Mercurius Corrosivus

Mercuric chloride, HgCl.

Hydrargyrum bichloratum corrosivus; Mercurius sublimatus corrosivus; Bichloride of Mercury; Corrosive sublimate (oxymuriate of mercury).

Preparation for use, Triturations or solutions.

Atdhorifles. 1, Hahnemann, R. A. M. L., 1, 422; 2, C. Fr. Schwarz, Beob. et Erfahr, Dresden, 1827 (from Hahnemann); (Nos. 3 to 10, provings frovi Dr. Buchner's Monograph supplement to All. Zeit.f. Horn., Augsburg, 1849); 3, Buchner, took one dose of 2d dil.; 3 a, same, three months later, same dilution, one dose; Zb, same, rubbed into forearm, a solution of a grain in Alcohol; 3c, same, rubbed solution of ^ a grain into the gums; Zd, same, took a clyster of ^ a grain in solution; 4, Dr. Foster, took of a solution of grain in 110 drops of Alcohol, 2 drops first day, 4 drops second day, 7 drops third day, 10 drops fourth day, 15 drops fifth day, 20 drops sixth day, morning and evening, 20 drops eighth day, 5 drops tenth day; 5, Dr. Greater, took daily doses of 2d dil., for seven days, increasing from 5 to 40 drops at a dose; 5a, same, took of a solution of ^ grain in 1 drachm of Alcohol, 10 drops first day, 15 drops third day, 20 drops fourth day, 14 drops eighth day; 6, Kathrina, aged twenty-one, took of same solution, 10 drops first day, 15 drops second day, 20 drops fourth day, 25 drops sixth day ; 7, Dr. Held, took 2d cent, dil., 2 drops first, second, third, sixth, seventh, tenth, eleventh, and twelfth days; 8, Dr.Nusser, took 2d cent, dil., 10 drops first day, 3d dil. by olfaction ninth day; 9, Maria, aged forty-six, effects of a large number of pills, each containing about both grain ; 10, Dr. Pemerl, took 2d dil., 5 drops first day, 12 drops second day, 18 drops third day, 25 drops fourth day, 30 drops fifth day, 36 drops eighth day, 30 drops tenth day ; 11, Croquet, from Buchner, effects of repeated immersion of hands in a concentrated solution, while preparing anatomical specimens ; 12, Baccius, Prolog, ad lib. de Venen. et Antidotes, Rome, 1506, p. 21 (from Buchner), effects in an infant; 13, Magneti, Bibl. Med.-Bract., 1739 (from Buchner), a child, a year and a half old, took 8 grains; 14, Houston, poisoning of a woman by a solution, Med. and Phil, Comm., 1779, vol. 6, p. 327 ; 15, Dumonceau et Planch, effects of a large quantity in a man, Journ. de Med., 1778 (Frank’s Mag., 1, 774); 16, Pluck, Toxicol., 1785, p. 263 (from Buchner), effects of clyster containing Merc, corn, in an old woman ; 17, Degner, Act. Nat. Cur., vol, vi, appendix, 1742 (from Buchner), effects of ointment containing Merc, corn, to an induration on leg, in a woman, aged forty-seven ; 18, Wedel, Diss. de Merc, dul., p. 22 (from Buchner), effects of 10 grains, in a child, aged two years; 19, Dr. Henry, Edin. Med. and Surg. Journ., 1811, p. 150, took nearly 1 ounce, in hot water; 20, Roberts, Edin. M. and S. Journ., 1812, vol. 8, p. 195, effects of using a solution of 4 grains to an ounce, on an eruption, which began to disappear the fifth day ; 21, a girl took 1 drachm in beer, Fothergill’s Journ., 1819 (from Buchner); 22, Anderson, effects of application of a solution of 30 grains to an ounce, for rheumatism in arm, Edin, M. and S. J., 1811; 23, Thomas, a woman (a month after parturition) drank a solution of 30 grains to an ounce, that had been prescribed for an eruption, Edin. M. and S. J., vol. 16, p. 510, 1820; 24, Ward, effects of rubbing whole body with an ointment, containing 1 ounce of M. corr., in a man, suffering from the itch. Loud. Med. Gaz., 1829; 24a, same, effects of same, in a brother; 25, Westrumb, a man took nearly 3 drachms dissolved in water. Rust’s Mag., 1834 (Frank’s Mag., 1, 573); 26, Lowenhardt, a man took nearly an ounce, Med. Zeit. f. Heilk., Pressed, 1839, No. 7 (from Buchner) ; 27, Alex. Wood, a man took half a teaspoonful in some whisky, Edin. M. and S. J., 51, 114, 1839; 28, Blacklock, a man took upwards of a drachm dissolved in water, Edin. M. and S. J., 36, p. 92, 1831; 29, omitted ; 30, Stringhara, effects of 6 grains in four doses, in a man, with gonorrhoea, Med. and Phys. J., 10, 283; 31, Budd, effects of 1 ounce in a woman, Med. and Phys. J., 18, 347; 32, Evans, effects of ^ a drachm in a man, Med. and Phys. J., 3, 535; 33, Kimball, effects of about 3 grs., applied to herpes of scalp, in a girl, aged twelve years, Bost. M. and S. J., 4, 220 ; 34, Meeker, effects of plaster containing about 100 grains, applied to a scirrhous tumor of mamma, Bost. M. and 8. J., 39, 18; 35, Masselot, effects of two doses, each of grain, Hempel’s Mat. Med. ; 35a, same, repeated; 36, Devergie, effects of an indefinite quantity in a woman, from Hempel; 37, Orfila, effects of a large quantity on a man. Toxicologic; 38, Trousseau and Pidoux, effects of baths of Corros. sul.; 39, omitted ; 40, Provin. Med. J., 1843 (from Buchner), effects of part of a powder containing ^ a drachm, in a woman; 41, Buchner, effects of pills containing Corros. sul., taken for neuralgia, in a man, A. H. Z., 28, 155; 42, Frisselle, a woman, aged twenty-six, took 1 drachm in a solution, Bost. M. and 5. J., 41, 279, 1849; 43, Guy’s Hosp. Rep., N. S., 5, a man took about 1 drachm; 43a, same, a young woman swallowed a little of a solution (indefinite) ; 436, same, similar to last dose, fatal; 44, Gautier, Gaz. Med. de Paris, 1842 (S. J., 39, 22), effects of about 2 grains ; 45, Andrew, effects of about 40 grains, in whisky, L. and Ed. Med. J., Feb. 1845; 46, Watson, effects of about a drachm, in a man, L. and E. M. J., May, 1844; 47, Percy, effects of 30 grains, in a girl, aged seventeen, Bond. Med. Gaz., March, 1843; 48, Gaz. des Hop., 1844, effects of application of a solution to thighs and scrotum; 49, Laduit de la Charriere, effects of 10 grammes, in a woman, aged twenty-one, from Tardieu sur I’Empoison, p. 695; 50, Olivier, effects of about 1.1 gramme, in a woman, aged sixty-two, from Tardieu ; 51, Viola, effects of 3 or 4 gramme, in a man, Gaz. des Hop., 1859; 52, Prael, effects of an indefinite quantity in an epileptic, Ammons mounts., S. J., 31, 33; 53, Deutsche, effects of application of a solution of 6 grains to 6 ounces of water, to an eruption, in a boy, Preus. Ver. Zeit., 1851 (S. J., 72, 31); 54, same, effects of a bath of Corros. sul., for an eruption, in a girl, aged fourteen, S. J. 90, 295 ; 55, omitted ; 56, Butcher, effects of a vaginal injection of more than ^ of a solution of a drachm of Corros. sul., in lime-water, in a wmrnan, aged twenty-five, Dublin Quar. J. of Med. Sci., 1856, vol. 21, p. 242 ; 57, Tliomson, effects of 2 drachms, in a man, Lond. and Ed. Med. J., 13, 582; 58, McCready, effects of about 22 grains, in a young woman, N. Y. J. of Med., 1850; 59, Williams, effects of about 30 grains, in a man, Am. J. of Med. Sc., 1851, vol. 21, p. 79; 60, Coale, effects of part of 10 grains, in a man. Am. J. Med. Sc., Jan. 1851 ; 61, Roberts, effects of a drachm in ^ an ounce of mur. tinct. of iron, Med. Times and Gaz., 1859, p. 210 ; 62, Aur, effects of half a spoonful of a solution of 10 grains in an ounce of water, taken for pain in stomach, Bavar. Intell., 131 (S. J., 109, 291); 63, Height, took a spoonful of a strong solution, U. S. J. of Horn., 1, p. 7; 64, Robinson, proving in a young woman, of 200th dil. in water, a teaspoonful every third morning, Br. J. of Horn., 25, 324 ; 64a, same, in another case; 65, Ord, effects in a man, from tasting it. Am. J. of Med. Sc., Jl., 1861; 66, Cabot, fatal effects in a woman, aged twenty-five, Bost. M. and S. J., 65, 218 ; 67, De Rici, effects on two boys, of application of ointment containing 2 drachms, for porrigo, Bost. M. and S. J., 51, 249, from Dubl. Q. Journ.; 68, Skegg, effects of a J of an ounce, in a man. Lancet, Feb. 1862 ; 69, Garnsey, effects of a small dose of 1st dec. trit., for sore throat. Am. Horn. Obs., 1868, p. 470 ; 70, Anderseck and Hamburger, effects of an ointment of Corros. sul., in two girls, for an eruption, Vjs. f. ger. Med. (Syd. Sac. Yr. Book, 1864, p. 431); 71, Coghlau, effects of 12 grains in whisky, in a stout healthy lad, for gonorrhoea, Med. Times and Gaz., 1860, p. 162; 72, Taylor, effects of 2 drachms, in a man, Guy’s Hosp. Rep., 1844, p. 24; 73, Lucas, effects of a quantity in vinegar, on a man, Med. Times and Gaz., Sept. 1871 ; 74, Made, effects of a “small lump,” which remained an hour in the stomach, and was then ejected by vomiting. Lancet, Feb. 1870; 75, Brewer, effects of a strong solution, in a woman, aged twenty, Med. Invest., 7, 160; 76, Berridge, effect of 1600th dil. (Fiucke), two doses, Am. J. H. M. M., 8, p. 126; 77, Anderson, effects of 1 drachm, in a girl, aged twenty-eight, Ed. M. and S. J., 14, p. 474; 78, Ogston, effects of 2 drachms, in a man ; 79, Taylor, effects of 5 to 10 grains, in vinegar, Guy’s Hosp. Rep., 1864; 80, Hort, effects of a solution (indefinite), in a man, from Tardieu; 81, Lorenzo Rota, effects of an indefinite amount in a man, Italian Med. Gaz., 1851 (S. J., 74, p. 167); 82 to 85, Valentine, a woman administered to self and children large doses ; 82, girl, aged three ; 83, boy, aged eleven ; 84, the mother; 85, boy, aged eight; 86, girl, aged fourteen, Edin. M. and S. J., 1818, vol, 14, p. 468.

