Cuprum

Preparation, Triturations of the metal.

Authorities:\ 1, Hahnemann, Chr. Kr., 3, p. 212; 2, Franz, ibid.; 3, Fr. H-n, ibid.; 4, Herrmann, ibid.; 5, Ricker, ibid.; 6, Easier, Recueil period., 1775, HI, 202 (“nothing about Cupr. here.”—Hughes); 7, Falconer, on Bath-waters, observed in workers with copper; 8, Tondi, Inst, de Chilli., Isap., 1778, not obtainable; 9, Horstius in Schenk, VII, 223, not found ; 10, Lazorme, De Morb. Cup., p. 253, not obtainable ; 11, Pelargus, no reference; 12, Ramazzini, De Morb. Artif., c. b. as Falconer; 13, Sicelius, Dec. Obs., IV, case 8, not obtainable ; 14, Voigtel, Arzneimittellehre, general statement from authors ; 15, Wedgel, in Pyl’s Mag., 1,1, not obtainable; 16, Weinholt, Heilk. d.Thur. Magnet, Th., II, 484, not obtainable; 17, Willich,iu Pyl’s Mag., I, 4, 667, not obtainable; 18, Berridge, proving by Miss-with Cm. (Fincke), Am. Observer, 12, 307 ; 19, B. Fincke, proving by Therese S., aged 9, with I”*, lO"*, and 44™, Hahn. Month., 2,13 ; 20, same, proving by M. S. with 50“; 21, William Budd ; boy, jet. 3, swallowed a cent, Phil. Med. Museum, 1806 ; 22, Jas. Jackson ; a boy, swallowed a half-cent, N. E. Med. Journ., 3, 156 (1812); 23, effects on a man, aged 45, of working in copper for six months. Lancet, 1830, 233; 24, R. Corbet; girl, aged 7, swallowed a copper coin, Lancet, 1831, p. 294 ; 25, Percy Dickens; boy, aged 10, swallowed a copper coin, Lond. Med. Gaz., 1844, p. 885; 26, Blondes, general effects on workers, Lond. Med. Gaz., 36, 745 (Gaz. Med., 1845); 27, T. W. Foster, poisoning of a child, aged 14 months, by percussion caps, Med. Times, 1847, p. 512 (B. J. of Horn., 33, 106); 28^

I Symptoms from Hahnemann's provers are here included (as in the chronic diseases), with instructions to prepare the pure meal. Hahnemann, in his Fro-- menta,1805, gives symptoms under the heading of “ Cuprum vitriolatum,” included here under C sulf., and in 1824 contributed to Franz’s collection in the Archiv. f. Horn., where “Cuprum aceticum ” is directed to be used. Franz’s collection also includes symptoms by Franz, Fr. H-n, Herrmann, and Kuckert, as well as various poisoning cases contributed by Hahnemann. Whether or not there is any essential difference in action between Cuprum metallicum and its ordinary salts, the collections here furnished will assist in determining. Tardieu, chronic effects on a copper founder, aged 45, Bull. d. 1. Sac. Med. Horn, de France, 2,35, from Aon. d’Hyg., 1854 ; (29 to 35 Corrigan’s cases of poisoning of workmen, Dublin Hosp. Gaz., 1854, from Dr. Berridge’s collection of cases of Cup.) 29, a brass founder; 30, engine-driver had to clean and file copper and brass; 31, engineer’s hands constantly immersed in a compound of oil and filings; 32, shoemaker using brass pegs, which he constantly files and puts in his mouth ; 33, a brazier, constantly handling old and new copper; 34, a man who bought copper, iron, and tin, and used to rub the dust off with his hands; 35, Correa, effects of chronic poisoning on the gums of workers in copper, from same; 36, Stanislas Martin, effects of working in copper for five months, Journ. de Med. et de Chir., 1856 (from Dr. Berridge’s collection); 37, Oppolzer, chronic poisoning of Avorkmeu, Dent. KL, 1859 (from Berridge); 38, Amyot, poisoning of a lady by water from a copper kettle (copper found in water), Med. Times and Gaz., 1859 (from Berridge); 39, Perron, effects on watchmakers, Med. Times and Gaz., 1861; 40, same, effects on a woman (“ finisher”), aged 26, from L’Hahnemannisme, 3, 447 ; 41, poisoning of a man by a solution (from Berridge); 42, Harley, case of colic in a copper-plate printer, third attack. Lancet, 1863 ; 43, effects on two boys working in copper. Bull, de Ther., 65, 80 (from Berridge) ; 44, C. Maisonneuve, effects on sixtyeight workmen in naval arsenals, Archiv. de Med. Naval, 1865 (Ranking’s Abstract, 41, 31); 45, Canton, chronic effects on sixteen coppersmiths, from inhaling particles or fumes, Med. Times and Gaz., 1868 ; 46, Nicholls, poisoning of child, set. 5, by Swallowing a half-penny, St. George’s Hosp. Rep., 1869 (from Berridge); 47, John Morgan, poisoning of child, aged 4, by swallowing a penny, Br. Med. J., 1873 (from Berridge); 48, poisoning of a boy, aged 6, by swallowing a copper coin weighing about 3 scruples, Horn. KL, 1, 10; 49, Bing, a boy swallowed a copper coin, Eichorn. Med. Corr. Bl., 1844, from Frank’s Mag., 4, 122; 50, Mayrhofer, from triturating the one-fiftieth, from Hering’s monograph on Cup. (Mat. Med., I); 51, Schnitzler, case of chronic poisoning, from Hering ; 52, Falconer, London, 1774, case of a man working at cleaning brass wire, compare No. 7 ; 53, Berridge, N. Am. J. of Horn., M. S., 3, 504, proving with Cm. (Fincke), one symptom; 54, Cooper, effects on an engraver from wiping off copperfilings on his lips from the style. Month. Horn. Rev., 15, 392; 55, Person, effects of working in copper, N. A. J., 5, 262.

