Understanding Opium

Dr. Claudio C. Araujo M.D., F.F.Hom. (Lon.) et al.

The Opium patient believes and feels, since childhood, that is not at home. Or at least the place he lives is not his home. He remembers it, he draws maps, schedules and buildings from his recent memory.

He remembers how it was there, how he felt being there. And in some sort, he is refusing to be in here.

The child is in deep sleep and will not be aroused from it.

One can touch the white of her eyes and she will not react. She is deep drowned in her dreams and refuses to wake up in this strange land.

Thinks she is not at home. 

Thinks he is not in his own house; imagines himself living in a locality three hours distant from his house; detains all passers-by and wishes to take them into his house; will brook no opposition, meets force with force, face flushed; stupor, forgetfulness, he does not at once recognize friends; anxiety; wildness; inclination to sleep without being able to do so; constipation with meteoric distension of abdomen; urine retained, a paretic condition apparently preventing evacuation; while smoking forgets

to dra; lively and cheerful, yet very drowsy.

The child lay unconscious and insensible.

A faint cry or whine would escape the child when extreme measures were employed to arouse it,. 

Newborn children, pale, breathless, cord pulsates; after Acon., if pulse remains imperceptible, face purple. 

Suckling of a few weeks, had not grown, but was like an old man; limbs lax, skin wrinkled; bones of skull had lapped over during birth, the parietals over each other and over the occiput.

He was inoffensive and even amiable in his deportment, and employed himself constantly in the daytime in drawing what he called maps of the different apartments in heaven, which, he said, he visited every night,.

If she finally awakes up “here”, she will find out that everything is too striking – light, odors, smells – she will take inside the environment she is in a hypersensitive form:

Great sensibility to sound, light, and faintest odors. 

In its due time, life will become a hard and burdensome experience. It’s far from what his “true” home was. There was peace there, he remembers. It looked like heaven in some moments, back in his memory.

But it’s not here in this place, this strange world where he is now. There are evil spirits all around; everything is so frightful at the point that one fright precedes the other, making her life a continuous series of frightening experiences.

Fainting turns with vertigo whenever he attempts to rise from bed, with sudden return of animation on lying down. 

(…) As soon as the effect begins to subside (as it does after sleeping), he is depressed and melancholy, which soon reaches an extreme state of suicidal depression, in which the world seems terribly dull, and he feels driven to evil spirits. This condition is brought on by occasional attempts to resist his destructive habit; but he cannot endure abstinence long. As soon as he takes his accustomed dose of Morphia, he is at once changed from a cringing desperate creature into a spirited and energetic individual.

On reading the proving, it seems that Opium’s solely refuge lies in her sleep, when she manages to turn off her senses, drowning herself in the deepest thoughts and dreams of her former world. And she would not be waked from there.

By “sleep” we should understand all forms of being away from reality, including drugging, drinking, smoking cannabis, etc. Our Opium cases will probably include drunken and addicted folks, palsy, degenerative brain diseases, coma, stupor, torpor, Parkinson disease and many others.

This remedy suits almost all diseases that are accompanied by a strong, deep sleep, almost to a comatose state. We will find the Opium patient fighting her way out to turn herself “indifferent” on what is happening around her. This is her first and most probable main strategy, to turn herself protected, involved in a halo of indifference and sleep.

By “indifference” meaning detached and protected from all there is so frightening and scaring all around. This frightening life experience together with her memories of her home, which she misses so much, will be the guidelines of the Opium patient.

All the mental powers, all the sensibilities are dull.

Drunkenness, with stupor; as if from smoke in brain; eyes burning, hot and dry. 

Sopor: painless, complains of nothing, wants nothing; with delirium; depression of lower jaw; dilated pupils; general symptoms of paralysis of brain. 

Profound coma; cannot be aroused from stupor; pupils greatly contracted or widely dilated; face puffed, with dark red or cherry brown appearance; stertorous breathing; pulse full and labored or slow and feeble. 

But there is a second possibility, a second strategy:

We can suppose that will we find these patients between the Buddhist monks, the sage retired from this world, the philosophers digging and probing about their life experience. Or even with the sick when torpor, drowsiness and indifference are belonging altogether with their symptoms. Bur probably not.

There is a curious modality in Opium: they feel better when busy. 

Under the influence of emotions, strong sensations, and any particularly strong attention and exertion of the mind, the effects appear later than usual, are less in degree, and of shorter duration. If it so happened that the cause which disturbed my mind was removed, then all the effects would almost instantly make their appearance and take their usual course. 

If I was in high spirits and very active, if I walked or took such exercise as made me warm and perspire, the effects made their appearance considerably sooner, were less in degree, and much less in duration. 

It means: if the Opium patient focused his attention on a subject, being a given mental or physical work or physical exercises, for a moment he will be free from his worries and troubles. So now it’s easier to understand all the symptoms Opium produces related of his work. From the symptoms above we saw that both mental and physical activity bring some relieve to the Opium patient, even when is only transitory.

And now we got his strong relationship with both intellectual and physical activities:

Talked of his business, cast up columns of figures, and started up at any noise (after three hours); much better.

More inclination for work and greater facility in it than usual. 

Mental activity. 

My faculties seemed enlarged. 

When under its operation his intellect was more brilliant, his language more eloquent, and his talent for writing more easy than in the former and healthy periods of his life. His affections were at the same time kind and benevolent, and he felt no disposition to quarrel, as persons often do who take ardent spirits in excess, 

It makes the senses active and disposes to earnest and arduous labor.

We have now both the “sleeper” and the “worker” altogether in an Opium patient.

Is he fighting most of the time between these two opposite sensations?

Alternating state of sullen grief and cheerfulness.

Conscious of being possessed of two persons of another self besides his real self, the Opium man does things which the real self considers wrong, and it is not always sure which will conquer the other. 

Dreams at times pleasant, at times sad, at other times anxious and fearful. 

There’s this Opium a special observation from Hahnemann, regarding these two different groups of symptoms, helping us out in a way to give a solution for this riddle:

The mental and emotional symptoms of Opium cannot be so well separated as those of other drugs, when the former are placed at the beginning with the head symptoms, the latter after all the other symptoms, because in Opium the two are commonly associated. When Opium is used for the palliation of pain, of spasm in the opposite condition of mind and disposition as in S. 57, 81, 86, 88, 96, 145, 150, or for the prevention of natural sleep (in the latter case most certainly homœopathically), it usually causes in their stead a mental ecstasy and emotional excitement, a very transient primary effect. This ecstasy and excitement are frequently like the internal clearness of somnambulism (clairvoyance.) -Hahnemann.

Other aspects from the proving and from the Opium smokers:

Self-satisfaction

Not seldom there is an unusual condition of self-satisfaction and an unusual quiet of mind,. 

The most agreeable sensation that allows her to think, with mental rest and forgetfulness of all trouble. 

The unfortunate drowns their cares and troubles in an indescribably pleasurable feeling of indifference to all around.

Calm indifference to earthly things; she cared for nothing on account of the ecstasy of fantasy. 

She felt very lively and cheerful and was capable of doing any quantity of work. She had severe family afflictions, but was not at all distressed by them while under the influence of Opium, though she felt them severely at other times,]. 

She was unable to get in any other way complete rest and happiness of mind,].

It causes for a time forgetfulness of the troubles of the soul, and produces ecstasy and refreshing quiet of mind, 

The effects upon her spirits were most exhilarating; she felt lively and cheerful and could accomplish almost any amount of household work. 

