Sleep
Sleepiness. Yawning. Inclination to sleep (after five minutes). Sleepiness; (after half an hour). Occasionally slight excess of sleepiness, making it rather difficult for the patient to rouse herself in the morning. So sleepy that it was with much difficulty that I was able to reach my room and undress (soon after second injection). Heaviness and sleepiness throughout the day. Continued heavy and sleepy (after one hour and twenty minutes). Drowsiness (after fifteen minutes); since then sleep (after thirty minutes); had continued drowsy and still remained so (after two hours and eighteen minutes); slept about two hours later. Drowsiness (fifteen minutes after 1/15 gr.); felt drowsy and giddy (after one hour); the drowsiness and giddiness now passed off (two hours after 1/15 gr.); had napped for twenty minutes (one hour and three-quarters after 1/12 gr.); drowsiness continued for a short time, after walking home. Occasional drowsiness (second day). Some drowsiness and giddiness (fifty after 1/4 gr.); sleepy and light-headed (one hour and a quarter after 1/4 gr.); dozed and had some sound sleep (from one hour and a half to three hours after 1/4 gr.); slept soundly for half an hour and was now very sleepy and giddy (one hour and a quarter after 1/2 gr.). Drowsiness gone off (after one hour). Somnolency; he fell asleep and had a short nap (half an hour after 1/6 gr.); somnolency had continued and he still felt a little sleepy (two hours after 1/6 gr.); great somnolency (fifteen minutes after 1/4 gr.); somnolency continued (two hours and a quarter after 1/4 gr.); at no time so great that he could not prevent sleep, and when he gave way to it, he passed into a gentle slumber from which a slight noise woke him (after 1/4 gr.); began to feel very sleepy (ten minutes after 1/2 gr.); unchanged (two hours after 1/2 gr.); less, but continued very sleepy (three hours after 1/2 gr.); had slept throughout comfortably and a little more soundly than in ordinary sleep; was not conscious of dreaming, but muttered a good deal (three hours and a half after 1/2 gr.); a little sleepiness during the next forty-eight hours). Somnolency and giddiness (after ten minutes); then fell asleep for three- quarters of an hour; had felt very drowsy and sickish (after two hours). Great somnolency (after fifteen minutes); had continued very drowsy, and slept at intervals (after two hours and half); walked home, and continued sleepy for two or three hours. Light slumber, during which he was conscious of jerking in the limbs, lasting ten minutes (after two hours and a half). He lay in a half waking, half stupid condition, but with perfect ability to think of different things, though at the same time he was busy with confused fantasies; during this slumber the limbs lay as if stiff and immovable, and could only be moved by great exertion of the will. During the first night the patient slept, and did not wake in the morning. Fell asleep (after four hours); his wife could not succeed in waking him until five hours more. Almost constant sleep for five hours and a half (after one hour), in which he dreamed different things, heard everything that was going on about him, and was almost always conscious of his condition. Long, quiet sleep. Quiet sleep, lasting five hours, after waking from which he had headache on the right side. Sound sleep, lasting five hours, from which he awoke with a dull sensation in the forehead (after ten hours). Deep sleep, at times interrupted by convulsive cramps. Sleep profound and calm, and with pleasant dreams. Heavy sleep, with red cheeks. Sopor. Sleeplessness. No disposition to sleep; slept only an hour next night. Most of the Morphine patients sleep too little. Unable to sleep till about 2 o’clock in the morning, though the sleep obtained during the remainder of the night has seemed to refresh me as much as if I had slept the whole time. Uneasy sleep, with frequent starting up, lasting six hours. Sleep uneasy and frequently interrupted by lively imagining; became wakeful early in the morning. Fell into a troubled, delirious sleep, from which she awoke in a few moments, feeling that she had slept weeks; this kind of sleeping and waking was repeated all day. Sleeplessness. Sleeplessness, followed by sopor. Night, restless (first night). Restless sleep, with frequent starting up. Sleep restless, with fever and headache, and itching on the skin (first night). Sleep restless, interrupted; lasting three hours (after one hour). Very restless all night; no sleep. Dreams. Frightful dreams.
