MURIATICUM ACIDUM.
By Timothy F. Allen — The Encyclopedia of Pure Materia Medica
Acidum hydrochloratum (Hcl).
Preparation , Dilutions with pure water.
Authorities. (Nos.
1 to 20 , from Hahnemann, Chron. Krank-n.).
1 , Hahnemann; 2 , Gutmann; 3 , Haynel; 4 , Hartmann; 5 , Langhammer; 6 , Ng.; 7 , Rummel; 8 , Stapf; 9 , Wislicenus; 10 , in Sammlung f. Prakt. Aerzte, xv, 3 (Phil. Trans., 80, 425, from 20 drops of "dephlogisticated marine acid," -Hughes.); 11 , Du Menil, from Sachse, in Hufel. Journ. (not obtainable, -Hughes.); 12 , Hufel, Journ. (xviii, 4, 45, 46, from fumigations of Mur. ac. in typhus patients, -Hughes); 13 , Humboldt, über die Reizbarkeit der Faser (experiments on animals, -Hughes); 14 , Letocha, in Hufel. Journ. (not found, -Hughes); 15 , Ramazzini (ch. 28 of Bayle's transl., effects of vapor on workers in salt, -Hughes); 16 , Schaekel, no reference given; 17 , Schmidt-müller (not obtainable, -Hughes); 18 , Sammlung f. Prakt. Aerzte (not obtainable, -Hughes); 19 , Theiner, in Annal. d. Heilk, 1811, April (not obtainable, -Hughes); 20 , Westrumb, bei Sachse; 21 , Ferriar, Med. Hist. and Reflections (Wibmer), effects of small doses; 22 , same, effects of large doses; 23 , Keil. Zeit. f. Hom. Kl., 3, p. 149, effects of inhaling the fumes; 24 , Toothaker, Bost, Med. and Surg. Journ., 1836, p. 270, effects of about an ounce in one dose; 25 , omitted; 26 , Tardieu, sur l'Empoisonnement, p. 246, effects of "a vialful" in a woman; 27 , Paul, from Tardieu, effects of about a quarter of a wineglassful in a young woman; 28 , Allen, Pharm. Journ., 9, 284, 1850, effects of about an ounce in a young woman; 29 , Ann. d'Hyg., 1852 (S. J., 78, 23), effects of 65 grammes in a young woman; 30 , Collas, Tardieu sur l'Empoisonnement, effects of 60 grammes in a man; 31 , Budd, effects of about half an ounce in a man, Lancet, 1859, p. 59; 32 , Johnson, Br. Med. Journ., 1871, 221, effects of a teaspoonful in a girl of fifteen; 33 , Kohler, Inaug. Diss., Berlin, 1873, effects of one ounce in a man.
MIND
- Emotional.
- Easily excited, 1.
- Joyous, trustful mood (after several hours), (curative effects), 5.
- Sad mood, 2.
- Sad, quiet, and discontented with his lot, 1.
- Sad; absorbed in herself, as if there were no life in her, during the menses, 6.
- During the menses she is sad, taciturn, as if she had no life, 6.
- Despondent, ill-humored, and peevish about everything, 1.
- Anxiety, with cold perspiration on the face, 1.
- Attack of anxiety at 8 P.M., with fulness of the abdomen, as if it would burst; perspiration runs from the head, the arms fall down, and she becomes weak, as if paralyzed, 1. [10.]
- Anxious thoughtfulness; he cannot free himself from the slightest trouble (immediately), 5.
- Inclination to start up in fright, 1.
- Very irritable, and inclined to anger and peevishness, 1.*
- Peevish, fretful mood, 1.*
- Very fretful, 1.
- The brightness of his disposition constantly diminished, until in the evening he became very fretful, 1.
- Obstinate, fretful; he is unwilling to take up any work; in the evening, 6.
- Contented with nothing; everything vexes her, with great prostration; in the afternoon in the open air, 6.
- Morose mood, 1.
- Abrupt in speech, morose, quiet, staring in front of him (after four hours and three days), 2.
- Intellectual. [20.]
- While at work, thoughts of events that had just happened forced themselves upon him, and were very vivid in his mind, 1.
- Deep reflection, and quiet absorption in himself, as if something disagreeable were impending, though with desire to work, 5.
- Disinclination for mental work (after three days), 2.
HEAD
- Vertigo.
- Vertigo suddenly in the open air; objects turned about with her (second day), 6.
- Vertigo in the head, with tearing in the vertex, and a sensation as if the hair were drawn up (sixth day), 6.
- Vertigo and stupefaction, 22.
- Whirling in the open air, and unsteadiness while walking, 2.
- Whirling in the head; worse in the house, with dimness of vision, 8.
- General Head.
- Sitting up in bed, with head forcibly twisted backwards, without spasms (after twelve hours), 30.
- Feeling as though the brain were loose while carrying a heavy weight, 6. [30.]
- A burning sensation in the head, especially in the forehead, in the morning on stooping, 6.
- Pressive-tensive headache, extending from the occipital bone through the brain to the forehead, 2.
- Headache at 5 A.M., waking her from sleep, followed by violent stitches above the right ear, 6.
- Headache, from walking in the open air, 1.
- Dull headache, as before coryza (after one hour and a half), 23.
