Expiration easy and noiseless, inspiration a little difficult and attended with rales (after two hours and a half).
Inspiration easy, but not sufficient to fully inflate the lungs, could not completely fill them with air; inspiration is attended with a short rattling-crackling rale; expiration difficult, prolonged, and seems as if insufficient, as if the air-cells were hardly half emptied; expiration is accompanied by prolonged, loud, whistling rales (not one sound merely, but a combination of several), and each pulsation of the heart gives a crescendo diminuendo effect to them. Great anxiety, not that he thinks he will die, but on account of the impeded respiration (should call it a physical, not a psychical anxiety). Dyspnoea rapidly increasing; profound sense of impending suffocation. Warm room was very suffocating, but cold open air gave no marked relief. Scarcely had the liquid been received into my mouth, when I became sensible of a spasmodic action of some part of the respiratory organs of the following character: Inspiration was unimpeded, and could be effected in the natural manner, but expiration was absolutely impossible, and this impossibility arose, if I might trust my sensations, not from any inability of the muscles of expiration, but from a closure of the rima glottidis; expiration being felt to be impossible, inspiration was again attempted, and was accomplished fully and easily, although the act was attended by a slight crowing noise; expiration, which was again attempted was impossible as before.
By these successive operations, the lungs became inflated to a most painful degree, but so firmly did the glottis appear to be closed that it seemed as though air might pass through any part of the thoracic walls more readily than by the way of the larynx; this arrest of respiration having endured for about a minute, the face becoming turgid and livid, partial coma supervened, the spasm relaxed, and respiration became free again. Comparatively free, but crowing inspiration and absolutely obstructed expiration presented themselves, the face became extremely livid, convulsive movements of the extremities began, and the patient became partially comatose; I returned along with normal respiration. Respiration difficult. Difficult breathing; he could hardly speak. Sudden and extreme dyspnoea, from spasm of the vocal chords; sufficient air cannot be inspired, even with the aid of all the auxiliary muscles of respiration, to sustain life, the eyes are staring, the face becomes blue, cold sweat covers the body, the pulse becomes small and soft, the temperature sinks from 37.4 deg. to 36.8 deg. C. Suffocating sensation directly after taking Chlorine largely diluted with water. Paroxysms of suffocation. Chlorine gas mixed with common air produces paroxysms of suffocation, often followed by a catarrh of some duration.
Chest.
Inflammation of lungs and air passages. Contraction of the chest. Slight pain in chest and cough. At once, tightness of the chest. When the dyspnoea was at the worst it was attended with a feeling as if a narrow band were drawn tightly around the lower third of the whole chest. Pressure on the chest. Oppression. Oppression and constriction of the chest, not relieved in open air. The sensation of oppression was most felt in the right lung. Sensation in lower and inner third of right lung, as if it was ruptured; there is a feeling as if the air escaped from the lung into the pleural cavity at each inspiration; the inspiration being attended by a separate rale, confined to the quasi- ruptured locality, the vibrations of which were felt by the common sensation (coenaesthesis) perceptible to the touch (hand on chest), and audible to the bystander. Two hours and a quarter after inhaling the gas the chest feels sore interiorly, especially on coughing. The right lung seems to feel the force of the gas most markedly (having been dosed by inhalation, the superior size and position of the right bronchus most probably explains this seemingly one-sided action).
Heart and Pulse.
Pulse frequent. Accelerated pulse. Pulse becomes more frequent, and perspiration breaks out. Pulse diminished.
Inferior Extremities.
Weakness of the legs (second day).
General Symptoms.
Objective. The workmen seem very old; those 30 or 35 seem at least 40. Absorption of the fat. Loss of fat. Disappearance of fat (in workmen). Phthisis. Consumption. Increased secretion from mucous membranes, and increased expectoration. Was restless, desired to walk about; could not be easy either lying, sitting, or walking; seems as though the whole attention must be centered upon the act of respiration. Inclination to lie down (second day). Inclination to lie down during headache. Finds it difficult to rise in the morning, and great ill-humor. Subjective. Nervous sensibility. Excessive sensitiveness of skin. Sensibility diminished (from application of pure chlorine). Feeling of comfort and increased cheerfulness.
Sensation as if a severe sickness were coming on, mornings at 3 o’clock. Wakes up at 3 or 4 in the morning and feels as if a dreadful sickness were approaching.
