Notes
of 
Lectures delivered
by
Henry N Guernsey M.D.,
Professor of Obstetrics and 
Diseases of Women and Children
in the Homoeopathic 
Medical College of 
Pennsylvania
By
Jacob gstreet
Session "64 and '65




1
External Organs of Generation
1. Vestibule-Bounded anteriorly by the 
Clitoris, posteriorly by the meatus urinarius, laterally 
by the Labia Minora.
Guide to the Meatus Urinarius, The walls of the 
Vagina coming together form at their top a little 
tubercle immediately above which is found the 
Meatus. The best Method of introducing the 
Catheter is to insert the finger into Vagina,
then slip the Catheter down on palmer surface 
of finger until it reaches the tubercle,
depress the instrument a little and it will
enter the meatus.
2. Meatus Urinarius. Is is the mouth of 
the uretha. The uretha is about 1 1/2 inches 
long it extends upward and backward
just on the upper wall of Vagina: it is composed 
of muscular tissue, seems to be a continuation 
of the bladder & is very distensible.
3. Hymen- A membrane seperating the internal 
from the external organs of generation 
It is usually concave on its anterior surface
it may however take different shapes: thus it 
may be a circle open at the middle, or it sometimes
covers the whole entrance of Vagina, 
being perforated by numerous small openings:
again, it may consist of several strong, fibrous,
bands.
4. Caruncula Myrtiformis- These are found on 
the borders of the Vagina, they are supposed to 
be the remains of the ruptured Hymen.
5. Fossa Naricularis- Found in anterior edge of 
the Perineum- one half an inch in length-
one fourth of an inch wide- its anterior edge
The Mons Veneus is often the seat
of a troublesome itching [??eplion]:
Rhustoic is the remedy fr

2
is the Hymen- its posterior the fourchette.
Secretory apparatus. Two classes of glands. Sebaceous, 
covering all the mucus membranes of the great 
organs and muciparous, found in the vestibule,
meatus urinarirus, and a few on the sides 
of the Vagina. Vulvo-Vaginal glands, are 
situated. one on each side, midway between the 
anterior and posterior commissure. The secretion 
of these glands has been mistaken for 
semen of the Female. The Female has 
no semen. These glands enlarge by much 
indulgence in venery.
6 Vagina. A cylindrical membranous canal,
its direction is a curve, convex posteriorly,
concave anteriorly, following the axis of the
pelvis. It is closed in a quiescent state its
walls are perpendicular in front and horizontal
posteriorly. The ordinary length of the Vagina is 
about four (4) inches although it varies from 
two and a half (2 1/2) to six inches. It is 
in relation to the bladder and uretha anteriorly,
posteriorly is in relation to rectum,
being joined to it the rectum by a double fold of 
peritoneum. Its interior is lined with 
mucus membrane in transverse rugae, & 
is supplied with numerous glands.
Structure composed of spongy erectile 
tissue interpersed between membranous 
laminae.
The bulb of the vagina is a cavernous
body, found on the Anterior surface of 
Vagina, between the clitoris and the anterior
wall of the Vagina, is one inch 
long and one half an inch broad.†
† 1 1/2 inch broad 3/4 inch long 1/2 inch thick

3
when the Vagina is over sensitive to the 
act of coition give Sepia: if that fails 
Rhus Tox.
7 Uterus The organ of gestation and 
parturition it is pear shaped, its axis 
that of superior strain, it extends from 
before backwards from above downwards.-
Situated about middle of pelvis_ Divided 
into body and neck- Its connections are 
very distensible, moves in all directions,
hence we have Anteversions, retroversions,
right and left lateral versions- its volume 
varies with age, at puberty it has attained 
natural size at 45 or 50 years it 
dwindles away. It is about 3 inches 
long from fundus to apex, its long transverse
diameter is one and a half (1 1/2) inches, at 
the apex or neck it is about a half an inch 
in all directions,
As the Menstrual period the Uterus 
enlarges in size.
It never returns to its normal size & 
weight after having borne children.
Its weight at Puberty is from six to 
ten [cross out], after child-birth twelve [cross out]
The situation of the organ varies, at 
birth it is completed, above the superior
strait at ten years (10 yrs) sinks down,
and at puberty is completely below the 
superior strait,
Sometimes the neck of the Uterus becomes
curved on itself this is called
flexion and according to the direction

4
which it takes is styled Anteflexion,
Retroflexion, or Lateroflexion. this deformity
may be congenital or result from Flexion,
if congenital nothing, can be done for 
it. It has two surfaces, external and 
internal.- is divided into two faces, two borders,
a base, and an apex.
Anterior Surface, slightly convex- is 
in relation to bladder with its inferior 
fourth- the superior three fourths are 
in relation to peritoneum, sometimes with 
convolutions of small intestines.
Posterior surface quite convex, is in 
relation with convolutions of small intestines 
and rectum.
Borders. They are slightly convex- are 
in relation [to] with and give attachment 
to the Broad Ligaments at the 
anterior portion, also the Round Ligaments 
and Fallopian Tubes, thus leaving 
the body of the Uterus in the posterior 
part of the pelvis.
The Broad Ligaments divide the 
[body] cavity of the pelvis into two parts.
The base of the Uterus looks upwards & 
forwards, and is in relation with the 
small intestines. The fundus comes almost 
to a level with the superior strait. The 
inferior extremity is embraced by the 
Vagina
Neck- There is a difference in the neck
of the uterus in different females. The 
neck is divided into two portions Infra
and Supra Vaginal_ The vagina embraces


5
embraces the neck at the superior two thirds.
Infra Vaginal portion in virgin as always
smooth. The feel of the opening of the Uterus 
in virgins is like the tip of the nose it is 
from one half to three fourths of an inch 
long, and it called Os tincae, from its 
resemblance to a tench's mouth. In woman 
who have borne children the neck of the Uterus 
raises in proportion to the number of 
children. The parturient act ruptures 
the neck of the Uterus and causes tubercles. 
The neck will return more & more to its natural 
condition
The Internal Surface is subdivided into Cavity 
of the body and cavity of the neck.
The Cavity of the Body is the triangular with 
an opening at each extremity of the base. The 
Internal Os extends from the body into the 
neck.
Cavity of the neck. The Mucus Membrane 
of it presents an appearance called Arbor 
Vitae it is fusiform in shape.
The cavity of the body is triangular, with 
an opening at each end of the base. The cavity 
of the neck if fusiform. The internal os is 
smaller than the external
During gestation, the body develops from above
downwards; the neck from below upwards,
the enlargements meeting at the internal 
os which is the last to give way.
The Uterine cavity contains a number of 
white vessicles, or muciparous glands. These 
were mistaken for eggs by Naboth, and hence
have received the name of Ovula Nabothi

6
The Uterus is composed of three coats, distinct 
from each other. the Internal, Middle and External
coat,
The External Coat is the peritoneum.
The Middle Coat is a grayish, firm tissue, and 
creaks like a cartilage under the knife, it is a 
muscle whose fibres are disposed in such a direction
that all the contractions tend to the centre;
it becomes more or less redened during 
menstruation from congestion of blood, it also 
becomes more [cross out] muscular in appearance 
as gestation goes on.
The internal coat is a mucus membrane 
and becomes red during Menstruation. The 
mucus membrane is separated from the muscular
tissue by a white line of demarkation, it is 
closely adherent to the muscular coat, and is 
covered with white tubercles which are muciparous 
glands- similar glands are found in the cavity
of the neck
Vessels. The uterus is supplied with arteries from 
the Hypogastric_ The veins empty into corresponding 
trunks.
Nerves come from the great Sympathetic,
Hypogastric, and renal nerves. Ulceration of 
the neck of the uterus causes headache.- and 
sympathies of other organs.
Ligaments of the Uterus.
Broad Ligaments are a prolongation of the 
peritoneum they divide the pelvis into two portions 
and arise from the anterior part of the borders of 
the uterus.
Round Ligaments arise at the junction of 
the lateral with the superior border: they are

7
composed of same substance as the uterus itself
are situated within the fold of the Broad Ligaments,
and pass outwards and downards to enter 
abdominal ring, as they pass out of abdominal 
ring they carry with them a pouch of Peritoneum 
into the Labia Majora, forming the canal 
of Neck. In some cases of prolapsus 
or retroversion it will cause pain in the 
abdominal ring.
Fallopian Tubes are four to five inches in 
length in the recent subject,- They are 
composed of three substances or coats-
1st Internal on Mucus
2nd Middle or muscular which is a prolongation 
of the muscular coat of the Uterus.
3rd The Peritoneum
The diameter of the internal orifice is three sixteenths 
of an inch- of the cavity as the middle 
one fourth of an inch at the abdominal opening 
three eights. It terminates in what is 
called the Fimbriated Extremity, this arrangment
is to grasp the ovum when discharged 
from the ovary- these extremities are not disturbed
during sexual intercourse.
Ovary is situated in Broad Ligaments
just back of Fallopian Tubes are almond shaped
From the smallest part of the ovary comes 
off the ligament of the Ovary. The Ovaries increase 
in size during the menses. They are plump, 
and of a pinkish hue at puberty after menstruation 
the discharge of the ovum leaves a scar
(if impregnated the scar is larger)
The ovary becomes shrivelled and weighs

8
about one drachm, after the period of child bearing.
It is composed of Peritoneum on outer side within
that the Tunica Albuginea, inside that still 
the spongy mass, which when cut open reveals the 
Graafian Vessicles, these as they become more developed,
approach the surface of the Ovary.
The grand support of the Uterus is the 
peritoneum
When wind is discharged from Uterus 
per Vagina- it is relieved by Lycopodium.
Sensation of weakness in the Pubic and 
Sacro-Illiac symphyses, the patient cannot 
walk well is relieved by bandaging the 
hip.
Leucorrhocal discharge with a terrible sense of 
depression- Murex purpureus
Graafian Vesicle is a vesicle covered with a 
membrane the "vesicular membrane".- within
that a delicate membrane called "Granular Membrane".
secreting a granular oily liquid, within
this membrane is the egg proper. These two membranes 
belong to the ovary, and form, after the Ovum 
has burst through, the "Corpus Luteum".
The egg is found in the fluid secreted by 
the "granular membrane". The granules are thick 
around the ovule.
The Ovule is covered by a membrane called 
the "Vitelline Membrane". this constitutes the 
"Chorion" in pregnancy. Inside the "Vitelline 
membrane we find the "Vitellus"- In the "Vitellus"
the "Germinal vessicle", this vessicle is white and 
surrounded by a thin membrane, within it 
is a round spot called the "Germinal Spot."

9
In early life the Graafian Vessicle may be seen 
deeply imbeded in the ovary, as the female advances 
in life toward puberty, one of these vessicles 
may be observed to rise toward external surface of 
the ovary_ it fills with fluid_ presses the egg hard
against the outer covering of the ovary so as to 
form a ridge.- this grows higher and higher- finally 
bursts the coats and escapes with all the fluid
which surrounds it_ The whole ovary becomes congested 
and red, also the Fallopian Tubes and Uterus
so that the mucus membrane measures three eights 
of an inch in thickness sometimes, the amount 
discharged from the vagina varies from two to 
five ounces.
It is this congestion that causes the Fallopian 
Tubes to grasp the Ovule. There is no reason why 
they should grasp the ovary in Sexual Intercourse
There is no rigidity in the female sexual organs during 
coition_ the glands secrete more- everything 
becomes relaxed.
The Corpus Luteum is always larger and formed 
more slowly after impregnation.
The process above described is called "Spontaneous 
Ovulation". In the human female it 
takes place every month after the age of 14 or 15 yrs
and from this fact has been Menstruation. It will
thus occur monthly in a healthy female until 
She is 45 or 50 years old.
Menstruation
Physical signs. Hair begins to appear upon the 
Mons Veneris and vulva, the breasts become larger,
nipple protrudes and gets sensitive and the 
outlines of her form become more rounded.
Mental Changes_ The voice is softer. She is shy

10
and seeks more retirement, has vague sensations 
of things she is yet a stranger to, she has pains 
in the lumbar and sacral regions, bearing down in 
the pelvis her breasts swell, and sometimes she will
have hysterical spasms.
The Menses appear at fourteenth year usually_
last from three to five days the discharge amounts 
to three or five ounces is uncoagulable-The 
seat of the discharge is the mucous membrane, and 
it takes place every twenty-eight (28) days.
Generation 
Four conditions necessary
1 Copulation 2 Conception 3 Gestation
4 Labor
Conception. The spermatic fluid is a gelatinous,
whitish fluid, secreted by the testicle. It 
consists of three portions Spermatozoa & Spermatic granules,
and a whitish consistent fluid, called Spermatic fluid.
The spermatozoa are found in all 
animals capable of fecundating. (There is no proof
that they are living beings.)
Where does the contact between the fecundating 
fluid and the germ of the female take place?
Fœtuses are sometimes found in the ovary in 
the abdominal cavity thus giving positive proof
that conception does sometimes take place in 
the Ovary,- and we have no proof that it 
does take place anywhere else.
The communication takes place by a canal 
leaving from the posterior wall of the vagina up 
through the Uterus and into the ligament of the 
Ovary.
Conception is an unconscious act. The 

11
most favorable period for conception is some time 
after menstruation.
Gestation. Gestation commences at the 
moment a woman becomes pregnant, it 
lasts 270 days.
The Ovule passes from Ovary into the Uterus 
in from ten to twelve days. The Corpus 
Luteum is composed of the walls of the 
vessicle
Remarkable changes take place in the Uterus 
during gestation these consist of changes 
in volume, form, situation or direction
1st In Volume, increases in its vertical diameter
from three inches to twelve and a half (12 1/2)
in the transverse from one and a half to nine 
and a half in the Anteroposterior from three 
quarters to eight and three quarters or nine 
and a forth inches.
2nd Shape changes from being flatened it 
becomes rounder- spheroidal- and at the end 
of pregnancy ovoid
3rd situation- The uterus rises more and 
more out of the pelvis as it increases in size
and at the fourth month is two or three fingers
breadth above the pubis; at five months it 
is one finger's breadth below the umbilicus;
at the sixth month it is one fingers breadth
past the umbilicus; three fingers breadth at 
seven months; five at eight months; in 
the last fortnight of the ninth month begins 
to sink
4th Direction- as the uterus is developed it 
inclines to the right side.

12
The neck also undergoes modifications in 
its consistence; its volume; its form; and its 
situation.
Its fibrous consistence begins to diminish 
after conception: the most superficial or inferior
part of the lips of the Os tincae begins to soften
Volume increases in thickness, grows more & 
more voluminous.
In primiparae it has the form of a spindle 
the external orifice being closed or nearly so, In 
Multipara the external orifice is open_ the 
cavity is funnel shaped the base of the 
funnel being below.
Modifications of texture of the Uterus as 
pregnancy goes on
The Peritoneal coat opens so as to allow the 
uterus to develop- the broad ligaments decrease 
in size until they are lost- they grow at the same 
time.
In the mucus coat all the glands become 
more developed; the mucus membrane is 
finally incorporated with the placenta- gets
redder.
The muscular coat becomes a more perfect 
muscle. The fibres cross each other at the neck 
and terminating there, produces the Arbor
Vitae appearance of the neck.
Vessels. They also increase in size, some of 
them attain the size of a Crow's quill. [The?]
Never increase in size.
The uterus in its ordinary state is almost 
devoid of sensibility, but becomes very sensitive 
as pregnancy progresses. It also acquires two 
new properties. Organic Contractility-

Idleness is the mother of mischief. The moment a 
horse has done eating his oats he turns to 
and gnaws down his manger, Substitute labor 
for oats and virtue for manger and what is 
true of horses is equally true of man.



13
and elasticity. The organic contraction in 
the human female is always attended with 
pain (This is not the Case with other animals)
and takes place independent of the will
The sudden entrance of a physician 
will sometimes stop the pains but they will 
soon come on again. The contractility is weakened 
by a great quantity of Liquor Amnii
In such cases puncture the membranes. A too
protracted labor will sometimes weaken the 
contractility, contractility remains for some 
time after death.
The elasticity of the uterus will cause the Placenta 
to come away. The female should not 
have any after pains. The Elasticity is stronger 
in Primiparae it becoms weakened by repeated 
child-bearing_ Inflamation also weakens the 
elasticity.
{If we find the Uterus does not decrease in size
{if not find lochia of a brown color and stringy,
{the mother complains of a sensation as if she 
{had another child_ CroCus
The uterus developing inclines to the right side
below it is in contact with the neck of the bladder; 
anteriorally with the wall of the abdomen, sometimes 
we find the small intestines between it & 
the wall of the abdomen posteriorly it is in 
relation to rectum below, to the sacro-vertebral 
angle and lumbar vertebra: superiorly with 
the mesentery, convolutions of the small intestines;
right, laterally, with the walls of the 
pelvis, illiac vessels, psoas muscle, caecum & 
abdominal parieties; left, corresponding walls 
of the pelvis, illiac vessels, aorta, sigmoia flexure,

14
psoas muscle, and small intestines.
As the Uterus rises out of the pelvis, the 
Vagina becomes Elongated and more curved;
the uterus is also drawn as it were out of 
the vagina, The vagina also becomes larger,
the Mucus Membrane in the last two or three 
months becomes covered with little prominences.
The vagina secretes a profuse quantity of 
Mucus during pregnancy. Borax the rememdy.
Alumina. When there is constipation, difficult 
of expelling, profuse discharge of mucus.
Sometimes it will occur in the early stage, 
then stops [cross out] and appears again in the 
later stage.
As the uterus rises takes with it the bladder,
the uretha is then carried up under the Symphisis
pubis. In such cases we should use 
the male catheter if required
Female is sometimes troubled with vesicular tenesmus,
causes by the pressure between 
abdominal walls and uterus.
The pressure of the uterus upon the base of 
thorax will interfere with breathing.
The Mammae undergo important modifications 
during pregnancy. They begin to enlarge 
at commencement of pregnancy, at 
the end of the 2nd month nipples become 
larger and erectile: the skin grows darker around 
nipple, thus we find it at the 
end of the 4th month; the darker the female 

15
female, the darker the areola. The veins grow 
more prominent in the breasts; this condition 
continues througout the whole period of lactation.
Signs of pregnancy are divided into 
Rational and Sensible.
Rational Signs. Disappearance of menses 
in a healthy female. (May menstruate after 
becoming pregnant).
Depression of the Umbilicus,
(When woman Menstruates during lactation
Cale & Silicia.)
Enlargement of the Abdomen. The breasts 
enlarge, and the Areola is formed around 
the nipple. About the sixth week the nausea,
called "Morning Sickness", makes its appearance.
(With this nausea we often find a great 
quantity of salivation- Sulphur 6000)
There is an alteration of urine in some 
cases, an appearance on the surface of pellicle
like that on cold meat scrap
Sensible Signs. are derived either from 
auscultation or touch. 
Touch operation for.- Female may lie on 
her side, limbs should be flexed upon the body
at the edge of the bed. The index finger 
should be used. lubricate it well. Should 
be introduced with the back of hand forwards 
the vagina.
Palpation- Female on back- limbs drawn
up at 3 1/2 or 4 month the uterus rises above
above symphisis pubis

16
Percussion- The position of the female 
as in the last_ We have a dull sound over 
the uterine region.
Touch and palpation. Introduce a finger_
press on neck of the uterus, and, with the 
hand placed on the abdomen, the motion may 
be felt.
It the uterus contains a tumor, the inequalities 
may be felt. If a mole, it mill be rigid and 
harder then in a pregnant state_
During Menstruation pregnancy is often Similated;
we should wait in such cases some time 
before making an examination.
The female begins to feel the motions of the 
foetus at three and a half or four months_ at 
the fourth or fifth month, another person may 
feel it (this is not a positive symptom.)
Ballotement. The female should stand.-
Strike the uterus just back of the neck by flexing 
the finger suddenly, and if the uterus contains 
a foetus you will get a sensation as of a weight 
falling upon your finger. This is a sure sign 
of pregnancy. The position of the foetus modifies 
the sensation; if it is a breech or shoulder 
presentation it will not be so sensible
Auscultation. We can hear the sound of 
the foetal heart by means of the stethescope 
on the left of the middle line of the abdomen
about the Ararian region. The number of beats 
is from one hundred and thirty to one hundred & 
sixty beats per minute. We many mistake the 
pulsations in the mother for foetal heart.
It is first heard at the end of the 4th and 
the begining of the 5th month. If we hear

17
two distinct sounds, one on each side of the middle 
line, we may diagnose twin pregnancy.
The bellows murmur is very much like the 
beats of the heart, is synchronous with the beats
of the mother's heart, is caused by the placenta 
and is a swelling or blowing like sound. We can 
hear [cross out] [cross out] a similar sound in Chlorosis
or when a fibrous tumor exists, and therefore 
it is of but little value as a sign of pregnancy
The best position for auscultation is upon the back
with the legs flexed; should move the stethescope 
form the left toward the middle.
Reckon the period of Gestation from the disappearance 
of the Menses 270 days
Treatments of Menstrual irregularities 
Amenorrhoea
This is an absence of the menses it may result 
from the want of a proper development,
that is there may be no Uterus or Ovary. If 
the Menses are retained we have the symptoms 
of fullness and other signs of a foreign 
body such a condition may be caused by 
a want of an os to the Uterus, or else the Cause 
may be in the vagina, or in imperforate hymen, or 
the vulva may be agglutinated. A female 
may enjoy good health and never menstruate,
although Ovulation goes, and she may become 
pregnant. Where the cause is mechanical 
we must employ mechanical means to relieve.
Remedies.
When the menses have never appeared

18
Causticum. For females of a yellowish complexion 
weakly, rather serofulerus they are apt to be melancholy,
look at the dark side of every thing_ Coliky_
Heysterical. Pinching pain in sacrum every time 
she ought to menstruate. Eyelids so heavy that she 
cannot keep them up.
Graphites- When the female is course, wrigh looking 
with a tendency to obesity,- weakly- bloated swelling 
of the feet- itching blotches- Erysipelatous redness 
of the face- swelling of the feet, or when there
is pale, thin and scanty menses. Herpetic erruptions 
on the face. Finger nails brittle; obstinate constipation,
Hali Carb. Organic disease of the heart perhaps 
or where there is a strong disposition to phithisis_
Alternate redness and paleness of the face. Dyspnoea 
and palpitation of the heart. Constipation large 
difficult stool once a week. Good deal of sticking 
pain.
Pulsatilla- The patient has a mild, tearful disposition,
cry easily, She has either no appetite or 
else a good appetite with aversion to food: bad 
taste, particularly in the morning, a slippery 
taste (a rough taste as of saw dust indicates Sulp)
nothing tastes good, water tastes bitter, [illegible]
flying from one place to another. Hemicrania 
flying from one side to the other Swelling of 
the calf of the leg which is hot also swelling 
of the feet and ankles. Worse in the afternoon 
and towards evening_ Better in the open air or 
cold air- Made much worse by warm drinks
The muscles are flabby and soft. Worse toward
evening or in the first part of the night. Freckled face.
Sulphur. There is a sense of heat on top

19
of the head, wants water on it all the time_ Cold
feet_ She has excessive appetite yet looses flesh. Piles 
sore, bleeding, and tender. Itching leucorrhoea_
weak epells. wants dinner about 11 O'clock. Sense 
of weight in the stomach.
Sepia. Yellow saddle across to nose yellow spots 
on the face here and there, white tender and 
delicate skin Constipation, sense of weight 
in the anus. Cold hands and feet. Terrible 
flashes of heat at the time she ought to menstruate,
Burning in the palms of the hands and soles of 
the feet. Urine very offensive with clay like sediment
Sense of emptiness in the pit of stomach
Ferrum. In females with a fiery red face, and who 
have all the debility- which charaterises this remedy
Cocculus Indicus. Where we find the patient very 
weak, she will hardly be able to answer you
a word, she will have pains in her back running 
into the abdomen will be hysterical & 
have difficulty in breathing. There will be uneasiness,
sighs, sadness, and occasionally a 
discharge of a few drops of black blood.
Abdominal cramps
Lycopodisses. Where there is sour mouth and occasionally 
sour vomiting. Sensation of fullness 
clear up to the throat, she can't eat anything.
Passage of wind from the Vagina. Loud for bogrymus
Dryness of the Vagina- If she wants 
to pass water She must wait a long time. Great 
pain in the back when desiring to pass water.
Milky leucorrhoea

20
Magnesia Carb She has sore throat when 
she should mensturate also has heart 
burn and great acidity of stomach
Conium. When the breasts are either flabby and 
shrivelled, a more after swollen, hard, and painful;
stinging pains in the neck of the uterus,
Can't turn over in bed without experiencing 
a sensation as if the house were falling 
on her. (there is no dizziness when she lies still)
The Urine flows and stops and then flows 
again and stops & so on (intermitting
flow). Constipation with a sore, bruised
feeling in the abdomen. Painful pimples 
on the Mons.
Natrum Mouriaticum is the remedy when 
the patient wakes with a tensive headache,
She is Melancholy; has a strong aversion to 
bread. Pimples and itching about the anus;
falling off of the hair; stinging and tearing 
pain in the teeth.
Petroleum. Painful pressure in the rectum
made worse by walking, sometimes it will 
turn to stitches while walking. Diarrhoea 
all day, none at night
Sabina is indicated when there is pain in 
the sacrum running to the pubes. Slight 
sense of motion in the abdomen. She may 
have been menstruating all night but it 
suddenly ceases, and there takes place a 
foetid milky leucorhoea


21
Cuprum Acct. When there are intolerable abdominal 
cramps extending into the chest, with 
nausea, retching, and vomiting sometimes
nothing but clear froth. Sometimes there 
will be convulsions like epilepsy.
Nux Vomica- In females who are plethoric,
hasty and passionate. There is constipation,
no appetite; she can't sleep after 3 O'clock
in the morning. Frequent desire for strive & urine
strive large, hard & difficult: urine in small quantities scathing.
Dulcamara- Takes cold easily, which 
seems to settle in the skin and cause
blotches all over the skin. Takes cold in 
head easily- Warts more or less on hands;
breast sometimes hard and engorged.
Suppression of the menses from [illegible] cold.
Silicia. Smarting, acrid, currvine leucorrhoea,
with colic and cutting pain, usually 
accompanied with constipation.
Momentary attacks of sudden blindness
Acinite- Can't get up without vertigo
coming on- may or may not be fever_
particularly adapted to plethonic young
girls accustomed to sedentary habits.
Baryta Carb. A dwarfish person_ where
the development and growth have been 
retarded.
Calcarea Carb. When there is vertigo on 
giving up stairs; swelling of the pit of 
stomach, like a saucer turned bottom