- Pressure from the middle of the brain out to the left side of the forehead, 2.
- Headache, as before coryza, pressing towards the eyes, disappearing while lying down, after frequent sneezing, 1.
- Pressive heaviness in the head in the morning after rising, aggravated by great exertion of vision, until objects became confused before the eyes, with reeling and sleepiness, 4.
- Sticking headache, 1.
- A stitch in the head on blowing the nose, 1. [40.]
- Violent stitches in the upper part of the head and in the forehead, from noon till going to sleep, 1.
- Piercing stitch extending into the head, after rising from stooping, after dinner, 6.
- Headache in the morning, as if the brain were torn and beaten, as in pernicious fever, 1.
- Forehead.
- Dulness in the head, in the forehead, .
EYE
- The eyes become inflamed, 1.
- Burning in the eyes, and they are agglutinated, in the morning, 6.
- Burning in the eyes, in the morning, while washing them, 6. [80.]
- Burning and pressure in the eyes, as after exerting vision on the evening, 6.
- Pulling in the left eye, beginning in the occipital protuberance, without pain, but causing stitching in the upper lid (after four hours), 4.
- Sticking from within outward in the eyes, which are red, 1.
- An itching stitch in the right external canthus during rest, 2.
- Corrosive biting in the left external canthus in the evening, 1.
- Itching-biting in the right inner canthus, not relieved by rubbing, 6.
- Itching in the eyes, 6.
- Brow and Orbit.
- Burning, pressive pain externally above the left eye, 4.
- Fine tearing in the margin of the orbit, 6.
- Lids.
- Swelling and redness of the upper and lower lids, without pain, 2. [90.]
- Agglutination of the eyes in the morning, 6.
- Jerking through the upper lid towards the zygoma, as from a thread drawn through (immediately), 9.
- Ball.
- Cutting in the right eyeball during rest, 2.
- Pupil.
- Pupils greatly dilated (after eleven and fifteen hours), 5.
- Pupils contracted (after one to three hours), 5.
- Pupils now dilated, now contracted, at intervals of four or five hours, 5.
- Vision.
- Great sensitiveness of the eyes to the light, 6.
- Flickering before the eyes, and hemiopia, during which one vertical half of an object seems cut off from the other, 1.
EAR
- External.
- Drawing pressure in the antitragus, pressure upon which causes pain, extending into the ear, 4.
- Tearing in the right outer ear (first day), 6. [100.]
- Tearing in the lobule of the left ear, 6.
- Drawing-tearing behind the ears, slowly extending towards the nape of the neck, and there causing a painful stiffness of the neck on moving it, 4.
- Pain in the lobule of the ear when touched, as if it would become ulcerated, 6.
- Middle.
- Heat, first in the left, then also in the right ear, as if a vapor would issue from it; followed by redness and swelling of the back of the hand, with wrinkling like a smarting, with lachrymation of the eyes and diminished smell and hearing; afterwards, redness and burning of the face, lasting four hours, 6.
- Constant pinching deep within the right ear; at times with violent stitches extending behind the ear, where it is then painful to touch (after eight hours), 4.
- Jerking-pinching deep within the left ear; after frequent recurrence of cramplike earache, 4.
- Pain in the right, like a rhythmical pressure from within outward, with sensitiveness of the external ear to touch, 6.
- An itching stitch in he left ear, disappearing on boring into the ear, 2.
- Tearing in the left ear, frequently repeated (fourth day), 6.
- Tearing in the left ear like earache, 4. [110.]
- Pain in the left ear, as from an ulcer, aggravated by boring in with the finger, 6.
- Gnawing pain in the right ear, in the evening, 6.
- Itching in the left ear (after two hours), 6.
- Hearing.
- Hearing more acute than usual (secondary effect), 1.
- Very sensitive to noise, 1.
- The earwax becomes dry, the hearing diminished; after a few days there is a sudden noise in the ear, and he hears better and more easily, 1.
- The ticking of a watch is heard better than the sound of the voice, 1.
- Chirping in the ear at night, .
NOSE
- Objective.
- Constant inclination to sneeze, with itching and tickling in the nose, 19.
- Frequent sneezing, 1.
- Much sneezing, without coryza, in the afternoon and evening, 6.
- Discharge of water from the nose, with violent sneezing, 23.
- Much discharge of mucus from the nose, 6.
- Coryza, 1, 18.
- Coryza, with acrid, corroding water, 6. [130.]
- Coryza, with discharge of thick mucus, 6.
- Very persistent nosebleed (after one hour), 1.
- Subjective.
- Sensation of coryza, with distressing dryness of the nose, 1.
- Stoppage of the nose, like a stopped catarrh, 1.
- Stopped sensation in the upper part of the nose, and a feeling as if dry, though with profuse discharge of mucus, lasting a long time (after two days), 6.
- Sticking pain in the nostrils, as if they would become ulcerated (second day), 1.
- Mucous membrane irritated, as in coryza, 23.
FACE
- Objective.
- Heightened color of the face, 21.
- Face pale (after one hour), 32.
- Subjective.
- Cramplike pain in the face near the left articulation of the jaw; on pressing upon it, a sticking extending into the ear, 4.
- Cheeks. [140.]
