Mercurius Vivus - General symptoms - T.F. Allen

GENERAL

General

Delirium. his speech was disconnected, and he would not answer questions.

this delirium increased to a violent rage, so that the patient was obliged to be confined in a strait-jacket, with rolling of the eyeballs, clonic spasms, discharge of yellow, frothy liquid from the mouth and nose, and rattling in the trachea, followed by trismus and tetanus,.

Attacks of vertigo, worse in the evening.

if he was not lying in bed he would suddenly fall down, with flickering before the eyes, sometimes with complete loss of consciousness lasting several minutes.

during these attacks he looked very pale, and sometimes had nausea and vomiting.

vertigo occurred even in bed, and once in the morning he became unconscious and fell out of bed,.

The patches on the edges of the tongue begin to disappear, and the red elevations to show themselves (after twenty days). The ulcers on the edges of the tongue, which are 4 1/2 centimetres in length, are cicatrized in their anterior third. The posterior two-thirds of the left ulceration shows a granulated surface 3 millims. in breadth. The right ulceration has a granulated surface rising above the healthy mucous membrane, and about 3 millims, in length (after twenty-two days). The ulcer on the left border of the tongue has cicatrized.

a white line marks the boundary of the cicatrix. The ulcer on the right edge of the tongue is not more than 3 millims. in length.

it forms a raised granulated surface, with a white border, which cuts it transversely in several places, so as to divide it, as it were, into islets. This granulated surface projects above the white border, which is a true cicatrized edge (after twenty-five days),.

The mucous membrane assumes a bluish-red appearance in one or more places, and becomes spongy.

next day these spots become whitish, and the dissolution of the mucous membrane becomes evident.

in a few hours the whitish-gray substance changes to a fetid ichor, flows off, and exhibits and irregular, shaggy, flat ulcer, with an almost spongy base, and sharply indented edges.

the ichor is discharged in profuse quantity, the ulcer spreads rapidly in extend, without penetrating into the flesh, and is very painful.

if the use of Titanium Metallicum ^{the metal} be continued, and the ulcers left to themselves, they assume a dirty, foul appearance, and become rapidly phagedenic.

blood is now discharged from the ulcers, not actively, but oozing out as from a sponge, and evincing a state of great debility.

the bottoms of these ulcers often present unequal elevations and depressions, as if it had been corroded by insects.

the breaking out of these sores is often accompanied by irregular and quick pulse, sleeplessness, restlessness, profuse night-sweats, great nervousness, and impatience from the slightest cause,.

The mucous membrane of the lower lip, especially on the left side, is covered with large yellowish patches, which cannot be detached by the finger-nail. Buccal mucous membrane swollen, red, thickened, and covered on the cheeks, gums, and palate, with white patches are easily detached from a non-ulcerated surface. The gray patches on the lower lip and inside the cheeks, and on the edge of the tongue, were bordered by a red line (after four days). On removing with a cloth the patches which extended from the lower lip over the inside of the cheeks, the mucous membrane was laid bare, and was seen to be rough and uneven, staining the cloth with a good deal of blood. Severe pain was thus caused (after six days). The gray patches have disappeared, leaving red spots. On the right cheek, near the labial commissure, is a reddish-gray surface, as large as a half a dollar, raised above the healthy mucous membrane. The red spots are true granulations, indicating ulceration of the mucous membrane.

the gray places are remnants of the previous white patches (after thirteen days),.

Buccal mucous membrane swollen and painful (second day). Mucous membrane of inside cheeks swollen, especially on right side, where is a red patch which has been covered by a white film. The palate also shows some of these films. The mucous membrane of the lower lip presents thinnish white patches, bordered with red (after ten days). The white patches on the lower lip are replaced by a surface covered with small red elevations, having a thin gray coating between them. This granulated surface stands out in bold relief upon the healthy mucous membrane, and leaves blood on the cloth when touched.

contact is very painful (after eleven days),.

Buccal mucous membrane lining the upper lip presents, near the right commissure, a thick white patch, bordered with red.

the inside of lower lip is entirely covered with moderately thick, gray patches, also bordered with red. Mucous lining of cheeks swollen, especially on right side.

it, as wheel as the palate, shows thin white films (after nine days),.

