Hydrocyanicum Acidum hydr-ac.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

Brain. Heart: Circulation. Respiration. Epigastrium.

Worse

Full moon. Suppressions. Storms.

General

Sudden effects; collapse; spasms; apoplexy. Lacks reaction. Cramps every where. Evacuations cease. Lightning-like jerks from head to feet.

Particulars

Fear of death. Loud, involuntary cries. Sinks down unconscious. Intense cerebral congestion. Prolonged faints. Pale or bluish face. Cramps in masseters; in nape. Mouth dry. Taste pussy; metallic; astringent. Noisy swallowing. Gasping, irregular, slow breathing. Asphyxia. Cholera. Dry, tickling, night cough. Heart: failure; compression at. Contracted dorsal muscles. Blue exanthema. Pulse, failing; unequal; with occasional strong beats. Distended blood-vessels; writhing in them. Icy coldness; < hands.

Related

Related: Agar. Cup. Laur.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Prussic Acid (HYDROCYANIC ACID)

General

One of the most toxic agents known. Convulsions and paralysis express the action of this remedy. Spasmodic constriction in larynx, feeling of suffocation, pain and tightness in chest, palpitation; pulse weak, irregular. Singing sensation at the epigastrium. Hysterical and epileptic convulsions. Cyanosis. Collapse, due to some pulmonary condition not a cardiac collapse. Catalepsy. Cholera. Stage of collapse (Ars; Verat). Coldness. Tetanus narcolepsy.

Mind

Unconscious. Wild delirium. Fear of imaginary troubles. Fears everything-horses, wagons, houses falling, etc.

Head

Violent stupefying headache. Brain feels on fire. Pupils motionless or dilated. Supra-orbital neuralgia, with flushing on same side of face.

Face

Jaws clenched in rigid spasm. Froths at mouth. Pale, bluish lips.

Stomach

Tongue cold. Drink rumbles through throat and stomach. Gastralgia; worse when stomach is empty. Great sinking at pit of stomach. Pulsative pain in præcordial region.

Respiratory

Noisy and agitated breathing. Dry, spasmodic, suffocative cough. Asthma, with contraction of throat. Whooping-cough. Paralysis of lungs (Aspidos). Marked cyanosis; venously congested lung.

Heart

Violent palpitation. Pulse, weak irregular. Cold extremities. Torturing pain in chest. Angina pectoris (Spigel; Oxal ac).

Sleep

Yawning with shivering. Irresistible drowsiness. Vivid, incoherent dreams.

Relationship

Antidotes: Ammon; Camph; Opium.

Compare: Cicuta; Oenanthe; Camph; Lauroc.

Dose

Sixth and higher potencies.

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

Despondency ; oppression. Anguish in the pit of the stomach. Inability to think.

Head

Dizziness with feeling of intoxication. Vertigo with reeling. Headache with giddiness. Stupefying headache. Pricking in various ; parts of the head.

Eyes

Protruded eyes. Distorted, half open eyes. Pupils dilated immovable insensible to the light. The lids immovable they seem paralyzed. Dimness of sight ; gauze before the eyes.

Ears

Roaring and buzzing in the ears. Hardness of hearing.

Nose

Enlarged, bluish wings of the nose. Dryness of tine nose.

Face

Face bloated. Pale-bluish face, looks old. Sallow and gray complexion. Distortion of the corners of the mouth. Distortion of the facial muscles. Lock-jaw.

Mouth and Throat

Increased secretion of saliva. Tongue coated white. Cod feeling of the tongue. Burning on the tip of the tongue. Lameness and stiffness of the tongue ; tongue protruded. Loss ; of speech. Spasm in the pharynx and œsophagus. Heat and inflammation of the throat.

Stomach and Abdomen

Taste acrid, sweet or fetid. Absence of thirst, with heat of the whole body, or violent thirst. Vomiting of a black fluid. Cold feeling in the abdomen with stitches. Spasmodic contraction of the stomach. Inflammation of the stomach and bowels. Coldness in the abdomen alternating with burning.

Urinary Organs

Retention of urine. Copious emission of watery urine.

Stool and Anus

Involuntary stools.

Respiratory Organs

Sensation as if the larynx were swollen. Scraping and burning in the larynx. Short, backing cough, caused by a pricking in the larynx and trachea. Rattling, moaning, slow breathing. Arrest of breathing caused by stitches in the larynx. Tightness in the chest, sensation of suffocation. The heart beats irregular, feeble.

