Elaps is distinguished from the other serpent venoms by the pre-eminent blackness of its discharges and hæmorrhages; black ear-wax.
Characteristic symptoms are: Fruit and cold drinks lie like ice on stomach and cause a cold feeling in chest. Sensation as if all the blood were collected in head.
E. V. Moffat has found Elaps 6 almost a specific in chronic naso-pharyngeal catarrh, with greenish crusts and subjective disagreeable odour. Rumbling in ears as of thunder. Sensation in brain as if shaken. Sensation as if food turned like a corkscrew on swallowing; as if intestines were twisted by a cord and strung together in a knot. Pains in the lungs (especially right) are very marked:
“Sensation within chest and at sternum, as if pleuræ were pulled off and the lungs violently drawn apart.” Sensation as if a heavy load, iron bar, or weight on parts. Fluids roll audibly into stomach. The glands and skin of axilla are affected.
Periodicity is marked.
Rest >,
exertion <; but walking > epistaxis,
pain in stomach and lungs.
Lying on abdomen > pain in stomach.
Many symptoms are < at night. (Sudden deafness at night with roaring and cracking in ears.) Dreams of dead persons. Warmth of bed <. Great sensitiveness to cold: draught, wind, wet weather <. Horror of rain. Touch <. FEARS RAIN, apoplexy depressed, imagines someone is talking, dreads to be alone. Can speak but cannot understand, chest constriction, absent minded, spirit depression, desire to be alone, but bears to be alone as if something bad will happen, mad with himself, and does not like to be talked. Sensation as if all blood was in head, Noises in ears as if lightning inside. Right-sided paralysis. Must have oscillatory motion. Rheumatic constitutions. Ear, nose and throat symptoms important. Head.--Violent headache, extending from forehead to occiput; first one eye, then the other. Pain in ears. Vertigo with tendency to fall forward. Weight and pain in forehead. Fullness in head. Aversion to light; letters run together when reading. Veil before eyes. Burning in lids. Bloated around the eyes in the morning. Large red fiery spot before eyes. WORSE: eating fruits, cold drinks, wet weather. tips of fingers peel off, itching eruptions in axillae Ice cold feet, vesicular eruptions on feet, arms and hands. knee joints feel sprained. BOERICKE M. M. Dictionary of Practical Materia Medica: J. H. Clarke

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