Kali Nitricum
By Timothy F. Allen — The Encyclopedia of Pure Materia Medica
Potassium nitrate. (Saltpetre), KNO3 (Nitrum, or Nitre).
Preparation for use , Triturations.
Authorities. ( 1 to 11, from Jorg's "Materielen" ).
1 , Engler, took repeated doses of 1 to 15 grains (the first dose without any effect); 2 , Hecker, took doses of 1 grain to 1/2 drachm (the last dose without any effect); 3 , Heisterbergkh, doses of 1 grain to 2 scruples; 4 , Kneschke, doses of 1 to 15 grains; 5 , Kummer, doses of 1 to 10 grains; 6 , Richter, doses of 1 grain to 1 scruple; 7 , Siebenhaar, doses of 3 to 14 grains; 8 , Jorg, doses of 4 to 14 grains; 9 , Assmann, doses of 1 and 2 drachms; 10 , Alexander (quoted by Jorg from "Experimental Essays," London, 1768) took 6 drachms within twenty-four hours, afterwards 1 ounce, and then 1 1/2 ounces; 11 , case quoted by Alexander, a woman swallowed a handful of saltpetre mixed with warm water; ( 12 to 21, from Hahnemann, article Nitrum Chron. Krank., Bd. IV ); 12 , Hahnemann; 13 , Neuning; 14 , Schreter; 15 , Tietze; 16 , Geiseler, Hufel. Journ., lvii, 1, 124, "effects of 1 ounce dose;" 17 , Richter, Arzneimittellehre, iv; 18 , Falconer, Mem. of Med. Soc. of Lond., iii, 527, "effects of 2 ounce dose;" 19 , omitted; , Alston, Lectures on Mat. Med., Lond., 1770, 1, 180 ("from a drachm daily," Hahnemann); , Soville, Journ. de Méd., lxxiii, 1, 19-21, from 1 ounce, in a woman of 36; ( , ., 17, 2, 123); , Rummel, took 6 grains 1st cent. trit. first day, 10 grains second day; , Dr. Schrœder, repeated doses of 1st trit.; , C. Lier, doses of 5 to 15 grains; , Dr. Finzelberger, took first day 6 grains (on third day took Ipecac at intervals of four hours to stop the cough, also a dose of Ipecac on the fifth and seventh days), seventh day 4 grains of 1st trit. of Kali nit.; , Dr. Nicol, took daily 1 grain for a week; symptoms began to appear on night of eighth day; , same, took 4 grains daily for four days; , same, took 10 grains of 1st dec. trit. every evening for a week; , same, daily doses of 30 grains of 1st dil.; , same, daily doses of 3 grains of crude drug for twelve days; , same daily doses of 6 grains of crude drug; , Traub, took daily doses of 8 grains of 1st trit.; , Muhlenbein ( Suffering frequently for the last three months from soreness and scurfiness of the margins of the nostrils, scratching of which was followed by bleeding. When he began the proving he was not well, had drawing in the limbs, was ill-humored and easily inclined to weep), took 6 grains 1st trit. (first day), repeated after four days, also the next year another proving with repeated doses of 1st trit., 5 to 15 grains; , Dr. Franke, took 5 grains of crude drug for seven successive days, 9 grains tenth and twelfth days; , same took 10 grains pure drug (first and third days), 12 grains twice (fourth and fifth days); , Muhlenbein, took 6 grains of 1st trit.; , Dr. Kratzenstein, took 10 grains of pure nitre three times in twenty-four hours; , Comparetti, from Wibmer, effects of about 1 1/2 ounce; , Laflize, Journ. de Méd., 1788, from Wibmer, a woman took about an ounce; , All. Zeit., 1788, from Wibmer, effects of 1 1/2 ounce; , Kiebel, from Wibmer, effects of 3 drachms in a woman; , Oberstadt, Caspar's Woch., 1841 (Frank's Mag., 1, 258), a man, 50 years old, took 2 ounces at one dose; , Butter, a pregnant woman, took a solution of 2 ounces, Edin. Med. and Surg. Journ., Jan. 1818; , Meyer, St. Petersb. Abhandl., 1823 (Frank's Mag., 2, 814), a man took 2 drachms in a clyster; , Deutsch, Pr. Ver. Zeitg., 1855 (Schmidt's Jahrb., 89, 290), a man took 1 1/2 ounce; , Orfila, Toxicologie, a man took 2 ounces; , same, a woman took 32 grammes; , Taylor's Med. Jurisp., 1, 237, a lady took 1 ounce; , Geoghegan, from Taylor, a man took 1 1/2 ounce; , from Taylor, two men took 1 ounce each; , G. Wilson, Lond. Med. Gaz., 1848, a man aged 63, took 2 ounces; , Janikowski, from Trinks, A. H. Z., 14, 380 (no dose given); , Cardan, Lond. J. of Med., 1849 (from Acad. of Sc., Paris), effects of 3 ounces; , Dr. Davies, Med. Times and Gaz., 1857, p. 484, effects of 1 ounce for ascarides; , Dr. Snowden, Pharm. J., 1856, from New Jersey Med. Reporter, a German took 3 1/2 ounces at a dose; , Dr. Letheby, Pharm. J., 1846, p. 357, a girl, aged 28, took of a solution of 2 ounces, one-third at night and one-third next morning, for rheumatism in head and face.
MIND
- Emotional.
- Excitement after a glass of wine, as though he had taken too much (first day), 29.
- Delirium, 35.
- Depression of spirits (eighth day), 29a.
- Depressed; she thinks she must die, 13.
- Ennui, lachrymose mood, sad expression, 13.
- Anxiety, frequently in the afternoon (after twenty days), 14.
- Anxiety, with perspiration over the whole body, 13.
- Anxious, weak, with perspiration on the pit of the stomach, in the afternoon till evening (after thirty days), 13.
- Unusual feeling of anxiety, 36. [10.]
- Very great anxiety, 32.
- Frightful anxiety, with internal coldness, followed by faintness and death, 40.
- Uneasy, apprehensive, fearful, sensitive, peevish, 14.
- Inclined to vexation, 30.
- Fretfulness, 9.
- Fretful, ill-humored, 14.
- Extremely fretful mood (ninth day), 28.
- Fretful, peevish mood, in the evening (ninth day), 28.
- Irascible, 37.
- Perverse, hypochondriac mood, discontented with himself and the world, peevish irritable, and completely disinclined to mental labor (fifth day), 23.
- Intellectual. [20.]
- Meditative and solicitous, 12.
- Disinclined to think and exhausted, in the morning, with a feeling of warmth in the face and hot forehead, 15.
- Disinclination for work (first day), 25.
- Unless roused lay in a state of half stupor, but was quite rational, and capable of answering questions and giving an account of his case (after four hours), 45.
- Partly stupefied, as in intoxication, 38.
- Loss of consciousness, 39.
HEAD
- Confusion and Vertigo.
- Confusion of the head, nearly the whole day (eighth day), 29a ; in morning (second day); on waking (eighth day), 28.
- Confusion of the head, with drawing in the side of the head and forehead, toward evening (fourth day), 22.
- Confusion of the head, in the evening, with some oppression of the chest (eleventh day), 28.
- Confusion of the head, almost like intoxication after a glass of Madeira (tenth day), 29. [30.]
- Confusion in the forepart of the head, in the forehead (tenth day), 29b.
