====== CHININUM ARSENICOSUM ======
<span tc1>{{anchor:s1}}Chininum Arsenicosum.</span>

<span grade2>{{anchor:s2}}Arseniate of Quinine. {{anchor:s3}}2C20 H24 N2O2. As H3. 4H2O.</span>

{{anchor:s4}}Until proved by the Philadelphia Clinical Society, at the instigation of Dr. William H. Bigler, who cured with it a case of scrofulous ophthalmia, the only proving we had was the short one by Dr. Muhr, contained in Allen's Encyclopaedia, vol. 3, p. 214, here designated No. 6.

{{anchor:s5}}The provers of the Clinical Society are:

{{anchor:s6}}1. Dr. W. B. Trites, 2d dec. trit.;\\ {{anchor:s7}}2. Mr. J. J. Sturges, 1st dec. trit.;\\ {{anchor:s8}}3. Mr. E. W. Le Roy, 6th dec. trit. (both under supervision of Dr. C. Mohr);\\ {{anchor:s9}}4. Dr. C. B. Knerr, 30th cent.; and\\ {{anchor:s10}}5. Mr. Walter K. Furness (under supervision of Dr. Knerr) 2d dec. trit.

====== CLINICAL AUTHORITIES. ======

{{anchor:s12}}- <span grade2>Intermittent hemicrania</span>, Altschul, Rck. Kl. Erf., vol. 5, p. 82; <span grade2>Headache</span>, D. F. and J. C. Moore, N. E. Med. Gaz., 1869, vol. 4, p. 446; <span grade2>Occipito-cervico intercostal neuralgia</span>, Payr, Hom. Klinik, 1869, p. 19; <span grade2>Rheumatic headache</span>, H. G. Bojanus, Raue's Rec., 1874, p. 257; <span grade2>Scrofulous ophthalmia and keratitis superficialis</span>, Wm. H. Bigler (unpublished); <span grade2>Malignant angina in scarlatina</span>, Kafka's Therapie, vol. 1, p. 433; <span grade2>Diphtheritis</span>, numerous cases, Findeisen, A. H. Z., vol. 87, p. 113 and 196; <span grade2>Diphtheria</span>, A. Neuschaefer, A. H. Z., vol. 78, 1869; <span grade2>Intermitting diarrhea</span>, Kafka, Rck. Kl. Erf., vol. 5, p. 410; <span grade2>Suffocative attacks in tuberculosis</span>, Kafka, Rck. Kl. Erf., vol. 5, p. 797; <span grade2>Epileptiform spasms</span>, Payr, Hom. Klinik, 1869, p. 2; <span grade2>Intermittent fever</span>, S. R. Geiser, Cin. Med. Adv., vol. 4, p. 79.

====== MIND. [1] ======

{{anchor:s14}}Depressed in spirit, with dullness of mind [No. 3].\\ {{anchor:s15}}Listless after previous fever; no desire to do anything [No. 2].\\ {{anchor:s16}}Desire to sit or lie in one place and not be disturbed [No. 2].\\ {{anchor:s17}}Mental dullness, with inclination to vomit [No. 3].\\ <span grade3>{{anchor:s18}}Anxiety and nightly delirium.</span> <span grade2>{{anchor:s19}}~</span> <span grade3>Diphtheria.</span>\\ {{anchor:s20}}The chilly waves are brought on by thinking of them [No. 2].\\ <span grade3>{{anchor:s21}}Anxiety, with dyspnea.</span> <span grade2>{{anchor:s22}}~</span> <span grade3>Tuberculosis.</span>\\ {{anchor:s23}}Greatest anxiety, with unquenchable thirst; must sit up bent forward, if possible at open window. <span sbita>{{anchor:s24}}~</span> Tuberculosis.\\ {{anchor:s25}}Greatest anxiety, with unquenchable thirst; must sit up bent forward, if possible at open window. <span sbita>{{anchor:s26}}~</span> Tuberculosis.\\ <span grade3>{{anchor:s27}}Child sits up in bed lamenting.</span> <span grade2>{{anchor:s28}}~</span> <span grade3>Keratitis.</span>\\ <span grade2>{{anchor:s29}}He believes he cannot long endure such utter prostration.</span> <span grade2>{{anchor:s30}}~</span> <span grade2>Epilepsy.</span>\\ <span grade3>{{anchor:s31}}Irritable mood precedes headache, which is agg. by mental and bodily exercise.</span> <span grade2>{{anchor:s32}}~</span> <span grade3>Hemicrania.</span>\\ <span grade3>{{anchor:s33}}In consequence of fright, left sided hemicrania.</span>