- Cheeks glowing red, while walking in the open air; without thirst, 5.
- Drawing in the jaws, 23.
- Tearing in the left jaw, just below the orbit, as if in the bone, 4.
- Lips.
- Lower lip swollen; it feels heavy and burning, especially when touched, 4.
- Margins of the lips raw, and the skin dry and cracked, 6.*
- Burning on the lips , lasting a long time (after ten days), 4.*
- Burning tension in the right side of the upper lip, 2.
- Chin.
- Tingling sensation in the left side of the lower jaw, that extends as a disagreeable crawling into the corresponding teeth, 2.
MOUTH
- Teeth.
- Teeth perfectly clean, and remarkably white (second day), 27.
- Toothache, with pain in the cheek-bones, ears, and temples; relieved by warmth and wrapping up, 1. [150.]
- Boring in the roots of the teeth of the left side of the lower jaw, as if the teeth would be pushed out, 6.
- Pressing-asunder pain in a lower incisor; relieved by pressing the jaws together, 4.
- Cold drink painfully penetrates the diseased teeth, 1.
- Tearing in the right upper teeth, and in the zygoma, 6.
- Tearing in a right upper back tooth, with sore pain in the gums, 6.
- Throbbing toothache in the left lower jaw, aggravated by cold drinks, two mornings in succession, 6.
- Frequent jerking in the teeth, with burning in the gum (fourth day), 6.
- A kind of itching in the teeth; one must bite the teeth tightly together, 23.
- Gums.
- The gum easily becomes inflamed, 1.
- Swelling of the gum, 1 ; in morning, lasting till noon, 6. [160.]
- Gums swollen, red, and covered in some places with thin films of a dead white (second day), 27.
- Tongue.
- Tongue thick, darkened, and, with almost the whole of the mouth and fauces, covered grayish-white membrane, 33.*
- The tongue wastes away, 14.
- Coating on dorsal surface of tongue, like coagulated albumen, while the borders were red and raw (second day), 27.
- Painful blisters on the tongue, with burning, 14.*
- Red burning blister on the tip of the tongue, 6.
- Deep ulcers on the tongue, with black bases and everted edges, 14.
- The tongue is heavy and seems too long, so that he can scarcely move it, especially when talking, with great dryness of the mouth and fauces, 4.
- Violent burning of the tongue, pharynx, and œsophagus, as far as the stomach, with excessive pain (immediately), .
THROAT
- Objective.
- Mucous lining of the throat red and swollen (second day), 26.*
- Diffused deep redness of the velum palati and throat (second day), 27.*
- Grayish-white deposits on the mucous membrane of the throat, succeeded by ulcers (second day), 26.*
- Well-defined dead-white patches, varying in size, over the velum and pillars of the palate, the tonsils, and posterior portion of the pharynx, so precisely similar to the false membrane in diphtheritic angina, that if we had not known their cause, we might have been doubtful as to their real character . (I have now before me a case of pharyngeal diphtheria, and can perceive no difference between the false membranes which characterize it and the appearance above described), (second day), 27.*
- Accumulation in the throat of mucus that he is obliged to swallow, 6.
- Subjective.
- Dryness of the throat, with burning in the chest, 6.
- Sensation as if a hard substance rose from the chest to the throat, where it caused tickling, and provoked a dry cough, while sitting, 6.
- Burning pain in the throat and pit of the stomach (after three-quarter of an hour), 31. [200.]
- Great sensitiveness of the left side of the throat (immediately), 33.
- Rawness and hoarseness in the throat, with a sore sensation in the chest (first day), 6.
- Rawness and burning in the throat, like heartburn, with cough, 6.
- Scraping and rawness in the throat, and some cough, with a sore pain in the chest, without hoarseness, in the evening and morning, 6.
- Uvula and Tonsils.
- Œdema of the uvula (second day), 27.*
- Tonsils swollen (second day), 26.*
- Fauces, Pharynx, and Œsophagus.
- Fauces swollen, and she was unable to swallow, the attempt producing violent spasm and choking, .*
STOMACH
- Appetite.
- Ravenous hunger, 15.
- Complete loss of appetite for all food, with a natural taste, and without nausea, 1. [220.]
- No appetite ; Eructations always after eating, 6.*
- Aversion to food; he wishes to eat nothing; with much yawning, 6.
- Neither hunger nor appetite; aversion to eating, because almost everything tastes sweet, 6.
- Aversion to meat, 1.
- Thirst.
- Much thirst (after one hour), 32.
- Intense thirst (after six weeks), 26.
- Violent thirst, 15.
- Eructations and Hiccough.
- Eructations, 1.
- Frequent eructations of a bad taste (sixth and seventh days), 6.
- Constant eructations, 1. [230.]
- Empty eructations and colic, at night, 1.
- Very bitter eructations, frequently (fourth day), 6.
- Uprisings of a sour fluid from the stomach, 6.
- Incessant hiccough (after six weeks), 26.
- Violent hiccough, before and after dinner (third day), 6.
- Nausea and Vomiting.
- Nausea, with many eructations, on waking, for two nights, 1.
- Qualmishness and nausea in the epigastric region, 8.
- Qualmishness and distension of the abdomen, in the morning, in bed after waking, relieved by emission of flatus after rising, 1.
