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Wiesbaden

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General

Wiesbaden.

The Spring at Wiesbaden, in Prussia. (Contains in sixteen ounces Carbonic acid 6.416 cubic inches, Nitrogen 0.103 cubic inches; of the following solids, in grains, Nat. m. 52.49, K. mur. 1.119 Li. mur. 0.00138, Am. mur. 0.128, Calc. mur. 3.617, Mag. mur l.566, Mag. bro. 0.027, Calc. sul. 0.692, Calc. ph. 0.0029, Calc ars. 0.0015, Calc. c. 3.210, Mag. c. 0.079, Fer. c. 0.043, Mang. c. 0.004, Silicic acid 0.46, Alumina silicica 0.603; traces of Mag. iod., Stro. c., Cup. c.) Dilution.

Clinical

Amenorrhoea. Angina pectoris. Body, odour of, offensive. Constipation. Corns. Diarrhoea. Ear-wax, excessive. Epistaxis. Glaucoma. Gout. Haemorrhage. Haemorrhoids. Hair, rapid growth of; falling of; grows darker. Hernia, inguinal; femoral. Indigestion. Miscarriage, prevents. Rheumatism. Sterility. Vertigo; caduca. Whitlow.

Characteristics

The hot, chlorinated saline springs of Wiesbaden (Fontes Mattiaci of Pliny) contain 8.176 grammes of solids to each litre, and of these Nat. mur. makes up more than seven grammes. The baths, which constitute the chief part of the treatment, are extremely excitant. The baths, combined with drinking the water, generally determine at the commencement of the cure certain phenomena of saturation which disappear on temporary suspension of the treatment. The most common of these is a saburral state of the stomach, and a feeling of fulness and tension in the whole abdomen.

Gout and rheumatism are the chief affections for which Wiesbaden is sought. Passive or atonic gout is the only kind for which Wiesb. is suited, and these cases usually pass through a period of aggravation before improvement sets in. Torpid and nodous rheumatism are benefited, the douche being employed as well as the bath. Paralysis.; muscular and tendinous contractions; sprains; in complete anchyloses; stiffness from old fractures; gunshot wounds which are slow to heal, are also benefited by Wiesb.

"Abdominal plethora and portal obstruction are relieved." "By the artificial congestion which they set up in the venous plexus of the rectum they have for an almost constant effect the disengorgement of the viscera under the diaphragm, and the prevention of stasis in their parenchyma" (Constantin James—to whom I am indebted for the whole of the above facts). Apelt observed the effects of drinking the water and excessive bathing. Magdeburg observed the effects on eight healthy persons.

The excitant, congestive, and evacuant effects mentioned by James appear in the provings. Blood rushes to the face. There is vertigo when lying in bed; and vertigo which causes falling. Haemorrhages occur from anus and nose which relieve other symptoms.

Fermentation occurs in the abdomen, and there is great exhaustion after diarrhoea. Haemorrhoidal flow occurs with > of abdominal plethora. In one case nose-bleed occurred persistently for six weeks, at the end of which a weakness of vision bordering on blindness was cured. During the menses there is great weakness; also constipation.

A number of remarkable symptoms appeared in reference to the skin and nails. The hair grew rapidly and became darker. Nails also grew rapidly. Corns and callosities dropped off.

Berridge cured with Wiesb. 200 a Miss B., 21, of a soft corn between fourth and fifth toes of right foot. There was burning and shooting pain in the corn (H. P., vii. 477). With the sweat of Wiesb. there is itching.

The sweat on the diseased parts made a brown stain. The urine stiffened linen. The symptoms were: > By nose-bleed; by haemorrhoidal flux. < During menses.

< From coffee (frequent micturition). < Lying in bed (vertigo).

Relations

Compare: Nat. m. Corns, Fer. pic. Callosities, Ant. c. Hair turns darker, jabor., Pilo., Wild.

Mind

Becomes more cheerful (after 7th d.)

Impatient, depressed, hopeless

Anxiety and uneasiness prevent sleep

Apprehensive

Ill-humour

Peevish, talks to no one

Disinclined to think.

Head

Vertigo: falls while walking; whirling in head, kind of insensibility, trembling faintness, spasmodic hiccough, alternations of chills and heat, thirst, haemorrhage while riding in a carriage

Dizziness and heaviness of head while lying in bed, sensation as if she would fall

Reeling and tottering, objects move before the eyes

Head heavy, dull

Hair: grows much more rapidly than usual; falls out and grows again rapidly; new growth darker; formerly soft, becomes hard and brittle

On scalp: large boils; desquamation; itching, as from vermin; intolerable; incessant.

Eyes

Glistening of eyes without clearness; slimy moisture is wiped from them

Copious secretion: tenacious; slimy; purulent

Moisture in canthi

Eyes ache

Pressure deep in eyeballs

Eyeballs painful

Increased tension

Falling of eyebrows and lashes, with rapid secondary growth

Itching of lids and margins

All things seem to move before eyes when walking; reeling; staggers to and fro

Weakness of vision > by persistent nose-bleed.

Ears

Copious secretion of ear-wax; soft; slimy; pale brown; thin, almost fluent

Tickling sticking in meatus

Much itching of ear, > after copious flow of ear-wax

Pains in ears

Roaring in ears with diminished hearing.

Nose

Frequent sneezing, secretion of thick mucus

Secretion from nose: watery; tenacious, like isinglass; yellow mucus for four months

Nose-bleed for six weeks, with which weakness of vision, bordering on blindness, disappeared

Inclination to nose-bleed

Frequent itching of nostrils.

Face

Expression of suffering

Face: sunken; emaciated; red and hot, with itching; circumscribed redness

Blood rushes violently to face

Sensation of cobweb lying on skin of l. cheek (2nd d.)

