DRUG PICTURES : 77.
ON reading through the provings and poisoning by Terebinth. in the Cyclopedia of Drug Pathogenesy, one is struck by several points. One has always read in Materia Medica that with Terebinth. the “urine smells of violets” : this curious fact occurs again and again – even in the poisoning of animals by turpentine. The urine may be clear, bloody, sooty, black, but it apparently smells of violets: or, as it is once or twice expressed, it smells sweet.
Again, one notes the sleepiness and stupor so frequently produced.
Again, the character of the pains, – BURNING; burnings in gums; in mouth; in tongue, like fire, in throat; stomach; hypochondria; in rectum and anus; in kidneys; in bladder; in umbilicus; in urethra; in small of back; in testicle; in uterus; in air passages; chest; along sternum. Burning pressure in hypochondrium.
But the opposites so often obtain, in drug action :- perhaps action and reaction: but while Terebinth. has “burning in umbilicus”, it has also the curious symptoms, “umbilical region seems retracted, cold, just as though a cold round plate were pressed against it. .
Then one realizes its extremely haemorrhagic nature, causing ecchymoses – “fresh ecchymoses in great numbers from day to day”, ecchymoses in mouth and at angles of lips, which bleed; bleeding from stomach – “burning in stomach with nausea and vomiting of mucus, bile or blood – copious haemorrhages”; “sooty stools like coffee grounds”; entero-colitis, with haemorrhages and ulceration of bowels; haemorrhage from anus, and bleeding piles, “albuminuria, when blood and albumen abound”, urine, violet odour, fetid, albuminous, scanty, dark, cloudy and smoky, bloody; bloody, offensive leucorrhoea; expectoration of blood-stained sputum; bloody expectoration. Here it vies with the snake poisons, Crot. hor., etc.
It has the credit of inducing stupefaction and deep sleep; inability to think or work; weariness of life. Two cases of “suicide by hanging are recorded, from persons washing lace in oil or turpentine and alcohol”: and the fumes of turpentine have been very poisonous to many people. “Comatose, can be only roused by shaking out of apparent stupor, but falls immediately into it again.”
Or again it has an intoxicating effect: “slightly drunk for several hours”; staggering gait, as if drunk: stands with feet far apart; cannot balance body; to insensibility of extremities, especially the lower: to, no control over hand and arm when attempting to write: weakness and prostration: tired and unable to walk, staggered and fell: “muscles feel stiff, he walks slowly and bent over like an old man”: the limbs being raised fell heavily back by their own weight. Or, on the other hand, occasionally subsultus; tetanic spasms; lockjaw; chorea and epilepsy, as, when at intervals of ten or fifteen minutes, there were violent convulsive paroxysms, producing the most frightful ophisthotonos. Uraemic spasms.
We published last month a most interesting Terebinth. case: but it is wanted here, so we will venture to repeat it. It shows how the potentized drug antidotes the same crude drug: provided, of course, there has been no irremediable destruction of tissue.
A child of four years, falling in short spells of unconsciousness; unable to control the flow of urine day or night, was absolutely cured by one dose of Terebinthina 1m. The history of the case was that the child had drunk a lot of turpentine when 18 months old and had gone from bad to worse ever since. She never had another fit after that dose, and gradually but quickly got over the enuresis. She got nothing but a Placebo from then on. – Dr. Chas. C. Bowes, U.S.A. Recorder, March 1931. . Terebinth. is quite an interesting remedy, but its chief use, and its chief malignity (as seen from the black letter symptoms) is centered on the urinary organs:- kidneys, bladder, and urethra.
BLACK LETTER SYMPTOMS.
Tongue remains dry, with abdominal tension; after cleansing becomes dry again with increase of tympanitis.
Tongue does not clean gradually but rapidly and in large flakes, first from middle, leaving tongue smooth and glossy.
Distension of abdomen: feeling of, as from flatus.
Meteorism; excessive tympanitis, abdomen sensitive.
Haemorrhage from bowels, with ulceration; epithelial degeneration passive.
Violent drawing pains in the region of kidneys.
Albuminuria; early stages when blood and albumen abound more than casts and epithelium.
Sensitiveness of hypogastrium, tenesmus of bladder.
Violent burning and cutting in bladder, alternating with a similar pain in umbilicus; < at rest; > when walking in open air.