Sleep

Irresistible, constant drowsiness. Sleeplessness.

Generalities

Languor and weakness of the limbs. Paralysis first of the lower then of the upper limbs. Nervous weakness. Irregular pulsation of the heart.

Fever

Coldness within and without. Heat in the head with coldness of the extremities. Heat and perspiration over the whole body.

Skin

Dryness of the skin. Paleness with a blue tinge.

A Dictionary of Practical Materia Medica

John Henry Clarke · A Dictionary of Practical Materia Medica · 1st edition (1900-02, three volumes); homeoint.org / Médi-T HTML digitization

General

Prussic Acid. HCN. One measure of the dilute acid of B. P. to two measures of rectified spirit makes the 1st centesimal dilution; rectified spirit for all above.

Clinical

Angina pectoris. Asthma . Cholera Asiatica. Colic (horses). Convulsions. Dyspepsia. Epilepsy. Hemiplegia. Hiccough. Labour, convulsions in. Stings . Stomach, catarrh of. Sunstroke. Tetanus . Uræmic convulsions. Whooping-cough.

Characteristics

The pathogenesis of Hcyan. ac . is mainly composed of symptoms observed in poisoning cases and clinically verified, but it has also been proved by Joerg and his pupils. Hcn . is one of the deadliest and most rapidly acting of poisons. Hence its applicability in cases of critical intensity, such as the collapse stage of cholera, when it supervenes on sudden cessation of all discharges; convulsion during severe attacks of illness. It acts powerfully on the cœliac ganglia, causing intestinal cramps and colics. Convulsions and paralysis are the leading notes of the medicine's action. In the convulsions the body is stiffened and thrown back; cramp in nape of neck is very characteristic; breathing comes in paroxysms; jaws set; foaming at mouth; face flushed, bluish tint. A. H. Croucher cured a boy, 3 1/2, of convulsions. First attack occurred six months previously. His father's sister had died of epilepsy. Before the fits came on he could walk well, but could not afterwards. The fits occurred at intervals of about three weeks when a succession of them occurred, each lasting about five minutes, during two or three days. During the intervals between the fits he would generally scream. In the morning on awaking, patient cried out, then convulsions occurred; body and limbs convulsed, eyelids twitched but remained open, eyeballs turned up and to right. Seemed quite unconscious. Hcn . 2x, one drop three times a day, increased afterwards to two drops and continued for a fortnight. No more convulsions, but three months later a rash developed all over him. ─ The characteristic blue tint of Hcn . is apparent after death in some poisoning cases: livid spots on limbs; nails violet. In one case there was a brilliant violent hue all over. The tetanic spasm of Hcn . is persistent and tonic, and has none of the reflex excitability of the Nux state. Hcn . acts most powerfully on the muscles of face, jaws, and back; the risus sardonicus is pronounced; lividity; frothing. It acts on the medulla and through the vagus nerve on heart and respiration. The breathing is irregular and gasping. The heart is greatly disturbed; blueness and coldness of surface; pulse feeble, imperceptible. The patient clutches at the heart as if in distress. The prostration of Hcn . is profound: drinks roll audibly into the stomach. It cured a boy of four of fever who had this symptom: "when swallowing a teaspoonful of liquid it sounds like water rolling into an empty barrel." Paralysis attacks first the lower, then the upper limbs. A dry tearing cough < at night is among the symptoms of Hcn .; and it relieves a similar cough often met with in consumptives. For it must not be imagined that the remedy is only of use in desperate cases of acute illness; it answers to its minute individual symptoms just as truly as does Camph ., but it is only those who know the drug in the higher as well as the lower attenuations who will be able to profit by a knowledge of these. "Feels as if a cloud were going over his brain," is a symptom Cash removed with Hcn . in a case of sunstroke. There is much disturbance of the digestion, which is < after eating. The headache is < at night and the vertigo < in the open air. Coldness is a great feature with the remedy, marble coldness within and without. Blue tinge of the skin is also characteristic.

Relations

The closest analogues are Camph., Lauro., and Amygd. It is antidoted by: Camph., Coff., Ipec., Nux, Op., Ver Compare; Camph. (cholera, coldness); Helod. (coldness); Cicut. (spinal cord; cramp in nape); Con. (paralysis spreading from below upward); Œnanth. (epilepsy); Lauro. (dry tickling cough; Lauro. has also a cough with jelly-like sputa dotted with bloody points); Lach.; Tabac. (asphyxia); Hell., Solania (paralysis of lungs and heart); Nux (tetanus, but of different type).

