Tabacum - General symptoms

GENERAL

General

He went to sleep in the cabin, which was full of large packages of tobacco, but was harassed by wild and frightful dreams, and suddenly awaked about midnight, bathed in a cold dew, and totally unable to speak or move. He knew, however, perfectly where he was, and recollected everything that had occurred the preceding day.

he could not make any bodily effort whatever, and tried in vain to get up, or change his position. The watch on deck struck four bells, and he counted them, though it seemed to him as if he did not hear the beat, but received the vibration through his body. About this time a seaman came into the cabin with a light, and carried away an hour-glass without observing the sufferer. Shortly after a pane of glass was broken in the skylight, and he saw the fragments of glass drop on the floor. These circumstances which really occurred, are mentioned to show that Mr. H. experienced real sensations, and was not still under the influence of perturbed dreams. His inability to move was not accompanied by any pain or uneasiness, but he felt as if the principle of life had entirely departed from his frame. At length he became totally insensible, and continued so till an increase of wind made the sea a little rough, which caused the vessel to roll. The motion, he supposes, had the effect of awakening him from his trance, and he contrived somehow or other go get up and go on deck. His memory was totally lost for about a quarter of an hour.

he knew that he was in a ship, but nothing more. While in this state he observed a man drawing water from the sea in buckets, and requested him to pour one on his head. On the seaman doing so, all his faculties were immediately restored, and he acquired a most vivid recollection of a vast variety of ideas and events which appeared to have passed through his mind, and to have occupied him during the time of his supposed insensibility,.

By loud calling and vigorous shaking, he was aroused from his comatose condition, when he began in a high state of nervous excitement to cry, "Oh, my head! Oh, my head!" at the same time clutching his forehead with his hands, and staring wildly about him. At one time, in great trepidation, he begged that some imaginary bottles should be taken out of the room.

indeed, his conduct and appearance at this time were not unlike one suffering with delirium tremens,.

From having been one of the most healthy and fearless of men, he had become sick all over, and as timid as a girl.

he could not even present a petition in Congress, much less say a word concerning it.

though he had long been a practicing lawyer, and had served much in a legislative body. By any ordinary noise, he was startled or thrown into tremulousness, and afraid to be alone at night. During the narrative of his sufferings, his aspect approached the haggard wildness of distemperature,.

An examination of the numerous cases reported by Dr. Hutchinson reveals the following conditions common to all the cases.

white or gray atrophy of the optic nerve (in a few cases the color was bluish-white), commencing at the outer part of the disk, usually with a sharply-defined margin and with diminishing size of retinal vessels.

in a few cases there were signs of congestion, and in two cases neuritis with indistinct outline of disk. In some cases the centre of disk was found depressed and atrophied. It is noteworthy that the left eye became first affected and was more affected than the right in nearly every case. The vision failed suddenly in a few, rapidly in many.

in others the progress of the disease was fitful. Some complained of flashes of light, others of fog, but most simply of indistinctness of vision. As the atrophy advanced the pupils dilated and became insensible to light.

and in a few cases divergence of the eyes ensued,.

Complained of failure of sight for three months, and in particular that "things looked black" (probably central scotoma). Sight did not vary on different ways. Vision-right, letters of JäGeranium Maculatum ^ger and 50 Snellen, barely at twenty feet. Slight hypermetropia, but sight not improved by glasses. Optic discs pale at the temporal portion.

no other changes. The physiological cup very large in each, and in one eye spontaneous pulsation of the vein,.

Complains of seeing double whenever he uses the smallest amount of tobacco.

he says that in ten minutes after smoking a part of a segar, or after chewing a little tobacco, he begins to see double, and a kind of dimness or confusion of sight, as if black dots filled his visual field comes on. When he abstains from tobacco for awhile he improves, and his vision becomes single and clear. The tobacco condition is always aggravated, in a very marked degree, by any kind of stimulant. I found, on examining him, vision in each eye 21/100. Insufficiency of the internal recti, so that behind a screen there is a divergence of one and a half lines. Double vision for distant objects.

monocular vision for near objects.

cannot diverge both eyes on it. Optic disk pale, partly atrophied, eye, otherwise normal,.

