Chininum Arsenicosum chin-a.

Arsenite of Quinine. (C 20 H 24 N 2 O 2 ) 3 H 3 As O 4 2 H 2 O. Trituration or solution.

Angina pectoris. Asthma. Bright's disease. Diarrhœa. Diphtheria. Epilepsy. Gastralgia. Hectic fever. Hemicrania. Intermittent fever. Keratitis. Ophthalmia. Scarlatina. Sore-throat, malignant. Spinal irritation. Syphilis. Tobacco, effects of. Tuberculosis.

The Arsenite of Quinine combines many of the properties of its two components, but having been proved it can be treated as a separate individuality. The periodicity is intensified, and this is especially noted in the neuralgias. An irritable mood precedes the headache, which is < by mental and bodily exercise. The gastralgia of Chi. ars . is pressure in solar plexus with tender spine just at back of it. Nausea and vomiting are followed by sleep. Bonino ( H. R ., iv 210), who gave it a prolonged proving, found the symptoms < at rest; in the morning; and when the stomach was empty. They were > by motion (vertigo); and by eating (gastralgia). The chief effects were manifested on the stomach, solar plexus, ligaments and skin. According to him it corresponds to tobacco intoxication and its effects; indigestion from unripe fruits; gastralgia from coarse food or ill-baked bread; chronic rheumatism of joints without swelling; tertiary syphilis of periosteum; colic from incarcerated flatus; intermittent fever with predominating chills, little thirst and continuous almost convulsive yawning; effects of severe and depressing influences on the mind; to convalescence from long-lasting sickness. The circulation was slow, and limbs relaxed. Weakness, prostration, and disinclination for mental exertion were marked in several provers.

Compare: Apis (diphtheria); Æthusa (sleep after vomiting); Cact. (constricting sensations).

Tobacco.

Dislike of mental occupation in spite of clear-headed lightness about head and feeling of exhilaration. ─ Memory impaired. ─ Anxiety. ─ Child sits up in bed lamenting. ─ Irritable mood precedes headache.

Sudden attacks of vertigo, < by looking up. ─ Severe darting, tortuous pains, running up into head and preventing sleep. ─ Head full as if it would burst. ─ On sitting down, head seems to be covered with an iron cap. ─ Hemicrania (l.) from fright; flickering before l. eye and lachrymation, ringing in ears, pain tearing, boring. ─ Penetrating pain in region of l. temple. ─ Dull, heavy headache, frontal and occipital; in cerebellum, < from slightest motion.

Intense photophobia and orbicular spasm gushing hot tears, ulcers attacking each eye, < from midnight to 3 a.m. (Keratitis.). ─ Flickering before l. eye, with pain and lachrymation. (Hemicrania.)

Ringing in ears like bells; with congestion towards head. ─ Noise in ears and dulness of hearing.

Profuse coryza > erect position and out of doors. ─ Post-nasal catarrh < l. side. ─ Copious epistaxis.

Trembling of facial muscles, esp. orbicularis palpebrarum (immediately). ─ Dull pain in l. temporal region at articulation of lower jaw. ─ Face pale, sallow, bloated.

Tongue thickly furred; appetite bad. ─ Yellow, slimy coating on tongue, with bitter taste. ─ Fetid breath. ─ Dryness in roof of mouth, gnawing and nausea. ─ Metallic bitter taste, without changing taste of victuals.

Throat feels sore and raw, < coughing and sneezing. ─ Diphtheria.

Appetite gone. ─ Violent thirst for cold water. ─ Desire for sweets. ─ Empty sensation. ─ Hiccough and belching; followed by urging to stool. ─ Sudden, indescribable general nausea, with flying heat and waning strength, esp. of lower limbs. ─ Nausea and vomiting followed by sleep. ─ Eggs or fish cause painless diarrhœa at once. ─ Gnawing and nausea as before vomiting as at beginning of tobacco-poisoning. ─ Pain in stomach as if it had contracted itself round an uneven stone. ─ Disturbed in night by severe pain in stomach as if it were pressed against spinal column; > by eating, for a few moments; repeated several mornings. ─ Contracting gastralgia, as if pushed up; > only for a moment by tasteless eructation.

