By Timothy F. Allen — The Encyclopedia of Pure Materia Medica
A. napellus, L. (including also A. Stoerckianum, Reich., in part).
Nat. order , Ranunculaceæ.
Common name , Monkshood.
Preparation , Tincture from the whole plant and root when beginning to flower.
Authorities.
1 , Hahnemann, R. A. M. L., vol. 1; 2 , Fred. Hahnemann, ibid; 3 , Ahner, ibid; 4 , Hornburg, ibid; 5 , Rückert, ibid; 6 , Stapf and Gross, ibid; 7 , Wahle, ibid; 8 , Abano, ibid. (a general statement of the effects of Aconite poisoning); 9 , Bacon, ibid. (poisoning of an adult by Aconite); 10 , Durr, ibid. (effects of a mixture of Aconite and antimonial wine); 11 , Gmelin, ibid. (effects when given to patients a long time); 12 , Greeding, ibid. (an account of the treatment of nine patients, variously afflicted, with increasing doses of the extract, as follows: I. A woman, æt. 35, with indurated cervical glands; II. A woman, æt. 36, with the same, and also a maniac; III. A woman, æt. 32, with the same; IV. A woman, æt. 68, with left hemiplegia; V. A woman, æt. 179, with the same; VI. A woman, æt. 49, with dropsy; VII. A woman, æt. 49, in general ill-health; VIII. A woman, æt. 24, demented and epileptic, subject to spasms of the limbs; IX. A woman, æt. 40, with glandular tumors); 13 , Van Helmont, ibid. (effects of putting a piece of the root on the tongue); 14 , Matthiolus, ibid. (a narrative of two cases in which Aconite was administered to criminals (male adults) to test the efficacy of the bezoar-stone as an antidote, S. 441, 635, 1374, 1652, occurred in the first one, the rest in the second); 15 , Moraeus, ibid. (two adults poisoned, S. 631 belongs to one, S. 1479 to the other); 16 , Richard, ibid. (as Matthiolus, one subject); 17 , Roedder, ibid. (effects of the application of Aconite-juice to a wound); , Stoerck, ibid. (this writer experimented on himself by placing a small quantity of the root on his tongue; he then gave the medicine to the following patients. I. A man, æt. 30, with pleurodynia; II. A man, æt. 27, with sciatica; V. (Note. The omitted numbers belong to cases from which Hahnemann has taken no symptoms). A woman, æt. 40, with a cervical tumor; VII. A woman, æt. 22, with a considerable swelling in the left iliac region; X. A woman, æt. 43, with neuralgia of the right foot and arm); , Hencke, provings Archiv. 20 ("c." a girl), with the tincture; "d," a married woman; , Arneth, Oest. Zeit., 1, 2, Austrian provings, mostly with the tincture; , Boehm, ibid.; , Gerstel, ibid.; , Gerstel's wife, ibid.; , Maschauer, ibid.; , N. N., ibid.; , Reisinger, ibid.; , Rothansel, ibid.; , Schwarz, ibid.; , Sterz, ibid.; , Wachtl, ibid.; , Watzke, ibid.; , Weinke (girl), ibid.; , Wurstl, ibid.; , Wurmb, ibid.; , Zlatorovick, ibid.; , Jousset; , West (from Roth's M. M., 1); , Robinson (short provings in British Journal with 30, 200, 1000, 2000); , H. N. S. (Hahnemannian Monthly, 4, 366, proving with a potency); , T. C. D., ibid. (proving with the 60th); , Fleming (on Aconite); , Schneller (Roth's Mat. med., 1); , J. C. Peters (effects of a large dose).
Toxicological symptoms are marked with [t] .; verified clinical symptoms are marked with a pellet, [°].
MIND
*(Nightly raging delirium ; he will not be kept in bed; in the morning excessive sweat), 10.
He did all things hurriedly, and ran about the house, 13.
Transient frenzy, 15, [t] . [Not found in the original. -Hughes.]
(Hope is aroused, immediately after vomiting), 16, [t] . [Mental effect of vomiting after an antidote had been given.]
Excessive disagreeable restlessness; without occasion for hurrying, he is in the greatest haste, every obstacle that delays his rapid pace is excessively annoying; he knocks against some people who do not get out of his way fast enough, and runs in breathless haste up the steps; this hurried disposition lasted two hours, 35.
He raves, though awake; jumps out of bed and imagines he is driving sheep (14h.), 1.
Lucid (clairvoyant) vision, 1 . [Hahnemann's note explains that he was conscious that his beloved, fifty miles away, was singing a certain piece.]
Rapid change of thought , great exertion is required to fix the train of thought, 35.
Unsteadiness of ideas; on attempting to think of one thing, another forces it out of the mind, and this is supplanted by another, and so on, until he becomes quite confused, 6.
Restlessness, uninterrupted, unpleasant ; he must now sit, now stand, now walk, he does not know what is the matter, .
HEAD
Confusion in the head as after intoxication , with pressure in the temples, 1. [110.]
Confusion of the head evenings with pressure in the forehead (several).
Confused and muddled feeling in the head early in the morning after waking (several).
Confusion with heaviness and fulness of the head, aggravated by motion (several).
Confused head* and pressive pain in the forehead, mornings on waking 19a.
Confusion of the head soon changed to a sense of heaviness, and pressive pain in the vertex and forehead 19c.
Frequent attacks of V., feeling as if about to fall over, 40.
V. as after slight intoxication, with distraction of mind, 26.
V., the child totters and cannot stand, [t].
V. and stupefaction on entering a warm room, as if intoxicated, 35.
*V., especially on stooping ; she staggers, especially to the right (36h), 6.
V., everything seems to go around in a circle, she can scarcely get into bed (37h), 6.
V. as if into intoxicated, all goes around, she staggers as if about to fall; with nausea, worse on rising from sitting, less while walking, not a all while sitting (1/2h), 6.
Staggering as from concussion after a fall on the occiput, 25.
V., sense of swaying hither and thither in the brain, 1.
Fine penetrating stitches in the point of the T ., 1.
Momentary flying stitches in the T., with salivation, 18 . [See note to S. 479.]
Occasional single stitches in right, under surface of T., .
THROAT. [540.]
Uvula swollen and elongated; *the fauces and pharynx injected dark red ; feeling as if an angular many-pointed body were sticking in the throat; prickling burning in the palate, throat, and along the Eustachian tube, increased by swallowing, with oppression of the chest, headache, and increased flow of saliva; the throat symptoms were increased by walking in the open air, and relieved after eating, 31.
Soft palate, tonsils, and fauces reddened, with feeling of warmth and dryness of lips, 28.
Drawing from the side of the throat to behind the ears, 6.
Fine stinging sensation in the back of the throat, as from the small pricking hairs of the seed of the dog rose (Rosa canina) (1h.), 1.
A sticking choking sensation in a small spot on left side of throat, worse when swallowing and speaking, but felt also when at rest; after one-fourth hour it passed into the right side, while the painful sensation in the left side ceased; it, remained there one-fourth hour, then disappeared, 6. [550.]
Burning sensation in umbilical region, which rapidly traversed it and spread toward the pit of the stomach, with anxious pulsation and shooting there; after a short time came a rigor over the whole body, whereupon the hot feeling and the painful sensation in the umbilical region disappeared (1h1/2.), 6.
Three thin watery stools of dissolved offensive fæces (19a.); with slight bellyache (19a.); with grumbling in abdomen, and faint sinking feeling (19a.).
Three thin fluid stools with some cuttings in abdomen (2d d.), (19b.).
Diarrhœa of thin fluid, [t].
Between 6 and 7 A.M. an urgent desire for stool and copious discharge of soft fæces with straining, 19d. [770.]
Diarrhœa, [tt].
Painless diarrhœa preceded by pinching about the navel, 20.
Desire to urinate, the urine is uncommonly scanty, and discharged not without difficulty, as if it could not escape well, but without pain, with slight pinching in the umbilical region (from the smell of the), [°], 6.
Several flying painful stitches in the glans, as though the poles of a galvanic battery had been applied to the part; the pains came on most unexpectedly, 38.
Sensation of numbness in the trachea, under the sternum (8h.), 1.
Rattling vibration of trachea, [t].
Pressive and burning pains in trachea, extending down to pit of stomach (15th d.), 27. [880.]
Raw feeling in throat along course of trachea, provoking frequent short cough, 29.
Morbid condition (paralytic attack) of the epiglottis; food and drink easily pass into the windpipe on swallowing, threatening suffocation, and causing cough; he chokes himself easily, 1.
Transient stitches in heart region (sometimes noticed in rest), especially on walking, forenoons (19a.). [1050.]
Anxiety in cardiac region , and oppression of chest, with contracted pulse and constriction of the chest, when sitting after much motion, 35.*
Palpitation, with great anxiety, difficulty of breathing, and great weariness in all the limbs; sensation as of something rushing into the head, with confusion and flying heat in the face, 6.
*Palpitation and anxiety , with increased heat, especially of the face, 6.
Palpitation of heart ( several ).*
Palpitation on walking, with great anxiety, etc. 19c.
Palpitation of the heart, with great anxiety and restlessness, and pressive pain in the cardiac region, 24.*
Sudden violent palpitation while sitting quietly, with a tight feeling in the chest, 24.
Palpitation lasting all day, relieved by quiet, increased by walking, 24.
Pain as if the flesh were separated in the nape, with feeling as if the neck would not support the head, and the head would on that account fall forward; on moving the head, shootings in the nape, 6.
Rheumatic pain in the nape, felt only on moving the neck (after 5-9h.), 1.
Stiff feeling in the nape of the neck in the evening, 29, 34.
Stiff feeling in the nape, with chilly hands and feet, 34.
Drawing pain to the left of the nape and in the scapula on moving the neck, 35.
Single stitches in both sides of the nape, 5. [1100.]
Weariness in the neck on motion, as if involving single muscles , especially evenings and nights, 22.
Drawing pain into the neck, into the ear and shoulder, 34.
Stiff and bruised feeling in the left side of the neck, to the left shoulder-joint and a portion of the dorsal muscles; worse on lying, better on moving (5th d.), 30.
Pressive pain in the left side of the cervical vertebræ, 7.
Pressive pain in the neck, as of a pressure with the point of a finger inwards toward the trachea, 3.
Stretching in the cervical muscles on turning the head, 35.
Pain extends from neck towards right shoulder, 39.
Bruised pain between the shoulders, 27, 28.* [1110.]
Dull rheumatic pains in muscles of back and shoulders, in the places where the chilly or numb sensations had been most marked, .
ACONITUM. EXTREMITIES IN GENERAL
*Trembling and tingling in the limbs, accompanied by shooting pains (1/4h.), [t].
*Convulsive trembling of the limbs, [t].
