Description Source
Encyclopedia of Pure Materia Medica - TF Allen
Additional facts
Conium maculatum, L.
Natural order: Umbelliferae.
Preparation: Tincture of the fresh herb in blossom.
Natural order: Umbelliferae.
Preparation: Tincture of the fresh herb in blossom.
Mental
Mind.
Emotional.
Liveliest excitement (after twelve hours). Drunkenness.
Delirium, etc. Violent delirium, interrupted by crying out from pain (always with the sounds ah!, oh!). сonstant delirium.
Delirious and stupid; they threw themselves into the water, thinking they were geese; for three years they remained partly paralytic, suffering from much pain. They ran wildly delirious about the whole house, knocking so hard against the walls that they were full of bruises. Partly foolish and partly delirious, for some months. Full of fantasies, in the morning (after twenty four hours). вecame much agitated, were attacked with hallucinations and delirium and went out of the house; the neighbors thought the whole family had gone mad and were obliged to employ force to compel them to return home; watched them and rallied them in their hallucinations, and more or less absurd proposals; the patients had been mirthful all the while.
Intermittent delirium. The husband, who had been somewhat addicted to liquor, saw all sorts of animals dancing upon the bed and ‘picked straws a little. Visions of her mother and child, who had died; at the same time she saw distinctly persons in the room; she was quite aware that this was an illusion and tried to get it out of her mind, but she could not prevent herself seeing them together, as if they were coming in at the door. Fancied that some one was coming in at the door at night. сonstant mirth.
Tendency to laugh, as if coming from the right hypochondrium and stomach, during an exhausted condition. Tendency to laugh, with loss of vital energy. Violent weeping, with tears, at night in sleep. When alone in the house she was seized by an inclination to weep; on giving way to it, it changed to a loud hiccough, followed by flickering before the eyes and indistinct vision so that she was obliged to steady herself in walking, followed by exhaustion of all the limbs and dull headache. She is easily disturbed by trifles and made to cry. Lively, well, and strong, in the morning (alternating curative action), (after twenty four hours). Lively free mood (curative action), (third and fourth days). Lively mood, with inclination to talk (curative action).
Sad mood (after one day). More sad than lively.
Hypochondriac depression and indifference, while walking in the open air.
Frequent thoughts of death. Anxiety. Not found. HUGHES.
*) (Anxiety). Awakened at night by anxiety so that she lies long awake. Extreme anxiety constantly impelled upon them from place to place. Hysterical anxiety). Patient had attacks of this with 357 till she died; there is no thought of ascribing them to сonium. HUGHES. Anxious sensation with beating of the heart and profuse nosebleed. Inclined to be frightened. Fearful thought after waking at night. Very apprehensive thoughts, almost amounting to deathly anxiety, after midnight, while half awake.
Fearful lachrymation, faint hearted. Sunk in deep thought; he apprehensively considered the present and future and sought to be alone. Dread of men of their approach, yet with dread of being alone. Fear of thieves. Superstitious thoughts. сonstant ill humor and fretfulness. Very ill humored, every afternoon, from 5 to 6, as though a great guilt weighed upon him, with paralyzed feeling in all the limbs, indifference, and taking no interest in anything. Fretful and peevish about trifles.
Extremely fretful and anxious thoughts about dying, in the morning, with confusion of the head (after twenty nine hours).
Fretful mood; he does not know how he shall busy himself; the time passed too slowly (after eight hours). Fretful things absorb his attention. She feels peevish, vexed and easily put out ( about trifles. Very easily aroused to anger. Morose mood; everything about him makes an unpleasant impression upon him. He is averse to bring near people and to the talk of those passing him; is inclined to seize hold of and abuse them. Great discontent. Indifference to agreeable sensation. Insensibility with indolence. Extremely insensible.
Intellectual.
Disinclination for business. Inability to sustain any mental effort. Dulness, like stupefaction; difficulty in understanding what he is reading. Dulness; difficulty in understanding what he is reading, with confusion of the head.
(Confused thoughts).
Frequently makes mistakes in speaking. Unable to express himself properly while talking or to think correctly. Memory weak. Want of memory. Loss of memory (in seventy four cases). Senselessness, after waking from the midnight sleep.
Emotional.
Liveliest excitement (after twelve hours). Drunkenness.
Delirium, etc. Violent delirium, interrupted by crying out from pain (always with the sounds ah!, oh!). сonstant delirium.
Delirious and stupid; they threw themselves into the water, thinking they were geese; for three years they remained partly paralytic, suffering from much pain. They ran wildly delirious about the whole house, knocking so hard against the walls that they were full of bruises. Partly foolish and partly delirious, for some months. Full of fantasies, in the morning (after twenty four hours). вecame much agitated, were attacked with hallucinations and delirium and went out of the house; the neighbors thought the whole family had gone mad and were obliged to employ force to compel them to return home; watched them and rallied them in their hallucinations, and more or less absurd proposals; the patients had been mirthful all the while.
