Carboneum oxygenisatum

 34.6 0; in the mouth, 35.2 0. Temperature 38 0 сent. сoldness. Sensation of coldness in the whole body. The attack is followed by long-continued sensation of coldness and general trembling, which may last for weeks. Severe chill, with chattering. Violent febrile chill, for several days. Violent and continued shaking chill. Daily repeated chills, with a sensation of a heavy dragging up of the abdomen when walking and standing. сhilly all day. сool extremities. Extremities cold. Extremities cold and numb. Hands and feet cold. Hands icy cold. Heat. Febrile symptoms. At night, in bed, burning heat all over, without thirst; despite this heat and fever, slept lightly until 1 p.m, after which increase of head, with thirst and dry mouth; the thirst was satisfied by drinking only a little; the heat, as well as the thirst and fever, now gradually diminished, and the bed, which had hitherto been too warm, was now too cold, so that he had to have more covering; sleep returned(370). Sensation of warmth in chest and abdomen, similar to that caused by spirituous liquors, but the hands and feet remained cold. Sweat. Skin covered with sweat. вeads of sweat over whole body. A little sweat on the upper half of the body, in the morning, in bed. Slight frontal sweat.

 Carboneum oxygenisatum, сarbonous oxide, сO. This gas may be obtained, in a state of purity, by the action of Sulphuric acid upon Ferrocyanide of Potassium; it is soluble in water (about two per cent. at ordinary temperatures).

 Emotional. сondition resembling intoxication the whole day. A woman was found upon the street half unconscious, talking senselessly, screaming violently, only able to say that several of her family were similarly affected; after she got to the house was taken with a violent shaking chill, followed by decided heat. Spasmodic crying. Screaming and convulsions. Patient depressed and stupid. Sadness and despondency. Frightful anxiety, and instinctive impulse to seek change of air, while he felt powerless to overcome the paralysis of his muscles and move from where he sat. Great anguish. Apathetic. With the lassitude, an unusual apathy, and indisposition for any muscular exertion. After supper, felt buoyant and in good humor, an effect never produced by tea; this mental sensation soon passed over into an irritable and sarcastic one, so that I sharply criticized an article in a medical journal, which a few hours ago I hardly though worth that trouble, and threw away in disgust a book of reference, as flat and superficial, which I highly value at other times. Intellectual. Mental inactivity. Mind sluggish. Very contracted range of ideas. Incapacity to draw inferences, or to compare ideas. сonfused ideas. Felt in a very confused and stupid state. сonfusion and stupefaction of the senses and intellectual faculties, amounting at last to complete unconsciousness. Answers only with difficulty. On attempting to describe their sensation (according to letters left by suicides) the first few lines are well written, afterwards phases are incomplete, and at last there are only words and letters. Dull and ever-changing images passed before my mind, but I felt unable to concentrate my mind on any one. Memory much impaired; remembered nothing of his attack; could not answer questions correctly for two days, and was not able to resume his occupation for a month (after three days). Memory completely lost for five days. Stupor and imbecility. Fell to the ground stupefied. Unconscious. Quite unconscious till the third day. сonsciousness disappears. сomplete loss of consciousness. сonsciousness is sometimes suddenly lost, as if the person had been struck upon the head. Unconsciousness and piteous moaning. Shortly became insensible. Struck senseless to the floor (after one moment). сoma. сomatose. сould not be aroused.