At first ecstasy followed by sadness and despondency, 

The moment of ecstasy usually commences in about three-quarters of an hour; he then becomes an altered being; the expression of countenance is horribly wild; he exhibits his delight in a thousand different ways-he gesticulates, he talks. Some of them compose excellent verses, and address the bystanders in excellent language; at last they return to their homes, each possessing some imaginary bliss which "the dull reality of life" could never give. Those who encounter them divert themselves at their expense, and make them chatter nonsense; they are, however, too happy to pay attention to anything but their own reveries. Even the loud laugh and the hootings which accompany them home produce no effect; they are wrapped in an elysium, from which they are only to be awakened by the miserable reaction which must, sooner or later, recall them to existence. 

Using Opium for courage and battle:

Loss of courage.

Fear of impending death, 

Fearful and frightened,

A sensation of apprehension. 

While smoking they are loquacious at first, and the conversation highly animated; but as the opium takes effect the conversation droops, and they frequently burst out into loud laughter from the most trifling causes, or without any apparent cause at all, unless it be from the train of thought passing through their excited imaginations. The next phase presents a vacancy of countenance, with pallor and shrinking of the features, so that they resemble people convalescing from fever. A dead silence precedes a deep sleep, which continues from half an hour to three or four hours. In this state the pulse becomes much slower, softer, and smaller than before the debauch. Such is the general process almost invariably observed among the Chinese. But with the Malays it is often very different; instead of the placidity that ushers in the profound sleep, the Malays frequently become outrageously violent and quarrelsome, and lives are occasionally lost in these frightful orgies,. 

Sensation of courage with activity, as if he could forcibly accomplish whatever was required without dread or fear, with a peculiar sensation of lustiness (though lasting only a few minutes), (after a quarter of an hour), followed by dullness of the head, etc. 

Fright and his consequences.

Opium is a remedy very useful for children and adults who have suffered a frightening experience and are experiencing consequences from it - being hours, days or years after the trauma. This is well related by Kent in his Lectures of Materia Medica. He says:

A mental state appears in these constitutions. Fear and its results. The Opium patient, when not too stupid, rouses up as if startled, rouses up with the appearance of awful fear or anxiety. The old Opium eater is overwhelmed with anxiety and fear. If a dog jump at him suddenly, he will be thrown into convulsions, have diarrhea, fits of some sort, and it will be days and weeks before that fear is gone.

Complaints from fear when the fear remains, or the idea of the fear remains, or the cause of it comes before the eyes. A pregnant woman is frightened, and an abortion is impending, and the object of the fright continually looms up before her eyes. Epilepsy dating back, to a fright, and that object comes up before the eyes before the attack comes on, and the fear of the fright remains.

Hysterical attack; physical shock with diarrhea and sometimes constipation; retention of urine or return of the menstrual flow as results, or it may stop the menses for months. In these conditions there is great fear and the object of the fear remains before the eyes.

An Opium prover, when coming out from under the influence of the drug, sees frightful images, black forms, visions of devils, fire, ghosts, someone carrying her off, murder. Imagines that parts swell and that he is going to burst.

Sleep full of starting in fright; whenever he closed his eyes it seemed as though he had lost his reason.

Sees frightful ghosts; easily frightened.

She appears to see most frightful animals and other objects.

Starts at least noise.

Spasms: from emotion, fright, anger, etc.; from approach of strangers (children); from crying; throws limbs or stretches arms at right angles to body, or, tetanic rigidity, opisthotonos, with rolling laterally; spasm begins with loud screams, then foam at mouth, trembling of limbs, suffocation; eyes half open and upturned, pupils large and insensible to light; after attack, deep sleep, face remains deep red and hot; stupor between spasms; on entering fit, loud screams, as from fright; from nursing soon after sudden fright of mother; with sudden loud cries.

Starting in sleep for several nights. 

Startings, and a strange chaos of happy and disagreeable visions, if sleep sometimes surprised me while sitting in a chair (after 4 to 6 grains),. 

Abortion threatening after great fright, especially if in latter part of pregnancy.

Puerperal fever, especially when caused by fright; overexcitement of all the senses; every distant sound annoys her; very fetid discharge from uterus; case approaches a condition of stupor.

Delirium, weakness, torpor, sleepiness and other related states:

Kent: The brain is in a state of confusion, yet she can answer questions. Or the mental symptoms may be more marked and the physical condition less prominent; there is confusion of mind, delirium, loquacity, but this is rare, more commonly only talks when aroused; a condition of stupor in which the patient will say nothing and do nothing. Delirium with a happy turn of mind.

After practising masturbation for many years fell into a state of despair respecting his health, this degenerated into complete idiocy.

No inclination for coition during the whole proving. 

Perfect loss of sexual desire from lack of nutrition.

Constant delirium day and night; declares he is not alone in bed; when spoken to answers intelligently, but at once becomes delirious again; frenzy; desires to escape; says a regiment of horsemen are upon his bed and that he fears to be trodden upon; when told that horses are very careful, answered that he feared he would be crushed by the wagons that followed them. θ After pneumonia.

Labor pains: spasmodic, extremely painful, but ineffectual; great pain in small of back; false or suppressed; from fear or fright; twitching and jerking of muscles; sopor, red face, injected eyes, retention of stool and urine.

Extremely severe after-pains, particularly in very sensitive women.

It diminishes the power of the will over the muscles (in strong people), causes heaviness of the head and great weakness, [90]. [Opium diminishes the power of the will over the muscles only in its secondary action, when it paralyses entirely, but in its primary action it exercises it; if this primary action be interrupted by stupefaction and stupid sleep, there may be twitching in one or another limb during this sleep. -Hahnemann.] 

Dullness of sense, insensibility; he is scarcely conscious of his existence, although he answers quite appropriately. 

Insensibility to shame and to the more refined sensibilities,

A woman suffering from sad thoughts was wonderfully relieved by it; her grief disappeared for some time, [6]. [In consequence of the law of opposites this acted as a palliative, and she was obliged, in order to obtain relief, not only to continue the use of Opium, but also to increase the dose, till at least in a week she took one and a half ounces of Opium. -Hahnemann.] 

[Symptoms 69, 70, 71, 72, 73, 84, 86, 89, 1881 represent palliative, primary action of Opium in those who are despondent and depressed. -Hahnemann.] 

 

Groups in Opium

Kent, Hering & Allen

Dr. Claudio C. Araujo M.D., F.F.Hom. (Lon.)

Humor

Merry and extravagant  

I made my way home as fast as possible, dreading at every step that I should commit some extravagance, [160]. 

He acts absurdly, [75]. 

Talkative; glistening eyes and mental activity; inclines to gayety. 

Vivid imagination, exaltation of mind. 

Fantastical insanity with frightful visions; talks in a confused manner; commits indecent actions; cheerfulness and feeling of great strength; contempt of death; riotous hilarity with buffoonery and subsequent angry savageness or tearful sorrow; instability and imbecility of will; indifference to joy and suffering; complete dementia, does not recognize his own relatives; excessive debility, stupor, frequent sweats and eruptions on skin; diminished secretion of urine. θ Mental derangement. 

His joyfulness and mental bliss increased until he became irrational and delirious, [90]. [From large doses. -Hahnemann.] 

An agreeable reverie, at the end of three-quarters of an hour, or an hour at most, never fails to animate these automatons, causing them to throw themselves into a thousand different postures, but always extravagant and always merry. This is the moment when the scene becomes most interesting; all the actors are happy, and each retires home in a total state of irrationality, but likewise in the entire and full enjoyment of happiness not to be procured by reason. Disregarding the ridicule of those they meet, who divert themselves by making them talk absurdly, each imagines and looks and feels himself possessed of whatever he wishes. The reality of enjoyment often gives less satisfaction, [350].

