Understanding Stramonium datura

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

What are Stramonium’s first impressions of reality?

He´s living in exile. There’s no other word that could better synthetize all his sufferings. Stram. really believes that he is a stranger in phantasmagoric land. And he was put in exile due to something he has done. He blames himself for that. He feels guilty of what had happened to him. And he is completely scared of what is going on. Relating to the people around him, they are all strange faces to him. He’ll try to communicate to them, he’ll try all the foreign languages he knows, but it will be all in vain.

The things and persons around him appear to be changed; although he knows at first that his friends are around him, yet he forgets it immediately after; he imagines that he is quite alone in a wilderness, abandoned; he is afraid; animals jump suddenly out of the ground sideways, so that he moved quickly to the other side, where, however, others start up, pursuing him so that he runs forward,. 

Does not recognize his friends and family, calling bystanders as if absent. θ Typhus.

After awaking he recognizes nothing about him.

Recognizes no one, did not take any notice of loudest calling, moved her head constantly from one side to other; forehead covered with perspiration.

Does not recognize the one to whom he is speaking.

After waking, all things appeared to him as if they were new, even his friends, as if he had never seen them.

“Quite alone in the wilderness” establishes this first sensation. And then comes the group of symptoms that reinforces his sensation of solitude.

Imagines he is alone and is frightened. 

Mania for light and company, cannot bear to be alone.

Endeavors to escape, imagines he is alone all the time, and is afraid.

He always imagines that he is alone, and is frightened, [3]. 

Fear of being in the dark and to a less extent of being alone, in the evening after sunset

Why is he frightened? From what he wants to escape?

(...) I was assailed by imaginary specters, in the most hideous forms and menacing attitudes; and what was still to my torment, my bed was suspended and tantalized like a feather between two floors, [92]. 

Sees more horrifying images at his side than in front of him, and they all occasion terror.

[Frightful fancies, he sees ghosts], [15]. 

He sees in general more horrifying images at his side than in front of him, and they all occasion terror (between three and four hours), [3].

Phantasmata are around him, [10]. 

Continually strange objects intrude upon his fancy, frightening him, [3]. 

"There," he replied, "a long train of bed-bugs, and after them a procession of beetles, and here come crawling over me a host of cockroaches;" sank back in alarm, then suddenly said : "I believe I know they are not really bugs, but, except once in a while, they seem real to me."

Woke suddenly in night and said there were snakes under and about her; looked wild, screamed and pointed to them.

Frightful figures, rats, mice; saw animals moving, cats, dogs, etc.

Delirium of a lively, active, vivid character, alternating in short periods with apparent horrified, fright, seeming to dread approach of some imaginary monster, and giving utterance to most piteous appeals for help.

The appearance of the patient suggested mania, and I might at once have pronounced it a case of delirium tremens, had I not well known the temperate habits of my patient. As I sat observing him, he suddenly turned towards the wall, exclaiming, "There are those bugs, help me to catch them!" "What bugs?" I asked. "There," he replied, "a long train of bedbugs, and after them a procession of beetles, and here come crawling over me a host of cockroaches. "He shrank back in alarm. Then suddenly he turned to me, saying," I believe I know they are not really bugs; but, except once in awhile, they seem real to me!" This scene was many times repeated. 

He is in a foreign land, knows no one, is treaded by every sort of animals, beasts and ghosts. He cannot communicate to these strange folks, even trying all the languages he knows. He doesn’t know the name of the objects he sees. He named a few, but he uses wrong words.

Calls things by wrong names, his boots logs of wood, his bedroom the stable, and this without knowing it.

Aberration of mind; one carries home all sorts of wood, in order to manufacture brandy; another placed two axes across each other in order to split wood in this way; a third burrowed in ground like a pig with his mouth; a fourth alleged he was a wheelwright and began to bore holes; a fifth ran into forge to catch fish, which he saw swimming there; a lace maker threw about her bobbins (bobinas) incessantly, and threw everything into confusion; another girl ran about the room and cried out that all evil spirits were pursuing her

After several pipefuls (cachimbadas) he would begin to call things by wrong names, e. g., his boots, logs of wood; his bedroom, the stable, etc., and this without knowing it; and is remarkable that he almost always miscalled the same things. He was a very small drinker, and always remembered the subject of his conversation, but not language. After sound sleep, he would regain the power of speaking intelligibly,

Talks in a foreign tongue. θ Typhus.

After a dreadful shock, occasioned by the death of his brother, who fell dead in his arms, talked incoherently, struck at all around him with his feet and hands, raved and spat in face of his attendants, tore his clothes, spoke at one time in Hungarian, and then in Wallachian language,e sang Latin paternosters, declared that he was God, and then that he was the devil; talks incessantly unintelligible nonsense; sits down and rises again; kneels and then pushes against wall, alternately stretching out his hands to full extent, and laying his finger in his mouth; tore his clothes and broke a very strong chain and padlock, with wonderful rapidity; bored large holes in wall with his fingers; will not answer any questions, avoids the eye; pupils are contracted, eyes weary and collapsed; cannot sleep or eat.

Hears dancing, music, sees men and hears them talk in foreign tongues.

Delirium by day and night, without rest or sleep; sang or whistled or entertained himself in different languages with departing people or jumped wildly from bed to run away or to attend to business. θ Vesicular erysipelas.


Conversing in different languages. θ Typhus.

Talking in Jewish jargon. θ Mania.

Due to the lack of possibility of any communication, to the fact that he is in a strange land, surrounded by wild beasts, bugs and cockroaches, there is this possibility: that he is considering himself in a kind of jungle, and the people around him are savages, cannibals ready to strike. He must fight for his life.

[Insane delusion that he was killed, roasted, and being eaten], . 

For some days the patient was affected with hallucinations, and thought that one side of him was alive, while the other side was buried, [129]. 

Often leaves his chair to rush at people whom he thought he saw fighting and quarrelling before him.

Rage; unmanageable; grasping with his hands; laughing; rolling and creeping around in bed; unable to stand on his feet; pupils wide open; insensible; wants to kill people or himself.

With horrible cries he strikes at those around him and is furious.

Uncontrollable fury can scarcely be restrained; flies at people; strikes and endeavors to seize them.

[Rage; he wants to kill people], [15]. 

Periodic raving; he attacked the people in the room with great violence and endeavored to bite them, [79]. 

He jumped from his bed at midnight, and ran about the room, caught at every one as he passed them, said a man was chasing him, and repeatedly said, "You shan't have me," [66]. 

Now Stramonium has come to age. He is a grownup young man, who had suffered in his childhood the worse nightmares one can imagine. He used to cry the whole night, tormented by beasts chasing him, during his fevers he used to see the most hideous faces in the walls, he even believed that there was a shark in the swimming pool and he became afraid to swim. He was afraid of the dark, afraid of the coming evening, afraid of what the night will bring to him.

But he had changed. He deeply understood what is going on around him and he finally arrived to the conclusion that, regardless of where is, of what he had been into, 

He should not be afraid of this strange world. He understood that the people around him will never “speak his language” they are a bunch of savages and must be treated as they really are.

He imagines that is very tall and large, but the surrounding objects seem to him too small, [3]. 

Mania; affects being a distinguished person, of high rank; is full of fear.

Mania, with insomnia; very talkative; thinks he has every imaginable disease; that he has power over all disease; masturbate; at times perfectly rational; fills his pockets with anything he can find; thinks he has snakes in him.

As we can see, his fears will never abandon him. He is tall, powerful, but also threaded by snakes - is full of fear.

His notion of responsibility for his acts, for being thrown into exile, will continue through out his life.

