Acidum carbolicum, Phenol, Monoxybenze, Phenyl-alcohol. C6H5

OH

Preparation , Solution in alcohol.

Authorities.

1 , T. Bacmeister, M.D., proving with the 1st dilution, from Dr. Hoyne 's Monograph , Chicago, 1869; 2 , ibid., proving with the 12th dilution; 3 , T. S. Hoyne, M.D., provings with the 6th and 3d dilutions, ibid.; 4 , Miss G. H., proving with the 6th dilution, ibid.; 5 , Mrs. T. S. H., proving with the 6th dilution, ibid.; 6 , J. T. H., proving with the 6th dilution, ibid.; 7 , T. C. Duncan, M.D., proving with the 12th dilution, ibid.; 8 , ibid., effects of inhaling the fumes; 9 , Mrs. T. C. D., effects of the fumes, ibid.; 10 , Mrs. E. J. Duncan, effects of the fumes inhaled while menstruating, ibid.; 11 , S. P. Hedges, M.D., provings with the 6th dilution, ibid.; 12 , C. W. Boyce, M.D., effect of local application to the hand, ibid.; 13 , Chas. H. Hæseler, M.D., proving with 1 to 20 drops of the crude acid (36 drops taken in three days), Hahn. M., 5, 171; 14 , Mr. X. Y. Z., effects of crude drug, ibid.; 15 , girl of 11, effects of 4 drops of pure acid, ibid.; 16 , Chas. H. Hæseler, effects of the 3d dec. dilution, ibid.; 17 , S. Lilienthal, M.D., proving with the 1st dec. dilution, and two doses of tincture, Trans. of Hom. Med. Soc., State of N. Y., 1870, p. 232; 18 , Mrs. S. A. F., M.D., proving with the 1st dec. dilution, ibid.; 19 , Mrs. C. L., M.D., provings with 1st cent. dilution, and one dose of the 30th dilution, ibid.; 20 , Mrs. A. W., proving, ibid.; 21 , E. C. Price, M.D., Am. Hom. Obs., 1871, p. 148, proving with 3d dilution, 3d dec. dilution, and 2d dec. dilution; 22 , T. D. Pritchard, M.D., Trans. Hom. Med. Soc. State of N. Y., 1874, 136, effects of inhaling the vapor; 23 , J. N. Mitchell, Am. J. of H. M. M., N. S., 1, 354, effects of Carbolic acid put into a tooth; 24 , W. M. Williamson, M.D., Trans. Penn. Hom. Med. Soc., 1871, effects of the vapor; 25 , Taylor, Guy's Hosp. Rep., 1868 (Hahn. Month., 5, 169), poisoning of a child of 1 3/4 years by two teaspoonfuls; 26 , H. W. Fuller, M.D., Brit. Med. Journ. (H. M., 5, 170), effects of doses of from three minims upward; 27 , Machin, El. Crit. Med. (N. Am. J. of Hom., 18, 155), effects on three women who had washed in Carbolic-acid water; 28 , Dr. Oyston, B. Med. J., 1871, effects of swallowing 1 to 2 ounces of raw Carbolic acid from a flask (thinking it brandy); 29 , Dr. Pinkham, Med. and S. Rep., 19 (H. M., 5, 168), general effects; 30 , Pinkham, l. c., effects of an enema containing 145 grains on a young lady; 31 , Sutton, Med. Times and Gaz., April, 1868 (H. M., 5, 169), poisoning by one ounce; 32 , Kline, Phil. M. and S. Rep., 1870; 33 , Michelas, Wen. Med. Presse, 8, 1867 (Schmidt's Jahrb., 146, 273), effects of clyster containing 145 grains for ascarides, administered to a woman aged 22; 34 , Ibid., effects on a boy of 10 years, of a clyster containing 9/10ths gramme; 35 , Wallace, Br. J., 1870, effects after being applied to an abscess; 36 , Ph. M. and S. Rep., 1867, a nurse, 32 years old, drank half an ounce (S. J., 151); 37 , Dr. White N. Y. Med. Gaz., 1872, effects when applied to a necrosed tibia; 38 , Kohler, effects of an application to scabies (S. J., 155, 275); 39 , ibid., general statement of effects; 40 , Welander, Hygea, 36 (1874), Am. Hom. Obs., 1874, effects of a teaspoonful of a solution containing 25 or 30 centigrammes; 41 , omitted; 42 , Danion, Recherches sur l'acide phénique, Rapport an der Med. Fakult, zu Strassburg, 1869 (extracted from Dr. C. G. Rothe, Die Carbolsäure in der medicin, monograph, Berlin, 1875), proving of 1 gramme, afterward 2 grammes, afterward 4 grammes, in three portions; 43 , Rothe, l. c., proving of 1 gramme in 20 parts of water; 44 , Husemann, S. J., 155, p. 275, general effects of poisoning by small quantities; 45 , Mosler, Br. Med. J., 1872, effects of 2 or 3 drachms; 46 , Unthank, Br. Med. J., 1872, effects of the fumes; 47 , Warren (New Remedies, 4, 178), effects of drinking some from a flask, mistaking it for whisky.

MIND

Emotional.
Delirium, 30, 44.
Delirium like intoxication, often lasting half an hour, 38.
Deliria, irritability, and rage, with copious perspiration, 40.
During the evening felt unusually cheerful, 3.
Feeling of sadness, with disposition to sigh and yawn (soon after 20 drops), 13.
Not in humor to think or speak, 17.
Very irritable, 17.*
Cross; loses control of temper readily (second day), 7.
Appeared morose, and much less brilliant in conversation than usual, 14. [10.]
Affection bestowed seemed distasteful (third day), 7.
A fear of impending sickness came over him as soon as he retired to bed, 17.
Intellectual.
Mind clear and active (second day), 7.
Strange to say, although so affected by reading, my mind seemed unusually on the alert, and, although using it very much, nearly set me crazy with the confusion and pains in my head, yet I saw through any proposition with unusual quickness, and was desirous of intellectual work, 23.
Disinclination to mental efforts, even to read, 17.*
Disinclination to mental exertion (as studying cases, preparing copy, etc), (third day), 7.*
Entire disinclination to study; what he had accomplished seemed very trifling (evening), 2.*
Mental and bodily laziness; do not wish to exert myself in any way, 17.
Could not concentrate the mind upon anything (soon after 20 drops), 13.
I would get into an absent-minded abstracted condition, from which I would start when any one spoke to me, and would find myself at times in a nervous tremor when spoken to suddenly, 23. [20.]
When reading, cannot fix my attention on the subject so as to retain it in memory (fifth day), 17.
Want of acuteness in thinking (soon after 20 drops), 13.
Feels dull and stupid (after one hour and five-sixths), 3.
Loss of memory (soon after 20 drops), 13.
Unconscious, 32.
Unconscious for four hours; then first opened eyes, moved arm and leg, 28.
Unconsciousness, with stertorous breathing, 28.
Complete unconsciousness (after five minutes), 36.
Lost all knowledge of what passed around them, 27.
Insensibility, 29. [30.]
Nearly or quite insensible, 30.
Reclining in a chair, insensible (after five minutes), 31.
Lay insensible to all external objects, but in a short time recovered itself, 25.
Became insensible, falling down suddenly as if in a fit; on his recovery, said he remembered nothing whatever after tasting the liquid (immediately), 47.
Stupor, 44, 46.
Slight stupefaction, 42.
Quite comatose, 46.

