23. The following 2 cases, representing a total of 3 treatments, complained of burning in the stomach and of headache: (a) Treated once: No. 87-m-33. Ty-50 g. Slight burning for about 10 minutes after each thymol; headache all day. (b) Treated twice: No. 186-m-7. ?y-10 g. Burning and headache began an hour after 6 a. m. thymol; had difficulty in swallowing capsules. No ill effect. 10 g. 24. The following case, representing a total of 3 treatments, complained of burning in the stomach and of weakness: (a) Treated three times: No. 372-f-10. ly-10 g. Weak and hungry. 15 g. Burning in stomach for 5 minutes after third thymol. No ill effect. 15 g. 25. The following 3 cases, representing a total of 5 treatments, complained of being sick at stomach and they vomited: (a) Treated once: No 134-m-14. ?y-25 g. Slightly sick for about an hour after last thymol; vomited at 2.30 (after dinner). No. 206-m-19. ?y-50 g. Sick at stomach and vomited at 10.30 a. m; then received peppermint water and 40 c. c. additional mag. sulph., no further trouble. 15 g. Sick after first thymol, lasting all morning; vomited last thymol. 26. The following case, representing a total of 4 treatments, complained of being sick at stomach, of vomiting, of headache, and of weakness: a) Treated four times: No. 14-m-14. ?y-30 g. Frontal headache about 11 a. m., gradually wore off about noon. 30 g. Slightly sick at stomach for about half an hour after each 30 g. 16. ?y-45 g. thymol. Slightly sick at stomach after 10 o'clock salts. Vomited part of morning salts; slightly sick at stomach for 15 minutes at 12.30; slight headache. 27. The following case, representing a total of 2 treatments, complained of being sick at the stomach, of vomiting, and of being dizzy and weak: (a) Treated twice: No. 140-m-13. ?y-25 g. Sick at stomach until 11 a. m.; dizzy for 15 minutes after each thymol. 30 g. Vomited after second thymol; weak during a. m. 28. The following case, representing a total of 2 treatments, complained of being sick at the stomach, of vomiting, and of being weak: (a) Treated twice: No. 371-f-11. Oy-10 g. Vomited second thymol; omitted third; weak and hungry. 7.5 g. Nauseated at 6 a. m., did not receive thymol until 8; no later ill effect; sickness at 6 a. m. clearly not due to thymol. 29. The following 4 cases, representing a total of 4 treatments, complained of being sick at the stomach and of being dizzy (or "drunk"): (a) Treated once: No. 41-m-23. ?y-60 g. Slightly sick at stomach and "kind of drunk" after No. 72-m-28. ?y-50 g. Slightly drunk and sick at stomach for few minutes No. 34-m-29. ?y-60 g. Drunk feeling short time after thymol. After salts sick at stomach, but did not vomit. 30. The following 2 cases, representing a total of 7 treatments, complained of being sick at the stomach, dizzy, and weak: (a) Treated three times: No. 482-f-14. 9y-22.5 g. Weak after last thymol, otherwise all right. 17.5 g. Sick at stomach until salts, omitted third thymol. Weak; otherwise all right. (b Treated four times: No. 472-f-12. 0y-10 g. 15 g. No effect. 15 g. Sick at stomach and dizzy for 2 hours after second thymol. 5 g. Sick at stomach after first thymol; second and third omitted. 31. The following case, representing a total of 2 treatments, complained of being sick at the stomach and of feeling drowsy and stupid: (a) Treated twice: No. 85-m-19. ?y-40 g. Slightly sick at stomach for few minutes after thymol; very weak. 40 g. Was very stupid all morning and wanted to sleep most of time, but said he felt all right. 32. The following case, representing 1 treatment, complained of being sick at the stomach and of headache: a) Treated once: No. 95-m-13. ?y-20 g. Headache and sick at stomach for about 10 minutes after each thymol. 33. The following 4 cases, representing a total of 12 treatments, complained of being sick at the stomach and of weakness: 7.5 g. Sick after first thymol; sickness at stomach after second thymol lasted only short while. 34. The following case, treated twice, complained of being sick at the stomach, of weakness, of dyspnea, and of irregularity of heart. The patient showed an idiosyncracy to thymol. She was treated twice in 1912 and once in 1911: a) Treated twice: No. 386--13. 5y-5 g. Nauseated, dyspnea, weak, heart irregular; omitted second and third thymol. 4 g. Slightly nauseated before thymol; was given thymol at 8. 35. The following case, representing a total of 3 treatments, complained of stomach ache, headache, and weakness: 15 g. Slight stomach ache for a few minutes after salts. 