Mania; thinks he is lying on his sepulchre; confessing, praying;

Believes to be in his grave; shrives, prays, asks to be killed;

Delirium tremens: hallucinations which, especially at night, put patient in wildest restlessness, is chased about as if crazy; heard continually, on right side of occiput, a loud voice, scolding, vituperating and accusing him of ungodliness; blended, and (…) talked continually, sometimes prayed, expecting, with great anxiety, the flash of lightning which was to kill him ; (…) people seem to appear before him; night very restless, talked much to himself, wanted to leave bed; quaking trembling of limbs; misplaces words in speaking; (…)

Ceaseless talking, mostly devout; very earnestly beseeching . θ Dysmenorrhœa.

After spasms she fell into a trance, says she is under influence of spirits, and has had conversation with spirits, communications from God; delivers emphatic sermons, prophecies.

Very restless in evening in bed; converses with spirits who approach his bed, lays hold of a stick and strikes about him, to drive fiend who is after him from room; red face, glistening eyes, great thirst, distended abdomen and great sexual excitement.

Excessive loquacity each time during menses; tears and prayers and earnest supplications.

For what is he blaming himself? Why he feels himself so damned?

He dances at night in the churchyard,

After a dreadful shock, occasioned by the death of his brother, who fell dead in his arms, talked incoherently, struck at all around him with his feet and hands, raved and spat in face of his attendants, tore his clothes, spoke at one time in Hungarian, and then in Wallachian language; sang Latin paternosters, declared that he was God, and then that he was the devil; talks incessantly unintelligible nonsense; sits down and rises again; kneels and then pushes against wall, alternately stretching out his hands to full extent, and laying his finger in his mouth; tore his clothes and broke a very strong chain and padlock, with wonderful rapidity; bored large holes in wall with his fingers; will not answer any questions, avoids the eye; pupils are contracted, eyes weary and collapsed; cannot sleep or eat.

(…) merry exaltation; with pride and affectation; runs about, (…) claps his hands together, steals from his room-mates everything he can get hold of; with anxiety, and disposition by words and deeds to scold persons whom he otherwise loved.

Mania; great restlessness, confused memory; a hot face, with coldness of body alternating with anxiousness and thirst; frequently a red face, with a staring look; sadness, weeping, thoughts of death; stammering and muttering before a word comes out; cold feet; nervous, anxious sleep, with strange visions, fear of malicious animals, black dogs; a young man of loose habits.

Very violent; wild; difficult of restraint; wanted a razor.

The boy seemed to see black objects, spoke of black people and black clouds, and grasped at the air,

Stramonium knows that he is wrong, he has the wrong attitude towards the others. He should not treat them this way, he should not feel this way. Dancing in the graveyard is like to call back the dead people, it is related do the dark side of all religions.

He is God, he is the devil. He is powerful, he has “loose habits”. He is full of wit, but indecent. His intelligence, was first is used to protect him from the jungle, is now used against the other ones.

He is angered, “talkative about lewd subjects” and the symptoms counting on violence and irritability towards the others are innumerous.

But what is his attitude?

Patient had a constant vision of an executioner standing before him, in spite of which he was lively, talkative, laughed and joked about his hallucination, yet it seemed to him a reality.

This symptom is showing us that he doesn’t care. That’s the way he is, that’s all. 

He laughs at his own conscience. He defies the consequences of his acts. He is God and the devil. He has power over disease, over mankind, over the jungle. 

The last group of symptoms to be added are the “falling” symptoms. We avoided any relationship with the Human Fall related in the Bible. But we should not avoid a place for this group of symptoms and to understand its meanings in Stramonium’s history.

Started with great force and alarm, crying out that she is going to fall, clings to her mother with as much desperation as if she were going to be thrown from a precipice.

The first symptom was a high degree of exhilaration, in which she caused much merriment by her extravagant gestures and speeches. This soon became alarming, and when I was called to see her, she was laughing, crying, and singing, by turns, proceeding from one to the other state with the greatest rapidity. She occasionally started with great force and alarm, crying out that she was going to fall, when she would cling to her mother with as much desperation as if she were about to be thrown from a precipice. She would next become calm, then whistle, and afterwards point with her finger at muscæ volitantes, which she followed with the eye and hand, at last clutching at them, with an appearance of disappointment at want of success, [91].

In his conscious moments he asked to be held because he was falling, [21]. 

There seemed at times to be motions indicating that the patient thought she was falling, and used every exertion to prevent it, 

Stramonium is falling, she is going to be thrown all way down from a precipice. 

From all the symptoms in the proving, these are the only ones to show some need of protection, crying for help, asking to be held. And this time nobody’s been accused of throwing her away, she doesn’t blame no one for that. She just needs help. Help from her mother, “asked her mother not to leave her, as something was going to hurt her”.

Does it all start that way?

Groups in Stramonium datura

Hahnemann, Hering, Allen & Kent

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

Humor

Alternated states

Alternations between exalted states and settled melancholy.

Very changeable disposition, alternate anticipations of death and rage; laughable gestures, and melancholy deportment; affected haughtiness and inconsolableness; loud laughing and groaning.

Ill-humor unto vehemence, followed immediately by a disposition to laugh, even aloud.

Gay excitement, alternations of laughing, crying out, singing, whistling, leaping up, catching at flies, picking at flocks.

Rapid alternations of laughter, weeping, and singing, [130]. 

Extremely variable humor, [232]. 

After fifteen minutes, giddy; loss of senses; sleepy, finally asleep with more or less open eyes. When disturbed, she jumped up in a rage, and said a few unintelligible words; when others sang she commenced to dance. Her pulse was slow and full; mouth very dry; lasted twenty-four hours, without eating or drinking anything, [65].

Very ill-humored, even unto vehemence, followed immediately after by a disposition to laugh, even loud, [1].

Anxiety and sadness

Phlegmatic, with weariness of mind and sadness of heart; everything is indifferent to him.

Crying mood, with inclination to give offence and to feel offended.

Feels as if nothing could give her any enjoyment.

In evening after lying down, very sad, with thoughts of death, and violent weeping.


Sad; apprehends evil consequences from trifling things.

A peculiar sensation of anxiety; anguish; despair.

Sadness, [29]. [Add, at first. -Hughes.] 

Feels as if nothing could give her enjoyment, [206]. 

Depression of spirits, indisposed to converse (third day); buoyancy of spirits (fourth day), [226].

Despair, [1]. 

Peculiar sensation of anxiety, [45]. 

Great anxiety, [85]. 

Anxiety, [78]. 

Great depression of sensation and irritability in general, [116]. 

Disposed to weep: violently; involuntary; during day; at night; about her mental weakness. 

He makes all motions hastily, with great force and hurriedly, so that he feels an anxiety if he cannot finish them at once.

Doleful (triste), weeping, thoughts of death.

Feels as if nothing could give her enjoyment, [206]. 

In the evening after lying down in bed, very sad, with thoughts of death and with violent weeping, [1]. 

Peevish, irritable and rage

When spoken to appeared peevish and irritable, and answered by a sharp cry, or said sharply, "Let me alone," all his words being curtailed (cerceadas) in a curious way.

Ill-humor unto vehemence, followed immediately by a disposition to laugh, even aloud.

Very passionate, easily provoked into a rage.

Extreme irritability; makes all his motions so fast that finally he cannot move any more, and all turns black before his eyes.

Slightest contradiction irritates her so much that she sobs with anger.

Continued violent scolding; senseless quarrelling.

Raving, biting, [114]. 

Great desire to bite and to tear everything with his teeth, that comes before his mouth, even his own limbs, [6]. 

Hallucinations bring him into a rage.

Rage, [29]. 

Rage; unmanageable; grasping with his hands, laughing; rolling and creeping around in bed, [27]. 

Indomitable rage, [27]. 

Easily excited to anger and is then very vehement and furious (after two months); had been, previous to the poisoning, quite mild and gentle, [187]. 

Raving furiously; screaming, tossing his hands, and striking at whatever approached him, [238]. 

Very passionate and great feebleness (second day), [66]. 

In the evening after lying down in bed, very sad, with thoughts of death and with violent weeping, [1]. 

The peevishness and fretfulness lasted for about six weeks, [66]. 