====== SENSORIUM. [2] ======

<span grade3>{{anchor:s35}}Confused feeling in head.</span> <span grade2>{{anchor:s36}}~</span> <span grade3>Diphtheria.</span>

====== INNER HEAD. [3] ======

<span grade3>{{anchor:s38}}Severe, darting, tortuous pains running up into head and preventing sleep.</span>\\ <span grade3>{{anchor:s39}}Without previous aura he feels it rushing like lightning through brain and down right side of neck into arm, which is distorted and wrenched so as to crack audibly; the facial muscles are convulsively drawn, sight and speech cease, consciousness leaves, and he falls to the ground; the attack is followed by cold sweat, loud eructations and a feeling of utter prostration.</span> <span grade2>{{anchor:s40}}~</span> <span grade3>Epileptiform spasms.</span>\\ {{anchor:s41}}Confused headache [No. 1].\\ {{anchor:s42}}Frontal and occipital headache [No. 1].\\ {{anchor:s43}}Headache affecting occipital protuberance [No. 1].\\ {{anchor:s44}}Dull headache in frontal region, not relieved by eating [No. 3].\\ {{anchor:s45}}Neuralgic pain in right temple and above eye, lasting several days, with inclination to move skin over aching place with his hand [No. 5].\\ <span grade3>{{anchor:s46}}Tearing, boring pain in left side of head, affecting eye, with flickering, pain and lachrymation; ringing in ears, nausea and vomiting during attack, which regularly appears at midnight; is subject to furuncles and abscesses which relieve head.</span>

====== OUTER HEAD. [4] ======

<span grade3>{{anchor:s48}}Burning pain in left occipital protuberance, extending down nape of neck, along shoulder blade and over left half of thorax, producing orthopnea; attack commences with stretching and yawning and a shaking chill, generally in morning, and lasts until after midnight.</span>\\ {{anchor:s49}}Bruised feeling all over head after fever and sleep [No. 2].\\ {{anchor:s50}}Neuralgic pain about head, particularly in temples; agg. in left side; amel. by rubbing aching spots [No. 4].\\ {{anchor:s51}}Slight painful pressure in forehead and temples [No. 6].\\ {{anchor:s52}}Slight sudden throbbing of temporal arteries after 1 P. M.

====== SIGHT AND EYES. [5] ======

<span grade3>{{anchor:s54}}Intense photophobia and spasms of orbicularis muscles, gushing hot tears, large ulcers attacking each eye, aggravation from midnight until 3 A. M., during which time the child sat up in bed lamenting.</span> <span grade2>{{anchor:s55}}~</span> <span grade3>Keratitis.</span>\\ <span grade3>{{anchor:s56}}Scrofulous ophthalmia; agg. after 1 A. M.</span>\\ <span grade3>{{anchor:s57}}Flickering before left eye, with pain and lachrymation.</span> <span grade2>{{anchor:s58}}~</span> <span grade3>Hemicrania.</span>

====== HEARING AND EARS. [6] ======

<span grade3>{{anchor:s60}}Ringing in ears.</span> <span grade2>{{anchor:s61}}~</span> <span grade3>Hemicrania.</span>

====== SMELL AND NOSE. [7] ======

{{anchor:s63}}Watery discharge from nose [No. 2].\\ {{anchor:s64}}Constant running of profuse limpid and watery discharge [No. 2].\\ {{anchor:s65}}Yellow discharge from nose [No. 2].\\ {{anchor:s66}}Left nostril fills up when lying on that side [No. 2].\\ {{anchor:s67}}Nostrils stop up, particularly left, on lying down, preventing breathing through nose [No. 2].\\ {{anchor:s68}}Nose clearer when prover is in an erect posture and out of doors [No. 2].\\ {{anchor:s69}}Sneezing, agg. sore throat [No. 2].\\ {{anchor:s70}}Profuse discharge from both nostrils [No. 2].\\ <span grade3>{{anchor:s71}}Nose stopped up with purulent and bloody substance.</span> <span grade2>{{anchor:s72}}~</span> <span grade3>Diphtheria.</span>\\ <span grade3>{{anchor:s73}}Corners of nose excoriated.</span> <span grade2>{{anchor:s74}}~</span> <span grade3>Diphtheria.</span>

====== UPPER FACE. [8] ======

<span grade3>{{anchor:s76}}Face pale, sallow and bloated.</span> <span grade2>{{anchor:s77}}~</span> <span grade3>Intermittent fever.</span>

