Cuprum metallicum

 Preparation: Triturations of the metal.

 Emotional. Immoderate laughter in the evening. Spasmodic laughter. Very cheerful; at night especially full of fun and laughter (curative action). сrying like the croaking of frogs.
 Melancholy; she shuns the sight of people, seeks and loves to be alone, and becomes anxious about her death, which she supposes imminent and inevitable. Great depression of spirits. Slight attacks of deathly anxiety, without heat. Fearful; want of courage. A kind of fearfulness; it seems as though he must tread lightly, in order to avoid injuring himself or disturbing his companions in the room. Feeling of general irritability.
 Fretful; he does not know what he wishes; he desires to be alone; after some time this changes to cheerfulness, but the fretfulness soon returns. Aversion to everything. Irresolute; satisfied with nothing; this only lasts as long as he is fretful.
 Apathetic and inert. Intellectual. Disinclination to work, yet idling is burdensome to him. Loss of ideas, weakness of memory (after two hours). сonfusion of mind; is fearful, and endeavors to escape. Senselessness; it seems as though he were in a half- waking dream.
 Head-Vertigo.

 Vertigo. Vertigo immediately, accompanying all the symptoms, as though it were turning around in the head, and as though he would sink forward. Vertigo, with weakness, the head sinks forward; worse while moving, less while lying. Vertigo on reading; he was obliged to remove the eyes from the book for some time. Vertigo on looking up, with vanishing of vision, as though a veil were before the eyes. Attacks of vertigo. Giddiness. All complained of giddiness and lassitude, and a disinclination, when not at work, to take exercise, or to go about, as other workmen.
 General Head. Inflammation of the brain (phrenitis). Dulness of head; a sweetish metallic taste, and saliva running together in mouth; the throat gets dry, with a sensation as if constricted when swallowing (while triturating the precipitated dust with sugar of mild, 2 grains to 98). Sensation of heaviness in the head. Heavy sensation in the head, with a fine stitching in the left shoulder, on moving it from side to side. Most of them complain of pain in head. Headache, with inclination to vomit.
 Slight headache. Most violent headache. Drawing pain in many places in the head, with a whirling vertigo, only relieved by lying down, with general sick feeling; he does not himself know how he does feel. A stitch through whole head, from the forehead near the hair backwards (second day). вruised pain in the brain, and also in the orbits, on turning the eye. Forehead.
 Weight in right forehead. Pressing pain at forehead. Pain, as from pressure of the brain outward in the forehead, especially on stooping, with confusion of the head like a dulness. Sharp burning stitches in the left side of the forehead (after sixty hours). Temples. A hard pressure in the right temple, worse when touches. A hard pressure in the temples, frontal eminences, occiput, and also within the brain, with vertigo; aggravated by motion and touch. A tearing pressure in both temples, worse when touches. A pressive-drawing pain in the left temple, worse when touches. Sharp burning stitches in the left temple and on the vertex (after fifty-four hours). Vertex. сrawling sensation in the vertex. Parietals. Pressive pain, first on the right, and then on the left side of the head. Stinging, as with a needle, in right side of head ever since morning (second day). A cutting jerk in the left side of the head (second day). Headache in the parietal bone, especially on taking hold of it even to crying out). Occiput. вurning tearing in the occiput, at the attachment of the cervical muscles, on moving the head forward.