A half intoxicated and excited condition, so that I came near being run over by a carriage, and at another time of running into a horse, though I had seen it coming from some distance (second day), [115].

Great excitation, [338]. 

Considerable state of excitement (after two hours and a half), [291]. 

It appeared to his attendants that an excited state of mind remained for some days afterwards, [336].

A first he was in an excited mood for an hour and a quarter, during which the mouth was frequently distorted, as in risus sardonicus, [126]. 

Ailments from excessive joy, fright, anger or shame.

When taken in larger doses than those which cause liveliness it causes intoxication, [90]. 

The patient was susceptible of the excitant rather than the soporific quality of the drug, and his emotional nature quickly responded to it in manifestations of passional excitement, which threatened alternately self-destruction and injury to others, [317].

A state of peace

Kent: Often there is a state of peace. Wants to be let alone. She tells you she is not sick; and yet she has a temperature of 105-106°, is covered with a scorching hot sweat, has a rapid pulse; is delirious. You ask her how she is and she says she is perfectly well and happy; no pains or aches; wants nothing and has no 

symptoms. But the nurse tells you that the patient has passed no stool or urine.

(…)There is also a sensation of bodily well being; great happiness great state of confidence in the first hours of the drug. Hence, complaints from sudden joy, anger, shame, sudden fright. Coffea has a similar state of beatitude. It is both a physical and mental beatitude in Opium. Opium and Coffea are related; they antidote each other.

Opium eaters like whisky drinkers are constitutional liars. They have no conscience left.

The mental activity of Opium is more like a dream without sleep, [90]. 

Mental quiet, [78]. 

Under the influence of emotions, strong sensations, and any particularly strong attention and exertion of the mind, the effects appear later than usual, are less in degree, and of shorter duration. If it so happened that the cause which disturbed my mind was removed, then all the effects would almost instantly make their appearance and take their usual course, [130]. 

Without pain, he passed the whole night in the most extreme contentment of mind, [87]. [He had taken a grain the evening before on account of a distressing pain. -Hahnemann.] 

Not seldom there is an unusual condition of self-satisfaction and an unusual quiet of mind, [24]. 

The most agreeable sensation that allows her to think, with mental rest and forgetfulness of all trouble, [87]. 

Indifference

Indifference to pain and pleasure, [75].  

Great indifference (after two drops), [103]. 

The unfortunate drown their cares and troubles in an indescribably pleasurable feeling of indifference to all around, [212]. 

Calm indifference to earthly things; she cared for nothing on account of the ecstasy of fantasy, [64]. 

Cheerfulness

Cheerfulness, courage, contentment, increased vigor, [34]. 

She felt very lively and cheerful and was capable of doing any quantity of work. She had severe family afflictions but was not at all distressed by them while under the influence of Opium, though she felt them severely at other times, [17]. 

Lively, inclined to work, fearless, courageous, [10]. 

If I was in high spirits and very active, if I walked or took such exercise as made me warm and perspire, the effects made their appearance considerably sooner, were less in degree, and much less in duration, [130]. 

She was unable to get in any other way complete rest and happiness of mind, [51].

 It makes the opium-eaters (who are usually sad and stupid) cheerful; they carouse sing amorous songs, laugh much, and make all sorts of gestures; this pleasant excitement of mind and emotion lasts an hour, after which they become angry and rave, and finally become again sad and weeping, till at last they fall asleep and soon return to their ordinary condition, [10].

Increase of vigor, confidence, and cheerfulness (if the dose was within 2 grains), [130]. 

Elevation of spirits and watchfulness remained sometimes a few hours, at other times the whole remaining part of the day (after 2 or 3 grains), [130]. 

Remained cheerful for two hours, and then was overcome by a violent drowsiness, when he took 30 drops more and was immediately roused from drowsiness, [141]. 

Joyous mood (after half an hour), [113a]. 

I found myself, or at least imagined myself, more alert and sprightly than before (after half an hour), [30b]. 

In persons accustomed to it, it produces a high degree of animation, which the Theriaki (opium-eaters) represent as the acme of happiness, [192]. 

It causes for a time forgetfulness of the troubles of the soul, and produces ecstasy and refreshing quiet of mind, [90]. 

The effects upon her spirits were most exhilarating; she felt lively and cheerful, and could accomplish almost any amount of household work, [281]. 

Uncommonly merry and much inclined to noise, [182]. 

So exhilarated as to grow careless of occupation and rather inclined to indulge in an excess of gayety (after a short time), [141].

Produced an enlivening effect which enabled him to prosecute his study, [141]. 

Very good humor (second day), [115]. 

At first ecstasy followed by sadness and despondency, [25]. 

Contentment, [1]. 

Joyous dreams, [78].

The moment of ecstasy usually commences in about three-quarters of an hour; he then becomes an altered being; the expression of countenance is horribly wild; he exhibits his delight in a thousand different ways-he gesticulates, he talks. Some of them compose excellent verses, and address the bystanders in excellent language; at last they return to their homes, each possessing some imaginary bliss which "the dull reality of life" could never give. Those who encounter them divert themselves at their expense, and make them chatter nonsense; they are, however, too happy to pay attention to anything but their own reveries. Even the loud laugh and the hootings which accompany them home produce no effect; they are wrapped in an elysium, from which they are only to be awakened by the miserable reaction which must, sooner or later, recall them to existence, [186]. 

Occupied with sublime contemplation the whole night, without sleep, [32].

It dissipates all inclination to sleep, increases the imagination and memory in the most wonderful manner, so that he passes the whole night in profound meditation; at daybreak he slumbers a few hours; he is unable to recollect all that he has thought about during the night, [70]. [The mental and emotional symptoms of Opium cannot be so well separated as those of other drugs, when the former are placed at the beginning with the head symptoms, the latter after all the other symptoms, because in Opium the two are commonly associated. When Opium is used for the palliation of pain, of spasm in the opposite condition of mind and disposition as in S. 57, 81, 86, 88, 96, 145, 150, or for the prevention of natural sleep (in the latter case most certainly homœopathically), it usually causes in their stead a mental ecstasy and emotional excitement, a very transient primary effect. This ecstasy and excitement are frequently like the internal clearness of somnambulism (clairvoyance.) -Hahnemann.]

Anxiety

Anxiety; apprehension; fear of impending death.

Excessive anxiety, [68]. 

Unusual sensation of anxiety (after two hours), [115a]. 

Anxiety, [203]. 

Anxiety, [74]. [Omit Tralles. -Hughes.]

Transient attacks of anxiety, with short, oppressed respiration and trembling of the arms and hands, [2]. 

Restless sleep, full of dreams (tenth day), [235]. 

Anxious sleep, disturbed by the saddest dreams, so that while intoxicated with sleep he seemed to float in a constant delirium, [38]. 

Anxious sleep, full of dreams (after seven hours), [38]. 

Anxious dreams, [78]. 

Hot, anxious, and intoxicated; she talked of all sorts of things; took her words back at one time; started up in fright; at another angrily seized the hands of those about her, [90]. [Effects of Opium administered for indescribable pains, which threatened to end in convulsions. -Hahnemann.] 

Melancholy and Sadness

Melancholy, [18]. 

Despondency (fifth day), [113a]. 

On waking, depression, [206]. 

Depression of spirits, in the afternoon (after three drops), [6]. 

Depression of spirits (eighth day), [118]; (after three-quarters of an hour), [129a]. 

