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Benzinum Nitricum

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General

Benzinum Nitricum.

"Essence of Morbane." "Artificial Oil of Bitter Almonds." C6 H5 NO2. (Prepared by heating Benzol with Nitric Acid; the oily fluid formed is washed and rectified; it is miscible with alcohol, and has an odour of bitter almonds.) Solution in alcohol.

Clinical

Amaurosis. Convulsions. Cyanosis. Diuresis. Epilepsy. Nystagmus. Respiration, slow. Strabismus. Tetanus. Trismus.

Characteristics

Nitro-benzene is a very poisonous substance, and our knowledge of its action is due to numerous cases of poisoning that have occurred. It produces faintness, sinking, convulsions, twitchings, stupor. It slows the respiration until death occurs. Rolling of the eyeballs in their vertical axis is a prominent feature, and the pupils are dilated.

Blueness of lips, face, and finger-nails. Flapping of alae nasi. Head drawn backward and to the left side in spasms. Involuntary evacuations.

Paralysis of all limbs. Punctiform ecchymoses. The odour of bitter almonds is strong in the secretions.

Relations

Compare: Benzin., Amygd. am., Camph. Hydrocy., ac.

Mind

Extreme mental excitement

Loquacity, followed by drowsiness, soon passing into stupor

Soon became unconscious with inarticulate, confused speech.

Head

Vertigo; and headache

Trembles; staggers; falls unconscious

Sensation of formication under scalp, or as if the hair was bristling up.

Eyes

Rolling of eyeballs

Constant slow movement of eyeballs from l. to r. under closed lids

The eyeballs showed a constant turning inward and outward in a slow, regular motion, with the visual axes perfectly parallel

Constantly rolling in vertical axes

Strabismus

Eyes staring

Great injection of conjunctiva of bulbs

Eyeballs seemed enlarged

Pupils dilated; insensible to light

Distorted vision and flashes of strange light and colours.

Ears

Violent roaring in ears, and sounds.

Face

Stupid expression

Cyanosis

Oedema

Covered with cold sweat

Trismus.

Mouth

Tongue white and swollen; thick and soft

Burning taste, followed by numbness and tingling of tongue and lips

Stammering speech

Tenacious saliva flowed from the mouth.

11, 12, 13.

Stomach, Abdomen, Stool

Burning in throat and stomach

Nausea, vomiting, of food eaten

Pains in abdomen

Involuntary evacuations.

Urinary Organs

Diuresis; urine brownish red; odour of bitter almonds.—Urine and faeces passed involuntarily.

Respiratory Organs

Sighing respiration

Respiration frequently interrupted

Dyspnoea

Respiration exceedingly slow; shallow

Snoring

Respiration difficult, catching, accelerated.

Heart

Pulse rapid, weak, irregular

Pulse full and slow

Pulse scarcely perceptible.

Neck

Stiff-neck; trismus and fibrillary twitchings in masseter muscles.

Limbs

Twitchings in hands and feet

Arms spasmodically flexed, sometimes extended

Arms spasmodically flexed at first, afterwards relaxed.

Generalities

Gait as if intoxicated; staggering here and there.—Violent convulsions; with unconsciousness.—Fell unconscious; extremities paralysed; evacuations involuntary.—Fainted from inhaling vapours.—Over-powering odour of bitter almonds.

Skin

Punctiform ecchymoses

Skin livid; bluish-grey

Ecchymosed spots, bluish-black, beneath scalp and on gluteal muscles.

Fever

Skin cold

Sweat on forehead and face

Whole body covered with profuse cold sweat.