CTELOIXRKII ITS PREVENTIVE AND CURATIVE TREATMENT. SIMPLIFIED FOR DOMESTIC USE. Price 25 Cents. We Jlegoti/itd loa^s UPON Improved Farms /Ranches Sums to Suit Borrowers for Long Time. Vendors' Lien Notes Purchased. WE ALSO Transact a General Real Estate Business. WE CAN OBTAIN Good Rates of Interest for Investors Lending Money upon Mortgages, through our Agency. W. J. B. PATTERSON & CO., Investment Bankers, 281 Commerce Street, SAN ANTONIO, TEXAS. Office of " The Texas Security and Financial Company." COPYRIGHT, — 1885,- Dr. John Geo. Bovven. CHOLERA : ITS PREVENTIVE AND Curative Treatment, SIMPLIFIED FOR DOMESTIC USE. BY JNO. GEO. BOWEN, M. D. " Be sure you are right, then go ahead." -David Crockett. NlBBs> CONTENTS: PART I. Page. Introductior 7 Definition, . . . . . . . n History, . . . . . . . . .11 Causes, . . . . . . . . 13 Propagation and Spread, 15 Stages and Symptoms, . . . . . .16 Complications and Sequela; 18 Diagnosis, . . . . . . . .19 Prognosis, . . . . . . . . 19 i 1 UgllU&lS, Treatment (Preventive), 20 Disinfectants, Antiseptics and Deodorizers, . . . -23 Water, ........ 29 Pest for Pure Water, . . . . . . . 30 Quarantine, ........ 3 1 Cholera Discharges, y- Individual Precautions, ...... 32 Diet 34 Treatment (Curative), ...... 34 History of Four Cases of Cholera, under Homoeopathic Treatment, 34 Adjuvant Treatment, . . . . . . . 3S ight Homoeopathic Remedies for Cholera 40 Rules for Giving the Medicine, . . . . • . .40 Tabulated Directions, ...... 42 PART 11. Comoarative Results of Different Treatments, . . .46 Innoculation: Its Curative Range and its Dangers. PART 111. An Explanation and an Argument in Favor of Homoeopath y, . 54 Fifty Reasons why Homoeopathy is the Best Method of Practice, 61 PART IV. Homoeopathic Materia Medica of the Eight Cholera Remedies giving their Curative range in other Diseases. . . -67 INTRODUCTION. tHE subject of Cholera has been written upon, and fully discussed, in all its departments, by many able and experienced physicians and journalists. My modest effort is not to present anything new to the scientific reader, or to the Medical public, but merely to briefly, plainly and intelligently offer the subject for the consideration, especially of that portion of the reading public, who do not know what Homoeopathy is, or who can not obtain or readily avail themselves of the services of a Homoeopathic physician, in time of need. It will enable them to secure the best means for protecting themselves and their families against the inroads of that dreadful scourge, Cholera, which is threatning to invade this country during the ensuing summer, or during the summer of 18S6. It is on its march, and will most certainly come to us, sooner or later. My intention is, to present a carefully arranged compilation from the writings of the best authorities on this subject, and thus place within reach of every family, such knowledge as will enable 8 them to prevent an outbreak of the epidemic among themselves; and if it should occur, to treat all cases from the very beginning with the proper Homoeopathic remedies, which will in the majority of cases, produce the most favorable results, even in the last stages of this most malignant disease. I have endeavored in my language to avoid all ambiguous and medical terms, so that any one of even ordinary intelligence, can not fail to understand my meaning. One of the principal objects of this work is to perform a double mission: on the one hand introducing Homoeopath)' where it is unknown, and on the other, furnishing an intelligent method of treating cases of Cholera or other diseases by those who can not readily secure the services of a Homoeopathic physician. I have also added a short analysis and proving of the drugs, I recommend herein for Cholera, giving the special indications for the use of each ch - ug, so that the purchaser of these few remedies will not be at a loss to use them for other diseases, in the event of his not needing them for Cholera. My comparisons and arguments in favor of Homoeopathic treatment are made in a true spirit of fairness, liberality and justice. My statements are well authenticated facts, and from anything that even savors of that spirit of bigotry and narrowmindedness which is characteristic of the attitude of the Old 9 School towards the New. We are none of us infallible; and I, for one, am always glad to learn something new. Medicine should be regarded by all as a liberal science, and if any of my " old school" friends should read this little work, I ask them in justice to their patrons, to science, and to themselves, not to condemn before giving an impartial trial. I ask for no jury, nor do I ask for the benefit of any doubt; the results alone will furnish the necessary proof. For a more complete work on this subject, I respectfully refer to Joslin, Wells' work on Epidemic Cholera. John G. Bowen. San Antonio, Texas, July i, 1885. PART I. CHOLERA: Its Preventive and Curative Treatment, SIMPLIFIED FOR DOMESTIC USE. DEFINITION. Asiatic Cholera, as this disease is generally called, is an acute specific and usually epidemic disease, presenting the following symptoms: Uneasiness in the stomach, then nausea or pain and burning in the stomach ; frequent vomiting, and rapidly occurring rice water discharges, with or without pain; profuse perspiration and great ¦prostration / severe cramps, intense thirst and husky voice. The secretions, urine, bile, saliva and tears are frequently suspended. HISTORY. We have no positive knowledge of the existence of a specific cholera germ. This disease was reported in India as early as the year 1503. It prevailed from time to time, with more 12 or less severity, thereabouts, until the year 1817 when it broke out, in the commencement of its Jirst general epidemic, in the marshy regions of the Ganges, at Jessore, near Calcutta, and died out in 1821, on the coast of the Mediterranean Sea. The Second Epidemic commenced in India, in 1826, and was forwarded by the traveling public to Central Asia, thence through Europe as far as England and Ireland; thence to the United States. The Third Epidemic commenced in India, in 1842, was spread in like manner by the traveling public through Europe and as far as California, in America. The Fourth Epidemic commenced in India during the month of April, 1865, and was transported by pilgrims and emigrants to Europe and America. The Fifth Epidemic began in India about the year 1869, and slowly advanced through Persia, transported by infected caravans. It appeared in Russia in 1 871 -72 , and spread to Germany, thence to New Orleans by vessel, during the winter of 1873. Its entrance was overlooked by the same quarantine officer, who disregarded the Yellow Fever, in 1873, which so heavily afflicted the South and West. THE SIXTH AND LAST CALL. This began in 1883, in Egypt, and appeared in the south of France in 1884. Fifty thousand people were carried off by this plague in Egypt, in 1883. It has been imaging with great vioence in France and Spain, and we may confidently expect it 13 to reach Germany, England and America, during the this or the following year. THE CAUSE. We know what the Cholera is not, but all the scientific observations and experiments up to the present, have not discovered to us what it is. The true nature of the poison is unknown. Quite a number of theories have been advanced, but they are all open to more or less objection. It is, however, a well established fact, that this virus originates in the ejecta from affected persons, and that persons exposed to it are very liable to become affected, in from a few hours to about three days afterwards. This poison is taken by inhalation or otherwise; and it is propagated or diffused by contact with infectuous material or infected persons, arid it becomes epidemic wherever there is putrescence, filth, or impure air. It has been noticed that the present epidemic in Spain followed the water courses and infected all cities along said streams, below the place in which the disease originated. It is a disease that is not considered as strictly contagious, but I think the safest way is to consider it, for practical purposes, a very contagious and highly infectiozis disease, that is -portable and communicable; and to advocate the most rigid quarantine against all infected districts, and the fumigation of all freight, ships, trains, etc., that are allowed to enter the town or city therefrom, and especially to thoroughly disinfect the contents of all trunks, valises, and loose or enclosed baggage 14 containing the wearing apparal of travellers from infected localities. Petenkofer has shown that the contact of the discharges, with putrid animal matter, especially favors its development, and that the poison is not usually present in stools just discharged, but is generated at a later period; hence there can be no question that the imprudence with which cholera discharges are emptied into common privies, gutters and sewers, promotes the disastrous spread of this disease. During a Cholera epidemic, the discharges from a person who apparantly has only an ordinary diarrhoea, should be subjected to a disinfecting process, such as hereinafter described, because if this is not done he may leave behind him in the closet, matter which may give rise to a most deadly epidemic. Hotels and all public houses should not only be required by law, to disinfect daily, but the law should be strictly enforced,, by the Board of Health, during an epidemic. The predisposing, and exciting causes, and controlling factors are, according to the order of their importance, as follows: 1. Direct exposure to the Choleraic discharges or to the contagion of the disease. 2. Fear. 3. Persons subject to diarrhoea. 4. Intemperance and licentiousness. 5. Nervous depression due to fatigue or debauch. 6. Improper food and impure water. 7. Impure air and filthy surroundings. 8. Heat, moisture, and vegetable or animal decomposition. 9. Exposure on cool nights following hot days. 15 The Cholera poison may be swallowed, inhaled or absorbed by the skin. PROPAGATION AND SPREAD i st. By contact or direct exposure, carried by the travelling public, in clothing, by trade, especially fruits, vegetables, etc 2nd. To some extent (not more than a few miles), it is carried by the wind ; to a much greater extent it is propagated by a close, hot and stagnant atmosphere, impregnated with products of fermenting human excrement, and also where the ground is rich, low, swampy, or containing decomposing vegetable matter. m 3rd. By drinks, especially water; the poison is drained through the soil into the well or river water; and by drinking or bathing in such water, the poison enters the system. sth. Low, flat lands, where there is a subsoil of clay which retains moisture in the surface soil, are localities, that favor the propagation of this, as well as other infectious diseases. Mr. Farr, Registrar General of England, for 18^8-9, after considering the contributary conditions to the development of Cholera, such as density of population, poverty, intemperance,, uncleanliness, etc., concludes that the influence of low and unwholesome soil, is by far the most potent exciting cause. This observation is as old as is Cholera itself, and the exceptions to this do not affect the value of this statement. In Toledo and Sandusky, Ohio, both situated on low, rich plains, the fatality was terrible, lv Sandusky alone, seventeen 16 physicians died. All excavations within the city limits should "be prohibited during an epidemic. To illustrate the necessity •of this, I will relate the following: On Saturday night, July 24, 1852, a ditch was commenced ior the purpose of laying pipes through Ellicott street, Buffalo. On Monday the work was renewed, and it was opened completely, on Tuesday. The Cholera was prevailing in a mild form, in some other part of the city, but Ellicott street had always been regarded as healthy, and had almost escaped in previous epidemics. It was occupied by the best class of citizens. There were twei.tv residences on this street, contiguous to the ditch. On Monday, July 26, the first case of Cholera occurred among the residents of this street, and on this and the two following days, there were nineteen cases and nine deaths. The ditch was closed by order of the mayor, on Wednesday, July 28, and from this date there were no new cases." SYMPTOMS. These may .be divided into four stages, namely : 1 st. — Stage of Invasion. 