Cuprum Arsenicosum

Arsenite of copper; CuHAsOg (Scheele’s Green). (Some of the cases of poisoning may be due to Schweinfurt Green, a double salt of arsenite and acetate of copper.)

Preparation, Triturations.

Aidhorities. 1, Dr. James Blakely, Hahn. Month., 3, 571 (Blakely’s provings, potency given in brackets after each symptom) ;§ 2, Dr. R. C. Smelled, ibid.; 3, Dr. C. W. Boyce, ibid.; 4, Dr. George S. Foster, ibid.; 5, Mr. L., ibid.; 6, A. Chevalier, “ Le Cuivre,” p. 47, poisoning of a child by licking a shell covered with Scheele’s Green, from J. de Conuaiss. Med., 1840; 7, same, effects on workmen; 8, same, poisoning of three persons by strawberries from a vessel colored with Cup. arsen.; 9, Finnel, a woman took some to commit suicide, N. Y. Med. Rec., 4,16; 10, Leave, a woman took “ten cents’ worth,” same, p. 70; 11, Br. and F. Med.-Chir. Rev., 1851, poisoning (three cases) by confectionery; 12, Fergus, Fond. Med. Gaz., 1849, poisoning of three children ; 13, Trill, Fond, and Edin, J. of Med. Sc., 1851, a child ate some ; 14, Unfelt, Henke’s Zeit., 1846, effect of taking a large amount in some beer (Fr. Mag., 3, 109); Fewinstein, Woch. f. d. Ges. Heilk., 1842, a child ate cake colored with it; 16, Br. J. of Horn., 19, 332, effect on a worker in it; 17, same, a second case ; 18, Fiedler, Hygeia, 10, 472, a girl aged 3 years ate some of the green coloring ; 19, Bully, Fond. Med. Times, 1849, p. 507, a girl and a boy poisoned by eating candies colored by Cupr. arsen.

Mind p. 29

Eniotionnl, Child began to cry

Uttered piercing screams, and ran about the room (after half an hour)

Great anxiety,^®. Irritable and feverish (2)

Intellectual.

Confusion of ideas (12), (after thirty-five minutes),h

Head p. 29

Vertigo. Vertigo, confusion of ideas, and ^headache feeficeen the temples (after thirty-five minutes), (12)

Dizziness,^] (2)

Sensation as of gentle rotary motion in the brain, after studying (3)

Slight reeling sensation in the brain after studying (6)

General Head. Dulness and confusion of tbe head

Dulness of the head, with pain, worse in the left temple (11), (after three-quarters of an hour)

Dulness and soreness of the head in the morning, after wakbig

General feeling of dulness in the head (2)

Dull heavy pain in head the entire evening (12)

Headache; (30)

Headache is very severe all the evening, and the bones of the face very sore (12)

He could not sleep until 2 a.m., the headache continuing very severe (12), (after two hours and three-quarters)

Dull headache all the forenoon (12)

On awaking he had the same dull headache as on the previous night (11)

General dull headache (11)

Fulness of the head (2)

Immediately after taking the fourth dose, experienced a fulness in the head; the brain seemed to expand and press against the frontal bone (10)

After reading an hour, experienced a distinct and rolling sensation in the brain; felt as if I might tall forward ; the sensation passed off while walking in the open air and talking (12)

Headache, particularly in the forehead, but the entire head feels as if bruised.

The headache, which had disappeared during rest (sitting), reappeared very severely while walking up and down the room, and again subsided during rest; several repetitions produced the same aggravation and amelioration (12)

The aggravation of the headache by motion and the amelioration by rest were frequently verified

The headache, which had again subsided, reappeared in consequence of walking upstairs (12)

The headache disappeared while sitting, but returned very severely while walking up and down the room

Forehead. The headache finally settles in the right side of forehead.

Very severe headache all over the forehead, but especially in both temples (12), (after twenty-eight hours)

Headache very severe, with dull pain in the forehead, Avith soreness of the orbital bones, after retiring to rest (12), (after five hours),*. Headache becomes very severe, spreads over the entire forehead, and finally settles in right side of the forehead and over the temporal bone, and becomes dull and throbbing (afterforty-five minutes), (12),b

Dull pain in forehead (H), (after three hours and a half),b

Dull pain over the entire forehead, but most severe in the right temple (10),b

Headache between the temples. The pain seems to meet in the centre of the forehead, and thence to pass down the nose (12),b

Temples Severe, dull pain in both temples (12), (after twenty-seven hours and a half),b

Severe pain in the left temple. Sharp pain in the temples, hut worse in the left (3),b