- Confusion and throbbing in the forehead (ninth day), 13.
- Gloominess, confusion of the head, difficult thought; everything is immediately forgotten, 15.
- Tendency to vertigo, on stooping, as if he would fall forward (first day), 28.
- Vertigo, 39.
- Frequent attacks of vertigo, as if he would fall to the right side and backwards while walking in the evening (previous to this he had taken a glass of strong beer), 29b.
- Dizziness of the head, in the morning, as after intoxication, 13.
- Head dizzy and weak, 11.
- General Head.
- Dulness in the head and sleepiness (ninth day), 13.
- Stupefaction and heaviness of the head, in the morning, as after intoxication, 14. [40.]
- Heaviness of the head, and pain extending over the whole head, 9.
- Feeling of heaviness in the head (after two hours), 15.
- Feeling of looseness and sticking in the brain, 13.
- Pain in the head and neck lasting from evening through the night and the next day, especially affecting the left side, 14.
- Headache, 9 ; (eighth and twelfth days), 28 ; in afternoon, 26c ; on entering a warm room, 26b ; on turning the head, 26d.
- Headache, rather a confusion, 30.
- Headache, with heat, increasing towards evening lasting till 10 o'clock (first day), .
EYE. [130.]
- Some catarrhal inflammation of the eyes, especially of the left, on waking in the morning (third day), 22.
- Burning in the eyes and weakness as from sleepiness (sixth day), 13.
- Burning and lachrymation of the eyes, in the morning (twenty-second day), 13.
- Burning in the eyes, which are intolerant of light (after seventeen days), 13.
- Burning in the outer canthi (third day), 13.
- Violent burning of the eyes, in the morning after rising, disappearing after washing (fourteenth day), 13.
- Violent burning in the eyes and lachrymation, in the morning after washing with cold water, 13.
- Violent burning in the eyes, with redness of the canthi, for three days, 13.
- Pressure in the eyes (sixth day), 29a.
- Pressure in the eyes, and on pressing upon the ball, painfulness of the orbits (fourteenth day), 28. [140.]
- Pressure in the right eye (second day), 29a.
- Momentary pressure in both eyes at different times (fifth day), 29a.
- Pressure shooting through both eyes, soon after supper (fifth day), 29a.
- Slight pressure in the left eye (second day), 29a.
- Painful pressure in the eyes, as if sand or dust were in them, the whole day (after sixteen days), 13.
- Drawing pressure through the left eye and left side of the forehead, following an oblique course (seventh day), 25a.
- Constant tearing in the inner canthi, 13.
- Burning biting as from salt water, especially in the left eye (twenty-eighth day), 13.
- Itching of the right eye, and constant acrid lachrymation, which runs over the cheek, 12.
- Sticking itching on the inner angle of the left and on the outer angle of the right eye; itching on the right side of the neck, left upper arm, left side of the forehead, right side of the chest, etc. (ninth day), 29a.
- Orbit. [150.]
- Compressive pain in the orbits aggravated by pressing on the upper part of the eyeball (ninth day), 28.
- Lids.
EAR
- Inflammation and swelling of the lobule of the right ear with violent burning and itching, so that he was obliged to scratch it; heat and redness of the lobule, 15.
- Pain in the ears, a tension in the right meatus, 13. [170.]
- Tensive pain behind the right ear the whole day, with sticking behind the left ear, on diminution of the pain, 15.
- Pressure from opposite sides in the ears and temples (third day), 23.
- Sticking in the right ear, in the evening (fifth day), 29a.
- Sticking in the right ear, so that she could not lie upon it at night (thirty-fourth day), 14.
- Sticking in the ear, with headache (thirty-fifth day), 14.
- Sticking behind the right ear as if deep in the head, 15.
- Dull sticking pain in the right ear, 15.
- A stitch in the right ear followed by twinging in it, 13.
- Violent stitches behind the left ear, extending towards the articulation of the jaw, 15.
- Tearing in the right meatus (seventh day), 15. [180.]
- Tearing behind the ears for two hours (fourteenth days), 15.
- Throbbing rhythmical with the pulse in the left ear (sixth day), 28.
- Tickling in the cartilage of the right meatus auditorius, in the morning in bed (ninth day), 29a.
- Excessive itching in the external meatus (fifteenth day), 13.
- Hearing.
- Loss of hearing, 39.
- Transient deafness, 16.
- Rushing in the ears, as of running water (first day), 23.
- Very slight dull hissing in the head (first day), 22.
- Ringing in the ears, 11 ; (thirty-seventh day), 13.
- Great ringing in the left ear, in the evening (second day), 23. [190.]
- Clearing ringing in the left ear, 13.
- A pulsating roaring noise in front of the right ear, 26c.
NOSE
- Objective.
- The skin of the nose is red as if inflamed, 12.
- Tip of the nose inflamed (thirty-seventh day), 14.
- An ulcer deep in the right nostril, that after several days is covered with a scab (after nineteen days), 13.
- Sneezing in the morning without catarrh (tenth day), 29a.
- Frequent sneezing (second day), 27 ; (nineteenth and twentieth days), 14 ; in evening, about 10 o'clock (ninth day), 29a.
- Much sneezing almost immediately, 12.
- (Violent sneezing, several times), (ninth day), 29a.
- Violent sneezing, in the morning (thirtieth and fortieth days), 13. [200.]
- Some drops of water run from the nose without catarrh, 12.
- Catarrh with sneezing (soon after a new dose), 13.
- Violent catarrh, with stoppage of the nose, loss of smell, and rough voice (eleventh and twelfth days), 13.
- Stopped rather than fluent catarrh, with burning externally about the nose, 12.
- Catarrh now dry, now fluent, though constant, 12.
- The catarrh flowed freely in the open air, less so in the house, 26b.
- (The catarrh from which he suffered became unusually worse, from the right nostril clear water dropped, and the mucus was difficult to loosen), 26b.
- Bleeding from the nose, without relief to the head, took place on the day following bleeding from the scurf on the tip of the nose, 14.
- Bleeding from the nose three times in one week; the blood acrid like vinegar (after twenty days), 14.
- Bleeding from left nostril when blowing the nose, 13. [210.]
- Bleeding from the left nostril, immediately after rising, followed by relief of the headache, 26c.
- Bleeding from the nose in the afternoon (after twenty days), 13.
- Blowing of blood from the nose, soon after rising, followed by some nosebleed, 26c.
- Clotted blood, or small balls of blood, come from the nose on blowing it (after seventeen days), 13.
FACE
- Objective.
- Pale sickly expression, 13.
- Face pinched and very anxious (after four hours), 45.
- Paleness of the face as after long illness (after thirty days), 13.
- Face, which was formerly red, became pale, and collapsed as in cholera, 39. [230.]
- Face sunken; pale, cold nose, 35.
- Muscles of face convulsed (after a quarter of an hour), 42.
- A visible jerking motion of the muscles of the face, especially by the eye and on the right side of the neck, during a light nap in the morning, about 8 o'clock; the first attack was in the region of the right articulation of the jaw; I was perfectly conscious, but afterwards on thinking about it I became fearful that it would develop into an epileptic spasm; and I fell to dreaming during the night that the eyes were tightly closed, and I ineffectually endeavored to open them during the attack and was obliged to open them by force with the fingers, 26d.
- Subjective.