Mind p. 238

Emotional. Brain evidently much affected

Delirious; (fifth night)

Delirium ; was obliged to be forcibly confined to his bed (fourth day)

Completely delirious (after forty minutes)

Rather low-spiritedGreatly depressed (sixth day)

Her groaning alarmed the family (after half an hour)

Anxiety; (after second day)

Increased anxiety, during the night

Great anxiety ; she dared not stir, as the pain and vomiting were renewed by the least pressure on the stomach (after two hours and a half )

Ill-humor, in the afternoon (thirteenth day)

Frequent ill-humor, so that nothing will please him ; alternating with joyfulness

* Very ill-humored all day (third day)

ItlteUectlial, Dulness of intellect, though rational when fairly awake (fifth day)

When he spoke his thoughts were disconnected, indeed, he could not clearly describe his sensations; he spoke of three kinds of headache, remarked upon their disassociation, tried to correct himself, until he was obliged to stop from weariness (second day)

Stupid, pale, with dry unsteady eyes

* Weakness of the intellect; he looks at us with wide open eyes, and does not understand us (after two hours)

Mind so weak in the evening, that I looked sometimes at the person talking to me without really understanding him (twelfth day)

Required to be aroused to give answers to questions

Intellect slightly affected; a little stupor (third day)

Lay in half stupor (sixth day)

Complete stupor (third day)

* Stupor and delirium (which increased till death), (on sixth day)

Coma for twenty-four hours (afternoon, second day)

* Head much affected, with coma (after twelve hours)

Head p. 239

Confusion and Vertigo. Confusion of the head, relieved by emission of flatus

Confusion, heat, and heaviness of the head (sixth day)

Head somewhat confused (eighth day)

Several attacks of vertigo

Slight vertigo (fourth day)

Excessive vertigo (third day)

A kind of whirling vertigo, with good vision ; almost entire loss of hearing, lasting from half an hour to an hour, especially at 9 p.m., on lying down, seldom during the day, with tearing pains in the occiput

Dizzy whenever he lifted his head from the pillow (after two hours and a half)

Giddiness (after six hours and a half)

General Mead. Dulness of the head (fifth day); (sixth day)

Dulness in the head, especially above the eyebrows (third day)

Heaviness of the head (after one bath)

Head heavy and confused (second day)

Heaviness and dulness of the head (fourth day)

Great uneasiness in head

Much pain in the head (third day)

Violent pain in head (second day)

* Congestion to the head and face, with burning in the cheeks (eleventh day)

Headache (after six hours and a half)

Frequent headache, especially in the temples

Severe headache (after half an hour); (fourth day)

Intense headache (seventh day)

Headache dull, dizzy

A severe, sudden dull aching pain in forehead and vertex, worse on stooping or shaking head; relieved by applying the cold hand to the forehead (almost directly after second dose) ; it extended to centre of cerebellum, when it felt like a bone-ache, about 5 p.m. (after five hours and a quarter) ; during tea-time (6.15 p.m.) it suddenly went off; it made him feel rather lowspirited

* Pain in the head, like a driving in the periosteum of the skull (eighth day)

Pressive feeling in the head

Voreliead. Dulness in the forehead, with undulating, waving pain in both hemispheres of the brain

Dulne-ss in the head, in the upper frontal region (fourth day)

Dull pain in the right frontal eminence (after four hours)

* Violent headache in the forehead (seventh day)

Headache (sticking) in the frontal region, lasting an hour, soon (fourth day)

Distressing sticking pain in the forehead (sixth day)

Headache; stitches mingled with pressure above the left eye, aggravated by stooping

Temples. Pains in the temples (eleventh day)

Headache in the temples (seventh day)

Headache confined to the temples, changing to a pressure above the left eye (twelfth day)

Violent temporal headache (after two doses)

Parietals. Stitches in the head, in the left parietal bone (first day)

External Head. Pain the most agonizing at once set in, and before the doctor shoemaker had done rubbing in the second, the first was in torture, screaming that his head was on fire. By the time they reached home their sufferings were so intense that they could be heard screaming from every part of the village

Eyes p. 240

Objective, Staring look

Eyes red, glistening

Eyes bloodshot and protruding from sockets (after half an hour)

Eyes sparkling

Eyes glistening and injected (sixth day)

Eyes glistening, and in constant motion

Eyes dull and dim, and expressive of agony (after five hours)

Inflammation of the eyes, which protrude from their orbits

Subjective. Eyes painful (eleventh day), with some injection of the vessels of the conjunctiva; the pain was pressive burning (twelfth day)

Burning in the eyes (eighth day)

Burning in the eyes, and on the margins of the lids, as in commencing conjunctivitis (after four hours, first day),®».

Burning and a sensation of dryness in the eyes (fifth day)

A contraction of the corrugator supercilii, with partial strabismus (third day)

* Tearing as if in the bone above the left eye, near the root of the nose, and in other parts of the bone (first day)

Burning tearing in the upper part of the left upper eyelid (first day)

Itching of the left eye (first day)

Conju7lCtiva. ^Redness of the conjunctivoe

Conjunctiva of both lids red and much injected (fifth day)

* Conjunctiva injected (after half an hour); less so (after three hours and a half)

Eall. Pain behind the eyeballs as if they would be forced out

Itching sticking in the muscles of the right eyeball (eleventh day)

Euj)il. Pupils dilated

Pupils largely dilated, and insensible to light (second and third days)

Pupils contracted; (after four hours); (sixth day)

Pupils perhaps slightly more contracted than usual (soon)

Pupils scarcely stimulated by the greatest light

* Pupils insensible to light (second day)

Vision, Photophobia, while walking in the sunlight (first day)

Objects seem smaller and more distant than usual, for several hours (fourth and fifth days); especially letters (first day); repeated several times during the day, especially after violent yawning (eighth day)

Head p. 240

Ears seemed stopped

Sticking within the left ear (fifth day)

Pulsation in the left ear, as if caused by an artery (seventh day)

* Violent pulsation in the ears, especially in the left (eleventh day)

Heaving. (Frequent roaring and humming in the right ear, which he usually has, very much increased), (fifth day)

A whirring in the left ^r rhythmical with the pulse

Excessive coryFrequent nosebleed (eighth day)

Constant sensation of dryness posteriorly in the nose, as if in the upper surface of the soft palate, especially in the open air (fourth and fifth days)

Face p. 240

Objective, Expression of mental,exaltation and bodily pain

Face expressive of anxiety

* Countenance denoted exhaustion (ninth day)

Countenance exhausted and sunken (eighth day)

Lying with his eyes half shut, and with quite a choleraic aspect (after one hour and a half)

His aspect is precisely that of a patient attacked by cholera, but who has not yet reached the stage of perfect collapse (after one hour and a half)

Face red (sixth day)

[HO.] "^Face red, puffy, sooJi

* Countenance flushed (after one hour and a half),'*^; (third day); (seventh day)

* Countenance flushed (after one day); and/idler than usual (second day)

* Face rather flushed (after eight hours and a half)

Lividity of countenance

Face pale (after four hours)

Face pale (tenth day) ; extreme pallor (fifteenth day)

Paleness of the face in the night

Face pale, colorless (after five hours)

Countenance pale and anxious (after one hour and a half); (second day)

Countenance pale and anxious and features pinched (after one hour and a half)

Face pale and sunken

Face pale, sunken, with an expression of anxiety

Pale face, with sunken eyes, as in cholera (after two hours and a half) ; yellow, hippocraticcountenance (fourth day); facegreenish (fifth day)

Blanched (sixth day)

Face blanched, drawn, and singularly fixed in expression (sixth day)

Face swelled, much flushed, and covered with cold sweat (after one hour)

Face somewhat swollen (fifth day)

* Face much swollen (after one hour and a half)

Face much swelled, especially the lower part (after four hours)

The face was so much swollen that the patient looked like a monkey

Face puffy and bright-red/

Features shrunken (second day)

Face rather collapsed and covered with cold perspiration (after half an hour) ; rather less collapsed, free from perspiration (after three hours)

Distortion of the face

Convulsive motions of the face

CheeFs. Cheeks swelled, shining, and tense (after one hour and a half)

Tearing-burning pain extending from the teeth of the upper jaw up to the eye (eleventh day); tearing pain extending from the left eye down into a molar tooth ; burning pain in the mouth (twelfth day)

Tearing in the left zygoma (first day)

Tearing in the upper jaw, antrum highmorianura towards the eye, followed by swelling

Lips, *Lips black

Lips of a deep color (after four hours)

Lips dark red, much swollen

Blue lips (after four hours)

Blue lips and countenance

Lips and tongue whitish and sunken (after five hours),®®

Lips white, swollen

* Lips swollen and incrusted with a dry secretion (sixth day)

Lips greatly swollen

* Lips excessively swollen and tender (after four hours)

* Upper lip swollen (second day)

Lower lip considerably swelled (after one hour and a half)

* Lower lip considerably swollen and a small blister on the inside of it (second day)

The lower lip was very much swollen and so much everted that its margin rested upon the chin,®.-:

Convulsive motions of the corners of the mouth,®®. ■

* Lips dry, cracked fl.

Chin Stiffness of the jaws, immediately; also soreness (ninth day)

Pains in the jaws

Sensitiveness of the angle of the left lower jaw to touch (first day)

Mouth p. 241

Teeth. *Much sordes about teeth (eleventh day)

* Teeth loose,*’; (third day)

Teeth very loose

Teeth begin to feel loose (fifth day)

The first time she attempted to take animal food the teeth appeared to refuse their office; they seemed loose and blunt (after a week or more); about this time also bits of dead skin came away from the throat and mouth, resembling the peelings of roasted potatoes; a tooth had been drawn some little time before, and from the vacuity it had left a large piece of the gum came away; from the side of the tongue a portion also separated, of the size of a large pea, leaving a cavity corresponding to its extent; the tongue, gum, and throat continued tender while these substances were coming away

Toothache gradually becoming worse, connected with a tearing extending from the infraorbital region down towards the upper jaw (third clay),ht

* Sleep at night disturbed by toothache and by an anxious sensation (third day)

Toothache ; it prevented sleep and was associated with disagreeable swelling of the gum, and prostration (seventh day)

* Toothache, with swelling of the gum (thirteenth day)

Drawing pains in the teeth

Tearing sticking in a back tooth, from which the sticking extends to the ear (first day)

G lulls Gums purple (fifth day) ; spongy, ulcerated in several places (sixth day)

Gums red and detached from teeth (third day)

* Gums red and tender, with some swelling of the glands beneath the jaw (third day)

Marked redness of the gums, walls of the mouth, and pharynx, showing intense inflammation. These parts exhaled a nauseating odor (third day)

Swelling of the gum about the right molar teeth (twelfth night)

* Gums swollen and pale (sixth day)

* Gums swollen and spongy (ninth day)

Gums swelled, became painful, and were covered with white pellicles (after forty-eight houi's)

Gums swollen and several of his teeth loose (ninth day)

Gums seem slightly swollen (third day)

Gums slightly swollen, red and discharging a yellowish pultaceous substance from around the neck of the teeth (third day)

Gums excessively swollen and tender (after four hours)

Gums ulcerated arid spongy (third day)

* The gums bleed easily

Gums begin to feel sore (third day); gums quite spongy and the teeth loose (fourth day)

Gums and teeth became tender (third day)

Tong lie Tongue red, with blackish coat (fifth day)

Tongue red and parched (second day)

Tongue very coated, moist; edges very red (sixth day)

Tongue yellow, moist

* Tongue poster iorly pale, dirty yellow, rather thick, this coating extending forward along the sides of the tongue

Tongue became covered with a grayish-white crust

Mucous membrane of the tongue white (second day)

Tongue white and so much swollen that he could not protrude it (after four hours)

Tongue coated white

Tongue coated white in the forepart, posteriorly yellow

Tongue coated with white fur (second day)

Thickly coated tongue

Tongue began to swell (second day)

Tongue and Ups swollen (soon)

* Tongue swollen, pale yellow, protruding from the lips, which were slightly swollen

Tongue a good deal swollen (after one hour and a half)

Tongue considerably swelled (soon)

Tongue very much swelled (after four hours)

Tongue very much swollen and extremely in flamed, of the tongue swollen, covered with a thick white coating

* Could not protrude tongue (after one hour and a half j

Tongue moist and white (after two hours%®®.

