Oxalic acid, C2H2O4.

Preparation , Triturations.

Authorities. (Nos.

1 to 11 , and 14 to 16 , inclusive, from Hering, Amer. Arzneipf.).

1 , Koch, provings; 1 a , same, subsequent proving; 2 , same, proving on another; 3 , same, proving on another; 4 , same, proving on a woman; 5 , Neidhard, proving with the 1st dec. trit.; 6 , Dubbs, ibid.; 7 , E. Smith, ibid.; 8 , Floto, ibid.; 9 , Williamson, proving with 1st dec. trit.; 10 , Kitching, ibid.; 11 , C. Hering, 1st dec. trit. and aqueous solution; 12 , Reil, Hom. Vjs., 2, 316, proving with a solution of 50 grains to 8 ounces, dilutions made 1 to 8; took first day, 2d dil., 20 drops twice, second day 30 drops twice, and so on, increasing doses daily to 100 drops the seventh day, then took 1st dil. 20 to 100-drop doses, then began tincture thirteenth day, 15 drops, and increased doses to a dessertspoonful every two hours on eighteenth and nineteenth days; 13 , same, proving, on a man, with 2d dil.; 13 a , same, with concentrated sol., 7 to 90 drops, three times a day; 14 , Honigberger, from Hering; 15 , Pehrson, from Hering; 16 , Gasewich, from Hering; 16 a , Royston, London Med. Repos., 1814, vol. 1, p. 382, 1/2 ounce, in a woman, death in forty minutes; 17 , Fraser, Edin. Med. and Surg. J., vol. 14, 1818, p. 607, effects of 1/2 ounce, in solution, in a man (death after two weeks); , Mollan, Dubl. Hosp. Rep., 1818, p. 329, effects of 2 ounces, in a woman; , Scott, Edin. Med. and Surg. J., 1825, vol. 24, p. 67, effects of about 2 drachms, in a girl, aged twelve; , Lovegrove, Lancet, 1827, 2, p. 512, effects of about an ounce, in a man; , St. George's Hosp. case, from Lancet, 1827, 1, 447, effects of about an ounce, in a man; , Lond. Med. Gaz., 1827, 1, p. 137, effects of an indefinite amount, in a girl, aged fifteen; , Tolefree, Bost. Med. and Surg. J., 1835, p. 158, effects of 1/4 ounce, in a woman; , Edward's case, in Taylor on Poisons, p. 206; , Taylor, Guy's Hosp. Rep., 1838, p. 353, effects of several drachms, in a man; , Semple, Lancet, 1840, 2, 187, effects of 1/4 ounce, in a girl, aged twenty-three; , Schreyer, Mitthl. d. Ver. f. Nat. und Heilk. (Hygeia, 9, 121), 1840, effects of, in indefinite amount, in a man; , Todd, Lancet, 1841, 2, 145, effect of a pennyworth, in a young woman; , Webber, Hufel. Journ., 1841, Hygeia, 17, 481, a girl took a solution for suicide; , Tapson, Lond. Med. Gaz., 1842, p. 491, effect of a pennyworth, in a woman, aged fifty; , Jackson, Bost. Med. and Surg. Journ., 1844, 30, p. 17, effects of 1 ounce, in a man; , Hazeltine, Bost. Med. and Surg. Journ., 31, p. 39, 1845, effects of 1/2 ounce, or more, eight days after childbirth; , Ogilvy, Bost. Med. and Surg. J., 1845, p. 179, effects of between 1 and 2 ounces, in a woman; , O'Shea, Lancet, 1845, 2, 293, effects of over 1 ounce, in a man; , Wady, Lancet, 1846, 2, 39, effects of 1 ounce, in a man; , Barham, Prov. Journ., 1847, p. 544, effects of about 1 ounce, in a woman, aged thirty-seven; , Cooke, effects of 1/2 ounce, in a man, Lancet, 1847, 2, p. 4; , Clarke, Bost. Med. and Surg. Journ., 1848, vol. 38, p. 24, a man took about 1 ounce, with senna; , Bashaw, Trans. Am. Med. Assoc., 1849 (from Dubl. Med. Press, 1847), effects of 1 ounce; , Bowne, Lancet, 1841, effects of 3 drachms, in a woman; , Deane, Prov. Journ., 1851, p. 344, effect of 3/4 ounce; , Didana, Am. J. Med. Sc., 1851, p. 532, effects of an indefinite amount, in a woman; , Buchner, Toxicology, effects of 1/2 ounce, in a woman; , Kuhn, Hom. Vjs., 2, 316, poisonous effects, in a man; , Hildebrand, Vjs. f. ger. Med., 3, 256, effects, taken in coffee, in a girl; , Wood, Month. Journ. Med. Sc., 1852, p. 227, effects of a large quantity; , Barker, Assoc. Med. Journ., 1855, p. 1073, effects of 1/8 ounce, in a boy of sixteen; , Oyez, Gaz. des Hôp., 1858, effects of 1/2 ounce, in a woman; , Thudichum, Med. Times and Gaz., 1860, p. 39, effects of 10 grains, taken for purpose of experiment; , same, effects of 10 grains; , same, repeated; , same, repeated; , Christison, general effects; , Arrowsmith, from Christison; , Page, Lancet, 1860, p. 509, effects of 1 ounce; , Ikin, Lancet. 1860, effects of 1 ounce; , Bradley, Med. Times, 1850, vol. 22, p. 283, 2 drachms, in a man; , Cuff, Med. Times and Gaz., 1862, effect of an indefinite amount; , Woodman, Med. Times and Gaz., 1864, effects of about 1/2 ounce; , Ellis, Lancet, 1864, effects of 1 ounce, in a woman; , Beale, Lancet, 1867, a woman took 1/2 ounce; , Herapath, Med. Times and Gaz., 1868, effects of 3/4 ounce, in some limewater, death in a few minutes; , Stewart, Glasgow Med. Journ., 1870, effects, 16 1/2 grams; , Finnell, Med. Rec., 6, 260, effects of about 1 ounce; , Goodfellow, Brit. Med. Journ., 1871, a man took about a teaspoonful; , Starr, Phil. Med. Times, 1871, a child, aged one year, "swallowed a piece;" , Dougall, Glasgow Med. Journ., 1872, a boy, aged three years, took about 4 grams; , omitted; , Sharp, Essays on Med., 1874, effects of 1/10th grain; , same, effects of 1/20th grain; , same, effects of 1/100th grain twice; , Jackson, Bost. Med. and Surg. Journ., 1875, effects of 2 tablespoonfuls of a solution, death on third day; , Med. Times, 1841, p. 15 (Woodman and Tidy, Forensic Med. and Tox., p. 431), effects of 1/2 ounce, in a girl of seventeen, recovery; , ibid., 1 ounce, in a man, death on fifth day.

