Mercurius Corrosivus - General symptoms

GENERAL

General

Indecent exposure of person.

threw off the bedclothes, and attempted to walk about the room, when she was not able. She had, previous to taking the drug, been modest and retiring.

now she seems to have no regard for herself. She cared not who was present when she desired to use the vessel, and threw off her clothing, as if no one were in the room.

was cross and petulant,.

A severe, sudden dull aching pain in forehead and vertex, worse on stooping or shaking head.

relieved by applying the cold hand to the forehead (almost directly after second dose).

it extended to centre of cerebellum, when it felt like a bone-ache, about 5 P.M. (after five hours and a quarter).

during tea-times (6.15 P.M.) it suddenly went off.

it made him feel rather low-spirited, .

Third day, complains of very sore throat. It is swollen and much ulcerated. Inside of the cheeks and border of the gums much ulcerated. The ulcers are of a grayish color. Breath very offensive, so that it is very difficult to make a thorough examination. Fourth day, dry patch on end of tongue, the remaining portion being coated white. Fifth day, the throat feels better. Sixth day, throat feels sore, but not so difficult to swallow. Eighth day, throat sore, with pain on swallowing, extending up the Eustachian tubes. Mouth the same. Bloody mucus from the posterior nares. On the ninth day difficulty of deglutition much increased. Eleventh day, slight salivation, snapping noise in the throat when almost asleep, which wakens her. Twelfth day, no improvement. Thirteenth day, almost impossible to swallow.

the throat is filled with glairy, sticky mucus, the ulcers appear much the same. Fifteenth day, sordes on the teeth, tongue dry, breath offensive. Sixteenth and seventeenth days, the same,.

The first time she attempted to take animal food the teeth appeared to refuse their office.

they seemed loose and blunt (after a week or more).

about this time also bits of dead skin came away from the throat and mouth, resembling the peelings of roasted potatoes.

a tooth had been drawn some little time before, and from the vacuity it had left a large piece of the gum came away.

from the side of the tongue a portion also separated, of the size of a large pea, leaving a cavity corresponding to its extent.

the tongue, gum, and throat continued tender while these substances were coming away,.

A burning sensation was immediately experienced, and soon became intolerable.

the next morning there was still violent burning and pricking over the whole surface of the skin, which was red and inflamed, and that evening presented at many points vesicles, such as show themselves in cases of scalding by hot fluids.

these parts of the skin afterwards suppurated,.

Great swelling of the throat that threatened suffocation.

the swelling extended to the neck head, and tongue.

the throat was so much inflamed that the patient could speak with difficulty and could scarcely swallow.

on the third day there was still great heat in the mouth and throat, as from a glowing coal.

on the fourth day the patient raised some clots of blood and some thin blood, so that the physician thought she might die of haemorrhage.

the patient was unable to talk on account of the ulceration of the throat and soft palate, with copious salivation, with frequent headache, especially in the temples.

on the succeeding days the patient became delirious, was unable to swallow medicine or food.

she expectorated daily clots of blood and pieces of membrane from the ulceration of the throat, with excessive prostration and constant salivation.

the sloughing extended to the cheeks, gum, palate, and even the maxillary bone were laid bare.

the lips became black, the patient sank and died,.

Acute pain, like a sticking, deep within the chest, and lower down as if in the oesophagus, as though morsels of food remained sticking in it, which distended the oesophagus and could not descend.

yet food and drink could be swallowed without hindrance.

the pain, however, seemed somewhat aggravated by swallowing, as also by eructations of air (sixth day),.

The tickling in the throat gave rise to a convulsive cough, with very severe pain-a pharyngeal cough, such as is caused by thrusting the finger into the back of the mouth. The paroxysms of cough were followed by the expectoration of bloody mucus.

then, by a feeling of suffocation, with great anxiety.

they recurred at short intervals (second day),.

Pulse 104, small, *irregular, intermittent (after four hours).

80, small, uneven, *irregular (after seven hours).

