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Characteristics: There are three things that stand out most prominently in Kreosotum, and when they appear together the symptoms in minor degree will be likely to be associated.
These three characteristics are:
1. Excoriating discharges;
2. Pulsations all over the body, and
3. Profuse bleeding from small wounds.
When these three things arc associated in a high degree Kreosote should be examined. A prick of a pin will cause the oozing of bright red- blood, and mucous membranes bleed easily. Any pressure upon the mucous membranes will cause oozing.
Bleeding here and there about the body. The lachrymation is excoriating. It excoriates the margins of the lids and checks, and they become red and raw, and smart. If there is a purulent discharge it is acrid. The corners of the lips and mouth are red and raw, and’ the saliva burns and smarts. The moisture about the mouth, whatever it may be, excoriates and the mouth is raw. The eyes smart and burn as if raw.
The leucorrhoea causes smarting and burning about the vulva, so that the mucous surfaces of the labia are red and raw, sometimes inflamed, but always burning. The vagina burns during coition, and there is bleeding after coition; granulations of the vagina and os uteri, so that the pressure of the act of coition brings on bleeding and burning, smarting and excoriation. And the male organ will smart and burn after coming in contact with the secretion of the vagina during coition.
The urine burns and smarts. This tendency to excoriation from the excretions and secretions applies to all the tissues of the body.
Every emotion and exciting circumstance is attended with throbbing all over the body, pulsations to the ends of the fingers. Every emotion is attended with tearfulness, Music that will in the slightest way excite the emotion, minor strains and music that strikes home to the heart, pathetic music, will bring out tears that are acrid, and palpitation and pulsations that are felt to the extremities.
When the Kreosote sore throat is present the least pressure of the tongue depressor will establish oozing, little drops of blood will appear. During the coryza there is nosebleed. When the eyes are red and raw and inflamed, they will bleed easily. If an individual pricks the finger the blood will not merely be a single drop, but a good many will flow. Prolonged haemorrhage from the passages; hemorrhage from the kidneys, from the eyes, the nose, the uterus. Haemorrhage after coition. Tumors bleed easily.
These are the most marked features of Kreosote. If these are fixed in your mind, we have what may be known, as a Kreosote constitution out of which may come all the rest of the symptoms in all their minutiae, and little symptoms and fragments in every organ. You have in this one group the strong features of Kreosote. No matter how many particulars you may have in a case, if you do not have something of these general features you need not expect to find your patient constitutionally cured or relieved by Kreosote. These may be considered essentials.
Mentally the patient is so irritable that there is nothing that will suit him. The wants are so numerous that nothing satisfies. The patient wants everything and is satisfied with nothing, that is, he wants something and when he has it he does not want it. That is the state of irritability and lack of satisfaction in a chronic condition.
You see the child in the mother’s arms. It wants a toy, and when given it throws it in the face of somebody; it wants this and that and is never satisfied, always wanting something new, a new toy which it throws away the moment it gets it and then calls for something else.
The lips are red and bleeding, the corners of the month are raw, the eyelids red and the skin excoriated. If it has, in connection with all this, loose passages from the bowels and you examine the fissure between the nates, you will find it is red and raw. If the child be old enough to make such motions he will put the hands upon the sore genitals and fissures and cry out in a most irritable way, because of the smarting.
Such is the Kreosote baby. It may be suffering from cholera infantum; it may be subject to wetting the bed; it may have spells of vomiting, in which it vomits all its food; it is a Kreosote baby.
Kreosote has attacks of diarrhoea and vomiting; all sorts of disturbances of the urine; great distension and trouble with the bowels; abdomen distended from flatus. You look over the whole case at once as a Kreosote case, because of these general features that can be summed up in the aspect of the child.
The Kreosote face has a yellowish pallor; it is a sickly countenance, semi-cachectic, intermingled with blotches that are reddish looking, as if erysipelas were going to set in. In olden times this countenance was called a scorbutic countenance.
Take a woman with this kind of countenance; at every menstrual flow she complains of much swelling and rawness of the genitals; the flow is copious, clotted, stops and then starts again, comes too soon and lasts too long; at times it is black, very foetid, produces rawness upon the thighs and the genitals, with much swelling; at every menstrual period there is rawness of the lips and fissures in the corners of the mouth; the tears become acrid; at the menstrual period all the fluids of the body seem to be acid and they burn wherever they touch.
Very often there is a loose stool, which is also acrid and smarts the anus at the menstrual period. All the symptoms are worse at the menstrual period, sometimes in the early part, sometimes at the middle, sometimes all through, and sometimes at the close. Something more about the scorbutic constitution is brought out in relation to the gums; the gums become puffed and red and tumid and settle away from the teeth.
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