Intermittent delirium. The husband, who had been somewhat addicted to liquor, saw all sorts of animals dancing upon the bed and ‘picked straws a little. Visions of her mother and child, who had died; at the same time she saw distinctly persons in the room; she was quite aware that this was an illusion and tried to get it out of her mind, but she could not prevent herself seeing them together, as if they were coming in at the door. Fancied that some one was coming in at the door at night. сonstant mirth.
Tendency to laugh, as if coming from the right hypochondrium and stomach, during an exhausted condition. Tendency to laugh, with loss of vital energy. Violent weeping, with tears, at night in sleep. When alone in the house she was seized by an inclination to weep; on giving way to it, it changed to a loud hiccough, followed by flickering before the eyes and indistinct vision so that she was obliged to steady herself in walking, followed by exhaustion of all the limbs and dull headache. She is easily disturbed by trifles and made to cry. Lively, well, and strong, in the morning (alternating curative action), (after twenty four hours). Lively free mood (curative action), (third and fourth days). Lively mood, with inclination to talk (curative action).
Sad mood (after one day). More sad than lively.
Hypochondriac depression and indifference, while walking in the open air.
Frequent thoughts of death. Anxiety. Not found. HUGHES.
*) (Anxiety). Awakened at night by anxiety so that she lies long awake. Extreme anxiety constantly impelled upon them from place to place. Hysterical anxiety). Patient had attacks of this with 357 till she died; there is no thought of ascribing them to сonium. HUGHES. Anxious sensation with beating of the heart and profuse nosebleed. Inclined to be frightened. Fearful thought after waking at night. Very apprehensive thoughts, almost amounting to deathly anxiety, after midnight, while half awake.
Fearful lachrymation, faint hearted. Sunk in deep thought; he apprehensively considered the present and future and sought to be alone. Dread of men of their approach, yet with dread of being alone. Fear of thieves. Superstitious thoughts. сonstant ill humor and fretfulness. Very ill humored, every afternoon, from 5 to 6, as though a great guilt weighed upon him, with paralyzed feeling in all the limbs, indifference, and taking no interest in anything. Fretful and peevish about trifles.
Extremely fretful and anxious thoughts about dying, in the morning, with confusion of the head (after twenty nine hours).
Fretful mood; he does not know how he shall busy himself; the time passed too slowly (after eight hours). Fretful things absorb his attention. She feels peevish, vexed and easily put out ( about trifles. Very easily aroused to anger. Morose mood; everything about him makes an unpleasant impression upon him. He is averse to bring near people and to the talk of those passing him; is inclined to seize hold of and abuse them. Great discontent. Indifference to agreeable sensation. Insensibility with indolence. Extremely insensible.
Intellectual.
Disinclination for business. Inability to sustain any mental effort. Dulness, like stupefaction; difficulty in understanding what he is reading. Dulness; difficulty in understanding what he is reading, with confusion of the head.
(Confused thoughts).
Frequently makes mistakes in speaking. Unable to express himself properly while talking or to think correctly. Memory weak. Want of memory. Loss of memory (in seventy four cases). Senselessness, after waking from the midnight sleep.
Head, face, and ears
Head.
General Head.
Apoplexy. Serious apoplexy). In an old woman of eighty; ten days after leaving off сonium. HUGHES. Great weakness of the head and of the whole body, with loss of appetite. Unable to hold head up (half an hour). Utter inability to keep the head erect.
Continuous stupefaction of the head with constant inclination to sleep. Heaviness of the head. Heaviness and pressure deep in the brain. The head is heavy. During convalescence. HUGHES. Awoke with a headache and felt weak and poorly, from broken rest, and a sharp attack of diarrhoea during the early morning.
Headache, with nausea, at night, in bed.
On going in, after walking in the open air, headache, with pressure in the right eye. Headache daily, on account of too scanty though frequent stools, associated with urging. Headache on stepping; she felt every step in her head. Some headache, with diminution of appetite, throughout the day (nineteenth day).
Headache, with nausea and vomiting of mucus (third day). In a few instances slight headache, muscae volitantes, diplopia, languor and inclination to sleep. Violent headache. Violent headache with vertigo, wherewith she sat in one place, sad and without speaking, for three or four days. Very violent headache.
Feeling of fullness in the head. While at the breakfast table, a disagreeable neck, this was accompanied by a very slight vertigo (fifteenth day). Headache, as if the brain were too full and would burst, in the morning, on waking. Tension in the head and a sensation of compression from both temples, after every meal; was obliged to rest the forehead on the table. Drawing in the head, with going to sleep of the brain; relieved after eating. Violent drawing in the head, on going into the open air; relieved on closing the eyes(soon). Dulness in the head, after drinking.
Dull pressure in the head on going into the open air; he was obliged to rub the forehead. Headache, a simple pain, on walking in the open air; it seems dull; even in the morning, lasting till breakfast. The cerebral oppression was extremely unpleasant and oppressive (nineteenth day). Sticking in the head, while coughing. Sticking pain in the head, as from needles, lasting an hour. Shooting into the head from coughing. вoring tearing and pressure in various parts of the bones of the head. Headache, in the morning, on waking, as in epidemic fever, as if the brain were torn, especially towards the occiput (after ten hours).
