A Dictionary of Practical Materia Medica

Chininum Arsenicosum chin-a.

Clarke (1902)In every bookSave

General

Arsenite of Quinine. (C 20 H 24 N 2 O 2 ) 3 H 3 As O 4 2 H 2 O. Trituration or solution.

Clinical

Angina pectoris. Asthma. Bright's disease. Diarrhœa. Diphtheria. Epilepsy. Gastralgia. Hectic fever. Hemicrania. Intermittent fever. Keratitis. Ophthalmia. Scarlatina. Sore-throat, malignant. Spinal irritation. Syphilis. Tobacco, effects of. Tuberculosis.

Characteristics

The Arsenite of Quinine combines many of the properties of its two components, but having been proved it can be treated as a separate individuality. The periodicity is intensified, and this is especially noted in the neuralgias. An irritable mood precedes the headache, which is < by mental and bodily exercise. The gastralgia of Chi. ars . is pressure in solar plexus with tender spine just at back of it. Nausea and vomiting are followed by sleep. Bonino ( H. R ., iv 210), who gave it a prolonged proving, found the symptoms < at rest; in the morning; and when the stomach was empty. They were > by motion (vertigo); and by eating (gastralgia). The chief effects were manifested on the stomach, solar plexus, ligaments and skin. According to him it corresponds to tobacco intoxication and its effects; indigestion from unripe fruits; gastralgia from coarse food or ill-baked bread; chronic rheumatism of joints without swelling; tertiary syphilis of periosteum; colic from incarcerated flatus; intermittent fever with predominating chills, little thirst and continuous almost convulsive yawning; effects of severe and depressing influences on the mind; to convalescence from long-lasting sickness. The circulation was slow, and limbs relaxed. Weakness, prostration, and disinclination for mental exertion were marked in several provers.

Relations

Compare: Apis (diphtheria); Æthusa (sleep after vomiting); Cact. (constricting sensations).

Causation

Tobacco.

Mind

Dislike of mental occupation in spite of clear-headed lightness about head and feeling of exhilaration. — Memory impaired. — Anxiety. — Child sits up in bed lamenting. — Irritable mood precedes headache.

Head

Sudden attacks of vertigo, < by looking up. — Severe darting, tortuous pains, running up into head and preventing sleep. — Head full as if it would burst. — On sitting down, head seems to be covered with an iron cap. — Hemicrania (l.) from fright; flickering before l. eye and lachrymation, ringing in ears, pain tearing, boring. — Penetrating pain in region of l. temple. — Dull, heavy headache, frontal and occipital; in cerebellum, < from slightest motion.

Eyes

Intense photophobia and orbicular spasm gushing hot tears, ulcers attacking each eye, < from midnight to 3 a.m. (Keratitis.). — Flickering before l. eye, with pain and lachrymation. (Hemicrania.)

Ears

Ringing in ears like bells; with congestion towards head. — Noise in ears and dulness of hearing.

Nose

Profuse coryza > erect position and out of doors. — Post-nasal catarrh < l. side. — Copious epistaxis.

Face

Trembling of facial muscles, esp. orbicularis palpebrarum (immediately). — Dull pain in l. temporal region at articulation of lower jaw. — Face pale, sallow, bloated.

Mouth

Tongue thickly furred; appetite bad. — Yellow, slimy coating on tongue, with bitter taste. — Fetid breath. — Dryness in roof of mouth, gnawing and nausea. — Metallic bitter taste, without changing taste of victuals.

Throat

Throat feels sore and raw, < coughing and sneezing. — Diphtheria.

Stomach

Appetite gone. — Violent thirst for cold water. — Desire for sweets. — Empty sensation. — Hiccough and belching; followed by urging to stool. — Sudden, indescribable general nausea, with flying heat and waning strength, esp. of lower limbs. — Nausea and vomiting followed by sleep. — Eggs or fish cause painless diarrhœa at once. — Gnawing and nausea as before vomiting as at beginning of tobacco-poisoning. — Pain in stomach as if it had contracted itself round an uneven stone. — Disturbed in night by severe pain in stomach as if it were pressed against spinal column; > by eating, for a few moments; repeated several mornings. — Contracting gastralgia, as if pushed up; > only for a moment by tasteless eructation.

