Arsenicum

(From vol. ii, 3^rd edit., 1833.)

(The semi-oxyde of metallic arsenic in diluted solution)

As I write down the word Arsenic, consideration the most momentous throng upon my mind.

When the beneficient Creator made iron he no doubt permitted the children of men to fashion it either into the murderous dagger or gentle ploughshare wherewith to kill or to feed their fellow-creatures. How much happier would they be did the employ His gifts only for the purpose of doing good! This should be aim of their life; this was His desire.

It is not to Him, the All-loving, we can impute the wickedness practised by men, who have misemployed the wonderfully powerful medicinal substances in enormous doses in diseases for which they are not suitable, guided only by frivolous ideas or some paltry authority, without having subjected them to any careful trial, and without any substantial reason for their choice.

If a careful tester of the uses of medicines and of their doses arise, they inveigh against him as an enemy to their comfort, and do not refrain from aspersing him with the vilest calumines.

The ordinary medical art has hitherto employed, in large and frequently repeated doses, the most powerful drugs, such as arsenic, nitrate of silver, corrosive sublimate, aconite, belladonna, digitalis, opium, hyoscyamus, & c. Homoeopathy can not employ stronger substances, for there are none stronger. When physicians of the ordinary stamp employ them, they evidently vie with another who shall prescribe the largest possible doses of these drugs, and make a great boast of increasing these doses to such enormous extremes. This practice they laud and recommend to their fellow practitioners. But if the homoeopathic medical art employ the same drugs, not at random, like the ordinary method, but after careful investigation, only in suitable cases and in the smallest possible doses, it is denounced as a practice of poisoning . How prejudiced, how injust, how calumnious is such a charge made by persons who make pretensions to honesty and rectitude!

If Homoeopathy now make a fuller explanation – if she condemn ( as from conviction she must) the monstrous doses of those drugs employed in ordinary practice – and if she, relying on careful trials, insist that very much less of them should be given for a dose, that where ordinary practitioners give a tenth, a half, a whole grain, and even several grains, often only a quadrillionth, a sextillointh, a decillionth of a grain is required and sufficient, then see the adherents of the ordinary school who denounce the homoeopathic healing art as a system of poisoning, see how they laugh aloud at what they call childishness, and declare themselves convinced (convinced without trial?) that such a small quantity can do nothin at all, and can have no effect whatever-is, indeed just the same as nothing. They are not ashamed thus to blow hot and cold from the same mouth, and to pronounce the very same thing to be inert and luidicrously small which they had just accused of being a system of poisoning, whilst they justify and praise their own monstrous and murderous doses of the same medicines. Is not this the grossest and most wretched inconsistency that can be imagined, perpetrated for the purpose of being shamelessly unjust towards a doctrine which they cannot deny possesses truth and consistency, which is borne out by experience, and which enjoins the most delicate cautiousness and the most unwearied circumspection in the selection and administration of its remedies?

Not very long ago a highly celebrated physician (MARCUS, of Bamberg) spoke of pounds of opium being consumed every month in his hospital, where even the nurses were allowed to give it to the patients according to their fancy . Opium, mind! A drug that has sent many thousands of persons to their graves in ordinary practice! Yet this man continued to be held in honour, for he belonged to the dominant clique to which everything is lawful, even if it be of the most enlightened cities ( To what a low depth of degradation as an art must not medicine have sunk in this quarter of the globe when such a state of things could exist in a city like Berlin, which yet in all other departments of human knowledge has scarcely an equal!) of Europe, every practitioner, from the betitled physician down to the barber’s apprentice, prescribed arsenic as a fashionable remedy in almost every disease and that in such frequent and large doses, one after the other, that the detriment to the health of the people must have been quite palpable; yet this was held to be honourable practice, though not one of them was acquainted with the peculiar effects of this metallic oxyde (and consequently knew not what cases of disease it was suited for.) And yet all prescribed it in repeated doses, a single one of which, sufficiently attenuated and potentized. Would have sufficed to cure all the diseases in the whole habitable world for which this drug is the suitable remedy. Which of these two opposite modes of employing medicines best deserves the flattering appellation of “system of poisoning”- the ordinary method just alluded to, which attacks with tenth of grains the poor patients (who often require some quite different remedy), or homoeopathy, which does not give even a droplet of tincture of the rhuburb is the most suitable, the only appropriate remedy for the case – homoeopathy, which, by unwearied multiplied experiments, discovered that it is only in rare cases that more than a decillionth of a grain of arsenic should be given, and that only in cases where careful proving shows this medicine to be the only one perfectly suitable? To which of these two modes of practice does the title of honour, “thoughtless, rash system of poisoning” best apply?

There is yet another sect of practitioners who mey be called hypocritical purists . If they are practical physicians they, indeed, prescribe all sorts of sustanses thath are injuious when misused, but before the world they wish to pose as patterns of innocence and caution. From their professional chairs and in their writings they give the most alarming definition of poison, so that to listen to their declammations it would appear unadvisable to treat any imaginable disease with anything stronger than quick-grass, dandelion oxymal, and raspberry juice. According to their account poisons are absolutely (i. e. under all circumstances, in all doses, in all cases) prejudicial to human life,an in this category they include, as suits their humour, a lot of substances which in all ages have been extensively employed by physicians for the cure of the diseases. But the employment of these substances would be a criminal offence had not every one of them occasionally proved of use. If, however, each of them had only been of use on one single occasion – and it can not be denied that this sometimes happened – then this definition, besides being blasphemous, is a palpable absurdity. Absolutely and under all circumstances injuriuos and destructive, and at the same time beneficial, is a self-evident contradiction, utter nonsence. They seek to wriggle out of this contradictory assertion by alleging that these substances have more frequently proved injurious than useful. But, let me ask, did the injury si frequently caused by these things come of itself, or did it not come from their improper employment? In other words, was it not caused by those more physicians who made an unskilful use of them in diseases for which they were unsuitable? These medicines do not administer themselves in diseases; they must be administered by somebody, and if ever they were benificial that was because they happened to be given appropiately by somebody; it was because they might always be beneficial if nobody ever employed them otherwise than appropiately. Hence it follows that whenever these substances were hurtful and destructive, they were so only on account of having been inappropiately employed. Therefore, all the injury they did is attributable to the unskilfulness of their employer.

These narrow-minded individuals further allege, “that even when we ato tame arsenic by means of a corrective, e.g. by mixing it with an alkali, it still often does harm enough.”

Nay, I reply, the arsenic must be blamed for this; for, as I before observed, drugs do not administer themselves, somebody administers them and does harm with them . And how does the alkali act as a corrective? Does it merely make the arsenic weaker, or does it alter its nature and convert it into something else? In the latter case the neutral arsenical salt produced is no longer arsenic proper, but something different . If, however, it be merely made weaker, then a simple diminution of the dose of the pure solution of arsenic would be a much more sensible and effectual mode of making it weaker and milder than leaving the dose in its hurtful magnitude, and by the addition of another medicinal substance endeavouring to effect some, but nobody knows what, alteration in its nature, as takes place when a pretended corrective is used. If you think a tenth of a grain of arsenic too strong a dose, what is to prevent you diluting the solution and giving less, a great deal less of it?

“ A thenth of a grain,” I hear some one say, “is the smallest quantity the etiquette of the profession allows us to prescribe. Who could write a prescription to be made up at the apothecary’s shop for a smaller quantity without rendering himself ridiculous?”

Oh, indeed! A tenth of a grain sometimes acts so violently as to endanger life, and the etiquette of your clique does not permit you to give less- very much less. Is it not an insult to common sense to talk in this way? Is the etipuette of the profession of the code of rules to bind a set of senseless slaves, or are you men of free will and intelligence? If the latter, what is it that hinders you to give a smaller quantity when a large quantity might be hurtful ? Obstinacy? The dogmatism of a school? Or what other intellecual fetters?

“ Arsenic,” they protest, “would still be hurtful, though given in much smaller quantity, even if we were to descend to the ridiculous dose of a hundredth or a thousandth of a grain, a minuteness of dose unheard of in the posological maxims of our materia medica . Even a thousandth of a grain of the arsenic must still be hurtful and destructive, for it always remains an incontrollable poison. So we affirm, maintain, conjecture, and assert.”

What if with all this complacement asserting and conjecturing you have for once blundered upon the truth . It is evident that the virulence of the arsenic cannot oncrease, but must decrease as the dose is reduced, so that we must at length arrive at such a dilution of the solution and diminution of the dose as no longer possesses the dangerous character of your regulation dose of a tenth of a grain.

“ Such a dose would, indeed, be a novelty! What kind of dose it would be?”

Novelty is, indeed, a capital crime in the eyes of orthodox school, which, settled down upon her old lees, subjects the reason to the tyranny of antiquated routine.

But why should a pitiful rule – why, indeed, should anything – hinder the physician, who ought by rights to be a learned, thinking, independent man, a controller of nature in his own domain, from rendering a dangerous does mild by diminishing its size?

What should hinder him, if experience should show him that the thousandth part of a grain is too strong a dose, from giving the hundred-thousandth part or the millionth of a grain ? And should he find this last act too violently in many cases, as in medicine all depends on observation and experience (medicine being nothing but a science of experience), what should hinder him from reducing the millionth to a billionth? And if this prove too strong a dose in many cases who could prevent him diminishing it to the quadrillionth of a grain, or smaller still?

