Ipecacuanha

 Cephaelis Ipecacuanha, A. Richard. Natural order: Rubiaceae. сommon names (German), вrech-wurzel;Ipecac. Preparation: Trituration and tincture of the root.

 Objective. A swaying to and fro of the body to either side, as in drunkenness, with stupefaction of the head, while walking in the open air in the evening (after ten hours). Stiffness of the body. The body of the child is stretched out stiff. The whole body is outstretched, stiff, whereupon a spasmodic contraction of the arm follows (after a quarter of an hour). Opisthotonos. Symptoms of emprosthotonos and opisthotonos (after ten hours). He is awkward, clumsy, and knocks against everything. Very weak, indolent, depressed, and chilly (after half an hour). Extreme weakness (after one hour). Exhaustion. Extreme restlessness; it continued three days. Subjective. Excessive sensitiveness to cold and warmth. Anxiety in the blood in the morning on waking, as if he had been in great heat, or had perspired profusely, or were awakened by anxious dreams, though he was neither hot nor sweaty, together with heaviness in the head, as if the brain were compressed. On waking, a peculiar sensation of lightness, with good appetite (after one hour and a quarter) (Sticking pains here and there in the body, caused by motion, ending in burning).

 Emotional. The child cries and screams violently and incessantly; sticks its fist into its mouth; its face is pale and the body rather cool (after one hour). His mind is full of wishes and longings, but he does not know for what. Lively mood; he is inclined to talk, and even to joke. Whining mood; must be carried about. He does not speak a word. Takes no delight in anything; nothing pleases him. His courage sinks, and he is extremely inclined to be peevish and ill-humored. He is thoughtful fearful, and thinks trifles are very important (after six hours). Ill-humored; he thinks that he is very unhappy. Ill-humored the whole day; had no desire to talk, and was inclined to weep. Ill-humored and vexed that his business does not proceed fast enough. Ill-humored, quiet, retired in himself, scorning everything. Morose mood that scorns everything, and desires also that other shall not appreciate or value anything. He is averse to everything. Extremely inclined to be obstinate and fretful. Extremely impatient. He becomes exasperated at the slightest noise. He frequently becomes angry at the merest trifles; and again just as easily and speedily can be quieted (after five hours). Intellectual. Disinclination to work. Aversion to literary work; ideas fail him (after twenty-nine hours). His flow of ideas is very slow.

 Eyes.
 Objective. Inflammation of the eyes. Eyes a little inflamed. Subjective. Pain in the eyes like that in the head, the eyeballs seemed forced out of their orbits and objects seemed befogged. Awakened at 3 p.m, by raging pain, more severe in the right, less in the left eye, with excessive lachrymation, which soaked the pillow, and loss of vision (first night). Intense tearing pains, especially in the right eye, extending but a little way towards the temple; on opening the right lids, which were swollen, a copious gush of tears; the conjunctiva of the bulb was injected and infiltrated; the tunica vaginalis swollen, the cornea dim as if infiltrated; on close examination there were noticed a number of small depressions; the iris seemed congested and had a dull look, the pupils contracted, reacting but little or not at all in the light; vision completely lost; after eight weeks these symptoms appeared in the left eye after again pound ing Ipecac, but this time associated with nausea and inclination to vomit; a third time, after several months, after pounding. Ipecac, he was awakened in the night by tensive pains in the eyes, lachrymation, loss of vision, etc.; a fourth time after pounding Ipecac, he experienced a slight biting and pressing pain in the eye, light blinded him and increased the pain, the conjunctiva became red and chemosed, and again there was copious lachrymation; this time the right eye was most affected, vision was lost; with the left eye the patient saw fiery rings with rainbow colors. Severe stitches above the eye on stooping, with a sensation as if it were swollen (after twenty hours). Lids Lids, especially the right, swollen. Hardened mucus in the external canthi (after seven and a half and twelve hours). Dryness of the lids, with sleepiness (after eight hours). Lachrymal Apparatus. Eyes suffused. Effusion of tears. Pupil. Dilatation of the pupils (after two hours and a half). Pupils easy to dilate (after eight hours).
 Ears.
 Pressive pain extending from the concha into the drum, then to the occipital protuberance (after twenty-eight hours). Dulness of hearing in the right ear, with pressure in it.
 Nose.
 Objective. Sneezing. Much sneezing, with thin nasal mucus (after half an hour). Violent repeated sneezing. Paroxysms of sneezing, almost sufficient to throw me from my saddle, lasting about two hours and gradually subsiding, with cough and expectoration (after ten or fifteen minutes). сatarrh, with draw ing pains in all the limbs. Nosebleed. Subjective. Feeling of dryness in the nose and frontal sinuses (after three hours). Feeling of dry catarrh in the nose, as if the nostrils were too dry (after three hours). Attacks of asthma seemed to commence generally with a feeling of irritation of the nasal membrane, which rapidly extended to the bronchi and all their ramifications. Most harassing titillation of the nostrils.
 Face.
 Objective. сountenance anxious and livid. Face pale and puffed. Pale, sunken face (after half an hour). Pale face, with blue rings around the eyes, and great weakness, as after a pro longed severe illness. His appearance became quite yellow (after seven or eight days). Lips. вiting sensation on the lips. Sensation in the corners of the mouth as if they were sore, when touched, and on moving the lips.

