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[1280.] Clots in menstrual flow, which is thicker than usual (first day),.. -No membrane in menstrual flow (third day),.
Respiratory Organs.-Can bear no pressure on thyroid gland (fifth day), -Hacking cough raising a little white tasteless mucus from throat (second day),.—(Cough quite improved; have less collection of mucus),1 .—Respiration increased, 32 on lying down (second day),^:-Stopping of breath,
Chest.–Oppression in lungs and heart,".—Lungs and throat feel raw, as if they had been scraped (after seventh dose),o.- A hot constricted feeling in the chest, causing dyspnoea and a dry short cough; very much troubled for breath ; passed off in about an hour (fourteenth day),': -- [1290.] Sticking pain in chest (third day),%.
Heart and Pulse.- Palpitation,'.-Palpitation marked (fifth day),". --Heart's action disturbed (fifth day),'.—Throbbing of heart relieved for a few minutes, by taking a deep breath (sixth day),'.-Could feel distinctly the pulsation of the heart (third day),“:—Heart seemed to stop beating at night (first day),: – Decrease of pulse, with tendency to intermit,-0
. Neck and Back.- Painful stiffness from neck down entire spinal column,': --Posterior cervical muscles painful to touch (fifteenth day),... [1300. Pressure between shoulderblades (seventh and ninth days),'-- Pressure between scapula on rising (eighth day),'.-Pain along the spine (fifteenth day),"':-Sharp stitch in lumbar region (after two bours and ten minutes)," —Pressure on sacral region continues, though slight (ninth day),'.
Extremities.-Rheumatic pains and lameness; worse in arms and thighs,
Superior Extremities.-A continuous, rather sharp pain in right shoulder, worse on motion; two hours and a half later can scarcely move right shoulder, because of a knifelike pain from shoulder through to chest (third day),'.-Feeling as if the wrists were too short, numb, and " go to sleep all the time,"5.
Inferior Extremities.— Tired around hips and sacrum (eighth day),.--Continuous tingling in Scarpa's triangle of left leg in place of old abscess (tenth day),.— [1310.] Lame feeling in region of sciatic notch (deep), while standing and walking, more on right side than left; lameness extends across sacrum (sixth day);"-Knees stiff and “ going to sleep all the time,"s. -Creeping pains in knees (sixth day)," -Legs tired, especially the calves (fourth day),*.-Aching of tibia about its middle,30.- Feet grew tender and were swollen,12-Numbness of feet, :— Pains in the great toe (third day),".
Generalities.-Restlessness,':-Very restless, ".-[1320:] Anguish in all the vital organs,'.-General lassitude (after fourth dose),.—General weak and faint condition of body, especially in the morning, preventing rising till late,
skin.-Alarming numbness in all the external parts,:-Formication all over, ".-Skin burning,".
Sleep.-Drowsy (second day),^. — Very drowsy in the day ; falling asleep very late at night; frequent starting in sleep, with strange fancies, etc,: -Sleepy (tenth day),"4. -Sleepy at 2.30 P.M. (sixth day),". — [1330.] Sleeplessness (eighth and ninth days),"".—Half awake all night, and awoke in the morning feeling tired, cross, sleepy, my mouth having a peculiar feeling, as though painted or covered over with something, and tasting, as near as I can describe, as one's mouth does when having the measles (first day), -Sleep full of dreams of hard work,”-Horrid dreams (fifth day),"
Fever.-Chilliness, with flashes of heat, .-Chilly feeling (fifth day)," Very cold (first day); cold, obliged to sit beside the fire (second night), Very cold feet, 15b 11 - Feet cold in a warm room (sixth day),'.-Feet feel like ice and feel damp (ninth day),"4:—[1340.) Feet feel as though dipped in cold water (eighth day)," - Hot flushed face (third day),”-Burning heat in left foot (sixth day),"4.–Feet quite moist,”?