Headache in the morning, as if the head were beaten or would be pressed asunder. Headache, extending from the forehead to the occiput, as if something were loose, on shaking the head.
Forehead.
Violent pains in the forehead and eyes, with profuse burning lachrymation, as though salt water had got into the eye.
Headache, as from external contraction, in the upper part of the forehead, disappearing on stooping or leaning it on the hand, with chilliness, vertigo and fretful senselessness (after one hour and a half). Pressive drawing around the forehead and right temple.
Digging and griping in the forehead, as from the stomach, with such great sensitiveness of the brain that it was painfully shattered by noises and by speaking. Drawing pain in the forehead above the brows.
Drawing pain in the brain just behind the forehead (first days).
Pressure in the forehead. Pressure in various places on the forehead (after three hours). Pressure in the forehead, alternately severe and slight; afterward heaviness, followed by the same sensation in the occiput. Pressure in the right side of the forehead, in the left side of the occiput, and in the left parietal eminence. Pressure and heaviness in the forehead, lasting the whole day. Pressive pain in the forehead, externally.
Pressive headache, as from a stone, on the upper part of the frontal bone (after three days). Pressive headache from within outward, over the eyes. Pressive headache, externally in the forehead, causing stupefaction. Jerk like sudden sticking in the forehead, lasting the whole day, worse in the room. Sticking pain from within outward in the forehead, at noon. Sticking headache in the forehead, the whole day; till she could not lie down. Sticking headache coming out at the forehead, with inclination to lie down, in the forenoon. Stitches in the forehead. Stitches, extending out of the forehead, in the morning after rising. Throbbing in the forehead.
Temples.
Slight pain from temple to temple several times during the day (eighth day). Some headache in the region of temples, attributed to a cold (third day). Drawings in the right temporal muscles; worse when walking. Drawing pain in the temporal bones.
Drawing pain in the temples, on touch. Pressure in both temples (after a few hours). Tearing in the right temple and right ear.
Tearing pain through the temples, in the morning (fourth day).
Tearing pain in the temples, while eating. Tearing headache in the temporal region, with pressure in the forehead, after eating (third day).
Vertex.
Pressure on the vertex, with feeling as though one would fall.
The headache consisted of a violent pressive, squeezing sensation, like something pressing on the top of the head; the pain then went down from the top of the head to the sides of the jaws, and thence to below the left breast, with a feeling of choking and inability to draw a breath. Dull pressure deep in the vertex. Dull pressure on the vertex, afterward around the forehead. Nipping in the vertex on every step, while walking, without pain; not while sitting.
Some pains and heaviness in top and back of head (after half an hour).
Parietals.
Numbness, with sensation of coldness, of one side of the head.
Sensation in the right half of the brain as if a large foreign body. Pressive pain in the right half of the brain, extending backward. Sticking in the parietal bones and in the forehead, with vertigo, so that he was obliged to sit down; together with sticking in the cervical muscles. Tearing stitches, extending from the left parietal bone to the frontal region. Headache on one side, gradually increasing as if bruised, and as if something heavy were pressing downward, aggravated by moving the eyes towards the affected side. Pulsation in the right side of the head, in the evening, in bed.
Occiput.
Heavy sensation in the occiput, that frequently disappears and reappears; it appears from time to time while sitting bent but always disappears on becoming erect. Fullness and confusion in the occiput. Pressure on the left side of the occiput. Pressure in the right side of the occiput, as with a plug. Pain in the occiput; at every pulse it feels as though pierced with a knife.
Slight tearings in the left side of the occiput, while walking (after half an hour). Tearing headache in the occiput and nape of the neck, and especially in the orbits with constant nausea, so that he was obliged to lie in bed.
External Head.
Falling of the hair. вurning on the scalp above the right frontal eminence, with sensitiveness of the skin at that place.
Sharp pressure in a small spot on the scalp. Much itching on the scalp.
Eye.
Objective.
The eye itself immovable, staring. Their look was wild and piercing. Weak look of the eyes. Trembling look, as if the eye trembled. Red eyes. Eyes somewhat congested and wild. Yellow whites of the eyes (after ten days). Protruding eyes.
Movements of the eyes as if they were pressed outward. Affected with a weakness and dazzling of my eyes, together with a giddiness and debility of my whole body, especially the muscles of my arms and legs, so that when I attempted to walk I was apt to stagger like a person who had drunk too much strong liquor.
Mucus in the eyes in the morning.
Subjective.
Increased irritability of the eyes (first days). The eyes felt uncomfortable, causing me to brush them frequently to clear apparent obstruction from the lids. Heat in the eyes. An almost burning heat shoots through the eyes in the forenoon and evening.
Burning in the eyes. вurning in the eyes, towards evening, with pressure in the orbits. Drawing pain in the eyes, with redness of them. Pressure in the eyes, as from a grain of sand, especially in the forenoon, with inflammation and redness oft he white of the eye and biting lachrymation. Pressure in the eyes, mostly while reading. Dull pressure above both eyes, afterwards in the occiput, as if a band were tied about the head. Painful pressure in the eyes as if she closes them to sleep, in the evening, in bed.