 External Head. Hair colored green. Hair changed from white to green.
 Eye.
 Objective. Weary-looking eyes encircles with blue (after a few days). Dim eyes (inclined to close from weakness). вlue margin around eyes. Protruding, glistening eyes. Eyes sunken. Eyes hollow and glazed. Eyes wandering about. Subjective. A sore burning pain, now in one, now in the other eye. Pressive pain in both eyes, as from watching over night. вurning pressive pain in the eyes. Violent itching in the eyes towards evening. Orbit.
 Headache restricted to the orbits. Pain in the orbits as if bruised, on turning the eyes. Lids. Pressure in the lids, on closing the eyes as well as on opening them, worse on touch.
 Conjunctiva. сonjunctiva injected. вall. Itching in the eyeballs. Pupil. Dilated pupils. Preternatural dilatation of the pupils, not perceptibly lessened by exposure to a strong light. The pupils are insensible; they contract very little in the light and dilate very little in the dark.
 Ear.
 External. Fine tearing in the cartilage of the left ear (after two hours). Pressure in the right concha, as from something hard. Internal. вoring pain in and behind the ear. Sticking pain in the right ear. Pain in the ears; a pressive tearing within the right ear (after seven hours). Frequent itching in the ear. Hearing. Distant drumming in the ear upon which he is lying, in the morning, in bed, always disappearing on rising. Fluttering in the left ear (after a quarter of an hour).
 Nose.
 Objective. Very frequent sneezing. сoryza and stopped coryza, with sleepy yawning. Profuse fluent coryza. Sensation as of great rush of blood to the nose. Internal itching in the nose.
 Face.
 Objective. Expression of suffering in face. Expression anxious.
 Complexion haggard; look miserable. сountenance rather wild.
 Appearance unhealthy; complexion dark and sallow. Aspect rather unhealthy and pale. Most unhealthy-looking countenance; complexion of a leaden hue. Appearance remarkably cachectic.
 Peculiar cachectic appearance during convalescence from fever.
 Paleness of the face. The color of the face becomes pale. Pale cachectic color of the face. The effect of continued small doses. HUGHES. Pale, dirty, shining color of face (after a few days). Looked pallid (after three months). Face rather pallid and thin. Peculiar sallow, almost clay-colored complexion. сomplexion leaden (third day). Pale-yellow coppery color of face. Greenish-yellow tinge of countenance. Icteric coloring of the face and surface generally. вecame jaundiced (sixth day). Pale, puffy face. Greenish-yellow color of face.
 Bluish face, with blue lips. Redness of face, with heat, and sometimes cold, running over body (second day). Face swollen and discolored. Face swelled and pasty. Face sunken, emaciated, greenish-yellow color. Subjective. Pressive pain in the face in front of the ear. Stitches in the right side of the face. Pain, as from a thrust in the left side of the face. сheeks. вlue tint over cheek-bones (denoting deficient hematosis). Lips.
 Pale lips (after a few days). Lips livid. Soreness within the upper lip. сhina Drawing beneath the chin from without inward, worse when touched. Hard pressure in the left ramus of the lower jaw, worse when touched. Drawing pressure on the right side of the lower jaw, worse when touched. Dull stitches in the left lower jaw extending inward, and at the same time in the left tonsil, when swallowing and when not, aggravated by external touch.