MIND

Emotional.
Somewhat delirious (second evening), 36.
Delirious, with paroxysms of violent struggling (third day), 36.
He became delirious, and in his delirium got out of bed alone (third day), 36.
Delirious at times (sixth day), 31.
Delirious, and soon after expired (eighth day), 21.
Delirium (ninth and tenth days), 31.
Appeared like an insane person, 37.
Great cerebral excitement, with dry coldness of the surface, and an imperceptible pulse, 40.
Nervous and vascular excitement, as from alcohol, constituting a feeling of hilarity, and the pulse one-third more frequent than usual, and tense, 10. [10.]
General excitement, in the evening, 5.
Hallucination (tenth night), 17.
Starts violently when the door slams; rather external than internal starting, 11.
Great cheerfulness of the mind; quicker in thought and action, 5.
The whole forenoon unusual vivacity and power of concentration, which is still more decided in the afternoon, 5.
Great increase of animation through the day, with playfulness and mirthfulness, which of late years has not been natural to him (first, second, and third days), 6.
General exhilaration of the mind (third day), 11.
He feels more composed than usual, and very much exhilarated, 5.
Hilarity and cheerfulness, 9.
Philoprogenitiveness, (?) greater love of his children, in one in whom this feeling was always predominating; a decidedly expressed and clearly distinguishable symptom, it being not traceable to any other cause, 11. [20.]
Taciturn, 41.
Manner rapid and nervous, 52.
Peculiar quickness of manner (after six hours), 17.
Heaviness of manner (after seven days), 17.
Occasional agitation of manner (after three days), 17.
Violently agitated with fear, 23.

HEAD

Vertigo.
Vertigo, 44. [50.]
Vertigo, in the morning (fourth day), 2.
Vertigo, in the morning, with anxiety and headache (third day); still worse (fourth day), 4.
Vertigo, in the morning, with weariness and thirst (third day), 2.
Vertigo, as if he would fall down, when looking out of the window, in the evening, 1.
On lying down, vertigo, like a swimming, towards the left side, 11.
A kind of vertigo always, on rising from a seat, without whirling, like a vanishing of sense, in the upper and internal part of the head (second to fourth days), 11.
Giddy directly, 58 ; (after one hour), 30, 66 ; the whole day, 5.
General Head.
Apoplexy, 14.
Head troubles him very much (eighth day), 21.
Headache (twenty-four hours after 2 scruples), 50 ; (second day), 36. [60.]
Dull headache (next day, after 2d trit.), 10.
Violent pulsating headache, in the evening, after wine (fifth day), 2.
Pain, pressing inwardly between the vertex and occiput, on a spot not larger than a dollar, on the middle line (after a quarter of an hour), 11.
Violent pain in head (third day), 21.
Violent pain in the head, especially in the forehead, with dulness, after exerting the mind (seventh day), 1.
Pains in small spots in the head, very violent and sensitive to touch, 15.
Dulness of the head, with pressure, as if the head were compressed from both sides, above and behind the ears, by a screw, preceding and accompanying the stool (second day), 11.
Emptiness in the head, sensation of faintness, as if all the blood had left the brain, with anxiety, 8.
A very peculiar lightness while walking, like a flying forward, though dependent on weakness (first and second days), 11.
Forehead.

EYE

Eyes sunken, surrounded by blue rings, in the forenoon; succeeding a violent diarrhœa, in the morning (third day), 1.
Sunken eyes (after one hour), 58.
Eyes glassy, 60.
Presses the eyelids together (fourth day), 4.
Corrugated eyebrows, 40.
Very violent pain within the left eye, in a short narrow streak (after a few hours), 11.
Violent gnawing pain and sensation of soreness in the eyes and orbital regions, with dull headache, 1.
Sensation as if sand were in the left eye, without inflammation, in the evening (second day), 1.
Pressure in the upper part of the eyes, during walking, 8, 11. [100.]
Eyes weak, with general sick feeling (second day), 1.
Lid.
Dry mucus in the margins of the lids, in the morning, which could be removed only in small granules (seventh day), 1.
Eyelids closed (after one hour and a quarter), 26.
Biting in the left inner canthus (seventh day), 1.
Conjunctiva.
Conjunctivæ dusky; distinct arcus senilis at the upper part of both eyes, 52.
Ball.
Pain in both eyeballs, but worse in the left one, 9.
Eyeballs prominent, 37.
Pupils.
Pupils very much contracted; insensible, 60.
Pupils greatly contracted, 60.
Vision.
Small objects at a short distance seem larger than natural, as at the first look he thought they were at a greater distance than they really were; lines and hairs a few inches from the eyes seemed as large as straws (in a myopic person), 11.

