Stannum metallicum

Volume IV — Main text

^V I. Provings. — . Hahnemann, A/ar. yl/ir*/. P«r<7, vol. vi of original, vol. ii of translation. Contains 204 symptoms from self, 451 from 7 fellow -observers, and 5 from authors.

a. Ibid., Chronic Diseases, part v. A mere reproduction of the foregoing. _^^^^^^^^^^^^^^

STANNUM.

Metallic tin (in foil) ; also Stanhum muriaticum, stannic chloride.

3- a. Dr. W. H. Stone, set. 25, in good health. Having on 1st d, taken at 6.30 a.m. ro gr. of sacch. lact. without effect, on 2nd d., \ h. before breakfast, took 10 gr. of 3rd trit. of St. A frontal headache with which he woke continued all d., quite severe about noon, worse /rom driving in cold air, better from warmth, rest, and pressure. (Is not subject to headaches.) On 3rd d. took 10 gr. of ist trit. at same time. Headache was gone, but dull heavy feeling continued there all d. Stool hard and dry (unusual).

b. On another occasion, took 10 gr. of i, trit. \ h. before breakfast, 9 a.m., head uncomfortable, but no real ache ; mental depression all d., at times severe j was cross, anxious and worried. At 4,30 violent colic of short duration, relieved by passage of wind ; pain afterwards increased till 7 p.m., when he had a most profuse evacuation of bowels, whitish, frothy, offensive, leaving burning sensation in anus ; felt very empty afterwards. Passed restless n., sleep full of dreams about business j head clearer next d., much borborygmus. On 3rd d. felt well, but had no stool. On 4th d. natural stool, followed by rumbling and distress in bowels for i h. {Trans, af Amtr. Inst, if Horn, for 1885, p. 161.)

1. Mrs. M. F — , £et. 40j normal pulse 85, took similar succession of powders. After first (sacch, lact.) at 8 a.m., felt drowsy for an h., and at 10 had nausea and pain at stomach. Pulse had by this gradually fallen to 65 ; and at noon was 55, when she had such vertigo that she could keep no further record. The subsequent powders, taken at intervals of 2 — lO d., produced same symptoms of head and stomach \ pulse remained throughout at 50 — 52, and was thus 30 d. after com-

mcncmg provmg, no

medicine having been taken for 13d,; health otherwise good. {Ibid.)

1. Charles H. Wells, Philadelphia, set. 29, married, good health. Took 3 pellets of 30th dil. every 4 h. for 6 d. without effect. {Tram, 0/ Penns. State Htm. Med. Soc, 1889.)

2. Oliver H. Paxson, Philadelphia, fet. 29, single, student. Height, 5 feet 7 inches; weight, 140 pounds; constitution, good; normal pulse, lying 77, sitting 83, standing 90 ; normal respiration, 19; normal temperature, morning 98-4°, evening 987° ; urine, habitual quantity and character, 3375 fl. oz., sp. gr. i'023, no albumen, no sugar ; stool twice a day, firm, and natural in colour. After a negative saccharum lactis test, proved u trit. of St. met. On 1st d.took -nygr. at 9 a.m., no effect. After an interval of 4 d., at 9.20 a.m. touk t gr. Immediately afterward, while walking home, observed, first, slight sense of fulness in the 1. temple, some pain over 1. kidney, and feeling of nausea ; did not retch or vomit. Nothing further noticed until 7 p.m., before supper, when he had an urging to stool ; stool was liquid, and passed with wind, causing a sputtering noise. Nothing noticed next d. On 3rd d. took i gr. at 9.30 a.m., and immediately had metallic taste in mouth. 10 a.m., slight urging to stool, with some pain in abdomen, as though it was due to gas ; saliva increased, causing frequent swallowing. At noon, bowels moved, stool mushy. After an interval of one week, took i gr, in e. Very restless all