—EiHOtioudl, Immoderate laughter in the evening,'.—Spasmodic laughter,'.—Very cheerful; at night especially full of fun and laughter (curative action),'®.—Crying like the croaking of frogs,®.—Melancholy ; she shuns the sight of people, seeks and loves to be alone, and becomes anxious about her death, which she supposes imminent and inevitable,'.—Great depression of spirits,®L—^Slight attacks of deathly anxiety, without heat,\—Fearful; want of courage,®'.—A kind of fearfulness; it seems as though he must tread lightly, in order to avoid injuring himself or disturbing his companions in the room,'.—[10.] Feeling of general irritability,'®.—Fretful; he does not know what he wishes; he desires to be alone; after some time this changes to cheerfulness, but the fretfulness soon returns,L—Aversion to everything,®.—Irresolute; satisfied with nothing; this only lasts as long as he is fretful,*.—Apathetic and inert,*®.—lutellectlKll. Disinclination to work, yet idling is burdensome to him,*.—Loss of ideas, weakness of memory (after two hours),*.—Confusion of mind; is fearful, and endeavors to escape,®.—Senselessness; it seems as though he were in a half-waking dream,®.

Head p. 6

Vertifjo. Vertigo .

Vertigo immediately, accompanying all the symptoms, as though it Averse turning around in the head, and as though he would sink forward

Vertigo, with weakness, the head sinks forward ; worse while moving, less while lying

Vertigo on reading ; heaves obliged to remove the eyes from the book for some time * \erugo on looking up, with vanishing of vision, as though a veil were before the eyes

Attacks of vertigo

Giddiness

All complained of giddiness and lassitude, and a disinclination, Avhen not at Avork, to take exercise, or to go about as other workmen

General Head. Inflammation of the brain (phrenitis)

Dulness of head; a sweetish metallic taste,and saliva running together in mouth ; the throat gets dry, with a sensation os if constricted when swallowing (while triturating the precipitated dust Avith sugar of milk, 2 grains to 98)

Sensation of heaviness in the head

Heavy sensation in the head, Avith a fine stitching in the left shoulder, on moving it from side to side

Most of them complain of pain in head,^“. Headache, Avith inclination to vomit

Slight headache

Most violent headache

Drawing pain in many places in the head, with a Whirling vertigo, only relieved by lying down, Avith general sick feeling; he does not himself know hoar he does feel

A stitch through whole head, from the forehead near the hair backwards (second day)

Bruised pain in the brain, and also in tie orbits, on turning the eyef.

Forehead. Weight in right forehead

Pressing pain at forehead

Pain, as from pressure of the brain outward in the forehead, especially on stooping, Avith confusion of the head like a dulness

Sharp burning stitches in the left side of the forehead (after sixty hours)

Temples. A hard pressure in the right temple, Averse when touched

A hard pressure in the temples, frontal eminences, occiput, and also Within the brain, Avith vertigo; aggr- Aated by motion and touch

A tearing pressure in both temples, Averse when touched

A pressive-drawing pain in the left temple, worse when touched

Sharp burning stitches in the left temple and on the Vertex (after fifty-four hours)

Vertex. '^Crawling sensation in the vertex

Parietals. Pressive pain, first on the right, and then on the left side of the head

Stinging, as Avith a needle, in right side of head ever since morning (second day)

A cutting jerk in the left side of the head (second day)

(Headache in the parietal bone, especially on taking hold of it even to crying out)

Occiput. Burning tearing in the occiput, at the attachment of the cervical muscles, on moving the head forward

Fxtemial Head, Hair colored green

Hair changed from Avhite to green

Face p. 6

Ohjeetive. Weary-looking eyes encircled with blue (after a few days)

Dim eyes (inclined to close from Weakness)

Blue margin around eyes

Protruding, glistening eyes

Eyes sunken

Eyes hollow and glazed

Eyes Wandering about

Subjective. A sore burning pain, nov in one, now in the other eye

Pressive pain in both eyes, as from watching over night

Burning pressive pain in the eyes

Violent itching in the eyes towards evening

Orbit. Headache restricted to the orbits

* Pain in the orbits as if bruised, on turning the eyes

Lids, Pressure in the lids, on closing the eyes as Avell as on opening them, Averse on touch

Coajanetiva. Conjunctiva injected

Ball. Itching in the eyeballs

Pupil, Dilated pupils

Preternatural dilatation of the pupils, not perceptibly lessened by exposure to a strong light

The pupils are insensible; they contract Aery little in the light and dilate very little in the dax’k

Head p. 7

External, Fine tearing in the cartilage of the left ear (after two hours)/.