22
up; can't bear her clothes [tight] around her 
waist on account of the swelling; great 
fatigue in walking. Sometimes there is a 
vicarious menstruation.
Chamomilla, is the remedy for quarrelsome patients
One cheek will be red, the other pale
May have been Menstruating all night
when the Menses have stopped from suppressed 
perspiration
Phosphorus (This is a great remedy in 
vicarious haemorrhages) Which may come 
from wounds, anus, uretha, lungs and gums)
For suppressed Menses in young persons
who have menstruated regularly and profusely.
Stitches in the breasts; stitches darting 
up through pelvis Suitable for females 
who are tall and slender in form. Constipation 
like dogs stool, thin, dry and 
hard. Great vertigo on rising in the Mornings.
Satadilla. This remedy is similar to sulpsep 
and Puls. Special indications 
are burning rumbling pain through 
the abdomen worse at night
Valeriana. If the patient has drunk 
a great deal of Chamomile Tea.
Alumina. Similar to Calcarea. Constipation,
straining whether the stool is hard or soft.
Arsenicum. When there is a great deal

23
of prostration, waxy, frail look; there is a 
strong desire for acids,, coffee, and brandy.
Fainting turns. Intolerable thirst, cold 
clammy sweat, great pain through left chest
Belladonna. Throbbing headache, great sense 
of heat in the head; can't bear a jar; Eye
red. Legs become numb from sitting a little 
while_ Motions all quick- sometimes vomiting 
of blood and passing of blood from 
the rectum.
Borax. Stitching pain in the right pectoral 
region. Fears a downard motion
Crocus. Bloated-: bounding in the abdomen
Lachesis If all sufferings are made more 
by sleeping and relieved by eating: Urine 
frothy; great aching in the legs. Or there may 
be a few drops of blood from the nose, with 
headache and vertigo, instead of the Menses
Muriate Mas. Sleepless night- Hysterical-
Terrible Constipation the stools are large & 
dry and crumble as soon as they come 
to the verge of the anus.
Sarsapasilla. If she has terrible pain in 
the uretha up to the meatus just as she 
concludes passing water
Stramconuin. When she has a red face

24
puffed up with blood, she is afraid of darkness
and sorrow and is full of fantastical 
hallucinations and strange ideas.
Ipecac is the remedy when there is a 
constant nausea. she may be of a blue 
color. Feeling about the navel as if clutched 
with the hand.
Plumbum. Pain as if the abdomen were 
drawn to the back, distress of mind
Phos. Acid. For females who have grown too 
rapidly, talking tires them in the chest. Also 
if they pass a large quantity of pale urine 
in the night.
Ignatia is especially indicated when there 
is grief, often sighing- takes a deep breath 
every little while: Sense of emptiness in the 
pit of stomach: great sense of fatigue
as through she had walked a long distance
China, ringing in the ears, and usually 
great nervousness.
Iodine. Patient Can't ascend without great 
exhaustion. The pains are relieved by eating 
Lach
Mere. Sol. Oedematus swelling of the feet 
and hands and face: sickly loose; inclined 
to salivation

25
Nat. Carb. Physical and mental weakness:
heaviness in the limbs, great aversion 
to movement; rather irritable; strong disposition
to sadness. They are so averse to 
move that they won't help themselves.
Aux Muschatu. Where there is a spasmodic 
tendency. Sleepy all the while, fainting spells
Opium. When fright has caused the Menses 
to cease: red face with drowsiness & 
twitching. Opium has the red face but not 
the weakness of Ferrum.
Staphysagria. if you find the patient very 
sensitive to mental impressions, she feels 
all you say.
Veratrum Album. Pale, leaden-colored, face
vomiting and diarrhea, cold hands and feet
Bryonia. Nose bleed instead of the menses.
Swelling of the joints.
Chelidonium. Pain under the right shoulder 
blade at the inner lower angle, sometimes
running through into the chest causing 
great difficulty of breathing. May 
cease after the effort to Menstruate passes off.
Digatalis. When she cant put her hand 
above her head or reach over the table 
without causing a fluttering of the heart

26
Aurum. When there is a tendency to commit suicide
Secale. For thin, lifeless, scrawny sort of females 
They awake in the night sobbing
Rhus. Fox In rheumatic sort of females, with
a repular Rhus rheumatism.
Vivla Tricolor. If she have vivid, amorous 
dreams (one dose acts two months)
Mezereum. Pain in left malar bone running 
towards the ear at every Menstrual period
Dysmenorrhoea 
All the remedies mentioned under Amenorrhoea 
may be used in Dysmenorrhrea 
or Metorrhagia if they only present the 
Characteristic indications
Coffea is the remedy when there is great nervous 
restlessness and excitability: pinching pain 
in the Illiac region. The sufferings are often 
attended with coldness and stiffness, the 
flow at the same time is profuse
Chamomilla Fainting fits, thirst, coldness 
of the limbs; (Lower limbs particularly);
pale face; violent colic with tender abdomen.
Profuse flow of a deep dark color: hard,
aching, pain in the pit of the stomach.
Crocus. Dark and stringy blood. (The same 
characterises all the haermorrhages of this remedy)
Cutting thrust from the genital organs to right 
Hypeschondriurm.

27
Caculus Indicus. The sufferings after cause syncope
(like cham in that respect). The discharge 
is fitful and scanty. No regularity. Cold 
shivering in the Mammae. Menses too late,
scanty, thin, and pale discharge.
Graphites. Menses always late, discharge 
after scanty and thin. Pains in the back 
and morning sickness as though she were 
pregnant. Constipation before and diarrhoea 
after the Menses. Painless swelling of 
the face
Phosphorus. Blue circle around the eyes,
patient usually weak. Stitches up through 
the pelvis. Stitching pain through mammae.
Bleeding of ulcers on other parts before Menses
Constipation, like drop stool. The pains are 
as if cut with a knife, swelling of gums or 
or teeth or both, very strong, offensive heat, up the back.
Pulsatilla. Menses, dark and coagulated, 
or pale and serous. The flow usually intermittent.
Abdominal spasms with tossing 
about and a great deal of suffering. Slimy 
vomiting. Menses flow during the day & stop at night.
Sepia. Burning and frequent stitches in the 
Vagina, Sometimes extending to the umbilicus 
swelling of the labia.
Sulph. Athomatic suffering with heat in the Chest
Belladonna. When the pains are pressive, forcing 
everything out the genitals. pains of 
Bell in Dysmenorrhoea always come and go quick

28
the discharge imparts a hot feeling to the parts 
as it goes away. Pains extending down the 
thighs and calves & at the same time up to the umbilicus.
Bryonia. Patient is chilly, splitting headache, 
cough and nose bleed. (if she has not the 
headache she has dyspnoea- constriction in the 
Chest). Pains in the limbs dry parched lips 
and thirst. Don't want to move.
Calc Carb. is useful in Leucophlegmatic constrictions,
also if the Menses are too frequent & 
too profuse (one of the best remedies)
Ignatia. Where there is much sighing and deep 
breathing, sense of fullness in the pit of the stomach
Nux Vomica. When the pains cause her to 
have the bowels moved sometimes will be a desire 
to pass water (but little is passed.) Menses 
usually scanty.
Platinum. In nervous persons, Menses 
black and clotted; too profuse and too long.
Secale. In there thin scrawny persons.
Causticum. When the blood has a bad 
smell. Sometimes Menses will not flow at night.
China. Its indications are ringing in the 
ears: congestion to head and face, which feels 
hot to the patient: hot pain in the spleen
Abdomen feels as if stuffed. (too full).

29
Mur Magnesia.- the indications are the same
as in Amenorhoea. Also Iodine and Conium.
Mercurrius. Scorbutic gums; ulcers in the mouth;
prolapsus vagina.
Carbo. Veg. Drawing pain from hypogastricum 
to the small of the back; sometimes a violent 
itching tetter preceedes the flow of the 
menses.
Castoreum. Colicky pains from first Menstruation;
tearing in the back and abdomen.
China Sulphar. Griping and griping tearing 
pains from umbilicus to the Chest: there are 
a great many troubles in the os coccygeus
Cicuta Virera. Tearing and jerking in 
the region of the os coccygeus
Cimex Lectuaris. The female is remarkably 
retireing; wants to hide herself away;
desire to keep the flex or muscle contracted
Eugenia Iambos. Where there are pimples on 
the face, with pain extending far around 
the pimple and desire to feel them
Euphraria. When the menses flow only 
about an hour: but she is very regular in 
her periods. Watery discharge from the eyes.
Gratiola. Darting in the right mammae


30
particularly when stooping, worse on rising.
Hyorcyamus. The sufferings are proceeded by 
some hilarity- generally feels like laughing 
Menses Come on with a severe headache,
profuse, sweat, and nausea- Twitching & jerkings
Hypericum perfoliatium. The Menses delay with 
tension in the region of the uterus as of a tight 
hand
Indigo. When there is boring in the mammae.
Iodine. Leucorrhoea always attending on following 
the Menses. Corroding even the liner
Kali Bichrom. Suppression of Urine (the kidneys 
dont secrete) or she passes a small quantity 
of red urine.
Kali Carb. Pains stitching and flying-
She always feels badly before the Menses. Very 
costive and always feels badly for a few hours 
before the bowels are moved- The menses have 
a pungent smell, and are acrid, excoriating 
the thighs, & covering them with an eruption.
Kali hydriodicum. Great urgency to urinate
until the Menses appear when this sensation 
goes away. Sensation as if the upper part of 
the thigh were tightly squeezed: She can't 
take milk, it aggravates the symptoms.
Kali Vit. When the discharge consists of 
fluid blood, as black as ink.

31
Kalmia Lat. Pain running down anterior part 
of the thighs.
Creasote. Voluptuous itching deep in the 
vagina. Menses flow until she seems to be 
getting well when on they will come again 
and so continue.
Lachesis. She may have ulcers and the base 
of them will turn dark; a cancers which 
bleed. Scarlet spot even the body at the 
time of the Menses (may be in any part of 
the body). Terrible aching in the bones; Chilly 
at night, heat in the day.
Ledum. When there seems to be a want of 
vital heat during menses.
Lobelia. Its indications are violent pains in 
the sacrum; troublesome feeling of weight 
in the Genital organs.
Lycoporrum. Starting pains in the Labia.
Magenesia Carb. The Menses flow only when 
pain is absent when the pain comes on the 
flow stops or flow only during sleep. Canine 
hunger previous to the Menses: terrible 
pains in the right shoulder: drawing pain 
in forehead to occiput, with heaviness in head.
Magnesia Sulp. The menses stop for two days
and then flow again.

32
Merc Cor. Burning from the oesophagus to 
pit of stomach.
Moschus. When there is drawing and pressing 
towards the organs, as though the Menses would appear.
Phos. Acid. If there is great pain in the Liver 
during the Menses.
Sanguinaria is the remedy when a pain rises 
from the back of the neck into the head & forehead.
Menses scanty.
Stramonium. Excessive Coquacity during 
menses. they are watery; drawing pain in 
the abdomen, thighs, and limbs_ puffed face.
Thya. Pain in the left Illiac region- She will 
be so sick that she has to go to bed; Menses usually scanty
Verartrum. Diarrhoea with every appearance 
of the Menses. Great thirst for very cold water.
cold & chilly with severe pain.
Zinc. Heaviness in the limb with violent 
drawing in the knees as if they would be 
twisted off during the Menses. Tightness 
in the region of the stomach, and oppression,
so that she must loosen her dress. Opthalmia,
Carb Ammon. Colic, with griping, tearing,
and pressure between scapulae.
Mer Ammon. Discharge of a quantity 
of blood with every stool during Catamenia.

33
Anica. When the patient is suffering from 
the effects of a bruise, since receiving which,
she has menstruated with difficulty
Arsenicum. Lancinating pains from the 
rectum to the anus & perineum, also from 
stomach to hypogastrum, and from the 
back to the sides and abdomen. Mourning & weeping.
Berberis Vulg. We will almost always find 
an organic disease of the kidneys, which 
is much aggravated by walking; has to pass 
water often. Labor like pains in the small 
of the back.
Bromine. When the menses are preceeded 
by weakness, pain in the small of the back,
and loss of appetite.
Cantharis. Stranguary, wants to pass hater 
every minure, with burning and 
scalding pain.
Menorrhagia
Aconite. Is the remedy for plethoric young
girls with indolent habits. Patient think 
she is going to die.
Alumina. Haemorrhage very profuse from 
straining at stool, even when the stool is soft 
she is afraid to go to stool.
Argent Nit. When the hemorrhage comes on 
two weeks before the menses. She is extremely

34
extremely active during Menses: can't keep still- must 
be doing something- time hangs heavy on her 
hands_ 15 minutes seem several hours_ if she 
sleeps a few minutes thinks it a long while.
Arnica. If the hemorrhage is caused or aggrarated 
by falls shocks concussions or false 
steps-: the flow is bright red and clotted:
extreme nausea: heat above with cold extremities.
Arsenicum. In low states of the system, particularly 
if there be rheumatic pains, cancerous degeneration:
apthous condition of the mucus membranes.
Belladonna is the remedy when there is pressure 
as though the genitals would go through vulva,
pains as if the back would break. The blood 
of the menses feels hot and has a bad smell.
Hemorrhage comes on after lifting heavy weights.
Bryonia. Splitting headache; can't sit up without
nausea and faintness. (Bryonia often follows 
Crocus well)
Calcarea Calc. For leuco-phlegmatic temperaments.
If Menses have previously been too profuse 
and too frequent.
Chamomilla. When the flow is in gushes, dark 
and coagulated; with this gushing, pain like 
labor pains- tearing pains in thighs and legs.
Wants to pass water frequently; thirst and pale 
face and cold extremities. The patient is usually 
not over amiable.
Cinnamon. Usually answers where Arnica fails.
China. Sense of distension in the abdomen; desire 
to belch which affords no relief. Heaviness 
in the head, dullness of the senses, vertigo, ringing 
in the ears, fainting spells, even coldness and 
blueness.

35
Cocculus Ind. Hemorrhage during pregnancy,
feels weak, can hardly speak, it flows by fits 
and starts.
Crocus. Blood dark and stringy, and viscid,
hemorrhage brought on after walking or dancing 
or stimulating drinks. Rolling and 
rumbling in the abdomen. Mental depression.
Ferrum. When there is a red face, full hard pulse,
yet they have terrible hemorrhage.
Hyoscyamus. Patient delirious; convulsive movements,
jerking and twitching; restless, skin 
hot, veins of hands full and blue.
Lycopdium. [cross out] [cross out] If Calcarea 
don't cure when we expected it would.
Lachesis. Hemorrhage at critical age: chilly 
at night and flashes of heat during the day.
Mercurius. When there is large swelling of the 
Labia, or painful swelling of breasts. More an 
oedematous swelling.
Nit. Acid. Hemorrhage from the least cause.
Phosphorus. Hemorrhage frequently, suddenly 
and profuse: shivering- cold extremities-
palpitation of heart, and lameness of lower extremities.
Platinum. Very abundant, thick and dark 
discharge, generally lasting a long while; great 
tenderness about the vulva.
Pulsatilla. is indicated in mild, weeping, temperaments:
the flow is intermitting, dark and serous.
Secale. In cachectic females, scrawny persons,
with cold extremities pale or livid face.
Sepia. Stitches up the vagina.
Stramonium. Loquacious: if the flow continues 
till she is almost dead, yet she will talk.
Patient smells of semen.

36
Sulphur. Chronic hemorrhage: stop and 
flows again.
Ipecac. Flow constant and even and of 
bright, red blood- particularly if she has nausea
or cutting pains about the umbillicus.
Sabina. Pain running from sacrum to pubis,
blood dark and mixed with coagula; gets
worse on least motion or emotion.
Laurc Cerasus. Tearing pain in the vertex every 
night cant get her breath- Suffocative breathing.
Creasote. Discharge profuse for a while of dark
blood, gradually ceasing until she passes only 
bloody ichor, which excoriates the parts and smells 
badly: this almost dies away, when the whole trouble 
comes on again.
Veratrum. Pains in the limbs: thirst for very
cold water.
Nux Vomica. Patient complains of her back 
as if it were broken, wants to go to stool freqently-
constipation- sense of tightness about 
hypochondrium- frequent desire to pass water.
she passes but a small quantity at a time.
Decidua 
The decidua is the mucus membrane of the 
uterus. As the ovule enters the uterus it 
becomes encysted; the part of the cyst nearest 
the fallopian tube is called the utero-epi-chorial
membrane; the rest of the cyst the epi-chorial.
The utero-epi-chorial becomes fixed 
to the uterus and as the ovule then can 
only grow in the direction of the free surface 
the membrane on that side grows

37
thinner and thinner. When the placenta 
comes away it takes with it all the old mucus 
membrane.
The allantois vessicle springs from the lower
part of what is afterward the bowels of the Child,
runs up rapidly until it comes into contact 
with the Chorion. (the Umbillical vesicle 
being almost gone). The urachus is the neck 
of the allantois.
The arteries of the embryo come off the 
Internal Illiac: the umbillical vein enters
the right auricle of the heart.
The umbillical vessicle is composed of 
the mucus membrane of the Blastoderm and 
contains the remains of Vitellus.
The Ammios is formed by a folding back 
of serous membrane of the Blastoderm and 
meets at the back of the child: it secretes a 
fluid called amniotic fluid. At the time of 
[cross out] labor it amounts to about a pound 
and a half. Its composition is water 98.8 
Hydrochlorate of Soda, Phosphate of lime- 1.2
The use of the fluid is to protect the child.
The Chorion is formed at first of the 
Vitelline membrane, afterwards of the serous layer
of the Blastoderm, allantois, and the remnant 
of the mucus membrane.
Placenta. In the early stages of foetal 
life the umbilical vesicle answers the purpose 
of the placenta. The arteries of the allantois 
join the arteries of the villi of the Chorion but 
don't pass through it, these form the placenta,
and by means of the villi of the Chorion & 

38
the villi of the mucus membrane of the uterus, the 
foetus is supplied with blood. The placenta is 
between the Amnion and Chorion: it is three
quarters of an inch thick in the centre, gradually 
growing thinner toward the circumference; and 
is usually located at the fundus although it 
may be at any part of the uterus; if at the 
internal os, it is called placenta previa.
Umbilical Cord. This does not always come 
off from its usual place (the lower part of 
the alimentary canal). If the cord be very large 
at the lower part be careful in cutting it, lest 
it contain a fold of intestine. The length of 
the cord at term varies greatly; generally, it is 
from twenty two to twenty four inches; the exceptions
range from nine inches to five or six 
feet.
The Foetus
Dimensions and weight of the foetus at different 
periods of intra-uterine life.
The third week is the earliest time at which 
we can see any appearance of the embryo, it is 
then vermiform in shape and weighs one or two 
grains length two to four lines.
At the fifth week we can see the head and 
the rudimentary eyes are indicated by two black 
spots- little nipples for the arms and the allantois 
is just springing up (the allantois reaches 
the Chorion from 5th to 6th week) it is about two 
thirds of an inch long and weighs about fifteen grains.
The thorax is not yet closed in, and with a powerful 
lens the first sign of a heart may be seen.
7th week. has no anus yet_ the urinary bladder

39
bladder is manifested under the form of a tumor on 
the urachus. At this time ossification first commences
on the clavicle and lower jaw.
At two months. the thorax and abdomen well 
closed, still some of the intestines remain in the 
cord; the cord is not yet twisted; the tubercles of 
the upper extremities more distinct; genital organs 
may now be seen; the eyes are prominent, without
lids; the mouth is gaping; its length is from 
one and a half to two inches. forearm & hand now appear.
At ten weeks the embryo is from two to three 
inches long. The eye lids are more visible: the mouth 
more like a mouth: arms better formed, the fingers 
are separate and distinct: the cord is twisted a 
little. The toes are joined by a web.
At the end of the third month. the eye balls may 
be seen through the lids: the sex can be distinguished;
it begins to have a neck: and the cord is decidedly 
twisted. Its length is from four to five or six inches.
At the fourth month, the eye lids close up,
the organs are better formed, and there are silvery 
hairs over the head. Its length is from 
six to eight inches; its weight seven or eight ounces.
After the 4th month is called foetus.
At five month, the foetus is from eight to ten 
inches long and is covered with a sebaceous 
matter in patches. Weight 8 to 11 oz.
At six months. there is hair on the eyebrows & 
eyelids, and the finger nails become quite solid.
At seven months the cranial bones become 
quite convex. The left testicle appear.
At Eight months, the child is covered all over 
with down. Lower & upper jaw same length. Both testicles appear.
At full term its length is from nineteen to 

40
twenty three inches and it weighs from eight to 
nine pounds.
Head of foetus at term
The foetal head is ovoid in shape, the larger 
part being posterior. The bones of the cranium in 
the foetus are united by cartilage. The angles 
made by the crossing of sutures are called fontanells
these are two in number, anterior & 
posterior fontanelle. To distinguish between 
the fontanelles, the anterior has four angles; the 
posterior only three.
Diameters of the head
Longitudinal (anter-posterior) 
{Occipito mental- 5 1/4 inch
{Occipito-frontal- 4 1/4"
{Sub-occipito-bregmatic- 3 3/4"
Transverse- 
{Bi-parietal- 3 1/2"
{Bi-temporal- 3"
Vertical- 
{Trachelo-bregmatic- 3 3/4"
{Fronto-mental- 3"
The diameters of the head are larger in boys 
than in girls and consequently there are more 
difficulties in the births of boys.
In parturition the longest diameter of the head 
must correspond to axis of pelvis. The Antero-posterior 
or occipito mental is the longest diameter of the 
head, therefore we usually find the head flexed up
on the child's chest as in vertex presentations; or 
else upon the back as in facial presentations, the 
chin then leading the way.
If then the child's body should be born and the 
head remain in the pelvis, we should introduce 
the finger in the child's mouth and flex the 
head strongly on the breast so as to draw the 

41
occipito mental diameter in the direction of 
the axis of the pelvis.
Functions of the foetus
1st Nutrition. The child does not receive its 
nourishment form the liquor Amnii. In the early 
stages it is nourished by the umbilical vessicles
after it has consumed all that it receives to nourishment 
from the mother. The blood is received 
from the placenta by endosmosis.
2nd The child breathes in the same manner 
as fishes do.
3rd The secretions of the foetus are similar to these 
of adult life. The foeces of the foetus called the
meconium.
4th The Circulation differs from adults in not 
circulating through the lungs. The blood passes 
through the liver, in which it undergoes a change,
enters the ascending vena cava by means of the 
ductus venosus, and mixing with the blood returned 
from the trunk and lower extremities, enters
the right auricle and then passes into the left [ventricle] auricle 
through the foramen ovalle then into left ventricle most of this blood is sent
into head & upper extremities, it is returned through 
the descending cava into the right auricle, crosses
the current of blood from the ascending Cava 
and enters the right ventiricle, the contraction 
of which sends it into the pulmonary artery & 
by means of the ductus arteriosus into the Aorta 
descendens, thus passing to the trunk & 
lower extremities. A portion of it is then returned 
to the placenta by means of the umbilical 
arteries, while the rest passes along the vena
cava ascendens and mixing with the blood

42
from the placenta, again enters the circulation.
Cyanasis is the result of the non-closure of 
the foramen ovale_ Lauro Cerasus is the best 
remedy. In any heart disease when there is a 
gasping breathing Lauro cerasus the remedy.
Abnormal pregnancy
Pregnancy is called compound when there 
is more than one foetus.
Cause of Compound pregnancy. Sometimes 
an ovule is developed from each ovary or the vesicle
may contain two or more ovules.
A twin pregnancy may be diagnosed by 
auscultation. Ballottement is difficult in twin 
pregnancy.
One foetus may die in compound pregnancy,
and the other be born alive at full term, One 
may be born two or three weeks after the other,
although they usually follow each other immediately
Extra-Uterine pregnancies belong to the class 
of abnormal pregnancies. The foetus may be developed
in the ovary or in any part of the fallopian 
tubes &c. The autopsy in such 
cases often reveals that the fallopian tubes are
impervious. (how did impregnation take place!).
In Interstitial pregnancy the development of 
the foetus takes place in the walls of the uterus;
the uterus grows as if it contained the foetus, but 
not to the same extent. There is no much trouble
until 2 or 3 months when the cysts break hemorrhage 
takes place and the woman soon collapses 
and dies. She may recover and carry 
the dead foetus in her belly- or it may cause

43
ulceration and be discharged through a fistulous opening,
piecemeal
Treatment. Can not do anything except to 
relieve the subjective symptoms. If she takes on 
collapse may require china_ Arsenicum &c
If the labor comes on and we find the head 
pressing against the walls of the vagina, cut 
through it and deliver the child.
The next best mane is by Caserean Section.
Pathology of Gestation
Digestion
Anorexia. Remedies. China, Cyclamon Eurp
Nux V., Rhus., Sepia, Silica, Nat. Mur..
China. A bitter taste in the back part of the 
throat, on account of which she can't eat anything;
all nourishment tastes flat, like wood, straw,
or clay; bitter taste of everything; they are hungry
but can't tell what they want.
Cyc. Europe.  She sits down to eat with an appetite 
enough for a good meal, but after taking a 
few mouthfuls, she has a perfect disgust for food; particular 
disgust for bread and butter; sick in the palate;
thirst intermittent, great dimness of vision with 
spark's before the eyes.
Nux Vom, When there is a disagreeable taste and 
smell; putrid taste low down in the pharynx, which 
destroys the appetite, especially when she hawks mucus.
Food and drink have a fetid smell; she 
can't bear the least odor of tobacco.
Rhus Tox. Coppery taste all the time; Canine hunger 
but no relish for food; putrid taste after the 

44
first mouthful; as the food is descending to the 
stomach it hurts between the shoulders; restless 
nights, has to change position often.
Sepia. Can't bear the idea of eating though she 
may have a good appetite; no appetite and constant
thirst: taste of manure; strong aversion to 
meat. Sense of repletion, with nausea and debility.
Silicca. Constant taste of blood particularly 
worse in the morning: eats food well enough 
but can't swallow a particle of it.
Nat Mur. Great aversion to food, yet they relish it 
well enough; putrid taste and smell; great hunger 
can eat but little
Disgust and nausea.
Strong aversion to certain things
To sour things: Bell., Ferrum, Sab., & Sulph.,
Great aversion to beer: Nux V.,
" " " brandy: Ignatia
" " " bread: Nat Mur May also
indicate Conium, Lycop., Nux., Puls., and Sep.
Aversion to rye bread particularly: Lycop
Aversion to broth: Arnica (Arz, or Graph.)
" " Cheese: Oleander.
" " Coffee: Nux V. (Bry., Calc., Cham., 
Coffee, Phos..)
When she can take coffee with a plenty of 
sugar and cream: Rheum.
Aversion to butter and fat food: Petrol., Angos.,
Bry.,Carb, Veg., Puls.
Aversion to fish: Zinc. (Graph.)
" " Garlic: Sabadilla.
" " Meat: Mur Acid. (Petrol., Sil., Sulp.)
" " Dishes made of meat and flour: Bhox,
Sometimes Arsenicum.