- Feeling of heat in the face, without rapid pulse (after a few hours), 30.
- Acute tearing in the bones of the left side of the face, 13.
- Cheeks.
- Tensive pain in the cheeks, with redness of them and increased throbbing in the head, as if in the middle of the brain, 13.
- Stitches as with needles in the left cheek, followed by burning (thirty-eighth day), 14.
- Tearing in the zygomata, 15.
- Gnawing pain in the left upper jaw, close to the wing of the nose (fifth day), 13.
- Jerking pain in the right zygoma, as night, 15. [240.]
- Jerking pain in the upper jaw and zygoma, 15.
- Intermitting jerking pain in the zygoma, extending towards the vertex the whole day, at times also in the wrist, 15.
- Lips.
- Twitching of the muscles, whereby the mouth was distorted, 33.
- Chin.
- Drawing in the right side of the lower jaw (thirteenth day), 28.
MOUTH
- Teeth.
- Looseness of an upper back tooth, followed by ulcerative pain the whole day, 13.
- Feeling of tightness in the hollow lower wisdom tooth of the left side, perceptible during sleep (sixth day), 29a.
- Grumbling in a diseased upper back tooth, as if air streamed in and out of it, 13.
- Boring toothache, with pressure in the head, and at one time heat, at another coldness; towards noon, better in the evening, 14.
- Drawing and sticking toothache, now in the right side, now in the left, in the upper back teeth, in the open air as in the house, 15.
- Stitches in a hollow tooth when touched, wherewith the gum is inflamed, swollen, red, and painful, and bleeds easily (after twenty days), 14.
- Tearing toothache, with tearing in the head, from morning till noon, 14.
- Violent tearing in a left upper tooth, 13.
- Shooting tearing in the upper incisors, in the open air, in the evening and next morning (after thirty-ninth day), 13.
- Ulcerative pain in the upper, especially the back teeth (after eight days), 13. [260.]
- Throbbing toothache wakes him at 3 in the morning and at midnight from sleep, aggravated by cold, unchanged by warmth, 13.
- Throbbing toothache in the left upper row, in the evening while walking in the open air (seventeenth day), 13.
- Jerking pains in the teeth (eighth day), 15.
- Jerking toothache in the left upper row, like an ulceration, 13.
- Jerking toothache in a left upper back tooth, 15.
- Frequent jerking in the upper back teeth, 13.
- The toothache is aggravated on drawing in the air and extends into the incisors, 15.
- Gums.
- Swelling of the gum externally of the right upper teeth with great painfulness, 13.
- The gum on the inside of the right upper teeth seems swollen, with violent throbbing in it, 13.
- A scorbutic condition, 17.
- Tongue. [270.]
THROAT
- Hawking of mucus in the afternoon, with expectoration of a piece having the form and consistence of liver, of a sweetish taste, 13.
- Pain in the throat (fourth day), 25.
- Burning in the throat for three days, relieved for only a short time by cold drinks, 13.
- Frightful burning in the throat, stomach, and intestines, 39.
- Pressive pain in the throat like commencing inflammation, lasting twenty-four hours (after nine hours), 15.
- Cutting pain in the throat, as if in the larynx, with impeded swallowing (after eight days), 14.
- Sticking pain in the throat, in the morning on rising, also externally on pressing on the larynx and on eating, 13. [310.]
- Sticking pain in the throat, aggravated by swallowing, 13.
- Sticking in the middle of the throat and fauces, when swallowing, 15.
- Sticking pain in the left side of the throat when swallowing and speaking, relieved by taking food (sixteenth and seventeenth days), 13.
- Sore throat day and night, with inflammation of the arch of the palate and uvula for four days (after ten days), 13.
- Sore throat at night, very violent, as if the throat would grow together, and as if she could not get air through it, 13.
- Sore pain in the throat (third day), 23.
- Rawness in the throat immediately, 13.
- Rawness in the throat, with hoarseness and burning in the pharynx like heartburn, 13.
- Rawness and scraping in the throat; she was frequently obliged to hawk, which caused pain in the chest; in the evening and morning (after eight days), 13.
- Rawness in the choanæ, as if coryza would occur (first day), 22. [320.]
- After the most violent paroxysms of cough there was frequently experienced scraping in the throat, as from acidity of the stomach (from which I had never before suffered), 26b.
- Tickling in the throat; he was obliged to hawk, but raised nothing, 13.
- Uvula and Tonsils.
- Uvula and tonsils red, with painful swallowing of saliva aversion to smoking, and general prostration, towards evening (second day), 25.
STOMACH
- Appetite.
- Good appetite in spite of all the troubles and pains (after thirty days), 14.
- Incessant desire to eat and drink, 51.
- Ravenous hunger returned between 10 and 11 A.M., and alternated with some cutting pain in the region of the umbilicus (after 9 grs.), 8.
- Ravenous hunger, without real desire for food, together with increased thirst (after two hours), 9. [330.]
- Violently ravenous hunger, in the forenoon (after 7 grs.), 8.
- A kind of ravenous hunger without real appetite towards, evening (fifth day), 28.
- A kind of sensation of hunger, no real appetite followed by a real aversion to food the whole morning (over three hours), with white-coated tongue, so that my coffee was not taken, contrary to habit; at 10 A.M., with real appetite, bread and butter was so much relished that without intending it I ate a piece more than usual, after which I felt very well (tenth day), 29.
- Diminished appetite, 17 ; (after 7 to 8 grs.), 6.
- Loss of appetite and much thirst (fifth day), 24.
- (Loss of appetite with increased hunger!), (second day), 9.
- Appetite bad (seventh day), 25.
- No appetite (first day), 25.
- No appetite in the evening though I had eaten nothing, yet the supper tasted very good, of which I ate largely (tenth day), 29.
- No appetite, though she eats from habit without difficulty, 13. [340.]
- Appetite completely suppressed, 9.
- Thirst.
- Thirst in the afternoon with burning in the throat, disappearing after drinking water (twentieth day), 13.
- Thirst, during menstruation (nineteenth day), 13.
- Thirst without remarkable appetite, 12.
- Increased thirst (after 11 and 13 grs.), 7.
- Much thirst (first day), 25 ; (third day), 24.
- Much thirst but no appetite from breakfast (seventh day), 25.
- Great thirst (second and third days), .
ABDOMEN
- Hypochondrium.
- Stitches beneath the short ribs and accumulation of flatulence; the pains cease on the emission of flatulence (sixth day), 29a.
- Stitches beneath the right short ribs, in the side extending to the back, as if behind the liver, 15.
- Some stitches in the left side beneath the ribs, from afternoon till evening (first day), 15.
- Colic , griping beneath the left short ribs (descending colon), extending into the epigastric region (transverse colon), worse when standing and walking, relieved or removed by crouching together; pressure upon the descending colon increased the pains, and after the crouching they were also again felt (seventh day), 29a.
- Pain in the left hypochondrium as after a violent blow; with pains in the small of the back, which were frequently so violent that she could not lie, followed by leucorrhœa for eight days; which together with the pains in the back ceased soon after the menses, 14.
- Umbilical and Sides.
- Griping in the umbilical region after soup (sixth day), 29a.
- Griping in the umbilical region from accumulation of flatulence, disappearing after the emission of flatulence, in the evening (fifth day), 29a. [450.]