I I

position. Next d., little appetite for brealcfast ; soreness and aching in back and limbs ; seats at college seem unusually hard and uncomfortable } cannot sit still, it seeming as though the ischia were sore ; dull pain in head, depression ; soreness over the abdomen, and yet no pain upon pressure ; little appetite for dinner j urine less in quantity, and not passed so freely. Slept from 2 until 3.30 p.m. ; awakened feeling somewhat refreshed ; went to lectures in afternoon ; soreness still causes him to feel uncomfortable ; unpleasant sensation about heart, as though it was beating too fast and irregularly, causing him to take a long breath. 6.30 p.m., pulse, sitting 92, regular and hard, 96 standing, 87 reclining ; can feel heart beating through clothing ; respirations, 23 sitting ; temperature, 99*8°.; feeling of weakness and lassitude ; more comfortable when lying down ; pain and soreness over kidneys and in loins ; seems like an attack of malaria coming on, without the chilliness usually incident to it. Slept better, not so restless } soreness and aching in the bones much better, could sit quite comfortably all d. ; appetite fair, but still do not have the usual relish for food j urine passed more freely. At 4.30 p.m. noticed a flush of heat coming over body generally ; some depression still. 4th d., slept well last n. ; felt refreshed after waking, but more sleepy at 7.30 a.m. ; took breakfast without relish ; bowels not moved (habit to move in afternoon or evening) ; temp. 97°. {Ibid.)

1. a. Dr. Everett B. Finney, Philadelphia, act. 21, single, practising medicine ; constitution, strong ; normal pulse, lying down 80, sitting 92, standing 100; normal respiration, 16; normal temperature, m. and e. 98|-°; urine, normal ; stools usually regular, but a tendency Co diarrhoea. After a negative sacch. lact. test proved i, trit. of St. anet. Took -^ gr. at 9.35 a.m. At 12.45 felt a sharp cramp-like pain in region of navel. At 5.45 felt weak and had a death-like feeling ; limbs felt weak (has such a feeling once in a while when he gets ■very tired). Next d. at 2.15 p.m. had the. sickly feeling coming on again ; brain feels tired, and it seemed as if he had not strength to go out and make his calls ; trapezius near its attachment to spine of r. scapula felt sore and bruised to-day, and at 3.30 p.m. felt a sharp pain running upward in the muscle. In making his calls this afternoon street seemed very strange to him, and head felt heavy on stooping ; once in a while had a crampy feeling in the abdomen. (After an interval of I d.) Last n. had a long dream of fighting and butchering. At 6 a.m. was called out to visit a case near by, and on returning at ^.35 a.m. felt faint and sick at stomach. At 10 took i gr., and at 3.15 another. Off and on this afternoon had slight crampy pains in abdomen, also some tickling in throat, causing hard coughing (but have similar coughing spells). 5 p.m.^ full feeling in throat, as if swollen. 8.20^ feeling irritable, don't like to hear folks talk; also feels as if he must keep moving ; has been coughing somewhat again ; it is a hard dry cough. 9.50, sharp pain in temples on stooping ; also full feeling. 10, nose is feeling quite dry, and burns — that is, on septum ; it has felt so greater part of d. 2nd d. — Last n. dreamed of many things. At one time was aiding a thief to escape ; at another was talking of the same things he had talked of during the d.^ and with the

same persons. This morning at 8 a.m. had colicky pains in bowels, relieved by passing flatus. 4.30 p.m., feeling of distress and heaviness in region of stomach, as if digestion was retarded ; also hiccup and belching once in a while ever since dinner at 12.30. At 6 the discomfort in stomach seemed to have been relieved by eating supper, but at 6.15 belching commenced again; had full swollen feeling in throat, lasting till after 8 p.m. 9.35, have been belching up much wind off and on for a good while ; mouth and throat feel dry ; abdomen feels uncomfortably full. 3rd d. — Sleep disturbed much with dreams last n. ; dreamed of talking over work of d, ; awoke at 7.30 a.m., feeling as if he wanted more sleep. Took breakfast with usual appe> tite ; some wind this a.m. passed from anus, but most by mouth ; normal stool this a.m. at 9 o'clock. 1 1 a.m., on coming home from Dr. Mohr's office, had dragging and sinking feeling in abdomen, as one has when suffering from an attack of diarrhcea. About i p.m. began to feel a crawling, first in one part of body, then in another, as if there was something alive on him ; it is still present at 2.20 p.m. 2.30, quite loud rumbling in the bowels, so that it was to be heard some way off. -^.30, I. elbow aches as if it was tired. 4.20, throat began to feel dry and thick or full, not an ache ; also some dry cough. 5.10, aching in r. shoulder, as if it was tired. 4th d. — At 11.45 <'•'"■ '^^Ic i gr* 3.45 p.m., bowels felt as if they would move, but, on going to the closet, could only pass wind. 5.50, while eating supper he had a sharp stitching pain in left iliac region, which, on deep inspiration, was quite severe ; it only lasted for am. 10, r. side of tongue feels as if there was an ulcer in about the centre of it^ and there is a little whitish blister there.

