Sabina
di Richard Hughes & Jabez P. Dake — A Cyclopaedia of Drug Pathogenesy
Volume IV — Main text
SABINA. Jumptrus sabitia, L. Savin. Nat. Ord., Ctnifer*.
I. Provings. — i. Hahnemann. [Of this and the nine succeeding provings no account is given, save that they were made with a tincture prepared from the leaves.] Weakness of memory, he could not recollect what he had been doing during d. } pressive stitching pain through brain ; pressive digging boring headache ; drawing headache, first in forehead then in occiput ; drawing headache in forehead and temples during d. only ; forehead painful when moving, she could hardly wrinkle it, it pained as though skin was grown &st ; clouds rise before eyes, trembling, these pass ofF in open air ; twitchings in upper eyelid ; eyes ache and discharge a biting fluid ; an efflorescence in cheek towards mouth and temple, sore and painful, worse from touching ; hardness of hearing ; pinching and nipping deep in ear ; stitches behind ear, also when at rest ; stitches from lower jaw to zygoma. Toothache in e. and n., awaking him, as if tooth would be forced out, a pressing outwards, better after getting up, worse from drinking and smoking, he could not bear the warmth of bed (2 e. in succession) ; toothache, excited almost only from chewing, began always in hollow tooth and then extended to others, lasting 5 — 6 m. ; an ulcer in gum of a front tooth, painful on touching ; front teeth feel blunt, drawing pain in all teeth ; drawing in fang of a hollow tooth, when drinking or eating either cold or warm things and when drawing breath through open mouth } during eating and chewing, but chiefly afterwards, pain in lower row of teeth as if gums were swollen and teeth were standing out and loose } externally in neck drawing pain ; bruised pain in muscles and vertebrae of neck, not aggravated from touching ; tongue coated vol,. IV. .1
white and brownish, with insipid taste ; fine stitches in tip of tongue ; contractive and stitching pain from front to back through throat when not swallowing ; dryness in throat with drawing pain ; soreness in throat when swallowing, p.m. ; pressure in throat when swallowing saliva ; feeling of swelling in throat, it felt like swallowing over a foreign body ; saliva is quite white and foaming when speaking; taste bloody and greasy, — saliva reddish ; foul smell from mouth, not noticed by herself; nasty taste in mouth and throat, esf>ecially when expectorating, like phlegm from an old catarrh ; inclination to vomit early in bed, passing off after getting up; violent stitches from pit of stomach right through back; in scrob. cordis first pressure then stitches; bruised pain over abdominal muscles, e. in bed ; pressivc pain over navel ; strong stitches in hypogastric region from without inwards, e. in bed ; compressive pain in 1. hypogastrium ; constrictive pain in region of womb; stool first of soft then of hard faeces; biting sore stitches in anus during stool ; jerking stitches in anus and in front of thighs on walking. Dull pressive stitches from glans backward through whole of penis; violent stitching and pricking in glans in m. ; fig-warts become painfully tender ; burning soreness of fig-warts and glans, worse from touching; the frenulum is swollen and too tight ; prxputium painful, he cannot draw it back ; much milky vaginal discharge, with itching of genitals; violent stitches deep in vagina backwards. Stuftycoryza; shortness of breath, without pain, at rest and when moving ; tightness of chest amounting to stoppage of respiration ; continued sore stitching pain io xiphoid cartilage, worse from deep respiration and touch, most bearable in perfect rest, lasting a fortnight. When stooping a stitch enters his sacrum, leaving severe tension as if the parts were torn, he had to remain stooping for some time, afterwards in bed a violent rigor without thirst ; pain in r. shoulder-joint as if dislocated, even when not moving; pressure in shoulder -joints ; stitch from axilla to tip of elbow and at same time stitch from wrist to elbow, like electricity ; in forearm many quick stitches like needles, sitting ; weakness in hands while writing, could not guide his pen, — with chilliness; drawing pain in vola and through fingers; ring finger goes to sleep; pain in r. hip-joint on rising in m., so that at first she could not walk, it passed off walking ; furuncle on upper part of nates, with sticking pain ; straining and drawing in thighs and knees; stitches from lower part of tibia to toes, c. in bed; many stitches as from needles in great toe; cracking of joints ; feeling of pulsation in all vessels almost like twitchings ; heaviness and laziness in body, inducing to lie down; general malaise all over body, as if he had danced and revelled for several n., — whimsical with it; after walking in open air feels hot; short walk tires him so much that he has to lie down (after lo d.). Restless sleep and dreams of many works begun but not finished ; tosses about in bed during n., says many irrelevant things in his sleep, and blows loudly with expiration ; dreams in n. as if people were falling down dead from a height. Frequent shudderings all over, including hairy scalp, before going to bed ; chilliness all d. ; on going to bed in e. rigor after rigor ; feeling of cold in r. leg as if it stood in cold water ; heat in face, with icy cold hands and feet; always much /lying heat in face, rest of the body frc-
quentljr chilly. Does not take part in any joy, but is not discontented ; cares for nothing, indifferent (after several d.) j very fretful, crying aloud. (Staff's Beitrdge.)