Slight, darting pains in the temples,b

Throbbing pain in the right temple (11), (alter two hours),b

Soreness of the right temple, when pressed against the pillow (12), (after twenty-nine hours),b

Tdrietcils, Soreness of the iDones of the left side of the head and face (11), (after two hours and forty minutes),b

Occiput. Dull, heavy aching in the back part of the head (2),b

Dull soreness in the right occipital bone, aggravated by pressure (12),b

Extcmial Head. Itching in the head (8),b

Itching of scalp at night (2),b

Itching of the scalp in the evening and at night,b

Eyes p. 30

Eyes dirc,'b

Eyes comatose

Eyes swollen in the morning,^b

Ovbit. Persistent boring pain in a small spot above the left superior orbital arch, with soreness of arch when touched (12), (after thirtyone hours),b

Soreness of the left orbital bones, and of the left side of the nose (12), (after fifty-five minutes),b

Severe sharp pain in the superior arch of the right orbital bone (12),b

Soreness of the left superior orbital arch when touched

Vision. Black specks before the eyes (2),b

Head p. 30

Frequently there is a dull, rather severe pain in the right internal meatus (12),b

Boring pain in the right ear; sharp pain in the temples, worse in the left; pain in the lumbar region, and in the anterior portion of the right thigh ; chilly feeling over the entire body; skin is sensitive to contact with the clothing, which produces a chilly sensation (12),b

Dull soreness in the right internal ear (12), (after one hour),b

Nose p. 30

Soreness of the left side of the nose (11), (after fifty-five minutes)

Nose sore inside, and discharging freely,'b

The bones of the nose are very sore, especially when pressure is made upon them (12), (after twenty-five hours and three quarters)

Irritability of, with discharge of fluid from, the mucous membrane of the nose, with abundant salivation

Face p. 30

Objective. Paleness of the face, with hot forehead

Pale and anxious

Face pale, sunken

Countenance became pale and emaciated,'b

Pale, disfigured countenance (after half an hour)

Face deathly pale,'b

Face livid

Distorted features

Twitching and jerking of the facial muscles of the left side, between the eyes and the corner of the mouth, which was very violent (2),b

Soreness of the bones of the face (12)

Soreness of the bones of the right side of the face (12)

Lips. Lips of a bluish tinge,'b

Chin. Intermittent and throbbing pain in the right half of the inferior maxillary bone (12), (after one hour)

Mouth p. 30

Teeth. Pain in the right upper and left lower molars,®._ Shooting pain in the upper molars of the left side, extending upward into the superior maxillary bone (12),b

Twitches of pain in the right upper posterior and left lower posterior molars, more protracted in the former, but more acute in the latter (3)

Gams. Tenderness of the gums,'®'b

Ton fjiie. Tongue white

Tongue much coated (2),b

The back part of the tongue is very thickly coated (2),b

White coating on the tongue (2),b

Tongue coated white (2),b

Tongue heavily coated brownishwhite (2),b

Tongue tremulous, covered with mucus

Peculiar tremulousness and coolness of the tongue (2),b

Taste. Taste bitter

Metallic taste (2),'^; (12)

Speech. Difficulty of speech (after over an hour)

Throat p. 31

Burning, extending from the stomach along the oesophagus to the mouth,'h

Rolling about the floor in intense pain, which she described as burning her throat and bowels (over an hour)

Soreness of the throat

Child refused to take anything, probably from the inability of deglutition

Stomach p. 31

Appet ite. Did not taste food with usual relish fora few days,^l

Loss of appetite,*® No appetite (2),h

No desire for warm food, cold is bettm- relished (3)

Thirst, Thirst

Much thirst

Great thirst

Urgent and distressing thirst,*l

Intense thirst

Violent thii-st (after half an hour)

Thirst, which is unusual for me; have a desire nowfor water cold several times a day ; a wineglassful suffices each time (3)

The thirst continued for several weeks after taking the last medicine

Eractatioii. Much eructation of wind (2)

sea and Vomiting, Nausea in the evening, with lameness of the back (3)

Nausea on awaking, with bitter taste (3)

* Nausea, with headache between the temples.

Nausea and vomiting

Nausea, with burning pain in the stomach and bowels; palpitation of the heart, with trembling of the limbs; headache, particularly in the forehead, but the entire head feels bruised ; jerking in the limbs (cured by 6th and 12th).