2nd.— Stage of Development. 3rd. — Stage of Collapse. 4th. — Stage of Reaction. First Stage, we have a watery diarrhosa, lasting only a few hours, or several days; depression of spirits and muscular prostration; griping pain, thirst, and occasional vomiting, and at sany time it can pass into the 17 Second Stage. Many cases begin at this stage and pass quickly into the stage of collapse. This stage presents copiouswatery evacuations; the characteristic "Rice Water" discharges, very painful, or at times painless. The vomiting is frequent, often simultaneous with the purging, but not occurring so often, and being bile-stained water, leaving a bitter foul taste. This drain upon the system causes intense thirst and exhaustion; the eyes sink into their sockets and stare; the temperature falls below normal, and the hands, feet, nose,, ears, lips, and even the tongue, get cold and blue. The voice (vox chorerica), husky and hoarse, which is again quite characteristic. The •pulse may be entirely lost at the wrist; cramps occur in the calves of the legs, and may travel to any part of the body. This last is also a characteristic symptom of cholera, and is the most distressing and painful feature of the disease. This stage may last only an hour or so, or it may extend to twenty-four hours. Third Stage. This exhibits the stage of collapse or the Algide Stage. If the second stage does not terminate in improvement, the vomiting and purging continue, but less frequent and less copious. The consistency of the stools vary, and finally become veryoffensive. The unquenchable thirst continues; the body becomes shrivelled, livid or pale, and covered with a cold, clammy sweat. This sweat is first noticed on the forehead. The distressing appearance of the second stage is augmented, and 18 the secretions, such as the tears, bile, saliva and urine are suspended, the entire picture being "death? Breathing becomes difficult and rapid; ringing sounds in the ears, and the stools passed involuntarily. This stage seldom lasts more than a few hours, but may even last as long as forty hours. If reaction does not take place, stupor and coma supervene, and death, with smothered moans, closes the scene. Fourth Stage. This is the Stage of Reaction. The urine appeal's and increases gradually; vomiting and purging become less frequent, and the stools are thicker. The pulse appears and the cramps disappear; the voice regains its tone and the temferahire rises; appetite returns and the patient may fall into a gentle slumber. Vomiting or hiccough may persist. Many minor symptoms may now appear which I will not detail ; but of the COMPLICATIONS AND SEQUELL^. I will mention Relapse from improper management, such as errors in diet, etc. Imperfect Reaction, from lack of reactive force of the system, and other causes. Typhoid State, from the retained poison in the blood being carried into the brain. The prognosis is generally very bad. Symptoms are: general restlessness, fever, vomiting, thirst, delirium, etc. 19 Uremia, Ulceration of the Cornea, and Uterine complica tions may also exist. DIAGNOSIS. The best plan to pursue is to err on the safe side by following the strict treatment prescribed herein of all suspicious cases during an epidemic of Cholera. Arsenical poisoning, Bilious Diarrhoea, and Choleraic Diarrhoea may be differentiated by the vomiting of arsenical poison containing blood, and the "vomiting generally preceding the purging. The two latter by not having the characteristic discharges of Cholera. The medicines I recommend herein may be indicated for either Bilious or Choleraic Diarrhoea. PROGNOSIS. The prognosis for recovery is nearly always bad, and is governed, to a great extent by the circumstances and surroundings of the case. Under Homoeopathic treatment the prognosis is decidedly more favorable, than under any other method of treatment. An improvement of bad hygienic surroundings, by the free use of disinfectants or the immediate removal of the patient to a decidedly healthy locality, will favor a speedy recovery; and it does not necessarily cause a fresh outbieak in a healthy locality by so doing. I have reference to moving patients from one portion of a city to another. Typhoid symptoms, symptoms of collapse, or an attack during pregnancy, are all indicative of a fatal issue; while the return of the pulse at the wrist, more regular and easy breathing (about twenty inspirations 20 per minute is normal), quiet, natural sleep, slight rise of temperature, (98^ ° is normal), less frequent and thicker stools, are among the more favorable indications toward recovery. TREATMENT. Under this heading I expect to embrace the most important information contained in these few pages. I will tell you what I consider best for you to do; and I will also tell you what I would advise you not to do. PREVENTIVE TREATMENT Cleanliness. You must cleanse yourself, both morally and physically, — the soul as well as the body. This is a disease in which the mind exerts an all-powerful influence, and if the soul is unclean and sinful, it greatly predisposes the body to this fatal disease, by its influence on the mind, producing fear, one of the most frequent exciting causes of this disease. Your body should be kept clean by maintaining a healthy action of the skin. This may be accomplished by exercise,, bathing, or by dry friction, over the whole surface of the body once a day. During a Cholera epidemic avoid bathing entirely. Use disinfected water to wash the parts of the body which require washing. I advise you not to bathe for the following reasons: ist. Because the desired object of keeping up a healthy action of the skin can be better accomplished by not bathing. 21 2nd. Because bathing water is more liable to contain the disease, as it is stated on good authority that when the Cholera miasm floats over water, it impregnates it with the Cholera poison by absorption. 3rd. Because the healthiest people are those who bathe only occasionally, and who keep up a healthy action of the skin, by exercise, friction, and the moderate use of water. sth. Because the Cholera Epidemic generally lasts from one to two months, and during that time, if no longer, any individual can keep up a healthy action of the body by adopting the following rules: I would recommend every one to rise not earlier than sunrise and take moderate exercise in any avocation, until sundown. After sunset every one should be in doors. The second story is best, with the windows and doors of the first floor closed. The house must be thoroughly ventilated and sun admitted to all rooms for several hours during the day. At bed time take a wet cloth or sponge, and sponge off the skin under the arms and in the folds of the joints with disinfected water; after rubbing dry, take a flesh brush or rough towel and rub the entire body, head, neck, arms, chest, back, and lower limbs. While you are thus occupied your body is airing, as it is exposed to the air of your room. For invalids and persons of low vitality after the dry friction, it is well to annoint the entire body with pure olive oil, rubbed in well, until the skin thoroughly absorbs it. It is nutritious, and is a preventive to colds in sensitive patients. Put on fresh, clean night clothes, and strictly avoid wearing the same underclothing 22 at night that you use during the day. Having followed these rules, and invoked the protection of the Almighty, you will retire to rest with peace of mind and health of body, and awake to repeat the same life next day. Before using the bath water disinfect the same by adding about one part of Labarraque's Disinfectant Solution to forty parts of water; also add a few tablespoonfuls of salt (Ditson's Sea Salt, if obtainable). Do not bathe, but merely wash, and always produce a reaction upon the surface of the body by rubbing dry. Labarraque's Solution is a disinfectant, and deals death to the Cholera germ. Salt is a natural preservative agent; excites a healthy action to the skin, and is a prophylactive against taking cold or malaria. Cleanliness is next to godliness, no doubt, and a proper and judicious use of water is to be commended, but human beings are not amphibious. Nature indicates that the functions of the skin should be kept in order, mainly, by muscular exercise; exciting natural perspiration; and, delightful as is the bath and healthful, under proper regulation, yet it is no substitute for exercise, without which all the functions of the body become abnormal. Crowded sleeping apartments, schools or public buildings should be avoided. Dark rooms are also unhealthy. DISINFECTANTS Ii the epidemic has not already reached your city or town, it is best to prepare for it, by removing all the filth and debris from houses, lots and streets, and by thoroughty disinfecting 23 them; but if the epidemic is already upon you it is better to leave undisturbed, except by as thorough disinfection as possible, all large accumulations of filth, and remove them only when absolutely necessary. We have been shown striking examples in Toulon and other places, of how dangerous it is to clean sewers, privies, etc., during an epidemic. In such a case our only resource is to modify the evil where it exists, and this can best be done by a thorough disinfection, as recommended in the following chapter on Disinfection. In privy vaults use the proper disinfectant first, and then cover the contents with lime. DISINFECTANTS, ANTISEPTICS AND DEODORIZERS. We will consider them as follows: A Disinfectant is any chemical agent capable of destroying the procreative germs of specific infectious material which give rise to infectious disease. An Antiseptic : as any chemical agent that will destroy the germs of disease created by infectious material, and it also exercises a restraining influence upon the development of these germs. A Deodorizer : as any chemical agent which will destroy bad odors or arrest putrefactive decomposition. A deodorizer or antiseptic is not necessarily a disinfectant; yet all disinfectants are antisepsics, but not all are deodorizers; hence, if we acquaint ourselves with the requirements of the 24 case at hand, and also know the nature and sphere of usefulness of the chemical agents we use, our efforts to disinfect and deodorize in and around our homes will be successful. If we •use a disinfectant and deodorizer, we must use it properly and ¦effectually; that is, in sufficient quantities and strength to insure the total destruction of the infective power of the infectious