Colocynthis - General symptoms - T.F. Allen

GENERAL

General

(Morning), The symptoms.

dullness, etc. soon after breakfast, when walking rapidly, symptoms of vertigo.

early, dullness of head.

early, in bed, headache.

at about 8 o'clock, headache, etc.

after rising, pain in forehead.

early headache in temples.

early, mist before eyes.

coryza. empty eructations.

pain in stomach. soon after rising, colic, etc.

early, in bed, rumbling in abdomen.

abdomen felt caved in, etc.

on waking, colic, etc.

whistling in chest. after rising, pains in wrists, etc.

after rising, pressure in joints.

drawing, etc., in shoulder-joint.

pains in forearm. after rising, drawing in legs, etc.

soon after waking, pains here and there.

on waking, and after rising, itching.

after rising, shivering, etc.

after rising warmth of face, etc.

on waking, sweat of legs.

(Forenoon), At 10 o'clock, shimmering before eye.

at 10 o'clock, boring in maxilla.

towards noon. sensation of nausea.

feeling in gastric region.

towards noon, movements in abdomen, etc.

towards noon, cutting through abdomen.

after moving about, colic.

towards noon. when walking, symptoms of colic.

towards 11 o'clock, burning on right chest.

pain in right chest. drawing in trochanter.

when walking, stitches on thigh.

drawing in knee-joint, etc.

towards noon, when walking, drawing, etc.

in knee-joint. heaviness of feet.

(Afternoon), Commencing about 1 o'clock, all symptoms, especially colic, fever, etc.

confusion of head, etc.

toward evening, heaviness, etc., in forehead.

at 1 o'clock, pain in left forehead.

at 2 o'clock, boring in temple.

pain in all teeth. towards evening, aversion to food, etc.

towards evening, griping in epigastric region.

at 4 o'clock, abdominal pains.

at 4 o'clock, griping in umbilical region.

sensitiveness in abdomen.

pain in groin, etc.

twitching, etc. towards evening, sensitiveness of larynx.

pressure, etc., on chest.

towards evening, stitches in side.

stitches in right chest.

towards evening, drawing in limbs.

aching in shoulders. towards evening, pains in lower extremities.

drawing in thigh.

about 6 o'clock, boring in knees.

pressing in toes, etc.

lassitude. towards 5 o'clock, universal lassitude.

uneasiness. towards evening, oppressed sensation.

at 5 o'clock, pains frequently repeated.

(Evening), The symptoms.

on sitting down, vertigo.

headache. tearing in forehead.

boring in temple. feeling in eyes.

boring in maxilla. loss of appetite.

at 10 o'clock, during a walk, after supper, pain in pit of stomach.

pains about navel. movements in abdomen.

pain in bowels. pain on thorax.

oppression of chest, etc.

towards 8 o'clock, oppression of heart.

on going to bed, stitches in cardiac region.

lassitude, etc. pains in wrists etc.

at 9 o'clock, pains in joints.

stitches in humeri. tearing in knee.

pressing in knee. drawing along tibia.

when sitting, sensation in foot.

pain in foot. tearing in metatarsus.

when going upstairs, feeling in toes.

weakness, unfitness for occupation.

when walking, sensation of failing strength.

discomfort, etc. in bed, itching.

itching on abdomen. cold hands.

cold feeling in upper arm.

(After dinner), Confusion of heat.

almost giddy. feeling in head.

insipid taste. stomachache.

stitches in hepatic region, etc.

sensation in umbilical region.

immediately, pain in the umbilicus.

colic, etc., about navel.

movements in bowels, etc.

immediately rumbling in abdomen.

discharge of flatus, etc.

pain in abdomen.

aching in hypogastrium.

cutting in lower abdomen, etc.

pappy stool, etc..

(Sitting), The symptoms.

throbbing in lumbar region.

drawing, etc. in joints.

sensation in knees, etc.

pressing in shoulders.

pains in wrists. pain in lower extremities.

pains in muscles of thigh.

stiffness in knee. feeling in knees.

boring, etc., in knees.

drawing, etc. pains in knees.

bruised feeling in knees.

drawing in legs, etc.

drawing in calf, etc.

pressure, etc. in ankle.

sensation in feet. all pains.

itching on gluteal muscles..