Brow and Orbit.
There was an aching pain across the eyebrows and mistiness of vision. Pressure above the right eye, extending into the eye.
Pressive pain in the bones above the right eye, in the nose, and malar bone, late in the evening and lasting ten minutes. Pain in the orbits, especially with the headache. The absence of any preponderating action of the muscles supplied by the fourth and sixth pairs of nerves shows that they are equally affected with the third pair. A proportionate diminution of power is also observed in the muscles supplied by the motor branches of the fifth and seventh pairs. The contractive power of the M.
Orbicularis in particular is distinctly weakened.
Lids.
Inflamed lids with formation of styes in several places; the boy frequently blinks. Twitching in the upper lid. Eyes difficult to open (first hour and a half); closed (second hour). Difficult opening of the lids; in the morning they are drawn together. He could hardly raise the eyelids, which seemed pressed down by a heavy weight, and was disposed to fall off to sleep. Muscular relaxation of the orbicularis, drooping of the eyelids, almost amounting to ptosis and nearly inability to walk. Nearly complete muscular paralysis; the eyelids were closed, the pupils widely dilated, and the mind clear, calm and active, and she expressed herself quite comfortable; she tried perseveringly to raise the eyelids when I requested her to do so, but she was quite unable to separate their margins (after one hour). вurning on the inner surface of the lids. Pressure in the external canthus, as from a grain of sand. Sticking in the inner canthus; the lids are agglutinated in the morning. Itching sticking in the inner canthus, not relieved by rubbing (after one hour and a half).
Stitches on the margins of the lids and in the canthi.
Biting pain in the inner canthus, as if something corrosive were in it, with lachrymation. Itching on the margin of the lids.
Conjunctiva.
Pressure and sticking in the conjunctiva bulbi of the right eye, in the inner canthus, with fine vessels closely aggregated at the inner margin of the right cornea.
Pupil.
Dilatation of the pupils from one seventh to one sixth.
Dilatation of the pupil occurs usually only after very large doses and then it is often but slight, and only observable in a subdued light, the excitement of strong light overcoming the tendency to dilate, just as the exertion of a strong will strengthens for a time an enfeebled limb. Dilated pupils (after one hour). Pupils dilated (second day). Pupils of the eyes apparently somewhat dilated (seventeenth to twentieth days).
The pupils were considerably dilated. Pupils decidedly and persistently dilated; at first this dilatation alternated with contraction. Pupils greatly dilated. сontracted pupils (curative action), (after three hours and a quarter).
Vision.
Weakness of vision. Diminished vision. Dimness of vision, while walking in the open air; in the room it was clear.
Dimness of vision and dilatation of pupils. Obscuration of vision. In Andree’s case, with giddiness. HUGHES.
Vision momentarily obscured; objects in the room seemed indistinct and as if moving about. Soon after half an hour, dimness of vision, with bright points scintillating, or rather quickly moving in the distance; this caused me to turn from side to side to notice them and from this cause, I suppose, I found myself reeling in my saddle; there was no vertigo or unpleasant sensation about the head to produce this effect, save a slight feeling of lightness. Eyesight slightly dim, becoming more so on rising from the breakfast table, and the tendency to vertigo was at the same time increased (seventeenth and subsequent days).
After moderate doses, the interference of vision is only such as results in haziness, as if a thin film of transparent vapor were floating between the eye and the object, the effect being identical with that observed on looking through a medium of unequal density, such as the mixture of hot and cold air enveloping a highly heated stove; it occurs independently of any dilatation of the pupil and is compatible with good definition for fixed objects; it is due to imperfect adjustment of the refracting media of the eye from partial paralysis of the ciliary branches of the third nerve; it is through these minute branches that the individual first becomes conscious of the effect of hemlock, and if he should be reading at the time, he will suddenly find the occupation fatiguing, and very soon afterwards it may be impossible, and he will be glad to close the eyes to relieve himself of the symptom, and as the muscular lethargy begins to be felt, content to lie perfectly still as if asleep; in full doses the depressing influences involves the other branches of the nerve, and the lazy movements of the eyeball, or dull fixed and occasionally divergent stare, indicate the partially paralyzed condition of the external muscles of the eyeball, while more or less drooping of the upper lids expresses a similar condition of the levator palpebrae.