68 (after eleven hours).

80, at 8.30 A.M. 100, intermittent, at 5.30 P.M. (second day).

84, at 5.30 P.M. (third day).

90 (fourth day). 90, intermittent, in morning.

70, *intermittent and uneven, at 6 P.M. (fifth day).

90, in morning. 84, evening (sixth day).

70, still intermittent, in morning.

68, in evening (seventh day),.

Violent heat and pain in her stomach, with continued vomiting of everything she took for a week.

at some times more violent than at others.

always most relieved when after several efforts she had vomited up a small quantity of something which, as she expressed it, tasted like milk which had stood in a brass pan,.

Awakened from the afternoon nap by very severe pain in the pit of the stomach.

these pains became worse rapidly and were tearing, somewhat relieved by bending up the body, especially involving the region of the stomach, and seeming to extend thence over the whole diaphragm.

the abdomen was somewhat sunken and very painful to pressure in the epigastric region,.

First day, violent retching and vomiting of food and dark-looking matter.

followed by yellow bile. Second day, vomited a great quantity of bile in the early part of the day.

sensation of lump and pain in the pylorus.

constant desire for cold water, which is very repulsive, and almost immediately vomited. Third day, constant nausea, with occasional vomiting of bile. The sensation of pain and lump in pylorus gone.

thirst for hot or cold drinks, but nothing tastes natural, on account of a brassy taste in the mouth. Fourth day, no nausea. Fifth day, stomach sensitive to pressure.

thirst for cold water in large quantity. Sixth day, much the same. Seventh day, swelling and pain in the pylorus, and hiccough. Eighth day, the sensation of pain and swelling in the pylorus gone.

vomited once. great tenderness over the stomach and bowels. Ninth day, great flatulence after taking milk.

A peculiar bruised sensation in the abdomen, especially in the caecal region and following the course of the transverse colon.

the caecal region and transverse colon were painful to moderate pressure, as though they had been bruised.

the walls of the abdomen, however, were painless.

this pain lasted all the forenoon, was less acute in the evening, but did not entirely disappear (seventh day).

bruised sensation in the caecal and mesocolic regions.

the painfulness was increased by moderate pressure (eighth day),.

Bowels had acted three times.

stools quite liquid and dark (after two hours and a half).

bowels acted twice in the morning, very much blood in the stools.

in the afterpart of the day three dark-green stools (second day).

four or five times (second night).

considerable purging during the day (third day).

three or four bloody stools (fourth day).

stools still bloody (fifth day).

four or five stools with a little blood (sixth day).

three or four stools (seventh day).

much purging (eight day).

frequent stools of a yellowish appearance (eleventh day),.

He had had several dejections, consisting of a dark fluid, with some small lumps of dark-green faeces (after half an hour).

dejections frequent, and several followed each other at intervals of only two or three minutes.

they continued to exhibit similar appearances, being almost entirely dark fluid, but several of the last had a quantity of flakes, apparently of mucus mingled with them (after two hours and a half).

had several small bloody fluid dejections, containing small masses of coagulated albumen, free from fecal odor, but of the fleshy smell, sometimes observed in similar dejections in cases of cholera (after three hours and a half),.

Her first stools, commencing after six hours, looked like strong Crocus Sativus ^saffron water, then, for four days and nights, her stools were blood and mucus only, passing them every two or three hours, each stool preceded by cold pains, felt low down in the pelvis, and followed by severe tenesmus.

in forty-eight hours after bloody stools ceased she had a natural stool,.

Bloody stools, with abundance of mucus (first day).

a copious stool, and another shortly afterwards, but without blood, at 9 A.M.

there has been nothing but bloody mucus passed per anum (second day).

frequent stools, consisting chiefly of mucus and coagula (third day).

three or four more natural motions (fifth day).

motions passed involuntarily, tolerably healthy, though loose, containing little blood (sixth night),.

