There are other symptoms that point to carbonic acid poisoning, which
it will be interesting to review. A great majority of these symptoms
are to be found in every case of chlorosis. The muscles become weak at
first, because their nutrition is interfered with, and they waste away,
and secondly they become irritable from the poisonous presence of the
carbonic acid, and so are often very painful. The patients are easily
tired out; some, indeed, feel tired all the time, getting up in the
morning as worn out as when they retired at night.
The nervous system suffers as much, because the principal nerve
food is oxygen, and if there is no blood, there can be no oxygen; a
starved nerve is a painful nerve. We find neuralgias, affecting the
different parts of the body, the rule; when these are located in the
external muscles, they are easily recognized, but when located in the
deep organs, as the ovaries or the womb, they are generally mistaken
for something else. The nerves of these individuals being in such an
irritable state, it is natural to infer, that hysteria is often to
be found as one of the complications, so that habitual sadness, and
abnormal longings after chalk, lead pencils, and other indigestible
articles are prominent symptoms.
The circulatory system suffers derangements that are characteristic
of chlorosis. Palpitation of the heart is a prominent symptom; this
is partly due to the irritation of the carbonic acid on the cardiac
nerves, and partly to sensitiveness of the patient, owing to a
morbidly-increased sensibility of the whole body. Chlorotic patients
blush up at times, only to be followed by a green paleness that
is peculiar to the disease. Pain in the region of the heart, and
disturbances of the digestion, are sometimes prominent symptoms. There
is no feeling of hunger; eating is not so much from hunger, but more
from a sense of duty to keep up the strength. A heavy or full feeling
is often experienced after a meal, and a sourish eructation will give
relief to the oppression, because the walls of the stomach are relaxed
and in sympathy with the general debility.
But in all cases of chlorosis the sexual functions are the seat of
the greatest disturbance; amenorrhœa or the suppression of the menses
is the most prominent symptom. The ovaries no longer seem to expel
ripened ova, for there are no indications that point to their activity,
because there is not only an absence of the show, but also an absence
of the other signs that were noted when we considered menstruation and
ovulation.
There are a great many other diseases of which amenorrhœa is a
prominent symptom; these will be referred to when separate diseases
become the subject of special inquiry.