Methinks I hear vulgar stolidity croak out from the quagmire of its thousand-year-old prejudices: “Ha ! ha ! ha ! A quadriollionth! Why, that’s nothing at all!”

How so? Can the subdivision of a substance, be it carried ever so far, bring forth anything else than portions of the whole ? Must not these portions, reduced in size to the very verge of infinity, still continue to be something, something substantial, a part of the whole, be it ever so minute? What man in his senses could deny this?

And if this (quadrillionth, quintillionth, octillionth, decllionth) continue still to be really an integral portion of the divided substance, as no man in his senses can deny, why should even such a minute portion, seeing that it is really something, be incapable of acting, considering that the whole was tremendously powerful? But what and how much this small quantity can do can be determined by no speculative reasoning or unreasoning, but by experience alone, from which there is no appeal in the domain of facts . It belongs to experience alone to determine if this small portion has become too weak, to remove the disease for which this medicine is otherwise suitable, and to restore the patient to health. This is a matter to be settled not by the dogmatic assertion of the student at his desk, but by experience alone, which is the only competent arbiter in such cases.

Experience has already decided the question, and is seen to do so daily by every unprejudiced person.

But when I have finished with the wiseacre, who, never consulting experience, ridicules the small dose of homoeopathy as a nonentity, as utterly powerless, I hear on the other side the hypocritical stickler for caution still inveigh against the danger of the small doses used in homoepathic practice, without a shadow of proof for his reckless assertion .

A few words here for such persons.

If arsenic in the dose of a tenth of a grain be, in many cases, a dangerous medicine, must it not be milder in the dose of a thousandth of a grain? And, if so, must it not become still milder with every further diminution of the size of the dose?

Now, if arsenic (like every other very powerful medicinal substance) can be merely diminishing the size of the doses, be nut rendered so mild as to be no longer dangerous to life, then all we have to do is merely to find by experiment how far the size of the dose must be diminished, so that it shall be must enough to do no harm, and yet large enough to do no harm, and yet large enough to effect its full efficacy as a remedy of the diseases for which it is suitable.

Experience, and that alone, not the pedantry of the study, not the narow-minded, ignorant, unpractical dogmatism of the schools, can decide what dose of such an extremely powerful substance as arsenic is, so small as to be capable of being ingested without danger, and yet of remaining sufficiently powerful to be able to effect in diseases all that this medicine (so invaluable when sufficiently moderated in its action, and selected for suitable cases of disease) was from its nature ordained to do by benificient Creator. It must, by dilution of its solution and diminution of the dose, be rendered so mild that while the strongest man can be freed by such a dose from a disease for which it is the appropriate remedy, this same dose shall be incapable of effecting any perceptible alteration in the health of a healthy infant. (A medicine homoeopathy chosen, that is to say, a medicine capable of producing a morbid condition very similar to that of the disease to be cured, affects only the diseased part of the organism, therefore just the most irritated, extremely sensitive part of it. Therefore its dose must be so small as only to affect the diseased part just a little more than the disease itself did. For thus the smallest dose suffices, one so small as to be incapable of altering the health of a healthy person, who has naturally no points of contact sufficiently sensitive for this medicine, or of making him ill, which only large doses of medicine can do. See Organon of Medicine, § 277-279, and Spirit of the Homoeopathic Medical Doctrine, at the beginning of this volume.)This is the grand problem that can only be solved by oft-repeated experiments and trials, but not settled by the sophistical dogmatism of theschools with its guesses, its assertions, and its conjectures.

No rational physician can acknowledge any such limitations to his mode of treatment as the rusty routine of the schools - which is never guided by pure experiment combined with reflection – would dictate to him. His sphere of action is the restoration to health of the sick, and the countless potent forced of the world are freely given to him by the Sustainer of life as implements of healing; nought is with-held. To him whose calling it is to vanquish the disease that brings its victim to the verge of corporal annihilation, and effect a kind of recreation of life ( a nobler work than most other, even the most vaunted performances of mankind), to him the whole broad expanse of nature, with all her curative powers, and agents, must be available, in order to enable him to perform this creative act, if we may so call it . But he must be at liberty to employ these agents in the exact quantity, be it ever so small or ever so large, that experience and trials show him to be most adapted to the end he has in view; in any form whatever that reflection and experience has proved to be most serviceable. All this he must be able to do without any limitation whaysoever, as is the right of a free man, of a deliverer of his fellow creatures, and a life – restorer, equipped with all the knowledge pertaining to his art, and endowed with a god-like spirit and the tenderest conscience.

From this God-serving and noblest of all earthly occupation let all hold aloof who are deficient in mind, in the judicial spirit, in any of the branches of knowledge required for its exercise, or in tender regard for the weal of mankind, and a sense of his duty to humanity, in one word who are deficient in true virtue! Away with that unhallowed crew who merely assume the outward semblance of health – restorers, but whose heads are crammed full of vain deceit, whose hearts are stuffed with wicked frivolity, whose tongues make a mock of truth, and whose hands prepare disaster!

The following observations are the result of doses of various strengths on persons of various sensitiveness.

For curative purposes, according to the homeopathic method, doses of very high delution have been found, by innumerable experiments, to be amply sufficient. The dose of the smallest part of a drop containingthe decillionth of a grain of white arsenic usually suffices for the cure. In order to prepare this dose, one grain of white arsenic reduced to powder is rubbed up with thirty – three grains of powdered milk – sugar in a porcelain mortar (unglazed) with an unglazed pestle for six minutes, the triturated contents of the mortar scraped for four minutes with a porcelain spatula, then rubbed a second time, without any addition to it, for six minutes, and again scraped for four minutes. To this thirty - three grains of milk – sugar are now added, triturated for six minutes, and after another four minutes of scraping, six minutes of triturating, and again four minutes of scraping, the last thirty – three grains of milk – sugar are added, triturated for six minutes, scraped for four minutes, again triturated for six minutes, whereby, after a last scraping, a power is produced which, in every grain, contains 1/100^th of a grain of uniformly potentised arsenic. A grain of this powder is, in a similar way, with three time thirty – three grains of fresh milk – sugar, in one hour (thirty – six minutes of triturating, twenty – four of scrapin (After this operation the mortar, together with the pestle and the percelain spatula, after being wiped with a dry cloth, should be rinsed three times with boiling water, between each rinsing rubbed dry with blotting paper, then gradually heated over a charcoal – fire to a red heat, in order that these articles mey be as good as new for future trituration of medicines.) ), brought into the state of a potntised pulverulent attenuation, one hundred times more diluted. Of this one grain (containing 1/10000^th of a grain of arsenic) is rubbed up for a third hour in a similar manner with ninety – nine grains of milk – sigar; this represents a pulverulent arsenic dilution of yhe million – fold degree of potency . One grain of this is dissolved in 100 drops of diluted alcohol(in the proportion of equal parts of water and alcohol) and shaken with two successions of the arm ( the phial by means of twenty – six more phials (always one drop from the previous phial added to ninety – nine drops of alcohol of the next phial, and then successed twice, before taking one drop of this and dropping it into the next phial), furnishes the required potency, the decillionth (X) development of power of arsenic.

In order to prepare this highly potentised medicine for administration about ten grains of the smallest globules, made of starch and canesugar, such as confectioners use for sprinkling (300 to the grain), are to be placed in a small round porcelain capsule, and six to eight drops of this spirituous liquid dropped on them, and stirred with a wood chip in order that the globules may be equally miostened. Then all are to be turned out on a piece of paper and spread out, and when quite dry kept in a corked phial with the name of the medicine on it.

It is much better to make a quantity of globules so saturated with the tincture for dispensing purposes than to moisten one globule every time it is required, for by this process the phial must be frequently inclined on one side, which causes it to become more highly potentised, almost as much as repeated shaking would do.

Such a globule is a sufficient dose for administration in every case of disease for which arsenic is appropriate, This dose may, if necesssary, be repeated at suitable intervals, in spite of the circumstance that its action lasts for several days.

In a similar manner are moistened and kept in store the globules the size of a mustard seed (twenty of which weigh a grain), each one of which, kept in a well – corked little phial, is sufficient for olfaction.

This is a mode of administering medicine which more recent very extensive experience teaches is greatly to be preferred in most cases to any administration of small globules by the mouth for the homoeopathic cure of all chronic as well as acute diseases, But this is not the place to give the reason why this is so.

A sensible homoepathic physician will not give this remedy, even in such a minute dose, unless he is convinced that its peculiar symptoms have the greatest possible resemblance to those of the disease to be cured. When this is the case it is to certain to be efficacious.

But if, owing to human fallibility, the selection has not been quite appropriate, one, two, or several olfactions of ipecacuanha hepar sulphuris, or nux vomica, according to the circumstances, will remove the bad effects.