*. Same prover, after interval of several d.,

No effect.

on I si d. took 3 2ndd. — At 11.30

At 1.30, 4, 7, and 10 p.m.

pellets saturated with 30, dil. every 3 h. a.m. felt slight pricking pain in r. ear.

took 3 pellets of the drug. No effect. 3rd d. — At 8 and 1 1 a.m and at 2.20 p.m. took 3 pellets. 5. 20 p.m., 3rd d., have just returned from making calls ; while on the street legs felt heavy and weak ; now have just experienced an aching pain in r. ankle, also muscles of thigh ache. Had pain in r. knee in a few m. after pain in ankle, and there was a tender spot on pressure just internal to patella. At 10 and 11 p.m. took 3 pellets. 4th d, — At 8 and 1 1 a.m., and at 2, 5, and 8 p.m took 3 pellets. Felt rheumatic aching of r. ankle and thigh many times to-day ; head also felt bad, not an ache, but full. At 1 1 p.m. took 3 pellets. 5th d. — Took 3 pellets repeatedly, but experienced no effects. 6th d. — Last n., at 7.15, began to feel queer, and while in church felt quite restless; head was full, with some aching pain at base of skull, and eyes burned ; so uneasy was he that he could hardly stay until the services were finished. Went home, and soon went to bed ; began to feel feverish, and could not lie still for some time ; could not bear many covers on him ; after a while slept very well. This m. on rising throat was sore ; slight pain on swallowing, and sensation of fulness ; he blew from nose quite a quantity of mucus, white, with yellow streaks. While eating breakfast soreness of throat was not noticed, but he felt it as soon as he was through. All through d. had

t

1^1^

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uent chilly feelings, and limbs ached a good deal as if he was going to have the malaria. Throat has continued sore all d., and head has ached much ; nose is stopped up, but occasionally he can blow white mucus from it ; eyes feel sore and heavy. R. side of throat is the side that is sore. Temperature at 8 p.m. was 100°; pulse 112, sitting; cough quite hard at times ; bowels are normal, and urine is scanty. 7th d. — Very restless all last n., did not sleep well, awoke many times, and while he did sleep dreamed a good deal. On getting up throat Wis still sore on r. side, head stopped up, and discharge from nose yellow and streaked with blood ; temperature 99^^°. Felt weak this IT. ; appetite poor for breakfast. Had some pain in the bowels when he had a passage, which was loose. 8th d. — All yesterday felt very bad ; had headache, and pains all over body ; muscles felt sore, and a feeling all the time as if he must stretch. About 2. 30 p.m. headache changed from sensation of fulness to splitting pain, and the minute he would raise it head felt as if it would split ; same also felt on moving it suddenly or on stooping. Throat was sore all d., and at n. wa? quite painful on swallowing. Slept very well, but was awake many times, and felt hot. Should say that last n., at lO p.m., temperature was 100° ; this m. it is 99°, and throat not so sore. Headache gradually "let up," but at 2 or 3 p.m. head began aching again, aggravation on scooping. Throat not so sore as yesterday ; felt quite dry, and soreness was less on r. side to-night than other days, but 1. side was the worse, and also was dry ; temperature 99° at 10 p.m. Felt this afternoon a sharp pain in region of liver similar to stitch. Glands at angle of 1. jaw sore and enlarged. Has had a sore spot at angle of r. scapula, not constant, but very frequently experienced. 9th d. — Got up feeling quite well ; throat a little sore on 1. side ; glands at angle of 1. jaw better ; some soreness on swallowing, especially I, side ; some phlegm, thick and yellow, from posterior nares, but not so much as on previous days ; but slight headache to-day ; temperature 99^°, 8 p.m. c. Same prover, after an interval of one week, took at 10 a.m., 3.15, 5.10, 8, and 10.30 p.m., 3 pellets 30th. No effect. 2nd d. — At 8.30 a.m., 2.4.0 and 5 p.m., took 3 pellets. Some slight uneasiness in abdomen, feeling as if bowels would move, something like diarrhoea ; head felt tired, as if he was overworked mentally. Has noticed all d. that he was irritable, easily provoked ; feeling quite chilly this afternoon. 10 p.m., took 3 pellets. 3rd d. — At 8 a.m., 2 and 6.15 p.m., took 3 pellets. Crampy feeling in bowels several times during afternoon ; also fainty feeling in stomach at those times. 9 and 11.30 p.m., took 3 pellets ; had itching, burning pain on I. side of nose almost all afternoon and e., and bowels felt all this time as if he had diarrhoea, but such vras not the case. P'or 6 d. more took same dose 5 times a d., but no symptoms resulted, [Ibid,)

