Oxalicum Acidum

Oxalic acid, C^H^O^.

Preparation, Triturations.

Authorities. (Nos. 1 to 11 and 14 to 16, inclusive, from Hering, Amer. Arzneipf.) ; 1, Koch, provings; 1 a, same, subsequent proving; 2, same, proving on another; 3, same, proving on another; 4, same, proving on a woman ; 5, Neidhard, proving with the 1st dec. trit.; 6, Dubs, ibid.; 7, E. Smith, ibid.; 8, Floto, ibid. ; 9, Williamson, proving with 1st dec. trit.; 10, Kitching, ibid.; 11, C. Hering, 1st dec. trit., and aqueous solution; 12, Reil, Horn. Vjs., 2, 316, proving with a solution of 50 grains to 8 ounces, dilutions made 1 to 8; took first day, 2d dil., 20 drops twice, second day 30 drops twice, and so on, increasing doses daily to 100 drops the seventh day, then took 1st dil. 20 to 100-drop doses, then began tincture thirteenth day, 15 drops, and increased doses to a dessertspoonful every two hours on eighteenth and nineteenth days; 13, same, proving, on a man, with 2d dil.; 13a, same, with concentrated sol., 7 to 90 drops, three times a day; 14, Houigherger, from Hering; 15, Person, from Hering; 16, Gasewich, from Hering; 16 a, Boston, London Med. Repos., 1814, vol. 1 p. 382, ^ ounce, in a woman, death in forty minutes; 17, Fraser, Edin. Med. and Surg. J., vol. 14, 1818, p. 607, effects of ^ ounce, in solution, in a man (death after two weeks); 18, Mollan, Dubl. Hosp. Rep., 1818, p. 329, effects of 2 ounces-, in a woman ; 19, Scott, Edin. Med. and Surg. J., 1825, vol. 24, p. 67, effects of about 2 drachms, in a girl, aged twelve; 20, Lovegrove, Lancet, 1827, 2, p. 512, effects of about an ounce, in a man ; 21, St. George’s Hosp. case, from Lancet, 1827, 1, 447, effects of about an ounce, in a man ; 22, Loud. Med. Gaz., 1827, 1, p. 137, effects of an indefinite amount, in a girl, aged fifteen; 23, Tolefree, Bost. Med. and Surg. J., 1835, p. 158, effects of I ounce, in a woman ; 24, Edward’s case, in Taylor on Poisons, p. 206; 25, Taylor, Guy’s Hosp. Rep., 1838, p. 353, effects of several drachms, in a man ; 26, Semple, Lancet, 1840, 2, 187, effects of I ounce, in a girl, aged twenty-three; 27, Schroeder, Mitthl. d. Ver. f. Nat. und Heilk. (Hygeia, 9, 121), 1840, effects of, in indefinite amount, in a man ; 28, Todd, Lancet, 1841, 2, 145, effect of a pennyworth, in a young woman; 29, Webber, Hufel. Journ., 1841, Hygeia, 17, 481, a girl took a solution for suicide; 30, Tapson, Loud. Med. Gaz., 1842, p. 491, effect of a pennyworth, in a woman, aged fifty ; 31, Jackson, Bost. Med. and Surg. Journ., 1844, 30, p. 17, effects of 1 ounce, in a man; 32, Hazeltine, Bost. Med. and Surg. Journ., 31, p. 39, 1845, effects of ^ ounce, or more, eight days after childbirth ; 33, Ogilvy, Bost. Med. and Surg. J., 1845, p. 179, effects of between 1 and 2 ounces, in a woman ; 34, O’Shea, Lancet, 1845, 2, 293, effects of over 1 ounce, in a man ; 35, Wady, Lancet, 1846, 2, 39, effects of 1 ounce, in a man ; 36, Barham, Prov. Journ., 1847, p. 544, effects of about 1 ounce, in a woman, aged thirty-.seven ; 37, Cooke, effects of ^ ounce, in a man. Lancet, 1847, 2, p. 4 ; 38, Clarke, Bost. Med. and Surg. Journ., 1848, vol. 38, p. 24, a man took about 1 ounce, with senna ; 39, Bashaw, Trans. Am. Med. Assoc., 1849 (from Dubl. Med. Press, 1847), effects of 1 ounce; 40, Bowne, Lancet, 1841, effects of 3 drachms, in a woman ; 41, Dean, Prov. Journ., 1851, p. 344, effect of | ounce; 42, Didana. Am. J. Med. Sc., 1851, p. 532, effects of an indefinite amount, in a woman ; 43, Buchner, Toxicology, effects of ^ ounce, in a woman ; 44, Kuhn, Horn. Vjs., 2, 316, poisonous effects, in a man ; 45, Hildebrand, Vjs. f. ger. Med., 3, 256, effects, taken in coffee, in a girl; 46, Wood, Month. Journ. Med. Sc., 1852, p. 227, effects of a large quantity; 47, Barker, Assoc. Med. Journ., 1855, p. 1073, effects of §■ ounce, in a boy of sixteen ; 48, Oyez, Gaz. des. Hop., 1858, effects of ^ ounce, in a woman ; 49, Thudichum, Med. Times and Gaz., 1860, p. 39, effects of 10 grains, taken for purpose of experiment; 49 a, same, effects of 10 grains; 49 b, same, repeated ; 49 c, same, repeated ; 50, Christison, general effects ; 51, Arrowsmith, from Christison; 52, Page, Lancet, 1860, p. 509, effects of 1 ounce; 53, Skin, Lancet, 1860, effects of 1 ounce; 54, Bradley, Med. Times, 1850, vol. 22, p. 283, 2 drachms, in a man ; 55, Cuff) Med. Times and Gaz., 1862, effect of an indefinite amount; 56, Woodman, Med. Times and Gaz., 1864, effects of about 4 ounce; 57, Bellis, Lancet, 1864, effects of 1 ounce, in a woman; 58, Beale, Lancet, 1867, a woman took ^ ounce; 59, Herapath, Med. Times and Gaz., 1868, effects of f ounce, in some limewater, death in a few minutes ; 60, Stewart, Glasgow Med. Journ., 1870, effects, 16^ grams; 61, Finnell, Med. Rec., 6,260, effects of about 1 ounce; 62, Goodfellow, Brit. Med. Journ., 1871, a man took about a teaspoonful; 63, Starr, Phil. Med. Times, 1871, a child, aged one year, “swallowed a piece;” 64, Dougall, Glasgow Med. Journ., 1872, a boy, aged three years, took about 4 grams; 65, omitted; 66, Sharp, Essays on Med., 1874, effects of ^’^th grain; 66 a, same, effects of ^’yth grain ; 66 6, same, effects of y^^ih grain twice ; 67, Jackson, Bost. Med. and Surg. Journ., 1875, effects of 2 tablespoonfuls of a solution, death on third day ; 68, Med. Times, 1841, p. 15 (Woodman and Tidy, Forensic Med. and Tox., p. 431), effects of ^ ounce, in a girl of seventeen, recovery ; 68 a, ibid., 1 ounce, in a man, death on fifth day.

Mind p. 255

Emotional. Somewhat delirious (second evening)

Delirious, with paroxysms of violent struggling (third day)

He became delirious, and in his delirium got out of bed alone (third day),®k

Delirious at times (sixth day),®h

Delirious, and soon after expired (eighth day),®h

Delirium (ninth and tenth days),®b

Appeared like an insane person

Great cerebral excitement, with dry coldness of the surface, and an imperceptible pulse

Nervous and vascular excitement, as from alcohol, constituting a feeling of hilarity, and the pulse one-third more frequent than usual, and tense,*®. - General excitement, in the evening

Hallucination (tenth night)

Starts violently when the door slams; rather external than internal starting

Great cheerfulness of the mind ; quicker in thought and action

The whole forenoon unusual vivacity and power of concentration, which is still more decided in the afternoon

Great increase of animation through the day, with playfulness and mirthfulness, which of late years has not been natural to him (first, second, and third days)

General exhilaration of the mind (third day)

He feels more composed than usual, and very much exhilarated

Hilarity and cheerfulness

Philoprogenitiveness, (?) greater love of his children, in one in whom this feeling was always predominating ; a decidedly expressed and clearly distinguishable symptom, it being not traceable to any other cause

Taciturn

Manner rapid and nervous

Peculiar quickness of manner (after six hours)

Heaviness of manner (after seven days)

Occasional agitation of manner (after three days)

Violently agitated with fear

(Remarkably ill-humored, in the afternoon and evening)

Anxiety and apprehension, with vertigo and headache (third and fourth days)

Great distress and fear of death

Distressed and anxious (fourth day)

Moaning

Intellectual. Unusual power of concentration of the mind

Greater presence of mind ; the relations of the world seem to be clearer to him

Seems, in its primary action, to diminish the power of concentrating his ideas, and afterwards to increase it

The power of concentration of mind disappears while reading; is obliged to read a sentence three or four times before he can comprehend what he has read (after three hours)

In the morning, power of meditation very difficult and slow; is hardly able to answer questions (second day)

Disinclined to work (fifth day)

Disinclination to work, irritable mood (second day)

Disinclination to conversation

Aversion to talking, with a feeling of fulness in the face and excitement (first day)

Stupor (tenth day)

Patient, stupid, depressed

Fell to the floor and appeared stupid ; the other women lifted her on the bed ; she seemed partly roused, and tried to second their efforts; she then became insensible, and soon died

Stupefaction

Very little consciousness

Loss of consciousness for eight hours (from 2 drachms)

Unconscious a few minutes before death

Insensibility

Insensibility, and in less than an hour after taking the draught death ensued

Head p. 256

Vertigo. Vertigo/

Vertigo, in the morning (fourth day)

Vertigo, in the morning, with anxiety and headache (third day) ; still worse (fourth day)

Vertigo, in the morning, with weariness and thirst (third day)

Vertigo, as if he would fall down, when looking out of the window, in the evening

On lying down, vertigo, like a swimming, towards the left side

A kind of vertigo always, on rising from a seat, without whirling, like a vanishing of sense, in the upper and internal part of the head (second to fourth days)

Giddy directly; (after one hour); the whole day

General Head. Apoplexy

Head troubles him very much (eighth day)

Headache (twenty-four hours after 2 scruples); (second day)

Dull headache (next day, after 2d trit.)