36. The following case, representing a total of 2 treatments, complained of vomiting, drowsiness, and headache; he was stupid before treatment: a) Treated twice: No. 115-m-10. ?y-15 g. Headache a. m., seemed very stupid all a. m.; vomited 12 m. 15 g. Stupid before thymol; said nothing hurt him, but lay around and wanted to sleep nearly all morning. 37. The following case, representing a total of 4 treatments, vomited and complained of feeling weak: (a) Treated four times: No. 330-m-11. 6y-10 g. "Felt curious all over," weak. Vomited salts at 10 a. m. Salts repeated and retained. Vomited coffee 38. The following case, treated twice, complained of feeling dizzy, drunk, and weak: (a) Treated twice: No. 467-f-13. 8y-15 g. Weak, drunk. 15 g. Slightly dizzy for a few minutes after second thymol. 39. The following 2 cases, representing a total of 3 treatments, complained of headache and dizziness (drunkenness, etc.): 40. The following case, treated once, complained of headache and weakness: (a) Treated once: No. 437-m-10. ly-10 g. Slight headache and weakness after thymol; better after coffee. 41. Special cases.-The following cases may be classed as special: No. 452-f-11. 8y-15 g. Weak and hungry. 17.5 g. Shortly after 10 a. m. salts, patient complained of feeling somewhat sick at stomach. At noon she seemed fairly well, but weak and somewhat sick at stomach; ate crackers and eggs at noon. From noon on she felt alternately better and worse at times, then vomited her dinner. Soda mint was administered and vomited after about 10 minutes. Rested well until 4 p. m., then seemed alternately better and worse until about 6, when she fainted; at about 6.15 she nearly fainted twice, but revived upon smelling aromatic spirits of ammonia. At 7 received enema of normal salt, 1 pint; at 7.20 was feeling fairly well, but drowsy. Rested fairly well until midnight, when she complained of pain in stomach and she vomited. She then slept naturally until 2 a. m., when she complained of pain in stomach. Then rested fairly well until 6.30 a. m., when she dressed. Vomited, said she felt weak, but was able to walk. For two days she remained rather weak. When seen 7 days later was well. Patient was a frail, nervous, somewhat hysterical girl, who, according to statements by herself, her mother, father, and brother, is subject to attacks similar to this, espe cially when hungry. Her mother stated that Epsom salts nearly always made the child ill. The nausea might have been due either to the salts or to the thymol, with the possibilities seemingly in favor of the salts, since she seems to have an idiosyncracy to salts, and since she consistently denied any feeling of drunkenness or dizziness, or even headache (except momentarily after wrenching to vomit). The weakened condition was doubtless due, in part at least, to lack of food, including refusal to take coffee during morning of treatment. No. 484-m-8. 8y-12.5 g. Discharged apparently well at 1 p. m.; later taken sick, see below. In the first treatment, this boy behaved very badly during the night, talking and playing constantly, and obtaining scarcely any sleep. During the morning of treatment he showed no unfavorable symptom of any kind, and was discharged at 1 p. m., apparently perfectly well. About 6 p. m. news reached us that the boy was sick. His pulse was 80, regular and full; he seemed very drowsy. It seems that upon being discharged from treatment, he went to a store and—as was described to us-literally "filled up" with peanut brittle; then he ate soda crackers, canned oysters, and sweet-potato pie. Shortly after eating he had complained of feeling sick, and had cried; he had three more movements of the bowels which he complained burned him; he became drowsy. Patient stated at 6 that he felt better, but was weak and drowsy. He had been very thirsty, and had taken water twice. At 6.55 p. m. his pulse was 72, temperature, 973; says he feels all right, except sleepy. At 8 p. m., pulse 59; says he feels all right, except weak and hungry. Has had two more small movements. Was now given an alcohol rub and warm blanket, with hot jar at feet. At 8.40 p. m., pulse 68; boy's mother states that he is very sensitive to Epsom's salts. 10 g. Slightly sick at stomach a few minutes after first thymol (5 grains). Discharged apparently well at 1 p. m. The following day father of the patient called and stated that child complained of pain in the bowels (pointing to regions of transverse colon and stomach); that she is subject to stomach ache, but that this attack seems different; the pain began about 5 to 6 hours after patient was discharged, and continued the next day; she does not feel either dizzy or drunk. The third day patient was better. 110 |