LACHESIS MUTUS MIND SYMPTOMS

WILLIAM BOERICKE

• Great loquacity.
• Amative.
• Sad in the morning; no desire to mix with the world.
• Restless and uneasy; does not wish to attend to business; wants to be off somewhere all the time.
• Jealous (Hyos).
• Mental labor best performed at night.
• Euthanasia.
• Suspicious; nightly delusion of fire. 
• Religious insanity (Verat; Stram).
• Derangement of the time sense.

J.H.CLARKE

• Great anguish, insupportable anxiety, and uneasiness, from which patient seeks relief in open air.Fear, and presentiment of death.
• Discouragement; distrust; easily affected to tears. 
• Mental dejection and melancholy, with apprehension, uneasiness about one's malady, great tendency to give way to sorrow, to look upon the dark side of everything, and to think oneself persecuted, hated and despised by acquaintances.
• Dread of death; fears to go to bed; fear of being poisoned.
• Thinks she is some one else; in the hands of a stronger power; that she is dead and preparations are being made for her funeral; that she is nearly dead and wishes some one would help her off.
• Sadness when awaking in the morning or night (particularly in the morning); no desire at all to mix with the world.
• Restless and uneasy; does not wish to attend to business, but wants to be off somewhere all the time.Sadness, and disgust to life.
• Mistrust, suspicion, and a strong tendency to take everything amiss, to contradict and to criticize, Frantic jealousy.
• Indolence, with dislike and unfitness for any labor whatever, either mental or bodily.
• Timidity of character, with variables and indecision.
• Great apathy and extraordinary weakness of memory, everything that is heard is, as it were, effaced, even orthography is no longer remembered, and there is forgetfulness even of things on the point of utterance.
• Confusion as to time.Mistakes are made in speaking and writing, as well as in the hours of the day and the days of the week.
• Imbecility and loss of every mental faculty.Over-excitement and excessive nervous irritability, with a tendency to be frightened.
• Perfect happiness and cheerfulness followed by gradual fading of spirituality, want of self-control and lasciviousness; felt as if she was somebody else and in the hands of a stronger power.
• Amativeness.
• Affections of the intellect in general.
• State of ecstasy and exaltation which even induces tears, desire to meditate, and to compose intellectual works, with a sort of pride.
• Frantic loquacity with elevated language, nicely chosen words, and rapid and continual change of subject-matter.
• Loquaciousness, with mocking jealousy, with frightful images, great tendency to mock, satire and ridiculous ideas.
• Nocturnal delirium with much talking, or with murmuring.
• Dementia and loss of consciousness.

S.R.PHATAK

• LOQUACITY; rambling; frequently jumping from one subject to another, then sadness; or repeats the same thing.
• Compelling delusions; thinks herself under super human control thinks she is dead and preparations are being made for her funeral; thinks herself pursued, hated and despised.
• Persistent erotic ideas, without ability.
• Insane jealousy.
• Suspicious.
• Sad in the morning; no desire to mix with the world. Malice.
• Mischievous.
• Mania from over study.
• Delirium; tremendous; from over-watching; over-fatigue; loss of fluids, over-study.
• Feels full of poison.
• Fears; going to sleep; lying down or that heart will stop.
• Restless, uneasy; does not want to attend to business; want to be off somewhere all the time.
• Derangement of time sense.
• Aversion of women to marry.
• Religious insanity.
• Talks, sings, whistles; makes odd motions.
• Mocks. 
• Crawls on the floor; spits often; hides, laughs or is angry; during spasms.
• Weak memory.
• Mistakes are made in writing and speaking.
• Mind agg. after sleep.
• Predicts the future correctly.
• Proud and laxy.
• Hateful.

E.B.NASH

• Thinks herself under super-human control.
• Great sadness; particularly on waking in the morning. Loquaciousness; continually changing from one subject to another.