material, and to render the surrounding atmosphere pure, odorless and wholesome. For my part I consider it almost criminal negligence on the part of the attending physician, if he does not use every effort in his power to prevent the extension of Infectious Diseases, by ordering the proper use of suitable disinfectants, in the sick room and about the premises. DISINFECTANTS Which are of sufficient germicidal power worth considering, are, viz: Corrosive Sublimate (Mercuric Chloride), Potassium Permanganate, Chlorine, Bromine, etc.; Chlorinated Soda (Labarraque's Solution), etc. ANTISEPTICS Chlorinated Soda, Potassium Permanganate, Chlorides of Sodium and Magnesium, or other chlorides; Sulphate of Iron or Zinc, Sulphur or Brimstone, Carbolic Acid, etc. DEODORIZERS. Chlorinated Soda, Potassium Permanganate, Sulphate of Iron, etc. I recommend the following Disinfectants, Antiseptics and 2i Deodorizers, during the prevalence of any epidemic, or ai times when there exists- any contagious or infectious disease about the premises. Park Davis & Co.'s Concentrated Disinfectant Solution (red' Description and Use. — It is composed of Corrosive Sublimate and Permanganate of Potash. It is highly poisonous, and care must be taken when using it. It is probably the most effectual Disinfectant, Antiseptic and Deodorizer we have, that is easily obtained. It is useful for destroying the germs of disease, by Disinfecting and Deodorizing the discharges of Cholera, Yellow Fever, Typhoid Fever, etc., etc.; also used for purifing privies, cesspools, sewers, sinks, etc., rendering them harmless, and thus preventing the spread of Psease. Directions for Use. — One Fluid Ounce or two tablef>oonfuls of this concentrated solution will make, by adding ater, one (i) pint of powerful disinfectant liquid. If. placed . _ _ in a chamber vessel it will destroy all the germs of disease in infected human excrement that it comes in contact with, if left standing for one hour. A clean vessel containing Labarraque's Disinfectant Fluid should be kept in the bedroom; the discharges left standing should be kept in another vessel away from the house and disinfected with the Red fluid. The discharges after disinfection should be buried in dry soil and lime, A solution of one pound of Corrosive Sublimate and half a pound of Permanganate of Potash will Disinfect and Deodorize Five Hundred (500) Pounds (estimated) of fecal matter contained in a vault. One pound of Chloride of Lime will 26 disinfect every thirty (30) pounds of fecal matter. Professor Koch states that the Bacilli spores do not develop in a" solution containing Corrosive Sublimate, one part, to pure water — 300,000 parts. Labarraque's Solution: It is a powerful Disinfectant an c | Deodorizer. Description. — It will destroy foul odors and prevent putrefaction and decay. It is a true germicide, also. It is a powerful bleaching agent. Directions for Use — This solution may be diluted with rive times its volume of pure water, for washing nurses' hands or for washing the patient when soiled by the discharges; this should be followed by a second washing with dilute alcohol, Antiseptic Cologne, or pure water. The pure solution may be used to disinfect vessels, spittoons, etc., etc. Infected clothes to be washed after soaking in this solution for twelve hours, should be well boiled in carbolic soap suds and then washed with carbolic laundry soap. Such articles as can not be boiled can perhaps be baked and thus submitted to a temperature of 212 °F. It is not necessary to destroy them. The foregoing disinfectant solutions should not be put into metallic or wooden vessels. ROOMS, CLOTHING, ETC. To disinfect rooms, clothing, etc., where contagious diseases have been rife, put from one to six ounces of Brimstone, saturated with Alcohol, in an earthen pan. Place it in the room and s«t it on fire leaving it to burn until the apartment is thoroughly 27 fumigated. The Alcohol is added to the Brimstone, so that it will burn more readily. If there are any clothes in the room, they should be hung about the room, loosely, on chairs or racks. Before igniting the Sulphur or Brimstone, all metallic substances should be removed and the room kept closed for twenty-four hours; after which open all the doors and windows; expose it to the fresh air and sun (Nature's disinfectants), which will be sufficient to rid it of all contamination. Avoid breathing the fumes of the Sulphur, as they are poisonous. ANTISEPTICS AND DEODORIZERS. To neutralize the noxious gases emenating from cesspools, sewers, etc. Directions For Use.— Two lbs. Sulphate of Iron (Copperas), dissolve in two gallons of water. Throw it into the pit or drain from whence the foul air emenates. Ordinary gray lime should be used about yards, lots, along alleys, streets, etc. The copperas solution in privies, cellars, sinks, cesspools, sewers, etc. ANTISEPTIC LIQUID This fluid combines all the requisites for a general household Antiseptic and Deodorizer. It has no caustic or corrosive properties, and does not stain the most delicate fabrics. For use in cellars, barns, out-houses, stable; in store-rooms; in sick rooms, etc. Constituents. — Chlorides of Aluminum, Sodium, Mag- 28 nesium, Calcium and Zinc, with the oils of Eucalyptus globu lus and Gaultheria procumbens. Directions For Use. — Dilute with eight or ten times its volume of water and sprinkle about the barn, cellar, outhouses, in short, wherever there is the least disagreeable odor. This "liquid" or the "Copperas Solution" should be substituted by a True Disinfectant during the prevalence of an epidemic. DEODORIZATION. To destroy the fetid effluvia of a sick room, arising from morbid secretions, exhalations of the body, etc., dissolve onehalf ounce of Permanganate of Potash in half a gallon of water and saturate towels with the solution, and hang them in various parts of the room. This will entirely remove the most offensive odor. Antiseptic Cologne is an active disinfectant and deodorizer. It is somewhat expensive, but refreshing and agreeable. Five of the most effective destroyers of the Cholera Germ, contained in the excretions and ejecta of Cholera patients, are, viz : 1. Sulphate of Copper, 2 ounces to a quart of water 2. Chloride of Zinc, - \y 2 " " " " 3. Bichloride of Mercury, 1-6 " " " " 4. " " Copper, 2 " " " " 5. Sulphuric Acid, - 4 " " " v The above chemicals are useful for disinfecting all other seats of decomposition or infection. 29 WATER. The simplest and safest way during an epidemic is to filter and boil the water we use for drinking and other household purposes. The regular distribution of pure drinking water in sufficient quantities to the public is of the utmost importance. A heavy rainfall or thunder shower has been known to greatly diminish the severity of an epidemic. We may divide the water we meet with around us into- Drinkable and Polluted water; the latter being fouled by the drainage of towns or the refuse of manufactories, so that it is no longer fit for domestic use. As the result of researches and observations carried on during the past fifteen or twenty years, it is a well-known fact, that water is one of the most ready means of transmission of the germs of epidemic diseases; especially water contaminated with the excrementitious matter of persons affected by the?e diseases. Many people will not believe this to be true, because the idea is so revolting; but it is nevertheless the case. People in large towns are constantly in the habit of drinking water which is thus contaminated, and this is one of the most certain means of rapidly spreading Cholera. I could give instance after instance of this; let the following suffice: In 1873 a young man residing at Jonesborough, Tennessee, was attacked with Choleraic diarrhoea, as he was riding home to Lebanon, Kentucky. On reaching home he became very sick, and was attended by his father-in-law. The young man rallied, and his father-in-law feeling indisposed, started for his residence, which was about six miles distant from Lebanon. When he 30 was half way, he felt so badly that he stopped at a tavern and went to bed. The proprietor of the house who was a negro, nursed him, but felt sick himself in--a"~clay or two, and died almost at the same time as his patient. There was a favorite well near the tavern, which became.'impregnated with this disease, from the discharges of the patient becoming in some way mixed with the water. The consequence was that seventeen persons who used the water from this well, died within a short time. The young man, the first victim, rallied for a short time, but finally died. Test for Pure WaJer. — There are means for testing the purity of your drinking water. . I will mention one simple test: To a given quantity of watej: add sufficient Permanganate of Potash to pr.oduce a pinkish hue; cover it carefully, and if organic matter is present, the color will gradually change from the beautiful pink to a brownish color, depositing a brownish sediment in the course of a few hours. Beware of such water ! This test is best tried in a glass beaker. Two grains of alum to the gallon of water will precipitate these impurities. Leflve undisturbed the water at the bottom of the vessel which contains the sediment, and pour off the clear water; then filter the clear water through druggists' ordinary filtering paper, and boil. A pinch of salt added to a gallon of boiled water will improve the taste. When the Cholera was raging in Paris, Kentucky, in 1549, a family of thirty persons passed through the ordeal, unharmed, the only precaution taken being the boiling of the ¦water used for drinking and culinary purposes, and the thorough 31 cooking of all food consumed. This is now advanced as a basis for the theory that heat is fatal to Cholera germs. If you have good cistern water, and an epidemic breaks out in your city, it will be advisable to close the supply pipe to prevent any fresh water from entering the cistern, because the air during an epidemic is more or less impregnated with disease, and during a rain the falling water carries with it the impurities in the almosphere. Keep your drinking water in a covered vessel, in the second story. QUARANTINE. As it has been repeatedly demonstrated that Quarantine stops short the spread of Cholera. It is of vital necessity to strictly Quarantine against all infected districts, and to thoroughly fumigate all freight ships, trains, etc., that are allowed to enter the town or city therefrom. THE CHOLERA DISCHARGES. These discharges from a patient being the hotbed winch generates the germs of the disease, it is of the utmost importance that we should carefully attend to this department. The poison is not generated in the stools or discharges until a short time after they have been acted upon by the atmosphere; hence, if constant immediate cleanliness and disinfection is adopted it will prevent the generation of many fresh cases. The discharges should be thoroughly disinfected with a true disinfectant, then buried a considerable depth if possible, 32 in dry soil and covered with lime. Avoid throwing these discharges into water-closets, ditches, small streams, or burying them in the neighborhood of any cesspool, well or sewer. The body and bedclothes of both patient and attendant, contain the poison to a more or less degree; also urinals, bed-pans, spittoons, etc., etc., in fact every article or person connected with the disease or diseased, should be carefully disinfected, in the manner