*Twitching of fingers and toes, [t].
*Convulsive contractions of limbs, [t].
Involuntary stretching of limbs, [t].
Distortion of extremities, [t].
He was unable to keep himself upright, and was attacked by convulsions, the upper and lower extremities were drawn inward, the fists clenched and the thumbs doubled into the palms so that he could not open the hand, [t]. [1150.]
A paralyzed feeling in left arm and thigh; the power of moving was gone in both, only slightly remaining in the hand. When the left side lost this it came into the right side in the same way; when he could raise the right arm he could not the left, and vice versâ ; at length could raise them both, 14.
Feeling as if the limb had gone to sleep, [t].
It seemed as though the circulation stopped in all his limbs; no circulation at all was felt by him from the wrists to the finger ends, and from the ankles to the tips of the toes, 9. [1160.]
Weakness and unsteadiness in the ligaments of all the joints (46h.), 1.
Feeling as though the ligaments of the joints were relaxed, 27.
Great weakness of the joints, especially the knee and joints of the foot, with jerking in the tendons so that he can scarcely walk, 9.
Powerlessness in the head of the femur, or inability to walk, owing to an indescribable, intolerable pain, almost like a crushing of the head of the femur, which sometimes declines and sometimes increases, and occurs after lying down and after sleep (after 5h.), 1.
Powerlessness and pain in the head of the femur, producing unsteady gait, 1.
Drawing pain in the head of the left femur, while standing and sitting, but still more while walking, 6.
Tired feeling in the lower limbs during repose, 34, 35.
Sensation of heaviness in the limbs, as if they were asleep ( several ).
Bruised pain in the limbs, especially in the knees, 29. [1270.]
Stiffness and heaviness of the limbs, when walking, preventing him from walking quickly, 31.
His limbs trembled as he walked, [t].
Trembling of limbs, [t].
The lower extremities were in perpetual movement, even when he sat down, [t].
An almost paralytic powerlessness of legs and thighs, after sitting, 1.
GENERALITIES
Convulsions, [tt]. [1350.]
Clonic spasms, [t].
Spasms of the eyes; clenched jaws ; the body became rigid and bends backward; the limbs are distorted with spasms, and he dies, [t].*
Convulsive attacks; the upper and lower limbs drawn inward; the legs in constant motion; face covered with cold sweat; the eyes turned up: the joints crack during the spasms, [t].
Violent convulsive fit; the eyes drawn up under the lids; the fists clenched across the throat; the teeth grate violently against one another, and a thick ropy saliva was forced through the lips, [t].
(In the evening sudden crying out, gnashing of teeth; then, from long-continued hiccup, stiff immobility like a statue (catalepsy), 12 .)
Twitching of tendons, [t].
The symptoms at last become chiefly confined to the tendinous or muscular structures, such as shortened feeling of the tendons of the ham and of the tendo Achillis, 20.
Twitching of various groups of muscles, especially of the forearm, as if he held the conductors of an electro-magnetic apparatus in his hand, only the pains come and go slower, 31.
*Excessive restlessness and tossing about for several hours, 38, [t].
She gave an occasional sigh, tossed her arms backward above her head, and sought to shift her position by jerks, [t]. [1360.]
Red pimples on flexor side of the thumb, index and middle fingers, painful to pressure (cont. 5d.), 6.
Skin seems dotted with red spots, [t].
(Isolated vesicles, here and there, fill with yellow lymph and dry up, 31 .)
(Red pimples, filled with acrid fluid, all over body (from patient with sciatica), 18 .) [As this eruption appeared the pain ceased.]
(Broad, red, itching pimples all over body (from patient with rheumatism), 18 .) [See note to 1447.]
Chiefly on face, forehead, nape, and various parts of the body, isolated vesicles, the size of a pin's head, containing a serous fluid, and attended with itching; successive eruptions appeared for a fortnight, which dried up and fell off gradually, 23. [1450.]
(Itching all over the body, especially on the pudenda (from a patient with sciatica), 18 .) [See note to 1447]
Itching in several muscular parts, especially the forearms, 31.
Constant itching and smarting on various parts of the skin, 31.
Great heat all over the body , and burning-itching, especially on the inside of the thighs and about the knees, 27.
Creeping, itching, and desquamation of the skin, especially on the affected parts, 1.
Sensation in the skin as if the epidermis were separated from the cutis by an intervening layer a kind of wandering, creeping, and running all over the body, with uncomfortable shuddering feeling, 35.
Formication and biting, especially on the hairy parts of the body, with the exception of the head, as if from fleas, making him scratch, 35.*
Fine pricking, as if from needles, here and there on the body, 6.*
*The tingling sensation spread gradually over the whole body, until it took in all the limbs, .
Shivering for several hours , as if between the skin and flesh, especially over the back and abdomen; felt even when perspiring from rapid walking, 35.
Shivering and frequent yawning on rising in the morning, 6.
Shuddering from the middle of the spine to the lumbar muscles of both sides, as if from taking cold, 30.
Chilliness over the back, as before the outbreak of catarrhal fever, 26.
Constant coldness through the arms and legs, and shivering even in the face, 6. [1560.]
Chilliness and formication between the shoulders and down the back, with cold tips of fingers and toes, blue nails, even in a warm room ( ).
CONDITIONS
Aggravation.
( Morning ), Confusion etc; muddled and empty sensation in head heavy and dizzy, etc.; blowing of much bright red blood from nose ; fluent coryza; hiccup; hurried call to stool; acute stitches in cardiac region, etc.; weakness in lower legs; sensation in ankles as if tightly tied, etc.; great exhaustion, etc.; shivering and frequent yawning; excessive sweat; frequent yawning; lies asleep on back, etc.; hard red swelling of right upper lid, etc.
( Forenoon ), Sweat; sleepiness; vertigo, etc.
( Afternoon ), Great vertigo; violent, sticking pain in upper orbital border, etc; cough; pain in chest, etc.; shoots in centre of sternum, etc. pulse full and quick, etc.; rigor, etc.; heat, etc.; fever; attack of fever, 3 P.M.; great sleepiness; shooting pain in right supra-orbital ridge, etc.
( Evening ), Confusion of head, etc.; headache; pain in forehead; pressive headache in vertex; pressing-out pain in temples, etc.; burning itching in both ears; face hot; *flying stitches, here and there , etc.; stiff feeling in nape; warmth of palms; transient stitches, etc.; chilliness; shivering , etc.; rigor down back; prostration, etc.; heat, etc.; lachrymation.
( Night ), *Delirium ; pressive pain on vertex; hot prickings in tips of fingers; hot prickings in toes; transpiration; *much thirst , etc.; state of walking dreaminess, etc.; lachrymation; *pains become intolerable.
( Before Midnight ), Shuddering; all the feverish symptoms.
( After Midnight ), *Short cough , etc.; short breath ; attack of rigor, etc; very vivid dream, etc.
( Open Air ), Dizzy confusion of head; squeezing in forehead over root of nose, etc.; cold feeling of the eyes; burning itching and darting in both ears; the throat symptoms; nausea; irritation of larynx and dry cough; general anxious sensation, etc.; severe attack of rigor, etc.
( Bending body forward ), Vertigo; vertigo, etc.; vertigo and headache; giddy heaviness of head, etc.; **headache; fulness of the forehead , etc.; dull pain in vertex, etc.; drawing bellyache, etc.
ADDITIONS
Note omissions, owing to imperfect index; very kindly pointed out by Dr. Berridge, of London. (Fragmentary proving by Robinson.)
On getting into a warm bath the feeling of formication and tingling came on again in the fingers, 38.
Lame sprained feeling in the right metacarpus, 38.
Several strange dreams; woke, and found himself laughing heartily, 38.
Momentary drawing pain in the right forefinger, and at the same time pain in the left ankle as before, 38.
Itching, nettle rash like eruption on the back of both hands, the spots being very well marked, 38.
Flying, growing like pains all forenoon in metacarpi and finger joints of both hands, 38.
Considerable rumbling of flatulence in bowels, 38.
On going into open air felt much relieved, but on getting within doors again all the symptoms of feverishness became greatly aggravated, 38.
Cough from irritation in larynx, with expectoration of gelatinous mucus, 35 . Oppression of chest, relieved by deep inspiration, 22 . Chest symptoms worse in evening, 31 . Tension and drawing in the lumbar region compelling to bend backward, 35 . Trembling of arms and hands (immediately), 4 . Burning warmth along dorsum of index finger, 22 . Thighs sore to touch, 34 . Lascivious dreams, 40.
SUPPLEMENT: ACONITUM. Authorities.
