Carbolic Acid

Acidum carbolicum, Phenol, Monoxybenzene, Phenyl-alcohol. C6H5OH. Preparation, Solution in alcohol.

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

Mind p. 591

Emotional. Delirium

Delirium like intoxication, often lasting half an hour

Deliria, irritability, and rage, with copious perspiration

During the evening felt unusually cheerful

Feeling of sadness, with disposition to sigh and yawn (soon after 20 drops)

Not in humor to think or speak

* Very irritable

Cross; loses control of temper readily (second day)

Appeared morose, and much less brilliant in conversation than usual

Affection bestowed seemed distasteful (third day)

A fear of impending sickness came over him as soon as he retired to bed

Intellectual. Mind clear and active (second day),7. ■

Strange to say, although so affected by reading, my mind seemed unusually on the alert, and, although using it very much, nearly set me crazy with the confusion and pains in my head, yet I saw through any proposition with unusual quickness, and was desirous of intellectual work

* Disinclination to mental efforts, even to read

* Disinclination to mental exertion (as studying cases, preparing copy, etc.), (third day)

* Entire disinclination to study ; what he had accomplished seemed very trifling (evening)

Mental and bodily laziness ; do not wish to exert myself in any way

Could not concentrate the mind upon anything (soon after 20 drops)

I would get into an absent-minded abstracted condition, from which I would start when any one spoke to me, and would find myself at times in a nervous tremor when spoken to suddenly

When reading, cannot fix my attention on the subject so as to retain it in memory (fifth day)

Want of acuteness in thinking (soon after 20 drops)

Feels dull and stupid (after one hour and five-sixths)

Loss of memory (soon after 20 drops)

Unconscious

Unconscious for four hours ; then first opened eyes, moved arm and leg

Unconsciousness, with stertorous breathing

Complete unconsciousness (after five minutes)

Lost all knowledge of what passed around them

Insensibility

Nearly or quite insensible

Reclining in a chair, insensible (after five minutes)

Lay insensible to all external objects, but in a short time recovered itself

Became insensible, falling down suddenly as if in a fit ; on his recovery, said he remembered nothing whatever after tasting the liquid (immediately)

Stupor,44 4B.

Slight stupefaction

Quite comatose

Head p. 591

Confusion and Vertigo. Transient confusion of the head

Confusion and heaviness of the head

Confusion and pain in head, pain located over right eye

Confused feeling in head (third day)

Brain felt confused and painful (soon after 20 drops)

Head feels muddled, although no severe pain

Muddled and confused, and could collect thoughts only with an effort

Vertigo

Vertigo, with trembling

Easier in the afternoon, being much exposed to wind, which cools the heated brain, but vertigo returns as soon as he enters a room

Very dizzy from the slightest motion (after five minutes)

Very dizzy ; things look as if they were moving backwards and forwards (after five minutes)

Giddiness

A giddiness and fulness, or peculiar feeling in the head (after two to eight minutes)

My giddiness was better when walking fast in the open air, but as soon as I would sit down, would become so bad that I would have to hold on to something to prevent falling

Head swimming, and he felt as if staggering like a drunken man (soon after 20 drops)

Staggering as if drunk

General Head. Rush of blood to head (second day)

Felt like rubbing head and eyes constantly (soon after 20 drops')

Feeling as though I had suffered from headache, for three days before (third day)

Dulness in head (third day)

Dull feeling in head (after a few moments)

Head felt heavy (after half an hour)

Head very heavy

Heaviness of head, when leaning forward (after two hours and one-third)

Heavy pain in head, running from forehead to occiput (after half an hour)

Headache

Complained of headache

Headache, worse on left side

Headache, worse when bending head forward (after one hour and fivesixths)

Headache disappeared soon after breakfast (second day)

Drinking a cup of green tea relieved somewhat the headache, but not the sense of smell

Slight headache

Severe headache, with nausea (after half an hour)

In morning, awoke with a hard headache confined to the upper half of the head (second day)

Had a hard headache most of night, and has it this morning; feels as if a band was around the forehead (second day)

Pain and fulness in head, which seemed to locate itself especially over right eye

Head hot (after thirty-five minutes)

Fulness of the brain

Fulness of head all over the brain, with dull pain

Expansive pains in head, with swimming before eyes ; hardly able to write

My head felt as if inclosed in a band, which at times would seem to be compressed and crushing in my head. This pressing feeling was especially noticeable in both temples

Dull constricting headache at 7.30 a.m., about half an hour after rising, continuing and increasing until noon, when I gave up to it. It did not locate anywhere particular, but was as bad in the forehead as anywhere else. Pressure relieved for about one minute, but if continued longer increased the pain. However, if the pressure was removed, if only for an instant, and then reapplied, it would bring relief for a moment. My head seemed to swell and feel hot, even as though it radiated heat as a hot stove. These sensations seemed confined to the cranium, not coming below the base of the skull proper; continued until I went to sleep at night (second day)

Dull, hot, constricted feeling in the head, especially in the forehead, on waking at 6.30 a.m., severe enough to become an ache at times (relieved by pressing the head with the hands), lasted all day and until late in the night (second day)

Dull headache (second day)

Dull headache, running from forehead to occiput (after five minutes)

Headache, as if somebody was jagging a sword in and out all around the head ; she could hardly keep the eyes open ; aggravation from the least noise, and from light ; desires to have head tightly bandaged (after one hour)

Sore feeling, as though I had suffered from headache (third day)