====== LOWER FACE. [9] ======

<span grade3>{{anchor:s79}}Swelling of submaxillary and parotid glands.</span> <span grade2>{{anchor:s80}}~</span> <span grade3>Diphtheria.</span>\\ <span grade3>{{anchor:s81}}Blueness of lips.</span> <span grade2>{{anchor:s82}}~</span> <span grade3>Tuberculosis.</span>

====== TASTE, SPEECH, TONGUE. [11] ======

{{anchor:s84}}Sweetish taste after clearing throat and coughing [No. 2].\\ {{anchor:s85}}Yellow slimy coating on tongue, with bitter taste [No. 3].\\ {{anchor:s86}}Soreness and redness of tip of tongue [No. 4].\\ {{anchor:s87}}Metallic bitter taste in mouth [No. 6].\\ <span grade3>{{anchor:s88}}Tongue coated thick and brown.</span> <span grade2>{{anchor:s89}}~</span> <span grade3>Diphtheria.</span>

====== INNER MOUTH. [12] ======

{{anchor:s91}}Burning canker spot inside of left upper lip [No. 4].\\ <span grade3>{{anchor:s92}}Fetor oris.</span> <span grade2>{{anchor:s93}}~</span> <span grade3>Diphtheritis.</span> <span grade2>{{anchor:s94}}~</span> <span grade3>Scarlatina.</span>

====== PALATE AND THROAT. [13] ======

{{anchor:s96}}Post-nasal catarrh; agg. on left side [No. 2].\\ <span grade3>{{anchor:s97}}Diphtheria, diffused blackish exudation, hoarseness, great prostration, confusion in head, nightly delirium, difficult swallowing, fetid stench from mouth, dry tongue, dry skin, pulse 130, fever assuming a putrid type [No. 3].</span>\\ {{anchor:s98}}Constant hacking and clearing of throat [No. 2].\\ {{anchor:s99}}Throat feels sore and inflamed, with a good deal of cough [No. 2].\\ {{anchor:s100}}Throat feels raw and sore; agg. by coughing and sneezing [No. 2].\\ <span grade3>{{anchor:s101}}Malignant angina during scarlatina, with paleness of skin, quick exhaustion and rapid destruction of mucous membrane of fauces.</span>\\ <span grade3>{{anchor:s102}}Diphtheria: fetor oris, swelling of submaxillary glands, frequently also of parotids, violent fever and great prostration.</span>\\ <span grade3>{{anchor:s103}}Diphtheria: strong fetor oris; submaxillary glands swollen and painful; breathing through mouth because nose is stopped up with purulent and bloody substance; corners of nose excoriated; tongue coated thick and brown, both tonsils covered with a grey exudation, on right tonsil a bloody ulcer with uneven edges which corresponded to size of a membrane just retched out; lower half of uvula gangrenous, upper half covered with exudation; posterior wall of fauces completely covered with exudation; swallowing of liquids very difficult; great weakness; sleeplessness; pulse small, very frequent.</span>

====== APPETITE, THIRST. DESIRES, AVERSIONS. [14] ======

{{anchor:s106}}No appetite for breakfast after fever in the night [No. 2].\\ {{anchor:s107}}No thirst with the fever [No. 2].\\ <span grade3>{{anchor:s108}}Thirst which cannot be appeared; during attacks of suffocation.</span> <span grade2>{{anchor:s109}}~</span> <span grade3>Tuberculosis.</span>

====== EATING AND DRINKING. [15] ======

<span grade3>{{anchor:s111}}Eggs and fish cause painless diarrhea at once.</span> <span grade2>{{anchor:s112}}~</span> <span grade3>Rheumatic headache.</span>\\ <span grade3>{{anchor:s113}}She does not like cold water.</span> <span grade2>{{anchor:s114}}~</span> <span grade3>Rheumatic headache.</span>\\ {{anchor:s115}}Water tastes bitter, or has a disagreeable flavor like the water found in cars [No. 2].

====== HICCOUGH, BELCHING, NAUSEA AND VOMITING. [16] ======

{{anchor:s117}}Inclination to vomit, with mental dullness [No. 3].\\ {{anchor:s118}}Sudden inclination to vomit at 2 P. M., lasting only a few minutes [No. 3].\\ {{anchor:s119}}Regurgitation of food [No. 4].\\ {{anchor:s120}}Eructations. <span sbita>{{anchor:s121}}~</span> Epilepsy.\\ <span grade3>{{anchor:s122}}Nausea and vomiting, followed by sleep.</span> <span grade2>{{anchor:s123}}~</span> <span grade3>Hemicrania.</span>

====== SCROBICULUM AND STOMACH. [17] ======

{{anchor:s125}}Sensation from stomach through entire intestinal canal as if diarrhea would set in [No. 4].\\ {{anchor:s126}}Burning, sore feeling in stomach; agg. on motion, particularly going up-stairs [No. 4].\\ {{anchor:s127}}Uncomfortable feeling in stomach is amel. by expanding chest [No. 4].\\ {{anchor:s128}}Burning in stomach [No. 4].