- Griping in the umbilical region followed by some flatulence and the evacuation of a thin clear stool, after eating (sixth day), 29a.
- Griping about the umbilicus with emission of flatulence, followed by relief in the head (eighth day), 29a.
- Griping about the umbilicus and beneath the short ribs of the left side, followed by frequent emission of flatulence, without entire relief from the pain, in the morning in bed (seventh day), 29a.
- Griping and cutting in the abdomen before a normal stool, 13.
- Transient cutting in the umbilical region, with a feeling as though he was frequently obliged to go to stool, remaining unaffected by the usual stool, but with frequent and profuse emission of urine (after 14 grains), 8.
- Distension and sticking in the left side of the abdomen, relieved by bending together, 13.
- Sudden shocks in the left side of the abdomen as from something alive, 13.
- Abdomen.
RECTUM AND ANUS
- Objective.
- The hæmorrhoids in the rectum became enlarged, with sticking pain (fifth day), 15. [520.]
- The hæmorrhoids are more protruded, though without pain, and soon again become smaller (thirty-sixth day), 13.
- Discharge of blood from the anus with a hard stool, but without pain (twenty-fourth day), 13.
- Discharge of blood from the anus as well as from the vagina (after the miscarriage); on the second day the diarrhœa as also the lochia were less, but on the third both returned more violent than ever, and in the stool there were what seemed to be membranous portions of the intestines mixed with blood, 11.
- Subjective.
- Pressure and tenesmus in the anus during a normal evacuation (after 5 and also after 6 grains). with emission of flatulence (after 7 grains), 6.
- Burning pressure in the anus when not at stool (twenty-seventh day), 13.
- Itching in the orifice of the anus (sixth day), 29a.
- Frequent desire for stool and frequent pressing and dragging towards the anus, associated with frequent emission of urine, repeated after different doses, 1.
- Great desire for stool, not relieved by a normal evacuation, but lasting the whole day, with frequent but scanty emission of urine, 9.
- Urgent desire for a normal stool, twice in succession, preceded by sticking, griping in the abdomen, and extending thence backward to the small of the back, as from flatulence, in the morning after waking, 13.
- Ineffectual desire for stool (tenth day), 13.
STOOL
- Diarrhœa. [530.]
- Diarrhœa, 34, 41 ; (fourteenth and twenty-seventh days), 13.
- Diarrhœa frequently alternates with the stools (first day), 13.
- Very urgent desire for stool, and diarrhœa, in the morning (eighth day), 29a.
- Diarrhœa with violent pains in the abdomen, 17.
- Diarrhœa preceded by cutting in the abdomen (twentieth day), 13.
- Diarrhœa and almost griping about the umbilicus, only seldom remitting (forty-first and forty-second day), 13.
- Dreadful diarrhœa, with awful griping, and bloody stools (after a week), 48.
- Diarrhœa four or five times in the day, followed by smarting in the anus; after some thin stool is passed once, it seems as though the orifice of the anus became stopped (hæmorrh. saccat.), which caused a disagreeable sensation; after prolonged and great urging very little passed, feeling like hardened fæces, with relief of the tenesmus (sixth day), 29a.
- Diarrhœa twice (fourth day), 14.
- Diarrhœa twice, with emission of much flatus, 3. [540.]
- Diarrhœa of a bright-yellow color twice after a normal stool (ninth day), 29a.
- Purging (after a quarter of an hour), 42.
- Violent purging, 44.
- Soft diarrhœa-like stools, preceded by rumbling and noises in the intestines (sixth day), 15.
- Several diarrhœa-like stools without colic, 12.
- Three diarrhœa-like stools (second day, after 13 grains); followed by constipation, 7.
- Two diarrhœa-like stools without much pain in the abdomen (after 14 grains), 7.
- Several thin evacuations of the bowels (after 7 grains), 8.
- Soft stool several times (fourth day), 22.
- Bowels opened three times within three or four hours, 49. [550.]
- Three pasty stools; with the third evacuation in the evening there was associated a slight cutting in the whole intestinal tract, which lasted two hours and gradually disappeared (after 10 grains); next day the evacuation was hard, not copious (after 12 grains); on the following day, three thin evacuations (after 13 grains); next day, four watery evacuations (after 15 grains), .
URINARY ORGANS
- Urethra.
- Burning while urinating (seventh day), 28 ; (eighth day), 13.
- Burning in the urethra while urinating, and greatly diminished urine (after fifty days), 13.*
- Burning in the forepart of the urethra during micturition (first day), 25.
- Burning in the orifice of the urethra while urinating (seventh day), 25.
- Burning pain at the close of micturition (third day), 23.
- Fine stitches in the orifice of the urethra, 13.
- Acute stitches in the region of the prostate gland while urinating, 15. [600.]
- Biting in the urethra, during micturition (third day), 23.
- Shivering and tickling in the orifice of the urethra (fourteenth day), 28.
- Micturition.
- Some desire to urinate (after forty minutes), 9.
- Increased desire to urinate; he was obliged to urinate every ten minutes, but passed only a little at a time, nevertheless it was more copious than usual (after one hour), 9.
- Frequent desire to urinate, with emission of much offensive flatus (after 8 grains), 2.
- Frequent desire to urinate, with a dull painful feeling in the region of the kidneys, and increased thirst (after 13 grains), 7.
- Frequently recurring desire to urinate, with discharge of only a little urine (after 10 grains), 6.
- Urging to urinate, at first only a few drops, then the usual stream, frequently (twenty-third day), 13.*
- Increased micturition, even at night, with a hard stool (first day), 13.
- Frequent emission of yellow, transparent urine, 9. [610.]
- Frequent and profuse emission of urine (after 8 grains), 2.
- Frequent and profuse micturition, the urine is as clear as water, 26b.
- When this prover had several thin evacuations from the bowels there was no marked action upon the urine (after 7 grains); but while there was no action upon the bowels and the stool was regular, he was obliged to urinate frequently (after 10 and 12 grains), .
SEXUAL ORGANS
- Male.
- Erections in the morning in bed (twenty-seventh day), 13.
- Erections on waking in the morning, with great desire for coition, which at a very unusual time (for it had been indulged in the day previous), was effected "maxima cum voluptuate" (eleventh day), 29.
- Erections at noon without voluptuous thoughts (seventeenth day), 13.
- Prickling sticking in the glans penis (fourth day), 22.
- An itching stitch in the penis in the afternoon, while sitting (thirty-second day), 13.
- Smarting of the orifice of the prepuce, also some smarting when urinating (sixth day), 28.
- Frequent itching sensation in the glans penis (seventh day), 25.
- Painful swelling of the left epididymis, as large as a hazelnut, behind and below the testicle (third day), 23. [640.]
- After unsatisfied sexual desire in the morning, violent drawing tension and pressure in both testicles and along the spermatic cords into the abdomen, lasting several hours; therewith the testicles were very painful; even in the evening there was still tension in them, extending into the spermatic cords, 15.
- Sensitiveness of both testicles, which are drawn up with a pressive sensation in them (third day), 23.
- Increased sexual desire, 15.
- Great inclination to coition, with great sexual enjoyment (second day), 29a.
- Female.
- Abortion at the second month, 11.
- Leucorrhœa, thin, white, stiffening the linen, with bruised pain in the small of the back; for a week (after thirty days), 14.
- Menstruation somewhat longer and more profuse than usual, 13.