Head feels sore when moving it (after one hour and a quarter)

The head-pains are the most severe, and are worse on right side (after thirty-five minutes)

While smoking after tea, the head-pains are very much better (after two hours and a half)

Forehead. Frontal headache, worse in a hot room

Headache in forehead and temples

Frontal headache and oppression of chest, beginning on left side and going over to right (after fifteen minutes)

Headache in the forehead of a neuralgic character (second day)

Forehead feels hot, and the pressure of a cold hand on it gives some transient relief

Burning headache in forehead (after twenty minutes)

Severe burning pain in brain over the eyebrows

Full feeling in frontal lobe of cerebrum, which increased to a severe headache

A pressing fulness in the forehead

Feeling of tightness across forehead directly above frontal sinuses

Aching pain in forehead (transient)

Slight aching in forehead, left side (after one hour)

Dull aching pain in left temple and back of head, when leaning forward (after one hour and a quarter)

Dull pains through the forehead (after thirty-five minutes)

Dull frontal headache in centre of forehead

* Dull frontal headache, as if an india-rubber band was stretched tightly over the forehead

Woke in morning with a dull frontal headache and burning in throat (second day)

Does not know whether he has taken cold or not; the same dull frontal headache, with general lassitude (fifth day)

Dull frontal headache, with chilliness (very soon)

Dull frontal headache, somewhat relieved in the fresh air (after three hours)

Temples. Pain extends to temple (from over right eye), with sense of soreness of the eyeball

Burning pains in right temple and top of head (after thirty-five minutes)

* Feeling of tightness, as if an india-rubber band was stretched from temple to temple

Sandlike constrictions from one temple to the other, followed by a dull, heavy headache, greatly aggravated! by a walk in the open air (after half an hour)

Slight aching in left temple (soon after)

Dull, heavy pain in left temple during the day (fourth day)

* Dull, heavy pain through the temples, with tight band across forehead, and tightness in the nose between the eyes

When I read for any length of time the pressing in my temples became fearful, and my whole head would feel somewhat in the condition known as asleep in a limb

Vertex. I felt, on top of my head, as if my brain was swashing about

Burning pain in top of head

Constant aching pain in right side of head (after twenty minutes)

Parietals. Neuralgic pain in left side of head (after one hour and a quarter)

Beating pain in right side of head (after thirty-five minutes)

Pains in head of a sharp, darting, neuralgic character, changing their situation from one side to the other, affecting the eye of the painful side so much that it was difficult to keep it open (soon after 10 drops)

Occiput. Occipital pressure

Dull, pressing, occipital headache

Dull aching pain in back of head and right side and temple. The pains in head are constant, and similar to those felt when making the first proving (after one hour and a half)

Back of head feels sore (after one hour and five-sixths)

External Head Small pustulous vesicle a little to left of vertex (third day)

Pitching of scalp (after one hour and a quarter)

Itching of scalp (after fifteen minutes)

Itching of scalp, first on right side,, then on left

Eyes p. 593

Eyes rigid, insensible to light, pupils much dilated

Eyes heavy (second day)

Burning pain in eyes, worse in left (after two hours)

Burning pain in left eye (transient)

Orbit. Pain oyer the right eye, which continued for an hour after being out in the air, then passed off, but returned upon returning to the room and smelling the acid again, but passed off again in the open air

A very slight pain for a few

Ears p. 593

38 minutes, at two different times, over right eye

* Very severe orbital neuralgia over the right eye

* Slight pain over right eyebrow ; the same kind of pain, but in a milder degree, under right patella, both of short duration (after half an hour)

Acute piercing pain in the left supraorbital ridge, in a spot as large as a silver ten-cent piece, lasting only five or ten minutes and ceasing on rising, but leaving the spot where it had been sore to the tou-eh for more than one day (second day)

Lids, Eyes open, turned upward

Lids closed

Ball. Neuralgic twitching in eyeballs and through temples (soon after 20 drops)

Pupil. Contraction of the pupils,28 30, etc.

Pupils contracted (after five minutes)

Pupils contracted and insensible to light

Pupils dilated, but showed reaction to light (after two hours)

Vision. Eyes sensitive to light

Cannot see across room (after five minutes)

Reading is impossible, as the letters look blurred and fade one in the other

While writing, the letters seem to run together, so that it is with difficulty I can read what is written (after thirty-five minutes)

Swimming before the eyes

Things seem to be moving before the eyes (after three-quarters of an hour)

A constant dark spot in front of the left eye

Head p. 594

Pressing pain in left ear (transient), (after fifteen minutes), returning from time to time (after twenty minutes)

Beating pain, with a humming sound, in both ears (after six hours)

Roaring in the ears

Troubled all the time with a constant humming-buzzing sound in my ears, although my hearing did not seem affected

Nose p. 594

Both nostrils plugged up (fourth day)

When blowing nose the mucus was bloody, bright-red blood (after four and one-sixth hours)

Feel as if I had a cold in the head ; right nostril plugged up, right eye watery (third day)

Nose tight and stopped up, with full tight feeling across forehead

Left nostril stinging, with constant watering of the left eye, and watery discharge from nose

Sensation at left wing of nose as of fine electric sparks; wants to rub the part repeatedly (after fifteen minutes) ; during first hour same sensation on sternal end of right clavicle ; later on middle finger of left hand ; later on vertex. This sensation, during the time it was felt, changed slowly to a pricking-itching, with desire to rub the part, and relief from it

Tickling in right nostril, with sneezing (after one hour and one-third)

Smell. Sense of smell very acute

Sense of smell exceedingly acute, for five days (after half an hour)

Smell more acute, very decidedly ; soon after watery discharge from both nostrils while in the open air; when indoors it ceases; comes again after entering a cold room (after twenty minutes)

Face p. 594

Objective. Pale and unconscious

The boy was very pale, weak, and cachectic

Face blanched and bathed in perspiration (after five minutes)

Face pale31.

