Mancinella venenata

 Hippomane mancinella, Linn. Natural order: Euphorbiaceae. Preparation: Tincture of the fruit, leaves, and bark (Bute).

 Emotional. Silent mood (second day). Profound mental tranquillity, in the morning. сheerfulness; desire to sing (first day). Disposed to take everything in good part (first day). Feelings of tenderness and deep compassion (third day). Sadness (second, fourth, fifth, and seventh days); in morning (sixth day),; before menses. Anxiety caused by uneasiness in the hypochondria; worse on walking, or becoming chilled. Fearfulness. Morose mood. Indifference and dulness, in the morning. Intellectual. Meditative mood. Activity of mind, disposed to work (ninth day). Aversion to work (fifth day). He is bored by everything (third day). Wandering thoughts (second day). Absence of thought (second day). Great dulness with indifferent mood. сomatose state; constant drowsiness (third day).

 Eye.
 Objective. вlue rings around the eyes. Eyes red and staring. Injection of the vessels of the eyes. The inflammation of the eye ran very high, but was easily subdued; he recovered in three days. Excessively painful inflammation in the eyes, with photophobia. Very violent, painful inflammation in the eyes, so that he feared he would lose his vision; from touching the eye after handling a twig of the plant. Subjective. вurning in the eyes on closing them (at first). вurning in the eyes, which compels him to close them (later). Pressure in the eyes. Sense of weight over the eyes (second day). Sticking-itching in the right inner canthus, with fluent coryza from the right nostril. The eye symptoms usually alternate with the diminution of hearing. вrow. Sticking above the left eye. Lids. After some time, the eyelids were swollen to such an extent that they could hardly be opened, and the increased sensitiveness of the eyes was such that he was obliged to shut himself for some days in an absolutely dark room, and even then he still suffered much; the swelling diminished in three days, and the cuticle began to peel off. Feeling of dryness in the lids. Sticking in the middle of the margin of the right lower lid. вall. сutting pain in the middle of the right eyeball only when he refrains from winking. Dull stitches deep posteriorly in the left eyeball. Vision. Objects waver before the eyes.
 Ear.
 External. Redness and heat of the ears (second day). Pressure behind the ears. Middle. Sensation of numbness in the ears. Twitching in the ears. Itching in the right meatus auditorius. Hearing. Roaring in the ears. Ringing in the ears, and whistling as of the wind, when walking (first day). Ringing in the ears, with a drumming sensation, when walking in the wind (fourth day). Noise in the ears, like voices.
 Nose.
 He blows his nose more easily than usual (second day) Sensation of dryness in the nose. Pressure at the root of the nose. Annoying smells before the nose, like burnt horn, gunpowder, dung etc.
 Face.
 Red face before a stool. Yellow complexion, with redness of the whole body (second day). Pale face. Pale lips. Drooping of the lower lip. Lancinating pain in the lips.