already explained. INDIVIDUAL PRECAUTIONS. No. i. Avoid all kinds of exposure, and if your body gets chilled, warm yourself as soon as possible, by friction or heat, especially the abdomen. No. 2. The body should be kept clean, as I have stated before, and comfortable. The amount of clothing to suit the habits and peculiarities of the individual. No. 3. If possible, be in-doors from sunset to sunrise, and keep the air in and around your houses as pure as possible. No. 4. Your habits must be regular, and your food simple, nutritious and easily digested, and such as has always agreed with you. No. 5. Unripe, decaying or canned fruits and vegetables, also tainted meat are all more or less poisonous. Good fresh fruit and vegetables when put up in glass jars are not objectionable. No. 6. No food should be allowed to stand in the sick room. Cabbage, beans, peas, new potatoes, cucumbers, tomatoes, spinach, rhubarb, corn, carrots, turnips, mushrooms, clams, 33 pork, ham; all food prepared with lard; fermented and alcoholic liquors of all kinds, and very rich or fried articles of diet must be abstained from, if you desire to avoid all risk. No. 7. Fasting is strictly prohibited. No. S. Purging or the use of laxative medicines is very injurious. An enema is to be preferred. No. 9. Keep a clear conscience and a cheerful spirit, and thus Nature will be able to protect herself, where otherwise she would yield to the disease. No. 10. Filter and boil the water you drink, as recom mended. No. 11. Disinfect privies, water closets, and sewers, daily. No. 12. Beware of nostrums latided as Homceo'pathic Cholera Specifics, also the Cholera Specifics of the Allopathic school. No. 13. Wear a flannel bandage around the abdomen, or, if obtainable, an anti-Cholera belt, which contains a copper plate adjustable to the pit of the stomach. * No. 14. Sprinkle half a teaspoonful of the Flowers of Sulphur into each shoe twice a week, and change your stockings daily, if possible. The Sulphur is justly considered as a good preventive. No. 15. As to preventive medicines, Cuprum Metallicum and Veratrum Alb. are the two best. Either of these may be taken. A dose or one tablet night and morning, during an epidemic of Cholera. It is an established fact that men who work in copper mines or copper factories never take the Choiare during an epidemic. 34 DIET. I have already stated that this should be simple and nutritious. As lam writing for the public and not the profession, I will enumerate a number of articles that you may use with safety, viz: Beef, mutton poultry, venison, fresh eggs, weak black tea, coffee, cocoa, milk, ¦pure water, oatmeal, cracked wheat, hominy, grits, mush, farina, corn and wheat bread, fish, sound old potatoes, etc., etc. Every article should be well cooked. Sulphuric Acid lemonade may be moderately indulged in, and is said to be beneficial as a preventive. It is most probable that all persons in an infected district, breathe the Cholera germ or virus, but it does not necessarily infect the system or give rise to Cholera, because there must be a condition of the system favorable to the reception and development of the germ, and our great effort must therefore be to keep our systems in such a condition that the germ will die or be expelled by the preservative force of Nature. THE BEST CURATIVE TREATMENT KNOWN Is thoroughly Homoeopathic; which fact you will all admit when you have thoroughly read this work, and tested the merits of our medicines. As an illustration I will describe several cases of Asiatic Cholera and Choleraic Diarrhoea, which present most of the leading indications for the drugs I recommend. Case No. i. Called in a hurry to attend Mrs. D., a farmer's wife, who lived on a very rich piece of land, and who had 35 been up to that time in perfect health. Hearing of a number of cases of Cholera in the neighborhood, it frightened her intoan immediate attack. I found her prostrated and restless; features pale and anxious; eyes sunken \ face and hands very cold, with coldness of the limbs and shoulders y cold sweat on face; cramps in calves of her limbs y large, watery, darkcolored stools, occurring frequently ; burning in the Stomach and abdomen, preceded by coldness. I at once prescribed CAMPHORyone drop of the tincture every five minutes and as I saw improvement beginning to show itself in my patient, I left her to see .another. Six hours later I was suddenly stopped by the farmer, who told me that I had scarcely left,, when the medicine was accidentally spilled, and he had been hunting me ever since, and begged me to call at once, saying his wife was very much worse. I went and found the existing symptoms as follows: anguish; great fear of death, copious rice water stools and vomiting, often simultaneous; great thirst, vertigo, cold nose, face distorted and bluish ; eyes sunken; cramps and severe colic in bowels; cramps in hands, legs and feet; pulse very weak; cold perspiration and great exhaustion, with huskiness of voice. Vomiting worse whenever she moved or drank. I prescribed Veratrum Album, every five minutes, and before long I was pleased to see improvement take place. I spoke to and encouraged my patient, and her mind became very much more composed. The cramps, however, persisted and continued very severe. They now being the most prominent symptoms I prescribed : Cuprum, every fifteen minutes, and discontinued the Veratrum 36 Alb., except after every evacuation of the bowels, which were occurring about every two hours. The farmer called at my office next evening and notified me that his wife was steadily improving. I instructed him to give the medicine less frequently, and to give the Veratrum Alb. alone, if the cramps had stopped. These were the only remedies needed for a complete recovery. [Reported by Dr. L., N. Y. City.] Case No. 2. A Banker's Clerk: In this case I was preceded by an Allopathic doctor, and the case having rapidly run into the stage of collapse, 1 was asked to take it. The symptoms were as follows: The face livid, pinched and cold; the breath cold and the breathing labored; voice husky; the vomiting and stools were watery, not so frequent as before, but occurring involuntarily and with retention of urine; entire body was cold and bathed in a clammy sweat, but patient refused to be covered with bed clothes; great exhaustion; tipper lip drawn so as to expose the teeth; the eyes sunken and wild in expression; the muscles in the calves of the legs drawn into knots. A condition of collapse. I immediately prescribed Camphor Tincture, as in Case No. 1, and in twenty-four hours followed it with several doses of Carbo Veg., and when convalescence was fairly established gave three ¦doses a day of Arsenicum 6x, for a few days, which proved sufficient to insure a perfect recovery. You see that Camphora was indicated in both cases, No. 1 and 2 ; but in No. 1 the disease was in the first stage, whereas in No. 2 the disease was in the third stage. [Reported by Dr. J., N. Y. City.] Case No. 3. Called in to attend Mr. A., a consumptive 37 young lawyer. He had been under Old School treatment for two weeks, for Diarrhoea. When I was called he had just had a Haemorrhage from the bowels, followed by collapse without stool. Nose, cheeks and finger-tips icy cold; lips bluish; breath and tongue cold. Before the Hemorrhage occurred he had frequent involuntary cadaverous smelling stools. Much fetid flatus passed from the bowels; urine was suppressed. Respiration was weak and labored. Great desire to be fanned. Wants air; cramps in legs; hiccough at every motion; vomiting; husky voice; pulse thready, almost entirely lost. I prescribed Carbo Vegetabilis and got the most pleasing result. One by one the bad symptoms began to disappear, after the fii"st dose. I gave the medicine every five minutes at first, and diminished the frequency of the dose as improvement appeared. In twenty-four hours I followed with a dose of Arsenicum every two hours, and it, together with a careful diet, brought my patient safely through. [Reported by Dr. H., Paris.] Carbo Vegetabilis is, in the very last stages sometimes the only remedy that is capable of producing a favorable change. It will not often be required in cases that have good Homoeopathic treatment, but much more frequently in those coming from Allopathic hands. Case No. 4. (From my own practice). A lady aged 55; married, had felt badly since the evening previous. Symptoms: Awoke at 5 a. m. with sudden urging to stool. She quickly responded, passing a profuse, gushing, painless, watery stool, with meal-like sediment, but very offensive. (The weather was hot, and several cases of Cholerine were 38 reported in the city). Her tongue was dry, but no particular thirst; gagging and empty retching. She felt faint and sick, and the stools followed each other rapidly, with violent cramps in the feet, calves and thighs. She was very restless, yawning and stretching frequently. When I arrived, at 9 o'clock. A. m. she had had nine profuse, watery, painless stools. I gave her one dose of Podophyllum 200 x, on her tongue, and then mixed some in a glass and told her to take one dose (a teaspoonful), after each stool, and instructed the family to call on me at once if there was any aggravation. I called the following day and found my patient up. She told me she was entirely well; that the one dose I had placed on her tongue was all she needed. She had no occasion to take any of the medicine I left, as she had had no more stools and felt perfectly well. I ask you if anything could more beautifully illustrate the superiority of the Homoeopathic treatment? If you have similar cases I hope you may generally have similar results. I can not say always, because that is impossible. I have given you a brief history of four cases, any one of" which may occur at any time during a Cholera epidemic, and also at other times. If you will carefully study the indications for the use of the several drugs that I recommend, you will succeed well in the cases you may treat. Besides the medicines used in treating similar cases, you must also use the following ADJUVANT TREATMENT: Place your patient at once in. bed, between blankets (not 39 sheets). The air in the room and house should be kept as : pure as possible, and everything in and about the room, kept well disinfected, as I have already explained, under Deodorizing and Disinfecting Agents." The windows and doors^ should be thrown open and fire kept in the room, if the weather is at all damp. Give nothing besides the medicine to the patient, except ice or ice water, given frequently if desired,, until after the purging and vomiting cease; then small quantities of farina, boiled sago, tapioca, corn starch, arrowroot, chicken broth, beef tea, or milk may be given. It is best to select an up-stairs room, separate from the balance of the house, and easily ventilated. A single bed is best and placed in the centre of the room. The floor should be bare, and the room should be kept as free from furniture, curtains and decorations as possible. Below the blanket the mattress should be protected by a rubber sheet, upon which should be sprinkled a a mixture* of equal parts of pulverized charcoal and copperas; or Disinfectant Powder. The nurses should occupy an adjoining room. No visitors should be allowed. If any talking is done in the sick room, it should be done in an audible tone of voice. I have already given you a fair idea of the necessary treatment of a patient; but I will recapitulate by Celling you during what stages and to what extent, the different remedies I will enumerate are useful, and also give you their special and general indications in Bowel Troubles. I recommend the following medicines: 40 No. i. Aconite Nap., . 