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OHIO STATE UNIVERSITY
i
 ANNUAL RECORD
OF

HOMEOPATHIC

LITERATURE .

1873 . Proporty of DDOoNEC

HOMEORITHICCO
EDITED BY

C. G. RAUE ,, M.D.
ASSISTED BY

T. BACMEISTER, M.D. TOULON .

CHARLES CROPPER, M.D. OXFORD.
E. FARRINGTON , M.D. PHILADELPHIA .
C. HERING, M.D. . PHILADELPHIA.
A. K. HILLS, M.D. NEW YORK.
T. S. HOYNE, M.D. CHICAGO .
J. P. KIPPAX , M.D, WHEATON .
A. KORNDOERFER, M.D. PHILADELPHIA.
S. LILIENTHAL, M.D. NEW YORK.
R. J. MCCLATCHEY , M.D. PHILADELPHIA.
M. MACFARLAN , M.D. PHILADELPHIA .
W. S. SEARLE, M.D. BROOKLYN.
A. R. THOMAS, M.D. PHILADELPHIA ,
CHARLES VON TAGEN, M.D. CLEVELAND .
C. WESSELHOEFT, M.D. BOSTON ,

BOERICKE & TAFEL .

NEW YORK : PHILADELPHIA :
No. 145 GRAND STREET . 1 No. 635 A RCH STREET .
 RXU
AG
1873

Entered according to Act of Congress, in the year 1873, by

BOERICKE & TAFEL ,
In the Office of the Librarian of Congress, at Washington .

W. HERING & Co. , PRINTERS .

 PREFACE .

This fourth volume of our Annual Record offers again in a bird's

eye view the many valuable hints which lie scattered about in the
last year's periodical homeopathic literature. The Materia Medica
part has been arranged by Dr. C. HERING, the Surgical part by DR.
M. MACFARLAN, the rest by myself. The Journals and Periodicals
extracted for this volume, are the following :
Allgemeine Homoeopathische Zeitung of 1872, and Monatsblatt, by C. G. Raue.
2

Neue Zeitschrift für Homeopathische Klinik of 1872, by C. G. Raue.

Internationale Homøopathische Presse of 1872, by C. G. Raue.
British Journal of Homeopathy of 1872, by E. Farrington .
British Homoeopathic Review of 1872, by T. S. Hoyne.
Homoeopathic World of 1872, by A. Korndorfer.
North American Journal of 1872, by S. Lilienthal.
United States Medical and Surgical Journal of 1872, by F. R. Kippax.
American Observer of 1872, by W. S. Searle .
Medical Investigator of 1872, by T. Bacmeister.
Ohio Medical and Surgical Reporter of 1872, by C. Von Tagen.
Hahnemannian Monthly of 1872, by R. J. McClatchey.
American Journal of Homeopathic Materia Medica of 1872, by A. R. Thomas,
Transactions of the American Institute of Homoeopathy of 1871, by C. Wes
selhoeft.
Transactions of the Homeopathic Medical Society of the State of New York
of 1871 , by A. K. Hills.
Transactions of the Homeopathic Medical Society of the State of Pennsyl
vania of 1872, by R. J. McClatchey.
Transactions of the Homeopathic Medical Society of the State of Ohio of
1872, by Charles Cropper.
French and Spanish Journals, as far as translated in other Journals.
C. G. R.

Proportion of 270017
190080 ORAZCOLA
 MATERIA MEDICA.

Our homæopathy stands, “ like a widely-spread, fruit-bearing

tree,” eighty-three years old, gaining all the time in the “ struggle
for life,” and the RECORD shows the progress every year, like the
new ring around the tree.
The usual order is to give the poisonings, provings and charac
teristics first, and in the natural order :
1. Chemicals.
2. Plants.
3. Animals .
4. Nosodes, followed by
5. Comparisons.
6. Toxicological and
7. General Remarks .

Comp. R. in referring to the Record 1.–1870 ; II .-1871 ; III . - 1872.

CHEMICALS . .

SULPHUR GROUP.

Sulphur is curative in debility, serous exudations, paralyses, diffi

culty in learning to walk, venous engorgements, because it
tends to tone the muscular, nervous and vascular tissues,
whose lax condition may lead to any of these forms of dis
ease. When given thus it never aggravates indicated symp
toms; thus differing from most neuro-tonics. It is of less
use than Arsen. , Ferrum, etc. , when organic changes are the
cause of the debility. It also seems to increase the iron in
1 1
2 MATERIA MEDICA .

the urine; hence is injurious in low potencies in chlorosis.

This is a chemical action and may explain how iron cures ;
by abstracting and combining with an excess of sulphur in
blood, thus preventing the absorption of ferruginous parti
cles. ( Cooper, B. J. , v. 30, No. 120. ) Comp. R. I. , 4 ; II. , 2.
>

PHOSPHOR GROUP.

Phosphorus indicated in hoarseness ; dry, tearing cough, oppres

sion of upper chest ; headache and sensation of excoriation
in trachea or bronchia, or both. (H. V. Miller,, H. M. , June,
>

1872, p. 5, 527.)
Action on the bones. (H. W.‫ܕ‬, 7, 165.)
Influence on the organism . (Geo. Wegener, Am . Obs., Oct. ,
1872, p. 481.) Comp. R. I. , 8 ; II. , 3 ; III., 2.
Phosphoric acid . Proving by Dr. J. Schelling. (A. H. Z., 84,
43.) Comp. R. I. , 9 ; II., 3 ; III. , 2.
Arsenicum poisoning. (Med. Inv., v. 9, p. 241.)
>

Cachexia. A woman 42 years of age took, fifteen years

ago, large doses of Tinctura Fowleri, for an herpetic erup
tion upon the back of the right hand ; it disappeared, but
ever since then, she has suffered with periodical spells of a
most painful diarrhea. The stools watery, slimy and
mixed with undigested masses. Before stool, twisting, cut
ting, burning pain from the navel downwards ; during and
after stool, severe tenesmus. She is very weak , depressed
in spirits, and feels all the time very miserable. The attacks
are brought on by the slightest digressions in diet, the
slightest cold or any mental excitement. China in various
low potencies, gradually ascending to higher ones, cured the
woman . (A. Raron, A. H. Z., 84, 99.)
Toxicological effects. By C. Judson Hill, (N. Y. S. Tr., 1871 , p. >

232.)
Feb. 6th. About an hour after taking arsenic powder, two
drachms, she experienced a sensation of faintness, burning
and nausea ; after the second dose of two drachms ?) vomited
several times, and then fell asleep and slept until near mid
night. On awaking took the third dose, and shortly after
experienced a good deal of pain, burning, &c., in the esopha
gus and stomach, with constant nausea and vomiting for
several hours, when the symptoms mitigated ; she took

.
 MATERIA MEDICA. 3

another nap and slept until morning. At the usual hour

arose, dressed herself, took the fourth dose and prepared
breakfast for the family, although suffering severely from
the terrible distress in the stomach , with occasional vomit
ing and purging.
Hydrated peroxide of iron was given in table-spoonful
doses, every five or ten minutes, and after each spell of
vomiting, until one pint was taken ; her symptoms some
what improving, the iron was given at longer intervals.
Drank also copiously of flaxseed tea, milk and white of eggs ;
at intervals of an hour carbonate of magnesia in milk, to
expel that poison which might have passed into the intes
tines. Not acting, two ounces of castor oil were given and
was soon followed by a copious evacuation of a dark brown
substance.
Feb. 8th , 9 A. M.Improved and quite cheerful; had
rested some during night; vomiting at longer intervals ;
complained of a severe headache, with dizziness ; compelled
to lie down ; very uneasy , desire to change her position often ;
pain in throat and stomach still severe at times, seemed to
alternate between the stomach and head ; great thirst, but
drank but very little at a time ; severe burning pain in
region of heart, with a tumultuous action of it ; seemed
* as if her heart was being turned inside out, and every
thing spilled out of it.” Pulse quick and small, almost
imperceptible, as the night previous ; no desire for food ;
constant desire to urinate, urine hot and dark ; skin hot,
face flushed , occasional vomiting and shuddering ; when the
paroxysms of pain and nausea came on, she was relieved
only by sitting up and bending forward , pressing upon the
stomach with the hands ; vomiting also relieved.
5 P. M. Improving ; had vomited three or four times ;
stomach much better ; no pain or nausea, but constant thirst
and severe headache; gave iron at still longer intervals ;
milk , eggs and flaxseed tea at short intervals, and another
dose of oil.

Feb. 9th, 9 P. M. Sitting up ; better than the day before,

except headache and pain about heart ; stomach did not
distress her at all ; no nausea or vomiting ; took milk gruel ;
bowels moved freely, with some relief to the head ; could
not sit up long at a time, as it caused the head to swim ;
 4 MATERIA MEDICA .

pulse better ,but still rapid ; beef tea, milk and white of
eggs ordered and water to drink .
Feb. 10th. The same as the day before ; no vomiting,
nausea or any pain in the stomach ; coughed some ; feeling
of soreness at pit of stomach when coughing ; slight tender
ness of mouth and throat ; tongue coated dark brown, but
moist ‫ ;ܪ‬considerable thirst, desire for food ; vertigo on at
tempting to sit up. Treatment continued.
Feb. 11th. The same ; discharges having the appearance
of mucous shreds ; complaining of considerable weakness,
especially of the back . Ipecacuanha and China.
Feb. 12th . No soreness or tenderness of mouth or
throat ; tongue coated with a white fur and moist ; not
much thirst ; felt as well as usual, except a burning pain in
>

back ; worse on sitting up, could not sit up long at a time ;

some vertigo and debility remaining, China.
Feb. 13th. About the same as the day before ; pulse one
hundred and four, small and weak ; a strong desire for food,
ate a hearty meal ; some tenderness of stomach ,noticed only
while coughing ; pain in back the same. Nux vom. and
China.
Feb. 14th. Improving ; only symptom was pain in back ,
across the kidneys,with aa desire to urinate frequently ; pulse
S one hundred, small and weak.
Feb. 17th. Improving, discharged .
The above case is valuable in medical jurisprudence from
the fact, that none has been reported as having recovered ,
where so long an interval between the taking of the first
dose of poison and the administration of the antidote, has
occurred .
Its action upon the skin, continuation from No. 19 of v. 83 ,
A. H. Z. , by Prof. Imbert-Gourbeyre. (A. H. Z. , 84, 23.)
Comp. R. I., 9 ; III., 2.
Swelling of the cheeks as the vesicles are filling in small-pox.
(W. Williamson .) Comp.. R., II, 3.
>

Arsenicum jod. Useful in enlargement of large glands, with

heaviness, as if pus was forming, with burning pains ;
buboes. (W. M. Williamson, H. M. , Sept. , 1872, p. 84.)
2

Comp. R. I. , 12.
 MATERIA MEDICA . 5

CARBON GROUP..

Graphites. Similar to Arsenicum ; good in cardialgia, gastric

catarrh ; especially in women during the climacteric. (H.
Goullon, H. M. , Jan., 1872, p. 274.) Comp. R. I. , 16 ; II. ,
4 ; III. , 4 .
Petroleum . Proving of by J. Schelling. (A. H. Z., S. L., H. M. ,
June, 1872, p . 512.) Comp. R. I. , 16 ; II. , 5 ; III. , 4 .
Silicea. Observations by C. Dunham. ( N. Y. S. Tr., 1871 , p. 143.)
Manifests but little distinct action upon the vital powers. The sen
sorium is somewhat depressed in its activity. The special
senses of sight, hearing and smell are exalted in connection
with the headache, but no perversions of sense are recorded.
The peculiar pains, affecting the head, nape of neck and the
eyes, show a definite field of action. The muscular system
exhibits only aa moderate degree of depression. The sphincters
are not affected . The organic substances of body are profoundly
and variously affected. Secretions are increased and so modi
fied in respect of at least the respiratory tract as to resemble
pus . Characteristics : Profuse sweat of the head, the body
being dry or nearly so. ( Rhus tox . has sweat of the body,
except the head.) Desponding disposition, sensibility of the
pericranium ; headache, relieved by warmth ; pale earthy
complexion ; disgust for meat and warm food ; abdominal
pains, relieved by warmth ; much sneezing, with acrid
coryza ; going to sleep of that part of the body on which
one lies ; unhealthy state of skin, many ulcers form ; sleep
lessness on account of orgasm of blood ; quickened pulse ;
chilliness, even by every movement.
Practical applications. Cases involving profuse suppura
tion, causing abscesses to come speedily to maturity and
moderating the secretion of pus. Simple ulcer. Fistula
lacrymalis. Whitlow . Ingrowing toenail. Caries and
periostitis (Platinic chloride). Rachitis. Tabes dorsalis.
(Carroll Dunham, N. A. J. H., Feb., 1872 ; I. H. Pr., v . II. ,
p. 92.) Comp. R. I. , 17 ; II., 5 ; III., 4.
Cured the fungous stump of an arm amputated for cancer. (M.
Preston, H. M. , Sept., 1872, p. 83.)
The ashes of the Vesuvius contains, according to the analysis of
Prof. Zimo, the following constituents : Chloride of Iodine,
6 MATERIA MEDICA .

Sulphate of Lime, Magnesia, Iron, Alum, Titanium and

Silicea. (L’Igea , Apr., 1872.) Mtsbl. , June, 1872, p. 63.
Comp. Hekla , R. III., 5.

OXYGEN GROUP.

Ozone. Lender experimented with Ozone-water, and succeeded by

its use in warding off the degeneration of the cardiac muscle
for some time. He uses also daily, solutions of oxygen for
that purpose. (N.
( A. J. H., 30, 583 , 1872.)
> >

Nitric acid . Slight aching in both feet and legs up to the hips ;
felt as if she had taken cold in them ; deep -seated bitter
coldness of feet and legs, and deep -seated feeling as if dogs
were gnawing the flesh and bones, and as if the sinews were
being pulled up, which keeps her awake all night ; not re
lieved by position or movement, but for the time by hard
rubbing ; violent pain, like throbbing or hammering, on
left side of head, coming on gradually towards morning
and going off about breakfast. It began near vertex , de
scending to region of left ear, then went gradually over
vertex to right side of head, but still worse on the left, not
relieved by warmth of flannel. (E. W. Berridge, N. A. J.
H., 21.) Comp. R. I. , 18 ; II. , 6 ; III., 66 .
>

HALOGEN GROUP.

Bromine. Its therapeutical application by Dr. Gottwald . (Deutsche

Klin ., No. 18, 1872. Allgem. Med. Central Zeitg., 1872, pp.
39 , 40. Mtsbl. , June, 1872, p. 60.) Comp. R. I. , 19 ; II. , 7.
>

ALUM GROUP.

Plumbum . Lead poisoning produces menorrhagia and abortion

very often. (Quoted by B. W. James, H. M., Jan. 1872, p.
288. )
Poisoning . (T. S. Hoyne, U. S. Med. and Surg. Jour., v. 7, p.>

166.) Comp. R. I. , 20 ; II. , 7.

Lead in the brain for seventeen years. Man was shot, ball entering
head above right ear. Had weak memory, disturbed vision ;
these disappeared ; pain in back and legs ensued , especially
 MATERIA MEDICA . 7

the right one ; sneezing and coughing extended the painful

sensation to head . He died nineteen years after, of pneu
monia, when two pieces of ball were found on the tento
rium. (Quoted by B. W. James, H. M., Feb., 1872, p. 337.)
Paralysis of the lower limbs. (W. Williamson.) Comp. R. II. ,
7 ; III. , 7.
Stannum . Good in leucorrhea, profuse, white or yellow,
causing great general debility. This debility seems to pro
ceed from chest, involving the larynx. (H. V. Miller, H.
M., Aug. , 1872, p. 43.) Comp. R. I. , 20..

AURUM GROUP.

Cinnabaris. Poisoning. (H. Kl ., 1872, p. 124.) Comp. R. I. , 23..

. >

Cuprum . A pharmacological study by Dr. C. Heinigke. (I. H.

Pr., v. 1 , p. 337. H. M., Dec., 1872, p. 213. Trans. by E.
>

Tietze.)
Cuprum acet. Its physiological effects, by Adolf Carl Köck.
(H. Kl., 1872, p. 153.) Comp. R. I. , 23 ; III. , 9.
>

Mercurii cyanuretum . Poisonings. 1. Followed by death ;

reported by Dr. Rapeler. (“ Orfila Toxilogie,” v. 1. 66 Ar
chives generales de Medicine Ann ., " v. 9, 1825.)
2. Reported by Dr. Moos. Cured . (Hom . Zeitung, v. 79,
Mtsblt. Serie, v. 9, No. 1 .
3. Reported by Dr. Libert; cited by Prof. Christison . (Treatise
on Poisons, 4th ed. , p. 427.) Followed by death.
4. Reported by Dr. Tander. Recovered. (Horn's Archives
Medicinische Erfahrungen , v. 47, 1865.)
-- 5. Reported by Dr. Leon Simon . Followed by recovery. (Bul
letin de la Soc. Med. Hom. de France, v. 9, 1863.)
Mr. Triste, (1823 ,) took 13 decigrammes ; soon sick at stomach ,
ejected dark matter with blood ; alvine evacuations frequent
and copious, with great pain all over the abdomen . Four
days later Dr. Rapeler was called in, and found patient
lying on right side, his eyes fixed, conjunctiva red. No ex
ternal appearance indicated serious physical disturbance,
except scrotum, which appeared bluish, penis semi-erect ;
cephalalgia, palpitation of heart ; pulse slow, full and hard ;
respiration easy, slight cough. On percussion, chest was
found healthy ; lips, tongue and mouth covered with
aphthous spots ; great thirst ; salivary glands swollen and
8 MATERIA MEDICA .

tumefied ; saliva running out of his mouth constantly ; de

glutition natural ; nausea and constant desire to vomit.
Neither solids nor fluids could be retained. Abdomen not
painful; frequent stools and tenesmus, increasing at every dis
charge ; diarrhæic and mixed with blood ; urine suppressed ;
the symptoms did not abate under the most violent treatment.
During the sixth and seventh night sleepless, during the day
pain and tremor extended to the joints of lower limbs. On
the eighth day general debility, with some convulsive move
ments of the limbs and frequent swelling of the tarsi ;
stupor ; pulse small, slow and contracted. In the evening
pulse weaker and slower, extremities cold ; instead of the
vomit the most distressing hiccough ; urine still suppressed .
Ninth day, great prostration ; he fainted , his hiccoughing
still present. Died same day. (This seems to be a good
picture of disseminated sclerosis. C. S. V.)
– P. M. Digestive organs most affected ; from the mouth a fætid
odor, like with ptyalism. Internal surface of gums, cheeks,
fauces and back part of the tongue covered with grey ulcer
ations and having a dense hard coating; about midway
down the esophagus a spot of a rose color, very glossy, and
as large as a Roman silver dollar ; just above the small cur
vature of the stomach and pylorus, signs of hyperæmia, and
the large curvature, or cul de sac, dark red and tumefied ;
dark spots covered its surface here and there ; points where
gangrene had already set in, particularly near the cæcal
valve. The hyperæmia continued through the cæcum into
the ascending colon . Dark red excoriations in the trans
verse colon, less in the descending, increasing in number ap
proaching the rectum ; the whole length of the mucous coat
more or less tumefied ; the muco cellular tissue infiltrated
with serum.
Dr. Alfonso Beck , of Switzerland , treated a child of Dr. Villars ,
of St. Petersburg, (a homeopath,) with diphtheria, and the
usual remedies failing Mercurius cyanide was given, and the
same night the case improved ; in six hours marked amelio
ration. On the third day the patient was able to sit up and
the lesion in the throat was scarcely perceptible.
“ The Rivista Omiopatria ” says, Dr. De Moor d'Alost gives some
symptoms of Mercurius cyanide in the “ Bibliotheque Homæo
 MATERIA MEDICA. 9 .

pathique," from cases of poisoning. Dr. Carl Hencke, of

Riga, was the first to group the poisoning cases together.
Prof. Christison mentions a case of Dr. Thibert's, in which ten
grains of Mercurius cyanide produced almost instant death.
Patient was taken with great irritation of stomach, inflam
mation of buccal cavity, partial suppression of urine, which
was charged with albumen .
Dr. Tonderink relates a case. A mechanic, complaining of
great tension in the stomach , with vomit and cramps; ex
tending to the hepatic region, the liver being hypertrophied.
He was given Hydrocyanic acid, which produced saliva
tion in a short time, with mercurial odor of breath and
softening of the gums. The patient became so seriously.
sick that an antidote was resorted to. In ejected fluid from
the stomach were found some traces of mercury .
The same author had a sick dog, emaciated, tottering on his
legs, subsultus ; eyes fixed, could neither eat nor drink . The
dog remained thus for a few days, with distended legs, kept
drawn up in a corner. Mercurius cyanide, half aa drachm, was
given to kill him ; after aa few minutes nausea followed and
vomiting of a yellowish white mucus, with the odor of prussie
acid ; shortly after began to breathe easy and the heart's
pulsation became fuller and quicker ; in about 15 minutes
arose from a sitting posture in a trembling manner, vomited
again and a profuse sweat became visible ; the pulse stronger.
In a few days the animal recovered entirely. (C. S. Verdi,
O. M. and S. R., v. 6 , No. 2, p. 104. )

MAGNESIA GROUP.

Zincum . Poisonings, collected by - Dr. Oehme. (H. Kl ., 1872, p .

2.) Comp. R. II. , 10 ; III. , 9.

CALCAREA GROUP.

Calcarea iodata. Hints for its therapeutic action in scrofulous

affections of the cavities of mouth, nose, ears, and of the
eyes ; curative in chronic hypertrophy of tonsils ; certain
forms of scrofulous opthalmia, in well nourished, plump,
but pale children, suffering at same time from swelled ton
10 MATERIA MEDICA.

sils‫ ;ܕ‬inflammation limited to one eye ; severe photophobia,

a stream of acrid tears flows over cheek at every attempt
to open eye ; it is often necessary to use force to examine
the eye ; severe spasm of eyelids ; the cornea is attacked ,
ulcerated, or contains exudations or dirty-white circum
scribed deposits. Fluent coryza accompanies this opthalmia ,
hindering improvement . Chronic inflammation of nasal
mucous membrane, with functional paralysis. Otitis in
terna. Severe pains from inveterate aheumarthritis . (H.
Goullon , Jr., H. Kl. , 1872, p. 67. Trans. by S. Lilienthal .
H. M., Sept. , p. 59.) Comp. R. I. , 27.

ALKALI GROUP .

Natrum muriaticum . Proving by Dr. H. Hartlaub. ((A. H. ΖZ. ,

84, 57.)
Effects of, by Mossa. (H. Kl. , 1872, 69.) Comp. R. I., 29 ; III., 10.
>

Natrum nitricum . Some observations on , by Prof. Dr. Rapp.

(I. H. Pr., v. 2, p. 301 .
Kali carbonicum , Violent colicky pain in the abdomen, cramps
before menses appear, constipation during the menses. (W.
>

Williamson .) Comp. R. III. , 10.

Kali bichromic . Proving of J. Schelling . (H. M. , June , 1872 ,
p. 511.)
Its application in croup , chronic catarrh , ozena , hay asthma ,
etc. ( James Kitchen, A. J. H. M. M. , v. 6 , p. 118.) Comp.
R. III., 11 .
Liquor ammonii caustici. Poisoning, by Dr. Thomas, from Ga
zette des Hopitaux, 27, 1869. (H. Kl. , 1872, 56.)
Aqua marina. Fragmentary proving by C. Wesselhoeft, Transct.
Am. Inst. , 1871 , sec. 2, p. 778.
 MATERIA MEDICA . 11

ORGANIC COMPOUNDS.

Arranged according to Wm. A. Miller's Organic Chemistry, American

edition, 1868.

THE ALCOHOLS.

Alcohol - Spirits of Wine, Kills diphtheritic membrane, leaving

no ulcer. (W. McGeorge, H. M., Aug. , 1872, p. 18.)
- The medical declaration respecting .
it. In profuse post-partum
hemorrhages brandy will enable the heart to continue beat
ing. It is needed in hemorrhages from fungoid tumors,
and also when there is any special waste of nervous power
going on, as sleeplessness after long continued mental ex
citement, or in typhus, typhoid , scarlet, rheumatic or other
fevers, with feeble action of the heart. Some form of alco
hol is needed when mothers have nursed their infants too
long. Beyond cases of this kind the homeopath has no
need or excuse for prescribing alcohol. (Editorial, Month .
Hom . Review, v. 16, p. 65.) Comp. R. II. , 13 ; III., 11.
>

THE ETHERS.

Spiritus etheris nitrosi - Spiritus nitri dulcis . Proving by

Lembke. (H. Kl., 1872, 36 , 50.)
Dichlorinated ether - Spiritus salis dulcis. Proving by
Lembke. (H. KI. , 1872, 129.)

DERIVATIVES FROM CHLORINE ON THE ETHERS

AND ALCOHOLS.

Hydrate of chloral. Poisoning ; collapse, decrease of frequency

of respiration, injection of the conjunctiva, contraction of
the pupil, lividness of the lips, the lower jaw hanging down,
tongue pressed backwards, pulse in the beginning full, de
creasing in frequency, finally again accelerated, filiform . In
cases of chronic poisoning: great malaise, paleness of the
face, tendency to fainting and vomiting, trembling, disturb
ance of co -ordination and weakness of the lower extremi
12 MATERIA MEDICA.

ties, cramps in the calves of the legs and clonic contraction

of the muscles of the legs. (Prof. Eschenmeyer, N. A. J.
H., 21 , 286.)
Poisoning, by Dr. H. Norris. (Lancet , 1871 , p. 226. Mtsbl.,
March , 1872, 25.)
Effects of. In one case had been taken for four, in the other,
one month. In both an “ erythematous inflammation , des
quamation and ulceration around the border of the nails,
attended with much pain and morbid sensibility to touch ,
appeared. The first patient died apparently from acute
bronchitis. In the second case, (a young lady,) there was 1

“ universal anasarca, action of the heart very feeble, pulse

140 and extremely weak, respiration much embarrassed, re
cumbent posture impossible.” With Nitric acid test the
urine showed much albumen. The case recovered . (H. B.
Fellows, from Wood's Year-book of Therapeutics. Med.
Inv., v. 9, 469.)
Proving, by Dr. S. Swan. (Med. Inv., v. 9 , 547. )
Proving, by P. Bender, M. D. (H. M., June, 1872, p. 506.)
By Dr. Fuller, from Lancet, 1, 17, 1871. I. H. Pr., v. 2, P.
237.)
By Prof. Oscar Liebreich . (Mtsbl., Apr., 1872 , 37.) Comp. R.
II.,> 14 ; III ., 12, etc.
Chloroform . Proving by Dr. E. W. Berridge. (Month. Hom.
Rev. , v. 16 , p. 38.)
In labor. Displacement of the womb, an alleged remote effect
denied . (J. H. Marsden , U. S. Med . and Surg. Jour.,‫ ܕ‬v. 7,
p. 499.) Comp. R. II. , 14.
Iodoform . Proving. Crude iodoform is a yellow crystalline sub
stance, soluble in alcohol, and slightly soluble in water ;
easily vaporized, which vapor is deposited in minute crys
tals on the side of the vessel containing it ; is of a heavy
pungent odor, somewhat resembling that of iodine, and
similar to an odor often found in swampy forests and mala
rial districts. This drug has been somewhat used by the
allopathic profession, and highly extolled by them, in the
treatment of rheumatic and neuralgic complaints. Given
in combination with iron, in one grain doses, it is said to
have relieved several obstinate cases of facial neuralgia, also
sciatica. (B. F. Underwood, N. Y. S. Trans., 1871 , p. 237.)
Removes the pain from cancerous tumors when applied to them.
 MATERIA MEDICA . 13

Most useful in form of a paste. (E. D. Jones, N. Y. S. Tr. ,

1871 , p. 44.)

THE GLYCERIDES. 1

Glonoine. Poisoning, translated by S. Lilienthal. (H. M., Oct. ,

1872, p. 118.)
– Its pathogenetic and therapeutic properties. ( H. W. , 7, 196.)
Comp. R. I., 33 ; II. , 13 ; III., 11.

VEGETABLE ACIDS.

Gallic acid. Proving by D. S. Kimball. (Am. Obs. , Nov., 1872,

p. 523. )
THE AMIDES.

Propylamin . By Namias. (Giornale veneto di Sci. Med., May

and June, 1872.) H. Kl . , 1872, 159.

PRODUCTS OF DESTRUCTIVE DISTILLATION .

Kreosote. Leucorrhæa, stains the clothing yellow, and stiffens

like starch. (W. Williamson .) Comp. R. I., 33 ; III., 81 , &c.
9 >

Carbolic acid. Preparations, formule . (Am. Obs. , Aug., 1872,

p. 362.)
Antidotes. Dr. T. Husemann , (Medical Press and Circular , says
that oils may be used as antidotes in poisoning by Carbolic
acid and Kreosote. Curara is no antidote Carbolates are as
poisonous as the acid itself. Chalk is not altogether useless,
but not so good as the Sacharrine Carbonate of Calcium.
The greatest hope is to bring about the oxydization of the
Carbolic acid. A stomach pump is the best at first. Emetics
do more harm than good. (Am. Obs. , Nov., 1872, p. 508.)
Poisoning. (Philada. Med . and Surg. Rep ., 22, Jan. , 1870, p. 32.
H. Kl., 1872 , 72.)
Poisoning, by Dr. Ogston. (Brit. Med. Jour. , 527, 1871. H. KI.
1872. 47.)
Accidental proving , by J. N. Mitchell . (A. J. H. M. M., v. 5,
p. 354.)
14 MATERIA MEDICA .

Arrangement of symptoms, by T. S. Hoyne. (A. J. H. M. M.,

v. 5 , p. 329.) Comp. R. I. , 33 ; II. , 13, &c.
Can be obtained very pure from a plant which grows in India ,
known as Andromeda Leschenaultii, but very expensive to
extract it. (Quoted by B. W. James, H. M., May, 1872, p. 472.)
Nitro- benzine. Poisoning, by Dr. Bahrdt. ( H. Kl., 1872, 167.)
Comp. R. III, 15 .
Xylole. Xylene, or Ethyl-benzine, the new remedy for variola, has
a faint odor and an aromatic taste. It is slightly anæsthetic,
and more decidedly antiseptic. (U. S. Med. and Surg. Jour.,
v. 8 , p. 124. )

PLANTS .

Arranged according to Kosteletzky's Med . Flora.

PARMELIACEÆ .

Sticta pulm , and sylvat. Useful in dry and noisy coughs, spas
modic stage of whooping cough. (E. T. Blake, M. H. Rev. ,
16, 403.) Comp. R. I. , 34.

GRAMINE
Æ .

Sugar. Poisoning, by S. Swan, M. D. (H. M., June, 1872, p.

495. ) Comp. R. I. , 36.

IRIDEÆ .

Iris versicolor. Neuralgia and rheumatism of the uterus. (W.

Williamson .) Comp. R. I. , 40 ; II., 16, 179 ; III. , 16.

COLCHICACEÆ.

Colchicum. In dropsy, with nausea and faintness from smelling

food which is cooking in an adjoining room, or from look
ing at the food. (W. McGeorge, H. M., Aug., 1872, p. 18.)
Comp. R. II. , 135 ; III., 16.
Veratrum viride. Poisoning, by J. P. Truman. (H. M. , Aug.,
1872, p.p 46.) Comp. R. II., 15.
 MATERIA MEDICA . 15

Proving, by Dr. E. W. Berridge. (N. A. J. H., 20, 505 , 1872.)

- Proving, by W. H. Burt, and a summary of its action upon
2

man and animals . Characteristics : intense cerebral con

gestion, (Comp. R. II., 53,) feeling as though the head would
burst open ; sudden spasms, with nausea and vomiting, with
much prostration . Perfect loss of motility .
Dimness of sight from congestion of blood to the base of
the brain ; loss of sight, from paralysis of the heart's action,
with great faintness.
Ringing in the ears, from congestion of blood to the head,
with nausea and vomiting.
Pale, cold face ; livid color of the face in convulsions ;
nose looks pinched , cold and blue.
Copious secretion of saliva.
Frequent and long continued hiccough , with a constant
sensation as if a ball were rising into the æsophagus.
Tongue coated yellow.
Violent and long continued vomiting, without much
nausea, sudden nausea,, with violent vomiting, hiccough be
fore and after vomiting ; vomiting of large quantities of
glairy mucus, with sensation as if a ball were rising in the
cesophagus. The least quantity of food produces vomiting,
Neuralgic pains in the abdomen ; heavy aching pains in
the umbilicus.
Acute congestion of the chest, with rapid respirations,
nausea and vomiting.
Asthma, with labored respiration and cold sweat on the
face.

Cold clammy sweat; cold sweat upon the face, with nausea
and vomiting. (W. H. Burt, U. S. Med. and Surg. Jour., V. >

7, p . 268.)
Bronchitis, with loose rattling cough, worse by going from a
warm to a cold room. (W. H. Burt, U. S. Med. and Surg.
Jour. , v. 7, p. 277.)
>

LILIACEÆ.

Lilium Tigrinum . By E. M. Hale, (N. Y. S. Trans., 1871, p.

182.) The sphere of action involves the heart, and the
sexual organs, affecting them in a profound and peculiar
manner .
16 MATERIA MEDICA .

The tincture of the flowers is the officinal preparation , but

the tincture of the seeds may be more potent. (Tincture of
pollen, prepared by Boericke, is decidedly the best. C. Hg.)
By Wm . E. Payne. Owing to a general external resemblance,
there is a liability, with those unacquainted with botany,
of confounding this plant with the Lilium Philadelphicum .
The tiger lily belongs to a tribe of plants which has
furnished several therapeutic agents of great value, of which
the Aloes ; Allium sativum , (garlic) ; Allium cepa , (onion) ;
Scilla maritima, (squills) ; Asparagus ; Dracæna draco, (dra
gon's blood) ; and Convallaraia polygonatum , (Solomon's
seal), are conspicuous examples.
The reported death of a child in convulsions from eating
the pollen of the flower, suggested the idea of proving the
drug ; and the hope of finding in it additional means of
combatting the sometimes formidable convulsions, arising
from acute and chronic meningeal irritation, prompted the
execution of the work.
No difference was observed in the disease-begetting power
of the plant and the pollen.
Characteristics. All the symptoms return again and
again, after having disappeared, but diminish in degree at
each successive return .
The social and moral conditions are profoundly affected ,
generally changed to their opposites, though in some in
stances they seem contradictory.
The symptoms come on in the afternoon, increase till mid
night, then improve. This applies to all except the diar
rhæa, which occurs in the morning and forenoon, being per
emptory in its calls, resembling in this respect Sulphur and
Podophyllum . The afternoon and night symptoms seem to
culminate in morning diarrhea.
The symptoms are aggravated during repose and think
ing about them , and relieved when busy and in the open air..
The mind becomes distraught, memory enfeebled , atten
tion not susceptible of concentration upon any subject ;
mistakes are made in conversation, both in words and ex
pression.
The heart symptoms are prominent ; pains dull, pressive
and heavy, as if the heart were grasped and released alter
nately.
 MATERIA MEDICA . 17

Great depression and anxiety ; fearful that the symptoms

indicate an internal organic disease ; very marked in both
male and female .
The symptoms connected with the female reproductive
organs, and the consecutive moral conditions are very pro
nounced and peculiar ; the ovaries are the seat and origin of
peculiar sharp and burning pains ; backache ; dragging,
bearing -down sensation in the uterine region, seeming to
drag even from the thorax and shoulders, and, at the same
time, pressure on the rectum and bladder, producing a con
stant desire to evacuate these viscera, as in cases of prolap
sus uteri, were very marked and persistent, and physical
exploration showed that the uterus was actually prolapsed
and anteverted. (N. Y. S. Trans., 1871, p. 190.) Comp. R.
II., 15.
2

Removed the following symptoms: Great distention of ab

domen ; looks as if about to be confined , ( since confine
ment) ; very distressing dull pains in the left ovary ; con
stant aching in the sacral region, extending into the thighs ;
yellow, mouldy, blotchy look of skin, especially of face and
upper chest ; prolapsus and partial procidentia. (W. C.
Goodno, H. M., Sept., 1872, p. 62.)
Mentally “ she is sad, despondent and indifferent about any
thing being done for her;" " she believes her disease to be
incurable ; that she has some organic incurable disease that
nobody understands ;" “ the great pelvic discomfort ; a
downward, pressing, dragging feeling, as if everything
would fall through, or as if she would fall asunder, unless
held by her hand or a bandage around the parts.” The
ovarian disturbance is also uniform and persistent. The
great length of time elapsing before some of the symptoms
were developed ; some not occurring until the thirtieth
day, yet when they did occur, were observed by all of
the provers, and were unmistakable effects of the drug.
This long action and persistent effect show it to be a remedy
for many chronic cases which have been long in coming and
are deeply seated . If the drug is thoroughly indicated in
a case, I would not give it up or substitute another short of
a week , at least, in any case . Another feature is its perma
nence ; this is a valuable property in any drug. It may be
slow, but it is sure, if properly indicated . My experience
2
18 MATERIA MEDICA .

has been confined to potencies ranging from the 1st to 12th

decimal dilution. (W. H. Boardman, H. M. , Oct., 1872, p.
111.) Comp. R. I. , 38 ; II. , 151 ; III. , 17.

SMILACE Æ .

Sarsaparilla. Ability to go about all day, fasting ; no exertion

seemed to tire; numbness of fingers, especially third and
fourth of both hands. (E. W. Berridge, N. A. J. H. , 21.)
Comp. R. II. , 17 ; III. , 17.

DIOSCORE Æ.

Dioscorea villosa. Characteristic symptom : the pains in the

abdomen suddenly shift and appear in remote localities, as
the fingers and toes. (E. M. Hale, A. J. H. M. M. , v. 6 , p.
5.) Comp. R. I. , 38 ; II. , 17, 96, 121–2, 150 ; III., 17.
> 2

ORCHIDEÆ.

Vanille- icc. Poisoning. ( Deutsches Archiv für Klin. Med . 9 ,

3 ; Apothekerzeitung, No. 11 , 1872. ) Mtsbl., Apr., 1872,
39 , and May, 1872, 63.

CONIFERÆ.

Oleum terebinthinæ has caused, according to the observations

of Von Almin, sugar in the urine. (Chir. Med. Central
blatt, 1870 ; H. Kl. , 1872, 40.) Comp. R. I. , 41.
Thuya. Synopsis of, by Dr. C. Kunkel. (I. H. Pr., v. 2, p. 244.)
Comp. R. I. , 41 ; II. , 48 ; III., 18.

THYMELEACEÆ.

Mezereum. Heavy, dull aching in the lower limbs on approach

ing damp or wet weather, in secondary syphilis. (W. Wil
liamson.) Comp. R. I. , 89, line 9 ; II., 17.
 MATERIA MEDICA . 19

URTICACE Æ .

Cannabis indica . Proving by E. W. Berridge. Wild, shape

less dreams, pulse quick and feeble, confused and ir
relevant thoughts ; what passed only a short time ago,
seemed days and weeks ago ; pupils widely dilated. (N. A.
J. H. , 21.) Comp. R. I. , 42 ; II. , 18 ; III., 18.
2

PIPERACEÆ.

Piper niger. Feeling as if temples and malar bones were pressed

in, worse on left side. (E. W. Berridge, N. A. J. H., 21.)
Comp . R. II., 18.

MENISPERMINEÆ.

Cocculus. Poisoning, by S. Lilienthal. (H. M. , Feb. , 1872, p.

323.) Comp. R ; II. , 18, &c.; III., 19..

RUBIACE Æ .

Coffea tosta. Drs. Fraerke and Monti employ black coffee in

typhus of children and in cholera epidemica infantum .
Under its use the pulse becomes more frequent and fuller,
the eyes shining, the face gets a fresher appearance, ex
' tremities and face regain their natural heat and the skin
again shows some moisture, in cases of cerebral anæmia).
When the children lie in stupor and moan, coffee will soon
quiet them . (N. A. J. H., 21 , 131.)
Chininum sulphuricum . Poisoning, by B. W. James, M.D.
(H. M., July, 1872, p. 583.)
Acts as a poison to the heart. It kills by direct paralysis of
the motor apparatus ; most probably of the muscle. It
diminishes the pulse and the propelling power in the arterial
system . Microscopic examinations reveal injuries of the
muscular fibres. Disturbances are produced in the senses
of hearing, of sight and in the power of speed. (N.
A. J. H., 20 , 571 , 1872.
20 MATERIA MEDICA .

Bad effects of large doses, observed by Prof. Binz. (Deutsche

Klin, 1871. No. 41.) Mtsbl., 1872, 13.
In five grain doses, will originate uterine contractions. (An
gela Monteverdi, from the Giornale Veneto of Med. Sci. , ex
tract, U. S. Med. and Surg. Jour., v . 7, p. 389. ) Comp. R.
II. , 19 ; III., 20.

SYNANTHEREÆ.

Actium lappa. Fragmentary proving by F. A. Rockwith. (A.

J. H. M. M. , v. 5, p. 200.) Comp. R. III., 20.
Eupatorium perfoliatum . Sick stomach the evening before the
chill day, vomiting between the chill and fever. (W. Wil
liamson .) Comp. R. II., 20, &c.
Artemisia absinthium . Proving of, by Prof. H. P. Gatchell.
(Am. Obs. , June, 1872, p. 271.)
Arnica is appropriate not alone to primary injuries, but a natural
incapacity to resist the bad effects of contusions, sprains,
A tendency on
etc. , constitutes an indication for its use.
the part of the muscular and fibrous structures to remain
long unduly influenced by such mechanical injuries as sprains
and contusions is one of its indications. In persons who
are liable to strain joints, the ligamentous structures being
weak and flexible, Arnica is of little service ; but when we
meet those in whom such injuries are accompanied by a
decided alteration in the tissue vitality, and the part mani
fests an inability to resume its normal condition, ( sub -acute
inflammation being present,) and a tendency to a repetition
of the strain , we have superadded a systemic weakness in
dicating Arnica. It is indicated in the first or congestive
stage of injuries, and when this congestive stage has a ten
dency to repeat itself. It is indicated in asthenopia, this
disease, according to Rainey, being occasioned by over strain
ing the eye. Should prove useful in erysipelas also. (Dr.
Robt. T. Cooper, Month. Hom. Review, v. 16, p. 161.)
Comp. R. II. , 20, &c.; III. , 22.
>
 MATERIA MEDICA . 21

CUCURBITACEÆ.

Elaterium . Yawning, stretching, chilliness. (W. Williamson.)

Comp. R. III. , 23.
Colocynthis. Tumefaction of the prepuce in phimosis and para
phimosis. (W. Williamson.) Comp. R. II ., 20, &c. ; III. , 23.
2

LABIATÆ.

Lycopus virginicus. Proving by Dr. Morrison . (Month. Hom.

Review, v. 16 , p. 737.)
Marum verum . Nasal catarrh of both nostrils, discharge in
green masses. (W. Williamson .) Comp. R. II., 21, 214.
Collinsonia canadensis. Of use when pelvic and portal conges
tion coexist, resulting in dysmenorrhea and piles. ( E. F.
Blake, Am. Obs., Sept., 1872, p. 409.) Comp. R. I. , 258 ;
II . , 21 .

SCROFULARIACEÆ.

Digitalis strengthens and renders regular the action of the heart,

when it has lost its energy and becomes irregular. It is a
cardiac tonic and useful in delirium tremens, from anæmia of
the brain, or from weakened action of the heart ; in hysteri
cal fainting from the same causes ; in shock, with collapse.
It is not a diureticum per se, but by increased activity of
the left ventricle it produces increased fluxion to the kid
neys and thus increased diuresis. (N. A. J. H. , 21 , 283.)
2

Its action in valvular heart disease, according to Prof. Traube.

(I. H. Pr. , V. 2, p. 232. ) Comp. R. II., 22, &c.
Gratiola. Proving by Dr. J. Lembke. (H. Kl. , 1872, 97.) Comp.
R. III. , 24.
Verbascum thapsus. Painful coryza of the frontal sinuses, with
hot; burning, profuse lachrymation. (Jeanes ; W. William
son.) Comp. R. I. , 243.

SOLANINEÆ .

Tabacum . Poisoning from , by T. F. Allen, M.D. ( H. M. , Aug.,

1872, p. 22. )
22 MATERIA MEDICA .

Some symptoms after smoking. (H. Goullon, Jr. , A. H. Z. ,

84, 6.) Comp. R. I. , 44.
In childhood. It causes pallor, chloro-anæmia, palpitation and
indigestion. The anæmia is incurable, if the habit be con
tinued. Children using tobacco are less intelligent, and have
a taste for liquor. By dropping the habit before organic
lesion occurs , they recover. ( Quoted by W. James, H. M. ,
Jan., 1872, p. 288. )
Proving of, by H. V. Miller, M.D. (H. M., June, 1872, p. 530.)
Comp. R. II. , 22; III. , 24.
Nicotinum . Its effect upon the living organism . (Jour des conn
sist. medicales ; Mtsbl. , Jan. , 1872, 2.)
Stramonium . Proving of, by Dr. E.W. Berridge. (Mont. h. Hom.
Review , v. 16, p. 34 ; Am. Obs., Feb., 1872, p. 85.)
Frightened, shrinking back on seeing one approach . ( H. V.
Miller , Med . Inv., v. 9 , 486. )
Entire swelling of the face before the formation of vesicles , with
muttering delirium , in small-pox. (W.Williamson .) Comp.
R. I. , 45 ; II. , 22 ; III ., 24.
Datura arborea . A native of Peru, cultivated in California, where
the plants attain a height of seven feet, and are much ad
mired for their beautiful white flowers.
First used by Dr. Aug. Camaun, of San Francisco, in
various forms of insanity.
A wreath of the flowers left in my office for a couple of
days, caused feeling of expansion in forehead, sensation as
if my ideas were floating outside the brain ; a strange
feeling of pleasant and easy comfort, as if I scarcely touched
the earth with my feet; had to gather my ideas from afar,
as if they were floating in the clouds; slight vertigo, as if
involved in a bright, beautiful, calm atmosphere. (P. W.
Poulson, Med. Inv., v. 9, .
p. 261.)
Proving, by P. W. Poulson. (H. M., Oct., 1872, p. 138.)
Dulcamara. Fragmentary proving. (F. U. Rockwith, A. J. H. M.
M., v. 5, p. 289.)
Capsicum . Painful swelling of the mastoid process. (W. Wil
liamson.)
Belladonna. Poisoning of seven persons, by Dr. Guiseppe Martius.
( Bull. de Scien. Med . de Bologne, July, 1872 ; A. H. Z.,
85 , 175.)
 MATERIA MEDICA. 23

Atropine, poisoning. (Med. Inv., v. 9, p. 247, from Virchow's

Archiv.) Comp. R. I. , 49 ; II. , 22, &c.; III. , 25.

PLANTAGINE Æ.

Plantago major. Proving, by C. Dunham, M.D. (H. M., 1872,

p . 450.) Comp. R. I. , 51.

ERICACEÆ.

Ledum pal. Itching of the top of the feet and ankles at night.
(W. Williamson.) Comp. R. III., 26.

APOCYNIEÆ. .
Gelseminum , like Cocculus and Nux vom ., exerts control over the
uterus through the spinal cord. Gelseminum in active uterine
congestion ; also of use in recent amaurosis, “ blind head
aches " and sleeplessness in erysipelas and scarlatina. ( E. F.
Blake, Am. Obs. , Sept., 1872, p. 409.)
- Cured the following symptoms : headache all over the head,
extending into the bones of the face ; head feels very sore, as
from a bruise ; sharp neuralgic pains running around the
edges of the teeth ; shooting painsextending into the ears when
swallowing; roof of the mouth feels terribly, as if swollen and
>

as if the cavity were closing up ; but upon examination, it

did not appear swollen or even inflamed ; constant burning,
stinging sensation in the mouth ; burning and stinging pains
occurring suddenly in various parts of the body, as if a bee
had stung her ; urination frequent and scanty,with scalding;
burning pains in the urethra while passing urine, and tempo
rary prostration after it ; cannot sit or lie, has to stand or walk .
(S. Swan, N, A. J. H. , 21 , 105.) Comp. R. I. , 58 ; II. , 18 , &c.;
III., 26..
Nux vomica. By Dr. Karl Hencke. (A. H. Z., 84, 113. ) Comp .
R. I. , 58 ; II., 23 ; III., 27.
Strychnine poisoning. (Am. Obs. , Feb. , 1872, p. 78.) Comp. R.
II., 23 , &c.
24 MATERIA MEDICA .

Ignatia amara. Its curative actions,by Dr. Karl Hencke. ' (A. H.
Z. , 84, 2.) Comp. R. I. , 58 ; II., 50, &c.; III., 26.

ASCLEPIADINEÆ .

Condurango. Proving, by J. P. Dinsmore. (H. M. , Sept., 1872,

p . 65. )
- In some twenty cases of glandular swellings and indurations
not all of аa scirrhous nature—I have given Condurango in the
1st and 2d trit. for months without, any amelioration or
aggravation in three non-scirrhous cases ; neither did I ob
serve in the cases of a scirrhous nature any decrease in size,
hardness or painfulness . However, in open cancer, I have
seen in three cases the most decided beneficial effects. (Cl.
Müller, I. H. Pr., v. 1 , p. 368.)
2

It acts only favorably in open cancer. (Cl. Müller, N. A. J. H. ,

21 , 120. )
(H. Kl. , 1872, 7.) Comp. R. III. , 27.
Madar. ( Calotropis Madariin) by Dr. J. Nuñez. ( L'Hahneman
nienne, Nov. , Dec., 1871 ; A. H. Z. , 85, 79.)

UMBELLIFERÆ.

Cicuta virosa. Very useful for cerebro-spinal meningitis. By

J. F. Baker. (H. M. , Aug. , 1862, p. 42 ; confirmed by E.
Tietze, in Phil. and C. Hg.)
Convulsions occurring suddenly, with bluish, puffed face ; eyes
fixed upon one point. (H. V. Miller, Med. Inv. , v. 9, 487. )
.

Its mental conditions are very important. Predominance of sus

picion or mistrust ; fantastic illusions, attacks of madness,
insensibility, anxious stateof mind tending toward “ moaning.
and howling.'
Jerking of the head or throwing it backward, as the patient
lies either conscious or unconscious.
Momentary loss of sight; in catalepsy, when the limbs
hang down and the patient appears lifeless.
Violent tonic spasms ; each muscle being perfectly rigid.
Epilepsy, with violent contortions of the limbs, upper por
tion of the body and head ; with bluish face, interrupted
respiration, and frothing at the mouth.
 MATERIA MEDICA . 25

Puerperal convulsions, very violent and exhausting ; after

the respiration has been restored , the patient remains weak
and insensible, as if dead.
Strictures following inflammations.
Pustules which run together, forming thick, yellow scabs
on the face and other parts of the body.
Worm fevers, in children, with colic and convulsions.
Nervous fevers characterized by great stupidity.
Hemorrhages from the ears.
Toothache, faceache or earache, caused by filling the teeth
with gold .
Affections caused by getting splinters into the flesh .
Urinary disturbances arising from paralysis of the bladder.
Itching of the lower part of the rectum .
Vivid dreams at night concerning the events of the day
before. Very absent-minded .
When standing still, there is a desire to hold on to some
thing, because objects seem to approach and then to recede.
Vertigo, so that there seems to be constant danger of falling,
and the patient sometimes falls.
Stupefying frontal headache, increasing when at rest.
Facial pimples, burning when coming out, finally running
together, forming one scab.
Involuntarily and fixedly staring at one place, from which
the attention cannot be attracted. The patient is unable to
recognize familiar objects by staring at them ; if the attention
is distracted from this staring, it is only for aa short time—it
soon returns to the former object of gaze ; irresistible desire
to stare at one object.
The pupils of the eyes contract and dilate, alternately , at
intervals of two or three hours.
Very great difficulty in swallowing ; sometimes it is im
possible.
Great hunger shortly after a meal ; irresistible desire to
eat coal. Waterbrash, a quantity of saliva flowing from the
mouth with a sensation of heat all over. Vomiting, with
lock -jaw , the latter not being relieved.
Throbbing in the pit of the stomach, with swelling of the
same .
Pollutions without lascivious dreams.
26 MATERIA MEDICA .

Sensation in the chest and throat as though something of

the size of a fist were lodged there.
Sensation of heaviness in the arm when raising it, accom
panied by stitches in the shoulder, so violent that the patient
must desist ; he dare not move the fingers even. This con
dition occurs more frequently in the left arm. Pimples on
the hands ; burning when first appearing, but finally blending
and forming one dark red scab . When walking , the child
does not put his foot down flatly ; the soles turn inward , and
the walking is done with the outer edge of the foot.
Convulsions, with spasmodic contortions and fearful jerk
ing of the limbs; these convulsions are very, very violent.
Frequent waking, with profuse night-sweats, which relieve.
Fondness for solitude ; great disregard and dislike for the
society ofothers.
The same influence causing these conditions may continue
and result in the loss of speech.
(H. N. Guernsey, H. M. , Jan., 1872, p. 275.)
Aethusa cynapium . A lady of 35 years, sallow complexion ,
suffering from hemorrhoids, received Aethus cynap ., third
dec., whereupon the following symptoms appeared :
Imagined she saw rats run across the room .
Distressing pain in occiput and nape of neck, extending
down the spine.
Coldness of abdomen, both objective and subjective, with
coldness of lower extremities.
Most obstinate constipation .
Numbness of the arms, painful aching about the left
scapula, sometimes extending into arms. Sensation as if
the arms had become much shorter, so vivid that she had to
examine them in the morning to convince herself that it
was not actually the case.
During one day, appearance and disappearance of reddish
blue spots on the trunk and left leg.
Aggravation of all symptoms towards evening and during
the night, until 3-4 A. M.
Amelioration of pain in back, by bending stiffly back
wards ; attempt to relieve pain in scapula and arm by rigid
expansion and closing of the fist. (W. H. Bigler, A. J. H.
M. M. , v. 5 , p. 459.) Comp. R. II., 112 ; III., 28.
.
 MATERIA MEDICA , 27

Asafoetida. Sensation as if the peristaltic motion were taking

place from below upward, and as if the æsophagus were
acting like one of the lesser intestines, except from below
upward. (T. S. FIoyne, U. S. Med. and Surg. Jour., v. 7 , p.
420. )
Rapidly cures nervous palpitation of the heart, with small
pulse, in women, resulting from over -exertion or the sup
pression of discharge. (T. S. Hoyne, U. S. Med. and Surg.
Jour., v. 7, p. 418–422.) Comp. R. I. , 62 ; II., 189 ; III. , 28.
.
>

Conium and Coniine. Physiological and therapeutical action,

by Drs. Martin Damourette and Peluet. (Bulletin de Thira
pie, v. 79 ; Mtsbl., Apr. , 1872, 36.) Comp. R. I., 62 ; II. ,
24, &c.; III., 28.
Sumbul. Heart symptoms of, by E. M. Hale.
Palpitation of the heart, with transient flushes of heat ;
irregular and weak pulse.
The heart beats softly, as if in water, with sinking of the
heart, and sickliness and faintness all over.
Palpitation of the heart at the least exertion, increased by
paying attention to it.
Violent and irregular palpitation, with bellows sound.
Palpitation and jerking of the heart at intervals ; worse
during the flushes of heat, after drinking stimulants and in
the evening
Intermittent palpitation, uneasiness over the heart, jerk
ing whilst lying down or sitting.
Pulse. Irregular pulse ; at times weak, at other times
strong, ranging from 100 to 70 per minute ; always com
pressible and attended with transient flushes of feverish
heat ; skin moist.
Physical signs. The action of the heart full and sharp,
strokes at times irregular, beating rapidly 8-10 times, then
slowly, (like Arnica and Spigelia ).
Heart's impulse strong, jerking, especially after exertion ,
or when ascending stairs, or during digestion.
Posteriorly, over left scapular region, an indistinct mixed
murmur and purring sound, similar to that which has been
supposed to depend on muscular contraction, and often asso
ciated with rheumatism ; the sound is not heard at all ante
riorly.
28 MATERIA MEDICA .

Bellows sound of the heart, with violent and irregular

palpitation, and flushes of heat in floods from the back .
A study of its motor heart-symptoms shows, that it
deranges the action of the inhibitory nerves, while at the
same time it causes a paresis of the cardiac branches of the
vagi. Some of the remote concomitants of Sumbul are ver
tigo, faintness ; dreams and mental conditions show deficient
innervation. It will be found most useful in anomalous
functional disorders of the heart, occurring in persons pos
sessing a peculiarly sensitive nervous system, especially in
hysterical women or men . Sumbul causes a condition similar
to that described by Stokes as weakened heart. (N. A. J. H.,
20, 464.)

ANACARDIINEÆ.

Rhus. Poisoning, by Dr. Iszard. (H. M., Feb., 1872, p. 344.)

Comp. R. I., 89 ; II. , 25 ; III. , 29.
Rhus venenata . Proving by W. McGeorge. (H. M., Feb., 1872,
p. 314. Comp. R. I., 85.

PAPILIONACE Æ .

Melilotus. Proving and observed indications for use of, by G. W.

Bowen . ( Trans. Penna . Hom . Med. Soc., 1872, p. 106.)
Comp. R. III. , 29 .
Dolichos pruriens. Dry, tettery eruptions on the arms and limbs,
resembling Zona. (W. Williamson.) Comp. R. II. , 210.

CÆSALPINIACEÆ.

Balsamum copaivæ . The persistent physiological effects are

the following: “ Copious secretion of urine and burning in
neck of bladder and urethra ; pressure upon bladder, with
frequent, unsuccessful urging and voiding of only a few
drops of urine ; tickling in the opening of the urethra ; in
flammation, swelling on the orifice urethree and pain all
along the penis. Mucous discharge from the urethra ; diar
rhea, alternating with obstinate constipation ; stitches in
the rectum. Painful urination ; ischuria ; hæmaturia ; vio
 MATERIA MEDICA. 29

lent erections, with lascivious thoughts ; continuous sexual

excitement ; pressing, drawing in the testicles ; redness and
acrid moisture on the scrotum and between it and the
thighs ; swelling and sensitiveness of the inguinal glands.
In women, bearing down upon the bladder and region of
the womb ; drawing in the womb, neck of bladder and
vagina ; milky, acrid, excoriating discharge, with painful
urination ; throbbing and pain in the region of the
ovaries." These symptoms present a greater similarity to
gonorrhoea than those of any other remedy ; it is also indi
cated in catarrhal affections of the bladder and urethra .
(Weil , A. H. Z. , 84, 41.) Comp. R. II., 135 ; III., 30.

HAMAMELIDEÆ .

Hamamelis. Passive congestions of the skin and mucous mem

branes. In the blue stage of chilblains. It will cure recent
varicocele ; in “ white leg,” and in persistent uterine “ drain
ing.” (E. F. Blake, Am. Obs., Sept., 1872, p. 409 ; M. H.
Rev., 16 , 403.) Comp. R. I., 62 ; II. , 26, &c.
>

CACTINEÆ.

Cactus grandiflorus. Constrictive pain, as if from an iron

band, or as if in a vice. (J. Schelling, H. M. , June, 1872, p.
512, by S. L.) Comp. R. I., 64 ; II. , 87, &c.; III. , 30.

POLYGONIEÆ .

Rumex crispus. Clavicular pain is a useful symptom for its pre

scription. “ Raw pain under each clavicle while hawking.”
(E. F. Blake, Am. Obs. , Sept. , 1872. ) Comp. R. I. , 44 ; II.,
79, 97.

MYRTINEÆ.

Eucalyptus globulus. Many Australian, Spanish and Alge

rian physicians consider the Eucalyptus as equivalent to
Quinine, and we may acknowledge the well established fact,
that those countries, where it flourishes, enjoy an immunity
30 MATERIA MEDICA .

from intermittent fevers. Large doses give a slight burn

ing taste, spreading to the palate and esophagus, and pro
ducing a hypersecretion of mucus in the mouth and salivary
glands. In the stomach the same secretion of heat is felt ;
epigastric heaviness ; odoriferous eructations ; digestion be
comes laborious ; diarrhoea, the stools having the smell of
Eucalyptus, sometimes follows the dyspepsia. Congestive
headache, general excitation and desire to move about.
Respiratory motions accelerated ; thirst great, general malaise
and sleeplessness . In anæmic persons, on the contrary, the
Eucalyptol produces sleep. All the symptoms pass off after
a few hours. The presence of the Eucalyptol prevents the
development of cryptogami. (N. ( A. J. H., 21 , 14.)
Dr. Wooster considers it a diuretic of rare virtue, showing
notable restorative effects in low states of the system , as in
typhoid fever, typhoid diarrhæa and dysentery. It relieves
spasmodic strictures, vesical catarrhs and cures gonorrhea.
It has no antiperiodic action whatever, and it improves the
appetite. Prof. Maclean finds it efficacious in relieving
pain, calming irritation and procuring sleep. (N. A. J. H.,
21 , 134.)
Its action in chills and fever, by Dr. L. Jos. Keller. (Allg.
Med . Centralzeitung, 1872, 37 ; Mtsbl., May, 1872, 48.)
>

Comp. R. I., 65 .

1
AMYGDALINEÆ.
Hydrocyanic acid has acted beneficially in several bad cases of
small pox. A. Korndoerfer. (A. H. Z. , 84, 112.) Comp. R.
I., 236.

CRUCIFERAE .

Iberis amara. Proving by R. C. Sabin, p. 297 ; M. M. Dodge, p.

301 ; Miss H. E. Magee, p. 305. (U. S. Med. and Surg.
Jour. , v. 7.)
Its pathogenetic effects on the heart, with a summary of prov
ings. (E. M. Hale, U. S. Med. and Surg. Jour. v. 7, p. 295. )
2
-
Prominent symptoms.
Very irritable, with dullness of mind and lack of memory
 MATERIA MEDICA. 31

Vertigo in back of head, as if the occiput were turning

round .
Feeling in eyes as if being forced outwards.
Constant hawking up of thick, viscid , stringy mucus, until
after a meal.
Dyspnoea, and palpitation on going up stairs.
Palpitation of the heart on slight exertion.
Palpitation with vertigo and choking in the throat after
walking, and on entering the house feels faint.
Sensation of weight and pressure in the region of the heart
with occasional sharp stitches in that region.
Palpitation with marked increase of the force of the apex
beat.
Worse in warm room ,better in open air.
(E. M. Hale, U. S. Med. and Surg. Jour. , v. 7 , p. 306.)
Sinapis nigra has acted beneficially in many cases of small-pox.
C. Hering. (A. H. Z. , 84, 112.)
Sinapis alba. Proving, by Dr. Boganus. (N. A. J. H., 20, 563,
1872.)
Proving by Dr. C. W. Butler. (N. A. J. H., 20, 540, 1872.)
Comp. R. II . , 110.

PAPAVERINEÆ.

Sanguinaria canadensis. Used it for in-growing of the nail,

the edge of the nail being imbedded in some unhealthy
granulations, from which an offensive purulent discharge
issued. I cut into these granulations and removed several
pieces of broken nail . Sanguinaria lotion was applied with
gratifying success. A sexton had a fungoid growth be
tween the second and third metacarpal bones, which pro
truded about a quarter of an inch out of the palm. Sanguin
aria lotion cured in several weeks. The lotion was of the
strength of ten drops to the ounce. In a case of piles,
which were ulcerated and hypertrophied, Hamamelis as a lo
tion failed , and Sanguinaria lotion, one part to three of water
cured . It is valuable in vertigo occurring in cold weather,
also when connected with the change of life in women , and
in vertigo on lying down at night, also with vertigo with
some disturbance of the circulation. Useful in pneumonia
32 MATERIA MEDICA .

with heart disease. Use it in the 12th. (W. V. Drury,

Month. Hom . Rev., v. 16 , p. 82. )
Used topically, good for suspected ulceration of os uteri, with
excoriating discharge. (Dr. Greenleaf, H. M., June, 1872,
p. 527.) Comp. R. II. , 6 &c.; III., 32.
Chelidonium cures right supra-orbital neuralgia. (E. F. Blake ,
Am. Obs., Sept., 1872, p. 409.) Comp. R. II. , 27 >, &c.; III., 32.
Morphium . Poisoning, by Dr. A. Model. (Aerztl. Int. Bl.• ‫ܕ‬, 1871 .
Mtsbl. , Jan. 1872 , 2.
Morphium aceticum. Flow of ideas becomes more rapid and
pleasant ; pleasant weariness ; right temporal artery beat
ing full and quick ; feeling that teeth in both sides of
mouth were clenched . (Berridge. N. A. J. H., 21.)
Comp. R. II. , 28 ; III. ,> 32.)
>

Toxicological effects of, by Stillman Spooner. (N. Y. S. Trans., >

1871 , p. 235.)
Two ounces of laudanum and six grains of morphine taken
at one dose. Two hours after, yet conscious ; ground mus
tard, to cause vomiting, was refused ; within twenty minutes,
perfectly comatose, followed by stertorous breathing ; pulse
fifty, soft and full; respiration , from six to eight ; skin soft
and warm, and no physical violence would rouse him in the
least ; after three hours, pulse ninety, small and soft ; skin
moist and warm ; Nux vom.3 was given in water — a teaspoonful
put in his mouth, as he lay with it open, which he swallowed ;
fifteen minutes after, another teaspoonful; spoke to him with
a loud voice and shook him violently ; twenty - five minutes
from taking the first dose, signs of consciousness appeared ;
at the end of thirty minutes, called me by name, and soon
become perfectly conscious. We left, with orders to take the
Nux vom. every half hour, but refused to take it ; about an
hour after this, again comatose, and in a more profound stupor
than before ; a cold, clammy sweat came out on the body ;
large drops stood on his bald head, and the attendants thought
the pulse also almost gone. The Nux vom. was given, with
like results; he became again conscious, and was very thirsty ;
following morning wakeful,without any symptoms indicating
a relapse ; violent vomiting came on during the day, but
within aa few days he got well.
 MATERIA MEDICA. 33

BERBERIDEÆ .

Berberis vulgaris. Violent pain in the bladder, extending the

entire length of the urethra ; passes frequently small quan
tities of very pale urine; increases by motion. (W.William
son.) Comp. R. I. , 71 ; II., 38.
Caulophyllum . After-pains, spasmodic dysmenorrhea. (E. J.
Blake, M. H. Rev., 16 ,403 ; Am. Obs., Sept., 1872.) Comp.
R. I., 263 ; II., 157.

VIOLACE Æ .

Viola tricolor. Tinea capitis, with frequent involuntary urina

tion. (W.Williamson .) Comp. R. I., 70 ; II., 28.

CISTINEÆ .

Cistus canadensis. Small, painful pimples which bleed easily

and heal slowly, across the shoulder and on the breast. (W.
Williamson .) Comp. R. I., 69.

RANUNCULINEÆ .

Actea racemosa , vulgo Cimicifuga. Fragmentary proving by

T. Backmeister. ( Trans. Am . Inst ., 1871, sec. 2, p. 209.)
- Indicated for mental depression, with suicidal tendency ; vertical
headache, epigastric sinking; infra -mammary pains; pain in
lumbar region (women ); uterine pressure ; irritability of
bladder ; rheumatic dysmenorrhoea. (E. J. Blake, M. H. Rev.,
16, 400 ; Am. Obs., Sept., 1872, p. 409.) Comp. R. I., 73, 4,
&c.; III., 34.

EUPHORBIACE Æ .

Ricinus communis. Fragmentary Proving, by F. A. Rockwith .

(A. J. H. M. M. , v. 5, p. 290.)
>

3
34 MATERIA MEDICA.

RUTACE .

Ruta graveolens. Proving, by Dr. J. Schelling. (A. H. Z., 84, 44.)

DIOSNACEÆ.
Angustura vera. Proving, by Dr. Gastfreund. (Jour. of Soc. of
Hom . Phys. in St. Petersburg, Jan., 1872, in Russian lan
guage ; H. Kl., 1872, 88 ; I. H. Pr.,* v. 2, p.
p 344.)
Proving,by Dr. J. Lembke. (H. Kl., 1872, 75 ; translated by
S. Lilienthal, H. M. , Aug. ‫ܕ‬, 1872, p. 10.)
Sharp, cutting pain starting just beneath the right scapula, ex
tending to the right breast about the nipple. (Moore ; W.
Williamson .)

SAPINDINE .

Guarana. Of repute in megraine. Has done excellent service in

infantile summer diarrhea, where the stools are watery ,
green and profuse, but perfectly inodorous. It is much used
in Brazil for chronic diarrhæa and dysentery. (Am. Obs.,
Sept., 1872, p. 434.)

DRUGS FROM ANIMALS .

RADIATES.

Corallium rubrum . Comp. R. I. , 77 ; II., 33.

Crowing, during inspiration in whooping cough. W. Wil
liamson.
Medusæ . Urtica marina. Nettling Jelly fish. Comp.. R. I., 77.
A case of poisoning, by J. G. Houard. (A. J. H. M. M., v. 5,
p. 395 ; H. M. , Sept., 1872, p. 84.)

ARTICULATES ; INSECTS .

Hymenopteres. Apium virus. Swelling of the eyelids in the

eruptive stage of small -pox. (W. Williamson.) Comp. R. I.,
79 ; III., 36.
 MATERIA MEDICA . 35

Coleopteres. Cantharides. Poisoning, by Pallé. (Jour. de

Bouxelles, 1 , 1 , p. 156, 1870 ; H. Kl., 1872, 88 ; Med. In
vestig., v. 9, p . 149.) Comp. R. II., 33 ; III., 37.
Arachnides. Aranea diadema. Symptoms of, translated by T.
C. Fanning. (Am. Obs., July, 1872, p. 307.) Comp. R. I.,
81 ; II., 196 ; III., 37.
Tarantula hispanica. Pathogenesis, from page 387 to 444 ; 886
symptoms. (N. A. J. H., Feb., 1872.) Comp. R. I., 95, 296 ;
> >

II., 41, 190, 202 ; III., 38.

VERTEBRATES ; FISHES.
Oleum jecoris aselli. A pharmacological study. (C. Neidhard.)
+

Detached provings by C. Neidhard. (U. S. Med. and Surg.

Jour.,. v. 8 , p, 4.)
Spiritus olei jecoris aselli cured the following symptoms, which
Dr. H. H. Guernsey says he has obtained from table-spoon
ful doses of the oil, taken twice per day: continued aching
and sore pain in elbow and knee joints ; a sense of flutter
ing, like the movements of a watch , commencing in the
region of the sacrum and gradually rising to the occiput. (C.
Neidhard, U. S. Med . and Surg. Jour., v . 8, p. 4.) Comp.
. >

R. I., 104 ; III., 38.

OPHIDIA .
(See Toxicological Remarks.)

MAMMALIA.

Pepsin . Good for indigestion ; simple dyspepsia ; aiding homco

pathic medicines. (H. M., Oct., 1872, p. 122.))
Uric acid. Poisoning. (l’trt Méd., Sept. , 1870. Mtsbl. , Feb.,
1872, p. 12.)
Skimmed Milk Treatment. The fat of the cream being re
moved enables many adults to use pints of skim milk who
cannot otherwise tolerate milk. It is recommended for
diabetes and morbus Brighti by Dr. Donkin. The writer
has used it in a case of obesity and chronic hepatic conges
tion. The patient, a lady, anasarcous, was principally re
lieved by Apocynum cannabin. Skim milk alone, from five
36 MATERIA MEDICA.

to seven pints daily, increased urine, lessened bloat and fat,

and she could walk with ease. She was allowed to gradu
ally return to her ordinary diet. A man, aged seventy,
bronchitis, asthma and anasarca , laboring under an acute
paroxysm of suffocative cough and asthma, received skim
milk, all other resorts having failed. Better than for years.
Here its efficacy was due to its tonic effect in strengthening
the right heart and congestion of liver, with hydræmia as a
resultant. When, after long intemperance, the stomach
rejects solid food , especially mornings, the mucous mem
brane is subacutely inflamed, with sinking, craving feelings
and great thirst, skim milk relieves promptly. (J. Drys
dale, B. J., v . 30, No. 122.)
Saccharum lactis Odo -magnetic. Proving, by S. Swan. ( H. M. , ‫ܕ‬

Dec., 1872, p. 210.)

>

NOSODES, OR MORBID PRODUCTIONS .

Ustilago maidis is indicated in metritis and ovarian irritation

when there is acute pain, especially in left ovary, with swell
ing ; menses too soon and too profuse ; hemorrhage, with
clots ; bearing down, as if every thing would come through .
(Similar to Secale cornutum.) Proving by Wm. H. Burt,
corroborated by C. Wesselhoeft. ( Trans. Am. Inst., 1871 ,
sec . 2, p. 177.) Comp. R. I. , 84, 225 ; II., 14.
Ambra. Revillout compares the general action of Ambra with
that of Kali bromatum . Both diminish the excitability of
nerve- centres and the reflex action . The effect appears
quicker after Ambra, but that of Kali bromatum continues
longer. Ambra , therefore, is preferable for the removal of
severe reflex actions , infantile spasm , puerperal eclampsia.
Ambra quiets beautifully the nervous restlessness of preg
nancy and thus prevents convulsions} ; it also retards uterine
contractions.
Revillout recommends Ambra in pregnancy , 1. To pre
vent eclampsia. 2. To diminish too severe labor-pains. 3.
In too early labor or threatening abortion.
But Ambra given too frequently and in too large a dose
may also produce uterine atony. Ambra given in large
doses may generally remove convulsions, from whatever
 MATERIA MEDICA. 37

cause , and by diminishing nervousness acts favorably on

nervous persons, infants and young girls.
Here then, is another case of involuntary homeopathy.
Ambra produces in the healthy, burning in the sexual parts,
with discharge of a few drops of blood ; menses set in a few
days too soon ; it produces discharge of blood at other times
than the catamenia, also fluor albus, and also perhaps ovari
tis. It also produces twitchings in muscular parts, spasms,
restlessness in the extremities, anguish, restlessness in bed ,
2

with increased bodily infirmity, anxiety, oppression, ner

vous weakness with irritibility and impatience, twitchings
and jerkings in the extremities, with coldness of the body
and great debility, a state so often found in females and
>

excitable, weakly children, combined with sleeplessness ;

many dreams, frightened awaking, restless sleep at night,
general restlessness, irritability, anxiety, and despair. The
recommendation of Revillout is therefore strictly on homeo
pathic principle. Ambra also causes titillation in the larynx
and spasmodic paroxysms of cough, whistling in the chest,
and spasmodic short breathing, cardiac anguish, spasmodic
palpitation - manifestations so frequently seen in nervous
persons. Ambra has certainly been unjustly neglected by
many practitioners. ( J. Lembke, translated by S. Lilienthal,
from H. Kl., July , 1872 ; H. M., Sept., 1872, p. 61.) Comp.
2

R.I., 160, 261 ; II.,> 102 ; III., 40.

Variolinum . Tongue coated as with a piece of white velvet, in va
riola, with headache, backache, etc. (S. Swan, H. M., June,
1872, p. 491.) Comp. R. I. , 324 ; II., 209.

COMPARISONS.

Graphites and Pulsatilla . (A. K. Hills, N. Y. S. Trans., 1871,

p. 157. )
Nitrate of Uran and Oleum animale have both urine green
ish and smellingfishy. (Am . Obs., Nov., 1872, p. 508.)
Conium and Clematis both have an interrupted flow of urine;
both have burning during micturition ; Clematis has it most
at the beginning or in the intermissions of the flow , Conium
during and after micturition. Both have sharp stitch in
the urethra ; Conium predominately about the neck of the
38 MATERIA MEDICA.

bladder, accompanied by crampy pressure ; they may last

for hours and are aggravated by walking. Clematis affects
more especially the urethra and seminal cord ; it also has
the concomitants, lancinating pains extending from the
abdomen to the chest, increased by breathing. The uri
nary deposit with Clematis is pus- like, with Conium mucous
or whitish , or urine clear and copious. Clematis has in
voluntary discharge of urine by drops, at the termination
of micturition. (Dr. H. B. Fellows, Med. Inv., v. 9, 333.)
Lilium and Tarantula . By S. Lilienthal. Both act on the
pneumogastric as well as on the cerebro-spinal nervous sys
tem. Both produce great anxiety and apprehension of
some impending evil by a consciousness of an unnatural
state of mind . Lilium earned some reputation in reflex
convulsions of children and women, and Tarantula holds a
high place in reflex chorea, and must be of service in reflex
mental diseases, especially in puerperal mania. Lilium is
curative in weakness of the female sexual organs ; Tarantula,
on the contrary, holds its place in hyperæmia and hyper
æsthesia of the sexual organs, and it acts well therefore, on
fibrous tumors, which are only an excessive development
of the tissues. (N. A. J. H., XX ., 575 , 1872.)

TOXICOLOGICAL REMARKS.

Carbolic acid, its antidote Calcarea saccharata . (Mtsbl., Jan.,

1872, 4 ; Med . Rec.) Comp. R. I., 89.
It is prepared by dissolving sixteen parts of refined sugar in
forty quarts of water, and adding five parts slaked lime.
Digest the mixture for three days, stir occasionally, filter,
and evaporate to dryness. Quoted by B. W. James. (H.
M., May, 1872, p. 472.) Comp. R. I. , 89 .
Chloroform . In narcosis from , small pieces of ice placed in
the rectum produced deep inspiration, soon followed by natural
breathing. Dr. Baillie. (Am. Obs., Jan. 1872, p. 24.)
Infusoria destroyed by Quinine. In a greatly diluted solu
tion it will prevent decomposition of putrefying substances, by
acting as a poison on all the various low organisms, which are
considered as incitors of the putrefying process. The infusoria
stop their active motions, till they are finally dead and dissolve.
 MATERIA MEDICA. 39

It also arrests the ameeboid movements of the white blood corpus

cles, even with a diluted solution. Quoted by B. W. James. (H.
M. , July , 1872, p. 582.)
Cinchona in Quinine poisoning. W.M. Williamson. ( Trans.
Hom. Med . Soc. of Penna ., 1872, p. 151.)
Treatment of opium poisoning. Atropine, hypodermic injec
tions ; artifical respiration fourteen a minute, (continued in one
case) six and a half hours. Sometimes electricity, (H. , M., Oct.
1872, p. 121.)
Antagonism of Atropia and Morphia by Dr. P. B. Rose.
(N. A. J. H., XXI.,> 24.) Comp. R. I., 90.
Studies on the poisons of the heart by Rudolph Boehm.
This well known physiologist comes to the following conclusions.
All the heart poisons, with the exception of Muscarine, have the
faculty in common to render it impossible to irritate the inhibi
tory centrum from that portion of the vagus lying on the neck.
Whereas, this phenomenon is caused in Atropia ( Daturine and
Hyoscyamine), Physostygmine, Aconitine, Delphinine, Staphisag
ria and Veratrine, by even diminution or even perfect destruction
of the irritability of the inhibitory centres lying in the heart; we
see in a second groupNicontine, Conine, and Curare — this ac
tion produced, that they , as it were, break down the bridge, which
>

normally connects the ends of the vagi with the inhibitory centres,
by destroying the excitability of the latter. As a criterion of this
important difference, we take their relations to the stimulation of
the venous sinus and to Muscarine ; the first group fails to react to
these stimulis, whereas the latter responds to them, as under normal
relation. The effect is in both cases a diminution of excitability.
But we also studied poisons (Aconitine, Nicotine) which enhance
the excitability of certain nervous centres situated in the heart.
We furthermore distinguish a third action of these poisons
poisons which act as a continued series of stimulis on the nerve
centres, thus Muscarine and Nicotine stimulate the inhibitory cen
tre and Aconitine the exito -motor centres.
Aconitine, Delphinine and Veratrine showed themselves as
poisons which, besides their influence on the nervous system , also
show specific action on the muscular substance of the heart, which
they entirely deprive of its vital properties after the preceding in
crease of the excitability . (N. A. J. H. , XX., 471.)
Bryonia used internally and externally will antidote Rhus ven
enata. Blue clay applied externally relieves the itching and burning
40 MATERIA MEDICA.

of the eruption permanently. . G. R. Spooner. (H. M., Aug. , 1872.,

p. 16.) Comp. R. III. , 41 and 45.
Crotalus poisoning. Young, healthy man bitten in toe. Leg
was swelled ; very painful. After eighteen hours the skin rup
tured from toe to ankle, and was quite black . A strong solution
of carbolic acid was applied, and Lachesisl given. Swelling be
gan to abate in thirty minutes, and in three hours the leg down to
the ankle had resumed its natural size. Cured in ten days. (Am.
Obs., Feb. , 1872, p . 72.) Comp. R. I. , 91 .
Snake bites treated with Ammonia . The Bengal Govern
ment Reports show that of 939 snake bites in which Ammonia was
administered by the police, 702 are reported to have recovered .
The averaged length of time between the bite and the application
of the Ammonia is said to have been in fatal cases, 4 hours, 12 min
utes, 13 seconds, and in cases of recovery , 3 hours, 38 minutes, 14
seconds. (Ind. Med. Gazette.)
On the Physiological action of Serpent Venom . The effect
of the poison taken into the stomach is the same as when taken
through the skin, but there is a certain loss of power similar to
that which has been observed in the two modes of giving morphine.
A quarter of a grain of morphia will produce effects when given
by subcutaneous injection , as great as a grain by the stomach. A
dose four times as large (snake poison) taken by the stomach,
would be as speedily fatal as a bite, and show similar symptoms.
The virulence of the poison depends as much on the quantity in
jected as on any other condition ; for, after aa snake has bitten sev
eral times in succession, the bite does not poison. The poison pro
duces its effects by completely paralyzing the nerve centres, and
thus causing rapid death ; or by partially paralyzing them , and so
inducing pathological conditions, analogous to blood poisoning.
Cases are cited as proof of the above observations. Dr. J. Pyburn.
(Month. Hom. Rev., v. 16, p. 671.)

GENERAL REMARKS.

The importance and manner of studying the Materia Medica.

1st. Our study must be conducted in such a manner that the
genius of the drug is obtained.
2d. We must be able to recognize and mark the characteristics
when we meet with them , discerning those portions that should be
retained in the memory, at the expense of minor symptoms.
 MATERIA MEDICA. 41

Personality of drugs will sometimes aid us in such as may be

treated in this way ; as in the tall, slim phosphorus patient, the short,
chubby, red -faced belladonna individual, or the mild and tearful
pulsatilla temperament, etc.
The ground upon which we claim for homeopathy the right to
be called scientific, over that of any other school of practice is :
1st. The completeness of the provings of the remedies used.
2d. The totality of the symptoms are to be taken in every case of
disease .
3d. The close analysis and individualization of each case. (Al
fred K. Hills, N. Y. S. Trans., 1871 , p. 152.)
Index to cases of poisoning in allopathic journals. (Dr. Berridge,
Month. Hom . Rev., v. 16, p. 97.)
What Frank in his magazine has done for Germany, 1846 to
1852, is here collected from English journals for a similar work .
When will we have an extract of all the American journals, many
years wished for ? C. Hg.
Dr. W. M. Williamson has given in the Trans. Hom. Med . Soc.
of Penna., 1872, p. 152, observations and characteristics of Angust.
ver., Apium virus, Arsenic. alb ., Berb. vulg., Capsic. an., Cist. can.,
Colocynthis, Coral. rub., Dolich. preo, Elaterium , Eup. perf., Iris vers.,
Kali carb., Kreosotum , Ledum, Marum ver ., Mezereum , Plumb. met.,
Stramonium , Veratr. alb., Viol. tric ., to be found in their places.
Let all come out in the same way and we may say : “Our harvest
is coming.”
 1

PRACTICE .

MIND .

Sphere of Conation. I. Theprimaryfaculties of the human soul.

They are conative in their nature, because they are living soul.
This conation is aa tendency or striving towards repletion with cor
responding external elements in general, but not a striving for
special objects ($ 24).
When the primary faculties have been developed in pleasurable
excitation, and have lost again part of the loosely assimilated exter
nal elements, they regain their inherent conation ; they now strive
for a like pleasurable excitation, and this originates desire, which is
conation for special or particular excitants ($ 26 ). How far other
than pleasurable excitation is capable of producing desires is demon
strated in § 27.
Amongst the qualities of the primary faculties, it is especially
their acuteness and rapidity which are most favorable for the forma
tion of desires, whilst their retentive power rather tends to prevent
such formation ; still a certain degree of energy is quite indispensa
ble for the formation of inclinations and passions ($ 30) ; also upon
the formation of aversions the qualities of the primary faculties
bear the same influence (8 37 ).
As long as the primary faculties are not impregnated by external
elements, so long are they free and mobile, —that is, capable of flow
ing to and combining with developed mental modifications which
they excite into consciousness ; thus there originates voluntary ex
citation into consciousness (SS 30 and 31 ).
II. External elements or excitants .
Their quantitative relation to the primary faculties is of a five
fold nature ; it may produce an insufficient, full, pleasurable,satiating
or painful excitation (S 25). The vestiges of these various excita
(42)
 MIND . 43

tions form the foundation of the various characters, moods, tem

pers, and peculiarities of the developed mind (825). According to
their quantitative relation the external elements are retained in
various degrees, most perfect in the full, the least perfect in the
painful excitation (S 25).
Only thefull and pleasurable excitation perfectuates the primary
faculties; the other excitations exert a weakening influence.
this way originate modifications of strength and of debility ( 33), and
thus do we learn to consider things according to their impressions
upon us, either as benefits or evils ($ 38).
Excitants which have separated again from their connection with
primary faculties, (dissociated elements) and such which never en
tered into a firm combination with primary faculties, (mentalized
elements ,) we have likewise called mobile elements. They too flow
from mental modification to mental modification, and cause thus
the continual involuntary excitation of latent agencies into con
sciousness (88 30, 31), and the combination of single modifications
in groups and series.
III. The fundamental processes in the mind .
1. The assimilation of external elements, which is an origination in the
human soul of sensations and perceptions in consequence ofimpressions
from the external world . In short, all that once has originated with
some perfection in the mind, remains as vestige. This law we
have found also substantiated throughout the sphere of conation .
2. The attraction of like to like, which is a constant union in the
human soul of like with like and similar with similar. This shows its
action in the fusion of single similar desires into inclinations, pro
pensities, and passions (S 29) ; of single similar aversions into disin
clinations, repugnance and abhorrence (8 36), and of single similar
acts of willing into volitions(8 42). What does the will of man con
sist of, and how far does it reach in extent ? (8 43.)
3. The partial dissociation of the assimilated external elements which
remain as mobile elements, only loosely adhering to the formed aggre
gates. This fundamental process is the cause of all desires which
originate especially in consequence of pleasurable excitations (S 26).
How far the remaining quantitative relations of internal ele
ments to primary faculties are capable of producing desires is shown
in § 27.
4. The equilibration of mobile elements, which is, a constant flowing
of mobile elements from mental modifications, to mental modifications,
causing thus that continual transmutation of our mental modifications
44 PRACTICE.

from delitescenee into conscious excitation , and vice versa ($ 32). This
fourth fundamental process includes the third, in so far as the dis
sociated elements are likewise mobile elements. We might, there
fore, consider the third, or the partial dissociation of external ele
ments, as a part of this fourth fundamental process, inasmuch as
all that is not firmly united in vestiges, primary faculties as well
as excitants, is capable of being diffused over the fixed aggregates
until equilibrium is established .
In consequence of this process originate aversions. How do they
differ from desires ? ($ 34). Aversions are frequently attended
with pain, and then more violent than usual; painful emotions ($ 35).
By the same process originate also combinations of dissimilar
mental modifications into groups and series, the mobile elements
constituting connecting vestiges between the single and dissimilar
members (8 39 ).
Two of the most important series are those which constitute
cause and effect and end and means ($ 40).
If by the equilibration of mobile elements a desire is joined with
a series of ends and means, and we can be convinced beforehand of
the possible realization of our desire, we will ; if, however, we can
not be convinced beforehand of this possible realization, we can
merely wish it (8 41). What is the will of man. ? (8 42).
This whole series of our investigations has again proven, like the
previous, that even the most complex of our mental modifications,
as far as we have considered them , originate all of the same primary
faculties and external elements in consequence of the fundamental
processes as above stated . All desires, aversions, volitions and acts
of wishing, we have clearly traced to these same primary faculties ;
all groups and series in their most varied combinations, all pleasura
ble and painful modifications — they all are the result of the same
primary faculties. Our further investigations will still more enlarge
our views in this same direction. (C. G. Raue, N. A. J. H.,
Nov., 1872.)
Aphasia, from embolism of the middle cerebral artery. Recov
ered under Potass. brom.3. (Am. Obs., June, 1872, p. 291.)
Mrs. Paroxysms of feeling of heat and enlargement of
head, and pain as if vertex opened and shut laterally, gradually
coming and going ; in each paroxysm the heat and feeling of en
largement came on first, then the pain in vertex, then the heat and
>

enlargement went, then the pain ; all the time low spirited. One
dose of Cannabis sat.cm cured. ( Berridge, M. H. Rev., 16, 495.)
 MIND. 45

Effects of Fright. Mr. S., æt. 20. Since a severe fright three
years ago, great timidity ; afraid to go out unattended after dark ;
is unable to control his feelings of apprehension and fear. Aconi
tumë morning and night cured. (Geo. W. Richards, H.W. , 7, 261.)
A beautiful young girl, three months after arriving at the age of
puberty, became violent, fretful, passionate ; spoke with great volu
bility, would not listen to any remarks offered. In a month - her
symptoms increasing in the meantime- she received one dose of
Hepar sulph. calc.30 Well in 20 days.
A young man , after a year's hard study, found his memory gradu
ally failing, experienced an inaptitude for meditation or hard work,
difficulty of conception or of combining ideas when listening or
reading ; figures and diagrams were void of expression to him, and
30
seemed enveloped in a mist. Natrum carb.so, a dose every week,
>

cured promptly.
A young man of cheerful disposition lost his situation , and became
melancholic in consequence ; he was morose, capricious, irritable,
hasty ; the least contradiction put him out entirely, and he remained
for hours without wishing to take part in conversation. Three days
after a dose of Nux vom.me, he was singing from morning till night;
in ten days became more quiet, but cold, haughty, too well satisfied
with himself, and not at all anxious about the future. Platina600
cured .
His mother, depressed by the condition of her son, fell into pro
found melancholy ; the least appearance of complaining made her
weep.. She lost her sleep, was disgusted with life, feared the future,
where she saw nothing but misery and suffering. Sulphur600, one 2

dose was given. The first week after, she seemed worse ; in ten
days she was much better, and recovered speedily. (Dulac, Med .
>

Inv ., v . 9, p . 145, from L'Hahn . 3, 260.)

>

Mrs. H., well circumstanced and seemingly without cause,

became low spirited about two months after delivery of an acepha
lous child . ; she seemed gloomy, silent; would sit for hours unoccu
pied , nothing could interest her, even her husband and child seemed
repulsive to her. The former she would not have occupy her bed ,
yet he must remain in the same room ; her mind seemed to dwell
upon her own unworthiness and unfitness for being a wife ; her con
stant cry was— “ Oh , that I were dead ! Oh, that I were a girl
again ! Give me back my youth !” She slept but little; her appe
tite was great ; pulse slow, skin cool and clammy ; the eye wild
and frightened ; the face very haggard ; tongue heavily coated and
46 PRACTICE.

bowels constipated ; menstruation suppressed , in its stead profuse

leucorrhoea. Remedies given had no effect. After repeated in
quiries the cause of the trouble was finally located in the husband's
neglect, which made her doubt his affection for her. He was ad
vised to court her over again. He did so and she recovered speed
ily. A. W. Woodward. (Med. Ind ., v. 9, p. 320.)
Melancholy in aa lady near seventy years old , who lost all love
of life, sat brooding for hours in a corner ; had no appetite ; her
tongue was heavily coated ; stool once in seven or eight days; en
tire sleeplessness. All this came on after a scaly, itchy eruption
upon the head and behind the ears had disappeared. Arsenicum ,
high, Jen., one dose brought the eruption back in about eight days
and regulated all the abnormal functions. (Stens, Sen. H. I. Pr.,
v. 1 , p. 360.)
Concerning Insanity. To know the causes of disease, to
gether with their effects, are important and valuable acquisitions
to the physician ; but to know what will cure is of more value than
either. And yet, this indispensable feature in the treatment of the
insane, receives less attention and study than either of the others.
Indeed, there seems to be a general impression that if one can un
derstand the actual pathology of a case, he had the key-note to the
curative means. Of course there is a first cause of disease, which it
would be advantageous for us to know . The symptoms, both sub
jective and objective, tell us where we may localize the effect of
disease. But when it is said that insanity is the result of a physical
lesion within the cranium , that other question equally important,
lying further back, viz.: what caused the physical lesion ? seems to
have been forgotten. To say that the diseased mind is caused by
the lesion of brain structure, is to either abandon the search for the
true cause, or to end the investigation by conclusions as absurd as
that of the wise-acre, who claimed that the world stood upon a
>
rock , and that the rock reached " all the way down . " There is some
thing within , or above, that animates and vitalizes this material
body. You may call it dynamic force, or vital principle or what
you like. It is a power within that governs the whole material.
But for our better comprehension let us give it a name, and call it
a spiritual body. A correspondence of the organism , consisting of
spiritual substance; in form like unto the material, living within a
spiritual atmosphere and subject to spiritual laws. It is the ani
mus of the material body ; the immediate controlling principle
that gives form and disposition to the component parts and vivifies
 MIND. 47

each minutia of the living fabric. Unseen, it is subject to laws un

seen and unknown, only as ultimate through the material body. It
may be said to have aa functional intelligence, by which every part
of the organism may perform its legitimate use without the aid of
mind and soul. It is the counterpart of every particular of the
material body, and is in closest sympathy with it. If there is an
organic change, an objective or subjective symptom , its immediate
cause lies in a similar affection in the corresponding part of this
spiritual body. The remote cause has been aa violation of nature's
laws and may have been physical or moral both. The spiritual
body then, as the proximate cause, is the point of attack for our
curative agents. This we reach through the material body by
agents known to have a specific influence, operating through the
same channels with the disease. In the living organism we diag
nosticate disease only by symptoms, subjective and objective. They
are the pathognomonic signs, and these symptoms, when carefully
grouped , indicate the curative remedy. (George F. Foote. Med .
Inv., v. 9, p. 436.)
Medical treatment of the Insane, In our hospitals all
forms of amusement and recreation are carefully arranged , every
means taken to entertain , but no attention is given to the strictly
medical treatment. Little care is paid to mental symptoms as
guides. The following is the epitome of therapeutics of insanity :
Tonics, stimulants, soporifics, and some alteratives and cathar
tics, are chiefly used . Insanity, at the present time— whatsoever
it might have been in the past—is a disease which has its origin in
-

debility or exhaustion of brain power and nervous energy . Hence ,

stimulants and tonics are necessary to a large extent in its treat
ment. It is often accompanied by loss of sleep and excitement,
and, consequently, calmants, antispasmodics, and soporifics, are of
marked utility. In its acute forms, the liver is very frequently,
even, perhaps, in a large majority of cases, implicated, requiring
the use of cholagogues. Not unfrequently there is a depraved and
perverted condition of the system generally, which can only be re
moved by the administration of alteratives.
Bromide of Potassium is extensively used in nervous wakeful
ness and epilepsy, as is hydrate of chloral, but the hydrate is too
uncertain and dangerous in its effects. The patient having taken
a course of small doses without seeming effect, suddenly is pros
trated , great muscular debility ; dimness of sight; dilated pupils ;
irregular gait, patient reeling as if intoxicated ; nausea, vomiting
48 PRACTICE .

or purgation ; dull, aching abdominal pains ; characteristic chloral

odor to breath ; despondency ; sullen, melancholic, lachrymose,
despairing
Dr. Maudsley disputes the use of sedatives, saying : “ Do not
stifle excitement - a chemical restraint on brain -cells is as bad as a
mechanical one on the limbs. Sedatives are given too recklessly ,
and retard a cure ; they are all abused.” Only one-tenth of the
insane receive other than moral treatment. This is the history of
244 patients at the Friends' Retreat, England.
Expectant is better than the present treatment.

