Naja tripudians

 Naja tripudians. сlass, Reptilia; Order, Squamata; Suborder, сolubrina; Family, Elapidae. Preparation: Tincture and triturations.

 Emotional. Temper good; very excitable and playful, oftener than common (fifth day). Is affected easily by a very little wine or alcoholic drink during the week (after three days). His mind wandered, but at last he got better, and was able to go out again; a short time after, having an axe in his hand, going, as he said, to cut wood, he suddenly split his own head in two; he had become insane. Very slight emotion, pleasing or otherwise, brings a strong inclination to tears (seventh day). She cried and seemed to suffer much pain. Dulness of spirits (after nine hours and a half, third day). Rather dull in spirits, without sufficient cause (second day); great depression of spirits (third day); very low in spirits (fourth day). Sense of depression (soon, first day). сonsiderable depression of spirits, and a feeling of inability to exertion of any kind, and a conviction that all is going wrong; head very painful, and spirits very much depressed (third day). Great depression of spirits this morning; everything for two or three hours appeared to go wrong with me, and to be without remedy; being called out of town in the afternoon somewhat suddenly, these feelings went of in a great measure, though they did not entirely subside (sixth day); considerable lowness of spirits; great inaptitude for exertion, with a sense of aching over the whole head; this continued more or less all day (seventh day); feel to-day very low-spirited; cannot to anything; got better towards evening (eighth day). Great depression of mind, with the distress about the generative organs (fourth day). Sadness or serious disposition (third, fourth, and fifth days); sadness and irresolution (sixth day). Intense depression of spirits usually accompanied the headache; this melancholy was of a peculiar kind; I felt that everything that was done was dine in a wrong way, and could not be rectified; if I felt that I had some duty to perform, I had at the same time a strong impulse not to do it, and was extremely restless in consequence; I seemed to have an increased perception of what I ought to do, but at the same time, an unaccountable inclination not to do it, to which I was irresistibly compelled to yield; I couldn’t help it, didn’t know why, but couldn’t do it. The moral symptoms were not present at all during October; they were very distressing while taking the November packet, and although present, were much less severe in December. Felt melancholy; began to form images of possible wrongs and misfortunes, over which the mind broods; very wretched at times; in the evening (first day); yesterday and to-day is very wretched; a slight cause sets him in a perfect agony of mental suffering on another’s behalf; mind brooding over imaginary troubles; in the evening he feels more himself, and loses much of his depression (eighth day); makes himself imaginary troubles and wrongs, and frets over them for two hours (tenth day); sad thoughts, with the pressure and gagging in the throat (eleventh day); spirits good; disposed for work; mind active (reaction), (seventeenth day). Increased evenness and cheerfulness of temper. Irritable, restless (fourth day). Temper quicker than usual (first day). Inclined to be disposed with everything (sixteenth day). Intellectual. Walked in open air; all dulness passed off, and was succeeded by an unusual state of excitement and energy, mental and physical, lasting the night, with a lively, waking state, giving the sensation in morning of having been awake all night. Query, reaction (first night); the state of excitement continued till evening, slowly subsiding (second day). Feel more fit for work to-day than I have at all (sixth day). Feeling so dull in the evening that I did not repeat the powder (first day). Feeling stupid and confused. Forgetfulness (sixth day). Very forgetful (fifteenth day). Forgot everything for several minutes. Memory confused (eighth day). Absence of mind (after second dose, third day). сonsciousness all but, possibly quite, abolished (after thirty five minutes). сomatose.

 Eye.
 Objective. His eyes stood staring and fixed. Eyes wide open and insensible to light. Seemed not to perceive objects, though his eyes were open (after some hours). Eyes fixed (after a quarter of an hour). Eyes fixed, pupils rather large, acting sluggishly to light (after thirty five minutes). Eyes weak (third day). Subjective. Eyes felt heavy (fifth day). Heaviness and dull pain in the eyes, with suffusion for an hour (two hours and a half after second dose, fourth day). Slight heaviness over eyes (fifth day); (after six hours, sixth day). Some little weight over eyes (seventeenth day). Heavy aching over eyes (sixth day). Oppression across eyes, heaviness in the evening (seventh day). Eyes seem constantly to require cleaning with the lids, frequent prickling, slight confused on looking at small print, etc.; have to rub the eyes and look closely at it (eighth day). вrow. Pain in brow (soon, first day). Very fine pricking in left eyebrow (third day). Lids. Eyelids of the right eye, especially the upper, were swollen and livid, the lividity extending to the right side of the nose (after thirty-five minutes). Eyelids puffy, in the morning (second day). Numb feeling of right lid (first night). Heaviness of eyelids (fifteenth day). Heaviness of the lids, with difficulty in keeping them open; on examination, found that the edges of the tarsal cartilages had a very livid appearance, in the forenoon (fourth day). вall. Pain in the eyeballs, requiring them to be rubbed frequently, and tired feeling on looking at a book, although I have read less that usual to-night (four hours and a half after second powder, fourth day). Hot pain at the back of the eyeballs (fourth day). Vision. Loss of sense of seeing (after ten hours). Unable to see, although his eyes were open (after one hour).