EAR. [110.]

Pressure behind the ears, preceding and accompanying the stool (second day), 11.
Fine stitches in the left ear, in the evening, 1.
In the afternoon, occasionally a pain in the depth of the ear, as if in the Eustachian tube, near the throat; worse on the right side, 11.
A kind of slight blowing noise in the left ear, 5.

NOSE

Dilated alæ nasi, 40.
A vesicle in the right nostril, in the morning on rising, with stitches and pain on touch; the wings of the nose are swollen, at times more on the right side, at other times more on the left, every two or three days for two weeks, 1a.
Sneezing, with chilliness, in the evening after tea, 5.
Watery running from the nose, with sneezing, 8.
Stoppage of the nose, 14.
Pain in the nose (second day), 11. [120.]
The nose is very painful, in the evening, extending from the tip towards the right side; a sticking-burning pain, with swelling and shiny redness (eleventh day); still swollen, but not so painful (twelfth day); less (thirteenth day), 1a.
Lancinating stitches through the right nostril, on inspiring through the nose (eleventh day), 1.

FACE

Objective.
Twitching of muscles of face, 40.
Face, lips, throat, and tongue swollen and livid, 31.
Face sunken (eighth day); hippocratic (ninth day), 31.
Countenance hippocratic, 43.
Red face, with shaking chill, in the evening, 4.
The face is redder than usual, 11.
Face flushed (third day), 36.
Countenance gradually assumed a darker tinge, 41. [130.]
Face pale, lips blue, 63.
Face and lips blue (second day), 36.
Look yellow, pale, eyes sunken (fifth day), 2.
Pale look and no appetite, at noon (fourth day), 2.
Expression pale, eyes sunken, with nausea (fourth day), 2.
Face pale, 64.
Face pale and livid, 60.*
Pallid countenance (after one hour), 58.
Face extremely pallid (after four hours), 36.
Countenance pale and haggard, 41. [140.]
Face tumid and of a livid complexion (second day), 31.
Lividity of the face, 52.
Look stupid, 41.
Face appeared dull and heavy (after one hour and a quarter), 26.
The countenance indicated the most pressing danger (after half an hour), 16a.
Features anxious and pallid, 54.
Expression of the face anxious, 60 ; (eighth day), 31 ; (after fourteen hours), 34 , etc.
Very desponding look (twelfth day), 36.
Subjective.
Sensation of fulness in the face, and excitement, with disinclination to conversation (first day), 11.
Sensation of fulness in the face, 11. [150.]

MOUTH

Teeth.
Teeth covered with sordes, similar in appearance to that observed in cases of low fever (eleventh day), 17.
Dull pain in the first molar tooth of the right upper jaw, which is very distressing (after fifteen minutes), 6.
Dull aching pains of the molar teeth of the right and left upper jaw; worse in the right jaw (lasted nearly all day, but passed away towards evening), 6.
Cutting pains in the hollow back teeth, at noon (seventh day), 1. [160.]
Pain in a hollow back tooth, in the evening (eighth day), 1.
A cold jerking sensation in a left upper incisor, 11.
A pain in a hollow tooth, in the evening (third day), 3.
Teeth seem on edge (first day), 12.
Set the teeth on edge, immediately (one tablespoonful); the roughness of the teeth persisted a long time, 49.
Teeth not only rough when ground upon each other, but they were painful when the air passed in a rush through the open mouth, as is the case during the deep inspiration of yawning; every voluntary deep inspiration produced such an amount of this painful tenderness in my teeth that a so-called gooseskin (spasm of the cutis and erection of the papillæ) was produced; this hyperæsthesia of the teeth persisted through the following day, although in a less degree, 49b.
Gums.
Bleeding of the gums during friction of them; has had the same occasionally before, but it was this time unexpectedly soon, and much more copious, 11.
The gum is painful in several places, as if there were blisters upon it (eighth day), 1.
Burning pain in the gum of a left lower incisor, with pustules, surrounded by bright-red areola and swelling (ninth to thirteenth day), 1.
Tongue.
Tongue swollen, and covered with a thick white coat, as if it had been scalded (soon); natural towards edges, elsewhere coated (after ten hours and a half); clean and moist at edges, centre as yesterday (second day); covered with a white crust (third day); can best be likened to the dry coating of sugar on sweetmeats, interspersed with red patches (seventh day); covered with thick white dry coat (eighth day); in patches, with some desquamation (tenth day); reddish-brown and parched (eleventh day), 17.

THROAT

Occupied herself in pulling from her throat strings of ropy mucus, 61.
Increased secretion of mucus in the throat, during the first hours, 5. [230.]
Augments in the first hour the secretion of mucus from the throat, 5.
A natural secretion of mucus from the throat is diminished, 8.
Great heat and sense of burning about throat and fauces, 22.
Burning sensation and pain on pressure in throat, 40.
Burning sensation in the throat, 31 ; (in evening, first day), 37.
"Horrible feeling of burning at the throat and stomach," soon, 41.
Intense burning pain in throat and stomach, 42.
Burning pain in throat and epigastrium, directly, 56.
Burned her throat and mouth very much, 30.
Violent pain in throat, 28 ; (after one hour), 56. [240.]
Violent pain in the throat on swallowing, in the morning, after rising; better at noon (sixth day); on the next day swallowing is almost painless, but there begins a scraping in the upper part of the throat, that continues to the eighth day, 2.
Dryness and pain of throat on swallowing, 62.
Scraping sensation in the throat, with difficulty of swallowing; the tonsils and arches of the palate seem slightly red, and are covered with adherent mucus, that can be expectorated only after hawking a long time (nineteenth day), 12.
Throat raw, with scraping in it, in the morning, on rising (fourth day), 3.
Throat very rough, scraped, on rising; can speak only with effort (fifth day), 3.
Great constriction of the throat (after one hour), 30.
Uneasiness and constriction in the throat (after nine hours), 30.
(The chronic sore throat, to which he is subject, feels much better), 11.
Had had, for several days past, sore throat, resembling cancrum oris, attended by ptyalism, but no fetor of breath (after three weeks), 32.
Tonsils.
Scraping and biting sensation in the tonsils, as if the uvula were swollen, always most severe after a dose (eleventh day), .

