MILLEFOLIUM.
Second day.—1.Headache as if the skull would fly to pieces. Stitches in the chest. Oppression, dyspnœa. Burning eyes.5.Tongue coated and swollen. Urine red, frequent and copious.
Third day.—Headache less violent. Prostration. Malaise in all the limbs.10.Dry mouth. Lips cracked. Stomach-ache. Cough with frothy expectoration. Cough and vomiting.15.Fever with shuddering, internal and external heat, for four hours. Hot fever. Thirst. Hot hands and feet.
FOOTNOTES[1]This case has been reported in detail, in the Medical Gazette of Paris, of the 5th of January, 1839, by the attending physicians,MaïaandReis. We transcribe it for the benefit of our readers.Mariano José Machado, fifty years old, of athletic form, bilious-sanguine temperament, was afflicted with elephantiasis leontina Alibert. The whole body, especially the extremities, were insensible. The skin and the cellular tissue were thickened, hard, rugose and covered with tubercles which were somewhat raised but not ulcerated. A few pustules under the arms, looked like itch-pustules, and seemed to indicate a complication with this disease. The epidermis and nails began to alter, and the fingers had lost their normal shape. Internally, the patient felt quite well, enjoying both vigor of mind and body. After six years of suffering, he had come to the determination to try this dreadful experiment, which would either lead to death or a deliverance from his horrible affliction.On the morning of the fourth of September, at fifty minutes past eleven o’clock, he was bit by a rattle-snake, the crotalus cascavella, in the two last fingers near the metacarpus. He felt neither the bite, nor the poison as it penetrated into the wound. A few drops of blood came out of the wound, and the hand began immediately to swell.—In five minutes: slight feeling of coldness in the hands.—Twelve o’clock: slight pain in the hollow of the hands.—Twenty minutes: the hand swells a good deal.—Thirty minutes: swelling of the jugular veins. Alteration of the features. Formication in the face.—Fifty-five minutes: the sense of swelling extends through the whole forearm.—Twenty minutes past one: trembling of the whole body.—Thirty-six minutes past one: the head is affected, with frequent pulse, difficulty of moving the lips, disposition to slumber, constriction of the throat, violent pain in the whole arm, the hand swells more and more.—Thirty-eight minutes past one: sense of chilliness; the patient covers himself.—Forty-eight minutes past one: pain in the tongue and larynx, increased pains and swelling of the bitten hand; sense of coldness in the feet.—Twenty-five minutes past two: difficulty of swallowing,—anguish,—copious sweat on the chest.—Fifty minutes: weakness of the arms,—nosebleed,—anguish, now and then,—restlessness,—pulse 96.—In three hours and forty minutes: pulse 100.—Fifteen minutes: intensely violent pains in the arms.—restlessness.—Thirty minutes: pulse 98,—red face,—continual bleeding of the nose.—Thirty-five minutes: the patient drinks some wine and water without any difficulty, and changes his linen which was all wet from the perspiration.—Intense redness all over.—In four hours: pulse 100,—the whole of the skin, especially on the bitten arm, is very red,—violent pains in both arms, which do not leave the patient any rest,—constriction of the throat,—impeded respiration.—Fifty minutes: pulse 104,—the body is very hot all over,—flow of saliva.—In five hours, thirty minutes: torpor,—copious emission of urine,—thick, viscid saliva, which it is difficult to get out of the mouth,—muscular debility,—frequent moaning on account of the pains which he feels in the whole body,—quiet breathing,—pulse full and frequent, skin soft,—the bitten hand swells enormously.—In seven hours: somnolence with moaning,—after waking the pains in the arms are less, but he experiences violent pains in the chest,—sensation of a lump in his throat,—copious emission of urine,—great difficulty of swallowing, white, viscid saliva,—discharge of a bloody liquid from the nose,—inability to swallow a drink composed of water, sugar and brandy.—In eight hours: the sweating abates,—restlessness,—moaning,—emission of urine.—In nine hours, ten minutes: the moaning ceases,—deep sleep.—In ten hours: takes an infusion of guaco,—pulse 108,—the bloody discharge from the nose ceases,—shrivelling of the tuberculous formations on the arms and in the face, they exhibit an erysipelatous redness.—In ten hours, twenty minutes: emits two ounces of a natural urine,—a few minutes’ quiet sleep, without moaning.