; it breftka oat in uiul], iirenlki, desp 
nlcén, ninoDiided with thickaned, red celloUr tusiie. The pain a 
yiolent and twitching ; worse «t night in bed, and oflen oWig™ lilni 
to get np and «pply cold wet raes ; he ba» Borne rarícoBe Teins ; 
general bealth gwid. K. bioh. 6 Ul dJe, and lotioD. The paln waa 
telicTod añer the fint application of the WMh, and the wliole «yinptomt 
were romoved in a fbrtnight. 

Cau lOlnd. — In anotfaer caM of a fénule, a large nlcer with a lloniih 
m the oeotre and haid ahining knobbr enTiron», was tieated with 
K. b. 6 bis die, aod jreaat pcdlieea. Wtien oinoli better uid half 
fiUed ap, the lotíon was sireD, bat haiÍDg been of too great strength 
Mid kept too long to the Bound skin by miatake, brought ont its 
ohaiacteristic piutnlar raah, ending in pamfnl Bnperñcial nlceratiaoR, 
while the original nlcer was nearty healed. Simple otntment wae 
nsfd, and Snqihiir, followed by AiBenicmn iutemall;, removed all the 



CuE lOSrd. — A woQuui, aged 28, had had a similar nloention lome 
jout before which had laated a rear. On the 16tli May aho had 

oomplained for five weeka of a violent buming heat nnind tiu ankle 
and heel, deep Beated, and faindering aleep ; there are three emall, 
inegolar, ahallow ulcera ; costÍTe bowels ; flattering at the heart ; 
otherwiee well. K. bich. 12, bis die, relieved her moch in ten 
days, bnt while taking it the bnming bagan to come back again ; 
K. bich. 6 tña die was Ihen givim, aod alio the lotíon, and in a 
Ibrtnight more Bhe was onred. 

[Thíe case apparently shews that the higher dilution had 
exhauated ite power, and tbe disease was agaiu making head 
till checked bj the lower potency.] 



palnñil; onder Arsenic 3, and then Bnlphnr S, the health impro 
■nd also for a time the nlcer, and then tha latter bacama stationary, 
or eren worae. K. bicb. 6 ter. die, and the lotion were then ^ven, 
and it spaedily improved, and in abont a month wu qoite cicatcized, 
bnt a small inBamod nlcerated spot had formed in the skin at the aide 
of the «Id olcer ; tbere were some catarrhal and gaatrio symptomB, for 
whicb Pniaatilla was giyer *""" * f^^^-^i^i** - *i*™, *k» i,**i-> ^i»^. 
remaining the aame, K! bü 
efféct of remoring it quite. 

CuE lOSth. üker ttfier imiiSt. — A yoang man, aged 22, bad had 
qrpbilistwoyearabefore, and rara year onthe25thMarohhad8iiffered 

fañu a nnmber of small ¡rregolar lUcers on one leg, wbich kave a 



„ K. bich. 3 bis die. On the 4th AprU 
ue was mnch better. Tha same medicine was continaed and in a 
fortníght he was quite well, and bad remained so at the eud of May 
whea laat leen. 

Amoi^ the diseasee of the general syetem we m&j meation 
SAnitnaíúm. — Of its utility in this, various eiamples wiU he 
found under the indÍTÍdual argans: it seems more suitable to 
the chronic form, unaccompaDied with much Bweliing. Whether 
it nMj be useful in rbeumatic fever is doubtful, except as an 
iatercurrent medicine, for idiopatbic fever seems not to lie 
vithin its flphere of action. 

In Oouí we should expect it to prove a useñil remedy : we 
have the extiemely acute pain in the small joiots, and also the 
rapidlj flying of the paios from one limb Ui another, and also 
a variety of tbe disordered conditions of íbe digestÍTe óigaos 
which accompany that disease. Ezpenence has to a certain 
eitent confirmed thie hope, and I haré used it with good effecC 
afler other homcBopathic remedies in sevend cases of gout, and 
also in the interral to ward off the disposition to the disease ; 
— in one well marked case of a gentleman who has been a 
martyr to the disease for many jears, and in whom the attacks 
were become more frequent and severe : since comíng under 
treatment he has auffered much fewer attacks, and ihose milder 
and ehorter. I attrifaute a great part of this improrement to 
several counes of K. bich. in different ditutions, given at the 
end of each attack, which had been, it is true, tieated with 



homceopathic remedien. I would rectHimiend the tcial of it in 
this manner. Perhaps as a preventive the oxyde of Chrotuimn 
would be more suitable, given in tañturation ereiy two ot three 
days for sereral weeks, and then omitted for a time. 

Fever. — Idíopathic fever seems not to be within tbe range 
of the action of the medicine as far as the provings ge ; tboi^i 
sympathetic inñammatory fever of great intensity accompanied 
Bome of the local diseased states. NcTerthelees, we know how 
difficult it ú to obtain in the provings a complete case of 
intennittent fever, and it is quite possible that among tb« 
symptoms given may be included some of the elementoiy 
symptoms of intermittent fever, as the onalogy of the general 
action of tbe medicine with Arsenic, and some intermittence 
among the symptoms, would lead us to suppose. Clinical 
observation must decide that poínt, 

Syphilú. — Tbe resemblauce iu mauy respects between the 
action of this medicine and that of the syphilitic virus, and also 
ite analogy to Mercury, would lead us to hope that we may find 
in it anoüier remedy for that disease. Though we would not 
place any weight on such a merely superficial resemblance, jet 
we cannot reihdn from noticing the likeness that the chrome 
tilcer when healed presente to Üie indurated chancre. A more 
correct way of judging of the resemblance is Lq the ííullier 
development of the constitutional symptoms. Ws have in 
this remedy the rash on the skin ; then the eore throat, whicb 
has been mistaken for syphilitic ; then the periosteal paine ; 
then Uie rheumatism; and lastly, the diseases of the skin, 
chiefly of the pustular character, which have the hard dark 
Hcab, and leave the depressed cicatriz. These circumstances 
lead UB to hope ibr much success in secondary syphilitic aod 
mercurio- syphilitic diseases, and the cases above narrated tend 
to conflrm this ezpectation. Whether it will be usefiíl in 
pñmary syphilis I am not able to say. It seems pretty weQ 
established among bomiEOpBthic practitioners now, that the 
lower dilutions are most suitable in syphilitic cases, and many of 
our body hardly diluta Kali hydriod. at all. If therefbre the 
Chrome sboulfl prove a usefiíl medicine in these cases, pro- 
bably the neutral Chromate may be hest, as acting leas power- 
futly on the stomacb : though this preparatioo has not been 
specially preved, yet it may be recommended on the same 
principie that we adopt several different preparations of Mer- 
cury ex tuu tn morüs, in different varieties of syphilitic cases. 
Dr. Russell writes, " I have seen unequivocal heoefit deríved 
from it in cases of secondary syphilis where the symptoms 
were mild and the disease affected the throat chiefly, without 
going the lengtb of extensive ulceraüon. I ahould place it 
uezt to Nitríc acid in this affection." 

General oachexia. — Thou^ we have no evidence of tíie 
primary action of this medicine in causing a disordered condi. 
tion of the blood, yet we may expect to flnd it usefiíl where 
such a condition has easued in coneequence of long.staoding 
disease of the liver and other important oigans of tbe digestivo 
system. 

Dropty. — We have likewise no evidence of any primary 
tendency of this medicine to produce the dropsical state, yet 
firom its action on the kidneys we may expect it to prove a 
help in the early stage of some renal diseases which when 
flirther advanced produce consecutive dropsy. 

^emouí system. — Except in neuralgia of some individual 
hranches of the nerves, we do not expect much utility of this 
medicine in disease of the cerebro^inal system, ñor in mental 
disorders. In Delirium tremen» however, from its analogy to 
Tarlar emetic, and from its probable primary depreseing in- 
fluence on the ganglionic nerres, it may perb^ piove a 



tizedbyLíOOgle 



Aüopathie utt. — Tfae foQowing íb the smn of what has been 
collected by. Anieth and inyaelf on tbis head. Dr. Cumin, of 
Glasgow, wrítes (in the £d. Med. and Surg. Joam., Oct. 1827, 
p. 295), " I beg&n to prescribe a saturated eolution of tbe Bich- 
romate as an appUcatioii to tubercular elevations, ezcrescencei 
and warts. In theae cásea tbe new growth has someümes 
been removed by absorption wíthout any slough, but where a 
elough has fbrmed it has alnays served to basten the cure, and 
ín no instance have I obeerved it to be foUowed by a deep or 
tmmanageable ulceration. In a case of warts more exteosive 
and fornúdable than any I had before met with or sean deli- 
neated, which I treated la«t winter, tbe Bicbromate in Bolution 
was the only remedy which acted effectually, without causing 
Buch iotolerable pain aa to preclude the contínuance of its 
application. 

According to Hauche {Rieett. iV. Arzntimitlel., § 427, 
quoted by Arneth) this medicine ia useful in removing syphi- 
litíc excrescences without ulceration or the formation of an 
eschar. It is aaíd also to have hastened tbe cicatriz ation of 
ulcera, and to have beeo useful in ecrofuloua sores and cáncer 
of the uterus. 

Jacobson reporta good effects from the use of the neutral 
Chromate in oíd and callous ulcera, in herpes and tinea, and in 
some inflammaüons and ophthalmias. Also maculte are re- 
moved by it. He holds tíie neutral aalt to be a far more 
certain medídne than tbe acid salt. In ulcera he uses a 
eolution of one dracbín of tbe neutral chromate m 10 oz. of 
water, witb which be pencila over the ulcer or the herpes 
every second or third day. On the ulcer, afler a few applica- 
tions, tbere shews itaelf a sligbt soft crust, after which good 
granulaüons loake their appearance. A herpes diaappears, 
according to him, without any marked aymptoma, or tbere 
appears a slígbt scaly efflorescence, afler which the herpes 
disappears. 

Jacobson also reporta that he has found it useful ss a corro- 
8ive in fungosities, ezcrescencea and nnvi, Ín btrpetic erup- 
tions, impuro and callous ulcera, and aa a discutient in zona 
aod puatulouB ophthalmias. He wiahes it should be tried in 



ophthalmia neonatormn and O. Egyptica. Ab regarás the 
internal exhibition of it, he would often prefer it to Tartar 
emetic as an emetic in doBes of 2 to 4 grains, because it does 
not act so powerfuUy on the intestinal canal. He recommends 
it also to he uaed as a nauseant and alterative, as the constitu- 
tion can bear the use of it for Heveral weeks in the dose of 
a quarter to a half-grain four times a day. He concludea 
witb the remark, " It might be administered in diaeases in 
wbich Aotimony, Zinc, Bismuth, Copper, &c., are used, and 
tberefore may be tned in croup, as well as in cholera." 
{GerMon'a and Juliu»'» Magazine, zxv, quoted by Ametb.) 

Use a» a eauííic. — Dr. H. Madden has uaed tbe Bicbromate 
Hs a cauBtic in ulceration of tbe neck of tbe uterus. He 
painted the ulcer witb a saturated Bolutioii, but he does not 
think it waa very useful. Perhaps on further trial it may be 
found more suitable for some forms of diaease than othera, and 
other modea of applying it may be invented. 

Prtparatwn and dose. — Ab tbia fialt acta upon alcohol, the 
dilutiouB below the 2nd centesimal must be prepared with 
distüled water or in trituretion with milk Bugar. The third 
dilution and all above may be prepared with the ordinaiy 
rectified spirits. 

For extemal use a lotton may be prepared in the proportion 
of 1 gr. of tbe puré salt to 4 oz. of water. It may also be 
ueed as an ointmeut in the Ist or 2nd trituration. For tbe 
sake of uniformity I have bitberto used only the bicbromate 
esternally aa well as intemally, but it is poseible the neutral 
chromate may be found more convenient and of aufficienüy 
similar actiou. 

In the foregoing caaes it will be Been that it has been ueed 
in various dilutions, from the Ist to the 30th. 

AnalogoiÁt Medicine». — The chief medicines whose general 
action íb eimilar to that of the bicbromate are : Arseoic, Mer- 
curius corrosivus, Tartar emetic, Pulsatilla, and Aunun. 

Antidotes. — There is no antidote to the general action of 
tbis substance known. Nux and FboBpborua preved curative 
in the dyspeptic and broncbial symptoma narrated at No. 160. 
Tbe best antidotes for individual symptoms are doubtlese indi- 
cated by the concordanca. 



APPENDIX. 



Q Dt. Arneth'B treatise, I have 

incorporated in tha foregoing proving the iuformatíon obtained per- 
sonolly in Tisitin^ the chrome worka of Haocheater sgain lait year, 
and aJBO that kmdly commonicated by Dr. Walker of Mancbeeter, 
and Dr. Beilby, of Glasgow. At Mr. Dentith's works in Manchester 
we wero again receiyed with great courteey, and overy íacility afforded 
of mahing obeervations. But in anotber mannfactory in Mancheater 
we were complelely bafSod ia ooi attemptg to obtaia information, 
apparentlj from eome miataken notion bb to our objeot in makine the 
enquiríes. Amone tbe caMB we eaw wcre many conñrmatoiy oí tbe 
general remarka fonnerlv made, and which it waa annecessarj to 
notice in detaiL The additional examplos we selected weie almoBt all 
from men expüsed to tbe dnst of the pnre ult. The moat of these 
lequire no remark beyond what is ooclained in the proving, bat oqo il 
paiticalarly interaatiDg, viz., the Babiect of tha BymptómB doBoribed at 
13a. ThiawBB W. C, a fair hairod Blender youth, then nnder 17 years 
of age. He waa exposad to the dust in packing the salt. la COQ- 
Bequance of some doubt as to whether he had had BypbiÜB or meroary, 
I did not inclnde hia case in the proving till the aheeta were paaaing 
throngh the presB, wben I received firom Dr. Walker the reanlta <J 
enquiñes carefuUy instituted l>y him. It sppeare the infectiNi was 
pt\niáíifivH tn he venereal by the lurgeon who flrst aaw him, and who 



conaidered b 



only preacribed once for him, and be then wcnt tú the Inflrmary, wbero 
it was called and treated as rbeomalic, and no mercory was given aa 
6a as can now be ascertained ; at any rata there was no qnantity 

g'ven sofficient to afiéct the gums. Dr. Walker is quite satiañed that 
e evidence he obtained ia sofficient for the conclusión that ucítber 
sypbitÍB nor mercuiy had any part in the case, and I have tberefore 
admitted it, and it forma a most interesting case, as tbere are fbw 
medicinal anbatanoea in which the pathogenetic phenomena of that 
naturo are ao diatinct. 

Dr. W^er has alao montíoned a few detuls of tha case of a well 
known modeller in wax in Mancheater. The wax is ciJonred vHth 
variouB metalltc poieona, among whioh chromate oT lead íb snpposed lo 
be in conaiderabte proportion. Among otber symptonuí the patient has 
had for a long time an obetinate olceratioD of the throat, which waa 
ohserved bv Dr. Walker to be ínvaiiably aggrarated in a dÍBIressing 
manner if K. bich. was given madieinally, Iw^re ths tme natore of tbe 
ailment was Buspected. 

From Qlasgow De. Beilby has kiudly reported aoven cases seen by 
him at Hr. White'B worka. Among Uiem ha narratos tbe caae of a 
gentleman wbo waa at one time manager of the norks at St. Rolloz. 
At that time he bad pajuñü awellin^ <^ the glands andar the armpit, 
.-j 1 t_ •u. L— j.. ._fl fj^ ^„j absoeBB of the 



1 Bovere ulcere iñ the hatids; inflammation a 



yLlOOgk 



THERAPEUTIC USE. 



OTols ; and eicbíess and gvner&I mslaiiie. N<nr when he oocasionAll^ 
TÍñU the works he cannot paas thnmgb them dnriug the boiling 
apersdons nithout gnSeiing fniin the nponr, which omuhm! inflamins- 
tuD of the irppeí eyclids and postules on the huido. The irorkmeo, 
nj« Dt. Beilby, on the wbole BnfTer oompantÍTelj little after having 
been sotne time at the works, partir bocaoM they loM the siuceptibility 
to samo of the eSoctB, and piirtlf because they are more carefoL Hr. 
Wbite haB remarked that now the men are mnch more oareñil thsn 
fórmeilj. I haTe also remarked that the men seemed much mon 
cemfol than at my ñiet viait to tfae Hanchester warka, and I oonld 
Dwet with fewer strikmg cases. 

I maj here qoote in Inill that interestiiig case of poiaoning wlúch 
finms paragraph 96. 

Eitraot from Mi. Alired B. Taylor's Cásea and ObservatioDB in 
Uedical Jnrisprndence, Oaj's Hospital Beports. Tol. tü, part I, 
p^214 



" Cate Q^ ptñtoning hg the Biehrtmiate (^ Patúák — reeoeery afterjour 
wuntii. — Instanoes of poiaoning by the Bichromate of potash are so 
anoMial, that the deCuls of anj wéll obserred case mnst be alfraja 
BcceptaÚe to toiicologísts. The foIlovrÍDg occorred in the practice oí 
Mr. £. Bishop, of KirkstalL 

On Mondaj, the 1 1 th October, 1S4T, Mr. Bishop WM hMtíly smn- 
moDed, abont 8 o'clock in Üie momiog, to attend tbe son of C. B., a 
dyer, wbo w«s t*id to have swallowed poison with the intention of 
destroyiiiK Ufe. Half an hooi after the yotitb had takcD the poison he 
WSB found labonrinK nnder the following symptomH : face exceedingly 
palé, cadaTerons, and corered with cold perapiratíon ; the pnpils dilatad 



; pnlse exceedlngl^ leeble; cnunp in the calTes of the lepi ; 
tt total insenailmity ¡ oocasionsl Tomiting, attetided with 
violent epigastrio pain. 



sod almos 



Mr. Biahüp iras informed by the yonng num's lather as to the cha- 
racter of the poison, and he found that Tomíting had taken place vety 
sooa aiter the snbstanoe had been swallowed ; the vomitad matter at 
first consiBÜng of the moniinj¡'a meal (which had been taken recently) 
miied with the poison, bnt afierwards nothing carne np but Óiin glairy 
fluid, of a pinfcuh colaor, Half a drachm of Snlphate of aino waa 
iminediately admínistered with some warm milk which wai at hand. 
This was speedily ejected, tinged of a. pinkiah hae and having a Tery 
Eoor smelL Ohve oíl and white of eggs were given with copioua 
draughta of waim water. Alt the ejected matters were colonred, eren 
after the administration of the magnesia, henee the sComacb-pump was 
osed untü the washings of the gtomach hecame colomless. llie patient 
now complainod of a (laniing pain at the pit of the stomsch, and of a 
seiiBe of heat and diyness in the throat, accompanied with excesslTe 
thimt ; Tomiting and straining still occnrred at interrals ; he was 
sllowed occasional dranghts of^milk and water : in abont two honra 
and a half the Tomiting had sabsided, and he began to assnme his 
natnra] look ; tbe temperatare of tbe skln rose i and with the exoeption 
of slight epigastrio pain and dryness in the fances he soemcd compara- 
tirely comfortable ; the pulse was 100, and ratlicr fnll ; the pupila 
responded to light The patient waa calm and can give a mínate 
icconnt of tbe occnrrenoes of tbe nioming. 8 o'clock, p. k., twelve 
hoors after the poison had been swallowed ; Tery sarere gastro>intes- 
tinat inflammaDon has set in, accompanied with serere cramp in varions 
parts of tbe body, partícnlarly t^e úilTes of the legs and inner parta of 
the thighs ; the skin was hot and dry ¡ cheeks flusbed ; coontenance 
mdicative of anjdety ; there was pain m the head; polse 120, hard and 
ñill ; lespiíation lapid ; epígastrinm and abdomen very painfol, not 
beacinK ue slightest pressnre ; there was constant straimng and retch- 
ing ; he wasbled; and oalomel and optmn with other remedies were 
admínistered. October 1 3 th, 6 o'clock, ^ h. — BlDodbafTodandcnpped; 
vomiting had ceased ; the counlcnonce was not so anxiona ; the pain 
had abated ; the skin was dry and hot; longue dry and corered with 
a daik brown fiír; pnlae 100, full and jerking ; the pain was stitl Tery 
mnch íncreaaed on preBsnre, over the wbole abdomen ; patieiit com- 
plaiiied bitterly of the tasto of 'the chromate in the fances;' the 
respiración was calm; the bowels had not acted; the cramp had 
aaosidcd. Leeches were applied to the abdomen. IS o'clock. — 
SyinptomB snbeiding. S o'clock, p. H.—the patient was still going on 
favonrabiy ; the bowels bad acted once. 

On the Í4th at 4 o'clock, a. m., Mr. Bishop was sent foi to eee the 

Kient, wbo was reported "dying;" he found him exceedingly ill. 
e skin was cold and cUmmy; faca pate; eyes sunk ; feetand banda 



cold ; pulse soarcely perceptíble ; abdomen swoUen and tender. Abont 
two hours previouslr liolont pnrging had commenced, and had been 
almost incessant; the bowels were oTacuated as he lay in bed— the 
evacuation consisted of mucos and blood. Ordered bottleí filled with 
hot water to be applied to the feet, hands and thighs, and gave hot 
brandy and water ; in two hours time the pulse rose and the bowels 
were qoieter. A Blarch enema with Tinctnre of Opimn was admí- 
nistered. 13 o'olock. — Enema retained two, hours ; bronght away a 
little feculenC matter, dnged with blood; palee 120; great Uiirst ; nce 
not 80 paje as in the moming ; abdomen tender and swollen ; freqneut 
twitcbes in the miucleB of the calves of the legs. An opiato sappoBLtory 
was intiodnced within the anus, and hot bran ponltices were applied 
to the abdomen. 8 o'clock. — The atrainiag and pu^ing have neariy 
ceased; the skin waa hot; pulse 100 and firmer; thirst exeesaive; 
abdomen not so Urge bnt painñil on pressnre. IStfa.'-Pturging had 
again retumed, but not so violent as befbre ; stools oontained feonlent 
matter; teuesmas not severe ; skin cool ; thirst abated; abdomen 
verj tender in the re^on of the ñgmoid flezure; distensión slight 
16tb. — The symptoms were subaidingj the pain was relieved; the 
bowels had actedT once and the evacnation was aatoraL Deo. líth. — 
Convalescence had been exceedingly alow ; nlceration of the bowels 
having set in, and with difficalty l»en snbdued 1^ means of Nitrate of 
ñlver and Opinm, and sncoessive blisters on tbe abdomen. There was 
considerable emaciation with urgent dyspepüa. February 14th, 1848. 
—Had no pain in the ejúgastriiun ; appetile and digesüon good ; bowdj 
habitually costivo. To have chango of air and regular exercise." 

Remarle })y Mr. Biihop. — " The cases of poisoning by this snbstauea, 
which is now commonly used in the arts, are rare ; no antidote is 
pdnted out in toxioologicol works. Bnt the first object is evidentlj to 
get rid of the poison ; second, to decompoee what cannot be thua got 
lid of. The first object is to be efiected by emetics and the stcmaoh- 
piunp : I ahoold he Inclined to lely most on the latter. The second, 
perlúps, will be best eSected by the alkaline eartha, althougb I ^uld 
lather suspeot tbe aotivity of chromate of lime. Ais near as I can as- 
certain this young man swallowed too ouncei of the salt ; he took aa 
mnch as a bándful ont of Che tab, and dissolved it in waim watei; and 
M intent was be on destroying life, that, while dissolving It, be chewed 
several amall crysCals. Tomiting occnrred in abont ñve minutes after 
he swallowed the solutiou. From Üie violenco of the symptoms it 
seems probable that a (ar less quantíty than what was swallowed 
wonld destroy life, but it mnst be borne in mind that bieakfast had 
jnst been taken — a large mess of pottage, with which the poison had 
become mixed and afterwarda eitpetled. Had so laige a quantity come 
in contact with the walls of an empty stomaob, I thjnk there can 
be little doubt that death wonld have enaued speedUy from the shock 
to Ule nervons system before there coold bave been time for inflanuna- 
tory symptoms to have coma on." 



Bemoric» by Mr, Tayior. — 



i only add to these remarks that 



the case was uudar treatment ftom October Uth to Fehraary 14th— 
a period oC /out montAi. In the latter stan the nrgent symptoms 
were nndoubtedly dae to the local action of uie poison on the mncous 
membiane of the atomach and bowels. In the only two cases of 
poisoning with the Bichromato of Potash with which I have yot met, 
One proved fatal in twelve hoore and the other in ñve hoors. In the 
ñrst there had been neither Tomiting ñor diarrhcea; and intheseoond, 
Tomiting only. The vomited matters, as in Mr. Bishop's case, con- 
sisted of mocns mixed with blood. The case here leported, and which 
is now for the firvt time pabliehed, is, I believe, the only instance of 
the chronic etfects prodnced by this poison hitherto recorded. It 
cleu^y prevea that. as in poisoning hy the strong mineral acids, 
a practitioner may have formidable aíter-eflécts to eocounter^hence 
he should be guardad in bis prognosis. 

With respect to the treatment of the aóote stage of poisoning, the 
removal of tbe salt from the alimentarr canal by emetics or the free 
use of tha stomach-pump is the principal oliject. A miitare of Carbo- 
nate of Magnesia or of Lime in linseed tea might be exhiÜted with 
beneSt. Brown sngar dissolved in water at 102" tends to decompose 
tbe chromic acid, and to reduce it to the less initating etate of Oxide 
of Chrominm. Chemical antidotas can, however, be of little avail 
unlesa adminiatered within a fow minotos after the poison has been 
swallowed." 



yV^oogle 



PBOVING OF THE OXIDE OF CHROMIUM, BY DR. DRTSDALE. 



On the 24th of NoTember (1842) began to take one gnin 
ofthe Ist decimal bituratioQ ('/utli gt.) three times a day. 

On the 25th. — DuU pain at inuer aogle of left eci^ula, in 
the erening. 

26th. — In the moniÍDg, traasitory undefined pains in the 
elbovrs. 

27th. — After breakfaat aad dinner a fetid, musty emell in 
the posterior nares, chiefly perceived in expiration. In the 
fbrenoon dull confusión in the head. In the evening pñcking 
in the ekio in various parta ; Bmarting in the eyelida. 

28th. — Fot several days a dull, bniiaed, btigued feeling in 
the lega, especially abore the knees, with aome poin od firm 
presaure. Tranaitory paina in vañous parta. FeeUng of dry- 
neaa and uneagineea in the right eye and ríght noBtril. 

29th. — Bad taate in the moming. Fulneu and alight ahoot- 
ing paiiu about the anue in the morning and forenoon. Itching 
and irritation of the akin round the ey ee and cheekbonea io the 
erening. 

30th. — In the moniing he had a dream, with pain under 
the apez of the heart, and awoke iriüi that pain. Sudden 
inclination to vomit in the morning wbile dreaaing, with flow 
of water in the mouth and dull pressure in the Btomach. 
Unusual bunger in the middie of the day. 

Dec. lat. — Metallic taate in the mouth before dinner. Prick- 
ing in the tongue. Itching and smarting round the eyea, 
eapeúaUy the inner cantfai. Deep eeated púa again in the 
back of the leít side of the cheet and the coireaponding place 
in the front, with a feeling on deep inapiration aa if the root of 
the lung could not ezpand and was painñil. Itching in the 
feet, toes and varioua parta, in the evening. Buming and 
itching in the toe« like chillblaina (to whicb he ia not aubject). 

2nd. — ^Vivid dreame. He awoke early with paina suddenly 
ahifling to various parta of the trunk ; dull pain at one time at 
the inferior anglea of the acapulee, then preBsive in the right 
hypochondrium, at the edge of the falae riba, then in the región 
bf the bladder ; pain dull preeaive over the right fye. The 
Bymptoma seem b> be generally moet in the morning. 

Frequent paaeing of flatua foi aeveral daya. Frequent 
aching and shooting paina at the epigaatrium. Fulneaa about 
the rectum, and difflcult evacuation of a eoft scantj atool. 
Faina in the knee. 3rd December. — The aame pain about 
left Bcapula, in the morning; pinching pain in epiga^tnum. 
A aoTt of Budden jerk of both eyehalla for a aecond. 

4th. — In the night a Bevera boring pain in the left side of 
the chest below the asUla, about the 4th rib, not increased by 
moüon or reapiratkm, going off on tumíng to the right aide. 
Paina in the knee. Itching and drawiog ptúns in the baila of 
the feet, at the root of the toea, painiul on treading on the 
ground. 

dtb. — In the evening m bed, pain ín the región of the heait, 
a fine-drawing nerrous pain, at timefl reaching through the 



chest to the ahoulder and neck ; on lyii^ cm the heart, a Bort 
of clucking painful sensation on deep inapiration. In the eve- 
ning violent diaagreeable pain like flatulence carne on in the 
right side from lumbar región round to the ccecum, brought 
on by any movement of the trunk or by deep inapiration — not 
felt in aetting or lying still. 

Gth. — Tbis moming in bed the aame pun (in loina, and right 
aide) atill felt very troublesome — rather better on getting up, 
7th. — Still the pain in the loin ; it seems to ariae in a apot 
whicb is tender to presaure, about an incb to the right of the 
middie lumber apiñe. Rheumatic pains about the right shoulder 
and various parta of the back. The flatulence and rumbling 
in the abdomen have continued troublesome for aeveral days ; 
and also almoat daily pricking in the tongue at various times. 

7th. — Superficial bunung paina about the middie dorsal 
apiñes ; sudden jerking pains in the left ear ; cold feeling in a 
small spot in the meatus of the leñ ear. In bed a severe 
quivering boring deep-seated pain in the inner side of the 
Úiighs, chiefly the left. 

8th. — The pain in the lotns continúes. Occasionally indis- 
tinct pains Uke a etnin about the feet and anldea. Shooting 
drawing pains about the baila of the feet Shooting pains in 
the left temple. 9th. — Still the lumbar pain, most felt in the 
moming in bed. Itching in the palm of the right hand in the 
moming. Pricking in the tongue. Several aharp cutüng paina 
acrofls the left eyeball at night in bed ; smailing and heavi- 
nesa in the eyulids in the evening. lOÜi. — The lumbar pain 
gone. The aame symptoma in the tongue and eyes continué. 
12th. — Yeaterday moming and this moming beavy rauaculai 
paina in the neck and shouldera, and various paita of the 
trunk ; soon went off and only alightly felt in the back during 
the day. ISth. — Drawing puns in the left ecapula occa- 
sionally throughout the day, but most in the moming. Sharp 
drawing pains in the boues and ligamenta of the right foot. 
14th. — The dose waa now changed to one grain of the firat 
centeñmal trituration (y,n,tb), four times a day. In the mor- 
ning uneasineSB, stiffneaa and dull pain in the mueclea. Chiefly 
in the shoulder blades and back of the neck, also betwecn 
shoulders and in the hipa, Coming occaaion^y during the 
day till the evening. 16th. — Cutting pain acrosa the left 
eyeball, with flow of tean in the moming in bed. Pricking 
itching in various parts. 16tb. — Pains in the left scapula. 
Quivering of the lower lip. After tea a sudden and preseing 
deaire to stool, with acanty, thin, lumpy evacuation. 17th. — 
The fixed pressive pain at apeí of the heart aa before. Flatu- 
lence. Itching in the arm-pits at night. Frequent dull 
deep-seated pains in the banda and flngers. Pains io the 
back aa before. Finíshed the proving. 

For some days the pajna in the back conllnued, and then 
gradually all aymptoms disappeared. 



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ACONITUM NAPELLUS/ 

ABBANGED BY R. E. DÜDGEON, M.D. 



Stnontmb. — ^Aconitum cteruleum, Tora, Tura, Ttora, 
Taura {Dodonaus, Stirp. Hist. Pempt. iii, lib. iv, c. 12, 
p. 488, Antwerp 1583). Superbia {Qesner, Hist. Ani- 
mal, de Lupo). Lupi radix, Luparia (Bauhtnus, Híst 
Plant.) In Englisli: WoIí'b bane, Monk's hood, Helmet 
flower. In French : Napel, Aconít, Tueloup, Cappe or 



* The deriTatíon of the word Aoonitnm or imvtTov íb Inrolved in 
■orne degiM of iinoert*inty. Aocording bi TbeophrastiiB, Nicander, 
and Bome othen, it ú derirad from 'Aióvaí, a, place near Hen- 
dea, whera HeteiÜM descended to the iufenal regiona, and where ti» 
plant aboonded, prodaoed, aa Orld saya, 1^ Ote fbam «oattered «bont 
by tile dog Cerberaa when bnaght ap ou earth. " Acone, portno ert 
BitliTiiiae, qnl pro Tentn malonim gramínom, naque adeo oelebña eat, 
ut uozlam betbam aeomta illinc aomiuemna." — Iñdonu, Origin. tíb. 
XTO, cap. 9. Othen derive it from á^t^ a stone, or properl; a whet 
«bme, oithn became the plant affects stonj h)Calit¡ea, 
" Qnae qnia naaoimter dnni vivada cante 
Agrestea aamüa vocant." — Oviiíi Mktamorph. 
or becanse it was foimd chiefly bewde that kind of stone nsed fbr 
duipening toóla. 

It íb abo said to be derivad bom i privitive and covic dnat, likewiM 
ín allnaion to íta growing amongst locka wbeie there ia bnt little acSL 
And HJl. Deoaudolle and Encontré in their Xaaoira «w tAanút A$ 
Asaen*, anppoaing it lo be derived from theae wordB, think tbat it m&j 
be in alhuion lo ils i^id and míe mode of kUling, as a victor in the 
Olympic ganiM waB aaid to gain an easy victoiy and to shew hia 
power when he conqnered hia adrenaiy without oovering hinuelf wilh 
doBt 

"..Oiiapea 
Col Bit oonditáo dnlds tmtpulvere palma." 

£br. lib. í, ep. 1. 
Uany poiaonona planta were oonibonded bf the anoíent wrftera 
midei tbe comnton ñame of acanitnm; and by eome writerB the plant 
Duder oonaidaration wae evidentlj not nndentood by that ñame. Thoa 
VltgO alloding to Italj bbji: 

" At lalúdK tigrea ahsnnt et cesva leoDTUU 
Semina, nsc míaeroi fallmit aemúta lagentea." 
The ñame napeünM is derived from napvt a tnrnip, ita root having 



Capuce de moine, .Char de Venus. In Italían : Napello. 
In Germán : Sturmhut, Eisenhut, Sonnenbut, Monchs- 
kappe, blaue Wollswurzel. In Flemisb : Wolftvortde, 
Motrinex-cappen. In Swedish : Stonntatt. 

It belongs to the natural order of Bannnculacen, 
Juss. ; to the Polyandria polygynía of linmeus's clasai- 
fication. 

It is supposed by Bnrgius that the experiments of 
Stork which Hahnemann has incorporated in his schema 
were made with the Acón, canunarum, as that is the 
most &equent in the neighbourhood of Víenna, but 
Endlicher contends they were made with the Acón, 
napellus. There does not however seem to be much if 
any difference between the medicinal properties of the 
two Bpecies. 

Thís plant is occasionally met with inld in some parts 
of England, but ita chief localitieB are the mountainous 
districts of Switzerland, the Tyrol, BaTaria, and Sweden. 

The. parts used in Homoeopathy are the flowers, 
leaves, and roots, and the best time for coDecting the 
fresh plant, &om which the tincture should be prepared, 
is in the flowering time in July and August. 

A beautiíul figure of the flowering stem and leaves 
will be found ín Dr. Hamilton's Flora Homeeopathica, 

The following arrangement of the symptoms of Aco- 
nite indudes those detailed by Hahnemann in the Ist 
VoL of the Puré Materia Medica, those giren ín the 
Ist VoL of the Austrian Journal, and some from other 
Bources aa indicatcd below. Hahnemann having given 
no particulars as to the charactera of the individuáis who 
proTed the dnig under his snperintendence, I have 
not of course been able to rearrange the symptoms 
that rest on hia authority in their natural order, 
so have arranged them jost as they occur in his 



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ACONITUM NAPELLUS. 



schema. As ho-wever many of the Bymptoms recorded 
in Hahnemann's Bchema are ukcii from other eources, I 
llave consulted thcsc, and in many cases liave been 
euabled from tbem to give a valuable morbíd picture of 
the effects of the drug. With respect to theobserva- 
tione of othcr pcrsons, in those cases whete any Úmig 
Uke a well defined morbid state was produced, I bave 
recorded the proving entire, only condensing it a» much 
as possible ; wbere, however, the symptomH seemed to 
offer no obvious connexion with one another, I have 
distñbuted them among the difierent sections of the 
Bchema. 

The Pathological Anatomy yríH be found in foot notes 
beneath the vañona organs to which it refers. 

The Concordance has no pretensions to being perfect, 
as I have only given a concordance where the symptoms 
were not common to very many drugs. Where a mark 
of intcrrogation occurs, that implies that I was usable 
to find amongst the symptoms of other medicines any 
preciaely corresponding to the symptom to which it 
refers. 

The following is a brief account of the sources whence 
the symptoms recorded in the following schema have 
been derívcd, and an explanation of the signs añer each 
symptom. 

Ahr. — AlineT, ose of thoie who oiígÍDklIy proved th« dmg nndei 
HfthnentMUi'B saperintendaiice. As iríth the test of ths proven whose 
laboura aie recordad in the Materia Medica Pura, we have no infonna- 
tioD u t« the qnaQtitj of the dmg swallowed, .the preparatíon or 
Etrength in which it was lued, or the temperament and constitation of 
the pTOTer. If we majr jadge (rom bis íjiuptoiiu he did iwt take the 
medicine in large doseE. 

Ar. — Dt. F. H. Ameth, aged 25 years, of choleric temperament and 
robost constitntion. Health generally good. He ezperimented with 
prett; large dotes, 10, 15, 25, 30 and 40 drc^ at a time, as aliio with 
the medicine in the 2nd and 1 at dilntíons. Hie eEperimenti are re- 
corded ¡n the (EtterrtiíAúcie Zeiiichrífl für Somdopaihíe, toL Í, pt ¡i, 
p.37. 

A. J. — Theae lotCere ¡ndicate Bnch B^mptoms as were obierved bj 
the generality of the members of the Vienna Froving Sociotf , recorded 
in the ffiíí. ZtU»eh.f. Som., yol. i, pt. ü. 

Ben. — The case of a man who bad eaten bj mietoke, instead of 
Celery, a conaideraUe qoantitj of monkahood, recorded hy Mr. Vincent 
Bacon in the Phüimiphiail Tratuacikmí, vol. ixxviii, p. 287. 1733-4. 
The BTmptoma are well det^ed and ezhibit a veij violent action of the 
poison, rexj Uttle interfered with hy the lemedies given. The patiect 
recorered. The symptoms are incorpoiated in Hahnemann'a achema. 

.Bii— Tfae Bymptoma with this sigtiatiue are recorded by Dr. Bal- 
driani, of Biesila, in the Bfemoriale dcUa mtdKma aoniemporanea, tuI. ít, 
p. 269. 1840. They were observod in 12 patienta for whom eoúJxarea 
had been prescribed foi some chronic affecüon of the slun, in pUce of 



whioh the &eehly expreaaed jnice of acmite was bf mistahe adminis- 
tered in doses of 8 os. Three of the patients died S or 3 honra after 
swallowing the medicine ¡ the othen recovered onder the nae of emeticB 
and powerfol BÜmnlantg. Baldriaoi's paper is copied ¡uto the (EA. 
Z»UA.\.a.,^.\\h. 

Bm. — Dr. J. K. Bohm, aged 40, of choleric tempeíament; delicate, 
small, palé and tbin, liable to mncona deSaxions oí all kinda, of ei- 
tremely modérate habita, never seiioUBly ill, bnt inítbring frcan violent 
cólica on conunitting any dietetio error ¡ had been affected aome yeara 
pievioosly with htsmoptyais, and itUl oocasionally obeerved traces of 
blood in hÍB apnta afleí any violent ezertion. He took from 4 to 20 
drope of the tinctnre in bis expeiimenls, bnt did not pnah tbo mediciiie 
to any great extent. 

Dv. — The case of a man vriio by tnistake swaUowed ahont 40 
grammea (S2 scrupies) of tinctnre of aoonite. Althongh vomiting was 
excited sbortl; añerwarda, jet the Bjmptoma weie those of violent 
poisoning, and lasted with more oí leas intenaity for npwards of 4 
daja. The hiatory of this intereating case le veiy fiíllj detailed by 
Dr. F. Devaj, in the QazeUe Med. de Parit oí the 5th Janoary, 1844, 
p. 12. It is also to be fonnd in the (EiL Zeiüch.fÜr Hom. 1. c, p. 123. 

Fg. — Aa Ettqmry into tíie Phyñtiogieal and Meéieaud PropertUt t^ 
úe Aeonitum napeSiu. By A. Fleming, ALD. London, 1&15. The 
symptomB recorded in this work can scarcely be termed poie, bnt we 
give them aa they corrobórate the experimenta of other oheervers. 

Og. — Symptoms observed hy Dr. J. E. Greding on patients to whom 
he had pven aoonite for the cnre of other affeotiona. The caace are 
given in detail by C W. Qreding, in his FermúcAts Med. Sehrifttii, 
p. 90-113. Oieiz, lT»a They are inootporated lo Hahnemann's 
B. A. M. L., and copied into the Essay on Actmile in the Anatrian 
Journal, 1. o-, p. 145. Hahnemaim lias admitted ejtapt/xaa from no leas 
than T cases treated by Qroding, bnt on care&illy examining these we 
flnd that only in one caso can the syniptomB be fairly refened to the 
medicine adminlstered. The case waa that of a woman, aged 35, deaf, 
&t and rohnst, who had not nienatniat«d for a long lime ¡ from her 
childhood aflécted with ¡nduialed oervieal glande, which from their 
aize impeded respiration and deglutition ; she took for 7 days, Ihrce 
times daily, 10 graina of a pieparation of aconite made thna : the fresh 
joice of aconite inspisaated over a alow file, and 8 giains of this mbhed 
ap with an onnce of sngar. 

OL — Dr. Henry Gieratel, 3S yeata oíd, of phlegmatic-aangnine tem- 
perament and rolmst make, never serioosly ill since bis 6th year wheo 
he had hooping.congh, yet enbjeot to derangementa of the digeative 
organa, crampa in the itomaoh and dlarThiea alter a chill in the feet, 
aleo to slight rhenmatio affectiona, paliütatíon, and modérate flow of 
blood from luamorrfaoids abont once in 4 oc 8 neeki; and in additiim 
to these, for several yeara to a kiod of paialytic feeling of Üie whole 
□f the right eide of the body. His experimenta commenced with six 
diops nf the tinctare, which he gradtialiy increasad to 20, 40 and 50 
drops p. doeL—rSri. ZáOck. 1. c, p. 84 

Otu>. — The wlfe of the foregoing, 30 years oíd, of nervons oonatitn- 
tion and sangnine temperament ; always bealthy, except a periódica! 
prosopalgia from which ahe had soffered occasionally dnring several 
yeara. She waa aucldiag sn in&nt nine montha oíd at tbe period of 
her fiíst eiperiment Sbe flrat took 3 íiopa of the tinctnre fbr two 
sncceasiTe daya. Her aecond experiment was with SO drope of the 
tinctnre which ahe took at once, and which was immediately foUowed 
by the entaneona emption which vríll be fbund recorded in the schema. 
— ÍE»l.&.t»<A.l.c..p.40. 



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ACONITUM NAPELLUS. 



S.—The Bjmftomfs m Ealmemann's Seáie AnneaneiifSehv undis- 
tingaialted hy auj Bigiutnre are hens indio&ted by thii letter. We 
haré no infonnatioi) lespeoting the doae administeied, and caúy occft- 
■ionallf the time tfaat elapaed between the InguHoii <á the drng and 
the derelopmsnt of the s;fmptoini U indioatod. It U erident that the 
sjmptomB wete obsarred in seTeial different mbjectB, ofbothaezeB, 
bot wa hsTe no meaua of knowing vho ot wh«t the persons were. 

í. — TheeTmptoDuobaerredbjFtedk. Hahnemaim, son of the above, 
theyaraTeijfewmiitunberaiidTeiyiiiiiniportant (R.A. H.Ii,toLL) 

V. H. — SjnnptoiiiB obserrod on hüníelf b; Van Hehnont, ou taking 
• poTtian of the loot of aconite into bia month withont faoweTciT awal- 
lowing it. (Van Helmimt, Damen* idea, § 12, Hahnemaun'g K. A. M. L. 
ToL i, alio (EA ZsükA. 1. c, p. 19.) 

Ebg, — The Bjmfftom» of Hornbiirg, one of Hahnemann's proven. 
Tbef Bhew no tbtj maiked action of the drog. (B. A. M. L. vol. i.) 

SJc—Dt. Cari Hencke, of lUga, has iceorded m the Ardmi.f. Bom. 
Séük. Tol. zz, pt i, p. 181, fíniT intereatiiig observatlons nith aconite 
on iiimi'lf and othen. We have distingiúalied the different proreía 
1^ Ifae lettera a, b, c, d. — o. Dr. Hencke, of middle height, rathei 
choleiic tempeíanient, healthf , onnuiried, lirei aimplj and temper- 
■telj, rarely drinha beer or wine, bnt smokes and drinki tea at njght. 
He took foT five Baoce«tive daya 4, S, 16, 24 uid 30 diops of the tino- 
tme. — 6. A jionth, 19 yean oíd, of apare habit, phthideal ooniütation 
and sangoine tempenunent, of Tegnlar, ñmple Irat sedentsiy ntodea of 
liTe, had two yeais prerionalj anffeied from pnlmonaiy catarrh, diuing 
wbioh he spat blood ; ot the tíme of the experíment he felt in perféct 
health. Ho took for four snocetrive lnoniiiig« 4, 8, 10 asd 12 dropa 
of tbe tinctoie. It will be ohserved the drng acted ao powerfiüly 
on lúni as to occauon conúderable hBmoptyaiB. — c A healdiy peasant 
girl of mddy complexión, robtut mafce, 22 yews oíd, accnstomed to 
•imple and aclive halnts of life, catamenia regular, took for flve anc- 
Ccssítb daye 5, 10, 20, 30 and 40 drope of the tincttue. The phenamena 
ezhibited vare tbose of an inflammatory cardiac affection. — d. An mt- 
nurñed man, of cholerio tempetament, in good health and aetÍTely 
employed. The fint time he took 8 drope of a preparaüon foimed frinn 
2 drope of the tinctoie mized with 40 diope of water. The second 
time he took of a aimüar preparation, in ooe day, firat 8 drops, tben. S 
dropa, and agaíu 20 dropa. Anotfaer time he took, 3 times in one day, 
8 dropH of a preparation fonned &om 5 dropa of the tUctore with SO 
diope of apirit. Aa mjght be expeoted no great resolts were obtuned 
fSroffi aoch cantúnw experimenta. 

M. — Dr. Earl Uasehaner, 28 years of age, of scroñilons conetitntioTí, 
delicate make, phiegmatio temperament He flret took for two aneces- 
sive mominga (í dropa of the tinctnre, then fbr three anccesñre moni' 
ings 10 dropa, and then for two anccessiTe momlnga 15 drops. Again 
15 diops after one day'a interral. Tben alter two day'* interval 20 
drops twioe in EncoeasiDn. He t^en waited two days and took nigbt 
and moming 10 dn^is. The next two day* 20 dropa, and the next day 
nigbt and moming 15 drops. In another e^ieriment he bagan with 40 
dropa, the next two days 60 drope each day. Añer one ixf» interral, 
SO dropa two socoeíaive days. He again panaed one day and then took 
twice within the hour 40 dropa, and the foUowing day 80 dropa in two 
dosea. The symptoma deTeloped in Dr. Maacliaaer were in pn^rtion 
to thelarge qnantity of medidne swaUowed. — (EtL Zeüich. Le, p. 41. 

ife.~I>r. Male, of Birmingham, aged 65, who had for two montba 
anffered &om pains in the back and háne, took tínotnra of aconite for 
foor daya, beginning with 5 drop doaea eithar twica oí three timaa a 
day and iucieasing the doee to6,8Bnd 10 dropa. Thia pnrred fatal to 



him, and he died on the aeventb day with all tbe aymptoma of práscn- 
ing by acónito. — v. SriL and For. Mtd. Sevieui, vd. zx, p. 469. 

MU. — Two robbeía who had been coodenmed to death, were ptú- 
Boned by aoonite in ordor to test the efficaoy of antidotea. One (whoee 
eymptoma ara indicated by 1) got firat a drachm of the toot of aconite, 
and 1) boaia aflerwarda a drachiu of the atem, leavea, flowe» and 
aeeda. The antidote prored of no avail, and death apeedily enaned. 
Tbe efficacy of the bezoor stone aa an antidote was tealed in the other, 
to whom a drachm of aconite waa given. Tbe l)azoaT waa given an 
honr afterwarda. After tbe lapae of 7 honre, doring which many and 
TÍolent Bymptrana of poiaoning were evincod, he oompletely recovered. 
Hahnemann has inoorporated theae two cases in hia Materia Medica. 
They are detailed by Matthiolna in Oomra^it, in lib. ir, Diotcoñd. cap. 
73, p. 761, copied into <Eit. ZeUtch. L c, p. 104. 

Mor. — The aymptoma of two men who had by mistake partaken of 
aconite inatead of aalad. One, in whom Tomiting took place early, 
recorered rapidly ; the other died in a comatose átate. The lüatoriea 
of the caaes are giren hy a non-medical peison, utd conliüii little of 
importance. Hahnemann, who baa mcorporated them in bia achema, 
has paaaed orer the moat important, the comatoae aymptoma, and intro- 
doced one, g 503 (B. A. H. L.), whioh doea not exiat in the original 
The casas are detailed by Moraeus in the Ko»^ Sveiuk. oeL acad. 
Htm^mgar, 1739, p. 41 ¡ and also in Hie (EkL Zeiüch. L c, p. 109. 

N.—í medical atodent, aged 23, of aa&gnine temperament and sligbt 
make, who had doring the past year anSáred from palpitation, in which 
aoM. 3 had heati of aerrica ; aince tben he has enjoyed good health. 
In the coime of 60 days be took, with very few intermisaíona, 2386 
drops of the tinctnre, in doaea of from 16 to ISOdrqia ata time. Well 
marked rheomatic and cardiac aymptmus were developed in thia tudi- 
TidnaL (E»L Zeiíteh. L c, p. 45. 

Of.— A moat intereatíng caae of poiaoning, teamdum artem, related 
by Dr. Otto in bia Baten, Hambnrg, 1826, pt i, p. 377. Thepaüent, 
a woman 27 years dd, of biliona and robuat oonatitntion, who had 
hitharto alwaya enjoyed good health, was admitted into the hoapitaJ on 
accoimt of aaapected Tcnereal disease, enppoaed lo bave been canght 
from a cliild she was sockling. Her appearance waa healtby, her appe- 
tito good, all her fnnctíona and her pnlse natural, only her nipples were 
alightly excorioted. The child had aome nloerationa on ita l>aok. Tbe 
treatment waa: lowdiet, 2 dracbmaof aconite made into 12 piUs with 
the powder of the plant. Tliia dose was repeated the foUowing day. 
The Sid day ahe got 3 diaohma of the extract ; the 4th, half-an-oance ; 
the Tth day, a whole onnce ; the same qnantity on the 8th day ; on the 
9th day again, half-an-ounce. It was then thooght pmdent to atop die 
aconite. On the lOth day a ponnd of blood waa drawn. On tbe llth 
day another venesection, 6 gnúna of tartar emetio by the month and 40 
graina of Üie same anbstanoe in 2 clyaters, followed by another vene- 
section of a pound of blood. Unman natore, of ooorae, coold stand no 
mora, and death atepped in to terminata the treatment on the 12tb day. 
There ia not tbe alighteat evidence to shew that then waa the stigbtest 
syphilitic tünt abont thia healthy young ntose, therefore we do not 
heaitate to admit tbia aa a puro case of poiaoning. The extisct of 
acónito mnat, however, have been very bod, aa a qnarter of tbe qnan- 
tity administered woold, had it liaen good, have anfflced to diapalcb 
half-a-doieu men. Tbeaymptomaclüeflydevelaped were janndice and 
apoplexy. Tbia caae is alao detailed in the <£ri. ¿MImA. L c, p. 111. 

JV. — Three cásea of poiaoning by aconite, recordad by Fereiía in hia 
Memaút of Materia Medica, -ytA. a, p. 1306. They oocorred inageu- 
tleman, aged 57, hia wife, oS the aame age, and a child, aged 6. Theae 



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ACONITUM NAPELLUS. 



■11 h«d putaken of the raot o( MXinite, nippoBÍDg it t 

Tbe ■""' lud Mtt the most, the clüld bnt littla. The former died t¡ feír 

bonn afl»r partaking of tbe aoonite, the other two reooreied. Nopcwt 

PS, — Flve penons poÍBOned with acemite, of whom three dIed (PaUas 
Dianert inaag. de Acónito) in the conne of 3 honra. The patl morltm 
eiamination ü given, and wiU be fonnd in ita proper plaoe lu th« 
Bchema. 

Pn.^A. penon raffering Crom rheninatiaii], for which he had been 
getting eitnict of aconite for «onw time mth benefit, when mi obtain- 
¡ng a fifesh (npplj of the éxtract, the ume doee «hích he had previomily 
tafcsn with impnmty proved iatal in 4 honra. The case ¡a recorded and 
the Bntop«T detaüed in the Oaxttte dea Ho^plaxx, 26 Uuch, 1S39, by 
Dt. F«Triii ; alBO in the (E«{. Üe>l«e&. L &, p. 123. 

iyi.— A caae lecorded bj Dr. Fereyra, of Bordeanz, in the Mme 
woriu BB the laat It waa that of a man 45 yean oíd, afféoted with 
acote rhenmatism. He had been tre«ted with benefit, with from 3 to 
6 graine of the oíd extntct nigbt and moming, when, on lAking 5 graina 
of tbe new eztnct, BympttHna of poitoníng took place which continned 
all day, bnt on tbe following moming he wai qnite well and had no 
more tracea of the rhemnatie aSection. 

Bd. — ClandioB Richard poisoned a condemned crindnal with aconite, 
in order to test the efflcacy of the Betoar OBpianim indicanim aa an 
antidote. He got a drachm of aconite and thereafter 6 gi^nB of the 
connter-poiaon. Aftec 8 homs the patient had com^etely nooTered. 
. Ab we cannot adniit the heioar to have had mnch inflnenee on tbe 
coene of the poiitoning, we may consider tbls aa a pnre deTel^pment of 
the action of aconite. The case is Teoorded in Bchenk'i obeerratioiu, 
lib. TÜ, oba. 136, p. B76, and the Bjmptonu are ^Ten in Hahuemann'a 

Rti.—\-a a work entitled Diaertatio nudiea de Aamito nopeSo, An- 
gnBt, 1764, by 8. A. Reinhold, the anthor detvla the general action of 
aconite aa he had obserred iL 

Bg. — Dr. Edwaid Reiainger, 30 yean oíd, robnat, ungnlne tempeis- 
ment, in the enjoyment of nninterrupted health. His experimenta laated 
for ftboat S moulbs, dnring which time he took almoat oonst&ntly doies 
of the tinctnre, Tarying from 5 to SOO drope at a time. The symptoma 
developed wete proportionally severe. They are given in tbe (Ett. 
Zeüxch. L c, p. 50. 

£kt. — The symptoms of Dr. Rückert, recordad in Habsemum'B mat 
med. Tlieir ntunber ¡b not great, but they are lufficiently characteiiatic. 

.fií.— Dr. Joseph Botbanal took for 9 days, eTeiy moming, eome of 
the tinctare; he began with 6 dropa and bicreaseáthe doee every mom- 
ing by 1 drop. The medloine continned to prodnce lymptoma in him 
a fbrtnight aiter discontinning it — (E$t Ztil»eJu I. o., p. 56. 

iíiK.— Symptome obserred ññer tbe íntrodoction of the jnice of 
aconite Into a wonnd, whereby, beaidea aome general symptoma, tbe 
wbole ann waa offécted with inflammation and snppnration, and the 
man only recorered after the lapu of a fortnlght; by Btedder, in 
Albertí Juntpmd. med. 1736. VoL tí, obe. 34, p. 734. Hahnemann has 
adopCed Bome of the lymptama, and the case is detailed in the CEit. 
ZeiUeh.lc., p. 111. 

Scha. — Dr. Schneller prored on binuelf tbe extract of aoonite: he 
begon with ■/] a gndn, increaied it by ■/, a grún erery day nntU he 
carne to 9'/, gnüns, then he took SOVí gtaiut, and laatly 26'/j graina ; 
altogetber ISe'/j graina. His proriug ia recorded in the ZeitttAr^ d. 
OtMÜteh. d. Aente m Wieti, 2nd year, toL U, p. 40& 1846; and in 
£r¡t. Jour. of Hom. toL vi, p. 271. 



Al — A OBaeofpd«<«iiig recorded by H.C Sbenrin. AMrrantgirl 
had awallowed a moathfol of a tinctnre tS aconite, made with a ponnd 
of the root ttf aconite to a galkoi of aloohci. Tbe fymptonu that 
ooonrred were eztremely aerere, Uid tlie patient waain great dangerof 
ber Ufe. The e&ete were felt íbr & or 6 day(.~i:<uieet, toL ü, 1636-7, 
p.13. 

Sp. — &t Smppee, « lirely girl, of SI montha of age, eM a few leares 
andS oc 3 floweri of aconite : ahe wai ipeedHy oúied withTiolentsymp- 
tomfl of poi^oning, and, notwitbatan^g tbe exlútútion of an emetic, died 
oonTnlsed within 3 honre.— ^oumol de Chiiiúe med. Ferr. 1840, p. 94 ; 
ahio CEU. Zeiítck. I. o., 116. 

St. — The lymptomB of aconite obserred by Dre. Stapf and Qroaa <m 
themielves and otben, recorded in the Arekivf. Hom. StüJc, toL ít, 
pt i, p. 160, and incorporated by Bahnemann in hia mat. med. The 
anthon fiímiah na with no particnlars regaiding the individnala or the 
doee of tbe medicine. 

Stoe. — Stíilk ntade two experimenta onhimself with aconite: the ñist 
with aportionof the powderofthcRtalkand leavea, wbicb caused only 
■ame seosations in his month and tongae. He then mbbed np ! grúni 
of tbe extract in 3 drachmi of Bogar, and took one day 6, tbe next S, 
tbe Sid, 10 graini of this withont reeolt On t«k¡ng tlie foUowiog day 
SO graina it prodnced nothing bnt penpiration, which lecnrred when- 
erer he again took the medidne. He aleo leoords the effects of «conile 
m Bome p«tienls whom he treated with it, and Habnemaun baa adopted 
MTend Bynptomi fk«n theoe reoorda, Bome of which we haré fonnd it 
neccBBBiy to expnnge. Stürk'a obserrations are oontained in : LibeOiit 
de Stromoiua, ffyoieyamo, Aamito, éc, Vindoh, 1662, p. 69. 

