Stramonium - General symptoms - T.F. Allen

GENERAL

General

Violently delirious, resembling in a marked degree, the most excited stage of delirium tremens, struggling to get out of bed, and continually rolling from side to side.

The appearance of the patient suggested mania, and I might at once have pronounced it a case of delirium tremens, had I not well known the temperate habits of my patient. As I sat observing him, he suddenly turned towards the wall, exclaiming, "There are those bugs, help me to catch them!" "What bugs?" I asked. "There," he replied, "a long train of bedbugs, and after them a procession of beetles, and here come crawling over me a host of cockroaches. "He shrank back in alarm. Then suddenly he turned to me, saying," I believe I know they are not really bugs.

but, except once in awhile, they seem real to me!" This scene was many times repeated,.

It was in a state of wild delirium. It was with great difficulty that the mother could hold it in her lap. It would forcibly throw out its legs and stiffen them, and at the same time throw then wide apart from each other. The arms were being constantly thrown out, as if trying to reach and get hold of something.

and sometimes it seemed as if some object had been secured, and was for a moment fumbled in the fingers. The pupils were dilated and the eyes looked wild. Stramonium's cry was a kind of scream.

a little froth was in the mouth.

the surface of the skin was hot.

the restlessness was very great,.

*Began to look stupid, seemed to forget herself, and gave incoherent answers (after one hour).

seemed to sit like a perfect idiot, for two and a half hours (after two hours and a half).

began to grow worse, biting a man's hand, sometimes crying out that she saw cats, dogs, and rabbits, at the top, sides, and middle of the room.

at other times, with great eagerness, catching at imaginary objects with her hands, and declaring that she saw many people who were not present. She suffered a continuance of these symptoms with little variation, and totally without rest for nine hours, being all this time restrained in bed by force in a raving and maniacal state,.

Although he changed postures a little, yet he remained stupid for six or seven hours.

then he raged furiously, requiring two persons to hold him in bed.

notwithstanding which, he raised himself up, tossed greatly, and seemed to catch at the bystanders with his hands, uttering incoherent sentences.

at last he became sensible and more quiet, restless, and delirious by turns,.

She is all the time inconsolable.

much affected by trifles.

makes much fuss about trifles.

disposed to weep, and sometimes also very easily vexed.

now and then neglects her duties.

now and then thinks she is not fitted for her position.

after the fall equinox.

from the darkness, being alone, and in the morning her state is aggravated.

she wants light (sunshine) and company,.

The child had the look of one suffering from the effects of alcoholic drinks.

an excited condition, not a moment quiet, constant motion of the hands and feet, at one time singing, jumping, whistling, with lively grimaces, and a most jovial condition, in which she Sanguinaria Canadensis ^sang melodies in a perfectly correct manner.

at another time she became excited, beat about her, jumped out of bed, reeled whenever she attempted to stand, and when she attempted to sit up fell over to either side.

the next moment she had the most vivid hallucinations.

talked much in a disconnected manner, it seemed as though her tongue could not follow her chaotic thoughts,.

Complete stupefaction and general insensibility to external impressions, only interrupted by a few transient moments of recognition.

as a rule, they boy noticed nothing about him, did not recognize his parents and sisters, heard nothing and felt nothing.

he seemed to be in a condition of frightful excitement, with constant mental activity, as shown by the expression of the face and gesticulations, appearing to be occupied with the most vivid fancies, especially joyous, and, at times, frightful images.

at times, when he was able to talk, his speech consisted of the most foolish and active delirium, with prattling.

sometimes he seemed to be frightened, sometimes astonished, sometimes pathetic.

but it was very seldom that he uttered intelligible words, and as a rule, there were no words, only a shrill screaming and groaning or loud laughing, with attempts to sing or whistle,.

*She would, while held in her mother's lap, suddenly start as if in terror, with outstretched arms and glaring eyes, and with such an effort that it required much exertion to hold her. This would last but a moment, during which she would cry incoherently.

then a calm would come over her, and she would laugh, grasp at imaginary objects, conveying the hand to her mouth as if eating berries, point to something on the floor, etc.,.

He muttered unintelligible sounds, looked wildly around, and could not be made to do what he was told, though he apparently understood all that was going on. He kept wanting, seemingly, to clutch at some person or persons, whom he imagined were before him.

but he could not use his arms, though he tried to do so (after twelve hours),.