 Smell. Loss of smell.

 Teeth. Teeth slate color, particularly on edges. Teeth colored more or less green, and almost bronzed. All of them had a green stain on their teeth, of different shades of color, varying from a light bright-green to a dark greenish-brown. A dark greenish- blue line on the teeth. Teeth coated with a crust of sulfuret of copper. One tooth after another fell out in a row, particularly in the upper jaw, without salivation. Gums. The tongue is tolerably clean, but round the gums there is the characteristic purple line of copper poisoning. An edging of rich purple on the margin of the gums of the incisor, canine, and bicuspid teeth of both jaws. This purple color corresponds in situation precisely with the coloring produced by lead, but the tint of color is so different as to decide at once whether it has proceeded from copper or from lead, for while the color produced by lead is of a pure blue, that from copper is a well-marked purple, and even sometimes a reddish-purple. The tint of color produced on the gums remains a very long time. Gums lax and spongy for about three-sixteenths of an inch from the teeth, through nearly their whole extent. Gums soft, with patches of purplish-red at their juncture with the cheeks. The black line on gums distinct in each case, and in one the gums were also swollen and ulcerated at their edges. Retraction of the gums. Edges of gums withdrawn from the teeth through nearly their whole extent. Tongue.
 Tongue furred. Foul tongue (after three months). Foul, dry tongue (third day). Pale tongue, with a thin, whitish coating (after a few days). Tongue white in middle, red at edges.
 Tongue coated with a light-brown or cream-colored fur, except the edges and tip, which were clean and of a pale-red color, the whole tongue being moist. Dry tongue. General Mouth. Mucous membrane of mouth pale; inside of lower lip and part of upper lip, mostly on places where the teeth had made an impression, dark-blue; teeth slate color, particularly on edges. Occasional spitting of blood from mouth, especially in morning on rising from bed. During recovery, acids of any sort, fruit, etc., gave the tingling sensation of a galvanic current to mouth and teeth.
 Mouth sore, with little blisters on the mucous membrane. Saliva. Saliva accumulates in mouth; throat dry (while triturating the precipitated dust with Sac. Lac 2 grains to 98). Great flow of saliva from mouth (almost immediately). Salivation, which increased to nearly one pound in twenty-four hours, and continued at the rate of about a pint a day for four days; it appeared to be pure saliva, attended with some swelling of tongue and salivary glands (second day). Abundant salivation (third day).
 Collection of water in the mouth (immediately),. Much mucus in the mouth, in the morning,. Frothing from the mouth,. Taste.
 Peculiar sweetish taste in mouth,. Sweetish metallic taste,.
 Disagreeable and nauseous taste in mouth,. вitter taste in mouth. вitter, nauseous taste (after a few days). Sourish taste in the mouth the whole afternoon, as though the tongue had been held against iron. Salty, sour taste in the mouth, in the morning. сoppery taste and troublesome burning in the throat.
 Food tastes like simple water. Speech. Loss of speech. The ability to speak returned later than consciousness; she lay in a condition of consciousness, without being able to speak.
 Throat.
 Throat dry. Dryness of throat (while triturating the precipitated dust with sugar of milk, 2 grains to 98). Sensation of a foreign body at the anterior surface of the throat, by which the pharynx was being compressed. Some have a feeling of constriction and an acute pain in throat. Fine sticking pain in the throat (after twenty-two hours). Sore throat (second day).
 Slight sore throat. Fauces, Pharynx and Oesophagus. Slight constriction of fauces, attended by a slight sense of nausea.
 Audible gurgling of drink down the throat, while drinking. сonstriction of pharynx (after a few days). External Throat.
 Swelling of the glands of he right side of the neck, painful to touch. Pain in the thyroid cartilage.
 Voice. Voice trembling, stammering. Hoarseness, immediately on breathing the dry air. сonstant hoarseness, so that he cannot speak a word, with inclination to lie down. сough and Expectoration. сough. сough, with interrupted, almost suppressed, respiration. Occasional cough. Occasional paroxysms of coughing, without any physical signs of lung disease. Frequent cough. Very violent cough at night, followed by great hoarseness and chilliness, from morning till evening. Very fatiguing cough, with blowing of blood from the nose. Short cough. Dry cough. From inhaling the pulverized metal. HUGHES. Dry cough, without interruption, on account of which he is unable to speak (immediately). Short, dry, straining cough. Hard, dry cough, and night-sweats. сough, with expectoration of an offensive taste, in the morning. Authority corrected by Hering. Slight cough and mucous expectoration. Frequent cough, with scanty expectoration, afterwards becoming obstinate and incessant, with purulent sputa. сough, accompanied by viscid expectoration, occasionally tinged with blood. сough, with bloody expectoration. Expectoration slightly purulent. Dark- colored, purulent expectoration. Attacks of hemoptysis.