The disturbance of vision resulting from the abuse of tobacco cannot be distinguished from that caused by alcoholic drinks.

we find an irregular, variable irritation and irritability of the retina, sometimes central scotoma, with improved vision in the dark.

diminished extent of accommodation (one of the first symptoms).

at times increased intraocular pressure.

pupils moderately dilated and sluggish,.

A peculiar alteration of the complexion.

this is not a mere want of color, an ordinary pallor.

it is a dullish gray appearance of the face, partaking both of a chlorotic tinge, and of that belonging to certain cachexias. It imparts to the countenance a characteristic look by which a practiced eye can recognize those who have been engaged beyond a certain length of time in the manufacture of tobacco.

for it must be remarked that this facial aspect is only to be observed in the case of veteran workers,.

In a vast number of extreme cases of smoking, when those who have indulged in such excess have had what has been called toothache, their sufferings have been great, yet in most instances I have observed that the crowns of the teeth seemed perfect, excepting that the enamel appeared to be altered in structure and color, and, therefore, I directed my special attention to the state of the fangs, and found them, in all such cases, denuded of their periosteum being rough at the extremities, as if rasped.

whilst the color of the fangs themselves resembled horn, being of a darker hue than healthy dentine, and of a porous appearance, differing materially from the usual dense substance which envelops them. In consequence, therefore, of the active absorption going on, the affected teeth act as extraneous bodies and produce much local irritation. Hence I am led to the inference that tobacco affects the teeth themselves, and that the affection must not be confounded with their injury induced by the acidity often caused by stomach derangement, resulting from an inveterate habit of smoking. The symptoms of the "smoker's disease" are as follows More or less uneasy sensations about the crown of the teeth, which gradually extends to the fangs.

at this stage of the disorder, if the teeth are touched, there is a tenderness experienced, and if bitten on in this condition, a sudden and most painful sensation is experienced.

as the disease proceeds, the patient seems cognizant of the immediate seat of the disease, the agonizing pain being confined to the bottom of the alveolar process of the affected tooth or teeth, which is attended with a palpable throbbing, or, as an unscientific patient expressed it, a "jumping pain." The most distressing symptoms are felt under vicissitudes of climate.

in great and sudden changes from heat to cold, or vice versâ.

or after drinking spirits and water, wine, beer, or any other alcoholic stimulants.

in other words, the teeth, under this affection, suffer from anything that accelerates the circulation. Among many of my most intelligent patients, when there happened to be a space (from previous extraction) between the affected teeth, they have described their sensation as if a series of galvanic or electric shocks continually passed from tooth to tooth, and tired at last by this continued disturbance, they have had the offenders forcibly removed,.

The smoker feels a pain, dull, and although not acute, yet distressing, from the constant sense of oppression which attends it. Tabacum's seat is behind the breast bone, and rather tending to the left side. It is neither aggravated nor diminished by full inspiration, nor by any change of posture.

comes on usually in the afternoon, but irrespectively of meals, and sometimes increases in severity during the night, so as to interfere with sleep, yet almost completely vanished before morning, and this without appreciable disturbance of the circulation, respiration, or digestion,.

Haemoptysis. she had raised several ounces of blood and mucus this morning.

she had now a cough and continued to expectorate small quantities of blood.

on close examination the matter expectorated was found to contain numerous dark particles diffused through it.

in some spots several of these had coalesced and formed large masses, although she had not touched snuff for four days.

the next day the haemorrhage had gradually lessened, but the snuff was still diffused through what was brought up, and continued so the whole of this day and the next. I ascertained that the attempt to introduce a spoonful of snuff into the mouth has, from the first, been frequently followed by a convulsive cough. Her friend from whom she learned the habit is troubled with a constant cough, and has become emaciated and weakly,.