Pressure in the right concha, as from something hard

Znternal. Boring pain in and behind the ear

Sticking pain in the right ear

Pain in the ears ; a pressive tearing within the right ear (after seven hours),k

Frequent itching in the ear

Hearhlff. ^Distant drumming in the ear upon ^which he is lying, in the morning, in bed, always disappearing on rising

Fluttering in the left ear (after a quarter of an hour),k

Nose p. 7

Object ire. Very frequent sneezing

Coryza and stopped coryza, with sleepy yawning

Profuse fluent coryza

Sensation as of great rush of blood to the nose

Internal itching in the nose

Smell, *Loss of smell

Face p. 7

Objectire. Expression of suffering in face

Expression anxious

Complexion haggard ; look miserable

Countenance rather wild

Appearance unhealthy ; complexion dark and sallow

Aspect rather unhealthy and pale

Most unhealthy-looking countenance; complexion of a leaden hue

Appearance remarkably cachectic

Peculiar cachectic appearance during convalescence from fever

Paleness of the face

The color of the face becomes pale

Pale cachectic color of the face, U]-- Pale, dirty, shining color of face (after a few days)

Looked pallid (after three months)

Face rather pallid and thin

Peculiar sallow, almost clay-colored complexion

Complexion leaden (third day)

Pale-yellow coppery color of face

Greenish-yellow tinge of countenance

Icteric coloring of the face and surface generally

Became jaundiced (sixth day)

Pale, puffy face

[HO.] Greenishyellow color of face

* Bluish face, with blue lips

Redness of face, with heat, and sometimes cold, running over body (second day)

Face swollen and discolored

Face swelled and pasty

Face sunken, emaciated, greenish-yellow color

Subjective, Pressive pain in the face in front of the ear

Stitches in the right side of the face

Pain, as from a thrust in the left side of the face

Cheeks, Blue tint over cheek-bones (denoting deficient hematosis)

Lips. Pale lips (after a few days)

Lips livid

Soreness within the upper lip

Chin. Drawing beneath the chin from without inward, worse when touched

Hard pressure in the left ramus of the lower jaw, worse when touched

Drawing pressure on the right side of the lower jaw, worse when touched

Dull stitches in the left lower jaw extending inward, and at the same time in the left tonsil, when swallowing and when not, aggravated by external touch

Mouth p. 7

Teeth. Teeth slate color, particularly on edges

Teeth colored more or less green, and almost bronzed

All of them had a green stain on their teeth, of different shades of color, varying from a light bright-green to a dark greenish-brown

A dark greenish-blue line on the teeth

Teeth coated with a crust of sulphuret of copper

One tooth after another fell out in a row, particularly in the upper jaw, without salivation

Gums. The tongue is tolerably clean, but round the gums there is the characteristic purple line of copper poisoning

An edging of rich purple on the margin of the gums of the incisor, canine, and bicuspid teeth of both jaws. This purple color corresponds in situation precisely with the coloring produced by lead, but the tint of color is so different as to decide at once whether it has proceeded from copper or from lead, for while the color produced by lead is of a pure blue, that from copper is a well-marked purple, and even sometimes a reddish-purple. The tint ot color produced on the gums remains a very long time

Gums lax and spongy for about three-sixteenths of an inch from the teeth, through nearly their whole extent

Gums soft, with patches of purplish-red at their juncture with the cheeks,®f

The black line on gums distinct in each case, and in one the gums were also swollen and ulcerated at their edges,^'*. Retraction of the gums

Edges of gums withdrawn from the teeth through nearly their whole extent

Tongue. Tongue furred

Foul tongue (after three months)

Foul, dry tongue (third day)

Pale tongue, with a thin, whitish coating (after a few days)

Tongue white in middle, red at edges

Tongue coated with a light-browm or cream-colored fur, except the edges and tip, which were clean and of a pale-red color, the whole tongue being moist

Dry tongue

General 31outJl. Mucous membrane of mouth pale; inside of lower lip and part of upper lip, mostly on places where the teeth had made an impression, dark-blue; teeth slate color, particularly on edges

Occasional spitting of blood from mouth, especially in morning on rising from bed

During recovery, acids of any sort, fruit, etc., gave the tingling sensation of a galvanic current to mouth and teeth

Mouth sore, with little blisters on the mucous membrane

Salivfl. Saliva accumulates in mouth; throat dry (while triturating the precipitated dust with Sach. lac., 2 grains to 98)

Great flow of saliva from mouth (almost immediately)

Salivation, which increased to nearly one pound in twenty-four hours, and continued at the rate of about a pint a day for four days; it appeared to be pure saliva, attended with some swelling of tongue and salivary glands (second day)

Abundant salivation (third day)

Collection of water in the mouth (immediately)