When spoken to he appeared peevish and irritable, and answered by a sharp cry, or said sharply, "Let me alone, "all his words being curtailed in a curious way, [162]. 

Out of temper; irritated all day (second day); very irritable (third day), [168].

I felt very nervous, excited, and irritable, and continually paced up and down my room, [194]. 

Exceedingly irritable and fretful, nothing pleases him next day; quarrelsome with his brother and sister, [66]. 

Great irritability of temper (after half an hour), [102]. 

Increased irritability (after 200 drops), [133].

Extreme irritability; he makes all his motions so fast (during the first hour) that finally he cannot move any more and all turns black before his eyes, [3]. 

[Continual violent scolding; senseless quarrelling], [15]. 

Inclines to start, irritable (after thirty-two hours), [3]. 

Joyful mood

Delirious and unintelligible, the patient was busy with a thousand not unpleasant fantasies, made known his wants by gestures, without speaking, ran about for several days, busy with his fantasies, with a joyful mood, [25]. 

Merry delirium, spasmodic laughter, [45].

Delirious and unintelligible, patient was busy with a thousand not unpleasant fantasies, made known his wants by gestures, without speaking, ran about for several days busy with his fantasies with a joyful mood.

Hasty; hurries off too fast, with all his might, if he wants to go to another place.

With himself

Pangs of conscience; thinks he is not honest.

Extreme watchfulness, [162]. 

From the senses it extends its influence to the mental faculties. The imagination is confused and disturbed with fear. Terrifying apprehensions perplex the mind and impress on the countenance the image of this passion, [39].

Often starts up in affright, [21].

Large, powerful and tall

Strange, absurd ideas; thinks herself tall, double or lying crosswise; one-half of body cut off; bed is full of creases (vincos); that he was killed, roasted and being eaten.

Imagines that he is very large and tall, but surrounding objects small.

He imagines that is very tall and large, but the surrounding objects seem to him too small, [3]. 

Mania; affects being a distinguished person, of high rank; is full of fear.

Mania, with insomnia; very talkative; thinks he has every imaginable disease; that he has power over all disease; masturbate; at times perfectly rational; fills his pockets with anything he can find; thinks he has snakes in him.

Death/suicidal

He thinks that he is dying and that he will not live over night, rejoices and gives directions about his funeral.

Mania; thinks he is lying on his sepulchre; confessing, praying, wants to be killed; laughs as if tickled; wants to be kissed; accuses his wife of being faithless; scolding, beating in a rage, will not be taken hold of by attendants; takes them for dogs, and barks at them; talking in Jewish jargon; supposes his house to be surrounded by carts, Jews and geese, offending him, driving him into a rage; pale, eats nothing, does not sleep, while muscles of face are in constant twitching motion.

Paroxysms, during which he threatens to knock everybody down, to break furniture, to throw himself out of window.

Disposition to suicide; wanted a razor to cut his throat.

Rage; he wants to kill himself], [15]. 

He thought he was dying and would not live through the evening, he was glad that he was dying, and made preparations for his funeral, with other-wise perfect reason, and without feeling remarkably sick, [1]. 

Delirium, tendency to throw herself out of bed, great restlessness and sleeplessness. θ Facial erysipelas.

Loneliness

Imagines he is alone and is frightened. 

Mania for light and company, cannot bear to be alone.

Endeavors to escape, imagines he is alone all the time, and is afraid.

He always imagines that he is alone, and is frightened, [3]. 

Fear of being in the dark and to a less extent of being alone, in the evening after sunset (tenth day), [218]. 

Religious

Religious mania; pious looks, praying; restless nights; inspired talking, singing; despairs of her salvation.

Delirium tremens: hallucinations which, especially at night, put patient in wildest restlessness, is chased about as if crazy; heard continually, on right side of occiput, a loud voice, scolding, vituperating and accusing him of ungodliness; region of bladder distended, urine very scanty for a few days previous, since day before, almost entirely suppressed; constipated; tongue white; conjunctiva dirty yellow; on reading letters blended, and danced before eyes ; talked continually, sometimes prayed, expecting, with great anxiety, the flash of lightning which was to kill him ; considerable thirst; profuse, fetid, warm sweat; on lower extremities, which sweat much, a red, granular, itching eruption (lichen); trembling of limbs violent; pulse small; makes mistakes about time, speaks of all sorts of affairs, which have happened at his office; people seem to appear before him; night very restless, talked much to himself, wanted to leave bed; quaking (trêmulo), trembling of limbs; misplaces words in speaking; glittering eyes, with sharp, staring look, pupils generally dilated; inability to distinguish objects at a short distance; on looking at objects a little way off (twenty to thirty steps) fantasies disappeared, hence sought the open air.

Ceaseless talking, mostly devout; very earnestly beseeching. θ Dysmenorrhœa.

After spasms she fell into a trance, says she is under influence of spirits, and has had conversation with spirits, communications from God; delivers emphatic sermons, prophecies.

Very restless in evening in bed; converses with spirits who approach his bed, lays hold of a stick and strikes about him, to drive fiend who is after him from room; red face, glistening eyes, great thirst, distended abdomen, and great sexual excitement.

Talkativeness

Incoherent talking; incessant; like that of dementia; says many curious, incomprehensible, foolish things; prattling; continual babbling; constant senseless chattering; talking in one strain, with distressed face. θ Typhus.

Talkative; but talking is impeded.

Excessive loquacity each time during menses; tears and prayers and earnest supplications.

Inspired talking.

Great talkativeness; full of wit, but indecent, sometimes in a rage, tearing his clothes; pulse frequent, full and hard.

Talkativeness about lewd subjects.

Talks incessantly foolish things which nobody can understand; sits down, rises up, kneels, or takes other queer positions; tears his clothing and breaks chairs with remarkable celerity; gives no answer, and evades carefully looks of other persons.

Constant muttering to himself.

Loquacious, talks all the time, sings, makes verses.

Delirious laughing, making faces and behaving generally like an intoxicated person or like a fool, pulling his clothes, making laughing grimaces, with a staring look.

Prattling incessantly, without any sense or understanding.

Loquacious delirium; disposed to talk continually, with desire to escape out of bed; exposes genital organs.

Screams until he is hoarse or loses his voice.

Screams about growling in abdomen.

Would like to scream but could not on account of phlegm.

Moaning; tossing about.

Groaning; moaning after menses; restless motions.

Foreign language

Talks in a foreign tongue. θ Typhus.

After a dreadful shock, occasioned by the death of his brother, who fell dead in his arms, talked incoherently, struck at all around him with his feet and hands, raved and spat in face of his attendants, tore his clothes, spoke at one time in Hungarian, and then in Wallachian language.; sang Latin paternosters, declared that he was God, and then that he was the devil; talks incessantly unintelligible nonsense; sits down and rises again; kneels and then pushes against wall, alternately stretching out his hands to full extent, and laying his finger in his mouth; tore his clothes and broke a very strong chain and padlock, with wonderful rapidity; bored large holes in wall with his fingers; will not answer any questions, avoids the eye; pupils are contracted, eyes weary and collapsed; cannot sleep or eat.

Hears dancing, music, sees men and hears them talk in foreign tongues.

Delirium by day and night, without rest or sleep; sang or whistled or entertained himself in different languages with departing people or jumped wildly from bed to run away or to attend to business. θ Vesicular erysipelas

Conversing in different languages. θ Typhus

Talking in Jewish jargon. θ Mania.

Making all kinds of faces and imitating motions, gestures and voices of different animals 

Silent

He is mute, does not answer; expresses a wish by pointing to things.

He talks little and utters single, broken words in higher voice.

At times active efforts at utterance.

Could not utter a word; sitting silent and brooding.

Sits silent, with her eyes fixed on ground, as if absorbed in contemplation, while her hands are occupied in picking at her clothes.

Falling

While sitting on a sofa, fancied she was falling off, kept holding on to everything; while in bed said that bed was being drawn from under her.