A feeling as if the fingers were longer when smoking Tobacco in a pipe, after about three inspirations of it.

if he continues smoking, he feels as if he had lost the use of his legs from knees downwards.

can smoke a cigar in open air, but if he smokes half of one indoors, his calves feel as if they did not belong to him, and as if they were dropping away,.

The next morning he had a pain in the stomach, as if he had swallowed something which was too large. He could hardly eat breakfast, deglutition gave him so much pain. He points to the epigastrium when locating the pain. He says it is as if at a certain spot the bolus was forced through too small an opening, and when the food is once in the stomach, it occasions a "bursting" or distensive pain. Fluids occasion a similar pain, but not so intense. Warm drinks occasion less suffering than cold while swallowing, but their presence in the stomach somewhat alleviates the burning pain. He also observes, on taking a full inspiration, a stitchlike sharp but not acute pain, which extends from the epigastrium directly backwards to the spine. This sensation feels as if it would be relieved by an eructation, but it is not. Twenty-four hours afterwards, he was afraid to eat or drink because of the pain. He has never had anything like this before.

all that he has ever noticed from the use of Tobacco was a sense of sinking at the epigastrium,.

Some months after, ceasing to smoke, I was induced to smoke incessantly, during a nine hours journey in the company of smokers, and in consequence, the taste of rancid oil returned, with such intensity, that it would have turned my stomach, had it not been disguised by the same means which had excited it.

On approaching Paris, I felt some slight lancinations in the hypochondria, which I scarcely noticed.

Feeling as if the abdomen was larger than usual; and on the other hand, while it was the seat of a dull pain, little increased by pressure, it was as if paralyzed; I touched it, and my hands alone were sensitive of the contact.

I noticed also a difficulty in articulation, resulting from a kind of numbness, hitherto quite unfelt, not only of the tongue, but of the muscles of the cheeks and lower jaw, which were affected with a slight nervous agitation when I tried to speak.

These last symptoms, however, which I attributed to fatigue, ceased for the most part on my arrival at home.

It was then 8 P.M.; I had an excellent appetite, my dinner awaited me, and I took my seat at the table with extreme pleasure.

The soup seemed excellent, it doubtless was so, but alas! I was unable to enjoy it.

Judge how my family were terrified! The disorder had broken out so suddenly and with such violence, that I had not the chance to utter a word, and only my hands clasped over the stomach served to point out the seat of my suffering.

However, I succeeded, with some difficulty, in getting into bed.

I was covered with hot cloths, which were renewed every minute, and greatly relieved me.

I felt my pulse - it was never quieter; I pressed hard on the stomach and abdomen, they scarcely felt it.

A quarter of an hour passed, my appetite returned, I was hungry, very hungry, and without quitting my bed (very fortunately, as it turned out) I resumed my dinner, which seemed to have been interrupted by a horrible nightmare.

So incredible, so rapid a change, caused the friends who surrounded me to smile amid their recent tears; they brought me the wing of a fowl.

I eagerly swallowed a few mouthfuls; it was too much, a hundred times too much.

The pain has got me again - it is terrible! I have had extracted in my time a big molar, whose root had grown to the lower jaw, and which broke twice under the dentist's turnkey.

In 1849 I had cholera so badly that I was blue all over, as my venerable friend Dr.

Peters can testify, who kindly attended me at the time.

Well, I boldly declare the pain I am now speaking of was worse than either.

A horrible night it was, that night of February 21st, 1858.

First, I vomited (but only by taking tepid water and tickling the uvula), a little food mingled with a very bitter fluid.

It seemed to me that this vomiting relieved me by bringing out the sweat which marked the height and turning point of the attacks.

These lasted altogether from twenty to thirty minutes, becoming rather longer towards morning.

Each of them was over in from one to three minutes, during which I could only keep from crying aloud by prodigious efforts of will.

They were accompanied neither with nausea nor colic, and excited neither stools nor urination, but yielded in every case to a very copious sweating, which usually marked the close of a paroxysm.