- She frequently retched, without bringing up anything, 31.
- Almost constant retching (second day), 27. [240.]
- Great inclination to vomit, 6.
- Vomiting (immediately), 22 ; (first night, second day), 28.
- Nausea and vomiting, 22.
- Vomited immediately, .
ABDOMEN
- Hypochondria.
- Violent pain in hypochondria (second day), 33.
- Burning bruised pain in the right hypochondrium (fourth day), 6. [270.]
- Tension and sore pain in the right hypochondriac region, extending now upward, now downward, while sitting, 6.
- Burning tension in a small spot in the right hypochondrium, 6.
- Pressive pinching beneath the left short ribs, not affected by respiration, 4.
- Stitches in the left side beneath the ribs, 8.
- A stitch in the right hypochondriac region, followed by burning, relieved by pressure, but soon again appearing not far from the same place, in the evening (third day), 6.
- A violent stitch in the left hypochondriac region on stooping, so that she started up in fright, 6.
- Umbilical and Sides.
- Griping beneath the umbilicus, followed by a hard stool (twelfth day), 6.
- Violent griping in the umbilical region, with a sensation of emptiness; it extends into the pit of the stomach, and there causes oppression, 4.
- Griping extending from the umbilical region to both sides, very violent, with rumbling, 4.
- Fine griping in the abdominal muscles, in and below the umbilical region, 9. [280.]
- Violent jerklike griping externally in a small spot in the left side of the abdomen, more violent on every inspiration, 4.
- Constant sticking pain as from needles, about the umbilicus, 4.
- General Abdomen.
- Distension of the abdomen, followed by profuse emission of flatus, 6.
- Abdomen distended, tense, tormenting her all day, 1.
- Great distension of the abdomen, in the evening, disappearing after lying down, 6.
- Abdomen large as far as the stomach; it is very distressing to her, 1.
- Constant fermentation in the abdomen, sometimes firmly seated low down in the abdomen, with whistling noises, 1.
- Rumbling in the abdomen, 1.
- Rumbling and dull pain in the abdomen, during and after eating, .
RECTUM AND ANUS
- Rectum.
- Prolapsus of the rectum as if everted, while urinating, 1.*
- Inactivity of the rectum; he is able with great pressure to discharge only a portion of the stool, 1.
- Sticking pain in the rectum, 1.
- *Smarting in the rectum and anus, with a soft stool, 1.
- Anus.
- *Swollen hæmorrhoids in the anus, with burning sore pain, 1.
- *Swollen blue hæmorrhoids in the anus, with pain on pressure, 1.
- Burning in the anus, after an ordinary stool, 6.
- Pressure in the anus, 1. [320.]
- Cutting in the anus during the evacuation of a soft stool, 6.
- Burning stitches in the anus, 3.
- Itching in the anus , with sore pain and crawling sticking, 1.
- Much itching and tickling in the anus (second day), 1.
- Violent itching in the rectum, as from threadworms, 1.
STOOL
- Diarrhœa.
- Colic and diarrhœa, 22.
- Fecal diarrhœa (after ten hours), 1.
- Stool soft (first three days), 6.
- Diarrhœa four times (after the first hard stool), with tenesmus, and with rumbling and gurgling in the abdomen (fourth day), 6.
- Diarrhœa, followed by violent burning in the anus , in the evening, and next morning (after six days), 6.* [330.]
- Diarrhœa-like stool, with smarting in the rectum, 1.
- A thin watery stool passed unnoticed while urinating, without previous straining, 3.*
- Thin stool, after eating, 3.
- Soft stool, with emission of flatus, contractive burning and sticking in the rectum, and a sensation as though the stool and flatus went back, 1.
- Stool, with cutting and qualmishness in the abdomen, as from taking cold; after the stool he felt better (after twenty-four hours), 9.
- Great desire for stool, in the morning, yet the evacuation is difficult, 1.
- Stool in small pieces, with pressure (third day), 6.
- Stool hard (fourth day), 6.
- Stool at one time hard, at another soft, 6.
- Blood with the stool, for several mornings, 1. [340.]
- Profuse discharge of blood with the stool, 1.
- Hard difficult stool, in morning, softer in afternoon (sixth day), 6.
- Constipation.
- Constipation, 33.
URINARY ORGANS
- Bladder.
- Weakness of the bladder, 18.
- Urethra.
- Cutting very far back in the urethra, while urinating during stool, 1.
- Sticking biting in the orifice of the urethra, immediately after urinating, 5.
- Micturition.
- Urging to urinate; tenesmus in the bladder, with desire to urinate; almost nothing passes, though that which passes is without pain, 8.
- Desire to urinate, yet he is obliged to wait awhile before the urine passes, 1.
- Frequent desire to urinate, and emission of much urine, 1.*
- Frequent desire to urinate, and discharge of a greater quantity of urine than of the drink taken, 3. [350.]
- Frequent desire to urinate, with scanty discharge (after seventy-two hours), 3.
- She was frequently obliged to rise at night to urinate, though she passed but little at a time, and without pain, 6.
- Constant desire to urinate, with scanty but frequent discharge of urine and tenesmus after micturition, 8.
- Frequent micturition, with urging and profuse emission, 5.