Pale and dispirited, next morning, [160]. 

Sadness, [1], [117]. 

Sad mood (first and second days), [235]. 

Sullen mood, [38].

Hopeless, morose mood, fretfulness (after eight, and twelve hours), [1]. 

Very morose, angry at everything without reason (fourth day), [235]. 

Lamentations and howling during the first hours, [1]. 

A woman suffering from sad thoughts was wonderfully relieved by it; her grief disappeared for some time, [6]. [In consequence of the law of opposites this acted as a palliative, and she was obliged, in order to obtain relief, not only to continue the use of Opium, but also to increase the dose, till at least in a week she took one and a half ounces of Opium. -Hahnemann.]

Screaming, [199]. 

Violent screaming, immediately, [139]. 

Moaning (after two hours), [276]. 

Slight groaning (after three hours), [168]. 

Taciturnity, [18]. 

He became taciturn (after the smallest dose), [1]. 

Weeping mood, [110a]. 

Cries incessantly, [163]. 

Much weeping during the first night, [292].

She is so vexed about a pain that she weeps, [1]. 

Moaning cries in sleep, [1]. 

Sobbing during sleep (after two hours), [1]. 

[Symptoms 69, 70, 71, 72, 73, 84, 86, 89, 1881 represent palliative, primary action of Opium in those who are despondent and depressed. -Hahnemann.] 

Fretful and ferocity

Fretful and cross when roused (after four hours), [255]. 

Fretfulness (second day), [115a]. 

Very fretful (fifth day), [115]. 

Querulous state, [176]. 

Irritability (third day), [115]. 

Evidence of irregular nervous action, slight irritability of temper whenever disturbed, [322]. 

Nervous and irritable; tendency to start.

Audacious ferocity, [75]. 

Cruelty, ferocity, like a wild beast, [53]. [When Opium, given in large doses to produce increased courage and vigor, has a palliative effect on the weak and timorous, it causes audacity, desperation, rage, anger. This palliative primary action gives the Turks, who are excited by Opium, an almost irresistible power at the beginning of a battle; but in few hours this changes to the greatest cowardice and stupefaction, when they are more easily beaten than any other nation. -Hahnemann.] 

Rage, [60]. 

While smoking they are loquacious at first, and the conversation highly animated; but as the opium takes effect the conversation droops, and they frequently burst out into loud laughter from the most trifling causes, or without any apparent cause at all, unless it be from the train of thought passing through their excited imaginations. The next phase presents a vacancy of countenance, with pallor and shrinking of the features, so that they resemble people convalescing from fever. A dead silence precedes a deep sleep, which continues from half an hour to three or four hours. In this state the pulse becomes much slower, softer, and smaller than before the debauch. Such is the general process almost invariably observed among the Chinese. But with the Malays it is often very different; instead of the placidity that ushers in the profound sleep, the Malays frequently become outrageously violent and quarrelsome, and lives are occasionally lost in these frightful orgies, [212]. 

Alternating state of sullen grief and cheerfulness, [1]. 

Busy with numerous fancies and imageries all night during sleep, [90]. 

Sleep full of dreams, [1]. 

With Oneself

Fear

Kent: A mental state appears in these constitutions. Fear and its results. The Opium patient, when not too stupid, rouses up as if startled, rouses up with the appearance of awful fear or anxiety. The old Opium eater is overwhelmed with anxiety and fear. If a dog jump at him suddenly, he will be thrown into convulsions, have diarrhea, fits of some sort, and it will be days and weeks before that fear is gone.

Complaints from fear when the fear remains, or the idea of the fear remains, or the cause of it comes before the eyes. A pregnant woman is frightened and an abortion is impending, and the object of the fright continually looms up before her eyes. Epilepsy dating back, to a fright, and that object comes up before the eyes before the attack comes on, and the fear of the fright remains.

Hysterical attack; physical shock with diarrhea and sometimes constipation; retention of urine or return of the menstrual flow as results, or it may stop the menses for months. In these conditions there is great fear and the object of the fear remains before the eyes.

An Opium prover, when coming out from under the influence of the drug, sees frightful images, black forms, visions of devils, fire, ghosts, someone carrying her off, murder. Imagines that parts swell and that he is going to burst.

After fright, fear of the fright still remaining. 

Started at least noise; a fly upon any part of body was a burden to him.

After a fright with fear, convulsions, or a hot head, with twitching about mouth. 

Loss of courage, [1].

 Feeling of fear (second day), [115]. 

Fear (after eight, and twelve hours), [1]. 

Fear of impending death, [203]. 

Fearful and frightened, [90], [99].

A sensation of apprehension (after half an hour, third day), [113]. 

Sees frightful ghosts; easily frightened.

She appears to see most frightful animals and other objects.

Starts at least noise. 

Trembling of whole body; caused by fright; of left arm in paroxysms; with external coldness, with jerking and twitching in limbs; convulsions.

Spasms: from emotion, fright, anger, etc.; from approach of strangers (children); from crying; throws limbs or stretches arms at right angles to body, or, tetanic rigidity, opisthotonos, with rolling laterally; spasm begins with loud screams, then foam at mouth, trembling of limbs, suffocation; eyes half open and upturned, pupils large and insensible to light; after attack, deep sleep, face remains deep red and hot; stupor between spasms; on entering fit, loud screams, as from fright; from nursing soon after sudden fright of mother; with sudden loud cries.

Starting in sleep for several nights, [197]. 

Startings, and a strange chaos of happy and disagreeable visions, if sleep sometimes surprised me while sitting in a chair (after 4 to 6 grains), [130]. 

Sleep interrupted by startings, [99]

Sleep full of startings in fright; whenever he closed his eyes it seemed as though he had lost his reason (after three hours), [82]. 

Starting up in sleep; after waking he seemed intoxicated and half delirious, [90]. 

Sleep full of frightful fantasies and frightful dreams, [47]. 

On dozing started up and evinced great incoherency both in language and action (after one hour), [191]. 

Starting up in sleep, [90]. 

Courage

Great strength, courage, contentment with himself, [48].

Sensation of courage with activity, as if he could forcibly accomplish whatever was required without dread or fear, with a peculiar sensation of lustiness (though lasting only a few minutes), (after a quarter of an hour), followed by dulness of the head, etc., [2]. 

Courage, fearlessness, great-heartedness, [1]. 

Undaunted in danger, [75]. 

Opium causes in those fearing surgical operations courage and endurance, [99]. 

The Malays are confident that opium-smoking inspires them with preternatural courage and bodily strength; it is, therefore, resorted to whenever any desperate act is in contemplation, [212]. 

Criminals (in India) lose their fear of death and go courageously to their execution, [90]. 

One and a half grains of solid Opium, taken every half hour, or one grain every hour, or one and a half grains taken every hour and a half, or every two hours, has insensibly brought on a happy humor, increased vigor, activity, and unusual watchfulness, which I perceived after having taken about two, three, or four grains, and which continued if from time to time, I repeated the same procedure for several days and nights, without the least inclination to sleep, without tiredness, or any impaired function, except dryness in the mouth and fauces, and thirst, occasionally gripings and costiveness, [131]. 

Thinks he is not in his own house; imagines himself living in a locality three hours distant from his house; detains all passers-by and wishes to take them into his house; will brook no opposition, meets force with force, face flushed; stupor, forgetfulness, he does not at once recognize friends; anxiety; wildness; inclination to sleep without being able to do so; constipation with meteoric distension of abdomen; urine retained, a paretic condition apparently preventing evacuation; while smoking forgets to dra; lively and cheerful, yet very drowsy. 

