Arsenicum Hydrogenisatum. – THE GUIDING SYMPTOMS OF OUR MATERIA MEDICA By CONSTANTINE HERING, M.D.

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UPPER LIMBS. [32] [Ars. h.]

Sore aching spot on right acromion ; 8th day. –F. K.

Pain from tip of shoulder down towards point of elbow ; 9th day. –F. K.

Painful twitching in shoulders.

A warm, almost burning cut, like with a small knife, in right upper arm, from near shoulder down towards elbow ; soon after inhalation. –F. K.

Flying stitches in arms. –R. Sch.

Tearing pain and stitches in upper limbs, during chill. Eisenmenger.

In elbows and upper arms same pain as in knee. –R. Sch.

Laming pain in both elbows, more in right ; 9th day. –F. K.

Pains in elbows and upper arms ; in five hours. –Sch.

Feeling of deadness of hands extending to middle of forearms. Sch.

Arms and hands very tired, as if burning.

Flying pains in right hand and fingers ; 2d day. –C. Hg.

Swollen veins on hands ; 7th day. –F. K.

Middle finger, left and inner side and second joint red and swollen ; 14th day ; gone 15th day. –F. K.

Itching on first joint of left middle finger, inner side, on a small spot, where a very small blister is ; after 1st week. –C. Hg.

   

LOWER LIMBS. [33] [Ars. h.]

Slight thumping pain on a small spot behind r. hip bone. C. Hg.

Pimple on nates, impedes walking ; 15th day. –F. K.

Quivering in left thigh, inner side, towards front, in a short line evening, till night ; 9th day ; again on 1Oth day, in afternoon. –F. K.

Pain on inner side of both thighs, most right side, whence it extends to near anus ; 12th day. –F. K.

Pain on inner side of both thighs, mostly towards os pelvis ; 15th day. –F. K.

Violent itching on left thigh, on inner side, a few inches above knee ; 7th day. –C. Hg.

After getting up, when placing his legs higher than body, a violent pain above left knee ; soreness in muscles or tendons, under skin ; > when moving about ; evening, 1st day ; next day it still pains, but more below knee, with a lame feeling when kneeling ;
his limbs give way going up-stairs ; noon, 2d day. –C. Hg.

Above right patella a pain on pressure, also in bend of knee ; increases after lying still a good while ; evening, 16th day. –F. K.

On getting up and beginning to move, after lying especially in a somewhat fatiguing position, a pain in left knee, as if it was inwardly crushed, but not in bones ; it increases to a kind of burning, and only disappears after continuing to move ; 8th to 10th day. –C. Hg.

Rheumatic, gouty, tearing pain in knee joints. –R. Sch.

Pains in knees during chill. –R. Sch.

Pain in hollow of left knee, when rising from a seat, and in beginning of walking ; 3d day. –F. K.

Sensation in bend of left Knee as if beaten ; a cold and burning pain ; < on beginning to move, especially after lying ; whole 1st week. –C. Hg.

In bones of leg below right knee, a throbbing pain, drawing downward. Pains in lower limbs, especially right side, lasting two hours. –Br.

Flying stitches in lower limbs. –R. Sch.

Pain in lower limbs, more in right-O’Reilly.

Flying, cutting pains in left leg, from shin to ankle ; at same time on last left ribs ; 2d day. –C. Hg.

Pain in left leg, after sitting ; < going down-stairs, with giving way of knees ; 2d day. –C. Hg.

Lower limbs become rigid later than arms. –Br.

Feet get numb, as if dead, up to knees. –R. Sch.

Weakness, most in lower limbs. –Z.

Left foot hurts again when rising, most towards external margin ; 12th day. –F. K.

Feet, usually colder than rest of body, are now warmer ; 3d day. –F. K.

Sweat all over, but not on right foot. –F. K.

Pain in right heel. Flying pains in feet.

Pain in left foot joint when walking ; 3d day. –F. K.

The left foot joint he cannot move, even when lying in bed ; 8th day. –F. K.

Cannot move foot, and is unable to get up ; 9th day. –F. K.

Great pain in left foot, from one ankle bone to the other, passing across above joint, < on a small spot of dorsum of foot ; a red yellow streak on top of foot, near toes ; from fourth to second toe ; pain is awful, turns him pale ; most painful in moving of foot
joint ; 1st day. –F. K.