Tongue slimy (after four hours)

Tongue nearly natural in aspect, but cool (after half an hour)

Tongue dry (eleventh day)

Tongue felt numb, thick, and large

Dry, hot tongue, with red edges

Tongue sore (sixth day)

General Month. Pointed to his mouth, which was evidently very sore (sixth day)

All the raucous membrane of the mouth very red (after two days)

Tongue and raucous membrane of the mouth and throat highly injected and the tonsils covered with a little bloody mucus (after eleven hours)

Mucous membrane of the mouth and fauces white and raw

Mouth and fauces white, swollen, and sore

Tongue and interior of mouth perfectly white from contact of poison (soon)

’^Swelling of the lips, tongue, and t/groat

Lips and gum swollen, dark red,®®

Mouth much swollen ; lips purple and protruded from the swelling (soon)

The internal portion of

This pain had a decided similarity}' to the painful sensation caused by Urtica urens touching the mucous membrane. the mouth was so much swollen that he could scarcely speak (after twenty minutes)

Inside of lower lip and cheek stretching towards right tonsil, and the tonsil itself are coated with a tough lymj)hatic exudation, which is a little loose at the edge next the mouth ; beneath this the cuticle is slightly abraded at one or two points (third day)

Interior of mouth had a gray sloughing appearance, interspersed with patches of a deep violet color, and the mucous membrane was very much swelled (after four hours)

Indammatiou of the mouth

Severe inflammation of the mouth and gums, with constant discharge of clear water from the same

The inflammation and swelling of the mouth and salivary glands increased to a frightful degree; the tongue filled the whole 01011111

Gradually the inflammation extended over the whole mucous membrane of mouth, scars showed themselves on the gums, and on the internal surface of the cheeks ; beneath them the flesh was fungoid and bloody. Afterwards the jaw-bone was denuded and considerable hsemorrhage ensued (after forty-eight hours)

Marked swelling of the inside of the cheeks, especially behind the last molars; on the left side is a hardened ganglion, very sensitive to touch, caused by the development at this point of an inflammation involving the cellular tissue (third day)

At intervals where the inflammation is highest on the inside of the cheeks are deposits of a pultaceous substance like false membrane (third day)

inflammation of mouth lessening in extent and intensity; the gray coating which still occupies the intervals between the pillars of the velum palate is becoming thinner and loosening (tenth day)

* Ulceration of the mouth

Ulceration of the mucous membrane of the cheeks opposite the ulcerated gums (sixth day)

Caucrura oris (youngest)

Blood oozing from mouth and nose (fourth day),'A

Strong mercurial fetor (ninth day)

A fetid smell of the mouth, which had been noticed for two days, was now more marked, and ulcers existed on the gums and on the inner surface of the lips (sixth day)

Constant feeling of mucus in the mouth

Dryness in die moxdhf •, (second day)

Mouth dry, with perspiration on the skin, in the evening

and tongue burning and parched (third day)

Burning heat in mouth, quickly spreading to the stomach (after a quarter of an hour)

A burning pain on the gum and in the mouth

Burning in the mouth, oesophagus, and stomach

Intense burning in the mouth (immediately)

* Soreness of the mouth and fauces

There is no salivation, but he complains of soreness of the mouth, and cannot open it wide (second day) ; in the afternoon he can scarcely open his mouth to answer questions (sixth day)

Saliva. The salivary secretion is naturally increased owing to the local inflammation and irritation rather than to absorption of the poison (third day)

Accumulation of saliva (fourth day)

Accumulation of tenacious saliva, which was expectorated with difficulty (second day)

Accumulation of water in the mouth (soon)

Flow ot saliva

Constant flow of saliva (soon)

There constantly flowed from the inouthaconsiderablequantity of yellowish-colored saliva (after four hours)

.Saliva flowed copiously (after one hour and a half),"; (after one hour)

Salivation

Incipient salivation (after four hours)

Complete salivation (tenth day)®®.

Salivation well characterized (after fortyeight hours)

Well-marked salivation, with mercurial fetor (third day)

Slight salivation (fifth day)

Copious salivation

Profuse salivation

* Ptyalism (first evening); (seventh day)

Ptyalism commencing (third day); complete start of salivation (fourth day)

Copious ptyalism came on, which continued for many days (fifth day)

Profuse ptyalism (second day)

absence of salivation

TastCt Very peculiar and most disagreeable taste in mouth (immediately)

Fatty taste in the mouth (second day)

Constant astringent taste in the mouth and accumulation of saliva (sixth day)

* Bitter taste in month (eighth day)

* Taste very bitter in the morning and also slimy; during the day the food has a bitter taste; water has not, hut soup has

* Salty taste in the mouth (after two hours)

Metallic taste in mouth (after two hours),’*; (eighth day)

An intense metallic taste and a strong odor, which almost at once caused nausea (immediately)

A constrictive metallic taste (immediately), (first day)

Sharp, astringent, metallic taste

Persistent astringent, styptic, metallic taste in the mouth (second and third days)

Coppery taste (after one hour and a half)

For several days she had a taste of copper, as if she had been holding a copper in her mouth

Nauseous coppery taste (third day)

Speech. Speech difficult, although the tongue was moist and soft, and nothing was to be seen in the throat (fifth day)

Loss of speech

Speech failed entirely

Could not speak (soon)

Throat p. 244

'’'Great swelling of the throat that threatened suffocation; the swelling extended to the neck head, and tongue; the throat was so much inflamed that the patient could speak with clifficidfy and could scarcely swallow; on the third day there was still great heat in the mouth and throat, as from a glowing coal; on the fourth day the patient reused some clots of blood and some thin blood, so that the physician thought she might die of haemorrhage; the patient was unable to talk on account of the xdeeration of the throat and soft palate, with copious salivation, xvith frequent headache, especially in the temples; on the succeeding days the patient became delirious, was unable to swallow medicine or food; she expectorated daily clots of blood and pieces of membrane from the ulceration of the throat, with excessive prostration and constant salivation; the sloughing extended to the cheeks, gum, palate, and even the maxillary bone were laid bare; the Ups became black, the patient sank and died

Great uneasiness in throat

Pain in the throat, at times in the uvula, not aggravated by swallowing (third to fifth day)

Pain in the throat, especially after dry bread

A little pain in the throat (after half an hour)

Severe pain in throat (after two hours)

* Throat very painful and inflamed

Burning in the throat and stomach (third day)

* Burning sensation in throat (after four hours)

Burning sensation in the throat (immediately)

Burning heat in throat and stomach, particularly the former (soon)

* Burning pain in throat (after one hour and a half)

Burning pain with a feeling of constriction from the throat to the stomach

Burning pain extending from the mouth to the stomach, relieved by a drink of cold water (thirteenth day)

Acute burning sensation in the throat while swallowing it

* Painful burning, extending from the mo%dh to the epigastric region

Severe burning pain in throat (after one hour and a half)

Intense burning in the throat (immediately)

* Intense burning in the throat and fauces

* Violent burning in the throat (after one hour)

Violent burning in the throat and stomach, soon followed by violent vomiting of mucus and water, with great retching

Violent burning pain in the throat and oesophagus, aggravated by the slightest external pressure

Excruciating burning pain in throat and stomach ; when she attempted to take anything more than milk warm it was insufferable (after two hours)

Intolerable burning in the throat and upper part of the stomach, which she described as gradually sinking down lower (after three-quarters of an hour)

Suffice it to say, that my throat was but slightly inflamed before I took the dose, but the living fire that was kindled therein after it, the suffocation I experienced, the pain, and long after, the fiery-red appearance of the whole buccal cavity, and that I had to resort to an antidote before I got any comfort, will not tempt me to repeat the dose, and may be a warning to other practitioners

Called out that “he was burned and threw himself on a sofa in great pain (iminediateh")

Sensation of constriction in the throat (immediately)

Constricted feeling in the throat (soon). The constriction of the pharynx changed to a severe pain, accompanied by an unpleasant tickling, and coming on in paroxysms onl}' a few seconds in duration (second day)

* Constriction in the throat, with a burning sensation and difficulty in swallowing (immediately)

Considerable tightness and burning sensation in throat and gullet (after half an hour)

Throat felt “grown up on examination it appeared very red and swollen, shreds of mucous membrane peeling off; could swallow only a very little fluid (after five hours),®b

Pressure on the throat was painful (after five hours)

Sticking pain iii the upper part of the throat, near the larynx, on empty swallowing, not painful on talking. It was always increased after every dose, and was accompanied by very great hoarseness

Soreness of throat (second day)

Soreness of throat and fauces (fourth day),®b

Soreness of throat and inability to swallow (fifth day)

Sensation of rawness in-the throat, in)mediately (seventh and eleventh days); with catarrh (thirteenth day),b

Rawness in the throat that makes talking but not swallowing difficult

Throat rough ; swallowing difficult (twelfth day )

Beer caused scraping in the throat, and heat and redness of the face

TJvuld find Tonsils. Uvula swollen and elongated (third day)

* Uvula much swollen

Uvula much swollen and ulcerated (second day)

The swelling of the uvula and of the pillars of the velum almost stops up the entrance of the pharynx (third day)

* Pillars of the velum palate swollen and dark-red; in the tonsillary folds, on the edges of the pillars, are seen some soft, grayish excrescences like sloughs or false membranes (third day)

Tonsils a good deal swollen (after one hour and a half)

Filices, PJiartjux, and CEsopJiagns. Fauces considerably injected (after half an hour)

Fauces inflamed

Fauces much inflamed (after one hour and a half)

* A sense of dryness in the fauces

Fauces sore (sixth day),’®

Soreness about fauces and mouth (second day)

* Pharynx dark red, pressure externally excites pain (after three days)

* Violent burning pains in the pharynx f

Constriction of muscles of pharynx (second day)

Extreme soreness of pharynx, with difficult deglutition ; when swallowing any liquid, the raw sensation extremely acute

Extreme soreness of pharynx, with complete d3"sphagia

Scraping roughness posteriorly in pharynx, compelling frequent hawking (first day)

Pain down oesophagus into stomach (after four hours)

Complained exceedingly of pain and sense of constriction along the course of the oesophagus (soon)

* Burning sensation in oesophagus (second day); (fourth day)

* Burning heat in oesophagus (after three days)

Sensation of warmth and burning along the whole of the oesophagus (after five hours)

Constriction of oesophagus (soon)

Acute pain, like a sticking, deep within the chest, and lower down as if in the oesophagus, as though morsels of food remained sticking in it, which distended the oesophagus and could not descend ; yet food and drink could be swallowed without hindrance; the pain, however, seemed somewhat aggravated by swallowing, as also by eructations of air (sixth day)

Stoalloirhlff. *The act of swallowing was attended with a violent spasm of the glottis

Difficnltswcdlowing; (after one hour and a half)

Difficulty of swallowing, so that at breakfast he could not eat bread, with increase of pain in the lower jaw (second day),I

Constant difficulty in swallowing (tenth day),^b

Considerable difficulty in swallowing (after two hours and a half),’l

Swallowing very difficult,^^^; (soon); (second day)

The act of swallowing gave rise to much pain (after four hours); much greater difficulty of swallowing (second day)

* The act of stealloiving, even of produces great pain (third day). Great difficulty of swallowing (sixth day)

’^'Deglutition so difficult and painful that the least attempt to swallow a chop of liquid caused spasms of the oesophagus and stomach, with vomiting of whitish, slimy, tenacious masses which became mixed with bile if the vomiting continued any length of time (after five hours)

Could not swallow, as her throat was drawn together, and sometimes entirely stopped (after ten minutes)

Impossible to swallow; the attempt only caused retching and vomiting

Dysphagia

Complete dysphagia

External Tltl'Odt. Much swelling of the throat

Throat enormously swollen

The external fauces, particularly on the right side, and also the right side of neck, much tumefied (soon)

* All glands of jaw, etc., swelled (third day)

Submaxillary region much swelled (after four hours)

* Submaxillary glands enlarged

* Submaxillary glands enlarged and tender (fifth day)

Submaxillary glands swelled considerably (after forty-eight hours)

Salivary glands very much swollen

Stomach p. 246

Al^petite. Strong propensity to eat Cayenne pepper since her illness

A little less appetite than usual (second day)

Appetite wanting (twelfth day)

No appetite for some hours after a dose

Loss of appetite, in the evening (tenth day)

Thiest. Thirsty (second day)

Some thirst, in the evening (tenth day)

Thirst and desire for ice (after two days)

Considerable thirst ®®.