3v>.—Dt. FrederickScbwara, 29yeanold, of eangninetemperMDent, 
ahort and itont, with nnimpaired health, commenoed his experimenta 
with 3 drope of the tinctue, and gradually increased tbe doae nntil he 
took 400 dropa at once. The aymptoms developed In him were of con- 






L1.0 



&). — Dr. John Sten, 27 yeara oíd, florid, Bangnine temperament, 
tbin, in exoellent health. He made fonr expeiiments with aconite : 
the firat he commenced vrith 8 drope, inoreaiing gradnally to SO dropa. 
The Beoond witb 10 drope, increasing to 20. The third with 40 drope. 
Inoreaeing to 60. The fonrth be made witb tbe lit «nd 3nd dilntions, 
The last did not exbiUt anything pecnliar, so as to reqnire particnlar 
notiae.—tEtt. Zeütdi. L c., p. 64. 

W. — Wable, in Habnemonn'B Mat Med., no particnUrs are giren. 

irjL— Dr. Weinke indnced a girl, aged 18, of choleric temperament 
and robuBt conatitation, to prove aoonite. She ñnt took a qnantity of 
the Ist dilntáon, (mai^ed /i in «chema), and then 10, 30 and 30 drope 
of tbe tinctnre, the eSécta of which laated a week. — (Eií ZáitA. L c., 
p.84. 

Wl. — Dr. Ciyetan Waohtel, 30 years oíd, of choleric melancholic tem- 
perament, rohnit make, in tbe enjoyment of eicellent health ; began 
hÍB experimenta by smelUng the tinctnre for 5 or 6 minntea. He then 
took for two incceuive dayaSandlSdropa respectively of the tinota», 
theeSectaof which were felt for 10 days. He next took 30 drope, and 
repeated the dose in 3 days, the effeotB o( wbich laated S or 9 days witb 
oonñderable inteniity. Añer thia he took for two days 30 and 40 dn^, 
and 3 daya subaeqoentiy 60 diops, the eílbots of wbicb were by no 
nie*ns so lastiug as tboee of the former doeea. — (E*t. Zeit*A. L c, p. 69. 

Wm. — Dr. Francü Wnrmb, 36 years oíd, of sangoine temperament 
and atbletio tnake, in exoellent health, made two ezperiments : one 
witb the tinctnre, of whieb he took tta a oondderable tima from 5 to 
100 drope night and moming, wHltont gieat resolta ¡ tbe otber with 



ilized by 



Goe 



ACONITÜM NAPELLUS. 



ÜM 3id dihition, fá wlúnh he swftUowed 100 dropa motning and eren- 
ing Ks ^ daya, with Teiy little efibot— <Eri: Zeüaút. L &, p. 88. 

Wo.—'W. WooUey, in the Ltmetí, 1833-9, toL i, p. 90S, reUtes tfte 
sue of a little boy, ag«d 18 roonlba, who bad taken tome oí the loot of 
leta^ and loBérad from ila effecta. The child nltímately reoorered. 

WiL — Dr. Wüntl, aged 39, of ungoine tempenunent, fonneily nib- 
jeet to aitícnlar thsmnatiBm utd dianfama on the alighteit chill, irhích 
bawereT sil diwppeared afler he had ^ored colocynth. Be took on 
díSbraut oooasons&om 6 to50drop«af tbetittotare,aiideshibited«oine 
Tery pecnliar and ohanoteristíc B/mptoms.— r£«t. ZeitiA. L o., p. B6. 

Wx, — Dr- P. A. Watzke, sged 40, of Bangoine oholeñc tetnpenuDent 
and ToboBt health, m«d« foDr expeTinuntg with the tmetare in doaee of 
ítoml to tOOdnipidailj. Ajiother trtal he utade with the ISthandSth 
deómal dilntiotiB, the latter alona prodnced any resnlL We haré indi- 
eited those «Tmptams pradticed b; the dilntod medicine— (£>(. Zeilteh. 
Lo.,p.74. 

Z— Pn&eaw Joeeph aataroridí, 37 yean oíd, robtut, etont, duk 



complexioii, of unguine cholerío tempeiMnent; in liis yonth afieeted 
with íntennittent, when 29 lud an attaok of ty^ns, from which he 
vas S Toara reoorering. Ib atill anljeot to lymphatk and rañcoee 
ewellingBof th«ri^leg. He took from 10 lo 200 drope of the tinc- 
tore dailj for many daya ; in 68 daya he had taken aljont 5000 dit^ 
and managed to produce symptoms of proportionate Borerüy. He 
likewiee proved the 2nd centeaimal dUation, for which he sheired gieat 
«QBceplitnlity. — (EtL Zeiüeh. L c, p. 91. 

Borne other ligna occnr in the íbUoning Bchema whlch reqniíe ezpla- 
nation, thna : " afi. 3 d." means that the sTinptom in qneallon occnmd 3 
days after leaving off the medicine ; " o/t. 6 h." that the Bjmptonu oc- 
onrrodehoDiBañer taking the dose; "a/LS — 6 li." tliat it occoired 
dming the period oomprlsed hetween the 3rd and 6th day after leaving 
odF the medicine; "afi. i, 34 A." ttiat it was observad the 2 nd and also 
the24th honr after the doae. /i,/:,/» indicate the dilution which wu 
employed when the eymptom wat developed. T. meana that the tinc- 
tnie was oled wbeo the syraptom waa noted. 



y Gu ügte 



SYMPTOMS OP ACOIOTUM NAPELLUS. 



f ChUB. Ndi - V 



I, Eialted apiríta. (5cAn.) 
3> Gaiety with iuclíoatioa to eing and daace * 

(aft. \ h. .Sí.) 

3. More gay and excited thaa usual (tbe 
leth. H.) 

4. Vañable humour, at one time gay, at 
another caat down." {Wl. Z.) 

5. MoroBeneae, aa íf she bad no lífs in her 
(aft. 2 h. Si.) 

6> Morosenesa, disinclination for eveiything, 
depresaion even whílst walking-. {Sbff.) 

7, Melaacholjr hiunour. (^?.) 

8, Aoiiet; and peeTÍshness vith fine dort- 
inge íq tbe side of tbe cfaest, then palpitatíoo, 
then beadache. {H.) 

9, Inconsolable anxiety and piteous howling, 
with complainta and reproacbes about triflea' 
(afl. 5 h. II.) 

10< DolorouB auzious complainta, with puml- 
lanimoua fears, deapair, loud wailing and weep- 
in^, and bitter reproaches.'' {H.) 

II, Solicitude, aadneas. {H.) 

IS> DiaincUnation for CDn^eraation. (Z.) 

13. Anthropophobia* (aft. 3 h. ff.) (If7.) 

14. Miaanthropy. (H.) 

15. Deeire to be alone, (Z.) 

16. Me t&kea every joke in bad part (aft. 
3 b. H.) 

17. Vesation about triflea. {WJ. Z.) 

18. EaaUy veied (aft. \\i. H.) 

19. Quaireleoineneas (aft. 6 h. H.) 

SOi Quanelaomeneas, with conatantly Taiy- 
ing silly delirium, he chatters childisb non- 
aense, and ie extravagantly gay.' {H.) 

81, IrascibiUty. {H.) 

8S, Staid, resolute, but not üvely humour 
(aecondary and curative Bctíon. Aft. 8 h. H.) 

28. Obstinacy. {H.) 

84. Extreme fearfulnesa (aft. \ b. H.) 

85. Apprehenaion. {Wl.) 

86. Fear of approaching death (aft. 2 — 12 
h. H.) {Fg.) 

37. Dreadof someaccident bappeoing. (/f.) 

88. Fear of falUng {H.) 

89. The sbghtest noise is uubearable (aft. 
ib. H.) 

80. Music is unbearable, it goes throi^h 
every limb, aad makea her quite aad' (afler 
24 b. H.) 



Moral Symptoms. 



FaIHOLOGICAJ. AlTATOKT. 

Tbe featurea after death bear tbe trocea of 
frigbt. {Pn.) 



31. Everything is done burriedly,'' he runa 
about the house.' (c. H.) 

38. FxceBaively disagreeable restieeaneae, 
nithout having- occaaion to hurry he is in the 
greatest haste,'' every obslAcle tbat delays bis 
rapid pace is exceaaívely annoying to him, he 
knocks Hgainst aome peopie who do not get 
out of bis way fast enough, and rom in bieatb- 
lesa haste up the steps. This huiried disposi- 
tion lasted 2 houn, and waa succeeded by an 
inclination to breatbe deeply, as if he abould 
give to the blood au impiüse througb tbe 
lungs.1 (Z. 7.) 

33. Me cannot remain long at one occupa- 
tion.' (Sehn.) 

34. He raves, tbough awake, jumpa out of 
bed, and imagines he is dñving sheep (aft. 
4 b. H.) 

35. Añer chewing a portíon of the root, 
copious flow of aaliTa, the bead seemed to be 
bound round by a band;' then having te 
some domesüc affaire, he hunied precipitately 
and Tan about tbrough tbe bouae.™ Then it 
appeared to him that he could not think, un- 
derstand, or know anytbing in bis bead as 
uaually, but that all these symploms of the 
mmd took place in the precordul región and 
about tbe moutb of tbe stomach;' after 2 
bouTB be was twice attacked witb vértigo, and 
the ordinary tbinking power retumed. (ti. H.) 

36. Lucid visión. (H.)* 

37. Lively memory. (H.) 

38. Lively imaginalion. {H.) 

39. Great activity of mind. (Z.) 

40. He site buried in thought. (H.) 

41. Rapid change of thought, great ezertion 
is required to flx tbe Irain of thought." (Z.) 

43. Unsteadiness of ideas ; on attempting 
to thiuk of one tbing, another forcea it out of 
the mind, and this is supplanted by another, 
and so on, until be becomes quite confused. 

(«■) 

43. Sislraction of the attention wbiist read- 
ii^ or writing, owing to frequent ceaaation of 
the tboughte. {Ekl.) 



* He Hud 1 " Mj beloved one miut have jnBt taag 
the difficult passage, vhich 1 now sang." It was 
ascertüned that his betrothed, wbo was 60 miles 



oalj 6 houTB prerioasly, the piece from Beethoven, 
Ah pérfido, which he hod sung. Ho was peculiarly 
Bosceptibte to Mesmerisoi. 



t Auf.Ki.l^Ltcb. 



I AltlL A 

Cub-T. 



«.mí 



yGoo^k 



ACONITÜM NAPELLUS. 



[Stuptoms 44 To 76. 



44, DútractioQ. (^ScIm.) 

4d. PrepossesBioa of tbe toind, tbe thoughts 
he htiB aiieaáj conceÍTed and htJf wñtteu 
down he ia unabie to register completelf, witb- 
out an effort to recaí them (aft. 3 d. W.) 

46. Want of memoiy, what has just heen 
done appeare like a dream, which can scaicely 
be caUed to remembrance. {Sí.) 



Nwal S^ptmiis. 



47. WeaknesB of meraory (añ. 5—9 h. H.) 

48. LoBB of memory foT dates." (if.) 

49. Diminutioii of the inteUcctual powers 
(Su,. W.) 

50. IndispoBitioD to ezert bady or mínd. 



1 nim-u. L»cli. 



Eialted smiits, 1— S, 20, 74S. 

Tiriable aniDow, 4. 

IndiSérenoe, 760. 

HonseuaM, 6, 475, 753. 

DepresBod ajóñtH, 6, 7, 1 1, 457, 746, 760, 7S3. 

„ froin mañc, 30. 

Aiudet]', 8, 10, 466, 476, 478, 479, 480, 481, 490, 

«1, 643, 646, 663, 674, 679, 778. 
Aiudety wHh pain íd cheat, 8. 
„ with compli^tg, 9, 10. 
„ with rapiDacheB, 9, 10. 
Despiúr, 10, 138, 614, 746. 
Bolídtnde, 11. 
Dülike to talk, 13. 
' ■ 840, 674. 



AnthTopc^obia, 18. 

MilMWIthTOpJ, 14. 



ISDEX TO MOBAL SYMFTOMS. 
Lore of Bolitnde, 15, 476. 
Impatieiica, 678. 
Bad humoar, 16—31, 456, 467, 466, 658, 753, 

780. 
Bad htuuoiur, with delirinm, 20. 



Obstmacj, 23, 761. 
Fear, 24, 476, 480, 663. 

„ of deatli, 26, 1S8, 614, 638, 663, 676. 

„ of on accident, 27. 

„ of &Uüig, 2& 
FeeUng aa if a misfortona ñera aboot to hap- 

pen,479. 
Intolerance of luñse, 29. 
„ ansie, 80. 



BeiÜewDass, 32, 33, 47S, 479, 663, S78, 679, 

764. 
DeliriiuQ, 34, S5, 128, 130, 679. 
Lucid Tision, 36. 

Increased mental pawera, 37 — 41. 
ItubUity lo fiz the tlioaghta, ti— 44, 479, 674. 
WftDt of memocy, 46, 47. 

„ for daten, 48. 

Weakneaa of mental powerg, 45, 49, 50. 
The tnental opeistíons appear to go on in the 

stomach, 36. 
Al if madnesB iroold enme, 99, 100. 
Distnciination for mental labour, 475, 480. 
Lethargy, S71. 

LoBB afconscJoagneBS, 500, 678. 
InaeiiBibUity, 692. 



RmtATtica. — The moral eymptome are partly indicatÍTe of the febrile átate of the eyatem induced by this medidne, and partly 
of direct acdon on tbe brain, from eimple irritaüon to congeation and inflammation. 



51. Vértigo; senae of swaying hither and 

thither in the brain.' {H.) 

SZ. Yert^ whilet stoopmg.' ( Wz.) 

ft3. Vértigo with ataggeríng, chiefly towBrde 

the right aide,'' on atooping (aft. 36 fa. St.) 

54. Vértigo wbilst standing. {Fg.) 

55. Vértigo abnoat preventing her getting 
into bed, wbereupon all goea round (aft. 37 h. 
SI.) 

56. Vértigo with cotnmencing ataggeriiig, 
it seema to lum as if he could not stand on bis 
feet {Wl.) 

$7. Attacks of Tertígo, with confuaion in 
the head, in the forenoon, daily for 16 dajs 
afler leaving ofT tbe medicine. ( W. St.) 

5S, Vert^ and dizzineas. (Sí.) 

S9, Vértigo and atupefaction on entering a 
warm room, aa if intoxicated. {Z.) 

W, Vértigo and beadacbe, oot affected by 
vident motion (aft. J h. ff.) 

61. Vértigo and beadacbe in tbe forehead 
and occjput, both worat on bending forwarda 
(aft. 10 m. H.) 

6S, Vértigo, mucb increaaed by abaking tbe 
head,* wbereby complete blacknesa comes be- 
fore the eyea. (_Sl.) 

63. Oiddy beavinesa of the head, principally 

tbe forehead, on atooping, with nausea and 
feeling of ainking in tbe pit of the atoinach 
(aft. 2 h. Si.) 



64. Whirlmg in the head, so tbat abe daré 
not moTe it, with a aensation as if the eyee 
wonld cióse. (St.) 

65. As if into2Ícated, all goea round, etag. 
gering as if about to fall, witb nausea,' worst 
on riaing from the siltíng poature, less wbilat 
walking, not at all wbilat ñtting (aft. ¿ b. St.) 

66. £aey atupefaction from tobáceo amoke. 

(,m.) 

6?. Confuaion in tbe head, with preesure in 
tbe temples, as if afler íntoxication. (Jf.) 

68. Confusión and muddled feeling in tbe 
bead, early in tbe moming aftei waking. {A, J.) 

69. Confuaion witb beavinesa and fulneas of 
the head, aggravated by motion. (A. J.) 

70. Confusión of the head with preaaure in 
the forehead, in the eTening. {A. J.) 

71. Senaation of líilness and beaviness in the 
forehead, aa if tbere lay there a weight preaeing 
outwards, and aa if everytbing «ould come out 
at the forehead" (aft. J h. St.) 

73. Sensatíon of fulnesa in Üie head. {A. J.) 

73. Muddled senaation in tbe head. (JV.) 

74. Muddled and empty senaation in the 
head, in the moming, as if after intozication. 
{Rkt.) 

75. Heat in the head. {A. J.) 

76. Heat in tbe wbole head, fbllowed by 
soreness of the wbole head, particularly of the 
forehead, Uating all the evening (aft. 11 h. St.) 



yLíOogle 



Symptomb 77 To 127 ] 



ACONITUM NAPELLTJS. 



£-hl^- Kn. Luh , 
Lkút-T. Ltc< Uo^ 
nct.UiiDf.Uur-ke. 

Pbof-u. 









Eupbr.brmph.Hell! 



I BcU.Uign-f.MWT- 



77. Hamming in the heod.* (JST.) 

78. SenHitioD of crepitation (such bb is pro- 
duced by bending gold tinael backwards and 
forwards] in the temples, noee and forehead." 

79. Numbed feeliog in the head, aa if there 
íre a boaid before the forehead" {aft. Í h, 

(SI.) 

80. Headache increased by speaking. (S.) 

81. Headache as if the eyes would fall out 
ofthehead-(a». ^h. H.) 

82. Headache as if the brein were pressing 
outwarda (aft. ¿ b. Jí.) 

83i Headache as if a part of the brain were 
raÍBed up here and there, increased by slight 
motion, drinktng and speaking (afl. ^ h. S.) 

6t, Headache of a dull character, as if 
bniised,' with bniised feeling in all the iimbs 
(añ. 14 h. H.) 

S5. Shooting, pulaating headache, aa tf from 
an interna! ulcer,' sometimeB preventing speak- 
ing. (ir.) 

86. Drag^ng all over the head, especiaUy 
in the temporal muacles. {Z.) 

87. SeosatioQ as if some one diew him up 
by the hair- {St.) 

88. Sensation as if Bomething were drawn 
out of the head, causing the upper eyelids to 
be drawn upwards (aft. ^ h. Si.) 

89. Contractive pain in the forehead. (Ahr.) 

90. Tensión all over the forehead. {Hbg.) 

91. FulnesH and heavy feeling in Üte fore- 
head, aa if an outpressing weight lay there, and 
as if everything would come out at the fore- 
head ■ (aft. J h. St.) 

9S. FulnesG in the forehead on atoopíng, aa 
if CTerything would fall out (aft. 25 h. Si.) 

93, Frontal headache, sometimes shooüng, 
aometiraea pulsating, sometimea presaive, whilat 
walking, relieved by ütting, {ff.) 

M, Very acute presaive pain over the fore- 
head. (ir.) 

95, Outpreaeing pain in the forehead, {W.) 

96, Jerking, ahootíng in the head, especiaUy 
in the forehead. {Sí.) 

97, Feeling of contraction of the brain under 
the forehead (aft. 20 h. Sí.) 

98, Squeezing, tenatve pain cióse behind Uie 
órbita, (if.) 

99, A pinching squeezing in the forehead, 
aa if in the bone, with a feeling aa if madneaa 
were about to ensue'' (aft. 12 — 24 h. H.) 

100, A aqueezing in the forehead, over the 
root of the nose, with a feeling as if the reason 
were going, aggravated by walking in the open 
air (aft. 4 h. H.) 

101, Shooting and aomewhat pressive pün 
OTer the órbita, towarda the upper jaw, exciting 
nausea, like what ia produced by vomiting 
from an emetic (aft. 2 h. H.) 

IOS, From the 2nd dil. The most' furioua 
headache. Vision obacured," the pain waa 
chiefly in the upper part of tbe forehead, pres- 



sing and contractive— head not hot — face 
awollen and palé,' light or noiae increaaed the 
pain, lying quiet in a duk room removed tbe 



103. Shootinga in the Ibreheod, afterwarda 
in the right temple, and then in the left aide of 
the occiput. ((fm.) 

104. Pain aa if a nail were dríven into the 
forehead, in the wann room.* (Sí.) 

105. Headache, pulsation Íq the left ude of 
the forehead, along with attacka of strong blowa 
in the right eide of the forehead (aft. 3 b. H.) 

106. Violent headache, limited to a small 
apot above the left aupra^orbilal ridge. (Z.) 

107. Dull pain in the vértex, eitending to- 
warda the temporal región, increased by stoop- 

ing {m.) 

108. Fressure on the vertei, as if a cap 
were preaaing tightly on the head.** (ÍFJ./8,) 

109. Headache in the Tertex, aa if the head 
were compressed equally on all sidea by a 
pitch cap, removed by motion in tbe opea air. 
(Z.) 

lio, Preaaure and acute ahootinga in the 
vértex. (íFi.) 

111. Pressive pain in the temporal región, 
followed by jerkinga in the occiput, and after- 
warda confusión of the head and contractive 
pain. {Rkl.) 

112. Headache as if the head were com- 
pressed with acrews at hoth templea.' (Z.) 

113. Shooticg, throbbiug pain in the tem- 
ples. (SI.) 

111, Stupifying drawing, inward pressing 
pMn in the left temple. (St.) 

115. Tearing pain in the left temple, {Ahr.) 

116. Jerking, shooting pún in the left tem- 
ple,' stitchee through the templea into the head. 
{Sí.) 

117. Tearing pún in the left temple, with 
roaring in the ears, (Sí.) 

118. Semilateral drawing in the head. {St.) 

119. Jerking, shooting, drawing, tearing 
piün in the right eide of the head auperiotly. 

ISO, Id the left side of the head, pain as if 
the head were compressed. {Ahr.) 

131, Creeping in the left side of the head, 
as if from abruah. {lílg.) 

123. Preasure in the occiput. (Z.) 

123. Jerking, tearing pain in the occiput.*" 
(Ahr.) 

líti, A shooting pain in the occipital bone. 

(flV) 

135. Painful jerka in the occiput.' (Z.) 
126, Presaive, ahooting pain, at one time in 
the occiput, at another in the forehead. ( Wl.) 
137. After a mouthful of the tincture of the 
root. In 5 minutea abe was aeized with a 
prickling and tingling down tbe arma and fin. 
gers,' and a painful numbnesa acroaa the wriats,' 
the tongue and mouth next felt numb,' then the 
lega and feet;" then the face seemed to be 



, Google 



Stxftohs 128 To 130.] 



ACONITUM NAPELLUS. 



■ Atth. Ahim. Bn-e. 



Hitr-D. PbIi. 8¿. 



Dad. Siüph. 
>BdLO¿. 



Oli.BBltk. 
"Clw.Ceo.Op. 
iA»CUn. 
|An. Bn. C«aiph. 

CuLChin. 



■wening," Bnd tlie tliroat growing narrow.* 
On looking at faerself in the glaü the face 
seemed blae ^ and indútinct. Thea ebe felt 
atck but could not Tomit She grew very 
weak and almost blind in } an bour, thougb 
■üll couBciouB ; the lega fiúled ber on attemp- 
tíng to go up atain. Sbe wss conveyed to 
bed, where ehe lay with ejres flzed and pro- 
truded, contracted pupilo, countenance lÍTÍd, 
jawa and fiíce ligid, arma and banda cold and 
pulseleM, lega and trunk mucb tbe same ; 
breattúng ahort, imperfect, laboríoua; heart 
fbebly fluttering. She gave an occaaional aigb, 
toaaed the aims backwardii above the head, and 
sougbt to abift ber poeition by jeika. Rattling 
and TÍbration m tbe tracbea. Añer taking 
aome aolpb. of linc and brandy abe bad a 
violent coDTulüve ñt : tbe eyes were diawu up 
imder the lids, the Sata clencbed acroas the 
tbroat, and the teetb violently grating agúnat 
one anotber, and a thick ropy saliva wat forced 
tbrough tbe Upa. Uriñe and fieces passed in- 
Toluntarily,^ In 2 or 3 minutes the fit went 
off, and on tíckling tbe fauces yomitíng enaned, 
wbich brougbt back the pulse feebly to tbe 
vriet. Aftenrarda bilioua vonáting aet in, the 
pulae again went away from the extremitieB, 
dreadful oppresaion of tbe precotdia enaued. 
The brain appeared much congeeted, and the 
jugulai Tein was opened witb great Telief ; ahe 
felt as if she waa whirled suddenly from a 
cloae, bot, dark room into a apacioua light one. 
■ The ayinptoms gradually declined, the pulse 
becoming fuller. Sbe could not sleep for aome 
time afterwarda, owing to iuabilit; to keep tbe 
eyes cloaed. (-Sí.) 

128. After taking a dracbm of tbe medidne, 
wbicb taated like pepper, be began to vomit, 
in an hour; the anbstance ejected was green 
bile,' and he felt like a hall in the gcrobiculua 
tbat riúng up spiead a cool air OTer vértex 
and occiput.' 

He tben had a paralytic feeling in tbe lefl 
aim and thígb, tbe power of moring was goue 
in both, only remaining aUgbtly in the hand. 
When tbe left aide loat tbis it carne into the 
right aide in tbe aame way, when he could 
raiee the rigbt arm he could not the left, and 
rice veraa.' At lengtb be could raiae them 
both. 

Then he complained tbat all the bloadveeaela 
in the body were congealed. He bad Tertigo, 
buming in tbe head as if tbe skuU were full of boil' 
ing water,' convulaions of the eyes * and mouth,' 
and a very violent pain in the jaws, as if they 
would hll off, causmg him to put bis banda to 
tbem; injected eyes, blue face,' black lips.' 
The abdixnen waa as if full of water.' The 
pulse and diapoaition changed with the in. 
tennty of the symptoma ; at one time he dee- 



paired of Ufe, and then again he was fuQ of 
bope, now he waa perfectly conacioua, and 
again he raved ; be wept and sang altemately. 
He oaked for cold water to drink. He waa 
tbrice blind during tbese attacka, and thrice he 
affirmed death to be at hand. In 7 boure all 
tbese symptoma went (^. {MU.) 

129. .áJler eaüng tbe root, buniíng and 
numbness of lipa, moutb, tbroat and stomach, 
and violent vomiting; alao numbnesa in arma, 
hands and lege ; no power of articulating, 
uttered only unintellipble sounds. Great mus- 
cular debüity, inability to stand. Stifihees and 
difficulty of moring Umbs. Thougb the eyes 
were wide open tbe aight was dim; face and 
tbroat alfflost insensible ; sometimes nearly un- 
conacioua. Body and extremitJes cold. Fre- 
quently pulled at tbe tbroat Recovered after 
6 or 6 hours. {Per. 2.) 

190i Ailer a dracbm of the plant, tigbtnees of 
cheat, pain iu stomach, vértigo with obscara- 
tion of visión. He got very weak and thougbt 
be would die. Yomiting tben aet in, and he 
felt reliered and bopeful, thougb be still com- 
plained of a feeling u if something were stiU 
in his stomach. Fain in occiput and tbroat; 
be commenced to be delírious and played upon 
a leaf. The deUrium aoon went off, and he 
then complained of pains in atomach and head, 
in hia jaws, in bis cbest, and bere and there in 
his joints, wbich in 7 boura became more gene- 
ral ; the abdomen ewelled as if be had dropsy," 
the flanks were tense, púnful, and lélt bard, 
aboota in the kidneya, auppression of uriñe, 
on ann and a leg pañlyaed,' pulse intennitting 
«nd febrUe. After more vomitlng and evacua- 
tion of the bowels be complúned of preaaure 
and coldneaa in tbe stomach as if a stone la3r 
there.^ At laat he got a very painfiíl inflam- 
mation of the eyes, wítb flow of teare,° tbe 
pain waa ao great Üiat be declared be would 
sooner die than endure it. All the symptoms 
went off in 8 hours. (Bd.) 



PaTHOLOOICAI, AlTATOlIT. 

Htad, 
Mur. 

Tbe Teseela of the brain and aiacbnoid in- 
jected, witb «erouB effusioa under the meninges, 
and at tbe base of tbe brain. {Bd.) 

The cerebral véasela distended with blood. 
{Oí.Pn.Pa.) 

The brain dotted vilh black piñnta. (Ai.) 

The brun and ita vessele congeated. Rabbit. 
fffiíí. Zeilteh.1. c, p. 136.) 

Arachuoid injected. Rabbit (/&úí.p. 136.) 



1. Bn. Cuapb. 
muChln. 



iBcU. G(Js. CipL 
Clem. Con. IA¿. 
Qnrb. Led. Lye. 



TCoogle" 



ACONITUM NAPELLUS. 



[Stmptoms 131 TO 141. 



Head dnwn bwkwaid^ 600, 663. 
Vértigo, 51—66, ií8, 130, 500, 67*. 

„ witl] ondnLition [n bráin, 61. 

„ with BtsKKeiing, fiS, 66, 66. 

„ witfa coi^uion of faead, 67, 778. 

„ witli falling, 86. 

„ with headnohe, 60, 61, 677. 

„ with EtnpefiíctioD, 59. 

„ with losB of ñght, 62, 130. 

„ with heavineM of head, 63. 

„ with nftiise*, 63, 6fi. 

„ with flickering beíbra eyea, 480. 

„ on awaking, T20. 

„ when walklng, 482. 

„ when stooping, 62, 6S, 61, 63. 

„ when giauding, 54. 

„ when Iring, 66. 

„ after dinner, 479. 

„ on ihaking the hñid, 6S> 
„ on rimng nm 66. 
„ in Üie forenoon, 67. 
SUgg«ring, 63, 66, 66. 

„ to the right ddo, 68. 

Btnpefnctíon, 679. 

„ with oaanÚBfau <tf bcUI miuolu 
and trinniiB, 679. 

„ fhim tobáceo nnoke, 66. 

Confiuion, 67, 70, 477, 480, 490. 

„ with hudacfae, 67, 70, 111. 
„ with heBTinew of bead, 69, 778. 
„ incraaaed hj motion, 69. 
„ in th« morniog, 68. 
„ in the erening, 70. 
Heavinsu, 63, 68, 71, 470. 

in the forahevl, 71, 481, 77& 
„ in the Tertex, 479, 460, 773. 
FiilnMa,72 

„ in the forehead, 71, 91, 92. 
Mnddled feeling, 68, 73, 74 
Heat, 75, 76, 749, 754, 766. 



n the TI 
Hnmming, 77. 
Crepitation, 7B. 
Nnmbed fbeling, 79. 



i,4Sa 



INDEZ TO SEAD SFMPT0M8. 
Headichx. 

Oeneml, 80— SS, 180, 278. 

„ U if the eyea wonld be fbroed ont, SI. 
„ u If the brtün prcaaad cnt, 82. 

as if port of the bnún were raised, 83. 

aa if bmÍBed, 84. 

pnlsatiiig, 86. 

ihooting, 85. 

M if the head were tighttj hoond, 36l 

aaif Bomethiiignuhed¡iitothehead,490 

as if a hot iron were lomid thehead, 678. 

as if fdl of boilÍQg water, 128. 

boming, 128. 

pressiTe, 466, 760, 7S1. 

a™«fpng, 86. 

as ií drairn op hj the hair, 87, 88, 136. 

íncreosed bj Hpeaking, 80. 

„ by moTÍng afea, 748. 

„ hj iDOtiiHi, 83. 

„ bj drinking, 83. 

„ t^ Bpeaking, 63. 
with paiB in limba, 84. 
Frontal, 89—106, 481, 781. 
coDtraotÍTe, 89, 97. 
tÍKbt,90. 

aa if the brain wonld be foTCed <n)t,91,9¡. 
preasÍTe, 93, 94, 136, 243, 478. 
•hootiiig, 93, %, 103, 126, 480. 
piüutiiig, 93. 
out-preasing, 95. 
jerkm^, 96. 
aqneeímt, 99. 

u tf a nail were dñren in, 104. 
right, preaaiTe, 340. 

„ TÍowb, 105. 
Ufl, pnlsating, 105- 
tup^rtotiy, preMíire, 109. 
a&nx tya, iqueeziDg, 98. 

„ prelaive, 782. 

„ shooting, 101. 

„ pmtnve, 101, 160, 340. 

„ oat-preating, 146. 

„ Tiolent, 106. 



Fioatal, above nom, aqneeong, 100. 

„ on Btooping, 92. 

on walking, 93, 100. 

„ increaaed by Ught and noisa, 10!. 

„ romoTed hj dorknaM and qmet, 103. 

„ in the open ür, 100. 

„ with feeling of madnen, 99, 100. 

„ with obacnred tíbíoh, 102. 

„ with nausea, 101. 
Tettieal, 107—110. 
dnll, 107. 
preaaiye, 108, 110, 478, 480. 

„ comprearive, 108, 109. 

„ thoMing, 110. 

„ coolfeding, 128. 

„ increaaed oj atooping, 107. 

„ relieved bj motion, 109. 
Temporal, 111—117, 477, 483, 780. 

„ preaaiTe, 111. 

„ oom^TMaiTe, 112, 114. 

„ digging, 650. 

„ ahootíng, 113, 116. 

„ throbbing, 113,779. 

„ drawing, 114. 

„ tearing, 115, 117. 
jeiking, 116. 



dnwgíñg. 



!, 117. 



Toariugii 
i, 118-131. 
diawipg, 118, 119. 
JeikiDg, 119. 
ihooting. 119. 
tearing, 119. 
compreaaiTS, 130, 343, 477. 



180. 



Oodpital, 133—126, 130, 677. 

„ preMive, 122, 136. 

„ jerking, 111, 123, 126. 

„ tearing, 123. 

„ shootmK, 134, 136. 

„ cool iaeling, 128. 
Conreation of brain, 137, 476. 
Paraljaia of brain, 128, 129, 1 
Biain feelt larger, 674 



Beiubks. — A apeciñc ftctíon on tbe brain ís obnouB from the aymptoms of both thú and the foregoing gection. There are 
iodicatíons of coaditUme Tarjíng from sl^bt iiritation to paralyBÍB, from alight congeation up to inflnnimation of the brain and its 
meninges. 



131. ShootingB in the right temporal mua- 
cle. (S^.) 

13S. Scalp aa if ewoUen and numb.'' (Z.) 

133. Creeping on the scalp, ae if from ante,* 
ameliorated by heat. (Z.) 

134. Faínful tickling of the scalp, eepedally 
00 the top of the head, on touching the hair. {Sz.) 



SCftlp. 



1S6> On the veitez extemally an íncreaM 
of temperatore.' {Wt.) 

■ 186i Sensation as if aome ona drew bít^ 
upwardB by the hair.' {St.) 

137, The roote of the hair are feit {Z.) 



Creemng, ameUorated I7 heat, 133. 
TicUing, cm touohlng the hair, 134 



INDEX TO THE STMPTOMS OF THE SCALP. 

ISenñtireneea of hidr, 137. 
Borenesa of head, 76. 
I Aa u orawn np 117 uie naír, ai, oa, lao. 
I As if the bair stood on «nd, 780. 



138, Thyaen of the upper lids, cauáng e 
pressure on the eyes' (aft. 6 h. S.) I' 

139, HeaTiness of the lids." {Si.) 

140, Uard, red sweUing of tbe right upper ¡ 



EyeUds. 



with fieeling of tensión, in the moming 
especially. (H.) 

141. Eyelida convulaively cloeed aa if from 
irresistible sieepinesa.' (Si.) 



d01wnJbtl.Ua>.t. 



ilized by 



Guu^lk 



9THFT01IS 142 TO 1 



ACONITÜM NAPELLU8. 



As if the7 wonld cloee, 64. 
InTalnntárT dorinc, ISB, 879, 687. 
CraiTalñYely olo«M, 141. 
littbUity to keep them closed, 137, 



INDSX TO SFMPTOMa OF Tff£ BTELID3. 

Dñwing Qp, 88. Cppeí lidí, dirneis, 138. 

Itohing, 148, 781. „ Tednew, 140. 

Boniing, 148, 780. „ iwelliiig, 140. 

Boienesa, 781. 
Upper lids, teanoD, 140. 



■ ¿elk. jUu. Afn. 

^TcdH k t. 
aiiph.(^|H.C>ib- 
a. Can. Chin. Clc. 
Oa. Colcli. CoD. 
Cías. Cnpi. Ct«1. 
Dif. Dm. Oru. 
QiuL HclL HTdT- 
•c.Hnia.Iiii.LHt' 
i.Linr.L^.MuK. 
Mm.Ní04c.14bi- 
T.O|i.Fbo»«D.Fb- 
ui.irt. Bpig.BoiiU. 
eoa>t. Stnm. Tib. 
ThiO. V«r. 
A Afar, Aw-o. Am. 

Caniph. CaDth. 
ChtLChin.Cio.Clii. 

Dma. Hn». Ifn. 
UdJIaiiC.IInr-aa. 
Hau. Nu-T. Op. 
Fhoa. Fhoa-aa. Pb. 
H. Puk. Bot. Sae. 
aonfl-StapliAtain. 
«Drok. Tab. TIh^. 






Uaof. Han-i. 

1 Cari.OnaL Ip.Idch. 
M^B-e. NiecPu. 



Eyes. 



143.PupilsdilM^*(ÍiiimedUtel7. f.) (£¿. 
Fg. Wo.) 

143. FupÜB Teiy much dikted. ( ^.) 

144. PupÜB contracted." (5». ÍJr.) 

145. Staring eyea (inunediately. ¿T.) 

146> Pain in the interior of the eye, as if it 
would be pressed out ° when the lide are 
opened; the pain extends to the Bupraorbítal 
re^on and to the interior of the brain (aíL 21 
h. St.) 

147. SendtÍTeneM of the npper part of the 
eyeball on moying it, as if it were preaaed out 
of the orbit, reliered bj' Btooping,' cbanging 
into a dull pain on bending back the head. 

(ir../8.) 

148. Itcbing aud burniog in the eyei and 
lide, making faim rub them, the eyes rery een- 
eitive ta the air,* but not to the light; the eye- 
balli feel enlarged,' aa if coming ont of the 
orbit and Btretching the lids.' (Z. 7.) 

149. FresBure in the eyes, moet felt on look- 
ing down or aroand," with heat in them. {Rkl.) 

150. Preasure and bumiug in the left eye 
and over the brow. {Hhg). 

151. Sensaüon in the eyes aa if they were 
mucb ewoUen' (aft. 5 h. Si.) 



158, Buming flrrt in the one, then in the 
othereye. {Wk.) 

153. SenñtiTeneBB of the eyea. ( Wtt.) 

154. (Cold feeling of the eyes ' in the opeo 
air.) (H.) 

155. ConjunctiTS, eapeciallv towards the in- 
ner canthi, h^hly injected.^ (Sehn.) 

156. Extremdy painfol iullanuútion (che- 
moBis'). (B.) 

157. Sharp light." {H.) 

158. FhotophobU* (aft 6—12 h. H. 

159. Deaire for light" {aft. 3 h. H.) 

160. DimneBB of ñúoa. {Fg.) 

161. CloudineB8ofBÍgbtwit¿^ddinew.('S''.) 
16B. Viaion aa through a t«1. { WH.) 

168. Warmth and undulatíon in the eyee, 
with involuntary half-clocdng of the lida, and a 
feeling aa if it were too dark to read in the 
well-lighted romn. {Ar. 12th day. T.) 

164. Black apota fioating before the eigltt.° 



* "Protably," remarka Habnemaun, "an alter- 
natiiig BTinpttHn vith the Bnoceeding «w, «o that 
both aie primary actiona." 



t ATf.0. Eui. 
t B17. HoiphHie. 



' OUs. Co«. Elae. 



Orbit, pnañTe tearing puna, 494 
' Ejea, cold feeling, IM. 
heat, 149, 163. 
tmimng, IBO, lfi3. 
■enritivemai, I5S> 
aeiuitiTe to air, 148. 
pain, 130. 

pmanue, 138, 149, ISO, 783. 
as if pnúed oat, 146, 147, 148. 
aa if pieased in, 781. 
•nlañed feeling, 148, Ifil. 
tDidi£doD. 163. 
liioating pun,7e3. 
fandsed pain, 784. 
iiijected, 138, 155. 



INDEZ TO TBE 8TMFT0M8 OF TEB BTEB. 

Efea, inflomed, 130, 156. 
„ chemoms, 1S6. 
„ yellow, 679. 
„ fizad, 137, 14fi. BOO, 745. 
„ pntjeodng, 137. 



138, 601, 664. 
„ dnll, 677, 678. 
„ apaiUing, 778. 
„ gUiiDgj 378. 
Lrak, wandonog, 600. 
PapiU, conUactad, 137, 144, 745. 
„ dilated, 143, 143, 650, 677. 
Fbw of teurs, 130. 

„ fron oongb, 406. 



n of sparkB 
nof Mack 1 



:kn>ots,l61 
Objeots appear bine, 137. 
PfNbyopia, 480. 

Obscatatiou of víiúai, 63, 103, 137, 139, 130, 159, 
161, 163, 163, 480, 500. 
„ TBlisTed byUeeding, 137. 
138, 661, 66S. 



Rkmabkb. — We here find symptomB indicatire of acute inflammaUtm of the superficial and deep ttructnes of the eye, and 
' many of the Bubjeetíve syuptosn iodicatiTe of disturbance of the brain. 



165. Sensation as if something Btopped up 
the left ear." {Air.) 

166. Burtúng, itchiog and darting in both 
eara whilat yawning, worse in the evening and 
in the open air, better after eaüng. ( Ifi.) 



167. Tickling sensation in the right esr, as 
if a woini were creeptng in.** {Akr.) 

168. Acnte atiteh iu the ríght meatiu ex- 
ternus. {Wm.) 

169. Tearing hi the left ear. {Hig.) 



TCooglc 



ACONITUM NAPELLUS. 



[Stjiptoiis 170 TO 197. 



ITtt, An occtñonal burning pun in tbe leít 
car tnd npper jaw, whilit penpiring. {H.) 

171. Pain behioá the left ear, u if from 
presBOTe vith the thumb. {Hbg.) 



172. TmgliDg íd the ean (kft. 10 m. Si.) I 
(ÍTZ.) 

178. Hummmg in the ears. (&.) 



INDEJC TO TSB 8TMPT0U8 OF THE EABS. 

E>nwiiig, 504, 67«. 

Twring, 169. 

HisÜDK.fiOO. 

Hmaming, 173, 600. 

Bouíng, 780. 

Incnaaed HuitiTeneM to luñio, 7B0. 

RjKtBK". — Hoet of the ear ^mptoms are of a Becondary character, indicatÍTe of cerebral disturbance, hat there are a few 
sheving a primar; irritant efiéct on the luditory organs, u well as their ext«mal and intemal pauagea. 



Heat, S40, 144. 

Buraing, 1S6, 170. 

Iliidúig, 173. 

Al Va woTm orept hi, 167. 

ttefaliig, 166, 167. 

"--■=-1,166,168,674. 



174. Fnmncnlus at the poínt of the nose.' 

175. Epiataxis. {H.) 

17C BJowing cS mnch bii^t red btood fbr 
Mveral succesÚTe momiiigs from the Dose. 
{M. t.ft/»ll.) 



177, Stupifying compreBfdon on tfae root of 
the noee." {St.) 

178. Oreat senúbil^ of the olíactory nerre,* 
bad amella have a powerful effect. {H.) 



I CuB. BitL Hto*. 
K-biob. Rut. Bgp. 

BbIL'CoI^ Con! 
Onph. Kil-c. Lfc 



B*1L W CU 
Chul. OIiId. Uig. 
C^ Cw. Capr. 
Giul.Hap.E-arb. 
Ln. NmtT-o J<ai-T. 
Op. PbM. Bho. 
8^l.8Uph.T«K. 



179. Countenance palé and anzious. (.Fg.) 
180> (Fufiy nrelling of the &ce* and fore- 

head." {U.) 

181. Pímplea on the forebead. (.Wl.) 

180. Itching pimples on the npper lip (aA. 
24 h. H.) 

183. Face red and hot. (A. J.) 

18Í, Glowing cheeks. ( Wtt.) 

18$. aioning heat in the face. (A. J.) 

18S. Face hot, eapecially in the erening. 
{A. /.) 

187. Cold feeling of the &ce, though it Íb 
hot to the touch. {A. J.) 

ISSi Bweat on the cheeks, whicheTer úde 
is lain on.* {H.) 

166. Sweat on the upper lip, under the 
nooe. (¿r.) 

190. Pain in the zjgomatíc proceaa, as if 
from aa nlcer. {H.) 

191, On the right supraorbitol ridge, a 



sbooting pain, branching out npwards over the 
forebead to the hairy acalp, aidewarda to the 
temple and downwards to the cbeek, and iuto 
two or three teeth, iocreased by pressure, and 
becoming so excessivelj vident towards eve- 
ning, when it was accompanied by constant 
cough, that all other sensotíons were tbrown 
into the abade ; the following day the supraor. 
bital ridge vas enrollen. (JS/. 15th d.) 
1912. Creepiog paius b the cheeks. {H.) 
19S. Twilohings of ^e facial mosclea.' 
(A. J.) 

194. Pain in the maxülaiy joint, behind the 
zygoma, whilst chewing. (J7.) 

195. Shoolüig jerks in the under jaw. {B.) 
196> Pressure (aching) in the under jaw. 

I.W..) 

197. InTolnntai7 pressure of the under 
agaínst the upper jaw,* with flow of saliva into 
the mouth. (Z.) 



INDEX TO TBE 8YMPT0M8 OP TBE FACE 



DimlidAed i( 



itilÑli^, 1S9. 



pRwopalgla, 191. 
Tense flsding, 660. 
Twitchingí, 19S, 679. 

Hot ISS, 164, ISfi, 186, MO, 47S, 478, 490, 491, 
650, 746, 764, 766, 778, 781. 



One oheek hot, tha other oold, 74fi. 

Cold, 187, 67^ 780, 777. 

Sweat, 188. 

Bed, 183, 478, 650, 748, 749, 760, 761, 768, 764, 

778, 781. 
Psle, iOa, 179, 660, 674, 677, 679, 739. 



Urtd,137. 

Bino, 128, 738. 

Bine ring nrand ^es, 677. 

Torpd,778. 

SwoUBn fbeUog, 137, &0a 



itizedbyCjv5^ 



Sthftohs 198 To 212-1 



ACONITÜM NAPELLUS. 



INDEX TO SmPTOMS OF THE FACE («(mtiyated.) 



1, 1<B, 180, 191, 664. 



Ldoiw, 179. 678. 
„ iiippoonttic, 663. 
„ ofKElit,66S. 
„ ofimbBCiHty, «83. 
alterad, 677, 679. 
Fettores. mmkeii, 739. 
ForahMd, bot. 744, 756. 
odd, 736. 
„ idmples on, ISl. 
„ Teaioles on, 630. 



ClisekB, creeping pains, 192. 
Zfgomátio proceas, olceratiTe pain, 190. 
Jawc, nmnbneis, 674. 

„ tingling heat, 600. 

„ boniinK, 170. 

„ pain, 130. 

„ pÜD as if the7 wonld (bvp off, IS8. 

„ ñgid, ^trismna), 127, 197, 664, 679. 
Lowerjaw, eliootiiig, 195. 
„ jerking, 195. 
„ ^reBBnre, 196, 243. 
HaiiÜaiyJomt, pain, 194. 
Chin, diggmg pam, 781. 



Lips, nnab, 129, 215, 216, 278. 

„ tíngling, 216- 

„ punñU, 204. 

„ loflamed, 204. 

„ hot,780. 

„ bonimg, 129, 203, 204, 27S. 

„ dry, 308, 762, 780. 

„ diatendedfaeliiig, 216. 

„ swoUen, 217. 

„ black, 128. 

„ bine, 278. 
Upper Up, pimples, 182. 
„ Bweat, 189. 



RziiABKB. — BesidsB the facial aymptoms indicatÍTe of febríle action, cerebral iiritatiou and coogesüon, ve have bere (S 
y well marked nearalgic affection of the fiftb pair of nérvea. 



191) 



Ciile-e.caB.K.cuti. 

K-llitT.Uft.MRS. 

Vtla-a.Tttí.rtui». 

^.a.p.euph. 



19S. SeusibÜity of the teeth to tbe open 
air.' (Z.) 

199, Shooting pain in Tanous teeth. {W. 

aftaeh.) 



SOO. Presaire toothache in the left npper 

801> Shooting pain in the rnolara of the 
ríght aide." (iS».) 



INDEX TO TSB SYMPT0M3 OF TES TEETS. 
I Fraamire, 200. I Gistlng, 127. 



Feel fUUng out, 560. 



Spaomcdioallj elenohed, 500. 



S08i Bnming of the lipB, with sensation of 
awelling.* (á^i.) 

903. Burning of the lipa and tongne, ae if 
añer eating pepper or amokíng. {A. J.) 

SHi The lipa and interior of the mouth 
burning, painful and inflamed.^ (-^^0 

SOSt Coolness and diyness of the month, 
without thñat. {Hbg.) 

JS06. Dryaeiia of the interior of the mouth 
(immediately. H.) 

S0?> Feeling of diynesa ín the front of the 
mouth. (ff.) 

S08< I>iT seneatíon, flret in the lipa, tlien in 
the interior of the mouth, with heat mounting 
&om the chest to the head (without rednen of 
the cheeka).* (JS.) 



" Thía parentlietíoBl obaorratioD,'* saja Halme- 



209. Flow of water into tbe mouth. {A. /.) 

SIO. Increased secretion of clear watery sa- 
liva, almoat to tbe extent of ptyaliam. (^A. J.) 

Slli Saliva tnixed with red 8tica¿a,° and 
Bweet taste in the mouth' (for 16 daje after 
leaving off the medicine. (W*t.) 

SIS. Soreness of the oriflcea of the aalivary 
ducts, as if they were corroded.* (S.) 



mann, " lefeía to an individnal who when in health 
had generaUj veij red cheeka, which redness waa 
tima nomtBopathióaUj lemored, aa iLcoaite alntost 
inTuiafal; prodnoea rádnesB of the ohoeks." 



' Ind.' Kil-M- 
Uifn-b Nitr-u. 



ev^.l 



INDEX TO TBE BTMFT0M8 OF TBE MOVTH. 



Nnmb, 127, 129, 278. 

Ci>ol,!06. 

Biomog, 129, 304, 278, 287. 

Painfiíl, 204. 



D17, 206, 106, 307, 208, 778. 



, 1. 138, 501. 

Palate, prickling, 343. 
„ bnnúng, 243. 
„ dry. m. 
Fio» of laliva. B5, 197, 209, 210, 330, 321, 343, 
I 480, 481, 674. 



Bafiva mixad with red ttreaka, 311. 

„ frothf, 480. 
„ thlck. ropf, 127. 
Onfloea of aalivary docta, lore, 212. 



yGuuyk 



14 ACONITÜM NAPELLUS. [Symptoiis 218 to S48. 


Ton^e. 




a Am-e. Am-D. Al«. 
B>7. CklM. Cut»- 
S7Gr.pb.K.hrl. 


eiS. Burning vesiclee on tfae tongue.* ( W»t) 


220. Momentaryflymgstitcheain the tongue. 




214. Bumiog in the tongue. Í^A. J. SIm.) 


with eaUration. {Sioe.) 




K-nitr. Ué^-i. 
UUC. M«. MtlT- 


glfi. Heal uid tingling, followed by numb- 






B.N.lr.m.N!ti-«. 
Pliíl.PhM.Pluinb. 
Bcp. 8pi«eL Bpooc. 


ncBS of the lips and tongue.^ {Fg.) 


tongne, as if from pepper, with Balivation. {H.) 




216, Numboess, tingling, and lense of dis- 


ÜSt, Cramp-hke sensaüon at the root of the 






tensión of the tongue and lips. {Fg.) 


tongue. («?.) 




.a™. Dig. HdL 


317. Tongue" mnd lipa swollen. {R».) 


223. 8enae of dryness and rawness in the 




H«R. awm. 


S18. SmarÜng eensation in the tongue, to- 


middle of the tongue, without thirst. (na. 1 h. 




é»at. 


wards its apeT.' {JSt.) 


H.) 






ei9. Fine penetratíng atitehes in the point 


824. Yellow fuired tongue. {Schn.) 






Of the tongue. (¿f.) 


88S. Transient pandysisof the tongue.* (.ff.) 


'^B¿«™"' 


INDEX TO THE SYMPTOMS OF TSB TONQUE. 




NombneM, 127, 315, 216. 


Cold, 67a 




Leather-féeling. 482. 




TingliiiB. ai6, ai6, 500. 


Heat. 215, SOO. 




Pmred. 77a 




Smartíng. !18. 


Buni¡nE,20S,213,214,4e2,780. 


Furrad, yeUow, 22* 




lUwnMB, 223. 






Veside», 213. 




Priokiing, 221. 


Swelling, 217. 




ParalysiB, 225. 




Bhooting, 219, 220. 


DTTiieía, 223. 




LouofpowerofartúnUtinK, 129, 679. 11 


Cnmplike feeling, 23!. 






Thnwt 






986. Redness of the soft palkte and unüm.- 


as if an angular many pointed body were atick- 




l**-^""- 


{Wk.) 


tng in the throat,* prickling buming in the 


l K-bleb. 




e27. Scraping in the throat with difflculty 








of swallowing. {St.) 


increased by swallowing ; theee Bymptoms ars 






808. Scraping eensation, ceasing on clearing 








the throat {Wm.) 








ae». Drawing from the side of the throat lo 


symptomB were increased by walking Ín the 






bebind the ean. (5/.) 


open air, and were relieved after eating. ( W%.) 






S3fí, A Bhooting, choking seneation in a 


843. After a considerable quantity of the 






amall spot on the left aide of the throat, worBe 


Tinct. taken for several successive days the 






when Bwallowiiig and speaking, but felt also 


chief symptoms were ; Sore throat, which com- 






when at reet. Añer ^ of an hour it paSBed 


menced Boon after taking the medicine, its 






into the right aide, while the paia in the left 








aide ceased; it remalned there i of an houi 
and then went away entirely. {SC) 


of swelling in the throat. It lasted all day. 






It felt as if an angular many pointed body 








stuck in the throat;' the uvula was swollen,'' 




*An. (7) C™. m 
MtR. (I) tan. (í) 


the throat, aa from the hair of a dog hip" (aft. 


elongated,* and together with the palatial arch 




Ih. H.) 


and back of the fauces much ínject«d of a dark 






288. Creeping ín the gullet. {H.) 


red cobur.' During the day there weie always 








occasional attockfl of very annoying and painful 






fauces, (fll) 








234. Burmng in the glottis and guUet. 


tal región, on the lower jaw, and most con- 






{Pü.) 


Btantly and Bererely in the right shoulder and 






235. Waraith and conatriction of the guUet 


right upper arm ; a sensation of &tigue and 






{A. J.) 


heat in the chest; frequent sighing-, att«cks 






236. Heat ín the guUet. {Wk.) 


of anxiely ; sometimes dry cough and contrac- 






237. Contractjve senaation in the faack of 


tive shooting pain in the right side of the 






the throat, as iffromaslríngentsubstancea. {H.) 


chest. 






238. Transient pressure and tensión in the 


In the open úr heaviness and stiShess of the 






soft palate and faucea, as if tbese parta were 


limbB, especiftlly the lower ones; tired feelmg 






swollen. {Z. Wrí.) 










strongly; eeveral times when heated sudden 






empty deglutition. ( Wí.) 


attacks of constñctive pain in the re^n of the 






leiO, Feeling of dryness, as if somethmg had 


gall bladder that took away the breath.>> 


Al 


< CUn-i. 


•tuck in the throat.' {S%.) 






''^líüíí^^S: 


241. DiT feeling in the palate and poaterior 
nares. (Il4.) 


medicine, there was an inorease of the sexual 




( Cafc.c Sil. Snlpli. 


feeling, which however soon went off. 




« lod. L)v. MtR. 


842. ÜTula swollen ' and elraigated,' the 


After eating, feeling of cold,' ezhaustion. 


'"a^g'. ""■'■ 


/A^.AI™.B^ 


fauces and pharynx injected dark red,' feeling 


sleepiness; mcrease of heat at nigfat ; fiwquent 


1 



Sm PTOMS 244 to 8 



ACONITÜM NAPELLÜS. 



toasiog about in bed; eleep much disturbed, 
fuU of vivid dreaiDs that remuned long iu tbe 
memory. 

OccaaioDtlly sensatíoa of itcbing, príckling, 
bunúug Rnd icratching in the skio. ( Wi.) 



PatholooiOjU. Anaxoht. 

Akii£axs. 

The puietes of the fauces sbewed red spots, 

and the tssophaguB wu trayereed by injected 

bloodveuelB. (lUbbit Oeil. Zeit. 1. c^ p. 136.) 



INDEJ TO THB STMPT0M8 OF THE THBOAT. 



PoHíiik at, 1!9. 
Diminiahed BenmUGty, 129. 
Nomboeas, 129, 218. 
Pun, 130, 781. 
PicMon, 238, 239. 
Tsnaioii, 236. 

CoatnctiTe aeiuatlon, 337. 

Coostriction, 127, 235, 460. 

SwoUen feeling, 243, 480. 

Scnpmg, 337, 233, ¡73, 480. 

Dniring, 329. 

Pricküng, 343. 

Remasks, — Here we have weU muked symptomB both objectíve and aubjectÍTe of acute inflammaüon oí the n 
bnme of the soft palate, tonBÜB, ¿Mices, pharynz, and tesopha^s. 



As if BomeÜimg b1 

Baraing, 129, 333, 242, 278,6 

DryíieM, 240. 

HawkÍDgofphlegln,365, 674. 

DifBonlty of swalWiiig, 227. 

Choking, 230. 

Soft pabte, preMore. 238. 

„ swoUbd feeling, 238. 



UtuU, swdkn, 2tí, 243. 
„ alongated, 342, 243. 
„ red, 336, £43. 
Tonailg, red, 780. 
FauCM, Sry, 674. 

„ red. 242, 343, 78a 
PoatarioT nares, di^, 341. 
(EiMH)hagiu, craening, 233. 

„ wumth, 335, 236. 
„ brniúng, 334, 287, 663. 
dirneM, 476. 
^-='- 482. 



Ü44. Bitter taate in the month. {H.) 

Slfi. Ittüpid fishy taate, as if ÍSom stafpant, 

pubid water.' (if.) 
846. It seemed to ber as íf her mouth filled 

with úr hftving the taste of rotten egge." {Si.) 



S17. Souiish taste «ith mnt of appetite. 



S48> Insipidity of tbings that fbimerly tasted 
strong and good. {St.) 



Sweet, 211, 366, 674. 



INDEX TO THE 8YMFT0MS OF THE TA8TE. 
j Insipjd, 345. I Futrid, 34S. 

Insipidity of (bod, 348. I Rotten egg«, 246. 

NanMoai, 674. 
I flBhj, 345. I 



849. AnoreziiL {H.) 

S50. Long-continued anorexia and disgvst. 

851. Loathing at food, and equeamiabnesB 
(aft. Jh. H.) 

858. Uncommon good appetite. {Wtt.) 

253. Great thiret. {Wk. /I. c.) 

854. Tbimt for beer,' which lies besvy on 
the Btomacb. {S.) 

955, WhÜHt eating serere pressure in the 



Appeüte. 