Mind

Depression; discouragement. ─ Anguish and oppression; anguish in the pit of the stomach; fear of imaginary ills. ─ Very great irritability; sadness; peevish temper: incapacity for labour. ─ Inability to think; memory enfeebled; aversion to all mental fatigue. ─ Could not remain in middle of road when a vehicle approached even at a considerable distance; was forced, as it were, against his will, to stand aside without waiting for it to come nearer (after recovery from poisoning).

Head

Head confused and weighty; giddiness with sinking of the body; giddiness, sometimes with a feeling as of intoxication. ─ Dulness of the senses, sometimes with apparent wavering of objects, and of a veil before the eyes, with difficulty to stand on rising from a stooping or sitting posture; symptoms < in the open air. ─ Vertigo, sometimes with staggering, the patient feels as though something moved in the air and drew him along with it, or else as if everything revolved about him. ─ Feels as if a cloud were going over his brain (cured in a case of sunstroke). ─ Cephalalgia with vertigo; stunning cephalalgia, dull pain in the forehead, beginning at the temples. ─ Head heavy and stupid. ─ Headache, only at night. ─ Pressive cephalalgia in the forehead, or else at the occiput to the l. towards the forehead. ─ Violent headache in sinciput and occiput, from vertex to forehead and orbits of the eyes; in the side of the head (r. or l.) esp. in vertex and forehead; at different parts of the head. ─ Tension in frontal region. ─ Shootings in the head, sometimes in one place, sometimes in another.

Eyes

Eyes half open; reversed; protruding from the head; immoveable; difficulty to move the eyeballs. ─ Pupils dilated and immoveable; insensible to light. ─ Eyelids wide open, immoveable, as if paralysed; spasmodic quivering in the upper eyelids. ─ Dimness of sight; cloudiness and mist (gauze) before the eyes; amaurotic blindness.

Ears

Aching in the interior of both ears; sometimes with roaring (buzzing) and ringing. ─ Hardness of hearing.

Nose

Smarting in the upper part of nostrils. ─ Dilation of the alæ nasi, which have a bluish tint. ─ Dryness of the nose.

Face

Puffing of the face; oval visage; visage wears a look of age; pale and bluish; complexion earthy and grey. ─ Expression of beatitude in the countenance. ─ Contortion of corners of mouth; trismus; frightful contraction of the facial muscles.

Mouth

Dryness of mouth. ─ Augmented secretion of saliva. ─ Tongue coated, sometimes white, afterwards dark and dingy; contraction at the root; sensation of coldness on the tongue; burning at the tip of the tongue paralysis and stiffness of the tongue, which often protrudes from the mouth loss of speech. ─ Pains in the palate; inflammation of the palate.

Throat

Spasms in the back part of the throat, and the œsophagus. ─ Scraping in the throat, and in the gullet painful scraping in the throat; heat in the throat and in the œsophagus burning in palate, throat, and œsophagus; inflammation of the throat, and of the œsophagus.

Stomach

Taste: sweetish; fetid, acrid, and irritating; much gas in the mouth, with taste of prussic acid. ─ Anorexia, repugnance to food. ─ Adypsia, with heat throughout the body; ardent thirst. ─ Loathing, inclination to vomit; vomiting of a black liquid. ─ Pains in stomach; sensation of coldness in stomach, sometimes with lancinations; pressure and squeezing in pit of stomach, with great oppression. ─ Fluids enter stomach with gurgling noise. ─ Great sinking at pit of stomach. ─ Spasmodic contractions in the stomach. ─ Heat and burning in stomach. ─ Inflammation of the stomach and intestines. ─ Pulsative pain in the precordial region.

Abdomen

Coldness of the whole abdomen (with stitches), sometimes alternated with burning. ─ Rumbling and borborygmi in the abdomen; flabby inflation of the abdomen.

Stool and Anus

Involuntary stools. ─ Involuntary stools, hiccough, and great prostration. ─ Sudden cessation of all discharges. ─ Cholera sicca.