- Frequent copious micturition, though she drank little (fourth day), 6.
- Unusually profuse discharge of watery urine, 8.
- Passed about 500 grammes of urine, which was found to contain Muriatic acid (after nineteen hours), 30.
- Frequent involuntary micturition, 18.
- Passes her urine in bed, 31.
- Emission of urine slow, as though the bladder had no power to expel it, 9.
- Urine. [360.]
- Increased urine, 21.
- Urine visibly increased and pale yellow (first and second days), 8.
- Urine increased a quantity, and pale like water (after one day), 6.
- Diminished urine, with burning (first day), 6.
- The urine is turbid, white like milk, when passed, .
SEXUAL ORGANS
- Male.
- Erections, in the morning in bed (second day), 8.
- Frequent though weak erections (fourth day), 6.
- Feeling of weakness in the genitals, no erections whatever, and relaxed flabby penis (after twenty-four hours), 9.
- The prepuce easily becomes inflamed, 1.
- Pain on the margin of the prepuce, as if torn or wounded, 1. [370.]
- Boring tension extending from the right testicle to the penis, 2.
- A violent burning stitch in the posterior portion of the penis, 3.
- Increased sexual desire (primary effect), 6.
- Sensation as if an emission would occur woke him in the morning; afterwards, with a slight erection, emission of a watery, frothy liquid, without odor, followed by a long-continuing erection, with tensive pain in the penis, 8.
- Female.
- Leucorrhœa (tenth and eleventh days), 6.
- Distress in the genitals, as before menstruation, 8.
- Stitching pain in the vagina, 1.
- Menses ten days too early, with colic, 6.
- Menses six days too early, without other trouble, 6.
RESPIRATORY ORGANS
- Larynx.
- Epiglottis swollen, white, and corroded (after six hours), 32.
- Voice. [380.]
- Voice thick and inarticulate, 31.
- Hoarseness, for eight days, 11.
- Unusual catarrhal hoarseness, 17.
- Cough and Expectoration.
- Inclination to cough, with sticking griping in the throat, followed by increased secretion of mucus, that at last collects in masses, 23.
- Violent cough, at 3 A.M., with nausea and vomiting of bile, 1.
- Violent cough, as if it would burst out the sternum, from dinner till towards evening, especially on talking. laughing, and yawning, with pains as if sore and bruised, 6.
- Tickling in the throat, causing a short hacking cough (fifth day), 6.
- Violent hooping-cough, followed by audible, rumbling, extending downward in the chest, 1.
- Dry cough, with exertion, day and night (after six days), 6.
- Frequent dry cough, from tickling in the chest (fourth day), 6. [390.]
- Short, dry, hacking cough, with burning in the throat, 6.
- Loose cough, with some expectoration of mucus, in the evening and morning (sixth and seventh days), 6.
- Cough, with bloody expectoration, 20.
- Respiration.
- Expiration of white fumes, 29.
- Sighing, 12.
- Respiration frequent, and sighing (after twelve hours), 30.
- He snores loudly before midnight, and tosses about, but then can be easily awakened, 1.
- She breathed with snoring, occasionally stridulous noise, as if there was some obstruction in the larynx, 31.
- Deep respiration, with groaning, 12.
- Difficult, wheezing inspiration; expiration easy (second day), 27. [400.]
- Much difficulty in breathing; moist râles could be heard all over the chest (after three or four hours), 32.
CHEST
- Burning in the right chest externally, also in a small spot in the middle of the sternum, with a feeling internally as if something were sticking into it, afterwards only a sticking in the same place, 6.
- Pinching tension beneath the short ribs, frequently obliging deep inspiration, and disappearing after emission of flatus, 4.
- Pressive pinching in the chest, without tightness of breath, 4.
- Tensive boring in the chest, persistent during inspiration and expiration, 2.
- Asthmatic pressure upon the chest in paroxysms, 1.
- Oppression transversely across the chest, in the evening, while walking and sitting, 1.
- Painful oppression of the chest, especially on the right side, 4.
- Sticking pain in the chest, on violent motion, and on breathing, 1. [410.]
- Stitches as from needles in the right true ribs, on expiration, while sitting, 5.
- Slow broad stitches extending upward in the sides of the chest externally, 9.
- A boring stitch in the right intercostal muscles, not affecting respiration, while sitting, 2.
- A tensive jerking stitch extending from the left false ribs to the right ribs, 2.
- Sore pain and cutting in the chest, also with inclination to cough, 6.
- Scraping in the chest, with cough and expectoration of mucus, 6.
- Front.
- Tensive pain on the sternum that prevents breathing, as if it came from the stomach, with pain in the spot, even on touch, 1.
- Violent pressure in the sternum above the pit of the stomach, extending up to the chest, in the evening, 1.
- Cutting thrusts internally in the middle of the sternum, with dull pressure posteriorly in the thorax, general oppression of the chest, and tightness of breath, by paroxysms all day, 9.
- Stitches beneath the sternum, just above the pit of the stomach, 8.
- Sides. [420.]
- Pressive pinching in the right side of the chest, always aggravated by inspiration, 4.
- Pressure and bruised pain in the left side of the chest, 1.
HEART AND PULSE
- Præcordium.
