Elbow. Flexed. Boring, (<) at bend, extending to shoulder, hand flexed and cannot be straightened nor lifted, arm cannot be raised both hands in carrying a glass to his lips, on trying to straighten the arm the supinator longus resists forcibly. Pain; in bends; in r., and in wrists and muscles of r. arm; twisting, in bends and in palmar surfaces of forearms, worse by paroxysms, (>) pressure. Weight; (<) l.
Forearm. Dilatations of cutaneous veins like strings of pearls, (<) exerting and compression of venae profundae brachii, on F. and under surface of lower third of upper arm; of F. and hands. Arteries rigid and tortuous. Emaciated; extensors; (<) r. and thumbs; posterior surface, and flabby, also the skin there dried, a bony projection at carpo-metacarpal region. The superior part of outside is not on the same plane with the interior part, which is twisted inward. Muscles, (<) extensors, flabby, weak and tremulous. Palmar surface hard and tense during the worst paroxysms and affected by cramps, which are removed by movement. Fixed in pronation, with much effort they can be brought midway between pronation and supination. Semi-flexed and incapable of extension and supination; l. semi-flexed, incapable of extension. Trembling of F. and hands, (<) l. Cramps; of r. flexors. Lancinations from elbows to finger-ends. Boring from middle of r. to near shoulder-joint after breakfast; paroxysms, in palmar surface, in bend of elbow and in axilla, (>) gentle pressure, (<) firm pressure. Pains; sudden, in radial nerves in the daytime, with pain on stretching out hands, only ring fingers and r. little finger could be extended, with uneasiness in elbow like fatigue, also felt in leg behind ankle. Weakness. Diminished sensibility; on extensor surface of. F. and fingers. Electro- muscular contractility diminished. Anaesthesia; on back; (<) extensor surface, with analgesia; F. and insensible to pricking and burning, but pain on anterior surface of forward. Supination impossible. Paralysis; of extensors; (<) r; extensors, (<) r., coming on gradually during colic, with withering of the affected muscles.
Wrist. Emaciation of r. Swelling with paralysis of extensors of hands. Bony elevation on back from projecting hands of second and third metacarpal bones. Flexed; and fingers form a right angle with metacarpus; r. permanently flexed at a right angle with forearm; r. permanently flexed with W. and hands twisted outward; permanently flexed at a right angle with forearm, turned inward, so that radius projects. R. twisted inward, incapable of abduction, upon attempting to turn it back upon forearm the whole hand is thrown into adduction. Trembling of W. and hands from any emotion. Tearing on lower surface of r. extending to back of hand and fingers, in afternoon. Attacks of pain extending up arms. Weight. Weakness of W. and fingers after the colic; W., with burning pain in them and in forearms, (<) night, later paralysis of extensors of W., complete on l. side, partial on r. Insensibility; of l. Extension of i. W. and finger slow and feeble. Wristdrop; (<) on r. side; with numbness of fingers and muscles of back of arm, he could not pick up a pin though sensation was unaltered; with helplessness of W., but a comparatively good grip with his hands. Paralysis of r. extensors; of extensor carpi ulnaris; of W. and fingers, with tremor on trying to move them. Flexors of W. and fingers cease to act during supination of forearm and hands, so that they are extended by their own weight. L. cannot be extended; cannot be extended unless the hand is placed edgeways, it is with difficulty abducted or adducted at the same time that it is extended or flexed; W. and fingers can be abducted and adducted only by flexing them. W. is brought into abduction (never into adduction) when straightened out, during extension the action of the radial muscles is visible, but scarcely any in extensor carpi ulnaris. L. easily moved when the hand is closed.