Face pale and covered with cold perspiration.25.

Face pale or livid

Face and neck livid

Face livid, with cold, clammy sweat

Face livid, covered with cold, clammy sweat

Face flushed (second day)

Face flushed, and "burns (after fifteen minutes)

Slight lividity of the lips and tips of the fingers (after five minutes)

State of intense trismus (after eighteen minutes)

At the attempt to examine his throat he closes his teeth tightly

Subjective. Pain in face and neck (after seven hours)

Drawing pain in jaw, right side

Mouth p. 594

Teetll. Aching in teeth of right upper jaw (after a few moments)

Tongue. Burning on the tongue, especially on the tip

Biting sensation on tongue (immediately)

Mouth. Mucous membrane of mouth, lips, throat, white

Swelling and soreness on internal side of left cheek opposite the molars; the cheek is in the way of the teeth when biting (the whole day), (after two days)

Strong tarry odor to the breath

Burning mouth

Burning on lips, throat, and oesophagus, with heat rising up from the stomach (immediately)

Saliva. Hypersecretion of saliva, and he could not help spitting all the time, the spittle having a bluish-white, frothy appearance

Constant discharge of saliva from the pale lips

Mouth open, filled with mucus

Taste. Very sharp taste; tongue burned and tingled, and felt as if a thousand pins were sticking in it (immediately)

Nasty taste in mouth

Horrid taste in mouth, pungent and metallic, which he could not get rid of; it made him feel sick and squally all over (immediately)

Taste of carbolic acid in mouth and throat (after seven hours)

Coppery, metallic taste on tongue and upper palate

Speech. Inability to speak or to walk

Throat p. 595

A good deal of hawking of clear white mucus while in the open air (second day)

Pain in throat on swallowing (after one and fivesixths hours)

Choking feeling in throat, with disposition to hawk up phlegm

Irritation of throat (for some days)

Irritation of throat causing short, dry cough (after one hour and five-sixths)

Burning in throat and oesophagus (immediately)

Sense of burning in throat on swallowing the draught

Pricking-burning in throat, as if she had eaten something strong (after half an hour)

Very sharp stitches in throat; the pain grows worse and worse; it is sharp and pricking (after fifteen minutes)

Weather changed ( ?) ; throat sore, felt some hoarse, as if had taken cold (second day)

Evening, throat some sore, right side (second day)

Soreness of throat on empty deglutition (after fifteen minutes), passed off after one and one-sixth hours, except when swallowing and pressing on the upper larynx ; worse on the right side

Throat sore only when swallowing (after two hours and five-sixths)

While smoking, after tea, throat better for a time ; not so sensitive to pressure (after two and a half hours)

Fauces, Pharynx, and (Esophagus, Much mucus in pharynx (fourth day)

Hawking from pharynx and posterior nares of much white mucus (third day)

In morning, on waking, pharynx and posterior nares very dry indeed (fifth day)

Burning in the oesophagus and stomach

Spasmodic contraction of oesophagus

Spasmodic contraction of the oesophagus prevented the insertion of the stomach-pump

Spasmodic and painful contraction of the oesophagus just behind the pomum Adams; while drinking ice-water, was painful for several minutes

Feeling of constriction about midway of the oesophagus (from 20 drops)

Spasmodic stricture of the oesophagus prevented the patient from swallowing, and caused great difficulty in introducing the tube of the stomach-pump

Swallowing, Inability to swallow

Could not take medicine

External Throat. While walking rapidly after dinner had spasm of carotid artery (common, left), (third day)

Stomach p. 595

Appetite. More appetite, but not normal yet; more appetite in morning (fourth day)

Unusual appetite for supper

Wanted to smoke a cigar, and thought that would relieve him

Diminished appetite

* Loss of all appetite?

* Total loss of appetite, which had previously been excellent™.

Anorexia

Not so much appetite for dinner (second day)

No appetite for tea

No appetite for tea (supper), (after half an hour)

No appetite for supper

Thirst. Thirst

* Felt as if a little more whisky would do him good (habits perfectly temperate)

Eructations and Hiccouyh. Eructations

Eructation of tasteless air (second day)

Eructations after a light breakfast (second day)

Headache disappears while moving about, but the eructations became more frequent (after one hour )

Constant disposition to rift up, but could not (from 20 drops)

Belching (after three-quarters of an hour)

* Belching up of wind (after a few moments)

Belching up of wind (after one hour and a half)

Belching of wind from stomach (after ten minutes). Constant belching (after fifteen minutes)/

Constant belching up of wind from stomach (after two and five-sixths hours)

Constant belching up of large quantities of wind (after twenty minutes)

Regurgitation from stomach, which tastes like buttermilk and cabbage. (At dinner drank glass of milk ; milk never disagrees with him), (after thirty-five minutes,3.)