Much mucus in the mouth, in the morning

Frothing from the mouth

Tufite, Peculiar sweetish taste in mouth

Sweetish, metallic taste

Disagreeable and nauseous taste in mouth

Bitter taste in mouth

Bitter, nauseous taste (after a few days)

Sourish taste in the mouth the whole afternoon, as though the tongue had been held against iron

Salty, sour taste in the mouth, in the morning

Coppery taste and troublesome burning in the throat

Food tastes like simple water

Sxteech. Loss of speech

The ability to speak returned later than consciousness; she lay in a condition of consciousness, without being able to speak

Throat p. 8

Throat dry

Dryness of throat (while triturating the precipitated dust with sugar of milk, 2 grains to 98)

Sensation of a foreign body at the anterior surface of the throat, by which the pharynx was being compressed

Some have a feeling of constriction and an acute pain in throat

Fine sticking pain in the throat (after twenty-two hours)

Sore throat (second day)

Slight sore throat

Fauces Pharynx and (Esophagus. Slight constriction of fauces, attended by a slight sense of nausea

* Audible gurgling of drink down the throat, while drinking

Constriction of pharynx (after a few days)

External Throat. Swelling of the glands of the right side of the neck, painful to touch

Pain in the thyroid cartilage

Stomach p. 8

Appetite. He eats very hastily

Desire for cold rather than warm food

Appetite bad

Very little appetite

Diminution of usual appetite, which at length entirely failed

Loss of appetite ®* ** etc.

Total loss of appetite

Total anorexia (after a few days)

His appetite left him ; then his strength became reduced, the whole body emaciated ; then he became fearful, showing a want of courage; bowels alternately costive or loose; and finally violent colic about fifth or sixth week,^h

No appetite in the evening, eight hours after dinner, h

Thirst, Great thirst

Great thirst; no appetite

Excessive thirst (third day)

Burning thirst (many csL?es)

Eruct(ffiou and Hiccough/ji, Eructations the Avhole afternoon and evening

Eructation and rising up of mucus mixed with green lumps

Constant en(ctotto/is,'kt

Hiccough

Hearthavn. Usually in the afternoon heartburn, followed by bitter mucus in the throat

and Voniitinff. Nausea,"; (immediately),®, etc.

In all cases there is nausea

Feels very sick (nauseated)

For several weeks he experienced nausea whenever he attempted to swallow animal food, although he chewed it abundantly

Nausea, almost in the whole abdomen, extending up into the throat, most violent in the pit of the stomach, together with a putrid taste in the mouth, and sensation as though he would immediately vomit

Nausea, quickly succeeded by severe vomiting (soon)

Suddenly seized with nausea, and instantly vomited a large quantity (more than a quart) of fluid arterial blood (twentyeighth day). Bleeding again occurred to a considerable extent, and after throwing up a considerable quantity of dark fluid he became sensible of something passing in stomach, and thence into bowels (twenty-ninth day). Haemorrhage again recurred, and he suddenly sank in a state of compile collapse (thirtieth day)

Excessive nausea

Qualmishness, as if associated with intoxication

Constant retching

Violent retchings and nausea

Much of the time troubled with vain retchings (after twentyfour hours)

Repeated but useless efforts at vomiting.

Vomiting•, (many cases)

In some cases there is vomiting

Frequent vomiting

Frequent vomiting, with colic and diarrhoea, as in cholera

Forcible vomiting

Violent vomiting, with nausea and diarrhoea

Excessive vomiting, with colic and diarrhoea

Vomiting, preceded by slight nausea, though only of water, therewith much lachryraation

Greenish, bitter vomiting of mucus, preceded by nausea in the upper part of the throat, and accompanied by pressive pain in the stomach (after a few hours)

Vomited every kind of food about twenty minutes after taking it

Vomiting (within twenty-four hours) ; continued to vomit at intervals for eight days; and sometimes it was almost incessant for hours, and in the highest degree distressing. Threw off his victuals and some bile

Vomiting of bilious fluid

Frequent and copious vomiting of green bile, as the nurse thought, colored by verdigris

Blood in the matter vomited

Vomiting of blood without cough, with deep stitches in the left side of the chest (after three hours)

* Vomiting is relieved by drinking cold water

Stomach. Region of stomach puffed up, sore to touch

Epigastric palpitation

Weakness of the stomach

Epigastric sinking

Disposition to remove some offending substances from his stomach (unaccompanied by nausea), for the ejection of which he would frequently irritate the fauces with his finger

Sensation as of something bitter in the stomach

Pain in the stomach,**; (second day)

Most of them complain of pain in epigastrium

Excessive tormenting pains in the stomach and epigastric region ®.