Considerable thirst, so that she stopped to drink water almost at every ditch (soon)

Much thirst (second day)

Great thirst (first night); (second day)

Great thirst, with bad appetite (thirteenth day)

* Thirst very great (twelfth day)

Urgent thirst (second day)

Thirst so incessant that he asks for milk every two or three minutes, notwithstanding the distress he experiences in getting it down (second day)

Excessive thirst *® ®

Extreme thirst,^; (after twelve hours)

Thirst intense (soon); (after one hour and a half); (after four hours); (after five hours); (for four days)

Violent thirst

Violent thirst; but every attempt to take liquids was followed by retching and vomiting (fifth day)

Unquenchable thirst

Insatiable thirst (after one hour)

Burning thirst (sixth day)

Great desire for cold water

Called for cold ivater in large quantities

Eructation and Hiceoilffh. Frequent eructations, with nausea and fruitless efforts to vomit; after some time, very violent vomiting, repeated at short intervals; the substances vomited were mucous, thick, and had an extremely sharp metallic taste, and were accompanied by disagreeable constriction of the throat

Hiccough, at the least movement (fifteenth day)

Hiccough with the vomiting (third day)

Occasional hiccough (after two days)

Troublesome hiccough (fourth day)

Hiccough very troublesome (after tw'o hours) ; occurs with great regularity twenty-six times a minute

Hiccough frequently, which the least particle of water increases (fourth day) ; distressing (fifth day)

Severe hiccough (seventh day)

Several violent fits of hiccough (first night)

and Vohiiting. Nausea

Attacks of nausea, in the night

Nausea and qualmishness during and after a dose (third day)

Nausea and inclination to vomit all day (fifth day)

Nausea and retching (after two hours and a half)

Nausea, sick stomach, and vomiting (after half an hour)

So great a sensation of nausea, that she was obliged to go to the door, where she vomited (after twentythree minutes)

Distressing nausea (second day)

Violent retching of stomach

Spasmodic and very painful retching

The great distress it caused produced ejection of much of it from the stomach

Could not retain what she drank, for any length of time (second day)

■ Nothing would remain on the stomach (second day)

* Vomiting'®, etc.; (immediately),^'; (soon); (aftertwenty minutes),"; (afterone hour)

Nausea and vomiting, with violent spasmodic action of the muscles (after two hours)

Retching and vomiting (second day)

During the night vomiting came on, with great thirst (first night) ; in one case (sixth day)

Occasional vomitings and retchings, which nearly approached convulsions (after one hour)

Frequent attacks of retching and vomiting (after one hour and a half)

Vomiting continually (soon)

Constant vomiting and retching

Excessive sickness and retching, followed by incessant vomiting

Violent vomiting

Violent sickness and vomiting (soon)

A'^vomiting and retching violently

Violent vomiting and purging

A'^omited all the food and liquid in her stomach (after one or two minutes)

Repeated vomiting, first of food, then of serum (soon)

Twice a spasmodic vomiting of a serous substance, without any previous nausea

Retching and vomiting of tenacious mucus

Copious vomiting of a dark frothy substance, and purging came on in about an hour, and continued at intervals during the night and part of the succeeding day

Vomiting a thick, stringy, albuminous-looking substance (soon)

Vomiting and purging of a dark gruraous matter

Vomits freely a large quantity of dark muddy-looking material mixed with halfdigested food (after half an hour)

* Vomiting of green matter (after forty-five minutes)

Vomiting of bitter green substances, with diarrhoea (soon)

Incessant, green bilious vomiting, soon amounting to four basinfuls (immediately). Continued vomiting, but the contractions of the stomach are less forcible (after seven hours) ; vomiting every quarter of an hour (second day); retching continues; vomiting renewed by coughing (third day)

Frequent vomiting of a bluish mucus, similar to the blue pill in solution (third day)

Large quantities of bilious matters were thrown off the stomach, as well as by stool (after three hours)

Vomiting of bile continues and occasionally large pieces of curd are brought up with it (after three days)

Vomits largely and incessantly of viscid frothy mucus

Nausea and vomiting of white, frothy, tenacious masses with frightful retching

Vomiting of small pieces of membrane (fourth day)

Copious vomiting of matter which resembles pus, and has a saltish taste (twelfth day)

Vomiting of pus (after three days), followed by death

Vomited, with much retching, bringing up a bloody-looking fluid

Vomiting a clear fluid like water, mixed with fresh blood

Too much liquid makes him sick; in the evening vomits blood and water, which has the same appearance as that from the bowels (second day)

Frequently sick, vomiting a thin, bloody fluid (after eight hours and a half)

Vomited freely (soon); during the day he brought up a thick yellow frothy matter, tinged with blood, in small quantities (first day); a slate-colored, semifluid substance (second day); some greenish biliary liquid (fourth day)

Vomiting of bloody mucus

Vomited (soon), only bloody mucus (after two hours and a half)

Retching and vomiting of bloody mucus (eighth day)

Vomiting and purging of bloody mucus and membranous flakes

Vomited (after ten minutes) ; (an emetic was administered, also two eggs) ; he had vomited several times, in all about 6 ounces; the matters appeared to consist of mucus and the egg swallowed, with some dark masses resembling sputa, except in having a dull leaden tinge (after half an hour) ; vomiting continued, the matters ejected consisting principally of the substances swallowed (eggs, flour, and water), (after one hour and a half); vomited twice, portions of blood were mixed with the matter thrown off; the flaxseed tea (after three hours and a half )

Vomiting of a little mucus mixed with blood (after three hours and a half)

Vomited and continued retching violently (after three minutes) ; threw up scanty mucus streaked with blood (after eleven hours); water was rejected immediately

Vomiting of mucus, and afterwards of blood

Began to retch (immediately); still retching and bringing up mouthfuls of thick mucus mixed with blood (after tv/o hours)

Streaks of blood in the matter vo^nited (after half an hour)

Vomited several times, and brought up a quantity of yellow-colored matter, interspersed with blood,’I

Vomiting at last greenish and bloody, with excessive retching and pain

Vomiting of ingesta and tenacious mucus, afterwards of bile and mixed with blood

Vomiting blood (after half an hour)

Incessant vomiting, first of milk (taken to allay thirst, half an hour after the poisoning), then of almost pure blood (after four hours)

Vomiting violent and incessant, parting with blood, and coffee-grounds-colored matter

Coffee-grounds-colored vomiting, with coagulated blood (after twelve hours)

Vomited some pure blood

Profuse vomiting of blood (soon)

Has thrown up a large quantity of blood from stomach (seventh day)

Extremely sick, and discharged the contents of her stomach (in less than half an hour) ; the retching, however, continued, and she threw up a considerable quantity of blood ; on the following day, the sickness had not abated, though the haemorrhage had ceased; sickness continued till death, on the sixth day

Occasional vomiting or belching of blood; as she lay on her back, she would raise considerable quantities of blood, mixed with water, by a peculiar action of stomach, without any exertion (fourth day)

Considerable quantities of fluid blood occasionally escaped from his mouth without any effort like vomiting (after nine days)

* Drink frequently regurgitates through the nose.

StomacJl. Stomach swelled, and was violently painful, so that she could scarcely speak to be heard (after nine days)

Swelling in epigastric region of left side, and a sense of weight and hardness (eleventh day)

Epigastric region somewhat distended, very sensitive pressure

Pain in the stomach, increasing for some time; on pressing my hand firmly to the part affected, I felt wind rolling under it (third day)

Some pain in the stomach (after three doses)

When asked where the pain was, pointed to the epigastric region (soon), (after one hour)

Pain and heat in the stomach (after three minutes)

Immediate pain at the scrobiculus cordis

Suffering much pain in the region of the stomach

* Great pain about the scrobiculus cordis (after four days)

Great pain, referred to the pit of the stomach, and_ tenesmus (after two hours)

Severe and constant pain in epigastrium, increased on pressure (soon)

Violent pain of stomach; (soon),®’. Violent pain at scrobiculus cordis

Violent pain in the stomach, attended with vomiting and painful retching, which continued with little interval the whole night (seventh day)

Violent pain in the epigastric and hepatic regions

Agonizing pain in stomach and bowels (second day]

Frightful pains in the epigastric region (immediately)

Violent heat and pain in her stomach, with continued vomiting of everything she took for a week; at some times more violent than at others; always most relieved when after several efforts she had vomited up a small quantity of something which, as she expressed it, tasted like milk which had stood in a brass pan

Burning in the stomach ; (soon); lasting half an hour (fourth day)

Burning and pressure in the stomach, followed by frequent eructations (fifth day)

Burning in the pit of the stomach, throat, and mouth

A feeling of burning heat at the stomach

Burning and heat in the stomach, with constrictive pains that extended down into the intestinal canal, with congestion of the heart and anxiety, followed by soft stool

Burning pain in the stomach (after one hour)

Burning pain in stomach and bowels (second day)

Burning pain at pit of stomach, soon followed by copious and frequent bilious vomiting (after five minutes')

Burning pain in epigastric region (after eight hours and a half)

Burning pain at epigastrium (after half an hour)

Slight burning in the stomach (first day)

Great heat or burning of stomach (fourth day)

Great burning heat in the epigastric region

Great pain in the stomach and up the oesophagus to the fauces; a burning sensation was complained of, as if the parts were on fire (soon)

Intense burning in the stomach (immediately)

Violent burning sensation in the stomach (immediately)

Violent burning and horrid distress in the stomach (after five hours)

Painful pinching in the stomach (after fourth dose)

Griping pain in stomach and bowels (after two hours)

Violent griping pain in the stomach, extending through the whole course of the intestinal canal (soon)

Pressive sensation in the epigastric region and in the chest ’®.

