Sulfuricum Acidum

Sulphuric acid, H.2SOr

Preparation, Dilutions with water.

Authorities. (From Hahnemann, Chronischen Krankheiten) ; 1, Hahnemann; 2, Fr. Hn. ; 3, Franz; 4, Gross; 5, Langhammer; 6, Ng. ; 7, Jacobson, in Hufeland's Journal (XIX, 2, 164, observations on fever patients, Hughes) ; 8, Kinglake, in Phys. Med. Journ. (IV, 484, of English original, observations on patients with cutaneous disease, Hughes) ; 9, Deranges, Recueil. Period, 1799 (Frank's Mag., 3), a man drank a glassful ; 10, Menmiiiger, Hufeland's Journ. (Frauk's Mag., 2), poisoning of a woman ; 11, Fleischmann, Horn's Archiv, 1817 (Frank's Mag., 2, 17), poisoning of a girl, set. twenty-two years; 12, Lunding. Acta. Sac. Med. Haven., 1821 (Frank's Mag., 2), poisoning of a pregnant woman ; 13, 14, same, poisoning of two girls; 15, London Courier (Edinb. Med. and Surg. Journ., 1824, p. 222), fatal poisoning of a child, set. three months; 16, Rust, Rust's Mag., 1824 (Frank's Mag., 1), poisoning of a girl ; 17, Tendering, Horn's Archiv, 1825 (Frank's Mag., 2, 12), poisoning of a girl; 18, Dr. Puchelt, Heidelberg Ann., 1825 (Frank's Mag., 3), poisoning of a man; 19, Klein, same Journ., poisoning of a pregnant girl by 1 ounce; 20, omitted ; 21, Lebidois, Archiv. Gen., 1827 (Frank's Mag., 3), poisoning of a girl, set. twenty-two years ; 22, Dr. Martini, Rust's Mag., 1827 (Frank's Mag., 1) ; 23, Robert, Bull, de la Sac. de Anat., 1828 (Tardieu), poisoning of a man, set. twenty-two years, by ^ ounce ; 24, Carus, Deutsche Zeit., 1828 (Frank's Mag., 3, 354), poisoning of a person, set. twenty-six years, by the concentrated solution; 25, Hospital Report of Hotel Dieu, Loud. Med. Gaz., vol. 1, 1828, poisoning of a woman, set. twenty-two years, by a glassful of Sulphuric acid mixed with water; death in sixty days, in an advanced stage of consumption ; 26, J. Orr, Loud. Med. Gaz., 1828-9, vol. 3, p. 253, poisoning of a girl, set. nineteen years, by about 2 ounces of concentrated Sulphuric acid ; 27, Hotel Dieu, Loud. Med. Gaz., 1828-9, p. 687, poisoning of a boy, set. nine years, who swallowed one mouthful, and as he was about to swallow a second, threw it out upon his chin, arms, and hands; 28, same, Louis F., set. nineteen years, swallowed a mouthful, death in twenty days ; 29, Robt. Christison, M.D., Edinb. Med. and Surg. Journ., 1829, p. 232, a man had Sulphuric acid thrown on him ; death on the thir-

Mind

27 teenth day ; 30, Thomas Began, Lond. Med. Gaz., vol. 1, 1828, effects on suckling infants, whose mothers have taken from 5 to 10 drops three or four times a day, in conjunction with infusion of roses; 31, Dr. Thore, A. H. Z., 3, 98, a woman, a?t. thirty years, ten days after confinement, took 20 drops every hour for twelve hours, on account of metrorrhagia, omitted ; 32, Lond. Med. Gaz., vol. 7, 1830-1, p. 27, poisoning of a woman, death on the fifth day ; 33, Martyn Sinclair, Edinb. Med. and Surg. Journ., 1831 (2), p. 99, a man, set. twenty-seven years, swallowed 3 fluid ounces of concentrated Sulphuric acid, death in fifty-five hours; 34, Hohnbaum, Hencke's Zeit., 1833 (Frank's Mag., 3); 35, Behr, Casper's Woch., 1834 (Frank's Mag., 1), poisoning of a child, set. two years, by nearly 2 drachms ; 36, W. Corbet, Dublin Med. Journ., vol. 8, 1835, p. 283, Anne Taylor, set. eighteen years, took probably 1^ or 2 ounces, death on thirty-third day; 37, Schurmayer, Heidelberg Anna!., 1836 (Frank's Mag., 3), a man, a?t. forty years, took a teaspoonful ; 38, Barkhausen, Med. Zeit. fur Vereiu Preuss., 1836 (Frank's Mag., 1, p. 2), poisoning of a man ; 39, same, another case; 40, Brain, Hencke's Zeit., 1836 (Frank's Mag., 3) ; 41, Med. Zeit. Vermin Press, 1836 (S. J., 15, 16), poisoning of a man ; 42, Dr. Lowenhardt, Med. Zeit. Vermin Press, 1836 (Frank's Mag, 1), poisoning of a man ; 43, Evers, Rust's Mag., 1837 (Frank's Mag., 1), poisoning of a woman by 1 ounce; 44, same, second case of a woman ; 45, same, a third case, took a spoonful ; 46,Tott, Hufeland's Journ., 1837 (S. J., 15, 282), poisoning of a woman ; 47, Chaulant, Beitrage zu Prat. Hell., 1837 (Frank's Mag., 4), a man drank some; 48, Dr. Hilsenberg, Rust's Mag., 1837 (Frank's Mag., 1); 49, Reder, Rust's Mag., 1838 (Frank's Mag., 1), a child; 50, Dr. Michaelsen, Pfaff's Mittheil., 1838 (S. J., 23, 118), a woman drank some; 51, Moller, Nord. Med. Arch. (S. J., 170, 23) ; 52, Fritz, Wurt. Corr. Blatt., 1838 (Frank's Mag., 2), a man, set. forty-five years, drank some; 53, John Wilson, M.D., Med.-Chir. Trans., 1838, p. 274, a young woman swallowed 2 or 3 ounces strong Sulphuric acid ; 54, same, a woman swallowed a part of two pennyworth of oil of vitriol, death in forty-five weeks; 55, Tardieu, a man took 80 grams, and died in twenty hours by perforation ; 56, Alfred S. Taylor, Guy's Hosp. Rep., 1839, p. 297, a man, set. forty years, took a wineglassful ; 57, Geisler, Rust's Mag., 1839 (Frank's Mag., 1); 58, Luther, Hufeland's Journ. (Frank's Mag., 2); 59, Dr. Pachur, Med. Zeit. Vermin Press, 1841 (S. J., 32, 152), a man drank some; 60, Dr. Herrmann, Hanover Annals., 1841 (Frank's Mag., 1) ; 61, Dr. Claude, CEst. Wochenschrift, 1841 (Frank's Mag., 1), a girl, set. twenty-one years; 62, J. Coffee, M.D., Lond. Med. Gaz., vol. 30, p. 352, a girl swallowed a quantity, death on the second day; 63, Thierfelder, Summarium, 1842 (S. J., 35, 31), a woman, set. twenty-eight years, took i ounce ; 64, Kerster, Rust's Mag., 1843 (Frank's Mag., 1) ; 65, same, another case; 66, omitted ; 67, Pharm. Journ., vol. 5, 1846, p. 189, extract from Hampshire Journ., an infant took 2 or 3 drops; 68, Bouvier, Bull. Royal Acad., 1847 (Frank's Mag., 4), a girl swallowed 2 spoonfuls ; 69, David Craig, M.D., Edinb. Med. and Surg. Journ., 1849 (1), 407, a man, set. forty-nine years, swallowed 2 ounces of specific gravity 1840, death in less than four hours ; 70, Q3st. Med. Woch. (A. H. Z., 21, 379), a girl, set. twenty-one years, took 2 spoonfuls, recovery; 71, H. Leathery, M.D., Med. Times, N. S., vol. 1, 1850, p. 58, James Ross, set. six years, drank about a tablespoonful ; 72, same, oil of vitriol of the density of 1316, and containing 42 per cent, of free Sulphuric acid, was thrown on two men ; 73, John Walker, Month. Journ. Med. Sci., vol. 10, 1850, p. 538, a man, set. thirty years, swallowed 15£ drachms; 74, Winter, Zeller. Wiirt. Corr. Blatt., Hirschell's Archiv, vol. 2, p. 44, effects on workers; 75, Dr. Trier, Hosp. Med., vol. 5, pr. 1, 1852 (S. J., 76, 309) ; 76, Benz, Gaz. Sarda., 1855 (S. J., 88, 175), a man swallowed 10 to 15 grams ; 77, Sebregondi, Press Vereiu Zeit., 1855 (S. J., 88, 300), a boy drank a swallow ; 78, Cless, Wart. Corr. Blatt., 1856 (S. J., 93, 295), a girl, set. twenty-six years, took an indefinite amount ; 79, Dr. Schiiz, Wurt. Corr. Blatt., 1856 (S. J., 91, 302), a boy, set. two and a half years, took an indefinite amount of the fuming acid ; 80, Dr. Schiiz, Med. Corr. Blatt., 1856, case of a child, set. three years; 81, M. Laboulbeue, Lond. Med. Gaz., vol. 5, p. 77, a man, set. fifty-nine years, swallowed some mouthfuls of Sulphuric acid of 66 degrees strength ; milk administered at once brought on vomiting; treatment, milk with lime, water, and magnesia ; 82, Thereon, Journ. de Chim., 1857, No. 6; 83, Dr. Jenner, Med. Times and Gaz., 1857 (2), ; 84, Pellischek, CE<t, Zeit. fur Prakt. Hell., 1858 (S. J., 99, 290) ; 85, Dr. Winn, Lancet (Pharm. Journ., vol. 17, 1858, p. 385), a child, set. four vears, took a quantity, recovery ; 86, Howitz, Hosp. Tidende (S. J., Ill, 306) ; 87, same, another case; 88, Guy's Hosp. Rep., 1859, p. 134, a man, set. fifty-six years, swallowed about a dessertspoonful ; 89, same, a woman, get. fifty-five years, drank about 3 ounces of the strength of 1 of acid to 4 of water, death in eleven days ; 90, same, a man, set. fiftysix years, took about a tablespoonful into his mouth and spat it out; 91, Times (Pharm. Journ., vol. 18, 1859, p. 485), of six men engaged in baling out a chamber used for condensing the gas, two were unaffected, though longer at work than the others; one slightly affected ; one died the second morning ; 92, Ogle, Trans. Poth. Soc, vol. 11, p. 294 (Syden. Yearbook, 1860, p. 437) ; 93, Attomyr, New Archives, vol. 1, part 1, p. 178, effects of internal use; 94, Red, Z. fur H. K. 2, p. 35, a man took lb. of raw Sulphuric acid ; 95, D. R. Haldame, M.D., Edinb. Month. Journ., vol. 7, 1862, p. 739, a man swallowed an unknown quantity, death ; 96, Leyden and Munk, Virchow, vol. 22, p. 237 (Syden. Yearbook, 1862, 427), two fatal cases of poisoning; 97, Hamburger, A. H. Z., M. B., 6, 40, a girl, set. twenty-five years, took a spoonful ; 98, Dr. Smaller, A. H. Z., M. B., 8, 9, a woman, set. twenty-nine years, took rather small quantities ; 99, same, a man took some; 100, same, case of a girl, set. twenty years; 101, Hessler, S. J., 100, 294, a boy drank j ounce ; 102, Drs. Frerichs and Maunkopf, A. H. Z., M. B., 6, 40, a girl, set. sixteen years, was poisoned by the diluted acid and recovered; 103, same, another girl, set. sixteen years; 104, same, a girl, set. twenty-four years, took an indefinite quantity; 105, same, another case, took the concentrated acid; 106, same, a girl took 1} ounces; 107, Edmund Higinbotham, Med. Times and Gaz., 1863 (1), p. 183, a man swallowed 3 ounces of spirit of vitriol, death in two hours and a half; 108, Joseph M. Drake, M.D., Canada Med. Journ., vol. 4, 1867, G. W. took about a glass of oil of vitriol ; 109, Dr. Randell, Brit. Med. Journ., 1869 (2), p. 325, a woman swallowed 2^ ounces Sulphuric acid, mixed with an equal quantity of water, death in three hours; 110, Dr. Fripp, Lancet, 1869 (1), p. 192, a man, set. forty years, swallowed a large mouthful of the concentrated Sulphuric acid, recovery; 111, Malmsten, Sensa lak siilloh, for, 1870, Nord. Med. Ark., 3, 1871 (S. J., 155, 19) ; 112, Thomas Bryant, Lancet, 1872 (2), p. 816, a woman, set. thirty-one years, swallowed a quantity ; 113, Dr. Border, Med. Times and Gaz., 1873 (2), p. 92, a man, set. thirty-four years, swallowed 2 ounces of strong Sulphuric acid, death ; 114, Dr. Grseffner, 1877, effects of crude acid ; 115, same, another case of swallowing the acid.