Violent pulsating headache, in the evening, after wine (hfth day)

Pain, pressing inwardly between the vertex and occiput, on a spot not larger than a dollar, on the middle line (after a quarter of an hour)

Violent pain in head (third day)

Violent pain in the head, especially in the forehead, with dulness, after exerting the mind (seventh day)

Pains in small spots in the head, very violent and sensitive to touch

Dulness of the head, with pressure, as if the head were compressed from both sides, above and behind the eai’s, by a screw, preceding and accompanying the stool (second day)

Emptiness in the head, sensation of faintness, as if all the blood had left the brain, with anxiety

A very peculiar lightness while walking, like a flying forward, though dependent on weakness (first and second days)

Forehead. Headache extending from the frontal eminence laterally towards the temporal region ; followed by closing of the eyes, so that she wished to sleep (fourth and fifth days)

Intense frontal headache

Pressive headache in the forehead (third day)

Pain in the forehead and eyes, as in the beginning of coryza (second and third days)

Woke in the morning Avith pain in the frontal region, that disappeared after a copious stool, about 11 a.m. (tenth day)

Headache in the left frontal region, in the morning, on waking (fourteenth day)

Sharp pains in the forehead and vertex, with a feeling of lightness; the pain is most acute over the left eye and in the left temple (soon)

Continual dull pain in the forehead and vertex

Dull pains, with occasional sharp pains in the forehead

(Removes immediately a dimness in the forehead, to which he was frequently subject in the morning)

Pressure in the forehead, in the forenoon, on rising (third day)

Heaviness in the forehead and vertex (in the morning, after taking the acid in the evening)

Fulness in the forehead, above the eyes

Throbbing pain in the forehead (after two, and three hours)

Temple and Vertex. Painful pressure in the right temple (confined to a small spot); the pain is also jerking, sliding; soon after the same sensation in the hollow of the left knee

Pains in the temples

Pain in the left temple, extending as far as the lower jaw (after one hour and a half)

Jerking in the left temple

Dull headache in the vertex; (from one-tenth),’; Pain in the vertex, very soon

Farietals and Occiput. One-sided headache, a cutting from the right side of the forehead, behind the ear, down to the insertion of the sterno-cleido-mastoid muscle (third day)

Pain along the base of the occipital bone, returning several times, during the first two days

Eyes p. 256

Eyes sunken, surrounded by blue rings, in the forenoon ; succeeding a violent diarrhoea, in the morning (third day)

Sunken eyes (after one hour)

Eyes glassy

Presses the eyelids together (fourth day)

Corrugated eyebrows

Very violent pain within the left eye, in a short narrow streak (after a few hours')

Violent gnawing pain and sensation of soreness in the eyes and orbital regions, with dull headache

Sensation as if sand were in the left eye, without inflammation, in the evening (second day)

Pressure in the upper part of the eyes, during walking

Eyes weak, with general sick feeling (second day)

Lid» Dry mucus in the margins of the lids, in the morning, which could be removed only in small granules (seventh day)

Eyelids closed (after one hour and a quarter)

Biting in the left inner canthus (seventh day)

Coitjmictlva. Conjunctivje dusky; distinct arcus senilis at the upper part of both eyes,®l

liftll. Pain in both eyeballs, but worse in the left one

Eyeballs prominent

Pupils very much contracted ; insensible

Pupils greatly contracted

Vision, Small objects at a short distance seem larger than natural, as at the first look he thought they were at a greater distance than they really were; lines and hairs a few inches from the eyes seemed as large as straws (in a myopic person)

Pressure behind the ears, preceding and accompanying the stool (second day)

Fine stitches in the left ear, in the evening

In the afternoon, occasionally a pain in the depth of the ear, as if in the Eustachian tube, near the throat; worse on the right side

A kind of slight blowing noise in the left ear

Nose p. 257

Dilated alse nasi

A vesicle in the right nostril, in the morning on rising, with stitches and pain on touch ; the wings of the nose are swollen, at times more on the right side, at other times more on the left,, every two or three days for two weeks

Sneezing, with chilliness, in the evening after tea

Watery running from the nose, with sneezing

Stoppage of the nose

Pain in the nose (second day)

The nose is very painful, in the evening, extending from the tip towards the right side; a sticking-burning pain, with swelling and shiny redness (eleventh day); still swollen, but not so painful (twelfth day) ; less (thirteenth day)

Lancinating stitches through the right nostril, on inspiring through the nose (eleventh day)

Face p. 257

Objective, Twitching of muscles of face

Face, lips,, throat, and tongue swollen and livid

Face sunken (eighth day); hippocratic (ninth day)

Countenance hippocratic

Red face, with shaking chill, in the evening

The face is redder than usual

Face flushed (third day)

Countenance gradually assumed a darker tinge

Face pale, lips blue

Face and lips blue (second day)

Look yellow, pale, eyes sunken (fifth day)

Pale look and no appetite, at noon (fourth day)

Expression pale, eyes sunken, with nausea (fourth day)

Face pale

Face pale and livid

Pallid countenance (after one hour)

Face extremely pallid (after four hours)

Countenance pale and haggard

Face tumid and of a livid complexion (second day)

Lividity of the face

Look stupid

Face appeared dull and heavy (after one hour and a quarter)

The countenance indicated the most pressing danger (after half an hour)

Features anxious and pallid

Expression of the face anxious; (eighth day); (after fourteen hours),®*, etc.

Very desponding look (twelfth day)

Subjective, Sensation of fulness in the face, and excitement, with disinclination to conversation (first day)

Sensation of fulness in the face

An internal sensation of heat, particularly in the face, for several hours, during the forenoon

Drawing pain, with rigidity, near the angle of the lower jaw, first in theleft, then in the right side, but longer in the left

Lips and Jatr Puffiness of the lips (second day)

Lips shrivelled and sore (after nine hours)/®.

Upper lip trembling; lower jaw relaxed/

Lower jaw spasmodically closed/

Mouth p. 258

Teeth, Teeth covered with sordes, similar in appearance to that observed in cases of low fever (eleventh day)/

Dull pain in the first molar tooth of the right upper jaw, which is very distressing (after fifteen minutes)

Dull aching pains of the molar teeth of the right and left upper jaw; worse in the right jaw (lasted nearly all day, but passed away towards evening)

Cutting pains in the hollow back teeth, at noon (seventh day)

Pain in a hollow back tooth, in the evening (eighth day)/.

A cold jerking sensation in a left upper incisor

A pain in a hollow tooth, in the evening (third day)

Teeth seem on edge (first day)

Set the teeth on edge, immediately (one tablespoonful); the roughness of the teeth persisted a long time

Teeth not only rough when ground upon each other, but they were painful when the air passed in a rush through the open mouth, as is the case during the deep inspiration of yawning ; every voluntary deep inspiration produced such an amount of this painful tenderness in my teeth that a so-called gooseskin (spasm of the cutis and erection of the papillae) was produced; this hyperesthesia of the teeth persisted through the following day, although in a less degree

Gu7HS. Bleeding of the gums during friction of them; has had the same occasionally before, but it was this time unexpectedly soon, and much more copious

The gum is painful in several places, as if there were blisters upon it (eighth day)

Burning pain in the gum of a left lower incisor, with pustules, surrounded by bright-red areola and swelling (ninth to thirteenth day)

Tongue. Tongue swollen, and covered with a thick white coat, as if it had been scalded (soon) ; natural towards edges, elsewhere coated (after ten hours and a half); clean and moist at edges, centre as yesterday (second day); covered with a white crust (third day) ; can best be likened to the dry coating of sugar on sweetmeats, interspersed with red patches (seventh day) ; covered with thick white dry coat (eighth day) ; in patches, with some desquamation (tenth day); reddish-brown and parched (eleventh day)

Tongue and throat red and sore (after six hours); remained about the same for three days, when the redness of the tongue was replaced by a slight yellow coating

Tongue and throat were redder than usual, soon ; paler, had a dingy whiteness about them; were hot and dry to touch, in the evening

Tongue and fauces very red

Tongue large, cedematous, and covered with thick woolly fur (soon); red at sides and aphthous (second day); much more healthy and cleaning (third day)

Tongue and pharynx covered with redand white spots, swollen and painful; swallowing was very difficult

Tongue swollen and red; very firm and tender on pressure (second day)

The tongue was red, swollen, tense, and tender (second day)

Tongue dry, sore, and excoriated ; worse towards the point; continued all day and evening

Tongue livid and swollen, so that he could with difficulty project the tip of it beyond the teeth (second day) ; tongue has a thin brown coat and red dry tip (fourth and fifth days); covered with a bright yellow coat (sixth day); brown (eighth day) ; dry, has a brown coat, and red dry tip (ninth day)