Complete insensibility, broken occasionally by a paroxysm, during which they would utter some indistinct sounds, and throw the hands about the head as if attempting to ward off some threatening evil.

this would soon subside into a semicomatose state, not the stupidity, however, which results from Opium or its preparations, but rather a state of intense apathy, which persisted for a few seconds, when the delirium would again recur unless sooner produced by the efforts of those about to render assistance, when the state of excitement assumed such a form and violence as to render necessary a certain amount of restraint to prevent escape from the imaginary object which engaged the attention.

occasionally they would grasp at something in the space in front, appear as if they possessed or rejected it, then turn the head as if called by a voice beside them and attempt to speak to it.

*the sound resembling a squeak more than the natural tone of the voice. Neither of them was able to support himself alone upon his feet, but would take a step or two with staggering gait, falling to the floor as if intoxicated or in a state of complete exhaustion.

During the period of excitement the extremities were in constant motion, co-ordinate only so far as they related to the corresponding limb, yet wanting in that harmony of action which is found in those movements of a higher order, as standing in the erect posture, walking, etc.

there was constant action of the fingers as if attempting to pick something from the person or the bedclothes.

at times they would burst into paroxysms of excessive laughter, which would persist some seconds, then suddenly cease.

at times they would have a smile, so quiet and pleasant, that we could not but contrast it with the highly excited state previously witnessed,.

Then, again, she would start involuntarily, quick as if a shock of electricity had passed through her body, with an air of affright, and a loud shriek.

her limbs writhed with convulsive motions, and her countenance and body distorted in every direction.

apparently affected with great pain and anxiety. At other times, in her intervals of ease, she would sing, and sometimes laugh, but could not be made to utter a word.

neither did she appear to take notice of anything that was said to her. In short, the functions of her mind appeared to be entirely deranged. These paroxysms occurred at intervals of five or ten minutes, and continued about the same period. She manifested a great aversion to fluids of every kind. When a cup of water was brought to her lips, she would instantly start from it, and sometimes relapse into her paroxysm.

so great was her aversion to it, that it was with the utmost difficulty a teaspoonful of any fluid could be forced down her throat,.

The appearance of the family was extremely ludicrous. The children were laughing, crying, singing, dancing, and playing all imaginable antic pranks. They had no correct estimation of distance, or the size of objects.

were reaching their hands to catch hold of objects across the room, and again running against persons and things which they appeared to view as distant. The nail-heads in the floor were pieces of money, which they eagerly tried to pick up. A boy, apparently fancying himself undressed, caught a hat belonging to a student, thrust his foot into it, pulled with both hands on the brim, and began to fret that he could not "get on his trowsers." The parents frequently called on the children to behave themselves.

but their own actions being equally eccentric, they afforded a ridiculous exhibition of family government,.

They turned natural fools upon it for several days. One would blow up a feather in the air, another would dart straws at it with great fury.

another, stark naked, was sitting up in a corner, like a monkey, grinning and making mouths at them.

a fourth would fondly kiss and paw his companions, and sneer in their faces, with a countenance more antic than a Dutch doll. In this frantic condition they were confined, lest in their folly they should destroy themselves. In eleven days they recovered, unconscious of anything which had passed,.

He became delirious, and knew nothing of himself until he was relieved.

during this time he performed many queer antics.

one time he was off to hitch up his team.

again he gathered up sticks and placed them together to build a fire.

then he would motion as though he would scrape lice and bugs together, shake them out of hats.

pull the paper off the wall to get them out.

pick them off himself and tramp them, etc.

see rats running and try to catch them.

he was very talkative.

did not know even his wife, nor where he was.

wanted to go home, etc. (after fifteen to thirty minutes),.

Screaming, catching at imaginary objects in the air, or rather striking at them, for it was evident that these spectra were of a frightful nature, since at the moment of darting out the hand in the direction where the eyes were fixed, she always suddenly, and with great vehemence, withdrew herself, expressing the utmost terror in her look.

at the same time screaming and sobbing violently. Her eyes would, to appearance, follow the imaginary object for a moment or two, before she made the effort to escape from its supposed approach. She rapidly became furiously delirious, struck at, pushed, or attempted to bite, every person who came near, or any object that was offered to her. In two and a half hours she knew no person, and had been wholly insensible to surrounding objects for above an hour and a half. She remained in this condition for about three hours, when a stage of coma supervened, lasting two hours. There was a return of the excitement, but not so severe as that which first presented itself.

neither was it attended by ocular spectra, or tetanic spasm,.

