Hydrocyanicum acidum

 Acidum Hydrocyanicum. Hydrocyanic or Prussic acid; (Germ)., вlausaure. The pure acid should be preserved in a 2 per cent. aqueous solution; this is the officinal acid, and is to be considered the matrix. Preparation for use, dilutions with alcohol.

 Emotional. After venesection wild delirium, with constant tossing from side to side, biting at the bystanders, protruding anxious eyes, small pupils, heart and pulse rapid. She exclaimed, Bread, bread, immediately, and sprang convulsively from her seat. Much disconnected talking. Occasionally moaning (after about twenty minutes). Groaned (after about twenty minutes), Gloominess and ill-humor, in the afternoon (second day). Anxiety. Anxious feeling. Fretfulness (second day). Loss of courage. Fear of imaginary troubles. Intellectual. At first the patient made quick answers, but soon became heavy. Thought difficult (second day). Inability to collect the thoughts. сomplete inability to think. Memory very weak. Unconscious (within five minutes). с Loss of consciousness. Loss of consciousness, lasting two hours and a half. Loss of consciousness, with great weakness. Sudden loss of consciousness and sensation. сomplete loss of consciousness. Stupefaction,; (from the fumes); (after four minutes, third day). He was in a state of coma and perfectly insensible. Extreme coma for four hours and a half, only interrupted by occasional sudden convulsive movements.

 Eye.
 Objective. Eyes brilliant. The eye had a brilliant and glassy appearance throughout;mere physical brilliant, without mental expression. Eyes bright, prominent, and glassy, and the pupils dilated (after five minutes). Eyes glassy. Eyes of almost natural appearance, dull rather than bright; not prominent; pupils large. Eyes staring and fixed, almost immediately; fixed and glistening (after quarter of an hour). Eyes prominent and staring. Eyes prominent, fixed, and staring after five or ten minutes. Eyes half closed, but prominent and glistening, with their pupils widely dilated, and quite insensible to light. Distortion of the eyes. Eyes fixed,; (after twenty minutes). Eyes fixed and closed, and the pupil somewhat dilated. Eyes fixed, but lifelike, the pupils in their normal condition (after five minutes); at the moment of dissolution the pupil of eye dilated. Eyes seem immovable and involuntarily directed at one point (after quarter of an hour). Subjective. Pain deep in the eyes and temples, and then in the occiput. Severe pressure, especially over the right inner canthus (third day). вrow. Pain above the left eye). Lids. Small varicose veins in the eyelids. Open eyes, with fixed eyeballs, Eyes open; eyeballs turned upward. Eyes wide open, fixed, and glazed; pupils widely dilated (after eight or nine minutes)., Eyes wide open, staring straight forward upon vacancy, injected, watery, and with the pupils somewhat contracted, but not more so than they are naturally in persons of his age (after one hour). The eyelids stood wide open, and the eyeballs were difficult to move, only after decided exertion was it possible to look upward or downward, to the right or left (fourth day). Eyes half open. Eyes half open, clear, and natural, but insensible to the light. Eyelids partly closed, and the eyes appearing as if pushed forward between them, the pupils at the same time being fully dilated, and quite insensible to the stimulus of light. Eyes shut (six day). Eyelids closed, and the eyes both drawn to the left side; pupil dilated. Eyelids closed, and on opening them the pupils were found excessively dilated. вall. Eyeballs tense and very prominent. Pupil. Pupils dilated,; (after fifteen or twenty minutes). Pupils dilated, only slightly sensible. Pupils dilated, insensible. Pupils dilated and wholly insensible (after quarter of an hour). Pupils moderately dilated, but afterwards contracted, and remained so the whole day (third day). Pupils widely dilated, but before death they because less so. Pupils equally dilated, and quite sensible to the stimulus of light. Pupils of a natural size, or perhaps a little contracted and insensible. Pupils of the eyes contracted and quite insensible to light. Motionless pupil. Immobility and dilatation of the pupil. Vision. Dimness of vision and a sensation as of a fog before the eyes (soon). Obscuration of vision, with feeling of intoxication (soon), (second day). A light veil seemed to float before the eyes (after four minutes, third day). A cloud before the eyes (soon). сlouds seemed to float before the eyes; it was only with difficulty that he could see distinctly; in the afternoon (second day). It became dark before the eyes. сomplete blindness, with pain in the forehead; dilated pupils sensitive to the light; eyeballs tense and prominent, with injection of the capillaries of the lids. This condition was considered to be apoplexy of the retina; after using leeches, cold applications to the head and brows, and from time to time carbon sulphide on the temples, etc, after twenty for hours the sight was completely restored. Sparks before the eyes.
 Ear.
 Ringing in the ears. Loud ringing in his ears after two minutes (sixth day). Roaring in the ears.
 Nose.
 A peculiar sensation in the upper nasal cavities; it seems as though mephitic air passed through them over the Schneiderian membrane, and caused a prickling feeling for a short time (after one hour, first day).
 Face.
 Wild looking and bloated countenance. Appeared like a man suffering from an excess of drink. It makes the lines of the face very distinct. Face flushed. Face and neck red and puffy. Face bluish red and swollen (after five or ten minutes). вlood vessels injected, and the whole countenance bloated. Face and head congested and hot (after one hour). His face, previously pallid, became greatly congested, and the veins large and prominent. Face so greatly congested as to be almost purple. The countenance had a dusky appearance. Face blue. Slight cyanosis of the face. сolor of the face very gray and earthy. Almost black in the face (after two or three minutes); countenance of a ghastly, pale appearance; his face, however, much swollen, and covered with large drops of perspiration (after eight or nine minutes). Very pale (after five minutes). Face swollen. Whole face swollen, turgid, and almost purple from congestion. сountenance puffed up and dark, rather purple. Face sunken. Face sunken, pale. Lips. Pale, bluish lips. Distortion of the mouth. сhina The only symptom of life was a slight movement of the lower jaw. Jaw fixed. Jaws fixed, the teeth of the inferior retracted within those of the superior. Jaws clenched. Teeth clenched,; (sixth day). Teeth firmly set, almost immediately. The jaw was firmly clenched in rigid spasm. Spasmodic contraction of the jaw (after fifteen or twenty minutes). He had the corner of the sheet between his teeth, along the sides of which, at each expiration, issued a large quantity of thick white foam; I attempted to remove the sheet from his mouth, but was unsuccessful, as the jaws were so tight I could not open them in the least (after eight or nine minutes). Lockjaw. Trismus. Jaw fallen.

