Typhus abdominalis with acute nephritis, with nosebleed, enlargement of the spleen and liver, but without any marked eruption, frequently with hypostatic pleuropneumonia. Enteritis.
Soon afterwards he became affected with severe enteralgia, to which the patient has ever since been subject, and which has latterly been accompanied by an exhausting fever.
Leucophlegmasia. Ileus. Meteorismus (after three days). Symptoms of paralysis of the intestines and bladder. Abdominal distress. Uneasiness in abdomen. Constant abdominal uneasiness, and at times feels as if the bowels were twisted. Violent cutting pains in the abdomen. The cutting in the abdomen is relieved for a short time after the stool. Cutting in the abdomen the whole second day. Heat and burning in the whole abdomen (after two hours and a quarter). Burning in the whole abdomen internally, and a sensation of twisting about the navel, with stitches in the back, and a sensation as if a substance were lying upon it, with pains in the pit of the stomach (after two hours). Heat in the abdomen. Confused feeling in the abdomen (first day). Sensation in the upper abdomen as if something were torn off and fell down, without pain, followed by movements in the abdomen (after six hours). Movement in the abdomen and desire for stool, but only flatus was passed, in the afternoon. Ineffectual efforts to pass flatus, that afterwards is accomplished only by pressure, in the afternoon. Fermentation in the abdomen, with griping in the intestines. Slight convulsive movement and transient pains in the abdomen. Sensation of heaviness and dragging in the colon, with ineffectual efforts to evacuate the bowels; the sphincter ani remained tightly closed, and would allow neither gas nor faeces to pass, and presented an unyielding resistance to the violent contractions of the abdominal muscles. Sensation as if the abdomen were full and stopped, in the afternoon.
Several pinchings in the bowels (after half an hour). Stitches in the whole abdomen, in the evening. Violent lancinations, worse by paroxysms, in the abdominal walls; they are renewed by bending the head on the chest while lying stretched out in bed. The patient felt as if the intestines were lacerated with arrows drawn in contrary directions, and piercing the hypochondriac and iliac regions. Whole abdomen very sensitive to touch. Painful sensibility of the abdomen. Abdomen very sensitive. Abdomen tender to touch; pain aggravated by food.
Tenderness on pressure all over abdomen (third day). Abdominal pain, seldom either increased or diminished by firm pressure.
The abdominal pains are considerably aggravated by cold. The bowels gradually lose the ability to expel their contents.
Relief by compressing the abdomen, especially during the paroxysms. His abdomen seemed to be the centre from which his pain radiated. Hypogastrium and Iliac Region.
Movements in the lower abdomen, with cutting pain (second forenoon). Some borborygmi in the right iliac fossa. The hypogastrium sounded well on percussion, but at every attempt to introduce a catheter into the bladder the pains were much aggravated, causing fearful screams; an entrance was effected with some difficulty during the period of remission, but only a few drops of red urine were drawn off. The walls of the hypogastrium are very depressed, as if excavated, and extremely hard; the rest of the abdomen is also retracted and tense, but to a less degree. Sensation as if flatus were incarcerated in the lower abdomen and could and be passed, in the afternoon. Acute pressing outward pain very low down in the abdomen and down to the rectum, a kind of painless desire to pass flatus, that amounts to nothing. Oppression over hypogastrium. Griping in the lower abdomen (fifth and sixth days). Griping pain in the lower part of abdomen, relieved by pressure. Paroxysms of painful constriction in the lower abdominal region, with anxiety, nausea, and eructations, and after some hours a sensation as if two arrows were drawn through the abdomen in opposite directions; during the paroxysms the pulse became small and rapid, and the skin cold.
Twisting pain, at times excruciating, in the hypogastrium and testicles. Dull pains in the hypogastrium and renal region.
Feeling of compression and coolness at the hypogastrium, slightly aggravated by pressure, and becoming more severe at intervals. After retching she sometimes felt slight pain in the lower part of the abdomen, evidently of a myalgic nature, from fatigue of the abdominal muscles. Very acute tearing sensation extending along the flanks down to the bladder, constant, but with regular exacerbations. Inguinal glands somewhat congested.