44 , H. C. Sherwin, Lancet, 1836-7 (2), p. 13, a woman swallowed a mouthful of the tincture; 45 , Richard Dix, ibid., 1838-9 (1), 905 a child, æt. thirteen months, ate some of the root; 46 , Pharm. Journ., vol. v, 1845, p. 140, Dr. Dale, for rheumatism, had taken the tincture in 5-drop doses, twice a day, for several days without very marked effects, then he took 10 drops, death; 47 , John Tophan, M.D., Lancet, 1851 (2), p. 56, a woman, æt. twenty years, took about 15 minims of the tincture; 48 , Times (Pharm. Journ., 13, 1853-4, 294), Jos. Russell, was poisoned by the roots; ( 49 to 51 , Pereira's Mat. Med. and Therap., vol. ii, 1854, p. 1088, effects on Mr. and Mrs. Prescott, æt. fifty-seven years, and a child, æt. five years, of eating two roots); 49 , Mr. Prescott, death in four hours; 50 , Mrs. Prescott; 51 , the child; 52 , H. Simpson, Lancet, 1855 (1), p. 467, a girl took about 2 drachms of tincture; 53 , Dr. Mackinlay, ibid., 1856 (2), p. 715, a child ate the leaves, and died in twenty-one hours; 54 , W. H. Bone, M.D., ibid. (1), p. 369, a man took a fatal dose of Aconite; 55 , J. Massey, M.D., ibid. (2), p. 100, a man ate the leaves, death; 56 , Mr. Halfield, ibid., 1857 (1), p. 349, a man æt. sixty-four years, took the root; 57 , A. F. Squier, M.D., Pub. Mass. Hom. Med. Soc., vol. iv, p. 122, Wm., æt. twenty-one years, took a mixture containing Aconite; 58 , Prof. O'Connor, Dubl. Quar Jour. of Med. Sci., vol. xiii, 1857, p. 224, a woman, æt. seventy years, took a liniment containing 1 oz. tincture to 8 oz; 59 , same, a woman, æt. forty years, took a wineglass of same; 60 , Dr. Alderson, Lancet, 1859 (2), p. 561, a man, æt. fifty-eight years, ate the root, death; 61 , Dr. Isaacs, N. Y. Journ., vol. vii, 192 (Pharm. Journ., Second Series, vol. i, 1859-60, p. 482), a druggist, was poisoned by the inhalation of the dust of the root, which he was pulverizing; ( to , T. Ogier Ward, M.D., Brit. Med. Journ., 1860, p. 939, a family were poisoned by eating pikles containing the root); , the mother, who ate but little; , the eldest daughter; , the eldest son; , a daughter, æt. eighteen years, suffering from anomalous dyspepsia, ate the pikles and drank the vinegar; , S. Thompson, Pub. Mass. Hom. Med. Soc., vol. iv, p. 638, took 4 drachms of 3d potency, run up in distilled water; , J. B. Brown, Lancet, 1860 (2), 344, four persons ate the root; , D. D. Hanson, Bost. Med. and Surg. Journ., vol. lxv, 1861, p. 155, a boy, æt. five years, swallowed a large dose of the tincture; , Wm. Noble, M.D., Buffalo Med. and Surg. Journ., Dec., 1861, p. 147, a woman, æt. fifty-seven years, took between 2 and 2 1/2 ozs. tincture, death after three hours; , John M. Strachan, M.D., Edinb. Med. Journ., vol. i, 1861-2, p. 259, Mr. V., æt. fifty-seven years, took a small teaspoonful of Fleming's tincture, death in two hours; , Dyce, Duckworth, Brit. Med. Journ., 1861, p. 224, Dr. Nivens reports a case of a young lady who swallowed a fluid drachm of the officinal tincture; , same effects in two cases of applying to the conjunctiva about 1/40 gr. mixed with water; , John W. Kay, Lancet, 1861 (2), p. 170, a lady, took two teaspoonfuls of the tincture; , L. Atthill, M.D., Dubl. Med. Journ., 1861 (2), p. 14, a man took a tablespoonful of liniment containing about 45 minims of the tincture; ( to , from Hottat, L'Aconitine et des Effects Phys., Paris, 1863); , Schroff, effects of introducing a solution of 2/10 centigram into the eye; , Hirtz, Union Pharm., 1861, effects of 2 to 3 centigrams of the alcoholic extract of the root; , same, effects of 1/2 centigram; , Devay, Journ. de Chim. Med., 1844, a man æt. thirty-five years, took 40 grams of the extract in soup; , same, a person ate some salad; , H. W. Robinson, Brit. Journ. of Hom., vol. xxiv, p. 513, a young woman, gl. 3/12 (L. and R.) in a wineglass of water, at a single dose; , same, a middle-aged woman, gl. 1/30 (L. and R.) in 8 ozs. water, with a few drops of spirits of wine, a dessertspoonful every half hour for three hours; , Jas. Easton, Lancet, 1866 (2), p. 34, a girl, æt. seventeen years, swallowed 3 drachms of Fleming's tincture; , Dr. Johnson, ibid., 1867 (1), p. 238, a man, æt. sixty-one years, swallowed about a tablespoonful of the tincture; , omitted; , Dr. A. Stephens, Pharm. Journ. and Trans., vol. x, 1868-9, p. 181, J. H., æt twenty years, took and unknown quantity of the tincture; , J. P. Morrison, M.D., Med. and Sur. Rep., vol. xx, 1869, p. 157, Mr. R., took a swallow of tr. Aconiti rad. (300 to 400 drops), and immediately ate a hearty dinner, recovery; , omitted; , B. W. Richardson, Med. Times and Gaz., 1869 (2), p. 709, Miss B., æt. twenty-five years, swallowed two tablespoonfuls of an Aconite mouth lotion; , H. W. Brown, M.D., Bost. Med. and Surg. Journ., vol. lxxxiii, 1870, p. 41, Mrs. M., æt. thirty-one years, took twenty-five drops of the fluid extract; , Wm. Dobie, Brit. Med. Journ., 1872 (2), p. 683, a man swallowed 1 oz. tincture; , E. W. Berridge, M.D., North Am. Journ. of Hom., 1873, 501, Mr, ---, took a dose cm. (F.); , same, Am. Hom. Obs., 1875, 307, took 200th; ( to , from Dr. Jas. Lillie; ibid., p. 434, six persons put a few globules of the decillionth on the tongue); , Dr. Warren; , Dr. Davis; , Dr. Heacock; , Dr. Anderson; , Dr. Dodge; , Dr. Gilley; , Thomas Waddel, M.D., Cincin. lancet and Obs., vol. xviii, 1875, p. 427, J. R., æt. thirty-four years, took 1/3 teaspoonful of the tincture, death; , G. F. Schreiber, M.D., Philad. Med. and Surg. Rep., 1876, p. 125, a man, æt. thirty-six years, took two teaspoonfuls of tr. Aconite root; , T. D. Nicholson, M.D., Month. Hom. Rev. 1876, p. 765, observations on sphygmographic tracings; , L. H. Jones, Brit. Med. Journ., 1877 (1), p. 258, a man took a large dose of the tincture; , Dr. De Mussey, Bull. Gén. de Thérap, 1877, vol. xcii, p. 326, a woman took 4 drops, and repeated the dose; , C. G. Bacon, M.D., Philad. Med. and Surg. Rep., vol. xxxvi, 1877, p. 114, Mrs. D., æt. forty-three years, took a teaspoonful of the tincture; , Dr. Sturgis, Lancet, 1878 (2), p. 917, Clara B., æt. twenty-one years, swallowed a wineglassful of the liniment; , F. H. O'Brien, M.D., Med. Rec., vol. xv, p. 128, Miss M., æt. twenty-four years, took 1/2 drachm of tr. Aconiti rad., and repeated the dose after an hour; , Dr. Deschere, copied from MSS., a fraction of a drop of the tincture was taken by touching the tip of the tongue with the stopper of a bottle, at 5 P.M.
Some few hallucinations, such as imagining his head was three times its original size etc., 86.
Much lowness and depression of spirits; disposition to weep; great excitement and restlessness at night (after a few days). This experimenter could always tell when Aconite was given to her, so highly susceptible was she to its influence, 80. [1660.]
Stupid feeling in the head, in the morning; stupidity increasing, cannot think, forget what I intended to do a moment ago; do not know in what street I am walking (third day), 107.
Very acute burning sensation, redness of the conjunctiva of the lids and eyeball, lachrymation. Pupils at times dilated, at other times contracted; after an hour the dilatation was constant, there was only a rim of iris. After twelve hours the dilatation still continued, 75.
First, numbness of the tongue and difficulty of swallowing, with dryness and sense of constriction of fauces, 61.
Intense burning sensation in the mouth, fauces, œsophagus, and stomach, 86.
A feeling of smarting coolness at the soft palate, soon extending to the pharynx, as if peppermint were placed there; this remained all the evening, and could not be removed by gargling or washing the mouth (after five minutes), 107.
Frequent retching and spitting a tenacious slimy sputa (after forty minutes), 69.
Violent retching and vomiting, with intense pain in stomach, 53.
Retching and vomiting; complained of constriction of œsophagus, burning sensation in the region of the stomach, spasmodic action of the muscles of the chest, abdomen, and extremities; pupils of the eyes dilated; pulse 80, small and weak, 104.
Stitches in the region of the spleen, worse on pressure and deep inspiration, inward pressive (fourth day), 107.
At 7 A.M., a gurgling in my bowels, with inclination to pass wind; on attempting to suppress it, slight tenesmus. Urging to stool, getting more and more violent very quickly; on trying to act against the pressure on my way to the water-closet, most intense tenesmus (so severe that I had to stand still and take hold of a chair to support the muscular system). All this was accompanied by constant gurgling of fluid in the bowels. Stool gushing out, with relief of tenesmus. Through the day had six more stools all of the same character, of yellow water mixed with white foam, preceded by gurgling, but without pain. One dose of Podoph. 30th stopped the diarrhœa (second day). Inclination to stool, which I could control; no stool (third day). Stool in the evening, of a natural consistency, but of a white-yellow color (fourth day), 107.
The effect of Acon. Tinct . in every case is a more vertical primary rise, then a quick and slight descent and rise again, forming a double curve instead of the single downward curve, and the remainder of the line is unaltered. The pulse hence becomes softer, with a feebleness yielding to the finger, and shows a tendency to dicrotism. There is a more sudden expansion of the artery, but a diminution or unevenness of arterial tension. This may by caused by the more powerful contraction of the left ventricle, or a loss of elasticity in the vessel, allowing it to yield more to the ventricular action. I infer the latter to be the true explanation, because the total length of curve or curves, showing the systolic distension, remains unaltered. But his change of arterial elasticity may be due to changes of capillary pressure, or at any rate probably indicates capillary dilatation, 101.
Trembling of the limbs, which moved incessantly, 78.
SUPERIOR EXTREMITIES
Drawing pain and soreness in the left shoulder and arm (on which I found myself lying each time when I woke), (first night), 107.
Soon after dinner he complained of a peculiar tingling sensation in his hands and arms, which rapidly increased; medical aid was instantly procured, but he rapidly sank, and died in about an hour. His brother experienced the same sensation in a slighter degree, and is now recovered, 48.
Almost immediately, shooting downwards in middle of palmar surface of left wrist, 91.
Violently convulsed in the face and upper extremities; her countenance pallid, with an expression of great misery. Her pulse was sluggish, but not feeble. In a few minutes vomiting came on, and she awoke as if from a profound sleep. Soon after, breathing slow, like one in profound sleep. Pulse full, but not exceeding 40 in a minute. Having roused her from her sleep with great difficulty, she vomited abundantly. She then for the first time expressed great alarm at finding herself totally blind. The pupils were not much if any dilated, but were insensible to the impression of the strongest light. She stated that she had most horrid dreams, and complained of a dreadful sensation at the pit of her stomach, which still she did not call pain. She begged to be let sleep again, but in spite of all our efforts to the contrary, her head drooped on her chest, heavy sleep came on, which in a few minutes ended in a convulsion, such as before described, and this again was succeeded by vomiting and a perfect restoration of consciousness. This state of things was constantly repeated for several hours. When in sleep her pulse fell gradually, being sometimes as low as 20 in a minute, but when roused, never beyond 40 in a minute. She expressed, when awake, a great desire fore cool air, which afforded great relief. This state of things continued till 4 o'clock, when she complained of acute agonizing pain in the back of the neck and about the base of the brain, with violent permanent spasms in both arms, extending to the fingers. From this time on she recovered, 59.
Convulsive attacks coming on at short intervals, had vomited once, and complained of dryness of the throat, coldness and tingling of the extremities, and muscular weakness. The pulse was almost imperceptible, countenance pale and pinched, and skin shrivelled and covered with cold clammy perspiration, 100.
Spasmodic movements resembling convulsions, were also quite common, and from three to five well-marked convulsions, 86.