Tongue white (second and fourth days)

Tongue and fauces whitened, as if they had been boiled (after one hour)

Tongue white and dry (third day)

Tongue covered with a coarse white fur, with red interspace (second day)

Tongue coated (after fourteen hours)

Tongue, which he protruded slowly when asked to, was slightly coated (second day)

Tongue brown and dry (after four hours)

Tongue and lips unusually pale

Tongue of a pale-gray color

Tongue rather cold than hot

A few mouthfuls made the tongue rough and the teeth worse,"*®*. •

Roughened the tongue (one tablespoonful)

Burning, as from pepper, on the left half of the tongue (after forty-five minutes)

Tongue and mouth occasionally become inflamed

General 3mouth. Forcible closure of the mouth and drawing down of its angles

Palate vesi- 'coated (after fourteen hours)

Buccal cavity inflamed (fifth day)

Acrid burning sensation in n)Outh, gullet, and stomach

Burning sensation in the mouth, throat, and oesophagus, immediately

Severe burning sensation in the mouth and throat

Burning sensation in mouth and throat for several days

Soreness of mouth and tongue (second day)

Mouth sore all over (after nine hours)

Considerable soreness of mouth and posterior nares (second day)

Dryness of mouth

Dryness in the mouth, with ulcers in it

Disagreeable sensation of the soft palate and uvula (after 1 pint of gruel)

Saliva Profuse secretion of saliva, immediately (after one tablespoonful)

Increased flow of saliva

Mucus in the mouth and expectoration, with clean tongue (third day)

* Accumulation of water in the mouth, after yawning (fourth day)

Much mucus in the mouth (ninth day)

Taste. Strong acid taste, immediately

Intensely acid and astringent taste

Taste quite acid

Taste strongly acid

The sour taste increased with every mouthful

Sour taste while taking the drug, lasting about ten minutes, and leaving a scraping sensation in the fauces, that obliges hawking (first day)

Sour taste in the whole mouth, in the morning, as if the drug were still in the mouth (third and fourth days)

Sour taste in the mouth, during a nap, in the forenoon (second day, after thirty-six hours)

In rinsing the mouth, a sour taste in it (first day)

Very sour taste

* Sour taste

Dry and burning taste in mouth and fauces (after twenty minutes)

Taste highly disagreeable, acid, and astringent

Water has a sweet taste

No taste to food, with nausea and a coated tongue (fourth day)

Taste of the drug in the mouth, in the evening (third day)

Speech. Speech labored, but a word or two being articulated at a time (.second day)

Throat p. 259

Occupied herself in pulling from ber throat strings of ropy mucus

Increased secretion of mucus in the throat, during the first hours

Augments in the first hour the secretion of mucus from the throat

A natural secretion of mucus from the throat is diminished

Great heat and sense of burning about throat and fauces

Burning sensation and pain on pressure in throat

Burning sensation in the throat; (in evening, first day)

“ Horrible feeling of burning at the throat and stomach soon

Intense burning pain in throat and stomach

Burning pain in throat and epigastrium, directly

Burned her throat and mouth very much

Violent pain in throat; (after one hour)

Violent pain in the throat on swallowing, in the morning, after rising; better at noon (sixth day); on the next day swallowing is almost painless, but there begins a scraping in the upper part of the throat, that continues to the eighth day

Dryness and pain of throat on swallowing

Scraping sensation in the throat, with difficulty of swallowing ; the tonsils and arches of the palate seem slightly red, and are covered with adherent mucus, that can be expectorated only after hawking a long time (nineteenth day)

Throat raw, with scraping in it, in the morning, on rising (fourth day)

Throat very rough, scraped, on rising; can speak only with effort (fifth day)

Great constriction of the throat (after one hour)

Uneasiness and constriction in the throat (after nine hours),’®. (The chronic sore throat, to which he is subject, feels much better),". Had had, for several days past, sore throat, resembling cancrum oris, attended by ptyalism, but no fetor of breath (after three weeks),®'’. Tonsils, Scraping and biting sensation in the tonsils, as if the uvula were swollen, always most severe after a dose (eleventh day),”. Fciuccs inul JPJlUvytlX. A sensation in the fauces as if there was acidity in the stomach (second day)

Constant scraping sensation, as from mucus, in the fauces, though nothing could be seen (seventh day),”. Great irritation in fauces

Soreness of the fauces on swallowing, for two hours, in the morning

Pharynx inflamed (after fourteen hours),®h

Dryness in the pharynx, in the forenoon, after diarrhoea (third day),'. Burning in pharynx and oesophagus (after fourteen hours)

CEsoplllUfUS, Sense of constriction about the oesophagus (after twelve months)

Sivalloivimj. Swallowing difficult, on account of burning pain in mouth and fauces (after one hour and a quarter)

Difficulty of swallowing; for several days

Pain in swallowing and burning in oesophagus

Empty swallowing is painful, in the evening (third day); swallowing of food, in the evening (fourth day)

Complaints on swallowing anything that was not perfectly bland (after twelve Throat. In the evening, after walking, during sitting, a violent itching in a small spot on the neck, the right side of the hairy scalp, and on the left side of the trunk

Stomach p. 260

Appetite. Great increase of appetite

Sensation of hunger, about 11 p.m., though he had eaten three times during the afternoon, at 12, 2, and 7 (first day)

Little appetite at noon, with thirst; no appetite, in the evening (third day); no appetite, at noon (fourth and fifth days)

Loss of appetite

Aversion to tobacco-smoking, in the morning, with longing for it in the evening (first day)

(Coffee is not relished at noon), (first day)

Thirst Intense thirst,"*'; (after one hour); (after six hours),®®, etc.

Unusual thirst, at 3 p.m. (second day)

Thirst, for several days

Thirst, with white-coated tongue and nausea (fourth day)

Thirst, in the morning, with weariness and vertigo (fourth day)

No thirst, and rather a repugnance to water

Eructations. Eructations (after three-quarters of an hour)

Very sour eructations, an hour after coffee, at breakfast (fifteen hours after grain)

Many eructations of air and emission of flatus, with rumbling and gurgling in the abdomen, at noon (fourth day)

Many eructations of gas (fourteenth day)

Many tasteless eructations, especially alter a dose (fifteenth day)

Painful eructation (eighth day)

Acrid eructations, for several days

Sour eructations, with pains and loss of appetite

Eructations of gas, in the afternoon (second day)

Eructations of wind, tasting of the food he has eaten

Exudations of tasteless wind after each mealf

Eructations and passage of flatus downwards

Eructations and discharge of flatus per anum

Hiccough/h. Hiccough, at 11 a.m., lasting some time, though he had eaten nothing solid ; as soon as he thinks of it the hiccough returns (first day)

Singultus (after second day); frequent during the day, with painful hawking (third day)

Nausea. Qualmishness of the stomach, with sickness (after six hours)

Slight sickness of the stomach

Qualmish sensation of emptiness and nausea in the stomach (after the solution)

Nausea, after eating (second day after I grain)

Nausea, at 10 a.m., succeeding diarrhoea (third day); the same in the morning after diarrhoea (fourth day)

Nausea, with cutting in the abdomen, in the morning (fifth day)

Nausea, qualmishness, thirst (fourth day),h

Nausea (after three-quarters of an hour),^'’; (after one hour); (after a dose, eighth day),*l

* Nausea and frequent vomiting

Nausea, during dinner; he thought he would be obliged to vomit, though he did not (third day)

Nausea aud occasional vomiting (after nine hours)

Very sick (after fifteen minutes); vomited blood (after one hour)

Sense of sickness at scrobiculus cordis

Immediate repugnance, strong desire to avoid deglutition and to spit the fluid out

Vomiting; several times (second day); (soon),'®, etc.

Violent vomiting (after seven minutes)

Violent vomiting, like beer, only much redder (after ten minutes)

Violent vomiting follows the accession of pain, either immediately or in a few minutes

Vomiting and irritability of stomach, for several days

Vomiting soon ; later the matter vomited became tinged with blood

Slight vomiting of food (second day)

Vomiting and purging incessantly till death, which occurred in twenty-five minutes after the poison was taken

Repeated violent vomiting, with frequent desire for stool

Immediate burning pain and bloody vomiting

Vomiting drops of blood ®

Frequent vomiting, and bloody (first day)

Vomited blood, mixed with mucus, every half hour for five hours

Frequent bloody vomiting and diarrhoea

Vomited bloody matters, as well as some white fluid, which did not contain any crystals

Vomited copiously a fluid of a dark bloody color (after ten minutes)

Matters vomited were tinged with blood, aud very soon they consisted, to all appearance, of pure blood, of a bright arterial color, and fluid; two hours and a half later it began to take, and gradually took the form of coagulation, and ceased towards night

Vomited a pint of mucus tinged with blood (after fifteen minutes)

Vomited matter having the appearance of bile with clots of dark blood

Vomiting of a fluid of a dark bloody color (after ten minutes)

Vomited a dark-colored fluid (after half an hour)

Vomiting of bloody frothy mucus

Pain aud vomiting of thick slimy mucus

Vomiting of dark grumous bloody matter (after fourteen hours)

Vomiting immediately ; ejected matter consisting of a frothy watery fluid ; after standing a short time, a brownish precipitate fell to the bottom of the vial, leaving above a clear transparent fluid of a brownish tinge