Urinary Organs

Retention of urine; frequent emission of urine; copious emission of an aqueous urine, pale or a pale yellow, depositing a turbid cloud. ─ Urine with sediment thick and reddish. ─ Involuntary emission of urine. ─ Burning in the urethra.

Respiratory Organs

Painful scraping and burning in the larynx; inflammation of the larynx; sensation of swelling of the larynx; constriction of the throat; tickling in the larynx, sometimes lancinations and draggings; roughness and hoarseness of the voice. ─ Loud voice. ─ Frequent coughing, caused by smarting (pricking) in the larynx and trachea. ─ Hæmoptysis. ─ Respiration rattling, groaning, slow, very difficult, with mucous rale. ─ Difficulty of respiration by reason of the lancinations in the larynx. ─ Want to breathe deeply. ─ Respiration profound, frequent, and stertorous. ─ Anxious respiration. ─ Paralysis of the lungs.

Chest

Oppression of the chest, asthma, sometimes painful. ─ Feeling of suffocation, with severe pains in the chest. ─ Great oppression and constriction of the chest. ─ Sharp pains in the chest. ─ Aching in r. side of chest. ─ Lancinations in the l. side, below inferior cartilage of sternum or thereabout, in the chest, on breathing deeply.

Heart

Pains and pressure in the region of the heart. ─ Palpitations of the heart. ─ Irregular movements of the heart; feeble action of the heart. ─ (Angina pectoris; sudden outcry; long fainting spells; suffocation with torturing pains in chest; irregular, feeble heart-movements.)

Generalities

Speedy failing and weakness of the limbs, esp. of the thighs; extreme weakness and weariness; nervous weakness. ─ Spasms; spasms at the back; spasms of face and jaws; convulsions. ─ Paralysis of inferior extremities, afterwards of the upper ones; loss of sensation, then stiffness of the parts; trembling and staggering, immobility, insensibility; stiffness of the body. ─ Cataleptic attacks; great flexibility of the limbs; pulsations of the heart become slower, weaker, less appreciable, until lethargy supervenes; diminution of vital heat. ─ Muscles of back and face principally affected. ─ Activity of the senses stimulated; internal feeling of ease; gentle languor with sensation of agreeable weariness. ─ Dulness of the senses, and insensibility to external influences; disappearance of all pain; insensibility; loss of consciousness; wandering of the senses; shivering and lassitude.

Skin

Itching in various places, esp. between the chin and lips. ─ Small red pustules on hip; burning itching vesicles on upper extremities, and neck. ─ Dryness of the skin. ─ General pallor with a bluish tint. ─ Varicose ulcers on legs.

Sleep

Frequent yawning, sometimes with shuddering and spasm of the skin. ─ Drowsiness, sometimes uncontrollable, or else after a meal; heavy sleep in the morning; continued inclination to sleep; coma vigil; somnolency. ─ Wakefulness; to sleep is difficult, almost impossible; frequent awakening. ─ Lively dreams, without connection; anxious, disquieting dreams, dreams of death.

Fever

Chilliness; frequent shudderings, esp. after midnight or in the morning; shivering, with yawning or with thirst. ─ Coldness of the limbs; sensation of cold internally and externally. ─ Coldness within and without. ─ Fever, shivering, afterwards burning heat; heat in the head, with coldness of the extremities, heat and sweat over the whole body, in the afternoon; general febrile agitation, with intense excitement; heat, at intervals, and irregular motion of the heart. ─ During the shivering, giddiness and vertigo; during the shudderings, mist before the sight.

The Guiding Symptoms of Our Materia Medica

Constantine Hering · The Guiding Symptoms of Our Materia Medica · 1879–91

Mind

Inability to think.
Vexed mood, despondency, oppression.
Could not remain in middle of road when he saw a vehicle approaching him even at a considerable distance, but was forced, as it were against his will, to stand aside without waiting for it to come nearer. (After recovering from poisoning).
(OBS :) Insanity, when there is much excitement present, as shown in gesture or speech.
Hysteria. See Chap. 36 .

Sensorium

Loss of consciousness.
Dizziness with feeling of intoxication.
Sudden feeling as though everything about him moved slowly ; dizzy without reeling ; slight pressure left side of occiput over left half of head to frontal region.
Vertigo with reeling ; with headache.
Insufficiency of arterial contraction, with frequent headaches, stupefaction and falling down ; cloudiness of senses, objects seem to move ; he sees through a gauze ; is scarcely able to keep on his feet after raising head when stooping, or rising from one's seat, < in
open air.