====== HYPOCHONDRIA. [18] ======

<span grade3>{{anchor:s130}}Left hypochondriac region enlarged.</span> <span grade2>{{anchor:s131}}~</span> <span grade3>Intermittent fever.</span>

====== ABDOMEN AND LOINS. [19] ======

<span grade3>{{anchor:s133}}Abdomen bloated.</span> <span grade2>{{anchor:s134}}~</span> <span grade3>Intermittent fever.</span>\\ {{anchor:s135}}Sore pain in a small spot, which could be covered with tip of a finger below and to right of umbilicus, coming and going, but continuing all day [No. 1].\\ {{anchor:s136}}Very severe colic [No. 6].\\ {{anchor:s137}}Pressure in solar plexus, as if he had eaten tough meat or hard nuts, extending towards back where it changes to a pinching sensation, spine painfully sensitive to touch at this point [No. 6].

====== STOOLS AND RECTUM. [20] ======

{{anchor:s139}}Diarrhea from malarious poisoning; stools thin, watery, undigested, offensive, dark or light brown, sometimes with a meal-like sediment.\\ {{anchor:s140}}From ten to fifteen painless, watery, very offensive stools from 6 to 10 A. M., with burning in anus after each passage; slightly emaciated, pale and weak.\\ <span grade3>{{anchor:s141}}Fetid diarrhea with pains in bowels.</span> <span grade2>{{anchor:s142}}~</span> <span grade3>Intermittent fever.</span>

====== URINARY ORGANS. [21] ======

<span grade3>{{anchor:s144}}Spasmodic retention of urine; amel. by application of hot cloths to chest, which, however, is followed by syncope.</span> <span grade2>{{anchor:s145}}~</span> <span grade3>Occipito-intercostal neuralgia.</span>

====== VOICE AND LARYNX. TRACHEA AND BRONCHIA. [25] ======

<span grade3>{{anchor:s148}}Hoarseness.</span> <span grade2>{{anchor:s149}}~</span> <span grade3>Diphtheria.</span>\\ {{anchor:s150}}Aching in bronchial region; agg. left side [No. 4].\\ <span grade3>{{anchor:s151}}Seemed to prevent diphtheritic membrane from spreading to larynx.</span> <span grade2>{{anchor:s152}}~</span> <span grade3>Malignant scarlatina.</span>

====== RESPIRATION. [26] ======

{{anchor:s154}}Respiration very free as if thorax was hollow [No. 6].\\ <span grade3>{{anchor:s155}}Blueness of lips, hands and nails, with attacks of suffocation, which begin in morning and last until noon.</span> <span grade2>{{anchor:s156}}~</span> <span grade3>Tuberculosis.</span>\\ <span grade3>{{anchor:s157}}Must sit bent forward and if possible at an open window during attack of suffocation; agg. by any other position.</span>\\ <span grade3>{{anchor:s158}}Dyspnea with anxiety.</span> <span grade2>{{anchor:s159}}~</span> <span grade3>Tuberculosis.</span>\\ {{anchor:s160}}Every forenoon at 9 o'clock attacks of suffocating spells.

====== COUGH. [27] ======

{{anchor:s162}}Coughing agg. sore throat [No. 2].\\ {{anchor:s163}}Cough with but little expectoration [No. 2].\\ {{anchor:s164}}Slight cough at long intervals, seems to come from full feeling in chest [No. 2].

====== INNER CHEST AND LUNGS. [28] ======

<span grade3>{{anchor:s166}}Senile subacute catarrh with periodical fever, generally agg. at night.</span>\\ {{anchor:s167}}Peculiar colicky pain in lower part of left lung felt like a pain from flatulence, comes and quickly passes away, often repeated [No. 1].\\ {{anchor:s168}}Sharp stitch in lower part of right chest in front; agg. when inspiring, causing him to cry out [No. 1].\\ {{anchor:s169}}Desire to inflate lungs to their fullest extent to relieve uncomfortable feeling in stomach while riding in open air on a raw, cold day [No. 4].\\ {{anchor:s170}}The chest feels hollow and respiration freer [No. 4].\\ {{anchor:s171}}Limbs icy cold; cold clammy sweat all over; greatest anxiety and unquenchable thirst; must sit up, bent forward if possible, at open window. <span sbita>{{anchor:s172}}~</span> Tuberculosis.