Mind p. 420

Delirious shortly before death

For two nights, delirious aud recognized no one

Uneasiness (after twelve hours)

Nervous excitement

He was roused with difficulty, and when roused, resisted fiercely, saying in a hoarse muffled voice, "Let me alone, let me die

Excessively jocose

Exaltation of mind and disposition

Great distraction of mind; she often gave inappropriate answers

Hasty mood; nothing that she does can be finished quickly enough, though she makes unusual effort

Constant moaning

Moaning very deeply (after half an hour)

Lachrymose without cause (first day)

Very sad irritable mood

Melancholy and weary of life

Dull gloomy mood, in the morning

Despondent morose mood

Most excessive anxiety, and burning pain and heat in the stomach

Great anxiety

Great anxiety, with restless tossing about

Extreme anxiety and nausea, followed by vomiting of mucus (immediately)

Anxious, quarrelsome, averse to answering

Diminution of the anxious oppressed mood and of the despondency, alternating with exaltation, and therefore (as curative action) a quiet refreshed condition

Great apprehension, from morning tin evening (thirteenth day)

Apprehensive and grieving, with inclination to weep (second day)

Depressed

Was in a state of great fright

Very fearful, despondent, fretful

Very fearful; extremely mistrustful

* Ill-humor, fretfulness

Ill-humor all day; she avoids speaking to every one

Extremely peevish, in the morning on waking

Very peevish, even during the day

It frets her to talk

Aversion to talking

* Fretful, peevish, impatient, if his work is not done to suit

Sedate, earnest condition of mind

So irritable and sick that she started violently at everything

Unconsciousness,40 113 u

Paroxysms of stupefaction

(Stupor ),7.f

Inclination to coma

Head p. 420

Vertigo. Vertigo

Vertigo, in the afternoon, while sewing, as if she would fall from the chair

Vertigo, while sitting; things turn about in a circle, soon

Vertigo, even to reeling; was obliged to lie down constantly, for as soon as she rose the vertigo reappeared

Vertigo in the house, which disappears in the open air

General Head. Dull pain in the head, as if full

Pressive dulness in the head

Dullness and heaviness of the head, in the morning

Sensation of heaviness aud fulness in the head ; she was obliged to hold it forward

Heaviness and pain in the head, as if the brain fell forward aud came up again

Weakness in the head

Headache

Pain as if the head would burst

Pain as if the head were shattered, in the morning after waking, and yet great sleepiness

Drawing headache, in the evening

Drawing headache, especially in the right side, towards the forehead

Drawing and tension in the head

Tearing in the whole head, day and night

Stitches here and there in the head, when walking in the open air

Dull stitch deep in the brain, above the left frontal eminence, suddenly increasing, then diminishing, and at last suddenly disappearing

Forehead. Dulness and fulness in the forehead, the whole forenoon

Pain, as from a blow, near the left frontal eminence, first increasing, then suddenly disappearing

A feeling in the frontal region as if the brain were loose aud fell back and forth

Painful sensation of soreness above the left frontal eminence, which is always more acute in isolated jerks

Constriction in the forehead, at first increasing, then suddenly disappearing

Pressure, as from a blow, in the right side of the forehead, first increasing

f revised by Hughes. then suddenly disappearing

Frequent pressiveand burning headache in the forehead and eyes

Tearing and sticking in the right side of the forehead, relieved by pressure, in the evening

Sudden painful jerking above the left frontal eminence

A violent jerk from time to time beneath the left frontal eminence, suddenly disappearing

Painful tearing in the middle of the forehead, towards the left side

Acute pain beneath the right frontal eminence, as if the brain were loose and knocked against the skull, painful on shaking the head

Sticking pain, now in the forehead, now in the occiput

Dull stitches in the forehead, now in the right, now in the left side, extending deep into the brain

Stitches, sudden, dull, and very sensitive, like thrusts, above the left frontal eminence, extending into the brain

Temples. Grumbling from time to time in the temporal bones

Pressing inward in both temples

Drawing in the left temple, rather external and in a small spot

Thrust in the right temple, as if a plug were sticking in and constantly pressed deeper

Single shooting-thrusting jerks in the right temple

A burning pain in the temples, as from a thrust or bruise, in wavelike intermissions

A painful tearing in the left temple, while sitting during breakfast

Tearing in the right temple, towards evening

Vertex and Jciiietals. Pressive pain in the vertex, while standing

Sudden confusion in the right side of the head, as from smoke, while sitting

Sensation of heaviness in the left side of the head

Sensation as if the left side of the head, before the ear, were screwed in

Stupefying throbbing pain in the right side of the head, on rising after stooping

Occiput . Compressive pain in the sides of the occiput, relieved by even holding the hands towards the head without touching it

Pressure and sticking in the left side of the occiput

External Head. The hair becomes gray and falls out

Much eruption on the head, face, and nape of the neck

Small pimples on the forehead and side of the nose

External pain over the who/e head, as from suppuration, also painful to touch

Violent itching on the head

Violent itching on the scalp

Eyes p. 421

Objective. Redness of the eyes, and constant lachrymation and photophobia

Eyes and face ghastly

Eyes protruding

The eyes fixed, and with the pupils slightly contracted, but not very sensible to light (in two hours)

Eyes sparkling

Eyes lustreless and watery

They immediately felt a severe burning sensation, especially in the eyes. On admission into the hospital, their eyes were much inflamed, the lids were swollen, and the right eye of the father looked dull and opaque. On the fourth day the conjunctiva of the right eye of the father acquired a jellylike consistence, and on the eighth day the cornea, which all along had been opaque, sloughed away, giving exit to the lens and a portion of the vitreous humor. For more than a week this eye continued inflamed, and it discharged large quantities of purulent matter. At the present time the eye is still suppurating and gradually wasting away

Eyes sunken and expressive of suffering (sixteenth day)

Subjective. *Sensation of a foreign body in the right outer canthus, in the morning when walking, disappearing in the house

Burning and lachrymation of the eyes, while reading in the commencing twilight

Frequent violent burning in the eyes (sixth day)

Biting burning and lachrymation in the left eye, while reading during the day

[HO.] Frequent biting in the right eye (first day)

Orbit. Tearing on the margin of the right orbit, extending toward the temples, as if under the skin

Pain as from a plug thrust in just above the left orbit, at first increasing, then suddenly disappearing

A dull thrust, from within outward, just above the margin of in thf morning/.-Twitching in the right mner canthu8, .-The eye ids sink down and he cannot open them '.-Pressure in the outer can hus - Sticking- itching on the lower lid ; he is obliged to rub it

Laclirymatimu Lachrymation^-Ball. Burning pressure in the anterior portion of the left eyeball, in the open air; in the house the pam ceased, and there was pain only on looking intently, so that she was obliged abstain from using the eyes,2.-P*/;>*7. Eyes mostly closed, but pupils „all and piercing- -Pupils greatly dilated, with lustreless , ™£

Pupils contracted and not obedient to the stimulus of light

Y vision. Photophobia (fourth week),104.-Dimness of vision, in the morning, .- Twitching sensation before the vision, with weakness, •

Ears p. 422

Violent tickling in the concha,6.-Tearing in front of the left ear and up into the temple,6.-Tearing deep in the left ear followed by crawling in it

Jerking in the right ear, preceded by the exit of agreeable warmth,6.-Tearing and sticking in the right ear, rather j» . er- „al i

Drawing from within outward in the right meatus

Hem nt(J. Diminished hearing, as if a leaf were laid before the ear,6 -Clear sounds of bells in the right ear,\-Rhythmical roaring in the ears, -Roaring in the left ear on opening the mouth, as from a waterfall, during dinner - Roaring in the ears, in the evening

Roaring m the ears (fourth week)

Great roaring in the ears, lasting four hours

Nose p. 422

[140.1 Violent coryza, with sore eyes

Coryza, with loss ot smell (fourth and fifth days)",6.- Fluent coryza (fourth day) .-Much water runs from the nose, with stoppage of one nostrils-Obstinate dry coryza 1

Violent dry catarrh ; at times he could get no air through one or the other nostril

Bleeding of the nose, in the evening while sitting and standbier5

Dark-brown froth issuing from nostrils

Ineffectual inclination to sneeze,6.-Fine stinging prickling in the right side of the nose, so that he was obliged to rub it

A vapor mounted through the nose, followed by incessant sneezing twenty times, and then stoppage ot the nose

Incessant convulsions of the facial muscles; eyes sunken; clonic spasms of the upper extremities and dorsal muscles,T8.-Convulsions of the muscles of the face and of the lips,9.-Face distorted, hid,78.-Tea ures distorted

Look unsteady

Expression of prostration and collapse

(after two hours)