45
Aversion to milk or anything made of milk:
Bry., Puls., Sep., Sil., Cal. C., Guai.
Aversion to Salt: Selen (Carb. Veg.)
" " Solid food, but can take soft 
food: staphis.
Can't eat anythign sweet: Caus., or Sulph. (Ars.,
merc., Phos)
Aversion to vegetables: Hell. (Magn.)
Can't bear water to drink or hear water poured 
out or running. (Hydropholine): Bell., Nux V., 
Stram., Bry., Nat. Mur.
to wine: Merc., or Sabad., Ipnat., or Rhus.
Pica or Malacia
Strong craving for acids: Verat. (arn., Ars.,
Bry., Cham., Hepar., Phos., Squills., Stram., or sulph.)
Longing for beer: Bry., Merc., Nat. Mur., Petrol.,
Sabad., Stront.
Longing for bitter things: Nat. Mur.
" " bread: Ars. (Plumb Stranc.)
" wheat bread particularly: Aurum
" " " & Butter: Ferrum_Magn C.
Craving for brandy: Op., Ars., Hepar., Nux., Selen.,
Sep., or Sulph.
Craving for Coal: Cicuta Virosa.
" " Cheese: Ignatia.
" " Coffee: Angust. (Aur., China. Bry. Selen.)
" " Cucumbers: Ant, Crut. (Verat.)
" " Fruit: Berat., (Ign, Sulph Ac., Alum.,
or Tart Emet.)
Craving for fat food Nux V. Nit Ac., (When 
recovering from diarrhoea should patient strongly

46
Crave salt herring ht Acid the remedy.)
Longing for juicy things: Phos acid.
" " " raw potatoes and flour: Calc. C.
" " lime and chalk: Nit Ac. NuxV.
" " Soups: staph., sulph.
" " meat: Magn., Menganthes. (Sulph.)
" " dishes made of meal or flour: sabad.
" " milk; Aurum. (Chel., Merc., Sabad., Sil.)
" " refreshing things: Phos., Phos., ac., Puls., Valer.
" " salt: verat., Caust. (Calec., Con., 
" " smoked meat: Causticum.
" " sour Krout: Carbo Animalis.
" " sweet things: Arn., china., Kali Carb.
" " vegetables: mag, carb., alumina.
" " for warm food or drink Ferrum Lycop.,
(Cyclamen Europ., angustura.)
Craving for wine: (Cicut.,) 2 (Hep. Sulph., Sep.,
Sulph.,) 3(Brys., Lach., and spig.)
Acidity of the Stomach- Pyrosis- Heart burn,
Podophyllum. When there is great sleeplessness
with the acidity_ Frequent natural stools_ Strangury_
Belching of hot flatulence_ All he eats turns sour.
Calcarea Car: Is indicated in all cases of a 
calcareous diathesis. Belchings taste of the ingesta.
The patients can't take milk.
Conium Unsuccessful desire to erructate 
good deal of vertigo_ giddy on turning over in bed.
Crocus- Rumbling and fermentating in the 
pit of the stomach_ Drawing sensation in the pit of 
of the stomach hither and thither
Nux. V. If she craves chalk or lime constipation

47
constipation_ great sense of weight in the stomach_ cramps
in the abdomen
Cramps which make her uneasy 
also indicate Ipecac especially if there is nausea
And Bell if they come and go quick.
Carb. Mag. Constipation sleepless nights_ distress 
after eating
Nausea & Vomiting
Arsenicum When there is vomiting after eating or 
drinking even ever so little_ particularly if there is 
fainting, weakness, and great emaciation.
Ipecac. Constant nausea and sometimes almost 
constant vomiting. Much pain in the pit of 
the stomach when vomiting.
Natrum Muriat. Clawing in the pit of the stomach
Water- brash of limpid mucus, tasteless, and 
almost constant
Nex V. When the nausea comes on early in the 
morning. If she don't succeed in vomiting. She 
feels as if she would be much better if she could vomit.
She feels sick as soon as she gets on her feet,
which passes away particularly after breakfast.
Pulsatilla. For mild patients. Vomiting of mucus-
[??re] especially towards evening- Pulsation in 
the pit of the stomach. Bad moist smooth taste in the 
morning after waking.
Belladonna. When there is a good deal of redness 
and heat of the face. Eyes red and blood shot 
motions quick.
Sepia. Vomit of milky mucus the patient is 
sad, or if she has [cross out] any uterine derangement
for which sepia is indicated_ Sense of weight in 
the Anus

48
Aconite. Great thirst and disinclination to food
Thinks she will die soon-is made worse by chagrin
She is afraid to go into the street for fear of the noise
and tumult-is of a sanquine plethonic temperament.
Bryonia. Vomiting of food particularly, or 
after eating a meal, she must lie down and keep 
quiet for an hour or so, or she will be sure to vomit 
her food.
Cuprum. Violent retching and vomiting of 
frothy mucus.
Chamomilla When her nausea makes her feel as 
if she would faint. Her sufferings are made worse
by eructations.
Conium. Schirrosity either of the mammae
or uterus. If she has had soreness and swelling of the 
breasts before the menstrual period, or if she have stinging
pain in the neck of the uterus.
Ferrsum. Vomiting comes on in the middle of the 
night: morning vomiting of water and mucus, or 
if this takes place after every meal,- or sour acrid
vomiting.
Silicea. When there is nausea accompanied with 
violent palpitation of the heart. Nausea increased by 
lying down.
Sulphur. If there should be profuse salivation 
which tastes badly and makes her sick. Flashes 
of heat- heat on top of the head.
Veratrum. Nausea with red, sweaty face, or nausea 
with cold sweat on the forehead least motion 
excites vomiting.

49
Constipation
Phosphorus is the remedy for tall and slim 
persons. She will have a regular dog stool.
Nux Vomica. When the stools are extremely large
and difficult & hang together in one mass.
Bryonia. Stool difficult and looks as if burnt the 
expulsion of the stool causes a prolapsus of the rectum.
Opium. When the stool is dark and in round 
balls.
Graphites. Stool small like a pipe stem
Muriate of Mag. The stool is large dry and crumbly
Alumina. When there is a sensation as if there was 
no action in the rectum, causing hard straining to 
evacuate the bowels: even if the stool is soft.
Platinum. Stools scanty and difficult like 
soft clay.
Diarrhœa
Ant. Crud. The stools are watery and mixed with 
hard lumps of feces: sensation after stool as if something
remained
Dulcamara. Cutting pain about the navel with 
every stool.
Phosphorus. Liquid stool, which pours away like 
water from a hydrant.
Petroleum. Diarrhoea only during the day, with 
hunger after stool.
Sepia. The stool is burning and scalding.
Sulphur. When the patient must go to stool 
quick as soon as she gets up in the morning.
Podophyllum. Morning diarrhoea with flatulence:
Many natural evacuations
Carbo. Animalis. Green stool and pain in the anus

50
before passing stool
Lesions of the Circulation.
These embrace all the alterations of the blood
The principal remedies are Acon., Bell., Calc., 
Coc. Ind., Ferrum, Lycop., Nit. Ac., Plat., & Puls., in 
the first place. then Ars., China, Dig., Hell., Kali,
Carb., Spig., Phos., and Sepia.
The special symptoms are
Belladonna. When they are not refreshed from 
sleep or only half sleep.
Calcarea. If the patient is plump or pale and 
weak feels cold in a warm day her feet feel as if her 
stockings were wet feels giddy on going up stairs 
If she has been menstruating too often and to profuse 
before marriage
Coc. Indicus. Should there be pain in the back 
and headace- She feels as if the menses were coming 
on, is chilly through the mammae
Ferrum. The patient is weak has a red face
Loycopodium. If there is weakness debility Constant 
quick sharp pains across the abdomen: pain 
before passing water.
Pulsatilla. is the remedy for tearful patients, with 
blueness under the eyes. lays awake in bed. Bad taste
in the morning on waking.
Arsenicum. patient is very weak-great prostration 
on making the least effort. distressing dreams,
wants to be drinking all the time, very little satisfies 
her.
China. Fullness of the abdomen after eating 
but little food- bad sleep from activity of mind
Digitalis. When the patient cant raise her

51
hand above her head without suffering palpitation 
of the heart.
Helleborus. Urine deposits coffee ground sediment.
Kali Carb. Stitching pain in the liver, abdomen, chest
Phosphorus. If patient are tall, slim, and weak:
puffed up with dropsical infusions_ sandy urine,
dyspnoea
Spigelia. When there is darting pain in the heart.
Sepia. Bad smelling urine
[cross out] Hamorrhoids
Graphites. Stools like pipe stems; painful
Kali Carb. Distress before the evacuation; stool very 
large and difficult and seems to tear the anus 
open in passing, large flow of blood with stools
Muriat. Ac. When there is extreme sensitiveness 
of the anus, can't bear anything to touch it, not even 
the chemise.
Pulsatilla is indicated more by the general temperament 
which is mild and tearful.: difficulty in 
passing water.
Carbo Veg. is the remedy when the haemorrhoidal 
veins are large, hard and blue, with shooting pains 
may also have some trouble in passing water.
Causticum The patient can't walk on account 
of the pain; a little walking aggravates much.
Ignatia. A soft stool causes a good deal of pain.
Nitric Ac. Sensation of constriction in the anus,
it feels as if cut when she has a stool.
Nux V. If she has large difficult stools.
Sulphur. When the general symptoms indicate
it. There is also tenderness about the anus 
and more or less bleeding.

52
Phos., Calc., Terrum, and Mur. Mag. are 
also useful.
Varices
Lycopodium is more frequently indicated than 
any other remedy_ The veins are large and puffy-
rumbling in the abodmen. Constipation.
Pulsatilla. is usually indicated by the general 
symptoms of Pulsatilla.
Arnica. When there is a great deal of soreness 
in the varicose veins
Silicca When pulsatilla has not accomplished 
what was expected.
Hamamelis is also recommended as a remedy 
for Varices.
Lesions of Respiration
Dyspnoea
Nux V. When it occurs in the latter days 
of pregnancy.
Aconite. If there is congestion to the chest.
Arsenicum. Wheezing respiration, can hardly 
lie down without bringing on the suffocating 
attacks; Oedema of the lower extremities: weakness 
Bryonia. is indicated by stitches about the chest 
dry parched lips.
Cough.
If a cough occurs it should be subdued 
or it may occasion a premature labor.
Aconite. For a dry cough, with more or less 
thirst.
Nux Vomica. is the remedy should the

53
cough be excited by the least physical effort.
Belladonna. Spells of coughing worse at night,
Ipecac. Cough followed by vomiting.
Conium. If there is a constant tickling in 
the throat.
Sepia. Loose cough in the morning.
Pulsatilla. For loose cough generally.
Lesions of secretion and excretion
Ptyalism
The best remedy is Mercurius after it 
1st Bell., Phos., Nux V., Puls., Rhus.
2nd Ant. Crud., Bry., Calc., Canch., Caus., Cham., 
China, Colch., Dulc., Iod., Ign., Ipecac., Kali 
C., Mur Mag., Nat Mur., Sub., Sarsap.
The special indicatum are:
Bell. The secretion is worse in the afternoon
she has a flushed check every afternoon.
Phos. When there is constipation with the salivation 
Nux. V. If she is irritable and has sleeplessness 
with gastric derangement.
Puls. Inclined to cry at everything: the saliva has 
a bad taste.
Rhus Fox. The salivation is worse at night.
Ant. Crud. If there is a good deal of sick stomach
Bry. When there is an inclination to vomit her food.
Calc C. Feels the cold air easily. She complains 
that she can't button her dress easily.
Canth. If she is troubled with her urine.
Cham. If there is distress after eating.
China. Sense of fullness in the abdomen and 
stomach after eating but little.

54
Dulc., Worse in damp weather
Iodine. When there is no salivation for an hour 
or two after eating
Ipecac. When a constant nausea exists.
Kali C. If there is much stitching pain.
Mur. Mag. Constipation consisting of large 
stool which crumbles to pieces.
Urine.
The urine is rarely increased during pregnancy.
Sometimes the female with be troubled
with a vesical tenesmus; sometimes there will 
a dribbling of the urine &c.
Cantharis is the best remedy in urinary difficulties.
Its characteristic indications are shooting 
burning pains, the urine passes away in drops,
or not at all.
Nuro V. Puls., Stram., Lycup., Heyes, Phos., Sulph., 
Vig., Sarsap., Conium. Clemat., Dulc., Thyia
Pulsatilla. If she passes wates of a natural color 
often.
Lycop. She complains of a pain in the back until 
she has passed water.
Digitalis. When the urine contains a large quantity 
of red sediment.
Sarsaparilla. Terrible pains through the meatus 
urinarius every time she urinates, wants to 
pass water often.
Conium When the stream intermits.
Albuminuria
This complaint often comes on in the fourth 
month of pregnancy.
Phos., Allium Cepus. Apis Mel., and Squills

55
are the best remedies for this complaint.
Leucorrhoea 
Leucorrhoea usually commences after the third
or fourth month and leads to abortion if allowed 
to proceed. It consists in an excitation of the 
mucus glands.
Alumina, Mur Amr., Borrista, Cal C., Fer., Creas.,
Nat Mur., Nit., Nit AC., Nux V., Sab., Tinc., 
Sepia, and Sulphur are most often used.
Dropy of the Cellular tissue.
Arsenicum is indicated more frequently than 
any other remedy.
Phosphorus When there is gravel like sand stone in 
the urine. Cough and dyspnoea. When the chest symptoms
stand out prominently always rely on phosphous.
Antimonium Crudum Sick stomach and a 
good deal of vomiting.
Bryonia. Lips dry and parched: vomiting after 
eating; feels better when quiet.
China is the remedy if there is a desire for water 
on account of dryness in the throat: fullness from 
the abdomen to the throat.
Colchicum. The sufferings are worse at night
Digitalis. Foeces are white clay colored-; palpitation 
of the heart may be present.
Helleborers. When the urine is thick with a coffee-
ground sediment.
Pulsatilla resembles China in regard to thirst 
but differs from it by having a bad taste.
Rhus Fox Worse at night: puffiness of the eyelids
above and below.
Sulphuo If there are flashes of heat: heat of top of [head]

56
Mercurius. Slimy stools, puffiness of the eyelids;
tenderness of the pit of the stomach.
Ipecac. When there is a constant nausea.
Lachesis The distress of the patient is greater on 
waking.
Apis Mel. Dropsical swelling white with no thirst.
Ascites or effusion of water into the peritoneal 
cavity
Loedum. If the patient complains of being always 
cold. Also Sulp., Merc V., Calc C., Ipecac., 
Kali. C., Lach., Apis., Allium Opu,
Kali C. If there is stitching pain through the abdomen 
all the time.
Dropsy of the Amnion 
Squills is the most important remedy.
Lesions of Locomotion.
Arnica for sore, bruised feeling.
Rhus Fox. Sense of stiffness when commencing 
to walk.
Arnica and aconite for inflamation of the 
pelvic articulation. After old school treatment
silicia
When the patient falls down easily; Cacl C., 
Silica, Coc. Md., Conium, and Nux., 
Lesions of innervation.
The senses and affections are sometimes 
very much impaired during pregnancy, and
also the mind.

57
Aurrm. When they desire to commit suicide
Belladonna. She says she wants to die.
Hyoscyamus. She must be uncovered, goes about 
naked.
Sulphur. Has no appetite: would take nothing 
except what was given to her in a spoon.
Lachesis. Great distress after sleeping.
Lycojsodrum. Extremely peevish.
Opium. is the remedy for fearful patients.
Phos Acid. They pass a great quantity of pale 
urine at night.
Stramonium. red puffed face: also when they 
can't bear to be alone, or in darkness.
Veratrum. Distress in the stomach & abdomen.
Ignatia. When the patient is all time sighing deeply.
Pulsatilla. When their distress takes a happy turn.
Anacardium. When they can't remember anything.
Vertigo.
Remedies: Bell., Calc C., Nux V., Phux., Conium., 
and Rhus., &c.
Syncope
Remedies: Acon., Cham., China., Dig., Nux V., Sepia., 
Ign., Sulphur., Mosch., Arnica.
Sulph is the most often used. Ignatia and 
Chamomilla next- next Morchus.
Arnica is to be used if it comes from fatigue.
Pruritus of the Vulva.
Sepia is used more than any other remedy 
sulphur next- then Croton Fig. and lastly 
Lycup., thuja., Merc., Poophysllum. Creasote.

58
Sometimes the muciparous glands are affected
-Borax the remedy.
If there is itching of the skin with no eruption 
give Dolichos.
(Dolichos is the remedy in all cases where 
there is a terrible itching without a sign of rash)
Abdominal pains and (Lumbar)
Arnica. When a sense of soreness prevails.
Pulsatilla. The pains come on while sitting 
and goes off while walking about.
Bryonia. The pains are aggravated by motion.
stitching pains.
Nux Vom pain in the back worse on lying 
down or in turning over.
Chamomilla Where there is a general 
Chamomilla state.
Uterine pains
Belladonna. The pains come very quick,
are violent and disappear as as quick as they come.
Chamomilla. When the pain is more of a 
spasmodic kind and they seem to force the Uterus
up in the abdomen
Kali Carb. Sharp pains in the uterus which 
go off down the back.
Pulsatilla. When the pains are changing.
Sabina. The pains run through from the sacrum 
to the pubis
Sepia. Great deal of bearing down pains
as though she was going to be confined.
Nux V. Great deal of Constipation.

59
Arnica. If the pains are excited by the motions 
of the child which motions also hurt 
severely.
Coffea will sometimes quiet the excessive motions 
of the child.
Displacement of the Uterus
from pregnancy
Sometimes the uterus will descend to the vulva
and remain there during pregnancy. Should reduce[d] 
if possible and keep the patient in bed. Give 
[?iv]. V. and Rhus.
If a great urging to urinate (tenesmus) occurs 
suddenly we may suspect that retroversion has taken 
place. Let the patient lay upon her face 
and elevate her hip a little. These displacements
occur more frequently than any other.
Anteversion. Give the remedy indicated 
by the totality of symptoms. The patient 
may be relieved by a bandage.
Abortion.
Abortion is the expulsion of the foetus before 
the end of the sixth month. If it happens 
after the end of the sixth month and before 
the proper time it is caused "premature labor."
The causes of abortion. [is] Anything that affects 
the general health of the Mother may eventuate 
in abortion.
Abortion is divided into three kinds: Spontaneous.
Accidental. and Provoked.

60
Treatment of Abortion.
Champhor has been known to prevent many 
cases of abortion when it prevails as an epidemic.
Arnica will save the patient if it threatens 
to occur after a fall or blow.
Rhys Fox. If from a strain or wrench or 
from lifting. When the flow is great after a 
strain and Rhus dont answer use Cinnamon.
Aconite. If she has been exposed to a cold dry 
air and been chilled through. or if she has been 
frightened. Also when occuring in females of a 
plethoric, full, habit and who are accustomed 
to a sedentary life.
Coffea is useful when great excitement as joy-
has brought on the trouble. (This remedy is indicated 
in convulsions of children which take place 
after laughing &c.)
Opium is the remedy if she has had an opium 
constipation. (Stool dark and is round 
ball.) for a long time. Or if she has had a fright 
which has left her in a constant state of fear.
Ignatia. When grief has been the cause- or if she 
be continually sighing. She may have spasms.
Calc C. If the history of the case reveals that 
she has been menstruating too often & too profusely.
Ipecac. If she is flowing and the flow is constant 
and of red blood: Nausea all the time:
griping pain about the navel: the pains 
from the uterus to the navel.
Sabina. Profuse flow of fluid and clots together:
pains running from the sacrum to 
the pubis. Also if the history reveals that 
she habitually aborts & at the 3rd month

61
Pulsatilla When the hemorrhage intermits- 
flows with clots and serum together.
Belladonna. When the pain has an effect on 
the back and sacrum as if the back would break,
sensation as if all would face out of external 
genital organs. The pains come and go quick.
The flow of blood is hot: Red eyes and face, involuntary 
moaning: her motions are all quick.
Chamomilla A pain as though the back was 
opening or as if one bone was separating from the 
other; she wants to pass water often, or the bowels to move.
The urine is profuse and pale: the pains run from 
the loins or back into the hypogastrium.
Hyoseyamus. Where there is a good deal of flow with 
convulsive movements or rigidity and stiffness in her 
limbs; loss of consciousness.
Secale. Cor. In cachetic scrawny looking females;
violent pain; continuous flow of liquid dark blood
Nux Vom. When with every pain there is a strong inclination 
to have the bowels moved_ If she has always
been constipated and the menses have been too profuse
and long lasting_ can't sleep in the morning
after 2. 3. or 4 O'Clock.
Crocus. When the abortion is threatened from a long 
walk or from dancing all night- the blood comes away 
in strings. The flow of blood is much increased by the 
least movement. Fermentation in the stomach.
Ferrum If they have a very red and hot face.
Sepia. When there is a great deal of itching in the 
vulva- Leucorhoea, smarting, acrid, and itching.
Shooting pains in the vagina, or yellow spots on the 
face or yellow saddle across the bridge of the nose.
Veratrum. When there is diarrhoea and after 
every stool great prostration with the signs of abortion.

