Gelsemium sempervirens

 Gelsemium sempervirens, Ait. Gelsemium lucidem, Poir. G. nitidum, Michx.; вignonia sempervirens, Linn. Lisianthus sempervirens, Mill). Natural order: Loganiaceae.
 Preparation: Tincture of the bark of the root.

 Emotional. Intoxicated feeling, with painless, but slightly diarrhoeic stool. General vivacity after rising (second morning). In one case (it is not said at what stage), great and almost uncontrollable mirthfulness. Depression of spirits, with dull, uncertain pains in the head, in the afternoon ( fourth day). Depression of spirits. Melancholy, desponding mood (first day); worse (third day). Gloomy and disinclined to exertion of any kind. Hypochondriac mood all day, dull, stupid (fourteenth day). Anxiety. Irritable, impatient. There was at first a cheerful, careless morale, afterwards depression of spirits. Intellectual. She seemed to know all that was going on;described her symptoms. Symptoms lasted several hours, but all the while I retained a clear state of mental activity. Dulness of all the mental faculties. For several days, rather dull and stupid, with disinclination to conversation, which was remarked by friends, who knew nothing of my taking medicine (fifth day). Very dull and stupid, with aversion to study (fourth day). Dulness of mind, alleviated on profuse emission of watery urine. Incapacity to think or fix the attention. Mind listless and incapable of reflection, as after ague, with a serve, dull headache all day, and digging in the right ear all the afternoon (seventh day). The sensorial modification consisted of a mistress within the brain, not much affecting the lucidity of thought, but somewhat confusing the perceptions, so that I experienced some difficulty in attending to the physical details connected with my practice. Inability to concentrate the mind. Found it to effect the power of concentration very materially; I could not fix my mind on the contents of a newspaper, although the matter was of an exciting character; I could not pursue one train of thought for any time, the ideas would vanish and leave a vacancy of mind which was quite annoying. сonfusion of mind. Incoherence of thought. Stupid, intoxicated feeling.
 Unconsciousness. He threw himself upon the floor and soon became unconscious (after half an hour). Totally unconscious. Totally unconscious, and could not be aroused (after three hours).

 Vertigo. Transient vertiginous sensation, after breakfast (second day). Dizziness of the head and blurred vision returned, and gradually increased, so that all objects appeared very indistinct, for three hours, then gradually abated (one hour after second dose, fifth day). Sense of giddiness (one hour and twenty-five minutes after third dose). Giddiness is pretty constant; an intoxicated feeling and tendency sensation in thee head. My head began to have a swimming, turning sensation, as if I were going to be seasick. Light head. Light headed and dizzy, much increased by sudden movement of head and walking (one hour after first dose, third day). Light headed, and dim vision, continuing for one hour (after first dose, third day). Her head felt very light. Head felt very light, with vertigo. General Head. Head cool to the touch, in the afternoon (eight day). Dulness of the head, with stupor, dry mouth, coated tongue, bitter taste, pulse full and strong, intoxication, vertigo unto falling. Heaviness of the head, with dulness of mind. Heaviness, with sensation of fullness in the head, which increased to a serve headache, relieved on the third day of the proving by copious urination; after which a pleasant languor pervaded the system for some hours. Great heaviness of head; sensation as if the brain was heavy. Heaviness of head alleviated on profuse emission of watery urine. A very disagreeable sensation in the head was felt, even before the muscles came under the influence of the drug, but the mind was clear. Fullness about the head (sixth day). The head feels full and excited or feverish. Full feeling of the whole head, with some throbbing and uneasiness of the occiput. Full and crowded feeling in head, with pain as if thee brain were bruised, and accelerated pulse (90), (eighth day). Full, crowded feeling in head, and heat in face (one hour after first dose, third day). Full and crowded feeling in the whole head, and a sensation of feverish heat in the face, nevertheless the temperature of the skin did not appear to be augmented, at 2.30 (fourth day).