Bloody urine (after two hours and a half).

highly colored with blood (after three hours).

and during the next six hours te quantity voided was very great, probably not less than two to three quarts.

after this though the desire to pass urine was frequent, the quantity rapidly diminished, and at the expiration of twenty-four hours there was total suppression.

on the third evening he had passed none for twenty-four hours. I found on introducing the catheter that there was none secreted.

Passed two quarts of pale urine (after two hours and a half).

passed a pint and a half of the same kind (after five hours).

sp. gr. 1009. Slight turbidity was occasioned by heat, but was instantly removed by Nitric Acid ^{nitric acid}. For several days her urine contained a considerable quantity of albumen. One specimen presented the following characters.

It was turbid, and had a pale-brown color.

its odor was urinous. sp. gr. 1028.

it was abundantly coagulated by heat as well as by Nitric Acid ^{nitric acid},.

Urine decidedly acid and quite limpid, without a trace of albumen or sugar (after four hours). *Urine no longer limpid.

rather thick, but acid as before.

sp. gr. 1016. Flakes of albumen precipitated by heat and Nitric Acid ^{nitric acid}. Proportion of albumen, according to Mehn's formula, 24 centigr. to 50 grammes urine.

i. e. 4.80 grammes per litre. Under the microscope, the urine presented *granular fatty tubuli, in large numbers, showing on their surface epithelial cells of the tubuli uriniferi, also in a state of granular fatty degeneration, .

Second day, a very small quantity of urine was passed, after which there was complete supression of the urine for five days. Eighth day, a good deal of acute pain in the region of the kidneys.

passes a small quantity of urine. Specific gravity 1013.

great tenderness to pressure in the region of the kidneys,.

GENERAL SYMPTOMS.

His whole appearance much resembled that of a person in the last stage of typhus fever (after nine days),

Though supported throughout the illness with milk, gruel, and chicken-broth, he was more reduced both in bulk and strength than any patient I ever saw, in so short a space of time,

Dorsal decubitus (after four hours),

Lying on his back with his knees bent up (tenth day),

He rolled so incessantly from side to side that it was difficult to distinguish pulsation, even at heart (after one hour and a half),

While leaning heavily upon the left arm, on standing, a moderate trembling of the left arm and whole left half of the body (first day),

Twitchings,

Spasms,

General spasms and convulsions,

Spasms, first in the toes and feet, and then in the fingers and hands, and afterwards extending up the legs and arms (after two or three hours); a violent spasm attacked the right breast, and shot through to the back, just under the shoulder-blade; the breast became much contracted, and its milk was speedily dried up,

Violent spasms (second day),

Spasmodic motions of the muscles of the face, arms, and legs; constant cramps in all the extremities,

Whole body stiff and painful on the slightest motion (sixth day),

Great weariness and suffering in the morning, so that after shaving he was obliged to lie down again in bed and sleep for an hour (second day),

Great depression of system (soon),

Great debility (second day),

Total debility of whole system (second day),

Debility seemed particularly alarming (after eight days),

Weakness (ninth day), ; without having made any exertion (second day),

Great weakness, and violent pains in the feet (after three days),

Very weak (second day),

Weakness (third day); excessive in the whole system, especially in the joints, which with difficulty support the weight of the body (after nearly two weeks),

Very weak and exhausted (soon), ; (after half an hour),

General exhaustion and weariness,

Much exhausted (second day), ; after the spasms,

Great exhaustion (second day),

Excessive exhaustion,

Prostration, ; (fifteenth day),

General prostration and great exhaustion after eating (fifth day),

Much prostrated (after eight hours and a half),

Quite prostrate (after two hours and a half),

Very weak, prostrated,

Great prostration,

Lying in a state of great prostration (soon),

Extreme prostration and restlessness,

General state of collapse,

Faintness,

Feeble and faint (second day); extreme general faintness (fourth day),

Alarming faintness recurred at short intervals,

Fainting fits (fifth day),

Great prostration; fainted while being leeched (third day),

Great uneasiness of the whole body, so that it was impossible to lie quietly in any position, and was obliged to leave the bed; digging and sticking in the left ear in the afternoon, so violent that it made him weep and cry out, lasting three minutes (second day),

Restless, ; (after two days),

Constant restlessness and tossing about,

Great restlessness (third day),

Very restless, ; (soon),

Constant tossing about,

Rolling uneasily about the bed, complaining of severe headache, and great pain in stomach (after half an hour),

Subjective.

