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Natrum Arsenicatum

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General

NATRUM ARSENICATUM. [Natr. ars.] Sodium arseniate. Gourbeyre. Na3 As O4 12H2 O. Hom. Mat. Med. Club of Allegheny Co., Pa.

Mind

► Nervous restlessness. ► Cannot concentrate mind ; dull, listless. ► Forgetful.

Sensorium

► Confused feeling ; head heavy, dull. ► Feeling of heat and fullness in whole head.

Inner Head

► Dull aching in frontal region on awaking in morning ; severe during day ; indisposed to study or speak. ► Aching across brow over orbits and in eyeballs. ► Fulness in forehead with throbbing in top of head. ► Every motion jars the head.

Eyes

► Vision weakened from his condition of health ; objects blue when he looks at them for a short time ; eyes sensitive to light. ► Eyes soon tire and pain when he reads or writes. ► Feels as if he must close lids to protect the weak eyes. ► Lids disposed to close ; cannot open them as wide as usual. ► Blood-vessels of balls and lids much congested, whole orbital region swollen. ► Oedema of orbital region, especially of supraorbital. ► Congestion of conjunctiva from least exposure to cold or to wind. ► Conjunctiva dry, painful. ► Eyes smart as from wood smoke. ► Smarting and lachrymation on going into open air. ► Inner surface of (lower) lids granular. ► Lids agglutinated on awaking mornings ; edges chronically inflamed. ► Aching through, and over brows and orbits and in temples on awaking. ► Eye-symptoms worse in the morning.

Nose

► Smell defective or lost. ► Patient feels stuffed up (nose and chest ; clinical). ► Nose constantly stopped up ; worse at night and in morning ; must, at night, breathe with mouth open. ► Nasal discharge yellow, tough ; hawks it also from posterior nares. ► Mucus drops from posterior nares. ► Piece of hardened, bluish mucus flow from nose, after which mucous membrane feels raw. ► Dry crust in nose, when removed blood follows. ► Nasal mucous membrane thickened, can inhale air, but difficult to exhale. ► Compressive pain at root of nose and in the forehead ; catarrh.

Face

► Flushed and hot ; feels puffed. ► Malar bones feel large, as if swollen. ► Swollen, oedematous, more orbital region, worse mornings on awaking.

Lower Face

► Corners of mouth fissured ; also indurated. ► Muscles of mastication stiff, painful to move jaw.

Tongue, Etc

► Furred ; coated yellow ; deep red, corrugated, anterior part fissured ; large, moist, fissured, flabby.

Throat

► Fauces : dry on swallowing and on inspiration, worse A.M., and after a cold. ► Fauces and pharynx look red and glassy. ► Tonsils, fauces and pharynx purplish and oedematous ; patched with yellow mucus. θ Diphtheria. ► Uvula, tonsils and pharynx thickened ; surface irregular, swollen, purplish-red, covered with yellowish-grey mucus which is hawked out.

Desires And Aversions

► Appetite excessive. ► Drinks often but little at time ; very thirsty but worse drinking.

Nausea And Vomiting

► Belching and sour eructations. ► Nausea, worse from drinking of cold water. ► Vomits large quantities of sour water, worse after eating.

Stomach

► Feels sore, warm things cause a sensation of burning, and can be felt entering stomach. ► Moderate dinner lies heavy ; feeling of fulness. ► Epigastrium tender, worse just below ensiform. ► Sinking sensation in epigastrium, with dull feeling in supraorbital and frontal regions.

Abdomen

► Gas forms rapidly, worse only when bowels move ; colic from flatus and before stool.

Stool, Etc

► Alternate relaxation and constipation. ► Stool : thin, soft, dark, followed by burning at anus ; yellowish, watery ; copious, painless ; hurries him out of bed in A.M., preceded by colic relieved after. ► Weak and nervous, hands tremble : 44.