After the cessation of one attack I felt remarkably easy.

Then my face, a moment before greatly altered and of a cadaverous pallor, regained its color and natural expression, and I had no more pain anywhere.

During the 22d, I had there of these attacks, in the daytime.

The first one took me (I believing myself cured) when I was away from home, but only a few steps from it.

Fortunately a carriage was standing at my door.

I beckoned to the driver, and he came to my help before I fainted in the street.

On the 23d, I was well and without an attack, thanks to lying in bed, and the strictest diet, despite a very sharp appetite.

On the 24th, after a very good night and feeling admirably, I took a few spoonfuls of chocolate, and went out in a carriage.

But scarcely had ten minutes passed when I felt another attack coming on, and returned home quite desperate. 25th and 26th, strict diet, rest in bed, and no attack. 27th, chicken-broth; I could sit up a little; felt same wandering pains in the sides, but no decided attack.

Three days after, I returned to my usual diet and mode of life.

The tongue, which was loaded after the forced vomiting, is still a little yellow at the root.

The pulse, which for eight days had continued quite regular (even in the most violent of the paroxysms) is still a little slower than usual; but this I attribute to deprivation of food.

No trace of pain. The stools are normal, and there has been no constipation.

March 5th, having felt very well for five days, I tried to smoke a segar, and immediately, that is, after the third and fourth puff, felt sharp, characteristic pain in the pit of the stomach.

rancid taste in the mouth.

sweat on the forehead.

an attack was impending, which would certainly have occurred if I had gone on smoking,.

Average quantity of urine, 41.69 fluid ounces.

free acid, 27.86 grains.

urea, 657.69 grains.

uric acid, 12.83 grains.

chlorine, 148.81 grains.

Acid Phos ^{phosphoric acid}, 56.18 grains.

Sulphuricum Acidum ^{sulphuric acid}, 36.92 grains (for five days before smoking).

average quantity of urine, 39.82 fluid ounces.

free acid, 32.89 grains.

urea, 615.32 grains.

uric acid, 18.71 grains.

chlorine, 125.77 grains.

Acid Phos ^{phosphoric acid}, 80.01 grains.

Sulphuricum Acidum ^{sulphuric acid}, 41.33 grains (for five days before smoking),.

Average quantity of urine, 38.85 fluid ounces.

free acid, 24.64 grains.

urea, 610.50 grains.

uric acid, 10.53 grains.

chlorine, 129.55 grains.

Acid Phos ^{phosphoric acid}, 44.23 grains.

Sulphuricum Acidum ^{sulphuric acid}, 31.66 grains (for five days before smoking).

average quantity of urine, 37.34 fluid ounces.

free acid, 27.67 grains.

urea, 547.96 grains.

uric acid, 15.05 grains.

chlorine, 114.55 grains.

Acid Phos ^{phosphoric acid}, 74.46 grains.

Sulphuricum Acidum ^{sulphuric acid}, 40.01 grains (for five days while smoking),.

Sleep heavy, with irregular rattling respiration, from which he could not be awakened.

at the same time the face and back were covered with cold sweat, eyes open and staring, features drawn.

by long-continued shaking and calling the patient was momentarily aroused to consciousness.

he took a cup of Mentha Piperita ^peppermint tea and then fell down in a most profound faint, with pale face, cold sweat, staring, sunken eyes, surrounded by blue margins, dilated and insensible pupils the lower jaw dropped, the extremities relaxed, powerless,.

I always had a strong appetite for Tobacco, so that nothing but absolute necessity could ever have induced me to undertake to break up the habit, but for a year I found the symptoms gradually increasing in violence and frequency. I used Gentian as an antidote or substitute.

its bitterness temporarily destroyed the everlasting craving for Tobacco. The first night after reforming, I jerked so that I could not sleep, jerked all over, and something seemed to draw my left shoulder down irresistibly. A dose of Ignatia ^Ignatia immediately relieved me of these symptoms, and I slept well the remainder of the night.

one slight jerking since is all. Now I can lie very well on either side. Can go upstairs or over a bridge quite comfortably. Better as to pulse and cardiac pain. No more vertigo. Can hardly observe any numbness of orbicularis oris. Sleep well. No bad dreams Appetite good. Strength improving. Temper better than usual,.