HEAD

Confusion and Vertigo.
Transient confusion of the head, 43.
Confusion and heaviness of the head, 44. [40.]
Confusion and pain in head, pain located over right eye, 14.
Confused feeling in head (third day), 7.
Brain felt confused and painful (soon after 20 drops), 13.
Head feels muddled, although no severe pain, 17.
Muddled and confused, and could collect thoughts only with an effort, 13.
Vertigo, 38, 44.
Vertigo, with trembling, 17.
Easier in the afternoon, being much exposed to wind, which cools the heated brain, but vertigo returns as soon as he enters a room, 17.
Very dizzy from the slightest motion (after five minutes), 6.
Very dizzy; things look as if they were moving backwards and forwards (after five minutes), 4. [50.]
Giddiness, 29, 46.
A giddiness and fulness, or peculiar feeling in the head (after two to eight minutes), 26.
My giddiness was better when walking fast in the open air, but as soon as I would sit down, would become so bad that I would have to hold on to something to prevent falling, 23.
Head swimming, and he felt as if staggering like a drunken man (soon after 20 drops), 13.
Staggering as if drunk, 38.
General Head.
Rush of blood to head (second day), 7.
Felt like rubbing head and eyes constantly (soon after 20 drops), 13.
Feeling as though I had suffered from headache, for three days before (third day), 11.
Dulness in head (third day), 7.
Dull feeling in head (after a few moments), 3. [60.]
Head felt heavy (after half an hour), 18.
Head very heavy, 17.
Heaviness of head, when leaning forward (after two hours and one-third), 3.
Heavy pain in head, running from forehead to occiput (after half an hour), 5.
Headache, 29, 44.
Complained of headache, 28.
Headache, worse on left side, 17.
Headache, worse when bending head forward (after one hour and five-sixths), 3.
Headache disappeared soon after breakfast (second day), 3.
Drinking a cup of green tea relieved somewhat the headache, but not the sense of smell, 10. [70.]
Slight headache, 17.
Severe headache, with nausea (after half an hour), 10.
In morning, awoke with a hard headache confined to the upper half of the head (second day), 3.
Had a hard headache most of night, and has it this morning; feels as if a band was around the forehead (second day), 6.
Pain and fulness in head, which seemed to locate itself especially over right eye, 16.
Head hot (after thirty-five minutes), 3.
Fulness of the brain, 17.
Fulness of head all over the brain, with dull pain, 17.
Expansive pains in head, with swimming before eyes; hardly able to write, 17.
My head felt as if enclosed in a band, which at times would seem to be compressed and crushing in my head. This pressing feeling was especially noticeable in both temples, 23. [80.]
Dull constricting headache at 7.30 A.M., about half an hour after rising, continuing and increasing until noon, when I gave up to it. It did not locate anywhere particular, but was as bad in the forehead as anywhere else. Pressure relieved for about one minute, but if continued longer increased the pain. However, if the pressure was removed, if only for an instant, and then reapplied, it would bring relief for a moment. My head seemed to swell and feel hot, even as though it radiated heat as a hot stove. These sensations seemed confined to the cranium, not coming below the base of the skull proper; continued until I went to sleep at night (second day), 11.
Dull, hot, constricted feeling in the head, especially in the forehead, on waking at 6.30 A.M., severe enough to become an ache at times (relieved by pressing the head with the hands), lasted all day and until late in the night (second day), 11.
Dull headache (second day), 38.
Dull headache, running from forehead to occiput (after five minutes), 6.
Headache, as if somebody was jagging a sword in and out all around the head; she could hardly keep the eyes open; aggravation from the least noise, and from light; desires to have head tightly bandaged (after one hour), 15.
Sore feeling, as though I had suffered from headache (third day), 11.
Head feels sore when moving it (after one hour and a quarter), 3.
The head-pains are the most severe, and are worse on right side (after thirty-five minutes), 3.
While smoking after tea, the head-pains are very much better (after two hours and a half), 3.
Forehead.
Frontal headache, worse in a hot room, 17. [90.]
Headache in forehead and temples, 20.
Frontal headache and oppression of chest, beginning on left side and going over to right (after fifteen minutes), 17.
Headache in the forehead of a neuralgic character (second day), 3.
Forehead feels hot, and the pressure of a cold hand on it gives some transient relief, 17.
Burning headache in forehead (after twenty minutes), 5.
Severe burning pain in brain over the eyebrows, 17.
Full feeling in frontal lobe of cerebrum, which increased to a severe headache, 8.
A pressing fulness in the forehead, 17.
Feeling of tightness across forehead directly above frontal sinuses, 18.
Aching pain in forehead (transient), 3. [100.]
Slight aching in forehead, left side (after one hour), 1.
Dull aching pain in left temple and back of head, when leaning forward (after one hour and a quarter), 3.
Dull pains through the forehead (after thirty-five minutes), 3.
Dull frontal headache in centre of forehead, 19.
Dull frontal headache, as if an india-rubber band was stretched tightly over the forehead, 17.
Woke in morning with a dull frontal headache and burning in throat (second day), 17.
Does not know whether he has taken cold or not; the same dull frontal headache, with general lassitude (fifth day), 17.
Dull frontal headache, with chilliness (very soon), 17.
Dull frontal headache, somewhat relieved in the fresh air (after three hours), 17.
Temples.
Pain extends to temple (from over right eye), with sense of soreness of the eyeball, 24. [110.]
Burning pains in right temple and top of head (after thirty-five minutes), 3.
Feeling of tightness, as if an india-rubber band was stretched from temple to temple, 17.*
Bandlike constrictions from one temple to the other, followed by a dull, heavy headache, greatly aggravated by a walk in the open air (after half an hour), 18.
Slight aching in left temple (soon after), 17.
Dull, heavy pain in left temple during the day (fourth day), 17.
*** Dull, heavy pain through the temples, with tight band across forehead, and tightness in the nose between the eyes, 20.**
When I read for any length of time the pressing in my temples became fearful, and my whole head would feel somewhat in the condition known as "asleep" in a limb, 23.
Vertex.
I felt, on top of my head, as if my brain was swashing about, 23.
Burning pain in top of head, 3.
Constant aching pain in right side of head (after twenty minutes), 3.
Parietals. [120.]
Neuralgic pain in left side of head (after one hour and a quarter), 3.
Beating pain in right side of head (after thirty-five minutes), 3.
Pains in head of a sharp, darting, neuralgic character, changing their situation from one side to the other, affecting the eye of the painful side so much that it was difficult to keep it open (soon after 10 drops), 13.
Occiput.
Occipital pressure, 17.
Dull, pressing, occipital headache, 17.
Dull aching pain in back of head and right side and temple. The pains in head are constant, and similar to those felt when making the first proving (after one hour and a half), 3.
Back of head feels sore (after one hour and five-sixths), 3.
External Head.
Small pustulous vesicle a little to left of vertex (third day), 21.*
Itching of scalp (after one hour and a quarter), 3.
Itching of scalp (after fifteen minutes), 6. [130.]
Itching of scalp, first on right side, then on left, 3.

EYE

Eyes rigid, insensible to light, pupils much dilated, 34.
Eyes heavy (second day), 7.
Burning pain in eyes, worse in left (after two hours), 3.
Burning pain in left eye (transient), 3.
Orbit.
Pain over the right eye, which continued for an hour after being out in the air, then passed off, but returned upon returning to the room and smelling the acid again, but passed off again in the open air, 24.
A very slight pain for a few minutes, at two different times, over right eye, 21.
Very severe orbital neuralgia over the right eye, 23.*
Slight pain over right eyebrow; the same kind of pain, but in a milder degree, under right patella, both of short duration (after half an hour), 21.*
Acute piercing pain in the left supraorbital ridge, in a spot as large as a silver ten-cent piece, lasting only five or ten minutes and ceasing on rising, but leaving the spot where it had been sore to the touch for more than one day (second day), 11.
Lids. [140.]
Eyes open, turned upward, 32, 36.
Lids closed, 28.
Ball.
Neuralgic twitching in eyeballs and through temples (soon after 20 drops), 13.
Pupil.
Contraction of the pupils, 28, 30 , etc.
Pupils contracted (after five minutes), 31.
Pupils contracted and insensible to light, 25.
Pupils dilated, but showed reaction to light (after two hours), 40.
Vision.
Eyes sensitive to light, 8.
Cannot see across room (after five minutes), 4. [150.]
Reading is impossible, as the letters look blurred and fade one in the other, 17.
While writing, the letters seem to run together, so that it is with difficulty I can read what is written (after thirty-five minutes), 3.
Swimming before the eyes, 17.
Things seem to be moving before the eyes (after three-quarters of an hour), 5.
A constant dark spot in front of the left eye, 23.

EAR

Pressing pain in left ear (transient), (after fifteen minutes), returning from time to time (after twenty minutes), 3.
Beating pain, with a humming sound, in both ears (after six hours), 3.
Roaring in the ears, 42.
Troubled all the time with a constant humming-buzzing sound in my ears, although my hearing did not seem affected, 23.

NOSE

Both nostrils plugged up (fourth day), 7. [160.]
When blowing nose the mucus was bloody, bright-red blood (after four and one-sixth hours), 3.
Feel as if I had a cold in the head; right nostril plugged up, right eye watery (third day), 7.
Nose tight and stopped up, with full tight feeling across forehead, 20.
Left nostril stinging, with constant watering of the left eye, and watery discharge from nose, 20.
Sensation at left wing of nose as of fine electric sparks; wants to rub the part repeatedly (after fifteen minutes); during first hour same sensation on sternal end of right clavicle; later on middle finger of left hand; later on vertex. This sensation, during the time it was felt, changed slowly to a pricking-itching, with desire to rub the part, and relief from it, 2.
Tickling in right nostril, with sneezing (after one hour and one-third), 3.
Smell.
Sense of smell very acute, 8.
Sense of smell exceedingly acute, for five days (after half an hour), 10.
Smell more acute, very decidedly; soon after watery discharge from both nostrils while in the open air; when indoors it ceases; comes again after entering a cold room (after twenty minutes), 1.

