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Digitalinum

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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. Limbs and spine
  13. Fever
  14. Analogs by action

Description Source

Dictionary of Practical Materia Medica - J.H. Clarke

Description

 An active principle (glucoside) of Digitalis purpurea. с5 H8 02. Schimiedeburg); с27 H45 O15 (Kosmann). Trituration.

Nosology

 Asthma. Diarrhoea. Emissions. Exophthalmus. Heart, affections of. Palpitation. Spermatorrhoea. Vertigo. Vision, hallucinations of.

Typical features

 Digilalinum is a poison of very great activity. It produces a profound effect on muscular tissue, both voluntary and involuntary, more especially on the heart. It causes profound prostration, even to inability to move a muscle. Paralytic weakness; numbness; tremulousness of the limbs. сold, clammy surface. Gooseflesh. The heart is slowed, or else its action is made rapid and feeble or sensation as if the heart stood still. Digitalis has: Sensation as if the heart would stand still if he moved. According to Hale Dgn. is specially indicated in cases of overburdened heart where it is constantly labouring. Irregular and intermittent action. A sinking, faint sensation is felt at the epigastrium, nausea and vomiting of yolk-of-egg matter, shivering, diarrhoea, the stools not being noted characteristically white as are those of the plant. Sensitiveness of eyes to light and nose to odours. Disorders of vision and hearing are very numerous. One prover noted frontal headache, dazzlings, loss of appetite, sinking at epigastrium, intestinal flatulence, borborygmi, eructation, slight abdominal pains; urine abundant; great fatigue; painful heat in evening but no thirst. For a whole day pressure in supra-orbital region towards frontal sinus, and when walking a feeling as if the ground gave way under his feet. Sexual weakness is shown in: Deep sleep in which an emission occurs without waking him; and Sexual power diminished or quite abolished temporarily. Dgn. has cured the following case: Mrs. had for over a year swelling of right hand and fingers, which she thought to be rheumatic. Digitalis has the symptom, swelling of right hand and fingers, and this would have been given but only Digitalin was at hand. This was given in 4x. After the second dose the swelling began to subside, and in two or three days was completely gone. (H. W., xxvi. 552). The heart pains are walking in open air. Symptoms are after dinner. Drinking = nausea, and vomiting. Pains in trunk.

Dif. diagnostics

 Compare: Digitalis, сonium, Gratiol., Tabac., Gelsem., Secale. See under DIGITALIS.

Mental

 Agitation. Hallucinations. Irritability. Sometimes dejection, sometimes hilariousness. Inability to fix attention; or to take in what is read.

Head, face, and ears

 Vertigo, with unsteady vision; inability to fix distant objects. Objects seem to turn horizontally from left to right; closing eyes. Head thrown back. Lancinating pain in head; hot and confused towards evening. Forehead heavy, hot. Headache in morning, worse in afternoon, and increasing in evening to a violent migraine. A peculiar sensation of drawing, of raising up in occiput and vertex; afterwards a pressure in occiput.
 Sensation as if the eyes were becoming larger and were starting from their orbits; exophthalmus. Hallucinations of vision. Muscae volitantes, in evening upper part of visual field seemed shaded by a cloud. Flickering and dazzling. A large bright spot advancing, sometimes resembling a ring showing prismatic colours;
 Frequent sneezing and coryza; with pressing, throbbing pains in arms; nasal mucus streaked with blood in morning; smell lost.
 Face hot, red, and feverish; or else very pale. - сonstant jerking of upper lip of left side.

Mouth and throat

 Burrowing, sticking, pulsating pains in teeth; left upper eye tooth; right back lower teeth; left and right upper incisors.
 Tongue large and smooth with a saburral coating. Saliva rather thick, flows slowly from the mouth. - вitter taste.

Gastrointestinal tract

 Violent sensation of hunger on waking. Very great thirst, especially for beer. Drinking renews nausea and vomiting. Nausea. Violent vomiting; yellow like egg; white sourish mucus; with great sensitiveness of eyes to bright light and the nose to odours. Faint, sinking sensation. Feeling of fulness and nausea as if contents of stomach rose up in throat. Pinching or contracting pain. Stitches immediately after dinner.
 Abdomen retracted without colic. Emission of much offensive flatus, in morning, immediately after rising, followed by copious pasty stools with violent griping. Stitching lightning-like pains. Violent labour-like pains from small of back into abdomen as if menses would appear.
 Urgent desire for stool. Stools: diarrhoeic; loose; or soft without being diarrhoeic. - сonstipation; stool like rabbit s.

Urogenital system

 Urine increased; very abundant. Decidedly diminished. Falling off in urea and chlorides, increase in phosphoric and sulphuric acids.
 Activity greatly depressed and even abolished. During deep sleep an emission which does not awaken him.
 Menstruation two days too early without usual premonitory pains. Menstruation more profuse.

Chest organs

 Symptoms of cold, hoarse so could hardly speak, with violent sticking pains in larynx. Voice extinct. Short hacking cough; whitish-yellow sputa. - вreath short; while walking; on waking.
 Rush of blood to chest. Rheumatic pains; constriction; stitches. Pains in the right or left side. Rheumatic pains left chest just below axilla only on motion. - вoring left chest from scapula forward to precordial region.

Cardiovascular system

 Sensation as though heart stood still for a moment while playing the piano. Peculiar sensation in heart with anxiety, and trembling with standing still, in the evening while sitting. Stitches corresponding to heart pulsations. Palpitation with dull sticking in heart while walking. Violent palpitation in bed lying on left side. Action tumultuous, irregular. Pulse: slow; irregular; intermittent; jerking; hurried. Pulse not corresponding to heart s impulse, small, thready, nearly imperceptible, while heart is strong and hammering.

Limbs and spine

 Neck stiff in morning (left). Violent pain in neck. Violent pain between scapulae like cramp with oppression of breathing. Painful sensation as though scapulae would be drawn together.
 Limbs tremulous; weak; unsteady; heavy as if paralysed; pains.
 Pressure in shoulders. Drawing pain in biceps muscle. Pressure; throbbing, tearing in elbows (right at 4 ). Pressing asunder in the fingers. Swelling of right hand and fingers.
 Cramp in thigh and calves. Pains in knees; above right knee. Sprained pain in right ankle. On walking sensation as if the ground sank away under the foot. Numb sensation of left foot obliging him to move it frequently. Pressing asunder of toes of right foot.

Fever

 Chilliness and shivering. Feet and hands cold, palms moist. Shivering over back, especially sacral region. Heat in nape rising up into head and extending over whole body. Profuse sweat at night. - сold sweat; after a cup of coffee. - вathed in cold sweat.

Analogs by action

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