Palate almost entirely covered by a thin false membrane, which can be removed from a non-ulcerated surface. Buccal mucous membrane partly covered with thin white patches, but in some places there are thick layers which cannot be wholly removed by the nail (after eight days). Patches on inside cheek, bordered with red (after ten days). Patch on right cheek has gone off, and is replaced by a prominent grayish-red surface.

the red points are evidently granulations.

the gray points are remains of the false membrane (after eleven days). Granulations on the above places in left cheek.

more apparent in right cheek (after twelve days). In right cheek a granulated surface, 1 millimetre in breadth and 5 millimetres in length.

around it the mucous membrane is red to the extent of 6 millimetres (after twenty-five days),.

In 1821, Mm. F. and B., then students in the Hospital de la Pitié, and attending to the treatment of prostitutes, were both attacked with inflammation of the gums, which could only have arisen from the discharge of their duties in the venereal wards. In M. B.'s case, there were even ulcers in the back of the mouth.

An itching and redness between the fingers, also a swelling of the face, and especially of the inner side of the elbow.

with a somewhat altered state of bodily feeling, and a sense of loathing. On one occasion, a letter was brought to me by a countryman, who had carried it in his bosom, next to an undergarment which he had besmeared with mercurial ointment for the destruction of lice. Scarcely had he produced it, before a swelling bigger than a hen's egg appeared on my hand, and my face puffed up and became red and itching,.

Groins and thighs very itchy and painful, with eruption on thighs (after ten days). Very copious red eruption and general erythema all over the thighs, Eruption slightly elevated above skin and somewhat rough to touch. It extended pretty generally over lower extremities, and had also appeared on arms and hands. In some places, small vesicles (after twelve days). Erythema has extended over arms, and the eruption over greater part of body. An exudation of a serous, yellowish fluid has also taken place, particularly from the inside of his thighs, groins, and contiguous parts, which, when dry, stiffens his linen (after fourteen days). In a few days, the erythema had extended over the whole skin, which was everywhere very painful, somewhat swelled, and most distressingly itchy, attended with a considerable desquamation of the cuticle. The exudation became more general, frequent, and copious.

the smell which issued from him was peculiar and very offensive. Cuticle begins to come off in large portions. The discharge is attended with a most unpleasant and peculiar odor. Trunk of body and extremities, particularly feet, considerably swelled (after twenty-two days), Exudation more general and copious than it has yet been, attended with much itching. Smell from discharge still more offensive (after twenty-three days). Swelling of face so considerable this morning when he awoke, as nearly to close his eyes. The cuticle is falling off in portions of very considerable side, especially from his hands. Feet still more swelled, and of a deeper red color (after twenty-four days). Erythema continues almost general, the pain and itching very distressing, the exudation very profuse, and the fetor exceedingly offensive. Lips and eyelids more swelled.

tarsi and eyes considerable inflamed (after twenty-five days). The exudation which had taken place on the forepart of the breast, belly, and extremities, in also coming from his face to-day, which is more swelled, and there is considerable desquamation from his shoulders and back (after twenty-six days). Copious exudation from the breast. Considerable desquamation from the face (after twenty-seven days). Exudation very general. Desquamation begins to extend to hairy scalp (after twenty-eight days). Back very itchy, as usual before the exudations, which, however, have been rather less frequent for several days.

but his skin continues very painful, the fetor very strong, and large portions of the cuticle are falling off (after thirty days). Some swelling in many place where the cuticle had peeled off. The newly formed cuticle cracked during the night, and a considerable exudation succeeded (after thirty-two days). Exudation diminished.

but skin still very painful, and feet and hands much swelled (after thirty-four days). Exudation again more profuse (after thirty-six days). Exudation very profuse (after thirty-eight days). Swelling of hands nearly gone.

that of feet continues, and the newly formed cuticle is coming off lower extremities in pretty large portions (after thirty-nine days).