I was called and saw him in less than ten minutes after he had taken it. Upon entering the room, I noticed two short inspirations, and all was ended. From the statements of the family, he had convulsions immediately after drinking the poison, and sank to the floor. I found him lying upon his left side, mouth and jaws wide open, with the tongue protruding.

lips, tongue, and inside of mouth of a dark-blue color.

eyelids open. pupil of the eye contracted to the size of a pin's head. General appearance of a man who had been suddenly struck dead. Petechiae all over the body, with spots of ecchymosis in places. Rigor mortis very great,.

Vertigo when standing and sitting, at last becoming painful.

frequently obliged to change his position, and when standing, was frequently obliged to change his position, and when standing, was frequently obliged to stand upon one foot and frequently change the position of the body, to lean or support the body in some way.

while sitting, was obliged to stretch out or bend up the feet and move them back and forth.

while reading, the arm speedily became fatigued from holding the book, at times associated with stitching in the fingers, especially in the thumbs.

even in bed was frequently obliged to change the position, and also while asleep I became very restless, so that the sleep was frequently interrupted, and was often weary in the morning.

Following this, there was complete loss of power of co-ordination of antagonistic muscles, so that while standing, the knees gave way, or on sitting down, I fell with my full weight on the chair.

I became unable to draw my clothes on to my limbs without supporting myself.

At times the gait became slow and shuffling, the steps short, scarcely raising the feet from the ground, so that I frequently stumbled and became weary.

it was especially difficult to go upstairs, especially if the steps were high.

such an ascent caused anxiety and dread of falling backward, so that I went with the body bent forward.

Tabacum was associated with transient attacks of vertigo while walking in the open air, especially on suddenly looking upward, also with great weakness and speedy fatigue, without confusion of the head and without difficulty in performing mental labor, with at times nosebleed without apparent cause.

One evening, while sitting, as usual, drinking beer and smoking, there was a sudden peculiar creeping chill along the back with general weakness; this was ascribed to a draft of air, so that I changed my place, but the symptom was repeated from time to time, with such aversion to my cigar, that I threw it away and went home.

On my way home, I was attacked with a dull pressive headache on the lower portion of the frontal bone.

while undressing, on going to bed, I was attacked with a shaking chill, soon followed by dry heat, and afterwards perspiration.

the sleep which followed was interrupted by vivid dreams, from which I awoke with perspiration pouring from the whole body, greatly exhausted, and with head confused.

on rising in the morning, I had a dull distressing headache in the frontal region, as though there were an actual pressure from above downward within the skull.

the headache was completely relieved by a horizontal position.

this was associated with thirst, a coated tongue, and loss of appetite.

On attempting to walk, I had pains in the loins, small of the back, and nape of the neck; the gait was slow and anxious, accompanied by vertigo and a terrible pressing headache; when walking, my left foot frequently failed to make a step, as do soldiers on changing the step.

In the afternoon there was considerable bleeding of the left nostril, with some relief to the headache, but later, in the evening, on attempting to make some visits, the pressive headache became worse, and concentrated in the left side.

this, however, disappeared on going to bed, in the evening, but the sleep was filled with vivid dreams.

The next morning the headache returned, was concentrated in the left side, with great weakness, thirst, and loss of appetite, and with no inclination to smoke; haemorrhage from the left nostril returned, and lasted for a quarter of an hour, consisting of black blood.

To-day my gait was very unsteady, tottering, and assisted by a cane.

The urine was increased in quantity, and of a deep yellowish-brown color.

On the subsequent day there were, in addition, tearing pains in the temporal muscles, the epistaxis recurred, the blood being thick, dark, tenacious.