2x in Tablet form. No. 2. Podophyllum Pelt., 6 x " " No. 3. Iris Versicolor, . 6 x " " No. 4. Camphora, . Tr., " " Ruhini's Tincture. No. 5. Arsenicum Alb., . 6x in Tablet form. No. 6. Veratrum Alb., . 6 x " " No. 7 Cuprum Met., . 6x " " No. 8. Carbo Veg., . .30 x " " Dose for an Adult — One Tablet £ Take dry upon the tongue or " " a Child — One-half " ) dissolved in a little water. METHOD OF, AND RULES FOR, ADMINISTERING THE MEDICINE. The best way to give these medicines is to dilute them with pure water. It is not the Quantity, but it is the quality of the medicine, the correct attenuation and the proper repetition of the dose, from which we derive the best and most powerful effect. Do not handle the medicine with your fingers. Shake the tablets from the bottle into a clean teaspoon, and thus give It to the patient, or mix the tablets as directed, with pure water in a clean glass. Always cover the glass with a small dish or saucer, keeping the medicine spoon upon the saucer and wiping it each"*time before using it. To an ordinary sized glass, half full of pure water add about six (6) of the medicated sugarof-milk tablets, and stir the contents of the glass w r ell, until the tablets are all dissolved. Dose for an Adult — Two teaspoonsful. " " a Child — One teaspoonful. 41 In selecting and giving a medicine, observe the following: i. What the mind symptoms are. 2. What the exact character of the stools are. 3. What the accompaniments of the stools are. 4. What the exciting cause was, and what makes any of the symptoms worse or better. 5. Refer carefully to the " Special and General Indications,'* as given. 6. Always increase the interval between doses of medicine given, as improvement takes place. 7. Drop doses of Ipecac Tincture will sometimes control persistent vomiting after all other remedies have failed. The remedies recommended herein have been carefully selected as the best medicines for Cholera that the experience of the entire Homoeopathic Profession, during previous epidemics, offer. You see by the enclosed statistics of Homoeopathic Treatment of Cholera, that our average "death rate" is not one-third as great as that of any other known treatment, and the remedies I recommend are the same as have been used with success during every epidemic. A painless, yellow, watery diarrhoea will generally indicate Podophyllum ; a painful diarrhoea will often indicate Veratrum Alb.,' and a. painful Cholera Morbus will frequently indicate Iris Vers., even if there are no other special accompanying symptoms. It is not necessary for a patient to exhibit all the symptoms given under any remedy in order to have the remedy indicated; but the more symptoms there are corresponding to the remedy, the better indicated that remedy will be. These medicines, with their TABU LATED WHEN USEFUL. HOW GIVEN. WHEN TO STOP. SPECIAL Indications. REMEDY. Aconite During the First Stage. 2x strength given until relieved or until symptoms ch'nge When improvement ceases or does not occur. Strong restlessness ; great thirst for large drinks ; dry heat fear of d c a t h ; full, hard, quick pulse. During Premonitory Diarrhoea. 6x strength, 1 tablet on the tongue after each stool or for disposition or urging to stool, every 4 hours, one dose. Painless, yellow watery diarrhoea; painless Cholera Morbus. : When sto o 1 1 and urging to c 1 stool ceases. 1 PODOPHYLLUM . Iris Veks 6 x strength given the same as Arsenicum. I When improvement ceases or other symptoms appear. Cholera M o r - bus; severe, burning colicy pains in stomach and bowels, w i t h vomiting and purging. During Ist Stage. During any , Stage, but especially the Ist and 3rd Stages. A dose of one to 313 1 tablets, given in sugar or ice water every 5 minutes to every 2 hours as may be required. If Camphor tincture is given the" dose should be 3 to 10 drops of the strong tincture on sugar . When warm per spiration breaks out; when a war m glow spreads over the body ; when temperature of the body rises during reaction from collapse . Sudden onset. First stage and stage of collapse. Camphoka . . . During an}' Stage . During Collapse . During Convalescence, 6x strength, I tablet o n the tongue after each stool, or 6 tablets '' issolved and well stirred in % an ordinary sized glassful of pure water and giving i or 2 teaspoonful doses every five minutes to every 2 hours, as may be required for stools and other symptoms comb'd. \ ' When another 1 remedy is mdi.-. eated. Fear of death; weak restlessness; great thirst for small drinks; Prostration ; Collapse Aksenicum . . DIRECTIONS. . GENERAL INDICATIONS. Stool watery, also green or bloody, small and frequent dysenteric. Cause or Aggravation. — Cold nights in summer; after getting wet or overheated ; from cold winds; pfter anger or fright. After Stool. — Relief except from nausea and sweat. Cutting- pains during and before siool Accompaniments. — Anxiety, restlessness, thirst, nausea, vomiting, external dry heat, internal chills. Collapse. First Stage. Profuse, frequent, yellow, painless watery stools, containing a mealy sediment; worse early in the morning-, at night, and in hot weather. Before and During Stool: Violent colic or no pain. Better by bending double, and by warmth. After Stool: Prolapsus Ani and exhaustion. Accompaniments. — Gagging and empty retching, cramps in feet, calves and thighs. Watery or bloody mucous stools, frequent, profuse and corrosive. Worse at night, at 20r3 A. M. ; also in hot weather. Better from bending double (colic.) Before and During Stool — Rumbling in abdomen. Severe cutting pains. Burning in anus. After Stool — Severe burning in anus. Prolapse of rectum. Accompaniments. — Burning in mouth, throat, stomach, bowels aud anus. Nausea and vomiting of a sour acrid fluid. Much exhaustion and debility. Violent pain while vomiting. Rumbling in bowels. Large, dark, watery, stools; attack very sudden. Worse during Epidemic Cholera. Accompaniments. — Icy coldness of the whole body; wild, staring look; no thirst or violent thirst. Cramps in calves of legs; Prostration; Collapse; cold sweat on face; cold as death, but can not bear to be covered. Much thirst; takes only a little drink each time, but repeats oten, Frequent painful or painless watery stools, containing undigested food. Dark-colored or yellow watery stools. Caused by overeating, and at night, and by ice cream or spoiled food, etc. From taking cold ; from fruit; during Typhoid Fever. Better, by external heat and by bending double (pains). Before and During Stool — Chilliness and pain. After Stool — Exhaustion. Prostration; restlessness; thirst for small drinks; fear of •death; vomiting after eating or drinking. [Continued] TABULATED *» , , , REMEDY. WHEN USEFUL. WHEN TO STOP. SPECIAL Indications HOW GIVEN. Verat. Alb. .. During any Stage, but especially the 2nd and 3rd Stages. Stop when all the indications for its use have entirely di s appeared . 6x strength given the same as Arsenicum. Painful stools; severe vomiting worse when moving ordrinking; great th'st; painful Cholera Morbus. During- 2nd and 3rd Stages, es| eciall}' the 2nd Stage. 6x strength given the same as Anenicum. When cramps and collapse cease. Cramps. Cuprum Met.. Carbo Veg . . . 30 x strength giyen same as Arsenicum. When reaction is f v lly established. Last Chance. During- 3rd Stage. indications are endorsed by the entire Homoeopathic Profession throughout the world. Before closing this subject let me insist upon your being calm as well as careful and faithful, in the administration of the medicines. I have instructed you how to use them, and under no condition, interrupt or interfere with the quiet and certain effect of our Homoeopathic medicines, by giving the patient any Cholera Mixtures or other remedies of any kind whatever; because if you do, you will in nine cases out of ten lose your patient. Give the Aconite, the Podophyllum, and the Camphora, alone. Do not interfere with the particular sphere of action of each drug, by alternating any two of them if you can avoid it. The Camphora especially should be given alone. Any two of the other remedies can be alternated, that is given turn about, if deemed necessary. For example: if you are giving Veratrum Alb. after each stool and the cramps become A POCICET CASE OF DR, BOWEN'S HOMCEOPATHIC HOME REMEDIES, FOB OHOLBBA, With full directions, containing 405 full doses of medicine, and a copy of this book can be purchased tor $2.00 from L. Orynski, or Jas. D. Devine, Druggists, or from Or. J. G. Bowen, San Antonio, Texas. Will be forwarded by mail postage prepaid, on receipt of price. Any of the Disinfectants, Antiseptics or Deodorizers, or the Anti- Cholera Belt, recommended herein, can be obtained from L. ORYNSKI, Druggist, San Antonio, Texas DIRECTIONS. [Continuedj GENERAL INDICATIONS. Frequent, profuse, painful, greenish, watery stools, involuntary at times; gushing, profuse, rice-water discharges, with rigid cramps. Worse at night; in hot weather. Moving or drinking causes vomiting. Before and During Stool — Cold sweat ; severe colic; vomiting; weakness. After Stool — Exhaustion. Accompaniments. — Cold sweat; great thirst; desire for acids. Frequent black or green watery stools; Worse — During Epidemic Cholera. Vomiting is better after drinking cold water. Accompaniments. — Violent Cramps in the Legs and Feet; restlessness; eyes sunken; tongue cold. Desires warm food and drink; violent colic and cramps. Short breath and spasms of any part of body. General coldness; Collapse; Convulsions. Frequent brownish, watery, cadaverous smelling stools, often involuntary. Aggravation — After severe, acute disease. From chilling the stomach with cold food or drink. Accompaniments. — Restless; worse from 4 to 6 p. m.; irritable; profuse and constant flow of stringy saliva. Cramps. Emission of large quantities of putrid flatus. Feet and legs icy cold. Great desire to be fanned . Can not get enough air. Sopor — profound sleep.- -Collapse without vomiting, stool or cramps. very severe, you may give a dose of Cuprum occasionally as an. intercurrent remedy for the cramps. I strongly urge you to prepare yourself by securing these drugs, the cost of which is purely nominal compared with the benefit you will derive during a Cholera epidemic, they being the best medicines with which the science of to-day has furnished us to successfully combat the mighty scourge of Cholera, But in order to make your investment still more advantageous I will give you the special symptoms separately, in Part IV of this little volume, that each drug produces. These symptoms may appear in any form of disease, so that you may use these medicines for other diseases, in case you have no occasion touse them for Cholera. Thus you - will be doubly protecting; yourselves, and giving Homoeopathy a trial; which, when fairlygiven invariably results in a victory for Homoeopathy. PART II. COMPARATIVE RESULTS OF HOMCEOPATHIC AND ALLOPATHIC TREATMENT OF CHOLERA, AND OTHER SEVERE DISEASES. Dr. Rocco Rubini, of Naples, treated 377 cases of Cholera, during the epidemic of 1854— '55, with Camphor alone, without a single death. His colleagues swelled that number to 592 cases under the same treatment, without the loss of one case. CHOLERA. Various modes of Allopathic Treatment of Cholera in Europe in 1832 and in 1849: Mode of Treatment. Deaths. Tartar Emetic 19 per cent. Salts and water 20 Cold water and ice 30 Ipecac 57 Calomel and Opium 157 Opium (excepting cases in the rirst stage) ....... 