Vomited a greenish-black matter

Vomiting of a dark liquid, followed by death

Vomiting of a bilious liquid with black clotted blood

Vomited a fluid of a yellowish color (fourth day)

She vomited instantaneously almost all the poisoning material; the vomited matter was like milk when seen on the floor, and when she vomited into the bucket, it appeared to turn the water into milk ; death in ten minutes, or very shortly after

Had vomited twice; at first only the solution she had taken, and subsequently a dark-colored, bloody-looking fluid, in which were numerous white membranous patches (in twenty minutes)

After thrusting a leather strap into the fauces and drinking warm water, vomiting took place, and the acid was so strong as to change the black color of his vest to a red-brown where it flowed upon it; great jactitation and distress, with incessant vomiting; the matter evacuated by vomiting was of a thick grumous and jelly-like fluid, of a yellow-green, mixed with white flocculi. I learned that the first spontaneous vomiting, and that produced by the action of the Ipecac., brought up a quantity of dark-bi-own matter like chocolate (first day) ; he vomited through the night (first night), a yellow thick fluid (after twenty-five hours aud a half); a grass-green fluid with mucous sediment and white flocculi (after thirty-nine hours); still vomiting a little yellow fluid (fifth day) ; matter thrown up was grass-green, with grumous sediment (seventh day); desires to vomit, but does not (tenth dav)

Efforts to vomit

Retching (after one hour)

(encvfil Stomach, In the evening, after tea, pyrosis, with much emission of flatus, and pressing downwards

Every evening, pyrosis

Burning heat in the stomach (immediately)

Soreness of stomach (second day)

Feeling of emptiness in the stomach, so that he was obliged to eat something between meals (eleventh day)

Emptiness and qualmishness in the stomach (fourteenth day)

Griping and twisting pains in the stomach, (fifteenth day)

Violent pains in the stomach and abdomen, obliging him to sit bent over; these pains seem to be aggravated by the sugar in the coffee and tea (nineteenth day)

Gnawing sensation in the stomach, like hunger ; it was scarcely possible to eat a morsel at dinner ; even the first spoonfuls of soup caused urgent desire for stool, which was diarrhoealike, yellow, slimy, serous, and associated with tenesmus (nineteenth day)

slight gnawing burning in the stomach, and eructations (after one hour and a half)

Gnawing pain in the region of the stomach

Burning pain in stomach, and generally also in throat (immediately)

■ Terrible burning pains in the stomach

Intense burning pain in the stomach and throat,*''.-^Intense pain in the stomach; (from 7 drachms); (immediately); (after one hour),®®®', etc.

Excessive pain, heat, and oppression in epigastric region (after twenty minutes)

Great pain in stomach, after use of stomach-pump (first day)

Great pain in stomach and tenderness on pressure (second day)

Severe pain in region of stomach (after seven minutes)

Terrible pain in the stomach, so that the patient cried aloud

Pain in stomach (instantly)

Pain in the stomach, eructations, acidity, and loss of appetite

Pain in the stomach and belly

Pain after food (second day)

Pain and oppression at stomach, with continual efforts to vomit

Slight pain in the stomach (first night)

He wakes up at night with a most violent pressive pain, like a heavy weight in the pit of the stomach ; it comes and goes at intervals of fifteen minutes, but diminishes in force at each renewal ; it lasts altogether about two hours ; discharge of flatus relieves the pain (after 5 drops of Oxalic ether, taken in the morning)

* A great deal of horning at the pit of the stomach,^'-.

Pain, heat, and soreness at pit of stomach (after ten minutes)

Griping sensation in the pit of the stomach (sixth day)

Held his hands without pressure, and with a look of agony, to the pit of the stomach

Sensation of emptiness in the stomach, similar to hunger, disappearing after eating

“ Gathering at the stomach

Warmth in the stomach (after half an hour)

Great irritation in stomach

Pressure in the stomach (after a few minutes)

A sensation of grasping in the stomach, very transient (after a few seconds)

The acid sensation extends to the stomach, on taking the drug

(His natural weakness of the stomach is much diminished), (second day)

Cardiac extremity of stomach and epigastrium very tender (after fourteen hours)

Tenderness upon pressure of stomach and bowels (after six hours)

EpifjaHtvilini. Consideral)le tenderness over the epigastrium, which was resonant on percussion (second and third days)

Rolling about on the floor, complaining of agonizing and burning pain at the epigastrium, extending to the oesophagus and pharynx, accompanied by violent but ineffectual efforts to vomit (after half an hour)

Evidently suffering much pain, which was increased when pressure was made in the epigastric region,®l

Every touch of the epigastric region caused a most violent pain,^h

Severe pain at the epigastrium, increased on the slightest pressure

Excruciating pain in the epigastrium

The slightest pressure on the epigastrium occasioned pain

Burning sensation and pain on pressure in epigastrium

Pain at epigastrium (first day)

Burning pain in the epigastrium and right hypochondriac and iliac regions, and tenderness on pressure in those situations, especially over the cardiac end of the stomach ; the abdomen generally felt hot to touch (after nine hours)

Abdomen p. 263

Hypochondria. Bruised pain in the left hypochondrium, after lying down, lasting half an hour

For half an hour after retiring, a continued pain in the left hypochondrium

A sticking pain in the left hypochondrium (after three hours)

Pain between hypochondrium and navel, on the left side, like a development of flatulency (after half an hour)

JJnihiUciis and Sides Colic pain around the umbilicus, and in the right iliac region, coming on by paroxysms

Coliclike pains in and around the navel, every day

Colic about the umbilicus, with difficult emission of flatus

Slight sticking pain in the umbilical region, in the evening

Distressed feeling around the navel, and through the whole abdomen, with a sensation of great weakness in the latter (second day)

Coliclike pains in the umbilical region, with painful pressing downwards towards the anus, and flatulent troubles

Pain about the umbilicus and emission of flatus, at night

Sensation of soreness on touching, all around the navel

Pain round the navel, like colic, repeatedly, but always after the symptoms in the head

Pain in the region of the navel, with emission of flatus, in the night

Pain in region of navel, with painful pressing down towards the anus and flatus

Dull aching pain in the right side of the abdomen, the whole afternoon, on a small spot

Pain like a cramp, a little to the left of the umbilicus, and several minutes after, colic pain in the right iliac region; eructation of tasteless wind, several times (5 p.m., first day)

General Ahdoinen. Much rumbling and rolling in the bowels, as from water, without pain, in the evening (third day)

Rumbling in the abdomen (fifth and sixth days); immediately after dinner (third day)

Constant rumbling and gurgling in the abdomen, in the afternoon (second day)

Rumbling and gurgling in the abdomen, especially in the left side, followed by diarrhoea, and afterwards nausea, after taking coffee, at breakfast (fourth day)

The whole evening, rumbling in the bowels, with pressing downwards

Abdomen very tender (third day)

Abdomen distended by flatus (eighth and ninth days)

Frequent emission of flatus (fifteenth day)

Much offensive flatus (sixth day)

Much emission of flatus (fifth day)

Much flatulent movement in the abdomen, day and night (seventh day)

Great flatulency the whole day, with expulsion of wind downwards; swelling of the abdomen, with dull colic-like pains at intervals in and around the umbilicus, but worse in the right iliac region ; itching at the anus, with a crawling sensation, as if from worms, acid which was relieved by rubbing the parts for several minutes; it returned several tunes during the night

Emission of flatus and eructations

Difficult emission of flatus, in the evening (first day) ; difficult pressing out, in the morning (second day)

Difficult discharge of jiatus

Flatulent colic, as if he had eaten unripe fruit, on waking up at night, below the navel, which is increased by movement after getting up; the pain diminishes during rest and returns periodically (the night after taking it); in the morning, after breakfast, on walking about, the same pain returns, gets better about 9 oclock, and disappears entirely, at 12 oclock

Colic and diarrhoea

Very sick, with colic and urging to stool, so that he drank a glass of wine; this was followed by painful dulness of the head, in the evening (second day)

Violent colic, so that he cried aloud, immediately after rising, in the morning, followed by very copious diarrhoea, that was afterwards repeated (third day)

Very violent colic, as if diarrhoea would occur (seventeenth day)

Violent symptoms of irritation in the alimentary canal (after 2 drachms)

Cutting in the abdomen woke her, at 5 a.m. ; it returned periodically during the whole day; also chilliness, alternating with heat (fourth day) ; the same cutting reappeared the next morning

Cutting in the abdomen, in the forenoon, after a thin stool iu the morning

Griping in the abdomen (after eight hours),’; (after six hours); (after one hour)

Griping pain in belly, which drew her up double

Pain on pressure over the abdomen (third day)

Severe pain in the bowels, and frequent inclination to stool (in a patient who lived thirteen hours after swallowing the liquid)

Pain in the abdomen (six hours after 4 ounce, diluted in water)

Violent pain over the whole abdomen; (second day),®®

Dull aching pain in the abdomen, worse round the umbilicus

Pains in the abdomen, at night, as if diarrhoea would occur (.second night)

Burning and pain in the abdomen

Sensation of soreness iu the abdomen

Distressed feeling and great weakness in the whole abdomen, with flatulent colic

Sensation as of diarrhoea in the abdomen

Unpleasant scraping in the abdomen about the umbilicus, with a sensation as if a stool would occur, which did not (twelfth day)

Violent stitches in the whole abdomen, extending to the region of the spleen, was then obliged to take a deep breath, whereupon it disappeared (third day)