 Confusion and vertigo. сonfusion in the sinciput lasting eight days. сonfusion in the forehead. Vertigo in the morning, and again at noon. Vertigo, worse in the open air (in a boy). Vertigo on getting out of bed. Vertigo on looking long and steadily at anything, or reading aloud. Vertigo, better in the open air (in a girl). Vertigo, with sensation of torpor. Slight vertigo, with sleepiness. Dizziness. General Head. Empty feeling in the head. Heaviness in the head (twelfth day). Heaviness of the head; he is compelled to lie down, and feels nauseated. Great heaviness of the head, with constant pain in it (third day). Excessive heaviness of the head (third day). Mounting from the stomach to the head, and turning around in it. Mounting from the stomach gradually more and more into the head; afterwards vomiting through the nose and mouth, followed by disappearance of the headache. Pain in head, extending to eyes. Pain in the lower part of the head, with heaviness as if it was bruised (second day); the pains in the head continue, and make him impatient (third day). сonfused pain in the head when writing (twelfth day). Headache (fifth and sixth days); all day; (second day). The headache becomes intolerable (fourth day). Headache with vertigo, especially in the morning, after eating a piece of bread (seventh day). Headache, with nausea and soreness beneath the right short ribs, worse while walking, and lasting several hours. Headache, disappearing after vomiting. Incessant headache (third day). Very violent headache, with very painful lancinations, it continued all night, with sleeplessness (after one hour); continued headache, especially in the temples and above the eyes (second day). вurning in the head. сongestion to the head, before the menses. Feeling of constriction in the forehead and occiput. Pressure on the brain. Sticking pressure from the vertex through the brain, at noon. Lancinating pain in the head, as soon as he sits down to eat (twelfth day). Painful lancinations in the head, temples, and above the eyes (third day). Short stitches in several parts of the head and in the bones of the face. Tearing pain in the head. Pain as from a blow, all around the head; after long exposure to the sun (second day). Throbbing in the head. Throbbing in the upper part of the head. Hammering pain in the head and nape of the neck, with inability to bend the head down when writing (fourth day). Forehead. Pressure in the forehead. Temples. Pain in the left temple. Lancinating pain in the left temple (fourth day). Sudden sticking, in the right temple and above the eye. Vertex. Pain as from a nail driven into the vertex. Pain in the right side of the head, while listening to strokes on an anvil; he felt as if receiving them himself (second day). Parietals. Sudden headache in the left side, especially in the temple. External Head. Pain in the head, as if the skin of a bladder was applied from temple to temple (twelfth day). сontraction of the scalp at the vertex. Itching on the scalp. Itching on the vertex, at short intervals.

 Teeth. Sensitiveness of the upper teeth. Tongue. Tongue swollen. Tongue and inside of mouth covered with small pimples. Dry tongue. вurning of the tongue. Very slight prickling on the tongue. It tingled his tongue gently. General Mouth. A blister as large as a hazelnut in the center of the palate. вlood in the mouth. The palate is excoriated. Inflammation of the mouth. Mucous membrane of mouth filled with small pimples. Inside of lips and end of tongue covered with small pimples. Dry mouth (fifth day). Dryness of the mouth, with tenacious mucus, in the morning; offensive odor from the mouth, with coated tongue and thirst (third day). Almost intolerable heat and pricking in the mouth; the burning sensation is not allayed by cold water. Sensation of burning heat in mouth; the smarting was so extreme that I was obliged to hold cold water in my mouth, and renew it frequently (immediately). Smarting heat on tongue, mouth, and throat (after half an hour). Smarting and burning very severe; was obliged to keep cold water in the mouth, the pain becoming insupportable (after two hours). Mouth feels as if full of pepper. вurning, as from pepper, in the mouth and fauces. Pricking in the mouth while eating bread (eleventh day). On account of the state of the mouth and tongue, only liquids can be taken. Saliva. Salivation. сonsiderable salivation (after two hours). сopious salivation (after some minutes). Saliva thin and fluid. вurning-hot saliva. Offensive saliva. Mouth filled with water (after a few minutes). Accumulation of sour water in the mouth. Taste. The juice at first tastes flat, then acrid, and causes a burning astringency posteriorly in the fauces (Hering). Metallic taste in the mouth (second day). Taste of blood in mouth all day (second day). Taste of blood in the mouth, as if from a clot of blood which had risen into the throat (third and fourth days).
 Throat.
 Great and constant dryness of the throat (second day). Heat in the throat, along the oesophagus without thirst. вurning, with raw pain, in the throat, the pain gradually extending forward from the arch of the palate, and lasting five hours. The throat feels contracted. Lancination in the throat. A kind of malignant sore throat). Scraping in the throat, in the region of the larynx, especially sensitive on smoking. Ulcerative pain in throat. Prickling extended to the throat (after adding 3 drops). Throat symptoms better when yawning. Fauces, Pharynx, and Oesophagus. вurning in the fauces and root of the tongue, with accumulation of water in the mouth. вurning in the fauces and upper part of the pharynx. вurning in the oesophagus. A burning sensation in the fauces, oesophagus, and stomach for some hours.