STOMACH

Appetite.
Great increase of appetite, 11.
Sensation of hunger, about 11 P.M., though he had eaten three times during the afternoon, at 12, 2, and 7 (first day), 11.
Little appetite at noon, with thirst; no appetite, in the evening (third day); no appetite at noon (fourth and fifth days), 2.
Loss of appetite, 11.
Aversion to tobacco-smoking, in the morning, with longing for it in the evening (first day), 11.
(Coffee is not relished at noon), (first day), 11.
Thirst. [270.]
Intense thirst, 27, 41 ; (after one hour), 30 ; (after six hours), 38 , etc.
Unusual thirst, at 3 P.M. (second day), 5.
Thirst, for several days, 35.
Thirst, with white-coated tongue and nausea (fourth day), 4.
Thirst, in the morning, with weariness and vertigo (fourth day), 2.
No thirst, and rather a repugnance to water, 6.
Eructation.
Eructations (after three-quarters of an hour), 40.
Very sour eructations, an hour after coffee, at breakfast (fifteen hours after 1/2 grain), 1.
Many eructations of air and emission of flatus, with rumbling and gurgling in the abdomen, at noon (fourth day), 1.
Many eructations of gas (fourteenth day), 12. [280.]
Many tasteless eructations, especially after a dose (fifteenth day), 12.
Painful eructation (eighth day), 17.
Acrid eructations, for several days, 35.
Sour eructations, with pains and loss of appetite, 14.
Eructations of gas, in the afternoon (second day), 1.
Eructations of wind, tasting of the food he has eaten, 6.
Eructations of tasteless wind after each meal, 6.*

ABDOMEN

Hypochondria. [390.]
Bruised pain in the left hypochondrium, after lying down, lasting half an hour, 5.
For half an hour after retiring, a continued pain in the left hypochondrium, 5.
A sticking pain in the left hypochondrium (after three hours), 9.
Pain between hypochondrium and navel, on the left side, like a development of flatulency (after half an hour), 5.
Umbilicus and Sides.
Colic pain around the umbilicus, and in the right iliac region, coming on by paroxysms, 6.
Coliclike pains in and around the navel, every day, 6.
Colic about the umbilicus, with difficult emission of flatus, 5.
Slight sticking pain in the umbilical region, in the evening, 1.
Distressed feeling around the navel, and through the whole abdomen, with a sensation of great weakness in the latter (second day), 6.
Coliclike pains in the umbilical region, with painful pressing downwards towards the anus, and flatulent troubles, 5. [400.]
Pain about the umbilicus and emission of flatus, at night, 5.
Sensation of soreness on touching, all around the navel, 7.
Pain round the navel, like colic , repeatedly, but always after the symptoms in the head, 5.
Pain in the region of the navel, with emission of flatus, in the night, 5.
Pain in region of navel, with painful pressing down towards the anus and flatus, 5.
Dull aching pain in the right side of the abdomen, the whole afternoon, on a small spot, 5.
Pain like a cramp, a little to the left of the umbilicus, and several minutes after, colic pain in the right iliac region; eructation of tasteless wind, several times (5 P.M., first day), 6.
General Abdomen.
Much rumbling and rolling in the bowels, as from water, without pain, in the evening (third day), 12.
Rumbling in the abdomen (fifth and sixth days), 12 ; immediately after dinner (third day), 1.

OXALICUM ACIDUM. RECTUM AND ANUS. [450.]

Burning in the rectum, during the night (twentieth day), 12.
Violent tenesmus in the upper part of the rectum, in the morning, on rising, not like diarrhœa, but in a long and narrow streak, extending downward in the right side of the rectum, very painful, and similar to cutting with a knife; repeated on sitting down to stool; afterwards, a pressing-cutting pain in the right side of the rectum; after the stool there remains an undefined sensation in the anus for half an hour (second day), 11.
Pressure towards the anus (fifth day), 2.
In the evening a slight pinching from flatus, near the anus, 11.
Frequent pains in the anus, disturbing sleep, at night (twenty-first day), 12.
In the anus a dull slow stitch, often returning, 11.
Repeated, but ineffectual, efforts for stool; tenesmus constant (twentieth day), 12.
Ineffectual desire for stool (twenty-second day), 12.
Desire for stool, in the morning, on lying down, with desire to urinate (an hour after taking milk), (second day), 11.

