CARDUUS MARIANUS.

C. marianus, Gærtn.

Nat. order , Compositæ. (Old generic name, Silybum.)

Preparation , Tincture of the seeds.

Authority.

Reil, proving with 5 to 50 drops of the tincture, and with repeated doses of an infusion of the seeds, Hom. Vierteljahrschrift, 3, 453 (translated in N. Am. J. of Hom., 3, 379).

HEAD

• Slight dulness of the head.
• Dulness of the head , the whole day.
• Occasionally transitory headache in the forehead and temples.
• A dull headache in the forehead might have been referred to some catarrhal affection, but no catarrh followed (fourteenth day).

MOUTH

• Tongue coated white in the middle; red at the tip and edges.
• Accumulation of saliva in the mouth, after taking coffee and milk, half an hour after the first dose.
• Bitterness in the mouth after the dose.

STOMACH

• Appetite small.
• Loss of appetite. [10.]
• Empty eructations, after food taken against inclination.
• Nausea and inclination to vomit.
• Some nausea immediately after the morning dose, repeated after every subsequent one, and ending in a feeling of inflation in the stomach; a horseback ride of three hours in the afternoon increased the inflated feeling of the abdomen.
• Very decided nausea after the first dose, which compelled me to take the remaining three each in a wineglassful of water, which moderated the symptom very much.
• Great nausea, but no vomiting.
• Violent nausea (very soon after).
• Such severe and persistent nausea that I was obliged to produce vomiting by means of warm water and tickling the fauces.
• Painful retching and vomiting of acid, green fluid (after ten minutes).
• Increased sensation of uneasiness in the epigastric region, but no pain.
• Pains in the stomach, lasting two hours, aggravated by bread and milk; meat-broth sat well at noon. [20.]
• Painful griping in the stomach and cutting in the bowels, here and there, with rumbling.

ABDOMEN

• The feeling of fulness in the hypochondrium became less after stool, but was still perceptible enough, obliging me to draw a long breath.
• The feeling of inflation in the abdomen was so strong, especially in the right side, that I expected to discover a great enlargement of the liver by percussion, but it was not so; but pressure was painful over the whole hepatic region.

RECTUM AND ANUS

• No stool , but inclination to one.

STOOL

• Stool at 8 A.M., of moderate size, pappy, loamy, destitute of bilious coloring (twenty-second day).
• The morning evacuation was harder than usual.
• A hard stool at 9 P.M.; formerly it took place between 7 and 8 A.M., and was rather pappy.
• At 10 A.M. a hard scanty stool; at 11 a copious pappy one, but little colored by bile, more of a chocolate color, preceded by violent rumbling, with pains in the abdomen.
• A very hard evacuation at a quarter to 9; a similar one, unsatisfactory, at a quarter before 7 P.M.
• A very hard, unsatisfactory, difficult evacuation of brown knotty fæces ; immediately after dinner. [30.]
• Unsatisfactory, hard, loamy stool at 6 P.M.
• No stool (seventeenth, nineteenth, twentieth, and twenty-third days).

URINARY ORGANS

• Urine scanty, brownish; two experiments, both with syrup and sulphuric and nitric acids, indicated the presence of the coloring matter of the bile in the urine.
• Urine cloudy, without sediment, golden-yellow, acid.
• Urine wheyey, yellowish-brown, diminished in quantity , acid (twentieth day); the next day the same, but after standing from six to eight hours, it deposited a sediment, consisting chiefly of common salt and lime; experiments with solution of sugar and sulphuric acid gave traces of the coloring matter of the bile in the urine.

RESPIRATORY ORGANS

• Frequent urging to deep breathing, followed by painful sensations of an undefined sort in the abdomen.

CHEST

• Every sudden and violent movement of the body was painful, both in the chest and abdomen.

GENERALITIES

• Great debility all day.

SLEEP AND DREAMS

• Restless at night, with frequent waking; lying on the back produced nightmare, which woke me twice.
• Restless, dreamy night.

CONDITIONS

• Aggravation.
• ( Bread and milk ), Pains in stomach.
• ( After coffee with milk ), Accumulation of saliva.
• ( Lying on back ), Produced nightmare.
• ( Riding on horseback ), Inflated feeling of abdomen.
• Amelioration.
• ( After stool ), Feeling of inflation of abdomen.