There was a sluggishness of the adaptation of the eye, my vision was good for fixed objects, but when an uneven object was put in motion before the eyes there was a haze and dimness of vision, producing a feeling of giddiness. On raising my eyes from the object upon which they had been fixed to a more distant one the vision was confused and a feeling of giddiness suddenly came over me. That these symptoms were due to impairment of power in the muscular apparatus employed in the adaptation of the eye was obvious to me, for so long as my eyes were fixed on a given object the giddiness disappeared, and the definition and capacity of vision for the minutest objects were unimpaired, but the instant that I directed the eyes to another object all was haze and confusion, and I felt giddy, and in order to recover my vision and dismiss the sense of giddiness, it was necessary to lay hold upon some object, as it were, with my eyes and rest them secured upon it; it was clear to me that the adjusting muscular apparatus of the eye was enfeebled, and its contractions so sluggishly performed that they could not longer keep pace with the more active movements of the external muscles of the eyeball; within ten minutes of the appearance of this disorder of vision a general muscular lethargy affected me, and the eyelids felt as heavy as if they were oppressed with the deepest drowsiness (three quarters of an hour after 5 1/2 drachms). Raised my eyes quickly from the manuscript upon which they had been steadily fixed, towards the ink stand some little distance away, but in so doing I instantly experienced a slight difficulty in accurately sighting that object, the eyes did not strike exactly where they were aimed and simultaneously a faint but distinct thrill of the peculiar swimming feeling that I know so well as the beginning of seasickness, swept through the brain; plainly the subtle influence of the poison had been creeping over me while absorbed in writing, but could not declare itself by symptoms until a quick and decided movement of the already paretic ocular muscles was attempted, then, however, it was instantly made manifest by the trouble in promptly sighting a given object and what is the point, then at once but not till then, was the last giddiness experienced; as the palsy of the ocular muscles advanced, soon the slightest movement of the eyes produced a curious and very disagreeable apparent flickering of the field of view, and was always accompanied by a sudden rush of giddiness; but so long as the eyes were kept motionless, then, as long ago pointed out by Harley, there was no giddiness; for experiment, however, I did try the eyes in various ways, seeking to find, among other things, how the focalizing power on near objects was affected, and the consequence was that I quickly became not only very giddy but also decidedly nauseated, in fact veritably sea sick, the sensations being the same as those felt at sea; fearing that I should vomit, I got up to cross the room to the washstand, but at once the floor seemed to rock and waver, and I staggered against a table; not being conscious, however, of any real weakness of the legs, it immediately struck me that the uncertainty of step was purely because the eyes were playing false as guides for the feet; if so, I argued, walking ought to be steadier with the eyes shut than open. Accordingly after getting the proper bearings, I shut the eyes, and sure enough found at once that I could now walk straight and steady, and, what was more, without any feeling of giddiness; securing a basin I repeated the little experiment on the return trip to the desk, and with precisely the same result; giddiness, transient nausea and staggering gait on trying to walk with eyes open; freedom from all trouble with them shut.
General Head.
Apoplexy. Serious apoplexy). In an old woman of eighty; ten days after leaving off сonium. HUGHES. Great weakness of the head and of the whole body, with loss of appetite. Unable to hold head up (half an hour). Utter inability to keep the head erect.
Continuous stupefaction of the head with constant inclination to sleep. Heaviness of the head. Heaviness and pressure deep in the brain. The head is heavy. During convalescence. HUGHES. Awoke with a headache and felt weak and poorly, from broken rest, and a sharp attack of diarrhoea during the early morning.
Headache, with nausea, at night, in bed.
On going in, after walking in the open air, headache, with pressure in the right eye. Headache daily, on account of too scanty though frequent stools, associated with urging. Headache on stepping; she felt every step in her head. Some headache, with diminution of appetite, throughout the day (nineteenth day).
Headache, with nausea and vomiting of mucus (third day). In a few instances slight headache, muscae volitantes, diplopia, languor and inclination to sleep. Violent headache. Violent headache with vertigo, wherewith she sat in one place, sad and without speaking, for three or four days. Very violent headache.
Feeling of fullness in the head. While at the breakfast table, a disagreeable neck, this was accompanied by a very slight vertigo (fifteenth day). Headache, as if the brain were too full and would burst, in the morning, on waking. Tension in the head and a sensation of compression from both temples, after every meal; was obliged to rest the forehead on the table. Drawing in the head, with going to sleep of the brain; relieved after eating. Violent drawing in the head, on going into the open air; relieved on closing the eyes(soon). Dulness in the head, after drinking.
Dull pressure in the head on going into the open air; he was obliged to rub the forehead. Headache, a simple pain, on walking in the open air; it seems dull; even in the morning, lasting till breakfast. The cerebral oppression was extremely unpleasant and oppressive (nineteenth day). Sticking in the head, while coughing. Sticking pain in the head, as from needles, lasting an hour. Shooting into the head from coughing. вoring tearing and pressure in various parts of the bones of the head. Headache, in the morning, on waking, as in epidemic fever, as if the brain were torn, especially towards the occiput (after ten hours).
Headache in the morning, as if the head were beaten or would be pressed asunder. Headache, extending from the forehead to the occiput, as if something were loose, on shaking the head.
Forehead.
Violent pains in the forehead and eyes, with profuse burning lachrymation, as though salt water had got into the eye.
Headache, as from external contraction, in the upper part of the forehead, disappearing on stooping or leaning it on the hand, with chilliness, vertigo and fretful senselessness (after one hour and a half). Pressive drawing around the forehead and right temple.