Btomacb, as if he had eaten something indigea- 
lible, with feeting of warmth and tendernest in 
the pit of the Btomacb-*' ( Wil.) 

856. Añer a meal, uncommon flleepiness. 

(■S'O 

857. (Hiccough after eating* uid drinking.) 

S5St After taking waim eoup, many of the 
abdominal sjmptoms are reliered. (Z. Wit.) 



laá. Im, Niti-in. 



■.^pb. 



INDEX TO STXPTOMS OF THB APPBTITK 



IncTeued appetite. 353. 

LoM of appetite. 247, 249, 260, 28B, 476, 482, 
S79, 778, 779, 780. 



I Thiitt, after vomitúig, 2TT. 



fTÍALP. 



85». Nanaea. (Z. Wrí. Fg.) 

880. Nausea and BÍnking in the pit of the 
Btomacb, worse while sittíng,* almost entirely 
removed bj walking^ (immediately). {St.) 

961. Nausea wbUst walking in Úie open 

S68> Nausea, flrst in the pit of the stomach, 



then nnder tbe stemnm, lastly in the thnutt 

without flow of saliva. {S.) 

863. Nausea, as if after eatíng Bome diaa- 

greeably sweet'' or fat* eubstanoe {»SL 1 h. H.) 
86i, NauBeo, relieved by eaüng.' {jÍ. J.) 
865. Nausea, with sweet taste in the mouth 

and bawking of phlegm. {Wtt.) 



/ Bnn. Bto-b. 



yGoOglt 



ACONITÜM NAPELLUS. 



Stmptohb £66 to £90. 



JÍ«lf.lJ{t,Nl«-TÍ 

OL Pulí. Búa. Zinc. 
>t B«-e. NltT-0. Pb- 



m.CtUtnyCroe.li: 



14, Feeling of emptinees ín the atomach. 

{mi.) 

267. Emptf eracUtíon. (£/.) 
868. Inefiectu&l attempts b> enictate, the 
inclioatioii Í8 felt, but it cannot be done.* 

260. Eructatione wíth Usté of tbe medicine. 
(Z. Rg.) 

S70. Bising of sveetish water," like water- 
braah, witb noise ia the ears. {Sí.) 

271. Kñng of Bweetisb «ater,'' with nausea. 

S72, Scraping from the scrobiculus to the 
tbroat, wilh nausea and únkin^ in tbe pit of 
the stomach, aa if water were abcut to flow 
into the month. (jSt.) 

378. Vomiting of lumbrici.' {Gg.)* 
271. Voniiting of greenish'gTej waterjr fluíd^ 
twice. [Wí. 3rd d.) 

275. Vomiting of mucus niízed with blood,' 
3 or 4 Buccewive days. {Gg.\) 

276. Vomiting of bloody mucus,' followed hy 
great perepíration. {Gg.X) 

877. Vomiting, followed by Tiolent tbirat.'" 

278. After eating the root, in { of an hour, 
numbness and burning of lips, mouth and 
tbroat, BOOn eztendbg to stomach, and accom- 
panied by vomiüng, at first of food then of 
frothy mucus." The vomiting was very vio- 
lent and laated inceseantly for un hour. Ez- 
tremities cold ° but chest wum ; bead bathed 
incoldsweat; eyes glarii^. Violentheadache; 
great tf embling. Lips blue ¡ ■* mental facul- 
ties perfect. He ezpíred in a fiüoüog átate. 

(p»-. 1) 



• This symptom ocooirad in a patieot. Wo shoold 
not tuve relamed it weie it not that it has been cor- 
roborated Vt MvenJ piactilionerB at the bediride. 
Thos Bohrtín remarked, tbat wh«ii gÍT«n to ohildien 

in inflammab^ digorden, ¿conite often bñn^ awa; 
Imnbrid. {Ey^ II, 415.) The same a 



aerved in a paljent afiected'with plenriBr, 
Toroiting of Inmbiid afler AcoDÍte. {Syg. V 
Uoly records the case of a ohild with a fetñile 



^9.1 



vuiu, who vomitedSl Imnbrici after a dosa of Aoonite; 
(f wf. XVUl, 60 ;) and another of a wuman affected 
witb Dongh, who was onred hy Aconite, whfch 
eaiued the ejection of 3 lombrícL {Syg. XVIII, 



279> FressÍTe pain in the pit of the atomacb, 
changing into constrictíon of the cheat (aft. 24 
h. H.) 

280. Fressure in the pit of the atomach as 
ftom a stone there, going tbrough to the back, 
with a squeesing sensation aa from a strain ; 
etiffhess. {St.) 

£81. Presúve pain in tbe pit of the stomach, 
wbilst gitting, waiking and standing. (^Ahr.) 

282. Pressive pain in the stomacb, as if from 
a weight (after \\ h. H.) 

283i Preaaive stomachache. {H}^.) 

2S4> FressÍTe, tenaive pain, aa if irom fulnees 

or an oppreaaive weight ín tbe stomach and 

hypocbondna (aft. l\ b. H.) 

283. Pressive and awollen feeling in tbe pit 
of the stomacb.^ {Sz.) 

286. Preasure in the stomach, with sphusbing 
ÍQ tbe howels.' {Wl. 5—10 d.) 

287. Burning feeling from the stomacb up 
tbrough tbe cesopbaguB to tbe mouth.'' ( Wl. 
3rdd.) 

288. Pain in the pit of the stomach, as if it 
were awollen extemally.* with attacks of ano- 
rezia and dyapncea, {H.) 

289. Contractíve feeling in the stomach, as 
if from Bome astringent eubetance.' (íf.) 

290. Warm feelüig ín tbe stomach. (Z. Fg.) 



Patkouwical Anatoht. 

Stomach, 
Mak. 

The distended atomach contained a modérate 
quaality of a viscid dark green matter; ita 
mucouB membrane had irregular patchea of red 
on it in eeveral places, eapecially at ¡ts fuudus 
and larga arch. {Bd.) 

The stomach waa beset with Uack gangre- 
Qous spots. (Oí.) 

In the stomach traces of considerable con- 
gestión. {Pn-) 

AKIMAI.a. 

The whole inner aurface of tbe stomach, 
with the exception of the cardiac and pyloric 
orífices, inflamed. In a dog. (Wepfer, Bitl. 
eie. aquat. Stc. p. 17fi.) 



Heat, S65. 390. 
Burning, 129, 278, 287. 
ColdnesB, 130. 
Ñamfaneu, 129. 
Pain, 130, 46R. 
Spasmodic pain, 676. 
Prewnre. 265, 282, 283, 284, Í8«. 
Feeling aa if a weight lay there, 130, 282, 284, 
480. 



INDEX TO THE STMÍTOMS OF TBB STOMACH. 



t Orot-K-iíub.Kui;. 



Tigfat feeling, 674. 
ContractiTe feeling. 



FulDesE, 2 . 

fiweiling, 479. 

Rimng and fidling, 479. 

DumÍQ| 



Bciobumlna, pulsation, S02. 



preMive pain, 279, 260, 361, ! 

476, 483, 77S. 
ihooting, S02. 
scraping, 272. 
feeling of a ball. 128. 
as if a Btone lay there, 380. 



BcTolñciiIns, EwoIIen feeling, 286, 288. 
From stomaob (o baok, preBaire pain, 260. 
Knking, 63, 260, 272, 840. 
Hansoa. 127. 259-265. 271,272,480,674,679, 

746, 774, 778. 780, 781. 
Naaaea, aa afíer eating lat things, 363. 

„ with vértigo. 63, 65. 
ErocUtians, 480, 461. 



empty, 267, 476, 479, 480, 761. 
with taste of the diug, 369. 
fetid, 246,674. 



vLj' 



OOQlC 



Sthftohs 991 To 334.] 



ACONITUM NAPELLUS. 



INDEX TO 8YMPT0MS OF THE STOMACE (amOnuedj. 



679,774. 



, 129, 130, 273—278, 500, 663, fi 



Vomiting of food, 378, 678. 
„ of macnB, 678. 
„ of frothy mucns, 278. 
„ of bloody mncns, S75, 276. 
„ büioua, 127, 128, 601. 



iting of greca irator, 274. 
of green masses, 677. 
ofblackmatler, 501. 
offctidtnatter, 601. 
□f Imnbrici, 273. 



Rbkakks. — Though the majoñt]' of the stomachic ejm'pioiaa are of a secondary character, Buch as accompany cerebral día* 
tnrbance, febrile action, and derangeroents of other organs, Bome sbew a Epecific action on the mucouB membrane itself, and the power 
of Acooite ia tbis way ¡a coiroborated by tbe teaulu oipost moríem examÍDations aa given above, wbere we find evidence of iáfla 
mation, aad even gangreae of tbat part. 



Giat. Giat. Kil-o. 



hjd.Luh 



S91. Preastve pain, as from a weigbt ia tbe 

hypochondria (aft. Ij h, S.) 

29S, Feeling of violent conetriction íu the 
hypochondria., (J?.) 

393. Stitchea in the liver and bowela, aa 
with needlea. (&.) 

3M, Preaaure in the hepatíc región, obstrac- 
tíng reapiratíon,'' followed by (pinching) belly- 
ache above tbe navel. {H.) 

895. Violent jerka in the hepaüc región," 
taking away the hreath. [Hhff.) 

896. Shooting in the Bpleen whilst walking. 

(iri./i.) 

597. A abarp atitcb under the riba on the 
right aide, oa laughing. {Si.) 

598. Dull atitcbea under the ríbs of the 
left side, on inapiring. {Sí.) 

209. Paine in the epigastrium, vñüi ineffec- 
lual atraining at stool. {A. /.) 

300. Betraction of ihe navel,' eapecial^ iu 
the moming, before eating. {H.) 

301. Buming in the umbÚical región.' 
{ff. WJ.) 

SttS. Buming aenaation in the^ umbilical 
región, whicb rapidly travereed it and apread 
towards the scrohiculua cordia, with anxious 
pulaation ' and sbooting there ; after a ahort 
time carne a rigor over the whole body, nhere- 
upon the hot feeUng and the pain left (afi;. li 
h. Si.) 



Fatholooicai, Ahatoht. 
Abdomen. 

Akikaxs. 

The liver blackish red, the gall bladder dia- 
tended with hile. In a dog. ( JVep/er, 1. o.) 

The liver large, with dark red apots pene- 
trating into ita subatance. In a rabbit. (CErí. 
Z. 1. c, p. 136.) 

The liver congested, in aome parta friable. 
In a rabbit. {Ibid.f. 137.) 

The aurface and all the parenchyma of the 
liver covered with red apota, ita aubstance 
friable, very fidl of blood, as if granulated. 
In a guinea-pig. {Ibid. p. 139.) 

Liver dark browniah red, friable. In a d<^. 
(iWrf. p. 142.) 



303. Pinching aenaation ín the umbilical 
región. {Sí.) 

S04. Compreaaion of the navel, foUowed im- 
mediately by intermittlng preasíve jerka ■ in 
the navel. {Sí.) 

305. Clawing and scraping ia the umbilical 
región. {Si.) 

800. Pinching in the umbilical región as if 
from nausea, followed by alight diarrhcea. ( Wl.) 

307. Draning hellyache on both aidea of the 
navel, alao ezcited by leaning fbrwarda. {ff.) 

308i An unpainful feeling above, and to the 
left of the navel, aa if eomething cold'' (a cold 
flnger) were preemng from within outvrarda. 
(.SI.) 

309. Flatulent coUc in the hypogastrium,' 
aa if irom having taken a purgative. {H.) 

310. Dravring from the left aide of the hypo- 
gaatrium towarda the back, with pain on pres- 

•u™. (a.) 

811, Tranaient colicky pain. (Z.) 

318. Buming in the abdomen. {FS.) 

313. Colicky, diaten8Íve,atretching and pres- 

ai ve paine in the belly aa if from flatulence. (S.) 
3I4i Gripea with sweUiíig of the belly, re- 

lieved by expulsión of flatus. {A. J.) 

315. Pama in the beUy, aa if from flatu- 
lence. {Wl. Sz.) 

316. Drawing paine in the bowels here and 
there. (Z.) 

317. Dartinge in the bowels as if bom 
needlea. {Sz.) 

318. Intolerable (cuttíng) paina in the belly, 
with toBsing about in bed and criea, Ín tbe 
moming (aft. 16 h. H.) 

319. Senaitivenesa of the abdomen to tbe 
touch, as if from slight peritoneal inflamma- 
tion.J ( Wl. 6th d.) 

320. SenaitiveneaB of the hypogastrium to 
the touch.' {H.) 

321. Rumbling and grumbting in the abdo- 
men all night. {H.) 

323. Rumblmg and grumblíng in the abdo- 
men, with aensatioD of rawneaa. {8t.) 

323. Grumblíng fermentation in the abdo- 

n,.„. (ir.) 

334. Rumblmg and gurglingín the abdomen, 
relieved by the expulsión of flatua. (Z.) 



PhM. «) Edt 



ACONITÜM NAPELLUS. 



[Symptoms 325 to 886. 



3S5i RumblÍDg imd gurgling, with shooüng 
Eind contractjve patns bere and there in tbe 
&bdomeD. (Z.) 

326. OuTgliii^ in the abdomen with itching 
in the rectum, proToking Bcratching and cali 
to Btool. ( Wtt.) 

337. Tbe rectl abdomínis Btretched, as bard 
as a board.' [Schri.) 

328. Weaknew oí the bowels," as if from 
the abuse of purgatÍTes. {S.) 



P^THOLOGIO&I. AMlinxT. 

Abdomen. 
Uax. 
(BsophaguB, stomach and intestineB very red 
and inflamed. Tbe bloodvesBelB, especially 
the veinsof theinteBtines.Tery much distended: 
the inflammadon etopped at the ccccum, the 
meseoteiy was very much inflamed, there wai 
mucfa serum in the peritoneal cavity. {¿"¡I.) 



The duodenum and other small intestinee 
coulained a quantíty of víscid dark green mat- 
ter, and had od tbeir mucouB membrane íiregu- 
lar red patchea. {Bd.) 

AMiiiAi.a, 

Almost all the inner eurface of the intestinal 
canal inflamed ; the abdominal reina diatended 
with blood. In a dog. {Wep/er, \. c.) 

Abdomen much distended ; on the inaide of 
the peritoneum, injection of the bloodTesselB. 
Inarabbit. {íE. ^. Le, p. 137.) 

Veisels of the peñtoneum and meBentery 
distended with blood. In a rabbit. (<£. Zff. 
1. c, p. 138.) 

The parietal and intestinal peritoneum in- 
jected in an arborescent manner. In a guinea, 
pig. {(E. Zg. I.C., p. 139.) 

Arnold's experimenta on frogs sbewed a 
congeeted state of the vessels of the stomacb, 
bowels and liver. {Hygea xxi, p. I.) 



WeokneBS. 328. 

SwoUen feelJnK. 12S, 313. 

Swalleo, 130, 314, 463. 679. 

ABiffuUof water. 128, 130. 

Painfal to toncb, 319, 463. 

Pain, 385, 478, 764. 

TJotent pün. 664. 

TightneBB, 677. 

Stratching. 313. 

Contractive pain, 335. 

BhooüngB, 393, 817, 326. 

Drawing. 316. 

Cntting, 317,534 

CoUcky paini, 311, 313, 314, 481. 

Pain as from Satnlence, 313, 31S, 531. 

Gawneu. 3!2. 

Buming. 3t2. 

Coldnesa, 729. 



INDEX TO THE STMPTOMS OF THE ABDOMEN. 



. 321—325, 840, 478, 677. 
Sjplaahúig, 286. 
^ngastnmn, pain, 299. 
Typochon' ' 
291. 

„ conetriction, 292. 

HrpoohondTiiun, right. ahooting, 297. 
Livor, Btitcbeg, 293, 480. 



HfpochondríQm, left, Bhuotiag, 298. 

K" leen, shooting. 296. 
olÑ^ial región, compresaion. 304. 

", pincbing, 294, 303, 

782. 
„ clawing, 305. 



región, scrairing, 305. 
drawingí 307. 
Jei^B. 304. 



iei^B. i 
btlTnÍD{ 



eold.308. 

of naval, 300. 

Lmoliar región, tense, 1 30. 

„ pain, 130. 

„ hard, 130. 

Hypogaatrinni, . . 

„ drawing, 310. 

painfiíl to preranm, 810, 3! 
AMominal parís tieg, ntítCDeB, 463. 
MuBclea of abdomen, hsrd, 837, 618. 

1, drawiug pain, 518. 



Reuakkb. — The mucous membrane of the alimentary canal, and also ita peritoneal coat, shew decided signa of inflammatoiy 
action m the tiving and the inapection of the dead conoborates thia. The liver ia also peculiarly acted on, and the extent to which 
it is involved may be judged of not only by the paina in the organ itself, but also by the symplomatic signa of its deíangement in 
the ezcretiona and skin. ( Vida SS. 342, 343, 679.) 



Rectom and Anus. 



s Apf-i.C«n«.Ciit. 
lad.Un.tlumb-i 






329. Pain in the rectum (aft. 1 h. H.) 

330. Buming feeling in the bEemoTrhoidal 
veesela. ( Wl. 4 d.) 

331. Itching* and presaure" in the htemorr- 
boidal véasela. (Z,) 

332. Shootings and pressure in the anua. 
{H.) 

333. Bleeding hemoTrboíds.' {H.) 



331. Sensation as if a warm fluid veré es. 
caping from the anus.* {Wm. T. /S/l. Z.) 

333. Frequent itching in the rectum, with 
discharge of white,* hot mucus for 1 6 days 
after leaving off the medicine. ( Wtt.) 

334. Transient paralysis of the anua/ invo- 
luntar; evacuatioa. {H.) 



r Bar. CoIT. SUa. 



TCooglt 



Stwftohs S37 To S6S.] 



ACONITUM NAPELLUS. 



Bectom, iteiilng, S36, SS5. 

„ paln, S29. 

» Wt, 334, 33S. 
Ahhb, shootingB, 832, 480. 



INDEX TO THE 8YMPT0MS OF THE BECTUM ASD AlfUS. 
I Aniu, feeling u if k warm fluid otme kir&j, 



diaoliaree of mocos, S35. 

paj^jua, 336. 

onmp-like contnction, 413, 480. 



HnmonboidB, blrading, a 



RXKABKB. — The specific actíon on the heemorrfaoidal Tessels here evinced cannot &il to remind the practitíoner of the utilitf 
of Aconite in acute btemorrhoidal attaclu. 







Stapta.aii^.ziiw. 





































837. Very hot flatua' (aft. 9 h. B.) 

33S. Thiaking to diar.harge mereljr flatus, 

there occun an unexpected erticuation of thin 

feecee (aft. 4 h. H.) 

339. Locaenese ofthebowela. {Wat.) 

340. Aiter two dropa, great sleepineaa, apaa- 
modíc yawning, and the foUowing day in the 
momiDg a hunied cali to stoot, when a copious 
Boft motion WBB passed with straining." 

Oa repeating the dose, intense yawning 
without BleepinesB, great lazinese and feeling of 
BÍnkíng in the atomach, painful rumbling in 
the bowelB and diacharge of flatus with relief. 
Cali to stool and copious evacuatioQ, ibllowed 
by tenesmus. The next day diy cough and 
loóse motion. 



Anotber experiment only occaaioned alight 
preBsive headache in the ríght frontal protube- 
rance, apreading towarda the orbital border, 
with flusbea of heat, chiefly fett in the face and 
eare. (Hk. d.) 

341. Soft, acanty atoóla, 3 or 4 times daily, 
accompanied by atraining.'' {ff.") 

343. White colour of stoot.' {H.) 

343. White ftecea and red uriñe. {H.) 

844. Watery diarrhcBa. {H.) 

3iti, Hard evacuation, a fcw hours earlier 
tban UBuat, requiíing a great effort. {S.) 

346, Hard stool with effort. (Hbg.) 

847. Tery hard fiecea. {Si.) 

318. Conatipatíon ibr eeTeral daya. {N.) 



INDEX TO TBE 8TMPT0MS OF TSE EVAOUATIONS. 



iDioIantarv, 137, 336, 838. 
Cali to Bb»X 326. 

hnnled, 840. 
DiairhaBa, 306, 340, 344, 473, 677, 7S2. 



299 340 
Stoola, hard, S45. 846, 347. 
„ Boft, 839, 841. 
„ tbin, 338, 478. 
„ wBtei7, 844, 478, 481. 
„ white, 342, 343, 870. 



RsiuaKa. — The evacuationa plainly demonatrate the character of the disturbance in the gaetro -intestinal ayatem. SS. 342, 
343 aie eridently connected with S. 625, which eeema to have been a caae of hepatic diatuibance aomewhat ñmilar to tbat of S. 679. 



Vrinaiy Oi^rans. 



rs-bicli. aalpb. 
I BelL CiDlIi. HjTM. 



849. A alight senaation of aplashing in the 
bladder wfaile making water.' {iSl.) 

350. Pain in the bladder wbilst waiking (aft. 
4h. H.) 

351. Burning in the neck of the bladder^ 
when not urinating. (ff.) 

352. TenesmuB of the ueck of the bladder ° 
(aft. 4 h. H.) 

853. Dnil buming in the íbaaa naricularia '' 

(&) 

354. Smgle momentary shootings in the 
urethra whilet waiking.' (Z.) 

355. Shooting and pinching pains in the 
glana penia whilst urinating.' (íT.) 

850. Temporary paralyais of the neck of the 
bladder,* ¡nToluntary emisñon of uriñe. {H.) 

397. Frequent urinatíon. {Z. Wtt.) 

338. Frequent uriuation; the uriñe con- 



tiúna mauy flocka" and strínga of mucus.' 
{Stoe.)^ 

359< Painful cali to unnate, frequent dia- 
charge of timpíd uriñe. {St.) 

860. Increased diacharge of uriñe, which 
depoaits blood on etanding.' {H.) 

361. Desire to urint^e on touching the 
abdomen." [H.) 

868. Anxioua deeire to make water' (aft 
4h. H) 

363. Deñre to make water, the uriñe is tm- 
commonty acanty, is discharged with dlfficulty, 
aa if it could not escape well, but without pain, 
with slight pinching in the umbilical región 
{Jrom the muU of the tíneture. Sí.) 



' Fran a riiemnatic patient. 



byAjOOglt 



ACONITUM KAPELLÜS. 



Sthptoks 364 to S83. 



Dspb. itulc. E 
lod.HwhJIu 



VrbiaT]' <tapms. 



364. Uriñe pasBed with anxieQf. (F7.) 
36d. Uriñe passed with difficulty (dysuríii) 
(aft. 12, 18 h. H.) 

366. Scanty discharge of «riñe. (&.) 

367. Uriñe thicker" and hotter," its dis- 
charge ie attended hj burning in tbe urethra. 
{Wl. 3rdd.) 

368. Uriñe brown.'passed with bumiug sen. 
satioD, with brick dust deposit.'' (^.) 

369. Uriñe dark coloured. {Si.) 



370. Red uriñe* and wbite ftecei. {H.) 

371. Uriñe much clouded. ( Wl.) 



Pathologicai. Amatomy. 
Vrinary Organ». 

The kidnevB congeeted, bladder empty. 
(Ztó.) 



índex to bymptoms of übisaby oboans. 



Eidnaya, shootíng, 130. 

„ «ciidtÍTeaeB8, 527. 
BUddet, iplashine, 349. 

p«in, 3Í0. 
Neck of the Uadder, baming, 351. 
teneEmoB, 352. 
„ paralyaU. 356. 

PoM» nayicnlariE, baming, S53. 
UTethn, BhootíngB, 354, 480. 

„ bnming, 367, 368, 482, 782. 
Ckll to make w&ter, nrgent, 363. 

„ aiudons, 362, 364. 



Cali to make water, p^ftil, 359. 

„ OH tonching abdomen, 8S1. 

DÍBcbarge of urina, frequent, 357—360. 

difficiilt. 363, 366. 
InTolnntiirj discbsrge of oñne, 127, 366. 
When maJung water, Bplashing in bladder, 349. 
„ pain in gUna podíb, 356, 

780. 
„ pain lu nmbilii!*] región, 

363. 



Uñne, snppreBBed, 130, 482. 
„ scantj, 363, 366. 
„ increased, 360, 774. 

hot, 367, 780. 

tnrbid, 367, 371. 

dark, 369, 760. 

red, 370, 482, 778. 

brown, 368, 478. 

contuning flocks, 868. 

conUiniíiK Btrinn of rniiciu, 
U1ÍIUU7 depoait, brick dnit, 368. 

„ dirty brown, 476. 



Reh jUtKS. — BeaideB the urinaiy Bymptoms indicative of gastro-intestinal and hepatic derangement, we find a well-marked 
action ou the mucouB membrane of the urinary organs, amounting to great irritalion, if not inflammation, of the bladder and m^thra. 
The kidneya seem líkewise to be acted on direcüy. 



Gtnttal O^ans. 



378. Itchíng in the prepuce, relieved by 
nibbing," but sooa retuming (aft. 3 d. W.) 

373. Voluptuoue itching íd the glans peaie.'' 

(«■■) 

374. Slight, not diBagreeable creepÍDg in 
the genitíds." {Si.) 

375. Retraction of the Bcrotum.' (Z.) 

376. Simple pain in the teaticle, like that 
caused by a bruise' (aft. 2 h. H.) 

377. Bruised pain in the teBticlcB.' (5z. Wl.) 

378. FitB of lasciviousnesB. {Sí.) 

379. Greatty increased Bezual deeire, quick- 
ly altemating with an oppoaite state. {St.) 

380. Frequent erecdons, with increased 
sexual desire. (Z.) 



381. Dimiaished sexual desire. {H.) 

383. Metrorrhagia. {H.) 

383. The catamenia which had ceased the 
day before commencing the mediwie, break 
out anew (aft. J h. St.) 



Patholooicai, Akatout. 

Oemlal Organs. 

AniuAxa. 

Spermatic cord and testicles injected. 
rabbit. (£E. ^. I.C., p. 136.) 



INDEX TO SFMPTOMS OF THE GENITAL OBOANS. 



OeniUlB, creeptng. 37 
„ itching, 632. 

PrepDoe, itching, 372. 

OUna penb, ebooting, 
pinching, 
Itcbing, i 



Testicle, bmisad ptúa, 376, 377. 
Bcrotam, itcbing, 779. 

„ retractéd, 375. 

„ perspiration, 779. 
Bexnal desire, ¡ncrDMcd, 243, 378,' 379, 380, 



Sexual desire, diminlshed, 87 9, 861. 

Erectiona, fraquent, 360. 

Recnrrence 01 catamenia afler tbdr o 



355,780. 
Itching, 373. 480, 780. 

Rehabks. — Naturally ía the aymptom of bruieed pEÜn in the teitictes that occurred in Bereral of the piorers. 



yCoogle 



Sthptokb 384 10 414.] 



ACONITUM NAPELLUS. 



Hasal naoons Membrane. 



3S1> Frequent TÍoleat sneeitng. (Z.) 
389> Frequent violent Bneezing', with pain ii 
the abdomen. (St.) 

386. Intemipted Bneezing from pain in tbi 
lefl side of the cheat. {Si.) 

387. Dryneaa of the noee, (Z.) 

388. Sensation as if coryza were about b 
commence. {Wií. M.) 



380. Flow of clear fluid firom the nose.* 
(Z. Wst. Sz.) 

390. Violent coryza. (S. Wat. Wk.) 

391. Attack of catairh and coryza (between 
8 and 12 h. H.) 



INDEX TO SYMFTOMS OF TBE NASAL MUC0U8 MEMBRáNE. 

). \ Feeling of coiyza, 388, 479. 

Coryía, 390, 391. 777, 782. 
87. I „ fliMnt,483. J 

Rbiubkb. — We have here eridence of coryza, and not a few examples of regular catarrhal ferer. 



liOrjuz and Tntoliea. 



NiU-Di. Bulph. 
i Am-ctiu. Ant< 

Ciotal. Dipb. H 



/ Am-cuu.An-FIm. 



39S. Senaitiveness of the larynx to the in- 
epired air, as if its mucoua membrane were 
divested of its coTeiing.* (Z.) 

393. Sensation as if the larynx were com. 
presaed on both aidea.'' {St.) 

391. Tickling in the laiynx from amoking 
tobáceo. {Wl.) 

395. Hoarseness in tbe morning' (afl. 8 b. 
B.) 

396. Very weak voice* (Fg.) 

397. Sensation of niunbness in tbe trachea, 
under the etemum.' (aft. S h. H.) 

398. Raw feeling in the throat, along tbe 
course of tbe trachea, provokíng frequent ahort 
cougb. (Sx.) 

399. Short cougb. {11.) 

400. Cough añer drínking.' {S.) 

401. (Cough duríng the beata. H.) 

40S. Severo cough ftom tobáceo amoke ' (in 
one accustomed to amoke. H.) 

403. He (tbougb accustomed to amoke) can- 
not smoke without constantly bemming and 
cougbin^, eitber because the epigiottis penuits 
the entrance of amoke into tbe laiynx, or be- 
cause the glottia ia more aensitive than uanal 
(aft. 6 h. H.) 

404> Cough from initation in tbe laiynz, 
with ezpectoratíon of gelaünous mucua.'' (Z.) 

403. Short cougb from a tickling in tbe 



latyns, añer midnigbt,' every balf boui; the 
more it is"attempted to be repressed, tbe more 
frequent and aevere it becomes. {H.) 

406. Cougb brioging tears into the eyee.' 

407. TuBsiculaüon from a tickling at the 
top of tbe larynx ^ (immediately. H.) 

406. Hoarae,' diy loud cough. (Wk.) 

409. Violent diy cougb, wbereby a little 
fluid is brought into the mouth, of a aweettfib " 
salf taate like blood. {Z.) 

410. H(emoptyBÍ8. {H.) 

411. On cougbing, pain in the larynx. " 
iWh.) 

418. Violent dry cough, with cramplike con- 
traction of tbe anua.'' (Z.) 

413. Morbidconditlon (attackaof paralyaía?) 
of the epigiottis, food and drink eaeily pasa into 
the windpipe on awallowing,' threatening suf- 
focation and cauaing cough.' (E.) 

414. Easy chokiog wbilst awallowing aaliva. 



Fatholooicax AiTi.ioirY, 
Larynx and Trachea. 
Amzmaxs. 
Mucoue membrane of the trachea mucb in- 
jected. In a rabbit and guinea-pig. {(E.Zg. 
I.C., pp. 138,139.) 



INDEX TO 8YMPT0MS OF THE LABYNX AND TRACHEA. 



q Kil-c. Miti-D 

Pbcl. Bbtu. 
qr Mlti. 






comprcsHed, 8 

tickOng, 394, 



r, B9S. 



ig. 394, 405, 407, 476. 
„ inilation, 404, 480, 433. 
„ pain on congÚng, 411. 
„ icratcIiiDg, 477. 
„ law yaía, 460, 483. 
Trachea, preaaÍTe paúl, 483, 613. 



„ di7 feeling, 4S3. 

„ borning, ^3. 

„ rattlinK in tmohea, 127. 
Epigiottis, para^BÍB, 413. 
Chokin^, 413, 414. 
Weak Toioe, 396. 
iDabUity to qieak alond, G61. 
EoBiBenesB, 395, 483. 



Congli, 898—409, 413, 464, 483, 476, 479, 460, 

482,674. 
„ dry, 243, 340, 408, 409, 412, 477, 479, 

480, 481, 483. 
„ HhoTt, 398, 399, 406, 407, 416. 
„ hoarae, 408. 
„ kiid,408. 
„ dnU-tODed, 483. 



dby Google 



ACONITUM NAPELLTJS. 



Stmptomb 416 TO 46S. 



■ Anm . Atl Btdbi. 
Cumpb. de. Cocc. 

Foi-u. H«S! 

Nltr-'u. Ku-v.' 



k Cose. l4>et>T. 
i Bnm. Bit. Cii" 



Cspi. Clrb-T. Cnc. 



a CailM.HBi.Phoi. 



415. Slow,* difflcuh respiratíon. (^Fff.) 

416. Sbort breath in sleep, Hlter midnicht" 

417. Deep sighiny." {A. J.)* 

418. Sighing ott account of slon ñrculatíon 
and dietinct feeling of congeetioa of blood in 
the lungB.* (Z.) 

419. Oppressed breathing. {A. J. Fg.) 
4S0. Icspiration througb tbe noBe impeded, 

especiallf in sleep. {H.) 

421. Loud,* ooiay' breatbing, witb open 
moutb. (H) 

4S3. TightneBs of the cbeet, -witb strong, 
loud respiralJOD.* (JEf.) 

423. Sentation as if the cheet were con- 
tracted. {Si.) 

4í¡4. CoDstriction af tbe chest, to tbe right 
of the Bternum," a kind of tígbtuesB. {St.) 

435. Difficult respiratíon, anzious gaspinga 
for air.' {A. J.) 

4S6. Anzie^ in the chest and oppression on 
tbe right side, aítemards in tbe whote chest 
{St.) 

427. Anziety, impeding respiratíon, nitb 
warm sweat onthe forehead.* {H.) 

43S. Respinition irregular, ^ort and hunied, 
or deep and sighing. {Pg.) f 

429. FiEtid breath." {H.) 

430. Oppression of the chest, reliered by 
deep inspiration.' {^A. J.) 

431. Oppresaion of the chest, iucreased by 
deep inspiration," {A. /.) 

432i Oppression' and anziely of the chest 
on deep inspiration. {A. J,) 

433. Oppression of the chest, nith raw pain 
under the sl«mum° on inspiration. (Z.) 

434i Pains in Ü¡e ches^ ezcited by deep in- 
spiration.'' (A. J.) 

435. Presaive pain in the chest, relieved by 
bending the body backvards, but renewed on 
resuming a straight position ' (aft. 12 h. W.) 

436. Pressure on the chest, first on the right 
BÍde, then on the left. {Wm.) 

437. PresBive pain oa the left side of the 
chest superiorly,' the part is sensitive to the 
touch. {Wm.) 

438. PreseiTe pain m the región of the 
second left rib, near the sternum, limited to a 
spot tbe size of the palm of the hand, increased 
by deep inspiration. (Z. T. ^ /2.) 

439. Pressure and burning under the ster- 

.™/ (&.) 

440. FeelÍQg of weight on the chest, as if 
tbe whole chest were compressed from all sides.* 
(IF.) 

441. Weight under the sternum, prerenting 



* InCoarteii'fl experimenta ondiM;*, he partioDlarij 
notíced a kind of crying-and HobEang, Uke braken 
Bíghs, (PhiL Trant. vol. htü, p. 488.) 

t In Amold'B experíments on ftogt the ta^íditr of 
ths respÍTatÍDn wu ñnt inciBUed, thsa dinuniíued. 
(£■««* ixi, 1.) 



deep inspiration, painful pressure írom the 
sternum to the spine.* ( Wl.) 

44& Weight on the chest, witb a quick 
Buccession of fine but violent stitches on the 
left ñde from without inwards. ( Wl.) 

443. ContracÜTe pain in tbe chest, as if the 
ribs of both sides veré drawn towards eacb 
otber.' {A/tr.) 

444. DuU pain behind the sternum.' (ffz.) 

445. ShooUng, preBsive psin on tbe right 
úde of tbe sternum. ( W.) 

446. Squeezing pain in the chest.' (^.) 

447. Fressive, squeeimg pain in tbe cbest, 
under tbe sternum.'' (H.) 

448. Pressive, tight pain in tbe side of the 
chest. {H.) 

449. Stitches in tbe chest (on breathíng). 

450. Violent stitches througb tbe chest. 

(Ifz.) 

451. Superficial slitcbes ia the chest* and 
cardiac región. {St.) 

452. Stitches in the lower part of tbe chest 
towards tbe false ribs.' (Z.) 

453. Violent stitches in the chest, witb sus- 
pensión of tbe respiration.'' (Wí.) 

454. Stitches iu the chest, with cou^,° 
Í,A. J., 

455. Single lai^e stitches in the side, to- 
wards the back'' (aft. 24 fa. H.) 

456. Stitches from the lowest rib on the 
right side to the apez of the shoulder blade, 
througb the centre of tbe chest, accompauying 
every inspiration, with complaining humour.* 

457. Sbooting in tbe right side of the chest, 
with complaining, iacrymose humour. {H.) 

458. Painful stitches in tbe right side of the 
chest, about the last rib, going tbrougfa to tbe 
back ' (aft 10 h. W.) 

459. PiDclúog,' scraping pain in tbe right 
side of the chest, between the 3rd and 4th 
ríbe, not afiected by anytfaing, it goee awBT of 
itself. {Ahr.) 

460. Ihill, oppressive stitches in tbe left 
side, near tbe axUla. {St.) 

461. Sbooting in the lower half of tbe left 
side of the chest, going off on lying down. 
(WÍ./1.) 

462. Sbooting, boiing,'' scraping paín in tbe 
left side, between tbe fourtb and eizth ribs, 
lasting 10 minutes. {Ahr.) 

463. After 20 doses of tbe 2nd dil. On 
risíng in the moming, acute lancinating stitches 
in the cardiac región, ae if in the pleura cos- 
talis, that prevent bim assuming an upright 
posture or breatbing deeply,' with an inclina- 
tion to cougb; after rubbing the skin^ and 
making gradual efibrts to breathe deeply, tbis 
Bymptom went off, but that part of the thoraz 
remúned sensitive even to extemal pressure. 

After dinner, heartbum and pain in stomach. 
In the erening, flying stitches here and 



Cub-L NUc-s. 

Thui. 
I Amb.Ant-CT.AH(. 
BoT. CUDiih. Ciui. 
Cocc. Hep. Utl-T. 



^K^.SilpI 



{ Cdoc. Ui 
a Maz-e. 



,*^oogle 



SntPTOMS 464 to479.] 



ACONITÜM NAPELLUS. 



lAtth.BelLCiaa-1. 

I Ai^.C>le-LCilc-e. 
Giu. Mal. M(I. 

Mít-B. NUI-T. 

riamb-H. Fa\M. 
Bn-L SpInL 

Solpk. Tlui. VM. 
ImK-ach. 
■ Bor. Cilc-ii. Dn*. 



f An. BiT-ra. BeO. 



e. LACt-T. [aotoc. 



Cío. nn. Ctotal. 
LTe.'pulLkhug-t. 
Am-í.CoeoJduT. 


a; 


„"'k.,'S 



there in the ñbB, the abdominal pañetes, the 
jointe, great swcllin^ of the bell^, which is 
painlul to the touch.^ (Z.) 

464. FJjing stitchea in the pectoralía major' 
and intercoetEd muecles of the left side.°* {Sui.) 

465. Pain in the cbest like a ahootin^, inter- 
mpting reapiration. (ff.) 

466> Shooting in the aide, followed by pal- 
pitation and pressive headache with anxiety 
and ill.humour. {S.) 

407. Fine buming ehootin^ pain in the 
cheat." (H.) 

468> Pain as from a bruiae b ihe loveet rib, 
very much increaaed by the touch," whereby 
the patient is very uneaey and comptaine. {H.) 

469. Pain in the raiddle of the atemum aa 
fram a hniise,' increased by touch. (H.) 

470. Creeping pain in the cheat.' {S.) 

471. Crawling in the chest aa from beetles." 

472. Feeling of heat in the liingB.' ( Wl.) 

473. Onawing pain in the right clavicle.' 

474. A digging,' boring' pain from the right 
scapula to the front of the cheet, increaaed by 
deep inspiration, but not by ezpiration, lasüng 
12 miautcB. {AAr.) 

473. During all the proving, audden and 
frequent congestión of the head with anziety," 
followed by rigor over the back. Eaúly üred 
wheu walldng and eapecially going up ataira, 
had to rest on account of dyepncea and hot 
feeling iñ the lunge,' sleepineae, dieinclinatdon 
for mental labour, moroaeneea, peeTishneas, 
dialike to compaoy and fearfulneaa. (Wl.) 

476. Five drops caused the following eymp- 
toms. Tickling in the larynx causing cough ; ' 
losa üf appelite; empty emctationa; preaenre 
in the BcrobiculuB after eating. Towarda eve- 
ning ahoota in the centre of the atemmn with 
particularly good humour. The aleep waa very 
ligbt. A few days afler, 10 drope were taken, 
which cauaed the aome pressure in Üie etcmiach, 
with dryneaa in the cesophagus and great 
thirst,' the water seemed not to moisten the 
parta it paaaed over. Fatlgued feeling ¡n the 
cheat,' tussiculation. The next day ezpectora- 
tion of blood and mucus,' with a raw feeling 
behind the sternum.* In the evening heat (^ 
the palma and cheeks. Went to bed Tery reat- 
lesa and ezcited, and slept with difficulty. Xot 
refreahed on riaing nezt moming. Ttae state 
with the fever in Uie evening lasted for 4 daya. 

(üm.) 

477. Afler 10 dr. for 3 aucceaÚTe daya, 
confusión of the head, laating 6 — 7 hotm every 
day, with shuddering all over the body, and 
feeling so coid" that he could not get himaelf 
warmed beside the atove. 

Tbe nezt day 15 dr., which was followed 
J an hour afterwarda hy auddeu violent palpj. 
tation whilst he waa aitting quíetly," with a 
tíght feeling in the chest.'' He felt as if hot 
water were being poured into the cheat;* 



immediately aflerwards he felt ley cold and 
neaily fiúnted. Tbis attack lasted 5 minutes. 
Dunng the day frequent recurrence of the 
rigor with violent pain in the right temple ; 
sleeplees nigbt. 

Afler 15 dr., nezt day palpitation laating all 
day, relieved by quiet, increaeed by wallung/ 
In the evening, beadache that increaaed to 
violent preasure in both parietal regióse, that 
kept bim awake at night. Conatant ehudder. 
iog. Very weak. 

On repeating the dose, thirst, proetration, 
heat and rigor, pressive headache in the vértex 
in the evening, pulse full, 80 — 90 ; restleas 
night diaturbed by fearfnt dreams : the nezt 
two daya ahoota through the cheat and a diaa- 
greeable ecratching in the throat provoking 
dry cough,' altemation of heat and cold. Afler 
40 dropa more, the cough continued for two 
daya, diy heat all over the body;" at night 
tbirst, restleasnesa, rigor and heat tiU mor- 
ning, by day bítter taate in the moutb. More 
of the medicine occasioned dry heat and ez- 
haustion, violent rigor in the evening and head- 
ache lastiog till midnight, great oppreasion of 
the cheat and feeling aa if a huodred-weight 
lay on it. Nighta restlesa. (i/.) 

478. Afler a conuderable doee, the chief 
symptoms for four or five daya were : Pressive 
headache, chiefly in the vertez and forehead, 
great oppressiou of the chest, moking him 
breathe deeply,' with flying shoots in it, palpi- 
tation of the heart combined with great anziety 
and reetleasnees' and preaeive pain in the car- 
dias región,' diarThoea of tbin vrateiy and fetid 
feecea' with rmnbling in the beUy and pain, 
brownish coloured uriñe "^ depositing a dirty 
brown sediment," fiushing of the face and cold 
hands and feet, especially in the evening. 
{m. a.) 

479. Whilat taking near 500 drope of the 
tinct. the chief symptoma that occurred were : 
heavineas of the head, sleepiness. The atomacb 
seemed to ñse and aink,' perceptible lo the 
hand, along with thia great anziety, the heart 
beat quickly, whilat the pulse waa (jow, appa- 
rently inteimitüng.^ His etrength during this 
eymptom sank, 

The ateepineaa increaaed afler more medi- 
cine ; he could not read, write, or speak for it. 
Hia tbougbta were distracted, yeaterday ap- 
pcared a long time ago, and he was long befare 
he could collect his ideas ¡ great vértigo after 
dinner.'' 

Afler more medicine, punfiíl ahocka in the 
left chest superiorly,' especially on taking a 
deep breath, difflcully of breathíng, feeling as 
if he would take cold, frequent aneezing with 
shootings in the chest,* sleepiness even while 
wolking,* anzioua dreama at night, great weari- 
ness on walking. 

Nezt day, afler more medióme, feeling of 
coryza, difficulty of breathíng relieved by cough- 



klfax~j. 



En«. Patr. 



t-í. Lob. rm 

BoT. ÍMc-t. 



Vea. Fhoi. plomb. 

I Amn. Aor. da. 
Cineh-h Dlg. Vil. 






Sop. Siilph. 
Ciib-ii. Xd-byd. 
Nitr.Spl(*l.Su1pb. 



yGoogk 



ACONITÜM NAPELLUS. 



[Stmptoms 480 To 482. 



Hcp.Uen.Nui-< 

Sibin. Bpoog. Til 
■ K>l-c. Hmtr-e. 



a Amni. Aut-t. Un 



I BOT. Bit. Cart>^. 



I Con. ProD-*. 

/a) 



( Arg-n.Bti4.0nit. 
t Clle-e. Sulph. 



J BuTH!. C«pb-fc N»- 

tr-e. BhcKl. Zinc. 
j CMh-. PheL Sec 



atítches ín the led chest, aleepiíiera, dis- 
traction, pain in top of head relieved by waih- 
ing with cold water, great Teetleesness, trequent 
:haiige of poBÍtion, distraction of thoughts, íor- 
getB vihat he was (^ing to do the neit momeut. 
Disturbed deep. 

After more medicine, taste of pepper oa the 
point of the tongue, palpitatíon, heat of body, 
anxiety, reUeved by drinkiog cold water," but 
soon retuTuing, he felt as if aome dreadful mis- 
fortune were going to befoU him.* Vértigo. 
Cough with sbooting in chest, pulse full, rapid. 

Next day, afler 80 dr., empty enictaüons, 
swelting of stomachic re^on,' which íb seasi- 
tÍTC to the touch, paín in vértex like a grcat 
weight. Sudden vértigo after eating,'! periodícal 
etitches through chest,* with dry cough. Best- 
leBSDess at cight, altérnate heat and cold. {M.) 

480. After 30 dr. of the tincture ; during 
the day, painful drawing here and there, 
chiefly in cUffeient parta of the thornx, and in 
the upper and forearms ; ' wearineBS of the 
arma and legB ; confusión of head ; continued 
pressure in the vértex ; scraping and con- 
stnction of the throat; oppression of chest, 
making him sigh trequently; ' somelimes stit- 
ches through the chest; occasional eructations ; 
sexual desire increased. 

On going out in the erening from a half- 
dark room into the street, flickeríng before the 
eyes — the lamp light quivered ; " he could 
with difficulty see the face of passers-by; he 
seemed to see worse at a short than a long 
distance. 

Passed a reetleM night ; body very hot ; 
toBBed about much, and had excessively vivid 
dreamB, 

Tooh next moming 30 dr. with the same 
resulta. 

Next day 40 dr., which occasioned the aame 
symptoniB; but more opprcBsion of chest, and 
on coming into a warm room from the open 
air, irritation in the laiynx and dry cough ;* 
increased feeling of prostration. 

After 100 dr, more the chest became painful 
extemally on several places, particularly the 
right Bidé ; breathing much afiected ; muet often 
sigh deeply. Inspiration oñen prevented by a 
feeling of compresMon in the middle and ante- 
rior part of the chest,* or by pínching, especially 
in the right ñank,' or fiolent shoota deep in 
the región of the liver." Change of tempemture 
cauaed dry cough, with raw pun in the cheat.' 

Feeling of weight in the stomach, accom- 
panied by constriction in the throat and 
attacks of nausea.^ 

On walking in the open úr an acute pres- 
sing pain by fita in the I. patella," r. tendo 
AchilLÍB, and dorsum of 1. foot. 

Afler another 100 dr. the throat aeemed to 
swell, with a feeling as if there was a quantity 
of mucua ' there that he could not get ríd of by 
, hawking ; flow of frothy ^ saliva into the mouth ; 



eructatíon of air ; frequent dry cough, with 
raw pain in the chest and larynx ; ^ shoota in 
the forehead, back, aidea of the chest, fingers 
and back of the hand, like electric aparks.' A 
sensation like pincbing on some parta of the 
left arm, near the elbow. Itching in several 
muscular parts, especially the forearma. 

Great wearinesa, as if after walking far ; 
tensive, prcssive pain in the lumbar and sacral 
regions. 

Violent very painftil contraction in the anus ;" 
stitches through the anus and urethra. 

CoDBtant itching and smarting on several 
partB of the skin ; miliary vesicleB ariae here 
and there that fill with yellow lyniph, and then 

Preasure and heavínesa in the vértex ; disin- 
clination for mental work, 

Stiffness and beaviness of limbs wben walk. 
ing, preventing him walking quickly. Mights 
alnaya restlesa, and in the moming he felt as 
if he had been drunk over night. 

Eighty dr. more increaaed the cough and 
raw pain in the chest hehind the stemum. 
These symptoma increased towards evening, 
with oppression of the chest. 

The above symptoras contínued to shew 
themselves on repeating the medicine ; the 
moat constant were the pressure on the vértex," 
restlesBnees at night, increased teinperature of 
akin and thirst. The vértex felt hot to the 
touch " extemally, and the hair bristied up 
there.'' The oppression of the chest and the 
dry cough were pretty constant, and bo were 
the drawing, ahooting, gnawing pains in the 
limba, especially the forearms. Along with 
these was an anxious, timid diaposition. 

Wine and coffee only removed the B3miptom 
for a ahort time, they retumed again. ( Wz.) 

481. Afler taking in all 34 drops in 3 dayí 
during 6 days the chief symptoma were : head- 
ache and heaviness in the forehead ; liquid 
Btoola with some griping ; oppression of the 
chest, causing difficult respiration ; inclination 
to aigh ; i palpitation ; dry cough, with occa- 
aional expectoraüon of bright red blood ; ' con- 
siderable anxiety ; appetite good. {Hk. i.) 

482. Afler 24 dropa : buming on the eides 
of the tongue ; ' dryness in palatc and oonatric- 
tíon in ceaophagus, not relieved by drinking 
T:old water. Constant flow of saliva into the 
mouth, frequent rising from the stomach, and 
no appetite. Vértigo wlien walking or driving. 
Tongue felt like leather;' great prostration; 
increased heat of skin ; fiying shoots along the 
stemum and betwist the riba. SIeep restless, 
brokeo, unrefreshing. Though he drank much 
during the night he made no water. Next 
moming he passed red uriñe, with buming 
along the urethra;" he felt better aft*T break- 
fast, but soon ailerwards, when in the open air, 
he had severe atlack of rigor over the back and 
chest, followed by great heat, (with headacbe,) 



I Symptom 483.] 



ACONITUM NAPELLUS. 



«Nni-T. Op. Bbe. 



y Bigni.DiiphJfui-J. 



wUcfa the ]eaat moTement brougfatback, There 
cune on violent cough, nich painful shooting 
in different parta of the cheat, compelHng him 
alvEkys to lie on the back, and preventiog him 
lying on the eide. The night was restlesa; 
peTBpiratJoa after midnight with relief; uriiie 
as before. The nezt day at 3 f. v. he had 
another attack of fever. Pulse 96 ; &equeiit 
cough, with BeTere pains from the ehock 
through the cbest; espectoratioD aometimes 
browDÍsh-red, ruat-coloured.' Afler this he 
got better graduallj. (Bm.) 

483. Duríng 10 days modérate dosee of the 
tincture were taken with the followiog reault : 
Every night great restlesEnesa ; he slept a few 
houre before midnight tormented with dieagreC' 
able dreams, and lay awake the rest of the 
night, or rather in a kind of half-waking átate, 
with fantaatic TiBionH." Oreat heat all oyer 
the body and buming itching, eepecially on 
the inside of the tbigha and about the kneea. 
Od the third day there occurred raw feeling 
ia throat, with frequent secretioo of mucus 
from the larynx, drawing and paralytic stiff- 
nees in the r. upper ano. On the 6th day 
diy cough from irrítatíon in the larynx.^ 

On the 9th day an attack of rigor afler mid- 
night, which aeemed to añae from the precor- 
dia and estend to the limbe. Attacks of this 
awoke him frequently during the night, and 
were followed by buming, dry heat, with febrile 
pulee. In the moming modérate perEpiration. 

On the llth day violent atitches in the 
región of the 8th, 9th and lOtb riba, but not 
affectiiig deep inapiration. The 12th and 13lh 
days these stitchea atill continued, and oíteu 
estended to the loíns. 

The 14th day at night a rigor, followed by 
ezceeaÍTely copioua perapiration, aleeplesaneae ¡ 
in the moming fluent coryza ; rheumaüc pains, 
chiefly in the knee.' 

The 1 5th day another rigor at night, followed 
by dry, hot akin and perapiration ; the coryza 
went on. The 16th and 1 7th daya dry cough, 
very yiolent in the warm roora;' weigbt on 
the cheet ; bruiaed pun betwixt the ehouldera. 
The two next daya headache in the temples; 



hoarseness ; diy cough ¡ dry feeling in the 
trachea; expectoraron of tWn white mncus, 
mixed with streaka of bright red blood ; bruieed 
pain betwixt ahouldcr bladea.* These eymp- 
toma continued to increaae ; the headache be- 
came violent ; the cough veiy severe, with a 
peculiar dull tone,'' cauaing a great etnún at 
the cheet, almoat dry. Shiveriog in the eve- 
ning; conatant irritation to cough. The foU 
lowing (2lBt) day, the trachea was the seat of 
presaive and buming paine, estending down to 
the Bcrobiculua. Headache and violent face- 
ache (v. S. 191) came on. The two fotlowing 
daya the cough waa aevere, and another attack 
of rigor came on at night. Thereafter the 
eyraploma declined; the cough becoming looae 
and rare, and in about 5 weeka fr^m the com- 
mencement of the aymptoms, he was quite 
weU. (R¡.) 



FATaoLooioAL Ahaiomy. 



Cheii. 
Man. 

The lunga, eapecially thetr lower lobea, con- 
geated with black blood. {Sd.) 

The pulmonary parenchyma congesled with 
blood and scarcely crepitating. (í"».) 

The lunga heavy, bluish, violet posteriorly, 
little crepitating and filled with blood. {PÜ.) 

Anikals. 

The Burface of the lunga marbled with dark 
red and vermilion apota, penetrating into their 
Buhatance, on cutting into them a qu&ntity of 
reddÍEh brown viscid fluid flowed out. A rab- 
bit. (£E. Z. Le, p. 136.) 

Lungs very red, cedematoua, congeated, with 
many ecchymoaed apota on their surface. In 
arabblt (CE. Z. I. c, p. 138.) 

Lungs extemally chocolate coloured, inter- 
nally dark red, their lobea very iuU of blood. 
Inadog. (ffi. Z. I.c, p. 142.) 

Lungs firm, brownish, fitlcd wiüi blood, lees 
crepitating than natural. In a dog. (Orfila, 
Toxko¡., mi. íü, p. 59.) 



> Cuu. Onn. H«n. 
Nicr-m. Noi-T. 



Opprearion, 2*2, 4!6. 430, 431, 43!. 433, 477, 

47S, 480, 481, 494, 677. 717, 778, 780. 
We¡ght,-440, 443, 477, 4SS. 
Fnhiess, 778. 
Fatigue, 248, 476. 
Onutrictioii, 130, £79, 422, 424, 448, 477, 487, 

494. 
Contracted feeling, 423, 443. 
Sqiieezing, 446. 
Aniiety, 426, 427, 432. 
Pain, 434. 

Preseive pain, 436, 436, 448. 
aootings, 8, 243, 449, 460, 451, 452, 453, 454, 

455, 463, 466, 466, 467, 477, 478, 479, 480, 

482,483. 
Drawing, 480. 



índex to TSE 8YMFT0MB OF TME C3EST. 
Baw pain, 480. 
Bmised pain, 467. 
Creeping pain, 470. 
Crawling, 471. 
Heat, 200, 243, 477, 781. 
Buming, 467. 

Ab if hot water were poored in, 477. 
Lnnge, feeling of congestión, 416. 

„ heat, 472, 475. 
Stenial región, weight, 441. 

„ dnll paio. 444. 

„ preaBiUG, 439, 441, 445, 4 

„ CODipreHaioQ, 480. 

„ Bhooting, 445, 476, 482. 

„ squeezing, 447. 

„ bmised pain, 469. 



ti ragion, raw pain, 433, 476, 480. 



„ piccbing, 459. 

„ eciBpiíig, 459. 

„ enawing, 473. 

„ digfting, 474. 

„ bonng, 474. 

Leñ thoiax, pain, 386. 

„ preHsive pun, 437, 438. 

„ scnsitive to tonch, 437. 

„ Htitcbes, 442,460,461,462,419,674 

„ boring, 462. 

„ Bcntpmg, 462. 

„ drawing, 674 



ACONITUM NAPEIXUS. 



"Syhptoms 484 xo SOO. 



INDEX TO THE STMPTOMS OF TBE CBEST (eon&meA). 



Lefl tboTKz, bmUed pain, 781. 
Chest, extenallj, painfol, 480. 
MoMles gf ohast, etitchei, 464. 
The MI pMugeB feel wide. 728. 
DyspooM, 388. 475, 494, 716, 764. 
Dread of sofiboatioii, 638. 
Demre to bnathe deepl?, 32, 478. 
Ba^ntion, short, 127, 416, 428, 600, 678. 

„ affioolt, 127, 41S, 419, 42&, 479, 

481, ^0, 679, 182. 

„ jbw, 415, 679. 

„ tluoágb ncM iinpeded, 4!0. 



BeapiíadoD, load. 421, 432. 

„ noÍB;, 421, 663. 

„ gosping. 425. 

„ irrarulAT, 428. 

„ humed, 428. 

„ deep, 428. 

„ obstmoted, 441, 463, 465, 480. 

„ qnick, 678, 780. 

„ superficial, 778. 

„ liks A goat bleating, 707. 

Kghlng, 127, 243, 417, 418, 428, 480, 481, 778. 
MuconB ntUe, 663, 678. 



Aooompanyíng 

449, 456. 
Acoompaujing 



reipintíon, sütehes ín chest, 



painingáll Uadder, 



Rbiubkb. — These veij decided ^mptoms connecUd with the reepiratory organs shew a power of inducmg' imtation, 
congeaüoD and mflunmatoiy action in the whole of the mucouB membrene, the pareocbyma of Üie lun^, ftud theii eerous membrane. 



1 ABt-t.Cllill-l.GRH. 



D An.Aip. Ant. Bot. 

CiiK. iÑi. Otli 
Onph. K-ml 
Luh. Menurit 



8«p. BpipL eulpl 

é Ciui. Elrc.' K-eh 
Hcreuiiil. Nin 

vxa-vi. BidHi. 

« Mitr. 

/ Bn. Oluo. 



Beart and Circnlatioii. 



48li Slow jerks ín tbe cardiac regioD, to- 
wards the Burface of the chest" (íí.) 