62
Silicia When the patient is subject to an acrid 
corroding leucorrhoea.
Coc. Ind. its indications are bilious vomiting;
crampy spasmodic pain in the region of the uterus;
she feels as if she was going to menstruate; she 
feels extremely weak.
Bryonia If she much splitting headache.
Platinum. Pains running from the back into 
the groins. The patient is very excitable and the vulva
is exceedingly sensitive.
Carbo Vzg. is indicated by a pale flow; hemorrhoids 
or varices about the anus or vulva. If she has always
had a pale catamenia
Lycopodium. When there are frequent fainting turns,
an uncomfortable sense of dryness in the vagina.
Lored borborygmus, and gurgling in the less hypchondrium.
Sulphur. The patient despairs of getting well, or of 
eternal salvation, and wants to send for a minister_
Tender hemorrhoids_ Papulous eruption about 
the face.
Apis Mel. Stinging pain in one of the ovaries,
or if she have a stinging eruption on the body.
Dulcamara. If we find that the patient has taken 
cold in chilly damp weather. She has terrible pains 
in her back and the threatened abortion comes on in 
the night.
China is the remedy if she has been flowing for 
sometime_ also indicated if she have cold extremities;
blueness of the skin; contortions of the mouth and 
face; single violent jerks in different parts; painful
bearing down particularly in the anus; ringing in 
the ears; fainting spells; gasping for breath.
If we can't succeed in saving the life of the

63
child don't be in a hurry to remove the attachments
There is not much trouble in the first two or three
month- more afterwards.
Sabrina, Secale, Pulsatilla, crocus, and Belladonna
will assist in bringing away the placenta 
where it is retained.
When the after birth remains a good while after an 
abortion; make an examination and you will often find 
it hanging in the long neck of the uterus, from whence 
it may be removed by the fingers or placenta forceps.
A woman with twins may abort one and the other
remain and develop this does not often occur.
Don't make any more manipulation in cases of 
abortion, than you can get along with.
Diseases which may exist during pregnancy and 
their influence upon the product of conception.
Epidemic diseases. Some epidemics have appeared 
to spare pregnant females, while many others have 
attacked them as severely as other persons.
Sporadic diseases. Typhoid fever- if she contracts
typhoid fever, she has it in a milder form than if she 
was not pregnant.
Eruptive fevers especially small pox [are] this complaint
is very fatal to pregnant women- they are almost 
sure to abort and nearly all die. The females 
chances are not so bad in Scarlatina and rubeola
as in variola. In pneumonia if the female 
aborts she is very likely to recover. In jaundice they 
usually abort and die soon afterwards. If a pregnant

64
woman is attacked with intermittent fever they generaly 
abort and get well.
Syphilis is very destructive to the product of conception-
it settles upon the foetus and causes abortion.
The foetus may remain in utero until the 
end of gestation and then be born dead, or it may 
be born healthy looking- the syphilis appearing soon 
after.
Chlorosis caused by disappointed love is cured 
by pregnancy.
Old scrofulous ulcers &c often get well during 
pregnancy.
Surgical diseases. Fractured bones are much 
longer healing during pregnancy
Calc-phos., Symph., and Ruta will often enable 
the fracture to heal during the period of gestation
Serious surgical operations should [never] not be 
performed on a pregnant female.
Tumors in the abdomen and pelvis are very likely 
to produce abortion.
Labor.
Labor is that function, which consists in the natural,
or artificial, expulsion of the foetus through the 
organs of generation.
Premature labor. The presentation of child is more 
unnatural than at term- flooding, also, is more apt to recur;
the labor is more painful and tedious.
Retarded labor. The ordinary period of a full 
term is two-hundred and seventy days; if gestation 
should go beyond this time it is called a retarded

65
Natural labor at term.
There are two orders of facts to be observed in labor;
the first in reference to the mother_ where the vital 
action is brought to play for the expulsion of the child
and is called "physiological"-; the second in regard 
to the child and called "mechanical".
The causes of labor are of two kinds: viz:_ efficient 
and determining.
The "efficient" causes are due to the mother, and are 
centered in the uterus.
The "determining" cause may be anything that excites 
the contractions of the uterus. At full term the determining 
cause is functional.
The physiological phenomena of labour are divided 
into three stages
The first stage includes all the time from the 
commencement of labor until the os dilates.
The second stage occupies the time from the 
sufficient dilatation of the os until the child is 
born.
The delivery of the after birth constitutes the third
stage.
The precursory symptoms of labor are, the sinking 
down of the foetus during the last two weeks of pregnancy
and more secretion of mucus in the vagina. The 
woman breathes freer, on account of the relief to the 
diaphragm by the descent of the foetus.
1st Stage. The first symptom is the appearance 
of mucus in the vagina_ there are inexpressible feelings
which seem to arrest the breathing and give it a 
kind of tremor.
2nd Stage. The kind of Breathing mentioned in the 
first stage gives place to another- She will fix her 
breath at each pain- you will not find the os dilated



66
dilated_ the membranes soon burst and the head escapes 
from the uterus, and, the pains continuing, 
the child will soon be born.
Labor pains are the consequences of an abnormal 
condition of the nervous system; in the first 
stage they are called "preparatory"; in the second 
"Expulsory."
The pains of labor intermit during the pains 
the pulse accelerates If the pulse keeps up after delivery
says 120- you have a reason to be watchful as a 
hemorrhage may occur. If the pulse decreases, all 
right.
The dilatation of the os is owing to the pressure of 
the foetus upon it, which pressure is caused by the 
organic contractiosn of the uterus_ you will sometimes
find one lip dilated and the other thick and bluberly.
The "glairy discharge" is owing to an increased 
activity of the muciparous glands- when these glands 
are active in secreting the labor is called "moist."
When there is a want of secretion it is called a "dry"
labor_ Aconite will often answer to promote the 
secretion
Bag of Waters. The amniotic fluid with some of 
the membranes of the foetus when pressed out of the 
os constitutes the bag of waters_ it is flat, oval, and 
large if the head presents_ when the extremities present 
it will be spindle shaped
Length of labor. Primipara are more tedious in 
labor than multipara_ We had better judge of the 
length of the labor of the first stage.
Effects of labor upon the Mother. The first stage

67
makes them unusually peevish and despondent. In 
the second stage there is no more despondency. She generally 
goes to work manfully (?). Sometimes they will even
bite and kick,-
{The pains will be sometimes followed by Syncope 
{Nux. V. is the remedy
{If no other remedy is particularly indicated after
{the birth of the child, always give Arnica.
Mechanism of labor
The child may present in any-way: all presentations,
however, may be generally resolved into five, and 
the birth may be effected by placing the child in any one
of these positions.
These presentations are- first the "vertex"- second the 
"facial"- third the "breech"- fourth and fifth the "right 
and left lateral" presentations.
Each of these presentations may have any one of Six 
positions. Divide the pelvis into two parts- right and 
left half- now a presentation may take place in either 
half and at the Anterior-, middle (called Transvers) or 
posterior part of that half. Thus if the Vertex presents 
in the left lateral half and at the left illeopectineal 
eminence we have the "left occipito-illiac
anterior" presentation, or the vertex may be situated 
in the middle part of the left half and then the position 
is called "left occipito-illiac transverse," or 
if at the posterior part it take the name of "left-occipito-illiac
posterior."
Should the presentation take place in the right 
half we have then the positions as before.
Right occipito-illiac anterior, transverse and 
posterior.

68
2 In the facial presentations we have corresponding 
positions
{Left mento-illiac anterior}
{" " " transverse} 
{" " " posterior} and the
like positions on the right side.
3 The breech presentations take on corresponding positions,
and the sacrum of the child becomes the point 
of departure there we may have
{Left sacro-illiac anterior.}
{" " "transverse.} ; and so with 
{" " "posterior.} the right
4 Should the presentation be a lateral one either 
left or right, the head will be towards the corresponding
side-, thus if the presentation be in the left lateral
half the head will be towards that side &c and 
the presentation take on the positions as before
{Left cephalo illiac anterior.}
{" " " transverse.} 
{" " " posterior.} the same
positions for the right side_
Of these presentations the vertex is by far the most
frequent. In 20.517 cases of labor, 19.810 were vertex
presentations; and in vertex presentations the "left
occipito-illiac anterior" is the most frequent position.
Dr Guernsey considers any other position than 
this an abnormal one, being due to an unhealthy condition;
and that his experience has proved to him, that 
careful homoeopathic treatment has never failed to cause 
this natural position.

69
Diagnosis of presentations and positions.
Vertex. Per Vaginum first we will find the membranes 
they are broad and flat in vertex presentations (long 
and pointed if extremities present). Also find the sagittal 
suture running from the illeo-pectineal eminence back 
wards. (You can't dent the head like you could the breech.)
Forwards you will find the posterior fontanelle: it has three
angles; interiorly the anterior fontanelle with its four angles.
If the vertex is in the right lateral half, you will find
corresponding signs.
The mechanism of vertex presentations is divided into 
five stages-Viz: 1st Flexion: 2ndly Descent: 3rdly Rotation:
4thly Extension: and 5thly External rotation. These stages 
are the same whether the occiput is anterior, transverse, 
or posterior
Sometimes the head will lodge in the sciatic foramen 
and terminate in a facial presentation.
The prognosis in these presentations [cross out] is favorable
and the more so the nearer the occiput is anterior.
The tumors found on the scalp in tedious labors is called
"Caput succedaneum" and is formed on that part of 
the scalp over the os uteri.
Cephalaematoma exists in consequence of some injury 
sustained in parturition and consists of an extravasation 
of blood surrounded by a bony ridge: Calcarea 
carbonica is the remedy for it.
The caput succedaneum will go away itself if 
is is very bad may assist its absorption by bathing it 
with arnica.
Facial- Facial presentations occur once in 
about 250 or 300 labors.


70
Diagnosis. First we find an unusually large bag of 
waters far up we find the forehead, and higher still the 
anterior fontanelle; farther down the ridge around the 
eyes and then the different points on the face. Sometimes
the face is swollen and then the diagnosis is difficult,
in such cases find the mouth if you can and trace 
out the gums; you may also work the chin. The chin is 
usually found right transverse; it may however be anterior 
or posterior.
The stages correspond to the vertex except the first, 
which in facial presentations is one of extension, and 
the fourth which is flexion: thus 1. extension. 2 descent.
3 rotation. 4 flexion. 5 external rotation. If the 
chin is posterior is has to travel over a larger route. the 
stages are the same
Should the chin get caught in the ischiatic notch 
flexion takes place and the presentation is converted into a 
vertex presentation.
After the child is formed the face has an unnatural 
appearance; we should apply a lotion of arnica,
and put the child to sleep.
Pelvic presentations occur once in about 35 cases 
of labor; their usual position is in the left lateral
half of the pelvis anteriorly.
Diagnosis. The first point of diagnosis is the great 
trochanter. then we will find the sulcus between the 
nates- the anus- the genital organs towards the apporite 
side. The point of the coccyx will indicate 
the variety of the presentation.
The stages are the same as in other presentations: the 
body descends along the ramus of the pubis and rotates 
under the arch of the pubes; the body is delivered,
external rotation brings the face into the cavity

71
cavity of the sacrum and the occiput under the symphisis
pubes.
When the knees present the presenting part will feel 
too small for the head for which they might be mistaken 
on account of their hardness.
A foot presentation may be recognised by the tendo achilles-
by the foot joining the leg at right angles which way the 
toes point that way the face will be. The mechanism the 
same as in the other presentations.
Trunk presentations. All trunk presentations may 
be converted into right or left [shoulder] presentations.
The shoulder is the most usual presentation; we should 
find which way the face is before turning.
Diagnosis. The axillary space, the spine of the scapula
and the clavical are the means of diagnosis. To 
turn we should introduce that hand whose palmer 
surface corresponds with the abdomen of the child.
Attention to the woman before and after 
confinement.
Never enter a lying-in chamber without being announced 
and then go in with confidence in yourself.
Inquire how long she has been sick &c. The following remedies 
may be found useful when indicated.
Pulsatilla. If she is despondent, foreboding, and tells you 
she has always had long labors- and also, if her pains don't 
really seem to take hold of her much.
Nux. Vom. If every pain makes her desire to have her 
bowels moved, or feel sick at the stomach and she 
thinks if she could throw up she would get better.
Kali Carb. The pains come in the back, but do 
not come round in front.

72
Ipecac. When there nausea all the time on clutching 
pains about the umbilicus.
Acontitum. If the patient is hot and feverish; every 
pain causes great distress; she is restless, can't keep still.
Belladonna Every pain makes her say "Oh
my back will break": flushed face.
Chamomilla. Spasmodic pains which cause a 
forcing up of the uterus: or if she is fretful & snappish
Secale. Pains feeble but crampy suitable for thin,
lifeless, sort of women.
Hyoscyamus. Jerking twitching: her look is wild.
Opium is the remedy if your presence has stopped 
the pains and they don't come on again or but freely.
Ignatia Where there has been much grief and 
sorrow: if you find her taking long breaths; pains not good.
Lycopodium is indicated by great rumbling in the 
abdomen.
You should always inquire whether the bowels have 
been moved and if not give an injection of warm water,
or of castile soap and warm water, until she has 
a passage. The urine should also be evacuated: no 
woman should be delivered with urine in her bladder.
If you find that the pains take hold of her, you should 
direct the bed to be made (if not already prepared) and the 
female to get in it.
Should you have charge of the arranging of the 
bed the following remarks may be of some service
An oil cloth or old coverlet should be used to protect 
the bed upon that the sheet may be laid, upon the sheet
another oil cloth at the foot of the bed, (the woman
should be delivered at the foot of the bed). The female 
may be dressed as she wants to be after delivery the 
gowns must be folded up above her hips and an 
old sheet or petticoat fastened around the lower part

73
of her body. The female should lie on her left side,
and near the edge of the bed, so that she can place her 
feet against the bed post.
Examination of the patient. The woman should 
not have more than one or two female attendants her 
husband may remain if she wishes him to or if he desires 
to be in the room.
We examine the woman for several purposes- 1st to ascertain 
whether she is pregnant, 2nd if she is in labor
3rd whether she is at full term. If you can't enter the os 
or if the inner os is hard and rigid, you may know that 
she is not at term and will not be for two months
or more
4th To ascertain whether the membranes have been ruptured.
You may discover that she has been discharging 
the liquor amnii and yet there is a bag of waters, in 
that case the rupture has taken place high up in the uterus
5th To discover how far labor has advanced
6th How for the os is dilated and if there is any 
obstruction.
7th To diagnose the presentation
The membranes should not be ruptured until the 
os is nearly dilated enough to admit the passage of the 
child's head. If the child's head is tight on the membrane
wait until the pain ceases then rupture it with the 
fingers. Chills and rigors in the first appearance of labor
foretell a speedy delivery
The membranes sometime break with a rush if 
you expect them to break in a short time tell the woman
what is a going to happen.
Prevent the woman from bearing down until the 
proper time.
The child pressing upon the rectum will after 
cause a feeling as if she was a going to have her bowels

74
moved; when that happens don't let the female get up
In supporting the child's head never draw down upon 
the perineum; you will be sure to rupture it if you do_
"as sure as the would gen-gentleman" Prof Suendity (loc. cir.)
Attention to the child during and after labor
After the head is born support it with the hand
The woman will be less liable to haemorrhages, to inflamation
of the womb, and to after pains &c if we let the child
be spontaneously born_ Wipe the child's face as soon as you 
can_ Don't allow the child to kick against the mothers legs
after it is born lay it with its back towards the mother,
and as soon as it breathes sufficiently tie the [navel] cord
about an inch above the navel_ wrap the child in a 
blanket and give it to the nurse.
If is is a face presentation be careful how you support 
the perineum: don't press on it too much.
In breech presentations_ the cord may be pulled on 
if so draw it down and feel if it pulsates- should it not
pulsate or if the pulsations are failing then we must assist 
the delivery.
The child immediately after birth is covered with a 
gelatinous substance. Lard or sweet oil will remove this.
Dressing the child. Put on the diaper first or you
may get your clothes spoiled_dress the cord and then 
put on the baby's clothes. The petticoat should not be put
on over the head but over the legs.
After the child is dressed put it to bed- never let it 
go to bed with its shawl on.
Warm drinks are decidedly injurious to women 
in a protracted labor_ cold water is the best

75
drink_ She should never have solid food during 
labor.
In delivering the placenta wrap the cord with a napkin
and draw is gently. When you find the placenta in 
the vagina seize it in one hand and twist it round with 
the other.
In bandaging the woman don't pin the bandage too 
tight-just enough to be comfortable to her and give 
her a dose of arnica.
After the woman has slept the nurse may wash her
with luke warm water: if the labor has been protracted and
difficult, or if she be a primipara add a little arnica.
Phenomena of the lying in state- commences with 
the lochial discharge- She will perspire profusely- this 
is all right unless it weakens her- when such is the case, give 
a dose of Sulphur.
If she does not pass water after confinement Arsenic is 
the most important remedy next Causticum, or Hyoscyamus.
The reason why she does not pass water is that labor has 
caused a paralysis of the bladder.
If the uterus does not decrease but rather increases in size,
and the female feels as though she has another child in 
it- Crocus will releive.
The lochia comes from the interal surface of the Uterus.
After pains. Are caused by the painful return of the 
uterus to its normal state if they are trifling we need not
pay much attention to them. The more natural the labor
the less severe will be the after pains
Diagnosis. From Puerperal peritonitis the after pains
are in paroxysms and are made much worse by the 
child at the breast; in puerperal peritonitis the pain 
is constant and is not affected by suckling the infant.


76
infant. In after pains between the intervals she seems 
perfectly well.
If the after pains are very severe we may use the following 
remedies,
Arnica generally controls the after pains: if it dont succeed
in stopping the severity of the pains the will find
Chamomilla of importance if she has been a 
great coffee drinker- she complains of feeling too warm.
Coffee if she is nervous and excitable, sleepless, pains 
almost beyond endurance.
Pulsatilla- Fearful patients: mild and pleasant in 
their dispositions.
Nux Vomica:- Every pain causes her to have a desire 
to go to stool.
After these medicines we may try;
Ipecac:- When there is nausea: sick stomach.
Rhus tox.- Pain in the coccyx and sacrum: stiff
pain running down the limbs: feels paralysed: and 
she is worse at night.
Sabina:- Pain running through from back to 
front
Belladonna:- The pain comes and goes quick low
down in the abdomen: She can't bear the bed jarred,
Bryonia:- Can't bear the least motion.
Calcarea carbonica:- Has been too early and too frequent 
in her menstruation.
Cuprum acet. In spasmodic and cramp like pains 
which seem to hang on and get no better.
Kali carbonicum:- stitching pains: if she moves she 
will scream from the terrible stitch running through 
the abdomen.
Kuta:- Good deal of soreness about the bones.
Sulphur:- Flashes of heat: burning, hot feet
cant keep them under the bed clothes.

77
Veratrurm:- Pains obstinate and cramp-like- producing 
a coldness.
If the child does not pass water but cries and frets 
all night give Aconite
If the bowels have not been moved Nux is generally 
the remedy.
The mother won't have her bowels moved until about 
the eighth day. If she has bad feelings get the symptoms
and prescribe for them
The Lochia.
After the placenta has been delivered the sanguineous 
flow goes on and forms the lochia. The milk fever will 
ofter suppress the lochia for a time.
The lochia will gradually disappear in two or three
weeks. When you are called to a case of protracted lochia
give Rhus
The lochial discharge is sanguineous during the first 
six or seven days- then it becomes serous- then milky 
then purulent, and finally, in the last twenty four
hours it becomes pinkish.
Sometimes a shred of the placenta will remain in 
the uterus, and cause a bad odor: the end of the shred
may be seen in the vagina-: the odor ceases after its 
removal.
A hasty delivery will sometimes cause a clot of blood
to form in the uterus- Dont use mechanical 
means to extract it- the pains will indicate the remedy.

78
In cases of suppressed if by a chill and if fever is 
present aconite is the remedy.
Chamomilla- When there are colicy pains & diarrhoea 
Bryonia.- Bursting headache.
Colocynthis. Diarrhoea and colicky pains aggravated 
by taking food and drink.
Pulsatilla:- When the discharge takes the appearance 
of milk suddenly and before the proper time.
When the lochial discharge becomes offensive Bell 
and Carbo-animalis are the most important remedies;
sometimes we may use Secale and Kreaosote.
Platinum. If there be excessive sensitiveness of 
the vagina.
Crocus. for black and stringy lochia.
Rhus Tox.- If the sanguineous stage lasts too long.
Calcarea car.- If the lochia is exhausting, or there 
is a want of vital heat.
Ferrum.-The patient is much reduced and 
has a red face.
The woman should not menstruate during 
lactation. Calcarea car is the most general rememdy 
in such cases-next silicea-then Pulsatilla-
then Calcarea phos.
Milk fever comes on in about forty hours after 
parturition; the sooner the child is applied to 
the breasts the less will be the sufferings of the mother.
In difficulties during this period, use,
Aconite.- When there is fever and restlessness.
Bryonia- pale, painful, and heavy breasts.
Belladonna.- Breasts painful, heavy, and red, 
in streaks across them.

79
Pulsatilla.- Mild temperaments-; low spirited; bad
taste: the milk don't secrete well.
Calcarea car.- The patient is all the time cold and 
chilly: the breasts are flabby.
Graphites.- The female has had gathered breasts
with every child; the milk seems to be hard to draw;
lumps in the breasts from old cicatrices.
Carbo amimalis;- Not enough milk; feeling of emptiness
at the pit of the stomach; sweating while taking food 
Never allow a female to stop nursing if she is in a 
healthy condition. If the female is not to nurse don't touch 
the breasts but give the remedy indicated.
Bryonia- if the breasts are painful, pale and heavy, & 
in a short time the milk will dry up; Belladonna if 
they are red: & so on as may be indicated.
If the mother is weaning is cold and chilly, give calcarea
The woman after delivery will need attention for four weeks
oat meal gruel is the best food for the first four days, after that
period she may take any nourishing food except eggs, oysters
or fish_ "don't let them come within gun shot of her 
until she is able to go down stairs and cook them."
(The baby should have a spoonful or two of cold water every
morning)
The female should not get out of bed for nine or ten 
days and then not for a whole day at a time.
The bandage should be left off after she begins to sit up, an
old fashioned long corset may take the place of it.
If the child is exposed to too strong a light it will turn 
yellow; this should not be mistaken for jaundice.
The child is sometimes born in a condition resembling 
death or it may look as if it were dying, and will
be blue, quivering &c. In such cases don't tie the cord

80
If the child does not make much progress towards 
recovery and is in the blue and swollen state give,
Aconite or Opium.
If it is pale and limber and lifeless from some shock 
to the nervous system or from being in a state of asphyxia 
so long -Tartar emetic.
If pale, limber, and lifeless from loss of blood.- China
Remedies not having desired effect, the best means 
left is to souse the child in cold water so as to give it a 
shock and then wrap it up well. Should this also fail,
close the child's nostrils and slowly inflate the lungs, then
remove the pressure from the nostrils and gently press on 
the lungs- Continue this operation for some time.
The death of the child from asphyxia may occur in three
ways, viz; by asphyxia, from lesions of the circulation- of the
respiration_ or of the nervous system. A child may die 
in facial presentations of apoplexy.
The child is sometimes born in a great state of debility_
as when born at the fifth or sixth month. -when 
this occurs the child should not be washed immediately 
but wrapped in cotton and kept at a temperature
of 75- give it nourishment little and often.
Dystocia
The causes of dystocia are numerous they are divided 
into three classes.
1- Where there is deficiency or excess of action in the 
expulsory forces.
2.- this class includes all the obstacles that oppose the 
expulsion of the foetus.
3.- Comprises all the complications or accidents which 
renders the case liable to result in the death of the mother or child.

81
1st Deficiency or excess of action in the expulsory 
forces. Slow labor come under this head-. A labor may 
be slow and not dangerous so long as progress is made all 
the way through: if there should be no progress in the second 
stage dangerous symptoms will supervene in a few hours,
(There is not so much danger if the labor is stayed in the first 
stage.) The woman gets sick at the stomach; restless; vomiting
takes place first of her food and drink and then of a 
black, coffee ground substance she finally becomes quiet_
If not delivered this condition will end in death.
Labors which are tedious may finally wear the patient out;
we should look for a remedy in tardy labor.
If we make an examination and find the os dilated,
but no bag of waters- while the membranes are tense
and don't protrude a particle- we may know the cause 
in such a case of the delay is over distension of the uterus
by too much liquor amnii. To remedy this we will 
have to puncture the membranes and let some of the 
liquor amnii off not too much at a time or we 
might paralyse the action of the uterus altogether.
Again you may find the membranes drawn tightly 
over the child's head and will not give way there by rendering 
the progress very slow. Tear the membranes in the 
absence of a pain is the treatment for such cases.
Sometimes the liquor amnii will be all in the upper
part of the uterus and prevent the contractions from acting 
on the foetus. The treatment is to raise the child's head 
in the absence of pain and let it off.
An accumulation of foeces may be found in the rectum
and cause delay of labor_ Treatment_ wash out the 
rectum.
A filled bladder will also delay or prevent labor- should 
evacuate the contents of the bladder.
Vivid moral impressions or a disagreeable person in the 


82
room will often arrest the pains. Give the remedy indicated 
in the first case- For grief Ignatia- fright Opium-
Excessive joy coffea &c- In the latter have the 
person removed.
Nausea and vomiting will sometimes arrest the 
pains. The remedies usually indicated are- Ipecac., Cupnem,
Veratrum, Ant.corid, and Nux.,
Irregularity of the pains (Crampy or Spasmodic)
will sometimes occur. Cham., Hyos, &c are the remedies.
Belladonna, Kali carb., Opium, Pulsatilla, and Secale
are the best remedies in feeble labor pains.
Belladonna if the eyes are injected- can't bear light 
nor noise- the pains are quick- and she complains 
much of back ache.
Kali Carb. The pain comes on in the back and shoots 
off down the buttock- pain like a sense of weight in the 
pelvis- stitching pain.
Opium. If in consequence of some mental emotion,
mouth open- breathing stentorous.
Pulsatilla. If the patients are mild, tearful.- the slightest
cause will make her cry.
Secale. The female is thin- condition poor- not much 
vivacity.
The next best in order are Chamomilla, Nux, Sepia,
and Natrum Muriat.
Chamomilla. patient very cross, wont give you a civil 
answer
Nux vomica. If she has a desire to go to stool with every 
pain.
Sepia. The pains are violent she complains of 
weight in the anus- cold hands and feet.
Natrum murriaticum.- good deal of itching about the
hairy portions of the genital organs
The old school physicians universally prescribe Ergot

83
in cases where there is a "dead set". In such cases the effect
of ergot it either to poison the mother or kill the child.
The action of Ergot upon the uterus is such as to cause continued 
contraction and consequently when it acts will 
generally result in the death of the child.
If you find the remedy that will act use the 
forceps Before making use of them- you had better mention 
them casually and say nothing more in regard to there
use- the female will soon inquire about them and as last 
will even propose their use.
Excess of Action in the expulsory forces. When the contractions
of the uterus are too strong and quick the child is generally 
born too suddenly-: rupture of the perineum or a fall 
on the floor &c are the effects- Treatment when we know of 
such cases put the female to bed soon, and encourage 
her not to bear down this is about all that can be done. For 
too rapid contractions you may find coffea, acon., or cham
of service.
II Obstacles that oppose the expulsion of the foetus
1st Malformations of the pelvis.
The pelvis is often too small- (sometimes the pelvis is too
large and the head does not engage properly_ the child is 
born too quick and the uterus becomes more liable to collapse
in consequence-)- Among the deformities of the pelvis, we
find the flattening from before backward lessening the anteroposterior
diameter of the superior and inferior straits_ the approximation 
of the lateral walls lessening the transverse diameter-
And the oblique deformity caused by the contraction 
of the antero-lateral wall.
The diagnosis of pelvic deformities is divided into rational
and sensible. We may rationally conclude a 

84
malformation of the pelvis if the female has other congenital 
deformities_ The sensible signs are not of much use.
The indications for treatment in these deformities
In all cases of a deformity we will have to compare the 
child's head with the superior strait by means of the finger
and if we find one diameter longer than the others
we ought to bring the long diameter of the head into it.
If the diameter of the pelvis is lessened more than two 
inches we will have to break up the child and bring it away 
piecemeal_ If the child's face presents try long and hard to 
get a vertex presentation.
2nd of the soft parts.
Of the vulva_ adhesions of the greater labia sometimes
takes place after coition_ if there is no opening or only a partial 
one, wait until the child's head presses on the vulva.
them make an opening with a probe-pointed bistoury "I 
never have had a case of this kind in 2500"- Generally
A persistent hymen is occasionally met with 
The treatment is to cut it through
Contraction and rigidity of the vulva sometimes
happens- division of the posterior commissure is recommended-
"I have never done it though often tempted- after 
waiting a great while the child generally gets through"-
Resistance of the perineum- In such a case we 
will have to exercise just as much patience as above.
In bagging of the perineum- where the head of
the child seems to be caught in the perineum- we will 
lift the head up out of the "bag" with the forceps.
When the vagina slips down before the child's head engages 
in the superior strait put it back- if the head has already
engaged in the vagina, put on the forceps and deliver

