Digitalis Purpurea
By Constantine Hering — The Guiding Symptoms of our Materia Medica
Foxglove. Scrophulariaceæ.
Digitalis is cultivated in gardens, and in found wild throughout Europe, where it prefers siliceous soil, generally avoiding limestone districts. This fact was mentioned by Wm. Lewis, as early as 1768, in his Materia Medica, where he remarks : "It is observable of this plant that it grows only on gravelly soils ; rarely or never on those where there are strata of calcareous earths or stones underneath".
This drug was extensively proved by Hahnemann and his provers (See Chronische Krankheiten, v. 3), as well as by later provers. Toxicological reports and effects on the sick are numerous, but, as usual in our arrangement, symptoms verified by cures are given the preference.
The symptoms of Digitaline and Digitoxinum, active principles of Digitalis, are so similar, that a separate classification is not attempted ; of the latter we have a fragmentary proving by Kopfe, see Allen's Encyclopædia , v. 4, p. 121 , and the former was proved by Baehr (See Baehr's Monograph .) whose symptoms are included, with others from general experiment and poisonings, in Allen's arrangement, Encyclopædia , v. 4, p. 75 .
The tincture is prepared from the fresh leaves of the uncultivated plant.
Note.- "Digitalis is not, at least in our day, and in this country, a polychrest ; not a remedy applicable every day and in a majority of cases ; but it is an indispensable remedy in very serious cases, in which all the polychrests we have would leave us in the lurch". C. Hering.
CLINICAL AUTHORITIES.
- Delirium tremens , Kurtz, Rück. Kl. Erf., v. 5, p. 63 ; 66 cases reported cured, B. J. H., v. 2, p. 139 ; Crashing sensation in head , Dudgeon, Raue's Rec., 1870, p. 97 ; Cerebro-spinal meningitis , Adams Raue's Rec., 1870, p. 96 ; Hydrocephalus acutus , Battmann, Rück. Kl. Erf., v. 5, p. 42 ; Gastric disturbances , Schmid, B. J. H., v. 5, p. 267 ; Gage, Organon, v. 1, p. 324 ; Ascites , Wolf, Rück. Kl. Erf., v. 4, p. 344 ; Strangulated hernia , 3 cases, Frank, Allg. Hom. Ztg., v. 16, p. 353 ; Diarrhœa , Rockwith, Hom. Clin., v. 4, p. 65, also Raue's Rec., 1872, p. 138 ; Pollutions , 6 cases, Polle, Hom. Clin., v. 3, p. 36 ; Results of frequent pollutions , 2 cases (Digitaline), Bähr, Rück. Kl. Erf., v. 5, p. 531 ; Spermatorrhœa and results of Onanism , Bähr. Rück. Kl. Erf., v. 5, p. 531 ; Hydrocele , Trinks, Altmüller, Cretin, B. J. H., v. 14, p. 170 ; Preston, Med. Inv., v. 6, p. 33 ; Emansio mensium , Bicking, Rück. Kl. Erf., v. 2, p. 230 ; Metrorrhagia (Digitaline), Bähr, Rück Kl. Erf., v. 5, p. 624 ; Asthma , Bähr, Rück. Kl. Erf., v. 5, p. 798 ; Whooping cough , Deventer, Ægidi, Rück Kl. Erf., v. 5, p. 717 ; Heart symptoms , Hale, Am. Hom. Obs., v. 7, p. 531 ; Angina pectoris , Ball, N. A. J. H., v. 5, p. 373 ; Bähr, Rück. Kl. Erf., v. 5, p. 852 ; Pericarditis , Bähr, Rück. Kl. Erf., v. 5, p. 853 ; Palpitation of heart , Nankivell, Analytical Therap., v. 1, p. 216 ; 2 cases, Bähr, Rück. Kl. Erf., v. 5, p. 854 ; Endocarditis , Bähr, Rück. Kl. Erf., v. 5, p. 853 ; Functional disorders of the heart, with palpitation , 2 cases, Black, B. J. H., v. 4, p. 277 ; Hypertrophy of heart , Teller, Rück. Kl. Erf., v. 2, p. 855 ; Affection of tricuspid valves, with œdema , Schrön, Rück. Kl. Erf., v. 3, p. 444 ; Heart disease and congestion of blood to lung , Sterling, B. J. H., v. 22, p. 316 ; , 2 cases, Bönninger, Rück. Kl. Erf., v. 5, p. 856 ; , Chalmers, Raue's Rec., 1870, p. 197 ; , Schüler, B. J. H., v. 4, p. 277 ; , Schüler, Rück. Kl. Erf., v. 3, p. 444 ; , Kreussler, Allg. Hom. Ztg., v. 9, p. 187 ; , Berridge, Organon, v. 1, p. 438 ; Lobethal, Rück. Kl. Erf., v. 4, p. 49 ; Newton, Raue's Rec., 1871, p. 208 ; Trinks, Rück. Kl. Erf., v. 4, p. 344 ; , Knorre, Allg. Hom. Ztg., v. 5, p. 161 ; , Lobethal, Rück. Kl. Erf., v. 1, p. 694 ; , Knorre, Rück. Kl. Erf., v. 1, p. 694.
MIND [1]
Weakness of memory.
Thinking difficult, forgets everything immediately.
Dulness of head like from inebriation, with increased mental activity.
Delirium tremens ; in cases which come on slowly with gradually increasing pain in pit of stomach, continuous nausea, thirst, palpitation of heart, headache, vertigo, and paleness of face.
Paroxysmal mania with rage, attended by high degree of delirium, indigestion and melancholy, followed by headache.
(OBS :) Epileptic mania ; given at beginning of excitation, frequently cuts short attack.
Lascivious fancies day and night.
Wants to be alone ; indisposed to speak ; inclination to lassitude.
Tearfulness, low spirits.
Profound melancholy, < by music, with frequent sighing and weeping, which bring relief ; gloomy, morose, ill-humor, great fear of future ; insane obstinacy and disobedience, with desire to escape.
Melancholic, despondent, and constantly tortured by fear of death or loss of reason. T Tertian intermittent.
Desponding and irresolute.
Great anxiety, like from troubled conscience.
Gloomy, peevish, and distrustful.
SENSORIUM [2]
Sopor ; unconsciousness ; pupils dilated, insensible to light ; blindness ; one-half of face convulsed ; pulse very slow, often hard, with a corresponding powerful stroke of heart, sometimes intermittent and small ; breathing heavy, slow and deep ; sleep with frequent startings, and dreams of falling ; general convulsions.
Fainting, with slow, irregular pulse ; cold sweat ; death-like appearance of countenance.
General weakness, with fainting fits.
Weak action of heart, so that it is unable to stimulate sufficiently the brain, which feels fatigued and weak ; severe vertigo.
Vertigo, with anxious sensation as though faintness would occur while standing or leaning against a chair.
Vertigo : on rising from sitting, and noticeable weakness of limbs when walking or riding ; with trembling ; with very slow pulse.
Constant dizziness of head and ringing in ears. θ Angina.
Confusion of head.
Dulness of head, with limited power of thinking.