The unfortunate, after swallowing the powder (of Stramonium), remains for a long time out of his mind, laughing or crying or sleeping, for the most.

even speaking to another and answering, so that you might think sometimes that he was in his right mind, although he is not in his senses, nor recognizes the one to whom he is speaking, and does not recollect the conversation when he returns to consciousness,.

After sleeping a few hours he suddenly sprang up with most remarkable jumping about on his hands and feet, and talking animatedly.

eight hours after this he became conscious, *with trembling of the limbs, which were in constant motion.

the face was red and puffy, with violent throbbing in the arteries.

the pupils were extremely dilated, respiration short, rapid, abdomen meteoric and painful to pressure, tongue white and dry,.

On becoming warm in bed, I felt a host of new sensations creeping over both body and mind. My whole frame was affected with a tremulous vibration, but most sensibly felt through my abdomen, attended with a prickly sensation over the whole body. My mind became extremely timid and restless, which rendered all attempts to compose myself to sleep fruitless. After a teaspoonful of elixir of paregoric, I felt every symptom getting worse.

the surface of my body was bathed with a clammy perspiration.

whenever I attempted to close my eyes I was assailed by imaginary spectres, in the most hideous forms and menacing attitudes.

and what was still to my torment, my bed was suspended and tantalized like a feather between two floors,.

A clouded state of faculties, horrible obfuscation. A patient twice told me he was quite alarmed at seeing how bewildered and incapable I was.

I upset everything I touched.

he seemed to me to be talking out of a cloud, or as if he was a figure in a vision and not a reality, and when he ceased talking, I subsided into a sort of bewilderment, from which I could with difficulty rouse myself to attend to his case.

my writing was almost an unintelligible scrawl.

I lay down again till evening, dizzy and incapable, with dull headache on vertex, but not much pain.

I could not realize anything.

my wife sitting by my bed seemed like a phantom, and I put out my hand occasionally, to feel if she were a real existence. Before this extreme condition of bewilderment came on, I was excessively forgetful.

would begin a sentence with a perfectly clear idea of what I intended to say, but forgot all about it before I had completely expressed myself.

also I used wrong words, and expressed my meaning badly. My speech was thick, as if my tongue were too large for my mouth, though I felt nothing wrong in my tongue, but only a sort of globbering articulation (ninth day),.

When asked, she said she had eaten Stramonium.

this was all she remembered (after half an hour).

her mother gave her medicines, but she continued dull and stupid the greater part of the day, till brought to the dispensary.

part of the day she was unmanageable and talked wildly, so that her mother had to give her the medicine by force. On admission (after eleven hours), she had a wild appearance, was stupid, and unconscious of her state.

when roused, she gave a foolish vacant look around,.

After fifteen minutes, giddy.

loss of senses. sleepy, finally asleep with more or less open eyes. When disturbed, she jumped up in a rage, and said a few unintelligible words.

when others Sanguinaria Canadensis ^sang she commenced to dance. Her pulse was slow and full.

mouth very dry. lasted twenty-four hours, without eating or drinking anything,.

Great cerebral disturbance, accompanied with starting, muttering, occasional screaming, and catching at imaginary objects.

frequent maniacal paroxysms, alternating with moaning, apparently occasioned by the condition of the epigastrium and the abdominal distension. After emetics and purgatives, the stage of excitement passed away and was succeeded by a taste of depression and strong comatose tendency,.

After the usual treatment, for about twenty minutes, the child went to sleep, and woke in about twenty minutes, and was like a mad child.

it would hold out its hands as though it wanted a glass of water, then bring them to its mouth and sup as if it were drinking water or other fluid.

it would put its fingers into its mouth and even bite them, and also its mother's fingers, whenever she put them about its mouth, also screaming incessantly,.

While in bed lying on right side, screamed and said that the bed was being drawn from under her, and that everything was falling on her.

kept holding on to the walls.

asked her mother not to leave her, as something was going to hurt her.

all this lasted from 9.30 P.M. till midnight, when she slept. Since then she has not like to be left alone in the dark,.