A red streak on ankle joint, where pain was day before ; 11th day. –F. K.

In left foot, most on sole, pains prevent stepping on it ; < in motion, > in bed ; pains in middle, as if contracted lengthways ; when stepping on it a painful stretch ; 3d day ; much < the 4th. –F. K.

Pain in left sole prevents walking in forenoon ; less in afternoon ; < in evening, especially after rising from a seat ; all pains in sole, heel and whole foot, extend upward ; 6th day. –F. K.

Pains in left sole, foot and knee, < in evening ; 6th day. F. K.

Pain from sole towards middle toe ; very much < when first toe joints are bent ; 8th day. –F. K.

Tickling in hollow of left foot ; 10th day. –F. K.

Pain on pressure of balls of toes, sore and thrilling, most in ball of middle toe ; pain extends along all toes ; 8th day. –F. K.

With every attempt to step on feet all toes hurt, as if in tendons up to foot joint ; 8th day. –F. K.

The once chilblained ball of right big toe gets more painful ; 16th day. –F. K.

Thumping pain in right big toe increasing in warmth. –C. Hg.

Left middle toe exceedingly painful when touched, most underneath, on ball and in first joint, and from there to big toe and inside ankle ; 8th day. –F. K.

Sensation as if a splinter lodged under nail of left middle toe ; 9th to 10th day. –F. K.

   

LIMBS IN GENERAL. [34] [Ars. h.]

Soon after inhalation pain in lower limbs, most right side, with a numbness, first in upper limbs, then in lower, followed by a crawling sensation, for two hours. –Br.

Very sensitive, gouty, tearing pains in upper arms, elbows and knee joints. –Br.

Throbbing pains in bones of left upper arm, extending downward, three and five times every hour ; same in bones of right lower limb below knee ; also extending downward. –Br. C. Hg.

Stitches in arms and feet. –R. Sch.

Weakness in limbs. –Bennecke.

Arms get cold and stiff first, then lower limbs. –Br.

Coldness of limbs. –R. Sch. Ollivier.

Coldness of limbs. –F. W. Payne.

Unpleasant crawling in hands and feet, and flying stitches in upper and lower limbs ; 7th day. –R. Sch.

   

REST. POSITION. MOTION. [35] [Ars. h.]

Tired in hands and arms, after moderate exertion (carrying a child), they burn from weakness ; 1st day. –C. Hg.

Very little inclined to do any work. –Eisenmenger.

Difficult walking ; left foot painful.

Walking up-stairs, vertigo.

Motion difficult. –Ollivier ; left-foot < ; While walking, chilly.

All pains increase during motion ; in rest they also first increase, but get better afterwards. –F. K.

Weak even when sitting. –C. Hg.

Such a weakness that he cannot sit ; on 3d day able to do a few steps ; still very weak 7th day ; somewhat better 10th day and following. –R. Sch.

Getting up he feels so weak and chilly that he is obliged to lie down again ; evening, 8th day. –F. K.

Such a sensation of weakness with headache and vertigo, that he has to lie down ; 3d day. Colic better lying on belly, or better from bending together. —

   

NERVES. [36] [Ars. h.]

Restlessness and anxiety. –Robertson.

The greatest bodily restlessness ; 5th day. –Br.

Prostration with anxiety ; vertigo, nausea and troublesome costiveness. –Berzelius.

Suddenly after inhalation he feels himself poisoned ; an indescribable exhaustion and nausea overwhelm him ; hardly able to take few steps to reach next room ; incessant retching and vomiting followed ; he could not take any medicine, gruel or soup, nor a swallow of
water without a painful return of retching and vomiting ; even thinking of water excited vomiting ; death on 9th day. –Gehlen.

Sensation of deadness from hands upward to middle of forearm, and feet to knees, then nose and region of eyebrows, with cessation of pulse ; every sign of life ceased in these parts, but the ability to move them remained ; after five hours. –R. Sch.

Heat in face ; weakness in all limbs ; disposed to faint and tremble, soon passing off, but leaving a sensation of weakness and exhaustion ; immediately after inhalation. –Vogel.