Increased sensitiveness of the right iliac fossa to hard pressure. Right iliac region painful to pressure. A stitch in the left groin on stooping; on sticking in the left groin on stooping; on rising up, sticking in the umbilical region, that disappeared on stooping; after dinner (after two hours and a half).
Rectum and Anus
When a finger was introduced into the rectum during the paroxysms, the sphincter ani, and the bowel as far as it entered, closed forcible upon it; during the intermission this was not the case. A finger passed into the rectum is forcibly compressed by the sphincter and bowel. Injections cannot be retained more than five minutes; they are rejected hurriedly. Weight in the rectum. Much pain on evacuating bowels. It seems as though he would evacuate a thin stool, but he does not, immediately, and also later (first day). Violent efforts to evacuate, producing hemorrhoids. Frequent tenesmus. Tenesmus. Tenesmus of the rectum and bladder. Difficult defecation. Frequent and urgent tenesmus. Itching in the hemorrhoids; the anus is retracted. (All the hemorrhoidal troubles disappear). Itching and burning pain in the perineum and neck of the bladder. Prolapsus of the anus.
Constriction and drawing up of the anus (introtractio ani). The anus was violently constricted and drawn up. Difficulty in passing the finger into the anus; the sphincter contracting during the paroxysms. Some cutting colic and cutting in the anus, during a soft stool (sixth day). Crawling and fine sticking in the rectum (after two hours and a half). Burning in the anus during stool. The anus is drawn inward.
Tenesmus in the anus. Tenesmus of the anus, which seems shrunken in; contracted on itself. Pressing-boring pains and tenesmus in the anus. Formication in the anus. Desire for stool, and a watery evacuation (second forenoon). Painful urging to stool. Violent dragging and urging to stool, that was scanty, though of a normal color and consistent, with pressure, in the afternoon. Sluggish desire for stool, at times; the stool itself is sluggish, and consists of tenacious faeces. Ineffectual desire for stool; in the afternoon. Occasional ineffectual urging to stool.
Tenesmus and frequent ineffectual urging to stool. A frequent but ineffectual desire to evacuate the bowels.
Stool
Diarrhoea. Troublesome and constant diarrhoea, at times accompanied with a good deal of abdominal pain, and sometimes with very much tenesmus; after various remedies, the bowels still acted three or four times a day, the stools being quite liquid; no blood was passed, but mucus sometimes. Dysentery, Dysentery. Violent bloody dysentery, fever, incessant cutting in the stomach and abdomen, violent eructations, so that everything seemed changed to gas. Dysentery. Frequent purging of yellow-faeces, with pain (third to sixth day). Diarrhoea. Uncontrollable diarrhoea, in rears cases. Diarrhoea, with rumbling in the abdomen, without pain, for two hours. Very profuse discharge from the bowels. More or less decided diarrhoea, in some cases. Diarrhoea, whenever he had lead-colic, and at no other time. Evacuates the bowels in bed. Diarrhoea, before the colic. Frequent offensive diarrhoea. Purged once freely (after three-quarters of an hour). Some occasional diarrhoea. Diarrhoea, with paroxysms of colic; the evacuations were watery, and contained much mucus. Involuntary evacuations just before death. Diarrhoea, succeeded by constipation. Three stools this morning, without his having taken medicine; the evacuations are mostly liquid. Two stools, since 5 A.M. Very copious stool, in the morning. Bloody stools, with tenesmus. Bloody evacuations from the bowels. Yellow diarrhoea. Rather copious, yellowish diarrhoeic stools.
Continually, small, thin, black stools. Ascites, with at times, most violent diarrhoea. Soft stool preceded by movements and flatulence (after three hours). Stool at first thin, liquid, afterwards in small pieces, of a penetrating odor (first day).
Stool yellow, consistent; passed unconsciously. Thick black stool every other day. Extremely fetid black stools. Stool dry, light- gray, tenacious, difficult. The stools are of a decided fawn color. Faeces smooth and dark-colored. The excrements were rather darker than usual, showing a sufficiency of bile.
Leaden-colored faeces evacuated by vomiting. Stool leaden- colored. Very offensive stools, with most violent colic, soon.
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.