—In ten hours, forty minutes: the pains abate a good deal, but he complains of pains in the thighs and feet, where he had felt a considerable coldness until now,—pulse 108,—ordinary thirst,—the patient sits up in order to drink, and swallows the drink with ease.—In eleven hours: takes four spoonfuls of a strong infusion of guaco.—In eleven hours, forty-five minutes: emits a deeply-colored urine,—pulse 119,—the bitten hand and arm are very much inflamed and intensely painful,—restlessness.—In twelve hours: quiet sleep, disturbed by eructations,—pulse 112,—emission of urine.—In twelve hours, thirty minutes: restlessness,—screams,—despair.—In twelve hours, forty minutes: emission of urine,—pulse 116,—sensation of burning heat in the legs, which he uncovers.—In thirteen hours: emission of urine,—quiet,—he takes an infusion of guaco.—In fourteen hours: he sits up in bed, and drinks water, during which he moves about violently and screams.—In fifteen hours: emission of urine,—the swelling of the lower lips abates,—the salivation ceases.—In fifteen hours, forty-five minutes: pulse 110,—involuntary motion of the right thumb and left foot.—In seventeen hours: the patient feels very sick,—pulse 100,—frequent moaning.—In nineteen hours: excessive debility,—involuntary motion of the lower jaw, and lower extremities,—bloody urine.—In twenty hours: accelerated, intermitting pulse,—increase of the convulsive motions,—the swelling of the extremities, and the redness of the skin are less,—extreme difficulty of swallowing,—anxious respiration.—In twenty hours, fifty minutes: diminution of the convulsive motions.—In twenty hours, fifty-five minutes: the convulsions cease.—In twenty-one hours: he takes an ounce of lizard-oil, which he swallows with difficulty.—In twenty-one hours, thirty minutes: death.—In a few minutes, the blue-colored body, swoll considerably.—Twenty-three hours after death, the body had swollen enormously, was covered with blue and red spots, and smelt so horridly that no post-mortem examination could be made.—Hempel.[2]To avoid unnecessary repetition, the natural order of the symptoms has been left out, it being nearly the same as Hahnemann’s arrangement—Ed.
FOOTNOTES
[1]This case has been reported in detail, in the Medical Gazette of Paris, of the 5th of January, 1839, by the attending physicians,MaïaandReis. We transcribe it for the benefit of our readers.Mariano José Machado, fifty years old, of athletic form, bilious-sanguine temperament, was afflicted with elephantiasis leontina Alibert. The whole body, especially the extremities, were insensible. The skin and the cellular tissue were thickened, hard, rugose and covered with tubercles which were somewhat raised but not ulcerated. A few pustules under the arms, looked like itch-pustules, and seemed to indicate a complication with this disease. The epidermis and nails began to alter, and the fingers had lost their normal shape. Internally, the patient felt quite well, enjoying both vigor of mind and body. After six years of suffering, he had come to the determination to try this dreadful experiment, which would either lead to death or a deliverance from his horrible affliction.On the morning of the fourth of September, at fifty minutes past eleven o’clock, he was bit by a rattle-snake, the crotalus cascavella, in the two last fingers near the metacarpus. He felt neither the bite, nor the poison as it penetrated into the wound. A few drops of blood came out of the wound, and the hand began immediately to swell.—In five minutes: slight feeling of coldness in the hands.—Twelve o’clock: slight pain in the hollow of the hands.—Twenty minutes: the hand swells a good deal.—Thirty minutes: swelling of the jugular veins. Alteration of the features. Formication in the face.—Fifty-five minutes: the sense of swelling extends through the whole forearm.—Twenty minutes past one: trembling of the whole body.—Thirty-six minutes past one: the head is affected, with frequent pulse, difficulty of moving the lips, disposition to slumber, constriction of the throat, violent pain in the whole arm, the hand swells more and more.—Thirty-eight minutes past one: sense of chilliness; the patient covers himself.—Forty-eight minutes past one: pain in the tongue and larynx, increased pains and swelling of the bitten hand; sense of coldness in the feet.—Twenty-five minutes past two: difficulty of swallowing,—anguish,—copious sweat on the chest.—Fifty minutes: weakness of the arms,—nosebleed,—anguish, now and then,—restlessness,—pulse 96.—In three hours and forty minutes: pulse 100.—Fifteen minutes: intensely violent pains in the arms.—restlessness.—Thirty minutes: pulse 98,—red face,—continual bleeding of the nose.