In his conscious moments, he asked to be held because he was falling.

When left to himself, he groped about with his hands, and, touching objects, he immediately withdrew them; but when he felt himself falling he endeavored to catch at something so as to prevent it, [160].

Started with great force and alarm, crying out that she is going to fall, clings to her mother with as much desperation as if she were going to be thrown from a precipice.

The first symptom was a high degree of exhilaration, in which she caused much merriment by her extravagant gestures and speeches. This soon became alarming, and when I was called to see her, she was laughing, crying, and singing, by turns, proceeding from one to the other state with the greatest rapidity. She occasionally started with great force and alarm, crying out that she was going to fall, when she would cling to her mother with as much desperation as if she were about to be thrown from a precipice. She would next become calm, then whistle, and afterwards point with her finger at muscæ volitantes, which she followed with the eye and hand, at last clutching at them, with an appearance of disappointment at want of success, [91]. [60.]

While in bed lying on right side, screamed and said that the bed was being drawn from under her, and that everything was falling on her; kept holding on to the walls; asked her mother not to leave her, as something was going to hurt her; all this lasted from 9.30 P.M. till midnight, when she slept. Since then she has not like to be left alone in the dark, [214]. 

While sitting on a sofa, fancied she was falling off, kept holding on to everything; at the same time was sick, about 2 P.M., [214]. 

In his conscious moments he asked to be held because he was falling, [21]. 

There seemed at times to be motions indicating that the patient thought she was falling, and used every exertion to prevent it, [204]. 

Falling down with a scream; loud shriek, during fits.

Frightful sensations and delirium

Wild thoughts when she is awake; frightful sensations, without perspiration.

Fears: he will lose his senses; his lips will grow together; to suffocate; falling; everything is falling on her;

Frightful fancies take hold of his mind, his features express fright and terror.

He is like one enchanted and beside himself.

Intense pain in right side of head, with profuse lachrymation; had frightful imaginings, would start up, scream out; if spoken to would answer correctly, but immediately relapse into her wild state, head drawn spasmodically to one side, not continuous.

 [Insane delusion that he was killed, roasted, and being eaten], [15]. buried

Delirium, restlessness, constant incoherent talking, dancing, and singing, [186].

Wildness of manners, [102]. 

A clouded state of faculties, horrible obfuscation. A patient twice told me he was quite alarmed at seeing how bewildered and incapable I was; I upset everything I touched; he seemed to me to be talking out of a cloud, or as if he was a figure in a vision and not a reality, and when he ceased talking, I subsided into a sort of bewilderment, from which I could with difficulty rouse myself to attend to his case; my writing was almost an unintelligible scrawl; I lay down again till evening, dizzy and incapable, with dull headache on vertex, but not much pain; I could not realize anything; my wife sitting by my bed seemed like a phantom, and I put out my hand occasionally, to feel if she were a real existence. Before this extreme condition of bewilderment came on, I was excessively forgetful; would begin a sentence with a perfectly clear idea of what I intended to say, but forgot all about it before I had completely expressed myself; also I used wrong words, and expressed my meaning badly. My speech was thick, as if my tongue were too large for my mouth, though I felt nothing wrong in my tongue, but only a sort of globbering articulation (ninth day), [233]. 

After fifteen minutes, giddy; loss of senses; sleepy, finally asleep with more or less open eyes. When disturbed, she jumped up in a rage, and said a few unintelligible words; when others sang she commenced to dance. Her pulse was slow and full; mouth very dry; lasted twenty-four hours, without eating or drinking anything, [65]. 

For some days the patient was affected with hallucinations, and thought that one side of him was alive, while the other side was buried, [129]. 

He walks about the room absorbed in himself, with fixed, sparkling eyes, surrounded by blue rings, but takes no notice of surrounding objects, but is solely occupied with the objects of his fancy, [13]. 

Searching with his handHe often raised himself on his knees, continually stretched out his arms, and employed his hands as if searching for something he wanted, [34]. 

Outward grasping of the hands; at times at the nose or head, [135]. 

She was observed to catch at the blaze of the fire in a very singular manner, and a few moments after fell on the floor as if she had been paralyzed on one side, [76]. 

Constantly picking at the bedclothes and frequently bursting into violent fits of laughter, [241]. 

There was a constant reaching of the hands for some imaginary objects, [207]. 

Picking at bedclothes, [172]. 

Picking at imaginary objects in the air, and has a violent maniacal action (after four hours and a half), [157]. 

He grasps at the air with his hands, laughs, crawls about his bed, [27]. 

He would sit up occasionally, but never shut his eyes, and would sometimes catch at imaginary objects, [152]. 

Quite irrational, picked the bedclothes, saw bugs, etc. (after two hours), [134]. 

With fixed eyes and dilated, immovable pupils, he saw nothing, recognized none of his friends, stretched out his hand around him continually, as if he would lay hold of something, and stamps his feet, [21]. 

Subsultus tendinum, picking about the bedclothes, and grasping at random around her, [183]. 

The limbs were motionless and paralyzed; the arms, on the contrary, were constantly reaching forwards and upwards, with an uncertain tremulous motion, as if the patient were endeavoring to seize some object, which he indistinctly perceived in the air, 

When roused he seemed bewildered, and would not give any account of himself. He could stand when placed upon his legs; but groped about and caught at imaginary objects, as patients are observed to do in cases of poisoning by Belladonna, [161]. 

With the others

He converses with absent individuals as if they were present, and addresses inanimate objects, as chessmen by names of such persons, but observes none of those standing about him.

Patient had a constant vision of an executioner standing before him, in spite of which he was lively, talkative laughed and joked about his hallucination, yet it seemed to him a reality.

Strangers

With fixed eyes and dilated, immovable pupils, he saw nothing, recognized none of his friends, stretched out his hand around him continually, as if he would lay hold of something, and stamps his feet, [21]. 

The things and persons around him appear to be changed; although he knows at first that his friends are around him, yet he forgets it immediately after; he imagines that he is quite alone in a wilderness, abandoned; he is afraid; animals jump suddenly out of the ground sideways, so that he moved quickly to the other side, where, however, others start up, pursuing him so that he runs forward, [3]. 

Does not recognize his friends and family, calling bystanders as if absent. θ Typhus.

After awaking he recognizes nothing about him.

Recognizes no one, did not take any notice of loudest calling, moved her head constantly from one side to other; forehead covered with perspiration.


Does not recognize the one to whom he is speaking.

The things and persons around him appear to be changed; although he knows that his friends are there he forgets it immediately afterward; imagines he is quite alone in a wilderness, abandoned; is afraid; animals jump suddenly out of ground sideways, so that he moved quickly to other side, where, however, others start up pursuing him, so that he runs forward.

Imagines she sees a number of strange people, and tries to seize them, though there are none present.

An old lady had a vision every night since six weeks, in which many persons, all strangers, came into her room and to her bedside, causing her such fear that she had to leave bed.

Saw people coming out of all corners.

After waking, all things appeared to him as if they were new, even his friends, as if he had never seen them.

Hallucinations which terrify patient; sees ghosts, hears voices back of his ear; sees strangers.

After waking all things appear to him as if new, even his friends, as if he had never seen them, [3]. 

He converses with absent individuals as if they were present, and addresses inanimate objects (as chessmen) by the names of such persons, but observes none of those standing about him, [3]. 

Infidelity

Had many strange fancies, such as imagining his wife had lovers concealed behind stove; wandered restlessly about, and could only be restrained by force from running, out into street; afterward had a fit that looked so much like apoplexy that he was bled.

Believes to be in his grave; shrives, prays, asks to be killed; accuses his wife of infidelity; scolds, strikes at everybody who wishes to restrain him; thinks they are dogs and barks at them to make himself understood.

Melancholia, with walking about, crying and lamentations; complains her husband has neglected her.

Wife complains of husband neglecting her; man accuses his wife of being faithless.