85
3rd Tumors.
1 Of the bones.- Exostuses- they spring from the surface
of the sacrum- if not large enough to stop labor entirely,
deliver with the forceps- if large enough perform craniotomy-
Silicea, Calcarea, Mezerum &c will be the remedies 
in such cases as medicinal treatment.
Osteo-sarcoma is a rare disease it is more easily dealt 
with than exostosis because compressible
Tumors sometimes result from deformities.
2 Of the soft parts
Oedema of the labia- The labia sometimes become swollen 
and dropsical_ the child can be born but the labor will 
be tedious
Thrombus or sanguineous tumors_ These will sometimes
form in the cavity of the pelvis during parturition, if they 
become large enough to interfere much with labor, puncture 
them. If we find them after parturition Calendula is one 
of the best remedies or arnica- if inflamed Hamemllis virgin
Tumors of the neck and body of the uterus
Polypi- these sometimes come down the uterus and fill 
the vagina, they have a long pedicle and as labor progresses
are usually expelled. We diagnose these by their being 
in the vagina covered with nothing and attached by a long 
pedicle or neck to the uterus.
Fungous haematodes- Cauliflower excressences-
these bleed if touched_ Placenta previa differs from fungus 
haematodes, by the bleeding taking place in gushes.
Encysted tumors_ May be known by being round,
marbly, fluctuating, and movable_ The treatment
for these is to puncture them with a trocar.
3 Of the neighboring parts
Ovarian tumors. These may be felt through the vagina 
if cancerous they will feel hard, ragged, and rough-
if filled with fluid, fluctuating. We will have to elevate

86
elevate them above the superior strait.
Procidentia vesicae.- feels like a large bag of water
introduce the catheter and you may feel it in the tumor,
draw off the water and push the bladder up.
Urinary calculi.- A large stone in the bladder
will sometimes interfere with labor- Treatment- Place 
the woman on her hands and knees and push the stone 
above the superior strait and keep it there until the 
head engages.
Hernial tumors. Hernia of the intestines may be 
reduced by pushing it up above the superior strait
Vulvar tumor or perineal hernia. These tumors are 
formed by a loop of the intestine descending through the
abdominal ring into the greater labia, they do not interfere
much with parturition.
4th Obstacles presented by the neck and body of the 
Uterus.
1 Rigidity of the neck.
Aconitum.- When we find great distress-much suffering 
and the parts dry.
Conium.- Stinging pain in the neck.
2 Spasmodic contraction of the neck. This may 
be confounded with rigidity of the neck_ Diagnosis- In 
the latter case (rigidity of the neck) the edges of the orifia
are thick soft and easily dilatable- while in spasomodic 
contraction the edges of the os feels like a blunt case 
knife-.
Belladonna- The edges are very sore & sensitive,
Sepia if there is not so much sensibility as 
would indicate Bell: Also, Hyoscyamus & Stramonium,
particularly if there be spasmodic contractions of the muscles 
of the body.
Conuim- Hypertrophy with induration of the 

87
os; stinging pains
5th Obstacles dependent on the foetus or its 
Appendages.
1 Diseases of the foetus
Hydrocephalus- May be recognized during parturition 
by the following signs: we meet with a large 
hard body at superior strait which does not feel like 
the head, careful examination reveals the large fontanels
and sutures- the bones seem to swim in water,
Treatment- plunge a trocar into the head and draw 
off the water
Hydrothorax & ascites-. We will find the head to deliver
all right- then the labor stops- Examine and you find 
the intercostal spaces to bulge out & the chest distended
Treatment-. If you can't deliver with the forceps, draw 
off the fluid by puncturing the walls with a trochar. Ascites 
is treated in a like manner.
2 Deformities of the foetus.
Labor will [often] sometimes be rendered difficult by the occured 
of monstrosities- multiple and adherent foetuses.
3 Prolapsus of the cord-
The cord will sometimes descend into the vagina
before the head engages in the superior strait
Treatment_ Put the cord in a hole made in a sponge 
and carry the whole above the superior strait- the sponge
expands and keeps it there, or make a pocket by sewing 
one end of a piece of folded muslin, and place the cord
in it and with a bowtie carry it above the superior strait.
4 Malpositions of the foetus
If in head presentations the head is strongly inclined 
to the right or left of the usual line, we will turn
the woman on the side towards which the head
inclines,- Employ the same method in breech presentations

88
III Diseases and accidents that are liable 
to result in the death of the mother or child.
1st Puerperal hemorrhage
The causes of puerperal hemorrhage are divided 
into the predisposing, determing and the special causes.
Predisposing causes. The main predisposing cause is 
pregnancy.
Determining causes are exposure, a false step, a 
fall on the feet or nates, blows &c- any thing which 
disturbs the harmony of the healthful state.
Special Causes_ The insertion of the the placenta over 
the mouth of the uterus- rupture of the cord-.
Symptoms of puerperal hemorrhage. The accident
is usually proceeded for a few days by a dull 
languid sensation, an unusual malaise, coliky
pains, cold feet and general chilliness: soon there is
a slight appearance of blood at the vulva. In case 
of an internal hemorrhage the abdomen will swell 
enormously- the pulse sinks- the woman becomes 
pale and other symptoms marking the loss of blood 
set in.
The seat of the hemorrhage is between the internal 
surface of the placenta and the uterus: when 
internal the flow commences near the center of the placenta,
and gradually distending it tears it away from 
the uterus; or the discharge may take place into the 
membranes.
We have an unavoidable hemorrhage when the placenta 
is right over the mouth of the uterus.
The attacks come on and grow worse and worse until 
the time of parturition
The sign of a placenta previa: you will find the 
finger obstructed in making an examination; as soon 
as it enters the os internus, this obstruction feels like

89
a cauliflower excressence If she has pain the flow 
is more profuse while the pain exists.
Hemorrhage never comes on before the end of the 6th month
when placenta previa is the cause.
Treatment- may be divided into preventitive and 
curative Preventitive, comprises all those means used
to keep the patient in health during pregnancy.
Curative embraces all means we make use of at the 
time the hemorrhage occurs. When first called to patient
in uterine hemorrhage we should have her placed
in a horizontal position on a hair mattress in an airy 
room- the diet should be cooling. If the hemorrhage
occurs before the end of the sixth month use no mechanical 
means in arresting it. If at the close or after 
the sixth month should inquire whether it is caused by 
an injury or if it is a placenta previa, we must 
hasten the delivery if the latter state exist and the 
woman is much affected by the loss of blood.
The best mode of delivery in cases of placenta previa 
is to plunge the finger through the placenta and 
rupture the membranes, letting off the liquor amnii
slowly. As soon as the liquor amnii begins to flow off 
the bleeding ceases, because the cause of the tension is 
removed.- The delivery takes place through the placenta.
In hemorrhage during labor, if we cannot succeed 
in arresting it by means of internal remedies, we must
introduce a hand, seize a leg and deliver.
2nd Puerperal Convulsions
Its causes are predisposing and determining
Pregnancy is the great predisposing cause: Anything
which irritates the spinal cord may bring on the convulsions_
the irritability of the uterus_ the bladder distendend 
with water-the rectum loaded with foeces 
&c

90
The attack comes on with precursory symptom usually 
these are double vision, one sided headache &c
Diagnosis from hysteria- the latter is always preceeded
by a sensation as of a ball in the throat nor are 
the paroxysms so regular. In puerperal convulsions 
there is always a rolling of the eyes first- then the body
turns in the same direction as the eye turns- it becomes 
stiff and rigid_ twitching of the muscles takes 
place- stentorous breathing sets in and finally she 
goes to sleep- From this sleep the woman awakens
without a knowledge of what has taken place: soon 
after another attack comes on and the same scene 
is enacted- The convulsions go on thus for two or 
three day or more.
The muscles of the face never twitched in hysteria-
in Eclampsia the most violent contortions 
of the face occur
The prognosis is unfavorable
Remedies
Nux vomica.- The convulsions come on in the middle 
of the night- the patient habitually constipated 
temper irritable- had taken too much food before 
going to bed. If her bowels have not been moved 
for some time use an injection until they are.
Bryonia- Abdomen tender- pulse full- perspiration-
dry lips and splitting headache. 
Make her set at the [illegible] to set up
Aconite- Dry, hot skin and restlessness
Distended abdomen and diarrhoea with tenesmus 
will remind you of Cham, Merc & Hyos.
Hyoscyamus particularly if she has had the 
diarrhoea for several hours- jerking, twitching and 
in a state of general commotion.
Pulsatilla- When her countenance is cold
and clammy and pale-sometimes dysuria.

91
Sometime pale and cold
Belladonna.- Face livid or purple and warm. (hot)
can't swallow or with difficulty_ speechless- right
side paralysed and also the tongue.- pupils dilated-
Every return of pain brings on convulsions
starts and cries- fearful vision. Shuddering between the spasms
Opium- Stupor between the spells and stertorous 
breathing, or incoherent wanderings_ dilated 
and insensible pupils.
Hyoscyamus- General commotion- jerks and twitches-
countenance bluish- she laughs at everything-
convulsion of every muscle of the whole body
Stramonium- Fits renewed by contract or the 
sight of brilliant objects- the upper part of the body
is more convulsed- face red and puffed. (afraid)
Chamomilla- When anger is the cause- One 
cheek red the other pale.- Starts and jumps in 
her sleep_ Complains of heat and wants to drink
Ignatia- Convulsions of the limbs, eye, eyelids,
and face and at the same time throwing back the 
head. Long sighs. Alternate redness & paleness of the face
Lachesis- She cries out severely at every attack-
cold feet- vertigo even when lying still- palpitation 
of the heart and headache- pale face and heavy 
drowsiness
Coffea- Great nervous excitability.
Ipecac- Constant nausea with fact about the 
umbilicus
Cuprum Aceticum._ The spasms seem to commence 
in the fingers and toes_ great accumulation 
of mucus in the chest. Convulsions comes [illegible] of sleep, Relax [illegible]
Phosphorus- Flush of heat going from below upwards("Aura") preceeding the attack-can feel &
see it giving up.
Tincum-When cupurm has failed_the attack
[Sc??lice] may [illegible] [illegible] 
in five & [illegible] females
[Cc???] [illegible] [illegible] injury

92
has commenced with fidgety feet- She can't keep 
them still
Arnica- The blood rushes violently to the head 
during the pain, with tendency to paralysis of the 
left side- cutting pains- involuntary stools,
Cicuta virora- Violent abdominal spasms with 
electric jerks in the limbs- pale cold face with 
half open eyes- apisthotonos with great borbyrygmus
3rd Rupture of the uterus
The causes are softening of the walls of the uterus, an 
abscess in the walls &c or violent uterine contractions.
Symptoms- she feels a sudden pain in the region
that has been rent- sometimes a noise is heard-, followed 
by collapse, the pulse almost ceases to beat and the 
patient becomes pale.
Treatment- If the labor is progressing deliver the child
as soon as possible and remove the placenta. The uterus 
must be examined and if a portion of the intestine is in 
it return them-; bearing the patient to get well if she 
can. The rupture of the vagina is similar in nature 
to that of the uterus but not so violent.
4th Rheumatism of the uterus.
Any rheumatic patient is liable to this complaint.
This affection protracts labor and may bring on an abortion.
Rhododendron is the remedy if the pain sets in 
with a rise of the wind and leaves when the wind 
goes down.
Syncope in parturition from the effects of the 
pain require Nux vomica.

93
Obstetrical Operations
Version.
Version is the operation by which one of the two extremities
of the child is brought to the superior strait: and therefore
consists of two kinds. Cephalic and Pelvic or Podalic 
Cephalic version may be resorted to in irregular vertex
presentations and facial
General precautions. Get the females consent before 
performing the version. Place the patient on her back with 
her legs placed on the abdomen and near the edge of the bed.
For performing the operation we should choose that hand, which
when half way between pronation and supination, corresponds 
with the abdomen of the child in all vertex and face presentations
In shoulder presentations use the hand which corresponds
to the side of the child presenting. Having decided which 
hand to introduce lubricate it well except the palmer 
surface. The hand may be introduced in the form of a
cone insinuate it gently and in the interval between
the pains whenever it is possible.
In facial presentations with the chin posteriorly it is well
to try to convert it into a vertex presentation. The same 
may be said of irregular trunk presentations.
Pelvic version. When the head presents and we can't 
succeed in producing cephalic we must perform pelvic 
version. Never seize but one leg in turning.
If spasmodic contraction of the os takes place
never cut it but give the remedy indicated.
The Forceps
To apply the forceps the woman must be placed 
in the same position as directed for version. The forceps 
should always be applied to the head and when ever 
possible to the sides of the head. Dr Guernsey uses 
Bonds short forceps more frequently than any others._

94
The forceps should always be employed when the 
pains have stopped and we have waited a reasonable 
time for them to commence.
Always apply the under blade first
To introduce the forceps when the head is in the cavity 
of the pelvis: hold the head steady with one hand, place 
the blade of the forceps perpendicular to the head resting 
upon it and then incline so as to suit the head, slipping 
it on gently ("dont push one bit")- the other blade
is introduced in a manner and the two are locked.
Traction must be made in the line of the axis of the 
pelvis- The course the handles incline to take will 
indicate the direction to draw.
If the head "bags" in the vulva lift it up with the 
forceps and it will extend under the symphisis.
When the face presents towards the anterior part 
of the body we should make the traction rather upwards
so as to deliver the occiput first
When the head is at the superior strait with the occiput 
in the left anteriorally, introduce the hand, place 
[cross out] a finger on the childs head, and resting the end
of the branch of the forceps on the head let it glide 
gently to a proper position- the [cross out] will lay in the 
posterior commissure of the vulva. Traction is to be made
directly downwards- the head will rotate and the forceps
must be applied so that their concavity will come under
the arch of the pubes
Occiput right anterior- The principle of application 
is the same as above
Occiput posterior- left half- apply the forceps in 
the ordinary way. The head must not rotate_ The
occiput must go down the cavity of the pelvis.
The handles must be elevated more than if the occipent 
was anterior.

95
Induction of premature labors.
Sometimes the woman will habitually have the 
child to die in utero. Cale. car. and sulphur are 
the most remedies in such cases, sometimes Thuja
We only induce premature labors when there is a deformity 
of the pelvis so that the child could not be born at term,
or when tumors exist in the pelvis. To induce premature
labor a stream of tepid water should be thrown 
upon the neck of the uterus by means of a pump syringe,
about twelve quarts should be so injected upon the 
neck.- Then we must wait about four hours, and if labor 
does not commence at that time, make another application.
Continue this experiment until labor does 
come on.
An abortion is advisable if the pelvis is contracted 
to less than two and a half inches; it may be produced 
in the same way.
Delivery of the after birth
The most important remedies for retained placenta
are._ Pulsatilla, Secale, and Sabrina.
The after birth ordinarially comes away very easily
Seize the cord with a napkin- if the placenta is high
up, use a finger of the free hand, press the cord down at the
same time that you pull, so as to draw in the direction 
of the axis of the superior strait.
Sometimes there will be much pain after the delivery 
of the placenta-. By feeling upon the abdomen you will 
find the fundus of the uterus sunken in, causing a cup 
like cavity. Introduce a hand into the uterus and 
push it out.-

96
Hygiene of children from birth to weaning.
The moral emotions of the Mother much affect
her milk. What sensible mother would give her child
the breast immediately after a fit of anger?
Convulsions are often the result of allowing the 
child to take the breasts after a fit of anger- Chamonilla 
is the remedy in those cases.
A mother should gradually wean her child as soon 
as she finds herself pregnant.
Nursing of children.- The child should be frequently 
nursed soon after it birth-, say once or twice 
in a couple of hours. It should not be applied to the 
breasts every time it cries; use other means to quiet it, as 
a change of position &c. perhaps the child is not hungry.
there may be something else the matter with it.
Don't allow the child to suck in to sleep, always lay 
it away in its bed as soon as it goes to sleep.
It it best for the child to depend upon the breasts
for nourishment until it has begun to cut teeth. At 
the age of 9 or 12 months the child should commence
to be weaned gradually, and after it has learned to eat.
Uears by day at first. A child should be weaned 
between the periods of teething, never while teething is going
on.
Teething.- The two lower incisors are the first to appear
at about the seventh month. The period occupied 
in "cutting" them is about 15 days. There comes a rest of six 
weeks. The 2nd group manifest itself between ten & 
twelve months and are about four weeks in coming 
through: this group consists of the four upper incisors. 3rd 
group is completed between the twelfth and fifteenth 
month during which period 4 Molars are "cut" and after 
them the last two lower incisors. The interval between 

97
This group and the next is a good time for weaning. 4th 
group consisting of the canine teeth are cut between
the 18th & 20th month and occupies about three months
5th group, appear a two years, comprises the last 
molars and the deciduous teeth are complete.
Regimen of Nursing Women
Nursing women should have plain nourishing diet
all the way through. The simpler the diet of the mother
the better for the child, teething will be accomplished much
easier and the baby will be much less liable to the summer 
complaint &c_
Short nipples may be elongated by the use of the 
nipple shield- porter bottle &c-
If the nipple gets sore from the first application of 
the child but the skin is not broken- Use a solution of 
Arnica. Should the skin be abraded use Calendula
If the abraded surface is much inflamed Chamomilla
also if the inflamation extends over the whole nipple
Graphites. When there is an erysipelatous condition 
extending to the breasts- blistered_.
Sulphur.- Deep cracks in the nipple- May be around 
it or at the end, Burning pain in the nipple.
Cale.car_ Ulcerated nipples very sore and painful
Lycopodium. When the nipples are in a state similar 
to that described under sulphur only there is not 
the burning.
Mercurius. The nipple feels raw and sore
Silicia. The nipple is ulcerated and tender.
Castror Equorum. When the nipple is very much 
ulcerated, it seems ready to drop off.-
Croton Fig. When there is no apparent soreness.

98
yet as soon as the child begins to suck there will be a 
pain through to the back from the nipple. Or if the 
female has been nursing for some months and upon examining
the nipple you find a white kernel which pains 
and burns like fire.
Pulsatilla, when there is a good deal of burning 
about the nipple; also when the temperament suits.
The milk may be altered in quality. Sometimes
the child will throw up the milk curdled- the milk
seems to be spoiled- Borax or Lachesis- are to be 
given to the mother- or Cina if the babe won't 
take the milk; the woman is restless in her sleep her 
appetite is very variable. Mercurius and Silicia 
are also very important.
Galactorrhoea. When remedies for a profuse secretion 
of milk are.- Belladonna when she complains of the 
breasts being heavy and continually wet with milk.
Bryonia in cases similar to Bell but without the
sense of weight. Calcarea. Car. When she complains 
of being chilly, can't bear the air to blow on her.
Asafoetida is one of the best remedies for a deficient 
supply of milk if the patient is easily worried 
and fidgety. Ignatia if moral effect cause a deficient 
secretion.
She may have the right quantity of milk, but 
sinks away, and has a sensation of soreness at 
the pit of the stomach. Carbo animalis.
General rules relative to Infantile Hygiene
Don't dress the child too much and don't

99
put it in bed with its shawl on. The bandage should 
be worn three or four months.
The child should be washed not much oftener 
than once a day. Don't let a child be washed and go 
out to walk immediately after.
Never allow a hot diaper to be put on the child it 
will make it sore and cause urinary troubles.
Another bad habit of nurses is washing the child's head
with borax water- Don't permit that- use pure water.
If child's head gets covered with dandruff or scurf
give Calcarea or perhaps Silicia or Calcarea phos.
Starch of Flour should never be applied to the 
skin they are the best means in the world to make is chafe.
Puerperal Fevers
Puerperal fever usually begins on the third or fourth 
day. It may resemble hysteralgia_ the chief points of 
difference are these: in the latter complaint the pulse rises
and falls with the fever- continues high in puerperal fever.
Hysteralgia gets worse in spells; puerperal fever gradually 
grows worse and worse.
If the fever comes on before the milk begins to be secreted,
the secretion will not take place. If the milk has commenced
to flow it will cease during the progress of the 
fever.
The fever sets in with rigors, followed by hot skin,
and intense thirst; the pulse and respiration are rapid.
Towards the last stage, a cold clammy skin is a 
forerunner of threatening death. The abdomen will be
so tender that the patient can't bear the weight of 
the sheet. The pains begin at a point and extend gradually 
all over the abdomen. The abdomen is usually 
tumefied and tympanitic. When a mother with

100
this fever seems to care nothing for her child, it is regared 
as a very bad sign_a symptom of a grave 
form. The pulse, when the fever has fully set it, is 
140: the thirst more intense at the first and last 
stages. less while the fever is at its height. The bowels
are sometimes much constipated. The urine is not much 
changed if the peritoneum is alone inflamed but if
the uterus is involved it is not to natural.
The countenance is drawn up, and expressive of 
great suffering. A patch of crimson on each cheek
is a bad sign. The duration of the complaint is 
from one to ten days.
Aconite may be administered when the chill was 
very decided; the fever a real lynocha; pulse hard,
thirst, and restlessness & sleeplessness. Cutting pain 
in the abdomen.
Belladonna When there is spasmodic colic in the 
abdomen, as through she was seized with claws: clutching 
in the abdomen; or as if the intestines were ground 
with stones. A feeling as if the genital organs were 
pressing out. Tenderness made much worse by a 
jar. Burning heat in skin; red face and eyes.
A hot steam seems to come from the woman when the 
bed clothes are turned down. (Don't repeat the Bell 
as often as Aconite.)
Bryonia. The slightest movement aggravates the sufferings;
splitting headache; parched, dry lip, and dry 
tongue. Constipation, vomiting of food; faints when 
sitting up, or feels sick at the stomach.
Chamomilla. The breasts are flabby and empty
with white diarrhoeic stool. (Seems as if the milk 
had left the beasts and mixed with the stool.) Or 
if she had been angry before the attack, or if the attack
was brought on be taking cold. Bad tempered. She

101
complains of being too warm while she don't appear so to 
the observer. One cheek red, the other pale.
Colocynit The pain in the abdomen is insupportable 
writhes in agony under her pains. Diarrhoea excited 
by eating or drinking.
Coffea. Great nervous excitement. Sensitive much 
to the least pain.
Mercurius. The patient is excessively thirsty with 
the mouth filled with Saliva. The pains in the abdomen 
are burning and lancinating. Desire for stool
without effect or mucous and sanguineous discharges.
Profuse perspiration.
Nux vomica If the uterus is the seat of the inflamation 
more particularly. Constipation; frequent,
unsuccessful desire for stool. Headache with hot 
face, as if before a hot fire. If the fever is consequent 
upon disappointment or contradiction. Tinkling 
in the ears and syncope following.
Rhus-tox. The nervous system seems implicated.
It may be given when the fever is assuming a typhoid
form. The least contradiction aggravates her sufferings: if
the lochial discharge becomes suddenly sanguineous.
Arsenicum. When there is sudden prostration of the 
vital energies; the patient is full of anguish, the countenance 
is sunken, she can hardly sustain the least motion, yet
she is very restless; thirst for little at a time; burning pain
in the abdomen; vesicles on the lips; small, feeble, intermitting 
pulse all at once. Veratrum is indicated by 
symptoms similar to those of arsenicum. If arsenic 
don't improve the case, give veratrum_ the patient will 
want the coldest water.
Arnica. Bruised feeling; involuntary stools and 
urine; especially in the graver forms of the fever.
Always give Arnica for the nervous shock after confinement.