Every night on going to sleep he is suddenly awakened with a start by a loud metallic crash in head ; occurs several times before he can fall into quiet sleep.
INNER HEAD [3]
Throbbing headache in forehead, or at bottom of orbits.
Pressure : in forehead when exerting mind ; in paroxysms, at times in temples, at times in whole head.
Stitches : in forehead, extending into nose, especially after drinking something cold ; in temples (evening and night).
Head heavy, confused, as if full.
Headache, pressure and weight, as if caused by congestion of blood to head.
Headache like waves beating from side, < by lying down, blood rushes in, bubbles and swashes, but is not hot.
Drawing in sides of head which makes one feel giddy.
Brain feels loose.
Sensation as if something fell forward in head, when stooping.
Sudden cracking noise in head during mid-day nap, with frightened starting up.
Wakened from sleep in fright by a crash in head as if brain were made of fine glass, and shattered at a blow.
Report in head, like the firing of a pistol.
Sensation of itching in head (inside, one-sided).
Violent, lancinating headache, especially in occiput and vertex.
Sudden and sharp crying with clutching of hair or nurse's face, squinting of eyes and desire to get head back as far as possible ; can take no nourishment without vomiting ; frequent distressing and exceedingly offensive stool ; abdomen flat and shaped like a boat ; extremities cold, and if not constantly wrapped up, coldness extends to trunk. θ Cerebro-spinal meningitis.
Face pale ; eyes sunken, dim ; pupils very much dilated ; vision entirely gone ; lids closed, at rare intervals half-opened ; hearing impaired ; lachrymation and discharge of thick mucus from left eye ; sudden sharp cries with much tossing about, < at night ; skin hot and dry ; involuntary urination ; entire absence of stool ; pulse quick, jerking, intermittent ; tongue brown, dry towards base ; lips and teeth covered with brown sordes. θ Hydrocephalus acutus.
Sensation as if waves of water were beating on skull ; < while standing, talking, shaking head, and bending head backward ; > when lying down or bending head forward.
Hydrocephalus with scanty urine ; head falls back from weak neck ; squints ; pulls hair ; slow, weak pulse ; cold surface and cold sweat ; bores head into pillow ; peculiar sharp cry ; vomits easily, especially on taking anything into stomach.
Apoplexia nervosa, or serosa ; apoplexy oftener than paralysis.
OUTER HEAD [4]
Head constantly falls backward while sitting or walking, as if anterior cervical muscles were paralyzed and powerless. θ Hydrocephalus.
SIGHT AND EYES [5]
Dim-sightedness.
Painless obscuration of lens ; cataract.
Amaurotic blindness for three days.
Objects appear paler and have a greenish look ; green, red, or yellow ; hemiopia, as if upper part of field of vision were covered by a dark cloud, evenings while walking.
In morning on waking all objects appear to him covered with snow ; faces appear deadly pale ; a sort of twinkling light composed of red, green and yellow.
Optical illusions in bright or prismatic colors ; sees hairs before his eyes, or dark bodies, like flies.
Both eyes incline to turn to left, when turning them to right they feel painful, and he sees all things double or threefold.
Diplopia.
Pupils dilated and insensible.
Pupils not very active ; generally contracted.
Detachment of retina ; wavering, everything appears green or yellow.
Superficial inflammation of eye and its appendages ; blepharo-adenitis.
Catarrhal inflammation of eye after disappearance of coryza ; conjunctiva red, lids swollen, great photophobia, constant lachrymation, < in light, or cold air, copious secretion of purulent mucus accumulating in canthi during night, burning in eyes, feeling of sand in them and stitches darting through, with stoppage and dryness of nose.
Meibomian glands inflamed.
Lachrymation < in a room ; eyes are dim, hot, congested, with pressive pain ; mucus in canthi.
Lid margins slightly swollen and pale red ; inside of lids yellowish-red ; burning of lid margin ; photophobia ; lachrymation and mucous discharge.
Blueness of eyelids.
Yellowish redness of conjunctiva palpebrarum.
Agglutination of lids in morning.
Chronic inflammation of conjunctiva.
Worse when looking into distance.
Burning pain in right eyebrow.
HEARING AND EARS [6]
Noise before ears like boiling water.
Hissing before ears, with hardness of hearing.
Sudden crashing noise in head, on falling asleep, awaking with a frightened start.
Single stitches behind ears.
Painful swelling of parotid gland and behind ear.
SMELL AND NOSE [7]
Smell of food excites violent nausea, with clean tongue, thirst for water, without any fever.
Pain above root of nose.
Coryza : with hoarseness ; dry oftener than fluent.
Nosebleed.
UPPER FACE [8]
Expression of face remarkably sickly.
Face pale ; of death-like appearance ; bluish-red.
Pale face ; bluish hue under pale skin ; blue lips and eyelids.
Cold blue skin. θ Gastritis.
Bloating and paleness of face.
Yellow color of face and conjunctiva.
Convulsions on left side on face.
Black pores in skin, suppurate and ulcerate.
LOWER FACE [9]
Lips dry, parched.
TEETH AND GUMS [10]
Horrid toothache in a hollow tooth, lasting three days.
TASTE, SPEECH, TONGUE [11]
Taste : flat, slimy ; sweetish, with constant ptyalism ; bread tastes bitter.
Bitter taste. θ Icterus.
Clean tongue with nausea from smelling food.
Tongue covered with white slime ; nausea, even after vomiting. θ Icterus.
Tongue coated white.
Blueness of tongue ; swelling ; ulcer.
INNER MOUTH [12]
Mouth and throat sore ; scraped feeling.
Profuse flow of frothy saliva ; nocturnal flow of saliva.
Violent fetid ptyalism ; ptyalism during nervous fever.
Fetid or sweetish ptyalism with soreness of mouth, gums and tongue ; aphthæ ; stomatitis.
PALATE AND THROAT [13]
Choking when he tries to swallow, spasm of glottis, diarrhœa and thirst.
Stinging in throat between acts of swallowing.
APPETITE, THIRST. DESIRES, AVERSIONS [14]
Loss of appetite.
No appetite, tongue clean, stomach empty.
Thirst ; continuous, with dry lips.
Desire for sour drinks and bitter food ; for beer.
EATING AND DRINKING [15]
Better on an empty stomach ; < after breakfast.
Worse : after meals ; from cold diet ; after drinking ; from spirituous liquors.
HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]
Nausea : deathly, as if she would die ; continuous, and not > by vomiting ; with anguish and great despondency.
Smell of food excites violent nausea and gagging, with clean tongue, thirst for water, and absence of fever.
Nausea, disposition to vomit, with frequent empty retching. θ Icterus.
Nausea early on rising ; bitter taste in mouth ; thirst ; slimy vomiting ; diarrheic stool, and great debility.
Persistent nausea even after vomiting.
Vomiting : in morning ; of food ; of bile ; of mucus.
Nausea and vomiting of food as soon as he eats.
Nausea ; convulsive efforts to vomit.
If she expectorates, she has to vomit what she has eaten.
Gulping of an acrid or tasteless fluid.