—Thirty-five minutes: the patient drinks some wine and water without any difficulty, and changes his linen which was all wet from the perspiration.—Intense redness all over.—In four hours: pulse 100,—the whole of the skin, especially on the bitten arm, is very red,—violent pains in both arms, which do not leave the patient any rest,—constriction of the throat,—impeded respiration.—Fifty minutes: pulse 104,—the body is very hot all over,—flow of saliva.—In five hours, thirty minutes: torpor,—copious emission of urine,—thick, viscid saliva, which it is difficult to get out of the mouth,—muscular debility,—frequent moaning on account of the pains which he feels in the whole body,—quiet breathing,—pulse full and frequent, skin soft,—the bitten hand swells enormously.—In seven hours: somnolence with moaning,—after waking the pains in the arms are less, but he experiences violent pains in the chest,—sensation of a lump in his throat,—copious emission of urine,—great difficulty of swallowing, white, viscid saliva,—discharge of a bloody liquid from the nose,—inability to swallow a drink composed of water, sugar and brandy.—In eight hours: the sweating abates,—restlessness,—moaning,—emission of urine.—In nine hours, ten minutes: the moaning ceases,—deep sleep.—In ten hours: takes an infusion of guaco,—pulse 108,—the bloody discharge from the nose ceases,—shrivelling of the tuberculous formations on the arms and in the face, they exhibit an erysipelatous redness.—In ten hours, twenty minutes: emits two ounces of a natural urine,—a few minutes’ quiet sleep, without moaning.—In ten hours, forty minutes: the pains abate a good deal, but he complains of pains in the thighs and feet, where he had felt a considerable coldness until now,—pulse 108,—ordinary thirst,—the patient sits up in order to drink, and swallows the drink with ease.—In eleven hours: takes four spoonfuls of a strong infusion of guaco.—In eleven hours, forty-five minutes: emits a deeply-colored urine,—pulse 119,—the bitten hand and arm are very much inflamed and intensely painful,—restlessness.—In twelve hours: quiet sleep, disturbed by eructations,—pulse 112,—emission of urine.—In twelve hours, thirty minutes: restlessness,—screams,—despair.—In twelve hours, forty minutes: emission of urine,—pulse 116,—sensation of burning heat in the legs, which he uncovers.—In thirteen hours: emission of urine,—quiet,—he takes an infusion of guaco.—In fourteen hours: he sits up in bed, and drinks water, during which he moves about violently and screams.—In fifteen hours: emission of urine,—the swelling of the lower lips abates,—the salivation ceases.—In fifteen hours, forty-five minutes: pulse 110,—involuntary motion of the right thumb and left foot.—In seventeen hours: the patient feels very sick,—pulse 100,—frequent moaning.—In nineteen hours: excessive debility,—involuntary motion of the lower jaw, and lower extremities,—bloody urine.—In twenty hours: accelerated, intermitting pulse,—increase of the convulsive motions,—the swelling of the extremities, and the redness of the skin are less,—extreme difficulty of swallowing,—anxious respiration.—In twenty hours, fifty minutes: diminution of the convulsive motions.—In twenty hours, fifty-five minutes: the convulsions cease.—In twenty-one hours: he takes an ounce of lizard-oil, which he swallows with difficulty.—In twenty-one hours, thirty minutes: death.—In a few minutes, the blue-colored body, swoll considerably.—Twenty-three hours after death, the body had swollen enormously, was covered with blue and red spots, and smelt so horridly that no post-mortem examination could be made.—Hempel.
[1]This case has been reported in detail, in the Medical Gazette of Paris, of the 5th of January, 1839, by the attending physicians,MaïaandReis. We transcribe it for the benefit of our readers.
Mariano José Machado, fifty years old, of athletic form, bilious-sanguine temperament, was afflicted with elephantiasis leontina Alibert. The whole body, especially the extremities, were insensible. The skin and the cellular tissue were thickened, hard, rugose and covered with tubercles which were somewhat raised but not ulcerated. A few pustules under the arms, looked like itch-pustules, and seemed to indicate a complication with this disease. The epidermis and nails began to alter, and the fingers had lost their normal shape. Internally, the patient felt quite well, enjoying both vigor of mind and body. After six years of suffering, he had come to the determination to try this dreadful experiment, which would either lead to death or a deliverance from his horrible affliction.