- Sticking in the præcordial region, so that she could only become erect with difficulty, with arrest of breathing, disappearing on rubbing (seventh day), 6.
- Stitches deep in the præcordial region, extending to the axilla and back, with sticking in the thigh, extending down to the knee, while sitting, disappearing on rising, in the evening, 6.
- Fine stitches below the præcordial region, extending thence into the left costal region, with tearing behind the left ear, 6.
- Heart's Action.
- Beating of the heart so violent during the fever at night, that he felt in the face, 3.
- Pulse.
- Acceleration of the pulse, 21.
- Pulse rapid and feeble (after three-quarters of an hour), 31.*
- Pulse very small and frequent (after twelve days), 30.*
- Pulse 130, *very feeble (first day), 120 (second day), 31.
- Pulse varying between 96 and 120, 33. [440.]
- Pulse 84, and pretty full (after over one hour), 32.
- Every third pulse intermits, 1.
NECK AND BACK
- Neck.
- The posterior cervical glands are swollen, with tensive pain on turning the head, 6.
- Back.
- Burning, extending from the coccyx up the back, as if beneath the skin (fourth day), 6.
- Pressure upon the spine, while walking in the open air, disappearing while standing and sitting, 5.
- Pressure in the middle and left side of the back, as from much stooping, 5.
- Pressive pain in the middle of the back, while standing and sitting, as from long stooping, 5.
- Backache, as from a sprain, in the back and scapulæ; after continued writing, with the back bent over, 3.
- Violent sticking in the left side of the back, so that she dared not move, although it was relieved by moving, 6.
- Painful stitches in the left side of the back, while sitting, 5.
- Dorsal. [450.]
- Drawing tensive pain alternately between the scapulæ and in the lower short ribs, not affecting respiration, 4.
- Sticking in the scapulæ, 1.
- Sharp stitches, with fine drawing and a feeling of heat, in the scapulæ, 9.
- Violent stitches in the lower portion of the right scapula, beneath the axilla, 6.
- Fine pressive stitches on the lower margin of the right scapula, 4.
- Lumbar.
- Frequent sticking in the small of the back, on rising from stooping (fourth day), 6.
- A starting burning stitch in the sacrum, 6.
- Fine drawing tearing extending from the middle of the sacrum towards the lumbar vertebræ, 3.
EXTREMITIES IN GENERAL
- Jerking in all the limbs, 1.
- So great weakness of the extremities that frequently while walking he was obliged to stand still, 6. [460.]
- Great pain in her arms and legs, 28.
- Violent cramps and contractions of the muscles of her upper and lower extremities, 28.
- Tearing in both upper arms and calves (second day), 6.
- Bruised pain in all the joints, 1.
SUPERIOR EXTREMITIES
- Anxiety and uneasiness in the upper extremities, as if in the veins, in the evening, with a joyous mood, it seemed like a heaviness of the arms; he was constantly obliged to move them, together with uneasiness of the whole body, except of the feet; heat so that he was obliged to uncover himself, but without thirst, 1.
- The arms are very heavy, and seem full of lead on raising them, 4.
- Painful tearings, extending from the middle of the upper and forearm towards each other (fourth day), 6.
- Shoulder.
- A weary pain in the right shoulder-joint, more during motion than during rest, 1.
- Pressure on the shoulders, 1.
- Pain as from a sprain in the left shoulder, during rest, with a sensation on raising the arm as if it would crack in the joint, 6. [470.]
- Sticking on the right shoulder, that soon changes to twinging, 6.
- Burning stitches in the left shoulder, in the evening, 6.
- Tearing in the right shoulder, with pain when touched, 6.
- Throbbing in the right shoulder, with paralytic pain in it, 6.
- Violent pains in the linea axillaris, 33.
- Arm.
- Pulselike, intermitting, violent twitching of single muscle fibres in the right upper arm, 3.
- Paralytic pain in the middle of the right upper arm, extending down to the elbow, 6.
- Burning sensation in the posterior muscles of the left upper arm, close to the elbow, 4.
- Cramp in the upper arm, on exerting the arm, 3.
- Drawing in the left upper arm, 1. [480.]
- Drawing tearing in the right upper arm, on writing while sitting, disappearing on moving about and stretching out the upper arm, 5.
- Elbow.
- Frequent drawing tension in the elbow-joint, 3.
- Cutting in the bend of the elbow, aggravated by flexion, relieved by extension of the arm, 9.
- Dull tearing just above the elbow and wrist, worse during rest, 9.
INFERIOR EXTREMITIES
- Great weakness of the lower extremities, so that they would scarcely support her, and often gave way, 6.
- Hip.
- Cutting griping in the right hip, only while sitting, 5.
- Thigh.
- Weakness of the thighs, causing a tottering gait, 2, 3.
- Twitching of muscle-fibres, now in the right, now in the left thigh, 3.
- The muscles of the thighs are painful, 1.
- Painful cramp in the muscles of the left thigh, while lying in bed, 5.
- Spasmodic drawing pain extending down the left thigh, only while sitting, 5.
- A stitchlike pressure in the muscles of the left thigh, only while sitting, 5. [510.]
- Drawing pressive-sticking pain in the muscles of the left thigh, close to the groin, while sitting, 5.
- Violent burning stitches on the outer side of the right thigh, while walking and sitting, 3.