Face hippocratic; features drawn and deathly pale

Face sunken (after four weeks)

Face sunken, expressive of great

anxiety; the patient frequently sprang from bed, and died in collapse

with an extremely offensive odor from the mouth and involuntary dis-

Chest p. 422

Countenance expressive of great pain; look fixed ; eyes

sunken ; pupils contracted ; pupils pinched

Gangrenous look

Conn-

penance greatly altered

Face puffy, frequently changing color ; the

lips swollen, sore

* I ace pale,b

Face very pale, with movement in the

Stomach p. 422

Deathly pale

Countenance pale, dingy, and

deathlike (in two hours)

Face pale, puffy

Countenance pale and

expressive of great anxiety

Face pale, distorted, expressive ot

the greatest pain

Countenance pale and sunken

Face pale, restless

Abdomen p. 422

Face red

Face red and puffy

Their faces were covered

with numerous red spots, which, in the. course of a few hours, scabbed over

and became brown

The face became dark blue, the eyes protruded, with

Aggravation p. 422

Face cyanotic

Face blue, as from threatening

Amelioration p. 422

Face dark blue

Jerking several times in the

face, about the left ear, also on moving the head ; afterwards, also, during rest

Tearing in the left facial bones, then in the right side of the head

Some violent tearings, so that she started up, iu front of the left ear, extending into the cheek, where it became a crawling

Cheek. Swelling of the left cheek

Cheeks livid (sixteenth day)

Redness and sensation of heat in the right cheek

Bruised pain iu the left malar hone, at first increasing, then suddenly disappearing

Pinching in the ^kin of the cheek, beneath the right eye, first increasing, then disappearing

A violent stitch frequently extending upward in the right cheek

Sensation as if the cheeks were puffy, and as if albumen had dried upon the skin

A cooling burning in the left cheek

Lips. Great swelling of the lower lip and tongue, the margins of which were black; the mucous membrane of the whole mouth swollen, with burning in the mouth, pharynx, and stomach

Dark-grayish sloughs were observed across the upper lip, descending down the angles of the mouth ; similar, but slighter, marks were on the forepart of the neck, chest, and on the right arm

Corners of mouth sore, as if the seat of superficial ulceration ; surface white (after half an hour)

Lips swollen, red, painful to touch

The skin on the upper and lower lip was scorched by the acid, and was of a reddish-brown color

The mucous membrane of the lips was thickened and white

The lips were white and shrivelled and had small blisters on their inner surface, and there were also similar appearances on the mouth and tongue

Lips and tongue blanched

Lips violet

Lips smooth, dry, brownish

Epithelium of the lips, mouth, and fauces white

Lips white

The lips became cracked and scaly

Lips, tongue, and mouth swollen, anil covered with white aphthous spots, exuding offensive bloody ichor

Peeling of the inner surface of the lips without pain

Chin. Chin and lips excoriated

Trismus

Tearing here and there in the lower jaw

Mouth p. 423

Teeth. The teeth presented a yellow and black fur, like the sordes of fever

The teeth were of a chalky-dead whiteness, and had completely lost their polish

Subsequently, all the teeth broke off and fell out in pieces

Teeth on edge at various times

Teeth on edge the whole afternoon (after four hours)

Toothache, aggravated by cold, relieved by warmth, preventing sleep all night

Toothache in the left lower row, in the evening after lying down

Gnawing toothache in the right lower row, in the evening, worse after lying down till 2 a.m.,6.

Gnawing pain in the back tooth and in the incisor, only when biting on something hard

Digging pain in a hollow back tooth during and after chewing something hard

Pain pressing inward in the right upper incisor

Frequent painful tearing in the teeth of the left side

Tearing in the left lower teeth, iu the bed, in the evening till midnight

Tearing in the left eye-tooth and in the lower jaw, all night, during the menses

Gum. Swelling of the gum of the right lower jaw; when pressed, pus exudes

Ulcerated gum

Gum and inner surface of the lips grayish white, thick, wrinkled

The gum has a furzy feeling; bleeds on the slightest touch

Toufflie. Tongue horribly swollen

Tongue swollen, covered with wrinkled white skin

Tongue and throat horribly swollen; swallowing impossible

Tongue, cheeks, and mouth swollen

The mucous membrane of the tongue and mouth was corrugated, thickened, and milky white

Tongue thick, white, denuded of mucous membrane

Phlyctenae on the back of the tongue and the palatine arch (second day)

Tongue covered with crusts of a grayish-white color; the tip and edges red

Tongue denuded at the tip and intensely red ; parts of it covered with a thick white coating

The tongue became eroded, white, and dry (second day)

Mucous membrane of the tongue, mouth, and fauces of a pearly-white color, and covered with a white viscid secretion

Tongue presented a dead-white appearance

Tongue and inside of mouth white (second day) ; the pellicles covering the mouth have dropped, the mucous membrane beneath being bright red and very sensitive (fourth day)

Tongue redder than natural, often bluish red, and with a peculiar shining surface

The tongue has cast off its cuticle, and is quite red with prominent papillae (fourth day)

Dark tongue

Tongue shrivelled, small

[Tongue dry],7.f

Tongue insensible; very dry in the centre (after six hours)

General Mouth Breath very offensive

Frothing at the mouth, with constant retching

Black frothy matter issuing from mouth

A discharge of stringy copper-colored mucus and froth was issuing from the dependent corner of the mouth,107

The mouth was filled with a frothy, viscid, tenacious fluid, which he ejected in considerable quantities, with almost constant and distressing _ retching, caused by the fluid irritating the fauces. The fluid ejected was of a reddish-brown color, containing shreds of mucous membrane, and seemed to be a mixture of mucus and saliva ; its reaction on test-paper neutral

Copious secretion of liquid in the mouth

Much brownish mucus in the mouth

Mucus frequently comes into the month, which causes choking, hacking; is obliged to swallow it constantly

Swelling of the whole mouth and fauces

Mucous membrane of the mouth swollen, covered with brown bloody liquid, which was constantly expectorated

All the soft portions of the mouth and fauces were frightfully swollen and inflamed, the corners of the mouth burnt, with burning heat in the pharynx and oesophagus

* 3Mucous membrane of the palate and pharynx swollen and injected, with several ulcerations™.

Whitish-gray swelling in the mouth and fauces

Whole mouth, fauces, and pharynx inflamed

The inside of the lips, tongue, and fauces were swollen, having the appearance of being smeared with thin arrowroot (after half an hour)

On examination of the body, the mouth, lips, and part of the chin were found to be charred and desiccated

Mouth and fauces shrivelled and dry

Large superficial ulcerations in the mucous membrane of the mouth, with discharge of bloody liquid

* Aphtho3 in the mouth

Vesicles on the inner surface of the left cheek

Mouth, tongue, and throat white, denuded of mucous membrane

Mucous membrane of the mouth, throat, and wherever the acid touched, was discolored

All the parts touched by the acid, from the mouth as far as could be seen, became covered with crusts and exuded an offensive ichor; the parts finally became aphthous aud gangrenous

The acid had caused large white patches in the mouth and throat; the whole internal portions of the mouth and tongue were white, with a large quantity of tenacious glairy mucus

All the soft parts of the mouth and fauces covered with a thick fuzzy membrane

The mouth, tongue, lips, fauces, and pharynx, as far as could be seen, had a whitened and sodden appearance

Mucous membrane of mouth, lips, and throat pearly white

Mucous membrane of mouth white and ragged

Lining membrane of mouth had a white bleached appearance

The mouth, lips, tongue, and fauces were white and slightly excoriated (in two hours)

The whole mouth and pharynx covered with a thick white coating; swallowing difficult; voice without sound

Mucous membrane of mouth and fauces was covered with a whitish fur, which was already peeling off iu parts, leaving a raw reddishhrown surface; this was especially the case on the dorsum of the tongue and the end of the uvula

The inside of the mouth, as well as the surface of the tongue, was dry, white, and corrugated, as far as the lower lip, where there was a distinct line of demarcation

Mouth of a brown color

On the second day, the mouth and fauces were covered with fungoid blackish-red masses

Inside of mouth of an ashy-gray color

Frightful pains in the mouth and stomach

Transient dryness of the mouth

Disagreeable sensation of dryness in the mouth, for two days

Complained of great pain aud of a burning heat in his mouth and throat

Sore pain iu both corners of the mouth

Pressure, as with a finger, just above the left corner of the mouth

Burning sensation iu mouth, fauces, and gullet

Burning pains in the mouth and throat

Burning heat of the mouth, pharynx, and oesophagus

Burning pain in the mouth, along the oesophagus to the stomach

Excessive burning pain in the mouth, pharynx, and pit of the stomach

Violent bu ming in the mouth and oesophagus to the stomach

Sharp burning heat in the mouth, pharynx, and stomach

Violent burning pain in mouth and throat ; he spoke with difficulty and with pain

Intolerable burning in the mouth and throat

Violent burning pains in the mouth, pharynx, and pit of the stomach

Saliva. Salivation,22; (second day)

Profuse salivation

Excessive flow of tasteless saliva

Frequent collection of watery saliva in the mouth

Collection of saliva in the mouth, as from hunger, lasting several hours

Collection of much saliva of a saltish taste in the mouth, even in the morning

Collection of saliva, with acceleration of the pulse

Taste. Bad taste in the mouth, in the morning after waking (fifth day)

The mouth is insipid and pasty, in the morning in bed, which disappears after rising

Very bad offensive taste in the mouth

Bread has a bitter taste, like bile, and causes great pressure in the stomach

Loss of taste

Speech. Could only speak in a whisper, and was scarcely able to open the mouth, from which exuded a ropy mucus (after ten hours)

She could speak or swallow only with the greatest difficulty

Speech short, abrupt, hoarse, with at times hoarse hacking cough

He could not articulate distinctly, but was quite sensible to what was going on about him

Speech very difficult

Speech scarcely intelligible

Inability to talk or move

Speechlessness 17 47 52.