Such an employment of arsenic has shown its curative power in countless diseased states; among the rest, in several kinds of quotidian fevers and agues of a peculiar kind; in varicose veins; in stitches in the sternum; vomiting after almost every article of food : excessive loss of blood at the menstrual period, and other disorders in connexion with that function; in constipation; in acrid leukorrhea and excoriation caused thereby; in induration of the liver; oppression of the chest when going up hill; fetid smell from the mouth; bleeding of the gums; haemoptysis; aching in the sternum; gastralgia; drawing shooting here and there in the face; drowsiness in the evening; shivering in the evening and stertching of the limbs, with timorous restlessness; difficulty of falling asleep and waking up at night; weariness in the feet; bruised pain in the knee – joint; itching tetters on the knee; pain in the ball of the big toe; as if excoriated, when walking; old ulcers on the legs,with (burning and) shooting pain; tearing shooting in the hip, groin, and thigh; nocturnal drawing tearing from the elbow to the shoulder; painful swelling of the inguinal glands, &c.

(The subject of poisoning with large doses of arsenic would be out of place here. It is to be relieved as much as possible by giving carbonatof potash shaken up in oil, by a solution of hepar sulphuris, and by copious draughts of rich milk; but the complete removal of the remaining nervous symptoms must be effected by other remedies appropriate to them.)

[HAHNEMANN was aided in this proving by:- BAEHR, GROSS, FR. HAHNEMANN. HORNBURG, LANGHAMMER, STAPF.

The following authorities are quoted for the effects of the drug:

ALBERTI, Jurisprud. Med. tom. i. ii. iii. iv. AMATUS LUSITANUS, Cent. ii.

APONO, PET. DE. De Venenis; in Schenck, lib. vii.

BAYLIES, in Samml br. Abh. f. pr. Aerzte, vii.

BERNHARDI, Annalen der Heilkunst. 1811.

BONETUS, Sepuler. Anat., sect. x.

BORELLUS, Hist. Et Observ. Cent. iii.

BORGES, Kopp’s Jahrb. d. Staatsarzn., ii.

BICHHOLZ, Beitr. z. ger. Arzn., iv.; Hufel. Journ., v.

BUTTNER, Unterricht uber die Todlishkeit der Wunde.

CARDANUS, De Venenis, i. iii. 1563.

CRUGER, Dan., Misc. Nat. Cur., Dec. ii.

D. H. in Kopp’s Jahrb. d. Staatzarzn., ii.

DEGNER, J. K., Act. Nat. Cur., vi.

DEGRANGE. Phys. Med. Journ., 1800. April.

EBERS, Hufel. Journ. F. pr. Arz. 1813, Sept., Oct. Eph. Nat. Cur., cent. x, app.

FELDMANN, in Commerc, Lit. Nor., 1743.

FERNELUIS, Therapeut., lib. vi.

FORESTUS, P., lib. xvii and xviii.

FOWLER, TH., Med. Rep. Of Effects of Arsenicum Cure of Agues. London, 1787.

FRIEDRICH, in Hufel. Journ. F. pr. Arz., v.

GABEZIUS.

GERBITZ, in Eph. Nat. Cur., Dec. iii. Ann. 5, 6.

GORITZ, in Bresl. Samml., 1728.

GREISELIUS, J. G., in Misc. Nat. Cur., Dec. 1, ann. 2

GRIMM, G. C., in Misc. Nat. Cur., Dec. iii.

GUILBERT, Med. – Chir. Wahrnehm., vol. iv. Altenb.

GULDENKLEE, TIMAEUS A, Cas. Medic., Lips., 1662; Opp., Lips., 1715.

HAMMER, J. D., in common, Lit. Norimb., 1738.

HARGENS, in Hufel. Journ. f. pr. Arz. ix. Hartlaub und Trinks’ R. A. M. iii.

HARTMANN, Diss. Aethiop. Antim. Et Arsenicalis.

HALLE, 1759.

HEIMREICH, Arsen. als Frebermitt.: in Act. Nat. Cur. ii.

HEINZE, in Ebers. l. c.

HENKEL, in Act. Nat. Cur. ii.

HENNING, in Hufel. Journ. f. pr. Arz., x.

HEUN, in Allgem. Med. Annal., 1805, Feby.

HUBER, in N. Act. Nat. Cur., iii.

ISENFLAMM- STEIMMIG, Diss. De Remed. Suspect. Et venen., Erlangen, 1767.

JACOBI, JOH, in Act. Nat. Cur., vi.

JENNER, J. C., in Simon’s Samml. d. neuest. Beobacht f. d. Jahr 1788, Erf., 179.

JUSTAMOND, On cancerous disorders, London, 1750.

KAISER, C. L. in Henke’s Zeitsch f. d. Staatsarz, vii. Pt. 3.

KELLNER, in BRESL. Samml., 1727.

KNAPE, Annalen d. Staatarzn., i.

KOPP, Jahrb. d. Staararzn., ii.

LABORDE, Jour. de Medicine, lxx.

LOW, in Sydenham’s Opera II.

MAJAULT, in Samml. br. Abhandl. F. pr. Aerzte, viii.

MARCUS, A. F., Ephem. D. Heilk., heft iii. Med. Nat. Zeit., 1798. Sept. Misc. Nat. Cur., Dec iii, ann. 9, 10.

MONTANUS, J. B., in Schenck, lib. 7.

MORGAGNI, De Sed. Et Caus. Morb., lix.

MUELLER, J. MAT., in Eph. Nat. Cur., cent. v.

MYRRHEN, A., Misc. Nat. Cur., dec. iii, ann. 9, 10. Neue Med. – Chir. Wahrnehm., vol. 1, Altenb., 1778.

PEARSON, in Samml. br. Sbh., f. pr. Aerzte, xiii.

PFANN, Samml. merkw. Falle. Nurb., 1750.

PREUSSIUS, Eph. Nat. Cur., cent. iii.

PLY, Samml., I, v, vi, viii.

QUELMALZ, Commerc. lit. Norimb., 1737, heb. 28.

RAU, TH., Act. Nat. Cur., ix.

RICHARD, A., in Schenck, lib. vii.

SALZBURG Med. –Chir. Zeitung.

SEILER, Progr. De venef. Per Arsen. Viteb.,1806.

SENNERT, Prax. Med., lib. 6.

SIEBOLD, in Hufel. Journ. f. pr. Arz., iv.

STAHL, G. E., Opusc. Chym. Phys. Med.

STOERCK, Med. Jahrg., i.

TACHENIUS, O., Hipp. Chym., c. 24.

THILENIUS, in Richter’s Chir. Bibl., v.

THOMSON, Edinburgh Essays, iv.

VAN EGGERN, Diss. De Vacill. Dentium, Duisb. 1787.

VERZASCH. BERNARD Obs. Med. obs. 66.

VICAT, Observ.

WEDEL. G. W., Diss. De Arsen., Jen., 1719.

WOLFF, J. PH., Act. Nat. Cur., v.

The 1^st Edit gave 662 symptoms, the 2^nd 948, this 3^rd Edit. 1068. The CHr. Kr. Contains 163 additional symptoms.]

Vertigo, so that she must hold on by something, when she shuts her eyes, every evening. (Therefore recurring after the manner of an intermittent fever. Of such ague – like recurring symptoms, arsenic has several, v. SS. 265, 375, 868. 918.)

Vertigo when sitting.

Vertigo (aft. 12 h.) . [THOMPSON ( Poisoning of woman.) Edinburgh Essays, iv. (From the dust of sulphuret of arsenic .) – SENNERT, (From inhaling realgar.) (This symptom not found.)Prax. Med. lib. 6, p. C. 2. (Vide DR. C. L. KAISER, in Hartlaub and Trinks’ R. A. M. L., vol. I, p. 249(Poisoning of the whole family by A. (Quoted in H. and T. from Henke’s Ztsch., vii. Pt. 3. Amalgamated with pathogenesis in Chronsichen Krankheiten.)

Vertigo causing obscuration of vision. § [A. MYRRHEN, Misc. N. C., Dec. iii. Ann. 91. 10. Obs. 220 (From drawing a solution of A. into the nostrils for coryza.)

5. Giddy in the head. [ALBERTI, Jurisprud. Medic., tom. Ii, pp. 527 – 530.(Cases of poisoning in healthy adults . – This giddiness occurred during vomiting.)

He is attacked with violent vertigo and sickness when lying; he must rise up, in order to diminish it. [Stf.]

Vertigo; when he rises up, his thoughts go away. [Stf.]

Vertigo only when walking, as if he would fall to the right side (aft. 9.1/2 h.) [Lr.]

Vertigo and unconscious stupefaction. [EBERS, in Hufel. Journ., 1813, Octob., p. 8. (EFFECTS of arsenic of potash in ague patients.)]

10. Loss of sensation and consciousness, so that he know not what was going on. [PYL, (Poisoning of adult.) Samml. viii. pp. 98. 105, 108. (KAISER, l. c. Sympt. 5, ‘The distinct self-consciousness vanishes, or is observed in a slight degree.”)]

She lay on the bed completely devoid of sense, mutteres incomprehensible sounds, the eyes staring, cold sweat on the forehead, trembling all over the body, pulse small, hard, and very quick [EBERS, l. c., p. 9. (Ibid., S. 7., “The organs of sense seem to be in abnormal activity.”)

Loss of reason and of the external and internal senses; he did not see, for many days did not speak, did not hear, and understood nothing, and when one roared very loudly into his ears he looked at those around, like a drunken person wakened out of profound sleep. [MYRRHEN, l. c. ]

Delirium reccuring from time to time . [GUILBERT, (Poisoning of adult.) Med. – Chir. Wahrnehm., vol. iv. Alteb. (Ibid., S. 6, “Delirium.”)]

