Tightness of the chest (fifth and sixth days). Great oppression of the chest, and anxiety. Oppression of the chest. Sudden oppression of the chest, returning at intervals, and constantly increasing in violence. Some oppression of the chest, in the morning (second day). Tightness of the chest. Sense of constriction in the chest; the pains prevent him from fully dilating it. Feeling of constriction at the base of, and all around the chest. Oppression cramp in the lower portion of the chest, with unusual fatigue, after physical exertion. Anxiety about the chest. Constant pressure across the chest, especially behind the sternum, causing anxiety an making respiration difficult; movement or pressure of the hand upon the left side of the chest aggravated the anxiety. Pressure upon the chest (after half an hour). A pressure similar to a sticking in the right and left pectoralis major muscles. About three weeks ago, had cutting pains in chest and throat, “as if scraped by a shell;” has the scraping feeling in throat now.
“as if a shell were scraping it;” the pain comes an goes, lasting only about a minutes; it makes him feel quite exhausted. Dared not dilate his chest, lest he should increases the pains. A young man complained of very great pain in the anterior parietes of the thorax, which was greatly increased by the slightest touch, and even by the respiratory motions. It was more severe above the costal cartilages. Dragging pain from the chest, as if a string were stretched from it to the groin. Pains in the chest, etc.
Paroxysmal pricking pain in the external sub clavicular region, near the brachial plexus, diminished by pressure. Great sensitiveness of the anterior wall of the chest and in the cartilages of the ribs. Stitches in various parts of the chest and shoulders. Stitches in the left upper pectoral region; on rubbing it extended into the mammae, then backward and upward along the shoulder, in the afternoon. Sticking in the right costal region after sitting down, disappearing on walking about. Front and Sides. Pain behind the sternum (second and tenth days). Pressure externally on the lower portion of the sternum (after one hour). Pressure upon the lower portion of the sternum (after two hours and three-quarters). Applied perpendicularly over the sternum, the instrument showed 75 mm.
Lancinations becoming worse, at intervals, in the front and sides of the chest. Sticking in the upper part of the sternum during inspiration, in the afternoon. A stitch in the middle of the sternum (after six hours and a half). Violent dull pressure as from a block of wood pressing against the anterior and lower portion of the left side of the chest, superficial, as if in the lung, very much aggravated on inspiration, especially on deep inspiration and also on laughing; lasting from morning after rising until after dinner; while lying upon the sofa after dinner he could not endure the pain, and could find relief in no position; this was accompanied by drawing sticking in the left upper arm, an at times sticking between the scapulae, that lasted, few minutes, and then suddenly disappeared, together with a pain in the chest (ninth day). Dull pressure upon the left chest, always quite independent of inspiration or expiration. A dull sensation and pressive pain within the left chest, anteriorly and posteriorly, intermitting and returning. Severe pain in the lower part of the left side of the chest, apparently seated in the intercostal muscles. Dull pressive stitches in the left side of the chest, not affected by respiration, intermittent. Tearing beneath the right arm (second day). Fine sticking in the left side of the chest near the sternum, disappearing on rubbing (after three-quarters of an hour). Sticking beneath the right arm, that taken away her breath, while standing.
Sticking, now in the right, now in the left side of the chest (second afternoon and evening). Sticking in the left side of the chest (second afternoon). Sticking in the left side of the chest, extending through the scapula, in the afternoon (second day). Stitches in the region of the right lower ribs on turning the body to the right, and still worse on turning it backward; relieved by rubbing, in the afternoon. Stitches in the right side of the chest, becoming a twinging (second day). Violent fine stitches in the left side of the chest (after a quarter of an hour). Stitches in the left side of the chest, aggravated by inspiration followed by tearing; not relieved after rubbing (after two hours). Transient stitches in the left side of the chest (after two hours and a half). Mammae. The milk was very scanty. Sudden attack of severe pain in the left mammary region. It was constant, boring, and extended into the back. Pressure aggravated it to an intolerable degree. It was accompanied by fever and very severe dyspnoea, as if suffocation was imminent, obliging her to keep sitting up in bed. The beats of the heart were tumultuous, rapid, and resonant. Itching and sticking pains in both breasts; the left breast suppurated about the nipple and discharged for six days a somewhat serous water, after which it remained well; in the right breast there developed an induration, extraordinarily large, occupying the whole substance of the breast, firmly adherent towards the outer portion, of a livid color, extending upward and outward over the whole periphery of this swelling, with here and there red streaks, together with violent pains in the swelling, that extended to the arm and affected its use; after being opened it discharged a large quantity of thin an corrosive matter, and after several days the swelling entirely disappeared. Sticking below the right breast (after five hours). Sticking in the left mamma on inspiration, in the afternoon. Sticking in the left mamma (second day). Sticking beneath the mammae (after five hours). Sticking beneath the left mamma, near the sternum, in the afternoon. Two stitches in and beneath the mammae, lasting an hour, in the morning in bed, disappearing after rising (third day). Stitches deep in the right mamma, not disappearing after rubbing (second day). A fine stitch in the left mamma, afterwards in the right (after six hours). Somewhat violent stitches below the right breast, extending into the right scapula (after one hour and a half). Stitches deep in the female breast.