1. Dr. PiTET took during 10 d. repeated doses of 3rd dil of Stan, mur. — 7th d. At n. sharp but transient pain in upper part of r. thigh above crural canal. Sharp pain in I. temple, less sharp in r. temple. Sharp pains, consisting of rapid and jerking shootings at intervals, sometimes rather long, in anterior part of thigh ; same pains in 1, thigh some instants thereafter. Painful feeling of weight at top of head near front.

I2S

— 8th d. Feeling in velum palati like that caused by snuff when a strong ' inhalation brings it into throat, e. — 9th d. Stuffed nose, m. Feeling in velum palati as if a foreign body or phlegm were there that could not ^^M detached or swallowed j same sensation on back part of nasal foss.t,— ^^ 10th d. Expectoration of thick viscid phlegm, apparently from the velum palati, where it seems to be secreted. Coryza of 1. nostril. ^j Painful heaviness of whole head, sometimes only in forehead or teni<^| pies. Sensation of disagreeable roughness of velum palati. Sharp and^^ deep lancination in inferior part of 1. lobe of brain, above orbital arch, — iith d. Severe coryza all d. Dull intermittent pains in posterior aspect of 1. metacarpus, e. In middle of sternum a kind of small red pustule distinctly circumscribed, and causing for a few seconds great itching, two successive e. — 12th d. Coryza less. Occasional violent, shootings on 1. side and back ; had sometimes great heaviness of head sometimes general, sometimes partial, sometimes in one spot, sometimes^ in another. — 13th and 14th d. Sharp pain in ist r. metacarpal bone for moments. Occasionally e., n., and towards m., sharp pain in r wrist-joint, sometimes extending to forearm. — 15th d. Nocturnal emission when lying on back. — I7thd. Nocturnal emission. Phlegm in throat j the effort to detach it causes inclination to vomit. Blows blood from nose, m. ; roughness in throat. Painful heaviness at top of head and shootings in r. parietal region occasionally. — 18th Blows blood from nose, m. Roughness in throat, m. Expectoratio of a thick mucous mass of globular shape, grey colour, containing clot of black blood, and apparently coming from throat. Shooting pains, apparently seated in upper part of external aspect of 1. tibia ne knee-joint. Sensation of roughness and dryness in throat withe thirst. Voice low, veiled. Noise like a grasshopper in I, ear. — igtb] Frequent itching in tip of tongue.- — 20th d. Roughness and dryn< of throat, m. Boring in tongue, m. Thick, viscid, greyish phleg:* mixed with streaks of blood, attached to throat; great effort requireJ detach it. General heaviness of head, especially occiput. The de muscles of back of neck are painful to touch near the occipital ins4 tion. The action of raising or lowering the head causes pain in muscles that do this. Every step causes pain in head. Coldness bruised pain in all limbs. — 21st d. The symptoms of previous seem to diminish. Painful heaviness in occiput. Several sharp shoc:^* in r. eyeball. Rough feeling in throat. — 22nd d. Erotic dream wic ^ out emission. Perforating and gnawing pains in a point of 1. side ^" chest, sometimes in front, sometimes behind scapula. Thick phleg: * adheres to throat, and the efforts to detach it provoke almost irresistil inclination to vomit. Persistent roughness and dryness in throat, ar when swallowing painful feeling of burning. Occasional acute traf sient pains in r. temple. — 23rd d. Extreme dryness and roughness throat, without thirst, aggravated by swallowing. Thick grey greenish phlegm adherent to throat, requiring great effort to detach which causes inclination to vomit. Respiration by nose is hindered the permanent congestion of the palato-nasal m.m. During remaindd of d. constant efforts to detach greyish and bloody mucus from throa which cause inclination to vomit. Shooting in r. side of front

