Euphorbium

Gum Euphorbium. The resinous exudation or juice of Euphorbia resinifera, Berg., exported from Morocco.

Preparation, Tincture.

Authorities. 1, Hahnemann, Chr. K.; 2, Hartlaub and Trinks, ibid.; 3, Langhammer, ibid.; 4, Wislicenus, ibid.; 5, Alston, Mat. M., II, 431, local effect of juice of E. cyparissias, ibid.; 6, Alex. Benedictus, Pract., 12, 117, poisonings, ibid.; 7, Erhardt, Pflanzenhist., vii, 293, general summary from authors, ibid.; 8, Mayerne, Syntagma Prax. Observations, ibid.; 9, Rust’s Mag., xix, 3, 498, from application of Euphorbium (from Euphorbium peplus) for freckles, ibid.; 10, Scopola, from external application, ibid.; 11, Siegesbeck, in Bressl. Samml., 1792, II, p. 192 (not found), ibid.; 12, Spielmann, Instit. Mat. Med., p. 483, observations, ibid.; 13, Tragus, Hist, des Plantes (not accessible), ibid.; 14, Staph, effects of application to freckles, ibid, (possibly the same case as No. 9); 15, Pyl. Aufsdtze, etc., effects of external application to the abdomen, ibid.; 16, Veitch, effects of repeated doses of from 3 to 10 grains, Edin. Med. and Surg. Journ., 49, p. 487, 1838; 17, Tim., a Guldenklee, a woman took some of the powdered gum in order to kill herself. Opera Med. Libr., vii, cap. 7, p. 312 (1677), from Mibmer; 18, Claude, a woman rubbed the juice of Euphorbium “vulgaris” (esula?) on a wart near the external canthus of the eye, Med. Jahrb. Oest., 1839, p. 480, Frank’s Mag., 1, 743; 19, Kerner, effects of juice of E. “ vulgaris” on the face, Wurt. Corres. Bl., 1844, p. 188, Frank’s Mag., 2,80 ; 20, Dr. E. H. Spooner, a lady got juice of E. cyparissias on her hands, and transferred it to her face, N. Eug. Med. Gaz., 4, p. 317, 1869; 21, Dr. S. A. Merrell, effects of juice externally. Am. Obs., 1866, p. 550.

Mind p. 247

Quiet, reflective; seeks quiet, though with inclination to work

Earnest and quiet mood, even while in company with others

Melancholy,^®.!

Anxiety

Anxiety, as if he had taken poison,k

Apprehensive, solicitous mood, though not unfitted for work

Head p. 247

Vertigo, Vertigo while standing; everything turned about, therewith he threatened to fall to the right side,k

Violent attack of vertigo, while walking in the open air, even to falling to the left

General Head. Screwed-in sensation in the whole of the brain and in the zygomata, with toothache,’. - Headache, as from disordered stomach,’.]

Violent headache

Headache, as though the head would be pressed asunder

Tensive pressure in the head, especially in the forehead and cervical muscles, in every position

Sticking headache, especially in the forehead

Forehead. Pressure in the right side of the forehead

Dull pressure in the forehead above the left orbit

Pressive pain in the forehead (after twenty-four hours),k

Pressive pain externally in the forehead above the left eye, with lachrymation, and inability to open it on account of pain

Dull, stupefying, pressive pain in the forehead

Sticking pain in the left side of the forehead

Vertiginous tearing in the left side of the forehead, on moving the head

Temples. Pressive sticking pain externally in the temples

Farietals. Stupefying pain in the forepart of the right side of the head, which then extends into the forehead

Pressure in the left half of the brain

Pressive-sticking headache beneath the right parietal bone

Oceipat. Pressive pain in the occiput

Bruised pain in the left side of the occiput; he was unable to lie upon it

Eyes p. 247

Object ire. The white of the eye covered with deep fine vessels, so that it looked a pale rosy-red, and slightly puffy; the cornea was somewhat dim ; the pupils very small, somewhat drawn upward, insensible; the inner vascular zone of a dark brownish-red ; vision was prevented by photophobia and lachrymation

