Menses have been absent for four months. In a short time after this, although quite regular previously, she ceased to menstruate. During these four years she has been afflicted many times in a similar way, whenever she returned to the same employment. Catamenia absent for fourteen months, until a month ago, when they appeared scanty. Disturbance of the menses. Leucorrhoea (H. and T.). Menorrhagia. All the women suffered more or less from menorrhagia. Occurrences of serve hemorrhage, which he considers as abortions in many cases.
Respiratory Organs
Spasm of the respiratory organs. Constriction of the larynx. Dry mucus in the upper part of the trachea, that he could loosen only with difficulty, and not without some pain in the chest, with whistling in the upper part of the chest on inspiration (second day). Intense general bronchitis. Voice. Rough voice, with hacking cough. Voice nasal, Voice hoarse, almost toneless. Voice hoarse. Voice nasal. Voice toneless, hollow. Voice loud. Voice a good deal altered, and the tones of the voice much impaired. The voice has lost much of its resonance, and is weak, like a woman’s articulation is impeded, and sometimes even incomplete. Voice panting, stifled; he can scarcely make himself heard. His voice is weaker than usual.
Voice very weak. His voice (which had been a little weak for some days previously ) began to fail him one evening while he was reading aloud, Voice weak and dull, The voice is weak and husky. Voice became very weak, talking very difficult. Voice very weak, with imperfect utterance (tenth day), The voice had partly lost its strength and resonance. Voice feeble, Voice weak, For three or four months she noticed that with each return of the catamenia her voice became noticeably weaker, until it became merely a faint whisper, in which state it remained a period of six years and a half. Even a short conversation caused great fatigue of the muscles of th chest. This was at once explained by the laryngoscopic examination, which showed that there was not the slightest approximation of the vocal cords on attempting to speak, and the glottis remaining widely open; a large volume of air was required to be forced through it in order to produce the faint whisper above mentioned. This demanded an effort of the expiratory muscles, which was very fatiguing. Voice almost extinct. She lost her voice for about eight weeks, at the end of which time it returned. Violent cramp, at night, in the left leg, it ascended up the entire body, and affected the throat, so that for a moment he could not utter a word. The difficulty of speaking lasted fifteen days, but gradually diminished, until he could speak as well as before.
Aphonia. Aphonia Permanent. Cough and Expectoration. Cough. Cough at first dry, afterwards moist, with expectoration of mucus, finally accompanied by fever. Cough in two paroxysms (third day). Cough, with purulent expectoration. Convulsive cough. Hacking cough. Frequent cough, with bloody expectoration. Dry cough. Dry cough, with frequent vomiting. Dry cough on deep inspiration. Short, dry, nervous, fatiguing cough. Coughed up blood for days, having lost altogether about half a pint; afterwards an attack of spitting of blood, without cough, Hemoptysis with fatal suppuration of the lungs. Cough, with bloody expectoration. Slight cough, caused by dry mucus in the upper part of the chest, in the morning (first and second day). Respiration. Some rales, on auscultation, at the apices of both lungs, perhaps merely from bronchitis. Says he has no habitual cough, does not sweat, an is not emaciated. During the paroxysms the inspiratory movements become hurried, incomplete, and noisy, as if held in check by the pain. Real asthma at times. Asthma. Respiration easy and regular. Respiration in short, rapid jerks (first day). Rapid, painful respiration. Respiration rapid and anxious. The breathing was intermittent. The average time of the intermissions was about forty-five seconds. I never counted less than thirty seconds. Forty-five to fifty-five seconds were common, and in the latter part of his illness I often counted seventy seconds. To be perspicuous, there were two periods, one the respiratory, an the other the non respiratory period. The number of respiratory period. The longest respiratory periods marked the shortest non-respiratory periods, and vice versa. In his best condition the time consumed in the two periods was about one minute. Then he had a comparatively refreshing sleep, and his respirations resumed without so much panting, an he would not generally be awakened. Respiration very quick, especially during the paroxysms of colic or arthralgia, when it is 68, and accompanied by a sort of noise at the entrances of the nose and mouth. During the paroxysms respiration considerably accelerated, sometimes it was suddenly arrested by a violent attack of colic, when it would become interrupted an choking. Breathing short and rapid. Respiration, 120. Respiration extremely rapid, 55 per minute. Respiration during the paroxysms, 65 per minute; between them 35 per minute. Respiration 48; quite incomplete, short, suffocating; a kind of jactitation was also observed; during the intermissions, respiration was more regular and less frequent, but the utterance was always panting. Respiration 35; anxious, difficult, irregular, especially during the paroxysms of colic. Respiration 30 to 40. Respiration 30; short and rather quick (during the paroxysms); 25 (between the paroxysms). Respiration 30 to 35, interrupted, panting, hurried. Respiration 30 (during the paroxysms); 24 (between the paroxysms). Respiration 30; irregular. Respiration 30. Respiration 28. Respiration 26. Respiration 25; quite regular.