Diminution of memory.

15. Very defective memory for a long time. [MYRRHEN, l. c. ]

His memory leaves him; he is forgetful.

Stupid and weak in the head; towards noon (aft. 30 h.)

When walking in the open air, giddy in the head, which is increased on coming again into the room (aft. ½ h)

Head is confused. [PEARSON, in Samml. br. Abh. f. p. Aerzte, xiii. 4. (Effects of arsenic of potash in an epileptic.)

20. Empty in the head. [Hbg.]

Giddy in the head; he cannot think. [Myr.]

Chronic weakness of mind. (See note to S. 118.) [EBERS, l. c., Sept., p. 48.]

Weak reason. (From suppression of ague by A.). [EBERS, l. c., p. 56.]

From pains she got such a weakness in her head, and became so qualmish and weak in the scrobiculus cordis, that she was very ill.

25. Obtuseness in the head, without pain.

Great confusion of the head, in the evening (3^rd d.).

After sleeping he was very dazed in the head.

(From 11 a.m. until 6 p.m.) headache, is stupid, as if from insufficient sleep.

Internal uneasiness and a stupefaction of the head, such as arises from too hasty performance of an excessive amount of business (aft. 2 d.)

30. Head stupid and empty (like a lantern), as if he had a severe cold and is very cross.

While walking in the open air very stupid and giddy in the head, chiefly in the forehead, as if intoxicated, so that he staggered first to one side and then to the other, and feard to fall every instant (aft. 9.1/2 h.). [Lr.]

Dulness in the head. [BUCHHOLZ, Beitr. z. ger. Arzn. Iv., p. 164.]

Uncommon heaviness in the head with roaring in the ears, which goes off in the open air, but immediately returns when coming again into the room (aft. 16 h.).(Comp. 969.)

Heavy head and empty, so that he cannot easily rise up; he must lie down.

35. Excessive heaviness in the head, especially when standing and sitting. [BUCHHOLZ, l. c. ]

Headache. [G. C. GRIMM, Misc. N. C., Dec. iii, obs. 174.] (Frthe black oxide, in an adult.)

Pains in the head and vertigo for several days. (From the vapour of arsenic.) [G. W. WEDEL, Diss. De Arsen., Jan., 1719, p. 10.] (From arsenical vapours.)

Headache (for some days), which is immediately relieved by the applicationof cold water, on removing which it is worse than before. [VICAT, Observ., p. 197. (From powdering the hair with A.)]

In the morning immediately on rising from bed, a one-sided headache, as if bruised (aft. 12 h.).

40. Semilateral headache. {KNAPE, Annalen d. Staats-Arzn., i. I. (Effects of powdering hair with A) ]

Every afternoon headache for some hours, drawing under the coronal suture.

Uncommon heaviness of the head, as if the brain was pressed down by a weight, with roaring in the ears, in the morning after rising from bed (aft. 24 h.).

(Tearing in the head and at the same time in the right eye.)

Heaviness of the head, with aching pain, in the morning (aft. 72 h.)

45. Aching stupefying headache, especially in the forehead, in every position (aft. 2 h.). [Lr.]

Aching stupefying headache, especially on the right side of the forehead, just above the right eyebrow, which pains as if sore on wrinkling his forehead (aft. 8.1/2 h.). [Lr.]

Aching drawing pain on the right side of the forehead (aft. 2.3/4 h.). [Lr.]

Aching pain on the right temporal region, in all positons (aft. 3 h.). [Lr.]

Aching stitch-like pain on the left temple, which does not go off by touching (aft. 2.1/2 h.). [Lr.]

50. Aching stupefying headache (chiefly on the forehead), with fine stitches on the left temporal region near the outer canthus of the eye when walking and standing, going off when sitting (aft. 2.1/2 h.). [Lr.]

Stitch-like pain on the left temple, which went off by touching (aft. 2.1/2 h.). [Lr.]

As if beaten on the front of the head.

At night (about 2 a.m.), along with an outbreak of perspiration, a hacking (sharp hard beating) in the head, as if it would burst her skull asunder.

On moving, violent throbbing headache in the forehead. [Stf.]

55. In the whole head, especially in the forehead, on rising up in bed, a violent throbbing headache, with sickness. [Stf.]

Throbbing headache in the forehead, just above the root of the nose. (aft. ½ h.)

At noon and midnight, for half an hour, a hammering, like blows of a hammer, in the temples, very painful, after which, for a couple of hours, she is as if paralsed in the body.

A dull throbbing pain in one half of the head, to above the eye.

Pain above the nose and in the forehead, as if sore or bruised, which goes off for instants by external rubbing.

60. Periodical headache. [TH. RAU, N. C., ix., obs. 37. (From application of A. to the scalp.) ]

Horrible headache. [JOH. JACOBI, Acta N. C., vi, obs. 62. (From suppression of ague by A. in a young man.) –RAU, l. c. – (aft. 6, 7 d.) KNAPE, l. c.]

Headache in occiput.

Tearing shooting in the left temple.

Tearing pains in the occiput. [Bhr.]

65. A small boil on the left side of the forehead, with smarting pain, for eight days. (aft. 24 h.). [fr. H-n]

On moving he feels as if the brain moved and struck against the skull internally.

Transient, squeezing headache above the eyes.

Headache as if stretched.

A headache acompounded of weight and tearing, with sleepy exhaustion by day (aft. 4 d.).

70. Clicking sensation in the head above the ears, while walking.

The scalp pains as if the head when touched.

Extrenal headache as if bruised, which is aggravated ny touch (aft. 3 h.).

Touching the hair of the head causes pain.

Formication on the integuments of the occiput, as if the roots of the hair moved (aft. 1 h.)

75. Contractive pain in the head.

( Throbbing like pulse-beats in the eyes, and at each throb a stitch, after midnight.)

Sunken eyes, yellow complexion.

Drawing pains in the eyes, and quivering in the eye-lids.

Above the left eyelid and in the upper half of the left eye-ball an aching pain, increase by looking upwards (aft. 1.3/4h.).

80. (The right eye was painful quite internally, she could scarcely turn it, there came such severe stitches in its interior.)

Itching around the eyes and about the temples, as from innumerable red-hot needles.

Burning in the eyes.

In the eyes a tiresome tickling, owing to which he could not see well.

Twitching in the left eye.

85. While reading by candle-light, dryness of the eye-lids, as if they rubbed the eyes.

The eyes are dazzled by snow; they weep.

White spots or points hover before the eyes.

The eye-lids are stuck together in the morning.

Constant trembling in the upper eye-lids, with weeping of the eyes.

90. At night, under the right eye, for an hour, an aching pain, so that from anxiety she could not remain in bed.

The borders of the eyelids are painful on moving, as if they were dry, and rubbed upon the eye-balls (while walking in the open air and in the room.)

Red inflamed eyes. [Neue med. Chir. Wahrnehm., (Not accessible) vol. I, Altenb., 1778. (Vide KAISER, l. c., S. 11. “Inflammation of the conjunctiva.”)]

Aching in the left eye, as if sand had got into it (aft. 2. h.).

Itching and watering of the eyes; in the morning some matter in them. [Fr. H-n.]

95. Smarting eroding itching in both eyes, compelling him to rub them (aft. 3.3/4 h.).[Lr.]

Inflammation of the eyes. [HEUN, in Allgem. Med. Annal. 1805, February. (From application of A. to a cancerous ulcer of the check.) ]

Violent inflammation of the eyes. (Frequently recurring.) [GUILBERT, l. c.]

Swollen eyes and lips. [KNAPE, l. c.]

Swelling of the eyes. [QUELMALZ, Commerc. lit. Norimb. 1737, heb. 28. (Poisoning of a girl by the black oxide.See note to S. 139) ]

100. Swollen eye-lids. [Neue Med.- Chir. Wahrnehm., l. c.]

Burning in the eyes, nose, and mouth. [Neue Med.-Chir. Wahrnehm., l. c.]

Projecting eyes filled with tears; the acrid tears make the cheeks sore. [GUILBERT, l. c.] (See also KAISER, l. c., S. 12, “Projecting eyes.”

Constant severe watering of the right eye (from 2^nd to 10^th d.). [Fr. H-n.]

Painless swelling under the left eye which partially closes the eyes and is very soft (aft. 5 d.). [Fr. H-n.]

105. Contrated pupils (aft. 1.1/4, 5h.). [Lr.]

Sensitiveness to light, photophobia. (With headache and vertigo) [EBERS, l. c. Octob., p. 14.]

Sparks before the eyes. (With headache and vertigo) [EBERS, l. c., Octob., p. 14.]

(She sees everything indistinctly. As through a white veil.)

(Yellowness in the eyes, like jaundice.)

110. Wild look. [MAJAULT, in Abhandl. f. p. Aerzte, vii. 1, 2, (Poisoning of several subjects with different]

Staring (Rather, “wild”. ) look. [GUILBERT, l. c. (Ibid., S. 15, “Staring look, without dilatation of the pupils.”) ]

Frightfully staring (Rather, distorted.” ) eyes. [MYRRHEN, l. c.]