STOOL

Diarrhœa.
Violent purging, 41 ; directly, 55. [460.]
Purged violently and passed blood in the stools (after one hour), 58.
Purging (after one hour), 30, 66 ; the fæces of a natural color (after ten minutes), 36.
Feeling of diarrhœa immediately after drinking coffee, 11.
Had excessive catharsis, and was evidently suffering excessive tormina (after half an hour), 16a.
Diarrhœa at 7 A.M., and a very copious pasty evacuation, preceded by fine colic, followed by more violent colic, then general sick feeling, desire for stool, and recurrence of the diarrhœa the same forenoon; in the afternoon diarrhœa, with constant desire for stool, and evacuation of the undigested food taken at dinner (second day), 1.
Copious diarrhœa, preceded by violent colic, in the morning, after rising; at 9 o'clock, very thin watery diarrhœa, with great weakness and prostration, followed by nausea and tension in the calves; in the afternoon, again diarrhœa (third day), 1.
Copious pasty stool, preceded by rumbling in the abdomen and colic (twelfth day), 12.
Scanty pasty stool at 8 A.M., and a copious one, with great urging, at noon (fifteenth day), 12.
Very violent diarrhœa-like evacuation at 3 and 7 P.M. (eighteenth day), 12.
Constant involuntary discharge of fluid fæces, occasionally mixed with blood, 50. [470.]
Bowels have been moved three times, and rather relaxed, which is unusual (second day), 66a.
Three thin pasty discharges, during half an hour, after breakfast; three again at noon; at 8 P.M. another, somewhat harder, with some pressure towards the anus (fifth day); on the next day there were three somewhat hard stools, from morning till noon, without pressure towards the anus, 2.
Very watery diarrhœa three times a day (fourth day), 2.
Three stools (second night); two of natural color (third day); mixed with blood (fourth day), 36.
Two passages of the bowels during the day, 5.
Injection produced a free discharge of a green slimy matter (second day); discharge from bowels remained much the same for three days, when it assumed a better appearance, .

URINARY ORGANS

Woke towards morning with pain in the left kidney, 11.
In the evening, slight pain in the region of the right kidney, 5.
Intense pain in the region of the kidneys, 56.
(Feeling of fulness in the bladder), 11.
Bladder distended with urine, but cannot pass (tenth day), 31.
Slight burning pain through the urethra to the orifice, as though a drop of acrid urine would pass, in the evening (second day), 1.
Slight burning, with a somewhat voluptuous sensation in the urethra, during micturition, at noon (eighth day), 1. [500.]
Violent burning during micturition; the urine is passed only in drops (sixth night), 1.
Micturition and Urine.
Passed urine involuntarily (third day), 17.
Frequent desire to urinate; the urine is of a lighter color (second day), 11.
Urging to pass water, with copious discharge; the water is of a lighter color than usual, 5.
Disposition to pass water every two hours, and in large quantities (second day); inclination to pass water every hour, and in large quantities each time; slight burning in passing the urine, which is clear, and of a straw color (third day), 6.
Urine passed more frequently, in a smaller quantity than usual, 13.
Diminished desire for micturition (eighth to tenth day), 12.
She passed no water during the whole ten hours, 61.
Profuse flow of light-colored urine frequently during the evening, 6.
Copious discharge of urine, at 5 A.M., 9. [510.]
Passes less urine than usual, in the morning (second day), 11.
The urine passed in the morning and evening was exceedingly acid, even after standing thirty-six hours in a warm room; deposited numerous crystals of uric acid; indications of oxalates of lime were recognized in the milky-white sediment (nineteenth day), 12.
For more than a week her urine was loaded with enormous crystals of oxalate of lime; a single drop on a glass slide yielded hundred of crystals, together with blood-disks; some of these crystals were quite one-fiftieth of an inch in diameter, which may, perhaps, account for the intense pain in the region of the kidneys, .

SEXUAL ORGANS

Male.
Red points on the glans penis, without itching or soreness, 11.
Pain in the glans penis, six or seven thrusts, not very violent, but very annoying, always on urinating (second and third days), 11.
During walking, in the evening, a pretty severe pain and heaviness in both testicles, shooting along the spermatic cords; worse on the right side, 5.
Itching in the testicles and spermatic cords, 5.
Erections, without cause, on lying down in the forenoon, followed by pain in the testicles on going out (first day); after going out, pain in the testicles and spermatic cords; worse in the latter, and worse on the right side (first day), 11.
Erections, with dulness in the occiput, after sleep, in the forenoon (second day), 11.
Erections and lascivious dreams (sixth night), 11. [520.]
Excitement of the sexual function, repeatedly, 5.
Emission interrupted by waking (first night); it followed on the fourth night, 1.
Great increase of sexual desire during the night and morning, with voluptuous dreams every night, for three nights, 6.
Excessive sexual desire (fifth day), 6.
Female.
A great deal of burning pain in the genital organs, 61.

RESPIRATORY ORGANS

Larynx.
On walking in the open air, tickling in the larynx, with a sensation of sticking; he coughs several times; the larynx feels swelled, 8.
During speaking, a sensation of mucus in the larynx, hoarseness; he has to expectorate more than usual, 11.
A few mouthfuls irritated the glottis, 49a.
Voice.
Voice very rough, 60.
Voice rough before going to bed (third day), 2. [530.]
Hoarse (third day), 17.
Voice very hoarse (second day), 58.
Lost her voice for eight days, but whether this depended on the action of the Oxalic acid or not it is difficult to say, 24.
Directly after the recovery from the first effects a new symptom presented itself, namely, alteration of the voice . The man, previous to taking the Oxalic acid, possessed a remarkably deep bass voice, now reduced to a very low key, giving you the idea of a person talking in an undertone. This "weakness" of the voice remained for more than a month, without any amelioration, during the greater part of which period his legs used, for several hours a day, "to go to sleep," as he termed it. Nine weeks from the time of taking the acid his voice had become much stronger, but he says he "cannot sing his old songs any longer, as his voice is so altered;" in fact, it is a complete old man's voice, 54.
Cough and Expectoration.
Constant dry cough on violent exertion (third day), 1.
Violent dry cough, caused by tickling in the throat, with violent pains in the chest, afterwards somewhat persistent, in the morning (after fifteen hours), 1.
Cough and tickling in the throat, in the evening (after five, and six hours), 1.
Some slight cough, with soreness of chest (fourth day), 36.
Slight cough (fifth day), 21.
Slight cough, from tickling in the larynx and trachea; also sensation of soreness in the larynx, 5. [540.]
Desire to cough, but cannot for pain in his side (fourteenth day), 21.
Has a little cough, and expectorates a considerably quantity of greenish mucus (fifth day), .