Very slight convulsions occurred at repeated intervals for about five hours, during which time he was supposed to be dying, 61.
Seized within ten hours with violent spasms and severe pains, with prickling sensation in the limbs back, and chest, difficulty of breathing, and partial loss of sight; the pulse was considerably lowered, and the skin cold and clammy, 67. [1750.]
Spasms intermitting from three to five minutes, when a most violent one took place, in which the teeth were fixed, eyes set, voice lost, and to all appearance dying. This passed off, and they became lighter, voice and sight returned; then followed for a short time hydrophobic spasms, which prevented her from taking anything, 69.
Convulsive fit; the hands were clenched; the arms bent and drawn forcibly backwards; the muscles of the back became rigid and arched, so as to bear a marked resemblance to the spasm of tetanus, differing from it, however, in that there was no remission of the spasm, until the fit entirely passed off, .
Sulphate of zinc . In a few minutes after copious vomiting had been produced; by this he became suddenly insensible, and I found him, about twenty minutes after, lying upon his back in a state of complete insensibility, stertorous breathing, face dusky-red, lips puffed out with each inspiration, skin cold, and profuse perspiration, especially on the face; pulse very weak, irregular and intermittent. A moment after I came in he vomited mucus and bile, and spoke, complaining of feeling cold. He remained awake for a few minutes, during which time he appeared perfectly rational; there was great numbness of the mouth, tongue, lips, cheeks and extremities, and a strange dull feeling in the head. He then relapsed into the comatose condition, relieved every five or six minutes by his efforts at vomiting. The depressed state of the heart and circulation, and the consequent coma and coldness of the surface, called for a strong cardiac stimulant, and I gave him one-drop doses of Tr. digitalis in a teaspoonful of water, every five minutes. The vomiting continued, and the pulse at the pulse at the wrist was imperceptible for ten or fifteen minutes at a time; only a faint, confused movement of the heart was perceptible by auscultation. The vomiting was still frequent and violent, so that streaks of fresh-colored blood were observed in the matter ejected, 57.
"About five minutes after swallowing the tincture, was seized with a pricking and tingling down the arms and fingers, and a painful numbness across the wrists; the tongue and mouth next felt the same, then the legs and feet, and in less than fifteen minutes my face seemed to be swelling and throat growing tight. On looking at my face in the glass, it seemed blue and indistinct." In twenty minutes she felt sick, and made efforts to vomit, but could bring nothing up; she was then anxious to get upstairs to bed, but her legs failing she only reached the first floor, and threw herself upon the sofa; there she remained for half an hour, almost blind, but conscious of her plight; after that she made another effort, but when half way upstairs he lower extremities quite failed her, where she was found in the following condition: Her eyes fixed and protruded, with contracted pupils, countenance livid, jaws and fauces rigid, her arms and hands quite cold and pulseless, the legs and trunk much in the same state; her breathing was short, imperfect, and laborious, while the heart fluttered feebly under the left breast. She now and then gave a heavy sigh, and tossed the arms backward above the head, at the same time attempting by jerks to shift her position. There was also rattling and vibration of the trachea. Upon taking an emetic she was seized with a strong convulsive fit, the eyes being drawn upwards under the lids, the fists clenched across the throat, and the teeth grating violently together, and a thick, ropy, frothy saliva was forced through the lips. At this moment her urine and fæces passed unconsciously. In two or three minutes the convulsive state passed off. She says that the reason why she does not sleep is because she cannot keep the eyelids closed. This is singular and consistent with the fixed and staring condition of the eyes, and bears some relation to the contracted state of the pupils, 44.
The face had a pinched, anxious expression; the forehead wrinkled and corrugated between the eyebrows; the pupils slightly dilated; the pulse 45, feeble and intermitting; extremities cold; consciousness quite unaffected. She said she felt a burning sensation in the fauces, and a constriction at the chest; and that she had no feeling in her arms, legs, and face. The feeling of having no feeling (to use a paradox), she said, was "dreadful, worse than any pain," 73. [1760.]
Alarming prostration; the breathing became labored; the pulse at the wrist irregular, intermittent, and finally imperceptible; a quantity of frothy mucus was discharged from the mouth and nostrils; the skin became dusky; a cold clammy sweat bedewed the face and forehead, 90.
Vomiting, slow and intermittent pulse, dilated pupils, with great tendency to stupor, and apparently suffering much pain, 45.
Pulse subdued, difficulty in swallowing, speech affected, and memory partially gone, .
SKIN
Patchy spots and discolorations on limbs, 53. [1800.]
Spasmodic contractions of the skin, which the patient endeavored to relieve by constantly rubbing the parts with his fingers; this singular sensation in the skin, especially in the face may be likened to the effects of electric sparks, and was especially marked in the wings of the nose, which the patient constantly pinched, 77.
Shortly after she felt quite drowsy; she feels herself sleeping, while still awake; extremely prostrated, and as if beaten all over. This experimenter was very sensitive to the action of this medicine, and recognized at once that Aconite had been given to her, 81.
Restless night, tossing about in bed (first night), 107.
Axillary temperature was 97 1/2° (after two hours), 106.
A feeling of dry heat and tightness of the skin over the whole body, accompanied by a sensation of numbness and tingling. This commenced in his feet, and spread quickly upwards, 74.
108 , Drs. Flechner, Frankel, and Schneller, Zeit. der K. K. Gesel. der Ærzte zu Wien, 1847, p. 107; they began with 1/2 grain of the extract of the fresh herb, and increased to 26 1/2 grains.
The first doses of from 1/2 grain to 5 grains caused only frequent eructations, diminished appetite, scanty stools, and, somewhat later, a dull headache, especially in the frontal region, lasting some hours. Doses of 5 1/2 to 10 grains caused pressure in abdominal region, distension of the abdomen, slight griping about the navel, nausea, white coating of the tongue, diminished appetite, dryness and scraping in the throat. In addition, a sensation of heaviness in the head, especially in the frontal region, weariness in the limbs, increased warmth in the whole body, ill-humor, with a certain mental restlessness and disturbed sleep, accelerated pulse and palpitation. Larger doses, 20 to 26 grains, aggravated the abdominal symptoms, and, in addition, caused pain in the abdomen, great nausea, great evolution of gas and rumbling in the bowels, increased and prolonged frontal pain, restless sleep troubled by dreams, and at times transient stitches in the præcordial region. In one person the extract caused no effect, except swelling of the tonsils and scanty stool. In another prover, in addition to the preceding, there were the following symptoms: nine hours after 24 1/2 grains, violent drawing pain in the back, seated in the lumbar region, so that every movement of the trunk, standing up, stretching out, stooping or sitting down, were very difficult; the place was also painful to external pressure; this pain disappeared after five hours, reappeared in the same manner in the abdominal muscles, which became tense like a board. This disappeared after a few hours, leaving only some tension in the abdomen. From a dose of 26 1/2 grains taken two days later, there set in sticking pains in the left hypochondrium, back, and head, and after nine hours tension in the lumbar region. In the same person there was weakness of memory, apparently occurring in connection with the above-mentioned mental restlessness, which did not allow him to fix his attention for any length of time, 108.
Distraction of the attention whilst reading or writing, owing to frequent cessation of thoughts, 5.
Thinking slow, all attention disturbed, [t].
It seemed to him that he could not think, understand, or know anything in his head as formerly, but that all these mental processes took place in the præcordial region, and about the pit of the stomach; after two hours he was twice attacked with vertigo, and then the ordinary thinking power returned in the head," 13.
Prepossession of the mind, the thoughts he has already conceived and half written down, he is unable to register completely without an effort to recall them (3d.), 7.
Want of memory, what has just been done appears like a dream, which he can scarcely call to remembrance, 6.
Pain over the whole skull as if compressed from all sides equally ; sometimes the pain is concentrated with the greatest severity in the orbits (typically recurring), 25.
Pressive troublesome headache, first in the vertex, then drawing to the forehead, where it causes a sensation of heaviness and fulness, lasts several hours; aggravated by motion 19a.
Dull headache, as if bruised with a bruised feeling in all the limbs (14h.), 1.
Pressive constrictive headache extending over the whole arch of the skull, especially in the left side and over the left eye ; ameliorated by laying on the cool hand, 35.
Drawing in the whole head, especially in the temporal muscles, 35.
*Fulness in the head ( several ). [170.]
Fulness of the head with erratic pains in the right supra-orbital, temporal, and frontal regions, 39.
Headache as if the brain were pressing outward (1/2h), 1.
During all the proving sudden and frequent congestion of the head with anxiety, followed by rigor over the back, 30.
The brain seemed much congested, and the jugular vein was opened with great relief; she felt as if whirled suddenly from a close, hot, dark room into a spacious, light one, 35.
Shooting, pulsating headache , as if from an internal ulcer, sometimes prevents speaking, 1.*
Headache as if a part of the brain were raised up here and there, increased by slight motion, drinking and speaking (1/2h.), 1.
Heaviness of the head, waving, and shaking in the brain, 25.
Feeling of contraction of the brain under the forehead (20h.), 6. [190.]
A squeezing in the forehead, over the root of the nose, with a feeling as if she would lose her reason (was sick in her head), aggravated by walking in the open air (4h.), 1.
A pinching and squeezing in forehead , as if in the bones; she feels sick, as if madness would ensue (12-24h.), 1.
Squeezing tensive pain close behind the orbits, 1.
Very sensitive acute pressive pain over the forehead, 7.
Pressive pain in forehead, especially over the right superciliary ridge, with dread of jarring by riding, 20.
Pressive stupefying pain in forehead, worse evenings, 22.
Slight pressive headache in right frontal protuberance, extending toward the orbital border, with flushes of heat chiefly in the face and ears, 19d.
Pressive headache, especially over right brow.
Pressive shooting, nauseating headache over orbits, extends down toward upper maxilla, like that produced by vomiting from an emetic (2h.), 1.
Peculiar drawing pressive sensation in forehead (nerv. trigem.) grows more intense, and becomes continuous and violent, [t]. [200.]
Most furious headache ; vision obscured; the pain was chiefly in the upper part of the forehead, pressing and contractive ; head not hot; face swollen and pale; light or noise increased the pain, lying quiet in a dark room removed it (from 2d dil.), 35.
Violent headache limited to a small spot above left supraorbital ridge, 35.
Frontal headache all day, worse at evening, afterwards more particularly confined to the left frontal eminence (2d d.), 38.
Frontal headache, sometimes shooting, sometimes pulsating, sometimes pressive while walking, relieved by sitting, 1.
Violent headache, especially in right half of forehead, 27.*
Headache, pulsation in the left side of forehead along with attacks of strong blows in right side of forehead (3h.), 1.*
Stitches in forehead extend to right temple, and then in left side of the occiput, 34.