Extreme sensitiveness of the whole body (fifteenth day),

Inclination to lie down (fourth day),

Great feeling of weakness (eighth day),

"Sinking feeling" (seventh day),

Some malaise (second day),

General feeling of malaise (after third dose),

Disagreeable sensation in the periosteum of all the bones, like the onset of intermittent fever, with a feeling of heat in the head towards evening (after six hours),

Pains over the whole body (fifth day), (in one case),

General pains over the whole body, accompanied by stiffness, aggravated by every motion (fourth day),

Most acute pain, as severe as the actual cautery (immediately),

Most excruciating pain all over body, more especially about abdomen, on which part and on the thighs he had rubbed the largest quantity, and he felt as if "roasting alive" (after one hour),

Sometimes easy, at other times violently racked with pain, seat of which is principally about the scrobiculus cordis and umbilicus,

Intolerable pains,

Intolerable pain, so that she ran about the room out of her senses, with loud screams,

Occasional cramps,

Fine sticking here and there in the muscles during the day,

Stitching in the parenchyma of organs, as in the lungs, liver, and very fine in the testicles (seventh day),

Drawing in the arms, and tearing in all the extremities, alternating with convulsive shudderings in the whole body; with at times loss of consciousness and oppression of the heart,

The effects continued more or less for two days,

Every motion or change of position was painful,

Acids aggravate,

General aggravation from eating fat food,

She feels better during rest, easily becomes weak and tired after a little exertion,

She feels worse in the open air, especially weak and frequently dizzy; if she then begins to work she feels somewhat better; while at work she feels less weary than before or afterwards,

I found him in the sixth convulsion, fearfully distressed, and every part of the patient was drawn up, his feet, legs, arms, and hands were closely contracted, the hands being so clasped that it was impossible for me to open one finger.

face flushed a bright scarlet, cheeks and forehead hot.

but around his mouth it was marble white, and under his eyes it had a purple shade.

pupils dilated. eyes rolled up so that you could only see the pupils by pressing the lid up as far as possible. He remained in this condition about five minutes. After remedies he vomited fresh blood, perhaps half a teaspoonful each time, mixed with the egg. After six hours the pulse was 160, face flushed, tongue dry, with a very red streak in the centre, and very thirsty. About 12 o'clock that night blood began passing the bowels, and shreds of membrane, with great tenesmus. In the morning the stomach and bowels were sore to pressure,.

First day, unconscious.

pulseless at the wrist.

constant restlessness and tossing about. Second day, fully conscious, but spoke with difficulty.

pulse 120. myalgia. Third day, continued restlessness.

pulse 120. Fourth day, pulse 100. Sixth day, pulse 80. Seventh day, pulse 88. Eighth day, pulse 88, refuses to talk. Ninth day, pulse 100. Tenth day, myalgia. Eleventh day, pulse 96. Twelfth day, pulse 100.

myalgia. Thirteenth day, pulse 88. Fourteenth day, pulse 100, Sixteenth day, pulse not countable.

is not inclined to talk.

great debility and emaciation. Seventeenth day, had a fainting spell.

heart stopped for a few seconds, her eyes half closed, and died on the seventeenth day after taking the poison,.

Vomited (after ten minutes).

(an emetic was administered, also two eggs).

he had vomited several times, in all about 6 ounces.

the matters appeared to consist of mucus and the egg swallowed, with some dark masses resembling sputa, except in having a dull leaden tinge (after half an hour).

vomiting continued, the matters ejected consisting principally of the substance swallowed (eggs, flour, and water), (after one hour and a half).

vomited twice, portions of blood were mixed with the matter thrown off.

the flaxseed tea (after three hours and a half),.