58 Bleeding, Calomel and Opium 159 Calomel alone 62 Stimulant .66 Bleeding alone 85 Injection into the veins 90 47 HOMOEOPATHIC TREATMENT. Name of Place. No. of Cases. Deaths. Rate Per Cent. Vienna 581 49 8^ 998 95 9IA9 l A Prague, in Moravia, 1,269 85 6% Russia and Austria, 2,753 264 gy 2 p Russia 1,270 108 8% The following statistics of the treatment of Cholera in 1854 have been extracted from documents printed by order of the House of Commons: CHOLERA WITH OR WITHOUT COLLAPSE. Allopathic treatment, deaths 45 per cent. H omoeopathic " " 17 IN COLLAPSE CASES. Allopathic treatment, deaths • 69 " Homoeopathic " " 30 The General Board of Health of Edinburgh and Leith reported 817 cases treated between October 4, IS4B and Feb- ruary 1, 1849. Here are the figures: Treated Homceopathicallv : Cases, 236. Deaths, 57. Mortality, 24 1-5 per cent. Treated Allopathically : Cases, 681. Deaths, 489.' Mortality, 84 1-5 " HOSPITAL TREATMENT OF CHOLERA HOMCEOPATHIC Place and Name- Tear. No. of Cases. Deaths. Vienna, Sisters of Charity .. 1834101850 1,202 409 Vienna, Leopoldstadt 1850 156 58 Berlin, Homoeopathic Hosp. 32 6 Bordeaux, •' " 1832 131 6 Marseilles, Convent of Refuge 1849 260 15 London, Homoeopathic Hosp. 1854 37 7 Total 1878 501 Death Rate, 27 per cent. 48 ALLOPATHIC. Place and Name. Year. No. of Cases. Deaths. Edinburgh, Drummond Street 1 Hospital f 461 291 Halle, Krunckenberg's Wards 104 53 Hamburg Hospital 1831 283 175 Berlin Cholera Hospital. 60 97 St. Petersburgh 636 314 Bordeaux Hospital 1832 104 72 Raab Hospital 1832 284 122 New York Hospital J 849 1 79° 9239 2 3 London, St. George's Hospital 1854 140 69 Total 3899 2099 Death Rate, 51 per cent. Dr. Fewster Robert ' Homer was president and perpetual vice-president of the British Medical and Surgical Association late Surgeon-General to the Hull General Infirmary. In 1851, before he had investigated Homoeopathy, Dr. Homer presided over a meeting of 200 medical men, at Brighton, who passed resolutions strongly condemning Homoeopathy. But in 1857,. after investigating it, he announced himself a convert to the Homoeopathic doctrine. He states that in the statistical report of the late Cholera epidemic in England, by the medical board appointed for that purpose, the returns of the Homoeopathic Hospital were deliberately and designedly suppressed, because they showed, that by Homoeopathic treatment, twothirds were cured; while, according to the aggregate statistics of the other hospitals, two-thirds died; and this also after that report had been verified by the Allopathic Inspector. During the Cholera epidemic in Cincinnati, the Allopaths lost 45 per cent.; the loss of the Homoeopaths being but 5 per 49 cent. In 1849, in Cincinnati, Drs. Pulte and Ehrmann treated successfully seventy-three cases of decided collapse; the principal remedy given being Carbo Vegetabilis. Of 2,410 patients treated by them, only eighty-five died, or 3^ per cent. If we compare the average mortality under both treatments, we will see that Homoeopathy can save at least thirty lives that Allopathy loses, out of every hundred; and considering the enormous number of deaths during a Cholera epidemic, we see that thousands of lives might be saved if the Homoeopathic mode of treatment was generally adopted. According 'to Dr. Rosenberg's work, the summary of Cholera cases treated Homoeopathically, in different countries, by different physicians, are 14,014 patients; 12,748 cured, 1,266 died. Mortality, 9 per cent. Under Allopathic treatment in various countries, 457,536 patients, 184,044 cured and 222,342 died. Mortality 48.39 per cent. YELLOW FEVEF New Orleans, between 1853 and 1878: 6,569 cases Homoepathically treated, 360 deaths; mortality, 5 4-10 per cent.; under Allopathic treatment the mortality averaged about 20 per cent. The Allopathic fraternity, although solicited, refused to give in their statistical returns, therefore their report is incomplete; nevertheless the Homoeopathic per cent, challenges comparison. INFLAMMATION OF THE LUNGS. No. of Cases. Deaths. Per cent Allopathic Hospital, Vienna.. i,i34 260 23 Homoeopathic " " 533 28 5 50 PLEURISY. No. of Cases. Deaths. Per Cent. Allopathic Hospitals 1,017 134 13 Homoeopathic " 386 12 3 INFLAMMATION OF THE BOWELS Allopathic Hospitals 628 84 13 Homoeopathic " 184 8 4 < DYSENTERY. Allopathic Hospitals 162 37 22 Homoeopathic " 175 6 3 New York: duration of treatment, Five Years, (according to Dr. Joseph Buchner). , HOMOEOPATHIC. , , ALLOPATHIC. — Diseases. No. Treated. Deaths. I No. Treated. Deaths. Erysipelas 349 3 325 75 Diarrhoea 310 3 316 68 Fever without Typhus 3,273 41 J ,994 J o 7 Pleurisy 371 5 51 -8 Small pox, Varioloid . . 211 6 Accounts Insufficient. Scarlatina 102 3 Inflammation of Bowels 211 13 46 19 Fever of all kinds 5,399 334 4,367 487 Pneumonia 710 4C 309 91 Dysentery 98 7 447 120 Typhus. 2,126 293 2,373 380 Organic Heart Disease. 109 17 56 29 Apoplexy.. .....". 21 6 35 17 Consumption of Lungs 502 194 247 .120 1 3>79 2 97° 10 i.566 1,521 Consequently the mortality here figures up in Homoeopathic Hospitals, 7.03 per cent., and in Allopathic Hospitals, 14.36 per cent. Dr. John C. Peters exclaims at this report: " Who, with such data before him could be so great a fool as to subject himself to the heroic treatment of the Old School P" 1 51 INOCULATION, ITS THERAPEUTIC RANGE AND ITS DANGERS. If there exists any virtue in Dr. Ferrari's system of Inoculation, like other grand departures of the Old School,, c. g., Vaccination, it is by virtue of its conformity with the only, true law of medicine, the Homoeopathic Law of "Similia Similibus Curantur." It is claimed and not denied that thoseinoculated became less liable to be attacked by the epidemic,, but on the other hand it is proven that such inoculation often produced the most loathsome and angry ulcers, actual symptoms of blood poisoning, and even Cholera itself. Dr. Ferran. inoculated eighty sister of the poor, in one convent, and it issaid that up to date forty-seven have died, and all are sick,, with exception of five who refused to be inoculated, and whoare now engaged in nursing their unfortunate "sisters." Dr. Ferran claims that he cultivates the " bacilli commas" to> the maximum of their virulence, in a nourishing bouillon, and when introduced into the cellular tissue of man, they are harmless. This statement is however bitterly contradicted by many, and in consequence the Spanish government interfered by prohibiting inoculation. The power of the medical profession secured a temporary revocation of this order, but it is again reimposed in all parts of the kingdom, where Cholera is not already present. Dr. Pasteur claims that this inoculation secures immunity from the epidemic for a period of eight days- It is now stated that the virus has been attenuated, and is being; 52 xised with much greater success at present. If the poison can be attenuated, it is probable that before the next epidemic it will be prepared so as to overcome all its dangerous or objectionable features, and yet retain its preventive, and possibly develop a cui"ative property. Thus it could be taken internally several times a day, as long as the Cholera lasts, by which the protective influence would be continuous. It would then be a preparation similar to "Variolinum" or the attenuated Small Pox Virus, which many Homoeopaths use in preference to vaccination, thus avoiding the many objectionable features of vaccination. Variolinum, besides being a better preventive to Small Pox than vaccination, is also an excellent curative agent during any stage of the disease. Because eminent members of the Old School condemn Inoculation as fraudulent, empiric and unscientific, yet that is no proof that there is no virtue in it. As practiced by Drs. Ferran and Pasteur, all this may be true, still when a more certain knowledge of the cause of the disease is discovered it may lead to. a more successful use of the specific poison. When Hahnemann first discovered the law of " Similia," he used in all cases the strong, or we may say, poisonous drugs, selecting and applying them, however, according to the law of •" Similia." Although in most cases he got very good results, yet there were many instances where the poisonous effects of the drug would aggravate the case and create serious trouble. Therefore he saw the necessity for discovering some method by which he could retain the curative action of the drug and at the same time do away with its poisonous action. This, 53 after diligent inquiry and investigation, he accomplished by the attenuation of the drug, and his method is followed to-day in the preparation of our medicines. Experiments have developed the fact that the contagion of Cholera is most probably spread by the " little berry-shaped bodies" that break up and form the " comma bacilli." It is also stated that potato rot, vine disease, etc., assume the same form as the " coma bacillus," therefore it may be considered more the result than the cause, of any specific poison. At all events, the researches that have been made up to the present times have not lessened the fatality of the disease. Thousands of people are dying in Spain every week, the average mortality amounting to something like 40 per cent. This method is to a certain extent valuable as a preventive, and I have no doubt that it will be a servicable therapeutic agent when those who use it become better acquainted with the principles upon which they apply the same. Valencia oranges and Malaga raisins of this year's crop may carry Cholera germs to consumers even in distant countries. PART III. WHAT IS HOMCEOPATHY ? AN EXPLANATION AND AN ARGUMENT. Homoeopathy is that portion of medical science which teaches us how to apply medicines in order to cure disease. Within the limits of what domain of medical science does the Homosopathic law of " Similia Similibus Curantur " hold paramount control? Many of our own doctors and the majority of the public are entirely ignorant of the relative position of Homoeopathy to the science of medicine. In discussing the matter briefly I will first state that the science of Homoeopathy is founded and based upon, I may say, the greatest law of medicine ever yet discovered — the law of " Similia Similibus Curantur," which here applies only to medicines and their application in the cure of disease. In other words, all symptoms in the primary or secondary action of a drug that can be 55 produced in a healthy person, by taking the drug, those same symptoms when produced by disease, that drug will cure. Herein lies the essential difference between the Old and the New School of Medicine. The Old School doctor gives "Jalap" to produce a forcible action of the bowels, but when the characteristic discharge of "Jalap" is produced by disease the Homoeopathic doctor gives an attenuated or Homoeopathically prepared dose of "Jalap " and thus cures the patient. The law of Similia is the true guide of the practice of medicine, and it is an erroneous idea that most of our Allopathic brethren have, that the essential difference between Homoeopathy and Allopathy, is the size of the dose ; and that a doctor can not be a good Homoeopath if he does not give infinitesimal doses. I will here state, and I will be sustained by every fair-minded Homoeopath in the land, that the science of Homoeopathy has no more to do with the size of the dose than Allopathy, further than it is directed by the judgment of the physician, to give the smallest dose, that in his experience will produce the desired result in any given case. When by judgment and experience we find better results by giving very small doses, it would be worse than folly to allow" narrowminded prejudice to over-rule our convictions or run us into the time-worn ruts made by the routine practice of our forefathers. The ridicule of our enemies is no argument, and it is cowardly. Truth and statistics speak loudly in favor of Homoeopathy, and it is fast becoming the accepted and preferred treatment by the most intelligent classes of all nations. President Cleveland and most of his cabinet, Ex-President Arthur, 56 "and many others t>f equal rank and acknowfodg'etJ a&JJity are firm advocates of Homoeopathy. I was always taught to believe that the Science of Medicine was a liberal science, but it is a noted fact that many eminent physicians of the Old School prefer to act from popular prejudice and Barrowminded jealousy, rather than for the advancement of science -or public interests. If a foreign body is lodged in any ?