Exudation much diminished (after forty-four days). Exudation nearly gone except from back of head.

but skin still itching, and very painful, especially when he moves.

feels as if his flesh was cracking in pieces (after forty-seven days). Skin more painful (after forty-eight days). Some exudation for last two days, with restless night (after fifty days). Less pain and itchiness of skin to-day, but some exudation (after fifty-one days). Some flushing of face, and increased redness of trunk and extremities. Some exudation from different parts (after fifty-two days). Redness of trunk and extremities.

pain and itchiness diminished. Exudation more general, and there is a discharge of purulent matter from his hands (after fifty-four days). Exudation chiefly from back (after fifty-six days). State of skin still occasions considerable uneasiness.

some exudation from back of head, from which the hair is falling off (after fifty-seven days). Two small tumors, one on left breast towards sternum, the other on lumbar region of same side, which seem to contain a fluid, and are of a darker color than the rest of skin, but are very little painful (after fifty-nine days). Skin much better, itchiness much less troublesome, and smell much less offensive (after sixty days). Feet very tender (after eighty-three days). The soles of the feet continued so tender for many weeks, that he could hardly put a considerable time after he was quite well in every other respect,.

Whole surface of body hot and itching, with swelling and inflammation of the integuments, most considerable on face and eyelids. These symptoms were preceded and accompanied with alternate cold and hot fits, languor, prostration of strength, loss of appetite, thirst, and watchfulness. She continued in this state for fourteen days, when a scarlet eruption appeared over the whole cuticle, particularly on inside of arms, thighs, and legs.

attended with an exudation, which was greatest from the groins and thighs, and with a disagreeable smell. In a few days, the eruption became dry and white.

and afterwards the cuticle peeling off, and leaving the cutis very itching and tender, the new cutis became affected in the same way as the former,.

Eruption of many large sudamina on abdomen, chest, and upper limbs. The first appeared as round, transparent vesicles, varying in diameter from half a line to two lines, and with a red areola. These were filled with a clear liquid, excepting on the abdomen, where it was slightly turbid. Under the lower jaw were shreds of epidermis, caused by the desquamation of some of these vesicles. On the third day, several of the sudamina had dried up, and new one had appeared.

on some portions of the chest and abdomen the desquamation took place in patches, owing to the coalescence of the swellings. On the sixth day, there were more new sudamina.

Mercurial sore are not necessarily circular or oval in shape, neither are their regularly defined.

on the contrary they vary in these particulars, and assume different forms as they spread.

their edges are often quite ragged, loose, and undermined, and their borders are often marked with a thin, transparent cuticle, like that of a newly formed cicatrix, extending quite around them, and giving them a silvery-white appearance.

their base are not hard, neither are their surfaces covered with the tenaciously adherent lymph so characteristic of venereal.

on the contrary the surface of the mercurial ulcer may present every variety of shape and appearance, sloughy at one spot, deeply excavated and rapidly ulcerating at another, with exuberant granulations at a third, and exhibiting a tendency to heal at a fourth. But the most striking characteristic of the mercurial ulcer is its tendency to spread, and the manner in which it enlarges itself.

it generally spreads quickly, and there seems to be no limit to the size it may possibly attain. I have seen one as large as my hand in each groin of the same individual.

they are easily distinguished from the venereal, when they assume a herpetic character, and heal in one par whilst spreading in another, which the latter never do. The mercurial ulceration often attacks the cicatrix of a recently healed chancre, and a fresh sore is thus formed,.

Erysipelas and gangrene of the lips, with violent fever, thickly coated tongue.

the gangrene extended and destroyed also a portion of the right cheek.

there developed also on the right temple a gangrenous spot, which on opening discharged offensive gas and pus (the patient died after three weeks with hepatization of the upper portion of the left lung),.

The women who work in quicksilver are much more affected than the men, and a much larger proportion of them die.

of the disease with which the workers die, tuberculosis greatly preponderates, so that it seems settled that mercurialismus frequently passes into tuberculosis of the lungs, and there is no doubt that working in quicksilver produces pulmonary consumption,.