485. Heat^ and dUagreeable aensation in 
theheart. (ff/.) 

486. Slight stitchea in the cardiac re^on. 
{ScKn. Hk. a.) 

487. Anxiety in the cardiac región, with 
contracted pulee and constriction of the cfaest 
whcD HÍtting aíter much motion. (Z.) 

488. Compression of the chest ín the región 
ofthe heart. {St.) 

489. Anxiety in the caidiac región, with 
quicker and stronger heait'e beat. (Z.) 

490. Palpitation, with great anxiety,' djffi- 
culty of breathing' and great wearineBS in all 
the limba ; eensatíon as of Bomething ruehing 
into the head, with conAuion and flying heat ia 
the face.' (5í.) 

491. Palpitation and anxiety, with increaaed 
heat, especuJly ofthe face.* (-Sí.) 

493. Palpitaron ofthe heart. {A. J.) 

493. Tendency to palpitation, with trem- 
Wing.^(jy.) 

494. After takin^ and whilst taking a large 
quantity of the tincture, the followiiig symp- 
tomB occurred. Tearing in the arms and legs, 
the knees and elbowa for aeveral days ; then 
cessation of theee paiae and violent palpitation 
in place of them, that carne on at 8 and 8 r.H. 
Two days añerwarde the tearing pains in the 
limbí recuired and the palpitation ceased. The 
neit two days the palpitation recurred with 
feeling of tighlness on the chest,* the limbs 
keeping free from pain. Bowela constípated. 
The palpitation continued to increaee, and waa 
accompanied wiüi great ansiety and oppreBsion 
of the cheat, and Bometimee great dyspnosa. 
The tearing in the limbB was occasionally ob- 
served afterwaids, and occurred at intervala a 
moDtti after leaving off the medicine. At one 
time whilst taking the medicine there occurred 
violent headache, aa if it were equally uom- 
preased from all BÍdea,'' all over tbe head, and 



the orbit was once the seat of preasíve tearing 
pains. {N.) 

49$. Pulae contracted, full, powerful, febrile, 
ezceeding 100 beats per minute in adults. 
{A. J.) 

496. Slow pulse. (Jy.) 
497i Pulse slow and intermitting. ' ( Wo.) 
498. Pulse amall and weak. (/>. Sei.) 
490. The pulse Bhews diminiahed frequency 
and atrengtb in all modifications down to per- 
fect absence of pulae. (^A. J.) 

500. AAer taking a conaiderable portion of 
the root : First there was a feeling of tingling 
heat which afiected not only the tongue^ but 
abo the jawa, ao that tbe t«eth felt aa if they 
would fall out.* The cheeks were so írritated 
tLat neitber those about him ñor yet his mirror 
could persuade him that his face was not 
sweiled' to twice its usual eIzc. The tingling 
sensation apread gradually over tlie whole body 
untU it took in all the limbs. He felt unsteadi- 
nese in the jointa, eapecially the kneea and feet, 
and jerking in tbe tendona, so that he could 
scarcely walk acroea the room. It seemed to 
him as tbough the circulation stopped in all his 
limbB," no circulation" at all was felt by him 
from the wrÍBts to the enda of tbe flngers and 
from tbe ankiea to the ends of tbe toes. Tben 
his head became giddy, ctoudiness came before 
bis eigfat, Üie look became wanderíng, he beard 
a humming hisúng uoise in bis eare and fell 
into a foiat. Tbe eyes were staring, the teeth 
spasmodically clenched, hands, feet and fore- 
head covered with cold eweat, do pulse per- 
ceptible, breath short and scarcely perceptible. 
The head was drawn backwards." Vomiting re- 
Btored his conaciousness, but he soon relapsed 
into the faínting state. Añer a little sal Tolatile 
he had a motion of the bowels, preceded by 
urging, and vomited 2 or 3 times. He then 
complainedof bis head being heavy.hiastrength 
and spiñts eshausted, ao that he had to lie 
down. The pulae became more perceptible, 



:iMg.Op.BM.8n7ch. 



Uerc-a. PUt 9ec. 



I Alnm. Bot. Conn. 
in. Cla.Calcli.Cupr. 
Moipb.Nu-T. (^ 



Sthptoms 501 To 51S.] 



ÁCONITÜM NAPELLUS. 



t Ad-o. Dif. Zioe. 



rB(ILB]>ilt'K.Li>!. 
llae-i.Hiii.>.Úp. 



Hetut and 

thougfa íntennittíng and iire^lar, 2 or 3 beata 
followed rapidly in aucceBsion and then carne & 
pause of as long a duration.''* Soon aftervards 
he experíenced cold and rigor, and oa being 
well covered up he broke out into an agreeable 
warmth and perspiration, fell asleep and avoke 
quite refreshed, {Bcn.) 

501. Aiter taiungalargeqiíantityoftheroot, 
tbe folionicg Bymploma appeared : Three hours 
aAerwards he complained of a general ulcerated 
üred feeling in tbe bodj, great losa of atrength 
and weigbt about the heart,' and though he 
apoke boldly, had an animated look and was per- 
fectly conadoua, cold aweat atood on bis brow, 
the pulse waa almoat imperceptible. Then hia 
ejes became distorted, the mouth pulled to one 
side,' the nape of the neck süff, and he fainted. 



GircolatloiL 

In bis faint he had some evacuation of the 
bowela. On comlng round he complained of 
rigor, Tonúted fetid,' Wack,' bilioua mucua (with 
Telief) and tumed as if to aleep. At length 
be grew apeecbleaa and dled. Hia face waa 
blue, Üke (bat of a alrangled peraon. (Jf/í.) 



experimenti on frogs it appeared that on giring them 
Acón, theic circolation was mach qnickened. (/íi^. 
lir, 232.J From Amold's oiporimentn with Acón, 
and Aconitíne on froga, it appeared that the niunber 
of the heart's beats is ñret increased, then dimi- 
nisbed. An üiterTnittiiig pulse waa frequently ob- 
Bcrred. SometiQies the contractions of the ventricleB 
onl^ amoonted to half those of the anriclea. (,Syg- 



f,l.) 



Fatholoqical Ahaioxt. 
Searf and Blood. 
Mam. 

Heart collapaed, with very líttle black fluid 
blood, larger vessels almost empty. {Bd.) 

Leit Tentricle empty, rigbt filled by a gela- 
tinous coagulum. {Pn.) 

UnuBual fluiditj of the blood. (J/e.) 
Aküui^s. 

The auriclea and ventricles filled with black 
coagulated blood, In a rabbit. {(B. Z. L c, 
p. 136.) 

In tbe pericordium much palé turbid serum ; 
íu the right Yentricle eome fluid and much 
coagulated blood; the Icfl ventricle almost 
empty. In a wolf. { Wepfer, 1, c.) 

Heart collapaed, containing tbiok clotted 
blood. In a dog. (Or/Ha, 1. c.) 



JífDEX TO SYMPTOMS OF THE BEABT AND CIBCULATION. 



Pteoordiil inziety, 487, 489. 494, 638, 677, 716. 
Ccdúe lepon, diaagreeable feeling;, 761. 
weight, 601. 
D piemue, 478. 

■ oompreMiou, 488. 

n oramped feeling, 781. 

„ atitehea, 4&1, 463, 486. 

„ sensitiye to tonoh, 463. 

feikB,484. 
„ beat,485. 

nl[nt«tkin, 8, 466, 477, 478, 479, 481, UO, 491, 
«2, 493, 494, 660, 778, 781. 



Flnttering, 127. 
Heart's beata, qnick, 479, 489. 
„ Btnmg, 489, 78t. 

„ írregnlar, 678. 

As if all the blood- reBSels were frozen, 128. 
As if the ciccnlatíon stopped in the liiobs, 900. 
Loas of circolation in eib^mities, 127. 
Throbbiog of temporala, 779. 

„ camüds, 779. 

Pulse, intermitüng, 130, 479, 497, 600, 783. 
„ febrile, 130, 483, 495. 
„ qoick, 477, 479, 482, 496, 668, 676, 679, 
777, 778, 779, 780, 781. 



Palas, alow. 479, 496, 497, 678, 78Í- 

ftül, 479, 496, 778, 779. 780, 781, 78!. 

contracted, 487, 49S, 773. 

stroug, 496, 778, 780. 

small, 498, 677, 781. 

weak, 498, 501, 675, 677. 

not to be felt, 499, 600, 663, 676, 677. 

iiregnlar, 600, 678, 679. 

hard, 778, 781. 

B0ft,781. 



Bemasks. — We have here the most satisfactory evidence of great power over the heart's action, from the aligbtest increaae 
I a the drcnlation up to the most tumultuous action of Üie heart and down to almost complete paraly sis, aa in S. SOI. There ia also 
e^idence of an inflammatory action on the subetance of the heart itself or ita seroua membianes. S. 494 reade almost like a case of 
I ibemnatic eiido or pericarditia. 



( Bh. Ona. Oruh, 
«m, OL Pffi, 
Wli.Bhiid.Su«. 



502, Fun as if the flesh were separated in 
tbe nape,' with a feeling as if the neck could 
not support tbe bead; on moving the head, 
shootings in the nape.'' (£'-) 

503. Eheumatic pain in tbe nape,' felt only 
on moving the neck (aft. 5—9 h. H.) 

filM. Drawing pain to tbe lefl of the nape 
and in the scapula on moving the neck.'' (Z.) 

S05> Drawing pain in tbe neck into the ear* 
and shoulder. {Wm.) 

506. Single atítches in botb sidea of tbe 
nape. {Rkt.) 

507> Fine ahootinga in the neck extemally. 
(J7.) 



508. Stiff feeling in the nape of the neck 
the eveaing. {Sz. Wm¡) 

509. Stiff feeling in the nape, with chilly 
hands and feet. (Wfn.) 

510. Stiff and bruiaed feelmg in the left aide 
of the neck, to the left ahoulder joint and a 
portion of tbe dorsal muscles, worse on lying, 
better on moving. {Wl. 6th d.) 

511. Pressive pain in the left aide of the 
cervical vertebrte, { W.) 

51S. Freaaive pain in tbe neck, aa if with 
the point of a flnger inwarda tovrurds the 1ra- 
cbea.' (^Ar.) 



yLíOogle 



ACONITUM NAPELLUS. 



[SYMPTOBia 515 To 550. 



) Ara. ÁuJ. Brj. 



$13* Stretching in the cervical muecles* on 
tuming the head. (Z.) 

514. Ciawling púu in the hací, aa if from 

515. Cieeping as of insects over back, armB 

and thighs. (Z.) 

516. Shootings in the back, (Wz.) 

517. Violent shooting, digglng pún on the 
whole of the left eide of the spine to the smoll 
of the back,'' so mtich increased by inepiration 
KS to bríng tean into the eyee'; Üiis laeted 4 
honra. {Ahr.) 

518> violent drawing pain on both aidea of 
the apiñe, along the m. m. Eacrolumbalis aud 
longiaaimua dorsi, increased by preesure, and 
rendering every movement difficult ; this went 
off afler 5 boura, but passed iato the antagoniEt 
muBclea, Üie recti abdominia, which were 
Btretched as hard as a board.' {Schn.) 

519. Buming^ gnairing' paina on the right 
aideof the apiñe. (W.) 

530. Fain ia the loina like Ubour pains, 
whilat walking." (S.) 

581, Pain iu the loins. (Si.) 

6213. FTeBaive pain in the amall of the back. 

(&. Wl. m.) 

SítS. Fainful boring on the left aide of the 
Bmall of the back." (if.) 



624. Preaeive piún on the left aide of the 

amail of the back. (líbf.) 

535. Fainful atiffneae in the amall of the 
back" and hip joint," as if paralytic, on move- 
ment (aft. 3 h. H.) 

536. Numb aenaation in the amall of the 
ba^k ' into the legs. (A. J.) 

537. SensitiveneeaofÜierenal región. (_Wl.) 

538. Faralytic preaaure in the amall of the 
back.i relieved by movement and bending for- 
warda. (1*7. 3rd wid 5th d.) 

539. Shooting and creeping in the amall of 
the back. (B^.) 

530. Tensión' and drawing in tbe lumbar 
regían, compelling him to bend backwards. 

(•^■) 

531, Tenaive presaivc pün in the lumbar 
vertebrie, or ae if bruiaed,' yñüx gripea aa if 
from flat'ilence. (H.) 

53% Fain aa if bruiaed iu the last lumbar 
vertebra, at ite junction with the sacrum, the 
back feela aa if beaten. {H.) 

533. Paio aa if from a bruise from the loins 
through tbe back into the nape of the neck 
(aft. 4 b. .ff.) 

534. Cutting pun extending from the spine 
over the left hip round to the abdomen.' (M.) 

536. Stitchea between the acapulx. (A. J.) 



> An.OHb-T. 2il-e. 
Lto. PMr. Pul», 

u) UcI.4i.Bb«.6tilpb. 



' Bart>.ant.Nitx 



I Bill. Uiiu-t. B 



Pain, 764. 



^ , 480, 616, 617. 
Cutüag, 6S4. 
Qnawing, Í19. 
Drawing, Í13. 
Mgging, 517. 
CrawUng, 614, 615. 
Bnüsed feeling, 510, 633. 
Pain aa if from a atrain, 180. 
Baming, 619. 



INDEX TO STMFTOMS OF TSE BÁCK. 
Neck, drawins pain, 506. 

„ atretclung, 513. 

„ bniised feeling, 510. 
Nape of neck, atíff. 601, 508, 509. 

„ pain as if fleiih were aeparated. 



Neck ai 



f, 510. 



„ weakneaa. 603. 

„ ahooting*, 502, 606. 

„ rheamatic pain, 503. 

„ drawins pain, 604. 

„ bniÍBea pún, 633. 

Betwizt ahonldera, etítchea, 636, 780. 
„ _ brnÍBed pain, 483. 
Scapnlo, drawing pun, 504. 
Loina, BenaitÍTeneaB, 243, 627. 



Loins, pún, 521. 

„ tensiva pún, 480, 530, SSl. 
„ preanvB pajn, 460, 631. 
„ like labonr pains, 620. 
„ drawing, 63(). 
„ bnúsed pain, 531, 632, 688. 
Baoral región, stíff, 624. 

nombness, 536. 

preasive pain, 480, 633, 638, í 

tensive pain, 480. 

shooting, 517, 529. 

dig^ng, 517. 



1 AluiD.tKb.Mi^- 



i Am. Mgt-n, Nitr. 



Superior 

688. Pain in the left ehoulder joint. (Hhg.) 

537. Pain aa from a contusión in the ahouK 

der* (and hip) joint, after sleeping, aa if the 
bed had been too hard. (//.) 

538. Tearing pain from the ahoulder down 
the arm to the wrist and fingers,* on every 
motion; whilst the pain continúes the hand is 
blue" (aft. 1, 14 h. H.) 

639. Tumour in the musclea of the sboulder 
extremely paiuful to the touch, as if bruiaed ' 
(aft. 4 h. H.) 

640. The sboulder is painful, and feels aa if 
about to sink. (.Sí.) 

541. Flying shootings in the left ahoulder. 
(5í. Wl.) 
543. Tingling down the anna.' (Fg.) 



Extremities. 

643. The arma feel bruiaed and sink down 
powerlessly. (iSí.) 

544. Coldness and inseoeíbilitT* of the arme. 

945. I^ching aa if with blunt fórceps on 
BOme spots of the left arm ' ( Wx.) 

546. Single shootings in the middle of the 
right npper arm," anteriorly, whilst at rest, not 
changed by moüon or preasure. {Ahr.) 

547. Sudden dravring and shooting pain in 
the right upper arm, posteriorly. '{Ahr.) 

548. Drawing pains in the elbow jo'mU. 
(5í.) 

549. Drawing, tearing pain ín the elbow 
jointB, (N.) 

550. Violent shootings in the elbow joints 



,«^oogle 



SiuPTOUB 551 To 579.] 



ACONITUM NAPELLUS. 



Superior Extraniües. 



h Alna. km. Croe. 
Lunve. Mgtrfi. 
Ufl-I. Pboi-u. 
Bp^tL Spoag- 
Enljriu Trae. 



down to the wrist, on the outside of the arm, 
on flexiiut the hand upoa the wrist joint. 

551> Senaation of weigfat in the anas, from 
the elbow to the fln^rs,^ they feel aa if thej' 
would ñtll, ■müi eensatioit in the fingere aa 
if they were aaleep, on graspiag' anything. 
(Sí.) 

55S. Drawing teañng pain in the forearm. 

SUS. Fain in the foreann, as if from a TÍolent 
blow. {Si.) 

554> Drawing, ahooting' pún in the bonee of 
the forearm,' excitable by moTement. {H.) 

555. Paralytio feeling in the right forearm 
and hand (on writing), relieved by violent mo- 
tion, but retuming whilet writing or at reet, but 
lees severely.-' {jlhr.) 

556. Drawing, tearing pain on the outaide of 
the rigbt forearm. {Ahr.') 

557. Acute pain in the right forearm along 
the flexor tendona of the Uttle fingei, increaaed 
by moTement. (Z,/2.) 

558> Cramp-like pain in the whole of the 
leíl forearm, cot relieved by anytliing. (_Ahr.) 

559. Undulating tearing pain in the upper 
end of the left forearm. (_Ahr.) 

560. Jerking, drawing pain in the lower end 
and intenial aurface of the letl forearm, over the 
wriet to the paJm of the hand. (_Ahr.) 

561. Sbootmge in the wrist joint, as if from 
needlea. {A. J.) 



56S. Drawing, paralytic pain in the right 

wriet joint.' (W.) 

563. Tearjng pain in the wriat. {S.) 

564. Trembling motion in the wrist' on 
rooving the hand. {Rkl.) 

565. ley coldnesa of the handa." {A. J.) 

566. Oa£ hand becomesice'eold and insensi- 
ble, BB if benumbed (aft. 2 h. H.) 

567. Cramp-Ukepainin the right hand. (W.) 

568. Cramp-like pain with fine ahootings in 
the right hand, relieved by movicg it. {Ahr.) 

569. Gold BWeat on the pahns." {U.) 

570. A few pulaating shootinga in the hoBow 
of the right hand, as if &om a abarp needle. 
(^Jr.) 

571. Morbid coutractive pain in the hollow 
of the lefl hand,° so that the fingers can acarcely 
be extended. {Ahr.) 

67S. Creeping pain in the flngera. {ff.) 

573. CreepingB in the fingere, felt alao whüst 
writing. {Hbg.) 

574. Numbnesa in the points of the fingers'' 
and toes. (Z.) 

575. Cutüng presaiye pain on the eide of the 
right íbrefinger next the middle finger, during 
motion and when at reat. (Ahr.) 

576. Paralytic pain in the thumba.'' (Sí.) 

577. Pain aa of dialocatíon in the right thumb. 
joint' on moving it. (H.) 

57S. Jerking paina in the right thumh.* 
{Ahr.) 

570. Painfiíldrawingwthe lea thumb. {W.) 



Cnul.ElH.On^. 
Liicb.M;t-n.MÚD- 



PhM.Pnm-f.Fob. 

Bhod .Spbnl.Snlph. 
Vetrn. Vmb. 



INDEX TO S7MPT0M8 OF THE UPPBB EZTBEMITlSa. 



General, itching, 781. 
„ tíngling, 127, 64g, 
„ eieeping, 615, 651. 



eieeping, . 

piiofclingí 

ehooting, 651, G73. 

piocbing pain, S45. 

tearing, 494. Í36. 

bmÍBed feeling, 84, 543, 650, 781. 

coldnoRS, 127, 129, 273, 478, 609, 544, 

678, 730. 
heaTÍnesa, 243, 777, 778. 
atiffiíesB, 139, 243. 
wearineflB, 480, 490, 656, 669. 
weaknew, 643. 
difflciüty of moring, 129. 
parslTtio feeting, 128, 650. 
paial^, 130. 
mseniibility, 544. 
dntwn convTÚBively 
trembling, 678. 

pain, 536, 540. 

preunTe, 243. 

shootings. MI. 

drawing, 505. 



i«ards,6l 



a, 610, 637, 639, 681. 



„ painfnl tmnonr, 539. 
Vpper aim, pressare, 243. 

„ ahooting, 546, 547. 
„ drawing, 480, M7. 



üpper arm, paralytic stifiheu, 483. 
£Ibow«, ahootmg, 550. 
„ pinchjng, 480. 
„ tearing. 494, 549. 
„ drawing, 548, 549, 604. 
Foreanna, pain, 557. 

„ itchJng, 480. 

„ Bbooting, 480, 550, 554. 
gnawing, 480. 

„ drawing, 480, 552, 654, 656, 560. 

„ tearing, 552, 556, 559. 

„ wsígbt, 551. 

„ cnunp pain, 558. 

„ nnduladng pain, 559. 

„ jerking pam, 560. 

„ pain aa &om a blow, 563. 

„ paralytic feeling, 555. 
WristB, numbness, 127. 
„ tearing, 538, 663. 
„ ahooting, 550, 561. 
„ jerking, 560. 
„ drawing pain, 560, 562. 
„ panüytio pain, 663. 
Handa, ahcxilmg, 568. 

„ CMunp pidn, 567, 668. 

„ ooldneao, 566, 566. 692,746. 

„ paialytic feeling, 555. 

„ inaenaible, 566. 

„ bennmbed, 566. 

„ want ef circolatian, 600. 



Handa, bine, 538,728. 

„ «pota like fleabitea, 627. 

„ tñmbling, 664. 

„ convnlBively clanched, 663. 
Palma, shooting, 570. 

'„ drawing, SSoT^' 
„ jerking pain, 600. 

„ lot, 476. 

„ cold sweat, 569. 

„ iuaenaible, 668. 
Bat^ of hand, shooting, 480. 
Fingere, nnmbnesa, 674. 

„ aaif asieep, 551. 

„ creeptng, 572, 573. 

„ ^kling, 127. 

„ tingling, 137. 

„ shoots, 480. 

„ hcavy, 551. 

„ ooldnew, 736. 

„ palenesB, 736. 

„ painfnl red pimples, 631. 
Fcsefinger, cntting pain, S75. 
„ pressiTe pain, 676. 
Thnmba, drawing pam, 579. 

„ paralytic pains, 576. 

„ oialocation pain, 577. 

„ jerkiiw pain, 578. 

„ conmlaiTelj donbled into palma, 663. 
Nails, bine, 677. 



byUOOglt 



ACONITUM NAPELLUS. 



Stmptoms 580 To 624. 



Inferior Extremtttes. 



■ Canit. Flnor - u. 



b Ant-c- Cftlc^.Cftpa. 
Cub-T. Laí Peta. 



d Kil-e. PatT. ThiO. 



580^ Draiñiig pún ín the border of the left 
híp.bone. (2',) 

581> F&in ae ií from a contusión,' or as if 
írom lying on a hard bed, io the hip (and 
ahoulder) on moving aSter aleep. (HÍ.) 

582. Draving pun in the hip joint^ on mov- 
ingit. {Wm.) 

583. Painful preaBure in the hip joint whiltt 
walking. (Z.) 

58i, PowerlessneBS Id the head of the fémur, 
or inability to walk owing to an indeBcribable, 
intolerable pain, almost like a crushing of the 
head of the fémur, which sometimeB declines 
and sometimes incieasea, and occurs after 
lying down and after sleep (after 5 h. H.) 

585i PowerlesBnesB and pain in the head of 
the fémur, producing uneteady gait. (H.) 

586. Drawing pain in the head of the left 
fémur," whilst standing and útting, but stdll 
more whilat walking. (Sf) 

S87< Tired feeling íd the lower limba during 
repose. {Wm. Z.) 

588, Sensaüou of heaTÍness in the limbe, aa 
if they were asleep. {A. J.) 

589, An almost paralytic poweilessness in 
the legs and thighs after sitting. {£[.) 

590, Bniised pún in the limbs, espedally ín 
the koees. (Sx.) 

591 1 Stiffbess and heavíness of the limbs.' 

(,ir,.) 

S93. Numhness in the thighs and legs. 

(^. /.) 

603. Drawing pain, eepecialljr in the joints of 
the limbs. (Z.) 

S94i Drawing in the tendinous expanñone 
of the lower limbs. (Z.) 

595. Drawing pain in the left lower eitre- 
mity here and there. (Z.) 

596. Tight pressure in the thighs, as if from 
a tightly drawn bandage, with great fatigue 
whilst walking. (Rkt.) 

597. Fine shootinga, as if from needles in 
the muscular aubstance of the tbigh, (Sí.) 

598. Drawing pain, firat in one thigh, then 
in the other, then in both tt^ther, onl; whilat 
moviog. {Wm.) 

599. Baw pain in the thighs when touched. 
(Wm.) 



600. Unateadineae of the Icnees, they bend 

whilst standing or walking. (lí.) 

601, Unateadiness of the knees, especially of 
one, it beads under the body whilst wallung 
(immediately and aft. 1 h. H.) 

609. Deep, slow shooting over tlie right 
knee. (Sí.) 

603. Jerking teariug Ín the inúde of the 
knee. (St.) 

604. Drawing in the knee, calf and elbow, 
{W.l.) 

605. Shootings in the left knee. {Sx. WI.) 

606. ley coldness of the knee,* altematáng 
with flying shootings. (Wit.) 

607. Painful drawing in the leg, from the 
knee to the heel and back again. (Si.) 

608. Violent shooting {rom the heel to the 
popliteal space. ( ÍVl. from olfacdon.) 

609. Paralytic drawing in the right leg and 
tendo Achillis to the heel. {SI.) 

610. Drawing in the tecdo Achillis.' (Wm.) 

611. The lower part of the legs snd feet 
are as if numb and asleep. {SI.) 

%!&, Beañness* and tensión in the calves. 
(Z.) 

613. Pain ín the calves as if from cramp. 

614. Pün ÍD the ankiea, wíth despúring 
thoughts and contemplation of death. {H.) 

615. Tearing pain in the left outer ankle,'' 
goit^upwarde {aít. 14 h. Ahr.) 

616. Sensatíon in the ankles as if they were 
tightly tied with a ligature,' in the morrúng. 

617. Horñble pain ín the ankle, relieved by 
compreseion (aft. 7 h. H.) 

618. Coldnesa of the feet to the ankiea, with 
eweat of the toes' and soles. {II.) 

619i Coldness of the feet, particularly of the 
toes. (SJct.) 

620. Heavíness of the feet (ímmediately. H.) 

621. The feet íeel as heavy as lead. (A. J.) 
6Ü3. Paralytic drawing in the feet. {A. J.) 
623. Pain in the right heel, principally when 

treadbg. {A. J.) 

621. Sleepmg of the toes of the right foot 
whilst walking. {A. J.) 



oarSu 



^ An. Bep. Bqnil. 



INDEX TO THE 8¥11FT0M8 OF THE LO WEB EXTBEMITIES. 



... 4,i9i. 

bruiaed feeling, 84, 590, S50. 

ooldneM, 127, 129, 278, 47S, 509, Gl 

7S0, 781. 
weariness, 480, 490, 656, 659. 
stífitaesB, 480, 591. 
lieaTineM, 480, 588, 5S1, 777, 77& 
siifssleep, 688, 611. 
nambnese, 127, 526, 592, 611. 
paraljtic feeling, 609. 
patalytio weakneas, 689, 660. 
ponJy^ 130. 



Qeneral, tremUinK, 663, 678. 
„ in perpetual motion, 663. 
„ oonmlsivelf drawn inward 
Hip-joint, stiSneas, 525. 
„ cuttiní pain, 534. 
„ bcnüed pain, 637, 681. 
„ diswing pain, 582. 
„ preaBÍTe pain, 6B3. 
Hip-bone, drawing pain, 560. 
Head of femar, cmshed pain, 6S4. 
„ drawiDg pain, 586. 

„ powerleasnesB, 583, C 

Thighs, tíght presBUTB, 696. 
„ itching, 483. 
515. 



abootitigs, 597. 



Thighs, drawinr pain, 598. 

„ raw psin, 599. 

„ bnming, 483. 

„ niunbness, 692. 

„ paralytic feeling, 128. 
Kneea, itcbing, 483. 

„ ahoatíng, 602, 605, 606, 876. 

„ drawing, 604, 674. 

„ rhettmatic pains, 483. 

„ tearíng, 494, 6U3. 

„ jerking. 603. 

„ bmised pain, 590. 

„ coldness, 606. 

„ buming, 483. 

„ cracking, 654. 

— Jí — 1, 600, eOO, 601, 674. 



, Google 



I SiuPTOHS 6S5 To 6S8.] 



ACONITÜM NAPELLUS. 



nfDEX TO THE SYUPTOMS OF THE LOWEB EXTEEMITIES (eonümutíj 



P«(elU, kcnte preíain^ psin, 490. 
CklTM, dnwing, 604 
„ be&TineBí, 613. 
„ teluñon, 612. 
„ cntnp-püD, 613. 
„ enmn, 676, 677, 7S6. 
Teiülo AobDua, prerains p>ini 480. 

„ paralrtic drawing, 609: 

„ drawing, 610. 

„ shoctened feeling, 792. 

AiiUbs,P^i 614,617. 
„ tearíng, 615. 



panljtio dnwing, 622. 

beavmem, 620, 621. 

ooldnees, 618, €19, 741, 746. 

nombiieBS, 137,611. 

wmnt of drcnl&tioii, GOO. 

asif asleeo, 611. 
Eeel, paraljtíc Siswing, 609. 

„ poin on tresding, 6S3. 
Soles, enmps, 736. 



Solea, Bweat, 61& 
Toes, swest, 61& 

„ otddneM, 619. 

„ sleeping, 624. 

„ nnmbnaaa, 574. 
TendoDB, dr&winga, 694. 
„ jerkiugs, 500. 
„ ghorteiied feeling, 783. 
Joinú, drawing paim, 6B8. 
Naib, bine, 677. 



Remabeb. — Tbe 111118011», tendinous and ligamentous Btructures of the tnink and extremitíea, as also the Tañoui jointa are 
■11 eubject to the actioa of Aconlte, aB eeen iu tbe above Bymptoms, and that not mereljr B^mpathetically bs iadicative of íebrile día. 
torbance, bat also idiopathically. 



Guc. Cbin. Cop, 
CtdUI. Cope ~ 
Dig. Otmt, 1 



Cde-a. 

Mnr-u. 
«n. PhoL 



?■£' 



fLm. I 



\ Ara. Cuth, Cub- 
•. Cnn. Onph. 
Kr] - e- Muq ■< m. 
Kitr. NicHltr.*!:. 



635. Jaundice.* (J7.) 

626. The skin appeaxB peculúurlj' elaatic and 
amooth.'' (Z.) 

637. SpotH like flea-bites' on tbe hands, 
face, ice. {H.) 

628. Red pimplea, filled with aciid fluid, all 
over the body." (Sla.)* 

639, Broad, red, itching pimples all orer 
the body. {Sia.) f 

630. Several daya after taking 20 dr. of the 
tinct. there appeared chiefly on the face," fore- 
head,' nape, and vanoue parle of the body, 
¡Bolated TeBÍcIes, the aize of a pin'a head, 
containing a eerous fluid, and attended with 
itching; BucceBsive eruptione appeared for a 
fortnight, which dried up and fell off gradually. 
{Ghc.) 

631. Fainful red pitnpleB on the fingere < of 
both hands. (Sí.) 

633. Itching all over the body, eepecUlly 
on the pudenda.^ {Sbe.) % 

633. Creeping, itching and desquamation' 
of the fikin, especially on the aflected paits. 
(JT.) 

634t Seneatíon in the skin aa if the epider- 
mis veré separated ñom tbe cutb by an inter- 
vening layer' — a kind of wandeiing creepbg 



* Fixnn a patlent with Bciatíoa. 

IFrom a patient with rheumatiB: 
Vnaa a patient with sdatica. 



and running all over the body,* with uncomfor- 
table shiiddering feetiag. (Z.) 

63fl. SensatioQ as of somethtng ninning 
over the skin and biting,' especially on the 
hairy parta of the body, tñth the exception of 
the hñd, aa íf from fleae, making him acratch, 
(Z.) 

636. Fine prícking, aa if from needlea, here 
and there on the body. {St.) 

637. Single long-continued dartinge here 
and there, mixed with a raw aensation, and at 
last ending with pain as of a wound. (H.) 

638< From a portion of the juice getting 
into a wound on the thumb. Immediately 
horrible pain throughout the ann, and espe- 
cially at the wounded spot; cardialgía; anX' 
ie^ about the heart ; fear of Buflbcation ; 
fainting ; iutemal heat and thirst ; and other 
dangerous symptomH, so that he thought he 
nould die in the night. The arm became 
bright red, mucb awollen ; " the pún so intole- 
rable that he nearly fúnted. The inflamma- 
tíon weut on to suppuration, and the patient 
was well at the end of a fortnight. (Ra^ 



Faibologicax Ahátoky. 
Sün. 

Akihu,. 
On the inner surface of tbe skin, great 
venous injection. In a rabbit. {(E. Z. L c, p. 
136.) 



t BUph. 

I Kitr. Fhoi. Bolpti. 



Itching, 243, 4S0, 632, 633. 

„ on pndescbi, 632. 
Creeping, 633, 634, 635. 
Prickling, 2*3, 636. 
ehooting, 637. 
Scratchuig, 243. 
B_— ,v~ 480. 



ISDEZ TO SYIÍPTOMS OF THE BEIN. 

Eaw beling, 637. 

Wannd-paio, 638. 

Bltinp, 635. 

Buming, 243. 

As if epidenms sepantsd from cntis, 63 

DesqnamatioD, 633. 



Yellow, 625, 67: 
Sednsaa, 63& 
Swelling, 638, 



ACONITUM NAPELLÜS. 



[Symptoms 639 To 663. 



UOkrjr rericlea, 480. 

Venóles, vKrioaa paits, 630. 
„ on fice, 630. 
„ on forehead, 630. 

RxiUBKS. — The &CÜOD < 
ezanthematous diaeaaeB. 8. 638 



INDE:X to STMFTOMS OF THE SEIÍÍ («mAuudJ. 

IVeBÍcles, tm nape, 630. 
Pimpleg, red, all orer. 6S8. 
„ broád, red, itchíng, ftll over, 629. i 

„ on fbrabeid, ISl. | 

I the skio ÍB not Tciy great, but bears a marked resemblance to Bome of tbe milder forme of acute 
I Qot of any ^reat TaJue, aa tbe same eñect migbt follow tbe appUcatioQ of almoat vay iiritant. 



CHands. 

639. (Increose of mük ín the mammaiy glande.' H.) 



General Symptoms. 



Aur. Bell. CiiBpb. 
Obln.K-cub.MUi. 
FttT. S^ SU. ifi- 



10, The vbole body is aenaitive to tbe 

touch,* the cbild nill not allow itself to be 

moved ; it whineB," {H.) 

641. Impaired Ben sibil! ty of the Burface.' {Fg.) 
64& SenBfttion as if sbe bad just recovered 

from a severe illness, or risen from a BÍck-bed 

(aft. 6 h, H.) 

U3, MoHt of tbe sjrmptoina are accompanied 

by Bhivering, shuddering aud anxiety. {A. J.) 

644. Sensatíon of awelling' ofmany parta of 
the body, generally accompanied by ebudder- 
ing, cold or rigor, {a. J.) 

64d. Creepin;;, and aa if ínaectB were run- 
ning here and there, iritb uncomfortable feeling 
of ehuddering and aniÍety.(Z.} 

646. NumbneBB and tínglmg over the body. 

647. A peculiar feeling over tbe wbole body, 
to be compaied with áiat esperienced in a 
vapour bafh wben the eteam falls rapidly on 
the Bkin, and drope are felt on it.' {Z.) 

645. Drawing paina wander over the whole 
body Íd rapid suceession, no where laeting 
longer than two minutes. (Z.) 

649. Bruised paia on many parta of tbe 
body. {,A. J.) 

650. Paralytic and bruiaed paina m tbe anns 
and lega, witb violent trembling all over the 
body, especially ia tbe extremitiea, whicb pre- 
vents walking ; with Tery palé face ; dilated 
pupila ; faintneBB ; palpitation ; cold sweat on 
tbe back ; and digging beadache in the tem- 
ples. Soon foUowed by buming heat of tbe 
face, witb a aenBation of tensión and redness of 
the face, and sleepinesa after dinner (aft, 46 
h. St.) (Secoadary action ?) 

651 i Trembling and creeping in tbe limbs, 
accompanied by shooting pains. {A. J.) 

663. Drawing bere and there in tbe ioints. 
(IFm. Z.) 

653. WeaknesB and unsteadinese in the liga- 
ments of all tbe joínts {aft. 46 h. H.) 



654. PainlesB cracking of all tbe Joínta, 
especially the knees. (JET.) 

655. General feeling of iUnew. {Z.) 

656i Wearineae in the limhs, especially the 
lega, with conetant sleepinesa and ill-humour. 

^J^.) 

65?, Great muscular debility. (Fff.) 

658. On awakingin the morning, sucb great 
eshauBtion he waa unwitling to get up, it vent 
off bowever on rieing. [If.) 

659. Weariness and exbauBtion of aU the 
limbs, witb atretching and straining. {Z.) 

660. Syncope. {-ff.) 

661. Frequent attacks (almoat every other 
bour] lasting for a ^ of an hour at a time, of 
extreme weaknesa and insensibility, so tbat he 
can stir neitber band ñor foot, and camiot sit up 
ín bed ; be does not feel hia former pains ; 
cannot see ñor beai, ñor even speak aloud ; the 
lega are stretched out' (aft. a few h. H.) 

662. General muscular tremore. [F¡f.) 

663. After awallowing by mistake about 40 
gnunmes of the tincture the greatest reaÜess- 
nesB ensued, he complained of bis throat and 
of a buming along the cesophaguB. Hie ans- 
iety and fright rose lo a great pitch, and be waa 
not able to ait etill an instant. The lower ex- 
tremities were in perpetual movcment,' even 
when he aat down. His limba trembled as be 
walked. Hehadezceaaivefearof deatb. (Vomi- 
ting followed emética.) In about 3 bonrs be ñas 
unable to keep himself upright, and was attacked 
by convulsiona. The upper and lower extremi- 
ttes were drawa inwards, tbe físta clencbed and 
tbe thumba doubled into the palma,'' so tbat be 
could not open tbe hand. Tbe face covered 
witb cold clammy aweat; the eyes tumed up- 
wards, so tbat only the wbites could be seen. 
The redial and temporal arteries could not be 
felt. Tbis attack laBted 3' and wae succeeded 
by füntuess. He felt as if bis last hour was 
come.' His consciouaQess was undiatuibed. 



Sthptohs 664 lo 678.] 



ACONITÜM NAPELLUS. 



Km. Bi^b. S»p. 
«IU.TUU. 



Sk ^^ ' 



General 

bat his TÍúon wma gone. He could distinguisli 
nothing'. Two houra after this tbe aight re- 
turned, but the fita became more violent ; the 
temperature of the skin eank loner and lower. 
He hkd rigoFB, and felt icy cold ¡ face bippo- 
cratic; head draim strongly backwardB ; ' the 
jointa crack during the convulsiona ; the respi- 
rationi become Btertorous ; mucoua rile audible 
at a diatance. He waa atill conscious ; he felt 
no pain. The palma of the banda bave been 
quite inaeusible siiice the first fit In 2 more 
houra the pulae could agatn be felt (he had had 
muatard plaste» orer the body and lodine ia- 
ternally) ; he vomited ; the warmth began to 
retura and be fell comfortable. In another 
hour he kmked better ; copioua perspira- 
tion enaued; pulse 125; aenaation returned to 
both palma. Two houra aftenrard a clyeter 
waa given, whicb brought away black and very 
fedd fscea. Uiine amall in quantity and daik. 
He gradually got well, and in 3 daya nought 
remained but an appearauce of fright and im- 
becility. {Dv.) 

664> A child, 21 monthaold, ate aome leavea 
uid flowera. In ^ an hour ita gait was unateady, 
the face swollen, and it could not stand. It 
Boon complained of violent pain in the abdomen ; 
afterwarda the eyes became convulsed, trismua 
and opistbotonoe and general convulsiona en- 
Bued, and it died. [Sp.) 

665. The nervoua, paralytic and venons con- 
geative Bymptoma diaappear in the open air,'' 
on motion,' on drinking wine or coffee, and recur 
in the warmth of the room " and when at reat. 

(A. /.) 

066. Tbe rheumatic and also the inflamma- 
tory cheet symptome and the febrile aymptoms 
are dlminiahed or diaappear entlrely in wannth" 
(in a room) or when at reat, but are aggravated 
by motion * in the open air,' and by partsking 
of wine or vínegar. {A. J.) 

667t In the open air the head feelafree, and 
all the aymptomB become ameliorated. (^Sl.) 

668. She hatee movement and prefera sit- 
ting. (St.) 

669. She muat lie down (aft. 2—5 b. H.) 

670. Invincible inclinatioo U) lie down (frcúu 
2 to 5 h. H.) 

671. Lethargy. {Fg.) 

67S. Bxacertrátion of all the eymptoms in the 
evening. (A. /.) 

673. Periódica! occurrence of many aymp- 
toms.' {A. J.) 

671. Aller taking for a considerable time a 
veiy large quantíty of the tincture, which for 
long caused little beaides general proatralion, 
coldness of the face,' dryneBS of the fauces, and 
restleas nighta ; after an enormously large 
doae : nauseous aweet taate ' in the throat, 
cauaing him to hawk up viacid mucus; senaa- 
tíon aa if tough mucus hung from tbe uvula,' 
causiug inclinaüon to vomit ; tosté of pepper, 
commencing at the root of the tongue and gra- 



SflOptOIIIS. 

dually Bpreading all over the tongue ; increaaed 
flow of saliva ; dryneaa of fauces, with repreari- 
ble inclination to cough." A kind of numb 
aensation spread from the teeth over the Jaw 
bonea * to Úie extemal cantbuB, and tben over 
the whote body. The bnún felt bigger than 
usual," and aa tbough it preased upon the 
cranlal bones; with rigor over the W;k aad 
coIdnesB and palenesa of the fiíce. The numh 
feeling in the eitremities, felt when at reat, 
goes aS when walking. Oreat prostration of 
the limba ; ahaking of the kneKg ; general lazi- 
ness ; Irequent fetid eractatioos,' which retieved 
a tense feeling in the Btomach; vértigo, as &om 
Blight intosication, with great dis&action of the 
thougbts, which made hím anzious. Aggrava- 
tíon in a conflned space and when at rest, ame- 
lioration in opposite circumatances. The 2 nezt 
daya tranúent slight drawing ahooting paina in 
the left thoraz, the left ear, and ofterwarda in ' 
the left knee. After another dose, in additioa . 
to tbe above, inward rigor irom the hack over ; 
the lower limba, where cold aweat appeaie ; 
the face feela icy-cold ; symptoms of catarrhal 
fever carne on at night. {Itg.) 

679. Aíler taking, duiing 4 daya, the üncL 
from S to 10 dr. twice or thrice a day ; on the 
Sth day the eztremítiea became cold ; the but- 
face cold and clammy ; pulse 130, feehle ; 
cramps and pains in the lega, and apaemodic 
paina in stomach. He died on Üie 7th day. He 
had expressed bis opinión tbat death waa at 
hand. {Me.) 

676. After a fatal doae ; buming in throat ; 
vomiting ; cold aweat ; apprehensjvenesa ¡ anz- 
ioua toBsing about ; faintiag ; amall pulse ; 
gradual ceBsation of respiration and circulation. 
{Pn.) 

677. Rapid einking of tbe forcea, with an 
equal proetratíon of Üie mind ; very palé face, 
with altered featurea ; blue rings round the duU 
eyes ; dilated pupila ; vértigo with headache, 
eapecially in the occiput ; poinful tensión in the 
abdomen with borbojrygmus ; vomiting of green 
maaaea,' with diarrh<ea of the aame appear- 
ance ; * feeling of oppreaaion and anxiety in 
the cheat; general cold rapidly iacreasing, 
eapecially on the extremiíjes, with blueneaB of 
the nails of the fingeia* and toes ; cramp in the 
calves ; pulae amall, weak, occaaionally not to 
be felt." {Bd.) 

67S. After 5 grains of the eztract : In ^ of 
an hour he felt a trembling and tingling in the 
limba, accompanied by ahooting pains. Theae 
pains increaaed, and the trembling paaaed into 
convdúons. Taste of pepper in the moutb ; 
vomiting of all the food. During the convul- 
siona loas of conaciouaneaa.' Eyes dazzted on 
coming to bimself ; a fized headache, like a bot 
iron round the head.** Copious aweat followed 
the convulsiona. * Pulse unequal and alow. 
Five houra after taking the drug: palé face, 
with expteaaíon of anxiety and teetleanieu ; 



UniHUi. (ft - 
PcDt. 
I Onin.Bnt. 



CiBota-L Co«. Oos. 
Fni.Hiu-u.01i 



V Cntil. Op. PloBb. 
Fib. Bsph.Bhod, 

aum-g.HepJticn. 
7iiliiíalph4«.Tmb. 



C«g.Ciin'.L4DiH. 



yGUOylt 



ACONITUM NAPELLUS. 



[Stmptomb 679 to 705. 



\ Biwa. Bij. Chin. 
Cntil. Bep. Nite- 
«c Pliunb. Plnnlk 

1 Aii. An-h. B(IL 

lod. PhM. 
J Ait.etU.BTj.Cmac. 



Gmtsnl 

eyea very moreable ; dúpoBÍtion impatíeat ; 
very restleBs ; he speaks mach and rapidly ; • 
cold toQgue/ as in a cholera patíent ; buming 
in throat ; vomiting' of mucuB ; orthopnoea, 25 
respirations per minute ; pulse 54, unequal, 
sofl and full ; mucouB rattle in cbest posteriorly. 
The beart beat but cace in erery 3 pulsationi 
agKinst the cheiiL The leíl ventrícle was codbo- 
naut with the pulse, but the ríght aúnele seemed 
to be ÍD a convuleive átate.* The limba began 
to gTOW cold. In the eyenm^ reaction carne 
on, and neit day he was well. {Pya.) 

679. Whibt takin^ enormoua dosea of acón. 
the following occurred : The 3rd day no appetite ¡ 
the akin *" and eyes ' become yellowish. The 
Sth day the jaundice ' more marked. The 6th 



Symptoms. 

day the elún yellower ; nausea, cardialgía and 
anorexia ; inability to leave the bed. Tlie 7th, 
nausea, vomiüag and delirium at night ; the 
exproBsioD altered ; the look exÜDguiahed ; ' 
difficulty of hearing. The 8th, very reatleBS 
during the night; got out ofbed without heing 
able to get back agaia ; ehe was tied down ; 
great anxiety ; she lost all power of speaking ; 
lay in a atupified átate, the eyea closed, Üie 
facial muscles coavulsed ; tnsmua ; elow diffi. 
cult reBpiration ; pvdee quick, irregular ; ekín 
buming hat. (V. S.) The 9th day, jaundice a 
httle diminiGhed, but all the other symptoms 
increaaed. Abdomen awoUen (bufiy coat' and 
6oñ coBgulum of blood drawn). She fell into a 
State of coma, and died nest day. (Oí.) 



INDEX TO TBE GENERAL SYMPTOMS. 

WeakneHí, 127, 129, 130,477,479,601, eS7,661, 
664. 

Prostratínn, 477, 480, 482, 600, 674, 677. 

Exbaastion, 658, 659, 779. 

Desire to iie down, B69, 670. 

Dialika of movement, 668. 

Inabílitj to diots a litnb, 661. 

PaÍQtneBS, 477, 650, 735. 

Fainüng, 278, 500, 501, BSS, 6S0, 676. 

Ab if recovered from a leTere illness, 642. 

Feeling of illness, 655. 

Sicidf «ppeuance, 782. 



Craeping, 645. 
Tin^ling, 500, 646. 
BenntiTGDCBS, 640. 
Dcawing pains, 648. 
Ulcerated feeling, 501. 
Bnuaed feeliag iii aU the limba, 64, 649. 
Aa if dropB irera falling od him, 647. 
gwoUan feeling, 644, 781. 
StifflieBa, 74C 
Nuinbneas, G74, 781. 
Diminiahed Benaibüitj, 641, 661. 
UDBteadineaa, 728- 

■Hied feeling, 243, 475, 477, 480, 501. 596, 6 
780. 

RnuABKB. — The conTuleioDB caused by Acónito agree with the action on the bnún, before pointed out. In SS. 675 — 678 we 
have exquiaite picturea of eome kinds of cholera. In S. 679 the medicine was pushed tomuch too great an extent lo enable nato 
form a preciae idea of its apecific action, but the phenomena of tbe fliat few days ahow a remarkable effect on the lÍTer and gastro- 
intestinal organs. 



Stretching, 659, 68S, 780. 
Trembling, !7S, 493, 650, 651, 662. 
TosBÍng Bbout, 243, 318, 676. 
Toraiog of armii, 127. 
CouTiifiioBa, 127, 663, 664, 678, 700. 

„ opistJiotoiiOB, 664. 

Jcónta, pain, 130. 

„ shootínga, 463. 

„ draning, 652. 

„ weakness, 653. 

„ cracking, £54, 66S. 

„ unateadineas, 653. 



Sleep. 



680. lQt«TTupted yawuing,* she cannot yawn 
enough. {H.) 

681. YawnaofUnwithoutbeingsleepy. (£f.) 
683. Tawning and stretchítig of the llmbs. 

{SI.) 

683. Tawning with sleepiness. {S».') 

68(. Sleepiness and laziness, uncommonly 

sleepy even whilat walking.' {Hhg^ 
665. Sleepiaeaa, aleep (aft. 2 h. JET.) 

686. Sleepiness towards noon. (Z.) 

687. Oreat aleepiness in the aftemoon ; the 
eyes cióse involuntaiily ; he wakes, however, 
readily at the least noise, but alwaya &Ub asleep 
•gain. {Si.) 

688. Falling adeep whilst atandiog. (.?.) 

689. InabiUty to keep awake. {Mor.) * 
6Wk AJter eatinguncommon sleepiness. (^¿) 
6»1. Tendency to stupor. ( Wo,) 

693. He cannot be awoke ; ° lus hands ara 
cold'' and he ts senseless. {Mor^ 

693. Light sleep (&om I to 5 h. .H.) 



a Hahnemami haa here improperiy " slnmber." 



^./.) 



«W, SleeplesBnesa (all. 4 b. 

695. Frequent waking, with 
fuInesB. (Wm.) 

696. He Bleepa sitting, with his head bent 
forwarde. (.ff.) 

497. In the moroing he aleepa on his back, 
the left hand laid under the back of the head.* 
{H.) 

698. He felt as if he i 
air and bad nothing under him.' {B% 

699. On lying down at night, ehuddering. 

700. Fríghtfiíl conTulaive movements on 
&lling asleep.' (&.) 

701. Frequent starting out of aleep.^ C^O 
7ft3. He starts up ' in a fri^t, mores mudí 

and talks in his aleep, (/T.) 

703. She starts up in her sleep and saya 

some one is holding her. {H,) 

70*. Very restless nights. {A. J.) 

705. He cannot lie os the ríght side ñor on 

the back, he tums in bed from one mde to an- 

other with paln. {H.) 



AiB.AiuB. Ltnnc 
Hifibc. Mac* 
Hltr. Ehuct. EuL 
Cunpb. Uip. Nitr- 
te. Kdi-t. Full. 



Stmptoms 706 To 789.] ACONITITM NAPELLUS. 


86 


SIeep. 








a monomaniac), which ie very troublesome aod 






707. (Inspiraron witb a double jerk, Uke the 


disagreeable to him.> {H.) 


1 m 


>(i) 


bleatÍDg of a goat, whikt aeleep.' {H.) 


714. Dreama of subjecU that for 8 yeara had 






708. After lying down at níght and wt^st 




■•B0T.01c.Qnpli. 




BÍtting during the day, he ¡8 in a gtate of waking 


715. At night anxious dreams and occasional 








waking with a start. (ÜAí.) 






far from home. (/f.) 


716. Long dreams with anxiety inthe chest. 






709. Sleep fuU of dreams of a coDfiíBed and 


taking away the breath and causing him to 






Tivid character. {Si.) 


awake (night-mBie.)" {H.) 


n M^n-m.Tdh 




710. Long confused dreams. {Wh.) 


717. Aniious heavy dreams with oppresdon 






711. Dreams, in which he rooke much. 


of the chest.' (&.) 


oH(p.Luh.LHt-*. 




m 


718. VexatiouB dreams. {H.) 


Mili. Ziu. 




718. He has a very yÍTÍd dream towards 


719. VexatiouB, memorable dreams, which 






moming, and obtains an accuiate explanation of 


excite his anger, in a half waking state. (í?/.) 






a circumatance that was a riddle to him whilst 


780. On awaking in the moming, di^inesa 




*(<} 


awake'(aft.20h. E.) 


in the head.'' {H.) 


''ÍKI;^'^"- 




713. He dreams half the night of a ñii^e 


781. On awakiDg in the mombg, it appears 






to him as though his breath were fetid. (H.) 






many houra afler he awoke, so that this sub- 


788. Shivering 1 and frequent yawning on 


lKrMii.U>i». 




ject alone is in his mind (Uke the fixed idea of 


riíing in the moming. {St.) 




INDEZ TO STMPTOMS OF 8LEEP. 




Yíwning, 681, 682. 683, 722, 780. 




DreamB, aboat OTentí of the 


lay, 783. 


oonyoldyQ. 340. 




„ ofíubjoot» long paat, 714. | 


b«i]ked,6e0. 


„ Btutiag, 701. 702, 708, 716. 


LIght sleep, 693. 




Sleapinew, 340, 475, 479, 6G6, 683, 690. 


taUting, 702, 710. 


Fi«qaetit waking, 695. 




„ it noon, 686. 


«sifhelayinÜiB.ir.e9a 




ín the «ftamoon, S87. 


Mght-mara, 7I& 


779, 782. 




mñer eating, 243, 650. 


Dreams, YÍTÍd, 248, 480, 709, 712, 719, 782. 






Half w»kfag Btote. 483, 708, 779. 


„ long. 716. 


with hMd nnder head, 697. | 


Stupor, 6fll,'*6fl2. 




imposñbleonbscl 


OT right sido, 705. 


Coma, 679. 


„ fontastíc, 483. 


On awaking, yawning, 722. 




fileep, lUrtnrbed. 243, 477, 479, 480, 483, 483, 


„ oonfosed, 709. 


„ Bhivering, 72S. 




704,782. 


„ disutrwable, 483. 


„ feeU as ff dnmk the night bdbre, | 


„ niure&esbiiiK, 482. 
Daiing Bleep, breathÍBg Uke a goat bleating, 707. 


„ anxious, 479, 7ie. 717. 


48a 




„ vexatíons, 718, 719. 


„ vértigo, 720. 






„ fiislitful, 477. 


fetid Wth, 721. 1 




„ of one anbjeot aU nlght, 713. 












788. She Í8 cold and «bivem. (,St.) 








734. Shivering for several honra, aa if be- 


and legs, and shiTering even in the Aice. 






tweeu the skin and flesh, eapedally over the 


{St.) 






back and abdomen, felt even when perspiring 


731. She ahiverB Irom beloT npwards to 




"O 


from rapid walking.' (Z.) 


the chest. {St.) 






725. Aniioua cold feeling (aít 3 h. H.) 


788. lÜgor orer the back and irau. {St.) 




t Coa.UER-«J4ui-<. 


720. Shivering on the alightest movement* 








(aft. 10 h. H.) 


the banda and feet. {Wm.) 






787. Sbuddering from the middle of the 


734. Sbuddering on lying down at oight" 


's^'^STsuí!;: 




Bpine to the lumbar muscles of both aides, as 


{H.) 






iffromachill. {Wl.) 


736. Attack of fÚDtness with shivering. 






788. Añer taking for some days a lai^ 


{H.) 






quantity of the ünct. : rigor along the spine. 


736. First coldneas, rigor and paleness of 






with goose-Bkin creeptng dong the galea apo- 






"BpMW. 








i aiüph. 


heat of the stove, he loses the feeUng of st«adi- 








neas while atanding, the legs seem as if they 


(aft. i h. B.) 




• »I«,iirial.Nllr-«. 


wonld rise up, he faJls asleep wtúle atanding* 


787. Cold over the whole body. (ff.) 




/(?) 


for an instant. He feels wbile breathing as if 


738. ContÍDual diminution of temperatura. 




»*ii.br.C«irph,a«t. 


the air passages were Teiy tríde, so that the 


{Wrí.) 




Plomb.Beo.Tíiíli. 


air passed in and out very readily.' (Z.) 


739. Sbuddering, with paleness and nmken 




789. Coldneas in the belly.' (5í.) 


featnrea. {Z. Ar.) 





ACONITÜM NAPELLUS. 



[Stmftomb 740 TO 778. 



. t An.BtILCt#.lpM. 



"¡r 



a Mur. Horph.M. 



740. ColdneBa under the skín,' BÜght fre- 
quent^ repeated rigor, not fbllowed by he»t. 
(Sw.) 

741. Coldseaa in die buida and feet, ahud- 
dering' orer the back whílat the bead and body 
are wann. {Z.) 

743. At night, añer a short rigor, cpntinued 
heat, (»^-) 

743. Altemation of cotdneis and beat {M.) 

744. Ferer : coldnesa of the whole body, 
with hot forehead,' bot ears, and inward dry 
heat.'' (H.) 

745. Fever : coldnesa and atiffneBa of the 
whole bodf , rednera and beat of one and cold' 
nesB of the other cheek,' witb open flzed eyes 
and contracted pupila " which only dilate alightly 
and alowly in the dark. (S.) 

744. Towarda evening, rigor and coldnew 
of tbe hande and feet, then nauaea felt about 
the middle of the atemum, vhich continuea 
eren when partaking of fbod, that taatea well, 
altiiough there ís neither appetite ñor disUke 
fbr fbod ; ftñer eating, the nauaea goee off' 
and ia foÚowed by beat of the face" accompa- 
nied by aad and deapairing thoughta. {H.) 

747. Cold shuddeñng from tbe crown of 
the head do\ni the back to the aacnun, fellowed 
by au agreeable aenaation of wannth' in the 
akin. (m.) 

74& Alternatíog attacka (aft. 3, 4, 6 h.) : 
Eitber along witb redneaa of the cheeka cbild- 
iab nierriment, with aenaation of beat all over 
the body, and beadacbe on moving the eyea' 
upwarda and aidewaya ; (3.) 

749. Or, along witb redneae of the cbeeks' 
and beat of the head,' abuddering all over tbe 
body, with pioper taate in the mouth ; {H.) 

750. Or, along with redneaa of the cheeka,' 
rigor, witb weeping and presüve beadacbe; 

m 

751. Or, along witli redneaa of the cheeka, 
an obetinate diapoútion, buming in the región 
of the navel, and preaúve beadacbe. (H.) 