Distressing pressure in the stomach (eleventh day)

Very painful pressure in the stomach (twelfth day)

Violent burning-sticking pains in the epigastric region, which was distended, excessively aggravated by the slightest pressure

Pricking sensation in stomach, like sword-points sticking in it (fifth day)

Acute stitches in the epigastric region (after taking soup), (first day)

Fine stitches in the pit of the stomach, in the morning (third day)

Awakened from the afternoon nap by very severe pain in the pit of the stomach; these pains became worse rapidly and were tearing, somewhat relieved by bending up the body, especially involving the region of the stomach, and seeming to extend thence over the whole diaphragm; the abdomen was somewhat sunken and very painful to pressure in the epigastric region

* Tenderness on pressure of the epigastrium (second day)

Slight tenderness on pressure in epigastrium (after one hour and a half)

* Great pain upon pressure over region of stomach (second day)

Stomach very sensitive (twelfth day)

* 'Great sensitiveness in the epigastric region

Epigastric region very sensitive to touch, and the slightest pressure caused very acid pain

Gentle pressure on pit of stomach gives pain (second day)

* Epigastrium painful even from the least pressure (after five hours)

Stomach so very irritable that she could hardly bear to be touched with the hand, or even sustain the weight of the bedclothes (fourth day)

Pain much increased by pressure on pit of stomach, also by coughing

Sweet apples have a good effect, but sour ones distress

Pains increased by drinking (second day)

Abdomen p. 249

Hypochondria. Sticking as if in the middle of the liver (first day)

Stitches in the hepatic region (second day)

JJn%- hilicctl and Sides, Feeling of discomfort in the umbilical region (second day)/

Passed a very had vight, complaining of great pain at the umbilicus (first night)

After the first eighteen hours, the pain removed, and became violently fixed at the umbilicus, continuing there eight hours; thence to the back (lumbar region) which continued to her death

Colic to the right of the umbilicus, a kind of griping, after dinner (second day)

Pressing-down in front below the umbilicus immediately after a stool, lasting some time,k

Colic, cutting below the umbilicus after a moderate use of sour apples, while walking in the open air, and afterwards in the evening becoming very acute, with some desire for stool (fifth day)

Itching sticking in the umbilical region (eleventh day)

Colic about and above the umbilicus, after eating bread and butter (first day)

Colic pains in the umbilical region, followed by three very thin stools with tenesmus

Tenesmus iu the umbilical region on pressure (fifth day),™.

A constrictive jerking pain iu some muscle-fibres in the umbilical region, iu the inner side of the right rectus muscle, lasting several minutes, and afterwards frequently returning (second day),™.

Cutting in the right side of the upper abdomen (sixth day)

Getieval Abdomen. ^Swelling of the abdomen

Abdomen swollen, and generally painful to the slightest touch

Excessive swelling of the abdomen

Abdomen swelled as large as a woman’s in seventh mouth of pregnancy, very hard ; with pains at regular intervals, like labor-pains,®k

Abdomen distended, painfid to pressure

Unusual distension of the abdomen (after twelve hours)

Abdomen very much distended, painful,™.

Bloated bowels, in the night

Abdomen tumefied and very painful to touch (after one hour)

Pain has extended all over abdomen, which is somewhat tympanitic on percussion and exquisitely tender to touch (after two hours and a half),™.

Abdomen contracted, very sensitive to touch

Borborygmi, in the night

Unusually profuse emission of flatus (first day)

Pain in bowels (after forty-five minutes)

Pain and sensitiveness not only of the epigastrium, but of the whole abdomen (after four hours)

Abdomen painful, much distended

Epigastrium and abdomen generally very painful, the uneasiness being somewhat increased on pressure, but without particular tension or enlargement (soon),™.

When asked to point out the seat of pain, he passed his hand over the whole of the upper portion of the abdomen (after half an hour)

Slight pain in abdomen (after four hours),”. ■

Great pain in the bowels

Great pain in the left part of the bowels (third morning); less (fourth morning)

Severe pain all over the abdomen (after two hours)

Intense pain over the abdomen (soon)

Very violent pain through the whole intestinal canal

Frightful pains from the pharynx through the whole intestinal tract

Burning sensation in abdomen (after one hour and a half)

Sense of distension of abdomen, her clothes appearing to be all too tight for her (soon) ; abdominal distension and much tenderness on pressure (after one hour and a half )

Griping pains in bowels

Griping in the abdomen, at times without distension, relieved by emission of flatus; frequent sudden attacks of weakness and confusion of the head

Cutting in the abdomen, with chilliness in the open though warm air (immediately)

Pinching sticking in the upper abdomen, as if in the muscles (first day)

Severe tormina (third day),®k

Colic (second day)

Colic from the slightest cold, for several weeks

Colic, with desire for stool in the abdomen (after eating potatoes), in the afternoon (third day)

Colic, almost daily after eating various things, fruit, especially after potatoes, cherries, etc. (after ten days)

Colic and tenesmus, and six discharges during the night

Passing colic (after third dose)

Quite severe colic (second day)’,®

\ ioleut colic,’®’®. Violent colic in the region of the coecum

Violent colic ^followed by several bilious stools with distressing tenesmus (fourth

Tenderness over abdomen (second day)

Tender and tympanitic condition of abdomen (fifth day),®f

Some but not much tenderness on pressure over the abdomen (after eleven hours)

Abdomen entirely sore on the slightest pressure (second day)

* A peculiar bruised sensation in the abdomen, especially in the coecal region and following the course of the transverse colon; the coecal region and transverse colon were painful to moderate pressure, as though they had been bruised; the walls of the abdomen, however, were painless; this pain lasted all the forenoon, was less acute in the evening, but did not entirely disappear (seventh day) ; bruised sensation in the coecal and mesocolic regions; the painfulness uas increased by moderate pressure (eighth day),b

Smarting pain all over the bow-els (second day)

Jerking in the right rectus abdominis muscle (fifth day)

Pain, relieved by bending double

IlypoffONtrimii and Iliac Hcf/ions. Feeling of apprehension in lower abdomen, not relieved by emission of flatus (third and fourth days)

Pain in the lower portion of the abdomen (first day)

Slight sticking drawing in the left inguinal region (first day)

A peculiar pressive pain in the right inguinal gland, as if the gland would become swollen ; this sensation continued for an hour, and was relieved after rising in the morning (third day)/-

Tensive-pressive pain in the left inguinal region, with a sensation as if the gland were swollen, at 5 a.m., after waking (seventh day)

Rectum and Anus p. 251

Heeluni. Much pain in rectum (third day)

* Burning heat in rectum (after three days)

Constant burning pain in the lyctuni (second day)

* Violent burning in the rectum (eighth day)

Sticking-shooting pain in the rectum (fifth day)

Stools associated with the most violent smarting pains in the rectum (second day)

An us Oozing of a corrosive ichor from the anus, that excoriated the external parts, and rendered them so sore that he coidd hardly bear clysters to be injected (fifth day)

Frequent discharge of blood per anum (fourth day)

Blood passed off freely per anum, and increased daily (third day)

Frequent burning in the anus during stool

Sticking in the anus (after twelve hours)

Itching in the anus (sixth day)

JJvffinif, Frequent desire for stool, with increased emission of flatus (fourth day)

Tormented by constant urging to stool (soon)

Frequent ineffectual urging to stool, causing most violent pain (fifth day)

* Tenesmus

Persistent tenesmus

* Tenesmus incessant (soon)

Very distressing tenesmus, getting worse and worse; nothing passed but mucus tinged with blood (third day)

Stool p. 251

JJiavidicca, Diarrhoea; (sixth day), (one case)

Diarrhoea and bloody stools (after forty-five minutes)

* Diarrh(Ea attended with tenesmus ; constant desire to go to stool, the matter evacuated being scanty, chiefly blood and mucus (after eight days)

Frequent diarrhoea, with tenesmus and constant desire to go to stool

Bloody diarrhoea (soon)

Frequent, offensive, slimy and bloody diarrhoea

Sero-sanguineous diarrhoea (after two houi’s)

Purging, the dejections consisting mostly of mucus tinged with blood

* Purging of bloody mucus, with constant and distressing tenesmus

Considerable purging of fluid matter, containing a large quantity of blood (after three hours and a half)

Much purging, bloody stools (second day)

Great purging, partly blood (soon\®®.

Purged violently (after three hours)

Violent purging of coagulable lymph, clots of blood, and fine pellucid membrane (after twenty-two hours)

Purged eight times in eleven hours (after a quarter of an hour),''h

Violent, repeated, and very offensive discharges per anurn

Repeated calls to the vase, in which were voided large pieces of a coagulable lymph, like sheets of boiled maccaroni (after six hours) ; stools changed to a livid, fetid and grumous appearance (second day); dirty grumous, in which was enveloped a lumbricus (third day)

Bowels had acted three times; stools quite liquid and dark (after two hours and a half) ; bowels acted twice in the morning, very much blood in the stools; in the afterpart of the day three dark-green stools (second day); four or five times (second night) ; considerable purging during the day (third day); three or four bloody stools (fourth day); stools still bloody (fifth day) ; four or five stools with a little blood (sixth day) ; three or four stools (seventh day); much purging (eighth day) ; frequent stools of a yellowish appearance (eleventh day)

Frequent stools, with great tenesmus; the stools were very offensive and in quick succession

Frequent offensive stools

Frequent bloody stools (third day)

Frequent evacuation of a little bloody mucus day and night, with almost cutting colic and intolerable, 'painful, almost ineffectual pressive forcing and tenesmus

* Tenesimis, with frequent discharges of a bloody and mucous character (Mi day)

Used the bedpan frequently during the night. The dejections were for the most part fluid, containing apparently blood, mucous membrane, and a thick scum. The dejections and matter vomited resembled each other, and were so peculiar that they were saved

He had had several dejections, consisting of a dark fluid, with some small lumps of dark-green fleces (after half an hour); dejections frequent, and several followed each other at intervals of only two or three minutes; they continued to exhibit similar appearances, being almost entirely dark fluid, but several of the last had a quantity of flakes, apparently of mucus mingled with them (after tw'o hours and a half) ; had several small bloody fluid dejections, containing small masses of coagulated albumen, free from fecal odor, but of the fleshy smell, sometimes observed in similar dejections in cases of cholera (after three hours and a half)

Several bilious stools in the afternoon, with decided tenesmus (eleventh day)

Several offensive bloody stools, with severe colic and tenesmus (after a dose of Epsom salts), (after three hours)

Evacuation of stool with tenesmus

* Alvine evacuation with frequent and violent urging, with tenesmus and violent bxmiing (after five hours)

Brown, very offensive stools

Several watery stools, with colic (third day)

Cutting colic, followed by thin bilious stools, with straining (twelfth day)

* Pasty dark-green, blackish, offensive stools (third day)

Very offensive, dark pasty stools, with tenesmus

Bloody stools; (after twelve hours)

Stools mixed with blood

* Stools mixed with blood; with small, hard, frequent pxdse (eighth day)

Fjeces mixed with blood and watery mucus

Small, brown, viscid stool, mixed with a little blood (second and third days); blackish diarrhoea (fourth day); frequent, dark, strong-smelling stools (fifth day)

Stool of mucus mixed with blood (after two hours); before this had had two natural evacuations, which were attributed to an aloetic pill taken the preceding evening; complete cholera (second day)

Her first stools, commencing after six hours, looked like strong saffron water, then, for four days and nights, her stools were blood and mucus only, passing them every tw'o or three hours, each stool preceded by cold pains, felt low down in the pelvis, and followed by severe tenesmus; in forty-eight hours after bloody stools ceased she had a natural stool

Green-colored evacuations (second day); feces of a dark color, mixed with blood (third day); motions streaked with blood, and once or twice they consisted entirely of blood mixed with mucus (fourth day)Dejections of merely bloody mucus (soon)

Bloody stools, with abundance of mucus (first day); a copious stool, and another shortly afterwards, but without blood, at 9 a.m. ; there has been nothing but bloody mucus passed per anum (second day) ; frequent stools, consisting chiefly of mucus and coagula (third day) ; three or four more natural motions (fifth day); motions passed involuntarily, tolerably healthy, though loose, containing little blood (sixth night),™.