- Menstruation, which was just at its close, was immediately very much increased after a new dose, with pains in the abdomen, small of the back, and thighs, but after a few hours returned to its ordinary state, 13.
- Menstruation, which was only slight on the fourth day, immediately after a new dose became more profuse, thicker, with clots of blood; next day it was again scanty, 13.
- Menses much thinner than usual, 13. [650.]
- Menses some days too early and more profuse than usual, lasting three days, though flowing scarcely any after the second day, with blood black like ink, .
RESPIRATORY ORGANS
- Larynx.
- Tensive pain in the larynx while breathing (after thirty-five days), 14.
- Irritation to cough, caused by tickling in the larynx (fourth day), 13.
- Sudden violent irritation to cough in the right side, near the pit of the throat, as if in the right bronchus, neither painful nor itching; it could be suppressed by a slow, deep breath, and by an effort of the will; this provocation to cough lasted about an hour (at that time I was treating two patients who had a similar irritation to cough), 26b.
- Voice.
- Voice as in catarrh (after fifty days), 13.
- Hoarseness, 28.
- Hoarseness and rawness of the throat (eighth day), 28. [660.]
- Hoarseness and cough; she raised pieces of mucus, with stopped catarrh (during menstruation), 13.
- Suppressed hoarse voice, with some tickling provoking cough, 29b.
- Loss of voice, 33, 41.
- Cough and Expectoration.
- Cough day and night, with sore pain in the chest, followed by catarrh, with stoppage and itching of the nose (thirteenth day), 13.
- Cough, with stupefying headache, wakes her at night, about 3 o'clock; if she raises herself or moves, the cough becomes worse (twenty-second day), 14.
- Cough caused by tickling in the middle of the chest, after coming into the house, persistent, 13.
- Cough, with soreness in the chest, pain in the head and throat (seventeenth day), 13.
- Cough, which was persistent and annoying, called for three doses of Ipecac 3d, after which it entirely disappeared (third day), 25.
- Cough almost takes away her breath, 14.
- Cough paroxysmal, especially caused by eating bread or cakes, 26b. [670.]
- Dry cough (fourth and fifth days), 13.
- Dry cough with rawness in the throat and heaviness on the chest (sixth day), 14.
- Dry cough for fourteen days, with dull tension, contraction, and pressure in the chest; a rawness beneath the sternum, which provokes cough, but which afterwards disappears for a few minutes, .
CHEST
- Inflammation of the chest, 46.
- Rush of blood to the chest, 12.
- Feeling of anxiety in the chest, instead of the headache, towards evening (first day), 28.
- Heaviness and tightness of the whole chest (first day), 13.
- While coughing, a feeling as though something were loose in the chest (thirtieth day), 14.
- Burning and sticking in the chest, in the evening (ninth day), 15. [700.]
- Violent burning in the chest, extending up into the throat, until expectoration is loosened, in the morning (twenty-sixth day), 14.
- Tensive pain, across the chest, with stitches in the left side, under the ribs, 9.
- Tightness of the chest from coughing, at night, 12.
- Constriction in the chest, with anxious shortness of breath, in the forenoon, while standing (twenty-second day), 13.
- Cramplike constriction of the chest, with anxiety and dread of suffocation, alternating with cramplike drawing in the occiput and nape of the neck, of the left side, so that she had to hold the head backward, and at times so violent that she cried out (twenty-fifth day), 14.
- Constriction, as if the lungs were constricted, preventing deep breathing, in the morning while lying, extending from the back into the chest; if she attempts to take a deep breath she is obliged to gasp for air, and it is followed by coughing (fourth day), 14.
- Pressure and tightness of the chest, (thirteenth day), 14.
- Pressive pain in the chest, in the afternoon (twenty-third day), 15.
- Pressive pain in the chest, lasting a short time, 15.
- Oppression of the chest (third day), 22. [710.]
- Oppression of the chest, perceptible especially in the morning (fourth day), 22.
- Sticking pain in the right lower ribs, caused by coughing and laughing, for two days (after twenty days), 13.
- Stitches in the right chest, when coughing and breathing deeply, 12.
- Stitches in the right half of the chest, that return three times at intervals of half an hour; six hours afterwards there was a feeling of fulness beneath the sternum, which was aggravated by deep inspiration and cough, a short, dry, hollow-sounding cough (first day), .
HEART AND PULSE
- Præcordium.
- Violent stitch in the præcordial region (after five hours), 15.
- Heart's Action.
- Violent beating of the heart, in the evening in bed, on account of which he awoke, 13.
- Violent beating of the heart while lying upon the back, so that she awoke at midnight, and sat up full of anxiety (thirteenth day); violent palpitation at midnight, while lying on right side (fourteenth day), 13.
- Palpitation on sudden motion and on standing up, with heat of the face and oppression of the chest, 15.
- Momentary palpitation, at times (after fifteen days), 14.
- Pulse.
- Pulse somewhat accelerated (after 11 and 13 grains), 7. [750.]
- Pulse frequent, hardish (third day), 23.
- Pulse hard and rather frequent, towards evening (seventh day), 25.
- Pulse small and rapid, with warm hands, 13.
- Very weak, rapid pulse, 41.
- Pulse full, hard, and rapid, and a condition very like an inflammatory irritability of the whole body, but especially in the abdominal organs (second day), 9.
- Pulse very rapid, for an hour, in the afternoon, while at rest, 15.
- Pulse very rapid, at 4 P.M., with heat in the head for an hour (twenty-eighth day), 15.
- Pulse increased in frequency by ten beats (first day), 28.
- Pulse 70 (usually 65), (first day), 28.
- Pulse 80 (usually 65), with some palpitation (first day), 28. [760.]
- Pulse 90 in the evening (usually 65), (ninth day), 28.
- Pulse slow, small, and weak, 39.
- Pulse sunk in strength and frequency, 37.
- Pulse diminished by 3 beats for a short time (after 9 grains), 8.
- Immediately after taking the drug, especially in large doses, the pulse was from 3 to 4 beats slower than usual, partly on account of the cooling effect of the saltpetre, and partly from the cold water; this condition lasted a very short, time, three or four minutes, and the circulation returned to its usual course, .
NECK AND BACK
- Neck.
- Stiffness of the nape of the neck, 14.
- Pain, like a stiffness in the nape of the neck, as if sprained, on nodding or turning the head, lasting three days (after thirty-three days), 11.
- Tensive pain in the right sterno-cleido-mastoid muscle on turning the head, 26d.
- Tearing in the cervical muscles of the right side, extending from the shoulder to the head, 15.
- Painful throbbing in a cervical vertebra, after raising the head from stooping, 13.
- Back.
- Paralysis of the spine, with tetanus, 16.
- Pain in the back (after twenty-seven days), 15.
- Pain in the back when coughing, 12.
- Pain in the back on stooping, 15. [780.]
- Constant pain in the back while fasting, 37.
- Pinching pain in the back, in the evening (after thirty-eight hours), 15.
- Pressure and burning in the back, relieved by walking, aggravated by sitting and by lying in bed, 15.
- Bruised pain in the whole of the back, preceded by sticking in the hips (twentieth day), 13.
- Bruised pain in the back in all positions, in the evening (during menstruation), 13.
- Dorsal.
- Tensive drawing between the scapulæ, at 6 P.M. (second day), 27.