753. Afler tbe aieata, which uaually makes 
hím warm, feeling of rigor throughout tbe body 
and cotd of the upper arm. Tbe cold feeling 
pernated eren wbile walking, and in the eve- 
ning gave way to a ahort diaagreeable feeling 
of warmth, Iike a catarrhal fever. (Rg.) 

763. Extreme redneaa of tbe cheeka, with 
a diacontented, complaining, lacrymose diapoai- 
tion (aft 3 h. .5;) 

754. Towarda evening, buming heat in the 
head" and &ce,' witb redneaa of the checks' 
and out-preeaing beadache, at tbe eame time 
rigor over the whole body and tfaiiet (aíl. 14 
b. St.) 

755. Towarda evening, dry beat in the face 
with aniiely. {H.) 

756. Heat in the head,* forehead bot to tbe 
touch,' with rigor over tbe reat of the body on 
the aligbtest movement. {H.) 

757. Senaation of he^ flrat in the banda, 



Fcbrlle Sfmptonu. 



then all over the body, eren in the cbcst, with- 
out perceptible eztemal heat' (aft. 4 b. H.) 

758. Attack of beat in the back. {Si.) 

759. (Heat and tbrowing off ttke dothee, 
H.) 

760. General heat and tbirat {H.) 

761. During the beat, modérate deaire for 
beer.' (ff.) 

76S. (She dñnka Uttle during the heat, yet 
has dry lipa. íf.) 

763. (Duting ihe heat, tbe cough ia trouble- 
aome. ff.) 

764. (Oreat heat from 10 in the evenii^ tjll 
after midnight, witb dyapncea ; ahe would Iike 
to cough, but cannot, and apeaking ia difficult ; 
at the aame time there ia the greateat reatleaa- 
neae, and complainta about paln in tbe bowela, 
feet, abdomen and back ; ahe atamped with 
ber feet, and would not allow herself to be 
touohed. lí.) 

765. Perapiralion witb febríle rigor (aft. 3 
b. H.) 

766. Modérate perapiralion all ont the 
body, {H.) 

767. Febrile per^úration. {H.) 

768. Sour amelling aweat** all over the body. 
(H.) 

769. Cold aweat. {A. J.) 

770. Surface cold and covered witb clammy 
Bweat.° 

771. Skin inclined to tranapiíation. {A. J.) 
77d. General warm aweat. {A.J.) 

773. General aweat, eepecially on the fore- 
head and precordia. [01.) 

774. Nauaea, vomiting, thirst, general beat 
and copioua perspiration, with diureaia. {_Og.)* 

775. Exhalation and aweat all over the body. 
(ífoí.) 

776. Nocturnal tranapiration. {A. J.) 

777. Intemal rigor bom back over tbe lega, 
with cold swe^ ; tbe face feela ice-cold (in a 
Buiíny day and a warm room.) Thia laated 
four honra, till evening, when heat and rapid 
pulae and aymptoma of coryía carne on, with 
general lazineaa and heavmeaa of the limba. 

778. Afler 105 diopa in 6 daya, tbere oc- 
curred the following ^mptoma witbin the 24 
boura : weight and preaeure ín the vértex and 
forehead, nauaea, painfut beavineas of the limba, 
preaalve paina in the acrobiculua, bead con- 
fused, giddy, fkce hot, handa and feet cold, 
pulae contracted, hard, moderately frequent ; 
the face grew redder, turgid, the eyee apark- 
ling, the mouth dry, tongue furred, no appe. 
tite, great tbirat, oppreaaion of cheat, auperficíol 
reapiration, aíghing, feeling of fulneaa ín the 
cheat, palpitation and anxiety. Pulae atrong, 
full and hard, akin warm, uriñe clear and red- 
diah. The beat and reatleasneta increaeed; 



y^^oogie 



Stmptoks T79 to 782.] 



ACONITUM NAPELLUS. 



FebrUfl 

ptún in the rigfat mde of the chest. Theee 
Bymptonu then gradually decliued. [Hi. c.) 

779. Añer 20 drops, increased wannth til 
diiy, with ezhttuBted feeUng and loBS of appe- 
tite. The heat increased towards evening, and 
the pulse became full and quick. He felt the 
beating of the temporal and caratid arteriee 
while ñtting. DÍBÍnclination to go to bed ; he 
could Dot sleep wben he went to bed ; the heat 
of the body increased, especíally of the eztre- 
mitíes : perspiration appeared on tbe inúde of 
the tbighe and oa the ecrotum, accompanied 
hy great itching ; he Bcratchea till the blood 
comee. He was in a kmd of half sleep, tor- 
mented hj tbe moBt extravagant dreams tUl 
moming. The itching of the Bcrotum con- 
tinued nezt day, and tbe following oight he 
was hot and sleepless ; the nest night still 
reatleas, but less so. (Bg.) 

78(K Aíter a large dose (400 drops) : Bur- 
ning in the tongue, increasing in intensity for 
4 bomrs; the soft palate, tonsüs, and fauces 
reddened, with feeling of warmtb nod diyness 
of lipB. Rigor commenúng in the legs, then 
going to the anns, with goose-skin;'' it seems 
to be betwixt skin and muscle, vorst wben at 
reat; grent fatigue, indifference, irrítabilitj, no 
appetite, food creates nausea. The rigor con- 
tmued to increase ia the aftenioou, snd be be- 
came ÍC7 cotd, no coreringB suffice to warm 
bim. Tbe hair seemed to brístle,* and the 
BCalp was painñil to the touch on several spots, 
and sensitive to cold air.' Burnisg in the 
ejea, twitching and vieioQ of sparke ; roar- 
ing ia tbe ears, great sensitíveness to noise. 
Breatb hot,* breathing quickened; on breatbbg 
deeply, oppresúon, anxiet^, and painful etitches 
betwixt shoulders, pulse strong, full, quick ; 
mucb fawning and stretching of the HmbB. In 
tbe erening, wannth and slight perapiration 
come on, with excessive Balacitjr, aíter which 
all the symptoms went off. except that for 
days tbere were violent shoots in the glans 
penis while tnsking water,'' and hot dark. 
coloured uriñe was passed, {Sw.) 

781 ■ Forty drops cauBed tbe folloiring effects ; 
Headache in tbe forehead and temple*, heat 
utd ia the chest, eructation of air aad 
nausea, going off añer breakfast, violent palpi- 



tatíoD, with dísagreeable feelings in the cardíac 
región, itching on the skin of the left arm, cold 
feeling running down from tbe middle of the 
tbigh, especially on the knee snd leg, digging 
pain ia the chin. The lega got very cold in 
an hour, worse wben in a warm room and 
wben walking. 40 drops more cansed an in- 
crease of headache, feeling of swelling all over, 
especially in the lefl side, with bruised pain 
in the nbs and arma, witfa crampy feeling 
about the heart'; the swoUen feeling changes 
into a numb feeling. In the ailernoon rigor 
all over tbe body in a hot room ; glowing beat 
of tbe face and redness of cheeks,' pain in the 
tbroat, itching and eoreness of eyelids, pulse 
67, BOiall and soft. The pulse aAor thia roee 
in an hour to 102, was fiíU and hard, then an 
agreeable wannth carne over the body, foUowed 
by perspiration, the lega all the time coatiuuing 
cool.^ A paúl carne into the eye as if it was 
pressed into tbe orbit and bruised.' The heat 
of the body and face, and the pain in the head 
and eyea, Uated all tbe eveníng, and the beart'e 
beats were very atrong. The nigbt was good, 
and the nezt day the abnortnal symptoms were 
gone. (<?/.) 

782. Añer taking a pretty large quantity of 
the tincture, the following were the chief symp- 
toms for 3 weeks : At first pressive and shoot- 
ing pains in the &ont of the eyeball, then all 
the symptoms of having caught cold ; coryía, 
rigor domi tbe back, especially in the erening, 
oppreaaion of breathing, pressure under the 
Btemum, flying heat, fuU pulse, resüess nights 
with vivid dreams about events of the day. 
On taking a fresb dose 3 days later, pinching 
about the navel, fbllowed by painleaa cUarrhaea, 
pressive headache over tbe right eyebrow, 
increase of febrile symptoms towards evening. 
This febrile state lasted eeveral days, the diffl- 
culfy of breathing increasing, with íntermitting 
pulse; 5 beats «ere hard, full, in rapid suc- 
cession, the 6th could not be felt, even at the 
heart. General sickly appearance. Buming 
in the uretbra wben urinating. The symptoms 
then became cbiefly cooflned to the tendinous 
or muscular structures, such as shortened feel- 
ing of the tendons of the ham and of the tendo 
Achülis. {Ar.) 



i K>l4. Pho*-u. 



k An. Nni-T. Pho. 
I Aot-t. Hap. Ln. 
Mui.i. Sulph. 



Gkwae.«kin, T38, 780. 

Blgot, 303. 47T, 501, «84, 643, 644, U5, 663, 

7J3— 7S8, 731, 7S0. 740, 749, 750,763, 764, 781. 
Bigor, in the monüng, 733. 

„ at mght, 477. 483, SM, 734, 743, 783. 

„ as if betwixt ikin and fleah, 734, 760. 

„ lawart, 674, 777. 

„ Dveí abdomen, T24 

„ OVBT ohest, 483, 731. 

„ over the back, 475, 483, 6T4, 734, 7!7, 
738. 733, 785, 741, 747, 777, 783. 

„ over anua, 733, 780. 

„ in banda and feet, 733, 74d. 

„ over Üie l^a, 771, 780. 



JNDMX TO STMJPTOMS OF FBVBB. 

Rigor, fbllowed by baat, 743, 747, 777. 

„ with tiiirst, 7M, 

„ with beat of head, 754, 756. 

„ with heat of face, 754, 756. 
ColdnosB, 139. 343. 477, 644, 663, 676, 677, 738, 

735, 737, 7S8, 744, 745. 
ley coldneas, 780. 
Coldneas, of forehead. 736. 

„ of faoo, 674, 730, 777. 

„ of tongne, 678. 

„ of Btomach, 1 30. 

„ of abdomen, 739. 

„ of amu, 137, 139, 378, 478, 509, 644, 
678, 730, 763. 



OcUness, of hands, 565, 566, 693, 741, 746, 718. 
„ of finseis. 738. 

„ of lega, 137, 139, 378, 478, 609, 678, 

780, 781. 
„ of knees, 606. 

619,741,746,778. 



ofto 



I, 619. 



nnder skin, 740. 
„ not foUowed bv heat, 740. 
Heat, 477, 479, 483, 483, 679, 748, 7fi7, 774, 
779, 782. 
„ at night, 343, 477, 480, 483, 743, 7S3, 7G9, 
764, 776, 778, 779, 780, 783. 



byAjOOglt 



ACONITUM NAPELLUS. 



INDEX TO 8TMPT0MS OF FEVER feoatiruiedj. 



HMt, intonMl, SSS, 744. 

„ ofeare, 340, 744. 

„ otíñce, 1S3— 186, 340, 378,490,401,650, 
746, 7S4, 755, 778, 781. 

„ of forebead, 744, 756. 

„ of back, 758. 

„ rollowed by peratñratíon, 781. 
Dnring the hut, d^ lipa, 762. 



oongh worte, 763. 



Penpintioii, 663, 678, 76S, 767, 771, 772, 773, 
77S. 
„ on forehead, 773. 

„ on cheat, 773. 

„ (m acrotom. 779. 

„ on the tbigha, 779. 



Ferspiration, wíth rigor, 765. 
Warm Bweat, on forehead, 4S7. 
Cold Bweat, 674, 676, 769, 770, 777. 

on head, 278. 

on forebeod, SOO, 501. 

on faca, 663. 

oo back, «6a 

on banda, 600. 

onfeet,500. 

on palma, 569. 
Clanuny Bireat, 770. 



RxiCABKS. — Nothing is better tnarked tban the poner of Aconite to produce fever of the puré synochid 1?pe, whetber 
idiopathicBlly or s^mpathetic b> influnmatory action of diSerent puts, and this power hiis been sbewn in a much greater degree by 
the re-proTÍn^ of the AuBtrian Society thon it exiete in the original records of Hahnemaon. We find in the íbregoinf;, statea exactly 
analog^us to ayoochal, calarrhal and rheumaüc ferer in «11 their stages. 



Li^t — beadacbe, 102. 
NoiBe — general, 29. 
Moaic — Kneral, 30. 
BiraUowing— choking, 413, 414, 

Búre throat, 230, 239, 242. 
Eatmg— Tertigo, 479. 
„ biccongh, 257. 
„ preunre on «tomach, 265, 476. 
„ pain in stontach, 463. 
„ heartbum, 463. 
„ exhanstion, 343. 
„ Bleepine»», 243, 256, 690. 
„ cold feelinr, 243. 
Drilíking— headacEe, 83. 
„ hiccongh, 267. 
congh, 400. 
Taking wine — rheomaCio and cbeet symptonia, 

666. 
Smoking tobáceo — Btnpe&ction, 66. 

„ ttcUiDg in laiynz, 394. 

cougb, 402. 
Bpeakiag— beadacbe, 80, 83. 
■ora throat, 230. 
Laughing— ptün in rígbt h;pochonder, 297. 
Sneezing — pain in chsBt, 479. 
Deep inapiration— oppreaBion of cbest, 431, 432, 
780. 

pun in cheat, 431, 463, 474, 
479. 780. 

pain in back, 617, 780. 



Yawning — 



1. 160. 



— Tertígo, 62. 
Moving haad— pain in neck, 613. 

„ pwD in nape, 502, S03. 

„ pún in Bcapola, SD4. 

Horing eyea— headache, 748. 

1 symplomg, 69, 88, 
n back, SSS. 
n ann, 538. 664, 553. 
n thigha, 698. 
nWp. 525, 581,582. 
latic and cheat íjoiptoma, 666. 
tiied feeling, 243. 
■bÍTeiing, 724, 726. 






CONDITIONS OF TSE SYMPT0M8. 

Hotion— heat, 482. 
Walking— vértigo, 482. 
beadacbe, 93. 
„ «ore Uiroat, 242. 
„ nausea, 230. 
„ pain in apleen, 2I>6. 
„ pain in bladder, 350. 
„ pain in orothra, 354. 
„ palpitation, 477. 

bacWhe, 243, 620. 
„ pain in hip, 583, 586. 
„ ooldle^, 781. 
„ trembling of limba, 863. 
„ gleepíng of toei, 624. 
„ aleepineas, 479, 684. 
„ fatigue, 596. 
Kring (rom seat — nausea, 65. 
Stoopmg— vértigo. 52, 53, 61, 63. 
„ headoche, 61,92, 107. 
Leaning forwarde — bellTBChe, 307. 
Aasnmmg an eieot postura — pain in cheat, 436, 

463. 
Standing — vértigo, 54. 

„ sleepin?, 688. 728. 

Ljing — pain in neck and ahoulder, 610. 

,, tired feeling in lega, £37. 
Ktting— nausea, 261). 
„ ainking, 260. 
„ palpitatiim, 477. 
„ aleeping, 696. 
Reat— nnmb Winr, 674. 
„ nerrous ana paralytic Bymptama, 665. 
„ rigor, 780. 
Writing— distraction, 43. 



paiDUi arm, 



565. 



OpenL 



) throat. 242. 
pain in limba, 243. 
rbeumatic and cheat lymptoms, 
rigor. 482. 
lOm— yartigo, 69. 

headocbe, 104. 

oouRh, 488. 

cold lega, 781. 

nervoiu fmd paialytic 
665. 



ÁiauotÁTton obBchot.u. bi: 

Darknew— headacbe, 102. 
Eating — earache, 166. 

„ Bore throat, 242, 

„ nausea, 263, 781. 



Deep iuBinTation-M)ppies8Íon of chett, 430, 
Blaeoing — dim viaion, 127. 
Motion— headache, 109- 

„ pain in neck and ibonlder, 510. 



,, paralytic symptoms, 665. 
WaJking — nausea, 260. 

„ nnmb foeliog, S74. 
Getting np— eihauBtion, 658. 
Stooping — pain in eyea, 147. 
Bendiug farwarda — pain in back, 628. 
Bending backwarda — pain in cheat, 435. 
Lying down— pain in cheat, 461. 
Sitdng süll— TCTtigo, 65, 

„ nausea, 66. 

„ headache, 93. 

„ palpitation, 477. 

Reat — rhenmatic and inflanunatorj cheat mnp- 

toms, 6ti6, 
FreBanro — pain in ankles, 617. 
Ruhbíng the akin— pun in cheat, 463. 
Coldwr ' ■ -- 



acheT*?! 



neiTOUB BjmptomB, 665. 



yGüoylt: 



THERAPEUTIC USE. 



Thb folloTÚig are Hahnemann'e obeerratíona widí 
respect to the medicinal xisea oí Aconite. 

" Althou^h the follovíng symptoina are far &om 
expressing the whole valué of tbis most valuable plant, 
yet they give the re£ective homieopathic physician a 
meana of affording aid in morbid states in which the 
oíd school of medicine emplo^ed her most dangerous 
appliancefi, e. g. copious blocdletting, and the whole 
complex array of Bo-called antiphlogistdc means, oñen 
in vain and almoBt always with sad after-effects. I refer 
to irhat íb called puré inflammatory ferer, in which 
the smallest dose of Aconite renders all Uiose antipathic 
methods hitherto in vogue superfluouB, and cures quickly 
and without aAer-sufferings. In the measles, the pur- 
pura miliaris, and in acnte pleuritic fevers, &c., its 
curatíye efficacy is truly wonderful, when it is adminis- 
tered in the dose of a thousandth part' of a drop of the 
decíllionth development of potency, alone, care heing 
taken to avoid all other medicinal subatances, even vege- 
table acids, and the patáent being kept rather cool. It 
ia rarely necessary to give anodier euch dose 36 or 48 
hours after the fírat 

" But in order to abolish from our conacientious 
treatment all routine practice, vluch is but too apt 
to direct its treatment to mere ñames of diseaaes that 
are often quite imaginary, iu all morbíd states fot 
■which Aconite is to be given, fte chief symptoms of the 
diseaee whether acute or chxonic must be found among 
the symptoms of Aconite. Then the result will be 
wonderñd. 



' glatmle, the bíeb of a poppy seed, moiítenad 
Mud of which majr be maisfeiied with 
a wKinh ñ.n\ RTi amAll that ROO of them we 



■ That a, a iinall mgar 
witb itt more tluui a tbonimiu m niucu uinjr m ujuiH¿cuDu muí uiiD 
diop of tfiñtB of wine, and wbioh are so snutU that 300 of them weigh 
only one gnún. 



" In thoae very caa^, such as severe, acute inflamma- 
tory ferers, whereon allopathy plumes herself most that 
she alone ia capable of saving life by means of bold and 
repeated bloodlettíiigs, and that therein she is inflnitely 
superior to homceopathy, it is in those very cases that 
her boast is moat miaapplied. Those are the very 
caaes in which the infinite superiority of homceopathy ia 
mamifested, as she doea not require to shed a single 
drop of that precious vital fluid, the blood, (which the 
allopath oñen drains oS in streama to an irreparable 
extent,) in order to transform this dangerous fever Ínto 
health, not unfrequently in as many hours as the allo- 
pathic, life-depressing syatem requires months for the 
complete recovery of those whom death doea not in the 
meantíme cut off, or at all events in the chronic maladies 
it artificially excites. 

" In those cases of acute disease an intermediate 
homoeopathic medicine is sometimes necessary for the 
other morbid symptoms tliat remaín after the first dose 
of Aconite has acted 12 or 16 hours, but it is very 
seldom necessary to administer a second dose of Aconite 
añer this intermediate remedy. 

" In as short a time aa four hours añer such a cau- 
tiouB administration of Aconite in the morbid states in 
question, all daager to life is past, and the excitcd 
círculation then retums £rom hour to hour to its more 
tranquil course. 

" Although on account of the short duration of its 
action (which in such amall doses does not extend 
beyond 48 honra) Aconite might aeem to be capable of 
beii^ useüd in acute cases only, yet in the most obstí- 
nate chronic maladíes it is indispensable aa an acceseory 
remedia! means, where the state of the system requires 
a diminution of the so-called tenaeneta of the jOyre (the 



lized by 



CoogTt 



40 



ACONITUM NAPELLUS. 



ttrictitm oí the andents), on whicli snbject I cannot 
now dwell more fully; its efBcadoiu employmeQt ia 
such cases is appaxent from the s^ptoms it produces 
on the healthy penon, and irhich aie in part detailed 
below. 

" Aconite ís abo the first and chief remedy, in the 
small dose above mentioned, in inflammatíon of the 
vindpipe (croup, angina membranácea), in seTeral kinds 
of inflammatíon of the tliroat and fauces, as also in the 
scute local inflammations of all other parta, especially in 
those cases where, besidea thirst and quick pulse, there 
are present an anzious impadence, an uncontrollable 
agitatíon and agonized tossing about 

"It develops morbid states similar to aU tliose that 
occur in persons vho haré had a ¿ight combíned with 
Texatíon, and is also the moet certain aod rapíd remedy 
for those states. 

" In the BelectJoQ of Aconite as a homoeopathic re- 
medy, ve ought to pay especial regajd to the moral 
symptoms, and see that they in particular resemble 
those produced by the medicine. 

" Henee it is indispensable aftei íright or vexatíon in 
Tomen during the catamenia, wbich without this excel- 
leot sedatíve are easily suppressed by such mental 
shocks, oñen ínstantaneously. For this end it sufBces 
to allow the patíent to make a single momentary olfac- 
tion in a bottle contiúning a single globule tlie size of a 
mustard-seed moistened wiúi the decUliondt potency of 
Aconite (-whicli may be kept in a well stoppered bottle 
for yeais for this object, without the globule losing any- 
thing of its curative power). 

" Most of those symptoms of Aconite detaílcd below 
which se^n opposed to one anotíter are merely alterna- 
ting states, by meana of either of which it can be reme- 
dially usefiil, still it is most so in respect to those that 
have a tonic character. 

" Vegetable acids and wine remore its effects, and so 
do other medicinal substances that coirespond palliativcly 
or hom<Eopathically to the troublesome symptoms it may 
gire rise to, in coasequence of too large a dose or the 
administratioQ of it being unhomceopathic." 

The abore remaiks of Hahnemann indicate a portion 
only of the morbid conditions for which this Taluable 
remedial agent is spccific. An examinatíon of the 
symptoms in the foregoing schema, and our clinical 
experience in the use of the drug, shew that it ís appli- 
cable in the commencing febrile condition of almost all 



ezanthematouB fevers, and in some, as meaalea and 
miliary fever, as Hahnemann has remarlced, it often 
suffices of itself to efiéct a cure. It may be looked upon 
as specific in catarrhal fever, and in the catarrhal symp- 
toms occasioned by cold, damp, or the like, vhich it 
TTÍll often cut shorL In acute rheumatism and rheumatic 
fever ito virtues have been extensively Bhewn. It is 
indispensable also in traumatíc and puerperal ferer, and 
generally for the fever accompanying all local inflam- 
matíoDS. The inflammations to whích it is partícularly 
suitable are those of the seroua membranes of the lungs, 
heart, abdomen and braín ; it has also decíded pover 
over inflammations of tbe mucous membranes, the Tarioua 
tissues of the eye, thejoints, the muscular substance, 
tendons and ligaments ; in fine, acute inflammations of 
all structures are more or leas within the sphere of its 
influence. Acure congestíon of the brain or lunga 
indícate its use. Actíre luemorrliages of the noae, 
lungs, uterus and bowels demand it It has been 
successfully employed in the first atages of Adatic cho- 
lera. It ia, moreorer, meful in neuralgias of many 
kinds, even such as are unaccompanied by symptoms of 
accelerated circulatíon. Over excitement of the nervous 
Eyatem frequently demanda its use. Inflammatíon of all 
parts of the reapiratory apparatus are especially under 
its power, ÍDcluding croup, laryngitis, tracheítia, bron- 
chitb, pneumonía and pleuritis. In fact to enumérate 
the diaeases for whích it is suitable would be to mentíon 
the acute inflanunatíons of every posaible orgsji and 
tiaBue in the body ; and if it be not for all of theae tbe 
solé remedy, it is almost alwaya uaefiü eidier previous 
to or in altematíon wíti another remedy which has 
perhaps a more specific relatíon to the part affected. 
Our clinical records teem with instances of its successful 
apphcatíon in all such affectíons, and the foUowing 
resume oí the cases and affectíons for which it has been 
found serviceable, given by Trinka in hís Materia 
Medica, to which I bave made a few additíons, wiU I 
doubt not be acceptable to the practitíoner. 



„„_~. of Btont and full-blooded children, (Wihhmíto, A. h. Z. 
„ii, p. 107.) Verv pdinftil rlieani«tí«m of the íointB. with TÍolent fiíYer ; 
Btitclies in the cbtigt ; violent, quick and vride extended hearfe beat». 
T. Acón. gtt.T,twice« d«y, curad itin 4 day». {KtiBEB. fljff. 1,605.) 
Bheum»t£mu» acutos febrilis. (Fkakk, A. K Z. ni, Í90.) Acónito 
a suitable only for that form of febrile rheumatism where the genio» 
morborum or the indÍTÍdiiality tends to the trae synochal-inüaminatoi^ 
diatheai». (KuRtí, A. h. Z. ixvi, p. 89.) Rheomatísmus acutus arU- 
Cttlonun; tearing «nd «hooting in the limbs, which were «wollenj 
modérate inflammatorf ferer, increasing towardi evoning; thirst; 
anorexia. T. Accn. gtt iv, in Aq. 5 iij, a tahleapoonfnl every 3 hoois. 
(WsRBsa, Hyg. víU, 291.) Chiwiic ibenmatio gont, when the patientt 



yt^oogle 



THERAPEUTIC USE. 



) that thej 

_ .. . , B8 withoat 

MgnTatíon of Üie mffermga. In soma cásea tbe ohioDÍc aSectioiía 
(muiged into «mte, >nd » trae irñtatícm ferer wu stirTed np \ in 
thow oaaeB Aconite modersted the paiiiB and tha debUitatíng peTepra- 
tioiu, tmd ptocnred aleep, b^ meana of which tho pUJonte lecoveied, 
and were cnred bj the amplofineiit of other appnnri&te madioineB. 
{Akhou>, Syg. i, 64.) Acate aitluitiB, aflectiiig tul the jointa, with 
íerei. (HeicHELHBDf, f y^. t, 206.) Arthñtio íevei. (Rkimbb, ffw. i, 
13.) FnKbtñil poiiu ¡n the iointa that wonld not allov the ilíshteat 
tonch, with Btrong fever. Acón. 4, gttj, twice a day, ouied in 7 
dars. (Heichei " " ~ ""■■ > 

Very violent 
and RsdesanesB ; añor 

OODOT ; cnred by a few , ... 

CtmgeatioDs ; Rneb of blood to tbe hsad, iñth constant Tertígo, canaing 
(Uling ; severa headadie ; atnpifjing paina in the fbnheád ; DOnüi- 
ei<Rij momentary loaa of conacioiutiesa: flickerlng before the ajea: 
in two atrong plethoño man who OMid fbrmerljr to be bled Berá«J 
time! a jear. (KaAHEB, H¡/g. i, S4.) 

Nerrona orer-excitement in acnte disaases, with attaoks of ireak- 
nesa tai feiatxteaa. (Habtuann on Aconite.) Attick of illnesa añer 
ftight, in a delicate, weak-narred nrl of 10 years. (HciCHBLHsnt, 
.fiwr. T, p. !07.) CÓnTulaive attack Tscniring ereiy BTening at 8 
o'dook, and laating 3 boim : crpag ont fnr help ; p^e face ; loaa oí 
Ttnee loon «fCenruda; altemata tonic and clcniíc apaama of all the 
limbe, tlien all at once apringing up like lightning (sn aitatic átate), 
feaiftil enea and bellowing ; eyaa ñxed and wide open, eyelide imino- 
Table ; angry moVements, with inflamed coontanance tuid manj 
impoeing, eanieat attítndes, altenaüng with sardonic langhtei and 
trianina; motiona ao ftrong that 4 man could not hold her; towards 
the end, qniet aleap ¡ on awaking, no racoUectíim of what had 
happened ; bafora the attack, bnming in the faeart and MTere stítchGa 
In tha cheat, wherenpon loaa of oonsoioüsnetia ananad: in a giil of 18 
years of age. Aftar miitieM em^Tment of Cicuta, cnred hy Acón. 30, 
8 doaee. (BcuDBSt, Byg. tí, 473.) 

Diminlahed the aereritr of tbe STniptoma of aoarlet fever, shortened 
Ita dnration, and when given «a a prophrlactio appaared to haré the 
effbct of Tendariug nüld tha mbseqaent diaeasa. (Müu.Eit, Areh. i, 8.) 
Ifeaalea in a giil 1! years oíd; Skin bnming hot; polM bard, Teír 
qoick ; great anziatv ; breath bot, ahort ; Tery mnch oppressed respi- 
ration: dry, metaltc-aomiding, bartJnÉ, very troableaome cough; 
painfUneea of the tliroat along the tiachea, on being tonched ; gnwt 
thirst, witb painful swallowing ; extraordinary photophohia, witb 
eicesaively red eonjnnctíva, and conatant lacrymation. (Waizes, (Sit. 
ZeiUeh. i, 2, p. 236. Acón. l,eTeryí honr.) Measlea: Thaskin waa cool, 
corered wiÁ gweat ; the face and whole body palé ; the pulae thread-like, 
nnconntafale; breaÁ ahort, rapid, hooping; conBtant jnoaning «nd la- 



>f the left hand, with wblt 



. groamng a 
\3ií ahe fraqt 






hit heraelf in tha faca; Jerkingt iríth theleÁleg; treqnent grindingm 
tbeteeth, theeyallda&atstnct together; noatrilsgtoppednpwitbbrown 
cmats: in a «oroMona nrl, 11 year oíd, in whom the arnptiffli dU- 
appeared urecal timea Rom tbe akin. Acón. 3 every 6 minates, 
bnjQght the exanthema again npon tbe akin, and cnred the other nerroua 
aymptoms. (Waizib, L e., p. 237.) Meaalea, with predominant atfeo- 
taon of the fauces and bronchij alao, initation of tbe ¡nCettinea; 
diarrbisa of fennented-like, greenish, frótbj and clayey atoóla ¡ inter- 
Btitial erythema between eiantfaematona patches. {nixnu.iiw, Aeute 
Dá. i, 399.) Epidemic of meade»; as cbief and in many oaaea sola 
remedv. (Oiíhkb, JB. /. o/Jbm. tí, p. 61.) Meaílea. IHeichelheim, 
Byg. iT, p. 423.) Miliaria pnerperalís. ÍHABniAm, Ácoiaie, p. !S.) 
Intermittent ferer ; when the qtiotidian (aa treqnently bappena witb 
ohildren) approacbes aynocba in character, or when, indepeudent of 
tbe míe, tha aooompanyiDg symptoms indícate Aconite. (Gebbtxl, (Ett. 
Ztvíi. L) Intennittent férer in ohildren ; in wbom the baat was the 
predominant ajmptom of tbe fit, and tha disease waa lecent : Acón. 34, 
n^iet (BcHwiB, Byg. i, TG.) Intermittent fcrer that resiated all ordi- 
nary remedie», eren Solphate «^ Qoinine in lai^ dosas, was aoon 
cnred by Acón. 3, given abortly betbre and dniing the ottaok. 
(EvEiABD, Hora. YíktX. i, p. 389.) Indiapenaalde remedy, wbere to 
tbe piimary affection of a amele aystam or organ a general fébrile dis- 
tnrtMnca baa aasoeiated Itsalf wfalob la dlatlngniíhed by a previooa 
intense Áva, fidlowed by local úc general heat, generaUy lasting long, 
by bot, di^, more at I«« red sUn, wUcIi léela bóming to tbe 
bmdi, lapd, fidl pnlM, beadache, iparUing ayes, Tiolent ooniinaed 
thiivt, anoreida, flery taina, prastration, deUm of more or lesa eere- 
rity, with well-marked remisaiona and paroxyaaiB. (Boaaoia, Bvtg. t, 
98.J Ephemera, irritation ferer, withont local aff^tion, eapeoially in 
cbildren. (Ooiii.lux, Arái. zii, 2, 8.) Aconite not only anppliea the 
place of the whole antiphlogiátío apparatna, bleedingt, nentaral salta, 
■nercdñJi and fbtnentatJons, bnt is mnob inperior to tbem In oer- 



— -. — (ScHBODT, L e. 97.) Synocha In a full- 

blooded sirl of robnat oonitítntion : Excesaire geneñl heat ; glowing 
red bot tace; fébrile rigor; oppreafaon of cheat; dyapncea; violent 
delirium; hard, MI, elow paite: cared by the 30th dil. in 18 bonn. 
(TiBTSE, A. h. Z. iü, 116.) Bynocha, with rhemnatic gastrio affec- 
tiona ; Fantastio viaiona ; heavineaB of head ; preaaing out at forehead 
and temples; painñil drawing in the hair; stiflheaa of the nape; 
tense faeling on iace, wbicb ia red and tomd ; ^ainfulneas of the 
eyea, whicb are red and inflamed ; oppressed Meathing, with ftall feel- 
ing in tbe cbest ; freqnent atitohea tbrongh tbe lefl BÍ& of the cheat ; 
inclination to Tomit ; tensión in tbe bypochondiia ; distenaion and 
inmblin^ in the abdomen ; painB in the limbs, sacmm and back ; 
diarrbceic atocils: boming bot akin ; rigor over the body in the mor- 
ning ; febiile pulse ; anxioua, bnrried apeech i in a man, 46 years oíd, 
aiter a chill and vexation; cnred by 2 doees of Acón. 18. (Hebseb- 
acHiicDT, Ardt. v, 2,49,) Violent inflammatory feTorof children, with 
twitcbings, atarting and eonnected conmlaions. (Qoullon, Areh. zix, 
i, 38. ) Synoohal fever : Conatant restlesaneus ; complete aleeplessness ; 
oonstaat Bobbinj; aighs, interrapted \>j starts ; reñisal of the breast, 
bnt drinking of mnch sugared-water : in a new bom Infimt ; corad 
with 1 dose of Acón. 24. (Bioei., AtA. ít, 3, 42.) Phlegmoooas in- 
flammationn, wbere the arterial system ia chiefly ¡nvolved. (Hbichel- 
HdM, Syg. V, p. 203.) Tranmatic fever uní pains aCler gargical 
operationa, eapecially of tbe eyea ; and when. aner forolble delivery 
by inatnunenta, tbere comea on inflammatory fever, irítb ahooting 
patna in atema, and great restlesaneaa. It also prevenís traomado 
fevet after ampntationB of the limba and breaat, and takee away tbe 
pain. (WuEHLaa, A. h. Z. «i, 6.) Puerperal fever: Sbooting, oat- 
ting pain in tbe awollen abdomen, increaaed by motion and presanre ; 
diminntion of tbe locbia and of the milt ; aparkling eyea ; mnch 
thirat ; not very full, rapid pulse ; hot akin ; eiceaaiTe reatlefaneBS ; 
aniie^, with íear of death; complete aleepleaeneM, iñtb dellria. 
fScHBon, Hyg. y, 100.) Dentition &ver of cbildren. (Kbáiixb, Sm. 
1, 19.) Vemucnlar fever. (Malt, ffyg. xvüi, 60.) 

Fiíed ¡dea of impending deatb in a pregnant woman, who, on tbe 
9th day after delivery, got violent congestión of blood in the cheet and 
extraordinary opprasaion of the cheat, «o that ghe waa like to be choked, 
vrith intennitting polae, cold, clammy aweat; abo took leave of her 
ralationa, raved abont tbe apeedy occqrrence of death, and ptónted with 
an air of great aniie^ to her beait. In a woman, aged 20, who bad 
already bad one cbild ; complete cure after one doée of Acón. 80. 
(Qnoaa, ArcA. vil, S, 43.) In a woman, aged 22, flnt pregnanoy : sad- 
nees, laconiam, complete joylessneaa and dejection, every thing affecta 
her to tears ; expectation of certain deatb during delivery. Aííer deli- 
very : metrorrhagia, of which ahe ftilly ezpectéd to die ; oold aweat : 
anxiety ; loss of oonscioasnesa ; convulsiona of the arma. One dose of 
Acón. 24, cured her completely. (ÜtreBMixa, Arek. ix, 1, 115.) In a 

Í'rl of 1 8, fear tbat sha wonld die on a flied day, cansad by a prophecy. 
[témale lan^ghing and wee^g deliriuni. In the nigbt toasuig about 
in bed, climbing np the waD, endeavours to mn away. By day, as if 
deaf and dam^ will not anawer. Acón, removed these symptoma. 

ÍATtOMrB, AriA. xi, 2, 109.) Hania after delivery : the patíenta be- 
leve tbey cannot aorvive delivery, tbey lie quiet by day, are apathetio, 
ffivB no reply to queations and only atare at tbe queatíoner, and then 
break out uto laugbter and weeping, refnse food and diink ; tbeir lips 
are dry, pulse fiíll and ftequent ; the nuraea bave a difficnlty in pi«- 
venting their Jumping out of bed at night Btarting ont of aleep «nd 
repeating the same endeavoar to run away. (UiBTium, 1. c, p. 26.) 

Typhua, with great heat, inflammatory state of the organs of tbe 
ehest and aíjdomen. Aoon. 8, m repeatoi doses. (Stbscier, A. t Z. 
xri, 277.) Typhua, with great excitation in tbe arterial system and 
Bwelling of tbe parotid, and in pleurisy. (Bautl, Areh. xx, 3, 94.) 
Typbos, witb tbe aymptoms of an inflammatory fever. (Boeon, Byg. 
4,) Profuae, BOjJTevií ■" a-LM....... .. _ — i_ ... ^■_ ..__.^ 



Prevention ol 
Panüyaii 



:>, B,/g. i, 



g, debilitating aweata in rhenmatio gotí^ 



aangaineoua apoplexy. (Bohubbbt, Ardí, v, S, 107.) 
tícnlar parta aftei over-heating followed bv a chill, with 
a of the affected parta to the tonch, and gmat ezdta- 
the vascular aystem. (Ruñiun, L c, p. 28.) Congestiona to 
the head, eapeoially in apoplectic conatitaüons, with vértigo and falling, 
naring in the head and tranaient nnoonsoionaneaa. (Scqboei, Byg. 
102.) Congestiona to the head. (lUmuini, L c, 26.) State of irrita- 
tion <tf the brain and Innn: Ajoon. aidad I7 Bell. (Dib, BggJxrM, 
363.) Inflammalion of tbe l>nun in dúldren, aided by Bell. (Ebicnzi^ 
Hraif,Lo.] AgirlofU: same TÍgoT,fi^owedbybeat and beadache, 
nausea, vomitia^. Nezt day on ritraig np, varljfto and vcouiting ; <md- 
atant frontal pain; raving; mucb toi^ior; waking witb enea; opena 
tbe eyea wide and atarea at different parta of tbe room, durinK wnicb 
ahe talka daUriona nonsense ; face at one time red, then palé ; akin dry, 
hot ; mnob thitat ; no appetite ; oo atool fot 3 daya. ikcon. 30, 14 doaea 
In 8 daya, cnred tbe patient. (Wbbkx, Arek. zvi, 2, 4.) A boy, aged 5 : 



42 



ACONITÜM NAPELLUS. 



10 hekvy to be held up ; onoBiul warmth oí head ; 
Isted pupila ; circoinscribed brt^ht red spots on the 



In the eremng, nidden atUok of ievere riraiT, fbllowed by he«t, haad- 
dohe U both BÍdes, romitiiig of food, drink and mociui, ilumber with 
■tarting ap from it. Neit day, red turgid fac«, spulding ejea, single 
jerfcings in the extremitíes oltemating with trembling in them ; on 
líñing the head, naiuea; when he laya down ths head again, vomiCiDg 
of muuaa uid wktar; the sparkling eyea are eitber ataring at «ome 
point, or are clond in reatlesl sleep, nom which be oftan ataita up 
deliciona; akin drj. bot ¡ much thirat ; pulse rspid, ftül and hara. 
Acón. 30, every hour, cured in 3 daya. (Id. L o. ) A girl, aged 10. 
Heat and redneas of all the body, especiallj the head ; red eym, wi-tb 
contracted pupils ; ctomplete unconscioiiinesa ; raving ; diy tongoe ¡ 
Terdigris-coWred Tomiting; obatinate cooitipatiDn ; jerking of the 
teodons; burried reapiratíon ; pulso 120 — 130, small; graiping at tho 
heaíL Acón. IB, removed the most of the avniptoms, the re»t vielded to 
Btj. (GA«T>-HEinrD, A. h. Z. iitv, lU.) Head aifectioiiB of cbildren 
dnring dentidOQ : crossnet*, dÍBinclination to play, Uying down the 

headasifitws " - '- --■-.^-"--- ' ■<- -ív„j. 

ndconJnncüvB 

' ' ' ' Nlente ap 

V, 102.) : J -. , 

^eat ; throblimg pain in the back of the head ; violent thirst, with 
diyneBS in the throat ; rednest of thcpalate aod throftt ; slight iwelling 
of the tonelU; shooting pMu on awalfowing; lose of Toice; on bre»th- 
íag deeply, inclioAtion to cougb and abooting in Che side and betwut 
the shonlders ; dry cough ; tearing in the wrist ; fingere stiff aud 
Bwollen; at night, bnming heat of the whole hody without subsequent 
perspiration ; sloepleeiinea» íor «oyeral nighta ¡ «Rgravation <d' all the 
Bufforings in the eyoning. Cured by Acón. 3. ( W*T«Ka, flora. Bek- 
dirungieo., 105.) A kínd of tetanua m a boj 6 yeare oíd. He woke np 
eariy, aaked for something to drink, but coold not take it beoauae Ibe 
jawB woni spasmodically cIoHed. This wm Cbllowed br oontortims of 
the oyes, he >a altemately red and palé, aod lies a> if oead. Cured by 
a doses of Acón. (Híubold, A. h. Z. i, 147.) Myeliüa : a man, aged 
26, of gouty diatheBia but irell for 2 yean, spent 2 nigbta dancing and 
drinking ; going homo he fbll to the ground and remalnad S bonis ei> 
poeed to the cofd of winter. Bnmght home, he began to be eoarulaed 
and delinooB. Neit day be eompbúned (tf weight and stapefaction of 
head, vértigo, roaring in the e«n, general h«M, boining and shooting 
püns in the spine. De mnat alwAys lie on hü b«ok. Towarda ni 



dry tongue; laborioUB breathing, inteimpted by aíghing; the whole 
body stiff; the slígbteít toucb - ■ .. . ,-■. 



-iolent convulsiona, 



laii¿]g j^ cr } an hour. When be tries to drink water it retoms by the 
nose ; meteorism, atoáis and uriñe auppreased. Acón. 3, a drop eveiy 
hour, continoed for S days, caosed marked bonefit in all respecta ; the 
moet dangeiona symptoms went off. The leniaining ayuíptoms of 
vértigo, beadache, roaiiug in the ears, weakness and fits (¿ heat, wero 
onred by Nai vom. (Hoksee, Aráiíe, u. 1, 121.) 

Ophthalmia from a fbreign body penetiating tbe eye, (HunuNK, 1. o. 
16,) and other meohanicai injonea. (Tbibkb in many ca««.) Taraiia 
and chemosis. (Híbitiabn, L c, 15.) Ophth. neonatomm la the firat 
Btage. (H-ABTiuHH, L c, 15.) Ophth. neonatomm in ita coumence- 
nient (Oaon, Anh. x, 2, 63.) Sbenmatico-traomatic ophth. (Goulluk, 
1. c.) Inflanmation of both eyea ; the great swolling of the upper lid 
entirely ooverad tbe bwer; gmt ph^tophotiaj bómíng ehooting 

Eins, mnch increaaed at night ; copious «jcrotíon of thin muoo-puru- 
it matter ; cured by Acou. every 'L houre, and ■ dose of Tr. IJulph, in 
theevening. (Watikb, (üí. A. 2«oA. i, 2, 116.) Ophthaliiiia : rednesa 
and SfreUing of the lida, with pains and lacrymation ; comea diía and 
whiüab ; in a young man with gonorrhiea. Acón. 30, intemally, and 
Am. 1 , in water, eilernally, cured \ Cannabis cured the clap and dim- 
nexa of the comea. (I.jBOHEca, J/yj. iv, 411.) Uum of tbe ejes: 
lidí awollen and ted ; comea without brillianc^ and oovered with a 
whitiab skin ; coojunctiva infiamed ; photoiboQa and violent pains in 
eye : blintera on severa! parts of the face. Conipreaaea moiatened with 
■W(^ solntíoD of Tr. Acón, appliod to the oye. cured in 3 day». (Baou, 
htv. vied. Selge, Aug. 1S400 Bum of the eye vrith a candle, cured by 
Acón. 3. (UnooBOH, aTÍ./<>fíí.vi.214-) Ophlhahoo-blennorrhoea : 
Bwelling of both lids, especially the upper one, thoy are red, hot and 
nainfdl; much pnmlent mticni, mized witi toar», comes out írom 
betweentbem; corg. oculi much «wullen, biight red, fomúng round 
the comea an uniform. Bwollen soft wall ; comea of loft eye dull and 
grey towards the inaide ; an ulcer in the niiddle of the opacity, without 
pna and with a grey baae ; great photophobia ; conatant Sow «f teara ; 
constant tearing shooting pam in the eje and aronnd ít, much aggra- 
Tated at night aud in tha evuning ; senaation in the eje as if it would 
come out. and as if the ball were swollen and too hu^. Tha left eye 
ÍB tbe worst, visión in tt dim and cloody ; in a man of 45. Cnred by 
Acón. IS and 15, a dim every 2 honra, all eicept the ulcer, whion 
jielded to Tr. Sulph. (Kaoua, A. h. Z. tix, tai Ji. J. cf B. vi, S14.) 



Kheamatic fue and lootbaohe of throbbing and shooting dhsraeter ; 
alio in pains of other kinda, especially of aeotitíve peraoos with a ten- 
dencj to turgeecenoe of the blood, whea wine and other heating Ihings 
ÍDOrea«e the pain{ alao when mental emotiona or veíatíona b»ve 
oaused them. Acón. 12 ot 24, several dropa in repeated doae*. (J. W. 
AuioLD, Hm. 1, 65.) Proeopálgia of iodammatorj natore with inflajn- 
matorj BwelIing, aud also of a purely nervons nature, with ci«epiiig 
buniing pains coming oa in jerka, as if dependent on an ulcer. (Uaxr- 
lUMH, Le) Tbrobl^g toothache, with great mah li Uood to tha 
head ; huming heat of the face ,- qnick, hard pulse ; gnat mental uid 
bodily restleasness \ great rednesa of the oheeks, especially after takíng 
0o!d m aharp, dry east wínd. (Bokni boba uses, AtÁ. xv, 2, 6.) To»th- 
at^e, tbrabbing aud abooting, with congestión towarda the head. 



into the templo and bead, most violent at night; .._ , 

congeatiims to the head, heat and rednesa of £e t^ecks. Curad with 3 
doses of Acón. 30. (AijThu, Hyg. i, 335-) 

Epistaxis ofjoun^plethoric persona, subjecttooongestions. (Wbbbb, 
Atüí. ivi, 3, 13.) kpiHtazis, fteqoentlj recurring, eitremaly eihauat- 
ing at tho petiod of decrepitude in women, caused by congestiona 
towards the head. Acón. 3. (Schkoek, Syg, v, 101.) 

InllaniToation of the tongue, with violent inSammatory féver and 
aSection of the throat in oattíe. (ScHuoaae, H^g. ii, 275, cuted by Tr. 
Adou. gtt. 60, in 2 chopins of water, '/gth every 3 honra.) Bheumatic 
sore throat witb slight redness of the ftaoes and promioent muscolar 
pains. (Qouu.oi(, 1. c.} Cynancbe tonaillaris. (Bibthaks, L c.) In 
one case it avertcd the impending suppuratian in cynancbe, which 
BelL and Mero, vrere unable to do, in doses qnickly repeated. (Scbboeb, 
Hyg. V, 101.) (Esophagitia : violent pains in the nurd'an región ex- 
tenotng from the nuddle of tbe chest to the back, increaaed by corpotval 
exertion and by swaltowing, with the sensotion as if the morael aiñtl- 
lowed stuck in tbe oesophi^ua or cardiac región ¡ at the same time 
fever and complete abeeuce of all atniomial symptoms about the heart; 
a few dooea of Acón. 12 cured it in 2 days. (t)EatM, Hyg. xviií, &3.} 

OastritÍH. ÍWoLFsoHM, flyp. T, 457.) Nausea and vomitiag of all 
food and driiiic in tbe flrst half of pregnancy cored hv one dnip of Tr. 
Acón. (OjisrÁOi, AiauíL á. h. KL i, IM.) Vomiting in cholem asiática 
after tbe removal of all (he other Bymptoms. (Kuhmei., Arek. lü, 2, 
128.) Uepatitis: buming shoolinK pains in tiie hepatio región, with 
synochal íever. (H*mn*»N, 1. c.) Enteritis. {Wolfsohh, Hyg. t, 456.) 
Inflammatian of the bowela : acute, boming, taaring pain, with very 
great teusion, heat, distensión and eioessire senaitivenesa of the whala 
abdomen to tho sligbtest Muth ; violent, synochal fever ; obstÍDate 
constipation ; aniious reetleMDeaa ; deapainnir anxiety, as if in the 
death agony ; constant thirat ; sleepleBsaesa.^HiKnuire, L c] Gas- 
tro-enteritic symptoms dependent ou vermicular imtation. (Gbbsi'eIv 
<EA. ZtKh. i.) Inflammatory afiecüon of the peritonnum and bowela 
ÍD a puerperal woman, after Buppresáon of the lochia &>om fright, cnred 
by Acón. 30. (BBrrHKB, Byg. ii, 1 84, and Schbobit, fljy. y, 100 : in the 
latter case tbero were alao present aniiety with great fear of death, 
aleeplessnees and deliria.) Violeut abdominal psios of a drawing oba- 
racter, with clawing, pinching and retraotioo of the na*el; -' -'^- 
-""■" *"™- &oquent white e'™"""'''™— 



uins; generala 



¡ shooting and preesure in tbe 
. „ . pünñü prastration of the wbole body ; jellow 

skin and sderotic ; violent thirst and drj mouth : cured 1^ 6 doses of 
Acón. 6. (Ti£TiB, A. h. Z. xxü, 203.) Teaiing and shooting uins in 
the abdomen, increased by presan» Mddeep inapiration, wUh ¡iUmtít 
ngor and heat and slaqilesaneaa i otued bj 4 doees of Aocn. 6. {WoLr> 
soHs, ifm- V, 460.) F^ritonitta puerperaus, along with Biy. aad Pula. 
(Rau, WertA d. ü. 202.} Penttmitu pnerpen& after a chill, with 
waterj diarriitea, which latter jidded to Cham. ; tbe íuflammation 
wos cured by Acón. 4 every 3 hours. (Dibi, 1. c, 102.) Qiolera aüatic* 
with gaatro^enteritic symptomi. (Bastel, A. k. Z. viü, 165.) Cholera 
asiática. (Uektel, App. to ¿f. Amer. Bom. Jour. Na 2.) íi'oQ-felñile 
womi alimenta. (Miu.i, L o.) InSammatory strangulated hemia: 
violent bnrning pain as if red hot coala lay in the bermal sac, that did 
' allow of tbe sligbtest tooch; eonstuit nausea; Ütter, bilioua, 



grssa-green vomiting; great anxiet^; general cold aweat; 
spasmodic, contracted pulse: Acón, in lepeat ' ' 
painfulneea of the mpture, the vomiting, the 



lail, 



pulae: Acón, in lepeated doses removed the 
. ture, the vomiting, the anxiety, and the oold 
jplacement was effected by means of Bál| ' 
Arek. IT, 2, 162.) InBanunation of tbe bMmoiriKñdal p 



with aynócbal fe 
Orchitii after 



of ^I*. IVfABLt, 

-'-' protoherwocei 



Arek. xix, 2, IStt.) Betention of the uriñe from Ín£anunatioñ of the 
neck of the bladder : Acón. 4. (Fkameb, Byg. liv, STT.) Sodden sup- 

KBsioQ of the menstrual dischar^ fcom mental emotions. (Hartmanv, 
,) Metritis after difficult dehverj with instranie(it& (Wuxbilib, 
jL A. ^ xxi, 8.) 
■■ " ' " ■ "■ ■■ ' aa colda, whether oaoaod by oold 



THERAPETJTIC USE. 



úr DOt, whan ^ven in thdr tndpÍBnt ste^: a doM ererj I faonr. 
(MiDDnr, BnL Joar. ofSom. ix, 497.) E pid emio catsrrhB óf children 
that tend to go luto branchitís catairhóu. (Habtiukh, A. h. Z. tí, 69, 
uid GR1XBSEI.ICB, Byg. iv, 313.) Grippa. (Hevfei., 1. c.) Acod. Ib 

bnt it alHi mpporta the action of Bpong. ud Hep. in the atan of plaá- 
lio emdation wbea g^T6n altamately with those Temedies. (Bchboih, 



commenoemeiit of tlie noith-ewt wind, or on the ohaoge of the east 
wind into wntb or wast, it begine with aligbt, ehort coogh, whieh, 
genendly ttnrards miduight, tuiu into hosifie, crowin^ criea ; me, 
orowiiig, hoUuw ooogh ; Tery rongb, hovse or whispenug T(Hoa_, re 
•emblinp the tox chalanea; whistling, hoopbg, load raspintion; 
mfibcative epasra : Acón. lemoreB the nrgeat daoger and keepe off the 
diseaM till oaTbreak. Towaids moming perceptible renúsaion with 
penpinitioii, dso w¡th bleeding at the noae, raiely with Tomitíng of 
TÍ8Cid phlegm. The fdlowüiK night the aame scene ia lepeated, whtch 
lender neoeBiary the repetition of the Aoon. The neit a^^vation, 
ou tbe Srd daj, the wind still continaing in the east, is alwayB el^hter 
and more eaeUy relieved. Then the diseiiiB íb permanently reheved 
and chaugeB iuto fireqnent loóse cough. In tbialaryngitia, caued by 
the pecnOar atmosphcrio teoBioD, Ácon. fnnn the 24th to the 2iid dil 
in rapidlT repeatad dosea ia anScient ; whilit the 111117 dereloped trae 
crcnp, wbícb never att&cka anr other but acroütlona children, who are 
aobject to ítnunoiu thyíoid gUnd, 0Hsna>like coryza or tnbercles of 
the InngB, requirea quite difiérent remediea. (Qodixob, .árcA. lix, 2, 1.) 
Theae obaerrationa exactW oointúde with Dr. Trinka' experíence. Tme 
cieap roqnires Spong. or Tod., whilat the abore-mentioned l&rrngitia íb 
cured by Acón, alone, by tbe allopathsby Calomel. (Tkihkb, mat. JUed.'j 



oorreapcrai 
bronohial 



iding to the congestive stage in the macona membrane of Ído 

I tufes ín a pociUiar condition of abaospherio presaiire. (Bkth- 

uAss, AmiaL d. h. if. iv, S89; Bimoho, A. k. Z i, ]46i ÍSai.í, Hyg. 
ZTÜi, S12.) Hnmoptysia caosed by tnberclea. (Heicqelqiih, H¡/g- T, 
!06.) BBmorriiagia pulmoniun, (Habtmakh, L c.) Pnre inSiunmatoiy 
ftffectiongof thereaiñratory oi^na. (Schhoeh, Hsg.y,S9.) Pnenmonia: 
doñng the rigor, oppreasion, atioheB in the cbeat; ferer with the cha- 
racter of ayiiocha or erethiam with remicting type ; íace red, hot, pufied ; 
eyei sparlding ; swelling of the TÚna of the neck ¡ ahort reapiration ; 
mark^ crepitating reapiratory aonnd; oppresaiTe, compreasive, dnll- 
ebooting paut in tbs chest, only permittmg reciunbeiicy on iLe aide, 
accompanied by attacka of anxie^; «bort, dry, irritatuig coogh, or 
coQghing of bloodj raw pain in Che región of Che lalt riba, oauaed by 
the BnccoaBiona of tbe diaphragm. (BncHNXs, Hvg. xr, 603.) Pnen- 
monia with great dyapncea ; browniah-red &ce ; bloody expectoration ; 
and violent shooting in the left Bidé. (Schi^kicbeb, Arch. i*, 2, 128.J 
Inflammatdon of the longs with Bbootine pains deep in the chsflt, and 
pnlae 100. (Schiibi.eb, Arch. xiv, 3, 120.) Pnenmonia and pleuritis in 
all atages [?]. (HEicnsLasnf, Hyg. y, 204.) Inflammation oC the Innga 
with gaatno noryooB aymptúma. (SonotiE,^r(A.Et,3,115.) Peripr"" 
monia. (VsHaEMETEH, J[r^ 13,298.) Plenropneninoiiia ; Acón, aln 
removed tbe fever and infiammatíon, ao that Bry. had only to be i 
fbr tbe afebrile, shooting paina. (Dmz, L c. 96, in many caaes.) Pleu- 
ritis coatalia with xhooting paina, increased by Ctmching the thorai and 
breathing, with dry coagh, feveri &c, Aoon. 9 in rspeated doaea cured. 

ÍDiEz, 1. c. 94.) Pleuritis and pneumonía. (QnuiBi, .JrcA. viii. 2, 165.) 
■leuiitia. (Temía, AanaL d. A. KL ii. 227, and 1, 21 ; Rothamsgi., Hyg. 
xviü, 485 ; Mabtini, Aiaud. d, h. Kl i, 26.) PleuritíE ; after nevare 
ligor, bnming heat and ahooting in the light BÍde, cough with expecto- 
ration Btreaked with blood, difficnlt reapiration, pulee full, hard, mter- 
mitting, not quickened, Acón. 6 made me cheat and breathins íreer in 
5 bouiB, core on the 4th day. (Ríe, Wtríh. d. H. 200.) Pleoritli. 






(WoLPsoHH, gyg, T, 4S2.1 Plenñtía cS the left lide with diatincC peri- 
carditis. (QoDij/w, Arek. zix, 1, 4^ Pleuiitia with violent febrile 
BymptomB : it haa no action on the eStiaion. (Wcnm, Hyg. lii, 29, and 
É. J. of Hom. i, 60.) FVeqnently recnrrini inflammatory atatea in 
conanmptJTe patients, which give evidence of their exiatence by shoot- 
ing painB in the affecled parta, severo coi^h with bloody ezpectoration, 
Bevere violent fever wiUi greater distinctnoBS of tbe redneBS of the 
cheeks. (HjUtTiuiní, L o.) inflammatory initatdons in florid phthisis, 
in the tdMKnlotw as weu as the ñtoitoos form. (HsiciuLEaní, Hga. 
T,207.) 