 Ear.
 Felt burning of ears, very soon (second day). Occasional whizzing sound in one ear (the left), with insipid, almost nauseous taste in mouth (third day). Great noise in the ears, as if a mill were going in the head, on waking in the morning (fifth day).
 Nose.
 Objective. Fluid discharge from the nose, with the congestion to the head (seventh day). сoryza worse, with dull headache over eyes (first night). Very severe coryza (third and seventh days). Previous symptoms appeared coupled with a severe cold or influenza, that same being now very prevalent; have desisted from the proving on that account; severe cold in head, fluent coryza in nose and eyes, violent bursting headache, pain in limbs, from the prominent symptoms (ninth day); very bad of same symptoms as yesterday (tenth day). Subjective. Have felt ever since the forenoon as though a sharp attack of influenza were coming on (fourth day). Some time in the forenoon I perceived a considerable stuffing of the nostrils to come on, gradually at first, but more rapidly soon afterwards; very much increased in the afternoon and evening, and greatly aggravated by my going out in the evening and walking some distance through the fine dense fog; on returning home, a free discharge of thin watery mucus came on, and has continued since; it has afforded considerable relief, being more able to breath through the nose (fourth day); the stuffing of the nostrils though present, was so in a much less degree than yesterday, all the morning; nostrils were clogged up this evening (fifth day). Nose feels sore, hot, and discharges thin secretion (fourth day). Soreness and irritation of the left ala nasi (third day). Wing of nostril becoming sore, hot, and tender (twenty-first day); nose worse, swelled and painful; secretion suffused (twenty-second day); nose relieved by an eruption on its edge (twenty-third day). The right nostril is extremely sore, feels as if ulcerated (sixteenth and seventeenth days).
 Face.
 Objective. сountenance expressed some anxiety (second day). Face flushed, in the evening, and burning hot (first day). Face red on rising, and covered with hard knots like in erysipelas; this disappeared after washing (second day). Face generally slightly livid (after thirty-five minutes); the lividity had very markedly increased (after forty minutes). Face of a greenish-yellow color. Looked very pale and ill (after eleven days). Looks thin and haggard in face, dark round eyes (fourth day). Subjective. Sensation of having caught cold in face and limbs, but without any chilliness or languor; at night, pains in face increased (twelfth day). Dull, sticky, deep seated pain in right side of face, for a few minutes (after second powder, third day). сheeks. сheeks red, especially on the cheek-bones, patchy (seventh and eighth days). Awoke soon after midnight, with gnawing aching in left upper jaw, sometimes shooting to the eye and temple, continued till half an hour after rising; did not occur throughout the day, or only threatened a few times (twelfth day). Lips. Lips dry, black pores and cracks (fourth day). Lips dry, parched, inclined to crack (seventh day); dry and cracked (eighth day); dry, painful, excoriated (ninth day). Hot sore feeling of the lips (four hours and a half after second powder, fourth day). сhina Jaws locked (after a quarter of an hour). Jaw so firmly clenched that the handle of a spoon was called in requisition to force open his mouth. Mouth wide open, tongue cold. A drawing, painful sensation in the right jaw (after half an hour, fourth day). вruised pain of left condyle, severe when moving jaw (fourth day); soreness of condyle of jaw not so severe (twentieth day).