 Tightness of the brain. A band like pain surrounds the head, with shooting pain in the both jaws and parietal bones (third day). Dull pains in the head and limbs (third day after six drops). Pain in the head is very constant symptom, generally dull, stupefying, and pressive; more frequently in the forehead and temples. Headache beginning after dinner and lasting till evening. The headache is very distressing. After breakfast dull aching in the head, becoming more serve as the day advanced, in the occiput; headache increased till after dinner, when it was much relieved, but about 4 returned worse than before, and seemed to increase in severity until in the evening it became excruciating, accompanied with slight nausea; shaking the head seemed to slightly relieve it (sixth day). Not severe, dull headache (part of S. 19). On waking in the morning, pressure in the whole sinciput, as if too narrow, better by pressing with the hand; compelled to close the eyes (seventh and eighth days). Pressive pain in the head, principally the temples, at times in the occiput, at others all over the head. Sensation of weight and pressure in the head. The sensitive bruised sensation of the brain continued for two days (after eighth day). Head symptoms are aggravated by smoking. Headache ceased by sitting, in the evening, as at other times (ninth day). During the day tendency to headache on moving, especially on going upstairs (second day. The sensitiveness of the brain continued for several hours, and it appeared as if every step and sudden movement of the head would excite, pain, but this did not occur (after second dose, third day). Head symptoms are felt very soon, sometimes within five minutes. Forehead. Severe pain in the forehead and vertex, with dimness of vision; roaring in the ears; a sensation of enlargement of the head, and a wild feeling, a confusion, almost amounting to delirium; the pain in the head, which was of a pressing, heavy nature, would at time disappear, the concomitant symptoms being at the same time ameliorated, and severe, sharp, labor like pains would set in, the uterine region, extending to the back and hips; these pains would in turn leave, and the pain in the head would recur immediately after. Some fullness in the anterior part of the head, soon disappearing (after a few minutes). A feeling of contraction in the scalp on the center of the forehead (after first dose, first day). Awakened at 2.30 p.m by most intense aching pain in the left frontal region extending to the right occipital region, and occasionally over the entire head; it lasted an hour (seventh morning). Dull, slight headache all over the front and top of the head, after a sleep in the forenoon; also after sleep in the evening. Pressing in the forehead as if too narrow, with pressing upon the eyes, as if too large (sixth night). Severe and pressive pains in the forehead and vertex. Sense of weight over the forehead (quarter of an hour after third dose). Stitch in the middle of the forehead passing inwards, at 12 M. (tenth day). Now and then a violent stitch in the middle of the forehead, entering as far as half the brain, in the afternoon (seventh day). Violent stitches in the middle of the forehead, as far as half of the brain, on turning the eyes, on stooping, and on turning the head, in the head, in the evening (eighth day). Pains of shooting character in the frontal sinus extending to the eyes and jaws; in the eyes the pains are pricking, extending from the middle of the eyes to the canthi (first day); on the right side the pains seem to roll about in the eye, much more violent (third day). Violent stinging pain in the whole forehead, and pressing of the eyes, as if they were too large, with external coldness of the forehead (third day). Temples. Pressive pains in right temple, with dizziness and blurred vision, such as may follow the use of intoxicating liquors, but without the exhilarating effects (half an hour after second dose); the dizziness and blurred vision were attended by nausea, and continued for three hours (third day). Vertex. When writing, headache in the top of the head; afterwards in the left occipital region, directly on both sides and in the upper cervical region, and again on the top, and then in the left side, all whilst engaged in writing a few minutes; afterwards a settled, dull, dragging headache, mainly in the occiput, in the mastoid and upper cervical region, extending to the shoulder, relieved while sitting, by reclining the head and shoulders on the right side, on a high pillow; in the afternoon (seventh day). Drawing on the right side, on thee crown towards the occiput (twenty minutes after 5 drops). Pains over the whole top of the head, extending to the occiput, with a general dizziness and a disagreeable painful sensation in the whole of the head (first day). Parietals. Pains in the left side of the head, extending from the prominence of the parietal bone to the mastoid process of the temporal, periodically (third day). Dull pain on the right side of the side (sixth day). Dull ache on the right side of the head, at breakfast, (* During the night sat up a long time with a patient; slept for five hours on hard chairs, and rode home before breakfast. *) headache on the right side, with occasional throbbing from exertion; the better after a sleep of a few hours, but renewed by exertion; ceased in the evening when sitting, as at other times doubtless caused by the occiput (first night). On rising, dull pain in the occiput and slight tendency to throbbing, on the right side of the head; previously at breakfast, transient slight cutting pressure on the left side (third day). At 11 p.m serve aching pain in the occipital region for a few minutes (forth day).
 Dull aching in the occipital region, occasionally extending into the os frontis (third night). During the day dull aching in the occiput, increased by movement, especially on stooping; much worse towards evening (second day, after 6 drops).
 Eye.