====== HEART, PULSE AND CIRCULATION. [29] ======

<span grade4>{{anchor:s174}}Angina pectoris, with dropsical symptoms, venous hyperemia and cyanosis.</span>\\ {{anchor:s175}}Trembling of heart, with rumbling noise, unable to distinguish pulsations, lasting one hour [No. 6].\\ {{anchor:s176}}Palpitation; noticed on leaning against back [No. 6].\\ {{anchor:s177}}Sensation as if heart had stopped [No. 6].\\ {{anchor:s178}}No perception of beating of heart [No. 6].\\ {{anchor:s179}}Beat of heart and pulse irregular, numbering 200 per minute [No. 6].\\ {{anchor:s180}}Pulse cannot be felt on left side [No. 6].\\ {{anchor:s181}}Beat of heart becomes regular towards noon [No. 6].\\ {{anchor:s182}}Pulse in radial and temporal arteries 200 [No. 6].\\ <span grade3>{{anchor:s183}}Pulse small, very frequent.</span> <span grade2>{{anchor:s184}}~</span> <span grade3>Diphtheria.</span>\\ <span grade3>{{anchor:s185}}Pulse 130.</span> <span grade2>{{anchor:s186}}~</span> <span grade3>Diphtheria.</span>\\ {{anchor:s187}}Pulse 98, full and strong during fever [No. 2].

====== OUTER CHEST. [30] ======

<span grade3>{{anchor:s189}}Paralysis of respiratory muscles on left side.</span> <span grade2>{{anchor:s190}}~</span> <span grade3>Intercostal neuralgia.</span>\\ <span grade3>{{anchor:s191}}Violent neuralgic pain in left mammary region, as though that part was torn with red hot tongs.</span> <span grade2>{{anchor:s192}}~</span> <span grade3>Intercostal neuralgia.</span>\\ {{anchor:s193}}Aching in intercostal muscles, right side, in locality of sixth and seventh ribs on making inspiration [No. 4].

====== NECK AND BACK. [31] ======

{{anchor:s195}}Back feels weak as after taking a long journey [No. 2].\\ {{anchor:s196}}Pain in muscles between left shoulder and neck, as if sprained, on rising from sleep at 4 P. M. [No. 4].

====== UPPER LIMBS. [32] ======

{{anchor:s198}}Painful weariness in shoulder and elbow joints [No. 6].\\ {{anchor:s199}}Aching in biceps of left arm [No. 1].\\ {{anchor:s200}}Acute fugitive pain in left olecranon process [No. 1].\\ {{anchor:s201}}Pain in flexors of left forearm on radial side near elbow [No. 1].\\ {{anchor:s202}}Palms of hands hot and dry [No. 1].\\ {{anchor:s203}}Sore, aching fugitive pains in first phalanx of left thumb, the same, but in a less degree, in right [No. 1].\\ <span grade3>{{anchor:s204}}Blueness of hands and nails.</span> <span grade2>{{anchor:s205}}~</span> <span grade3>Tuberculosis.</span>

====== LOWER LIMBS. [33] ======

{{anchor:s207}}Weariness of lower extremities.\\ {{anchor:s208}}Gooseflesh on lower extremities, with chilly feeling [No. 2].\\ {{anchor:s209}}Sore, aching fugitive pain in left leg near knee [No. 1].\\ {{anchor:s210}}Aching, sore pain in anterior lower two-thirds of left tibia [No. 1].\\ {{anchor:s211}}Itching on internal malleolus of right foot at 2 A. M.; on investigation discovered eruption of bright red pimples [No. 4].\\ {{anchor:s212}}Increased tenderness of corn on left little toe; had to remove shoe to ease pain [No. 4].

====== LIMBS IN GENERAL. [34] ======

<span grade3>{{anchor:s214}}Limbs icy cold.</span> <span grade2>{{anchor:s215}}~</span> <span grade3>Tuberculosis.</span>

====== REST. POSITION. MOTION. [35] ======

{{anchor:s219}}Desire to sit or lie in one place.\\ {{anchor:s220}}Desire to move skin over aching place in temple with his hand.\\ {{anchor:s221}}Lying: on left side, nostril fills up.\\ {{anchor:s222}}Sitting: bent forward amel. anxiety and suffocation.\\ {{anchor:s223}}Leaning against back: palpitation noticeable.\\ {{anchor:s224}}Erect posture: nose clearer.\\ {{anchor:s225}}Expanding chest: amel. uncomfortable feeling in stomach.\\ {{anchor:s226}}Motion: and going up-stairs agg. burning soreness in stomach; agg. intercostal neuralgia.\\ {{anchor:s227}}Bodily exercise: headache.\\ {{anchor:s228}}Riding in open air: desire to expand lungs to relieve uncomfortable feeling in stomach.\\ {{anchor:s229}}Sneezing: agg. sore throat; and coughing agg. rawness in throat.