FACE

Objective.
Pale and unconscious, 34. [170.]
The boy was very pale, weak, and cachectic, 35.
Face blanched and bathed in perspiration (after five minutes), 31.
Face pale, 37.
Face pale and covered with cold perspiration, 25.
Face pale or livid, 44.
Face and neck livid, 46.
Face livid, with cold, clammy sweat, 32.
Face livid, covered with cold, clammy sweat, 36.
Face flushed (second day), 7.
Face flushed, and "burns" (after fifteen minutes), 6. [180.]
Slight lividity of the lips and tips of the fingers (after five minutes), 31.
State of intense trismus (after eighteen minutes), 45.
At the attempt to examine his throat he closes his teeth tightly, 40.
Subjective.
Pain in face and neck (after seven hours), 46.
Drawing pain in jaw, right side, 3.

MOUTH

Teeth.
Aching in teeth of right upper jaw (after a few moments), 3.
Tongue.
Burning on the tongue, especially on the tip, 17.
Biting sensation on tongue (immediately), 17.
Mouth.
Mucous membrane of mouth, lips, throat, white, 28.
Swelling and soreness on internal side of left cheek opposite the molars; the cheek is in the way of the teeth when biting (the whole day), (after two days), 2. [190.]
Strong tarry odor to the breath, 25.
Burning mouth, 44.
Burning on lips, throat, and œsophagus, with heat rising up from the stomach (immediately), 17.
Saliva.
Hypersecretion of saliva, and he could not help spitting all the time, the spittle having a bluish-white, frothy appearance, 13.
Constant discharge of saliva from the pale lips, 34.
Mouth open, filled with mucus, 32.
Taste.
Very sharp taste; tongue burned and tingled, and felt as if a thousand pins were sticking in it (immediately), 15.
Nasty taste in mouth, 3.
Horrid taste in mouth, pungent and metallic, which he could not get rid of; it made him feel sick and squally all over (immediately), 14.
Taste of carbolic acid in mouth and throat (after seven hours), 46. [200.]
Coppery, metallic taste on tongue and upper palate, 17.
Speech.
Inability to speak or to walk, 28.

THROAT

A good deal of hawking of clear white mucus while in the open air (second day), 7.
Pain in throat on swallowing (after one and five-sixths hours), 3.
Choking feeling in throat, with disposition to hawk up phlegm, 14.
Irritation of throat (for some days), 45.
Irritation of throat causing short, dry cough (after one hour and five-sixths), 3.
Burning in throat and œsophagus (immediately), 40.
Sense of burning in throat on swallowing the draught, 26.
Pricking-burning in throat, as if she had eaten something strong (after half an hour), 5. [210.]
Very sharp stitches in throat; the pain grows worse and worse; it is sharp and pricking (after fifteen minutes), 3.
Weather changed (?); throat sore, felt some hoarse, as if had taken cold (second day), 7.
Evening, throat some sore, right side (second day), 7.
Soreness of throat on empty deglutition (after fifteen minutes), passed off after one and one-sixth hours, except when swallowing and pressing on the upper larynx; worse on the right side, 3.
Throat sore only when swallowing (after two hours and five-sixths), 3.
While smoking, after tea, throat better for a time; not so sensitive to pressure (after two and a half hours), 3.
Fauces, Pharynx, and Œsophagus.
Much mucus in pharynx (fourth day), 7.
Hawking from pharynx and posterior nares of much white mucus (third day), 7.
In morning, on waking, pharynx and posterior nares very dry indeed (fifth day), 7.
Burning in the œsophagus and stomach, 17. [220.]
Spasmodic contraction of œsophagus, 32.
Spasmodic contraction of the œsophagus prevented the insertion of the stomach-pump, 36.
Spasmodic and painful contraction of the œsophagus just behind the pomum Adami; while drinking ice-water, was painful for several minutes, 21.
Feeling of constriction about midday of the œsophagus (from 20 drops), 13.
Spasmodic stricture of the œsophagus prevented the patient from swallowing, and caused great difficulty in introducing the tube of the stomach-pump, 31.
Swallowing.
Inability to swallow, 44.
Could not take medicine, 40.
External Throat.
While walking rapidly after dinner had spasm of carotid artery (common, left), (third day), 7.

STOMACH

Appetite.
More appetite, but not normal yet; more appetite in morning (fourth day), 7.
Unusual appetite for supper, 21. [230.]
Wanted to smoke a cigar, and thought that would relieve him, 14.
Diminished appetite, 18.
Loss of all appetite, 35.*
Total loss of appetite, which had previously been excellent, 19.*
Anorexia, 8.
Not so much appetite for dinner (second day), 7.
No appetite for tea, 3.
No appetite for tea (supper), (after half an hour), 10.
No appetite for supper, 5.
Thirst.
Thirst, 28. [240.]
Felt as if a little more whisky would do him good (habits perfectly temperate), 14.*
Eructations and Hiccough.
Eructations, 42, 43.
Eructation of tasteless air (second day), 3.
Eructations after a light breakfast (second day), 17.
Headache disappears while moving about, but the eructations became more frequent (after one hour), 3.
Constant disposition to rift up, but could not (from 20 drops), 13.
Belching (after three-quarters of an hour), 5.
Belching up of wind (after a few moments), 3.*
Belching up of wind (after one hour and a half), 3.
Belching of wind from stomach (after ten minutes).

Constant belching (after fifteen minutes), 6. [250.]

Constant belching up of wind from stomach (after two and five sixths hours), 3.
Constant belching up of large quantities of wind (after twenty minutes), 3.
Regurgitation from stomach, which tastes like buttermilk and cabbage. (At dinner drank glass of milk; milk never disagrees with him), (after thirty-five minutes, 3 .)
Ate heartily at lunch, but, though the stomach is full, the heat keeps rising from the stomach, with the taste of Carbolic acid, 17.
In afternoon, after dinner, long-continued hiccough, 2.
Nausea and Vomiting.
Nausea at stomach (after fifteen minutes), 4.
Nausea most of the morning (second day), 3.
After tea, nausea returned, and was increased by taking a little sherry wine. The nausea lasted until noon next day, 5.
After tea, the nausea was much better, but she was very drowsy, which was unusual (after twenty-five minutes), 4.
Nausea, with desire to eructate (very soon), 17. [260.]
Nausea and vomiting, 44.
Slight nausea in throat (after thirty-five minutes), 3.
Slight nausea, with prostration, 8.
A great deal of nausea; shuddered and shook her head, made wry faces, spat frequently, etc., 15.
Intense nausea (immediately), which continued with but little abatement for nearly an hour, and until he had drank several copious draughts of water (from 1 drop). Again the nausea followed, and almost reached the point of vomiting (from 5 drops), 13.
Aggravated feeling of sickness about stomach (soon after 10 drops), 13.
While eating a little breakfast, felt every now and then as if he had to get up and vomit (from 20 drops), 13.*
Vomiting and dysphagia, 35.
Stomach.
Slight gastritis (for some days), 45.
An attack of acute gastritis followed the immediate symptoms, 47. [270.]
Slight gastric catarrh, for several days, 43.
Wind in stomach very troublesome; better after raising a sort of sweetish-sour liquid, 3.
Dull uneasy feeling in stomach (after one hour and a half), 3.
Uncomfortable feeling in region of stomach and liver (soon after), 20.
Distress in stomach, as from indigestion, 18.
For about two days, his feelings represented a first-class type of acute dyspepsia (from 20 drops), 13.
Instead of feeling hungry at meals, an empty, gone feeling in the stomach, with a fulness in the throat, and a constant desire to swallow, 19.
A great deal of gastric irritation (after seven hours), 46.
Pain and dragging feeling in stomach and low down in abdomen, 14.
Warmth in the stomach, 43. [280.]
Sensation of warmth in the epigastrium, 42.
Burning in the stomach, 17.
Burning in the stomach (after twenty minutes), 5.
The burning feeling in the stomach, as from a corrosive acid, is felt all the time; still the appetite is good and food digests well, 17.
Burning feeling in stomach, steadily increasing, with heat rising up the œsophagus (after three hours), 17.
Burning, ulcerating feeling in stomach and œsophagus, with nausea; this sensation reminded him of lobelia or tobacco; in fact, he had been smoking his pipe before going to bed, 17.
Stomach seems full of wind (after a few moments), 3.
Sensation as if stomach was filled with wind which ought to come up, 3.
Aching pain in stomach (after a few moments), 3.
Felt as if he had eaten too much, and was suffering in consequence, 14. [290.]
Appetite good, but food lies heavily on the stomach (second day), 17.
Feeling of pressure at pit of stomach (very soon), 17.
Heavy weight in the epigastrium, as though burdened with flatulence, with a constant inclination to relieve himself by fruitless efforts at eructation, or by pressing the hand into the pit of the stomach, 13.