Digging and griping in the forehead, as from the stomach, with such great sensitiveness of the brain that it was painfully shattered by noises and by speaking. Drawing pain in the forehead above the brows.
Drawing pain in the brain just behind the forehead (first days).
Pressure in the forehead. Pressure in various places on the forehead (after three hours). Pressure in the forehead, alternately severe and slight; afterward heaviness, followed by the same sensation in the occiput. Pressure in the right side of the forehead, in the left side of the occiput, and in the left parietal eminence. Pressure and heaviness in the forehead, lasting the whole day. Pressive pain in the forehead, externally.
Pressive headache, as from a stone, on the upper part of the frontal bone (after three days). Pressive headache from within outward, over the eyes. Pressive headache, externally in the forehead, causing stupefaction. Jerk like sudden sticking in the forehead, lasting the whole day, worse in the room. Sticking pain from within outward in the forehead, at noon. Sticking headache in the forehead, the whole day; till she could not lie down. Sticking headache coming out at the forehead, with inclination to lie down, in the forenoon. Stitches in the forehead. Stitches, extending out of the forehead, in the morning after rising. Throbbing in the forehead.
Temples.
Slight pain from temple to temple several times during the day (eighth day). Some headache in the region of temples, attributed to a cold (third day). Drawings in the right temporal muscles; worse when walking. Drawing pain in the temporal bones.
Drawing pain in the temples, on touch. Pressure in both temples (after a few hours). Tearing in the right temple and right ear.
Tearing pain through the temples, in the morning (fourth day).
Tearing pain in the temples, while eating. Tearing headache in the temporal region, with pressure in the forehead, after eating (third day).
Vertex.
Pressure on the vertex, with feeling as though one would fall.
The headache consisted of a violent pressive, squeezing sensation, like something pressing on the top of the head; the pain then went down from the top of the head to the sides of the jaws, and thence to below the left breast, with a feeling of choking and inability to draw a breath. Dull pressure deep in the vertex. Dull pressure on the vertex, afterward around the forehead. Nipping in the vertex on every step, while walking, without pain; not while sitting.
Some pains and heaviness in top and back of head (after half an hour).
Parietals.
Numbness, with sensation of coldness, of one side of the head.
Sensation in the right half of the brain as if a large foreign body. Pressive pain in the right half of the brain, extending backward. Sticking in the parietal bones and in the forehead, with vertigo, so that he was obliged to sit down; together with sticking in the cervical muscles. Tearing stitches, extending from the left parietal bone to the frontal region. Headache on one side, gradually increasing as if bruised, and as if something heavy were pressing downward, aggravated by moving the eyes towards the affected side. Pulsation in the right side of the head, in the evening, in bed.
Occiput.
Heavy sensation in the occiput, that frequently disappears and reappears; it appears from time to time while sitting bent but always disappears on becoming erect. Fullness and confusion in the occiput. Pressure on the left side of the occiput. Pressure in the right side of the occiput, as with a plug. Pain in the occiput; at every pulse it feels as though pierced with a knife.
Slight tearings in the left side of the occiput, while walking (after half an hour). Tearing headache in the occiput and nape of the neck, and especially in the orbits with constant nausea, so that he was obliged to lie in bed.
External Head.
Falling of the hair. вurning on the scalp above the right frontal eminence, with sensitiveness of the skin at that place.
Sharp pressure in a small spot on the scalp. Much itching on the scalp.
Eye.
Objective.
The eye itself immovable, staring. Their look was wild and piercing. Weak look of the eyes. Trembling look, as if the eye trembled. Red eyes. Eyes somewhat congested and wild. Yellow whites of the eyes (after ten days). Protruding eyes.
Movements of the eyes as if they were pressed outward. Affected with a weakness and dazzling of my eyes, together with a giddiness and debility of my whole body, especially the muscles of my arms and legs, so that when I attempted to walk I was apt to stagger like a person who had drunk too much strong liquor.
Mucus in the eyes in the morning.
Subjective.
Increased irritability of the eyes (first days). The eyes felt uncomfortable, causing me to brush them frequently to clear apparent obstruction from the lids. Heat in the eyes. An almost burning heat shoots through the eyes in the forenoon and evening.
Burning in the eyes. вurning in the eyes, towards evening, with pressure in the orbits. Drawing pain in the eyes, with redness of them. Pressure in the eyes, as from a grain of sand, especially in the forenoon, with inflammation and redness oft he white of the eye and biting lachrymation. Pressure in the eyes, mostly while reading. Dull pressure above both eyes, afterwards in the occiput, as if a band were tied about the head. Painful pressure in the eyes as if she closes them to sleep, in the evening, in bed.
Brow and Orbit.
There was an aching pain across the eyebrows and mistiness of vision. Pressure above the right eye, extending into the eye.
Pressive pain in the bones above the right eye, in the nose, and malar bone, late in the evening and lasting ten minutes. Pain in the orbits, especially with the headache. The absence of any preponderating action of the muscles supplied by the fourth and sixth pairs of nerves shows that they are equally affected with the third pair. A proportionate diminution of power is also observed in the muscles supplied by the motor branches of the fifth and seventh pairs. The contractive power of the M.