Recovery from the First Attack .

Cases followed Died Insane,
during the Had subsequent attacks.
through life . first attack . Recovery per
Total. manent .
Died Sane. Died Sane. Died Insane . Total.

Males, 113 55 58 21 31 37

Females, 131 58 73 23 14 35 49

Total, 244 113 131 45 20 66 86

Homeopathy is a new power in the land, but its greatest laurels

are to be won in mental therapeutics. Now with a hospital of our
own we should aid it by all possible means. (S. Worcester. H.
M., June, 1872, p. 497.)
Provision for the Insane. The present system of asylums is
imperfect — the liberty, comfort, and welfare of all subserve to the
requirements of the few . The American cottage plan is considered
good. A large, central hospital, as now , large enough for 100 to
150 cases, acute , recent and curable ; grouped at suitable distances
are neat substantial farmhouses and cottages, accommodating from
twelve to forty patients. Put no bars or bolts or provison for re
straint in these cottages. In each is a supervisor, his wife, one or
more male attendants to assist the patients in the field and work
shop. Cases requiring restraint or attention are put in the hospi
tal ; the quiet, demented, and convalesent enjoy the freedom of
the cottage. This plan is considered practicable for two-thirds of
the ordinary hospital inmates. It is much praised. The modern
sensible treatment of insanity is to deprive no one of liberty unless
for his own or others' safety ; and the liberty of the insane should
be increased. (S. Worcester. H. M. , Oct. , 1872, p. 97.)
 MIND . 49

Thought and Brain Symptoms. Peculiar phenomena met

in disease, and named as separate diseases, are but symptoms of a
morbid brain condition. Dr. Broadbent believes thus: In regard
to structure, his dissections demonstrate that the radiating fibres
issuing from the central ganglia are chiefly, if not exclusively, dis
tributed to the convolutions forming the margin of the great lon
gitudinal fissure and those forming the margin of the fissure of
Sylvius, and the parts adjacent both in front and behind ; that the
fibres of the corpus callosum are distributed to these same convolu
tions ; that there are convolutions, as those on the under surface of
the temporo -sphenoid and orbital lobes, island of Reil , and others on
the convex surface, which have no direct connection with either
crus, central ganglia, or corpus callosum ; and lastly, that there are
fibres connecting different parts of the cortical gray substance. His
theory in regard to the functional activity of these parts is based on
Dr. Bastian's, thus : Ideas or thoughts—the act of thinking-are
the function of the highest centres, occupying those parts of the cere
bral hemispheres which are thus withdrawn from the outer world ;
when such thoughts or ideas are required to be translated into lan
guage, impulses are transmitted through communicating medullary
fibres to the third left frontal convolution, where they are formulated
intospeech, the words being selected that are adapted fortheexpression
of the idea or phrase. But for the articulation of any given words ,
many muscular groups must be called into play — as those of the
chest, larynx, tongue and lips. The co -ordination of muscles for
this purpose is effected by the corpus striatum , in which certain
groups of cells representing certain sounds or words exist. The
business of the third left frontal convolution is to call into play the
right cell groups in the corpus striatum , which shall transmit to
the nerve nuclei in the medulla and cord, the impulses requisite for
the utterance of the words that it has itself selected as most
appropriate for the expression of the idea existing in the supreme
centres.
This theory explains many pathological phenomena. Dr. Broad
bent, following Dr. Bastian, holds that there may be either paraly
sis or merely a want of co-ordinating power in each of these centres.
In the case of the supreme centres, for instance, the lesion may be
so serious as to lead to utter loss of the memory of ideas and of
words as intellectual symbols, and the patient is then said to be
amnesic ; or, there may be only a want of co -ordinating —--aa failure
in the capability of selecting the words or phrases required to ex
4
50 PRACTICE .

press a given idea. But the supreme centres may be undisturbed

and free from disease, as shown by the retention of memory, and
by the power of expressing ideas by some other mode, as by wri
ting, and yet there may be loss or impairment of speech. In such
case, the third left frontal convolution is diseased . And here, again,
the lesion may be so severe as to abolish its function of selecting
words or phrases appropriate to the idea desired to be expressed,
and thus produce aphasia ; or its co-ordinating powers may alone
be affected , and the impulses it sends down to the corpus striatum
may be directed through wrong channels, exciting wrong cell
groups and giving rise to the use of inappropriate words. In cases
where the corpus striatum or the motor ganglia in the medulla are
affected, aphasia is not present, but articulation impaired. (B. W.
James, H. M. , July, 1872, p . 580.)
Cerebro -vascular Equilibrium . Mrs. B. , æt. 24, third child .
Mania cum furore, from post -parturient anæmia . A German, show
ing indications of general cachexia ; on examining her head found a
deep transverse depression, with scantiness and harshness of hair, on
sagittal section , over the superior posterior angles of the lambdoid
corners .When an infant she had an operation for fungus hæma
todes. Her father and grandfather were incurably insane, each
dying in two or three weeks from the first attack . Her mania re
sembled theirs — all refusing to eat or drink on account of being
supernatural and sanctified ; with loquacity and total confusion of
senses .

I questioned whether the angiektasia of childhood was not

nature’s recuperativeeffort at relieving a hereditarydysthetica.
Nature accommodates herself to influences beyond her control,
but she does not always accomplish her ends satisfactorily, but seems
clumsy and often actually helpless. An accomodative exchange
exists between certain bodily organs, as the thyroid gland and
>

brain .
The vaso-accommodative development of the coxcomb of the
Phasanus gallus, etc. , is nature's means of keeping the blood from
>

pressing too harshly on the small, confined brain of the bird, and
2

is aa function, not an ornament. The human head is large enough

to contain its undue supply of blood during excitement, but in
this case there was insufficient cerebral space. So nature, in the
fourth generation sought to establish an external outlet for this.
overflow of blood, by supplying this highly spongy and elastic
angieurysma.
 BRAIN. 51

But she was clumsy in placing the mass over the affected local
ity, losing by pressure what she gained by space.
From childhood till marriage the patient was away from psy
chosis-developing influences, but her health was poor and the sys
tem anæmic. After marriage she lived unhappily with her mother
and this condition occurred. A good diet and kindness cured her,
though there is still the blank , lunatic stare and satirical smile,
warning of the possible future. (F. A. Rockwith , H. M. , Aug.,
1872, p. 6.)
Psychiatrics. (F. A. Rockwith , H. M. , Oct. , 1872, p. 112. )
Pathological Anatomy of Paralytic Imbecility of Mind.
During first stage the melancholic depression and self-delusion of
greatness (Groessenwahnsinn ), there exists congestion in the brain
and its membranes, in consequence of which the perivascular
lymph -spaces fill with an increased number of lymph corpuscles ;
this is the initial stage of paralytic imbecility. The lymph
cells , however, do not remain in this locality , but migrate into the
substance of the brain, where they collect in groups, mostly paral
.
lel with the blood vessels . The consequences of this accumulation
of lymph -cells within the substance of the brain are symptoms of
paresis and mental weakness . In the further course of develop
ment the lymph -cells shape themselves in forms of stellated bodies
with corpuscles, ramifying with each other , thus producing con
nective tissue. In the proportion in which this connective tissue
grows out of these migrating lymph -cells in that proportion men
tal decay and marasmus progress . (H. Obersteiner, I. H. Pr., V.
1, p. 269.)

BRAIN AND ITS MEMBRANES .

Vertigo. We give a scheme which helped us out in many cases

of nervous dizziness :
In the morning hours : Calc carb ., Nux vom., Phosphorus,
Natr. mur.
- In the evening hours: Belladonna, Pulsatilla, Cyclamen ,
2

Sepia, Zincum, Lachesis.

When lying down : Pulsatilla, Cyclamen, Arsenicum, Aurum.
When rising up : Nux vom ., Rhus tox. , Lachesis, Conium.
52 PRACTICE

When walking : Pulsatilla, Lycopodium , Conium , Capsicum ,

Phosphorus.
When stooping : Calc. carb ., Bryonia, Sepia, Spigelia.
With an empty stomach : Phosphorus, Iodine, Calc. carb .,
China.
- After eating : Calc. carb ., Nux vom ., Natr. mur., Phosphorus,
Sepia, Lycopodium.
.

After sleeping : Phosphorus, Sepia, Nux vom.

- In the fresh air : Nux vom., Silicea, Cocculus, Nux mosch.
In the room : Silicea, Agaricus, Arsenicum , Pulsatilla.
Before the menses : Calc. carb., Pulsatilla, Sepia, Veratrum .
During the menses : Phosphorus, Hyoscyamus, Graphites,
Lycopodium.
- After the menses : Nux vom,, Phosphorus, Graphites.
Amelioration by motion : Rhus tox, Pulsatilla, Capsicum, Cy
clamen, Lycopodium.
By rest : Nux vom., Natr. mur., Belladonna, Colchicum .
Revolving vertigo : Phosphorus, Nux vom. , Byronia, Arnica .
Stupefying vertigo : Calc. carb ., Silicea, Belladonna or Hyos
cyamus.
Staggering vertigo: Aconitum , Rhus tox., Nux vom. , Platina.
Vertigo with trembling and uneasiness : Phosphorus, Calc.
carb ., Ignatia, Arsenicum .
With fainting : Phosphorus, Nux vom ., Natr. mur. , Ar
senicum , China.
with vomiting : Nux, vom. , Ipecacuanha, Veratr. vir. , Arsen
icum , Pulsatilla.
with inclination of falling forwards : Phosph. acid, Graphites,
Cicut . vir. , Spigelia .
-
with inclination of falling backwards : Rhus tox. , Nux vom. ,
Bryonia, China off.
with inclination of falling sideways : Silicea, Sulphur, Ipe
cacuanha.
The toxical vertigo, originating in the action of medicinal arti
cles, may be removed by general and special means. General
means are : concentrated black coffee, effervescent powders ; soda
water, milk , whey, lime water, etc. Special remedies are the an
tidotes to each individual case, which we find in the physiological
pharmacodynamic.
Vertigo in consequence of inspiring gas or petroleum requires
the same treatment mentioned when breathing the scent of flowers.
 BRAIN. 53

Vertigo in consequence of rage and fury is frequently toxic, as

such an affection appears with symptoms similar to an acute case
of poisoning. For burning in the stomach with vomiting, we give
Arsenicum , Nux vom ., Bryonia, or Phosphorus (3) ; with simultane
ous diarrhea, Arsenicum , Veratr. vir.3, Lachesise. Vertigo from a
great fright, as when life is endangered, will be removed by
Aconite, Belladonna, Ignat. am. , or Pulsatilla (3).
Vertigo in consequence of the effects of malaria, as e. g. , after
floods, in swampy countries, sometimes sets in endemically or epi
demically, and is usually combined with vomiting, loss of appetite,
headache, and requires the application of Nux vom ., Phosphorus,
Belladonna, Ipecacuanha, Arsenicum , Veratr. vir. (3).
Vertigo from domestic malaria in ill-ventilated dwellings with
out the necessary drainage needs removal of such nuisance. When
this vertigo develops an intermittent character, Nux vom., Ipecacu
anha, or Arsenicum3 or in some cases Chinin.' may be necessary.
Vox populi decrees the horse chestnut (Æsculus hippocastanum)
as a sovereign remedy for all sorts of dizziness. Several chestnuts
must be carried in the pocket of the patient, and the dizziness
will vanish. ( Kafka , A. H. Z., July, 1872, 9).
J. W. , æt. 43. Heaviness in the head and vertigo, “feeling dizzy
>
as though he were drunk . ” Glonoinum 2 x, gtt. j. on the tongue,
and repeated in a few minutes. Relief immediate and complete.
(H. W. , 7, 198. )
Lady, æt. 80. For fifteen years, giddiness with tendency to fall
to the left; when walking, fell against people , and had to seize
railings for support. Iris foet.cm , one dose cured in one week.
(Berridge, M. H. Rev. , 16, 495.)
Lethargus, Fatal Sleep Disease. In West Africa, among
negroes, it occurs as follows :
The patient-usually a male adult—is seized without any pre
monitory symptom with a sensation of drowsiness, which continues
rapidly to increase, in spite of all efforts to throw it off, until he
sinks into a profound and seemingly natural sleep. This continues
for about twenty-one days, when death takes place. Throughout
the course of the disease the patient preserves a quiet and peaceful
countenance, may be easily aroused for aa short time, will take nour
ishment, and generally answer a few questions in a perfectly rational
manner. The pulse, respiration and temperature remain normal
throughout. The pupil is neither dilated nor contracted to any
noticeable extent, and the urine and fæces are voided with com
1

51 PRACTICE .

parative regularity. With the exception of the abnormal tendency

to sleep, nothing exists to denote disease.
Post mortems reveal nothing abnormal ; no remedy helps.
(Quoted by B. W. James, H. M., Dec., 1872, p. 244.)
Effects of Heat. Gelseminum200 stands foremost where symp
toms of depression from heat (not from the immediate effects of
the sun) show themselves ; vertigo, dilatation of pupils, dimness of
sight, and a dull, confused headache spreading from the occiput
over the whole head ; no thirst, no appetite—in fact our patients
feel played out. (S. Lilienthal, Med. Inv., v. 9, 365.)
Gelsem . Produced a thirty hour's sleep in delirium tremens after
morphia has failed. Patient awoke well. (W.J. Blakely, Trans.
Hom. Med. Society, 1872, p. 100.)
Cerebral irritation. Boy, æt. 24. Fleshy ; light hair and com
plexion ; blue eyes ; when sleeping, subject to scalp-sweat (Calc.) ;
fretful; fever and hot head ; was suddenly seized with convulsions
with froth at the mouth, eyes rolled up, rolling the head from side
to side ; increased heat of whole head. After convulsions child
screamed fearfully, with dilated pupils ; great agitation, with con
vulsive motions of the limbs (Veratr. vir.), head and trunk . The
head was very hot, and the child grasped at one's clothing in a
frightened manner ; pulse rapid. R. Cicutaạo, which relieved all
symptoms; some quiet sleep ensued ; cured with a few doses. ( H.
V. Miller, H. M., Nov., 1872, p. 198.)
Hydrocephaloid . Boy, æt. 11. Pale, delicate, feeble ; cold ex
tremities for several days; thirst; sharp cries ; lies with eyes half
closed ; drowsiness ; not expected to live. B. Helleb.2 , which aided ;
R. Phosphor.3 and Zinc.3 for thirst and cold limbs,which relieved ;
wakefulness and nervous irritability, Apis cured . ( J. H. P. Frost ,
H. M. , Nov. , 1872, p. 197.)
Meningeal tuberculosis is aa disorder of nutrition and of the
ganglionic nervous system . Its origin is in the lymphatic or mesin
teric glands. The sensitive and motor symptoms of the cerebro
spinal nervous system in this disorder result from the pressure
exerted by the primary congestion, or by the tuberculous matter
deposited afterwards on the encephalon.
In phthisis intestinalis — the mesinteric glandular scrofula of chil
dren — death comes slowly from non -nutrition, though much food
is eaten, and from the wasting fever caused by the chronic inflam
mation of the glands and ulceration of the mucous follicles. In
phthisis pulmonalis life is exhausted by mal-nutrition ; this exhaus
 BRAIN. 55

tion is hastened by the increasing pulmonary ulceration, and is

complete when not enough lung-tissue remains to aerate the blood.
In meningeal tuberculosis the rapidly fatal ending, with digestion,
respiration and circulation undisturbed almost to the last, is owing
to local pressure on the organs of the base of the brain, and to
their disorganization. Some remarkable symptoms develop from
such pressure. Erections in children, like priapism in adults,
point to lesions of the cerebellum, and indicate Nux vom. , Phos
phor. , etc.
The three great indications for the treatment of meningeal
tuberculosis are : to anticipate and prevent the disease, to arrest
its determination to the basilar membranes, and to promote the
reabsorption of its products. These correspond respectively to
the preliminary, the congestive and the exudative stages of the
disease. It is not always possible to see the first stage, but the
second and third are readily diagnosed. In antidoting the scrofu
lous systemic element, consider the medical histories of parents
and patient, as well as the present symptoms, carefully.
Prophylactics. Calc. carb ., and often Sulphur ; Calc. carb . has
coolness and perspiration of head ; Sulphur has dry and hot head .
Vide also, Calc. phosph ., Caustic ., Digit., Arnic ., Phosphor., Alum. ,
Natr . mur. , Iod ., Silic.
2. Congestive stage. Corresponds to fully developed conges
tion ; indicated by stupor, sharp cries ; commencing spasms. Con
sult Acon ., Bellad ., Atrop ., Glon. , Bryon ., Veratr ., Zinc.
3. Exudative stage. Difficult to diagnose, because of the symp
toms resulting from pressure ; hyperæmia at first, when the symp
toms resemble inflammation ; latterly local , when they simulate
prostration .
The tuberculous new formations (Neubildungen) may spring up
with great suddenness, or may even have been growing, unsuspected ,
before the acute attack. Apis mel. , Arsen., Helleb ., Cuprum , Phos
phor., Zinc. (J. H. P. Frost, H. M. , March , 1872, p. 345.)
Cerebro -spinal Meningitis. Miss A. æt. 20. Taken ill
April 6th , with pain in head and back. April 8th. Pains ex
tended to legs ; vertigo ; nausea. April 10th. A. M. , had a chill ;
>

8 P. M. , saw patient ; she had intense cephalalgia with feeling in

frontal region as if head would burst; pain continues, increased
by light and sound ; pain and tenderness along cervical vertebræ ;
hyperæsthesia of the upper limbs, no impairment of motion ; abdo
men tender, with constipation ; tongue slightly coated and yel
56 PRACTICE .

low ; pulse 96, and very soft ; temperature 104° ; respiration 30.
Patient is restless, with complete loss of appetite ; slight stiffness
of post-cervicalregion ; pupils dilated ; conjunctive injected. R.
Gelseminum , six drops in half glass of water, one teaspoonful
every two hours, with application of water to head. April 11th.
More pain in back ; the head is a little drawn back ; is very rest
less ; calls for cold water ; cephalalgia increases. B. Ice to head ,
and enema. April 12th. Mind wanders ; much spasm of post-cer
vical muscles ; vomiting. Temperature 103 °. B. Ice continued ;
enema. April 13th. There is but little change. April 14th..
Opisthotonos ; slight delirium . B. Ice to head and post-cervical
region ; Bellad . and Gelsem. in alternation every hour ; enema.
Temperature 1030. April 15th. Patient much worse ; delirious ;
singing and weeping ; has to be held in bed. Temperature 104°.
R. Continued Bellad. and Gelsem., with ice bags to head and
spine. April 22d. Better ; has taken some milk ; face more natu
ral. Temperature 101 ° ; stop ice. B. Continue Bellad. and Gel
sem. ; ordered enema. This treatment continued until April 29th ,
when ice was ordered for return of cephalalgia. Temperature rose
to 103° May 1st. Patient is sitting up ; is convalescent . Ordered
milk , eggs, and stewed prunes. Bowels moved to -day without
enema. May 3d. Still weak, but appetite is good ; has slept well ;
asks for solid food. May 4th . Has been out to drive ; says she is
perfectly well , but is much reduced in flesh. (W. Markham . H.
M. , Aug. , 1872, p. 19.)
B. æt. 42, two days ago was seized with a sharp, stabbing
pain in occiput, and giddiness, relieved by vomiting an acid, bitter
fluid . Complains of numbness in hands and feet, sensation as of a
cord around the waist and a heavy weight at the back of the head.
Face dusky red ; eyes wild and bright, with sluggish pupils ; head
hot and unbearable headache from slightest pressure on scalp ;
muscles in cervical region are in a state of tonic spasm ; frequent
twitchings down the whole of the back ; temperature 104° ; pulse
120 ; tongue tremulous, dry and dirty ; skin hot ; constipation.
Bellad. 1 x and Merc. dulc. 1 x, every hour in alternation . No im
provement ; coma with strabismus, involuntary stools. Died as
phyxiated. Autopsy revealed pia mater adherent to brain, effusion
in cavity of arachnoid ; engorgement of cerebral substance and
lungs. (J. L. Newton. Month. Hom. Rev. , 16, 476.)
Florry Graham , æt. 17, had been treated allopathically seven
weeks. Insensible ; rapid pulse ; diplopia ; dilated pupils ; rigid
 BRAIN. 57

spine ; head retracted ; five large dark -colored bed-sores. Cicut.200

effected a brilliant cure. (J. T. Baker. H. M. , Aug. , 1872, p. 42. )
David G. æt. 17 , had been allopathically treated for five
weeks. Found patient with head retracted ; rigid spine ; pupils
dilated ; diplopia ; rapid pulse ; perfect deafness; dumb for seve
ral days ; dyspnea ; dysphagia ; no muscular flinching when the
trunk or lower extremities were pricked with a pin ; perfect para
lysis,—had not moved or winked in several days ; Cicut.200. Next
morning the patient could breath more easily, and there was less
strangling when taking the medicine. Third day, no strangling ;
>

has taken a little chicken broth . Fourth day, patient has been
winking all night ; no strangling ; can now speak . Steady pro
gression from this. In three months perfectly cured without other
medicine. (J. T. Baker. H. M., Aug. , 1872, p. 42.)
Boy, æt. 8, when at school, suddenly grasped his knee with his
hands and screamed fearfully. Immediately he was seized with
convulsions and insensibility, the head being permanently retracted.
There was high fever; vomiting ; dilated pupils ; double vision ;
ashy paleness of the face ; one diarrhæic stool, and then constipa
tion. Cicut.200, once in two hours to once in twenty-four hours.
Cured in four days. (J. T. Baker. H. M. , Aug. , 1872, p. 42.)
Cimicifuga racem. Excessive muscular soreness ; great sensi
bility to touch and motion ; spine very sensitive ; delirium like
delirium tremens ; sees cats, dogs, etc. (G. B. Palmer. H. M. ,
Nov. , 1872, p. 195.)
Child , æt. 6, taken with chills, vomiting ; sensation in occiput
as from receiving a blow ; then flushed face, unconsciousness, delir
ium ; livid spots appeared on body and limbs ; head thrown back ;
neck rigid ; eyes rolled upward ; pulse 120 ; frequent convulsions.
B. Helleb. every half hour, four times, then less often, followed
by Helleb.30 Cured on fourth day. ( L. B. Wells. H. M. , Aug. ,
1872, p. 41.)
Aconite. Does not seem to be indicated except in the sthenic
forms, during or after a decided chill, with active inflammatory
symptoms present, which is not usual this season .
Aethus. cyn . Should be considered in those cases where vertigo
or a disposition to coma, and obstinate vomiting, are present from
7

the outset.
Ammon. , carb. et mur. In second stages, called for by giddiness,
fullness in the head, ringing in the ears ; swelling of parotids, sore
throat, etc. , are observed .
58 PRACTICE .

Aviac. For loss of memory , or weakness of special senses, a fre

quent sequela in this disease.
Apis.. Likely to be wanted soon, when ædematous symptoms
show themselves about the face ; the pains are stinging. · Hyper
æsthesia of the surface ; urine scanty ; chest oppressed, and pulse
variable and intermittent.
Argent. nitr. Recommended by Grauvogl for the first stage .
Violent headache , with vertigo ; chilliness ; fullness and ringing
in ears ; epileptiform convulsions.
Arnic. Often called for. Aching all over as if bruised ; much
like Bellad. in its indications, without the active congestion ; ex
cessive diuresis ; ecchymosis.
Arsen . Not so often useful as it seems to be ; only when one of
these conditions is present, viz. , great restlessness} ; thirst for little
water often ; prostration with cold perspiration, or an intermit
tent type.
Bellad ., Hyosc. and Stramon. Any one of these likely to be
needed in first stages. Choice will depend on violence of the con
gestion, and character of the pains. Delirium and spasms.
Bryon. Will fail you, if you do not look well to your symp
toms. It is sometimes indespensable, however ; but Rhus tox. or
Apis., are generally better. >
Calc. carb. Is often the best “ tonic " that can be given during
the second stage ; it reaches paralysis of the voluntary muscles.
Camphor. You will think of first, in malignant cases, where
there seems to be no power of reaction. Deadly paleness, lock
jaw, oppression of chest, violent cramps in stomach and limbs,
chills, severe cold, clammy sweats, pulse small, weak and slow.
Canthar. Should be considered in the second stage, when
there is great restlessness and activity of mind, amorous frenzy,
priapism.
Cicut.. A popular remedy of great repute. Tonic spasms in
neck, jerking in eye-balls, muscles of face, arms and hands, rigid
spasm of lower extremities, swollen tongue , lock -jaw , violent gastral
gia with vomiting, spasm of pectoral muscles , and painful disten
sion of abdomen .
Digit. Should be thought of when the heart's action is irregu
lar and labored ; it will cover many othersymptomsof this disease.
Gelsem . Ought to be the remedy,par excellence, in an epidemic of
this kind, when sweating relieves. Irritability, vivacity and vertigo,
as if intoxicated, with heavy headache and blindness, feeling as
 BRAIN. 59

of a tape around the head ( frequent symptom ), heaviness of eyes,

dim sight, sudden deafness of short duration, paralysis of speech ,
weak voice, trembling and weakness of limbs, bruised pain in flesh ,
great drowsiness, itching of head, face and neck.
Glonoine. Violent congestion to head with sense of expansion .
Pains ascend from chest and neck to occiput ; blindness with faint
ness and nausea ; pale face ; pain whole length of spine; congestion
of chest, with labored action of heart.
Hydr. ac. Should be thought of in sudden and desperate cases.
Insensibility , with protruded, half-open eyes ; dilated, immovable
pupils, with blindness ; roaring and deafness in ears ; distorted,
bloated and bluish face; tongue paralyzed and protruded ; loss of
speech ; retention of or involuntary urine and stool ; rattling , slow
respiration ; irregular, feeble beating of heart ; general coldness,
with heat in head.
Ignat. When there are hysterical symptoms or complications,
or rapid alternation of symptoms.
Lycop. Has served me well this season. Dread of solitude ;
active, irritable and melancholy mind ; stupefying headache, pain
extending down the neck, with great weakness ; acute hearing, with
roaring in ears ; acute smell ; tongue swollen ; bloating of ab
domen, with tension as of a hoop ; same in chest ; much flatus ;
urine loaded with lithates ; burning pain between shoulders ;
numbness and twitching through body and limbs.
Nux vom . Will probably be your chief reliance in that fright
ful form termed “ explosive," characterized by shocks, starting
suddenly from one portion of the body to the brain, attended by
numbness and paralytic drawing in the limbs ; fear of sleeping,
frightful dreams ; irritable humor and hypochondriasis.
Opium . Stupefaction, with or without pain ; delirium ; heavi
ness, with great congestion of or to head ; eyes fixed and half closed,
pupils either contracted or dilated, but insensible to light, staring
and glassy look ; face bloated, of any varying color, its muscles re
laxed , with twitchings of lips and flapping of cheeks ; lock -jaw ;
strangulation ; intense thirst ; vomiting, with colic or convul
sions ; abdomen hard and bloated . ; constipation or diarrhea ; urine
scanty ; snoring ; rattling, slow respiration ; suffocative attacks,
dyspnea , opisthotonos , (and, for last stages,) painless paralysis ,
spasmodic jerkings and numbness of limbs, pulse variable, heat
with sweat, sleep with sweat, worse while perspiring.
 A
60 PRACTICE .

Plumbum . Must not be forgotten when paralysis occurs early ;

it may be the remedy you want.
Phosphor. Should be considered in those cases attended by fre
quent hemorrhages, or in extensive petechiæ ; also in pneumonic
complications.
Rhus tox. Anxiety, restlessness, stupefaction , vertigo ; fullness
and bruised pain in head, extending to the ears ; bleeding of the
ears and nose ; dry cough, with, perhaps, bloody sputa ; pain in
back, as if sprained ; tearing, tensive pains, with stiffness of
muscles and joints ; vivid dreams, various eruptions.
Silic.. May be of use during convalescence, in restoring tone to
vegatative and nervous systems.
Sulphur.' May be required soon in strumous subjects, when the
proper medicines do not sustain their effect.
Tart. emet. Great drowsiness, stupefying headache, nausea, cold
sweat, blindness , convulsive twitching ; pains, with sweat ; cough,
with suffocative attacks; pulse full, hard , quick and trembling.
Veratr. alb . Much the same indications as Tart. emet.; same
coldness, sweat, severe pain, vomiting, cramp, etc. , but differs in
being attended by insanity, restlessness and great thirst ; muscles
of neck too weak to support the head ; heaviness ; tingling and coldness
of the hands ; cramps in limbs ; heavy, comatose sleep ; pulse ir
regular, weak and slow ; coldness predominates, muscular weak
ness persistent. Veratr. alb. should be thought of also in connec
tion with Nux vom. for the explosive form of meningitis, where
the pains are like shocks of electricity.
Veratr. vir. Has been recommended in this disease for the first
stage, when the pulse is labored, slow and irregular, and there
seems to be profound congestion of the brain, with loss of con
sciousness and coldness of the surface ; it produces constant and
severe pains, and drawing in back of neck and shoulders ; cramps
and shocks in limbs ; paralysis of motion and sensation. (During
the present epidemic, this drug has served me better than either
Acon, or Gelsem.)
Zinc. Will shorten a tedious convalescence at least, when these
symptoms are found : weak memory, with stinging pains in head,
with blindness ; itching, biting, watery eyes ; soreness and con
striction in throat ; ravenous hunger ; flatulent colic, constipation,
dysuria, priapism ; amorous frenzy ; spasm of chest,pain in chest ;
numbness and trembling, and twitching of hands and feet; flushes
 BRAIN . 61

of heat, coldness predominating ; profuse and easy sweat. (A. W.

Woodward, U. S. Med . & Surg. Jour. , v. 7, p. 408. )
Veratr. vir. is especially indicated when there is trembling, as if
the child were frightened and on the verge of spasms. (D. A. Colton,
U. S. Med. & Surg. Jour., v. 7, p. 484.)
The only remedy I have placed any reliance upon is Bellad .
Cases accompanied by purpura are pretty uniformly fatal. (A. E.
Small , v. 7, p. 489.)
Etiology. I am strongly inclined to think that cerebro-spinal
meningitis might be due to an excess of carbonic acid gas in the
system . (T. C. Duncan, U. S. Med. & Surg. Jour., v. 7, p. 488.)
Morbid Anatomy. The morbid specimen examined showed
extreme congestion of the pia mater , and indeed of all the vessels
about the pons varolii and the medulla oblongata . The arachnoid
was thickened and opaque, the ventricles partly filled with serum ,
and the choroid plexuses so engorged as to present the appearance
of mere coagula . The congestion was also very strongly marked
over the entire under surface of the brain , but was absent from the
upper surface of the cerebral lobes. (R. N. Foster, v. 7, p. 487.)
>

Cases of cerebro-spinal meningitis (reported by E. S. Donaldson,

U. S. Med. & Surg. Jour. , v. 7, 494. )
Epidemic of, in Memphis, Tenn. History of cases with remedies
used. (L. D. Morse, A. J. H. M. M. , v. 5 , p. 352.)
Epidemic meningitis cerebro -spinalis. Hard to explain cause and
propagation because
1st. It is in no degree contagious.
2d. It is essentially a zymotic or blood disease.
3d. Though zymotic, it is not bred by dense populations.
4th . It is in no sense miasmatic, though it may assume an in
termittent form .
5th. It has no recognized period of incubation.
6th . It has no characteristic mode of invasion.
7th . It is no respecter of persons ; men, women and children,
in palace and hovel, all are liable to be stricken when in apparently
perfect health.
When brought to face this disease, “ what is to be done must be
done quickly ."
Recognize it by “ the extreme severity of the sufferings without appa
rently sufficient cause, or adequate constitutional disturbance.”
Symptoms. Pain . — Headache of an excruciating character is al
most always present ; in some cases only intermittent, but always
62 PRACTICE .

violent ; generally in the occiput. Pain in the spine, either in the

lumbar or cervical region, more or less severe in different localities.
Flying pains from one part to another often mislead the practitioner
to pronounce it acute rheumatism .
Debility. A great and surprisingly sudden loss of strength. Oc
curs sometimes before any pain is felt.
Coma occurs sooner or later in nearly all fatal cases.
Spasmodicfeatures. — Tetanoid symptoms may or may not be pres
ent ; generally are when the spine is much involved. The opisthot
onos, before spoken of, is the main feature.
Eruption . — The eruption, which was so characteristic of this
malady some time ago, seems to be fading out in the later epi
demics .
In some fatal cases it has only appeared after death, and then
somewhat modified, taking a purplish or blackish hue instead of
>

the deep red color.

Paralysis often occurs early in the attack, rendering the case still
more complicated .
The duration of this malady is from six hours to sixty days.
Convalescence very tedious, relapses common, generally fatal.
Watson thinks a bona fide case rarely recovers full health .
If it selects any particular season of the year for its most violent
assaults, it is late winter or early spring.
Sequelæ . — Hemiplegia, paraplegia, aphonia, deafness, loss of mind,
are among the sequelæ ; the allopathic convalescents are far oftener
cursed by such sequelæ than those who recover under homeopathic
treatment.
Stillé states the mortality at from 20 to 75 per cent.
The general course of the disease may be given as follows :
Anstie says the patient may be taken , while asleep or attending
business, with chilliness, prostration, vomiting, and a headache
which is very distressing.
Subsequent cases will have premonitory symptoms, with sharp
pains in the head, back, and limbs ; in either case the pains finally
->

concentrate upon the spine or head.

Then we find the muscles begin to contract, the head is drawn
backward ; trismus, clonic spasms appear, growing rapidly worse ;
finally furious mental excitement, or deep coma, paralysis, death .
Prognosis influenced by duration of epidemic ; more unfavorable
in hearty, strong subjects, in children, adults after thirty - five.
 SCALP. 63

Most danger during first four days of attack . Cerebral symptoms

more dangerous than spinal.
Treatment : Acon. , Gelsem., Veratr. alb.; in chill and premonitory
stage. Bellad., Helleb., Hyosc., Glon. , Stramon. , Veratr. viride;
in congestive stage and delirium . Nux vom. , Veratr., Rhus rad.,
Cicut. , Cimicif.; convulsive stages, opisthotonos, etc.
Opium , Rhus tox., Lycop ., Hyosc. , Acid hydr., comatose condi
tions .
Arnic., Arsen ., Carb. veg.; complete exhaustion, involuntary
evacuations, singultus.
Silic. , Calc. carb ., Psorin., Sulphur ; protracted convalescence.
Plumbum, Cupr.; paralysis. Higher dilutions more satisfactory.
(J. G. Greenleaf. H. M. , Nov. , 1872, p. 192.)

SCALP.

Eczema. Isabella, æt. 48, scalp covered like as a cap with an

eruption, which oozes profusely. Glands of neck much swollen ;
scalp tender ; discharge dirty and nasty smelling. Is nervous,and
has a forcing pain in temples and nape of neck, preventing her
from stooping and obliging her to press the neck to obtain relief.
Flatulence, high colored urine ; mouth dry and parched ; smokes
tobacco and chamomile flowers for the wind. Brom.30 benefitted
her greatly the first month - after that the discharge increased ;
the ears discharged, and the eruption broke out on the right el
>

bow . Brom . was then given, and in four weeks she was well.
( Robt. T. Cooper. Month. Hom . Rev. , v. 16 , p . 538.)
Eczema capitis and faciei. Four cases cured by Graphit þy
Dr. Ph . A. Arcularius. (N. A. J. H., XX. , 381 ; 1872.)
Tinea capitis. Lappa major in two drop doses of tinct., three
times per day cures tinea capitis, crusta lactea, and the various
forms of eczema. (W. H. Burt. U.S. Med. and Surg. Jour., v. 7,
p. 221.)
Eczema of children is said to have been completely cured by vac
cination. (U. S. Med. and Surg. Jour. , v. 7, p. 223, from the
British Med. Jour. )
Eczema impetiginodes. Willie, æt. 3, had an eruption on the
scalp which first appeared about two years ago. The part is cov
ered with a thick scab . When the crust is removed , from poul
ticing, an eruption appears which is vesicular at the beginning but
soon becomes pustular, these burst, the fluid concretes and a thick
64 PRACTICE .

crust is developed. Sulphurs, morning and night. Cured in about

seven weeks. (G. W. Richards. H. W. , 7 , 261.)
Herpetic eruption on scalp . Miss F. , æt. 30 , had a circum
scribed bald spot on the front part of the head . This spot was cov
ered with an herpetic eruption. She has been subject to toothache
and rheumatic headache, all of which has disappeared since the
eruption came out. Graphit.30, one powder every day, removed the
2

eruption in eight days, but produced a considerable swelling of both

ears and a moist eruption behind the ears, which is quite characteristic
of the action of Graphit. (H. Goullon , Jr. A. H. Z. , 85 , 54.) >

Chronic eruption on scalp and nape of neck ; falling out of

hair ; dandruff ; terrible itching and burning ; the skin on nape of
neck is hard, nodulous and rough ; habitual constipation, in a wo
man beyond the climacteric age ; her mother has been affected
with the same skin disease, and her daughter is similarly affected .
Graphit.12. First considerable aggravation which was followed by
a complete cure. (H. Goullon , Jr. H. Kl. , 1872, 98, 131.) >

Herpes tonsurans, on vertex a circular patch denuded of hair,

while the scalp was puffed up by an accumulation in the subjacent
cellular tissues of bloody pus of an offensive nature, which was dis
charged from time to time. Cured with Lycop.30 (Ph. E. Ar
cularius. N. A. J. H., XXI. , 123.)
Sanguineous occipital tumor. Boy, weighing ten pounds,
had , when three days old , a sanguineous tumor of the size of a
black walnut on the right of the occipital bone. The anterior
fontanelle was closed, the posterior open and connected with the tu
mor. R. Calc. phos.2c, followed by a lessening of the tumor. The
anterior fontanelle opened more ; the connection between the pos
terior and tumordisappeared R. Sulphurze, one dose ; tumor cured .
A depression on the occipital bone, hidden by the tumor, yielded to
three doses of Calc. phos.2c (E. A. Farrington. H. M., Jan., 1872,
p. 273.)

EYES .

IN GENERAL .

Ophthalmiatrik. (By Dr. Payr. I. H. Pr., v . 1, 56, 273, etc.;

.

v. 2, p. 104, etc.)
Inflammation of the eyes by traumatic causes is always
 LIDS. 65

reached by Sulphur, Calc. carb. or Pulsat. ; sometimes, but not so

frequently, are indicated : Acon., Arnic., Conium or Silic. (Hau
stein, A. H. Z. , 85 , 123.)
>

Three weeks ago when blowing the nose, feeling as if something

broke in right eye, which watered much . Since, when blowing
the nose, feeling as if a tight skin came half way down over right
eye, preventing the sight of that eye, removed by rubbing. Caus
tic.6m, one dose cured immediately. (Berridge, M. H. Rev., 16 , 495.)
>

LIDS.

Ectropion. Spontaneous eversion of upper lid during course of

severe conjunctivitis, was relieved by application of dilute “ Pond's
Extract.” (W. S. Searle, U. S. Med . and Surg. Jour., v. 7, p . 142.)
Ectropion, of ten years standing caused by caries of the infra
orbital ridge in a youth æt. 22, cured by operating as follows:
After relieving the lid where it was attached to the bone, an inci
sion was carried parallel with the lower margin of the lid, four or
five lines below it, as far as the external commissure, then a tri
angular-shaped piece with its apex toward the nose, was removed
from the inner corner, and after the lid had been relieved by un
dergliding, it was carried up to a normal line and attached to the
bridge of the nose. The wound was then closed with the inter
rupted șuture and dressed with carbolic acid. (Eye and Ear Clin.
Hahn. Med. Coll. W. H. Woodyatt, U. S. Med. and Surg. Jour. ,
v. 8, p . 75.)
Tarsal tumors. After their removal Thuya will oftentimes
present a return . (W. H. Woodyatt, U. S. Med. and Surg. Jour. ,
v. 7, p. 343.)

LACHRYMAL .

Stricture of lachrymal duct. Operated upon by slitting up

the canaliculus with a Weber's probe pointed knife, and then pass
ing down a Bowman probe every two or three days, increasing the
size of the probe as the case allowed. Kali hydr.3 internally , four
doses daily. (Eye and Ear Clin. Hahn . Med. Coll. W. H. Wood
yatt, U. S. Med. and Surg. Jour., v. 7, p . 344.))
5
66 PRACTICE .

CONJUNCTIVA.

Phlyctenular Conjunctivitis. A clinical lecture. ( By W.

H. Woodyatt, U. S. Med. and Surg. Jour., v. 8, p. 73.)
Ophthalmia. Children of a full habit, but pale ; swelling of
tonsils ; the inflammation attacks mostly only one eye ; greatest
photophobia ; acrid tears flow down the cheek if an attempt is made
to open the eye ; it can not be opened without applying force ;
violent spasms of lids ; the cornea is ulcerated with exudation, and
dirty-whitish, circumscribed deposits ; the children talk as if hav
ing a cold ; fluent coryza frequently attending and aggravating
again when improvement has taken place ; when Calc. carb ., He
pars, Sulph. carb., Merc. viv. , Arsen ., Nitr. ac., Sulphur, etc., have
been of no avail. Calc. jodata. (Goullon, H. Kl., 1872, 67.)
H. S., æt. 41, July 14. Right eye bloodshot ; lachrymation ; it
always aches on lying down to sleep ; agglutination in A. M.( G; irrita
ble ; urine turbid ; had jaundice two years ago ; has had “ drops"
for eyes ; always thirsty ; sweats often in head , face and neck. B ,
Conium2, three doses two hours apart. July 18th . Nearly well.
>

Cured by that dose. (R. M. Theobald, H. M. , Feb. , 1872, p. 331.)

Lachrymation, photophobia, redness of the margin of the
lid with glutinous secretion from meibomian glands, conjunctivi
tis ; left eye worse .
Case of several days standing. Cured in two
days with Eup. perf.200. (H. V. Miller, Med . Inv. , v. 9, 455.)
1. Intense photophobia, with nightly sticking together of the
lids. 2. Obstinate constipation. 3. Rhagadic places running like
radii towards the corners of the month‫ ;ܪܬ‬outside on cheek where
there commenced an infiltrated spot covered with dry scales.
Graphit. 2d trit., one dose every morning. Cured in eight days.
(H. Goullon, Jr., A. H. Z., 85, 47.)
After measles in a child , since three weeks and badly treated
with salves, washes, etc. Copious, purulent discharge of the left
eye ; photophobia, can not open the eye ; around the eye, eczema ;
tearful, irritable disposition. Showing great similarity to the oph
thalmia neonatorum , for which the red precipitate of mercury is
specific. I gave Merc. p. r ., 3d trit., one dose every day, of which
eight doses nearly cured the eye. In less violent cases Hepar
sulph. calc ., 3d trit., one dose every day , will almost always effect
a cure . (H. Goullon, Jr., A. H. Z. , 84, 17.)
Congenital opthalmia. Mr. R., æt. 18, under treatment
 CORNEA . 67

for fifteen years. Botheyes affected,, left eye the most, presenting
the appearance of a piece of fresh raw beef, without resemblance to
an eye ; much enlarged , and protruding from its place ; right eye
also sympathetically affected . With the left eye could see nothing
by daylight ; could see a candle burning at night . Sight of the
right eye good ; left eye felt full of sand ; and when looking at
candle -light, there was a green halo around the light. Scrofulous
diathesis . R. Sulphur 6", one dose, cured in three months . (W. D.
Hall, Trans. Hom. Med . Soc. of Penna., 1872, p. 148.)
Trachoma. The best local application is that of Sulphate of
Copper Crystal. (W. S. Searle, U. S. Med. and Surg. Jour., v. 7 ,
p . 143. )
Pterygium , with a pink color was cured with a few doses of
Argent. nit. Case on cornea with great photophobia , distended
veins, proceeding from external canthus towards cornea, improved
on Sulphur 6", one dose. In a few days an itching, papular eruf
tion appeared on trunk ; improvement continued for two weeks,
when Calc. carb. 6", two doses ; in seven weeks cured. (H. V.Mil
ler, H. M., April, 1872, p. 402.)

CORNEA .

Pustular keratitis. J. H. , æt. 8. A young girl confined for

six years in a darkened room, under allopathic treatment, with no
benefit. Lids spasmodically closed ; had lachrymation and intense
photophobia. Pustular eruption on the face. Both corneæ full of
pustules, ulcers and the scars of old ones. Bowels costive ; appe
tite poor. Cured in three weeks by Psorins, and Silic.30. (W. S.
Searle, Am. Obs.,> Dec. , 1872, p. 571.)
Kerato - iritis. A. B. , æt. 12. Both eyes affected . Excessive
lachrymation and photophobia . Cannot sleep nor eat much . Has
been under allopathic treatment five months. Cured in four
months. Remedies used, Acon.30, Merc. sol.30 and Prot.30, Calc.
carb.30,> Sulphurs and Colchic.S. On recovery partial pupillary mem
branes in each eye. Vision 3 , and reads J. 1 , from three inches
up to three feet. (W. S. Searle, Am. obs. , Dec., 1872, p. 572.)
Penetrating Wound of the Eye. S. L., æt. 33. Tore open
right eye by falling upon the blunt point of an old pair of shears.
Wound extended across nearly the whole cornea, and the upper
segment of the iris, removing a piece of the latter. Recovered
with perfect vision in a month. Atropine was instilled every day,
68 PRACTICE .

Acon . and Arnic.*, followed by Arsen.30 and Hepar30 were given.

2

(W. S. Searle, Am. Obs., Dec. , 1872, p. 572.)

Hypopion. With deep ulceration of the centre of the cornea.
Cured in aa few days by Sulphure. (A. K. Hills, N. A. J. H., 21.)
Tumor of the Eye. June, 1870, Mr. A. F. , æt. 60, gave this
history : “ I first noticed, in June, 1865, a slight inflammation of
the right margin of the left cornea, which grew worse and became
painful. One of the doctors applied something with aa brush that
burned terribly, and prescribed an ointment. In 1867, the eye had
become so bad that it commenced to throb ; the cornea appeared
wrinkled and tattered , and the lid began to droop. In the winter
of 1867 and 1868, a lump as large as a pea formed under the upper
lid, which was removed by an occulist , but very soon a new one
formed on the cornea ; this was also removed. At this time the
cornea was completely surrounded by a whitish, thickened ring,
which had commenced in the form of a white crescent, at the upper
margin. Vision was very much impaired ; a lamp light seemed
like aa web of fire-works, six feet in diameter, with sparks shooting
from it in all directions ; the eye was very painful, as if pain ran
through every nerve of the eye.” Present condition : Right eye
normal; left eye, the upper lid droops half over the eye, without
power to raise it. The cornea has a small spot in the centre that
is partially clear ; that is, it is not thick and rough at this point,
but only nebulous ; the rest of the cornea is thick, rough, warty
like, and looks as if it were a mass of hypertrophied tissue. This
thickened mass surrounds the whole cornea , and is quite vascular ;
the pupil cannot be distinctly seen ; vision only suffices to count
fingers at ten inches ; the eye feels swollen and stiff, and the pa
tient suffers from frequent, very sharp pains through different parts
of the eye, with aching pains in the evening. There is no dis
charge from the eye whatever, and the lid margins are not irri
tated . He complains that gas light seems like a mass of fire
works, and the ordinary daylight is quite painful, so that the pa
tient wears deeply tinted glasses over both eyes. (This was
ordered to be left off from the sound eye.) He formerly used to
suffer from carbuncles on the back of the neck, and had had several
styes on the left eye ; said that his general health had been very much
impaired on account of the worry this eye had caused him, and
from having been obliged to leave his business ; complexion was
earthy and sallow, and he felt weak ; had a poor appetite ,but no
marked symptoms could be obtained . I prescribed Zincuma. From
 CORNEA . 69

that time, for nearly five months, I treated him with varying con
ditions ; sometimes he seemed somewhat improved, but on the
whole he grew worse, till the centre of the cornea became more
vascular and looked very spongy over its whole surface, as though
it would slough . Hepar sulph. was given, followed by Silic.
During the four weeks that followed, the thickened mass seemed
to loosen up little by little, and scale off from the cornea, beneath
which was found perfectly clear and healthy corneal tissue, with
apparently a new epithelial layer. The gradual process of cure
continued for nearly six weeks, till, on the twenty-first of July,
1870, there only remained a small warty-like tumor on the upper
and outer margin of the cornea ; the remainder of the cornea was
almost perfectly clear and free from nebulæ . Vision at that time
was 1% . After this time improvement was very slow through
the fall and winter, and at the present time there still remains
a small thickened portion of epithelium in the old spot where it
was once cut off. Since the patient has regained his vision and
been enabled to dispense with a colored glass, he has grown weaker
and more cadaverous in appearance, and at one time he began to
have spells of fainting fits, which would attack him in the street,
and make him feel most strangely, as if something were rising from
>

the stomach to the head , with a feeling as though he should die, fol
lowed by bewilderment of mind. After a few doses of Calc. carb.20
he has improved, and is feeling much stronger and has had no
“ faint ” turns for several weeks, but the little thickened mass still
persists, with a small thread of a vessel running into it, though I
fancy that even that grows smaller, slowly ; vision has steadily
improved and the lid is quite normal. (T. F. Allen, N. Y. S.
Trans., 1871 , p. 342.)
Congenital Dermoid Tumor of the Cornea and Sclera. Tu
mor on the outer margin of the left cornea, which involved equally
thge sclera and cornea . It had existed from birth, and had not in
creased in size, relatively, to the other structures of the eye. I
found it about four lines in diameter, and about one line in height,
of a yellowish color, and of the general aspect of ordinary dermoid
structure. Some hairs grew from the surface, which, however, did
not irritate the eye, since they projected out through the palpebral
fissure. It had an elastic feeling and was firmly fixed by its nearly
; round base to the cornea and sclera. The patient presented the
very interesting peculiarity of a deficient developmentof the whole
left side of body. The eyes differed in color and size of the palpe
70
PRACTICE .

bral fissure; ; the mouth was grotesquely one-sided, and the left
arm and leg were greatly disproportioned to the right limbs ; the
gait was awkward and shuffling, and the mental capacity very .
inferior indeed. The patient was but little over half -witted . These
tumors are found to consist of delicate fibrous tissues, interlacing
true dermoid structure. Elastic fibres are found, especially toward
the base ; also aa few hair follicles and aa few fat cells scattered about
these follicles, but no glandular structure has been found . (T. F.
Allen , N. Y. S. Trans., 1871 , p. 342.)
In albugo of the cornea the sight was very much improved by the
formation of an artificial pupil. (Eye & Ear Clin. , Hahn . Med .
Coll.; W. H. Woodyatt, U. S. Med. & Surg. Jour. , v. 7, p. 343.)
.

IRIS.

Iritis. A man, æt. 54, complains since several days of pains in

left eye, anddimished vision. The sclerotica shows injected vessels,
singly or in bundles ; the conjunctiva is slightly reddened ; the
cornea appears turbid , ash -colored ; the iris discolored ; on the whole ,
the eye looks as if dead ; there is lachrymation ; sight as if through
fog ; violent, periodical pains. Euphras.' every four hours. Better
after two days; after three more days well. (Stein , H. Kl.,
1872, 42. )
Iritis syphilitica. Inflammation and condylomatous growth
upon the iris, with nearly total occlusion of pupil. Thuya30 & 200 cured
the case. (A. K. Hills, N. A. J. H., 21.)
Iritis with Hypopion. Anterior chamber about half filled
with pus ; eye sensitive to light and air, and must be covered . No
syphilitic origin. Hepar absorbed the pus in 48 hours. (A. K.
Hills, N. A. J. H. , 21.)
Occlusion of Pupil. H. J., æt. 22, left eye destroyed by acci f
dent. The right eye had occlusion of pupil from sympathetic irido
choroiditis. Artificial pupil was made, and the subsequent plastic
iritis prevented by Acon.3 and Merc. sol.?, although the same difficulty
had three times baffled a prominent allopathic oculist. (W. S. Searle
Am. Obs., Dec., 1872, p. 574.)
Leucoma adherens. The obliteration of the pupil in leucoma
adherens relieved by iridectomy. (Eye & Ear Clin. Hahn. Med. Coll.;
W. H.Woodyatt, U. S. Med. & Surg. Jour., v. 7, p. 343.))
>
 71
RETINA.

LENS.

Cataract. A clinical lecture by W. H.Woodyatt. (U. S. Med . &

Surg. Jour., v. 7, p. 433.)
Cataract of right eye ; man, æt. 61. Aug., 1859, Cannab.30 ; Sept. 1 ,
Magn. met.s9 ; Oct. 30, Cannab., high potency ; Nov. 9. Magn. met.,
high potency. The eye - dry before— is now moist, and the sight
commences to improve. March 18, 1860, Sulphur, high potency ;
May 22, Sulphur, high potency ; July 22, Caustic.30, Sept. 22, Sulphur,
high potency. Sight clearer, but no dissolving of cataract. Nov.
21 , Silic ., high potency. Seven days after, great improvement of
sight. Jan. 5, 1861, Silic ., high potency ; entire disappearance of
cataract. (Kirsch, Sr., A. H. Z., 84, 214.)
Another case of cataract in a lady, æt, 60, was cured by the ad
>

ministration of Sulphur, Pulsat., Silic., Calc. carb., Pulsat., Baryt.

carb., Amm. carb. and Magn. met., given in long intervals and high
attenuations. (Kirsch, Sr., A. H. Z., 85, 44.)
Cataract. Mrs. E., æt. 48, complains of heaviness of the eye-lids;
>

mist and gray fog before the eyes, and a feeling as of sand in the
eyes. She was nursing a babe. In the right eye beginning of cata
ract. Burning in forehead ; flashes in right eye; pain as if beaten
in small of back . Sulphur200, Dec., 1871. Nebulous sight; erup
tion on ears ; the eye becomes clearer. Feb. 1 , Sulphur400, and
March 1, 1872, Caustic.60 ; perfect cure. (Kirsch, Sr., A. H. Z.
85, 45.)
Cataract in both eyes — worse in the right. Woman, æt. 63. Oct. 18,
1869, Sulphur6 ; Jan. 4, 1870, Amm. carb.30 and higher potencies till
May. May, Calc. carb., high potency ; July 7, Lycop ., high potency ;
latter part of Aug., Magn. carb., high potency ; Oct. 24, Baryt. carb.30;.
>

Dec. 21, Baryt. carb.200. In the last two months a number of rha
gades appeared in the palms of both hands ; the eyes got entirely
clear in that time. (Kirsch, Sr., A. H. Z. , 85 , 44.)

RETINA AND OPTIC NERVE.

Retinitis albuminurica . Miss M. T., æt. 20. Disease fully

developed in both eyes ; acute Bright's disease ; vision reduced in
left eye to counting of fingers at two feet. Right vision 1. Right
ventricle hypertrophied ; appetite variable; bowels regular; great
thirst for small amounts ; occipital headache of аa pricking character ;
72 PRACTICE.

tongue large, dry and yellowish ; menses too often and venous ;
breath oppressed ; pulse irregular. Cured in two months by
Arsen.3430 and Sulphur3o. Last report, no albumen, right vision i :
left to. (W. S. Searle, Am. Obs., Dec. , 1872, p. 575.)
Hemeralopia. J.W. , æt. 19, worked in a brass foundry for one
week ; had been obliged to stop work at four o'clock , because he
could not see after that hour, in the month of October ; attack came
suddenly, with severe cutting pains. R. Lycop.200 one dose ; re
sumed work well in four days.
Wm. Spear,æt. 15 ; hypermetropic,and has double corvergent stra
2

bismus ; cannot see after 7.30 P.M., from February to July each year ;;
a fog seems to shut in around him ; photophobia in the day time ;
keeps his lids nearly closed ; conjunctiva palpeb . congested ; conges
tion of optic nerve ; pustules developed on margin of left cornea.
March 25, he was put on Lycop. ; in four days the pustules disap
peared , vision in the evening much improved ; saw or met any one
in the evening till the third year, when there was some fogginess
after 9 P.M.; the fourth year the ophthalmoscope revealed jagged
ness of the optic disc, which is bluish ; white splashes in the retina,
following the course of vessels; no pigment deposit— Retinitis Hem
eralopica. (T. F. Allen, Trans. Am. Inst., 1871, § 5 , p. 408–11.)
Hemiopia. A man, æt. 52, accustomed to drink some whisky
every day, complains since three months of a gradual decrease of
visual power. At first it appeared to him as if fog or smoke lay
before his eyes ; to this, at a later period, black spots associated, and
since the last few weeks he can see only the upper half of objects ;
their lower half seemsto be covered by a black veil. His appetite
has been failing since a good while ; his sleep is restless and full of
anxious dreams; he is very sad and could cry all the time. He
knows of no cause. Ophthalmoscopic examination gives no clue.
The regular, but not intemperate use of whisky must lie at the bot
tom ; it was strictly forbidden . Aurum met.), a dose night and
morning, cured in four weeks, notwithstanding the patient did
not leave off drinking his dram every day. (Baumann, A. H. Z.,
85 , 52.)
Sub -Retinal Tumor. March 1870 ; Mary McC ..- a child nine
years of age — was brought to me with the meagre history that,
about a year previous, a slight drooping of the lid of the right
eye was noticed , which had slightly increased . No notice was taken
of it until three months since, when it was accidentally discovered
that the child could not see from that eye. She had suffered from
 EARS . 73

enlarged glands and abscesses in the neck, the scars of which re

mained ; but at the time I saw her seemed in excellent general
health. I find in the right eye a partial ptosis and a divergent
squint of about half a line. The movement of the eye seems per
fect in all directions ; there is no external congestion nor inflamma
tion ; the pupil is sensitive to changes of light before the left eye ,
but sluggish to light and shade before its own eye ; vision is for
fingers only at eight inches.
Ophthalmoscopic examination revealed aa remarkable tumor under
or in the retina, which covered the macula lutea ; vessels could be
traced over the tumor, and small hemorrhagic spots were found
around it ; the size of the tumor equalled two diameters of the
optic disc, and its elevation nine millimeters. The determination of
the height of the tumor (viz.: its projection into the vitreous body)
was effected according to the table given by Prof. Knapp in his
work on intra -ocular tumors, page 71 , (German edition). The ele
2

vation of the tumor was confirmed by Prof. Knapp himself, to whom

I showed the case. The tumor had not grown rapidly since loss of
vision had been noticed , three months previous, and some drooping
of the lid a year before. Prof. Knapp also advised waiting ; and
so, feeling sure that if we found that the tumor grew rapidly , the
eye could beremoved at a future time if necessary. I gave the girl
a dose of Sulphur20 (which was all the medicine she took ) and
waited. For purposes of examination and for obtaining the needed
sketches for the drawing, the pupil was widely dilated with atro
pine. Fall of 1871 ; the right eye has steadily improved , and now
the patient sees across the street with it and can read large type.
The tumor was not malignant ; it has slowly been absorbed.
The case is a very remarkable one. (T. F. Allen , N. Y. S. Trans.
1871, 312. )

EARS .

Auricular Tumors. The auricle of the ear may be the seat of

fibrous, steatomatous, encysted, sebaceous or bloody tumors. All
but the first named are small and somewhat rare . The fibrous tu
mor is frequently found, and at times attains a very large size. It
occurs generally after injuries of the lobe, and shows a disposition
to recur . These tumors are attributed to the irritation caused by
piercing the ears, to galvanic action in the mixed metal used in the
manufacture of so-called fine gold jewelry, and to a scrofulous taint
74 PRACTICE .

of system . (W.H.Woodyatt, U.S. Med. and Surg. Jour., v. 8, p. 76.)

>

Foreign bodies can be best extracted from the ear by the aggluti
native method. A pencil is dipped in a solution of glue, and the
point of it carefully dropped on the foreign body. The patient
keeps his position for some time, till consolidation takes place, when
instrument and foreign body can be extracted together. (N. A. J.
H., 21, 126.)
Polypus aurium . There are three varieties of polypus that ap
pear in the ear, viz.: raspberry-cellular, globular-cellular and fibro
gelatinous ; or, according to Clarke, two, viz.: fibro -plastic and epi
thelial. These growths may spring from the meatus, from the
mastoid cells or tympanic cavity, though the first named is the
common seat. They vary greatly in size and rapidity of growth.
They show a marked tendency to recur after being removed, and
in some cases the entire canal may be filled up in a fortnight with
a fresh development. The prognosis is always favorable. The time
necessary to accomplish their ultimate eradication may vary from
one day to two years. The prognosis with regard to hearing is not
so favorable . The majority of the recorded cases show the hearing
to have been but little, if at all improved. Remedies of reputed
value for these polypoid growths are Teucr., Calc. carb., Sanguin.
and Calc. jod. (W. H. Woodyatt, U. S. Med. and Surg. Jour. , >

v. 8 , p. 77.)
A young man had an offensive, thick , yellow discharge from left
ear, with entire deafness of the same, for nearly twenty -one years.
On examination, a mucous polypus situated at the deep anterior fossa
of the meatus was discovered ; pterygium on left eye somewhat in
jected. Silic., Pulsat. , Calc. carb ., Sulphur, Merc., Hepar s. c. and
>

Teucr. were given without benefit. After Zinc., high, he got par
oxysmal headache — suddenly coming, gradually subsiding - lasting
about half an hour — mostly afternoons — little touches every hour,
two or three regular attacks everyafternoon and evening. Started in
the two supraorbital nerves ; throbbing violently and severely, some
times a single sudden throb. Worse while reading. Worse while
thinking of it ; better from diverted attention. In about a week
these symptoms passed off. Four months later Calc.jod . , one dose
>

every evening for one week. Symptoms produced on taking three

doses : pain in region of heart, of a sharp, cutting nature, not per
mitting him to ascend the stairs ; lasted about ten minutes ; had
this pain about noon for two days ; discharge from ear nearly
stopped ; hearing improving. Frequent urging to urinate, with
 75
OTOLOGICAL HINTS .

sensation as if bladder was full; urine of natural color, strong

smell, voiding about half an ounce every twenty or thirty minutes ;
worse afternoonand evening. On Saturday of second week some
dull aching in affected ear ; on cleansing it in the evening discharge
of somebright, red blood (new symptom ); this continued during
the night and on Sunday, when it was worst ; on Monday evening,
on cleansing the ear there came away a mucous substance about
three-quarters of an inch in length , and three lines in width ; after
that the bleeding stopped. Two weeks later, discharge very slight,
not offensive, hearing almost perfect; for the last week, desire for
sip of water every evening at bed -time. (L. R. Stauffer, Med. Inv.
v . 9, p. 243.)
Otological Hints. When a patient complains of pains in the
external meatus, we often find a painful, rounded and perhaps red
dened tumor, projecting for the most part from the lower or back
portion of the wall of the meatus, and obstructing the passage of
the speculum . This abscess of the meatus may be treated for aa few
days by Bellad. and Sulphur to bring about resolution , but where
it fails we should not hesitate to make aa bold and deep incision into
the swelling. Another common condition of the external meatus
is its occlusion by impacted cerumen, a frequent cause of deafness ;
generally the mass is quite hard, and it must be softened before at
tempting its removal. In syringing the ear, water is the best solvent.
>

Chronic purulent discharges never occur, unless there is suppurative

inflammation in the middle ear and rupture of the tympanum ;
acute purulent discharge may come from an abscess ; a yellowish
serous discharge depends upon eczema of the meatus. Cases of
otitis media purulenta come under treatment in a very chronic stage,
and the nature of the disease is frequently misapprehended ; but
one look through the speculum is often enough to remove all
doubt, for we find the drum bulged forward even to the point of
bursting, instead of being slightly concave. Chronic purulent dis
charges are purely local, and local treatment may be recommended,
though constitutional treatment must not be neglected. Tinnitus
aurium is probably a hyperæsthetic state of the auditory nerve, and
our dependence must be placed upon carefully selected homeopathic
remedies for the removal of obvious diseases from the external and
middle ear. Cases occur, where a person is suddenly seized with
vertigo — mayhap falls to the ground, momentarily loses conscious
ness, becomes pale and perhaps vomits. Simultaneously he becomes
totally deaf in one ear. This conditition is one of hemorrhage into
76 PRACTICE .

or apoplexy of the semi-circular canals. A similar set of symptoms

occurs during or after cerebro -spinal meningitis. Several such cases
were relieved by Kali brom .,'o Silic.30 and Sulphurso (W. S. Searle,
N. A. J. H. , 21 , 233.)
Otorrhea. In consequence of taking cold — otitis catarrhalis ;
since nine weeks copious, purulent discharge; membrana tympani
not affected ; falling out of hair ; leaden heaviness in occiput.
Merc.. p.r.,3d trit., one dose a day, cured nearly in eight days. Any
disease of the eye has an analogous one of the ear ; the single parts of
the eye can correspondingly be found in the ear. Affections of similar
character of eye and ear must, therefore, be amenable to the same
remedy ; purulent discharge from eye or ear is reached by Merc. p. r.
(H. Goullon, Jr. , A. H. Z., 84, 18.) Comp. Raue's Special Pa
thology, p. 54.
C. S. , æt. 5. Aug. 31st. Out of sorts some time , has had for
three weeks a painful and inflamed gathering in the right ear ;
was first in the left ; matter and blood are discharged from it.
Shooting pains run through the ear, especially at night, preventing
sleep often, making her toss restlessly ; rather deaf in left ear. If
the ear gets well, has styes on the eyelids or eruptions at the root
of the nose, under the septum, and a stye on left lower eyelid.
No appetite; especially dislikes meat. Constipation. Phosphorusem ,
six doses in two days.
September 6. After taking the medicine, a gathering formed in
the left ear again , but she became better. Cured. (R. M. Theobald ,
H. M., Feb., 1872, p. 329.)
A Chronic Catarrh of Middle Ear was much relieved by Cal
carea carb. , 4 times per day. (W. H. Woodyatt, U. S. Med. and
Surg. Jour., v. 7., p. 440.)
Suppurative inflammation of the Labyrinth. Richard C.
æt. 13, became almost totally deaf five weeks ago after Cerebro
spinal meningitis. Nothing unusual in regard to the case had .
been noticed until convalesence began. On regaining his feet the
straddling, staggering gait characteristic of this form of deafness
was observed. He now looks, and is healthy with the exception
of the deafness. Right M. T. dull in color, but otherwise healthy.
Left M. T. considerably inflamed . Conduction for sound of heavy
tuning-fork through the forehead and head entirely lost. The
same instrument is not heard through the air at all by the right
ear. With the left it is discerned at two inches. Silicea30. Im
provement at once set in . Kali brom .,', afterwards. The hearing
 NOSE. 77

distance for the fork increased to six feet and over. This is the
first and only case on record in which improvement has followed
treatment for this disease in any school of practice. (W. S. Searle,
Am. Obs., Dec., 1872, p. 368.)
Impaired hearing. The patient suffered with heat and a
heavy pressure upon the top of the head , with soreness of the
brain, extending down to the inner ear, from which she was sel
dom free ; Sulphurzo, four powders were administered for two
weeks, with but little if any improvement. Then administered
Sulphurom , one dose, with immediate relief from soreness and pres
>

sure at vertex, and complete restoration of hearing in left ear.

The hearing in right ear was gradually restored . The patient
has been well since ; hearing perfectly well, except when suffering
from the effects of a severe cold, then for a short time, it was some
what impaired. Also, another similar case of deafness in one ear
cured by Sulphur. (Miller, N. Y. S. Trans., 1871 , p. 617.)

NOSE.

Nasal Catarrh. Must be viewed from two points : 1. The idi

osyncrasy , or constitutional foundation ; 2. The local manifestation .
In homeopathy idiosyncrasies are the rule not the exception.
Symptoms of idiosyncrasies are usually irrelevant to the mechani
cal special pathology of “ co-existing diseases ; ” hence trivial. We
should not reject special pathology but recreate it. It is often impos
.

sible to distinguish constitutional from medicinal symptoms in

provings.
But medicinal symptoms could not appear but by subjective response,
hence are half subjective themselves ; hence, supposing one-half the
symptoms of any proving to be independent of the medicine, or
merely exaggerated by it, the whole proving must be three -fourths sub
jective.
Symptomatology is the scientific, legitimate refuge of positiv
ism in therapeutics. The stage of crises is still governed by me
chanical pathology. Symptomatology is doubly important in
treating chronic nasal catarrh . The absence of any disease in a
proving gives no reason to criticise giving it in that disease on ac
count of constitutional semblance.
The constitution most susceptible to nasal catarrh is the strum

Preoom " ?!
LO
78 PRACTICE.

ous of which the leading types are the sanguine and lymphatic.
The carbo-nitrogenoid of Grauvogl is not exempt.
Strong, highly oxygenized air hurts the sanguine ; moist weather,
the lymphatic.
Strong air helps the carbo-nitrogenoid. Intermediate states give
intermediate indications.
The sanguine (oxygenoid), will often have either a persistent
flush or sudden rushes of blood to the external surface ; dropping
of fluid from the posterior nares ; fullness, and aching sense of
flowing or dropping of fluid from the frontal sinus ; inclination to
refined tastes and habits, etc. The lymphatic, or hydrogenoid (50
called scrofulous) will be sluggish, the whole system lacking in
circulatory activity, especially the extremities; even, it may be, to
clammy foot-sweat ; the glands inclined to swell painfully ; general
flabbiness ; materialistic tastes ; nose painful, dry, clogged with
yellow fetid pus, etc. The medicines correspond ; the first is a
picture of Ferrum , the anti-oxygenoid of Grauvogl, and member of
my fourth class. The other picture will be quickly recognized as
belonging to Calc. carb. And again, the Aurum case , mentioned
hereafter, may illustrate the carbo -nitrogenoid. These are typical
cases ; but the variation from these types is all but infinite, and the
remedies therefore legion. Diet also agrees; the first is aggravated
by stimulants and strong food — the last by poor feeding.
Mechanically, nasal catarrh is hyperæmia, with excessive cell
proliferation, followed by degeneration, occurring, under atmos
pheric or other irritation, first (usually ) in the mucous membrane of
the nose and of the frontal and ethmoidal sinuses. The adjacent
parts sympathize ; throat, eustachian tube, cavity of tympanum , are
often all inflamed . And after a time the subjacent bony and fibrous
structures become affected. Sometimes destruction of parts occurs ,
especially when syphilis and mercury are added to the strumous
diathesis. For these use Kali hyd., Nitr. ac., Kali bich., Aurum.
Kali hydr. delicate skin ; profuse, watery , anterior coryza, acrid
and attended with redness, swelling, nasal voice, and extending to
eyes and ears ; desire to walk in open air..
Nitr. ac., dark, dirty skin ; obstruction with fluent or dropping
coryza ; often mucous, only from posterior nares ; red, scurfy tip
and nostrils ; feels like splinter on touching it ; fetor.
Kali. bich. , has ulcers looking as if excavated by a punch ; dis
charging scabs, like “ clinkers, ” hard, tough, elastic ; dryness or
 NOSE . 79

fluency ; stuffing ; the septum appears to be a particular point of

attack ; also the pharynx.
Aurum suits the bilious patient, especially if left side suffers ;
blows out blood ; much headache ; constipation ; piles ;mucous dis
charge, posterior, in the morning ; internal soreness of nostril ;
frequent sneezing ; caries.
Sticta pulmonaria has the most marked relation to a stuffed ,
painful fullness of the ethmoidal sinuses and superior meatus, and>

of the bridge of the nose ; with entire loss of smell; frontal

headache.
Pulsatilla has never proved as useful in my hands as our books
led me to expect. Besides its notorious general and moral symp
toms, its principal trait is a thick , greenish -yellow discharge; also,
the outer, edge of the nose ulcerates, with watery oozing. These
two symptoms will probably prove the key -notes of this drug.
Silicia . – Sensitive ulcers high up in the nose, with gnawing pain ;
fetor; painful dryness; with every fresh cold, stoppage and acrid dis
charge. Stoppage persistent, from hardened discharge ; loss of smell ;
must keep the head wrapped up ; sneezing in cold air ; chilliness.
Sepia is highly praised by Dr. T. S. Hoyne, of Chicago. I have
little experience with it. Discharge is blown out in yellow -green
lumps, with blood . Nostrils ulcerated. Tip of nose inflamed ,
swelled , scurfy. Besides, consider the general key -notes.
Arsenicum has a profuse, watery,burning,excoriating discharge;
oppression of the chest ; must keep warm .
Sulphur, in refractory or relapsing cases ; with the cachexia so
well known as indicating this drug, and marked by its historic
constitutional key -notes.
Glanderine is said to have proved useful in some cases of malig
nant ozona .
Cepa, Euphr., Gelsem ., Bell., Acon. , Squill, in the early stages.
Camphor for the prodromic symptoms of this and many other acute ·
inflammations.
Allium cepa. Sneezing, bland lachrymation , fluent acrid coryza.
Euphrasia. Acrid lachrymation, with bland fluent coryza.
Gelseminum . Influenza, febrile, catarrhal symptoms ( redness and
discharge) of whole mucous tract, “ summer cold ,” with violent
morning sneezing. Edges of nostrils red and sore ; hands and feet
cold in P.M.; then drowsy fever lasting until towards morning ; half
waking and talking in sleep.
Belladonna. Inflammation , redness, stoppage, fluency ; tonsilli
80 PRACTICE .

tis ; sudden , short spells of pain ; right side worst ; frontal head
ache ; red eyes ; drowsy but cannot sleep ; febrile flush.
Aconite. Persistant, violent sneezing, fever, thirst, restlessnes,
coryza , dry or fluent.
Squilla. “ A regular general snizzle ; ” lachrymation, fluent
coryza ; mucous cough with spurting of urine, and even of watery
stools. Prescribe, usually, six powders of the 200th1 ; giving twice a
week two powders — one night and morning. Ferr. acet., 2d trit, in
naso-pharyngeal abscess, three times a day, after meals. In polypus,
Teucr.6 bis die.
Study the key-note symptoms, finding them under the following
heads, viz. : 1. Locality, minutely considered ; as, the bridge of
the nose suggests first, Sticta pulmonaria ; the posterior nares, Fer
rum, Hydrastis ; the anterior nares , Merc.; pharynx, Kali bich. ;
etc., etc.
2. Tissues affected ; as mucous membrane, Merc., Hydrastis, Ferr.,
etc. ; cartilage, Argentum , etc. ; bone, Calcar., Silic., etc. ; skin ,
Sulph ., Lyc., Ars., and others. 3. Causes ; as mercurial poisoning,
Nitr ac ., Hepar ; combined with syphiltic taint, Aurum ; with
scrofula, Calc ., etc.; from cold, damp weather, Dulc.; cold, dry
>

air, Acon. ; from summer chill, Gels. ; from cutting the hair, Bell.,
Sep.; from uncovering the head , Hepar, Nux vom ., Sil. ; from a
general wetting by rain, or “ falling overboard ,” Rhus, etc. 4.
Nature ofmorbid signs ; sensations, secretions, tissue-changes, etc.;
as trickling or dropping sensation (of fluid ), Ferrum , Merc. ;; thick ,
obstructing phlegm , Hydrastis ; ropy phlegm , Kali bich. ; acrid
water, Cepa, Arsen ., also, Arum triphyllum ; redness, Sulph ., Puls .,
Ars. , Gels. , Merc.; pimples, Lyc., Sulph. ; ulcers, Merc., Aurum,
Kali bich ., Hydrastis, etc. ; intensely sore, sensitive feeling, Arum
triphyl. 5. Mental concomitants ; as moroseness, Hydrastis ; weep
ing mood, Puls. ; despondency, Aurum , Sil., Ferr. ; inertia, Merc.,
Calc. 6. Physical concomitants ; as hepatic or hæmorrhoidal troubles,
Hydrastis, Merc., Nux vom., Sulph ., etc.; if leucorrhoea , Sepia , Hy
drastis, Merc.; if rheumatism , Dule., Rhus., Merc., Puls., etc.; if
headache, Sticta , Sil., Ferr., Acon., Gels., etc. And so on through
the endless phases of vital phenomena. (J. C. Morgan, H. M., Dec.,
1872. p. 201.)
Nasal Catarrh , Mrs. N. D. , middle-aged, has had nasal catarrh
since girlhood ; burning, excoriating, watery discharge from right
nostril ; whitish scabs in nostril ; sensation of pressure at root of
nose ; eyes watery, worse in the wind ; dizzy on stooping and on
 NOSE. 81

going up -stairs ; always had cold , damp feet (Calc. c.) ; formerly
rather corpulent ; easily takes cold ; Kali b. 2 °, two powders cured.
>

(H. V. Miller, H. M., Nov., 1872. p. 199.)

Coryza. Violent sneezing, profuse discharge of rather thin white
mucus ; brought on by exposure to the slightest draft of air, or
when removing an article of clothing. Loss of smell and taste.
Natrum carb.200. (A. K. Hills, N. A. J. H., 21. 102.)
The affection of nose which is located higher up and attended
with stoppage of the nose and headache towards the eyes , requires
Calc.jodata. (H. Goullon, Jr., A. H. Z., 85, 47.)
Ozæna. Mrs. T., æt. 30 ; bilious ; frequent attacks of sneezing ;
left nostril sensitive, subject to small, painful sores inside ; blowing
out blood ; much headache ; constipation, internal dry hemorrhoids
protruding during an evacuation, returning spontaneously ; mucus
passses from head to throat in A.M. Aurum muriąt. Cured .
(W. M. Williamson, Transac. Hom . Med. Soc. of Penna ., 1872.
p. 151.)
Phlyctoeneous eruption on the mucous membrane of the nose, pre
ceded by a very disagreeable itching, and final formation of crusts
which hinder breathing. Spiritus sulphuratus in water, a tea
spoonful night and morning, relieved. (H. Goullon, Jr., A. H. Z.,
85, 47.)
2

Nasal Polypus. The polypus occupied the entire right nostril

and even projected slightly, Teucr. mar., 3rd, gtt ; ter die was
ordered, and Teucr. mar. tinct. morning and night to the polypus.
In one week improved and finally cured. (Richard Epps, Month.
Hom . Rev. v . 16. p. 109.)
Nosebleed, since twenty- four hours; blood dark , tough, each
drop forming a string when falling from nose. Crocus stopped
immediately. (Landesmann , A. H. Z., 85, 185.)
>

Dr. Roland G. Curtin recommends that a piece of old linen,

wrapped like a lamp-lighter, smeared with soft lård , and coated
with dry tannic acid, be inserted into the nostril. (H. M., Sept. ,
1872. p . 79.)
Hepar, s. c. Scurfy formation, in the right half of the nose,
extending down upon the lip with a deep fissure, very sore and
sensitive to touch . (A. K. Hills. N. A. J. H., XXI. , 283.)
Open Epithelioma on bridge of nose since five years ; has ex
tended down to point of nose, and upwards into corner of eye. Con
durango, 4 trit., night and morning, was followed by a violent ery
sipelas of the face and abundant suppuration of the ulcer ; after
6
82 PRACTICE .

this the ulcer commenced to heal from the point of nose upwards ;
now nearly well. (Heyne, A. H. Z. , 85, 197.)

FACE .

Herpes facialis. A humid sore at the commissure of the lips,

cured with Natr. mur.30. (N. A. J.H., XXII ., 123.)
Eruption on face, Crusta serpiginosa. Child æt. 1 ; eruption
on face with terrible itching ; the child has scratched herself raw .
The eruption is worst on the cheeks and around the eyes ; eyes
themselves not affected. Hands and arms cold, swollen and bluish.
Since months treated. Without effect were : Merc. p. r ., Hepar,
Silic., Calc. carb. and Graphit. Sulphur , eight doses, one daily ,
>

cured in a few weeks. ( H. Goullon, Jr., A. H. Z. , 85,54.)

Acne mentagra. Caustic.*, two drops three times a day, caused
pains in face and limbs. A higher preparation had the desired
effect. (Mossa. H. Kl., 1872, 45.)
Cancer of lip. A man æt. 42, has had a cancerous ulcer on
lower lip since six months. The surrounding portion of the lip
is hard and swollen, and the teeth have made lasting imprints into
it ; the lip itself protrudes considerably outwards. He complains
of great burning pain in the parts, especially when talking and
chewing. Condurango, 1st dil., five drops night and morning. Ten
days after pain much less ; in ten days more the appearance of the
ulcer has much improved ; in ten weeks, by continued use ofthe medi
cine, the ulcer has healed and the swelling and hardness of the lip
almost entirely disappeared. (Cl. Müller. I. H. Pr.,> v. 1 , p. 369.)
Anthrax of the face. Mrs. T., æt. 48, dark hair and eyes, with -
marked cachexia , debilitated by close confinement and unusual
care and excitement. The patient experienced a burning ,sore pain.
in the centre of the left cheek, which was supposed to be an incip
ient boil, which she pinched and finally pricked with a needle.
This treatment aggravating it, Climax salve was applied ; which ,
though it mitigated the pain somewhat, did not prevent the in.
crease of swelling ; and I was summoned on the third day of its
development. Its carbuncular character was clearly indicated ; the
line of demarcation was about two inches in diameter, and from its
many openings there exuded the peculiar dirty pus. Guided by
my experience in previous cases, I made deep, crucial incisions
from the line of demarcation on one side to the corresponding line
 MOUTH. 83

on the other, and applied as a stimulant to the sloughing process,

the yeast poultice, giving internally, Arsen . alb., one powder every
>

two hours. On the fourth day the slough exhibited gratifying evi
dences of rapid dissolution, although the tumidity of the cheek had
increased and infiltrated the cellular tissue about the eye, closing it,
and giving to the entire surface an erysipelatous appearance. I
continued the poultice and gave Rhus tox.3 in conjunction with
Arsen . On the fifth day the slough had so much detached itself
that with forceps and scissors the greater portion was removed.
The sixth day I removed the poultice and substituted hot calend
ula fomentations, as suggested by Dr. Helmuth. The tumidity
was lessened and a few distinct points of granulation were visible,
and for two days more, all the symptoms, constitutional and local,
indicated a rapid recovery, when, from some cause, to me unknown
(unless by inoculation from my scalpel), a second inflammation in
sued , extending from the slough line. These local symptoms were
attended by great prostration , diarrhoea and night sweats, chang
ing the prospective convalescence to that of imminent danger and
alarm . Arsen ., first decimal trituration, every hour ; milk punch,
beef juice and yeast poultice. This treatment was continued up to
the thirteenth day. The baggy mass was so firmly adherent, and
the discharge so offensive that, at the suggestion of Dr. Campbell,
I applied a paste of pix liquida and beer. In a few hours it had puri
fied the discharge and greatly increased its amount, so that each
succeeding day large masses of slough were readily removed . Silic.3
one powder every three hours. By the twentieth day the slough
had been entirely detached. The tar was discontinued, and dress
ings of lint, saturated with calendula lotion, substituted. The
granulating process became rapid and has secured to my patient al
most as fully a developed cheek as the sound one. The cicatrix
promises to be, in comparison with the extent of tissue involved ,
almost nothing. (F. L. Vincent. N. Y. S. Trans., 1871 , p. 347.).
> 2

MOUTH .

Toothache, relieved by taking cold water in the mouth ; grows

as bad as ever, as soon as the water becomes warm . Bismuth. nitr.30>
smelling, relief at once ; but next morning after drinking warm
coffee, the pain returned as bad as before. Bismuth didl no good
any more. The pain was throbbing and combined with great rest
 84 PRACTICE.

lessness. Natr. sulph ., smelling ; cessation of pain at once ; no sore

ness left. For experiment’s sake took warm water in the mouth ;
no pain. Increased its temperature to that of hot coffee ; at once
intolerable pain . Smelling on Natr. sulph., relieved again as quick
as before and cured altogether. (Landesmann. A. H. Z. >, 85, 147.)
Faceache and toothache, left side, since several years, worse
from slightest exposure to air ; drawing, tearing pain from malar
bone up into eye and down into neck ; constant phlegm in throat
with hemming ; soreness in the throat; profuse, badly smelling
sweat at night; disturbed sleep. The patient, a woman æt. 39,
has had much grief, is of a melancholic mood. Caustic.30, five glob
ules in water, cured. (Mossa. H. Kl.,> 1872, 44.)
Powdered sugar , mixed into a paste with water and applied to
baby's sore mouth is good , as also in ulcerations. (J. C. Morgan.
H. M., Dec. ,> 1872, p. 248.)
Ranula . Women, æt. 30. Veins under tongue varicose ; “ ex
cess of venosity ” everywhere, especially in the throat. Sulphur,
Hamam. virg. and Pulsat. failed , but Thuya3o benefitted her. (Us
sher. Month. Hom. Rev. , v. 16, p. 108.)

FAUCES .

Mrs. Feeling as if throat were filled up , as if she could not

swallow , causing frequent cough, which brings up from the throat
>

white, frothy and very salt mucus ; worse towards evening.

Chronic case. Silic.sm , one dose cured . (Berridge. M. H. Rev. ,
>

16 , 495.)
Miss —
æt. 17, for three days smarting in throat, first on left
then on right side ; worse . on right side, on swallowing food ,
drink or saliva ; feeling of a lump in both sides of the throat, first
left then right, worse on right ; right ear deaf; shooting from fore
head to occiput ; aching in thighs, worse on motion ; nausea in
stomach on eating and drinking. Bad appetite and sleep. Bryon.cm
one dose. In four days well except a little headache. Sulphuren, one
dose cured.. ( Berridge. M. H. Rev. , 16, 495.)
A child æt. 3, had a copious flow of purplish saliva during an at
tack of angina of the left side, in which spasms ensued with opis
thotonos. Plumbum has 66increased secretion of saliva which has
a bluish color.” But the other symptoms called for Bellad ., which
I gave. (B. W. James, H. M. , Feb., 1872, 336.)
>
 FAUCES. 85 '

Diphtheria . In cold weather when diphtheritic inflammations

are liable to prevail, Phytol., 3d or 6th trit., may be recommended
in almost every case of incipient dryness or soreness of the throat
that may result in diphtheria. (A. E. Small, U. S. Med. and Surg.
Jour., v. 7, p. 151.)
Lachesis. Sore throat, hurting patient to swallow , with great dif
ficulty in swallowing ; in bad cases, the fluid swallowed runs out
through the nose ; dislike to have throat touched or examined ;
flushed face ; quick pulse ; breathing oppressed ; membrane com
mences on left tonsil and pharynx extending to uvula and right
side. Laches. will remove the membrane in from twenty - four to
thirty-six hours less time than Lycop. In cases where the mem
brane is just forming, will remove it in forty -eight hours.
Lycopodium . Membrane comes first on the right side, and if the
formation is not stopped, goes to the left side ; difficulty in breath
ing ; in bad cases, fan-like motion of alæ nasi; speech indistinct, in
some cases when the formation of membrane had gone on for some
time, soporous condition and indifference to external surroundings,
and impatience on awakening. Given in cases where the mem
brane is just forming, Lycop. will remove it in seventy -two hours.
When fully formed it will sometimes take five days. The mem
brane is not so likely to form a second time on the right, as it is on
the left side. In one very severe case, membrane came twice on
the right side, and three times on the left.
Bromine. In cases where the membrane forms back almost over
the larynx. I have found it very serviceable in my own case, re
moving husky tone of voice in a few hours. Brom . has preference
for the left side of throat also, and stiffness of neck sometimes ac
companies it.
Belladonna. When the patient finds the disease coming on
quickly, is afraid she will choke to death, and knows she will not
get well, will not lie down for fear of choking, Bellad. will relieve
promptly, but will not complete cure alone. (W. McGeorge. H.
M. , Aug. , 1872, p.
. 16.)
Mrs. B. , July 30th , dark -red inflammation of tonsils, which are
eovered with a whitish, rapidly increasing exudation ; disease be
gan on right side, extending to left; high fever ; thirst ; flushed
face ; pulse 130, four to one ; irregular; great prostration ; dry,
brown, triangular tip of the tongue (Rhus tox ); bones ache ; accu
mulation of much tough saliva in mouth, with difficult expectoration ;
dysphagia ; dry cough with intercostal soreness on lower right side ;
86 PRACTICE.

slimy stools with tenesmus, continuing afterwards. B. Merc. viv.os,

three hours.
July 31st. Tongue better ; pulse 104, four to one ; regular ; can
swallow better; throat less inflamed ; patches remain. ; face flushed ;
profuse sweat last night; thirst ; dark -yellow , loose, slimy stool, with
griping and tenesmus. R. Merc. viv.ce P.M. Has aching pain in back,
head, legs, wrists ; pulse 112 ; no diarrhoea, but tenesmus ; throat
CC
better. B. Phytol. “ three powders. Aug. 1st. Much better. Sacc.
lac. (H. V. Miller. H. M., April , 1872, p . 408.)
Of malignant sore throat thirty -two out of forty died in two
weeks ; I treated twenty -eight cases in a week, fourteen cases with
croupy symptoms, of which four died. Used Cyanuret of mercury
successfully in all the cases.
Mary M., æt. 7, blonde, well built, never sick ; had been cough
ing for a week ; for four days had sore throat, expectorating, after
violent efforts, glairy mucus ; for three days suffocative paroxysms
woke her during night, with barking cough. Emetics give only
momentary relief. Child sitting up ; muscles of face contracted ;
face cyanosed ; skin burning; eyes injected and staring ; voice ex
tinguished ; larygo -tracheal whistling ; nasal cavities obstructed by
false membranes ; submaxillary ganglions engorged ; saliva flows
constantly from open mouth ; tonsils, velum palati, etc., covered
with false membranes ; has refused all food for twenty -four hours.
R. Brom . 3d in water. Next A.M. child worse, refuses to be exam
ined, force produces suffocative fits. R. Tart. em.3 in water. In
evening the same state, fear she cannot live all night. R. Cyanuret
of mercury 3d, every two hours. Next A.M. Child better. After
the second spoonful the child had expectorated a quantity of thick ,
greenish masses, like green ribbons. Continued the Cyanuret with
constant improvement up to the twelfth day when hoarse voice,
etc. , led me to R. Hepar, 12th dil., every three hours. On four
teenth day B. Cyanuret again ; she takes it till nineteenth day,
when she takes Phosphor . on account of aphonia. (Paul Roguin.
H. M. , Dec. , 1872, p. 226. Trans. S. L. Lilienthal, L'art Medicale.)
Girl, æt. 12, large, strong, sanguine temperament, never had
convulsions. During three days she complained of sore throat and
expectorated only with great effort some glairy mucus ; submaxil
lary glands engorged and the tonsils covered with diphtheritic ex
udations. Since twenty-four hours the disease has taken a convul
sive turn . She lies in a convulsion about six minutes, but the eyes
remained fixed ; she utters unhuman cries, and by degrees all her
 NECK. 87

senses return, except speech ; she answers by signs for about ten
minutes longer, whep speech also returns. At other times she
throws herself on the ground after a fit, and with her hands and
feet scrapes the floor like an animal that wants to make аa hole . B.
Cyanuret of mercury and Stramon.o in alternation every hour. After
twenty -four hours the convulsions ceased , but returned again in
the evening . Still kept on with the same treatment and patient
recovered fully in a short time. (P. Roguin. H. M., Dec., 1872,
p. 228. Trans. S. L. Lilienthal.)
Merc. jod. ruber. Useful in complete loss of voice in diphtheria.
(W. McGeorge. H. M., Aug., 1872, p. 17.) ·
Paralysis after Diphtheria. Prof. Buhl (Zeitschr. f. Biol. III.,
4 , p. 341, 1867), found the anterior and posterior spinal roots, where
they unite, and the spinal ganglia thickened to double their size,
dark -red colored and softened in consequence of a diphtheritic in
filtration of the sheaths of the nerves and of the interstitial connec
tive tissue. (Mtsbl., Jan., 1872, 1.)
Diphtheritic paralysis takes place sometimes even (a) after
light attacks ; other diseases it follows only very grave attacks ; (b )
it follows immediately the attack ; other diseases it follows much
later; (c) it attacks certain groups of muscles and in a certain order.
The sympatheticus seems to be the medium by which diphthe
ritis acts upon the muscles. (Mühsam . C1. Mul. C. Z. J. H. Pr.,
v. 2, p. 374.)

NECK.

Inflammation of the right parotid gland ; threatened súppura

tion. Child æt. 31. Aug. 7. Erysipelatous blush in the adjacent
skin extending over the eyelid and even the nose . Bellad.30. Aug.
8th. Slight improvement. Aug. 11th. Worse. Aug. 12th. Right
eye closed from swelling. Sulphur3 , followed by Heparo, finally
2 2

cured . (M. L. Sircar. H. W.,, 7, 6.)

Glandular swellings on the neck, in the armpits, in the in
guinal regions, on the elbows and in the abdomen , all of consider
able size and not very hard nor painful; no leukæmia. Patient an
old lady æt. 70. She is now pale, weak and emaciated ; previously
she was stout and strong. Tinct. Fowleri, five drops in water
night and morning and gradually increasing to twenty- five drops,
or again diminishing when poisonous symptoms appeared . A cure
88 PRACTICE.

by Prof. Billroth , who considered this action of Arsen. as quite

mysterious. A clear case of homeopathia involuntaria . (Mossa,
H. KI., 1872, 19.)
Boy had for three days a swelling in front of throat ( region of
thyroid body ), extending a little round sides towards parotids, com
mencing on left and extending to right side ; cannot move neck ,
but holds it stiffly. Silic.cm , one dose cured in two days. ( Berridge,
2

M. H. Rev., 16, 495.)

ESOPHAGUS .

Esophagus feels as if constricted from above down to stom

ach. Baptis. tinct.; smelling relieved at once. ( Landesmann. A.
H. Z., 85, 146.)
Arsen.200 cured in three months, a burning soreness behind lower
end of sternum , in a woman æt. 55, worse when swallowing food ;
for many years preventing her closing her dress. Diagnosed ulcer
ation of esophagus. She can now wear a tight-fitting dress and
corset. (W. J. Blakely. Trans. Hom . Med. Soc. of Penna., 1872,
p. 100.)
Cancer of the Esophagus. A report of a case by R. N. Fos
ter. (U. S. Med. and Surg. Jour.,) v. 7, p. 503.)

LARYNX .