ABDOMEN

Hypochondria.
Dull pressing pain in hypochondria, 17.
Soreness of hypochondria, aggravated by motion (very soon), 17.
Pain in right hypochondrium; also in iliac region of both sides, 15.
Aching feeling over right hypochondrium and along back (from 20 drops), 13.
Premonitions of pain in region of liver, 20.
Dull pain in right side, over the region of the liver, and in the back, across the fifth, sixth, and seventh dorsal vertebræ, 13.
General Abdomen.
Abdomen bloated, especially in the epigastric region, but neither hard, nor tense, nor sensitive to pressure, 40.
Bowels bloated and full of flatus after (three hours) a meal (second day), 7. [300.]
Rumbling in bowels; a feeling as if diarrhœa would come on, after walking about, 3.
Rumbling and rolling in abdomen , with a sense of distension (after one hour), 3.*
Emission of large quantities of flatus all the evening, 3.
Emission of fetid flatus (after one hour and a half), 3.
Emission of large quantities of putrid flatus (third day), 3.
Sinking feeling all over the abdomen, a feeling of goneness, with yet a heavy weight about the stomach (from 20 drops), 13.
Pain in bowels, 20.
Sensation of fulness, with burning on outside of abdomen (soon after), 20.
Constantly a sensation of distension in the abdomen as if it were full of wind, but I was never able to discharge any, 23.
Bowels feel bloated and sore (third day), 7. [310.]
Feel as if the gas in the abdomen was incarcerated (after one hour), 3.
Abdominal muscles feel sore (second day), 7.
Bowels feel sore on walking, 17.
Jolting during riding affects unpleasantly the abdominal parietes also, which feel hot and sore, 17.
Hypogastrium and Iliac Regions.
Burning pain in lower part of abdomen and top of head (after fifteen minutes), 3.
While sitting, crampy stitch in left inguinal region (after two hours), 1.

RECTUM AND ANUS

The anus itches and feels as if the skin was rubbed off (after forty-five minutes), 3.
Desire for stool all day, though he had had a natural movement in the morning (third day), 3.
Constant feeling of desire to pass a stool, and a sensation as if there was a quantity in the rectum, but I never had more than one regular stool every morning, 23.

STOOL

Diarrhœa.
Diarrhœa; three watery evacuations within a short space of time, accompanied with pain and sick stomach, 16. [320.]
Ever since beginning of proving, and for some time after, two natural stools per day, which is very unusual with the prover, having generally but one passage in two days, 2.
In evening, copious and consistent stool, entirely free from pain, though the stools had been constipated and painful for some time previously, 13.
Towards evening, evacuation from bowels copious and consistent, but almost inodorous, 15.
Constipation.
Bowels rather constipated, which is unusual (seventh day), 17.
Bowels seem torpid, but not costive (fourth day), 7.
My bowels moved regularly every morning, but the stool was insufficient, and they seemed somewhat more sluggish than normal, 23.

URINARY ORGANS

Micturition.
Frequent micturition, 18.
The urine was voided about once in two hours, and was large in quantity, quality normal (second day), 11.
Passed urine oftener than usual during the night, but observed no change in color (second day), 3.
Slept well, but had to rise about 5 o'clock to urinate, a very unusual thing, also passed a larger quantity than usual, 21. [330.]
Unusually free flow of urine, normal in color, in odor, and quality (third day), 11.
Copious flow of limpid colorless urine, which lasted several hours. The amount of the urine was enormous, though no measurement was resorted to. Its odor was slight, but peculiar, not that of Carbolic acid nor that of normal urine (after fifteen minutes), 30.
During the night, passed a large quantity of pale urine, nearly three quarts (fifth day), 22.
During day the urine was increased in quantity, and had a very strong smell (second day), 3.
Urine less in amount (fourth day), 7.
Urine diminished in quantity and heightened in color, 24.
Straining at passing urine, followed for two hours by uncomfortable feeling, 24.
Fruitless efforts to urinate, 28.
Ineffectual attempts to pass urine, 28.
Urine.
Greenish tinge in the urine, and disappearance of all deposits of lithates, 26. [340.]
Urine very dark-colored, 28.
A dark greenish-brown color to the urine is a characteristic sign of the incipient poisoning, 42.
Urine dark smoky color, alkaline; it deposited a sediment of granular urate of ammonia; it also showed a mixture of different colored pigments, which apparently came from the coloring-matter of the dissolved blood-corpuscles; this pigment appeared always after an application of Carbolic acid, and disappeared after the removal of it, 35.
The urine passed the day after the accident was almost black , but was free from turbidity, and no trace of Carbolic acid, blood, or albumen could be detected in it, 47.
By nitric acid there is deposited a large quantity of brown pigment in the urine, 35.
Evacuation of offensive very dark-colored urine, depositing urate of ammonia, sometimes phosphates, but no albumen, 35.
Urine smells strongly of carbolic acid, 37.
Urine more acid than normal, 46.
Urine alkaline, dark-brown, 42.

SEXUAL ORGANS

Male.
Prickling pains through the glans penis and in urethra, 24. [350.]
During all this time I noticed my sexual organs to be in an unusually relaxed, weakened state during the day, but regularly every night I would have lascivious dreams, with seminal emissions, which weakened me greatly and filled me with horror, 23.
After going to sleep, was awakened by unusually strong sexual excitement, which continued some time (first night), 11.
Sexual appetite very much decreased (second day), 7.
Loss of sexual desire for thirteen days, 24.
Female.
Pain in region of left ovary, when walking in the open air, soon subsiding, 18.
Menses more profuse than usual, 10.
Menses much more profuse and darker-colored than usual, followed by headache and great nervous irritability for twelve hours (sixth day), 10.
Menses came on two days later than usual, and were more profuse, 5.

RESPIRATORY ORGANS

Larynx and Trachea.
Inflammatory condition set in, with much soreness of respiratory organs, and more hoarseness (third day), 22.
Feeling of soreness in larynx and bronchial membrane, with some hoarseness (second day), 22.
Left side of larynx very sore when pressed upon, not true of the right side (after one hour and a quarter), 3.
Constant inclination to cough (after one hour and a quarter), 3.
Tickling-irritating sensation in upper part of trachea and fauces, which excited an occasional short, hacking, dry cough, 13.
Cough and Expectoration. [360.]
Cough (fourth day), 22.
Short hacking cough, with tickling in the throat (after one hour and a quarter), 3.
Cough, without expectoration (sixth day), 22.
Some cough and expectoration (eleventh day), 22.
Coughed to clear the bronchi; expectorated a little (fourth day), 7.
Expectoration of large quantity of thick whitish mucus (second day), 3.
Respiration.
Stertorous respiration, 28, 30 , etc.
Breathing stertorous (after eighteen minutes), 45.
Respiration stertorous and rapid (80), 44.
Respiration stertorous, and smelling strongly of the fluid (after five minutes), 31. [370.]
Respiration accelerated, 28.
Respiration agitated, 27.
Respiration free and deep; inclination to take a deep breath, 1.
Respiration difficult, 37.
Respiration much impeded, 25.
Room feels close and hot (second day), 7.

CHEST

Dull pain through the upper lobes of lungs, 18.
While walking out of doors, feeling of expansion (of lightness) in the lungs, also in the nasal passages (after five minutes), 1.
Tight feeling in both lungs, especially in the centre of the chest, 17.
Feeling of narrowness in the chest, as if the diaphragm depressed the lungs, 17.* [380.]
Chest feels as if compressed, or as if a load were pressing in front, with a desire to dilate it (second day), 17.
Oppression of chest, 17.
Oppression of chest, requiring great effort to fully inflate the lungs, 18.
Front.
Dull pressure under the sternum, in the region of the sixth rib (after three hours), 17.
Compressed feeling across lower end of sternum, 14.
Sides.
Transient dull pain under left clavicle, 18.
*Slight uneasy pains in right lung (after one hour and a half), 3.
Dull aching pain, whole left side of chest and abdomen, running around to shoulder-blades (after two hours and five-sixths), 3.