Orbicularis in particular is distinctly weakened.
Lids.
Inflamed lids with formation of styes in several places; the boy frequently blinks. Twitching in the upper lid. Eyes difficult to open (first hour and a half); closed (second hour). Difficult opening of the lids; in the morning they are drawn together. He could hardly raise the eyelids, which seemed pressed down by a heavy weight, and was disposed to fall off to sleep. Muscular relaxation of the orbicularis, drooping of the eyelids, almost amounting to ptosis and nearly inability to walk. Nearly complete muscular paralysis; the eyelids were closed, the pupils widely dilated, and the mind clear, calm and active, and she expressed herself quite comfortable; she tried perseveringly to raise the eyelids when I requested her to do so, but she was quite unable to separate their margins (after one hour). вurning on the inner surface of the lids. Pressure in the external canthus, as from a grain of sand. Sticking in the inner canthus; the lids are agglutinated in the morning. Itching sticking in the inner canthus, not relieved by rubbing (after one hour and a half).
Stitches on the margins of the lids and in the canthi.
Biting pain in the inner canthus, as if something corrosive were in it, with lachrymation. Itching on the margin of the lids.
Conjunctiva.
Pressure and sticking in the conjunctiva bulbi of the right eye, in the inner canthus, with fine vessels closely aggregated at the inner margin of the right cornea.
Pupil.
Dilatation of the pupils from one seventh to one sixth.
Dilatation of the pupil occurs usually only after very large doses and then it is often but slight, and only observable in a subdued light, the excitement of strong light overcoming the tendency to dilate, just as the exertion of a strong will strengthens for a time an enfeebled limb. Dilated pupils (after one hour). Pupils dilated (second day). Pupils of the eyes apparently somewhat dilated (seventeenth to twentieth days).
The pupils were considerably dilated. Pupils decidedly and persistently dilated; at first this dilatation alternated with contraction. Pupils greatly dilated. сontracted pupils (curative action), (after three hours and a quarter).
Vision.
Weakness of vision. Diminished vision. Dimness of vision, while walking in the open air; in the room it was clear.
Dimness of vision and dilatation of pupils. Obscuration of vision. In Andree’s case, with giddiness. HUGHES.
Vision momentarily obscured; objects in the room seemed indistinct and as if moving about. Soon after half an hour, dimness of vision, with bright points scintillating, or rather quickly moving in the distance; this caused me to turn from side to side to notice them and from this cause, I suppose, I found myself reeling in my saddle; there was no vertigo or unpleasant sensation about the head to produce this effect, save a slight feeling of lightness. Eyesight slightly dim, becoming more so on rising from the breakfast table, and the tendency to vertigo was at the same time increased (seventeenth and subsequent days).
After moderate doses, the interference of vision is only such as results in haziness, as if a thin film of transparent vapor were floating between the eye and the object, the effect being identical with that observed on looking through a medium of unequal density, such as the mixture of hot and cold air enveloping a highly heated stove; it occurs independently of any dilatation of the pupil and is compatible with good definition for fixed objects; it is due to imperfect adjustment of the refracting media of the eye from partial paralysis of the ciliary branches of the third nerve; it is through these minute branches that the individual first becomes conscious of the effect of hemlock, and if he should be reading at the time, he will suddenly find the occupation fatiguing, and very soon afterwards it may be impossible, and he will be glad to close the eyes to relieve himself of the symptom, and as the muscular lethargy begins to be felt, content to lie perfectly still as if asleep; in full doses the depressing influences involves the other branches of the nerve, and the lazy movements of the eyeball, or dull fixed and occasionally divergent stare, indicate the partially paralyzed condition of the external muscles of the eyeball, while more or less drooping of the upper lids expresses a similar condition of the levator palpebrae.