(Walking), Drawing, etc., in head.

pains in forehead. sensation in temple.

sensation about navel.

pain in umbilical region.

colic. discharge of flatulence.

pain in bowels.

griping, etc. in bowels.

colic. painfulness of abdominal integuments.

cutting in lower abdomen.

pain in lower abdomen.

stitches in upper chest.

sensation in chest. drawing in extremities.

pain in leg. drawing in muscles of calves, etc.

pains in feet. pains on dorsa of feet.

sensation in great toe, etc..

I observed several days since on the skin of the left upper arm a small vesicle filled with pus (my skin is usually remarkably free from eruptions), in the beginning without any pain.

it is now surrounded by a red hot border, burns even when not touched, and is painful on motion.

the swelling of the upper arm increases, becomes redder and more painful, with drawing in the whole arm (eighteenth day).

the swelling is harder, larger, and more painful, extending upwards to the axilla, and down to the fingers during the night the pains in the furuncle keep me awake (twentieth day).

the furuncle begins to ripen, with increase of pains all over the arm (twenty-first day).

it begins to discharge some pus (twenty-second day).

is in full suppuration (twenty-fifth day),.

While walking, an unpleasant sensation about the navel, as after taking cold, with urging to stool, which he was obliged to attend to immediately, as the sphincter seemed to have no resisting power. The discharge was thing, orange-colored, and pappy (after five hours). After walking for half an hour a renewed and increased sensation about the navel, as though he had been chilled.

more violent tenesmus, to which he was obliged to give way, with a result similar to the former.

after a quarter of an hour, during which he was incessantly walking, the same unpleasant sensation returned below the navel, with still greater violence.

it increased to a drawing cutting, which darted repeatedly from behind forwards and upwards in a curve to the navel.

this ceased on the occurrence of urging to stool, which became exceedingly pressing, and the evacuation ran in a watery stream out of the sphincter, which seemed paralyzed.

it contained part of the contents of the soup eaten at the noon meal, still undigested. This was followed by ineffectual urging, which, when repressed by an effort of the involuntary muscles, gave rise to a pressing tension in the lowest part of the abdominal parietes, and an acute pressure at the inferior angle of the right scapula, with tensive pain extending thence downward.

on the cessation of the long-continued tenesmus a free, protracted discharge took place, the sphincter standing wide open, as if paralyzed,.

Seized with terrible, contractive, twisting pains in bowels, immediately about umbilicus, spreading afterwards over the whole upper part of the abdomen, leaving the lower portion perfectly free from pain.

this lasted about an hour, when there was a copious evacuation of the bowels, and an immediate relief from pain, which was, however, only temporary, as the pains soon came back again, followed by a copious discharge with temporary relief, succeeded for a third time by a paroxysm of pain, followed by a discharge and partial relief, for the pain kept on, more on less, during the whole night (after four hours). Abdominal pains came on again, at 4 P.M., with the same results keeping up all the evening, chasing her out of bed twice during the night, and early the next morning (second day). Same abdominal symptoms came on again, but in a far slighter degree, although lasting the whole evening (third day). This state of things kept up for six days, wearing off only gradually,.

First griping (drawing hither and thither) in the umbilical region, gradually subsiding, then returning, and rapidly changing into cutting, as if by a large chisel thrust deep into the upper abdomen, thence passing in a curve backwards and downwards into the pelvis, and then cutting its way upward again, at 4 P.M.

at 4.30 P.M., the cutting in the hypogastrium several times took the direction from behind forwards and upwards, and was always relieved by a forcible discharge of flatus. It was also relieved by straining and the consequent expulsion of a long train of slippery bubbles of wind, with a small quantity of bland mucus.

it returned in the same fashion at intervals of from five to fifteen minutes. Finally, towards 5 P.M., a very painful expulsive pressure ensued, and in a short time a quantity of thin faeces passed involuntarily through the sphincter at a single impulse.

it was perfectly bland, causing not the slightest burning or smarting at the anus, which was rather protected all about by the slippery mucus, of which a great portion of the passage consisted.

the pains in the abdomen all disappeared with this passage,.

The pain in the abdomen became worse after dinner, gnawing and boring, and obliged me to sit down, or lie and bend forwards.

violent tenesmus came on at first, with pappy, copious, strong-smellling stools, which, an hour later, were watery, scanty, yellow, and almost inodorous. The colic diminished somewhat, after taking black coffee, at 4 P.M., but became much more painful again after supper, accompanied by confusion of the head, and aching in the forehead, aggravated by bending forwards,.