HtjpOffnstrlum mid lilac Ref/ion. Pain in the descending colon, followed by a free evacuation of mushy stool, in the evening (after one hour); a similar pain returned the second evening

Constrictive pain in the descending colon, in the evening, after supper, with violently cutting coliclike pains iu the abdomen, with constant desire for stool, and pains, lasting the whole evening (second day)

Coarse rumbling in the right groin, in the coecum, and noises of flatus after a stool (second day)

Violent pain, in a small spot, very deep internally above the right ilium, towards the side, when yawning, breathing, and also in different postures (third day)

Sharp and constant pain in the left iliac region

On sitting down after a walk, violent effort to discharge flatus (as from a small spot on the left iliac Legion); sensation as if the part would burst

Rectum and Anus p. 264

Burning in the rectum, during the night (twentieth day)

Violent tenesmus in the upper part of the rectum, in the morning, on rising, not like diarrhoea, but in a long and narrow streak, extending downward in the right side of the rectum, very painful, and similar to cutting with a knife; repeated on sitting down to stool; afterwards, a pressing-cutting pain in the right side of the rectum ; after the stool there remains an undefined sensation in the anus for half an hour (second day)

Pressure towards the anus (fifth day)

In the evening a slight pinching from flatus, near the anus

Frequent pains in the anus, disturbing sleep, at night (twenty-first day)

In the anus a dull slow stitch, often returning

Repeated, but ineffectual, efforts for stool; tenesmus constant (twentieth day)

Ineffectual desire for stool (twenty-second day)

Desire for stool, iu the morning, on lying down, with desire to urinate (an hour after taking milk), (second day)

Stool p. 265

Tyinvvhwn. Violent purging/'; directly

Purged violently and passed blood in the stools (after one hour)

Purging (after one hour); the feces of a natural color (after ten minutes)

Feeling of diarrhoea immediately after drinking coffee

Had excessive catharsis, and was evidently suffering excessive tormina (after half an hour)

Diarrhoea at 7 A.M., and a very copious pasty evacuation, preceded by fine colic, followed by more violent colic, then general sick feeling, desire for stool, and recurrence of the diarrhoea the same forenoon ; in the afternoon diarrhoea, with constant desire for stool, and evacuation of the undigested food taken at dinner (second day)

Copious diarrhoea, preceded by violent colic, in the morning, after rising; at 9 oclock, very thin watery diarrhoea, with great weakness and prostration, followed by nausea and tension in the calves; in the afternoon, again diarrhoea (third day)

Copious pasty stool, preceded by rumbling in the abdomen and colic (twelfth day)

Scanty pasty stool at 8 a.m., and a copious one, with great urging, at noon (fifteenth day)

Very violent diarrhoea-like evacuation at 8 and 7 P.M. (eighteenth day)

Constant involuntary discharge of fluid feces, occasionally mixed with blood

Bowels have been moved three times, and rather relaxed, which is unusual (second day)

Three thin pasty discharges, during half an hour, after breakfast; three again at noon; at 8 P.M. another, somewhat harder, with some pressure towards the anus (fifth day) ; on the next day there were three somewhat hard stools, from morning till noon, without pressure towards the anus,l

Very watery diarrhoea three times a day (fourth day)

Three stools (second night); two of natural color (third day); mixed with blood (fourth day)

Two passages of the bowels during the day

Injection produced a free discharge of a green slimy matter (second day); discharge from bowels remained much the same for three days, when it assumed a better appearance

At 6 A.M. was suddenly seized with a distressing feeling in the whole abdomen, followed in several minutes by twisting in and around the umbilicus, with a discharge, in a few minutes, of a small quantity of hard feces, of a dark-brown color; in half an hour, again violent pain and bearing down, followed by a loose evacuation, of a muddy-brown color, accompanied by colic pains in the navel; below the navel he felt a bearing down, and griping pains in the anus; the latter were so severe as to produce severe nervous pains through the head, with heat in this organ ; after retiring to bed the same pains returned again in five minutes, followed by a copious evacuation of consistent dark muddy-brown feces; on going to bed the pains invariably returned ; he was obliged to sit or stand ; is better during motion (had to take Merc. sol. 2d to be relieved of the pain)

Bowels opened at 9 a.m., and again at 4 p.m. ; slight colic pain in and around the umbilicus, just before the afternoon evacuation

Stool thin, loamy, on the third day (after there had been no stool on the second day)

Stool rather pasty and tenacious; evacuated after longer and greater urging than usual (after the solution)

Evacuation pappy, light brown ; in the afternoon, again, passage from the bowels pappy, thick, and short; during the passage, violent stitches in the fleshy part of the left thumb, like little quick cuts of a knife; after the passage, a heavy rumbling in the right side of the abdomen (csceuru) and noise from flatus (second day)

Stools pasty and tenacious, evacuated with great effort; weakness of the limbs and of the whole body

A quantity of mucus was evacuated after the stool (eleventh day),'I

Serous stools, with some streaks of blood and much tenesmus (twentieth day)

Stool, with bloody mucus and tenesmus (twenty-first day)/

Blood passed with stools (third day),*h

Dejections contain filaments of whitish matter, similar to the crust on the tongue (tenth day)

COHStipatiotl Constipation two persons who recovered); (twelfth and thirteenth days),’®'I

Stool hard, with much mucus and some blood (sixth day)

Stool omits every other day, and continues very irregular; constipation, at the most, two days for three or four weeks

Stool omitted (third day); somewhat indolent (fourth day); omitted (fifth day); occurred with much pressure and was hard (sixth day); copious, though hard stool; faeces covered with mucus (tenth day),’I

Stool light brown, pasty, mealy; at the same time a small quantity of clear urine was passed (second day)

Stool somewhat indolent; micturition rather more frequent than natural; the quantity rather smaller than usual (from g^'^^th)

Throat p. 266

Woke towards morning with pain in the left kidney

In the evening, slight pain in the region of the right kidney

Intense pain in the region of the kidneys

(Feeling of fulness in the bladder)

Bladder distended with urine, but cannot pass (tenth day)

Slight burning pain through the urethra to the orifice, as though a drop of acrid urine would pass, in the evening (second day)

Slight burning, with a somewhat voluptuous sensation in the urethra, during micturition, at noon (eighth day)

Violent burning during micturition ; the urine is passed only in drops (sixth night)

3Ii(‘munition (iHd JJvilie. Passed urine involuntarily (third day)

Frequent desire to urinate; the urine is of a lighter color (second day)

Urging to pass water, with copious discharge; the water is of a lighter color than usual

Disposition to pass water every two hours, and in large quantities (second day); inclination to pass water every hour, and in large quantities each time; slight burning in passing the urine, which is clear, and of a straw color (third day)

Urine passed more frequently, in a smaller quantity than usual

Diminished desire for micturition (eighth to tenth day)

She passed no water during the whole ten hours

Profuse flow of light-colored urine frequently during the evening

Copious discharge of urine, at 5 a.m.,®.

Passes less urine than usual, in the morning (second day)

The urine passed in the morning and evening was exceedingly acid, even after standing thirty-six hours in a warm room; deposited numerous crystals of uric acid; indications of oxalates of lime were recognized in the milky-white sediment (nineteenth day)

For more than a week her urine was loaded with enormous crystals of oxalate of lime; a single drop on a glass slide yielded hundreds of crystals, together with blood-disks; some of these crystals were quite one-fiftieth of an inch in diameter, which may, perhaps, account for the intense pain in the region of the kidneys

Stool p. 266

ISIalc. Red points on the glans penis, without itching or soreness

Pain in the glans penis, six or seven thrusts, not very violent, but very annoying, always on urinating (second and third days)

During walking, in the evening, a pretty severe pain and heaviness in both testicles, shooting along the spermatic cords; worse on the right side

Itching in the testicles and spermatic cords

Erections, without cause, on lying down in the forenoon, followed by pain in the testicles on going out (first day); after going out, pain in the testicles and spermatic cords; worse in the latter, and worse on the right side (first day)

Erections, with dulness in the occiput, after sleep, in the forenoon (second day)

Erections and lascivious dreams (sixth night)

Excitement of the sexual function, repeatedly

Emission interrupted by waking (first night); it followed on the fourth night

Great increase of sexual desire during the night and morning, with voluptuous dreams every night, for three nights

Excessive sexual desire (fifth day)

Feuille, A great deal of burning pain in the genital organs

Respiratory Organs p. 267

Larynx. On walking in the open air, tickling in the larynx, Avith a sensation of sticking; he coughs several times; the larynx feels swelled

During speaking, a sensation of mucus in the larynx, hoarseness; he has to expectorate more than usual

A few mouthfuls irritated the glottis

Voice. Voice very rough

■ Voice roush before going to bed (third day)

Hoarse (third day)

Voice very hoarse (second day)

Lost her voice for eight days, but whether this depended on the action of the Oxalic acid or not it is difficult to say

Directly after the recovery from the first effects a new symptom presented itself, namely, alteration of the voice. The man, previous to taking the Oxalic acid, possessed a remarkably deep bass voice, now reduced to a very low key, giving you the idea of a person talking in an undertone. This “weakness of the voice remained for more than a month, Without any amelioration, during the greater part of Avhich period his legs used, for sev^eral hours a day,‘Go go to sleep as he termed it. Nine Aveeks from the time of taking the acid his voice had become much stronger, but he says he “cannot sing his old songs any longer, as his voice is so altered ;” in fact, it is a complete old man’s voice

