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Nitrogenum Oxygenatum

Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 4,359 χαρακτήρες · πηγή ↗

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General EN

Nitrogenum Oxygenatum.

Nitrous Oxide Gas. Laughing Gas. NO. Solution.

Clinical EN

Enuresis. Epilepsy. Hysteria. Lungs, congestion of.

Characteristics EN

This well-known anaesthetic, introduced by Sir Humphrey Davy, has given rise to some pathological symptoms which I have collected in the Schema. Some of them were observed by myself on a girl of twelve who had congestion of the right lung setting in within a few hours of the anaesthesia (H. W., xxv. 64); and on a man, 30, who had blisters round his mouth, inside, on two occasions after being under gas; was troubled with drowsiness for weeks after, and had acneous spots on his face.

Others are from the observations of Mr. Silk (H. W., xxv. 462); and the rest are from provings recorded by Allen. Silk observed that females were very much more liable to ill effects than males.

One of his patients, an epileptic girl, otherwise healthy, when he removed the face-piece, struggled to get her hands up, and afterwards described her feelings as "pain in the forehead where the aura commenced." In one epileptic patient (not Mr. Silk's) a fit actually did occur. Rhythmic movement of the arms or legs is a common occurrence. One prover had his piles cured as an incidental result of his experiments.

Relations EN

Antidoted by: Bell. (?). Compare: Nit. ac. In congestion, Ver. v.

Mind EN

Unusual exaltation of mind; most agreeable sensations and fancies; involuntary desire to laugh

No command over himself

Mental torture beyond endurance

Mind extremely susceptible to suggestion

After the giddiness, rapid rush of thoughts; afterwards unconsciousness.

Head EN

On going into open air, vertigo and staggering to l

Giddiness after palpitation

A kind of waving of the head

Numb feeling on head, spreading thence over body, before the paroxysms

Aching in head and along spine as if they were asleep

Headache after return of consciousness.

Eyes EN

Widely dilated pupils

Pupils first dilated, later contracted

Protruding eyeballs.

Ears EN

On waking from unconsciousness, voices of others seemed to come from a great distance; or to be in a whisper.

Face EN

Face livid with unconsciousness

Face swollen

Blue lips, ears, face; afterwards face dusky

Acne

Jaws firmly clenched.

Mouth EN

Mouth and head feel numb, as though asleep

Eruption of blisters round mouth inside

Point of tongue thrust between teeth.

Throat EN

Weakness and feeling of constriction in throat; dysphagia.

Stomach EN

Pressure in epigastrium.—Nausea and vomiting on return of consciousness; next day a bilious attack.

Anus EN

(Haemorrhoidal pains from which he suffered entirely disappeared.)

Urinary Organs EN

Involuntary micturition.

Female Sexual Organs EN

Erotic movements and sexual illusions.—Anaesthesia in a nursing woman brought on a bilious attack next day, and the infant was made ill.

Respiratory Organs EN

Breathing: quick; thick and stertorous

Suffocative feeling

Cough with haemoptysis

Cough early morning.

Chest EN

Great pain at chest; cough with haemoptysis;

> hot applications to chest; it seemed as if something which was obstructing the chest dropped down into stomach

Sharp pain in front of chest, < lying on r. side

R. chest congested and dull on percussion.

Heart EN

Great lividity and tendency to faint (in a cardiac case).—Palpitation of heart, afterwards felt and heard in head.

Neck And Back EN

Tension in sides of neck in region of carotids

Drawing in neck, as though skin were contracted or cords shortened

Sensation of drawing in muscles, esp. lumbar muscles.

Generalities EN

In a patient suffering from valvular disease heart there was a more than usual degree of lividity during anaesthesia, and a tendency to syncope afterwards.—Rhythmic movement of arms or legs.—Opisthotonos, most common in females; much struggling.—Epileptic convulsion (in an epileptic) during the anaesthesia.—Pain in forehead where the aura commenced (in an epileptic under the gas).—Increased muscular rigor. Muscular weakness.—Muscular pains in joints revived.

Sleep EN

Sleepy

Drowsiness continued for weeks after the gas

Screamed whenever she fell asleep.

Fever EN

Coldness of feet and legs to knees between the paroxysms of consciousness

Fever every afternoon from 3 to 6

Delirium in evening

Face covered with perspiration after return of consciousness.