Throat p. 425

* The throat is swollen, as if there was a lump in it

Constant hawking of tenacious masses of mucous membrane

Constant hawking, retching, and vomiting of bloody, reddish-brown mucus, which was so acid that it burnt holes in the linen

Frequent, but slight hawking or cough (second day)

Tough mucus, in throat

Throat near the cricoid is swelled and painful (twenty-fourth day) ; tumor of neck very painful (twenty-seventh and following days)

Redness and painful sensitiveness in the throat, continued for a long time

Intense constriction, in the throat

* Throat sensitive

Pain along the throat and in the chest, as far down as the stomach, aggravated by swallowing, talking, or even by turning the body

Most frightful pain was felt in the throat aud along the oesophagus, and especially in the epigastric region

Violent pain in the throat and stomach

Burning pain in the throat and stomach

Burning in the throat and stomach

Burning in the throat along the oesophagus to the stomach, with icy coldness of the rest of the body

Violent burning in the throat and along the upper part of the oesophagus

Contractive sensation in the throat, especially in the right side, when swallowing and when not

* Sore throat on swallowing, in the evening, worse on the left side

* Rawness in the throat, after almost every new dose

Scraping and rawness, in the throat

Scraping in the throat

Feeling as of mucus in the throat, which neither comes up nor goes down, and does not provoke hawking

Sticking in the left side of the throat on swallowing; also in the evening, with pain externally on touch

Acidity in the throat

Uvula and Fauces Uvula and root of the palate cedemato its

Pain in the fauces and oesophagus

Violent pain in the fauces and ears

Pharynx and (Esophagus. Pharynx very dark red

Powerful constriction of the pharynx (after one hour and a half)

Great tenderness from the pharynx down to the epigastrium (after ten hours)

Burning in pharynx (immediately)

Violent burning pain in the pharynx and upper part of the oesophagus

After seven days the whole mucous membrane of the oesophagus became exfoliated in the form of a tube several lines thick, and about a foot long (the transition from the oesophagus to the stomach could be distinctly seen), the cast was exceedingly offensive. After this the patient seemed to improve; complained of excessive hunger. On the twenty-first day there was vomiting of blood and mucus, and he again took to his bed; about a month after the poisoning he complained again ou swallowing, of a pain which he described like a cutting, in the side of the throat

Stricture of the oesophagus, with frequent painful vomiting

Stricture of the oesophagus was consequent upon the poisoning, and was so great that the patient could with difficulty swallow water

Stricture of the oesophagus

Closure of the oesophagus

(Esophagus very sensitive to pressure

Pain extending from the oesophagus to the umbilical and epigastric regions

Excessive pains in the oesophagus and stomach

Great pain in the line of the oesophagus

Burning heat, extending from the oesophagus to the stomach

Excessive burning, extending along the oesophagus to the stomach

Swallowing. He could swallow fluid in small quantities, but with great difficulty, causing great pain and a convulsive cough, and sometimes the fluid returned through the mouth and nares

Difficulty in swallowing, and on examination, a large circumscribed swelling, commencing opposite the cricoid cartilage, and extending down the course of the trachea two inches, was found moving on deglutition (in two weeks)

She vainly endeavored to swallow

Inability to swallow

Swallowing difficult ; it seems as though there were an obstruction at the pit of the throat

Some difficulty in swallowing (second day)

* Great difficulty in swallowing,™.

Violent dysphagia

Complete dysphagia,14 78 79.

L370.] Spasmodic dysphagia

Great pain in attempting to swallow, and an extreme sensation of heat and dryness, and con-

Extremities in General p. 426

External Throat. After four days there

came on swelling of the parotids, with salivation, lasting eight days, and

Conditions p. 426

Very circumscribed and painful swelling of the left paro-

tid, with suppuration, the pus being evacuated by incision (sixth week)

* • Swelling and inflammation of the submaxillary glands, at times with

stitches in them

* Pain in the submaxillary gland, as far as into the tongue

the tongue feels burnt

Stomach p. 426

-Appetite and Thirst. Great appetite and good taste

to food ; but qualmishness after eating, so that he is obliged to stop eating

before he is satisfied

Distressing hunger ; but the patient was unable to retain the smallest quantity of nourishment

Increased hunger and appetite (first day)

She is hungry, but as soon as anything is taken into the mouth it nauseates her

She is hungry, and yet eats without appetite, with discomfort in the stomach after eating, for several days

Desire for fresh plums

Loss of appetite

Loss of appetite and discomfort ; food has a natural taste, yet is disagreeable

Aversion to eating, which disappears towards evening

Thirst

Thirst, after vomiting

Constant terrible thirst

Thirst and dry tongue during the menses

Excessive thirst,10 24 53, etc.

Excessive thirst, with inability to drink

Burning thirst

Eructations, Frequent eructations

Eructations at first empty, then bitter, slimy, in the morning after coughing

Bitter eructations, frequently after dinner

Bitter eructations

Eructations like onions

Frequent long-lasting, empty eructations (soon)

Uprisings of water, frequently disappearing after dinner

Rising of water from the stomach

Uprisings of salt-water in the mouth before vomiting

Sweetish gulping up of water

* Sour eructations

Sour eructations, even when walking in the open air

Sour bitter uprisings (fourth day)

Regurgitation of food

Food rises up again, after coughing

liiccoitgh Hiccough

Hiccough, at night

Constant hiccough, 7.t

Hiccough, while smoking, as usual

* Violent hiccough?

Violent hiccough and vomiting, especially after drinking

Xatisea and Vomiting. Nausea

Nausea and effort to vomit from the slightest liquid

Nausea, with chilliness

Excessive nausea; everything turns around in the stomach, rises up and will come up ; is obliged to swallow it down again

Nausea and collection of saliva in the mouth, with constrictive pain in the stomach and abdomen frequently (eighth day)

Nausea in the mouth towards noon, although food and drink are relished

Qualmish nausea, without aversion to anything, disappearing on eructating, soon

Qualmishness, and a feeling as if the stomach were disordered

Obliged to make great effort to avoid vomiting

Qualmish nausea in the stomach, with a feeling of mucus in the throat

Frequent retching

Retching and vomiting

Constant retching; he threw up a glairy fluid, mixed with numerous small shreds of coagulated membrane

Frequent retching and vomiting of small quantities of dark coffeelike liquid

Retching and vomiting almost incessant

Violent retching and vomiting, especially of blood

Constant retching and vomiting of bloody mucus, with black fibres

Retching and vomiting of blood

Vomiting

Vomiting and purging

Repeated vomiting,32 ; (second day)

Violent vomiting,9 11 2.

Violent vomiting, for two or three minutes

Vomiting and acid eructations (second week)

Violent vomiting, with pains in the epigastrium, etc.,77.

Violent vomiting, causing the greatest distress; vomiting of blood

Vomiting always recurred after eating (after three weeks)

A greater part of the mixture was rejected by vomiting almost immediately; the vomiting continued

Water being offered, with a quantity of carbonate of magnesia, it was evident he had the greatest difficulty in swallowing, though he took it eagerly; and no sooner were a few mouthfuls taken than they were immediately rejected by vomiting

Vomiting of all food, and at times of some blood, long after the poisoning

Very obstinate vomiting, usually a few hours after eating; the patient could retain no food, and rapidly became emaciated

Constant vomit-

f .Repeatedly occurring after clysters containing the acid.

Hughes. ing, with burning pain along the throat and stomach ; at last vomiting of blood

Vomited many times, the vomited matter effervescing on coming in contact with the dust

Vomiting preceding shivering fit, and followed by ineffective retching

Every fluid ejected as soon as taken ; frequently vomited a fluid of the consistence of treacle, and color of the carbonate of iron (after ten hours)

Vomited ; the vomited matter was about the color of porter, and of strongly acid reaction (after half an hour)

Expelled an elongated false membrane, which was evidently made up of fragments of the mucous membrane of the oesophagus (sixteenth day) ; after a fit of suffocation, he expelled a blackish mass, formed from a large portion of the mucous membrane of the stomach (seventeenth day) ; afterwards he was able to swallow carefully masticated food

Vomiting of casts of the oesophagus

Vomiting of all liquid, at last bloody vomiting (second day)

Vomiting of serous liquid, with white flakes, at night

Convulsive vomiting of blood

Vomiting of blood

The second day the vomiting continued, mixed with blood and mucus

Vomiting streaked with blood, with pieces of membrane (third day)

About 3 p.m., great pain and anxiety came on, and she vomited matter mixed with blood ; shortly afterwards a wide membranous tube, from four to five inches long, was ejected ; a portion of it seemed as if charred, in other parts it was tinged with bile; on close examination, the branching of vessels is seen in it; and as it possesses considerable tenacity, there can be no doubt but it is a portion of the stomach, and not any adventitious formation. The anxiety and vomiting continued, and at 8 p.m. a long tube was cast up, evidently consisting of the mucous and nervous coats of the oesophagus; a part of it is quite charred, and transverse muscular fibres may be traced round one of its extremities. After the ejection of these substances she felt comparatively easy, and swallowed with more facility ; but the pain remained in the course of the oesophagus (seventh day)

Large quantities of carbonate of magnesia were mixed with milk and drank freely, the first draught of which induced vomiting, for the first time, of a dark grumous, bloody, and viscid matter, with the magnesia in a state of effervescence (after three-quarters of an hour) ; the matters vomited became gradually brighter and mixed with patches of tough mucus

Vomiting of sour smelling liquid, mixed with blood, pieces of membrane, and curdled milk

Vomiting at first of clear water, then of the food taken the previous evening, followed by continued nausea

Vomiting of clear water preceded by sudden nausea, in the stomach (third day)

Vomiting of watery brownish-red liquid, with pieces of membrane and clots of blood

Constant vomiting of brown substances

The matter vomited was slimy, like coffeegrouuds

Vomited copiously a black, glairy matter; the vomiting continued at intervals

Vomiting of black flocculent masses

Frequent black vomiting,8'2 114.

Very violent vomiting of inky-black fluid, mixed with flakes

During the fourth week, the pain in the stomach returned with great violence; the neuralgia also returned, with vomiting, mixed with black clots of blood, lasting two days, was followed by discharge of thin black stools; after this the patient had a persistent sensation of nausea, and was very much tormented by acid eructations, with frequent attacks of cardialgia

Stomach. Stomach distended and very sensitive (second day)

Epigastric region distended, painful to touch

Epigastric region "distended, excessively painful

Epigastric region tense, and very painful

Epigastrium tight, as if it would burst, after eating

Epigastric region very much contracted

Epigastrium very sensitive

Great tenderness over stomach (second day)

Epigastrium painful to touch

Epigastric region painful

■ Epigastric region very sensitive to pressure

The epigastric region is very sensitive externally

Feeling of fulness and distension of the stomach

Heaviness and nausea in the stomach, always after taking the drug, lasting a longtime

Great sensitiveness of the stomach

Painful heaviness in the pit of the stomach

Distress in the stomach, lasting a long time, especially after eating hastily, or taking any indigestible food

Pain in the pit of the stomach

Severe epigastric pain (after half an hour)

Pains in the epigastric region where there was a circumscribed round, hard swelling, as large as a child's head

Pains in the affected parts and in the stomach, especially about the cardiac region

The epigastrium was always very painful,'2

Pains at the epigastrium (second day)

Great pain over region of stomach,56 u0.