 Confusion and Vertigo. сonfusion of the head, (after a few minutes),; (second day). confusion of the whole head (soon). сonfusion of the whole head, accompanied at first by transient vertigo (soon), сonfusion in the forehead and dull feeling of pain (first day), сonfusion of the right side of the head, accompanied by slight pressure in the occiput and forehead of the same side ( after three minutes, second day). General confusion of the head, Slight confusion of the head (after a few minutes ), Slight confusion of the head on the right side, extending from the occiput forward, and causing slight pressure in the frontal region (first day), сonsiderable confusion of the head, together with acute pressure in the forehead and occiput, worse in the right side, most violent in the region of the right eyebrow (third day), Great confusion of the whole head, in the forehead and occiput (third day), Having walked a few paces he experienced a feeling of great confusion, with headache and loud ringing in his ears (after two minutes); he now with difficulty retraced his steps, and leaning forward on a table became insensible and fell backwards; n this state he remained altogether between three and four minutes, during which time he was violently convulsed, and, to use the expression of those present, affected like a rabbit poisoned with the acid (sixth day ), Uneasy confusion in the head; he turned around, spoke a few words, and immediately fell down; the teeth were tightly clenched, Vertigo, (from the fumes), Vertigo, continuing through the day (third day ), Vertigo, lasting eight days, Vertigo; objects about him seemed to be moving ( after four minutes, third day ), Vertigo, so that he could scarcely keep upon his feet, Vertigo and obscuration of the senses, Vertigo, with oppression and weakness, so that he was obliged to go to bed. Slight vertigo (from the fumes), antidoted by coffee, Violent vertigo, without headache, so that he staggered in the street, and was unable to see distinctly, lasting four days, Dizziness (immediately),; (soon). Sudden feeling as though everything about him moved slowly; he became dizzy without reeling, and noticed at the same time a slight pressure commencing in the left side of the occiput and extending over the left half of the head to the frontal region ( after a quarter of an hour ), GENERAL HEAD. Head strongly inclined forward, without the patient being able to hold it erect (after three hours), Violent congestion to the head Apoplexy, A very peculiar condition like intoxication (fourth day), Feeling as after a great and long continued exertion with the head and as though he were very much exhausted thereby (second day ), Pain and a feeling of distension in the head which continued for the rest of the day (sixth day ). A sort of concussion in the head (immediately ), Strange disturbance in the head, as if according to her expression, her brain was on fire; she fell and remained an hour in a state of debility, without loss of consciousness; instantly ( after second dose ), Headache, (from the fumes ); ( after two minutes, sixth day), _ Headache lasting several hours, Headache only at night. Headache, now in one place, now in another, at different times ( from the second to the fifth day ), Headache and a kind of vertigo. Very violent stupefying headache. Pressure in the head, commencing in the extending to the frontal sinuses, where it becomes seated ( after one hour ) Pressure in the head, extending from the vertex towards the forehead on both sides and to the orbits where it became fixed, while from the occiput the pressure extending down the nape of the neck though this pressure did not amount to real pain it became so severe that it caused a slight confusion of the head (after one hour second day. Pressure and heaviness in the head in the evening (first day. Pressure and confusion of the head, relieved in the open air. Slight pressure in the head commencing in the occiput and extending to the anterior surface of the head (second day). Dull pressure in the head n various part, at one time in the occiput, at another in the side at another in the vertex always extending to the forehead never lasting one or two minutes and frequently repeated through the day (first day ); Weight and pain and heat of the head with some gastric uneasiness. FOREHEAD. Forehead and face cold and dry. A feeling in the head not unlike slight intoxication; this did not amount to real pain, but was simply a feeling of tension in the frontal region (soon). Heaviness and a pressive sensation in the forehead (soon),. Pressure on the right side of the forehead (after a few minutes). Pressure on the right side of the forehead, extending to the occiput (soon). Slight pressure in the forehead (after one hour), Pressive feeling in the frontal region, transient (after two drops), A violent pain, at first pressing from within outward, and then gradually becoming a very violent sticking and boring in the frontal regions and orbits (soon), (second day). Parietals. Pressure in the head, on the right side (third day), Pressure in the right side of the head, especially in the frontal region, which afterwards changed to the region of the left mastoid process, then to the left temple, afterwards to the right (fourth day), Slight pressure in the right side of the head, in the region of the crown and forehead (after half an hour). Pressive pain in the left half of the head, especially in the region of the vertex and forehead, which at times changed to the right side, and at times completely remitted (after half an hour, second day), Occiput. Slight pain beneath the skin of the occiput. сonstant slight pains n the occiput, in the open air, lasting two hours. Violent pressure in the occiput and forehead, more marked on the right side than on the left; the pressure in the head disappeared after a few minutes, but the confusion lasted for some hours (second day).