Hoarseness in consequence of taking cold and straining the vo

cal organs, as in public speakers. Caustic. frequently successful.
(Mossa, H. Kl. , 1872, 45.)
Aphonia. Patient of slender form and subject to menstrual ir
regularities, had suffered from several attacks of aphonia, and at
times would be unable to utter a loud word for a week. Prescribed
Pulsat.30, to be taken in water every three hours during the day.
Next day no better. While examining the anterior portion of the
neck, discovered a spot very tender to the touch. Prescribed Laches.
every three hours, till three doses had been taken, and then omit.
Following morning found the patient had regained voice in its
usual strength and clearness, and said that immediately after tak
ing the third dose of the medicine, the voice returned , and the ten
derness in the cervical region soon passed away. (S. C. Knicker
bocker, N. Y. S. , Trans. 1871 , p. 275.
 LARYNX . 89

Spasms of Larynx. Attacks consisted of a sense of constric

tion of the larynx, attended with dryness of the whole throat and
mouth, and invariably occurred after sleeping. The exacerbation
after sleeping being the “ key -note ” of Laches. that never failed me,
I prescribed Laches.2 No return of the spasms for several weeks,,
when, one day , she sent me a message, saying there had been a
slight return of the throat difficulty. Laches., three times a day.
No return of the disease since. (S. C. Knickerbocker, N. Y. S.
Trans., 1871, p. 276.)
Spasm of the Glottis. Henle's view, that the combined ac
tion of the internal laryngeal muscles is that of a sphincter, was il
lustrated by diagram . Dr. Allen proposed to class in two groups,
all the laryngeal muscles, according to their nerve supply ; the in
ferior laryngeal supplying all the proper sphincters, the superior
laryngeal supplying only the crico-thyroid muscle, and in part the
arytenoid, whose action is to cause tension of the vocal chords,
while the internal muscles constrict the opening of the rim or glot
tidis. Spasm of the muscles supplied by the inferior laryngeal
nerve would be hoarse and croaking, simulating the only noise
lower animals can make.
Spasm of the muscles supplied by the superior laryngeal nerve
would have аa clearer and more shrill sound.
That form of spasm known as Millar's Asthma, which is often
fatal to children , undoubtedly arises from irritation of the nerve
centres. Inspiration is only affected with a shrill, crowing sound.
Irritation of the stomach or lungs, may produce spasmodic, hoarse
sounds. Among the many drugs which may relieve different forms
of a spasm of the laryngeal muscles, are those belonging to the ha
logen group : Chlorine, Iodine, Bromine and Fluorine .
Chlorine has most wonderfully relieved and cured spasm of the
glottis, occurring both on inspiration and expiration ; in all the
cases I believe the spasm was excessive, and attended with shrill
sounds. Attempts to produce spasms on a dog failed ; some per
sons, however, seem exceedinglysusceptible to the gas, and suffer
from spasm of the laryngeal muscle whenever they inhale it.
Bromine produces gasping and snuffing for breath, with wheezing
and rattling in the larynx, heat of the face and head, etc.
Iodine produces a tightness and constriction about the larynx,
with soreness, hoarse voice, etc. Dr. Dunham recently related to
me a case of spasm cured by Iodine.
90 PRACTICE .

Fluorine produces soreness and increased irritability in the larynx,

with impeded respiration , wheezing, etc.
Now under treatment, a case of spasm of the laryngeal muscles,
evidently due to chorea, in which a hoarse, cat-like sound was made
at the commencement of expiration.
Ignatia and Stramonium have seemed most appropriate to the case.
(T. F. Allen.)
Dr. Dunham said : My involuntary provings of Chlorine, and my
successful use of it in several cases of spasmus glottidis, are re
corded in the American Homeopathic Review. In that journal is
also published under the title of “ Basis of Treatment”, a case of
this disease which had been treated, without effect, by all the reme
dies that have been mentioned here and by many other kindred
20
drugs, but was speedily cured by Nux vom .? It was published to
show that the symptom to which prominence is given by the pa
tient or his friends, may be a very important one as a guide to the
remedy ; that the spasm of the glottis may often be properly re
garded as only a " gymptom of the symptoms”, secondary upon
some other pathologieal condition ; and that, if a survey of the
whole state of the patient shows some remedy to be clearly indi
cated , in the pathogenesis of which spasm of the glottis hardly
appears, if at all, we may, nevertheless, give the remedy with a rea
sonable confidence that the spasm as well as the other symptoms
will yield. The case for which I recently prescribed Iodine, as al
luded to, was that of an infant of ten months, whose mother states
that early in life the child had marasmus, and was very low. Re
covering from this, under homeopathic treatment, she had a wheez
ing or rattling in the chest, which gradually increased for two
months, until she could be heard breathing at a great distance.
She coughed for a week or two, then the cough ceased. About
August 1st she began to have spasms of breathlessness, occurring
usually at night when asleep and during the day while asleep, and
seeming as if they would take her life. I could not distinguish a
special indication for any remedy in any peculiarity of these spasms;
and otherwise the child seemed perfectly well. I therefore adopted
a plan which has often helped me in blind cases. I went back on
the line of development of the child's symptoms, until I found
symptoms which furnished an indication, and then prescribed as
though these symptoms were now present. Adopting this plan, it
may be remembered , I years ago prescribed for a deaf young man
of seventeen years Mezereum , which corresponded to the milk crust,
 LARYNX . 91

the suppression of which, twelve years before, had been immediately

followed by the deafness. I prescribed just as though the milk crust
were actually present, and the deafness was speedily and perma
nently cured. Acting on this plan, I recalled the marasmus which
the child had had , and the symptoms of which , as described to me,
indicated Iodium . This remedy was certainly not contra- indicated
by the affection of the glottis, which was, I think , a partial paral
ysis, and not spasm . The attacks of dyspnea gradually ceased, and
within ten days had disappeared. Indications for Iodium : Enlarge
ment and induration of the glands, cervical and mesenteric ; absence
of appetite, utter indifference to food ; scanty, high colored urine ;
clayey evacuations; emaciation ; yellow skin ; action of the heart
feeble and much increased by motion.
The breathing furnished no particular indication for Iodine more
than for Spongia or Sambucus. The Chlorine has difficulty in ex
piring ; none on inspiration ; Sambucus has the reverse . He knew
no such indications for Iodine. Two hundredth potency was used .
(N. Y. S. Trans., 1871, p. 573.)
Laryngismus stridulus. Infancy is most liable to laryngismus,
and it grows less and less frequent until the third or fourth year ;
after this date examples are quite rare, but still do at times occur,
even in adult age. Perhaps the most frequent exciting cause is dif
ficult dentition ; the irritation from the inflamed and swollen tissues
here is reflected upon the laryngeal nerves, and the disease thus
produced . Where a predisposition exists, a large variety of exciting
4

causes will develop it.

Treatment. - Call for a sponge and hot water - not too hot ;
squeeze the sponge out in this and apply it to the throat, changing
it often . . If the case is one of spasm it will do good ; if it be one
of paralysis it will do no harm . Take the child to the open window,
for it needs the purest air when it can get so little. A dash of cold
water on the face or chest will sometimes restore the respiration
when it seems beyond reach. If the patient can inspire, but not
expire, it is spasm ; if he can expire, but not inspire, it is paralysis.
Consider carefully the question whether it may be due to enlarged
thymic, cervical or thoracic glands. Press your fingers deeply under
the sterno -cleido -mastoid muscles ; for this is the location of the
deep-seated lymphatic glands which are most likely to give rise to
trouble.
Chlorine gas, in a weak, watery solution. Its symptoms are as
follows: Spasm of the glottis, which interferes but little with inspi
92 PRACTICE.

ration - giving to it a crowing sound — but which prevents expira

tion. The respiratory acts consist of a succession of crowing
inspirations, each followed by an ineffectual effort at expiration ;
the whole serving to inflate the chest to a most painful extent.
This finally results in more or less complete asphyxia , with or with
out convulsions, during which the spasm relaxes and free respiration
2

takes place.
The remedy which most closely resembles Chlorine in its action is
Mephitis. It has the suffocative feeling, with inability to exhale ;
the bloated face and convulsions ; but I am not aware of any char
acteristic symptoms which indicate it in distinction from Chlorine,
nor has it ever cured spasm of the glottis to my knowledge .
Sambucus was the remedy selected by Hahnemann for this.
The determining symptoms for its employment are these : Burn
ing, red, hot face ; hot body, with cold hands and feet during sleep :
on awaking, the face breaks out into a profuse perspiration, which
extends over the body, and continues more or less during the waking
hours ; then , on going to sleep again, the dry heat returns.
Moschus has similar symptoms, and is said to have cured laryn
gismus. It was probably hysteric in character.
Lachesis will be indicated when there is sensitiveness of the
larynx and trachea to touch. Bähr says that the symptoms of
closure of the rima are more marked in the pathogenesis of Plum
bum than any other drug. It has the mucous rale, with sudden
difficulty of breathing and asphyxia.
Cuprum presents similar symptoms. Cold perspiration at night;
any accompanying cough should be relieved by a swallow of cold
water.
Spongia and Iodine should be studied when we have reason to
suspect enlarged glands as the cause of the disease.
Ignatia has the characteristic symptom of difficulty of inspiration ,
with easy expiration.
Gelseminum has long inspiration , with crowing sound ; expiration
sudden and forcible.
Corallia rubra in cases which are difficult to distinguish from
whooping cough.
Other remedies recommended for this disease are Ipecac., Hydr.ac.,
Opium , Veratr. and Arsen .
Case. A female infant would suddenly and without warning
make a long inspiration , with a slight crowing noise ; an attempt
to exhale would follow , but without success ; another crowing in
 LARYNX. 93

spiration, with ineffectual effort to exhale ; and this would be

repeated until the child became blue around the mouth and sank
into partial unconsciousness, when free respiration would take
place, and the child sink into deep sleep. Frequently, toward the
close of an attack , convulsive movements would be noticed , and
once general spasm occurred . At first these attacks came on only
after excitement ; they frequently, during sleep, roused the child
suddenly, and were most common from midnight to seven A.M.
Within the week before I saw her, they had become very frequent
-as many as thirty or forty during twenty -four hours. She had
begun to emaciate rapidly ; had but little appetite, strength and
playfulness; the face was pale and bloated , and the eyes had aa dull
and glassy expression. During the previous year an older child had
been lost,under allopathic treatment, with the same affection . The
antopsy in that case had revealed no organic lesion. Cured by
Chlorine. (W. S. Searle, N. Y. S. Trans., 1871, p. 247.)
Laryngismus stridulus, by E. Clarke, cured by Bellad.204 *.
(N. A. J. H. , 20, 566, 1872.)
Histology of Croup. After death we do not find the croup
membrane any more in connection with the mucous membrane, but
only loosely cohering to the same. The mucous membrane shows,
microscopically examined , the following alterations : there are in
some cases, traces of hyperæmia, in others we find anæmia .
The epithelium has entirely. disappeared except in the more deep
ened places of the mucous membrane; the mucous membrane is infil
trated , more so however, in its superficial than in its deeper layers.
2

In consequence of this, the excretory channels of the grape-like glands

are compressed . The croup membrane shows a great abundance of
cellular elements, consisting of round , transparent, sometimes turpid
cells, in consequence of an admixture of albumen. These cellular
elements are imbedded in a homogeneous substance, by which they
are held together. The whole seems to be an exudation of innume
rous colorless blood -corpuscles from the vessels of the mucous mem
brane, upon its surface, cemented together by transuded fibrine of
blood -plasma. (F. Steudener, Virchow's Arch ., v. 54, No. 4, 1872 ;
Allg. Med. Cent. Ztg ., 1872, 33 ; Mtsbl., May, 1872, 43.)
Croup. Cubeba. False membranes ; thick and of dark shade ;
principally in larynx ; respiration noisy and panting ; sensation as
if the head was choked up ; with heaviness of head and danger of
suffocation ; voice harsh and wheezing, during and after cough,
cold sweat upon the breast and back ; burning in abdomen ; respir
94 PRACTICE.

ation impeded ; difficult with crepitant rale; great fullness of chest ;

dyspnoa and sense of suffocation; barking croupy cough with
sensation of a foreign body in larynx ; throat dry and parched ;
respiration hurried and noisy ; face red and pale by turns; contractive
and pressive headache with drowsiness; but without sleep, un
easiness, anxiety, cannot remain in bed ; constant need to swallow
the saliva, to relieve the dryness and suffering in throat and larynx ,
Kali bichrom . Suits best fat, chubby children, onset gradual and
insidious; hoarse voice constant ; cough at intervals — hoarse, dry ,
barking, metallic; deglutition painful; tonsils and larynx red , swol
len ; covered with false membrane, difficult to detach , with expec
toration of tough stringy mucus.
Lachesis. The children as it were “ sleeping into croup;" when
thoroughly roused, breathing pretty freely.
Lycopodium . Hoarseness remaining after croup ; in last stage of
croup, a loose cough in day -time and suffocative fits at night; in
general, suffocative paroxysms alternating with free intervals.
Phosphorus. Croupy bronchitis with great weakness; better
towards morning ; voice very hoarse and croup deep ; tendency to
relapse ; in tall, slender persons.
Sanguinaria. Chronic dryness of throat, sensation of swelling
in larynx, with expectoration of thick mucus ; aphonia, with swell
ing of larynx ; continual ““ severe cough without expectoration ,”
with pain in head and circumscribed redness of the cheeks ; tor
menting cough with sensation of exhaustion . (S. Lilienthal, Med .
Inv., v. 9 , p. 57.)
Croup. As a sequel of measles ; with report of cases. ( J. E.
Morrison, U. S. Med. and Surg. Jour. , v. 7, p. 282.)
>

COUGH CHARACTERISTICS. - BY DR. HIRSCHEL .

( Translated from Hirschel's Klinik, Oct., Dec. , 1872, by S. Lilien

> 2

thal, M. D.)
1. According to the Seat of the Cough . a a . Affections of the
larynx and trachea ; Acon ., Bellad., Brom ., Chamom ., Conium , He
par, Hyosc., Ignat., Ipecac., Jod ., Kali bichr., Lauroc., Merc. viv ., !

Nux vom., Opium , Phosphor., Pulsat., Sepia, Spong., Sulphur. Am

bra, Lact. vir., Acid nitr.
b. Affections of the bronchi and lungs : Acon., Ant. tart ., Arnic .,
Bellad ., Bryon ., Calc. carb. , Chamom ., Droser., Dulcam ., Hepar ,
 COUGH CHARACTERISTICS. 95

Hyosc., Ipecac., Jod ., Kali bichr., Merc. viv ., Nux vom., Opium ,
Phosphor ., Pulsat., Seneg ., Sepia, Sulphur, Veratr. Amm. mur.,
Arsen ., Carb. veg ., Caustic., Cinchon ., Cina, Cuprum , Ferr., Nitr.
ac .., Stann .
C. Affections of the brain and spinal cord , or, especially the vocal
2

and respiratory nerves : Bellad ., Chamom ., Conium , Droser., Hyosc.,

>

Ignat., Ipecac., Lauroc., Nux vom., Opium , Phosphor., Veratr.

Ambra, Caustic ., Cinchon ., Cuprum , Lact. vir.
d . Heart and large blood vessels ( reflex cough ): Acon ., Bellad .,
Lauroc., Opium , Phosphor., Veratr. Arsen ., Nitr. ac.
e. Stomach and intestinal canal ( sympathetic cough ): Ant. tart.,
Bryon ., Calc. carb., Ipecac., Nux vom., Pulsat., Sepia, Sulphur, Ver
atr. Amm . mur ., Arsen ., Cinchon .
f. Pharynx, uvula, and adjacent parts ( cough by radiation ): Bel
lad ., Bryon ., Hepar, Merc. viv., Nux vom ., Phosphor., Pulsats, Sepia,
Sulphur. Carb . veg., Nitr . ac.
2. According to the Morbid Process. a. Catarrhal state :
Acon ., Ant. tart ., Arnic ., Bellad. , Brom. ,> Bryon ., Calc. carb .,
Droser., Dulcam ., Hepar, Ipecac., Jod., Kali bichr., Merc. viv ., Nux
vom ., Pulsat., Seneg ., Sepia, Spong ., Sulphur, Veratr. Amm . mur. ,
Carb . veg ., Caustic., Nitr. ac., Stann . For simple acute catarrh
with fever : Acon., Bellad ., Bryon ., Merc. viv.; during the first
stage : Acon ., Bellad ., Brom ., Bryon ., Droser., Ipecac., Jod., Kali
bichr., Merc. viv., Nux vom., Spong. ; in the second stage, the
cough loosening : Ant. crud. , Hepar, Pulsat., Seneg., Amm . mur. ;
for chronic forms: Calc. carb., Droser., Hepar, Jod., Pulsat., Seneg.,
Sepia, Sulphur. Amm . mur., Arsen ., Carb. veg., Cinchon ., Ferr.,
Nitr. ac. , Stann.
b. Inflammation : Acon ., Ant. tart., Arnic., Bellad., Brom .,
Bryon ., Calc. carb., Hepar, Jod. , Kali bichr., Merc. viv., Phosphor.,
Spong., Sulphur. Arsen ., Nitr. ac ..
C. Organic morbid process (with changes in the texture ): Ant.
tart ., Arnic ., Brom ., Bryon ., Calc. carb ., Conium , Hepar, Jod ...
Kali bichr., Merc. viv ., Phosphor., Seneg ., Sepia , Sulphur. Arsen .,
Carb. veg., Cinchon ., Nitr. ac., Stann .
d. Nervous morbid processes (of peripheric or central origin ); Bel-
lad., Chamom., Conium, Droser., Hyosc., Ignat., Ipecac., Lauroci,
Nux vom., Opium , Phosphor., Sepia, Veratr. Ambra, Arsen .,.
Caustic., Cinchon ., Cina, Cuprum, Lact. vir.
3. According to the Species of the disease. a, b. In laryn
geal and tracheal catarrh : Acon., Ant. tart ., Bellad ., Brom., Conium ,
96 PRACTICE .

Hepar, Ipecac., Jod ., Kali bichr., Lauroc., Merc. viv., Nux vom. ,
Opium, Phosphor., Pulsat., Sepia, Spong., Sulphur. Ambra , Lact.
vir. , Nitr. ac.
c, d. In bronchial and pulmonary catarrh : Acon. , Ant. tart ., Arnic .,
Bellad ., Bryon ., Brom ., Calc. carb ., Droser., Dulcam ., Hepar, Ipecac.,
Jod., Merc. viv., Pulsat., Seneg ., Sepia, Sulphur, Spong. , Veratr. >

Amm . mur ., Arsen ., Carb. veg., Cinchon ., Ferr., Nitr. ac., Stann .
e. During an influenza we either use the antiphlogistics : Acon. ,
Bellad ., Brom., Bryon ., Jod. , Merc. viv., Phosphor., Spong.; or the
antispasmodics : Caustic., Chamom., Conium, Droser., Hyosc.,
Ipecac., Opium , Phosphor., Veratr. ; when the cough becomes loose :
Ant. tart., Hepar, Pulsat., Seneg.; in the chronic forms: Amm.
mur. , Arsen ., Calc. carb ., Carb. veg ., Cinchon ., Ferr., Sepia,,
Sulphur.
f, g. In laryngitis and tracheitis : Acon ., Ant. tart. , Bellad ., Brom. ,
Bryon ., Hepar, Jod ., Merc. viv., Phosphor., Spong.
h, i. In bronchitis and pneumonia : Acon., Ant. tart., Bellad ., Bryon .,
Hepar, Jod ., (Kali hydr.), Merc. viv., Phosphor., Seneg. , Sulphur,
>

Arsen ., Cinchon.
k. In croup (angina membranacea ): Acon., Ant. tart., Brom. ,
Hepar, Jod. Merc. viv. , Phosphor., Spong.
1. In pseudoplasmata, ulcerations, disorganizations, ( cancer, gan >

grene), disturbances of canalization (bronchiectasia, emphysema, stric

tures), atrophy, cirrhosis, tuberculosis in larynx, trachea , bronchi and
lungs : Ant. tart., Amm . mur., Arnic., Arsen., Brom ., Calc. carb.,
Carb. veg ., Cinchon ., Conium , Droser., Ferr., Hepar, Jod ., Kali bichr.,
Lact. vir. , Merc. viv., Nitr. ac., Phosphor., Seneg. , Sepia, Spong. ,
Sulphur, Stann ., or some others, as intermediate remedies.
m . In simple spasmodic cough of peripheric or central origin : Bel
lad ., Chamom ., Conium , Droser., Hyosc., Ignat., Lauroc., Nux vom.,
Opium , Phosphor., Veratr. Ambra, Caustic. , Cinchon ., Cuprum ,
Lact. vir .
n. In whooping cough : Bellad ., Bryon ., Conium , Droser., Hepar,
n.

Ipecac. , Lauroc., Pulsat., Veratr. Ambra, Arsen., Cina, Cuprum .

0. In stenosis of the glottis (comp. Sambuc.): Brom. , Bellad., Jod. ,
Phosphor., Spong.
p. In nervous bronchial asthma : Bellad ., Chamom ., Conium ,
Droser., Hyosc., Ignat. , Ipecac., Lauroc., Nux vom. , Opium , Phos
phor., Sepia, Veratr. Ambra, Arsen ., Lact. vir.
q. In angina pectoris or reflex cough from organic disease of the
heart (based on pulmonary stasis ): Acon., Bellad., Bryon ., Calc.
>
 COUGH CHARACTERISTICS. 97

carb., Hyosc., Ignat., Lauroc. , Opium , Phosphor., Sulphur, Veratr.

Arsen ., Carb. veg., Ferr. vir., Lact., Nitr. ac..
Aconite, PRIMARY stage of catarrhs (as coryza, influenza, simple
acute catarrhs), and inflammatory states of the respiratory organs,
especially when fever is present. In that stage it suits a loose as
well as a dry cough. Its action must be prompt, or we pass over
to more deeply penetrating remedies. In chronic coughs for inter
current acute aggravations-- cough with expectoration of blood.
Antimonium Tartaricum .- Cough rattling ; it sounds loose with
out being loose ; cough with vomiting of food after eating ; ster
torous tracheal and bronchial rattling. The rattling necessitates
sitting up, with vomiting, or the dyspnoea and fear of suffocation.
In the teething cough of children , where we frequently hear the
rattling from afar, and disappearing after the paroxysm of cough.
In pneumonia with high -graded hepatization ; it aids expectora
tion when resolution begins to take place. In chronic bronchial
catarrhs, emphysema, bronchiectasy, senile catarrhs. It gives
great alleviation in tuberculosis pulmonum , but also more rapid
dissolution of the tubercles, and hastens the downward course . In
croup as an intermediate remedy for the solution , and to keep off
paralysis. It acts well in such cases without producing emesis.
Arnica. — Dry, concussive cough , with difficult or bloody expec
toration ; titillation in the trachea. (Aconite frequently acts
better, or Ferri sesquichlor., Ergotine.) In traumatic causes. In
whooping cough (with crying spells) it fails to relieve.
Belladonna .-- Great sensitiveness, in contradistinction to the
irritable Aconite. Vasomotory stimulation with increased ner
vosity. Chief remedy, therefore, for sensitive persons, women,
children, for erethic inflammatory forms, not for croupy , plastic
ones, for spastic states. Cough dry, barking, spasmodic, in parocysms,
with titillation in the trachea or bronchi; aggravation at night, and
then continuous ; sensation as of having swallowed dust‫ ;ܪ‬ameliora
tion from anything cold ; sensation of constriction in throat, diffi
culty of swallowing ; congestion to the head ; stitches in the chest.
In simple catarrhs, in inflammatory forms with more catarrhal
character (larynx, trachea down to the lungs), especially in the
first stage ; more in bronchitis, especially capillaris, than in pneu
monia ; in the beginning of whooping cough ; influenza ; in affec
tions of the brain, spinal cord or heart ; inflammations of parts
adjacent to the respiratory organs. In stenosis of the glottis in
bronchial asthma. As an intercurrent remedy in chronic cases .
7
98 PRACTICE .

Examination of the affected parts shows a pinkish, smooth redness

in the pharynx, uvula, and fauces.
Bromine, Iodium , and Spongia have this in common, that they
especially cure the affections of the upper parts of the respiratory
organs ; that they correspond to dry cough , if of catarrhal, inflam
matory or organic origin. All are deeply penetrating and reliable
remedies. Spongia might be considered the most volatile and
dynamic ; Brom . is materially incisive, forcible, and helps quickly ,
where indicated ; Iodine is the strongest, but most slow in its action .
They are the chief remedies in the affections of the larynx and
trachea ( catarrhs, inflammations, especially croup , changes in tex
ture), also in stenosis of the glottis ; Iodine alone has also some
relations to the bronchi, and even to the pulmonary tissue. Ac
cording to the symptoms we find in Brom .: dry, croupy cough
with scraping titillation and hoarseness. The latter is a special
indication for Brom . Where small follicles are found on the pos
terior mucous membrane of the pharynx, extending from there to
the larynx, and producing continued titillating cough , Brom. is
specific ; also in swelling of the mucous membrane of the fauces
and pharynx. The larynx is painful to the touch. In Iodine the
cough is also dry, croupy , with the well -known sound , with titil
lation ; sensation of soreness in larynx ; barking, with gray or
white, salty, sweetish expectoration ; shrill whistling and rattling
in the chest ; sawing, hissing respiration and oppression. The
subjective sensation of soreness and pain frequently extends to the
upper third of the sternum. Hoarseness ; difficult speech ; expec
toration of tough mucus. I frequently witnessed from Iodine
splendid effects in long -standing laryngeal catarrhs with the above
symptoms; it alleviates in tuberculosis ; in croup it is our last
anchor, where Spong. and Brom. fail. It is not an easy matter
to select from these three remedies ; each may be indicated accord
ing to circumstances. The more plastic the exudation , the more Iodine
is indicated .
Anatomically, we might say Spongia is more suitable for stasis,
simple inflammation ; Brom . for swelling and hypertrophy of the
mucous membrane; Iodine for the exudation. Spongia, whose in
dications in the main correspond to those of Iodine (whistling,
short, dry, barking cough at night and also in daytime, with pain
ful sensation in the larynx ), is in the main the most important
remedy at the outset of croup ; frequently cuts it short, and acts
specifically and in the shortest time in pseudo-croup, or in the
 COUGH CHARACTERISTICS . 99

closely related inflammatory or highly catarrhal forms; also in in

fluenza. On account of its volatile action, it suits far less the or
ganic and chronic forms of cough, than the related Brom. and
Iodine.
Bryonia stands in close relation to the chest. It frequently
follows Aconite, to remove the débris, and is, therefore, in a
certain way, more powerful than Aconite, which acts more on the
general state and less on the local, and vice versa in comparison to
Mercurius, the latter acting more on the local state, whereas, Bryon.
affects the general state . Bryonia brings on resolution in catarrhs,
resorption in inflammation , chiefly indicated in the second stage,
for slightly plastic but not high -graded inflammatory forms in
croup. It is the chief remedy in bronchial affections (therefore in
influenza ); in catarrhal pneumonia, only applicable where hepatiza
tion passes over in resolution , or where the pleura is at the same
time affected ; perhaps, also, in chronic pneumonia. The Bryonia
cough is concussive, coming dry from the sternal region, as if the,
chest would burst, with scanty, yellow, or blood -streaked thin
mucus, frequently with vomiturition and vomiting, especially after
eating, with status gastricus, difficulty of breathing, pleuritic
stitches, muscular pains, sensation as if the chest or head would
burst ; dryness and sensation of soreness in the throat and below it.
Calcarea carbonica is our chief remedy in scrofulosis and tubercu
losis, and therefore beneficial in many chronic coughs, especially
in ulcerative processes of the larynx, or in other kinds of cough,
resting on an organic base.
Chamomilla is a grand anti-spasmodic, especially in women and
children . The picture of nervous bronchial asthma is beautifully
given in the symptom : suffocative constriction of the chest as if
the throat were throttled , with constant desire to cough.
Conium corresponds to the same sphere, but its action also
takes in organic metamorphosis. Its cough is periodic, dry, caused
by an itching, scraping titillation in the throat, or under the ster
num ; short convulsive cough excited by horizontal position, speak
ing or laughing. The two latter exciting causes of the cough are
decisive for the choice of the remedy. The irritation of the cough
is seated in the trachea or in the upper bronchi. In hooping
cough it suits towards the end of the nervous stage, after Drosera,
when speaking and laughing cause paroxysms, whose power and
duration is already broken. In nervous bronchial asthma it shows
good effects and certainly brings alleviation in organic cases.
100 PRACTICE.

Drosera. The cough comes in fits, with long intervals ; the

cough during the intervals is short, not exhausting, and the pa
tient' considers them trifles in comparison with the tormenting
cough. The fits begin mild, short, increase during the course of
the disease, the cough is unceasing, in quick succession, forces to
sit up, always begins with titillation and renewed inspiration , till
finally after a few minutes up to a quarter of an hour or more ,
vomiting of some mucus ( rarely of food) sets in, which finishes
the paroxysm . The cough seems to come from the very depth ,
from the abdomen as it were, convulses the muscles of the chest
and abdomen , which remain painful for a long time, and the
patient feels greatly exhausted after the fit. The fits are frequently
aggravated at night by lying down. They are plainly of a spastic
character, depending on an irritation of the vagus, and attack the
bronchi. We meet them in whooping -cough , in bronchial catarrh ,
after bronchitis, in senility, in connection with emphysema, bron
chiectasy. We only use the low dilutions, second or third every
three or four hours. Paroxysms always remind us of Drosera .
Hepar sulphuris suits those cases which are so far advanced by
Acon. , Bryon ., Brom ., Mercur., Jod., or Spongia, that they passed
into the stage of resolution . It is our most important remedy where
in acute forms this resolution has been prepared , or in moist
coughs, resting on a catarrhal or organic base, in the upper as
well as in the lower respiratory organs. In croup as well as in
pneumonia it can only be indicated in the second stage. It suits
tuberculosis far less than cheesy and chronic pneumonia. It may
also be indicated in gastric and intestinal catarrhs or complications,
or in sympathetic cough, or in such ones extending from inflam
mations of adjacent parts of the mouth and fauces. Hoarseness,
scraping irritation in the larnyx or in the lower parts, mucous
râles, are important indications for this remedy, acting on the
plasisticy of these processes.
Hyoscyamus differs from Belladonna in its purely anti-nervous
nature without any relation to the vasomotory element. The
nightly aggravation of a dry, spasmodic, titillating cough in the
trachea, aggravated by lying down, is most important. It has
frequently disappointed me.
Ignatia is only suitable for coughs of central origin, as from
spinal irritation (hysteria ), or where in hysterial persons, catarrhal,
laryngeal, and tracheal affections take on a nervous character. Per
haps, also, in bronchial asthma, angina pectoris of such patients.
 COUGH CHARACTERISTICS. 101

The cough is tickling, dry, as from dust or sulphur-vapors, con

stricting in the pit of the throat, with the globus hystericus and
similar symptoms.
Ipecacuanha .-- Spasmodic or catarrhal titillating cough, or suffoca
ting cough with dyspnoea, nausea , vomiturition, especially at the end
of a paroxysm , or with expectoration of a scanty, albuminous, nau
seous mucus : or if mucous râles and vomiting of food (but in a
less degree than from Tart. emet.) is present. The inclination to
vomit and the absence of every inflammatory irritation , and the
tendency to resolution, are indications for this remedy. Gastric
catarrh, bronchial asthma, more in bronchial than in laryngeal af
fections. In whooping-cough only towards the end. It has especial
relations to the vagus, and suits well women and children.
Kali bichromicum with its dry titillating cough , expelled at short
intervals, and ulcerative pain in the larynx, is related to Brom. ,
Spong., Jod ., but suits better medium and tedious cases. Charac
teristic is a smooth or follicular inflammatory redness of the pharynx
andfauces.
Laurocerasus.-- Constant irritation and titillation, short cough,
dyspnea, a nervous cough emanating from affections of the heart. I
saw lately splendid effects from it on a stenosis of the mitral valve.
The patient coughed continually for several nights, as soon as he
laid down. One dose Lauroc. 1st ; he slept and could lie down and
did not cough for aa whole week .
Mercurius. - Roughness, burning, sensation of soreness in the throat
and under the sternum , hoarseness and covered voice, the cough
dry, rough, concussing, exhausting, aggravated at night; expec
toration tough, watery, like saliva, foul, with streaks of blood, ca
sweating fails to re
diarrhoea, fever; swe
tarrhal headache, fluent coryza, diarrhea,
lieve. Its position is perhaps after Aconite, before Bryon ., or Pulsat.,
or Hepar., or Tart. emet. , inducing the crisis, which others carry to
its terminus. Mercur. is the sovereign remedy for bronchitis and
inflammatory bronchial catarrhs.
Nux vomica has only a limited application in cough, especially
where the pharynx and fauces are affected. The cough is scaping,
rough, with irritation in the throat or under the upper sternal
parts, with difficult expectoration of tough mucus, awakening from
sleep in the morning, renewed or aggravated by vomiting and eat
ing. Dry coryza, influenza, or general simple catarrhs.
Opium . - Spasmodic cough with continued dry, titillating cough ,
allowing no rest either by day or night. In every other case, as in
102 PRACTICE.

the cough of phthisical patients, where it keeps off nightly parox

ysms, it acts only palliatively by its narcotic quality ; but for such
a purpose strong allopathic doses are necessary.
Phosphorus. — The indications for Phosphorus in nervous cough
are similar ; this remedy may also be compared with Bellad . and
Drosera. In Opium one might say the titillation is the chief indi
cation ; in Phosphor. the cough is more tormenting. The irritation
from Phosphor. is not so continuous as that of Opium. In Bella
donna also the cough is more mild—not so deeply seated. The
similiarity with Drosera consists in this, that in both the cough
comes in paroxysms with intervals. The cough in Phosphor. is cut
off short,rough, sharp, dry ; between every single coughing sound
is a short interval, which is wanting in the Drosera cough, where
they follow one another in quick succession ; the cough does not
begin with deep inspiration, but the expiration prevails ; the
patient keeps coughing when lying down, without any necessity to
sit up for it, and the fit does not terminate with expectoration or
vomiting of mucus, but ceases gradually. Neither does the Phos
phorus cough come so apparently from the depth of the abdomen ;
the patients rather point to the upper or lower respiratory organs
( larnyx, bronchi, lungs). It is quite certain , that in such.nervous
coughs Phosphor. is a grand remedy, hence its splendid effects in
stenosis of the glottis, in coughs from bronchial asthma, in angina
pectoris ( cardiac cough) ; Phosphorus is of equally great value in
catarrhal, inflammatory, or organic diseases of the respiratory
organs. We find it everywhere in laryngeal, tracheal, bronchial,
pulmonary catarrh up to inflammation even in the most croupous
form , or terminating in pseudoplasmata and disorganization of the
tissue. The painfulness of the larynx to the touch ; the different
pains,soreness,stitches, burning ; the expectoration of foamy, sticky,
purulent, salty, sweetish , brown, rust -colored, bloody mucus ; the
cough aggravated by speaking, laughing, eating, motion ; hoarse
ness and aphony ; shortness of breath and orthopnca ; the great
debility and prostration, the fever - all of them prove the deeply
penetrating action of this remedy, still showing its power even in
emphysema and tuberculosis. In aa fit of coughing during measles,
where the child for twelve hours steadily felt irritation to cough ,
and expectorated only a little foam and blood, after all other reme
dies failed, a single dose Phosph . 2d.,> stopped it permanently. In
pneumonia it will always remain our sheet-anchor, and it prevents
in croup, paralysis and narcosis through the carbonized blood .
 COUGH CHARACTERISTICS . 103

Pulsatilla is similar to Hepar ; when given too early even in the

third dilution, it will produce aggravation and render the cough
dry after resolution set in. Pulsat., like Hepar, suits only moist
cough with copious mucous expectoration, especially yellow,
whitish, salty, towards the end of catarrhs, or in chronic catarrhs.
Pulsatilla encroaches not so deeply upon the metamorphosis as
Hepar, and is, therefore, only a palliative in chronic organic cases.
>

It is especially indicated for mucous râles, where asthmatic dis

turbances arise from the accumulation of phlegm (emphysema),
with catarrhal irritation in throat, amelioriation in the fresh air
aggravation in the evening and at night. It is a specific in those
cases where the cough is moist during the day, with dry, titillating
cough at night in a recumbent position.
Senega has great power of aiding the expectoration of tough
phlegm in torpid states of the laryngeal and bronchial mucous
membrane, as we find it in old persons ; in lax, phlegmatic consti
tutions and in chronic catarrhal difficulties, in emphysema, in
asthma senile, in bronchiectasia, in tuberculosis. It aids in remov
ing the catarrh with long -continued coughing spells, or where in
the hepatization of acute pneumonia resolution is tardy, or in
chronic cases with cheesy infiltrations.
Sepia . — The provings of Sepia show dry and moist cough, even
copious expectoration of white, saltish mucus or of pus. I find it
effectual in that dry cough which is so characteristic for tubercu
losis. We find titillation in the trachea, sometimes a covered,
deep voice without timbre, sensation of dryness in the chest or
throat, dry, croaking, deep cough , somewhat ameliorated when
lying down. After great labor some mucus may be expectorated ,
which is tough, slimy, or albuminous. Next to Calcarea, Sepia is
for me a chief remedy in tuberculosis. I also use it successfully
in chronic catarrhs, especially when they are complicated with
chronic gastric catarrh , or where venous stasis is present. Taking
all in all the action of Sepia is less extensive, and its selection
must be well studied .
Sulphur allows a far more extensive application in chronic forms;
less, perhaps, by its specific relations to cough than by its vasomo
tory effect, and by its power of causing a reaction in the metamor
phosis. It acts favorably where the course of the disease is slow,
without coming to any decision in acute cases, as in catarrh or in
flammation (Sulphur effectually dissolves hepatizations), as well as
in chronic diseases of the respiratory organs and of the heart.
104 PRACTICE .

Sulphur shows in the provings all sorts of coughs and many differ
ent expectorations, but the constitution of the patient and the
adjectiva of the disease give us hints for its selection. Wherever
a dyscrasia is on hand, the physician remembers Sulphur.
Veratrum . Just as Veratrum shows great similarity to Ipecacu
anha in affections of the stomach and intestines, so also in cough.
The titillation in Veratrum is only somewhat lower down, with a
sensation of constriction in the throat ; the oppression, the nausea,
the vomiting of food and mucus after the cough is stronger after
Veratrum , and the paroxysms approximate more to the forms of
Belladonna or Drosera, with longer intervals. We might say, that
in Veratrum the spasmodic element prevails; in Ipecacuanha the
catarrhal one ; thus the frequently decisive action of Veratrum in
influenza , in simple spasmodic cough, in whooping-cough , next to
Bellad., Droser., Conium , Cuprum , in nervous bronchial asthma, in
stenosis of the glottis, or in angina pectoris.

THORAX .

BRONCHI.

Cough since half a year ; through the day, but worse at night when
lying down, especially when lying on the right side. It commences
with tickling in the pit of the stomach, which rises up into the
throat, causing a spasmodic attack of cough with expectoration of
thick , insipid mucus. The man is of choleric temperament, is sub
ject to affections of the liver, and has black, fatty hair. Bryon.200,
30, 9, in suitable intervals did no good. Bryon ., one drop of the
tincture relieved over night. (Stens, Sr. , I. H. Pr., v. 1, p. 356.)
William T., æt. 49. Cough ; eating or drinking produced very
severe cough and retching ; could not sleep at night on account of
cough. Phosphor.12 Convalescent within a fortnight. (J. H. Nank
will, H.W., 7, 279.)
Hoarse, dry, croupy cough ; burning pain in larynx and trachea ;
worse at night; pains have upward direction ; breathing labored.
After Phytolacca, 3d dec., the cough became loose and ceased, with
copious expectoration of yellow mucus. (W. D. Stillman, Med.
Inv., v . 542. )
 BRONCHI. 105

сс
Rhus tox . Case of dry cough during the day, wrenching the
epigastrium ‫ ܪ;ܐ‬excited by talking or singing ; shoulders and cervical
muscles stiff and lame on first moving ; better during exercise.
(H.V. Miller, H. M. , April, 1872, p. 403.)
Rumex . Cough and clavicular pain. (E. T. Blake, M. H. Rev.,
16, 403.)
Cough. Concussive ; profuse perspiration ; sleepless nights; in
clination to colic, diarrhea and bloatedness of abdomen ; emphy
sema . Secale corn .", several doses cured. (H. Goullon , Jr., H. Kl.,
>

1872, 4.)
Severe, dry, racking coughs, with splitting frontal headache, oc
casioned by a tickling sensation in right side of trachea, below
larynx. Several cases last fall. Sticts gave speedy relief. (H. V.
Miller, H. M., April, 1872, p. 403.)
Coryza and Bronchitis. Child, for two weeks had severe ca
tarrhal inflammation of the air -passages, with fever, thirst, redness
of the face, sneezing, lachrymation and spasmodic cough ; during
each paroxysm of coughing, crying, pressing the hands upon the
head ; sometimes strangling, face turning dark , and thick, yellow
viscid mucus flying out of the mouth (Badi. and Chelid.) and nostrils ;
cough loose A.m. , and tight P.M. and evening. After Pulsat., Sul-,
phur, Droser. and various other remedies failed , Badiaga20 made a
speedy cure. (H.V. Miller, H. M. , Aug,, 1872, p. 48.)
Bronchial Catarrh with Bronchiektasia. Patient æt. 63
Sick since five years. On right side of chest, in nipple line, in the
fifth intercostal space , dull percussion sound and weak respiratory
murmur ; after coughing and profuse expectoration, there was on
that place tympanitic percussion sound and bronchial breathing.
Other portions of chest revealed catarrhal symptoms. Expectora
tion of dirty -yellowish masses, badly smelling. Respiration accele
rated ; no fever. Cough worse in the morning. After several
remedies without relief, Hepars, 3 times a day, continued for three
months ; well. (Stens, Jr., A. H. ,
Z., 85, 156.)
Bronchitis. Mrs. M., æt. 47 ; a blonde, highly nervous, sensi
>

tive woman ; passed the climacteric a year since ; shortness of

breath , sore cough, great sensibility of the bronchial tubes; cough
aggravated at night ; expectoration copious, saltish taste, white
color ; bowels obstinately constipated ; excessive flatulence. Phos
phor.30 ameliorated the cough, while Nux vom.30 cured. (D. A.
Gorton , H. M., June, 1872, p. 515.)
>

Chronic Bronchitis. Expectoration profuse, thick and stringy.

106 PRACTICE.

Cough worse at night after lying down, and in paroxysms during

the day, with circumscribed redness of the cheeks ; slight hemor
rhages from the lungs, rattling of mucus in the chest ; burning
dryness of the mouth and throat not relieved by drinking ; no ap
petite except for piquant things ; great thirst. Cured with San
guin. (A. K. Hills, N. A. J. H. , 21.)
Acute Bronchial Catarrh . Cough of several weeks' duration ,
with soreness of upper portion of chest, and slight whitish expec
2

toration ; aggravation during the day, and in the evening on lying

downl ; cough occasioned by an itching sensation in the bronchia,
and accompanied by retching ; hot flushes ; cold feet; faint and
hungry at 10 A.M.; rheumatic pains in knees and hips at night,
with soreness and coldness ; itching of skin on retiring ; allopathic
mixtures of no avail. Sulphur was followed by a speedy cure.
H.V. Miller, H. M., April, 1872, p. 403.)
>

Influenza . Chill, followed by heat; sometimes intense pain in

occiput and cervical spine ; headache over eyes and in occiput ;
profuse lachrymation and nasal discharge; soreness and dryness of
throat ; sometimes cough, dry, racking. All ages. Acon . fol.
lowed by Allium generally cured. (Greenleaf, H. M., June,,
1872, p. 527. )
Epidemic Influenza. Chills, headache — frontal and occipital,
with stiffness of cervical muscles ; pains in the back and limbs ;
general malaise ; prostration ; watery discharge from the eyes and
nose, with burning and smarting ; also burning and smarting in
trachea, with profuse secretion of mucus. Euphorb. is the specific.
(L. B. Wells, H. M., June, 1872, p. 526. )
Hay Fever. Those afflicted with hay fever in this district,
find most ready relief in a trip to Mackinac. (A. E. Small, U. S.
Med. and Surg. Jour.. , v. 8, p. 56. )
Glanderoid Asthmatic Influenza Hay Fever. Appears
about August 15th. Its symptoms resemble glanders in horses. It
affects the mucous membranes of head and throat ; sometimes af
fecting stomach and bowels. The sense of smell is depraved — a
peach smelled like rotten cabbage. Out of forty-seven cases (in ten
years) four smelled “new-mown hay ”; nineteen had no smell during
severity of attack , all sorts of smells previously ; thirteen had smell
unimpaired ; eleven had all kinds of odors. Ragweed does not cause
this disease, which seems to be confined to cities during the months
of August and September. The thoracicand sanguine temperament,
full,> rounded chest, disposed to fatness, is most susceptible. Such
 BRONCHI. 107

persons are subject to cramp or asthma when young, and when

physically excited oppressed for breath. Constitutional predisposi
tion should be looked for in all cases.
Glanderoid is rarely fully developed before the third year from
its first inception. Languor, tired feeling, drowsiness, chilliness,
feverishness, are features marking its early approach ; in a day or
two, sneezing, running from the eyes, with more or less heat in the
lids ; dull headache affecting the whole head, more particularly
over the coronal region, causing a sensation of tightness or a corded
feeling. The nose now discharges a thin, clear, glairy fluid . These
symptoms become more and more aggravated , the sneezing be
comes more violent and constant, the Schneiderian membrane
becomes swollen ; sensation of fulness and throbbing ; the nares
alternately open and close, at times both nostrils will remain per
fectly closed for hours. After such a spell, they will open up ;
great quantities of heavy, yellow, sometimes green, and occasion
ally sanious matter will be discharged, in quantity sufficient to
astonish one unaccustomed to seeing it, with but temporary re
lief; in аa. few moments the nostrils are closed again. During this
period, the nares, soft palate, tongue, Eustachian tube, eyelids, and
inner ear, have spells of intolerable itching, followed by slight
aching and prostration. The appetite is seldom impaired, but often
increased. Patients and friends often remark to me, “ Doctor,where
does all this matter come from ? Won't it cause death ? ” One
remarked to me yesterday that he must be “ rotten inside ; ” as he
filled fully one dozen linen handkerchiefs in the course of twenty
four hours. The matter is often very offensive, frequently runs
down the throat during sleep, causing nausea, and in some rare
cases vomiting, in all, titillation and a short hacking cough. But
the Schneiderian membrane is the great storehouse of all this
mucus or phlegm , as well as of the muco -purulent and sanious
matter which is so freely discharged ; hence the serious disturbance
of the olfactory nerve, and the consequent impairment of smell.
The climax is reached in two weeks, after which it subsides, but
sometimes it lingers five or six weeks, getting better and worse .
The second year, with all the first year's symptoms, brings meso
phageal, with the tracheal and bronchial, irritation ; itching, ting
ling, sensations of heat, down to stomach , down the bronchia,
with wheezing, tickling, uneasiness. Cough dry, whistling, as in
inception of whooping cough. Appetite good ; tongue somewhat
coated yellow, raised papillæ . Now patients lose flesh and are
108 PRACTICE.

fretful, counting the days till health returns. During the third
year patients have the symptoms already mentioned, with suffo
cative asthma ; bloated stomach ; mucous diarrhoea ; catarrh of
uterine, intestinal, and vesical mucous membranes ; lungs stopped
up, feeling full and uncomfortably tight in the early part of this
attack , this increases till suffocation threatens ; sense of constric
tion, diminution in calibre of bronchial tubes, with short, labored
breathing, wheezing, whistling up-heaving, dry cough, for a few
days ; when this asthmatic condition assumes humidity, often
alternating with spells of tightness ; now large quantities are
raised . Inspirations sometimes are 40 per minute, with pulse
normal. Pulse is rarely above 80, is irritable, soft, compressible,
irregular, intermittent; at other times wiry, tense, full, hard , or
even corded - rarely orgasmic. The uterus is but seldom affected ;
but when it is, it becomes very tender to the touch ; leucorrhoea ,
and even the menses are brought on, with more or less heat, pres
sure, and soreness. The bladder, too, becomes involved , and there
occurs frequent jetting of urine, incontinence, and dysuria, with
discharge of small quantities of gleety phlegm . The desire for
food sometimes amounts almost to gluttony, and this doubtless is
a provision to compensate for the excessive nasal and pulmonary
drain .
Treatment. For first year Merc. sol ., with Glanderine during
>

humid stage, winding up with Sulphur. For second year, Merc.

sol. , then Phosphor. and Glanderine.
For third year, Glanderine, Tartar. em ., Arsen .,, Sulphur. Gland
erine is the true similimum if it can be got pure.
Intercurrents. Ipecac., Laches., Natr. mur. , Zinc. (O. P. Baer,
H. M., Nov., 1872, p. 145.)
Aralia racemosa . Dry wheezing respiration , sense of impend
ing suffocation and rapidly increasing dyspnea. Loud whistling
during inspiration and expiration , but louder during inspiration ;
expectoration scanty, and attended with a sensation that more
would soon follow ; cannot lie down, feels as if he would suffocate
if he did not sit up, after a while phlegm comes up more free and
a
more abundantly, has a marked salty taste and feels quite warm in
the mouth. Right lung more affected than left one. During the
whole attack inspiration is more difficult than expiration. (S. A.
Jones, N. A. J. H. , XXI., 255.)
Asthma. Cough ; painful contraction of the chest; losing of
breath ; great weakness and relaxation of body ; emaciation. Loss
 BRONCHI. 109

of spirits ; anxiety ; fits of anguish of death ; when trying to take a

deep breath, cough with whistling breathing ; dyspnca in spasmodic
fits, almost suffocating ; aggravation at night, also when coughing,
when leaning backwards and after drinking. Cuprum . (H. Goullon,
Jr. , A. H. Z. , 84, 5.)
Suffocative paroxysms every night since seventeen years, in a
man æt. 70. The paroxysm wakens him out of sleep usually after
midnight; he has quickly to jump out of bed, must hold himself
fast at something and quickly eat a piece of bread. After this the
paroxysm passes off and he can sleep again. The analogy of this
complaint, with pains in the stornach which necessitate eating, deter
mined me to select Graphit., especially as we find under Graphites
also the symptom , “ suffocative spells at night.” He had no fur
ther spell after Graphit.3', one dose, although he lived eight years
longer. (Landesmann, A. H. Z. , 85, 177.)
An inveterate case was cured by dessert-spoonful doses, four
times per day, of a solution of Kali hydr., sixty grains to a pint
of rain water. Several other cases were relieved by doses of the
same medicine in attenuation, after other remedies had failed .
(A. E. Small, U. S. Med. and Surg. Jour., v. 8 , p. 53.)
>

Asthma bronchiale. Rhachitic deformity of thorax in the

costo -sternal region ; rattle noises of large bubbles, and frequent
cough ; nose and upper lip ædematous ; right infra-maxillary gland
and several lymphatic glands swollen ; conjunctiva palp. and the
mucous membrane of the mouth pale ; tonsils somewhat enlarged ;
eyes with blue rings around ; face sallow ; skin cool and inclined
to perspiration ; muscles relaxed. Constant catarrh in the nose
with thick mucous discharge ; appetite, discharge and stool ir
regular; languid, not disposed to play or work ; wants to lie con
stantly ; irritable ; apathic. Ipecac. and Nux vom .", in alternation
>

merely shortened the paroxysms. Aug. 20, Calc. carb.30, one dose
every morning for four days. Next day a longer paroxysm , after
that continual improvement; the discharge from nose also dimin
ished . November 6, another paroxysm . Natr. mur.30, four doses,
one every forty-eight hours, in the morning. No more paroxysms;
general improvement. (C. Heinigke, I. H. Pr., v. 1, p. 18.)
Mrs. - , æt. 37, spare, brunette, subject to asthma for many
years.. The attacks preceded by symptoms of ordinary “ cold ”
usually set in about 4–5 A.M., lasting from thirty-six to forty -eight
hours. Attacks“ increase and decrease gradually .” Stann. 6th dec.
110 PRACTICE .

trit. cut short the attack after the first dose. (B. H. Cheeney,
Med. Inv. , v. 9, p. 56.)
Whooping cough. Sepia, spells at night so suddenly and vio
lent as to take the breath away, with constriction of the chest,
crying and gagging. Worsefirst part of night.
Kali carb., spells worse in the night after midnight with difficulty
to get up the phlegm ; vomiting after midnight and in the morn
ing ; better after breakfast.
Drosera, spells most violent after midnight with a ringing sound ,
the single coughs following each other so quickly as to stop breath
ing ; then follows vomiting first of ingesta and afterwards of mucus .
(H. Goullon, A. H. Z., 84, 53.)
Murray relates cases cured by extract of Urtica ur. In the case
of aa child ten years old appeared , under its application , a nettle
rash over the whole body. (Archiv . di Med . , Gaz. Med . Ital., July
20, 1872 ; H. Kl., 1872 , 152. )

LUNGS.

Feeling of continuous pressure in left chest and dryness in throat,

which interferes with talking and causes continual hawking.
Lycop.30 smelling, relieved the first, and Zinc.30 smelling, the second
symptom in a short time. (Landesmann, A. H. Z. , 85, 147.)
Pain in upper part of left chest through to shoulder, since two weeks ;
worse by taking a deep breath and making a strong motion . Myrtus
com.", smelling ; pain ceased at once. (Landesmann, A.H. Z., 85,146.)
Sanguin . removed a sub -acute pulmonary congestion in a lady of
blonde complexion and full habit of body, æt. 50. (E. T. Blake, M.
H. Rev., 16, 403.)
Pneumonia potatorum . A man, æt. 50, addicted to rum , was
seized with delirium tremens. During that time a pneumonia de
veloped itself. After a long while he came under homeopathic
treatment. He is emaciated ,with hollow, glistening eyes and sunken
cheeks; dry lips ; dirty yellowish tongue ; short respiration, with
moving of alæ nasi ; lies on back ; cough day and night; worse at
night, with profuse expectoration of a penetrating smell ; pulse
over 100 ; sleeplessness. When coughing, pain in right hypochon
drical region. As soon as the cough commences, he has to sneeze so
convulsively that it distresses him much . Bellad.15, in water, every
 LUNGS. 111

hour. Although Laches., China, Bryon. and Lycop. were given .

during the eight weeks' treatment, it was always necessary to ad
minister Bellad. again on account of the sneezing paroxysms with
which the coughing was accompanied. The patient got well under
it. (A. H. Z. , 84, 109.)
Cough after pneumonia, allopathically treated . Coughs up all the
time great masses of blood and pus ; night sweat; sleepless. Kali
carb.30 two doses, at intervals of three days ; improvement. After
third dose Kali carb.30, no improvement. Kali carb.200 Jen., one dose,
>

cured in four weeks. (Stens, Sr., I. H. Pr. , v. 1 , 357.)

A stone-cutter took cold, which gradually increased to a settled
lung affection, with copious, foul expectoration ; total loss of
strength and final anasarca , and dropsy of chest. Examination of
the chest reveals several caverns. Silic.30, one dose, every eighth
day. Improvement for three weeks, when it ceased. Silic.200, one
dose. Got well in six weeks without any further medicine. (Stens,
Sr., I. H. Pr., v. 1, p. 357.)
Hæmoptoe, alternating with Rheumatism . A young man
was attacked with a violent stitch -pain in right hip. The pain
gradually grew continuous, and was especially at night in bed so
violent that he had to leave the bed and lay upon the floor ; some
times it was relieved by washing the whole leg with cold water.
After a while the joints of the knees, then of the feet, and at last
those of the hands commenced swelling. Some months later, when
this inflammation had all subsided, he was suddenly attacked by a
violent cough and spitting of blood. The spitting of blood was sub
dued, but the cough continued for several weeks, until again a violent
attack of hemorrhage set in with profuse expectoration of thick ,
greenish , foul and fetid masses. Examination revealed a cavern in
the left sub -clavicular region. Acon .?,> ten drops in four table
spoonfuls of water, a tea-spoonful every hour. Great improvement.
>

Four days later: the cough still continues, the expectoration is dif
ficult and consists of thick , tough mucus. Tart. em.", two grains
every four hours. In about eight to ten days the patient seemed
well, but all at once, without any apparent cause , he was attacked
again with inflammatory rheumatism of the hands. Bryon .", ten
drops in four table-spoonfuls of water every two hours a tea-spoonfull
relieved within four days ; but ten days after another sudden at
tack of cough and hæmoptysis set in, and an examination of the
chest revealed another Vomica. Acon. and Tart. em. , administered
as before, did no good. The patient sank rapidly , with all signs of
112 PRACTICE .

a galloping phthisis. In this critical moment I thought of a case

which Rau had reported in his “ Homæopathischen Heilverfahren ,"
of a young man with coxalgia alternating with hæmoptysis, whom
he had cured with Ledum . I at once gave to my patient Ledum
pal.30, four globules upon the tongue. The change was wonderful,
and improvement continued for four days, when it ceased. Ledum30, >

another dose, was not followed by improvement in the next four or

five days. Ledum200, one dose, again set nature to work , and in
four weeks the patient was completely restored without another
dose of medicine. (Stens, Sr., I. H. Pr., v . I, p. 349.)
Phthisis .. Dr. Nankivell recommends Arsen . and empirically
its combination with iodine and lime for non -tubercular phthisis of
bronchial, catarrho-pneumonic or hæmorrhagic origin. He diagnoses
these forms from the tubercular, from the want of proportion be
tween the pyrexia, dyspnea and emaciation in the true tubercular
( first stage), and the extent and apparent gravity of the physical
signs. In the non -tubercular there is aa definite relation between
the physical signs and the other symptoms.
There is an irritability of the bowels in the earlier stages of
phthisis benefitted by Arsen. , but in the stage of ulceration it does
no good, but sometimes harm . If the morning temperature is con
siderably above the average, he regards the fever as indicative of
some special inflammatory process of a more or less temporary char
acter and hence gives first, Acon ., Bryon ., dr Phosphor. If evening
>

temperature rises, Arsen. (B. J., v. XXX ., No. 121.)

Tubercular pleurodynia differs from the neuralgic stitches in
the side of chlorotic and anæmic patients by its seat in the three
first intercostal spaces, by its downward migration and by its as
symetric state . Chloro-anæmic intercostal neuralgia has usually
its seat in the fourth , fifth and sixth intercostal space of the left side
Very painful is that pleurodynia , which accompanies hydropneumo
thorax. (N. A. J. H., Feb., 1872.)
Gangrene of the lungs, by Prof. Dr. E. Leyden. (Sammlung
Klinischer Vorträge, collected by R. Volkmann, No. 26. Mtsbl.,
April, 1872, 32.)
Pleurisy. The friction sound is in pleurisy conspicuous by its.
absence ( illustrated by cases). All cases do not require medicine.
Kali hydr. is the best remedy. Lower attenuations more rapidly
curative than the higher. (J. L. Newton. M. H. Rev., 16, 476.)
 HEART . 113

HEART .
Endocarditis, with insufficiency of the Mitral Valve, after
acute articular rheumatism , in a girl æt. 14. Purring over the re
gion of the heart, noise with first tick ; throbbing of carotids and
subclavian ; violent nosebleed. Spigel.630.200,in gradually longer in
tervals cured the child . (Weber, A. H. Z., 85, 181.)
Stenosis of left Osteum venosum . Man, æt. 80. Purring
sound in the region of the apex ; lips cyanotic ; dyspnoea and short
ness of breath when walking in the open air, better when lying down.
Psorin .", smelling. Relieved at once from dyspnoa ; purring noise
unaltered . Two months later feet commenced swelling, and he
died in hospital a few weeks after. (Landesmann. A. A. Z., 85, 145.)
Blushing, chronic, troublesome, with disease of the right heart
in males, or with climacteric troubles in females -- resisting Laches.
Nux vom., Naja - Nitrite of amyl. (E. Blake, B. J., v . XXX .,
No. 179.)
Heart disease. Man æt. 40 , has suffered long with heart dis
ease .. The last few days he felt much worse, and one morning he
was found almost unconscious in bed . Hippocratic face ; body cov
ered with cold, clammy perspiration ; feet ædematously swollen
and cold ; pulse gone ; trembling, irregular motions of the heart;
weak respiration, with scarcely audible voice ; he complains of
thirst, weakness, anguish and oppression. Arsen. , one of Jenichen’s
>

highest potencies, relieved him in ten minutes. Fourteen days af

terwards he was again at his business. (Landesmann, A. H. Z., 85, >

162.)
On the relation of sudden death to cardiac diseases. Heart
disease is too often made the scape -goat upon which is loaded the
results of ignorance and insufficient investigation, and this fear of
sudden death actually endangers the life of those who suffer from
cardiac diseases. In all inflammatory diseases of the heart, on the
contrary , the dissolution is usually attended by prolonged suffer
ing, a gradual failure of the heart's vitality and an unmistakable
struggle. Only in rare instances, and those readily avoidable, does
a sudden death carry off the patient. In functional diseases of the
heart it does not seem possible, nor is it probable, that sudden death
could occur through any fault of that organ . The heart is not
such a delicate organ, whose vitality is easily destroyed, but on
the contrary, more tenacious of life than any other organ of the body.
>

Embolism may produce sudden death by obstructing one of the

8
114 PRACTICE.

great arteries leading from the heart ; 2, that rare occurrence , rup
2

ture of the heart, and 3, paralysis of the muscular structures. (E. M.

Hale, N. A. J. H. , XXI. , 92.)
Palpitation of Heart. Mr. D. , æt. 45, quarrelled with his allo
pathic doctor, who advised preparing for death , which prostrated
him. Breathing heavy and difficult; face waxy pale ; face and head
bathed in perspiration, and running off in little streams ; violent
palpitation of the heart ; lower extremities cold, so much so that
all summer he had slept with a feather bed over them, while his
body was always bathed in perspiration, especially the head ; ver
tigo on going up stairs, or up a hill ;; bloating in the region of the stom
ach, compelling him to open his clothing ; appetite poor, with an aver
6m
sion to meat and a craving for boiled eggs. R. Calc. carb . &m in water,
three times daily for three weeks. Cured in five weeks. (W. D.
Hall, Trans. Hom. Med. Soc. of Penna. , 1872, .p. 149.)
Asthma angina pectoris, cured by Angust.3 (Gastfreund, Jour.
Soc. of Hom. Physicians in St. Petersburg. I. H. Pr., v. 2, p. 344.)
Angina pectoris, by J. Schwartz. It is a disease of retrogade met
amorphosis,belonging to the diseases of advanced years, the seat of
which is in the cardiac region. The analysis of the most important
symptoms proves, that from the first moment we have to deal with
a fatty, degenerated heart, induced frequently by a primary affec
tion in the trophic nerves ; the percussion sound in the cardiac re
gion is subdued over a large extent. The heart is found either in
its totality or in one of its ventricles, more or less enlarged in size
and flabby. In such a state of passive dilatation the symptoms of
disturbed cardiac function appear at the slightest occasion on the
foreground, and we meet an irregular, more or less accelerated pulse,
the patients complain of a sensation of oppression in the chest, of
gasping for air, they are exhausted and recuperate only slowly.
With increasing disease and decreasing energy of the activity of
the heart, these phenomena become more frequent and of greater
severity. Angina pectoris will now be fully developed. The suf
ferer complains of pressure in the centre of the manubrium sterni, or
of constriction , oppression and and want of air, all of which may
be considered as a consequence of temporary stagnation. Dyspnoa
soon increases to asthmatic fits, but with this great distinction, that
very deep inspiration is possible. At that stage the activity of the
heart also experiences transient or constant alterations, quoad
rythmum et tempus. The disturbed energy of the heart at the
same time influences sanguification, a certain degree of hydræmia
 STOMACH. 115

will early develop itself and again become a new factor for the
quicker progress of the retrograde metamorphosis. (N. A. J. H.,
XX. , 1872.)

ABDOMEN .

STOMACH.

Feeling of fullness in the chest up to the throat, as if from eating

too much . Phosphor. 30. , smelling relieved. (Landesmann, A. H.
Z. , 85, 147.)
Burning and empty feeling in stomach with frequent eructation.
Sepia. 30.; relieved by smelling. (Landesmann, A. H. Z., 85 , 147. )
Hæmatemesis, very profuse, dark, clotted. Slight bloody discharge
from the bowels, no return of hemorrhage after Hamamelis.
(Bennett, N. Y. S. Tr. , 1871 , p. 49.)
Dyspepsia, five weeks standing ; pain and tenderness of the stom
ach ; pains aggravated P.M. and evening ; vomiting after eating and
drinking, however small the quantity taken ; with vomiting great
burning and acidity ; constipation very obstinate, obliged to use
cathartics ; appetite poor ; tongue moist, yellow -white ; gradually
becoming weaker and wasting in flesh . B. Nux vom.30 at night,
and Arsen.30 in the morning. After one dose of each aa violent ag
gravation of symptoms occurred, and continued twenty hours,
followed by sudden and rapid improvement, cured. (Dr. Spooner,
H. M. , June , 1872, p. 526.)
Dyspepsia with irritation of the bronchial cells without cough. Slight
fever, red tongue thickly coated at the root with a light coating ;
nausea and vomiting all food, even the lightest ; expectoration
daily of half a pint of muco -purulent secretion from the lungs
without cough ; faintness, extreme debility, constipation, relaxa
tion and prolapsus of rectum ; stools, slimy, hard, and evacuated
with great difficulty. Carbolic acid ', and Hydrastisº three times
daily in alternation in five drop doses cured in three months. (Clem
ent, N. Y. S. Tr. , 1871 , p. 49.)
Indigestion. Violent belching ; faintish sort of nausea with pal
pitation of the heart and belching; gnawing in pit of stomach ,left
side ; stinging ulcerative pain left side, worse durning inspiration ,
and from touch . Sensation of a splinter in throat when swallowing
116 PRACTICE.

eructating breathing, stretching and moving neck. Argent. nitric.

Flatulence forming in abdomen, expelled with difficulty ( Argent.
easily ); full, bloated, after a meal ; palpitation during digestion.
Liver painful to touch ; pressure in the liver ; violent cramp-like
pain in the region of the liver ; full distended abdomen and cold
feet ; indurations in the abdomen . Cutting pain in the region of
the stomach at night. Lycop. (Bayes, B. J. v. XXX. No. 119.)
Mrs. Th., æt. 58, suffers since ten years with periodic difficulties
in the stomach ; the last seven months without interruption. Con
stant pressure , worse after eating ; gulping up ; worse in the morn
ing ; frontal headache in the morning ; retarded stool, frequent
urging ; pit of stomach very sensitive to pressure. Nux vom. 3d
dec., daily three drops ; after seven days, 1st. dec. dil. Some im
provement, not much . Lycop. 5, Arsen. 3, without avail. Nux vom.
30, for six days, no relief. Nux vom. O, one drop every day for six
days cured in fourteen days. (Stens, Jr., A. H. Z., 85, 157.)
Pepsin will oftentimes relieve indigestion after other treatment
fails. (A. E. Small, U. S. Med. and Surg. Jour., v. 7, p. 156.)
>

Robinia . — Dyspepsia at night, preventing sleep. (E. T. Blake,

M. H. Rev. 16 , 403.)
Tabacco vs. Tobacco. Mr. C. , dyspeptic ; uses tobacco ; knew
chewing hurt him and had tried in vain to stop. R. Tabacum 2º, a
powder every twelve or twenty -four hours, while he felt craving.
In two weeks reported that at first a powder appeased the craving
for a day or two, latterly the effect was more lasting. Cravings
are only felt now when stomach is more deranged than usual.
Hydras. low, aided digestion. Tabacum 2º also removed desire
for stimulants. Cured. (R. C. Smedley, H. M. , June, 1872, p.
510.)
Female servant; has felt languid some weeks. For two days cut
ting pain in the stomach on coughing ; coldness running up from
feet to head, often during day, worse evenings ; hot on waking in
morning ; thirsty day and night, drinking much and often . At
night drinking cold water causes weight in stomach and increases
the heat , Bryon.om one dose. In five days well, except cough. Nux
vom.om cured . ( Berridge, M. H. Rev. 16, 495.)
Gastrosis. — Burning and uneasiness in stomach ; relieved by
eating ; canine hunger, at noon and evening. This was all there
was of it. Gave a single dose of Mezereum30 on the tongue, to be
followed in ten days, if not better, with a single dose of the 200th
potency. Have heard no more complaint of the stomach since
 STOMACH. 117

Mezereum was given. (S. C. Knickerbocker, N. Y. S. Tr. 1871 , p. >

277.)
Chronic Gastric Catarrh . Mrs. L., full of spasms ; lost her
courses six months ago, and suffers since then from chronic catarrh
of the stomach, with frequent eructations ; she frequently feels
faint, with partial loss of her senses. Examination per vaginam
shows the os uteri standing backwards, and can only be reached
with difficulty. Graphites 2d, as above. After taking the first
dose, copious menstruation set in with relief to all the symptoms.
-Schwabe's Zeitschrift für Homeopathy, No. 8. (H. Goullon, H.
M. , Jan. 1872, p. 274.)
Miss — Pain in stomach going round to left hypochondrium
and through to back with shooting in left hypochondrium , comes
on after dinner ; pain in the stomach better by bending double ;
pain in the back worse by deep inspirations. With the pain,
yawning, faintness, chilliness, borbroygmi and eructations. Castor .
200 one dose cured in four days. (E. W. Berridge, Month. Hom.
Rev. , v. 16, p. 495.)
Cardialgia . A middle-aged, medium sized, healthy working
man , commenced about ten years ago to have irregular attacks ofa
dead heavy pain in the pit of the stomach, extending to the spine.
The attacks came on only in the morning at first, only once in
two or three months, but gradually increasing in frequency, until
they came as often as three times a week , and lasting for several
hours. During the attacks, which would come on suddenly the
patient could sit, stand, or lie only in a doubled up. position, with
the hands pressed against the stomach. He was very uneasy, and
when in bed tossed about in great agony ; hands and feet cold , little
perspiration .
Argentum nitr., Atrop. , Coloc., Nux vom., having been given
during a paroxysm with doubtful benefit, he received Chamom .
vulg., 2 dec., four times a day for one week, then twice a day for
two weeks, lastly, once a day for ten days more. Since this treat
ment, now over three months, there has been no return of the
attacks. (A. J. H. M. M.)
Cramps in the stomach , of a contortional nature, ameliorated
by bending; brought on always by eating fruit ; accompanied by
nausea and constant urging to swallow ; flowing saliva and poor
appetite ; constipation with drawing pain in abdomen . Headache,
better when lying down ; morose disposition . Lycop. 3. nine doses,
one night, and morning, cured . (Haustein, A. H. Z. , 85 , 124.)
118 PRACTICE.

Carcinoma or ulcus ventriculi ? Mrs. W., æt. 47. No menses

since one year and a half. Ever since, cramps in the stomach . She
is emaciated ; muscles relaxed ; skin yellowish, earthy ; violent
->

burning and stabbing pains in stomach, worse from eructations ;

vomiting of a brown, coffee-ground -like substance, which relieves
the pain for a short time. In the region of the pylorus a hard
place ; the left lobe of the liver somewhat enlarged. Stool in
two or four days not without injections. Arsen . 3, ameliorated the
pain and vomiting to some degree. Mezer. 3, every three hours
stopped vomiting and improved generally. Two weeks after pur
plish spots like petechiæ appeared on the inside of the lower ex
tremities. Arsen. 6, cured these. Well in about three months.
(Dittrich, A. H. Z., 85, 77.)
Ulcus. ventr. rot. Girl æt. 28. Menses have not made their ap
pearance since nine months ; she looks chlorotic. Pain in stomach
terrible ; she throws herself upon the floor, resting on knees and
elbows; vomits bloody purulent masses. Phosph. 4, continued for
three months brought her back to a tolerable state of health .
(Heyne, A. H. Z. 85 , 188. )
Hiccough, since two years almost uninterruptedly eighteen to
twenty times a minute, with soreness of pit of stomach and hypo
chondria, coated tongue, loss of appetite, great weakness, emacia
tion. After various remedies, Nicc. carb., 6, five globules on tongue.
Fifteen minutes later hiccough decreased to one half its frequency.
Under continued use of this remedy the patient got well. (Landes
mann, A. H. Z., 85, 162.)

INTESTINAL CANAL.

Case in which a set of artificial teeth remained in the alimentary canal

during one month . — Mrs. B. wore a set of five front artificial teeth ,
which became loosened and slipped into the fauces, producing a
sense of suffocation. In trying to extricate them she pushed them
into the wesophagus, causing retching and spitting of blood. Gave
Arnic. 3 and Bellad. 3 in alternation, as I could not extricate them .
In two days the teeth had reached the stomach, but were not ex
pelled until the end of the fourth week . (J. H. Nankivell, Month.
Hom. Rev., v. 16, p. 158.) 2
 INTESTINAL CANAL. 119

Diarrhea. Child, æt. 15 months. August 29th, yellowish

green motions ; a little griping before them ; slight tenesmus ;
flushed ; dry heat; thirst; restless ; cutting teeth. Acon.2,9 two
doses in two hours. August 30th. Nearly well, became quite
well a day after without other medicine. (R. M. Theobald , H. M. ,
Feb. , 1872, p. 330.)
A child had diarrhoea for a week or more, almost involuntary, with
sudden call. It, continued every morning from two to nine A.M. ;
stools yellow, fecal. Aloes quickly cured . (H. V. Miller, April,
1872, p. 404.)
Mrs. G., widow, æt. 50 or more . August 24th. Violent diar
rhæa ; frequent watery motions, almost black ; renewed by any
food or drink ; excessive soreness and smarting of the anus ; pain
in loins ; very weak ; faint with and after stool ; the great sore
ness at anus and my knowledge of her as liable to erysipelatous
eruptions about face and ears, decided on Apigen one dose. August
26th . Diarrhæa ceased, and all symptoms better ; a violent drag
ging pain in the sacrum , going to the back of thighs and legs,
relieved by warmth, by lying on it, or by drawing up the legs ;
removed by one dose of Rhus tox200 (R. M. Theobald , H. M.,
Feb., 1872, p. 332.)
A lady was invariably attacked with diarrhoea whenever she
rode in a car or omnibus, though the distance might be only two
miles. Coccul. 3d cured . (D. Dyce Brown, Month. Hom. Rev. ,
v. 16, p. 224.)
Diarrhea consisting of nightly evacuations ; worse in cold
weather, accompanied by more or less colic, prostration and rest
lessness, in a woman of frail constitution , cured by Dulcam . in
daily doses. (A. E. Small, U. S. Med. and Surg. Jour., v. 7, p. 429.)
Bilious diarrhoea with frequent discharges of bilious matter from
the rectum . Cured in two days by. Iris vers.: every two hours.
(A. E. Small, U. S. Med . and Surg. Jour., v. 7, p. 426.)
Girl, æt. 21. Aug. 28. Brown watery diarrhea ; pain in back
and stomach ; vomited on 26th ; wants things which when offered
are wrong. B. Podophyl.2e two doses. Aug. 29. Better ; less diar
rhæa and green ; appetite better ; restless sleep. No medicine.
Sept. 4. Loose motion ; vomiting in night, which continues all day ;
brings up green and yellow water ; no pain ; Sulphurao one dose.
Sept. 8. Cured. (R. M. Theobald, H. M., Feb., 1872, p. 331.)
Sulphur. Awakens about 5 A.M. with cutting, colicky pain in
abdomen, compelling instant resort to stool. No appetite, much
120 PRACTICE.

thirst, preceded for aa few days by a craving appetite and constipa

tion. (A. K. Hills, N. A. J. H. , XXI., 283.)
Mr. N. , æt. 18, tall, slender, fair, healthy. Aug. 24th. Visited
Oil City, Pa. , there drinking impure water, impregnated with coal
oil . On eve of Aug. 25th, an allopath R. , extract of blackberry,
which he took for twenty -four hours. Aug. 26th, A.M. , a watery
diarrhea, at first copious, afterwards scanty, appeared, with much
flatulence, cutting pain in bowels ; great depression of spirits, and
fear that something would happen to him before he got home ; weak
ness ; anorexia ; sphincter ani relaxed ; four or five stools in twenty
four hours. Took brandy, with no relief, after which “ Cholera
specific.” Aug. 27th , P.M. R. Nux vom.20 one dose, and after Sac.
lac., with a powder of Zingiber2e to be taken in water. He threw
the medicine away , and took more “ Cholera specific.” Aug. 28th,
B. Zingiberae in water, every two hours. Cured after second dose.
>

(L. Hoopes, H. M., Jan., 1871 , p. 271.)

Chronic diarrhea. Aug. 5. Boy æt. 3, was seriously attacked
when six months old with diarrhea, which has continued with
more or less severity up to the present time. Present condition .
Evacuations thin brownish -yellow , and usually very offensive,
generally more frequent in the forenoon ; they are expelled very sud
denly, and are induced by eating and drinking. Crot. tig. after
every stool; much better in four days. Cured in seven days. (G.
W. Richards, H. W. , 7, 262.)
Enothera biennis has been found very efficient in a great variety
of forms of diarrhoea, both acute and chronic. A marked feature
of its action is the removal in a few days of the melancholy and
low spirits which accompany the chronic form . Its action is con
fined to the small intestines. (J. S. Douglas, Med. Inv. , v. 9, p. 124.)
Chronic diarrhoea, consisting of four or five grayish thin stools
daily, cured by Phosph. ac.: every three hours. (A. E. Small, U. S.
Med. and Surg. Jour., v . 7, p . 427.)
In the stools of several patients, suffering from chronic diarrhoea ,
numerous cercomonades were found. (N. A. J. H., Feb., 1872.)
Cholera Infantum and Sequelæ. The remedies used chiefly
in acute cases,, are Arsen ., Chamom ., Carb. veg.,, Cinchon., Veratr.,
Ipecac., Podophyl., Sulphur. These I give strictly according to
symptoms, and should the trouble be prolonged, and in consequence
of the predominancy of crassamentum , the head became affected ,
I use the remedies best suited to that anæmic condition. I look
upon the head troubles as simply symptomatic, arising in conse
 INTESTINAL CANAL. 121

quence of the great drainage of serum from the blood, thus leaving
the crassamentum in excess, and in consequence of one-sixth of the
whole volume of a person's blood circulating through the head,
the crassamentum must necessarily be greatly in excess. Venous
action is tardy, the veins look blue ; serum is nearly all gone ; the
child is anæmic, bled to death as it were, by the excessive alvine
discharges. I see my babe lie with its little eyes half open, when
in sleep ; the whole base of the brain unnaturally warm , with toss
ing of the head from side to side ; fontanelle sunken, with moans,
constant working of the mouth, cold hands and feet. I know from
analogy that I have a case of collapse, some would say basilar con
gestion ; others would say extravasation of fluids. Not so in my
estimation . In place of giving Bellad., Bryon ., Helleb., Gelsem.,
>

Acon., Digit, etc., I remember my case as at the first, and prescribe

those medicines and such nourishment as will best fill the direct
wants of the system . Cinchon ., Arsen ., Carb. veg., Veratr. alb .,
given in the 30th , have generally saved my little patient. I think
the cause of so many deaths among infants is, that just as soon as
the diarrhoea slacks up, because the serum is nearly all exhausted ,
the physician completely changes tactics and forgets the primal
trouble, and now gives exclusively brain remedies, and the child
dies from what is often called empirically, congestion of the brain
or hydrocephalus, when in reality, properly, neither existed. I
have taken scores of such cases from the allopaths, when they were
pronounced in articulo mortis, and have cured them with Carb .
veg., Arsen ., Podophyl., Tart. em. , or Veratr. I treat them all as
exhausted cases. (O. P. Baer, Med. Inv., v. 9, 374.)
Apis mel, is the homeopathic remedy, par excellence, for chol
era infantum . (Emil Tietze, U. S. Med. and Surg. Jour., v. 7,
p. 351.)
Child during dentition ; vomiting of food and drink ; diarrhoea ;
stools undigested, of curdled milk with green specks; much offen
sive flatus ; during sleep head wets pillow ; small head ; Calc. carb.
useless. R. Calc. phosph.2, cured. (H. V. Miller, H. M., Nov., 1872,
p. 191.)
When diarrhea comes on gradually, assumes more and more a
watery character, having a pale pinkish appearance , and accom
panied by rapid emaciation , Cinchon. every two hours has proved
a valuable remedy. (A. S. Small, U. S. Med. and Surg. Jour., V. >

7, p. 431.)
Protracted case ; emaciation ; yellow liquid stools, occurring
122 PRACTICE.

chiefly after nursing, discharged “ like a dipper of water thrown on

the floor.” R. Crot.tig.2 ,cured. (H. V. Miller, H. M., Nov., 1872,
>

p . 191. )
Gamboge. Watery, greenish stools mixed with mucus ; grip
ing before the forcible and profuse stool. (L. B. Wells, H. M., Nov. ,
1872, p. 189.)
Yellow, watery evacuations upwards and downwards, with much
flatus. Gratiola “, two doses cured . (H. V. Miller, Med. Inv. , v. 9 ,
p. 49.)
Ipecac. Copious, fermented , flatulent, lemon -colored stools, with
thirst,fever, fretfulness. (H. V. Miller, H. M. , Nov., 1872, p. 191.)
Child , æt. 3 months. Aug. 25th. Given up by an allopath. Fre
quent green and brown motions ; seems in great pain when moved ;
thirst; sore mouth ; can scarcely suck ; straining; protrusion of
rectum ; deadly pale, clammy, cold face ; movement causes pain
and diarrhoa ; flatulence, bubbling and rising noisily ; worse in
A.M.; restless sleep, with moaning ; eye half closed ; wild looking
eyes. B. Coloc.2 , two doses in two hours. Aug. 26. Better; mo
tions better quality ; still strains and rectum protrudes; tongue
thickly coated white. B. Ant. crud.a, one dose. Aug 27. Improv
ing ; less flatulence ; tongue cleaner ; diarrhoea less green and pain
ful, green and a little straining. B. Podophyl.ae, one dose. Aug. 28.
Much better; tinge of green in motions ; still pain in stomach ; re
lieved by warm poultice over abdomen . Podophyl.“, one dose. Aug.
29. Better ; empty straining ; protrusion of rectum ( an old com
plaint), and a little blood passed ; frequent passage of flatulence ;
sometimes flushed . R. Sulphuns , one dose. Aug. 31. Worse ; wa
2

tery, green , frothy, offensive motions, with offensive flatulence and

straining ; wind after food ; less appetite. R. Magn. carb.ae, one
dose. Sept. 2. Nearly well, vomits food ; much rumbling of flatus.
R. Ferr.a, one dose. Sept. 4. Cured. (R. M. Theobald, H. M.,
Feb., 1872, p. 330.)
Rolling of the head from side to side ; stools generally sago-like
mucus, sometimes dark , bloody discharges ; cured by Podophyl.
Frequent discharges of clear, colorless water ; restlessness ; contin
ual moaning and screaming ; very thirsty ; cured by Apis. (A. K.
Hills, N. A. J. H., 21.)
>

The diarrhoeas of teething children , and in the heat of summer ,

also when the stools are acid, accompanied with colicky pains and
slimy evacuations and great restlessness when sleeping are often
 INTESTINAL CANAL. 1-23

speedily relieved by Rheumé. (A. E. Small, U. S. Med. and Surg.

Jour., v. 7, p. 428.)
Cholera infantum . Mother's milk best ; best substitute is fa
rina. Sometimes raw beef grated fine, salted slightly, is good ;
sometimes cream diluted with water. (L. B. Wells, H. M., Nov.,
1872, p. 188.)
Remarks on Dysentery. Though Jahr advises in his “ Thera
peutic Guide ” to avoid new remedies, yet the young physician
should get as many symptoms as possible in each case, and select the
remedy accordingly ; and if dysentery is epidemic, accumulate the symp
toms of all accessible cases, and try to find a medicine that will corres
pond to the general character of the disease.
Thrombidium is the newest remedy, yet a very valuable one,, be
ing mostly given after others fail. Baptis., is very important. C.
Hering, H. M., March, 1872, p. 375.)
Dysentery. There are three different forms: the catarrhal, the
diphtheritic or epidemic, and the septic or adynamic.
The catarrhal form requires : Acon. , Bellad ., Atrop .,Colchic ., Coloc.,
Ipecac., Mercurial preparations, Nux vom ., Pulsat., Sulphur; the
diphtheritic: Nitr. ac., Arnic ., Kreos., Secale ; the septic: Rhus tox .,
Arsen ., Carb. veg., Petrol.
Fibrinous cases require: Acon.; lymphatic: Bellad .; albuminous
and adynamic: Rhus tox .; eretic : Pulsat.; diphtheritic: Nitr. ac.;
septicæmic : Arsen .
Acon. at the beginning of the hyperæmia and stasis, when accom
panied with synochal fever on a rheumatic or catarrhal basis.
Bellad ., lymphatic constitutions; sleeplessness during remission ;
thirst, restlessness ; hot head ; delirium in children ; dry tip of
tongue ; vomiting ; bloated abdomen ; inflammation of the omen
tum, with pain increased from pressure ; cutting, burning pain in
the bowels; slimy, bloody, sometimes greenish discharges, or vio
lent tenesmus with scanty discharges; prolapsus recti; urinary dif
ficulties. The vomiting of Bellad. may have its cause : a, in pressure
in the brain ; b, in affection of liver ; c, in renal calculi ; d, in in
flammation of the peritoneum ; e, in morbus Brightii.
Atrop. is better than Bellad. in excessive nervous irritation ; in
excessive pain, bordering on neuralgia. Opium serves only as a
remedy to cause reaction. The appearance of the menses in such
cases causes an extension of the pain to the female organs, but needs
no other treatment.
Rhus tox., after Bellad. : want of plasticity of the blood ; slow
124 PRACTICE.

process of the disease ; nightly complaints ; dry heat ; delirium ;

redness of cheeks ; dry tongue ; great thirst ; accelerated , weak
pulse ; involuntary discharges; tearing pains in the limbs.
Mercurial preparations are the main remedies in the catarrhal
form , and especially Merc. subl. For children : Merc. sol .; for lym
phatic persons: Merc. dulc.; for strumous : Merc. bijod .; for persons
with dry herpetical eruptions: Merc. præcip. albus; with moist
eruptions : Merc. acet.; for adynamic persons: Merc. cyan ., which
forms the bridge to Nitr. .
ac.
Merc. subl.: frequent, small stools of bloody slime, with cutting
pain in bowels and intolerable tenesmus ; bloody, slimy, fetid , green,
brown discharges, with tenesmus in bladder and rectum ; unquench
able thirst; dry tongue; heat; sleeplessness ; small, frequent pulse.
After stool, continued urging,burning and soreness in anus ; worse
after midnight.
Coloc.: blonde persons ; little tenesmus,but violent colicky pains ;
cold perspiration ; inclination to drink, without thirst ; green, yel
lowish, slimy, watery discharges, streaked with pure blood ; after
wards burning and jerking in anus ; colic and discharges renewed
from eating and drinking.
Ipecac.: in the fall; vomiting of bile ; tenesmus after stool; sim
ultaneous affection of the coeliacus.
Nux vom. follows well after Ipecac. in summer ; violent tenesmus;
small discharges of bloody slime, with colic in the umbilical region,
and nausea or vomiting.
Sulphur follows well after Nux vom., especially when worse at
night; discharge of blood, slime and pus, with fever, loss of appe
tite, pain in the bowels often so violent as to cause nausea and
drenching perspiration ; the fever consists of dry heat without
thirst.
Pulsat., for anæmic persons ; white tongue, slimy vomit ; evening
chilliness; tearful disposition ; slimy discharges, or slimy and
streaked with blood ; affections of the respiratory organs ; little
thirst ; drawing pains in the limbs ; anxiety. Is well followed by
Merc. acet., or by Cinchon . ; the latter when there remains nervous
irritability as found in erethic persons..
Plumbum , in violent cases with bloody masses of exudation ; yio
lent fever ; cutting in stomach and bowels ; burning in anus during
discharge, and long lasting tenesmus afterwards.
Canthar .: whitish, slimy discharges like scrapings from the gut,
streaked with blood, with burning pain in bowels, causing the pa
 INTESTINAL CANAL. 125

tient to moan and groan. The fever is violent, burning with dry
thirst and anxiousness.
Colchic.: dysenteria alba in the fall, with great urging and little
discharge of a slimy fluid with large, yellow flakes ; spasm of anus
without discharge ; chilliness in back ; previous intestinal catarrh ;
urging to urinate and discharge of a hot, highly colored urine, with
cramps in the calves of the legs.
Dulcam ., after taking cold and increased flow of saliva.
Sulphur : high fever, little thirst and perspiration without relief.
Nitr . ac.: main remedy in diphtheritic dysentery. Constant ur
ging to stool without effect ; frequent discharges of mere slime,
sometimes with pain in bowels and violent urging ; foul-smelling
stool ; bloody stools with tenesmus, fever and headache; before
stool, pain in bowels ; during stool, pain in rectum as if something
were torn ; also stitching, cutting and pressing pain in the rectum
and anus . After stool, renewed urging ; after a soft stool, nausea ,
complete exhaustion, anxiety, miserable feeling. After frequent
ineffectual urging, pain in bowels. Burning in rectum toward the
the perinæum ,with ineffectual urging. Constant heat ; dryness in
throat ; thirst; intermitting pulse ; straining without discharge ;
continued tenesmus after discharge. After Nitr. ac. follow well :
Arnic. in case of collapsus, Kreos. in case of softening, and Secale in
case of mortification of the mucous membrane.
Sulphur is best suited to prevent the formation of strictures ;
sometimes Petrol ., Baryt. carb., Calc. carb., Lycop ., Silic ., may be
.

indicated in long continued ulceration. Merc. cyan. should also

be thought of
Oxalic ac.: pain when thinking or speaking of it ; worse from
sugar, etc.
Arsen ., after Rhus tox. in the septic form ; colliquative; red or
>

bluish spots on the body ; fetid urine ; putrid stools, with decayed
pieces of the mucous membrane ; albuminous inflammation of kid
neys ; hardening paralysis of the intestines and anus; violent pain ;
great fèver ; sinking of strength.
Carb. veg .: torpor, depression with burning heat, especially at
night; putrid stools ; cold breath. After stool, pressing in the
small of back toward the bladder and in the rectum, with burning
in the rectum ; feeling of emptiness, weakness, anxiety and trem
bling debility.
Kreos.: anxiety of the heart ; small pulse ; dry tongue ; burning
126 PRACTICE.

in bowels ; fetid urine ; putrid stools ; vomiting. (J. Buchner, H.

Kl. , 1872, 155. )
Frequent stools of bloody mucus, with some tenesmus and desire
to remain long at stool; loss of appetite ; debility ; Merc.20 ; was
enabled to attend to professional business as usual the first day.
Second day. Better ; with dysenteric discharges; there are some fecal
lumps ; Nux vom . 20; attended to business. Third day. Worse ;
dysenteric stools more frequent day and night ; considerable tenes
mus, with chills and backache; pulsation in anus ; Laches.30 relieved
the last symptom and produced some general improvement ; business
as usual. Fourth day. Dysentery worse ; no medicines ; awaited
further developments ; desired to ascertain whether a good cure
could be effected under unfavorable circumstances. Fifth day .
Dysenteric stools nearly every hour until 10 A.M.; to-day and the
previous day noticed an unusual symptom invariably attending the
dysenteric evacuations ; after stool , which was dysenteric and at
tended with chills, backache, and tenesmus, there was each time a
free and involuntary flow of urine ; 10 A.M. , Alumina 1" , two doses ,
were all that were needed to effect a perfect and satisfactory cure
in three days , and that without having to suspend business . (H. V.
Miller, H. M., Nov., 1872 , p. 198. )
Discharges of a cadaverous odor, worse at night, and of a chocolate
>

color cured by Cinchon ?. Cinchon. third attenuation cures dysen

teries occurring in marshy districts with intermittent symptoms.
(A. E. Small, U. S. , Med. and Surg. Jour. , v. 7, p. 426.)
Chronic dysentery with thin,pale, bloody stools, several times
a day ; painful tenesmus and great desire for food ; emaciation .
Cured by a simple prescription of Sulphate of Zincs. (A. E. Small,
U. S. Med . and Surg. Jour., v. 7, p. 424.)
> >

The Cholera disposition of this year, 1872, collected from differ

ent persons, consists of the following symptoms: Violent headache
in front and back ; vertigo ; one-sided typical headache and photo
phobia ; toothache ; faceache ; relapsing scrofulous ophthalmias ;
delirium ; sleeplessness; angina tonsillaris ; bitter taste ; nausea ;
gagging, especially when touching the pit of the stomach ; pressure
in scrob. cord., along the sternum up into the throat ; vomiting of
ingesta ; diarrhea or constipation, the latter oftentimes with violent
urging and tenesmus ; colic ; nervous cough without affection of the
lung ; violent pain in the extremities ; cramps in the calves of the
legs ; urine white, light yellow or red and brown, of sour reaction ;
violent burning on urinating ; aggravation of old renal catarrhs
 INTESTINAL CANAL. 127

with formation of uric acid ; aggravation or relapse of chorea ;

--violent, pressing and tearing pains in the extremities and other
parts of the body, also in the nape of the neck ; flying pains here
and there, better after urination or passing wind. All these symp
toms disappear quickly from the use of Natr. nitr. in the second or
third solution. (Rapp. I. H. Pr. v. 2,> p. 300.)
Cholera has the following precursory symptoms: Great sensi
tiveness against external influences; general weakness ; internal
bad feeling as of coming illness ; anxiety, down -heartedness, morose
ness, despondency, laziness and lassitude ; aversion to all kind of
work ; chilliness, especially in the back, alternating with flashes
of heat; heaviness in head as from a cold ; loss of appetite, loathing
and nausea ; pressure in stomach worse after drinking water ; pres
sure in pit of stomach up into throat ; pain in bowels, especially
after eating ; constipation or soft stools followed by weakness ;
heaviness and aching in all the limbs, especially in the joints. For
this precursory stage, which in the different single persons, of
course , consists only in a part of these symptoms, II gave Chin .
sulph. 0.01–0.06, one dose every evening, for eight days. None of
the patients thus treated was attacked by cholera . If I ever should
live to see another cholera epidemic, I would give Chin . sulph, and
Ozonized water. (Aegidi, A. H. Z., 85, 191.)
Incarcerated hernia . When the application of Acon. , Bellad .,
and Nux · vom. , gave no relief, I have, in many quite desperate
cases, succeeded in reducing the hernial sac by Plumb. met. 5, one
dose every six hours. Should even after Plumb. follow no relief
in the course of twelve to twenty -four hours, it is a proof to me
that there exist obstacles which can be removed only by the knife.
(Baumann, A. H. Z. , 85, 11.)
Dr. Maylaender returns incarcerated hernia without the applica
tion of energetic taxis by the use of Bellad.2-3 and Nux vom.3-6, aa
dose alternately every quarter-hour, and should we fail, after six
to eight hours, the operation should be immediately performed , as
there are then anatomical or pathological disproportions between
the contents of the hernia, hernial sac and abdominal openings.
(N. A. J. H., XXI. , 132.) .
>

Reduction of Strangulated Hernia . Baron Sentin's method.