Ate heartily at lunch, but, though the stomach is full, the heat keeps rising from the stomach, with the taste of Carbolic acid

In afternoon, after dinner, long-continued hiccough

Nausea and Vomiting. Nausea at stomach (after fifteen minutes)

Nausea most of the morning (second day)

After tea, nausea returned, and was increased by taking a little sherry wine. The nausea lasted until noon next day

After tea, the nausea was much better, but she was very drowsy, which was unusual (after twenty-five minutes)

Nausea, with desire to eructate (very soon)

Nausea and vomiting

Slight nausea in throat (after thirty-five minutes)

Slight nausea, with prostration

A great deal of nausea; shuddered and shook her head, made wry faces, spat frequently, etc.,15.

Intense nausea (immediately), which continued with but little abatement for nearly an hour, and until he had drank several copious draughts of water (from 1 drop). Again the nausea followed, and almost reached the point of vomiting (from 5 drops)

Aggravated feeling of sickness about stomach (soon after 10 drops)

* While eating a little breakfast, felt every now and then as if he had to get up and vomit (from 20 drops)

Vomiting and dysphagia

Stomach. Slight gastritis (for some days)

An attack of acute gastritis followed the immediate symptoms

Slight gastric catarrh, for several days

Wind in stomach very troublesome ; better after raising a sort of sweetish-sour liquid

Dull uneasy feeling in stomach (after one hour and a half)

Uncomfortable feeling in region of stomach and liver (soon after)

Distress in stomach, as from indigestion

For about two days, his feelings represented a first-class type of acute dyspepsia (from 20 drops)

Instead of feeling hungry at meals, an empty, gone feeling in the stomach, with a fulness in the throat, and a constant desire to swallow

A great deal of gastric irritation (after seven hours)

Pain and dragging feeling in stomach and low down in abdomen

Warmth in the stomach

Sensation of warmth in the epigastrium

Burning in the stomach

Burning in the stomach (after twenty minutes)

The burning feeling in the stomach, as from a corrosive acid, is felt all the time; still the appetite is good and food digests well

Burning feeling in stomach, steadily increasing, with heat rising up the oesophagus (after three hours)

Burning, ulcerating feeling in stomach and oesophagus, with nausea; this sensation reminded him of lobelia or tobacco; in fact, he had been smoking his pipe before going to bed

Stomach seems full of wind (after a few moments)

Sensation as if stomach was filled with wind which ought to come up

Aching pain in stomach (after a few moments)

Felt as if he had eaten too much, and was suffering in consequence

Appetite good, but food lies heavily on the stomach (second day)

Feeling of pressure at pit of stomach (very soon)

Heavy weight in the epigastrium, as though burdened with flatulence, with a constant inclination to relieve himself by fruitless efforts at eructation, or by pressing the hand into the pit of the stomach

Abdomen p. 597

Hypochou dr ia. Dull pressing pain in hypochondria

Soreness of hypochondria, aggravated by motion (very soon)

Pain in right hypochondrium ; also in iliac region of both sides}5.

Aching feeling oyer right hypochondrium and along back (from 20 drops)

Premonitions of pain in region of liver

Dull pain in right side, over the region of the liver, and in the back, across the fifth, sixth, and seventh dorsal vertebrae

General Abdomen. Abdomen bloated, especially in the epigastric region, but neither hard, nor tense, nor sensitive to pressure

Bowels bloated and full of flatus after (three hours) a meal (second day)

Rumbling in bowels ; a feeling as if diarrhoea would come on, after walking about

Rumbling and rolling in abdomen, with a sense of distension (after one hour)

Emission of large quantities of flatus all the evening

Emission of fetid flatus (after one hour and a half)

Emission of large quantities of putrid flatus (third day)

Sinking feeling all over the abdomen, a feeling of goneness, with yet a heavy weight about the stomach (from 20 drops)

Pain in bowels

Sensation of fulness, with burning on outside of abdomen (soon after)

Constantly a sensation of distension in the abdomen as if it were full of wind, but I was never able to discharge any

Bowels feel bloated and sore (third day)

Feel as if the gas in the abdomen was incarcerated (after one hour)

Abdominal muscles feel sore (second day)

Bowels feel sore on walking

Jolting during riding affects unpleasantly the abdominal parietes also, which feel hot and sore

Hyper/atrium and Iliac Met/ions. Burning pain in lower part of abdomen and top of head (after fifteen minutes)

While sitting, crampy stitch in left inguinal region (after two hours)

Rectum and Anus p. 597

The anus itches and feels as if the skin was rubbed off (after forty-five minutes)

Desire for stool all day, though he had had a natural movement in the morning (third day)

Constant feeling of desire to pass a stool, and a sensation as if there was a quantity in the rectum, but I never had more than one regular stool every morning

Stool p. 597

DiavvJlOZa. Diarrhoea; three watery evacuations within a short space of time, accompanied with pain and sick stomach

Ever since beginning of proving, and for some time after, two natural stools per day, which is very unusual with the prover, having generally but one passage in two days

In evening, copious and consistent stool, entirely free from pain, though the stools had been constipated and painful for some time previously

Towards evening, evacuation from bowels copious and consistent, but almost inodorous

Constipation. Bowels rather constipated, w7which is unusual (seventh day)

Bowels seem torpid, but not costive (fourth day)

My bowels moved regularly every morning, but the stool was insufficient, and they seemed somewhat more sluggish than normal

Urinary Organs p. 597

Micturition. Frequent micturition

The urine was voided about once in two hours, and was large in quantity, quality normal (second day)