102
Hyoscyamus. Spasmodic symptoms, jerks and twitches 
in the limbs.
Stramonium. Wants the room lighter, must have 
some one in the room all the time.
Kali Carb. The pains are all stitching, the 
least motion gives her stitching pains in the abdomen.
Platinum. Can't bear the napkins to the vulva,
or if the loctial discharge becomes thick blood-like 
molasses.
Iris versicolor. Great deal of gastric derangement,
sinking coming on rapidly.
Apis mel. Stinging pains, no thirst, red spots here
and there over the body, sleepless nights.
Carto veg. When the patient wants to be fanned.
Asafoetida is sometimes useful. China. Full distended 
abdomen. Lachesis- always worse after sleeping.
Sulphur- Flashes of heat, burning in the bottoms of 
the feet.
Pulsatilla. Mild, tearful disposition; the lochia
looks like milk.
Ipecac.- Nausea all the time, clawing in the abdomen.
Sepia- Urine putrid and leaves a ring of clay-
like sediment in the chamber, which is hard to wash off.
Crocus. Bounding in the abdomen; the lochial
discharge is dark and stringy.
Phlegmasia alba dolens,
Inflammation of the vein of the leg appears from the 
fourth to the twelfth day.
Symptoms- Pain in the lower part of the abdomen
in different parts, more usually, in the region of 
the crural vein, and in the calf of the leg or ankle
After the pain has lasted for some time the part begins

103
begins to swell, has a white shining appearance and extends
down to the foot, or vice versa. First the leg is generally 
oedematous, she can't move it, it hurts her; the 
inguinal glands become swollen and suppurate. As 
soon as one leg gets well, the other becomes affected,
from sympathy.
There is a general debility of the whole system; the
pulse is low.- she is feverish. The symptoms vary in intensity.
This disease generally terminates in resolution or 
suppuration. Under the old school treatment death 
sometimes occurs very suddenly. The prognosis is generally 
favorable.
Arnica if the disease comes on immediately after 
a severe labor.
Aconits if it is in consequence of some exposure-
the bed clothes have been changed, or she has been washed-
She has a real synochal fever; restless.
Apis mel. resembles the fever of aconite, only 
there is no thirst; sleepless nights.
Belladonna- When there is tearing in the affected 
parts_ tearing, rending in the knee-joint; great 
sense of weight in the part; violent lancinatings in 
the part.
Bryonia. Shooting from the hips to the feet; can't bear
the least movement
Pulsatilla If the lochia have suddenly disappeared.
Rhus Tox- Great powerlessness of the limb, or if she is 
a typhoid state. (I use Rhus more than any other remedy- Guering)
Arsenicum. Much depression of the system_ low,
eacheotic state_. The pains are burning, always 
worse at night.
Mercurius. Inguinal glands swollen, sore;

104
much salivation: often indicated after Bell or Bry.
China. When there has been a great loss of blood.
Sulphur. The patient complains of a great sense of 
numbness in the part. Looseness of the bowels (or great 
constipation) the desire for stool comes on so suddenly 
that she can hardly get ready in time.
Antimon Crud. The affected part looks dark, as 
if dry gangrene was about come on.
Cacl carb. for leuco-phlegmatic individuals.
Sepia. Putrid odor of the urine.
Lycopodium. is the remedy if the patient be very 
flatulent- much borbgrygmus- she has to wait 
a long time in passing water.
Puerperal Insanity
Females after parturition are sometimes troubled 
with a disturbance of their mental faculties
This comes on soon after labor and assumes 
many forms; it is not dangerous, although it may 
last for months.
Aconite. Its indications are: she fears death- 
is sure she is going to die at a certain time- She 
may have been frightened._ Despair.
Belladonna: Desires death, wants some one 
to kill her- red eyes, and wild look.
Bryonia: She is very busy all the time; fearful 
and apprehensive: perspires incessantly.
Hyoscyamus.- A spasmodic tendency with the insanity-
may have convulsions; loquacious and sleepless;
wants to run away; desires to be naked- throws 
off the bed-clothes.
Opium. If the case has developed from fright,
and fear- all the while afraid- Drowsy state

105
red face- very sleepy- but can't sleep.
Stramonium. Desires light and society-
darkness and solitude aggravate her symptoms.
Face red and bloated with a smiling, silly expression.
Sulphur. Everything appears very beautiful- has 
happy dreams. Wakes and Sings in the night- she
is very happy.
Cantharis. Dysuria with burning, cutting, smarting 
pain, or bloody urine.
Cuprum acet. or met. When the insanity appears
in paroxysms, shows great weakness after the paroxysms.
Cicuta-virosa. Alway plays the buffoon.
Camphor- Feels cold to the touch_ a remarkable 
degree of coldness.
Digitalis. Pulse remarkably slow_ all she does is stir.
Helleborus. A remarkable degree of seclusion-
she wants to be alone.
Lachesis. Loquacious- changing from one subject 
to another.
Platinum. Thick black blood from the uterus
she screams in her paroxysms.
Pulsatilla- Mild temperament, cries a great 
deal- religious melancholy, despairs of eternal salvation;
prays much_ very pleasant and cheerful 
under disappointment.
Mercurius When there is a good deal of saliva
from the mouth, the patient plays with it.
Veratrum. Very weak pulse- can hardly perceive 
its beat; marked prostration; cold sweat on 
the forehead at every exertion.
Tinc. Intense obstinate pain in the brain
Anacardium. The memory is at fault- She

106
recollects nothing. Aurum strong suicidial 
tendency. Ignatia If developed from fright & 
grief- the grief remains. Conium Great deal of 
vertigo- Intermitting flow of urine. Nux vom 
she finds fault all the time.
Diseases of children
Apthæ
Mercurius is one of the chief remedies. If there 
is a high state of inflamation throughout the whole 
mouth; an inflamed appearance around each 
ulcer; increase of saliva; gums swollen and ulcerated;
the urine strong, and staining the linen yellow.
Sulphur Great deal of pain in the mouth, worse 
at night- So distinguished from Merc in not having 
salivation. If mercurius improves, but does 
not effect a cure, we may derive benefit from the 
use of sulphur
Bryonia. May be used when there is a decided 
dryness about the mouth; the edges of the tongue 
are more especially affected - the gums spongy.
Nux vomica- When the tip of the tongue is 
particularly affected; the breath smells badly.
or if the child is very costive.
Borax. The child is very hungry, wants to take 
the breast, but cries when taking it-. The white
specks seem to be more on the sides of the cheeks,
they bleed easily when washed. Use cold or 
warm water for the purpose of cleansing the mouth,
or, if that irritates, mollasses.
Atrophia Infantum, or Marasmus
Calcarea Car- Stools clay colored; flesh soft;


107
always sweats much about the head (the whole head).
Large solid abdomen; large open fontanels; the 
child never sleeps after 3 O'Clock A.M.
Arsenicum. Great dryness of the skin- a leather-like 
dryness-. Drinks often and but little at a 
time; very restless- starts & jumps in its sleep; brown 
or green stools which are painful; painful stools
containing undigested food. Marasmus with 
Tinea Capitis if the tinea be dry. Light colored 
stools- these cases show a torpidity of the liver. In some
children who have infantile dyspepsia on account 
of over-feeding.
Belladonna- Cough with ratling in the throat
& chest; ratling throughout the whole chest; colic 
with involuntary stools.
China. When the abdomen is enlarged, but 
lympanitic. Painless diarrhaea with undigested
stool (Are painful); often a good deal of wind passes
with the stool; child worse every other day.
Nux vomica- Stools large, and difficult; may 
take a good deal of food; much flatulency; peculiar 
yellow, bloated face. The stools may be very 
small and very frequent_ a little bit of stool 
every little while.
Rhus tox.- Great debility with a constant desire 
to lie down. Slimy, bloody diarrhoea,
worse after midnight (Merc. has tenesmus).
Sulphur. The child is extremely voracious;
watches every cup or plate containing food; wants
to take it in its hands. Constant want- never satisfied-
wakes from sleep and wants to eat.
Lycopodium. Great deal or rumbling and 
ratling in the baby's bowels. Sour diarrhoea.
Ferrum acet. Face looks red and florid,

108
vomiting of food.
Mercurius- Slimy or bloody stools with tenesmus.
The thighs and legs are covered with 
cold, damp sweat.
Merc. corsiv. Has similar looking stool to merc
but the smell like cadavera
Staphisagria. The cervical glands are swollen,
the nostrils sore, ulcerations at the corner of the 
mouth, and fetid night sweats.
Phos. acid. They pass a great quantity of 
urine. Debilitating diarrhoea & morning sweats-
Bold Hives or Nettle Rash. Urticaria 
Calcarea car. is more frequently indicated 
than any other remedy. The skin is covered with 
white blotches- itches terribly.
Dulcamara. When it results from taking 
cold, the blotches are not so white as in the calc. case.
Hepar Sulph. If the nose is stopped up- can 
hardly take a breath; there may also be trouble with 
the nipples. ([cross out])
[cross out]
[Chamomilla.]
Swollen Breasts
should not be rubbed or squeezed as is too often 
done
Chamomilla. When the swelling is quite extensive;
the breasts and the surrounding parts 
are swollen, red, and inflamed.
Belladonna. The swelling is circumscribed 
by the outline of the breasts- they are hard and 
painful; red streaks run across them.
Bryonia- The breasts are swollen and inflamed
but quite pale.

109
If they threater to ulcerate Hepar sulph;
silicia may follow Hepar after the abscess has 
opened, particularly if the affected part is very 
sensitive to the touch.
Colic
Chamomilla when the child has colic with yellow,
green, and watery diarrhoea; or diarrhoea resembling 
chopped eggs and spinach. The stools 
smell like decayed eggs. The child must be carried
or writhes and twists, and has cold feet.
China. The colic comes on every afternoon
Ipecac is indicated when the child cries out 
sharply as if the pains were cutting; stools fermented
and putrid - and when there is a good
deal of sick stomach.
Pulsatilla. Colic every evening. Diarrhoea
changing in its appearance, no two stools alike:
worse at night.
Veratrum. When the colic comes on with a watery
diarrhoea and terrible screaming-. The diarrhoea 
is exhausting. the feet and skin cold, and the 
forehead covered with a cold perspiration.
Belladonna. The colic comes on suddenly;
the child cries out suddenly and violently then 
quickly gets well again- stops all at once. The 
child bends itself backward during the attack.
Aconite- Gets into a dry heat with every attack 
of colic.
Cina is indicated when the child won't sleep 
without being constantly rocked; is never still in 
its sleep; throws it arms and legs about.
Borax. Is extremely nervous- it gets to sleep and 
the rustling of a dress, the ratling of a door Catch &c

110
will awaken it, or when seemingly sound asleep & 
the mother is about to lay it in the cradle, it will 
throw its arms about and her neck and wake up.
Calcarea car. Don't sleep until after 3 A.M.
Nux vomica (Is a boy) Always draws up his 
legs during an attack of colic; constipation; the colic 
comes on early in the morning.
Colveynth. The child draws itself double, writhes 
and twists about (has not cold feet like chamomilla)
Frothy diarrhoea, or diarrhoea of a musty smell.
Lycopodium When there is red sand in the diaper;
the child always screams terribly before passing
water. The colic seems to be worse just before passing 
water which relieves it for a while. Great deal of 
borborygmus.
Senna. The child is sleepless at night; constantly 
crying and tossing about; it won't sleep, nor rest,
Great deal of incarcerated flatulence.
Sulphur. More or less pimples over the body. The 
colic worse at night
Mercurius. When the stools are green and slimy;
the urine strong- stains the diaper yellow
Jalapa. The indications for this remedy are similar 
to those for Senna but still the child will sleep
some for a little while there wakens again & soon
Coffea- Is the remedy, if there is a great deal 
of nervousness and sleeplessness- The child is very 
wakeful and excitable.
Opium. The child is sleepy but can't sleep; it 
cries and shows a great deal of suffering. The 
bowels are moved every day but the stools consist
of hard black balls.

111
Constipation
The cositiveness of the child sometimes comes
from the nurse: in such cases we will have to 
treat the nurse as well as the child.
Bryonia. When the stools are hard and 
tough, or very dry.
Calcarea carb. Hard undigested stool of white 
or light color. Some children in teething will have 
this kind of stool: Calcarea is then the remedy.
The child sweats much about the head.
Nux vomica. Stools large and difficult, freqently 
ineffectual urging to stool. Constipation arising 
when the child has been partly fed and partly 
nursed.
Opium. Stool consisting of hard black masses
which rattle as they roll from the diaper.
Platinum. Stools of hard lumps which pass 
with difficulty they get partly out the anus and 
remain there- the nurse has to help it out.
Lycopodium. Constipation with a great deal of 
flatulencey.
Aluminum. When there is much straining 
although the stool may be soft. The child will 
get red in the face from straining. The stool comes 
down to the sphincter ani and remains above it.
Veratrum. Hard straining a after the stool 
The patient is weak.
Sulphur. When the general symptoms indicate 
it- pimples containing pus &c.
Graphites has a stool like nux, but there is 
an erysipelatous condition of the child; where 
there is a fold of skin there is a raw place, with a
glutinous exudation.
Plumbum. Stools consisting of little balls of 

112
natural color (not black like the Opium 
stools). The child is apt to be sleepless in the 
last part of the night.
Convulsions.
Aconite if there be a real synochal fever 
with the convulsions.
Belladonna. Every convulsion terminates in 
a stupor, or whenever the child awakens it seems 
to be in a fright; has a staring wild look: Bends
backwards during the convulsion, or the body is 
stiff and rigid with hot hands and head. Involuntary 
stool and urine with every convulsion
Chamomilla. One cheek red, the other pale; 
the eyelids and the muscles of the face twitch,
and the child throws itself from side to side
Cina. The whole body is rigid for some time.
Coffea is useful if the children are weakly 
and nervous and have convulsions from the 
slightest cause.
Hyoscyamus. Blue face, every muscle of 
the body seems to twitch; froth at the mouth
Ignatia. Single parts are convulsed; the 
child sleeps lightly_ starts. screams, and trembles 
all over-. Ignatia is one of the most frequently 
used medicines in the materia med
for convulsions.
Ipecac. Athsmatic patients. When there is 
a good deal of nausea and vomiting. The 
child draws itself before or after the convulsion
and gets blue when in that stiff state.
Mercurius. Salivation & green watery 
stools, abdomen very hard and distended
Opium. The child screams just as the


113
spasm is coming on. Or if the mother had
been recently frightened- (Better give the Mother
opium also-). Entire suppression of urine
and foeces during the spasm.
Stramonium. When the child seems much 
frightened. When it awakes it shrinks, draws 
back, or gropes about with it hands. When 
unconscious it keep opening and shutting 
its fingers.
Calcarea carb. cures many cases of spasms
during teething, especially in leuco phlegmatic
children with open fontanella. Much 
sweat about the head.
Sulphur is the remedy for convulsions resulting 
from repelled eruptions.
Apis Mel. Red spots or pimples here and 
there over the surface of the body.
Cuprum Acet When the spasms are particularly 
in the extremities
Crustia Lactea - Tinea Capitis
Lycopodium. If the child's head smells badly 
notwithstanding the effort made to keep it clean
Rhus tox. The pimples have an inflamed
border, and itch terribly especially at night- They 
bleed often.
Sulphur When there is a scabby lethery condition 
of the skin generally. The eruption gets better then 
worse and soon.
Arsenicum Dry and scaly eruption- the cervical 
glands are full of little nodes: white undigested 
stools.
Graphites. When there is an oozing moisture from 
the eruption, behind the ears, &c.

114
Sepia. When the enystion appears in rings 
and spreads in rings. Sepia failing Calcarea 
or Silicea generally suits the case.
Aconitum. When there is a good deal of fever;
suitable in the first stage.
Viola tricolor. If we see the case in the beginning
and find a sore place on the head secreting 
a matter which trickles down and mats the
hair, or several sores characterised by the same state
or when there are thick incrustations_ half an
inch thick.
Staphysagna. The scabs are yellow, moist & 
smell badly.
Calcarea carb. When there is a large seat covering 
the whole top of the head and secretes 
a thick pus underneath it. The first indications 
of a cure in such a case is the drying 
up of the pus.
Hepar sulph. around each seat are little 
pimples.
Antimonium crud. The whole face is invered 
in a thick crust- the is no matter under 
it like in the calcarea case.
Dulcamara. Hard swelling of the glands
of the neck with eruption. Bryonia 
when the glands are hard red and painful.
Sarsaparilla. The main sore is preceeded 
by cracks.
Clematis erceta. A miliary eruption 
preceeds the points of which throw out a moisture 
which forms a scab.
Mercurius- If there is a good deal of salivation.
Oleander. When the child seems to be scrofulous 
the mesenteric glands are affected.

115
Cantharis Desquamation of the epidermis;
giving a fuzzy appearance to the skin.
Do not make an application of a bladder 
to the head- nor wash it much.-
Dentition.
Aconitum is of great value in dentition when 
there is a feverish restlessness.
Belladonna if the remedy when the child is 
very dull and drowsy: seems sleepy all the time,
starts up, looks wild, with dilated pupils & 
a staring look.
Calcarea carb. In the cases of leuco-phlegmatic
children who are remarkably slow in teething,
profuse sweat about the head.
Chamomilla. Its indications are- the child 
must be carried; red on one cheek and pale 
on the other; cross; starts from the least noise.
Cina often relieves painful dentition in the 
latter part of the "first course" when they wet their 
beds and rub their noses a great deal. Dry cough 
with every tooth.
Coffea. The child is very excitable, altogether too 
lively.
Ingatia. If child wakes from its sleep, cries & 
trembles very much.
Ipecac. Great deal of pain, nausea; diarrhoea
of a variety of colors, or else stools of a fermented 
putrid odor- Ipecac suits many sufferings 
of children.
Mercurius. Gums look red; great deal of salivation;
green or bloody stools with straining;
abdomen very hard.
Sulphur. The anus looks red and sore after [Every stool.]

116
Creasote. When the pain is very severe-the child
wants to be gnawing at its fist. Bad odor from
the mouth and appearance of decay on the 
teeth which have been cut.
Staphysagria. Child very impressible;
teeth do not decay but are dark colored.
Nux vomica. Great deal of constipation. The 
sufferings of the child are worse in the morning.
Bryonia. The child vomits its milk immediately 
after taking it; thirsty; lips dry and parched;
prefers quiet.
Opium. Child is very sleepy but can't sleep 
and has a red face.
Borax. When there is great wakefulness; children 
are restless and can't bear a downward motion.
Pulsatilla. The sufferings are worse towards
evening and in a warm place, changable stools.
Antimonium crud. When there is a very 
white tongue and a good deal of vomiting.
stools generally watery, sometimes they consist 
of hard lump and water.
China. Good deal of weakness, painless 
stools with undigested food; can't bear to be
touched.
Arsenicum. When they have painful stools
of undigested food. The child grows thinner every 
day.
Diarrhoea
Belladonna is the remedy if the child sleeps 
very much, is dull, drowsy and uneasy; every 
time the diaper is changed there are pieces of 

117.
green stool on it.
Chamomilla. Diarrhoeic discharges either 
watery or greenish, or like beaten up eggs_ chopped 
stools
Rheum. The children are always straining,
even in their sleep- turn themselves over & 
strain-. strain at stool. The stools mays be 
natural, green, or sour. The child smells sour.
Ipecac. When there's fermented or putrid 
stools, or stools of a variety of colors; or watery
stools.
Dulcamara. Diarrhoea resulting from a 
cool change in the weather.
Bryonia. Diarrhoea when the weather gets 
warmer than usual.
Antimonium crud. White tongue and frequent
watery evacuations.
Arsenicum. The child is thin, emaciated & 
looks pale and white; the stools contain undigested 
food.
Calcarea carb. Head perspires very much 
the child is much emaciated.
Sulphur is the remedy for a red anus after 
every evacuation.
Earache and discharge from the ear.
Pulsatilla. If they are constantly pulling at 
their ears; worse in the evening.
Chamomilla. When they suffer a great deal,
and can't bear the ear touched.
Sulphur. The ear discharges frequently and 
the child seems better while it continues; when 
the discharge stops the pains return.
Calcarea carb. Constant discharge. Temperament


118
Temperament leuco-phlegmatic with open fontanells.
Causticum. When there is a delicacy about 
the child.
Erysipelas of Infants.
This complaint often begins at the genital 
organs and spreads over the buttocks, &c.
Pulsatilla is the first and best remedy.
Belladonna. When the erysipelas is general 
and is of a very red, scarlet color.
Rhus tox is indicated in vesicular erysipelas.
Rhus tox affects the surface- Rhus rad 
acts deeper and simulates phegmanous erysipelas.
Arsenicum. Dry, parchment like appearance 
of the skin, -very dark- child weak and 
delicate.
Bryonia. The erysipelas begins at the toes and 
spreads over the whole body.
Excoriations or Intertrigo
Often caused by improper nursing- a child should 
never be powdered- Dry the skin well after washing.
Carbo veg. When the parts are very raw. There 
seems to be a disposition to produce a raw place 
wherever the skin folds.
Chamomilla. If the excoriated parts are inflamed 
and the inflammation extends into 
the skin beyond. The child can't bear to have it 
touched.
Lycopodium. The excoriations are disposed 
to crack and bleed; they smell offensive; the 
child screams just before passing water.

119.
Mercurius. Always worse at night.
Sulphur. Pimples over the body and itching.
Hepar s.c. When there are little pimples on 
each side of the raw surface.
Inflammation of the eyes.
Cause- Exposure to strong light or to cold.
Aconite is the remedy if the whole eye is red 
and inflamed and run a good deal.
Belladonna. The whole sclerotica is charged 
with blood; bleeding from the edges of the lids.
Chamomilla.- The lids seem to be most affected
the eyes are very sensitive and always closed in 
the morning.
Euphrasia When there is much lachrymation,
the eyes [cross out] "swimming in tears."
Rhus tox. The lids seems to be only affected,
There are slight cracks in the external canthus.
Hepar sulph. Pimples around the eye. Useful 
if the baby has a mercurial faint
Mercurius. Eyelids swollen, almost closed;
the inside of the eye is filled with pus.
Sulphur is the remedy if there is a great deal 
of itching in the eye and about the body generally.
Nux vomica. The eyes are always worse in the 
morning.
Arsenicum. The lids are swollen and look 
dark.
Herpes circinnatus.
Sepia in the highest potencies is the best remedy 
for ringworm.
Calcarea and Silicea are also important 
remedies for this complaint

120.
Rhus tox. When there is an ersyipelatous inflammation.
Hepar sulph. When distinct pimples keep in
advance of the rings.
Arsenicum. A distinct smooth ring causing 
the hair to fall off- dry, scurfy eruption.
Barytia carb. This remedy is suitable for 
dwarfish kind of children.
Clematis. When a miliary eruption keep in 
advance of the spot.
Natrum muriat., staphysagria, & Tabacum 
are sometimes of use.
Incontinence of Urine.
A child should not have incontinence of urine
after it is twelve or fifteen months old.
Silicea will answer more frequently than 
any other remedy, especially when the children are 
slim_ Causticum if they are better developed.
Cina-. They rub the nose and grind the 
teeth.
Phosphoric acid. When they pass an enormous 
quantity of pale urine.
Rhus tox., and Belladonna are sometimes 
useful.
Retention of Urine
Some children will not pass water after they have 
been born sometime- they are restless- cry and manifest 
a great deal of distress- In such cases
Aconite is the most important remedy.
Pulsatilla may be given if you fail to relieve 
with the use of Aconitum. It is more particularly 
indicated by loose slimy stools, &c -

121.
Nux vomica. If costive We need scarcely 
ever use more than these three remedies.
Inflammation of Labia.
Mercurius is the best remedy_ next Lachesis 
then Belladonna
Sometimes there will be a leucorrhoeal discharge-
Calcarea will then remove the whole 
trouble. The parts should be kept clean; a leucorrhoea 
is often produced by a filthy condition 
of the parts.
Lockjaw of Infants.
Arnica. If it result from a bruise or fall.
From punctures Ledum.
Belladonna. The first symptom will be 
the inability of the child to swallow. The abdomen 
very much enlarged.
Mercurius. When the child salivates a good deal 
the cervical glands are swollen, the urine offensive,
staining the diaper.
Lachesis. When it results from bad milk.
Chamomilla. If there is a real chamomilla 
diarrhoea.
The child ought to get rid of the meconium by 
the 4th or 5th day. When it still continues and the 
nurse complains that the stool have not changed,
give Mercurius first followed by Nux, sometimes
Ipecac or Lachesis.
Regurgitation of Milk
Ipecac. When the child is evidently surfeited 
with milk, or if the child should be fed too much

122.
Nux vom. Constipation, or frequent small stools.
Phosphorus. When there is no perceptible 
cause, the milk pours out pump-like.
Silica When the cause is constitutional; the 
child is delicate
Calcarea carb. Large fontanelles, open sutures,
sweaty head &c.
Prolapsus Ani
Ignatia suits more cases than any other
remedy. The bowel comes down at the first desire 
for stool.
Nux vom. Constipation; the rectum falls 
after the stool
Podophyllum. Stools all natural, but the bowels
are moved often; frequent but natural stool 
with descent of the rectum. Morning diarrhoea
Mercurius. The anus comes down very bloody 
particularly if it bleeds, or if painful.
Ruta. When the prolapsus comes on in consequence 
of diarrhoea or dysentery.
Arnica When produced by, or comes down
while walking.
Apis mel. Whitish red swelling around the 
Anus; pains in the parts causing the child to jump.
Calcarea is useful in chronic cases.
Deformities
Sulphur. When they result from a want of 
proper development.
Calcarea In those calcareous states.- large heads,
open fontanelles, breast bones stick out a great deal.
Crooked legs in children have been caused to 
grow straight from the use of calcarea carb.,

123.
Sometimes Silica when the child is slim and 
delicate also calcarea phos.
We sometimes meet with children who so 
disposed to fall down, that they acquire the name 
of "tumblers". Calcarea is the remedy for those cases.
Warts.
Warts may be removed by Sulphur when 
they itch a good deal.
Calcarea, Rhus., Dulcamara, & Lycopodium,
are important remedies.
When we have pedunculated warts don't tie
a string around them, but rather give Thuja,
Sepia or Nitric acid.
Horny warts require Antimonium crud.
more particularly.
When we discover that the mother has had 
the itch, which was driven away by external 
remedies, give the chils Psonicum.
Moles often disappear after vaccinating 
the child.
Cyanosis. Lawn cerasus is the choice 
remedy.
Calcarea, Suphur, Digitalis, and Arsenicum 
are also useful.
Hernia
Sulphur. When the condition of the child constitutionally
indicates sulphur.
Nux vomica. If there is a great deal of colic.
Chamonilla When the characteristic diarrhoea

124.
of Chamomilla is present, and as persistent as though 
it were a part of the hernia.
Silicea. Delicate constitutions; slim development
Veratrum. Constantly cold extremities.
Sniffles or coryza.
Sambucus is the most useful remedy
Nux vom. Child always worse in the morning.
Chamomilla. The child is cross and fretful;
hoarse cough
Carlo veg. In cases similar to chamomilla
Dulcamara. The least change of air to cold 
brings on the sniffles.
Calcarea phos Perfectly dry coryza; the child 
can't breathe through the nose & dry nose.
Jaundice.
Chamomilla. When it comes on from a cold
Mecrurius. Salivation, or slimy, bloody, stools
with tenesmus
Nux vomica If there is constipation.
Cholera Infantum
This complaint may be avoided by properly 
caring for the babes. Don't keep a child out late 
at night An infant should be put to bed at 
6 or 7 O' clock. If Hygiene is properly attended 
to the child will not be likely to have 
Summer complaint.
Antimonium crud. Tongue very white; gags 
a good deal & coughs; offensive slimy stools without
tenesmus.
Arsenicum. Cold extremities; intense thirst;
drinks often and little at a time; stools offensive

125.
whitish, or brown; emaciation; aggravation from 
eating or drinking.
Bryonia. When the attack is developed from 
the heat of the weather; vomits its food immediately 
after taking it.
Carbo-veg. May be thought of when Bryonia 
fails.
Dulcamara is useful when resulting from a 
change of the weather from warm to cold or 
when it is brought on by drinking cold water while
warm.
Ipecac. Vomiting of food; bilious diarrhoea.
Mercurius. Bowels always worse before midnight:
good deal of perspiration; disgust for food, so great that the
sight of it turns the childs stomach- can't bear the sight
of food.
Nux vomica The indications for this remedy are 
similar to those mentioned under Ipecac.
Veratrum. Vomiting and diarrhoea followed by 
great prostration. The least motion aggravates the symptoms;
vomiting after taking the least quantity of a liquid.
want everything cold; small involuntary evacuations.
Belladonna. Vomiting of acid, watery fluid and 
mucus, and mucus stools.
Chamomilla Green and slimy diarrhoea
Not a particle of food must be allowed the child 
as there is a great danger of bringing on a relapse.
Perlupis- Whooping cough
Aconitum. When the cough is dry. The child 
grasps at the throat every time it coughs.
Belladonna. The face becomes very red with every 
paroxysm of coughing; the eyes are congested. the eyeballs
look like clots of blood; yellow ulcer on the tip of the tongue