Violent pains in the epigastric region

Terrible pains in the stomach and intestines

Most frightful pains from the stomach to the mouth, immediately

Excessive pains in the cardiac region, with vomiting of all food and liquids

Violent pains in the epigastric region, which is extremely sensitive to touch

Excruciating pain at the stomach, insomuch that he was compelled to keep his body in a bent position, supported by two individuals

When the difficulty in swallowing was the greatest, the pain extended from the pit of the stomach to the shoulders

Violent pains in the epigastric region always after eating, especially hard food, with sensitiveness of the stomach

Terrible pains in the stomach

Burning in the stomach

An agreeable sensation of warmth in the stomach (after a quarter of an hour)

Burning in the stomach, with dulness of the head, immediately

Sudden burning in the stomach, so that he started up in fright

Coldness in the stomach (soon after a new dose)

The stomach feels cold and relaxed, with loss of appetite

Griping just beneath the pit of the stomach, and upon pressure upon the stomach, it is painfully sensitive, as after a blow

* Every drink chills the stomach, unless some spirit is mixed with it

Constrictive sensation in the stomach, with nausea, as if it would cause vomiting

Sudden anxious constrictive pain in the pit of the stomach, preventing respiration

Painful constriction in the pit of the stomach, lasting a long time

Violent constrictive pain in the stomach and abdomen

Pressure and pains in the epigastric region always relieved by vomiting

Pressure in the stomach, with constant nausea and vomiting

Pressure in the stomach constant, with ineffectual inclination to eructate (first day)

Pressure in the stomach, as though a stone rose up, with accumulation of watery saliva in the mouth, after which the pressure disappears

Pressure in the stomach, with a feeling as if a hard, very bitter substance rose up into the chest, with frequent uprisings of mucus, which afterward are felt only in the throat

Epigastric region sensitive to pressure

Epigastrium painful to strong pressure

Clawing in the stomach every evening, as alter taking cold

Terrible cutting pains in the epigastric region

Cutting near the left side of the stomach extending to the back

Cutting about the stomach and painful moving about in it, while sitting and walking, several times in short paroxysms

Stitches in the stomach

Stitch in the stomach, lasting five minutes (after one hour)

Experienced some relief by pressure constantly maintained over the epigastrium

Abdomen p. 429

Hypochondria, Left hypochondria distended

Burning in both hypochondria while sitting, all day

Stitch in the hepatic region, near the stomach

Stitch in the left hypochondriac region on leaning to the right side

Stitches in the left hypochondriac region, disappearing on pressure

Stitches in the left hypochondriac region, associated with stitches in the chest

Umbilicus and Sides. Loud rumbling about the umbilicus, in the evening before lying down and the next morning after rising

Sensation of a sickly warmth, or as of heartburn, in the umbilical region

Pressure upon the navel, superficial but violent

Cutting and moving about in the umbilical region

Cutting in the umbilical region, worse when walking in the open air than in the house

Long dull stitches in the left side of the umbilicus, extending into the abdomen

Griping in the left flank

Bubbling pain in the right side of the abdomen, extending almost to the back

Burning in the right flank, with a hacking cough

Jerking in the left flank and a pressing outward as if with the finger, at first appearing and disappearing while sitting, then recurring while standing and disappearing while walking ; occurring while walking

A stitch in the left flank on inspiration, followed by fine stitches in the upper part of the left side of the chest, in the evening after lying down

Stitches in the left flank

General Abdomen. Muscles of the abdomen hard and rigid, and when the abdomen was pressed, he gave distinct indications of pain ; he was observed, also, to place his hand on the pit of the stomach, with an expression of suffering and anguish (in two hours)

Distension of the abdomen, with rumbling and still emission of flatus

Distension of the abdomen

Abdomen moderately full, resonant ; some tenderness over the whole abdomen, but very considerable tenderness between the umbilicus and ensiform cartilage (second day) ; umbilicus protruded, and the surface of the abdomen, for about one and a half inches above umbilicus, is redder than the surrounding part; on pressing the umbilicus or reddened surface, the woman expressed great pain (eleventh day)

Abdomen tense and greatly distended

Abdomen distended, sensitive in the epigastric region

Abdomen sunken and empty on percussion (fourth week)

Abdomen retracted, excessively sensitive to touch

Whole abdomen contracted as in lead-colic

Abdominal muscles contracted

Extremely painful spasmodic contraction of the abdominal walls

Short, abrupt, difficult emission of flatus

Milk causes flatulence

Rumbling about the umbilicus, and a feeling as if a stool would occur

Violent rumbling in the abdomen after emission of flatus

Rumbling and gurgling in the abdomen, with ravenous hunger, which disappears after eating

Gurgling, as of water, in the abdomen on moving the body, by breathing, while lying

Considerable pain in bowels (third day)

Pains in the abdomen and "bilious symptoms, followed by great emaciation and death, after two months

Abdomen tender, painful on pressure, especially in the epigastric region

Griping about the sides of the upper abdomen during a stool

Griping and cutting in the abdomen, with violent urging to stool, at night (first day)

Violent griping cutting and twisting in the abdomen with laborlike pain, as if everything would press out, with faiutlike nausea (after thirty days)

Griping pain in the abdomen, even in the evening

Griping in the abdomen, at night

Laborlike pain through the whole abdomen, extending into the hips, and then a bruised sensation in the small of the back

Violent pain iu belly, the abdominal parietes dragged down, and but little tender to pressure (after one hour and a half)

Violent pains in the abdomen ; a few hours before death seeming to be relieved rather than aggravated by pressure

Screamed in dreadful agony, referring the greatest tortures to the stomach and abdomen

Terrible pains in the abdomen, most in the epigastric region and back

Severe colic

Violent colicky pains

Colic in the abdomen

Colic, immediately followed by digging and uneasiness in the abdomen, without diarrhoea, after eating

Abdominal neuralgia (after four weeks)

Very frequent spasms of the abdominal muscles

Anxious feeling in the abdomen, in the morning in bed

Burning and pressing in the abdomen, as if in the uterus

Relaxed feeling in the intestines after a stool

* Weak feeling in the abdomen, as if the menses would come on

Stitches in the abdomen and vagina during the menses

JBTypogastrium and Iliac Region. Griping in the lower abdomen, extending towards the lumbar region, so that he broke into a cold perspiration

Griping in the lower abdomen before, during, and after urinating

Sharp jerking, almost like an intermittent jerking colic, extending over the lower abdomen, rather superficial

Stitches, like spleens, in the left side of the lower abdomen on movement, disappearing while sitting

A forcing outward in the right inguinal region, in the morning on waking, as if a hernia would occur, disappearing on rising, frequently recurring

A forcing outward suddenly in the right groin, as if a hernia would occur, on rising from stool, not affected by cough or respiration

Incessant forcing out in a hernia at the abdominal ring, with hard pain in the ring even after reducing the hernia (after two hours)

Violent pain in the right inguinal region while walking and standing, as if a hernia just protruded, so that he dared neither cough nor breathe ; afterward a hernia protruded from time to time, especially when talking, and also without cause, with great pain ; it returned on holding quietly, especially on sitting, and then he could breathe and cough without trouble

Pinching pain in the right groin

Tearing iu the left inguinal region while sitting

Stitches in the region of an inguinal hernia

Throbbing iu the place of the hernia for several days

Rectum and Anus p. 431

Moisture on the haemorrhoids and pain when touched

Haemorrhoids with burning and sticking

Violent itching of the haemorrhoids

Rush of blood to the rectum

Pain as if the rectum would be torn asunder, during a stool

Ineffectual desire for stool, for two hours (first day)

Stool p. 431

Diarrhoea Diarrhoea

Dysenteric diarrhoea

In a few days the bowels became much disordered, the motions very frequent and green in appearance, and, if we can judge by the restlessness of the little sufferer, passed with pain. If the acid be persevered in, the health of the child becomes most sensibly affected, and death at last closes the scene. My attention was first directed to this subject by a man who asked me, "What I had given to his wife, as the child's napkins, upon being washed, went into holes

Diarrhoea till evening; the evacuation only fermented mucus, with burning in the rectum, flatulence, and rumbling

[Watery green diarrhoea],7, f

* Soft stool, followed by a feeling of emptiness in the abdomen (fourth day)

* Stool soft, pasty, accompanied and followed by pressing in the amis (after six hours)

Stool soft, preceded by sticking in the anus (second day)

Stool of soft and very thin faeces (third day)

Stools black, mixed with blood

Stools black, liquid, very fetid, relieving for the moment the great pain

Stool bloody, hard, only every two or three days (after twenty-five days)

Stool colored with blood

* The child frequently has a stool, as if chopped, saffron yellow, stringy, and slimy

* Stool yellowish white

* Stool of a very offensive odor, partly solid, partly liquid, with much thin mucus and streaks of blood

Stool very large, formed

Stool, in the morning, at first hard, then soft

Stool hard, in small connected black lumps, mixed with blood, and with such needlelike stitches in the anus that she was obliged to stand up on account of the pain, during the menses

Hard, difficult, nodular stool, as if burnt or like sheep dung (fourth, sixth, and seventh days)

Stool very hard, bloody (nineteenth day)

Stool hard, at times delayed (occurring first in the evening), and the evacuation also accompanied by pain

Stool bloody, at first hard, then soft, with burning iu the anus

The stool consists of very hard faeces, afterwards is mixed with blood

Stool very seldom and hard

Stool indolent

Both the stool and urine seem to be retained in the primary action of the drug

Constipation. Stool omits (first, third, and nineteenth days)

Constipation,32 71 74 8

Obstinate constipation,37 68 103.