Passed urine oftener than usual during the night, but observed no change in color (second day)

Slept well, but had to rise about 5 oclock to urinate, a very unusual thing, also passed a larger quantity than usual

Unusually free flow of urine, normal in color, in odor, and quality (third day)

Copious flow of limpid colorless urine, which lasted several hours. The amount of the urine was enormous, though no measurement was resorted to. Its odor was slight, but peculiar, not that of Carbolic acid nor that of normal urine (after fifteen minutes)

During the night, passed a large quantity of pale urine, nearly three quarts (fifth day)

During day the urine was increased in quantity, and had a very strong smell (second day)

Urine less in amount (fourth day)

Urine diminished in quantity and heightened in color

Straining at passing urine, followed for two hours by uncomfortable feeling

Fruitless efforts to urinate

Ineffectual attempts to pass urine

Urine. Greenish tinge in the urine, and disappearance of all deposits of lithate,2r

Urine very dark-colored™

A dark greenishbrown color to the urine is a characteristic sign of the incipient poisoning,42. Urine dark smolcy color, alkaline; it deposited a sediment of granular urate of ammonia; it also showed a mixture of different colored pigments, which apparently came from the coloring-matter of the dissolved bloodcorpuscles; this pigment appeared always after an application of Carbolic acid, and disappeared after the removal of it

The urine passed the day after the accident was almost black, but was free from turbidity, and no trace of Carbolic acid, blood, or albumen could be detected in it

By nitric acid there is deposited a large quantity of brown pigment in the urine

Evacuation of offensive very dark-colored urine, depositing urate of ammonia, sometimes phosphates, but no albumen

Urine smells strongly of carbolic acid

Urine more acid than normal

Urine alkaline, dark-brown

Sexual Organs p. 598

Male. Prickling pains through the glans penis and in urethra

During all this time I noticed my sexual organs to be in an unusually relaxed, weakened state during the day, but regularly every night I would have lascivious dreams, with seminal emissions, which weakened me greatly and filled me with horror

After going to sleep, was awakened by unusually strong sexual excitement, which continued some time (first night)

Sexual appetite very much decreased (second day)

Loss of sexual desire for thirteen days

Female. Pain in region of left ovary, when walking in the open air, soon subsiding™.

Menses more profuse than usual

Menses much more profuse and darker-colored than usual, followed by headache and great nervous irritability for twelve hours (sixth day)

Menses came on two days later than usual, and were more profuse

Respiratory Organs p. 598

Larynx and Trachea. Inflammatory condition set in, with much soreness of respiratory organs, and more hoarseness (third day)

Feeling of soreness in larynx and bronchial membrane, with some hoarseness (second day)

Left side of larynx very sore when pressed upon, not true of the right side (after one hour and a quarter)

Constant inclination to cough (after one hour and a quarter)

Tickling-irritating sensation in upper part of trachea and fauces, which excited an occasional short, hacking, dry cough

Coilf/Jl and Expectoration. Cough (fourth day)

* Short hacking cough, with tickling in the throat (after one hour and a quarter)

Cough, without expectoration (sixth day)

Some cough aud expectoration (eleventh day)

Coughed to clear the bronchi ; expectorated a little (fourth day)

Expectoration of large quantity of thick whitish mucus (second day)

Hesjy ration. Stertorous respiration,™ 30 ', etc.

Breathing stertorous (after eighteen minutes)

Respiration stertorous and rapid (80)

Respiration stertorous, and smelling strongly of the fluid (after five minutes)

Respiration accelerated

Respiration agitated

Respiration free and deep; inclination to take a deep breath

Respiration difficult

Respiration much impeded

Room feels close and hot (second day)

Chest p. 599

Dull pain through the upper lobes of lungs

While walking out of doors, feeling of expansion (of lightness) in the lungs, also in the nasal passages (after five minutes)

Tight feeling in both lungs, especially in the centre of the chest

* Feeling of narrowness in the chest, as if the diaphragm depressed the lungs

[SSO.} Chest feels as if compressed, or as if a load were pressing in front, with a desire to dilate it (second day)

-Oppression of chest

Oppression of chest, requiring great effort to fully inflate the lungs

Front. Dull pressure under the sternum, in the region of the sixth rib (after three hours)

Compressed feeling across lower end of sternum

Sides. Transient dull pain under left clavicle

* Slight uneasy pains in right lung (after one hour and a half)

Dull aching pain, whole left side of chest and abdomen, running around to shoulder-blades (after two hours and five-sixths)

Heart and Pulse p. 599

Precordium. Stitches, region of heart (after one hour and a quarter)

Heart's Action. The beat of the heart, as well as the pulse, could not be felt

Heart's action irregular (after eighteen minutes)

Pulse. Pulse rapid, irregular, undulating

Pulse very rapid

Feeble, intermittent, rapid pulse

Pulse quick, 95 (after five minutes)

Pulse very quick, 100 (after twentyfive minutes)

Pulse accelerated, 82 (after thirty-five minutes)

Pulse small, frequent, and intermitting

Pulse 75 (after one hour and a half)

Pulse 82 (after twenty minutes)

Pulse rises from 66 to 75, intermittent (after five minutes) ; pulse 90 (after ten minutes) ; pulse 80 (after fifteen minutes) ; 9 a.m., pulse 100, regular (second day)

Pulse risen from 70 to 82 (after one hour and a quarter)

Pulse risen from 70 to 84 (after fifty-five minutes)