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Gross. — In 1. tuber frontale painful pressure, involving eyeball, which seems compressed ; behind r. tuber frontale, about sutura coronalis, boring pain ; chapped-stitching pain, as if someone was thrusting a sharp knife several times from r. tuber frontale deep into brain (2 h.). Pressing, almost paralytic, pain in sphincter muscle of anus, a sort of urging almost all d. without having to go to stool, — some time after compelled to go to stool — the first time hasty and fluid, but later slow and hard. In r. chest under sternum several times during d. painless trembling (as if in substance of lung), tremulous motion with dull crackling or crepitating, almost like sound of treading on fresh ice (8 d.) ; under manubrium sterni, 1., painful dull stitches ; cutting in chest over scrob. cordis. Pain in front of 1. thigh, only when walking, tensive-tearing, making him limp (48 h.) ; thighs feel bruised and painful in front of centre, not felt going upwards, but only on level or going downwards,— also when sitting, and drawing-in legs, a tension and pain on touch in thigh; he cannot cower or squat for painful tightness of muscles of thigh, feeling as if too short ; on back of tibia over ankles painful tensive pressure (sitting) ; in planta of r. heel violent dull stitches during n. General uneasiness without being able to localise it ; heaviness in all limbs, tired and laaguid, with great depression of spirits ; peevish and depressed. {Ibid.)
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F. Hahnemann. — Bitter taste in mouth, of food,milk and coffee; biting in urethra when passing water; pain in frenulum, intermitting; dark redness of glans ; fever, especially towards e., first much chilliness, then heat in whole body, much perspiration in n. ; night sweats, several n.; peevishness and feeling in body of impending or actual coryza. (IlnJ.)
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Hartmann. — Oppression of whole head, most in forehead down towards nose, where it is more of a tearing, with feeling in 1. nostril as if blood was going to flow ; pressive heaviness in whole head, as if she had taken much strong drink (whole m.) ; pressive painful heaviness in whole head (6 h.), lasting till bedtime ; sudden piercing pressure in 1. frontal eminence ; pressive stunning feeling in forehead ; pressing squeezing in 1. forehead ; pressing tearing in r. frontal eminence ; pressing feeling of heaviness in whole of 1. side of head, sometimes with transient stitches (i h.) ; shooting pressure in 1. half of brain ; tearing in whole of r. half of brain from occiput to forehead ; painful feeling of pressing asunder in r. tuber frontale and r. temple, springing up suddenly, disappearing gradually, and returning frequently ; vertex tender to pressure, causing pressive pain in head ; painful drawing in 1. temple on closing eyes, together with painful pressure on 1. upper eyelid (i h.) ; painful feeling of outward pressure in r. temple ; dull pressure both sides of occiput (i h.) ; painful oppressive heaviness in occiput, lessened from pressing it strongly on a firm cushion ; pressing painful feeling in r. occiput, arising and disappearing gradually (| h.) ^ feeling in 1. side of occiput as if a keen wind was piercing it, degenerating into pressingboring pain ; feeling in r. temple as of a weight pressing inwards, with
painful stitches rapidly coming and going in 1. frontal emineni pressing tight pain outwards iji whole head, coming on rapidly disappearing slowly ; pale face and dull eyes, as in a convalescent fr grave disease {i h.), lasting several d. ; tearing in 1. ear, almost like earache (after i ^ h.) ; burning sensation at margin of l.ear and lobule, the latter redder than the r., but without noticeably increased heal (li h,)' Choking pressive feeling in 1. side of throat, without swallowing ; repeated empty risings, immediately after medicine and lasting water-brash, with frequent yawning ; squeezing pressive feeling insci cordis, independent of inspiration or expiration ; pressive pinching small spot r. of scrob. cordis ; when sitting bent, continual feeling It flatulent distension of region of stomach, causing annoying pressure there, sometimes relieved for short time by eructation, — when remaining longer in this posture very painful and descending to 1. side of abdomen, disappearing again at once when sitting upright ; writhing and pinching in abdomen about navel, repeatedly occurring and each time worse, with feeling as if it would cause vomiting, — without nausea (i^ h.) ; painful drawing in r. side of abdomen towards genitals. Tensive pressive feeling in 1. testicle, repeatedly returning ; trivial excitements cause violent and lasting erections, but still aversion to coition ; drawing pressure deep in abdomen towards genitals as if menses would appear (2nd d.) ; painfullv pressing feeling of heaviness deep in abdomen, worse from pressing externally (2nd d,), as it was always with her the Hrsc d. of her menses ; painful drawing in sacrum, especially when bending back" wards, as always before menses set in. Frequent sneezing first three d, ; stufly cold in r. nostril ; pressure into chest as from wind, seeming to expand it, yet causing momentary oppression (24 h.) ; fleeting stitches in 1, breast ; pressive tensive pain in middle of sternum, increased neither by inspiration nor expiration ; spasmodic pressive pain in front of chest above scrob. cordis, extending across like a band, increased by inspiration ; after much walking, pressive burning in lower false ribs of r. side ; pressive pain just over margin of I. scapula, in soft parts, while at rest, disappears on moving in e. ; pressing under !. scapula in a small spot, not felt when moving arm (2^ h.) ; pressure in muscles of neck, 1. side J tearing pressing feeling in I. axilla (} h.) ; feeling of weakness and want of power in whole of 1. arm, not lasting; tremulous feeling of weakness in I. forearm ; heaviness and bruised feeling in both forearms when bending them inwards, and anxietas, so that he has to change their position frequently to get some relief (16 h., after coitus) j stitching in I. elbow, outer side, not perceptible on moving (2^ h.) ; pressive tearing drawing from middle of r. metacarpal bone to wrist (7 h.) i feeling in I. palm as if it were going to be contracted spasmodically ; tearing pain in r. carpal bones (2 h.) ; burning tearing in third metacarpal bone of 1. hand (aj h.) ; tearing pain in 2nd and 3rd joints of little finger and 3rd joint of 4.th finger of r. hand j burning tearing stitches in muscles of first joint of 4th finger of r. hand (4 h.) ; drawing tearing in fourth finger of r. hand (6^ h.) ; tearing in knuckle of 1. metacarpal bone of little finger; transient painful pressure from middle of r, thigh down to knee, where it is worst, spreading out, — it then gradually subsides j tearing pain close over 1. knee in soft parts
^ h.) ; painful Keaviness in r. foot, beginning a hand's breadth above lallcolus and extending downwards j burning tearing pain in hollow of foot at rest ; droning pressing stitching on outer side of hollow of r. 5t (li h., sitting) ; tearing pain in metacarpal bones of !. little and fourth toes (j h.). As soon as he gets into open air all symptoms at oncesubside; after entering room they begin again. Overtired, awakes after midnightj cannot go to sleep again, compelled now to stretch, jw to bend legs, and to shift from one side to other ; e. in bed, greatest _tstlcssness of blood, must constantly shift position and cannot get to sleep i restlessness and anxiety, e. in bed, with chilliness and goose-skin, preventing him from going to sleep ; restless sleep with confused dreams, frequent waking, after which much tossing about before getting to sleep again. Unbearable burning heat in whole body, with great restlessness, must constantly shift position of limbs, without externally perceptible heat or thirst, — after dinner. {Ibid.)
- Herrmann. — Violent giddiness while standing, as if about to ill forwards ; constant giddiness with fog before eyes (2 h.) j violent srtigo, even when sitting, with great weakness as if he would collapse, and as if eyes would close ; whole of head pressive and dull, especially forehead, as after intoxication (i h.) ; pressive tearing pain in 1. occiput externally curving as far as 1. forehead, more violent when touched ; pressive pain on temporal bones (3 h.) ; prickings under cartilage of lower eyelid (7 h.) ; paralytic pain in r. cheek-bone; pressive pain in 1. cheek-bone, increased from touch ; pressive tearing pain at angle of r. lower jaw in masticator muscles, increased from touch (2 h.). Blunt stitching pain 1. side of lower jaw ; tearing pain in fangs of molar teeth, near gums ; tearing in muscles of neck ; pressive tearing pain 1. side of neck between mastoid process and angle of lower jaw ; repeated empty eructations. Eructations with slight nausea ; at once, and later, cutting in bowels, with rumbling in abdomen ; pain as if bowels were contracting. Since medicine began to act (8 d.), frequent passing of a quantity of urine, with very slight thirst, he awakes at n. to pass urine, which often is turbid when discharged. Pressive pain over whole sternum, much aggravated from inspiration, feels as if sternum was too narrow and twisted inwards (6 d.), breast-bone pains at every touch; sharp stitches under sternum, aggravated by inspiration, — it feels as if it were too narrow, and so impeded respiration ; pressive pain near I. "iipple (i h.) ; intermitting stitches in collar-bone ; sharp stitches in last rue ribs, r. side, towards sternum, only during inspiration; prickings in 1. side at last 2 false ribs ; rheumatic tearing in muscles of nape, I. side, frequently recurring (i^ h.), tearing pressive pain in lumbar muscles and lowest dorsal vertebrx with adjoining ribs, especially on bending body (8 h.) ; sharp stitches at dorsal vertebrae, aggravated by inspiration ; stitching pain in dorsal vertebrae (3 h.) ; tearing pain in 1, cilia and above I. nipple, aggravated from touching. Pressive pain on lusclcs of upper arm inwards, aggravated by touching ; paralytic tear- Jg in r. upper arm to hand (28 h.) ; fine stitches from without inwards both upper arms near elbow-joint (r h.) j pressive pain in both upper rms, near elbow-joint, inwards, worse from touching and moving h.) i stitching pain in outer tuberosity of humerus, both arms
(lo h.) ; prcssive pain on r. radius, worse from moving and touching (6 h.) ; spasmodic contractive pain in 1. palm, when extending it it involuntarily contracts again, pain is worse when stretching hand than when closing it (ro h.); painful tearing in middle bone of r. index; tearing stitching pain in muscles of index and middle fingers of 1. hand (t h.) ; tearing in finger-jonts of both hands (lO d.) •, pressive pain in r. hip i blunt stitches in 1. hip, only during inspiration (4 h.) ; pressive pain in middle of thigh inwards (5 h.) ; burning pain in thigh downwards and inwards ; tearing in back of foot, worse from touch ; pressive tearing pain in metacarpal bones of feet j tearing in front joints of toes ofr. foot (26 h.) ; painful drawing in joints of r. toes, worse from walking; intermittent pressive pain below 1. heel, while sitting (6 h.) ; annoying itching mixed with fine stitches at 1. heel and sole, compelling scratching, burning afterwards, almost like chilblains; sharp stitches in heels from within outwards (12 h.). Anxious dreams waking him frequently from sleep, which is specially disturbed towards m. Great peevishness, disinclined to speak ; great anxiety, as if some evil were impending, {Ibid.)
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Von Pleyel. — Dizziness, with ebullition and heat in head ; heaviness of occiput and nape, descending over whole of back to sacrum ; desire for acids, especially lemonade ; pressive pain in region of stomach and liver; crawling in anus ; frequent liquid, mucous stools; frequent micturition ; dry coryza ; dry coughing and tickling in trachea, on d. following expectoration streaked with blood ; perceptible swelling of breasts ; tickling in nipples with voluptuous feeling ; drawing sacral pains to pudendal region ; tearing stitches in all joints with feeling as if swollen, with stitching and drawing through long bones ; sleep restless with circulatory agitation, heat and profuse perspiration. {Ibid.)
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RocH. — Feeling of scraping scratching in palate and uvula, worse from empty swallowing (^h.) ; repeated transient nausea and inclination to vomit (^ h.) ; feeling of warmth and burning in stomach, about cardiac region, inclination to eructate, with actual eructations tasting of the medicine, — soon after frequent tasteless eructations, after each eructation burning in stomach lessened (10 m.). Paralytic pressive pain in muscles of 1. scapula, with feeling of burning in that part, extending gradually over thorax of same side, not influenced by either rest or movement ; paralytic drawing in head of 1. humerus, with feeling of lassitude there on moving ; drawing paralytic pain through 1. arm, from head of humerus to elbow {\ h.) ; sore pain as from a wound in and about r. hip-joint, worse from turning and moving thigh, after a while subsiding from sitting and lying (12 h.) ; stitching tearing in tibia below knee ; dull tearing to and fro in 1. calf to malleoli ; crawling drawing tearing with intercurrent fugitive stitches in lowest part of tendo Achillis in rest, subsiding during movement and extension of tendon (5 h.) ; tickling fugitive stitches in ball of 1, big toe, shaking whole body like slight electric currents, — sitting. As soon as he enters open air all symptoms subside, immediately after entering room they appear again ; dull tearing pain in bones of upper and lower extremities, beginning from the middle and extending to joints, where it is felt for some time^ more acute and lasting while resting and moving in room
n n
but it disappears in open air (4 h.) ; state of hypererethism of nerves, music was quite distasteful and unbearable, piercing to very marrow of bones,— therewith pressive pain in occiput, feeling of lassitude, exhaustion, and inclination to sweat, especially on back, — after J h. this state of things subsided during active movement in open air (1 h,). [Ibid.)
