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Chininum Arsenicosum

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General

Chininum Arsenicosum.

Arsenite of Quinine. (C20 H24 N2 O2) 3H3 As O4 2H2O. Trituration or solution.

Clinical

Angina pectoris. Asthma. Bright's disease. Diarrhoea. Diphtheria. Epilepsy. Gastralgia. Hectic fever. Hemicrania. Intermittent fever. Keratitis. Ophthalmia. Scarlatina. Sore-throat, malignant. Spinal irritation. Syphilis. Tobacco, effects of. Tuberculosis.

Characteristics

The Arsenite of Quinine combines many of the properties of its two components, but having been proved it can be treated as a separate individuality. The periodicity is intensified, and this is especially noted in the neuralgias. An irritable mood precedes the headache, which is < by mental and bodily exercise. The gastralgia of Chi. ars. is pressure in solar plexus with tender spine just at back of it.

Nausea and vomiting are followed by sleep. Bonino (H. R., iv 210), who gave it a prolonged proving, found the symptoms < at rest; in the morning; and when the stomach was empty. They were > by motion (vertigo); and by eating (gastralgia).

The chief effects were manifested on the stomach, solar plexus, ligaments and skin. According to him it corresponds to tobacco intoxication and its effects; indigestion from unripe fruits; gastralgia from coarse food or ill-baked bread; chronic rheumatism of joints without swelling; tertiary syphilis of periosteum; colic from incarcerated flatus; intermittent fever with predominating chills, little thirst and continuous almost convulsive yawning; effects of severe and depressing influences on the mind; to convalescence from long-lasting sickness.

The circulation was slow, and limbs relaxed. Weakness, prostration, and disinclination for mental exertion were marked in several provers.

Relations

Compare: Apis (diphtheria); Aethusa (sleep after vomiting); Cact. (constricting sensations).

Causation

Tobacco.

Mind

Dislike of mental occupation in spite of clear-headed lightness about head and feeling of exhilaration

Memory impaired

Anxiety

Child sits up in bed lamenting

Irritable mood precedes headache.

Head

Sudden attacks of vertigo, < by looking up

Severe darting, tortuous pains, running up into head and preventing sleep

Head full as if it would burst

On sitting down, head seems to be covered with an iron cap

Hemicrania (l.) from fright; flickering before l. eye and lachrymation, ringing in ears, pain tearing, boring

Penetrating pain in region of l. temple

Dull, heavy headache, frontal and occipital; in cerebellum, < from slightest motion.

Eyes

Intense photophobia and orbicular spasm gushing hot tears, ulcers attacking each eye, < from midnight to 3 a.m.

(Keratitis.)

Flickering before l. eye, with pain and lachrymation.

(Hemicrania.)

Ears

Ringing in ears like bells; with congestion towards head.—Noise in ears and dulness of hearing.

Nose

Profuse coryza > erect position and out of doors

Post-nasal catarrh < l. side

Copious epistaxis.

Face

Trembling of facial muscles, esp. orbicularis palpebrarum (immediately)

Dull pain in l. temporal region at articulation of lower jaw

Face pale, sallow, bloated.

Mouth

Tongue thickly furred; appetite bad

Yellow, slimy coating on tongue, with bitter taste

Fetid breath

Dryness in roof of mouth, gnawing and nausea

Metallic bitter taste, without changing taste of victuals.

Throat

Throat feels sore and raw, < coughing and sneezing.—Diphtheria.

Stomach

Appetite gone

Violent thirst for cold water

Desire for sweets

Empty sensation

Hiccough and belching; followed by urging to stool

Sudden, indescribable general nausea, with flying heat and waning strength, esp. of lower limbs

Nausea and vomiting followed by sleep

Eggs or fish cause painless diarrhoea at once

Gnawing and nausea as before vomiting as at beginning of tobacco-poisoning

Pain in stomach as if it had contracted itself round an uneven stone

Disturbed in night by severe pain in stomach as if it were pressed against spinal column;

> by eating, for a few moments; repeated several mornings

Contracting gastralgia, as if pushed up;

> only for a moment by tasteless eructation.