Tabacum condition continued unabated for some time, after which it gradually improved until perfectly good health returned, with less desire for Tobacco and with greatly lessened use of it,.

Different neuralgia, as of the N. pudendus ext., awakening him from good refreshing sleep, at 4 A.M., with painful erections and strangury, and passing off about noon after micturating a watery urine six or eight times.

of the plexus coeliacus, with continual sour eructations.

of the fifth left intercostal nerve.

of the right plexus brachialis.

as soon as one neuralgia ceases, another starts in its place,.

abdomen

Relaxing irritant; causing prostration, free secretions and exciting muscles of hollow organs Cramp, then paralysis; of bowels, heart, etc

Paroxysmal or jerky effects

Stormy, dangerous cases, with rapid changes

Pains, worse from heat

Faintness; slides down

Tremor

Morose, despairing and wretched or indifferent Confusion

Mental fag

Excessive vertigo; with copious sweat (cold), worse opening eyes

Retina retains images too long

Spasm of lower jaw

Tetanus

Much spitting; with complaints

Clutching about throat

Retching

Pregnancy

Seasickness

Acidity

Sinking at epigastrium Wants abdomen uncovered Heaviness in r

Colic; with weakness

Involuntary choleraic or thick, curdled, watery stool; like sour milk

Ileus

Dribbling urine

Renal colic

Emissions

Impotency

Constricted chest

Asthma

Twisting about heart

Angina pectoris; with nausea, cold sweat and collapse

Unsteady heart beat

Backache, worse lying better walking

Fuzzy fingertips

Nightmare

Icy cold skin Thready, intermittent pulse

Cold legs

Heat; of one cheek; down spine; internal

Sudden cold sweats; with chills; in renal colic, angina pectoris, etc

Nicotiana tabacum. Tobacco. N. O. Solanaceae. Tincture of the fresh leaves collected before the flowers are developed.

sickness of. toothache of. Prostatorrhoea. Pruritus. Pyrosis. Rectum, paralysis of.

stricture of. Sea-sickness. Speech, embarrassed. Strabismus. Tetanus. Toothache. Varicocele.

Nicotiana tabacum received its specific name from Jean Nicot, French ambassador to Portugal, who was the means of introducing the tobacco plant into France about 1560.

When Columbus and his followers landed in Cuba in 1492 the practice of smoking tobacco was in common use among the natives throughout the island, and also throughout the continent of America.

On their return to Spain the practice rapidly spread throughout the Peninsula.

Sir Walter Raleigh and his companions introduced the practice into England in 1586.

From that time the cultivation, manufacture, and use of tobacco, either by smoking, snuffing, or chewing, rapidly became universal.

The symptoms of the pathogenesis are composed partly of provings made by Lembke, Schreter, and others, and partly of poisonings and over-dosings.

Several instructive articles on tobacco appeared in the Homoeopathic News of 1897, from the pen of M. E. Douglass, then practising at Danville, Virginia, in the midst of tobacco plantations.

His third article (July, 1897) was devoted to the "medicinal uses" of Tobacco; and it seems that it is regarded as a perfect panacea by the Virginians for diseases of men and cattle.

One use he mentions is as a palliative for bee-stings and mosquito-bites.

A portion of a leaf is moistened with vinegar and applied to the part.

Tabacum is interesting, as Ipecacuanha ^Ipec., one of the antidotes of Tab., has a similar reputation.

Strong tobacco-juice is the most effectual destroyer of the burrowing-flea, Chigoe.

For headache leaves of Tobacco are moistened with vinegar or Camphora ^camphor solution, and applied to the forehead and nape.

The pain is allayed and sleep induced.

The local application over the pit of the stomach relieves nausea.

Douglass made in involuntary proving on himself when about twenty.

He was attending an evening writing-class, when a class-mate gave him a bit of tobacco to chew, and he put it in his mouth.

In a few minutes the Belladonna ^bell rang and he took his seat, after first removing the tobacco.