Coaffh and Expectoration. Constant d7-y cough on violent exertion (third day)

Violent dry cough, caused by tickling in the throat, Avith violent pains in the chest, afterwards somewhat persistent, in the morning (after fifteen hours)

Cough and tickling in the throat, in the evening (after five, and six hours)

Some slight cough, Avith soreness of chest (fourth day)

Slight cough (fifth day)

Slight cough, from tickling in the larynx and trachea; also sensation of soreness in the larynx

Desire to cough, but cannot for pain in his side (fourteenth day)

Has a little cough, and expectorates a considerable quantity of greenish mucus (fifth day)

Expectoration of thick yellowish mucus from the throat

HaAvking up of thick yellowish-Avhite phlegm, AAith a black lump in the centre, of the size of a pea (first day)

Expectoration of hard mucus in lumps, and Watery running from the nose, Avith sneezing

Expectoration of crumbly tenacious mucus by haAvking (third day)

Respiration. Respiration very quick and laborious

* Great oppression of the breath

* Respiration difficult,^'’-, in the forenoon (third day),'; (fourth day)

Difficulty of breathing, with constrictive pain hi the larynx, and wheezing; oppression of the whole chest, towards the right side

* The breathing slightly spasmodic

Respiration very slow (after four hours); quicker than natural (fourth day)

“Felt as though his breath Avas going; Avas almost strangled immediately

Breathings 14 (before the proving); 16 (after five minutes); 15 (after ten minutes)

Dyspnoea marked; tracheal rales very loud, so loud that I Avas unable to make any satisfactory examination of the chest; I could not even hear the heart-sounds (second day)

Pressure and tightness of respiration, on every violent motion, in the evening (third day)

Sharp shooting pain in the left lung and heart, extending down to the epigastrium, lasting for some seconds (from 5 grains j’^th, fourth day)

In the afternoon, stitches several times in the left lung (fifth day)

Sharp lancinating pain in the left lung, coming on so suddenly that it deprived him of breath for several seconds, and then gradually subsided (sixth day!,®.

Some tightness in the chest, with inclination to take a deep breath (after one hour and a half),h

[560.1 Pressure upon the chest, as if it were ulcerated, at noon (second day),h

Sore pain, like a sore sticking, in the chest, that afterwards extends backwards to between the scapulae, at 2 p.m. (third day)

Pains in the chest when coughing

Feeling of constriction across the chest, and the breathing is rather short (fifth day)

Dull pain in the middle of the chest, extending through to the scapula (after two, and three hours)

Stitches in left breast, more during walking

Heart and Pulse p. 268

Heart. Sensation as if ulcerated in the precordial region, with heaviness of the chest, as in asthma or in dropsy of the chest, in the evening

Oppression at prsecordia, with sighing (after two hours)

Fine stitches in the praecordial region (second day)

Stitches in the heart, extending towards the upper abdominal region

A pain in the heart, that extends forward from the posterior and lower portion, in the forenoon, while lying down, and afterwards, also, while walking in the street; very violent electric-like beats extending outward from a place rather near to and below the nipple to the sternum (second and third days),]

Heart in a continual fluttering palpitation .

Immediately after lying down in bed, at night, palpitation of the heart, for half an hour, three nights consecutively

After going to bed, at night, the heart made its beatings sensible in an unusual manner, and attracted attention

Heart’s impulse much diminished (after four hours)

Heart’s action exceedingly feeble, and the sound barely audible (after nine hours)

Heartsounds imperceptible, and the pulse could be felt only at long intervals

Heart’s action irregular, and the sounds somewhat distant, but otherwise normal

Depressed circulation

There seemed to be no capillary circulation ; there was no pulsation in the radial artery, and it was extremely feeble in the brachial (second day)

Palse. Pulse 110 and sharp (.second day); 120 and wiry (third day); 110 and hard (fourth day); 98 and softer (fifth day); quick and tremulous (eighth day)

Pulse hard and contracted (after twenty minutes)

Pulse more frequent than usual, 100 and over

Pulse more rapid than usual (third day)

Pulse quick and small (after one hour and a quarter)

Pulse increased in frequency, from 100 to 108,®

Pulse 105, hard and rapid, at noon (fifth day)

Pulse more frequent, and harder than usual

The pulse is more frequent than usual, and tense

Pulse small, quick and wiry (after fourteen hours)

Pulse almost extinct, but could be felt by touch, and was found to be extremely weak, rapid, and so irregular that it could not be counted (first day); 130, very small and threadlike (second day); 132, fuller and hard (fourth day); full, hard, and intermittent, 122 (fifth day); full, not hard, 100 (sixth day); hard, 104 (seventh day); 100 (eighth and ninth days); almost insensible to touch, very weak (tenth day)

Pulse more or less intermitting during the entire day; at 8 p.m. it was 125, small, irritable, and intermitting; next morning 100, small, irritable, but not intermittent; 94, fuller and less irritable (third day)

Pulse 72, five hours after taking food (before the proving); 76 (after five minutes); 72 (after ten minutes); 70 (after fifteen, and twenty-five minutes); soon after 9 oclock had a cup of cocoa, went to bed at 10.30, when the pulse was about 60 (after three hours and a half)

Pulse scarcely perceptible at the wrist or temples, later, 96 and firm (after four hours); 120, rather small (after six hours); 100, feeble; 106, weak (eleventh day); 86 (twelfth day)

At first pulse could not be felt, afterwards 104,®

Pulse 90 and weak, soon; 95 (after six hours)

Pulse 82 (before the proving); 86 (after five minutes); 80 (after ten minutes); 82 (after twenty-five minutes)

Pulse 92 and feeble (after one hour and a half),‘‘I

Pulse 78, quick and small (seventh day),I

Pulse 72 (before the proving); same (after five minutes); 68 (after fifteen minutes); 72 (after thirty minutes); 68 (after forty-five minutes, and also fifteen and thirty minutes after second dose), 66b__ Pulse fell from 70 to 65 in three minutes; 60, after thirty minutes, it became rather more frequent and fuller; 60, small and slow, following the diarrhoea and chill, afternoon (second day); 60, after the diarrhoea, in the forenoon (third day)

Small, rapid, feeble pulse (like that of abdominal collapse), (after one hour)

Pulse rather small (fourth day); in the evening small and contracted, with violent shaking chill

Pulse small

Pulse small and irregular (after half an hour)

Pulse small, tremulous, intermittent

Extreme feebleness of the pulse; (twenty-four hours after 2 scruples)

Pulse small and weak

Pulse weak

Radial pulse scarcely perceptible (after four hours); (after nine hours)

* Pulse scarcely perceptible (after two hours)

The pulse at the wrist was imperceptible (after half an hour)

Pulsation of the radials disappeared (after two hours)

Pulse imperceptible

The pulse in every case became imperceptible, and even in those who recovered it could not be felt for several hours; this state of the pulse was accompanied with deadly coldness, clammy sweats, sometimes lividity of the nails and fingers

JS^eclx ami Jiaclx.

Smarting soreness around the neck, as if chafed by the collar

Bruised sensation in the back, extending from the shoulders to the loins, on waking (second day)

Acute pani in the back, gradually extending down t<^ the thighs, occasioning ere long great torture, and continuing almost to the moment of death (the first symptoms in a patient who had swallowed i ounce; he died in thirteen hours)

JJorsal. Deep burning pain between the scapulaj, in the evening (second day)

The back feels as if bruised and stiff, in the morning, especially beneath the tip of the left scapula (second day)

Pain as if something were sticking beneath the point of the right scapula, very acute, while sitting (second day)

Pain as if something were sticking in the right side, below the shoulder, towards the back, in a small spot, which he had indeed frequently experienced, now very acute, while sitting

Llllllbar, Intense lumbar pain (second day)

Pain in the small of the back, during the whole of the day, somewhat relieved after a hard evacuation (eighth day)

Pain in the small of the back, on both sides of the s[)ine, in the region of the kidneys (eleventh day)

Pain in the lumbar region, between the last ribs and hip, extending towards the right side, after rising from a bent posture

Sticking pressure above the right hip during hiccough

Stitches above the hips during hiccough

During yawning, a pressing stitch above the right hip, which takes away his breath

Cold creeping, especially extending upward from the lower portion of the spine

After rising from the recumbent position, a pain in the region of the right loin, between the last rib and hip

* Weakness in the loins and hips, extending down to the lower extremities (from 5 grains y'^th)

Pains shooting down from the loins to the limbs, the patient seeking constant relief in a change of position (in a patient who died in thirteen hours)

Sensation of numbness in sacrum

The pain in the sacrum, habitual to him, in the morning, is gone; instead of it a bruised sensation in the back, from the shoulders to the loins (second day)

Upper Extremities p. 270

Contractions of the arms and legs

Trembling of the limbs

Lividity of extremities

Hands, arms, legs, and feet were of a livid color and cold, and she could hardly move the legs at all (after nine hours)

Uneasiness in limbs and feet, which he is hardly able to keep quiet for a few minutes at a time

Strange sensation of numbness about his litnbs

Numbness and tingling in the extremities, and the legs drawn up toward the abdomen,A

Oxalic acid has a decided action on the joints, ankle, knee, hip, wrist, shoulder

Superior Extremities p. 270

* Numbness from the shoulders to the tips of the fingers

Numbness in right arm (second day)

Sensation of numbness in the left arm (after a quarter of an hour)

