Carbolicum Acidum

Carbolic acid, like the Carbons, is a powerful antiseptic, and its use as such in

surgery has led incidentally to the poisoning of both patients and surgeons. These experiences

have provided a number of the symptoms indicating its medicinal use. The pains of carbolic acid

come suddenly. They are burning and pricking, sticking. The urine is very dark, black or

blackish olive-green; grass or olive-green. There is numbness and twitching. Putrid discharges

are a marked indication. The skin is inflamed, and other symptoms appear, with burning,

tingling, itching, and numbness. Gangrene has been caused by the application of 2 to 5 per cent.

solutions. There is profound prostration and fatigue; convulsions; collapse; cold, clammy sweat.

• ▸Constant yawning.
• ▸R.
• ▸K.
• ▸Ghosh finds it admirable in cases (if cholera where Verat.
• ▸alb.
• ▸seems

indicated and fails. There is intolerance of warm room; but also sensitiveness to cold air which <

many symptoms. Many poisoning cases show pneumonia, single or double, affecting the bases

principally. Dr. Proctor has recorded a brilliant cure of a double basal pneumonia with drop

• ▸doses of the B.
• ▸P.
• ▸solution, after failure of more commonly used remedies.
• ▸Nervous dyspepsia of

intensely painful character has frequently been cured by it; and R. K. Ghosh has reported great

improvement in a case of diabetes when the remedy was given for something else. Proell has

recorded his own case of idiopathic erysipelas affecting the back of the right hand, first three

fingers and arm, with violet-coloured swelling and roughness. Rhus removed the fever, but did

• ▸nothing to stop the erysipelas.
• ▸This Carbol.
• ▸ac.
• ▸30 did promptly.
• ▸It was prescribed by Dr.

Streintz. Fahnestock reports a case of poisoning observed by himself from inhaling the fumes.

The patient, a woman, feeling ill, ran across the street to a neighbour's. Before reaching the house

she fell prostrate, pale, gasping for breath. When taken in, she had to be propped up in order to

breathe; trembled all over; wanted her hands held; "pricking like needles," all over body; unable

to raise right arm. Cold hands and feet. Wanted a drink of water every few minutes; nausea but

no vomiting; pain in lumbar region. Symptoms lasted four hours. It has been used with success in

the vomiting of drunkards; of pregnant women with violent frontal headache. Great flatulent

distension of the abdomen, with belching of wind and desire for stimulants, indicates the drug.

Palpitation of the heart at night has been cured by it. It has relieved cases of cancer of the

stomach, and has apparently cured epithelioma of the cheek and nose, with hemorrhages (Allen).

Deschere has found Carbol. ac. 30 of great service in uterine displacements, with or without

discharges, but these, if present, are always offensive. The symptoms first relieved are the

agonising backache across the loins with a dragging sensation down the buttocks into the thighs.

Cooper regards it as specific in influenza, in the 3x for the attack, and 30th for resulting debility.

Irritability.—Disinclination for mental exertion.—Muddled, confused, bewildered.

Fainting and insensibility, lasting for hours.—Pricking like needles all over

body.—Tonic spasm; arms flexed, difficulty in straightening them.—Prostration from a short

walk.—Offensive discharges.

• ▸Disinclined to mental work.
• ▸Tight feeling, as if compressed by a rubber band (Gels; Mahonia).
• ▸Orbital neuralgia over right eye.
• ▸Headache, better, by green tea; while smoking.

Headache: heavy, dull—Periodical sick-headache, as if enclosed in tight hand —Dull

frontal headache, as if an indiarubber band were stretched tightly over forehead from temple to

temple, > by pressure.—Itching of scalp.—Headache > by green tea; while smoking; by tight

band; by cold hand; by bending head forward.

• ▸Smell very acute.
• ▸Putrid discharge.
• ▸Ozaena, with fetor and ulceration.
• ▸Influenza and resulting debility.

Tight and stopped up.—Tickling, prickling, itching in nostrils.—Sense of smell very

acute.—Ozeena, with great fetor and ulceration.