Inflamaatkm of the heart ín the firat atage. (Hunum, 1. c.} Peri- 
carditis riienmatioa: tsaring ahooting pains in the foot and banda ; 
violent shootain the oardiao región; nirred tongne ; iocieased thint ; 
qniokened lesmiatioii ¡ pnlse mil útd normal ; percuaaion-aonnd nor- 
mal; hearfs tienta Btnm^; blowing aonnd in the lefl ventricle 
dnring the ayutole : Jn a giil, 24 jeara oíd, aíter a chill. Acón. 3, eveiy 
S honra, and cold compreasaa to the joints. (BoruAneEi., Syg. xvüi, 
460.) A Bimilu case was cured by Acón, and Bpig. altemately. 
(SuÚoBN, Hyg. xv, 490.) Palpitation of the beart from mental emo- 
tiona. (HjtBTUSn, L c.) Frigbtfolly painiul palpiCation of the heart, 
with peculiar puna in the jointa. (raft, Artk. ii, 3, 32.) A wiimn 
hmidaimi, uded by Stan. (Hueiuívs, L c.) luflammation i^ tha 
díaphnunn. (HucnuaN, 1. o.| 

it t^ring and ahooting ú 
"" " "■" " Jt, with rodneaB an 
on every motion ; boringahootainthecheBtonbiBathicg; pulBe'qniek. 
(FhiaaoBiujtH, Hyg. viii, p. 467, Acón. 6, eveí^ 3 houia, with com- 
preaaea of cold water.) Violent ahooting pains m the hip Joint. ex- 
tending into the lett knee, (EitaicH, Areh. xiv, 3, 109.) Cntting 
ahooting paina in the right knee Joint, worat at the eitemal side. 
Acón. 30, every 4hoars,oai«ditoonipletely. (Weber, jlrcA.ivi,2, 11.) 
Kheoaiatio iamunmation ofthe knee joint, with tearing pain. (Krorbi, 
A. h. Z.T, 21.) Kheumatic inSammation of the hoof m boraea. (Bxhe, 
A. k. Z. vi, 206.) 

Ahtii>oth.— ín cases of pcñaoning by large dosea of Aconite, the 
drag shoold be lemored from the Blomach, if posaíble, by la^e dranghti 
' and irrftatíoD of therancea, oran^of the moreordi^ry 

eicitement, vi 
muad with water ^ou 

remedies are : Cooculos, Agaricua, Ghus, Nux vómica, .ímíca, 'Wine, 
Coffbe. When there ia a state of sopor, eibausting aweats, and dilated 
pupila, Opiom is the proper remedv. Árnica íb indicated when there 
are obatinacy, hot face and headacne. Tbe extremely peevtah and irri- 
table state oíten indnced by it, demanda wine. For the other symp- 
tums cauaed by Aconite, antidotea may be sougbt among the foUowing ; 
Beltadonna, Uryonía, Chamomilla, (mina, Digitalis, IgnaÜA, Hyoscya- 
mos, Uta TomicB,, Sepia, Veratmm albvm, Spigelia. 

AÍjLiid Kehedibs.— Árnica, Belladonna, B^ouia, DitntalíB, Hj^oa- 
cyamua, Ignada, Ipecacnanha, Heicnríua, nitrum, Nux vómica, 
Opinm, Phosphorus, Pulsatilla, Rhns, Bepía, E^igelia, Btramoninm, 
Sidphur, Veratrnm. 

DoeE.— Altboi^h Habnemann racommends tho 30th dilntton aa the 
best doee of thÍB and of all other remedies, most homteopathie practi- 
tionera agree that it ia nnneceaaary to give Chía remedy in soch minute 
dosee, especially in acate diseaseí, indaed that it acta mnch more 
promptly and certainly in snch caaes in the lower dilations, fiom the 
Ist to the 6th dilution, and that it may be advantageouBly odniiníatered 
aC much shorter inCervala than those Hahnemann prescribes, from 
every 12 hours to every qnorter of an faonr, accordins to the acute- 
nesB of the case. For the neuralgio affectiona iii which Aconite is 
indicated, the higher dilutions, fiom tbe I2th to the 30th, given at 
longer intervals, seem to have been often employed with remarkable 



tío aymptomi 



yGuOv^lt 



, Google 



ARSENIC. 

ARRAJÍGED BT FEANCIS BLACK, M.D. 



Arsenictm Álbum, Acidum Arsenioeum, — Englísh, 
Arsenic, wLíte Arsenic, Arsenious Acid: French, 
Arsenic, Acide ArBenieuz, Oxide blanc d'ArBenic: 
Germán, Areenik, ArEenige Saure. 

Aisenious Acid, known generally nnder tíie name of 
Arsenic, is a rare mineral, foiind at Andreasberg in the 
Hartz, and at Joachimothal in Bobemia. Tbat employed 
in medicine and for otber purposes is procured by 
toasting various kinds of arsenical iron, Mispickel. 
The metallic Arsenic of tbe ore is converted by heat 
into AraeníouB Acid, wbicb risea in the ahape of yapour, 
called Flowera of Areenic (Hüttenrauch), and is tben 
conveyed into condensing chambera, where it is depo- 
BÍted in the form of Rougb Arsenious Acid, or Foison- 
flour (Giftmebl). . The rough acid is refined by subH- 
mation, and wben condensed into iron pota aasumes a 
glassy form, Glacial white Arsenic, Weiasen Araenikglas, 
There are varioufl manufactories in Bohemia, Silesia, 
and Saxony. In this coiintry it is manufactured in 
Com'wall from the white Mundie, or Mispickel fonnd 
with the tin ore. 

Arsenic thus prepared is in large heavy masses, 
Bometimes white, at other times yellowish. At ¿rst it is 
transparent, but añer exposure to the air water appeara 
to he absorbed, and to render it more or less opaque. 
Transparent Arsenic, sp. gr. 3'798; opaque 8'620. Mr. 
Taylor considera that both are equally soluble, Guibourt 
foond the opaque variety more soluble. Various state- 
ments have been made regarding its solubility : according 
to Mr. Taylor water boiled for an hour on Arsenic dis- 
solved ^/m of its weight ; this water on cooling retained 
'/« of its weight; and water at ordinary temperature 
dissolved from '/an to '/uno of its weight. It is leas solu- 
ble in puré alcohol, and oiL Hahnemann ( Ueber die 
Artenik Verffifttery) observed that at the temperature of 
the blood, a thousand parts of water dissolve ten parts 



with the aid of ten minutes' agitation. He further 
ehewed that its solubility is much impaired by the 
presence of organic principies, According to Dr. 
Cbristison, Arsenic has litde or no taste, if any a iáint 
sweetifih one. 

It is occasionally mixed with lime or chalk; this 
adulteration is readily detected by beat, Arsenions Acid 
being entirely subUmed by beat The Arsenic em- 
ployed íbr homoeopathic preparations should be purified 
by subliming the common Arsenic, or a better form is 
the minute crystals which are procured on cooling a 
boilii^ aqueous solution of Arsenic. These crystals 
wben perfect are of an octabedral form. In order to 
prepare the Tarious dilutions Hahnemann orders one 
grain of Arsenic to be placed in a test tube with one 
drachm of distUled water : the test tube Is to be exposed 
to the £ame of a spirit lamp, until the Arsenic is dis- 
solved, taking caie to add water in proportion to the 
evaporation. One drachm of alcohol is then to be added. 
This is then labelled 0; 1 drop of this added to 1000 
drops of equal parts of water and alcohol fbrms No. 1 : 
and 10 drops of No. 1 added to 90 of alcobc^^nne 
No. @ ; the aucceeding dilutions are made on the cen- 
tesimal scale. The dilutions may ^so be made by tritu- 
ratíng 1 grain of Arsenic with 99 of sugar milk ,- this 
constituting No. 1 — and so on with the remaining diln- 
tions. No. 1 made in this way is not so soluble as that 
prepared by beat 

Phyaiohffical Efffecis. — Arsenic is one of the most 
deadly poisons, and used with such frightíul frequency 
that the numeróos, and sad reports, of its fatal effects 
afibrd abundant materials from wbich to elucídate ite 
physiological action. 

Tbrough whatever channel Arsenic is introdnced into 
the living economy, very marked eíTects are produced, 
and these extend their range over almoet all the tdssoes 



of Úie body. In man the epeciác eficcts are as evident 
■when Úie Arseníc is applicd to the Bkia (case 14 "*), to 
the vagina or rectum (case 11), to the bronchie (cases 
12, 13), as when mtroduccd into the stomach. Accord- 
ing to Jaeger's experimenta on animáis, Arsenic is most 
active when injected into a vein, or applied to a íresh 
wound, or introduced into the sac of the peritoneum, — 
it is lesB powerñd when taken into the stomach ; it Íb 
BtÜI less energetic when introduced into the rectum, and 
it Í6 quite inert when applicd to the nérvea (quoled by 
Dr. Ckristwon on Poiton¿, edit iv, p. 29ít). That in 
man it acts on the nerves is shewn in the marked and 
violent toothache, &c, excitcd when it is applied to an 
exposed dental nerve, resulting soon in anaesthesia of 
the nerre. 

In cases of poisoning it is observcd when the dose of 
Arsenic ís large, when it ia in httle masses, or when it 
is in a State of solution, or inhaled in a gaseóos form, 
that the cffects are shewn powcrfully on the cerebro- 
spinal, the gangllonic, and vascular systems. There may 
be vomiting and violent abdominal pains, but the striking 
feature is the eudden prostration of strcngth, and coUapae, 
closely resembling a similar state ia malignant cholera ; 
the features rapidly alter, the sidn is palé, eometimcs 
of a violet hue, and covered with cold sweats; icy 
coldness of the body j pulse small, ñrequent, thready and 
oñen not to he felt ; extreme precordial anxiety, great 
tendency to syncope, oppieaeed breathiag, gradual sink- 
ing, and in a few hours death closes the scene, some- 
times preceded by convulsions. In somc such cases the 
poison provee fatal without exciting any violent and 
well marked symptoms, unless it be great feeblenese and 
/tenV<iry to faint (cases 1, 2, 3, also § 398, 399). Again 
when the dosc is smaller there are symptoms of violent 
iiritation i^ the alimentary canal, and sometimes of the 
mucoua membranes, accompanied with great general 
depreseion (cases 4, 5). 

Again when the dose is still smaller, or given slowly, 
after signe of irritation of the alimentary and other 
mucoue membranes, a very marked class of syraptoms 
referable to disorder of the nervous system appears. 
It is this claas of chronic poisoning which throws the 
most hght on the physiological action of Arsenic. 



(') The eawB refer 
toms in the scheouL 



to those reported in the preface ; @ to tha symp- 



When slowly introduced into the system one of the 
most marked and constant symptoms is the disorder of 
the alimentary canal, presenting various stages {rom 
acute gastro-entcritÍH to chronic dyspepsia, impaired 
appetito, thirst, nausea and vomiting, extreme irritability 
of the stomach, the tongue then shews s^ns of redneas 
at the tip, excessive buming heat in the epigastrium, a 
relaxed condition of the bowels attended with more or 
less pain, the motions often watery and abundant; thcD 
the irritation extends to the nervous syatem, trcmojs 
and twitches axe experienced, and frequent violent 
cramps of the Icgs and arms (cases 14, 15); constip'ation 
is a less firequcnt symptom (cases 14, 18). Then appears 
irritation of other mucona membranes, there is lachry- 
mation, the conjunctiva inflamee (case 16), the tace be- 
comes ccdematous, also the cellular tiesuee of other parts, 
the schneiderian membrane inflames and ulcerates 
(case 5) ; the irritation extends down to the larynx, 
there is hoarseness, sense of heat in the bronchia;, op- 
pressed breathing, dry hacking cough, and this state 
may increase to btonchitis, or to dyspncea and asthma 
(caaes 8, 9). The uriñe becomes high coloored, some- 
times increased in qnantity, more or less strangury, 
even blood may be passed (cases 8, 12). The genital or- 
gana shcw signs of congestión and inflammation (case 4). 
As the system becomes more affected there ia feverish- 
ncGS ; the pulse is at first quick, hard, and then becomes 
weak and irregular. The skin hot ; a sense of buming 
all over the body ; itching, with perspiration ; miliary 
eruptions appear, cspecially about the upper part of the 
chest, sometimes pustules, and at other times small 
blisters like those arising irom nettlc-stings (cases 14, 
16, 17). Great anxiety, palpitation of the heart, and 
cardialgía with syncope ; the derangement even runnii^ 
into endocarditis (case 13, 17). The countenancc be- 
comes saUow and palé, and then presenta a sorrowful 
and anxious look. There is oñen headache, chiefly 
over the eyebrows and lower part of the forchead; 
giddinees and want of sleep : and thia cerebral diaorder 
may amount to stnpor, insensibiUty and delirium (cases 
14, 15, 16, 17). Again the general derangement be- 
coming more acute, the disorder takes on the appearanc£ 
of typhoid fever (case 17 and § 382). The whole body 
cmaciates ; the hair íalls out ; the nails drop oB. The 
limbs bccome painful, weak, and trembling ; there ia 
excessive general weakness ; more or less loss of power; 
and at last complete paralysis : thia local palay attended 



TCoogTt 



with lancinating paina, and sometímcs peñodical, being 
the most frequent of tke effects of Arsenic on the ner- 
V0U9 system (cases 8, 9, 13, 15). Or again, the nervous 
EjiuptoiDS take on the appearance of chorea, epilepsy, 
tetanus, and affections rcsembling hystería. 

Hahnemann published, long prior to his Materia Me- 
dica, a yeiy ñill and able vork on the action of Arsenic, 
a treatise which has been favorably noticed by recent 
writers. In this book he thus describes the Bymptoms 
of secret Arsenical poisoning as arising from the noto- 
riooB Aqua Toffana : " they are a gradual sinking of the 
powers of life, without any violent Bymptom ; a name- 
lefis fecling of iUness ; failure of the strength ; slight 
feverishness; wantofaleep; hvidity of the countenance; 
and an aversión to food and drink, and all the other 
enjoyments of life. Dropsy closes the scene, along with 
black mÜiary eruptions and convulsiona, or colliquative 
perspiratioa and pui^ing." (Ueber die Artenik Vergif- 
/wy», 63.) 

Applied locally, eren to the sound skin, Arsenic ia 
rapidly absorbed : by some its topical effects have been 
regarded as that of a chemical caustic, but it possesses 
no corrosive power, and the local action must be con- 
sidered as pnrely dynamic. It has a powerful anti- 
septic efiFect, and is therefore very useful in prcserving 
anatomical preparations : but Arsenic not only arresta 
the putrefactioD of bodies ; — ^it produces a remarkable 
series of changes, in which the corpse is converted into 
mummy-like or adipocerous matter. 

Arsenic is poLsonous to all dasses of aTiii ifll " ; it is 
equally injuHona to vegetable hfe, with perhaps a few 
exceptions, snch as Mttcor impercepHbtlu, and an alga- 
ceous plant of Üie genus either Septomitus or Hygro- 
crocis. {Perora, Mat. Med. i, 636.) 

For a long peñod it waa found imposaible to detect 
Arsenic in the animal tissues and secretions of those 
who had taken it. To Frofessor Orfila the honor is 
due of having ahown to the Farisian Academy of 
Medicine, 1839, that Arsenic is absorbed in snch 
quantity, in cases of poisoning, as to admit of its being 
discovered, by an improved process of analysis, in 
various parta of the hody. The largest quantities are 
met witii in the liver, the spleen, and the uriñe ; but 
espeüally the liver, which according to M. Flandin 
contains nine-tenths of the whole quantity carried into the 
I drcnlation : but though found in these organs, and in 
leas quantities in the blood, its physiological efiects 



appear to spring more £rom parta where the poieon is 
lesa fixed; for example, the tissues of the stomach, the 
heart, the spinal and ganglionic nerves. So that though 
it is evident that Arsenic acts through the médium of 
the blood, it also acts through the nerves. That such 
is the case is also borne out by the undoubted action irf 
in&iitesinial doses. Arsenic is eliminatfid from the sys- 
tem, principally by the uriñe according to Orfila, while 
according Xo Flandin it passes off by the liver, and pul- 
monary, and cutaneous exhalation. Varioua periods have 
been assigned for the elimination of the poison, varying 
from ten to fourteen days, and Dr. Taylor quotea, with 
a mark of ezclamation, " that from the experimenta of 
M. Bonjean of Chambray, it would appear that Arsenic 
was detected in the uriñe of a patient who one month 
before had taken in twenty-four days only three-quarters 
of a grain of Arseniate of Soda." (On PoUona, 24, ori- 
ffinal source, Ann. d'Hyg. 1846, ii, 165.) A more extia- 
ordinary statement is made in the iVeiO York Journal (f 
Med. 1850, to the effect that the uriñe, on the fortieth 
day after awallowing the poison, was found to contain 
Arsenic estimated at l,170,000th part; traces of itwere 
no longer detectable three months aíter this. 

When a powerful impression haa been made by Arse- 
nic on the system, it generally continúes through life ; 
shown ín chronic dyspepsia, oppression of the chest, or 
paralytic aymptoD's. Hahnemann assigns thirty-eix to 
forty days as the duration of action of small doses in 
chronic diseases. Such a statemcnt appcars prcmature : 
it canaot be founded on physiological expcrimcnts, bc- 
caiiae, if so, a much greatcr duration shouldbe assigned; 
it must, therefore, be deduced from thcrapeutical "bser- 
vations: and the very nature and faUacies óT snch 
observations at once denote the immense difficulty of 
assigning the duration of action of a dose, varying as it 
must in every disease, in every patient, and in the same 
patient at varioue times. Very carefiíl physiological 
experiments, confirmed by clinical observations, may 
give general data as to whether the actíon of a remedy 
continúes ibr a shortei or longer períod, and tíius from 
these rough approximations as to the duration of action, 
throw light on the repetition of the dose : but they can- 
not be ezpected to assign a specific number of days. 

The action of Arsenic on (he brain, as shown by the 
headache, vértigo, mental depression, and apprehension, 
resembles — Anac., Agar., Aur., Dig-, Cocc., Cupr., lod-, 
Ladi., Mere, Nui v.í Puls., Rhufl, Sep., Vct. 



ilizeü by 



Guo^k 



Its actioQ oo the spinal syetem of nerves res^nbles — 
Agar., Alum., Arg., Arg. n., Carbo v., Cocc-, Cupr., 
Lach., Pkt, Plumb., Rhus, Sabad., Sec, Ver., Zinc. 

Its actioQ on the alimcntaiy canal, in connectioii with 
the ganglionic ayetem, rescmbles — ^Ant., Camph., Canth., 
Cape., C&rbo t.. Chin., Cocc., Col., Cupr., Elat., Jat. 
cure, Ipec., lod., K, b., Kreoe., Lach., Mez., Mere, 
Puls-, FhoB., Sec, Spig., Tabac., Ver., Zinc. 

Its action OD the respíratory organs resembles — Brom., 
Bry., Hep. b., lod., Ipec, K. b,, Lach., Mere, Fhos-, 
Samb., Sen., Spon., Sul., T. e. 

It BCtion on the heart resemblea — ^Bar. c, Dig., Lach., 
Spig., Tabac. 

Ita action on the skín resembles — Ant-, Cale, Graph., 
K. b., K. c, K. h.. Mere, Rhus, Snl., T. e. 

In febrüe diseases of a typhoid character it rcBcmbles 
— Bry., Carbo v,, Lach., Rhus, Ver. 

In febrile diseases of an intermittent type it resembles 
— Bry., Chin., Ign., Ipec, Lach., Nux v., Fuls., Sabad. 

In more sthcnic forms, such as in the exanthemata, ít 
resembles — Acón., Ant., Bry., Mere, Sul., T. e. 

It appears to have little or no etfect on the osseous 
tiseues, or on the glandular. 

Its action on the genito-urinary organs resembles — 
Acón., Bell., Berb., Camph., Cann., Canth., Cinn., 
K. b-, K. D., Kreos., Mere, Nux v., Petros., Phos. ae, 
Sab., See, Tereb. 

Do»e. — In ordinary practice it is adminístered ia doses 
from 7«tb to 7»th of a grain ; but at such doses it rarely 
fails before long to excite injurious physiological effects, 
demanding the suspensión of the remedy, Owing to 
the insolubility of Arseoious Acid, it is in ordinary 
pracQ^ generally given in the form of Arsenite of 
Potash, Fowler's Solution; dose, from four to five 
mtn i m s, graduaUy and cautiously increaeed. In Homoeo- 
pathlc practice the various dilutiom from 1 upwards 
are employed. It has by some practítion^s been given 
in the highest dilutions in cases of collapse, and great 
prostration of vital pover, imder the impreasion that 
the lower dilutions were injurious ; but the very com- 
plete and carefuUy rccorded experience of several writers 
áhow that low dilutions are in such cases peculiarly use- 
ful. Drs. Bussell and Drysdale, in their treatisea on 
malignant cholera, recommend it ¡n the lotrest dilutions 
and in frequent doses. Dr. Tessier treated the same 
disease in St Margaret'e, París, with the 6th dilution, a 
fourth or sixth of a drop every five to twenty minutes. 



or longer. (Recherche» CUnigue, p. 298.) In typhus Dr. 
Brenfleck gave with great success the Snd, 3rd, and 4th 
dilutions, about a drop every three hours. {Brii. Jottm. 
<^Hom,, vol. i, p. 74.) Dr. Fleischmann uses in typhus 
the 2nd ana 3rd. Dr. Schmid in typhus gíves the ^d 
(5 to 100), two to six grains in twenty-four hours ; the 
more violent the disease the greater the dose. (Bñt. Joum. 
o/Hom., V, 278.) It is a remedy from which Üie prac- 
titioner may occafiionally find physiological action excited 
even in the higher dilutions. 

I have used it with benefit locally, either ¡n the shape 
of ointment, or dissolved in water in Úie proportion of 
2 to 3 grs. 3rd trít. to ^ vi to x as a coUyrium, and as 
a lotion to scirrhous and irritable ulcers. I have also em- 
ployed it with advantage in cases of inflammation, and 
ulceratíon of the cervix uterí, as an injection, in the 
proportion of '/m to '/•• of ^ grain to a quart of water. 
Dr. Drysdale applies it with success iu similar cases, 
by blowing a few grains of the Ist or 3rd tríturation 
through a tube inserted within a speculum. 

Arsenic has also been administ«red on the recommen- 
dation of Dr. Drysdale in the shape of Arseniuretted 
Hydrogen, given as an inhalation. In his hands it 
proved very useful in the coliapsed stage of cholera : 
and thia mode of administration may prove highly ad- 
vantageouB in cases of astbma, or in such cases where 
Arsenic is indicated, but where the patient is under the 
influence of strong medicinal action arising from ordi- 
nary remedies. The foUowing is Dr. Drysdale's mode 
of administering it. " The chamber consists of a conunon 
large milk-bottle, with the top aperture suiSciently large 
to allow a ñill stream of air to pass, so as to allow 
breathing comfortably: into the large side aperture 
is fitted a conunon flexible tube with a mouth-piece 
and ball valve. When used, a few fragments of purí- 
fied Zinc are put into the chamber, and on this 
poured half-an-ounce of water, vritb one drop of strong 
Sulphuric Acid. This is sufficient to disengage a 
small continuous stream of Hydrogen ; and when that 
begins to rise, pour in flve to ten drops of the 3rd 
centesimal dilution (aqueous) of Arsenious Add. In 
about a minute this will be combined with the Hydro- 
gen and difiused (the top aperture being for the time 
closed with the finger) through the chamber and tube, 
and may be inhaled in a few inspirations. When used 
as above directed, the glass bottle can be held in the 
operatot's hand, while with the other he applies the 



, Google 



mouth-piece to the patdent's moutk Wlien used aeTeral 
times in saccession TÍthin an hoor or two, the Zinc and 
Aád may be kept in action, and &esh portions of 
Arsénica! solution added at each inhalation. Especial 
care must be taken to bave botli the Zinc aad tíie Acid 
quite puré, as in Üie ordinary átate both these sub- 
stances oñen coctain Arsenic in considerable quantities." 
{Brií. Joum. qfHom., voL vii, 559.) 

-Antidote». — If vomiting has not been excited by the 
poison itself, thcn an emetic of Sulpbate of Zinc, or 
powdered mustard, should be administered, and its 
action piomoted by mucilaginous drinke, especially 
milk, vhich appeare to be tbe best substance for eave- 
loping tbe powder, and so procuring its discharge. 

Various cbemical antidotes have been rccommended, 
but moBt of them bave been abandoned, as though they 
may render the Areenic lesa soluble in water, they have 
not that effect when the poison is ezposed to the juices 
of the Btomach. The hydrated sesquioxide of iron is 
regarded by many as a true antidote. Dr. Christison 
(On Poisoru, p. 365) consideis that its utility can scarcely 
be called in question, whataoever may be its precise 
mode of action. Fro£ Oríila has called in question the 
absolute efficacy generally ascribed to the sesquioxide 
of iron. Derergie (Méd. Legal, ii, 475) states that the 
oxide of iron, uniese taken in a dose equivalent te thirty- 
two támes the veight of the poison, does not prevent itfi 
action as such : thus it would require a pound of iron to 
antidote three to four drachnu of Arsenic, a common 
dose. Dr.Taylor(ORpoMOR«,pp. 89 and 834) States that 
this substance does not ñd£l any of the indications Tliich 
are necessary for chemical antidotes. In the majority 
of cases he places not the slightest confidence in it ; he 
cotmiders that too much importance has been attached 
te its effects, and too Uttle assígned te nature, and the 
simulteneoua employment of other means such as the 



stomach-pump, and emetics. Hydrate of magnesia has 
also been reconunended ; but the arsenite of magnesia 
is soluble in diluted muriatic acid; the acids of the 
gastric jnice might thercfore suffice to diseolve it, and 
thus bring a soluble poisonous compound in contact with 
the mucous membrane of the stemach. This circum- 
stance, and llie enormous bulk in which it is necessary 
te give the magnesia in order to render it efficacious, 
induce Drs. duristÍBon and Taylor to state, that if of 
any \ise at all, it only acts, like charcoal, by covering 
the arsenical particles with its £ne insoluble povder, 
and so prevente the poison coming in contact with the 
stemach. It appears, therefore, that after eracuating 
the poison from the stemach, little dependence is to be 
placed on chemical antidotes. 

The añer effects excited by Úie Arsenic are to be met 
by antiphlogistic régimen, and by remedies homceopa- 
thic to the various symptoms, such as Mere, Canth., 
Cupr., Camph., Ver., Acón., Bry., &c. 

In the e&et effecte of Arsenical, as of other mineral 
poisons, the various appliances of Hydropathy are well 
calculated to assist in the elimination of the poison from 
the system. This is quite in accordance with the views 
of Orfila, who from experiments has shewn that the 
Arsenic is gradually discharged by the secretions, espe- 
cially the uriñe ; he Aerefore recommends the employ- 
ment of diuretics : but with many of the hydropathic 
appliances we can secure a copious secrctíon &om the 
skin and kidneys, and at a much less cost te the consti- 
tution than by the employment of medicinal diuretics. 
Frequent packing in wet sheets, the dry vapour bath, and 
the use of the abdominal water bandage, appear te be the 
best for securing this end, together with modérate drink- 
ing of puré water ; excess of liquids should be avoided, 
as they distend the irñtated, and inñamed stemach. 



byGOOglt 



CASES OF POISONING 



THE ACTION OF ARSENIC. 



onenio ín fhlKinentí, tuid died in a fsw honni. Hb expenenced notbing 
bat giea,t feebleness, «qiI freqaent tendoncy to faintiog, The stomach 
•nd inteHÜnsB wera not in the sliglitest degree nffected during lüé ; luid 



:d during I 
DO morbtd appearaAc«g coold be ^tected in them aitei deatb. [Btporled 
b¡/ Prnf. Chavñer, Orfila, ToxkoL aénérak, i, 397.) 



been employed most of tho day Íd liteislly cracking, &nd chewúiK 
lamps of it. Wheii ftnt seen her comitenance expressed chagiin, and 
melaacbolv, bat not snfieiing. Aftei beiug fbrced to drink, shs vumited 
a good deu, bnt withoDt nneuiinesB. Two honra afienrards her conn- 
tenance waa anxioiu, bnt abe did not make an; complaint, and very 
BOOD reaumcd ber tranquillitf . Five honra afler the last portiona oF tfae 
DOÍBon were takcn, siie bocaJne droway, then remained perfectly Oalm 
for fonr hoois more, and at lengtb, oa tryiiiK to sit np in bed, com- 
plained of sligbt pain in tbs etomach, and expired withont agony. A 
clot of blood was fnimd iu the Btomach. {Jaurmií de Míd. Ixx, 89 ; 
rep/rted bg Lahorde.) 

Cahi 3nL — Dr. Cbríntison gives an abstract of several aimilar cásea ; 



tñeathing and boüscness, no that ehe could hardly malie herself be 
heanl ; wilh TeaideH on the palate, bamin;; pain in the tbroat, and 
excesBÍve difGculty in «rallowing ; with apasm, and pain of the blad- 
derinpaaaing nater; and with extreme feebleneaa of the pnlae. Three 
da^ atterwardB tbe aymptAina increaaed still more. She complained 
of intolerable bnrning, and apasniB of the throat, which aa wellaa the 
moQtb waa eKcegaivcly inflamcd; ofviolent bainiog pain in the sto- 
macfa and bowela ; of bnming in the fundanient and genitnlg, both of 
vhicb were indamed even to gangrena ; of indeacribable anxiety and 
anguisb about the heart : and ahe died the fnllowing day, death being 
preoaded by anbaoltua, delirinm, and iosensibiüty." {Chrvtiioa, he. at. 
p. 331.) 

Cas* &th. — " On tno Bocceaaire eTeninga, immediateW after taking 
■orne gruel irhicb had been prcpared b; the polnoner, Mr. Blandy waa 
attacked iritb ptickjng and tniming of the tongae, throat, atoniach and 
bowela, and with yomitíng and poreing. Five daya after, when the 
symptoma were fnUy fonned, be hiA inflamed pimples round hia lipa, 
and a aenae of fanming in the month; tho noeüila were aimilarly 
affected; tbe eyea were oloodehot, and afiected with baming pain; the 
tongue waa awollen, tbe throat red and excoriated, and in both there 
waa tormenting aenae of bnming ; he had likewiae, awelling, with 
piioking and hnming pain of the belly ; excoríatianB and ulcera around 
the anua, and intolerable buming there; vomiting and bloody diairhcea ; 
a low tremaloDB pulse; laboríoua reepiration; and great difficnlty in 
■peaking and awallawing. In tbia átate he lingered leveral ^ya, 
^th aoperveniog nine daya añer the firat wiapected btuiu of gmel 
WM taken." (CArutuan, loé. cil. p. 331.) 

CuE 6th. — A girl awallowed a drachm of araenic, and wss in conae- 
qnence attacked violently with the uaual ayuptome oF irritation in the 
whole albnentary canal. Añer being ill for twenty-four honra, abe 
expenenced aeveral dUtinct Temiasiona, and »ome repose, attendedwith 
fkmting, In twelvo honra more abe began to improye rapidly, the 



psin aubsided, her Btrength and spiríts retorned, and tbe Btomach 
became capable of rctaiuing liquida. So fiír this patient laboured onder 
the commnn effecta of aruenic. But a new tram of BymplomB then 
gradually appruached. Towarda the cloae of the aecond day ahe waa 
haraBeed with Mghtful dreams, starting from aleen, and tcndency to 
faint; next moming wíth coldneaa along tbe spine, giddinena, and 
inlolerance of ligbt; and on tbe fonrth day with aching of the eitra- 
mities, and tingling of the whole altin. These aymptoniB continned 
till the cloae of the sixth day, when abe waa anddenly aeÍEod with 
convolainna of the left aide, foaming at the mouth, and total inaenaibi- 
lity. The convulsiona endurad two honra, the inaeneibility throughout 
tbe whole nieht. Next evening ahe had another and aímilar tit ; athird 
but Bligbter nt occurred on tbe moming of tho tenth; another ncst 
day at noon ; and they coutinued to retnm occasionaUy till the nine- 
teenth day. For aome time longer ahe waa affected with tightnesa 
aereas the cbest, and Btomach complainta: bnt abe waa eTentnally 
reatored to perfect healch. 

Case TIÍl—Od the erening of the !4th of Aagaat 1B21, WiUiam 
Mitchell, B robaet man, aged 45, conanlted Mr. Marshall on account 
of the following aymptoute. Pain and heat in the región of the 
atomach and lower part of the cfaeat ; occasional nneaainees in the 
aljdomen, and Bometiraea ineffeotual efforta to go to stool; thirat, with 
hoaraeneas; aorenesa of e^es, which had the conunon appearance of 
inflammation ; ahiftíng paina in his extremities, particnlarly the arniB, 
which had not tíieir usual atrength ; gieat restleasness ; aiuious 
expression of counlenance ; polae fraqnent 100 — 110, not atrong. Thia 
lUneaa coramenced with sickneai the Snnday precoding (19th) on hia 
wav tochurch, about 10 a.m.; he aoon afleí had thirat, andheadache; 
and on hia way home, bctween 3 and 4 r. x., he waa aeiied with 
vomiting, which occurred oflen during the next fonr oí ñve daya, 
eapeciaUy on hia trying to qacnch hia ujrat. In the early part of tbe 
week he waa heard to cuTnplain of pain in hia atomach, eyea, throat, 
breaat and arras ; he wna obaerred to void hia nrine frenoently ¡ and 
t to one of hia aistera a hollow between 
i'hich, according to her expreeaion, " ahe 
could have laid her arm." His illnesa had acarcely at any time con- 
ñned him to bed ; and on coming to Hi. Murray he rodé ñs miles. 
On Wednesday 22nd, he took a doae of E^aom aalta. On the 24th a 
blister to the stomocb, and an opiate at bedtime. On the 2Sth he waa 
found nearly as befoie ; hia coiuitenance exhihiled a diaturbed aod 
anxiouB expresaion ; the redneaa of tbe eyes and faoaraeneaa were 
¡DCloased; amall, roundiah, white, aocuminated prominenoea were 
obserred on the palato aod uvnla ; aeemingly the membrane covering 
the paute bones, and velom pendulnm detached at parta by a whitiab 
liqmd. He took a dose of castor <nL On the evening be got up to 
dnnk, on retumln^ to bed he uttered a daep groan ; aher which he lay 
motioolesa and quet, and rety soon exinied. 

Cabz gth.— J. Hitchell, aged 5S, a few minntoa after break&st os 
Sunday the 19th Anguat had a feeling of aicknesa, but, nutwithatand- 
ing, wcnt to church aoon after, when he felt dimneBS of sight with 
a continuance of the aickneas, which by 2 p.v. had increaaed to 
auch a degree that he waa obliged to leave the church. On hia 
way home, he romited repeatedly a leddiah sort otmatter; he had 
thirat, and a bumíng aenaation all over hia belly. With difficnlty 
he got home, when he opened a window in hia ruom, and atretched 
himaelf on the floor. The feeling oí heat within did not leaye 
htm for a week, and he romited occasionaUy the same length of 
time; while he waa at times so distresaed with heat of skin, and 
overpowering faintness, that he went lo a amall atream and plnnged 
''" arma and head into the water. In the early part of the week, he 



felt his throat a litOe h 



r bis whole body, 



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eapecüllr in his umB and lep. On the 22nd he Toided irítli ptün Ua 
unne, wbicli waa red; and aboat thÍR time he bod Bonte nnotwy feelin^ 
in his ejes. Dnríns the week little ptused ñt)m his bowels, hut he 
haÁ repeatcdly inenectaoi calis. When flrat soeo, SSth Angnst, he 
comploiiiDd of little l)Dt pain in his arma, porticularly the left, of 
which he had in some lueaBare Imit the power ; pulse naturai in íre- 
qnencj hut intermitticR' On the 29tb he complained of imperfect 
Tifüon, &nd difficulty of IjresthinB ; still pain of arme, and len mora 
pOneiieBs; pulse natural; pupilof left eje coutractcd. AU theBO 
BTUiptoniE soon disappeared, exc«pting the affecticni of the arma ; and 
in all other respects he is now quite well. The motione of the honds 
are mnch less impúred than those of the arma and forearm ; in por- 
ticolar the powec of ben^g the foreonn is almogt entirelj lok. 

Case 9tli. — Mary Mitehell, aged 60, was eeized almost immediately 

after hTeakfaat on Sunday the ISth August with Tery heavy sickncsa, 
Bum retched tíolently, but little vas vomited. Sne Ba£Iored much 
from thirst, and Tomiting recurred at times for geveral dajs. During 
the week she had some soreoess of the eyet and throat, with beart- 
bnm, and pain tn most parts of the bodj ; had then teoeainni ; 
but with tbe eiceptioQ cf one minuta portíon of very bard freces, 
aothing whatover paSBed from hec bowew from the beginning of the 
illaeaa till the foUowing ^unday, when she took caator oiT; aílar 
nblch her huweU irore moved. When ñmt Been (25th August) she 
cotnplained of her throat, bones, and colicky pains, with nnnatural 
feelmgH, and some want of strength in ber lege and feet; pulse 120. 
A few days after she had sweUing of the feet, difficulty of breathing, 
with nnmbneHS and cieeping in the inferior extremities. At present 
haa uoinbncSB and pain in tbe arma and lega, withoat any other com- 
plaints ; pulse 96. 

Cabe lOtb.—Uelen Mitehell, aged 48, had somewhat tbe «ame 
BymptoiDS aa ber siater ; but she bad mora hoarseneaa, infiamniatíon 
M the left apper eyelid, with nombuesa and pain of the anns and lega; 
and during the space of a week she had pui^ng, with great weaknoaa 
and tendency to faint: All these symptoms abáted excopt the loas of 
muscular powcr, which assnmed tiie form rather of great general 
dahility than that of a partial or panüytic affectinn, and in November 
existed to Büch a degree that she professed inability to walk. In 
Decembei ahe atill complained of a uttle weakneaa, and unuaual sen- 
eatíons in her eitrcmitica ; pulse 96. 

These fbur individúala, caaes T, 8, 9, 10, were all in good health and 
tireakfasted together on the moming their illness coTmnenced on por- 
ridge, of which William partook largely, but James aparingly; the 
SLSters bad their asnal quantity. Tbe brother-in-law of tbis famüy 
confessed to haring piit araenic into tbe sait which waa uaod in making 
the porridge. (líepotied b¡/ Mr. Mtirray in the Edin. Mcd. Surg. Joum,, 
voL lyiii, p. 167.) 

Cabe llth. — One moming after the conjugal embntce, a fanner 
introduccd a mixtme of floor and araenic on the point of his finger 
into tbe vagina of his wife. About 3 in the aftemoon, whiJe anjoying 
good health, ahe was suddenly seized with shivsring, and heat in tbe 



onty-one bours. After 
aeain, grama oí aisenie were found in tbe vagina, although frequent 
lotiona bad becn nsed in the treatment ; the labia weru awollcn and 
red) the va^na gaping and flaccid; tbe ua nteri gangrenona; the 
dnodenum injoamed ; the stomach natural. {Chrütiirm, loe. at. p. 324.) 

Cabk 13th. — " Once," saya Otto Tochenins, " when I happened to 
breatbe incautíonaly tbe fumea of arsenic, I waa aurprised to flnd my 
polate impresBed witb a ewoct, mild, gratelU tasto, auch aa I never 
ezperienced before. But in balf-an-bout I waa attacked with pain and 
tightneas in the stomach ; then with convulsions ; difficult breatbing ; 
an anapeakable sense of heat ; hloody and difficult tnicttmtion ; and 
finally with aoch an acnte eolio aa contracted my vcbole body fot biidf- 
an-hour." {Eippocrata CKyntctu, c xiiv, p. 213.) 

porta auother similai case, which cama 
TimffiUB. An spothecary of Colberg, 
wbile snbliming araenic, bad not been oarafU onougb to avoid the 
fnmes ; and was soon afier aeized witb frequent &inting ; tightneaa in 
the precordia; diCBcult breathing; inextingnishable uirst; ^rcbed 
throat ; great restlesanesa ; weakneas and paina in the feet. He bad 
anerwards profhae daily penptntion, and pala^ of the legs; and 
eeveral months passed hefore he got welL {ChrUUioa, loe eü. p. 325.) 

Cask llth. — The foHowing case is lelatedby Desgranges. A cbam- 
ber-mtüd mbbed ber head nith an araenicÜl ointment in order to 
destroy vermin. Thongh tba akin waa perfectljr eoond, tbe head 



head ; the glands of tbe jaw and face enlarged ; tbe face was ti 
and ahnoat eryaipelatoua. Her pulaa waa hard, tense, and febrile ; 
the tongue parebed ; aud tbe akin dry. To these wete added excmü- 
ating pain, and a sensation of great heat ; vértigo ; fiünting ; car- 
dialgia ; DCCaaionat vomiting ; ardor urinie ; conshparion ; trembling 
of the lunbs; inability to stand; and deliiium were alao present In 
a day or two after, the hody, and cspecially tbe banda and feet, were 
covered witb a considerable eruption of small pimples witb wUte 
heada. Hbc Gnally recovered, hnt during the convalescence tbe hair 
fell oE (Orfiia, Tbi^ccl. Gtítérale, i, p. 338.) 

Cabe ISth.— A lahouring woman, on the fith Aagnst, 1830, partook 

in company with ber buaband, motber, and several others, of cabhage- 
aoup (the aalt with which tbe soup waa made having had araenio 
added to it). Thev wete soon all aeized with wcight at the atomach ; 
acrid taate in the throat ; nansea, and vomiting. On the eveuing Üiey 
all again partook of the reat of the soup ; the sjmptoms retumed with 
greatcr aeveñty, and continned during the nigbt. On the Tth all 
experienced an excesmve heat in tbe atomach, lika buming fire in the 
throat and atomach, but no vomiting. As tbe woman, wboaa casa ia 
to be reported, took now her meáis ont of the house, she gradoally got 
better; but at tiie end of Aagoat waa unable to work. But ahout tbis 
time sbe unfortnnalelj eat same stewed pnmea, to which areanic bad 
becn added by her anclo : in less than ten minutes abe waa seized 
with oonvolsions and completo losa of eonsciouaness, with vomiting, 
and horrible colic 8he thna paased seTersl dayg dangeronsly ill, and 
was only able to leave her bed eight montba afler, hut only to paaa a 
mlaerabto exialence. Her features are much altered, — she beata the 



fingers of each hand and of the ñve toes of each foot ai 
tbat tbe two last plialanges are bent on the first, and the points of tbe 
fingeiv and of tbe toes tonch the palma of the hands and the solea of 
tbe feet. Tbia onfortunate woman walka with great difficulty, atand- 
ing npright causes pun, and sbe eiperieocea acula paina in the lower 
part of the apiñe. In fine, she presenta tbe symptoms of chronio 
gaatro-enteritis, and of a Rfeat morbid alteratíon of tbe norvoua aya- 
tem. (Laehai, Amuúei ^ Hygibne puHiqíit, tom. xvii, p. 3B6.) 



Case ISth. — A man, I 



o 36 yeara of age, much addicted to 



;gnlar, weak, and contracted ; breatbing beavy, and often u 
mpted hy Bighing ; expression wild ; bis eyea proJBCted far out of hia 
head, they were bathod in tears, which excoriatod the cheeka ; tbe 
facial mnaclea wete froro time to time convulsod ; tbe voico tremhlinp ¡ 
tongue dry, and the lipa covered witb small bUck spots ; buming pain 
in^ehowels; unqnenchable thirst; liclly very tense, and painflil ; 
copious, watery, and huming involuntary evacuationa at stool ; nri- 
uaíy secretions aupproaaed; stinking Bweat all over bia body', his 
reason left bim f^om time to time. He took frequentiy <ñly drinks, 
and fat brotb. Death seemed inevitable. When añar these s^ptoms 
had continued flve days, on tbe sixth a great miliary eruption carne 
ont all ovar the body, with general amelioration. The eruption 
recorred several times in tbe couiaa of a fortnight, and terminated at 
length in bran-like scales. Ulcera (abaceasea) appeared on both hcela, 
an ichorons matter waa discharged, and the patient lecoverod. Notbing 
ramained bnt gicater weaknosa than before, general (rembling, and 
íreqnont attftcks of opbtbalmia. (Ouiíftert, üi Jour. de Med., vol. Iv, 
part &, pp. 363, 366.— 1766.) 

Case 17th.— Francois Ragot, aged 28, robnat, of a datk complexioD, 
waa seized luddenly with Tomiting after partaklng of a diah lo which 
thrae spoonfuls of arsenic bad been added hy mistake as flonr. First 
day, 28th Janoary, 1839.— Tbe vomiting waa frequent ; Utterly mixed 
with green hile, it became lees freqnent, and ceased on tba fourth day ; 
no pam at tha epigastriiun ñor at the abdomen ; no evacuationa ; akin 
cool; pulae amaíl, but not frequent. 29th. — Wei^ht of head ; skin hot, 
withont being dry ; pulse quicker ; tongue dry, withont redness ; slight 
sensihiiity of the epigastnum and tbe left illao región ; the vomibng 



pulse quicker ; abdomen painihl only on presaore ; no atool. February 
2nd- — Aggravation of thcBe s}'mptoms ; ejes fixed; no headache; 
Etupor ; aUgbt delirium ; be strívea to remove the cold cloths applied 
to his head ; eyea injected ; pulse 88 ; tnmnltnona baating of the heatt. 



beut KtnHig, withoiit any mnrniiin ; imlBa 90, jerking, fUl and Rtnmg ; 
tlcio hot, tm drv ; he hta eiperienced. for tóate áíji & ieiue of lacen- 
tíon in Áe CMOpliagiu ; the tangae di?, nithoat redneea ; k pnstolar 
eruptioa (whích in its Bppeanmc« hdA cotaw ma analoeons to snull- 
pox] has ^tpeared od the forehead, sronnd tbe eyes, od ue cheeks, the 
■lionIderB, npper part of Che arma, and upper püt of the chesL Borne 
of títeae piutalea are iaoUtad, the greater aumbei couflaent; tbej 
irere replaced bj thick acabg, lesTÜig belimd Ter^ erident cicatrices. 
Almost completo losa of motioii of the limbe, especully of the laftiide; 
tha BensaCion a little dnU. Cold vas applied to the head; he wos 
eopionilj bled, the blood shewing a bii% caat, and according to Fi^ 
OrBla's analTiÍB containing tr«c«B of Biaeiñc. 

Febrnuy tih and 6th. — Mora leEtlera nights ; cerebral ijinptomB 
more marked, bnt wíthont headache ; delirinm, with great a^tatíon, 
Mpetñallf dmii^ the night ; he ia réatleaa, and apeaka mcemantly of 
Aconfeaiar; pnpil dilatM, to whicb uroch imporUnce wu not attacbed 
owing to the darkness of the romn ¡ actioa of the betui more tamnl- 
toooB, ítrong pulsatíom, with dUtinct beUows-marmnr ; pulse IIO,fDll, 
and jerking ; appearance uf copión» sweats, whicb contínoed tÍ11 the 
heginning of Mareh. Demolcent drinki, laeches applied to tbe c&rdiao 
región, and digiCalie administered, atao ■ small enema of mercoiialized 
boaef. February 7th. — Conmiltatíon with M. OrHa. Stnpor; delirinm 
has ceased ; oontuinal xomnolence i pnlae slígbtiy diminiMied in forcé ; 
pnlaationa uf beart BtroDg, and sonnda attenoed with distinct bellowB- 
marmnr ; copióos aweata ; emption begin* to diaappear. Cold lotions 
to tbe head, and the dí^tálig coatinued to the I4tE. Oo the llth the 
pnlse waa 100, tuid tbe bellowB-Bomid still eiistcd. From the I2tb to 
tbe l&th he w» ¡mproving ; diminution of atupor ; great proetration 
of Rtrength ; pnlse apwarda of 100, weaker, imt atill strong ; the 
bellowt-maimnr haa ceased ¡ iweBla leas abondant ¡ toagne oImu and 
mcHit ; aller a nmple enema, aofl fetid hIooIb. 

From the 15th to tbe 20tb aggravationof theaymptoms; hieappeaT- 
ance reaemblea that of a patient lahonring onder tjpbna ; constant 
■onuudence; markedatnpor; doUlook; luriM in tbeean; nohead- 



percnaiion of tbis región ; heart'B sonnda normal, eicept that thejr are 
'--■-- ■ ■ oí thi ■ ■ 

, appearing like a hoUow son 

the ribs and polris, that the pulBatioiLB of the aorta and coone of the 



aring like a hollow sorroandod hy 



TcrtebraJ colomn are qnite endent ; borborygmi ; no diairixea ; incon- 
tinence of nrine, whích continned to March lOth. 

He waa ag;ain bled, and the Uood atill afforded (ntoea of «Teenic ; 
tepid batha «od emolÚent drinka wera eiven. Bj the 4tb <^ Harch he 
had improred. Fnnn the 5th to the ITut he gradnally gained itreDgtb; 
fac>es.h7poDratica ; the morement <rf the umb* became eamer; the 
ÍDconlinenc«of nrine hadceased; andhe wm aUe to partakeof more 
tolid aad nooiúfafatg fbod. Maii:h 21et (53id day of the illnesa).— Tbe 
patient can sit np ; eleep natural ; eipresaion good ; appeate has 
retnmed ; the noise in the ears only ezperienced when sitting np ; 
polse compressible, 58 ; Che abdomen leas retracted ; slight tenesmna ¡ 
a few watery atoóla; free movemant of the «nnH and legs, bnt aoable 
to oao the fingers and Che toes ; the haad i» always fleied. 

Jnne llth. — Tbe paüent waa ordered to tbe coontij. The lefl hand 
can be extended, bnt not Che right ; the Gng«r of the left hand can be 
aligbtly moved ; Chey can be fleied abont Cwo-tbirda, bnt he is qnite 
onable to eiícod Uiem. Wheo fao Uea on bis loft side, be can moTS 
hÍ8 whole rígbt leg from within ontwards, the foot being inverted ; 
Chis movemenC can scarcely be made with the left leg. The volnntary 
extensión of eicher fooC is qnite impossible ; he experiencea acnte Un- 
dnatiog pains like tbe ahootings of needlea in Che naods and feeL 

Bj tbe 19tb of Jnly, 1S40, tmder the oso of stiycbnlne, donches, 
füction, aromatic vaponr batha, Seo. be Risdoallj gained more power 
□ver the limbs, bnt Che motiona were EtüTimperfect, and he waa nnable 
to ertend or flex the toes. (/oum. da ComiatManet* Míd. CUr-, t. xH ; 
reporUd bg Orfh, he.tíL,ti,f. 329.) 



dby Google 



SCHEMA Or AESENIC. 



TbiB Schenut is bosed on ttut oríginally dnwn up by Hahneiiiaiui, Aftor coarUting m &r as posmUe the original BonrosB qnoted by Habnemaun, 
and when im&ble to do so, goided by tbe admirable inveati^tíanB of Dr. Wnrmb, I bave excluded many ayniptome as drawn from doubtftU aanrces : 
1 faave alio added many Bjm^tODas, tbe aoiurces and ñill díbCoij of which ora given in the pretace. Symptoma withoat ¡my mark affixed ore taken 
from Eabnemann'a own provmK- Tbe abbroriatioDs denote the nameaof thosewhoasMBted iu the proving: StC. Stapf; fr.H — n, Frederick Haih- 
nenuumi IJir., Langbainmer ; Myr., MeysTj Gas., Groas; Bhr-, Bahr; Ubg., Homborg. 



s C»«.!IUXuli.Bpl£ . 



t ATa.BliiuX>p.Lub. 



Head. 

1. Vértigo coming on every evening wheii 
thc ey es are closed, obliging one to seek sup- 
port. Vértigo on being eeated.* 

He is eeized with great vértigo and deaire to 
vomit on lying down, and te obliged to rise in 
order to get relief. {Sff.)' 

Vértigo, only on walkiog, as if he irould fall 
to the lell sidc. Giddy and atupid feeling in 
the head, eapecially the forehead nhen walking 
in the open air, a sort of intosication, staggering 
from side to side, and threatening to fall every 
moment. [Lhr.) 

Complete loes of sensation and conBciousneas, 
Bo that when put to hed he lost all knowledge 
of what happened to him. ''' {Pyh. Sammlung, 
viü, pp. 98, 105, 109.) 

5, Stupidity, and confusión in the head.weak- 
neM of memory. 

Weight in the head, depression, duB look, 
obtuseness, contínued somnolence, noiae in the 
eara.»"' {Cate 17, m«. § 382.) 

Delirium.*"! (Cine» 4, 9, 12.) The pulse 
hatd and febrile, akin dry, tongue parched, 
severe cardialgía, occoüonal vomiting, faintiog, 
great heat, ardor urince, conatipation, inability 
to stand, trembling of the limba, and delirium. 
{Cate 14.) 

The pains cause sucb weaknees in the head, 
with so much aqueamislinees, and weakneaa at 
the epigaetrium, that ahe feele very ill.' 



(>) The loas of conscionaneaB is not a common sympt«m fn man, bnt 
with tfae lower anImalH sach as doga there ís occasioñally absoluto nar- 
cotism. When in man loes of consoiousnesa and stnpor occnr it is under 
Boch circnmataocea as case 3 ; in § 4 it supervened on agonizing eolio, 
Tomiting and diarrhcea. Vid. also under Fever, g 3S1, 382. 

(2) The patient could ho roaaed, but Bonmolenoo and obtnseness were 
very marked, siving him the appearance of a patient in typhus. 

(3) The dahrium arises only in ocnte cases of poisanmg, and often 
along with conmlsions uaher in the closing scene ; it tbenforo cannot 
be cenaidered as a aymptom of much valué, ¿re. has been recommen- 
ded in delirium tremens ; and Mr. Uooro writos " that if shut np to 
one remedy foi delirium tiemcns hia choice nould fall on Arsenic." — 
[Britith Journal of Somaopathy, voL tíü, 496.) 1 doubt mocb if tbis 
remedy will be fotjnd nsefol m cuttini ahort a fuUj' developed paroxysm 
of dehrium tremens ; bnt anticípate benefit frum its employmenC in an 
earlier stage, when the diseaae ía the resolt of long continued intempe- 



Ueadache, giddiness, and want of sleep. 
{Pertira, Mat. Med. vol. i, p. 639.) 

10. Great obtusión of the head, in the even- 
ing. 

After sleepii^;, sensation of beaviness in the 

Weight and headache, as if from insufficient 
sleep, occuiring from 11 a.m. to 6 f.m. 

Intemal uneasiness accompanied with a stu- 
pified feeling in the head, as if he had done 
much work very hurriedly. 

Anxiety, inquietude, with pains in the head, 
the abdomen and knees. " {Rkhard, hei. Sch&nk, 
lib. vii, oba. 211.) 

I5> Headache after dinner, with a diepontíon 
to sadness and melancholy.'"' 

During several days, headache and vértigo. 
{From thefumei of arsenic, O. W. WeM, Din. 
dearttn. Jen. 1719, % 10.) 

Great heaviness in the head with humming 
in tbe ears, it goes off in the open air, but 
retums again as soon as he entera the room. 
When he comes in from the open air he is 
seized with a chill, foUowed by hiccough which 
contjnues a long time, then with general per- 
spíration, to which thc hiccough again succeeds, 

Great heaviness in tbe head, as if the brün 
were oppiessed by a weight, with humming in 
tbe ears, felt m the moming on rising, and 
especially when standing or sitting.' 



g A«m3ill.Bul.Ani. 



ranee, or the audden witbdrawal of these stimulí, wheu the premonitory 
aymptoma are irritability of the atomoch and vomitíng, costiveneía or 
diairiiisa, uppresaíon at the heart, great aniiety, tremblmg, eipetíallf of 
the hands, weok qoick pulse, short and broken aloep, great eihanation. 
I would anticípate good from its emplayment in snch diieasea as the 
chronic alcohol discaae of Huas of Copenhagen. 

{*) I do not agree with Dr. Wnrmb in bis disparagement of thls 
remedy in hoada(£eE. The kind of headache in which it is indioated ts 
ahewn in ¿ S9, 15, 18, 30, especially 19, 30; often attended with nauaea 
and great depression, oílen tending to appear periodicolly. Henee in 
Bgne browoche I have found it, as oImi China and Coloc., nseñil. Ad- 
ditional indications will be an irritable, emaciated, weak patient, snffbring 
from diseasB of tbe heart, or digeative o^ans, eapeciaUy when tnarkcd 
by (P'oat irritahUily uf tbe alimentaiy canaL Vid. cases in BriL Joum. 
of BomaoptOhy, Tol. v, pp. 336, 438 ; also a case of periodical clavus, 
voL tíü, p. 298. Ara. has been recommonded in chronic hydrocepluduB. . 



, Google 



A K, b. Bbntr. Bep. 



i Idcb. BeU. Kui 



Gis. Hep. Pllt. 



Head. 

Stupiíjing presstve headache, eepecially ¡n 
the ñght frontal región directly over the eye- 
brow, with pwn like of ulceraiion on knitting 
thebrow.''(£Ar.) 

g(K Drawing presfáve púns in the right tem- 
poral, and froDtal región.' (£Ar.) 

Stupifying pressive paíos especíally ia the 
forehead, with fiae Btitches in the left temporal 
región near the outer canthus, when walking 
and etanding, going off again when BÍttiiig. The 
etítcfa-like pain ceases on touching the pait. 
{íír.) 

Headache, consiating of tearing and heavi- 
nesB, with droway faÍDtueBB in the day-time. 

Drawing headache under the coronal suture, 
9. few houTS every aftemoon. 

Id iLe moniiag oa gettíng up, bemícrania, 
pain as if one side of the bead were bniised. 
Pain 8H if bniised or sore, over the noee, and 
io the forehead, going off for a short time by 
rubbing. 

35, In the nigbt, ahout two o'clock, during 
a Bweat which breaks out, aharp hard beating 
as if froro hlowa of an ase on the head, the 
bead feela as if it would burat. 

Violent beating in the whole of the head, 
eepecially tbe forehead, on moving or when 
raieing himself in bed, with desire to vomit.^ 
(Slf.) 

Pulaating headache in the forehead, imme- 
diately above the root of the nose. ^ ( Pwí. § 6 ! . ) 

At noon and at midnight, pcünful biunmeríng 
ia the temples, lasting balf-an-bour, afUr which 
ehe felt her body aa if palaied for two boura. 

Dull beating paiti in one half of tbe head, 
eztending to beyond the cye. Sensation during 
motion aa if the brún moved and lieat agiúnat 
the skull.' 

30> Superficial pinching pain over tbe eye, 
tearing stitch-Uke pain in the lefl temple.*" 

Seosation of a sort of cracking ¡n the head 
above the ear, on walking. 

Bruised pain of the scalp, iQcreaaedby toucb; 
the búrs are painñil when touched." 

Creeping on the skin of the occíput, aa if the 
haira moved. " ''' 

Pathological Anatout. 