Almost immediate local pain of a most severe kind, with a sense of burning heat.

urgent forcing downwards, as in labor.

and profuse discharge of mucus as thin as water.

on examination, the entrance and lower part of the vagina were found greatly swollen, red, hot, and discharging profusely.

on the third day the discharge continued, and was tinged with blood,.

GENERAL SYMPTOMS.

Mercurius Corrosivus salt leads all other remedies in tenesmus of the rectum, which is incessant, and is not relieved by the stool. The tenesmus often involves the bladder as well. Bright’s disease. Gonorrhoea; second stage, with continuous tenesmus. Destroys the secreting portions of the kidneys. This process is slow, but sure. Albuminuria in early pregnancy ( Phosphorus ^Phosph. later and at full term).

Violent effects Burning, internal; throat, stomach, rectum, neck of bladder, kidneys, etc

Inflammation, with swelling and constriction

Constriction of throat, rectum, bladder, etc

Cracks, on palms, soles, angles of mouth, etc

Erosive discharges; acrid, fluent coryza, lachrymation, etc

Phagedena

Anxious and restless; rocks hard Difficult thinking

Disturbed speech

Stupid

Aching temples, worse looking sidewise

Photophobia

Iritis

Keratitis

Gluey nasal discharge

Swelled nose

Pale about mouth Patchy tongue

Nightly toothache

Red, swollen uvula

Astringent, taste, regurgitation, etc

Sore, painful swelling in l

throat, worse heat; sharp pains into ears, worse pressure

DYSPHAGIA

Insatiable thirst

Vomits slime and blood

Cramp in epigastrium

Distended, sensitive stomach

Gastritis

Cutting colic Painful flatulence

Continuous urging to stool and urine (Cantharis ^Canth Lilium Tigrinum ^Lil-t Sabi---- ); A NEVER GET DONE FEELING

SCANTY, BLOODY, SHREDDY OR SLIMY STOOLS, WITH TORMENTING TENESMUS

Passes pure blood or bloody water

Bleeding kidneys

Dysentery

Spasm of rectum, during coition

HOT URINE, PASSED DROP BY DROP, or scanty, frequent, dribbling; worse sitting

Urethra bleeds after urinating

Nephritis; slow; of pregnancy

Cystitis

Gonorrhoea

Phimosis

Chordee

Hard chancres

Breathes as through a metallic tube

Cold skin

Chilly, after stool

Sweats from every motion; partial; worse forehead and lower parts; foul, at night

Merc Viv ^Mercurius corrosivus sublimatus. Corrosive sublimate. Mercuric chloride. HgCl2. Trituration. Solution.

The chief effect of the Chlorine element in this salt appears to be to intensify the mercurial action. Merc Viv ^Merc. cor. is Merc Viv ^Merc. viv. with a much greater rapidity of action.

Phagedena is the type of Merc Viv ^Merc. cor. ulceration.

Chancres spread with great rapidity.

The burning of Merc Viv ^Merc. cor. is more intense.

The dysenteric straining is more excessive.

For this reason Merc Viv ^Merc. cor. is more generally prescribed In dysentery than Merc Viv ^Merc. viv., and it has even become a recognised remedy in the old school.

As with other ulcerating remedies, Merc Viv ^Merc. cor. is a powerful disinfectant.

Being much less irritating than Carbolic Acid ^{Carbolic acid}, it has taken the place of the latter as the leading antiseptic.

Before the proper degree of dilution had been ascertained many patients were poisoned by its external use. Merc Viv ^Merc. cor. has some of its most characteristic symptoms in the urinary sphere.

The urine is albuminous, scanty, hot, bloody; may be retained or suppressed.

There is intense vesical tenesmus.

When this accompanies dysentery Merc Viv ^Merc. cor. is the remedy.