====== NERVES. [36] ======

<span grade3>{{anchor:s231}}Great prostration.</span> <span grade2>{{anchor:s232}}~</span> <span grade3>Diphtheria.</span>\\ {{anchor:s233}}Lassitude and fatigue [No. 4].\\ {{anchor:s234}}Feels as when suffering from partially developed malaria [No. 1].\\ {{anchor:s235}}Felt sore and ached all over [No. 1].\\ {{anchor:s236}}Felt like one having taken a long journey [No. 2].\\ <span grade3>{{anchor:s237}}Great prostration, followed by a deep sleep after an attack of dyspnea.</span> <span grade2>{{anchor:s238}}~</span> <span grade3>Tuberculosis.</span>\\ <span grade2>{{anchor:s239}}Epilepsy; after attack cold perspiration, eructations, and a feeling of such utter prostration that patient believes he cannot endure it long.</span>

====== SLEEP. [37] ======

{{anchor:s241}}Goes to sleep after tea and sleeps heavily all night [No. 4].\\ <span grade3>{{anchor:s242}}Deep sleep after suffocative attacks.</span> <span grade2>{{anchor:s243}}~</span> <span grade3>Tuberculosis.</span>\\ <span grade3>{{anchor:s244}}Awakes from sleep exhausted and bathed in sweat after an attack of dyspnea.</span> <span grade2>{{anchor:s245}}~</span> <span grade3>Tuberculosis.</span>\\ {{anchor:s246}}Restless until 3 A. M., constantly changing position, particularly as soon as pillow becomes warm [No. 6].\\ {{anchor:s247}}Sleep frequently interrupted [No. 6].\\ <span grade3>{{anchor:s248}}Sleeplessness.</span> <span grade2>{{anchor:s249}}~</span> <span grade3>Diphtheria.</span>

====== TIME. [38] ======

{{anchor:s251}}Nightly: delirium in diphtheria.\\ {{anchor:s252}}At night: senile subacute catarrh agg.; sleeps heavily; is more feverish.\\ {{anchor:s253}}From midnight until 3 A. M.: ophthalmia agg.\\ {{anchor:s254}}From morning until after midnight: burning pain in head with chills.\\ {{anchor:s255}}At 2 A. M.: itching eruption on internal malleolus of right foot.\\ {{anchor:s256}}Until 3 A. M.: restless.\\ {{anchor:s257}}At 4 A. M.: sprained feeling in muscles of back.\\ {{anchor:s258}}From morning to noon: suffocation, with blueness of lips, hands and nails.\\ {{anchor:s259}}In morning: broken-up feeling after fever, no appetite for breakfast.\\ {{anchor:s260}}From 6 to 10 A. M.: diarrhea.\\ {{anchor:s261}}At 9 A. M.: suffocating spells.\\ {{anchor:s262}}Towards noon: beat of heart becomes regular.\\ {{anchor:s263}}Forenoon: chill at irregular hours.\\ {{anchor:s264}}Towards midnight: fever following chilliness, pulse 90.\\ {{anchor:s265}}After 1 P. M.: throbbing of temporal arteries.\\ {{anchor:s266}}At 2 P. M.: sudden inclination to vomit.\\ {{anchor:s267}}After 8.30 P. M.: chilliness with goose-flesh.

====== TEMPERATURE AND WEATHER. [39] ======

{{anchor:s269}}Hot cloths to chest: amel. retention of urine but cause syncope.\\ {{anchor:s270}}Warmth of pillow: agg. restlessness.\\ {{anchor:s271}}Open window: sits there to amel. anxiety and suffocation.\\ {{anchor:s272}}On a raw, cold day, while riding, desire to expand lungs to relieve uncomfortable feeling in stomach.\\ {{anchor:s273}}Damp weather: is sensitive to it, and feels chilly. <span sbita>{{anchor:s274}}~</span> Rheumatic headache.\\ {{anchor:s275}}Cool part of bed: agg. chilliness.\\ {{anchor:s276}}Inclination to throw off covers and open windows: with fever towards midnight.