After a time the involuntary convulsive movements of the limbs and body seemed to change to more voluntary movements, as if the boy were acting in pantomime, though at times real convulsions occurred.

after two hours (and after a bath) he began to move his mouth as if he wished to speak.

this continued for some time, until he tried to utter articulate sounds, which became more and more distinct.

the first words he spoke were, "Take care, I shall strike;" after a time he seemed to be living in a perfectly ideal childish world, with games of school, etc.

these ideas seemed to alternate in a loose way with speeches, songs, and verses, which were recited and sung in various tones.

also he seemed to be eating berries, cherries, etc., made chewing motions with his mouth, and counted with his fingers.

in all these acts he seemed to be playing and happy.

*all his ideas seemed to consist of mere reproductions.

there was nothing original, and there were no new combinations,.

The things and persons around him appear to be changed.

although he knows at first that his friends are around him, yet he forgets it immediately after.

he imagines that he is quite alone in a wilderness, abandoned.

he is afraid. animals jump suddenly out of the ground sideways, so that he moved quickly to the other side, where, however, others start up, pursuing him so that he runs forward,.

She was brought home by a friend who found her wandering in the bazaar. At the sight of her mistress she first began to cry, endeavored to hide herself, and was afraid of every one who approached her.

she picked at the air with her fingers, sometimes was laughing, at others crying and rushing away to hide, as if apprehensive of some evil,.

After several pipefuls, he would begin to call things by wrong names, e. g., his boots, logs of wood.

his bedroom, the stable, etc., and this without knowing it.

and is remarkable that he almost always miscalled the same things. He was a very small drinker, and always remembered the subject of his conversation, but not language. After sound sleep, he would regain the power of speaking intelligibly,.

Stupefaction, from which he at times started up in a wild manner, opened his eyes, which were partly closed, but could not keep them open.

spoke disconnectedly, quarrelled with his mother, whom he did not know.

his face was very red, cheeks glowing hot, with dry heat over the whole body.

at times he moved his lips and tongue, called for liquid.

throbbing carotids, full, very rapid pulse, rapid respiration.

pupils excessively dilated, insensible.

swallowing difficult,.

He went to bed after taking a dose, at 7 A.M., and never woke till 11 A.M.

he was then drowsy and incapable of understanding what was going around. When brought to the dispensary, he appeared as if under the influence of spirits, with strong fever. He was dull, sleepy, and stupid for two or three days, with remains of the fever and excitement,.

He was quite insensible to sound, seeming not to hear the loudest talking.

rousing and shaking him had no effect.

his eyes were partially open, and the pupils more dilated than I ever have seen. The stupor was of a drunken kind.

there was no disposition to sleep, but a constant restlessness and turning of the body, attended by a most peculiar fidgety manner of twisting the fingers and catching at some imaginary object. This was varied now and then, by grasping the bedclothes very tight.

his body was warm, more from this exercise of the arms than any other perceptible cause.

the tongue was always rolling the pulse rather quick.

and the patient often shrank, as if suffering from a creeping sensation over his body,.

Intoxication, with a feeling of heaviness in the body. Diminished memory.

she would begin to speak of something, and before finishing would forget what she was talking about. She does everything in great haste. Her movements are all hurried. Stupefaction of the senses. All things appear to her as if they were new.

when going from her bed to the door of room, only a few steps, she was obliged to sit down twice. Her whole body was sensitive to touch, and every motion aggravated. Frequent attacks of gloomy fancies, accompanied with tears,.

Headache every day at two different times, late in afternoon and evening and early in morning, waking me before sunrise, about 4 A.M.

it was a rather severe pressure on vertex.

I woke always at the same time, with the headache, lying nearly on the back, with an inclination to the right side, and my arms, one or both, especially the right, violently stretched up vertically and bent across top of head.

so severely were they stretched as to make the muscles of upper arm feel strained and rather bruised.

this elevation of the arms on waking continued for ten days.

the last time it occurred, I detected myself gently raising my arm in the act of waking.

this time there was no straining of muscles (after twelve days),.

