Mind: The mental symptoms are well worth examining. The low form of delirium, muttering, talking to himself is a peculiar form of loquacity. It differs somewhat from Lachesis. Both have loquacity.
The Lachesis loquacity is so rapid that if anyone in the room commences to tell something the patient will take it up and finish the story, although he has never heard anything about it, so active is his mind. No one is permitted to finish a story in the presence of a Lachesis patient. One will commence to tell something. He will say,
“Oh, yes; I understand it and he will go off on another line and finish up with something entirely different.
Crot. does that, too, but Crot. will take it up and mumble and stumble over his words in a clumsy manner.
It is a low passive state like intoxication; in Lachesis it is wild excitement.
“Delirium with languor, drowsiness, stupor.”
That tells it.
“Loquacious delirium with desire to escape from bed.”
It is passive, however. His motions are slow.
“Muttering delirium of typhus.
His thoughts dwell on death continually.
Moved to tears by reading.
Melancholy with timidity, fear.
Anxious and pale, with cold sweat.
Irritable, cross, infuriated by least annoyance.”
On motion there is vertigo, dizziness. On keeping still there is pain. On going to sleep there is pain, and he is roused by violent pain. The longer he sleeps the more severe that pain in the head.
Sleep: He sleeps into his symptoms. All the snake poisons more or less sleep into troubles. The head troubles come on after sleep. He sleeps into headache. The longer he sleeps the harder are the headaches.
Head: The headache is so hard in the back of the head that it is almost impossible to raise it from the pillow. The muscles become so tired he has to take hold of it with his hands. This belongs also to Lachesis A congestive headache with waxy face, yellow, purple, mottled face, as if there had been bruises.
“Headache extending into the eyes.
Bilious headache every few days.”
Severe sick headache, together with dizziness, throbbing in the top of the head. Dull, pulsating headaches. Dull, heavy, throbbing, occipital headaches or the whole head is in a state of congestion. He is confused and dazed. Head feels too large.
Head feels full, feels as if it would burst. Headaches that come on in waves as if they came up the back, a surging of blood upwards, an orgasm described as if the blood rushed upwards.
Headache with surging in waves and excited by motion or jar, by turning over in bed, by rising up in bed, or by lying down. Change of position will cause this surging. In Lachesis it is described, and I have seen it verified, as beginning away down in the spine and surging upward coincident with the pulse.
Eyes: Hemorrhage from the eyes. Yellow appearance of the eyes.
“Blood exudes from the eye, burning in eyes; redness with lachrymation.”
Pressure in the eyes as if the eyes would be pushed out from the head. Paralysis of the upper lids. Inflammation of the mucous membrane of the lids.
Ears: Surging in the ears.
“Sensitive to noises.”
Dull aching and throbbing in the ears. Foetid, copious, yellow, offensive, bloody discharges from the ears. Blood oozing from the ears in drops in zymotic diseases, low forms of scarlet fever, or of diphtheria where there is oozing from the eyes and ears, and copious bleeding from the nose.
The nose is the most common organ to bleed in zymotic diseases. The rush of blood seems to get relief from bleeding from the nose. In this medicine the congestion to the head is violent with bleeding from the nose. It has cured all forms of foetid discharge. Horrible, foetid, putrid discharges from the nose. Ozoena.
Inflammation of the parotid gland. Blueness and discoloration of the face. Yellow appearance of the face, a marked condition of jaundice. In girls who appear waxy or anemic, yellowish green, have for a long time missed the menstrual period and break out in pustules and pimples.
Mouth: This patient often wakes up during the night grinding the teeth. The taste is bad, putrid. Inflammation of the gums. Bleeding from the mouth. Inflammation of the throat with bleeding of the throat. Burning in the throat and mouth, Trembling, quivering and swollen tongue. Trembling of the tongue when it is put out. Trembling of the hands when they are moved.
Those cases of diphtheria that ooze blood from the nose and mouth are very low types, and are sure to die without a well-selected remedy. The throat will be filled up under such circumstances with a diphtheritic membrane that looks dark. There is bleeding all around it. Sore mouth with bleeding. Ulcers in the mouth. Ulcers after Mercurius in, those who are pouring forth saliva on the pillow at night. Bleeding ulcers in the mouth. Difficult swallowing. Malignant diphtheria.