Glutinous sensation in the right eye, as though it were full of matter

Subjective, Pressure in the e5'es, as from sand

Sticking pains, extending into the inner portion of the eye

Biting in the eyes, with lachrymation

Jirow and Orbit. Left eyebrow and temporal region were swollen, red and hot, not very sensitive to touch, the upper lid hanging down over the lower, oedematous, and immovable; the eyes, were watery, with sticking in them, and frequent vision of sparks

Tearing-sticking pain in the orbit, extending across the eyebrow and lids (after two hours); both lids much swollen, the upper hanging down immovable; both were hot

Lids. Pale-red inflammation of the eyelids, with nightly secretion of matter which agglutinates them

Swelling of the lids, with tearing above the eyebrows, on opening the eyes

Agglutination of the right eye in the morning, on waking, so that it was difficult to open it

Heaviness of the eyelids; they close irresistibly, with reeling in the head,h

Feeling of dryness of the lids ; they press upon theeye,h

Hardened mucus in the right external canthus

Pinching in the left external canthus

Itching in the left external canthus, disappearing on rubbing,h

Laclivymtll Appnvatiis, On raising the lid, which was very difficult, a gush of tears,Dilated pupils (after six hours)

Vision. Short and dim vision, so that he only recognizes his acquaintances wdien very near, and even then only as through a veiljhf

Photophobia

Intolerance of light and noise

Double vision; on looking at any one walking, it seems as though a second person were walking just behind him,h

Everything seems too large, so that he lifts his legs too high, as though he had to step over mountains

All objects appear in variegated colors

Ears p. 248

Earache, in the open air

Roaring in the ears, at night

Ringing in the ear, also when sneezing

Noises in the right ear, as from crickets

Nose p. 248

Sneezing,'; (from smelling the powder)

Frequent sneezing without coryza

Increased discharge of mucus from the nose, without trace of the coryza

Profuse discharge of mucus from the nose, without ■sneezing, with suffocative biting therein, extending to the frontal sinuses, so that she could draw no air through the nose,'.|

Fluent coryza, without sneezing

Violent ineffectual irritation to sneeze in the left nostril

Face p. 248

Paleness of the face ; sickly look

Swelling even of portions of the face not touched by the juice

Erysipelatous inflammation of the Face and external head

Violent burning in the face (from the application of the juice)

Swelling of the left cheek, with tensive pain, and ■when touched a bruised pain

White swelling of the cheeks, feeling cedematous to the touch, lasting four days

* Red inflamed swelling of the 'Cheek, with boring, gnawing, and digging from the gum into the ear, and with itching and crawling in the cheek avhen the pain is relieved

* Excessive red swelling of the cheek, with many yellow vesicles upon it, ivhich open and discharge a yellowish moisture (from the application of the juice)

* Erysipelatous inflamed swelling of the cheek, with vesicles as large as peas filled with yellow liquid (from the application of the juice)

Tensive pain in the cheek, as if it were swollen

Jerking-like tearing in the muscles of the left cheek, almost as in toothache

Sore pain in the vermilion border of the lower lip, as if he had bitten it

Mouth p. 248

Teeth. Toothache, aggravated by touch and by chewing, in the next to the last left upper back tooth

Pressive toothache in a left lower back tooth, disappearing on biting the teeth together

A dull pressive pain in the two last back teeth of the left upper jaw

* Toothache, as if screwed in, in a hollow tooth, with jerking in it, as if it would be torn out

Sticking pain in the first back tooth of the left lower jaw

Dull sticking pain in the last back tooth of the left upper jaw

Toothache, on beginning to eat, with chilliness ; a gnawing-tearing, together with headache, as if shattered by the toothache, with a screwed-in sensation in the brain and in the zygomata,'.]

Pain in the tooth like a boil, when touched/.

Tonffue. Coated tongue and almost all the usual concomitants of high nervous erethism/h

Geitem? Month. A membranous pellicle peels off the upper part of the palate/.