Jerking, shooting in the head, especially in the forehead, 6.
Violent sticking pain in upper orbital border , extending upward across the forehead, and across the temples and cheeks into the molar teeth; worse on pressure and toward evening, the supraorbital region becomes swollen in consequence, 29. [210.]
Jerking, shooting pain in left temple; stitches through temples into the head, 6.
Tearing pain in left temple with roaring in the ears, 6.
After sleeping, awake at 4 A.M., with unpleasant sensations, which urged him to rise, when he experienced dizziness and very heavy headache, apparently about temporal muscles above each ear, with transient nausea and gush of cold sweat, 43.
Pressure on the vertex , as if a cap were pressed tightly on the head, 31.
Headache in the vertex, as if the head were compressed equally on all sides by a pitch cap, removed by motion in the open air, 35.
Dull pain in vertex, extending toward the temporal region, increased by stooping, 31.
Pressure and sensitive stitches in the vertex, 31.
Troublesome pressure in vertex forenoon (19 a.). [230.]
Troublesome pressive headache, first in vertex, then extending to the forehead, where it produces a sensation of fulness and heaviness, aggravated by motion (19 a.).
(As if one had taken cold after a profuse sweat, headache, roaring in ears, coryza, bellyache, especially in the morning, (as if one had taken cold after a profuse sweat; headache, roaring in the ears, coryza, bellyache, especially mornings, 12 ) [The actuel effect of a chill not as a chill.]
Pricking and biting in lids like beginning coryza, evenings, 22. [300.]
Dryness of upper lid; almost causing a pressure in eyes (4h.), 1.
Hard, red swelling of right upper lid, with feeling of tension, especially in the morning, 2.
Slight irritation of the edges of the lids , which were almost raw from the violence of the lachrymation, 38.
Marked pain at right internal canthus, dull and deepseated, 39.
Several times repeated sensations, as if left upper lid was long, heavy, and hung down as if paralyzed (though it looked natural), 43.
Heaviness of lids, they seem too heavy on raising them, 6.
Rough feeling, as of sand in left internal canthus (13h., lasted two minutes), 38.
Lids swollen hard, with tensive sensation, they are red and hot, [°].*
Lids convulsively closed as from irresistible sleepiness, 6.
Conjunctiva, especially toward internal canthus, highly injected, [t]. [310.]
The balls feel enlarged, as if coming out of the orbit, and stretching the lids, 35.*
Pain in the interior of the eye, as if it would be pressed out when the lids are opened ; the pain extends to the supraorbital region and interior of the brain (21h.), 6.
Sensitiveness of upper part of ball on moving it, as if it were pressed out of the orbit ; relieved by stooping; changed to a dull pain on bending the head back, 31.
Pressure on upper lid, and sensation as if the whole ball were pressed into the orbit , which makes the eye pain as if crushed, 22.
Severe pressure, sometimes stinging or burning in the front part of the ball, 20.
On going out in the evening from a half dark room into the street; flickering before eyes, the lamp-light quivered; he could with difficulty see the passers; he seemed to see worse at a short than at a long distance; he became anxious and dizzy on account of it, 31.
An intensely white and bright spot, about the size of a small plate, appeared before the eyes both when shut and opened; it was impossible to determine before which eye it was, though it seemed more nearly in axis of right eye; it had the refulgence of highly burnished silver, this gradually changed to a straw or light golden color, then the whole field of vision became of a delicate lilac hue, which disappeared to give place to the same spot, which was now of a beautiful and bright azure; the whole lasted one half hour, 43.
Pain in zygomatic process, as from an internal ulcer, 1.
Shooting pain from right supraorbital ridge, branching out upwards across the forehead to the hairy scalp, sideways to temples, and downwards to the cheeks and into two or three teeth; increased by pressure, and becoming so excessively violent toward evening, when it was accompanied by constant cough, that all other symptoms were thrown into the shade; the next day the supraorbital ridge was swollen (15d.), 27. [420.]
Burning of lips and tongue, as after eating pepper or smoking (several).
Lips and interior of mouth burning, painful, and inflamed, 26.
Burning and numbness of lips and mouth, [tt].
Lips blue, [t].
Heat and tingling, followed by numbness of lips and tongue, 41.
Feeling of the most strange distortion of countenance at times, as if a single muscle had bulged out to the size of a pigeon's egg, then as if the whole jaw was thrust to one side, as in partial dislocation; at other times as if the lower jaw were pushed up or raised into the cavity of the mouth, conveying the idea that the face must look like that of an old man who has lost all his teeth, and in consequence has his lower jaw thrown forwards and upwards (no visible change), 43.
Several times sensation as if all the muscles of the face were firmly but no spasmodically contracted, attended with a numb, heavy, paralytic feeling of whole face; similar sensations simultaneously in both arms, from shoulders to the tips of fingers, conveying the idea that the arms were paralyzed, though they obeyed the will perfectly, 43.
Frequently repeated sensation as if the lower and anterior part of the face were firmly compressed from both sides by a heavy but not painful weight, until the idea became irresistible that that portion of the face was very thin (no change of features noticed), 43.
Rawness in throat, especially in posterior nares, which compels him to clear the throat frequently, as if very tough mucus extended through the choanæ over the soft palate and uvula, 28, 35.
Pressure in throat, especially during empty deglutition, 32.
Cuttings in intestines , which extend through the chest toward the right shoulder, like sharp knife-thrusts, and almost make him cry out, during stool, 22. [720.]
In morning in bed intolerable (cutting) pains in abdomen, so that he cries out and knows not what to do with himself, he tosses about the bed (16h.), 1.
*Burning in abdomen, [t].
The child complains of pain in abdomen, [t].
Painful tension of the abdomen with borborygmus, [t].
*Great swelling of abdomen, which is painful to touch, 35.
Rumbling and gurgling, relieved by expulsion of flatus, 35.
With shooting and contractive pains here and there, 35.
Gurgling, with itching in rectum, provoking scratching, and call to stool, 33.
Loud gurgling in lower abdomen, as after a purgative, with sensitiveness in sacral region, 30.
Weakness of bowels, as from abuse of purgatives, 1. [750.]
The intestines feel paralyzed and unable to expel their contents; this sensation is observed more in the region of the transverse colon than in the rectum, notwithstanding the stool when discharged is not unusually hard, 38.
Many abdomen symptoms are relieved after warm soup, 35, 33.
(Diuresis, with distortion of the eyes, and spasmodic contraction of the feet, 12 .)
Suppression of urine, with pinching in the region of the kidneys, 16.
Urine scanty and dark, [t].
Though he drank much during the night he made no water (contrary to his usual habit); next morning he passed red urine with burning along the urethra, 21.
Short cough from tickling in larynx , after midnight every half hour, the more it is attempted to be repressed the more frequent and severe it becomes, 1.
Hacking cough from a tickling at the epiglottis (immediately), 1. [900.]
Short, frequent, distressing, and uncontrollable cough, but without expectoration (1d.), 38.
Frequent dry cough, with raw pain in chest, and smarting in larynx, 31.
Violent cough, with painful shootings in different parts of chest, compelling him to lie always on the back , and preventing his lying on the side, 21.
Severe cough from tobacco smoke (in one accustomed to smoke), 1.
He (though accustomed to smoke) cannot smoke without constantly hemming and coughing, either because the epiglottis permits the entrance of smoke into the larynx, or because the epiglottis is more sensitive than usual (6h.), 1. [920.]
Inspiration often affected by a feeling of compression in the middle of the sternum and anterior part of the chest, or by pinching, especially in the right flank, or violent shoots deep in region of liver, 31.
Inspiration through the nose impeded, especially in sleep, 1.*
Heaviness and fulness in the chest, as if he could not expand the thorax, which frequently makes him breathe deeply, with internal uneasiness, anxiety, and palpitation, forenoons on walking 19a.
Heaviness on chest, difficult respiration, sometimes sighing, violent palpitation, with dry cough, and clear, bloody expectoration, 19b.
Oppression of chest, superficial, frequent respiration, and frequent deep breathing and sighing, 19c. [990.]
Heaviness and fulness in chest, anxiety and palpitation, 19c.
Shooting pressive pain on right side of the sternum, 7.
*Painful stitches in the right side of the chest, about the last rib, going through to the back (10h.), 7.
Superficial stitches in the chest and cardiac region, 29.
Stitches in the lower part of the chest toward the false ribs, 35.
Violent stitches in the chest with suspension of the respiration, 30.
*Stitches in chest, with cough ( several ).
Single large stitches in the side toward the back (24h.), 1. [1000.]
Stitches from the lowest rib in the right side to the apex of the shoulder-blade , through the centre of the chest, accompanying every inspiration with complaining humor, 1.*
On rising in morning, acute lancinating stitches in cardiac region, as if in the pleura costalis, that prevent him assuming an upright posture or breathing deeply, with an inclination to cough; after rubbing the skin, and making gradual efforts to breathe deeply, these symptoms went off, but that part of the thorax remained sensitive even to external pressure (20 doses 2d dil.), 35.
Periodical stitches through chest with dry cough, 24.
On the 11th day violent stitches in the region of the eighth, ninth, and tenth ribs, but not affecting deep inspiration; the 12th and 13th days, these stitches still continued, and often extended to the loins, 27.
Transient stitches in chest, now here now there ( several ).
Slight stitches in the left upper half of the chest, as of paralysis, 26.
*Sensitive stitches in various parts of the thorax, aggravated by bending sideways, 21.
*On deep breathing stitches between the shoulder-blades and in the sides of the chest, 28.
Violent burning stitch in left half of chest, 27. [1010.]
Transient stitches in pectoralis major and intercostals, left side, 28.
Dull, oppressive stitches in the left side, near the axilla, 6.
In the evening flying stitches here and there, in the ribs, the abdominal parietes, the joints; great swelling of the belly, which is painful to the touch, 35.
Toward evening, shoots in the centre of the sternum, with particularly good humor, 21.
Flying shoots along the sternum and betwixt the ribs, 21.
Pain in the chest, like a shooting, interrupting respiration, 1.
Shooting in the side, followed by palpitation and pressive headache, with anxiety and ill-humor, 1.
A digging, boring pain from the right scapula to the front of the chest, increased by deep inspiration, but not by expiration, and so in no way relieved; lasting twelve minutes, 3.
*The heart beats quickly while the pulse was slow, apparently intermitting with attacks of powerlessness, 24. [1060.]
Heart's impulse weak, [t].
Heart feebly fluttering, [t].
The heart beats but once to every three pulsations against the chest, [t].
The left ventricle was consonant with the pulse, but the right auricle seemed to be in a convulsive state, its movements were rapid, irregular, and not related to the beats of the ventricle, [t].