CHEST

Sharp shooting pain in the left lung and heart, extending down to the epigastrium, lasting for some seconds (from 5 grains 1/10th, fourth day), 6.*
In the afternoon, stitches several times in the left lung (fifth day), 6.
Sharp lancinating pain in the left lung, coming on so suddenly that it deprived him of breath for several seconds, and then gradually subsided (sixth day), 6.
Some tightness in the chest, with inclination to take a deep breath (after one hour and a half), 1. [560.]
Pressure upon the chest, as if it were ulcerated, at noon (second day), 1.
Sore pain, like a sore sticking, in the chest, that afterwards extends backwards to between the scapulæ, at 2 P.M. (third day), 1.
Pains in the chest when coughing, 1.
Feeling of constriction across the chest, and the breathing is rather short (fifth day), 30.
Dull pain in the middle of the chest, extending through to the scapula (after two, and three hours), 1.
Stitches in left breast, more during walking, 8.

HEART AND PULSE

Heart.
Sensation as if ulcerated in the præcordial region, with heaviness of the chest, as in asthma or in dropsy of the chest, in the evening, 1.
Oppression at præcordia, with sighing (after two hours), 35.
Fine stitches in the præcordial region (second day), 1.
Stitches in the heart, extending towards the upper abdominal region, 6. [570.]
A pain in the heart, that extends forward from the posterior and lower portion, in the forenoon, while lying down, and afterwards, also, while walking in the street; very violent electric-like beats extending outward from a place rather near to and below the nipple to the sternum (second and third days), 11.
Heart in a continual fluttering palpitation, 31.*
Immediately after lying down in bed, at night, palpitation of the heart, for half an hour, three nights consecutively, 5.
After going to bed, at night, the heart made its beatings sensible in an unusual manner, and attracted attention, 66a.
Heart's impulse much diminished (after four hours), 36.
Heart's action exceedingly feeble, and the sound barely audible (after nine hours), 30.
Heart-sounds imperceptible, and the pulse could be felt only at long intervals, 60.
Heart's action irregular, and the sounds somewhat distant, but otherwise normal, 52.
Depressed circulation, 50.
There seemed to be no capillary circulation; there was no pulsation in the radial artery, and it was extremely feeble in the brachial (second day), 67.
Pulse. [580.]
Pulse 110 and sharp (second day); 120 and wiry (third day); 110 and hard (fourth day); 98 and softer (fifth day); quick and tremulous (eighth day), 21.
Pulse hard and contracted (after twenty minutes), 20.
Pulse more frequent than usual, 100 and over, 5.
Pulse more rapid than usual (third day), 3.
Pulse quick and small (after one hour and a quarter), 26.
Pulse increased in frequency, from 100 to 108, , .

NECK AND BACK

Smarting soreness around the neck, as if chafed by the collar, 9.
Bruised sensation in the back, extending from the shoulders to the loins, on waking (second day), 11.
Acute pain in the back , gradually extending down to the thighs, occasioning ere long great torture, and continuing almost to the moment of death (the first symptoms in a patient who had swallowed 1/2 ounce; he died in thirteen hours), 50.
Dorsal.
Deep burning pain between the scapulæ, in the evening (second day), 1.
The back feels as if bruised and stiff, in the morning, especially beneath the tip of the left scapula (second day), 11. [620.]
Pain as if something were sticking beneath the point of the right scapula, very acute, while sitting (second day), 11.
Pain as if something were sticking in the right side, below the shoulder, towards the back, in a small spot, which he had indeed frequently experienced, now very acute, while sitting, 11.
Lumbar.
Intense lumbar pain (second day), 56.
Pain in the small of the back, during the whole of the day, somewhat relieved after a hard evacuation (eighth day), 12.
Pain in the small of the back, on both sides of the spine, in the region of the kidneys (eleventh day), 12.
Pain in the lumbar region, between the last ribs and hip, extending towards the right side, after rising from a bent posture, 11.
Sticking pressure above the right hip during hiccough, 11.
Stitches above the hips during hiccough, 11.
During yawning, a pressing stitch above the right hip, which takes away his breath, 11.
Cold creeping, especially extending upward from the lower portion of the spine, 1. [630.]
After rising from the recumbent position, a pain in the region of the right loin, between the last rib and hip, 11.
Weakness in the loins and hips, extending down to the lower extremities (from 5 grains 1/10th), 6.*
Pains shooting down from the loins to the limbs, the patient seeking constant relief in a change of position (in a patient who died in thirteen hours), .

OXALICUM ACIDUM. EXTREMITIES

Contractions of the arms and legs, 60.
Trembling of the limbs, 27.
Lividity of extremities, 52.
Hands, arms, legs, and feet were of a livid color and cold, and she could hardly move the legs at all (after nine hours), 30.
Uneasiness in limbs and feet, which he is hardly able to keep quiet for a few minutes at a time, 6. [640.]
Strange sensation of numbness about his limbs, 41.*
Numbness and tingling in the extremities, and the legs drawn up toward the abdomen, 54.
Oxalic acid has a decided action on the joints, ankle, knee, hip, wrist, shoulder, 5.