Imagines parts of body very large.

Two persons

Mind in a state of great confusion; at one moment she was sensible of her crime, called for assistance; at another she resisted the means used to save her (after one hour), [127]. 

Conscious of being possessed of two persons of another self besides his real self, the Opium man does things which the real self considers wrong, and it is not always sure which will conquer the other, [331]. 

Exceedingly vivid, fretful dreams; he always fails to succeed; many cause vexation and ill-humor (after two hours), [1]. 

With the Others

Mania a potu: with dullness of senses, at intervals sopor, with snoring; in old, emaciated persons; sees animals coming towards him; people want to hurt him, execute him; creeping under covers or jumping out of bed; in "old sinners" whose long lives of excess have thoroughly destroyed their constitutions; in those who have had the disease repeatedly, it taking but a small quantity of liquor to throw them again into delirium; face wears a constant expression of fright and terror; preceded by epileptiform fits; imagine they see frightful objects and are in great fear; believe themselves to be murderers or criminals to be executed; want to run away; staring look; twitching of muscles of face and mouth; lockjaw; tremor. 

He said many disconnected things, and pointed with his fingers to masked people who seemed to approach him. At one time he broke into loud laughter; at another he started up in affright on account of fancied swordsmen, who threatened to stab him; became angry if any one argued with him or thought him delirious; however, he blamed himself while in delirium for his folly, [90]. [From Opium given for dysentery-like diarrhœa. -Hahnemann. Render "fechtern" swordsmen. -Hughes.] 

The patient was susceptible of the excitant rather than the soporific quality of the drug, and his emotional nature quickly responded to it in manifestations of passional excitement, which threatened alternately self-destruction and injury to others, [317].

Opium-eaters are inconstant; they often promise what they soon refuse to abide by (every one avoids them and wishes to have nothing to do with them), [10]. 

Mendacity.[Obs. "Opium eaters are chronic liars."

Mistrustful, [1]. 

Appeared jealous and afraid of the people around (second day), [144]. 

Unusual wild dreams at night; he, however, woke only once, soon after midnight (after 6 drops), [100]. 

Dislikes to talk during sweat.

Inclination to sleep; she had scarcely closed her eyes when she was aroused by most frightful images, when she spoke disconnectedly, and did not recognize the bystanders, [203]. 

Wild dreams disturbed his sleep (after 18 drops), [100]. 

Sleep disturbed by dreams, sometimes agreeable, sometimes frightful; sleep ending in either coma or apoplectic death, with convulsions, [67]. 

Dreams at times pleasant, at times sad, at other times anxious and fearful, [90]. 

Grief over insults is followed by convulsions.

He does not recognize his nearest relatives nor familiar objects, [1]. 

With the Environment

Kent: Many of the provers taking small doses had torpor, inability to realize or feel their surroundings, or to take in the nature of states and judge of things.

Deception in vision, taste, touch; deception of the state he exists in; in his own realization; a perversion of all the senses with much deception.

Thinks she is not at home.

Constant delirium day and night; declares he is not alone in bed; when spoken to answers intelligently, but at once becomes delirious again; frenzy; desires to escape; says a regiment of horsemen are upon his bed and that he fears to be trodden upon; when told that horses are very careful, answered that he feared he would be crushed by the wagons that followed them. θ After pneumonia.

Her laudanum was left off for three days, and, in addition to the other symptoms, she appeared to see the most frightful animals and other objects, [177].  

She was tormented while awake with an apparent vision of ghosts, spectres, and chimeras, that constantly collected about her bed and distressed her very much, while she talked deliriously, [90]. [This always happened whenever Opium was taken as a palliative for her ailments-palpitation, vomiting, hiccough, cardialgia, colic, trembling, or convulsive movements. -Hahnemann. Revised by Hughes.] 

Frightful imagery, [27]. 

The patient has visions, [66]. 

Being in Heaven

In walking I was hardly sensible that my feet touched the ground; it seemed as if I slid along the ground impelled by some invisible agent, and that my blood was composed of some ethereal fluid which rendered my body lighter than air. The most extraordinary visions of delight filled my brain all night, [160]. 

He seems to be flying or floating in the air, and to whirl with everything about him, [82]. 

Sensation as if he had been taken to heaven; vivid, lovely, fantasies float before his vision like a waking dream, which the slumber drives away, [64]. 

Lovely fantasies, far superior to any known happiness in one who had previously been tortured by pains, [18a]. 

He describes his sensations "as the faint, exquisite music of a dream," but he had only pleasurable feelings when his eyes were open; if they were closed they vanished. It appeared to him as if external objects only were acted on by the imagination, and magnified into images of pleasure. In walking he was hardly sensible of his feet touching the ground; it seemed as if he slid along the street impelled by some invisible agent, and that his blood was composed of some ethereal fluid which rendered his body lighter than air, [187]. 

I had no longer the same pleasure when I closed my eyes which I had when they were open; it appeared to me as if it was only external objects which were acted on by the imagination and magnified into images of pleasure; in short, it was "the faint, exquisite music of a dream" in a waking moment, [160].

Not sleepy, but so quiet that he seemed in heaven, [32]. [From a moderate dose taken on account of intolerable pains from stone. -Hahnemann.] 

Constant quiet contentment of mind, as if in heaven, [43]. 

He was inoffensive and even amiable in his deportment, and employed himself constantly in the daytime in drawing what he called maps of the different a apartments in heaven, which, he said, he visited every night, [349]. 

He started at the least noise, and a fly upon any part of his body was a burden to him, [348]. 

Vertigo: with anxiety and delirium; when rising; after typhus; from injuries to head; as after intoxication; with darkness before eyes; with dullness of head and stupefaction; sympathetic, accompanying diseases of precordial organs, suppressed hemorrhoids, menstruation, heart affections, etc.; after fright; with sensation as if he were flying or hovering in air.

 Frightful dreams, [47]; (seventh day); of falling from heights (tenth day), [155].   

Childhood

A faint cry or whine would escape the child when extreme measures were employed to arouse it, [332]. 

The child lay unconscious and insensible, [204]. 

Newborn children, pale, breathless, cord pulsates; after Acon., if pulse remains imperceptible, face purple.

Suckling of a few weeks, had not grown, but was like an old man; limbs lax, skin wrinkled; bones of skull had lapped over during birth, the parietals over each other and over the occiput.

Spasms: from emotion, fright, anger, etc.; from approach of strangers (children);

Work

Talked of his business, cast up columns of figures, and started up at any noise (after three hours); much better (after six hours), [289].

More inclination for work and greater facility in it than usual, [119a]. 

Mental activity, [76]. 

My faculties seemed enlarged, [160]. 

When under its operation his intellect was more brilliant, his language more eloquent, and his talent for writing more easy than in the former and healthy periods of his life. His affections were at the same time kind and benevolent, and he felt no disposition to quarrel, as persons often do who take ardent spirits in excess, [348]. 

When under the influence of opium, he seems to others to be in his normal condition; but a little intercourse with him shows his mind to be not only clear and active, but filled with gigantic schemes and theories, the realization of which seems to him quite natural and easy; his faculties are remarkably keen, and his power of expression wonderfully terse and convincing. As soon as the effect begins to subside (as it does after sleeping), he is depressed and melancholy, which soon reaches an extreme state of suicidal depression, in which the world seems terribly dull, and he feels driven to evil spirits. This condition is brought on by occasional attempts to resist his destructive habit; but he cannot endure abstinence long. As soon as he takes his accustomed dose of Morphia, he is at once changed from a cringing desperate creature into a spirited and energetic individual, [331]. 