Pulse 86 (after two hours and a half)

Pulse 88 (after seven hours)

Pulse 90 (after half an hour)

Pulse 100 per minute, feeble, and very intermittent (after five minutes)

Pulse 120 per minute, and very weak ; could be counted with great difficulty

Sinking pulse and temperature

Pulse 68 (after one hour and fivesixths)

Pulse 68, rather slow (after three hours and one-twelfth)

Pulse 68 (third day)

Pulse 68, small

Pulse 64 (after half an hour)

Pulse weak and fluttering

Pulse weak and flickering

Pulse very weak

Pulse scarcely perceptible

Pulse scarcely perceptible (after eighteen minutes)

Pulse and heart-beat almost imperceptible

Pulse imperceptible

Pulse imperceptible, and the beat of the heart scarcely noticed

Neck and Back p. 599

Neck. Neck feels lame and stiff when moving head (after one hour)

While smoking, after tea, lameness in back of neck and shoulders (after two hours and a half)

One of the most painful sensations, and one which remained a very long time, was a very great sense of a weight on my neck, with a tenderness even to the touch, over the seventh cervical vertebra

Drawing in muscles of right side of neck, think in splenitis capitis (after one hour)

Awoke with stitching pain in right side of neck, which increased during day (seventh day). Pain in neck very severe, with twinges of pain that would last a few seconds, then wear off; in five seconds it would return as before. This condition lasted some eight hours (ninth day)

Soreness of muscles of neck (splenitis capitis), (third day)

Back weak and sore (second day)

Rack. Good deal of pain in back and right side

* Soreness of muscles of back and limbs (third day)

Pains in small of back, and it hurts to straighten himself, and they became still worse by riding, where jolting aggravates

Aching pain across the small of back and in the lower limbs (after one hour)

Severe aching pains in small of back, somewhat relieved by pressing the hand against it (fifth day)

Tired sensation in renal region

The first two doses of the acid of the first centesimal dilution, taken three hours apart, relieved a severe pain in the lumbo-sacral region, which had existed more or less, mostly during the latter part of the night, for two years

Having another attack of backache, took a dose of Carbolic acid, 30th dil., which relieved the pain like magic, and have had no other attack up to date (about three weeks). Health in every respect excellent

Superior Extremities p. 600

Shoulder. Drawing pain in left arm, from shoulder to elbow (transient)

Lameness and soreness of right shoulder, when walking (second day)

Rheumatic pain in right shoulderjoint nearly all day. He regarded it as an attack of rheumatism in the shoulder, having suffered with several attacks during the last eighteen years ; they never lasted less than three or four days ; this passed off suddenly in the evening, like all the other Carbolic acid pains (second day)

Acute but transient pain in right shoulder-joint (after one hour and a half)

Aching pain in right shoulder, when bending forward

Aching pain in hip has gone to left shoulder-joint ; although not very severe ; he is reminded of it from time to time (second day)

Arm Constant tired, heavy feeling in left arm

Aching pain in left arm and right wrist (after one hour and a quarter)

Soreness of muscles of right arm (after one hour and one-third)

Forearm Aching pain in left forearm (after fifteen minutes)

Hand. The hand very much swollen, so that he could not write

Trembling of hands (cannot write steadily)

A peculiar feeling of stiffness and discomfort (pricking) of the entire hand. This discomfort remained on the middle finger until night. At one spot it never left until there appeared a small pimple, which increased in size until it became a sore resembling a carbuncle. The flesh suppurated until a probe could be passed nearly through the finger. For several days the sore hand was intensely painful, and prevented sleep for several nights. It healed finally, but was a serious sore

Contracting pain in palm of right hand (after two hours and one-third)

Fingers Pain in second phalangeal joint of middle finger, right hand (after two hours and fivesixths)

Inferior Extremities p. 600

Cannot walk straight (after twenty-five minutes)

* Lower extremities feel heavy as lead (fifth day)

Draggy sensation about lower extremities, which occasioned a little unsteadiness in walking (from 20 drops)

Hip. Occasional pains in hips and shoulders (third day)

Aching pain in both hips (after forty-five minutes)

Transient pains in right hip (after one hour and a half)

Aching in right hip (transient), (after thirty-five minutes)

Transient aching pain in right hip and left knee (after two hours and a half)

Hard, aching pain in right hip, like a sciatic pain, which slowly moved along the course of that nerve, and at night was in the bend of the knee, and then ceased altogether (fifth day)

Very severe aching pain in right hipjoint, felt only when walking (second day)

Thigh. Transient pain in muscles of right thigh (after a few moments)

Deepseated muscular pain, on inside of upper third of left thigh, that almost made him walk lame ; lasted from five to ten minutes (after half an hour)

The dull aching pains extend from the spine down the posterior muscles of the thigh

Drawing in right thigh and right zygoma (very soon)

His thighs feel bruised (second day)

About 7 p.m., while walking, bruised pain in the middle of anterior part of right thigh, deepseated and lasting only for a few minutes (second day)

Knee. In the night, pain for a few minutes on inside of left knee-joint (fourth day)

Pain on inside of left knee-joint, lasting for a considerable time "(third day)

* Aching soreness beneath left patella, all day up to about 4 oclock p.m. ; feels as if it would be stiff and sore to move it, but on the contrary during motion it is not felt at all (second dav).21.