Lips dry, cracked, painful or black —Tongue burning and tingling, as if a thousand

pins were sticking in it.—Tongue dry and chippy, parched and fissured —Throat and tongue

black, tender and ulcerated patches in inside of lips and cheeks.—Intensely bad smell from

mouth.

Prickling and burning in throat and cesophagus.—Heat rising up from the

• ▸stomach.
• ▸—Spasmodic contraction of cesophagus.
• ▸—Inability to swallow.
• ▸—Sore-throat worse on r.

• ▸side.
• ▸—Hawking of clear white mucus.
• ▸—Fauces red and covered with a mucous exudation.
• ▸—Uvula

whitened and shrivelled.

• ▸Ulcerated patches on inside of lips and cheeks.
• ▸Burning in mouth to stomach.
• ▸Fauces red, and covered with exudation.
• ▸Uvula whitened and shriveled.
• ▸Putrid discharge.
• ▸Almost impossible to swallow.
• ▸Diphtheria, fetid breath, regurgitation on swallowing liquids, but little pain (Bapt).
• ▸Face dusky red; white about mouth and nose.
• ▸Rapid sinking of vital forces.

• ▸Appetite lost.
• ▸Desire for stimulants and tobacco.
• ▸Constant belching, nausea, vomiting, dark olive green.
• ▸Heat rises up oesophagus.
• ▸Flatulent distention of stomach and abdomen.
• ▸Painful flatulence often marked in one part of the bowel (Sulpho-Carbolate of Soda).
• ▸Fermentative dyspepsia with bad taste and breath.

Wants a drink of water every few minutes.—Constant belching up of

wind.—Vomiting of drunkards.—Excessive nausea, and inclination to vomit; while eating a little,

after breakfast Vomiting of: Bright's disease; sea-sickness; cancer; pregnancy.—Weight in

epigastrium as if burdened with flatulence.—Burning in stomach.—Total loss of appetite —Desire

for whiskey.

Pain in r. hypochondrium; also in that region of both sides.—Rumbling and

rolling in abdomen.—Burning in lower part of abdomen and top of head.

• ▸Constipation, with very offensive breath.
• ▸Bloody, like scrapings of intestines.
• ▸Great tenesmus.
• ▸Diarrhoea; stools thin, black, putrid.

Diarrhcea and dysentery; mucous stools like scrapings; stools like rice-water; thin,

black; very offensive-—Cholera infantum, with putrid discharge like foul eggs.—Constipation

with offensive breath.

Urine: dark greenish brown; greenish; very dark; black or

• ▸blackish.
• ▸—Quantity increased and passed frequently.
• ▸—Diabetes —Albuminuria.
• ▸—Urine of high

specific gravity; urea abundant.—While urinating always an involuntary mucous discharge from

anus.

• ▸Almost black.
• ▸Diabetes.
• ▸Irritable bladder in old men with frequent urination at night, of probable prostatic nature.
• ▸Use 1x.

• ▸Discharges always offensive (Nitr ac; Nux; Sep).
• ▸Pustules about vulva containing bloody pus.
• ▸Agonizing backache across loins, with dragging-down thighs.
• ▸Pain in left ovary; worse walking in open air.
• ▸Erosions of cervix; fetid, acrid discharge.
• ▸Leucorrhoea in children (Cann s; Merc; Puls; Sep).
• ▸Puerperal fever, with offensive discharge.
• ▸Irritating leucorrhoea, causing itching and burning (Kreos).

Pain in region of 1. ovary walking in open air.—Painful swelling of

1. ovary.—Menses irregular; too profuse, dark colour, followed by headache and nervous

• ▸irritability.
• ▸—Puerperal fever, with putrid symptoms.
• ▸—Ulceration of the cervix uteri.
• ▸—Offensive

discharges.

Unable to lie down, gasping for breath continually, wants hands

held._(Removed in a prover: short breath going up-hill, or upstairs.)—Short, hacking cough with

tickling in throat; can hardly retain anything in stomach.—Stertorous respiration.

Feeling of narrowness in chest as if diaphragm depressed the lungs.—Tight feeling,

• ▸esp.
• ▸in centre of chest.
• ▸—Pneumonia of (r.
• ▸) base.
• ▸—Gangrene of lung.