Sensation of dryness in the mouth, without thirst

Burning on the palate, as from glowing coals (after five minutes)

Saliva. Accumulation of saliva follows frequent shuddering in the skin

Accumulation of saliva, withnausea and shivering,*._Much accumulation of saliva in the mouth

Excessive accumulation saliva, with salty taste in the mouth on the left side of the tongue

Much tenacious mucus in the mouth, after the midday sleep

Taste. Flat taste in the mouth, after breakfast, with a white-coated tongue

Bitter, sharp_ taste

Very bitter taste

Foul, bitter taste in the mouth, after drinking beer that he relished, especially on the back part of the tongue,*. -

Taste in the mouth as if it were covered internally with rancid fat,l

Throat p. 249

Profuse discharge of mucus from the posterior nares

Burning in the throat

Burning in the throat and stomach, as if a flame streamed out of it; was obliged to open the mouth

Burning in the throat, extending to the stomach, as from Spanish pepper, with accumulation of mucus in the mouth

Burning in the throat, extending to the stomach, with trembling anxiety and heat in the whole upper portion of the body ; nausea, flowing of water from the mouth, and dryness of the cheeks

Scraping and rawness in the throat, the whole day

Inflammation of the oesophagus

Stomach p. 249

Appetite. Great hunger, with a lax stomach hanging down and a sunken abdomen ; he ate much with the greatest appetite (after t^yo horns),Thirst. Thirst

Thirst for cold drinks

tions and Hiecoafjh. Incessant eructations

Empty eructations

Frequent empty eructations

Profuse empty eructations,*.!

Hiccough

Frequent hiccough

Vom iting. Nausea, in the morning (after twenty-four hours)

Nausea, with shuddering, soon

Vomiting

Vomiting, with diarrhoea

Stomach. Relaxation of the stomach ; it hangs down loose

Inflammation of the stomach

It caused a very severe pain at the pit of the stomach

Agreeable sensation of warmth in the stomach, as after spirituous drinks (after three-quarters of an hour)

Burning in the stomach

Burning in the stomach, as if he had swallowed pepper

Burning in the stomach, as from glowing coals

Burning sensation in the pit of the stomach, after eating, combined with pressure

Contraction in the stomach from all sides towards the middle, as if constricted, with accumulation of saliva in the mouth and nausea

Spasmodic contraction in the stomach, with eructations of air

Spasmodic pain in the stomach

Griping and clawing in the left side of the stomach, followed by constriction of the cardiac orifice, with increased secretion of salty saliva and shuddering in the skin

Painful griping in the stomach, as if it would be compressed, followed by accumulation of saliva and nausea

Pressure on the left side of the stomach

His stomach is painful to touch, as if he had received a blow upon it

Abdomen p. 249

Flank. Sore painful pressing outward in the left flank, and after micturition also in the right

General Abdomen. The abdomen is sunken, as if he had none at all, with great hunger

Rumbling and much moving in the abdomen

Loud rumbling in the left side of the abdomen, as from incarcerated flatus, followed by emission of flatus

Much emission of flatus

Uneasiness and heat in the abdomen

Sensation of emptiness in the abdomen, as after an emetic, in the morning

Slight pains in the bowels, confined to one spot, but never with either purging or vomiting, and the pains when produced soon went off,*®. Most violent pain in the abdomen

Agreeable sensation of warmth through the whole intestinal canal, as after spirituous drinks,*. Griping through the whole intestinal canal, followed by thin stool, with burning itching about the rectum

Excessive colic and tympanites,*. Most violent colic

Spasmodic flatulent colic, in the morning, in bed; the flatulence accumulates in the hypochondria and thorax, causing spasmodic pressing asunder and constriction, which is relieved by turning about, but immediately returns on lying quietly

The flatulent colic was not relieved until he rested the head upon the elbows and knees, after which some flatulence was passed

Hypoffdslviu'm (iHtl Iliac lieffioti. Anxious sore aching in the lower abdomen

Pinching pain on the posterior portion of the ilium

Pressive pain in the inguinal region

Violent sprained and lame pain in the left side of the pubis, extending to the thigh, on stretching the limb after sitting

Tearing pain in the left groin, as from a sprain, while standing

Rectum and Anus p. 250

Burning sore pain about the rectum

Stool p. 250

Diarrhoea. Diarrhoea several times a day, Avith burning in anus, distension of the abdomen, and colic, as from internal soreness

Profuse diarrhoea and vomiting

Fatal dysentery

Stool diarrhoealike, profuse, preceded by itching in the rectum, with urging

Stool at first natural, then as if fermented, and thin like water

Thin stool after some pressure, at last three hard lumps Without difficulty

Pasty stool (after three, ten, and twenty-three hours)

Pasty yellowish stool

Clayey stool, preceded by itching in the rectum, Avith urging

Const- 2>ation. Constipation of the bowels

Constipation for tAA^o days

Constipation for two days (secondary action ?)