- Tearing in the left thigh, and in the tibiæ, while sitting, 6.
- Spasmodic constrictive tearing in the anterior muscles of the left thigh, 5.
- Sticking tearing in the right femur, with walking, 4.
- Knee.
- Swelling of the knees, 1.
- Twitching near the right patella, 3.
- The left knee is stiff on rising from sitting, 1.
- Tensive pain in the left knee, 1.
- Burning-sticking pain in the right knee, externally, 3. [520.]
- Tearing in the knee-joints, so violent in the right that it seems as though it would be torn out, while sitting, 6.
- Tearing in the hollow of the knee, and in the calf, more at night, and more while sitting than while walking, 1.
- Tearing in the bend of the knee, extending into the hip, on rising from sitting, with stitches at times in the left knee-joint, aggravated by bending it and by walking, relieved by stretching it and while sitting, 4.
- Sticking tearing in the right knee if the left leg lies over the right, .
GENERAL SYMPTOMS
- Objective.
- Oxygenated Muriatic acid restores the irritability of the muscle fibres that have been destroyed by alcohol or opium, 13 . [The author is speaking of local applications. -Hughes.]
- General emaciation (after six weeks), 26.
- Increased activity, 21.
- The first impression was so great as almost to excite general spasms, 24.
- Indolence, with stretching, in the forenoon, 6. [550.]
- Relaxed and intolerant, although not wearied by walking, 1.
- Weariness, especially of the lower extremities, in the morning, 1.
- Just able to walk with support (after one hour), 32.
- Very much reduced in strength, and unable to stand without assistance, 28.
- Weakness while walking and standing, so that he fell asleep while sitting, 5.
- Great weakness immediately after eating, that became distressing towards evening, 6.
- Much exhausted (after three-quarters of an hour), 31.
- *Prostration (after nine hours), 27.
- Great prostration and weakness, in the evening, after walking, 6.
- Great prostration, weakness, and sleepiness, with dimness of vision; she fell asleep at the table, 6. [560.]
- Fainted almost immediately, and three hours afterwards could give no information of what had occurred, 28.
- Restlessness, 12.
- Subjective.
- General comfortable sensation, 21.
- He is unwilling or unable to move; it is irksome to do anything, so he wishes only to sit still the whole time, 1.
- Feeling of weakness in the whole body, 8.
- Feeling of weakness, and difficulty in collecting the ideas, at night, in bed, 1.
- Pain in the periosteum of all the bones, as in intermittent fever, 1.
- Relapse on the forty-fourth day; temperature and pulse rose, with bloody vomiting; the patient complained of stitches in the back, especially on the right side below the twelfth rib, about three inches external to the spinous process; abdomen sunken, doughy; left hypochondrium more distended than the right; dulness across the whole upper portion of the abdomen; pulse weak in relation to impulse of the heart; rubbing sound in the lower margin of the diaphragm, in the region of the apex of the heart, extending as far up as the axilla, synchronous with respiration; urine albuminous; sp. gr. 1021; violent pains in the lower portion of the back, followed by death in a week, .
SKIN
- Objective.
- Small spot on the face, lips, and throat, 33.
- A sore place on each side of the mouth; these marks, narrow, curving up towards the cheek from each labial commissure, and forming, when the mouth was closed, a sort of crescent with the horns turned upward, looked exactly as if made by the edge of a drinking-glass (second day), 27.
- Eruptions, Dry.
- Nodes, like peas, or larger, on the forearms and elbows, with violent itching and burning, 6. [570.]
- Eruption on the hand, that itches very much on becoming warm in bed, 1.
- Eruption of pimples about the lips, that within a day and night ran together into a scab, 17.
- Pimples itching violently, just behind and below the left tragus, that in spite of rubbing continued to itch violently, with smarting pain, 1.
- Papular eruption on the forehead, that within a day and night became confluent and covered with a scab, 17.
- Papular eruption on the concha, that within a day and night ran together into a scab, 17.
- Papular eruption on the back of the hands and fingers, that within a day and night ran together into a scab, 17.
- Red, tensive pimples on the right side of the neck, 6.
- Eruptions, Moist.
- A vesicle on the right side of the lower jaw, with pain when touched, 6.
- A vesicle on the left side of the upper lip, 6.
- Two yellow, burning blisters, as large as peas, on the left side of the lower lip, 6. [580.]
- Round, raw, itching tetter on the inner portion of the thighs, 1.
- Eruptions, Pustular.
- Pustules on the forehead and temples, without sensation, 5.
- Pustules in the red of the lower lip, 1.
- Pustules on the upper lip, close to the corner of the mouth, with pain, as from suppuration, when touched, and tension on moving the lips, 2.
- A boil on the right temple, 1.
- Small boils on the back, with sticking pain when touched, .
SLEEP AND DREAMS
- Sleepiness. [610.]
- Sleepiness, with yawning, in the morning (second day), 6.
- Very sleepy in the afternoon (fourth day), 6.
- Great desire to sleep all day, 4.
- Sleep oppresses him while at work; he closes his eyes, 4.
- While sitting, the eyes close from weakness; while standing and moving about, she is wide awake, 5.
- Sleeplessness.
