Bismuthum subnitricum

,N2O5

,2OH2 . (Magisterium bismuthi).

Preparation , Triturations.

Authorities.

1 , Kerner, Heidlbg. Kl. Annal., 1829 (from Wibmer), took 2 drops for heartburn; 2 , Wernek, ibid., two girls, about 18 years old, took 6 grains in the morning, fasting; 3 , ibid., a boy, 6 years old, took 6 grains after supper; 4 , ibid., some men took from 6 to 12 grains at a dose; 5 , ibid., a man took 15 grains, and the next day 20 grains; 6 , ibid., a man took 15 grains; 7 , a man took 40 grains at one dose; 8 , Wernek, ibid., took 20 grains immediately after a meal.

HEAD

• Head somewhat confused on rising, 8.
• Vertigo, 7.
• Vertigo (after two hours), 8.
• Vertigo on violent motion (after one hour), 2.
• Slight, transient headache, 6.
• Headache, especially in the frontal region, 7.
• Headache and vertigo (after first dose), 4.
• Headache and vertigo (after one and a half hours), 5.
• Heat and confusion of the head (after one hour), 2. [10.]
• Slight transient pain in the forehead (after half an hour), 8.
• Pressure in the frontal region, 5.
• Pressive pain in the frontal region (after one hour), 2.*

EYES

• Eyes red, sight somewhat dim, 7.
• Conjunctiva red, 5.
• Redness of the conjunctiva.

EARS AND NOSE

• Dry nose, 1.
• Roaring in the ears, 8.

MOUTH AND THROAT

• Tongue coated, 7.
• Tongue furred, 5.
• Tongue coated white, 8. [20.]
• Offensive taste in the mouth, 1.
• Taste bitter, 7.
• The fauces and uvula were inflamed, with burning in the throat, difficult swallowing, and thirst, 1.

STOMACH

• Appetite completely lost, 7.
• Thirst increased, 7.
• Much thirst and no appetite, 8.
• Eructations of wind after drinking a glass of water, 8.
• Frequent empty eructations and feeling of discomfort in the stomach , soon followed by a liquid stool, but not bilious (after three hours), 2.
• Violent eructations, gripings in the bowels, and sudden slight bilious vomiting (after one and a half hours), 7. [30.]
• Nausea and slight bilious vomiting, 8.
• Nausea, with pressure in the stomach (after one a half hours), 3.*
• Vomiting and diarrhœa, with retching and burning in the throat (immediately), 1.
• Passage of much flatus from the stomach (after four hours), 5.
• Passage of odorless flatus from the stomach, 3.
• Uncomfortable feeling in the stomach (after half an hour), 8.*
• The pressure in the stomach changes to a burning (after one hour), 7.*
• Pressure in the region of the stomach (after half an hour), 7.*
• Pressure in the stomach (after one hour), 6, 8.*
• Distressing pressure and burning in the region of the stomach (after three and a half hours), 5.* [40.]
• Some pressure in the region of the stomach, and empty eructations, 4.*

ABDOMEN

• Rumbling in the intestines, and eructations (after one hour), 8.
• Passage of much flatus, followed by a thin bilious evacuation, 6.
• Colicky pains in the bowels, 6.
• Gripings in the abdomen, followed by two liquid bilious evacuations (second day), 2.

STOOL AND URINARY ORGANS

• A liquid bilious stool (after three hours), 7.
• Two loose movements in the bowels, with gripings, at 6 P.M. (second day), 8.
• Two liquid stools, with gripings, at 4 P.M. (third day), 8.
• During the poisoning he passed no urine, and the region of the bladder was not distended, 1.

RESPIRATION APPARATUS AND PULSE

• Difficult breathing, 8. [50.]
• Pulse spasmodic, 4.
• Pulse tense, spasmodic, 5.
• Pulse small, 1.
• Pulse small, tense, and spasmodic, 7.
• Pulse accelerated, contracted, 2.
• Pulse somewhat accelerated, small and tense, 2.
• Pulse rapid, hard, small, 97, 8.
• Pulse, at midnight, 95 and spasmodic, 8.

EXTREMITIES AND SLEEP

• Cramps in the hands and feet, 1.
• Night very restless, 8.

FEVER. [60.]

• Extremities cold, 1.
• Temperature somewhat increased, 8.
• Heat over the whole body, 8.
• Heat in the whole body (after two hours), 2.
• A feeling of heat over the whole body, 5.

CONDITIONS

• Aggravation.
• ( After drinking water ), Eructations.
• ( On violent motion ), Vertigo.
• ( On rising ), Head confused.

SUPPLEMENT: BISMUTHUM SUBNITRICUM. Authority.

9 , Dr. Kerner (Heidelberger Klin. Annal.), Lancet, 1829-30 (2), p. 349. A middle-aged man swallowed a large quantity.

• Hiccough, violent vomiting of brownish matter and profuse diarrhœa, the pulse was small and intermittent, the face pale and the whole body cold; the voluntary muscles, especially those of the lower extremities, were spasmodically contracted; the throat and pharynx were inflamed, he could not swallow, and complained of much pain in the throat, a nauseous metallic taste, and intolerable thirst (in eleven hours), 9.