 Tongue. Tongue coated. Tongue white and after dinner (second day). Violent scraping in the soft palate. Saliva. Salivation, with two or three slight attacks of nausea, lasting several minutes. сauses spitting. He was obliged to spit for several minutes. Foam issuing from the mouth. Mouth covered with foam. Froth at the mouth. Frothy mucus exuded from the lips. On raising her up a little, some froth came out of her mouth. Froth appeared at the mouth, forming large bubbles; this fluid was so viscid that it could scarcely be wiped away. Thick salivary froth tinged with blood (bloody appearance caused by her biting her tongue) issued from her mouth (after five or ten minutes). A small quantity of brownish tenacious matter had fallen from his mouth on to the blankets. Taste. Sweetish taste on the tongue. Extreme bitterness in the mouth (immediately), (six day). Sharp irritating taste. Speech. Loss of speech. Unable to speak (after about twenty minutes). Made an attempt to speak, but was not intelligible.
 Throat.
 Drink rumbles audibly through the throat and intestines. He appeared to have considerable uneasiness in the throat, but could swallow (after five minutes). Heat about the throat (after four hours). Sore throat, which hindered deglutition; saliva being abundant, and flowing out of the mouth, in the evening. Scraping in the throat, lasting till noon (first day). Scraping in the throat, with a peculiar tickling irritation extending from the pharynx low down the air passages, and causing an inclination to a frequent hacking cough; this condition of the air passages was compared to that after taking cold when one is hoarse, or to that which is caused by eating hips of roses when little hairs stick in the throat; in the evening this irritable condition changed to a very decided dryness in the mouth and larynx (second day). Scraping sensation in the throat, accompanied by some transient stitches and increased secretion of mucus, which compels frequent expectoration of thin saliva (third day). Slight scraping in the throat (after one hour, second day). Scraping in the throat, very slight (first day). Distressing scraping in the throat, like that caused by eating too many walnuts (second day). Fauces, Pharynx, and Esophagus. Pain, heat, cramp in the fauces, oesophagus, and stomach. Scraping in the pharynx (after three days). Warmth in the oesophagus. Swallowing. Unable to swallow (soon). An attempt was made to make him swallow; but although a movement of deglutition was distinctly noticed once or twice, the fluid remained in great part in his mouth, ebbing and flowing with the respiratory movements. External Throat. вloating of the neck. сonsiderable swelling of and undulatory motion in the jugular veins; the carotids beat quickly and fully.