 Confusion and Vertigo. сonfusion in the head (in less than an hour, and next morning). Slight confused feeling in head (very soon). Vertigo, lasting only a short time, and by an by astounding pain in right side of head (after second powder, third day). General Head. сonsiderable congestion to the head at midday (sixth day); increased with fluid discharge from the nose (seventh day). Head dull (after second dose, third day). Dulness in the head (after four hours, fourth day). Dulness about head (sixth day). Head feels heavy, with vertigo, or rather dull, confused mental state (after two hours). Heaviness of head (after one hour). Instead of headache, felt rather a dull heaviness (second day). A feeling of hollowness over the entire head, which continued for several days, and caused me to leave off further provings (seventh day). Sense of aching over the whole head (seventh day). Headache (eleventh, fifteenth, and sixteenth days); in morning (seventh day); in evening (first day). Passed a very uncomfortable night; slept much, but conscious of a headache (seventh night). Slight headache (after second powder); (after nine hours and a half, third day), etc. Very slight headache, all day, which was pretty severe and throbbing for a short time, about 3 ; frontal headache (second day). Very bad headache, especially acute over the left eye, just like a scald, for at least an hour, soon after breakfast (fourth day). Very bad headache, and stomachache all over (abdomen), at 9 but probably owing to a jargonel pear, eaten in the former part of evening, not usually so affected by so little fruit (third day). Thoughts of giving over taking powders, on account of the violence of the headaches caused by them (fourth day); very bad headache, on waking in the morning (fifth day). Dull headache (first day),; (first night). Dull headache, worse over right eye (seventh day). A most oppressive headache, at 8.30 p.m (eighth day). Forehead. Slight pain in forehead, soon (first night). Slight pain in left frontal protuberance (after a few minutes, first day). Rather severe and steady pain in left frontal region (soon), (seventh day). During the fourth and fifth days, but much more upon the fifth, had considerable pain in the forehead, which woke me in the night, and I woke on the morning of the sixth with this pain; the pain was attended by fluttering of the heart, and was full of a dull character, with occasional stitches in the frontal protuberance. Frontal headache (fourth day). Frontal headache (second night); headache continued nearly all day (third day); dull frontal headache, with a feeling of weariness (fourth day); frontal headache all day, with yawning and lassitude (sixth day). Headache above eyes (twelfth day); till past midday (first day). Slight frontal headache (sixth day). Slight frontal headache, with the dragging and weariness in the limbs (after the first dose); went off (after the second dose). Slight headache (frontal), which, however, is on the increase (after second powder, fourth day). Slight frontal headache was a constant symptom. This evening, being in a very crowded hall at a public lecture, a slight frontal headache came on, with nausea and sour taste in the mouth; nostrils also more clogged up this evening; slight cough with wheezing; these symptoms, however, are more attributable, I imagine, to the heated atmosphere of the lecture hall than to the cobra poison (fifth day). Slight headache above the eyes (thirteenth day). Slight headache, confined to the lower part of the brow (fourth day). Slight fullness and pain in upper part of forehead (after half an hour, third day); in the morning (fifth day). Excessive fullness, towards evening, over the forehead and root of nose (sixth day). Slight headache across forehead, and tight feeling, with dryness of throat (tenth day). сonstricted feeling across forehead, with slight anterior headache; never accustomed to this in the afternoon (after two hours, fifth day). Headache across eyes; peculiar oppression in forepart of head, constricted feeling, went off after breakfast (second day); constricted sensation across eyes, going off after breakfast (third day). Found on going to bed peculiar headache; dull constricted feeling across forehead, with heaviness of eyes (second night); again the same slight headache, with dryness of mouth and cold feet; no pain or inability to think or study, but slight, dull, and constricted sensation about forehead, from one temple to the other (after one hour and a half); slight dulness again across forehead, with dry mouth (after eleven hours and a half, third day). Occasional aching pains in forehead throughout the day (second day). Severe headache, aching and frontal (two hours and a half after second dose, fourth day). Very severe aching pain across the forehead, but more particularly over each temple, and an excessive weight over the eyelids; there is a feeling of tightness across the vertex; this pain is very severe, but felt a little relieved on going out, in the morning; head very painful; the head continued painful in the same manner and same localities as early in the morning, but more modified in degree as the day advanced; the eyes are certainly the most painful, the pain is very much aggravated by motion or exertion of any kind; the scalp feels sore to touch; the headache was very much relieved by smoking a small pipeful of very mild tobacco (third day); to-day the pain in the head has been less, it continued in the same localities, and tolerably severe until 2 o’clock, when I took half a wineglass of pale brandy, with entirely dissipated it; on taking a powder the headache immediately returned, though very slightly (fourth day); headache, similar in every respect to that mentioned on the third day, came on this morning on taking the powder, and remained for two or three hours, when it passed off (fifth day); very slight headache, chiefly over the right eyelid and in the right temple (sixth day); slight headache, frontal, pain aching for an hour or two this morning, but got quite well towards night (seventh day). Dull headache