Hard stool, difficult to pass

Stool scanty, soft, mixed with small lumps, about fifteen hours too late

Urinary Organs p. 250

Discharge of prostatic fluid from the relaxed penis

An itching stitch in the forepart of the urethra Avhen not urinating

Urging to urinate; the urine was passed by drops, Avith sticking in the glans penis, followed by a natural discharge

Frequent desire to urinate, Avith scanty discharge

Strangury

Much Avhite sediment in the urine

Sexual Organs p. 250

Erections Without cause Awhile sitting (after half an hour)

Erections at night, Without emissions or lascivious dreams

Intermitting, sharp, cutting stitches in the glans penis Avhen standing

Pinching, burning pain in the left side of the scrotum

Tearing pain in the testicles,*.t

Respiratory Organs p. 250

Larynx. Violent irritation to a short cough in the upper part of the trachea

Cough. Cough, caused by burning tickling in the upper part of the trachea

Hacking cough, excited by slight crawling in the throat

Almost uninterrupted drv cough,*. -[180:] Dry, hollow cough from tickling within the chest during rest

Cough day and night, as from dyspnoea and shortness of breath, followed in the morning by much expectoration

Destination. Dyspnoea, as if the chest Averse not Avide enough, Avith tensive pain in the right pectoral muscles, especially ou turning the upper part of the body to the right, lasting ten hours

Chest p. 251

Deep inspiration is hindered by a sensation as if the left lung was adherent

Feeling of warmth in the middle of the chest, as if he had swallowed hot food

Spasmodic pressing asunder in the lower portion of the chest

Front, Stitchlike pressure upon the sternum while sitting and standing

Sides, Tensive pain in the left side of the chest, especially on turning the upper part of the body to the right (second day),k

Constant sticking in the left side of the chest while sitting, disappearing on walking

Stitches in the left side of the chest while sitting and standing

Intermitting fine stitches in the left side of the chest while reading

Stitching pain in the left side of the chest while walking in the open air, so that he is obliged to stop still

False p. 251

Pulse 78 in the morning (third day).

Face p. 251

Pain in the back, a pressure in the muscles

Jerking sticking pain in the back

Intermitting violent stitches, always in one place in the middle of the back, while sitting

Pinching pain in the left scapula

Spasmodic pain in the dorsal vertebrae, in the morning, in bed, while lying on the back

Nightly pain in the ischia

Extremities in General p. 251

Rheumatic pains in the limbs

Superior Extremities p. 251

An internal painful drawing in the arm, as if associated with weakness, especially in the radius, humerus, and wrist

Shoulder. Stiff pain in the right shoulder, especially if he stretches toward the left side

Tension in the shoulder-joint like a paralysis, in the morning after rising, aggravated by motion

Tensive pains in the right shoulder did not allow him to raise the arm very high

Tensive pains in the right shoulder, disappearing after walking, but immediately returning with greater violence during rest (third day)

Painful drawings in the right shoulder

Ami. Pressive pain in the upper arm, on the outer side above the elbow, in the morning, in bed

Pain as from a sprain in the right upper arm, near the elbow, on moving the arm,®.-

Forearm. An acute drawing pain in the ulna

Wrist. Paralytic pain in the wrist on moving it

Hand. Spasmodic drawings in the right hand when writing

Pinching pain in the muscles of the right hand near the wrist, especially on moving it

Intermitting tearing in the muscles of the left hand

Fingers. Pressive pain in the ball of the right thumb, relieved by touch and motion

Inferior Extremities p. 251

Weakness of the limbs on walking in the open air; walking is very irksome

Feeling of deadness and coldness of the left limb, as if it would fall asleep, while fitting ; not relieved by motion, and on walking about an acute, cold sensation internally in the limb remains, especially in the leg and foot

Hip. Painful lameness in the right hip-joint on stepping

Burning pain ai might in the bones of the hip and thigh; he is frequently awakened thereby several nights in succession

Pain as if crushed in the forepart of the hip, only on moving the body while sitting, not on sitting quietly, or while walking or when touched

Pressive pain in the muscles about the left hip,®. Pain as if sprained in both hip-joints