In such cases the rectal and vesical tenesmus will go together.

A patient of mine who had had under allopathic treatment an injection of a solution of Merc Viv ^Merc. cor. (gr. vi to two ounces) injected into his urethra for gonorrhoea, not only suffered intensely in the urethra at the time, but for years afterwards had a painful spasm of the rectum every time he had coitus.

The tenesmus is agg. (or at any rate not amel.) after stool.

Mercurius Corrosivus is the note of Merc Viv ^Merc. cor.

In the diarrhoea calling for Merc Viv ^Merc. cor. there is the "never-get-done feeling" long after all has passed that there is to come.

Mercurius Corrosivus is also the indication in intussusception.

Membranous threads in stool; much pure blood; weakness, faintness, shuddering. Merc Viv ^Merc. cor. is a true gonorrhoea remedy, but local injections of it are not the right form of administration.

The indications are Greenish-yellow, or bloody, watery discharge, with violent burning, urging, and painful erections; dark purplish swelling; glans has a dark red or gangrenous appearance; phimosis or paraphimosis.

The chancres of Merc Viv ^Merc. cor. spread with great rapidity.

Serpigenous ulcers; ulcers with ragged edges which will eat away half the penis in a few days.

The sore throat of Merc Viv ^Merc. cor. is also characterised by the rapid spread of the affection and by the intensity of the burning pains.

The mouth is specifically affected.

There is one useful bit of practice in this connection which I learned from Dr.

McKechnie. Long uvulas sometimes give rise to irritating coughs.

If to the uvula is applied on a brush a little of a low trituration of Merc Viv ^Merc. cor. it will in many cases immediately, and often permanently, relieve the trouble.

In syphilitic eye affections Merc Viv ^Merc. cor. is a leading remedy.

The inflammatory symptoms are of the most violent character.

Burning, agonising pains with excessive photophobia causing excoriation of cheeks.

Tearing pains in bones and around eyes.

Scrofulous no less than syphilitic ophthalmias with these characters yield to Merc Viv ^Merc. cor.

Near to the eyes are the superior maxillary bones and their antra.

These are affected by Merc Viv ^Merc. cor.

The nasal catarrh is thick and glue-like; acrid excoriating.

The gullet is very markedly affected.

Constriction is a leading note of the remedy.

Any attempt to swallow (solid or liquid) causes violent spasm and immediate ejection.

Cutting as from a knife in throat.

There is raging thirst for cold things.

Desire for cold food and intolerance of hot things.

Skin affections of many kinds are met by Merc Viv ^Merc. cor., including syphilitic roseola and small-pox and condylomata.

In addition to the upper jaw and cranium, the sternum, ribs, and tibiae are prominently affected.

When present in cases of enteric fever, pains in the tibiae may form an indication for Merc Viv ^Merc. cor. along with the symptoms of intestinal ulceration; also affections of the tibiae occurring as sequelae of enteric.

Like Merc Viv ^Merc. viv., Merc Viv ^Merc. cor. has a distinct place in rheumatism and rheumatic fever.

A case of poisoning by Merc Viv ^Merc. cor. is quoted from Eisenhardt in Brit.

Med. Jour., July 18, 189l.

A woman, 37, drank a tumblerful of tepid water in which a 5 per cent. sublimate pastille had been dissolved.

Immediately she felt nausea, faintness; knees so weak she could not crawl into bed.

Directly she was put to bed violent choking sensation set in, and she vomited bile-stained mucus.

In an hour and a half, when Eisenhardt saw her, the symptoms were intensified, and in addition there were General trembling movements, especially in upper part of body.

Unable to speak; she indicated by signs pain in stomach, pharynx, and head.

Pulse rapid, soft. Temperature subnormal.

Pupils contracted. She had taken (with great difficulty) a quart of milk.

Whites of eggs were also given, and later oil of Camphora ^Camphor and hypodermic injections of Morphine.

There was temporary suppression of urine, but the kidneys acted in twenty-four hours.