over eyes, worse over right, with the coryza (first night). Severe dull aching frontal headaches, with dull shootings (stoundings, I can’t get a satisfactory term to describe them), (fourth day). Headache, occupying the frontal region, immediately came on; it was a kind of heavy oppressive aching (fifth day). Very severe shooting frontal headache, worse on moving the head, from 4 to 6.30 , probably, however, owing to a glass of wine before dinner, and hasty eating of the latter, at an earlier hour than usual (fifth day). Frontal headache, dull, shooting (after second powder, sixth day). Darting pains running across the forehead (second day). Went to bed with severe, dull, stitchy pain in forehead, preventing sleep (third night). Since breakfast, sharp shooting pains from one temple to the other, relieved in open air (twelfth day). Slight throbbing headache above the eyes (after first powder); not so severe (after second powder, first day). Severe throbbing frontal headache, in the afternoon (first day). Sensation as if the brain of the forehead was loose (third day). Temples. Awoke this morning with slight aching in both temples, and heaviness in the eyes; this lasted for some two or three hours and went off (second day); slight temporal aching, several times, in the evening (second day); felt a similar pain in the head, on waking this morning; this pain has continued in a very slight degree all day (third day). Slight aching in the temples and across the forehead (fourth and seventh days). The most persistent and best marked symptom was severe headache, usually accompanied by intense depression of spirits; the headache was very severe, at times almost unendurable, and the melancholy equally distressing; the headache was not marked, and usually began in the right temporal region (also occupying the left, though in a less degree), and involved the eye of the same side; the pain was a deep-seated severe aching, occasionally shooting; it gradually extended to a sense of dull aching over the forehead and vertex, but always remaining most severe in each temple; the least motion aggravated in intensely; it was relieved by going into the open air, though but slightly; smoking procured more marked relief, and alcoholic liquors immediately dissipated it; this pain in the head was present whenever the powders were taken, though most severe on the third and fourth days of the November proving. A dull aching commenced about noon over the right temple, and gradually extended to the forehead; it gradually wore away during the afternoon (third day). A few stitches in the left temporal region (soon). Throbbing of temples, and disagreeable fullness of the head when lying (fourth day). Vertex. Aching at the vertex, with coldness of the feet (eighth day). Parietals. While driving in the gig, I felt a sudden pang of pain through the left side of the head; it appeared to begin about the back of the head; it lasted only a minute or two, and was not followed by anything, nor had it any definite character (fourth day). Occiput. Dull shoots up occiput (third day). External Head. A great deal of scurf on the head. Hair falls off very much, especially from the crown (seventh and eighth days). Scalp painful sensitive (third day).

 Teeth and Gums. Teeth and jaw-bone, left side, begin a gnawing and aching (ninth day). Pain in stumps of decayed teeth, towards evening; at night gums become painful and swelled (twelfth day); teeth loose and gums becoming more swelled and painful, in morning on waking; two hours after rising, gums become hotter, teeth on right side got very loose; gums hot, swelled, and painful to touch (thirteenth day); swelling of gums extending to other side of face (fourteenth day); pains in teeth not much influenced by heat and cold (fifteenth day); mouth still sensitive, and gums swollen (sixteenth day); gnawing aching in second teeth of left side (seventeenth day); drawing aching in teeth of left side, worse when stomach is empty (eighteenth day). Tongue. Tongue coated with a thick yellow fur (sixth day). Tongue coated white (sixth day). An ulcer on the frenum of the tongue (seventh day). Tongue very dry, in the morning; no thirst (third day). At the spot of the tongue where the powder fell, there is sense of rawness, as if it would rise to a blister (after half an hour, fourth day). General Mouth. Sore on under lip opposite left canine tooth; gum much swollen and inflamed (seventeenth day); ulcer of lip disappeared in about twelve days after finishing the medicine. Dry mouth; this continued more or less all day (sixth day). Dry mouth (second to third day); more than usual dryness of mouth (fifth day). Mouth dry on waking in the morning (second day). Dry mouth and throat, disagreeable taste, as if breath was offensive (after two hours, fifth day). Mouth very dry (second and third mornings). Great dryness of mouth, frequent expectoration, as if from throat, at 8.30 p.m (eighth day). сlammy mouth, in the morning (second day). Acid rawness in the palate all day (fourth day); has increased rather, to-day, and has remained (fifth day); considerable rawness of palate (sixth day). Saliva. Salivated. He foamed at the mouth. Foaming at the mouth (soon). Foamed at the mouth a little (after one hour). Taste. Insipid, almost nauseous taste in mouth, with the whizzing in the left ear (third day). Horrible taste (second day). вitter taste in mouth (second day). Sour taste in the mouth (fifth day). Sour taste in the mouth, with nausea, and roughness of the tongue and palate, in the evening (third day). Sour, raw kind of taste in the mouth (sixth day). сuprous, metallic taste in mouth (thirteenth day). Speech. сeased to speak intelligibly (after twenty minutes). сould not speak articulately (after some hours). Soon speechless and insensible. Unable to speak (after thirty-five minutes); (after one hour). Unable to speak; he was unconscious and could give no answer (after two hours). It was twelve hours after he began to show signs of returning to life before he recovered his speech.

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