Finally, became asthmatic.

the paroxysms at first occurring with long intermissions, but gradually becoming more frequent.

there was a constant rattling, but no cough or expectoration.

towards the close of the disease, which lasted eighteen years, she could not walk or bend over, for fear of suffocation.

Trembling of the limbs so great that she could no more use her hands and could not ascend a height alone.

she could only talk with difficult, and sometimes could not at all carry the food to her mouth, and was even disturbed in bed by trembling, though it never amounted to convulsions.

she could not hold light things in her hands, for the violent trembling would throw them away.

but she was able to carry heavy articles,.

Quite unable to hold either hand steady for a moment.

the muscles are wasted and thin, and always in a state of spasmodic activity.

it is with the greatest difficulty that he can manage to feed himself.

the affection is not so severe in the legs.

he walks very slowly, and with a tottering gait.

he continued, however, to come upstairs without assistance, holding on by the banister all the way.

in bed his movements are often sufficient to shake the bed,.

The principal affection under which he labored was not, as has sometimes been described in these cases, a constant tremor of the limbs and seesaw of the head, such as occur in old paralytic persons, but a sort of rapid convulsive agitation of the limbs (whenever the act of volition was exerted upon the muscles), which moved the extremities quickly in all directions except that which the will prompted. Thus, he could sit on his chair still and nearly unmoved, but the moment he got up and attempted to walk, his legs began to dance, as it were, in spite of himself, and performed very rapid and irregular motions, with so much violence as to compel him to drop on his chair again, or to throw him down. Somewhat similar motions were performed by his arms, if he attempted to use them.

so that he was unable to carry anything to his mouth, and the smallest quantity of liquid was immediately dashed out of any vessel from which he made an attempt to drink. He was under the necessity, therefore, of being fed like a child. These spasmodic tremors were greatly increased by any circumstance that agitated his mind, or occasioned any anxiety (one),.

As soon as they were desired to do anything with their hands, it was evident that they had no power of directing them with decision to the performance of voluntary motion.

thus, instead of taking hold of a book or paper presented to them, they caught at it with sudden spasmodic jerks.

and whenever at last the paper was seized it was crumpled in the hand,.

GENERAL SYMPTOMS.

Objective.

Emaciation, ,

He was emaciated and cachectic, and looked prematurely old,

Considerable emaciation (after thirty-eight years),

Great emaciation,

Excessive emaciation,

Body wasted,

Cachectic condition,

It is certain that the children of the workers are affected with the mercurial poisoning; although it may be from the poison carried in the clothing,

One child of a woman-worker was badly nourished, and when a year old had no teeth,

The children of the workers were pale, cachectic, and scrofulous; while, in the same locality, the workers were pale, cachectic, and scrofulous; while, in the same locality, the children of those who did not work at silvering mirrors were usually healthy,

The children of the workers are very commonly affected by scrofula, rachitis, and tuberculosis,

Her child had the rickets,

A daughter, born during her mercurialismus, was very small, only learned to walk when there years old, and never grew to be more than four feet in height; there was kyphoskoliotic curvature of the spine, the head was drawn to the chest and somewhat to the left side; there was very imperfect development of the muscle and bone,

Mercurius Vivus worker had four children by his first wife, who was also employed in the factory.

all were sickly. one son died of gangrene of booth feet.

the three other children and the wife died of consumption.

the second wife and her children also died of consumption.

the children of the third wife were healthy, except the one born after she was employed in the works.

all three wives died in consumption.

of the first wife's children one was thirty-one years old, the second twelve, and the third three or four years,.

but one case was treated by Prof. Thiery, in Brussels.

