A. bulbosus. Amanita bulbosa. (A small stinking fungus common in Europe and U. S.) *N. O. Fungi. Tincture of fresh fungus.
Clinical
Cholera. Chorea. Cramps. Diarrhoea. Gastritis. Trismus. Urine, suppression of. Vomiting.
Characteristics
Symptoms observed in poisoning cases give a complete picture of Asiatic cholera. There is extreme prostration and chilliness, the sweat is cold, the hippocratic face is marked, the tongue is cold, and there is violent thirst. Very frequent bilious vomiting. *Incessant cramps in stomach. Hard, tense abdomen. Frequent whitish watery Stool, or bilious, bloody Stool. The urine is suppressed, the voice is hoarse. Pulse small, intermittent, hardly perceptible. The extremities are cold, and there are violent cramps in legs, feet, and calves. Convulsions are another prominent feature. There is mental excitement, which has in some cases lasted for three days. Sometimes there is stupor, at other times consciousness remains till death.
The effects do not come on till ten or twelve hours after taking the drug (in this it is like *Colchicum). At times the development of choleraic symptoms saves the patient. General cholera symptoms are developed as with *A. *muscarius. Chilliness also predominates. *Agaric. *Phal. Is a poison of great intensity and fatality.
Head
Vertigo always on rising up. Frightful pains in head.
Eyes
Pupils much dilated. Eyes sunken, weak, and lusterless.
Face
Deathlike pallor, face sunken, cyanotic. Anxious countenance, hippocratic. Nose and mouth dry. Tetanic closure of jaws, with at times grating of the teeth.
Mouth
Teeth and gums black. Cold tongue. Breath cold. Trismus.Speech slow, difficult. Stammering.
Throat
Dry throat.
Stomach and Abdomen
Violent thirst, nausea, vomiting, then diarrhoea. Very frequent mucous and bilious vomiting. Vomiting of an offensive greenish- coloured fluid, of blood. Pains in stomach and hypogastrium followed by anxiety and vomiting. Incessant cramps of stomach. Violent pains in epigastrium, which spread rapidly over the whole abdomen, greatly worse by pressure. Abdomen tense, swollen, painful. Unendurable pain in hypogastrium and lumbar region.
Stool and Anus.
Anus inflamed. Stool : frequent, bilious, whitish as in Asiatic cholera, frequent, watery, bloody.
Urinary Organs
Suppression of urine.
Respiratory Organs
Voice hoarse. Respirations short.
Heart, and Pulse
Pulse: small and intermittent, hardly perceptible, slow and somewhat irregular, hard and frequent. Pulse full and rapid (later action).
Limbs.
Cold extremities. Skin of extremities lost its elasticity. Upper extremities swell and become livid, finger-tips livid. Cramps of the legs, of the calves, of the feet with drawing back of the limbs.
Generalities
Violent convulsions. Slight convulsive motions in the legs and arms, which generally extend to the muscles of the trunk and cause irregular distortions of the whole body. Constant restlessness. Debility, prostration. Malaise. Staggers as if intoxicated, and with odd gesticulations, labours to express his sufferings but cannot articulate a syllable.
Skin
Body covered with livid spots.
Sleep
Somnolence.
Fever
Marked chilliness. Sweat cold. Skin cool, afterwards hot.