24th d. Shootings proceeding from metacarpo-phalangeal joint

ex extending to end of linger. Shootings in the second joint

of r, middle toe. Shootings in second joint ofl, middle finger. Atn.

pemstcnt sharp pain on r. shoulder in fibres of trapezius, hindering the

raising of arm, pain aggravated by touch. Transient tearing pain in

forehead, top of head, and occiput, then sometimes at one point, some*

times at another, and sometimes all through head, generally worst in

forehead. Acme jerking pains in r. anterior lobe of brain, above orbit.

•A.cid eructations 5 h. after supper. Malaise in epigastric region as if

d igcstion were slow, though he has eaten less than usual. — 25th d.

The rheumatic pains felt yesterday on r. side of nape in fibres of trape-

3c.iu5 increased during n. Restless sleep, disturbed by the pain.

■12 ruised feeling in all limbs ; heaviness and tearing all through head.

**rtssive tearing on both sides of brain at the level of the protuberances.

x^iinful almost constant heaviness in occiput. Bruised feeling and cold-

x~i(ssof all limbs. Dull or acute pain in internal part of first phalanx

oil. index near metacarpo-phalangeal joint. Same sensation in r. index,

H^uil pains in r. wrist-joint. Acute drawing pains in second joint ofl.

1 i ttlc finger. Acute shootings in tip of r. big toe. — 26th d. Acute

<lnwings in second joint of 1. middle finger. Dull pain in inner side

c»f proximal extremity of first phalanx of 1. index. Violent necdle-

pricts in lower part of rectum extending to anus. — 27th d. Repeated

*<utc and jerking pulsations at inner part of r. inguinal canal, in the

*^ouree of spermatic cord. — zgth d. Tearing on internal aspect of

*tcnium at the level of 5th and 6th ribs, extending towards 1. side of

chest.— 30tb d. Acute pain in second joint of 1. little finger, Almost

'^nsunt heaviness of whole head, sometimes only on crown. — 31st d.

Acute shootings at end of rectum ; wandering pains at different parts

behest, and drawing pain here and there. Sensation in thoracic wall

*' level of apex of heart as if an insect were gnawing the part. Same

«nation next d. — 32nd d. All d., but not continuously, sensation in

*pirtof r. flank as of a vessel through which a liquid quickly flowed.

Shooting in r. caruncula lacrymalis. — 33rd d. Digestion slow, acrid

■uid rises into throat a long time after dinner. Shooting in r.

cwuncula. Shooting in upper eyelids, with slight swelling. Formica-

f'on in trachea^ causing dry cough, e. Sensation of internal gnawing

111 point of anterior part of I. side of chest. Constant tiresome for-

"licjtion in roots of lower incisors. — 36th d. Obtuse shootings in 1.

'xic of sinciput. The secretion of mucus in throat, and inclination to

'vomit while making efforts to detach it, persist. Itching in upper eye-

Wswith slight swelling. — 36th d. Shooting in 1. eyeball, e. — 37th d.