Appetite for food, but as soon as he eats he commences to spit it up by mouthfuls, "sourer than any vinegar ;" after stomach was emptied, terrible pain and uneasiness for one or two hours ; bowels not costive ; slow pulse.
Vomiting sometimes accompanied by external heat, mingled with chills, and followed by perspiration with chilliness.
SCROBICULUM AND STOMACH [17]
Sense of extreme anxiety, referred to epigastrium.
Extreme sensitiveness in epigastric region, producing frequent deep sighs.
Faintness or sinking at stomach, as if he would die, with deathly nausea and vomiting.
Soreness and bloatedness of pit of stomach.
Stitches in pit of stomach, extending to sides and back.
Burning in stomach, extending up œsophagus.
Pains in stomach.
Want of appetite ; discomfort after eating even a small quantity of light food ; distension and tenderness of region of stomach ; gradual decline of strength and natural heat of body ; restless, unrefreshing sleep ; mental depression ; intense jaundice ; disgust for food, frequent nausea, retching and even vomiting of small quantities of tasteless watery fluid ; bowels confined ; urine scanty and dark ; great prostration of strength and coldness of body ; melancholy, disposed to cry.
Gastric catarrh, with sensation of extreme lassitude.
Dyspepsia, with slow pulse, or quick, trembling and weak pulse.
Weakness (sinking) at stomach, feels as if dying.
HYPOCHONDRIA [18]
Tenderness and pressure in precordium and region of liver. θ Icterus.
Soreness and hardness in region of liver.
Sensitiveness to pressure in region of liver.
Enlarged liver from organic heart disease.
ABDOMEN AND LOINS [19]
Fulness of abdomen.
Distension of abdomen. θ Ascites. θ Icterus.
Cutting and contractive pain in abdomen.
Colic, with nausea and vomiting.
Dropsy, with dull percussion as high as third intercostal space ; commenced in feet.
Incarcerated hernia ; caused a relaxation of abdominal ring.
STOOLS AND RECTUM [20]
Constipation ; stools gray, clay-like.
Frequent, distressing and exceedingly offensive stools ; bowels perfectly flat and shaped like a boat. θ Cerebro-spinal meningitis.
Frequent desire to evacuate bowels, accompanying urging to urinate ; very small, soft stools, without relief.
Every other day at same hour, early in morning, coldness, slight chills, followed instantly by exhaustive, watery, grayish-colored stools, changing towards brown and curdled, resembling coffee settlings ; no synchronism between radial artery and heart, or between the larger arteries themselves ; pulse slow and intermitting ; cold, profuse, thin perspiration all over body ; chest and bowel symptoms seem to alternate, cough of one fit of sickness followed by diarrhœa in next, and vice versa. θ Dropsy.
Violent diarrhœa of watery, ash-gray stools, with cutting and tearing pains, and sensation of sinking in stomach as if one would die.
Diarrhœa accompanied by violent beating of heart, not rapid, but too violent.
Diarrhœa : watery ; consisting of feces and mucus.
Stools : ash-colored, or very light ; delayed, chalky ; very light, almost white ; yellowish-white fecal ; involuntary.
White evacuations, with bilious vomiting, jaundice and sinking in stomach.
Stool in evening, passing great quantities of thread worms.
Before stool : cutting or tearing colic ; chilliness ; fainting ; vomiting.
During stool : cutting pain in abdomen.
After stool : renewed desire ; urging in rectum ; faintness.
URINARY ORGANS [21]
Nephritis after desquamation, with anasarca and œdema of lungs. θ Scarlatina.
Throbbing pain in region of neck of bladder, during straining efforts to pass water.
Pressure on bladder, with sensation as if it were too full, continuing after micturition.
Contractive pain in bladder during micturition ; urine more easily retained in recumbent posture.
Micturition difficult, as though there were almost no urine in bladder, and yet, great urging to urinate ; after micturition, pressure in bladder and burning in urethra for half on hour.
Inflammation of bladder (neck of bladder).
Fruitless effort to urinate.
Constant urging to urinate, with scanty discharge.
Difficult micturition, as if urethra were constricted.
Feeling of fulness, continuing after urination.
Increased desire to urinate after a few drops have passed, causing patient to walk about in distress, although motion increases desire ; frequent desire to defecate at same time ; very small soft stools passed without relief.
Constant urging to urinate at night.
Profuse and frequent emission of clear pale urine.
After profuse discharge of urine there follows retention with nausea, vomiting and diarrhœa.
Alternation of diminished secretion of urine, with copious secretion of watery urine ; enuresis, vomiting and diarrhœa.
Urine : thick, turbid, yellowish-brown, blackish, acrid.
Brick-dust sediment in urine.
Continual desire to urinate ; each time only a few drops are emitted ; urine dark brown, hot and burning.
Dribbling discharge of urine. θ Enlarged prostate.
Heavy specific gravity of urine.
Dropsy with suppression of urine.
Uremic poisoning with drowsiness, insensibility and frightful convulsions. θ Contracted kidney.
Bright's disease ; general nervous prostration ; effusions from weakness of vessels, and diminished force of circulation ; jaundice and easy vomiting ; slow and intermittent pulse.
MALE SEXUAL ORGANS [22]
Amorous desires without ability to perform coitus.
Great irritability and weakness of genitals ; after an emission a sensation in urethra as if something were running out of it ; frequent palpitation and trembling of limbs ; in conversation with strangers he commences to stammer and becomes embarrassed. θ Prostatic troubles.
Great irritability of genital organs ; frequent, debilitating pollutions ; muscular power diminished ; memory impaired ; appetite lost ; constipation ; palpitation of heart ; even delirium and convulsions ; oppressed respiration ; restless sleep ; pain in precordial region ; flushes of heat ; weak pulse.
Spermatorrhœa ; irritation of sexual organs, with painful erections, night and day ; pollutions always accompanied by lewd dreams and subsequent pains in penis ; violent beating of heart at least movement ; despondency and fear of future.
Senile hypertrophy of prostate ; cardiac symptoms marked.
Nightly emissions, with great weakness of genitals.
Excessive pollutions in consequence of onanism ; pollutions at night, three or four times every week ; prostration and ill-humor on following day ; patient wasted.
After coitus, nightly pollutions for 8-12 nights.
From excessive indulgence in coitus and life of debauchery, great debility, impaired digestion, foul taste in mouth ; complete loss of appetite ; palpitation of heart, transient flushes of heat, fainting, ringing and roaring in ears, dyspnœa at night, severe pain in precordial region with febrile disturbance ; pollutions day and night.
In consequence of onanism, pain in chest, palpitation of heart, headache, disinclination to work, impairment of memory, weakness of legs.
Several pollutions during night ; great prostration of strength ; appetite completely lost ; pain in back ; sleep disturbed by nightmare. θ Spermatorrhœa.
Gonorrhœa.
Balanitis, phymosis, with great burning on urinating ; dropsy of prepuce.
Dropsical swelling of genitals.
Contusive pain in right testicle ; testicles swollen.
Hydrocele ; the scrotum looks like a bladder filled with water.