Profuse flow of ideas, with joyfulness, [1]. 

A certain hastiness at work; his thoughts also are more rapid than usual, [119]. 

It makes the senses active and disposes to earnest and arduous labor, [95].

Disinclination for work (eighth day), [118]. 

Disinclination for his ordinary work (after two drops), [103]. 

Sexuality

In both sexes the procreative power is greatly lessened, and in those women who, nevertheless, do bear children the secretion of milk is defective. The influence of the habit on the generative functions is, indeed, so decided that, were it not for fresh arrivals from China and other parts of the East, the population of Singapore would very soon be seriously diminished, [232]. 

The sexual organs, at first preternaturally excitable, gradually loose their tone, [232].

All opium-smokers become impotent at a much earlier period of life than others, [212]. 

During sleep: picking of bedclothes; sobbing; groaning; voluptuous dreams.

Male Sexuality

After practising masturbation for many years fell into a state of despair respecting his health, this degenerated into complete idiocy.

Excitement of sexual organs with violent erections; impotence.

Voluptuous fancies, with erections during sleep and impotence after waking; nightly emissions with amorous dreams.

Excessive erections, [24]. 

Violent erections (after two hours and a half), [112]. 

Frequent erections in sleep, at night, [119].

Erections during sleep, and after waking, impotency, [84]. 

Erection during sleep, and after waking, complete impotency, [84].

It excites sexual desire, with erections, emissions, and lascivious dreams, [67]. 

Amorous ecstasy; erections for twenty-four hours; lascivious dreams; nightly emissions, [90]. 

Excitement of sexual desire; erections; nightly emissions, [37]. 

Nightly emissions (first night), [1]. 

Amorous fancies; emissions at night, [45]. 

Excitement of sexual desire, [1], [95]. 

Immoderate lasciviousness, [79]. 

Lascivious dreams and nightly emissions, [95]. 

Emissions without erections, followed by debility and great relaxation of parts. Spasmodic stricture after drinking poorly-fermented liquor; also in drunkards. 

Male impotency, [35], [75]. 

Impotency, [26], [192]. 

Gradu impotentiæ (after 4 to 6 grains), [130]. 

It is considered to enervate and weaken sexual desire, [95]. 

In some, excitement; in others, diminution of sexual desire, [80]. 

No inclination for coition during the whole proving, [235a]. 

Sexual desire indolent, [76]. 

It cools the desire for coition, [75]. 

Female Sexuality

Great excitement of sexual organs, with sexual dreams and orgasm.

Perfect loss of sexual desire from lack of nutrition.

Pregnancy

The uterus is so soft that the movements of the child can be felt externally, [69]. [Coincident with a general paralyzed state. -Hughes. Original revised by Hughes.] 

The movements of the fœtus in utero were violently painful; sometimes omitting for several hours, then returning more violent than ever, [69]. 

During pregnancy: insomnia; retention of stool; continued hiccough; frequent nausea and vomiting after eating.

Violent or painful movements of fetus.

Abortion threatening after great fright, especially if in latter part of pregnancy.

Labor pains: spasmodic, extremely painful, but ineffectual; great pain in small of back; false or suppressed; from fear or fright; twitching and jerking of muscles; sopor, red face, injected eyes, retention of stool and urine.

Puerperal convulsions, after cathartics, not ceasing after child was born; pulse 120; pallor; sunken eyes; pupils much dilated; muttering; borborygmus; coma; spasm; throws arms and legs about; stretching arms and legs at right angles with body; trembling; pulse working rapidly; eyes turned inward and upward; head bent back over to left; left hand and foot turned to left side; tongue quivering, coated dirty yellow, unctuous; the spasm would scarcely relax, when it would run into another, more than thirty having occurred, finally stopping very suddenly for ten minutes. 


Puerperal convulsions; spasms commenced with rigidity of muscles and distortion of features, drawing mouth down and to one side; head turned far back and to right side; then there was jactitation of limbs and body, with lividity of face and frothing at mouth; this condition would subside and be followed by stertorous breathing; tongue much swollen and bloody.

During and after labor, spasm, with loss of consciousness and drowsiness, open mouth; coma between paroxysms.

Puerperal fever, especially when caused by fright; overexcitement of all the senses; every distant sound annoys her; very fetid discharge from uterus; case approaches a condition of stupor.

Extremely severe after-pains, particularly in very sensitive women.

Suppression of lochia from fright, with sopor.

Intellectual

Confusion of mind.

Dullness of head; has no mental grasp for anything and cannot comprehend the sense of what he is reading.

Imbecility of will, as though annihilated.

The powers of my mind still remained so perfect as to enable me to examine the state of my pulse, which was strong and full, [141]. 

Obscuration and weakness of mind; illusion, as if the eyes were four times larger than usual, [82]. [Omit "Undsein Kœrper. -Hughes.] 

Dullness of mind; short anxious respiration with great heaving of the chest; the eyes give out, and are full of water, [62]. 

Slight confusion of thought (within an hour), [133].

Loss of ideas, with inability to think, [117]. 

Every attempt at persistent thought was ineffectual (first day), [113]. 

Inability and disinclination for work in the afternoon (after three drops), [106]. 

General deterioration of all the mental faculties, [212]. 

Entire loss of intellectual faculties, of motion and perception, [168]. 

Great forgetfulness (second day), [115].

Forgetfulness, [212]. 

He replied slowly to questions, as if he forgot his words, [292].

His ideas not easily collected (after eleven hours), [245]. 

Chronic loss of memory, [29]. 

Loss of memory, [18], [75]; (after ten minutes), [135].

Loss of memory for several weeks, [98]. 

Loss of memory, [20]. [To S. 23, 171, 172, 173, 183, 184, 185, 186, 189, 287.

The memory and mental powers generally became greatly impaired, attended by a miserable depression of spirits, [177]. 

Memory continued weak, [169]. 

Frequent weakness of memory, [39]. [From the frequent use of Opium.] [190.]

Neurological

Kent: The brain is in a state of confusion, yet she can answer questions. Or the mental symptoms may be more marked and the physical condition less prominent; there is confusion of mind, delirium, loquacity, but this is rare, more commonly only talks when aroused; a condition of stupor in which the patient will say nothing and do nothing. Delirium with a happy turn of mind.

Insensibility, accompanied by complete apoplectic respiration.

Unconscious, eyes glassy, half closed; face pale; deep coma.

Stupid indifference.

Drunkenness, with stupor; as if from smoke in brain; eyes brning, hot and dry. 

Sopor: painless, complains of nothing, wants nothing; with delirium; depression of lower jaw; dilated pupils; general symptoms of paralysis of brain.

Profound coma; cannot be aroused from stupor; pupils greatly contracted or widely dilated; face puffed, with dark red or cherry brown appearance; stertorous breathing; pulse full and labored or slow and feeble.

Delirious talking, eyes wide open, face red, puffed up.

Delirium: muttering; violent, with red face, glistening eyes and great physical activity.

Delirium, [71], [169]. 

Sometimes delirium, [348]. 

Delirium and rage, [17]. 

Raging delirium, with distortion of the mouth, [60]. [Caused by applying Opium to the temples. -Hahnemann.] 

Violent delirium, with red face, glistening eyes, and great physical activity, [62]. 

Furious delirium (fourth day), [267]. 

He rolls about the floor in delirium, burning with anger, threatens, does not recognize his friends, with swollen head and face, reddish-blue swollen lips, with protruding, inflamed eyes, [90]. 

While delirious he talked about all sorts of things with open eyes, and afterwards remembered them only as in a dream, [63]. 

