7. SIEBENHAAR, after 6 dr., noticed secretion of mucus in windpipe, increased flow of urine, and faeces softer than usual. Took 8 dr., and noticed after 2 hours increase of urine, lasting 24 hours; appetite was slightly increased; bowels acted three times during day; stools being soft in consistence. He then took 10 dr., and noticed that all secretory organs were active, mucus in nose and windpipe was increased, and urine, besides being increased in quantity, was more dense than usual, and yielded a very dark deposit on standing. Appetite and bowels were affected as before. (Ibid.)
8. Jorg topok 4 dr. at 8 a. m.; at 9 a. m. was seized with confusion of head lasting 1 hour, and then changing to slight pressing pain, most prominent in temples; this pain became easier from time to time, but kept returning, and lasted in this way till late in evening Along with this pain unusual movements in abdomen began, proceeding from stomach downwards, and accompanied later on by cutting sensations. At one time it seemed as if these movements pressed upwards towards chest and compressed it considerably, and shortly afterwards more downwards towards pubes, bladder, and tasteless. After 5 dr. felt same movements in intestines (after 1 1/2 hours), accompanied by frequent eructations having taste of sulphuretted hydrogen, and by inclination to stood; During p. m. felt repeated sensation of pressing and constriction of chest, as if from breathing sulphurous acid, and towards evening frequent dry cough. On August 29th, at 8 a. m., took 6 dr., which caused irritation of larynx and trachea, latter feeling raw, lasting all day. At 8.30 fell into a peculiar condition; felt whole body seized with a peculiar quaking feeling, proceeding from stomach towards periphery, and causing sensation as if he would begin to tremble or to sweat all over. Whole body became actually warmer, the feeling being as of heat were greatest in region of stomach and spread thence over rest of body. A few minutes later this was accompanied by pressing feeling in cardiac region and weight at chest, whereby breathing was embarrassed; pulse beats were 6 or 7 above normal; this condition of general malaise lasted over 15 m. Towards 9 a. m. movements in intestines began, as bore, accompanied by some cutting in umbilical region lasting 1 hour, and followed by pappy evacuation. At 9 a. m. was suddenly seized with pressing headache, especially in right temple, but soon passing off, and followed immediately by confusion of head, proceeding apparently from spine through nape of neck upwards to head, and lasting 2 hours. At same time felt painful pressing mixed with stabbing in region of larynx and sublingual gland, lasting 10 m. but returning several times during day. At 9.30 a. m. felt pressure at chest, amounting occasionally frequent calls to urinate, but quantity passed each time was small, and at same time felt considerable irritation of genitals, viz. frequent urging and pressing downwards towards testicles and repeated tickling in glans penis, all lasting till evening; during p. m., in addition to these symptoms, had frequently recurring pressing headache, especially from left side of head towards forehead;constriction, pressing and burning in chest, with much dry cough, rheumatic pains in arms, neck, and buttocks. Bowels acted four times during day, stools being pappy and leaving behind each time for a while slight burning feeling in anus. Slept badly, and next morning found raw feeling and dryness of windpipe still present. On 30th, at 8 a. m., took 7 dr.; very soon felt fulness and distension of stomach, quaking inside abdomen, with its attendant symptoms as before; these lasted nearly 1/2 hour; at 8.30 confusion of head came on, changing at 10:30 to pressing and occasionally stabbing headache, changing its locality from time to time, and lasting till evening. In region of larynx at same time a pressure was felt, not exactly painful, extending to pharynx and giving impression that latter and tonsils were swollen. At 9.30 constriction of chest came on, changing at 10 a. m. into pressing, lasting till midday; at 3 p. m. stabbing in chest became troublesome and lasted 4 hours. During whole any there was tendency to dry deep cough. Abdominal, renal, and genital symptoms were less marked than after previous dose; p. m. also frequent rheumatic pains, especially in arms; nasal mucus was increased. After 8 dr. taken Sept. 1st most of symptoms followed as before, e but more mildly. Between 4 and 6 p. m., whilst out walking in the sun, felt rather acute pressing pain in under surface of occiput. Between 9 and 11 a. m. felt severe cutting in abdominal region, with perceptible forcing downwards in intestines, and same in rectum, flatus and faeces being evacuated with ease in considerable quantity. At 9 a. m. pressure and stabbing in chest, with desire to cough, came on, and during day frequent dry raw cough was present, but was relieved entirely by going into the open air in hot sun. Stools were frequent and soft. From August 29th, till September 2nd had peculiar taste in mouth (bordering upon “salty”) walls of oral cavity felt drier than natural, although not actually dry. Gums became gradually redder, and teeth more covered with mucus and yellowish. Feeling in abdomen was on the whole pleasant. (Ibid.)