Hydrocele ; left side most affected ; pulse very slow.
FEMALE SEXUAL ORGANS [23]
Lascivious state of fancy day and night ; remarkably slow pulse ; stools of a very light color. θ Nymphomania.
Dropsy of uterus ; heart sympathizes very much ; pulse accelerated or intermittent ; light-colored stools.
Menorrhagia.
Labor-like pains in abdomen and back, before menses.
Catamenia scanty and too late.
Suppressed menses with cough and vicarious menstruation from lungs.
For several years menses irregular, being half normal then again very profuse, persisting sometimes for weeks as a hemorrhage ; anorexia, bad taste in mouth, extreme thirst, debility, emaciation ; face waxy, pale, yellowish and expressive of greatest anxiety and suffering ; respiration quick, oppressed, voice scarcely audible, speech very fatiguing ; pulse very quick and scarcely perceptible ; greatest lassitude ; constant icy coldness despite warm coverings and high temperature of room ; urine diminished ; stools watery, diarrheic ; severe indefinable pains through whole body ; constant restlessness ; fear of death ; œdema, marked ascites, enormous swelling of labia so that bladder can scarcely be evacuated ; strong pulsations of jugular veins, loud venous murmurs, marked organic changes present in heart.
Face dark red, merging into a bluish color ; veins about eyes, ears, lips and tongue distended ; hands blue and swollen as if frozen ; warmth of skin diminished, chilliness ; pulse small, feeble, 60-70 ; a cut or wound is followed by an extremely sluggish escape of dark, thick blood ; head heavy, dull, confused, with frequent throbbing, pressing pain in forehead, which can only be > by lying quietly on back ; dry, tickling cough in chest ; spasmodic constriction in chest with dyspnœa, slow and labored breathing, constant yawning and violent pulsations of heart, particularly at night, when the great anxiety and fear of suffocation drive her out of bed ; appetite diminished ; nausea, occasionally vomiting in morning ; pressing cramps and sensation as of a weight attached to stomach ; stools irregular, sometimes hard, at other times diarrheic ; frequent urging to urinate ; profuse, acrid leucorrhœa ; no menstrual molimina ; tearing in limbs ; great weakness ; paralytic sensation in thighs ; feet and ankles swollen. θ Emansio mensium.
Leucorrhœa.
VOICE AND LARYNX. TRACHEA AND BRONCHIA [25]
Hoarseness early in morning.
Frequent painless hoarseness.
Hurried, abrupt speech.
Voice hoarse or screeching, rarely failing.
Choking when trying to swallow (spasm of glottis).
RESPIRATION [26]
Respiration irregular, and performed by frequent deep sighs.
Constant desire to take a very deep breath, but on attempting to do so, it seemed as though chest could be only half-filled, or as though some impediment existed deep in chest ; dry cough on deep inspiration.
Respiration difficult, slow and deep.
Respiration slow, asthmatic ; paroxysm early in morning, especially in cold weather.
Oppressed breathing when walking and in a recumbent position.
Distressing dyspnœa.
Respiratory murmur feeble.
When she goes to sleep the breath fades away and seems to be gone, then she wakes up with a gasp to catch it ; legs œdematous, especially the left.
Fear of suffocation at night with desire for open air.
Between 10 and 12 A. M., and 4 and 6 P. M., sudden oppression of respiration and sensation as if walls of chest were being constricted ; great anxiety and restlessness ; no heat ; at times when paroxysm is at its height, sensation as if sternum were torn to pieces ; quiet horizontal position finally brings relief. θ Asthma.
Could only breathe in gasps, each one seeming as though it would be the last ; must sit up. θ Dropsy.
Asthma, with much rattling mucus in lungs.
Painful asthma, worse when walking.
Asthma, particularly if dependent upon heart disease.
Inflammation of serous membranes, especially pleurisy, resulting in anemia ; vomiturition or vomiting ; oppression in centre of chest ; difficult breathing ; pulse in beginning suppressed, quick ; nails blue ; face pinched and cold ; in spite of anemia patient cannot bear a high temperature, even during reaction ; prefers to sit rather than lie down. θ Diaphragmitis.
COUGH [27]
Hollow, deep, spasmodic cough, excited by roughness and scratching in roof of mouth and in trachea ; morning without, evening with scanty, yellow, jelly-like mucus, expectorated with difficulty.
Cough < about midnight and toward morning ; from getting heated ; from eating ; from drinking cold fluids ; talking or walking in open air.
Expectoration like boiled starch ; great prostration after cough.
Cough caused by talking, walking, drinking anything cold, bending the body forward, or after eating.
Cough, with profuse loose purulent sputa.
During cough : contracting pain in chest ; asthma ; tensive pressure in arm and shoulder ; vomiting ; heat ; perspiration.
Expectoration of sweetish taste ; sometimes with a little dark blood.
Tenacious mucus in throat, detached by coughing.
Peculiar cough and strangulation, which seemed almost to choke her ; paroxysm lasted an hour or more, and resulted in expectoration of a liver-colored mass of sputa ; attacks repeat themselves frequently, and usually come before catamenia, with pains in chest, difficulty of using arms, pain in hepatic region and through back, extending to knees ; pain in scapular region and right hand, with paralytic sensations ; cough at night, choking and spasmodic, compelling her to jump out of bed, with attacks of choking, and a valvular constriction in throat before discharging sputa ; expectoration of a solid, bloody mass of mucus, which, when discharged, affords immediate relief ; occasionally leucorrhœa before catamenia, also nasal hemorrhage ; changes of weather bring on attack, followed by expectoration of tough, ropy mucus at night ; cough at times like whooping cough ; sore throat and soreness of œsophagus ; great difficulty in detaching mucus ; oftentimes presenting a rusty, black and clot-like appearance. θ Vicarious menstruation.
Whooping cough with persistent fever, which causes patient to be in a state of constant nervous excitement, skin being hot and dry ; expectoration bloody ; scraping sensation extending to larynx, and feeling of constriction in chest and throat.
INNER CHEST AND LUNGS [28]
Trembling in chest.
Great weakness in chest, can't bear to talk.
Heaviness and dyspnœa in chest.
Suffocation painful constriction of chest, as if internal parts were grown together.
Sensation of soreness in chest.
Hæmoptysis : before menstruation with pain in chest, back and thighs ; from obstruction of pulmonary circulation in consequence of heart disease and tuberculosis ; engorged veins about head, pale, livid complexion, coldness of skin with cold sweats, irregular pulse and palpitation of heart.
Passive congestion of lungs, depending on a weakened, dilated heart.
Peculiar, seemingly rheumatic pains and catarrhal affections of lungs, with serous exudation.
Sudden severe attack of asthma during night ; patient propped up in bed, afraid to move or speak ; severe pain across front of chest ; frequent retching, at times so severe as, with the painfully laborious breathing, to threaten almost instant death ; pulse almost imperceptible ; cardiac action so tumultuous as to render it difficult to distinguish between first and second sounds ; both sounds sharper than natural ; no cardiac murmurs ; face bedewed with cold sweat ; feet and legs cold ; comparative dulness over lower half of right side of lung ; bronchial breathing in upper half of lung ; respiratory sounds in lower half heard only on attempting to take a deep inspiration ; extensive congestion present, and clearly traceable to impeded circulation ; cough with hæmoptysis ; all food refused or rejected ; urine scanty, not albuminous ; legs œdematous ; ascites.