Moderate tension in the region of the anterior-superior spine of the ilium of the left side, in the evening.

the next day this sensation, hitherto a tensive feeling confined to one point, changed into a violent drawing, extending from the spine of the ilium to the inguinal region and the upper third of the inner surface of the thigh.

it continued pretty violent all day, and did not disappear until the next day,.

The stool, which showed for several weeks a tendency to diarrhoea, is in the evening more constipated (second day).

a soft stool of dark-brown color, at 8 A.M. (third day).

soft in the morning, fluid, light-yellow, at 3 P.M., fluid, dark, 6 P.M. (fourth day).

soft yellow in the evening (fifth day).

hard, dark about noon (sixth day).

small, yellow, consistent at 9 A.M., copious, soft light-yellow, with flatus at noon.

fluid, light-yellow, preceded by great gurgling in abdomen, at 2 P.M.

fluid, light-yellow, preceded and accompanied by a great deal of colic (seventh day).

fluid, light-yellow, at noon (eighth day).

light-yellow, soft at noon (ninth day).

small, hard, dark, at 9 A.M. (tenth day).

hard, dark-green after rising.

firm, dark, in the evening (eleventh day).

hard, dark (twelfth day).

hard, dark in the forenoon, soft, dark in the evening (fourteenth day).

hard, dark in the morning, and in the evening another (fifteenth day).

hard, dark in the morning.

during last days the hard, dark stool consisted mostly of hard knotty pieces, at 2 P.M.

soft, light-colored, mixed with hard knots (sixteenth day).

light-colored, soft at 6 A.M.

small, hard, knotty towards evening (seventeenth day).

hard, lumpy, with copious flatulency (nineteenth day).

towards morning, dark, small, lumpy.

soft, dark-green in the evening (twentieth day).

towards morning, small, dark-green, lumpy, with flatulence (twenty-first day).

dark, soft in the morning (twenty-third day).

two soft ones (twenty-fifth and twenty-sixth days).

two soft ones, mixed with lumpy faeces and great flatulency (twenty-seventh day).

two soft ones (twenty-ninth day),.

Contractive pain in the right hand, which constantly increased until a similar one occurred in the left malar bone (in a quarter of an hour).

the pain in the right hand then spread over the forearm as the facial pain decreased, and again grew milder when the facial pain and some pain in the bowels occurred,.

Dull stitches in the region of the right hip, suddenly appeared and just as suddenly disappeared, during a walk of some hours.

they were so severe that I was obliged to cease walking for several minutes at a time, and became so frequent that I was obliged to cut short my walk and return home.

while sitting there was some relief, but instead of the stitches there was a sensation as of a heavy weight in the lumbo-dorsal region, somewhat relieved by lying upon the left side, with some increase of the temperature and sensibility of the part affected.

on rising and walking about this latter sensation disappeared, while the stitches returned.

the pain disappeared at night in the warmth of the bed, but awoke me from sleep about 4 A.M., when it had changed its character, insomuch that it was now throbbing and almost boring, but persistent in this locality.

the origin of the trouble lay in the sacral region, corresponding to the position of the plexus ischiadicus, thence it extended through the incisura ischiadica major towards the hip-joint, down the posterior portion of the thigh into the fossa poplitea,.

Drawing sticking in the joints of both feet, lasting for a minute, often recurring, and not interfering with walking.

it becomes worse after coffee and wine, and is accompanied by boring pain in the bones of the lower limbs.

these pains continued the whole day, with inconsiderable remissions, but in diminished intensity. The upper extremities are similarly affected, in the afternoon,.

A constant, dull, pressing, cramplike pain, as if in the periosteum, on the dorsum of the right foot, in the scaphoid and internal cuneiform bones.

the skin was not discolored or tense over the painful spot.

a swelling on the right edge of the tarsus, soft, pale, painless, clearly circumscribed, and as large as a pigeon's egg, appearing like a common lymphatic tumor, lasting six months.

the same pain in the left foot as in the right, and in the same spot.

sometimes, also, in the second joint of the great toe, but less severe, and accompanied by no swelling,.