Fever
Chilliness. Skin cool; the feet warm. Surface rapidly becoming cold (after nine hours and a half). The skin of the whole body was somewhat livid, especially the lips and nails, and, with the extremities which were covered, it was very cold, and covered with cold, clammy perspiration. Cold and pale, for four hours (after two hours). Generally cold and tremulous (one hours and three-quarters after 1/12 gr.). Skin icy cold. Diminished temperature (immediately). Temperature at first lowered from a quarter to half a degree (after half an hour). Temperature at first falls and afterwards rises. Chilliness. Chilliness creeping over her, especially from the hips to the knees, and back again to hips. Violent shudderings. Rigors. The warmth of the face diminished, and it became paler than usual; with general weakness (consequence of nausea), (after two hours). Extremities cool. Head, face, and hands cool (after two hours and a quarter after 1/4 gr.). Extremities cold (after fifteen or twenty minutes). Extremities cold, nails blue (after four hours). All the extremities and hands cold and livid. Hands and feet became cold (after third dose). Lower extremities cold. Heat. Skin hot and dry. Burning heat of the skin (after half an hour). Temperature rises 2/10 (Centigrade). General diffusion of warmth throughout the body (one hour after 1/2 gr.). General increase of warmth, especially in the face (after half an hour). Heat over the whole body, at night. Heat and itching over the whole body. Alternate flushes of heat and cold, with nausea, faintness, and constant retchings, for five hours (after two hours). Fever. The intermittent fever of morphinism, which assumed first a tertian and then a quotidian character. The intermittent fever of Morphine intoxication seems to depend upon a peculiar neuropathic predisposition, since many persons develop no paroxysms of intermittent fever in spite of large doses and long-continued use of Morphine. No other cause, however, can be assigned for the development of the intermittent than the use of the Morphine, for patients are attacked by it who live in regions free from malaria, and similar symptoms are not observed in other members of the family who have been living under the same conditions. Mild and severe forms of the intermittent fever of Morphine may be distinguished. Both have, in common with malarial fever, beside the rhythmical type, the fact, first, that the paroxysms apparently disappear after Chinin., though in spite of the continued exhibition of the latter, they sooner or later reappear; second, they are benefited by change of locality, and are brought on again by any imprudence (a voyage on the water, errors of diet). The characteristics of intermittent fever of Morphine, are those of malarial fever, chilliness, amounting to a shaking chill, headache, oppression, heat, and sweat. They are distinguished in the fact that after abstinence from Morphine, the paroxysms of fever, though they had existed for a long time, disappeared without treatment; in some cases the intermittent fever appears like a febris arthritica; there occur, at indefinite times, attacks with chilliness, heat, and sweat. These attacks are repeated three to six times, at increasing intervals, and then generally no longer recur. Usually the intermittent of Morphine has a tertian or sometimes a quotidian type; it is sometimes anticipating; sometimes postponing; the attacks last from four to ten hours, followed by a normal condition; the paroxysms are only exceptionally relieved by withdrawal of Morphine. In such cases the patient complains that, at the time when the fever usually occurs, he feels uncomfortable, especially that he is exhausted. With the febrile paroxysms are associated neuralgia in various nerve-areas, supraorbital, intercostal, and cardiac pains; the temperature rises in all cases and varies from 38.5 to 40 (C). The spleen is usually enlarged. After the paroxysms, a sediment is noticed in the urine. In the more violent form of Morphine intermittent, delirium occurs during the height of the fever; in this delirium the patient cannot be kept in bed, and is excited even to raving. Great exhaustion and prostration follow the fever, and continue into the apyrexia. Tertian intermittent fever, with delirium during the paroxysms; this fever was a puzzle to the then physician, as malarious diseases do not occur in the district, and treatment with quinine was without effect; it was intermittent fever from morphinism. The lower extremities had a somewhat higher temperature than the portions that are usually uncovered, though the temperature of these was far below the normal. Warmth in the face (after three- quarters of an hour). Head hotter than usual. A little heat and flushing of the face. Face and head hot and flushed (one hour after 1/2 gr.). Cheeks hot and flushed; scalp a little less so (half an hour after 1/2 gr.). Cheeks and forehead hot and flushed, hands hot, “felt hot all over” (after one hour). Sweat. Skin very moist. Sweats. Perspiration. General perspiration. Perspiration over the whole body, with increased warmth and redness; more frequently in men than in women. Excessive sweating. Copious perspiration; all over (after twenty minutes). Profuse sweats; (second day). General profuse perspiration (after five minutes). Profuse perspiration, so that he changed his clothes nineteen times in one night. Bathed in perspiration (after two hours). Exhausting sweats. Cold sweat. Broke out into a cold perspiration, on walking three miles (after two hours and eighteen minutes). Cold perspiration over the body (after fifty minutes). Clammy sweat over the whole body. Skin dry, itching (first night). Colliquative sweats, with deep redness of the face. Face covered with perspiration (after one hour). Upper part of the body covered with a viscid perspiration. Cold sweat on the back (second morning).
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.