Narcotinum

Natural History.
      An alkaloid obtained from Opium, C22H23NO7.
      Trituration.

Clinical.
      Bladder, paralysis of.

Characteristics.
      Narcotinum has been rather extensively proved, but very few distinctive symptoms were elicited.
      The most notable symptoms were dry, clammy mouth, thick, indistinct speech, and paralysis of bladder.
      The vertiginous symptoms were like those of Morphine., and the general symptoms those of Opium and its other alkaloids.

Mind.
      Calm, placid, pleasurable sensation.
      Difficulty in fixing attention.

Head.
      Mazy, confused sensation.
      Vertigo and nausea worse on motion or exertion.
      Headache and roaring in head.

Eyes.
      Eyes congested.
      Vision blurred.
      Pupils contracted.

Face.
      Expression dull.
      Face red.

Mouth.
      Mouth dry and clammy.
      Speech thick and indistinct.

Stomach.
      No appetite, no thirst.
      Sudden nausea and vomiting on least exertion.
      Paroxysms of easy vomiting.
      Vomiting better all symptoms.

Stool.
      Constipation, but less than Morphine.

Urinary Organs.
      Slow evacuation of urine from deficient contractile power.
      Torpor of bladder, quite unable to empty it.
      Urine diminished.

Respiratory Organs.
      Voice changed, hoarse.
      (Chronic cough removed.) – Breathing short, hurried.

Chest.
      Agreeable warmth in chest with deep breathing.

Heart.
      Pulse accelerated, later retarded.

Lower Limbs.
      Staggering gait.

Generalities.
      Languor and lassitude.

Sleep.
      Somnolence.
      When dozing, all sorts of grotesque figures dance before the sight, or sensation of falling into an immense fire in company of same figures, with the falling sensation there was starting.

Fever.
      Chilliness, chattering of teeth, coldness.
      Universal sensation of warmth.
      Heat and redness of face.
      Much sweat, wetting all clothes next the skin.