Distortion of the eyes. [J. MAT. MEULLER,(General statements) in Eph, Nat. Cur., cent. v. obs. 51 §]

The eye-lids are drawn to; he is tired. [Hbg.(Ibid., S. 14, “Dull eye.”]

115. Distortion of the eyes and cervical muscles. [Eph. Nat. cur., cent. x, app., p. 463.(Poisoning of a man with twelve grains of A.)]

He does not recognize those about him. [A. RICHARD, in Schenck, lib. vii, obs. 211.(Poisoning of adult)]

Obscuration of sight. [BAYLIES,(General statements of authors) in Samml. br. Abh. f. p. Aerzte, vii, 2.(Ibid., S. 17, “Darkness and glittering before the eyes.” ]

A weak-sighted person became almost quite blind, lost hearing for some time, and fell into a long-continued state of stupidity.Doubtful how much is ague an how much A.) [EBERS, l. c. Oct., p. 15.]

Obscuration of sight; it is black before his eyes ( in the 1^st h.), [RICHARD, l. c.]

120. During the nausea, yellowness before the eyes. [ALBERTI, l. c., ii, p. 527.]

Long-continued weakness of sight. [MYRRHEN, l. c.]

Pimples on the forehead. [Neue Med.-Chir Wahrnehm., l. c.]

Eruption on the forehead. [KNAPE, l. c.]

Red, bloated face and swollen lips. [Stf.]

125. Bloated face. [Fr. H-n.]

Pale face. [MAJAULT, l. c.(See also KAISER., S. 20, “Paleness of face and features strikingly distorted”)]

Pale face with sunken eyes. [J. G. GREISELIUS, in Misc. Nat. Cur., Dec. I, ann. 2, p. 149(Observations on minors in A.)]

Deadly paleness. [HENNING, in Hu. Journ. d. p. Arzn., x, 2. (From application of A. to a diseased breast.- With violent vomiting.)]

Deathly hue of the face. (During vomiting) [ALBERTI, l. c.]

130. Death-like appearance. [ALBERTI, l. c.]

Bluish, discoloured face. [MEULLER, l. c., and Eph. Nat. C., l. c.]

Earthy and leaden complexion, with green and blue spots and stripes. [KNAPE, l. c.]

Twitching in the facial muscles. [GUILBERT, l. c.]

Distorted features, as from discontent. (See also KAISER, l. c., S. 21, “Altered features.”)

135. Face full of ulcers. [Neue Med. –Chir. Wahrnehm., l. c.]

Swelling in the face § of an elastic character, particularly in the eye-lids, especially in the morning. [TH, FOWLER, Medical Reports of the Effects of Arsenic in the Cure of Agues. Lond. 1787.] (Effects of arsenic of potash in ague patients).

Swelling of the face and head. [SIEBOLD,(Effect of dressing pustular scalp with mixture of A. and cinnabar.) in Huf. Journ., iv.(Comp. KAISER, l. c., S. 19, “Face red and swollen,”- and Hartl. And Trinks, l. c.,S. 6,, “Swelling of the whole face (aft. 1 h.).” (From the external application of Cosme’s powder in a case of labial cancer) ]

Swelling of the face, syncopes, vertigo. [SENNERT, l. c., lib. 6, p. 237.]

Swelling of the whole head, (Should read- “Swelling of the veins of thw whole head, after violnet vomiting.”) [QUELMALZ, l. c.]

140. Swelling of the head. [HEIMREICH, in Act. N. C., ii, obs. 10 (Effects of A. sprinkled ) ]

Swelling of the face. (From internal use)[JENNER, in Simon’s Samml. d. neuest Beobacht. f. d. Jahr. 1788, Erf. 1791, p. 27. (Not accessible) ]

Enormous swelling of head and face. [KNAPE, l. c. ]

Cutaneous swelling of the head, face, eyes, neck and chest, of natural colour. [KNAPE, l. c.]

Eruption of pustules on the hairy scalp and face, with burning pain . [HEIMREICH, l. c.]

145. The hairy scalp to the middle of the forehead covered with an ulcerous scab. [KNAPE, l. c.]

Ulcerous scab a finger’s breadth in thickness on the hairy scalp, which fell off after some weeks. [HEIMREICH, l.c.]

On the hairy scalp innumerable very red pimples. [VICAT, l. c.]

On the whole hairy scalp eruption of pimples, which on being rubbed and touched pain as if festering, and the whole hairy scalp was painful as if blood was effused in it (aft. 11.1/2 h.). [Lr.]

Eroding ulcers on the hairy scalp . [KNAPE, l. c.]

150. Gnawing itching on the hairy scalp. [KNAPE, l. c.]

Gnawing itching on the whole hairy scalp, inciting him to scratch (aft. 8 h.). [Lr.]

Burning pain on the hairy scalp. [KNAPE, l. c.]

Burning itching on the hairy scalp. [KNAPE, l. c.]

Itching, with pain like ulceration, that incites to scratching, on the whole hairy scalp, which pains in every part, as if from effused blood, but mostly on the occiput (aft. 8.1/2 h.). [Lr.]

155. On the left parietal bone, on the hairy scalp, a pimple covered with scurf, which incites to scratching, and when rubbed pains as if festering (aft. 7 h.). [Lr.]

Two large pimples betwixt the eyebrows, which incite to scratching and discharge bloody water, the following day they are full of pus (aft. 2 h.) [Lr.]

Pimples on the left temple, in citing to scratching discharging bloody water, and after rubbing sore pain (aft. 3 h.). [Lr.]

Falling out of the hair. [BAYLIES, l. c.]

Stitches in the nasal bones.

160. Pain in the root of the nose in the bone.

(Alternately smell of pitch and sulphur in the nose.)

Aching in the left upper jaw.

Burning in the external ear, in the evening (aft. 5 h.).

External pain in the ears, like cramp.

165. Stitches in the ear (in the morning).

Tearing in the interior of the ear.

Behind the ear, down the neck to the shoulder, drawing tearing while sitting.

Drawing tearing pain in the lobe of the left ear.

Tearing shooting outwards, in the left meatus auditorious externus, more in the evening (1^st d.).

170. Shooting in the ear (in the morning).

The left meatus externus seems to be stopped from without.

Great roaring before the ears, as from a water- weir.

Hardness of hearing, as if the ears were stopped. (aft. 60 h.)

He does not understand what is said to him. [RICHARD, l. c.]

175. When swallowing the ears become closed internally, like deafness.

Roaring in the ears at each attack of pains. (The occurrence of other symptoms during the pains is quite peculiar to arsenic. See S. 970.)

Voluptuous tickling in the right meatus auditorius, that compeled him to rub (aft. 3.1/4 h.). [Lr.]

Agreeable crawling deep in both ears, for ten days (aft. 15 h.). [Fr. H-n.]

180. Ringing in the right ear (when sitting) aft. 1.1/4 h.). [Lr.]

Rushing noise in the ears. {THOMPSON, l. c. – BAYLIES, l. c.]

Pinching in the ears. [Bhr]

An ulcer eroding all around on the lip, with tearing pain and smarting as from slat, in the evening after lying down, in the day-time when moving worst when touched and in the open air; it prevents sleep and wakes him up in the night (aft. 14 .d.)

Itching as from innuremable burning needles in the upper lip to under the nose; the following day the upper lip swelled above the red.

185. (Painful lumps in the upper lip)

Round about the mouth red tettery skin.

Eruption (breaking out) on the lips at the edge of the red, painless (aft. 14 d. (Although in this observation the eruption on the mouth appeared very late, it is yet a primary action, and rapidly cures homoeopathically a similar morbid state, if the symptoms of the disease are not unsuitable for arsenic.))

(Eruption on the mouth with burning pain.)

A kind of pinching quivering on one side of the upper lip, especially when going to sleep. (Twitching on going to sleep are often observed from arsenic. Comp. 708, 889, 890, 891, 899)

190. A brown stripe of shrivelled epidermis, almost like a burnt part, extends through the middle of the red of the lower lip.

Eruption of ulcers about the lips. [ISENFLASMM – STEIMMIG, Diss. De REMED. Suspect. Et Venen., Erlang., 1767, p. 27(General statement)]

Black-spotted lips. [GUILBERT, l. c.]

Bluish lips and tongue.[BAYLIES, l. c. (See also KAISER, l. c. S. 23, “Bluish lips.”) ]

After eating, bleeding of the lower lip (aft. 1.1/4 h.). [Lr.]

195. Externally about the mouth blackish. [ALBERTI, l. c.]

Constant twitching toothache up to the temple, which is relieved or removed by sitting up in bed (aft. 8 d.)

Shooting in the gums ( in the morning).

Pain of several teeth (in the gums) as if they were loose and would fall out, but the pain is not increased by chewing (aft. 1 h.).

Toothache as from loose teeth; they are loose, and pain as if sore per se, and still more when chewing; touching the gums likewise causes similar pain; the cheek swells on that side.

200. Toothache, rather pressive than drawing.

Tearing in the teeth and at the same time in the head, at which she became so furious that she beat her head with her fists (just before the occurrence of the menses). (the 15^th d.).

A tooth becomes loose and protruding ( in the morning); its gum is painful when touched, but still more so the external part of the cheek behind which lies the loose tooth (when touched); the tooth is not painful on biting the teeth together.