Seek with index finger for aperture giving issue to hernia, pushing
up skin sufficiently from below in order not to be arrested by its.
resistance. Pass the end of the finger slowly between viscera and
herniary orifice, derpessing the intestine or omentum with the
128 PRACTICE.

pulp of the finger. This stage demands perseverance. Now curve

the finger like a hook, exerting enough traction on the ring to
rupture some fibres, causing a cracking very sensible to finger,
sometimes to the ear. When this crack is not produced, submit
the fibres to a continuous forced dilatation. (Quoted by B. W.
James, H. M., July, 1872, p. 582.)
Mechanical obstructions of the Bowels. Prof. A. R. Thomas
relates nine cases, which we give briefly, as follows : Case 1. An
Irishman æt. 60, received a blow on the left side of the abdomen,
followed by pain and constipation ; later, distention and fecal vom
iting ; death occurred fourteen months after the accident. The
post-mortem revealed dense fibrous bands uniting the lateral and
posterior abdominal walls to the swollen intestines ; these were also
constricted by more bands, causing complete occlusion, with enor
mous distention above the occlusion .
Case 2. A married lady, æt. 28, suffered from constipation and
retention of urine, and had swelling of left labium, which was
caused by hernial protrusion through the obturator foramen , finally
reduced by careful manipulation, aided by flexion of the thigh.
The retention of urine was caused by an abscess, which discharged
into the urethra, giving complete relief.
Case 3. A gentleman, æt. 85, suffered from enteritis, with peri
tonitis induced by irritation from a long walk with aa badly-fitting
truss, worn for a double oblique inguinal hernia. On the third
>

day there was vomiting, dark , scanty urine, obstruction of bowels,

>

Arsen. 6th, and enemata of warm water and soap relieved the case
entirely.
Case 4. An Irish servant-girl suffered from aa femoral hernia of
the left side, causing colic, constipation, vomiting of food and
medicine. By flexing and rotating the thigh inwards, aided by
pressure in the direction of the femoral canal, the lump, which
was as large as a marble, soon disappeared, with complete relief,
and a truss applied .'
Case 5. A little girl, æt. 5 , was taken with pain in the bowels
and vomiting ; cold perspiration was soon followed by death. A
post-mortem examination revealed a large portion of the small
intestines to be of a dark wine color, and a loop of the same project
ing through an opening in the mesentery, producing such aa twist
to the border of the mesentery as to have caused strangulation .
The opening was evidently congenital..
Case 6. Mrs. K. , æt. 65 , died after severe illness of fourteen days,
 INTESTINAL CANAL. 129

under symptoms of seclusion of the intestines, for which opium

and cathartics were at first administered by an allopath. Subse
quently homeopathic remedies were given, which palliated the
suffering much. An autopsy revealed a complete stricture of the
descending colon above the sigmoid flexure, causing entire seclu
sion of the colon. Penetrating the mucous membrane of the
bowels just above the stricture, was the half of an apple-core,
which may have been the exciting càuse. Above the stricture
was found an accumulation of fig seeds and other matter, given
to produce catharsis.
Case 7. A lad æt. 14, died under symptoms of occlusion of the
bowels, thirty-six hours after the first attack . An autopsy revealed
a polypus of the small intestines, causing a double intussusception
about two feet above the ileocecal valve involving in a dense mass
eighteen inches of intestine.
Case 8. Miss B., æt. 19, suffered from occlusion of intestines,
presenting no hope for recovery , unless, possibly, by surgical aid,
which was finally decided upon, and permitted. An incision re
vealed aa firm , dense stricture about an inch in length, and con
tracting the bowels to half an inch in diameter, at a point where
the transverse colon turns to form the descending colon. The
obstruction was so great as not to allow a probe to pass. The case
necessarily terminated fatally, eight hours after the operation .
Case 9. Mrs. H., æt. 65, suffered for about a year with pain and
constipation ; pains at length were paroxysmal, with contractions
of abdominal muscles, like labor-pains. Plumbum met. 3d, and
warm water injections were prescribed , which finally brought away
a biliary calculus 14 inches long, 41 inches in circumference, and
weighing 4373 grains ; split in halves ; the interior presented an
oval nucleus of pure cholesterine. Since so large a mass could not
have passed the ductus communis, it is probable that it passed from
the gall-bladder into the colon after inflammatory adhesion of these
viscera . ( Trans. Am. Inst., 1871, sec. V., p. 395–407.)
Constipation in women who are inclined to erysipelatous inflam
mation and ulcerative processes of the lower extremities on a rheum
atic basis, and who are of a timid, morose and dejected disposition.
Graphit. (H. Goullon, Jr. , A. H. Z., 84, 61.)
>

Mr. R., æt. 82, tall, slender, emaciated and prostrated ; had suf
fered severe constipation for ten months, using cathartic medi
cines frequently ; had passed thirteen days without a passage ,when
Dr. R. was called. He received during next five days, Podophyl.
9
 130 PRACTICE .

Phosphor ., Opium and injections without relief ; he suffered from

constant nausea and bitter vomiting ; bitter eructations ;‫ و‬intense burning
distress throughout the whole epigastrium ; constant colic with cutting
pains. Iris vers., 3d. dec., five drops in aa half a glass of water, tea
spoonful every hour was prescribed. After the fifth dose he had a
large stool, dark, hard and lumpy, quickly followed by others,
which changed to a thin, watery character, gradually becoming an
involuntary diarrhea, which was finally relieved by Arsen. 3d. dec. 1

At time of writing, two months later, the bowels continued regu

· lar. (A. A. Roth, A. M. J. H. M. M. , v. 5, p. 294.)
Patient was born May 14th , 1844. From her birth suffered from
a weak condition of the stomach . When about fifteen months old
an eruption made its appearance on the scalp and face, on the right
arm and thigh, and continued for several months. Various allo
pathic remedies were applied with final success. During the time
the eruption was out, the bowels were loose and watery, with pro
lapsus ani. After the eruption had disappeared , constipation fol.
lowed. Cathartics gave only temporary relief, followed by a more
aggravated relapse. When five years old, the bowels seemed to
gain strength, and healthy evacuations were discharged. This was
effected bya discontinuance of purging medicines, and by using ene
mas of water. In 1854, constipation again became obstinate. On
the second day of April, 1855, Nux vom. and Sulphur were pre
scribed. The appetite became better ; sleep was more sound, the
spirits livelier, and the tongue, which for a long time had been réd ,
smooth and glassy ( and the lips red also), began to look natural.
The skin over the bowels and stomach was of a dirty ash color, and
the face pale, or of aa leaden hue, and the veins about the temples and
forehead deep blue. Four weeks from first visit the patient passed
a very large, ball-like stool, the next day several others, and on the
first of May there was a general moving out. From 27th of March
to time mentioned above, she wore every night a compress over
the bowels and stomach, and blood -warm enemas of water were ad
ministered on going to bed and in the morning. As soon as a
movement of the bowels was effected, the Nux vom. and Sulphur
were discontinued, but the enemas and compress continued. The
bowels moved regularly for about five weeks, then ceased. Again
gave Nux vom. and Sulphur, and continued for four weeks, with
no amelioration . One week after, commenced Caustic. and Nat
rum three times a day ; at the end of seven days an evacuation
was procured, not so thorough as the former. Eight weeks elapsed
 INTESTINAL CANAL. 131

from the time of the cessation till they again moved . On the 2d
of September she passed a small, hard ball, and then ceased. Nat
rum and Caustic. were administered as before for eight or ten days,
with no benefit. Mercur. was then given ; then Bryon. for sev
eral days, but no amelioration. On the 15th of November resort
was had to Lycop., three globules of the thirtieth dilution, every
other night, until it was given five times, when the bowels were
thoroughly evacuated . The compress and enemas were daily con
tinued. This was on the 24th of November, from that time until
the 29th of December, there was no . day without a movement.
Once or twice showed symptoms of constipation, but the adminis
tration of Lycop. at bed time, produced an action the next morn
ing without the aid of an enema. The compress was still contin
ued. The tongue looked healthy ; appetite good ; skin clear
and smooth ; rests well at night ; spirits generally cheerful and
countenance somewhat ruddy. The most she complained of was
weakness, causing her frequently to draw a long breath ; she re
mained passably healthy, without any return of the constipation.
The first period in which the patient had no movement of the bow
els, was one hundred and five days ; the second, fifty -seven days ;
the third, eighty-five. (G. Z. Noble, N. Y. S. Trans. , 1871 , p. 282.)
Therapeutics of Hæmorrhoids. Aloes. Constant bearing down
in the rectum ; the hæmorrhoidal tumors hanging out of the anus
like a cluster of grapes, with bleeding ; large volumes of wind
precede each stool.
Aesc. hip. Hæmorrhoids with severe pain across the back and
hips, with bearing down.
Alum. During an evacuation, blood spurts out of rectum , fol
lowed by soreness ; stool hard and dry ; tumors become distended
after walking ; are worse in the evening,better after a night's rest ;
bleed while walking ; always burn ; perineum sweats and is tender
to the touch .

Amm. mur. Bleeding from rectum with lancinating pains in

the perineum, especially in the evening ; stinging and itching in
the rectum during and preceding a stool ; hæmorrhoids surrounded
by inflamed pustules.
Ant. crud. Stands first in the ranks for what are termed “ mu
cous piles,” with pain, pricking and burning.
Arsen. Patient excessively restless, especially at night; the tu
mor and anus appear to be on fire. Useful in cases of drunkards.
132 PRACTICE.

Calc. carb. Tumors bleed profusely, and protrude on evacuation

of bowels. When the bleeding is checked the head is affected .
Carb. veg. Great burning and itching in the anus, with swelling .

of the tumors, and lancinating pains in the thighs. Bleeding at

every stool .
Caustic. Pains and soreness aggravated by walking, standing, 他

and by mental labor.

Graphit. Chronic constipation with hardness in region of liver ;
prolapsus recti ; discharge of mucus and blood ; moist, humid erup NE
vu

tion about head and ears. In woman watery leucorrhoea at time

of menstruation .
Ignat. Sudden sharp stitches in the rectum extending upwards
into the body ; aggravation from excessive grief.
Kali carb. Sensation as if anus was fissured ; stinging, burning,
tearing, screwing, itching, biting, following every stool, setting the
patient almost crazy ; cannot sleep at night.
Lycop. Narrowing of the rectum , causing a protrusion at stool ;
tearing pain in rectum arresting breath ; the hæmorrhoids sur
rounded by an itching eruption painful to the touch ; obstinate
constipation.
Mur. ac. When the same eruptions appear in light complexioned
persons ; prolapsus ani when urinating.
Nitr. ac. For persons of dark complexion ; sharp, stitching pains
after each evacuation ; constant weight and pressure, aggravated by
exercise.
Nux vom . Shocks in small of back , with bruising pain, so that
the patient is unable to raise himself; constipation, as if the anus
were closed or contracted ; vertigo, with inability to think ; sting
ing, burning, itching ; discharge of mucus and blood ; aggravation
in morning and from use of coffee.
Silic. Hæmorrhoids protrude during stool, and become incarcer
ated ; intense pain with slight protrusion ; boring, cramping pain
from the anus to the rectum and testicles} ; sharp stitches in rectum T
when walking
Sulph. ac. The varices always feel damp and are painful to the UN

touch ; itch violently ; pain during stool as if rectum were torn in

pieces ; stool like sheep's dung. Useful for hard drinkers.
Sulphur. Burning, tearing and itching in rectum and anus, with
feeling of fullness ; cannot bear to have tumors washed ; constant
desire to scratch the parts. (C. C. Smith, A. J. H. M. M. , v . 5 ,
p. 180. ) 1
 INTESTINAL CANAL . 133

Sulphur. Mrs. —, æt 30) ; piles, now internal , at first external.

During and after stool, throbbing, burning, smarting in piles and
shooting upwards which catches the breath. ; also dull, aching
in coccyx and sacrum , extending round sides of pelvis, lasting seven
hours after stool. Sulphur.lm, one dose cured in a week ; chronic
case . ( Berridge, M. H. Rev., 16, 495.)
Colica Pictonum . As occuring in D. B. Shipmans' White
Lead Works of Chicago. Symptoms and treatment; milk and
Sulphuric acid lemonade used as prophylactics. ( T. S. Hoyne, U.
S. Med. and Surg. Jour., v. 7. p. 166.)
Mrs. >
feeling of incarcerated flatulence moving in abdomen,
catching the breath and causing cough ; it is paroxysmal, worse
from excitement or sitting ; better lying down, straightening up
or eructations ; pressure on abdomen increases the suffocativefeel
ing. Phosphor.Im. one dose cured in two days. ( Berridge, M. H.
Rev. , 16, 495.)
L. , suddenly taken with a heavy pressing pain, constant, two
inches below the umbilicus. Dioscorin, 3 x. Cured promptly.
(McLaren , H. W., 7. 133.)
Protracted Colic with sensation as if bowels were drawn up in
1

a ball, and nightly aggravations, cured after six weeks “ regular”

tampering by a few doses of Chamom . third attenuation. (A. E.
Small, U. S. Med . and Surg. Jour. v. 7, p. 432.)
Stricture of Rectum . Palliation with Bellad. and Plumbum .
Aug. C., æt. 23, married but childless, had piles which were oper
ated on three years ago. Since then no more discharge of blood
much pain in the rectum and great difficulty in expelling the
fæces which escape in small portions, the size of an earthworm .
On examination found a thick , firm stricture two inches above the
sphincter. Bellad.3 for one week, but little relief; Plumb. met. for
one week ; felt better ; continued medicine three weeks, passages
relaxed. Rheum . reported much relieved . ( J. H. Nankevill, H.
W. , 7, 206. )
Podophyllum cured a case of prolapsus ani consequent upon uterine
displacement. (E. F. Blake, Am. Obs., Sept. , 1872. )
A case of fistula cured by three doses of Arsen.26 This was a
case of ten years' standing. Symptoms were : Great despondency ;
chills running up and down the back ; relief from heat ; large
purple swelling on right gluteal muscle ; great aggravation of pain
after third dose. (Mera, N. Y. Trans. , 1871 , p. 617.)
2

Helminthiasis. Child æt. 4. Severe itching of the fundament,

134 PRACTICE.

especially in the evening ; caused by pin worms. Urtica urens, tinct.

one drop in a teaspoonful of water at bed-time. Cured by two or
three doses. (Geo. W. Richards, H. W. , 7, 260. )
Tape Worm in a child æt. 5 days. The infant had never taken any
food but the breast milk of the mother. On the fourth day trismus
and tetanic spasms supervened, apparently from intestinal irrita
tion. On the fifth day, the child being under allopathic treatment,
a purgative was administered, and two segments of a tænia solium
were evacuated , following day three more segments came away,
the next day another, and the next day still another, two days
after another segment. Five days afterwards four more were passed .
The microscope revealed the characteristic marks of tænia, with the
eggs of same size as those of specimens from adults. Two months
after parturition, the mother, although having no symtpoms of
tape-worm , was put on the pumpkin -seed treatment, when she passed
over seventy pieces of tape -worm in less than twenty -four hours.
(B. W. James, H. M., Feb., 1872, p. 337.)
Tape -worm . An emulsion of two or three ounces of pumpkin
seeds in sugar and water, q. s. taken in four or five divided doses,
fifteen minutes apart, followed in about three hours by an ounce
and a half of castor oil will never fail to dislodge tape -worm . (F.
A. Lord, U. S. Med. and Surg. Jour., v. 7, p. 362.)
Ascites in consequence of suppressed intermittentfever. Swelling
of abdomen ; pressing in temples ; spasmodic complaints with
urination ; stitch pain during urination. June 20th . Bryon. 30.
July 3. Sulphur.400 Pressing in abdomen ; constriction in pit of
stomach ; stool twice or three times a day ; general perspiration
with red face ; desire for acids and fishes ; pressing in both hypo
chondria worse when turning in bed . July 13. Lycop. 30, in
solution for eight days. Diarrhæa worse, five to six times aa day,
watery ; pressure towards kidneys ; urine increasing and clearer.
July 25. Since two days fever at 11 o'clock A.m. Blue nails ; in
terior coldness ; no thirst ; no heat following; numbness in hands
and fingers. This fever continues. Aug. 2. Lycop.200 night and
morning for eight days. The swelling of abdomen diminishes and
urine increases. Sept. 10. Spitting of blood with hot and red
skin . Acon. and Bryon. alternately. Spitting of blood and fever
ceases. Sept. 15. ' Lycop.200 in water for six days. Menses reap
pear and patient is well by October. (Kirsch , Sen., A. H. Z. , 85 ,
140. )
Ascites. Lady æt. 85. Breathing so oppressed she could hardly
 1

LIVER. 135

lie down, relieved on bending forward ; urine scanty, a tablespoon

ful in twenty-four hours, looking like little clots of decomposed
blood, with offensive smell ; abdomen much swollen, with aa fold or
crease below umbilicus extending across. R. Colchic. 20 in water,
and vinnum Colchic. ( four drops in a half a tumbler of water), alter
nating them every half hour. Relief in twelve hours, removed
symptoms in thirty -six hours. Carbo. veg ., completed cure . (W.
McGeorge, H. M., Aug., 1872, p. 18.)
Abscess in abdominal parietes. Aug. 26. B. A. K. B. Huge
swelling in the left iliac region just above the sigmoid flexure ; ex
ceedingly tender to the touch. Hectic fever ; extreme prostration.
Had been twenty days under allopathic treatment without relief.
Gave Hepar s . three times a day. In less than a week nearly
free from fever, swelling considerably diminished, patient could
walk a little. Improvement becoming stationary. Rhus tox. 6.
Sept. 20th much better.Cured by end of month. (M. L. Sircar,
H. W.7 , 5.)

LIVER .

Miss C., æt. 16. July 14. Weakness ; pain almost constant under
right scapula ; vomits green bile each A.M. ; frontal headache ; bad
sleep ; catamenia appeared only once, seven months ago. B. Chelid .
30, three or four doses. July 18th. Sickness gone ; head and
sleep better ; pain under scapula not altered, worse sitting ; no ap
petite. Sac. lac.
July 21st. Better ; less pain and more appetite. Sac. lac.
July 28th . All the pain gone ; frequent frontal headache ; no
return of catamenia. Pulsat.2 , one dose.
August 4th. Nose bled three times last week ; headache often,
with aching in the eyes ; well else. Bryon.s, three times to -day.
Patient has not returned . (R. M. Theobald. H. M. , Feb. 1872, p.
>

331.)
Podophyl., jaundice of children. (E. T. Blake, M. H. Rev., 16,
403.)
Phlebitis, Pylephlebitis, (by Dr. Mossa, A. H. Z. , 85, 301.)
136 PRACTICE.

KIDNEYS .

Diabetes mellitus. Secale corn ., is in its pathogenesis very

similar to Plumbum . Like Arsen.., Uran ., and Kreos.,, these so-called
specifics in Diabetes, they cause primarily a suppression of urine.
(H. Goullon, Jr., H. Kl., 1872, 5.)
Bertie, æt. 3 years. Symptoms, usually pale, dark circles around
the eyes ; color in cheeks would change to deep red ; exceedingly
restless at night, with fever; urine profuse and very pale ; appe
tite capricious. From Trommer's test decided evidence of sugar in
the urine. Gave Uran. nitr. 3 x, three times a day for three weeks,
cured. (McLaen, H. W. 7, 132.)
Melituria after the use of Oleum terebinthinæ, observed by Von
Almen. (Chr. Med. Centralblatt 1870. H. Kl. 1872, 40.)
Diabetic diet. Vegetable Food. Food forbidden . - All vege
table food containing flour ( farina ), starch , dextrine, or sugar. All
articles made from wheat flour - bread, biscuits, and pastry. Oat
meal, peas, beans, haricots, lentils, rice, sago, tapioca, arrowroot,
semolina, revalenta, potatoes, yams, carrots, turnips, radishes, pars
nips, macaroni (except with cheese ), vermicelli, cocoa , chocolate.
All fruits rich in sugar.
Animal Food. None. No article of food derived from the
animal kingdom is forbidden in diabetes.
In every kind of made dish prepared from animal food , the sauce
or gravy , if needed , must be thickened with either gluten flour or
egg powder.
Vegetable Food. Food allowed . All the cabbage tribe (cruci
feræ ). Cabbage, cauliflower, broccoli, borecole, Scotch kale ,Brus
sels sprouts, sea kale, cardoons, couve tronchuda (Portugal
cabbage), spinach, French beans, artichokes, cucumber (with oil),
asparagus, onions, leeks, mushrooms, truffles, lettuce, endive, and.
all varieties of cress, Italian or corn salad, American and water
cress . All kinds of acid fruits. As a substitute for wheaten bread
-gluten bread, bran bread , bran biscuits, brown bread cut thin
and toasted may be allowed.
Animal Food. The food of the diebetic patient should be as
much as possible selected from the animal kingdom . All kinds of
meat ; all kinds of game ; all kinds of poultry ; all kinds of fish
and crustaceæ ; eggs of every variety that are edible; cheese of
 KIDNEYS . 137

every form and variety ; the curds of milk. (Quoted by B. W.

James, H. M. , June, 1872, p. 533.)
Skim -milk diet in diabetes. (Br. J., 1872.)
Prof. Bartels separates the acute and chronic cases of diffuse ne
phritis, for the latter do not pass first through the acute stage, and
in most cases the chronicity shows itself from the beginning. Patient
in the so called second stage of Bright's disease feel a decrease of
their strength and of their weight, become pale and dyspnæic and
only the appearance of adema renders them solicitous ; most patients
hardly know that they pass very little urine, as from the constant
desire to pass water they rather believe the contrary to be the case.
In the few cases where patients succumb to the first attack of
dropsy, we find the anatomical picture of the second stage of Bright's
disease, but where the disease has lasted years, we may find the
kidneys of normal size or even smaller than natural, and then the
preceding swelling as well as the shrinking relates especially to the
cortical substance. Such patients feel no decrease in strength nor
in nutrition, and they only complain of their frequent micturition
at night, their urine shows nearly normal specific weight and only
exceptionally contains albumen and dropsy is never as extensive,
as lasting and of such great proportions. Death is indirectly caused
by the retention of urea or of other products, which ought to be
eliminated from the body. In the atrophied kidney the left ven
tricle is mostly hypertrophied ; in the chronic swelling of the kidneys
nutrition suffers and a hypertrophy is therefore impossible. (For
particulars see page 445 of N. A. J., Feb., 1872.)
Parenchymatous nephritis is a frequent complication of infantile
diseases, especially in intestinal catarrhs, when the diarrhea ceases
or diminishes, or when the stools become normal without any
amelioration or even in some cases with an aggravation in the state
of the child and where no dyscrasia can be made out as the cause of
the aggravation. (N. A. J. , XXI. , p. 126.)
Kidney disease. Man, æt. 30. Two years ago commenced
with pain in the kidneys, constantly urging to urinate ; later
purulent sediment in urine. Has been treated allopathically some
two years. He is emaciated to skin and bone ; renal region sensi
tive to slightest touch ; incessant painful urging to urinate with void
ing of a few drops of purulent urine. Violent fever with unquencha
ble thirst; colliquative diarrhea and night sweats. Canthar, Ruta,
Uva ursi, Digit. , Benz. ac. , Pulsat. , Baryt., Natr. carb., Phosph. ac.,
138 PRACTICE .

had not the slightest effect. Hepar.6 in water, from July 19th
to November 18th, cured entirely. (Landesmann, A. H. Z. ,85, 161)
The pathology and treatment of Bright's disease. There
are in the kidneys three main elements, viz : tubules, vessels, and
interstitial tissue. There are three forms of Bright's disease, one
originating in each of these elements, viz : in the tubules, paren
chymatous nephritis, or desquamative nephritis, acute and chronic,
( large white kidney ); 2nd in the vessels, amyloid, waxy ,or lardaceous
degeneration, essentially chronic ; 3rd in the intertubular tissue,
the cirrhotic, granulated , gouty, or contracting kidney. The first
form is the only one which we meet with as an acute affection .
Causes : scarlatina, febrile diseases, exposure to cold and wet, in
temperance. Symptoms: stage of invasion, fever,headache,nausea,
lumbar pain , oppressed respiration , frequent micturition, with a
brownish sediment composed of blood disks, granular epithelial cells,
and fibrinous casts of various sizes. The urine contains albumen
in abundance and is deficient in urea , uric acids and other solids.
Face soon becomes cedematous, followed by general anasarca , and
the urine is frequently suppressed . On section of the kidney, the
cortical structure is seen to be increased in volume, the vessels con
gested, the malpigian bodies dense and granular, the tubules swollen
from enlarged granular epithelial cells. If resolution now takes
place the congestion is lessened ; if not we have increased congestion
and extravasation , increased obstruction of the tubules, giving rise
to uræmic poisoning ; or death may result from pneumonia, pleu
ritis, pericarditis, or peritonitis. The disease may become chronic.
Treatment : diet — animal food , and as far as possible nitrogenous
food should be excluded. Hot air baths, Canthar. in the early stage
and when uræmic poisoning is threatened . Digit. is the most homeo
pathic remedy; it meets diminution and suppression of urine, and
the symptoms of uræmia , vomiting, dilated pupils, convulsions,
coma. Turpentine, when the urine is highly charged with blood,
especially if it is bright, and passed in very small quantity, and
frequently. Arsen . covers many symptoms- albuminuria, diminu
tion or suppression of urine and anasarca . Bellad . for disturbance
of the nervous centres, Copaiva, Cubebs, Juniper, are other remedies.
In acute cases relief is obtained by large poultices to the lumbar
region, when I use Turpentine or Digit. internally, I also apply it
externally on the poultice. For pulmonary or bronchitic complica
tion Tart. em. For ædema of the lungs Tart. em. and Arsen.
The second form (the cirrhotic ) is the most common when the
 BLADDER. 139

disease is chronic throughout. On section the cortex is found

thickened and cannot be peeled off without tearing the gland , it
has aa brownish red color, and a coarse, granular texture, and is firm
and resistent. Dropsy is usually absent, urine copious, of low
specific gravity, and but slightly albuminous. Deposit consists of
fibrinous or hyaline casts (granular and fatty ) with epithelial cells.
Hypertrophy of the left ventricle is a common accompaniment of
this variety ; and valvular disease is frequent; gout and cirrhosis
are also frequent concomitants. In the third form (in the vessels)
the degeneration commences in the capillary tufts of the malpighian
bodies, and the transverse fibres of the middle coat of the small
arteries. On section of the kidney the cortical substance has the
peculiar appearance resembling white wax, and scattered over it ,
numbers of minute semi-translucent points, which are the mal
pigian bodies. It comes on insidiously in persons worn down by
some pre-existing disease, especially caries, necrosis or syphilis.
Dropsy in most cases ; urine of aa low specific gravity, and albumin
ous ; depositing, a few hyaline tube casts and atrophied renal cells.
Tuberculosis a frequent complication. Hypertrophy of the heart
is rare .
Remedies : Lead, Merc. corr., Phosphor.,Phosphate of lime,Iodides
of mercury or iron, and Cod liver oil. (Thomas Rayner, Month.
Hom . Rev., v. 16, p. 14.)
The eye in Bright's disease. In about twenty -five per cent
of cases it is stated that great and sudden variation in the vision
takes place. These spells last for a few days then remit, etc.
(Medical Record, O. M. and S. R. , v. 6, No. 4, p. 234.)
>

Milk diet in Bright's disease and anasarca . (Am. Obs., Feb. 1872,
p. 76.)

BLADDER .

Irritable Bladder. Mr. P. , æt. 59, has for some time suffered
as follows: On standing is at once seized with intense urging to
urinate, a pressure sets in from the abomen toward the neck of the
bladder. During and after the passage of a few drops of urine the
tenesmus is aggravated. The whole urethra feels as if it were
eroded, and is most painful in the fossa navicularis. Is somewhat
140 PRACTICE.

relieved when sitting and wholly when lying down, or dipping the
hands in cold water. Mr. P. is a pale, anæmic, and overworked
man of sedentary habits. He received Jatropha cur., in powders every
two hours. Numbers one to five, contained the five hundredth ;
six to ten, the two hundredth ; and eleven to fifteen, the thirtieth.
He was relieved by the first powder, and entirely cured by the
time he had taken the eleventh. The action of this remedy is in
marked contrast to that of Calc. carb., the strangury of which is
brought on by chilling the feet. (S. A. Jones, Am. Obs., June,
1872, p. 291.)
Sepia im cured the following case : constant pressure on bladder
with urgent inclination to pass water, sensation as if the bladder
>

and urinary organs would be pressed out, relieved by standing or

sitting with the legs crossed, or by lying down ; very frequent mic
>

turition, and if the desire to pass water is not immediately com

plied with, the urine passes involuntarily ; urine scanty, sometimes
clear, but generally thick and muddy, with a very adhesive brick
dust sediment which has to be removed by scouring, sleep very much
disturbed at night from having to urinate as often as every half
hour ; dreams of urinating and finds on waking an urgent desire to
do so ; weakness and aching in the small of the back. (S. Swan,
N. A. J. , v. 30, p. 105.)
Catarrh of the bladder. W. T., æt. 50, has been much ex
posed to cold and damp ;; has great pain in the bladder and urethra ;
urination frequent, urine loaded with slimy mucus. . Cann. ind. ,
cured . (J. H. Nankevill, H. W., 7, 207.)
Cystitis. Patient of lymphatic temperament. For two years
had suffered from attacks of difficult urination . During the past
three months had suffered day and night, from these symptoms :
Frequent desire to pass urine, sometimes as often as every half hour,
passing only half ounce or so at a time ; burning pain in the urethra
at the time ofurinating ; a feeling as if the “ passage was too small ; "
walking, standing, or lying in bed, increased the desire to urinate ;
>

better of all the above symptoms while sitting in a chair. One

powder of Canthar. 2 (Dr. Dunham’s), dissolved in half a glass
of water, one tablespoonful every hour, until relieved. In three
hours after taking the first dose, urine was passed with perfect “ ease
and comfort . ” Not the slightest return of the above symptoms.
(T. L. Brown, N. Y. S. Trans.,> 1871, p. 285.)
Chronic cystitis from injury. G. æt. , 23, fell from a cart five
years ago and hurt his groin ; since, the water passed every evening
 BLADDER . 141

is thick, and with it a whitish paste which has to be squeezed from

6
the urethra, giving intense pain. Arsen.30, and sometimes Arsen .,
was given for several months with complete recovery. (C. W.
Kitching, Month. Hom. Rev. , v. 16, p. 546.)
Painful Micturition , of twenty years' standing, relieved by
the removal of a small fibrous tumor from the urethra. (W. Dan
forth, U. S. Med . and Surg. Jour., v. 8 , p. 65.)
Retention of Urine with Paralysis of Bladder, in conse
quence of a vesical catarrh . Canthar.?2 every three hours, relieved
in aa short time. (Heyne, A. H. Z. , 85, 182.)
If, in passing the catheter, we meet an obstacle which cannot be
overcome, it is well to inject through the catheter a tea -spoonful of
warm oil, which so lubricates the interior parts, that gradually the
obstacle is overcome. Afterward Balsamum Copaive , 2d or 3d
dilution, will be very beneficial. (Weil, A. H. Z. , 84, 42.)
Evacuating Bladder. In over -distended bladders, or when
there is not force enough from muscular contraction to remove all
the urine, attach to the catheter, introduced by means of a gum
tube, a rubber bulb compressed. Its slow expansion removes the
remaining urine. (B. W. James, H. M., 1872, p. 138.)
Argent. nitr. cured enuresis in a boy æt. 3, light haired and
stout, who had wet the bed every night since birth , and also his
clothes during day -time. While the remedy improved, drinking
coffee aggravated. Can now drink it without enuresis. (W. J.
Blakely, Trans. Hom. Med. Soc. of Penna., 1872, p. 99.)
Enuresis diurna. Mrs. B. , æt. 28. Feb. 4th. Lymphatic tem
perament ; has incontinence of urine only during the day. Ferr.
met.30four times a day. Feb. 12th : better. Ferr. met.30 three times
a day. Feb. 21st : cured. (Geo. W: Richards, H. W. 7, 260. )
Child , æt. 3. Always been troubled with inability to retain her
urine during the day; no trouble at night. Ferr. met.30 three times
a day, cured in one week . (Geo. W. Richards, H. W., 7, 261.)
Incontinence of Urine in the Aged. Dr. Schmidt recom
mends one drop of the tincture of Iodine every two hours, for the
incontinence of urine in old people. He has found marked relief
follow its use. (Exchanges, U. S. Med. and Surg. Jour., v. 7,
p. 244.)
A boy, æt 10, had blue urine, like indigo. It made a blue stain
>

on the linen, that would not come out with persistent washing.
Ind . has urine of a “ dark violet color, or assumes a bluish tinge after
142 PRACTICE .

standing.” The other symptoms called for Arsen., and it disap

peared under that remedy. (B.W.James, H. M., Feb., 1872, 336.)
>

Vesical Calculus and Hæmaturia. Mr. T. , æt. 48 ; is of lym

‫ܕ‬

phatic temperament, light hair, gray eyes, complexion fair, lively

disposition , good natured and jolly, yet constantly desponding if
feeling unwell. Has enjoyed good health until within a few years..
Some four or five years ago he began to have attacks of what he 0

called bilious colic, which were very severe, and were followed by
feeling of great prostration, with profuse urination and pain and
uneasiness in the bladder and along the urethra . These attacks
continued at intervals of a few weeks for something more than a
year, when, one day while urinating, he thought he felt a solid
substance passing along the urethra , and which was causing intense
pain. By using great care, he succeeded in securing the substance
before it fell into the chamber, and, upon examination, it proved to
be a calculus of a grayish color, very solid, and about the size of a
>

pea. He secured three of these calculi in the course of six months,

and thinks he passed many more. The last one that he knows of
passing was quite large, and its passage extremely painful; the
surface of this calculus being quite rough. Since the passage of
this one, he has been entirely free from these attacks of severe
pain, but in a few weeks he noticed that his urine was frequently
very dark , and looked as if tinged with blood. This condition
continued, the urine assuming still more color until it finally be
came red with blood, and in a very few months he began to void
clots of blood. He first visited me at my office about the middle
of June, 1871. I watched the case closely from that time, and dis
covered the following facts : These attacks come on without any
warning whatever, except that occasionally he had a sensation of
general languor. The attack will last from aa few hours only to one
or two, and in one instance three days. Sometimes there will be a
feeling of weight and enlargement of the left testicle, with evident
tendency to a varicose condition, but with no pain or tenderness.
The desire to urinate will be frequent and often ineffectual till he
has lain on his left side for an hour or more, when he will void
large quantities of liquid and coagulated blood. These coagula are
often very large and long, and retain their outline and consistency
for a long time, and look like the coagulum of blood from any
other part of the body, with the exception of being a few shades
darker in color. The number and size of these coagula which he
has been known to void is astonishing. He says he has often
 BLADDER. 143

passed more in twenty -four hours than he can hold in both his
hands. I have known of his passing enough (with what liquid
blood passed at the same time) to fill an ordinary tumbler in three
hours. I saved and measured the largest one he ever voided, and
found the dimensions as follows: three and one-half inches long,
one and a quarter inches wide in its widest part, and three-eighths
of an inch thick in its thickest part. What seemed to me to be
quite singular in regard to this case, was the fact that he never had
any pain either in the urethra, bladder or kidneys, and could not,
by any uncomfortable feelings experienced, aid in locating the dif
ficulty, although he expressed the belief that the whole difficulty
was on the left side. Although these attacks have been frequent
(sometimes only two or three days intervening ), and the loss of
blood considerable, yet he did not lose flesh and but little strength,
though he often looked quite pale and complained of a languid
feeling for a day or two after a severe attack . I tried various rem
edies for some three months without result, till finally he com
plained of having some nausea with a sense of fullness after eating
even a slight amount, with some rumbling in the abdomen, with
considerable flatulence and constipation, and some headache in the
afternoon, beginning about three or four o'clock and lasting till in the
evening.
Gave Lycop ., 3d dec. trit. , which relieved the symptoms, and at
the same time the hemorrhages disappeared. In a few days, the
same symptoms being present, I repeated the medicine in the same
potency with aa similar result. A few days after I was sent for to
go and see him. Found him passing large quantities of blood and
coagula , with but few other symptoms, and those obtained only
1
with great difficulty, his whole attention being directed to the
amount of blood he was constantly voiding. Gave Lycop ., 3d dec.,
and in a short time the hemorrhage ceased. Saw him the next day
and found him quite comfortable. Gave Lycop.200, and repeated the
>

dose twice in the course of two months. About the 10th of

November, 1871 , he voided another calculus, which was small
and round, and passed without pain. He afterwards passed one
small clot of blood, but since about the 1st of February , 1872, has
passed no blood, and says he feels splendidly.
The only remedy which I have given him since October, 1871, is
Lycop.200, of which he has had three doses, and to the effect of this
>

remedy I attribute the cure in this case. (G. H. Hackett, N. E. M.

Gaz. , Feb., 1872. )
144 PRACTICE.

MALE GENITALS .

Chronic stricture of the urethra . W. S. , æt. 38. Difficulty

in passing water, accompanied with severe cutting and scalding
pain ; sometimes the water is split in several streams, at others the
stream is only of the dimensions of a sewing thread , and again,
there is a drop-by -drop emission. Merc. corr.? and Canthar. were
followed by improvement, which was again succeeded by a relapse.
Chimaphilla u . brought entire relief. (H. W. , 7, 208.)
Urethral stricture. Urinary tenesmus when not urinating,
felt just above fossa navicularis ; worse when standing and when
walking ; smarting in fossa navicularis after micturition ; urinates
freely except just before the close, when the stream suddenly stops.
Afterwards a few drops escape involuntarily ; urine dark ; profuse
sweat of the parts when walking ; varicocele of left side ; soreness
in left inguinal region and thigh, extending to the left testicle ;
feels drowsy all the time ; has not been exposed to gonorrhea.
During three weeks, various medicines were administered un
successfully. 1869, August 9th, additional symptoms recently
developed : constant burning sensation in left testis, epididymis,
spermatic cord and urethra ; emission of semen premature during
coitus. Cured with Berberis. (H. V. Miller, H. M. , April, 1872,
p . 402.)
Hydrocele in multilocular cysts cured by Apium virus? (Dr.
Holden, N. Y. S. Tr., 1871 , p. 41.)
Erythema, resulting from an operation for hydrocele. The
entire scrotum , and for several inches around it, was involved in
erysipelatous swelling. Linimentum calcis applied for a few days
worked a perfect cure. (Wm. Wright, N. Y. S. Tr., 1871, p. 41.)
Impotence and Backache. May 12th. W. P. , æt. 40. Mar
ried . Constant, dull, burning pain in left hypochondrium and
pain across loins, as if broken ; worse from lying on affected side,
R. Ratanhias , three doses during day. Relieved. Aug. 4. Same
pain has returned with loss of sexual power.. R. Coccus cacti, three
doses during day. Cured. (R. M. Theobald, H. M. , Feb. , 1872,
>

p. 329.)
Spermatorrhea. For the mechanical treatment of this affec
tion, make a T bandage thus : Cut two pieces twisted towel crash,
five inches wide, and long enough to reach entirely around your
patient's body just above the hips. Cut two pieces, seven inches
 MALE GENITALS. 145

wide at one end and four at the other, long enough to reach from
the first, down over the perineum and up behind to the hip ban
dage. Sew the first two together and the second two together, so 2

as to be double thickness all through. Sew the wide end of the

shorter or wedge-shaped strip to the lower front edge of the longer.
To fasten the first round the body, and the other behind, I use
buckles and leather billets ; on the hip bandage I set the top one a
little further back than the lower one, so that by this means I
make it fit down over the hips. The whole affair may be readily
understood by a glance at the views here given.
Application. Let your patient, on going to bed , pass urine, and
then adjust the bandage so the penis will rest downward and
against one thigh. If an erection occurs, the bandage will prevent
it, or cause him to awake before an emission will take place. Now
direct him to arise and urinate, when the erection will cease, re
adjust his bandage and go to sleep again - rising as often as he
awakes. By this means you will be able to prevent most of his
emissions, and give your well selected remedy time to work a cure,
not only to his delight, but your no small satisfaction . Occasion
ally, a very obstinate case will require that you procure a ball of
broom twine, and sew it fast to that part of the bandage that rests
against the spine, in such a manner that your patient cannot lie
on his back at all without waking up at once. This addition ren
ders this form of bandage more desirable than any other mechanical
means I have ever used in this terribly annoying disorder.
Nocturnal emissions. Mr. B., æt. 25 ; sanguine temperament;
>

single ; general health good ; emissions followed by prostration ;

three succeeding nights profuse and sticky ; spermatic cord full
and knotty before emissions ; right testicle lower than left ; less
fullness and no knots in cord after emission ; shooting pains through
the right testicle and up the cord of that side ; emissions take place
before dawn, seldom waking him ; subject to headache; restless,
uprefreshing sleep ; dreams are unpleasant, in trouble, sees naked
women ; scrotal perspiration, with unpleasant, fleshy odor after
sleep, not noticed during day ; sticky smegma, not acrid ; discon
tented , low spirited. Staphis. controlled emissions ; Selen. cured .
(W. M. Williamson, Trans. Hom. Med . Soc. of Penna ., 1872,
p. 150,)
Gonorrhea, Chordee, smarting micturition ; red meatus; thick,
creamy discharge. Cured by Capsic ., with tepid water injections
(H. V. Miller, H. M. , April, 1872, p. 403.)
10
146 PRACTICE.

Gonorrhea. Balsamum Copaivæ, in all stages. (Weil, A. H. Z. ,

84, 42.)
Serous, whitish discharge ; injections of Argent. nitr. and Sulphate
of zinc. had failed. Cured with Sulphur3o, and 2, with tepid water
>

injections. (H. V. Miller, H. M., April, 1872, p. 403.)

Injections of tepid water every hour as long as there is pain and
chordee, afterwards cold water injections. (Patterson , N. Y. Med.
Jour., Aug., 1871 , Mtsbl. , Jan., 1872, 8.)
Syphilitic ulcers. A gentleman, æt. 50, of nervo -sanguine
temperament, and the unfortunate possessor of syphilitic ulcerous
fissures in the tongue, gums and sides of mouth. Treated with
Nitr. ac., Nitrate of silver and other local applications, without relief.
A wash prepared from sumach berries (Rhus glabra ), applied with
a swab, and five drop doses several times a day of the second atten
uation, resulted in rapid and complete recovery. (A. E. Small, U.
S. Med. and Surg. Jour. , v. 7, p. 155. )

FEMALE ORGANS .

OVARIES.

Ovaritis. A lady had suffered for several months with a burn

ing, stinging pain in the right ovary. Api3200, dry on the tongue ,
>

entirely relieved in twenty -four hours.

Another case of more acute ovarian inflammation, sequela of ac
tive metretis ; pains very severe ; yielded in a few hours to Apis200 in
water. (L. D. Morse, A. J. H. M. M. , v. 6, p. 7.)
Acute Ovaritis, with cutting pains, as of knives in the ovary .
Sabad.12 has been very successful. (Drury, Med. Inv. , v. 9, p. 51.)
Ovarian dropsy. The differential diagnosis of ; with report of
two cases. (R. Ludlam, U. S. Med. and Surg. Jour. , v. 7, p. 177.)
2

Diagnosis of Ovarian Disease. The nipple of the breast on

side of affected ovary is drawn in ; swelling of the breast is the first
indication of ovarian disease ; the indented nipple is a diagnostic
mark ; wind escaping from the womb ; varicose condition of veins
of thigh and of affected side ; when the mother can not suckle child
from indrawn nipple or from want ofmilk ; miscarriage ; gathered
 OVARIES . 147

breast ; little knots in breast ; in one case great tenderness and

swelling at left ovarian region, with normal nipple,—the woman
soon after marriage had fallen against a barrow, striking in this
region ,-nine months before seeing Dr. the left nipple disappeared
but had since returned. ( Quoted by B. W. James, H. M. , Feb. ,
1872, p. 335.)
Ovarian tumor. Mrs. K., æt. 40, tall, slender, dark hair and
2

eyes, and of dark complexion ; married, but had no children .

Menses regular, but rather scanty and painful. The patient had
been suffering for two years or more with a dull, aching, uneasy
sensation , and some soreness in the right inguinal region, and was
considerably emaciated. On examination discovered a hard, smooth
tumor about the size of a quart bowl, quite prominent in the right
iliac region , which I decided to be an ovarian tumor. As there
seemed to be no acute inflammatory action, gave Laches.", twice a
week, and continued the treatment six months. I examined the
tumor again , and found its size had not increased since the
first examination, and that it presented about the same appearance
in every way as at first. The patient then went back to allopathic
treatment, and I lost sight of the case for two years, when to my
surprise I was called to visit her again. An eminent surgeon had
been consulted and pronounced the disease ovarian tumor, and said
the only remedy was to remove it by a surgical operation. I now
examined the case again, it being two years and a half since I first
met the patient ; and found the tumor to be about three times as
large as when first I examined it, appearing quite firm and hard . I
expressed a desire to make one more trial with medicine, to which
she readily assented, as she dreaded an operation with the knife.
The remedy selected was Calc. carb.º, one grain every evening,
។

which was continued for three months. The tumor now appeared
about the same size, but softer and more yielding. Calc. carb. was
continued three months longer, once a week , at night. The tumor
had now diminished in size, was quite soft and flabby. This gave
2

courage to persevere, and the same remedy was continued six

months longer, once a week, making one year that the patient was
under treatment. There was now no hardness and very little full
ness. The patient seemed to be so nearly well that treatment was
discontinued. It is now a year and aa half since the last medicine
was given ; I saw the lady a few days ago ; remains perfectly well ;
menstruates regularly, and is now forty -five years of age. (Chas,
Sumner, N. Y. S. Trans., 1871 , p. 312.)
148 PRACTICE.

Ovarian tumor and Hysteria. Miss A. , æt. 35, brunette ; has

>

boring, then stitching pain in right ovary, which is swollen about

the size of a hen's egg and sensitive to the touch ; some relief from
hot applications ; pain causes her to double up. Coloc.2e gave
prompt relief. July 15. Same pains returned ; same remedy. July
21. Pains relieved until to -day. Great soreness in right ovarian
2c
region‫ ;ܕܐ‬has to stoop when walking. Arnic.% gave relief until July
31, when there were soreness and shootings from right ovary down
thigh ; wants to double up ; relief from pressure ; feels cross ; always
costive. Coloc.2 gave some relief. August 3. Darting and aching
pains in right thigh and foot, sudden, like lightning ; sensibility of
right ovarian region ; aching pains in small of back ; menses tardy ;
was always regular. Bellad.2 Aug. 5. Catamenia. This A.M.
terrible neuralgic pains in right ovary and thigh, with cramps in
calves of legs, feet and hands ; contrary to usual disposition, feels
cross and impatient, the pains render her so ; some coagula.
Chamom . 2 € gave immediate relief. Aug. 6. Spasms of the extensor
muscles of both arms, chiefly the right ; fingers and forearms re
tracted ; spasms in sole of right foot, in back and chest, with dysp
næa . Always worse after sleeping.. R. Laches.20 Aug. 7. Better.
All symptoms worse from 1 till 3 A.M. , and the same hours P.M.
No more spasms, but hard , aching pains, which gradually diminish
with a crawling sensation as if a bunch of angle worms spread out
from the seat of pain in back , ovary , thigh, and so on. Laches.2e
occasionally, according to aggravations. Aug. 10. Better. Laches.4m,
one dose. Aug. 12. Aggravations still from 1 to 3 P.M. Laches.4m,
one dose. Sept. 2. Relief of pain and spasms and steady improve
ment in strength until to -day. Some pain now in right ovary .
Laches.em, one dose. Nov. 1. Has been free from pain ever since,
and has steadily improved in strength. She is now well. Evidently
cured by Laches. (H. V. Miller, H. M. , April, 1872, p. 406.)

UTERUS.

Prevention of Uterine Diseases. If certain doctors would

urge on the profession the duty of teaching mothers to live hygi
 UTERUS . 149

enically, instead of urging doctors to adopt womb diseases as a

specialty, it would be better. Aside from tumors and cancers,
found too in other tissues than uterine, there is a list of inflamma
tions, ulcerations and displacements, with and without flexions, so
that the healthy are the exceptions. Uterine, as much as any
disease, can be prevented.
It is, with a few imprudent exceptions, unnecessary that women
should thus suffer. Imprudence during menstruation, or after
parturition , sexual excesses, too frequent maternity, effects of pro
cured abortions cause this suffering. These causes often occur
from the ignorance of husband and wife when the family doctor
should teach them better. Our enlightened customs have depreci
ated woman's endurance, but ignorance and disregard of the laws
of health have developed these customs.
If, with simpler food, the habits of daily exercise in the open air
were commenced in childhood, and continued into womanhood ,
we should see a far less number of sickly young ladies and invalid
women. But the present style of dress must be changed. There
is no evil so common as tight lacing. With the corset or waist
drawn tightly together, the skirts sustained by the hips instead of
the shoulders, the intestines are forced down upon the uterus, caus
ing disease. This pressure is often continued fourteen out of
twenty -four hours. The great uterine mobility must be remem
bered. Then, with the body warmly clad, chills sweep under the
skirts and a moist vapor rises from the wet earth coming in con
tact with limbs clothed only in thin cotton ; the arms are often
only covered with the dress sleeve. The drawers are tightly but
toned around the waist, impeding the venous circulation and in
creasing the pelvic pressure ; the thin stockings, upheld by tight
garters, the tight shoes or boots ; all prevent healthy circulation
and cause numbness, weakness and coldness of the legs. At the
same time, the brain and internal organs receive an undue amount
of blood. Is it a wonder that women have uterine diseases ? How
can women dress more healthfully ? Wear a merino wrapper and
drawers next the skin , the drawers either sewed to the wrapper,
or supported by shoulder straps ; outside this a suit of woollen or
cotton flannel, on the waist of it sew buttons, and from these sus
pend the skirt. Let thick cotton or woollen stockings be worn ,
attached to the waist of the undersuit by rubber bands, with thick
soled boots or shoes at all seasons. Dispense with corsets, and
wear dress waists loose. Could this change be universal, women
150 PRACTICE.

would become healthy. We spend too little time in seeking the :

laws of health. (Harriet A. Dada, H. M., May, 1872, p. 458.)
Uterine Diseases treated by Characteristics. Leucorrhea,
dysmenorrhea, and at last ulcerated os, frequently follow misplace
ment as the dyscrasia causing one of these forms of disease may
result in another. Uncomplicated cases are rare . Patients having
leucorrhea often fear ulcerated ,os, and justly ; both yield to the
same treatment.

In debility, the peritoneal uterine supports are weakened, pre

disposing to prolapsus, &c. The causes of uterine disease are often
constitutional, among them are psoric or scrofulous dyscrasias ;
such cases require antipsoric treatment. Local applications are
useless, producing only suppressions, and often metastases. Metas
tases are often spontaneous, and then local applications are still
more dangerous ; the throat and lungs are often thus affected .
Amputation of hemorrhoids results in lung-metastasis; crusta
lactea treated locally, often results in meningitis and effusions.
There is as much danger from local and empirical applications for
leucorrhoea or ulcerated os, as there is of producing carditis in
rheumatism by similar measures. Treat each case from symptoms
and shun routine treatments.
Homeopathy succeeds in uterine diseases because of the general
application of its therapeutic principles. Our characteristics are
our most important symptoms. The analogy between pathogenetic
symptoms of remedies and pathognomonic disease-symptoms is
wonderful.
Remedies. Cases of acute displacement may require taxis, but
usually remedies will cure. The “ key-note ” system simplifies the
finding of a remedy.
(
Causes. Arnica. A displacement “> caused by a fall or concus
sion ; a bruised, sore feeling remaining.”
Calcarea phos. “Every cold causes rheumatic pains in the joints
and various parts of the body.”
Kali bich . If from hot weather.
Nux vomica. “ By lifting or straining; accustomed to rich liv.
ing, stimulants and sedentary life .”
Opium . By fright.
Petroleum . Induced by debility, caused by chronic diarrhea,
occurring only in the day -time.
 UTERUS. 151

Podophyllum . If caused by parturition , with prolapsus ani.

Silicea. If caused by myelitis.
Most cases depend on some dyscrasia manifested by general or
local, subjective or objective symptoms. Objective symptoms
(those perceived by the physician) are important, and pertain
mostly to the various fluxes and excretions, fæcal, urinary , leucor
rhæal, perspiratory , &c.
G
External Objectives. Apis has “ bag-like swellings under the
eyes.”
Kali carb. has bag -like swellings above the eyes.
Graphites, “ itching blotches on various parts of the body, from
>
which oozes a watery, sticky fluid . Tendency to obesity.”
Fecal. Bryonia . Constipation ; “ stool hard and dry, as if
burnt. "
Cinchon .. “ Painless diarrhea."
Graphites. “ Constipation ; large,'knotty fæces ; difficult defeca
tion .”
>
Lachesis. “ Very offensive stools, whether formed or not ."
Magnesia mur. “ Stool hard, and crumbling immediately after
evacuation ; also uterine diseases complicated with hysterical com
plaints. "
Nux vomica.. “ Frequent and ineffectual desire to defecate, or
passing small stools at each attempt.”
Phosphorus. “ A long, narrow ,hard ,dry stool, difficult to expel.”
Podophyllum . “Stools frequent, natural but exhausting.” Pro
lapsus ani et uteri. Sacral pain.
Silicea. “ Constipation ; very difficult evacuations."”
Sulphur. “ Diarrhæa driving out of bed early A.m.; faint after
stool," etc.
Urinary. Conium . “Intermittent flow of urine;" indurated
OS , etc.
Gelsemium. Headache is relieved by urination.
Lycopodium . Red sand in urine ; retarded flow of urine, and
backache relieved by micturition.
Phosphorus. Much gray sand with the urine. >
Sarsaparilla. “ Unbearable smarting after micturition.”
Sepia. “Putrid urine ; clay -like sediment, adhering to the ves
sel,” etc.
Leucorrhæal. Ambra grisea. “ Bluish, white mucus.”
Crocus.. “Black, stringy discharge. ”
152 PRACTICE.

Graphites. “ Profuse leucorrhea, with great weakness in the

small of the back .">
Kali bichromicum . “ Discharge that can be drawn out in long
strings ; yellow, ropy.
Natr. carb. ““ Yellowish, putrid leucorrhoea ."
Tartar emet. “Bloody water ; discharged chiefly when sitting.
Perspiratory . Psorinum . “ Profuse sweat from the least ex
ertion ; disagreeable, filthy smell of the person all the time. "
Subjective symptoms ( those sensations felt by the patient ), are
more abundant though no more reliable than the objective. Hah
nemann discovered their importance, and that certain moral states
are among the most important of them .
For “ bearing down,” as though the abdominal contents would
issue through the genitals, choose between Bellad. , Sepia. , Natr.
> >

mur., Nitr. ac.

Belladonna . - If the pressure occurs chiefly in the morning, and
(
pelvic pains come on suddenly and cease as suddenly ,” Bellad. is
>

differentially indicated .
Sepia . - Should the bearing down occur at any time, with “ op
pression of breathing," and the patient have to cross the limbs to
prevent prolapsus.
Natrum mur. - If the bearing down occur every morning, oblig
ing the patient “ to sit down to prevent prolapsus ; she awakens
every morning with aa violent and long-lasting headache ; constipa
>
tion with sensation of contraction of the anus,” etc.
Nitric acid.— “ Violent pressing as if everything were coming
out of the vulva, with pain in the small of the back, through the
hips and down the thighs; very painful stools with profuse hemor
>

rhage, the pain being very protracted and exhausting .

Chamomilla.— 66“ Frequent pressure towards the uterus, like labor
pains, with frequent desire to urinate — often passing large quanti
ties of colorless urine. Frequent discharge of coagulated blood; "
irascibility.
Colocynth.— “ A constant heat and dragging pain in the vagina ;
chronic and frequent attacks of colic . ” etc.
Lachesis. *** Sensation of bearing down and of weight at
vertex .”
Lilium tig.— “ Sensation of bearing down in the uterine region ,
relieved by sitting, lying down, and pressing the hand at the
vulva. Tenderness in the hypogastrium . Great depression of
 UTERUS . 153

spirits. Apprehension of incurable disease. Excoriating leucor

rhwa. Smarting and burning in the urethra after every passage
of urine.”
Lycopodium .— “ Sensation of pressure through vagina on stoop
2
ing. Sensation of great dryness in the vagina.
Nux. vom.— “ Pressure towards the genital organs, early in the
morning, in bed or during a walk , with sensation of contraction
of the abdomen ; constipation of large, difficult stools,” etc.
Secale.— “ Prolonged bearing down and forcing pain in the
uterus. Thin and scrawny subject.”
Silicia.— “ Pressing-down feeling in the vagina. Great consti
pation before and during menses. Prolapsus from myelitis, with
very difficult stools,” etc.
Sulphur . — Bearing down accompanied by two or more character
istics of Sulphur,
Phosphor.— “ Sensation of great weakness and emptiness in abdo
men ; of great heat running up back ; sour stomach ; much empty
eructation after meals.
Staphisagria. — Feeling of weakness in abdomen, as if it would
drop ; much toothache ; black streaks run through the teeth .
Stramon . — Excessive loquacity and many strange, and absurd
ideas, especially during menses ; tears ; prayers ; earnest supplica
tions ; face puffed with blood ; very fearful ; shrinks back with
fear of objects when first awakening.
For “ goneness of the stomach ,” comp. , Gelsem., Ignat. , Natr. mur. ,
Sepia., Sulphur, or Carb. veg ., Cinchon ., Hydrast ., Oleand ., etc.
Direction of Uterine Pains. — Cutting in abdomen from before
backward and upward : ” Gelsem.
“ Uterine pains running up ;" Laches. , Lycop. , Phosphor., Sepia.
“ Uterine pains running down :" Ipecac., Nux vom., Aescul.
“ Lancinating pains from uterus to umbilicus :" Sepia.
Uterine pains running from os ilii forward and downward :
Bryon .
Uterine pains running from groins outward and backward : Sepia.
Uterine pains running from groins to back : Sulphur.
Uterine
06
pains running from back to groins : Sabin.
Cutting pains in the uterus through the sacrum : " Calc. phos.
Reflected, tearing pains in the legs : Chamom.
“ Violent, lancinating, stitching pains, through uterus down to
lower extremities :” Graphit.
154 PRACTICE .

Time and conditions of aggravation and amelioration.

Arsen. has agg. from 12 to 1 A.M. Zincum and Valer. , agg. even
Kali carb ., agg. at 3 A.M. ing and after dinner.
Thuj., agg. at 3 A.M. and P.M. Acon., agg. at night: relief on
Nux vom. , agg. in the morning sitting
on rising ; towards 8 or 9 P.M., Mercur. , agg. at night.
and after dinner. Rhus tox., agg. at night, during
Ignat. , agg. in the morning on repose ; amelioriation by
rising ; evening, after lying movement.
down, and after a meal. Sulphur, agg. at night, during
Bellad. , agg. at 3 P.m. , and night.
repose and when standing a
Carb. veg ., indescribable an long time ; the heat of the
guish every P.M., at 4 to 6 bed renders the nocturnal
o'clock.
pains insupportable.
Lycop., agg. at 4 to 8 or 9 P.M.
Bryon ., agg. at 9 P.M. , and by Laches., agg. after sleep.
the least movement . Silic. , agg. at new or full moon.
Pulsat.,agg .evening and night ; Tart. emet. , agg. when seated .
>

when seated after long exer- Natr. carb ., agg. when seated ;
cise, and on rising after being relief by motion, pressure,
long seated. and rubbing
The movement cure is sometimes beneficial ; hygienic influen
ces are very important. (H. V. Miller, H. M., March, 1872, p. 364. )
Catarrh of the Female Sexual Organs, by Prof. H. Hilde
brandt. Simple catarrhs of the vagina are rare, the disease is more
frequently situated in the uterus and its adnexa, frequently, also, at
the very entrance of the genital canal, in the vestibulum . The
microscope proves, that fluor albus is an affection of anatomically
different mucous membranes. Albuminous tough masses with
numerous mucous balls belong to morbid affections of the cervix,
the appearance of quantities of ciliated epithelium proves a diseased
mucous membrane of the corpus uteri and perhaps of the tubes ; an
excess of cylindrical epithelium a chronic catarrh of the cervical
mucous membrane ; the microscopic elements of a vaginal catarrh
consist of turbid serum , tesselated epithelium , infusoria and fungi.
Chemical analysis discloses with less clearness the seat of the
disease. A secretion with strong alkaline reaction has its seat in
the cervix ; the pure secretion of the vagina is always acid ; should
we succeed in obtaining a perfectly pure secretion from the mucous
 UTERUS. 155

membrane of the corpus uteri by suction with a syringe, we will

usually find it neutral, more rarely of acid reaction.
Exact ocular inspection gives us the quickest and surest diagno
sis about the seat and origin of the catarrh. In most cases of
chronic catarrhs we find the portio vaginalis as the source of the
fluor albus. In virgins and sterile women we find the vaginal
portion unusually elongated, in its upper part knobby and swelled,
tapering downward to a point, its color mostly dark -red , the orific
ium shows annular loss of epithelium, sometimes circular ulcera
tions, from the cavity of the uterus hangs a drop of glassy, tough
secretion , sometimes mixed with pus. In women, who have borne
children the vaginal portion is cylindrical, of dark -red color and the
mostly somewhat ectropionised broad lips of the os uteri are
eroded. We find the mucous membrane puffy, velvety, loosened
as on the ulcerated lips ; the granulations arise from hypertrophies
of the cervical glands or from morbid enlargements of the papillæ
of the cervix .
When aa cervical catarrh exists for some time in a virgin or sterile
woman, menstruation increases in consequence of the hyperæmia
of the organ, becomes irregular ; if ulcerations are present, inter
current hæmorrhages set in by the rubbing of the ulcer on the os
against the posterior wall of the vagina. After a while stenosis of
a

the external orifice sets in, and the tough secretion of the cervical
glands stagnates, extending at first to the cervix and after a while
also the cavity of the corpus uteri. Such an expanded, thin-walled,
flabby uterus cannot resist the pressure of the intestines lying
above it, and retroflexion is, therefore, an usual secondary disease
of cervical catarrh in virgins and sterility follows, when they marry.
Secondary symptoms are nervous affections of the stomach, in fact
the same gastric troubles which we meet during the first months
of pregnancy. Vesical irritation is sooner or later added to the
gastric one, and pains in the region of the uterine nerves, aggra
vated by every motion, and we may affirm , that a large portion of
our hysterical women owe their sufferings, their debility, anæmia
and emaciation to a neglected cervical catarrh.
Cervical catarrh runs a different course in child-bearing women
We find extensive degenerations of the mucous membrane of the
cervical canal, especially on the labia of the os and also high up in
the cervical cavity, even to the internal orifice. Such ulceration
existing for some time steadily keeps on, so that the whole exte
rior lip of the vaginal portion changes to a suppurating surface.
156 PRACTICE.

Sooner or later small eminences arise on such an ulcerated surface,

which may be the glands imbedded in the mucous membrane be
coming hypertrophied by the abnormal continual irritation and
finally forming soft tumors with long pedicles or in other women
connective tissue proliferates excessively between the glands. Such
mucous polypi may cause excessive flooding. Much more serious
is a thin kind of proliferations; the so -called papillary , which fre
quently pass into cancroid .
It is often impossible to find out the cause of the leucorrhoea ,
as most patients forget the first beginning of their troubles, when
they come under treatment. In most cases pregnancy and labor,
though perfectly regular, may be to blame for it. Outside of the
puerperium , mechanical and chemical irritations and constitutional
morbid states may cause such leucorrhæa.
The corpus uteri does not offer equally favorable conditions for
catarrhs. Its mucous membrane is everywhere smooth, lies fairly
on the muscular coat, only divided from it by a thin sub -mucous
layer, and its hidden position offers safety against direct external
noxæ. Such women are troubled with a copious watery discharge,
feel weak and exhausted, are nervous, look pale and complain sooner
-

or later of gastric troubles. Menstruation is at first too copious,

and when the catarrh lasts some years, the menses become scanty.
The faculty of conception ceases, the mucous membrane becomes
atrophied, and it looks more like aa thin layer of connective tissue.
The cause of most uterine catarrhs are too many pregnancies in
quick succession, and very frequently we find copious hæmorrhages
precede these profuse serous slimy secretions. Hencewe may conclude
that this hyper-secretion owes its origin to aa relaxation of the integu
ments of the uterus with simultaneous irritation of the spinal
cord. All catarrhs of the mucous membrane of the corpus uteri
may gradually creep on to the mucous membrane of the tubes.
Mechanical and chemical irritations most frequently cause vag
inal catarrh .
Primary acute catarrh of the female sexual organs are met after
sudden severe colds, especially during menses, extending over the
whole mucous membrane of the genital organs and frequently
followed by metritis diffusa and parametritis. We also meet it in
typhus, variola, scarlatina. Less intensive are those acute catarrhs
produced by the entrance of fungi. Acute gonorrhoeal catarrh is
most frequent, and may last a great while.
 UTERUS. 157

Even allopathic authorities are now -a-days against harsh meas

ures and recommend scientific mild treatment. The indications
for our remedies are alphabetically given. (N. A. J. H. , X. , 146.)
Leucorrhea . By Dr. Tritschler. Diagnosis of the different
Discharges. (1.) Watery .— Watery discharges appear during the
greater part of pregnancy , without being injurious to the foetus.
The symptoms of pregnancy ensure the diagnosis and a diminu
tion of the size of the uterus, may be found in proportion to the
fluid passed.
Hydatid moles are a second cause of watery discharge. Women
may consider themselves pregnant, as they quickly increase in size,
but the movements of the child are not felt, all symptoms of preg
nancy are wanting, and after a certain time, moderate discharges,
repeating themselves off and on, set in, accompanied by bearing
down pains. Cauliflowery excrescences are also accompanied by most
copious serous discharges of a brown color. Digital examination
and the speculum are necessary for the diagnosis. A cauliflower
indented tumor with knobby hard edges and deep furrows and
fissures is felt, and the speculum shows pedunculated cauliflowery
proliferations with a reddish or dirty white surface seated on the
vaginal portion. Polypi in the uterus are also sometimes the source
of very profuse watery discharge. Here watery discharges al
ternate with bloody ones, the menses are profuse and there are other
symptoms indicating the presence of polypi. The adhesion of an
ovarian cyst to the fallopian tube is sometimes the cause of a watery
discharge. The contents of a fluid cyst reach the fallopian tube,
flow hence into the uterus, to be slowly discharged per vaginam .
Diagnostic symptoms are : a tumor felt at first in the hypogastric
region, diminishing or passing away with simultaneous watery
discharge per vaginam . Sir C. W. Clarke mentions a moist ex
crescence of the labia, a chronic eczematous affection of the skin ,
with aa chronic inflammatory state of the underlying tissues. In
voluntary urination in consequence of the paralysis of the muscles
surrounding the urethra or in consequence of vesico-vaginal fistulæ
making itself known by its urinous smell.
Mucous or purulent discharges. Such discharges are usually
known as leucorrhoea and in contradistinction to the former one
we find here the discharge nearly continuous. They are all more
or less opaque, their consistency gluey or gelatinous, or creamy or
quiet fluid . The discharged fluid is of a mixed character consist
ing of the secretions of the mucous membrane of the neck of the
158 PRACTICE .

womb, of the vaginal mucous membrane and in some cases of the

uterine cavity. We distinguish uterine and vaginal leucorrhoea. In
the latter the discharge looks coagulated, has an acid reaction and
contains tesselated epithelium , inthe former it looks soapy or like
glassy pieces of coagulated mucus. The discharge from the cervix
is gluey, creamy and more profuse. In purulent discharges we
have to examine if they are continual or not. A continual dis
charge originates in the vaginal mucous membrane, in the cervical
glands of the uterus, on the surface of a cancerous or other ulcer,
in suppurating membranes remaining after an abortion , in retained
placenta or membranes. Quite a number of continuous discharges
are gonorrhoic, though it is sometimes difficult to diagnose, as the
gonorrhæic discharge is very similar to the usual leucorrhæa. Gon
orrhea in its worst form is a severe vaginitis, the discharge con
sisting of epithelial plasma and purulent fluid . More frequently it
is a vulvitis, i. e. , the inflammation remains limited to the mucous
membrane of the vulva. The meatus urinarius mostly partakes of
the discharge and irritation, with heat, pain and burning along the
urethra, aggravated during urinating. In acute cases even blood
may be discharged by the urethra, in chronic cases the discharge
from the urethra secures the diagnosis. We must also distinguish
between gonorrhæic and syphilitic leucorrhea, and characteristic
symptoms of the latter are : a chronic state of the leucorrhæa, pre
ceded or combined with frequent abortion or the birth of dead in
fants, the presence of secondary syphilitic symptoms, swelling and
induration of the inguinal glands (no suppuration) and the favora
ble effect of anti-syphilitic remedies on the leucorrhea.
When the discharge is not continuous, we may look for its origin
in the uterine cavity or in an abscess, seated in the neighborhood of
the vagina and discharging its contents into it. We have positive
proof for the discharge from the uterine cavity, when contractions
arise at the union of the body and of the neck of the uterus - senile
atrophy, flexion, etc., — whereby occasional and abrupt purulent
discharges were observed from the sexual organs. I have seen re
peatedly purulent discharges from the uterus in consequence of
suppuration of a polypus. The following symptoms are observed
under such circumstances in women still menstruating : dysmen
orrhæa, a peculiar sensation of constriction around the loins, qual
mishness, vomiting ; the symptoms cease with the discharge of the
purulent fluid . In pelvic abscesses as the result of confinement, or
as suppurating result of the contents of a perinterine hæmatocele,
 · UTERUS. 159

the discharge comes at once and suddenly ; a characteristic symp

tom, distinguishing it from common purulent leucorrhea.
Sanious discharges. Sanious discharges consist in a reddish col
ored fluid , clearly containing an admixture of blood -elements.
Everything producing hemorrhage may therefore also produce a
sanious discharge, and we find them in women with profuse men
struation or suffering from hypertrophy of the cells, leaving the
cervix as soon as they ulcerate ; in tumors inside of the uterine
cavity ; in organic diseases of the uterus, caused by a fungoid state
of the uterine mucous membrane, or by malignant ulceration of the
os uteri, in pelvic hæmatocele, when a communication exists between
cyst and vagina.
Foul smelling discharges. Formerly such discharges were con
sidered as an absolute symptom of cancer, but though it is true,
that in all cases of uterine cancer the discharge is peculiarly foul
smelling, still there are many cases, where this odor is not present.
The microscope can alone confirm a diagnosis for cancer. Where
the leucorrhoea is profuse and purulent, accompanied by hectic fever
and general loss of strength , and where the secretion is retained for
some time in the organ , the discharge will become foul-smelling, if
there is aa simultaneous contraction of the ostium vaginæ.
Some vaginal discharges exercise an irritating effect on the sur
face of those parts with which they come in contact. Redness, ex
coriation , itching of the inner surface of the thighs and of the
external sexual organs is often observed , caused by the constant
contact of these parts with the highly acrid vaginal secretion, or
caused by the corroding secretion of the ulcerating cancerous sur
face of the os uteri. Syphilitic ulcers may infect neighboring
organs, but where doubt exists, syphilisation on the thighs will
clear it up.
Causes of Leucorrhoea. They may be constitutional or local ,
sometimes both causes are simultaneously present in the patient.
Climate is a great constitutional or general cause, more frequently
in warm climates, (usually in connection with a tendency to men
orrhagia and in moist cold countries as Holland , Belgium, etc.)
Plethora is often a cause of the fluor albus in women, who live well
and exercise little, here the discharge is a drain for an over - filled
system, but we also find leucorrhæa in women weakened by loss of
blood or deficient nutrition . Pregnancy also causes leucorrhea, es
pecially in women of weakly constitutions and relaxed fibre. After
confinement leucorrhæa may be the consequence of a general con
160 PRACTICE.

gestion of the sexual organs, and of a specific inflammatory state of

the uterus. Such cases are found after abortion as well as after
natural labor, and are accompanied by profuse menstruation, pain
in small of back, in the inner sexual organs with aa bearing down
sensation . Where leucorrhæa appears in women who had their
children in quick succession, or suffered before from discharge, a
change in the texture, size and form of the uterus takes place ac
companied by general anæmia.
Where fluor albus is based on a constitutional morbid state, the
uterus will fa il to show any pathological symptoms, as pain, sen
sitiveness, etc. , the quantity of the discharge is also less copious, as
also the tendency to decomposition and foul odor, than when a
lesion of the generative organs is present.
The local causes are very numerous, and for our diagnosis, in
spection, digital examination and speculum are necessary. Such
are : chronic congestion of the uterus, chronic inflammation of the
cervix ; excessive coitus ; onanism ; general catarrhal inflammation
of the vaginal canal ; tumors in the sexual organs or situated out
side, but irritating these organs ; polypi ; fibroids ; cancer of the
uterus ; hypertrophy of the cervix and of the uterus ; flexionn ; retro
and anteversion ; prolapsus and inversion of the uterus ; prolapsus
of the bladder and of the vagina ; irritation and morbid state of
adjacent organs ; ascarides in rectum, especially in small children ;
hemorrhoids ; diseases of the bladder ; catarrh ; calculi ; etc.
Therapy. The treatment of leucorrhea is general and local, and
only by strict individualization of every case, and by faithful ob
servation and valuation of each and every symptom , good results
may be expected. In most cases a combination of the general with
local treatment is advisable. Before starting on our work we must
find out what caused it, e.g., in a phthisical patient suffering from
leucorrhæa we treat the general disease, using at the same time
local treatment for the leucorrhoea.
The uterus is hardly ever perfectly sound in leucorrhoea, usually
it is congested, enlarged , its tissue relaxed and the activity of the
cervical glands abnormally increased. In all cases it will be ab
solutely necessary to remove such a congested condition as also to
attend to the digestive and cutaneous functions, for I have observed
too often, that other treatment fails on account of such neglect.
The quantity and quality of the food, as well as the mode of par
taking of it must closely correspond to the requirements of each
 UTERUS. 161
1

individual case. The skin must be kept warm and its normal
activity incited by friction , motions and baths.
Water. - In relaxation of the vaginal portion of the uterus the
application of water in the form of sitz-baths, injections, etc., is
necessary, but we must carefully weigh the sensitiveness of the
patient and only gradually lower the temperature of the water.
We consider baths powerful auxiliaries in the treatment of leu
corrhoea from constitutional causes, as they act on the circulation
and on the skin, and thus remove congestion of internal organs. In
the selection of the bath the state of patient must be considered .
The simplest form is sponging both morning and evening, followed
by firm rubbing with a coarse towel, or cold sponging after rising
in the morning. In some special cases I apply a half-bath of a few
minutes duration and of a temperature of 22° R to 16°R. After

the bath the patient is packed in a sheet well wrung out, covered
with woolen blankets, wherein she remains from one -half to one
hour, followed by a good rubbing with a wet cloth. In other cases
a full bath is preferable, at first warm, gradually diminishing its
temperature to 16 ° R . If we wish to act through the bath on
the vagina, a speculum may be introduced, so that the fluid may
enter. After aa bath a thorough friction of the skin is advisable in
order to keep off headache and other morbid sensations. Swim
ming may do good service in some cases, but douches are decidedly
wrong, as they aggravate the nervousness of some patients.
Warm baths are preferable in all acute cases, and vaginal injec
tions cannot be dispensed with in any case, and we prefer large,
elastic sponges, so that the cervix uteri might be irrigated. Allow
me to mention a few remedies which I have found specific in in
dividual cases .
Alumina . - Acrid, corroding leucorrhoea, with scanty menses, and
pains before and during catamenia.
Aurum mur . - Leucorrhea light yellow , mornings, with burning
and itching in the vagina, excoriations with great sensitiveness and
biting itching ; prolapsus and induration of the uterus ; chronic
metritis with malposition and discharge.
Calcarea . - Leucorrhoea before menses, milky leucorrhæa profuse
at times ; burning itching leucorrhoea ; menses too early and too
profuse with sterility, general malaise, paleness of the face and
emaciation : irritable mood ; frequent menorrhagia.
Carbo veg . - Leucorrhea with too early and too copious cata
11
162 PRACTICE.

menia, with itching, burning and soreness in the pudendum . The

difference between Calcar. and Carb . veg. , is, that in the former the
skin , the glandular and osseous system is affected, whereas Carb. veg. ,
acts especially on thestomach and intestines, which are supersensitive
in spite of their debility and total prostration of digestive powers.
Causticum . — Copious leucorrhæa with disinclination to coitus ;
menses retarded, but increased in quantity with hysteric spasms
and insupportable restlessness over the whole body.
Cinchon . - Leucorrhea with spasmodic contractions of the uterus
and painful bearing down to the vulva and anus, with increased
catamenia, uterine hemorrhages, great general debility from loss of
fluids, onanism , loss of blood.
Cocculus. — Leucorrhæa resembling serum with too early menses
and abdominal spasms. All the troubles only on one side, with
spasms and convulsions of the extremities at the appearance and
during menses. Abdominal pains as of heavy stone.
Conium . — Burning, smarting leucorrhæa, originating in the ute
rus ; suppression of themenses, itching at the vulva , or uterine spasm
during the too early and scanty catamenia, followed by leucorrhea,
accompanied by nightly pains, hysteric paroxysms with great absti
nence of unmarried people, swelling and induration of glands.
Graphites. — Watery white leucorrhæa ; abdomen tense, with
menses delaying, scanty and pale.
Iodine. — Uterine leucorrhea with swelling of the cervix , os uteri
feeling hard and indurated , uterus enlarged, tendency to menor
rhagia ; corroding leucorrhæa, rendering the thighs sore.
Kreosote . — Leucorrhæa with great debility, especially when walk
ing or standing. Discharge yellow, excoriating, menses too early ,
>

too long and too copious.

Lycopodium . Leucorrhæą after preceding cutting in abdomen ,
yellow discharge with too profuse and too long menses, melancholy
before menses ; long lasting dryness of the vagina and tendency to
abortus.
Mercurius. Puriform corroding leucorrhea, with swelling of the
labia and inflammation of the vagina (Syphilis).
Natrum muriat. Corroding leucorrhoea with yellowness of the
face, too early and too profuse catamenia, with itching at the pu
dendum and sterility. Scrofulosis. Uterus painful, collum uteri
thickened , swollen with ulcers at the os. Pale face, difficult diges .
tion, continuous severe pain in abdomen , frequently with affection
of the ovaries, especially of the right one.
 UTERUS. 163

Phosphorus and Phosphoric acid . Leucorrhoea with chlorosis ;

menses too early and too profuse.
Pulsatilla . Leucorrhæa before and during menses, acrid, thick
like cream , but painless ; menses too late, delaying or suppressed.
Sepia. Leucorrhoea during climaxis, when menstruation already
ceased or becomes irregular, with venous stasis in the abdominal
organs, and small diphtheritic ulcers at the inner surface of the
labia and vagina.
Silicea. Leucorrhæa during urinating, with too early menses
and itching at the pudenda.
Sulphur. Corroding leucorrhæa with itching, burning and sore
ness of the pudendum ; pressing and bearing down to the uterus ;
irregular menses ; headache before menses.
Zincum . Thick , slimy leucorrhea, with great sensitiveness of
the sexual organs ; cutting and pressing in abdomen ; bloatedness
of abdomen.
I begin these cases with internal treatment, and use as auxil
iaries water in its different applications. Sometimes I also use the
same remedy externally, and, after selecting with due consideration
a remedy, I usually persevere with it. Usual doses first to third
dilution or trituration , externally tincture or first. The tincture
was given either pure with water, or in erosions and ulcers of the
collum and os, with glycerine. Triturations were sprinkled on
cotton and introduced per speculum . Where action on the cervical
cavity or on the cavum uteri is necessary, we dilate the canal and
then carry the remedy up to the place indicated. We use thus :
Alum , Aurum met., Calc. carb ., Carb . veg ., Graphit., Silex,
Sulphur and Zinc. For the dilatation, sponge-tents or laminaria
are necessary, and injection with water or glycerine is made in the
proportion of one-tenth to one-twentieth . (Hirschel's H. Kl.,
Nov. , 1872.)
Mrs. B., æt. 46. August 4th, 1871. Pain at epigastrium , like
a weight, constantly present; worse after food, especially meat ;
sinking immediately after food ; weight over eyes ; tongue looks
clean , but feels foul ; bad acid taste ; no relish, but can take food ;
thirst ; catamenia every fortnight,black, coagulated , profuse ; very
much milky leucorrhoea, with itching of vulva and backache, es
pecially before and after the catamenia ; water reddish ; flow often
interrupted ; flushes. Ammon. carb.20, three times to-day. August
8th. All the symptoms better; the weight seems to be raised
164 PRACTICE.

higher up than the epigastrium ; water better quality ,and does not
intermit. Sac. lac. August 15th . Much better ; has had aa burn
ing heat all over the body, but this has ceased ; very little leucor
rhoa. Sac. lac. Cured without repetition of the medicine. (R. M.
Theobald , H. M. , Feb., 1872, p. 332.)
Mrs. K., æt. 27. Fleshy, dark complexion, black hair and keen
black eyes ; barrenness ; had albuminous leucorrhæa six years ;
worse before catamenia ; but the most prominent and troublesome
symptom was an intense burning and smarting after urination , and
a constant soreness along the whole course of the urethra . During
the entire six years she had doctored allopathically and homeo
pathically, but only got relief from sitting over warm water.
Berber.2e, one dose, produced a great aggravation of the burning,
the worst she ever had, continuing all night, and followed in the
morning by a profuse menstrual discharge occurring only a week
after the regular catamenia . She then became rapidly well. (J. F.
Baker, H. M., Aug., 1872, p. 46.)
Cannabis sat. cures infantile leucorrhoea with the greatest cer
tainty. (Am. Obs., Nov., 1872, p . 539.)
Mrs. R. Menses every three weeks and very profuse ; profuse
leucorrhea— “ it flows like water, clear and acrid, down the legs."
Kali carb. corrected the abnormal menstrual discharge, after which
Nitr. ac . mended also the leucorrhea. ( J. Goullon , Jr., I. H. Pr.,
v . 1, p . 73.)
Mrs. S., æt. 42. Stout, fleshy, with many children -- the first
born when she was 141 years old. Menses slight, accompanied with
dysmenorrhæa ; copious muco-purulent discharge from the vagina
through the mouth ; catarrh of frontal sinus; dull, pressing, boring
pains over the eyes ; throbbing and bursting sensation in the tem
ples ; discharges from the nose and throat scales of dried, offensive
pus; great susceptibility to cold ; all symptoms aggravated in cold,
damp weather. Merc. prot. relieves. (D. A. Gorton, H. M., June,
1872, p. 514.)
Delicate little girl, æt. 5. The countenance was pale and waxen ,
the body emaciated , appetite gone, and strength rapidly decreasing.
On questioning, I ascertained that the child had been afflicted for
the past fifteen months with an unceasing and most terribly ex
hausting leucorrhoea. The discharge was sometimes thick and of
a yellowish green color, sometimes thin, and always very profuse,
running through the night dress, the sheet, and down into the
mattress on which she lay at night. Sepia2 , a few pellets every
 UTERUS. 165

third night, for four weeks, when the discharge entirely ceased,
and there is now not a vestige of the disease remaining. ( Charles
Sumner, N. Y. S. Trans., 1871, p. 314.)
Metritis. Digital examination revealed : the fundus of the
womb somewhat retroverted, the os low down and tilted forward
and upward against the neck of the bladder ; the whole womb en
larged to five or six times its natural size and weight, hot and
sensitive to the touch, with the os open , so that the index-finger
could be passed into it for an inch or further ; os sensitive, and
gave a nodular but not indurated impression to the touch . Specu
lar examination showed no abrasion of the surface of the womb or
os,
, so far up as the examination could extend . The womb was red
and swollen, but not ulcerated. Some pains that had been referred
to the bladder were found to be located in the womb, though con
siderable sympathetic inflammation of the neck of the bladder was
actually present. The patient was 43 years old, and the menses
had been irregular for a year, sometimes appearing in four weeks,
and again only each three or four months. Ignat., ,3, and Gelsem .,
1, alternately in solution , and rest did nothing but to keep the or
gan in a more natural position. Another exploration showed the
fundus of the womb in its posterior wall, next the rectum , larger
than the rest of the fundus, which was caused either by an im
bedded fibrous tumor or an hypertrophy of the wall itself. Laches.,
8 , a dose four times a day. Much relief of all the pains and im
provement in all respects. Treatment continued, and nearly
>

well in the course of six months, only a slight enlargement re

maining
In two other very similar cases in which the womb was, to a
considerable degree, prolapsed and retroverted, with enlargement
of the posterior wall of the fundus, and also of the whole womb in
a less degree ; and with the os open and neck swollen and sensitive,
and occurring in women at or near the climacteric period, with de
layed , lost or scanty menses, the continued use of Laches. proved
equally satisfactory. (8. M. Cate, Proc. of the Am. Inst. of Hom .,
1866, p. 106 ; A. H. Z. , 85, 14.)
Chronic Metritis. Dec. 21st, 1871. Miss C. , æt. 30. Period
commenced three days ago ; pains in small of the back, right and
left ovarian region , down the outside of the thighs, very severe
when menstruation is at its height, obliging the patient to keep
her bed ; flow bright and clotted , intermitting. Between the pe
riods a sense of weakness and dragging, occasioning a movement as
166 PRACTICE .

if the uterus fell from right to left; the mouth of the uterus lies
to the left and high up. Gave Lilium tig.', nine powders, three of
which were to be taken daily. Jan. 4th, 1871. The medicine pro
duced all the symptoms of approaching menstruation , which, how
ever, subsided as soon as it was discontinued. The period came on .
in half an hour after having taken the first powder. Jan. 20th.
The period commenced two days too early ; flow more natural, un
intermitting, free from clots, less pain during entire period, and
ceased at the usual time. Patient feeling stronger and more com
fortable. (A. R. Wright, Ņ. Y. S. Trans., 1871, p. 318.)
Mrs. S., æt. 51, had been complaining for more than six years ;
>

had spinal curvature ( lateral); but the most troublesome symptoms

were as follows: Dull pain in the forehead ; low spirited ; taciturn ;
soreness in right and left hypochondria , worse on pressure and
when in motion ; burning in rectum ; dragging in hypogastric re
gion ; very weak ; heat in region of the uterus and in vagina ;
rumbling , croaking in the abdomen from morning until night ;
cold hands and feet; flushings with sweat ; eructations of sour
tasting gas ; tongue moist and clear ; yellow , thick , copious leucor
rhoea, worse in the morning on rising, sometimes streaked with
blood ; frequent discharge of dark and rather thin blood from the
vagina ; very little thirst ; appetite moderate ; dislikes heat ; likes
motion ( passive); cries easily, and is quite timid. An examination
of the uterus and vagina with the speculum revealed a dark , flat
and quite broad polypus against posterior lip of the uterus and
posterior wall of vagina, bleeding easily on being touched . The
vagina secreted a starch -like and yellow leucorrhoea. There was
very little pain generally ; symptoms generally worse toward night;
scarcely any backache ; menstruated too late, scantily and not long
enough. Gave six powders of Pulsat.sm, and since then patient has
gained rapidly. (T. Dwight Snow , N. Y. S. Trans., 1871, p. 317.)
Prolapsus and Dysmenorrhea. Miss. G., æt. 25 ; has always
had dysmenorrhoea , the flow late, scanty, almost stopped ; epis
taxis, cough, stitches through the left lung, at times. Two years
ago, after unusual exertion and care, had bearing down pains, etc.
Bryon ., Sepia , Sulphur, Graphit., relieved dysmenorrhoea some
whatbut the prolapsus pains increased ; examination showed uterus
prolapsed and anteverted ; bearing down as though the womb
would be forced from the vulva, aggravated when standing and
walking, before and during the menses ; intermittent flow of urine,
with cutting after micturition ; obstinate constipation , absence of
 UTERUS. 167

stools for seven days (long standing ); stools large, hard , and fol
lowed by tremulous weakness ; she must lie down ; dull pain below
left mamma (one year). R. Coniumim , with prompt relief and
speedy cure . (W. C. Goodno, H. M. Sept., 1872, p. 63.)
Prolapsus uteri. Mrs. M., in bed, unable to move, fearing her
womb would drop from her ; great pelvic distress on sitting up ;
has had prolapsus for a long time,-thinks her husband causes it
by rough coition1 ; found uterus prolapsed with swelling and tume
faction, os much indurated , hot, tender to touch . B. Lilium tigr.12
dec. Next morning she rose entirely cured. (W. H. Boardman ,
H. M., Oct., 1872, p. 110.)
Mrs. F., æt. 30 ; has one child ; July 16th. Has been much doc
tored . Examination showed anteversio uteri, os wedged against sac
rum , fundus tilted towards pubis ; agonizing distress and pressure in
rectum ; constant desire to defecate ; constant desire to urinate, at
times scanty flow , at others more passes ; feels afraid to move for
fear everything will drop through her ; headache over eyes and
vertex ; menses irregular,scanty,exceedingly painful; thinks no one
understands her complaint; that it is incurable. R. Lilium tigr., 1st.
dec. dil. July 17th. Little improved. B. Lilium tigr., 3d. dec.;
could not replace uterus. July 18th. Easier about rectum and
bladder ; slept better ; took food ; medicine continued. July 19th.
Continued improvement. Aug. 8th . Cured . (W. H. Boardman,
H. M. , Oct., 1872, p . 106.)
Mrs. H. , æt. 45, had suffered from prolapsus uteri for twenty
four years ,-wore a glass pessary for fifteen years ; complained of
dull pain in back , and removal of pessary was followed by proci
dentia . She received Podophyl.200, one dose a week for four weeks.
>

In three weeks the pessary was removed, and has not been used
since. At end of fourth week, said she was as well as ever. Eight
months after, there was no return of trouble. (J. W. Thatcher, A.
J. H. M. M., v. 5, p . 232. )
Mrs. H., æt. 19, small and delicate ; is nursing first child aged
> ?

six months ; has constant bearing -down sensation ; feeling as of a

heavy weight suspended from the epigastrium . B. Pulsat. 6th,
with a nourishing diet, cured in three weeks. (D. A. Gorton , H.
M., May, 1872, p. 464.)
2

Prolapsus uteri. Miss A. J. , æt., 21 ; temperament bilious ;

great bearing down feeling in pelvis when walking and standing ;
backache ; sore pains in vaginal and uterine region ; copious dis
charge of yellowish, stringy leucorrhea ; constipation ; menstrua
168 PRACTICE.

tion inclined to menorrhagia ; the monthly flow lingers several

days longer than usual. B. Nux vom.30, without effect. B. Tril
lium-, four doses, four hours apart. Cured in aa few days.. (D. A.
Gorton, H. M. June, 1872, p. 514.)
Partial procidentia. Mrs. A. , confined two months ago ;
womb at vulva ; unable to sit up - on attempting, violent bearing
down ; emaciation ; loss of appetite ; “ empty, deathly ” sensation
in epigastrium ; feeling of weight in anus not relieved by stool ;
clay- like sediment in urine ; P.M., fever. B. Sepia55m , one dose .
Cured . (W. C. Goodno, H. M. , Sept., 1872, p. 63.)
Uterine anteversion . Mrs. H. æt. 31, one child by former hus
band ; six years married ; no children . Anteversion , fundus in
clined to left side of pelvis ; hernial sac in left inguinal region of
size of a walnut; great tenderness of os ; uterus swollen and tume
fied ; difficult, painful urination and stools ; aching,burning, press
ing pains ;. bowels torpid ; menses irregular, scanty , when ap
pearing, painful; constant leucorrhoea, mild, profuse, staining
linen greenish-yellow ; very stooping posture. Had used uterine
supporters, etc. R. Lilium tigr., from 3d to 12th dec. Cured in
seventy days. (W. H. Boardman, H. M. , Oct., 1872, p. 108.)
>

Retroversio uteri. Mrs. G., æt. 38 ; four children ; great bear

ing -down and distress in the pelvic region ; pressure upon both
rectum and bladder>
; had worn a T bandage for six years, “ to hold
herself together ;" “ felt as though she would drop asunder;" pale,
wretched - looking countenance ; menses almost wanting, except a
mere show every two or three months; very painful; leucorrhea
acrid , of a dirty yellowish -brown color ; headache ; appetite very
poor. I found the os pushed down on pubis; the fundus lying
back against sacrum . R. Lilium tig., 3 dec. Better two days later.
A rapid cure. (W. H. Boardman, H. M., Oct. , 1872, p. 107.)
>

Mrs. K., æt. 33 ; has four children ; disordered digestion ; consti

pation ; chronic endometritis ; womb dislocated backward ; constant
bearing down pressure on rectum ; pressure on vesica, with ischuria ;
excoriating vaginal discharge; sallow complexion ; a yellow circle
around the mouth. Nux vom.30, and a nourishing diet abated the
>

uterine pains and improved the general health, aiding also the en
dometritis. (D. A. Gorton, H. M., May, 1872, p. 463.)
Ulceration of Uterus . There are four kinds of uterine ulcera
tion : Abrasive, granular, strumous and syphilitic. Scirrhus is
distinguished from these by its hardness, inverted edges, contrac
tion of vagina and lancinating pains. The general symptoms of
 UTERUS. 169

all ( including cancer) are : Weak feeling or pain in back ; sense of

bearing down in pelvis, or dragging in hips ; sinking feelings at pit
of stomach ; constant leucorrhæa of a yellow color. Causes are
chills, especially at the monthly period ; neglected congestions ;
severe and instrumental labors ; mental causes ; struma, etc. When
even a glass of wine cannot be borne, Zincum . Complicated with
paralysis and epilepsy, Argent.nitr. Weakness in back and pit of
stomach , Arsen. Pain in the back indicates Bellad ., Sepia, Cinchon . ;
Arnic. where there is tendency of ulcer to bleed. When congestion
is present, Bellad ., when much nervous irritation, Gelsem . Bearing
down sensations are met by Sepia, Aletris and perhaps Senecio. If
ovarian irritation co -exists, Phosphor., Mercur., Bryon ., Platin. (J.
Moore, B. J. , v. 30, No. 119.)
>

Ulcerations of os uteri. — Dr. Ludlam prefers the glyceroles of

Calendula, Hydrastis or Arnica, and the oleaginous collodion, to
the Nitrate of silver, and Potassa fusa , in ulcerations of the os.
(W. H. Holcombe, U. S. Med . and Surg. Jour.,. v. 8, p . 46.)
Engorgement of the cervix uteri, with granulations extending
to the vagina,whose mucous membrane was highly injected . Violent
convulsions of the whole body during rest. Tarantula . ( Nunez,
N. A. J. H., 20, p. 456.)
Cancerous ulcer of the os, induration of the neck and fundus
uteri, chronic vaginitis with granulations cured by Tarantula30.
(Nunez, N. A. J. H., 20, p. 486.)
Uterine Neuralgia. After a fall down stairs complains of
pains in lower part of abdomen and hips ; very sensitive to any
manipulation, some hardness and swelling in the hypogastric re
gion and in the uterus, which was the seat of burning, crampy
pains, increased by every movement. Sanguinous leucorrhea, con
stant desire to pass water, which was clear but difficult to void,
falling drop by drop with burning pain. Præcordial anguish, sad
ness, weeping and fear of death . Conium.12 produced marked im
provement, but Tarantula12 brought on rapid and efficacious result ,
so that she was able to marry in a few days after, being cured of
her sufferings. (D. F. F. Firmat, N. A. J. H. , 21 , 74.)
Polypus of Uterus. Mrs. B., æt. 42, took a sea -bath on Aug.
15th., 1864. She got chilled through and through, felt benumbed
after the bath and had a pain in the shoulders as if sprained, worse
in the night towards 3 o'clock ; she lost her memory and was
almost paralysed in her limbs; had headache and vertigo. Soon
afterwards a uterine hemorrhage set in. She was treated by vari
170 PRACTICE.

ous physicians in the United States, in France, in Germany and in

Italy , without the hoped for relief. Twice there had been re
moved from her womb masses of a polypous growth ; but the
bleeding soon after returned again . In March, 1870, she came to
Heidelberg and on examination 'I found the uterus low down in
the pelvis, and bent backwards ; its posterior wall is softened and
swollen, filling almost the entire cavity of the pelvis ; the mouth of
the womb is dilated, cicatriced and discharges continually thin
blood. There is leucorrhea and turbid urine. Led by the above
stated cause of the disease I gave Rhus tox . 2., one drop daily. It
brought out an eruption on the scalp, face and chest ; it caused a
throbbing -drawing pain below the navel, worse at night. The
hæmorrhage ceased after a few days ; the pains left in eight days
and the eruption dried up and disappeared in the course of three
weeks. The uterus itself took its normal position and she got well
in the course of about six months to one year. (A. Cuntz, I. H.
Pr., v. II, p. 60.)