 Objective. Dull eyes in the forenoon (eleventh day). Eyes transiently bloodshot (third day). Strabismus, and constant inclination to squint (one case). Eyes fixed, and inability to raise the eyelids (after five hours). Eyes much inflamed and weak, with great flow of tears at intervals. Subjective. Dryness of the eyes. Heaviness of the eyes, as after night- watching. Pains deep in the left eye, extending from above downwards (first day); more violent (third day). вurning of the eyes, as if they were too dry, in the forenoon (eleventh day). вurning in the eyes, with weakness of sight and heaviness in the forehead (fifth day). The eyes felt quite sore; it is as if some foreign body were irritating the conjunctiva, in the evening (third day). The eyes quite sore at night; not much pain, but merely soreness, with sensitiveness to light and lachrymation (third night). вrow and Orbit. Drawing over the eyes (four minutes after three drops). Pains in the orbits, sometimes excessive. Dull full feeling (attended with some aching) in the whole of the orbits. вruised pain above and back of the orbits. Lids. Dropping of the eyelids. Eyelids partially closed and motionless. Eyelids half closed, with apparent inability to move them. Eyes close in spite of him, on looking steadily at anything. Difficulty in opening the eyes, or in keeping them open. Heaviness and congestion of the lids. Great heaviness of the lids. вurning sensation around the inner canthus of the right eye. Eyelids are as it were puffed and swollen, and have also the appearance of being so. A stitch traversing the right eyelids vertically (fifteen minutes after first dose, first day. Lachrymal Apparatus. Eyes suffused (after second dose, fifth day). вall. No spasmodic movements except the eyeballs, which kept up a continual twitching motion while the effects of the medicine lasted. Sharp stitches through the left eyeball, from within outward. Pupil. Dilated pupils. Pupils dilated, but corresponding to the different degrees of light, afterwards widely dilated. Pupils dilated, not responding to the light, and could be touched without producing any contraction of the lids (after three hours). Pupils expanded and insensible to light (after five hours). Dilatation of the pupils, amaurosis, blindness, dimness of sight. Pupils moderately dilated. Vision. Slight affection of sight, during thee forenoon (eighth day). Till 4 the disturbance of sight was great (seventh day). Dimness of the vision (part of Ss. 74 and 257). Dimness of sight and vertigo. Dimness of sight alleviated on profuse emission of watery urine. Distant objects seemed indistinct as I rode or walked, and one evening I could read but with difficulty (these symptoms are characteristics, as the sight is perfectly good, and I never had anything the matter with my eyes). Misty or glimmering appearance before the eyes. Smoky appearance before the eyes, with pain above them (third day). She complained of being partially blind, while eating a hearty dinner (after half an hour); this symptom rapidly increased, and in a short time she could scarcely see at all. Nearly blind; control over the upper eyelid was almost entirely lost. вlind. Total blindness very soon after the dose, with violent dizziness (third day). вecame perfectly blind, eyes set, etc. She could not see any one in the room, although persons stood close by the bed; the eyes were wide open, pupils dilated. He said, I cannot see you, but his eyes were wide open, with dilated pupils (after ten minutes). сonfusion of sight (one hour after first dose, third day). Sight more or less confused all day (fifth day). At 4 took a dessert spoonful of red wine; directly after, for the first time to-day, a return of the confusion of sight, lasting an hour only, but so extreme that some one must suspect inebriation (fourth day). After the stool in the morning, a market renewal of the confusion of sight, with heavy looking eyes; found this symptom much less when holding a finger vertically beyond the nose, also when either eye is closed (third day). The confusion of sight much increased in the evening (sixth day). сonfusion of sight diminished, in the evening (third day). сonfused vision, especially of distant objects (following vertiginous sensations after breakfast); when turning the eyes the sight is tardy in following the movement, things for several seconds seem to be blurred, the eye remains unfixed in its new direction, yet no sensation of gauze or film; [* This symptom attended a tardy convalescence from a fever (not treated by Gelsemium, except the first day) last year, continuing a week; relieved by Nux vomica in part, and finally cured by Aconite*) it is accompanied with a disposition to partially close the eyes, as if to steady the eyeballs by the pressure of the orbicularis palpebrarum muscles; the visual confusion might be compared to that produced by alcohol, and gradually wore off by night (second day). Objects appeared double; by degrees she grew completely blind. Things seem double on raising the head from a stooping position, or on looking sideways, but not when looking directly at them (one case). Diplopia, which I could control by an effort of will. Diplopia when inclining the head towards either side, but vision single when holding thee head erect (in one case).
 Ear.
 Rush of blood into the ears. The pains which ascend from the back to the occiput often affects the ears. Heavy feeling in the ears (a quarter of an hour third dose). Digging in the right ear (part of S.19). Near noon, while sitting, a stitch in the external auditory meatus (eighth day). Hearing. Sudden and temporary loss of hearing. Humming in the ears (after eighteen minutes).
 Nose.