SJlOtdder, Sharp shooting pain in the right shoulder-joints, coming on suddenly, and lasting about fifteen minutes (one hour after 3 grains j-j^th)

After lying down in bed, a twitch in the left deltoid muscle, and in a few minutes one in the right

Upper Arm. Violent pressive pain in the middle of the upper arm, as if in the bone, frequently a jerking, so that he was obliged to stretch and move the arm, the whole evening

The muscles of the upper arm are painful, as if beaten (fourth day)

Wrist. Pain, as if sprained, in the right wrist, which he had had for some time, became much worse, in the forenoon ; in the afternoon he was frequently obliged to crack it (first day); it returned on the second day ; he was obliged to stretch and bend it until it cracked ; on both days while writing, a violent jerking stitch in the ulnar region near the wrist; on the third day it was very distinct and very frequent in the articulation of the ulna; the right ivrist was constantly painful, as if it had been sprained or dislocated; if he attempted to lift anything, he was obliged to let it fall; repeated sticking pain in it, especially when writing (after six, eight, and twelve hours, third day); the right wrist remained painful; after some weeks it suddenly became so much worse that the slightest motion was intolerable; he was obliged to sit and hold the hand straight up, resting upon the elbow day and night; the pain was frightful; could neither eat nor sleep for several days; at first Causticum speedily relieved; afterwards the hand became better than formerly, and the inclination to stretch and crack the wrist disappeared

Hand. Frequently his hands were involuntarily clenched when awake

Heaviness of the left hand; motion of the fingers follows the will slowly and with difficulty (fourth day)

Sensation as if the hand were dead

Eingers. Fingers contracted, and finger-nails dark

Finger-nails were dark, and remained so for several days

Fingers semiflexed, rigid, the thumbs bent into the palm of the hand (after four hours)

Fingers livid (after two hours)

A sudden jerking in the metacarpal bone of the left index finger, soon afterwards in the ulnar side of the hand externally, then in the right side of the head, etc.; from time to time, peculiar jerking pains, like short pulsations, in small spots, of only short duration (third day)

A piercing burningsticking pain deep internal in the right middle finger, especially in the last phalanx, but also in the other fingers, though less severe, similar to gouty pains, the whole third day

The fingers of the left hand, es[)cially the index finger, become drawn inward (fourth day)

Tingling sensation in fingers (after six hours)

Sudden violent thrusts, as with a knife or lancet, in the ball of the left thumb (during stool), (second day)

Violent stitches in the ball of the right thumb, in the evening, while writing (fourth day)

Tensive pain in the fleshy part of the left thumb, with heat, numbness, and a sensation of swelling, lasting about half an hour (after thirty minutes)

Inferior Extremities p. 271

* £lue7ies$, coldness, and almost complete immobility of the lower extremities; had not entirely disappeared after fifteen days; (from 2 drachms)

* Slight lameness and stiffness in the lower extremities

During the entire day he had frequent cramps in the legs and feet, which were soon relieved by pressure

Hip. Sticking pain in the right hip-joint

Knee. A very violent contracting pain in the external tendon of the left knee (first day)

Great weakness in the knees, on going upstairs, lasting some time after the cessation of other symptoms

• Jerking-sliding pain in the hollow of the left knee

Let/ and AtilHe, Tension in the left calf, while walking; in the afternoon, after diarrhoea (third day)

Aching pain in the right ankle-joint, with a feeling of swelling of this part and the whole right foot (from 5 grains

Foot and Toe. Sharp shooting pain on the instep of the right foot, lasting for half an hour, at intervals. The same pains the next day, lasting five minutes. Sharp pain in right ankle-joints, several days after the first pains

In the morning on rising, the toes of the right foot are spasmodically flexed, without pain, repeated at noon, after sitting some time (third day)

Generalities p. 271

Lies upon his back, with his knees drawn up very high (third day)

Lay supine (after four hours)

She lay iu bed exhausted, and iu a state of insensibility, for four hours

General redness of the body (after twelve days)

The symptoms from Oxalic acid usually intermit, for some hours or a day, and then return in a diminished degree

Some, who are generally much affected by cold weather, appear better able to bear it

Convulsions

Convulsions, with two or three deep inspirations, before death

Convulsion, either at the time of death or before

Slight convulsion and death (after twenty minutes)

Symptoms of collapse, with convulsions, followed by death (third day)

Violent spasms

Spasms, followed by death (after threequarters of an hour)

Two persons had mimic spasms, when moving a tablespoonful about in their mouths, and said they felt as if they should never laugh again

The effect on the nerves was the production of mimic spasms, or the pulling of the face, which acid fruit and vegetables, such as rhubarb, produce

Spastic contraction of the muscles of the jaws and extremities

Violent tremors

Slight convulsive twitchings (second day)

Twitching

Sudden jerking (a short but very distinct pain) in the metacarpal bone of the left index finger, soon afterwards on the outer side of the ulnar margin of the left hand, and at last in the right side of the head (first day)

Restless during night (first day)

Very restless night (second day)

Very restless (eighth day)

Increasing emaciation (after seven days)

Hehilltif and Prostration. Increasing debility (after twelve days); death (fourteenth day)

General lassitude and feebleness, particularly of the lower extremities (after a few hours)

Extreme lassitude of the body

Lassitude, disinclined to work

Weariness, in the morning (fourth day)

Excessive weariness, during and after going upstairs (second day)

Indolent, so that he could scarcely sit up ; he lay down, and felt well while lying; without sleepiness he continued lying with the eyes closed, in the morning (second day)

Feeling of weakness over the whole body (twelfth day)

Great weakness (seventeenth day)

Weakness of the extremities, with increased transpiration over the whole body, especially sweat in the axillie ; the weakness in the extremities extended over the whole body, so that the work which was usually easy, was very fatiguing, and followed by a sensation as after excessive muscular exertion (from the solution)

Great weariness, obliging him to lie down, that seemed uncommonly agreeable; a crawling weariness, with a feeling of fulness in the whole body ; at noon, after eating, and again in the evening (first day)

Weakness first noticed in the extremities, extending over the whole body ; was scarcely able to do any light work

Weakness, with perspiration

Inclined to lie down and close the eyes, without sleepiness, in the morning (second day)

Trembling of the whole body, with weakness (third day) ; so great that she could scarcely walk (fourth day)

Loss of strength

Gait slow and unsteady

Relaxed condition

Expression of countenance and the other symptoms indicated great prostration of strength (after half an hour)

Great weakness and prostration during the diarrhoea, in the forenoon (third day)

Great prostration, with a feeling as if the spine were too weak to support the body (twentieth day)

Prostration

Complete prostration of strength (after fourteen hours)

Prostration of all vital powers

Great exhaustion

Feels generally sick, with diarrhoea, in the forenoon (second day)

General sick feeling; sensation as though the hands and feet were trembling (four hours after j grain)

Symptoms of slight collapse

Faintness; her hands and feet felt dead ; her senses seemed to be “going and she so far lost her consciousness as not to have a clear idea of what occurred subsequently (after one hour)

Faintness and rattling respiration, followed by death

Faintness

Faintness, prostration of strength, collapse and death, within three minutes after the j)poison was taken

Sensibility, The pains and other symptoms reappear as soon as he thinks of them, as, for example, when writing them down ; especially the pain in the hollow of the left knee, in one arm, hip, etc.

The pains from Oxalic acid, as soon as he thinks about them, return, particularly that in the knee, the hiccough, etc.

Nervous symptoms appear mostly in those patients who have taken the diluted acid

Ascending steps was especially distressing (twentieth day)

Sensations. A sensation in the upper part of the body, especially in the head, like a fine crawling and surging, but so fine that it is only like a current, while lying dow'u ; it seems to be rhythmical, but not with the pulse; it seems as though the blood were streaming in this manner through the capillaries; he distinctly feels it stream through the whole body from below upward and from within outward; the sensation is more distinct while the attention is directed to it; in the forenoon (second day)

A feeling as after a debauch the previous night, dull headache, with a gnawing-tensive pain, and soreness in the eyes and superciliary regions, lassitude, disinclination to occupation, reading, etc., and inclination to stretch, with occasional yawning; relief by walking in the cool open air (next day after 2d trit.)

The pains seem to be excited and aggravated by movement, as the pains in the bowels, testicles, back, etc.,®.

Pain, but chiefly great lassitude and weakness of the limbs, and next morning numbness and weakness there, as well as in the back; this affection was at first so severe that she could hardly walk upstairs; she recovered entirely in a few days (after about 2 drachms)

Pains in the left side

Excruciating pain

All the pains of Oxalic acid occupy a small place, oneself to one inch in length, and of the thickness of a quill; at times they move through this space, frequently they occupy the whole of it; this is the case not only in the Eustachian tube, but also in the wrist, hypochondrium, hollow of the knee, etc.

After very sound sleep for eight hours he felt as if bruised and stiff, in the morning; could scarcely get out of bed until it was quite late (first day)

General numbness,”; (after six hours)

A peculiar general numbness, approaching to palsy

Sense of numbness and tingling or pricking iu the back and thighs (twenty-four hours after 2 scruples)

Numbness and weakness of the back and lower extremities, so much so as to render it difficult for her to go upstairs, gradually going off in the course of a few days (second day)

She was, for the greater part of the time, able to walk about the room until towards the middle of the day, when she complained of numbness from the shoulders to the tips of the fingers

Skin p. 273

Skin constantly dry (second day)

The fold of skin around the nails of the third, fourth, and fifth fingers becomes cracked and inflamed (from external application to the middle finger), (from Hering).

