Digitalis

Authorities. 96, Bull, de Therap., vol. Ivi, p. 101 (Brit, and For. Med.- Chir. Rev., 1860 (2), p. 380), a woman, tet. twenty-seven years, for swelling of the limbs, took a large quantity of freshly-expressed juice; (97 to 100, Sharp’s Essays on Medicine, tenth edition, 1874, p. 717); 97,1 drop of 1st (cent.) was taken, repeated after six and twenty-one minutes; 98, 2 drops tincture (equal to 1 drop of sap of plant) ; 99, 6 drops of tincture ; 100, 8 drops of tincture ; 101, Dr. C. Kohnhorn, Deutsche Military Zeit. (Lancet, 1876 (1), 582), a recruit, set. twenty-two years, ate Dig. pills for some time to escape service, death ; 102, T. D. Nicholson, M.D., Month. Horn. Rev., 1876, p. 766, experiments ; 103, Dr. P. K. Guild, Pub. of Mass. Horn. Med. Sac., vol. iv, p. 30, Mrs. H., for a cough, drank freely of a tea made of Digitalis instead of Mullein.

—Intellect destroyed,®®.—Coma (fifth day),®®.

Mind

Dizziness

Headache

Conjunctiva ansemic

Dimness of vision

Head

Noises in ears

Face

Face pale

Lips anaemic

Mouth

Gums anoemic

Tongue moist, with grayish-white coating

Tongue thickly coated

Tongue white

Breath fetid

Stomach

Complete loss of appetite

Heartburn

Frequent singultus

Nausea

Very distressing nausea, together with a headache, and flashes of light before her eyes

Violent sickness (immediately)

Occasional vomiting

From Wednesday until Saturday night she had not been able to take any food or drink, or to sit up much of the time

Epigastrium painful on pressure

Great tenderness over the stomach

Stool

Diarrhoea frequent

Constipation

TJrinatjf Oi’f/tuts.

Decided action on the kidneys, shown in increased secretion (after one hour)

Men or r h agi a

Heart and Pulse

Great commotion of the heart, a great throbbing and pounding, as she expressed it

In two experiments with Digitalis tinct., I have ob-served the pulse slightly retarded, but it fell three beats in an hour after taking 6 drops, in drop doses, every ten minutes, and only two beats after 20 drops in 3-drop doses. In two other experiments the pulse had not varied more than one beat per minute during the hour. The pulse varied so much after taking 1st dil., that no conclusion can be drawn as to its action. The sphygmographictracingsshow butlittle change

Pulse 72 ( before taking); 73 (after two minutes); 74 (after four minutes) ; 76 tatter six minutes) ; 74 (after ten minutes); 72 (after forty minutes) ; 66 (after sixty minutes) ; 64 (after eighty minutes); 72 (after one hundred minutes)

Pulse 64 (before taking) ; 68 (after five minutes); 72 (after ten minutes); 68 (after fifteen minutes) ; 64 (after fifty minutes)

Pulse 66 (before taking); 68 (aftertwo minutes); 67 (after four minutes); 66 (after six minutes); 67 (after eight minutes) ; 68 (after ten minutes) ; 66 (after fifteen minutes); 63 (after twenty minutes); 64 (after twenty-five minutes)

Pulse 80 (before taking) ; continued the same for five minutes ; 76 (after seven and eight minutes); 78 (after ten minutes) ; 76 (after twelve minutes) ; 78 (after fourteen minutes) ; 80 (after sixteen, twenty, and twentyone minutes); 76 (twenty-second to twenty-fifth minute) ; 78 (after twentyseven and twenty-nine minutes) ; 80 (after thirty minutes) ; 83 (after thirtytwo minutes) ; 84 (after thirty-four minutes); 85 (after thirty-six minutes); 84 (after forty minutes); 80 (after sixty-three minutes),*k

Pulse slow

Generalities p. 506

Convulsion,'“h

Exhaustion (fifth day)

Skin p. 506

Skin pale and ashy gray, and parchment-like