Abdomen

Pain in epigastrium as from foul stomach. — Pain as from flatus wedged into flexure of colon. — Aching around navel and in ilium. — In evening severe colicky pains > by pressure.

Stool and Anus

Violent urging to stool, evacuated in prolonged rush till bowel empty; stool thin, brown, painless. — Diarrhœa, morning, hardly had time to dress, brown, liquid with jelly-like lumps: pain in l. iliac region, quite severe when walking. — Towards morning, frequent, bad-smelling flatus. — Stool pappy; watery, fetid. — Stool, fecal, with mucus and blood, preceded and followed by tenesmus. — Stool hard, voided with difficulty; aided by pressing finger on coccyx. — Could eat no breakfast, but took some dinner, and immediately thereafter great urging to stool, which was watery and blackish; some pain in hypogastrium.

Urinary Organs

Urine scanty; frequent urging. — Urine increased, urging tiresome.

Male Sexual Organs

A peculiar burning ache about sphincter vesicæ and throughout urethra.

Respiratory Organs

Breathing unsatisfactory, wants more air than he can take into his lungs. — Respiration very free, as if thorax were hollow. — Suffocative attacks beginning in morning and lasting till noon; > sitting bent forward at open window, < every other position. — Senile subacute bronchial catarrh with periodical fever, generally < at night.

Chest

Severe stitching pain, in chest; later in precordia; < on inspiration. — Asthmatic breathing on ascending. — Tightening sensation in mediastinum, in front at l. of breast-bone. — Peculiar pain, dull with pressure, as if caused by flatulence, base of l. chest, coming and going rapidly and frequently repeated.

Heart

Angina pectoris. — Palpitation on leaning against back. — Sensation as if heart had stopped. — Heart began to tremble, with a rumbling noise; I was unable to distinguish the pulsations (lasted one hour). — Slow pulse. — L. intercostal neuralgia as if torn with hot tongs.

Back

Pain in muscles between l. shoulder and neck, as if sprained, on rising from sleep, 4 p.m. — Back feels weak as after a long journey. — Pressure in solar plexus (usually only felt after eating tough meat or hard nuts, of which I had not partaken) extended toward the back, when it changed to a pinching sensation; spine painfully sensitive to touch at this point.

Upper Limbs

Pain in l. wrist, stiffness of l. arm. — Pain of fatigue in r. wrist. — Burning pain as in periosteum of l. elbow. — Annoying feeling of fatigue in r. shoulder, as if humerus were torn out of its socket. — Sore, tired aching in joints, bones and muscles: in l. biceps for some hours.

Lower Limbs

Dull pain in r. temporal region, at articulation of jaw and r. hip. — Pain in r. astragalo-tarsal joint as if bones drawn in opposite directions; > walking. — Pressure on tuberosity of tibia, which is somewhat swollen. — Pain in r. knee as from a fall. — Cramp in calf. — Pains back of r. thigh and in calf. — Numbness of legs after hardly having lain down. — Weakness of lower limbs.

Generalities

In different parts of body burning fluttering beats, as from electricity. — Stiffness of all bones, even while walking. — Burning pains deep in joints. — Burning pains as in periosteum. — Nervous restlessness, unable to remain in the house. — While walking, dizziness and collapse. — Desire to lie down. — Complete relaxation of muscles as from tobacco-poisoning.

Skin

Goose flesh, esp. of lower extremities. — Periodical furuncles, which relieve the head. — Burning, erysipelatous redness and violent itching < by warmth > by cold.

Sleep

Night full of visions; heavy sleep till morning. — Nervous restlessness, anxious dreams. — Sleep frequently interrupted.

Fever

General chill and cold. — After the feverish cough in the chill, no reaction of warmth. — Flying heat with nausea. — Cold, clammy sweat.