4. A cobbler’s apprentice, aet. 16, on June 3rd, at 5 a.m. drank a mouthful of strong sulph.ac. He drank milk to allay the pain, and vomited at first black, latter bloody stuff. he was brought to the hospital, and magnesia and ice pills given, which relieved him somewhat. Skin moist, temp. 38.5 C., face red, pulse 116, resp. 24. The pains behind sternum to stomach are burning, aching, and cause anxiety; they are much increased by swallowing, which is effected with great difficulty and only of fluids. Pressure on and behind larynx very painful. Epigastrium distended and very tender. Pressure on and behind larynx very painful. Epigastrium distended any very tender. tongue covered with grayish fur, portion of its epithelium detached. Vomiting ceased, but eructations commenced, and each time brought up a small quantity of reddish-brown fluid-4th. All symptoms increased, voice hoarse. The pain in abdomen severe, extending from stomach to meso and hypo-gastrium. Burning throat, swallowing very difficulty, and fluid swallowed immediately vomited tinged with blood.-5th. Better, tongue clean and m.m. of mouth free from sloughs, but still red and swollen. Vomiting creased on 8th. At end of 1st week voice was quite right, swallowing easy. The irritability of the stomach continued and in and week he still vomited after all food. He had acid eructations after drinking water, and the burning thirst continued. In 3rd week he had tenderness on pressure over nymph. pubis, frequent call to urinate, and the urine passed with cutting pains. The prostate gland felt through rectum was swollen and very tender. This went off in about time d. But patient emaciated and grew very week, the pulse got small and quick (100–116), temp. 36.8 C. On June 25th, in their. lower part of chest, he had paroxysms of violent stitches, especially when he breathed deeply. Nothing abnormal on auscultation. An acute pain on pressure to r. of 4th-10th vertebra in the axillary aspect of 5th-10th intercostal space, at the point of junction of the corresponding ribs to the cartilages. The skin between axilla and mamma is very sensitive. Vomiting recurred after this to a great extent, the vomited stuff was acid and mixed with bile. He became collapsed and seemed as though about die, but he rallied, the vomiting in the 6th week became less, his strength increased. At end of 6th week he got a great swelling of 1. parotid gland; in 7th week this opened and discharged pus by the meatus auditorius. During all his illness bowels very constipated. The urine showed abdomen and cylinders, and free uric acid for 5 or 6 weeks. (Ibid.)
5. A cook, aet, 34, who had been in hospital for cough, palpitation of heart, swelling of legs, and emaciation. On her dismissal, not quite cured drank in despair on Now. 6th, at 8 a.m. 2 mouthfuls of sulph.ac. (1 strong acid to 4 water). Immediately violent pains, burning in throat, great pain in stomach, followed soon after by vomiting of black stuff. Brought to hospital at 10 a.m.; skin cool, great cyanosis of face, extremities, fingers and toes, which felt very cold. Pulse very small, scarcely to be felt, regular, 72; respiration calm; temp. 34.5 C. She had violent pains in throat, especially on swallowing; pain in gastric region. Epigastrium rather tense, very sensitive to touch and pressure. Milk is immediately vomited along with blackish brown fluid. The microscope shows these brown parts are epithelium and blood acted on by the acid. P.m. milk and ice, magn, morph, subcutaneous. In e., pulse 76, temp. 35.6 C. no vomiting since noon. Violent pain when swallowing, tenderness of epigastrium, cyanosis continues. Urine deposits a flaky sediment of red colour, acid reaction, the sediment consists of pavement epithelia and many oleanders, granular, sp. gr. 1033, no albumen or sugar.-7th. Pulse regular, small, 104, temp. 35.3 Skin warmer. Pain on swallowing less, more pain in umbilical region, which is very painful to touch. No stool. Urine as yesterday. E., pulse 104, fuller, temp 38.4 Slept well, cheeks red, warm skin. Epigastrium more distended and very painful to touch. More pain when swallowing. Lips, palate, fauces, and tonsils show circumscribed white spots. Urine, sp.gr. 1026, as yesterday. E., pulse 88, temp. 38.5, large shreds come away from mouth, pain in swallowing great-9th. Pulse 112, resp. 40, temp. 37’9, urine as before. E., pulse 100, resp, 32, temp. 39’1. The shreds of membrane continue to come away from mouth. -10th. Urine contains much uric acid. E., pulse 112, temp. 38.2, pains less.-11th. Little sleep, continues to eject shreds.-13th. More pains on swallowing. Vomited with great retching a long blackish-brown firm tube, rough on outside, smooth internally, the m.m. and part of muscular coat of the oesophagus 34 centimetres long. Patient went on apparently improving.-Dec, 2nd. Throat uneasy, something seems always to rise up in it, vomiting for the last few d. repeatedly. Swallowing became to difficult that on Dec. 4th she could not swallow at all.-13th. Can swallow liquid food without difficulty. Emaciation increasing. She gradually wasted away and died on Jan. 5th.-P.M. Stomach attached by fibrinous bands to pancreas. its walls are moderately thickened and its size is small. The small curvature is so contracted it will only admit the little finger, pylorus very contracted, will only allow a crowquill to pass. Internal surface covered with coat of pus, pale red-white cicatricial streaks with intervening pale tissues. no m.m. apparent. Fundus of the size of a thimble, smooth internally, pale tissues. no m.m. apparent. Funds of the size of a thimble, smooth internally, partly strongly injected. Corresponding to pylorus, the outside of stomach is fast attached to liver and omentum. Oesophagus very much contracted, its walls very thin, cicatrised. [The report of the P.M. is very long, but the above are the principal things observed.] (WYss, Arch. d. Heilk., x., 1869.)