Slight nausea and a little unsteadiness of the head, particularly after study-

Constant nausea

Violent nausea

Suddenly seized with violent sickness, and vomiting of a light-green substance like bile diluted with water. They both continued vomiting the same green fluid every ten or fifteen minutes during the day, until what they brought up appeared to be clear bile, mixed with the water they had constantly been taking in copious draughts

Vomiting (soon)

Vomited several times

Repeated attacks of vomiting

Suddenly vomiting supervened, and the mother could detect some small pieces of the ink in the rejected matters, which were of a whitish color and of a slightly viscid consistence ; repeated every five minutes

Vomiting, returning at intervals with much severity

Violent vomiting,**; (after half an hour)

Stomach. Empty, vacant feeling in the stomach (12), (after thirty-five minutes)

Distress about the stomach, soon

Severe pains in stomach and bowels

* Burning in the stomach (12), (after one hour and a half)

Burning sensation in the stomach

Cramps in the stomach and bowels, followed by tonsillitis.

Cutting pain in the stomach while eating (12)

The stomach is sore, as if it had been bruised (12)

Great sensitiveness of the epigastric region to the slightest touch

Epigastric region exceedingly sensitive

Abdomen p. 31

Objective. Squeezed his abdomen with both hands (after half an hour)

Distension of abdomen (after over an hour)

The whole abdomen meteoric, very painful to touch, but especially over the region of the liver

Abdomen hard

Rumbling in the bowels; sharp quick pains in the lower bowels (2)

Abdomen flatulent, without being painful

Subjective. Pain in bowels, followed by copious but natural stools, after which the pains abated

Violent pains in abdomen

There has been a constant unpleasant Warmth in the abdomen since taking the medicine, and which sometimes becomes a severe burning (12), (after twenty-five hours and a half)

Very severe cramps of muscles of abdomen and lower extremities (after over an hour)

Natural stools, after which he had severe dull pains of a griping character, with a slight burning in the abdomen (^12), (after nineteen hours and a quarter)

Pains in the abdomen, sharp and cutting, Avhich afterwards subside into a dull soreness, followed by an unpleasant Avarrath in the abdomen, and a severe burning in the stomach (12), (after one hour and a half),h Pains in the abdomen simulating those of flatulent colic (12),h

Pains in the hypogastrium (after half an hour)

Stool p. 32

lyiarvlima. Diarrhoea (after half an hour),®. Diarrhoea occasionally

Copious diarrhoea, at the end of which the child recovered

Violent purging

Bowels very much relaxed for eight or ten days, sometimes acting six times daily

Two diarrhoeic stools in halt an hour

Constipation'(2),h

Urinary Organs p. 32

Urethra. A gonorrhoea, of which he supposed himself cured (and from wdiich he had been entirely free for six months), returned with the following symptoms: Dark-red urine; burning pain at the orifice of the urethra during and after urinating; white purulent discharge from the urethra; soreness of the penis, with pain in the prostate gland; redness of the lips of the urethra, with tingling and burning; agglutination of the lips of the urethra; perspiration of the scrotum, which is constantly moist and damp; soreness of the under surface of the penis when pressed (12)

3J[lctarltiOil. Urine scanty, orange-colored

Urine. The urine had a slight odor of gplic (3)

In the afternoon the urirve had a strong odor like that of garlic (6)

Respiratory Organs p. 32

Voice. Voice altered

Respiration. Bad breath (2)

Respiration short and oppressed

Chest p. 32

Oppressed feeling about the chest during the past few days; it feels as if it were constricted (2)

Sense of weight on the chest and difficulty of breathing

Dull soreness in the right side of the chest, with dull pains in the back (11), (after two hours and a quarter)

Pains in chest and hack aggravated by deep inspirations.

Heart and Pulse p. 32

Clears Action. Pulsation of the heart moving the wall of the chest up and down

Pulse. Pulse more frequent

Pulse small, rapid, very irritable

Pulse small, weak, rapid

Pulse extremely feeble and rapid

Pulse feeble

Pulse faltering at wrist

Neck and Back p. 32

JS^eck. Moving the head aggravates the pain in the neck.

* Lameness of the back (3)

Stiff lame feeling in the back, which was better until after moving about, and returned after sitting awhile (3)

Moving about aggravates the stiffness and lameness of the back, which had been better during rest; it returned after sitting awhile

Dorsal. Severe pain under the lower angle of the left scapula, worse when moving or breathing; cannot take a full breath without aggravating the pain (2)

Soreness of a small spot in the left scapula, extending into the left lung, followed by a dull sticking pain in the left chest, between the sixth and seventh ribs, somewhat aggravated by deep inspirations, with a weak numb feeling in the left chest, left side of the back, left shoulder, and arm (12), (after fifteen minutes)