====== FEVER. [40] ======

{{anchor:s278}}Chilly feeling like cold waves after 8 1/2 P. M. in bed, with gooseflesh all over body, but particularly on legs [No. 2].\\ {{anchor:s279}}Chilliness coming in waves, with restlessness; agg. by moving hands and feet to a cool part of bed, also by thinking of it [No. 2].\\ <span grade3>{{anchor:s280}}Chill always in forenoon, not at a regular hour, however; sometimes once every day, again every other day; sometimes paroxysms would close with perspiration, sometimes without; before the attack headache, yawning and stretching.</span> <span grade2>{{anchor:s281}}~</span> <span grade3>Intermittent fever.</span>\\ {{anchor:s282}}After chilliness, feverish towards midnight, pulse 98, full and strong, with inclination to throw off covers and open windows, no sweat [No. 2].\\ {{anchor:s283}}Feverish all the time, but more so at night [No. 2].\\ {{anchor:s284}}No sweat after fever, but weak, broken-up feeling in morning and no appetite for breakfast [No. 2].\\ <span grade3>{{anchor:s285}}Violent fever with great prostration.</span> <span grade2>{{anchor:s286}}~</span> <span grade3>Diphtheria.</span> <span grade2>{{anchor:s287}}~</span> <span grade3>Malignant scarlatina.</span>

====== ATTACKS, PERIODICITY. [41] ======

{{anchor:s289}}Periodically: furuncles and abscesses. <span sbita>{{anchor:s290}}~</span> Hemicrania.\\ {{anchor:s291}}Like cold waves: chilliness in evening.\\ {{anchor:s292}}At long intervals: slight cough from full feeling in chest.\\ {{anchor:s293}}Coming and going quickly: peculiar colicky pain in lower part of left lung, often repeated.\\ {{anchor:s294}}Coming and going, all day: sore pain in spot below and to right of umbilicus.\\ {{anchor:s295}}Lasting a few minutes: inclination to vomit.\\ {{anchor:s296}}Lasting one hour: tremor of heart.\\ {{anchor:s297}}Every day or every other day: chill; attacks of suffocation.\\ {{anchor:s298}}Lasting several days: neuralgia in head.

====== LOCALITY AND DIRECTION. [42] ======

{{anchor:s300}}Left: hemicrania; boring in side of head, affecting eye; burning in occipital protuberance, down nape of neck, along shoulder blade and over half of thorax; neuralgia about head; flickering before eye; nostril fills up when lying on side; canker spot inside upper lip; post-nasal catarrh agg.; hypochondriac region enlarged; aching in bronchial region; peculiar colicky pain in lower part of lung; pulse cannot be felt; paralysis of respiratory muscles; neuralgia in mammary region; pain as if sprained between shoulder and neck; aching in biceps; acute pain in olecranon process; pain in flexors of forearm; pains in thumb; pain in leg near knee; pain in anterior lower two-thirds of tibia; tender corn on little toe.\\ {{anchor:s301}}Right: rushing like lightning through brain and down side of neck into arm; neuralgia in temple and above eye; diphtheritic ulcer on tonsil; sore pain in small spot to right of umbilicus; sharp stitch in lower part of chest, in front; aching in intercostal muscles, locality of sixth and seventh ribs; pains in thumb; itching eruption on internal malleolus of foot.