Persistent constipation, with pain in the abdomen

Urinary Organs p. 432

Kidneys and Bladder. Acute nephritis; during life the urine contained blood and albumen; iu one case there were fibrinous casts and epithelia, and in the other cellular elements only. The microscopical examination of the kidneys after death afforded evidence of a recent inflammatory process (granular opacity and fatty degeneration of the epithelial elements, recent cleaving of the nuclei of the interstitial tissue, particularly along the course of the vessels). Both cases were of long duration, and it was observed that the quantity of albumen in the urine diminished from day to day

After the beginning of the third week the urinary symptoms commenced ; the patient suffered from pain behind the symphysis, frequent desire to urinate, and cutting pains when urinating ; the catheter met with an obstruction in the region of the neck of the bladder, which, on examination through the rectum, was found to be a swollen and extremely sensitive prostate

Violent pressure upon the neck of the bladder, as if everything would force out, especially violent while walking, standing, and sitting, obliging him to press the thighs together; relieved by coition (first ten days)

* Pain in the bladder if the desire to urinate is not immediately satisfied

Urethra. Burning in the urethra after coition

iWieturition and Urine. Constant desire to urinate; always before the last drops violent cutting in the urethra, for seven days; afterwards, there is every time a dragging in the groins and loins

She is obliged to rise at night to urinate (after two days)

Frequent micturition of only a few drops

Increased evacuation of urine (after four to twelve days)

Secretion of urine, iu the morning, at first increased, then diminished, with burning (third day)

Urine diminished, with burning during micturition (second day)

Urinates only in the morning and evening, associated with burning (fifth day)

No urine is passed (second morning)

Suppression of urine

Diuresis

Passed about an ounce of pale straw-colored urine, which had a very powerful effect on litmus-paper (after twenty hours)

Urine thick, diminished

Urine becomes turbid, like muddy water, when standing, and afterwards deposits an earthy sediment

Urine like water, soon depositing a thin mucous sediment (first day)

Urine like water

Urine with a bloody sediment and a fine pellicle on its surface

Urine brownish red

White sediment in the urine

Voided 4 ounces of clear ambercolored urine (after twelve hours and a half) ; it possessed very strong acid reaction ; its density was 1030, and 1000 grains of it yielded 54 grains of solid residue; half of this residue was soluble in alcohol; the alcoholic solution showed signs of the presence of free Sulphuric acid; the insoluble residue furnished 16.9 grains of sulphate of baryta. At the end of ten days the density of the urine had sunk to 1026, and 1000 grains of it yielded only 2.6 grains of alkaline sulphate

Urine red, acid ; specific gravity 1020, containing albumen and sulphur; on standing, a large number of pale or yellowish granular cylinders

Urine red and fiery

Urine light brown, intensely acid, the highest specific gravity 1038, albuminous, containing free Sulphuric acid. On the second day the specific gravity fell, the amount of sulphates became less, the albumen almost entirely disappeared. On the ninth day, though there was no increase in the sulphates, there was again a small amount of albumen, and the microscope showed pale cylinders, with more or less fatty degeneration. This condition persisted; the urine had, in addition, a very copious sediment of urate of ammonia; the amount of urine became more scanty, and during the last days of life the specific gravity was 1028. At this time all trace of chlorides disappeared from the urine

Urine albuminous, with a brownishred sediment containing haematin, but no blood-corpuscles

The urine showed albumen and large amounts of Sulphuric acid

Examination of the urine showed sulphates in large quantities, albumen, pale cylinders, and a varyingamouut of urates, in addition to free blood-corpuscles

Sexual Organs p. 433

Male. Warmth in the genitals and scrotum

Erections during the day without amorous thoughts

Itching pain in the upper margin of the glans penis

Relaxation of the scrotum

■ Emission without voluptuous sensation

Female. Miscarriage (after some days)

Discharge of bloody mucus from the genitals, as if the menses would come on (after two hours)

Disagreeable burning leucorrhoea

Leucorrhoea transparent or milklike, without sensation

Frequent discharge of mucus from the vagina, with a corroding sensation (after sixteen days)

Menses eight days late, without trouble

Menses six days too early

Menses five days too late, with pain in the abdomen and small of the back

Great desire for coition in a woman, the inclination to which was rather in the external genitals, yet she was not much excited by coition

Great desire for coition after the menses (after eleven days)

Great aversion to coition after the menses (after thirtyeighth days)

Respiratory Organs p. 433

Violent bronchitis came on the second week ; the patient became very prostrated

In most workers the mucous membrane of the air-passages first becomes affected ; this is shown by hoarseness, cough, oppression of the chest, sticking pains; the cough is at first dry, without expectoration, afterwards loose, with improvement

Glossitis

Loud rattling of mucus in the larynx

Rattling of mucus in the trachea and bronchi

Constrictive pain in the larynx

Pain in the larynx; talking was irksome, as if the usual flexibility and mobility of the parts were wanting

Pains in the larynx, as if sprained, on talking and on external pressure

Sticking pain in the larynx

Larynx painful to touch

Larynx excessively sensitive

Larynx very sensitive to pressure

The larynx was very sensitive to pressure; swallowing difficult and painful

Voice. Hoarseness

Hoarseness; inclination to coryza and cough

Hoarseness; dryness and roughness in the throat and larynx

Excessive hoarseness

Voice hoarse

Chest p. 433

28 croaking, almost unintelligible

Voice hoarse, hollow, almost unintelligible (after four weeks)

Voice hoarse and larynx painful to touch

Voice husky and hoarse

The voice was husky (after half an hour)

Voice without sound, husky

Low muttering voice (sixteenth day I

Voice very low

Voice feeble

Voice weak, croupy, followed by complete aphonia

Loss of voice

Co ugh and Expectoration. Cough

Constant cough (after eight days)

Constant hacking couo-h

Cough, caused by irritation of the fauces, with white frothy expectoration

Very fatiguing cough

Rattling, shaking, interrupted cough

Cough rattling, hoarse, not croupy

Frequent distressing cough, accompanied by whistling respiration and croupy sound of the voice

Frequent short hacking cough

[Hacking cough]?Vf

Cough and coryza, with violent hunger (after fourteen days)

Short dry cough, with paroxysms of gasping

Some paroxysms of dry cough (infrequent), also in the morning after rising

Cough only when walking in the open air (sixth day)

Cough caused by the open air

Violent paroxysmal cough, with copious expectoration, at times accompanied by vomiting ; this was followed by diarrhoea, fever, and nightsweats, pain in the chest, offensive breath ; percussion at the apex of the right lung was dull ; expiration prolonged, vesicular, aud hollow, and a peculiar purring noticed over the whole chest; collapse gradually came on, and the patient died in slight delirium after two hundred and eighty-eight days,7o.|

Loose cough, with slimy expectoration, in the morning

At intervals the expectoration was copious, sometimes as much as two pints in twenty-four hours

Expectoration perpetual (second day)

Offensive expectoration

Respiration. Respiration rapid, with shooting in the cervical muscles and movements of the wings of the nose

Respiration rapid and short

Respiration rapid and difficult

Breathing rather hurried and difficult

Breathing slow, and moaning as from pain

Respiration short, difficult

Respiration very weak and slow

Respiration short

Difficult respiration

The moment it touched his lips he began to struggle, and almost immediately exhibited symptoms of suffocation ; the child lingered in agony two days, and then death put a period to its sufferings

Difficulty of breathing and pain, followed by cough

Great difficulty in breathing (after half an hour)

Respiration very difficult, accompanied by dull stitches in the air-passages and hawking of much mucus and cough ; inspiration was accompanied by pain in the chest

Respiration became very difficult; the larynx moved up aud down violently ; the child lay with the head bent backward, as in the last stages of croup; he lost consciousness and soon died

Oppressed breathing and choking in the larynx, frequently at night

Respiration difficult, rattling

Breathing labored and irregular

Respiration laborious

The breathing embarrassed and noisy

Respiration 36, heaving, and. with violent spasmodic motion of the muscles of the neck, and depression of the lower jaw at each inspiration, so as to form a sort of gasping motion (in two hours)

Stertor

Respiration very superficial, rattling

Frightful spasms of suffocation

Suffocation

Dyspnoea

Excessive dyspnoea, causing anxiety (fourth week)

Dyspnoea, with great distress and constant pain about the region of the stomach and lower ribs of the right side

Dyspnoea, with rattling in the trachea

Dyspnoea for a moment, at times

Great dyspnoea, with cough, for two hours, at night (first night)

Chest p. 435

Haemoptysis when walking slowly

Great rattling of mucus in the chest and throat, with difficult respiration, great restlessness, with pains in the larynx and chest, followed by death

Rattling in the left lung, followed by dulness, with bronchial respiration and pneumonia, from which the patient recovered, lo0.f

On the fifth day, there was noticed rattling at the base of both lungs, without any dulness on percussion ; pulse 112; the cough continued ; the sputa was tenacious on the sixth day. On the seventh day, the patient was frightfully pale, with circumscribed redness of the cheeks ; the pulse 132 ; sputa very tenacious ; no rales in the lungs were noticed. The eighth day, the patient complained of oppression of the chest; there were found bronchial respiration; in the right side some rales; on the left side moist and rattling rales; respiration 40; violent headache. The next day, the patient was pale, in a clammy sweat, and died towards evening

Rattling in the chest, rapid pulse, short breath, even in bed

Moist rales in the chest

Dulness at the base of the right lung, followed by pneumonia, collapse, and death

Oppression of the chest

Oppression of the chest, in the morning, with nausea.1.

The chest is oppressed by catarrh, in the morning on waking; there is irritation to cough, without anything to be loosened ; after several hours, easy expectoration of mucus

Painful spasms iu the chest

Acute pains along the right lower portion of the ribs, in long paroxysms, especially at night, caused by deep inspiration (examination showed that the pain was due to intercostal neuralgia between the tenth and sixth ribs)

Pain in the chest and abdomen, especially in the epigastric region

Constriction of the chest

Fulness in the chest

Such weakness of the chest that she can talk only with difficulty

Cutting pain in front of the left axilla

Stitches in front of and beneath the right axilla

Sticking pressure on the chest and in the throat, stopping the breath, equally violent while standing and walking, relieved in the open air, in persistent paroxysms

Stitches in front of the left axilla on putting down a heavy weight, followed by violent bruised pain over a large part of the sternum

Violent paroxysmal sticking pains in the lower portion of the right thorax, especially on deep inspiration ; pressure near the spine, between the fourth and tenth vertebrae, and along the axillary line, from the fifth to the tenth intercostal space, and at the union of the ribs with their cartilages, causing most acute pain ; the skin between the linea-axilla mammillaris showed excessive hyperesthesia (after third week)

Sticking pains in the chest

Front and Sides. Pains along the sternum (second day)

Pains extending down behind the sternum, burning pressive, causing great anxiety

Acute drawing pain iu the middle of the chest, so that deep inspiration was impossible

Scraping, burning, and tearing pains deep in the middle of the chest

Dull pain in the middle of the sternum, as from a thrust

Violent stitches in the sternum on going into the house from the open air, which extended to the other side of the chest, deep internally, in the evening (first day)

Dull stitches in the left side of the sternum, by the costal cartilage

Drawing tension in the left side of the chest

Dull pressing inward in the right ribs, aggravated at intervals

Pressure on the left side of the chest and in the pit of the stomach

Burning frequently in the outer portion of the left side of the chest, as from boiling water, at one time more, at another less severe

Frequent single attacks of burning in the left side of the chest

On the fourth day, the patient was attacked by violent paroxysmal stitches in the lower ribs of both sides, apparently an intercostal neuralgia, extending the next day to the tract of the lumbar nerves; the hyperesthesia of the skin, which always existed over the extent of the neuralgia, gradually extended to the extremities and over the whole body, even to the face; the slightest touch caused loud cries, and the patient could rest in no position

Stitches in the right costal region, aggravated by inspiration, during the menses

Stitches in the left side of the chest, aggravated by inspiration and talking, while walking, relieved during rest

Fine stitches deep in the left side of the chest, with arrest of breathing, followed by sensitiveness in a small spot to the left and above the ensiform cartilage

Sudden dull stitches, violent and piercing, in the upper part of the left side of the chest, extending into the back

Slight pulsating bubbling pain beneath the left ribs

Jilammw. Violent sticking in the right breast, frequent and continuous; when pressing upon it, the pain extended still deeper (fifth day)

Stitches in the right breast

Heart and Pulse p. 436

Prwcordia. Precordial region very painful

Anxiety in the precordial region, extending over the whole chest, with great anxiety

Many violent stitches through the heart, day and night, soon followed by sore pain

Heart's Action. Palpitation

Palpitation, without anxiety, while the upper part of the body is pressed forward resting upon both arms, with inclination to take a deep breath, which was accomplished without difficulty

Beating of the heart and arteries scarcely perceptible

Pulse. Pulse quick and feeble

Pulse rapid

Pulse rapid, full, and hard

Rapid intermittent pulse

Pulse increased by 10 beats

The pulse rose to 136 on the second day, gradually fell to 60 on the twenty-fifth day, then rose to 152 before death on the twenty-seventh day

Pulse 130 (after six hours), afterwards rose to 160 just before death

Pulse tense, full, too rapid

Pulse contracted and rapid

Pulse 108, feeble, afterwards 120, later 92,36.