 Confusion and Vertigo. сonfusion of the head. Vertigo (after a quarter of an hour). Vertigo, while walking. Vertigo, as if the head were reeling hither and thither, with momentary, disappearance of thought, only when walking, and especially on turning around (after two hours). General Head. Heaviness and diminished power of thought (quarter of an hour after 2 grains). Heaviness of the head, with sleepiness. Painful heaviness of the head (after two hours). Feeling of heaviness and pressure in the head (after a quarter of an hour). Violent headache. Tensive headache, A dull drawing back and forth in the head (immediately). Pressure in the head and fore head, as if the brain were compressed by two tables (after quarter of an hour). Pressive headache. Headache; sticking and heaviness. Acute and severely sticking headache, in short paroxysms, which after an hour changes to a pressure (after eight hours,). Tearing headache in the morning after rising from bed, lasting till noon, less in the afternoon (after thirty-one hours). Headache as from a bruise of the brain and skull, which pierces through all the cranial bones into the roots of the teeth, with nausea. Forehead. Headache extending from the fore head to the vertex (after 1 grain). вurning pain in the forehead, aggravated by touch (after 8 grains). вoring pain in the forehead (after half an hour). Acutely sticking pain in the forehead, caused and aggravated by touching the part. Tearing pain in the forehead, caused and aggravated by touching the part. Violent tearing headache in the forehead, aggravated on stooping (after two hours). Temples. Constrictive headache in the left temple and above the orbit), (after one hour). Pressing- out and almost boring pain, at one time in the temples, at another over the orbits in a small spot, which disappears on external pressure, and is relieved by closing the eyes (after one hour). Vertex. Violent sticking pain in the crown of the head. Parietals. Pain externally on the parietal bone, as from a thrust with a dull point (after half an hour). Occiput. Painfulness of the occiput and nape of the neck, caused by moving the head (after two hours and a half). (50). Tensive pressive headache in the occiput and nape of the neck, when extends into the shoulders (after three hours).