He soon began to feel dizzy, and could not distinguish his copy; the letters danced all over the page; a cold perspiration broke out on the forehead, and extended all over the body.

He felt so weak and faint he feared he would fall out of his seat.

His desk-mate helped him out of the house into the cold air, and gave him a sour apple, bidding him eat it.

It did not seem possible, but he finally tried, and was so much relieved that he ate it all.

In half an hour he was able to return to the class, but was so weak and tremulous, he did not attempt to write.

The nausea was the first symptom to disappear, then the cold perspiration.

The dizziness, trembling, and excessive weakness did not entirely leave till next day.

Since then Douglass has used small doses of vinegar in acute symptoms of nicotine poisoning, either chewing or smoking, with excellent results.

Nothing, he says, relieves the sensation of constriction of the oesophagus (in his own case the symptom was a very disagreeable one, "as of a hand clutching the throat") so quickly as vinegar.

One of Douglass's patients, a young man in good health, who was very fond of cigars, was certain, if he smoked two in an evening, to have an emission on the same night, sometimes with, but oftener without, dreams.

Next day he was prostrated, hypochondriacal, tongue furred with a thick, fuzzy, yellow coat at base; and dull, occipital headache.

Prostatorrhoea and impotence are also among the effects of Tab.

The constrictive sensation is not confined to the throat; it affects the rectum, bladder, and chest.

There is violent rectal tenesmus; and there is also paralysis and prolapsus ani.

The vesical sphincter is paralysed, there is debility of urine, and enuresis.

Two of Lembke's provers, students accustomed to smoke and drink coffee and beer, had incontinence of urine.

in one the quantity of urine was not increased, but it was "passed more frequently, and dribbled away involuntarily, with slight itching of urethra in the case of the other the urine was increased, pale, and he "had to pass it several times in the night, almost amounting to incontinence." The power of Tab. to paralyse sphincters and also morbid constrictions accounts for its traditional use in cases of strangulated hernia and obstruction of the bowels, which has been confirmed in homoeopathic practice.

Renal colic comes under the same heading.

The same pair of opposites.

are seen in the weakness and paralysis on the one hand, and the convulsions on the other. All shades of nervous tremors, faintings, cramps, jerkings, and restlessness are noted, and it is by its power of antidoting these conditions that Tab. holds its place in society. "After an unusually vexatious day," says Douglass, "when I am in that unpleasant condition of mind when it seems as though the slightest word would cause an outburst of passion, nothing else does me quite so much good as a smoke." This is a central nervous action, and if too much indulged leads to degeneration of nerve tissue, as seen in tobacco-blindness. Tab. also produces a condition like brain-fag.

inability to concentrate thoughts.

this may even go on to a state of idiocy. Silly talking in boys. A curious state was induced in Mr. Harrison (C. D. P.), who slept in the cabin of a sloop, the cabin being full of large packages of tobacco. His sleep was harassed by wild and frightful dreams, and he suddenly awakened about midnight, bathed in a cold dew, and totally unable to speak or move. He knew perfectly where he was, and recollected what had occurred the day before.

but could not make any bodily effort whatever, and tried in vain to get up or change his position. "Four bells" was struck on deck, and he heard the sounds (though rather, it seemed, through their vibrating in his body than by the ears).

and he was conscious of other things that occurred.

so he was not dreaming. At length be became totally insensible for a time, till a roll of the ship roused him, and he awakened and got on deck. His memory was totally lost for a quarter of an hour.

he knew he was in a ship, but nothing more. While in this state he saw a man drawing water, and asked him to pour a bucket on his head. This was done, and all his faculties were instantly restored.

and he acquired a most vivid recollection of a vast variety of ideas and events which seemed to have passed through his mind, and that had occupied him during the time of his Supposed insensibility.

The nutrition is profoundly influenced by Tab., and it probably retards growth in children.

Decaisne (C. D. P.) observed the effects of smoking on youths, aged from 9 to 15.