Inner head

Pressure from vertex towards forehead on both sides and to orbits where it became fixed, while from occiput it extended down nape of neck ; it caused confusion of head.
Violent pressure in occiput and forehead, < right side ; pressure soon leaves, but confusion lasts.
Headache with giddiness.
Stupefying headache.
Pricking in various parts of head.
Sudden and desperate cases of cerebro-spinal meningitis ; insensibility, with protruded, half open eyes ; dilated, immovable pupils, with blindness ; roaring and deafness in ears ; distorted, bloated and bluish face ; tongue paralyzed and
protruded ; loss of speech ; retention of or involuntary urine and stool ; rattling, slow respiration ; irregular, feeble beating of heart ; general coldness with heat in head.
Sudden cerebral congestion, with profound coma ; preceded by vertigo, weight and great pain in back of head.

Sight and eyes

Open eyes, with fixed eyeballs.
Distorted, half open eyes.
Dimness of sight ; gauze before eyes.
Pupils dilated, immovable, insensible to light ; paralysis of lids ; protrusion of eyes.

Hearing and ears

Roaring and buzzing in ears ; hardness of hearing.

Smell and nose

Dryness of nose.
Stinging high up in nose, discharge of disorganized, greenish brown looking fetid pieces of hardened mucus.
Enlarged, bluish wings of nose.

Upper face

Sallow and gray complexion.
Pale, bluish face, looks old.
Face bloated ; distorted.
Sudden supraorbital neuralgia, with much flushing of same side of face.

Lower face

Pale, bluish lips.
Distortion of corners of mouth.
Jaws firmly clenched in rigid spasm.
Froth at mouth.

Taste, speech, tongue

Taste acrid, sweet or fetid.
Tongue coated white.
Lameness and stiffness of tongue.
Cold feeling of tongue.
Burning on tip of tongue.

Inner mouth

Increased secretion of saliva.

Palate and throat

Scraping sensation in throat, followed by secretion of mucus in bronchia.
Heat and inflammation of throat.
Drink which is swallowed rolls audibly down throat, as though it were poured into an empty barrel.
Spasm in pharynx and œsophagus.
Paralysis of œsophagus.

Appetite, thirst. desires, aversions

Absence of thirst, with heat of whole body, or violent thirst.

Eating and drinking

Gurgling noise on drinking, like fluid running into a barrel.

Hiccough, belching, nausea and vomiting

Vomiting of a black fluid.
Acidity and heartburn.

Scrobiculum and stomach

Anguish in pit of stomach.
Great sinking sensation at epigastrium and stomach.
Spasmodic contraction of stomach.
Fluids enter stomach with gurgling noise.
Gastrodynia.
Attacks of indisposition coming on particularly in evening, about two hours after a delayed dinner ; during attack refuses all food ; intense sourness, sometimes preceded by waterbrash ; loss of flesh and depression of spirits. θ Catarrh
of stomach and small intestines.
Burning pain in region of navel, extending to œsophagus and throat, two or three hours after eating ; loss of appetite ; white coated tongue ; pyrosis ; bitter eructations ; flatulency and constipation ; region of navel sensitive to touch, and upon deep
pressure there is a sensation as of a resistant body ; this condition frequently alternates with hepatic disturbance, which manifests itself by attacks of colic ; there is also present vomiting of food, or of a slimy, bilious matter, < evening and night ; emaciation. θ Chronic
dyspepsia.
Intense gastrodynia and enterodynia, with much flatulence, especially when heart sympathizes with the dyspeptic symptoms.
Dyspepsia dependent upon chronic inflammation of stomach and bowels.
Inflammation of stomach and bowels.

Abdomen and loins

Coldness of abdomen alternating with burning.
Cold feeling in abdomen with stitches.
Enteralgia, with distension of abdomen.
Yellow or brownish spots on abdomen.

Stools and rectum

Involuntary stools, hiccough and great prostration.
Involuntary stool in bed.
Sudden prostration ; long lasting fainting spells resembling apoplectic attacks. θ Cholera Asiatica.
Sudden cessation of all discharges. θ Cholera.
Rapid progress towards asphyxia ; marble coldness of whole body ; pulselessness ; cessation of vomiting and diarrhœa ; hiccough ; paralysis of œsophagus ; when drinking, fluid runs gurgling down the œsophagus ; long fainting spells ;
trismus ; tetanus. θ Cholera.
Last stage of Asiatic cholera, when diarrhœa has ceased and the vomiting has decreased, when there is anguish with pressure on chest, and the patient becomes cold, with gradual extinction of pulse.
Dry cholera.