Skin.
Objective. Skin red and painful, becoming tumid and swollen, and thickened, as in facial erysipelas. From ordinary application of the gas, the skin became red; if the application is continued a long time, it causes a violent pain, which increases with the redness; the skin swells and looks like erysipelas, with an unpleasant sensation, as if the parts were bruised; these symptoms continue some days, as if the skin were deeply affected; at last, itching and desquamation. Cutis anserina. Skin like cutis anserina, dry, yellow and shrivelled.
Slight desquamation. Furfuration. Inflammation of cuticle and ulceration. Determination of blood to the skin, with eruption of minute papillae, chiefly on the back, loins, breast, abdomen, and arms, so close that the skin has a general red appearance at a short distance, like injected papillae of cutis anserina; the papillae suppurate and vesicate, or desquamate.
Accumulation of blood in capillaries of skin with heat. Eruptions. Eruption of minute vesicles, thickly studded all over the skin; on shoulders, their bases very nearly touch one another; they disappear on the second day, leaving minute red and livid spots. Nettle-rash, wheals white, small, in clusters, surrounded by diffuse redness. Urticaria febrilis.
Causes tetter-like eruptions, and critical sweat. Subjective. Sticking, pricking sensation in skin for several hours. After several days the skin of the nose feels as if eroded. Slight smarting. Stinging, as of a nettle. Stinging sensation, succeeded by symptoms like those from Cantharides, which subside after half an hour; succeeded by soreness and bruised sensation for some days; replaced by itching sensation, the cuticle coming off in thick scales, as in psoriasis.
Sensation of stinging or biting in different parts, as of very minute insects, indescribably transient and minute, occurring here and there at intervals, on arm, back, abdomen, and lower limbs, as if an insect flitted over the part and stung it; increases, with desire to slap the part with the palm, so as not to allow any rest. Diluted with water or air, and brought in contact with the skin, it causes a very peculiar sensation, resembling the stings of insects, with copious sweat, rush of blood to the skin, sometimes an eruption of little pimples, or even vesicles. Applied to the skin undiluted, it acts in the same way, but more violently. Sensation (after ten minutes) as of stings or bites of small insets, in various places; the number of these places increases, and a sensation of general itching or heat follows; copious sweat usually begins with the itching, this sweat continued during the night after the application of the Chlorine; after this vapor-bath, there was an eruption of small pustules over all parts of the body, especially on the back, lumbar region, abdomen, chest, and arms; these seldom suppurated.
Itchiness, with greatly increased sensibility; he tries to avoid scratching.
Sleep and Dreams.
Falls asleep late after every mental excitement, during the first days; is sleepy very early the following days.
Fever.
Chilliness. Chilliness in the warm room, evenings; not in the open air, mornings, several days. Shuddering and shaking (one hour after 1 drop, in the evening). From 10 to 11 forenoon to 2 in the afternoon, cold shudders over the outer surface of both arms, and over the back and thighs, with dimness before the eyes, then a feverish sensation with unchanged pulse.
Headache, left side, before the shuddering. After dinner, at 2 o’clock, he feels much worse in his head, and so badly in general, that he is obliged to lie down. He is only improved by walking back and forth. The next day at the same time, the same, but more lightly. (Two days after omitting the remedy, in one who never had intermittent fever).. Heat. Heat of surface of body. Heat while eating and after eating, with great irritability and disposition to anger, while drinking wine and coffee. Slight fever and coryza. Inhaled highly diluted with air, it causes a sensation of warmth, and promotes expectoration. Pleasant feeling of warmth, and diminished sensibility (from application of pure Chlorine). Warmth in the stomach. Agreeable warmth in the stomach, accelerated pulse, sensation of comfort, increased cheerfulness, heightened color, increased urine; but from larger doses, vertigo and stupefaction; from still larger, nausea, vomiting, colic, and diarrhoea. Warmth in the air passages. Sensation of warmth in respiratory passages.
Born in 1837in Westminster, Vermont. . He was an orthodox doctor who converted to homeopathy
Dr. Allen compiled the Encyclopedia of Pure Materia Medica over the course of 10 years.
In 1881 Allen published A Critical Revision of the Encyclopedia of Pure Materia Medica.