The pulse became very tense and hard

On the second day the pulse became hard, full

Pulse small, rapid, and hard

[Pulse small, rapid],1 fH 10

Pulse small and quick

Pulse small

Pulse 80 beats, small

Pulse exceedingly small, 64 in the minute (in two hours)

Pulse small, irregular, scarcely perceptible

Pulse small, irregular

Pulse small, thready, irregular, tremulous

Pulse small, contracted, irregular, almost convulsive and tremulous, sometimes very rapid, sometimes intermittent

Pulse small, tremulous, with coldness over the whole body (the patient recovered)

Pulse small, weak, and trembling

Pulse small, weak, regular, not rapid

Pulse small, scarcely perceptible, at times intermittent

Pulse weak

Pulse sank to 55 (after four hours)

Pulse 54 aud feeble

Pulse 48, small, not very weak (after two hours)

Pulse slow and large (after one hour and a half)

Pulse slow

Pulse thready (fourth week)

Pulse at the wrist thready and almost imperceptible

Pulse scarcely perceptible,49 53, etc.

The pulse could not be felt at the wrist or temples, but beating feebly in the humeral artery

Neck and Back p. 437

Neck swollen

The left side of the neck is extremely painful on pressure

Drawing in the right side of the neck beneath the ear

Pain between the side of the neck and the left shoulder, as if from a pressing weight

Stiffness of the back several mornings, which disappeared during the day on motion

Pains in the back

Drawing pain in the back on motion and on stooping

Pain in the back as if sore and beaten

A fine stitch in the spine and, at the same time, in the left side of the nape of the neck

Pain in the small of the back

Pain in the small of the back, as if beaten, while standing and sitting

On movement, pain in the small of the back, like a soreness or like a spasmodic drawing

Burning pain in the small of the back

Upper Extremities p. 437

Convulsive movements of the arms and legs (after one hour and a half)

Extremities of a livid color

Extremities very sensitive

[Twitching of tendons],1.!

While asleep, she felt pain in the joints, which disappeared on waking

Tearing in all the limbs during the menses, especially in the evening

Inclination to cramp in the hands and feet

Wrists and other large joints painful and swollen, but not red

Superior Extremities p. 437

Heaviness of the arm

Fine jerking tearing in the right arm, frequently extending from the thumb to the chest, while sitting

A drawing and spasmodic constrictive, paralytic pain in the right arm at times, while writing

Stitches in the joints of the arm

Shoulder. Cutting pain in the shoulders, with burning, as if it would cut through

Tremulous sensation in the left shoulder at irregular intervals

The left axillary glands are painfully sensitive

A jerk in the right shoulder on writing

Pain, as from an ulcer, under the left arm, extending into the chest, especially on going upstairs, also on walking, so violent that she was obliged to sit down

Sticking tearing in the left shoulder

Stitches in the shoulder on raising the arm

Arm. A painful tearing on the right upper arm posteriorly beneath the shoulder-joint, and extending up about it

Elbow. Tensive pain in both elbow-joints

Smarting pain, as if bruised, on the outer side of the left elbow

Forearm. Every three seconds a pain, as from a blow, in the left ulna close to the wrist; suddenly commencing with violence, then extending up into the arm with less violence, where it disappears

Wrist. Drawing and weariness in the wrists

Rand. Tensive pain and heaviness on the right metacarpus, when walking in the open air with the arm hanging down, as if the blood accumulated in it

Fhif/ers. Spasmodic jerking together of the fingers, and doubling up of the fingers during sleep, so that he started up

Several small chilblains on the fingers, with acute pain

Sharp jerking pain through the right thumb, starting from the tip,4. ■

Jerking pain in the tips of the fingers, as if in the nerves

Painful jerks, like dull thrusts, in the articulations of the metacarpal bone of the thumb, extending up into the wrist, at times through the wrist up into the arm

Jerking in the metacarpal bone of the right index finger, extending up into the arm, very acute

Fine tearing in the right thumb, as if in the bone of the first joint

Tearing beneath the nail of the index finger, as in a run-round, aggravated by being in cold water

Burning or smarting, fine stitches on the right side of the middle finger

Burning stinging crawling in the tip of the little finger, as if asleep, and also in a small spot on the middle finger

Dull stitches in the middle of the finger-joints

Acute painful beatings in the metacarpal bone of the right index finger

Inferior Extremities p. 438

A large slough on the right buttock, close by the anus; a probe passes some distance into the pelvic cavity, and also some distance along toward the gluteal region (fourteenth day)

Stretching and extending of the lower extremities

Weakness of the lower extremities and small of the back, so that he could scarcely stand alone

Heaviness of the lower extremities

The right lower extremity is very much inclined to numbness

Hip. Cramp in the right hip

Thigh Pressure on the upper and inner portion of the right thigh, at intervals

Spasmodic, constrictive, paralytic pain in the right thigh and leg

Intermitting pinching in a small spot on the inner side of the left thigh

Constriction very low down on the thigh, at intervals, extending into the leg

Acute pain, as from a blow, obliquely above the left knee, in wavelike intervals

Tearing up and down deep in the left thigh, disappearing on rubbing

Tearing in the varicose veins on the right thigh and leg, in the morning in bed

Cutting pain in the thigh

Burning cutting crawling on the thighs, at irregular intervals, like a soreness from something corrosive

Dull sticking pressure externally in the middle of the left thigh

Knee. Painful weakness of the knees while standing, with acute jerking in them

Painful jerks, like dull thrusts, in the inner side of the left knee

Burning pain in the hollow of the right knee

Burning stitches in the left knee

Dull stitches, like thrusts, in the middle of the right knee while sitting, followed for a long time by simple pain in it

Acute prickling stitches in the hollow of the left knee

Leg. Falling asleep of the left leg while sitting still, worse when walking

Burning-itching stitches on the tibia, with a pimple in the middle; after scratching, the part swells up, and after the swelling ceases, the itching begins again

Crawl ing in the left tibia

Cramp in the calves when walking, with crawling in them

Pain in the calves, more when sitting than when walking

Ankle, Stiffness of the ankles, when walking

Dull sensitive pressure beneath the outer malleolus of the left ankle, at intervals, like thrusts or jerks

Fine prickling stitches in the left tendo Achillis

Acute pressure in the right instep, increasing and decreasing

Foot. Falling asleep of the left foot, in the evening while sitting

Bruised pain on the sole of the left foot, at first increasing, then jerking, then suddenly disappearing

Tearing in the left heel, in the morning on waking, lasting a quarter of an hour

Burning stitches on the heels

Toes. Jerking griping in the middle toes, at intervals

Tearing in a corn, so that he is obliged to draw up the foot

Stitches in a corn

Fine prickling-piercing stitches beneath the great toe

Generalities p. 438

Excessive emaciation (after the first week)

Great emaciation

During nine days after the third week, the patient became excessively emaciated and weak, the pulse was small, soft, and rapid

After recovery from the acute symptoms, the patient became very much emaciated, with a small, feverish pulse, loss of strength, and inability to swallow even liquids

Pie gradually became more and more emaciated ; after January 15th he rejected even liquid food, and on the 20th, nearly four months after he had swallowed the Sulphuric acid, he died in a state of extreme emaciation

Great emaciation, with a suffering expression (after the poisoning)

Death in sixty days, in an advanced stage of consumption

The lower lip, the cheeks, the back of the hand, and the forearm partially swollen, red, and painful, as after a scald. The next day the cuticle of the hands, etc., was black, dry, and rough ; no inflammation beneath it. The third day the pellicles of the tongue, lips, and cheek had fallen off, all the mucous membrane of the mouth being of a bright red

The skin on the left side of the face was partially removed, and the whole presented at first a white disorganized appearance; the eyelids of both eyes were much inflamed and swollen, and the left eyeball was also severely involved in the mischief, but the right eyeball was uninjured; the skin of the inside of the lips was also white and swollen, and on the back of the left hand, as well as between the fingers, there were white excoriated streaks. In the course of sixteen hours the white marks turned brown ; the pain of the face and eyes, which was at first excruciating, became easier under the use of suitable applications. After twelve hours, the pain of the left eye extending to the head, evidently threatening a severe ophthalmia, he was bled from the arm. The inflammation and disorganization of the eye, however, went on increasing, and soon ended iu the bursting of the cornea and discharge of the aqueous humor and crystalline lens. Towards the close of the fifth day, while apparently doing well, he had a shivering fit, and next morning complained of acute pain at the bend of the right arm where he had been bled. Inflammation immediately sprung up around the orifice, general swelling of the arm came on, and progressively increased for the three following days; severe febrile symptoms ensued, and afterwards also difficult breathing, with other signs of pulmonary inflammation. Under these complicated disorders, he gradually sank and died on the morning of the thirteenth day

Lying on right side, with the knees drawn up and body bent forward

He lay doubled up almost in the shape of a ball (after half an hour)

The patient lay upon the back, with the body and lower extremities completely immovable

He was in bed, and exactly resembled a patient in the collapse stage of cholera, the extremities having the same livid appearance, and cold clammy feel, pulse gone (after half an hour)

Epileptiform spasms, with great rush of blood to the head, loss of consciousness

General paralysis, with epileptiform spasm

Convulsions

Convulsions, with complete loss of consciousness

Fell to the ground in convulsions, which lasted several minutes

Convulsions and cramps in the pharynx, preventing swallowing

Convulsions at intervals of half an hour, with excessive dyspncea, distorted eyes, gnashing of the teeth, lasting ten minutes, with frothing from the mouth, and cold sweat on the face

General tremor (after one hour and a half)

Whole body cold, tremulous, convulsively tossed about, aud anxiety

Trembling and convulsions

Trembling and moaning, with pale face, excessive apprehension and restlessness

In the utmost agony, and occasionally laboring under hysterical fits, accompanied by spastic rigidity of the muscles of the lower jaw, complete loss of speech, great and sudden sinking of the animal powers, weak and fluttering pulse, with paleness and extreme dejection ot countenance

Incessant twisting about on all sides

Indescribable restlessness

Great restlessness,22 36 41 80.