HEART AND PULSE

Præcordium.
Stitches, region of heart (after one hour and a quarter), 3.
Heart's Action.
The beat of the heart, as well as the pulse, could not be felt, 40. [390.]
Heart's action irregular (after eighteen minutes), 45.
Pulse.
Pulse rapid, irregular, undulating, 28.
Pulse very rapid, 35.
Feeble, intermittent, rapid pulse, 29.
Pulse quick, 95 (after five minutes), 4.
Pulse very quick, 100 (after twenty-five minutes), 4.
Pulse accelerated, 82 (after thirty-five minutes), 3.
Pulse small, frequent, and intermitting, 44.
Pulse 75 (after one hour and a half), 3.
Pulse 82 (after twenty minutes), 5. [400.]
Pulse rises from 66 to 75, intermittent (after five minutes); pulse 90 (after ten minutes); pulse 80 (after fifteen minutes); 9 A.M., pulse 100, regular (second day), 6.
Pulse risen from 70 to 82 (after one hour and a quarter), 3.
Pulse risen from 70 to 84 (after fifty-five minutes), 3.
Pulse 86 (after two hours and a half), 3.
Pulse 88 (after seven hours), 46.
Pulse 90 (after half an hour), 5.
Pulse 100 per minute, feeble, and very intermittent (after five minutes), 31.
Pulse 120 per minute, and very weak; could be counted with great difficulty, 25.
Sinking pulse and temperature, 44.
Pulse 68 (after one hour and five-sixths), 3. [410.]
Pulse 68, rather slow (after three hours and one-twelfth), 3.
Pulse 68 (third day), 7.
Pulse 68, small, 38.
Pulse 64 (after half an hour), 5.
Pulse weak and fluttering, 33.
Pulse weak and flickering, 30.
Pulse very weak, 37.
Pulse scarcely perceptible, 46.
Pulse scarcely perceptible (after eighteen minutes), 45.
Pulse and heart-beat almost imperceptible, 32. [420.]
Pulse imperceptible, 34.
Pulse imperceptible, and the beat of the heart scarcely noticed, 36.

NECK AND BACK

Neck.
Neck feels lame and stiff when moving head (after one hour), 3.
While smoking, after tea, lameness in back of neck and shoulders (after two hours and a half), 3.
One of the most painful sensations, and one which remained a very long time, was a very great sense of a weight on my neck, with a tenderness even to the touch, over the seventh cervical vertebra, 23.
Drawing in muscles of right side of neck, think in splenitis capitis (after one hour), 7.
Awoke with stitching pain in right side of neck, which increased during day (seventh day). Pain in neck very severe, with twinges of pain that would last a few seconds, then wear off; in five seconds it would return as before. This condition lasted some eight hours (ninth day), 22.
Soreness of muscles of neck ( splenii capitis ), (third day), 7.
Back weak and sore (second day), 17.
Back.
Good deal of pain in back and right side, 14. [430.]
Soreness of muscles of back and limbs (third day), 7.*
Pains in small of back, and it hurts to straighten himself, and they became still worse by riding, where jolting aggravates, 17.
Aching pain across the small of back and in the lower limbs (after one hour), 3.
Severe aching pains in small of back, somewhat relieved by pressing the hand against it (fifth day), 17.
Tired sensation in renal region, 17.
The first two doses of the acid of the first centesimal dilution, taken three hours apart, relieved a severe pain in the lumbo-sacral region, which had existed more or less, mostly during the latter part of the night, for two years, 19.
Having another attack of backache, took a dose of Carbolic acid, 30th dil., which relieved the pain like magic, and have had no other attack up to date (about three weeks). Health in every respect excellent, 19.

SUPERIOR EXTREMITIES

Shoulder.
Drawing pain in left arm, from shoulder to elbow (transient), 3.
Lameness and soreness of right shoulder, when walking (second day), 3.
Rheumatic pain in right shoulder-joint nearly all day. He regarded it as an attack of rheumatism in the shoulder, having suffered with several attacks during the last eighteen years; they never lasted less than three or four days; this passed off suddenly in the evening, like all the other Carbolic acid pains (second day), 21. [440.]
Acute but transient pain in right shoulder-joint (after one hour and a half), 3.
Aching pain in right shoulder, when bending forward, 3.
Aching pain in hip has gone to left shoulder-joint; although not very severe; he is reminded of it from time to time (second day), 3.
Arm.
Constant tired, heavy feeling in left arm, 3.*
Aching pain in left arm and right wrist (after one hour and a quarter), 3.
Soreness of muscles of right arm (after one hour and one-third), 3.*
Forearm.
Aching pain in left forearm (after fifteen minutes), 3.*
Hand.
The hand very much swollen, so that he could not write, 38.
Trembling of hands (cannot write steadily), 17.
A peculiar feeling of stiffness and discomfort (pricking) of the entire hand. This discomfort remained on the middle finger until night. At one spot it never left until there appeared a small pimple, which increased in size until it became a sore resembling a carbuncle. The flesh suppurated until a probe could be passed nearly through the finger. For several days the sore hand was intensely painful, and prevented sleep for several nights. It healed finally, but was a serious sore, 12. [450.]
Contracting pain in palm of right hand (after two hours and one-third), 3.
Fingers.
Pain in second phalangeal joint of middle finger, right hand (after two hours and five-sixths), 21.

INFERIOR EXTREMITIES

Cannot walk straight (after twenty-five minutes), 4.
Lower extremities feel heavy as lead (fifth day), 17.*
Draggy sensation about lower extremities, which occasioned a little unsteadiness in walking (from 20 drops), 13.
Hip.
Occasional pains in hips and shoulders (third day), 3.
Aching pain in both hips (after forty-five minutes), 3.
Transient pains in right hip (after one hour and a half), 3.
Aching in right hip (transient), (after thirty-five minutes), 3.
Transient aching pain in right hip and left knee (after two hours and a half), 3. [460.]
Hard, aching pain in right hip, like a sciatic pain, which slowly moved along the course of that nerve, and at night was in the bend of the knee, and then ceased altogether (fifth day), 22.
Very severe aching pain in right hip-joint, felt only when walking (second day), 3.
Thigh.
Transient pain in muscles of right thigh (after a few moments), 3.
Deepseated muscular pain, on inside of upper third of left thigh, that almost made him walk lame; lasted from five to ten minutes (after half an hour), 21.
The dull aching pains extend from the spine down the posterior muscles of the thigh, 17.
Drawing in right thigh and right zygoma (very soon), 17.
His thighs feel bruised (second day), 17.
About 7 P.M., while walking, bruised pain in the middle of anterior part of right thigh, deepseated and lasting only for a few minutes (second day), 21.
Knee.
In the night, pain for a few minutes on inside of left knee-joint (fourth day), 21.
Pain on inside of left knee-joint, lasting for a considerable time (third day), 21. [470.]
Aching soreness beneath left patella, all day up to about 4 o'clock P.M.; feels as if it would be stiff and sore to move it, but on the contrary during motion it is not felt at all (second day), 21.*
Leg.
Sensation just below the knee, on the shin, as if the part was touched with a piece of ice (after forty-five minutes), 3.
Aching pain to the left of middle of left shin-bone (after two days), 2.*
Sharp pain in left shin (after one hour and a half), 3.*
Cramps in the calves, 42.
Severe bruised pain beneath left tendo Achillis close to posterior part of tibia, as if struck with a club; in a few minutes it disappeared for a short time, when he had a sharp pain in middle joint of large finger of left hand; this pain was only momentary, when it went back (but less intense) in the leg again (after one hour and a quarter), 21.
Ankle.
Dull pain in right ankle and left knee, most of the morning (second day), 4.
Aching pain in right ankle, and in lower part of abdomen (after one hour), 3.
Pain in left outer malleolus (after three hours and one-fifth), 21.
Foot.
His feet, though he was lying flat on his back, felt as though they could not support his body, even by a strong effort of the will, 17. [480.]
Feet feel heavy (after fifteen minutes), 4.
The feet feel as if bruised, all the time, 17.
Toes.
Pain in right great toe as if pressed upon, 3.
Pain in under surface of big toe of left foot (after three hours), 21.
Pressing pain in left great toe (after fifteen minutes), 3.
Tingling in left great toe, followed by a feeling as if pressed on (after a few moments), 3.
Sharp, stinging pain through corns (third day), 7.