Cardialgia

Many suffer from indigestion

Great heat in epigastric region

Cramp in the stomach, with colic, without stool

Pressure in the pit of the stomach, as from something hard, by itself, but more violent when touched

Violent pressure at stomach, with contractive pains at intervals (after a few days)

Occasional sense of weight and uneasiness in epigastric region, and rather towards right side, with sense of distension after mea]s

Peculiar sense of weight, weakness, and oppression in epigastric region

Gnawing, tine sticking pain in the stomach, as though he was pierced by needles (on returning to consciousness)

Dull stitches near the left side of the pit of the stomach, without affecting respiration

Stomach sore to touch,^®._ Irritability of stomach, especially after meals

Morbid sensibility of the epigastric and hypochondriac regions

During recovery the stomach remained sensitive and impatient of any but the most bland and simple milk diet

Abdomen p. 10

Hypochondria. Swelling of the liver

The hypochondria are painful,**.-^Drawing pain, extending from the left hypochondrium to the hip,h

Griping pain, extending from the left hypochondrium to the hip,h

Stitches in hepatic region in axillary line, obliquely through to pit of stomach (second day)

Darting from hepatic region to pit of stomach (third day)

TJnibilical. Often complained of pain in the abdomen, which seemed to be in the umbilical region

Pressive pain near the left side of the umbilicus

Cutting pains around navel, as if she would get diarrhoea, which, however, did not come (third day)

Cutting pains below navel, with three stools like water, the abdomen being painful on touch; recurring several times through the day (shortly after, and second day)

Tearing around navel about 10 a.m. (fourth day)

■ General Abdomen. Abdomen large

Distended abdomen

Distended abdomen, painful to touch

Tense abdomen

* Abdomen tense, hot, and tender to touch

Abdomen stretched like a board

* Abdomen draum in, and sore to touch

Slight infiltration of the abdominal walls

Spasmodic motions of the abdominal muscles

Inclination to waterbrash in the abdomen

Constant rumbling in the abdomen during sleep

A feeling in the left side of the abdomen, as if bubbles formed and broke, without pain

Pains in abdomen

Pains in the abdomen, causing anxiety

Great pain in abdomen, which is swelled and hard (fifth day)

Intense abdominal pain, with vomiting and purging of green matter (at once)

Cramplike pain in abdomen, as if drawn together with a fist, and urging to diarrhoea without effect, at 6 a.m. (second day)

Griping in the left side of the abdomen

Griping in the abdomen, after eating warm milk in the morning

Griping pains in bowels

Constant griping pains in abdomen

Coliclike griping in the abdomen, immediately after eating (green vegetables); relieved by rest and lying down, but followed by very great weakness

Cries with bellyache

Sharp drawing in the right side of the abdomen

A pressing together of the intestines, with a feeling of severe pressure from the upper and posterior part downward towards the left lower portion; worse when waking or from pressing upon it; not relieved after a stool, and returning every forenoon

Pressive pain in the abdomen, as from something hard, worse on touch

While sitting reading, was suddenly attacked with acute pain in abdomen ; felt “just as if some one had struck him violently in the belly pain not relieved by pressure; on the contrary, it is increased by it

Cutting in abdomen

Cutting and tearing in the intestines

Frequent pains shooting across abdomen and under ensiform cartilages

Obscure and colicky pains shooting through abdomen

Colic (some cases)

Colic, with remissions. The workman bends himself double to relieve it

Colic, attended with slight constipation

Acute colics (many cases)

Violent intermittent colic,®®I

Colicky pains

Two-thirds of the number stated that they had at one time or other suffered from pain seated at the upper and middle abdominal region. This painful sensation, which they termed colic, was increased by pressure; in some cases it Avas limited to the pit of the stomach, in others it was seated a little lower down, between the epigastrium and umbilicus, somewhat about the position of the transverse colon

Unbearable soreness of whole abdomen, Averse in paroxysms; remissions, however, only for a few minutes; abdomen much distended, and sensitive to the slightest touch; during this time one tooth after another fell out in a row, particularly in the upper jaw, Avitbout salivation. The next year the same colic and loss of teeth, and with it a trembling of limbs; after the third attack a perfect lameness; paralysis of right hand

Abdominal tenderness on pressure (third day),*h

Abdomen tender on pressure

Abdomen slightly tender oA^er its AAhole surface

Many suffer from enteritis

All the symptoms of most acute enteritis (after three days)

Hfjpof/dstriif m and Iliac Jtcffion. Dulness of the hypogastrium on percussion

Violent cramps in the loAAer abdomen and upper and lower limbs, Avith piercing complaining cries

Pressing dowiiAvard in the lower abdomen, as from a stone

A drawing pressure in the lower abdomen, as from something hard, aggravated by touch

Pain in left iliac region increased by pressure (after three months)

Rectum and Anus p. 11

Tickling in the rectum, as from pin-Avorms,h

Sharp sticking just above the anus,h

Tenesmus

Suffered greatly Avith tenesmus, Avith scanty, dark, pulpy motions

Stool p. 11

Diarrhoea. Diarrhoea

Many suffer from diarrhoea

In a vera few cases, diarrhoea

A kind of diarrhoea, though the fteces AAere not very thin

Violent diarrhoea

Diarrhoea or constipation

Diarrhoea alternating Avith constipation

Bloody diarrhoea

Eight or nine discharges from the bowels in an hour

The first alvine evacuations are often of a green color

(Castor oil produced several stools, some of them green), (second day),®h

The bowels not having been relieved. Castor oil was given, Avhich produced free evacuations containing traces of green matter

Painful green stools, xvith violent cutting and tenesmus (after a few days)

Three very offensive and copious stools, Avhich AAere uncommonly green. He derived some relief from these evacuations (fifth day)