Delirium lasted twenty-four hours, [191]. 

Evidently delirious, but, by persevering in our endeavors, he became capable of giving very pertinent answers, though he uttered them with much labor and difficulty (after half an hour), [122]. 

Made delirious attempts to resist any treatment, but soon relapsed into unconsciousness, [321]. 

Delirium with the spasms, [290]. 

Intoxication, [22], [74]; (ninth day), [225]. 

Opium-eaters are always indolent and intoxicated, [10]. 

Intoxication and vertigo after sleep, [90]. 

A kind of intoxication that prevents his keeping upon his legs, [57]. 

Feeling of intoxication on waking from a nap (eighth day), [235]. 

Intoxicated appearance (after two hours), [175]. 

Appearance of most profound intoxication (after half an hour), [122]. 

Dizzy intoxication; he reels to and fro, [89].

Calm, pale, deathly (after two hours), [256].

Uttered three or four distinct but feeble wails or cries, the first sounds since admission into hospital (third day), [256]. 

A faint cry or whine would escape the child when extreme measures were employed to arouse it, [332]. 

The power of the will is overcome by the merest trifle, [78]. 

It diminishes the power of the will over the muscles (in strong people), causes heaviness of the head and great weakness, [90]. [Opium diminishes the power of the will over the muscles only in its secondary action, when it paralyses entirely, but in its primary action it exercises it; if this primary action be interrupted by stupefaction and stupid sleep, there may be twitching in one or another limb during this sleep. -Hahnemann.] 

Voluntary powers suspended, [172]. 

All the mental powers, all the sensibilities are dull, [25].

Mental weakness, [38]. 

The mental powers disappear, [18]. 

Dullness of the head; he has no mental grasp for anything and cannot comprehend the sense of what he is reading, [82].

Dullness, indifference to external objects, [30]. 

Dullness and imbecility, [40]. 

Dullness of mind, [19], [75]. 

Dullness of sense (after eight, and twelve hours), [1], [81]. 

Dullness of sense, insensibility; he is scarcely conscious of his existence, although he answers quite appropriately, [82]. 

Insensibility to shame and to the more refined sensibilities, [7b]. 

Nearly rational, though when left to herself her mind seems to wander (second day), [273]. 

Capable of being aroused, and answered questions, but quickly relapsed into deep solemnity (after twenty-six hours and a half), [272]. 

When these conditions have become constant and persistent after the long and repeated use of Opium, they are akin to a chronic disease and a kind of paralysis of the mental organs that may indeed be incurable; 183, 184, 185, 186, 189 are secondary effects. -Hahnemann.] 

Comprehension wavering, [82]. 

 Insensibility.

Complete insensibility so that it was impossible, either by pulling the hair or pinching the skin, to excite any wincing or signs of uneasiness, nor was any effect produced by the sudden effusion of cold water, [197]. 

Insensible state, [188], [323], [342], [345], [347], etc. 

Insensibility, accompanied with a complete apoplectic respiration (after three hours), [135]. 

Complete immobility and insensibility, [148]. 

Complete insensibility, [156], [172]. 

Complete insensibility with her eyes open, etc. (after two hours), [143]. 

Great insensibility to external impressions, [332]. 

Insensibility, soon, [144]; (after five hours), [202], [221], [265]; (after two hours), [276], [277].

Perfectly insensible (after two hours), [205], [340]. 

Totally insensible, and to an ordinary observer, lifeless (after six hours), [207]. 

Totally insensible (after fifteen minutes), [208], [211], [316], [335], [339]. 

Perfectly insensible and could not be roused, [341]. 

Appeared completely insensible to everything around her, and would not answer questions (after five hours and a half), [143]. 

Apparently dead (after four hours and three-quarters), [219]. 

Insensible and motionless (after four hours), [219]. 

Insensible of what was passing around her (after six hours), [124]. 

Almost total absence of sensibility to external impressions, [311].

Insensible and comatose (after one hour and three-quarters), [185].

Insensible, and in strong convulsions; convulsions followed each other in quick succession, with comatose intervals (after one hour), [319]. 

Insensible, and could not be aroused by shaking (after twelve hours), [253]. 

Insensible, though capable of being aroused (after half an hour), [227]. 

Slightly diminished sensibility (after 2 or 3 grains), [131]. 

Scarcely sensible (after a quarter of an hour), [282]. 

Almost perfect insensibility (after twenty or thirty minutes), [209].

Almost insensible for some hours, [193]. 

Almost insensible to external impressions, and when aroused by violent shaking and loud speaking, immediately sank back into a comatose sleep (after one hour and a half), [273]. 

Could not by any means be aroused, [179], [238]; (after six hours), [249]; (after four or five hours), [285]. 

Could not be aroused by loud calling or shaking, or by the dashing of cold water on her face, [284]. 

Was aroused with great difficulty, [243]. 

Answered no questions, even when put in the loudest voice (after four hours), [201]. 

Sudden loss of consciousness, with blue face and contraction of the upper extremities, [269]. 

She is unconscious of what is transpiring about her and gives no sign of consciousness; the joints are supple, and all the muscles relaxed, [56]. 

Complete asphyxia; not the slightest evidence of sensibility could be elicited by the application of various tests to different portions of the cutaneous surface or to Schneiderian membrane (after two hours); yet scarce a trace of the effects of the poison was observable (after twenty-four hours), [250]. 

No the slightest indication of consciousness was elicited by passing the finger across the naked eye, by violent shaking, or by the application of ice-water, in the form of effusion, to the head (after eight hours), [315]. 

Lying on the floor in a state of unconsciousness, after some time; total insensibility (after four hours and a half), [259].

The patient seemed momentarily threatened with apoplexy, having all the symptoms except stupor (after a quarter of an hour); this was followed by complete insensibility and death (after three quarter of an hour), [140]. 

Nearly complete narcotism, [243]. 

Narcotism complete (after four hours), [294]. 

She was quite unconscious, and had lost the power of swallowing. After remaining in this comatose state for upwards of nine hours, she revived, the face became natural, the pulse steady, the power of swallowing returned, she was able to recognize her daughter, and, in a thick voice, to give an account of the mistake she had made. This state lasted about five minutes, the torpor then returned; she again sank into profound coma and died in fourteen hours after the poison had been taken, [344]. 

Most profound coma (after three hours), [305], [308]. 

Profound coma (after eighteen hours), [226], [168], [274], (after four hours), [275], and many others. 

Profound coma for three hours (after eight hours), [315]. 

Perfect coma; the insensibility being so complete that ice-water dashed violently in her face produced not the least evidence of sensibility, nor contraction of any of the voluntary muscles (after one hour and a half), [257]. 

Completely comatose, and on placing my finger on the conjunctiva there was no sensibility whatever evinced, [311]. 

Completely comatose, unrousable, insensible to sharp pinching, not convulsed, but arms rigid, fingers clenched, nails not livid (after two hours), [256].

Deep coma, with the head drawn backwards, and in partial opisthotonos, [155]. 

Comatose condition, and snoring heavily (after twenty-three hours), [272]. 

Comatose, [179]; (after two hours), [184], [199]; (after six hours, [278], etc. 

She lay comatose on her back, the head resting as if inert, [284]. 

Coma and insensibility, with the ordinary warmth, pulse, and respiration, [96]. 

Able to speak and walk about without difficulty, although very drowsy (after two hours); quite comatose, unable to move (after three hours and a half), [299]. 

Partially comatose (after two hours and a quarter); profound coma (after two hours and a half), [310]. 

