MORPHINUM

Morphine bears the same relation to Opium as Atropine to Belladonna-i.e, represents its nervous side. It is less stimulating, less convulsant, and more decidedly hypnotic. Constipates less and affects contractility of the bladder more. It is less diaphoretic and more pruritic.

Mind

Profound depression . Irritable, fault-finding, hysterical. Shock induced by terror. Dream-like state .

Head

Vertigo from the least movement of the head . Headache with sensation of being "wound-up". Bursting pain; head drawn back.

Eyes

Bluish, drooping lids. Itching of eyes. Delusion of vision on closing eyes. Starting, injected; diverging strabismus. Pupils unequally contracted. Look unsteady . Ptosis. Paresis of recti interni .

Ears

Left ear throbs painfully; better, heat. Seems to hear circulation all over body .

Face

Dusky red or pallid lividity of face, lips, tongue, mouth or throat .

Nose

Sneezing in paroxysms. Itching and tingling on end of nose.

Mouth

Very dry. Tongue dry, brown violet in middle. Thirst . Loss of appetite, with aversion to meat .

Throat

Dry and constricted. Pharynx paralyzed, swallowing almost impossible; better hot drinks, worse solids.

Stomach

Nausea incessant and deathly , faintness, constant retching. Vomiting of green fluid. Nausea and vomiting on rising up .

Abdomen

Distended. Acute pain in abdomen and along spinal column. Tympanitis.

Rectum

Diarrhœa watery, brown, or black with horrible tenesmus. Constipation; stools large, dry knotty, with tendency to bruise and fissure.

Urinary

Paresis of bladder. Strangury. Slow and difficult urination . Retention of prostatic hypertrophy. Uræmia , acute and chronic.

Male

Impotency. Pain in right spermatic cord, ( Oxal ac ).

Heart

Alternation of tachycardia and bradycardia . Cardiac muscular tissue is intact, even if severely exhausted. Pulse small, weak, dicrotic.

Respiratory

Faint and struggling for breath diaphragmatic paralysis ; hiccough; dyspnœa, paroxysmal, on first falling asleep ( Lach; Grindel ). Cheyne-Stokes respiration. Chest tight. Pain in middle of sternum. Dry, hard, teasing , exhausting cough, worse at night. Strangling cough, with viscid mucus sputum; thin, scanty, but sounds loose and abundant.

Back

Pain along spine. Weakness of loins. Aching across lumbo-sacral region; cannot walk erect ( Cimicif ).

Extremities

Staggering gait. Numbness .

Skin

Livid ; purple spots; zoster-like herpes. Itching . Skin lost its elasticity. Urticaria appearing at climaxis.

Nervous

Restlessness and hyperethesia; trembling, twitching, jerking, convulsions. Extremely susceptible to pain . Pain causes twitching and jerking of limbs. Violent and sudden neuralgic pains and sudden fainting. Delirium, melancholic in character . Neuralgias intensely painful , left supraorbital; right intercostal, better from heat; multiple neuritis . Sore feeling all over. Bed feels too hard . Aggravation after sleep ( Lach ). Neuralgia after zoster ( Mezer ).

Sleep

Yawning, drowsy ; prolonged, deep sleep, Sleepless; restless sleep, with frequent startings. Sleepy, but cannot sleep.

Fever

Chills. Icy coldness. Burning heat; profuse sweat.

Dose

Third to sixth trituration.