SUPERIOR EXTREMITIES

Numbness from the shoulders to the tips of the fingers, 61.*
Numbness in right arm (second day), 17.
Sensation of numbness in the left arm (after a quarter of an hour), 11.
Shoulder.
Sharp shooting pain in the right shoulder-joints, coming on suddenly, and lasting about fifteen minutes (one hour after 3 grains 1/10th), 6.
After lying down in bed, a twitch in the left deltoid muscle, and in a few minutes one in the right, 10.
Upper Arm.
Violent pressive pain in the middle of the upper arm, as if in the bone, frequently a jerking, so that he was obliged to stretch and move the arm, the whole evening, 11.
The muscles of the upper arm are painful, as if beaten (fourth day), 2.
Wrist.
Pain, as if sprained, in the right wrist, which he had had for some time, became much worse, in the forenoon; in the afternoon he was frequently obliged to crack it (first day); it returned on the second day; he was obliged to stretch and bend it until it cracked; on both days, while writing, a violent jerking stitch in the ulnar region near the wrist; on the third day it was very distinct and very frequent in the articulation of the ulna; the right wrist was constantly painful, as if it had been sprained or dislocated ; if he attempted to lift anything, he was obliged to let it fall; repeated sticking pain in it, especially when writing (after six, eight, and twelve hours, third day); the right wrist remained painful; after some weeks it suddenly became so much worse that the slightest motion was intolerable; he was obliged to sit and hold the hand straight up, resting upon the elbow day and night; the pain was frightful; could neither eat nor sleep for several days; at first Causticum speedily relieved; afterwards the hand became better than formerly, and the inclination to stretch and crack the wrist disappeared, 11.
Hand. [650.]
Frequently his hands were involuntarily clenched when awake, 41.
Heaviness of the left hand; motion of the fingers follows the will slowly and with difficulty (fourth day), 3.
Sensation as if the hand were dead, 50.
Fingers.

INFERIOR EXTREMITIES

Blueness, coldness, and almost complete immobility of the lower extremities ; had not entirely disappeared after fifteen days, 5 ; (from 2 drachms), 50.*
Slight lameness and stiffness in the lower extremities, 6.*
During the entire day he had frequent cramps in the legs and feet, which were soon relieved by pressure, 41.
Hip.
Sticking pain in the right hip-joint, 9.
Knee.
A very violent contracting pain in the external tendon of the left knee (first day), 11. [670.]
Great weakness in the knees, on going upstairs, lasting some time after the cessation of other symptoms, 11.
Jerking-sliding pain in the hollow of the left knee, 11.
Leg and Ankle.
Tension in the left calf, while walking; in the afternoon, after diarrhœa (third day), 1.
Aching pain in the right ankle-joint, with a feeling of swelling of this part and the whole right foot (from 5 grains 1/10th), 6.
Foot and Toe.
Sharp shooting pain on the instep of the right foot, lasting for half an hour, at intervals. The same pains the next day, lasting five minutes. Sharp pain in right ankle-joints, several days after the first pains, 6.
In the morning on rising, the toes of the right foot are spasmodically flexed, without pain, repeated at noon, after sitting some time (third day), 2.

GENERALITIES

Lies upon his back, with his knees drawn up very high (third day), 21.
Lay spine (after four hours), 36.
She lay in bed exhausted, and in a state of insensibility, for four hours, 36.
General redness of the body (after twelve days), 17. [680.]
The symptoms from Oxalic acid usually intermit, for some hours or a day, and then return in a diminished degree, 5.
Some, who are generally much affected by cold weather, appear better able to bear it, 5.
Convulsions, 25, 40.
Convulsions, with two or three deep inspirations, before death, 50.
Convulsion, either at the time of death or before, 50.
Slight convulsion and death (after twenty minutes), 18.
Symptoms of collapse, with convulsions, followed by death (third day), 60.
Violent spasms, 17.
Spasms, followed by death (after three-quarters of an hour), 45.
Two persons had mimic spasms, when moving a tablespoonful about in their mouths, and said they felt as if they should never laugh again, 49a. [690.]
The effect on the nerves was the production of mimic spasms, or the pulling of the face, which acid fruit and vegetables, such as rhubarb, produce, 49.
Spastic contraction of the muscles of the jaws and extremities, 40.
Violent tremors, 28.
Slight convulsive twitchings (second day), 60.
Twitching, 48.
Sudden jerking (a short but very distinct pain) in the metacarpal bone of the left index finger, soon afterwards on the outer side of the ulnar margin of the left hand, and at last in the right side of the head (first day), 11.
Restless during night (first day), 21.
Very restless night (second day), 21.
Very restless (eighth day), 21.
Increasing emaciation (after seven days), 17.
Debility and Prostration. [700.]
Increasing debility (after twelve days); death (fourteenth day), .

SKIN

Skin constantly dry (second day), 1. [750.]
The fold of skin around the nails of the third, fourth, and fifth fingers becomes cracked and inflamed (from external application to the middle finger), (from Hering).
Skin of face, head, chest, and nates covered with red spots or petechiæ, appearing as if bespattered with blood (sixth and seventh days), 31.
Anomalous efflorescence on a great portion of the body (second day); nearly disappeared (third day), 32.
An eruption or mottled appearance of the skin, in circular patches, not unlike the roundish red marks on the arms of stout healthy children, but of a deeper tint, 51.
Peculiar eruption over the whole surface; it was an exanthema, and the dermatologist would call it roseola; as it subsided it left the skin very dark, so much as to attract the notice of his visitors; the cuticle afterwards desquamated, 41.
Eruption appeared over the whole body, similar to the maculæ of typhus, but passed off next day (after nine days), 39.
Two days since, an eruption appeared over the body similar to the maculæ of typhus, which has not completely disappeared (twelfth day), 36.
Eruption over the whole body, papular and itchy (twelfth day), 17.
On a spot on the right index finger, where a cut, from a penknife, had healed four days ago, a very painful pustule appears (2d trit.), 5.
During shaving the skin is more sensitive, 11. [760.]
Itching on the neck, 5.