Urinary organs

Uræmia, action of heart diminished ; pulse accelerated, soft ; stagnation of circulation in heart and lungs ; palpitation, with indescribable anguish and dyspnœa ; depression of sensibility ; first convulsions and afterwards
paralysis ; extreme apathy ; slow moaning breathing ; rattling in trachea ; paralysis of larynx or sudden paralysis of heart. θ Asphyctic form of uræmia.
Retention of urine.
Copious emission of watery urine.
Involuntary urination.

Female sexual organs

Gone or sinking sensation in epigastrium, with frequent hot flashes, at climacteric period.

Voice and larynx. trachea and bronchia

Loss of speech.
Tickling and scraping in larynx and bronchial tubes, with expectoration of yellowish or whitish mucus.
Scraping and burning in larynx.
Sensation as if larynx were swollen.

Respiration

Noisy and agitated breathing.
Rattling, moaning, slow breathing.
Arrest of breathing caused by stitches in larynx.
Tightness in chest, sensation of suffocation.
Feeling of suffocation with torturing pains in chest.
Asthma, especially when the minute bronchial tubes are chiefly involved, with puffy face and feeble action of heart ; or heart's action may be violent.
Periodical asthma, and violent attacks of suffocative, spasmodic cough.
Spasmodic asthma ; asthma Millari.

Cough

Violent paroxysms of cough, or frequent cough excited by a pricking sensation, which begins in larynx and extends down into trachea, followed by dryness of mouth and larynx ; slow, enfeebled and anxious respiration, with much rattling of mucus.
Dry, tickling cough in consumptives, especially if reflex from heart disease.
Nervous cough with dyspnœa.
Whooping cough ; dry, spasmodic, suffocating cough.

Inner chest and lungs

Threatened pulmonary apoplexy.

Heart, pulse and circulation

Heart's action very weak.
Irregular feeble beating of heart.
Heart's action irregular, pulse hardly to be felt.
(OBS :) Palpitation and other functional irregularities of organ, of no very energetic character, whether purely nervous or associated with organic disease.
Sudden outcry ; spasmodic sensations ; long fainting spells ; heart disease with violent palpitations ; feeling of suffocation with torturing pains in chest ; irregularity of motions of heart ; feeble beating of heart. θ Angina.
Pulse sometimes ceases.
Pulselessness ; cold, clammy sweat ; involuntary stools ; staring, fixed look, with dilated pupils ; breathing slow, deep, gasping, difficult and spasmodic, at long intervals ; apparently dead.

Outer chest

Brownish spots on chest and abdomen.

Neck and back

Muscles of back and face are principally affected.

Lower limbs

Varicose ulcers on legs.

Limbs in general

Languor and weakness of limbs.

Rest. position. motion

Lies on bed : with head fixed and thrown backwards, and legs fixed and rigid ; no distinct bend backwards or sideways of trunk and leg.
Lies in an apparently unconscious state, limbs and jaws rigid, forearms flexed on arms, which are firmly pressed on side.
Lies like one dead.
Frequently rises in bed, gazes vacantly about for a minute, then throws herself forcibly upon pillow, or flings herself from one side to the other.
Can scarcely stand : after raising head from stooping ; on rising from one's seat.
Falls down with vertigo.