Quantities of bright blood passed from the bowels

Constipation. Constipation

Constipation, Avhich ultimately became very obstinate

Obstinate costiveness, lasting from twentyfour to thirty-six hours (many cases)

Slow bowels

Bowels difficult to move,®®.^^stoppage of the bowels or excessive evacuations

Bowels alternately costive and loose

No stool for forty-eight hours (fifth day)

Urinary Organs p. 11

Urethra. Burning-sticking pain in the meatus urijiarius, when urinating and Avhen not

Urging to urinate, Avith scanty discharge and burning stitches or cuttings, especially in the meatus urinarius

Micturition more seldom and more scanty than usual

Difficulty in passing urine, consisting in a painful inability, requiring considerable time and effort to relieve the bladder

Urine scanty

Sexual Organs p. 11

The glans penis is inflamed, the penis swollen

Respiratory Organs p. 11

Voice. Voice trembling, stammering

Hoarseness, immediately on breathing the dry air

Constant hoarseness, so that he cannot speak a word, with inclination to lie down,*. Cough and Expectoration. Cough

* Cough, Avith interrupted, almost suppressed, respiration

Occasional cough

Occasional paroxysms of coughing, Without any physical signs of lung disease

Frequent cough

Very violent cough at night, followed by great hoarseness and chilliness, from morning till evening

* Very fatiguing cough, with blowing of blood from the nose

Short cough

[Dry cough]

Dry cough, without^interruption, on account of which he is unable to speak (immediately), . Short, dry, straining cough

Hard, dry cough, and night-sweats,®®. Cough, with expectoration of an offensive taste, in the morning,®.]] Slight cough and mucous expectoration

Frequent cough, with scanty expectoration, afterwards becoming obstinate and incessant, with purulent sputa

Cough, accompanied by viscid expectoration, occasionally tinged with blood

Cough, with bloody expectoration,^’h

Expectoration slightly purulent

Dark-colored, purulent expectoration

Attacks of hceinoptysis

Itespiration. Vesicular murmur weak, absent, or replaced by a subcrepitant rale

Subclavicular region comparatively dull on percussion ; in this region muco-crepitus is audible

Very rapid respiration

Very rapid respiration, with rattling in the bronchi, as if they were full of mucus

Shortness of breath

'■^Difficult, labored respiration

Oppression of breathing

Great oppression of breathing

Complained of being choked

Constant sense of suffocation, increased by walking and by fatigue, also worse in clamp weather

Dyspncea *®.

Spasmodic attach of dyspnoea; the chest feels constricted, respiration is difficult, even to suffocation; on remission of this spasm, spasmodic vomiting, followed by remission for half an hour

Asthmatic difficulties

Chest p. 12

Rattling in the chest while awake

Rattling in the chest, with discharge of bloody mucus from the nose and mouth (ceasing during the epileptic attack)

Constriction of the chest

Feeling as of excessive accumulation of blood in the chest, without palpitation

Sharp drawing pain, not affected by touch, in the cartilage of the sixth rib (after eleven hours)

Pressure as from something hare! on the cartilage of the third rib, worse when touched

Sides. Diminished elasticity on both sides of the chest, posteriorly

Pinching pain in the left side of the chest, extending to the hip

Pressive pain on the right side of the chest

Stitches in the side, preceded and followed by screaming, which interrupted sleep

Sharp stitches immediately beneath the heart, on the left side of the chest

Heart and Pulse p. 12

Prcecordium. Considerable dulness on percussion of the precordial region

Anxiety about the heart

Boring pain in the precordial vffou

Heart’s Action. Interval between the first and second sounds of the heart shortened by one-half; “ bruit de rappel

Very rapid action of the heart, lasting a quarter of an hour; soon after a light supper

Palpitation of the heart ®®.

Contractions of heart weaker

Palse. Pulse frequent

Pulse frequent and weak

Pulse small, frequent, and intermittent

Pulse quick and thready

Pulse 90,®®.

Pulse ranged from 58 to 62, rather slow, moderately full and regular, but weak

Weak and small pulse

Neck and Back p. 12

Neck. Considerable enlargement, with induration of right cervical glands

Tensive pain in the nape of the neck *._ A pain arises in the muscles at the point where the neck and back unite on moving the head backward

Intermitting sticking-tearing in the cervical muscles

Sharp cutting drawings in the left side of the back

Dorsal. A violent pressive pain in the back beneath the right scapula, which on respiration changes to a sticking pain,h

Broad knife-like stitches beneath the scapula, on the left side near the spine, not affecting respiration

/*. A stitch transversely across the small of the back,h

Most of them complain of pain in region of kidneys

Extremities in General p. 13

Objective, Weakness of the limb's f

Difficulty of moving the linibs

Subjective. Numbness in different parts of both the superior and inferior extremities, which, under certain circumstances, was attended by intense pricking pains in various parts of the body

Feels sick in all the limbs, as though a coryza would come ou

Great painfulness of the limbs

Superior Extremities p. 13

Objective. Paralysis of upper limbs not distinguishable from that of lead (some cases)