Skin of face, head, chest, and nates covered with red spots or petechiae, appearing as if best)attered with blood (sixth and seventh days)

Anomalous efflorescence on a great portion of the body (second day); nearly disappeared (third day)

An eruption or mottled appearance of the skin, in circular patches, not unlike the roundish red marks on the arms of stout healthy children, but of a deeper tint

Peculiar eruption over the whole surface; it was an exanthema, and the dermatologist would call it roseola; as it subsided it left the skin very dark, so much as to attract the notice of his visitors; the cuticle afterwards desquamated

Eruption appeared over the whole body, similar to the maculae of typhus, but passed off next day (after nine days)

Two days since, an eruption appeared over the body similar to the maculse of typhus, which has not completely disappeared (twelfth day)

Eruption over the whole b(jdy, papular and itchy (twelfth day)

On a spot on the right index finger, where a cut, from a penknife, had healed four days ago, a very painful pustule appears (2d trit.)

During shaving the skin is more sensitive

Itching on the neck

Sleep p. 273

Sleepiness. Very violent yawning

Constant yawning, followed by accumulation of water in the mouth, in the evening (fourth day)

Inclined to stretch and yawn

After dinner, sleepiness, and profound sleep while iu a sitting position

Long undisturbed sleep (very unusual), with profuse nightsweats; the wet shirt feels very cold on waking (third night)

Very profound and long sleep; on rising from bed quite stupid; he lies down again and sleeps one hour longer (second day)

He is more inclined to sleep at night than usual

Great sleepiness, in the morning (second day)

Tendency to sopor, alternated with restlessness (second day)

Drowsiness, for several days

He raised himself up iu bed in alarm, looking round the room, but on recollecting where he was, he lay down again, repeating the same action in an hour (first night, after 3 grains y'^th trit.)

Conscious when aroused, but immediately lapses into a sleepy state (after four hours)

Frequent startings iu sleep

Sleeplessness. Slept very little through the night, and when he did, had constant dreams, With starting, and then waking up with fright; the dreams were of an unpleasant character (first night)

Little sleep (first night)

Sleep very restless, but without dreams (second day)

Being awakened by a noise in the night, he could not go to sleep again for two hours

Dreams. Dreams of rapidly sliding walking ; he glides on his way with every step without difficulty; dreams also that water is poured upon him (second day)

Continual and vivid dreams, always of a frightful nature; he wakes often, and dreams constantly

Dreams of an agreeable and lascivious nature, and of a character of reality

Has had dreams which he cannot remember (first night)

Fever p. 274

Chilliness. Violent shaking chill, with small contracted pulse, red face, and sensation of heat, without actual warmth of the head, and icy-cold hands, as if dead, in the evening (fourth day)

Chilliness the whole dav; with heat on every, even slight, exertion (fifth day)

Several slight rigors (sixth and seventh days)

Chilliness, in the afternoon, after the diarrhoea (second day)

Chilliness, alternating with heat, the whole day (fourth day)

Skin cold

Surface cold and clammy; (after half an hour)

Face and hands livid, and cold as a stone

Hands, face, and feet cold, and covered with perspiration

Face and extremities pale and cold

Creeping of cold, particularly from the lower part of the spine upward

Trunk and extremities become icy cold (after two hours)

Extremities cold (after four hours); (after one hour)

Extremities cold, and the nails livid

Hands icy cold, as if dead, in the evening, with shaking chill

* Feet and legs icy cold

Feet quite cold, in the evening (third day)

Heat. Very hot

General sensation of heat

Heat in the face and hands (fourth day)

Some heat, at first in the face, and afterwards in the left leg, as from external warmth (second day)

Flushes of heat and sweat, in the morning, with sharp pains in the forehead and vertex (soon)

Flushes of heat and perspiration all over the body

Exhausting fever, with dyspepsia and singultus (in a patient who seemed at first to be doing well, but was carried off afterwards with the above-mentioned fever in twenty-three days)

Skin hot (fourth day)

Temperature in the axilla 97,®®.

Sweat, Increased perspiration, especially in the axillre

Forehead bedewed with perspiration (after twenty minutes)

Cold perspirations, especially about the forehead

Body covered with a cold clammy perspiration (after four hours)

Skin partially bedewed with a cold sweat

Perspiration and weakness

Clammy moisture bedewed the whole frame

Clammy perspiration

He perspires less than usual

Cold clammy perspiration

Conditions p. 274

Aggravation.

{ Toward morning), in left kidney.

(Morning), Vertigo, with anxiety, headache, weariness, and thirst; on waking, pain in frontal region ; headache in left frontal region ; mucus in margin of lids; sour taste in mouth ; thirst; nausea, with cutting in abdomen ; 6 A.M., distressed feeling in abdomen ; cutting pain in abdomen ; after rising, colic, with diarrhoea; on rising, tenesmus; diarrhoea; 7 a.m., diarrhoea; on lying down, desire for stool; 5 a.m., copious discharge of urine; increase of sexual desire; dry cough ; bruised sensation in back; on rising, toes flexed; weariness; sleepiness; flushes of heat.

(Morning and evening). Acrid urine.

(Forenoon), On rising, pressure in forehead ; eyes sunken and surrounded by blue rings ; sensation of heat in face ; during nap, sour taste; 11 A.M., hiccough; lU a.m., nausea; sick feeling, with diarrhoea; 8 A.M., scanty stool ; cutting in abdomen ; erections, and on going out, pain in testicles; after sleep, erections, with pain in occiput; after diarrhoea, pain in pharynx; respiration impeded; while lying down, pain in heart; pain in right wrist.

(Noon), Pale look and no appetite; pain in hollow tooth ; eructations, with rumbling and gurgling in abdomen ; copious stool; pulse hard and rapid; pressure upon chest; after eating, weariness.

(Afternoon), Vivacity and power of concentration; ill-humored ; 3 P.M., thirst; pain in right side of abdomen ; rumbling in abdomen; eructations of gas; diarrhoea, with desire for stool; stitches in left lung; after diarrhoea, chilliness.

(Evening), General excitement; illhumored; when looking out of window, vertigo; after wine, headache; sensation as if sand were in left eye; red face, with shaking chill; stitches in left ear; sneezing, with chilliness; nose painful; no appetite; pyrosis and emission of flatus ; pain in umbilical region ; rumbling in bowels; pain in descending colon, with pain in abdomen and desire for stool; pain in region of right kidney; burning in urethra; profuse flow of urine; cough and tickling in throat; ulcerated sensation in praecordial region ; burning pain in scapulae; pain in upper arm; weariness; yawning; hands cold, with shaking chill; chilliness; itching in a spot on neck.

(Night) P.M., hunger; pressive pain in pit of stomach ; pain about umbilicus and emission of flatus; pain in region of navel; on waking, flatulent colic; burning in rectum; pains in anus; increase of sexual desire; after lying down, palpitation of heart; voluptuous dreams.

(Walking in open air). Tickling in larynx ; pain in heart.

(Breathing), Pain above right ilium.

(Deep breath). Stitch in abdomen.

(A after taking coffee), Rumbling in bowels ; feeling of diarrhoea.

( When coughing). Pains in chest.

(During diarrhoea). Weakness and prostration.

(After diarrhoea). Nausea.

(During dinner). Nausea.

(After dinner), Rumbling in bowels; sleepiness.

(After eating). Nausea.

(Exertion), Heat; dry cough.

(After exerting mind). Pain in head.

(Daring hiccough). Pressure above right hip; stitches above hips.

(Inspiring through nose), Stitches through right nostril.

(Deep inspiration). Teeth painful.

(Lying dotcn). Vertigo; crawling sensation in upper part of body.

(After tying down). Pain in right hypochondrium ; twitch in deltoid muscles.

(Duringmicturition). Burning in urethra.

(Moving), Pain in testicles, back, etc.

(Violent motion),Bves,- sure and tightness of respiration.

(Pressure), Pain in throat; tenderness in stomach; pain in epigastric region; pain in abdomen.

(Rising from bed). Stupid feeling.

(Rising from seat), vertigo.

(Rising from bent posture), Pain in lumbar region.

(Rising from recumbent position). Pain in region of right loin.

(While siV^tu^), After a walk, eflbrt to discharge flatus; pain beneath right scapula.

(During speaking), Hoarseness.

(Ascending stairs). Weakness in knees; weariness.

(Before stool), Dulness of head ; pressure behind ears.

(During stool), Dulness of head; pressure behind ears; stitches in the left thumb.

(Sugar in tea or coffee). Pains in stomach and abdomen.

(Swallowing), Pain in throat; soreness of fauces.

(On thinking of them). Reappearance of pains and other symptoms.

(Touching part). Stitches and pain in right nostril; pain in epigastric region.

( While walking). Lightness of head ; pressure in upper part of eyes; in the morning, pain in testicles; stitches in right breast; bruised sensation in back ; after diarrhoea, tension in left calf.

( While writing), Stitches in ulnar region ; stitches in left thumb.

(During yawning). Stitch above right hip.

(After yawning). Accumulation of water in mouth.

Amelioration p. 275

(Morning), Power of meditation.

( During motion), Pain in abdomen.

(Pressure), Cram|) in legs.

( While reading). Power of concentration.

(During rest). Flatulent colic.

(After stool). Pain in frontal region.

( Walking in open air). Symptoms relieved.