Painful tearing in the muscles about the right hip-joint while sitting

A pressive tearing in the muscles of the left hip

Intermitting, stitchlike tearing in the muscles of the left hip while sitting

T/<The limbs above the knees frequently go to sleep, with painful crawling in them and inability to continue moving them

Tensive pain in the thigh on stepping forward, extending from the left gluteal causeless to the hollow of the knee, as though the tendons were too short

Pain as if sprained in the left thigh, high up near the bend of the thigh, while walking in the open air, disappearing while standing

Tearing pain in the anterior muscles of the left thigh while sitting,*.- Painful tearing in the muscles of the right thigh while standing and sitting

Intermitting tearing in the muscles on the outer side of the right thigh while sitting, not while standing, indeed relieved by walking,*. Pain, as from a blow, in the left gluteal muscles on motion Knee, Stitching pain in the inner knee while sitting

Tearing in the knee from within outwards

Great weakness of the leg as far as the knee, as if it would break down and could not support the body,*.-y- Sticking pressure in the right leg

Acute, hot stitch, as from a knife, in the left calf

Tearing in the upper part of the left tibia, just below the knee, while sitting

Tearing in the muscles of the right leg while walking in the open air

Tearing in the forepart of the left leg while sitting; immediately disappearing on walking and standing

Violent gnawing tearing in the right calf while sitting and standing

Violent sticking tearing in the muscles of the leg near the ankle (while sitting)

Pain as from a blow on the outer side of the left calf

Ankle, Tearing, burning pain about the ankle, so that he was obliged to cry out, lasting two hours, with heat of the parts

Foot, The feet frequently fall asleep while sitting, with inability to move them, and painful crawling in them

Cramplike pain in the foot, more towards the external malleolus, while sitting and standing, disappearing on walking

Violent pain, as if sprained, in the left heel, uninterruptedly for several days, and then appearing from time to time; worse on walking

Sore pain in the right heel, as though it was suppurated, while walking in the open air

Cramp in the metatarsus, which draws the toes together, for half an hour

Generalities p. 252

Objective, General swelling, inflammation, cold gangrene, death,**.f

-Inflammation of the external parts

Great tendency to faint

Faintness

Subjective, The whole body seems relaxed and tired

I gave it to others, but never more than six grains. Some said that it caused pains, others that it had no effect, and others that it purged; this was slight, and did not appear to be caused by the medicine

The action of Euphorbiura seems to be late in appear-

Skin p. 252

Objective, Scarlet red stripes on the left forearm, which itch when touched with the fingers, but disappear on rubbing with the fingers, with a sensation as if thin cord were under the skin, for several days (seventh day)

FvuptionH, Dry, A reddish pimple on the chin, that, when touched, has a pressive pain, and is like a boil

Right wrist somewhat inflamed and abundantly covered with miliary eruption on my next visit

Eruptions 3Moist, It is irritating to the skin, especially in irritable subjects, producing large vesicles filled with yellowish serum. This eruption is accompanied by more or less diffused redness of the skin of the affected parts. It seems to have special affinity for the face and head, producing in many cases, where the poison has been carried to these parts, violent phlegmonous inflammation, simulating very closely an attack of erysipelas, with great tumefaction, violent throbbing pains in the head, especially in the forehead and vertex

Erysipelas bullosum, with violent fever

Right cheek much inflamed, and covered sparsely with fine vesicles filled with thick white lymph ; the erysipelatous inflammation was most marked in the malar region, being of a livid or dark-red hue, and extending along the outer and lower margin of the orbit at 10 a.m. (second day) ; felt slight roughness on my next visit

El’Uptio}tS, EtlstllJdr, Pustules above the right eyebrow, itching, provoking scratching, and after scratching, exuding bloody water

One case that came to me after the poison had become fixed, had to be treated with Sulphur and Mercury. The skin broke out in ulcerating, boil-shaped elevations,'-

Gangrene,'“.f

Violent itching, with urging to stool, followed by stool five hours too soon

Violent itching of the left lower lid, obliging him to rub it

Fine itching on the back of the left hand obliges him to rub it

Voluptuous itching on the prepuce that obliges rubbing, with discharge of prostatic fluid

Corrosive itching, provoking scratching, on the right thigh, close to the hip

Corrosive itching on the left thigh

Corrosive itching on the left leg near the knee, obliging rubbing; in the morning