MENSTRUAL ANOMALIES.

Menstruation ; Its Nature. By Dr. Sigismund.

The most favorable condition of the uterus for developing the
impregnated ovum is at the time when the uterine decidua has
been formed, this is before menstruation. Each ovum passing down
in the uterus is received by the decidua and developed there when
impregnated. If not impregnated the ovum dies and the decidua
dissolves. The now following menstruation shows, that the favora
ble condition of the uterine mucous membrane has passed away ;
the decidua is thrown out. Thus menstruation is not the conse
quence of the separation of an ovum from the ovary, but of its
destruction in the womb, not being impregnated, and the conse
quent dissolution of the decidua. Menstruation is, therefore, an
abortus of the not impregnated ovum.. ( Berl. Klin. Wochenschr.,
1871 , 52 ; Mtsbl., Feb., 1872, 18.)
Metrorrhagia, by Dr. J. Schuetz. Uterine hæmorrhages may
be divided into those occurring during pregnancy and those during
the non -impregnated state. Profuse menstruation is frequently
connected with too long lasting flow . It is also frequent at the
climacteric period and sometimes it is also witnessed in the periods
lying between the extremes, during mature age. The latter remains
 MENSTRUAL ANOMALIES. 171

liable to continued relapses, may lead to dys-and amenorrhea and be

come the source of high -graded anæmia, and careful examination is
necessary , for it may be only simple profuse menstruation , but it may
also be caused by chronic uterine infarct, by atony of the uterus, by
ulcerations and granulations of the mucous membrane of the os
uteri and of the whole vaginal portion, by neoplasmata attacking
either the tissue or mucous membrane of the uterus, ( fibroids,
polypi, cancer), from other diseases, as typhus, variola and pulmon
ary diseases.
In hæmorrhages during pregnancy the most frequent cause is pre
mature loosening of the placenta, but of more importance and far more
dangerous are the hæmorrhages from placenta prævia. It is a variety
of the former one, here also a partial loosening of the placenta
occurs, but under peculiar circumstances.
Metrorrhagiæ after parturition are often of such vehemence and
danger as to require immediate interference. In severe flooding
after the birth of the child the removal of the placenta is the first
indication. In hæmorrhages after the discharge of the placenta we
must arouse contractions of the uterus. (N. A. J. H., XXI, 52.)
Amenorrhea. Miss H. , æt. 30, thin and cachectic, no menses for
>

four months, they have long been irregular and deficient; defective
appetite; nausea after meal ; heavy pain at epigastrium with sensa
tion as of a stone, in stomach. B. Arsen.30, improving general
$ condition, and bringing menses in two weeks. ( D. A. Gorton, H.
M., May, 1872, p . 462.)
Miss K. M., æt. 25 ; menses regular as to interval, but defective
in quantity, quality, and duration. General condition of the pa
tient, fair. Complains of shooting, fugitive pains, particularly
about the chest and epigastrium. Morning cough ; expectorates
then a yellowish, tasteless sputa ; has a nervous, agitated manner ,
and seems to be unreasonably anxious about her condition. R.
Bryon.30, which relieved anxiety and prolonged menses, soon cured
cough and rheumatism . (D. A. Gorton, H. M., May, 1872, p. 462. )
Electro-Galvanism . About one week before the expected re
turn of the menses, I have my patient seated upon the side of the
bed with both feet and the negative pole in a bucket of warm
water, and make slow, gentle passes with the positive pole (previ
ously covered with moistened sponge) down the entire spine, and
continue this for ten minutes, each morning, until the day upon
which the return is expected, when I have my patient placed upon
the bed supinely, and attach moistened sponges to both electrodes
172 PRACTICE.

of the battery, and apply the negative pole to the perineum , and
>

the positive pole to the abdomen, directly over the uterus, occasion
ally moving the sponge over the ovarian regions, and even as high
as the stomach, should it sympathize. Should this process not
succeed, I then apply the uterine electrode, attached to the positive
pole, directly to the os uteri, and hold it there for several minutes,
placing the negative pole to the spine, just opposite the stomach.
This is also an excellent process in sterility. (O. P. Baer, Med.
Inv., v. 9, p. 443.)
Faradization. A cure for amenorrhæa ; cases given. (Am.
Obs., Sept., 1872, p. 458.)
Miss S., æt. 21 ; thin, choleric ; menses scanty, continuing but a
>

day, preceded and followed by copious leucorrhoea ; appetite poor :

constipation ; difficult, imperfect digestion‫ ;ܪܐ‬assimilation defective.
R. Nux vom., 6th ., at intervals during a month which restored the
menstrual flow and benefited otherwise. (D. A. Gorton, May,
1872, p . 463.)
Miss C. C. , nervo -bilious temperament and suffering from
amenorrhoea, had taken many remedies to overcome the habit, but
without effect, was cured by Polygonum hydropiper in five drop
doses. (A. E. Small, U. S. Med . and Surg. Jour., v. 7, 154.)
Senecin 1st. dec., or 1st. cent. trit. , one powder every night for four
months is of very great value in cases of retarded or suppressed
menstruation. (W. H. Holcombe, U. S. Med. and Surg. Jour., v. 8,
p . 44.)
Miss F., æt. 25, a dark choleric -looking woman ; has been ir
2

regular from puberty ; courses scanty, recurring at long and va

riable intervals. At the date of this prescription there had been
no menses in four months. Anæmic ; suffers from vertigo, frontal
headache, and mental depression;; leucorrhoea, yellowish , excoriat
ing; constipation of the bowels‫ ;ܪܐ‬abdominal and sacral pains. B.
Sulph.30 daily, for one week , and Sacch. l. for two weeks ; menses
restored ; leucorrhoa better. (D. A. Gorton , H. M. , May, 1872, p.
462.)
Collinsonia. Obstructive dysmenorrhea with loss of appetite,
constipation, piles with pruritus. (E. T. Blake, M. H. Rev., 16,
403. )
Irregular and painful menstruation in a young lady æt. 20. , was
cured after taking Pulsat. nut. , four or five days, three times per
day, ten drops of the second dilution in half a tumbler of water, a
 MENSTRUAL ANOMALIES . 173

teaspoonful at a dose. (A. E. Small, U. S. Med. and Surg. Jour., V.

7, p . 154.)
Dysmenorrhea. - Miss S., æt. 20. Menstruation has been pain
ful from puberty ; cramps, vomiting, and even spasms attending
the first appearance of the menses, which , light-colored at the
outset, soon becomes dark and clotty. During the menses, nervous
and excitable ; at night is restless and sleepless. Bowels habitu
ally and obstinately constipated. Pulsat.® and brown bread gave
prompt, and apparently, permanent relief. (D. A. Gorton, H. M.,
May, 1872, p. 463.)
For painful menstruation with scanty discharge, Senecin is an
admirable remedy, but when the usual flow accompanies the dysmen
orrhoea Caulophyllum is better. (W. H. Holcombe, U. S. Med. and
Surg. Jour., v . 8, p. 44.)
Senecio grat., anæmic dysmenorrhæa especially when the strum
ous habit is present. Aggravation during the night. (E. T. Blake,
M. H. Rev., 16, 403.)
Miss B. , æt. 32., for ten years her trouble defying allopathic
remedies. Blond, blue eyes ; cheerful; weak and emaciated frame;
strong bearing down pelvic pains for nearly a week previous to
catamenia ; severe backache, extending to hypogastric region ;
wearying fidgetiness of legs; pains felt more from knees to feet,
compelling patient to move about;; relieved by riding horseback ;
as menses approached pains increased, were severest at greatest
flow ; violent enough to produce convulsive movements, chorea
like restlessness, trembling and twitching of muscles of body,
which worked painfully from side to side. Draws herself together,
legs close to abdomen and head bent forward , the hands meantime
>

clutching at the bed -clothes ; immediately afterwards seizing some

thing else ; the motion of the inferior extremities is almost inces
sant; hands and feet cold and moist ; pains and spasms kept pace
with the menstrual flow , diminishing or increasing with it. Courses
usually appear regularly, except for the last four months, when
they were delayed , owing to a slight sanguineous intermenstrual
discharge, lasting two days and generally appearing at the fifteenth
day, which was painless. The flow nearly right in quantity, light
colored and with small dark clots when the patient was recumbent;
more profuse and darker when rising to the chamber. On the first
day, usually a slight frontal headache, increasing the second day
to a violent throbbing pain, aggravated by light or motion ; during
headache exacerbation, a remission of the pelvic pains, the latter re
174 PRACTICE.

appearing soon, however, with their original force, but not remain
ing so long. On the third day a brief relief, followed by a return of
the old pains, lasting a shorter time , however ; meantime urinary
tenesmus, nausea and bad taste in the mouthl ; occasionally a globus
hystericus, and a dry hacking cough, often troublesome.
With convalescence great weakness, and shooting, grasping
pains at the heart, with an occasional interruption in its rhythm ,
and with increased action. Preceding and following the menses ,
leucorrhoea of a yellowish color. In the morning hawking up of
brown mucus, often tinged with blood ; frequent shooting pains in
heart, as if grasped and tightened by hand ; breathing short, pain
ful. Occasionally, at long intervals, a sudden waking from
dreamless sleep, under a feeling of suffocation ; violent palpita
tion, and acute pains through the heart, compelling upright pos
ture. Pulse regular, quick, irritable ; right heart -ventricle slightly
dilated ; no murmur. Good lung-expansion ;; natural vesicular mur
mur. Infra -clavicular pain on the right side of chest, penetrating
to back, so as to catch breath. Internal reproductive organs normal.
Since childhood has wanted sand, cuttle-fish, ashes, etc. , highly spiced
food , cigarettes. Feels better during warm weather when out
doors ; worse during cold. Gelsem . and Platin ., gave temporary
relief, moderating the spasms,, Cactus.. 9., reduced heart's action ;
Cimicif. did no good. Tarentula. 30th ., brought on the next period
without the intermediate sanguineous flow ; pains more violent,
flow more profuse, darker, with numerous clots; freedom from pain ,
at short intervals even during the discharge ; no headache the first
day ; a pain not felt for a long time has returned, a turning or
twisting in the pelvis, exceedingly afflicting ; trembling of whole
body, with sweat. Pains never so severe before. B. Tarantula
again. (P. Bender, H. M., June, 1872, p. 503.)
Xan . - Neuralgic dysmenorrhea with pain along the course of
genito -crural nerve. (Ed. T. Blake, Mon. Hom. Rev., v. 16, p.
403.)

VAGINA .

Vaginitis. Miss E. , æt. 37, leucophlegmatic temperament. Has

>

leucorrhoea of a yellowish, excoriating character, sometimes attended

with a burning sensation ; heat and pain in sacrum ; courses regu
lar, but of a dirty brown color, with an offensive odor. Throat
 VAGINA. 175

affected with muco-purulent sputa and abnormal nasal discharges.

R. Sepias . Cured .' (D. A. Gorton , H. M., June, 1872, p. 514.)
Miss M., æt. 12, a delicate, cachectic girl. Has had for several
>

months a troublesome discharge from the vagina of a thick, yel

lowish, hemorrhagic mucus, accompanied with burning, sore pains
in the vagina ; debility ; backache. Corrected her diet, which had
been defective and insufficient, and gave Sulph.30, night and morn
2

ing, for three weeks, with complete recovery. (D. A. Gorton, H.

M. , June, 1872, p. 514.)
Mrs. —, a young lady, pregnant, had a soreness deep in vagina
with burning and terrible itching ; by passing a pledget of cotton
soaked in Glycerine ( full strength ), the itching was relieved imme
diately, the burning was increased and removed by injections of
cold water. Glycerine is a great palliative in engorgements, ulcera
tions, etc. A profuse serous discharge pretty uniformly attends
its use. ( J. C. Morgan, Med. Inv., v. 9, p. 128.)
>

Pruritus vaginæ. In pruritus of the vagina, when sympathetic

with ovarian or uterine trouble, Platin . internally, and Calad . seg .
externally , have rarely failed me. When vesicles or excoriations
accompany the itching, Graphit. is truly specific, internally the
third decimal trituration three times per day, and externally a
wash of first dec.. trit. Pruritus of young girls, with leucorrhea
and associated with ascaris vermicularis, is cured by nightly injec
tions of strong decoction of Garlic, with an internal dose of Ignat.
(W. H. Holcombe, U. S. Med. and Surg. Jour., v. 8, p. 49.)
Tarantula2 im cured intense itching of the vulva , worse at night,
with dryness and heat in the parts ; thin white leucorrhæa ; urine
with thick white sediment ; pain in the right side of the abdomen,
nausea, accumulation of mucus in the throat, mouth parched and
dry, great thirst for large quantities. (S. Swan , N. A. J. H.,
XXI., 282.)
Tarantula. Clinical cases. Nymphomania. A lady, æt. 45,
suffering for twenty years from violent nymphomania , was quickly
cured by Tarant.200. (Nunez, N. A. J. H., 20, p. 486.)
Prolapsus vaginæ , with its accompanying vaginal leucorrhea,
is frequently benefitted , if not actually cured , by night and morn
ing injections of aa lukewarm decoction of the Red oak bark. (W.
H. Holcombe, U. S. Med . and Surg. Jour., v. 8, p. 43.)
.
2

Vulvar tumor. A plethoric lady complained for three or four

weeks of a painful tumor on right labia, of the size of my thumb ;
tenderness on pressire; could scarcely sit down ; had leucorrhoea,
176 PRACTICE.

thick , yellow, by day when urinating; cold, damp feet; vertigo

when going up-stairs; involuntary emission of urine when walk
ing ; menses profuse, skinny, dark colored, tardy or premature.
Calc. carb.20 three doses cured tumor, &c. , within a week . (H. V.
Miller, H. M. , June, 1872, p. 529.)

MAMMÆ.

Mammary Cancer. Left breast; ulceration ; swelling ; sharp,

stitching pain going through to back . B. Aster. rub. Cured .
(M. Preston, H. M., Sept., 1872, p. 83.)
Fungus hæmatodes. On right mamma as -large as a peony ;
had before, two hemorrhages, now blood poured out all over it as
from a sponge, filling the patient's lap with a pool. B. 5 pellets
of Laches.30 in half tumbler of water, a teaspoonful every ten min
utes. Hemorrhage checked in twenty minutes. Laches. also aided
in dissolving the fungus, and a flat ulcer, with raised edges, was
left which never bled. There were also pathogenetic symptoms.
(Mercy B. Jackson, H. M. , Sept. , 1872, p. 64.)
>

OBSTETRICS .

Fright in Pregnancy. A pregnant lady saw a man who had

a disfiguring nasal cancer ; this haunted her, and she was sure her
child would be marked ; she was melancholy, avoided society, wept
>

continually. B. Natr. mur.20. Cured . (H.V. Miller, H. M., March ,

1872, p. 370.)
Morning sickness. Mrs. M., second pregnancy. During first
pregnancy had the entire term of gestation, “ morning sickness,'
which caused great emaciation and debility. At confinement
chloroform was administered . Delivery was slow , and recovery
delayed. When the second pregnancy began she suffered with the
same “ morning sickness,” in a more aggravated form . Some days
the vomiting was terrible, occurring during one, twenty-seven times.
Had R. Pulsat., Ignat., Ipecac., Nux. vom., &c., without success.
2

On the day after she vomited twenty -seven times I saw the patient,
 OBSTETRICS . 177

whom I found suffering from a severe attackC of neuralgia in and

about the left temple, with pain as though “ a bee ” stung her on
the temple every few minutes. B. Apis mel., a powder each hour.
Neuralgia better. Vomiting cured from that time. The labor lasted
an hour. (W. D. Hall, Trans. Hom . Med . Soc. of Penna ., 1872,
p. 147.)
Hæmorrhage from the womb in the first half of pregnancy ,
after over -exertion of body and mental depression. Nitr. ac. 3d sol.
in water, a teaspoonful night and morning relieved gradually. (H.
Goullon, Jr., A. H. Z. , 84, 87.)
Acute Ovaritis during Pregnancy. Mrs. A. while carrying
a heavy baby felt a sharp pain in region of left ovary. On exam
ination left ovary was found enlarged and tender. Patient had
small, hard pulse and frequent vomiting. Diagnosis. Acute ovaritis,
ovarian dropsy and pregnancy. Unguent. hydrarg. was rubbed over
the ovary daily, but she became worse . Tenderness of ovary and
peritoneum ; vomiting stercoraceous ; tongue blackish brown and
dry. Gave iced water and brandy ; Arsen ." and Merc. corr.", and
continued the Ung. hyd. From this time improved. Eight days
after Kali bichr.3 to produce absorption of the contents of the ova
rian cyst. Four months after was delivered of a fine child . (B.
Kyngdon, Month. Hom. Rev., v. 16, p. 548.)
Deferred Labor. A case is reported by Dr.Woodbury, in which
labor was deferred from December 3d until the 22d of February
following ( U. S. Med. and Surg. Jour., v. 7, p. 370.)
Successful Obstetrics. Dr. Hamilton has had 731 children
born alive successively, the 732d being still-born . He never inter
feres with the first half of labor, however prolonged, but allows
the os to naturally dilate by the bag of membranes. Supposing
the membranes to be ruptured, and a rigid os uteri nipped between
the child's head and the pubes, or the promontory of the sacrum ,
manual dilatation should always be resorted to, or the os will be
come swollen and inflamed, and so present still further obstruction
to delivery. For this purpose, if necessary , the whole hand should
be introduced , and the os resolutely pushed up over the head . The
second stage of labor should never be allowed to go on more than
two hours without the application of the forceps. He applied them
in one case in eight. In special cases we must not wait so long as
two hours. The forceps should not be greased before introduction,
as this tends to make them slip ; on the contrary, it is a good plan
to smear them on the inside with India -rubber paste, which soon
1 12
178 PRACTICE .

dries and enables them to lay firmer hold of the scalp, than does
the bare metal. Ergot should, by all means, be avoided. The
child's life is frequently lost in cases where everything is fair, the
head well down in the pelvis, but the case lingering and protracted .
(Quoted by B. W. James, H. M., May, 1872, p. 467.)
How to use Obstetric Forceps. 1. What kind of forceps should
be used ? 2. How should the forceps be applied ?
Prof. Hodge's forceps are the best, as they are sufficiently long
to reach the head conveniently at any height when it may be taken,
they have a pelvic curve, although not very strongly pronounced,
yet sufficient to render them of easy application, the blades are
narrow and readily slide over the convexity of the cranium till
they have taken up their proper position. The whole instrument
is so light as to be very conveniently handled, and in careful hands
is perfectly safe.
When we met with a case requiring the forceps, instead of at
tempting to recall and apply the rules of the books, viewing our
forceps we saw the pelvic curve ,—this, we thought, when intro
duced , ought to correspond with the curve of the sacrum , -the
other curve of the instrument, called the cranial curve, was intended
to lie upon and embrace the spherical body within the pelvis,
namely, the head. Now, if we can so introduce the blades, that
the pelvic curve shall be coincident with the sacral, and the blades
when introduced embrace the head , 'twill be all right. This end
>

is attained simply by introducing a blade on each side of the pelvis

of the mother, the point gliding over the surface of the presenting
head, until the instrument assumes, spontaneously, if I may so
speak, the place which from its mechanism and the contour of the
head it is disposed to occupy. The numerous rules were reduced
to one, and that very simple, viz.: to introduce the blades along
the sides of the pelvis, so that the pelvic curve shall follow and
correspond as nearly as possible with the curve of the sacrum.
Manipulate by placing patient upon her back, across the bed, the
hips near the edge, and body so adjusted as to interpose no diffi
culty. Two chairs are placed with the front of each facing the
other, sufficiently far apart to allow the operator to pass and stand
between them . The feet of the patient are placed one upon each
of the chairs, and secured there by an assistant, having charge of
each. The limbs are carefully covered with light bed clothing, to
secure warmth and avoid exposure. The blades of the forceps are
prepared by warming and oiling them, if no contra-indication ex
 OBSTETRICS. 179

ists give the patient chloroform . The blade destined to occupy the
left side of the pelvis is then taken in the left hand, very much as
we hold a pen, the handle not quite perpendicular, but inclining
over the right groin of patient, while the fingers of the right hand
are employed in directing the entrance of the point of the blade.
When once entered, the point of the blade is to be kept in close
contact with the head, and made to follow its spherical outline,
while it is to be carried up into the pelvis, having its pelvic curve
in accordance with that of the sacrum. In accomplishing this, the
handle will execute three distinct simultaneous movements, viz. ,
downward toward the posterior commissure or perineum, forward
(relatively to the operator) in the direction of the axis of the pelvis,
and outward toward the right hand of the operator. This blade, when
carried up to its place, is left to take care of itself, and the other,
passed over it, is introduced in the same manner, mutatis mutandis .
When both blades are well carried up into the pelvis, and the
handles well pushed back towards the perineum , they usually lock
without difficulty. If the lock be adjusted by a thumb-screw , the
screw should not be drawn tighter than is merely necessary to pre
vent the instrument from being thrown out of lock, so that the
blades may be the more free to accommodate themselves to the
changing position of the head. When, owing to the great obliquity
of position or peculiar shape of the head, the blades seem compelled
to assume a situation with their curve varying considerably from
coincidence with the sacral curve making locking difficult, par
tially rotate the head with the lever or a forcep's blade. ( J. H.
Marsden, Trans. Hom. Med . Soc. of Penna., 1872, p. 192.)
Dystocia. Mrs. W., æt. 33 ; of lymphatic temperament, light
hair and skin, blue eyes ; general condition that of health ; was in
her second confinement, and had been in labor for three days, seem
ing to make little or no progress. The physician who was first
called had said “ Nothing can be done, nature must have her
course," and had left. On examination, found the head of the
fætus resting upon the os uteri, which was undilated and felt
to the touch as hard and unyielding as a piece of ivory. I ex
plained to the patient the cause of the delay. Prepared Bellad.30
in water, a dessert-spoonful to be given every half hour till three
doses were taken, then omit medicine until I returned , which I did
in two hours ; found the os well dilated, the parts all in a favorable
a

condition and labor progressing ; and , within two hours more, a

180 PRACTICE .

perfect and finely developed child was brought into the world, but
still-born of course .
Was called to attend Mrs. C. A. W. , æt. 23, primipara, of nervo
sanguine temperament, very fleshy, with a very small osseous de
velopment. On examination, found the neck of the womb dilated,
the os dilating and the soft parts generally in good condition, but
pelvic straits so narrow that I apprehended a tedious labor, though
not such a lingering one as it proved to be. The pains soon became
regular, not very severe, and with sufficient time between each to
allow the rest, and everything went on favorably for about twelve
hours, when the pains began to abate in frequency and force, and
finally died away altogether. I was surprised and startled ; but,
after careful examination, found there was no real exhaustion nor
failing of strength. The pulse was firm and regular. The patient
soon sank into a quiet slumber. My attention had been arrested
by the fact that the labor pains had been mostly in the back . I
determined to give Nux vom., two doses of the thirtieth dilution in
water, half an hour apart. The pains returned , but slightly. Then
gave a dessert-spoonful of Nux vom.me, and in less than two minutes
the pains returned with full force and frequency , and so continued
for about twelve hours, when they gradually died away again. An
other dose of Nux vom.20 renewed the pains, and so they continued
to intermit and to be renewed by the above remedy every twelve
hours until Saturday , about ninety hours subsequent to the com
mencement of labor. At this time the contest ended by a lifeless
fætus being forced into the world , resembling in form a house
maid's rolling -pin more than anything human . (S. C. Knicker
bocker, N. Y. S. Trans., 1871 , p. 310.)
Shoulder Presentation . The head lies towards the left of the
mother, its back toward the front, the feet high up in the right
side, not to be reached ; the right arm protrudes through the va
gina. A mid -wife and three physicians have tried in vain to reach
the feet and turn the child. Pulse 120 ; abdomen hard , very sen
sitive to touch ; vagina dry, hot and swollen. Hypodermic injec
tion of morphine; injection of oil and water into the uterus ; knee
and elbow position of the patient. Entering with the right þand
and arm under great difficulty, I again found it impossible to reach
the feet; I therefore, in withdrawing, exarticulated the right arm ,
which was especially in the way of operation , and then applied a
sling to the wrist of the left hand. Lifting now the body of the
child as carefully as possible, and pulling at the same time at the
 OBSTETRICS . 181

sling of the left arm, I succeeded in turning the child in its long axis,
thus bringing the feet into a position where my right hand could
grasp them, thus delivery was finally accomplished after the poor
woman had been suffering for more than three times twenty -four
hours. The first two days after, does pretty well ; on the third,
signs of peritonitis and endometritis. This seemed to yield to
morphine and external application of ice, when all at once on the
eighth day she became raving. Stramon ., 1st, gradually quieted her
and she gradually recovered. (Loescher, I. H. Pr. , v. 1 , p. 289.)
Relation of Ergot to Retained Placenta. The most despe
rate case of retained placenta I ever had trouble with, clearly
depended on ergotism . Ergot having been freely given in the
early part of the labor, the lower section of the womb was rigid, as
if banded with steel, while the upper portion was only normally
shut down on the placental mass, which was partially separated ,
with hæmorrhage like a tide. Indeed, the only cases of retention
I ever had to do with, were cases in which Ergot had been admin
istered some time in the history of the parturient process. (J. C.
Sanders, in Proc. Hom. Med. Soc. of Ohio, p. 35.)
Puerperal Convulsions. Mrs. M., æt. 26, gave birth to her
first child after a labor of twelve hours, moderate in severity and
complicated with no untoward circumstances. After six or eight
hours, the patient was in convulsions. Patient complained of pain
and a feeling of pressure in the head, extending over the entire
head, with a confused feeling, partial loss of memory general
, etc. The !

face was flushed ; heat in the head and face, but no in

creased heat; the pulse wiry and increased in frequency ; dryness
in the mouth , with some thirst, but no pain except in the head .
Bellad . In about half an hour from the end of the first paroxysm
another, moderate in severity, occurred . Premonitory symptoms
were : slight chilliness, with a little nausea and twitching of the
muscles of the face, which were followed by a rapid, convulsed
movement of the muscles of the body and limbs, dilated pupils,
difficult breathing, etc., continuing with slight intermissions for
fifteen minutes. Then the patient passed into a state of stupor,
from which she could not be aroused for about fifteen minutes ;
afterwards complained of pain and pressure in the head, with
nausea and faintness. I repeated the dose of Bellad . Ten minutes
later the paroxysms returned with greater severity, acoompanied
with efforts to vomit, and continuing about the same length of
time. She did not fully recover consciousness, but appeared ex
182 PRACTICE.

hausted , and in not more than fifteen minutes the convulsions

recurred violent as ever and as long continued. Gave one drop of
the mother tincture of Veratr. vir. The next attack occurred soon
after, and did not differ much from the two preceding ones. The

patient did not arouse from the stupor, but breathed easier, had
less redness of the face and no return of the nausea .
The next paroxysm , which was the last one, was comparatively
very light, and did not continue more than five minutes. After
sleeping half an hour, she became conscious and complained of
weariness and a slight headache. The convalescence was slow but
very favorable, having slight headache and nausea for ten or twelve
days, after which health was good as usual.
A little previous history may throw some light upon the case.
During nearly the whole period of pregnancy there existed severe
vomiting, constant nausea with burning pain in the stomach, entire
inability to retain food except a very small quantity of thin gruel or
beef broth, and these would often excite protracted vomiting ; there
was a constant pressure and confused feeling in the head, with
paroxysms of intense burning pain, prostration of strength and
coldness of the extremities; dryness of the mouth without much
thirst. These symptoms continued with slight intermissions until
about the end of the eighth month ,when they gradually subsided ,
and for the last three or four weeks the patient was comfortable.
Would the Veratr. vir. have relieved the distressing symptoms
during the period of gestation ? (S. D. Hand, N. Y. S. Trans.,
1871, p. 295.)
Convulsions about four hours after the first labor pains. Pains
had been weak and lingering, had received Pulv. Secale, from a pre
vious attendant, which seemed to have the effect of aggravating the
general symptoms without acting on the uterus itself. Patient
conscious but very obstinate. Bellad. 1 x. gtt. j., in half a wineglass
of water, convulsions immediately returned and stopped labor ;
after some hours, pains short and irregular, Cauloph. tinct. gtt. ij.
in a teaspoonful of water repeated in ten minutes ; pains became
stronger and more regular, and in one hour the labor was com
pleted , leaving patient weak and unconscious. (E.W. Alabone,
H. W., 7, 107.)
In a case of primipara, the Hydrate of Chloral given in two,
twenty grain doses an hour apart, arrested the convulsions, after
Bellad. and Hyosc. had been given with no beneficial effect. (F.
A. Lord, U. S. Med. and Surg. Jour., v. 7, p. 360.)
 OBSTETRICS . 183

Puerperal eclampsia. Prof. Jaquet recommends hydropathic

packing of the whole body. After an hour copious perspiration
sets in, the convulsions decrease in number and intensity and pa
tient falls asleep without any interruption in the labor. (N. A.
J. H., XXI. 133.)
Violent after - pains with Hæmorrhage arisingfrom irregular con
tractions of the uterus. A woman in her first confinement was de
livered , after normal labor, of a healthy child ; the placenta and
membranes being expelled naturally. An hour after labor, violent
after-pains set in, accompanied with severe hæmorrhage. It was
caused by irregular contraction of the womb, the longitudinal
fibres alone contracting in such a manner as to leave a sulcus in
the middle, making it appear as if the uterus were “ split open
from top to bottom.” Treatment consisted of ice-cold applications
and Secal. cor. 3d., every few minutes. The uterus then contracted
from the already contracted portion outward,widening the sulcus
with each pain until the whole organ contracted naturally. (E. C.
Beckwith, Trans. Am . Inst., 1871, sec. IV , P. , 262.)
Post-partum Hæmorrhage. A lady, one and a half hours
after delivery, commenced to flow violently. She received Usti
lagoln, dry on the tongue, and in a few moments all discharge
ceased. (Samuel Swan , A. J. H. M. M., v. V. , 449.)
After removal of placenta a sudden and alarming distension of
the abdomen , in the region of the atonic uterus, was observed ; the
patient's tongue and countenance became pale ; respiration sighing.
There was faintness, nausea, retching, cutting pains about um
bilicus, and stitches which the patient defined as darting off from
umbilicus towards the uterus (direction opposite to that of Sepia ).
R. Ipec.26 The head being lowered and the pelvis somewhat ele
vated,, very soon the hemorrhage ceased. The other symptoms
were ameliorated . She then had 'severe pains shooting from sa
crum to region of uterus (opposite to Calc. Phosph.), Sabin.26 was
substituted for Ipec., and the uterus was soon found contracted into
a hard globular form , larger than one's fist, and the patient was
safe. (H. V. Miller, H. M., June, 1872, p . 529.)
A case after abortion had lasted six weeks ; hæmorrhage aggra
vated by the least motion, by mental or sexual excitement; when
her husband approached the bed. B. Platin.20 which controlled
hæmorrhage for aa time; followed by painful hemorrhoids and ob
stinate constipation, when the hæmorrhage returned . B. Silic.
Cured . (H. V. Miller, H. M., March , 1872, p. 372.)
184 PRACTICE.

Lochial Suppression.. Cimicifuga ; determination of blood

to head ; sensation as if she would be crazy ; head drawn forward .
Cured. (C. Baker, H. M., Nov., 1872, p. 197.)
Suppressed Lochia was followed by passive, boring pain in
left temple, left supraorbital nerve, orbit of eye ; aggravated by
talking or mental exertion. Before suppression - nursing produced
a venous metrorrhagia. R. Silic.20 Cured . (H. V. Miller, H. M.,
B.
Aug. 1872, p. 43.)
Post partum dangers of 'Ergot. It seems to spend its action
mainly upon the tonic contractile power of the uterus, rendering
its contractions irregular and intense. The amount of blood co
agula thus imprisoned within the great muscular channels of the
parenchyma of the womb, must of necessity involve the mother in
danger.
1st. The presence and pressure of these coagula, must of neces
sity interfere with the delicate molecular changes of involution .
2d. They must of necessity give to the uterus a preternatural
bulk and heaviness, and dispose it prematurely to settle down into
the pelvic cavity.
3d. They must expose the endongium of the uterine vessels, their
presence producing irritation and congestion, and thereby the womb .
in part or in whole, to inflammation.
4th . Failing to influence or otherwise distress the uterus, these
coagula may become the nuclei of uterine tumors. Any single clot
may thus become organized under the basis of some appreciable or
latent dyscrasia, or develop into a cyst or a fibrous growth. (J. C.
Sanders, O. M. and S. R. , v. VI., No. 4, p. 243.)
>

Post -partum Diet. The object of this paper is to point out

some of the conditions to be regarded by the accoucheur, as guides
for alimentation in each case : The state of health and general con
dition immediately previous to labor. The duration and character
of the labor. The symptoms springing from and immediately fol
lowing labor. The universal condition - preparation for lactation .
Where the patient comes to bed in good health, there is nothing
in the simple fact of parturition, save the to be developed function
of lactation, that should require any material change of diet for
more than one or two meals. If the woman is suffering from al
buminuria, dropsy, dyspepsia, or any other form of affection which
parturition will not cure, then the diet should be ordered to meet
the case.
If a labor has been tedious and exhausting, or attended by un
 OBSTETRICS. 185

usual flooding, the digestive department should be treated with

light and liquid food until it has had time to recover from the
effects of the labor, when the usual mixed nutritious diet of ordi.
nary life may be resumed . When a woman's strength has all been
spent in absolute labor, she can scarcely lift her hand or speak ; cool
drinks and sleep are first needed, afterward give some light broth.
When recovered from the fatigue and the systematic tone returns, she
can eat a relishable , enjoyable diet ; meals moderate in quantity
and more frequent than in health .
A breakfast of tea, or cocoa, and good milk or cream toast. In
four hours a dinner, of meat broth, boiled rice, macaroni, stewed
fruit, celery , bread, and a little butter. In four hours a supper, of
tea, chipped beef or tongue, rusk, and calves-foot or currant jelly.
These three meals to be followed in three or four hours by a bowl
of oatmeal gruel, as the last meal of the twenty-four hours.
A bill of fare thus varied is healthful, enjoyable, and conducive
to lactation . (O. B. Gause, Trans. Hom . Med. Soc. of Pa ., 1872,
p. 200.)
Headache of the Lying -in. This peculiarly intractable head
ache has no necessary relation to the severity or duration of the
precedent labor, nor to the so-called “ milk irritation . " It is true,
however, it rarely antedates the latter, and sometimes seems to
take its origin from it or follow it as a sequel. It is always ago
gravated by severe precedent hæmorrhage, and sometimes it is
scarcely to be distinguished from the headache, which always
more or less succeeds to such hæmorrhage. It may be distinguished
further. It is rarely accompanied with any special heat or dryness
of skin ; or with any special thirst or dryness of mouth;; or with
any special determination of blood to the head ; or with any special
heat or flush of face, though one or both cheeks are sometimes in
ordinately red ; this, however, is rare. Indeed , pallor of face is a
marked distinguishing peculiarity. It is, moreover, rarely a beat
ing or throbbing headache, but on the contrary, a steady, unabated
ache;; sometimes confined to the temples, one or both , sometimes
to the forehead, and sometimes to the occiput ; but wherever lo
cated , persistent, intractable, rarely violent, except after exhaustive
hæmorrhage. The digestive centre is disturbed only to the extent
of rendering the appetite delicate, or capricious, or wholly wanting ,
and the bowels torpid, though not specially constipated. Apart
from this general statement of its features, there are four symptoms
' which, if searched for, never will be found wanting, therefore
186 PRACTICE.

characterize this headache: 1. A preternaturally rapid pulse. 2.

A tender spot somewhere in the hypogastric region, having its
seat either in the uterus or the ovary ; one or both, or at some point
on the expanse of membrane which makes up the broad ligaments.
3. Morbid lochia, generally scanty and offensive. 4. More or less
deficiency of the milk secretion . The Remedies, beyond which we
shall scarcely need to consult, are Acon., Apis mel., Bryon ., Bellad .,
Macrotys, Nux vom ., Pulsat., Sepia. ( J. C. Sanders, Proc. Hom .
Med . Soc. of Ohio for 1872, p. 41.)
Tympanitis after Confinement. Mrs. H. Three days after
her fifth confinement; abdomen enormously distended ; pulse small,
but not rapid ; awoke about midnight from suffocation with con
gestive headache; head seemed as if it would burst, and her nose
bled a little ; feet cold and lochia stopped ; has aphthe after every
confinement; her labors are very rapid . Lycop.30, given in repeated
doses, relieved her, and she made a fine recovery ; the lochia did
not return . ( T. C. Duncan , Med. Inv ., v. 9, p. 71.)
0

Intra -Uterine Tumor, Removed Post Partum . Mrs.

æt. 32, was delivered of twins, her first confinement, May 3d, 1872.
The labor was natural, and the placenta -- a single one — was deliv
ered without difficulty. It was noticed that the uterus remained
unnaturally large after delivery, but the woman appeared every
way comfortable, and the doctor left her. Thirty -six hours after,
he was hastily summoned to her bedside, and found her suffering
great pain, with extensive uterine hæmorrhage, accompanied by
frequent swooning, and during the paroxysms of pain, by semi-con
vulsions. This condition of things continuing for twenty -four
hours, the hand was carefully introduced into the vagina, and
firmly into the uterus, when a fibroid tumor was ultimately dis
lodged and brought away, which was found to weigh sixteen
ounces, and measure four inches in diameter, with a pedicle of an
inch in diameter. The woman made a good recovery. (8. B.Waldo,
A. J. H. M. M., v. 6, p. 56.)
Unhealthy milk ; it had a disagreeable, nauseating taste ; the
child would not nurse . Calc. carb. 3d dec. , night and morning,
corrected this abnormal state in less than two weeks. ( Loescher,
I. H. Pr., v. 1, p. 72. )
Want of Milk . A robust woman had lost three children , whom
she could not nurse, with spasms at the age of four weeks. When
again pregnant, she received Calc. carb .*, night and morning a dose,
from August till November, when delivery took place. She now
 OBSTETRICS. 187

had plenty of milk , and the child is doing well. (Loescher, I. H.

Pr., v. 1 , p. 72.)
>

Cracked Nipples. For excoriated or cracked nipples the mother

tincture of Phytol. dec. may be used with certain prospect of relief.
( A. E. Small, U. S. Med. and Surg. Jour., v . 7, p. 153.)
Mammitis. Mrs. T. , healthy lady, third week after confine
ment, gland hot, painful and swollen. Phytol. 1st in drop doses
every hour, relieved after 6th dose. In two days normal condi
tion restored . ( A. E. Small, U. S. Med. and Surg. Jour., v. 7, p.
152.)
The Ligation of the Funis. We should conform to nature.
Animals that chew the cord free themselves in that way. We
should use something that will perform the service in aa similar
way. A French physician some years ago applied the ecraseur,
which gives a crushing cut. If you have a clean cut, you must
expect to help it. If we were to have a crushing instrument like
the teeth of an animal, the funis would then emit no blood ; and
that is the middle ground. (H. Pulte in Proc. Hom. Med. Soc. of
Ohio, p . 46.)
After the birth of a child , and its separation from the mother,
there is a certain quantity of blood that will escape from the child,
to wit, that portion which remains near the surface. It seems to
me to allow that to escape without any more, will answer the pur
pose. I don't remember to have ever cut the cord with a dull pair
of scissors. I have left a number of children without ligation ,
in some of which the hæmorrhage was such that I was afterwards
inclined to tie them ; in other cases not. In cases where the de
velopment of the child was not very large, and, consequently, the
circulation not very vigorous, and the cord correspondingly small,
it might be desirable to tie. I think any mode that will secure
the escape of a small quantity of blood will very likely avert the
jaundiced condition we so often see. There is no doubt the de
tention of the blood in the umbilical vessels tends to produce jaun
dice. In the last few years, I have almost invariably cut the cord
first, and then looked for a string, and by the time I got it, two
or three spoonfuls had escaped, and I don't recollect any case of
jaundice where I have treated them in that way. (J. D. Buck ,
Proc. Hom . Med. Soc. of Ohio, p. 47. )
A Curious Monster. Dr. E. Z. Schmucker, of Reading, Pa .,
deposited in the museum of the Hahnemann Medical College of Phil
adelphia, a curious monster. The head, arms and chest being ab
188 PRACTICE.

ME
sent, the trunk just above the umbilicus is smoothly rounded over,,
an
the breech is well formed , the anus and vulva natural, ( the sex be
ing distinctly female ), the lower limbs largely developed , but with at
both feet clubbed . The mother, who was insane, aborted at four AIT
months .
ma
Among those causes which undoubtedly operate to produce these
results, we may mention : 1. Hereditary influence. We see this
illustrated in those well known cases where peculiarities of struc
int
ture, as hare-lip, supernumary fingers or toes, etc. are transmitted
TI
from parents to children . 2. Some deranged state of the mother's NU
constitution or reproductive organs. 3. Diseases and abnormal
conditions of the fetal envelopes ; as an unusually short cord , may
favor fissure of the abdomen, while a long one may become wound
around a limb, and by constriction arrest its development or
even amputate the same. 4. Mechanical injuries, (kicks, blows or
falls). In proof of this point, it has been shown that by submit
ting hen's eggs to various mechanical influences, development may
be interrupted or modified to such a degree as to produce malfor
mations. 5. .Arrest of development, as seen in cases of cleft palate,
anencephaloid fætuses, etc. 6. Darwin , in his “ Descent of Man,"
attributes certain deformities to what he terms a reversion to prim
itive forms. Starting with the assumption that man has been
gradually developed from the lower animals, he claims that it
would not be unreasonable to expect to find occasionally in man ,
the same reversionary tendency seen now and then in certain do
mestic animals, that have been modified by breeding, yet some of
their progeny exhibit an unmistakable tendency to return to orig
inal forms. ( A. R. Thomas, A. J. H. M. M., v . 5, p. 389.)
A Double Monster. An interesting specimen of this charac
ter has been deposited in the museum of the Hahnemann Med
ical College of Philadelphia, by Dr. W. S. Cornelius, of Wilming
ton, Del. The children are females, with fine heads and limbs,
but united along the central line, from the upper end of the sternum
to the lower part of the abdomen. The union is not by a band, as
in the case of the Siamese twins, but by a coalescence of the walls
in such a manner as to leave, apparently, one common thoracic
and abdominal cavity. They were still born, the mother being nine
hours in labor, but making a remarkably good recovery :
Curiosity to know how the internal organs were arranged, led
me to remove sufficient of the anterior walls to expose the viscera
of both cavities. The blending of organs was found of a most re
 SPINE. 189

markable character, yet such as to provide for the proper perform

ance of function of all parts. Contained within a single pericar
dium was a large heart, quite double the size of a heart of a child
at birth, and plainly resulting from the union of two hearts. The
arrangement of the several cavities and vessels could not be clearly
made out without removing the organ entirely, which it was
thought advisable not to do. The aorta had the appearance of
springing from the heart as one vessel, and afterwards dividing
into two, a trunk passing down the spinal column of each child.
The abdominal cavity, common to both children, presented a most
curious combination of the viscera . The two livers where united ,
making one large gland, placed very near the centre, and looking
more as if the right lobes of the two livers had been united, the
left lobes being absent. Two gall bladders and two sets of ducts
were present. On each side of the common liver and parts covered
by it, was a stomach of normal form , each receiving its esophagus,
and each sending off its duodenum, the latter receiving its bile and
pancreatic ducts at the normal point. Just below the duodenum ,
the two alimentary tracts, united into one and continued in this way
for a distance equal to the length of the jejunum , when it again
divided, forming two ilei, which finally terminated, each in its
own cæcum , each child having its colon and rectum .
The kidneys, spleen , pancreas, and pelvic organs were normal,
from the arrangement of the alimentary canal, it is apparent that,
had the children lived - and anatomically there was nothing to
render life impossible — food taken by one would have aided in the
nourishment of both, while the admixture the arterialized blood
from the lungs of both , within the common heart, would have still
further aided in distributing the nutritive fluids prepared by
either, to the tisssues and organs of both. ( A. R. Thomas, A. J. H.
M. M. , v. VI. p. 1.)

SPINE.

Spinal irritation . Miss F., æt. 20. Violent pain in head, from
back to front and down the spine ; lies on her back ; head and
back drawn backward ; the slightest move or touch causes excru
ciating pain. Pulse slow ; action of the bowels almost paralyzed ;
urine voided daily but slowly ; complete sleeplessness ; pain in
 190 PRACTICE .

paroxysms. Caused by getting wet. Bryon ., Cuprum, Hyosc.,

Zincum without effect. Rhus tox . 6., gradual decrease of pain :
in two weeks she can use her limbs and gradually got well entirely.
(Dittrich , A. H. Z., 85 , 78.)
Irritable spine cured with Tarantula, by Dr. E. A. Farrington .
Excessive hyperæsthesia, a slight touch along the spine provokes
spasmodic pains in the chest and indescribable distress in the car
diac region, at times the heart feels as if twisted over (spiral fibres).
Intense headache, as though thousands of needles were pricking
into the brain ; the body burned all over. Headache relieved by
rubbing the head against the pillow (termini of the nerves become
so irritated , that some kind of friction is resorted to in order to
obtain relief.) (N. A. J. H., XXI., 86.)
Coccyodynia. Her last confinement left her with debility in
the hips; profuse leucorrhea, with burning and smarting and pain
ful uneasiness in the coccyx, relieved by standing, getting a great
deal worse by the slightest movement or the least pressure. The
great action, which Tarantula developes in the cerebro-spinal sys
tem, encouraged me to try it. Tarantula200, six doses, one every
morning, fasting, produced a permanent cure. (Gonzales, N. A. J.
H., 21, 74.)
Coccyodynia, by H. B. Millard , M.D. It signifies pains in the
coccyx, acrosciatic ligaments, posterior coccygeal ligaments, the
ischio -coccygeal muscles, some of the fibres of the glutei muscles,
of the elevator and sphincter ani ; in short pains in the muscular
and tendinous fibres of the parts attached to the coccyx. They
are most frequently produced by such movements as produce trac
tion of the muscles and tendinous parts thus attached , such as rising
.

from a sitting position or sitting down ; sometimes the act of de

fecation will produce them . If of rheumatic origin, it may exist
even, when the affected parts are relaxed ; it is sometimes aggra
vated by sitting and often intense. Causes : 1. Cold or dampness,
producing rheumatism or neuralgia of the parts. 2. Idiopathic
neuralgia, occuring in anæmic, hysterical women. 3. Injuries from
percussion , as from falls or blows. 4. Mechanical pressure, as in
parturition. 5. Inflammation of the coccygeal investing mem
brane, or of the coccyx. In several cases he succeeded in eradica
ting it by the use of Zincum, Thuya and Conium ; Rhus rad., was
also given. (N. A. J. H. , Feb. , 1872.)
 MOTORY APPARATUS . 191

MOTORY APPARATUS.
Rheumatism . Dan'l. B. , æt. 45. Since sixteen weeks rheuma
tism across his hips and back, pains worse at night. Acon. 1st dec. ,
three times a day cured in a fortnight. (J. W. Nankivell, H.W., 7,
278. )
Pain in region of left ribs immediately below the heart ; pressing
pain , torturing day and night. Arnic. cured within two weeks.
( Stens, Sen. , A.H. Z., 85, 189.)
Rheumatism in the joints of the hands and feet, the more swollen,
red and painful on slightest motion. The pain was worst, however,
when lying and getting warm in bed, especially at night. Arnic .?
in water, a spoonful three times a day. Better next night, well in
ten days. (Stens, Sen. , A. H. Z. , 85, 189.)
Inflammatory Rheumatism . Miss C.; face flushed ; dry, hot
skin ; pulse 96 ; great thirst ; white-coated tongue ; burning pain
in knees, ankles, hips ; pains disappear one day, returning the next
>

more severely ; worse at 1 P.M.; burning and throbbing pains ;

pain and heat without swelling ; thirsty but drinks little at a
time ; water causing nausea , prostration, restlessness, anxiety. B.
Arsen .>, then Arsen.". Cured in a week. (L. C. Crowell, H. M.,
Aug. , 1872, p. 47.)
Rheumatism with Dysuria. W.C. Black hair, blue eyes ,
dark complexion ; complains of aching pains extending from just
above the crests of the ilia, downward and inward to sacrum ; ach
ing pain in bladder before and after micturition, burning mictu
rition. Berberis.30, cured . (H. V. Miller, Med . Inv ., v. 9, 455.)
Rheumatism . Mr. C., black hair, dark complexion, blue eyes.
For some months past he has had rheumatism in shoulders, worse
in left, and recently lameness in left knee ; has a cough only when
he takes cold ; also a sensation of soreness and acute sensibility to
pressure in a small space in the pectoral muscles, left side, upper
third ; from this point lancinating pains extend transversely across
sternum to a corresponding point in the right side of the chest,
thence turning a little downward. These pains occasion dyspnoea
and a sense of constriction in the thoracic parieties.
R. Calc. carb., 6m, cured in aa week or two. (H. V. Miller, H. M.,
Aug., 1872, p. 48.)
A married lady complained of a sensation as of very fine deli
192 PRACTICE.

cate wires or fibres pulling and continually in motion, all down

both arms from elbow to hand, but no twitching or movement of
muscles.. Gave Coccul., it corresponding to the totality of the
symptoms rather than the one. (B. W. James, H. M., Feb. , 1872,
p. 336.)
Deltoid Rheumatism . Young lady. Last spring had omo
dynia of both deltoid muscles for which she has taken Bryon .,
Rhus tox., etc. R. Ferrum , 20 , one dose. Cured. (H. V. Miller,
Nov. , 1872, p. 198.)
Boy æt. 12. Yesterday pain in right inner ankle, which spread
over foot ; to -day extends up to the knee and is felt in left leg just
as in right ; ankles and knees stiff, with a twitching pain on mo
tion ; knees weak ; pain in chest ; thirsty every half hour for cold
water ; skin hot ; pulse 90 ; knees and inner ankles swollen and
tender to touch ; elbows and shoulders stiff ; shooting downwards
in calves from knees to ankles, first right then left; Lycop.om, one
>

dose. In seven days well except weakness. Sulphuren, cured.

( Berridge, Month. Hom. Rev., 16, 495.)
A fleshy man, crippled for years, unable to walk , from chronic
rheumatism (brought on by working in hot rooms and cold vaults
of his brewery ). He had been confined to his bed for a week
when I was first called, and after treating him for a week, with
partial success in relieving the severest pain , made a new study of
his symptoms. He had rheumatic fever, worse in the evening and
fore part of the night, and much worse every other night; very
severe pains in the ankles and feet, and in upper limbs from elbows
to fingers ; dull, aching pains, and sometimes a severe stinging
pain. These pains, so severe at night, were all remarkably re
lieved by drinking cold water fresh from the well. Gave Pulsat.,
under which he was soon able to leave his bed. (J. H. P. Frost,
N. Y. S. Trans., 1871, p . 243.)
Robt. H., æt. 53. Since five weeks severe rheumatism of right
wrist and in both feet from the heels to the end of the toes. Has
been confined in bed for a month . Puffy swelling about the in
steps and he had sour sweatings. Dulcam . without relief. Rhus
tox
with but slight relief. Ruta with prompt relief. ( J. H. Nan
kivall, H. W., 7, 278.)
Sticta pulm . In inflammatory rheumatism of both large and small
joints where there is swelling, heat and circumscribed redness of the
joint. Also in the subsequent synovitis with exudation of serum.
(Price, Am. Obs., April, 1872, p. 162.)
 MOTORY APPARATUS . 193

Chronic Rheumatism , Characterized by stiffness of the joints

and pain in the lumbar region cured by Sulphur30. (A. E. Small ,
U. S. Med. and Surg. Jour., v. 7, p. 291.)
>

Mrs. S., æt. 43, was cured of rheumatism in small of back

which had existed for several weeks, in two days by Phytol. 6th. ,,
every three hours.
Rev. W., æt. 50, had suffered many months with rheuma-
tism of back and hip -joint, was cured by a few doses of Phytol. 3d .
(A. E. Small, U. S. Med. and Surg. Jour., v. 7, p. 152. )
>

Sepia. Mrs. —Throbbing in small of back, better by sitting

upright, worse by sitting, leaning back ; on turning in bed or
stretching out arms, a pain catches her there as if something were,
going to break, stopping the breath . Sepia.m,7 one dose cured in
two days. (Berridge, M. H. Rev., 16, 495.)
Lumbago, cured by drop doses of tincture of Venice turpentinė.
Relief after second dose. (Am. Obs., Aug., 1872, p. 365.)
p
Strain of left shoulder joint, very painful for a long time;
became at last immovable ; sleepless at night. Rhus tox ., 1, in
water every three hours ; well in eight weeks. ( Stens, Sen., A. H.
Η
Z., 85, 189.)
Stiffness in the elbow - joints and paralytic heaviness in arms,
making him unfit for any kind of work, in consequenee of holding
his arms for a long time upwards during sitting as model for a
picture. A great many things had been applied without benefit.
Angust. cort. 3., smelling, gave great relief at once and cured in two
weeks by taking five globules night and morning for that length
of time. (Landesmann, A. H. Z., 85, 146.)
Suppuration of middle joint on right index finger, in con
sequence of an injury. The whole finger became involved in the
phlegmonous inflammation and it was thought necessary to ampu
tate the finger. Hepar 30, in water every three, six, and eight
hours a teaspoonful cured in about three weeks. ( Pancin, Bibli
othéque Hom. , Jan., 1872, No. 1, A. H. Z. , 85, 171.)
Panaritium , Girl has had a felon a year ago. Since morning
has felt a painful throbbing in another joint increasing continually
through the day. In the evening Ammon. mur. 30., smelling,
relieved at once , no return. ( Landesmann, A. H. Z., 85, 146. )
Inflammation of left big toe. By a fall from the horse a
gentleman sprained his left big toe. Since then he has had several at
tacks of inflammation of the joint ofthis toe , which kept him usually
in bed for six weeks under the continual alternate use of Sulphur
13
194 PRACTICE.

and Nux vom . The inflammation sets in suddenly without appa

rent cause : the toe-joint becomes red, hot, painful and so sensitive
to touch that he cannot bear the pressure of the bed cover. He
has the continual sensation , as if the toe were sprained . Ammon .
carb.200 in water, every three hours one tablespoonful cured in twen
ty-four hours ; no relapse afterwards. (Landesmann, A. H. Z. , 85 ,
186.)
Hypermegalia muscularis progressiva paralytica is a dis
ease which is characterised by an enlargement of the gastroknemii
with following paralysis and a progressive enlargement and paraly
sis of the voluntary muscles. Microscopical examination shows
a hyperplasia of the connective tissue within the diseased muscle.
The muscular fibres have lost their striped appearance , appear
compressed and buried in the prolific meshes of the diseased tissues,
and gradually perish altogether. In the meshes of the hyperplas
tic tissue is a considerable amount of fat ; the capillary vessels are
rarely enlarged and filled with blood, and the muscular stripes of
the gastroknemii only exceptionally hypertrophied . To the naked
eye the muscles appear pale. The spinal cord when cut trans
versely shows in its white substance, round or wedge-shaped bodies
of gelatinous appearance. The anterior columns contained only
few ganglion cells,and dilated vessels ; in the lateral columns ap
peared Amyloid corpuscles. It seems as if in the lumbar region
the fatty and amyloid degeneration were extending from the lateral
to the anterior columns.
The disease runs through three stages ; 1. Debility. 2. Hyper
megalia or enlargement of the muscles. 3. General degeneration and
paralysis. The weakness commences in the lower extremities with
uncertainty in walking and standing ; the back is bent. After
some months, latest in a year, apparent swelling or enlargement of
the calves of the leg, then enlargement of one or the other of the
glutei or single lumbar muscles. The weakness increases all the
time, lasting from two to three years. Now follows the third stage
in which the disease spreads to the upper extremities with general
paralysis.
Hypermegalia muscularis paralytica progressiva is like progres
sive muscular atrophy, a disease in which there is no disturbance of
digestion in the first two stages. The diagnostic signs for hyper
megalia is the voluminous enlargement of the gastroknemii, the
age of childhood, the deficient irritability of the affected muscles to
electricity and its progressive course. The prognosis of infantile
 NERVES. 195

hypermegalia is very unfavorable. (Prof. Francesco Orsi, Gaz. Med .

Ital., No. 15, 1872. Allg. Med. Centralzeit ., 1872, 41, 43. Mtsbl.,
June, 1872, 57.)
Atrophy. A. J., æt. 6 mos ., ill for three months and has gradu
ally wasted to the last degree ; urine extremely scanty ; tongue
much coated ; vomits the larger portion of the food she takes in ;
countenance wan and deathlike, the child was plainly sinking from
mismanagement and neglect.. Nux vom . was followed by much
improvement. One week later there being a wheezy bronchial
cough, gave Phosphor. Cured.
Cured . (J. H. Nankivill, H. W. 7, 207.)
Osteo -malacia with decubitus cured by Calc. carb.: ( Am . Obs.,
Sept., 1872, p. 439.)
Necrosis. Its symptoms, prognosis and treatment. (Chas.
Adams, U. S. Med. and Surg. Jour., v. 7, p. 332.)

NERVES .

Headache since five weeks, a sensation as if there were a tight

hoop around the head, and as if she were constantly pulled by the
hair ; it came on in consequence of a warm bath during her menses ;
the menses had not been suppressed. Aethus. cyn . 3, smelling re
lieved within three minutes ; no return. (Landesmann, A. H. Z., . >

85, 146.)
Cephalalgia a severe boring pain in left temple, occurring in
the evening and during the night, was perfectly relieved on two
occasions by simply smelling Ammonia. (H.V. Miller, H. M., Nov.,
1872, p . 198.)
Crawling sensation (Kriebeln ) on top of head, as if something
alive were moving there, and continued pressure above the eyes, since
a long time. Cupr. met. 30., smelling, relieved at once the crawl
ing sensation, while Baryt. carb. 30., smelling, cured the pressure
above the eyes. (Landesmann, A. H. Z. , 85, 147.)
Bellad.30 cured a twitching pain in the left side of the head, over
the parietal bone, with soreness when touched. Coming suddenly
80 severe as to cause him to jerk his head downwards, close the
left eye and wince. These motions were involuntary. (W. J.
Blakely, Trans. Hom . Med . Soc. , of Penna., 1872, p. 100.)
Constant pressure in forehead above the eyes, since several weeks.
Bismuth.30, smelling, relieved at once.
196 PRACTICE.

Mrs. R. , æt. 40 ; has numerous children . Sharp, tearing, some

times benumbing pains in left half of body but chiefly in the left
temple and occiput ; pains aggravated at night when warm in bed ;
general debility ; anorexia ; constipation. R. Bryon.o with diet of
brown bread and oatmeal. After which Merc. sol. greatly relieved
neuraigia. (D. A. Gorton, H. Mi, Mày, 1872, p. 463.)
Miss M. , æt. 24, has severe neuralgic headache from taking cold ,
Gelsem. , Bellad., etc., of no avail. Feeling as if head were com
> >

pressed in aa vice and that it would burst open from severity of the
pain, Cact. grand. Cured. (J. Schelling, H. M., June, 1872, p. 513.)
Servant æt. 20 . For two days shooting from mid -forehead to
occiput,then in a minute the reverse ; then feels giddy as if she would
fall to the left ; room seems to revolve; feels sick and sleepy ; with
the pain her eyes close. Feels as if something were going to happen ,
which makes her low spirited ; headache better in open air. Natr.
mur.im, one dose. All symptoms went in four hours, but for three
and aа half hours has had shooting from left temple to right, worse
in stooping, better from pressure, Calc. carb.107m, one dose, cured in
>

an hour. ( Berridge, M. H. Rev., 16, 495.)

Chelid . Pain over right eye. (E. T. Blakeley, M. H. Rev., 16,
403. )
Miss ., æt 30. Since six years constant pain in forehead, a
pressing over the eyes as if she had to shut them. Euvnym . europs, 7

smelling ; relieved at once never to return. (J. Landesmann, A.

H. Z. , 85 , 145.)
Mr. A. McA., æt. 52, light hair and blue eyes, has been a sufferer
from severe neuralgia for about two years, or since an attack of
cerebro -spinal meningitis. Ever since the attack he has had terri
ble neuralgia , commencing in the upper portion of the spinal cord,
proceding thence gradually through the upper portion of the ce
rebrum , and terminating in aa bursting pain in the forehead and
eye-balls. As the pains thus travel, the parts previously affected
are in a great measure relieved. There is constant pain , but the
severe paroxysms commence at about 10 o'clock A.m. , and continue
through the day into the night. The pain is aggravated by lying
down. There is a sensation of coldness in the parts affected , at
tending the pain. He has nausea, vomiting, and cold sweat on the
forehead. The feet are always cold ; bowels generally regular ;
appetite poor. He has vertigo and obscuration of sight in stoop
ing ; sensation as of a band drawn tightly around the head above the
ears ; and a sensation of soreness in the scalp and brain. He re
 NERVES. 197

ceived twelve powders of Gelsem.200,2 to be taken three doses a day.

The effect was immediate. The pain disappeared at once , return
ing slightly at intervals, and requiring a repetition of the same
remedy. Four months after he reported himself still well. (H. V.
Miller, A. J. H. M. M. , v. V, 228.)
Mr. W., æt. 50, of large cranial development, formerly a school
master ; complains of severe, heavy, and dull pain in back of head .
He feels as though he would fall backward. Glonoin . 3x, one drop..
Cured in three minutes, after many days suffering. (H. W., 7,
197.)
Miss S., æt. 15 , large, well built. Every four weeks has a severe
headache at the right temple, lasting only one hour or sometimes
all day, with lancinating pain, preceded and followed by flickering
before eyes ; followed by lassitude, deep sleep, the redness and heat
of head give place to chilliness. B. Sepia in water, morning and
evening. May 8th. Has flickering before eyes and lassitude ; heavi
ness of eyelids ; has never menstruated, though fully developed
hoarseness. R. Graphit ., 2d trit., two grains for six mornings.
May 15 , cured . (H. Goullon , Jan., 1872, p. 273.)
2

Mrs. G., æt. 54, blonde ; leucophlegmatic; rather fleshy ; passed

climacteric four years ago. Till eight years ago , healthy, since
then subject to nervous periodical headaches coming at same hour
and day, weekly, lasting forty -eight hours. They come and go at
11 A.M. Their coming is preceded by a sense of vacuity in the
stomach and chest, stiffness of the nuchæ and muscles ( trapezius) on
each side of this ligament. At the end of twelve hours from the at
tack , the pain extends to the vertex and remains there several hours,
being of a compressive and burning character. After some time
they continue their course towards the sinciput and eyes, the latter
feeling hot and heavy. Nausea and salivation ensue, but without
vomiting, and last till the attack ceases. Thé vomiting of phlegm
of former times has discontinued. The first night of the attack
she cannot sleep, though with eyes closed perceives figures and
objects moving about. In the acute stage she cannot lie down, but
must with closed eyes remain in a dark room . Sleeplessness, pro
se diuresis of pale urine, melancholia, and much sighing succeed
each attack . The physical organs appear healthy and the func
tions regular, her health being otherwise good. The allopathic
physicians have not benefited her. B. Ignat.2: Cured . (P. Ben
der , H. M. , Sept., 1872, p. 72.)
Lady, blue-eyed, light hair, fair ; severe pain in left causality,
198 PRACTICE.

continuing all day. Since waking in A.M. ; worse from heat of

stove ; bad breath. Cured in a few minutes. (H. V.
Pulsat.
Miller, H. M., April, 1872, p. 404.)
Cold pains. Mr. S., excessively cold neuralgic pain in cartilage
of both ears, worse in night, tingling as if frost-bitten ; rubbing
with difficulty restores warmth ; pains, lancinating, neuralgic, icy
cold as if produced by an extremely fine ice-cold needle, in forehead ,
occiput, from aural region down through ears to neck -muscles,
eyes ; aggravated by least air ; skin sensitive to touch . Sacchar.
lac.Im one dose. Cured within an hour. (S. Swan, H. M., Aug.,
1872, p. 21.)
The patient, a gentleman , had been suffering severely all day,
pains becoming more violent as evening approached , causing him
to jerk his head to one side and scream at every paroxysm . Pains
confined to right side principally, and even pulsative and stitching
in character, extending from the occiput upwards and forwards over
the ear, around to the temple and across the forehead , Sarsap.200,
single dose, relieved in less than one hour, and there was no return.
(W. O. Griggs, A. J. H. M. M., v . V, p .450.)
>

Neuralgia of face, right side, tearing from superior maxillary

bone into eye, ear and regio submaxillaris. Towards evening chilli
ness, followed by heat in the night and sweat towards morning ;
weariness and inclination to lie down ; woman æt. 40 ; mild, gentle
disposition. Caustic.30, cured. (Mossa, H. Kline, 1872, 45.)
Supra orbital neuralgia , commencing over left eye and radiating
in every direction. After Spigel.200 the pain moved to the right;
dull, heavy, constant pain, over right eye ; covering the space of
the size of a half dollar ; no relief from hot or cold. No better
from Silic. or Sanguin. Iris vers. cured quickly . (W. T. Laird,
Med . Inv., v. 9, 539.)
Neuralgia of the trigemini in cold, damp weather, relieved by
Spigel. (A. E. Small, U. S., Med. and Surg. Jour., v. 7, p. 158.)
Intermittent neuralgia. Case 1 . Helen C., æt. 38. Has severe
intermittent pains in the right side of the head, which she has had
for a month . Pain commences over the molar bone and extends
backwards over the side of the head, aggravated at night; com
mences gradually at 9 P.M., becoming more severe till about 3 A.M. ,
when having reached its heighth, it gradually subsides. Also
comes on at breakfast and lasts till 4 P.M., Sulphur one pilule every
two hours. Cured in one day.
Case 2. Mrs. L., æt., 47. For past three months pain in right side
 NERVES. 199

of face and head. Pain commences in the upper and lower jaw
bones, extends to the infra and supra -orbital nerves and up the side
of the head ; comes on in the afternoon, lasts three or four hours,
and returns again late at night, continuing till 1 A.M., comes again
in morning and disappears before the afternoon. Sulphur every
three hours, cured in ten days.
>

Case 3. Mrs. P., æt. 35. Pain comes on about noon and lasts
‫ܕ‬

till evening, pain centres in right temple ; going up to the top of

the head over the eyebrow , below the eye and down along the in
ferior maxilla . Sulphur every three hours, cured in four days.
Case. 4. Mrs. M., æt. 30. For two days, pain in right side of
face and head, extending over the jaw of that side, and to the top
of the head. Comes on in the evening, lasts all night, but lessens
towards morning. Sulphur two drops every two hours, cured in
three days.
Case 5. Miss R. , æt. 23. For several days pain all over the lower
jaw , extending down to the shoulders and up to the supra and
' infra -orbital nerves on both sides and over the whole head ; pain
commences in evening and lasts all night, keeping her awake.
Sulphur every two hours, cured in two days.
Case 6. Mrs. N., æt. 54. Pains in knees, ankles and elbows,
every night about 11 P.M., continuing till 7 A.M. Sulphur every
three hours relieved . The pain changing to a cramping of the
muscles, Nux vom ., was given . (D. Dyce Brown , Month . Hom .
Rev.,> v. 16, p. 93.)
Pain commences at 9 P.M., affects the ramus of lower jaw and
>

temple of right side, relieved by warmth and lying on the affected

side. Comes on gradually and leaves suddenly. Sulph.. ac.200,
cured in two days.
Lady æt. 25 ; right-sided neuralgia , affecting face from temple
to lower canine teeth ; an aching and jerking pain, with twitches
and contortions of the face, and deep blue circle under the right
eye ; buzzing in the right ear ; frequent sensation as if the skin
of the cheek and chin was pinched ; pain came gradually and left .

suddenly ; worse in bed, and from excess of heat or cold . After one
dose of Sulph. ac.200, became sleepy, vomited bile, then slept, and
woke with complete relief. (R. M. Theobald , Month . Hom . Re
view, v. 16, p. 111.)
Verbascum . Mr. For two days dull hot pains in right
face, and shooting from right face into right eye. Right face
swollen and watery, swelling below right eye ; right eye waters,
200 PRACTICE .

and partly closed from swelling under it; tensive pain in vertex,
better on sitting up. Face pain worse from a draughtof air. Cause,
exposure to cold air after perspiring. Verbas.200, one dose cured .
(Berridge, M. H. Rev. , 16, 495.)
Reflex Neuralgia of Uterus, Plexus Salaris, Sympatheti
cus. Woman , æt. 45, emaciated cacchetic, with yellowish -brown
>

color of face, crying and moaning on her bed on account of the

severity of pains. Tongue heavily coated ; total loss of appetite ; 1
nausea and vomiting ; stomach does not retain even fluid nourish
ment. Obstinate constipation ; never a stool without an injection ;
micturition scanty ; pulse weak and filiform ; eye dim, albuginea
I
yellow . The pains are chiefly seated in the gastric region, and radi
ate on both sides between the lower borders of the lowest ribs to
d
the back, ascending and descending to the coccyx and towards
inguinal regions tothe pudendum. They are continuous, not inter
mittent, get worse towards evening and are worse at night ; no sleep
at night; during the day burning, at night as from glowing coals,
with increased sensation of heat. Begged for relief. Hydrate of
chloral, morphine, &c., did no good. Menses stopped for a year th
and only at irregular periods, there was either a little show or 18
a perfect hemorrhage. Pains began ten months ago , continuing
uninterruptedly, discharge of blood brought no relief. Formerly
she suffered much from sick headache. My diagnosis was, hyper da
æsthesia uteri in climaxis, and through it, reflex neuralgia of the
ganglion cæliacum and of the sympatheticus ; at the same time
we have to combat a morphine- intoxication. R. Conium ', which
only palliated pain , which left the sympatheticus and plexus gas
tricus and centred round the navel, with aggravation in the after
noon till midnight, followed by a few hours’ sleep, when pains again
returned . B. Veratr.3 ; pain left umbilical region centring in
daytime below navel, ceasing during evening ( first time in ten TALL

months without evening aggravation .) Pains moved entirely TOP

lower down, centred in uterus, with bearing down sensations, ESTE

especially as it was time for catamenia . B. Pulsat.", great relief, bele
twice sleep. Slept all night, next night. Good nights for ten
days ; very little pain in daytime. Ten days later, stitching, tear tead
ing, drawing pains in head, chest, back, pelvis ; heat, redness of Pa
face, with fear of apoplexy ; pulse 100, strong, full. R. Acon . 1st
dec., dose every fifteen minutes. After third dose, sleep for two This

hours. Cure steady from this time. (Dr. Leukner, trans. by S.

Lilienthal, A. H. Z. , July, 1872. H. M. , Oct. , 1872, p. 104.)
> DEL
 NERVES . 201

Crural Neuralgia. Mrs. A., æt. 30, never pregnant ; menses

irregular, uncertain, always late, sometimes wanting, but profuse,
continuing a week or longer, consisting at first of pale blood,
which became dark and clotted ; occasionally spasmodic uterine
contractions. From ten days to two weeks previous to the menses,
sharp pains during motion, extending from the point of egress of
the crural nerve on the thigh, down over the inner surface of the
knee, to the great toe ; and a constant aching of the whole limbs,
with great heaviness during rest. Right leg affected. After the
first sense of pain paralysis of leg till catemenia fully appeared
when it gradually became normal. This is of six years' duration.
Dull aching of the nates while sitting, and extending to the
sacral and hip-joint regions and small of the back . Dull stitches
during movement, and drawing sensation during rest about the
knee and patella. Paroxysms of stinging pain along the fibula,
near the malleolus ; sweat at night, great general prostration ;
sinking feeling in the stomach and abdomen ; complete ameliora
tion of all the pains during the rest at night. Staphis. cured in
three months. (M. Preston, Transac. Hom. Med . Soc. of Penna. ,
1872, p. 118.)
Sciatica . A patient, J. J. Nally, æt. 32, was admitted to
the Homeopathic Hospital, suffering with sciatica of four weeks'
duration. Symptoms pain in left lumbar region extending down
the thigh ; worse in the P.M. Aggravated by sitting up, and
by movements. Walks with crutches. He received a single dose
of Bryon.com Pain did not return next day, and he appeared
before the class three days later without crutches, and was dis
charged ten days later, cured. (H. N. Martin , A. J. H. M. M. ,
vol. 5, p. 297.)
Mrs. C., æt. 35 ; one child ; tall, slender, phthisical. A seated
pain about the region of the left hip -joint, lancinating and aching,
worse during motion, which gradually became almost unbearable,
extending down the outer and posterior sides of the thigh to the
heel. The limb gives way on bearing any considerable weight on
it, as if from lack of strength in the muscles to keep it firm . She
had to hold to a chair, or use a crutch in going about the room .
Pains worse in the mornings at 3 A.M.,> and in the afternoon at 4 or
5. Aching about the middle and posterior of the thigh, with
great soreness of that and of the ischial tuberosity deeply seated,
as if in the bone ; aching and weariness in small of back. No
menses for three months. Sepia, menses returning. She had
 202 PRACTICE.

now a more intense aching, stinging and bruised pain in the mid
dle of the thigh, extending to the knee ; boring pain in the knee
joint ; sharp tearing, stinging or pricking in the calf above the
ankle ; aggravation of all the pains while sitting ; better by mo
tion, though motion was also painful; worse afternoons and even
ings. Much pricking in calf and popliteal space. Indig. 6th,
a powder every four hours; improvement in twelve hours ; cured
in four weeks. (M. Preston, Transac. Hom. Med. Soc. of Penna.,
1872, p. 120.)
Miss M., æt. 20, has gnawing, aching, tearing pains in right
thigh and leg ; a darting from the point where the sciatic nerve
leaves the pelvis, to within ten inches of politeal space, then inter
rupted to appear about the middle and outer side of calf continu
ing to external malleolus and heel ; motion at first painful, is after
a moment more bearable. She walked leaning toward the affected
side, as much as though the femur had been quite dislocated above
the acetabulum ; when standing an inch and a half from the floor.
1 Aggravation at night, not being able to remain in bed. The pain
in the thigh, leg and knee-joint, when lying down became excru
ciating, eliciting screams. She gave up her bed entirely for sev-.
eral weeks, occupying a chair, in a semi-reclining position, during
such times as the severe pain allowed repose ; emaciated and pros
trated from want of rest and from pain ; menstrual functions
nominal. Her pains were but slight and bearable during the day,
increasing in evening, becoming extreme during its advance, es
pecially on getting into bed ; better in the open air ; violent jerk 1

ing of the limb and of the muscles of the thigh ; during the
accessions of pain the knee of the affected limb ( right) was the
especial seat of pain and suffering ; a tearing and lascerating during
these nightly paroxysms. R. Kali hydr.10m, in A.M., one dose 1

with cessation of pains during preceeding night; cured in four

weeks. (M. Preston, Transac. Hom . Med . Soc. of Penna., 1872, p .
111.)
N. D., Sept. 27. Chronic rheumatism , mostly of the right sciatic
nerve ; downward shooting pains; stiffness ; worse before storm ,
when sitting, on first moving, and during damp weather ; better A

from dry heat ; Rhus tox.30, ameliorated pains.

Oct. 13. Shooting pains from back down outside of left thigh,
and sometimes down sciatic nerve on first moving or on rising up
after sitting ; hamstrings, chiefly the outer, feel shortened and .
 NERVES. 203

sore ; rest well at night; Rutaso, one prescription, soon cured. (H.
>

V. Miller, H. M., Nov., 1872, p. 199.

Dry cupping over the hip relieved and cured sciatica, after reme
dies had failed . (G. S. Barrows, U. S. Med. and Surg. Jour. , v. 8,
p. 109.)
Stillingia sylvat. Syphilitic and gonorrhoeal sciaticas; left
sided complaints. (M. Preston, Transac. Hom. Med. Soc. of Penna. ,
1872, p . 121.)
Phytolacca dec. Syphilitic and gonorrheal sciaticas, with
sharp lancinating pain, not inclined to remain seated in one part
long at a time, often darting along the whole length of the limb
in quick , successive impulses, rendering the leg powerless, numb
and heavy, even to the extremity of the toes. Right-sided com
plaints. (M. Preston, Transac. Hom. Med. Soc. of Penna., 1871,
p. 121.)
Gelsem.30 cured in a severe case of Hysteria, from grief, the
following symptoms: pain from the occiput through to the fore
head , as if a knife were thrust through ; pain across the root of the
nose ; pain in the eyes as if they were jumping out of the head ;
pain through the chest, below the heart, from the left side to the
right; complete blindness (led to remedy). She recovered sight the
same evening, next day pains were gone. (W. G. Blakely , Transac.
Hom . Med . Soc. of Penna ., 1872, p. 100.)
Hysteria. W., æt. 45. Binding, constricting pain in different
parts, especially in gastric region ; sensation of lump in stomach,
with constant beating as of two hammers ; great desire to vomit ;
feels so tired that death would be a relief ; hates to be addressed ,
to work, feels indifferent to everybody and everything ; constant
chilliness as if skin were tightened over body ; great anguish before
menses ; obstinate constipation. B. Graphit. 2d trit. dose each A.M.
• Cured in two weeks. (H. Goullon, H. M. , Jan., 1872, p. 274.)
Hysteria. We should carefully distinguish between the hys
terical condition and the hysterical fit. The latter is more easily
controlled than the former. For the nervous condition - general
increased sensibility, Ignat., Stramon., Cyprip ., Sepia , heightened
sensitiveness, Coccul., Stramon ., Platin., Pulsat., Nux vom. , Acon .,
Staphis. ; irritability and impatience, Gelsem ., Pulsat., Sepia,
Nux vom ., Hyosc., Coccul., Cyprip ., Senec.; variable disposition ,
Ignat., Pulsat., Stramon ., Mosch ., Platin ., Sepia ; great nervous de
bility Platin ., Phosph. ac., Alet., Sepia, Senec.; constant brood
ing, Nux vom ., Ignat., Sepia ; constant or excessive dread, to Acon .,
204 PRACTICE.

Pulsat., Platin. ; great anxiety, Platin ., Pulsat., Nux vom .; fidgetty

expectation, Valer ; illusions, Cimic. rac., Valer ; melancholy,
Pulsat., Aurum , Staphis. ; persistent or habitual silence, Nux vom.;
constant moaning and lamentation, Nux vom.
Bodily conditions or symptoms. Constant troublesome sinking
at the stomach, Gelsem ., Cimic. rac ., Hydras., Ignat. ; coldness of
the hands and feet, Bellad ., Hedeo.; shortness of breath , Hedeo., Calc.
carb. ; oppression at the chest, Mosch ., Ignat. ; sleepiness, Cauloph .,
>

Mosch ., Gelsem . ; stupid, intoxicated feeling, Gelsem .; sleeplessness,

>

Cyprip ., Gelsem ., Senec., Ignat., Nux vom.; twitching of limbs,

tremors, Hedeo., Platin ., Cimic. rac ., Ignat., Cyprip., Cauloph.,
2

Mosch .
If we consider the cause of the condition as far as ascertainable.
Fright, Acon .; disappointment, Ignat.; grief, Ignat .; prolonged
watching and nursing, Nux vom., Ignat., Cyprip. ; intense or con
tinual mental strain , Cyprip., Alet., Phosph. ac. ; shattered nervous
system , Cyprip. ; intestinal irritation, Hedeo.; ovarian or uterine
irritation, Cauloph. ; profuse or too frequent menstruation, Mosch .,
Calc. carb ., Platin .
He also advises the physician to recommend change of air and
scenery , and above all, such employment as will tend to bring the
patient out of herself. For the sleeplessness after hysterical fits,
Acon ., Ignat., followed by Cimic. rac ., diminishes the frequency and
intensity of the attacks. ( To be continued . Gutteridge, B. J. ,
vol. XXX ., No. 122.)
Hysterical Convulsions. Lady, was subject to them ; rigid ,
nervous chills ; teeth chatter ; mouth frothing ; faces appear to her
elongated ; on first seeing any one, shrinking back with fear, tries
to escape. B. Stramon.2 Cured. ( H. V. Miller, H. M., April,
1872., p. 408.)
Convulsions in very young children are often brought on —- at all
events kept up - by having their hands buried in feather pillows.
( H. W. , 7.)
Children that suffer from chronic eruptive diseases, especially
those affected with eczema of the bends of the joints are more sub
ject than others to convulsions. (H. W., 7, 4. Robt. T. Cooper.)
A wet nurse in the habit of using tobacco, by rolling a cigar
into a piece of linen, and then sucking it until tasteless, suckled a
babe ; as soon as it was weaned, convulsionsset in, continuing for ten
weeks ; there would be from fifty to seventy- five for several days in
succession. After nine weeks of old school treatment the child got
 NERVES . 205

Ipecac., Camphor. and Nux vom. , without result, after Bellad.30, 7

worse,, Bellad .: stopped the spasms. There were cold sweats, par
alysis of the left side, chorea -like movements between the spasms.
(J. S. Mitchell, Med. Inv. , vol. 9, p. 293.)
Spasmodic Affection in a boy after fright; in spells from six
to ten times daily. He suddenly feels sleepy and lies down, or he
goes to sleep while standing and falls ; he then lies quietly and un
conscious for half an hour, or for several hours, when at once
with still closed eyes , he forms his hands into fists ; hides under
the bedcover, and peeps timidly from under it ; his extremities
commence jerking upwards ; even his body is thrown upwards,
and his lower jaw thrust forward. He then awakes suddenly
with a jerk of respiration , and complains of hunger. Ignat." , one
dose every night ; well in two weeks. (Th. Rückert, A. H. Z. ,
68 , 40.)
Intermittent nervous affection . Suffers on account of deep
grief, at 87 P.M. exactly, with severe convulsions, lasting about
two hours. They are preceded by an intense chill all over, begin
ning with short chills on the back and extremities, lasting about
half an hour, and followed immediately by convulsions, character
ized by severe involuntary muscular contractions, beginning in the
upper or lower extremities, and extending to the whole body after
wards. His consciousness was retained during the paroxysms, but
he lost the power of co -ordination . Tarant. , cured him. ( J. Brunn .
N. A. J. H., XX, p. 486.)
Convulsions of children during dentition, cured by a few doses of
Verat. viride. (A. E. Small, U. S. Med. and Surg. Jour., vol. 7,
p. 159. )
Traumatic tetanus. March 8th, 1871. R. N. Hinda, æt. 40,
carpenter, had the peculiar tetanic look , half closed eyes and
stiffness of the neck , partial lockjaw , rigidity and pain in the
muscles of the back and spine. The cause of all this was wound
at tip of third right toe, run over by a carriage wheel , cutting off
at the middle of the first phalanx. Tetanic symptoms first ob
served nine days after the accident. Soft parts of the toe were in
a state of gangrene. Laches.30, followed by slow improvement.
March 16th , worse . Laches.', improvement commenced. Continued
same medicine until final recovery , by the April. (M. L. Sircar,
H. W. , 7, 5.)
Chorea. Eliza, æt. 18. Twitchings chiefly in left leg, which is
raised up in bed when lying ; muscles of face affected, and mouth
206 PRACTICE.

often sore ; menses regular. Ignat. 3,> gtt. 1 , ter die. Mygal. was
employed with benefit for a while. Afterwards Visc. alb ., Kali
brom ., Acon., Bellad ., and finally Cimic. rac., gtt. iii, ter die. Symp
toms at time of taking Cimic. rac., were severe convulsions in arms
and legs ; lower lip cracked and bitten ; bleeding from constant
convulsive action of lower jaw ; restless and sleepless at night,
cannot speak a syllable, though she makes effort to do so ; much
jerking in right shoulder. In two months well.
Case 2. Jane, æt. 15 ; six weeks' duration ; confined to left
side ; constant irregular motion in left arm ; arm useless ; left leg,
can walk , but leg is unsteady ; twitchings worse when standing ;
twitching left side of face ; can put tongue out ; speech effected ;
twitchings are constant even during sleep ; sleeps little ; frontal
headache. Cimic. rac ., gtt. 1 , ter die ; improved . Menses had not
appeared for seven week . Pulsat. brought them on. Mygal. av . ix,
gtt. 1 ter die. completed the cure in two months.
Elizabeth, aet. 12 ; pale, thin, nervous. Has been affected for a
week with unsteadiness in left arm and hand ; unsteadiness in left
leg ; pulse 100. Cimic. rac ., gtt. iv. Repeated the next day. In
two weeks well.
Remarks. Cimic. rac . is indicated in cases of chorea of rheu
matic origin, and when the left side is affected. (J. G. Blake,
Month. Hom . Review, v. 16, p. 342.)
Miss 7 æt. 16. Caused by over exertion of mind and emo
tional excitation, commencing with jerks of single muscles in the
face and gradually extending over the whole body, so that the pa
tient had to be fed. Ignat. did no good. Cuprum ,12 in solution ,
.night and morning, one spoonful cured in about three weeks .
( Hirsch , A. Z. E. Z., 85, 132.)
Jennie W. , æt. 12. Had been suffering from chorea in a bad
form for four years. After trying various remedies without benefit,
she got Mygal.", fifteenth and thirtieth potencies. Improvement
commenced in a few days, and in a few weeks she was well, and
has so remained . (G. R. Spooner, A. J. H. M. M., v. V, p. 378.)
>

Several cases of chorea cured by Tarantula. (N. A. J. H., XX,

p. 486.)
A boy, æt. 14, looks thoughtful and melancholy, he shuns his
companions and stays most of the time in the most retired part of
the house. He lost his appetite and in a few days was taken with
chorea . The head was drawn downwards, afraid of looking at
strangers, idiotic expression of the face, great loss of flesh, dirty and
 NERVES . 207

ashy color of skin, impetigo around the lips, choreic movements of

the head, movements of right arm and alternating with those of
the head . All these movements ceased in bed , though there was
involuntary micturition .. Tarantula3o. (N. A. J. H., 21, 74.)
>

We have no more satisfactory remedy for chorea than Verat.

viride. (W. S. Burt, U. S. Med. and Surg. Jour., v. 7, p. 278.)
Chorea successfully treated by an infusion of wintergreen leaves.
(J. W. Dowling, N. Y. S. Trans., 1871, p. 44.)
Idiopathic Catalepsy, by Dr. Hempel. A governess suffered
from nervousness. One evening she complained of headache and
extreme lassitude, and all her limbs felt heavy, and fell in a
cataleptic fit, removed by Igna.t, but her mind remained depressed ;
she lost all pleasure in her usual occupations, wanted to be alone,
and became suspicious of everybody. Cured by Laches.30 (N. A.
J. H., XXI, 112.)
2

Epilepsy, fits once a week. Since several months, with conges

9

tion to the head before and after the attack . Bellad . 30, three
doses cured . (Hirsch, H. Kl., 1872, 57.)
A colored woman æt. 24, suffered for more than a year with epi
lepsy in spite of treatment. I discovered a phlyctenoid eruption on
the skin , discharging a thin yellow fluid, and a similar fluid ap
peared in the vomit and in the leucorrhoea. A like eruption was
found in the pharynx, and the speculum showed enormous blisters
on the tumified uterus, discharging the serous matter. Further,
during the spasm , the face was bathed iņ sweat, the eyes sunken, and
the subsequent coma very profound. The attacks were ushered in
by numbness of the brain, a jerk in the nape of the neck, and then
the spasm . After three doses of Bufo.30, the spasms which had been
of daily occurrence, ceased , and with them the troublesome eruption.
( E. A. Farrington , A. J. N. M. M. , v. VI, p. 11.)
Girl æt. 18 ; frequent nightly attacks, repeating often twice or
three times in one night; commencing with a scream ; since two
years ; said to be brought on by fright. During the day previous
to the attack, twitching of the extremities or on other localities ;
at night restless sleep, then a sudden scream , jerking of the arms
and upper part of the body, which is lifted ; unintelligiable mut
tering ; rolling of the eyes, afterwards staring look and convul
sions especially of upper extremities ; snorting breathing ; head is
drawn towards one side ; all lasting from ten to twelve minutes
and followed by deep sleep with snoring. Ignat., Hyosc ., Sulphur,
Cuprum , were of no avail. : Caustic. 6. every other day, now was
208 PRACTICE.

chosen on account of the drawing of the head towards one side ; a

frequent and urging desire to urinate most of the time, and the involun
tary discharge of urine during the fit. After some weeks there ap
peared an eruption with violent itching over the whole body
except the face, neck and hand, of which she had suffered when a
child six years old and which had been cured ! by the application
of a white salve (probably Præcipitate). The attacks grew lighter
and lighter and gradually disappeared, so did the eruption, under
the sole use of Caustic. 6. ( Hirsch, H. KI. , 1872, 149.)
Nightly attacks, commencing with aa shrill scream ; distortion of
face ; rolling of eyes ; violent convulsive motions of extremities ;
discharge of urine. Cupr. met.. 12th dec. , every third evening one
powder. The attacks grew lighter and disappeared altogether in
the course of a few months. (Hirsch, H. Kl., 1872, 148.)
Mr. B. >, æt. 40. Nervo-bilious temperament. Well until eight
years ago, when, after a severe mental shock , he became anxious,
nervous, fretful. A few weeks later his wife heard him shout,
and found him in bed unconscious, frothing at mouth, head drawn
to one side and slightly to back , limbs working convulsively.
There were a few attacks, but under allopathic treatment they
ceased, to return eighteen months later. They have since continued
at intervals of between one and six weeks, usually after unpleasant
news or events. The attacks are the true epileptic and the epileptoid ;
attacks last nearly five minutes, occur oftener during sleep, with
involuntary urination, defecation, convulsive masticatory move
ments, biting tongue, grinding teeth. Attacks preceded by aura
epileptica, a “ queer feeling gradually ascending from stomach to
head;" nasal and anal pruritus ; backache in A.M. , disappearing on
rising ; grinding of teeth, awake and asleep ; twitching of facial
muscles; nictation ; irritability, excitability ; hands closed as if
grasping something. After attacks deep sleep and oblivion of the
past ; headache; weight in the stomach '; soreness of the whole body,
and fancies he hears imaginary voices addressing him (probably
alcoholic consequences ), and will often allude to very old events
and persons he has not seen for a long time. Pork, fats, meats and
onions, all cause, and particularly the last, pain , uneasiness, fulness
and soreness of the stomach , belching up of much wind, retasting
of the food partaken, general fatigue and malaise, sleeplessness, etc.
For relief he tried gin and ale freely, with only temporary benefit.
Bowels regular, a little freer before an attack. The epileptoid at
tacks generally happen when the patient is sitting in a chair - all
 BLOOD . 209

at once he is noticed looking fixedly at an object or person with

blank expression of face ; buccinator muscles performing the act of
mastication ; body rigid ; gurgling noises in the chest, etc. These
attacks are transient and without loss, or partially so, of conscious
ness. Defective memory, manner shy and awkward. R. Nux vom.2,
one dose, and Sac. lac., stopped stimulants, ordered bread and milk
for breakfast and supper, steak or roast beef for dinner. Suspected
worms. Ten days later reported better ; sleep and digestion, no
attacks. His wife had noticed something looking like tape worm
in a stool. B. Sac. lac.; two weeks later - indigestion, wakeful
ness, feared another attack . B. Nux vom .20 A few more doses
completed a cure. Memory returned , spirits buoyant, etc. (P.
Bender, H. M. , Sept., 1872, p. 73.)
Epilepsy and Hysteria. Sensation of dizziness before fit, fol
12
lowed by convulsions, great præcordial anguish. Cured by Tarant."
(Lopez, N. A. J. H. , 21, 74.)
Facial Paralysis. Mrs. H., æt. 70, paralysis of facial nerve
from a draught in a car. Her right eye was constantly open and
not winkingS ; the features relaxed and drawn to left side ; her right
forehead was unwrinkled , and nostril of same side motionless.
Caustic. every three hours. Cured in ten days. (J. L. Newton,
Month . Hom . Rev., v. 16, p. 476.)
On the growth of the nails as a means of Prognosis in Cerebral
Paralysis. Dr. S. W. Mitchell observes that the nails of the
limbs of the affected side in paralysis cease to grow . Proved by
staining the roots of the nail with Nitr. ac. As soon as the parts
begin to recover, a white line of nail will make its appearance , and
this before any other signs of improvement are manifest. (Am .
Jour. of Med. Sci.; 0. M. and S. R., v. 6, No. 3, p. 186.)

BLOOD .

Microcythemia . A review of the “ new disease of Van Lair

and Masius .” . (S. A. Jones, Am. Obs., Sept., 1872, p. 417.)
Leucocythæmia is believed to be exclusively a drug disease.
(J. S. Mitchell, U. S. Med. and Surg. Jour., v. 7, p. 220.)
Scrofulosis characterized by dry, hard cough , worse at night and
in thė morning, yellowish or frothy expectoration ; soreness in
lower part of chest; loud respiratory sound ; dulness on percussion
14
210 PRACTICE.

in top of right lung ; chills toward noon, fever (heat ?) in the after
noon ; sweat at night ; emaciation. B. Asclep. tub. tinct., in solu
tion every three to four hours, for four months, with continual im
provement. (8. M. Cate, Transac. Am. Inst., Sec. III., p. 221–31.)
Scurvy is caused by the quality of food, especially the want of
fresh vegetables. (Med. Rdsch., I. H. Pr., v. 2, p. 375.)
Pyæmia . After abortion at third month . Cured by Sulph .
ac. , Cinchon . and Carb . veg. (M. Friese, Trans. Hom . Med . Soc.
of Penna. , 1872, p. 206.)
Syphilitic blood. Small shining bodies, over which are pro
jections, are seen in syphilis ; these roughened points are new
bodies forming by sprouting from the old one. (Quoted by B. W.
James, H. M., June, 1872, p. 532.)

FEVER .

Intermittent Fever. Examine the case carefully and endeavor

to ascertain the characteristics of each case — the symptoms peculiar
to that case and developed by the peculiar individuality of the
patient. After the administration of a single dose of the simile,
the succeeding paroxysm is either much more severe or much
lighter than the preceding paroxysm . If more severe, but coming
fully under the remedy given, the next one will be much lighter,
and so on, and all we have to do is to allow the remedy to exhaust
its action. If much lighter, the probability is, that there will be
no further attacks ; provided a proper regimen is observed . The
epidemic of 1872 frequently presented the following symptoms:
Arnic.40m Tired feeling in body and limbs, as if he had worked
hard or had been beaten or bruised ; thirst preceding the chill or
during the chill and fever.
Pulsatilla . Weeping mood, easily inclined to tears from the least
contradiction , thirst before chill; wandering pains.
Lycopodiumom . Thirst most excessive after the inspiration ;
nausea after cold drinks; but warm drinks are grateful; frequent
micturition during the fever .
Veratrum album . Cold and clammy sweat, principally on the
forehead ; no thirst during the sweat.
Eupatorium perfol. The peculiar bone pains; thirst before the
chill.
 FEV ER. 211

Ignatia. The chill is relieved by external heat.