Head feels empty, hollow, and sensitive to every sound.

it is confused, and she is unable to think much or reckon. Stupid feeling of the head. Vertigo.

the head feels drawn backward. Great dislike to move about, and an inability to sit up straight any length of time. Vertigo when raising the head from the pillow. Her voice, to her, did not seem to have its usual sound.

it seemed higher and finer than usual. Great heat of the head Cold face. A disagreeable lightheadedness, with a feeling of great weakness in the head. Red rash on the face, neck, and back, which resembles that accompanying scarlet fever. Giddiness while sitting or standing in a room. Giddy headache, with faintness. Frequent inclination to raise the head from the pillow. Moves her head to and fro. Redness of the face and eyes. Frequent redness of the face. Her nose feels obstructed and dry, although she is able to breathe through it,.

A sensation as of sparks of fire rushing from the stomach to the eyes. Obscuration of sight.

things looked blue and smoky, and at times could see only half an object at once. Redness of the eyes and face. Eyes are staring. All things look smaller, and at a greater distance than they are. Dilatation of the pupils. Extreme dilatation of the pupils. She complains that the rays of the sun dazzle her eyes. Eyes glisten. Dimness of sight.

she is unable to discern small things, such as the point of a pin. Indistinct, confused sight. Fiery visions before the eyes. With staring eyes and dilated pupils she saw nothing.

did not recognize any of her family. Every one's face looked to her as clear and as smooth as a piece of satin.

and small spots like freckles, on a person's face, were not discernible for ten days after taking the poison,.

Sight troubled. could not focus the letters of MS.

the letters looked confused.

distant objects not affected (third day). The same dulness of vision for small objects near the eye.

the lines of letters written look double (fourth day). Great presbyopia.

obliged to use the spectacles of an old person, and then can read and write as usual, otherwise cannot read a word.

distant and large objects are seen as well as ever, but small and near objects are completely confused (sixth day). Presbyopia continued (seven and ninth days).

the presbyopia ceased two days after medicine was left off.

while it lasted, I had to wear spectacles when reading or writing,.

The first sensible effect is in the sight.

there appears a preternatural dilatation of the pupil of the eye.

vision is rendered indistinct and confused.

objects appear multiplied, diversified, and variously colored.

the patient complains that he cannot see clearly.

he cannot discern a small object, such, for instance, as the point of a pin or needle.

he sees in the room objects which do not exist, and complains of a numbness of the head attended with vertigo,.

A transient bright spot before left eye, apparently a long distance off, when looking into air, sitting indoors, and turning head to left (after four hours and five minutes).

in a gaslighted room (second day).

at 12.10 P.M. (seventh day).

in a dark room at 11.30 P.M. (eighth day).

at 11.50 A.M. (ninth day).

on looking at nearly white wall-paper, at 5.10 P.M. (sixteenth day).

at 12.30 P.M. (nineteenth day).

in the morning (twenty-fifth day).

before left eye in a dark room (twenty-fifth night),.

Whenever I looked up to the sky, saw in the sky a large bright spot of various forms, once a crescent, once a vertical long bar, several times repeated, at 1.50 P.M. (second day).

bright spot before left eye on suddenly turning head to left, while lying in bed in the dark a little before midnight (third day).

bright spot before left eye on turning head to left, while lying in bed in the dark before daybreak (fifth day),.

Great dryness of mouth, throat, and nostrils.

could not eat bread and butter for breakfast, but was forced to eat sopped bread and milk instead.

the dryness prevented insalivation, and made swallowing difficult (sixth day). The dryness of throat, mouth, and nose continued.

cannot insalivate dry food.

swallowing such food is difficult.

at dinner, obliged to sip frequently to help down the food, which seems arrested in the oesophagus (seventh day). Woke several times with excessively disagreeable dryness of mouth and throat.

had to sip water several times (seventh night). During breakfast, extreme dryness of throat and mouth (ninth day),.

He made ineffectual attempts to speak, but not a syllable could he articulate.

the mouth was too dry and parched, the secretion of saliva being evidently entirely suspended (after eleven hours and a half). Muttered unintelligible sounds (after twelve hours). Could not speak at all intelligibly till the end of the next day, and then continually misplaced words, calling his head his foot, his arm his leg, and misnaming the things he required, though ludicrously unconscious of his perpetual misnomers. It was several days ere he could converse without calling something by a wrong name. On the third day he could speak with tolerable distinctness, but thickly, like a person with quinsy, and the throat and tongue were painfully dry, the glands of the mouth not yet fulfilling their natural functions,.