SLEEP

Sleepiness.
Very violent yawning, 8.
Constant yawning, followed by accumulation of water in the mouth, in the evening (fourth day), 4.
Inclined to stretch and yawn, 1.
After dinner, sleepiness, and profound sleep while in a sitting position, 5.
Long undisturbed sleep (very unusual), with profuse nightsweat; the wet shirt feels very cold on waking (third night), 1.
Very profound and long sleep; on rising from bed quite stupid; he lies down again and sleeps one hour longer (second day), 11.
He is more inclined to sleep at night than usual, 5.
Great sleepiness, in the morning (second day), 11.
Tendency to sopor, alternated with restlessness (second day), 17. [770.]
Drowsiness, for several days, 35.
He raised himself up in bed in alarm, looking round the room, but on recollecting where he was, he lay down again, repeating the same action in an hour (first night, after 3 grains 1/10th trit.), 6.
Conscious when aroused, but immediately lapses into a sleepy state (after four hours), 36.
Frequent startings in sleep, 41.
Sleeplessness.
Slept very little through the night, and when he did, had constant dreams, with starting, and then waking up with fright; the dreams were of an unpleasant character (first night), 6.
Little sleep (first night), 30.
Sleep very restless, but without dreams (second day), 5.
Being awakened by a noise in the night, he could not go to sleep again for two hours, 8.
Dreams.
Dreams of rapidly sliding walking; he glides on his way with every step without difficulty; dreams also that water is poured upon him (second day), 5.
Continual and vivid dreams, always of a frightful nature; he wakes often, and dreams constantly, 5. [780.]
Dreams of an agreeable and lascivious nature, and of a character of reality, 10.
Has had dreams which he cannot remember (first night), .

FEVER

Chilliness.
Violent shaking chill, with small contracted pulse, red face, and sensation of heat, without actual warmth of the head, and icy-cold hands, as if dead, in the evening (fourth day), 4.
Chilliness the whole day; with heat on every, even slight, exertion (fifth day), 2.
Several slight rigors (sixth and seventh days), 21.
Chilliness, in the afternoon, after the diarrhœa (second day), 1.
Chilliness, alternating with heat, the whole day (fourth day), 4.
Skin cold, 37.
Surface cold and clammy, 50, 52 ; (after half an hour), 57, 60.
Face and hands livid, and cold as a stone, 67. [790.]
Hands, face, and feet cold, and covered with perspiration, 27.
Face and extremities pale and cold, 18.
Creeping of cold, particularly from the lower part of the spine upward, 5.
Trunk and extremities become icy cold (after two hours), 35.
Extremities cold (after four hours), 36, 38, 41 ; (after one hour), 58.*
Extremities cold, and the nails livid, 17.*
Hands icy cold, as if dead, in the evening, with shaking chill, 4.
Feet and legs icy cold, 60.*
Feet quite cold, in the evening (third day), 1.
Heat.
Very hot, 28. [800.]
General sensation of heat, 5.
Heat in the face and hands (fourth day), 2.
Some heat, at first in the face, and afterwards in the left leg, as from external warmth (second day), 11.
Flushes of heat and sweat, in the morning, with sharp pains in the forehead and vertex (soon), 6.

CONDITIONS

Aggravation.
( Toward morning ), Pain in left kidney.
( Morning ), Vertigo, with anxiety, headache, weariness, and thirst; on waking, pain in frontal region; headache in left frontal region; mucus in margin of lids; sour taste in mouth; thirst; nausea, with cutting in abdomen; 6 A.M., distressed feeling in abdomen; cutting pain in abdomen; after rising, colic with diarrhœa; on rising, tenesmus; diarrhœa; 7 A.M., diarrhœa; on lying down, desire for stool; 5 A.M., copious discharge of urine; increase of sexual desire; dry cough; bruised sensation in back; on rising, toes flexed; weariness; sleepiness; flushes of heart.
( Morning and evening ), Acrid urine.
( Forenoon ), On rising, pressure in forehead; eyes sunken and surrounded by blue rings; sensation of heat in face; during nap, sour taste; 11 A.M., hiccough; 10 A.M., nausea; sick feeling, with diarrhœa; 8 A.M., hiccough; 10 A.M., nausea; sick feeling, with diarrhœa; 8 A.M., scanty stool; cutting in abdomen; erections, and on going out, pain in testicles; after sleep, erections, with pain in occiput; after diarrhœa, pain in pharynx; respiration impeded; while lying down, pain in heart; pain in right wrist.
( Noon ), Pale look and no appetite; pain in hollow tooth; eructations, with rumbling and gurgling in abdomen; copious stool; pulse hard and rapid; pressure upon chest; after eating, weariness.
( Afternoon ), Vivacity and power of concentration; ill-humored; 3 P.M., thirst; pain in right side of abdomen; rumbling in abdomen; eructations of gas; diarrhœa, with desire for stool; stitches in left lung; after diarrhœa, chilliness.
( Evening ), General excitement; ill-humored; when looking out of window, vertigo; after wine, headache; sensation as if sand were in left eye; red face, with shaking chill; stitches in left ear; sneezing, with chilliness; nose painful; no appetite; pyrosis and emission of flatus; pain in umbilical region; rumbling in bowels; pain in descending colon, with pain in abdomen and desire for stool; pain in region of right kidney; burning in urethra; profuse flow of urine; cough and tickling in throat; ulcerated sensation in præcordial region; burning pain in scapulæ; pain in upper arm; weariness; yawning; hands cold, with shaking chill; chilliness; itching in a spot on neck.
( Night ), 11 P.M., hunger; pressive pain in pit of stomach; pain about umbilicus and emission of flatus; pain in region of navel; on waking, flatulent colic; burning in rectum; pains in anus; increase of sexual desire; after lying down, palpitation of heart, voluptuous dreams.

Oxalicum Acidum