J.T.KENT

• The next most important thing to be studied is the mental state.
• Nothing stands out more boldly than the self-consciousness, the self conceit, the envy, the hatred, the revenge and the cruelty of the man.
• These things, of course, are matters of self-consciousness, an improper love of self.
• Confusion of the mind to insanity.
• All sorts of impulsive insanity.
• The mind is tired.
• The patient puts on an appearance like the maudlin of a drunkard, talks with thick lips and thick tongue, blunders and stumbles, only partly finishing words; the face is purple and the head is hot.
• There is choking and the collar is uneasy about the neck; and the more uneasiness about the neck, the more choking, the more confusion of mind and the more appearance of intoxication.
• You will see if you talk with one who is intoxicated with whiskey symptoms like Lachesis, he stumbles through, hardly realizing what he says, half finishing his sentences and his words, leaving his "g's" off, all the present participles; he stumbles and blunders, he mutters, and tells you first one thing and then another. These symptoms are increased under the circumstances mentioned in the Spring; in the warm weather following a cold spell; in rainy weather; after a warm bath; after sleep.
• The mental state is large.
• Jealousy without any reason.
• Unwarranted jealousy and suspicion.
• Many times this medicine has cured suspicion girls, when they were simply suspicious of their girl friends. She never sees a whispered conversation going on but they are talking about her, to her detriment.
• Suspects that they are contriving to injure her, and she will resort to any scheme to see if they were not talking of her to her detriment.
• A woman imagines that her friends, husband, and children are trying to damage her; that her friends are going to put her in an insane asylum.
• Apprehension of the future.
• Thinks she is going to have heart disease, and is going insane; and that people are contriving to put her in an insane asylum.
• Imagine her relatives are trying to poison her and she refuses to eat.
• She thinks sometimes that it is only a dream and she can hardly say whether she dreamed it or whether she thinks it.
• She thinks she is dead, or dreams that she is dead, and in the dream preparations are being made to lay her out, or that she is about to die.
• Thinks she is somebody else, and in the hands of a stronger power.
• She thinks she is under superhuman control.
• She is compelled to do things by spirits.
• She hears a command, partly in her dream, that she must carry out. Sometimes it takes the form of voices in which she is commanded to steal, to murder, or to confess things she never did, and she has no peace of mind until she makes a confession of something she has never done.
• The torture is something violent until she confesses that which she has not done.
• Imagines she is pursued.
• Imagines that she has stolen something, or that somebody thinks she has stolen something, and fears the law.
• She hears voices and warnings, and in the night she dreams about it.
• The state of torture is something dreadful, and it then goes into a delirium with muttering.
• The delirium is carried on like one muttering when drunk.
• This state increases until unconsciousness comes on and the patient enters into a coma from which he cannot be aroused.
• The patient also goes through periods of violence and violent delirium.
• It is full of religious insanity.
• You will find a dear, sweet old lady who has always lived what would be called an upright and pious life, yet she is not able to apply the promises that are in the Word of God to herself; these things seem to apply to somebody else but not to her.
• She is full of wickedness and has committed the unpardonable sin.
• She is compelled to say these things; she is overwhelmed by these things and she is going to die and going to that awful hell that she reads about.
• The physician must listen to this with attention.
• The physician might make the mistake in this instance of making light of such feelings.
• If he does, the patient will not return, and he will be deprived of the chance of benefiting her.
• No matter what her whims are, no matter what her religious opinions are, her state of mind must be treated with respect.
• It must be treated as if it were so. She must have sympathy and kindness.
• It is an unfortunate thing for a doctor to get a reputation of being an ungodly man, among pious people, as he will be deprived of doing these people an immense amount of good.
• He must be candid with all the whims and notions of the people that he visits in the world.
• The state of religious melancholy, with religious insanity, is not uncommonly attended with much loquacity, with talkativeness, which Lachesis is full of. 
• It is commonly among women, very seldom among men, that we find this religious melancholy. Now, this woman is impelled to tell it; she will annoy her intimate friends, day and night, with this story of the damnation of her soul and her wickedness and all, the awful things she has done.
• If you ask her what things she has committed she will say everything, but you cannot pin her down to the fact that she has killed anybody.
• If you allow her to go through with her story she will tell you all the crimes in the calendar that she has committed, although she has been a well-behaved and well-disposed woman.
• There is another kind of loquacity belonging to Lachesis.
• The patient is impelled to talk continuously.
• It is found in another. state in which the patient is compelled to hurry in everything she does and wants everybody else to hurry, With that state of hurry is brought out the loquacity, and this is something far beyond comprehension, until you have once heard it. 
• There is no use attempting to describe it, it is so rapid, changing from one subject to another.
• Sentences are sometimes only half finished; she takes it for granted that you understand the balance and she will hurry an.
• Day and night she is wide awake, and with such sensitiveness to her surroundings that you, would naturally think, from what things she hears and how she is disturbed, by noise, that she can hear the flies walk upon the walls and the clock striking upon the distant steeple.
• You do not get all these things in the text, you have to see them applied. But the things I give you that are brought out clinically are those things that have come from applying the symptoms of the remedy at the bedside to sick folks.
• "Most extraordinary loquacity, making speeches in very select phrases but jumping off to most heterogeneous subjects."
• "One word often leads into the midst of another story." 
• These states may come on in acute diseases like typhoid, when it will take the usual typhoid delirium, or they may come on in conditions like diphtheria, or in any of the diseases that are characterized by blood poisoning; they may come on in the puerperal state, or may take the form of insanity.
• It is a long acting remedy, and if it has been abused its effects will last a life time.
• In many cases a close connection between the mental symptoms and the heart symptoms will be noticed, especially in young women and girls who have met with disappointment, who have been lying awake nights because of disturbance of the affections, or from disappointment, or from shattered hopes, or from grief.
• Prolonged melancholy, mental depression, hysterical symptoms, weeping, mental prostration and despair, with pain in the heart, with a gone sensation or sensation of weakness in the heart, with difficult breathing.
• She meditates upon suicide, and finally settles back into an apathetic state, in which there is an aversion to, everything, to work, and even to thinking.
• I might impress upon your mind the head symptoms if I related the case of a patient who described her symptoms probably more typically than you can find in the books.
• She was sitting up in bed and unable to lie down; she was worse from lying down, her face was purple, her eyes were engorged, the face puffed and tumid and the eyelids bloated.
• She sat there perfectly quiet in bed and described the pain as a surging sensation, which came up the back of the neck and head and then over the head. That is a typical feature of Lachesis.
• A surging in waves. Waves of Pain that are not always synchronous with the pulse.
• They may not relate to the flow of blood at all.
• The surging is aggravated by motion, not so much in the act of motion, but after moving.
• It is sometimes felt after walking or changing to another place, and sitting down again; that is, a few seconds after the motion is completed the pain begins, and it comes to its height instantly and then gradually subsides into a very steady surging or a more steady ache.