Rage towards the others

Often leaves his chair to rush at people whom he thought he saw fighting and quarrelling before him.

Has been drinking too hard, weather very hot; since about five days, is walking day and night, can find no rest; could not sleep; saw a door open where there was none; frightful dreams about fighting and killing; takes offensive in imaginary quarrels, and attacks aggressor; runs against supposed object to attack it; personifies voices, hears clock talk, and argues with it; sores in mouth and tongue, probably from biting; unquenchable thirst; tingling in hands, which sometimes get cold; heavy, dull sensation in head; left nostril closed ; feels > in cold air; would like to die; rolling of eyes; trembling of hands; urine scanty, red; pulse full and hard; afraid of delirium tremens.

Rage; unmanageable; grasping with his hands; laughing; rolling and creeping around in bed; unable to stand on his feet; pupils wide open; insensible; wants to kill people or himself.

With horrible cries he strikes at those around him, and is furious.

Uncontrollable fury, can scarcely be restrained; flies at people; strikes and endeavors to seize them.


[Rage; he wants to kill people], [15]. 

Periodic raving; he attacked the people in the room with great violence and endeavored to bite them, [79]. 

Acute mania; frenzy; tears his clothing; hallucinations; violent impulse to be active; threatens to use knife on those about him.


She rapidly became furiously delirious, struck at, pushed or attempted to bite every person who came near, or any object that was offered to her.

Tears clothes; breaks chairs with incredible quickness; destroys things.

Great desire to bite and to tear everything with his teeth, that comes before his mouth, even his own limbs, [6]. 

Cries out fearfully, hides face in pillow, is terrified by presence or approach of physician; after an attack of typhoid.

On being reprimanded pupils dilate immediately.

He jumped from his bed at midnight, and ran about the room, caught at every one as he passed them, said a man was chasing him, and repeatedly said, "You shan't have me,". 

Hallucinations, as if near right mastoid process a voice were scolding her, < at night, sometimes voice seemed to be under bed.

With the Environment

Indifference to everything

Stares stupidly; looks vacantly around.

She feels dull; stupid in head, almost insensible and indifferent to everything and everybody.

Objects

Does not seem to notice objects around him.

Grasps at things quickly and in a hurry, thinks he has seized a thing before touching it; if he does hold the object he does not feel that he has hold of it.

He grasps at things quickly and in a hurry and thinks he has seized a thing before touching it, and if does hold the objects, he does not feel that he has hold of it (after four and five hours), [3].

From the expression of his face and movements, he seemed at times to be chasing, or fleeing from imaginary objects, [135]. 

No correct estimation of distance, or size of objects; reaching hands to catch hold of objects across room, and running against persons and things, which they appeared to view as distant.

Imagines objects smaller than they really are.

Wrong names

Calls things by wrong names, his boots logs of wood, his bedroom the stable, and this without knowing it.

Aberration of mind; one carries home all sorts of wood, in order to manufacture brandy; another placed two axes across each other in order to split wood in this way; a third burrowed in ground like a pig with his mouth; a fourth alleged he was a wheelwright and began to bore holes; a fifth ran into forge to catch fish, which he saw swimming there; a lace maker threw about her bobbins (bobinas) incessantly, and threw everything into confusion; another girl ran about the room and cried out that all evil spirits were pursuing her.

After several pipefuls he would begin to call things by wrong names, e. g., his boots, logs of wood; his bedroom, the stable, etc., and this without knowing it; and is remarkable that he almost always miscalled the same things. He was a very small drinker, and always remembered the subject of his conversation, but not language. After sound sleep, he would regain the power of speaking intelligibly, [243].

Ghosts, spectres

On becoming warm in bed, I felt a host of new sensations creeping over both body and mind. My whole frame was affected with a tremulous vibration, but most sensibly felt through my abdomen, attended with a prickly sensation over the whole body. My mind became extremely timid and restless, which rendered all attempts to compose myself to sleep fruitless. After a teaspoonful of elixir of paregoric, I felt every symptom getting worse; the surface of my body was bathed with a clammy perspiration; whenever I attempted to close my eyes I was assailed by imaginary specters, in the most hideous forms and menacing attitudes; and what was still to my torment, my bed was suspended and tantalized like a feather between two floors, [92]. 

Sees more horrifying images at his side than in front of him, and they all occasion terror. 

Awakens with a shrinking look (olhar encolhido), as if afraid of first thing she sees. θ Metritis.

Frightful fancies, he sees ghosts], [15]. 

He sees in general more horrifying images at his side than in front of him, and they all occasion terror (between three and four hours), [3]. 

Phantasmata are around him, [10]. 

Continually strange objects intrude upon his fancy, frightening him, [3]. 

Fancied that she saw objects that did not exist, and had repeatedly a sensation of flashing light, which made her think that she saw it lighten, [36]. 

Dogs, cats, bugs…

"There," he replied, "a long train of bedbugs, and after them a procession of beetles, and here come crawling over me a host of cockroaches;" sank back in alarm, then suddenly said: "I believe I know they are not really bugs, but, except once in a while, they seem real to me.

Woke suddenly in night and said there were snakes under and about her; looked wild, screamed and pointed to them.

Mania: with fits of rage, hallucinations of sight and hearing, loss of memory; complains that a dog is biting and tearing flesh off his chest; merry exaltation; with pride and affectation; runs about, complains of violent headache; claps his hands together, steals from his room-mates everything he can get hold of; with anxiety, and disposition by words and deeds to scold persons whom he otherwise loved.


Exclaims about cats, dogs and rabbits approaching her from above, from side and middle of room.

Delirium of fear, as though a dog were attacking him, [15]. 

Frightful figures, rats, mice; saw animals moving, cats, dogs, etc.

Delirium of a lively, active, vivid character, alternating in short periods with apparent horrified, fright, seeming to dread approach of some imaginary monster, and giving utterance to most piteous appeals for help.

Mania; great restlessness, confused memory; a hot face, with coldness of body alternating with anxiousness and thirst; frequently a red face, with a staring look; sadness, weeping, thoughts of death; stammering and muttering before a word comes out; cold feet; nervous, anxious sleep, with strange visions, fear of malicious animals, black dogs; a young man of loose habits.

Young man with delirium tremens, had received, shortly before, a cut in cheek, and wound was in an inflamed condition; pain in forehead; tendency to sweat; motions unsteady, hasty; hands and tongue tremble; appetite poor; chills in back; continuous scintillations before eyes; spoke of lizards and worms being on his clothes, and in air before him; starts up suddenly as from fright; pulse weak.

Sings, talks, fancies there are dogs in room, which he describes and attempts to chase, springing suddenly to his feet, and as suddenly toppling over.

Very violent; loquacious; wild; difficult of restraint; seeing rats and cats in room, and on wall; pulse 120; high fever; several men required to prevent him from getting out of bed, or jumping out of window; wanted a razor; would take nothing out of a spoon or cup. θ Erysipelas of head and face.

The appearance of the patient suggested mania, and I might at once have pronounced it a case of delirium tremens, had I not well known the temperate habits of my patient. As I sat observing him, he suddenly turned towards the wall, exclaiming, "There are those bugs, help me to catch them!" "What bugs?" I asked. "There," he replied, "a long train of bedbugs, and after them a procession of beetles, and here come crawling over me a host of cockroaches. "He shrank back in alarm. Then suddenly he turned to me, saying," I believe I know they are not really bugs; but, except once in awhile, they seem real to me!" This scene was many times repeated, [191]. 

Began to look stupid, seemed to forget herself, and gave incoherent answers (after one hour); seemed to sit like a perfect idiot, for two and a half hours (after two hours and a half); began to grow worse, biting a man's hand, sometimes crying out that she saw cats, dogs, and rabbits, at the top, sides, and middle of the room; at other times, with great eagerness, catching at imaginary objects with her hands, and declaring that she saw many people who were not present. She suffered a continuance of these symptoms with little variation, and totally without rest for nine hours, being all this time restrained in bed by force in a raving and maniacal state, [37]. 