Chronic catarrhs in tubercular patients, in phthisical subjects, and particularly in phthisis florida ; shortness of breath, anxiety and oppression of chest, with pressing pains in chest ; cannot sit in a stooping posture ; dry cough, or scanty expectoration containing small particles of hard, yellow phlegm ; also bloody expectoration with stitching pains in chest ; abnormalities in heart's action ; > in open air.
Senile pneumonia ; broncho-pneumonia, with paralysis of pneumogastric ; moist rales all over chest, yet cough dry, fatiguing and unsatisfactory ; small thready pulse ; sometimes purple expectoration ; surface (especially face and extremities) blue and cold ; intense weakness and prostration ; lungs feel constricted and tied up in bundles.
Emphysema, in complication with heart disease, feels > while lying perfectly quiet in horizontal position ; paroxysms early in morning, especially in cold weather ; < when walking.
Pleuritis, serous form ; especially in a rheumatic case, accompanied by Bright's disease from hyperemia of kidneys.
Hydrothorax.
HEART, PULSE AND CIRCULATION [29]
Dull uneasiness in various parts of region of heart, with sensation of weakness in forearm.
Abnormal action of heart ; a sense of oppression, with tendency to fainting ; feeble or spasmodic pulse, with anguish ; oppression of chest ; pain extending to head and left arm.
Constant pain or anguish in region of heart, with more or less palpitation, at times pain and palpitation greatly aggravated, < from exercise of body and mental emotion ; but at times sufferings were greatly < without any apparent cause, while sitting perfectly at rest ; paroxysms accompanied by sinking sensation, face purple ; syncope, believes she is dying ; constant dizziness of head and ringing in ears ; sharp pain in left shoulder and left arm, tingling in arm and fingers ; creeping all over skin ; sometimes paroxysms come on at night, when it seems as if she were suffocating, wakes up in great anguish ; terrifying dreams.
Pressing constrictive heartbeats, with anxiety and spasmodic pain in sternum and between ribs.
Strong pulsations of heart, with an indistinct and muffled sound of heart ; hurried respiration. θ Rheumatism.
Metallic sounding heart-beat.
Violent, audible palpitation of heart, with anxiety and contractive pains under sternum.
Violent but not very rapid beating of heart.
Rapid, bounding, intermittent beating of heart ; vertigo when walking or rising ; pulse 90, intermittent ; sleeplessness, and feeling of great anxiety at night.
Suddenly violent beating of heart, with disturbed rhythm ; a feeling of impending death, with terror and anxiety, slightest motion increases anxiety and palpitation.
Palpitation of heart, with great depression of mind and constant fear of losing her reason ; anxious, self-reproachful ; attacks short and not very severe, but anxiety.
Palpitation of heart originating in grief ; pain in left chest and arm ; enlargement of heart.
Increased activity of heart, with slow pulse.
Heart-beats strong from twelve to twenty times, and then very weak for four or five times.
Sudden sensation as though heart stood still, with great anxiety, and necessity for holding breath.
Three or four rapid small beats followed by several slow, strong and full beats.
Fluttering at heart after sudden and energetic motions, especially of arms in an upward direction, or lying on left side.
Heart has lost its force ; its beats are more frequent and intermittent, sometimes irregular.
Beating of heart smaller and less energetic, or scarcely perceptible.
Breathlessness with cough ; heart's action irregular and weak, no cardiac murmurs or other signs of structural change.
The least muscular exertion renders the heart's action labored and intermittent.
The heart is so weakened that fatal syncope has been produced by patient changing his position, or being raised to an upright posture.
Enfeebled heart without valvular complications.
Muscular angina, with flabby dilatation of heart.
Drawing tearing pains in left side of chest and left border of sternum, extending to nape of neck and shoulder ; great anxiety and fear of death ; slow pulse. θ Angina.
Sudden attack of angina pectoris brought on by careless, quick movements, particularly of arms in an upward direction, or traceable to no particular cause ; inexpressible anxiety, with fainting ; for a moment heart seems to stand still, and then several rapid and violent pulsations occur, with sensation as if heart had torn itself loose and were swaying to and fro by a thin thread ; these sensations are repeated at irregular intervals, and attack finally ends in prostration which almost amounts to unconsciousness ; no organic lesion.
Heart's action more vigorous than pulse ; deathly anguish felt in pit of stomach ; vertigo and fainting ; pulse feeble, irregular, slow. θ Angina pectoris.
Frequent attacks of unconsciousness ; pulse full, strong, but beating only 28 to the minute ; no apoplectic symptoms present. θ Hypertrophy of heart.
Dilatation of ventricle due to valvular lesions, with palpitation.
Cardiac dropsy and great anasarca ; extremities cold and blue ; sinking feeling at heart.
Great difficulty in breathing, at times approaching orthopnea, with short, dry, tickling cough ; frequent fainting fits ; great anasarca, legs, penis and scrotum particularly swollen ; feet cold and dark ; legs and thighs pit deeply on pressure ; tongue white and moist ; urine scanty ; pulse cannot be felt ; heart's action very weak and irregular, the usual sounds inaudible ; distressing sinking feeling in cardiac region ; face pale and anxious ; lips livid ; can scarcely speak ; no appetite ; great thirst ; respiratory sounds feeble. θ Cardiac dropsy.
Rheumatic endocarditis, rhythm of heart irregular, symptoms of hydrothorax present, urine deposits a brick-dust sediment.
Rushing, blowing regurgitant murmurs synchronous with impulse beat of heart ; every four weeks after menstruation œdematous swelling of face and lower extremities, with almost complete apnea, least motion threatening suffocation and causing face to become blue and yellow ; great anxiety and suffering ; urine scanty, dark and turbid ; pulse weak, intermittent and very quick, so that it cannot be counted ; compelled to lie with head high ; can scarcely speak ; sleeplessness ; stools infrequent ; on percussion, area of heart dulness increased ; pulsation almost inaudible.
Rheumatism of heart with irregular pulse.
Pneumonia senilis, heart's action failing ; passive hyperemia of brain, passive congestions of lungs, depending upon a weakened, dilated heart.
Pulse at first slow, afterwards quicker and proportionately weaker.
Thready, slow and intermittent pulse.
Pulse very slow and weak.
Irregular, small pulse.
Pulse very slow, often hard, with a correspondent powerful stroke of heart, sometimes intermittent and small ; respiration heavy, slow and deep ; sleeps with frequent startings and dreams of falling.
While moving about, pulse is accelerated, and soon sinks down again to its accustomed slowness when at rest.
Slightest motion immediately makes pulse more rapid ; on rising from reclining into sitting posture, pulse became in a moment jerky and very much smaller and weaker.