Profuse sweat on face compels rubbing.

Mouth

Teeth seem too long

Drawing tearing in teeth, so he could scarcely eat

Gums: became scorbutic after long bathing; blistered; loose and painful; sore while eating

Tongue: fuzzy with nauseous taste; white on edges; middle brown

Injected veins under tongue

Mouth dry

Skin forms folds on inner side of mouth, lips, and cheeks, after which it peels off

Tickling in posterior part of palate

Very bad taste in morning.

Throat

Inclination to clear throat.—Swollen cervical and parotid glands.

Stomach

Appetite: great; at first increased, afterwards diminished

Thirst: great, with chilliness; for refreshing drinks

Qualmish; inclination to vomit; vomiting

Promotes. digestion

Pressure in stomach, feeling of fulness and visible swelling of epigastric region.

Abdomen

(Inflammation of the liver.)

Violent pain in region of spleen

Emission of much flatus; preceded by much rumbling and fermentation in abdomen

Fermentation < after drinking the water

Heaviness

Colic

Dragging from abdomen, half-way down r. thigh, at the point where a femoral hernia had protruded, with a sensation as if the hernia would protrude (lasting several days, very distressing)

Swelling of r. inguinal region, with a sensation of an inguinal hernia.

Stool And Anus

Haemorrhage from rectum

Haemorrhoidal flow (curative of abdominal plethora)

Burning in rectum and bowels

While urinating very urgent desire for stool

Diarrhoea: early in morning, after drinking the water; scanty; copious, slimy; then liquid, mixed with lumps, great exhaustion; then pasty; involuntary; black; grey; slimy; smells like rotten eggs

Stools more seldom as activity of skin or kidneys increases

Constipation

Retained stool

No stool during menses

Stool lustreless, like hardened membranous bile.

Urinary Organs

(Inflammation of the kidneys.)

Pressure in region of kidneys

Urination frequent; during night;

< after coffee; scanty with perspiration

Urine: copious, becoming dark, with a greenish-yellow sediment; clear, light yellow, fatty; sediment in urine with "haemorrhoids of the bladder."

Urine stiffens linen.

Male Sexual Organs

Genitals turgid, excited

Intolerable itching on genitals

Emissions.

Female Sexual Organs

(A woman, married for several years, became pregnant for the first time.)

Miscarriage, that had taken place several times, was avoided

Oozing of slimy moisture from the vagina

Menses profuse, like haemorrhage for several days, then scanty, but continued fourteen days

Scanty menses increased

Menses return after climacteric

Menses, usually late, became earlier and more profuse

Menstrual flow, that had been long absent, returned on sixteenth day after drinking the water, with whirling in head, trembling, faintness, colic, alternations of chill, heat, and sweat, with thirst, cramp in thighs, calves, feet, with cramp-like hiccough; menses very profuse

Menstrual blood: seems like mucus; slimy dark-coloured, not watery

During menses, great weakness.

Respiratory Organs

Loose cough in morning

Expectoration: lumps of mucus; firm, tenacious mucus; sweetish after drinking the water; salt

Respiration in the bath, at first accelerated, gradually becoming slow, after which gradually increases

Short breath on walking, on ascending.

Chest

Oppression of the breath, constriction of chest in region of diaphragm as soon as that region is bathed; obliged to raise chest out of water; returned whenever the water reached the region of diaphragm.—Chest seems constricted by clothes, which are not tight.

Heart

Slight angina pectoris

Becomes very weak about the heart

Beat of heart accelerated, violent

Palpitation

Pulse: slow; irregular; accelerated; intermittent.

Neck

Tension and stiffness in nape.—Drawing in nape.

Limbs

Trembling of limbs with weakness

Very rapid growth of nails

Limbs: feel light, with desire to move; heavy; indolent; weary; exhausted

Swelling of hands and feet disappeared after copious sweat

Sweat of hands and feet.

Upper Limbs

Trembling of hands.—Inclined to panaritia.

Lower Limbs

Great weariness of lower limbs, with pain in toes

Cramp in thighs

Rheumatic pain in r. thigh for several days, < walking

Pain in r. thigh-bone as if hernia would protrude

Feet: painful and sensitive; burning

Corns become raised, softened, and drop off

Strong odour of sweat on feet.

Generalities

Body smells like rotten eggs.—Great ease and vigour of motion.—Feeling of comfort with very profuse sweat.—(Less weakness).—Weariness; fatigue; exhaustion; uneasiness.—Faintness.—Dormant rheumatism reappears.—Aversion to the water, sometimes causing cramp-like sensations when coming near the bath.—Much inclined to take cold.—Whole body feels bruised.

Skin

In the bath the skin becomes thick, parchment-like, after a while rough like sand between the fingers, feeling wrinkled.—(Parchment-like skin becomes soft.)

Cracks

Desquamation

Callosities come off

Pimples, vesicles, boils; red, elevated points; moist tetter

Very painful abscesses develop towards surface from deep in flesh, with long-continued suppuration

Itching: biting, burning; intolerable.

Sleep

Sleepiness

No desire to rise; weary, with sleep in morning

Sleep sound but not refreshing

Sleep disturbed by dreams.

Fever

Chills: from slightest air on the clothes or under bedcovers; while dressing after bath

Alternations of chill and heat

Orgasm of blood disturbing sleep

General heat of body with a hard stool

Sensation of burning heat over whole body

Constant sensation of heat with qualmishness

Burning heat of hands

Sweat: profuse, and urine; copious on a long walk, with itching; clammy, itching; trickles from head; on neck, with disappearance of the yellow spots; profuse on face, compels rubbing

Sweat on palms and soles, wrinkling of skin of hands as washerwoman's

The sweat on diseased parts colours linen brown.