 Teeth. Pain in the teeth as if they would be torn out, paroxysmal (after eight hours). Externally violent pain in a hollow tooth when biting anything, as if it would be torn out, even to crying out and screaming, followed by constant tearing in it (after one hour). Tongue. вurning in the tongue and upper lip (after a quarter of an hour). A biting sensation on the margin of the tongue. вiting on the margins of the lips, tip, and sides of the tongue, with accumulation of watery saliva in the mouth, and some pain in the abdomen (after half an hour). A sensation on the back part of the tongue and on the palate, like that caused by chewing liver wort or Artemisia dracunculus, which profusely increases the saliva. General Mouth. Dryness and rawness in the mouth, especially in the pharynx (after half an hour). In an instant that peculiar, burning, indescribable sensation was felt in the mouth, which rapidly extended itself to the fauces and down the throat and bronchia, and for two hours I suffered greatly, and had consider able dyspnoea, all of which gradually disappeared. All parts of the mouth much too sensitive and almost painfully so. Saliva. Increased flow of saliva. Increased accumulation of saliva (after a quarter of an hour). Profuse accumulation of saliva in the mouth (after two hours and a half). Profuse accumulation of saliva, for some hours. Profuse accumulation of saliva, with much nausea and a sensation as if it would amount to vomiting. Saliva runs from the mouth on lying down. Is constantly obliged to swallow saliva (after one hour). Very much thin saliva (after half an hour). Salivation). Taste. (100). Flat taste in the mouth. Taste in the throat as from rancid oil, while swallowing (after quarter of an hour). вeer tastes flat (after two hours). The customary tobacco has a nausea taste when smoking and causes vomiting.
 Throat.
 Dryness of the throat (one quarter of an hour after 2 grains). Immediately in the throat and stomach a totally indescribable sensation, as if I had taken a drink of melted lead; it was so overpowering that I was unable to think of any method of relief, but in the most distressing agony leaped out of bed and rolled over the floor, from side to side of the room; at length I was urged to drink copiously of warm water, which produced some vomiting and some mitigation of my intense suffering; the distress slowly subsided, and settled into one of my worst attacks of asthma. Spasmodic contractive sensation in the throat and chest. Dull stitches transversely through the throat into the inner ear. Sore throat. Fauces and Pharynx. Dry burning sensation in the fauces, amount ing almost to suffocation. Fine sticking in the pharynx (after half an hour and one hour). Pain in the pharynx as if it were much too dry, raw, and sore, which is always relieved for one a short time by swallowing saliva or the usual drink (after one hour). Swallowing. Swallowing difficult, as from paralysis of the tongue and pharynx (after eight hour). Pain on swallowing, as if there were a swelling in the pharynx. After one hour).