Feeling of mucus at back of throat requiring hawking, with hoarseness, after rising from bed in the morning (second day).

at 9 P.M. (third day).

brought on by talking, at 10.20 A.M.

some hoarseness when talking, in the evening after sunset (fourth day).

feeling of mucus at back of throat, causing hoarseness and hawking, after rising from bed in the morning (sixth day).

when talking in morning (tenth day),.

Within two hours and a half, the child had not only lost the power of utterance, but that of voice also. She could now only utter a hoarse croaking sound, alternated with a sonorous, croupy, barking cough.

and she was unable to swallow, in consequence of the violent spasm which affected the muscles of deglutition. This state of spasm, judging from the nature of the cough, and the croupy character of the inspirations, pervaded also the muscles of the larynx,.

The comatose state was attended with incapability of swallowing.

but evidently the cause was of a totally opposite nature to that which had produced the same symptom in the first stage. It was now decidedly the result of atony or paralysis of those parts that had been formerly affected with spasm. A slightly stertorous state of the breathing indicated that a similar change had taken place in the muscles of the larynx,.

Trembling and shuddering of the limbs. Limbs were paralyzed for eight hours. Hands and feet numb, or like wooden ones, or as if they did not belong to the body. Trembling of the arms when eating. Trembling of one hand when eating. Trembling of one limb. Convulsions of the limbs. The limbs feel as if gone to sleep. Drawing pain in the thighs. Sensation as if one part of the joint were separated from another. Immobility of the limbs. Creeping in the limbs. Tingling in all the limbs. Creeping extending from the left side into the thigh. When walking, although she staggers, her limbs obey the will so readily that she feels as if she had none.

they seem much longer than they are,.

His limbs were very rigid, and remained so, except when the convulsive twitchings would come on, which was about every ten minutes at first.

half an hour later he could not stand.

the convulsive movements of the limbs increased, intermittent in character, induced at times by external impressions, such as touching the skin, but coming on also spontaneously,.

In the abdomen, in the region and in the direction of the transverse colon, a drawing sensation, which soon changed into tearing, as if two dogs were drawing the bowel in opposite directions, and were ready to tear it asunder.

with this symptom was connected a kind of hunger, when the tearing sensation had subsided a little, but still the patient was unable to take any food (three-quarters of an hour after third dose),.

Loss of appetite. Great desire for acid drinks. Sickness at the stomach, with a desire to vomit, but an inability to do so.

followed by dizziness, faintness, and a difficulty in swallowing and breathing. Indescribable feeling at the stomach, followed by partial loss of consciousness. Weak feeling at the stomach, as if everything were gone. Weakness from the least exertion, vomiting of sour-smelling mucus. Sour stomach. The first food taken, which was rice-water, had no taste, and felt apple-cores in the stomach. Stomach smarted and felt ragged, as if full of sores. Vomiting of mucus at night. Anxiety about the pit of the stomach. Anxiety about the pit of the stomach, with difficulty of breathing. A sensation of weakness so great that she could not describe it. Nausea. Bilious vomiting after the least motion,.

When voiding the urine, no stream is formed in spite of all pressing and urging.

the urine is warmer than usual, but it comes out only in drops.

he is not able to hasten the emission or to press out the last drops, and without any pains in the urethra, except the sensation as if a cylindrical body were pushed through the urethra. After drinking vinegar it appeared again in a thin stream, and the desire was less often,.

Convulsive movements of the head from side to side, gradually becoming worse, and followed by general twitchings, grating of the teeth, trismus, spasms of the neck, difficult swallowing, stupefaction.

afterwards the boy lay perfectly unconscious on his back.

when raised, the neck and spine were bent backward, the limbs were in constant convulsive motion, with frequent shaking of the whole body as from electric shocks,.