Pressing in the posterior joint of the left great toe, as if the boot were too tight, only perceived when quietly seated, disappearing when walking about.

throbbing in the same spot, likewise vanishing on motion.

heaviness of the feet, most troublesome in the forenoon, as though he had made a great journey on foot.

constant sensation in both feet, when sitting, especially in the left, as if they were going to sleep,.

GENERAL SYMPTOMS.

Objective.

Entire relaxation, to a most remarkable degree, for a whole hour, during which he was entirely unfitted for either bodily or mental labor,

Unusual inclination of the muscles of all parts of the body to become painfully cramped,

Colocynthis seems to increase the mucous secretions to a considerable degree,

Lassitude in the afternoon,

In the afternoon, great lassitude (perhaps from the warm weather),

Great lassitude towards evening,

General lassitude, and painful weariness in the small of the back,

Towards 5 P.M., universal lassitude, with chills, violent thirst, and accelerated pulse; this febrile excitement lasted for about half an hour,

Weakness for several days,

Weakness, fulness, prostration all day long, probably in consequence of the diarrhoea (although there were only two motions during the day); they were, however, quite watery,

Great weakness and relaxation,

Great weakness on going out,

He was very weak in the evening,

Great debility and weariness,

Very much debilitated, but only when at rest,

Strength completely prostrated,

Faintness,

Faintness, with coldness of external parts,

Subjective.

He became exceedingly sensitive to the damp weather,

Severe action on the muscles and sinews,

Disinclined to exertion of either body or mind, even to visiting his nearest friend,

Lazy, gloomy, and listless, almost pusillanimous,

Unfitness for every occupation in the evening,

Unusual weariness,

He felt very weak and debilitated in the evening before going to sleep, and also on waking the next morning, but it soon disappeared on moving about,

Sensation as if all his strength saw failing, when walking in the evening,

Felt faint, tired, and weak the whole day,

Some symptoms similar to syncope, but I was always able to check their progress by holding the hand before the eyes,

Uneasiness throughout the body, especially in the digestive organs, in the afternoon (second day),

Discomfort; he desires and demands much,

Discomfort and weakness of the whole body, especially of the lower limbs, in the evening,

Pains all over, jumping from point to point, and changing quickly from one kind to another (twenty-second and thirty-first days),

Drawing in the legs, ankles, shoulders, forehead, in the muscles of the thighs, in the wrists, knees, migrating and quickly changing its location, after rising (sixteenth day),

Transient drawing in the posterior joint of the left thumb and right great toe, in the right knee, and on the left side of the neck, especially when turning the head,

Sticking-drawing pains, now here, now there, in the morning soon after waking,

Transient sensation of pressure in different parts of the body, especially in the posterior joint of the right middle finger, and right great toe,

Sticking pressure in various parts of the body,

Internal oppressed sensation towards evening,

Transient stitches, drawings, itching, burning, biting in various parts of the body,

Tearing stitches in the whole body lengthwise, the head, back, abdomen, and limbs,

Feels bruised and tired (tenth day),

Sometimes a sensation of general contusion, with tired feelings, passing off during a walk (twenty-seventh day),

Pulsation in the whole body, most perceptible in the back and left side of the chest,

While lying still he feels the beating of the heart and bloodvessels through the whole body,

All pains frequently repeated during the day, and are worse when sitting than during motion (eleventh day),

All the pains frequently repeat, jump from one part to another, remain nowhere very long, but return easily to the affected part; cold or heat appears to be without any influence to increase or diminish them (twelfth day),

During the whole day the pains wander about, especially when sitting, but some of them appear only when walking, as the very painful drawing in the muscles of the calves and thighs, preventing motion (seventeenth day),

Each time after taking the medicine, he perceived a remarkable aggravation,

It was particularly observed that the symptoms appeared in groups, and were aggravated in the evening and during rest,

Pains frequently repeated, at 5 P.M. (first day),

The sitting posture was easy, and ameliorated all the pains,

Symptoms somewhat ameliorated while walking, but always perceived in the evening after considerable exertion, and connected with indescribable weariness in the lower extremities,

Heat or cold atmospheric changes made no difference in the increase or decrease of pain,

All symptoms disappeared gradually just as they appeared,

GENERAL SYMPTOMS.