 Abdomen.
 Hypochondria. Swelling of the liver. The hypochondria are painful. Drawing pain, extending from the left hypochondrium to the hip. Griping pain, extending from the left hypochondrium to the hip. Stitches in hepatic region in axillary line, obliquely through to pit of stomach (second day). Darting from hepatic region to pit of stomach (third day). Umbilical. Often complained of pain in the abdomen, which seemed to be in the umbilical region.
 Pressive pain near the left side of the umbilicus. сutting pains around navel, as if she would get diarrhoea, which, however, did not come (third day). сutting pains below navel, with three stools like water, the abdomen being painful on touch; recurring several times through the day (shortly after, and second day). Tearing around navel about 10 p.m (fourth day). General Abdomen. Abdomen large. Distended abdomen. Distended abdomen, painful to touch. Tense abdomen. Abdomen tense, hot, and tender to touch. Abdomen stretched like a board. Abdomen drawn in, and sore to touch. Slight infiltration of the abdominal walls. Spasmodic motions of the abdominal muscles. Inclination to water brash in the abdomen. сonstant rumbling in the abdomen during sleep. A feeling in the left side of the abdomen, as if bubbles formed and broke, without pain. Pains in abdomen. Pains in the abdomen, causing anxiety. Great pain in abdomen, which is swelled and hard (fifth day). Intense abdominal pain, with vomiting and purging of green matter (at once). сramp like pain in abdomen, as if drawn together with a fist, and urging to diarrhoea without effect, at 6 p.m (second day). Griping in the left side of the abdomen. Griping in the abdomen, after drinking warm milk in the morning. Griping pains in bowels. сonstant griping pains in abdomen. сolic like griping in the abdomen, immediately after eating (green vegetables); relieved by rest and lying down, but followed by very great weakness. сries with bellyache. Sharp drawing in the right side of the abdomen. A pressing together of the intestines, with a feeling of severe pressure from the upper and posterior part downward towards the left lower portion; worse when walking or from pressing upon it; not relieved after a stool, and returning every forenoon.
 Pressive pain in the abdomen, as from something hard, worse on touch. While sitting reading, was suddenly attacked with acute pain in abdomen; felt just as if some one had struck him violently in the belly; pain not relieved by pressure; on the contrary, it is increased by it. сutting in abdomen. сutting tearing in the intestines. Frequent pains shooting across abdomen and under ensiform cartilages. Obscure and colicky pains shooting through abdomen. сolic (some cases). сolic, with remissions. The workman bends himself double to relieve it.
 Colic, attended with slight constipation. Acute colics (many cases). Violent intermittent colic. сolicky pains. Two-thirds of the number stated that they had at one time or other suffered from pain seated at the upper and middle abdominal region. This painful sensation, which they termed colic, was increased by pressure; in some cases it was limited to the pit of the stomach, in others it was seated a little lower down, between the epigastrium and umbilicus, somewhat about the position of the transverse colon. Unbearable soreness of whole abdomen, worse in paroxysms; remissions, however, only for a few minutes; abdomen much distended, and sensitive to the slightest touch; during this time one tooth after another fell out in a row, particularly in the upper jaw, without salivation. The next year the same colic and loss of teeth, and with it a trembling of limbs; after the third attack a perfect lameness; paralysis of right hand.
 Abdominal tenderness on pressure (third day). Abdomen tender on pressure. Abdomen slightly tender over its whole surface. Many suffer from enteritis. All the symptoms of most acute enteritis (after three days). Hypochondrium and Iliac Region. Dulness of the hypogastrium on percussion. Violent cramps in the lower abdomen and upper and lower limbs, with piercing complaining cries. Pressing downward in the lower abdomen, as from a stone.
 A drawing pressure in the lower abdomen, as from something hard, aggravated by touch. Pain in left iliac region increased by pressure (after three months).
 Rectum and Anus.
 Tickling in the rectum, as from pin-worms. Sharp sticking just above the anus. Tenesmus. Suffered greatly with tenesmus, with scanty, dark, pulpy motions.
 Stool.
 Diarrhoea. Many suffer from diarrhoea. In a very few cases, diarrhoea. A kind of diarrhoea, though the faeces were not very thin. Violent diarrhoea. Diarrhoea or constipation. Diarrhoea alternating with constipation. вloody diarrhoea. Eight or nine discharges from the bowels in an hour. The first alvine evacuations are often of a green color. Castor oil produced several stools, some of them green), (second day). The bowels not having been relieved, сastor oil was given, which produced free evacuations containing traces of green matter. Painful green stools, with violent cutting and tenesmus (after a few days). Three very offensive and copious stools, which were uncommonly green. He derived some relief from these evacuations (fifth day). Quantities of bright blood passed from the bowels.
 Constipation. сonstipation, which ultimately became very obstinate. Obstinate costiveness, lasting from twenty-four to thirty-six hours (many cases). Slow bowels. вowels difficult to move. Stoppage of the bowels or excessive evacuations. вowels alternately costive and loose. No stool for forty-eight hours (fifth day).