Nocturnal (tearing) pain of the gum at the canine tooth, which is intolerable as long as he lies on the affected side, but is removed by the heat of the stove; the following morning the nose is swollen and painful when touched. ( It is a peculiarity of arsenic pains, that they are relieved by external warnth. Comp. 686, 687, 37.) (aft. 3 d.)

Convulsive grinding of the teeth. [Van EGGERN, (Not accessible) Diss. De Vacillat. Dentium, Duisb., 1787. (See also KAISER, l. c. S. 24, “Grinding of the teeth)]

205. All the teeth fall out. [VAN EGGERN, l.c.]

Itching on the neck under the jaw.

Swollen glands under the jaw, with pressive and contusive pain.

Great dryness in the mouth and great thirst.

Her throat feels dry; she must always drink, and if she did dot drink she felt as if she must die of thirst.

210. Wooden dry taste in the mouth.

Absence of thirst, so that he must drink much cold water every ten minutes, from morning till evening, but not in the night. [Fr.H-n] (See also KAISER, l. c. S. 26, “Violent thirst”- and S. 27, “Violent thirst; drinking does not afford the pstient refreshment ans alleviation)]

Slimy mouth, sliminess in the throat (aft. 2 h.).

The tongue eroded at the side of the lip with smarting pain (aft. 14 d.).

215. Pricking pain as from a fish-bone in the root of the tongue, when swallowing and turning the head.

Boring pain in the right border of the tongue, during half sleep.

He feels as if he had no taste, as if the tongue were burnt dead and were without feeling.

Pain on the tongue as if there were vesicles there with burning pain.

White tongue.[ALBERTI, l. c.]

220. He must spit often. [Hbg.]

Feeling of dryness of the tongue. [BUCHHOLZ, in Hufel. Journ., v, p. 378(Poisoning of several adults by black oxide. (Vol. v, part ii, p. 104.))]

Great dry feeling in the mouth, with frequent severe thirst, yet he drinks but little at a time. [Stf.]

Great dryness in the mouth. [THILENIUS, in Richter’s Chir. Bibl., v, p. 540(Effects of arsenic in a patient with mammary scirrhus)]

Dryness of the tongue. [GUILBERT, l. c. – MAJAULT, l. c.]

225. Quavering voice. [GUILBERT, l. c.](See also Hartl. and Trinks., l. c., S. 7, “Very unequal voice, sometimes strong, sometimes weak.”)

Speechlessness and insensibility. [Misc. N. C., Dec. iii, ann. 9, 10, p. 390. (Same case as Myrrhen’s (See S. 4)]

Bloody saliva. [Neue med. chir. Wahenehm., l. c.]

(A feeling in the throat as if a hair were in it.)

Sensation in the throat as from a lump of mucus, with taste of blood.

230. Behind the velum pendelum palati a scraping scratching sensation, when not swallowing (aft. 2 h.).

Tearing pain in the oesophagus and all up the throat, also when not swallowing.

A kind of paralysis of the fauces and oesophagus; the chewed bread could not be swallowed down, it only went down with difficulty with an uneasy pressure, as if the oesophagus had no power to swallow it; he heard it ratte down.

Burning in the throat .[RICHARD, l. c. – BUCHHOLZ, l. c.]

Long-continued rough feeling on the palate (aft. 10 h.). [Lr.]

235. Internal inflammation of the throat. [RAU, l. c.]

Gangrenous sore throat .(From the external application of the arsenical, so-called magnetic plaster.) [FELDMANN, in commerc. lit. Nor., 1743, p. 50.]

Difficulty of swallowing. [RAU, l. c.]

Painful deglutition. [Neue med. – chir. Wahrn., l. c]

Burning in the fauces. [RICHARD, l. c. – KNAPE, l. c. – KOPP, Jahrbuch. D. Staatsarzn., ii, p. 182.(Poisoning of a man of 56.)]

240. In the fauces and stomach a sensation as if a thread was rolled into a coil. [RICHARD, l. c.]

The oesophagus is as if constricted. [N. m.-ch. Wahrn., l. c.]

Constrictive sensation in the throat. [PREUSSIUS, Eph. N. C., cent. iii, Obs. 15 (Poisoning of a boy) ]

He complains that he feels as if the throat would be completely closed; as if nothing more could get through the oesophagus. [ALBERTI, l. c.]

Taste in the mouth sour; the food too tastes sour.

245. Putrid foetid taste in the mouth.

In the morning, taste in the mouth like putrid flesh.

In the morning the expectoration (But only what is hawked up from the fauces) is green and bitter.

He ejects mucus by hawking.

The saliva he spits out tastes bitter.

250. (The first morsel she swallowed in the morning scraped and scratched her afterwards in the throat, like rancid fat.)

Salt expectoration (sputum salsum). [RICHARD, l. c.]

Bitter expectoration (sputum amarum). [RICHARD, l. c.]

Bitterness in the mouth with yellow diarrhoea. [MORGAGNI, De Sed. Et Caus. Morb., lix, 6, 8.(Poisoning of several adults)]

She loathesall food; can relish nothing.

255. Absence of hunger and desire to eat, for ten days. [Fr. H-n.]

Anorexia. [STOERCK, Med. Jahrg., i, p. 107(Effects of arsenite of potash in ague patients). – Jacobi, l. c.] (See also KAISER, l. c., S. 25, “Extinct appetite”)

Complete anorexia. [BUCHHOLZ in Huf. Journ., l. c.]

Anorexia with violent thirst . [STOERCK, l. c.]

Loathing of food. [GORITZ, in Bresl. Samml., 1728. (Not found)– GRIMM, l. c.]

260. Insuperable loathing of all food, so that he could not think of eating without feeling sick.(See note to S. 118.) [EBERS, l. c., Sept., p. 56.]

Loathing of all food. [ALBERTI, l. c.]

He is unable to get the food down. [RICHARD, l. c.]

The smell of cooked meat is intolerable to him (aft. 5. h.).[RICHARD, l. c.]

He has no appetite, but when he eats it tastes well.

265. Along with proper taste of food, bitterness in the throat after eating, on alternate days (like a tertian fever) (aft. 2 h.)(Comp. 1.)

After eating, bitter taste in the mouth. (aft. 3,48 h.)(Alternating action with 269, 270).

After eating bitter eructation, and there comes into the mouth a greenish bitter mucus.

After eating and drinking repulsive bitter taste in the mouth.

Bitter in the mouth without having eaten anything.

270. Food has a salt taste.

The food tastes as if insufficiently salted.

Taste of beer flat.

Taste of unhopped beer bitter.

(Dislike to butter.)

275. Longing for acids.

Appetite for vinegar and water.

Great longing for acids and sour fruit.

Great longing for coffee.

Great appetite for milk, which she formerly loathed.

280. Qualmishness, in the forenoon about 11 a.m., and in the afternoon about 3 p.m.

Nausea. [PFANN, (Poisoning by cobalt (fly-powder,” a mixture of metallic arsenic with arsenious acid.) Samml. merkw. Falle, Nurb., 1750, pp. 129, 130. – Neue Wahrn., l. c.]

Anxiety with nausea. [ALBERTI, l. c.]

Frequent nausea, and at the same time a sweetish taste in the mouth, not immediately after eating.

Nausea in oesophagus and stomach.

285. Nausea, rather in the throat; at the same time water accumulated in the mouth.

In the open air she felt sick.

Long continued nausea, like faintness; she trembled all over, at the same time she became hot all over, afterwards shivering came on (aft. some h.).

On account of nausea and sickness he must lie down in the forenoon; at the same time tearing about the ankle and on the dorsum of the foot.(That symptoms of a not very important character (comp. 302, 605, 991, 823, 861) and otherwise trivial affections induce a sudden and complete sinking of the strength is a very important and characteristic peculiarity of arsenic.)

The child(An infant, whose mpther had taken arsenic, and was thereby cured of her ailments.) vomits after eating and drinking, and then will neither eat nor drink any more, but sleeps well.

290. Waterbrash (in the afternoon about 4 p.m.)

Incomplete excitation to flow of water from fauces and mouth, what is called waterbrash, shortly before and after dinner, with nausea (aft. 5 d.)

Frequent empty eructation.

Constant eructations. [GORITZ, l. c.]

Frequent empty eructation (aft. ½ h.). [Lr.]

295. Frequent hiccup and eructation. [MORGAGNI, l. c.]

After eating frequent hiccup, each time followed by eructation (aft. 3 h.). [Lr.]

Convulsive hiccup.[ALBERTI, l. c.]

Sickness. [MAJAULT, l. c.]

300. When sitting nausea; much water came into the mouth, as in waterbrash; when walking in the open air the nausea went off, and there ensued a copious pappy stool (aft. 7.1/2 h.). [Lr.]

Sour eructation after dinner (aft. 6 d.).

A quarter of an hour after breakfast and after dinner an aching in the stomach for three hours, with empty eructation, whereupon a relaxed condition of the body ensued, which produced nausea.

Much eructation, especially after drinking.

Flatulence rises upwards chiefly, and causes eructation.

305. Eructation after food.

Ineffectual efforts to eructate.

In the forenoon, a constant, severe, empty eructation, with confusion of the head (aft. 36 h.).

While eating, a compressive sensation in the chest.

At night on rising up, hiccup, with scraping, disgusting taste in the mouth.