126.
and around the mouth on the outside. Belladonna 
is important in the congested or inflamed condition
of the brain which sometimes results from whooping cough.
Conium. Cough worse in the night; slight expectoration
of a bloody mucus. Scrofulous subjects.
Dulcamara. Cough excited by cold damp weather;
every cold spell makes it worse.
Pulsatilla. The cough is loose from the beginning;
vomiting of mucous
Ipecac. The spells of coughing come on so rapidly
that the child is hardly able to get its breath, and
becomes blue in the face.
Hepar sulphur. Cough with a croupy sound;
loose ralting in the bronchial tubes
Nux vomica, When the cough is hard and dry
requiring much coughing to raise anything, nux is 
suitable. When coughing they put their hands to their 
heads; cough worse in the morning; constipation
Mercurius. The child has a distince coughing 
spell, then begins and has another- a kind of double
paroxysm. Bleedings from the nose and mouth.
Drosera. The child is perfectly well except from midnight till
morning during which time it has terrific coughing spells.
May have nose bleed. Often has a tremendous fever after 12 O Clock PM
Arnica. Coughing spells announced by tears & crying
Corrallia rub. Spasmodic cough in strong paroxysm 
If this remedy does not break up the cough entirely it leaves only
a catarrhal cough which is cured by Chilidonium.
Veratrum alb. Every coughing spell is followed by great
exhaustion. Cold sweat on the forehead.
Cuprum is the remedy when the child coughs itself
into a cataleptic fit: those is a great deal of mucus in the chest
Cina Child picks its nose a great deal, coughs itself 
into a rigid state ("as stiff as a picker") and after the spell of

127.
coughing there is a gurgling sound going from the throat
downward.
Lachesis. Much debility; worse after sleep.
Causticum. Child will be getting better when the improvement
stops and comes to a stand still. The cough is dry.
Arsenicum. Great debility and coldness of the surface.
Carbo veg. When there is more blueness than whiteness (Arsen
has more whiteness) under similar circumstances.
Sulpher. The child often has a relapse. This also 
indicates calcarea carb.
Bryonia. The child coughs immediately after eating 
and drinking, and vomits what has been taken. Eating or 
drinking aggravates the symptoms.
Ferrum. The child vomits in an hour or so after
eating.
Chamomilla. Vomits while eating. Wheezeing in the breast;
ill-natured cross.
Iodine. Cough induced by a sensation of tickling through out 
the whole chest. (This is an important remedy in consumption 
when we find the symptom above mentioned.) Use of 
the paroxysm is preceeded by a sense of anxiety.
Lactuca vir. In cases similar to Iodine.
Lovelia inf. When there is an athsmatic condition 
developed by the whooping cough. Paroxysms of cough with 
athsma and ropy mucous expectoration.
Squill Lachrymatien, coryza, and ratling of mucous
in the chest with frequent sneezing.
Kali carb. Sacculated swelling of the upper eyelids
Silicea. Norm symptoms not covered by cina. Fever 
at night child delicate.
Hyoscyamus. The cough is worse when lying down 
better when sitting up.
Suphur When the child seems to want to cough 
but can't. appears to choke. The cough won't come out distinctly

Tartar emet The chest is filled with mucus
the lungs seem choked up with it.
Coccus cati Coughing spells terminated by 
spitting up great quantities of ropy mucus
Mephitis The cough is violent and attended with 
a spasmodic condition.
Fevers.
In fevers of childhood, either continued or remittant
give a single remedy and after waiting twenty four hours if
there is any improvement dont repeat the medicine
Aconitum If the fever is purely synochal in its 
character.
Belladonna. The aggravation is distinctly in the afternoon:
the skin is dry and imparts a burning sensation 
to the hand. The child lays in a sleepy condition 
and there is some cerebral irritation.
Tartat emetic. There is a drowsy condition, nausea
and vomiting: drinks often and but little at a time (it is
like Arsen in this respect, but has not the restlessness of Ars);
red itching rash on the body of the child. Or when the fever
is in consequence of a metastasis.
Bryonia. Child cannot sit up: if it sits up for a little
while it gets pale and has to be lie down again it feels a nausea
and faintness if it sits up. Tongue and lips dry.
Cetecynth. When the child lies in bed with the legs
drawn up to the abdomen.
Chamomilla. One red cheek and one pale one.
Mercurius. Green slimy stools with a good deal of 
salivation: profuse perspiration giving no relief: urine strong
and offensive.
Nux vomica. Aggravation of the complaint particularly 
in the morning from three to four O' clock. Also from fever
from being over fed

129.
Pulsatilla. Fever without thirst: urine scanty: vomiting
of mucus: stools changable no two alike: nightly diarrhoea; the 
child is continually pulling or boring in its ears; or it is very changeable
well one hour, sick the next.
Arnica. Involuntary stools and urine; especially in a 
dew typhoid state.
Arsenicum. Very great restlessness; thirst drinks but little
but often: the child is easily exhausted and always worse the 
last part of the night: undigested putrid and painful stool.
Lachesis The patient always awakens in distress and 
thrusts it tongue far out.
Sulphur Bowels loose: the anus is red after each evacuation:
skin pimpley
Calcarca carb. Sweaty head: open fontanelles; child large,
fair, and plump: fever of a continued type
China off. The symptoms are intermitting, worse every 
other day; stools very copious, painless, and undigested.
Ipecac. Much nausea: very dark stools like tar.
Veratrum. Great exhaustion after every stool; cold sweat
on the forehead.
Lycopodium. Great distress before passing water; red sand
in the diaper which has been met with the urine: much rumbling 
in the abdomen.
Phosphorus. Painless diarrhoea pouring out like water
from a hydrant or when there is vomiting in the same 
manner.
Silicca. The joints are swollen and tender or in [m???]
fevers. Hepar sulph has the swelling of the knee joints which
in not tender.
Apis mel. Whitish red spots over the body of the child;
fever without thirst.
Cuprum. Spasms always beginning on the extremities
This is one of the best of remedies in diseases of it brain 
during teething.

130
Helleborers niger. Brown urine or brown sediment 
in the urine.
Cina When the fevers come and go continually
the child is very peevish, wants a variety of things and 
when it gets them, will throw them away: milky urine;
picks the nose or bores in it a great deal. The fever may last 
only all night and the child appear pretty well the next day.
Opium. Fever with stools in black balls.
Sambucus. If there is a great deal of perspiration.
Aloes. When the child passes much mucus from the 
rectum.
Bromine. When there is a great deal of ratling in the 
larynx.
Podephyllum. Diarrhoea, with the fever, which 
is worse in the morning.
Intermittent Fever
Calcarea carb. When the chill comes in about twelve 
O'clock. The child may be very much swollen at the pit of 
stomach, and have a sweaty head.
Capsicum. The indication for the remedy is the chill
beginning in the back and hence spreading over the whole
body.
Ipecac. When there is much nausea and vomiting.
Cina. The child picks its nose a great deal and is 
worse at night. After the paroxysm it is extremely hungry.
Arnica. The chills come on in the evening.
Nux vomica. The chill comes on in the morning,
with constipation.
Veratrum. Diarrhoea with every paroxysm.
Arsenicum. No well marked chill the child only 
seem to be cold.
China Sulph. Intolerable ringing in the ears preceding 
the paroxysm.

131.
China off. The abdomen bleated and tympanitic.
Hard ague cakes, in the liver and spleen:
Natrum Mur. Ulcer about the mouth, or in the 
corners of the mouth ("we need not take any questions
if we see such a condition."). Much thirst before the 
chill: fever every other day: can't sleep the night preceding 
the chill.
Lachesis. Spasms with every paroxysm.
Pulsatilla. Thirstlessness during [with] all the stages.
Ignatia Thirst only while shivering.
Opium. The child will sleep during the hot stage,
then a hot perspiration will follow.
Cantharis. When the child wants to pass water every
minute or so during the paroxysm also where there is dysuria
with screaming, this remedy is indicated.
Sulphur When the Int. Fev follows repercussion of
some eruption.
Chamomilla. During the fever, there is one red cheek 
and one pale.
Never give a remedy during the paroxysm.
Vaccination.
The best time to vaccinate infants is the fourth week.
The safest plan is to revaccinate once every seven years
for at least three times.



Diseases of Females
Inflammation and threatened Abscess of the 
Breasts of Nursing Females.
Aconite. She takes cold suddenly has cold chills_ followed
by high fever- a real synochal fever.
Bryonia is the most frequently indicated remedy
Its medications are a sense of weight like a stone its breasts
inflammation pale in color, & may be painful; the breasts smell
and become hard every time they get cold.
Belladonna is the remedy of the breasts are very much 
inflamed the inflammation in streaks, radiating from the 
nipple; sensation of largeness of the breasts
Mercurius. When the breasts are hard painful and 
erysipelatous.
Rhus toxicodenron. Next to Mercury in there cases 
described under that remedy. If you are undecided
which to choose, give mercury first, and, that not succeeding,
Rhus afterward.
Phosphorus- Stitching pains through the breasts
or if the stitching pains come on after the case has been in
progress sometime.
Hepar sulph. When an abscess threatens- there may 
be a formation of pus
Graphites. When the inflammation sits in around old
eschars and nodes caused by [a] previous lancings. Never 
forget to give Graphites when you find old nodes and eschars
in the breasts of females.
Silicea. Fistulous ulcers; ulcers discharging serum; hectic 
cough and night sweats.
Sulphur. In abscess when there is a great quantity of [cross out]
pus discharged.
Phosphorus. Deep constantly flowing ulcers, the pus green

133
and the edges [illegible] thick and [Via??ned]
Crohn ligtium Pain running from the nipple through
to the shoulder blade every time the baby draws at the breast
Prolapeus Uteri
Belladonna. When there is a pressure downwards as if 
the genitals would be forced out. Suppression of the stool
and urine.
Calcarea carb. Sense of heaviness and painful but 
in the limbs: she can't walk far without becoming very tired;
menses too often and too profuse.
Nux vomica. Lifting brings on the trouble- Is very 
important in chronic cases if there's a cough; sense of constipation
about hypochondrium. Prolapsus uteri has a great many 
sympathies the stomach, chest, [and] &c
Sepia. In feeble, delicate females with tender skin; shooting
pain in the region of the neck of the uterus. The female must 
always cross her legs, as she steps, to keep the organs in; sense of weight
in the anus as of a ball there.
Arnica. Prolapsus resulting from a fall.
Sicule cornutum. is one of the most important medicines
for prolapsus uteri in the mat. Med. A single dose will act a
long time. Its indications are bearing down, and forcing 
pain in the hypogastrium- this is one continued pressing 
down, without letting up. Suitable for weakly, cachetic constitutions.
Aurum. Great dejection of spirits; suicidial tendency;
great sense of heaviness in the abdomen with cold hands and 
feet.
Platinum. Vulva very sensitive, constipation of difficult
lumps; pain from small of back into groins.
Conium If the neck of uterus is inderrated; intermittent 
flow of the urine; great deal of vertigo.
Murex perpurens Lucerrhoea with great despondency

134.
The despondency seems to be connected with the leucorrhoeal
discharge, if it grows more the despondency grows morse.
Creasote. Much exhausting ichorous leucorrhoea; particularly 
of the leucorrhoea intermits- gets better and then worse.
Carbo animalis. Faint empty feeling at the pit of stomach;
offensive leucorrhoeal discharge.
Mercurrus Swelling of the labia and soreness in the 
groins; the inguinal glands may be swollen.
Sulphur. The patient can't walk straight, goes partly 
bent forwards; sense of weight and heaviness in the abdomen
Stannum. Great weakness in the chest when talking 
Prolapsus is in direct sympathy with pulmonary and gastric 
affections.
Kali carb. Piles with prolapsus; the passage large and 
difficult to evacuate; seems to tear her anus open; discharge of 
blood after the evacuation has let down afterward.
Podophylum. Numbness and aching the region of 
the ovaries, sensation of emptiness in the abdomen after stool.
Sometimes the vagina will become prolapsed so as to 
form a ring about the external organs. Mercury is the most 
frequently used remedy for this complaint. also Nux vomica &
Ignatia. When occurring after an injury Arnica.
We may judge she has a prolapsus of the Vagina if she says
she feels better after having connection.
Metritis
Inflammation of the Uterus,
May be acute or chronic in its character. The acute form is 
attended with more or less fever.
Nux vomica is more successful in effecting a cure 
than any other remedy because we often find constipation
and difficulty of urination in connection with it.
Belladonna is next in importance. Bryonia may be
given if the patients can't stop.

135
Ovaritis
Inflamation of the ovary.
Symptom- Pain and tenderness in the ovary; fever 
and chilliness. The sufferings are usually on one side.
Sometimes the ovary will be enlarged.
Nux vomica, if it is developed from the use of alcohol 
or from high seasoned, stimulating diet.
China. If from debilitating causes or the abuse of the 
sexual enjoyment. Should china fail staphysagria or Phosphoric
acid.
Bryonia When the patient cant move without aggravating 
the pain. Rhus tox is important when motion relieves 
Conium. Enlargement and hardness of the ovary 
with gastric disturbance- or with acrid, white slimy leucorrhoea.
Lachesis. When the left ovary is affected.
Cantharis. Ovarian difficulties with symptoms of 
nymphomania and dysuria. Platinum is the remedy 
when there is nymphomania without dysuria. Also itching
deep in the vagina; hysterical.
If the ovaries have ulcerated. Lachesis and the other 
remedies failing we may finish up the case with Platinum
Arsenicum. Excessive movement of the feet from 
the pain in the ovary. (Lincum has fidgety feet but not 
on account of the sufferings) The Arsenic patient moves
his feet because it seems to relieve him
Colocynthus. Burning tensive pain in the ovary; spasmodic 
colicky pain in the hypogastrium.
Belladonna. Lancinating pain in the ovary.
Ignatia. When Inflam of Ovary comes on in consequence 
of disappointed love. Staphysagria and Phosphoric
acid may also be indicated in such cases.
Graphites. When there is a chronic inflamation enlargement and 
firmness in the ovary with tenderness to touch
Apes mel Grantis with stinging pain

136
Ovarian Dropsy.
begins usually in one of the Graafian vesicles. In 
diseases so much to distend the whole abdomen enormously.
It may be distinguished by always beginning
on one side, mostly the left, and increasing from that 
side.
Apes Mel. Stinging pains are the characteristics 
of this remedy.
Sulphur, Iodium, Arsenicum, Phos. Acid, Sepia,
Platinum, Graphites, Dulcamara, Cantharides, Mercurius,
Staphysagria, Camalis, Cocculus ind., Hepar sulph.,
Nux vom., Bryonia, Lachesis, Lycopodium, Kali Carb.,
Silicea, Etc.,
Ulceration of 
the neck and os of the Uterus
Belladonna
Platinum. Stinging pain, vulva very sensitive, 
lumpy constipation.
Sepia. Sense of heat and shooting pain in the region
of neck of the uterus: constipation and sense of weight in the
anus, cold hands and feet.
Clematis, Lachesis, Conium. Creasote when there is
an ichorous, bloody discharge. Aresenicum, Sulphur,
Cocculus ind., chamomila, Iodine, Graphites, Nitric ac.,
Hueya if we discover any syphilitic taint about the patient.
Nitric acid. If we find any mercurial taint.
Salvia. Pain running from the sacrum to the pubes
Mercurius. Swelling of the inguinal glands and labia.
Muriate Mag. The stool crumbles as soon as it comes 
to the verge of the anus.
Staphysagria, Carbo veg, Cicuta vix, utenium, Rhus
Tox., Phosphorus, and Silicea.

137
Fistula in ani.
This complaint occurs more frequently in women than 
in men it also happens in children. It may be known by the
great dread to have the bowels moved; the pain experienced during
and after the passage of the stool. The pain is or may be pricking
tearing darting &c differing from piles in its greater intensity. There
is often a great discharge of blood.
Remedes Nat. ac., Ignat., Kali carb. stand first in order
Nitric acid is more frequently indicated than an other remedy
Its symptoms are shooting pains in the rectum before stool and
spasmodic contraction of the anus afterward.
Ignatia. Lancinating pains darting high up the anus particularly 
after stool.
Kali carbonica. Stool large and difficult as it passes it seems 
to tear her open; she is so exhausted after stool that she must go to bed.
In the 2nd rank we have Plumbum, Arsenicum, 
Sulphur, Lachesis, Natrum Mur., Phosphorus, and Sepia.
Arsenecum When the burning is intolerable- burns like fire
Nutrum Mur. Ulcers with exhaustion
3rd Class. Caustecum, Silicea, Nux vom., Thuya, Jalacum,
Gratula, Mezerean.
Caisticum. Can't walk particularly after stool, walking 
aggravates the sufferings.
Silicea. Sensation as though the part was cut with a knife.
Thuya is important if there is a syphilitic faint in the 
system.
Carcinoma Uteri.
This disease occurs usually between the ages of thirty and 
fifty. The first indication most always noticed of the woman
is yet menstruating; is some alteration of the menstrual function. she
has more pain; & there are irregularity, or after the menses have stopped, there
will be a leucorrhoeal discharge. If the woman is past the menstrual &
not we generally find a lerrconhocal discharge. Haemorrhages will

138.
occur and the constitution eventually gives out.
Belladonna When there is a pressing down in the vagina;
the patient con't stand.
Platinum Thick black blood escapes from the vagina:
the vulva is very sensitive and there are spasmodic shooting 
pains.
Conium. Stinging pain in the region of the diseased 
organ with gastric symptoms like those attending pregnancy.
Creasote. Offensive ichorous discharge, with weakness 
and chilliness.
Graphites. Violent lancinating stitches through the uterus 
into the thighs.
Carbo animalis. Putrid discharge from the uterus. Empty 
gone feeling at the pit of stomach
Arsenicum. Intense burning like fire in the diseased 
organ, worse after midnight, great amority and thirst, foetid 
odor of the discharge.
Thuya. Cauliflower excressences which bleed easily and 
emit an offensive purgent odor.
Iodine. When the case is attended with a profuse and 
long lasting flow of blood.
When Syphilis is at the base of the trouble Mercury, Thuja,
Nitric acid, and Staphisagria are especially indicated.
Aurum. Depression of spirits which lead one to think 
of committing suicide.
China off. When the disease appears to have developed 
from some debilitating cause.
Climates erecta. Much corrosive leucorrhoea and lancinating pain.
Lachesis. The trouble had developed on account of the change 
of life (critical age). It is a bad sign of a woman to have a discharge
of blood after the menses have ceased- it usually forbodes some
disease.
Lycopodeum. Great dryness in the vagina cutting pain across the [abdomen]

139.
Sepia. When there are shootings from the womb to the 
umbilicous with a sensation of heat; pains in the perineum.
Silicea. Bloody, putrid discharge from the vagina.
Sulphur. Burning, itching, and profuse discharge.
Magnes. muriat. Stools which crumble when they come 
to the verge of the anus.
Crocus. Stringy, bloody discharge: burning in the 
abdomen and stomach.
(Euphrasea Cancerous depeneration of the right side of nose.)
Cancer of the Breasts.
Cancer of the breasts usually begins at a small point & in a lobule
which becomes inducted- the skin seems to have grown fast to the 
induration this is one of the best signs. The induration increases in 
size, spreads, cracks and an exudation takes place. the sore
soon grows larger and we have a regular cancerous ulcer.
The disease often arises from bruises or other injuries.
Conium is one of the best remedies where such a cause has 
risted. Repeat the dose but seldom. The particular indication 
for this remedy is a stinging pain in the induration.
Phosphorus. When the induration is very much inflamed
this remedy is characterised by a stitching pain, made more 
in the open air.
Creasote. The whole breast is hard, of a bluish red color
with little elevations or protuberances on the surface of the breast
these protuberances are covered over with a scale which 
being removed, they will bleed.
Lachesis Bluish red or dark red base to the ulcer 
covered with black streaks of blood.
Belladonna When we notice red streaks to radiate over the 
breast from the part affected.
Arsenicum. Burning pain like fire; putrid ulcers; great 
exhaustion; emaciation.
Hepar sulph. When the ulcer or induration is surrounded by little [ulcer]

Carbo animalis. Induration in the mamma; empty 
gone feeling at the pit of stomach.
Graphites. The induration seems to arise from old cicatrices.
A constitutional improvement will be the first manifestation
of a cure.
Engorgement of the Breasts
Often arises in consequence of taking cold. Bryonia 
and Belladonna are then particularly indicated
Sometimes it will come on in consequence of suppressed 
menstruation. The remedy will then be probably found in 
the following group viz: Pulsatilla, Bryonia, Conium;
Sulphur, and Lycopodium.
Milky or Buttery Tumors.
These tumors are caused by the milk escaping between 
the lobules
Belladonna, Bryonia or Mercury will cause absorption.
If they remain a long time they become encysted and 
buttery tumors will be the result. For this kind of tumor
Calcarea Carb., Graphites, Sulphur, Baryta carb., Hepar 
Sulp Calc., and Nitric acid are important.
Cysts
of various kinds occur in the mammae, as serous, sanquineous 
&c.
Sems cysts. Prinicipal remedies are Pulsatilla, Graphites,
Rhus tox, Sulphur, Silicea, Arnica, Lycopodium, Nux v.
Sero-mucus generally result from an injury. Arnica
Conium, Sulphur, and Lachesis.
Liponia or Fatty tumors are the results of an hypertrophy 
of the adipose matter. Remedies: Baryta carb., Calcerea carb., 
Iodium, Antimonium, Sulphur, Lycopr., Abumina

141.
Nodes in the Mammae
The most important remedies are
Graphites, Conium,
Chamomilla, Carbo aminalis, Clematio, Silicea, Baryta,
Bryonia, and Sulphur.
Polypus Uteri
is more sore than carcinoma uteri, recurring between
the ages of 40 about 30 yrs. They are apt to ulcerate in 
process of time; seldom give any pain, but usually attended 
with a good deal of haemorrhage.
Calcarea cabbonica is the remedy for the majority
of cases of this complaint.
Next to calcarea carbonica in order stand Conium,
Phosphorus, and Staphysagria.
3rd. Aurum, Hepar Sulpharis, Lycopodium, Mercurius,
Mezerum, Sepia, Silicia, Thuja.
4th. Belladonna, Gratiola, Natrune muriaticurm, Nitn 
acidum, Phos. acid. and Sulph. acid.
Hysteralgia
or Irritable Uterus is of various grades, and 
is always attended with more or less pain, tenderness,
disorders of menstruation &c. It may occur at 
any time between puberty and 45 years
The most important remedies are
Causticum- The patient is all the time trying 
to belch wind, but can't succeed-worse after taking 
least nourishment, or if she tightens her dress-feels 
better in the warmth.
Phosphorus- Sensation of heat rushing from 
feet to head
Cocculus Ind.- Great oppression of chest- feels 
as if a large stone were lying on the sternum. Good

142
deal of sighing and moaning. Pains running through 
from stomach to back; fainting; nausea.
Conium- Uterine cramps with digging in the 
vulva; stitching pain extend from the uterus to 
the right side of the chest. Irresistable desire to 
touch something
Plumbum- Sensation as if a sting were 
drawing from abdomen to back.
Ignatia- Much sighing; taking long breaths;
sensation of goneness at the pit of the stomach.
Magnesia Muriat.- When the pain extends 
from the uterus down the thighs. Constipation; 
stool crumbling

143





So

















Thomas H. Smith
No 941 North 12th Street
Philadelphia





Lafayette Lo. Brush.





child and the os pubis, and it should be pushed upward
perservering by in the intervals of pain. Unless this is done, and
the head relieved from its retarding influence, we may have
a tedius & painful labor."
4 When the os rigid & contracted in the first stage of labor
& turned towards the rectum instead of downward & forwards 
first influence the patient gently with chloroform in the 
following manner.- Pour a little chloroform into a teacup,
& hold the edge of the cup to the lower lip of the patient- bringing
the open vesel a little over the mouth, but not so as to prevent
the free ingres of air both into the mouth & nose:- a nurse can
manage this while you watch it effect. Now introduce the 
forefinger into the rigid os uteri, & while the patient is under 
the influence of the chloroform, gently dilate the part by 
very quickly during each pain, pulling the anterior lip toward 
the pubis-"

"To suppress or arrest the secretion of milk
ꝶ Glycerine ℥i} Instead of Belladonna
Ag. Bub ℥iv} Tincture of Aconite may
Tinc Bell ʒii-U} be used, or one draw
of Iodide of Potash.
Moisten a flannel with a saturated solution 
of Camphor in Glycerine, and apply 
it over the breast. This will often check the 
secretion of milk very quickly.
If the breasts are "Caked" with impending 
abscess to warm decoction of one ounce of the 
root of Plytolaca decandro to the quart 
of water."
There is a condition of the ovaries which frequently 
occurs after manual labor or abortions in which 
Conium & Kali-Brom are very serviceable 
It is an engorged or inflammatory state accompanied 
by extreme pain, sometimes of a 
lancinating, at others of a pressing spasmodic
character: externally the ovary may be felt through 
the parietes, swollen and sensitive. A vaginal 
examination discloses a tumor pressing the 
uterus & vagina from its normal position. Painful 
urination is a frequent and consistant symptom
The prompt use of Conim internally & externally
& used as a vaginal injection will subdue the 
disease in a very short time.
The Kali Brown- Has been used by me in similar 
cases of more chronic & obstinate character 
with good results. I usually give one grain 
of the 1st Trituration every 2 or 3 hours (North Amer Jour of [Homeo??])
[illegible] according to Dr. E.M Hale will
relax rigid muscular fibres with much nine certanity 
than any other Drug. May be given with much 
benefit in rigidity of the os. in Five drop doses repeated a few times
very often during the progress of an otherwise natural labor, the anterior
lip will be found tumefied & wedged in between the head of the