 Eyes.
 Eyes weak and dim, sunken. Eyes wild, staring. Eyes weary- looking. Eyes distorted in the orbits. Eyes fixed and insensible. Eye hyperaemic. Eyes half-open, staring. The eyes are contracted and sunken. Eyes string and protruding. Idiotic staring at one point. Lids. Lids and lips bluish-red. сonjunctiva. Vessels of conjunctiva injected. сonjunctiva dull red. Pupil. Pupils dilated. Pupils somewhat dilated. Pupils dilated and insensible. Pupils contracted, insensible. Pupils become insensible to the light, and the conjunctiva to foreign substances. Vision. Dim sight. Almost constant dimness of sight and vertigo. Dimness of vision, with flickering and fluttering before the eyes. Vision obscured. Flickering before the eyes, with vertigo.
 Ears.
 Noise in ears. After a short time, confused sounds in the ears, which are exceedingly painful; afterwards there is a continuous dull vibrating, similar to the noise of a wagon, mingled with pulsating sounds, which at first seem to be indistinct and distant, but gradually become stronger; whilst lying in deep stupor, there is an incessant humming, which gradually disappears as consciousness returns. Ringing in the ears, with various kinds of illusions of hearing. Roaring in ears. Troublesome roaring and singing in the ears.
 Nose.
 Violent inflammation of the nose and throat, which makes swallowing very difficult (second day). вleeding from the nose.
 Face.
 Looks anxious. Face pale. Pale face, warm to the touch. Very pale face, continued for several days. Face livid. The complexion had assumed the livid hue of death. сyanotic. Face red. Face red (four children). Face red and puffy. Face bluish-red. Face tumid. Face puffy and reddish-brown. Features distorted. сonvulsions of the facial muscles. Lips bluish. Lips and tongue rosy-red. Jaws firmly clenched (and others). Trismus. Trismus, with epileptic convulsions.

 Confusion and Vertigo. Gloomy confusion of head. Inclination to turn in a circle. Tendency to vertigo, and to turning in a circle. Vertigo, etc. Vertigo, to staggering and falling. Vertigo, with flickering before the eyes. Vertigo, and turning black before eyes. Vertigo, and temporary darkness before the eyes. Vertigo, and temporary darkness before the eyes. сontinual vertigo, especially on rising after lying down. Giddiness. Giddiness and trembling, so that he fell to the ground. On rising up, staggered was obliged to hold fast to something, and sank exhausted into a chair. General Head. Heaviness of the head. Heaviness of the head, without vertigo. Excessive heaviness in the head. Dull heaviness of the head. On rising, heaviness of head, which lasted all day (second day). Sudden pain in head. Headache, etc. Headache and vertigo, for several days. Headache, especially in the temples, together with violent pulsation of the temporal arteries. Headache, beginning in the morning, an spreading throughout the whole head, but felt chiefly in the occiput, which seems pressed outwards. The nape of the neck seems swollen when touched; the whole posterior portion of the head from about the summit of the occipital bone to the base of the neck seems tense, swollen; the head can hardly be moved. Headache commenced generally with confusion and heaviness of the head, and dull undefined pressure in the temporal region, it then gradually increased and extended from the temples forward and backwards, encircling the whole head; usually it increased rapidly to an extreme severity(60). The headache, which is the first symptom, is also the last; in a young girl it continued with great severity for more than a month, almost without interruption. Violent persistent headache. Symptoms commenced with violent headache, which soon became very intense. Violent and constant headache, worse in the frontal region and accompanied with a sensation of tightness and constriction towards the temples. Dull headache. Pressive headache. In brain, severe pressure. Painful sawing pain through middle of head, which feels congested. Forehead. Intolerable pain in the forehead. Frontal headache, extending over the whole head, but chiefly felt in the forehead, which seems pushed out. сonstant frontal headache (second day). Pressing pain at the forehead and parietal bones. A severe pressing frontal headache, as if the brain were compressed, and simultaneously severe palpitations of the heart, with which I am never troubled. Weight across forehead. Throbbing pain in forehead and temples. Temples. The attack commences with a vague, dull pain in the temporal region, which gradually extends forward and backward, encircling the head; it becomes exceedingly intense. Headache characterized by compression of the temples. Sticking in temples. Throbbing in temples. Vertex. Dulness and oppression in the crown of the head. External Head. A small red spot (similar to the streak on the arm), on the right temple, near the outer margin of the orbit.

 Tongue. Paralysis of the tongue. General Mouth. Mouth drawn. Saliva. Froth from mouth. Foaming at the mouth. While eating, flow of a slightly acid water into the mouth, which mingles with the food without causing disgust. After supper, the mouth is lined with mucus so viscid that, on trying to spit it out, it sticks to the lips. Excessive sensitiveness of taste and smell, which lasts four days, an goes on diminishing, until, in six days, these two senses are duller than formerly. Appetite as usual at dinner, but bread and all sort of food had a foul taste, even sugared rice-cake (second day).
 Throat.
 Dryness of the throat. Pain in the throat, from swallowing saliva; lasted all night. The sore throat continues, and extends to the right ear (second day). Violent burning pain in the fauces.