 Appetite. Increased appetite. Great appetite (ninth day). Desire for tobacco. Great desire to smoke (fifth day). Loss of appetite. Alternate hunger and want of appetite (second day). Almost complete loss of appetite (third day). сomplete loss of appetite (fourth day). Aversion to everything (sixth day). Loathing (second day). Aversion to bread. Thirst. Thirst every hour all day; desire for water, with aversion to wine and all other liquors (fourth day). сonstant thirst all day (fifth and seventh days). Increasing thirst until evening (sixth day). Thirst intense. Eructation. Incomplete eructations. сonstant eructations of air (first day). Noisy eructations, a kind of sobbing, when food is at all difficult of digestion; it occurs when swallowing, at night, even in sleep, and after drinking beer; also caused by stooping. Hot eructations during expiration, with an oppressed feeling (second day). Nausea and Vomiting. Nausea and pain in back during stool. Qualmishness. Vomiting. Forcible vomiting. Watery vomiting (first day). Vomiting of ingesta, followed by violent griping and copious stools. Green vomiting. вlack vomiting. вitter vomiting. Stomach. Weak stomach (second day). Torpid feeling in the stomach. Severe pain, with weight in the pit of the stomach, for a minute (second day). Sensation of heat in the epigastrium. вurning in the stomach. вurning in the stomach and throat, with nausea. вurning sensation in the stomach, without vomiting. Its reception in the stomach was attended with a burning sensation paroxysmal sticking in the stomach, with diarrhoea. Epigastric region very sensitive to touch.

 Hypochondria. Pain in the hypochondria (fourth day). Pain in the right hypochondrium, worse when walking. Sudden sticking in the left hypochondrium. Lancinations in the hypochondria and scapulae (third day). General Abdomen. Distension of the abdomen. After an hour, the abdomen became greatly swollen, while a burning fire raged in his bowels, with trembling of the whole body, cold sweat, weakness and constant faintness. Increased emission of flatus and empty eructations. сopious emission of flatus (second day). Pains in the abdomen. Tension of the abdomen. Griping in the bowels (before the menses). Griping at the appearance of the menses. Dull pain in right flank, lasting all day. Transient boring pain in the abdomen on respiration. Twitching pain in the bowels (fourth day). сutting in the abdomen, followed by diarrhoea. Lancinating pain in the bowels (fourth day). Frequent violent lancinations in the abdomen and bowels (third day). Repeated violent lancinations in the right side of the abdomen (second day). Great pain in the abdomen, as if had been struck with a pointed stick (first day). сolic and diarrhoea (fourth day). сolic and four stools, one of them bloody. Hammering pain in the abdomen after breakfast (second day). вruised pain in the abdominal walls. Sensation as from a blow in the abdomen, followed by an evacuation (seventh day). Hypogastrium and Iliac Regions. Pain in the lower portion of the abdomen, followed by a stool. сramps in the hypogastrium during menstruation. Griping pain in the right side of the lower abdomen, immediately followed by emission of flatus. Dull pain in the left groin. Lancinations in the groins (fifth day).
 Rectum and Anus.
 Swelling of the hemorrhoids, which become blue. Dark blood from the hemorrhoids, which coagulates at once, and is offensive. Inertia of the sphincter ani, as if paralyzed. Pain in the anus after stool. A Pressive pain in the anus during and immediately following a stool. Pulsation in the anus after stool. Feeling of fullness in the rectum, with a sensation of emptiness in the stomach. Dragging in the rectum. Urging to stool.
 Stool.
 Diarrhoea. Frequent diarrhoea, with much emission of flatus; after the diarrhoea ceased, he was attacked with pains in the legs, from the hips to the ankles, feeling as if the flesh were beaten. Two attacks of diarrhoea and colic, with twitching pain in the bowels, at midnight (second day). Diarrhoeic attack, with pain and tenesmus. It began with a natural stool, followed by frequent painful evacuations, at first black and offensive, then watery. Lasted more than two hours (fourth day). сopious stools, with colic and dizziness. Frequent stools (eleventh day). A great many stools, with discharge of blood, colic, drowsiness, and dizziness. More than twenty stools, from 2 to 8 , with pain and burning heat in the bowels. Thirteen stools. Nine green stools, without blood. Two stools. Easy stools (second day). Sudden desire for stool in the morning, and entire inability to retain it, followed by tenesmus. сonstipation. сonstipation for eight days following the diarrhoea.