There was a sluggishness of the adaptation of the eye, my vision was good for fixed objects, but when an uneven object was put in motion before the eyes there was a haze and dimness of vision, producing a feeling of giddiness. On raising my eyes from the object upon which they had been fixed to a more distant one the vision was confused and a feeling of giddiness suddenly came over me. That these symptoms were due to impairment of power in the muscular apparatus employed in the adaptation of the eye was obvious to me, for so long as my eyes were fixed on a given object the giddiness disappeared, and the definition and capacity of vision for the minutest objects were unimpaired, but the instant that I directed the eyes to another object all was haze and confusion, and I felt giddy, and in order to recover my vision and dismiss the sense of giddiness, it was necessary to lay hold upon some object, as it were, with my eyes and rest them secured upon it; it was clear to me that the adjusting muscular apparatus of the eye was enfeebled, and its contractions so sluggishly performed that they could not longer keep pace with the more active movements of the external muscles of the eyeball; within ten minutes of the appearance of this disorder of vision a general muscular lethargy affected me, and the eyelids felt as heavy as if they were oppressed with the deepest drowsiness (three quarters of an hour after 5 1/2 drachms). Raised my eyes quickly from the manuscript upon which they had been steadily fixed, towards the ink stand some little distance away, but in so doing I instantly experienced a slight difficulty in accurately sighting that object, the eyes did not strike exactly where they were aimed and simultaneously a faint but distinct thrill of the peculiar swimming feeling that I know so well as the beginning of seasickness, swept through the brain; plainly the subtle influence of the poison had been creeping over me while absorbed in writing, but could not declare itself by symptoms until a quick and decided movement of the already paretic ocular muscles was attempted, then, however, it was instantly made manifest by the trouble in promptly sighting a given object and what is the point, then at once but not till then, was the last giddiness experienced; as the palsy of the ocular muscles advanced, soon the slightest movement of the eyes produced a curious and very disagreeable apparent flickering of the field of view, and was always accompanied by a sudden rush of giddiness; but so long as the eyes were kept motionless, then, as long ago pointed out by Harley, there was no giddiness; for experiment, however, I did try the eyes in various ways, seeking to find, among other things, how the focalizing power on near objects was affected, and the consequence was that I quickly became not only very giddy but also decidedly nauseated, in fact veritably sea sick, the sensations being the same as those felt at sea; fearing that I should vomit, I got up to cross the room to the washstand, but at once the floor seemed to rock and waver, and I staggered against a table; not being conscious, however, of any real weakness of the legs, it immediately struck me that the uncertainty of step was purely because the eyes were playing false as guides for the feet; if so, I argued, walking ought to be steadier with the eyes shut than open. Accordingly after getting the proper bearings, I shut the eyes, and sure enough found at once that I could now walk straight and steady, and, what was more, without any feeling of giddiness; securing a basin I repeated the little experiment on the return trip to the desk, and with precisely the same result; giddiness, transient nausea and staggering gait on trying to walk with eyes open; freedom from all trouble with them shut.
Nervous system
Confusion and Vertigo.
Confusion of the head (after one hour).
Confusion and heaviness of the head (after five days).
Confusion and heaviness of the head, on walking, after a sound sleep. сonfusion in the left half of the head, as from coldness, or as if the brain did not fill the skull. сonstant confusion of the forehead, in the region of the eyebrows and root of the nose (first day). Tendency to vertigo, (* The phrase, tendency to vertigo, has been used here in preference to the word vertigo, simply because this effect, thus described, was not sufficient at any time to destroy the ability to walk straight.
The instability of the gait was, or appeared to be, principally owing to the effect upon the muscles in the vicinity of the knees. *).with a sensation as if the eyes were swollen and unnaturally protruded (sixteenth and seventeenth days). Vertigo (after twenty minutes, eighteenth day). Vertigo, so that everything seems to turn in a circle. Vertigo, affecting the head. Vertigo, in the morning, on rising from bed. Vertigo, on becoming erect after stooping, as if the head would burst.
Vertigo on going downstairs; she was obliged to hold herself still and for a moment did not know where she was.
Vertigo, worse when lying down; as though the bed were turning in a circle. Vertigo, like turning in a circle, on rising from his seat. Dizziness and reeling in the head, for two days. Very decided dizziness (after half an hour). Very dizzy while walking.
Giddiness and sensation of weight along the orbit. Great giddiness.
Severe giddiness. Sudden giddiness and so much weakness of the legs as rendered the patient incapable of walking and he was obliged to lie down (after twenty minutes). The slightest spirituous drink intoxicates him; even watered wine rises to his head. Reeling).
Reeling while standing.
Confusion of the head (after one hour).
Confusion and heaviness of the head (after five days).
Confusion and heaviness of the head, on walking, after a sound sleep. сonfusion in the left half of the head, as from coldness, or as if the brain did not fill the skull. сonstant confusion of the forehead, in the region of the eyebrows and root of the nose (first day). Tendency to vertigo, (* The phrase, tendency to vertigo, has been used here in preference to the word vertigo, simply because this effect, thus described, was not sufficient at any time to destroy the ability to walk straight.
The instability of the gait was, or appeared to be, principally owing to the effect upon the muscles in the vicinity of the knees. *).with a sensation as if the eyes were swollen and unnaturally protruded (sixteenth and seventeenth days). Vertigo (after twenty minutes, eighteenth day). Vertigo, so that everything seems to turn in a circle. Vertigo, affecting the head. Vertigo, in the morning, on rising from bed. Vertigo, on becoming erect after stooping, as if the head would burst.
Vertigo on going downstairs; she was obliged to hold herself still and for a moment did not know where she was.
Vertigo, worse when lying down; as though the bed were turning in a circle. Vertigo, like turning in a circle, on rising from his seat. Dizziness and reeling in the head, for two days. Very decided dizziness (after half an hour). Very dizzy while walking.
Giddiness and sensation of weight along the orbit. Great giddiness.
Severe giddiness. Sudden giddiness and so much weakness of the legs as rendered the patient incapable of walking and he was obliged to lie down (after twenty minutes). The slightest spirituous drink intoxicates him; even watered wine rises to his head. Reeling).
Reeling while standing.
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