- Violent sticking, as with knives, between the shoulders, waking her from sleep and causing shortness of breath, appearing while lying on the back, and relieved by lying on the right side (after twenty-six days), 13.
- Stitches beneath the right scapula, at night, 12.
- Transient stitches beneath the left scapula, in the evening (third day), 27.
- Painful stitches in the region of the lower angle of the left scapula, on deep inspiration, 15.
- Lumbar. [790.]
- Paralyzed feeling in the small of the back, in the evening (third day), 27.
- Pain in the small of the back, in the morning, on waking, extending into the left hypochondrium, lasting several hours (twelfth day); she was obliged to stand up (twenty-ninth day), .
EXTREMITIES IN GENERAL
- Objective.
- Trembling of the limbs, 36, 44.
- Trembling of the hands and feet, 35.
- Painless jerkings in the arms and legs in the evening in bed (fifth day), 13.
- Great weakness of the limbs (ninth day), 28.
- Lameness of the limbs, with weariness (third day), 28.
- Paralysis of the limbs, 17.
- Subjective.
- Pains in the right hip and left shoulder and ankle-joints, especially on walking, also tensive pains in the sterno-cleido-mastoid muscle, 26d.
- Drawing in the upper and lower extremities, 28. [810.]
- (Drawing in the limbs was worse), (four hours after the dose), 28.
- Cramplike drawing pain, now in the right, now in the left arm, now in the legs, especially about the knees, mostly during rest, 15.
- Sticking pain in the right shoulder, and afterwards in the knee-joint, repeated several times (seventh day), 25.
- Sticking pains lasting a few minutes in the knee, elbow, and shoulder-joints; in the left elbow it lasts longer, and is increased by motion; the pains are worse in the afternoon than in the forenoon (first day), 25.
- Tearing and drawing in the limbs (seventh day), 28.
- Bruised feeling in the limbs (fifth day), 28.
SUPERIOR EXTREMITIES
- Weakness of the arms, 12.
- Temporary paralysis of the arms (from a drachm daily), 20 . (The medicine was taken for an inveterate headache, which improved when the arms lost power. They recovered a few hours after discontinuing the drug, and the headache returned. -Hughes.)
- The left arm falls asleep at night while lying on the back it wakes her about 3 A.M. (after eleven days), 13.
- The feeling of numbness and crawling in the arm, with pain in the shoulder that had existed previously, disappeared; instead of it there was a pain in the right thumb-joint on moving it for several weeks (after thirteen days), 13. [820.]
- Drawing pain in the arms if she lets them hang down for a long time, 12.
- Tearing in the right arm, especially in the shoulder, worse in the afternoon and evening, 15.
- Tearing in the arm intermitting, and returning at night when lying upon the right side (during menstruation), 13.
- Tearing extending from the right shoulder to the fingers, waking from sleep at 11 P.M., lasting to 4 A.M., with a sensation as though the shoulder were standing farther out than natural; she was unable to lie upon either side, 13.
- Extremely painful tearing in the right arm, extending to the wrist on motion, with stiffness of the arm, which was not relieved by rubbing, but by violent motion (twenty-seventh day), 13.
- Drawing-tearing in the arm, extending from the shoulder to the fingers, towards evening (fourth day), 14.
- Shoulder.
- Pain in the right shoulder on almost every motion of the arm, except upward and backward, which afford relief, 26d.
- Pain in the left shoulder on raising the arm, especially on moving it backward, 26d.
- Pain as from weariness in the left shoulder (after four hours), 15.
- A paralytic pain in the right shoulder-joint towards the forepart, as if in the head of the bone, but only felt while the arm remained in one place; as soon as the arm was moved, the pain disappeared; if the arm was turned on its axis, there was a cracking in the forepart of the joint, which seemed to be caused by the tendon of the biceps muscle; there was a similar pain in the first joint of the right ring finger, only noticed on flexing and extending it. On the next day these symptoms had entirely disappeared, except that when lying down (and as it happened after a new dose of the drug) there was noticed a similar pain in the left patella, which disappeared after sleeping, and gave place to dull sticking pains in the anterior and farther portion of the left side of the chest, . [830.]
INFERIOR EXTREMITIES
- Objective.
- Staggering while walking, without vertigo, 12.
- Weariness of the limbs, especially of the calves, as after a long walk, in the evening (second day), 27.
- Limbs very weary (fourteenth day), 28.
- Weakness of the limbs, with drawing pain from time to time, 12.
- Weakness and painfulness of the legs, in the evening (during menstruation), 13.
- Extreme weakness of the lower extremities, with yawning (twenty-third day), 13.
- Subjective.
- Dull pressive pain in the bones of the right leg, from the hip to the toes, from 1 to 4 A.M., better on rising and walking about, when the pain remained only about the malleoli, 14. [890.]
- Acute bruised pain in the left leg, on waking in the morning; on turning over, it extended into the small of the back and ceased with sticking in the heel (seventh day), 14.
- Hip.
- Pain in the hip, immediately on waking in the morning, which after rising increased till noon, 15.
- The right hip-joint feels sprained, in the morning, at times when walking (second day), 27.
- Sticking and burning frequently in the right hip, during rest and motion (fifteenth and nineteenth days), 13.
- Stitches in the right hip while standing, disappearing on motion, 13.
- Tearing in the hip-joint, in the afternoon and evening, 15.
- Thigh.
- Weakness in the middle of the right thigh and tibia as if paralyzed; somewhat relieved while sitting and standing, afterwards worse while sitting (three days before the menses), (after twenty-two days), 13.
- Drawing in the thigh, in the morning (second day), 28.
- Tearing in the inner side of the left thigh, high up (apparently in the pectinæus and triceps) several times; afterwards in the left upper arm, then in the middle of the outer portion of the left thigh, then on the anterior surface of the leg (tibialis anticus), then on and behind the external malleolus, then in the back, between the left scapula and the spine (in the rhomboideus, serratus posticus superior); these tearings occur in rapid succession not long after eating, in the evening (eighth day), .
GENERALITIES
- Objective.
- Fatal inflammation and gangrene of the mucous membrane of the stomach (in a woman, from 1 ounce), 21 . (Original revised by Hughes.)
- The whole body, neck, and legs were swelled so rapidly, that it was with difficulty that she could be undressed, 11.
- Trembling over the whole body, 11.
- Trembling of the nerves of the whole body, with great general restlessness (second day), 28.
- Involuntary trembling of one-half of the body, 46. [950.]
- Twitchings, 17.
- Twitchings of the muscles came on, with many involuntary motions; while sitting in a chair, she would suddenly leap up, and when in the act of doing one thing would instantly turn to do another; the muscles would act quite contrary to the will, and do that which she neither wished nor had power to prevent; her symptoms afforded every character of Chorea St. Viti, as laid down by Cullen; the left arm and leg chiefly affected (after fourteen days), 37.
- Jerking without pain here and there, over the whole body, 13.
- Rheumatic, somewhat painful stiffness of almost the whole body, especially of the arms, neck, and back, worse in the cold, better in the warmth, 26c.
- Paralysis of the organs of sense, 17.
- Very much fatigued, in the morning (fourteenth day), 28.
- General weariness and numbness of the lower extremities (first day), 9.
- Weakness so that she could not stand and could scarcely sit, 13.
- Weakness of the whole body (second day), 9.