'Utulent colic, m. — 40th d. Flatulent colic during d. Several times

during d. incisive penetrating pains in 1. side of anterior part of brain,

'hfr cease for some instants to return later. Colic, fetid flatus. A

violent needle-prick in rectum. Sharp quick pains in first I. metacarpal

W. Same pain in r. wrist-joint. — 42nd d. At upper part of r. orbit

•footings, which dart from before backwards in substance of brain.

I 'w several successive e, soft stool, preceded by colic. — 43rd d. Pain

I in middle joint of 1. middle finger. — 44th d. Violent shootings in

ilarso-phalangeal joint of r, second toe. Soft stool, e., preceded by

IV. 9

•nm- -- — -

colic only at the moment of urging to stool. — 45th d. During n. di vague pains in anterior part of 1. side of chest and behind 1. scapuJa, with sweat on chest. Frequent colic in abdomen and rectum. In e. soft stool, preceded by colic when the desire to go to stool is felt ; fetid flatus. Shootings in metatarso-phalangeal joint of r. big toe. All through the proving frequent itching in anterior third of tongue. The following days the symptoms became less intense, and gradually went off. (PiTET, Journ. de la Sac. Gall., iii, 209.)

1. In a young woman some doses of Stan. mur. caused after a few d. itching in vulva, especially e. j constant inclination to vomit and vomiting of mucus, and hordeolum at internal canthus of r. eyelid. [Ibid., 216.)

2. Another woman after a few doses of same med. felt itching in vulva, dryness of throat, intense coryza alternating with stuH^ed cold in head. [Ibid.)

3. After I dose a woman felt almost immediately acute pains in r. lumbar region, ni. The next d. in the m. expectoration of a mass of thick, viscid, tenacious, bloody mucus, with violent expulsive efibrU accompanied by inclination to vomit. [Ibid.)

II. Poisonings, — I. A cook used some of the chloride by mistake for salt. Several guests partook of the soup and other food so seasoned. They were seized with colic, which in two persons lasted 2 d., and was accompanied by diarrhoea. None had vomiting. (Orfila, Toxic, sub voce.)

1. T. A. E — , a;t. 14, swallowed a solution of the bichloride. He felt great pain at stomach, and vomited a quantity of thick slimy mucus of dark green hue. His mouth and fauces were much congested, he could scarcely swallow, and his mouth felt hard and leathery. Free emesis was induced. A cold clammy sweat broke out, and pulse was indistinct and fluttering. Strong reaction ensued, with severe pain and great soreness of stomach and bowels, as also of mouth and throat. It was some weeks before he had quite recovered. (Hazeltine, 5oj/. Mtd, and Surg, yourn., xxxi, 38.)

2. Meinel, from a solution of the chloride with common salt, saw pain in precordial region and hiccup, with vomiting of similar matter as in II, 2, followed by hot and dry skin with pulse at 100. {Schmidt's Jahrb., Ixxiv, 167.)

3. A family ate a cold chicken pie baked the previous d. in a new tin pan. All had violent pain in epigastric region and frontal headache^ loss of appetite, and yellow tongue : with some there was constipation, with one a severe attack of something like dysentery. Dr. Angell, who attended them, ate of a similar dish very heartily as a test } it brought on most distressing debility, almost preventing his riding home, a distance of a few miles. Another family who ate a custard similarly cooked were affected like himself. (Ohia Med, and Surg, Rep., ii, 152.)

III. Experiments on animals. — i. Orfila found that a solution of 6 gr. of the chloride injected into the jugular vein of a dog killed it in I m. ; that 2 gr. caused tetanus, and death in 15 m. j and ^ gr. death in 12 h.^ the only symptoms being somnolency and catalepsy or

•31

fixedness of position. When swallowed, however, dogs required 18 — 44 %J. to kill them — in I, 2, or 3 d., efforts to vomit and great depression being the only symptoms ; after death stomach was found excessively inflamed and sometimes ulcerated. yj applied to a wound caused violent inflammation and sloughing of the parts, and death in

12 d., without any internal symptom during life or appearance after

4eath. [Op, (it.)