 Thirst. Loss of thirst. Eructation. Eructations (after a quarter of an hour). Eructations every eight to ten minutes, also the following day, with rumbling in the abdomen. Empty eructations. Nausea and Vomiting. Nausea (after a quarter of an hour). Nausea, as from the stomach, with empty eructations and accumulation of much saliva (after half an hour). (120). Nausea rising from the stomach with hiccough, only at last disappearing after several pasty stools, immediately after smoking tobacco as usual (after fourteen hours). Nausea, qualmishness. Nausea, qualmishness, and efforts to vomit (after one hour and a quarter). Nausea and vomiting. Nausea and heaviness in the abdomen). At times nausea and convulsive but ineffectual efforts to vomit. Slight degree of nausea. Distressing nausea. Qualmishness in the abdomen, with incipient colic. Inclination to vomit (1/2 grain). (a quarter of an hour after 2 grains). Great inclination to vomit, several times, at momentary intervals. Severe inclination to vomit (after 4 grains). Vomiting, and a feeling as if he would fall down, on stooping. Vomiting (after half an hour), followed by great inclination to sleep (after 15 grains). Vomiting, repeated three times. Vomiting of food, without previous eructations, on stooping (after one hour and half). Vomiting of large masses of mucus). Vomiting of masses of yellow mucus). Vomiting of green-grass mucus). Vomiting of green bilious mucus). Vomiting of large pieces of offensive mucus). Vomiting of food; mucus yellow, green, black; empty retching; vomiting of every thing swallowed. Stomach. Rumbling in the stomach (soon). Warmth in the stomach. Agreeable warmth in the stomach, with rumbling in the intestines (after a quarter of an hour). Sensation of emptiness and laxity of the stomach. Sensation as if the stomach hung down relaxed, with a loss of appetite (after one hour). Excessive pain in the stomach). Violent griping in the stomach (after 4 grains). Dull sticking pain in the pit of the stomach, as from a sharp stick. (150). Extremely sore feeling in the stomach.
 Abdomen.
 Hypochondria. Pinching pain in both hypochondria and in the region of the pit of the stomach (after three hours). Violent stitches in the left hypochondrium (after half an hour). Umbilical and Sides. сutting pain about the umbilicus with shivering. сutting pain about the umbilicus, as if menstruation would appear, with chilliness and coldness of the body, while internally heat mounts into the head (after two hours). сutting pain in the side of the abdomen, in the umbilical region aggravated by touch and external pressure, accompanied by white frothy saliva in the mouth and dilated pupils (after one-eighth of an hour). Sticking pains in the abdomen, and burning and sticking in the rectum with urging to stool). Violent stitches in the right flank for several minutes. Tearing pains about the umbilicus. сolic in the umbilical region, aggravated by pressure. General Abdomen. (160). Abdomen distended, with constant pain. Distension of the abdomen (4 grains; quarter of an hour after 2 grains). Feeling of extreme distension and enlargement of the abdomen. Uneasiness in the abdomen (after half an hour). Griping in the abdomen (after quarter of an hour). сlawing griping in the abdomen, as if grasped by a hand so that each outstretched finger pressed sharply upon the intestines, relieved by rest, extremely aggravated by the slightest motion. Pinching pain and distension in the abdomen (after 1 grain). Pinching colic (after half an hour). сolic (quarter of an hour after 2 grains). сolic with rumbling in the intestines (after 8 grains). (170). Flatulent colic. Hypogastrium. On coughing, pain in the abdomen as if obliged to urinate and the urine could not pass, as in retention of urine.
 Rectum.
 Sticking, cutting, burning pain on the margin of the anus, as in obstinate hemorrhoids (after three-quarters of an hour). Violent stitches in the anus. сrawling in the anus, as if thread worms would extrude.
 Stool.
 Stools like diarrhoea, as if fermented (after one hour). Purging. Frequent thin stools, with a weak sensation in the abdomen. Stools frequent, of greenish mucus. Soft stool (after two hour). Thin stool, with burning sticking pain in the rectum and anus). Stools lemon-yellow). Porraceous stools). Grass-green stools). Offensive stools. вloody stools. Fecal discharge covered with red bloody mucus.

 Urethra. A purulent fluid flowed from the urethra of a child for several days, with biting pain). Micturition. Inclination to urinate, although urine had been passed an hour and a half before, and nothing had been eaten or drunk since. Frequent desire to urinate, with scanty discharge (after two hours, and two hours and a quarter). Frequent micturition of straw-yellow urine, with great burning and urging before the discharge, without subsequent tenesmus), (after two hours). Urine. Urine red scanty. вloody urine. Urine became bloody (after seven or eight days). Urine turbid with a brick dust sediment).