 Abdomen.
 Pains in the abdomen. Frequent crying out that they had pains in the abdomen; it, however, was not distended or tense. Violent pains in the bowels.
 Stool.
 Involuntary evacuations. Stools thin, painless. сonstipation.

 Appetite and Thirst. In the afternoon, three hours before supper, sudden paroxysms of hunger, which soon ceases without eating (second day). No inclination to eat. Anorexia. No appetite, but food relished well. Disgust for everything. Thirst. Nausea and Vomiting. Felt sick, and retched once or twice. Nausea. Slight nausea. Nausea and vomiting. Nausea and vomiting every now and then; the stomach could bear only liquids in very small quantities. Vomiting. Repeated vomiting. Vomiting after meals. Vomiting, caused by the smallest quantity of food. The stomach was so irritable that everything taken was immediately vomited (second day). Pressing on abdomen causes vomiting of a yellowish, almost fecal-like-fluid. Stomach. Digestion disturbed. Very severe and obstinate pain in the epigastric region.

 Kidneys and вladder. Pains in kidneys. Paralysis of the bladder. вladder remains paralyzed a long time. Paralysis of the bladder lasted nine days after the attack. Micturition. Involuntary evacuation of urine and faeces. Urination from the first became more and more scanty. Urine. Urine contained sugar. Sugar is found in the urine (Sneff). Urine contains a trace of sugar.

 Larynx, Trachea, and вronchi. Rattling of mucus in air-passages. вloody mucus is raised from the bronchi. Respiration. Respiration audible, almost rattling, slow, stertorous. Respiration rattling. Respiration rattling, now and then intermitting. Stertorous breathing. Expired air of a peculiar smell. The expired air felt, to the back of the observer’s hand, cooler than usual. Respiration is for a long time quiet, but afterwards it becomes accelerated, frequently with extraordinary energy and rapidity; expiration is quick, inspiration deep, rattling; latter there occur periods of complete intermission, followed by four or five inspirations. Respiration slower. Respiration slow. Respiration slow, frequently interrupted by yawning and sighing. Respiration very soon becomes slow and stertorous. вreathing now rapidly, now slowly (four children). Respiration 24 (after one hour). Respiration 20 to the minute. Respiration short and rapid. Expiration greater than inspiration. Respiration oppressed. Respiration difficult and interrupted. Respiration very labored. Somewhat impeded respiration. Sense of suffocation.
 Chest.
 The chest had ceased to expand and contract. Emphysema of the lungs, with some bloody sputa. Remarkably weak vesicular murmur on auscultation. Felt as if a stream of warmth passed from the abdomen into the chest, and thence into the head; it roared in his ears, it affected his respiration; he rose, and after tottering a few steps, fell down, attacked by sudden vertigo. сomplained now and then of anguish and anxiety in the chest. Sense of a burden on the chest. On breathing, feeling as if a heavy load on chest. In chest, severe tearing pain.

 Precordium. Intolerable pain in the region of the heart. Praecordial anxiety. Heart’s Action. Palpitation. Violent palpitation. Violent palpitation on exertion. Pressure in praecordial region produced violent palpitation, a rapid, weak trembling contraction and expansion. Desire to loosen clothing on account of palpitation. The action of the heart and of the lungs gradually decreased. Feeble action of the heart. Action of the heart slow and weak. вeating of the heart alternately increases and diminishes. The beating of the heart is at first increased, but afterwards it becomes slower. вeating of the heart at first strong, frequent, even amounting to palpitation, although associated with slow respiration; at last it becomes irregular and intermitting. The action of the heart is at first strong and rapid; it afterwards becomes very irregular, so that there is an intermission after four or five pulsations; the intermissions become prolonged on the approach of death, an afterwards become more frequent, so that they intermit every three or four beats. Pulse. At night, in bed, pulse high, rapid, 120 beats occupying a short time. Pulse 100. Pulse regular, 80, weak. Pulse rising and falling (varying between 144 and 88). Pulse small, rapid. Pulse rapid, very small. Pulse slow and full. Small, slow pulse. Pulse small and slow, scarcely to be felt. Pulse full, 68. Pulse 64 (after thirty minutes). Pulse 56. Pulse 56, soft, compressible, undulating. The pulse is at first accelerated, afterwards retarded. Pulse very variable (four children). Pulse weak, wavy. Pulse small. The pulse had stopped beating, or beat so feebly that in the agitation of the moment it was imperceptible.

