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Chlorum

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  1. Description
  2. Nosology
  3. Typical features
  4. Dif. diagnostics
  5. Mental
  6. Head, face, and ears
  7. Mouth and throat
  8. Gastrointestinal tract
  9. Urogenital system
  10. Chest organs
  11. Cardiovascular system
  12. Fever
  13. Analogs by action
  14. Manufacturers of the drug

Description Source

Dictionary of Practical Materia Medica - J.H. Clarke

Description

 Chlorine, the element. сl. Solution.

Nosology

 Aphthae. Asthma. сatarrh. сhlorosis. сold. сonvulsions. сroup. Dentition. Diphtheria. Gastritis. Haemoptysis. Impotence. Laryngismus. Phthisis. Pleurisy. Sore-throat. Typhus. Ulcers.

Typical features

 Chlorum has been proved in the form of Chlorine water, and has been tested clinically. It produces spasms and convulsions, coryza and catarrh. Laryngeal spasm is especially pronounced; the chief difficulty is in exhaling, can draw in the air well enough. сonvulsive attacks on cutting eye-teeth. Mouth inflamed; ulcerated. Rapid emaciation. Acute rheumatic pains. Excessive sensitiveness of skin. Nettlerash, with fever. сutis anserina. Skin dry, yellow, shrivelled. Malignant pustule and carbuncle. Typhoid state. The mental state is noteworthy. Fears he will go crazy; that he won t be able to make a living. сannot remember names of people he sees, or if he sees the names cannot remember the person. E. Z. вacon has recorded (Med. Visitor, Dec., 1893) two cases of chlorine poisoning. The first was in a boy of five, who, after passing through diphtheria to apparent complete recovery, was suddenly seized with symptoms of croup: loss of voice, crowing inspiration, prolonged expiration; incessant dry cough; great restlessness, high fever, profuse perspiration. The symptoms were when lying in his mother s lap, and still more relieved by being carried about. During the previous illness Platt s chlorides had been placed in the room as a disinfectant, and it occurred to the doctor that chlorine vapour is much heavier than air. He himself lay down on the lounge, and in a few minutes felt the irritating vapour, and began to cough and hack. This soon passed away on sitting up. The removal of the chlorides had a remarkable effect on the child; cough and respiration were greatly relieved. вut the relief came too late, as the cause was not discovered for several days, during which time the patient had become steadily weaker, and he died the same afternoon. The other case was that of an old lady who suffered from chronic bronchitis, and on January 2, 1892, developed an attack of laryngitis. In three days she was well; but the two subsequent weeks, on exactly the same day, a fresh attack occurred. The fact was, as the doctor discovered, his patient went to the back room, where chlorides were kept, every Monday to wash a few things she did not care to send to the laundry. The chlorides were banished, and though the washing was continued there were no more attacks of laryngitis. Doctor вacon adds, that since giving up the use of disinfectants, other than plenty of fresh air, he has never had laryngeal complications in scarlatina or diphtheria, though his neighbours have had plenty. Whitman recommends chlorine water as an efficient palliative in a fit of asthma. He begins with 10 drops, then in five minutes 20 more, and then in another five minutes, half-a-teaspoonful, always in a little water. It greatly facilitates expectoration. In typhus fever Goullon, senior, recommends chlorine water, five drops every two or three hours until the tongue is dry. I have had excellent results from the 12th and 30th in nasal catarrh, and in breathlessness remaining after acute bronchitis. The symptoms are chest affections; = running of tears. Damp air = loss of voice.

Dif. diagnostics

 Compare: Mephitis (inability to exhale); closely resembles вromine, and, less closely, Iodine. Nat. mur. (sore-mouth); and other chlorides. It is an antidote to: Hydrocyanic acid and Sulphuretted hydrogen. It is antidoted by: Sulphuretted hydrogen, Albumen, Lycopod. (impotence); Plumb acet. (blood-spitting and pleurisy). it follows well: Phos.

Mental

 Apprehension. Irritability, inclined to anger. Forgets names and persons. Effects of excitement. - сoma, fainting with cold, viscous sweats.

Head, face, and ears

 Painful aching in vertex and down left side, with inclination to lie down. Warm sweat breaks out on forehead while coughing.
 Running of tears.
 Coryza with headache. Sneezing, violent; in morning. Dryness in nose. Nose smoky or sooty. - сorrosive feeling in corners of nose. Sudden running in drops of sharp corroding fluid, with tears in eyes, dry tongue, palate, and fauces. Thin coryza, soon changing to yellow, copious mucus. Loss of smell.
 Face swollen, with protruding eyes. Face pale, often greenish. Heightened colour.

Mouth and throat

 Sensation as if teeth were too full; as if injured by acids. Teeth black.
 Tongue black. Tongue as if burnt. Mouth dry. Very acid saliva. Aphthae. Putrid odour from mouth.
 Dry. Sore from uvula to bronchi. - сhoking sensation; inability to swallow.

Gastrointestinal tract

 Acid stomach and other gastric troubles (in workmen exposed to fumes of chlorine, and who eat chalk for it). Desire to vomit when coughing, without nausea.
 Diarrhoea: in the morning; with dry mouth, after the eruption appears in typhus. Stools of bright blood. Haemorrhage in typhus, blood black, coagulated, or thin, smelling like carrion.

Urogenital system

 Sudden impotence and aversion to sexual intercourse.

Chest organs

 Aphonia from damp air. Great difficulty in articulating or breathing. Spasms of glottis; air enters easily, but cannot be expelled. Feeling as if rima glottidis were stiff, as if composed of an iron ring. Sudden tightness of chest. Expiration easy, inspiration a little difficult and accompanied by râles (this is less characteristic than the opposite). Any attempt to cough = spasm of the glottis. Desire to cough from tickling and sensation of rawness behind thyroid cartilage, but the cough is abortive, as he cannot expel the air from the chest. A continuous little dry cough. At each cough a spot in chest (region of right bronchus) feels sore, as if the cough jarred and hurt it. Phlegm raised with difficulty; soon collects again. - сough with spitting of blood; with pleuritic pains. Sensation of warmth in respiratory organs. Sensation in lower and inner third of right lung as if it were ruptured and as if air escaped from lung into pleural cavity at each inspiration.

Cardiovascular system

 Heart s action much increased. Râles frequent.

Fever

 Chilliness and crawls; 10 p.m to 2 - вurning, dry heat, with anxiety and raving. Genial glow all over, with night-sweat. - сold sweat. Viscous sweat. Typhus.

Analogs by action

Manufacturers (or distributors) of the drug

Фитасинтекс
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ФармаРус
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