Pulse contracted, full, powerful, febrile, exceeding 100 beats to minute (in adults), ( several ).
Auscultation revealed mucous râles posteriorly, but one beat of heart to three beats of pulse, still the pulsations of left vena cava were equal to the arterial pulse; rapid, irregular motion of right auricle, synchronous with the beats of the vena cava.
Pulse rose from 95 to 112 on going in from open air, 38.
*Toward evening the pulse became full and quick; he felt the beating of the temporal and carotid arteries , while sitting, 26.
Beat of heart powerful; pulse full, hard, and strong, moderately frequent, 19c.*
(Pulse quick, irregular, [t] .)
Pulse 67, small, and soft, after this it rose in an hour to 102, was full, and hard, then an agreeable warmth came over the body, followed by perspiration, the legs all the time continuing cool, 22.
Pulse full, powerful, intermitting every six beats of the heart and radial artery, with heaviness of chest, especially in the cardiac region, 20.
Pulse intermitting and irregular; two or three beats followed rapidly in succession, and then came a pause of no long duration, 9.
Pulse febrile and intermitting, [t].
Pulse intermitting, with general dulness, [t]. [1080.]
Pulse soft, irregular, [t].
Pulse, at first with beginning warmth, frequent, sinks below normal; becomes weak, and at times intermittent, [t].
Feeling of heartburn all down the back, 38. [1120.]
Violent shooting, digging pain in the whole of the left side of the spine to the small of the back, so much increased by inspiration as to bring tears into the eyes; this lasted four hours, 3.
Violent drawing pain on both sides of the spine, along the mm., sacro-lumbalis and longissimus dorsi, increased by pressure, and rendering every movement difficult; this went off after four hours, but passed into the antagonist muscles, the recti abdominis, which were stretched as hard as a board, 42.
Burning, gnawing pains near the right side of the spine, 7.
Pain in the loins, like labor-pains, whilst walking, 1.
*All the joints are painful (7h.), 16 . [See S. 1420.]
Painless cracking of all the joints especially the knees, 1.
Violent shootings in the elbow-joints down to the wrists, on the outside of the arm, on flexing the fingers to the wrist-joint, 6.
Sensation of weight in the arms, from the elbow to the fingers; they feel as if they would fall, with sensation in fingers as if they were asleep, on grasping anything, 6.
Immediately (from a portion of the juice getting into a wound in the thumb), horrible pain throughout the arm, and especially at the wounded spot. The arm became bright-red, much swollen; the pain so intolerable that he nearly fainted, 17.
A numbing-like paralysis of the left arm (and thigh), so that he can scarcely move the hand, 14 . [with stupor.]
Prickling and tingling down the arms and fingers, and a painful numbness across the wrists (in five minutes), [t].
Pain in the arm and the fingers, 17 . [Local action, see note to S. 1221.]
Jerking, drawing pain in the lower and internal surface of the left forearm, over the wrist to the palm of the hand, 3.
Shooting in the wrist-joint , as if from needles (several).
Drawing, paralytic pain in the right wrist-joint, 7.
Sleeping of the toes of the right foot while walking ( several ).*
Repeated sharp, painful shootings in right fourth toe, 38.
While sitting at tea, most unexpectedly, three very sharp and painful stitches in third and fourth toes of right foot, 38.
Shortly after getting to bed, several momentary lancinating pains in right big toe, on the inside of ball in particular; also in third and fourth right toes, and in l. metatarsal bones, 38.
Sensation of numbness and tingling commenced in feet and spread rapidly upward, [t].
Paralytic and bruised pains in arms and legs, with violent trembling all over the body, especially in the extremities, which prevents walking; with very pale face, dilated pupils, faintness, palpitation, cold sweat on the back, and dizzy headache in the temples, soon followed by burning heat of the face, with a sensation of tension and redness of the face, and sleepiness after dinner (46h.), 6.
He complained of lassitude of the whole body, great weakness, and pressure at the heart, 14.
On awaking in the morning such great exhaustion he was unwilling to get up; it went off, however, on rising, 1.
Frequent attacks lasting a quarter of an hour, almost every other hour, of extreme weakness and insensibility, so that he can stir neither hand nor foot, and cannot sit up in bed; he does not feel his former pains, cannot see nor hear, nor even speak aloud; the legs are stretched out (after a few h.), 1.
Grew very weak and almost blind in half an hour, though still conscious, [t].
Prostrated, weak, and sleepy, [t]. [1380.]
Great muscular weakness, weariness, prostration, almost total inability to stand, [tt].*
*Feeling very weary, languid, and unable to rise from the couch; obliged to discontinue all work; the system feels prostrated, with sense of inward fever, 38.
Attacks of fainting follow constrictive sensation of the chest, and icy coldness, 24.
Went quite suddenly and unconsciously into a swoon in the evening while standing up urinating; all the blood seemed to rush to his head, and he fell heavily to the ground (first time in his life), 38.
Fainting fit directly after urinating; everything whirled around him; for the time he completely lost all consciousness; hands bedewed with cold sweat, and for some time after he remained quite prostrated, 38. [1400.]
Muscles sore and stiff, with some slight headache and looseness of bowels, 39.
Sensation as if the whole body, from the shoulders downward, was heavy as lead, while a heavy pressure, from all sides and from above downwards, seemed to render the whole body smaller in size and stature, the head and neck seeming to retain their natural proportions, 43.
Sensation of swelling of many parts of the body, generally accompanied by shuddering cold or rigor ( several ).
Sense of swelling of almost the whole body, especially of the left side, which after awhile becomes a numb sensation, with bruised feeling of the muscles, and weariness in the bones, 22.
Feeling of swelling all over, especially in left side, with bruised pain in ribs and arms, and crampy feeling about the heart; the swollen feeling changes to a numb feeling, 22. [1410.]
General anxious sensation, as though the blood would overflow the vessels, with constant chilliness, especially with cold face, even in warm room; worse in the open air and on motion, 26.
Anxious tremblings , like a boiling and seething through the whole body, as if the hands and feet would go to sleep; something as if one is just on the point of becoming intoxicated, always accompanied by a predominating unpleasant sensation of coldness, 26.
Swelling of the part (on which the juice had been laid), and acute inflammation, going on to profuse suppuration, 17.
Sensation as if she had just recovered from a severe illness or risen from a sick-bed (6h.), 1.
Feeling all day as of impending fever, with nausea, want of appetite, and aching-growing pains throughout the whole body, extremities particularly, 38.
General sick feeling, nausea, and qualmishness, with painful heaviness in the limbs, 19.
Drawing pains wander over the whole body in rapid succession, nowhere lasting longer than one minute, 35.
Painful drawings, now here, now there, most frequently in various parts of the thorax, and in the upper and forearms, 31.
Drawing, tearing, pains , wandering without order from one place to another, but mostly alternating with heart symptoms, 25. [1420.]
After the delirium pains in stomach, head, jaws, and here and there in his joints, which in seven hours become more general, 16.
*Very fine stinging, or stinging-burning pains in many parts, as if seated in the skin , sometimes combined with a sense of heaviness, numbness, or swelling, 22.
In the evening flying stitches here and there, in the ribs, walls of abdomen, and joints, 35.
Stitches in the forehead, back, sides of chest, back of hands, and other parts, as if he stood on the isolated plate of an electrical machine, and one took sparks from him, 31.*
Constriction of body, [t]. [1430.]
Gradually all parts of the body become black, the whole body swells up, the eyes protrude, the tongue hangs out of the mouth, 8.
A peculiar feeling over the whole body, to be compared with that experienced in a vapor bath, when he steam falls rapidly on the skin, and drops are felt on it, 35.
(Inspiration with a double jerk, like the bleating of a goat, while asleep, 1 .)
After lying down at night, and while sitting during the day, he is in a state of waking dreaminess, and imagines erroneously that he is far from home, 1.
In a kind of half-sleep, tormented by the most extravagant dreams, till morning, 26.
Stupid sleep, from which she arouses herself with difficulty, after awaking several times, with confused dreams; mornings on waking, the head is confused, 23.
Sleep full of dreams of a confused and vivid character, 6.
He has a very vivid dream towards morning, and obtains an accurate explanation of a circumstance that was a riddle to him while awake (after 20h.), 1.
Very vivid dreams all night ( several ).
Vivid, remembered dreams of the day's occurrences ( several ).
He dreams half the night of a single subject, which also occupies his attention for many hours after he awoke, so that this subject alone is in his mind (like the fixed idea of a monomaniac), which is very troublesome and disagreeable to thin, 1.
Dreams of subjects that, for eight years, had been foreign to his thoughts, 24. [1530.]
*At night, anxious dreams, and several times waking with a start, 5.
Arms and hands cold and pulseless, legs and trunk much the same, [t].
First coldness, rigor, and paleness of the finger-ends, then of the fingers; thereafter cramped sensation in the soles of the feet and calves, and finally coldness in the forehead (after 1/4h.), 1. [1570.]
Coldness under the skin; slight, frequently repeated rigor, not followed by heat, 28.
Rigor commencing in limbs, then going to whole body , with goose-flesh; it seems to be between skin and muscle; disappears on motion; worst when at rest, 28.
The rigor continued to increase in the afternoon, and he became icy cold, no coverings suffice to warm him, 28.
In the afternoon rigor all over the body, in a hot room, 22.
Rigor down the back, especially in the evening, 3.
Rigor along the spine, with goose-skin creeping along the galea aponeurotica; hands and face blue; he seeks the heat of the stove, 35.
Felt better after breakfast, but soon afterward, when in open air, had severe attack of rigor over the back and chest, followed by great heat (with frontal headache), which the least movement brought back, 21.
On the 9th day an attack of rigor after midnight, which seemed to arise from the præcordia and extend to the limbs; attacks of this awoke him frequently during the night, and were followed by burning dry heat with febrile pulse; in morning moderate perspiration, 27.
Violent continued rigor; short-lasting heat, and copious sweat, with heaviness of head, with waving and swaying of the head, 25.
Violent rigors; icy coldness, with very gratifying yawning and stretching the limbs; after some hours moderate warmth and sweat; during chill and heat many concomitant symptoms, 28. [1580.]
Chilly sensation after eating; weakness; sleepiness; at night increased heat, tossing about, and sleep interrupted by lively memorable dreams, 31.
Fever; chilly feeling, even coldness over whole body, especially on legs and knees, with confused head, glowing heat in face, especially in the red, hot cheeks; pulse gradually rises from 71 to 102, is full and hard, with pleasant warmth and anxiety, and sensation of heat around the head; lastly, general sweat, 22.
Dry heat and exhaustion; violent rigor in the evening with headache, lasting till midnight, 24.
Flushing of the face, and cold hands and feet, especially in the evening (19a.).