Authorities. 48, G. W. Harrison, Lancet, 1868 (2), p. 133, a woman, æt. forty-three years, took a quantity of crude; 49, Dr. Jas. S. Houston, Phil. Med. and Surg. Rep., vol. xxii, 1870, p. 32, a man, æt. thirty-two years, swallowed over an ounce, death ; 50, W. E. Taylor, M.D., Phil. Med. Times, May, 1872, p. 284, T. R., et. twenty-three years, took about au ounce; 51, Dr. Cowling, Am. Pract., vol. vii
, 1873, p. 315, a woman, æt. sixty years, took a tablespoonful; 52, F. Warren, New Remedies, vol. iv,
367, a man drank a solution; 53, Dr. Davidson, Med. Times and Gaz., 1875 (2), p. 597, a man, æt. forty-seven years, swallowed 4 ounces crude; 54, Dr. Woodman, Med. Times and Gaz., 1875 (2), p. 421, a child, æt. seven years, drank some crude ; 55, J. E. Shaw, Lancet, 1875 (2), p. 451, a woman, æt. thirty-seven years, took 50 grams in linseed oil (1 to 10); 56, M. Wiart (L'Aimie Med., October, 1876), N. Y. Med. Journ., vol. xxv, 1877, p. 211, Mdlle. X., æt. forty-three years, swallowed 10 grams of a strong solution ; 57, C. M. Worthington, M.D., N. O. Med. and Surg. Journ., 1876, p. 168, a child, æt. two years, drank some ; 58, G. William Semple, M.D., Virginia Med. Month., May, 1877, p. 138, a lady, æt. fifty years, swallowed two teaspoonfuls; 59, A. H. Z., 2, 1877 (Hom. World, vol. xii, 1877, p. 467), a lady took 10 grams of concentrated solution ; 60, C. A. Norton, M.D., Pub. Mass. Hom. Soc., vol. iv, p. 285, accidental proving; 61, Dr. C. P. Putnam, Bost. Med. and Surg. Journ., vol. xcix, 1878, p. 406, three-fourths of a solution, containing two teaspoonfuls of liquid crystals, were injected into the rectum of a boy æt, four years; 62, S. H. Dessau, M.D., Med. Record, April 13th, 1878, p. 289, a child, æt. two years and a half, swallowed about a tablespoonful; 63, Dr. Oberst (Berlin, Klin. Woch.), Lond. Med. Rec., 1878, p. 219, a man, æt. thirty-two years, swallowed about 54 ounces of five per cent. watery solution ; 64, Dr. Rheinstädler, Deutsche Med. Woch., April, 13th (Lond. Med. Rec., 1878, p. 219), a woman, æt. thirty-one years, after removal of a large fibrous tumor from the uterus, injected daily a one per cent. solution into the wound; 65, W. H. Packer, M.D., Lancet, 1878 (2), p. 511, a woman, æt. twenty-nine years, swallowed some ; 66, T. L. Wright, M.D., Cincin. Lancet and Obs., 1878, N. S., vol. i, p. 68, poisoning of a man, æt. fifty years, from the injection of Carbolic acid into a hæmorrhoidal tumor.
While sitting in my room writing I was annoyed by flies. I bad, just before me, a bottle of Calvert's Carbolic acid in crystals. The idea suggested itself to prepare a strong solution, and place it on the desk before me, thinking the odor would banish the flies. The smell of the acid was disagreeable to me at first, but it was successful in ridding the room of flies. I continued to write for about half an hour, when I began to feel faint. More especially did I feel this faintness at the stomach. My head was not affected at first, but in about ten minutes after the faintness came on, my head began to feel as if it was inflated like a ball. The greatest pressure seemed to be in the temples. It seemed to me that if I could turn my eyes sideways, I should see my temples sticking out. (Prominent symptom.) There was no pain at first in the head, but this peculiar pressure from the inside, which resembled pain, was not exacty unpleasant, because it was so strangely novel. I would often stop writing and shake my head, which would seem to increase the pressure, merely for the gratification of the peculiar feeling it afforded me. In about an hour from the time I prepared the acid, the faintness had become so general that I was obliged to stop writing. I attempted to rise, when I found my legs so weak that I could with difficulty stand. The moment I attempted to rise, the sensation in my head was so peculiar that I could not refrain from laughing. I soon felt serious, as the faintness obliged me to sit down. My mind, which before I mixed the acid, bad been rather sluggish, now seemed to be teeming with delightful ideas, which came much faster than I could give them shape in words. I attempted to use my pen again, but found my arms so weak that I could not trace a line. I had not, as yet, thought what produced my strange feelings, and I attempted to analyze them. I became alarmed. I got up, and with some difficulty I went to another room. The moment I stood on my feet I seemed to lose all feeling, except in the head. That seemed to be increased to ten times its natural size, and the best description I can give of my difficult walk to my friend's room is, that I lost all realization that I possessed a body, and that my head seemed to float in the air. Arriving at the room, I found no one there ; I lay down on the lounge and soon began to