Leg, Sensation just below the knee, on the shin, as if the part was touched with a piece of ice (after forty -five minutes)

* Aching pain to the left of middle of left shin-bone (after two days)

* Sharp pain in left shin (after one hour and a half)

Cramps in the calves

Severe bruised pain beneath left tendo Achillis close to posterior part of tibia, as if struck with a club ; in a few minutes it disappeared for a short time, when he had a sharp pain in middle joint of large finger of left hand; this pain was only momentary, when it went back (but lessintense) in the leg again (after one thousand a quarter)

Ainkle. Dull pain in right ankle and left knee, most of the morning (second day)

Aching pain in right ankle, and iu lower part of abdomen (after one hour)

Pain in left outer malleolus (after three hours and onefifth)

Foot. His feet, though he was lying flat on his back, felt as though they could not support his body, even by a strong effort of the will

Feet feel heavy (after fifteen minutes)

The feet feel as if bruised, all the time

Toes. Pain iu right great toe as if pressed upon

Pain in under surface of big toe of left foot (after three hours)

Pressing pain in left great toe (after fifteen minutes)

Tingling in left great toe, followed by a feeling as if pressed on (after a few moments)

Sharp, stinging pain through corns (third day)

Generalities p. 601

Objective. Body much swollen before death

Trembling

Slight tremor over whole body, steadily increasing (after ten minutes)

Muscles relaxed

Muscles completely relaxed

Loss of involuntary motion and speech

Became convulsed

Convulsed (immediately)

Convulsions

Violent convulsions, with trismus, and blood passing from the mouth in consequence of the teeth having wounded the tongue

She fell to the ground in convulsions, was delirious and without consciousness

Disinclined to work ; even correcting proof is fatiguing (second day)

Feeling of languor, enervation, indisposition to attend to professional duties, and drowsiness, with uncomfortable feeling of fulness in the head, varied occasionally by a passing pain through the forehead, or right or left temple

Feel languid ; must lie down to rest after a light day's work (second day)

Languid and sleepy; retired early (fourth day)

* Great languor

* Easily fatigued by the least walk (am usually a good walker)

* Complains of being very tired (after twenty-five minutes)

Very tired at night, and not at all amiable (third day)

* Weakness

Physical exhaustion (second day)

Great prostration

Profound prostration

Faint feeling, spreading from the thighs all over the body

Administered chloroform in large quantity (one-third of a pound), to a patient during an operation, and was thereby affected nearly as much as the patient ; obliged to go into the fresh air in order to keep from fainting (fourth day)

Fell insensible (immediately)

Fell from her seat to the floor

Extreme syncope

Complete anaesthesia

Complete anaesthesia, even of the conjunctiva

Numbness of skin of hands

Subjective. Physical and mental exhilaration

Shuddering sensation when he took it in his mouth; imagined he could taste the acid

General feeling of dulness and heaviness

Felt badly the whole day, especially from a burning in the stomach, with a sore feeling to the touch (second day)

Said he felt mean, and left for home before his usual time

Feels as if he had taken a violent cold (second day)

Soreness, as if he had taken cold (thinks he has not), (third day)

General soreness, worse in back, abdomen, and chest (third day)

All the muscles prominently used are sore and stiff (fourth day)

All symptoms go from the head downward

Pain felt only on right side

The pains seem to affect the right side first, and afterwards the same parts of the left (after thirty-five minutes)

The pains appeared most frequently on left side ; came and went very suddenly, and generally lasted but a short time ; they generally affected the muscles and joints, but not the bones

* I became thoroughly unfit for study, as every exercise at reading increased all my symptoms, especially the p reding at the occiput™.

Relief of symptoms, except frontal headache, after a hearty lunch

Skin p. 602

Eruption, Moist. Slight eruption of a vesicular character all over the body (third day)

* Vesicular eruption on hands and all over body, which itches excessively ; better after rubbing, but leaving a burning pain,6.f

* A small vesicle formed on centre of nose (fourth day)/.

Pustular. Vesicle on nose converted into a pustule, which was opened (fifth day) ; opened again (sixth day) ; opened again, and healed up (ninth day)

Slight pustular eruption on right side of face (second day)

Sensations. Burning in the skin (second day)

Tingling in lower extremities

Formication in the extremities

Itching of scalp and lower part of abdomen, as if bitten by something (after two hours and fivesixths)

Itching of right ear (after thirty-five minutes)

Itching of the face (after fifty-five minutes)

Itching of right cheek, and sharp pain about the centre of cheek, as if bitten by a mosquito. So sudden and peculiar was this pain that I expected to find something had really bitten me (after thirty-five minutes)

Itching of the back of neck and of the nose (after twenty minutes)

Itching of left shoulder and right cheek (after thirty-five minutes)

Itching of left elbow (after one hour and a half)

Itching of left elbow (after fifteen minutes)

Itching of right forefinger (after one hour and a half)

Itching about the left hip (after forty-five minutes)

Itching of outside of thigh and of the genitals (after one hour and five-sixths)

Itching of inner part of thigh and scrotum, relieved by scratching, but it soon returns

Itching inner side of left knees (after one hour and a quarter)

Itching of ankles, arms, back of neck, calf of leg, and other parts of body (after fifteen minutes)

Itching of various parts of body, right thigh, buttocks, back, shin, etc. (after one hour and a quarter)

Intense burning-itching of the genitals (after one hour and a half)

Tingling-itching in right little finger, soon after in the left

Sleep and Dreams p. 602

Sleepiness. Yawning (very soon)