Nerves

General weakness ; loss of power ; great exhaustion.
Languor and weakness of limbs, especially of thighs.
Long lasting fainting spells.
Nervous exhaustion, the result of overwork and anxiety ; loss of appetite ; circulation languid ; at times is forced to scream out suddenly, she knows not why ; this scream is followed by faintness, sometimes even swooning ; at such times either before or
subsequent to faintness, tightness of chest and acute pain as of spasm of heart ; at times is wakened out of sleep by this scream and the overpowering sensations. θ Nervous dyspepsia.
Lies in an apparently unconscious state, limbs and jaws rigid, forearms flexed on arms, which are firmly pressed to sides ; eyes fixed and drawn somewhat to the right ; eyeballs slightly sensitive to touch ; constant succession of tears roll down cheeks ; beat of
heart very irregular and feeble ; occasionally utters a groan or a sigh, and presses hand forcibly over region of heart, as if suffering pain there ; at these times limbs become more relaxed, and she frequently rises in bed and gazes vacantly about for a minute, then throws herself
forcibly upon pillow, or flings herself from one side of bed to the other ; at times great force has to be exercised to prevent her from injuring herself ; if any means are used to extend the contracted arms, or open clenched teeth, she exerts greater power to prevent it ;
after twenty-four hours this form of attack ceased, and she became very busy packing and folding bedclothes, and placing them carefully under head, or elsewhere about bed, at same time guarding them with watchful eyes, allowing no one to touch or take them ; if this is attempted, she
strikes with her full strength ; seems to notice no person in room, unless they interfere with her plans, but if any one enters, she seizes a pillow or anything within reach, and throws it forcibly at the intruder ; at other times fixes eyes on a particular spot on wall, or on a
picture, or follows an imaginary figure or object with her eyes, as if watching its motions ; frequently talking, laughing loudly, or scolding vehemently ; imagines herself surrounded by many friends, shaking hands with them, and calling them by name as they appear before
her ; she asks no questions and returns no answers ; during this time, which lasted four days, she took no nourishment voluntarily. θ Hysteria.
Anxious feeling and fretfulness ; uneasy confusion of head ; hysterical spasms ; semi-consciousness ; limbs and jaws rigid ; eyes fixed.
Convulsions when muscles of back, face and jaws are principally affected, and the body assumes a bluish tint.
Convulsions complicated with whooping cough.
Infantile convulsions.
Tonic spasms ; catalepsy.
Affects upper spine, especially medulla oblongata ; blueness of surface ; marked trismus, face blue, threatened suffocation ; paralytic weakness quickly developed ; water runs down œsophagus like through a pipe.
Sudden complete loss of consciousness and sensation ; extreme coma for several hours, only interrupted by occasional sudden convulsive movements ; confusion of head and vertigo ; jaws clenched, teeth firmly set, froth at mouth, forming large bubbles ; unable to
swallow ; involuntary discharge of urine and feces ; upper extremities contracted and hands clenched ; unusual stiffness of legs ; spasms commencing in toes, followed by distortion of eyes, towards right and upwards, afterwards general spasms ; distortion of limbs
and frightful distortion of face ; trunk spasmodically bent forward ; great exhaustion, prostration and aversion to all work, mental or physical.
Sudden epileptiform seizures coming on about every three months, lasting for two or three weeks and leaving him completely prostrated ; falls down with vertigo accompanied by vomiting of food ; lies like one dead ; in some attacks the patient remains about for several
days, in which case he vomits quantities of green fetid fluid, accompanied by green motions from bowels ; during attacks can drink, but cannot eat ; lies in a drowsy, semi-comatose state, at times being plunged into convulsions, during which he grinds his teeth.
Epileptic form of hysteria.
Tetanic grin ; jaws firmly fixed ; masseters hard ; lies on bed with head fixed and thrown backwards, and legs fixed and rigid ; no distinct bend backwards or sideways of trunk and legs ; abdominal muscles firmly contracted and hard as a board, severe spasms of
all muscles, during which breathing becomes hurried and labored, < at night, when dropping off to sleep ; feels on verge of suffocation ; can hardly be kept in bed ; paroxysms come on without any apparent provocation and leave him prostrate with exhaustion and
apprehension ; dreads their approach, and cannot sleep for fear of these attacks seizing him just as he closes his eyes ; has not slept for several days ; fluids can be swallowed when poured into mouth, but the act is painful and difficult ; pulse 80 ; constipated. θ Traumatic
tetanus.
Cyanotic appearance ; cold ; heart beats slower and slower, until it almost ceases, then suddenly rises in frequency, with each return of spasms. θ Tetanus.
Traumatic tetanus.
Tetanic convulsions during course of diarrhœa and dysentery.
General coldness, long lasting syncope ; anguish and pressure on chest ; hiccough ; rattling, moaning, slow breathing ; distorted features ; pupils dilated ; eyelids paralyzed ; filiform pulse. θ Shock.
Darting pains ; inability to think ; feeling of approaching paralysis ; unsteadiness of gait.
Loss of sensation in limbs, with stiffness of same.
Staggering and trembling ; immobility ; insensibility ; stiffness of body.
Paralysis first of lower, then of upper limbs.
Paralysis of left side ; could recognize persons, but was unable to speak ; intermittent pulse and heartbeat ; fingers cold ; nose pinched, eyes turned up. θ Hemiplegia.
Diseases of cerebro-spinal system that come on with great suddenness and severity ; mind depressed and very irritable.