On the morning of the fourth of September, at fifty minutes past eleven o’clock, he was bit by a rattle-snake, the crotalus cascavella, in the two last fingers near the metacarpus. He felt neither the bite, nor the poison as it penetrated into the wound. A few drops of blood came out of the wound, and the hand began immediately to swell.—In five minutes: slight feeling of coldness in the hands.—Twelve o’clock: slight pain in the hollow of the hands.—Twenty minutes: the hand swells a good deal.—Thirty minutes: swelling of the jugular veins. Alteration of the features. Formication in the face.—Fifty-five minutes: the sense of swelling extends through the whole forearm.—Twenty minutes past one: trembling of the whole body.—Thirty-six minutes past one: the head is affected, with frequent pulse, difficulty of moving the lips, disposition to slumber, constriction of the throat, violent pain in the whole arm, the hand swells more and more.—Thirty-eight minutes past one: sense of chilliness; the patient covers himself.—Forty-eight minutes past one: pain in the tongue and larynx, increased pains and swelling of the bitten hand; sense of coldness in the feet.—Twenty-five minutes past two: difficulty of swallowing,—anguish,—copious sweat on the chest.—Fifty minutes: weakness of the arms,—nosebleed,—anguish, now and then,—restlessness,—pulse 96.—In three hours and forty minutes: pulse 100.—Fifteen minutes: intensely violent pains in the arms.—restlessness.—Thirty minutes: pulse 98,—red face,—continual bleeding of the nose.—Thirty-five minutes: the patient drinks some wine and water without any difficulty, and changes his linen which was all wet from the perspiration.—Intense redness all over.—In four hours: pulse 100,—the whole of the skin, especially on the bitten arm, is very red,—violent pains in both arms, which do not leave the patient any rest,—constriction of the throat,—impeded respiration.—Fifty minutes: pulse 104,—the body is very hot all over,—flow of saliva.—In five hours, thirty minutes: torpor,—copious emission of urine,—thick, viscid saliva, which it is difficult to get out of the mouth,—muscular debility,—frequent moaning on account of the pains which he feels in the whole body,—quiet breathing,—pulse full and frequent, skin soft,—the bitten hand swells enormously.—In seven hours: somnolence with moaning,—after waking the pains in the arms are less, but he experiences violent pains in the chest,—sensation of a lump in his throat,—copious emission of urine,—great difficulty of swallowing, white, viscid saliva,—discharge of a bloody liquid from the nose,—inability to swallow a drink composed of water, sugar and brandy.—In eight hours: the sweating abates,—restlessness,—moaning,—emission of urine.—In nine hours, ten minutes: the moaning ceases,—deep sleep.—In ten hours: takes an infusion of guaco,—pulse 108,—the bloody discharge from the nose ceases,—shrivelling of the tuberculous formations on the arms and in the face, they exhibit an erysipelatous redness.—In ten hours, twenty minutes: emits two ounces of a natural urine,—a few minutes’ quiet sleep, without moaning.—In ten hours, forty minutes: the pains abate a good deal, but he complains of pains in the thighs and feet, where he had felt a considerable coldness until now,—pulse 108,—ordinary thirst,—the patient sits up in order to drink, and swallows the drink with ease.—In eleven hours: takes four spoonfuls of a strong infusion of guaco.—In eleven hours, forty-five minutes: emits a deeply-colored urine,—pulse 119,—the bitten hand and arm are very much inflamed and intensely painful,—restlessness.—In twelve hours: quiet sleep, disturbed by eructations,—pulse 112,—emission of urine.—In twelve hours, thirty minutes: restlessness,—screams,—despair.—In twelve hours, forty minutes: emission of urine,—pulse 116,—sensation of burning heat in the legs, which he uncovers.—In thirteen hours: emission of urine,—quiet,—he takes an infusion of guaco.—In fourteen hours: he sits up in bed, and drinks water, during which he moves about violently and screams.—In fifteen hours: emission of urine,—the swelling of the lower lips abates,—the salivation ceases.—In fifteen hours, forty-five minutes: pulse 110,—involuntary motion of the right thumb and left foot.—In seventeen hours: the patient feels very sick,—pulse 100,—frequent moaning.—In nineteen hours: excessive debility,—involuntary motion of the lower jaw, and lower extremities,—bloody urine.—In twenty hours: accelerated, intermitting pulse,—increase of the convulsive motions,—the swelling of the extremities, and the redness of the skin are less,—extreme difficulty of swallowing,—anxious respiration.—In twenty hours, fifty minutes: diminution of the convulsive motions.—In twenty hours, fifty-five minutes: the convulsions cease.—In twenty-one hours: he takes an ounce of lizard-oil, which he swallows with difficulty.—In twenty-one hours, thirty minutes: death.—In a few minutes, the blue-colored body, swoll considerably.—Twenty-three hours after death, the body had swollen enormously, was covered with blue and red spots, and smelt so horridly that no post-mortem examination could be made.—Hempel.
[2]To avoid unnecessary repetition, the natural order of the symptoms has been left out, it being nearly the same as Hahnemann’s arrangement—Ed.
[2]To avoid unnecessary repetition, the natural order of the symptoms has been left out, it being nearly the same as Hahnemann’s arrangement—Ed.