Nux vom . Especially after Quinine ; constipation , sleep after
the chill.
Ipecacuanha. In the commencement, if there is much nausea.
Lachesis. After Quinine, great loquacity during the fever.
Neither Arsen . nor Natr . mur. was indicated in any case this
year. (C. Lippe, N. A. J. H., Feb., 1872.)
Succession of Remedies in Intermittent Fever. If the
200th be given in water during the apyrexia, and there follows a
decided amelioration on the major day, give Sac. lac. as long as im
provement continues. If, on the other hand, a decided (homologous)
aggravation occur on the major day, give Sac. lac. If aggravation
on minor day, another medicine of another (or the same) class
probably a single dose—well selected and given at bedtime, or be
fore the major day, as a sort of antidote. Apyrexial symptoms are
2

the most simple, and when discoverable, excellent guides in selec

tion. One of the most important practical points is to prognosti
cate the morrow . Shall the chill return ? Shall Sac. lac. or another
medicine be given ? Ifthe latter,how much and howoften ? If simple
aggravation or amelioration, probably Sac. lac. If with aggrava
tion or partial amelioration, there be change of symptoms, probably
change medicine, if no local trouble, single dose. If local trouble
repeat doses. Follow the change of symptomsin selection. Aggra
vation or amelioration first on major day, better sign than if on
minor day. The tongue clean, prognosis favorable under persistent
use of Sac. lac. Dirty, unfavorable. The days of relapse are all
even numbers ; exclusive of last paroxysm the danger is for quotid
ians, on the 6th ; tertians, the 14th ; chronic cases the 42d , if not
before . Sound parts are the great prophylactic. (J. C. Morgan, Med.
Inv., v . 9, p. 523.)
A simple, fresh uncomplicated case of intermittent fever, with
distinct cold, hot and sweating stages, and perfect apyrexia is
promptly cured by moderate doses of Quinine. If the paroxysms
vary widely from the typical form ; if there is no chill or no sweat;
if there are unusual gastric, intestinal, hepatic or cerebral disturb
ances ; well marked capillary congestions, and the patient is half
sick throughout the interval between one paroxysm and another ;
we may be sure that a profound impression has been made on the
sympathetic ganglia by the malarial poison, and for which Arsen.
in the higher dilutions is the typical remedy. A mixed form of
symptoms would call for the Arseniate of quinine, 1st cent. In very
212 PRACTICE.

intractable cases, a course of tincture of Sulphur continued for a

short time, followed by Arsen . alb . or Natr. mur. in high dilutions,
has been productive of the most gratifying results. Other reme
dies, such as Nux vom. , Pulsat., Cinchon. , Ipecac., Aranea, Apis,
Canchil., Cedron, Eucalypt., etc., etc. , may oftentimes be called for.
Here homeopathy is rich in resources, and the greatest triumphs
will always be achieved by the closest student of the Materia
Medica. (W. H. Holcombe, U. S. Med. and Surg. Jour., v. 7, p. 163.)
Congestive chills ; great sensibility of cervical vertebræ to
pressure ; fever ; coma; insensibility ; case assumed typhoid type on
second week . B. Arnic.2 , one dose. General amelioration in three
>

hours. (J. G. Greenleaf, H. M. , Nov., 1872, p. 197.)

Tertian form , with chill in A.M., anticipating. Before chill, diar
rhæa ; stools thin and bloody, with burning pain. Chill mixed
with heat, accompanied by anguish , thirst, headache and restless
ness. Hot sleep, of long duration, with great prostration . Very
restless, fear of dying. Sweat not profuse, gradual relief of diar
rhoea and pains. Arsen.2 , in water, every three hours during apy
>

rexia. No return of chill, and was at work in aa few days. (A. S.

>

Fisher, A. J. H. M.M. , 5, 177.)

Chill every other day,, at 8 A.M. , anticipating; thirst before chill ;
chill commences in the lower limbs, and a regular shake succeeds ;
the teeth chatter ; then heat with thirst, followed by sweat, aching
>

pain in limbs, vomiting with chill. Eup. per . afforded no relief.

Ascertained additional symptoms. Chill at 8 A.M., 5 A.M. and 3
>

A.M., then at midnight, showing the anticipating type very promi

nently ; chill began in the feet and extended all over. Heat with
great thirst. Sweat with thirst. Gave Arsen.30, which removed
the whole difficulty. (J. H. P. Frost, N. Y. S. Trans., 1871 , p. 243.)
Mrs. B. , æt. 69, treated allopathically for six weeks. Has now
slight chill or none ; beginning at midnight, followed by heat, or
chilliness and heat, in rapid succession ; great thirst, drinks little at a
time ; oppression of chest and short breathing ; some time after heat,
sweat, when thirst is increased , drinks large quantities of water .
Arsen.3 cured in four days. (M. H. Brown, H. M., Aug., 1872, p. 47.)
Chamomilla.200 A fat lady æt. 30. Chill light but lasting three
hours, with red cheeks ; no thirst. Fever high with one red cheek
and vomiting of bile. Very cross. Much sweat. Paroxysm in
forenoon ; anticipating two hours. Dose every three to four hours
during apyrexia ; cured . (A. L. Fisher, A. J. H. M. M. , 5, 177.)
A child suffering from ague, was cured by Chimaphil.o ; two pre
 FEVER . 213

scriptions. Symptoms: pale face and lips ; albugine yellow ; tongue

dirty white or yellow ; complained of being tired ; chill every
other morning at eight or nine o'clock, lasting an hour, then heat
with thirst, headache, giddiness, & c., for two hours, then sweat and
afterward thirst ; vomiting of bile after chill and before the heat.
(Stow, N. Y. S. Trans., 1871 , p. 617.)
Chill every other morning from nine to ten, for about half an
hour ; a regular hard shake ; teeth chatter ; thirst with the chill
and after the chill. As the chill leaves the patient, she falls into
a doze and perspiration, for about an hour. No intervening heat
after the chill and before the sleep and sweat. Under Eup. perf.
the next chill was much lighter, and then returned no more . ( J.
H. P. Frost, N. Y. S. Trans., 1871, 243.)
Patient was attacked in the middle of the night with a severe
chilliness with thirst, but after the chilliness commenced she was
awakened out of sleep by severe pains like cramps in the lower
limbs, followed by cold sweat on them ; a sense of numbness, as if
the flesh were falling off from the bones. The chill was followed
by heat with thirst, and finally perspiration ; nausea and inability
to vomit, with both chill and heat. Chills frequently during the
day, at irregular intervals, and attended with pains in the limbs.
Under Eup. perf.* all those symptoms were removed . ( J. H. P.
Frost, N. Y. S. Trans., 1871, 243.)
Patient attacked with severe chill, headache, unable to raise her
head from her pillow , followed by high fever. Was threatened
20
with severe fever, but was relieved by Bryon. Now has a chill
every morning at three o'clock ; chill preceded by pains in the
bones, very severe before the chill ; pains in the limbs, back and
head. A shaking chill,teeth chatter, but no thirst with the chill;
succeeded by heat, and quickly goes to sleep and perspires. Nau
sea and vomiting of bile after the chill and with the heat. All
symptoms promptly relieved by Eup. perf.6 (J. H. P. Frost, N. Y.
S. Trans., 1871 , 243.)
Eup. perf.200 A strong man æt. 27. Second attack of tertian ague.
Very thirsty all forenoon ; violent colicky pains in upper abdomen ,
with headache and pain in back and legs. Fever, accompanied
with nausea, headache and some pains ; lasts four hours, followed
by profuse sweat, with relief of all pain, but headache. Dose every
three hours in water. No return of disease.
Intermittent fever, consisting of heat, with quick pulse and
214 PRACTICE

thirst, regularly every evening. Fluor. ac., one dose, prescribed by

Dr. Hausmann , cured . ( Landesmann, A. H. Z. , 85, 177.)
Ague of subintrant type. Prescribed Ipecac., ten drops of pure
tincture in half a glass of water, a teaspoonful every three hours;
>

this resolved the fever into a tertian, when prescribed Nux vom.,
five drops pure tincture in same manner, and after a few days the
medicine was discontinued, as there were no more attacks. (H. E.
Powell, N. Y. S. Trans., 1871 , p. 265.
Natrum muriaticum . The hydroa and 11 o'clock chill are uner
ring indications for its use in intermittent fever. (G. B. Sarchett,
U. S. Med. Jour., vol. 7, p. 365.)
Mr. T., æt. 65. Six years ago had ague for sixteen months in
spite of quinine, which temporarily suppressed paroxysms. On
visiting the uplands of Tully, the disease again became developed ,
continuing five months under quinine. In five months patient
started on his well day for his former home ; for four years after
the ague ceased, general health was poor ; he took quinine ; had
dyspepsia, liver complaint, suppressed urine, china -cachexia. He
now visited Tully again, when the tertian ague returned . Tried
salt water, oxalic acid,with no effect. Present symptoms : chill be
ginning every other day at 10 A.M. , continuing one and a half hours.
with severe shaking ; heat all the P.M., profuse and offensive sweat
all night; severe aching in knees and legs during chill ; during
heat much thirst, terrible headache, and delirium ; during sweat,
relief of symptoms. B. Natr. mur.2, one dose cured . (H. V. Miller,
H. M., April , 1872, p. 404.)
Febris intermittens quartana, since two years ; the paroxysms
were violent, and attended with great thirst. No medicine had
ever touched the case. Probable cause, suppressed itch . Natr.
mur.400 Jen., one dose. Eight days afterwards, a fine vesicular
eruption appeared between the fingers, which itched very much .
No attack of chills and fever after this any more. (Stens, Sen. I,
H. Pr. , vol. 1 , 359.)
Patient had a severe chill, with excessive vomiting of mucus.
Proved to be incomplete tertian, as she had only the cold and hot
stages, the cold very severe, and lasting about fifteen minutes ;
fever after was very high, and lasted eight hours. Prescribed
Nux vom ., ten drops of pure tincture, in half a glass of water, a
teaspoonful every three hours.. Patient had three more attacks,
gradually becoming less severe, and has had no return . (H. E.
Powell, N. Y. 8. Trans., 1871, p. 265.)
 FEVER. 215

Quotidian intermittent fever with hard cough before the chill and
profuse night sweat cured by Sambucus. Irregular tertian with cough
deep and dry for half an hour with nausea and thirst, chill for half
2

an hour without cough, nausea and thirst for half an hour, slight
fever with moist skin, profuse sweat at night, not debilitating, com
plete apyrexia. Cured by Sambucus niger. (S. Swan, N. A. J.
H., 21 , 105.)
E. C. , æt. 28. Had sunstroke twice followed by epilepsy. Of
late has seizures only during the febrile stage of ague. Has quotid
ian ague four or five times which had been suppressed by quinine ;
chill in the forenoon, with pain in head and limbs, great thirst,
nausea and vomiting ; fever comes on slowly ; face congested, eyes
heavy and dry with muscular twitchings. The eyes now become
staring, the whole body rigid, jaws locked, and there is frothing at
the mouth with insensibility. Duration of the paroxysm from five
to fifteen minutes, the present attack has lasted four days. The
patient complains much of headache, and aa convulsion is approach
ing. He got one drop of Stramon ., which cured the whole com
plaint. Hehad no more chills nor convulsions. (A. A. Fahnestock ,
Am. Obs., Aug., 1872, p. 364.)
Obstinate case ; hot flushes, hot soles at night; quinine had not
relieved . Sulph.20 cured . (H. V. Miller, H. M. >, April, 1872, p. 404.)
Intermittent fever with choreic convulsions. Shakes almost con
tinuously with involuntary movements in the limbs, abdomen ,
chest, trunk and face, worse in the left side. She could not speak
a word, the tongue and pharynx being implicated. Cured by Taran
tula . (Dr. Firmat, N. A. J. H., 21, 74.)
General emaciation , particularly of the face, with icteric color ;
tongue coated yellowish, want of appetite, and no thirst, with dry
ness of the mouth. Constant pain in the region of the heart, worse
before the paroxysms,with nausea and vomiting ; severe headache,
præcordial anxiety, deep sadness, taciturnity and fear of never
getting well. The cold stage was intense, with shaking and blue
color of the nails, lasting from one and a half to two hours. When
the heat commenced , the gastric symptoms were worse, the fever was
scorching, no thirst, and great dryness of the mouth, this stage
lasting from five to six hours, keeping her eyes shut in the mean
time and in a comatose state. The sweat lasted from three to four
hours and left the patient in a state of debility and prostration.
Tarantula !2 one dose at the end of the paroxysm , radically cured
the disease. (Nunez, N. A. J. H. , 20, p. 486.)
216 PRACTICE.

Mountain fever. Gelsem . acts like a charm in mountain fever.

(H. Knapp, U. S. Med . and Surg. Jour., v. 7, p . 498.)
>

Typhoid fever. Its history, diagnosis, prognosis, pathology

and treatment. By Allegheny Co., Hom . Med . Soc. ( Trans. Hom .
Med . Soc. of Penna ., p. 133.)
Gelsem . will break up incipient typhoid, with severe pains in
head, back ,and limbs ; extreme lassitude ; fever ; chilliness; thick ,
brown coated' tongue. (W. J. Blakeley, Trans. Hom. Med. Soc.
of Penna., 1872, p. 100.)
>

2
· Remedies in incipient typhoid fever. Baptis., has been called “the
Aconite of true typhoid fever," and is best suited to its earlier
stages ; although it may be useful after - and finds strong indica
tions, if there be a white furred tongue, with red edges ; or brown
ish and smooth ; loathing of food ; incapacity to digest it; fre
quent, yellow, puffy stools ; gurgling, with slight tenderness in
right iliac region ; mind clouded ; pulse febrile ; temperature high ;
fever tending to increase ; soreness in the parts rested on.
Gelsem . disputes the position of Baptis., in the very first stage
when the patient seems to have “ taken cold;" sudden onset ; non
complication by drugs ; the patient of an afternoon gets “ very
tired,” with languid aching in the back , extending down the limbs ;
wants to rest, even to sleep ; the hands and feet become cold ; gen
eral chilliness; then hot fever, with crimson flush of the whole
face ; occasional moisture here or there ; sleeps frequently half
waking and talking incoherently ; morning decline of fever ; throat
feels sore and filled up ; tongue, clean or yellow ; head feels “ big
as a bushel ;" tremulous ; vertigo ; blind spells ; epistaxis; iliac
tenderness.
Pulsat. Has been ailing for several days, no appetite ; chilly ;
wants to be in the fresh air ; feels sluggish ; inclined to despond
and mope, and shed tears; tongue coated with yellow , pasty coat,
which makes the mouth feel dry ; wants to moisten it frequently
by small drinks of water ; slimy diarrhæa ; fever. ( J. C. Morgan,
A. J. H. M. M., v. 6 , p. 123.)
Enteric Fever. Henry T., æt. 4 ; had given Baptis. tinct., when
a truly frightful diarrhea set in. Collapsed state, eyes half open ,
slightly turned up, dull, meaningless, expression ; totally insen
2

sible.. Lips covered with dirty brown scabs ; tongue dry and of
dirty brown color. Every few minutes, involuntary, fetid , muco
sanguinolent evacuations. Arsen . , every half hour. Cured. (Jas.
C. Burnett, H. W. , 7, 275.)
 FEVER . 217

Typhoid Fever. From the evidence of various observers, there

is reason for believing that in the common sudemic continued fever
of this country, of America and of Australia, Baptis. exerts true
curative properties. 2. That there is yet no ground for distinguish
ing such malady from the typhoid , intestinal or dothinenteritic
fevers of our present noseology. 3. That the pathogenetic action
of Baptis., shows it to be truly homeopathic to the pathological
condition present during the first week of typhoid ; and that in
this period of the disease it may be aborted by the drug. 4. That
it is probable that Baptis. promotes the tendency to resolution of
the dothin -enteria which obtains about the tenth day of the fever.
5. That in every stage of the fever Baptis. is worth due considera
tion as a remedy. (R. Hughes, Month. Hom. Rev., v. 16 , p. 659.)
Comparison of symptoms of Typhus Fever. Mental Charac
teristics. Apis. Gives stupor with murmuring delirium.
Arnica. Delirium ; stupefied condition ; sits as if in thought, yet
thinks of nothing, like a waking dream ; forgets the word while
speaking ; trembling lower lip ; declines to answer questions,
( Phosph. ac.) ; thinks he is well (Arsen.).
Arsenicum . Slow , protracted cases with mild delirium ; great
restlessness, anxiety, etc.
Baptisia. Delirious stupor ; while answering a question in the
middle of a sentence, falls into a deep sleep ( compare Arnic .,
Hyosc.).
Belladonna. Violent delirium, with attempts to run away ;
( Opium ), to strike, bite or spit upon attendants ; early stage;
tremulous cases ; congestion to brain with great drowsiness, in
ability to sleep, etc.
Bryonia. Delirium , especially at night, about business or the
affairs of the previous day : visions, especially when shutting the
eyes ; irritability ; easily offended ; hasty speech (Hepar, same,
and hasty drinking); headache ; dull, pressing or stitching pains,
worse from motion and opening the eyes.
Camphora. Violent delirium , dullness and heat of the head, with
clammy, cold skin.
Colchicum . Delirium with headache ( Bellad ., etc.).
Gelseminum . As soon as he falls to sleep, he is delirious.
( Spongia .)
Hyoscyamus. When spoken to, the answer is properly given, but
unconsciousness and delirium immediately return ( Arnic., Bellad.)
218 PRACTICE.

Delirium, which is continued when awake, and which sees persons

who are not, and who have not been present. Indistinct and mut
tering loquacity ( Apis.); muttering, with picking of the bed
clothes ; inability to think, the thoughts cannot be directed or
controlled ; constant staring at.surrounding objects with apparent
entire self-forgetfulness, or else great agitation ; restlessness, jump
ing out of bed , attempts to run away, etc.
Lachesis. Thinks she is dead ; muttering stupor ( Apis).
Lycopodium . Sopor ; delirium ; uses wrong words for correct
ideas ( Arnic ., Graphit.) ; fear to be left alone.
Lachnanthes. Very loquacious delirium ( Stramon .); with vio
lent delirium ; fever ; brilliant eyes and circumscribed redness of
the cheeks.
Opium . Delirium , mild or furibund , with loud talking, laugh
ing, attempts to escape ( Bellad ., Hyosc.), venous congestion to head
with dark red face ( Bellad .,9 arterial), etc.
Phosph. ac. Quiet delirium , with great stupefaction and dullness
of the head.
Rhus tox. Delirium ; soliloquizes much or talks incoherently ;
mental operations slow and difficult ; answers correctly but slowly,
sometimes hastily ( Bryon ., hasty speech ; Hepar, same, with hasty
>

drinking).
Stramonium . Loquacious delirium ( Laches .); singing, laughing,
whistling ; constant involuntary odd motions of the limbs and body ;
all objects appear oblique to him.
Zinc. Delirium with attempts to get out of bed ( Bellad ., Hyosc.,
Opium ); staring eyes ; constant trembling of the hands and cold
ness of the extremities.
Lingual Characteristics. Apis. Inability to talk and to put out
the tongue ( Laches., Gelsem.) which is cracked , sore, ulcerated or
-

covered with vesicles.

Arnica . Dry tongue with aa brown streak in the middle ( Baptis.);
putrid breath .
Arsenic. Tongue red, dry, cracked , stiff as a piece of board ;
black, speech unintelligible, lisping, stammering as though the
tongue was too heavy ( Carbo veg.) ; lead -colored (Carbo veg.).
Arum tr . Tongue sore , red , papilæ elevated ; mouth and throat
raw ; putrid odor ; fever intense.
Baptisia. Tongue coated, brown and dry, particularly in the
centre, or red and dry.
Belladonna. Tongue with red margin and white centre, ( Gelsem ,,
 FEVER. 219

Sulphur ); trembling (Laches., Secal.), and heaviness of the tongue,

with stammering as if drunk, and dry and red at the point (Rhus
tox .) ; two white stripes on red ground.
Bryonia. Tongue coated thick , white,dirty white, or yellowish ;
later, brown and dry.
Carbo veg. Tongue moist and sticky ; parched, cracked, heavy,
scarcely movable ; bluish or pale.
Causticum . White coating on both sides ( Bellad ., Phosphor., and
Bryon ., only in the middle).
Colchicum . Lips, teeth and tongue covered with a thick, brown
coating
Gelseminum . Can hardly put it out, it trembles so ; red , raw,
painful, inflamed in the middle.
Hyoscyamus. Red or brown, dry and cracked .
Lachesis. Dry, red or black ; in attempting to protrude, it
trembles ( Bellad ., Gelsem ., Secal.), or the tip (dry) remains under
>

the lower teeth and does not come out.

Lycopodium . Red and dry ; sometimes it is thrust to and fro
between the teeth ; dirty, sticky.
Nitric acid. White coating with sore spots.
Nux vomica . Dryness of the front of the mouth, and tip of the
tongue.
Pulsatilla. Tongue dry as if burnt, yet no thirst (Magnes mur. ,
dryness of the mouth and throat without thirst, Pallad ., dryness in
throat and on tongue without thirst).
Rhus tox . Redness of the tongue at the tip, triangularly
shaped ; a whitish coating on one side ( Caustic ., on both sides).
Secale. Great trembling of the part moved, in every effort, even
of the protruded tongue ( Bellad ., Laches.).
Sulphur. Undefined redness of the tip of the tongue and red
ness of the borders ( Bellad ., Rhus tox. , Tart. em .).
Cinchon . and Digit. A clean tongue with gastric and other de
rangements.
Kali bichr. and Laches. Tongue red and glistening.
Terebinth . Tongue smooth and glossy as if deprived of its papillæ
in typhus.
Baryta carb. Perfect paralysis of the tongue.
Belladonna. Paralysis of the right side of the tongue, (when
protruded it turns to the left).
Veratr. vir. Tongue feels as if it had been scalded1 ; intense burn
ing in the throat, etc.
220 PRACTICE.

Kali hydr. j. , Mercur ., Rhus tox ., Stramon. Soft tongue with im

.

prints of the teeth.

Tart. em. Tongue indented with teeth.
Bellad. and Tart. em. Tongue red all over with considerably raised
papillæ .
Some Miscellaneous Characteristics. Arnica. Gives pleuritic
stitches at every inspiration .
Bryonia. Gives hard cough with stitching pain in chest and
liver.
Spigelia. Gives aggravation of thoracic pains by the least motion
or from breathing
Arsenicum . Great thirst but little drinking at a a time.
Bryonia. Dry feeling in mouth without thirst, or else great
thirst with drinking large quantities at a time ( Secal., Nux vom. and
Pulsat.).
Natrum mur. Unquenchable thirst ; continual thirst with
nausea ; dry tongue, debility, loss of consciousness .
Colchicum . Inextinguishable thirst ; trunk hot and extremities
cold (Arnic ., heat and burning in the head and coldness of the
trunk).
Arsenicum . A cadaverous smell scents the whole atmosphere.
Baptisia. Fetor of breath, sweat, urine and fecal discharges.
Arnica. Breath and perspiration offensive.
Arnica . Great weakness, weariness and bruised soreness which
compels to lie down, and yet every position feels too hard.
Baptisia. Chilliness with soreness of the whole body.
Rhus tox. Desire for frequent and constant movement, which
gives temporary relief to the patient ( Zincum , fidgety feet).
Bryonia. General aggravation of pains from motion ( Bellad .)
Hamamelis. Discharge of blood per anum (Alum., same, black );
of a tar-like consistency, in large quantities.
Leptandria. Dark, fetid , tarry or watery stools, (P.M. and even
ing), mixed with bloody mucous and a jaundiced condition.
Podophyllum . Black stools only in the morning.
Mercur., Dulcam . Black stools with great epigastric oppression,
( sinking, etc.). See Acon. , Arsen ., Bromin ., Cinchon ., Cuprum , Act.
rac., Iris, Stramon . (Hom. Clinics, v. 1 , p. 69.)
Belladonna. Inclination to perspire with very hot skin ; cold sweat
in the face.
 FEVER. 221

Carbo veg. Cold sweat on hands, feet and face ; trembling of the
body with prostration ; ecchymosis and bed-sores.
Veratr. vir. Coldness of the whole body with cold sweat upon
the hands, feet and face ; restless sleep with frightful dreams of
being drowned.
Lachnanthes. Icy coldness of the body, relieved by external
heat ; burning fever with somnolency and delirium ; sensation of
heat in the abdomen ; fever with circumscribed redness of the cheeks
and brilliant eyes ; great loquacity, afterwards stupid and irritable.
Deafness.
Bryonia. Over sensitiveness of hearing ( Lycop., Phosphor.,
Bellad ., etc.).
Anacard. Loss of memory, Hyosc.; squinting.
Apis and Phosph. ac. Apathy. Opium , stupid apathy. (H. V.
Miller, A. J. H. M. M. , 1872, p. 419.)
Animal Diet in Typhoid fever. Fifty cases of typhoid fever,
allopathically treated,were fed on sweet milk, beef soup , or chicken
soup, milk being given in large quantities, two or three pints per
day in some cases was most agreeable to the patients, and pro
duced no perceptible injurious effects. Thirty-two of these were
whites, none of these died. Of the eighteen negroes, three died
during disease, two from other causes afterwards.
The duration was about three weeks, and there was less trouble
from diarrhoea than is usual in typhoid fever. There were few
relapses, and the patients gained strength more rapidly than usual.
(Quoted by B. W. James, H. M. , Feb., 1872, p. 336.)
Typhus Exanthematicus. Diagnostic signs: 1. Fever after a
stadium of incubation not longer than three weeks ; sudden rise
of temperature to about 40° C. , sometimes with chilliness and
other times with other unpleasant sensations. At the end of the
first week , maximum heat 40, 50_41,5° C. On the evening of sev
enth day considerable decrease of temperature, which rises again
on the eighth day to the same height until the eleventh day. A
decided defervescence takes place mostly on the thirteenth, four
teenth or fifteenth , rarely on the sixteenth or seventeenth day, and
exceptionally already on the twelfth day. The fall of temperature
is either rapid in one night, or sub-rapid in thirty -six to forty-eight
hours, or gradative in three to eight days. 2. The cerebral symp
toms are not in proportion to the fever ; they may exist only rudi
mentarily or may develop themselves only gradually to greater
intensity. 3. The roseolo spots are never wanting, but sometimes
222 PRACTICE.

scanty ; do not correspond in frequency with the intensity of the

attack. (Wunderlich, I. H. Pr., vol. 1, p. 267.)

EXANTHEMATA.

On Measles. Morbilli, rubeola or rötheln , and roseola are similar

in their external appearance. The eruption in measles commences
on the third day, making its first appearance on the face. In scar
latina on the 2d day commencing on the neck. In rötheln on the
third day, the eruption not being uniformly distributed, but oc
curs in patches, having in some cases a measly appearance, and in
others that of scarlatina. The danger of measles lies in its com
plications and sequelæ . Treatment - Acon. 1st, every two hours in
the commencement, even if ushered in with convulsions. Pulsat.
1st, alternated with Acon. for nasal catarrh , and irritation in eye
lids. Cuprum , when conjunctiva is much inflamed , eyelids swol
len, intolerance of light, and lachrymation. Potasse bichrom .
2d, trituration every two or three hours when the mucous mem
brane of the larynx bears the brunt of the disease. Tartar em . and
Phosphor. when complicated with bronchitis and pneumonia. An
occasional dose of Sulphur 1st, in addition, is good practice. Gelsem.
closely simulates measles in its physiological action . Copaiba also
produces a similar rash. Acetate of copper for retrocession of the
eruption. For cough after disappearance of eruption , Sulphur and
change of air. Arsen. when eyelids remain weak and swollen.
Silic., deafness or discharge from ear, and to prevent caries of the
bones. (A. C. Pope, Month . Hom . Rev., vol. 16, p. 466.)
Measles, with restlessness and urgent brain symptoms cured by
Capsic.200 (Holden, N. Y. S. Trans., 1871, p. 45.)
Measles. On falling asleep, begins to talk, scold, turn, twist and
scream . On being aroused, was perfectly rational. Pulse 120 .
Tongue and mouth red . There was scarcely any catarrhal symp
toms ; brain symptoms predominate. Pulsat. seemed to aggravate.
Cuprum acet. 200, cured . (J. F. Miller, N. Y. S. Trans., 1871, p. 44.)
>

Measles characterized by a livid eruption, countenance almost

black , tongue coated dark brown, sordes on teeth , inability to pro
trude the tongue, etc. , relieved promptly by Laches.200 ( J. F. Mil
ler, N. Y. S. Trans., 1871, p. 45.)
 EXANTHEMATA . 223

Reproduced Measles. Girl, æt. 9. Had measles when a year

old, which were repelled by cold. Immediately after she had a
brain affection with severe double ophthalmia. The brain trouble
subsided , the ophthalmia continued for five years, when blindness
ensued ; this had been for three years. Now corneal opacity in both
eyes ; redness of eyeballs ; paralysis and extreme tumefaction of
eyelids ; purulent discharge from eyes. General health good. B.
Pulsat.2o, dose every evening, one week ; then every other night;
on fourteenth day, coughing, sneezing, headache, aching in bones,
chilliness, severe sore throat ; on sixteenth day an eruption like
measles appeared, and after running an ordinary course, symptoms
abated, and the eyes began to improve. R. Sulphurs , on 9th day
>

of eruption ; in two weeks eyes were well, sight restored . ( J. T.

Baker, H. M., Nov. , 1872, p. 197.)
>

After Measles, taking cold in raw , damp'weather caused se

vere pain all over ; cannot move ; head drawn back. At night par
oxysms of shaking chill and chattering of teeth. Bryon ., Dulcam .,
Apis, did nothing. Five days later all worse with diplopia, diffi
cult urination ; hands and feet as if paralyzed. Hyosc. relieved
double-sight, nothing else. Now gave Rhus tox.®, which cured in
>

a short time. ( Dittrich, A. H. Z. , 85, 78.)

Notes of an outbreak of rötheln and allied affections. Sixteen
cases are detailed, the main remedies being Acon ., Bellad ., Mercur .,
Sulphate of quinine, Pulsat. , Ipecac., Canthar. Rash like measles
in nine cases , no eruption in seven. (J. H. Smith, Month. Hom.
Rev., v . 16, p. 419.)
Treatment of Scarlatina. Reference is here made only to the
higher grades of scarlet fever, whether of the miliary or smooth
variety, principally to the former, which is the more common and
fatal.
The desiderata in scarlatina maligna are
I. To bring out the eruption when nature fails.
II. By moderating the violence of the febrile reaction , securing
the gradual and complete evolution, the normal continuance and
decline of the critical exanthem, to avoid the ulcerative destruction
of internal organs, prevent retrocession of the eruption, fatal me
tastasis to the gastro -enteric canal or brain , and render less severe
2

and dangerous the secondary affections.

III. The radical cure of the secondary and tertiary (psoric) forms
of disease which succeed the primary disorder.
It is not always easy to find particular indications for the appro
1
 224 PRACTICE.

priate antipsoric — especially in that most critical period when na

ture is vainly struggling to develop upon the skin the internal
disorder which overwhelms her. It is in such emergencies that I
have saved life - when no other means known to me could have
done it - by placing the children in a hot wet sheet, every three hours,
for twenty-five or thirty minutes at a time. Those who have once seen
the prompt relief afforded by this simple means, the quiet rest and
sleep obtained in place of the most intense fever, incessant agita
tion and exhausting restlessness and distress, will never be willing
to depend upon medicines which - whether from want of skill in
their selection, or of experience in their administration - have often
failed in part, sometimes altogether.
The method which I have pursued with entire success in cases
A
of incipient scarlatina, of such gravity as would justify the trouble,
is, to prepare one side of the bed, by covering it with a large quilt,
folded , that the bed may not be dampened ; wring out, beside the
bed, a sheet previously doubled and dipped in water as hot as a
woman's hands can bear ; on this, spread upon the quilt, the child ,
whose clothing has already been removed , is quickly placed, and
with it entirely enveloped , from its neck to its feet ; the arms being
enclosed with the body, the free end of the sheet turned up over
the lower extremities, and the whole covered with two or more
blankets, according to the season of the year and temperature of
the room . At first, the child may resist a little, but it soon gets
over its fright; and when it has been tossing about and suffering
for hours, it invariably goes to sleep in the pack . In the course
of twenty or thirty minutes the patient will begin to be uneasy ,
when the wet sheet may be unfolded , and presently it should be
removed , the child remaining awhile covered by the blankets, and
then receiving its former clothing. This course may be repeated
once in three or four hours, in which time the good effect of the
previous application seems to pass off, and a new one to be required .
By this method of treatment much suffering is prevented ; the pa
tient's strength is saved, and the eruption promptly and completely
brought out. In some instances the restlessness was so great, the
fever so intense— “ burning up with fever ” —that the pack was re
quired six or seven times before the exanthem became fully estab
lished upon the skin .
And after the appearance of the eruption, the same procedure,
repeated once in three or four hours, according to circumstances,
serves to moderate the violence of the fever ; to prevent the retro
 EXANTHEMATA. 225

cession of the eruption ; and, by maintaining its complete develop

ment upon the skin, to relieve the throat from destructive and even
fatal inflammation . Convalesence is sometimes tedious, and the
secondary forms of disease various and persistent. But I am speak
ing of the most violent attacks of scarlet fever ; of cases which,
under the ordinary homeopathic treatment — especially by physi
cians of limited experience - might have sunk in one or the other
of the three critical periods ; that which precedes the eruption, that
of its appearance, and that of its decline .
Select the similimum, high potency, dose not oftener than each
twenty- four hours. (J. H. P. Frost, Trans. Hom. Med . Soc. of
Penna., 1872, p. 164.)
Report of several bad cases of scarlet fever successfully treated
with Carbol. ac. ( James Kitchen, A. J. H. M. M., v . V, p. 413.)
The rash of a dark color was in patches. The head thrown
backward, rattling breathing, with open mouth ; lips and teeth
covered with dark colored sordes ; acrid, copious secretions from
the nose, irritating the parts with which it came in contact ; the
breath very offensive ; the neck swollen ; the eyes closed and the
soft parts much swollen ; deaf; unconscious. Kali chlor., ten drops
in half a glass water and Carbol. ac.', twelve drops in 'twelve tea
spoonful of water brought on reaction and reconvalscence set in.
(E. Clarke, N. A. J. H., XX, 570, 1872.)
The period of incubation is from eight to twelve days. A child ,
æt. 13, threw a shawl belonging to a child who had died of scarlet
fever, over her shoulders ; next day she had high fever, pulse one
hundred and forty ; sore throat ; vomiting ; headache ; the next
day the rash appeared on neck and chest, extending gradually over
body and becoming red after pressure from periphery to centre .
B. Rhus tox. which cured with no sequelæ . The stages were short.
(E. A. Farrington, H. M., March, 1872, p . 378.)
Scarlatinal Dropsy. A boy æt. 41. Urine scanty , dark like
coffee, turbid ; pale waxy complexion ; want of appetite ; very
thirsty , drinksoften but little at a time ; costive, stool hard ; spells
of dyspnea; tongue pale or whitish ; pulse small,almost impercepti
ble ; breathing labored ; tired feeling ; restless ; wakes often ;
worse when waking ; expiration with a loud sound ; skin dry ;
fever at night ; cold every day at 2 P.M. ; breath offensive ; worse
every other night. Arsen , Rhus, Apis., given without effect.
Apocynumcan. tinct. two drops in half a glass of water, teaspoonful
15
226 PRACTICE .

every hour. He improved rapidly, was able to be up on the fourth

day. Well since. ( J. G. Malcolm , Med . Inv., v. 9, p. 264.
2

Elaterium . A dernier resort in post-scaralatinal dropsy. (G. Rę

Shaw , U. 8. Med . and Surg. Jour., v. 7, p . 374.)
Post- scarlatinal dropsy. Urine scanty, dark colored, with float
ing dark motes, coffee-grounds sediment. Helleb. cured . ( H. V.
Miller, H. M. , April, 1872, p. 404.)
Dropsy after scarlatina. Hepar sulph. calc., is the best pre
ventive, if administered as soon as there are traces of albumen in
the urine ; it is the best curative agent at the beginning of dropsi
cal signs; at a later period Bryon ., Apis, or Arsen ., will have to be
compared as auxillaries. (Kafka, A. H. Z., 85, 195.)
Vaccination . The discovery of its prophylactic power resulted
from many observations and experiments. When Jenner was a
student (1770) he heard a young woman say she could not take small
pox having had cow -pox, twenty -six years later the first inocula
tion was performed. Unless much exposed, children should only
be vaccinated when healthy. Diarrhoea and skin diseases contra
indicate vaccination , as does chafing behind the ears or in the folds
of the neck or groin. Vaccinate children early - if healthy, when
a month or six weeks old ; if delicate, from two to three months
of age. Take lymph from healthy child and from characteristic
vesicles, when fully formed about a week after vaccination. Good
lymph is viscid ; avoid thin serous lymph. Babes of dark com
plexions are the best lymph -givers. Lymph should be fresh, when
possible, vaccinate either 1. By puncture from above downwards ;
2. By scarification with charged lancet ; 3. By scraping the epi
dermis until the absorbing surface is reached.
When the operation has been successful the skin at the spot be
comes slightly elevated, hard, and red on the third or fourth day ;
on the fifth or sixth day a vesicle of a bluish -white color forms,
which presents an elevated edge or a depressed cup. It is dis
tended with clear lymph and attains its perfection on the eighth
day. On the ninth day, the vesicle is surrounded by an inflamed
ring or areola, and on the ninth , tenth, and eleventh days, the vesi
cle becomes a pustule, the cupped form disappears, the areola en
larges until it becomes a circle of a diameter of from one to three
inches. On the twelfth, thirteenth, and fourteen days, the pus
tule dries up, and in the course of the next week the scab separates
and falls off; seldom remaining on as long as the twenty -fifth day.
A cicatrix is left, commonly permanent for life, at times, circular
 EXANTHEMATA . 227

at times, oval, somewhat depressed , dotted or indented with minute

pits, in some instances, radiated. The establishment of the areola
is accompanied with constitutional disturbances, as indicated by
restlessness and heat of surface, derangement of stomach and bowels,
and occasional swelling of the glands in the axillæ .
These are not severe but seldom absent. A vaccination devia
ting from a perfect vesicle and regular areolar development is un
protective. Virus gained by revaccination is not good. In one
epidemic elderly persons were unaffected by animal, but only by
human lymph , eight or ten days later. There is no danger of in
oculating other diseases when the lymph taken from the person is
unmixed with his blood, vaccine lymph is specific and uninfluenced
by any other dyscrasia ; virus transferred from one arm to another
without blood from the infected person, produces only the vaccine
cell. Reject lymph mixed with blood. Neither having small-pox
nor vaccination is a certain preventive. Is there a positive pro
phylactic when the type of disease is malignant ?
Variola results principally from dirt, ill-ventilation, bad water,
poor food, crowded tenements, &c.; but seldom is it seen among
the better classes. In the country it has no foothold.
Therefore, I think :
1. The disease under different types, like other blood poisons,
and finding proper localities and subjects for incubation and propa
gation , it appears under such circumstances either mild or malig
nant.
2. In what manner this specific poison attack , whether by at
mospheric (atoms of virus floating in the air as dust acts as germs
on settling) or telluric influences, or both together, has not been
ascertained, and is, therefore, not readily controlled .
3. As the epidermis, as well as the mucous membrane, sustains
the main attacks of the poison , for that reason I consider as good
a prophylactic, and a more physiological one than vaccination,
daily ablutions of the body, plenty of fresh air, pure water for
drinking and cooking, good food, and abstinence from articles in
excess of carbon , and the utmost cleanliness in and around dwel
lings. The case of Tom Sayers, the pugilist, shows what the ob
servence of hygienic laws will do. Being under training when an
epidemic broke out in England , he was vaccinated thrice, and in
oculated with small-pox once, and at no time did either virus find
a field for incubation. So much for hygienic living during epi
demics. (C. Baely, H. M., April, 1872, p. 393.)
228 PRACTICE .

Cow -pox. It is considered an established fact, that the cow -pox

of the cow , and the small-pox of the human kind are one and the
same.. Jenner strongly insisted that cow -pox originated in a pe
culiar disease of the horse called grease ; but that under this term ,
unfortunately, two totally different diseases were included, one
purely a local affection of the heels, the other a constitutional dis
ease, with a general eruption visible in the mouth , and because of the
absence of hair on the heels also. As an inevitable consequence ,
each remove from the original cow -pox deteriorated and radically
changed its essential qualities as a protection from small-pox. And
why ? Simply because the cow -pox , as a natural disease of the
COW, finds in the system of the animal, so to speak , the natural
evil for its propagation, and any deviations from this mode of
propagation are made at the expense of the activity of the mate
rial. “ Virus taken from the heifer, if introduced to the system
of a healthy child , though it may develop in the child all the
characteristics of cow-pox, should the lymph from the child again
be used, this time vaccinating a healthy heifer, entirely different
results are obtained , ” satisfying the most skeptical, that the virus
had by even one transmutation lost power and characteristics. (F.
L. Vincent, N. Y. S. Trans, 1771, p. 596.)
Spontaneous Cow -pox virus, the best to vaccinate with. When
human virus is used , the lymph should always be taken in prefer
ence to the scab, inasmuch as it avoids the danger of transmitting
contagious diseases. (J. S. Mitchell, U. S. Med . and Surg. Jour. ,
vol, 7, p. 32586.)
Natural Cow -pox. The real cow -pox is not a variolation of the
cow, but a distinct disease. “ The grease ?” and the “ Aptha epi
zootica, ” of farriers both resemble " horse-pox.” The real horse
pox makes a pustule on the horse quite like the cow -pox on the
cow, but occurs among the hair, and the hair stands up in little
pencils or tufts where the vesicles occur, thus the name “ scratchey
heel ” has been given it. By clipping the horse's heel, the vesi
cles are shown. This horse-pox transmitted to the cow produces
real cow -pox - this is called equination. The cow -pox occurs also
spontaneously. Spurious and genuine vaccinations are thus distin
guished : after genuine virus is inserted, but a slight redness ap
pears until the third or fourth day ; the incisions crust over, dry
as though healed, until about the third day the spot inflames, looks.
redder, gradually becoming elevated , forming,, in the following
three or four days, the vaccine pimple, which increases in size until
 EXANTHEMATA . 229

about the eighth or ninth day, usually, by which time a red areola
has formed around it and it becomes hardened .
This areola varies in size in different individuals. I have often
seen it in susceptible temperaments extend all around the arm ,
from the elbow to the shoulder, almost amounting to an erysipelas.
A day or two later, the vesicle, after having on the ninth day pre
2

sented a white, silvery pestule, with a circular rim and hollow or

flattened centre being the first to exhibit it. A crust soon forms,
which assumes a dark mahogany color. The crust, if it be a vac
cine crust, generally drops about the fourteenth or sixteenth day,
while, if it be cow-pox, the crust usually adheres for nearly twenty
one days, or longer. The hollow or flattened centre of the vesicle,
and shining, silvery ridge or edge, the areola about the ninth day,
and the regular progress of the papule from about the third day,
determines the regular, good vaccination.
In spurious vaccinations, the vaccinated spot begins to inflame
on the first or second day, and in two or three days afterwards is
very sore, apparently at its'height ;the pustule is rather convex ,
instead of round, is full in the centre, or somewhat cone-shaped, in
stead of depressed or flattened ; it has little or no elevated rim and
no silvery lustre. This rounded or pointed pustule soon assumes a
yellowish or dirty -colored surface on top, generally bursts, and ex
udes a yellowish or puss-like exudation, which dries around and
on the vesicle. It may spread over the skin, excoriate, and pro
duce sores . This all results before the ninth day, and it is by that
time drying up, or so far dried that the crust will soon drop.
Should it assume the ulcerated form , an angry looking spot will
be found , secreting an ichorous fluid .
In re -vaccinations, where the system is partially protected by the
former vaccination, the violence of the symptoms are much modi
fied ; there may be the absence of areola and of the shining ridge
on the top of the vesicle ; but the slight inflammation resulting
in these cases, commences the third , declining the ninth day. If
the vaccine protection is exhausted from the system, then vaccina
tion runs its natural course .
There is no more danger from the symptoms of cow -pox vacci
nations than those from human virus, the larger areola and vesicle,
and greater swelling of the arm , are of no consequence where a
matter of certainty and of purity of virus is involved . Cases re
sisting several efforts to procure a re-vaccination from human crust,
230 PRACTICE.

have a characteristic vaccination from an insertion of fresh, active,

genuine cow -pox virus.
Insert the virus by making several slight scratches on the skin
with a lance, then other scratches across these at right or acute
angles, then rubbing the virus of the charged spatula upon these
incisions. If lymph is used , put it on the skin, and make the in
cisions through it into the dermoid tissue.
Cow -pox spoils easier than human virus. Cold does not, but
heat and moisture do injure it. Keep it cool, and from sun and
light; never carry it in vest pocket, or about body exposed to
warmth and moisture ; virus collected on ivory points keeps from
seven to ten days; in capillary tubes as lymph, it retains power for
months, but soon spoils on opening the tube.
The crusts from the cow are quite as good as the spatulas charged
with the lymph , if the pock has not been broken or the lymph ex
tracted before the crust hardens. It does not keep as long as vac
cine crust from the arm .
An old “ dry” milch cow produced spurious virus from the genu
ine inserted ; I vaccinated the udder freely, obtaining some fine
looking vesicles, from which I removed the lymph on the week
following inoculation, but never obtained a successful vaccination
therefrom , nor did the crusts prove of any more value ; another
cow vaccinated from her direct did not take ; have always vacci
nated heifers since, and those about a year old, and those pregnant
with first calf have proved most reliable.
None of the lower animals produce the proper virus equal to
kine, while some animals will not take the vaccine disease. In
heifers, next to healthy, unblemished animals, take such as have
well developed udders with soft good -sized teats, for these parts
are the most satifactory to obtain your supply of lymph from ; the
teats producing the finest vesicles, especially at their base. Those
that result on the udder among the roots of hair, although it has
been shaven , do not give as clear lymph and as free from tenacity
and viscidity as the pocks that occur on the teats, and therefore it
is not so easily tubed ; although for collecting on the ivory spatulas
it is as good and has the same power .
For vaccinating the cow I have tried several plans, such as
making a series of long incisions from the top to the base of the
teat, and running the lymph all along the cuts ; making a larger
number of small abrasions all around and along the teats and
udder ; scraping off the skin here and there in spots, &c.; but the
 EXANTHEMATA . 231

best plan is that of making special marks the same as I suggested

above for vaccinating into the human arm , only instead of making
three or four as in man, they may be freely dotted over the surface
in larger numbers.
The best time to collect the lymph is just a week after inserting
the virus, although in some animals ( exceptional cases, however,).
the lymph will be most copious a day or two later. The most
active lymph for transmission, is that removed on the day stated .
In collecting on spatulas, run your lance around the silvery,
shining edge of the vesicle, and, as the lymph exudes, press the
pointed end of the smooth splint of ivory in under the soft edge
of the pellicle of skin that covers the centre of the pock , and when
you find both sides of the end of that ivory point are sufficiently
moistened, lay it away on a little rack or on two parallel straws,
previously prepared, to dry.. Some vesicles will not yield more
than enough lymph to moisten over eight or ten of these small
spatulas, while from others it will ooze out long enough, and in
sufficient quantity, to moisten fifty or seventy-five.
Collect lymph in tubes by having tubes prepared two or three
inches long, waiting after opening vesicles, for a drop of lymph to
ooze out, dip end of tube in the drop which enters it by capillary
attraction ; when tube is full see that ends are clear of lymph so
that it may not be heated in sealing. Hold the finger and thumb
with which you grasp the tube for a moment in ice water or snow ,
then grasp the tube close to one end, holding that end in the flame
of an alcohol lamp till sealed — so serve the other end ; pack tubes
in raw cotton , and keep them cool and dark. Do not expose the
lymph to air long, nor get blood mixed with it. The heifer must
be healthy and well cared for. (B. W. James, Trans. Hom . Med.
Soc. of Penna., 1872, p. 154.)
Small pox and Animalculæ , 1st. Cow pox subjected to the
microscope, exhibited motion among the pustules, (the specimen
should be vacant.)
2d . Vaccine virus must be fresh to produce its specific result, i. e. ,
alive.
3d. The animalcule becomes hybid by passing through the sys
tem of the cow.
4th . Vaccination from the cow, and from other vaccination in a
state of lymph, require a longer time to develope than from an or
dinary scab.
5th. Epidemics of small pox are far more fatal than sporadic
232 PRACTICE.

cases, and the reason stated for this is that animalculæ in severe
epidemics are stronger and more vigorous, and consequently beget
a more numerous progeny.
If a vaccination begets more than one scab they should be re
jected, each and all, and not used . (Beckwith, E. C. O. Med. and
Surg. Rev., v . 6, No. 5, p. 275.)
Vaccination statistics, and the treatment of Variola . Variol.,
Tart. em. and Arsen . The principal remedies. (J. S. Mitchell, U.
S. Med . and Surg. Jour. , v. 7,> p. 198 and 324. )
Results of Cow -pox Vaccination . (M. M. Walker, Trans.
Hom. Med. Soc. of Penna ., 1872, p. 162.)
Observations on the effects of Vaccination, by Dr. Albu, in
Berlin. Of five hundred healthy children whom Albu vaccinated,
only 86—17.2 per cent. remained well, all the others got sick, the
most of them with cutaneous affections. Eclampsia , intestinal
catarrh, etc. Of these five hundred children, one hundred and
three died within the next following year, -20.6 per cent. In
nearly one-half of them death was caused by an uninterrupted
train of complaints which had commenced after vaccination. Four
died with Variola vera , twenty -five with diarrhoea, seven with pneu
monia, eight with bronchitis, one with peritonitis, nine with apo
plexy, four with pertussis, one with diphtheritis, one with erysip
elas brach, one with otitis interna, six with scrophulosis, four
with tuberculosis, ten with meningitis tuberculosa, twenty -three
with atrophy. (I. H. Pr. , v. 2, p. 259.)
Silicea after Vaccination . A grand -child of Prof. J. R. Coxe,
was again and again vaccinated unsuccessfully. At last the opera
tion was followed by a fever, and instead of a pustule on the arms,
convulsions occurred. R. Silic., 30th cent., one globule. Cured .
Boy, æt. 10, unsuccessful vaccination followed by convulsions.
>

B. Silic., 30th. , one globule cured. I now use Silic. for all ill effects
of vaccination unless some other remedy be indicated and then it is
often necessary . (C. Hering, H. M., March, 1872, p. . 374. )
Bad effects of Vaccination . Nathan J. , æt. 5 months ; was a
healthy and clean skinned baby before vaccination ; but soon after
the operation it began with an eruption , the scalp , ears, face, groins
and legs are the parts most grievously affected with pustulations, 1

and worse still there is otorrhea. Sulphurso for one week then
Graphit.® for a month , cured . (J. H. Nankivell, H. W. , 7, 206.)
Imbecility of mind and loss of speech after vaccination in
a girl, æt. 3. Vaccination took place successfully some weeks ago .
 EXANTHEMATA . 233

Since then restless sleep ; fretfulness ; peevishness ; “ cries the whole

day. Remarkably fast growth of the hair since vaccination.
Before vaccination the child had commenced talking ; since vac
cination she had not uttered one word . She has lost her mind ;
nothing excited her attention ; her eyes stared vaguely ; occasional
flow of saliva from the mouth ; looking like an idiot. Thuya30
in water night and morning for three days. Improvment com
menced some three or four days after the first dose and continued
until gradual recovery had taken place. (C. Kunkel, I. H. Pr., v..
2, 250.)
After vaccination . Child , æt. 3, sleepless ; fretful ; obstinate ;
>

frequent urging to urinate ; falling out of hair. The child ceases

to walk and at last cannot sit up erect ; the head sinks forward
down upon the flexed knees ; there is an atrophy of the lower por
tions of the long dorsal muscles. Thuya3, one single dose cured
in a short time. (C. Kunkel, I. H. Pr. , v. 2, p. 250.)
>

After re - vaccination twelve weeks ago, a man æt. 52, cannot

sleep ; occasional canine hunger ; after eating, great fulness. Thuyas ,
one dose relieved at once. Some five months afterwards the same
complaint. He had been drinking hard some weeks ago, since
then sleeplessness ; loss of appetite; profuse sweats day and night;
slight unpainful dischargefrom the urethra ; trembling of the limbs ;
visions of strange people at night, with whom he talks ; great anx
iety and restlessness ; cannot remain in bed, must walk about ;
scanty urine ; frequent urination .. Thuya200 (Lehrmann), one dose
promptly relieved again. (C. Kunkel, I. H. Pr., v. 2, p. 256.)
After re - vaccination a young man, æt. 24, complains of falling
out of the hair, which is very dry ; headache ; vertigo ; poor sleep ;
difficult falling to sleep ; nightly restlessness ; weakness in lower
extremities ; constant thirst; pain in the epigastrium . Thuyaso,
one dose relieved in a few weeks. (C. Kunkel, I. H. Pr. , v. 2,
p. 251.)
After vaccination of a child æt. 15 months, swelling of the
cervical glands, pityriasis capitis ; conjunctivitis ; restless sleep ;
pustular eruption on neck and face, soon drying up ; frequent
waking up as from pain in bowels. Thuya3, one dose cured.
(C. Kunkel, I. H. Pr. , v. 2, p. 254.)
Conjunctivitis after vaccination in a girl æt. 3 ; kind of
whooping cough ; scanty urine. Apis, Droser, and a number of
other remedies had merely a palliating effect. Thuyas, one dose
cured entirely. (C. Kunkel, I. H. Pr. , v. 2, p. 252.)
234 PRACTICE

Chronic Keratitis after vaccination . Girl æt. 11 ; vaccinated

when three and aa half years old ; ailing ever since. Inflammation
of corneæ with excessive photophobia , which prevented a closer
examination of the eyes ; has been kept for seven years in a dark
room. The hair is dry, brittle, short, and falls out ; sleeplessness
at night ; towards morning slumber with many dreams; no appe
tite ; pale, grayish color of face. Sulphur, Apis, Bellad ., Ignat.,
2

were of no avail. She had every afternoon at 4 o'clock a shaking

chill, followed by heat and thirst ; urging to urinate ; many dreams.
Thuyas , gl. ji dissolved in water , to be taken at one dose in the
evening. In three weeks the photophobia has so much decreased
that the eyes can be examined. Both corneæ are opaque through
out, and to such a degree that the child can discern merely day
from night ; her other symptoms have decidedly improved . She
has now every three to four weeks attacks of swelling of the eye
lids ; great weakness ; pain in bowels in paroxysms ; discharge of
worms ;; the nose,, which has been discharging, becomes dry again.
Such attacks last from three to five days, after which always there
follows a decided decrease in the opacity of the corneæ , so that in
the course of six or seven months not a trace of it is left. (C.
Kunkel, I. H. Pr.* , v. 2, p. 247.)
Chronic inflammation of the eyes and otorrhea after vac
cination . Girl, æt. 9, has been ailing since vaccination at the age
of two years. Her symptoms at present are the following : small, >

brownish spots at the cornea ; photophobia ; watery, purulent otor

rhæa ; highest degree of dissatisfaction with every thing ; quarrel.
some ; sleep disturbed by anxious dreams; after sleep miserable,
fretful; sighing inspirations ; hair grows slow , splits at the point;
pot-bellied ness ; thick upper-lip with a tumor in its parenchyma of
the size of a pea, enlarging when taking cold. Stings of insects
cause inflammation of the skin . Thuyas ,> gl. ji in water, one dose.
Gradual improvement with paroxysms of apparent aggravations ;
finally complete cure. (C. Kunkel, I. H. Pr., v. 2, p. 248.)
Whooping cough immediately after vaccination . A number
of remedies without lasting effect. Thuya, one dose relieved
quickly. (C. Kunkel, I. H. Pr., v . 2, p. 253.)
Asthma after vaccination . A man æt. 47, had been vacci
nated, since then always complaining. Now asthmatic paroxysms
usually at night, with mucous rattle or whistling respiration, also
coughing spells with intense redness of face; very irritable ; sleeps
poorly ; stitches in the hypochondria, now on right then on left
 EXANTHEMATA. 235

side ; feels bad after eating the slightest quantity of food ;; excessive
flatulence; at times pain in all the joints. After the asthmatic
paroxysms profuse perspiration ; fatty perspiration ; hollow -eyed
appearance ; worse every other night ; urine scanty ; excretion slow ;
towards the end of the paroxysm drawing in the lower limbs,
which are at all times red, like a boiled lobster ; obstinate constipa
tion. Laches., Phosphor., Sulphur, Arsen ., had no effect. Thuya200,
one dose cured gradually but thoroughly in the course of several
months, although several apparent aggravations took place in that
time. (C. Kunkel, I. H. Pr., v. 2, p. 250.)
Asthmatic attacks since a year, in a child æt. 27, after vaccina
tion. The paroxysms take place in the day as well as in the night,
with whistling respiration and last about two hours. Sleep is
restless ; occasional obstinate constipation ; singular dark -colored
excoriations on the nates ; dry, thin hair. Thuya3, one dose, caused
in the first four or five nights great restlessness and then continued
improvement. (C. Kunkel, I. H. Pr., v. 2, p. 255.)
Paresis of Atrophy of the right leg with considerable cold
ness of the same and after vaccination, in a child æt. 2. Occasional
pain in back and abdomen ; pale face. Thuya3o, one dose. No im
provement perceivable during the first six weeks ; then the limb
becomes warmer and the child is restored . (C. Kunkel, I. H. Pr.,
V. 2, p. 255.)
After vaccination . A boy æt. 4, was vaccinated two years ago ;
since then ailing ; now urging to stools and urination at the same
time with great pain on discharging feces and urine, wherefore the
child suppresses the urging as long as possible ; the feces are white ;
urine normal ; oxyuris vermicularis ; pale face ; often dejected.
Thuyas, one dose relieved soon. (C. Kunkel, I. H. Pr., v. 2, p . 251.)
After re -vaccination of a child æt. 7. A pustular eruption
here and there over the body ; a continually increasing paleness and
anæmia of the mucous membranes ; easily tired from bodily ex
ertion ; beginning chlorosis. Thuyas , one dose relieved at once.
(C. Kunkel, I. H. Pr., v. 2, p. 251.)
Ulcus elevat. of roundish shape under the tongue, in a child
about four years of age, after vaccination . Its edge consists of a
number of pointed condylomata, which could be separated by a fine
probė. All kinds of remedies had been applied. Thuyaso one dose,
cured in a few weeks. (C. Kunkel, I. H. Pr., v. 2, p. 257.)
Variola . Very contagious and omnipresent; known for thirteen
centuries, but first in Egypt from whence it was nearly four cen
236 PRACTICE.

turies in traversing Asia, Africa, and Europe to the British Isles.

It reached America in 1527. The symptoms of this epidemic are
more or less chilliness, with dulness in the head, and a general
languor at first. The dulness of head in some cases is accompanied
with dizziness. In many of the cases a restless and sleepless con
dition attends all the early stages of the disease. The languor is
followed by, or accompanied with, more or less severe aching of
the head, back , and extremities ; in a portion of the cases nausea,
and in some of them vomiting, are marked symptoms.
The backache is not so prominent as usual but often severe .
Bowels little disturbed at first. The aching, and usually chilliness,
then heat and chilliness commingled, with at first delirium , continue
until the end of the third day when, if developing properly, the
eruption appears in small reddish -purple points, in the skin of the
prominent parts of the face, then on the hands, arms, trunk , and
lower extremities. The lower portion of the chest and abdomen
are usually not so thickly studded with pustules. A great many
cases have assumed a confluent form , and but few present signs of
variola discreta .
The pustules, from the time they first show themselves, need
not be mistaken for any other eruption. The little points or stig
mata, if examined carefully soon after appearing in the skin, pres
ent the little depression in the middle, which, in connection with
the three days through which the patient has passed previous to
the development of the eruption, and the character of the pains and
aches, fever and chilliness, vertigo and sleeplessness, renders the
diagnosis plain.
In the first stage Bryon ., is important, sometimes Macrotin .
Acon. and Bellad . for the violence of the morbid, eruptive symp
toms with sometimes Opium and Hyosc.
To allay restlessness and cause sleep, Coffea. In the second stage
use the above remedies and also Stramon ., Tart. em., Arsen ., Laches.
In the stage of maturation, Mercur, not too often . For diarrhea,
Chin . mur., or Secal, or Arsen. For desiccation, Mercups with occa
sionally Sulphur. (J. F. Cooper, H. M., Jan., 1872, p. 254.)
Abortive treatment. The invasion of the small-pox poison
gives rise to two most characteristic symptoms - pains in the small
of the back and pains in the head. Here we have the upper and
lower parts of the head and spine, which gives us the idea that
the electric poles of these localities have been reversed by the ac
tion of the poison introduced in the system . Now my advice
 EXANTHEMATA . 237

would be to try to reverse these poles again to their natural posi

tion . I would advise the use of the electric bath. The pole of the
medulla oblongata being considered positive, but reversed by the
poison, should have the positive pole of the battery applied to it,
while the lower pole of the spinal column, on the sacrum having
been reversed to the positive, should have the negative pole ap
plied. If by these means a reaction could be established to anni
hilate the poison, an abortive treatment of small-pox would be
created, which would at once and forever destroy the terror of its
existence. (I. H. Pulte, in Proc. Hom. Med. Soc. of Ohio, p. 14.)
Apis mel. Variola ; the eruption seems to come out all right,
and the case is going on apparently well, when the eruption re
cedes, the patient becomes short of breath, sleepless, restless, there
is scanty secretion of urine, great thirst, or none at all. (H. N.
Guernsey , Trans. Hom . Med. Soc. of Penna. , 1872, p. 42.)
Carbolic acid in Variola. Young lady æt. 21 ; variola conflu
ents ; very ill ; feared she could not sustain suppurative stage. B.
Carbolic acid the fourth day of eruption ; by sixth and seventh
day, tongue was very thick ; throat sore , hoarse ; head and face
badly swollen. On A.M. of eighth day of eruption saw pocks dry
ing on her hands and arms. She answered clearly and distinctly ;
tongue was clean, pulse better ; hundreds of pocks were drying ;
improvement was rapid ; appetite was good ; no secondary fever ;
pocks all dry on the twelfth day of eruption .
Lad æt. 18, completely covered with pustules. B. Carbolic
acid on fourth day of eruption. Case was shortened, face and head
were swollen only twenty-four hours ; all subsided and patient got
well rapidly ; no secondary fever ; not pocked. Carbolic acid was
not used till the eruption was fully establised ; used the first deci
mal dilution, ten drops in a half tumbler of water, teaspoonful
every two hours. (C. S. Middleton, H. M., April, 1872, p. 398.)
Variola in Paris, 1869-'70. Dr. Leboucher reports successful cures
of malignant cases of variola produced by an infusion of Solanum
atrosanguineum in alternation with Cinchona. Roth, in his Materia
Medica, gives the following symptoms: headache, nausea , vertigo,
vomiting, eruption like confluent small-pox, scars on fingers and
face, blisters painful and full of serum on the sternum ; great blis
ters on the forearm ; head and feet greatly swollen, very dark red,
intermixed with perfectly black spots. Dr. Paaissiere treats all his
cases with Belladonna, and did not lose a case. (N. A. J. H. , 20,
>

528, 1872.)
238 PRACTICE.

Small - pox. Vaccininum 6, in water, for one day, with strict

diet, repeated after eight days as preventive in six hundred cases.
(W. Magdeburg, H. Kl., 1872, 9.)
I have treated a great many cases of variola and varioloid ,
during the last eighteen years, some of them of most desperate
character, and yet never lost a case when employing the Vaccine
virus as a remedy ; moreover none of the cases so treated were
ever troubled with hæmorrhage, or with delirium or secondary
fevers, or were ever disfigured by pitting. (J. Craigin, Med . Jour.,
v. 9, 367.)
Variola Mr. S., æt. 25. On third day of eruption when the
pustules had filled, and were close on face, running together, in
tense itching. R. Variolinum 1", Fincke, in water, every two
>

hours. On second day, itching nearly gone, pustules shrinking ;

third day, drying ; 5th day, crusts fell from face ; seventh day,
other crusts fell off, and the tongue cleaned. (S. Swan, H. M. ,
June, 1872, p. 490.)
Variolin in Variola. Have used and seen it used in many and
severe cases, and when variola is treated with Variolin ,200, the disease
is shortened nearly or quite one-half, the sufferings of the patient are
much mitigated , the secondary fever is either absent or very much
lighter,.the pustules do not burst, but wither or wilt and fall off,
>

the suppurative stage is immeasurably hastened and shortened, and

the patients are not marked. One remarkable difference between
cases treated with this remedy and others treated without it, is
that after the suppurative stage, in the latter case the pustules burst
and discharge their contents, giving the disgusting appearance
known to all who have treated the disease, and finally leave the
face pitted and covered with red and angry looking spots. When
treated with Variolin, nothing of the kind occurs, the pustules do
not burst, but dry up and fall off, sometimes in patches as large as a
copper cent, revealing a smooth, clean, white skin, not pitted ; there
is much less odor than in the other class of cases. It should be
thoroughly tested as a prophylactic. (W. J. Blakley, Transac.
Hom . Med . Soc. of Penna ., 1872, p . 122.)
Mrs. C .; premonitory symptoms unusually severe ; pulse 120 ;
temperature 105°' ; on Monday, one pock appeared on forehead with
several on head ; during Tuesday night, the eruption fully ap
peared , and the case became semi-confluent. B. Variolin . 2 , from
the first. Eruptive stage was completed in three days ; suppura
tive, in ten ; very little secondary fever ; desiccation commenced in
 SKIN . 239

a week from first invasion ; the fifth day of desiccation, pustules were
dried into hard brown scabs (not one burst) and nearly all fallen
off; on twelfth day of desiccation, patient sat up. Not pocked.
The disease was not mild but complicated with exhausting menor
rhagia ; “ sinking spells," when the eruption receded ; limbs cold,
and covered with profuse, cold sweat; pulse feeble and rapid ;
great debility. In this condition, R. Arsen . 30th and brandy.
Drowsiness, with inability to sleep, with fantastic, frightful visions
of persons coming to kill her, of many being in her room, talking
to and of her, on closing eyes ; disappearing on opening them ;
fears sleep from these causes. R. Ignat. 30th, followed by sleep.
Variolin exercises a specific influence in controlling and shortening
variola, yet dangerous symptoms often arise requiring other reme
dies. Administer Variolin from the first to get its specific effect,
and if other remedies are needed, suspend it during their use. (W.
J. Blakely, H. M., April, 1872, p. 401.)
Xylot. was administered in eighty cases, eight were under two
years of age, six of these were not vaccinated ; eleven were from
two to ten years of age,, four of these not vaccinated ; twenty were
under twenty- five years of age, the balance over that age ; the
oldest sixty years of age.
Of the entire number (thirty -four had small-pox in the worst
form ) only four died, not one of this number that died were or
ever had been vaccinated ; two were children and two adults.
The remedy is warmly recommended by the writer. ( Nagel,
Carl. 0. M. and S. R., v . 6, No. 5 , p. 276.)
Prof. Stokes recommended in confluent small-pox a trial of a
warm bath , the patient reclining, may remain in it for many an
hour, and by giving him stimulants at the same time recovery will
be induced. (N. A. J. H. XXI, 285.)
Small- pox. Influence of milk diet in modifying. ( J. B. Wood ,
A. J. H. M. M. , v . 5 , p. 396.)

SKIN .

Pityriasis in spots on scalp of fair haired strumous girls, Lycop .;

· when the spots appear on the face, Calc. carb. (E. Blake, B. J., v.
‫ܕ‬

30, No. 119.)

Teleangiectasias. Condur. 6, was followed by erysipelatous
240 PRACTICE .

inflammation of the diseased spot and then came drying up, in

old and recent cases ; taking about three weeks for a cure. (Bon
hoff, A. H. Z. , 85, 197.)
Herpes Zoster : Arsen. For the neuralgia following: Dolich.,
.

( Dr. Lowder ); Zincum (Russell) ; Rhus tox . generally cures the

zona without the supervention of neuralgia. (E. Blake, B. J., v.
30, No. 119.)
Urticaria from eating a bitter almond ; Acon., 1x, and Bellad.,
one drop every hour ; better next day. (Henry R. Irwin, H. W.,
7, 58.)
Erysipelas. A lady æt. 38 , lymphatic temperament, suffering
from a vesicular eruption upon the face and hands accompanied
with much swelling and an intolerable itching and burning, was
relieved by a few doses of Rhus ven . 3d. (A. E. Small,, U. 8. Med .
and Surg. Jour. , v. 7, p. 156.)
>

Phlegmonous Erysipelas. Report of a case resulting in ne

crosis of the tibia, and the destruction of the entire shaft. The
necrosis successfully operated upon after eight years of discharging
(G. A. Hall, U. S. Med. and Surg. Jour. , v. 8, p. 66.)
Cantharis, 20 cured in two weeks a “ prickling” of six years stand
ing, post-erysipelatic, so severe and annoying as to almost craze
her. It appeared without warning ; worse in changeable weather,
every part of the body painful; tongue slighty coated ; hands and
feet cold ; stinging and smarting during urination ; urine yellow.
The urinary symptoms led to choice of remedy. (W. J. Blakely,
Trans. Hom . Med. Soc. of Penna., 1872, p. 99. )
Acne punc. Sulphur persistently. Acne pustul, Nux jug.
(Hirsch) especially in strumous constitutions. Also Hepar, (E.
Blake, Br. J., 30, 119.)
Vesicular eruptions lower limbs, Mercur. ; upper limbs
Graphit.
Eczema (of gouty origin) around margin of hairy scalp from
ear to ear posteriorily, Sulphur. For the same around the edge of
the calvarium in meatus aud. ent. et genitalia Nitr. ac. Along the
anterior border of hairy scalp Hydr. can . Inner side of left hand
Nitr . ac. Back of left hand Arsen . Right finger and neck Lycop.
Left leg with piles relieved by Hepar, cured by massive doses of
Sarsap. Under the toes Sulphur. Inner side thighs after vaccina
tion with much itching and thirst, Rhus tox. ( E. Blake, Br. J.,
30, 119.)
 SKIN . 241

Eczema on left hand gradually spreads on fingers and up to arm..

Merc. sol.), night and morning. Hand healed, but the face broke
out,primary action of mercury ; in a short time entirely well with
out further medication. (Weber, A. H. Z. , 85 , 169.)
Crusta lactea . Hepar. Child æt. 41 months, had had the dis
ease two months. Hepar30 was given thirteen days, when all traces
of eruption entirely disappeared. ((H. V. Miller, A. J. H. M. M. ,
>

v. V, p. 296.)
Porrigo Favosa. Mr. F. , æt. . 41. Dark hair and eyes ; of
strong constitution ; has had an eruption on the head during the
past seven years ; commenced with a few pustules and gradually
spread over a surface about three times as large as a silver dollar.
The crusts which form are thick , yellow, and very adherent -— the
part is devoid of hair ; eyes are weak ; eyelids much inflamed , the
lids often agglutinated in the morning. Sulphur: night and
morning for some weeks, then the same only at night. Cured in
about ten weeks. (Geo. W. Richards, H. W. , 7, 260.)
Impetigo. Itching pustules: Croton ; burning, itching : Kali
bichr.; Antimony is the pustular remedypar excel. Impetigo capitis
is best treated by Conium , or when there are glandular complica
tions by Dulcam . Impetigo Faciei, Dulcam . Strumous Impetigo,
Hepar. (E. Blake, Br. J. , 30, 119.)
Impetigo Figurata. Boy æt. 6. Strumous constitution , has
a pustular eruption on whole upper lip and chin ; a thick, yellow,
friable semi-transparent incrustation covers the part. December 1st
gave Viol. trit.", four times a day. December 21st, eruption has dis
appeared . (G. W. Richards, H. W. , 7, 260.)
Ecthyma. Tart. emet. (E. Blake, Br. J. , 30, 119.)
Pemphigus from sudden check of perspiration, cured in five
days by Bryon.", given every two hours. ( A. E. Small, U. S. Med.
and Surg. Jour., v. 7, p. 293.)
Boils ; their location, etc. Boilsin general.Acon., Alum., Amm.
carb ., Amm. mur., Anac., Ant. crud., Arnic., Arsen., Am. Baryt.,
Bellad ., Calc carb., Carb . an., Carb. veg. , Cinchon, Coccul. , Euphorb.,
Graphit., Gratiol., Hamam ., Hepar, Hyosc., Ignat., Kreosot., Laches.,
Lauroc., Ledum , Lycop., Magn. mur., Mercur .., Mezer ., Mur. ac.,
Natr. carb ., Natr. mur., Nitrum, Nitr . ac., Nux mosch ., Nux vom. ,
Petrol., Phosphor, Pulsat., Rhus tox., Secal., Sepia, Silic., Spongia,
Staphis ., Stramon ., Sulphur, Sulph. ac., Tart. em., Thuya, Viper
red ., Zincum .
16
242 PRACTICE.

large. Hepar, Hyosc .,> Lycop., Natr. carb., Nitr. ac. , Phosphor,
Apis, Croton, Laches., Mercur.
small. Arnic ., Baryt., Bellad ., Gratiol. , Lycop., Magn. carb .,
Magn. mur., Natr. mur.,, Nux vom ., Sulphur, Zincum.
disposition to. Lycop ., Nux vom. , Phosphor, Phytol., Silic. ,
Sulphur.
furunculous eruption. Iodine.
- a succession of small ones all over ; have continued three weeks ;
came on after measles ; cured in a few days by Bellad. (E. C. Price.)
- a number of small furuncles on the neck, and in the face ; on the
head, back, and chest, of various sizes. Kali hydr.
-

if they mature slowly. Hepar, Sulphur.

- if very much inflamed and painful. Bellad., Mercur.
periodically recurring. Hyosc., Lycop ., Nitr. ac., Staphis.
on the head. Baryt., Bellad ., Calcar, Kali, Ledum , Magn .
mur. , Mur. ac., Nitr. ac. , Rhus tox. , Cina, Brom . am ., Brom . pot .,
Brom. soda.
- forehead. Ptelia trif., Ledum, Amm . mur.,. Phosphor..
where the hair begins to grow . Calcar.. ; simple, painful.
Bellad .
above the left eye. Natr. mur .
small.. Magn. carb .; large. Phosph.
right temple. Mur. ac .
ear. Silic. , Sulphur.
around. Amm. carb .
before. Carb. veg.
behind . Natr. carb .
right. Phytol.
over . Alum.
on helix , large. Sulphur.
in the. Elect., Sulphur.
Bõils, ear, in the external meatus. Pulsat., Sulphur.
nose. Alum ., Amm. carb ., Carb. an., Magn. mur .
suppurates in 24 hours. Magn. mur.
in the. Alum. , Amm. carb ., Carb . an. , Silic.
withfeeling of tightness. Carb. an.
on the tip of. Acon., Amm.: carb.
pustule, right side of, in the front of septum . Amm. carb .
in depression on outer side of right wing of. Conium.
pimple in right nostril. Phosph: (For pimples, see Jahr's
New Manual, v. III, p. 356.)
 SKIN. 243

face, on the: Alum. , Amm., Arnic. , Baryt.,,Bellad. , Bryon .,

Calcar., Carb. veg ., Coloc., Cinchon. , Cina, Kali hydr., Lauroc.,
>

LEDUM, Mezer., Iris ver., Mur. ac., Natr. carb., Natr. mur.,
Nitr . ac., Silic. , Rhus rad .
on the, which do not mature. Rhus rad .
and head of children. Cina.
cheek. Alum., Amm. carb ., Cinchon ., Mezer.
left cheek. Alum.
cheek near the nose, large, not painful. Silic.
at the corners of the mouth. Amm. carb.
lip, on the lower. Petrol.
over the upper. Natr. carb.
on the right side. Alum.
on the left side, large tubercle - like boil. Ratanh .
chin, on the. Amm. carb ., Hepar, Nitr. ac. , Silic.
on the side of. Nitr. ac.
with stinging pain when touched . Silic.
over the. Natr. carb .
pustule on the, with tensive pain , leaving a red spot behind .
Magnes.
jaws, under the. Carb. veg.
temple right, on the. Mur. ac.
on the, painful. Bellad .
neck, on the. Amm . carb ., Cinchon ., Indig. , Kali hydr.,
Magn. carb ., Natr. mur., Sepia.
with burning pain. Coloc.
below leftjaw. Sepia.
nape of. Elec., Nitr. ac., Phosphor.
small. Graphit.
axilla. Borax, Caustic ., Fluor. ac. , PHOSPH. ACAc. , Sulph.. ac.
left. Lycop.
Boils, back, on the: Acon ., Caustic. , Coloc., Elect. , Iris, Mur. ac.,
Sulph. ac., Thuya, Zincum.
small of the. Æthus, Mur. ac., Thuya.
small ones. Caustic. , Graphit., Mur. ac.
right side of. Phytol.
scapular region. Amm. , Bellad., Ledum, Lycop., Nitr. ac.,
>

Nux jug., Zincum.

Scapula, large on the. Nitr. ac.
nates, on the. ACON. , Agar., Aurum mur. , Baryt. carb .,
.

Graphit ., Hepar, Indig. , Lycop., Nitr. ac., PHOSPH. AC.

244 PRACTICE.

two on one of the. Hepar.

hip , on the right. Alum.
chest, on the. Amm. , Cinchon ., Hepar, Magn. carb., Phosph.
large on the. Phosphor.
red on the right side of, only painful when touched . Amm .
carb .
pectoralis muscles, on the. Chamom ., Cinchon .
--false ribs, over the. Magn. mur.
near last rib, left side.' Argent. fol.
abdomen , on the. Phosph ., Zincum oxide.
two on the. Phosphor.
right side of. Amm. mur.
Boil, abdomen, on the, above the genital organs, becomes dark blue.
Zinc. ox.
pubis. Apis, Copaivæ.
perineum . Ant. crud .
anus, at. Carb . an.
shoulders, on. Amm. carb ., Bellad., Nitr. ac., Nux jug .,
Phosph. ac.
shoulder, left, small boil on the. Amm. carb., Bellad.
right. Kali nitr., Phosph. ac.
arms, on the. Amm. carb ., Calc. carb., Carb. an. , Carb . veg.
Lycop ., Magn. mur., Mezer ., Nitrum , Petrol ., Phosph. ac., Nux jug.,
Silic., Zincum .
small, on the. Graphit.
four or five large, one below the elbow , on the outer side of arm,
blighted by six doses of Bellad., taken three times a day. (E. C. Price.)
right biceps, on the. Nux jug.
upper, on the. Carb. veg ., Nux jug ., Zincum .
right, posterior surface of. Iodium .
left. Zincum .
arm , left, on the. Mezer.
many boils on the, also large ones. Silic.
syphilitic. Iris vers.
forearm , on the. CALCAR. , Lycop., Magnes. mur. , Petrol.
- hands, on the. CALCAR., Iris vers., Laches., LYCOP., Ledum .
hand,, back of left,, on the. Calc. carb .
small and immature, with erysipelatous inflammation on en
tire back of. Rhus rad .
- fingers, on the. Calcar., Laches., Silic..
finger, middle, left hand. Iris vers.
 SKIN . 245

finger-joints. Calc. carb.

finger, back of ring. Calc. carb.
thumb, on the NITRUM.
lower part of, on the. Kali nitr.
hip. Nux jug.
right. Alum., Amm. carb ., Nitr. ac.
thighs, on the. Alum. , Aurum mur., Calc. carb ., Clemat.,
Coccul., Hyosc. , IGNAT. , Laches. , LYCOP., Magn. carb., Nitr.'ac.,
NUX VOM .
PETROL. , Phosphor., Phosph . ac., SEPÌA , SILIC.
inner, on the. Ignat., Coccul.
posterior surface. Silic.
above knee. Lycop.
on the, with stinging pains. Nux vom.
hams. Sepia.
knees, on the. NATR. MUR. , Nux vom.
legs, on the. Calcar., MAGN. CARB., Nitr. ac. , Petrol.
calves. SILIC.
-
- metatarsus. Mercur.
- feet, on the. Calcar., Ledum, Silic., STRAMON.
foot, sole of the right. Ratanh.
heel, on the. Calc.
Groups of boils, but whether they occur on those parts at the
same time, or at different times is not stated .
Small boils on the forehead, neck , chest, and especially the thighs.
Magnes. carb .
Small boils on nape of neck, chest, thighs. Phosphor.
Large boils on thighs, chest and forehead . Phosphor.
Small boils and indurations emitting water and blood, at the
cheek , corners of mouth , on chin . Amm . carb.
Boils on cheek and around ear. Amm. carb.
Boils on forearm , on upper part of head, on false ribs. Magnes.
mur .

Jahr says Arnic. in watery solution is the best remedy for simple
boils to bring them to a head, after suppuration Sulphur will heal.
If healing is slow, Silic.
In inflammatory stage, Bellad . (Hughes.)
To check constitutional tendency to them , Sulphur. (Chas.
Heerman and E. C. Price, H. M., June, 1872, p. 508, and Sept.
1872, p. 70.)
Crop of Carbuncles, by Dr. Gallupe. Predisposition to car
246 PRACTICE.

buncular diathesis removed with Nitr. ac. Two cases of nasal

polypi removed by Teucrium marum verum . (N. A. J. H., 21,116.)
Ulcers. No remedy more efficacious than Polygonum hydropiper
in removing superficial ulcers and sores upon the lower extremities.
Twenty drops of tinct. in half a tumbler of water, a tablespoonful
a

three times a day, internally ; topically a lotion one part tinct. and
four parts water. (A. E. Small, U. S. Med. and Surg. Jour., v. 7,
p . 154.)
Ulcers of leg. There are three general classes of ulcers, viz :
The syphilitic, the varicose , and the scrofulous. The syphilitic
ulcer is dependent upon specific venereal poison, either hereditary
or acquired , and is seated above the middle of the leg. The vari
cose ulcer is dependent upon or complicated with varicose veins of
the leg ; and those not coming under either of these heads are
classed as scrofulous.
The two last varieties are seated below the middle of the leg.
The treatment should be directed : first, towards removing the
constitutional or local causes ; secondly , supporting or giving rest
to the parts ; and thirdly, assisting nature in her mode of healing.
>

The constitutional condition is best met by the homeopathic

remedy. The local cause, if it be diseased bone, must be removed by
the trephine, gouge and bone forceps or by the injection of dilute
sulphuric acid . If the ulcer be varicose, dependent upon varicose
veins of the leg, the diseased vessels, if not too badly diseased ,
should be supported by the flannel bandage, and the indicated re
medy given internally. Should obliteration of the vessels be neces
sary, caustic issues may be formed by Vienna paste, or the vessels
may be injected with the per-salts of iron, or the veins may be
subcutaneously ligated with wire or suture pins, which is undoubt
edly the safest and best method.
The giving 'rest or support may be accomplished by the use of
common cotton bandage, the elastic stocking, adhesive straps, etc. ,
but the flannel is superior to them all. The bandage should be
of white flannel, five yards long, and two or three inches wide.
The third indication is met by using such applications as will,
when mixed with the secretion of ulcer, form a crust that will ex
clude air and not injure the new forming cicatrix. An ointment
of oxide of zinc, one part, to lard six parts, answers the purpose.
Skin grafting has also proved beneficial. A solution of nitrate of
silver, one or two grains to the ounce, is an excellent anodyne ap
plication , and should be applied when ulcers are painful, one or two
 SKIN. 247

days before applying the ointment, or introducing the graft. (C.

A. Church, U. S. Med . and Surg. Jour. >, v. 7, p. 441.)
A little girl æt. 2, had superficial ulcers on the leg. They were
surrounded by a somewhat raised pinkish areola ; in the center of
each was a small, dry, black, slightly depressed scab , from under
the edges of which oozed a mixture of thin, light yellow matter
and very dark blood. She complained of burning pains in the
ulcers and had great desire to scratch round the edges, but dis
liked to have them exposed to the air. Loss of appetite, general
prostration and intense thirst for small quantities of water fre
quently. Arsen.com , healed the ulcers. ( N. A. J. H. , 21, 105.)
Indolent Ulcer. Mrs. S., æt. 40. Had been for a year using
washes of sulphate of copper, sulphate of zinc, sugar of lead, etc.
Ulcer at last dried up, and patient was discharged as cured.
On taking cold, a few weeks after, her entire foot and ankle broke
out into small ulcers, resembling the original sore ; great pain in
the ulcer, itching of feet and ankles, almost unbearable ; leg worse
after sleep, and always better from warmth .
R. Laches.me, on tongue. The second day the itching increased .
R. Sac. lac. , cured in six weeks. (W. D. Hall, Transac. Hom. Med .
Soc. of Penna ., 1872, p. 148.)
Chronic Sinus. Oct. 15th. George Turner, æt. 7. In front
.

of the left ear an ill conditioned fistulous wound, had existed three
years . Silic.3,> cured in one month. (J. H. Nankivell, H. W. , 7,
106.)
Phagedenic Cancroid. Powdered camphor, according to M.
Baudoin serves to arrest the progress of this disease as well as that
of hospital gangrene. (Exchanges. U. S. Med. and Surg. Jour. ,
v. 7, p. 245.)
Cancerous ulcers on the right breast around the nipple in a
man æt. 42. Since several years several hard tumors of the size of
a pigeon's or hen's egg have grown in that region. Two of them
have broken and formed discolored and fetid ulcers with elevated
edges ; axillary glands are swollen and the whole body emaciated
and kachektic. Arsen. and Mercur., had been used without any
effect. Condurango, 1 dil. , five drops night and morning con
>

tinued for two months, healed the ulcers and softened and de
creased the tumors to such extent, that the patient regarded
himself cured in this respect. Upon a swelling about the articu
lation of the lower jaw on right side which prevented him from
248 PRACTICE.

opening the mouth , Condurango had not the slightest effect. (CI.
Müller, I. H. Pr., v. 1 , p. 370.)
Cancerous ulcer on the right side below the false ribs, of the
size of a man's hand, had formed in a man æt. 42, out of a small
hard tumor, growing larger and larger in circumference. The
ulcer has elevated, irregular edges, has destroyed the cellular
tissues and part of muscular substance and emits an acrid, ichorous
secretion ; it is very painful ; the inguinal glands are swollen and
painful; the whole body emaciated and cachectic. Sulphur and
Arsen . had been of no use. Condurango 1 dil. , five drops night
and morning relieved the pain within two weeks and within five
weeks the ulcer showed signs of improvement . The continued
use of the remedy for six months dimished the size to one half.
Still under treatment. (Cl. Müller, I. H. Pr., v. 1 , p. 371.)
Cancerous tumor, Oct. 19th . E. W. , æt. 45. Catamenia have
ceased for nine months during which period she has been affected
with a swelling in the hard palate which bleeds and discharges an
offensive matter. Some pain ; tumor hard, somewhat elastic to
the touch and uneven, of malignant appearance. Hydras.', was
followed by great improvement. (J. H. Nankivell, H. W., 7,
106.)
Cancer. After extirpation of the tumor I give Carbol. ac., in
two drop doses, largely diluted with water, for the space of from
three to six months ; by doing so a recurrence of the disease has
thus far been prevented in every case so treated during the last
two years. Several cases cited. (G. M. Pease, Med . Inv. , v. 9,
456.)
A new characteristic symptom of Carcinoma. Dr. Ph. E.
Arcularius found on careful microscopical examination of the urine,
continually a preponderance of small ovoid double nucleated cells
of uniform size and appearance, which established in his mind a
firm conviction of their identity with carcinoma. (N. A. J. H.,
21 , 88.)
A peculiar tumor in the central part of the back, as big as a
cherry, growing on half an inch long pedicle ; tumor and pedicle
are of a bluish color. Conium30, one dose every evening for eight
days. The tumor commenced to shrink and fell off after three
weeks. (Stens, Sen., A. H. Z., 85 , 195. )
Tumor as large as a child's head with cauliflower like excresen
ces upon the left shoulder. Condurango, first increase of pain.
'After eight days gradual diminution. ( Bonhoff, A. H. Z. , 85 , 197.)
>
 SKIN. 249

Lichen . Nov. 21. A boy æt. three months, was presented at

the clinic with lichen, or a dry, itchy, pimply eruption over the
face and behind the ears, the skin of which was rough, free from
natural color and moisture, and due to subcutaneous effusions of
plastic lymph. Staphis.200, thrice daily was given. The child was
again presented December 22d, cured. (M. Macfarlan, A. J. H.
M. M. , v. 5, 203.)
Psoriasis. G. D., æt. 13 ; Dec. 17th. Irregular patches on the
knees, elbows, and in fact all over the body except the face ; cov
ered with shiny scales ; edges slightly raised and irregular ; tongue
slightly coated brown. Arsen. 1x, Sulphur 1x every two hours, in
alternation followed by slight improvement. Jan. 14, Iris vers. 1x,
every two hours. Cured. (E. W. Alabone, H. W. , 7, 156. )
Inveterate tetter on the palmar surface of both hands, cured
by the expressed juice of Lycop. escul. (A. E. Small, U. S., Med.
and Surg. Jour., v. 7, p. 157.)
Tetter in the bend of the knee, since several years. It itches and
smarts ; the place is sore ; constant oozing of an acrid fluid
which forms into hard crusts with deep cracks. Scrofulous habits ;
no other cause detectable. Natr. mur.400 Jen., one dose. In the
>

first two weeks no change ; in the third week a light improve

ment ; entirely cured in eight weeks. (Stens, sen. I. H. P.,vol. I.,
7

358. )
Skin -affection of hands with thick crusts and deep rhagades,
looking like frost-bitten ; hands very painful; since several years .
Petrol.200, 4 doses one every evening cured in three weeks. (Stens,
sen., A. H. Z. , 85, 170.)
Psoriasis on knees, elbows, legs and eyebrows in a girl æt. 23,
and well in other respects. Phosph .“, one dose every evening cured .
(Heyne, A. H. Z. 85,188.)
A lady æt. 44, had suffered for years from Psoriasis inveterata ,
with dry, scaly eruption on the dorsum of both hands; intense
itching when warm ; after scratching relief, followed by burning
and at times bleeding ; at night, when in bed, feet burn, is obliged
to put them in a cool place. This case was cured by one dose of
Sulphur. (Stow, N. Y. S. Trans., 1871 , p. 617.)
>

Psoriasis Dorsalis. — Mr. B. æt. 56, teacher of music, has for

two years past eruption on the index finger of right hand, covering
a surface about two inches long and one inch wide, hard, hyper
trophied and covered with thick whitish scales. Teucrium mar. ver . 1
250 PRACTICE .

two drops morning and evening. Cured in one month . ( Richards,

G. W., H. W., 7, 260.)
Prurigo, Sulph. In children Teste recommends Crot. tig. Pru
rigo podicis is said to indicate stone in the bladder in adults, as pro
lapsus ani does in the young. Lycop. is the only medicine which has
produced " an itching eruption of the anus ” and it occupies the
fore-front as a remedy for lithiasis. ( E. Blake, Br. J., 30, 119.)
Scabies. The female acarus lives three or four months and lays
forty or fifty eggs. The egg develops in fourteendays.
The male lives in vesicles or short burrows in the skin, the
female makes long canals, rooting in through the epidermis, feed
ing on the rete mucosum , laying eggs in this canal.
The disease cannot be communicated with triturated acari or the
contents of the pustules or vesicles, showing that the itch insect
does not carry a specific poison into the blood. The acarus is active
from heat, and quite benumbed with cold ; hence, when the hands
and body are covered up warm in the bed, the animals move around
more nimbly, and produce greater itching. Relapses of the disease
often occur after a cure is effected , by the patient putting on some
of the garments or bed -clothing he may have used while he had the
disease. Some of the crusts in which the acarus may for the time
being be dormant, getting in contact with the skin again, so that
a “ driving out” of repelled scabies, is only a fresh attack of the
disease. (Quoted by B. W. James, H. M., June, 1872, p. 532.
Extensive Scald .. M. E., æt. 14, both thighs and legs one ex
tensive blister from application of hot water. At first rigors and
partial collapse. Then convulsions with coma. Twenty drops of
Gelsem. were given and repeated every twenty minutes until five
or six doses had been taken. Limbs were dressed with the follow
ing : Glycero-carbolic acid, saturate, one ounce ; simple cerate,four
ounces bismuth subnit., one and a half onces. These were mixed ,
spread on linen and applied. Decided relief and consciousness in
two hours, and entire recovery in nine days. (Littlefield , Am.
Obs., April, 1872, p. 164.)
Cyanhydrosis. The blue color of the sweat was confirmed by a
chemical analysis ; it depended on protophosphate of iron. Dried
blue particles, removed from the scrotum, under the microscope re
vealed uncolored tissue elements, clothing- fibres of different shades,
dark blue particles. This coloring matter was soluble neither in
water nor glycerine. The cotton fibres did not lose color in potash
or ammonia, but did with sulphuric and nitric acids. There are
 SKIN. 251

several cases of blue sweat on record well authenticated. (Quoted

by B. W. James, H. M., May, 1872, p. 471.)
Burns. Shellac dissolved in alcohol and applied to the burned
surface with a brush, giving Acon., Bell. , Ars. and Rhus tox. in
succession internally, produces rapid recovery. (Wells, N. Y. S.
Trans., 1871, p. 39. )
Plunging the burned part into alcohol and letting it remain un
til it begins to sting, then dress with oil, produces rapid recovery.
( Coburn, N. Y. S. Trans., 1871, p. 40.
Stimulants are really homæopathic to burns. Cold water palli
ates but does not cure . Wheat flour is sometimes used with good
effect. Soap is homeopathic to burns and besides having the advan
tage of being readily attainable , is perhaps our best remedy. The
internal use of aa homeopathic dilution of soap has been effectual.
In the form of lather it may be applied to irregular surfaces, re
peating the application until a complete coating is formed . If there
be vesication merely, it will soon dry up ; but if the skin is de
stroyed, ulceration is inevitable. ( Bowers, N. Y. S. Trans., 1871,
7

p. 40.)
Soap contains causticum , so that its action in burns is as old as
Hahnemann, who spoke of its use in burns as well as that of al
cohol and turpentine. (Gray, N. Y. S. Trans., 1871, p. 41.)
Incrustations of alum water covered with lint produce splendid
results, in burns. (Holden, N. Y. S. Trans., 1871 , p. 41.)
Clothes smeared with cosmoline externally and Sulph.200 inter
nally cured promptly a severe ulceration from burning. (T. Frank
lin Smith, N. Y. S. Trans.,> 1871 , p. 42.)
Exclusion of the air is the most important point in the treat
ment of burns, and I prefer the linimentum calcis prepared with
olive instead of linseed oil in its preparation. (Wm. Wright, N.
Y. S. Trans., 1871 , p. 43.)
I have seen the best results from the external use of Urtic. ur.
in burns when there are no abrasions of the skin or destruction of
the tissues. (A. E. Small, U. S. Med. and Surg. Jour., v. 7, p. 159.)

ProperDtIyMa
IOn
d
HONEO E Chamber
 SURGERY .