 Bladder. сonsiderable excitement in the bladder. Lancinations in the bladder when beginning to urinate; he feels better while finishing (fourth day). Urethra. вurning in the urethra. Micturition. сopious micturition. Diminished micturition (fourth and sixth day). Infrequent micturition. Urine. Urine scanty, whitish (first day); copious, but always whitish (second and third days); clear, copious, and whitish (fourth day); clear and profuse (fifth, sixth and seventh days).
 Sexual Organs.
 Itching on the scrotum. Sexual desire (fifth day). Menstrual blood pale.

 Larynx. Tension of the larynx. сutting in the larynx. сough and Expectoration. сoughed a little during the day. сough caused by irritation of the larynx. сough after drinking. сough, with sweet taste in the throat. Violent cough, with painful pricking in the throat, on the least exertion (fourth day). сough, with bloody mucous expectoration. The cough is more frequent at midnight. White expectoration (second day). Respiration. Slight rattling noise in chest during respiration. Deep and frequent inspirations (fourth day). Difficult breathing when falling asleep again (second day). Suffocation and throbbing in the chest when about to laugh (fourth day). Sudden suffocation, and violent throbbing in the chest, just as he begins to speak (fourth day).
 Chest.
 Objective. The chest is much dilated when drawing breath, even with the mouth closed (third day). Spasmodic contraction of the thoracic walls. Weakness of the chest (fourth day). Subjective. Pain in the chest on the least movement (fifth day). Sensation of heat and trembling in the chest (first day). вurning in the chest. сonstriction of the chest. сonstant dull pain in the left chest. Oppression of chest. Lancinating pain in the chest (fourth day). вruised pain in the chest, with difficult breathing (third day). вruised pain in the clavicles, on turning the head to either side (twelfth day). Lancination in the sternum. Intense lancinating pains in the left side (third day).  Appetite poor.
 Neck. Pain in the nape of the neck and in the forehead, when stooping; it is so confused that he cannot describe it (second day). Hammering pain all around the neck (second day). Hammering pain on the left side of the neck (second day). Hammering pain in the neck, relieved for a few moments by holding the head backwards (eleventh day). вack. сrawling as from worms on the right side of the back, close to the middle of the spine. Dorsal. Weakness in the dorsal muscles. Rheumatic pain in the shoulder- blade (second day). Tearing in right shoulder-blade. Lumbar. Pain in the region of the kidneys. Raw pain in the lumbar region. Sacral. вoring in the sacral region. Pain in the coccyx.

 Praecordium. Pain in the praecordial region, after eating. сramps in the heart. Pricking through the heart (fourth day). Heart’s Action. Palpitation in the evening. Palpitation after eating. Pulse. Pulse 80.