Respiration 25. Respiration rapid, 22. Respiration 20. The air of a room filled with people is extremely oppressive; he feels as though he would faint; followed by darkness before the eyes (first day). Impeded respiration. Difficult respiration, that compelled him to jump out of bed at night, open the window, and gasp for fresh air. Respiration difficult, superficial, and accelerated, especially during the colicky paroxysms. Respiration embarrassed, accelerated. Difficult respiration (fourth day). Difficult respiration, with anxiety.
Such a distressing craving for air, especially at night, that during warm weather she was obliged to keep both the door and window of her bed-room open, becoming in consequence deaf from getting a cold in her ears. Oppressed respiration. Her breath was arrested with sticking in the sternum, when standing or sitting, or on moving the right arm toward the left side, in the afternoon. Respiration painful. Loud groaning and sighing, at times, with excessive weeping; the patient seemed affected by a violent hysterical attack. Respiration frequently interrupted by sighing. Frequent sighing.
Anxious sighing respiration. Anxious respiration. Respiring heavily (after five hours). Respiration slow and indolent; expiration stertorous, on account of weakened power of the buccinators. Easily gets out of breath. The respiration suddenly cut short. Great shortness of breath on walking, especially on ascending a height, with hoarseness and oppression in the region of the heart, aggravated by pressure with the hand. Shortness of breath, with somewhat dry cough (fourth day).
Shortness of breath. Sense of suffocation on drinking. Feeling of suffocative oppression during the colicky paroxysms.
Suffocation, causing death. Very feeble respiration (30).
Respiration slow and sighing. Dyspnoea, attributed to convulsion of diaphragm. Dyspnoea.
Chest
Suppuration of the lungs. The lungs were well distended during the respiratory period; the thorax expended, and all of the respiratory muscles seemed to be active. The violent ingress of the air, and the violent efforts to get it, muffled the vesicular murmur, which could only be heart at the close of the respiratory period, and was louder than normal, and accompanied with more or less of mucous rales. Percussion-sounds were usually resonant, except in the region of the heart and liver. A few days previous to the death of the patient, the lungs were evidently greatly congested, and he finally died with a gush of blood from the mouth, containing large coagulated clots. On examining his chest I found evidence of consolidation in the left apex, and appearance of its commencing in the other; there was no rale, moist or dry, and very little cough; while the poisoned water was being used there was scarcely any rising of the upper left chest on inspiration (the respiration being very harsh, almost bronchial; soon after pure water was used, the chest began again to expand, and the respiration became puerile). The condition of the left side was involved in great obscurity. To the touch, that part extending from the false ribs to the crista ilii, and from the dorsal vertebrae to the left rectus muscle, presented a hard an indurated feel. The hardened mass lay immediately beneath the skin, and could be traced only to the muscular system. At the apex of the lungs bronchial respiration was heard. Weak action of the lungs, especially the left; distinct shade of dulness in the right apex (the left being the first affected). Labored movement of chest an diaphragm, Two out of one hundred and eighty-four died of gangrene of the lungs; two of tubercles of the lungs. At one time the friction of the muscles of the chest was so loud, that combined with other symptoms, I has great difficulty in satisfying myself that the she had not pleurisy. Accumulation of phlegm on chest. Rush of blood to the chest, when walking rapidly (fifth day). Symptoms resembling angina pectoris.
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.