feel better. The strange symptoms abated in the order in which they came on; first the weakness of the stomach grew less, then the head seemed to grow smaller, and my active brain became more calm and quiet. I remained lying about twenty mioutes, then got up and walked to my room again. I still felt weak, and had a dull aching distress in the stomach, my head still feeling somewhat giddy. The moment I opened the door of my room, the odor of the acid forced itself upon me as the cause of my trouble; I at once threw the solution out of the window, opened the doors and windows, and aired the room. I was now called to tea. As soon as I entered the dining-room it seemed as if I could smell everything on the table, even the bread and butter. The moment my eye rested on a thing I could smell it, even at the farther end of the table. This sense of smell seemed to satisfy my appetite, and I ate but a small piece of bread, excused myself, and retired to my room. I soon had a desire to go to the water-closet. The moment I entered it, it seemed as if I should be overpowered with the stench. I could not remain, but went back to my room. The water-closet was no more foul than ordinary water-closets, but it was half an hour before I ceased to smell that peculiar sickening odor. I seemed rather inclined to smile at my strange feelings. I was in a happy frame of mind, thinking only of pleasant things. I lay down on the bed, and had it not been for the distress in my stomach, should have been quite happy. This distress was worse when lying on eitheir side, but was easier when lying upon the back, with my legs drawn up. In this position I fell asleep, and remained so till some one aroused me. I found that I had slept about two bours and a half. I had had do dreams, but should judge that my sleep had been very uneasy, as my bed was very much disarranged. It seemed as if I had been all over it; in fact, I was lying across it when I awoke. The distress in my stomach had now given way to a deathly faintness, and my head felt bruised and sore. I at once began to undress. While doing so I was obliged several times to stop and rest. I thought I should faint before I could get into bed. I was not alarmed, but seemed rather pleased with my peculiar feelings. I attempted to whistle and sing, but had not the strength. Soon after getting into bed I fell asleep in the same position as before, on my back, with my legs drawn up. I did not awake till 6 o'clock next morning, but what was strange with me, I was wide awake in an instant. There was no rubbing the eyes nor stretching, but from sound sleep I passed in an instant to absolute wakefulness. I did not feel as weak as the night before, but had all the symptoms of a bad diarrhoea, with a disagreeable, hot, burning sensation in the rectum. With that I felt as if I had taken a large dose of Opium. Particularly did I feel this Opium symptom in my head. But what was my disgust, when I arose from my bed, to find that I had passed several small stools, involuntarily, during the night. I went to the water-closet, and although I had all the symptoms of a diarrhea, had no movement of the bowels. I went to my room and took one dose of Arsen. alb. 3d, and then went to breakfast. Had no desire for food. Drank part of a cup of tea (usually drink coffee), and ate a small piece of dry toast. Food seemed to cause nausea. The Opium symptom in the head still continued ; was worse when walking; going up or down stairs made me giddy. Cold water caused nausea. Could not wipe my face with a towel, it was so sensitive to touch. It hurt me to comb or brush my hair. I now went out to visit my patients, but the jarring motion of the carriage increased all my bad feelings, so that I was obliged to return to the house. I now began to feel a bruised or sore feel. ing through the small of the back and bowels. By noon this feeling had gone into the hips, which ached badly. The burnivg feeling in the rectum was very troublesome, so much so that I took a cold-water injection. My bowels seemed filled with flatulence. Did not go to dinner, had no desire for food, the thought of it was unpleasant. About two o'clock I had a stool, not large, but passed with considerable flatulence. The stool appeared as if composed of thick glue, and mixed with currant seeds, though I had eaten nothing of the kind. It was passed in thin strips, very much like tape. This same peculiarity I noticed in the involuntary stool I passed the night before. Towards night the pain in my hips had passed into the right leg, from the hip to the knee. I did not eat any supper, but retired early, and passed rather a restless night. The pains in my right leg prevented me from sleeping. In the morning the pain had gone from the knee to the foot, and during the day passed off altogether. My