Discharge of bloody stools, accompanied by cramps (soon); three stools of tolerable consistence, and of a light color, within the last twenty-four hours (ninth day); passed by stool about six pounds of fluid blood, immediately before death (fourteenth daj,'^’-

* Tenesmus, xvith at least twenty evacuations in twenty-four hours, consisting of mucus mixed xvith considerable blood; they were painful, and compelled groaning (second day). Bloody stools less frequent, with less pain (seventh day). No blood in the stools (twelfth day). Liquid stools; yellow after a meal (fifteenth day)

Three pasty brown stools about 4 p.m., with rumbling in the bowels"(tenth day)

Two or three copious stools (after two hours and a half); frequent stools, averaging once in ten minutes, with but little fecal matter, which looks like water mixed with blood (second day) ; frequent dark and offensive stools (fourth day); not more than once in three hours (fifth day)®

Two soft stools in the morning (tenth day),™.

Two clayey, lightyellow stools (seventh day)

Stools and urine passed involuntarily (seventh day)

Stools reddish and slimy (fourth day),™.

Passed by stool a large quantity of green and highly bilious-looking fluid (after eight hours and a half)

Evacuation of feces mixed with mucus and dark clotted blood

Stool of thin formed feces

Soft stool about noon (third day)

A thin, soft, yellow, painless stool, with frequent urging, after breakfast; this was followed by continued desire for stool in the abdomen (second day)

* Stool of tenacious fceces

Stool remained, for a long time after the proving, hard, though evacuated daily

Stool harder and more scanty than usual (fifth day)

Stool harder, drier, and more scanty than usual, for three days after the proving; after which for three days it was softer and more moist than usual; after which it returned to its normal condition

Constipation. Constipation during the whole attack; no diarrhoea

Stool never soft; constipation (before taking the pills she had been subject to frequent diarrhoea)

When constipated the feces were dark brown

No stool (second day); (fifth day); (eighth day)

Urinary Organs p. 253

Bladder'. Apprehension and discomfort in the region of the bladder, as before a stool; while walking (second day)

Pain in bladder (after two hours and a half)

Uiethi'a Gonorrhoea, at first thin, afterwards thick; at last with biting pain on urinating, and stitches extending back through the urethra

Urine burning (tenth day)

Burning m the orifice of the urethra (eleventh day)

Burning in the urethra, commencing before urinating and continuing violent till the water passed; less while urinating, almost entirely disappearing after urinating

Sticking in the forepart of the urethra, with some desire to urinate, and very fine stitches in the left testicle; in the evening while walking (sixth day)

Burning sticking in the forepart of the urethra, with a feeling of vigor and lightness after coition (sixth day)

Stitches in the forepart of the urethra while walking in the open air (sixth day)

Frequent stitches in the forepart of the urethra (after ten days)

Slight stitches in the forepart of the urethra, and at the same time in the sphincter ani; in the evening (sixth day)

Itching in the forepart of the urethra

Violent itching in the orifice of the urethra, which was a biting while urinating, with some stitches through the whole urethra (twelfth day)

31icttiVition, Uigiug to urinate felt in the urethra, with scanty emission ; afterwards no inclination with a full bladder, but after the evacuation of the bladder a feeling of fulness remains (after two hours)

^3Micturition frequent; urine passed in drops with much pain (soon)

Upwards of one hundred ounces of urine passed in first twelve hours; no other urinary evacuation until the fourth evening, which was very scanty, and continued so until death

Micturition difficult, infrequent

Ischuria for thirty-six hours

Strangury

Voids a small quantity of water (second day).®®.

Very little water passed

Urine, Urine scanty, burning on micturition

Urine scanty, red, with a brick-red sediment (second night)

Very small portion of urine secreted (after twelve hours)®®.

No urine secreted

Suppression of urine; (sixth day)

Partial suppression of urine for forty-eight hours

Has not made water yet (third day) ; suppression of urine continues (fifth day)

Passed some urine naturally for the first time (third night) ; suppression of urine continued (sixth night)

Total suppression of urine for five days

Complete suppression of urine

Complete suppression of urine from the commencement (youngest)

On the fifth day, the urine having been retained for some hours, a catheter was used ; from one of the patients scarcely any urine was drawn off, from the other a large quantity; the latter passed a very small quantity the next day

No discharge of urine for twenty-four hours ; the catheter was, passed with difficulty on account of the inflammation and swelling of the urethra and bladder; only a few drops of urine were discharged; on the third day there was no urine found in the bladder; the same on the fourth day; soon after which the patient died

Bloody urine (after two hours and a half); highly colored with blood (after three hours) ; and during the next six hours the quantity voided was very great, probably not less than two to three quarts; after this though the desire to pass urine was frequent, the quantity rapidly diminished, and at the expiration of twenty-four hours there was total suppression ; on the third evening he had passed none for twenty-four hours. I found on introducing the catheter that there was none secreted ; none was passed for eighty-one hours before his death. (He had been troubled with his kidneys for many years, and once had a severe attack of gravel)

* Bloody urine (after eight hours and a half)

Urine pale yellow, somewhat turbid, with traces of flakes of mucus; after standing it deposits a pale-gray sediment covered with a whitish coat; urine strongly ammoniacal after standing

Blackish, ^albuminous urine

Passed two quarts of pale urine (after two hours and a half); passed a pint and a half of the same kind (after five hours); sp. gr. 1009. Slight turbidity was occasioned by heat, but was instantly removed by nitric acid. For several days her urine, contained a considerable quantity of albumen. One specimen presented the following characters : It was turbid, and had a pale-brown color; its odor was urinous; sp. gr. 1028 ; it was abundantly coagulated by heat as well as by nitric acid

Urine decidedly acid and quite limpid, without a trace of albumen or sugar (after four hours). Urine no longer limpid; rather thick, bid acid as before; sp. gr. 1016. Flakes of albumen precipitated by heat and nitric acid. Proportion of albumen, according to Mehu’s formula, 24 centigr. to 50 grammes urine; i. e., 4.80 grammes per litre. Under the microscope, the urine presented "Granular fatty tubuli, in large numbers, showing on their surface epithelial cells of the tubuli uriniferi, also in a state of granular fatty degeneration

Sexual Organs p. 255

3Pale Penis and testes swollen enormously (second day)

(When touching the os uteri during coition a sensation of a pressive pain followed by pressure)

Violent erections, with great sexual desire (sixth day)

Violent erections during sleep, continuing after waking; during coition delayed and very slow emission (second night)

Sticking pain in the right testicle (eighth day)

Fine but acute stitches in the middle of the left testicle, continuing the next day (first day)

Sexual desire very much diminished (secondary action) ; scarcely ever an erection (after ten days)

Feuiale. '‘"Intense inflammation of the vulva

Vulva in a sloughy state (after death)

Slight haemorrhage from vagina (second day)

Leucorrhoea pale yellow, of a nauseous sweetish odor

Almost immediate local pain of a most severe kind, with a sense of burning heat; urgent forcing downwards, as in labor; and profuse discharge of mucus as thin as water; on examination, the entrance and lower part of the vagina were found greatly swollen, red, hot, and discharging profusely; on the third day the discharge continued, and was tinged with blood

Alarming increase of catamenia

Respiratory Organs p. 255

Larynx. Great irritability in the larynx (ninth day)

Voice, Voice hoarse

Voice rough and hoarse

Almost complete aphonia

CouglianclExpeetoratioii. Paroxysms of cough during the night (third day)

Frequent attacks of spasmodic cough (fourth day),®».

Several paroxysms of spasmodic cough (sixth day)

The tickling in the throat gave rise to a convulsive cough, with very severe pain

a pharyngeal cough, such as is caused by thrusting the finger into the back of the mouth. The paroxysms of cough were followed by the expectoration of bloody mucus; then, by a feeling of suffocation, with great anxiety ; they recurred at short intervals (second day)

Dry cough

Great inclination in the larynx to cough towards evening; dry cough ; the larynx dry (eighth day)

Hollow, dry, fatiguing cough (after two hours)

* Coughed up a considerable quantity of mucus tinged with blood (after eight hours and a half )

Spits up thick pellets of mucus mixed with blood (sixth day)

Respiration. Breath extremely offensive

Breath fetid (after forty-eight hours)

Breath fetid, but the mouth is by no means sore, and there is no ptyalism (sixth day)

Breath extremely fetid (eighth day)

Mercurial fetor of breath (fifth day)

Well-marked mercurial fetor from his breath (third day)

Strong mercurial fetor of breath (third day)

Mercurial fetor of breath very perceptible (eighth day)

Respirations quick and catching (after half an hour)

Respiration slow; (after five hours)

Respiration slow, interrupted ; at times, deep and sighing

Respiration uneven, 20 (after four hours) ; 29, at 8.30 a.m. ; 20, at 5.30 p.m. (second day) ; 18, at A.M.; 16, at 5.30 p.m. (third day); 18, in morning; 20, at 7.30 P.M. (fourth day) ; 28 (sixth day); 16, in morning; 20, in evening (seventh day)

Inspirations deep and heavy (third day)

Breathing labored (sixth day)

Respiration impeded

Difficulty of breathing (seventh day)

Respiration deep, difficult

Respiration by the aid of the intercostal muscles was difficult and irregular

* Respiration very difficult

Great difficulty in respiration (soon); (after one hour)

Oppressed somewhat for breath, and has continual rattling in the throat (fifth clay),®l

Dyspnoea

Dyspnoea was a constant symptom from the first attack of vomiting until she was able to retain liquid in the stomach

Dyspnoea increased on account of the excessive swelling of the mouth and throat, so that the physician opened the trachea just below the larynx, which afforded some relief.

Chest p. 256

Objective. Rattling in the chest

Sonorous rales in all parts of the chest

Sabjeetive. Sensation of constriction over the whole chest

Oppression of the chest

Shooting pains in the chest

Nightly sticking pain transversely through the whole chest

Itching-sticking pain in the muscles of the right lower costal region (eleventh day)

Stitches internally in the upper part of the left chest on deep breathing (first day)

* Frequent stitches shoot through the thorax (eighth day)

Frequent tearing pain in the lowest cartilages of the right ribs (first day)

Front. Burning pain beneath the sternum (after eight hours and half)

A kind of tearing in the middle of the sternum, after midnight (second night)

Sides. ^Sticking nthe upper part of the right side of the chest deep internally, scarcely aggravated by deep inspiration (fifth day)

* Some sticking pain in the lower portion of the right side of the chest (twelfth day)

Frequent dull stitches in the upper part of the left side of the chest, especially on deep breathing (first day)

Fine transient stitches through both sides of the thorax, after rising in the morning (seventh day)

Burning stitches in the right side of the chest, as if in the muscles (first day)

Mrtmmcp. *Painful glandular swellings about the nipple

Heart and Pulse p. 256

Frmeordiam. Precordial anxiety

Violent pain at the prsecoixlia

Obstruction and anxiety in the prsecordia and epigastric region, followed by slight palpitations (after second dose, portion of y®g grain)

Hears Action. The heart-beat had a tremulous, undulating motion

“Bruit de souffle at the base of the heart (fifteenth day)

Palpitation; (after third dose)

More frequent palpitations, in the night

Beats of the heart seemed remote and slow (after five hours)

Every fifteenth or twentieth beat of heart intermits (after four hours). Heart-sounds dull and intermittent (second day). Heart-beats still intermittent (owing, no doubt, to organic disease, probably mitral insufficiency), (seventh day),®®

False. Small, frequent pulse (second day)

Pulse small, contracted, frequent

Pulse small, frequent, and irregular (after one hour and a half)

Pulse rather more frequent than usual, but not full (second day)

Quick pulse (after second day)

Full and quick pulse (seventh day)