GENERAL SYMPTOMS

Objective.
Body much swollen before death, 31.
Trembling, 29.
Slight tremor over whole body, steadily increasing (after ten minutes), 40. [490.]
Muscles relaxed, 32.
Muscles completely relaxed, 36.
Loss of involuntary motion and speech, 44.
Became convulsed, 30.
Convulsed (immediately), 45.
Convulsions, 29.
Violent convulsions, with trismus, and blood passing from the mouth in consequence of the teeth having wounded the tongue, 46.
She fell to the ground in convulsions, was delirious and without consciousness, 33.
Disinclined to work; even correcting proof is fatiguing (second day), 7.
Feeling of languor, enervation, indisposition to attend to professional duties, and drowsiness, with uncomfortable feeling of fulness in the head, varied occasionally by a passing pain through the forehead, or right or left temple, 13. [500.]
Feel languid; must lie down to rest after a light day's work (second day), 7.
Languid and sleepy; retired early (fourth day), 7.
Great languor, 8.*
Easily fatigued by the least walk (am usually a good walker), 17.*
Complains of being very tired (after twenty-five minutes), 4.*
Very tired at night, and not at all amiable (third day), 7.
Weakness, 44.*
Physical exhaustion (second day), 18.
Great prostration, 29.
*Profound prostration, 27. [510.]
Faint feeling, spreading from the thighs all over the body, 17.
Administered chloroform in large quantity (one-third of a pound), to a patient during an operation, and was thereby affected nearly as much as the patient; obliged to go into the fresh air in order to keep from fainting (fourth day), 17.
Fell insensible (immediately), 45.
Fell from her seat to the floor, 30.
Extreme syncope, 47.
Complete anæsthesia, 34.
Complete anæsthesia, even of the conjunctiva, 44.
Numbness of skin of hands, 8.
Subjective.
Physical and mental exhilaration, 18.
Shuddering sensation when he took it in his mouth; imagined he could taste the acid, 21. [520.]
General feeling of dulness and heaviness, 20.
Felt badly the whole day, especially from a burning in the stomach, with a sore feeling to the touch (second day), 17.
Said he felt mean, and left for home before his usual time, 14.
Feels as if he had taken a violent cold (second day), 6.
Soreness, as if he had taken cold (thinks he has not), (third day), 7.
General soreness, worse in back, abdomen, and chest (third day), 7.
All the muscles prominently used are sore and stiff (fourth day), 7.
All symptoms go from the head downward, 17.
Pain felt only on right side, 22.
The pains seem to affect the right side first, and afterwards the same parts of the left (after thirty-five minutes), 3. [530.]
The pains appeared most frequently on left side; came and went very suddenly, and generally lasted but a short time; they generally affected the muscles and joints, but not the bones, 21.
I became thoroughly unfit for study, as every exercise at reading increased all my symptoms, especially the pressing at the occiput, 23.*
Relief of symptoms, except frontal headache, after a hearty lunch, 17.

SKIN

Eruptions, Moist.
Slight eruption of a vesicular character all over the body (third day), 5.
*Vesicular eruption on hands and all over body, which itches excessively; better after rubbing, but leaving a burning pain, 6 . [Arsenicum had no effect on the eruption. Prover has the itch some eight or nine years ago, which was cured by the external application of Sulphur. The present eruption looks very much like the itch, but the insect is wanting.

Rhus and Sulphur were given, but exerted very little influence over the eruption. It gradually got better without treatment, and diseappeared in about three weeks.]

A small vesicle formed on centre of nose (fourth day), 3.*
Pustular.
Vesicle on nose converted into a pustule, which was opened (fifth day); opened again (sixth day); opened again, and healed up (ninth day), 3.
Slight pustular eruption on right side of face (second day), 18.
Sensations.
Burning in the skin (second day), 38.
Tingling in lower extremities, 17.
Formication in the extremities, 42. [540.]
Itching of scalp and lower part of abdomen, as if bitten by something (after two hours and five-sixths), 3.
Itching of right ear (after thirty-five minutes), 3.
Itching of the face (after fifty-five minutes), 3.
Itching of right cheek, and sharp pain about the centre of cheek, as if bitten by a mosquito. So sudden and peculiar was this pain that I expected to find something had really bitten me (after thirty-five minutes), 3.
Itching of the back of neck and of the nose (after twenty minutes), 3.
Itching of left shoulder and right cheek (after thirty-five minutes), 3.
Itching of left elbow (after one hour and a half), 3.
Itching of left elbow (after fifteen minutes), 3.
Itching of right forefinger (after one hour and a half), 3.
Itching about the left hip (after forty-five minutes), 3. [550.]
Itching of outside of thigh and of the genitals (after one hour and five-sixths), 3.
Itching of inner part of thigh and scrotum, relieved by scratching, but it soon returns, 3.
Itching inner side of left knee (after one hour and a quarter), 3.
Itching of ankles, arms, back of neck, calf of leg, and other parts of body (after fifteen minutes), 6.
Itching of various parts of body, right thigh, buttocks, back, shin, etc. (after one hour and a quarter), 3.
Intense burning-itching of the genitals (after one hour and a half), 3.
Tingling-itching in right little finger, soon after in the left, 3.

SLEEP AND DREAMS

Sleepiness.
Yawning (very soon), 17.
Yawning (after thirty-five minutes), 3.
Yawned now and then, and took long inspirations, 14. [560.]
Yawning constantly (after twenty minutes), 6.
Incessant yawning (after fifty-five minutes), 3.
Sleepiness (after half an hour), 18.
Sleepiness, constant inclination to yawn, 18.
Sleepiness, with desire to stretch, 17.
Sleepy (second day), 7.
Felt sleepy in afternoon, but could not fall into sound sleep, 15.
Sleepy and chilly, although sitting in a room with a good fire, 17.
I was constantly heavy and sleepy, but when I would lie down to sleep would be perplexed with dreams, and would wake up unrefreshed, with coated tongue and nausea, 23.
Became drowsy, 14. [570.]
Soon lapsed into a sound and quiet slumber, 16.
Had a very refreshing sleep; awoke earlier than usual, amiable (second day), 7.
Slept soundly all night, and awoke greatly refreshed in morning, 13.
Slept heavy; awoke sore all over, especially the legs (gluteal muscles), back, chest, and arms (fourth day), 7.
Instead of the tremors a somnolent state set in (after two hours), 40.
Riding lulls him to sleep, and walking is an exertion, 17.
Sleeplessness.
Slept well last night, but woke often; no dreams (second day), 3.
Restless sleep the whole night, with busy dreams, 17.
At midnight, after waking, could not get to sleep again; the smell of Carbolic acid seemed to keep her awake, 9.
Dreams.
Sleep not refreshing; dreamed much, but cannot now (A.M.) recall the subjects (third day), 7. [580.]
During night had a great many dreams, some amorous, others he has unable to recall when awake (third day), 3.
Dreamed of great mental activity; awoke with clear intellect; can work (fifth day), 7.
Slept well as usual, but dreamed of travelling, which is unusual, 3.
Slept well, but dreamed of fire; so vivid was the dream that he was awakened; found that he was quite feverish, although the window was open and the room quite cold (second day), 3.
Dreamed she could not get to sleep on account of thinking about the body I had embalmed; thought she tossed about, and then tried to wake me, to give her some medicine to stop thinking; she thought she could not wake me, and pulled me out of bed; and that I was bathed in perspiration; face pale; thought I was dead. The fright awoke her; she found herself lying on her back, with her mouth wide open, apparently paralyzed with fear; she aroused me and begged in a whining tone for something to make her go to sleep. Could not at first be persuaded she had been asleep. Gave her a dose of

Nux , and she dropped to sleep at once, and slept soundly; awoke perfectly well in the morning, 9.

CARBOLIC. ACID. FEVER

Chilliness.
Diminished temperature about 1/10° C., 42.
Skin cold and moist, 33.
Surface cold and clammy, 25, 29.
Surface cold and moist, 30.
Slight chilliness, while sitting in a warm room 74° F.), (after five hours), 3. [590.]
9 A.M., chilly sensations; pulse 78 (second day), 3.
Soon chilly (second day), 7.
Chilly sensations while at breakfast (second day), 3.
Very chilly when in the open air (second day), 7.
Extremities and surface of body cold, 46.
At times, when I would stoop, a sensation was felt of coldness in one spot, somewhat similar to the cold sensation experienced when a nerve in a tooth is touched, and was always followed by a clammy sweat, 23.
In a hot room a momentary chill runs from the face downward, 17.
Extremities cold, 37.
Extremities cold (after eighteen minutes), 45.
Creeping-shuddering or horripilation in left forearm, running upwards (after one hour and one-third), 21.
Heat. [600.]
Great heat of body (second day), 18.
Feverish and flurried, pulse 90, 15.
Complained of heat and closeness of room, though that was airy, and thermometer 70° F., yet his pulse was normal, 14.
Slight heat of face and forehead, especially left side, with pressure in left temple, seemingly on the surface of brain (soon after), 2.
Sweat.
Woke up in middle of night, and found he was bathed in perspiration (second day), 6.
Cold sweat, 44.
Skin covered with cold sweat, 34.
When the giddiness was severe there were, in some instances, cold, clammy perspiration and feeble pulse, 26.
Cold, clammy sweat over face and hands, 28.

