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Zincum Muriaticum

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General

Zincum Muriaticum.

Chloride of Zinc. Zincic Chloride. ZnCl2. Solutions in water or alcohol.

Clinical

Bright's disease. Constipation. Convulsions. Cramps. Diphtheria. Dysentery. Emaciation. Haematemesis. Hiccough. Hydrocephalus. Smell, perverted. Taste perverted. Typhoid fever. Wounds.

Characteristics

The bulk of the symptoms of Zn. m. are derived from poisoning cases. Chloride of Zinc is an active poison and a powerful disinfectant., and being readily accessible in the form of "Sir Wm. Burnett's Disinfectant Fluid," has occasioned many poisonings, both accidental and suicidal. Most of the symptoms are the usual effects of a corrosive poison, but some characteristic symptoms appear.

One of them was the perversion of the senses of smell and taste: Things had a putrid smell and taste which were not putrid; and faeces had no odour at all. Quinine had no bitter taste, and acids and alkalies had no acid or alkaline taste. Insipid things were most relished. Other symptoms were: "No natural appetite, but a morbid craving for something to allay the irritation at the stomach." "Vomiting of all food except boiled milk." "Occasional attacks of tetanic spasms of right forearm and hand." "Emaciation; skin looked as if stretched tightly over bones of face and hands." "Bluish and blue-mottled skin." "Sleeps on right side with legs drawn up, grinds teeth." Spasmodic twitchings of face and hands, sprains and convulsions were prominent features.

De Noë Walker used a dilution of Zn. m. as an application to fresh wounds, and found it very effectual in securing rapid healing.

Mind

Excessive nervous derangement and prostration

Picks bedclothes

Anxiety, dulness

Depressed

Intellect clear by day, wanders at night

Semi-comatose.

Head

Vertigo: and fainting; and rush of blood to head.—Headache, occipital and frontal.

Eyes

Eyes sunken

Pupils: widely dilated; contracted

Sight lost.

Nose

Smell perverted: putrid and faecal matter had no odour; scents smelt like hemlock; meats if the least bit burnt smelt intolerably putrid.

Face

Face: distorted with agony and livid; pale and anxious; dusky; flushed; convulsed and twitching

Swelling of lips, with thick, transparent mucus adhering

Vesication of lips and tongue.

Mouth

Toothache in carious teeth

Gums: spongy; red and covered with white sordes

Tongue: coated with white fur; thick yellow fur; intensely red; covered with brown sordes

Frothing at mouth

Peculiar fetor of breath

Taste: astringent; metallic; perverted not less than the sense of smell, roast things intolerable, most foods, esp. raw oysters, tasted of burnt flour, quinine was not bitter, nor acids acid.

Throat

Throat: inflamed; painful; burning

Diphtheritic-like membrane on fauces

Constriction of throat

Burning along oesophagus

Swallowing difficult.

Stomach

No natural appetite, had a morbid craving to allay irritation of stomach

Anorexia

Constant thirst, but aversion to swallowing any fluids

Nausea

Vomiting: distressing; violent; of all food except boiled milk; of shreds of membrane; most offensive; of blood

In stomach: clawing and burning pain.

Abdomen

Severe pain in l. hypochondrium, < by food

Abdomen shrunken, edge of liver sharply defined

Intense abdominal pain and tenderness.

Stool And Anus

Diarrhoea: violent, with vomiting and collapse

Stools: thin, dark brown; fetid; coffee-ground; pitchy; olive-green; pale, clayey, dry, crumbling

Constipation.

Urinary Organs

Nephritis (H.

W., xxxii. 428)

Urine excessive, seven pints in five hours.

Respiratory Organs

Voice: in whispers; lost.—Breathing: difficult; thoracic, rapid.

Heart

Pain in praecordial region; pulse rapid, fluttering.

Limbs

Tremor in limbs.

Upper Limbs

Spasmodic pains at shoulders and back.—Tetanic spasms occasionally in r. forearm and hand.

Lower Limbs

Legs drawn up on belly.—Severe cramps.

Generalities

Emaciation extreme.—Nervous prostration, hyperaesthesia.—Spasmodic movements of muscles of face and arms.—Convulsions.—Faintness.—Collapse.

Skin

Skin: dusky; ghastly bluish green; harsh and dry, with odour as in starvation; bluish mottled; dry; hot.—Skin of legs covered with thick scales.

Sleep

Utter inability to sleep.—Slept restlessly, lying always on r. side with legs drawn up, and ground teeth during sleep.

Fever

Surface cold, wet, and clammy

Alternations of cold and heat

Complained of cold though skin moderately warm to touch

Forehead bathed in sweat, general surface warm

Cold, clammy sweat.