Stitches in region of heart.—Fearful palpitation < night, with great

dyspnoea.—Jerking in 1. common carotid artery while walking rapidly after dinner.

Neck stiff, lame and sore. —Severe pain in lumbo-sacral region, < latter

part of night.—Pain in loins on straightening one's self and by jolting while riding.

• ▸Aching, rheumatic pains in shoulders.
• ▸—Unable to raise r.
• ▸arm.
• ▸—Aching,

rheumatic pains in arms strongly flexed in tonic spasm.—Cold hands and feet—Vesicular itching

eruption on hand.—Erysipelas of back of r. hand, first three fingers and arm, violet-coloured

swelling, rough skin.

Rheumatic pain in r. hip-joint.—Dragging down buttocks and into

thighs.—Paralysis of lower extremities; with dragging sensation.—Aching soreness beneath 1.

patella all day up to 4 p.m.; feels as if it would be stiff and sore to move it, but it is not felt

• ▸during motion.
• ▸—Sharp pain in |.
• ▸shin.
• ▸—Cramps.
• ▸—Cold hands and feet.

Cramps in fore part of leg, close to tibia during walking. Gnawing pains in shin bones. Arthritis.

Itching vesicles, with burning pain. Burns tend to ulcerate.

Offensive odour from skin.—Erysipelas; violet colour swelling, roughness.—Miliary

vesicles.—Malignant scarlatina.—Confluent variola—(Acne; eczema; impetigo; scabies;

psoriasis; prurigo; leprosy; pityriasis versicolor; lupus; carbuncles; cancerous sores; sloughing

wounds; chronic ulcers; burns).

• ▸Acne.
• ▸Burns.
• ▸Carbuncle.
• ▸Cholera.
• ▸Constipation.
• ▸Diabetes.
• ▸Diarrhoea.
• ▸Dysentery.

• ▸Dyspepsia.
• ▸Eczema.
• ▸Eructations.
• ▸Erysipelas.
• ▸Flatulence.
• ▸Gangrene.
• ▸Hydrocephalus.
• ▸Influenza.

• ▸Intermittent fever.
• ▸/rritation.
• ▸Leprosy.
• ▸Meningitis.
• ▸Neuralgia.
• ▸Pneumonia.
• ▸Psoriasis.
• ▸Pityriasis

• ▸versicolor.
• ▸Scarlatina.
• ▸Small-pox.
• ▸Smell, disordered.
• ▸Stomach, affections of.
• ▸Toothache.
• ▸Ulcers.

Ureemia. Uterus, displacements of. Vomiting.

/t is antidoted by: Chalk; Saccharated Lime. In burns from carbolic acid, Elias C.

Price found milk give immediate relief. He suggests copious draughts of milk in poisoning cases.

• ▸Compare: Gels.
• ▸Merc.
• ▸and Sul.
• ▸in band-like headache; Ars.
• ▸, Carb.
• ▸v.
• ▸, Chi.
• ▸and Kre.
• ▸in burns,

ulcers, unhealthy, offensive discharges; Pic. ac. (tightly drawn iron band at base of brain; Carbl.

• ▸ac.
• ▸has this round head); Ant.
• ▸t.
• ▸and Variol.
• ▸in Small-pox.

• ▸Compare: Chrysarobin (local in ringworm of the scalp 5-10 per cent in glycerine and alcohol.
• ▸Equal parts).
• ▸Ars; Kreosot; Carbo; Guano (Violent headache as from a band around head.
• ▸Itching of nostrils, back, thighs, genitals.
• ▸Symptoms like hay-fever).

Antidote: Alcohol; Vinegar; Chalk; Iod. Glauber's Salt in watery solution.

Incompatible: Glycerine and vegetable oils.

• ▸Third to thirtieth potency.
• ▸Phenol in Arthritis, according to Goodno.
• ▸Must be absolutely pure.
• ▸Crystals Solution (25 %) in equal parts of water and glycerine, dose 20 minims well diluted 3 times daily (Bartlett).