Traumatic Cataract. Mr. G., æt. 20. Lens injured by a small

chip of steel. Inflammatory symptoms treated on general princi
ples, but was obliged by sympathetic ophthalmia tooperate. The
corneo -scleral section was made by the peripheric linear or modern
method , the length of the cut being four and a half lines, flap
height half a line, and conjunctiva divided one line further back ,
as it was raised on the knife. Acting on the recent suggestion of
a well known London operator, I used a knife of half the usual
width, and of a stouter back. The counter puncture is thereby
made a matter of more certainty, a point of great advantage, and
the narrowness of the blade enables you to incline it at will
much better than with the usual instrument. The iridectomy was
made unusually complete, making traction on the iris, beginning
at the outer angle of the wound, dividing it close to its ciliary at
tachment, cutting it as near the inner angle of the incision as it
would be prudent, to prevent its being caught in the jam of the
incision, becoming strangulated and interfering with a good union.
The lens was removed by pressure, the scoop not being used ; the
capsule was already lacerated almost enough. The eye was sealed
up, the flannel bandage of Lieberich used, the patient made a good
recovery , without pain or a bad symptom . Two weeks after the
operation, with an addition of one-sixth of a glass, he sees objects
at a distance distinctly, recognizing his friends across the street ;
1
>

with an addition of a sky of a glass, can read very fine type. Mercur.
Rhus tox. Rhodod ., control after inflammation. (M. Macfarlan ,
Trans. Hom. Med. Soc. of Penna ., 1872, p. 179.)
Extirpation and Enucleation of the Eye-ball. 1st Case . Wm.
Dixon of Toledo, æt. 35 , about ten days prior to operation was
struck in the eye with a piece of a scale that flew from an iron
(252)
 SURGERY . 253

hoop being driven on to a barrel. Sudden blindness ensued, then

for aa time vision returned. For a brief period little pain was ex
perienced ; in the course of twenty -four hours violent inflam
mation ensued — in fact, general panophthalmitis set in, and the
inflammation extended to the tissues of the orbit. For several
days the patient suffered severely. At the present time the pa
tient is free from pain in the injured eye ; but there is marked
sympathetic ophthalmia in the other eye. In order to save the
uninjured eye, the removal of the other is imperiously demanded.
Extirpation is the only remedy.
2d Case. W. H. Foot, æt. 60, of Hiram , Ohio. This patient
observed last May a blindness coming on in the left eye, which in
creased until the end of two months sight was wholly lost, and
then the ball became the seat of continuous and severe pain, which
lasted for several weeks. A projection of the sclerotic coat was
now discovered, just below the cornea. The increase of this marked
the rapid decline of pain, and for aa while the only uneasiness ex
perienced has been wholly in the sound eye. Both photophobia
and pain are becoming prominent in this heretofore unaffected eye,
and there is no other recourse than the removal of the unsound eye.
Both patients were operated upon successfully. (T. P. Wilson, O.
M. and S. R. , vol. 6, No. 3.
Acute Glaucoma, Iridectomy. A woman æt. 30, nearly
blind in left eye, suffered severe pains through the eye-ball and
temple. There was fullness and tension of ball, with peculiar
blueness of sclerotica. Right eye, vision dim and presbyopic.
Upward iridectomy on left eye was performed , and patient placed
in a dark room ,, and given Mezereum . Pains increasing in right
eye. A portion of iris of this was excised. The result was im
mediate and gratifying. Pain ceased ;; vision in right eye restored ;
and woman resumed her household duties in ten days. (M. Mac
farlan, A. J. H. M. M. , vol. 5, p. 464.)
>

Strabismus, its causes and surgical treatment, according to

Prof. T. C. Donders, explained by Dr. J. B. Bell , ( Trans. Am.
Inst., 1871 , sect. 5, p. 288.)
Mono-lateral convergent strabismus in a lady æt. 27 successfully
operated upon by severing the tendons of both internal recti. No
anæsthetic used . (Eye and Ear Clinic, Hahn. Med. Col., W. H.
Woodyatt, U. S. Med. and Surg. Jour., vol. 7, p. 440.)
Cataracta lentis spontanea, Cataracta lentis traumatica, Cataracta cap
sularis, Cataracta Congenita , by Dr. Payr. (I. H. Pr. , vol. II. , p. 121.)
 254 SURGERY .

Opthalmic surgery. Several cases of. (By Samuel Worcester, A.

J. H. M. M. , vol. 5 , p. 301.)
A new method of temporary osteoplastic resection of the external nose
for the removal of naso -pharyngeal polypi, by Prof. Praus. This may
be done in two different ways ; either by turning aside only one
half or the whole external nose, according as circumstances require
the opening of one or of both nasal cavities. In the first case, it
is a temporary resection of the processus nasalis, of the maxilla
>

superior and of the nasal bone of the same side, whereby the
hinge movement proceeds in the suture of both nasal bones, vio
lently forced asunder ; in the second case, it is a temporary resec
tion of the processus nasalis, of the superior maxilla, of the
septum nasium and of both nasal bones ; and then the movement
proceeds at the junction of the nasal bones and of the processus
nasalis of the maxilla superior of the other side. (N. A. J. H. ,
21 , 46, 1872.)
Oesophageal stricture ; Treatment by dilatation . Mrs. E. B. ,
æt. 45. Seven years ago was awoke suddenly one night by a woman
shrieking “murder !” Was excessively frightened and suffered
from rigors for three or four hours after: ; soon began to notice diffi
culty in swallowing ; and on lying down at night had sensations
of tickling and cough in the throat, relieved by aa sip of cold water.
One year after was nearly choked by a bit of meat, and since has
been afraid to swallow anything but beef tea and gruel. The
difficulty of swallowing increases and she has no doubt the passage
gets narrower ; general health poor. Treatment consisted in passing
at first a No. 7 gum -elastic catheter, and subsequently bougies
from No. 1 to 12. At present she has no difficulty in swallowing .
I believe the fright was the cause of the contraction. ( H.
Nankivell, Month . Hom . Rev.,) v . 16, p. 72.)
2

Scirrhus of the Mammary Gland. In the autumn of 1867,

Mrs. B., æt. 53 ; very fleshy ; came to me for advice ; had been
suffering from poor health for some time , having much gastric
disturbance, and a very healthy appearance of the skin. The right
mammary gland was enormously large, hard, presenting lobulated
points or projections; extreme venous vascularity at these points ;
was subject to paroxysms of lancinating pain, felt hot internally, and
at its pectoral attachments. Patient was very blue toward night ;
had many sour eructations, etc. I treated her until March , 1868 ,
giving chiefly Calc. carb.2 , which benefitted materially, and pre
pared the patient for the operation. About the 25th of February ,
 SURGERY. 255

discovered integumentary ulceration of the breast had taken place

at the most prominent nodule, and the body of the gland was pro
truding, breaking down, and discharging a sanious, bad smelling
fluid, if not frequently cleansed. At times, hemorrhage to the
amount of a pint, took place, principally from the integumentary
veins. As the general health had improved materially, and fearing
>

to wait longer, I advised an operation for its entire extirpation.

On the fifth day of March, 1868 , I removed the entire gland,
tearing it from its attachments, after making an elliptical integu
mentary incision. A portion of the pectoralis major was bound to
the tumor by a portion of the breast, which had thrust itself be
tween the lower and internal border of that muscle and the chest.
These fibres, together with some strong pillars of fascia, and large
branches of the internal mammary, axillary, and intercostal vessels,
were clipped , and the breast removed . After tying some of the
arterial trunks, and awaiting the cessation of bleeding, the lips of
the wound were well approximated, and dressed with lint. The
patient rapidly recovered , and is now in robust health. The tumor
weighed seven pounds, after two or three days of maceration in
water. It had all the peculiar characteristics of cancer. (T.
Dwight Snow, N. Y. S. Trans., 1871, p. 315.)
Mammary Cancer. Mrs. S. , æt. 38. When called she was
thought to be dying ; had been unconscious for a day ; unable to
recognize friends for some time ; found ulcerated scirrhus of left
breast ; tumor large, excavation extending nearly over it and to its
base ; profuse, thin, grumous discharge with horrid stench ; up to
the time of ulceration, on account of its great size, the little pain
and other conditions and symptoms, it was thought to have been
of cystic origin . Ulceration began some five or six months since,
and has been progressing rapidly , the general health of the patient
gradually running down. She had been treated in the most heroic
manner ; drugs and narcotics were given frequently, in the largest
>

doses. R. Bellad.6m every three hours, which aroused her by the

next day ; a poultice, made of powdered willow charcoal, ground
flaxseed and brewers' yeast, packed in the wound, altered the
character of the discharge and absorbed the foul odor.
In fifteen days removed the cancer, taking away nearly the whole
of the pectoralis major and minor muscles, which had become much
involved , and , through the long verticle incision over the breast
and chest, I worked into the axilla, removing a chain of enlarged
glands. Everything like scirrhus or induration was removed down
256 SURGERY .

to the ribs and intercostals ; ten or twelve ligatures were applied,

the woman losing but little blood. The skin was dissected up for
several inches on either side, and drawn together by interrupted
sutures. The tumor weighed two pound seven ounces when washed
and free from blood, and, under the microscope , its minute anatomy
was highly characteristic of scirrhus.
Water dressings of charpie were applied until suppuration set
in , on the third day, when flaxseed poultices were used, changing
2

them every four hours. For the first two days the woman ap
peared to have a slim chance for life, as she lay motionless and
senseless, without a particle of color, and taking sips of liquid food
mechanically . B. Phytol.,three doses daily, po liquors. Gradual
>

recovery without drawback . Four weeks after operation wound

was healed. (M. Macfarlan, Trans. Hom. Med. Soc. of Penna., 1872,
p. 180. )
Posterior Spinal Curvature. A new Apparatus for the Treat
ment of. Construct a supporter out of sole leather well soaked in
warm water, and fitted exactly to and dried upon a plaster cast of
the patient's back. A longitudinal aperture is made directly over
the vertebræ of the curvature, and the inside is padded with cotton
and covered with chamois skin. Four rivets, with broad heads
projecting an eighth of an inch above the outer surface of the shield,
are placed near each corner of the leather, or about one inch either
side of the opening; and two steel springs, considerably curved, are
prepared with slots on each end and of sufficient length when
straightened as to be slipped under the heads of the rivets. The
leather shield is first secured to the patient's back by straps passing
over and under the arms and buckled to a strong breast-plate, thus
affording support to chest as well as spine. After the leather is
fastened securely, the springs are to be applied with their convex
sides against the shield, and the ends passed under the rivets into
the slots, whereby a constant and uniform support is secured to the
patient, which at the same time tends to flatten and reduce the
curvature. (S. E. Trott, U. S. Med. and Surg. Jour., v. 7, p. 224.)
>

Removal of Lipomata weighing 21 lbs, located in the scapular

region of left side, housewife, æt. 58, family healthy, parents aged.
The tumor was large and unusually pendulous. Three semi-lunar
incisions were made, in shape and number to those of the heart,
one at the superior portion , one internally the base directed toward
the vertebræ and the third external, the base toward the axilla.
The base of the tumor was found lying upon the supra and infra
 SURGERY . 257

spinatus muscles. The flaps were secured with silver wire and then
dressed with carbolated oil gr. x to oleum lini 3 j. The superior
flap sloughed away in course of treatment leaving an extensive
ulcer, this was subsequently healed by the grafting process which
proved successful. ( H. F. Biggar, 0. M. and S. R. , v. 6, No. 1 ,
p . 26. )
Dislocation of the second Cervical Vertebra . A case of dis
location of the second cervical vertebra is reported by Dr. H. N.
Keener.. After several trials reduction was affected and the pati
ent recovered fully. (Med. Inv., v . 9, 491.)
>

Reduction of dislocations by manipulation. The law of

Homeopathy runs through all this. Use the same force reducing
which has produced the deformity until equilibrium is restored,
nature finishes. Whatever way the extremity or joint is distorted
or whatsoever the language of the luxation, or in whatever mal
position is the part, thedeformity in every case is to be aggravated ;
draw the part in the position in which it is found to be out of
shape, in a similar manner and in the same direction in which you
see it. This always relaxes the muscles and untorn ligament which
actually produce the deformity by pulling the part out of shape,
and brings into action those muscles which have suddenly become
paralyzed in the luxation ; restoring equilibrium , overcoming de
formity. Not only muscular resistance, but forms of the surround
ing bony structure, lapping of a muscle over the displaced bone,
character of capsular tear, way in which ligaments are ruptured,
all are of importance.
The untorn portion of the capsule, the ilio-femoral or Y liga
ment often causes deformity in hip -dislocation. Muscular and
ligamentous relaxation are combined in a simple movement. Mus
cular relaxation alone, often fails ; slightly increase the deformity
to produce free motion, then manipulate the bone towards its
proper place. Shafts of bones are surrounded by as large muscles
as articulations, and muscular effort is present in as great or
greater force, as a rule, in dislocations as in fractures. In frac
tures, extension is effected by the surgeon's hands, without anæs
thesia ; but in certain luxations even after profound anæsthesia
great force is necessary. At other times when , with the same
muscular power present, reduction is easy,, it shows that there is a
condition behind muscular power which can only be and is ac
counted for by ligamentous resistance. Post -mortem examinations
and experiments on the cadaver prove this.
17
258 SURGERY .

At the shoulder, the first movement for restoring the displaced

head of the bone in either of the three varieties, is to elevate the
arm on a level with the shoulder. If the dislocation is downward ,
raise the arm directly upward on a level with the acromion , and
make outward extension with slight rotation. In cases where it is
difficult to dislodge the head of the bone by this plan, raise the
elbow higher by rotary movements and extension ; if necessary ,
use the fist in the axilla as a fulcrum and press down on the acro
mion for counter extension . The head of the bone is often slipped
into place in the effort of bringing down the arm across the chest .
In the forward dislocation, the elbow is drawn down and carried
farther backwards to relax the muscles and ligaments, which pro
duce the deformity ; the elbow is then elevated, drawn directly
out from the body, then passed forward opposite the axilla, and so
down at the side. Or, if converted into an axillary displacement,
the plan above mentioned is used. In the dislocation backward ,
the elbow is carried further forward and upward , with extension
and rotation ; the head of the bone going back the same route' by
which it left the glenoid cavity.
In both the outwardly and inwardly inclined varieties of the
backward luxation at the elbow , where the forearm is more or less
flexed on the arm , reduction is effected by controlling or steadying
the arm , flexing the forearm , making at the same time backward
pressure near the elbow , to free the bone ; reduction is also ac
complished over the surgeon's knee by the same movements.
In the rare form where extension accompanies the backward dis
location of the ulna, the bone is put in place by making gentle
rotation after extreme extension. In the luxation of the carpus
upon the bones of the forearm , the reduction is easily effected ac
cording to the principle above mentioned . The common . disloca
tion at the metacarpo -phalangeal articulation is rectified by simple
manipulation and extension. Difficult cases are now and then met
with, where the greatest force consistent with the safety of the
joint will fail when the base of the phalanx is pushed back a con
siderable distance, overriding posteriorly the head of the metacar
pus ; the resistance or tension being due to the untorn portion of
the anterior ligament.
Crosby's plan which is the best , is to increase the deformity by
generally pressing the phalanx farther backwards, or occasionally
forwards, as you find it to be most movable ; the untorn ligament
 SURGERY . 259

is thereby relaxed, and the surgeon's thumb pushes the base of the
bone in place.
In the hip, when the luxation is backwards on the dorsum of the
ilium, when the head of the bone is sent upwards and backwards,
the lower extremity is adducted, flexed, and further inverted, and
by slight extension then applied, or combined abduction when the
knee is elevated, the bone is generally replaced ; the last move
ment was the original method of Nathan Smith.
When the head of the bone is sent upward and forward , resting
on the pubes, increase the deformity by greater abduction, exten
sion, and eversion of the thigh ; at the same time the leg may be
slightly flexed to control the extremity better. As the thigh is
carried backward you bring the head of the bone in position with
slight rotation. Another method is, when the thigh is abducted,
rotated outward , leg flexed , and the foot lying or retained on the
opposite thigh, the knee may be elevated, when the head of the
bone slips into place with a rocking motion.
Use no force, flex and extend with slight to and fro motion.
The general principle remains the same in each luxation, separate
cases develop peculiarities. The causes of eversion are the ilio
femoval ligament, psoas magnus, iliacus-internus muscles. In dis
location into thyroid foramen, flex limb towards a perpendicular,
and abduct it a little to disengage head of bone, then rotate the
thigh strongly inwards, adducting and carrying the knee to the
floor; making the movement so that the knee describes an inclined
ellipse. Another plan is to abduct and evert thigh, carrying it
backward, upward and across into place. In the knee effect re
duction by extension, adducting or abducting the leg, slightly
aggravating the deformity at first. (M. Macfarlan, H. M., Nov. ,
1873, p. 168.)
Fungoid Tumor of the hand. C. D., æt. 32, stated that she
had been suffering intense pain in the right hand for the last six
months. The patient could not move the fingers nor use the hand
in any way. The tumor was very red, enlarged and tender to
touch ; the fingers could be easily moved without pain or affecting
the tumor, which, through the aperture in the skin, presented a
dirty grayish -white appearance, and seemed to contain a fluid ,
either serum or pus. As the patient could not bear a very thor
ough examination, an operation was postponed.
July 17. Ether was administered, and I proceeded to make a
thorough examination. The tumor was situated on the dorsum of
260 SURGERY .

the right hand, conical in shape, having a very broad base, firmly
attached , and felt somewhat elastic. I introduced an exploring
needle, and on discovery that it did not contain fluid , but was
>

solid throughout, resolved to remove it. Two incisions were

made, the larger one extending from the metacarpo-phalangeal
articulation of middle finger to the wrist, the shorter crossing the
above at right angles, over the apex of tumor. The flaps were
then dissected back and the base found to grow from the sheath
of the extensor communis digitorum, was dissected as clean as pos
sible with the scalpel, and the remaining irregularities trimmed
down with the scissors. The hemorrhage was very profuse ; and
to be sure of removing any pieces of the mass that might have
been concealed by it, I cauterized the whole cavity, especially the
bottom with nitrate of silver, which also arrested the hemorrhage .
The wound was left open , and flaxseed poultice applied. The tu
mor was about two inches in diameter, and about one and a half
inches in depth . In structure it was soft and elastic, and under
the microscope presented fibro-plastic cells and granular matter.
September 6th. Wound completely healed, and patient free from
pain, the hand being of its natural size, with all its motions per
fect. (H. G. Preston , N. Y. S. Trans., 1871 , p. 349.)
> >

Trephining of the Tibia. The patient had been suffering

from chronic abscess of the tibia for about two years. These ab
cesses occur most frequently near the articular extremities of the
long bones, unless caused by direct violence. The tibia seems to
be the most subject to them, the femur next, and the humerus still
less. Any cause which produces an inflammation of the cancel
lated structure of bone is sufficient to form them.
Caused by a gun -shot wound received on the sixth of May, 1864.
The bullet entered just anterior to and below the upper end of the
fibula. A large abscess formed aa little above the centre of the
fibula, pointing near the middle of the cicatrix. The abscess was
freely opened by the attending surgeon, and several fragments of
the fibula were removed , showing it to have been shattered by the
bullet. A wad of cloth was found , lying imbedded in the soft tis
sue, in an oblique direction toward the knee from the point where
the bullet entered. The opening then made did not heal for about
three years, during which time several more pieces of bone were
removed and others came away.
About two years ago this opening healed. Soon afterward he
was attacked with violent pains in the tibia , where the upper sinus
 SURGERY . 261

is situated . He had chills and fever, and describes the paroxysms

of acute pain, as coming on at irregular intervals, somewhat inter
mittent, and especially agonizing at night. An elevation soon ap
>

peared at this point, to which, he informs me, he applied poultices

for nearly four weeks, when an opening was formed, discharging
pus and blood freely. From that time to the present, there has
been more or less discharge of pus, blood and serum from this up
per sinus. Whenever there is an obstruction he is attacked with
more or less inflammation of the periosteum and surrounding tis
sues, accompanied with severe pains, which continue until the
opening is re-established.
It was deemed necessary to trephine the bone, with a view of
removing whatever of its cancellated structure may be found dis
eased, and also the bullet which caused the injury.
As I passed the probe into this upper sinus, after entering nearly
two inches it meets with an obstruction . This proved to be the
bullet.
The lower sinus is not quite as deep, and the peculiar feel at its
bottom seems a little more smooth than at the bottom of the other.
I now opened, with the scalpel, the soft tissue, down to the bone,
from a little above the upper sinus to a point a little below the
lower one, making an incision about four inches in length. After
having dissected the periosteum from its attachments to the bone,
I next bore with the trephine down to its posterior plate. It is
usual in removing a vertical section of bone, or a part of one, to
trephine at each extremity of the part to be removed . Instead of
doing so, in this case , I passed the saw downward and through
the anterior plate, from one sinus to the other. Again I sawed
transversely from the lower sinus, outward, down through the ex
ternal plate, to a sufficient depth for removing that portion of bone
which lies between the sinuses. Almost directly back of the upper
one I found the ball lying firmly imbedded, about half its thickness,
in the bone, having passed through the posterior plate and ex
ternal border of the tibia, at the termination of a line bounding
the internal attachment of the tibialis posticus muscle. I noticed
the fibula resting against the tibia at this point, which is probably
the result of its having been fractured above. With the gouge
and bone forceps I removed . portions of the interior structure of the
bone, which show an unhealthy appearance ; also whatever was in
the way of removing the ball, which seemed to adhere. Success
crowned our efforts in finding and dislodging the intruder, and I
262 SURGERY.

closed the incision with interrupted wire sutures. The dressing

consists of several thicknesses of patent lint, saturated with car
bolic acid and linseed oil (boiled ) in proportion of about one-third
of a solution of the former to two-thirds of the latter, over which
>

we place a piece of tin foil, to exclude the air, and apply a bandage.
(L. Pratt, N. Y. S. Trans., 1871 , p. 357.)
Caries and Necrosis of the Femur, treated by excision of
head of bone, and some months afterwards by amputation. The
suppuration of the soft parts necessitated a short external and a
long internal flap. Arteries secured with carbolized cat-gut liga
tures. Antiseptic dressing applied to the sutured stump. Aconites
given every two hours. In two weeks, stump healed perfectly ;
patient discharged. (Surg. Clinic, Hahn. Med. Col., W. Danforth ,
U. S. Med. and Surg. Jour., v. 7, p.
p 316 and 417.)
Resection of knee joint. According to Butcher the first case
was undertaken by Filken in 1762. Up to 1849, thirty-one persons
had been operated upon , of whom sixteen were males and the rest
females ; their ages ranged between seven and forty -four years ;
thirteen recovered , the rest died. (A case by Wm. Tod Helmuth ,
1.

N. Y. S. Trans., 1871, p. 321.)

Varicose veins, of leg radically cured and by sub -cutaneous
ligation, by the common suture pin method. A case given ; pins
removed after ten days. Cured. (W. Danforth , U. S. Med. and
Surg. Jour., v . 7, p. 320. )
Operation for Congenital Inguinal Hernia . Replace the
hernia, leaving the cord below . A double cord is now passed
through a straight, stout needle. The gathered tissues are trans
fixed just above the external or lower ring. Another needle
threaded in like manner is passed in the opposite direction, about
a -half inch above the first, in an oblique direction, and allowing
them to remain thus, the threads are wound in figure of eight (8)
manner, from heel to point, in same way as in hair lip operation.
Confine patient to bed for аa week or more, until adhesions take
place, when the needles are to be removed. A truss is now to be
adjusted and patient is allowed to go about. Should any peritoneal
symptoms set in the needles can be removed at once and the danger
thwarted . (Beckwith, S. R., O. M. and S. R., v. 6, No. 3, p. 149.)
New Method of Operating for Removal of Malignant Growths.
Semon , of Heidelburg, has operated several times for the removal
of malignant growth from the various cavities of the body, by
scraping out the diseased mass by means of spoon-shaped instru
 SURGERY . 263

ments, with oval blades and sharp edges, varying in size from that
of a pigeon's egg to that of a bean, the handles being adapted in
their length to the cavities into which they are intended to be
used. He has operated in this way three times for cancer of the
cervix, and once within the corpus uteri, once upon the posterior
wall of the vagina, once upon an epithelial cancer of the bladder
in a female, introducing the instrument through the urethra, and
once upon the posterior wall of the pharynx. Tumors of the
orbit, antrum of Highmore and of the rectum can be removed in
the same manner. In operating upon the uterus and vagina, he
asserts that the pain is very slight, scarcely requiring the use of
anästhesia. He claims that these growths can be more thoroughly
removed by this method , and are less likely to recur. (H. F. Big
gar , N. Y.Med. Jour.; 0. M. and S. R. , v. 6, No. 3, p. 149.)
Ovarian Abscesses . Successfully Treated by Opening. Mrs. N.
S. R. , a patient of Dr. Clay, of Morristown, N. J. 7, æt. about 40,
had been ailing with metritis and tenderness over the left ovary .
An abscess finally appeared four inches above the crest of the
pubes, and half-way towards the “spinous process of the left ilium.
Ulceration by contact and perforation of the bladder had taken
place, followed by the discharge of a large quantity of green of
fensive pus. A free incision was made into the abscess, which was
followed by the discharge of nearly a hand basin full of thick
putrid pus, mixed with numberless black particles like coffee
grounds and shreds of lymph. A tent was introduced to secure
free drainage, and Hepar sulph. given. The patient did well, and
in eight weeks was riding out, with all discharge cured.
Mrs. S. C. W. , æt. about 70, a patient of Dr. Leech , of Down
>

ingtown, was found with a spherical enlargement to the right

of centre of hypogastrium, hard to touch, well defined , and felt
like, and as large, as a child's head. Patient's pulse was thready,
weak and rapid ; fever constant, with restlessness and anxiety ;
dry tongue ; no appetite, and getting rapidly worse. After being
chloroformed , an incision of about five inches in length was made
into the tumor, which was followed by the discharge of about a tea
cupful of watery, offensive matter. Tents were introduced, and
poultices applied. The discharge altered to healthy pus ; was freely
poured out, and in a few days the patient began to rally. In a
week the tents were taken out entirely. The patient made a good
recovery. (M. Macfarlan, A. J. H. M. M. , v. 6, p. 13.)
2

Ovarian Tumor. Electro-Galvanism . A married woman, æt. 33,

264 SURGERY .

suffering with unilocular cyst of right ovarium , but otherwise en

joying good health with the exception of irregular menstruation .
A heavy steel ring was forced down over the tumor, which was
about the size of a large cocoanut ; the ring was kept in place by
an assistant. Three gold needles were now plunged into the sac
and the positive electrode of a twenty cell battery placed upon the
back of the patient, while the negative pole was in contact with
the needles. The current was then passed for nine minutes, pa
tient complaining only of pain and smarting in the back . On a
second application of the current lasting sixteen minutes, the skin
around the needles showed signs of cauterization, the elasticity of
the tumor was gone, and in the place of the former feeling of fluc
tuation, was one of a “boggy, doughy” character. The resulting
pain and increase of pulse was controlled first by Acon. , after
wards by Bellad ., compresses of Bellad. lotion were also applied. In
two days all treatment was suspended and in a week's time, the
tumor was reduced to the size of a hen's egg. Since that the
woman has reported herself as feeling well in every respect. ( E.
C. Franklin , Med. Jour. , v. 9, 408.)
Ovarian Tumors. Dr. G. D. Bebee, relates ten cases of ovarian
tumors, of which eight were extirpated successfully ; two of a
cancerous nature died after the operation. The author believes
that the habits of women of the present time predispose them to
the formation of ovarian tumors, for which he gives the usual
diagnostic distinctions ; extirpation is claimed as the only certain
method of treatment of ovarian cysts, and should be performed
when the tumor is so large as to exert any considerable pressure
upon surrounding viscera. In the ten cases recorded , no death
occurred which could be traced to the operation . In the other
cases, it was noteworthy how comparatively free the patients were
from suffering after the operation . In no case was opium ad
ministered to procure sleep. For detailed accounts of the cases,
and their treatment, we must refer to the original. (Trans. Am.
Inst., 1871,, sec . 5, p.
. 322–46 .)
Ovariotomy. Dr. J. B. Bell relates two cases of ovariotomy,
the description of which would be marred by attempting an abstract.
We will merely notice that the first of the two cases,though unfavora
ble in many respects, (such as the rapid progress of the tumor, the
prostration of the patient, numerous tappings and adhesions in
consequence thereof, and from other causes) was followed by com
plete recovery, which was due to homeopathic treatment. Arnica,
 SURGERY. 265

Rhus tox., Sulphur, Aloes had been used ; notwithstanding these

remedies the following symptoms were present on the twenty
second day after the operation ; pains from incarcerated flatus, com
ing in paroxysms; the colon and other intestines are made to pro
iect in little tympanitic tumors all over abdomen ; which is flaccid
in the interval. There is diarrhea of yellow brown fluid, with no
passage of flatus by mouth or anus for a long time. The prescription
was Raphan.Im in water every two hours. On the twenty -third and
twenty -fourth days the patient passed flatus freely with entire re
lief, diarrhea having ceased, and recovery followed . ( Trans. Am.
Inst., 1871 , sec. 5 , p. 269.)
Operation for the removal of an Abdominal Fibroid
Tumor. By Dr. C. H. Von Tagen . The patient was a colored
washerwoman, æt. 35, who noticed the growth of a tumor for seven
years prior to August, 1870 ; after this the case was complicated
by frequent attacks of peritonitis, and diarrhoea. In September
severe colds aggravated the case still more until November, resulting
7

in ascitic effusion into the peritoneal cavity. Some five or six months
were consumed in trying a number of remedies, such as Sepia,
Sulphur, Thuya, Gelsem. , Apis, Lycop., all in the 200th potency,
without effect ; the tumor increasing at the rate of about an inch
every month ; an operation was finally decided upon March 16th ,
1871. An incision having been made and gradually increased to
eight and a half inches, about a quart of ascitic fluid escaped ;
numerous adhesions were found binding the tumor to important
viscera, and especially to the abdominal aorta and iliacs ; many ad
hesions were broken with great difficulty, but the operation had to
be finally abandoned in spite of persistent efforts. The wound was
closed and dressed, and slow but steady recovery of the patient
>

resulted by May 15th,, although “ aa bolder exploration of the ab

dominal cavity was probably never made on the living subject.”
( Trans. Am. Inst. , 1871, sec. 5 , p. 347.)
Diagnosis of Ovarian Tumors. A correct diagnosis is im
portant. If the enlargement is due to ædema of the walls of the ab
domen, pitting on pressure is seen, and verified by the exploring
trocar or needle ; if due to fat, abdominal folds of it may be raised
up between the fingers. Tympanitis is known by resonance on
percussion .
Setting aside enlargements of the abdominal viscera as easily
recognized, and thoroughly emptying the bowels by injection, the
question of pregnancy is to be determined in the most careful and
266 SURGERY .

painstaking manner by the two classes of signs, rational and phy

sical. The assertions of the woman are set aside.
Get the truthful history of the case whether the tumor be solid ,
fluid or composite. The enlargement begins on one side, and is
first noticeable in the middle of either iliac fossa and by deep
pressure ; after etherization it can be distinctly felt as a hard round
body. An intelligent patient will frequently tell you this, which
may be considered in a manner diagnostic or characteristic, as we
say sometimes of medicines, although liable to exception.
In purely cystic tumors or ovarian dropsy there is, as a rule, no
accompanying menorrhagia ; in cysto-sarcoma,uterine or cystic fib
roids there generally is, in a very marked degree. As the tumor
increases, it fills up the whole abdomen , and is to be differentiated
from ascites from the fact that there is present no evidence of car
diac, renal or hepatic disease which precedes, accompanies and
causes dropsy. In both cases we have fluctuation on percussion
when the patient is standing. In ascites, when the patient is flat
on her back, we have flattening of abdomen, its surface tremulous,
with resonance on percussion, from intestines floated on the sur
face of the effused fluid, and as in hydrothorax, change of position
alters points of resonance ; in the other case the abdomen remains
rotund by virtue of the distended sac, there is no resonance. In
polycystic tumors the exploring needle shows different colored
fluids, rich in albumen ; in dropsy the fluid is all of aa kind, like a
normal urine. In examination per vaginam , the uterus is not often
much out of position, because the mass above has generally con
tracted adhesions, which act as ligaments. In cysto-sarcoma, al
ternate hard and soft spots in the tumor may be felt through the
thin abdominal walls. Edema of the lower extremities, from pres
sure on the great vessels, is present in all cases when the tumor is
large ; emaciation or absorption of fat is noticeable here as well as
in ascites ; there is much belching of wind ; ravenous appetite ;
little thirst, and no fever. In all cases of doubt it is our positive
duty, before beginning the operation and risk of life, to discover
positively and harmlessly what we have to deal with by using a
long exploring trocar, or, what is better, make in the median line
below the umbilicus an explorative incision, one inch in length,
just through the wall ; if ascites exists, there will be an immediate
flow of fluid ; if not, then introduce the forefinger and explore the
sides of the abdomen , cyst -wall, and uterus, conducting with a
sound an examination per vaginam at the same time, to establish
 SURGERY . 267

the fact of connection. Not only can certainty be arrived at in

this way, after evacuating the sac,, but a good idea obtained of the
amountof adhesion as well as length and kind of pedicle. If the
growth be of a composite or other character, a very small portion
may be removed with impunity for microscopic examination . Of
course it is necessary to use chloroform or ether. (M. Macfarlan ,
H. M. , Oct. , 1871 , p. 115.)
Cysto-Sarcoma, removal of. Mrs. L. Z. , æt. 35 . Three
months previous she noticed swelling on right abdomen ; the en
largement was hard ; this soon became general, extending over the
whole abdomen gradually increasing till now ; of late has menstru
ated every two weeks, though free at beginning of one period the
flow did not cease before another period. She has felt fluctuation
on suddenly moving only within a few weeks ; percussion gave no
impulse. Has profuse, watery, exhaustive stools, great oppres
sion, and difficulty of breathing ; belching, and passing wind ;
burning, shooting pain in the abdomen ; appetite good all the
time, hungry even after meals; neither thirst nor fever ; urine
scanty and dark -brown, and frequently passed ; weak and much
emaciated . The patient called my attention to something just be
low the umbilicus, like aa child's elbow, freely movable, and indis
tinctly to the right what was thought to be the body of a child .
The woman stated to me, over and over again, that she had
felt movement at one time in the tumor, and some physicians
thought her pregnant. Assisted by Drs. G. H. Clark, and J. A.
Bullard, I chloroformed the patient ; made a twelve-inch incision in
the abdominal median line ; exposing the cyst walls on either side,
passed a stout double ligature through the growth , drawing on it
to bring it partly through the opening. Cut the cysts as they ap
peared , excluding all fluid from interior of abdomen . Enucleated
with the fingers all the adhesions. Crowded the mass , when empty
enough and free, out of abdomen, and applied the long clamp to
the narrow pedicular portion when it appeared free and cut the
tumor from above. Cleansed interior of abdomen with sponges
wrung out in warm water ; stopped hemorrhage by torsion, etc.
Waiting to allow time for hemorrhage to appear, passed sutures
through sides of abdomen under the clamp (avoiding vessels)
through the pedicle, closing abdomen , but leaving an opening on
inferior portion of wound for drainage, etc. Dressed it with picked
lint moistened, and a circular bandage. R. Arsen. The contents
of the tumor measured twenty -three quarts, weighed forty- four
268 SURGERY .

pounds, the emptied sac weighed twelve pounds. Seven days after,
removed the clamp. A month later was able to move about room ,
wound healed, general health improving. (M. Macfarlan, H. M.,
Sept. , 1872, p. 68.)
Uterine fibroid. Mrs. W. , æt. 33, operated upon for removal
of intra uterine sub-mucous fibroid . A previous specular examina
tion revealed uterus high up, as closed ; sound entered seven inches ;
uterus filled with a quite large solid tumor. Four sea-tangle tents
were introduced, and allowed to remain twenty -four hours. When ,
after the production of anæsthesia, with Squibbs' strongest ether,
a wide Sim's speculum was introduced,the four tents removed, one
lip of the cervix seized with aa strong vulsellum , and drawn for
cibly down, the base of the tumor was then seized with a Sim's
polypus forceps, and the loop of a wire ecraseur passed around it.
The tumor was afterwards separated from its connection with the
uterus by gradually lightening the ecraseur wire, and after being
cut into sections by the free use of the bistoury, was removed from
the uterine cavity with the forceps. The stump was then cauter
ized with strong per-sulphate of iron to arrest hemorrhage. Aconites
and Arnica : were given internally for the first few days, followed by
China and Arsenicum on the fourth day, to arrest a tendency to
collapse, which was threatening, after which the patient rapidly
recovered . (W. Danforth, U. S. Med . and Surg. Jour., v. 7, p. 492.)
Ovariotomy. Report of a case of ovarian cyst weighing fifty
six pounds, springing from the right ovary - with operation.
The thick and broad pedicle healed, partly by torsion and partly
by a carbolized catgut ligature. Carbolized spray used during the
operation as a means of preventing suppuration and septicæmia ;
rapid convalescence. Patient able to sit up on the twenty -eighth
day. (W. Danforth, Surg. Clinic, Hahn. Med. Col., U. S. Med .and
Surg. Jour., v. 7, p. 193.)
>

Vaginal Cystocele. Mrs. H., æt. 50. Successfully operated

>

upon for vaginal cystocele by denuding a strip of the vaginal wall

on each side of the mucous membrane, and bringing the edges to
gether by four sutures. A dry hacking cough which has harrassed
the patient for some time, disappeared with the cystocele. ( Surg.
Clinic, Hahn. Med . Col., W. Danforth, U. S. Med. and Surg. Jour.,
2

v. 7, p. 323.)
?

Vaginismus cured by a surgical operation twice repeated .

Sphincter vaginæ incised, and a vaginal dilator worn from two to
 SURGERY. 269

four hours daily. (W. A. Burr, U. S. Med and Surg. Jour. , v. 7 ,

)

p . 367.)
Removal of an Abdominal Fibroid Tumor by Dr. Von Tagen.
After the operation was skillfully and successfully performed , the
doctor applied a Chapman spinal hot water bag to the lumbar re
gion parallel with the spine. To this simple contrivance he at
tributes the rapid and favorable progress, which the case made, as
it controls the circulation of the blood through the agency of the
nervous system . Dr. Chapman says : The arteries are surrounded
by muscular bands, and these bands form collectively what is known
as the muscular coat ; these contract or dilate at the bidding of
nerves emanating from an assemblage of nerve -centres, or ganglia ,
constituting the great sympathetic. These ganglia can be influenced
by suitable applications of heat and cold, applied on each side of
the spine, as to cause them to effect either contraction or dilatation
of the arteries, which they govern and control ; and the spinal cord
itself can be influenced in the same way and can thus have the cir
culation of the blood in it and therefore the functional activity in
creased or diminished at the will of the physician. (N. A. J. H.,
Feb., 1872.)
Pathology of the Pedicle in Ovarian Tumor treated by Liga
ture . Twelve months after the operation, at the upper part of the
broad ligament at the junction with the uterus, a small body was
felt the size of a hemp-seed and covered by peritoneum. Upon dis
secting the part the hard body proved to be the knot of the liga
ture,the loop and end having disappeared. According to experiments
by Spiegelburg and Waldeger on this subject the following would
be the course of events. When the ligature is applied it forms a
deep constriction, which by the bulging of the tissues on each side
causes the living to come in contact with the strangulated tissues ;
plastic lymph is thrown out, glueing together the opposing sur
faces and its organization establishes a vital connection between
the two, so that sloughing is prevented. In course of time the
loop ceases to exert any force and it is probable that the capillaries
ultimately become pervious, subsequently the absorbants begin to
work and remove not only such portions of the tissue as are unable
to maintain their integrity, but the ligature itself yields to forces
that are at work. (London Lancet, H. F. Biggar, O. M. and S.
R. , v. 6, No. 3, p. 140.)
Ovariotomy. Removal of ovarian tumor successfully performed
by Dr. G. M. Pease ; case reported. (Med. Inv., v. 9, p. 125.)
 .

270 SURGERY .

Ovariotomy. Suggestions as to the treatment of the pedicle in

ovariotomy. The carbolized catgut ligature recommended . (W.
Danforth , U. S. Med. and Surg. Jour., v. 7, p. 227. See p. 12 for
another case.)
Ovarian Cyst. Report of a case of ovarian cyst, with operation
for its removal; a clamp used for securing the pedicle. Recovery
of the patient. (J. H. Marsden, U. S. Med. and Surg. Jour., v. 7,
p . 258. )
Successful removal of ovarian tumor, attached to both ovaries, by
Prof. Beckwith . (N. A. J. H., Feb. , 1872.)
Lithotomy. M. S. , æt. 18. Left lateral method ; a mulberry
calculus of oxalate of lime extracted , weighing nearly one ounce.
Three or four hours beyond two days time after the operation, he
passed all his urine by the penis, and none through the perineum ,
in six days he walked freely about the room. On the tenth day
he walked a good distance, to take the cars for home ; perfectly
well. I attribute his rapid recovery to the non -use of the catheter;
which has been thought indispensable to keep the urine from the
wound, but is not so, and is really a source of irritation. Opium
was not given to prevent movements of the bowels. Their free
movement does not interfere with healing, and is conducive to
better health. (M. Macfarlan, Trans. Hom. Med. Soc. of Penna.,
1872, p. 178.)
Lithotomy in Females. There is a recent work entitled “ A
synopsis and analysis of one hundred cases of lithotomy and litho
tority,” by Prof. P. F. Eve, M.D. , of Nashville. Out of these one
hundred cases but four were females. It is because the female
urethra is short and dilatable, making easy the escape of the calcu
lous concretions, while in men it is much harder. Large calculi
are sometimes expelled from the female bladder. The first of the
four female operations was on a negress, æt. 24 ; operation by
vesico -vaginal section ; large calculus and speedy recovery. Second,
girl, æt. 2 ; bilateral operation ; calculus weighing one a half
drachms; speedy recovery. Third , girl, æt. 4 ; bilateral operation ;
calculus weighing over an ounce ; good recovery with some in
continence. Fourth , lady, æt. 40 ; vesico-vaginal section ; two
calculi both weighing one and a half ounces ; good but imperfect
recovery ; there had existed a vesico -vaginal fistula .
Prof. Eve prefers the bilateral operation in the male as eighty
seven out of his one hundred cases were treated by this method
and of these eight died. Gross lost four cases out of eighty by the
 SURGERY . 271

lateral operation ; Zett three out of one hundred and five; Martin
eau lost two out of eighty -four cases. In the female operation
dilatation is easy but liable to produce incontinence ; as is also
vesico -vaginal lithotomy, and after which a fistula often remains.
Crushing the stone is not well, especially when the bladder and
urethra are inflamed , as the particles remaining would irritate more.
To prevent incontinence some advise dividing the anterior half of
the urethra and dilating the neck of the bladder, or dividing the
neck and dilating the anterior portion ; but the most popular op
eration is the sub -pubic, as no trouble from hemorrhage or in
continence occurs and it is easy and simple.
Mrs. B. , æt. 65. Had symptoms of vesical inflammation for a
year past, gradually growing worse. Six months ago Dr. Rousseau
took the case. Symptoms of aggravated cystitis ; very painful
urination, with vesical tenesmus ; urine bloody, at times voiding a
quart of blood, mucus and pus mixed ; bad digestion ; constipation.
Diagnosed calculus of bladder. Relieved symptoms with medicine
preparatory to an operation. Nov. 18. Was called to consult with
Drs . Rousseau and W. R. Childs. We decided to operate at once,
Dr. R. giving me charge of the operation. Nov. 22. The doctors
and I, with Dr. J. C. Burgher, etherized patient and sounded for
size, situation, etc., of calculus,
A straight, grooved director was introduced, with a probe-pointed
knife an incision was made, not directly upward toward the sym
physis pubis, but a little to the left of the median line, dividing
the urethra in its whole length and the neck of the bladder. The
finger was now introduced , and with the assistance of a glass rectal
dilator, the opening was made sufficiently large to introduce the
finger readily. With the lithotomy forceps one of the calculi was
grasped, and partially crushed in extraction, although the whole
of it was retained within the forceps. The second calculus was
more difficult to grasp properly,> but was withdrawn without being
broken. Each calculus was as large as a good-sized hickory nut,
and was mainly composed of phosphate of lime.
Careful examination showed the bladder to be now free from
foreign substances; the mucous membrane was much roughened
and apparently ulcerated. The bladder was syringed with warm
water, in which was a little calendula. Hæmorrhage was insig
nificant.
The patient rallied very well from the anæsthetic , but suffered
 &

272 SURGERY .

considerably from nausea, made worse on account of the deranged

state of her stomach which existed previously.
R. Arnica, internally every two hours.
Urination was still attended with pain and tenesmus, and oc
curred about once every three hours.
December 20. The after -treatment has been skilfully conducted
by Dr. Rousseau, and the muco -purulent and bloody discharge has
almost ceased ; urination is still attended with some pain. There
is no incontinence. Since the operation the patient has suffered
much from gastric derangement, and had an attack of cholera mor
bus, followed by dysenteric symptoms. Notwithstanding this, her
health is gradually improving. Her age makes progress in this
respect necessarily slow.
The operation was successful. (J. H. McClelland, H. M., Feb.,
1872, p. 325.)
Cystic disease of Testicle, and radical cure of Hernia .
Chas. Brown, colored , æt. 35, came before the class with his scro
tum enormously enlarged, measuring thirty-three inches in its
greatest, and twenty-two inches in its smallest circumference . The
enlargement had the appearance of hydrocele, but was firm , dense
and inelastic on its anterior surface. The posterior portion was
filled with intestine and omentum, a condition easily known from
2

the history of the case, and from the physical signs.

The patient was etherized and an exploring trocar pushed into
the hardened mass, and a quantity of venous blood drawn off. An
incision ten inches in length was made, and a large firm clot of
blood , contained in a sac of its own, was turned out. The testicle
was three times its normal size, and the seat of true cystic disease .
The enlarged vessels of the cord were ligated and divided high up,
and the gland afterwards removed. After removing redundant
portions of the scrotum , the hernial sac was opened , and nearly
eight feet of intestine exposed.
After returning the bowel, the parts were closed by drop sutures,
the patient placed on his back in bed, warm water dressings af
plied, and Acon.200 given. The man made a rapid recovery, and
two weeks after the operation walked into the amphitheatre before
the class. No truss is since required. (M. Macfarlan, A. J. H. M.
M. , v. 21 , p. 304.)
Hydrocele. Mr. T. , æt. 62, cured of an immense hydrocele of
several years' standing, in three sittings, with the Galvanic current.
 SURGERY. 273

Not a day's time lost by the treatment. (Surg. Clinic. Hahn.

Med. Col., W. Danforth , U. S. Med. and Surg. Jour. , v. 7, p. 191.)
For the last year I have treated every case of hydrocele with the
galvanic current, and in every instance the result has been a radical
cure . In this method a zinc and carbon battery of twenty cells,
charged with a solution of Bichromate potass. , Sulphuric acid and
water is used. The hydrocele is punctured with two gold needles,
three or four inches long, which are then connected with the nega
tive pole, and the current closed by applying the positive electrode
to the thigh. The full strength of the battery is used for about
twenty minutes, resulting in the decomposition of the fluid and
the coagulation of its fibrinous and albuminous elements. In two
weeks the enlargement will have entirely disappeared in a radical
cure. (W. Danforth, U. S. Med. and Surg. Jour., v. 7, p. 190.)
A very ra re case of ectrophy of the bladder, one kidney and
one ureter.
A complete defect or absence of the urinary bladder is very rarely
met with, and if such were the case, the ureters would be found
opening somewhere on the surface of the body, perhaps around the
umbilicus, or into the rectum or vulva.
When we say inversion of any hollow body, we do not necessa
rily understand that its structure is deficient, but merely that it has
been turned inside out ; whereas, in the cases that I have seen , and
a description of those I have read, there has been always a deficiency
• in the anterior wall of the organ .
In the majority of cases, the arrest of development appears to be
first in the abdominal walls, then on the symphysis pubis, and
finally in the structures immediately beneath.
In the female it is accompanied by an absence of the clitoris, and
in the male by a fissure of the urethra or linear epispadias. In the
hypogastric region, we find protruding the posterior wall of the
bladder, fiery red , with here and there a slight mucous coat of a
bluish color. The circumference of the organ is lost in the sur
rounding integument, which has the appearance of a cicatrix, and
is bluish . The orifices of the ureters are found in the lower half
of the organ .
In this case, the rudimentary penis is pushed close to the lower
portion of the bladder, and the ureters open by an orifice close to
the pubic bones. The caput gallinaginis with the openings in the
shape of slits) of the vesiculæ seminales were visible. The semen
18
 274 SURGERY .

passed from time to time through these orifices, and I found it on

the mucous surface of the open urethra.
The pubic bones were separated about three inches and a half, >

and the posterior exposed wall of the viscus was two and a half
in diameter ; the length of the penis was an inch and a half, and
had large fold of prepuce hanging downward . It is well, also, to
notice that the arrangement of the hair, and the superabundant
skin appears as though it had been pushed aside by the protruding
bladder. The testicles were very well formed , and the man was
apparently healthy. The ureters were large, and I could pass a
gum bougie upward several inches toward the kidney.
The malformation is said to occur much more frequently in
males than in females, and the late Mr. Earle, of London, states
that after a most careful examination , he has found sixty -eight
cases upon record, of which sixty were males. Others have given
the ratio as four to one.
The case I present has important differences from any heretofore
recorded :
1st. In the single opening of the ureters.
2d. In the split nature of the urethra , the surface being flat
tened and mucous.
3d. In the wide and slit-like openings of the seminal ducts ;
and

4th. In the manner in which the penis may be separated from

the protruded wall of the bladder.
Dr. Gross states the disease is utterly irremediable. There has
been a successful operation reported by Mr. Simon, of London, who
caused the ureters to open into the rectum , which was performed
by introducing threads from the ureters and carrying them to the
rectum , and there allowing them to remain until the passage was
completed.
Operation and autopsy in case of inversion of the bladder, by
James S. Reed, M.D., St. Louis, Mo.
The following operation was performed :
Taking a piece of wet parchment, it was applied accurately to
the protruding viscus ; it was divided in halves, one being laid in
each groin ; the flaps were then traced with ink, an allowance be
ing made for a shrinkage; the flaps being dissected up, and the
nodular edges of the vesicular tumor being refreshed, they were
laid down over it, and held by silver pins and wire sutures ; a semi
lunar flap was then dissected up , on that portion of the abdomen
 SURGERY . 275

immediately above the vesical wall ; it was then turned down, be

ing held by wire sutures. The catheter was inserted, the wound
dressed with a solution of carbolic acid and glycerine. During the
operation the external epigastric arteries were both cut. The oper
ation lasted one hour and fifteen minutes.
The patient recovered at 6 P.M.; had considerable nausea and
tickling, for which Ignatia was administered. Compresses satur
ated with calendula, were placed in the cavities in the groins. He
was kept in a sitting posture, in order that the urine would pass
more readily.
August 21. Restless night, on account of posture; the urine
trickles alongside the catheter ; about one pint has passed. Can
retain nothing on the stomach ; bilious vomiting every twenty 3
minutes, attributed to chloroform ; for this condition Ipecac.' once
every two hours, was given. Removed some large clots in groin ;
hemorrhage from left groin quite profuse, which was checked with
Monsel's styptic. The retching has put the flaps on the stretch ,
and forced the canula out ; parts washed with calendula solution.
August 22. Called out early in the morning ; catheter had come
out, urine trickling through the wound ; Dr. Goodman replaced it.
At 2 P.M.,> much improved ; adhesion seemed to be taking place,
and raw surface to be granulating. Had to allow him to go into
bed ; very stiff, from long sitting. Some cough, with immense
amount of expectoration, easily ejected.
August 23. Catheter clogged with blood forced out ; urine pass
ing on both sides of flap ; took out one pin ; wound had not healed
underneath sufficiently. Wound beginning to gape ; two new
sutures were put in ; complains of erections at night; presses
catheter into the surface of the wound ; there appears to be no
healing process going on below ; tendency to slough in the flaps ;
at superior part, healthy granulation is taking place.
August 24. Catheter out again at night; wound looks badly
below , healthy above. Most severe cough , raising large quantities
of thick pus. Stann.3 Great deal of swelling around the opening
of the ureter, but finally succeeded in introducing a No. 4 flexible
catheter about five inches, fixing it to penis by narrow , adhesive
strips ; thus carrying off the urine.
August 25. Pulse one hundred and ten ; slept better last night;
has had some diarrhea ; great rumbling in bowels, very thin pas
sages. Phosph. ac.; after each operation, a tablespoonful of a watery
solution of it. Opened the catheter by means of a wire ; half a
276 SURGERY .

pint of urine was discharged, which must have been contained in

the ureter and pelvis of the kidney. From this date for several
days he gradually improved. His diarrhoea lessened and his pulse
came up, but he still withal appeared to be losing flesh.
September 1. Complained of great weakness ; diarrhea of a
cadaverous odor came on ; pulse one hundred and twenty ; great
pain along the track of the ureter, and some bloody discharge ; no
appetite and great discouragement; cough worse in the evening ;
the wound has united at the uppermost extremity, and the raw
surfaces are gradually filling up, but the parts below are all open,
and the ureter so sensitive that he cannot bear the introduction of
the catheter.Carb. veg.50,
30
។
one powder every hour.
From this period he gradually sank - his cough and diarrhoea
increasing steadily, with great prostration, indicating, no doubt, a
tuberculous condition of the entire system .
Autopsy .- The autopsy was madeabout fifteen hours after death .
The expression of the countenance did not indicate that great suf
fering had been endured , but I should not have recognized the face ,
80 greatly had he emaciated. The skin was sallow, the veins
showing distinctly ; the odor from the suppurating surface was
hardly perceptible, owing to the judicious use of carbolic acid .
The flaps taken from the inguinal regions right and left, had united
at the tips, in the median line of the body, immediately over the
mucous surface of the vesical portion of the abdominal wall; union
had also taken place between the flaps and the surface external to
the mucous surface. No union had taken place between the flaps
and the mucous surface ; the orifice of the ureter was filled with
calcareous matter, about the consistency of thin mortar, some par
ticles being so large as to prevent the entrance of the bougie.
The incisions being made, one in the median line, running from
an inch above the opening of the ureter to the sternum, meeting
the lateral incision , the flaps were carefully turned outward.
Above, the abdominal walls were of the usual thickness, gradu
ally getting thinner toward the inguinal region, where they were
quite thin. The round ligament of the liver attached to the upper
and inner surface of the vesical portion of the wall, was now cut.
>

Lying in the left hypochondriac region, and extending down into

the left lumbar region, in immediate contact with the abdominal
walls, was the kidney, filling the left lumbar region so completely
as to leave no space for the descending colon and small intestines.
The peritoneum was greatly thickened, not only in the renal re
 SURGERY. 277

gion, but throughout the whole extent. The renal capsule was
quite small, about one-half the normal size, and of very loose
texture.
Tearing the kidney away from its attachments it was measured.
In the great circumference it measured nineteen and three-fourth
inches, around the lower part, twelve and three-fourths inches ; near
upper end , nine and three-fourths inches. The ureter was twelve
inches long, slightly sacculated ; toward the lower end, just as it
was about to enter the vesical substance, it was greatly reduced in
size ; the walls of the ureter varied in thickness from one line to
three lines, the thickest portion being above ; this thickening ex
tended to the pelvis of the kidney, which appeared as if it had
been enlarged, the appearance being wholly due to the increase in
the thickness of its walls.
The pelvis of the kidney and the ureter were both filled up with
a calcareous matter, about the consistency of thin mortar. The
mucous membrane being finely dotted with minute calcareous par
ticles that were with difficulty rubbed off.
The kidney of the right side was entirely absent, not a vestige
was there, nothing even rudimentary.
The ascending colon was in its proper position, but did not ex
tend high enough ; the descending colon commenced on the right
side of the spine, crossed it, dipping down underneath the small
intestines to join the rectum ; the ascending and descending por
tions were united by the transverse colon , about three inches in
length , these three parts forming a small arch toward the right
of the body .
The mesenteric glands were enlarged ; many of the small glands
presented a grayish appearance. The vas deferens was the usual
size ; the spermatic cord was normal in every respect. When,
however, the vas deferens reached the internal abdominal ring it
turned abruptly, forming a very acute angle, then proceeded in a
straight line for the seminal vesicle, which was rudimentary. The
vesical portion of the abdominal wall was three - fourths of an inch
thick , composed principally of fibrous tissue. The interval be
tween the bones at the pubic symphysis was filled in with a dense
fibro-cartilaginous growth , interspersed with cellular spaces or cav
ities, lined with fine vascular membrane.
The cremaster muscle was more fully developed than I ever have
seen it ; its fibers being continuous with those of the internal
oblique, forming a thin, flat muscular covering for the cord, before
278 SURGERY.

it began to break into loops, which were also fully developed and
very distinct. (Wm. Tod Helmuth, N. Y. 8. Trans., 1871, p. 335.)
Urethral Calculus. Boy, æt. 5, dysuria for two days and a
half. Voided a drop or two of urine during paroxysms of pain ;
penis much swollen ; bladder distended ; felt stone in urethra ; an
incision one inch long was made over a straight grooved guide
held against the stone, extending into membranous portion.
Opening the urethra was followed by a gush which relieved the
child at once . The stone was removed ; it was a dark drab color,
oval in shape, and larger than aa white bean.
Child subject to vesical concretions. Wound closed in three
days. (M. Macfarlan, Trans. Hom. Med. Soc. of Penna., 1872, 2

p. 178.)
Four Cases of Vesical Calculus. 1. E. , æt. 63, carpenter, had
>

been cut for stone ten years ago. Lithotrity was performed four
times. Bellad. 1x and Canthar. 1x every two hours in alterna
tion, after the operation. Cystitis followed each operation. Vio
lent tenesmus on one occasion was allayed by Opium . Discharged
cured in twenty-two days.
2. B. , æt. 72, passes bloody urine after any exertion. Tinct. of
Arnic. 3x, three times daily. Lithotrity performed three times .
The urethral fever which followed the last operation was treated
by Acon. 1x and Pulsat. 1x, every two hours alternately. Dis
charged cured in two months.
3. J. , æt. 61. Lithotrity performed four times. The cystitis
was treated with Canthar. 1x and Bellad . 1x. In these cases the
patients were ordered to pass water while lying on their backs for
some days after each crushing.
4. N., æt. 34, plumber, seven weeks ago an unsuccessful attempt
was made to crush the stone. Lithotrity was again tried without
success. Lithotomy was performed. Weight of stone, one ounce ;
composition - oxalate of lime and uric acid. Acon. 1x and Bellad .
1x were given alternately. Discharged in six weeks.
The cases show the superiority of homeopathic medication. (V.
Hughes, Month. Hom . Rev., v. 16, p. 76. )
Lithotomy. Large calculus - recovery. Mr. J. E. Bentley , æt.
28, pale, thin and debilitated, was operated on by lateral method
Dec. 20th, 1871. The large size of stone required an unusual large
incision in base of bladder, while, from being bound down by vesi
cal reflexions, difficulty was met in dislodging it. After an unsuc
 SURGERY . 279

cessful attempt at crushing it was finally removed by traction

forceps.
The stone was of the uric or lithic acid variety, and measured
in its greatest circumference eight and a quarter inches and five
and a half in its smallest. Its troy weight was four ounces, thir
teen pennyweights, six grains, or five ounces avoirdupois. This
is believed to be the largest, and next to one, the heaviest one ever
successfully removed in this city.
The patient made a good recovery, passing his water by the ure
thra at the end of two weeks. (M. Macfarlan, A. J. H. M. M., v.
5, p. 269.)
Lacerated Perineum . The division to the verge of the anus
was complete, involving the constrictor vagina muscle, superficial
perineal fascia and connective tissue.
The bowels having been emptied by injection, the woman was
chloroformed, placed in the position for lithotomy, and a triangu
lar flap removed by transfixion from either side of the laceration
the incisions being connected within at the septum . The sphinc
ter ani muscle was then worked down with the left fore finger and
divided with the tenotome, and an incision carried behind , on
either side of the coccyx, to entirely free the muscle from its at
tachments.
Checking the hemorrhage, a needle with an eye at the point,
mounted on a handle, and armed with a stout silver wire, was en
tered three-quarters of an inch from the margin of the flap, and
pushed through to the free edge of the vaginal mucous membrane,
the wire disengaged, the instrument withdrawn and entered on the
other side in aa similar manner to draw the wire through. In this
way four sutures were introduced.
The novelty of this plan consists in this, that the loop is seen
joining the edges of the wound in the vagina ; whereas, by the old
method, the needle passed near the middle of the edge of the flap,
so that the vaginal edges not being well joined, the discharges in
terfered with union .
Superficial perineal sutures were applied in the usual manner
well twisted, the deep ones being joined over two pieces of curved
silver probe. The catheter was used three times a day. She was
placed on her back with legs flexed. On eve of sixth day her bow
els were opened, and on the seventh the sutures were removed,
when union was found complete and perfect. (M. Macfarlan , A.
J. H. M. M. , v. 5, p. 461.)
280 SURGERY.

Operation for Prolapsus Recti. Lay patient on his stomach,

depress the head and elevate the pelvis with pillows, separate the
thighs widely, and this will bring the anus fairly into view, oper
ator takes into left hand a pair of dissecting forceps of large size,
in order to give less pain, seize successively on the right and left
side and even before and behind, two, three, four, five or six of the
radiating folds : with the right hand armed with scissors, curved
on the flat side, remove each fold as it is lifted ; the incision being
prolonged as far as the anus and even within its border, in order
that the effect may extend within the aperture. If the relaxation
is considerable, it may be carried as far as half an inch , but gener
ally a few lines are sufficient ; if the relaxation is aa moderate one,
two or three folds on each side are generally removed ; if very
great more will be necessary.
The operation gives little or no pain ; is not liable to bleed much
and proves effectual. This plan of operating was first adopted
by Dupuytren many years ago. (H. F. Biggar, 0. M. and S. R.,
v. 6 , No. 1, p. 28.)
Anal fissure and Hæmorrhoids, of a year's standing, cured
in eight days by snipping out the little fissure, (or irritable ulcer)
and then with Dr. Nott's Rectilinear Ecraseur seizing the hæmor
rhoidal enlargements and crushing them thoroughly at the root,
ligating the shred -like remains to prevent possible hemorrhage.
Injections of carbolized calendula were given twice a day. Aconite
and Arnica used as internal remedies. (W. Danforth , Surg. Clinic,
Hahn. Med. Col. in U. S. Med. and Surg. Jour., v. 8, p. 65.)
2

Stricture of Rectum , cured by dilatation with sea -tangle tents,

and afterward by use of bougie. (Am. Obs., May, 1872, p.
. 208.)
Treatment of Fresh wounds with caustics. Bonnet, Mer
cier, Bourgade, etc., believe in cauterizing fresh wounds, as thus
pyæmia and erysipelas are prevented and suppuration controlled.
Billroth uses liquor ferri sesquichlorati diluted with equal parts
of water or a watery solution of chloride of zinc (1 to 12). A vein
was destroyed by caustic and severe hemorrhage ensued. Experi
mients were then made on animals as follows:
1st. Veins though lying bare if unexposed to new injuries, re
main open and produce granulations from the whole extent of
their walls.
2d. Carbolic acid dissolved with equal parts of water, destroys
the large venous walls.
3d. It is the same with a watery solution of chloride of zinc,
 SURGERY. 281

(1 to 12) or with liquor ferri, even when diluted with six times
its quantity of water.
4th . One part of liquor ferri with eight parts water produces
thrombosis of smaller veins.
5th. The vein whose walls are cauterized remains open, increas
ing the danger of secondary hemorrhage and embolic processes ; as
small coagula form on the internal surface of the necrotizing ven
ous wall. It is therefore dangerous to cauterize wounds where
large veins lie on the surface, nor is erysipelas prevented, suppur
ation is undiminished, the traumatic fever unshortened . (S. Lilien
thal, H. M. , Feb., 1872, p. 328.)
Recent Surgical Improvements. New staphylorraphy knife
and needle by G. M. Pierce. New Trochar by W. T. Helmuth, and
hydrocele photoscope, by the same. Bougie for strictured rectum
by Drs. Hoffman and McClelland of Pittsburgh. New contrivance
for applying powdered or liquid applications to the nares, etc. ,
by John F. Geary, of San Francisco. Self-retaining vaginal
speculum , by J. C. Morgan. Furthermore, descriptions of
cuirass for posterior curvature of the spine, a new rubber “ morning
glory pessary ,” a tubular otoscope ; a lever-shield -truss-pad ; an im
proved artery forceps, a bivalve vaginal speculum , a scarifier and
uterotome, eye-speculum and taroot forceps, an electro-cautrry in
strument, and a cataract knife may be found in Trans. Am.
Inst., sec. 5, p. 300-321.
Disease Germs. Flies should be excluded from wounds, as
they sometimes communicate contagion. Air should also be ex
cluded. Flies will not spit out sucked-in sporules, unless treated
violently, but will digest them in a very short time.
For a suspicious sting use radiate heat, if the tumor swells, Arsen. ;
if it changes color, Anthrac. (C. Hering, H. M. , Aug., 1872, p. 23.)
Earth Dressings in a severe burn of the lower extremities in
which the entire skin was stripped from both limbs, from the
thighs to the ankles, was treated by the “ prairie soil ” dressings
with marked success, after lead paint, nitrate of silver, calen
dula cerate, carbolic paste, kerosene, olive oil, and skin grafting,
had been used with only partial benefit. (Surg. Clinic, Hahn. Med.
Col. W. Danforth, U. S. Med. and Surg. Jour. , v. 7, p. 197.)
>

Common oakum soaked in water is an excellent dressing for

burns. (H. L. S. Exchanges. U. S. Med. and Surg. Jour., v. 7, p.
393.)
The following are the three best methods for healing old ulcers by
282 SURGERY.

transplanting. 1st. Hamilton's method is transferring a large

piece of integument attached by a pedicle.
2d . Fides' method , that of sprinkling the ulcer with epidermic
scrapings.
3d. Riverdon's method of cutaneous grafting, is done by taking
a piece of healthy integument so that it does not cause bleeding,
about the size and shape of a grain of rice, and inserting one end of
the graft in a groove cut in the middle of the ulcer. Retain it in
situ by means of adhesive plaster and bandage for twenty-four
hours. (O. M. and S. R., v . 6 , No. 1 , p. 31.)
Value of Rubber ligature. For the strangulation and removal
of tumors the rubber ligature has decided advantages over the old
inelastic kind, in as much as it is self-tightening ; have used it for
two years with gratifying results. Method of application : procure
a rubber string of thickness suitable to the size of the tumor, draw
it out to a fine thread, pass twice around the tumor and tie. (W.
H. Burt, Med . Iny., v. 9, p. 367.)
Carbolized Catgut as a Suture in Hernial Operations.
Notes of two cases successfully operated. The herniæ were reduced
and the stitches taken through the walls of the ring where they
remained forming a nucleus for plastic exudation, and resulted in
permanent cure. (B. W. James, Am. Obs. , Feb. , 1872, p. 67)
Malcolm Macfarlan relates cases of lithotomy, urethrotomy,
tracheotomy, and hair - lip, with suggestions regarding methods of
operation , to which the reader is referred . ( Trans. Am. Inst.,
1871 , sec. 5. p. 413-417.)
Symphytum off - in Fracture. Symph. greatly facilitates
union and lessens the peculiar pricking pains symptomatic ofhealthy
action. (J. G. Gilchrist, Med. Inv. , v. 9, p. 79.)
Bandaging - an aid to. A solution of wax in hydride of
amyl is excellent to saturate an applied bandage with, in order to
fix it. (B. W. Richardson, U. S. Med. and Surg. Jour.,v. 7, p. 392. )
 THEORY

The construction of a whole from a given part of the same. (By

Prof. J. I. Hoppe . I. H. Pr., v. 2, 65.)
Force, and some of its relations to life, health, disease and medica
tion, by Dr. H. P. Gatchell. (From U. S. Med . and Surg. Jour. , 1869
and 1870.) Compare Annual Record , 1870, p. 347. ( I. H. Pr.,
v. 1 , p. 97.)
Homeopathy as a Therapy of Cells and Atoms. (By J. J.
Gutwill, I. H. Pr. , v. 1 , p. 81.)
Epidemiology. (By Dr. Fischer, I. H., Pr. , v. 1, p. 25.)
>

Some words on the epidemic morbid constitution and the epi

demic remedies. (By Dr. Stens, Sen. , I. H. Pr., V. 2, p. 305.)
Epidemic Remedies, on. (By Prof. Rapp, A. H. Z., 85, 105.) :
2

The constitutio epidemica morborum as a general notion is divided

by Rademacher into two species. 1st. The morbus stationarius and
2d. The morbus intercurrens ; the latter is better known by the
term " epidemics." The notion " constitutio epidemica morb .” >
is therefore a higher notion and has the lower notion “ epidemics
to its contents. We understand by it a greater or smaller group of
morbid conditions of different pathological forms, manifesting
themselves at a certain season in a number of different people, all
of which are cured by one or a few remedies, thus showing that
they arise from a common or epidemic cause. Whilst, therefore,
the intercurrent " epidemics ” manifest themselves under the same
pathological form . The stationary morbid condition differs widely
as to its single forms of ailments or in its symptoms. Thus, for
instance, do we observe in the space of a year a great number of
quite different pathological affections, yet all are cured or benefit
ted for example by the administration of Chelid. The different
pathological forms which Chelid. cures are the following : 1st.
(283)
284 THEORY.

Slight catarrh of stomach with great anxiety and fear of getting

crazy ; 2d. Neuralgia of the nervus supraorbit. on the right and left
side. 3d. Catarrh of stomach and gastrodynia. 4th . Catarrh of
small intestines, with or without jaundice. 5th. Diminished secre
tion of urine and ædema pedum in consequence of nephritis. 6th .
Catarrh of the respiratory organs, influenza, pneumonia in chil
dren . 7th. Typhoid fevers. 8th . Acute articular rheumatism .
9th. Skin affections and hæmorrhoidal difficulties.
All these different affections if collected and described in detail
with their minute and characteristic symptoms, would constitute
the sum total of the morbus stationarius which corresponds to the
curative action of Chelid. Whilst, therefore, the morbus station

2
arius consists of a great variety of pathological forms, the intercur

0
rent morbus (epidemics), represents only one, “ disease, ” with few
modifications; but even here the main remedies change at different
seasons and years, although the character of the affections patho
logically considered, remains the same. Rademacher's remedies
act beneficially only so far as their pharmaco dynamical action cor
responds to the character of the prevalent diseases, and if we do
not want, in selecting them , to grope in the dark, we must choose
them strictly according to the homeopathic law of similia simili
bus. Although Hahnemann, in his Organon does not expressly
speak of constitutio epidemica morborum , it is nevertheless certain
that the importance of the genius epidemicus did not escape his
keen observation. This is proved by Aegidi, who relates the fol
lowing in the first number of the seventy -second vol. of the A. H.
Z. On aa visit which he paid to Hahnemann in March, 1831, in
Köthen, Hahnemann remarked to him : " you will have to treat a
number of cases of intermittent fever on the Rhein ; please observe
whether there also as it does here, Natr. mur. corresponds to the
epidemic constitution, and let me know it. If we regard the genius
epidemicus we accomplish more quickly and with less trouble the
desired end, even in acute diseases, which usually are only efflor
escentia of the three chronic ailments .” Aegidi found it so. In
one case , however, the paroxysms came back again, although Natr .
mur. had relieved for aa while. Hahnemann, being consulted , ad
vised Carb. veg.30, because this remedy had corresponded to the
last year's epidemic constitution, and the relapses in this case
might be considered merely as a continuation of the same. It cured
at once. In another case where the intermittent paroxysms, one
every eight days, had continued for two and a half years, with
 THEORY.. 285

swelling of spleen and liver, kachen and oedema of the lower ex

tremities, Hahnemann advised Canthar.30, because two and aa half
years ago this remedy had been very efficient against the epidemic
constitution which prevailed then ; and also, because Canthar. has
the eight day type of the paroxysms. Canthar.30 broke the parox
ysms ; the remaining difficulties were cured by other remedies.
Dr. Stüler, in Berlin, collected likewise observations on the effects
of Sepia and Spigel. as epidemic remedies, and all this was done ten
years before Rademacher's “ Erfahrungs Heillehre ” was published.
(C. Heinigke, I. H. Pr., v. 2, p. 195.)
Spagyriker and Homeopaths. ( By Dr. C. Heinigke, I. H. Pr. ,
v. 2, p. 1. )
The Homeopathic Therapy is the necessary complement to the path
oloyy of the physiological school ; because, 1st. The laws and rules of
the homeopathic therapy rest upon a scientific foundation like
those of all natural science. 2d. By far the greatest part of diseases
is amenable to its sphere. 3d. It gives the relative greatest secur
ity in the treatment of disease. 4th. It can be applied even under
the most unfavorable circumstances which age or other circum
stances may produce ; and 5th , it is not in the least in the way of
the further development of any of the branches of medical science.
(C. Heinigke, I. H. Pr. , v. 1 , 7.)
What is the Action of Drugs ? Three things about the ac
tion of drugs we cannot know : The nature or essence of the ac
tion, what it is ; the modus operandi, or its manner of acting ; and
the reason why it acts in one manner and not in another. It is
possible to find out three things. 1st. What the observable effects
are in health and disease, which each drug produces. 2d. Where,
id est, in what parts or organs of the body these effects are pro
duced. 3. How they are varied by varying doses or by other in
fluences.
The action of drugs is injurious in health, as is proved by death
from drugs (poison), impaired health and shortened life from drugs
and by provings of drugs.
The action of drugs is curative in disease, a fact which has been
established by abundant experiment. The curative action of a
drug is most efficacious when it is least visible. In functional dis
turbance the effect of the appropriate drug in suitable doses, is a
perfect cure . In structural change the cure is less and less possi
ble as the diseased structure advances towards destruction. If a
medicine is continued after its beneficial effects have been obtained ,
286 THEORY.

it acts injuriously. In acute disease the curative effect is prompt ;

in chronic disease slow . Drugs cure by their direct action and by
their re -action ( Chamom . cures diarrhea by the first action and
constipation by the second.) In sickness what is called the pri
mary action will take place in the deranged organ , although in
health, the action on that organ may have been a secondary one.
The action of drugs is consecutive. A drug may cause a series of
derangements in the health of an organ , producing symptoms
which indicate a definite pathological state ; or there may be a suc
cession in the organs affected . The action of each drug is local or
partial, and affects the same parts in disease as in health. (Ex
amples are given illustrating this point.) The action is character
istic of each drug ;—all possess certain features in common , but
each has aa character by which it may be distinguished from others.
The action of drugs differs with the dose. The action of different
doses of the same drug is sometimes upon different organs ; often
of a different kind, and occasionally in a different direction , either
in health or disease. Infinitesimal doses take their place among
other causes of disease, which are themselves infinitesimal. At
present we have no proof, besides that on the living body, of the
action of infinitesimal quantities of drugs. We want to know in
addition to the entire action of each drug, the special action of
each dose. . (Wm. Sharp, Month . Hom . Rev., v. 16, p. 141.)
Medicinal Interference. Attenuations are not antidoted by
crude drugs. It is one of the established principles of our school,
that drugs act more efficiently in attenuated, than in crude doses,
for these reasons : 1st. Because by trituration or dilution , the atoms
of the drug are separated one from the other, and are thus more
easily taken up by the absorbents and carried to the diseased parts.
2d. The medicinal or dynamic power of drugs is developed by suc
cussion or trituration. Every time a dissolved medicine is diluted
a hundred -fold, its minute parts are made still smaller, and ren
dered more active.
Prof. Doppler, of the University of Halle, says : "The power of
remedial agents may be measured by extension of surface, instead
of being determined by weight, as has been the fashion here
tofore.” Prof. Albers says, the comminuted dose is more readily
received by the stomach , irritates much less the place where it first
comes in contact with the organism , and hence acts more com
pletely and permanently than a massive dose. Panizza concludes,
as a result of his experiments concerning absorption, that “ the
 THEORY . 287

absorption of drugs takes place the more readily the more soluble
the medicines are, and the more they are divided and susceptible
of assimilation.
Our remedies act, as it were, on another and a higher plane, and
cannot be affected by those acting on a lower one. The same prin
ciple teaches us that articles of diet cannot directly antidote or
counteract the effect of our remedies. It is useless to forbid any
thing to be taken into the stomach in connection with our reme
dies which would not be injurious to the system if no medicine
were being taken. A drug, in order to perfectly antidote another,
must possess these three qualities in common with it : 1st. They .

must be diluted or triturated to the same degree. 2d. They must

possess an equal dynamic power. 3d. They must have an affinity
for, or specifically affect the same portion of the vital organism .
(Geo. F. Hand, N. Y. S. Trans., 1871 , p. 168.)
How to treat prevailing diseases. A historical review by
C. Hering. Hohnheim (Paracelsus) was the first physician who
apprehended the great truth that prevailing epidemics in all their
different forms need a prevailing remedy for their cure . Sydenham ,
1676, was the first one, who called our attention to the fact, that
not only in local epidemics the nature of the disease is the same
in all patients, attacked at that time, but that the same identity
of the nature of the disease takes place in the usual course of time,
where the number of patients do not transgress the usual quantity,
where, therefore, laymen do not think of epidemics. Hahnemann,
1810 : In the exploration of the totality of symptoms of epidemics
and sporadic diseases, it is a matter of great indifference whether
or not anything of a similar kind or name ever occurred before in
the world. Under all circumstances the physician should presup
pose the pure image of any prevalent disease to be new and un
known, and he should therefore investigate it anew and thoroughly
by itself, because every prevailing epidemic is in many respects a
phenomenon of aa kind peculiar to itself ( compare sections 101 , 102,
235, 244 of the Organon ). S. G. Greeber, 1841 : We generally under
stand by the genius epidemicus the disposition to a certain degree
of reaction, which the organisms of the inhabitants of certain re
gions and parts of the country exercise towards attacking noxious
influences ; it is the expression of the vital power, penetrating in
its totality a whole nation, and such an expression, like all reaction,
is only possible in three directions ; sthenic, asthenic or erethic.
The erethic character, coinciding with health , never lasts long as
288 THEORY.

it is the differential point, and gives way to the plus and minus.
Rademacher, 1841 : There are primeval affections ; diseases of the
whole body in its totality ; all the rest are organic affections. For
the former are three universal remedies :: Ferrum , Cuprum , Natr.
nitr. All other remedies are organ remedies for all other affections.
Only experiments on sick persons can teach us on which organ a
remedy possesses a curative influence. When epidemics are about,
we look for remedies first among the universal remedies and then
among the organ remedies ; we experiment with all of them in
their turn, and the right one will then cure every case. In rela
tion to the dose, everything remains in statu quo, the more the
better, but never to give more than they can well bear. Grauvogl,
1860 : There are three principal characters of chronic diseases, or
better bodily constitutions. All chronic diseases are based on a
plus or minus of such elements as form the organism . In the
psoric diseases, prevented ingestion of ozone, a want of it prevails,
thus preponderating formations of carbonitrogenous substances. In
the second increased power of oxygenation prevails. In the third
the quantum of water is too large, especially in the blood ; we
thus have a carbonitrogenous, a oxygenoid , a hydrogenoid consti
tution. It may be accepted as certain that there is a morbus sta
tionarius or genius epidemicus, lasting for years, extending over
large countries, and passing from time to time from one into an
other. Between these great periods, known by their stationary
character, there are intercurrent epidemics, contagious or non -con
tagious, of shorter duration and extending over certain districts.
Bönninghausen, 1863 : Under the seeming cover of an intermittent,
numerous diseases of the most diverse kind may exist, which have
nothing in common in their peculiarities, and whereby the return
ing type offers us only a single symptom of no great value. The
only homeopathic treatment of intermittents lies in the search for
a perfect sufficiently individualizing picture of the disease and the
remedy corresponding to it. (N. A. J. H., 21, 1 and 289, 1872.)
Definition of Specific. A remedy which cures with the absorption
of its whole physiological into its therapeutic action ; this implies
no theory of the nature of the process of cure, but merely brings
into prominence the essential condition that there should be no
surplus of physiological action. ( Drysdale, Month . Hom . Rev., v.
16, p. 464.)
Is Homeopathy a Science ? Science is the classification of
truth. Homeopathy demands:
 THEORY. 289

1st. The proving of all drugs upon the healthy human organism ,
and denounces the use of untried medication upon the sick .
2d. It holds that all medication should be in strict agreement
with the known physiological laws governing the whole organism ,
both physical and mental.
3d. That the toxical effects of drugs should never be reached in
the treatment of any disease ; there should not be a sensible dis
turbance of the vital forces.
4th . That health is the result of harmonious action in the for
mative atoms of the cell ; and is only maintained by the polarity
of each atom . Distract, or in any way divert or disturb this atomic
polarity , and you at once produce sickness, death and dissolution .
5th. Sickness and all its consequences are but the results of
atomic depolarization, or, in other words, diverted or disturbed
polarization.
6th. To correct this anti-physiological, pathological, or disturbed
polarized condition, is the true province of the physician.
7th. The means of correction or agents of cure are to be looked
for in the mineral, vegetable and animal kingdom.
8th . Remedial agents should be used according to the precise
law of correspondence. The identity of an atom is indestructible.
Everything is as its atoms make it — if they are healthy, healthy ;
diseased , if its atoms are diseased. Man is the microcosm ; he has
a something in him corresponding to everything below him, in all
the natural kingdoms. It is this correlative relation between man
and nature that makes him respond to the action of inferior organi
zations taken into his system as curative, as food, or as poison.
Man is dependent on all natural things.
Each class, genera, and species of the whole three kingdoms of
nature, represent and correspond to some principle in man distinc
tively his own : hence, when man is in any way diseased, every
symptom of the disease, taken singly or collectively, must be, in
direct correspondence with, and is a perfect picture of, some sub
stance representing the diseased action in him.
9th. Every diseased action in man is a perfect picture of the re
presentative characteristics inherent in and qualitatively belonging
to some physical agent somewhere in the world around him. From
these truths result, as an axiom , similia similibus curantur. And the
>

simillimum , in all pathological conditions, is that remedy whose

pathogenesis is the prototype of them. This is the inevitable result
19
290 THEORY.

of all our deduction, and one of the cardinal points in the science
of homeopathy. It is incontrovertible, and therefore an axiom.
The only true palliative is the direct simillimum .
10th. The law of similars is inherent in and coextensive with
the universe. The vegetable, animal and mineral kingdoms simi
late. Man acts on all below him through his intellectual and moral
sphere, they react from their physical sphere, on him ; hence the
compensation law - action and reaction .
11th . No two things are alike; no two symptoms ; no two reme
dies. Two remedies can not represent a case ; one is the real sim
illimum . Analyzation and classification of all drug characteristics
from all parts of the world is demanded.
12th. The totality of symptoms is the critical solution of the
remedy ; the totality of symptoms, and materia medica , given to
find the remedy. Eliminate all but the prototype of the case. Two
remedies do not represent a case .
13th. The potency and dose should never be inappreciable quan
tities. The nearer the remedy is to the true simillimum the smaller
the dose required. Subsistence is constant creation, subsistance is
carried on by infinitesimals . Can you weigh, smell, taste, or see
the miasma, effluvium , or vegetable poison that sickens ? We can not
see the inside changing powers of nature, they are too infinitesi
mal. (O. P. Baer, H. M. , Sept., 1872, p. 49.)
The treatment of disease by symptoms is superior to treatment by
pathological hypothesis. Only a part of the world of disease has
been so accurately surveyed , that it can be fitted with names.
Beyond this lies a terra incognita of derangements, which as yet
defy classification and nomenclature. We must be directed by all
the symptoms, although some may appear trivial and unimportant.
Should search for symptoms in every direction and accept the guid
ance of all. (Editorial, Month. Hom. Rev., v. 16, p . 257.)
On the germ theory of disease and some of its bearings on
Therapeutics. The disease termed parasitic belong to the classes
where we have an “ entity"" to deal with ; also fungoid forms of
vegetable growth. The germ theory is probably the true explana
tion of all contagious and infectious diseases. Through the air,
water, and food we use, these germs are introduced into the body.
To destroy these disease producing entities without injuring the
body is desirable. The homeopaths accomplish this by the use of
Sulphur in itch ; iron to destroy the vegetative parasites; Verat. vir.,
in erysipelas ; nitrate of silver in traumatic erysipelas ; Bellad., in
 THEORY . 291

scarlatina ; Baptis., in typhoid fever. In the treatment of conta

gious diseases we find the true sphere of the lower dilutions ; and
when we desire to act by specifically stimulating the living cells
of the body into increased vital change, we may find the higher
dilutions the more applicable, and the more rapidly curative. (Wm.
Bayes, Month . Hom. Rev. , v. 16, p. 268.)
Isopathy and Homæopathy. A case of small-pox rapidly cured by
Variolinum high, caused discussion, if isopathy was not homeopa
thy, the remedy by potentization becoming a simile to the drug, a
like, yet not the same. Provings with various potencies show that
the higher the potency the larger the field of action, and the wider
the symptomic range. In proving (skim milk ) Lac Vaccinum De
floratum with the 15th cent., no urinary or uterine symptoms ap
peared ; with the two-hundredth , there is constant desire to urinate,
scanty and pale discharge. ” With the forty-thousandth potency,
a case was cured having frequent and profuse urination (a quart
every half hour), colorless as water, taste slightly salt, slight acid
reaction - specific gravity 1010 ; Trommer's test showed large
___

quantity of sugar. The two -hundredth potency stopped menses two

days too soon, and the one-thousandth and ten-thousandth have
cured amenorrhea when the other symptoms corresponded. The
higher potencies of a drug differ widely in their symptoms from
the lower. Hahnemann, in the Organon, thus speaks of isopathy :
“ But even granting this could be done, which would certainly be
a most valuable discovery, yet, after all, seeing that the miasm is
given to the patient highly dynamized , and thereby, consequently,
to a certain degree in an altered condition, the cure is effected
only by opposing a simillimum to a simillimum."
Variolinumim has cured many cases of variola without pocking,
while the lower potencies have failed . Variolinumlm is a most im
portant remedy far variola. Variola is a chronic miasm like psora ,
bycosis, syphilis.
“Dynamization alters the condition , ” the high potency is the
simillimum. High potencies cure symptoms appearing in the prov
ings, with tinctures and low potencies, while low potencies do not
cure the symptoms developed by the high. This is because of the
doctrine of discrete degrees where the higher have their root in
the lower, but differ from the lower, ascending in the scale. In a
case of abuse of quinine, Chin. sulph.lm, relieved all the symptoms.
>

In a case where common sugar produced unpleasant symptoms,

292 THEORY .

Sac. off.10m , Fincke, which cured . (S. Swan, H. M. , June,, 1872, p.

489.)
Notes on Hahnemann and his Absurdities. “ Even the re
nowned and learned discoverer of the S. S. C., perhaps from his
almost bitter hatred of anything appertaining to Old Physic, and
his desire to get as far away from it as possible, permitted absurdi
ties and empiricisms to creep in upon and overshadow this heaven
sent boon to the human race - homeopathy. This, however, hap
pened only or chiefly in the latter part of his life.”
See “ Some Absurdities of Homeopathic Practitioners. ” ( Am .
Obs. , p. 268.)
The sole object of Hahnemann's life was to heal the sick . Hah
nemann, to the majority is more notorious than renowned . He
was learned, but that is nothing to us, many men knew more.
Not his learning, but his audacity enabled him to discard trash
and find the true drug-knowledge, and to give us his advice how
to examine the sick. He did not discover, but proved , the S. S. C.,
and that by his real discovery of the independence of quality from
quantity. He discovered that drugs increase with surface not with
weight; that molecular is the needed action to heal the sick . He
gave smaller and smaller doses, until he discoverd potentization ,
development of power morbific, and curative.
This molecular discovery shakes the foundations of all sciences.
Hahnemann had “no bitter hatred of anything pertaining to old
physic ; " he went to Vienna because there were no clinics at Leip
sic. In Vienna, he lost his savings, deposited with one whom he.
trusted. After suffering continued persecution, he said in later
years : " I have nothing against the physicians, they are my human
brethren ; all I have to say is against their non -art (Unkunst) and
their maltreatment of sick people.” There was no bitterness in
his philanthropic soul until opposition rose among some of his
false followers, who injured his beautiful art of healing. He never
thought of becoming a reformer, but was driven by experience, &c. ,
>

farther and farther away from allopathy. His one object was to
heal the sick .
“ Absurdities and empiricisms” —absurd is only used for that.
which is logically contradictory ; empiricism denotes only such
knowledge as rests on experience. The latter part of his life was the
most active ; he was not then infirm . At sixty years, he had his
first student ; his Materia Medica was published during the next
ten years. From his sixty -first to his seventy-third year he
 THEORY . 293

collected symptoms following suppressed itch, and completed dis

coveries of the needful medicines. He published the Chronic Dis
eases when seventy -three years old. There were no infirmities or
weaknesess in his old age. From five to ten years old, his father
taught him the art of thinking. As a young man, he studied Lam
bert's Organon. He held the same religion always. He always said
of his discoveries : “5 If you find it incredible, make the experiment,
carefully and strictly, and you will see the result.” His only aim
>

was to teach us how to heal the sick . (C. Hering, H. M. , Jan. ,

1872, p. 249.)
Homeopathy misapplied. There is no law or principle of
science which is not dependant on knowing where as well as how
to apply it. Most of our rapid progress consists in applying already
known principles. Much of past failure has arisen from not know
ing where and how to apply principles. A part of our practice is
not founded on a true scientific basis. This unscientific practice
consists in attempting to apply the principle of “ similia ” to cases
where such application is impossible. Science is composed of facts
and phenomena, and of the relations subsisting among them ; a
single phenomenon or a great many similar phenomena can not
fully manifest all the principles and laws of science involved in
their production . Experience is fallible and observation not
always correct. A morbid action is only manifested through symp
toms, by the agency of the functions. This functional action need
not be abnormal but may be healthy while indicating disease in
some other part of the organism . Any medicinal action directed
only against symptoms can not be directly curative, but must, if
intense enough, produce disorder in previously healthy functions,
for symptoms can be subdued only by removing their cause, or by
depriving the functions of their manifesting ability. Drugs affect
the organism in three ways, viz.: in the mechanical arrangement
of its parts, the chemical constitution of its tissues, and the action
of its vital functions. These effects are direct and indirect.
Drugs produce mechanical effects either by their physical proper
ties or by acting through the functions. In the one way it is un
medicinal action , in the other indirect.
A chemical action may be effected directly by the chemical
properties of a drug, or intermediately through a modified functio
nal action. In the first the action is not medicinal ; in the other,
indirect.
294 THEORY.

The direct medicinal action of a drug is always exerted on the func

tions.
A medicine acting on a diseased part intermediately through
the function of another part modifies the health of that function .
If the disease is intense enough to produce morbid symptoms, the
modification of that function through which the cure is made must
be intense enough to produce morbid symptoms, as it must be
more intense than the original disease. The cure of any group of
symptoms produces another different group ; such action is not
homeopathic but pathogenetic.
All homoeopathic action is both medicinal and direct, and therefore
functional.
Therefore a medicine given on the principle similia similibus
curantur must have a specific tendency to the point in which the
group of symptoms originates, and by virtue of its property of ex
citing both primary and secondary effects, its action is, when prop
erly administered, in direct opposition to the action of the disease.
The direct action of a homoeopathic medicine is always curative.
1st. Then aa medicine to be homeopathic, must act directly (not
intermediately ) upon that part of the organism where the group of
symptoms originates, and its action must be directly curative.
2d. If a medicine act upon a part not already diseased, its action
can not be directly curative, and therefore not homeopathic. The
action of such a medicine, if sufficiently intense, must always be
pathogenetic.
3d. A structural disease caused and maintained by any other
agency than functional disorder, cannot be reached by medicine at
all, except indirectly through a function which may be perfectly
healthy ; and such functions cannot be affected homeopathically,
because they have no disease to be acted on. Diseases of this class,
then, are “ not subject to the law ” of homeopathy, “ neither in
deed can be ; ” and the medicine which exerts any curative in
fluence upon them is not homeopathic, no matter what may be
the dose ; no matter what form ; no matter how great the similar
ity between its symptoms and those of the disease. To cure such
a disease by a homeopathic medicine, you must produce on a
healthy function an undue stimulation, or an undue depression, or
an actual perversion, and your proposition is to cause disease, on
>
the principle, “ like cures like," and is absurd in its very construc
tion.
Hahnemann wrote (Organon $29) referring to diseases cured on
 THEORY . 295

>
the principle “ similia similibus,” that they are purely dynamicand.
peculiar changes of the vital powers, in regard to the manner in which
they accomplish sensation and action .” He could not have been more
emphatic in supporting our doctrine, though he did not always con
form strictly to his own principles. All medicines may be applied
on the “ similia ” principle as they all affect functions in two op
posite directions. The organism after receiving the effects of any
medicine can react against those effects in intensity proportioned to
that of the primary action ; except when so great as to destroy the
reactive power. All medicinal substances have the power to act on
the principle of “ similia .” (P. Dudley, H. M., Feb., 1872.)
Medicinal qualities of Plants. An interesting and very in
structive article on the probable effect of crossing on the medicinal
qualities of plants, by E. Hale may be found in the U. S. Med. and
Surg. Jour ., v . 7, p. 203.
.

Virchow's verdict in aa lecture on "unsere Zukunft," that provings

of medicines on the healthy unfruitful,” are most deliciously criticized
by Dr. C. Hering. (A. H. Z., 84, 67.)

POSOLOGY.
Posology in the British Congress. To ascertain the general
experience of British physicians the following pointed questions
were sent to 269 members of the profession: How long have you prac
ticed homeopathy ? What are the dilutions or doses you mostly
prescribe ? What are the highest dilutions you mostly prescribe
and in what class of cases ? What are the lowest doses you pre
scribe and in what class of cases ? Do you prescribe now the
same doses as you did when first practicing homeopathy ? If you
have changed your mode of practice, please state the reasons ?
From 173 answers received the following is an abstract :
From physicians of 30 years practice and upwards 15 answers.
(6
20 to 30 56
66 66
10 to 20 53
of less than 10 years practice 38
Of the 173, 9 practice as high dilutionists and 5 of these have
never given low dilutions ; 44 are exclusively low dilutionists, 30
of whom have never given high dilutions ; 103 give both low and
high, (high means 30 and upwards) and 17 of these from the low
296 THEORY.

to the 12th. To get at the comparative value of high and low di

lutions we exclude all whose experience does not extend to both,
namely, 5 of the high and 30 of the low dilutionists. Of the re
>

maining 138 , 124 give above the 6th in certain cases ; 14 after more
or less examination into the curative power of the higher dilutions
have abondoned them. Of the 124 who give higher dilutions 17
give up to the 12th ; 52 up to the 30th ; and 55 up to the 200th.
The physicians of greatest experience in point of professional age
are the strongest supporters of the higher dilutions. Of 15 whose
practice extends over 30 years, 12 use the high more or less ; of 56
whose practice stands between 20 and 30 years, 37 use the high ; of
53 with a practice of between 10 and 20 years, 35 use the high and
48 with a practice of less than 10 years, 29 use the high more or
less. Reversing the tables we find that the supporters of only low
dilutions number 3 out of 16 who have practiced for 30 years
and upwards ; 16 out of 56 who have practiced for over 20 years ;
11 out of 53 who practiced for over 10 years, and 14 out of 48 who
practiced for less than 10 years. (Bayes, Med. Inv., v. 9, p. 201.)
.