Tea and black coffee favoured diuresis but were quickly vomited.

The vomiting gradually ceased.

On the third day profuse salivation set in, and ulcerating stomatitis with bloody and slimy stools and scanty and occasionally albuminous urine.

Emaciation; falling out of hair; failure of sight.

In a fortnight she could stand, and was convalescent in a month.

Unna reports two cases, in elderly women, of poisoning by sublimate lotion, lint, and gauze after ablation of the breast.

The dressings were removed the second day in each case.

The first symptoms were intense irritation of the skin and diffused redness of the part.

The wounds failed to heal by first intention.

Widespread dermatitis followed, and in the course of a few days a diffuse erythema spread over the whole body, creeping onwards like "water on blotting paper." Some fever, general malaise, nausea, restlessness.

In one case the eruption lasted three weeks and changed its type; "scattered urticarial and erythematous itching spots on all parts of the body suggested that there was at that period a poisoning of the more central nervous system" (Calcott Fox quoted in Brit. Med. Jour., December 13, 1890).

R. C. Markham (Med. Adv., xxi. 524) records a cure with Merc Viv ^Merc. cor. after the failure of Merc Viv ^Merc. viv. in a case of dysentery.

The symptoms were ($51$) Stool bloody mucus. (2) Tenesmus after stool. (3) Cutting colic below umbilicus. (4) Nausea. (5) Perspiration before and after stool, most pronounced on lower part of body and thigh.

Symptoms 3 and 5 were not found under Merc Viv ^Merc. viv., but were under Merc Viv ^Merc. cor.

The patient felt better within ten minutes of receiving a dose of Merc Viv ^Merc. cor. 1m. (I give the case, as it is a striking one, but I am unable to find the indications he names under Merc Viv ^Merc. cor. in Belladonna ^Bell's work on Diarrhoea, from which Markham says he obtained them. My editions are third and fourth.) The Conditions of Merc Viv ^Merc. cor. are in the main those of Merc Viv ^Merc.

Motion amel. pain in hip-joints. agg.

By coitus. Dysentery and summer complaints from May to November.

Notable Concomitants are Vesical tenesmus and tibial pains.

According to Teste, Merc Viv ^Merc. cor. is suited to males, and Merc Viv ^Merc. sol. to females. Merc Viv ^Merc. cor. will act in men on indications for Merc Viv ^Merc. sol.

He lays this down as a positive law, and without going into the details of experience on which it is based, he mentions this as a "curious fact" Both Merc Viv ^Merc. cor. and Merc Viv ^Merc. sol. antidote Sepia ^Sepia, which antidotes them in turn but imperfectly.

But "this neutralisation of Merc Viv ^Merc. cor. by Sepia ^Sepia, and vice versâ, does not take place thoroughly except in the case of males, nor does the neutralisation of Merc Viv ^Merc. sol. by Sepia ^Sepia, and vice versâ, take place thoroughly except in females.".

Corrosive sublimate. Buchner. Hg Cl.

Merc Viv ^Merc. cor has more excoriation and burning, more activity and excitement

Merc Viv ^Merc is slower and more sluggish. Merc Viv ^Merc. cor is violent and active in its movements, it takes hold and runs its course with greater activity. So with a Merc Viv ^mercury base we have often to prefer this salt.

In the eye symptoms there is more excoriation. The pains, burning, smarting, etc., in the eruptions and ulcers are more violent. In Merc Viv ^Merc we have slow spreading ulcers, but in Merc Viv ^Merc. cor there is great eating.

it will spread over an area as large as your hand in a night. He has the mercurial odor and sweat, and he is sallow.

he needs Merc Viv ^mercury, but a more active preparation than Merc Viv ^Merc. viv..

Merc Viv ^Merc. cor has decided symptoms of its own, but they are limited. You cannot tell the ptyalism, or the lardaceous ulcers apart.