9. a From 10 dr. = 1/2 gr. Stool accelerated, of peculiar smell; pain in haemorrhoids comes before and remains after stool. Indolence of mind, cares only for mechanical work. He always feels as if he should think of something, he knows not what, and nothing comes to his mind. Increased mucus from nose, which is stopped up, but there is no coryza. Frequent yawning; increased thirst for water. Peeling of lips. In the morning, when fasting, mouth very slimy. Erections without sexual desire. Nose opener than ever before. Itching, painful piles. Difficulty of thinking and irresolution. Great appetite. Soft, easy stool. He can scarcely wait for dinner and eats very much. After drinking wine, very warm, well, excited, but always as if he would soon be tired. Boring pain on a spot on right side of scrotum. Great activity of testicles. Flush of burning heat over right thigh. Burning pain in rectum. Increased colour of face, red hands. Lips painfully dry. Legs go to sleep readily. Excited and yet heavier, lazy, cross. A flat, jelly-like blister on left knee.
8 b. From 5 dr. = 1/4 gr Burning in oesophagus. Pain in left side of crown. Eructation of air. Jerking, shooting pain over pubic arch. Painful pressure in inner canthus of left eye. Painful stitches in abdomen on right side anteriorly under ribs on inspiration; recurs several times when breathing deeply. Increased appetite. Excited p. m; drowsy evening Nose much wider and drier morning, all day stopped up; sense of smell nearly gone; frequent sneezing as before coryza. Frequent discharge of flatus. Wakes early feeling well. After again going to sleep emission with dreams, thereafter very exhausted. (HERING, Arch., xiii, 2, 182.).
Poisonings
I. A man addicted to intoxication took, July 21st, 7:30 p. m., 2 oz. tinct. =96 gr. I. Soon, burning and pains in fauces and late in abdomen, especially in stomach, followed by vomiting and liquid stools. After 2 1/2 hours he lay in bed with upper part of body raised, face very pale, features sunken, eyes projecting, sparkling not watery, pupils moderately dilated, sensitive to light; temperature cool, especially of upper extremities, nose icy cold, skin covered with cool sweat; abdomen soft, not distended; bladder empty. The burning pains in stomach and umbilical region not increased by pressure; buccal cavity pale, rye; at the root of uvula a narrow red arch, convexity towards hard palate; walls of pharynx dry, slightly reddened, velum and tonsils normal; the expired air smells strongly of iodine, and after 1/2 hour smells distinctly of brandy. Is perfectly conscious; noises in ears and heaviness of head; great precordial anxiety causing him to change position frequently collapse and prostration; respiration quickened; sharp sound in upper lobes but not rales; voice weak; radial pulse hard and thin, carotid pulse, small and weak, 120, whilst the heart beats violently, occasionally intermitting. The vomiting comes on with slight retching at first every 10 to 15 minutes, later at longer intervals, quick but not very copious; what was vomited was at first dark-coloured, after taking starch and magnesia water vomited thick fluid slightly blue but more white. Drinking and movement seem to aggravate it; after each vomiting transient relief, only some nausea in the intervals; great precordial anxiety. Stools with colic and urging, they are very liquid and reddish brown with great odour of iodine. – 22nd, night sleepless. In morning, increased precordial anxiety; respiration quicker; cool temperature; pulse small, 132; great collapse and pallor of features; speech stammering, voice hoarse, swallowing difficult; considerable pain in epigastrium, extending to the meteoric abdomen, back, and oesophagus; vomiting less frequent; about 3 a. m. the vomit and stool contained much pure blood; hardly 3 tablespoonfuls of urine in 24 hours. of dark brown colour, smelling strongly of I. great restlessness in bed; he died perfectly conscious at 4 p. m. on 22nd.-P.M. January 24th. Very little blood in sinuses of head, but a good deal in large veins and in capillaries of pia matter; cerebral convolutions very prominent; cortical matter of brain pale and bloodless, inner substance tough, elastic. Hard and soft palate much injected; on uvula and velum distinct orange-coloured spots, formed by a thin but firm membrane which is easily detached; these spots are confluent on the posterior wall of pharynx and extend while gaining in intensity over oesophagus and trachea; under the membrane the m. m. is hyperaemic but not swollen. The surface of the epiglottis covered with a strong pseudomembrane; m. m. eroded, dark red, with a number of congested vessels; the submucous layer oedematous but stiff; the ventriculi Morgagni closed by swelling and by a similar pseudo membrane, the m. m. here dark red and injected; similar but discrete patches of membrane on the vocal cords and the parts of the larynx beneath them, but the trachea fee. The whole of the bronchial tubes down to their finest branches flamed and covered by viscid mucus, the m. m. swollen and injected; on cutting into lungs there appears numerous small mucous points. Intense acute emphysema betwixt all lobes and lobules of lungs; the parenchyma itself bloodless as also the veins. Heart large; left ventricle thick in its walls; left auricle contains blood, partly fluid partly coagulated; in right ventricle a large clot. The oesophagus down to stomach covered by a false membrane, orange coloured, pretty firm, which can be peeled off; the connective tissue below m. m. in some places phlegmonous, purulent. Stomach contains a moderate amount of e-coloured slimy fluid, its m. m. similarly coloured, very swollen; the mucous glands show a capillary exudation in the centre of each acinus; round about the m. m. is studded with small points as if infiltrated wit exudation. Duodenal and intestinal m. m. has a similar appearance. (HERRMANN, Petersb. med. Zeitsch., 1869, 11 and 12.)
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.