CONDITIONS

Aggravation.
( Morning ), On waking, dryness of pharynx, etc.
( In open air ), Discharge from nostrils.
( Walking in open air ), Pain in region of ovary ; feeling in lungs, etc.
( In cold room ), Discharge from nostrils.
( While drinking ice-water ), Contraction of œsophagus.
( Hot room ), Frontal headache.
( Jolting when riding ), Pains in small of back.
( Leaning forward ), Heaviness in head; pain in temple, etc.; pain in shoulder.
( Light ), Headache.
( Motion ), Dizziness; soreness of hypochondria.
( Noise ), Headache.
( Continued pressure ), Headache.
( Reading ), All symptoms.
( In room ), Vertigo returns.
( While sitting ), Stitch in inguinal region.
( Walking ), Bowels feel sore; lameness, etc., of right shoulder; pain in right thigh.
( After walking about ), Rumbling in bowels, etc.
Amelioration.
( Morning ), More appetite.
( Fresh air ), Amelioration; frontal headache.
( After breakfast ), Soon, headache disappeared.
( Indoors ), Discharge from nostrils ceases.
( After hearty lunch ), All symptoms. except frontal headache.
( While moving about ), Headache disappears.
( Pressure ), Feeling in head; pains in small of back.
( Momentary pressure ), Headache.
( After raising liquid from stomach ), Wind in stomach.
( On rising ), Pain in supraorbital ridge ceases.
( Smoking ), Head-pains, sore throat.
( Green tea ), Headache.
( Wind ), Cools heated brain.

SUPPLEMENT: CARBOLIC ACID. Authorities.

48 , G. W. Harrison, Lancet, 1868 (2), p. 133, a woman, æt. forty-three years, took a quantity of crude; 49 , Dr. Jas. S. Houston, Phil. Med. and Surg. Rep., vol. xxii, 1870, p. 32, a man, æt. thirty-two years, swallowed over an ounce, death; 50 , W. E. Taylor, M.D., Phil. Med. Times, May, 1872, p. 284, T. R., æt. twenty-three years, took about an ounce; 51 , Dr. Cowling, Am. Pract., vol. vii, 1873, p. 315, a woman, æt. sixty years, took a tablespoonful; 52 , F. Warren, New Remedies, vol. iv, 1875, p. 367, a man drank a solution; 53 , Dr. Davidson, Med. Times and Gaz., 1875 (2), p. 597, a man, æt. forty-seven years, swallowed 4 ounces crude; 54 , Dr. Woodman, Med. Times and Gaz., 1875 (2), p. 421, a child, æt. seven years, drank some crude; 55 , J. E. Shaw, Lancet, 1875 (2), p. 451, a woman, æt. thirty-seven years, took 50 grams in linseed oil (1 to 10); 56 , M. Wiart (L'Aimie Med., October, 1876), N. Y. Med. Journ. vol. xxv, 1877, p. 211, Mdlle. X., æt. forty-three years, swallowed 10 grams of a strong solution; 57 , C. M. Worthington, M.D., N. O. Med. and Surg. Journ., 1876, p. 168, a child, æt. two years, drank some; 58 , G. William Semple, M.D., Virginia Med. Month., May, 1877, p. 138, a lady, æt. fifty years, swallowed two teaspoonfuls; 59 , A. H. Z., 2, 1877 (Hom. World, vol. xii, 1877, p. 467), a lady took 10 grams of concentrated solution; 60 , C. A. Norton, M.D., Pub. Mass. Hom. Soc., vol. iv, p. 285, accidental proving; 61 , Dr. C. P. Putnam, Bost. Med. and Surg. Journ., vol. xcix, 1878, p. 406, three-fourths of a solution, containing two teaspoonfuls of liquid crystals, were injected into the rectum of a boy æt. four years; 62 , S. H. Dessau, M.D., Med. Record, April 13th, 1878, p. 289, a child, æt. two years and a half, swallowed about a tablespoonful; 63 , Dr. Oberst (Berlin, Klin. Woch.), Lond. Med. Rec., 1878, p. 219, a man, æt. thirty-two years, swallowed about 5 1/2 ounces of five per cent. watery solution; 64 , Dr. Rheinstädler, Deutsche Med. Woch., April, 13th (Lond. Med. Rec., 1878, p. 219), a woman, æt. thirty-one years, after removal of a large fibrous tumor from the uterus, injected daily a one per cent. solution into the wound; 65 , W. H. Packer, M.D., Lancet, 1878 (2), p. 511, a woman, æt. twenty-nine years, swallowed some; 66 , T. L. Wright, M.D., Cincin. Lancet and Obs., 1878, N. S., vol. i, p. 68, poisoning of a man, æt. fifty years, from the injection of Carbolic acid into a hæmorrhoidal tumor.

While sitting in my room writing I was annoyed by flies. I had, just before me, a bottle of Calvert's

Carbolic acid in crystals. The idea suggested itself to prepare a strong solution, and place it on the desk before me, thinking the odor would banish the flies. The smell of the acid was disagreeable to me at first, but it was successful in ridding the room of flies. I continued to write for about half an hour, when I began to feel faint. More especially did I feel this faintness at the stomach. My head was not affected at first, but in about ten minutes after the faintness came on, my head began to feel as if it was inflated like a ball. The greatest pressure seemed to be in the temples. It seemed to me that if I could turn my eyes sideways, I should see my temples sticking out. (Prominent symptom.) There was no pain at first in the head, but this peculiar pressure from the inside, which resembled pain, was not exactly unpleasant, because it was so strangely novel. I would often stop writing and shake my head, which would seem to increase the pressure, merely for the gratification of the peculiar feeling it afforded me. In about an hour from the time I prepared the acid, the faintness had become so general that I was obliged to stop writing. I attempted to rise, when I found my legs so weak that I could with difficulty stand. The moment I attempted to rise, the sensation in my head was so peculiar that I could not refrain from laughing. I soon felt serious, as the faintness obliged me to sit down. My mind, which before I mixed the acid, had been rather sluggish, now seemed to be teeming with delightful ideas, which came much faster than I could give them shape in words. I attempted to use my pen again, but found my arms so weak that I could not trace a line. I had not, as yet, thought what produced my strange feelings, and I attempted to analyze them. I became alarmed. I got up, and with some difficulty I went to another room. The moment I stood on my feet I seemed to lose all feeling, except in the head. That seemed to be increased to ten times its natural size, and the best description I can give of my difficult walk to my friend's room is, that I lost all realization that I possessed a body, and that my head seemed to float in the air. Arriving at the room, I found no one there; I lay down on the lounge and soon began to feel better. The strange symptoms abated in the order in which they came on; first the weakness of the stomach grew less, then the head seemed to grow smaller, and my active brain became more calm and quiet. I remained lying about twenty minutes, then got up and walked to my room again. I still felt weak, and had a dull aching distress in the stomach, my head still feeling somewhat giddy. The moment I opened the door of my room, the odor of the acid forced itself upon me as the cause of my trouble; I at once threw the solution out of the window, opened the doors and windows, and aired the room. I was now called to tea. As soon as I entered the dining-room it seemed as if I could smell everything on the table, even the bread and butter. The moment my eye rested on a thing I could smell it, even at the farther end of the table. This sense of smell seemed to satisfy my appetite, and I ate but a small piece of bread, excused myself, and retired to my room. I soon had a desire to go to the water-closet. The moment I entered it, it seemed as if I should be overpowered with the stench. I could not remain, but went back to my room. The water-closet was no more foul than ordinary water-closets, but it was half an hour before I ceased to smell that peculiar sickening odor. I seemed rather inclined to smile at my strange feelings. I was in a happy frame of mind, thinking only of pleasant things. I lay down on the bed, and had it not been for the distress in my stomach, should have been quite happy. This distress was worse when lying on either side, but was easier when lying upon the back, with my legs drawn up. In this position I fell asleep, and remained so till some one aroused me. I found that I had slept about two hours and a half. I had had no dreams, but should judge that my sleep had been very uneasy, as my bed was very much disarranged. It seemed as if I had been all over it; in fact, I was lying across it when I awoke. The distress in my stomach had now given way to a deathly faintness, and my head felt bruised and sore. I at once began to undress. While doing so I was obliged several times to stop and rest. I though I should faint before I could get into bed. I was not alarmed, but seemed rather pleased with my peculiar feelings. I attempted to whistle and sing, but had not the strength. Soon after getting into bed I fell asleep in the same position as before, on my back, with my legs drawn up. I did not awake till 6 o'clock next morning, but what was strange with me, I was wide awake in an instant. There was no rubbing the eyes nor stretching, but from sound sleep I passed in an instant to absolute wakefulness. I did not feel as weak as the night before, but had all the symptoms of a bad diarrhœa, with a disagreeable, hot, burning sensation in the rectum. With that I felt as if I had taken a large dose of

Opium . Particularly did I feel this Opium symptom in my head. But what was my disgust, when I arose from my bed, to find that I had passed several small stools, involuntarily, during the night. I went to the water-closet, and although I had all the symptoms of a diarrhœa, had no movement of the bowels. I went to my room and took one dose of

Arsen. alb . 3d, and then went to breakfast. Had no desire for food. Drank part of a cup of tea (usually drink coffee), and ate a small piece of dry toast. Food seemed to cause nausea. The