- Weakness, faintness, followed by death, 32. [960.]
- Weakness continued long after the attack, 39.
- Weakly for a considerable period, 48.
- Great weakness (thirteenth day), 28.
- Great weakness of the whole body, especially of the limbs (second day), 28.
- Great weakness, a peculiar prostration of the whole body (fourth day), 28.
- Great weakness of the whole body, from afternoon till evening (fifth day), 13.
- Paralytic-like muscular weakness, 39.
SKIN
- Objective.
- Surface of the body pale, but warm and moist (second day), 48.
- Small itching spots on the neck and left forearm, red when touched, 13.
- A dull-greenish spot on the left side of the thigh (this spot might have been there longer, since there was no sensation that called my attention to it; it was not caused by contusion), (after fifteen days), 26.
- A wartlike elevation on the left cheek becomes larger and itches, 13.
- Eruptions, Dry. [990.]
- Numerous pimples on the nape and occiput, which disappear the following day (after thirty days), 12.
- Many pimples on the nape of the neck, 13.
- Itching pimples on the size of peas on the body, even on the face, only not on the hands and feet, 12.
- Itching pimples on the right nates after scratching (after thirty-two days), 13.
- Itching at times, burning or biting pimples on the nape of the neck, on the forepart of the nose, throat, and right elbow, where she had to scratch them bloody, 13.
- A small pimple on the shoulder, with violent sticking pains and irritation to scratch it off, 15.
- Eruptions, Moist.
- Blisters on the upper lip, with inflamed areola and tensive pain (after sixteen hours), 13.
- Small vesicles, which change to pustules, on the face and other parts of the body (second day), 9.
- Burning vesicles full of thin yellow fluid, here and there; after scratching they burst and the burning ceases (after thirty-four days), 14.
- Many itching pimples on the right forearm, which exude water on scratching, 13. [1000.]
- A large painless pimple like "water-pock" on the inner margin of the lower lip, which after several days became smaller and at last disappeared without breaking (second day), 22.
- Eruptions, Pustular.
- Small, painless pustule with red base on the nape of the neck, 13.
- A tensive painful pustule on the left side of the nose, 13.
- A boil on the right shoulder, with tensive pain, .
SLEEP AND DREAMS
- Sleepiness.
- Yawning, 9.
- Yawning and sleepiness during the day, 14.
- Much yawning, with weariness and indolence, 30.
- Sleepiness (first day), 25.
- Sleepiness while walking and during rest (first day), 13. [1030.]
- Sleepiness, yawning, and exhaustion, in the forenoon (seventh day), 13.
- Sleepiness, so that he could have fallen asleep immediately; this gradually disappeared toward 10 o'clock, leaving only a slight pressure in the forehead and over the right eye in the forenoon (first day), 28.
- Great sleepiness after dinner, with weariness of the limbs on waking (second day), 29a.
- Great sleepiness between 11 and 12 A.M.; this sleepiness also continued during dinner at 3 P.M., and became irresistible; he was obliged to lie upon the sofa, contrary to his custom; sleep made restless by frightful dreams, and in spite of frequent waking he gradually aroused himself only after two hours (second day), 29.
- Overpowering sleepiness at noon; in spite of being frequently disturbed he was able to rouse himself completely from sleep only after two hours (eighth day), 28.
- Sleepy and exhausted after rising in the morning (fourth day), 24.
- Sleepy and exhausted in the afternoon (second day), 13.
- (Quiet sleep), (curative action), (first day), 29a.
- Stupid sleep as if drunken; she heard nothing about her (after six days), 13.
- Sleep usually stupid, with fantasies from which she awoke in a fright, 14.
- Sleeplessness. [1040.]
- She was unable to fall asleep before midnight, after which she slept well, 13.
- Uneasy sleep on account of a throng of ideas, which he could not keep away, 13.
- Sleep restless, disturbed by many anxious dreams (fifth night), 24.
- Restless sleep with frequent waking (after ten days), 13.
- Sleep restless, full of dreams, with frequent waking in the morning (sixth day), 29a.
- Restless sleep at night, 9.
FEVER
- Chilliness.
- Chilliness and yawning (soon), (second day), 22.
- Chilliness, towards evening in the open air, and heat of the face, in the house; afterwards general perspiration, 15.
- Chilliness in the evening with cold creeps over the back, disappearing after lying down, 13. [1070.]
- Chilliness at 3 P.M. (twenty-third day), 13.
- Chilliness at 6 P.M.; she was obliged to lie down, after which the chilliness disappeared; after an hour she rose up and the chilliness returned with chattering of the teeth and shivering, again disappearing after lying down, and so on frequently till 10 o'clock (during menstruation), 13.
- Chilliness at 7 P.M., with shaking and tearing in the head, with peevishness, lasting four minutes; followed on lying down by perspiration, lasting a quarter of an hour, with frequent twitchings in the limbs, 13.
- Chilliness from 7 to 8 P.M., without subsequent heat (thirty-ninth day), 13.
- Chilliness at 8 P.M., disappearing after lying down (during menstruation), (twelfth and seventeenth days), 13.
- Chilliness at 9 P.M., which disappears after lying down, 13.
- Frequent chilliness in the afternoon, 15.
- Extreme chilliness, 11.
- Chill at 9 P.M., which disappears in the bed, followed by sweat during sleep, without thirst, 13.
- Shaking chill in the forenoon, in the open air, lasting a quarter of an hour, without subsequent heat, 13. [1080.]
- Shaking chill from afternoon till evening, disappearing after lying down, with pain and a feeling of heaviness of the head, followed by heat in the bed (twenty-fourth day), 13.
- Short shaking chill at 3 P.M., 13.
- Alternations of chill, heat, and sweat, in the afternoon (fourth day), 13.
- Cold (a few minutes after second dose), 50.
- Coldness in the evening, she was unable to get warm, with headache extending down from the vertex, 14.
- Marble-like coldness of the skin, 39.
- Shivering for half an hour in the evening, followed by flushes of heat, and after lying down perspiration, without thirst (ninth day), 13.
CONDITIONS
- Aggravation.
- ( Morning ), Disinclined to think, etc.; dizziness; stupefaction, etc.; of head; headache; on waking, headache, etc.; pressure in forehead; on rising, headache on vertex ; burning, etc., of eyes; after rising, sour taste; on rising, sticking in throat; in bed, nausea; after rising, feeling in stomach; pressure in stomach; after waking, desire for stool, etc.; cough; oppression of chest; on waking, pain in small of back ; from 2 to 5 o'clock, tearing in shoulder; pain in shoulder; in bed, perspiration.
- ( Afternoon ), Most symptoms; anxiety, etc.; pressive headache; thirst, etc.; pulse rapid; pains in knee, etc.; tearing in arm; tearing in tibia; griping in sole; weakness; towards evening, chilliness, etc .; heat, etc., perspiration.
- ( Evening ), Most symptoms; fretful mood; confusion of head, etc.; pressive headache; drawing through forehead; in bed, throbbing on occiput; while walking in open air, toothache; burning pimples on tip of tongue; when walking, pain in groin; after lying down, cough with expectoration; stitches in kidneys; jerkings of limbs; tearing in arm; tearing in wrist; pain in hand; drawing in legs; tearing in sole; while sitting, contraction of toes; itching; coldness, etc.; febrile attack.