Sleep

Irresistible, constant drowsiness.
Prolonged sleeplessness, or very heavy sleep ; fear and great anxiety.

Time

For several hours : extreme coma.
Two or three hours after eating : burning pain in region of navel, extending to œsophagus and throat.
For several days : in some attacks the sickness remains ; has not slept.
Evening : attacks of indisposition ; two hours after delayed dinner ; vomiting of food or slimy, bilious matter <.
Night : vomiting of food or slimy, bilious matter ; severe spasms of all muscles, during which breathing becomes hurried and labored <.

Temperature and weather

Open air : vertigo <.

Fever

Coldness within and without, like marble.
Cold extremities.
Heat in head with coldness of extremities.
Heat and perspiration over whole body.
Body covered with sweat.
Scarlatina, when the eruption in its early appearance is dark colored and soon becomes livid, only slowly regaining its color when this is expelled by pressure of finger ; rapid, feeble pulse ; coma and great prostration.
Bad cases of small-pox.

Attacks, periodicity

Attacks last four days.
At times : is forced to scream out suddenly, she knows not why ; tightness of chest ; acute pain at heart ; is awakened out of sleep by this scream ; plunges in convulsions.
About every month : sudden epileptiform seizures lasting for two or three weeks.

Locality and direction

Right : side of head violent pressure.
Left : slight pressure of occiput over left half of head to frontal region, paralysis of side.
Towards right and upwards : distortion of eyes.

Sensations

As though everything about him moved slowly ; as if drink was poured down throat like an empty barrel ; as if a resistant body in region of navel ; as if larynx was swollen.
Torturing pains : in chest.
Acute pain : of heart.
Great pain : in back of head.
Darting pains : general.
Stitches : in abdomen ; in larynx.
Anguish : in pit of stomach ; in chest.
Stupefying headache.
Supraorbital neuralgia.
Stinging : high up in nose.
Burning pain : in region of navel.
Burning : on tip of tongue ; on larynx.
Scraping sensation : in throat ; in larynx ; in bronchial tubes.
Pricking sensation : from larynx to trachea.
Pricking : in various parts of head.
Tickling : in larynx.
Violent pressure : in occiput and forehead.
Slight pressure : left side of occiput over left half of head to frontal region ; from vertex towards forehead on both sides and to orbits, where it became fixed, while from occiput it extended down nape of neck.
Heat : in head ; in throat.
Confusion : of head.
Gone sensation : in epigastrium.
Weight : in back of head.
Tightness : in chest.
Stiffness : of tongue ; of legs.
Lameness : of tongue.
Weakness : of limbs.
Dryness : of nose ; of mouth ; of larynx.
Roaring and deafness : in ears.
Buzzing : in ears.
Coldness : in body.
Cold feeling : of tongue ; of abdomen.

Tissues

Acts upon cerebral veins, producing congestion ; secondarily upon heart, nerves, etc.

Touch. passive motion. injuries

Touch : region of navel sensitive ; eyeballs slightly sensitive.
Pressure of finger : scarlatina, when eruption, in its early appearance, is dark colored and soon becomes livid, only slowly regaining its color when this is expelled by pressure of finger.

Skin

Paleness with a blue tinge.
Dryness of skin.
Itching ; formication ; erythema.

Stage of life, constitution

Boy, æt. 3 ; epileptiform seizure.
Joiner, æt. 20, after scalding legs ; traumatic tetanus.
Married woman, æt. 23, after undergoing the most heroic treatment, even to trephining, two months after abortion ; hysteria.
Woman, æt. 30, drawing teacher ; nervous exhaustion.
Man, æt. 39, bilious temperament, dark complexioned, married ; catarrh of stomach and small intestines.
Woman, æt. 80 ; hemiplegia (benefited).

Relations

Antidoted by : Ammonia, Camphor., Coffea, Ipec., Nux vom., Opium, Verat. viride .
Compare : Camphor . (first stage of cholera) ; Acon., Cicuta (action on spinal cord) ; Œnanthe crocata (in epilepsy).