bowels, however, continued to be sore, and iny head was still troubled with the Opium symptom. All the strange feelings gradually grew less, and in three days were nearly gone. Previous to my exposing myself to the fumes of the acid, my health had been good, and during the unpleasantness I took no remedy except the Arsen. I have twice since experienced similar symptoms when exposed to Carbolic acid vapor, 60. —[610.] Iusensible, retching, the breathing stertorous, the pupils much contracted, and the pulse intermittent; strong smell of acid from the stomach; the mouth, tongue, and fauces presented a wbite, corroded appearance,“ —Insensible; face quite livid, bathed in profuse clammy perspiration; pupils contracted and not responding to light; mouth open, filled with frothy mucus; respiration stertorous; pulse imperceptible; heart-sounds scarcely audible (in five minutes)," : - Totally insensible; pulseless; pupils dilated; face pallid and pinched; respiration of a gasping character; involuntary discharge of urine (in two minutes),50.--As soon as the mixture was swallowed, it came foaming out of the mouth, and the patient asked, "What is this you have given me? it burns ;" unconscious; pupils contracted and insensible; breathing about 50 per minute; pulse 150, rather small, feeble, and intermittent; surface bathed in clammy perspiration; the mouth and throat, as far as could be seen, were whitened by the action of the Carbolic acid; the pharynx and larynx were filled with mucus, giving rise to tracheal i âles (after ten minutes); countenance indicating a cyanosed condition ; superficial veins of head distended, 5. — Immediately became insensible, falling down suddenly as if in a fit; on his recovery he said he remembered nothing whatever of tasting the liquid. An attack of acute gastritis followed. The urine passed the day after the accident was almost black, but was free from turbidity, and no trace of Carbolic acid, blood, or albumen could be detected in it,52 - In about twenty minutes she was found unconscious, collapsed, aud blanched. The breathing was stertorous; the pupils were contracted ; the pulse was hardly perceptible, not rapid. In about three hours the surface of the body was cold, there were convulsive twitchings of the limbs, and she vomited some blood and oily matter. The next day she continued to vomit a greenish watery matter. The bowels had acted several times, the motions being at first black, afterwards dark brown, and without odor of Carbolic acid. The urine is of a smoky color and aromatic odor. The addition of strong Sulphuric acid to it causes a purple color, changing rapidly to blue; po odor of Carbolic acid is given off. No albumen present. She complains of great burning pain in throat and epigastrium. There is tenderness on pressure over the stomach and cæcum. Fauces reddened and covered with mucous exudation. There is a dark-brown stain on the skin of the upper lip, and running down the left side of the mouth and chin. Pulse rapid; temperature in evening 102°,53 - Unconsciousness was rapidly becoming absolute, the face dusky, the skin was moist and pupils dilated, while the pulse was rapid, irregular, and scarcely perceptible; the breathing remained regular, although the relaxation of the soft palate rendered it noisy. In about an hour after the poisoning coma was complete, the face perfectly livid, the pupils dilated, the skin secreting perspiration in the most extraordinarily profuse manner, the surface of the body warm, as also were the extremities, with the exception of the hands, the pulse at the wrist imperceptible, and the muscles of the soft palate and tongue so entirely relaxed that it was necessary to keep the latter organ extended with catch-forceps to prevent it from falling back upon the glottis. On recovery she was entirely ignorant of what had occurred, and did not know that any mistake had been made. She complained of no pain except in the tongue, but remained in partial prostration for some days, and suffered from an attack of gastric catarrh,» - Immediately after the child swallowed the acid, he began to run around the room crying; on being taken up he instantly became unconscious, turned livid in the face, his eyes staring, breathing slowly and noisily, and foaming at the mouth and nose. Soon after the larynx was full of zâles. Face pale, cheeks livid, pupils dilated and not responding to light, and there was slight twitchings of the muscles of the extremities. The capillary circulation was very slow. There was a streak of excoriation upon the chin, where some of the acid had run. The next day the uvula was found whitened and shrivelled. He had passed in the morning about a pint of clear urine, of a dark olive-green color, without odor; and had been troubled in the night with a croupy cough,62