Partially comatose, but capable of being roused (after three hours); complete coma (after fourteen hours), [298]. 

Partially comatose, but capable of being roused up (after three hours); profound coma (after four hours), [300]. 

Lethargic condition (after three hours), [280].

Lethargy, [155]. 

Lethargy increased so much that it required the utmost exertions to keep her awake (after six hours), [127]. 

Violent stupefaction and intoxication, [60]. [from the odor of Opium. -Hahnemann.] 

Deep stupefaction (after one hour and a half), [150], [151]. 

Stupefaction (after eight minutes), [139], [269]. 

Stupefaction like an intoxication (sixth day), [235]. 

Stupefaction and some delirium, [178]. 

Stupefaction, indifference, [88]. 

Stupefaction of sense and loss of reasoning power, [47]. 

Slowness of comprehension, stupidity, senselessness, [98]

Stupefaction of mind as if a board were before the head, with vertigo, obliging him to lie down, followed by trembling of the body, lasting some time, [62]. [From a mixture of Hoffmann's anodyne and Opium. -Hughes.] 

Dull stupefaction, with weak eyes and extreme loss of power, [62]. 

Stupefaction and insensibility, although he answered correctly, [92]. 

Sensation of stupefaction (third day), [113]. 

Stupor, soon, [144], [146]; (after five or six hours), [194], [212]. 

Stupor, [18]. [Revised by Hughes.] 

Lay in a deadly stupor, from which all efforts of her friends were insufficient to awaken her (after two hours), [346]. 

Profound stupor, [130], [157]; (after seven hours), [157]; (after six hours and a half), [334], [338]. 

Stupor so great that it could not be roused by any efforts that I could make (after three hours), [211]. 

Stupor resembling that of narcotic poisoning, rather than true state of coma, [284]. 

Stupefied, [206]. 

Continued in a stupid state for the remainder of the day, after the relief of other symptoms by vomiting, [30b]. 

Every few minutes she fell into a stupor and sleep, from which she could only be roused by being repeatedly moved or shaken; she would give no answer to questions put to her, which appeared to proceed much more from the torpor and insensible state in which she was than from obstinacy or any other cause (second day), [144]. 

He made no answer to any question, though put to him with a loud voice, close to his ear. On discontinuing the agitation for a moment, he immediately relapsed into a state of stupor and insensibility; the only expedient that effectually roused him was pulling him by the hair of the head. This was so completely successful on one occasion that he rose from his seat in a paroxysm of anger, and attempted to throw off his jacket and vest, but immediately fell back in a state of insensibility (after three hours and a half), [146]. 

Very "stupid" state, and scarcely able to answer any question put to her (after two hours); perfectly insensible (after four hours), [201]. 

Great difficulty in rousing it, and when roused, immediately relapsing into deep stupor, [239]. 

Slight stupor, from which he was easily aroused, [181]. 

Opium-eaters are sleepy and almost stupid, [10].

Coma: incomplete insensibility; will be aroused for a moment when addressed in a loud tone of voice and then relapse into stupor; extremities and face bluish or livid; loud, stertorous inspirations; coldness of skin; uremic. 


Sunstroke; unconsciousness; deep coma; eyes glassy and half closed. 

After sleeping in sun during afternoon could not be awakened following morning; she slept quietly and normally, pulse regular, skin cool. θ Sunstroke.

Passive cerebral congestion, with somnolence after meals in patients predisposed to apoplexy.

Fainting turns with vertigo whenever he attempts to rise from bed, with sudden return of animation on lying down.

Suddenly seized with an epileptic fit without any appreciable cause, six weeks later second fit, third came four weeks after second, and then they followed every three weeks; after attack soporous sleep, lasting from twenty-four to thirty hours; face dark red during sleep; after sleep pain in front of head; constipation. 


Fits only after going to sleep; would not sleep ten minutes during day or night before she would, with a sudden spring, become violently convulsed; foaming at mouth and bleeding from her bitten tongue; face puffed, almost purple; eyes dull and turned upward; lids half closed; head hot; severe opisthotonos; convulsions last ten to thirty minutes, sinks into a deep, heavy sleep, with loud snoring and rattling in chest; in half an hour, sometimes not five minutes, suddenly goes into another convulsion, thus she passes entire night; wakes in morning lame and tired, but wholly unconscious of not having had a quiet nights sleep; during day listless and drowsy; itching of skin without eruption; indifferent to what transpires; prefers to be left alone; constipation. θ Epilepsy. 

Every evening about 11 o'clock, after having slept fifteen minutes, begins to toss head from side to side, raises head, flexes it upon chest and finally tosses it back quickly upon pillow; after having repeated this for third time stretches out and clenches right hand, thumb, however, not being drawn in, and gives herself several forcible blows upon chest; thereafter violent stretching, followed by twitching, until cessation of attack. θ Epilepsy.

Emotional chorea.

Faints every fifteen minutes; eyes shut; head hangs; unconscious; jerks; sighing; < on rising.

Muscular exhaustion; great depression of nervous centers, with stupor and coma.

Shock from injury, severe cases; rapid breathing, every breath being a loud moan; livid or pale face; livid lips; great distress, oppression and anguish; cool, clammy skin; throat emits sound of letter "k" in respiration; eyes fixed unequally; unconsciousness.

Generals

Kent: The general characteristic is painlessness, but now and then an alternate state is produced, in which a small dose of Opium will cause pain, sleeplessness, inquietude, nervous excitability; the very opposite state from that produced in the majority of cases.

Numbness and insensibility.

Paralysis, insensibility after apoplexy; in drunkards or old people; stool and urine retained.

Painlessness with all ailments; complains of nothing and asks for nothing.

The majority are constipated, but in some there is dysentery and tenesmus.

The patient is sleepy, yet at times the drug is characterized by sleepless nights, anxiety, increased sensitiveness to noise, so that he says he can almost hear the flies walking on the wall and hears the clock striking in the distant steeple.

It is generally supposed that in these opposite conditions one is primary and the other is secondary. This is true, e. g., those exhibiting stupor and painlessness will go into a state of increased insensibility, inquietude, anxiety, and irritability, and also one who has a state of increased sensibility first will have a docile state following.

Partial insensibility; he could be roused by shouting into his ear, but could not be made to answer any question; when not continuously aroused, he fell off immediately into a heavy stertorous sleep; between two assistants he was from time to time dragged along the corridors, making little effort to support himself, and when allowed to sit down, he was continuously aroused by being flapped on the face with a wet towel, which would cause him to open his eyes momentarily; but he became more completely narcotized, so that towards morning he seemed to be in imminent danger, [321]. 

Great sensibility to sound, light and faintest odors.

Apoplexy: vertigo, congestion to head, with great roaring in ears; eyes open, pupils dilated; face red, muscles twitching; sinking of jaw; tongue drawn to one side; speech impeded; inability to swallow; slow, irregular, stertorous breathing; limbs cold, paralyzed; drowsiness; in persons addicted to spirituous liquors or oppressed by care or grief; convulsive motions of extremities or tetanic stiffness of whole body; hot sweat on head; after consciousness is restored cannot retain what he reads and forgets connection of consecutive thoughts; paralysis of right side.

Sensation in head like that following sleep after excessive debauch.

Great heaviness of head, making thought and writing difficult. 

Dull, stupid, as if drunk.

Want of susceptibility to drugs; want of vital reaction.

The most varied dreams disturbed the whole night; was unable to rise as early as usual, and felt weaker than on the preceding evening before going to bed; the head was heavy and dull; after a glass of water became fully awake (third night), [113].