No synchronism between radial artery and heart, nor synchronous pulsation between larger arteries (crural, carotid and radial) themselves ; pulse low and intermitting. θ Diarrhœa.
Ebullition in chest and audible palpitation.
Venous, passive congestion, with pale or livid color of face ; coldness of skin ; swelling and painfulness of feet ; all in consequence of cardiac anomalies.
Cyanosis from non-closure of foramen ovale ; > symptoms.
Child can hardly be turned or its position changed without causing fainting, or nearly so, and almost always causing vomiting ; eyelids, lips, tongue and nails become very blue ; pulse unequal, or very slow. θ Cyanosis.
Distended veins on eyes, ears, lips and tongue ; dark red, bluish color of face ; irregular action of heart ; at puberty.
OUTER CHEST [30]
Dull, clawing stitches along lower border of ribs, below right axilla.
NECK AND BACK [31]
Tearing sharp stitches, aching and cutting pains in nape of neck.
Drawing with pressure in nape of neck.
Stiffness in nape and side of neck.
Lacerating, and sharp stitches in small of back.
UPPER LIMBS [32]
Sharp pain in left shoulder and arm, tingling in arm and fingers. θ Angina pectoris.
Heaviness or paralytic weakness of left arm.
Swelling of right hand and fingers, with scanty high-colored urine. θ Post-scarlatinal dropsy.
The fingers "go to sleep" frequently and easily.
LOWER LIMBS [33]
Pain in hip-joint.
Paralytic feeling in limbs.
Weakness and lassitude of lower extremities.
Staggering.
Lassitude in legs and knees.
Tightness in bends of knees ; swelling of knee, with stinging pain.
Infiltration of lower extremities.
Swelling and painfulness of feet.
Swelling of feet during day, diminished at night.
LIMBS IN GENERAL [34]
Pains in chest ; difficulty of using arms ; pain in hepatic region, and through back, and extending to knees ; pain in scapular region and right hand, with paralytic sensations. θ Vicarious menstruation.
Neuralgic pains after scarlet fever.
Prickling pain in muscles of upper and lower extremities.
Coldness of limbs.
Elastic swelling of legs, and then of hands and arms.
Coldness of hands and feet.
REST. POSITION. MOTION [35]
Sitting : head constantly falls backward ; dyspnœa > ; pain in region of heart and palpitation at times greatly <.
Lying : headache < ; sensation as if waves of water were beating on skull > ; urine more easily retained ; asthmatic attacks > ; palpitation <.
Lying on back : pains in forehead only > ; prefers to lie on back with head low, or is compelled to lie with head high.
Recumbent posture : oppressed breathing ; emphysema >.
Standing : vertigo, with anxious sensation ; sensation as if waves of water were beating on skull <.
Leaning : vertigo, with anxious sensation.
Change of position : fatal syncope.
Motion : violent beating of heart ; palpitation and anxiety < ; fluttering of heart after sudden and energetic ; suffocation threatened ; pulse accelerated ; cyanosis < ; motion brings on angina pectoris.
Stooping : as if something fell forward in head ; cannot sit.
Bending head forward : sensation as if waves of water were beating on skull >.
Bending head back : sensation as if waves of water were beating on skull <.
Shaking head : sensation as if waves of water were beating on skull <.
Bending body forward : causes cough.
On rising from sitting : vertigo and weakness of limbs.
On rising from reclining posture : pulse becomes jerky, smaller and weaker.
Walking : vertigo ; head constantly falls backward ; as if upper part of field of vision were covered by a dark cloud in evening ; desire to urinate and defecate compels walking ; desire to urinate and defecate < ; oppressed breathing ; painful asthma < ; cough < ; emphysematous attacks <.
Exercise : pain in region of heart and palpitation <.
Moving arms in upward direction : fluttering of heart ; angina pectoris brought on by.
Riding : vertigo.
NERVES [36]
Restlessness and great nervous weakness.
Lassitude, mental and bodily.
Faintness and debility, with perspiration.
Attacks of great debility, especially after breakfast and dinner.
Faintness ; exhaustion ; extreme prostration.
Convulsions, with retraction of head, syncope, and collapse of vital powers. θ Spotted fever.
Epilepsy caused by onanism.
Shock : very slow pulse ; faintness and weakness with sweat ; bluish paleness ; inactivity of pupil, optical illusions.
Syncope.
SLEEP [37]
Lethargy, great sleepiness.
Feeling of great emptiness of stomach, frequently previous to falling asleep.
Uneasy sleep at night, on account of constant desire to urinate ; nervous persons.
Frequent waking at night in fright, by dreams of falling from a height or into water.
Frequent startled awaking, at night.
Frequent awaking, as from anxiety, and as if it were time to rise.
Sleep uneasy and unrefreshing.
Prefers to lie on back with head low.
TIME [38]
Morning : on waking, all objects appear as if covered with snow, faces appear pale ; twinkling light before eyes ; agglutination of lids ; nausea on rising ; vomiting ; diarrhœa ; hoarseness early ; asthmatic paroxysm early ; dry cough ; paroxysms in emphysema early.
During day : swelling of feet.
Mid-day : sudden cracking noise in head during nap.
Between 10 and 12 A. M., and 4 and 6 P. M. : asthma.
Evening : stitches in temples ; as if upper part of field of vision were covered by a dark cloud ; stool and passage of worms ; cough with expectoration.
At night : suddenly awakened by crash in head ; stitches in temples ; symptoms in hydrocephalus acutus < ; accumulation of purulent mucus in eye ; flow of saliva ; constant urging to urinate ; pollutions ; dyspnœa ; yawning, and violent pulsations of heart < ; anxiety and fear of suffocation drive her out of bed ; expectoration of tough, ropy mucus ; sudden asthmatic attack ; attacks of palpitation and pain about heart ; sleeplessness and feeling of great anxiety ; uneasy sleep ; frequent awaking in fright, dreams of falling ; frequent startled awaking ; cold sweat.
Towards midnight : cough <.
TEMPERATURE AND WEATHER [39]
Getting heated : cough <.
In room : lachrymation <.
Open air : fear of suffocation with desire for ; cough < walking in ; symptoms of catarrh >.
Cold : great sensitiveness to.
Cold food : < after.
Cold drinks : stitches in forehead extending into nose < after ; cough <.
Cold air : lachrymation <.
Cold weather : asthmatic paroxysms < ; paroxysms in emphysema <.
Changes of weather : cough brought on by.
FEVER [40]
Chilliness and shivering over whole back.
Chill commencing in fingers, palms of hands and soles of feet, spreading thence over whole body.
Coldness first of hands and arms.
Cold extremities.
Excessive coldness of hands and feet, with cold sweat.
Internal coldness of whole body.
Great coldness of skin.
Chill early in morning and lasting until 10 o'clock, followed by heat and offensive smelling sweat towards noon ; complete loss of appetite, with disgust for food, foul eructations, bitter taste, yellow coated tongue and difficult stool ; sleep restless and unrefreshing ; pulse weak and slow ; face yellow ; lips and eyelids bluish. θ Tertian intermittent.
Great sensitiveness to cold.