-rhage from the lungs ; stitches in chest from excitement, vine, exposure, cold. Short anxious breathing. Heart and Pulse : Palpi la lion, with great anxiety and restlessness. Short breatn ; pulae strong, hard and full in fever. Neck and Back : Tearing i>a,m in nape of neck ; stiff neck pain extending down right shoulder ; pain in back which prevents breathing deeply. Limbs : Numbness and tingling 'of the left arm and hand ; hands icy cold ; cold sweat in palms, or palms hot. Drawing pains in shoulder, elbow joints, wrist and fingers. Legs almost powerless, after sitting. Numbness ; cramps in calves ; coldness of feet. Generalities: Rheumatic inflammation of the joints ; worse in the evening and at night. Intense, bright red swelling and sensitiveness of the parts ; fine stinging and burning in many parts, Excessively restless. Skin : Rash of children, in measles and scarlet fever. Sleep : Very restless, vivid dreams; awakening with a start. Fever : Chill, with internal heat and red cheeks. Heat, with great thirst ; hard, full, frequent pulse tossing; about in agony ; impatient. Aggravation : Worse in the evening and at night ; when lying on the left side or back ; after getting in bed ; in a warm room ; from tobacco smoke. Better : In the open air ; when sitting still (rheumatism); from wine. 69 CURATIVE RANGE It is useful in the beginning of nearly all inflammatory conditions. In pure, inflammatory fever, or in fever accompanying meningitis, bronchitis, pleuritis, pneumonia, peritonitis, rheumatism, croup or cold. It is principally useful during the first stage of the disease, and it often cuts short the disease during that stage. CONDITIONS. It is indicated in troubles arising from the bad effects of exposure to cold, dry air ; from suppressed perspiration ; from excitement, fright, anger, chagrin, etc. Especially applicable to plethoric persons, those who lead sedentary lives, dark hair and dark eyes ; persons of rigid fibre. The three characteristic indications for tha use of Aconite are : great restlessness, fear of death, and excessive thirst, frequently drinking large or small draughts of water. POD OPHTLL UM PEL 7 A TUM. Common Name — May Apple, Mandrake. It acts especially upon the liver and digestive tract. The chief feature of this drug is a morning diarrhoea, with sour, green, bilious evacuations, CHARACTERISTIC SYMPTOMS. Mind and Head : Depression of spirits ; morning headache ; vertigo, with fullness over eyes, alternating with diarrhoea. During dentition, hot head and diarrhoea. 3fouih and Throat : Tongue furred white, with foul taste ; throat dry or with rattling of mucous. Goitre. Stomach and Abdomen : Hollow sensation above stomach ; vomiting of food and bile ; waterbrash ; belching hot, sour flatus. Gagging, fullness and pain in liver ; rumbling in bowels ; torpid liver. Stool and Anus : Chronic diarrhoea; worse in the morning ; greenish, watery stools, or chalk-like stools in hand-fed children. Prolapsus of the bowels ; faintness and sensation of emptiness in abdomen after stool. Frequent, painless, watery, 70 gushing, fetid yellow, liquid discharges, with mealy sediment or green, sour, watery ; may be preceded by griping and colic with heat and pain in anus. Genitals : Leucorrhoea or whites of thick, transparent mucous. Pain in the right ovary. Pain in the womb with prolapsus. Generalities and Characteristic Peculiarities : Pain under right shoulder blade ; sleepy, especially in the forenoon ; symptoms worse in the morning, especially those of abdomen. Painless Cholera morbus ; cramps in calves and thighs. Curative Range : Bilious conditions, congestion of the liver, gallstones, jaundice, diarrhoea, cholera infantum, heemorrhoids, especially during dentition. Prolapsus ani, lead colic, constipation, bilious fever, dyspepsia. IRIS VER&I COLOR. Common Name — Blue Flay. CHARACTERISTIC SYMPTOMS. Mind and Head : Low-spirited ; easily vexed. Sick headache, especially affecting the right side of the head. Face : Neuralgia, which involves the nerves above and below the eye, and those of the upper and lower jaws. It begins every morning, with a stupid headache ; free flow of urine ; disposition to go to stool, and burning of the anus. Tongue : Flat taste feels scalded and greasy ; loss of taste ; coated white. Mouth : Burning in mouth, with ulceration on inside of of cheeks ; nausea and vomiting of a sour, bilious, burning fluid. Stomach and Abdomen : Great burning and colicy pains every few minutes preceding the vomiting. Cutting, burning, eolicy pain in stomach, liver, and in both sides of the abdomen above the hip bones. Stool: Thin, watery, tinged with bile; profuse, green, and perhaps undigested. At times bloody mucous, with much straining and burning in anus and rectum after stool. May be yellow, watery and excoriating. 71 Urine : Scanty and red, burning when passed, or clear and profuse. Limbs : Sciatica in left hip and leg ; shifting pains in right hip and both knees, also especially in the right foot and first joint of the great toe. Nerves : Faint, weak knees, trembling ; sunken eyes after stool. Generalities : It excites a secretion of all the glands and acts powerfully upon the stomach and intestines. It produces pustular eruptions on scalp, face and around mouth. Shingles on right side of body, etc., etc. Curative Range : Cholera Mor bus. Summer Complaint. Indigestion. Neuralgia. Shingles. Sick Headache, etc., etc. C AMPHORA. Common Name — Camphor. The action of Camphor is rapid and intense, though comparatively evanescent. Its chief sphere of usefulness is in the treatment of Choleraic conditions and the effects of cold. CHARACTERISTIC SYMPTOMS. Mind and Head: Great anxiety and extreme restlessness. Vertigo and throbbing in back of head. Eyes : Fixed and staring. Nose: Sneezing and fluent discharges on sudden change in weather. (This is a symptom of taking cold and this remedy will frequently abort it if taken during this stage. And as cold is the exciting cause of half our diseases it is quite necessary to abort it, in the first stage), Aconite and Camphor are the two principal remedies used to a bort cold. Face : Pale, cold and anxious. Mouth : Tongue cold, voice hoarse Stomach and Abdomen : Pain and burning or coldness in stomach. Coldness, followed by heat. Stool : Dark, large, thin, watery, often involuntary . Attack very sudden. Accompaniments of Stool : Anguish or mental apathy; icy coldness of whole body ; no thirst or great thirst; wild, staring, 72 unconscious look ; upper lip drawn up, exposing teeth ; foaming at the mouth ; cramps in calves ; sudden and great sinking of strength ; vomiting and diarrhoea suddenly cease, and patient lies almost unconscious ; face and hands blue. Tongue cold and icy coldness of the body ; cold sweat on face ; hoarse, weak voice ; cold as death but cannot bear to be covered. Urinary Organs : Scanty urine ; retention of urine ; strangury. Bespiratory Organs: Suffocation, shortness of breath. Heart and Pulse : Great anxiety and distress about heart ; very weak. Generalities: Coldness of limbs or entire body; cramps in calves ; great prostration ; cold clammy sweat. Worse : All night, in the dark ; from motion, from cold or cold air. Better ; In open air. Pains disappear when thinking of them. CURATIVE RANGE. Cholera or choleraic conditions, Coryza, Influenza, Strangury, Convulsions, Cramps, Nervous Irritability, Epilepsy. Camphor is principally useful in the very commencement of bowel troubles. If in the latter stages, the symptoms present seem to indicate either Camphor, Veratrum or Cuprum, you may prescribe as follows : Give Camphor where Collapse is most prominent ; give Veratrum where the evacuations, vomiting and pain are most severe, and give Cuprum where the cramps are the predominant indications. ARSENIC UM ALBUM. Common Name — Arsenic. Arsenic has a specific action on almost every organ, tissue, and secretion of the body. The leading features of this remedy are its nervous restlessness, prostration with rapid emaciation, and the peculiar thirst of drinking very often, but only a little at a time. CHARACTERISTIC SYMPTOMS. Mind and Head. Delirium at night and great restlessness. Sad, tearful, anxious mood ; dread of death ; anguish and dispair. 73 Vertigo; frontal headache, with heaviness of the head which is relieved in the open air, but returns on re-entering the room. Neuralgic pain in head and face, especially severe on the left side ; scalp sensitive to the touch, Eyes. Redness of the eyes with heat and burning ; eyelids swollen, often completely closing the eyes ; feeling of sand in the eyes from inflamed eyes and lids. Ears. Ringing in the ears ; hard of hearing. Nose. Stopped up from cold ; better in the open air. Cold in the head, with fluent, watery discharge, chafing the nostrils and lips. Face. Pale face, pointed nose, sunken eyes, with blue margins. Neuralgia, especially of left side. Dropsical swelling of the face. Mouth. Lips sore and ulcers in mouth ; lips dry, parched and chapped. Tongue has a thick, dirty coating, or dry, red and burning ; irritable ; thickly furred with red tip ; gangrene of the tongue. Stomach and Abdomen. No desire for eating or drinking ;or violent thirst for cold water, drinking often but very little each time. Vomiting after eating or drinking ; nausea ; violent burning in- stomach, which is sore and painful. Pinching colic; abdomen distended, and burning pains, with intolerable anguish. Stools. Diarrhoea after chilling the stomach or from fruit ; diarrhoea — painless or painful, debilitating, containing undigested food ; black or yellow, thin, watery stools, often involuntary ; worse after eating or drinking. Dark offensive rmemorrhages from the bowels. Urinary Organs. Involuntary micturition. Urine dark, turbid, scanty, with brick-red sediment ; urine scanty and hot. Sexual Organs. Scrotum oedematous; emissions during diarrhseic stool. Menses too early and too profuse ; Leucorrhoea, profuse, yellow and corroding. Burning pains in the right ovary, worse from motion, bending or sitting stooped. Respiratory Organs. Spasmodic cough from irritation of the throat, as if caused by the fumes of sulphur. Cough, with bloody expectoration. Haemorrhage