Among the effects were Bruit in carotids and diminution of red corpuscles of the blood.

Palpitation. Deficient digestive power.

Sluggish intellect. Craving for alcoholic stimulants.

Epistaxis. Ulcerated mouth. "The younger the boy, the more marked the symptoms; the better fed suffer least." "Rapid emaciation, especially of back and cheeks" has been noted among the effects.

Tab. has a number of backaches, and some are peculiar.

C. M. Boger (Hahn. A., xxxviii, 41) cured this with Tab. cm Backache persistent.

agg. lying down, amel. walking.

icy cold surface, covered with cold sweat.

vomiting violent, as soon as he began to move, amel. on deck and in fresh air.

Terrible faint, sinking feeling at pit of stomach.

Terry cured a case of sea-sickness with heat along spine from nape down; cold sweat; then vomit.

He also cured a case of Ménière's disease with a feeling as if sea-sick.

A keynote symptom of much importance in many abdominal cases is amel. by uncovering abdomen.

Child wants abdomen uncovered; it amel. nausea and vomiting.

There may be coldness of the abdomen at the same time.

Tab. produces a number of skin affections, notably pruritus.

Teste cured with it several cases of freckles.

he repeated the remedy and gave it for weeks at a time "A country girl had her face and hands covered with freckles, two-thirds of which disappeared completely in summer, the season in which they are most frequent and obstinate." Burnett told me that an infusion of tobacco is a popular German remedy for scrofulous glands.

Cooper gives as in indication, "intermittent heart in old people." E. T. Blake (H. R., ii. 68) records a case of rheumatism with rigid joints and spinal insomnia in a lady, 40, who had been heavily drugged with narcotics before he saw her. "Whenever she composed herself for sleep, just as she was lapsing into unconsciousness, the knees would attempt to fly up towards the chest with an abrupt jerk, tearing painfully at the acetabular adhesions." Other symptoms were sweating, impaired memory, hypochondriasis, drumming in the ears, facial as well as crural clonus, white tongue, epigastric sinking, alternating with nausea and flatulence, heart action increased by day, diminished down to severe fainting during the night.

Tab. 12 gave three hours' refreshing sleep the first night, more the second, and after the third the leg-jerk departed for good.

C. W. (H. W., xxvi. 207) was troubled with spasm of lower jaw, agg. out of doors.

No remedy did good till he remained one evening with two friends who were smoking, and got himself well saturated with the smoke.

That cured him. Slight subsequent returns were always removed by Tab.

J. W. Scott (H. P., xvi. 420) observed a case of epileptiform convulsions brought on by tobacco.

For five months the patient had two attacks weekly, and they grew worse in spite of treatment till the tobacco was discontinued.

Sensations are Sensation of excessive wretchedness.

As if struck by a hammer on right side of head.

As if a band round head.

As if brains were being bored out.

As if black dots filled visual field.

As if ears were closed.

As of a plug in oesophagus.

As if throat gripped by a hand.

As if sea-sick. As if stomach were relaxed.

As if chest too tight.

As if a crowbar were twisted round heart.

The symptoms are amel.

Uncovering abdomen. agg.

By pressure. agg. Motion of vessel. agg.

Lying; amel. walking. Lying on left side = palpitation.

Motion (even least) agg.

Coughing = hiccough; stitches in pit of stomach.

Rising agg. agg. Morning vomiting; diarrhoea; sickness of pregnancy; cramps in fingers.

Thirst agg. night. Sight agg. evening. amel.

In open air; (ear symptoms agg.). amel.

Cold affusion to head. agg.

Indoors. Symptoms come in paroxysms; are periodical. agg.

By stimulants. Weeping amel.

Vomiting amel. Music pains in ears.

Tobacco. Hartlaub. Solanaceae.

Dose

Third to thirtieth and higher potencies.

Region

Nerves Cerebro-spinal

Vagus

Sympathetic

Ganglia

HEART

GLANDS

SECRETIONS

Characteristics

relaxation and constriction