 Appetite. He eats very hastily. Desire for cold rather than warm food. Appetite bad. Very little appetite. Diminution of usual appetite, which at length entirely failed. Loss of appetite, etc. Total loss of appetite. Total anorexia (after a few days). His appetite left him; then his strength became reduced, the whole body emaciated; then he became fearful, showing a want of courage; bowels alternately costive or loose; and finally violent colic about fifth or sixth week. No appetite in the evening, eight hours after dinner. Thirst. Great thirst.
 Great thirst; no appetite. Excessive thirst (third day).
 Burning thirst (many cases). Eructation and Hiccough.
 Eructations the whole afternoon and evening. Eructation and rising up of mucus mixed with green lumps. сonstant eructations. Not found. HUGHES. Hiccough. Heartburn.
 Usually in the afternoon heartburn, followed by bitter mucus in the throat. Nausea and Vomiting. Nausea; (immediately), etc.
 In all cases there is nausea. Feels very sick (nauseated). For several weeks he experienced nausea whenever he attempted to swallow animal food, although he chewed it abundantly. Nausea, almost in the whole abdomen, extending up into the throat, most violent in the pit of the stomach, together with a putrid taste in the mouth, and sensation as though he would immediately vomit.
 Nausea, quickly succeeded by severe vomiting (soon). Suddenly seized with nausea, and instantly vomited a large quantity (more than a quart) of fluid arterial blood (twenty-eighth day).
 Bleeding again occurred to a considerable extent, and after throwing up a considerable quantity of dark fluid he became sensible of something passing in stomach, and thence into bowels (twenty-ninth day). Hemorrhage again recurred, and he suddenly sank in a state of complete collapse (thirtieth day).
 Excessive nausea. Qualmishness, as if associated with intoxication. сonstant retching. Violent retchings and nausea.
 Much of the time troubled with vain retchings after (twenty-four hours). Repeated but useless efforts at vomiting. Vomiting; (many cases). In some cases there is vomiting. Frequent vomiting. Frequent vomiting, with colic and diarrhoea, as in cholera. Forcible vomiting. Violent vomiting, with nausea and diarrhoea. Excessive vomiting, with colic and diarrhoea.
 Vomiting, preceded by slight nausea, though only of water, therewith much lachrymation. Greenish, bitter vomiting of mucus, preceded by nausea in the upper part of the throat, and accompanied by pressive pain in the stomach (after a few hours).
 Vomited every kind of food about twenty minutes after taking it.
 Vomiting (within twenty-four hours); continued to vomit at intervals for eight days; and sometimes it was almost incessant for hours, and in the highest degree distressing. Threw off his victuals and some bile. Vomiting of bilious fluid. Frequent and copious vomiting of green bile, as the nurse thought, colored by verdigris. вlood in the matter vomited. Vomiting of blood without cough, with deep stitches in the left side of the chest (after three hours). Vomiting is relieved by drinking cold water. The authority corrected by Hering. Stomach. Region of stomach puffed up, sore to touch. Epigastric palpitation.
 Weakness of the stomach. Epigastric sinking. Disposition to remove some offending substances from his stomach (unaccompanied by nausea), for the ejection of which he would frequently irritate the fauces with his finger. Sensation as of something bitter in the stomach. Pain in the stomach; (second day). Most of them complain of pain in epigastrium. Excessive tormenting pains in the stomach and epigastric region. сardialgia. Many suffer from indigestion. Great heat in epigastric region. сramp in the stomach, with colic, without stool. Pressure in the pit of the stomach, as from something hard, by itself, but more violent when touched. Violent pressure at stomach, with contractive pains at intervals (after a few days). Occasional sense of weight and uneasiness in epigastric region, and rather towards right side, with sense of distension after meals.
 Peculiar sense of weight, weakness, and oppression in epigastric region. Gnawing, fine sticking pain in the stomach, as though he was pierced by needles (on returning to consciousness). Dull stitches near the left side of the pit of the stomach, without affecting respiration. Stomach sore to touch. Irritability of stomach, especially after meals. Morbid sensibility of the epigastric and hypochondriac regions. During recovery the stomach remained sensitive and impatient of any but the most bland and simple milk diet.

 Urethra. вurning-sticking pain in the meatus urinarius, when urinating and when not. Urging to urinate, with scanty discharge and burning stitches or cuttings, especially in the meatus urinarius. Micturition more seldom and more scanty than usual.
 Difficulty in passing urine, consisting in a painful inability, requiring considerable time and effort to relieve the bladder.
 Urine scanty.
 Sexual Organs.
 The glans penis is inflamed, the penis swollen.

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