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VON SoNNENBERG. — Giddiness with stupor J throbbing headache with heaviness and stupor; heat in eyes; thirst for milk; pressive pain in stomach and liver; muco-bloody discharge from anus; retention of urine with discharge in drops and burning ; 3 d. after menses (26 h.) profuse menstruation occurs again, with violent tormina and labourlike pain — blood was partly thin, partly lumpy, also diminished discharge of red urine, with strangury and mucous vaginal discharge ; crawling over back beginning at nape ; drawing sacral pain to regio pudenda; tearing stitches in all joints, with feeling of swelling, and stitching pains through long bones; sleep disturbed with agitation of blood, heat, and profuse perspiration. {Ibid.)
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Staff. — She feels full and bloated in stomach, as if she had eaten too much, with rumbling in abdomen ; dreams of quarrelling with somebody, awakes over it sobbing and weeping ; peevishness, indifference to jesting ; depression for several days ; she is taciturn, peevish, depressed, cheerless, with feeling of exhaustion in all limbs. {Ibid.)
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W — . — Pressive pain in r. forehead ; pressive pain in L temporal bone, from within outwards; painless drawing from r. temple to forehead (4 h.) ; blue rings round eyes; feeling as if internal and lower eye-muscles were too short when looking upwards ; external pressure over r. ear ; blunt stitches in neck at rest. Increased salivation ; after milk bitter taste in mouth ; repeated eructations with taste like the medicine; nausea and sense of fulness; nausea with cough (2 h.) ; sickness and inclination to vomit, saliva collects in mouth ; retching immediately after medicine ; vomiting of pure bile ; nausea and vomiting of food taken previous d., the vomited milk is chopped and tastes sour (^ h.) ; heartburn; whole region of stomach bloated and tight ; pressive pain in region of stomach, on pressure internal pain as from a blow i integuments of abdomen tight (2 h.) ; extreme bloatedness of integuments of abdomen, she thinks she is going to burst ; drawing abdominal pain with tension of integuments ; bellyache as if he had taken cold and was going to have diarrhoea, on passing flatus the aching ceased, but returned at different periods of the d. ; painless diarrhoea with rumbling in bowels, for 4 d. ; stool 8 h. earlier than usual ; diarrhoea with discharge of much Hatus. Indescribable uneasiness in lumbar vertebrae, feels drawing from behind forward like slight labour pain (2 h.) ; irresistible urging to urinate ; strong urging to urinate, yet but little passed, but she felt afterwards as if she had to pass more (i h.) ; menses set in during n. without pain, but 3 to 4 times more copious than usual, after rising lumps of blood passed ; during menses os uteri open, blood red, and copious by starts, especially during movement \ passes big lumps of coagulated blood ; menses last 9 d., and are very copious. Crawling and tickling in larynx, inducing cough and mucous expectoration, also dry cough ; in m. frequent hawking of
mucus, which loosens easily but does not come up, feels constantly something adhering, which from time to time only induces hawking; feels full in chest, with cough ; burning stitches in 1. chest ; stitches in I. nipple (2 h.) ; paralytic sacraJ pain, especially 1. side ; rheumatic pain in i. shoulder-joint ; after stripping the shrub, dislocative pain in L wrist, increasing so much that in a few d. hand could no longer be moved ; stiffness of 1. wrist, with some slight dislocative pain, — ^after a few d. pain changed into tearing, stitching, and swelling of the joint, prover constantly crying and beside herself, compelled to move painful hand with the other from side to side, or cu keep it straight, could not let it hang down, no stitches,^lasted several d., relieved by aconite; drawing pain in 1. metacarpus ; stitching pain in tip of 1. thumb j intermitting stitches at inner side of thigh ; rheumatic pains in I. thigh, then along r. tibia, then in 1. forearm, at rest ; itching in calf, against which scratching does not avail for long ; itching now on r. now on I. calf, had to scratch violently, pimples appear on the scratched spot, which ache and smart j painful stitches in ball of 1, big toe ; gouty pain in r. big toe, it is red, shining, swollen, with violent boring-stitching pains, she could not move either toe or foot, or suffer anything on it — neither stocking nor bedding; alter foregoing had lasted for some d. came pain in r. wrist, hand was stiff, she could not take hold of anything with it, — it then changed from r. to 1. hand j perspiration of feet, extending above ankles, early in bed (18 h.) ; icy cold feet (2 h.). Legs feel like breaking down, she has to sit down and rest frequently, with it drowsiness and yawning, and exhaustion as after tedious illness, with trembling of arms and whole body. Shiverings over whole body, blackness before eyes, followed by sleepiness (2 h.) ; shivers with goose-skin, not lasting long, but returning frequently. Disinclined to speak.