When the system begins to evince that it is under the control of the medicine, various symptoms are exhibited.

sometimes they are of a mild nature, at others very violent.

the mouth sometimes first displays the constitutional affection, but it is most generally preceded by some degree of acceleration of the pulse, a degree of feverish excitement, and various nervous affections. If the ptyalism be suddenly established without much previous admonition, the excitability of the system is very commonly much greater, and general constitutional disorder is evinced, and the soreness of the mouth causes an irritability of the whole frame.

considerable absorption of the fatty matter, attended by a great attenuation of the body, is quickly visible, and the stoutest person generally becomes thin and emaciated.

the excretions from the various organs are altered in appearance, and, oftentimes, in odor.

the alvine evacuations become of a brighter yellow, the urine is higher colored.

a peculiar state of the skin, evinced by a very singular fetor, which is quite diagnostic of the mercurialization, and of which it is impossible to convey any impression by language. It materially differs from the smell that issues from the body after sweating has been produced by Dover's powder, or that which occurs after some eruptive fevers, or upon mental derangement.

it is a peculiar characteristic which occasionally lasts after ptyalism ceases. When the action is very severe upon the mouth, the misery which taking any food produces is enough to prevent the indulgence of the appetite, which is sometimes not at all diminished.

but when the ptyalism has completely ceased, the appetite is of the most ravenous character, which nothing appears to satisfy.

then nutrition recommences, the depositions of the well-digested secretions in the various parts of the body, which have lately lost their usual quantity of fatty matter, is very rapid, and the frame speedily acquires even a greater bulk than it previously had, and oftentimes the standard of health is more firmly fixed than it was before.

but this is not always the case.

some individuals are left in a state of great feebleness, and liable to every shock that would, under ordinary circumstance, be light. Sometimes local disease has lasted for some time, and even run to a very outrageous extent.

ulcerations of the tongue, exfoliations of the alveolar process,.

The first symptom was persistent diarrhoea, which lasted profusely eight days, and ceased after she stopped work.

after a year and a half there appeared tremors with loss of appetite and diarrhoea, followed by falling out of the hair.

on stopping work and using baths the tremors disappeared in four weeks, and the hair grew again.

after returning to work the teeth began to be gray, though she daily scoured them with Carbo Veg ^charcoal.

afterwards she was attacked with weakness, vertigo, uneasy sleep with heavy dreams, loss of memory, affections of the mouth, which she treated with Alumina ^alum, and increased decay of the teeth.

after a time the tremors reappeared and gradually became worse, as also did the headache and sleepiness.

afterwards she had palpitation of the heart and hiccough, at times so violent that she had to be held by several people.

after leaving the work she became better, but the tremors did not entirely leave her, and were especially aggravated by any vexation or other emotional excitement.

the gums were somewhat atrophied and retracted from the teeth.

teeth of a grayish-brown color.

Cuprum Metallicum ^copper color of the roof of the palate and uvula.

slight tremors of the extremities and of the tongue, especially noticeable in speech.

the right posterior cervical gland swollen.

rheumatic pains in both upper arms.

profuse perspiration at night and easily becoming chilly.

the patient had two children, the first four weeks too early.

the child was weak, and died when a year and a half old,.

One day when he was getting better I met him suddenly became very much affected, staggered, could scarcely, could scarcely speak, and nearly fell down.

pulse 120, small. respiration rapid, with violent trembling.

after keeping quiet for half an hour the trembling disappeared and he was able to speak.

pulse 80. complained of great weakness of the limbs and oppression of breath, especially at night,.

The arms and especially the hands, when kept in a horizontal position, are soon thrown into a constant jerking movement. This is independent of the will, and the patient is not only unable to stop it, but it even becomes more frequent when she tries to restrain it.

and slight emotional disturbance has the same effect. All manual labor, all prehensile movements of any delicacy, are nearly impossible.

she can hardly pick up a needle lying on a table. The lower extremities are similarly affected.

she can scarcely stand.

walking is difficult and staggering.

she has to support herself every moment (after thirty-eight years),.