He can nowhere obtain rest, he is terrified by fanciful delusions (even though his eyes are open), *they appear to him to grow out of the ground at his side, in the form of large cogs, cats, and other horrible beasts, from which he springs away to one side, with signs of terror, and cannot get rid of them, [3]. 

[Frightful delirium, as if a dog took hold of her], [15]. 

Delirium of a lively, active, vivid character, alternating in short periods with the most apparent horrified fright, seeming to dread the approach of some imaginary monster, and giving utterance in the most piteous appeals for help, protection, . 

Sings, talks, fancies that there are dogs in the room, which he describes, and attempts to chase, springing suddenly to his feet, and as suddenly toppling over; sometimes talks of events of the day as though they were now taking place,

Water

Then, again, she would start involuntarily, quick as if a shock of electricity had passed through her body, with an air of affright, and a loud shriek; her limbs writhed with convulsive motions, and her countenance and body distorted in every direction; apparently affected with great pain and anxiety. At other times, in her intervals of ease, she would sing, and sometimes laugh, but could not be made to utter a word; neither did she appear to take notice of anything that was said to her. In short, the functions of her mind appeared to be entirely deranged. These paroxysms occurred at intervals of five or ten minutes, and continued about the same period. She manifested a great aversion to fluids of every kind. When a cup of water was brought to her lips, she would instantly start from it, and sometimes relapse into her paroxysm; so great was her aversion to it, that it was with the utmost difficulty a teaspoonful of any fluid could be forced down her throat, [40]. 

Apparent dread or aversion to water or fluids of any kind, [75]. 

Excessive aversion, amounting even to rage, when it was attempted to administer any liquid, appearing like hydrophobia; he even had the spasmodic irritation of the pharyngeal muscles, so that anything taken choked him and was regurgitated,[153]. 

Hydrophobia; water, a mirror, or anything bright, excites convulsions, screams or howls in a high voice; bites; mouth dry; pupils large; unconscious; afraid to be alone; great desire to bite and to tear himself with his teeth; wants to bite those around him, with a terrible cry and rage; fancies full or fright and terror, staring eyes, dilated pupils, turgid, swollen face, bloody froth at mouth, excessive restlessness; aversion to watery liquids; frequent spitting, slaver hanging from mouth; horrible convulsions; stiffness of whole body.


The apartment seemed all on fire,. 

He dances at night in the churchyard, . 

Violent delirium, which was alternately mirthful, furious or dolorous, directed to some imaginary source of pleasure or repugnance, and accompanied with corresponding gesticulations, [142].

Work

Thinks she is not fitted for her position.

Not disposed to any real work.


Inconsolable; much affected by trifles; disposed to weep, sometimes vexed; neglects her duties, thinks she is not fitted for her position; < after Fall equinox; in darkness, when alone, and in morning; wants light (sunshine) and company; heat and anxiety, rise from abdomen, causing redness of checks.

Sexuality

Delirium with sexual excitement.

Nymphomania; with diaphragmitis; violent attacks, even to rage; exalted sexual passion.

Sings and utters obscene things.

He sings and utters obscene things, [18].

His thoughts ran upon obscene things, frequently put his hands to erected penis; sought to bite or to catch flies.

Pregnancy, Lactation

Mania puerperalis in course of peritonitis; phlebitis puerperalis.

Mania, originating in childbed; sitting up, talking incessantly, in one strain for fifteen minutes, and with great vehemence; always wants to go away.

Timid mania, in childbirth.

Childhood

He uttered constant moans, with occasional shrieks, and could only be pacified by holding his chest pressed close to his mother's breast.

Much excited and rather delirious, under the impression of some immediate danger, clinging to the person who had him in her lap (after one hour), [138]. 

His whole conduct and countenance was like that of a child severely frightened and apprehending some terrible calamity, [1]. 

Boy seemed to see black objects, spoke of black people and black clouds, and grasped at air.

Delirium: calls for papa and mamma, who are present and trying to console child; with open eyes; 

Child awakens terrified, knows no one, screams with fright, clings to those near.

When his father got him to recognize him, boy said: "Why, papa, is that you?" and commenced stroking, or rather clawing, with his fingers his father's face.

The boy repeatedly said there were "big sores" on him (first evening), [66]. 

Formerly an obedient boy, he is now headstrong and obstinate; but in presence of strangers timid and anxious.

Child is very cross, and strikes or bites.

The child had the look of one suffering from the effects of alcoholic drinks; an excited condition, not a moment quiet, constant motion of the hands and feet, at one time singing, jumping, whistling, with lively grimaces, and a most jovial condition, in which she sang melodies in a perfectly correct manner; at another time she became excited, beat about her, jumped out of bed, reeled whenever she attempted to stand, and when she attempted to sit up fell over to either side; the next moment she had the most vivid hallucinations; talked much in a disconnected manner, it seemed as though her tongue could not follow her chaotic thoughts. 

Complete stupefaction and general insensibility to external impressions, only interrupted by a few transient moments of recognition; as a rule, the boy noticed nothing about him, did not recognize his parents and sisters, heard nothing and felt nothing; he seemed to be in a condition of frightful excitement, with constant mental activity, as shown by the expression of the face and gesticulations, appearing to be occupied with the most vivid fancies, especially joyous, and, at times, frightful images; at times, when he was able to talk, his speech consisted of the most foolish and active delirium, with prattling; sometimes he seemed to be frightened, sometimes astonished, sometimes pathetic; but it was very seldom that he uttered intelligible words, and as a rule, there were no words, only a shrill screaming and groaning or loud laughing, with attempts to sing or whistle, . 

She began to cry, when her mother taking her up, she became furious, and began to scratch and bite

The child wanted to bite and strike at those around her, . 

She would, while held in her mother's lap, suddenly start as if in terror, with outstretched arms and glaring eyes, and with such an effort that it required much exertion to hold her. This would last but a moment, during which she would cry incoherently; then a calm would come over her, and she would laugh, grasp at imaginary objects, conveying the hand to her mouth as if eating berries, point to something on the floor, etc., [204]. 

The appearance of the family was extremely ludicrous. The children were laughing, crying, singing, dancing, and playing all imaginable antic pranks. They had no correct estimation of distance, or the size of objects; were reaching their hands to catch hold of objects across the room, and again running against persons and things, which they appeared to view as distant. The nail-heads in the floor were pieces of money, which they eagerly tried to pick up. A boy, apparently fancying himself undressed, caught a hat belonging to a student, thrust his foot into it, pulled with both hands on the brim (borda), and began to fret that he could not "get on his trowsers." The parents frequently called on the children to behave themselves; but their own actions being equally eccentric, they afforded a ridiculous exhibition of family government, [109].

The child was to all appearance happy, talking all the incoherent nonsense that can be imagined, laughing, and in constant motion; but labored under so great a debility, that it could not stand or walk without tottering, and several times in attempting it fell down; it was a perfect delirium mite, [74]. 

They got wild, ran about the room, jumping, talking nonsense; saw chickens and cats, spoke to them, also to their toys, [67].

After the usual treatment, for about twenty minutes, the child went to sleep, and woke in about twenty minutes, and was like a mad child; it would hold out its hands as though it wanted a glass of water, then bring them to its mouth and sup as if it were drinking water or other fluid; it would put its fingers into its mouth and even bite them, and also its mother's fingers, whenever she put them about its mouth, also screaming incessantly, [119]. 

► Child so wild and restless as to be controlled with difficulty, and in raging delirium, biting with fury at those who restrained him, [155]. 

►► *The boy seemed to see black objects, spoke of black people and black clouds, and grasped at the air, [153]. 