II. Hartlaub an<l Trinks. — a. Confusion of head, after dinner; inward pressure under vertex, do. ; transient pressive pain over r. temple (3 h.) ; early in m., headache as if mastoid processes were pressed towards each other (ind d.) j small vesicle:* about root of nose j a red space on cheeks near aiae nasi, somewhat swollen, which pains when pressed upon ; pain in a small spot behind angle of lower jaw when touched and pressed forwards; single jerks through 1. lower jaw into hollow teeth, while walking out after a meal; between chin and under lip pimples containing a hard substance, which when their contents are squeezed out become small ulcere, lasting several d, (7th d.) ; comedones that can be easily expressed in cheeks near nose. Dryness of under lip for some d. ; early in ui. swelling of gum about a hollow tooth, whitish, painful to touch, accompanied with heaviness in tooth and jaw (gth d.)i every m. tongue has thick yellowish coat, especially at back (ttth d.) j acidity in stomach after every meal, occasional hiccup, then slight heartburn (ist days); painful, anxious, grasping feeling in pyloric region, which is sensitive to deep pressure, especially liefore food ; a kind ot bubbling at border of short ribs, in region of epigastric curve, on stooping, with feeling as if cartilages were bent outwards and raised, — be has some anxietas with it, and is compelled to sit upright ; pressive inter, mining pain in r. renal region; rumbling in abdomen, e., so loud that bystanders can hear it,— a very fine high tone. Stool intermitting for a d., then after feeble straining he has thick pappy discharge, in small quantity, several times towards e. (8th d.) ; stool becomes harder, painful, followed by bleeding from anus, which smarts on pressure (nth d.) ; hxmorrhoidal tumours, which pain especially early in m. Fleeting burning pains in vesical region (ist days) ; intermitting, almost painful urging to micturate (4Ch h.) ; increased emission of dark yellow urine ; drawing, pressive imennitting pains in r. spermatic cord ; crushed pain in r. testicle j hardish
swelling on dorsum of penis not far from glans, of cartilaginous feeling, skin move, able over it, it is flattened towards median line but has a swollen border externally, quite painless, even to pressure, — during an erection It becomes harder, more visible and sensible, with a peculiar dull tensive feeling (tasted 8 weeks). Early in m. fre. quent hawking of mucus, which is loosened but does not come up ; during deep inspiration, to which he is urged — almost to yawning — by need of relieving chest from a slight oppression, there comes at length every time, with some dyspncea, a stitch on 1. side of lower chest, superficial (after chewing berries). Heart-beat in. creased, more violent, intermitting, and pulsation of vessels throughout trunk, but not in head or limbs, — therewith drowsiness, but inability to sleep (p.m.) ; pain in small spot on r. of neck, increased by pressure, which after continuing some time went OR for a while on walking in open air (3rd d.).
b. Hot ears, e. (2nd d.) ; heart-beats stronger, at times somewhat quicker, for some beats fuller, felt over a larger space (3 h.), weaker after siesta ; fixed sacral pain, obliging him to bend back inwards ; paralytic pain in sacrum, he must stretch him. self, bending backwards also relieved ; paralytic pain in 1. arm about elbow.joint, worse when leaning arm on anything, — a few d. after this had gone off, some pimples appeared without redness or areola. Itching violently, especially at tip of^ elbow, leaving scab after scratching, which disappears after 5 d. ; paralytic drawing on inner side of 1. wrist ; paralytic tearing in 1. index ; paralytic pain in 1. thigh abiave knee, internally, but not as if in bone, drawing from below upwards, coming and going,— also once in r. radius above wrist ; tension in inner muscles of 1. thigh, several d. ; fine drawing pains internally In 1. knee (i h.) ; squeezing pains in r. tendo A chillis, becoming tearing (3rd d.) ; single jerks in 1. toes ; paralytic pains in joints, especially after exertion ; in m. violent Itching in a spot on outer aspect of r. leg, below the middle, after scratching skin appears excoriated, bums painfully and exudes, remaining thus till 3rd d.,- when it is covered with a thick scab which lasts 8 d., it itches at its edges, and when scab is scratched off bleeds easily and copiously, for a long time there remains a sensitive red cicatrix (similar places on top and Inside of I. ear) (12th d.) ; during n, itching on legs, relieved by scratching ; in m. a small scratched-off place on inner aspect of 1. leg is taw, and as if ulcerated, on :nd m. paining and Itching, — on scab which forms being removed there is a Aaty base, in e. there is a small but itching and painful areola, growing redder daily in m., but paler towards e., when also ulcer b less painful (it went off on ceasing to take drug) } continual dreaming, full of invention and mental exertion ; pulse somewhat tense, and now quicker, now slower. {Arxti., I, 3»3.)*
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A healthy girl took 4 times too dr. tinct., which caused violent pain in sinciput, vertigo with mist before eyes, dryness of mouth and gullet, nausea, inclination to vomit after food, shooting tearing in stomach, pinching above navel. In bed, m., pinching and griping in abdomen, mostly on 1. side, creeping in larynx as though something were crawling up it, crawling in throat, shooting pains below calf, especially m., as after dancing. Tearing pain in r. arm when writing, so that she must stretch it out, sleep restless, on rising so giddy that she thought she must lie down again. (Buchner, J. h. Z., xx, 304.)
