MORPHINUM
An Alkaloid of Opium
Morphine bears the equal relation to Opium as Atropine to Belladonna-i.e, represents its apprehensive side. It is much less stimulating, much less convulsant, and extra decidedly hypnotic. Constipates much less and influences contractility of the bladder more. It is much less diaphoretic and greater pruritic.
Mind.–Profound depression. Irritable, fault-finding, hysterical. Shock prompted by way of terror. Dream-like state.
Head.–Vertigo from the least motion of the head. Headache with sensation of being “wound-up”. Bursting pain; head drawn back.
Eyes.–Bluish, drooping lids. Itching of eyes. Delusion of imaginative and prescient on closing eyes. Starting, injected; diverging strabismus. Pupils unequally contracted. Look unsteady. Ptosis. Paresis of recti interni.
Ears.–Left ear throbs painfully; better, heat. Seems to hear circulation all over body.
Face.–Dusky purple or pallid lividity of face, lips, tongue, mouth or throat.
Nose.–Sneezing in paroxysms. Itching and tingling on give up of nose.
Mouth.–Very dry. Tongue dry, brown violet in middle. Thirst. Loss of appetite, with aversion to meat.
Throat.–Dry and constricted. Pharynx paralyzed, swallowing almost impossible; higher warm drinks, worse solids.
Stomach.–Nausea incessant and deathly, faintness, regular retching. Vomiting of inexperienced fluid. Nausea and vomiting on rising up.
Abdomen.–Distended. Acute ache in stomach and along spinal column. Tympanitis.
Rectum.–Diarrhoea watery, brown, or black with horrible tenesmus. Constipation; stools large, dry knotty, with tendency to bruise and fissure.
Urinary.–Paresis of bladder. Strangury. Slow and hard urination. Retention of prostatic hypertrophy. Uraemia, acute and chronic.
Male.–Impotency. Pain in proper spermatic cord, (Oxal ac).
Heart.–Alternation of tachycardia and bradycardia. Cardiac muscular tissue is intact, even if severely exhausted. Pulse small, weak, dicrotic.
Respiratory.–Faint and struggling for breath diaphragmatic paralysis; hiccough; dyspnoea, paroxysmal, on first falling asleep (Lach; Grindel). Cheyne-Stokes respiration. Chest tight. Pain in center of sternum. Dry, hard, teasing, laborious cough, worse at night. Strangling cough, with viscid mucus sputum; thin, scanty, however sounds free and abundant.
Back.–Pain alongside spine. Weakness of loins. Aching throughout lumbo-sacral region; can’t stroll erect (Cimicif).
Extremities.–Staggering gait. Numbness.
Skin.–Livid; crimson spots; zoster-like herpes. Itching. Skin misplaced its elasticity. Urticaria acting at climaxis.
Nervous.–Restlessness and hyperethesia; trembling, twitching, jerking, convulsions. Extremely prone to pain. Pain motives twitching and jerking of limbs. Violent and unexpected neuralgic pains and unexpected fainting. Delirium, melancholic in character. Neuralgias intensely painful, left supraorbital; proper intercostal, higher from heat; more than one neuritis. Sore feeling all over. Bed feels too hard. Aggravation after sleep (Lach). Neuralgia after zoster (Mezer).
Sleep.–Yawning, drowsy; prolonged, deep sleep, Sleepless; stressed sleep, with prevalent startings. Sleepy, however can’t sleep.
Fever.–Chills. Icy coldness. Burning heat; profuse sweat.
Dose.–Third to sixth trituration.