At night thirst, restlessness, rigors, and heat till morning, 24.
*Fever; coldness of whole body, with hot forehead, hot ears, and inward dry heat, 1.
Fever; coldness and stiffness of the whole body, redness and heat of one, coldness and paleness of the other cheek , with open, fixed eyes, and contracted pupils, which only dilate slightly and slowly in the dark, 1.
Toward evening rigor and coldness of the hands and feet; then nausea felt about the middle of the sternum, which continues even when partaking of food which tastes good, though there is neither appetite nor aversion; after eating the nausea goes off, and is followed by heat of the face, accompanied by sad and despairing thoughts, 1.
Cold shuddering, from the crown of the head down the back to the sacrum, followed by an agreeable sensation of warmth in the skin, 30.
Alternation of heat and chill all night, with restless sleep, 38.
Alternating attacks (after 3; 4; 6 h).*
Either along with redness of the cheeks , childish merriment, with sensation of heat all over the body, and headache on moving the eyes upwards and sideways, 1.
*Or along with redness of the cheeks and heat of the head; shuddering all over the body , with proper taste in the mouth, 1.
*Or along with redness of the cheeks, rigors, with weeping and pressive headache, 1.
Or along with redness of the cheeks, an obstinate disposition, burning in the region of the navel, and pressive headache, 1.
After the siesta, which usually makes him warm, feeling of rigor throughout the body, and cold of the upper arm; the cold feeling persisted even while walking, and in the evening gave way to a short, disagreeable feeling of warmth, like a catarrhal fever, 26.
*Toward evening burning heat in the head and face, with redness of the cheeks and outpressing headache; at the same time rigor over the whole body and thirst (after 14h.), 6.
Heat in the head; forehead hot to the touch, with rigor over the body on the slightest movement, 1.*
The 14th day, at night, a rigor, followed by excessively copious perspiration, sleeplessness, 27. [1600.]
Internal rigor from back over the legs, with cold sweat; the face feels icy cold in a sunny day and warm room; this lasted four hours, till evening, when heat and rapid pulse and symptoms of coryza came on, with general laziness and heaviness of the limbs, 26.
15th day; another rigor at night; followed by dry, hot skin, and perspiration, 27.
(*She drinks little during the heat, yet has dry lips, 1 .)
(During the heat the cough is troublesome, 1 .) [1620.]
(Great heat, from ten in the evening till after midnight, with dyspnœa; she would like to cough but cannot, and speaking is difficult; at the same time there is the greatest restlessness, and complaints about pain in the hands, feet, abdomen, and back; she stamped with her feet, and would not allow herself to be touched, 1 .)
Increased warmth all day, with exhausted feeling and loss of appetite; the heat increased toward evening , with internal heat and swollen veins, 26.
Evenings prostration; increased warmth of skin; flying stitches along the sternum and between the ribs, 21.
On going to bed the heat of the body increased, especially of the extremities; perspiration appeared on the inside of the thighs and of the scrotum, accompanied by great itching; he scratches till the blood comes, 26.
*After getting to bed all the feverish symptoms become much aggravated, and almost intolerable, 38.
Throughout the whole afternoon a sense of feverishness hung about him, attended by great powerlessness and prostration of entire body, the extremities particularly, 38.
The feverishness continues without interruption all through the night, but abated a good deal this morning, 38. [1630.]
Sense of inward fever attended by chilliness; desire to sit over the fire, and a disposition to nausea; feverishness abated on going out into the open air, and walking about, 38.
Sense of inward fever, with the feeling of prostration, 38.
Dry heat and tightness of the skin over the whole body, [t].
Warmth extends over the whole body, especially stomach and abdomen, accompanied by sweat, [t].
Whole body warm and sweating, [t].
Slight warmth and moderate sweat, 9 . [Reaction from 1550.]
Pleasant warmth of the whole body, especially in back, with moderate sweat, 22.
Profuse sweat, with diarrhœa and increased flow of urine, 12.
Copious sweat followed the convulsions, [t].
( Bending body sidewards ), Sensitive stitches in thorax.
( On going to bed ), Heat of body.
( After getting to bed ), *All the feverish symptoms.
( Drinking ), Cough.
( On falling asleep ), *Jerkings ; itching of limbs.
( Flexing fingers to wrist-joint ), Violent shootings in elbow joints, etc.
( Driving ), Vertigo.
( Eating ), Uncommon sleepiness.
( Going in evening from half dark room into street ), Flickering before eyes, etc.
( Going indoors from open air ), Pulse quickened, etc.
( Grasping anything ), Sensation of weight in arms, etc.
( During heat of body ), Cough.
( Inspiration ), Dull stitches under ribs of left side; oppression of chest, etc.; stitches from lowest rib on right side to apex of shoulder-blade, etc.; pain in left side of spine, etc.
( Deep inspiration ), Oppression of chest; oppression and anxiety of chest; pains in chest; pressive pain in region of second left rib, etc.; stitches between scapulæ, etc.; painful shocks in left chest, superiorly; pain from right scapula to front of chest.
( Laughing aloud ), Sharp stitch under ribs on right side.
( Light ), Headache.
( Lying ), Stiff and bruised feeling in left side of neck, etc.
( Lying on side ), *Violent cough.
( After lying down ), Powerlessness in head of femur, etc.
( Lying on back ), *heart symptoms [°].
( Mental exertion ), Pain in head and face.
( Motion ), Confusion in head, etc.; headache, first in vertex, etc; weariness in neck etc.; painful stiffness in small of back, etc.; tearing pain down arm, etc.; pains in bones of forearm; acute pain in right forearm, etc.; drawing pain in thighs, etc.; general anxious sensation, etc., chilliness; severe attack of rigor, etc.
( Appearance of Menses ), Rage; sharp pain in loins.
( Moving affected part ), Rheumatic pain in nape ; drawing pain to left of nape, etc.; trembling in wrist; pain; etc., in right thumb joint; drawing pain in hip-joint.
( Moving the head ), Vertigo; shooting in nape; stretching in cervical muscles.
( Rising up ), *Vertigo.
( Noise ), Headache.
( Laying on cool hand ), Headache, etc.
( Pressure ), Pain on right supraorbital ridge, etc.; violent drawing pain in both sides of spine, etc.; violent tearing pain in small of back; violent sticking pin in upper orbital border, etc.
( Rest ), Single shootings in middle of right upper arm, etc.; paralytic feeling in right forearm; tired feeling in lower limbs ; rigor, etc.
( Standing ), Vertigo; pressive pain in pit of stomach; drawing pain in head of left femur.
( Sitting ), Nausea, etc.; pressive pain in pit of stomach; anxiety in cardiac region, etc.; drawing pain in head of left femur; powerlessness of legs and thighs.
( Speaking ), Headache.
( Stepping ), Tensive pressure in lumbar and sacral regions.
( In sleep ), Inspiration through nose impeded.
( After sleeping ), Pain in shoulder and hip joint; powerlessness in head of femur, etc.
( On attempting to sit up ), Faintness.
( While sitting during day ), State of waking dreaminess, etc.
( Treading ), Pain in right heel.
( Change of temperature ), Dry cough, etc.
( ), Easy stupefaction; dryness of throat; tickling in larynx; severe cough.
( Touch ), Pain in lowest rib, etc.
( Urinating ), Sensation of splashing in bladder; stinging in fossa navicularis; fainting kind of feel; burning in urethra; pains in glans penis; shootings in glans penis.
( Walking ), Vertigo; dizzy confusion of head, etc.; the throat symptoms; nausea; pressive pain in pit of stomach; shooting in spleen; pain in bladder; single momentary shock in urethra; palpitation, etc.; pain in loins, etc.; pressure in elbows, knees, hips; painful pressure in hip-joint; drawing pain in head of left femur, etc.; stiffness and heaviness of limbs; great fatigue, etc.; pain in patella; acute, pressing pain in left patella, etc.; sleeping of toes of right foot.
( When nothing urinating ), Burning in neck of bladder.
( Warmth of room ), *Vertigo and stupefaction; *forepart of head feels as if nailed up ; *headache, etc.; *dry cough; *anxiety in pit of stomach ; legs very cold.
( Writing ), Paralytic feeling in right forearm.
Amelioration.
( Morning ), Feverishness.
( Open Air ), *Much relieved; *headache, feverishness, etc.
( Bending body backwards ), Pressive pain in chest.
( Cold Water ), Headache, etc.
( Compression ), Pain in ankle.
( Drinking cold water ), anxiety.
( Eating ), Burning, itching, and darting in both ears; nauseous taste; the throat symptoms; nausea.
( Heat ), Creeping in scalp.
( Deep inspiration ), Lancinating stitches in region of heart, etc.; oppression of chest.
( Lying quiet in dark room ), Headache.
( Lying on back ), Violent cough.
( Lying down ), Shooting in lower half of left side of chest.
( Motion ), Stiff and bruised feeling in left side of neck, etc.; paralytic feeling in right forearm.
( Moving affected part ), Pain in right hand.
( Quiet ), Palpitation, etc.
( Rubbing ), Itching in prepuce; lancinating stitches in region of heart, etc.
( Sitting ), Frontal headache.
( Stooping ), Sensitiveness of eyeball; pressure in small of back.
( Warm soup ), Abdominal symptoms.
( After vomiting ), Hope aroused.
( Walking ). Vertigo; nausea and sinking in pit of stomach; feverishness, etc.
( Washing in cold water ), Pain in top of head.
( Wine ), Heaviness and oppression of chest.
( Wine and coffee ), removed symptoms for a short time only, 31.
Convulsive movements of the limbs, which became strongly flexed, and which it was impossible to extend; cold clammy sweat; eyes turned upward; pulse lost; these symptoms lasted about three minutes; followed by general relaxation, loss of vision, vomiting, 78.
Tremor, so that she could not stand without assistance, 68.
Looking like her brother, but much worse. After remedies she became sick, but without beneficial results; and the attacks became more frequent and severe, being attended with tympanitis, pain around waist, convulsive movements of the legs, the hands being benumbed, cold, and clenched; the pulse slow and scarcely perceptible, and she seemed about to expire. During one of the several attacks, the pulse became imperceptible at the wrist, and only audible by the ear to the chest; and then, instead of convulsions, she had complete trismus and tetanus; the hands being clenched, the arms fixed, the jaws tightly closed by the rigid masseters, and the head and trunk retracted, till she only touched the couch by her head and heels. From this time the paroxysms retained their new character, but gradually became less violent till about midnight, when she could be left with safety. The next day she suffered from severe pain in the spine, with great debility, and it was several days before she was quite well. She recollected little which occurred during the more violent attacks, 65.