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a. Dr. VAN DE Warker took lomin. of oil at 2.10 p.m. In 10 m. heat and flushing of face; circumscribed pain in each temporal region ; heat in stomach j ideas slightly confused as if from alcohol ; flatulence. At 4 took 5 min. more, and at 8.55 10 min. In 5 m. after latter dose there was present the circumscribed pressive sensation in each temporal region, painful heat and congestion of face, confusion of ideas, headache, flatulence, borborygmus. N. was very restless, and
• No information is given as to how the above symptoms were obtained. They have also no name attached ; but those we have classed as 11, b, have Hering's name written after them in our copy of H. and T.'s work, and are mostly identical with those given as his by Noack and Trinks from the Prakt. Mittktilungtn, which is not accessible to us,— Eds.
fO
he had most severe headache on following d,, with slightly congested conjunctiva:.
b. Took 15 min. at 10 a,m. ro.20, semMntoxication -, sense of painful stricture over temples, pulse beating with great force, heat and weight at stomach. 11, intoxication nearly passed off; eructations, borborygmus, headache ; urine passed twice in an h,, copious, i p.m., repeated dose. 1.20, into-xication and headache more marked than in m. 10.40, nausea and umbilical pain ; face painfully congested. 2.30, free evacuation of bowels, with great pain in track of colon and burning at anus. Urine passed in small quantities, often high-coloured. 3.10, slight nausea and pain in bowels ^ pulse full and strong; intense headache; conjunctivsr congested. Temp. ioo"2°. 3.30, these symptoms still present \ another stool. 5, headache less severe -, nausea and pain in bowels gone. Passed an almost sleepless n. ; severe headache all next d., appetite poor, nausea after breakfast ; no stool this d. (Sphygmographic tracings showed " great increase in heart force and lessened arterial tension.") {^Criminal jtbartion^ Boston, 1872.)
II. Poisonings. — i. A young servant, set. 18, was in good health, but catamenia had not appeared for some time. On e. and during n. of Jan. 6ih, 1854, she complained of some pain in abdomen. Next m. she refused to rise and dress, but said she was very well. During m. there was slight sanguineous vaginal discharge, and bedclothes were saturated with urine. She cried when her mistress spoke of sending her home, but did not speak after 7 a.m. Mr. May saw her at 2 p.m. ; she took no notice of him, and could not be got to answer his inquiries. On his placing his hand, however, on the abdomen she contracted the muscles, and resisted attempts to exumme per vagi nam, beginning also to cry. At 3 p.m. vomiting set in, and continued during n. (savin powder being found in ejecta), and she died at 3 next m. At autopsy (56 h. later) stomach was found reddened in patches, and here and there perforated (evidently post mortem). Kidneys, uterus, and ovaries slightly congested ; she was not pregnant. There was no congestion of the rectum, {jssoc. Med. Journ., 1854, p. 224.)
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Mr. GoWER was sent for between 5 and 6 p.m. on Sunday, and found a young woman (24) sitting by the fire with a face of great anxiety, and pulse of 150. Her symptoms were such as might belong to latter stage of typhus or gastro-cnteritis. He was told she had been vomiting for a week previously, and she could not keep down the medicines he gave. On Wednesday m. labour came on. It was natural, but she sank fast after it, and died next m. Powdered leaves or tops of S. were found in stomach post mortem. There was inflammation of oesophagus, stomach, and duodenum, less in jejunum and ileum, more again in transverse colon. All intestinal glands were enlarged. Peritoneum was generally inflamed, as also were the kidneys ; there was no urine in bladder. Uterus and r. ovary were normal, but 1. ovary was reddened, turgid, and adherent by recent bristles of lymph to sigmoid flexure of colon. Peritonitis seemed to have spread from above downward. [Land. Med. Gaz., N. S., i, 646.)