Burning itching on the outer side of the left forearm

Burning itching, as from nettles, on the middle knuckle of the index finger, with desire to rub it

Sticking itching on the arm, near the elbow

Tickling itching on the sole of the right foot, provoking scratching

Sleep and Dreams p. 253

Sleepiness. Frequent yawning, as from insufficient sleep

Great sleepiness after the midday meal

Great inclination to sleep after the midday meal

He cannot keep from sleeping during the day

Stupid slumbering in the afternoon ; he is unable to rouse himself, and desires to continue slumbering

He slept at night with the arms stretched far above his head

Sleeplessness. Sleeplessness, with tremulous tossing about the bed before midnight, and roaring in the ears; he was unable to close the eyes

Awoke frequently and easily from sleep

He is frequently wide awake at night, but he falls asleep again

Sudden starting ujj as from an electric shock at night while lying awake in bed

JJredniS. Dreams about the transactions of the two days previous ; after 3 a.m.

Vivid lascivious dreams, without emission

Anxious vivid dreams at night, which cause him to cry out, whereupon he awakes

Anxious, confused dream, without any end,'.]

Fever p. 253

Chilliness. Chilliness of the whole body in the morning

Chilliness while walking in the warm open air

Frequent sensations of chilliness, which induced her to put a shawl on her shoulders, although it was midsummer

Constant chilliness, with constant sweat

Sensation as though he was lacking in warmth and had not slept the whole night, and was completely washed out, wherewith all the veins on the hands had disappeared

Shivering

Shivering over the whole body

Shivering over the whole back, with glowing cheeks and cold hands

FLedt. Heat (secondary action ?)

Great heat the whole day; all the clothes seem burdensome, as if even his whole body was too heavy for him, as if he had carried a great load

Fever,®.§

Fever, pulse 86,'®.

High fever

Feeling of heat over the whole face, with warm forehead and cold hands, without thirst

Sivedt, Sweat in the morning, extending from the feet over the whole body, with great heat, without remarkable thirst

Cold sweat

Sweat on the neck every morning in bed and on rising/.

Sweat in the morning on the thighs and legs, but not on the feet,h

Cold sweat on the legs in the morning

Conditions p. 254

Aggravation.

(Morning), Nausea ; sensation in abdomen ; on lying quietly, colic; in bed, while lying on back, pain in dorsal vertebrae; in bed, pain in upper arm ; itching on leg ; chilliness; sweat.

(Night), Roaring in ears; paza in hip, etc.

(Open air). Earache.

• ( Walking in open air). Vertigo ; pain in left chest; weakness of limbs ; pain in thigh ; tearing in muscles of leg; chilliness.

(After breakfast). Flat taste.

(Chewing), Toothache.

(Motion), Tension in shoulder-joints; pain in gluteal muscles.

(Moving head), Tearing in side of forehead.

(Moving body while sitting). Pain in hip.

(Heading), Stitches in left chest.

(Rest), Pains in shoulder.

(Sitting), Sticking in left chest; stitches in back; tearing in hip-joint; tearing in thigh; pain in knee; tearing in tibia; tearing in leg.

(Standing), NerUgo ; pain in pubis.

(Touch), Toothache.

( Turning upper part of body to right). Pain in left chest.

( Walking), Pain in heel.

( Writing), Drawings in hand ; pain in heel.

Amelioration p. 254

(Biting teeth together). Toothache.

(Motion), Pain in thumb.

(Standing), Pain in thigh.

(Touch), Pain in thumb.

(Turning about in bed), Flatulent colic.

•( Walking), Sticking in left chest; pains in shoulder; tearing in thigh ; pain in foot.

Footnotes p. 247

† From Euphorbia lathyris, Archiv, 6, 3, 182. j From the dust of the powder, Archiv f. Horn., 6, 3, 164. I From the dust of the powder, Archiv f. Horn., 6, 3, 165.

† From applying the juice of Euphorbia dulcis to the lids. Archiv f. Horn., 6, J From the dust of the powder.

† From the dust of the powder.

† From Euphorbia lathyris, Archiv f. Horn., 6, 3, 173.

† From external application, Archiv, 6, 3, 179.

† Original revised by Hughes.

† Sympathetic of S. 56.—Hughes. ]; From the dust of the powder.