Chill more internal, with warmth of face, beginning with cold extremities, then spreading over body.
Internal chill, with external heat.
Chill, with heat and redness of face.
Shivering alternating with heat. θ Icterus.
One hand hot, the other cold.
Heat of body, with cold sweat of face.
Sudden flushes of heat, followed by great debility.
Heat without thirst.
General violent heat, with swollen veins and rapid pulse.
Heat, with profuse sweat at same time.
Sweat immediately after chill, no heat intervening.
Covered with copious perspiration, without relief of heart symptoms.
Sweat at night, generally cold and somewhat clammy.
Cold sweat on body, warm sweat on palms of hands.
Sweat : on upper part of body ; on face.
Typhus, with bad smell from nose and hardness of hearing.
ATTACKS, PERIODICITY [41]
Paroxysmal ; mania with rage ; pressure in temples and in head ; thirst.
Transient : flushes of heat.
For half an hour : pressure in bladder and burning in urethra after micturition.
For an hour : paroxysm of cough.
For one or two hours : terrible pain and uneasiness in stomach after vomiting.
Constant : fears of death or loss of reason ; dizziness of head and ringing in ears ; falling backward of head ; lachrymation ; nausea ; urging to urinate ; icy coldness ; restlessness ; yawning and violent pulsations of heart ; desire to take deep breath ; nervous excitement ; pain or anguish in region of heart ; fear of losing reason ; hacking cough with dyspnœa.
Day and night : lascivious fancies ; painful erections ; pollutions.
For three days : amaurotic blindness ; toothache.
For eight to twelve nights : after coitus, pollutions.
Sudden : awakening at night by crash in head ; cracking noise in head during mid-day nap ; sharp crying, and clutching of hair or face of nurse, with squinting and retraction of head ; asthmatic attacks ; violent beating of heart ; sensation as though heart stood still ; attack of angina pectoris ; flushes of heat.
Gradual : increasing pain in pit of stomach ; decline of strength and heat of body.
Every night : awakened by crash in head ; emissions.
Every other day : at same hour in morning, diarrhœa.
Tertian : intermittent.
Three or four times a week : pollutions.
Every four weeks : after menstruation ; œdematous swelling of face and lower extremities.
For several years : menorrhagia.
Chronic : inflammation of conjunctiva ; catarrhs in tubercular patients.
LOCALITY AND DIRECTION [42]
Right : painful feeling on turning eyes to right ; burning in eyebrow ; contusive pain in testicle ; pain in scapular region and hand ; dulness over lower half of lung ; stitches along lower border of ribs below axilla ; swelling of hands and fingers.
Left : lachrymation and discharge of mucus from eye ; both eyes inclined to turn to left ; convulsions on side of face ; testicle most affected with hydrocele ; leg especially affected with œdema ; oppression of chest extending to arm ; sharp pain in shoulder and arm, tingling in arm and fingers ; pain in chest and arm ; palpitation < lying on side ; drawing, tearing, in side of chest and border of sternum, extending to nape of neck and shoulder ; sharp pain in shoulder and arm ; tingling in arm and fingers ; heaviness or paralytic weakness of arm.
One-half : of face convulsed.
One-sided : itching in head.
SENSATIONS [43]
As if faintness would occur ; as if head was full ; as if waves were beating from side to side in head ; as if blood bubbled and swashed in head ; as if brain was loose ; as if something fell forward in head on stooping ; as if brain were made of fine glass and shattered at a blow ; as if waves of water were beating on skull ; as if sand were in eyes ; as if bladder were too full ; as if urethra were constricted ; as if something were running out of urethra ; as of a weight attached to stomach ; as if chest could only be half filled on breathing, or as though some impediment existed deep in chest ; as if walls of chest were being constricted ; as if sternum were torn to pieces ; as if each breath would be the last ; as if internal parts were grown together ; as if lungs were constricted and tied up in bundles ; as though heart stood still ; as if heart had torn itself loose and were swaying to and fro by a thin thread ; as if stomach would sink into abdomen.
Pain : above root of nose ; terrible, after vomiting ; in stomach ; in precordial region ; in penis ; in chest ; in back ; severe, indefinable, through whole body ; in hepatic region and through back, extending to knees ; in scapular region and right hand ; across front of chest ; in region of heart ; spasmodic, in sternum and between ribs ; in left chest and arm ; sharp, in left shoulder and arm ; in hip-joint ; in hepatic region and through back, extending to knees ; in scapular region and right hand.
Anguish : in region of heart.
Cutting : in abdomen ; with diarrhœa ; colic before stool ; in abdomen during stool ; in nape of neck.
Tearing : with diarrhœa ; colic before stool ; in limbs ; in l. side of chest and border of sternum, extending to nape of neck and shoulder.
Lacerating : in small of back.
Piercing pain : in joints.
Lancinating : headache in occiput and vertex.
Stitches : in forehead, extending into nose ; in temples ; darting through eyes ; behind ears ; in pit of stomach, extending to sides and back ; in chest ; dull, clawing, along lower border of ribs, below right axilla ; tearing, sharp, in nape of neck ; sharp, in small of back.
Stinging : in throat.
Drawing : in sides of head ; in left side of chest and border of sternum, extending to nape of neck and shoulder ; in nape of neck.
Gnawing : in external parts.
Constriction : in chest and throat ; suffocative, painful, of chest.
Pressing constrictive heart-beats.
Pressing cramps : in stomach.
Contracting pain : in chest.
Contractive pain : in abdomen, in bladder ; under sternum.
Labor-like pains : in abdomen ; back.
Neuralgic pains : after scarlet fever.
Horrid pain : in hollow tooth.
Throbbing : in forehead, or at bottom of orbits ; in region of neck of bladder ; in every part of body when touched.
Crashing : in head.
Contusive pain : in right testicle.
Prickling : in muscles of upper and lower extremities.
Burning, prickling : in skin.
Burning : in eyes ; of margin of lid ; in right eyebrow ; in stomach ; in urethra ; on urinating.
Pressive pain : in eyes.
Pressing pain : in chest.
Tensive pressure : in arm and shoulder.
Pressure : in forehead ; in temples ; in head ; in precordium and region of liver ; on bladder ; in nape of neck.
Soreness : of mouth and throat ; gums and tongue ; of pit of stomach ; in region of liver ; of œsophagus ; in chest.
Rheumatic pains : in chest.
Aching : in nape of neck.
Creeping : all over skin.
Roughness : in roof of mouth and trachea.
Scraped feeling : in mouth and throat.
Scraping sensation : extending to larynx.
Scratching : in roof of mouth and trachea.
Oppression : in centre of chest ; about heart ; of chest, extending to head and left arm.
Weight : in head.
Heaviness : of head ; in chest.
Uneasiness : in stomach after vomiting.
Dull uneasiness : in various parts of region of heart.
Confusion : of head.
Anxiety : in epigastrium.
Sinking sensation : at stomach, as if he would die ; with palpitation and pain about heart ; at heart.
Emptiness : in stomach before falling asleep.
Weakness : in forearm.
Lassitude : in lower extremities ; in legs and knees.