Urine

► Dull aching in kidneys with profuse natural colored urine. ► Sore feeling in region of bladder, worse urinating. ► Urine : copious, frequent, clear, heat precipitates phosphates ; contains a few epithelial scales, a cast, fat globules.

Male Sexual Organs

► Dull cutting along Poupart's ligaments, followed by sickening sensation in left testicles as from a blow, testicle very sensitive while pain lasts.

Larynx

► Mucus scanty, dark, slate-colored and detached with difficulty. ► Roughness, causing hemming, with spasmodic cough. ► During morning, irritation in bronchi, with slight cough.

Breathing

► Respiratory sound very indistinct, especially in lower lobes ; percussion normal. ► Lungs feels as though smoke had been inhaled.

Cough

► Dry, hacking from an uneasy feeling and soreness beneath cartilages right of fourth and fifth ribs, worse any exertion. ► Dry cough, with feeling of tightness and oppression in middle and upper third of chest.

Lungs

► Feeling of fulness, oppression and soreness, worse during exertion and on full inspiration. ► Lungs feel full and clogged worse behind sternum and from larynx to epigastrium. ► Sharp, quick pain below seventh rib, anteriorly. ► Supraclavicular regions sore on pressure.

Heart And Pulse

► Can feel the heart-beat through chest distinctly. ► Oppression about heart on least exertion. θ Diphtheria. ► Sounds heard through nearly every part of chest. ► Pulse : irregular, variable in volume, slower than usual.

Neck And Back

► Neck stiff and sore. ► Severe pain between scapulae ; he inclines forward for relief ; worse inspiration, it passes gradually around in front to ninth and tenth ribs. ► Soreness at lower cervical vertebrae down to joints of and under both scapulae.

Upper Limbs

► Neuralgic pains from axilla to little finger. ► Rheumatic aching in right arm, worse in shoulder and wrist. ► Light, flying pains in finger, palms and forearm.

Lower Limbs

► Feel heavy. ► Weary feeling from ilium down outer side of thighs to knees, as from too much exertion. ► Bruised feeling along left crural nerve, worse continued motion. ► Aching anteriorly down legs, until restless, uneasy feeling is produced. ► Pains shooting from acetabulum to knee, worse moving about. ► Pain, cramp-like, at junction of heads of gastrocnemius muscle, extending downwards. ► Cramp in plantar surface of right foot.

Limbs In General

► Neuralgic pains recur frequently. ► Joints feel stiff. ► Pains erratic, worse in joints and on left side.

Position, Etc

► Motion : 4, 9, 33.

Exertion : 27, 28, 29, 33.

Quiet : 36.

Nerves

► Restless, nervous cannot sit still without great efforts. ► Feels tired all over ; desire to remain quiet.

Sleep

► Drowsy, heavy. ► Restless sleep, when aroused wakes nervously as in affright.

Time

► Morning : 3.

Eyes worse : 5, 7, 8, 13, 20, 25.

Day : 3.

Night : 7.

Temperature And Weather

► More susceptible to cold. ► Cold : 5, 44.

Cold water : 16.

Open air : 5.

Warm from exercise : 46.

Chill, Fever And Sweat

► Chilly disposed to wrap up or get near fire. ► Chilly at night, then burning, dry heat. ► Skin hot and dry. ► Surface cool, covered with cold, clammy sweat (clinical in diphtheria).

Sides

► Pains show preference for left leg.

Tissues

► Mucous membranes affected : sensitive to cold air, dust, etc., they give him cold or aggravate existing cough, etc. ► Symptoms of subacute gastritis, chronic diarrhoea, nasal catarrh, etc. ► Oedema. ► Marked emaciation after previous increase in embonpoint.

Contact, Injuries, Etc

► Jarring : 3. Pressure, etc. : 17, 22, 27, 28.

Skin

► Squamous eruption, scales thin, white and when removed leave skin slightly reddened. If scales remain, they cause itching, worse when warm from exercise.

Relationship

► Compare : Arsen, Lycop. (stuffed catarrh). ► Kali bich. (nasal catarrh).