Pulse quick and feeble

Pulse small, quick, tremulous; (after eight days)

Pulse small, quick, and regular (first day) ; not to be counted (second day) ; unsteady and feeble (third day)

Quick, small, and very indistinct pulse at the wrist (first day); barely 50 (second day) ; 64, but small and weak (third day)

Pulse very quick and small (second day)

Pulse rapid, full

Pulse rapid, small, spasmodic

Pulse rapid, hard, without being particularly large

Pulse small and rapid (after half an hour)

Pulse rapid and weak

Pulse very rapid and small (after half an hour) ; could not be felt at the wrist, at the carotids and heart it was 168, feeble, regular (after one hour and a half) ; had returned at wrist, 140, feeble, regular as to frequency, but varying in strength (after three hours and a half )

Pulse feverish after dinner, at 1 p.m. (eighth day),’; (sixth night)

Pulse small, feverish

Pulse did not rise above the natural standard, and maintained a good degree of fulness and regularity until a few hours previous to dissolution

Slow and feeble pulse (second day)

Pulse feeble and slow (after two hours and a half); 80 (second day) ; more frequent and feeble (fifth day)

Pulse 136, very feeble (after eleven hours)

Pulse almost imperceptible (after two hours and a half ) ; 120 (after seven hours) ; 100 (second day) ; 130, in morning ; 120, in evening (third day)

Pulse 126 (second day); 105, small and corded (fifth day)

Pulse 120, feeble (after five hours)

Pulse 120, and small (soon)

Pulse 120, and feeble (after two hours); upwards of 100, and feeble (second day) ; 100, soft, and weak (third and fifth days); almost imperceptible at the wrist (seventh day)

Pulse small, hard, 116, with diminished temperature and moist clammy skin

Pulse 110, and full (second day)

Pulse very much depressed (after one hour and a half); 100, feeble (after five hours); 108 (third day); 108, full (fourth day); 90, in the evening (fifth day); 80 (sixth day); 80, weak (seventh day) ; 92, rather feeble, thready in the evening (eleventh day) ; hardly perceptible (twelfth day)

Pulse 96, rather weak (ninth day)

Pulse 90, and feeble (fourth day)

Pulse 86 (third day); 72 to 76 (seventh day) ; 84 (tenth day) ; 88 (fifteenth day)

Pulse 70, full, and regular (third day); 62 (fourth day)

Pulse 70 (second day); 72 (third day) ; 90 (sixth day)

Pulse small, contracted, irregular

Pulse 128, very feeble and irregular (after one hour) ; 120 (after two hours); 112, very much corded, and intermitting occasionally (second day)

* Pulse intermittent

* Pulse small, intermittent

Pulse 104, small, "^'irregular, intermittent (after four hours) ; 80, small, uneven, *irregular (after seven hours); 68 (after eleven hours); 80, at 8.30 a.m. ; 100, intermittent, at 5.30 p.m. (second day) ; 84, at 5.30 p.m. (third day) ; 90 (fourth day); 90, intermittent, in morning; IQ, intermittent and uneven, at 6 P.M. (fifth day) ; 90, in morning ; 84, in evening (sixth day) ; 70, still intermittent, in morning; 68, in evening (seventh day)

Pulse full and hard (seventh day)

Pulse small, contracted, 100,®

Pulse small, contracted, 120,®

Pulse feeble (after eight hours and a half)

Pulse soft and regular, but feeble (soon)

Pulse small, tremulous, and feeble (after twelve hours)

Pulse feeble, laboring in its diastole (second day); less perceptible (third day)

Pulse small and extremely feeble (after one hour and a half)

Pulse small and innumerable

Pulse small and scarcely perceptible (after four hours)

Pulse scarcely perceptible (soon)

Pulse small, filiform, scarcely perceptible (after five hours)

Almost pulseless

Pulsation imperceptible at the wrist twelve hours before death (after twelve hours)

All pulsation left the wrist and extreme arterial branches (after twelve hours)

Neck and Back p. 257

Tonic cramps involving the neck and back, lasting several minutes, during which respiration completely stopped

Tension externally near the left scapula (first day)

Tearing internally in the upper part of the left scapula, as if in the bone (first day)

Extremities in General p. 257

Ohjeetive. Hands and feet rather livid, shrunken, and cold (after half an hour)

Trembling of the extremities ; (second day)

Trembling of the limbs, especially if he stretched them out

Constant trembling of the extremities

Convulsive motions of the right upper and lower extremities

Spasmodic convulsions of the fingers and toes

Twitching of the limbs

Paralytic stiffness of the extremities (second day)

Extended on her bed, without control over her limbs (after five hours)

Complete paralysis of the upper and lower extremities, a few hours before death (sixth day)

* Lassitii(le in the limbs, and trembling avhen standing up and without moving (after fourth dose)

Loss of power and stiffness of the extremities, gradually increasing day by day, with excessive pain on every attempt to change the position, until the patient became completely paralyzed

Subjective. A peculiar feeling of loss of power into deltoid muscles, and also in the muscles of the calves and thighs, without special cause (fifth day)

Feeling of weakness and shivering in the limbs (after third dose)

Numbness of the hands and feet (fifth day), (in one case)

A peculiar numbness attendant on the pains in the arms and legs; worse in the evening, better the latter part of the night and during the day

Pain in the extremities (second day)

Pains in her limbs and arms, like those felt after long and fatiguing exercise, always worse after sleeping

Universal pains in the limbs (after two days)

Dull pains in the extremities, with general weakness, for five or six weeks

Drawing deep in the limbs, in the bones (seventh day)

A kind of tearing in the bones (joints of the fingers, hips, etc.), (seventh day)

Superior Extremities p. 258

Shoulder. Tearing in the left shoulder, frequently (fourth and fifth days)

Sensation as though the glands in the left axilla would become swollen; with frequently repeated transient stitches in them (tenth day)

A^mi. Rheumatic pain (like that peculiar to windy weather) in the right deltoid muscle, while walking (tenth day)

Hand. Jerking constrictive pain in the right metacarpus (fifth day)

Cramps in his hands (after two hours and a half)

Sticking pain in the muscles on the back of the hand, especially in the abductor and extensor of the thumb, and in the extensors of the foot (third day)

Tearing in the left metacarpal bones (during the first days of the proving this tearing had been farther down in the joints of the fingers), (seventh day)

Fingers. Fine but very sharp stitches in the tip of the left thumb, in the evening while walking (sixth day)

Acute tearing in the bone of the first joints of the left index and ring fingers, and also in the first joint of the thumb, continuing next day (first day)

Inferior Extremities p. 258

Objective. *Lower extremities drawn up in bed (fifth day)

Spasms of lower extremities (after four hours)

Stiffness of the legs

Sticking in the muscles of the lower extremities (eleventh day)

Hip. Pressive-sticking pain in the hip-joint and in the knee, during both rest and motion ; also in other extremities, but of less intensity (twelfth day)

Rheumatic pains like needle-stitches in the lower extremities (second night)

Sticking in the left hip-joint, from within outwards (first day)

Sticking pain in the hip-joint, during rest and motion

* Sticking pains in the hip-joints during rest, disappearing on motion (tenth day)

Shooting stitches in the hip-joint, in the afternoon (fourteenth day)

Tearing posteriorly in the right hip-joint, afterwards more to the side and externally (second day)

Thigh. Drawing in the thigh-bones (second day)

Knee. Knees drawn up (after four hours)

Leg. Twitching in various muscular fibres of the calves, inner side of the gastrocnemius muscle (fifth day)

The lower leg seems asleep,'; (second day)

Numbness and want of feeling in the legs (after three days)

Cramps in his legs (after five hours)

Cramp in left leg (after two hours and a half)

Drawing pain in the bones of the leg (eighth day)

Tearing in the left calf extending inward (first day)

Foot. Very unusual weariness of the feet and sleepiness, in the evening (first day)

Trembling of the feet (soon)

Trembling of the feet on walking, especially affecting the left side, and mostly in the morning on rising, and in the evening,‘k

General Syn2)fouth.

Objective, His whole appearance much resembled that of a person in the last stage of typhus fever (after nine

Though supported throughout the illness with milk, gruel, and chicken-broth, he was more reduced both in bulk and strength than any patient I ever saw, in so short a space of tune

* Dorsal decubitus (after four hours)

* Lying on his back with his knees bent up (tenth day )

He rolled so incessantly from side to side that it was difficult to distinguish pulsation, even at heart (after one hour and a half)

While leaning heavily upon the left arm, on standing, a moderate trembling of the left arm and whole left half of the body (first day)

Convulsions and rigors before death, which occurred on the fifth day

Twitchings

Spasms

General spasms and convulsions

Spasms, first in the toes and feet, and then in the fingers and hands, and afterwards extending up the legs and arms (after two or three hours); a violent spasm attacked the right breast, and shot through to the back, just under the shoulder-blade; the breast became much contracted, and its milk was speedily dried up

Violent spasms (second day)

Spasmodic motions of the muscles of the face, arms, and legs; constant cramps in all the extremities

Whole body stiff and painful on the slightest motion (sixth day)

Great weariness and suffering in the morning, so that after shaving he was obliged to lie down again in bed and sleep for an hour (second day)

Great depression of system (soon)

* Great debility (second day)

* Total debility of whole system (second day)

Debility seemed particular!v alarming (after eight days)

* Weakness (ninth day),”; without having made any exertion (second day)

Great weakness, and violent pains in the feet (after three days)

Very weak (second day)

Weakness (third day) ; excessive in the whole system, especially in the joints, which with difficulty support the weight of the body (after nearly two weeks)

Very weak and exhausted (soon); (after half an hour)

General exhaustion and weariness

Much exhausted (second day),”; after the spasms

Great exhaustion (second day)

Excessive exhaustion

Prostration; (fifteenth day)

General prostration and great exhaustion after eating (fifth day)

Much prostrated (after eight hours and a half)

Quite prostrate (after two hours and a half)

Very weak, prostrated

Great prostration

Lying in a state of great prostration (soon)

Extreme prostration and restlessness

General state of collapse

Faintness

Feeble and faint (second day) ; extreme general faintness (fourth day)

Alarming faintness recurred at short intervals

Fainting fits (fifth day)

Great prostration ; fainted while being leeched (third day)

Great uneasiness of the whole body, so that it was impossible to lie quietly in any position, and was obliged to leave the bed; digging and sticking in the left ear in the afternoon, so violent that it made him weep and cry out, lasting three minutes (second day)

Restless; (after two days)

Constant restlessness and tossing about

Great restlessness (third day)

Very restless; (soon)

Constant tossing about

Rolling uneasily about the bed, complaining of severe headache, and great pain in stomach (after half an hour)

1st. The general symptoms bore no relation to the amount of local disease. After the first few hours, the pulse was moderately full, and not above 90, and the temperature not unusual. This might be connected with the state of the blood after the occurrence of the suppression of urine, but it was present previous to the coming on of the suppression. 2d. The amount of inflammation and ulceration of the large intestines was such as occurs commonly with severe dysentery, and yet the dysenteric symptoms were slight, much slighter, indeed, than commonly occur in cases of poisoning by this substance. 3d. Suppression of urine continued from Monday until Saturday, the day of her death, and yet the patient retained her senses and was easily roused, exhibiting no signs of cerebral disturbance except slight drowsiness, and some tendency to \wandering

Subjective. Extreme sensitiveness of the whole body (fifteenth day),^h

Inclination to lie down (fourth day)

Great feeling of weakness (eighth day),®h

“Sinking feeling (seventh day)

Some malaise (second day)

General feeling of malaise (after third dose)

Disagreeable sensation in the periosteum of all the bones, like the onset of intermittent fever, with a feeling of heat in the head towards evening (after six hours)

Pains over the whole body (fifth day), (in one case),™.