Subjective. Pains in joints of upper extremities

Pain in the arms, especially the right, while at rest

Stitch through left arm, especially from elbow-joint to fingers ends (fourth dia.y)

Sbouhler. Pains in shoulders

Drawing pain in the shoulders

Pains, as if swollen and sore in right axillary joint; afternoon (second day)

After rising in morning, pain as if beaten in right axillary joint, as if she had fallen upon it. Later, same sensation from right elbow-joint into fingers, lasting all day (fourth day)

Arm. Pressive pain in the upper arm

Pain in the upper arm, as if broken or bruised

A thrust or jerk in the left upper arm

A sensation in the upper arm as if bubbles of air were issuing forth

Eoreavni Jerking in the arms and hands f

Drawing pain, first in the right, then in the left forearm, extending to the thumb

Pain, as if something were broken in the left forearm

Tearing in the ulna, especially in the wrist, aggravated by touch

Jerking tearing in the ulna

Hand. The internal or flexor muscles of the hand remained in a contracted state

Complete lameness of right hand ; right forearm in constant pronation, hand bent at right angle to arm, thumbs drawn into palm, fingers flexed; motion of elbow remains good, but in the hand, and especially the joints of fingers, extension is impossible, flexion only partial; upper extremities much emaciated, right more than the left; right hand nothing but skin and bone

Weakness and paralysis of the hands

Peculiar sensation of right hand and forearm, consisting in a sense of constriction of the different parts, and of great increase of size, it seeming to him at times to be larger than his whole body, and its motions not fully under the control of his will

Twitching in the hands, in the morning, after rising

A hard pressure in both metacarpal bones, aggravated by touch

Pain in the ball of the hand, as if something w^ere thrust through it

Eiugers. Numbness and shrivelling of the fingers

Tensive pains in the balls of both thumbs

Fine tearing in the tips of the fingers

Jerking tearing in the metacarpal bones and first joint of the thumb, worse when touched

Pain as if dislocated in the joints of the thumb

A shoot in palmar surface of ungual phalanx of right middle finger

Pain, as after a blow, beneath the joints of the thumb

Inferior Extremities p. 13

Objective. OEdema of legs

At noon, stitch along the whole left leg from hip down, but mostly in joints of knee and foot (second day)

T1ii(jh. Drawing pain in the right thigh

Pressive drawing pain in the nates

Pain, as if broken or bruised, in the thigh just above the knee

Etiee Weakness of the knees, with painfid drawing when walking and standing, ivhich is very difficidt; the knees will give way

The knee-joint pains as if broken

ley. The lower legs fall asleep, and are very heavy as far as the knee

The calves are painful, especially when keeping them quiet

Burrowing pain in and below the calf,h

* Cramp in the leg from the ankle np into the calc.l

Cramps in the calves

Tensive-drawing cramplike pain in the calf,’. Drawing pain in the lower portion of the calf

Tearing pressure in the leg just below the knee,h

Pain, as from a jerk or thrust, in the lower portion of the calf

Allhle. ^Painful heaviness in the ankle

Foot. Drawing pains in feet

Drawing pain in the left sole, worse when walking,f

Severe pressive pain on the inner margin of the left sole

Jerking tearings in the sole and on the back of the foot,h

Pain in the left sole, as if sprained

Toes. A blowing sensation in the toes, as if a wind were issuing from them

Drawing pain in the metatarsal joints, at the root of the great toe, not affected by motion or touch,h

Pressive pain in the toes

Generalities p. 14

Ohjective. Emaciation

Emaciation ; his flesh wastes away,®l

Whole body emaciated

Slightly emaciated

Much emaciated (third day)

Remarkable emaciation

Rapid emaciation

Some of them were exceedingly thin and pallid

Nutrition is mostly impaired; the muscles badly developed

Very slow recovery; physical development retarded; remained small, weak, and poorly nourished

Slow convalescence from a simple fever

Consumption,’®.f

Apoplexy

Relaxation of the whole body

Constant dorsal decubitus

* Trembling

General convulsions

Convulsive paroxysms during sleep, twitching of the fingers, arms, and hands backward and inward towards the body, drawing back of the feet; at one time she opened the eyes and distorted them, at another closed them and distorted the mouth

The child was lying upon its stomach, with spasmodic jerking of the pelvis upward

Epileptiform convulsions; he trembled, staggered, and fell down unconscious, without crying

Epileptic attacks, returning at short intervals

Epileptiform attacks, with frothing from the 'mouth; the trunk was bent outward, the limbs were forcibly thrust outward, with open mouth

Tiredness all day (second day)

Great weariness after walking, so that all the limbs seem to tremble

Lassitude

General languor and prostration

Strength reduced

Loss of strength, with great increase of corpulence

Great loss of strength

Gradual loss of strength

Muscular strength greatly diminished

Great weakness of the body, especially of the knees, which will give out; standing and walking were almost impossible, as after a long walk

Extreme muscular weakness (third day)

He is unable to keep about; is obliged to remain lying for a day and a half without being able to rise