from the lungs, in drunkards, or from suppressed menses, with burning heat all over. Asthmatic breathing, worse at night and in wet stormy weather. Gangrene" of the lungs ; stitches in upper right 74 chest during respiration. Pleurisy, with tendency to faint catarrh of the chest. Extremities. Tired, aching 1 pain in all the limbs ; weakness and weariness ; uneasiness of the limbs. Rheumatic pains in the feet and hands ; heaviness and swelling of the feet. Ulcers on the finger tips, soles of the feet and toes ; bruised pain in the knee-joint. Fever. Pulse small and frequent ; chilliness, especially after drinking ; internal coldness and external heat, much thirst, drinks often but little at a time. Internal burning heat ; chills and heat intermingled. Great weakness, exhausting sweat during sleep. Dropsy. Generalities. Prostration ; extreme restlessness ; great thirst; drinking often but little at a time. Burning pains. CURATIVE RANGE. Effects of poisoning from decayed or morbid animal matter. General dropsy. Intermittent fever, especially after the abuse of Quinine. Typhoid and hectic conditions. Inflammation of the mucous membranes, Diarrhoea, Dysentery, Dyspepsia, etc. Skin diseases, Nervous affections, Neuralgia, Chorea, Epilepsy. Asthma, Pneumonia, Bright's Disease of the Kidneys. VERATRUM ALBUM. Common Name— White Hellebore. The chief feature of Veratrum is its Choleraic condition CHARACTERISTIC SYMPTOMS. Mind and Head. Mania, persistent, raging, with inconsolable weeping and screaming over some fancied misfortune. Headache, with nausea and vomiting ; cold sweat on forehead. Coldness on top of head. Eyes. Double vision ; excessive dryness of lids ; fixed, sunken, lustreness, and surrounded by dark rings. Face. Nose cold and pointed ; face cold, pale, sunken, hippocratic. Mouth and Throat. Tongue red and swollen, or dry, black and cracked. Roughness and burning. 75 Stomach and Abdomen. Violent hunger in certain cases of mania. Excessive thirst for cold drinks ; desire for acids ; continuous nausea and violent vomiting, vomiting' even black bile and blood ; vomiting whenever he moves or drinks. Cutting, griping, twisting pains, as if the intestines were twisted into knots ; flatulence and cold sweat ; burning in the abdomen. Stool. Greenish watery, with flakes ; bilious, corrosive, frequent and profuse; Rice Water discharges, often involuntary. Worse at night and when moving or drinking. Before Stool. Severe, pinching colic and rumbling in abdomen. During Stool. Paleness, cold sweat on forehead ; pinching colic; nausea, prostration. After Stool. Great sinking and empty feeling in abdomen. Prostration. Accompaniments. Dispair ; cold sweat ; contracted pupils ; violent thirst for large quantities of cold water or acid drinks. Desire for fruits and acids ; violent vomiting ; great weakness after vomiting; violent colic; fainting; cramps. Its special indications are the immediate accompaniments of the stool with the thirst and cravings. Veratrum also cures constipation from inactivity of the rectum where the stools are large and hard. Urinary Organs. Urine greenish ; suppressed or frequent and scanty, dark red. Female Omans. Menses too early and too profuse. Painful menstruation* with vomiting and purging; suppressed lochia and milk, with delirium. Nymphomania of lying-in women. Respiratory Organs. Difficult breathing, with tightness of chest ; deep, hollow cough ; cough aggravated on entering a warm room, from the cold air ; convulsive state of whooping cough. Heart and Pulse. Palpitation, with anxiety. Rapid or slow, feeble and intermittent. Limbs. Nails blue from coldness ; Icy coldness of hands and and feet; cramps in calves. Generalities. Extreme prostration ; after fright involuntary stools ; shocks in limbs, and spasms in hands and feet ; cold sweat, external coldness and internal heat. 76 CURATIVE RANGE. Chrome affections from abuse of Quinine ; bad effects of fright, fear or vexation. Colic ; Cholera ; Cholera Morbus ; Diarrhoea ; Summer Complaint ; Constipation, and Whooping Cough, Lockjaw. CUPRUM METALLIGUM. Common Name — Metallic Copper. Mind and Head. Mania, with biting and tearing things topieces; over-sensitive in Whooping Cough ; Vertigo ; strange tingling in vertex. Affections of the brain in childhood, with catarrhal fever ; difficult dentition and eruptive diseases. Child can not hold the head up. Face. Very red; eyelids closed, and eyes rotating from side to side, in convulsions. Pale face, sunken, pinched and very cold in Cholera. Tongue and Mouth. Red ; dry and rough ; or coated whit© or brown. Mouth dry in brain affections. Throat. Audible gurgling of drink passing down the throat. Great thirst. Stomach and Abdomen. Excessive nausea ; vomiting relieved by drinking cold water, (the opposite of Veratrum Alb.) Violent pressure on stomach, with spasmodic, constrictive pains ; abdomen tense, hot and tender. Spasmodic movements of the abdominal muscles ; violent intermittent colic. Stool. Painful green stool, with cutting pains. Violent,, watery diarrhoea Pregnancy. Most distressing after pains, especially in women who have borne many children. Respiratory Organs. Hoarseness ; cough, with interrupted respiration (whooping cough); spasmodic attacks of suffocation (Asthma.) Limbs. Cramps in all the limbs, but especially in the calves. Nerves. Epileptic Convulsions, falling unconscious without a scream. Convulsions of teething children. The child liesupon its belly and spasmodically thrusts its breech up. Worse. Symptoms worse by contact and from vomiting. Better. Some symptoms better by drinking cold water. Veratrum follows well after Cuprum in whooping cough. 77 CURATIVE RANGE. Brain Affections, Convulsions, Spasmodic Affections, Cramps, Epilepsy, Cholera, Paralysis, Mania, Asiatic Cholera, Spasmodic Cojic, Gastro-Intestinal Inflammation. CARBO VEOETABILIS. Common Name — Vegetable Charcoal. CHARACTERISTIC SYMPTOMS. Mind and Head. Anxiety ; Stupor ; Collapse. Confusion, and can not think. Vertigo ; head feels heavy ; dull headache in back of head. Head and scalp painfully sensitive. Face. When blood is forced from the eyes in whooping" cough, give this remedy. Severe nose-bleed, several times a week, with pale face before and after the attack. Face hippocratic, covered with cold sweat, and blanched skin. Mouth and Tongue. Gums painfully sensitive and bleed. Tongue raw and dry or black (severe diseases), coated white, yellow or brown ; tongue and breath cold. Haemorrhage from nose and mouth. Stomach and Abdomen. Aversion to meat, fat or milk which cause flatulence. Violent, almost constant belching, sour, rancid, empty. Nausea ; constrictive cramps, extending into chest, with distension of abdomen. Vomiting of blood ; body icy cold ; cold breath, thready pulse, etc., etc. Colic from flatulence; abdomen full to bursting; worse from the least food ; better from passing flatus ; abdomen greatly distended ; better alter passing wind up or down. Stools and Anus. Much offensive flatus ; involuntary cadaverous smelling stools. Cholera during last stage ; stools burning, light-colored, fetid, watery, bloody, with straining. Urine and Genitals. Dark-red and turbid swelling of testicles during mumps. Menses too early and too profuse ; blood too thick and of a strong odor; morning Leucorrhoea or whites, excoriating the parts. Respiratory Organs. Long, lasting hoarseness, worse from talking and in the evening ; loss of voice ; spasmodic, hollow cough, with burning in chest ; sensation of weakness of chest; 78 rawness and soreness of chest. Asthma of old people ; short and cold breath, with cold hands and feet. Must have more air, must be fanned. Heart and Pulse. Palpitation excessive after eating, continuing for days. Blood stagnates in the capillaries ; cold face and limbs, complete torpor ; impending paralysis of the heart ; pulse thread-like, weak and small, intermittent. Extremities. Drawing pain in left fore-arm and wrist; lameness, heaviness and numbness of all the limbs; icy cold hands, cramps in legs and soles of feet. Generalities. Vital forces nearly exhausted ; great sleepiness and yawning during the day, and sleepless at night. Night full of dreams, when he sleeps after la.m.; blueness and coldness of skin ; great foulness of all the secretions ; bad effects from the loss of animal fluids. Aggravations. Some symptoms are worse in the morning and others in the evening or at night : debility, worse at noon ; in warm, damp weather ; changes in the weather. CURATIVE RANGE. Ailments from Quinine, especially suppressed chills and fever; ailments from abuse of Mercury; from salt or salt meats ; from putrid meat or fish or rancid fats. Scurvy, Dyspepsia, Palpitation, Diarrhoea, Heartburn, Constipation, Hemorrhoids, hoarseness or loss of voice ; Emphysema, Bronchitis, Asthma, Consumption ; Intermittent Fever, Typhoid Fever, Ulcers, Eczema, Glandular diseases. CONDITIONS. Suitable conditions for the use of this remedy, are in persons whose vital powers are low ; venous system predominant, that is, where there is a 'bluish appearance of the skin, lips, etc., rather than a healthy pinkish or reddish hue. Especially old people and children, after exhausting diseases. An excessive accumulation of gas in the stomach and bowels is the chief characteristic of this drug. REMARKS. Under the heading, " Curative Range," in the provings given of the foregoing drugs, I have mentioned a number of diseases, in which these medicines are of service; but they will relieve or cure the patient only in such cases, where the symptoms of the disease correspond with the proving of the drug. These remedies are not "cure-all" medicines, but they will be frequently indicated, especially in bowel troubles and when indicated they will promptly respond. Ordinarily a dose of medicine is given every two hours. Always increase the interval between the doses as improvement takes place. The greater the number of symptoms of any one remedy that may appear in a given case, the more forcibly indicated is the use of that remedy. But a case may present only o?ie symptom, as a " stiff neck, right side, from cold," in which case Aconite is indicated and will relieve. Of the eight foregoing medicines I have taken great care to select such a strength as will in the majority of cases produce the best results^ None of these medicines, except possibly 80 Camphor can produce any bad results, if taken accidentally or very frequently, and if any aggravation ensues during treatment, it is due most likely to the disease, and another remedy is probably indicated. Under the different headings there appear symptoms apparently contradictory, as under " Stool," Diarrhoea and Constipation. Suffice it to say the drug produces and also cures these conditions in different cases, and you will not be likely to have both conditions existing at the same time. THE END. NOTE J± J^nx nf the £J}BiliEinEs Prescribed in this Little Book, in vials, each vial containing about Forty-Five Full Doses, will be sent by mail to any address on receipt of $2.00, Postage Prepaid. The medicines will keep for a long time, and are ready for use. Every Family should pi?ovide itself with the means of combatting the Terrible Disease, Cholera, and be prepared for the emergency. Address T. ENGELBACH, Homoeopathic Pharmacy, 154 Canal Street, NEW ORLEANS, LA. T. ENGELBACH, homoeopathic •{• pharmacy, 154 Canal Street, New Orleans, La, This Establishment keeps constantly on hand a Complete Stock of <