1, Hahnemann, Chr. Kr., III; 2, AEgidi, ibid.; 3, Fr. H-n, ibid.; 4, Hornburg, ibid.; 5, Gutmann, ibid.; 6, Langhammer, ibid.; 7, Stapf, ibid.; 8, Rückert, ibid.; 9, Alibert, in Med. Nat. Zeit., 1799 (not obtainable), ibid.; 10, Bresl-Samml., 1727, p. 48 (nothing about Col. here), ibid.; 11, Hoffmann, Eph. Natrum Carbonicum ^{Nat. Cur}., X, 0, 30 (poisoning by a whole apple), ibid.; 12, Hoyer, Misc. Natrum Carbonicum ^{Nat. Cur}., Dec., III, Ann., 7, 8, 0, 178 (from decoction), ibid.; 13, Kölpin, Hufel. J., III, 577 (critical phenomena in a rheumatic paralysis, getting well under Coloc.), ibid.; 14, Orfila, Toxicologie (from apples taken to cure chronic gonorrhoea), ibid.; 15, Plater, Obs. III, 858 (poisoning), ibid.; 16, Salmuth, Obs. III, 2 (poisoning), ibid.; 17, Schenk, Obs. med., lib. VII (in a case of apoplexy, where Col. had been injected), ibid.; 18, Schneider, Annal. d. Heilk., Apr. 1811 (from Coloc. given in apoplexy), ibid.; 19, Stalpaart von der Weil, cent. I., 0, 41 (poisoning), ibid.; 20, Tulpius, Obs., lib. IV, 25 (poisoning), ibid.; 21, Valentine, Eph. Natrum Carbonicum ^{Nat. Cur}. Ann. III, 0, 78 (not found); 22, Zacutus Lusitanus, in Schenk, VII, 4 (effect of an enema containing Coloc.), ibid.; (23 to 44, Austrian provings, OEst. Zeit. f. Hom. I); 23, Arneth, repeatd doses of tinct., 1 to 80 drops; 24, same, provings with 2d, 3d, and 4th dils.; 25, Böhm, took tinct., repeated doses, 2 to 12 drops; 26, Fleischmann, tinct., 5 to 15 drops; 27, Fröhlich, 5 to 60 drops of tinct.; 28, Amalie Ph., aged 22, took 3d dil.; 29, Caroline Ph., aged 24, proved the same; 30, Gerstel made several provings with single doses of tinct., 15 to 80 drops; 31, Hausmann, 30 to 100 drops of tinct., and once a drachm at a dose; 32, Maschauer, 5 to 30 drops of tinct.; 33, Puffer took 3d dil. daily for six days; 34, Reisinger began with 10 drops of tinct., increased to 25, then decreased to 1st trit.; 35, Rothausl took 3 to 35 drops of tinct.; 36, Wachtel took 1 to 10 drops of tinct.; 37, same, took 10 grains of 1st dec. trit.; 38, Weinke, 12 to 60 drops of tinct; 39, Wurstl, three provings with tinct., doses, 1 to 10 drops; 40, Wurm, tinct., 1 to 60 drops; 41, same, provings with 1st dec. and cent. trits. and 1st dil.; 42, Watzke, proving with 1 to 95 drops of tinct.; 43, same, 1st dec. trit.; 44, same, with tincture applied externally to abdomen; 45, J. O. Muller took 4th dil., Z. f. V. Hom., AEzt. OEst. I, p. 43, 1857; 46, Krumbholz, repeated doses of tinct., Martin's provings, Hom. V. J. S., 10, 77; 47, Martin, 2 to 10 drops of tinct., ibid.; 48, Mayer, 1 to 3 drops tinct., ibid.; 49, Runge, 2 to 30 drops tinct., ibid.; 50, Lembke, repeated doses of tinct., 5 to 10 drops, N. Z. f. H. Kl., 15; 51, Caroline Le Beau, provings with 200th dil., A. J. H. M. M., 1870, and N. Am. J. of Hom., N. S., 1, 61; 52, Hechenberger, "Colocynthology," 1840, provings with 1 to 8 drops of tinct. daily, in the morning, fasting (from original); 53, effects of a teaspoonful of tincture in a pregnant woman, ibid.; 54, Caron D'Ancey, effects of 2 glasses of infusion taken for dyspeptic symptoms, Orfila, Toxicologie; 55, Goodno, symptoms produced by Col. 200th (F.) on a girl aged nine, A. J. H. M. M., 4, 83.