State of extreme exhaustion

Took to her bed

Complete prostration ; had to keep her bed

Paralyses

Restlessness

Restless tossing about and constant uneasiness

Uneasiness of the body, with jerking of the limbs

Struggled violently

Suhjectlue. Sensibility of paralyzed parts remains

Sense of fatigue

Pains between the scapulae, in the knee and elbowjoints

Rheumatic pains

Neuralgic pains in various parts of his body, stomach, intestines, hips, and lower extremities

Shooting pains through body

Painful jerks or thrusts iu various parts

Child 3 years old swallowed copper coin ; a few days afterwards attacked : Bellyache, crying, restless, great thirst, sleeps little and very restless; face pale, yellowish, copper color; region of stomach puffed up,'sore to touch ; blue margins around eyes, dry tongue, abdomen stretched like a board ;" skin, iiotAvitbstanding the heat of summer, dry, and, as it were, lifeless; obstinate constipation; very little appetite ; pulse small, hard, spasmodic ; expression of suffering on face

The attack is generally of short duration, and in most cases it is over by the next morning, rarely extending over two or three days. The workmen do not apply to a medical man, but treat themselves by drinking large quantities of milk. They are not all affected in the same degree, and some escape entirely

Skin p. 15

Objective. Yellow tinge of skin

Eruptions Evy. Eruption similar to leprosy,**.t

^pots on the arms, not sharply defined, with burning itching, especially at night

Right hand and arm covered with an eruption from the back of the hand to the elbow, beyond which it never extends, while that on the left hand is limited by the wrist. The irritation is very great, being worse at night in bed and near a fire. There is an occasional but insignificant oozing, which he does not complain of until asked about it

A tetter on the bend of the elbow, causing a yellow desquamation, itching violently, especially in the evening

Eruptions ]\Moist, Vesicles on the tips of the fingers, which exude water

Subjective. Violent itching on the soles

Sleep and Dreams p. 15

Sleepiness. Much yawning in the evening

Frequent yawning, without sleep

Sleepiness and much weakness

Deep sleep after the cessation of the colic

Deep sleep after weakness, lasting two to three hours

Deep sleep for many hours, with twitching of the limbs

Sleeplessness. Sleeplessness

Difficult fall- ■ ing asleep, followed by sleep full of dreams, with frequent waking

Sleeps little

Oveanis. Merry dreams at night (curative action, the prover being somewhat inclined to melancholy), (first and third days)

Fever p. 15

Chilliness. Chilliness (after four hours)

Chilliness, especially of the hands and feet

Constant feeling of chilliness over him

Complained of feeling cold in all seasons, although her skin was hot to touch, and at night fairly burning

Shivering over the whole body, immediately

Coldness of the extremities

Cold hands

Fever. Skin hot

Skin hot and dry

Febrile heat for several days,*®. Febrile symptoms

Fever; (many cases)

Occasionally some fever

Continuous fever, almost typhous

Hectic fever

Face hot, without sensation of heat (after two hours)

Sweat. Perspiration green

Their perspiration had a bluish-green tinge. I examined the flannel waistcoats of several, and found them deeply stained, especially under the arms. One of the men stated that, even after hot bath on Saturday night, his white shirt next day, if in hot weather, would be quickly discolored. I noticed too that the wooden handles of all the hammers were stained green from the perspiration of the hands

Night-sweats

Profuse sweat at night

Skin clammy, pale, and doughy-looking

Skin in summer dry, lifeless

Conditions p. 15

Aggravation.

(Morning), In bed, drumming in ear; on rising from bed, spitting of blood from mouth; mucus in mouth ; sour taste in mouth ; very early, cough.

(Forenoon), About 10 oclock, tearing around navel; pressing together of the intestines, etc.

(Noon), Stitch along leg.

(Afternoon), Towards evening, itcJungin eyes.

(Frcumy), Laughter; itching on bend of elbow.

(Night), Cough; in bed, irritation on hand, etc.; sweat.

(Damp weather). Sense of suffocation.

(After drinking), Constriction of the chest.

(After eating). Immediately, griping in abdomen.

(Fatigue), Sense of suffocation.

(Near a fire), Irritation on hand, etc. (On inspiration), Pain in hypochondrium.

(On looking np) Vertigo, etc.

(After warm hu7^). Griping in abdomen.

Vertigo; pains in temple.

(Pressure), Pressing together of intestines; pain in abdomen; pain in iliac region.

(Reading), Vertigo.

(Stooping Pain in forehead, etc. (Touch), Rains in temple; pressure in lids ; drawing beneath chin ; pressure on jaw; stitches in jaw; pain in abdomen ; pressure in lower abdomen ; pressure on cartilage of rib ; tearing in ulna ; pressure in metacarpal bones.

( Walking), Pressing together of intestines, etc.; sense of suffocation ; pain in sole.

Amelioration p. 16

(Night), Cheerful.

(Drinking cold water). Vomiting.

(Lying), Vertigo; griping in abdomen.

(Pes^), Griping in abdomen.

Footnotes p. 7

† The effect of continued small doses.—Hughes.

† Not found.—Hughes. X The authority corrected by Hering.

† From inhaling the pulverized metal.—Hughes. I Authority corrected by Hering.

† Not found.—Hughes.

† Effect of continued small doses.—Hugiiks.