► After a time the involuntary convulsive movements of the limbs and body seemed to change to more voluntary movements, as if the boy were acting in pantomime, though at times real convulsions occurred; after two hours (and after a bath) he began to move his mouth as if he wished to speak; this continued for some time, until he tried to utter articulate sounds, which became more and more distinct; the first words he spoke were, "Take care, I shall strike;" after a time he seemed to be living in a perfectly ideal childish world, with games of school, etc.; these ideas seemed to alternate in a loose way with speeches, songs, and verses, which were recited and sung in various tones; also he seemed to be eating berries, cherries, etc., made chewing motions with his mouth, and counted with his fingers; in all these acts he seemed to be playing and happy; *all his ideas seemed to consist of mere reproductions; there was nothing original, and there were no new combinations, [144]. 

At one time the child seemed to hear and paid attention when spoken to, at other times paid no attention, and seemed unconscious, and was, apparently, occupied with hallucinations and fancies, [233]. 

An incoherent delirium, imagining herself surrounded by objects that had no existence; her vagaries were of a pleasant character, and created great merriment with the other children present, [163].

Great excitement continued for some time, the child sang and screamed, turned the eyes about and moved the hands for several hours, till at last he fell asleep; even the next day singing and screaming continued, [121]. 

After being put to bed, the child began to sing and talk in a confused manner; she talked incessantly and unintelligibly, and frequently cried; she constantly beat the air with hers hands as though trying to grasp something or searched about the bed with the fingers, [130]. 

As the boy began to improve, he endeavored to answer, but after speaking two or three words, he again became incoherent and returned to his wild delirium,

Constant muttering, seeming desirous to say something to his mother, but unable to articulate, [131]. 

The boy was inclined to smile and jest (after a few hours), [66].

Intellectual

Loss of recollection appears connected with an inward uneasiness and to proceed from it.

Uses wrong words in talking.

Desires to relate a story but cannot connect a sentence; cannot find right words and becomes displeased at this interruption.

Inability to give a proper answer, rapid change of ideas, so that he seldom completed a sentence, but, e. g., united the half sentence of answer to a question addressed to a person not present.

Tries to find right expression.

Dull, difficult thinking; cannot think clearly about anything; loses thoughts before she can give them utterance.

After getting out of bed, vertigo and loss of thought; everything hovers dimly and distantly before his memory, there seems to be a veil before his eyes.

Talks disconnected words in a high screaming voice.

Mind wandering, and unusual quick motions with eyes and hands.

Confusion of mind.

Would not answer questions (after one hour), [203]. 

Confusion of mind and continual reaching out for imaginary objects (after three hours), [236]. 

Confusion of intellect (after four hours), [196].

Dulness of mind (after first dose, second day), [219]. 

Intellect affected, [93], [231], etc. 

Confusion of intellect, he laughs and moans, [9]. [230.]

Confusion of mind, [5]. 

Great confusion of ideas (third day), [188]. 

As the patient began to improve, she found it difficult to speak the right word in answering, [120]. 

When writing, put letters in wrong place and omitted them (ninth day), [218]. 

When speaking, put words in the wrong place, and made mistakes in spelling when writing (third day), [210]. 

When about to look for a symptom in repertory, could not think for some time what I had intended to do (sixth day), [218]. 

Activity of mind peculiarly disturbed, patient stammering unconnected words all the time, shedding tears; all the symptoms seem to indicate much suffering, [56]. 

Was able to answer only in a disconnected and lolling manner, [166]. 

Absence of mind, twenty-four hours, bland delirium, [19]. 

Memory

Memory disturbed for a long time after the poisoning, [140]. 

Rather inclined to be forgetful; forgot where a paper had been put a day or two ago; hunted for the spectacles and found they were in my hand all the time (eighth day), [223]. 

The loss of recollection appears connected with an inward uneasiness, and to proceed from it, [1]. 

Diminished memory, [1]. 

In the intervals of half consciousness, he is cognizant of his waking, but at these times cannot remember what he did or said in the previous lucid interval, [3]. 

She remembered nothing afterwards, not even her wandering in the bazaar, [126]. 

Loss of memory, [26], [201], etc. 


Loss of memory.

Paroxysms of loss of memory, during which he recognizes neither persons nor objects; questions remain unanswered.

Memory confused; great restlessness; red face and staring eyes, sadness, weeping, thoughts of dying; stammering, gets words out with great difficulty cold feet, restless sleep, with visions; fear of wild animals and black dogs.

Memory weak; loses thoughts before she can give them utterance; weeps about her weak mind. θ After sunstroke.

Neurological

Coma, spasms; later snoring, unconscious, jaw hangs, hands and feet twitch, eyes roll pupils dilated; automatic grasping of hands toward nose, ears, etc.; difficult to swallow liquids.

Continual motions with hands and arms as if spinning or weaving; frequent lifting up head, red face, staring eyes, with large immovable pupils, constant murmuring, frequent sighing, total stupefaction of senses.

Semi-conscious; dilatation of pupils marked.

Consciousness totally lost; did not answer questions; stared around stupidly; pupils much dilated, insensible to light; signs of vertigo, aversion to fluids.

Face red; eyes uneasy, shining; pupils much dilated, staring, immovable; drunken look; unconscious; disconnected talk; jumped up; restless; started; grasped about in air, catching at imaginary things, no fever; slow, tardy pulse; chills; perspired, skin warm; drink swallowed hastily.

Unconscious; snoring; lower jaw hanging down; twitches of hands and feet; rolling eyes; dilated, immovable pupils; automatic motions; grasping about with hands; skin cool; pulse somewhat frequent, single beats omit; greatest difficulty to swallow liquids.

Sat up in bed unconscious, continually babbling, occasionally starting up suddenly, his hands apparently directed to imaginary things in air; pulse very slow, no fever, intense thirst and violent sweat from incessant motion.

He was mute, did not move; pulseless; limbs lame for six or seven hours; lying without consciousness; after that tossed about in bed with great rage, made innumerable signs to those around him, which were not understood, and then became quiet again.

Unconscious and stupid: during chill; < in hot stage, sometimes during sweat; in typhus.

Stupor: weakened intellect; torpor and fits; extreme excitement of sexual parts, constipation; resembling highest state of intoxication from spirituous liquors.

During fever she cannot speak or reply to any question; shows with hands where pain is seated, and when writing down has to think what letters to use.

Wild thoughts when she is awake, frightful sensations, without perspiration.

Mental derangement: violent headache, followed by excessive delirium, loss of sight and hearing, striking about with hands and feet, excessive dilatation of pupils, slow pulse.

Mental derangement, with spasmodic symptoms, staring look, attempts to escape with shrieks, frightful visions, fever heat, redness of face, moist skin.

Stupid, unable to articulate, with a certain peculiar wildness of countenance and flushed face, lying in bed.

Physiognomy expresses stupidity and perturbation; insensibility to mental impressions, with fixed, weeping eyes and enlarged pupils, hardly responding to irritation.

Stupid, after delirium.

Ecstatic.

A woman, æt. 50, became weak-minded, childish, and laughed without cause; had two paralytic attacks, each at 2 A. M.; lay quietly on her back, with closed eyes; delirious talk, < in evening; wants to get away, throws things out of window; at 3 A. M. violent spasms, return every half hour; wants to scream but cannot; gurgling sound in throat; foams at mouth; opisthotonos; strikes with one arm, grasps with other; pale face; unconsciousness.

Incoherent talking; incessant; like that of dementia; says many curious, incomprehensible, foolish things; prattling; continual babbling; constant senseless chattering; talking in one strain, with distressed face. θ Typhus.

Walks about room, absorbed in himself, with fixed, sparkling eyes, surrounded by blue circles, takes no notice of surrounding objects, is solely occupied with objects of his fancy.

Delirium: bland; murmuring; violent; foolish; joyful; loquacious; incoherent; chattering; with open eyes; vivid; merry; with spasmodic laughter; furious; raving; wild, attempts to stab and bite; with queerest notions;

Starts involuntarily, quick as if a shock of electricity had passed through her body, with an air of affright and a loud shriek; limbs writhed with convulsive motions, and her countenance and body distorted in every direction.