 Objectives. Sneezing and dull headache, at 9.30 (sixth day). Sneezing followed by tingling and a sense of fullness of the nose, at 11.30 (first day). Watery discharge from the nose (in a few cases). Mucus accumulates in the nose and upper part of the trachea; the mucus slips into the trachea while talking, which keeps up a hacking cough. вloody mucus in the nose (eleventh day). While sewing, lively action, as of a worm or a fish, in the region of the nose, at 6 (twelfth day). Pain extending from the bridge of the nose to the eye (third day). Tingling in the nares (eleventh day).
 Face.
 Objective. Looked strange, staggered, and fell (after half an hour). Heavy besotted appearance of the face. сountenance miserable, sunk, grayish-yellow, with dull dusky eyes ( second day). Face flushed and hot to touch (after second dose, fifth day). Yellow color of the face. сomplexion yellow, also the eyes. сountenance of livid paleness. Face somewhat congested. The muscles of the face seem to contract, especially the orbicularis oris, somewhat impeding breathing. Subjective. Numbness of the face. сheeks. Whenever she was roused from her sleepiness she felt burning in the zygomatic region and eyes (afternoon), (seventh day). вurning at the left zygoma and in both eyes, more in the left one (fifth day), with red swelling of the zygoma, a little before 2 (sixth day). вurning in the left zygoma, with swelling; and in both eyes, more in the left; later, also in the right zygoma, at 1 (seventh day). вurning in the left zygoma, then in the right, drawing down to a gland at the anterior right side of the neck, where it swells, and pains as if an ulcer were forming, in the afternoon (eighth day). At this very spot she had twenty-two years ago a glandular abscess, which opened internally. Lips. Pale lips, in the forenoon (eleventh day). Lips dry and heated, at 11.30 (seventh day). сhina Lower jaw drooping, leaving the mouth wide open. His lower jaw began wagging sideways; he had no control over it. Sensation of stiffness in the muscles of the jaw.

 Teeth. Pain in thee last back tooth on the right side up towards the temple (first day). Stinging and burning in the left lower hollow back tooth (otherwise her teeth are good, of the ivory variety) through the lower jaw, as far as the left ear and left zygoma, at 6; relieved by сhamom. 2/30 in watery solution (twelfth day). Tongue. Thickly coated tongue. Tongue coated yellow (first day). Light whitish coating on the tongue 9 seventh day). Yellowish white fur on tongue (third day. Yellowish-white coating of the tongue, with fetid breath. Tongue red, inflamed in the middle. Numbness of the tongue. I so lost the use of my tongue that I was unable to utter an intelligible expression, and my tongue felt like some foreign body clogging my mouth. His tongue, to use his own expression, was so thick he could hardly speak. His tongue felt very thick; he could not articulate. вurning upon the tongue immediately, which after a few minutes went over the whole mouth and throat, feeling hot like an oven, and thence through the oesophagus into the stomach and abdomen, when the same burning pain passed aroused in all the intestines; simultaneously with the descent of the burning pain into the oesophagus, burning in the chest came on, followed soon by a stitch in the anterior left lower side of the chest, going through the chest into the left shoulder blade, and accompanied by weakness and a fluttering and beating of the heart, irregular as to quantity and quality; these symptoms lasted about three hours (first day). Peculiar sense of constriction at base of tongue (twenty minutes after third dose). Mouth. сlammy, feverish feeling and taste. Astringent sensation in the mouth. Dryness of the mouth. Slight dryness in the mouth and throat, with disposition to swallow frequently; the dryness is like that produced by eating salt bacon, nut no bacon has been eaten to-day. saliva. Several times during the day he found the saliva colored yellowish, as if by blood (seventh day). During the fits, sanguineous brown mucus ran our of her mouth. Taste. Mawkish taste in the mouth. All the latter part of the day, bad, foul, spoiled taste and breath, with a frequent need to rinse the mouth or spit (seventh day). вitter taste. Slimy, disagreeable, bitter taste in the mouth, Speech somewhat affected. After the return of consciousness intelligible speech was at first only possible when the jaws were supported. The tongue was stiff and the voice thick and guttural. Ineffectual efforts to articulate. Inability to speak or move.
 Throat.
 Hawking up of bloody matter. The burning at times seemed intolerable, and swallowing was painful. Sore feeling during deglutition, about the root of the tongue and larynx, with accumulation of mucus in the upper part of the trachea, causing frequent clearing of the throat. Dryness and burning in the throat. Fauces and Esophagus. Painful dryness of the fauces. While sitting at studies, a rising of tasteless semi-solid matters in the oesophagus, with flatus and a sense of something lodged therein, slightly painful, at 12.30 (one hour after 9 drops, fifth night). Violent burning in the gullet from the mouth quite down to the stomach. Spasmodic sensations and cramp like pains in the gullet. Tried to swallow but could not.

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