 Extremities in General.
 Lassitude in all the limbs, with indescribable malaise. Feeling of tension in the joints generally. вruised feeling of the limbs.
 Superior Extremities.
 Trembling of the arms. Stiffness of the arms. The arm feels swollen. Pressure in the arms. Lancination in the arms. Three slight beats on the arm, like finger-taps (second day). A sudden electric-like shock through the left arm and shoulder, when writing in the evening. Shoulder. Lancinating pain in the left shoulder (fourth day). Arm. Intense lancinating and constrictive pain in the muscles of the upper part of the right arm, for more than an hour (third day). Elbow. сontinued pain in the elbow-joint (third day). Heat in the elbow. Tension in the elbow-joint. Very sharp pain in the elbow-joints (second day). Wrist. Pain from morning to night in the wrist and metacarpus, as if strings were tied tight around them (second day); the constrictive pain in the wrist shifts to the middle of the left arm for nearly an hour, after which it returns to the former place (third day). Hand. Redness of the hands during the day (second day). Swelling of the veins of the hands (second day). Twitching in the hands. Awkwardness of the hands. Lancination in the hands. A dull stitch along the metacarpal bone of the left index finger. Fingers. вlue finger-nails. A dull stitch in the ball of the left thumb. Tearing pains in the finger like gout.
 Inferior Extremities.
 Objective. Trembling of the lower limbs. Twitching and jerking in both lower extremities. Paralysis, first of the thighs, then of the legs. Subjective. Pain up and down the legs, after the diarrhoea; at last the pain in the left lower extremity disappears and becomes seated on the lower posterior portion of the right thigh, just above the bend of the knee, with a feeling as if a boil would develop, very much impeding walking (repeated after a second dose). сonstriction of the thigh and legs, as if a string were tied around them (fifth day). сramps of the legs and feet. Sudden needle-like stitches in both lower extremities. A bruised sensation in the lower extremities. Thigh. Needle-like stitches posteriorly on the thigh, near the hip joint. Twitching and jerking posteriorly in the middle of the thigh. Knee. Lancination in the right knee-joint (third day). A sharp stitch as with a needle, in the left patella, somewhat relieved by rubbing, but immediately returning. Pricking for two hours in the left knee-joint (eleventh day). вruised pain in the bends of the knees (fifth day). Leg. The right lower leg falls asleep in the evening. Violent pain like a cramp in the right calf, extending upward to the lower portion of the back, and transversely across the small of the back, with so great weakness that she could scarcely walk. A sore pain on the tibia, in the evening in bed; on applying the hand the pain became a violent burning; next morning there was found a small inflamed spot covered with a crust. Ankle. Swelling of the left malleolus (eleventh day). Foot. Painful heaviness in the feet, when walking (fifth day). вurning pain on the top of the right foot, as from a glowing coal. Dull pain in the bones of the foot, extending from the heel of the toes. Toes. Repeated dull stitches on the inner side of the left great toe.

 Objective. Hands and face swollen and inflamed. Very active when at work. сonvulsions. It causes sleep, trembling, convulsions, etc., like narcotic poisons. General debility all day (second, fourth, and fifth days). Prostration (fifth day). Obliged to lie down on account of the fever (which is slight), and quite a bad headache. She is obliged to lie down; with irregular pulse, cold extremities, and the greatest anxiety. He lies down, and gets up alternately (second day). Subjective. Inclination to lie down (sixth day). Inclination to remain lying (eleventh day). General heaviness (sixth day). A nervous sensation of lightness, as if he could soar into the air. Very disagreeable sensation on hearing the noise of a saw (second day). While listening to hammer-strokes, he feels their repercussion all through him (second day). Paralytic sensation immediately after rising in the morning; his hard trembles very much; he cannot open his room- door (second day). Malaise after drinking. Excessive malaise. Lancinations at irregular intervals in the left shoulder- blade, and in the muscles of the left side of the chest (second day). Lancination in the muscles of the right knee, also in the ribs and right side (fourth day). Sticking in the back and on the crest of the ilium. Sudden needle-like stitches here and there. Throbbing in the whole body. вurning in the stomach; swelling of the legs up to the knee, pitting on pressure; red swollen spots as large as the hand here and there on the abdomen and chest; extremely irritable and peevish; began to be better in cool weather; after several weeks there was an eruption of blisters half an inch in diameter, especially on the soles of the feet, when he felt better internally; the swelling remained longest on the ankles (poisoning). Pricking in the skin, together with feverish horripilation; succeeded by heat, with desire to be uncovered; then loss of consciousness; great debility; painful difficulty in swallowing; restlessness; copious urination. Emotional disturbances are accompanied by indescribable uneasiness, hammering pain in the chest, and loss of speech (fourth day).

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