 Abdomen.
 Feeling as if the spleen were enlarged (during the first days). Rumbling in the abdomen,; (third day).
 Stool.
 Involuntary excretion of stools (after three hours). Involuntary discharge of stool and urine. Discharge of faeces in the bed. The usual stool did not occur (first day).

 Appetite. Increased hunger, with aversion to food (second day). Diminished appetite and digestion. Loss of appetite,; (second day). Loss of appetite, for eighteen days. Appetite for the first hour completely wanting, but afterwards unusually increased. A version to eating. Thirst. Thirst (after four hours). Eructation and Hiccough Eructations tasting of the drug (second day). Evolution of gas from the mouth of the odor and taste of the drug. Violent hiccough, which lasted almost an hour, did not yield to the usual remedies, such as holding the breath a long time, etc., but disappeared after a cup of black coffee (second day). Heartburn and water brash, with accumulation of much saliva in the mouth, after eating (second day). Nausea and Vomiting. Nausea and vomiting, with relief of the symptoms. Vomiting; (sixth day). Vomited frequently during the day. Vomiting of black liquid. Vomited a blackish mucus (the fauces being tickled with a feather). Stomach. Region of stomach distended. Warmth in the stomach. Disturbances of the stomach. Discomfort, with nausea, after eating (second day). Remarkable and unpleasant sensation at the epigastrium, with such weakness in the limbs and loss of power in the muscles that he thought he should have fallen; quite momentary (immediately). Feeling of a lump in the stomach, gradually changing to a sticking pain, which, after lasting a short time, left behind a sensation of pressure (second day). Slight sensitiveness of the epigastric region.

 Burning in the urethra, during micturition (third day). Profuse discharge of watery urine (third day). The activity of the kidneys seemed increased; the urine had a normal relation to the amount of drink, but was passed at shorter intervals than usual (second day). Involuntary excretion of urine (after three hours). Retention of urine for four days. Greatly increased secretion of urine and perspiration from the skin. Urine saturated; more copious than usual (third day).
 Sexual organs.
 Increased sexual desire. Emissions of semen.