- He does not get readily to sleep, and his sleep is light, yet he does not wake up easily (after three hours), 1.
- Restless night; without any particular cause she cannot get to sleep, and in the morning is sleepy (after two hours), 6.
- Restless night; she woke every quarter of an hour with pain, sometimes in one spot, sometimes in another (fourth day), 6.
- Restless night; she kept awake by headache in the vertex and left temple, 6.
- Sleepless at night, on account of great orgasm of blood and heat, with sweat, 1. [620.]
- Sleep restless, frequently interrupted by vivid, anxious dreams; with copious perspiration all over, except on the head, during sleep, 4.
- Sleepless before midnight, 1.
- Sleepless after midnight, 1.
- Frequent waking at night, 1.
- Frequent waking, with tossing about in bed, 5.
- He woke before midnight very wide awake, and was unable to fall asleep afterwards (fourth day), 3.
- He always woke at 4 A.M., and could not fall asleep again, 1.
- Starting up after falling asleep on account of uneasiness of the body, mostly in the extremities; dreams that cause anxiety, sorrow, or joy, 5.
- On waking at night, he always finds himself lying on the back, 1.
- He slides down in bed, and groans and moans in sleep, 1.
- Dreams. [630.]
- Unremembered dreams, 5.
- Happy dreams of home, 1.
- Voluptuous dreams (first three days), .
FEVER
- Chilliness.
- Skin cold (after three-quarters of an hour), 31 ; (after twelve hours), 30.
- Chilliness in the morning in bed and after rising, so that he was obliged to remain by the stove all the forenoon, 6.
- Chilliness in the evening , with burning in the face and dryness of the mouth, 1.
- Chilliness in the evening, with thirst; perspiration after lying down; she was even obliged to rise at night to drink (eighth day), 6.
- Chilliness from 6 to 7 P.M., with icy coldness on the back, so that it was difficult to get warm (seventh day), 6.
- Chilliness over the whole body at 8 P.M., with external warmth lasting three-quarters of an hour, without subsequent heat, 6.
- Woke before midnight on account of chilliness, and could not get warm; the parts on which he was lying were less chilly; afterwards he became very warm and perspired (third night), 3.
- Chilliness, with gooseflesh, without shaking or thirst, 1. [650.]
- Chilliness, with thirst (fourth day), 6.
- Chilliness, with thirst, without subsequent heat, 1.
- Coldness, 1.
- Coldness, even perceptible externally, so that he could not get warm all day, even on walking, 1.
- Coldness at night, so that she could not get warm; tossed about the bed, 9.
- He shivered if the room was not very warm, 1.
- Febrile shivering over the whole body, with hot cheeks and cold hands, without thirst, 5.
- Febrile shivering over the whole body, with shaking chill, yawning, and stretching of the limbs, without thirst or subsequent heat, 5.
- Febrile shivering over the whole body (with slight fluent coryza); yawning, cold, dead tips of the fingers, blue nails, and weak, slow pulse, without thirst or subsequent heat, 5.
- Extremities rather cold (after one hour), 32. [660.]
- Extremities quite cold, 31.*
- Complained of extreme cold in her lower extremities, which to the touch were quite warm, .
CONDITIONS
- Aggravation.
- ( Morning ), On stooping, burning in head; after rising, heaviness in head, etc.; tearing headache; while washing them, burning in eyes; dryness of mouth; after rising, mouth slimy; after waking, bitter taste, etc.; in bed, after waking, qualmishness, etc.; in bed, colic; hard stool; weariness.
- ( Afternoon ), In open air, discontent, etc.
- ( Evening ), Jerking in vertex; tension, etc., in occiput; biting in canthus; gnawing in ear; distension of abdomen; stitch in groin; stitches in shoulder; itching, etc., of back, etc.; chilliness; on falling asleep, perspiration; every second or fourth day, sweat on head, etc.
- ( Night ), Chirping in ear; eructations, etc.; on waking, nausea, etc.; stiffness of fingers; tearing in hollow of knee, etc.; in bed, feeling of weakness, etc.; before midnight, perspiration.
- ( Open air ), Vertigo.
- ( Walking in open air ), Headache pressure upon spine.
- ( Cold drink ), Toothache.
- ( Eating ), Eructations.
- ( Indoors ), Whirling in head, etc.
- ( Motion ), Pain in shoulder-joint.
- ( Rest ), Stitch in canthus; cutting in eyeball; pain in shoulder; tearing above elbow; bruised pain in forearm; pain below malleolus; stitches on back of foot; twitching in ball of foot; throbbing in toes; stitch in ball of toe.
- ( Sitting ), Tension, etc., in hypochondriac region; rumbling in abdomen; stitches in præcordial region, etc.; stitches in back; griping in hip; drawing down thigh; pressure in muscles of thigh; sticking in muscles of thigh; tearing in thigh, etc.; tearing in knee-joint; tearing in hollow of knee, etc.; tension in leg; tearing in tibia; cutting in calf; stitches in back of foot; sticking in margin of sole; tearing in sole.
- ( Walking ), Tearing in femur; bruised pain in knee.
- ( Writing ), While sitting, tearing in upper arm; pain in ball of thumb.
- Amelioration.
- ( Lying down ), After frequent sneezing, headache; distension of abdomen.