Discomfort : after eating little.
Dulness : of head.
Paralytic sensation : in thighs ; in scapular region and right hand ; in limbs.
Itching : in head ; of skin ; corrosive, darting, in skin ; gnawing, in skin.
Titillation : in affected parts.
TISSUES [44]
Discharged blood coagulates slowly or not at all.
Skin and muscles lax.
Strengthens and regulates action of heart, when it has lost its energy and becomes irregular.
(OBS :) It is a cardiac tonic and useful in delirium tremens, from anemia of brain, or from weakened action of heart ; in hysterical fainting from same causes ; in shock, with collapse.
It is not a diuretic per se, but by increased activity of left ventricle it produces increased fluxion to kidneys and thus diuresis.
Acts profoundly upon muscular substance of heart and arteries through pneumogastric and vasomotor nerves, producing debility of these tissues even to paralysis, causing a depression of circulation, and an intermission of beats of pulse ; it also secondarily produces functional derangements of brain, kidneys and digestive apparatus ; chief characteristic is its extremely slow, intermittent pulse.
(OBS :) Valvular defects, where, in stage of compensatory disturbance, radial arteries show an abnormally low tension ; but it must only be given till the tension is increased ; normal diuresis then sets in, and dropsy with its concomitants are removed.
Distended veins on eyes, ears, lips and tongue.
Blueness of skin, especially of eyelids, lips, tongue and nails ; cyanosis.
With drunkards congestion of blood to head and heart.
Has a specific venous relation to kidneys, and may act as a palliative in morbus Brightii.
Urine frequent, scanty and black-colored ; lower eyelids puffed, abdomen distended and legs œdematous ; pulse 120, and small ; tongue dirty white ; constant hacking cough with dyspnœa ; œdema pulmonum. θ Scarlatinal dropsy.
All kinds of dropsies, with difficult micturition, pale face, intermitting pulse, doughy swelling, which easily yields to pressure of finger ; cyanotic symptoms, with fainting, when there are organic affections of heart.
Dropsy of internal and external parts.
Flabby, œdematous swelling all over.
Piercing pains in joints.
Scrofulous glandular enlargements.
Gouty nodosities.
TOUCH. PASSIVE MOTION. INJURIES [45]
Touch : skin painful to ; throbbing in body on.
Pressure : region of liver sensitive to ; legs and thighs pit.
On being raised to upright posture : fatal syncope.
Riding : vertigo.
After cut or wound : sluggish escape of dark, thick blood.
SKIN [46]
Surface, especially of extremities, cold ; slow pulse.
General paleness of skin.
Yellowness of body, particularly of conjunctivæ.
Stools almost white ; scanty brown urine, frequent and empty retching ; much debility. θ Jaundice.
Cyanosis.
Elastic white swelling of whole body.
Itching of skin.
Corrosive itching darting ; gnawing itching increasing to intolerable burning pricking, alternately increasing and decreasing ; skin painful to touch ; titillation in affected parts.
Creeping all over skin. θ Angina pectoris.
Black pores in skin ; sebaceous follicles ulcerate.
Pimples on back ; rash on hands ; desquamation.
STAGE OF LIFE, CONSTITUTION [47]
During climacteric period, sudden flushes of heat, followed by great debility, irregular pulse ; weak action of the heart ; least motion brings on palpitation.
Nervous lymphatic constitutions.
Children with very white complexion, light hair and more or less tendency to scrofula ; post-scarlatinal dropsy.
Girl, æt. 1 1/2 years, scrofulous ; post-scarlatinal dropsy.
Girl, æt. 3, well nourished and healthy, after suffering for 8 days from general malaise ; acute hydrocephalus.
Man, æt. 18 ; frequent nocturnal pollutions.
Young lady, æt. 19, strong, well built ; emansio mensium.
Man, æt. 20, results of excessive coitus and debauchery.
Man, æt. 20, sculptor, small in stature but strong, otherwise well ; asthma.
Mrs. R. R., æt. 26, blonde, good physique, pulmonary tendencies hereditary ; vicarious menstruation.
Mrs. B., young married lady, subject to frequent attacks of palpitation of heart, was exposed to wet and cold, was taken with acute pain in hip-joint, which lasted about twelve hours, and then, as she expressed herself, "went to her head," and for following 6 or 8 weeks was afflicted with angina pectoris.
Josepha N., æt. 30 ; gastric disturbance.
Woman, æt. 30, lymphatic temperament ; intermittent.
Woman, æt. 41, married twice within 5 years, one child by first marriage, second childless, has hypertrophy of heart and dilatation of right ventricle, with mitral and tricuspid insufficiency ; metrorrhagia.
Woman, æt. 48, unmarried, gouty diathesis, had two attacks of gout, in consequence of which abnormalities in tricuspid areas developed.
Woman, æt. 50, unmarried, sentimental and very excitable, rheumatic tendency ; palpitation of heart.
Man, æt. 60 ; hypertrophy of heart.
John F. C., æt. 65, enfeebled from frequent illness ; diarrhœa.
JT., æt. 65, of intemperate habits, has been confined to house for 3 months, and subjected to much allopathic treatment ; cardiac dropsy.
Woman, æt. 66 ; cyanosis of one month's standing.
Woman, æt. 66, ill 6 weeks ; morbus ceruleus.
Sarah H., æt 66 ; palpitation of heart originating in grief.
Mrs. F., æt. 69 ; heart disease, with extensive congestion to lung.
RELATIONS [48]
Antidoted by : Sweet milk with Fœnum græcum ; vegetable acids, vinegar, infusion of galls, ether, Camphor., Serpentaria . Keep the patient recumbent and give alcohol. Tannin has been recommended, in order to precipitate Digitalin in the stomach. Effects of small doses may be removed by Nux vom., Opium .
It antidotes : Wine ; Myrica cerifera (the jaundice caused thereby).
Compatible : Bellad., Bryon., Chamom., Cinchon., Lycop., Nux vom., Opium, Phosphor., Pulsat., Sepia, Sulphur, Veratr .
Incompatible ; Cinchon . (increases the anxiety), Spir. nitr. dulc .
Compare : Alkaloids which have similar action, such as Oleandrin, Scilliain, Adonidin, Neriin, Convalamarin, Antiarin, Helleborein. Acon . (anxiety, pulse) ; Ant. tart . (deathly nausea) ; Apocynum (cardiac dropsy) ; Arsen . (anxiety, weakness) ; Bellad . (throbbing headache, dilated pupils) ; Bryon . (stomach, thirst) ; Camphor . (coldness) ; Cinchon . (anxiety, respiration) ; Conium (heart intermittent and frequent) ; Ferrum (bladder) ; Kalmia (heart, rheumatism) ; Laches . (sleep) ; Lobelia, Lycop . (feeble heart) ; Natr. mur . (frequent and intermittent heart) ; Nux vom . (antidotal) ; Phosphor . (genitals) ; Pulsat . (sadness and depression) ; Spigel . (heart) ; Sulphur (vertigo, eyes) ; Tabac . (deathly nausea) ; Veratr . (weakness, coldness).