Pain in epigastrium as from foul stomach. ─ Pain as from flatus wedged into flexure of colon. ─ Aching around navel and in ilium. ─ In evening severe colicky pains > by pressure.

Violent urging to stool, evacuated in prolonged rush till bowel empty; stool thin, brown, painless. ─ Diarrhœa, morning, hardly had time to dress, brown, liquid with jelly-like lumps: pain in l. iliac region, quite severe when walking. ─ Towards morning, frequent, bad-smelling flatus. ─ Stool pappy; watery, fetid. ─ Stool, fecal, with mucus and blood, preceded and followed by tenesmus. ─ Stool hard, voided with difficulty; aided by pressing finger on coccyx. ─ Could eat no breakfast, but took some dinner, and immediately thereafter great urging to stool, which was watery and blackish; some pain in hypogastrium.

Urine scanty; frequent urging. ─ Urine increased, urging tiresome.

A peculiar burning ache about sphincter vesicæ and throughout urethra.

Breathing unsatisfactory, wants more air than he can take into his lungs. ─ Respiration very free, as if thorax were hollow. ─ Suffocative attacks beginning in morning and lasting till noon; > sitting bent forward at open window, < every other position. ─ Senile subacute bronchial catarrh with periodical fever, generally < at night.

Severe stitching pain, in chest; later in precordia; < on inspiration. ─ Asthmatic breathing on ascending. ─ Tightening sensation in mediastinum, in front at l. of breast-bone. ─ Peculiar pain, dull with pressure, as if caused by flatulence, base of l. chest, coming and going rapidly and frequently repeated.

Angina pectoris. ─ Palpitation on leaning against back. ─ Sensation as if heart had stopped. ─ Heart began to tremble, with a rumbling noise; I was unable to distinguish the pulsations (lasted one hour). ─ Slow pulse. ─ L. intercostal neuralgia as if torn with hot tongs.

Pain in muscles between l. shoulder and neck, as if sprained, on rising from sleep, 4 p.m. ─ Back feels weak as after a long journey. ─ Pressure in solar plexus (usually only felt after eating tough meat or hard nuts, of which I had not partaken) extended toward the back, when it changed to a pinching sensation; spine painfully sensitive to touch at this point.

Pain in l. wrist, stiffness of l. arm. ─ Pain of fatigue in r. wrist. ─ Burning pain as in periosteum of l. elbow. ─ Annoying feeling of fatigue in r. shoulder, as if humerus were torn out of its socket. ─ Sore, tired aching in joints, bones and muscles: in l. biceps for some hours.

Dull pain in r. temporal region, at articulation of jaw and r. hip. ─ Pain in r. astragalo-tarsal joint as if bones drawn in opposite directions; > walking. ─ Pressure on tuberosity of tibia, which is somewhat swollen. ─ Pain in r. knee as from a fall. ─ Cramp in calf. ─ Pains back of r. thigh and in calf. ─ Numbness of legs after hardly having lain down. ─ Weakness of lower limbs.

In different parts of body burning fluttering beats, as from electricity. ─ Stiffness of all bones, even while walking. ─ Burning pains deep in joints. ─ Burning pains as in periosteum. ─ Nervous restlessness, unable to remain in the house. ─ While walking, dizziness and collapse. ─ Desire to lie down. ─ Complete relaxation of muscles as from tobacco-poisoning.

Goose flesh, esp. of lower extremities. ─ Periodical furuncles, which relieve the head. ─ Burning, erysipelatous redness and violent itching < by warmth > by cold.

Night full of visions; heavy sleep till morning. ─ Nervous restlessness, anxious dreams. ─ Sleep frequently interrupted.

General chill and cold. ─ After the feverish cough in the chill, no reaction of warmth. ─ Flying heat with nausea. ─ Cold, clammy sweat.