Constant motion of all the body.

the muscles were in constant movement as if the boy had chorea.

the features were continually changing, at times laughing, at times expressing astonishment.

the lips moved as if endeavoring to speak, sometimes puckered as in whistling.

the mouth was frequently opened and snapped together.

the tongue was often run rapidly out of the mouth and licked about the cheeks.

the whole head thrown backwards and forwards.

the spine and whole body affected by spasmodic twisting.

the upper and lower extremities in constant movement, not-jerking.

anxiety and restlessness.

the hands were frequently carried to the face, rubbing the nose and mouth, pulling at the lips, groping about, fingering the bedcovers, scratching the face or throat.

at times the arm suddenly sank down relaxed for a moment, the whole body seemed exhausted, then the muscular spasms would begin anew,.

Hands and feet completely retroverted, and the muscles of each extremity rigid.

a slight, but distinctly-marked trembling shook every part of his body.

the trunk equally rigid with the limbs.

he uttered a constant moan, with occasional shrieks, and could only be pacified by holding his chest pressed closely to his mother's breast.

his whole conduct was like that of a child terribly frightened and apprehending some terrible calamity.

he could not stand and would not lie down.

the pupils of both eyes were dilated to the full extent of the cornea and perfectly immovable and insensible to the light.

the least noise, however, startled him, and holding a candle before his eyes caused violent convulsions of the extremities, particularly a drawing backward and increased rigidity.

a decided and very nervous effort to swallow occasioned an increase of his spasms.

he could not articulate.

during the spasms the limbs were so rigid I could not bend them.

there was entire loss of voluntary motion.

constant tremor, preventing my counting the pulse with exactness,.

Violently convulsed. every muscle in his body appeared to be in violent commotion. He was continually beating his breast with his hands, like a Catholic doing penance. His jaws were set as in tetanus.

he moaned continually.

his breathing was stertorous, and occasionally there was rattling in his throat. His extremities were cold, his pulse nearly obliterated.

he had cold, clammy sweats, and his countenance was hippocratic (after two hours),.

Much convulsed. when they were loudly spoken to, or when anybody touched them, their convulsions became more frequent and violent. By degrees the spasms became less violent, and their skin, from being intensely hot, became moist.

their pulse was still quick but softer. They now rejected every kind of liquid, and seemed to labor under hydrophobia, for on offering a cupful of drink to them, the moment it touched their lips the spasms returned with great violence,.

The action of the muscles of the trunk was very great.

the boy was several times bent backward as in opisthotonos.

the muscles of the extremities also were very active.

he also grasped at the mouth and face with his fingers and tried to get out of bed, and constantly seemed to make efforts to grasp small objects, though he had no spasms,.

Several times when walking along the street, I experienced a sort of aura or wave of sensation running swiftly up the body from the right heel to the occiput, i. e., all along the posterior right side of the body. Occasionally I would feel suddenly arrested, as if tripped up by a backward thrust in the popliteal space, causing the knees to give way under me.

several times I came to a dead stop through this sensation (ninth day),.

After thirty minutes I saw her.

she was lying on the bed, with her face very red, the pupils dilated.

pulse full and strong.

great trembling of the limbs, and frequent unsuccessful attempts to vomit. From evident paralysis of the throat she was unable to swallow enough of a mustard emetic to cause emesis. She exhibited great inclination to go to sleep, which she was prevented from doing by the attendants walking, or, I should say, dragging her about the room, her limbs being so paralyzed that she could not walk, or even stand.

and she presented a most perfect picture of intoxication. The severity of the narcotism lasted about an hour, and was followed by a state of wakefulness, which lasted about twenty-four hours. During the first two weeks of her sickness, I gathered from her the symptoms, which she assured me were entirely new to her, and many of them, she has since informed me, continued her frequent companions for more than a year. The first effect of the drug she noticed about ten minutes after she had taken it,.

Spasmodic twitchings of the muscles of the upper and lower extremities, unsteady gait and inability to stand erect, with restlessness and incoherence of speech, alternately laughing, crying, and singing.

some nausea and disposition to emesis.

pupils widely dilated.

difficult deglutition.

tumultuous action of the heart.

expressions of alarm and dread of falling,.

Became sick and vomited.

after which he wished to get out to get assistance for his wife, but he had scarcely gained the door of the room ere he felt so enfeebled that his knees bent under him, and he was forced to sit down, but in a few seconds he fell senseless to the ground.

on recovering he vomited repeatedly, was greatly agitated, became torpid, with a lethargic tendency, and lost for some time all sense of feeling,.