Reflections on Therapy by Dr. Stens. Where amelioration

ceases to progress, it is far better practice to remain with the same
remedy, as long as no characteristic change takes place in the pic
ture of the disease ; but we must change the potency, giving
either a higher or lower one. A normal dose is an impossibility ,
for in different climates different principles prevail, as the climate
greatly modifies the reactionary power of the organism. Only
from the accumulations of the results gained in different countries,
we might be enabled to reach a normal dose, but even then, we
must judge every individual case by itself. The most important
rule is always strict individualization , as without it a cure is im
possible. Two factors, the remedy on one side and the reactionary
power of the organism on the other side must be always kept in
view, and on account of this ever changing reactionary power, the
dose must be steadily adapted to every individual case. A drug
becomes aa homeopathic remedy only while it acts according to the
law of similarity, and the potency must be judged according to
the reactionary power of the organism . (N. A. J. H., 21 , 246. )
On Posology, by Dr. Ad. Lippe. Objections are raised to
Dr. Black's definition of Homeopathy (Brit. J. of H., July 1871) :
“ It is a system of therapeutics where the pathogenetic effects of
the remedy stand in relation of similarity to the disease,” as he
ignores, the fact, that medicines alter and derange the health
 THEORY. 297

dynamically, and omits to state, that only such medicines should be

employed , whose effects are accurately known, and that the medi
cine should be administered simply and alone, and in rare and
minute doses.
There is a necessary connection between the dose and the thera
peutic law, as given by Hahnemann, and the more similar the health
altering effects of a medicine are to the symptoms of a patient, the
smaller should be the dose administered for the cure of the disease.
We must not look for specifics, but for specific remedies for specific
forms of disease ; in other words we must learn to individualize. We
ought never to speak about dilutions ; but about potencies and the
provings made by some of our best men show , that some symptoms
have been caused by every potency ; some other symptoms were
only caused by lower potencies, while others were caused by
higher potencies only, and the question : can a low potency cure
such symptoms corresponding with those only as were produced by
a high potency ? can only be answered in the negative. But high
potencies cured many a time such symptoms as are caused by low
potencies only. (N: A. J. H. , XX., p. 451.)
> >

The Dose. From 860 recorded cases have no doubt the supe
riority low attenuations. Rarely use higher than the 3d, and fre
quently the 1st dec. The cure with high potencies is more pro
tracted and less satisfactory. (Chas. Allen, Month. Hom. Rev. , v.
16 , p. 80.)
On the Dose, by Dr. Esparet from Bulletin de la Société Home
opathique, 1872. (I. H. Pr. , v. 1, p. 398.)

CLIMATOLOGY .
Climatology With reference to diseases of the respiratory or
gans. Bronchitis when chronic is invariable aggravated by a
cold or chilly climate, on this account it has been styled a winter
cough. One subject to this affection may, during the summer
months enjoy tolerable health, but as soon as late autumn or win
ter begins, the surface of the air tubes becomes easily irritated and
inflamed , and from this susceptibility a distressing cough comes on,
and continues, unless mitigated by remedies, until another warm
season returns, provided the patient is able to survive the siege.
We have known a bronchial cough to come on annually, increasing
298 THEORY.

each successive year in severity for fifteen or twenty years, before

the vitality of the patient became exhausted. Winter after winter
would a bronchial inflammation set in, attended with expectora
tion of much mucus, and not unfrequently of mucus streaked with
blood . Cases of this description are properly termed lingering
consumption, and in frigid climates are seen to terminate fatally.
We have known many cases of this disease stayed in its progress
by resorting to a change of climate. The fact that such patients
are always better in summer, naturally suggests that if warm
weather could be protracted sufficiently, such patients would be
restored to sound health .
The reason why so many partially recover from chronic bron
chitis during the summer, and relapse again on the approach of
winter or cold weather, is because the warm season is too brief in
its duration at the North for the cure to be completed , and there
fore a residence where there is no winter, or at most a very brief
one, affords sufficient time for aa full and complete recovery, We
have observed another class of bronchial difficulties, coupled with
incipient tuberculosis, that derived but little benefit from a South
ern climate. But still we have observed that a different change
of climate has operated advantageously to them . In feeble con
stitutions, smitten with bronchial inflammation and an evident in
clination to tubercles, we have known much benefit to arise from
a residence in the climate of Colorado .
So little attention has been paid to a proper discrimination of
the cases that become benefited , and those that derive no benefit, that
we will here venture the remark that what will benefit some is in
jurious to others. For instance, cases of long standing bronchitis
are not benefited to any great extent by the climate of Colorado.
A tropical climate suits this class of patients much better, but
feeble persons addicted to bronchial cough and incipient tubercles,
from our observation , are liable to an increase of difficulties in a
tropical climate, because this favors a ripening and softening of the
tubercles, although the bronchial irritation may be less. But they
are likely to receive much benefit from the climate of Colorado,
because the atmosphere is more bracing and supplies more nutri
ment to the blood, that stays the product of tuberculous deposits.
The same remark may be made concerning the climate of Min
nesota which all clases of consumptives are prone to seek. In this
climate many have derived benefit, while by far the greater pro
portion have utterly failed , and this is owing to the fact that of
 THEORY. 299

those denominated consumptives a very large proportion suffer

from merely bronchial inflammation, 'which is made worse by a
clear, cold and bracing atmosphere, while those who are inclined
to tubercles, and are feeble and exhausted, find aa dense atmosphere
beneficial and oftentimes a source of strength. But in confirmed
tuberculosis we have yet to observe any cases that have been bene
fited by a residence in Minnesota ; while at the same time we have
observed the most serious injury to result to those afflicted with
uncomplicated, chronic bronchitis, and while we observed the bene
fits of protracted seasons of warm weather from the latter, we have
observed the fatal effects of the same upon those in the advanced
stage of phthisis pulmonalis.
There is this difference to be borne in mind between bronchial
and tuberculous consumption. The former may occur in robust
constitutions, from a series of exposures and frequent colds, that
first produce catarrh, and then cough and bronchial abrasions and
hemorrhages — the latter is for the most part, constitutional and
hereditary ; the former requires protracted seasons ofwarm weather,
such as can be had in tropical regions, in order to afford time for
the abrasions to heal, when the cough does not interfere. The
latter require invigorating and bracing atmospheres that keep up
the strength by supplying pure oxygen to the blood , and thus pre
vent the ripening and softening of incipient tubercles.
Cases of fatal consumption are found in all climates because
this disease is allied to hereditary constitutions, and the victims
are born with the predisposing cause within them, upon which
any depressing influence may operate as an exciting agent and
cause its fatal development. This fact accounts for the universal
prevalence of tubercular consumption in all climates. It is for the
most part an hereditary disease. But bronchitis before it has
reached aa fatal point, results from causes not inherent in the sys
tem , and seldom hereditary. Therefore, in warmer, or even in tem
perate climates, this disease is seldom fatal, and almost always
curable. (A. E. Small, U. S. Med . and Surg. Jour., v . 8 , p. 56. )
Climate of Texas. (E. A. Lodge, Am. Obs ., Aug. , 1872, p. 391.)
Noso -geography. On the map of the world's surface, made
according to Mercator's projection, you perceive two crooked but
well -marked lines ; the most northern is violet, which marks the
most northern limits of the malaria ; above this line, no malaria
does or can exist. The second line, further south is green, and
indicates the southern limit to which typhus as an epidemic never
extends. Between these two lines malaria and typhus intertwine
300 THEORY.

about the isotherm of the 18 ° of Reaumer, or 72° of Fahrenheit,

which passes about through the southern point of Europe,
northern part of Africa and southern part of America. Speaking
in the language of this new science, i. e. , noso -geographically, we
find the five greatest epidemics on the chart thus indicated :
Violet marks the northern limits of the malaria which decreases
from the equator to the higher latitudes until it arrives and is ar
rested at the limits of the polar zone.
Green indicates on the nothern hemisphere, the southern limits
of typhus ; this is the isortherm of the 18° of Reaumer, or 72° of
Fahrenheit ; this is also the limit'between the temperate and tropi
cal zones.
The marks in red indicate the limits of the pest towards the
south , east and west, comprising its natural area in North Africa ,
Asia Minor and Europe.
The blue spots mark the places where the cholera originates or
loves to linger, and these are, as it will be observed, almost entirely
in the northern hemisphere.
The orange-yellow spots mark the principal places where yellow
fever has appeared, indigenous or imported ; these places range
from the West Indies, on the coast of America, west coast of
Africa, South Europe, up to the south coast of Iceland, not con
fined , as it will be observed , by latitude or climate. And so it is,
this fever depends, as to its origin and progress, almost entirely
upon local causes , which can be removed if the proper means for
thatpurpose are adopted, as has been shown in New Orleans during
the late war, when by extreme cleanliness this scourge was kept
out of the city for three years.
The pest, though having a local character like the yellow fever,
depends somewhat more on causes which cannot be controlled ;
such, for instance, as the overflow of the Nile, in Egypt, at the
end of which, in November, it makes its appearance , and is at its
height generally in the middle of February, when the Nile is the
lowest. It is wholly confined to those countries as yet marked
red in the chart.
The Asiatic cholera, however, at first confined to Asia, has made
the rounds of the world, and thus has shown its capacity to grow
from an endemic into an epidemic. But as we now consider its seed
of an animalcular nature, and its propagation dependent on actual
contamination of earth and water, or such substances as have come
in actual contact with the victims of cholera, we can guard in a
 THEORY. 301

great measure against the inroads of this fearful disease. The ma

laria depending upon a vegetable origin, belongs almost wholly to
the temperate zone, ceasing entirely when approaching the polar
region. The same can be said of the typhus as an epidemic, which
loses its force when it approaches the tropics ; both however com
prise the region of the globe in which the scrofula diathesis prevails.
Noso -geography does not stop with the positive location of the
five great epidemics ; it also investigates minutely the causes and
locations of the other diseases which depend on zymotic or conta
gious origins. It has grown into a science which should be studied
and cultivated by every student of medicine. (I. H. Pulte, in Pro
ceedings of Hom . Med . Soc. of Ohio, for 1872, p. 16.)

PHYSIOLOGY.

Minute Life and Minute Matter. A study of Infusoria . (B.

W. James, H. M. , Sept., 1872, p. 89.)
Thermomtry. An instructive and valuable paper on this subject,,
whereby early and delicate premonitory changes can be accurately
determined , in advance of any objective or subjective symptoms, 2

thus enabling the practitioner to marshal his forces to combat and

thwart diseases in their incipiency . (O. M. and S. R. , v. 6, No. 3, p.
.

160. )
Infections. From 6,000 experiments with viper-poison, Fon
tana deducted the following: On injecting the poison into rabbits'
jugular vein, they cried out the moment the venom entered the
vessel ; had violent convulsions ; died in two minutes or less. The
blood in large vessels, heart, and auricles, was black and coagu
lated. The poison affects the blood instantaneously. The blood
color from bright red turns black, this is succeeded by sudden co
agulation in the heart-auricles, liver, largé venous trunks. The
circulation totally stopped , the animal dies. Serpent poison, ap
plied to a naked nerve diffuses its influence instantaneously. The
bite of a rattlesnake killed a dog in a quarter of a minute. So
close a connection exists between sanguiferous and nervous systems
that pain and irritation change the appearance of the blood .
(Quoted by B. W. James, H. M. , 1872, p. 137.)
302 THEORY .

Experiments with septicæmic blood by Dr. Davaine.

The Academy of sciences in Paris has been treated by a series of
experiments which are going to show that decayed blood, if applied
by sub -cutaneous injection, will seldom kill a Guinea pig in aa dose
of less than one-tenth of a drop, and rarely have a fatal effect upon
rabbits in a dose of less than one -hundredth of a drop.
Septicæmic blood, that is blood taken from an animal which
died in consequence of inoculation of decayed blood, killed rabbits
when applied in the one-trillionth part of a drop. (From " Art Med
ical,” Nov. , 1872, I. H. Pr., v. 2, p. 358.)
Inflammatory Pus-agents. Putrid pus, which induces fatal
results when injected into the tissues, becomes almost innocuous
when it has been perfectly filtrated, thus giving evidence of the
corpuscular state of the inflammatory agents of pus. (Quoted by
B. W. James, H. M. , Dec. , 1872, p. 245.)
Tuberculous inoculation in man , A fisherman , æt. 55 , suf
fering from gangrene of great toe, was inoculated on thigh with
tuberculous matter ; he died thirty -seven days after (having never
been ill before), and seventeen tubercles in first stage of develop
ment were found in apex of right lung ; two in apex of left lung.
Liver healthy, but on it were two tubercles of size of peas. ( Quoted
by B. W. James, H. M. , Dec. , 1872, p. 245.)
Trophic nerves . The latest physiological researches have
proved that beside the vasomatoric nerves there exist also trophic
nerves, which regulate nutrition, secretion and resorption ; they term
inate in the cells, of the salivary glands, of the liver, pancreas,
(Pflüger) and in the epithelial tissues. As pathological proof for
the existence of such special nerves are cited : Ophthalmia neuro
paralytica from injury of the trigeminus ; progressive one-sided
facial atrophy, hypertrophy of one side of the face after injury of
nerves (Schilling ); also struma and exophthalmus in Basedow's
disease . As there are centres for the action of the heart and the
tonus of the vessels, so there are also centres for the regulation of
nutrition of animal heat. The centres for trunk and extremities
are situated in the anterior column of the spinal marrow. The
discovery of these trophic nerves is another proof for the dynamical
action of homeopathic remedies. (Hirschel, H. Kl. , 1872, p. 22. )
Sugar in normal urine. Brucke stated that healthy urine
contains sugar. Kühne estimating the quantity at 0.1 per cent.
Prof. Seegan says the excretion of sugar by urine is not a physi
 THEORY. 303

ological renal function, that normally there is none. (Quoted by

B. W. James, H. M., Dec. , 1872, p. 245.)
>

Bone nutriment. The bones can only be developed during a

certain period of growth. Beans, barley and oatmeal are the best
bone and teeth feeding elements. Get Canadian oats, well cleaned ,
ground coarse, boil not long enough to destroy the grains; eat
with milk and sugar. (B. W. James, H. M. , June, 1872, p. 533.)
The Uvula consists of a pair of small muscles placed side by
side in the middle line of the soft palate, which are covered by
mucous membrane; they arise from the spine of the palate bone,
and are inserted into the uvula. Its functions are : 1. to excite
deglutition ; 2. to compress the soft palate and shut the posterior
nares to prevent food escaping through the nosee ; 3. to modify
speech in declamation and produce guttural sounds by narrowing
the pharyngo-nasal canal; 4. this latter is mostly the case during
singing high notes, less so when singing low notes ; 5. deglutition
and vocalisation must, therefore, suffer if the uvula becomes dis
eased, maimed or destroyed. (Duncan Gibbs, Allg. Med. Central
Zeitung, 1872, 28. Mtsbl. , April, 1872, p. 31.)
Observations on infantile anatomy, by T. C. Duncan, M.D.
The infant liver occupies about one-third of the abdominal cavity
and crowds the stomach into the left hypochondrium . The ab
domen of a child ought, therefore, never to be compressed, nor an
infant laid on its left side. The intestine, after coiling in one di
rection, just at the umbilicus makes an abrupt turn and coils in
the opposite direction. The distention of the intestines with gas
is a frequent cause of infantile colic. The infant spleen is of very
small size. The neck of the infant uterus is twice the size of the
body. It looks as if upside down ; the lips are well formed and
the cavity is pervious; the walls are like cartilage, the fallopian
tubes and miniature ovaries are just apparent. It develops from
below upwards. In the infant brain the dura mater is well de
veloped and firm ; the arachnoid more feebly, especially the vis
ceral layer, and its cavity contains a quantity of fluid ; the pia ma
>

ter is readily removed as the convolutions are but feebly developed.

The brain mass is semi-solid and needs careful handling. The ver
tex is more fluid than the under surface of the different lobes. On
making horizontal sections a small quantity of blood exudes,
chiefly from the centre of the hemispheres. Here, in the centre,
it is quite dark in the child , while in the adult it is quite light
in color. There is no grey matter on the border of the hemispheres
304 THEORY.

and we do not strike any really grey matter, until we make a per
pendicular section of the corpus callosum . It is in the bodies of
the striatum and thalamus, and in the medulla, that we find the
really grey matter of the infant brain . The choroid plexus and
other blood - vessels within the ventricles and about the base of the
brain were especially well supplied with blood. In the child the
striated bodies are much smaller than the thalamus. The intimate
structural and functional connection between the eye, the quadra
gemina and intestines we had frequent opportunity to observe,
and the usual tense and pearly appearance of the eye in enterities
and also more or less of an injection of the capillaries about the
corneal margin of the sclerotic coat became to us quite diagnostic
of the disease. (N. A. J. H., 20, p. 495.)
>

The surest evidence of death may be obtained by tying

tightly a cord around a finger of the subject to be examined. As
long as there is any circulation in the body the part of the finger
separated by the string will soon turn purplish , which change of
color never takes place in the dead. (From Virchow's Archive,
I. H. Pr., v. 2, p. 373.)

CHEMISTRY.

Hahnemann's teaching in regard to the preparation of medicines,

by Dr. W. Schwabe. (I. H. Pr. v. 2, p. 254.)
The solubility of metals and minerals in diluted alcohol
after a thorough trituration with milk -sugar takes place in conse
quence of the “ affinity of surface " as in dyeing process. ( Träger,
H. Kl. , 1872, 5.)
>

Water, to be good and drinkable must contain in 100.0 parts

not more than :
50.0 parts of solid residues after evaporation,
66
5.0
organic substances,
20.0 66 “ lime,
66
5.0 “ ammonium ,
5.0 66 “6 sulphuric acid,
0.5 66 nitric acid.
It must be without color, clear and without smell or taste.
 THEORY . 305

When boiling for five minutes in a glass jar it must not form a
sediment, which would indicate a too great quantum of carbonate
of lime.
On adding a tablespoonful of clear solution of Tannin , to a tum
bler full of water the solution must remain clear. If it becomes
turbid after five minutes the water is bad ; if within an hour, it
is still unhealthy; if in the course of two hours, it is still not to be
recommended for drinking purposes. (Hirschel, H. Kl. , 1872, 7.)
Philadelphia Water as a Homeopathic Medicinal Vehicle.
It is originally full of medicinal elements from the earth ; drain
ings from coal mines, consisting of a saturated solution of minerals,
it is therefore impure for medicinal uses. In the tributaries of the
Schuylkill river not a living fish is found, and during the summer
when the water is low the banks are incrusted with a yellow , mine
ral deposit. Coal, iron, sulphur, copper, alum, etc., are in solu
>

tion, diffused , succussed, triturated , during the flow of water to

Philadelphia. The predominent mineral is constantly agitated and
attenuated during this journey ; each tributary further attenuates
the water till at Philadelphia it constitutes an attenuation of
Ferrum sulph ., or Ferrum carb ., or Kali sulph. In Berks county,
Maiden creek pours in a solution of Calc. carb.; fish live below
this point. On one bank above the city are the dye -houses pour
ing into the river concentrated solutions of cyanide of potassium ,
arsenite of copper, prussian blue, etc.; on the other, the offal from
the butcheries. Poisons held in solution in the water pass through
the filters. Chemists report water pure above Fairmount dam , yet
analyses of chemists differ materially and are often unreliable.
Again the poisonous properties may be so attenuated as to be im
perceptible to chemical tests, as all homeopathists know that medi
cines so attenuated as to baffle such tests act powerfully on man
kind. This water must affect its drinkers, chemists notwithstand
ing, old city residents become habituated to it, but visitors often
are sick, usually functional disorders, as of the stomach, bowels, or
>

liver ; this is due to the bad water. The water last summer was
muddy and execrable. Was not this conducive to disease ? During
fall and winter, much low typhoid -sickness prevailed with great
mortality. True there was the small-pox contagion, but did notthis
fact (bad water) render that epidemic more stubborn ? During the
Harrisburg epidemic of diarrhea, as soon as the filth in the river
was discovered and corrected, the disease ceased . If Philadel
phia can not have water from some pure river, a sewer should be
20

3
306 THEORY.

built from Manayunk to below the dam to drain the dye-house

poison ; another on the west side to drain the slaughter-house offal.
How does this water suit homeopaths ? For, this liquid at Phila
delphia presents essentially a dual character - one of contamination ,
the other ofmedication ; the result of which is to make it capable
of a distinctly twofold manner of deleterious action upon the human
system .
The first is by reason of the impurities in the lower end of the
river ; the second because of the drug elements in solution. This
water exercises a persistently injurious effect, and may produce
organic disease after drinking it for years.. Homeopathic medi
cines prepared in Philadelphia water failed to benefit, so I now
give them in snow -water, or dry. (C. H. Hæseler, H. M., May, 1872,
p. 441.)
Easy test for Arsenic, Antimony, Phosphorus. Dilute con
siderably with water the solution of the substance to be examined,
pour into a wide -mouthed bottle, to the cork of which are fastened
a number of pieces of parchment paper, previously saturated in
acetate of lead, nitrate of silver, and sulphate of copper. Add a
few drops of Sulphuric acid, throw in some pieces of zinc, and cork
the bottle.

In case any gases are liberated, they will react upon the strips
of paper, and the color will disclose to what particular element the
reaction is due. Phosphuretted hydrogen does not blacken nitrate
of silver and acetate of lead, but does act upon sulphate of copper.
Antimonietted and arsenietted hydrogen do not affect the nitrate
of silver and sulphate of copper, but blacken the lead salt. Sul
phuretted hydrogen, however, blackens all three of the above me
tallic solutions.
To decide the elements present, macerate the strips of paper in a
solution of cyanide of potassium. If the coloration disappears at
once , it was due to sulphuretted hydrogen ; if it slowly changes in
cold , and more rapidly in heat, it was caused by phosphorus or
antimony ; if it only bleaches a little, and turns brown, and does.
not disappear when heated, it may be traced to Arsenic. (Quoted
by B. W. James, H. M., Jan. , 1872, p. 288.)
Test for Pus. Dr. Day prepares his test - fluid by exposing a
saturated alcoholic solution of guaiacum to the air until it has.
absorbed a sufficient quantity of oxygen to give it the property of
turning green when placed in contact with iodide of potassium.
 THEORY. 307

On moistening the most minute quantity of pus with water, and

pouring a drop or two of the test - fluid over it, a clear blue color is
produced. He finds that healthy pus, when dried , loses its chemi
cal activity, which is restored by moistening it with water ; that
pus from persons suffering with erysipelas and allied diseases is
more active chemically than healthy pus ; that carbolic acid has
the property of destroying the chemical activity of pus entirely and
permanently, whether derived from healthy or unhealthy persons.
(Quoted by B. W. James, H. M., 1872, p. 138.)
Disinfectants. There are two classes : those acting by oxida
tion to total destruction of the virus in infected matters and of the
foul gases accompanying it ; and those substances not having the ac
tive chemical properties of the first class, yet proved to have a like
power of arresting and checking the spread of infection. Infection
results from the transference and development of minute germs,
these germs contain albuminous matter as a necessary constituent,
the coagulation of which terminates their existence. Then all
coagulators of albumen are disinfectants; and having arrived at
this result by a process of pure reasoning, we proceed to prove its
truth by experiments upon the antiseptic, and so upon the disin
fectant properties of a well known albumen coagulator. Nearly
all the substances to which popular experience has assigned the
property of arresting the spread of infectious diseases where that
power is at present unexplained , are coagulators of albumen. The
>

conclusion then follows that these substances are disinfectants, and

thus a vindication of their efficiency is furnished in those cases
where it has been questioned by chemists on the ground that no
sufficient explanation of their action has been offered .
“ The above conclusion does not apply to sulphurous acid and
the sulphites. In their case we must probably look for some more
remote physiological effect upon germinal existence.” (Quoted by
B. W. James, H. M. , Jan., 1872, p. 289.)
Gumpert's method for preserving vaccine virus. Reduce
a recent crust to powder, add a few drops of water, and with a
small glass rod and a half drachm vial reduce it to a creamy con
sistence.. Draw fine lines on a sheet of thick note paper, about the
sixth of an inch apart, dividing it into squares ; place on the centre
of each (with the rod) a dot of this prepared matter and dry for
half an hour at a temperature of 80° F. From 150 to 200 squares
can be charged from one good crust. Preserve in an envelope free
from light, heat and atmospheric influence. In vaccinating, scrape
308 THEORY .

off about an eighth of an inch of cuticle, covering the square with

a patch of court-plaster for twenty- four hours, then remove with a
damp rag. In winter cover the arm thickly with woollen for two
or three days. ( B. W. James, H. M., May , 1872, p. 468.)
Celluloid, a substitute for rubber dental plates. Natural
black rubber is harmless to the mouth. Vermillion, a sulphuret of
mercury , is used to tint the plate. This produces soreness, spon
giness and absorption of the gums, exercising its cumulative effect.
Burn vermillion rubber and rub the ashes on polished brass, and
the white globules of mercury are seen. The gums are hard and
healthy after using gold plate ; spongy and absorbed from rubber.
Celluloid (a preparation of gun cotton) is now used by some. (H.
V. Miller, H. M. , June, 1872, p. 525.)
Chemical Examination of Urine. Apparatus. Test -tubes
and filtering-rack ; turmeric, blue and red litmus paper ; urinometer;
thermometer ; alcohol lamp, tripod and wire gauze ; glass tube,
closed at one end, holding a cubic inch, graduated in decimal
parts ; small beaker, stirring rod and minim measure ; glass gradu
ated in ounces and parts; evaporating dish and wash -bottle; burette
graduated in grains ; pair of fine scales ; funnel ; filtering -paper and
German yeast; reagents in one -ounce bottles; acetic acid ; nitric
acid ; hydrochloric acid ; nitroso-nitric acid ; conc. sulphuric acid ;
aqua ammonia ; strong alcohol ; quicksilver; solution of sulphate
of copper, 95 grs. to an ounce of water ; solution of neutral tartrate
of potassa, 378 grs. to an ounce of water ; solution of caustic soda,
specific gravity 1.12 (to make Fehling's test, take by volume 1
part solution of copper, 1 part solution potassa, and 4 parts soda
>

solution) ; Labarraque's solution of hypochlorite of soda ; solution

of chloride of barium , 6.1 grs. in ounce ; solution of sesquichloride
of iron, 1.55 grs. to ounce ; solution of ferro -cyanide of potassium ,
2 grs.to ounce ; solution made of an ounce of water containing
663 grs. of acetate of soda and 1331 grs. of acetic acid ; solution
of nitrate of silver, 9.58 grs. to an ounce of water.
Consider the quantity. It is increased in cold weather ; by a
diminished action of the skin ; during and after nervous excite
ment; in diabetes, etc. Decreased in warm weather ; during per
spiration. Use morning urine, allowing a part to stand some
hours in order to study the sediment. Scanty urine has a deeper
color and vice versa , and in excess indicates abnormal constituants,
as bile, affected by diet and medicines.
Characteristic, diagnostic odors appear in fevers of a typhoid
 THEORY . 309

type varying in proportion to the solid matter ; urine containing

an excess of phosphates or uric acid is fetid ; it is the same after
eating asparagus, resinous substances, or certain medicines. Acid
ity of urine in excess appears after too much animal food, and favors
the decomposition of urates and deposition of uric acid, as in gouty
>

rheumatism . Test with turmeric or blue litmus.

Alkalinity is increased or produced by an exclusively vegetable
diet and favors the deposition of the triple phosphates.
In testing, when the red litmus shows alkaline reaction dry it
thoroughly, if the blue color remains it is due to potassa or soda ;
if not, it is due to ammonia. With a slight variation the last two
figures in the number taken from the urinometer indicate in grains
the solid constituents in one fluid ounce of the urine examined .
Take half of the specific gravity of any specimen, multiply it by
455.59, and divided by 500, which will give the correct answer in
grains by weight, from which to calculate percentage.
Albumen Qualitative Test. — The test is heat. Boil the specimen
of acid reaction ; if albuminous it becomes cloudy and precipitates.
When it is alkaline, add acetic acid and boil. If turbidity is due
to deposit of earthy phosphates, it is cleared up by adding nitric
acid, which will alone coagulate the albumen. Heat hastens the
process .
Quantitative Test. — To a measured quantity of urine, add a few
drops of acetic acid ; boil; throw the result on a previously weighed
filter paper. When dry, weigh in grains, and calculate the quant
ity (by substracting the weight of the filter) in an ounce of urine.
Sugar - Qualitative Test. — Boil two or three drachms of Fehling's
-

test liquor, add the urine drop by drop from the burette. A rusty
or brown precipitate and disappearance of the blue color indicates
sugar, which does not occur if there is no precipitate.
Quantitative Test. — First method. Divide the urine in two portions,
rub a small piece of German yeastcake in a mortar with one por
tion, and set away for a day in a warm place until fermentation
ceases . The differences between the specific gravities of the two
portions shows the amount of sugar in the fermented specimen.
Second method. As 200 grains by bulk of Fehling's test liquor
neutralizes one grain of sugar, take a small proportion of this,
dilute three times the bulk with water, boil, then add drop by drop
from the burette, a measured quantity of dilute urine, until the red
precipitate ceases to be formed and blue color of the test is lost
310 THEORY .

showing the entire oxidation of the copper and completion of the test
If the urine has been taken from a very accurate glass graduated
in parts of an ounce, and dropped from a burette graduated in
grains, the amount of sugar may be easily and certainly calculated
in an ounce of urine, the total quantity in the twenty -four hours,
and percentage. Sugar occurs in diabetes and varies usually from
four to twenty per cent. In this test and in those that follow , the
urine must be freed from albumen .
Sediment should now be carefully examined microscopically for
tubular and other casts, crystals or morphological constituents, in
dicating when in abundance renal or cystic disease.
Bile - Qualitative Test . — Put half a drachm of urine in a porce
lain evaporating dish, and add a drop of nitroso -nitric acid or lithic
acid ;; if biliverdine be present,a succession of rainbow -like colors are
seen attending the acid. For biliary acids and salts, Pettenkoffer
adds a very little cane sugar in solution , then as much sulphuric
acid as equals half the urine or suspected fluid . If they are present
the color changes to a dark red or purplish -black. Found in jaun
dice and other diseases of the liver.
Urea- Quantitative Test. - Select a tube closed at one end , capa
ble of holding at least one cubic inch, and graduated in decimal
parts. Fill it one- third full of mercury , add a quarter of aa drachm
of urine, then fill quickly to the brim with a solution of hypo
chlorite of soda, close the mouth of the tube with the thumb, and
invert the tube in a saturated solution of common salt. The mer
cury runs out, the hypochlorite remains at the top, when the urea
is decomposed in a few hours. Multiply the decimal of a cubic
inch of gas found by .645 and the result by 32, to get the amount
in an ounce of urine. Each cubic inch of gas represents .645 of
grain of urea. Range is from 15 to 23 parts of urea in 1000 parts
of healthy urine.
To find the percentage, multiply the number of grains of urea in
an ounce of urine by 100 and divide by the whole number of grains
in the ounce of urine examined.
Urea is an excrement following excessive muscular action ; in ex
cess in albuminuria .

Chlorine - Quantitative Test. — 250 grains of nitrate of silver solu

tion neutralizes one grain of chlorine. Take half a drachm of
urine, add a trace of pure nitric acid to keep phosphates in solution,
dilute one-half, then slowly add, at intervals, drops from the
 THEORY. 311

burette of the silver solution until precipitation in urine ceases.

When the test is complete, the number of grains of silver solution
used will be the numerator of aa fraction and 250 the denominator ;
which expresses the part of a grain of chlorides in the specimen of
urine examined . The calculation for percentage and amount per
ounce can be made the same as for urea . Chlorides and sulphates
vary considerably, depend much upon the food taken, and are of
little value to the busy practitioner. Range from 3 to 8 parts in
1000 parts of normal urine.
Sulphuric Acid — Quantitative Test. — 250 grains of solution of
chloride of barium neutralizes 1 grain of sulphuric acid. The test
and calculation is precisely the same as that for chlorides, only sub
stituting the chloride of barium solution for the nitrate of silver.
Phosphoric Acid - Qualitative Test.-— 250 grains of the sesquichlo
ride of iron solution neutralizes 1 grain of phosphoric acid. Take
half a drachm of urine, add about eight drops of solution of ace
tate of soda and acetic acid . Into this gradually drop the iron
solution from the burette until precipitation ceases. This point is
determined by taking, during the process, a drop from the urine
mixture and placing it upon a piece of filter-paper moistened with
the solution of ferrocyanide of potassium. When a blue color is
seen on the paper the iron is in excess, and the test is complete.
The number of grains of iron solution used is the numerator,
and 250 the denominator of the fraction, which gives grains of
phosphates in specimen used. Other calculations as for urea .
To determine the amount of earthly and alkaline phosphates,
take two drachms of urine, and add a few drops of aqua am
monia, which precipitates the earthy phosphates. Filter and wash
residue with dilute ammonia . Collect the whole filtrate, con
taining the alkaline phosphates, and test as above for amount
of phosphates. This gives the alkaline phosphates, and by sub
tracting this from the whole amount of phosphates, as found above,
it gives the amount of earthy phosphates. In 1000 parts of normal
urine the range is from 4 to 9 parts.
Phosphates, are generally present in excess in cerebral troubles or
excitement, the odor of such urine being fetid, resembling the urine
of one who has eaten asparagus.
Uric Acid — Quantitive Test. — Take one ounce of urine, filter (to
remove mucus, &c.), and evaporate slowly, with mild heat, until it
becomes thick. Then add a portion of strong or absolute alcohol,
312 THEORY.

stir well, and decant upon a filter, previously weighed , dry, and
now moistened with alcohol. Extract with alcohol in this way,
and repeatedly decant until the alcohol is not colored . Then add
one ounce dilute hydrochloric acid (1 to 6) to the residue in dish ,
throw the whole upon the filter, and wash thoroughly. The filter
។

is now carefully dried and weighed. By subtracting from this re

sult the previously known weight of filter-paper, the weight of
uric acid , in one ounce of the urine is determined .
One thousand parts of normal urine contain from 1 to 1.6 parts.
Uric acid exists in excess in the urine of those disposed to cal
culus, arthritis with gouty deposit, and acute articular rheuma
tism. It rather indicates a general disease than diseased renal
structure. (M. Macfarlan, H. M.,> Jan., 1872, p. 257.)

H
 INDEX .

Abdomen , 115 . Bladder, 139 ; evacuating, 141 .

Abdominalpainrelieved bywarmth ,5. Bladder, pain , and through urethra 33 .
Abortion, 6. Threatening, 36. Blood, 209.
Abortive treatment of small-pox, 236. Boils, their location , etc., 241–245.
Abscesses, 5. Bone nutriment, 302.
in abdominalparietes, 135 . Bones, phosphor, 2.
Aching and coldness of legs, 6. Brain and its membranes, 51.
Acids, vegetable , 13. Bright's disease, 138.
Acne mentagra, 82 ; punctata, 240. Bronchi, 104.
Action of drugs, 285. Bronchiectasia , 105.
Afterpains, 33, 183. Bronchitis, 15, 105 .
Aggravation and amelioration in Burns, 251 .
uterine diseases , 154.
Albugo of cornea, 70. Cachexia arsen ., 2 .
Alcohols , 11.
Alkali group, 10. Cactineæ , 29.
Alum group, 6. Casalpiniaceae, 28.
Amides, 13 Calcarea group, 9.
Amenorrhea , 171 . Calculus, 278.
Amygdalineæ, 30. Cancer, 248 ; of lip , 82.
Anacardineæ , 28. Cancer mammary , 255.
Anal fissureand hæmorrhoids, 280. of esophagus, 88.
Anasarca, 12. Cancerous ulcers, 247.
Andromedea Leschenaultii, 14. of the os uteri, 169.
Angina pectoris, 114. Cancroid, 247.
Animals, 34. Carbolized catgut for sutures, 282.
Animal diet in typhoid, 221 . Carbon group, 5.
Anteversio uteri, 168. Carbuncles, 245.
Anthrax of face, 82. Carcinoma ventriculi , 118.
Antidotes to carbolic acid, 13. Cardiac muscles, degeneration of, 6.
Aphasia , 44 . Cardialgia, 5, 117.
Aphonia, 88. Caries, 5 ; and necrosis of femur, 262.
Apocyneæ, 22. Cataract, 71 ; traumatic. 252, 253.
Articulates, 34. Catarrh of bladder, 140 ; bronchial
Artificial teeth swallowed, 118. 105, 106 ; chronic, 10 ; of middle
Ascites, 134 . ear, 76 ; óf female organs, 154 ; gas
Asclepiadineæ , 24. tric, 5.
Ashes of Vesuvius , 5. Celluloid for dental plates, 307.
Asthma, 108 ; after vaccination, 234. Cephalalgia, 195.
Arachnides, 35 . Cerebral irritation , 54 ; paralysis, 209 .
Atrophy, 194. Cerebro-spinal meningitis, 55.
Auricular tumors, 73. Cerebro -vascular equilibrium , 50.
Aurum group, 7. Characteristics in typhoid, 220.
Chemical drugs, 1 ; examination of
urine, 308 .
Bandaging, 282. Chemistry, 304.
Berberideæ , 33. Chilblains, 29.
(315)
316 INDEX .

Chilly, from every movement, 5 . Diarrhoea, 119.

Chlorosis , sulph., 2. Difficulty in learning to walk, sulph ., 1.
Cholera , 127 ; epidemica infantum , 19, Dioscoreæ, 18 .
120 ; disposition, 126. Diosmaceæ , 34.
Chorea, 205. Diphtheria, 85.
Chronic sinus, 247. Diphtheric membrane, 11 .
Cistineæ, 33. Disease germs, 281 .
Clavicular pain, 29 . Disgust for meat and warm food, 5.
Climacteric years,5. Disinfectants , 307.
Climate of Texas, 299. Dislocation of cervical vertebra, 275.
Climatology, 297. Displacement of womb, 12.
Coccygodynia, 190. Disposition to despondency, 5.
Colchicaceæ , 14. Distension of abdomen , 17.
Cold pains in head, 198. Dose, the, 297.
Coleoptera, 35. Double monster, 188.
Colic , 133 ; pictonum , 133 ; cramps Dropsy, 14.
before the menses, 10. Dysentery, 123.
Comparisons, 37 ; of symptoms of Dysmenorrhoea, 21 , 173 ; rheumatic ,
typhus fever, 217. 33, spasmodic, 33.
Complexion , pale, earthy, 5. Dyspepsia, 115.
Conation, sphere of, 42. Dyspnoea, 31.
Congenital ophthalmia, 66 . Dysentery, 30.
Congestive chills, 212. Dystocia , 179.
Coniferæ , 18.
Conjunctiva , 66. Earth dressings, 281.
Conjunctivitisafter vaccination, 233. Ears, 73 ; shooting pains, 23.
Constipation, 129.
Construction of aa whole from a given Eclampsia, 36.
part of the same , 283. Ecthyma, 241.
Convulsions, 24, 26, 36, 204 ; puer Ectrophy of the bladder, 273.
peral , 25. Ectropion , 65.
Cornea, 67. Eczema, 240 ; capitis, 63 ; impetigino
des, 63.
Coryza, 81, 105; acrid with sneezing, 5. Effects of vaccination , 232 .
Cough, 104 ; characteristics, 94 ; dry, Endocarditis, 113 .
tearing, phosph ., 2. Engorgement ofthe cervix uteri , 169.
Cow -pox, 228. Enteric fever, 216 .
Cracked nipples, 187.
Cramps in stomach , 117. Enuresis , 141 ; diurna, 141.
Crawling on top of head, 195. Epidemic constitution and epidemic
remedies, 283 ; meningitis cerebro
Croup, 10, 93, 94 ; histology of, 93. spinalis, 61 .
Cruciferæ , 30. Epidemiology, 283.
Crural neuralgia, 201.
Crusta serpiginosa, 82 ; lactea, 241 . Epilepsy, 24 ,208.
Cucurbitaceæ, 21. Epithelioma, 81.
Curvatures, spinal, 256. Ericaceæ , 23.
Cyanhydrosis, 250. Eruption on face, 82 ; herpetic on
scalp, 64 ; on mucous membrane of
Cysticdisease of testicle, 272. nose , 81 .
Cystitis, 140. Erysipelas, 240.
Cysto -sarcoma, 267. Ethers, 11 .
Etiology of cerebro -spinal meningi
Death, evidence of, 304. ,
tis, 61.
Debility, sulph ., 1. Euphorbiaceæ , 33.
Deferred labor, 177. Exanthemata , 222.
Definition of specific, 288. Excoriation in trachea or bronchia ,
Depression , mental with suicidal ten phosph ., 2.
Extirpation of eye -ball, 252.
dency, 33. Eyes, 64 ; in Bright's disease, 139.
Dermoid tumor of cornea and sclera ,
69.
Derivatives from chlorine, 11 . Face, 82.
Diabetes mellitus, 136. Fatal sleep disease, 53.
Diabetic diet, 136. Fauces, 84.
Diagnosis of ovarian disease, 146 ; of Female organs, 146.
ovarian tumor, 265. Fever, 210.
 INDEX. 317

Fibroid tumor, abdominal, 265, 269. Hypopion, 68.

Fishes, 35 . Hysteria, 203.
Fistula ani, 133 ; lachrymalis, 5. Hysterical convulsions, 204 .
Force, 283.
Forceps, its use, 178.
Foreign bodies in ears, 74. Imbecility of mind, its pathological
Fresh wounds,treated by caustics, 280. anatomy, 51 ; after vaccination, 232 .
Fright, effects of, 45 ; in pregnancy, Impairedhearing, 77.
176. Impetigo, 241 ; figurata, 241.
Fungoid tumor of hand , 259. Impotence, 144.
Fungus hæmatodes , 176. Incontinence of urine, 141 .
Index to cases of poisonings, 41 .
Indigestion , 115.
Gangrene of lungs, 112. Indolent ulcer, 247.
Gastric catharrh , 117. Infantile anatomy, 303 .
Gastrosis, 116. Infections, 301 .
Germ theory of disease,290. Inflammation of eyes, 64 ; after vacci
Glanderoid influenza, 106. nation, 234 ; of parotid gland, he
Glands enlargement, 4. par, 87 ; supurative of labyrinth ,
Glandular swellings on neck, 87. 76 ; of big toe, 193.
Glaucoma, 253. Influenza , 106.
Glycerides, 13. Infusoria destroyed by quinine, 38.
Gnawing of the flesh and bones, 6. Insanity, 22 ; concerning, 46.
Goneness of stomach, 153 . · Insane, provision for the, 48 ; med.
Gonorrhea, 145. treatment of the, 47.
Gramineæ, 14 . Insects, 34.
Intermittent fever, 29, 30, 210.
Hæmatemesis, 115. Intestinal canal, 118.
Hæmaturia, 142. Inversion of the bladder, 274.
Hæmoptysis, 111 . Irideæ , 14.
Hæmorrhage from womb, 177. Iris, 70.
Hæmorrhoids, 131 . Iritis, 70 ; syphilitica , 70. ,
Hahnemann and his absurdities, Irritable bladder, 139 ; spine, 190 .
notes on, 292. Isopathy and homeopathy, 291.
Halogen group, 6 .
Hamamelideæ ,29. Jaundice of children, 135.
Haughtiness, 45.
Hay asthma, 10 ; Hay fever, 106 .
Headache, 195 ; phosph ., 2 ; of the ly Keratitis after vaccination, 234.
ing in , 185 ; relieved by warmth, 5 ; pustular, 67.
violent, throbbing, 6. Kerato -iritis, 67.
Hearing, impaired,77. Kidneys, 136 ; disease, 137.
Heart, 113 ; actions, 11 ; disease, 113 ;
palpitations, 27, 31 ; poison, 19 ; Labiatæ, 21.
poisons on, 39 ; valvular disease , 21 . Labor-pains too severe, 36.
Heat, effects of, 54. Lacerated perineum , 279 .
Helminthiasis, 133. Lachrymation , 65, 66.
Hemeralopia, 72. Laryngismus stridulus, 91 , 93.
Hemiopia, 72. Larynx, 88.
Hepatic congestions, 35. Lead in brain , 6.
Hernia, 127, 128 ; inguinal, 262. Lens, 71 .
Herpes facialis 82; tonsurans, 64 ; Lethargus, 53.
Zoster, 240. Leucocythæmia , 209.
Hiccough, 118. Leucoma adherens, 70.
Hoarseness, 88 ; phosph ., 2 . Leucorrhoea, 7, 13, 157.
Homeopathy a science ? 288 ; as a Lichen , 249.
therapy of cells or atoms, 283 ; mis Lids, 65.
applied, 293. Ligation of funis, 187.
Homeopathic therapy the necessary Liliaceæ , 15.
complement to pathology, 285. Lingual characteristics in typhoid,
Hydrocele, 144, 272. 218 .
Hydrocephaloid , 54. Lipomata, removal , 256.
Hymenopteres, 34 . Lithotomy, 270, 278.
Hypermegalia mascularis progressiva Liver, 135.
paralytica, 194. Lochial suppression , 184.
318 INDEX .

Low -spirited, 44. Occlusion of pupil , 70.

Lumbago, 193. Oesophagus, 88.
Lungs, 110. Old ulcers, methods for healing, 281 .
Ophidia, 35 .
Magnesia group , 9. Ophthalmia, 66.
Male genitals, 144. Ophthalmiatrik , 64.
Malignant growths, operation, 262. Ophthalmic surgery, 254.
Mammæ, 176 ; cancer of, 176. Opium poisoning, 39.
Mammalia , 35. Oppression of upper chest, phos
Materia medica, study of it, 40. phor, 2.
Measles, 222 ; after -diseases, 223 ; re Optic nerve, 71 .
produced , 223. Orchideæ , 18.
Medicinal interference,286 ; qualities Organic compounds, 11 .
of plants, 295 . Osteo -malacia , 195.
Meditation , inaptitude for, 45. Otological hints, 75.
Medusæ, 34. Otorrhea, 76.
Menispermineæ , 19. Ovarian abscess, 263 ; cyst, 270 ; dis
Melancholy,45, 46. eases , 36 ; dropsy, 146 ; tumor, 147,
Melituria, 136 . 263, 264, 270.
Meningitis cerebro-spinal , 24. Ovaries, 146.
Meningeal tuberculosis, 54. Ovariotomy, 264, 268, 269, 270.
Menorrhagia, 6. Ovaritis, 146 ; during pregnancy , 177.
Menstruation, 170 ; anomalies, 170. Oxygen group, 6.
Mental characteristics in typhoid, 217. Ozæna, 10, 81.
Metritis, 36, 165.
Metrorrhagia , 170 . Palpitation of heart, 27, 113.
Microcythæmia, 209. Panaritium , 193.
Micturition, painful, 141. Papaverineæ, 31 .
Mind, 42. Papilionaceæ , 28.
Minute life and minute matter, 301 . Paralysis, sulph., 1, 209 ;of bladder,
Monster, 187. 25, 141 ; diphtheritica , 87.
Morbid 'anatomy of cerebro -spinal Paresis, of atrophy, of right leg, 235.
meningitis, 61 ; productions, 38. Parmeliaceæ , 14.
Morbus Brighti, 35 . Passionate and talkative, 45.
Morning sickness, 176. Pathological anatomy of paralytic
Motory apparatus, 191. imbecility of mind, 51.
Mountain fever, 216. Pedicle in ovarian tumor, 269.
Mouth , 83 . Pemphigus, 241.
Myrtireæ , 29. Pericranium , sensibility of, 5.
Perineum , lacerated, 279.
Periostitis, 5.
Nail, growing in , 31 . Philadelphia water, 305.
Nasal, catarrh , 77, 80 ; polypus, 81 . Phimosis, 21 .
Natural cow-pox, 228. Phlebitis, 135.
Necrosis, 195. Phosphor group, 2.
Neck , 87. Photophobia, 66.
Nephritis, 137. Phthisis , 112.
Nerves, 195. Physiology, 301.
Nervous affection,> 205. Piles, 21 .
Nervousness , 37. Pimples, bleeding, 33.
Neuralgia of face, 198 ; reflex of ute Piperaceæ , 19.
rus, 200 ; supra -orbital, 32 ; of ute Pityriasis, 239.
rus, 14.
Nocturnal emissions, 145. Plantagineæ , 23.
Nose, 77. Plants, 14 .
Nosebleed, 81 . Pleurisy , 112.
Pleurodynia, 112.
Nosodes, 36 . Pneumonia, 31.
Nogo -geography, 299. Pneumonia potatorum , 110.
Nymphomania , 175. Poisoning by arsenic, 2.
by atropia, 23.
Obesity, 35. by belladonna, 22.
Obstetrics, 176, 177. by cantharides, 35.
Obstruction , mechanical, of bowels, of carbolic acid , 13.
128, 129 . of chin , sulph ., 19.
 INDEX . 319

Poisoning by chloral, 11 , 12. Pterygium , 67.

cinnabaris, 7. Puerperal convulsions, 181 ; eclamp
by cocculus, 19. sia, 183.
of glonoine, 13. Pulsé quickened , 5.
by jelly fish , 34. Pus agents, inflammatory , 302.
of merc. cyan ., 7: Pustules, 22.
by morphine, 32. Pyæmia , 210.
by nitrobenzine, 14. Pylophlebitis, 135.
of opium , 39.
by plumbum , 6. Quinine destroys infusoria, 38.
of quinine, 39.
by rhus, 28. Radiates, 34.
by strychnine, 23. Ranula , 64.
by sugar, 14. Ranunculineæ , 33.
by uric acid, 35 . Reduction of dislocations by man
by veratr. vir.. , 14. ipulation, 257 ; of strangulated her
of zinc., 9. nia, 127.
Poisons on heart, 39. Remarks, general, 40.
Polygoniex , 29. Resection of knee -joint, 262.
Polypus aurium , 74 ; of nose, 81 ; Resection, osteoplastic, 254.
uteri, 169. Results of cow-pox vaccination , 232.
Porrigó favosa, 241 . Retained placenta and ergot, 181 .
Posology, 295, 296 ; in the British Con Retention of urine, 141 .
gress , 295 . Retina, 71 .
Postpartum dangers of ergot , 184. Retinitis albuminurica , 71 .
diet, 184 ; hæmorrhage, 183. Retroversio uteri , 168.
Prevailing diseases, 287. Rhachitis, 5.
Practice, 42. Rheumatismus, 191 ; of uterus ; 14.
Preservation of vaccine virus, 307. Rubber ligature, 282.
Procidentia , 168. Rubiaceæ , 19.
Products of destructive distillation, Rutaceæ , 34.
13 .
Sapindineæ , 34.
Prolapsus, 17 ; recti, 280 ; uteri , 166 ; Scabies, 250.
Prurigo, 250. Scalds, 250.
vaginæ , 175. Scalp, 63.
Pruritus vaginæ , 175. Scarlatina , 223.
Proving of actea racemosa , 33 . Scarlatinal dropsy, 225.
of angustura, 34. Sciatica, 201 .
of arctium lappa, 20. Scirrhus of mammary gland, 254.
of cannabis indica, 19. Scrofulariaceæ , 21 .
of carbolic acid , 13. Scrofulosis, 209.
of chloral, 12. Scurfy eruption in nose, 81 .
of chloroform , 12. Scurvy, 210 .
of datura arboræ , 22. Septicemic blood , 301 .
of dulcamara, 22 . Serpent venom, 40.
of iberis, 30 . Serous exudations, sulph ., 1.,
of iodoform 12. Shoulder presentation , 180 .
of melilotus, 28. Skin, 239 ; affection of hand , 249 ; un
of natr. mur. , 10. healthy, 5 .
of od sugar, 36. Sleeplessness, 5 .
of phosph. ac .,2. Small-pox, 4, 22, 30, 31 , 34 ; and ani
>
of plant. maj., 23. malcula , 231.
of ricinus communis., 33. Smilaceæ , 18.
of rhus venenata, 28. Snake bites, 40.
of ruta grav ., 34. Solanineæ , 21.
of sinapis alba, 31 . Solubility of minerals, 304.
of stramon ., 22. Spagiriker and homeopaths, 283.
of ustilago, 36. Spasm of glottis, 89 ; of larynx, 89.
of veratr. vir., 15. Spermatorrhoea, 144.
Provings of medicines on the healthy Spinal irritation , 189.
unfruitful, 295 . Spine, 189.
Psoriasis, 249. Statistics of vaccination , 232.
Psychiatrics, 51 . Stenosis of left osteum venosum , 113.
320 INDEX .

Stiffness of elbow joints, 193 . Tympanitis after confinement, 186.

Stomach, 115. Typhus of children, 19 .
Strabismus, 253. exanthematicus, 221 .
Strain of shoulder, 193. Typhoid fever,216, 217 ; and diar
Strictures, 25 ; spasmodic, 30. rhæa, 30.
Stricture of lachrymal duct.,65 ; ceso
phageal, 254 ; of rectum, 133, 280 ; Ulceration of os uteri, 32, 169.
of urethra, 144 . of uterus, 168.
Stump of arm fungous, 5. Ulcers, 246 ; of leg, 246 ; simplex, 5 ;
Sub -retinal tumor, 72. syphilitic, 146.
Succession of remedies in intermit Ulcus elevatum , 235 ; ventriculi, 118.
tent fever , 211 . Umbelliferæ , 24.
Sudden death and heart disease, 113 . Unhealthy milk , 186.
Suffocative paroxysms , 109. Urethral calculus, 278.
Sugar in normal urine, 302. Urination, involuntary, 33.
Sulphur group , 1. Urine, blue, 141 ; flow interrupted ,
Suppuration of finger joint, 193 ; pro 37 ; greenish , smelling fishy, 37 .
fuse, 5. Urticaceæ , 19.
Surgery , 252. Urticaria , 240.
Surgical improvements, 281 . Uterine diseases and characteristics ,
Sweat of head, body dry , 5 . 149; prevention, 148 ; draining; 29 ;
Swelling of cheeks, arsen., 4. fibroid, 268; neuralgia, 169 ; pains,
Synanthereæ , 20 . direction of, 153 ; tumor, 186 .
Syphilis, secondary , 18. Uterus, 148.
Syphilitic blood , 210 ; ulcers , 146. Uvula, 303. 1

Tabes dorsalis, 5. Vaccination , 226.

Tape-worm , 134. Vagina, 174.
Tarsal tumors, 65 . Vaginal cystocele, 268.
Teleangiectasia, 239. Vaginismus, 268.
Test for arsenic, antimony and phos Vaginitis, 174.
phorus, 306 ; for pus, 306 . Varicocele, 29.
Tetanus, 205. Varicose veins, 262.
Tetter, 249. Variola, 14, 37, 235 ; in Paris, 237.
Theory, 283 ; reflections on, 296. Venous engorgements, sulph., 1.
Thermometry, 301. Vertebrates, 35 .
Thorax, 104. Vertigo, 25 , 51 ; in back of head,31 ;
Thought and brain symptoms, 49. in cold weather, 31 ; climacteric , 31 .
Thymeleaceæ , 18 . Vesical calculus, 142, 278..
Tinea capitis, 33, 63. Vesicular eruptions, 240 .
Toe nail,in -growing, 5. Violaceæ, 33.
Toothache, 25, 83. Vulyar tumor, 175.
Toxicological remarks, 38.
Trachoma, 67. Want of milk , 186.
Traumatic infl. of eyes , 64 . Water,drinkable, 304.
Treatment of disease by symptoms, White leg, 29.
290 ; by skimmed milk, 35. Whooping cough , 34, 110 ; after vac
Trephining of tibia, 260, cination, 234.
Trophic nerves, 302. Whitlow , 5.
Tuberculous inoculation, 302. Worm fevers, 25.
Tumor, 248, 263 ; cancerous, 12, 248 ; Wound of the eye, 67.
of the eye , 68 ; sanguineous on oc
ciput, 64. Zona , 28 .
 REMEDIES .

Acon ., cerebro -spinal meningitis, 57, Angust. cort ., stiffness of elbow , 193.
63 . vera , 34 .
cough , 97 . Anthrac. poisoned wounds, 281 .
diarrhoea, 119. Ant. crud., hæmorrhoids, 131.
dysentery, 123. impetigo, 241.
effects offright, 45. Apis, cerebro -spinal meningitis, 58.
influenza, 106 . cholera infantum , 121 .
nasal catarrh, 80. diarrhea, 119.
rheumatism , 191 . hydrocephaloid, 54.
traumat. infl. of eye, 65 , morning sickness, 177.
uterine reflex neuralgia, 200. ovaritis, 146.
wound of eye, 68. uterine disease, 151 .
Actea racemosa or cimicifuga, 33. variola, 237.
cerebro -spinal meningitis, 57, 63. Apium virus, 34.
chorea, 206. hydrocele, 144.
lochial suppression, 184. Apocynum cannab., 35.
Aethusa cynapium , 26. scarlatinal dropsy, 225 .
cerebro -spinal meningitis, 57 . Aqua marina , 10.
headache, 195. Aralia rac., asthma, 108.
Alcohol, 11 . Aranea diadema,35.
Aletris, ulceration of uterus, 169. Arctium lappa, 20 .
Allium cepa, influenza, 106 . Arg. nitr ., cerebro - spinal meningitis
nasal catarrh , 79. 58 .
Aloes, diarrhea, 119. enuresis, 141 .
hæmorrhoids, 131 . pterygium , 67 .
Alumina, 6. traumatic erysipelas, 290.
dysentery, 126. ulceration of uterus, 169.
hæmorrhoids, 131. Arnica, 20 .
leucorrhoea , 161. cerebro -spinal meningitis, 58, 63
Ambra, 36. comp. with Sumbul, 27.
comp. with Kali bromatum , 36. congestive chills , 212.
uterine disease, 151 . cough , 97.
Ammonia, 40. displacement of womb, 150.
cephalalgia, 195. intermittent fever, 210.
Ammonium carb ., cataract, 71. rheumatism, 191.
cerebro -spinal meningitis, 57. trau mat. infl. of eye, 65 .
leucorrhæa , 164, ulceration of uterus, 169.
toe as if sprained, 194. wound of eye, 68.
caust., liquor of, 10. Arsenicum , 2.
caustic., 10. amenorrhea, 171 .
Ammonium mur., cerebro-spinal me anthrax of face, 83.
ningitis, 57. Bright's disease, 131 .
hæmorrhoids, 131 . carcinoma ventriculi , 118.
panaritium , 193. cerebro -spinal meningitis , 58, 63.
Anacardium , cerebro -spinal menin cholera infantum , 121.
gitis, 58 . chron. cystitis, 141 .
Angustura angina pectoris, 114. comp. with Arsen. 5,
(321 ) 21
322 REMEDIES.

Arsenicum comp. with Sulphur, 1 . head, 195.

dysentery, 125. ulceration of uterus, 169.
dyspepsia, 115 . Berberis vulg., 33 .
eczema, 240. leucorrhoea, 164.
enteric fever, 216. rheumatism , 191.
fistula ani, 133. urethral stricture , 144.
glanderoid influenza, 108. Bismuth., pressure in forehead above
hæmorrhoids,131. eyes , 195.
heart disease, 113. Bismuth . nitr., toothache, 83.
hernia, 128. Bromine, 6.
inflam . rheumatism , 191 . cough , 98.
intermittent fever, 212. diphtheria , 85.
laryngism . strid ., 92. eczema capitis, 63.
melancholy, 46. spasm of glottis, 89.
nasal catarrh, 79. Bryonia , amenorrhoea , 171 .
phthisis, 112 . antidotes Rhus venen ., 39.
poisoned wounds, 281 . cerebro -spinal meningitis , 58.
retinitis albuminurica, 72. cough, 99, 104 .
ulceration of oesophagus, 88. gastric complaint, 116.
ulceration of uterus, 169. pemphigus , 241.
ulcers on leg , 247. sciatica , 201.
urine blue, 142. sore throat, 84 .
wound ofeye, 68. ulceration of uterus, 169.
zoster, 240. uterine disease, 151 .
Arsenicum as tinct. Fowleri in gland
ular swellings on neck, 87 . Cactus grandiflorus, 29 .
Fowler's tincture, 2. headache, 196.
Arsen . jod.,4. Calc. carb ., asthma bronchiale, 109.
Artemisia absinthium , 20. cataract, 71 .
Asa foetida, 27. cerebro -spinal meningitis, 58, 63
Asclep. tub., scrofulosis, 210. chronic catarrh of middle ear, 76.
Asterias rub . , mammary cancer, 176. cough, 99.
Atropia andmorphine antagonists, 39 . hæmorrhoids, 132.
Atropine, 23 . headache, 196.
dysentery , 123. leucorrhoea, 161 .
Aurum met. hemiopia, 72. osteo -malacia, 195.
nasal catarrh, 79. palpitation of heart, 114.
Aurum mur. leucorrhoea, 161 . pityriasis, 239.
ozana , 81 . pterygium , 67 .
rheumatism , 191 .
Badiaga, bronchitis, 105. traumat. infl. of eye , 65.
Baptisia tinct., constriction of esoph tumor of the eye, 69.
agus, 88. unhealthy milk , 186.
dysentery, 123. want of milk, 186.
typhoid fever, 216, 217, 291 . vulvar tumor, 176.
Baryt. carb ., cataract, 71.. Calcarea jodata , 9.
pressure above eyes, 195. coryza , 81 .
Belladonna, 22. ophthalmia, 66.
bearing down, 152. polypus aurium , 74.
Bright's disease, 138 . symptoms , 74.
cerebro -spinal meningitis, 56, 58, Calc. phosph ., Bright's disease, 139.
61 , 63. diarrhæa, 121 .
convulsions, 205. displacement of womb, 150.
cough , 97. sanguineous tumor on occiput, 64.
diphtheria, 85. Calcarea sacharata , 38 .
dysentery, 123 . Calc. sulph ., lime, sulphate of, 6 .
dystocia , 179. Calad. seg.,pruritus vaginæ, 175.
incarcerated hernia , 127. Calendula,> ulceration of os uteri, 169.
infl . of parotid gland , 87. Calotropis madarii, 24.
nasal catarrh , 79. Camphor, cancroid , 247 .
pneumonia potatorum , 111 . cerebro-spinalmeningitis, 58.
scarlatina, 291. Cannabis indica, 19 .
sore throat and purplish saliva , 84. catarrh of bladder, 140.
twitching pain in left side of Cannab . sativa, cataract, 71 .
 REMEDIES . 323

Cannab . infantile leucorrhea, 164. leucorrhæa, 162.

low spirited, 44. in quinine poisoning, 39.
Cantharides, 35. ulceration of uterus, 169.
Bright's disease, 131 . uterine disease, 151.
cerebro - spinal meningitis, 58. Cinnabaris, 7.
cystitis, 140. Cistus canad., 33.
dysentery, 124. Clematis, comp. with Conium, 37.
erysipelas, 240. Cocculus, 19.
retention of urine, 141 . comp. with Gelseminum, 23.
Capsicum, 22. diarrhoea, 119.
gonorrhea, 145. leucorrhoea, 162.
measles, 222. rheumatism, 192.
Carbolic acid , 13, 38. Coccus cact., impotence and backache,
cancer, 248. 144 .
dyspepsia, 115. Coffea tosta ,19.
scalds , 250. Colchicum , 14.
scarlatina, 225. ascites, 135.
variola , 237. dysentery, 125.
Carbo veg., cerebro-spinal meningi. Collinsonia canad ., 21 .
tis, 63 . dysmenorrhoea, 172.
cholerainfantum , 121. Colocynthis, 21 .
dysentery, 125. dysentery, 124.
leucorrhæa , 162. uterine disease, 152.
Caulophyllum ,33. Condurango, 24.
dysmenorrhea , 173. cancer of lip, 82.
puerperal convulsions, 182. cancerous ulcer, 247.
Causticum , acne mentagra, 82. open epithelioma, 81 .
after blowing nose, as if some teleangiectasia, 239.
thing had broken in right eye, Coniin , 27 .
65 . Conium, 27.
cataract, 71. coccyodynia, 190.
faceache and toothache, 84. comp. with Clematis, 37.
facial paralysis, 209. cough, 99.
hæmorrhoids, 132. impetigo, 241.
hoarseness, 88. leucorrhoea, 162.
leucorrhea, 162. ophthalmia, 66 .
neuralgia of face, 198. prolapsus uteri, 167.
Chamomilla, bearing down , 152 . traumat. infl. of eye, 65 .
cardialgia, 117. tumor, 248.
colic, 133. uterine disease, 151.
cough , 99. Copaiva, balsam ., 28.
intermittent fever, 212. Bright's disease, 138 .
Chelidonium maj., 32. gonorrhea,146.
liver complaint, 135. retention of urine, 141 .
pain over right eye, 196 . Corallium rubrum , 34 .
intermittent fever, 212. laryngism . strid ., 92.
Chimaphilla, strictureof urethra, 144. Crocus, nosebleed , 81 .
Chloral, hydrate of, 11. uterine disease, 151.
puerperal convulsions, 182. Crotalus bite, 40.
Chlorine, spasm of glottis, 89, 91 , 93. Crot. tigl., chronic diarrhea, 120.
Chloroform , 12, 38. diarrhoea, 122.
Chinin. arsen ., intermittent fever, 211 . impetigo , 241.
Chinin ., sulphuricum , 19. prurigo, 250.
cholera ,127. Cubebs, Bright's disease, 138.
intermittent feyer, 211 . croup , 93.
poisoning,39. Cuprum , 7.
Cicuta virosa , 24. asthma, 109
cerebral irritation, 54. cerebro -spinal meningitis , 63.
cerebro -spinal meningitis, 57, 58, epilepsy, 208.
63 . laryngism . strid ., 92.
Cimicifuga (See Actea racem.) . Cuprum acet., 7.
Cinchona, china, 4. measles, 222.
cholera infantum , 121 . crawlingon top of head , 195.
dysentery, 126. Cuprum sulph., trachoma, 67.
324 REMEDIES .

Datura arborea, 22. Graphites, 5 .

Diadema, 35 . comp. with Pulsat., 37.
Digitalis, 21. constipation, 129.
Bright's disease, 138. eczema capitis, 63.
cerebro -spinal meningitis, 58. gastric catarrh , 117.
Dioscorea villosa, 18. hemorrhoids, 132.
Dioscorin, colic, 133. headache, 197.
Dolichos pruriens, 28. herpetic eruption on scalp, 64 .
Zoster, 240. hysteria, 203.
Drosera, cough, 100. leucorrhoea, 162.
whooping cough, 110. ophthalmia, 66.
Dulcamara, 22. pruritus vaginæ, 175.
diarrhoea, 119. suffocative paroxysms , 109.
dysentery , 125. uterine disease, 151 .
impetigo, 241. Gratiola, 21 .
diarrhea, 122.
Elaterium , 21 . Guarana, 34 .
post scarlatinal dropsy, 226. Hamamelis virg ., 29.
Electro -galvanism , amenorrhæa, 171 . ectropion, 65.
ovarian tumor, 263. hæmatemesis, 115.
Ether dichlorinated, 11 . Helleb., cerebro -spinal meningitis , 57,
Etheris nitrosi spiritus, 11 . 63.
Ethylbenzine, 14. hydrocephaloid, 54 .
Eucalyptus globulus, 29.
Eupatorium perfoliatum , 20. post-scarlatinal dropsy, 226.
intermittent fever, 210, 212, 213. Hepar, abscess in abd. parietes, 135.
ophthalmia, 66 . acne , 240 .
Euphorbium , influenza, 106. bronchiectasia, 105.
Euphrasia, iritis, 70. cough, 100 .
nasal catarrh , 79. crusta lactea, 241 .
eczema, 240.
Euvonym ., europ., pain in forehead , hypopion, 70.
196.
impetigo, 241.
kidney disease, 138 .
Faradization , amenorrhea, 172. ophthalmia ,66
Ferrum , iron, 5. ovarian abscess, 263.
comp. with Sulphur , 1 . passionate and talkative, 45.
rheumatism , 192. post-scarlatinal dropsy, 226.
vegetative parasites, 290 .. scurfy eruption is nose, 81.
hydrated peroxide of, 3. suppuration of finger joint, 193.
Ferr. jod., Bright's disease, 139. tumor of the eye, 69.
Ferr. met., enuresis diurna, 141 . wound of eye, 68.
Fluorine, spasm of glottis, 90. Hydrastis, cancerous tumor, 248.
dyspepsia, 115.
Gallic acid , 13. ulceration of the os uteri, 169.
Gambogia, diarrhea, 122. Hydrocynic. acid ,9, 30.
Gelseminum , 23. cerebro -spinal meningitis, 59, 63.
cerebro -spinal miningitis, 56, 58, eczema, 240.
63 . laryngism . strid . , 92.
comp. with Nux andCocculus, 23. Hyosc., cerebro-spinal meningitis , 56,
delirium tremens, 54 . 63 .
effects of heat, 54 . cough , 100 .
headache, 197 .
hysteria, 203. Iberis amara , 30 .
laryngism strid ., 92. Ignatia amara, 24.
nasal catarrh, 79. cerebro -spinal meningitis, 59.
typhoid fever, 216. cough , 100 .
ulceration of uterus, 169. hæmorrhoids, 132.
uterine disease, 151. intermittent fever, 211 .
Glanderine,glanderoid influenza, 108. periodical headache, 197.
ozona, 79. pruritus vaginæ, 175.
Glonoine , 13. spasm of glottis, 90, 92.
cerebro -spinal meningitis, 59, 63. spasm . affection , 205.
Glycerine, vaginitis, 175 . Indigo, sciatica, 202.
 REMEDIES . 325

Ipecac., 4 . Lappa major, eczema capitis, 63.

cough, 101 . Lauroa., cough, 101 .
diarrhea, 122. Ledum palustre, 23.
dysentery, 124 hæmoptysis alternating with
glanderoid influenza, 108 . rheumatism , 112 .
intermittent ſever, 211 , 214. Lilium tigrinum , 15.
laryngism . strid ., 92. anteversion , 168.
post partum hæmorrhage, 183. bearing down, 152.
Iris versicolor, 14. comp. with Tarantula , 38.
diarrhoea, ' 119. metritis, 166.
neuralgia of face, 198. prolapsus uteri, 167.
retroversion , 168.
Jatr. curc., irritable bladder, 140. Lycop. , ascites, 134.
Jelly fish , nettling, 34. bearing down , 152.
Jodium , cough, 98 . cataract, 71 .
incontinuance of urine in the cerebro -spinal meningitis, 59, 63.
aged , 141. constipation, 131.
leucorrhea, 162. cramps in stomach, 117.
spasm of glottis, 39, 91 , 92.
>
croup, 94 .
Iodine, chloride of, 5. diphtheria, 84.
Iodoform , 12. eczema, 246.
Juniper, Bright's disease, 138 . hæmorrhoids, 132.
Kali bichromic ., 10. hemeralopia, 72.
cold in head, 81 . herpes tonsurans, 65.
indigestion, 116.
cough, 101 . intermittent fever, 210.
croup, 94 . leucorrhoea, 162.
displacement of womb, 150. pityriasis, 239.
impetigo, 241. pressure in left chest, 110.
leucorrhoea , 151. prurigo, 250.
nasal catarrh, 78 .
measles, 222. rheumatism , 192.
Kali brom . aphasia , 44. tympanitis after confinement,
186.
comp. with Ambra . 36 . uterine disease, 151.
infi. of labyrinth , 76. vesical calculus and hæmaturia,
Kali carbon., 10 . 143 .
cough after pneumonia. 111. Lycop., escul ., tetter, 249.
hæmorrhoids, 132. Lycopus virginicus, 21 .
uterine disease, 151.
whooping cough, 110.
Kali hydr., asthma, 109. Madar, 24.
nasal catarrh, 78. Magnesia, 6.
pleurisy, 112. . Magn. carb., cataract, 71 .
sciatica, 202. diarrhoea, 122.
stricture of lachrymal duct, 65. Magn. mur., uterine disease, 151.
Kreosote, 13. Magn. met., cataract, 71 .
diabetes mell., 136. Melitlotus, 28.
dysentery, 125. Mephitis, laryngismus stridulus, 92.
leucorrhoea, 162. Mercurii cyanuretum , 7.
diphtheria,86.
Lachesis, 40. Merc. jod., Bright's disease, 139.
aphonia, 88. Merc. jod. ruber, diphtheria, 87.
bearing down , 152. Merc. præc. r., ophthalmia, 66.
croup , 94. otorrhea, 76 .
diptheria, 85. Merc. prot., leucorrhæa, 164.
fungus hæmatodes, 176. Merc. sol. , cough, 101 .
glanderoid influenza, 108. eczema, 241.
indolent ulcers, 247. glanderoid influenza, 108.
intermittent fever, 211 . leucorrhoea, 162.
laryngism . strid ., 92. neuralgia in head , 196.
measles, 222. ulceration of uterus, 162.
metritis, 165. Merc. subl. corr. , Bright's disease,
ovarian tumor, 147. 139.
spasm of larynx, 89. dysentery, 124 .
uterine disease, 151 . Mercurial prepar., dysentery , 124.
326 REMEDIES .

Mezereum , 18. Opium , displacement of womb, 150 .

gastrosis , 116. dysentery , 123.
Milk, skimmed, 35. laryngism , strid. , 92.
Milk'in Bright's Disease, 139. Oxal. ac ., dysentery , 125.
Milk in small-pox, 239. Oxygen solutions, 6.
Morphium aceticum , 32. Ozone, 6.
Moschus, laryngismus strid ., 92. Ozonized water, cholera, 127.
Mur. ac., hæmorrhoids, 132.
Mygale, chorea, 206. Pepsin, 35.
Myrt. com ., pain in upper part of left indigestion, 116.
chest, 110. Petroleum , 5.
Natr. carb ., coryza, 81 . displacement of womb, 150.
inaptitude for meditation , 45. skin affection of hand, 249.
leucorrhæa, 151 , 162. Phosphorus, 2.
Natrum muriaticum , 10. Bright's disease , 139.
bearing down, 152. cerebro -spinal meningitis, 60.
colic, 133.
fright in pregnancy, 176.
glanderoid influenza, 108. cough, 102, 104.
headache , 196 , croup , 94.
herpes facialis, 82. fullness after eating, 115.
intermittent fever, 214. glanderoid influenza, 108.
tetter, 249. hydrocephaloid, 54.
Natrum nitricum , 10. leucorrhoea, 163.
otorrhoa 76 .
Natr. sulph., toothache, 84. psoriasis, 249.
Nicc. carb., hiccough , 118. ulceration of uterus, 169.
Nicotinum , 22. ulcus ventr. rot., 118.
Nitri. acid., 6 .
bearing down , 152. uterine disease, 121, 153 .
carbuncles, 246. Phosph . acid., 2.
dysentery, 125. chron. diarrhea, 120.
eczema, 240. leucorrhæa, 163.
hæmorrhage from the womb, 177. Phytol., cracked nipples, 187.
hæmorrhoids, 132. cough, 104 .
leucorrhoea, 164. diphtheria, 85, 86.
nasal catarrh , 78. rheumatism , 193.
Nitri dulcis spir., 11. sciatica, 203.
Nitrite ofamyl, chronic blushing, 113. Piper niger, 19.
Nitrobenzine, 14. Plantago major, 23.
Nux jugl., acne, 240. Platina, haughtiness, 45.
Nux vomica , 4, 23. pruritus vaginæ , 175.
bearing down, 152 . ulceration of uterus , 169.
cerebro -spinal meningitis, 59, 63. Plumbum , 6 .
comp. with Gelsem ., 23. Bright's disease, 139.
cough , 101. cerebro- spinal meningitis, 60, 63.
displacement of womb, 150. diabetes mell., 136 .
dysentery, 124. dysentery, 126.
dyspepsia, 115. Plumb. met., incarceratedhernia, 127.
dystocia, 180. stricture of rectum , 133.
epilepsy, 209. Podophillum, cholera infantum , 121.
incarcerated hernia, 127. comp. Lilium tigr ., 16.
indigestion, 116. constipation, 129.
intermittent fever, 211, 214. displacement of womb, 150.
melancholy, 45. jaundice of children, 135.
retroversion, 168. prolapsus uteri, 167.
uterine disease, 151 . uterine disease, 151 .
Polygonum hydropiper, amenor
Oenothera biennis, diarrhea, 120. rhoea, 172.
Oleum animal., comp. with Uran., 37. ulcers, 246.
Oleum jecoris aselli, 35. Propylamin , 13.
Bright's disease, 139. Psorin ., cerebro-spinal meningitis, 63.
Oleum terebinthinæ, 18. pustularkeratitis, 67.
, cerebro -spinal meningitis, 59,
Opium 63. stenosis of left osteum venosum ,
113.
cough , 101 . uterine disease, 152.
 REMEDIES . 327

Pulsat., bearing down, 167. Senecin, amenorrhæa, 172.

cartaract, 71 . Senecio grac., dysmenorrhea, 173.
comp. with Graphites, 37. ulceration of uterus, 169.
cough, 103 . Senega, cough, 103.
dysentery, 124. Sepia, bearing down, 152.
headache, 198. cough ,103.
intermittent fever, 210. infantile leucorrhea, 165.
leucorrhæa, 163. irritable bladder, 140 .
measles, 223. leucorrhæa , 163.
metritis, 166. nasal catarrh , 79.
nasal catarrh, 79. procidentia, 168.
rheumatism , 192. rheumatism , 193.
traumatic infl. of eye, 65. sciatica, 201.
typhoid fever, 216 . ulceration of uterus , 169.
uterine reflex neuralgia, 200. uterine disease , 151.
Pulsat. nut., dysmenorrhæa, 172. vaginitis, 175.
Pumpkin seeds, tape-worm, 134 . whooping cough , 110.
Silicea , 5, 6.
Raphan ., ovariotomy , 265 . bearing down, 153.
Rheum , diarrhea. 122. cataract, 71 .
stricture of rectum, 133. cerebro -spinal meningitis, 60, 63.
Rhus glabra, syphil. ulcers, 146. chronic sinus, 247.
Rhus rad ., cerebro-spinal meningitis, displacementof womb, 150.
63 . hæmorrhoids, 132.
coccyodynia, 190. inflammation of labyrinth , 76.
Rhus tox . 28 . leucorrhoea, 163.
cerebro -spinal meningitis, 60, 6. lochial suppression , 184 .
comp. with Silicea, 5. lung affection ,111 .
cough , 105 . nasal catarrh, 79.
dysentery, 123, post partum hæmorrhage, 183.
eczema, 240. pustular keratitis, 67.
polypus uteri, 170. sore throat, 84.

| scarlatina, 225.
sciatica, 202.
spinal irritation, 190 .
strain of left shoulder, 193.
Zoster, 240 .
Rhus venenata , 28.
antidotes, 39.
erysipelas, 240 .
Ricinus communis, 33.
Robinia, dyspepsia, 116.
Rumex crispus, 29.
cough, 105 .
Ruta graveolens, 34.
rheumatism , 192.
sciatica, 203 .
Sabadilla , ovaritis, 146.
Saccharum lactis odomagnetic, 36.
cold pains in head, 198 .
Sambuc., laryngism . strid ., 92.
intermittent fever, 215.
Sanguinaria canad ., 31.
croup , 94 .
pulmon. congestion , 110.
Sarsaparilla, 18.
eczema, 240 .
headache, 198.
uterine disease, 151 .
Secale, bearing down, 153.
comp. with Ustilago, 36 .
cough , 105.
diabetes mell., 136.
swelling in front of throat, 88 .
traumat. inf. of eye, 65 .
tumor of the eye, 69.
uterine disease, 151.
after vaccination, 232.
Sinapis alba, 31 .
Sinapis nigra, 31 .
Skim-milk in diabetes, 137.
Spigelia, comp. with Sumbul, 27 .
endocarditis , 113.
neuralgia , 198.
Spiritus nitri dulcis, 11 .
Spiritus salis dulcis, 11 .
Spongia, cough, 98 .
laryngism . strid., 92.
Squilla, nasal catarrh, 80.
Stannum , 7.
asthma, 109.
chron. bronchitis, 106 .
crural neuralgia , 201.
lichen, 249.
nocturnal emissions, 145 .
uterine disease , 153.
Sticta pulm . , and sylvat, 14.
cough , 105.
inf .rheumatism ,, 192.
nasal catarrh, 79.
Stilling. sylv ., sciatica , 203.
Stramonium , 22.
cerebro -spinal meningitis, 58, 63.
endometritis, 181.
hysterical convulsions, 204.
328 REMEDIES .

Stramonium , intermittent fever, 215. nervous affection, 205 .

spasm of glottis, 90 . nymphomania , 175.
uterine disease, 153. pruritus vaginæ, 175 .
Strychnine, 23. uterine neuralgia, 169.
Sugar, 14. Tartar. em ., Bright's disease, 138 .
powdered, babies sore mouth, 84. cerebro-spinal meningitis, 60.
Sulphur, 1 . cough , 97.
acne, 240. ecthyma, 241.
bearing down, 153. .glanderoid influenza, 108 .
bronch . catarrh, 106 . leucorrhoea , 151.
cataract , 71 . Terebinthinæ ol., 18.
cerebro -spinal meningitis, 60, 63. Bright's disease, 138.
comp. Liliumtigr., 16. lumbago, 193.
congenital ophthalmia, 67. melituria, 136.
cough, 103. Teucr. marum verum , 21 .
crusta serpiginosa, 82. nasal polypi, 81, 246.
diarrhoea , 119. psoriasis, 249.
dysentery, 124, 125 . Thrombidium , dysentery , 123.
eczema, 240. Thuya, 18.
eczema impetiginodes, 64. coccyodynia , 190.,
spiritus , eruption of mucous iritis syphilitica, 70.
membrane of nose, 81 . ranula , 84.
glanderoid influenza, 101 . tarsal tumors, 65.
gonorrhea, 146 . after vaccination, 233–235 .
hæmorrhoids, 132, 133, Titanium , 6.
hypopion, 68. Trillium, prolapsus uteri, 168.
impaired hearing, 77. Uranium , diabetes mell., 136 .
inff. of parotid gland.,87. Uran. nitr., comp. with Ol. anim ., 37 .
intermittent fever, 211 , 215.
intermittent neuralgia, 198, 199. Uric acid, 35.
leucorrhea, 163. Urtica marina, 34.
measles, 223. Urtica urens, helminthiasis, 134 .
melancholy, 45. whoopingcough, 110.
nasal catarrh, 79. Ustilago maidis, 36.
porrigo favosa, 241. post partum hæmorrhage, 183.
prurigo, 250. Vaccininum, small-pox, 238.
psoriasis, 249. Vanilla, 18.
ptergyium , 67. Variolinum , 37.
retinitis albuminurica, 72. variola , 238 .
rheumatism , 192, 193. Veratr. alb.,cerebro -spinal meningi
sanguineous tumor, 64. tis, 60, 63.
sub -retinal tumor, 73. cholera infantum , 121 .
traumat. inf . of eye, 65. cough , 104.
uterine disease, 151 . laryngism . strid ., 92.
after vaccination, 232. intermittent fever, 210.
vaginitis, 175. uterine reflex neuralgia, 200.
Sulph. ac. , hæmorrhoids, 132. Veratrum vir., 14 .
neuralgia, 199. cerebro -spinal meningitis, 60, 61 ,
>

Sumbul, 27. 63.

Symph . off., in fracture, 282. convulsions during, dentition,
205 .
Tabacum , 21 . erysipelas, 290 .
dyspepsia, 116. puerperal convulsions , 182.
Tarantula hispanica , 35. Verbascum thapsus, 21.
cancerous ulcer of the os uteri , neuralgia , 199.
169. Viola tricolor, 33.
coccyodynia , 190. impetigo , 241.
comp. Lilium tig. 38 . Water, leucorrhoea, 161.
dysmenorrhoea , 174. hot, packing in scarlatina, 224 .
engorgement of the cervix uteri,
169 . Xanthoxilum , dysmenorrhoea , 174 .
epilepsy, 209. Xylene, 14.
intermittent fever, 215. Xylole, 14.
irritable spine, 190 . small-pox, 239.
 AUTHORS . 329

Zincum , 9. leucorrhoea, 163.

cerebro -spinal, meningitis, 60 . tumor of the eye, 68.
coccyodynia, 190. ulceration of uterus, 169.
dryness in throat, 110. zoster , 240.
glanderoid influenza, 108. Zincum sulph., dysentery , 126,
hydrocephaloid , 54 . Zingiber, diarrhea, 120.

AUTHORS .

Adams, Chas., 195. Brunn, J., 205.

Aegidi, 127. Buchner , J., 126.
Alabone, E. W., 182, 249. Buck , J.D., 187.
Albu, 232. Burr ,W. A., 269.
Allen, Chas., 297. Burt, W. H., 15, 36, 63, 282.
Allen, T. F., 21, 69, 70, 72, 73, 90.
2 Butler, C. W., 31 .
Arcularius, Ph. A., 63, 64.
Camann, A., 22.
Bacmeister, J., 33. Cate, S. M., 165, 210.
Baely,C., 227. Cheeney, B. H., 110.
Baer, 'O. P., 108, 121, 172, 290. Christison, 7, 9.
Bahrdt, 14. Church , C. A., 247.
Baillie, 38. Clarke, E., 93, 225.
Baker, C., 184. Clement, 115.
Baker, J. T., 24 , 57, 164, 223. Coburn , 251.
Barrows, G.S., 203. Colton, D. A., 61 .
Baumann , 72, 127. Cooper, J. F., 236.
Bayes, Wm., 116, 291 . Cooper, R. T., 2, 20, 63, 204.
Beck , A. , 8. Craigin, J., 238.
Beckwith , E. C., 183, 232, 262, 270.. Crowell, L. C., 191 .
Bell , J. B., 253. Cuntz, A., 170.
Bender, P., 12 , 172, 197, 209.
Bennett, Jas. C., 115, 216. Dada, Harriet A., 149.
Berridge, E. W., 6, 12, 15, 18, 19, 22, 32, Damourette, M., 27.
41, 47, 53, 65, 84, 88, 116, 117, 133, 192, Davaine, 301 .
193, 196, 200. Danforth, W., 141,262, 268, 273, 280, 281 .
2

Biggar, H. F., 257, 263, 280. De Moor, d'Alost, 8.

Bigler , W.H., 26. Dinsmore, J. P., 24 .
Binz, 20. Dittrich, 118, 190, 223.
Blake, E. T., 14, 21 , 23, 29, 32, 33, 105, Dodge, M. M., 30.
113, 116, 133, 135, 172, 173, 174, 239, Donaldson, E. S., 61 .
240, 241, 250. Donkin , 35.
Blakely , W.J., 54, 88, 141, 195, 196, 203, Drury, W. V., 32, 146.
216, 238, 240. Drysdale , J., 36.
Boardman, W. H., 18, 167, 168. Dudley, P., 295 .
Boehm, R., 39. Duglas, J. Ś., 120.
Bojanus, 31. Dulac, 45.
Bonhoff,240. Duncan, T. C.,61 , 186, 303.
Bowen, G. W.,) 28. Dunham , C. , 5, 23, 90 .
Bowers, 251.
Brown, D. Dyce, 119, 199. Epps, Richard , 81 .
Brown, M. H., 212, 213. Entenmeyer, 12.
Brown, T. L., 140. Esparet, 297.
330 AUTHORS .

Eve, P. F., 270. Huppe , J. I. , 283.

Houard , I. G., 34.
Fahnestock , A. A., 215. Hoyne , T. S., 6 , 14, 27, 133.
Fanning, J. C., 35 . Hughes, V., 217, 278.
Farrington, E. A., 64, 190, 225. Huleman, T. , 13.
Fellows, H.B., 12, 38.
Firmat, D. F. F. , 169, 215. Imbert-Gourbeyre, 4.
Fisher, A. S., 212, 283. Irwin , Henry R., 240.
Foster, R. N., 61 , 88. Iszard, 28.
Fraerke, 19.
Franklin, E. C., 264. Jackson , Mercy B., 176.
Friese, M., 210. James, B. W., 6, 7, 14, 19, 22, 38, 39 , 50,
Frost, J. H. P., 54, 55, 192, 212, 213, 225. 54 , 84, 128, 134, 137 , 141 , 142, 146,
Foote , Geo. F., 47. 178, 192, 210 , 221, 231, 230, 251, 282,
Fuller, 12. 301 , 302, 303, 306, 307.
Jeanes, 21.
Gallupe , 245. Jones, E. D., 13.
Gastfreund, 34, 114. Jones, S. A., 108, 140, 209.
Gatchell, H. P., 20, 283. Kafka, I., 53, 226.
Gause, O. B., 185. Keener, H. N., 257.
Gibbs,Duncan, 303. Keller, L.Jos., 30.
Gilchrist, J. G., 282.
Gonzales, 190. Kimball, D. S. , 13.
>

Goodno, W. C. , 17, 167, 168. Kirsch, sen ., 71, 134 .

Gorton , D. A., 164, 167, 168, 171 , 172, Kitchen, James, 10.
173, 175, 196. Kitching, C. W., 141.
Gottwald, 6. Knapp, H., 216 .
Goullon , H., Jr. , 5, 10, 22, 64, 66, 76, 81 , Knickerbocker, S. C., 88, 89, 117, 180.
82, 105, 109, 110, 117, 129, 136, 164, Köck , A. C., 7 .
177, 197, 202, 203. Korndörfer, A. , 30.
Gray, 251. Kunkel, C.,18, 233–35.
Greenleaf, J.G., 32, 63, 106, 212. Kyngdon, B., 177.
Griggs, W.O., 198.
Guernsey, H. N., 26, 35, 237. Laird, W. T., 198.
Gutteridge, 204. Landesmann , 81 , 84, 88, 109, 110, 113,
Gutwill, J. J., 283. 115, 118 , 138, 193, 194, 195, 196 , 214.
Lembke,11, 21, 34, 37.
Lender, 6 .
Hackett, G. H. , 143. Lenkner, 200.
Haeseler, 306 . Leyden , E., 112.
Hale, E. M., 15, 18, 27, 30, 31 , 114, 295. Libert, 7.
Hall, W. D., 67, 114, 177 , 240, 247 . Liebreich , O. , 12.
Hamilton , 177. Lilienthal, 10, 13, 19, 34, 37, 38, 54, 94,
Hand, Geo. F., 287. · 281 .
Hand, s. D., 182. Littlefield, 250.
Hartlaub, H. , 10. Lippe, A., 296 .
Hausmann, 214. Lippe , C., 211 .
Haustein, 65, 117. Læscher, 181, 186–87.
Heerman, Chas., 245. Lopez, 209.
Heinigke, C., 7, 109, 285. Lord, F. A., 134, 182.
Helmuth , Wm . Tod, 262, 278. Ludlam , R., 146.
Hencke, C. 9, 23, 24.
Hering, C., 31, 123, 232, 281, 287, 293, McClelland, J. H., 272.
295 . Macfarlan , M., 249, 252–53, 256 , 259, 263,
Heyne, 82, 118 , 141, 249. 267, 270, 272, 278–79, 282, 312.
Hildebrandt, H., 154. McGeorge, W., 11, 14, 28, 85, 87, 135 .
Hill, B. Judson , 2. McLaen , 136.
Hills, A. K., 37, 41 , 68, 81 , 106, 120, 122.
> McLaren, 133.
Hirsch , 208. Maclean , 30.
Hirschel, 94, 302, 305 . Magdeburg, W., 238.
Holcombe, W. H., 169, 172, 173, 175, Magel , H. E., 30.
212. Malcolm , J. G., 226 .
Holden , 144, 222, 251 . Markham W , ., 56.
Hoopes, L. 120. Marsden ,J. H., 12,179, 270.
•‫ܕ‬
 AUTHORS . 331

Martin , H. N., 201. Richards, Geo. W., 45, 64, 120, 134,
Martins, G. , 22. 141, 241, 250.
Maylænder, 127. Richardson , B. W., 282.
Mera, 133. Rockwith, F. A., 20–2, 33, 51 .
Middleton , C. S.,237. Roguin, P., 87.
Miller, H. V. , 2, 7, 22, 24, 54, 66, 67, 77, Rose, P. B., 39.
81 , 86 , 105–6, 119, 122, 126 , 144–6 , 148, Roth, A. A. , 130.
154, 176, 183-4 , 191-2, 195, 197–8, 203, Rückert, Th. , 205.
204, 214–5 , 221–2 ,241, 308.
Millard , H, B., 190. Sabin, R, C., 30.
Mitchell, J. N., 13. Sanders, J. C., 181, 184, 186.
Mitchell , J. S., 205, 209, 228, 238. Sarchett, G. B. , 214.
Model, A. , 32. Schelling, J., 2, 5, 10, 29, 34, 196.
>

Monteverdi, A., 20 . Schmidt,141.

Monti, 19. Schmucker, E. Z. , 187 .
Moore, 34 . Schwabe , W. , 304 .
Moore, J., 169. Searl , W. S. 65, 67–8, 70, 72, 76–7, 93.
Moos, 7. Sharp, Wm ., 286.
Morgan, J. C., 80 , 84, 175, 211 , 216. Shaw , G. R., 226.
Morrison , J. E., 21 , 94. Sigismund, 170.
Morse, L. D., 61, 146. Simon, L., 7.
Mossa, 10, 82, 84, 88, 135, 198. Sircar, M.L., 87, 135, 205 .
Mühsam , 87 .
Small,A. E.,61, 85 , 106 ,109, 116, 119,
Müller, Cl ., 24, 82, 248. 120-1, 123, 126, 146, 172–3, 187, 193,
198, 205 , 240–41, 246, 249, 251 , 299 .
Smedley , R.C., 116.
Nagel, Carl , 239 Smith , C. C., 132.
Namias, 13. Smith , Franklin, 251.
Nankivell, J. H., 112, 118, 140, 191-2, Smith , J. H., 223.
232, 247-8, 254.
Neidhard, C., 35. Snow, T. Dwight, 166, 255.
Newton, J. L.,56, 112, 209. Spooner, G. R., 40, 115.
Noble, G. Z. , 131 . Spooner, Stillman, 32.
Norris, H., 12. Stauffer, L. R. , 75 .
Stein, 70.
Nuñez, J., 24, 169, 175, 215. Stens, Jr.,) 105, 116.
Obersteiner, H., 51 . Stens, Sen., 46, 104, 111 , 191, 193, 214,
248–9, 283, 296.
Oehme, 9. Steudener, 93.
Orsi Francesco, 195 . Stillman, W. D., 104.
Stow, 213, 249.
Pallé, 35. Sumner, Chas. , 147.
Palmer, G. B., 57 . Swan , S., 12 , 14 , 23, 36–7, 140, 175, 183,
Payne, Wm . E., 16. 198, 215, 238, 292.
Pancin, 193.
Payr, 64, 253 . Tander, 7.
Paissiere, 237. Thatcher, J. W. , 167 .
Pease, G.M., 248, 269. Theobald, R. M. , 66, 76, 119, 122, 135,
Pelnet, 27. 144, 164, 199.
Pope, A. C., 222. Thibert, 9.
Poulson , P. W., 22. Thomas , A. R., 12, 128, 188, 189.
Powell , H. E. , 214. Tietze , Emil , 121 .
Pratt, L., 262. Tonderink, 9.
Preston, M., 5, 176, 201-3, 260. Traube, 21 .
Price, E. C., 192, 245, Triste, 7.
Pulte, J. H., 187, 237 301 . Trott, S. E. , 256.
Pyburn, J., 40. Truman, J. P. , 14.
2

Rapeler, 7. Underwood , B. F., 12.

Rapp, 10, 127, 283. Usher, 84.
Raron, A., 2.
Raue, C. G., 44. Verdi, C. S. , 9.
Rayner, Tho., 139. Villars, 8.
Reed, James S.,) 274. Vincent, F. L. , 83, 228.
Revillont, 36. Von Almen , 136.
332 AUTHORS.

Von Tagen , C. H. , 265, 269. Wood, J. B. , 239.

Woodbury, 177.
Waldo, S. B. , 186 . Woodward, A. W. , 46, 61 .
Walker, M. M. , 232. Woodyatt, W. H., 65-6, 70–1, 74, 76,
Weber, 113, 241 . 253.
Wegener, George, 2. Worcester , S. , 48, 254.
Weil, 29, 141, 146 . Worster, 30 .
Wells, L. B. , 57, 106, 122, 251 . Wright , A. R., 166.
Wesselhöft, C., 10, 36. Wright , Wm., 144, 251 .
Williamson , W. M. , 4, 7, 10, 13, 14, 18, Wunderlich , 222.
21 , 22, 23, 28, 33-4 , 39 , 41 , 81, 145.
Wilson, T. P.,253 . Zimo, S., 5.

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