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A young woman (21), far advanced in pregnancy, awoke her mother at 3 a.m. complaining of violent pain in stomach. She was
very sick, and her mother gave her brandy and water. This did not diminish the sickness, and she soon became insensible. Mr. Newth found her at ii a.m. foaming at mouth, countenance turgid, eyes closed, pupils much contracted j limbs were also convulsed. He found first stage of labour present, and at 3 p.m. a child of 7 to 8 mos. was extracted, the mother having ceased to breathejust previously. P.M. was made 24 h. later. Cerebral vessels were gorged with black fluid blood i other organs healthy, save some red patches in stomach, in which savin was detected. (Letheby, Lancet^ 1845, i, 677.)
- a. A quantity of a strong infusion was taken on a Friday and again on following m. by a pregnant woman to induce abortion. She suffered from violent pain in belly and distressing strangury, aborted on the Sunday, and died on the ensuing Thursday. Autopsy discovered extensive peritoneal inflammation, unequivocally indicated by effusion of fibrinous flakes ; inside of stomach had red tint, chequered with patches of florid extravasation.
b. In another case a girl was seized with violent colicky pains, vomiting, tenesmus, dysuria, and fever. After suffering several d. she died. Stomach and intestines were inflamed, former in parts black, and at lower curvature perforated. (Savin was found in stomach.) (Christison, op. cit.)
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A healthy female had reached about 7th mo. of pregnancy. She was very well on Friday, but was seized with vomiting on Saturday, which continued through Sunday, and was of a green colour. She was first seen by Mr. Lord on Sunday e., when symptoms were those of gastro-enteritis, great anxiety, pulse 150. Vomiting continued at intervals ; there was no violent purging. Labour came on on Wed> nesday ; child was born living, but soon died ; mother died on Thursday. P.M.., lining membrane of oesophagus reddened, with ecchymosed patches ; in stomach a large patch of redness from greater curvature towards pylorus ; no ulceration or erosion in either ; interior of duodenum, especially towards pylorus, intensely inflamed ; and patches of inflammation were found in other portions of canal. There was some peritonitis, chiefly on upper parts of intestines and omentum. Kidneys were inflamed, and of dark red colour. Powdered savin was found in large quantity in stomach and duodenum.'* (Taylor, op. cit.)
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A woman, aet. 30, who wished to produce abortion, took an infusion of herb, sabin., which was followed by violent vomiting. After some d. she had severe pain, and at length she miscarried with great metrorrhagia, and died. P.M. showed the gall-bladder burst, the bile escaped, and the bowels inflamed. (Mohrenheim, Versuche^ ii, 245, in Wibmer.)
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A pregnant girl took sabina repeatedly ; she did not miscarry, but after a time had haemoptysis. (Haller, Hist, stirp. Helv., ii, 321, in Wibmer.)
in. Experiments on animals. — i. Orfila applied ^ij of powder to an incised wound in the leg of a dog. Inflammation and serous infiltration of the limb took place, and death occurred in about 36 h. Lungs and stomach were healthy, but duodenum showed near pylorus * Probably same as II, a ; though observer's name is different. — ^£ds.
a circular blackish spot formed by extravasated blood, mucous meuiic below it being djrk red throughout its substance. There were [so several dark red spots in lining of rectum, jiv introduced inro stomach of another dog, oesophagus being tied, caused death in 13 h. ; stomach was inflamed, though not very red, and rectum showed some reddish spots. {Texicalogie^ sub voce.)
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HiLLEFELO gavc ^j of oil to a male cat. It caused flow of saliva, anxiety, frequent discharge of urine, dulness, trembling, and, in 1^ h., bloody urine. The animal having been strangled, bladder was found ecchymosed, and coagulated blood in its cavity. (VVibmer, ep. cit.)
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Letheby gave ^ij of powder mixed with food to a small terrier. In 2^ h. it began to vomit, and continued to dosoat intervals for i^ h. It then lay down exhausted, and 2 h. later was found in same position, insensible and comatose, with slow labouring pulse. In this condition it remained for 8 h., passing a good deal of blood by stool. In 14 h. From taking dose animal died. Brain was found gorged with blood ; lower bowels were highly congested, and contained blood. {Lancet^
l845»'» 6770
- Mitscherlich's experiments prove that the oil is a powerful poison. It is absorbed into the system, for its odour can be detected in the cavities of the body and in the blood, as well as in the breath and urine. The intestinal lesions it produces are not in themselves mortal, for they seldom extend beyond vascular congestion and an abundant exfoliation of epithelium. Kidneys are greatly congested. Muscular irritability continues for a long time after death. During life respiration and circulation were hurried ; in one experiment urine was several times voided, dulness and insensibility supervened, cxtre. mities were paralysed, breathing laboured, pulse could not be counted, and death took place after a very protracted struggle. (Stills, op. cit.)