The whole nervous system was immediately affected, and ultimately his lungs ; died in ten days. –Bullock ; by Beard.

Disposed to fainting. –Bennecke.

Faintness with vertigo, followed by shuddering. –Br.

Great fatigue and weakness. –Eisenmenger.

Sudden indescribable weakness and nausea. –Gehlen.

Very great weakness, and bitter taste in mouth. –Br.

Complained about his great weakness, and ascribed it to continual vomiting. –Br.

Great weakness, most in lower limbs. Unusual weakness in evening, as weak as a rag, ready to drop ; 1st day. –C. Hg.

Weakness and crawls. –Br.

Weariness and exhaustion with chill. Arms become torpid and stiff first, afterwards lower limbs, with crawling sensation, lasting two hours, soon after inhalation. –Br.

Now and then a very peculiar weakness, and during it all pains cease ; 1st and following days. –C. Hg.

Weakness without any pain ; 2d day. –Br.

After dinner weakness and no pains all afternoon and evening ; 2d day. –C. Hg.

He feels as if he was recovering from a very long illness, a pleasant sensation ; 11th day. –F. K.

Great prostration and general malaise. –F. W. Payne.

   

SLEEP. [37] [Ars. h.]

Gaping and unpleasant feeling with chilliness. So drowsy that he can hardly open his eyes. –Rh.

Drowsiness from 5th to 7th day. Sopor between attacks of vomiting. –Br.

Very pleasant, poetical dreams. –C. Hg.

Dreams as if he was praying in a public meeting, with great applause ; 7th day. –F. K.

Dreams towards morning from people going and arriving ; 7th day. –F. K.

Moaning in sleep ; 16th day. –F. K.

Sleep interrupted by headache. –R. Sch.

Slightest noise interrupts his sleep. –R. Sch.

Disturbed by wind colic towards morning. Suddenly awakened by two strong concussive shocks after midnight ; 7th day. –F. K.

Frequent starting while falling asleep. As soon as he falls asleep he perspires ; 15th day. –F. K.

Restless night, from 5th to 6th day. –Br.

Restless sleep, till after midnight. Wakens every hour, always before clock strikes ; from 9th to 10th day. –F. K.

For a long while he cannot get to sleep ; he feels as if he had to move about ; 6th day. –F. K.

Sleeplessness. –Sch. R. Sch.

Total sleeplessness. θ Yellow fever.

Sleeplessness. –F. W. Payne. (A chronic case. See 47.)

   

TIME. [38] [Ars. h.]

Worse at night : frontal headache ; pain in lower limbs. After midnight : sleep easy. Getting awake in morning, weak and depressed. On awaking : weak, etc. Weak and prostrated on waking. –Eisenmenger.

Tired and depressed when waking in morning. Very exhausted : morning in bed ; 8th day. –F. K.

At noon and midnight he always feels the worst ; 10th day. –F. K.

Noon : as if diarrhœa would come on.

Afternoon, 3 o’clock : headaches increase chills and fever every day ; chill ; pain in left foot >. His feeling unwell increases steadily in afternoon ; 4th day. –F. K.

Dying commences : 4 o’clock P. M., six times 24 hours after inhalation. –Br.

Evening, 5 o’clock : offensive stools. Evening : headache ; vomiting ; less warmth of skin ; weakness of rectum ; pain in left foot < ; all pain is gone out of right foot ; 8th day. –F. K.

   

TEMPERATURE AND WEATHER. [39] [Ars. h.]

After drinking cold water ; later, after warm drinks, he could bring on a copious sweat. –R. Sch.

Warmth lessens, cold increases symptoms. –F. K.

Warmth : toothache < ; pain in big toe <.

If not covered in evening he feels chilly ; 8th day. –F. K.

Undressing, 10 P. M., chill violent. Coming in a cool room he feels very chilly ; 3d day. –F. K.

Very sensitive to cold.

After moving in open air always < After walking in open air, very unwell. –Eisenmenger.

During a walk in open air, chilly. –Eisenmenger.

Before a thunderstorm, many old pains appear again. F. K.

Sensitive to cold weather. Damp air increases his malaise very much. –Eisenmenger.

Damp air always aggravates. —

General chilliness on slight exposure, or change of temperature. Payne.

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