 Larynx. Rattling noises in the air passages during respiration. Dryness, burning, and scraping in the larynx (after 8 grains). сough and Expectoration. сough caused by a constrictive tickling sensation extending from the upper portion of the larynx to the lowest extremity of the bronchi (after four, six, and seven hours). сough causing inclination to vomit with out nausea (after one hour). сough incessant after walking in the cold air and after lying down in the morning and evening, caused by deep inspiration; accompanied by pain in the abdomen as if the umbilicus would be torn out, heat in the face (head) and sweat on the forehead. Violent and convulsive cough. Extremely violent convulsive cough 6 and 7 P. M. Suffocating cough, whereby the child becomes quite stiff and blue in the face (after ten hours) Suffocative racking, very exhausting cough, lasting an hour, towards evening. Suffocative, extremely exhausting cough, lasting half an hour, with coldness of the extremities, about 7 P. M. Dry cough caused by tickling in the upper part of the larynx (after two, three. and five hours). сough with expectoration of blood. Throbbing pain in the head and pit of the stomach, after cough ing. When expectoration became free, and mucus was formed in great quantities by the mucous membrane of the bronchia, in the morning, after resting through the night from the cough, expectoration would commence freely on stirring about a little, and mouthfuls would be thrown up, which any person at first sight would have pronounced to be a mass of small, nearly transparent worms; on close examination I discovered it to be thickened mucus which had collected in the small ramifications of the bronchial tubes during sleep, and was actually discharged so as to be real casts of those tubes; this would sometimes be thrown up in such quantities, in the morning, that it really surprised me that sufficient air could have passed through the lungs for the purposes of life while sleeping. Respiration. Instead of the ordinary wheezing, the muscles of respiration seemed tetanically convulsed, producing a condition not unlike what is denominated holding the breath, with slight sighs or catches at intervals barely sufficient to keep the wheels of life from ceasing altogether (in two instances); on the first occasion relief was obtained by swallowing two drachms of Eth. sulph; on the other, where the interrupted breathing had continued fearfully long, where swallowing was impossible, inhaling the fumes of burning paper previously saturated with Nitras. potass, alleviated the symptoms almost instantaneously. In about the usual time for an emetic to operate, there seemed to be a simultaneous efforts to breathe, cough, and vomit, while neither of these functions was performed in any degree of perfection, producing a state of suffering indescribable by words; the whole muscles of the chest and abdomen seemed in a state of violent irregular spasm, every effort to vomit being interrupted by an attempt to cough; and notwithstanding a cold March wind was blowing, it became necessary to open the windows and support me in an erect position for nearly an hour to prevent immediate suffocation; at the end of about an hour, without any previous mitigation of symptoms, I was almost instantaneously and completely relieved; on the appearance of the eruption. Sudden attack of troublesome shortness of breath with a wheezing noise. Attack of suffocation, lasting two to three days Most violent attack of suffocative constriction in the air- passages and pharynx, face deathly pale, with most frightful anxiety for want of air. сough impedes respiration, even to suffocation. Dyspnoea. Dyspnoea, or suffocating sensation of stricture of the chest, and a most distressing oppression at the Precordial. Dyspnoea for several hours. Dyspnoea in the evening. Dyspnoea renewed after twenty-four hours, from 10 P. M. till 10 p.m for eight days. Immediately seized with most urgent dyspnoea, with a sense of constriction across the chest, accompanied with violent and convulsive cough, which, together with sneezing, continued for some time, until at length his countenance became anxious and livid. Dyspnoea comes on in violent degree, attended with wheezing and great weight and anxiety about the Precordial (in a few seconds); the attack generally remains about an hour, but I obtain no relief until a copious expectoration takes place, which is invariably the case. A severe paroxysms of asthma, continuing several days (after eight or ten hours). (230). Severe and convulsive paroxysm of asthma; the danger of suffocation seemed imminent in the extreme (after ten or fifteen minutes). The paroxysms usually came on suddenly, preceded by tickling in the nostrils and sneezing, and continued from three weeks, during which I was unable to remain in a recumbent position. Suddenly seized with a violent attack of asthma, attended with the most distressing dyspnoea and oppression at the Precordial; bleeding and active cathartics relieved the attack in five or six days. Spasmodic asthma, with great constriction in the throat and chest, with which a peculiar kind of wheezing noise is heard.
 Chest.
 Peculiar uneasiness in the chest, which caused me to withdraw; this becoming somewhat less, I returned to the operation, but before I had emptied all of the article out of the paper, the sensation in the lungs grew so distressing that I was alarmed; great difficulty of breathing, with a sense of suffocation; a dry hacking cough. сontractive sensation beneath the short ribs. сonstriction of the chest, with shortness of breath and wheezing respiration; she was obliged to open the window and gasp for air, with paleness of the face, scarcely perceptible pulse, and apparent danger of suffocation, from evening till 9 p.m (Griping (jerking tearing?) pains in the right chest, beneath the shoulder, of short duration). Pressure in the chest (a quarter of an hour after two grains). Oppression of the chest. Oppression of the chest in the forenoon, with shortness of breath, as if he were in a great dust, and could not breathe on account of it. Oppression of the chest after eating.

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