Heart and Pulse
Prominence of the precordial region; it gives a dull sound on percussion, over the space of three inches square. The precordial region is shaken by the hurried and irregular beats of the heart; they seem as if stifled, on auscultation, but there is no abnormal sound. Pressure in the precordial region. Jerking in the precordial region (after half an hour). A stitch in the precordial region on inspiration, then anxiety, with mounting of heat and redness into the face, soon disappearing (after six hours). Heart measures 15 by 20 centimeters; the beats can be noticed over the whole surface of the heart and in the epigastric region; violent pulsation in the jugular veins, which are enormously distended, pulse very small and rapid, associated with oppression and oedema of the limbs; the heart- sounds are very difficult to distinguish, consisting of indefinite double friction-murmurs. Heart dilated 12 by 14 centimeters; four beats are heart instead of two; associated with a pulse of 84, vibrating as is insufficiency of the aorta; moderate beating in the carotids. The heart measures 10 centimeters in length, 15 in breadth; the heart-sounds noticed over a larger surface than normal; the valvular sounds are wanting; instead there is a double bruit, very rough, rasping, which is transmitted along the carotids.
Heart very much enlarged, the apex in the sixth space; the murmur at the apex diminishing in intensity along the aorta. The heart measures 11 by 12 centimeters; chlorotic sounds very marked, pulse 80 and feeble. The heart measures 9 by 14 centimeters; the heart-sounds are redoubled; the second sound rub, changed in character; it resembled a pericardiac sound. The chlorotic murmurs are considerable. Heart measures 11 by 16 centimeters; the sounds are sonorous; at one point, however, there can be recognized a little murmur in the second sound of the heart. Heart measures 11 by 12 centimeters; there is a double rough blowing sound, which is transmitted along the carotids, associated with swelling of the limbs and albuminuria. The heart measures 11 by 12 centimeters, the apex is in the fifth intercostal space; the sounds seem altered; the chlorotic murmur can be heard in the vessels of the neck. The heart was evidently enormously large. It was impossible to lay the patient on his left side on account of it, as any pressure on that side could not be borne for a moment. His greatest suffering was a sense of pressure upon the heart, feeling as it were imprisoned by the thoracic wall; but it maintained its rhythm through the whole period of respiratory intermission, becoming at the beginning of the period slower, and falling to 100 or 105 beats per minutes, holding that for a time, then rapidly increasing in number until he breathed, when every available muscle was brought into violent exercise to give him air. Heart enlarged. Organic disease of the heart occurred in seventeen out of one hundred and eighty-four cases; two workers died of parenchymatous nephritis. Affection of the heart in chronic lead poisoning is often difficult to diagnosticate, because it is dependent upon change in the muscular structure of the heart without coincident disease of the valves, and with or without atheromatous degeneration of the vessels; usually there is hypertrophy and dilatation of the left ventricle; ten cases out of twenty-five were associated with parenchymatous nephritis in the stage of atrophy. Anxiety at the heart and cold sweat. Anxiety at the heart and anxious perspiration. Nausea, with anxiety at the heart (second day). Anxious, apprehensive about the heart (after half an hour). General oppression about the heart. He complained of sudden and unusual pain in the region of the heart, third day after his entrance, and expired in a few minutes. Violent palpitation, with pain in the heart. Very violent palpitation. Frequent palpitation, with dyspnoea, at times so great that it threatened suffocation; he seemed to feel the heart beating along the neck and as far as the vertex, with full, hard, regular pulse; the beating of the heart was visible and perceptible in the precordial region over a space of about two and three-quarter inches vertically, and about three inches transversely; the sounds of the heart were audible over nearly the whole anterior portion of the chest, but were normal (for this palpitation the patient received 3-grain pills of the Acetate of lead; this treatment relieved the palpitation and violent action of the heart, so that the pulse became weak an full, about 50; but the Sugar of lead brought on the most violent colic, with nausea and vomiting, with pins in the lower extremities, on which account the remedy was suspended). Rather strong palpitation of the heart; slight bruit de souffle at the apex. Palpitation increased during the violent attacks. Excessive palpitation.
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.