Rodophyllin. We have a pretty good knowing off 
this agent, yet it is not generally used. Like Aloes & Nux
Vomica, its action is upon the nerves, vessells mucous
membrane of the rectum, and a reflex action, upon
the other pelvic viscera. It causes dysentery, haemorrhoids,
prolopsus ani & uteri, conjunction of the 
uterus, premature menses and abortion. It seems 
also to cause a great deal of ovarian irritation
Cimicifuga racinosa. Macrotin. Possesses 
great curative powers over diseases of the female
generative organs. In all severe uterine ailments 
it is the great "shut anchor" of the elealis 
school. Its profound action upon muscular, fibrous,
& nervous tissues give it a great range; in rheumatic, 
neuralgic, spasmodic, & even inflammatory conditions 
of the uterus it is rivalled but by few amll
I have used it in such afflictions, as well as in 
hysteria, dysmenorrhoea, congested cervix-uteri, and 
prolapsus, with happy effect. In suppression of 
the lochia it is the most absolute specific, In 
the so called spinal irritation of females it is important
Vis N. Amer. Jour. of Homoe of 1860 about & its treat
For pruritus or apetae of vagina use injections
of tincture of Crolophyllerum, weak dilution of 
Ammonia, of Borax & morphine solution (migo 
prescription ꝶ Borax ℥p)
ay, Rosae ℥vj)
Murp sulph gri vj ♏︎.)
Ulceration of the os. The patient use of arsenicum and 
Neacrotica, with daily injection of weak Calendula
water, or Chlorate of Potash, or a dilution of tincture 
of Hydratus conad


Aletri-farinosa- Aletrin- This remedy 
has been known to cause abortion and premature 
profuse menses. The blood discharge is generally 
black & crapulated; the pains are pressing, distensive
with a great heaviness in the uterine
region. It is homeopathic to congested & engorged
state of the womb & ovaries; to atonic conditions 
of the organs & the ligaments of the uterus. It
has cured many cases of premature & profuse menstruation 
and prolapsus uteri, & has prevented 
many threatened abortions.
Caulphylleum_ Caulopbyllin_ It has caused 
abortion and premature and scanty menses, with 
some spasmodic pains; it is more homeopathic
to spasmodic, irritate, and neuralgic conditions
of the womb them to congestion, It is useful in aphthous
inflammation of the vagina and os; to false 
pain preceeding labor, dysmenorrhoea, after 
pain, prolapsus & rheumatismus uteri. In slow 
labor with feeble pains it is better than Ergot.
Hydrastus-Cauadenti. Hydrastin. This is one 
of the most valuable among all on indigenous
remedies. It must resembles China & Iron 
in its effects upon enfeebled muscular tissue
But it is [af??] mucous membranes [?t?l] its action 
in the most noticeable- it causes congestion inflammation,
with unhealthy ulcerations. King says: "when
taken in very large doses, I have known decoction
of Lu Golden-seal to produce to produce excessive 
secretion from the mucous surface of the 
mouth and nose, so much so that the secretions
were removed by the patients in long tenacious shreds or 
pieces." And this is its effect upon all the mucus
surface, yet they (the [??lectiods]) use it successfully
in similiar [blenorrh???]!
It has cured bad leuocorrhoea with discharge of 
yellow tenaciun mucous, or ulceration of the vagina & uteri 
with discharge of foetid excoriating pus. If analogues are Kali, Biesehar,
Sulhharour, Iodine, & Kali Tehloreum





when she [is about to]
wants to pass water has 
pain in meatus & has 
to wait some time-
feels as if she wanted to 
have her bowels moved 
menstruation delaying
5 to 6 weeks-
Discharge normal
has leucorrhoea -
discharge white or creamy
When she dumps her 
pain in small of back
after [s??eney] which [cross out]
extends around to [cross out] to 
[g??tne] region

cold feet & legs up to knee
cold sweat on them-
when she is about to go to 
sleep warm flashes pass
down her body- starting from 
epigastrium- bowels rem
continue- [illegible]
Has an aching pain 
in small of back 
when she menstrates
has a terrible aching 
about region of uterus
extend down

Friday morning
Dr Sheet
I wish you would 
send me some medicine for 
the girls, when they have their 
courses, they suffer so much 
pain, are so very free about 
eight-days, as bad the last 
day as the first; the pain is 
almost like the cramp colic,
Mother says you would releive
the pain if I would 
tell you, so please send me
something for them.
M.C. Gilman

Reproduction is essentially a phenomena or rather
a function of life and the manner in which it takes
place is varied as we ascend or descend the scale of organ 
sized [cross out] beings. In plants which constitute the lowest order
of the organic kingdom and also among those animals
that nearly resemble plants reproduction is simply a
multiplication and occurs in two ways- viz Tusaparous 
or by division_ and Gemiparous or budding- As we 
advance in the scale we find a many the higher tribes of 
Animals the True Generative forces- which consists 
in the union of the contents if two dissimilar cells. The 
"sperm cell" & the "germ cell". In order to effect a union
of the "sperm" with the "germ cell" the concurrence of two different 
systems of genital organs, which are set apart for 
the formation of these two kinds of cells, is indispensible
Neither the Male nor the female is endowed with the 
independent power of reproduction_
Page 44 By- Offin first mouthful loss of appettie
[cross out] with dry month dry parched lip-
can't bear to move-
Calc C. Luraphley not eaten the opium
cold damp feet- Never sleep after 3 Am- Vertigo 
going up stairs-[cross out]
Chen-- Remark persist & [perp?e] cant give
any civil answer--
If not- [cross out] When She is free of inward grief
inclined to keep things to herself- Empty 
gone feeling of pit of stomach
Lycp-Feel fever up to [illegible]
[illegible] Neay-[illegible][illegible]
[illegible][illegible]


This- Receive [cross out] [illegible]- [illegible]
of weakness across the abdomen
[?uls]- Very [o????] [illegible] in morning
[?ulss]- Flashes of heat [illegible] if head-
Always more let H & 12- my wakeful thought
thight cold futher [Vr?] in to be of feet right
walk- (when [illegible] feet not phor)
[Medi???] [tre????] it is 

1
The treatment of abortions
solves itself into & includes 
the means to prevent its occurrence
When it threatens
and when on the contrary it 
is inevitable to accomplish 
as speedily as possible. The 
complete removal of the entire 
contents of the uterus-
Under the first division a 
consideration of the various 
causes which produce the 
accident will be of prime 
necessity in conducting a [cross out]
successful treatment, [Aurtar]
the causes of abortion are 
numerous and both of a fewer 
& [??ewd] nature- If must be 
well to consider them in relation 
to this further that-
division- As malformation of the 
pelvis, accidental injuries and 
the disease and disfigurement 
[of] to which the uterus


2
is liable, and the various 
morbid conditions of the ovum
& placenta leading to the death 
of the foetus are among the
chief direct local causes
of abortion- it will be need [illegible]
& bear there point well in 
mind and apply, & one such 
therapeutic means at our disposal 
& connect them
[cross out] the several causes [cross out]
embrace all three state of the 
system which are apt to excercise
a more or less direct influence 
upon the progress of also [illegible]
sudden [sh???], mental emotion
& impression upon its nervous 
system, Eruptive fevers & acute 
inflamnatry [a???] have all 
been known to produce abortion 
Syphilis is known to be a frequent
cause of the death of the foetus


3
undoubtly there must be [??morr]
cause a predisposing cause as 
may they trivial in themselves
excite the accident in some
women while in others tea 
[cross out] pregnant 
uterus remains unaffected by 
the [pare???] injuries
It is in [cross out] [cross out] gradiating 
this the tendency to abortion 
that many brilliant results have 
been a tamed by proper [H????]
[illegible]- I [re???d] may cases
of this kind by experiences


The few remarks I shall open on this 
subject will be cheifly in answer
the proposition- What is to be done 
in cases of acute abortion in progress
& the subsequent treatment of the 
accident-
The subject naturally divides it 
self into prevention. The means of 
relief & [m???] in can pretation in
impossible, & the susbsequent 
management-
It would be under to enter onto 
any elaborate definition here of what
abortion is- It is sufficient to apply 
the term to any case in which
pregnancy is terminated before the 
foetus is [na??] of which then
is little or no [illegible] before the 28th
week
Women who have aborted more 
than once are peculiarly liable to 
recurrance of the accident 
This can generally be traced to the 
existance of some predisposing cause
which persists through several
pregnancies- Syphilis, glixint 
placements of med & morbid state
of the Mucus membrane - a an 
irritabe condition [in????]-


Abortion-1
Incatment of 
Premature Expulsion
of foetus are [sw??] of}
great frequency}
rarely directly fatal
put induce of the part}
debitity from proper}
loss of blood and 
is one of the most
prolific causes of uterine disease{
in after life because{
of carelessness of women{
Abortion is usually defined}
to be the [cross out] expulsion}
of ovum before the end of 
4th month of utero gestation)
Is best applied take can 
in which the pregnancy she}
[illegible] alive before foetus viable}

[diretr??] I continued [cross out] to look
for the suitable remedy until 
the Woman per so rapid [??haui??]
that she never round-
(The Haemmhage which is often very
profuse & [cross out] persistent and 
(constitutes one of the gravest symptoms
(of the accident
If the pregnancy [cross out] be early 
it c pobuble that the entre 
ovum will be shed with little 
trouble and often passes unperceived
in the clots which 
surround it.
After the 2nd month the 
rigid & undilated cervix presents 
a formidable obstacle to 
the escape of the ovum and it may
be a considerable term before 
there is sufficient dilatation
to admit of it [pass??]
Note found between pp.42-43 
of original J.G. Streets manuscript

2
up to end of time month}
Ovum generaly coat of [??miss]}
& the effort comparatively 
easy -}
after the placenta has 
formed from 3d to 6 months}
amnia general rupture}
Foetus is expell by [illegible]}
& placenta generaly shed}
[e????] no in [indi???y]}
labors-
From the [f?????] of placenta}
wherein of the [pe??] the}
[sece?ding] are retains}
Lcas first risk from}
Hammorhage of [t????]}
Abortions are rarely directly 
fatal. I do not remember to have 
lost but one case and that 
was when I was fresh from college
& from the mischerns teaching 
of a [illegible] thing-[cross out]
[illegible] [illegible] was_ The [cross out]
surtaba Hern [serv??] more
by sufficent at joinly in 
penned with the [conec??] of them

1
May 23-Was called in haste about 
2 PM. too see Mrs Ellasticher- about 
6 or 7 months pregnant- for the first time-
Found her [cross out]in bed surrounded by 
several of the neighboring woman- She
was making a Moaning Noise/ turning 
violently from one side of the bed & 
the other- this state of things continued 
for several minutes after 
my arrival_ She became quiet 
fixed her eyeballs began to twitch
the eyelids to draw the corner of the 
mouth towards the right side- [??ed]
the eye & head in same direction
opened her Mouth wide & breathed 
with a series of spasmodic in [s??ing]
movements accompanied with 
a brassy ring of the sand [in???nat]
finally the jaws became fixed lightly 
together & every muscle of the body


apparently [cross out] was thrown into 
a state of clinic spasm- the 
features became dusty & the saliva
ejected from the mouth mixed with 
blood from the wounded tongue_ the 
breathing hissing & finally this condition
after lasting a minute or terr [cross out]
paned off by a relaxation of the 
muscle & the patient lapsed into 
a comatose condition with stenterus
breathing- [I??w] inquiry 
into the circumstance of the case 
I was informed that she has been 
about the house as well as unable 
in the morning- had partaken 
of a light lunch about twelve 
shortly afterward told her sister that 
she had a pain in her hand & would 
go upstairs & lie down- her sister
had gone as to [su??] the was 
feeling about and over from the 
anscion- [cross out] & the wash bowl
containing some bilious looking 
matter she had vomited

She had been trouble with 
an unappeaseable [abbe??t??] 
for some days & two or three
days previously [had] her face
& hands had been noticed to be 
much swelled_ Reopening 
the case as [illegible] 
I prepared our Bell it as water 
& as I am as the breathing had 
become regular enough to admit
of its administration I gave her
a teaspoonful- In a few minutes
she became again [xti???] 
the restlessness continuing for about 
15 minutes when she suddenly
became quiet & had a [illegible]
qunince of the [a????]
[illegible] above described-
But ever administered after each 
attack which occurred at intervals
4 about 25 or 30 minutes_
until 4 PM. When I sent for assistance-
Hydrocy ac & [chl??]
The convulsion growing harder with


The same & [otente???] & hissing 
breathing & turgid of the features
mont more decided- We gave
be a few drop if off- Hydad 
diluted 1/2 Meth [ala???] in 1/3 
tumblerful of water- Also gave 
her an injection which was follow
by a copious movement from the 
Bowels- the [a????] having already 
been expelled involuntary 
the [con??] in [outi???] to recur
about in the same order 
but increasing strength an 
examination of the uterus
seveabe an os sufficiently 
dilated to make out a breech 
presentation but no contractions
a drachm of chloroform mus 
at about 1/2 five o'Clock thrown
up into the rectum with a 1/2 teacupful
of milk- The convulsion
following was lighter &
nearly an hour elapsed before 
the occurrence of another. Which

2
Was about the same in intensity
with the others & 
form thus time they seemed
to the rather increased in frequency
3 or 4 in the the hour- about 
2 O'Clock an attempt was 
made for same time to dilate
the womb sufficeantly to induce 
labor with the finger
but must out any decided effort
about midnight Hger Mr
[admin??te]- The condition 
of the patient was now frightful
during the short interval she 
med remain with teh [cross out]
swollen finger protruding
an inch more from the Mouth
blowing the pretty saliva a foot
with a stentorus hissing [exb??raty]
& [cross out] lind in [ober???tion]
toward day break she became 
unable swallow- the aurvuls
two on a double paroxysm


she would afferents get over 
an attack but instead of closing 
her eyes [cross out] she would remain
with them widely staring & soon 
another attack of convulsive
movement would begin after
which she would lapse into the
apopleptic stupor for a while
about 4 o'clock she began 
her head training her arms to 
her head & then bringing them down 
to the side again [ou?stants]
in the internal between the
[illegible]-chlorform [illegible][illegible]
to the more & the caustious 
inhalation permittes- this had 
the effort to quiet her & [illegible]
[illegible] with same difficulty-
about 1/2 part 
the arms [illegible] together_the
internal by increased & [illegible]
1/2 part eight one of the

afterwards hearing a good
sound called my attention to 
it when it found that she 
had miscarried- the membranes 
remaining irrituab_ the 
placenta one [illegible] without
difficulty- she had two 
[ci???] afterwards = In
the after noon she still 
remained in sofer at of 
mar administered = during the 
night her sleep was intermittent 
with restlessness
May 25- 9 am [cross out] Patient 
restless with vacant look-
yet she made show of consciousness
when I entered the 
room & I thought recognised= 
me = made effort to protrude tongue
when I requested but of pulse 120
soon lapsed into stupor it 
often she recognized her 
husband & been conscious since
memory gone. When I called


this afternoon (4 PM) She said 
"I did not know mother had [illegible]
to [illegible]"- 10 P.M Drew off about 
a qt of urine- she has not passed 
any for 24 hour- said she felt 
better- complained of much aching 
all over
May 26 10 am pulse 128 hand 
& feet over cheeks flushed & hot, slept
[illegible] during night, waking frequently 
however & complained of aching 
in limbs & head & of the tongue
Which in spite of effort to 
guard against it mended 
sererely= very thing [te??ae]
disfaced to be dry slighty coated
tenderness over [?iters]- painful to 
touch- noticed a white dif
cheritic looking patch of an 
[illegible] near mentor_ acw
5 AM, Pulse 128- general bent 
of body= does not remember that 
I saw her before today
had a slight movement of bowels
had to draw off urine
[Su???de] discharge often [illegible]

3
[May 27- Pulse 132- Respiration 52
skin hot, tongue inclined to be dry- abdomen 
tender, lochial discharge offensive,
wants cold water constantly 
asks for food & takes it, sleep heavy-
temperature 103°- Ver V- 10 am
Bladder still paralysed- drew off 
water today- 10 PM Pulse & temperature
breathing about same 
tongue not so dry- has had 3 or 4 
small brownish watery movements
from bowels- Thirst excessive-
aura & v, V-
(May 28- 15 AM Pulse 132-
Respirat 44 Temp 102.5-
Pulse not free nor strong- tongue
moist slightly coated with whitish
fur- not quite so thirsty- takes 
chicken broth_ [illegible] rational
complains of aching pain in face


of [cross out] pain when breathing around 
the upper part of abdomen_
Walls of abdomen are soft & [gi??]
about pressure on uterus which 
is toward the right side causes
pain- she can not lie afar 
right side but lays on her left 
on a back with legs extended-
Cerupenes [illegible] out 
of hot water & [dr???er] with oiled
sila have been left on abdomen
Luchial discharge continues 
whiteish & fetid- sleep during 
night nor good, procured 4 stools 
during the past 12 hours which 
were brownish & watery- a slight 
perspiration observed on her
this morning
10 PM- complains mine of 
the soreness in abdomen draw 
of be urine which though not 
so offensive as in morning state,
smells badly- like urine that has been

standing in a open vessel for a day 
or more- This morning the point
of the catheter for 1/2 inch 
blackened by urine-
[?are Bell & V.V-
(May 29- warm
(Pure 120- Resp_ 44- Temperature
with taken_ Hands & feet
cool_ Excepting 2 hours. slept
tolerably more- during the two 
hours she was quite restless &
complains of the [illegible]
abdom also of the feeling of 
weight & pressure in pelvis- Had
one large loose yellow movement 
this morning- the first since
yesterday morning- rumbling 
in bowels bubus [mel??oim]
lochia whitish & fetid- no action
of blood- renamed about point or more 
of urine Bell & VV
L. [illegible] Pulse 140- Temp 104.5
mine restless complains
Note found between pp.68-69
of original J.G. Streets manuscript

much of [?erenum] in abdomen
when [illegible]- can lie in no 
position comfortably except on
left side with knees flexed-
no metecrion & no excurine tenderness
on pressure in abdomen 
yet she says it makes her feel
sick all on when I pressed there
[a??] [illegible] 10 PM. Pulse
140- Temp 102.5- complains
of feeling hot get [cross out] apparent
temperature to [illegible] not good
place flushes at time chan & [A???]
(May 30 wau
Pul. 132. Temp. 102.5. Resp 42
Tongue coated at sides with creamy fur 
not dry- Had one large yellow stool at
6 AM only one for 24 hours- slept better last 
night than night before can never lie 
back & does not feel to [??ve]_
5 PM Puls 32. Temp 102.5 Rest 40
has not been as thirsty to day & can lie on right
side
10 PM Pulse 132 Temp 102 Res 40
lies on right side comfortably
The [jea??] for Administrat of [cha???]
[cross out] feeling of heat while her 
hands & feet felt cool to observant
also a tendency to a flushing of one
cheek-

May 30- 10 am
Pulse 132
Temp 102.5
Resturat 42-
Tongue- coated at 
sides with creamy 
fur not dry 
Had one large yellow
movement at 6 AM
the any one for 24 hours
Still rather better last 
night stay might before 
can lie on her back
better- & does not feel
so sore-
5 PM Pul 132
Tempature 102.5
Respirat 40-
can lie on her back
not so thirsty-
10 PM Puls 132
Temp 102 Resf 40
Lies on right side 
comfortably
May 31- Puls 132-
Respirat 38 - T. 103.
Slept well during night
has tendency to cold 
hands & feet with a red 
cheek & complain of feeling 
very hot- Wha as
the mum says she dont
feel a bit [illegible]
no movement of bowels
no action of bladder White 
offensive lochia - drink 
cold milk- chan racor

May 31- Pulse [illegible]
Ref 44- Temp 103
complain of sharp
pain behind sternum
hurting been
when she breaths &
as she says makes her 
restless - had 3 large
yellow movements of 
about 3 PM in quick
sucessive [sta???]
talks thick & cant 
think or say what the 
desing to - says her 
throat & tongue is dry 
although it seems moist
covered with whitish 
fur, has also a dry
short cough
Bryonia-
P.S. She also said she 
had a ringing a her
ears while I sat by
her this aftn
4 PM Pain in chest
worse - sharp & stiching 
immediately behind
& to left of sternum, rapid
breathing, restlessness 
faint feeling - ringing in 
ears Patient seems almost 
exhausted- for 
two or three day 
her later here than 
two qts of milk a day 
meals 3 qts [Ans?] & milk
punch 
[illegible] Puls 136
Resp 56_ Temp 100.5
7 movement of [cross out]
yellow colour large small
& offensive-
5 PM Pulse 140-
Resp 56- Temp 102,
has has no movements 
[??er] morning
10 PM - Puls 180
Resp 48-
[Refer?] lying on back

The wide extremity of the Fallopian tube, accordingly, 
which is her [de???] toward the ovary, is lined with ciliated 
epithelium, & the movement of the cilia, which is directed
from the ovary toward the uterus, [mod??es] a kind of 
[illegible], [illegible] or watery, by which the egg is necessary
drawn toward the [?a?uv] portion of the tube & subsequently 
downwards into the cavity of the uterus-
The egg immediately upon in discharge from the ovary, is 
ready for impregnation. If sexual intercourse happen to 
take place about that time, the egg & the spermatic fluid
meet in some part of the female generative [cross out] passages & 
Lucomdatiar is accomplished. If on the other hand coition
do not take place, the egg passes down to the uterus unimpregnated,
loses it vitality after a short time, & is finaly
carried away with the uterine secretions.

179
neuralgic Tumor
Develop from cold perhaps-
great deal of 
pain more at Menstrual
period- Cot fig Athis Graph
Cham Acn Shig Mene
Arm-Bry-Jerat good deal
of pain- a going to bed
wont let her sleep-
Nuve Coe had Pals
Tine-Pho
Arvs in breast Grap
cen-Ahum-Cart an 
Clemat-[illegible] Bay to Bry 
& such-
Polypi Uteri 
More rare than cancer
Btween 30 & 40- pre quarter 
in the maine of women
Apt to ulcerate in process
time- Seldom any pain 
usually great deal of 
Haemorrhage_
5 vanit 1st resilculern
2 Sarermatous or of a cancer 
our nature- 3rd grangula 
or cauliflower 4th fungus


180
Bleeds easily- 5 the 
fibrous which are the most
common
Calc C- [S?i?] the most 
cases- Next Calc one Cimem
Phrs- [Stahhi???] 
again Arurum- [f??]- Lycit 
Murc-Mbez-Sep-Silc-
shrya-[cross out] Beci-grap
phosac-Sulph ac
Moles or Hydatids
[illegible]- Sanguious & 
Lymphatic prigmatr
from the death of 
foetus- Also former 
sometimes when the 
menstrual fluid is retained 
In such case
as Lattes-till ac-Phosacstrimtiamn
Lymphat kinds are cared 
more freely- By sulph ac & 
beware
In the expuls if the 
thisty- & Hydatid 
Puls-Secali& Sabrin-Sepcamth-
Calc-Silic-Bell-Kali

181
Hyster aligiar_or
An Inifable uteus
of various grades-
More is more an pain
[lind?ness]-diserden menstration
&c- may occur at any 
time between puberty & 45 
years
Cant all time trying 
to [?elel] mind but can't
succeed more after 
that least movement
if she tightens her dress
feels better in the moment
Dress- unthing head from 
feet to heart
cvc Ind- great oppress
of chest- Feels as if a 
large stone were lyeing 
in sternum- Good deal 
of griping & moaning
pains running [u???]
from stomach to back
Fainting nausea
[illegible]_ Uterine cramps 
with digging in the 
vulva- stitching pain 
extends from the uterus 
to right side of the 
chest. Feels she must 
touch something


182
[Pl??] Sensat is a storing 
mere drawn from abdom 
to back.
Ign-Much [S???ing]
taking long breath
peg sense of menus 
at pit of stomach
May Mun- When pain 
extend down the thighs
from the uterus- [constit????]
large crumbly stool
[illegible] [Patu??] usually worse 
in the morning-
Bell- clutching pain 
in the Hypogastrium
Bry- Sense of pressure & 
fumes at the pit of the 
stomach
Cham When the uteri 
or cramps are attended 
with a pulling sensat 
down to the thighs
She can't sieze any thing 
with the hand
Myes- When the Uterine cramps
seem to pull from the 

183
small of the back
Nat Mon-Uterine cramps 
with burning & cutting 
in the [p???]
[illegible]- Uterine cramps 
with pain from Sacrum
to Pubes
Sep- When the Uterus 
felt to if is moved [me???]
she crosses her 
legs to keep it in-
empty gone pulling at 
the pit of stomach
Darting at the neck of 
the uterus
[Stemr??]- She can't talk or 
sing because it makes 
her weak in her chest
Vay-Fisheter
Of various kind- [illegible]
vay fisture- [illegible] [illegible]
Puls-futie-Lycy-Calc Lulful 
the most [illegilbe]-Nagt-
Nitre-er-Mya-Petrol-
Caus-Sep-Lach-Phos-
Note found between pp.142-143
of original J.G. Streets manuscript


184
When called upon to prescribe 
a patient our
great aim should be 
to cure him
Large swell about the 
knee If not sensitive 
is comes by Hep
If very sensitive & tender 
Silieca

177
Bell-When red streaks
radiate over the 
breast from the part affect
Ars Burning pains like
fire- putrid ulcer-
great exhaust- emaciat 
Helpful- When the ulcer 
in Indirect is surrounded
by little ulcers-
Cam Amindy- [Indur???]
empty gone feeling at pit 
of stomach
Graph- Indurat's [se??]
to arrive from old cicatrices
A constitutional improve
will be the 1st manifest 
of an improvement-
[E???ment] of Biceste 
in [illegible] of taking 
cold Bry-Beli
Sometimes [illegible]
of not [men???]
Puls-Bry-Conum-Sulp-
Lyoup-
Milky or buttery tumors 
churned by milk [E??up]
between [illegible] not harmful
[be??mat]
Bell By merc wine

178
cause absorption 
If these tumors remain 
a long time & 
become encysted with 
become a [B???] turn
Calc Grap Sulp-Bay C
Hep-Nil ac
Cysts- Of various kinds
serious segrumenrs &c
serous kind- Buls-Grap
Rhm Yulh-Sili-Arm 
Lycop-Nun
Sero Mucus- generally 
sult pain are injury 
Arm-Core-Sulp-Lich
Lipoma or Fatty tumor
the result of a Hydatid
why of [av???] what 
Bring calc-iod-Auti
Sulp-Lyart-Atumina
Hypertrophy of [Parench??]
of breast- usual confined 
to one breast
Calc of at More-Armt grs
Sycop-