Mercurius Nitrosus

Hydrargyrum oxydulatum nitricum crystallisatum.

Neutral nitrate of Mercury Hg(NO)32 +2Aq.

Preparation , Solutions of crystals in water (Liquor Bellostii).

Authorities.

1 , Orfila (from Bigley's Med. Gaz., 1831), a man took and indefinite quantity with suicidal intent; 2 , Brett, Lond, Med. Gaz., 1834, a woman took an indefinite quantity; 3 , Edin, Med. and Surg. J., 1835, a man took a solution, quantity indefinite; 4 , Guerard, Annal. de Thérap., 1846, effects in two women from dyeing their hair with a solution; 5 , Laforgue, Lond. Med. Gaz., 1850, p. 1025, effects of applying the acid nitrate to the cervix uteri; 6 , Taylor, Guy's Hosp. Rep., 1864, p. 173, effects of working in furs washed with a solution and afterwards dried, fatal; 7 , Vidal, Ed. Med. J., 1864, poisoning of a woman, aged twenty-six, by friction on chest and back, with a cloth saturated with a solution; 8 , Dubar, Gaz. des Hôp., 1867 (S. J., 137, p. 295), effects of application of solution to psoriasis, in a woman aged twenty-two; 9 , Bordier, Gaz. des Hôp., 1870, effects in a man who worked at preparing skins with the solution.

MIND

• Emotional.
• Delirious, 6.
• Extreme anxiety, 7.
• Intellectual.
• Complains of very poor memory, 9.
• A marked degree of stupor, approaching to narcotism, 2.

HEAD

• Dizziness (sixth day), 7.
• Headache, 4, 6.

EYE

• Eyes sunk (second day), 7.
• The pupils, although somewhat dilated, were to a certain extent obedient to light, 2.

EAR

• Ringing in ears (sixth day), 7.

FACE. [10.]

• Flushed countenance, 2.
• Face pale, expressive of frightful anxiety, 1.
• Face pale and livid (second day), 7.
• Features contracted (second day), 7.
• Lips bluish-red, 1.

MOUTH

• Gums.
• Very characteristic blackish line on free border of gums, which was very well marked around the insertion of the incisor and canine teeth of the lower jaw, but less marked around the molars (third day), 7.
• Gums swollen and bleeding (third day), 7.
• Tongue.
• Tongue furred, 6.
• Tongue and lips tumid, parched, and painful, 2.
• Cannot protrude his tongue very well, 6.
• General Mouth. [20.]
• Buccal mucous membrane red and tumefied (third day), 7.
• Inflammation of the mucous membrane of mouth (after a few days), 5.
• Strong mercurial fetor, 2.
• Violent pain in the mouth and throat, 1.
• Saliva.
• Ptyalism. 2.
• Salivation, 8.
• Profuse salivation (third day), 3.
• Salivated for about three months, when he first began this occupation; but his gums have not been tender, 6.
• Taste.
• Coppery taste in mouth, 2.

THROAT

• Sore throat, 8. [30.]
• Fauces and internal mouth red and painful, 2.
• A good deal of dryness, soreness, and redness of the fauces, 2.

STOMACH

• Eructation and Hiccough.
• A good deal of eructation and frothy discharge from the mouth, with occasional vomiting; the first portion of fluid voided from her stomach after admission contained a red powder, which, after a few minutes, subsided to the bottom of the vessel, afterwards vomited mucus, 2.
• Constant hiccough, 1.
• Nausea and Vomiting.
• Nausea (second day), 7.
• Vomiting, 1 ; (after two hours), 5.
• Vomiting of glairy and tenacious matter (fourth day), 7.
• Several attacks of bilious vomiting, during the night, 7.
• Vomiting of bilious matter streaked with blood (third day), 7.
• Stomach.
• Pain in the stomach and vomiting, 8. [40.]
• Extreme epigastric pains (second day), 7.
• Considerable pain on pressure over the region of the stomach and abdomen generally, 2.

ABDOMEN

• Pain in the hypogastrium (after two hours), 5.