Opium symptom in the head still continued; was worse when walking; going up or down stairs made me giddy. Cold water caused nausea. Could not wipe my face with a towel, it was so sensitive to touch. It hurt me to comb or brush my hair. I now went out so visit my patients, but the jarring motion of the carriage increased all my bad feelings, so that I was obliged to return to the house. I now began to feel a bruised or sore feeling through the small of the back and bowels. By noon this feeling had gone into the hips, which ached badly. The burning feeling in the rectum was very troublesome, so much so that I took a cold-water injection. My bowels seemed filled with flatulence. Did not go to dinner, had no desire for food, the thought of it was unpleasant. About two o'clock I had a stool, not large, but passed with considerable flatulence. The stool appeared as if composed of thick glue, and mixed with currant seeds, though I had eaten nothing of the kind. It was passed in thin strips, very much like tape. This same peculiarity I noticed in the involuntary stool I passed the night before. Towards night the pain in my hips had passed into the right leg, from the hip to the knee. I did not eat any supper, but retired early, and passed rather a restless night. The pains in my right leg prevented me from sleeping. In the morning the pain had gone from the knee to the foot, and during the day passed of altogether. My bowels however, continued to be sore, and my head was still troubled with the

Opium symptom. All the strange feelings gradually grew less, and in three days were nearly gone. Previous to my exposing myself to the fumes of the acid, my health had been good, and during the unpleasantness I took no remedy except the Arsen. I have twice since experienced similar symptoms when exposed to Carbolic acid vapor, 60. [610.]

Insensible, retching, the breathing stertorous, the pupils much contracted, and the pulse intermittent; strong smell of acid from the stomach; the mouth, tongue, and fauces presented a white, corroded appearance, 48.
Insensible; face quite livid, bathed in profuse clammy perspiration; pupils contracted and not responding to light; mouth open, filled with frothy mucus; respiration stertorous; pulse imperceptible; heart-sounds scarcely audible (in five minutes), 49.
Totally insensible; pulseless; pupils dilated; face pallid and pinched; respiration of a gasping character; involuntary discharge of urine (in two minutes), 50.
As soon as the mixture was swallowed, it came foaming out of the mouth, and the patient asked, "What is this you have given me? it burns;" unconscious; pupils contracted and insensible; breathing about 50 per minute; pulse 150, rather small, feeble, and intermittent; surface bathed in clammy perspiration; the mouth and throat, as far as could be seen, were whitened by the action of the Carbolic acid; the pharynx and larynx were filled with mucus, giving rise to tracheal râles (after ten minutes); countenance indicating a cyanosed condition; superficial veins of head distended, 51.
Immediately became insensible, falling down suddenly as if in a fit; on his recovery he said he remembered nothing whatever of tasting the liquid. An attack of acute gastritis followed. The urine passed the day after the accident was almost black, but was free from turbidity, and no trace of Carbolic acid, blood, or albumen could be detected in it, 52.
In about twenty minutes she was found unconscious, collapsed, and blanched. The breathing was stertorous; the pupils were contracted; the pulse was hardly perceptible, not rapid. In about three hours the surface of the body was cold, there were convulsive twitchings of the limbs, and she vomited some blood and oily matter. The next day she continued to vomit a greenish watery matter. The bowels had acted several times, the motions being at first black, afterwards dark brown, and without odor of Carbolic acid. The urine is of a smoky color and aromatic odor. The addition of strong Sulphuric acid to it causes a purple color, changing rapidly to blue; no odor of Carbolic acid is given off. No albumen present. She complains of great burning pain in throat and epigastrium. There is tenderness on pressure over the stomach and cæcum. Fauces reddened and covered with mucous exudation. There is a dark-brown stain on the skin of the upper lip, and running down the left side of the mouth and chin. Pulse rapid; temperature in evening 102°, 53.
Unconsciousness was rapidly becoming absolute, the face dusky, the skin was moist and pupils dilated, while the pulse was rapid, irregular, and scarcely perceptible; the breathing remained regular, although the relaxation of the soft palate rendered it noisy. In about an hour after the poisoning coma was complete, the face perfectly livid, the pupils dilated, the skin secreting perspiration in the most extraordinarily profuse manner, the surface of the body warm, as also were the extremities, with the exception of the hands, the pulse at the wrist imperceptible, and the muscles of the soft palate and tongue so entirely relaxed that is was necessary to keep the latter organ extended with catch-forceps to prevent it from falling back upon the glottis. On recovery she was entirely ignorant of what had occurred, and did not know that any mistake had been made. She complained of no pain except in the tongue, but remained in partial prostration for some days, and suffered from an attack of gastric catarrh, 55.
Immediately after the child swallowed the acid, he began to run around the room crying; on being taken up he instantly became unconscious, turned livid in the face, his eyes staring, breathing slowly and noisily, and foaming at the mouth and nose. Soon after the larynx was full of râles. Face pale, cheeks livid, pupils dilated and not responding to light, and there was slight twitchings of the muscles of the extremities. The capillary circulation was very slow. There was a streak of excoriation upon the chin, where some of the acid had run. The next day the uvula was found whitened and shrivelled. He had passed in the morning about a pint of clear urine, of a dark olive-green color, without odor; and had been troubled in the night with a croupy cough, 62.
Immediately became unconscious, breathing laboriously; face pale, and covered with a cold clammy sweat, with convulsive twitching of the facial muscles, and trembling of the limbs; the jaws were firmly compressed, while the pulse was small, and almost imperceptible. He recovered in about three hours, but there remained some soreness and reddening of the mouth and gullet, with a burning pain at the epigastrium. The urine, which was passed voluntarily, showed traces of albumen, and assumed a dark-green color, which again disappeared in the course of the following day. Simultaneously all symptoms of cystitis disappeared, and the patient made a good recovery, 63.
On the removal of the syringe the patient said something "became numb and commenced to jerk." The respiration was 30 in the minute, and superficial; the pulse was 168 at first, but in the course of the next two hours it fell to 120, 61.
One evening it was observed that after the solution had been thus injected, little or none of it flowed away, and at the same instant the patient uttered an exclamation, and suddenly became unconscious, with tremor of limbs, pallor of skin, clammy sweat, and intermittent laborious respiration, imperceptible pulse, etc. The next day, she wholly recovered from the above symptoms. There existed, however, for some days, an irritative vesical catarrh, caused doubtless by the rapid elimination of a considerable quantity of the poison. The urine, which for the first twenty-four hours, showed the usual dark-greenish color, now became acid and albuminous, depositing a thick sediment of pus, 64. [620.]
Great debility; violent burning sensation from the fauces down to and into the stomach; pulse full, slow, regular, and strong; semicomatose condition; she could only with difficulty be made to understand any question; she could scarcely move her limbs, and when raised they dropped like those of one dead drunk, as indeed she was, 58.
Insensible (after a few seconds); skin pale, with cold sweat; features livid; breathing labored; mucous râles, almost to suffocation; pulse 110, small and hard; pupils partially dilated (after twenty-five minutes); convulsions in fifteen minutes after insensibility, that returned every few minutes, 57.
Immediately slight convulsions set in, followed by unconsciousness, cold sweat, pulse hardly to be felt; the convulsions lasted for an hour, when consciousness returned. Breath smells of Carbolic acid. Lips, gums, pharynx coated with a white membrane. White membranes were ejected by the mouth. Other membranes were thrown off the next day. Stool and urine pass involuntarily; the latter gives the linen the color of red wine, 59.
Almost immediately afterward she was seized with convulsions, and there was a complete loss of consciousness, cold perspiration, imperceptible pulse, strong odor of Carbolic acid in breath; lips, tongue, gums, and pharynx covered with a white slough. The convulsive attacks continued for an hour, but were not severe. Consciousness returned in an hour; there was great pain in the neck and stomach, and difficulty in swallowing even small quantities of milk; the mouth was filled with a thick saliva. There was vomiting, the vomitus being a white, creamy substance, smelling of Carbolic acid; involuntary fecal discharges, not at all abnormal in appearance; but the urine, which was also voided involuntarily, left a stain on the linen resembling that made by dark-red wine, 56.
Face of a leaden hue, and bathed with cold sweat; eyes fixed, and the pupils slightly dilated; extremities cold and completely insensible; breathing stertorous; slight convulsions, 54.
In five minutes in a state of collapse, pale, and cold, with clammy perspiration on the forehead. The radial pulse was about 112, and scarcely distinguishable; the conjunctiva was insensible to touch, and the pupils were dilated and immovable; respiratory movements almost imperceptible, about 56 per minute; froth exuded from the nostrils. The breath smelt strongly of Carbolic acid, and marks of erosion were seen on either side of the upper lip, 63.
Chill, attended with great nervousness and distress, although profusely warm; unsteady, weak, and irregular pulse; great giddiness and impending convulsions. He recovered from this "chill," but continued exceedingly dizzy for three days longer, 66.

Carbolic. Acid

OH