Great restlessness, tossing about in bed

Tossing from side to side

Great uneasiness and loud screaming

Patient restless, could not lie quietly a moment on account of intolerable pain in the stomach

He appeared restless, turning himself about, and continually by signs and sounds demanded water to quench his thirst

Patient deathly pale and icy^cold, extremely prostrated, but perfectly conscious, lying doubled up on the abdomen

Weakness

* Great loss of strength ™.

During the second month the patient was reduced to the last stage of marasmus and weakness; all food, without exception, was vomited

Weariness, with headache in the forehead, relieved in the open air

So weak that when her head falls from the pillow she is unable to replace it without the assistance of the nurse (sixteenth day)

Extraordinary weakness after eating

Weakness of the whole body, so that she scarcely dares to raise her arm

After taking milk he is weak and prostrated, in the morning

Great exhaustion ; medical aid was administered, but the difficulty of breathing continued, and he expired in the evening (first case)

Extreme exhaustion,9 ™.

Faintness (fourth week)

Attacks of faintness (after third week)

Recipient faintness

Threatened collapse (after third week;,105.

Collapse, with irregular, and finally suppressed pulse, cold sweat, etc.,101.

Was observed to stagger and fall in the street ; on being brought to the hospital immediately after, he was in a state of collapse, from which he never rallied, aud died nine hours after admission

Collapse followed by death

Collapse, with extreme restlessness

Collapse

The child was in violent agony, and tossed itself about, so that it was difficult to hold it steady

Seemed at times to be free from pain, at others he appeared to suffer much, drawing up the legs and moaning loudly

Exquisite suffering over the entire surface of the body, so that, as she expressed herself not an inch of her was free from severe pain

Violent pain

Rush of blood upward, with great anxiety and tossing about

Tremulous sensation over the whole body, without trembling, less in the morning

While walking, a sensation as if he would fall to one or the other side

Dull pressure in various small spots in the body, at first increasing, then suddenly decreasing

Rheumatic tearing and drawing in the whole body, even in the face (soon)

The odor of coffee is extremely disagreeable and causes weakness and trembling

Seems to be worse, in the open air

More symptoms appear immediately after dinner, which is relished

All the symptoms of the last stages of croup

The gas had no immediate effect on one, but he became seriously ill subsequently (second case)

Subject to atmospheric influence, suffering much at the approach of and during cold, wet, and windy weather, but very much better when it was warm and dry

Skin p. 440

Objective. Jaundice (in the employes in the oil of vitriol works)

The skin became very dry, of a livid color, and desquamated in small scales (after four weeks)

Skin pale and cold, covered with sweat

Skin dry, the forehead covered with drops of perspiration

Eruption of red patches on the forearms, they disappeared under pressure, and immediately reappeared on its removal (twentieth day)

Bluish spots on the forearms, as from the settling of blood

Eruption on the hands and between the fingers, that itches worse after midnight

Small dark-red elevations on the back of the hand, with a scab, under which there seems to be matter, lasting four days, but painless

Boils on the back

Horrible ulcers on the hands and feet

Subjective. Stitches in the scar of a burn

Corroding sensation in an ulcer

Sticking sensation in the skin, as from woollen clothing

Itching, here and there, on the body, even on the head ; after scratching, it reappears in another part

A general itching that had formerly been over the whole body disappeared (curative action)

Sleep p. 440

Sleepiness. Frequent yawning, after dinner

Very sleepy, in the morning after waking, as if he had not slept at all

Disposition to doze (after ten hours)

Sleep light and seldom

Sleeplessness. Could not fall asleep for a long time, iu the evening, and slept well

Very restless night (first night)

She falls asleep late, sleeps uneasily, and wakes frequently

Falls asleep late in the even in;/, and wakes easily, at night

Frequent starting from sound sleep

Wakeful all night

He woke at night after two hours, wide awake, as if he had slept enough

Woke, after midnight, without cause (second night)

Woke, after midnight, with heat, dryness of the throat, and thirst ; she could not tolerate the covering

Jerking in sleep, causing starting up, and accumulation of saliva

Dreams. Anxious dreams, of fire, of dead persons, of dangers

Anxious dream, even to crying out

Frequent, but unremembered dreams (first night)

Dream by a woman that she had coition twice, and orgasm twice, at night

Dream in a woman of desire for coition, and on waking, a violent, tumultuous desire therefor, which was especially seated in the clitoris (after forty hours)

Nightmare two days before the menses; something heavy seemed lying upon her; she could not speak, it seemed as th ugh some one were holding her by the throat, and she woke in perspiration

Fever p. 441

Chilliness, Chilliness all day

Chilliness, in the morning in the house, less in the open air (after twelve days)

Chilliness ; she constantly wishes to sit by the stove (twentieth day)

Momentary shivering, as from chilliness, with gooseflesh, immediately,6-

Constant shivering down the trunk, without chilliness

Icy cold

Whole body icy cold

From time to time, transient shivering through the trunk, rather internal, without affecting other parts of the body

Pale and cold (after two hours).83.

Surface of the body cold and clammy (in two hours)

Skin cold, 23 28 36.

Skin cold and perspiring

Coldness of the whole body

Surface of body cold and clammy

Shivering fit, preceded by vomiting, and followed by continued, but ineffective retching

Skin cold, particularly that of the extremities

Feet and forehead perfectly cold (in two hours)

Face and hands cold

Extremities cold,37 42 47, etc.

Extremities constantly cold

Extremities cold and nails livid

Extremities cold and cyanotic

The extremities and face became cold (after four hours)

Hands and feet cold

Heat. Fever

Fever, with delirium and great excitement

High fever, with very small, rapid pulse

Excessive fever, with rapid, hard, small pulse

Great fever and chilliness, alternating with heat

Very high fever, with violent pain and swelling of the organs of deglutition

Five hours after taking the acid, fever came on, respiration became rapid, the skin hot, pulse 130, respiration very difficult, movements of the larynx as in croup, the face remained pale

Febrile symptoms

Febrile attacks from time to time

Excessive internal heat, with external chilliness, and great prostration

Heat over the whole body, with a full, hard pulse ; afterward, violent fever, with raving, after which the pulse became soft and small, then rapid, skin covered with cold sweat

Skin hot and dry

Excessive heat, extending from the throat along the back

Heat during or after dinner, with good appetite

Dry heat, in the evening after a journey of eight hours, with great thirst, till 7 oclock, with burning in the eyes, and once also creeping chilliness (seventh day)

Overpowering warmth of the body, with icy-cold hands

Great warmth over the whole body, in the evening after lying down (third day)

Constantly feels more warm than cold, while usually it was the reverse

Increased, even agreeable warmth over the whole body (second and third days)

Swent, Profuse perspiration, in the morning (after twenty hours)

Sweat over the whole body, with scarcely perceptible pulse

Bathed in constant sweats

Whole body covered with watery sweat

She perspired greatly, while sitting, especially on the upper part of the body

Perspiration is easily excited during the day

Inclined to perspire on every motion

Cold perspiration, especially on tho forehead and face, and also on the rest of the body, immediately on taking anything warm

Cold sweat

Skin clammy and cold

Cold sweat on the forehead

Sour sweat, in the morning, followed by hoarseness

Conditions p. 442

Aggravation.

(Morning), Dull and gloomy mood; on waking, peevishness; dulnessand heaviness of head ; pain in head ; on walking, sensation of foreign body in eye; eyes agglutinated ; dimness of vision; rumbling about umbilicus; in bed, anxious feeling in abdomen; forcing outward in inguinal region ; loose cough ; oppression of chest ; stiffness of back ; in bed, tearing in varicose veins on right thigh.

(Afternoon), Vertigo; toward evening, tearing in right temple.

(Evening), Drawing headache ; tearing and sticking in right side of forehead ; roaring in ears ; after lying down, toothache ; clawing in stomach ; rumbling about umbilicus.

(Night), During menses, tearing in left eyetooth ; hiccough; griping in abdomen ; oppressed breathing; after midnight itching of eruption on hands.

(Open air), Pain in eyeball; cough; the symptoms.

(Coffee). Weakness and trembling.

(After coition), Burning in urethra.

■ (Cold), Toothache.

(After dinner), The symptoms.

(After drinking), Hiccough.

(After eating), Qualmishness ; discomfort in stomach; vomiting; colic; weakness.

(Going into house from open air), Stitches in sternum.

(In the house), Vertigo.

(Inspiration), Stitch in left flank ; stitches in right and left chest.

(leaning to right side), Stitch in left hypochondrium.

(Looking intently), Pressure in eyeball.

(During menses), Thirst and dry tongue ; stitches in abdomen and vagina ; tearing in limbs.

(Motion), Stitches in left side of lower abdomen ; pain in back.

(External pressure), Pain in larynx.

(Rising from stooping), Pain in right side of head.

( While sitting), Vertigo; confusion in right side of forehead ; burning in hypochondria; pain in small of back ; pain in calves.

(Standing), Pain in vertex ; pain in small of back ; weakness of knees.

(During stool), Griping in abdomen.

(Stooping), Pain in back.

(Swallowing), Pain in throat ; sore throat ; sticking in side of throat.

(Talking), Pain along throat; pain in larynx; stitch in leftside.

(Turning body), Pain in throat.

(After vomiting), Thirst.

( Walking), Pain under left arm ; falling asleep of left leg; stiffness of ankles.

( Walking in open air), Stitches in head ; cutting in umbilical region.

(Cold water), Tearing beneath nail of index finger.

( Cold wet weather), Sufferings.

Amelioration p. 442

(Open air), Vertigo; weariness, with headache in the forehead ; pressure on chest.

(Pressure), Tearing and sticking in right side of forehead ; pain in epigastrium ; stitch in left hypochondrium.

(Holding hands toward head), Pain in occiput.

(Rubbing), Tearing in thigh.

(Vomiting), Pressure and pains in epigastric region.

(Warmth), Toothache.

Footnotes p. 424

† Bracket. — Hughes.

† Bracket. — Hughes.

† Bracket. — Hughes. J The post mortem showed the upper lobes of the lungs adherent to the oesophagus, and an opening communicating from the oesophagus to a cavity which occupied nearly the whole of the upper and part of the middle lobes of the right lung; the cavity was filled with blackish-brown offensive fluid with lung tissue; the pleura was almost gangrenous, etc.

† It may be remarked, that Prof. Pope has noticed that many cases of poisoning by Sulphuric acid suffer from pneumonia.

† Omit Kinglake and bracket. — Hughes.

† Bracket. — Hughes.