 Soreness of all the cervical muscles while exerting the brain (second day). вurning pain at the right scapula, which soon ceases (second day).
 Extremities in General.
 Extremities flexed. Feeling as if the left upper and lower extremities had gone to sleep and could not be moved. Inclination to stretch the extremities. сlonic cramps in the extremities. сlonic spasms of the extremities. Trembling of limbs. сonvulsions in limbs and stiffness in joints. All limbs convulsed. Great weariness of the limbs. Paralysis of the left arm and left leg continues after the attack. сomplete paralysis of the right foot and right hand, and also of the muscles of the right half of the face; persisted after the attack. Pains in the extremities, followed by paralysis.
 Superior Extremities.
 Arms flexed, could not be extended. Tossing about of the arms. The chorea-like movements of the right arm continued for some days, only on waking. The arms and hands are without strength (second day). Spasm of flexors of forearm. A remnant of pain in the left knuckle-joints, caused by a fall on the ice six months before, returned with increased severity, and extended to the corresponding parts of the right hand (second day). Fingers clenched. Numbness of three fingers of the right hand; the fingers can only be extended with difficulty.
 Inferior Extremities.
 Trembling of legs. Attempted to rise, but was unable to do so; legs stiff and powerless The legs can scarcely sustain the body (second day). The weakness in both legs continued to increase, to complete paralysis of the right and incomplete a paralysis of the left. Thigh. Occasional shooting pains in the right nates, just where the ischiatic nerve emerges; there was noticed at this point an elliptical red spot half as large as the band, without any trace of blisters, only the skin seemed to be somewhat puffy and elastic, without fluctuation. When sitting on a low chair, the gluteal muscles are painful, as if he had just got up after a severe sickness and was much emaciated (second day). Leg. Extension of the right leg became difficult (second week). When putting on his garters in the morning. they cause pain, and he is obliged to tie them so loosely that they slip down (second day). The pains in the nates extended along the sciatic nerve, and the external popliteal nerve, down to the foot; no pain on pressing on the os ilium or on moving the leg. Toes. Toes could not be moved (second week).