In sore throat, if it is a Merc Viv ^Merc. case, the ulcers are spreading rapidly and burning and smarting like coals of fire, you would say that Merc Viv ^Merc is not so intense as this. You need Merc Viv ^Merc. cor for the violence, the intense burning, and the rapid spread.The throat is enormously swollen, the glands are swollen, and the thirst is insatiable.

In dysentery there is more violence.

copious bleeding. great anxiety, can scarcely leave the stool a second, great tenesmus of rectum and bladder.

urging to urination and stool is constant.

great burning in the rectum. It is a violent case of dysentery. I would prefer Merc Viv ^Merc in ordinary Merc Viv ^Merc cases, but if this patient is not relieved he will not live, and Merc Viv ^Merc. cor is needed here.

In the urinary organs the symptoms are violent. Albuminuria is more marked in Merc Viv ^Merc. cor than in Merc Viv ^Merc It is one of the most frequently indicated remedies in the albuminuria of pregnancy and a very useful remedy when gout is present.

From slight irritation of the foreskin of the male organ, the mucous membrane and skin contract and phimosis takes place.

Merc Viv ^Merc. cor relieves the itching and burning, and causes the purse-string to let up. It is seldom indicated in gonorrhoea, but is called for when there is greenish yellow or bloody watery discharge, with violent burning and urging to urination and to stool, and violent painful erections. Chancres spread with great rapidity.

Stitching, rending, tearing pains, here and there, especially in the chest.

Most persistent and terrible tenesmus before, during and after stool; stool scanty, mucus tinged with blood.

Tenesmus of the bladder and rectum at the same time; urine passed in drops with much pain.

Throat intensely inflamed, swollen, burning, with swollen gums, which bleed easily.

While we are on the subject of Merc Viv ^mercury we may as well notice the various combinations of the drug. Mercurius Solubilis ^{Mercurius solubilis} and vivus are so nearly alike that with the same indications some use one and some the other preparation. It is claimed by some that the vivus is better adapted to men and solubilis to women. I have not observed it, but do think that the solubilis works better in skin troubles. Of Merc Viv ^Mercurius corrosivus we have to say that it leads all other remedies for tenesmus of the rectum. This tenesmus is incessant. Stool does not relieve it, and this is what decides between it and Nux Vomica ^{Nux vomica} in dysentery. It has also severe tenesmus of the bladder, and may here vie with Cantharis ^Cantharis, Capsicum Annuum ^Capsicum and Nux Vomica ^{Nux vomica}, especially in dysentery.

Other symptoms must decide the choice.

Mercurius Corrosivus severe tenesmus may begin in the rectum and extend to the bladder or vice versa.

It is a very efficient remedy in gonorrhoea, in the second stage, when the greenish discharge has set in and the burning and tenesmus continues. It seems to have gained some reputation in Bright's disease. I have no experience with it here, but would expect it to do good if it were indicated.

It seems, according to the testimony of others, to be a useful remedy for catarrhal affections of the eyes and nose. Here also I have no testimony to offer, but would not cast doubt upon it for that reason. I do not desire to place my own experience ahead of that of others. We are co-laborers. Let each add to the general store of medical knowledge, that all may draw freely from it as occasion demands.

Dose

Sixth potency. In solution 1: 1000, hypodermically injected under conjunctiva in choroiditis with progressive myopia. Stops immediately the severe aching pain behind eyeballs (Dr. G. D. Halle.)

Region

RECTUM

Bladder

Eyes

THROAT Uvula

Fauces Palate

Kidneys

Bones (Flat)

Sensations

Severe tingling sensation, similar to that of "being asleep" (third day),

Itching burning and fine sticking in various places just under the skin (first day),

Itching, changing to sticking and burning in the skin (seventh day),

Itching in various places, scalp, legs, etc. frequently changing to fine sticking and burning (first day),

Itching about the anus, while walking (first day),

Itching, changing to a fine sticking, in the middle of the back, as if in the skin (first day),

Itching between the right great (and second) toes (first day),