Semi-delirious, very flushed in the face, intense dyspnœa, bathed in icy-cold perspiration, pupils widely dilated, pulse not perceptible at wrist, and the heart-sounds could faintly be heard; vomiting, 102.
In about twenty minutes he complained of a very bad feeling in his head, and was given a strong emetic of
Slight congestion of the membrane occurred, and photophobia in both cases; also slight contraction of the pupil. The tingling sensations continued for six hours; and at the end of that time the eyeball, in one case, protruded an eighth of an inch from the socket; in the other the tingling was referred to the angle of the jaw and down the side of the neck. They both lost an entire night's rest, 72.
His mouth filled with water soon, afterwards he had a depressed, heavy look, his face being rather livid, and he staggered about as if he were drunk, complaining that his legs felt swelled, and too heavy for him to lift them. The numbness about the jaws continued, with occasional attacks of extreme depression and faintness, during which the face became livid, and the pulse very feeble. After remedies he became sick, when he began to rally. The next day he had severe pain in the spine, with great debility, and it was several days before he was well, 64.
Soon complained of great pain; vomiting and purging set in; he lost consciousness for a few seconds, but at other times was sensible. He was in a state of collapse on admission; very pale; skin cold and covered with perspiration; pulse slow, intermittent, and scarcely perceptible; bowels relaxed, 60.
Pallid countenance, dilated pupil, cold extremities, extremely feeble and slow pulse, alternate relaxation and spasm of the muscular system, respiration very much retarded, subsultus tendinum, or rather wild movements of the arms and hands, and complaining at intervals (a word or two at a time) of intense thirst, severe burning pain in the stomach, vertigo, headache, dryness of the throat, etc.; said she could not swallow or speak, that the room was quite dark; "I am so numb, I can't breathe," etc., 89.
In fifteen minutes complained of numbness of lips, tongue, and throat; considerably excited, but very rational; said his feet were prickling and numb, as well as his throat, which had lost all feeling; pulse about 80, considerably weaker than normal; profuse sweating; disturbed respiration; complains of nausea. After vomiting his pulse became very weak, and he complained of numbness over his entire body; became delirious, and said he was dying; was very restless, jerking, and jumping about; was with difficulty kept upon the bed, 99.
Immediately on swallowing, felt a burning sensation in mouth and throat, and shortly afterward in his stomach, which was soon accompanied by a numbness and tingling of the lips and tongue. Half an hour after taking the fluid he vomited freely, and half an hour later began to complain of numbness and sense of weight in his extremities, which became very cold, and he was unable to raise them from the ground. His breathing shortly became hurried and labored, and he complained of pains running from his head through all his limbs. Face flushed and conjunctiva injected; hands and feet cold and clammy; restless, frequently "drumming" table with his feet, saying they seemed like two heavy weights attached to his body, 83.
Directly after swallowing it she noticed a nasty taste in her mouth, and immediately felt a tingling sensation in her mouth, lips and tongue; her teeth felt as if they were loose, and her lower jaw felt dead; the eyes were dim, and she shivered. Twitching of the muscles of the neck, and spasms of those of the limbs, collapse, 105. [1770.]
Burning and numbness of the lips, mouth, and throat, and violent vomiting. She experienced a curious sensation of numbness in the hands, arms, and legs, and she lost the power of articulating. Her attempts to speak were attended with unintelligible sounds only. She experienced great muscular debility, and was unable to stand. She felt stiffness of and difficulty in moving her limbs. Some of her external senses were disordered, thus, to use her own expression, though her eyes were wide open, her sight was very dim, and surrounding objects were seen indistinctly. The sensibility of the body was greatly impaired; her face and throat were almost insensible to touch. She felt very giddy, but was neither delirious nor sleepy. For the most part she was conscious, but at times scarcely knew what was passing around her. Her body and extremities were cold. She was frequently pulling her throat about, but she knew not why. 50.
She was similarly but more slightly affected, except that she evinced a slight tendency to sleep. Like the others, she was constantly putting her hands to her throat, 51.
In about three-quarters of an hour he complained of burning and numbness of the lips, mouth, and throat, which soon extended to the stomach, and was accompanied with vomiting. The matters ejected were first his dinner, and afterwards a frothy mucus. Extremities cold, but chest warm; the head was bathed in cold sweat. His eyes, to use the expression of his neighbor, were "glaring." He complained of violent pain in the head, and trembled excessively. The lips were blue. He frequently put his hand to his throat, 49.
Immediately felt a sensation of numbness in the tongue, accompanied by difficulty of swallowing; soon afterwards she began to cry violently, this act being accompanied by convulsive twitching of the facial muscles. Immediately after this she lost the power of walking, and began to eject a quantity of mucus from the stomach. Three hours after taking the dose she was lying upon a sofa, resting upon her back, with her eyelids closed and the pupils slightly contracted. She was quite unconscious when spoken to, and during an hour's observation she only spoke intelligibly twice, and then said, "What is it?" Every now and then she uttered a peculiar plaintive cry. She was continually moving her tongue round the interior of her mouth, from time to time thrusting the organ out beyond the lips, and moving it from side to side. The pulse was weak but regular. The bystanders said it had been intermittent. The hands and feet were cold. There was constant lachrymation, insomuch that a woman was constantly wiping the sufferer's eyes with a hand-kerchief. The intensity of symptoms varied; sometimes she would lie quite still for several minutes, and then all at once be seized with a paroxysm of sighing, every now and then exclaiming, "What is it?" During the night she had very little sleep, her rest being disturbed by dreams that she was falling from a height. The next day she complained of in the lower part of the back, and numbness in both arms, 47.
Severe pains shooting through head, peculiar tingling sensation in whole body, arm sand limbs benumbed, a choking sensation, lightness in the head, with partial loss of sight (in half an hour). Restless and delirious, features pinched, a dark ring around eyes, pupils slightly contracted, skin covered with cold clammy perspiration, breathing hurried and short, pulse 45, and scarcely perceptible at the wrist, at intervals peculiar choking paroxysms (after two hours). Sleep restless, disturbed by dreams (first night). Slight headache, burning pain in stomach and bowels, which were tender on pressure (second day), 82.
The first intimation that anything was wrong was given about an hour and a half before I saw him, when he complained of his throat, walked unsteadily, and articulated with difficulty. I found him comatose, the eyes half closed, expressionless, the pupils insensible to light, though not much dilated. The pulse was feeble and irregular, respiration requiring artificial aid to support it, and the muscles and ligaments so much relaxed that he could neither stand nor sit up unless supported. His respiration finally degenerated to a gasp, occurring five or six times to the minute, then he would convulsively straighten out in the lap of his attendant, throw his head and shoulders back, and his hands over his head, as if, mechanically, to get a longer and fuller respiration, then relax into the same state as before, 68.
First felt numbness at the tip of the tongue, extending to the base, with a sensation that it was swelled; rigors, with great depression, and a feeling of extreme illness; she got out of bed, and soon was so paralyzed that she could not get into bed without assistance; she lay quiet for some time, but thinking she was dying, she begged to be taken to the window, which was soon done; and now she found that, with a feeling that her eyes would drop from their sockets, she lost her sight, and her jaw dropped, so that she was obliged to have it tied up. She was again carried to bed, and remained in much the same state at intervals during the night and following day. The third day she had a severe attack of pain in the stomach, 63.
Breathing extremely slow and slightly stertorous; pulse very feeble, and scarcely counting 40 in the minute; extreme pallor of the countenance; she was speechless from debility, the expression of the countenance showing the intellect was still clear. The muscles of the face were feebly convulsed, as also the right leg and hand, at short intervals, about every second or third minute. She labored a part of the time under a delusion that her head was many times its ordinary size, which she thought we ought to perceive, 58.
Found stretched on the bed, with his face downwards, groaning and complaining of agonizing, burning pain at the epigastrium; parched mouth, intense thirst, constant retching; the pulse was imperceptible, the skin cold, though perspiring, and the countenance expressive of extreme agony; jactitations incessant, scarcely remaining half a minute in the same position, 56.
Giddiness; intense burning feeling along the tongue, extending to the fauces; coldness of the hands and feet, and along the spine; twitches of the muscles of the face, and of the fingers and toes; dimness of vision; dilatation of the pupils; inability to swallow; weak pulse; involuntary escape of fæces. A little before death there was one universal convulsion. Towards the fatal termination his skin was cold, his lips blue, his pulse almost imperceptible, and his respiration oppressed and labored, 54. [1780.]
From about twenty minutes after taking the medicine, continual retching or unsuccessful efforts at vomiting; great prostration; pulse imperceptible at the wrist, the action of the heart scarcely audible, the skin cold and clammy, the eyes staring; pupils dilated, the right one being really oval, and the left irregularly polygonal; conscious until death, which took place in the following manner. Having resisted for awhile the attempts to give her medicine, she suddenly sat up in bed and said, "I will take more if you won't force me." Having then tried to swallow a little, she sank back again; the heart's action was no longer perceptible by the stethoscope, and after this she gave but one inspiratory heave, her death occurring somewhat more than five hours the time of taking the poison, 52.
At the end of five minutes felt a tingling in the fingers with a feeling as though the temperature of the body were lowering. This continued to a sense of coldness, with dry, parchment-like skin. Then a chilliness, with occasional nervous uneasiness and anxiety, which continued an hour and three minutes. Then alternate chills and flashes of heat, almost constantly breaking into each other, lasting thirty-five minutes (the tingling and nervousness continues). Then a dry heat set in, with a peculiar tenderness of the flesh to the touch, and nervous anxiety. Thirteen minutes after the inception of this stage, a slight headache set in, with seething in the ears. At the end of fifty-seven minutes this last stage closed, with slight vomiting and sweat. Tingling nervous anxiety, and dry skin existed throughout, after the first five minutes, 66.
In an hour the pupils were so dilated that the iris could not be seen, and this condition lasted till the following day. It was a fortnight before she had entirely lost the tingling and numbness, and feeling of malaise, and for weeks after she was subject to sudden fits of numbness in the feet, so severe as to cause her to fall; even six months afterwards she was liable to vomitings and sensations of cramp in the throat, to which she was not subject before she took the poison, 71.
General nervous prostration, with great tendency to sleep, 86.
He gradually became weaker, and on the following evening was found in a dying state, from which he did not rally, but expired about ten o'clock in the morning, 46.
Numbness all over the surface of the body, more especially on the hands, face, and calves of the legs, 74.
Benumbed tingling in the legs, arms, head, face, and mouth, 88.
Numbness, tingling, and slight muscular weakness (after first dose). She started soon after the second dose to walk a distance of two miles, and did not complain until about half way; on reaching her destination she began to stagger, and was soon completely prostrated; her voice became very weak, and she complained of cephalalgia and lancinating pain in different portions of the body, but particularly in the joints, 106.