- ( Night ), From evening till morning, tearing in temple; sore throat; when lying upon right side, tearing in arm; weakness in forearm; in bed, throbbing in knee; stitches in great toe; heat, etc.; perspiration.
- ( Midnight ), Palpitation; tearing in shoulders.
- ( Alternate nights ), Perspiration.
- ( In bed ), The pains; coldness, etc.
- ( Eating bread or cakes ), Paroxysmal cough.
- ( Smelling camphor ), The symptoms.
- ( Coffee ), Pressure in forehead.
- ( Cold ), Throbbing toothache; stiffness of body.
- ( After dinner ), Headache; immediately, sticking in temple.
- ( After eating ), Sensation of warmth.
- ( Lying in bed ), Pressure, etc., in back.
SUPPLEMENT: KALI NITRICUM. Authorities.
51 , William Alexander, M.D., Experimental Essays, London, 1770, p. 104, experiments on himself; 52 , N. G., A. H. Z., 3, p. 145, a woman took a spoonful; 53 , Mouton, S. J., 158, 242, a man took 4 grams in wine; 54 , Richard Wood, Brit. Med. Journ., 1877 (2), p. 521, a woman took about 2 ounces; 55 , J. A. Thompson, ibid. 1878 (1), p. 402, a man ate some soup to which had been added jelly made from a liquor in which a pig's face had been boiled.
MIND. [1120.]
- Mild delirium, followed by great restlessness, wakefulness, and death, 53.
- She thought she would die, 52.
- Complete unconsciousness, 53.
HEAD
- Reeling so she cannot stand, 52.
EYE
- Eyes staring, immovable, the pupils dilated, 53.
MOUTH
- Crawling on the tongue, 52.
STOMACH
- Nausea, retching, and vomiting of mucus and water, then bloody mucus, 52.
- In three hours nausea and griping set in; these continued to increase to the eleventh hour, when some whiskey and nutmeg which had been taken was vomited. At the twelfth hour, violent watery purging in large quantity set in and continued for an hour, and the pain ceased. On the morning of the third day he felt a good deal of lumbar aching, which he attribued to the confinement. At midday he took 2 ounces of Hollands in cold water; an hour after he passed water, which was coffee-colored from admixture of blood, 53.
- Burning in the stomach, 52.
URINARY ORGANS
- Urine diminished, 52.
PULSE. [1130.]
EXTREMITIES
- Crawling in the hands and feet, as if asleep, 52.
GENERALITIES
- Complained of great burning pain in the stomach, and in about five minutes vomited some glairy fluid. Some slight shivering and tremulous motion of the hands occurred, with an unsteady attempt at walking. Pulse quick and feeble, 54.
Experiment 1.
- I applied a thermometer to the pit of my stomach, and the highest degree to which the mercury would rise was 98; I then took a drachm of Nitre dissolved in an ounce of water; two minutes after this my pulsations were reduced from 72 to 64; four minutes after they were as low as 62, and from that time they began gradually to increase, till at the end of ten minutes they were at 70 and soon after at 72, the exact number at which they were before I took the draught; about twenty minutes after I had taken the Nitre, on looking at the thermometer, the mercury had risen from 98° to 99 1/2°, and in twenty minutes more it was fallen again to 98°, and my pulse still continued to bead 72; this was exactly, in every respect, the state in which I was before I took it. As the rising and falling of the mercury in all the subsequent trials was extremely irregular, I shall leave out of my narrative of the following experiments the observations I made on it, and lay it down as a postulatum, that whatever power Nitre may have of cooling the body, it does not exert it in any perceptible manner on its external parts.
Experiment 2.
- About an hour after I had taken the first draught, I took a second. My pulse beat 70 before I took it, but in one minute after no more than 60, though it soon became quicker, so as at the end of ten minutes to beat 68, and in a few minutes more 70. As soon as I had taken it I felt a chilliness all over my body, but more particularly at my stomach, which continued for about twenty minutes to give me a good deal of uneasiness. It then began to decrease, and in little more than half an hour was entirely gone off.
Experiment 3.
- The next day I repeated the same experiment. Before I took the dose my pulse beat 64; the second minute after the strokes were reduced to 60; the fifth minute after they were 63, and soon came to 64, as before I took it.
Experiment 4.
- The day following I took a drachm dissolved in 2 ounces of water. Before I took it my pulse beat 73; the second minute after it feel to 66; the fourth minute after it rose to 69; and from that time became still more frequent, till at the end of nine minutes it had recovered its usual strength and was at 73.
Experiment 5.
- Twenty minutes after this dose I took a drachm and a half of Nitre, dissolved in 3 ounces of water; after two minutes my pulse was weak, fluttering, and unequal, and beat about 70 in a minute; soon after I felt, a painful sensation at the upper orifice of my stomach, and on arising from my chair, it was with some difficulty that I walked through the room; I then returned to the chair and felt my pulse again; it was now become so quick, fluttering, and irregular, and my head was so giddy, that I could not exactly number the strokes it beat, though, as near as I could judge, they were between 96 and 100; in about an hour every one of these disagreeable symptoms began to abate, and continued slowly decreasing all that day; the next morning when I got out of bed they were entirely gone off.
Experiment 6.
- Dissolved 1 1/2 drachms in 3 ounces of water, which I felt twelve hours exposed to the air, and then swallowed; immediately before I took it my pulse beat 64; the second minute after it beat the same; the fourth minute after it beat 59; and from that time began in increase as in the former experiments, till it came to the standard at which it had been before I took the Nitre.
Experiment 7.
- I dissolved 6 drachms in a quart of water, which I began to drink early in the morning, and by taking small draughts of it as often as I had convenience. I finished the whole at 8 o'clock that night without feeling any uneasiness from it, or being sensible of its having operated any other way than by urine.
Experiment 8.
- Two days after I dissolved 1 ounce of Nitre in the same quantity of water, and drank it in the same time; it gave me no uneasiness, nor had any sensible effects.
Experiment 9.
- Some days after this I dissolved 1 1/2 ounces of Nitre in 3 pounds of water, and took a draught of it every hour, except in bed; the whole was drank in twenty-four hours; after four or five draughts I felt a slight chilliness at my stomach every time I took it; but this generally went off before the time of taking the next draught, and on that account gave me but little pain.
Experiment 10.
- I now resolved to try what would be the effect of the same quantity of Nitre, when every different dose was taken immediately on its being dissolved; for this purpose I divided 1 ounce of it into eight equal parts, and took one of these parts, dissolved in 4 ounces of water, every ninety minutes. The weather was at this time very warm, and, therefore, the first three or four doses cooled and refreshed me; the fifth and sixth, however, gave me a chilliness and pain in my stomach; the seventh and eight increased these sharp stinging pains, not only in my stomach, but through my whole body, which were so violent that for fifteen minutes after each dose I could not breathe without feeling a very acute pain on every inspiration.
Experiment 11.
- As I had been able to take 1 1/2 ounces of Nitre with very little inconvenience when it had been long dissolved, I resolved to make one more effort to try if I could manage the same quantity, when every dose was taken immediately after being dissolved. I therefore prepared eight powders of 1 1/2 drachms each, with a design to take one of them every ninety minutes, as in the last experiment; the second dose gave me a chilliness at my stomach; the third gave me some of the above-mentioned pains; and the fourth increased them so such a violent degree that I was obliged to desist from taking any more, 51.