310. In the hour when the fever should come on, a long-continued hiccup.

Vomiting. [MAJAULT, l.c. – GRIMM, and many others]

He vomits immediately after each meal, without nausea. [Fr. H-n.]

Vomiting of all food, for several weeks. [Salzb. M. ch. Zeitung.(From application of arsenic to a fungus on the head)]

Vomiting (immediately).(From arsenic sprinkled on an ulcer on the breast- after six days death.) [FERNELIUS, Th., lib. vi, cap. 18, p. 451. (From sprinkling arsenic on a cancerous ucler of the breast)]

315. Day and night constant vomiting with horrible cries. [HEIMREICH. l. c.]

On rising up in bed immediately uncontrollable qualmishness, nausea, and frequently rapid vomiting. [Stf.](See also Hartl, and Trinks, l. c., S. 8, “Nausea and several times violent vomiting (3^rd d.)”)

Vomiting of a thick, glassy mucus. [RICHARD, l. c.]

He vomits mucus and green bile.(Literally, “ Vomiting of green matter at night, of whitish stuff next morning )[ALBERTI, l. c.]

During the vomiting complaints of severe (internal) heat and great thirst. [ALBERTI, l. c.]

320. Internally severe burning, thirst, and heat, with violent vomiting. [ALBERTI, l. c.. iii, p. 533.]

Excessive vomiting, with greatest effort, of drinks, yellowish–green mucus and water, with veru bitter taste in the mouth, which remained long after the vomiting had ceased. [Stf.]

Frequent vomiting with fear of death. [ALBERTI, l. c.]

Vomiting of bloody mucus. [Neue Wahrn. l. c.](See also KAISER, l. c., S. 30, “Nausea and violent vomiting of a brownish mass, often mixed with blood, with great straining of the body.” –S. 31, “Vomiting of a thin or thick, brownish dark mass, produced by violent effort and increase of the pains in the stomach, without subsequent relief. “–S. 32, “Violent vomiting of a thin, bluish, dirty yellow mass, followed by great weakness and prostration.”

Vomiting of blood. [KELLNER, in Bresl. Samml., 1727.(Poisoning of a girl of 20)]

325. Passed blood upwards and downwards [GERBITZ, in Eph. N. C., Dec. iii, ann. 5, 6, obs. 137 (From orpiment, in a woman)]

Excessive vomiting and purging. [PREUSSIUS, l. c.]

Violent continued vomiting and diarrhoea. [MORGAGNI, l. c.] (Ibid., S. 38, “The vomiting declines, whereupon a copious very watery diarrhoea ensues.”

When the syncope goes off, diarrhoea and vomiting. [P. FORESTUS, i, xvii, obs. 13.(From orpiment, in a woman.)]

Spasm in the stomach; syncope; very violent pain in the abdomen; diarrhoea.(From yellow arsenic) [Low, in Sydenham, Opera ii, p. 324. ]

330. Empty retching. [RAU, l. c.]

Pains in the stomach. [QUELMALZ, l. c.- RICHARD and several others.].

The stomach very painful. [Neue Wahrn, l. c.]

Stomachache causing nausea. [RICHARD, l. c.]

Praecordial ahing; aching pain in the scrobiculucs cordis. [KELLNER, l. c. – GORITZ, l. c. – BUCHHOLZ, in Hufel. Journ., l. c.]

335. Pain in the stomach, as if it were forcibly distented in its whole extent, and would be torn. [D. H., in Kopp’s Jahrb. d. Staatsarzn., ii, p. 182.]

He felt as if the heart were pressed down. [Stf.]

Sensation of pressing weight in the stomach, without thirst and without fever. [MORGAGNI, l. c.]

Great oppression of the stomach as if it were troubled with flatulence, that seems, indeed, to be relieved by vomiting and diarrhoea, but afterwards becomes all the worse. [MORGAGNI, l. c.,§ 3.]

A very violent cardialgia with thirst. [BUCHHOLZ, in the last l. c.]

340. Burning pain in the stomach. [EBERS, l. c. Octob., 5, 8.](See also KAISER, l. c., S. 39, “Burning feeling in the scrobiculus cordis”)

Incessant burning and great oppression in the stomach and chest. [BORGES (Poisoning of an adult) in Kopp’s Jahrb., l. c., p. 222.]

Aching and burning pain in the scrobiculus cordis. [GORITZ, l. c.]

Pressive pain like a weight and burning in the stomach . [MORGAGNI, l. c. § 6.]

Burning in the stomach ilke fire. [RICHARD, l. c.]

345. Burning in the scrobiculus cordis. [BUCHHOLZ, in the last l. c.]

Eroding, gnawing pain in the stomach. [RICHARD, l. c.]

Uncommon pains in the region of the scrobiculus cordis. [J. PH. WOLFF, Act. N. C., v, obs. 29(Poisoning of two women. “Pains” shoul be anxietas.”)]

The region under the ribs (hypochondria) and the stomach aretense and distented before the bowels are moved. [RICHARD, l. c.](Ibid., S. 40, “Inconsiderable distention in the gastric region,” ahd. S. 41,”The stomach begins to rise, and is warmer than the rest of the body.”)

(Complaints and lamentations about indescribable Intheoriginal, ”inexplicabilis.” anxiety in the region of the scrobiculus cordis, without distention or pain in the stomach. [MORGAGNI, l. c.]

350. Great anxiety in the region of the scrobiculus cordis. [MORGAGNI, l. c. – BERNARD VERSACH, Obs. Med., obs. 66(Not accessible) – JACOBI, l. c.]

After a meal an aching at the mouth of the stomach and in the oesophagus, as if the food was retained up above; then empty eructation.

When speaking an aching in the anterior wall of the stomach (aft. ¼ h.).

A hard pressure above the scrobiculus cordis (immediately).(Ibid., S. 37, “Hot feeling, pain and pressure in the scrobiculus cordis,” and S. 38, “Hot aching sensation in the praecordia”)

Her heart feels pressed down.

355. In the evening, when sitting, drawing pain from the scrobiculus cordis around beneath the left ribs, as if something was forcibly torn away there.

Dull tearing transversely across the gastric region, when walking, in the afternoon.

Cutting pain in the stomach. [THILENIUS, l. c.]

Spasmodic pain in the stomach, two hours after midnight.(See also KAISER, l. c., S. 34, “Disagreeable sensation in the stomach, which soon afterwards changes into an aching, tearing, also spasmodic pain, and continues; “further, S. 35, “Periodical spasmodic pains in the stomach and bowels;” finally, S. 36, “Violent, tearing, boring pain, and spasm in the stomach and the rest of the bowels.”

When he eats anything it pressses in and about the stomach, so that he cannot bear it; the pressure occurs always some time after, not immediately upon eating.

360. Gnawing (Comp. 995.) and pecking (fine and sharp throbbing) pain in the scrobiculus cordis, with tense feeling.

Anxiety in the scrobiculus cordis, which rises up, all night.

Burning pain round about the scrobiculus cordis.

In the evening she disliked eating, she was so full; she had pain in the stomach when she ate.

Fulnessin the epigastrium, with pinching in the abdomen.

365. Pressing ache in the liver, when walking in the open air.

Before eating nausea, and after eating or drinking distension of the abdomen, also aching and cutting.

After a meal weight in the stomach, as from a stone. [Hbg.]

The abdominal pain is fixed in the left side of the abdomen.

After a meal great distension of the abdomen, without pain; he must lean his back on something in order to relieve himself.

370. After eating yawning and exhaustion, which compelled him to lie down and sleep.

He cannot keep himself warm enough, he has always an internal chilliness in the epigastric region, although that part feels warm to the touch.(Comp. 525)

A rumbling in the abdomen as from much flatulence, but without pain (aft. 1 h.).

Drawing pain in the umbilical region. (aft. 2 h.).

Frequently a spasmodic jerk, making him start, from the scrobiculus cordis into the rectum.

375. Every morning flatulent distension; the flatus is discharged only after some hours (aft. 14 d.).

Discharge of much flatus, preceded by loud rumbling in the abdomen (aft. 9 h.). [Lr.]

Discharge of putrid smelling flatus (aft. 11 h.). [Lr.]

In the evening, after lying down, like spasms and pinching in the abdomen, with an outburst of perspiration, followed by discharge of flatus, and then quite thin stool. (Many arsenic symptoms occur only in the evening and after lying down to sleep, some a couple of hours after midnight, many in the morning after rising, not a few after dinner.)

In the evening, after lyin down in bed, and in the morning after rising, violent colic, squeezing cutting pains in the bowels, which sometimes, also, shoot through the inguinal ring (as if they would force out a hernia) as far as the spermatic cord and perinaeum; when this colic ceases there occurs a loud rumbling and grumbling in the abdomen.

380. Tearing stitches in the left side under the short ribs, in the evening soon after lying down (aft. 3 h.).

Hypogastric pains, heat of face.

Cutting pain in the side of the abdomen, under the last ris, per se, but most severe when touched.

Only every morning, pinching increasing to cutting colic, deep in the , before and during diarrhoeic stools, which pains do not cease after each stool, although they do not excite the stool.

In the morning, first great rattling in the abdomen, then a cutting twisting together of the bowels, then thrice diarrhoea.

385. Uneasiness in the abdomen, but only when at rest.

Weakness of the abdominal muscles.