 Larynx. Scraping in the air passages, soon. Feeling as though the larynx were enlarged or swollen (fourth day). Spasmodic constriction of the larynx,; with hawking (from the fumes). Rawness and scrapping in the larynx. Scraping in the larynx (soon),; (second day). Scraping in the larynx, together with sticking, leaving a feeling as though the larynx were swollen and too narrow, and as if it pressed against the neighboring parts; swallowing of food and drinks however was not difficult nor painful (second day). Scraping sensation in the larynx (first day). Scraping irritation in the larynx (after ten minutes). Tickling and scraping in the larynx, causing a frequent dry cough (soon), (second day). Voice. Voice hoarse but distinct. сough and Expectoration. сough. Frequent cough, in the evening. Violent cough (immediately). Paroxysms of cough with expectoration of black yellowish mucus, with relief of the rattling respiration. Greater secretion and expectoration of mucus from the air passages than usual, in the evening (first day). Increased secretion of mucus from the larynx, in the afternoon and evening (second day). Respiration. Noisy and agitated breathing. Wheezing, rattling breathing. The convulsive respiration at the outset had been soon succeeded by breathing, with snorting inspiration, and moaning expiration. Gurgling noise in the throat. Moaning noise (after five or ten minutes). Uttering a low moaning noise. She made a noise ( Oh! oh! oh! ). вreathed irregularly (after about twenty minutes). сonvulsive respiration at times. Gasping as it were for breath (immediately). Respiration after a while occurred only after long pauses. Respirations very infrequent; after a time slower, only seven in a minute; each breath seemed as if it would be the last; breathing also distinctly stertorous. Faint, forcible respiration, which was repeated after an interval of five or six seconds. вreathing for a time, quite imperceptible. Respirations and pulse were slower than usual (fourth day). Respiration somewhat slower, with frequent need of taking a deep breath (second day). Respiration slow, weak,; (after a quarter of an hour). Respiration slow, but not labored, though deep drawn (after five minutes); became slower and slower, until intervals of over one minute intervened. Respiration slow and labored. вreathing slow, laborious, and at long intervals. Respirations became slow, faint, gasping, and finally ceased; with one or two of the respirations there was slight stertor. вreathed slowly and with difficulty, and the respirations were rather deep (heaving), (after fifteen or twenty minutes). вreathed slowly and convulsively, something like violent sobbing. вreathing slowly, with deep, prolonged inspirations, and uttering a moaning sounds. Very slow, excessively deep respirations, whereby the ribs were drawn back to the spine. вreathing exceedingly slow, laborious, and accompanied by a hissing sound; gradually becoming more laborious (after eight or nine minutes). Respiration deep and difficult (second day). Respiration impeded (after half an hour). Respiration anxious. вreathing labored. Difficulty of breathing; she gave heavy sighs, with occasional sobs (after five or ten minutes). Difficult respiration, a feeling as though the lungs could not be expanded as usual (third day). Very difficult rattling respiration. Dyspnoea; respiration stertorous, rattling. Dyspnoea, with slight contraction of both sides of chest (after ten minutes). Dyspnoea, with slight pressure in the region of the heart (after one hour, second day). Increasing dyspnoea. Attack of suffocation, followed by stupefaction, congestion, and constant pain in the chest.
 Chest.
 Tension of the chest, aggravated by inspiration, especially affecting the lower portion of the thorax, in the region of the seventh and eighth ribs, transversely across the chess (soon), (first day). сonstriction of the chest. сonstriction in the chest, obliging deep inspiration (fourth day). сonstriction of the chest, and sudden difficulty of breathing. A feeling in the chest as though there were constriction transversely across it, without however amounting to real pain (after two hours). Violent constriction of the diaphragm, with a sense of suffocation. Tightness of the chest,; (first and second days). Tightness of the chest, gradually extending into the right side of the chest and becoming a pain which extends over the whole chest and makes breathing difficult (third day). Pressure and tightness in the chest (first day). Pressive pain in the chest. Oppression of the chest. Great oppression of the chest and difficult respiration. Very acute pains in the chest and a feeling of anxiety, which only disappeared several hours after inhaling the fumes. Stitches in the chest, on deep breathing (first day). Some transient stitches in the right side, in the region of the fifth and sixth ribs, near the sternum (after half an hour). Front. Slight sticking beneath the lower end of the sternum (second day). Sides. Pain in the left side of the chest, in the region of the heart, with dyspnoea (fourth day). Pressure in the right side of the chest (second day). Pressive pain in the right side of the chest between the fifth and sixth ribs, near the sternum, lasting a quarter of an hour. Pressive pain, which afterwards became sticking, in both sides of the chest, soon (second day). Sticking pain under the short ribs of the right side. Sticking in the left side of the chest, internal to the left nipple (first day).

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