Carduus marianus

 C. marianus, Gaerth. Natural order: сompositae. Old generic name, Silybum). Preparation: Tincture of the seeds.

 Slight dulness of the head. Dulness of the head, the whole day. Occasionally transitory headache in the forehead and temples. A dull headache in the forehead might have been referred to some catarrhal affection, but no catarrh followed (fourteen day).

 Tongue coated white in the middle; red at the tip and edges. Accumulation of saliva in the mouth, after taking coffee and milk, half an hour after the first dose. вitterness in the mouth after the dose.

 Appetite small. Loss of appetite. Empty eructations, after food taken against inclination. Nausea and inclination to vomit. Some nausea immediately after the morning dose, repeated after every subsequent one, and ending in a feeling of inflation in the stomach; a horseback ride of three hours in the afternoon increased the inflated feeling of the abdomen. Very decided nausea after the first dose, which compelled me to take the remaining three each in a wine glassful of water, which moderated the symptom very much. Great nausea, but no vomiting. Violent nausea (very soon after). Such severe and persistent nausea that I was obliged to produce vomiting by means of warm water and tickling the fauces. Painful retching and vomiting of acid, green fluid (after ten minutes). Increased sensation of uneasiness in the epigastric region, but no pain. Pain in the stomach, lasting two hours, aggravated by bread and milk; meat-broth sat well at noon. Painful griping in the stomach and cutting in the bowels, here and there, with rumbling.
 Abdomen.
 The feeling of fulness in the hypochondrium become less after stool, but was still perceptible enough, obliging me to draw a long breath. The feeling of inflation in the abdomen was so strong, especially in the right side, that I expected to discover a great enlargement of the liver by percussion, but it was not so; but pressure was painful over the whole hepatic region.
 Rectum and Anus.
 No stool, but inclination to one.
 Stool.
 Stool at 8 p.m, of moderate size, pappy, loamy, destitute of bilious coloring (twenty-second day). The morning evacuation was harder than usual. A hard stool at 9 ; formerly it took place between 7 and 8 p.m, and was rather pappy. At 10 p.m a hard scanty stool; at 11 a copious pappy one, but little colored by bile, more of a chocolate color, preceded by violent rumbling, with pains in the abdomen. A very hard evacuation at a quarter to 9; a similar one, unsatisfactory, at a quarter before 7 A very hard, unsatisfactory, difficult evacuation of brown knotty faeces, immediately after dinner. Unsatisfactory, hard, loamy stool at 6 No stool (seventh, nineteenth, twentieth, and twenty-third days).

 Urine scanty, brownish; two experiments, both with syrup and sulphuric and nitric acids, indicated the presence of the coloring matter of the bile in the urine. Urine cloudy, without sediment, golden-yellow, acid. Urine wheyey, yellowish-brown, diminished in quantity, acid (twentieth day); the next day the same, but after standing from six to eight hours, it deposited a sediment, consisting chiefly of common salt and lime; experiments with solution of sugar and sulphuric acid gave traces of the coloring matter of the bile in the urine.

 Frequent urging to deep breathing, followed by painful sensations of an undefined sort in the abdomen.
 Chest.
 Every sudden and violent movement of the body was painful, both in the chest and abdomen.

 Great debility all day.

 Restless at night, with frequent waking; lying on the back produced nightmare, which woke me twice. Restless, dreamy night.

 (Bread and milk), Pains in stomach. After coffee with milk), Accumulation of saliva. Lying on back) Produced nightmare. Riding on horseback), Inflated feeling of abdomen.
 Amelioration.
 (After stool), Feeling of inflation of abdomen.

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