Occasionally alight congestión (cirf. Fener) ; 
sometimea the hrain is bloodleaa, but In general 
the Btructure of the brain ; and its membranes 
are not at all affected ¡n poisoning hy araenic. 



Eyes. 

34. Drawing pún in the eyea, and twitching 

in the eyelida. Presaive pain over the leh. eye- 

hd, and also in the upper half of tbe eyeball, 

increased by loolúng upwarda. Deep int«mal 



of Arsonic to the head. 



Bell. Pub. Spig. 
h AjD. c- Afar. C«k. 



I Bill. Bn. Cu_ 

Luh. Fh«. Buti. 
Solpta. ThujL 



/ BfQ.Dig.EDpb.Iod. 

Gpi;. eüp. 
t Acón. .Ui™. Enph. 



Pul>. Spig, SUpb. 



E;es. 

pun of tbe ríght eye, with violent ehooting pain 
when tuming it, bo that she was acarcely able 
to do 80. ■ 

35, At nigbt pressive pain under tbe r^bt 
eye, lasting for boura, causing so mucb anziety 
that she was unable to remain in bed. 

Jetking in the left eye. * 

Burning in tbe eyes. " 

Smarting round tbe eyes, and tbe temples, 
ae if pricked witb an innumerable qoautity of 
red-hot needles. 

Senaation in tbe left eye as if it contained 

40. Watering, amarting and ¡tcbing of the 
eyes; in the moming there is a littte mucue." 
(ir. H—n. Lhr.) 

Continual trembling of the upper eyelids with 
lachrymation. 

Lacbrymation {Fr. H — n), the tears excorí- 
ate the cheek.' (Coíe 16.) 

Tbe eyelids stick together, in the moming. 
The tarai are painful, and when moved the 
eyelida feel dry and rub againat the eyeball.* 

BednesB, estravasatiou and inflammation of 
the eyes ; inflammation of the conjucctiva. ^ ''' 
{Hahnemann, Chriítison,OrJila,and many other 
íoiírces.) 

43. A tendency to frequent atlacks of oph. 
thalrnia. {Cate 16.) 

Bummg pain in the nose, tbe mouth and 
, the eyea, the eyea were bloodahot, the mucous 
memhrane of tbe tbroat red and escoríated. 
(CÍMe6.) 

On reading by artificial light, dryness of the 
eyelida, which aeem to rub agninst the eye. 

Contraction of the pupil,' {Lkr.) uneasy feel- 
ing in the eyes, imperfect Yision, pupil of left 
eye contracted. '"' {Case 8.) 

Spots or blue pointa float hefore tbe eyes.' 

50, Vision ohacured, he aeea ohjecta hiack, 
during the first hour, he doea not know tboae 
who are round bim. '*' {Richard, loe. cií.; Bay- 
liea in Samml. hr, Ahh.f. p. Arzíe, vii, 2.) 

Eyea duU, and face hnggard. ^ 

Complains of heaviuesa and pricking eensa- 
tions ahout the eyelida, witb flaahea of light 
hefore tbe eyes when they are closed, and after 
a time tbe eyelids hecome puAed and droop. 



(') The nction of Arsetiio on the ej-e Is vory marted, and íb confiíied 
principally ti> the conjanctiva ; it ib inilicated in catarrhal ophthaliBií- 
in Bcrófufóus ophthalmia, with photj>phobia and copIouB lachiymíition 
In ulceratioD oftlie comea it ia one of the bcst romediea. When uiflatn 
mation aftects all Iho tónica of the eye an in purulent ophlbHlmin, or ihe 
fihrona as in rheumatic, ot tlia iris as in írilÍB, ArB. holds an infcnor plac 
lo Acón-, Bell., rula., Hep., and ospccíallj to Mere. The conjunctmlií 
of Ara. vetT cloeeVf roncmblea that of lod. and Kali-hydr, Dr. DudReon 
recommeniu Ara. in ophthabnia attcnding the exsntberoata, in ophthal 
mia hMmorrhoiilaliB, and ophthalmia menslraalifl: lie quotea boiui. \erj 
oharacteristíc cásea in Brtí. Jour. of Hom., rol. iv, pp. 248, 349 ; vnl n 
p. 319. 

('} There is hardly aufficient evidence to determine the action of Afs. 
on the iriH. 

(') ThÍB occnrs in the last atagc of acute poiaoning, and is not thcrcfore 
of mnch valué. 



Cooglc 



t Agir. Adu. BuU. 



b Alun. Bett. Coloe. 



Agat. Cunph.Plil 



ir. Aítb. CBm 
loe. Uto. K 
h. Thuj.. Z¡ 



Bu. B^. Th^lii. 



v.Anr.Cunph. 
E. Kui •. Bib. 

r. ler. tíete. 

. 'ctil! k"'ii. 



Gars. 

gíving the countenance a peculiarly melancboly 
and uare-nom appearance.' {Lond. Mtd. Gas., 
May 5, 1843.) 

pATHOiOGICAI, AMATOXT. 

Frequently vascularity of the conjuncÜTa, 
and apote of extravasated blood. 



Ears. 

53. Heat in the extenial ear, in the evening. 

Cramp-like pain in the esternal ear. Shoot- 
iiig tearing pains in the ear and aleo estemally. 
Drawing tearing pain behind the ear, donn the 
neck, ext«nding to the shoulder. ' 

&5i Tearing lancinating pain in the meatua 
auditorios, within outwards, especially in the 
evening. ■■ 

Voluptuous itching in the right meatus audi- 
toriuB. (£Ar.) 

Agreeable formication deep in the eara, for 
ten daya.' (/V. 11 — n.) 

Dulneas of hearing, as if the ears were 
Btopped. 

On snallowing, sensation aa if a body stopped 
up the ear from wiüiout, cauaing duloess of 
hearing. 

Humming in the ears with every new pa- 
roKjsm of pain. '" 

60é Buzzing, tinkling, rusUng, as if of nater 
or a noise of bella in the ear. ' {Lhr. ; Thomson ; 
Cate 1 7, where it occurred along with typhoid 
rympíonu: vid. § 17, 18.) i» 



61> Shootíng in the bonee of the nose, pain 
at tbe root of the nose.' {Vid. also % 24, 27.) 

Inflamed pimples round the lipa, and a aenae 
of buming in the mouth ; the noatrile were 
similarly afiect«d ; the eyea were bloodahot, 
and affected with buming pain ; tle tongue 
swoUen ; the tbxoat red, escoriated, with tor. 
menting aenae of bunúng." {Cate 5, _five dayt 
after taking artenic.) 

Drynees of tbe nasal cavity, * 

Frequent Bneezing witbout coryza,' {Lhr.) 

6S> Frequent eneeiing with running coryza.* 
(Zir.) » 

StuSng m the head with coryza, the watery 



(') Hahnemann remarhB that it ia a apecial property of Ara. to endte 
othcr symptoma daring the paroijam of pain. 

(^) Id bimitiu aoríuní, a Bjmptom oñen so tnmbleBome as tfae seqaoUe 
of fcTer, or as occarriiig in oíd people, it is worthy of tiial : compare 
with Acón., Aro., Bar. c, 8nl. 

(') Ara. ia well indicated in coryía, a» in 8 65, 66, 67, or in Bevere 
ame» fnich aa g 62. The coryza U espedally characterized by a copioiu 
Bnw of thin, clear muctii, otten lachTymatíon, and g;reat WBakncsa. It is 
UBefnl in tba irritated conditíon of the achneiderian membnoe, attendant 
m what ia called hay-feTer. 

In OKens Are. is nsefnl, eapeciaUy in stmnious habita when otber 
inaoouB membranes are atTecteo. Wben the diseaso ¡a of a Byphilitic 
tsint, and the bony tisBoes are invoWed, then Aor., Mere., K. b. are more 
indicated. 



t lod. Hur. 
A Bit. Htp. 



> Cimph.CDlch.CupT. 
Ctnth. Luh. Op. 



Face. 

nasal mucus causee a buming, and smuling at 
the noatríls. ' 

Coryza with sneezing, ereiy momjng on 
waking, going off speedily.* 

Great coryza with hoarseneas, and aleepleas- 



Face. 

Face red and pufiy; Bwellisg of the líps. 

{Stf.) Püffing of the face. ' {Fr. ff—a.) 

70> Paleness of the face, witb dulnese of the 
eyea, and distoction of the features.'' {Magatdt 
in SamntJ. br. Abitandí. /. p. Aerzle vüi, 1, 2.) 
The countenance ¡b commonly coUapsed from 
an early period, and almost alwaya expressive 
of great torture, and extreme ansiety or dia- 
pair.* {Chrittiton on Poitotí». p. 303.) 

Swelling of the face, particularly round the 
eyes, and of tbe head, " {Sidmld, Hvfd. Joam. 

Inflamed pimples round the mouth, ulcera- 
tion of the lips and nostrila.' {Vid. alto g 62)''' 

The Gadal muBcles were from time to time 
conTulaed, the voice trembling, tongue dry, 
and the lipa covered with small black spots. 
Buming pain in the boweis, unquenchable 
thirst, belly Teiy tense, and painfully buming, 
involuntary, serous eTacuatioas. ' {Case 16.) 

75« BluencBS of the lips and tongue.' {Kai- 
ser and Bailiet, loe. eit.) 

Smarting in the upper lip, as if pricked with 
innumerable buming needles, eiteni^g as far 
as the nose ; nezt day anelUiig of the upper 
lip above the red part. • ( Vid. § 38.) "' 

A kind of pinching, jerking sensation at one 
side of tfae upper lip, especially when going to 



Teeth and Giuiu. 

Jerking continuous toothache, extending as 
bx aa the temple, relieved or disappeare by 
sitting up in bed. 

Stitch-like pains in the gums in the moming. 

80, Tearing pain in the teeth, and aleo in 



(*) Inlnpns Ara. is oneofthebeBt remediDBiBsalsoinBchiiTDiiaDleera- 
tíon of the lip. {Vid. Skin, note 4.) 

C'J ProsopalsiaisQDtdiatitictly niHrkedintheproving.iiieiely Bfaadowed 
out in J 38 and T6. Ia practico it is veiy luefiíl in thÍB disease ; I have 
faiind it Bo especially when the pains were seated in the Bupiaorbital and 
infraorbilal rcRÍon, and occmring in connection with inSuenca. Dr. 
Buchner of Municb reporta a reiy Bpcedy and complete cnre : tbe pain 
waa throbbing, confinad to a gmall spot over the Bopraorbital región, ít 
occurred everj forenoon and lasted ontil 3 or 1 f.u. ; the countenance 
eipresgive of moch suffering. (Brii. Journ. ofJTom. voL ü, p. fl4._) Dr. 
Quin has alno reponed a veiy iateteatíng cose with well oiarked indica- 
tiona : the pain was principally above the root of the noee and round 
tho orbit, as if hot noedlcB were darting to and fro, and teaiina, &c., a 
aengatíon of red hot needles heing thniBt npwarda into the pafate : tho 
^eral BymptomB were also ehuacteriatíc. {Brit. Jo\tm. of Hom. vol. 



/aitMd. 

j auph. ThnjL 



39.J 



e2 



> Clu. Uerc. Ter. 



ChUD. Cilc. 



/ Eupho. Lauí. Mei. 

Scib. Rin. Sencg. 

Khod. Cuuph. 
í K. b. Mere. Cocc. 

Bell. Cuith.StnuB. 



TeeÚi sbA Gums. 

the head, drWíng her almoat to frenzy : she 
fltrikeB her head with her fists ; ahortly before 
the menstrual peiiod.' 

Nocturnal teann^ pain about the canine 
teeth ; thia is intolerable aa long m he lies oa 
tixe affected aide, but ceasee by the wannth 
of the stove : on the moroing following the 
nose is swollen and poinful to tbe tAUcb. 

Pains in gome of the teeth, in tbe gum, as if 
they were loóse and would faU out ; the pain 
ia not increased by cbeving.'' 

Painful loosenesB of the teeth ; they feel sore, 
espedally when chewing : the gums are like- 
wise painful to the toucb, and the cheek be- 
comea HWoUen. * 

Grinding of the teeth.* (^Kaiser, in Harl- 
laub't and Trinh' R. A. M. L. No. 24.) 

85. Convuleive grinding of the teeth .' the 
teeth all fall out.* {Van-Eggem, Dit». de Vac- 
cillaí DenÜum-Duitb, 1787.) 



Honth and Throftt 

80. Great drynesa of the moutb, and acute 
thirsc; she drank inceasantly, and when sbe 
did not drink she felt as if she were to die of 
thirst.* 

Seniation of diyness of the tongue, and of 
the mouth, with frequent and violent tbirst; 
he drinks however litüe at a time. " {Stf.) 

Extreme tbint durmg the day, but not at 
night. (/r. H-^.) 

Sensaüon as if the tosgue were covered with 
vesiclea, causing a burning pain.' 

00. Boring pain in the right side of the 
toi^ue, wbile hidf-asleep. 

Toogue clean and red, reeembling raw beef. * 
{Vid._% 137.) 

Pain in the root of the tongue, on Bwallowing 
and tuming the head, as if a fish bone had stuck 

Bummg írom tbe throat down to the sto- 
mach. ' ( Variout authoriHei.) 

On the aecond day oppressed breathing and 
hoarsenesa so that sbe could bardly make her- 
self heard ; with veEáclea on tbe palote, buming 
pain in the tbroat, and excessivc difficiüty in 
swallowing ; estreme feebleneaa of the pulse. 
Three days afterwards intolerable burning and 
spasms of tbe throat, wbicb as well as the 
mouth waa excessively inflamed; inflammatjon 
of the bowels ; indescribable anxiety and an- 
guish about the heart.*"' {Cate 4.) 



( ) 5 94 to 96 indícate Btr<mriy the adrainistratíon at Are. In wwere 
caaea of stomatitÍB, and ph^gedenio lücenition of the mouth and throat, 
mallgnant lore Üiroat with tandency to gangreno. In thaae raspects it 

■ r í '^™'>"°o« to Laoh. and Bell, bnt MiU atrongar to MercarinB : 
with thfl lattcr tbere is more affection of the teeth snd gums, ita gononil 
«otiim IS more sthenJE, wheraaa wiih Are. the type ib Tery aathenio. 
D^ Wurmb recommendB tha altematian ni these two remedies when it is 
difficult to give a preferonco to either. 1 have íoen Am. c. cure a very 



Honüi isd Throat 

95< The throat aore and red, the expi^esaion 
amious ; on Uie tentb day the soreness was 
greater, aSected tbe mouth and nose aleo, and 
waa attended with ezcoriation of the lips and 
nostríls, awelling of the glande of the throat, 
dimnesB of sight, and great esbauation. {Chrit- 
tieon, p. 319 ; a case oj tlow poitoning wihich 
diedontke I5íh day.) 

Redneaa of tbe eyea and hoaraenesa : small 
rounáisb wbite accuminaled prominences were 
obaerved on palate and uvula; seemingly the 
membrane covering the palate and velum pen- 
dulum detached ¿, parta by a white liquid.'' 
(O,,, 7.) 

Intemal inflammation of the throat : /"jTorn 
the extemal application of Artenic to ¡he head. 
Rati, Anta. N. C. ix, oba. 37.) 

Cangrene of tbe fauces, from the esternal 
use of an araenical plaater. {Feldman, commerc. 
Ut.; Norimliergense, 1743, p. 50.) 

Scraping seoBalion at velum pendulum pa- 
lati, felt without any effort to swallow.' 

100. Long continued feeling of roughneae 
in the palate.J {Lhr.) 

Painful deglutition, tbe pharynz (oeaophagus) 
feels constricted {Nme Med. Chir. Wahmehm. 
vol. i, Altetíb. 1778); aJso with incesaant 
thirst. {Preussim, ^h. Nat. Cur. Cent, üi, 
obs. 15.) <" 

Sense of dtyneas, heat and %htResa of the 
throat, accompanied occauonally with sufiToca- 
tion, and convulsive vomitíng at the ^ht of 
fluida." {Christon, loe. eit. p. 301.) 

Paralytíc condition of the pharynx and ceeo- 
phagus ¡ bread went down with great difficulty, 
as if tbe ceaophagus had not atrengtb enough 
to swallow it ; he beard it fall down with a 
nunbling noiae.' 

He ia obliged to apit often ; copious flow of 

lOíí. In the moming the sputa are green 
and bitter. 

Patholooicix Anaioicy. 

A. The gums, the intemal eurfkce of the 
cheeks, the palate and aoft palate, the tonsila, 
are of a bright red colour, The tongue awollen, 
of B suburral appearance; deprived of ita epi- 
thelium, eepecially on ita aupcríor eurface, and 
under the frenum : swelled red papüln. ( Or- 
Jila, obs. 8, p. 326.) 



scTere oaae of alon^hing «ore throat in malignant ecailatin», wheie An., 
Mere, and Lach. failed to f^ve ony relicf. 

()) § 101, 102 bear a clusa reaembtanco to Bell., jireaeuting one of the 
featarea of hydrophobia, and coupled with S 397, Tid. genenl BjmptomE, 
maj nterit attention bi that formidable dtaeMe when Bell, faila. Simiki 



« Cbun.CnDph. Dig. 



may nterit ^ 

aymptoma are observad in Canth., as also in Lach. and CheL ; bat onlj 
in Ais. and Canth, have we, at Icaat as far as the provings go, the con- 
vnleivB TOmiting at tha right (rf fluida. Ali may be nsefiá in dy»!**^». 
The action of I.^h. appoare to ba verv much like that ubaarrod in hystoiia, 
when the least presanro oa tha w¡nd]Hpe amate» the eenae of choking. 
dyspiíagia, globufl hyster' ' '''' -■■--—"--■" 



ic al Uve odien la tbia found. 



yGüügle 



Taste aad Appettte. 

B. RednesB of the throat uid gullet, some- 
timea even down to tbe i;krdt&, but more general 
rednese at tbc upper pait, and purple streaks 
of eccbymoBiB towkrde the caidia. {CkrUliaon, 
he. dt. p. 336.) 



Tiste uid Ai^KtHe. 

106, He seems to have no taete, as if hie 
toi^e were burned and deprived of feeliny. 

Woody taste and dryncss of tbe mouth. 

SouT taste in the mouth, the food aeems eour 
abo. 

Futrid, and fcetid taste of spoiled meat, in the 
moming. 

110> Bittemeas in the mouth without having 
eaten anythiog; tbe saliva which he apits has 
a bittei taate, the pblegm íb greyish. 

Bitter taste in the mouth aíter eating, bittex 
eructations and lisings of greenisb bitter mucus. 

Tbe food has a saLt taste. 

Ereiy second day a bitter taste, after eatin^, 
in the throat, tbough the food has on other daya 
the natural taste: like a tertiaa fever. 

No fauoger, nor appeüte, duriug ten day s. 

115. A nameless feeling of illness, fúlure 
of the strength, sl^ht feTeñsbnesa, an averüon 
to food and drink, and all tbe other enjoyments 
of life. {Vid. §391.) 

It ia imposaible for him to swaltow food ; the 
smell of boiled meat is unauppottable. 

Great desire for acide, sour fruits. 

Great desire foi coffee, ^eat desire for milk, 
vhich at other ümes was repulsive to her. 

In the eveoing disgust for food, with senaa- 
tion of fulness and pain ín the stomacb ofler 
eating. 



Stomach. 

I80, Squeamishuess about 1 1 a.k. and 3 f.m. 

Frequeat nausea with a sneeüsh taste in the 
mouth, not exactly after eating. 
Eupiw.Coic]!. ipH. Nauaea, felt principally in tbe throat, with 
accumulaüon of ealiva in the mouth. * 

Long continued nausea, with senas of faint- 
ing ; general trembling, heat all orer the body, 
fbUowed by ehivering. * '" 

Nausea and desire to vomit, obligiug one to 
lie dono, occuning in tbe fbrenoon, accom- 
panied with teanng round the nudlcoli and 
instep. " 

125, Nausea when sitláng; flow of water 
into the mouth, as in water-brash ; the nausea 
diaappeared on going into the open úr, and 
was followed by copious pappy stools.' (ZAí*.) 



Nausea with anxiety.* 

He Tomits immediately after erery mesl, 
without nausea. {Fr. H^-n.) 

On sittiog up in bed great Bqueamishness, 
nausea, and frequently sudden Toniiting. Ez- 
cessive and most difficult vomiting of the 
drínks he had taken, and of yellow green 
mucus, and water with bitter taste in tbe 
mouth, which continued still along time after. 

Yiolent Tomiting and purging, with aerere 
abdominal pains. « ( Fití. § 137, 171, 172, 189.) 

130. Vértigo, fainting, cardialgía, occasionaí 
vomiting. '' {From <g>pli/ing artgnicai omtment 
to the head; cate 12 and cate 9.) 

Horrid cries accompany the Tomiting, which 
coalinnes day and nigbt. {From axUrnal \ue 
ofAri. ; SeinricA, Acta. N. C. 11, obs. 10.) 

Great intemal heat, buming, thirst and vo- 
miting. {Alberti, loe. eil.) 

Nausea, and violent vomiting of a browniab 
mase, often mixed witb btood ; oí a tbickisb 
dark-brown substance, accompaoied with violent 
efibrts, increase of pain in the stomach, followed 
by great debility.' {Kaiser, loe. di.) 

Irritabihty of the stomach, attended witb 
constant vomiting of food, contimiiog for a 
kmgperiod.' {Christiion, p. 316; alio ñvm 
i^plieation of Art. to an vloer on the leg, Sahh. 
M. Ch. Zeihrng.) 

133. Vomiting of blood and of sanguinons 
mucua.» {Neue Wahm. loe. eit.; Kellerin 
BuséI. Samml. 1727.) 

Discharge of blood upwards and downwarda.' 
{Gerbiíz tn FpA. N. C. Dec. üi, ann. 5, 6, 
obs. 187.) 

Constant pain and nausea after eaüng food ; 
frequent vomiting ; tongue like raw beef ; in- 
tense thirst ; pulse 100, small, and feeble ¡ 
sense of conatriction ofthe throat; copious flow 
of saliva ; gastric cough, with a frequent raking 
of the throat and faucea, and ezpectoration oí 
a mucu-pumlent secretion mixed with blood ; 
distensión of tbe abdomen, and considerable 
tendemesB ; frequent griping of the bowels ; 
constant desire to eat ; motions white, watery 
and frothy ; want of sleep, owing to the irri- 
table átate of the bowels ; uriñe bigh-coloured, 
scanty, and passed with an effort ; there was 
much pain and tendemesa of the spine, with 
frequent muscular tremors ; crampy feeling of 
lower estremiüea, with partial lora of motion 
and sensation, they were awollen, of a livid 
colour in places, and showed a tendency to 
slough; great emaciation. '" " {Taylor on Poi- 



UareJluiT±n». 
Vm. Ipm. 



Meic Sk. Ip«. 
PhiM. 
\ Aif.Vei.Tib.FIuM. 



f*) The Tomitíng of Ars. diSén from that oT Ipee., T. e., and Cace, iii 
bemg Boooiding to Hafancmann more of violent effortB to vomit tban 
actual vomiting : thos agiün in pntctice Ars. answera well in sach cases 
as i 127, whereaa with the abovs mentioned medicines there is generally 
nausea befare and añei the vomitinD. 

(') In whalevec way Ara. ia intrtdncad into the ayatem, the efiéota on 
the digestÍTe organs ara tliB moat marked and conalant symptonu : ana 



lized by 



Guu ^k 



fiAgmi. Acial. Bel!. 



Eupho. I 
V. f erb. 



I Anbim, Ign, CMmi, 






pi. CbiM. Cale 



;i*4*te,1íi: 



Sfemiach. 

sons, p. 315, occurring in a ladyvñth cuíaneout 
diseaie, ofter íaking from b tu \b drt^s of 
liquor arsenicalis, 3 lime» a dayfor a monlh.) 

Waterbrash about 4 p.m., a little before and 
after dinner, with desire to vomit," 

Frequent enictations, especially after eatíng 
aod dricking; acid eructatione añer dinner." 

140. A quarter of aa hour Bñ«T breakfast 
and dinner, senae of pressure for three houre 
in the stomath, accompanied with empty eruc- 
tations, followed hy general langour and nausea. 

Añer a meal, frequent hiceough, followed by 
eructationa' 

Convulaive hiceough.' {Vid. g 397.) 

At night on rieing, hiceough with a rough 
disagreeable tasle in the raouth.' 

Long continued hiceough at the hour vhen 
the fever ought to come on. 

145. Violent empty enictaüonB with confu- 
sión of the head, in the moming. 

While eating, sensation of compresBÍon in 
the chefit : añer eatbg, preasure at the cardiac 
orífice and íd the ceEophagua, as if the food 
waa an-ested there, followed by eructatíons.» 

On apeaking, pressure on the anterior part 
of the Bfomach ; severe preeaure above the 
epigastrium. 

After eating, yawning and weakneBS, which 
obligcB him to go to bed and sieep. ' 

Añer eating, great distensión of the abdo- 
men, nithout pain, obliged to lean back in 
order to get relief. 

150. Towards the evening, cold sensation in 
the chest and epigastrium, continuing even 
añer aupper ; tbese parts feel warm to the 

Sensation of heat, pain and pressure at the 
epigastrium, with similar feeliiig in the pre- 
cordial región.' 

Añer eating anytiing, insupportable pressure 
in the stomach, coming on not ímniediately, 
bul eome time añer eating. " 

Disagreeable sensation in the stomach, which 
Boon becomes a preseive tearing, and continued 
Bpasmodic pain. " 

In the evening when sittiag, drawmg pain 



whoro rocorery takes place from poiaoning, the patíent ia too oflen a 
Bofiferer throagli Ufe from dyapepsia; Ara. thua provea ons of the raoat 
luefal remedies in diseoaoB of the alimeiitary canal, g I3T is an excclli:ut 
pictare of chronic gaatroentoritia : the Bymptonis aróse after the adminis- 
tration of Fowler's srilution. ThiH ia tho oidy symptom I have t»ken 
where snch a preparation waí nsed, Irat hero the symplomB are bo woU 
known as that of puré AracniouB Acíd, that the mñíe in n-hich they are 
prouped has led me to select thU caae. The Bt&te of the tongue, the g^'eat 
irritábility of tbo stomach, the vomiting of füixl, the state of tho boweiB 
and pulse, and g 142, 151, 152, 157, 158, are very uaetul ¡ndicatíoos in 
dyupepsia. The cacheclic conditíon jiroduced pointa to ita ntility in 
low gaatric fevera. Again, the complieatíon of gastrocoleritis with ex- 
treme tendemeSB of the spine, as in g 137, ia ofteo met wíth along wilh 
paasing of tube-like mucua {vid. g 184 to 188) from tho bowela in canes 
of spínal irritation, and uterine disorder ; in Buch OWCB Ars. is one of the 
heat remedies. 

In caaea of long standing dyapepsia where idcenttian of the stomacli 
may JuBtly be snpposed to eiiat, Ara. boB proved very usoful. In schiims 
of tbis orgBQ it has also been oseful as a palliatiTe. 



Uur. Subid. 'k.°c! 
I Arg.Ajil-CupT.Ihf. 



commencing in the pit of the stomach, and ez- 
tending round under the left riba, as if some- 
thing were víolently tom away. ^ 

155. Spasmodic pain in the stomach about 
2 A.M. " 

Anxiety at the epigaatritun during the 
night, ' 

Buming pain sil round the epigastrium. 
Burning pain in the stomach, often attended 
with pressure and gnawing. Heartbum. ' 

Cardialgia. ' 

Pathoiogicai. AnATOifT. 

A. RednesB of the inner coat of the sto- 
mach ; but bowever serere the inflammation of 
the inner membrane of the stomach may be, 
inflammatory redness of the peritonceal coat 
ia eeldom found. Dr. Christison gives one 
case, and Spurgcl found it bi animal B. 
Turgescence of the eiternal Teína, sometimes 
BO great aa to niake the stomach look lÍTÍd, 
has been erroneouBly put down as inflammation 
of the peritoneum. 

£. The inflammation is principally confined 
to the raucouB membrane, which is unnaturally 
Boñ, as if maccerated, easily tom, and Eeparated 
from the muscular coat which preseryea its 
normal appearance. 

C This same action, by increaaing, causes 
ioBB of Bubstance of the villous coat, much more 
rarely of the other coata, by producing gelati- 
nization, The breach in the membrane being 
surrounded by gelatinized tissue, and not by 
an areola of inflammatory redness. ''' 

D. In other caaes the loss of substance ia 
owing to ulceration, tfie little cavities having a 
notched irregular shape, and being surrounded 
by a red areola, and a margin of fine tissue. 

E. Complete perforation of the stomach ex- 
ceedingly rare. 

P. The mucous secretion is increased : some- 
times it is thin and viscid, as in its natural 
slate ; hut sometimes it íb both abundant and 
Bolid, as if coagulated. A sangubolent finid, 
or even actual blood in the cavity of the sto- 
mach. {Ckríaliton aitd Orflla.) 



(')ThÍB proceas of dcBtruction by gelatinization and ulceration ísapniely 
dynamic, and not a chemical aoüon. If Ara. has an y chenücal actioc on 
tbe tiasucH, it i» to barden, and condense, rsther tluin to diaaolve, and 
corrode them. Dr. Wurmli remaika, that in reading in Cruveilhier 
pathoEnomonic signa of aoftening of the stomach, one can scareely a' 
thinkmg that the^ miglit hava been drawn ap from the phenumen 
Arscnieii poinonmg ; Dr. W. thcrefore thinia it ought to be one oí 
the chief pálliatiTca in that disease {lof. di. p. 258]. J>[s. Arnold and 
Ségin report that io an epidemic goatromalacia attacking childrcn, and 
which ciuld not, according to tho general opiuion, be curod bat in the 
first stage, they tried Ara. 30. The vomiting-, purging, &c., and post- 
mortem examination, atrongly indicated this remedy. The vomiting and 
dÍBTThi£B were acnaibly diminished, but only for a sbort timo ; theyí~~~ 
rctunied, encept io one case whcn they did not reappear for eicbt di — 
but ontiie reappcarnnne Ara. waa of no avail. Ver., Cham., Bell., Puls., 
8ul., Garbo v., were lesa useful than Ara. They then gave Kreosota 1, in 
doBos of 10 drops, morning and evening, and saved two cases, when the 
disease waa far advanced and well marked. (BtanvaU, Clia, Hont. í. ít> 
p, 243.) Might not a lowcr dilulion of Ara. hsve proved more Usting in 



itseffects? 



yGoogk 



k Acon.Campb.Uei. 
BeU. Btt- Slbul. 
Btan. Bu. Are.K.c. 
Fboa.Cuilfa.Lacb. 



In the evenÍDg on going to bed, 
of spaams, and pinchiag in the abdomen, iñth 
aiveatH, tben dischai^ of flatulence, foUowed 
by a liquid stool. ■ ''* 

160. Id the evemag after going to bed, and 
ín the moming after getting up, pinching cut- 
ting paÍDB in the inteBtineB ; the paina dart 
through the Inguinal ríng (as if a hernia would 
protnide) into the Bpennatic cord and perineum, 
when the coUc ceEisea borborygmi are heatd.'' 

In the evening ahortly añer going to bed, 
ahooting tearing pain Ín the left side, under 
the falae riba." (ría. § 153.) 

A pinching, increasing to a cutting psin, 
eapecially deep in the hypogastnum, preceded, 
and foUowed by looae atoóla. These paina do 
not cease añer each stool, ñor do they excite 

In the moming, loud borborygmi, then a 
cutting twiatíng pain in the inteattnes, Tollowed 
by three loóse atoóla : borborygmi early, on 
waking, ' 

Every moming, flatulent diatenaion of the 
abdomen ; after aome time this disappeara. 
Diacharge of much wind of a putrid amell, 
preceded by boiborygmi. (Lhr.) 

IBS. Frequently apasmodic jerks from the 
epigastñum to the rectum, cauaing him lo 
atatt.' 

Senae of restleaaneas and ansiety in the 
hypogastnum, but only during repose. ' 

Boring preasive pain in the right side of the 
abdomen. {Hbg.) 

Sensation as if a great etone lay io the lower 
belly ; with hiccough and excitement.' {Vid. 
§ 215.) 

On stooping, a stitch-Uke dialocating pain in 
the right inguinal región. 

170. The aense of intemal heat did not 
leave him for a week, and he vomited occa- 
sionally the aame length of time : ' while fae 
wae at times so diatreased with the heat of 
skin, and overpowering faintnesa, that be bathed 
bis head and arme in a amall stream.( Case 8.) ''' 

Swelling, and buming pain throughout the 
abdomen.^ (Cow ¿,) 

Violent colic, frequent vomiting, and col- 
lapsed countenance. ' (SotiXf Medicine Opera. 



(I) It !■ raielj ^ven in ardinary eolio, but it U worthy of tria! when 
aoch moiticiiiee aa Coloc, Bell., Carbo or Cocc. have failed, and especiallj 
wben the eolio ¡a attendant on chromc inflammadoQ of tho macóos mem- 
le, the piüns bnmin^, with great thinit, aod «uch § aa 16€, 170, 172, 
174, 175, 177. 

(1) Thisacngoofbnming, and noat thiret are exceedingl j characteriatic, 
ana Btand inatrong con traat to Uie gasCro-intestinal derangement of Pula., 
which Íb ao often marked by chillineía and want of thirat ; the Bomewhat 
■imilar Bymptoms of Nox are characterízed by Hevere beodache and rest- 
lesanosB, but thiB last Bymptom is often attended witb great mental irn- 
tability and extreme impree^ion to extemal agenta, whoreaa in Ara. there 
8 witn the Testienness a aenae of anxiety, depreasiun, and extreme 
weakoosB. 

(') Tbis aroae from appljing, for a aingle night, AraenJcal paste to ao 



Abd<aneii. 

Difficulty of breathing, thirst, pains in the 
belly, and purging. (C^míúon.&e.dV. p. 321.)'*' 

Acute pün in the región of the stomach, and 
throughout the abdomen, frequent vomiting of 
bilious matter mixed with the food and drink 
which they had taken. In addition, he had 
acute paina in all the limba, vértigo, with im- 
poasibility of aitting up ; a little later he had 
convuleione. (^Lachese, Ann. d'Hygiene pub- 
lique, t. 17, p. 337 ; vid. § 194.) 

I75> Pain as if the epigastñum were cut off 
&om the hypogastrium, accompanied with great 
anguiah, and lameotations about bia pain.' (^Al- 
beríi, loe. cíí.) 

Violent distensión of the abdomen aAer a 
mcal, without pain ; he bad to lean bis back 
against eomething, in order to be relieved. ^ 
{Myr.) 

Retraction of the upper pait of the abdo- 
m,..' (C«, 7.) 

The belly is commonly tense, and tender ; 
Bometimes also swollen, though not frequently; 
aometimea even on the contrary, drawn in at 
the navel.™ ■'' {Christieott, loe. eit. p. 301.) 

Jaundice." '" ( Vid. § 388 ; aleo MajatUt in 
Samml. Ahhandl.f.p. Aerzte, viii, 1, 2.) 

180> Paina in the abdomen with cenetipa- 
tion. ''* {Harllaub and Trinke.) 

Constipation. " {Ilahnemann gives variou* 
auihtmíieí.) Obstinate constipation. "' [In va- 
rious caees reported ¿y Lachese, loe. cit. p. 339; 
vid also case 14.) 



nlcer in a giri's breaat The aymptoms closely reBemhle an attack of 
cholera, for remarka on whioh puí. General Symplomi. 

(<) ThÍB aróse from applyingFrércCoamo'Bpowdertoaftmgoidtnmonr ■ 
on tlie temple ; death eiieued in four daya. . 

CJ The swelling is the result of tympanitís from the inflamed átate of 
tbo intsstines, and is not a swelliog depeudent nn ascítea. I have been 
nnable to procure any case ahewing that this diBesíO ia prodnced by 
Ara., but in practice it proves an admirable remedy, especiiUty when the 
ascitaa is attribatable to disease of the heart, orliver, toabdommalTcnoiía 
congestión. The proving shewa that it cicites serona effuBÍon into the 
pleurw, pericatdium, and coUular tíssue. Vid. Notes to Befpiralary Orgaru, 
Hearí, Skin, and ürinary Orgam. 

(<] I iiave been nnable to examine the original sonrce from which 
Hobnemami quotea Majault, bo that 1 am prevenCed giving Che attendnnt 
eyraptoms. In the case given at § 388 there was with the jaundice, 
dlairtioea, tendemeía of ttie epigaatrium, hiceough, and gnpprcBBion of 
orine. The lÍTer waa found of an indigo-blue cotour, and tho ^dl-blodder 
disleoded with biie. Jaundice ia a Tciy rare symptom in Areenical 
poisoning. It ia a remedy whioh is worthy of trial when Mere., China, 
Nux, or Dig. fiiilH : or especialt; if the jaundice ia attendant ou disease 
of the heart, or inñammation of the dnodenum : alao in cachectic persona, 
and as a sequeln of periodic fevers. Ur. Grosa narrates a case wbere 
Are. WBS Tery naefol in remoying a jaundice which was dependent on 
organio diBeoee of the liver, when otber remedies bfld failed. {Xrch. Som. 
Tol. XT, p. 100, 1835.) Habnemann recommends it ia asease of the 
líver: the proving furniabes no marked hepatic sympttnnB, the there- 
pentic indicationa mnst be drann from ihe general character of Ara. and 
the symptoma of deranged digestión, &c. 

(') I am nnable to átate under what drcumstanees conatipatioa íh 
manifestad. Hahnemonn recommends it in thia dÍBease : I have fonnd it 
usefiíl when otber remedies bod failed. Jodging &om aeverol aucb caaes, 
I would point ont as indicationa S 1B2, 183, 184, 185; irritation orcbronic 
inSammation of the atomach and intestinea, eapecially if attended with 
vomiting of aoid fluida ; anxiety; disease of the heart aod liver ; also the 
general Bymptoms of Ara. : tóese diatiuguish tho onstipaüon of Ara. 



,edb, Google 



BBU.S¿.L;c.B(p 



■I Acón. E17. Nui T. 
Cuith.Coloí.Merr. 
BuLEhiM.Ipec.Cir- 

)BtT. Chu. 's«. 
I AhUd, Splf. FUt. 



Duiing' the week Itttle paBsed from hie 
boweU, but he had repeatedly ioeffectuat 
calla.' {Caseí 7 and %.) 

Sumiiig, And pftiii in the rectum, and aaus 
with contijiual pre»sure, teneamuB as in dyeen- 

Stnining, and prceeing with spasmodic p^n, 
which causea prolapsus recti. ' 

185. Ail«r baTÚig been at stool, burning in 
the rectum, with ^eat weaknesB, palpitation of 
the heart, and trembling of the limbs ; he ia 
obliged to lie down. * 

The Btool ie coated with serous blood. 

DiairhcEa alternating witb conatipation ; fre- 
quent diecharge of Bcantj, nalery atoóla, fol- 
lowed by teneemuB, with aeveie colic round 
nmbiticuB.' («;/:) i" 

Between the evacuations, discharge of ahreda 
of mucua, accompanied with tcnesmua, and cut. 
ting pain in the anua aa of blind piles. " ''' 

Afler pains in the abdomen, ecanty evacua- 
tiooB with lenesmuB, first of deep green matter, 
thcD of mucua of the aame colour. " 

190. Violent burning pains in the atomacb 
and bowcls, buming in the fundament, excoria^ 
üon of the anua, Tomiting, and bloody diairbtea, 
with a low tremulous pulse and Uboured respi- 
ratiou, indescñbable anxiety, and anguisb about 
the heart. (Cata 4 and 5 ; vid. § 170.) 

KuDibneaa and pain in the anns and legs ; 
during the space of a week she bad purging, 
with great weakneas with tendency to faint ' 
{Case 10.) 

After much agitation, and colic, liquid black 
stoola ; the anos feels as if buniing. {RicAard, 
he. ni.) 

Violent eolio, dysenlery." ( Varióla soureet.) 

Frequent evacuationa of viscoiis yellow stools, 
duriug two daya. {Pfann, loe. cil.) 

195. Cramps of the lega and arma are oflen 
peculiarly severe and frequent in the diarrhcea 
caused by Arsenic. * {C/irütüon, loe. di. p. 
312.) 1" 

Itching, scraping, chapped-líkc pain at the 
anus ; the anus wben touched causea pain as 



from tbat of Nnx, Lach., Op. and Snlphor ; the oonstipation of Ver. and 
Zinc, resemblea that of Áni. 

(' ) Id Buch conditiotis, Esnerally (^mseqpeDt on chnmic inflanmiatiaii 
of Ule bowels, Are, and Sul. are veiy n««ful. 

O § 187 to 196 indícate the kinií of diarrhcea and ñyaeoterj in which 
Ais. is ao UBcfiíl : iu pnctic« it Ib sIbo found valuahle whero there are 
copíoas watery motioaB withüat pain, bnt attendud hy great prostration. 
In aathenic dysentiny it is one of the boBt remudics ; compare with C&rb. 
The diarrbixa and dyseoter^ of Ara. closely ntBemble cholen. 

(') Wben tbere is mnch irrítatinn of the aümentary canal, and thia has 
oxisted Bome time, convulnive motioni oftea otcor. At firrt they are 
conñned lo the tnmk, aftenrardn they eztend over the wlwte body : they 
are seldom TÍolent, aiu] generally conaist of nothing else tbaii tiemora 
and twttchea. 

{*) In irritation of the alinientary canal sttended with ascárides or 
tnnihríoi, Are. is well indicated ; in snch diseases, the imtstioD, aa ia 



Bunúng at the anus.* {Comí 4, 5 ; vid. § 
190, 192.) 

On going to atool, paonlul conatríction imme- 
diatcly above the anus, which extends to the 
sacrum. * 

Blind piles, with pain which resembles piick- 
ing w^ a red-hot needle. * 

20(^HRmorThoidBl tumours of the auna, 
cauaing a buming pain, especially in the night, 
not permitting him to aleep ; duñng the day 
the pain becomea more aevere, and increaaea to 
TÍolent shootÍDg paina, which are woree whea 
walking than when seatcd or when lying down.*" 

Hsmorrfaoida with lancinating pains whether 
seated or walking, without going to Btool. 

P&TEOLOOICAI. Ahatoht. 

A. Oreatcongeationof the abdominal Tenoua 
eyetem. 

B. Bednesa of the mucouB membnme of the 
intestines. The eigns of inflammation are ael- 
dom distinct much lower down than the eztre- 
mity of the duodenum, and they do not oflen 
afiect the colon, though the rectum is much 
inflamcd. (Cirúíison, p. 345.) '" 

C. The jejuDum, the ilium and the rectum 
are affected with inflammation, which hardly 
affects the coecum, and the colon. {OrJUa, p. 
343.) í" 

D. The duodenum inflamed. (C«* 11, loAwe 
the Ar»enic wat introducid per vaginam.) In 
case 7, the inner coat of the duodenum waa 
dark-red, puffy, thickened, easily Beparated, and 
one apot as big aa a crown-piece ; both the 
inner, and the muscular coats were wanüng. 

E. Ulceration of the bowels, met with in lin- 
gering cases. 

F. Estraordinary contraction of the colon. 
{UoiUton, Ion. Med. Gai. xiv, 712.) 

G. The rectum red, excoríated and ulcerated. 
H. Inflammation of the peritoneum, rare. 



CuUi. C^fb. Uh 
Lid. NitT. m. Nlu. 
u. Ndi t. Fb«. 



I Cut).T.Cian.Aiiiii 
GniA. Lich. Ltc. 
Nit.». Al«iJ>iüa. 



a tho 

humorThoidal véasela ia very eimiJar; and thongh Mere, has also a 
powciful action on the rectom, as aheini by tho tenesmos, still it ia not 
found in practico bo usefol aa these other remedies in hsunorrhiHdal 
affections. 

(>) The roorbid anatomy, togetber with § 1T1 to 175, and % 187 to 195, 
wclIitidicatG the employment of Ara. in inflatnmatioQ of the inteatinoa, 
eapecially of the mncous coat of the smoll inlantines and the rectom. 
In Buch dÍBeaBCB attending low fevera, it ia one of the beit remediea. 

(>) Though the coecum is lesa generally affected, I have fbmid Ara. 
very oBeful in a case of chronic innammation of the coecum, which bad 
been a month treated homceopathicaUy, Ihen a month allapatlüoally, bat 
without beneüt In a Tcry few days Ara. sava Bpe«dy and permaneat 
relicf : the indicatioiiB were tendemess over the coecal región, and boni- 
ing pain. 



y^^oogle 



8U|ih. BJiiu, Uir. 



J C^u, Can. Cblni 
Licb- BoT. 



Cuith.Alam.Dulc. 



Vrlnary Oifanfi. 

SOS. Frequeut dedre to urinate, with emis- 
8Íon of much uriñe.' {Lhr.; also ea»e 7; and 
Sherwin, Mtm. of Med. Soc. Lond., Tol. ii, 
No. Miv, 1789.) 

He IB obliged to ñee three or four times in 
tbe night to make vater, and each time much 
uriñe is poseed ; thia continúes for eeveral 
days. "* {HaAnemann.) ■'' 

After paeaing uriñe she experiencee ^at 
weaknesB at the epigastnum, vrhich causes 
trembling:" while urinaUng, constñctive pain 
in the left groin. 

205. Involuotuy micturitíon ; tbe unne 
flowing Buddenly irom her, but only in emall 
quantities. * 

Incontinence of uriñe, lasting 25 days, com- 
mencing and att«uded for eome days witb a 
typhoid State.' (Cate 17.) i'* 

Buming in tbe bladder, and every minute 
calla to make vater. ' 

Ardor urinte. ' (Case 14,/Tom exUmal appH- 
eation to ike head.) 

Pain of the bladder in passing water, tbe 
urethra beíng highly inflamed. ' {Case i.) 

210. HamiSBed witb frequent, painful, and 
ditBcuIt micturitíon, Bweiling of the penis, and 
piün in the región of the bladder. ' {Christison, 
he. cit. p. 302.) 

Uriñe scanty , bigh-coloured, and passed witb 



(') Does An. iucretiBa or diminiah the secretÍDii of orine, wos a point 
much debated at the trial of Mad. Lafiuge ; vañoiui couflicting opinions 
wore given, the evidenca being drawn principally &oin experimenta on 
the lower anim&iB. From | 202 and 203 it appcara lo eicite a allght 
diuretic action: Sherwin's experiments were perfonnod on hiniHelf with 
small doseB. The increaae of urioe íb BonieOmeB attended with Btran- 
goij : when this trritation iocn»seH, in flii.Tnniii. fi nn of the uiethra and 
probahly of the bUdder is eKited, thea the urino becomes diminished, 
and Bometúnes mixed with blood, or wholly guppresHed : also nhen there 
~B inñammation of the Bmaller inteatines, the uiine becometi Hcanty and 
high-colonred. Agam : when a andden and violent impTeBaion ia niode 
on the Byatem, as in g 214, 215, the kidaeys are powarfnlly acted on, and 
the Bf mptoma mnoh reaemble on attacb of Qephralgia or acute aephritía, 






1, when Mere., Canth., UelL, 



dered oa c 
orine in loc 
preved albon 



toma, SDch aa great efüiBion into the serooa oaTÍües, eapeoiall y tbe pleor 
and pericardinm, may gire Ara. and Dig. a P^^"' olaim to theae other 
remedies. la th* chronic and mnch more fatal form of this dtaease, where 
tbcre is Kianultir degeoeration of the kidney, Are., if it catitiot be 
conitiTo, is at leaat a rery osefnl pallialive. Eod the 
cásea as g 209, 2J0, 215, been examincd, it mighC haré 
nona ; hot at present we have ao posiliTe STÍdencs that 
Blhominons orine, as is known to be the effect of Canth. 
and Úerc. corr. Thoogh alhuminoos orine is a maiked featore in Biight'a 
disease, Btill to tbe other elementa of tbia diaease Ars. ia cloBely bomceo- 
pathic, BDCh Bs the pallid cachectic appeannco of tbe patient, tbe diaorder 
of the stomach and tbe Ireqoent diarrhtEa, the frequent complication of 
diseaae of the heart and reapiratory organa, also tbe aerona effoaion into 
the shnt caTitiea and cellolar tiiaue. Mr. Philípa has pobliabed an 
intereating case of this disease, treated in the Manchester Homceopathio 
Hospital ; Dig. and Ars. entirely removed the anasarca. {BriL Joam. of 
Hoto. voL ix, p. 154.) He finds these two remedies very nMfiíl io this 
affeclioD ', I háve seen relief afibrded, bnt nnbappily no permanent core. 



llrtnaiy Organs. 

an effort; coexieting with gastroententis. (Vid. 

5 is'-) 

Scanty uriñe, which causes ecalding when 
passed j in the moming, buming at the point 
of the urethra on commencing to make water. 

Great irritaüon of the urínary orgaos, bo 
great as to be attended with total suppression 
of urine,'' (Case 16.) 

SappreBsion of uriñe, lasting Beven days, 
attended with jaundice and general anasarca, 
and great depresaion. ' {Vid. g 386.) 

315. In tbree hours after inhaling half a 
cubic inch of Areeniuretted Hydrogen (one- 
eigbth of a grain of Arsenic), he became af- 
fected with giddinesB, and Boon afterwards with 
an uneasy senee of preesure in the región of 
the kidneys, passing gradually into acute pain 
there, and upwards along tbe back. General 
shiveríng enaued, with coldness of tbe extremi- 
ties, and gouty-Uke pains in the knees, shoul- 
ders, and elbowe. The hands and lower half 
of the forearms, the feet and lega nearly to the 
knees, the nose, and región of the eyebrows, 
felt as if quite dead, but witbout any diminution 
of muscular power. There was aleo acute pain 
in the stomach and belly generally, painful 
eructatioD of gas, and occaeional vomiting of 
bitter, greenish-yeUow mucus. The most tor- 
menüng symptom was the pain in the kidneys, 
which soon became attended with conetant de- 
sire to paBS water, and tbe discharge of deep 
reddish-brown uñne mixed wiüi dota of blood.' 
The whole expreanon of the countenance was 
altered, the akin became dark brown, and tbe 
eyeballs sunk, yellow, and surrounded by a 
broad livid ring. Warm drinlcB brought out a 
copiouB Bweat, and removed the eense of numb- 
nesa : but next day there was little change 
otherwise in the symptoms, except that the 
urine was no longer mixed with dota, and that 
the hair ou the benumbed parta had become 
wbite, Od the third day the paina had abated, 
and the uriñe became dear; but there waa 
hiccough, an excited state of the mind, and a 
feeling as if a great stone lay in tbe lower 
belly. In eeven days he was much better. In 
the third week the whole glana and prepuce 
became covered with little pustulea, which nere 
fotlowed by smatl ulcera. It was not till the 
cióse of the seventh week that he recoTíred 
completely. {ChrisUson, loc. cit. p. 326, «x- 
tracted from Buchner't Seport: fílr. die Pkar- 
macis,\3:a,2n.) 



CieBitfd Oifuu— Hale. 

Violent itching of tbe glaoB, witbout erec- 



Noctumal pollutions, Bomeümea with, aome- 
times nithout lasdvioua dreatns, followed by 
long continued erections. *" 

The glana penia ia of a bluíeh-red, Bwollen, 
and excoríated. {Pfann. toe. eü.) The ^ans 



a Cum.CnH.Ctniph. 

Mero. Huí t. Stp. 

i Cuth.Cuiph.Aiii. 



TCoogTe 



^.C[dd. Hep.Mit. 
o. Htp.Thni-Mere. 

dCutta. 



o Chin, Ftat. Phot. 



Cale. CUd. Fcr 



líít.'c; 



Alum. Cuüi. 
4 Krt™. Mere. PhM. 
Alum. Thiiji. 6«|>. 



Genital Organs— Hftle. 

and prepuce covered with little puetulee, which 
were followed by smaU ulcere. ' (§ 215.) '" 

Extremely painfiíl swelliDg, mflammation, 
and even gangrene of the genital oi^ans.' 
{CiH* 4 ; aieo J. H. Degner, Act. Nat. cur. vi; 
Slahl, Opuse. Chym. Phy». Med. § 454.) 1" 

SgO. Swelling of the tefiticle : from the io- 
temal use of Ars.° [Albtrii, loe. cit.) 

Smelteri of Are. are occasionally affected 
with cancerous diBeue of the scrotum, similar 
to that which attacks chimney eweepB. {Parit 
PAarmaeolofft/, 7th edit. vol. ii, p, 96.) 



Genitd Oifans— Fenuüe. 

Increase of sexual desire. ' 

Menees too early, and too profuse : ** during 
the catameDÍa, lancinating pain in the rectum, 
estending to anus, and vulvie. '*' 

During the calamenia, piaching cutting pain 
from the scrobiculus cordie down to the hypo- 
gastrium, aleo in the back and side of the 
abdomen ; the paina forcé her to bend double, 
with loud moaning and tears, also enictations. 

SSft. Afler the menees, discharge of sajigui- 

Leucorrhcca, a cupful in 24 honra, thickish 
aiid yellow, excoriating the fulvie, lasting 10 

Leucoirhceal diecharge, and ña tus while 
standiüg. ' 

Stitch-Iike paina eitending irom the iliac 
región, and hypogastrium to the labia. ' 

Buming pain of the vagina, swelling, and 
eicoriation of the labia. * {Bachmann't Ettay, 
p. 41.) '•> 



(■) Dr. Wnrmb. reliw raxaüi on An. hi ill-canditíoned, easil; bleeding, 
and Bpreading venareal soreB, attended with a bomiiig pahí, and wbeie 
Urge doees ai Merciuy haré been given withoiit benefit {Brit. Joura. of 
Som. voL ít, p. 265.) 

(>) Dr. EhrWdt of MersebuTg reoommeiids Are. in negtected phimosis 
with Ronoirhcea, when the prepuce in greatly iwellad and corered with 
dark bliiish spots. {Amer. Hora. Exam. Tol. ii, 137.) 



1 profoBe 



(8ee aleo 



Note 4.) 

(') Ara. ¡B one of the few medicineB which have been pnshed to that 
extent, and nnder anch (drcumstancus as to manífeet feíy marked effects 
on the atcroB. From eipcríeoce uf it in leveral caaes of inflajimiation of 
the ateruit and ulceration of the cervix, I recommead ita eiuployment in 
■uch cases, giving it both intenmllj, tmd applyinK it estemallj. (See 
Do»í. ) In a caso of indnration and nlceíatíon of the cervix where Are. 
proved Tery níeful, the iodications weni great weakness, frequeat oooiir- 
rcnce of ^ 228, also g 223, 224, 226. Ara. has aleo been oaed in ordiuaiy 
practice in similar cases : foi example, a oase of chronic inflammation of 
the úteros of tbree yeara' standing was radically cured ; the pruminent 
sym^toms were a beaiing down pain, with a constant pain and buming, 
varyíng in sereiitj, in the lower part of the sacrum, the left groln, and 
UDder tbe pubis. (E. Hunt, Med. Chir. Eeti. Oot. lasa, p. 372.) Mr. 
Hunt also reports the cure of six cases of menon-hagia, which were 
attended with great debility, much irritatíoii of the raucooa membnuie 
of the bowels. Uis dosos were in one case about fonr drops of Fowler's 
solutíon three times a day, and in another the twentieth of a gnún of 
An. once a day for five weeks. 



Cienllal Oiftuu—Female. 

Fatholooical Amatomt. 

A. The penis and labia have been found 
distended and hlack ; the extemal parte of 
generation in a female gangrenous.^ {Cait 
rtlaltd h¡f Baehmatm.) 

B. The outside of the utenis, and fallopiím 
tubes were inflamed. ' {Chrittiion,'^. 347, ^uo- 
ted/rtm Fylt. eolUction.) 



Be^iratoi7 Oii;aiis. 

230. Great coryza with hoarseaees, and 

In the moming, roughnese of the throst and 
hoaree throat ; drynees of the larynx. 

Ueat and uneasinees of the throat, with 
hoarseness. * {Oaaa 7.) 

Great difficulty in speaking and swallowing, 
laborious respiration, attended with violent in- 
flammation of tbe ükuces, probabty of the 
laiynx. " {Catei 5, 4.) '" 

Seneation of roughness and rawnesa in the 

S35. Much pain in the cheat: stitches at 
the superior part of the ríght lung, felt espe- 
cially on a full inepiration ; a sort of preseure 
which terminotes in stitches, violent stitches at 
the left side of chest, felt only on expiring, 
which Tendere expiration difficult. [Lkr.]' 

On drawing a deep breath, stitches on the 
left side of chest, which excite cough ; on 
stooping, diill sCitch-like pain in the cheet.' 

Pressure on the chest. * 

Senee of tightnees across the bottom of tbe 
cbest, witb pain also darting through the upper 
part of the chest. ' {Chriatiton, loe. dt. p. 302.) 

Fún and heat in the región of the etomach 
and lower part of the cheet ; uneasmess ín the 
abdomen ; eometimes inefiéctual efforts to go to 
etoot ; thirst ; difficulty of breathing ; heat and 
uneasinesa of the throat, with hoareeness ; in- 
flamed eyee ; ahilling pains in tbe extremitíes ; 
and weaknesB. ' {Cate 7.) 

S40. Buming in tbe right nde of dieet, 
extending to the iliac región, where he feels 
preseure ; great heat in the chest to above tbe 
diapbragm. {Hbg.) 

Buming in the chest, the same feding under 
the etemum, continuing a long time ; dry, 
fatiguing cough. * {Stúrck, loe. cit.') 

Frequent, dry, sbort cough, excited by a 



('} Under Nose, referenee has atready been luade to tbe coryza of An. 

[') From all ths symptoms nnder this section, it is OTÍdent Ihsttins 
medicine eiorcises a very ponorliil and characteiistic action an (ba reipi- 
ratory or^^ans : the symptoms referable to the lacynx are not M woU 
marked or so numerous as those originating in the broDchÍB, and nuk 
much below Hep., Spon., K. b., Br. snd Mere. Stáll Ara. ia very oteful 
in epidemic catAirhs afieoting tho tiaohea and bronohin ; and it maj be 
resorted t», whsn the above remedies fail, in cedema glDttidis,'~far in- 
flammadon with tendency to seroiu effusion into the eellnlar tissae is a 
marked ofiect of Ars. 



í Bry. 






-B^ 


í' 


BcU. 








lp« 






Led. 


Am. c 

PllIH. 


Mire. 
.K.n. 



fiespiniloi7 Or^^ans. 

feeling of cboking or conetriction in the larynx, 
as if from aulphur vftpoura. Desíre to cough 
from initation of the luynx, witbout ezpecto- 
rstioD ; coostant ttckling in the whole larynx, 
which excites cougli even when not breathing. ''' 

Cough after lying down in bed; in bed, 
cough which lastB aome niiiiul«H, attended witb 
nauíea, and deeire to vomit. 

