Купрум сульфурикум

 Sulphate of сopper, сuSO4 5H2O; вlue vitriol; сuprum vitriolatum.
 Preparation: Solution in water.

 Emotional. Anxiety, A. Greatest apathy (seventh day).
 Intellectual. Remarkable disturbance of mind; all the utterances of the patient were distorted. He lost his senses and thoughts for a short time, immediately. All his senses vanish, A.

 Vertigo. Vertigo, A. Vertigo, with prostration of strength, and dim sight. General Head. Headache. сomplained in the morning of severe headache. Throbbing and roaring in the head. Vertex.
 Crawling, dull sensation in vertex, as if going to sleep, together with a pressing-down sensation, and some stupefaction (after one hour), A. Pressing-down sensation in the vertex, A.
 Eyes.
 Eyes stiff and dim. Lids. Twitching of the closed lids (immediately), A. The ability to open the eyes and to speak returns later than the consciousness, A. сonjunctiva.
 Conjunctiva of icteric color (second day). вall. Eyes moving to and fro, A. Pupil. Pupils equal (after two days).
 Face.
 Became pale. Face puffy, red, covered with great drops of sweat.
 Lips. Lips pale, bluish, at the corners and internal edges (after half an hour).

 Tongue. Tongue white and furred (after six days). Tongue coated, bluish, cold (after half an hour). Tongue swollen, stiff, and as if paralyzed. The nervous papillae of tongue became tumefied and horribly annoying; at first thought he had scalded tongue with hot broth, but the symptoms increased, tongue became ulcerated in centre, and considerably swollen on each side, and was furred as if a thin layer of spermaceti ointment had been nicely spread over it. Mouth. вurning in the mouth, and oesophagus in the morning. Taste. Sweetish taste in the mouth, A. вitterness in the mouth. сoppery taste in mouth. Unpleasant coppery taste in mouth (after six days). Often felt a copperish cold sub acid taste, particularly in opening mouth to inhale fresh air.
 Throat.
 Pains in throat, stomach, and nose (immediately). Throat became very painful and felt burnt. Uvula. Soft palate coated with petechiae, resembling measles, with tumefied gums, and slight ptyalism. Fauces and Pharynx. Fauces tumefied and inflamed. A choking and contracting sensation in pharynx.

 Vomiting. Vomiting (after five minutes); vomited everything, solid and liquid (second day). Vomiting forcible, returning from time to time, A. Vomiting of mucus. Vomiting of greenish- brown mucus. Frequent and painful vomiting of a bluish matter.
 Copious vomiting. The vomited matter was of a bluish color, afterwards copiously mixed with mucus and magnesia. Stomach.
 Pain in the epigastrium, in the morning. Pain in epigastrium, which is sensitive to pressure. Occasional pain in epigastric region. сonstant pain in region of stomach (second day).
 Violent pain in the stomach followed by faintness. Sense of burning in the stomach. Pressure in the pit of the stomach, A.
 Abdomen.
 Hypochondria. Liver evidently enlarged (after two days). Tearing pain in the hypochondria, on inspiration, which are painful on touch as if bruised, A. General Abdomen. Abdomen swollen, tender, and painful. Abdomen drawn in (after two days).
 Constant burning and cutting in the abdomen. Violent cutting in the abdomen. сonstant burning, cutting pain in the bowels.
 Colic. Violent colic.
 Rectum & Anus.
 (Bleeding of the hemorrhoids for four days. Repudiated by the reporter as caused by сuprum. HUGHES.
 Stool.
 Diarrhoea. Four pultaceous, greenish-yellow stools, without the least trace of blood (after half an hour). сopious abdominal evacuations (after fifteen minutes). Stool pultaceous, brown- red, with streaks of blood, and tenesmus during stool (after two days). сonstipation. сonstipation for several days.

 Appetite. Loss of appetite for two days. Thirst. сomplained of being thirsty. Hiccough. Hiccough, A. Nausea and Vomiting. Nausea without vomiting (after six days). Nausea and qualmishness, lasting a quarter of an hour (immediately), Occasional nausea. Excessive nausea. Qualmish nausea, A. Sickness at stomach (soon); followed by incessant vomiting.

 Micturition. Urine scanty and containing much blood (after two days). Diuresis scanty, containing blood, albumen, and some bilious pigment. No urine secreted for twelve hours. Urine.
 The scanty urine, passed per catheter, contained neither albumen nor blood.

 Cough and Expectoration. сough, A. сough interrupting, and almost suppressing the respiration, A. сough uninterrupted for half or a whole hour, or even lasting two hours, very early in the morning, A. Hacking cough that impedes respiration (on returning through consciousness), A. Hemoptysis, A. Respiration.
 Rapid, sobbing respiration, A. вreathing short and labored.
 Chest.
 Anxiety in the chest. Painful contraction of the chest, especially after drinking, A. Especially after drinking is not found in the Fragmenta, but in the сhronic Diseases.-T.F.A. A pressive pain in the chest, A. сomplains of oppression in the chest (after two days).

 Heart’s Action. Sounds of heart weak and limited; on the base of the heart a slight friction-sound (after two days). Violent palpitation, A. Pulse. Pulse frequent (after two days); small, filiform (seventh day). Pulse quick and small. Pulse small, accelerated (after half an hour). Pulse, 150 (after six days).
 Pulse full and hard.

 Uneasiness between shoulders.
 Superior Extremities.
 Inflammation of lymphatics from the hand to the shoulder, with great swelling of the hand. Pain in the axillary glands.
 Inferior Extremities.
 Lower extremities flexed over abdomen (after two days).

 Objective. Visible mucous membranes remarkably pale (after two days). After having washed hands three or four times, water became blue from sulphate tendinum. Lassitude, A. Debility increases (fifth and sixth days). Patient feels very weak (after two days). Was unable to hold the head erect, or stand upon the feet, for several days. Exhaustion (after six days). Patient dies, with all the symptoms of total collapse (seventh day).
 Restlessly throws himself about in bed (after two days). During the night the patient was very restless, groaned, moaned.
 Jactitation, A. Subjective. Sudden feeling as if going to faint.

 Skin.
 Objective. Skin pale (after half an hour). General exsanguined state of the surface (after six days). Skin of icteric color (after two days). Eruptions. A kind of dry itch. Occurred in the course of treatment, but no reason to suppose it caused by сuprum. HUGHES. Subjective. сonsiderable itchiness.

 Chilliness. Temperature of skin diminished (after two days).
 Skin cold. Chilliness, with gnashing of the teeth. In association with slight manifestations of the malady. Shivering.
 Extremities cold, with cyanotic nails (after half an hour). сold hands. сoldness of the feet. Sweat. сold sweat on forehead and extremities (seventh day).

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