RECTUM

• Tenesmus (after two hours), 5.

STOOL

• Diarrhœa.
• Severe diarrhœa, with colic (sixth day), 7.
• Frequent stools (after two hours), 3.
• Bowels moved several times, without pain or admixture with blood, 2.
• Bloody stools, with collapse, followed by death, 8.
• Constipation.
• Constipation (second day), 7.
• Bowels costive, 6.

URINARY ORGANS. [50.]

• Some pain on voiding urine, 2.
• Urine high-colored, sp. gr. 1025, contains no albumen or sugar; passed involuntarily, 6.
• Suppression of urine (second day), 7.
• Suppression of urine for five days, urea was found in the blood drawn from the arm, 3.
• During the suppression of urine large quantities of water were taken and he had no symptoms of coma, 3.

SEXUAL ORGANS

• Marked diminution of sexual power, 9.

RESPIRATORY ORGANS

• Voice feeble and almost suppressed (second day), 7.

HEART AND PULSE

• The heart-sound cannot be distinctly heard in consequence of the continuous spasmodic movements of the muscles of his chest, 6.
• Pulse frequent, small, and weak, 2.
• Pulse small, frequent, thready (second day), 7. [60.]
• Pulse 140, small and thready (sixth day), 7.
• Pulse small, regular, 120, 1.
• Pulse exceedingly small and thready, 2.

EXTREMITIES IN GENERAL

• Considerable tremor of upper and lower limbs, causing great difficulty in prehensile movements and in walking, 9.
• About twelve months ago he found he could not hold his hand steady enough to shave himself, and he soon after lost complete control over this limbs; by degrees he lost control over his muscles when standing or walking about, and three or four months back, first began to have slight twitchings when in bed; on admission to the hospital he managed to walk pretty well with a little assistance; but when standing could not control his limbs, which trembled considerably, and even when in bed they had the same tremulous motion; spasms more violent towards evening, 6.
• Feels sore all over his limbs where they come in contact with the bed; they look quite red and inflamed, 6.

INFERIOR EXTREMITIES

• Suffers much from cramps in lower extremities, 2.

GENERAL SYMPTOMS

• Objective.
• Naturally of a robust constitution, his complexion, the discoloration of his mucous surfaces, and the flabbiness of his tissues, indicated a decided cachectic condition, 9.
• Subsultus tendinum, so that the muscles seemed to jump under the skin like a mouse under a cloth, 4.
• Tremor began after he had followed his trade with apparent impunity for seven years, 9. [70.]
• Tremors, so that they were no longer able to stand, walk, nor feed themselves, 4.
• Some general weakness, the first three years, 6.
• Extreme weakness (sixth day), 7.
• Very much exhausted (after four years), 6.
• State of prostration, 7.
• Frequent fainting (second day), 7.
• Subjective.
• General indisposition (after two hours), 5.
• Pain (after two hours), 5.
• Excessive pains, so that he rolled about the ground and called for a knife to kill himself, 1.

SKIN

• On left side of chest, and in a space of the size of two hands, a large eschar of a brownish-red color swelled and projecting above the healthy parts. Behind, and on a level with the left scapula, was a second eschar about the size of the hand; the skin, acutely inflamed, was of a bright-red color, had an ecchymosed appearance, and scattered over it were yellow-brown patches; from this downwards towards the right haunch proceeded a similar tract about half an inch broad, occasioned by a portion of the liquid having flowed down below the limit of the part rubbed, 7.

SLEEP. [80.]

• No sleep for several nights (after four years), 6.

FEVER

• Chilliness.
• Skin cold (second day), 7.
• Cold clammy condition of the surface of the body, especially of the extremities, 2.
• Violent chill, lasting half an hour (after one hour), 3.
• Extremities cold and cyanosed (third day), 7.
• Heat.
• Hot skin, 2.
• Fever (after two hours), 5.
• Sweat.
• Skin perspires profusely, 6.

CONDITIONS

• Aggravation.
• ( Towards evening ), Spasm of extremities.