Lnnihar. Lameness of the lumbar region

Pain in the right lumbar region, and in the anterior portion of the right thigh

Extremities in General p. 32

Spasms in the extremities

Superior Extremities p. 32

Constantly moving the arms up and down and from side to side, with trembling of the fingers

Shoulder. Numb, weak feeling in the left shoulder and arm (12), (after fifteen minutes)

Forearm. The left arm feels numb and powerless, and a similar sensation soon afterwards appeared in the left leg (12)

Peculiar numb feeling in the left arm and hand, with pain in the internal surface of the arm, and tingling of the palm of the hand and of the fingers, increased by motion, and continuing one hour (2), (after twenty-five minutes)

Mands. The hands, especially the palms and the roots of the nails, were stained of a greenish-yellow color

Inferior Extremities p. 33

Whe walking, the limbs ache; his gait is unsteady, and the debility is increased (12), (after two hours)

Pain in the anterior portion of the right thigh,l

Generalities p. 33

OhJectire. Weakness

General debility, want ot energy, and indisposition to do anything (12)

Considerable debility

Sudden debility, with dull pain in the iieai’t, and sensation of oppression around that organ; the left chest feels too small; he takes long involuntary inspirations; there is an empty feeling in the stomach, with vertigo, confusion of ideas, and headache between the temples (12), (after thirty-five minutes)

Complete prostration

Extreme prostration,'-.

Restless, with anxiety about his life

Very restless; nervous (or rather nerveless), (2)

Much more nervous than formerly

Highly nervous

Sabjeetive. Feeling of weakness (12),l

Began almost immediately to feel ill

Felt better after awaking.'-

Skin p. 33

Objective. The skin of the palms of the hands is of a yellowish-green color, being stained with the green dye

Eruptions Mry. An eruption appeared four or five days after beginning to use the pigment. It began in the form of greenish pimples over the hands and face; these bursting, left holes having eroded edges. Has also eruptions on the scrotum and groins. The eruption entirely disappeared in two or three months after leaving off the use of the emerald green

Eruptions 3Ioist. Vesicular and pustulous eruptions, sometimes followed by very painful ulcers, and finally by erythematous swellings

Eruptions, Eustular. Pudular tumors on the wrists and ankles, and excessive sensitiveness and irritability of the skint.

Sores broke out in various parts of the body ; on the hands, forehead, behind the ears, at the roots of the nails, and on the scrotum, the sores presenting a dark and very unhealthy appearance (after fourteen days)

Subjective. Skin is sensitive to contact with clothing, which produces a chilly creeping sensation (3),l

A chronic itching, which has been a little annoying at times, is materially aggravated; it is felt only in the arms and legs (9)

The itching of the arms and legs very much increased; small thickly studded elevations, which bleed after scratching; scratching aggravates to such a degree as to be almost unbearable (3),I

The itching of the arms and legs has been so persistent during the day, but more particularly when undressing at night, and often when in bed, that nothing but severe rubbing with a hard, coarse, prickly instrument, tearing off the cuticle, and converting the itching into a soreness, would give the slightest relief

This chronic itching of the skin, but only in a slight degree, I have, at times, experienced as long as I can remember, but never was such raking necessary to allay the itching, which was intolerable without it

The itching is very severe in the evening, and often when in bed,l

The itching remained unabated for several weeks after the last medicine was taken,I

Sleep p. 33

Sleep disturbed and unrefreshing

Felt better after awaking (3j

Fever p. 33

Chilliness. Skin cold

Chilliness all overthebody (11)

Chilly feeling over the entire body (3)

Chilly, creeping sensation, produced by the contact of the clothing (3)

Remained cold and drowsy for eight hours, vomiting at intervals

Extremities cold,'®

Extremities very cold/l

Feet and legs gradually becoming cold/®.

Heat. Generally increased temperature of the skin/®.

Sweat. Covered with a cold clammy perspiration (after an hour)/

Conditions p. 34

Aggravation.

(Morning), After waking, dulness, etc-, of head.

(Evening'), After retiring to rest, headache, etc.; itching of scalp; itching of limbs.

(Night), Itching of scalp; when undressing, and often in bed, itching of limbs.

(Motion), The symptoms ; headache; stiffness, etc., in back; pain under scapula ; feeling on arm, etc.

(Scratching), Itching of limbs.

(After stools). Pains in abdomen.

(Studying), Nausea, etc.

Amelioration p. 34

(Forenoon), All symptoms.

(Rest), The symptoms; headache.

( Walking and talking in open air), Distensive sensation in brain.

Footnotes

† Not found.—Hughes. J Original corrected by Huo-hes.

† Symptoms without authority are so given in the original. °