Hand. Back blue, clammy and infiltrated. Emaciation; of r.; with contractions flexors and stiffness of finger-joints. Palm dose not lie upon the bed, but looks the other way. Back convex, projections formed by heads of second and third metacarpal bones and by trapezoid and trapezoid. Hard swelling of extensor tendons extending from wrist to middle or two-thirds of metacarpus, painful on pressure, and on back of hand a series of round digitations, with paralysis of muscles. Trembling; when he is fatigued; worse when anything goes wrong with him; worse in evening than in morning, and when he is intoxicated, spreading he is vexed or fatigued over upper limbs; suddenly in r., later T. and paralysis of l. upper limb; then weakness of third and fourth fingers, so that they could not be fully extended, then second and fifth fingers were affected, then wrist, finally shoulders, arms hung down relaxed, balls of thumb, shoulders and arms, (<) deltoids, emaciated, T. of muscles on passive motion of hands and fingers, at other times fibrillar twitching, on attempting to raise arm the trapezius and sterno-cleido-mastoid contracted and raised shoulder there inches, then pectoral muscles drew arm forward contraction of all muscles weak. Twitching; in. back of l. Cramp of r. Sticking inward in back of r. Tearing in r. at place where the pulse is felt. Pain in l., with loss of motion. Weakness; (<) r. r., (<) inner border, ring and middle fingers semi- flexed and paralyzed, with insensibility of these fingers and inner half of hand. Stiffness of r. nd l. fingers. Difficulty in closing l. Diminished sensibility; in r. palm; (<) r.; in r.,, dorsal surface; of r. and lower part of forearm; of r. and wrist and lower third of back of forearm. Insensibility; of r.; r. palm; skin of l. palm; in night on walking and in morning sudden loss of power; of r. H. and wrist extending to lower half of dorsal surface of forearm, but only three or four centimetres above inside of wrist; extensor communis digitorum almost insensible to electricity. Paralysis; (<) r.; extensors; r. extensors, also fingers always semiflexed; with relaxation, dryness, paleness, coldness, the backs raised by scabs, under which cavities are formed; incipient motor, of r., (<) index and middle fingers.
Fingers. Nails bluish-gray. Atrophy of balls of thumbs; with pain up arms to nape and occiput; A. of thenal and hypothetical eminences. Flexed; r.; curled up into palm; (<) middle ones; upon one another without muscular contraction; index nd little F. flexed by weight of middle fingers and by action of flexors communi digitorum; and when forcibly extended pain up to shoulder; l., with imperfect extension, abduction and adduction; l. little, it can not be extended, separated, adducted or brought into opposition; thumb firmly F. and turned inward, it cannot be adducted, extended or brought into opposition; third finger and last phalanx of thumb spasmodically F.; two l. middle firmly semi-flexed. Jerking in l. thumb. Spasms. Cramps; on trying to grasp anything. Tearing in l. thumb; on side of l. index, between second and third joints in afternoon; in r. ring and middle toward tips, (>) rubbing but returning. Pain. Painless sensation of tension in l. thumb. Weight; in tips; with swollen feeling. Weakness; of r.; extensors, (<) r.; r., (<) middle and ring; r. middle and ring, then index and little; extensors of fourth, then trembling of arm on exertion, then paralysis of arm; extensors of third and fourth when writhing, then of fifth and second, then thumb, at last extensor carpi ulnaris, then W. and trembling of hands, later paralysis of arm (the patient was left-handed and the paralysis was (<) l. side); sudden, in r. fourth and fifth. Sense of touch weak; (<) r. Analgesia of r., (<) tips. Numbness; of r.; tips of r., with formication; tip of l. forth, with fuzziness; (<) r., with formication, then pricking; of little and ring F., extending to styloid process of ulna and on inner surface of middle F. and third metacarpus, the F. move less nimbly than usual. Difficult to move. Inability to extend them; r. F. and l. middle and ring. Thumb and little F. cannot be placed in opposition. Adduction of r. thumb impossible. Fingers do not fall beyond thenar and hypothenar region, last phalanges flexed,; middle F. do not fall beyond thenar and hypothenar region. Difficult to separate; when flexed; when hand hangs down; l. middle, and to approximate. Abduction impossible in l. index; in F. except by flexing them; in thumb, abductor pollicis longus motionless; A. and opposition of thumb impossible; A. and opposition of thumb impossible when fully adducted; A. and extension of two r. middle F. impossible, with weakness of them; r. ring F. does not go as far as the others when they are closed and it cannot be fully abducted nor adducted. Paralysis; of extensors of r.; of two last r., with numbness of them; partial, of extensors. Falling asleep of r. thumb.
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.