On stooping, shooting dislocation pain in the right iliac and inguinal regions.

Burning pain in the abdomen, at noon and in the afternoon, going off after stool.

Violent pain in the right epigastrium. [MORGAGNI, l. c.]

390. Pain in the right epigastrium and neighbouring lumbar region, whence it spreads sometimes through the hypogastrium, at other times into the right side of the scrotum and into the flank, like renal colic (at the same time, however, the urine appears healthy). [MORGAGNI, l. c.]

Jaundice. [MAJAULT, l. c.]

Cholera.(That is, constant vomiting and diarrhoea, with sharp nose, cold limbs, cramps, and death.) [WOLFF, l. c.]

Anxiety and complaints about pain, as if the upper part of the trunk were quite cut away from the abdomen. [ALBERTI, Jurispr. Med. t. iv, p. 259.]

Horrible pains in the stomach and abdomen . [WOLFF, l. c.- MAJAULT, l. c.]

395. Cutting (lancinates(In Chr. Kr., “Reissende” i. e. tearing) and gnawing pains in the stomach and bowels. [QUELMALZ, l. c.]

Swollen (“And painful,” the author says.)abdomen. [GUILBERT, l. c.]

Enormously swollen abdomen. [Eph. Nat. Cur., l. c.]

Distension and pains of the abdomen. {MULLER, l. c.]

Very disagreeable sensation in the whole abdomen, [MORGAGNI, l. c.]

400. Violent pains in the abdomen, with such great anxiety that he can nowhere get ease, he rolled about on the ground and gave up all hope of life. [PYL, Samml., viii, p. 98, 105, 108.]

After eating, great distension of the abdomen, without pain; he must lean with his back supported, in order to get relief. [Myr.]

Along with anxiety in the abdomen, fever and thirst. [MORGAGNI, l. c.]

The most violent pains in the abdomen. [DAN. CRUGER, Misc. Nat. Cur., Dec. ii, ann. 4. (Poisoning of an adult.) ]

Twisting colic. (See also KAISER, l. c. S. 43, “Twisting and curling up in bed.”) [RICHARD, l. c.]

405. In the rightside of the abdomen, a digging aching. [Hbg.]

Tearing in the abdomen . [PFANN, l. c. – ALBERTI, l. c.]

Tearing and cutting in the abdomen, with icy coldness of feet and hands, and cold sweat on the face. [ALBERTI, l. c.]

Cutting pain in the abdomen . [BUCHHOLZ l. c. – KELLNER, l. c.]

In the abdomen burning, shooting, and cutting. [BUCHHOLZ, Beitrage, l. c.]

410. Burning in the abdomen with heat and thirst. [ALBERTI, l. c.]

Burning in the flank . [Hbg.]

Colics recurring from time to time. [MAJAULT, l. c.]

Rumbling in the abdomen in the morning on awaking.

Noises in the abdomen . [THILENIUS, l. c.]

Here and there wandering pains in the abdomen, yellow diarrhoea and tenesmus, with burning pains in the anus and thirst. [MORGAGNI, l. c.]

415. After thte stool the colic is allayed. [RICHARD, l. c.]

After the palpitation of the heart, a rattling in the abdomen, and a pinching and twisting together of the bowels, before and during the fluid motions. [Myr.]

Dysenteric colic (Literally, “tormina”) in the umbilical region. [GRIMM, l. c.]

Constipation of the bowels.(In RAU’s case for four days.) [GORITZ, l. c.- RAU, l. c.] (Comp. Hartl. and Trinks, Arznei M. L., l. c., S. 9, “Pains in the abdomen, with constipation (TREVOSSO, The new Lond. Med. Journ., vol. ii, 1793)(From the vapour of wax lights rendered poisonous by arsenic.)

He has ineffectual urging to stool.

420. Burning in the anus, for an hour, which allayed after the evacuation of a hard, knotty stool.

Burning and pains in the rectum and anus, with constant pressing; a kind of tenesmus, as isn dysentery.

After the stool there was great weakness and burning in the rectum, with trembling in all limbs.

After the stool, palpitation of the heart and trembling weakness; he must lie down.

Spasmodic urging and pressing out at his rectum, with great pains (aft. 72 h.).

425. The faeces pass away from him unnoticed, as though they were flatus.

The faeces passed are enveloped in watery blood.

Dysentery. [CRUGER, l. c.]

Almost every moment a bloody discharge by stool, with vomiting and horrible pains in the abdomen. [GRIMM, l. c.]

Before the diarrhoea he has a feeling as if he would burst. [ALBERTI, l. c.]

430. Diarrhoea, alternating with constipation; there often passed a little yellow fluid, then urging came on as if more would come, with acute pains in the abdomen about the navel. [Stf.]

Evacuation of faeces, sometimes more, sometimes less pappy (aft. 6, 13 h.). [Lr.]

Diarrhoea. [MAJAULT, l. c. – KELLNER, l. c.](Comp. KAISER, l. c., S. 45, “Great evacuations by stool,” –S. 46, “Diarrhoea that often becomes very severe,” S. 47, “Involuntary discharge of faeces and urine.”)

Stools pass without his knowledge. [CHR, G. BUTTNER, Unterricht uber die Todlishkeit der Wunden, p. 197.(Poisonings. This S. not found.)]

Mucous and green evacuations by stool. [THILENIUS, l. c.]

435. Frequent discharge of a viscid bilious matter by stool, for two days. [PFANN, l. c.]

After much uneasiness and colic, discharge of a black fluid by stool, burning like fire in the anus. [RICHARD, l. c.]

Black, acrid, putrid faecal evacuations. [BAYLIES, l. c.]

Discharge by stool of a round lump, which appeared to consist of undigested fat mixed with fibrous parts (aft. 8 d.) [MORGAGNI, l. c.]

Diarrhoea, with violent burning in the anus. [THILENIUS, l. c.]

440. (Thin mucous evacuations, as if chopped up.)

Along with urging to stool, evacuation of masses of mucus, with cutting pains in the anus, as from blind piles.

After colic small evacuations with tenesmus, at first of dark green faeces, then of dark green mucus.

Constipation.

(Rumbling in the abdomen without stool.)

445. (Itching in the anus.)

Itching, scraping, or sore pain in the anus.

The anus is painful when touched, as if sore.

At the anus, haemorrhoids with shooting pains, when sitting and walking, not connected with the stool .

Haemorrhoidal lumps at the anus, which especially at night, burn(Burning is a main symptom of arsenic. Comp. 163, 362, 450, 471, 769, 777, 793, 794, 816, 819, 814, 789, 790.) like fire, and permit no sleep, but by day the pain becomes worse, and changes into violent stitches; worse when walking than when sitting or lying.

450. Blind haemorrhoids with pains like slow pricks with a hot needle.

During the stool painful contraction just above the anus towards the sacrum.

Burning in the anus. [MORGAGNI. l. c.]

Tenesmus with burning. [MORGAGNI, l. c.]

Eroding itching on the perinaeum, compelling him to scratch (aft. ½ h). [Lr.]

455. Itching on the perinaeum, especially when walking, that compels him to scratch (aft. 5.1/2h.). [Lr.]

Painful swelling of the haemorrhoidal veins with tenesmus. [MORGAGNI, l. c., § 8.]

Retention of stool and urine in spite of all internal feeling of wanting to pass them. [ALBERTI, Jurisprud. Med., tom. Iv. P. 260.]

Burning in passing urine. [Neue Wahrn.- MORGAGNI, l. c. § 6.]

Bloody urine. [O. TACHENIUS, Hipp. Chym., c. 24, p. 149. (From inhalingsublimed arsenic) ]

460. Suppression of urine. [N. Wahrn., l. c. –GUILBERT., l. c.]

Diminished flow of urine.(Sometimes.) [TH, FOWLER, l. c.]

Increased flow of urine.(Often.) [TH. FOWLER, l. c.]

Frequent urging to urinate, with copious flow of urine (aft. 2, 3, 4, 5.1/2, 16, 17 h.) [Lr.]

After urinating great feeling of weakness in the epigastrium, so that she trembled.

465. On passing urine contractive pains in the left iliac region.

Involunatry micturition; she could not get to the utensil; the urine ran away from her, and yet there was but little of it.

He must rise at night three or four times to pass urine, and each time he passes a great deal, for several successive days.

Burning in the bladder, and urging to urinate every minute.

In the morning burning in the anterior part of the urethra at the commencement of urination (aft. 24 h.).

470. Retention of the urine as from paralysis of the bladder.

But little water passes, and it during the flow.

(Urine almost colourless.)

Very turbid urine (aft. 5 d.).

(In the urethra smarting pain.)

Deep in the urethra frequent pain, like tearings (in the afternoon).

475. Single, severe, slow stitches on both sides of the pudendum in the flanks (aft. 3 h.).

(In the inguinal swelling) a burning and digging; even a slight touch (with the bed-clothes, for example) excites the pain.

(Itching of the pudendum.)

Severe itching on the glans penis without erection of the penis.

Nocturnal emission of semen with voluptuous dreams. [Lr.]

480. Nocturnal emission of semen without voluptuous dreams, followed by long continued erection of he penis (aft. 20 h.) [Lr.]

Erection of the penis in the morning without pollution. [Lr.]</