Mercurial tremors affect the muscles which are usually under the control of the will, so that one is never master of his own motions.

the affected muscles exhibit normal electrical irritability, but are not able to respond to the will.

on attempting to respond the muscles begin to tremble and twitch excessively.

they frequently make all sorts of motions, as in chorea, before the desired motion is effected, or are sometimes affected with violent convulsive motions, which also involve neighboring groups of muscles.

these muscles are better able to hold heavy objects than light ones, as for example, a knife or fork cannot be used because they are jerked out of the hand, while a heavy object may be held firmly for a long time.

the hands and arms are first affected, the lower extremities next, while the head becomes affected later and only in violent cases.

the general trembling of the body seems to alternate with the stammering of speech.

sometimes the speech is very stammering and unintelligible, while the rest of the body is not affected.

at other times the whole body trembles, twitches immoderately, while the speech though tremulous and interrupted is yet intelligible.

sometimes one-half of the body is more affected than the other.

sometimes the patients are unable to walk, drink, eat, dress, undress, speak intelligibly, or indeed to utter an articulate sound.

sometimes patients are able to ascend and descend steps, though with difficulty, like patients with tabes dorsalis, but are not able to eat or drink, while in others these conditions are reversed.

some are no longer able to drink without assistance because the water is spilled before it reaches the mouth, while they are still able to carry food to the mouth by supporting the arm.

one patient was obliged to be held by several people whenever he attempted to drink.

sometimes chewing is absolutely impossible.

in the convulsive form patients are obliged to be tied in bed to prevent their being thrown out by the convulsions. At times tremors occur in paroxysms of varying severity and duration.

these paroxysms are brought on by emotional excitement, physical exertion, and sometimes occur without assignable cause. At times the paroxysms resemble the violent shaking of ague. One case presented the following remarkable symptoms the whole body was tossed to and fro, while every muscle and each group of muscles seemed to be in incessant activity.

the head rolled about on the shoulders, jerking backward and forward and from side to side, the eyelids opened and closed, the eyeballs rolled from side to side, the wings of the nose and the corners of the mouth twitched, grimaces distorted the face, the jaw moved backward and forward, the upper a and lower extremities jerked as a whole and each muscle by itself.

the convulsions were even so violent that several strong men were unable to hold the patient.

it tossed him to and fro or threw him out of bed. In another case the patient suffered from general tremors with stammering, at times amounting to most violent convulsions, in which she screamed loud, and had to be bound, consciousness, however, was not completely lost.

the paroxysms seemed to be worse in the evening, and only in very violent cases did the trembling continue during sleep.

the tremors usually prevent sleep, or as soon as the patient falls asleep a convulsive shock wakes him, and the tremor begins anew (tetanic spasms have never been observed),.

General convulsive tremors.

his arms and head trembled even while sitting.

speech was tremulous. the tongue trembled when protruded.

all the muscles of the body gradually became affected, and all in constant motion.

the head, arms, etc., were never quiet for a moment.

the eyelids twitched as if affected by chorea.

constant twitching of the muscles of the face.

sometimes for a moment there were more violent tremors of the right half of the body, amounting to clonic convulsions affecting one or several groups of muscles and certain fibres, as for example, of the pectoralis major, were at times affected by violent shaking.

speech difficult, stammering.

he spoke only short syllables.

it was frequently impossible to pronounce these.

the patient was so weak and dizzy that he could not leave the bed,.

The limbs tottered, and the man, though young, moved like one advanced in years. He could not convey any liquid to his mouth in consequence of the severity and constancy of the tremors. So great was the violent of the trembling of his whole frame that he was nearly thrown out of a bath by it.

much of the water was driven over the side of the Tuberculinum ^tub, and it required the force of two men to prevent him from being actually ejected,.

The symptoms first experienced were unusual nervousness and trembling of the hands, as well as tremor when standing.

and this rapidly increased, so that he was unable to feed himself. At the time I first saw him, he stated that he was infinitely more steady than he had been a few months before, but still he had tremor of every part, and difficulty of speaking.

and the more he was questioned about his ailments, the more agitated he became, till he was quite unable to stand, to assist himself, or to speak,.

Formication, drawing pain, and a fuzzy feeling in the upper extremities, followed by trembling, first in the upper, then also in the lower extremities, and at last of all the voluntary muscles, so that she could neither stand, walk, speak, nor chew.

this trembling was aggravated on every attempt at voluntary motion and by emotional excitement,.