Delirium; an unceasing disposition for motion in all the muscles, weeping, screaming, laughter, and rapid incoherent exclamation, [76]. 

Maniacal delirium supervened, symptoms resembling hydrophobia, [44].

The mother and one daughter were raving like maniacs, while the other was rapidly sinking into coma, [206]. 

Grew violently delirious, and died comatose, [182]. 

Maniacal delirium, [209]. 

In a state of delirium, he dances, gesticulates, shouts with laughter, and sings (after three hours), [16].

He was delirious, and without memory or recollection, [6]. 

Complete insensibility, broken occasionally by a paroxysm, during which they would utter some indistinct sounds, and throw the hands about the head as if attempting to ward off some threatening evil; this would soon subside into a semi comatose state, not the stupidity, however, which results from Opium or its preparations, but rather a state of intense apathy, which persisted for a few seconds, when the delirium would again recur unless sooner produced by the efforts of those about to render assistance, when the state of excitement assumed such a form and violence as to render necessary a certain amount of restraint to prevent escape from the imaginary object which engaged the attention; occasionally they would grasp at something in the space in front, appear as if they possessed or rejected it, then turn the head as if called by a voice beside them and attempt to speak to it; *the sound resembling a squeak more than the natural tone of the voice. Neither of them was able to support himself alone upon his feet, but would take a step or two with staggering gait, falling to the floor as if intoxicated or in a state of complete exhaustion. 

During the period of excitement the extremities were in constant motion, co-ordinate only so far as they related to the corresponding limb, yet wanting in that harmony of action which is found in those movements of a higher order, as standing in the erect posture, walking, etc.; there was constant action of the fingers as if attempting to pick something from the person or the bedclothes; at times they would burst into paroxysms of excessive laughter, which would persist some seconds, then suddenly cease; at times they would have a smile, so quiet and pleasant, that we could not but contrast it with the highly excited state previously witnessed, [193]. 

Sometimes she would appear for a moment to be relieved from her anxiety, and sit silent, with her eyes fixed on the ground, as if absorbed in contemplation; whilst her hands were employed in picking at the clothes, or anything that happened to be before her, similar to those in the last stage of some fevers. 

They turned natural fools upon it for several days. One would blow up a feather in the air, another would dart straws at it with great fury; another, stark naked, was sitting up in a corner, like a monkey, grinning and making mouths at them; a fourth would fondly kiss and paw his companions, and sneer in their faces, with a countenance more antic than a Dutch doll. In this frantic condition they were confined, lest in their folly they should destroy themselves. In eleven days they recovered, unconscious of anything which had passed, [110]. 

He became delirious, and knew nothing of himself until he was relieved; during this time he performed many queer antics; one time he was off to hitch up his team; again he gathered up sticks and placed them together to build a fire; then he would motion as though he would scrape lice and bugs together, shake them out of hats; pull the paper off the wall to get them out; pick them off himself and tramp them, etc.; see rats running and try to catch them; he was very talkative; did not know even his wife, nor where he was; wanted to go home, etc. (after fifteen to thirty minutes), [234].

Screaming, catching at imaginary objects in the air, or rather striking at them, for it was evident that these specter were of a frightful nature, since at the moment of darting out the hand in the direction where the eyes were fixed, she always suddenly, and with great vehemence, withdrew herself, expressing the utmost terror in her look; at the same time screaming and sobbing violently. Her eyes would, to appearance, follow the imaginary object for a moment or two, before she made the effort to escape from its supposed approach. She rapidly became furiously delirious, struck at, pushed, or attempted to bite, every person who came near, or any object that was offered to her. In two and a half hours she knew no person and had been wholly insensible to surrounding objects for above an hour and a half. She remained in this condition for about three hours, when a stage of coma supervened, lasting two hours. There was a return of the excitement, but not so severe as that which first presented itself; neither was it attended by ocular spectra, or tetanic spasm, [102]. 

Hydrophobia, [6], [113]. [With other symptoms, restlessness, violent convulsions, the patient being so violent that he had to be tied; he rolled about in his bed, sleepless, and uttered shrill screams; he was delirious, without memory or consciousness; his pupils were extremely dilated; violent desire to bite and to tear everything with his teeth; extremely dilated; violent desire to bite and to tear everything with his teeth; extreme dryness of the inner mouth and fauces; the sight of a light, a mirror, or water, excited horrible convulsions; irresistible aversion to water, with constriction and convulsions of the throat; froth at the mouth and frequent spitting. -Hahnemann.]

Stupefaction, [15], [97], [106], etc. 

Stupefaction, from which he at times started up in a wild manner, opened his eyes, which were partly closed, but could not keep them open; spoke disconnectedly, quarrelled with his mother, whom he did not know; his face was very red, cheeks glowing hot, with dry heat over the whole body; at times he moved his lips and tongue, called for liquid; throbbing carotids, full, very rapid pulse, rapid respiration; pupils excessively dilated, insensible; swallowing difficult, [192]. 

Stupefaction of the senses; some always laugh, but hear and see nothing, although they always have it before their eyes, they also speak well and answer all questions, although the whole is like a dream to them, [13].  

Obscuration of all the senses, with anxiety, followed by shivering on the back with sweat, [15]. 

Deep stupor, for an hour and a half, [125]. 

Stupor, anxiety, convulsions of the limbs and involuntary weeping, with an elderly woman; increased very much by drinking coffee, soon cured by vinegar, [1]. [Taken from Hering.] 

Dullness of sense, loss of reason, [23]. 

Patient recognizes no one, paid no attention to the loudest calls, constantly turned the head from side to side, [120]. 

He was quite insensible to sound, seeming not to hear the loudest talking; rousing and shaking him had no effect; his eyes were partially open, and the pupils more dilated than I ever have seen. The stupor was of a drunken kind; there was no disposition to sleep, but a constant restlessness and turning of the body, attended by a most peculiar fidgety manner of twisting the fingers and catching at some imaginary object. This was varied now and then, by grasping the bedclothes very tight; his body was warm, more from this exercise of the arms than any other perceptible cause; the tongue was always rolling the pulse rather quick; and the patient often shrank, as if suffering from a creeping sensation over his body, [141]. 

He found the child in bed unconscious, [206].

Quite insensible; in two hours the pupils were fixed and dilated; all the muscles of the body convulsed, the countenance flushed and the pulse full and slow, two hours after, 

He remained perfectly unconscious and could not be roused, paid no heed to the loudest shouting, did not feel the smartest pinching; while the arms and legs, when lifted, fell flaccid and lifeless (after seven hours), [201]. 

Great insensibility of all the senses, [23].

Stupor in a few hours, soon followed by obstinate insomnia, and in one case delirium tremens, [196]. 

She was unable to take any food, to see, hear, speak, or feel, [241]. 

Complete insensibility, unable to swallow any fluid, or to be aroused sufficiently to take the least notice of me or her friends, [98]. 

Sopor alternating with delirium,  

 Deep sopor, followed by death, [163]. 

Coma, [103], [117], etc. 

Comatose state, he appeared stunned and his resolution was impaired, [115].

It is useful in mania that has existed for some time; attacks of mania coming on in paroxysms, appearing with more or less suddenness, so that a single attack would look like Bell., but the history differentiates. Bell. would hardly be more than a palliative in the first attack, and the second exhibition of it would do nothing.

When the delirium is not on, the patient has the appearance of great suffering, forehead wrinkled, face pallid, sickly, haggard. In head pains this anxious look, indicative of intense suffering from meningeal involvement.

"Delirium bland, murmuring; violent, foolish, joyful, loquacious, incoherent chattering with open eyes; vivid; merry, with spasmodic laughter; furious, raving, wild; attempts to stab and bite; with queerest notions; with sexual excitement; fear as if a dog were attacking him."

Furibund delirium, during an attack of erysipelas faciei et capitis; suppression of urine; singing and whistling between paroxysms.