General pains over the whole body, accompanied by stiffness, aggravated by every motion (fourth day)

Most acute pain, as severe as the actual cautery (immediately),®k

Most excruciating pain all over body, more especially about abdomen, on which part and on the thighs he had rubbed the largest quantity, and he felt as if roasting alive (after one hour)

Sometimes easy, at other times violently racked with pain, seat of which is principally about the scrobiculus cordis and umbilicus

Intolerable pains

Intolerable pain, so that she ran about the room out of her senses, with loud screams

Occasional cramps

Fine sticking here and there in the muscles during the day

Stitching in the parenchyma of organs, as in the lungs, liver, and very fine in the testicles (seventh day)

Drawing in the arms, and tearing in all the extremities, alternating with convulsive shudderings in the whole body; with at times loss of consciousness and oppression of the heart

The effects continued more or less for two days

Every motion or change of position was painful

Acids aggravate

General aggravation from eating fat food

She feels better during rest, easily becomes weak and tired after a little exertion

She feels worse in the open air, especially weak and frequently dizzy; if she then begins to work she feels somewhat better; Awhile at work she feels less weary than before or afterwards

Skin p. 260

Skin grew more and more livid, until it became everywhere of a dusky hue, although the breathing was perfectly free

General yellowness of skin (second day),™.

General paleness of the surface (fifteenth day)

Surface of body tumefied, with a mercurial erythema spreading over it (fifth day)

JEviijttionSf Dvi/. Eruption of many ecchymosed spots over the body and limbs, especially the lumbar region (fifteenth day)

Eruption over the whole body of pale-red, elevated, round spots, not sharply defined, disappearing on pressure, itching, looking like rubeola (after three days)

Papulous eruptions (lichen), that continue to get worse, so that the baths had to be stopped

Piercing cries followed, and in twenty minutes a brown scar was found on the parts that had been powdered; around was an inflammation of a bright-red color; scar black and dry in centre, and rather humid at circumference (after thirty hours)

Round the mouth, for the space of about an inch and a half, there was a rash, such as appears often after arsenical poisoning (eldest)

Eruptions 3Ioist. All the parts which had been rubbed in a state of complete vesication (second day)

(Painless blisters on the arms and abdomen, in the morning, disappearing during the day)

Arm greatly swollen from shoulder to wrist; in many places it was in a state of high inflammation, and in several parts covered with numerous and extensive vesications filled with lymph, much resembling the appearance that would have been produced by a large blister (second day),'“I

PustliJar. Several large pustules, of a livid hue, appeared upon the face and breast (fourth day)

A burning sensation was immediately experienced, and soon became intolerable; the next morning there was still violent burning and pricking over the whole surface of the skin, which was red and inflamed, and that evening presented at many points vesicles, such as show themselves in cases of scalding by hot fluids; these parts of the skin afterwards suppurated,™.

Sensations, Severe tingling sensation, similar to that of “being asleep (third day)

Itching burning and fine sticking in various places just under the skin (first day),®

Itching, changing to sticking and burning in the skin (seventh day)

Itching in various places, scalp, legs, etc., frequently changing to fine sticking and burning (first day)

Itching about the anus, while walking (first day)

Itching, changing to a fine sticking, in the middle of the back, as if in the skin (first day)

Itching between the right great (and second) toes (first day)

Sleep and Dreams p. 261

Sleepiness. Inclination to yawn, and frequent yawning (fourth day)

Frequent yawning and stretching (fifth day); without sleepiness (eighth day)

Drowsiness (fifth day)

Rather drowsy (after three hours and a half),™.

Considerable inclination to sleep

Sleepiness all the afternoon (fourth day)

One fell into a somnolent state, from which she could at first be roused by questioning,™

Soporous sleep, from which she was occasionally awakened by return of the pain,^b

Sleepiness, Sleep uneasy (sixth night)

Sleep very light, often awaking in the night, and unable to sleep on account of confusion of the head

Restless night (first day)

Restless night, with some mild delirium ; she tried to get up (fifth day).

Night restless, disturbed by constant waking; sleep for two or three minutes, followed by waking, change of position, tossing about, etc. (first night)

Night restless ; sleep frequently interrupted by distressing dreams (sixth night)

Sleep restless; and for a mouth her dreams were of falling from high banks, and being let down into deep wells, or trying to get away from some one who was intending to murder her,™.

Sleep for only a few minutes at a time (second night)

Did not sleep more than five minutes at a time (first night),™.

Sleep for the first eight nights lasted only till three oclock

Sleep interrupted towards morning

Woke about midnight, tossed about the bed for three hours, was unable to sleep (first night)

* Nigh.t sleepless ; coidd not lie comfortably upon either side (sixth night),b

Inability to sleep at night, on account of anxiety (eleventh day)

Starting vp suddenly from sleep

Frequent starting up on falling asleep at night (tenth day]

Frequent startings during sleep (second night),™.

Sleep not sound, with frequent starting up in fright (second day)

Violent starting while falling asleep, with shuddering in the whole body (after eight hours)

No sleep (first night)

Dreams. Sleep disturbed by vivid dreams (fifth night)

Very vivid dreams of remarkable, ludicrous, and disagreeable things, journeyings, etc. (first night)

Voluptuous dreams (second night)

Sleep disturbed by frightful dreams; she was hurried in her sleep, by fancying that a horrid-looking figure was at her bedside, presenting a bottle to her (second night),™.

Dreams of fire and death (fourth night)

Fever p. 261

Chilliness. Surface of body rather cool (tenth day)

Skid cool (after two hours and a half)

Skin generally cokl,^k

* Cold skin, ivifh very small, intermitting pulse

Skin cold and clammy (after one hour and a half)

Skin cold, and covered with sweat (second day)

Skin cold,pale, covered with perspiration (after twenty minutes)

Skin cold and dripping xvith perspiration (after five hours)

Surface cold, and covered with a clammy sweat (after half an hour)

The whole surface of the body and limbs, with the exception of the abdomen and inside of thighs, was cold, but she complained of feeling hot, and of a burning pain in lumbar region

Chilliness, especially in the head, in the evening (tenth day)

In the open though warm air, to which she was aver.^e, chilliness, cutting colic, and tenesmus

Chilliness and cutting colic, from the slightest motion, even on rising from a seat

Frequent chilling.-iS at night in bed

Slight chilliness, intermingled with sudden transient heat, towards evening (first day)

Attack of chill, lasting a short time (sixth day)

Creeping chills, in the night

Increase of the coldness of the hands and feet, of the saliva and difficulty of swallowing, so that about 10 a.m. he was obliged to stop work, lie down in bed, and wrap his feet in a warm cloth ; this was followed by a shaking chill, after which warmth followed slowly, and with which appeared dulness of the whole head, except in the temporal region ; complete absence of thirst, constant salivation, and inflammation of the skin of the left side of the lower jaw (second day)

Frequent shaking chill, often with chattering of the teeth, at various times, especially in the open air, lasting an hour; frequently followed by warm perspiration for a quarter of an hour, with a feeling of relief

Cold (after eleven hours)

Sensation of coldness in the night.®

Sensation of coldness and formication over the whole body, especially along the spine

Great coldness pervaded the whole body (after one hour and a half)

Icy coldness towards evening; cold creepings with chilliness over the small of the back, as if a lizard were crawling over it

Almost constant rigors (after four hours)

Frequent slight rigors (soon)

Shivering during and after swallowing (eighth day)

Cold shiverings (after two doses)

Shuddering over the whole body after going to bed in the evening, after which I was unable to sleep on account of heat and pressure in the chest, with an anxious sensation (twelfth day)

Several attacks of shuddering (fourth day)

Skin on the abdomen cold (after five hours)

Chilliness on the head,*; all day (third day)

Chilliness in the head (after one hour, tenth day)

Chilliness only in the head, in the evening before going to sleep (twelfth day)

Chilliness of the extremities (after four hours)

Sensation of coldness in the left side, mostly after midnight, so that he could not get warm

Back and feet cold (second day)

* Extremities cold etc.

Extremities cold, with sunken face and small, frequent, contracted pulse, 120,*®.

Extremities quite cold (soon); (after two hours and a half)

Coldness of the hands and feet (second day)

Hands and feet cold and livid (soon)

Feet very cold (second day

Icy cold feet (after two hours)

Heat, Great heat

* Great heat of the skin (seventh day)

Skin intensely hot (after one hour)

Skin burning hot, especially on the forehead

Temperature at vagina, 37.2*’ (after two hours); 37° (after two hours and a quarter); 36.8° (after two hours and a half) ; 38.4° (after four hours); 38.7° (after seven hours) ; 38.5° (after eleven hours); 37.9°, at 8.30 a.m. ; 38.3°, at 5.30 p.m. (second day); 37.9°, at 8.30 a.m. ; 38.4°, at 5.30 p.m. (third day); 38°, at 1 a.m. ; 38.5°, at 7.30 p.m. (fourth day); 38° (fifth day) ; 38.5°, in evening (sixth day); 38.3°, in evening (seventh day), etc.

Considerable fever (fifth day)

Extremely feverish (seventh day)

Irregular febrile symptoms, with frequent alternations of coldness and great heat

* Is unable to red in any place at night, on account of a feeling of heat and anxiety f

Hot on stooping, but becoming cold on rising again

]\Iost insufferable heat and burning (after a few minutes)

Sweat. Skin moist

Perspiration first in the left axilla, becoming general; waking from sleep at night

Moderate perspiration at night, frequently on waking

* Profuse night-sweats for several weeks

Anxious perspiration

Cold perspiration

Often suffers from cold perspiration

Surface bathed with cold perspiration (second day)

A cold sweat all over (second day')

Cold sweat all over (after two hours and a half)

Skin blanched, and covered with a cold, clammy perspiration (soon)

Offensive perspiration towards morning (second night)

Frequent, transient, and for the most part partial perspiration of a disagreeable mouldy smell, with violent pain in the temples, inflammation of the mouth and throat and glands; great prostration, sleepiness, and some delirium (after treatment with iodide of potassium there developed, on the sixth day, distinct roseola typhosa after which the symptoms of typhus and mercurialismus continued, together with rather violent catarrh of the respirator) mucous membrane, till the patient recovered, on the twenty-first day®

* Profuse perspiration on the forehead, temples, chest, and hands, in which parts there was a very disagreeable coldness

Forehead covered with sweat in large drops (sixth day)

Skin dry, except a cold perspiration on the forehead (seventh day)

Cold sweat on the forehead, in which state he breathed his last (fifth day)

Extremities clammy and cold (after one hour and a half)

Skin dry (sixth night)

Conditions p. 263

Aggravation.

(Evening'), Especially at 9 oclock, on lying down, whereby vertigo, etc.; while walking, stitches in thumb ; after going to bed,shuddering.

(Night), In bed, chilliness; after midnight, coldness in left side; sweat.

(Acids), The symptoms

(Open air), Sensation of dryness in nose; general feelings

(Walking in open air). Numerous symptoms

(Fat food). Symptoms generally

(Movement), Hiccough; pains over whole body; chilliness, etc.

(/lest). Sticking in hip-joint.

(After sleep), P-Ams in limbs.

(Stooping), Headache above eye.

(Walking), mostly in morning, on rising, and in evening, trembling of feet.

Amelioration p. 263

(After breakfast), The symptoms

(Emission of flatus). Confusion of head.

(Pest), General feelings

(During work). Feeling of weariness.