General tremor. Almost the whole locomotive apparatus was shaken by regular and spasmodic vibrations, apparently caused by alternate muscular relaxation and contraction. The tremor was more marked in the upper than the lower limbs, and on the left than on the right side. It became worse when the patient attempted certain movements, especially if of a tonic character.

and these became more disordered in proportion as they required precision and voluntary effort. Walking was difficult and hesitating. Eating and dressing without assistance, and, a fortiori, legible writing, were impossible. The abnormal muscular action extended to the organs of speech, causing a precipitate and indistinct mode of utterance, which did not, however, amount to stammering,.

When laboring under one of his numerous attacks of convulsive trembling, he was liable to break whatever he touched, and the movements of his legs were so irregular that in going downstairs he was sometimes obliged to jump over two or three steps at once.

to avoid this, he was in the habit of crawling backwards, and on his hands.

he drank out of a dish, in order to bring the liquid more readily to his mouth, and because a glass would be crushed by the spasmodic clenching of his jaws,.

The attack is sometimes sudden, at others gradual.

with unsteadiness and shaking of the arms and limbs, which prevent walking, speaking, or masticating.

for the tremors become frequent, may, almost constant.

every action is performed by starts.

a peculiar brownish hue of the whole body and dry skin generally accompany the disease. In its first attack it may be taken for St. Vitus's dance, in its later stages for delirium tremens,.

Tremors in paroxysms almost daily, often several times a day, generally worse in the morning than in the evening.

these paroxysms interfered with his work.

they often occurred spontaneously without known cause, but were especially violent after emotional excitement.

the whole body and head trembled violently.

he could scarcely stand upon his limbs.

it was difficult to speak.

he was like a man shaking with the most violent chill, only there was no cyanosis,.

Tremors, not during rest, but on attempting to make any muscular exertion, except of the neck and face.

the tremors lasted as long as the muscles were exercised, when they also extended to the groups of muscles not in motion.

so the outstretched hand trembled.

especially on stretching out the fingers and on repeated pronation and supination of the arm the whole body trembled.

the protruded tongue trembled very violently. All the muscles reacted completely to the galvanic current,.

General clonic spasms of all muscles of the body, ushered in by violent spasmodic pains.

the paroxysm was so violent and accompanied with so much raving that the patient was placed in the delirious ward.

after a year, a second similar attack occurred.

the consciousness was never lost, the tongue never bitten.

the attacks were preceded by vertigo and confusion of the head,.

Irregular and gradually increasing spasmodic action, affecting more particularly the hands, which were in almost constant motion.

the left was most convulsed, and the moment he was spoken to the convulsive action increased. If he attempted to make any voluntary exertion, as taking hold of anything, the hand was thrown in every direction with short but violent convulsive catches. When lying quite undisturbed, the motion was often for a time suspended.

he had also a hurried, convulsive, and indistinct mode of articulation,.

General weakness, at first affecting the left and afterwards the right arm, weariness, with general tremors increasing very rapidly, so that she was obliged to keep her bed.

this was followed by violent pains and cramps in the right arm that lasted three days, followed by complete paralysis.

for this weakness the patient was kept in bed.

this was associated with great mental weakness, hallucinations, delirium, aphonia, and almost complete blindness and loss of hair.

her mind returned slowly and gradually, and her right arm regained a portion of its former power, but was never strong.

after some years the arm was emaciated and at times affected by violent tremors.

sensibility was perfectly acute.

the slightest touch or the prick of a pin was instantly felt, and followed by reflex motion, and the muscles reacted perfectly to electrical stimulus,.

The common erethic fever, or fever of salivation, characterized by quick pulse, hot and dry skin, red gums, swollen tongue, salivation, loss of appetite, restlessness, headache, etc.

this may continue as long as the poisonous effects of Mercury continue in the system, for weeks and even months. Another kind of fever is the dynamic mercurial fever, characterized by depression of strength, praecordial anxiety, frequent sighing, partial or universal trembling, a small quick pulse, a pinched and cadaverous countenance, a sense of coldness.

the tongue is seldom furred.

a sudden and violent exertion may sometimes prove fatal,.

Sensations

Formication,

Fuzzy feeling in the arms and hands,