Abdomen

Pain in epigastrium as from foul stomach

Pain as from flatus wedged into flexure of colon

Aching around navel and in ilium

In evening severe colicky pains > by pressure.

Stool And Anus

Violent urging to stool, evacuated in prolonged rush till bowel empty; stool thin, brown, painless

Diarrhoea, morning, hardly had time to dress, brown, liquid with jelly-like lumps: pain in l. iliac region, quite severe when walking

Towards morning, frequent, bad-smelling flatus

Stool pappy; watery, fetid

Stool, fecal, with mucus and blood, preceded and followed by tenesmus

Stool hard, voided with difficulty; aided by pressing finger on coccyx

Could eat no breakfast, but took some dinner, and immediately thereafter great urging to stool, which was watery and blackish; some pain in hypogastrium.

Urinary Organs

Urine scanty; frequent urging.—Urine increased, urging tiresome.

Male Sexual Organs

A peculiar burning ache about sphincter vesicae and throughout urethra.

Respiratory Organs

Breathing unsatisfactory, wants more air than he can take into his lungs

Respiration very free, as if thorax were hollow

Suffocative attacks beginning in morning and lasting till noon;

> sitting bent forward at open window, < every other position

Senile subacute bronchial catarrh with periodical fever, generally < at night.

Chest

Severe stitching pain, in chest; later in precordia;

< on inspiration

Asthmatic breathing on ascending

Tightening sensation in mediastinum, in front at l. of breast-bone

Peculiar pain, dull with pressure, as if caused by flatulence, base of l. chest, coming and going rapidly and frequently repeated.

Heart

Angina pectoris

Palpitation on leaning against back

Sensation as if heart had stopped

Heart began to tremble, with a rumbling noise;

I was unable to distinguish the pulsations (lasted one hour)

Slow pulse

L. intercostal neuralgia as if torn with hot tongs.

Back

Pain in muscles between l. shoulder and neck, as if sprained, on rising from sleep, 4 p.m

Back feels weak as after a long journey

Pressure in solar plexus (usually only felt after eating tough meat or hard nuts, of which I had not partaken) extended toward the back, when it changed to a pinching sensation; spine painfully sensitive to touch at this point.

Upper Limbs

Pain in l. wrist, stiffness of l. arm

Pain of fatigue in r. wrist

Burning pain as in periosteum of l. elbow

Annoying feeling of fatigue in r. shoulder, as if humerus were torn out of its socket

Sore, tired aching in joints, bones and muscles: in l. biceps for some hours.

Lower Limbs

Dull pain in r. temporal region, at articulation of jaw and r. hip

Pain in r. astragalo-tarsal joint as if bones drawn in opposite directions;

> walking

Pressure on tuberosity of tibia, which is somewhat swollen

Pain in r. knee as from a fall

Cramp in calf

Pains back of r. thigh and in calf

Numbness of legs after hardly having lain down

Weakness of lower limbs.

Generalities

In different parts of body burning fluttering beats, as from electricity.—Stiffness of all bones, even while walking.—Burning pains deep in joints.—Burning pains as in periosteum.—Nervous restlessness, unable to remain in the house.—While walking, dizziness and collapse.—Desire to lie down.—Complete relaxation of muscles as from tobacco-poisoning.

Skin

Goose flesh, esp. of lower extremities

Periodical furuncles, which relieve the head

Burning, erysipelatous redness and violent itching < by warmth > by cold.

Sleep

Night full of visions; heavy sleep till morning

Nervous restlessness, anxious dreams

Sleep frequently interrupted.

Fever

General chill and cold

After the feverish cough in the chill, no reaction of warmth

Flying heat with nausea

Cold, clammy sweat.