Yawning (after thirty-five minutes)

Yawned now and then, and took long inspirations

Yawning constantly (after twenty minutes)

Incessant yawning (after fifty-five minutes)

Sleepiness (after half an hour)

Sleepiness, constant inclination to yawn

Sleepiness, with desire to stretch

Sleepy (second day)

Felt sleepy in afternoon, hat could not fall into sound sleep

Sleepy and chilly, although sitting in a room with a good fire

I was constantly heavy and sleepy, but when I would lie down to sleep would be perplexed with dreams, and would wake up unrefreshed, with coated tongue and nausea

Became drowsy

Soon lapsed into a sound and quiet slumber

Had a very refreshing sleep; awoke earlier than usual, amiable (second day)

Slept soundly all night, and awoke greatly refreshed in morning

Slept heavy ; awoke sore all over, especially the legs (gluteal muscles), back, chest, and arms (fourth day)

Instead of the tremors a somnolent state set in (after two hours)

Riding lulls him to sleep, and walking is an exertion

Sleeplessness. Slept well last night, but woke often; no dreams (second day)

Restless sleep the whole night, with busy dreams

At midnight, after waking, could not get to sleep again ; the smell of Carbolic acid seemed to keep her awake

Dreams. Sleep not refreshing; dreamed much, but cannot now (A.M.) recall the subjects (third day)

During night had a great many dreams, some amorous, others he was unable to recall w hen awake (third day)

Dreamed of great mental activity ; awoke with clear intellect; can w7ork (fifth day)

Slept well as usual, but dreamed of travelling, which is unusual

Slept well, but dreamed of fire; so vivid was the dream that he was awakened ; found that he was quite feverish, although the window was open and the room quite cold (second day)

Dreamed she could not get to sleep on account of thinking about the body I had embalmed ; thought she tossed about, and then tried to wake me, to give her some medicine to stop thinking; she thought she could not wake me, and pulled me out of bed; and that I was bathed in perspiration ; face pale; thought I was dead. The fright awoke her; she found herself lying on her back, with her mouth wide open, apparently paralyzed with fear ; she aroused me and begged in a whining tone for something to make her go to sleep. Could not at first be persuaded she had been asleep. Gave her a dose of Nux, and she dropped to sleep at once, and slept soundly ; awoke perfectly well in the morning

Fever p. 603

Chilliness. Diminished temperature about T C.,42.

Skin cold and moist

Surface cold and clammy

Surface cold and moist

Slight chilliness, while sitting in a warm room (74° F.), (after five hours)

9 a.m., chilly sensations; pulse 78 (second day)

Soon chilly (second day)

Chilly sensations while at breakfast (second day)

Very chilly when in the open air (second day)

Extremities and surface of body cold

At times, when I would stoop, a sensation was felt of coldness in one spot, somewhat similar to the cold sensation experienced when a nerve in a tooth is touched, and was always followed by a clammy sweat

In a hot room a momentary chill runs from the face downward

Extremities cold

Extremities cold (after eighteen minutes)

Creeping-shuddering or horripilation in left forearm, running upwards (after one hour and one-third)

Heat. Great heat of body (second day)

Feverish and flurried, pulse 90,15.

Complained of heat and closeness of room, though that was airy, and thermometer 70° F., yet his pulse was normal

Slight heat of face and forehead, especially left side, with pressure in left temple, seemingly on the surface of brain (soon after)

Sweat, Woke up in middle of night, and found he was bathed in perspiration (second day)

Cold sweat

Skin covered with cold sweat

When the giddiness was severe there were, in some instances, cold, clammy perspiration and feeble pulse

Cold, clammy sweat over face and hands

Conditions p. 604

Aggravation.

(Morning), On waking, dryness of pharynx, etc.

(In open air), Discharge from nostrils.

( Walking in open air), Pain in region of ovary; feeling in lungs, etc.

(In cold room), Discharge from nostrils.

( While drinking ice-water), Contraction of oesophagus.

(Hot room), Frontal headache.

(Jolting when riding), Pains in small of back.

(Leaning forward). Heaviness in head; pain in temple, etc. ; pain in shoulder.

(Light), Headache.

(Motion), Dizziness ; soreness of hypochondria.

(Noise), Headache.

(Continued pressure), Headache.

(Reading), All symptoms.

(In room), Vertigo returns.

( While sitting), Stitch in inguinal region.

( Walking), Bowels feel sore ; lameness, etc., of right shoulder; pain in right thigh.

(After walking about), Rumbling in bowels, etc.

Amelioration p. 604

(Morning), More appetite.

(Fresh air), Amelioration ; frontal headache.

(After breakfast), Soon, headache disappeared.

(Indoors), Discharge from nostrils ceases.

(After hearty lunch), All symptoms, except frontal headache.

( While moving about), Headache disappears.

(Pressure), Feeling in head ; pains in small of back.

(Momentary pressure), Headache.

(After raising liquid from stomach), Wind in stomach.

(On rising), Pain in supraorbital ridge ceases.

(Smoking), Head-pains, sore throat.

(Green tea), Headache.

(Wind), Cools heated brain.

Footnotes p. 602

† Arsenicum had no effect on the eruption. Prover had the itch some eight or nine years ago, which was cured hy the external application of Sulphur. The present eruption looks very much like the itch, but the insect is wanting. Rhus and Sulphur were given, but exerted very little influence over the eruption. It gradually got better without treatment, and disappeared in about three weeks.