Aconitum [Acon]
-After II. 10, insert following: “A child of 10 swallowed some of contents of a phial of hom. tinct. She soon began to show symptoms of illness, which rapidly increased till Dr. Baxter saw her about 6 p.m. He found her sitting, with most anxious expression of countenance, face flushed, skin hot and dry, pulse 140. She complained of heat and soreness in throat, heat and considerable pain in stomach. There was also what seemed an almost constant spasmodic action of diaphragm and stomach, which was very distressing. It was a most peculiar symptom hiccup and apparently an attempt to vomit at same time. On being asked, she said she felt only slight nausea. Cider vinegar was administered, with rapid improvement; spasm creased after 1 h., in 4 h. pulse was 100, skin moist, face flushed, some thirst. She was somewhat restless and feverish during n., but in m. declared herself well as usual, only a little weak. (U. St. Medorrhinum Inv., June, 1880.)”
Aconitinum [Aconin]
To introductory statement add [Experiments recently made by Bohm show that the “pseudaconitin,” from A. ferox, is when applied locally of considerable anaesthetic power, diminishing capacity of recognising differences of temperature and separation of points of contact. See Brit. Fourn. of Hom., xli, 285.]
Allium Cepa [All-c]
The following symptoms have been (by accident of unique occurrence) omitted, and should be supplied in their respective places:
1. 1. a [ In l. 4, for “increased” read “inwards;” in 1. b., l. 3, for “aching” read “itching,” in l. 13, for “embarrassed” read “numb.”] After 1 m., throbbing behind r. ear; after 3 m. burning in r. upper lid externally, and throbbing in 2 last molars; after5-6m., squeezing pain in throat anteriorly in region of os hyoides, aft. 7 m., posteriorly and inferiorly, r.; after 15 m., nausea; after 30 m., nausea coming up in back of throat; after 50 m., noisy discharge of foetid flatus; after 70 m., pain in l. side of vertex; after 1 h. pain in l. ankle-joint; confusion in occiput, first on both sides and towards upper part, pressing sideways, then behind ears in whole occiput (sic).
1. 1. b. 1st d., frequent difficult emission of inodorous flatus, e.; violent throbbing pain in l. big toe, in knuckle of metatarsal joint, e. 8th, 9th 10th d., on waking, m., erection with painful tension, without sexual desire. No time mentioned: Flickering and dazzling before eyes, everything danced before him, head full and heavy as if bound up, whole head became hot and felt swollen and heavy in vertex, with great weariness so that she must lie down (after cutting onions). Burning taste mostly in palate. Horrible sickness in stomach with very little eructation which relieved. Headache on both sides of occiput, later only in r., later only on 2 large round spots in “love of approbation,” still later a general and humming numb feeling. Heat and heaviness in head from forenoon till e. (after eating onions).
1. 3. b. Dull feeling in head, gradually increasing to headache, extending from forehead to vertex; frequent painless discharge of flatus.
Hughes was a great writer and a scholar. He actively cooperated with Dr. T.F. Allen to compile his 'Encyclopedia' and rendered immeasurable aid to Dr. Dudgeon in translating Hahnemann's 'Materia Medica Pura' into English. In 1889 he was appointed an Editor of the 'British Homoeopathic Journal' and continued in that capacity until his demise. In 1876, Dr. Hughes was appointed as the Permanent Secretary of the Organization of the International Congress of Homoeopathy Physicians in Philadelphia. He also presided over the International Congress in London.