Narcotinum.

An alkaloid obtained from Opium. C 22 H 23 NO 7 . Trituration.

Clinical

Bladder, paralysis of

Characteristics

Narcotinum has been rather extensively proved, but very few distinctive symptoms were elicited. The most notable symptoms were dry, clammy mouth; thick, indistinct speech, and paralysis of bladder. The vertiginous symptoms were like those of Morphin., and the general symptoms those of Opium and its other alkaloids.

1. Mind

Calm, placid, pleasurable sensation. Difficulty in fixing attention.

2. Head

Mazy, confused sensation. Vertigo and nausea < on motion or exertion. Headache and roaring in head.

3. Eyes

Eyes congested. Vision blurred. Pupils contracted.

6. Face

Expression dull. Face red.

8. Mouth

Mouth dry and clammy. Speech thick and indistinct.

11. Stomach

No appetite; no thirst. Sudden nausea and vomiting on least exertion. Paroxysms of easy vomiting. Vomiting > all symptoms.

13. Stool

Constipation; but less than Morphine.

14. Urinary Organs

Slow evacuation of urine from deficient contractile power. Torpor of bladder, quite unable to empty it. Urine diminished.

17. Respiratory Organs

Voice changed, hoarse. (Chronic cough removed.). Breathing short, hurried.

18. Chest

Agreeable warmth in chest with deep breathing.

19. Heart

Pulse accelerated; later retarded.

23. Lower Limbs

Staggering gait.

24. Generalities

Languor and lassitude.

25. Skin

Peculiar disagreeable crawling in limbs. Considerable itching of whole surface, esp. nose and inside of thighs.

26. Sleep

Somnolence. When dozing, all sorts of grotesque figures dance before the sight; or sensation of falling into an immense fire in company of same figures; with the falling sensation there was starting.

27. Fever

Chilliness; chattering of teeth; coldness. Universal sensation of warmth. Heat and redness of face. Much sweat, wetting all clothes next the skin.