====== SENSATIONS. [43] ======

{{anchor:s303}}As if diarrhea would set in; as if heart had stopped; as if torn with red hot tongs in left mammary region; as after a long journey, weakness in back; as if he had eaten tough meat or hard nuts, in solar plexus; as when suffering from partially developed malaria; as if thorax was hollow.\\ {{anchor:s304}}Pains: in flexors of left forearm.\\ {{anchor:s305}}Acute pain: in left olecranon process.\\ {{anchor:s306}}Neuralgic pain: in right temple and above eyes; about head, particularly in temples; in left mammary region.\\ {{anchor:s307}}Stitch: in lower right chest.\\ {{anchor:s308}}Darting: running up into head.\\ {{anchor:s309}}Tearing: in left side of head and eye.\\ {{anchor:s310}}Boring: in left side of head and eye.\\ {{anchor:s311}}Burning: in left occipital protuberance to nape of neck, along shoulder blade and over left half of thorax; canker spot in upper lip; in stomach; in anus.\\ {{anchor:s312}}Colicky pain: in abdomen; in lower part of left lung.\\ {{anchor:s313}}Raw feeling: in throat.\\ {{anchor:s314}}Sore pain: in a small spot below and to right of umbilicus.\\ {{anchor:s315}}Sprained pain: in muscles of back between shoulder and neck.\\ {{anchor:s316}}Pinching: back, in region of solar plexus.\\ {{anchor:s317}}Pressure: in forehead and temples; in solar plexus.\\ {{anchor:s318}}Tenderness: of corn on left little toe.\\ {{anchor:s319}}Aching: in bronchial region; in intercostal muscles right side; in biceps; in phalanges of thumbs; in left leg near knee; in anterior lower left tibia; all over.\\ {{anchor:s320}}Dull pain: in frontal region.\\ {{anchor:s321}}Bruised feeling: all over head.\\ {{anchor:s322}}Sore feeling: in throat; in stomach; all over; tip of tongue.\\ {{anchor:s323}}Broken-up feeling: in morning after fever.\\ {{anchor:s324}}Lightning-like sensation runs through brain and down right side of neck into arm.\\ {{anchor:s325}}Tortuous pains: run up into head.\\ {{anchor:s326}}Hollow feeling: in chest.\\ {{anchor:s327}}Uncomfortable feeling: in stomach.\\ {{anchor:s328}}Weariness, painful: in shoulder and elbow joints; in lower extremities.\\ {{anchor:s329}}Throbbing: of temporal arteries.\\ {{anchor:s330}}Chilly feeling: with goose-flesh all over body.\\ {{anchor:s331}}Itching: on internal right malleolus.

====== TISSUES. [44] ======

{{anchor:s333}}Dropsical symptoms, venous hyperemia and cyanosis.

====== TOUCH. PASSIVE MOTION. INJURIES. [45] ======

{{anchor:s337}}Touch: spine sensitive to.\\ {{anchor:s338}}Rubbing: amel. aching spots in head.\\ {{anchor:s339}}Pressure of shoe: agg. aching of corn.

====== SKIN. [46] ======

{{anchor:s341}}Recommended in plague by Lorbacher.\\ <span grade3>{{anchor:s342}}Dry skin.</span> <span grade2>{{anchor:s343}}~</span> <span grade3>Diphtheria.</span>\\ {{anchor:s344}}Gooseflesh over whole body, particularly lower extremities [No. 2].\\ <span grade3>{{anchor:s345}}Pallor of skin, with rapid exhaustion.</span> <span grade2>{{anchor:s346}}~</span> <span grade3>Scarlatina.</span>\\ <span grade3>{{anchor:s347}}Cold, clammy sweat all over.</span> <span grade2>{{anchor:s348}}~</span> <span grade3>Tuberculosis.</span>\\ {{anchor:s349}}Cold perspiration after attacks. <span sbita>{{anchor:s350}}~</span> Epilepsy.\\ <span grade3>{{anchor:s351}}Periodical furuncles and abscesses, which relieve the head.</span> <span grade2>{{anchor:s352}}~</span> <span grade3>Hemicrania.</span>

====== STAGE OF LIFE, CONSTITUTION. [47] ======

{{anchor:s354}}Albert S., aet. 4; had chills for two weeks; intermittent fever.\\ {{anchor:s355}}A stout girl, aet. 10; diphtheria.\\ {{anchor:s356}}A young lady of slender build, aet. 20; diphtheria.\\ {{anchor:s357}}A tuberculous woman, aet. 30; suffocative attacks.\\ {{anchor:s358}}Strong man of sanguine temperament; intermittent hemicrania of three years' standing.\\ {{anchor:s359}}A man; epileptiform spasms of nine years' standing, caused by masturbation and use of spirituous drinks.\\ {{anchor:s360}}Woman, aet. 50; diarrhea.\\ <span grade3>{{anchor:s361}}Lady, aet. 58; hydrogenoid constitution; rheumatic headache.</span>

====== RELATIONS. [48] ======

{{anchor:s363}}Compare: <span grade2>Apis</span> (diphtheria), <span grade2>Arsen.</span> (neuralgias, diarrhea, tuberculosis), <span grade2>Cinchon.</span> (diarrhea, suffocative attacks in tuberculosis).

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====== DOCUMENT DESCRIPTOR ======
^ Source: | [[en:mm:hering:start|The Guiding Symptoms of Our Materia Medica]] Vol. 04, 1884 |
^ Description: | Clinical materia medica of [[en:rem:r263|Chininum arsenicosum]] |
^ Remedies: | [[en:rem:r263|Chininum arsenicosum]] |
^ Author: | Hering, C.; Raue, C.G.; Knerr, C.B.; Mohr, C. |
^ Year: | 1884 |
^ Editing: | errors only; interlinks; formatting |
^ Attribution: | Legatum Homeopathicum |}