Deep, diy, continued cougb after midnight, 
the coug-h wakena him ; violent parozysms, in 
which he feara to cboke, witb Bwelling of the 
neck. He ts obliged to sit up at night when 
the cough comee on.^ 

Ztó. Cough in the evening directly afler 
lying down, abe has to sit up ; afterwardB 
contTHctive pain in the región of the stomach, 
scrobiculuB cordia ; this pain ezcited a fatiguing 

Violent cough in the moming, eometimee 
coming on aíler taking tea (as accustomed to 
do). Cough eepecially after drinking. ^ 

D17 cough on moving the body ¡ the cough 
frequently puts him suddenly out of breath. 

Twistiog in the hip, which Beema to excite 
a diy cough. 

Cough on gomg into the cold air ; vhen 
waJkiug in the open úr be expenences a sen- 
sation of Buffocation, which obliges him to 
cough. 

250. Afl^r severe coughing, much water 
flowB into the moutb, as in waterbrasb. ' 

Coughing causes etitcbing pains in the cbeat, 
and also in TañouB parta of the abdomen.™ 

Much VÍBCOUB mucus in the chest, which ís 
very difficuU to expectórate. " 

Streaks of blood in the expectoratioD ; mu- 
cous expectoraüoii streaked with blood, aíler- 
wards desire to vomit."''' 

Añer baving ate, a Bweeüsh taate of blood, 
with a cuttdsg ecraping pain in the tbroat, aa 
if he had swallowed a bone, for a quarter of an 
bour ; after which híemoptyBis, at ñrst coagu- 
lated, tben nauseo, after two honre' anxiety. 

ñHH, Frequent paroxyBms of sbort difficult 
reepiration, with dry cough, and pain of exco- 
riaron in Uie epigaatrium to the middle of the 



(■} The consli la geoenlly a short, dry, fatigning congh, ezdted br 
dr^nest, and itelúnK In the trachea, with rawness, sense of heat, ana 
often constriction m the ebeat Bot It Is bIbo well indicated in aoch 
looae conghs aa ^ 366. In Beoile oatarrh it U very lueAiI : compars 
with T. e., Ben., and Bar. c Again ¡ theie ia a congn oí An. depeodent 



(') Dt. ünhaidt reUteB a case of hBrnoptysiB in a pregnant female 
with deficate Inn^a, whare Acón, had given no relisíf and which was 

rifily relleved hv Ara. The aporáal mdicatíona appeat to have been 
bnming and eoldneM in the chest; iry, buming beat of the skin ; 
great anxiety ; and po^tation of the heart We are not aware of ita 
Eaving been moch naed in hsmoptyaiB, but iti pathogeneeiB indicateB It 
Btron^y in haamoptyaiB consequent on ralvular diaaasa of the heart, 



.CuiUi.Cunp. 



Cspi. K, t. Ut. 

Acw J'fT.Uuh. Br. 

Bi7^ Kn», t! Pnui 

6ta. Uch.' Lob. 
Cubo y. Bul. B*D. 



Kesplratoiy Oi^aas. 

Frequent ansioua oppreasion of the chest, p^j, j , 
and short respiratíon, in all positiona. Oppres- d™'";. ^'^^ 
aion of the cheat on coughing, walking quickly, 
or going up ataira. ' 

During eight days, difficulty of breathing, 
and oppresñon about the re^on of the Bternum, 
on drawing a deep breath, '' 

Pain under the epigaetrium, which takes the 
breath ahort, with pains in the hypc^aatrium, 
difficulty of breatÜng, as if the cheat were 
conatrícted. 

He immedíately loses bis breath in the eveii' 
ing, Úiougb cautiouB in entering his bed and 
lying down quietly, feels constrictíon of the 
tiacbea, when a fine wheeaing r&le can be 

S60. In the evening, dyapnixa and dry 

cough. 

He long rettúned tightness of the chest with 
dyapepsia. {Cate 6.) 

Conatant lickling congh and constrictíon in 
the cbest ; his cheat lélt so conatricted that he 
could bardly speak, and was almost about to 
faint.' {HarÜauband Trinki, 10, \\,and\2.) 

Oppression at tbe cbest, and difficulty of 
breathing. {Caaes 8, 9, 12, 13.)' "' 

On walking, auddeu astbma and lose of 
breath, with weaknesB and extreme exbaus- 
tion. ' {Majatdt, loe. eit.) 

266. Suffocatíng catarrb, (Müc. Nat. Cwr. g 

Dee. iii, 9, 10, 5, g 390.) At night, catarrb É^.'c. 
which tbreatens sudden auffocatíon. " '*' 

Dyspncea more or leas for a few years, death 
arising from hydrothorax. {Vid. § 392.) '*' 

Patholooigai. Akatokt. 

A The mucouB membrane of the windpipe 
ia Bometímes afiected with inflammatory redness. 
Jaeger haa found it so in animáis. {De EffteÜ- 
but Arseniei, p. 40.) 

B The tiachea, and epiglottta presented marhs 
of inflammation. ( Vid. Path. Anat to § 362.) 

C Thepatíeutahadobviouspneumoniceymp- 
toms during life; and in the dead body the íungs 
were found so gorged, that on being cut into. 



C] Thers is no medtdne which manüests so ñ«qnentlr and to clotiely 
the aymptoma of aethma ; and in practice it provea an admirable remedy 
when ihis disease ia owing to epaam af tbe bronchin, to targescence M 
the bronchin, or to diHeau of the heart, but eapecially in the two latter 
kinda. It ¡b difficnlt to gíTB the special indicatiaQB¡ the principal are the 
attockB coming on at night, reatleSfnoBS, and great anxiety. 

(') I cannot agreo with Dr. Wurrob when he conaiders Ara. as not ao 
saitabte in acute broachitíB as many othei remedies. In that oconning 
in oíd people, in that atlending indnenza, and Taríooa exanthemala, 1 
regard it aa holdina the HrsC rank. 

{>) Dr. Wurmb, inhisyaluablepaperonplonriBy (Br»í./our«,i}íffiim, 
ToL i, p. 61), consider» Ara. the ffrst remedy in seíona plearúy, as oon- 
traateo with Solph. in plástic pleuñay. But in practica theee distinctiona 
are oRen diffleult to make ; I woold therefore say that in the majority of 
aouto cases, Acón, and Bry., foUowed by Bol., aro generally anfflcient ; 
but when the efi^on ia great, and not yielding to Bul., when Üisre is 
much dyapno», diBease of the heart, or graat weakneaa and depreasion, 
then Ats. la well indicated. It ia also well indkated when the eflhaion 
is more of a chronic character, or ariBes nnder anch (BroomstanceB as 
when it ia atjled hydrothorax, or anbaoute hydrotfat 



r8 

CooqTc 



RespIrMory Orgaas. 

nothing could be geen but clotted blood in 
their cellular tiesue. {Henke't ZeiUchrifi fUr 
di» SlaaUanntikundt, i, 32.) '>' 

D The lungB veré in the highest state of 
ínflammntinn^ and Bo congestcd as to resemble 
a lump of clotted blood. {Chrútúott, p. 346.) 

E The lungB do not coUapae oa tbe cbeet 
being opened. When cut, the lung is red, 
gorged with blood, scarcely crepitates ¡ the cut 
portion barely swima in water. The tvro lungs 
are gorged to the aame degree in eveiy part, 
The lungB cannot be inflnted. There are cer- 
tain pointa of a uniform piolet colour, as if there 
had been capillary heemorrhage, pulmonary apo- 
pleiy. {Orjila, voL i, p. 327.) 

F Both lungB completely gorged with blood, 
and preBenting all the charactera of pulmonar; 
apopleTy. {From extemal application of Ars, 
to a tchirrott» lumour o/íhe breaií, Atm. d'Jfy- 
giéne Publique, xi, 461.) See Note 2, p. 19. 

G The pleu^E^ pericardium, and nhole lungs 
of anímale deeply infiamed. {Sproegel, quoted by 
ChritÜton, p. 346.) See Note 5, p. 19. 

B The lungs souod ; two pints of red serum 
found in the pleura. {Vid. § 398.) 



Heart 

lB67> Oreat anxiety and agitation, feeling as 
if the cheel were conatricted. Anxiety at the 
epigttBtrium. (i%.) '•' 

Indescribable aoxiety and anguiah about the 
heart. • {Cate 4.) 

Dyspncea when vezed ; dyspncea when fa- 
tigued, as if from anguieh. 

870. EiceBGÍTe troublesome palpitations. 
When he lies on the back the heart beata 
quicker and atronger. "■ {Stf.') 

Towards 3 a. lí., irregular beating of the 
heart, and so violent that he believeB he hears 
them, attended with anxiety, " 

Paipitatíon of the heart reodily excited. '' 
(CArwtóo», p. 313.)l'' 



(<) AmoDg the cbest ijmptítra» there are many wbloh are ntet with in 

Cumunia; but in this dÍBeaae oocniring in & porely Bthenic furm Are. 
been littlo mod. With tha eiception of the casos refened to at O 
and D, the BymptomB of which dnring lífa I have been anable to procure, 
the Btale of thelunge after poiBoning is more approaching to congestión 
of the langa, ot that half-devaloped inflammation obaetved in oíd, or 
hroken-down oonBtitntíonB, in typhuid fevers. It ú íd snch caaea that 
An. Ía bo DBcfut : statefl marked by great delülítr, sinkíng of tbe vital 

(•) \ 267, 273, 276, 291, 292, 314, 325, 326, 327, indícate its employ- 
ment in angina pectoiís (compare with Spig.), not onty when the pain is 
conflned to the heart and cheat, bnt also when it citenda np the cack, or 
down the left arm to tho fingers, or even to the lombar and femoral 
regions. If the angina is gympathetic of disoniered stonuch, Are. is 
also nsefol in thiscase; Nnx t., Pnls., Lach-, Am. and Ver. ara also 
indicated. 

(*) In thi» proTÍng the action of Are. on the heart is Tery strongly 
marked, and it holda the firat rank in the treatmant of cardiac disease. 
It is nseful in pericarditis and endireardiÜB, along with Acod., Bry. and 
8^ig., occasionaUy Mero. ; and it especially ind¡cate<¡ in the fonner iiteana 
en effuaioa has taken pUoe. In organio affections of the heart, eape- 



Cubo T. Acan. Aur- 
CBlc.Bu.Dtr. AuT. 
lod. Cum. Su. m 
BpU:. Idfh. Fboi. 
Fii&.Vu,Sul.Uerc. 



-T. Dif . o 
ir.LuOi.S 



Heut. 

Seised with frequent faiuting, tightnesa in 
tbe pericordia, difflcult breathing, unextinguíab' 
able tbiret, parched throat, great reetlessneas, 
wakefulnesB, and paine in the feet ; these con- 
tinued for some time, eepecially the wakeñdnese 
and tendency to faint.' {Cate \S,Jromexpoture 
to Arsenious fumea.) '"' 

Vértigo, fainting, cardialgía, trembling of the 
limhs, and delirium. {From external Me, case 
14.) 

S75. Heavy expression, dulness ; TÍolent tu- 
multuouB action of the heart ; pulse 90, strong 
and jerking. On the fourth, fiñh and Bixth 
daye, great agitation; delirium; pulse 100, 
full and jerking ; violent and tumultuous beat- 
ing of the heart, attended with a loud íkIIows- 
murmur/ {CateU.)'^ 

Pulse emall, fceÚe and rapíd, sometimeB 
intermitting. (Many authorítiet.) Weak, irri- 
table pulse ; violent and tumultuoua beating of 
the heart. " {Saiser.') 

Fatholooical Ahatout. 

A Leíl cavities of the heart are of a mottled- 
red oolour. In the left ventricle, and principally 
on the columnu comece, are small spots of a 
bright crimson eolour : on cuttíng down on 
these apota, it ¡a found that they are notlimited 
to the surface, but penétrate Into the fleshy 
aubetance of the heart. The right cavitícB 
prescnt apota of a much deeper red, ahnost 
black.'*' {The body tcaí examined by Depuyireti, 
PetiC and OrJOa; Orjila, loe. cií. p. 319. 
Similar appearances observed by M. Godard, 
Nouv. Biil. Medícale, 1829, i, p. 395; and 
by M. MoUet, Arck. Génér. de Méd. /evr. 
1823.) 

S The coats of tbe arteriee do not seem 
altcred, though they may be here and there 
stained with blood. 

C The blood is fluid. {Sir B. Brodie.) 
Henk says it is black, eemigelatinouB, and 
Bometimes pultaceous. Norati alleges that tbe 
blood is without exception black and liquid, as 
after cholera, and without any trace of coagu- 



cially whcQ there is dilatioii or Talvnlar asease, it is the best remed; : , 
and it ÍB worthy of note, that nnder ita ñas the variouB paina, the día- i 
trasaing polpitstion, tbe dyapucea, are relieved In a marked manner, and I 
that wbile the organic chango remaina imchanged: in ancb cases it 
may be comparad with Die., ¿ch., Bar. and Spig. Dr. Uope (i>ú. ofthe \ 
HeuTt, 153) BtaCea that he has Boen the aame aeriea of symptomB aríae from 
poiaoning by Arseuic aa reanlt from inabiljty of the heart to trannmit ita | 
coDtenta, as in effusion into the pericardium, &c. In palpitatioD depend- I 
ing on inurganic causes it ¡a also useful, but in a leas degree. When the I 

KTpitationa are attended with noise in the eare, mah of Uood to tbe 
úl, or confusión ofsight, then L^ch ie more indioatcdtban Ais. ; when ! 
the palpitaticín is sttendsnt on ancemia, then Ferr., Chin., Uong-, Sep. I 
and Fula, are to be protorred ; when dependent on inerration, anch as 
from veuereal exceasea, then Phoa., Phoa. ac. and China are to be com- I 
pared : again, for thia aifection occurring along wilh diaorder of tha ■ 
digestiva orgiina, A», hulds au equal rank with Lach., Spig., Nai, Car- I 
bo V., Tula., Aur., Ver. ' 

O Dr. Christiaon atates that, at a meetíng of the Acad, Boy. de Uéd. 
Bt l'ana, it wss distinctly preved that auch appearances ariae frum Tarioos I 
causes, and ore theruíore not ebaiacteriatic <» Arsenioal poisoniDg- 



yGoogle 



r. c. Ltch. 1%! 
cBta^.BlwS. 



Ph«,Bbu.,Nu.i 
Led. Th^«, Rut 



'^SÍL *■ 



Neck and BRck. 

laüon. {Chritüton, loe. cit. p. 348.) The pe- 
ricardium genenlly contorne Berum, ( Wibmer, 
Dü Wirhúngtn der Anneim. und Oifit, Sfc. 
I83],vol. i,p. 325.) 



Neck and Back.'" 

S??. TensÍTe etifibete of the neck. (^Bhr.) 
Stifiheee of the nape of the neck, occuning 
momin^, and eveníng, as if bruised or eprained, 
with a BÍmilar pain felt over the hipe. ' 

Ezt«nial sweUiug of the aeck, without pún. 

m-) 

Drawing pains between the Bcapula, which 
oblige him to lie down. Drawing from the 
Bacrum to the ahouldera, with etítches-in the 
BÍde: fiatuleace moving about in the abdomen, 
and pressing upwarda, then eructatíons which 
give relief. ^ 

S80. The amall of the back w púnfuUf etiff 
duríng the wbole day. Loes of pcwer in the 
loina. Bruised pain in the aacrum, the back, 
and over the shonlderblades, aa if from blows. ° 

Drawing pdn in the back dtmng the mom- 
ing. 

Pains in the back, with a^tation and anxie^.' 
(Büttner, Unttmeht über die Todte*Uchkeil der 
Wwtdm, p. 197.) 

Distinct quivering movemente of the musclee 
of the lelt eide of tbe back, only when Ijing on 
the ríght aide. * {Lhr.) 

Stitch-like pain in the re^on of the kidaeye, 
on inspíring or sneeiing. ' 

S85. Staadmg upright causee great pain, she 
esperiences great pain in the lower port of the 
spine : chronic contractíon of the toes, eo that 
they touch the solé of the foot. {Case 15.) 

Paia and tendemess of the spine with fre- 
quent muscular tremors, crampy feeling of lower 
extremities, with partial lose of eensation and 
motion.« {Vid. % 139.) 

Patholooicax Anatokt. 

A The brain and spinal chord are found ín 
the normal átate, except that the latter is Home- 
times congested, especially the veesels of the 
CBudft equina, {WiSnur, loe. cit. p. 326.) 



(') ThiB HCtioD ihonld embraM sil the sjmptonia refenable to dUorder 
of tbe spine, bot follawiog an arUtrary arranKement to wbicb bomceo- 
pnthist» who conaolt tbe B. A. ¿f. L. bavs become familiar, I shall 
limit the remarki, and rafer for fiírther information to General H^ptoms. 

The paÍDB Trhich maj be refened to tbo mmoiilar tisaue are drawing, 
attendw with gtí&esi, and appear peñodípallj' momlng and evening; 
they are aUo atteaded with a characterútic STmptom of Are-, tíz., lest- 
tesraesg and anzietr- I sm not aware that Ara. hkg been mach náed in 
lumbago. I have niimd it nsefnl in anch case» a» are descríbed undcr 
the ñame of spiosl initatioD, attended by more or lesi tendemea» of the 
Bpino, pain or aambneas radiaüng to the arme or down tbe lower extre- 
mities, oí affeotíug the chest and stomach, especially when tbere is 
dvBpncea, great tendency to naosea and vomiting, cosÜTeness, or oñen 
alteniately custive and lelaxod, and not tufreqaently tnbes of mociu 
pused from the intestineB. In soch cases, genendly so difflcolt to cure, 
this remedy beais compailBOD with Coco., Agai., Nnx, Bniph., SiL, Bell. 



Vpper Eitremities. 

2S7. Tearíng, lancínatdng pains ín the líght 
SLTmpit : at night, in bed, teaiing in the elbow 
and wrist : every evening, drawing pain ia the 
bonea of the wrist.' '" 

Pain at night in the arm on which one lies. 

Tearíng shooting pain in the bonee of the 
hand and the little ñngei. ** 

S90. Drawing pain in the middle finger ; 
tearing drawing pain, early in the moming, io 
the fourth and fifth metacarpal bañes" 

Tearíng twisting paiu exlending from the 
points of the fingers to the armpits. 

Cramp in the ñngers when they are extended, 
painfiíl cramp in the Iset articulations of the 
fingers : from the moming till nooo, cramps in 
the ends of the fingers, in the calves, and the 
toes:' 

He was attocked at night with a violent 
cramp in indei finger of ríght hand, succes- 
sively invading the other fingere, and lastly the 
thumb ; then attacking the other hand in the 
same manner, and finally the feet ; the pain in 
the hands subsiding as thefeetbecameaffected. 
The whole duration of the cramp was about 30 
minutes, afVer which he fell into a sound sleep, 
which continueduntU moming. Whenheawoke 
he felt Iree from pain, but on attempting to ríee 
was Burprísed to find that he had lost the use 
of the ^ected parta, and was in fact perfectly 
helpless. This paralyus has continued unchaoged 
to the present time, accompanied with a. feeling 
ofheat, and numhness which invaded the upper 
extremities from tipa of fingers to a point about 
three inches below the elbow, and the legs irom 
the toes to a point a. little below the knee. He 
also has lancinating pains in these parts, regu- 
larly commencing about 5 ?.h., and contínuing 
until midnight. {New York Jow. of Medicine, 
1850.) (>> 

Great formication in the hands at night. * 

393. ColdnesBofthebaada.* (Stf.) 

ShifUng paine in bis exttemitíes, particularly 
the arms, which had not their usual Btrengtb. ' 
{Cate 7.) 

UneasinesB over bis whole body, especially in 
his arma and legs. Some days aAer he com- 
plained of little but pain in his arms, particu- 
larly the left, of which he had in some measure 
lost tbe power ; pulse natural but intermitting. 
For days after ttus he complained of imperfect 



Ind. Khu. Bhu t. 
Bota, Lsd. Idsh. 
Lfn. ObIh. Zinc 



Bu. Aur. Arg. But*. 
K.h. K.b.B«!p.L7B. 
Bpif . Zinc. OoUe. 



é Agí. Phoa. 

( AD.foLCMc.Ainbr. 
T.í.Chla.Ioi.ffif; 



(') The characteriBtíc pains in the arms are tearing, they ara wont at 
niéht, occasionally períodical ; often attended with genenJ n neas jnaaa 
and Testlessness, and in severe cases with powerlesaness of the eitramity, 
and coniraction of the flexor tendons of the fingers. The charaoter of 
tbeso paina points more to disoider of the nerres tbaa lo rbsnmatiBm or 
goat; it has been little ased in sueh aOéctions. Dr. Grots reoonunends 
it in arthrítia. (Arch.f. Hom. H. ix, 144.) In neoralgia, attended whli 
loas ofpower and contractíon of the tendons, it meríts atlention. 

(3) 'Hiíb patíent was a sailor, wbo had accidentslly Bwallowed Anonic. 
After recoToring from the primary efiécts of tbe p(Hson he remained quite 
well, when the above syuíptoms appearad, and eonlinned for nearlj^ aeren 
moiitbs; bnt even at tbe end of that time be had pecoliai sensatiotis in 
tbe fingere on the approach of atarmy weatbei. 



TCoogle 



lliqter Extremitles. 

TÍsioii, and difficulty of breathing ; Btill pain of 
arniB, and the left more powerleM ; pulse natu- 
ral ; pupil of lefl eye contracted. AU theee 
Bymptóma aoon disappeared, excepting Üie af- 
fectiooB of the arma. The motions of the band 
are much leae iiupaired than tboie of the arm 
and forearm, in particular the power of bending 
the forearm is almost entirely lost. * {Case 8.) " 

The flexor muscles of tfae four ñngera of each 
hand, and of the five toes of eoch foot, are bo 
contracted, that the two laet ph^angee are beut 
on the first, the points of the fingers touch the 
palm of the hand, and the poínte of Üie toes 
the solea of the feet. ^ (Cwi 15, vid. § 285.) 

The joints of the fingere are painful wben 
moved. 

Lower Extremltíes. 

300< In the moming afler a sleepleas night, 
ñolent drawing tearing pun in the hips and 
the left foot. ' {Hartlaub and Trinki.) 

Violent tearing paiss, here and there, whicb 
forcé one ta cry out ; draning tearing pain, 
like of dÍBlocatíon, extending írom £he ríght 
calf to the heel. ' 

Drawing tearing pün in the forepart of the 
tbigh, extending to the knee and to the ankle, 
felt on walking. * 

Tearing loncinating pain apparently in tbe 
periosteum, along the whole lower extremity 
dowQ to the point of the big toe. ^ 

Tearing paina tbroughout tbe whole lower 
extremity, from above downwarda; he waa 
unable to sit or lie dowc, obliged to ahape the 
limb to and tro da; and night, or elae to limp 
about, unable to sleep ; much woree at night 
Drawing paina in tbe foot, which he ¡a unable 
to keep at rest, " '"' 

309. Fressive pain in the calves : the calf of 
the leg ia hard, and as if preseed flat, with 
excniciating pain, like cramp, but more aevere, 
forcing her to cry out for an hour and a half ; 
the foot became cold, inaeneible and atiS*, so 
that she waa unable to move it ; there remained 
a sense of tightnefla in the cfdf, and a aort of 
palsy of the tbigh. ^ 

Tearing paina in the calves, relieved by warm 



(■} Thh loes of power resembles in some measnre that produced by 
HarcnñoB, bnt wMits the markad trcmbüng which accoiopanieB the 
latter, and which in a leBS degree atteods, and always precedes the palay 
of Plnmbam. Plnmb. affects mnre the eitensoí mtiscleB, and ia not 
attended with that extreme contracüon of the flexor tendons met with in 

()) Tbe action of Ara. Ib more marked on the lower than the npper 
extrenútiea, and, as remarked nnder appeí citrenütiea, the pain may 
be more joatly conñdered nouislgic than arthritic Tha characteristic 
pains are tearmg and ahooting, relieved generalij by motion, and attended 
with restleganeBa and desire to cLange the posibon ; and Hahnemaiin 
States that it is very rarely that the paina oí An. origínate on moving, 
or are incieased by morenient, or lolieved when at reet. The eitreme 
reBtlessnesa, "theMgetB"of thelowereitremitiesioftenapainfalattend- 
ant on several diseases, yield to Ars. : in such oases to be compüed widí 



Lower Extremltíes. 

ctotha, then awelling of the limb at above the 
calf. i« 

Yiolent tearing in the arms and legs, with 

impoBsibility of lying on the afiected side, much 
increased by movement of the pained part. '*' 

Weight, laaeitude and drawing paina in the 
limbs, with bending of tbe knees, especially in 
the moming.' 

Pain m the left knee aa if eprained and 
bruiaed, eapecially on rising from a cbair, ex- 
cessive weakneae of the kneea.* 

310. Tearing and ahooting paine in the artí- 
culationa of boüi feet; on walking or etanding 
up ezperieaces pain as if aprained; tbe ankles 
wben touched excite a pain ae if raw.' 

Tearing, drawing, jerkíng pain &om the 
anklea to tbe knees ; the anules are painful to 
tbe touch. 

In the moming cramp.like paia in tbe foot, 
wbicb cbanges into a tingUng sensation.' 

Tearing púns in the beels. {Bhr.) The heele 
are painful at night, aa if they were preseed 
against a hard body.^ 

Frequent lancinatíng pain in the solea of 
the feet; on atanding up a pain ahoota fi^m 
the lefl heel up tbe tbigh.' 

315. Swelling of tbe ankles, 'without being 
red, causing a tearing pain which ia relieved 
by exteroal beat.^ 

Shining swelling and heat of tbe feet, ex- 
tending above the ankle, with round red spots 
which cauae a burning pain and itching.' 

Numb pain through tbe whole left aide of 
the body; in the rigbt foot tbere ia a eimilar 
pain ; when seated the foot caonot be raised 
except with the band. {BAr.) 

Paina and ahootinga in the kneeB." 

Tensión in tbe poplitcal región, as if the ten- 
doQS were too sbort, felt on sitting or standing 
up, but not on walking. Senaation around the 
knees as if the legs were (jghtly bandaged." 

320. Formication in the limbs, aa afler being 
benumbed." 

Jerking, perceptible to tbe touch, as if some- 
thing ahve ran in varioua parts of the musctes 
of the tbigh and leg, with spasmodic paina in 
them, coming in paroxysms.' 

Faralytic weakneas of the limbs, daily at a 
certain hour, like a febrile attack. 

Partial loas of sensation and motion of the 
lower estremities;''' they are swoUen, of alivid 



Cimph. Colth.Vtr. 
rhai.FIaiD.Nui>. 

Lid. ' Poli,' Mor 
Blapb. Cupt, Dul 
Ifn. Btd. K. b. 



CMiapti.Aí» 



Sol. Ful). Mrn 



widí the Q 



ísrT" 



, indícate it 



stitittionB ; and tíom ita utility along with Pnlsatiua i 

be regarded as a remedj acting powerfnlly on the venons osst 
(sdema and nlcerstion Ara. ia on excellent remedy. |See SIán.) 

(*] Tfae paralytic condition ot the lower eitremitíes JB so wéll mariied, 
that thia medicine mente a more general tríal in parapiegia Iban it I'" 
liitherto met with : it is, however, not Indicated in heTmpleeia. 

O In ín&ammation, and ulcere taking on a alonghing character, Ara. 
is very usefnl. It i» also indicated in dry gangrena, anoh as rangiena 
sentlia ; in one case of thia diaease I have fonnd An. very benrad^ : in 
thia reapect it cloaely resemblea Sea,; Am. o., Iiseh. and Enpfaor. aro 
nuuked aa doabtfol, because there la not snffieient pfaysiologieal evidence. 



ízedby Google 



a Sk. Lub.d) Am. 
■=.<?! EDpho.(I) 
Men. Cubo t.(1) 

r Nai T. Cocc. Sil. 
Bhua. Aig. B«. 



e RiiU,Aiuc.7Iiimb. 
Usi. etu. Alum. 
Ver. Spcn. ClwiD. 



H LKh. Nui T.Coec. 
Afiu.AibbT.Cunpb. 
£uphor. Niv. Chel. 



jc Rhod. Lub. lod. 
K.c. Am.c. Kiea. 
Brr- DulD. Mcn. 



t CuboT.McR.Bhiu. 

Csnth. Caust. Bul. 
Belt. Cic. 3ep. Hcp. 

EuphDT, lod. Co^ 



LoTcr Extremitieg. 

colonr in places, and ehow a tendency to 
8louglí.»(rM/. § 137.) 

Oreat difiScuIty in moríng thc jointa of the 
limbs, elight flesioo, but quite unable toIuq- 
taiily to est«nd the fbot or the leg ; attended 
with pains like shooting of needlea in the fbot, 
and the hande.' {Cau 17, vid. also § 293.) 

325. Great contraction of the flexor muscles 
of the toee; she walks with great difflcidty, 
standing upright causee great pain, end she 
eiperíences great pain in the lower part of the 
8piiie.'{CíM« 15.) 

Qreat resüeesneea and pains in the feet;' 
añerwards he had daily profuso perspirations 
and palsy of the lege, Several montlis elapsed 
befbre he got well. Cate 13.) 

Svellii^ of the feet, difficulty of breathing, 
numbness and creepbg in the inferior extremi- 
ties. Some weeks aiter she had atill aumb- 
neSB," and pwn in the anns and legs. {Cate 9.) 

Feet feel so beavy tbat they can hardly be 

Feet constantly cold on remaining any time 
quiet ; they can bardly be warmed tn bed ; 
coldnesB of the kneee and the feet, with cold 
aweat ; it ia difficult to keep these parts warm. " 

330. (Edematous swellings.* 



Skin. 

331< Violent itcbing of the aims, the lower 
part of the abdomen, and the tbigbs. 

Gnawing itchíng at the perineum, especially 
on walking. Gnawing itching at Üie foreanu 
and on the hand ; gnawing itcbing at the groin 
and the inside of the thigbs in the evening on 
undresBÍng. {L/tr.) 

Smelters of rich arsénica! ores generally suf- 
fer from rawness of the parta where they per- 
spire much, as in the axilla and between the 
thighs, and are troubled with itcbing.' {^KUnge, 
Hufiland-I /., vi. p. 903.) 

Buming itching ; insuSerable buming of the 
skin.'>(CíWB S,vid. g 170.) 

336. Fricking of the skin, as if with nee- 
dles.' 

Pustular eniptioQ on the head, the temples, 
and between the eyebrows, causing painñd 
itching as if from a sore ; the whole scalp 
itcbea, and Í8 painful to the touch, especially at 
theocciput.''{ZAr.)<" 



('} From the piDTÍngB it cannot be oonclnded that the entaneotis aotiMí 
of Are. ¡B shenn íd one región mon tlian tmotber, anless it be in the fooe. 
Arseníc bas lontt been considered usefnl ¡n skin affections, generally wbcn 
chronic, cBpeciaUy lepra and ^riarin, also m eczema, but perhaps lefia so 
in puslillar eraptiona. In ordiimry practico, from tbo doeo in wbich it ¡a 
riven, even the cautiooB administratinn a» reoommended by Mr. Uunt, it 
IB contra-indicated vhen tbe lungs oí heart are diseased, irritaMe mncona 
membrana, inflammatoiy tendency, t«ndency to endden nenom exban»- 
tion, dyapepsia; bnt tbeae conditiona ratber indícate its employment in 



Anl.cr.Onpli.K.I>. 

' Acon.T. e.Airt.cr. 
Ipee. Dnb. Mere, 
aj. Fuk.Sul.Vcr. 



Skin. 

Eruptione, pñncipally about the Upa and 
nose.* {producid ¿y exposw» to artentcatjwmei, 
Pereira, Mal. Med. i, 375.) t" 

Appearance of black pustulee, which cause a 
buming pwn. [Ffimn. he. cit.) 

Pustutes on various parta of the body, which 
canse buming pain and great aníiety.' 

Fnlee 110, white pustrdea, some isolaled, 
the greater part confluent, appeu on the fore- 
head, round the eyes, the cheeks, the arms 
and ahoulders, and upper part of chest; they 
termínate in tbick crueta, and leave weU-marked 
cicatrices,' {Case 17.)'*' 

340. Closely studded eruption, about tLe 
size of millet seed, and smaller, of the natural 
colour of tbe skin, attended witb smarting pain 
which íh worat at night.* {Fr. H — n.) 

A copioua eruption of miliary vesictes ap- 
peared, and continued fiA«en days, attended 
witb perspiration and abatement of tbe other 
symptome, terminated at last in bran-like 
scales.' {Cate 16.) 

The body and especially the hands and feet 
were covered witb a considerable eruption of 
amall pimples with white heads.* {Cate 14.) 

A paular eruption on tbe hands, which 
continued flve days." (Jrom Arseráe appUed to 
the hand b¡f mittahe it alto produced great 
tieeüing of the head and face, fhUtnoed hy ery- 
sipelat of the face, nack and beUy. ( Wihmer, 
Wirk. der. Anateimütel, i, 241.) 

The hair drope out, and the cuticle desqua- 
mates, accompanied occasionally witb great 
tendemeaa of Üie skin,' {Hahnemann, ueher. die 
Art. vergifiung 61.) 

34$. I¿opping off of the nails. {Hahnemann 
he. cit.) 

Oíd ulcera previously indolent hecome sensi- 
ble, and painful; tbe edgca become raiaed, and 
tbe sore fumiehes black clotted blood; buming 
pain in the ulcers, foUowed sometimes by itcb- 
ing.^ <" 

An ulcer witb inflamed edges, and covered 
with a greyisb scab, appear« on the limb ; 
strong fetid smell, secreting very little ; bum- 
ing pain in the neigfabouring parts; at the 
same time lassitude, and deeire to sleep duiing 
the day.^ 

A painful ulcer on the hand, covered witb a 
thín scab, discharging a little bloody serum, 



Bttribntable to'or co^sat witb diaordár of tbe mncons munbrane of fnngs 

or digestiré aystem, henee in urticaria it íb one of the principal remadies. 
Caaes ofichthyosiB and elephantíamB are súd to have láen booofited by it. 

(*) It is sIbo Trell indicated in Tarioos acate abin diseasea, sach as 
miliary feyer irith gastric dMangement, small-po» with bronchílis, com- 
pare with Tart. emetio ; petechiao vrith exhanation of the vital powera, 
a.» in typhoid fevofa : compare with Cacho v., Lach., Khns and B17. Dre. 
Wunnb and Weber recommend it in eryaipoú» neonatoruro. 

(^) It íb one of ths he»t medicinea in ulcerationB, especially thoae of the 
lega dependent on raricee : compare with Lach. ; ths olcers of Ara. are 
imtable, often phagcdenic, those of Caibo are more of an indolent cha- 



; Lach- Cutw v. E 
S. b. n. u. Ka 
Bep. Sul. NiD. 



ilized by 



Guo^^L 



h Ludí. Cubo T. BU. 



I lAsh. K. b. Oic 

HircBclLCuboT. 



it Lub. C«B. S«. 



attended witb shootii^ pains when at reet, re- 
lieTed by standing up, but cspeciidly when 
walking,' 

UlceraÜon of the lipa and nostrila. {Case 5.) 
GDawing ulceT aa the lip, which in the day, 
durÍDg exercise, and aC nig-ht od going to bed, 
excites t«armg amarting pain, preventlngsleep; 
pinchÍDg like bata bumiog needlea of the up. 
per lip under the noae; next day the lip ia 
BweUed."" 

350. Smelters of anenic are occaaionally 
afiected with canceroua disease of the scrotum 
similar to that wlücb affecta chitnney aweeps. 
{Parts, Pharmacology, 7 edit. Ü, p. 96, sbUed 
alto by Sehefler, Gesundheií der BerghuU, 
1770, p. 149, 190.) 

(EdematouB ewelliag of the lege, which are 
partially palaied ; patches of a livid colour, 
with a tendency to slougb." ( Vid. § 137.) 

Genend oedematous swellin^ of the body. 
Great aweUing of the face, and of the reet of 
the boijj' {C/trüeiton, p. 304). 

DrynesB of the skm, increased eecretion of 
urine, relaxed bowels, feveriah condiüoa of the 
body, great languor, inaptitude for employinent, 
and want of sleep, accompanied with or followed 
by rednesB of the eyea aad certain swellings, 
eepecially of the face, oedema aisenicalia.'" 
(Pwew-o, Maí. Med., vol. i, p. 635.) 



Sleep. 

354. Bleeplesaness, all the night much heat, 
and resÜesüncBS, attended with pulsalions ia 
the head, preventing eteep : he does not aleep, 
but tosaes about, and experiencea a scnse of 
ciawling over the hypogastriuiB. Sleeplesaneae, 
with feTeríshness, aud great languor.' ( Vid. 
i 71.)» 



C) In many cues of severa and obatinate nlceraüon, aach aa lupna, it 
is náoflil j it muí long been eitoUed ai « apeci^c ¡d cáncer, and thüugh I 
doubt if It be curatiTe In tme acbimu, 1 have aeen it naefal, aH ia the 
experíence of otbera, in retarding the progresa of tha disease, along with 
Caibo an., Sil and Con., and in maoj casos of open cáncer it girea great 
Telief to tbe bairassing paia. It merely paJliatea Íd true sdaimia and 
mednliary tomunia ; it jb, howover, curativa in cancroidal tmnonrs, aa 
Dr. fionnett cbIIb Áem, or, acoording to Mr. Psget, " epetbeliol tomoun, 
the speoíflo character of which ia, that they aro cbiefly compoaed of 
nncleated celia or «cales, like tboae of such Bpitholium as covere the 
inttcouB membrane «rf the human fauces, and pharynic, which celia aro 
ooUeTted together in masses or lajera, or in wart-like growtlis, and are 
held together by tiaanes in which blood-Teasela are distnbnted amoQg 
them." They am aoated príncipally on the lotror lip when the disease is 
regarded as cáncer of the lip, and in front of the log ; they are alliod to 
malignant tumonra in tbeír tendency to apreading ulceration, and in in- 
dncing disease in the neighbouring lymphatic vesaela and glanda. !□ 
Bnch cases, along with the intamal administratíon, a lotion made with a 
few dropg of tbe lat or Srd niay be applied to Üie aoni with advBntíige. 

(') The dropsy of the oellular tiísuc produced by Ara. corrcapondH with 
that eiiating in broken-down conatitutiona, aucb aa after intermittcut 
fever, abuse of Cinchona, Alcohol, &c,, or^nic diaease of the heart and 
Üver, disease of venóos trunks, and lymphaticB. Altuúon has already 
beso made to dropay depondent on bríght'a disBaae, Vid. utinaiy organa. 

(') The wakefJdneBB of Are. geneiJly dependa on aome pain or irrita- 
tion m aome part of tbe body. g 354, 355, 356, 360 may be considerad as 



Sleep. 

S55. Dedre to aleep which is diaturbed by 

distreselng, and terrible dreama, and great rest- 
leesnesa, great tendency to sleep alternatíng 
with agitation, (Kaiser, loe. cit.) 

Starting of the limba when &lling asleep ; 
diatnrbed deep with frequent wakuig in a 
fright, and etarting of the limbs and of the 
whole body.* 

Movemeats of the hands, and fingen durÍDg 

Frequent cninpa in the calves of the leg, 
and in the fingere, especially at night in bed." 

Dreoma fuU of anxiety: be is deairoua to 
cry out, hut is unable to utter a word, and tben 
wakes suddenly by that noise which he yet 
hears." 

360. He oíten wakens with bunúng heat 
through all the veins : after midn%bt anxious 
senaation of heat with desire to uncover one- 
self.' 

Orinding of the teeth when asleep.' 

Ue sleeps on his hack, with his left hand 
under hia head.* 

During tbe moraing sleep he hears the least 
sound or noise, and stiU continúes to dream. 

Aller waking he is in bad humour, tosses 
the bed clothes about, and dislikes seeing or 
speaking to anyone. 

305. On waking, general heat, perspiration 
OD the face, drynesa of the anterior pait of the 
mouth without thirst. 

In the morning in bed nausea, then voinitjng 
of white mucuB, witb > bíttei taste in the 
mouth. 



Ferer. 

367. Towards the evening chilliness, wítb 
drowsineaa and dlaagreeable feeling of being 
unwcll, tbroughout the wbole body, as in agüe 
when the attack is wbolly or only half termi- 
nated ; after midnigbt profuso aweat on the 
th^he: the attack retunu at the same hour 
two days añerwards.'*' 

In the añemooD, stretchinga, and drawings 
in the limbs, with sbuddering at the acalp, as 
when one ia seized with sudden fear, followed 
by chillbess, and cutis anserina, from 8 t« 9 
p. M. Heat over the body, especially in the 
face, witbout sweat; cold handa and feet. 

Feverísh shivering of the whole body, with 
heat of the hce, and forehead, and coldnees of 



ohsjBCteiiatic indioatlons. It is more an inabUity to sleep ftnm púa or 
reatlessnees than the wakefidness ai tf no aleep were needed, as in coffea 
and green tea, or from cerebral eztítement, as ¡n Acón., Bell., Hyo». 
Stiam. 

(*) The interniíttent foTer of Ars. ia a marked featare, and no remedy 
has preved more OBeliil in practioe. Its apecial charaoters ace the oold, 
Blage coniing on in tbe aftemoon or evening, partially developed attacki, 
that ¡B tbe cold or the heat, the tbirat or the perspiratiail aie wanting, 
aleo § 870, 371, 375. Tbe thirst ia felt between the cold and Úie hot, or 
doring tbe sweating stage, bat not dniing the cold or the hot stage. 



lized by 



Guu^le 



a fiíy.IpLlHid.Ful*. 



T.Puli.Rhiu.DUd. 



d Aeon. Ifoe. Bit, 



Fctct. 

the huida; not Moved hj thirst i 



heat. 



CZAr.). 

In toe morning shirering sltemating witb 
heikt ; in the ibrenoon sneat, weigbt of the 
bead, noise in the eare uid trembling. 

870i Ezteroal coldness of tbe limbs, and in- 
teraal beat, witb reatleas agiution vrith we&k, 
and imtable pulse. {Albertí, loe. ciV.) 

Coldness of tbe lega and feet, eren at tbe 
bj^gaetrium ; feels cold all orer tbe body 
without being cold to tbe toucb, or be com- 
plains of heat, though no part ia bot when 
toucbed, unless it he perhape the palma of tbe 
bauds. 

An attaek of fever wbich comes on at tbe 
samehoureveryday; eveiynigbttowardaS a.h. 
cbillineaswithsenseof bunger; afler eating tbe 
cfailliDeBs wae increased. The ebiveriug alwaya 
retuma towarda 5 p. m. ; every evening fereriab 
abivering." 

Fever erery aecoad day: the flret daj to. 
warde 6 F. M. cbillineaa, laaaitude, and feeling 
se if tbe limba were bruiaed; on the third day, 
about 5 p. if., feels a deaire to lie down, tben 
cold and general ahiveríng, witbout tbirst, tben 
heat with preaaive frontal beadache, but no 
tbirst." 

Every time the fever ceases tbs sveatdng 
commences, but only afler. 

375< Quotidian intermittent fever ' {afl*r ta- 
Hng fue graina o/Ars. in tteelve daya. Traitéi 
del Fiivreg Iníermitlentet, par J. C. M, Boudin. 
Pañi, 1842.) 

Sometimes increaae of i\ 'rength and fre- 
quency of tbe pulse, whi len diminjsbes. 
M. Biott has remarked a s . of períodicity m 
Üieae cbongea of tíie pulse. {Bovdin, loe. cü.) 

Seneation aa if the biood were too hot, and 
flowed rapidly with a amall and quick pukc : 
10 r. j£., general heat of the body w" ^• 
neaa; after the heat perspiration. {Stf. 

Duñng tbe feveríah abiveríng, tearings íii 
tbe lega ; during the pain, cold and ehivering ; 
aftei tbe pain tbirst 

Eruptive fever like amall-poz. {Vid. 339.) 

380i Febiile condition of the body, dryneaa 
of the skin, increased secretíon of uriñe, relased 
bowela, aometimes nitb griping, great languor, 
inaptitude for employment, and want of aleep.' 
{Ptreira, Mal. Mnd., vol. i, p. 637.) 

After a day of bilioua vomiting and purging, 
great restleaeuess, indispoaition to answer ques- 
tions, numbneaa of the lower extremities, whilst 
the arma were in continual molion in the air ae 
if picking at sometbing abore the bead; the 
akin waa hot, but not dry ; tongue dry and 
brown, great tbirat, tbroat dry, breatbing quick 
and audible, tbe pulae 12S, but not bard; the 
heart acted forcibly, no murmur. Next day 
the breatbing and pulse are rapid, unconscious, 
tbrowing tbe arma, legs and body about in 
every manner; tongue and Upa dry, cracked 
and coveied witb blood and eordea. Tbe boy 



Pever. 

died nezt day, tbe peculiar movements of tbe 
arms continuing up to tbe time of bis deatb.* ''' 
{Edin. Med. Surg. /., No. 168, p. 43.) 

At firat sight be appears to be suffering 
&am typboíd fever, conatant somnolence, great 
Btupor, dull look, ringing in tbe eara, redneae 
of the cbeeks, sligbt opbtbalmia, limba relaxed, 
decubitus dorsal ; great emaciation, clammy 
akin, action of beart strong, pulse 100; tongue 
clean, and not dry : no pain on presaure over 
the abdomen, great retractíon of the belly, so 
that the pulsations of the aorta are visible ; 
borborygmi, incontinence of uriñe.''" (CowlT.) 

Patholooicax Anatoiit, 
aa preaented in one of the children menlioiied 
ia§381. 

A. Head. Sinuses, and veins congeated ; a 
tableapoonful of serum in the venlricles, and 
about the aame quantíty at the base of brain. 

B. The trachea, and epiglottie preaented 
marke of inAanunation. 

C Lungs, especially tbe right, congested 
vñth bloody aerum ; the broncbii red, and in- 
jected, and covered witb red mucus. 

D. The rugs of atomach red and vascular ; 
punctiform, and ramified redoess at tbe aplenic 
and pyloríc ends. 

E. Commencement of dnodenum red, like 
tbe stomach. A few patchea of redneas exiated 
in tbe jejunum, and the lower part of the 
ileum was diacoloured for about twelve inches, 
wben tbe soUtary glande appeared unuaually 
targe, and numeroua. Coecum dark.coloured, 
and congested. 

F. Liver aligbtly enlarged, presented exte- 
riorly many ;fellowiah green patcbea, and was 
intemally of a unifonn álate colour ; bile in the 
gall hladder, copiouB and dark. 



nonti Symptonu. 

3S3, Extreme anguish, and a^tatioi 



Sen. Bn. Muí t. 
ZliK. Biiu, Hnt. 

Ucn. Stna. An. 



Hhiu, CuIm t. 



Bgp.Ü<R^ >. 



(') It Ib very beneficia! in typhoid ferera, either witli brono j' 
aMominal compücatíons ; not ao niuoh in the eulj atages, wfaen ' 
BiT-, BeU. and Rhiu nuy be more indicated, but when there ' 
defelity, iníOmnolencB, ■■■■-■■ 
and hot, tínnitiu aarinin, dalneas of faearing, 
with Bordea, togethet with bronchial oí abdoi 
Dr. WaUke 






iptonu, ai ;• . 

cachectio índiTÍiInalB, and when the fever rons a slow conrae ; ala '' 
tbe asease takea on mnch of Úis nerrona tjpe, thun sfter H70S. it 
Tha indicaüooa an irell mmrked nnder g 361, imperfectl] ' 

alow poiaoninK by water acoiuen- 
ipregnated witb Áraenic Two of Ü¡o firat Bo&rera «ere actnally 
fOT maÜgnant fever. Dr, Fleiacbmann dependa almoat endrety 



sported. Thev are cas 
tally Impregnated witb Araenic Two of Ü¡o ñiet su 
■ — ■"■ nudignant fever. Dr, Fleiacbmann dep 

t^huB. Dr. Wnrmb, B,^ü<a, doubts tta asefulneBS and i 



382 clear^ abow tbe latCer, and there ii 



■atiafaclory evidence in snpport of the fomier. {Vid. Dr. Brenfleck, ^fgta, 
xlrü, 63; tito ia BriL Jmm. of Hom. i. 74; also Rotfaaniiel, .Srit .^unL 
0/ flora, üi, 203; and Mr. ECidd, Btü. Joum. cf Son.) 



(') Uaefól in caara of hjpochandiia, and melancbolu. Dr. Weber givea 
o veiy interestinK case where tbs indications, anch aa i 383, 385, 389 
were atrongly majked, and where tbe core was very decided. {Brii. Joum. 
ofHom. iy,3ÍS.) Tbe depreasion of Ara. ia marked by gieat anxia^ and 



yt^oogie 



Cds.Bu.Btll.Anr. 
Dn». Htll. T. c. 



Ucb. Dií. 
i Mtrc.Iwl.Vc 



Moral Sfinptonuí. 

Hypochondiiacal anxiety, BÜnilar to thkt ex. 
penenced after sitting atone in a room ; it Ri- 
peara to come from the upper part of the cheat, 
without palpitation of the heart. In the eve- 
niag in bed he is troubled with sad, diequietíng 
thoughts ; dreads some misfortune to hii reU- 

9Só. Contínual ansiety, nith a disturbed 

COiiBcíence, from a vague idea of having com- 
mitted Botne crimc, without knowing what.* 

Ib chilly, iveepe, and imagines that nothbg 
can nave him from dying ; añerwarda general 
p rastra tion. 

ExceEsive Bensibility, depreeeion, sadneES, 
tears ; the least trifle vexes her. She desires 
more than she needs; she eats and drinks 
more than ia'good for her ; she walks fiírther 
than her strength permits.'' 

He is vcxcd abuut eveij' trifle, and coastantly 
talks about other people's fautts. 

CapríciouB, impatient humour, vexed about 
ti'ífles, great reetlessncsB.' 



General Symptoms. 

390. Grcat fatigue, with anxiety, 
wealtness, tendency to faint.' ( Various authori- 

A gradual sinking of the powers of life, 
without any violent symptom ; a nameless feel. 
ing of illnesR, failure of the Btrength, slight 
feverishnesH, want of sleep, aversión to food 
and drink, and all the other enjoymenta of life. 
Dropsy closes the scene along with blaek mi- 
liary eruptíona ajid convulaionB, or colliquative 
perspirations and purging.'*' *' ( Hahnemann, 
Ueber die Araenic Vergif'"ng, 63,) 



rr ÍB very cha- 



phyrical TeBtI«s.4netia, it closel^ reumblea that of iur., Aiiac, Lodi., Ver. 

kndBaL; difléríng from that of Bell., Hell. and H70C., which act moro 
direotlj on the brain, in not lieing attcnded with maniacal excitement or 
delirlum, < Vid. Head). Again, Are. diffcrs from Ign. and PoU. in haviug 
more imtability with the deprasaion, and nut tliat sudden altemation of 
ipiñta from high to low. Arn. and More, are very uaeñil in the bine 
CTÍlt, an ailment indigenous to oor innular paHÍtion. 
. (') This ioss of atrungth and ainking of^thn vital 

.itcriatio of Ara., henee it proves admírablv usefu 

theoio character. This ainking oí the vital power when the doie has 
ten largc, preseuts all tho charocteri^tica of collapse, as witneaaed in 
'■filignant cholura. Indecd, ao closely do the affectB of Amenic coitbb- 
nd with an ntlark of cholura, that ihc difEcnItv in distinguishing them 
4 often bcen made the ground of defcncn in tríala for poiaoning. § 33S U 
y analogoiia to aome of tho typea of malignant cholera. In this 
Jícaae Ars. has prored a most valuahle remedy, espocially in tho epi- 
démica of 1848, 1849. It is cspecially indicaCed in tho atage Oí collapse, 
when tbero are harrtly any Byniptoma prescnt except coldness, lívidí^, 
thirat, a fluttering pulae, or no ¡juUe and grcat apprehcnaion nf ¡mmedialo 
duath. It is the marked appearance of malignity which forma the special 
indication of Ais. in cholera, and oa tliie feature is more snddonly pro- 
duccd and in grcatcr intünaity in cases of proving by Araenurated 
Hydrogan, Dr. Dr^adale has stmngly recommended ils employment. 
Hu rccominenda ¡t ui casca wherc the coUapao seta in very soon, and as- 
1 phyxiais impendiug; it uiay be iiaud twoor three times at intervals of a 
' quartorof anhour,and tbon tlio Are. or any other rcmcdy if then indieated 
can be given in the ordinary furui. Also, when the vomiting and ratching 
iadiatrcBsing, the ¡nholatioiimight be uaed twoor tlu^etimoB, — VitkVoit. 



Cíencral ^raptoma. 

She becomes emaciated, earthy.like com- 
plexión, bine streaks round the eyes, great 
weaknesB of the limbs, disgust for everj occu- 
pation, and eonatant degire to lie down.* 

Great weakness {Stf.) ; paralytic weaknesB 
of the limbfi, recurríng every day at a certain 
hour, in the same maimer aa a fever. 

Trembling throughoutthewholebody,''(Co*íi 
16. Htthnemann give» variou» authoriíie». Vid. 

§'■) 

395. Spasms and convulsions. ( Variout aw- 
thoritie».) 

Second day she was harraseed with frightful 
drearas, etarting Irom sleep, and tendency to 
faint, coIdnesB along the spine, giddinese and 
intolerance of light ; on the 4tfa day aching of 
the extremities, and tingling of the whole skín. 
These symptoms continued till the cloee of the 
6th day, when sbe waa euddenly seized with 
convulsiona of the left eide, foaming at the 
mouth, and total insensibility. The convul- 
eions endured two hours, the insensibility 
throughout the whole night ; next evening 
anotber similar fit ; a third, but elighter lit 
occuired on the moming of the lOth, aij,other 
next day at noon, and they continued to retum 
occaaionally titl the 19th day.'' {Cate 6.) 

An epileptic fit every evening about the 
same hour, which returned afler an intenois- 
sioD of eight days, and frequently for months 
afterwards.'' {Mr. MarsUaU, Edin. Med. and 
Surg. J., 517.) 

Immcdiatety añcr the second inhalation he 
was aeized with ''' «fusión, giddjneas, faintness, 
and ahivcritig, passed 8 Btool, as Well as 

2 oz. of bloofty e, but without any pain. 
Pains in the linihs ibílowed, and in two hours 
vomiting, and dull pain in the stomach ; pulse 
90, skin ctilii, and the voice feeble, 2nd day — 
Frp"' "nt vomiting, and dull pain in the stomach, 

< face copper coloured, the rcst of the 

idy greujii-ih ; no fever, tendemess of the 
Ciiigastrium, and hiccup. 3rd day — DiarTh<Ea, 
fitill no uriñe, jaundice has dísappeared. 4 ' 
day — Somnoiency, breath ammoniacal. 5 
day— Skin deeply jaundiced, face ledematoi 
no urine passed, büdder empty on introduction 
of the catheter.' "1 Died on the 7th. {Fj 
inhaling Hydrogen accideníally impregnaled 
uñlh Araenuraled Hydrogen. Dubiin Journ. 
Med. Science, íx, 422.) 

A stout healthy man, who in the forenoon 



(1) Hahnemann is to a certain degree light when he conaideiB that the 1 
conínlsioiiB arisinc frora Antonic aro of a secondary character, and merelv , 
tlic preciir!ion> of death. But therc are many cases on record in which i 
tho convulsíuns may hejuslly vicwcd aa prímary and well marked sjmp- 
toma of Arsenie; tncy ore obaervcd gencrally after tho appearance ai 
inflammatory Bymptuma. Tho Dcrvoua affectiona vary, the most fbnnid- 1 
able, and tlic rnreat ia coma; the alightest, un imperfect palay of the legs 

. likethat from lead ; Bnd1)ctween Iheae arej}bserved epileptic f'~ ' 
"6, anasTm 



431. 



3 afiection rcsembling hystecía. Vid. obe. & 






TCooglt 



Genend Sympttmu. 

had freely, and fbr eome time ezposed himself 
to the Btéam from a vesael where be was boil- 
iog eeveral oimces of orpiment in water, was 
attacked at night with eickneaa, and next 
nKiming with extreme wciikness, and eome 
difficulty of bteatbing. Theee eympbtms were 
greaüy reliered by aa emetíc, But towards 
evening the extremitiea became ice-cold and 
very BÜff, the breathing much oppreased, the 
pulae very hurried, and imperceptible ezcept 
in the neck ; the mouth and throat dry, and 
the tongue rigíd ; but the mind remained clear, 
though anxiouB, and afraid of impeoding disso- 
lution. Híb Btate of coUapse was removed in 
twelve houTB by fomentationB, and in no long 
time he recoTered entirely, except from the 
dyspnoea, which continued more or leas till a 
few yeare afterwards, when he died of hydro- 
thoras/ <'' (Journal áer Praklitehen Heil/ámde, 
Uxü,T, 134.) 

400. In the momiug in hed audden tearíng 
jerking or atítches, which hecome buming 
paina, in the thumb and the big toe. 

In the evenlng in bed a drawing pain in the 
Índex fiager, and in the foot. 



(í) Hahrmmnnn j in fl notQ to epilcpHy, oB a sTmptotii taken from a caM 
of Arsénica! poisoning relatcd by Cniffer, oonaiders tliis aimply a con- 
Becnüre eJTect, and pnwnrBor uf dsath. He sayE iC was not probably s 
tnie epilepiy, bat a álate gimilar to Iha conTolBÍonB of othtr aathors, 
B 399, 397, noweyer, show that trae epilepíy U a» «fTeot of Areenio ; and 
■n § 397 it asBtunes a peiiodic cbaracter. 



General Syn^rtoms. 

Drawing puna ín the jointa of the feet and 
hands, and in the kneea. Arthritic paine in 
the limba witbout inflemmatian. 

Indefinable pajns, and very disagreeable 
paine througbout the limba ; erery limb feels 
¡11, whetber on walking or on lying down. Pul. 
BatioDB in tile limbs, and also ia the head.' 

Here and there pinching puna like of 
needlea ; the skín of die whole hody is painful 
and tingle a. ^ 

405. The Bymptams increase. and appear 
while lying down, or being seated, but diminish 
either in atanding up or walking about." 

The noctumid pains are cot supportable 
unlees he walks ; they are unbearahle when he 
remaiue Beat«d, and eapecially if be lies quietly 

Yery slight symptoma, and otherwise of litüe 
consequence ; are attended oilen with a Budden, 
and complete eeneation of loss of power. 

During a paroxysm of pain other indepen. 
dent symptoma appear. 

The pains are deacribed aa principally bum- 
ing. 

410. Many of the eymptoma appear only in 
the evening on going to bed, especially the 
starting of the limba ; some appear a few houTfl 
ailer midnight, many in the moming aAer 
getting out of bed, and a good numher añer 
dinner. 

Fain at the suffering part, ae if the bonea 
were swelled. 






T. >. Lm. 



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