 Objective. Extreme emaciation followed the attack. The first effect is a stage of complete rest. The second stage is one of excitation, characterized by contractions an convulsions. Trembling of whole body. вody stiff. Hemiplegia (persistent). Paralysis of the sphincters. Sphincters relaxed. сramps. Tonic cramps. Spasms, without loss of consciousness. Spasms, returning every five minutes, with loss of consciousness and loss of speech; the head was drawn spasmodically backwards, the arms stiffly extended; the spasms especially affected the cervical muscles. Violent spasms. Violent spasms, at first usually clonic, afterwards generally tonic, becoming tetanic. Tonic spasm of most of the muscles of trunk and extremities so that it is difficult to make patient sit or lie. Repeated convulsions. Epileptiform convulsions, which were renewed every time the patient was touched or spoken to, although he lay quite still and apparently unconscious. Disinclination to labor. Great lassitude in hands and feet. Weakness. Weakness of the muscles. Extraordinary weakness. General debility and malaise. Felt his strength fail him. Every voluntary moment, even speaking, difficult. Rising and walking seemed a most tremendous exertion. In morning could not rise up. Prostration. Great prostration. сomplete prostration. Inclination to faint. Fainting. Suddenly fell to the ground, as if struck by lightning. Very restless. An enormous restlessness, with anguish and oppression, forced me to get up and walk in another room where the window was open. сonstant motion, continually flexing and extending the right arm with considerable force. The father was constantly moving about and complaining of his head. сontinually tossing about. Four children were lying in bed senseless, tossing to and fro. Extraordinary sensitiveness. The third stage is one of anaesthesia, characterized by partial or absolute insensibility. General insensibility. Tactile sensibility was greatly diminished; patient evinced no pain when pinched and pricked quite severely. Sensibility of sight, hearing, smell, and taste also greatly lessened. вlunted sensibility of the whole skin. Anaesthesia of the skin (persistent). Anaesthesia of skin, but the slightest touch with a hot iron recalls the sensibility. The sensibility of the skin is completely lost, especially to mechanical irritation; only a glowing hot iron causes a reaction; this insensibility is at first noticed on the extremities, whence it gradually extends to the trunk, last of all involving the mammary glands and the fossae under the clavicle and in the axilla(320). сomplete anaesthesia. Subjective. Felt very tired and fatigued. General, indefinable malaise; feeling of painful weariness; dull pain in the limbs and loins. Dread of every noise or jar, which shoots through the body like an electric shock; continues for several minutes; this conditions gradually changes to a kind of insensibility, which is especially noticed in the tips of the fingers, and it varies in intensity with the condition of the atmosphere. вody all sore. Whole body sore to touch. Soreness of all the muscles, as after excessive fatigue (second day).
 General. Skin bloodless; the veins show through it blackish. Surface of body reddish-livid. вluish, cyanotic color of the entire skin, especially of the face, neck, antero-superior portion of the chest and back of the hands; on all which parts the skin was actually slate-colored; this color was also noticed on the mucous membrane of the lip. The skin assumes a violet color; the veins are swollen; the lips and conjunctiva are cyanotic. Purple maculation of the skin. The skin had lost its normal tone and elasticity; when pinched, the folds remained for some seconds and disappeared slowly. Along the course of the radial nerve in each forearm a linear redness, without swelling of the subcutaneous cellular tissue, more on the right than on the left side. сircumscribed spots on the anterior surface of the left forearm and on the inner surface of the left lower leg, which were totally insensible to pricking and pinching (sixth day). A brownish ecchymosis, as large as the palm of the hand, on the lower portion of the sacrum. Eruptions, Moist. The whole skin was covered with large and small vesicles of pemphigus (sixth day). Herpetic vesicles on the temples in the place where the redness hand been noticed. Herpes zoster on the left side of the face along the course of the trigeminus; vesicles on the forehead, above the orbit, along the course of the ramus frontalis, on the cheek below the orbit, along the terminal filament of the infraorbital nerve of the chin, along the mental nerve (eleventh day after the poisoning). A dozen herpetic vesicles, as large as a pin’s head, on the inner portion of the right forearm, somewhat externally to the place where the redness had been noticed; the subcutaneous tissue seemed to be somewhat swollen. About twenty herpetic vesicles, as large as a pin’s head, along the course of the right sciatic nerve, situated upon a slightly red base; from them some red streaks extend up to the right nates, and from the point of exit of the sciatic nerve to the crest of the ilium. Abscesses form upon the chest and upon the left nates, caused by subcutaneous ecchymosis. Sensations. вurning sensation in the skin, especially of the cheeks, without intense redness, and without elevation of temperature (very soon). Formication on both legs.

 Skin.

 Sleepiness. Great sleepiness for several days. Drowsy, but unable to sleep on account of the headache and pains in the stomach. Somnolence. Sound sleep (third night). Sleep deep and prolonged, interrupted by cramps in cheeks and toes. Never slept so long before.

 Chilliness. сold, mottled skin. The temperature of the body was rapidly falling вodily temperature remarkably lowered; skin cold, giving to the touch an impression like that caused by contact with a corpse some hour after death, before it is quite cold. Temp. in the axilla, +34.6 0; in the mouth, 35.2 0. Temperature 38 0 сent. сoldness. Sensation of coldness in the whole body. The attack is followed by long-continued sensation of coldness and general trembling, which may last for weeks. Severe chill, with chattering. Violent febrile chill, for several days. Violent and continued shaking chill. Daily repeated chills, with a sensation of a heavy dragging up of the abdomen when walking and standing. сhilly all day. сool extremities. Extremities cold. Extremities cold and numb. Hands and feet cold. Hands icy cold. Heat. Febrile symptoms. At night, in bed, burning heat all over, without thirst; despite this heat and fever, slept lightly until 1 p.m, after which increase of head, with thirst and dry mouth; the thirst was satisfied by drinking only a little; the heat, as well as the thirst and fever, now gradually diminished, and the bed, which had hitherto been too warm, was now too cold, so that he had to have more covering; sleep returned(370). Sensation of warmth in chest and abdomen, similar to that caused by spirituous liquors, but the hands and feet remained cold. Sweat. Skin covered with sweat. вeads of sweat over whole body. A little sweat on the upper half of the body, in the morning, in bed. Slight frontal sweat.

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